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  1. Article ; Online: Reduced Tolerance for Risky Play in Primary Caregivers of Children With Hearing Loss.

    Deniz, Burcu / Kara, Halide Çetin / Çögen, Talha

    American journal of audiology

    2024  , Page(s) 1–11

    Abstract: Purpose: It is known that taking appropriate risks during play is crucial for the development of a child's creativity, problem-solving abilities, resilience, self-confidence, and skills in evaluating risky situations. However, communication problems ... ...

    Abstract Purpose: It is known that taking appropriate risks during play is crucial for the development of a child's creativity, problem-solving abilities, resilience, self-confidence, and skills in evaluating risky situations. However, communication problems resulting from hearing loss (HL) can affect a child's ability to hear danger and warning signals during play, potentially leading to injury. This study investigates the attitudes of parents or caregivers with children with HL toward risky play.
    Method: The study included 170 caregivers of children with normal hearing (NH;
    Results: TRIPS total scores were significantly higher in the NH group (
    Conclusions: The study found that caregivers of children with HL have less tolerance for risky play. Additionally, caregivers of children with better auditory skills were more tolerant of risky play. Therefore, it is suggested that caregivers of children using appropriate hearing devices should be informed that they do not need to be overly restrictive during play, and these children should be encouraged to engage in risky play.
    Language English
    Publishing date 2024-04-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1162315-9
    ISSN 1558-9137 ; 1059-0889
    ISSN (online) 1558-9137
    ISSN 1059-0889
    DOI 10.1044/2024_AJA-23-00238
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  2. Article ; Online: Effect of music integrated phonological awareness program on preschool cochlear implant users.

    Aksu, Büşra / Kara, Halide / Ataş, Ahmet

    International journal of pediatric otorhinolaryngology

    2024  Volume 180, Page(s) 111923

    Abstract: Objectives: Children with cochlear implants exhibit lower phonological awareness and sound discrimination skills compared to their normal-hearing peers. However, music training has been shown to have a positive effect on speech discrimination and ... ...

    Abstract Objectives: Children with cochlear implants exhibit lower phonological awareness and sound discrimination skills compared to their normal-hearing peers. However, music training has been shown to have a positive effect on speech discrimination and awareness skills.
    Methods: Our study included 23 cochlear implant users and 23 normal hearing participants aged 5-6 years with language skills. The aim was to observe the effect of a music-integrated phonological awareness program on cochlear implant users and to compare the phonological awareness skills of children with cochlear implants before and after online training with their normal hearing peers.
    Results: Results showed that the trained study group scored higher on the Scale of Early Childhood Phonological Awareness (PASECP) after training than the control group (p < 0.05). In addition, SMRT scores increased between before and after training in the study group, and Mismatch Negativity (MMN) amplitudes increased and latencies decreased as a result of training (p < 0.05).
    Conclusions: The study suggests that phonological awareness training integrated with music can effectively improve the phonological awareness skills of children with cochlear implants and has the potential to enable them to achieve phonological awareness levels similar to or even better than their normal hearing peers.
    MeSH term(s) Humans ; Female ; Male ; Cochlear Implants ; Child, Preschool ; Child ; Cochlear Implantation ; Speech Perception/physiology ; Awareness ; Case-Control Studies ; Phonetics ; Music Therapy/methods ; Deafness/rehabilitation ; Deafness/surgery ; Treatment Outcome
    Language English
    Publishing date 2024-04-06
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 754501-0
    ISSN 1872-8464 ; 0165-5876
    ISSN (online) 1872-8464
    ISSN 0165-5876
    DOI 10.1016/j.ijporl.2024.111923
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  3. Article ; Online: Family Resilience in Primary Caregivers of Children Who Are Deaf and Hard of Hearing.

    Kara, Halide Cetin / Cogen, Talha / Telci, Fatma

    American journal of audiology

    2024  , Page(s) 1–13

    Abstract: Purpose: This study aimed to investigate family resilience-defined as the capacity of a family to harness its collective strengths and resources to recover from and adapt to significant adversities or crises effectively-in primary caregivers of children ...

