Universal Neonatal Hearing Screening
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Universal Neonatal Hearing Screening
Universal neonatal hearing screening (UNHS), also known as early hearing detection and intervention (EHDI) programmes in several countries, refer to those services aimed at the early identification, intervention, and follow-up of infants and young children who are deaf or hard-of-hearing. It is a strategy for early detection of permanent congenital hearing loss. It describes the use of objective testing methods (usually otoacoustic emission (OAE) testing or automated auditory brainstem response (ABR) testing) to screen the hearing of well newborns in a particular target region. Overview Even among developed countries, until the 1990s, it could take years for hearing-impaired child to be diagnosed and to benefit from a health intervention and amplification. This delay still can happen in developing countries. If children are not exposed to sounds and language during their first years of life because of a hearing loss, they will have difficulty in developing spoken or signed lang ...
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Hearing Loss
Hearing loss is a partial or total inability to hear. Hearing loss may be present at birth or acquired at any time afterwards. Hearing loss may occur in one or both ears. In children, hearing problems can affect the ability to acquire spoken language, and in adults it can create difficulties with social interaction and at work. Hearing loss can be temporary or permanent. Hearing loss related to age usually affects both ears and is due to cochlear hair cell loss. In some people, particularly older people, hearing loss can result in loneliness. Deaf people usually have little to no hearing. Hearing loss may be caused by a number of factors, including: genetics, ageing, exposure to noise, some infections, birth complications, trauma to the ear, and certain medications or toxins. A common condition that results in hearing loss is chronic ear infections. Certain infections during pregnancy, such as cytomegalovirus, syphilis and rubella, may also cause hearing loss in the ch ...
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Marion Downs (audiologist)
Marion Downs (January 26, 1914 – November 13, 2014) was an American audiologist and Professor Emerita at the University of Colorado Health Sciences Center, Denver, who pioneered universal newborn hearing screening in the early 1960s, then spent more than 30 years trying to convince her peers to adopt the testing in hospitals and to place hearing aids on infants who showed hearing loss. She worked to alert the medical world to the developmental problems associated with childhood deafness. As a result of her efforts, 95 percent of all newborns in America today are screened for hearing loss. She devoted her professional life to the promotion of early identification of hearing loss in newborns, infants, and young children and to helping deaf and hard of hearing individuals lead fulfilling lives. Early life She was born and raised in New Ulm, Minnesota. She married George Downs, PhD, after her junior year of college, and the couple had three children. Career Downs attended the Unive ...
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United States Department Of Health And Human Services
The United States Department of Health and Human Services (HHS) is a cabinet-level executive branch department of the U.S. federal government created to protect the health of all Americans and providing essential human services. Its motto is "Improving the health, safety, and well-being of America". Before the separate federal Department of Education was created in 1979, it was called the Department of Health, Education, and Welfare (HEW). HHS is administered by the Secretary of Health and Human Services, who is appointed by the president with the advice and consent of the United States Senate. The position is currently held by Xavier Becerra. The United States Public Health Service Commissioned Corps, the uniformed service of the PHS, is led by the Surgeon General who is responsible for addressing matters concerning public health as authorized by the secretary or by the assistant secretary for Health in addition to his or her primary mission of administering the Comm ...
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Children's Health Act
The Children's Health Act of 2000 (), signed by President Clinton on October 17, 2000, was brought into law to conduct a study focusing on children from before conception to 21 years of age. The law authorized the formation of federal child health funding programs and included a pediatric research initiative in the National Institutes of Health. Seven existing Vanguard centers, located primarily at major research universities across the US, are scheduled to start enrolling pregnant women during 2008 as part of the planned National Children's Study. An additional twenty-two centers are slated to be added as part of the $3.2 billion project aimed at finding cures to some of the nation's most pressing health problems. The study will be the largest ever to look at the ways in which environment and genetics interact to influence child health and human development. Implications The focus of this Act was to increase research and treatment of numerous health issues concerning children ...
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US Preventive Services Task Force
The United States Preventive Services Task Force (USPSTF) is "an independent panel of experts in primary care and prevention that systematically reviews the evidence of effectiveness and develops recommendations for clinical preventive services". The task force, a volunteer panel of primary care clinicians (including those from internal medicine, pediatrics, family medicine, obstetrics and gynecology, nursing, and psychology) with methodology experience including epidemiology, biostatistics, health services research, decision sciences, and health economics, is funded, staffed, and appointed by the U.S. Department of Health and Human Services' Agency for Healthcare Research and Quality. Intent The USPSTF evaluates scientific evidence to determine whether medical screenings, counseling, and preventive medications work for adults and children who have no symptoms. Methods The methods of evidence synthesis used by the Task Force have been described in detail. In 2007, their methods ...
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National Center For Hearing Assessment And Management
The National Center for Hearing Assessment and Management (NCHAM) was founded in 1990 at Utah State University in Logan, Utah. Contributions Newborn Hearing Screening From 1988 to 1993, NCHAM conducted the first large-scale clinical trial of universal newborn hearing screening known as the Rhode Island Hearing Assessment Project. Results of this trial were focused on a variety of subjects that were included in the 1993 decision of the National Institutes of Health (NIH) that all newborns should be screened for hearing loss. From 1993 to 1996, NCHAM directed a National Consortium for Newborn Hearing Screening that resulted in over 100 hospitals in 10 states implementing newborn hearing screening programs. From 1996 to 2000, NCHAM staff worked with newborn hearing screening programs in 35 states and provided direct assistance to over 200 hospitals in establishing Early Hearing Detection and Intervention (EHDI) programs. Since April 1, 2000, NCHAM has served as the National Techni ...
