Hearing Health in Remote Quebec: A Case Study from a Native School
Bibliographic record
Abstract
The role of hearing as an essential sense in children's cognitive, communicative, and learning development is highly significant. The period of early childhood, marked by critical developmental milestones, underscores the crucial impact of sound hearing on language acquisition and socio-emotional growth. The detrimental effect of untreated hearing loss on a child's learning potential necessitates early detection and prompt intervention to address auditory impairments. Globally, many regions have recognized this need and established proactive strategies like hearing awareness and hearing screening programs. In Quebec, the Programme de Dépistage Auditif Néonatal is a noteworthy initiative aimed at identifying newborn hearing impairments early. However, despite this initial screening, children remain vulnerable to subsequent auditory issues such as otitis media and earwax obstruction during their formative years. We present here a case study from a partnership with a Native community with limited access to hearing-health-related services. Over the course of our visit, we screened a total of 29 students from the local school and found that six had full earwax occlusion, seven had partial occlusion, and eight warranted a full audiological evaluation. Additionally, we provided hearing health educative presentations with a focus on preventing the effects of noise, to five classes, ranging from pre-kindergarten to grade 8. The findings from this intervention underscored the need for sustained hearing screening and education programs for school-aged children, especially for regions with limited access to such services. These strategies would ensure early detection, prevention and management of hearing issues, thereby facilitating uninterrupted learning.
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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 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.014 | 0.003 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.003 | 0.003 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.004 | 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".