    Abstract Purpose: This study aimed to investigate family resilience-defined as the capacity of a family to harness its collective strengths and resources to recover from and adapt to significant adversities or crises effectively-in primary caregivers of children who are deaf and hard of hearing (cDHH) and its association with quality of life, life satisfaction, perceived social support, and loneliness.
    Method: The study involved 108 primary caregivers of cDHH and 139 primary caregivers of children with normal hearing. Participants underwent psychometric evaluations including the Family Resilience Scale, World Health Organization Quality of Life Assessment-Brief Form, Satisfaction with Life Scale, UCLA Loneliness Scale, and Multidimensional Scale of Perceived Social Support.
    Results: Significant differences were found in almost every scale and its subdimension between the two groups (
    Conclusions: Our study highlights the significant impact of having cDHH on caregivers' family resilience, quality of life, life satisfaction, feelings of loneliness, and perceived social support. The results underscore the importance of enhancing caregivers' quality of life as a potential strategy to improve their family resilience. Further research is needed to understand the complex interplay of factors influencing these outcomes.
    Language English
    Publishing date 2024-05-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1162315-9
    ISSN 1558-9137 ; 1059-0889
    ISSN (online) 1558-9137
    ISSN 1059-0889
    DOI 10.1044/2024_AJA-23-00173
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  4. Article ; Online: Comparison of Dynamic-Static Balance Parameters of Elite Ice Hockey Players and Normal Individuals.

    Kara, Eyyup / Kara, Halide / Acar, Melda / Ersin, Kerem / Yasak, İlknur

    Audiology & neuro-otology

    2022  Volume 27, Issue 6, Page(s) 478–484

    Abstract: Introduction: Our study aimed at stressing the significance of the vestibular system for ice hockey players, meanwhile focusing on the relation between the vestibular system and ice hockey for which balance is a significant factor. Our main aim was to ... ...

    Abstract Introduction: Our study aimed at stressing the significance of the vestibular system for ice hockey players, meanwhile focusing on the relation between the vestibular system and ice hockey for which balance is a significant factor. Our main aim was to compare the balance parameters of hockey players and normal individuals.
    Methods: Our experimental group consisted of 37 professional elite ice hockey players, and our control group consisted of 37 young males who have not previously been involved in sports as professionals. Participants had been subject to sensor organization test, adaptation test, weight-bearing/squat, unilateral stance, rhythmic weight-shifting tests of computerized dynamic posturography device.
    Results: Overall results indicate no significant difference between the control group and ice hockey players in the sensor organization test, which is caused by control group's comprising adolescents with amateur sport involvement. In adaptation test and unilateral stance test, a significant difference was found between experimental and control groups.
    Discussion/conclusions: This study determined the dynamic and static balance characteristics of ice hockey players. For this reason, it is useful to test the balance abilities of ice hockey players in static and dynamic conditions to evaluate their performance level. After testing individuals with vestibular problems with dynamic balance tests, appropriate sports exercises can be given to improve dynamic and static balance.
    MeSH term(s) Adolescent ; Male ; Humans ; Hockey
    Language English
    Publishing date 2022-09-30
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 1314086-3
    ISSN 1421-9700 ; 1420-3030
    ISSN (online) 1421-9700
    ISSN 1420-3030
    DOI 10.1159/000526696
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  5. Article ; Online: Investigation of the relationship between hyperacusis and auditory processing difficulties in individuals with normal hearing.

    Cogen, Talha / Cetin Kara, Halide / Kara, Eyyup / Telci, Fatma / Yener, Haydar Murat

    European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

    2023  Volume 281, Issue 1, Page(s) 469–477

    Abstract: Purpose: This study aimed to investigate the prevalence of hyperacusis and auditory processing (listening) difficulties (APDiff) in normal-hearing young adults and to explore the relationship between these two conditions.: Methods: A total of 333 ... ...

