AUDIOLOGICAL PROFILE AND TIME OF HEARING DEPRIVATION OF OLDER ADULTS IN THE OUTPATIENT HEARING HEALTH SERVICE PROGRAM (OHHS)
Bibliographic record
Abstract
Introduction: Changes in the auditory system in older adults are potentially disabling since they may imply direct losses in communication and quality of life of older adults. The Individual Sound Amplification Device (ISAD) is an essential alternative to rehabilitation, making sounds audible and preventing hearing deprivation. Objective: Characterize the older adult population that enters the program Granting ISAD in the SUS concerning psychosocial aspects, form of communication, previous experience with ISADs, and time of hearing deprivation. Methods: Retrospective cross-sectional study analyzing the Hearing Health System (HHS) database of the Brazilian Unified National Health System (SUS) of Santa Catarina, a state in southern Brazil. Data were collected from evaluations concerning the multidisciplinary team, including the audiological, psychological, social worker, and otolaryngologist evaluations. Results: Female patients (53.51%) with onset of postlingual loss (100%) were predominant. Most patients reported difficulty in social interaction (99%), first contact with ISAD (89.1%), communication by oral language (99.7%), presence of tinnitus (70%), and expectation of the condition not to worsen with the use of ISADs (41.8%). The primary diagnostic hypothesis identified was Age-Related Hearing Loss (59.7%), and the most common disease associated with hearing impairment was hypertension (67.7%). The predominant bilateral hearing loss consisted of sensorineural loss, with 80.1% for the right ear and 80% for the left ear, and moderately severe degree as the most common, with 33.9% for the RE and 34.5% for the LE. The retroauricular device was the most selected. The time of hearing deprivation was 12 years or more for 31.6% of the subjects. Conclusion: This study showed a significant impact of hearing loss on the quality of life of older adults, showing that the SUS represents the only possibility of acquiring ISADs for most of this population.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".