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National Institutes Of Health
The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the late 1880s and is now part of the United States Department of Health and Human Services. The majority of NIH facilities are located in Bethesda, Maryland, and other nearby suburbs of the Washington metropolitan area, with other primary facilities in the Research Triangle Park in North Carolina and smaller satellite facilities located around the United States. The NIH conducts its own scientific research through the NIH Intramural Research Program (IRP) and provides major biomedical research funding to non-NIH research facilities through its Extramural Research Program. , the IRP had 1,200 principal investigators and more than 4,000 postdoctoral fellows in basic, translational, and clinical research, being the largest biomedical research ins ...
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Congressional Hearing Health Caucus
The Congressional Hearing Health Caucus (Caucus), a caucus of the United States Congress, was created in 2001 in cooperation with the National Campaign for Hearing Health, a public education and advocacy project run by the Deafness Research Foundation (now callethe Hearing Health Foundation) The focus of the Congressional Hearing Health Caucus includes several aims that promote hearing health and encourage universal newborn hearing health screenings for all Americans. Those most at risk for hearing-related concerns are newborns, infants, and the elderly, particularly if such issues are left undetected. Therefore, a primary goal of the Congressional Hearing Health Caucus is to see that auditory abilities of all Americans are screened, including universal hearing screening for newborns. One of the co-founders and co-chairmen of the Caucus was former Congress Member James T. Walsh
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James T
James is a common English language surname and given name: *James (name), the typically masculine first name James * James (surname), various people with the last name James James or James City may also refer to: People * King James (other), various kings named James * Saint James (other) * James (musician) * James, brother of Jesus Places Canada * James Bay, a large body of water * James, Ontario United Kingdom * James College, a college of the University of York United States * James, Georgia, an unincorporated community * James, Iowa, an unincorporated community * James City, North Carolina * James City County, Virginia ** James City (Virginia Company) ** James City Shire * James City, Pennsylvania * St. James City, Florida Arts, entertainment, and media * ''James'' (2005 film), a Bollywood film * ''James'' (2008 film), an Irish short film * ''James'' (2022 film), an Indian Kannada-language film * James the Red Engine, a character in ''Thomas t ...
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Ototoxicity
Ototoxicity is the property of being toxic to the ear (''oto-''), specifically the cochlea or auditory nerve and sometimes the vestibular system, for example, as a side effect of a drug. The effects of ototoxicity can be reversible and temporary, or irreversible and permanent. It has been recognized since the 19th century. There are many well-known ototoxic drugs used in clinical situations, and they are prescribed, despite the risk of hearing disorders, for very serious health conditions. Ototoxic drugs include antibiotics (such as gentamicin, streptomycin, tobramycin), loop diuretics (such as furosemide), and platinum-based chemotherapy agents (such as cisplatin and carboplatin). A number of nonsteroidal anti-inflammatory drugs (NSAIDS) have also been shown to be ototoxic. This can result in sensorineural hearing loss, dysequilibrium, or both. Some environmental and occupational chemicals have also been shown to affect the auditory system and interact with noise. Signs and ...
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Apgar Scores
The Apgar score is a quick way for doctors to evaluate the health of all newborns at 1 and 5 minutes after birth and in response to resuscitation. It was originally developed in 1952 by an anesthesiologist at Columbia University, Virginia Apgar, as way to address the need for a standardized way to evaluate infants shortly after birth. Today, the categories developed by Apgar used to assess the health of a newborn remain largely the same as in 1952, though the way they are implemented and used has evolved over the years. The score is determined through the evaluation of the newborn in five criteria: activity (tone), pulse, grimace, appearance, and respiration. For each criterion, newborns can receive a score from 0 to 2. The list of criteria is a backronym of Apgar's surname. History and development of the Apgar score Apgar originally thought up the criteria as way to address the lack of a standardized way to assess the need for assistive breathing procedures for newborns. In 1 ...
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Bacterial Meningitis
Meningitis is acute or chronic inflammation of the protective membranes covering the brain and spinal cord, collectively called the meninges. The most common symptoms are fever, headache, and neck stiffness. Other symptoms include confusion or altered consciousness, nausea, vomiting, and an inability to tolerate light or loud noises. Young children often exhibit only nonspecific symptoms, such as irritability, drowsiness, or poor feeding. A non-blanching rash (a rash that does not fade when a glass is rolled over it) may also be present. The inflammation may be caused by infection with viruses, bacteria or other microorganisms. Non-infectious causes include malignancy (cancer), subarachnoid haemorrhage, chronic inflammatory disease (sarcoidosis) and certain drugs. Meningitis can be life-threatening because of the inflammation's proximity to the brain and spinal cord; therefore, the condition is classified as a medical emergency. A lumbar puncture, in which a needle is inse ...
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