Cerumen, Hearing, and Cognition in the Elderly

Moore, Ann M.; Voytas, John; Kowalski, Debra; Maddens, Michael

doi:10.1016/s1525-8610(04)70455-7

Cited by 37 publications

(47 citation statements)

References 19 publications

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“…[9] It can affect up to 6% of the general population and a much higher percentage of the elderly and persons with cognitive impairment. [13] Excessive or impacted cerumen is present in approximately 1 in 10 children, 1 in 20 adults, and 1 in 3 older adults. [91214] In the United States, cerumen accumulation leads to 12 million patient visits and 8 million cerumen removal procedures annually.…”

Section: Introductionmentioning

confidence: 99%

Self‑ear‑cleaning among educated young adults in Nigeria

Olaosun

2014

J Family Med Prim Care

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Context:Self-ear-cleaning has been reported to be common from several hospital-based studies and it has been associated with some diseases of the ear.Aims:To determine community-based prevalence of self-ear-cleaning and its sociodemographic correlates among educated young adults in Nigeria.Settings and Design:A cross-sectional survey conducted in a National Youth Service Corps camp in Nigeria.Subjects and Methods:Semistructured questionnaires were administered on a randomly selected sample of 1280 respondents. The outcome variable was self-ear-cleaning. Independent variables were sociodemographic variables, materials used and ear-cleaning habits.Statistical Analysis Used:Statistical Package for the Social Sciences (SPSS) version 15 was utilized for univariate, bivariate, and multiple logistic regression analysis.Results:There were 1012 respondents (M: F = 1.05:1). Mean age was 25.3 (standard deviation, 2.34). Prevalence of self-ear-cleaning was 93.4%. Mean age at first cleaning was 7.6 years. Cotton buds were the most frequently used objects (in 85.1%). Prevalence was high irrespective of sociodemographic class, significantly higher among females (χ2 = 4.549, P = 0.033), those who believed the habit was beneficial (χ2 = 114.185, P < 0.001) and those whose parents and siblings practiced the habit. Significant predictive factors were self-ear-cleaning in respondent's father [odds ratio (OR) P = 0.011) and owning cotton buds (OR = 0.192, P = 0.007).Conclusions:Self-ear-cleaning is almost universal. Most of the population is, therefore, at risk of possible harmful effects. Also, medical advice against self-ear-cleaning is not widely known. Rather, the erroneous perception that self-ear-cleaning is beneficial is common. Collaborative health education efforts targeted at families and schools and campaigns and advocacy for legislation regulating the sale of cotton buds are recommended.

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Section: Introductionmentioning

confidence: 99%

Self‑ear‑cleaning among educated young adults in Nigeria

Olaosun

2014

J Family Med Prim Care

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“…In the United States (U.S), 13% of people have hearing difficulties (7). In addition, it is reported that at least one-third of the elderly experience some degree of hearing impairment (8). The magnitude of speech impairment in Iran is not known.…”

Section: Introductionmentioning

confidence: 99%

Assessing the Nursing and Midwifery Students Competencies in Communication With Patients With Severe Communication Problems

Adib-Hajbaghery

Shahsavarloo

2014

Nurs Midwifery Stud

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Background: Clients with communication impairment are at risk for health disparity. Hence, health care workers should be knowledgeable and skillful in communication. However, no studies are available on Iranian nursing and midwifery students' communication skills with patients with severe communication problems. Objectives: The present study was conducted to investigate Iranian nursing and midwifery students' competencies in communication with patients with severe communication problems. Materials and Methods:This study was performed on all senior nursing and midwifery students of Kashan University of Medical Sciences in spring 2013. Data were collected through a knowledge questionnaire and two checklists for evaluation of skills needed for communication with patients with severe communication problems. Data analysis was performed through independent samples t test, and Fisher's exact test. Results: In total, 68.8% of the participants were female, 37.6% had a history of part-time job as a nurse or midwife. The mean score of knowledge were 4.41 ± 1.42 and 4.77 ± 1.77 for nursing and midwifery students, respectively and the difference was not significant (P = 0.312). In addition, the mean score of communication skills with deaf patients was 13.23 ± 4.68 and 11.86 ± 5.55 for nursing and midwifery students, respectively and the difference was not significant (P = 0.258). Also, the mean score of communication skills with stutter patients was 23.91 ± 4.17 and 21.25 ± 3.91 for nursing and midwifery students, respectively but the difference was not significant (P = 0.269). Conclusions: Nursing and midwifery students did not significantly differ in terms of communication with patients with severe communication problems. Most of the students had low or very low knowledge and skills in communication with patients with hearing impairment. However, they had better skills in communication with patient with speech problem. Special workshops or training programs are recommended to empower nursing and midwifery students in communication with patients with communication problems.

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“…The incidence of cerumen impaction is generally high in elderly adults . Cerumen impaction is more common in patients with dementia or mental disorders who, in many cases, do not complain of hearing loss . When MRI is taken for evaluation of brain in these patients, it is usually unclear whether cerumen impaction exists or not.…”

Section: Discussionmentioning

confidence: 99%

“…If cerumen impaction can be recognized on brain MRI, we can specify patients with cerumen impaction and remove the cerumen impaction for them. Removal of the cerumen impaction might result in a significant improvement of cognitive function . A Web of Science search that included the terms “MRI” and “dementia” revealed more than 5300 papers.…”

Section: Discussionmentioning

confidence: 99%