    Abstract Purpose: This study aimed to investigate the prevalence of hyperacusis and auditory processing (listening) difficulties (APDiff) in normal-hearing young adults and to explore the relationship between these two conditions.
    Methods: A total of 333 participants aged 18-24 underwent pure-tone audiometry tests and completed the Khalfa Hyperacusis Questionnaire (KHQ) and the University of Cincinnati Auditory Processing Inventory (UCAPI) online.
    Results: Hyperacusis was identified in 26.43% of participants, and APDiff in 36.04%. A strong, positive correlation was found between KHQ and UCAPI scores (r = 0.603, p < 0.001). Logistic regression models indicated that hyperacusis significantly increased the likelihood of having APDiff (OR 7.688, p < 0.001).
    Conclusion: Despite the high prevalence of hyperacusis and APDiff in young adults, few seek help from audiology clinics. Our findings highlight a significant link between hyperacusis and APDiff, emphasizing the need for screening protocols for auditory processing skills in young adults due to these conditions' potential social and academic impacts.
    MeSH term(s) Young Adult ; Humans ; Hyperacusis/epidemiology ; Hyperacusis/diagnosis ; Surveys and Questionnaires ; Audiometry, Pure-Tone ; Hearing ; Auditory Perception ; Tinnitus/diagnosis
    Language English
    Publishing date 2023-10-11
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1017359-6
    ISSN 1434-4726 ; 0937-4477
    ISSN (online) 1434-4726
    ISSN 0937-4477
    DOI 10.1007/s00405-023-08269-2
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  6. Article ; Online: Electrically Evoked Auditory Late Responses as a Novel Method for Cochlear Implant Programming.

    Deniz, Rişvan / Kara, Eyyup / Deniz, Burcu / Kara, Halide Çetin / Yener, Haydar Murat / Ataş, Ahmet

    Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology

    2022  Volume 43, Issue 4, Page(s) e414–e420

    Abstract: Hypothesis: Electrically evoked auditory late responses (eALR) are useful as an objective cochlear implant (CI) fitting method.: Background: Different objective and behavioral methods are used for CI fitting. However, there is no objective method ... ...

    Abstract Hypothesis: Electrically evoked auditory late responses (eALR) are useful as an objective cochlear implant (CI) fitting method.
    Background: Different objective and behavioral methods are used for CI fitting. However, there is no objective method that indicates that the electrical signal reaches the auditory cortex. eALR is an indicator that electrical signals reach the auditory cortex, so our aim was to investigate the use of eALR as an objective method for CI programming.
    Methods: Two different programs were created for 21 unilateral Med-El CI users. In the first program, the most comfortable level (MCL) was adjusted with the electrical stapes reflex threshold (eSRT), and the threshold levels (THR) were behaviorally adjusted according to the user's feedback. In the second program, the MCL level was adjusted to a level where all the components of the eALR were clearly seen, and the user did not feel uncomfortable; the THR levels were adjusted to the lowest level where the eALR P1 wave could be seen. The results of the MCL and THR levels of the two programs and the free field tests conducted with both programs were compared.
    Results: While MCL levels did not differ significantly between the two programs, a significant difference was observed between THR levels. In addition, no significant difference was found between hearing and speech tests with CI in the free field.
    Conclusion: The results revealed no significant performance difference between the two programs and that eALR could be preferred as an objective method for MCL determination.
    MeSH term(s) Auditory Threshold/physiology ; Cochlea ; Cochlear Implantation/methods ; Cochlear Implants ; Deafness/rehabilitation ; Evoked Potentials, Auditory/physiology ; Humans ; Speech Perception/physiology
    Language English
    Publishing date 2022-01-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2036790-9
    ISSN 1537-4505 ; 1531-7129
    ISSN (online) 1537-4505
    ISSN 1531-7129
    DOI 10.1097/MAO.0000000000003485
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  7. Article ; Online: Does size of the cochlear nerve affect postoperative auditory performance in pediatric cochlear implant patients with normal cochlear nerves?

