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The aim of this study was to evaluate the effect of cochlear implantation and the duration of hearing loss on nasalance of speech of a postlingually impaired group of Saudi adult patients.
Duration of hearing aid use contributed to scores on Repetition.
These variables included age, gender, aided soundfield average hearing thresholds, duration of hearing loss, duration of hearing aid use, and aided SRTs obtained in quiet and in noise as a composite score.
This neuronal loss, in addition to personal or environmental factors (such as the duration of hearing loss, age of deafness, educational level, and speech therapy suppor) independent of cochlear implant characteristics, might explain cases of poor speech perception outcomes.
Interestingly, out of the eight domains measured on the MMSE, auditory factors (duration of hearing aid use, aided noise composite SRTs, and aided soundfield thresholds) predicted the scores on five MMSE domains that required understanding of the verbal instructions.
Furthermore, given that many older adults did not pursue intervention for 8 to 12 years after the first notice of a hearing impairment [ 17], a longer duration of hearing aid use is probably needed to demonstrate any effects of reversal of cognitive decline [ 16].
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Therefore, a much larger sample would be necessary to carry out a robust analysis of the effects of duration on hearing loss in employees with a work history of less than ten years.
Using the questionnaire for quantitative evaluation (history of occupational noise exposure, duration of noise exposure, use of hearing protective devices, and exposure to instantaneous environmental noise), 101 patients with noise-induced hearing impairment were excluded, as noise-induced damage of the cochlea could create bias when evaluating the independent role of CKD for hearing.
Therefore, further studies are required to clarify the duration of asphyxia, permanent characteristics of hearing deficits related to the Apgar score and birth asphyxia, and role of prematurity, which appears to be a confounding factor [ 69, 74].
Amikacin treatment duration modified the effect of the dosage on the risk of hearing loss, increasing this risk as the duration increased.
Table 4 illustrates the difference in change of hearing level stratified by work duration.
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