    Gozen, Emine Deniz / Yener, H Murat / Kara, Halide / Atas, Ahmet / Kizilkilic, Osman / Cansiz, Harun

    Brazilian journal of otorhinolaryngology

    2020  Volume 88, Issue 3, Page(s) 390–398

    Abstract: Introduction: Cochlear implantation is an effective treatment method for severe to profound hearing loss. Many factors that may influence cochlear implantation success have been explained in previous studies. Apart from those, minor differences in size ... ...

    Abstract Introduction: Cochlear implantation is an effective treatment method for severe to profound hearing loss. Many factors that may influence cochlear implantation success have been explained in previous studies. Apart from those, minor differences in size of normal cochlear nerves may affect postoperative performance.
    Objective: To investigate whether the minor differences in cochlear nerve size in normal cochlear nerves affect postoperative cochlear implant performance.
    Methods: 30 pediatric prelingually deaf patients who were treated with cochlear implantation were included in this study. From the reconstructed parasagittal magnetic resonance images, the diameter and cross-sectional area of the cochlear nerve on the ipsilateral and contralateral side were measured. Auditory evaluations were performed 1, 3, 6 and 12 months following the first fitting. All the analysis was performed by using EARS®, evaluation of auditory responses to speech tool. Correlation between cochlear nerve diameter, cross-sectional area and postoperative auditory perception was analyzed to determine whether variation in cochlear nerve size contributes to postoperative auditory performance.
    Results: The mean diameter of the cochlear nerve on the ipsilateral side was 718.4 μm (504.5 - 904.3 μm) and mean cross sectional area was 0.015 cm
    Conclusion: Measuring the cross sectional area of the normal- appearing cochlear nerve may give important prognostic knowledge on cochlear implant outcomes. In patients with a larger cross sectional area the auditory performance was better and faster. Although normal appearing, slight differences on cross sectional area of the cochlear nerve may affect performance. Measuring the size of the cochlear nerve on parasagittal magnetic resonance images may provide beneficial information on the postoperative rehabilitation process.
    MeSH term(s) Child ; Cochlear Implantation ; Cochlear Implants ; Cochlear Nerve ; Deafness/rehabilitation ; Deafness/surgery ; Humans ; Speech Perception/physiology ; Treatment Outcome
    Language English
    Publishing date 2020-08-08
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2428110-4
    ISSN 1808-8686 ; 1808-8694
    ISSN (online) 1808-8686
    ISSN 1808-8694
    DOI 10.1016/j.bjorl.2020.06.019
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  8. Article ; Online: Assessment of Hidden Hearing Loss in Normal Hearing Individuals with and Without Tinnitus.

    Kara, Eyyup / Aydın, Kübra / Akbulut, A Alperen / Karakol, Sare Nur / Durmaz, Serkan / Yener, H Murat / Gözen, E Deniz / Kara, Halide

    The journal of international advanced otology

    2019  Volume 16, Issue 1, Page(s) 87–92

    Abstract: Objectives: To evaluate the functions of cochlear structures and the distal part of auditory nerve as well as dead regions within the cochlea in individuals with normal hearing with or without tinnitus by using electrophysiological tests.: Materials ... ...

    Abstract Objectives: To evaluate the functions of cochlear structures and the distal part of auditory nerve as well as dead regions within the cochlea in individuals with normal hearing with or without tinnitus by using electrophysiological tests.
    Materials and methods: Nine individuals (ages: 21-59 years) with normal hearing with tinnitus were included in the study group. Thirteen individuals (ages: 25-60 years) with normal hearing without tinnitus were included in the control group. Immitancemetric examination, pure-tone audiometry (125Hz-16kHz), speech audiometry in quiet and noise environments, transient evoked otoacoustic emissions (TEOAEs), distortion product otoacoustic emissions (DPOAEs), threshold equalizing noise (TEN test (500Hz-4kHz), and ECochG tests, Beck Depression Questionnaire, Tinnitus Handicap Questionnaire, and Visual Analog Scale were performed.
    Results: In the study group, three patients were found to have a minimal depression and six were found to have a mild depression. In pure-tone audiometry, the threshold (6-16 kHz) in the study group was significantly higher than that of the control group at all frequencies. In the study group, lower performance scores were obtained in speech discrimination in noise in both ears. In the control group, no dead region was detected in the TEN test whereas 75% of subjects in the study group had dead regions. DPOAE and TEOAE responses between study and control group subjects were not different. In the ECochG test, subjects in the study group showed an increase in the summating potential/action potential (SP/AP) ratio in both ears.
    Conclusion: Determination of the SP/AP ratio in patients with tinnitus may be useful in diagnosing hidden hearing loss. Detection of dead regions in 75% of patients in the TEN test may indicate that inner hair cells may be responsible for tinnitus.
    MeSH term(s) Adult ; Audiometry, Evoked Response/methods ; Audiometry, Pure-Tone/methods ; Audiometry, Speech/methods ; Auditory Threshold/physiology ; Case-Control Studies ; Cochlea/physiopathology ; Cochlear Nerve/physiopathology ; Evoked Potentials, Auditory, Brain Stem/physiology ; Female ; Hair Cells, Auditory/pathology ; Hearing/physiology ; Hearing Loss/diagnosis ; Hearing Loss/physiopathology ; Humans ; Male ; Middle Aged ; Noise/adverse effects ; Otoacoustic Emissions, Spontaneous/physiology ; Speech Perception/physiology ; Tinnitus/diagnosis ; Tinnitus/etiology ; Visual Analog Scale
    Language English
    Publishing date 2019-11-13
    Publishing country Turkey
    Document type Journal Article
    ZDB-ID 2561231-1
    ISSN 2148-3817 ; 1308-7649 ; 2148-3817
    ISSN (online) 2148-3817
    ISSN 1308-7649 ; 2148-3817
    DOI 10.5152/iao.2020.7062
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  9. Article: The impact of social and demographic features on comprehensive receptive and expressive performance in cochlear implant patients.

    Polat, Beldan / Başaran, Bora / Kara, Halide Cetin / Ataş, Ahmet / Süoğlu, Yusufhan

    Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat

    2013  Volume 23, Issue 2, Page(s) 90–95

    Abstract: Objectives: This study aims to observe the effects of social and demographic factors on the language development of prelingual pediatric cochlear implant patients.: Patients and methods: Between April 2006 and April 2010, 44 children (26 boys, 18 ... ...

    Abstract Objectives: This study aims to observe the effects of social and demographic factors on the language development of prelingual pediatric cochlear implant patients.
    Patients and methods: Between April 2006 and April 2010, 44 children (26 boys, 18 girls; mean age 81.1±16.9 months; range 54 to 115 months) who were prelingually implanted and who had an implant experience of at least 36 months were retrospectively analyzed. Only the patients without mental-motor retardation, cochlear anomaly and revision surgery and who continued their education without any interruption were selected. Receptive and expressive vocabulary tests were performed on these patients. Social and demographic features including gender, implant age, parents' education status and annual income were recorded. The relationship between language development and socio-demographic factors were investigated.
    Results: Patients implanted before the age of 36 months showed better levels of receptive and expressive language. Children with higher maternal education levels showed significantly better expressive and receptive equivalent language ages. Annual income of the families had significant positive impacts on the language development of the children who were implanted before the age of 36 months.
    Conclusion: Both expressive and receptive language skills over 36 months of implant experience are significantly associated with age at the time of the implant and socio-economic status of the parents.
    MeSH term(s) Age Factors ; Child ; Child, Preschool ; Cochlear Implants ; Comprehension ; Deafness/therapy ; Educational Status ; Female ; Humans ; Income ; Language Development ; Male ; Parents/education ; Retrospective Studies
    Language English
    Publishing date 2013-03
    Publishing country Turkey
    Document type Journal Article
    ISSN 1300-7475
    ISSN 1300-7475
    DOI 10.5606/kbbihtisas.2013.04378
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