Person: ÇİPRUT, AYŞE AYÇA
Loading...
Email Address
Birth Date
Research Projects
Organizational Units
Job Title
Last Name
ÇİPRUT
First Name
AYŞE AYÇA
Name
12 results
Search Results
Now showing 1 - 10 of 12
Publication Metadata only Gecikmiş dil ve konuşma tanısı almış çocukların ilerleyen dönem izlem çalışması(2022-10-10) YURDAKUL ÇINAR, FATMA; ÇİPRUT, AYŞE AYÇA; Yurdakul Çınar F., Çiprut A. A.Gecikmiş dil ve konuşma tanısı almış çocukların ilerleyen dönem izlem çalışmasıGiriş ve Amaç: Gecikmiş dil ve konuşma, yaşıtlarına kıyasla çocuğun beklenen oranda konuşma ve dil geliştirememesidir. Dil ve konuşma gelişimindeki gecikme; işitme kaybı, mental retardasyon, ifade edici dil bozukluğu, psikososyal yoksunluk, otizm spektrum bozukluğu, selektif mutizm, alıcı afazi ve serebral palsi gibi birçok bozukluğun belirtisi olabilir. Çalışmamızın amacı, dil ve konuşma gecikmesinin başka sorunların belirteçi olma durumunu değerlendirmek ve ilerleyen dönem takiplerinin önemini vurgulamaktır.Yöntem: 2013-2019 tarihleri arasında, Marmara Üniversitesi, Pendik Eğitim ve Araştırma hastanesi, Çocuk ve ergen ruh sağlığı ve hastalıkları anabilim dalına gecikmiş dil ve konuşma şikayeti başvuran, Kulak burun boğaz hastalıkları ve odyoloji kliniğine yönlendirilen periferik işitmesi normal sınırlarda bulunan 12-60 ay arası çocukların (n=105) bilgilerinin değerlendirildiği retrospektif bir dosya tarama çalışmasına ait veriler kullanılmıştır. Çocukların ebeveynlerine ait telefon numaraları sistem kayıtlarından elde edilerek çocukların dil gelişimi, konuşma ve sosyal etkileşimlerine yönelik en az 3 yıl ve sonraki mevcut durumları, süreç içerisinde aldıkları tanılar ve eğitsel müdahaleler hakkında bilgi edinilmesi amacıyla yarı-yapılandırılmış telefon görüşmeleri yapılmıştır. Elde edilen veriler tanımlayıcı istatistik ile sunulmuştur.Bulgular: 84’ü (% 80) erkek, 21’i (% 20) kız olmak üzere değerlendirilen 105 çocuktan, 54’ ü (% 51.4) ilerleyen dönemde başka tanılar almıştır. Bu tanılar arasında; otizm spektrum bozukluğu=21 (%20), genel gelişimsel gecikme=13 (%12.3), dikkat eksikliği ve hiperaktivite bozukluğu (DEHB)=9 (%8.5), epilepsi=4 (%3.8) yer alırken, bu durumların dışında metabolizma, endokrin, nöroloji, genetik, kardiyoloji, nefroloji, göz hastalıkları gibi bölümlerden takipli 7 (% 6.6) kişi bulunmaktadır. 51 çocuk ise (% 48.57) ilerleyen süreçte ortalama gelişim düzeyini yakalamış ve hiçbir yerden tıbbi takipli değildir. Başka tıbbi tanısı olmayan çocukların 22’si (% 20.9) sadece öneriler ve sosyal ortam desteği ile ortalama gelişim düzeyini yakalarken, 29’su ise öneri, sosyal ortam desteği ve dil konuşma terapisi desteği (terapi süresi= ortalama 14.1± 4.5 ay) ile ortalama gelişim düzeyini yakalamış ve hiç bir yerden tıbbi takipleri mevcut değildir.Sonuç ve Öneriler: Dil ve konuşma gecikmesi şikayetiyle başvuru yapan çocukların bu durumlarına çoğunlukla ek bir tanının eşlik ettiği gözlenmiştir. Bunun yanı sıra gerekli müdahalelerle ortalama gelişim düzeyini yakalamış çocuklar da mevcuttur. Dil ve konuşma gecikmesi şikayetiyle başvuran çocukların multidisipliner yaklaşımla değerlendirilip, dil ve konuşma gecikmesinin bir belirteç olabileceği gözünde bulundurulmalıdır.Publication Open Access Musical mistuning perception and appraisal in cochlear implant recipients(2023-06-01) YÜKSEL, MUSTAFA; ÇİPRUT, AYŞE AYÇA; Kösemihal E., Yüksel M., CESUR S., Çiprut A.Objective Music is a very crucial art form that can evoke emotions, and the harmonious presence of the human voice in music is an impactful part of this process. As a result, vocals have had some significant effects on contemporary music. The mechanism behind the cochlear implant (CI) recipients perceiving different aspects of music is clear; however, how well they perceive vocal tuning within music it is not well known. Hence, this study evaluated the mistuning perception of CI recipients and compared their performance with normal-hearing (NH) listeners. Study Design, Setting, and Patients A total of 16 CI users (7 cisgender men, 9 cisgender women) and 16 sex-matched NH controls with an average age of 30.2 (±10.9; range, 19-53) years and 23.5 (±6.1; range, 20-37) years, respectively, were enrolled in this study. We evaluated the mistuning ability using the mistuning perception test (MPT) and assessed self-perceived music perception and engagement using the music-related quality-of-life questionnaire. Test performance was measured and reported on the item-response theory metric with a z score ranging from -4 to +4. Results A significant difference in the MPT scores was found between NH and CI recipients, whereas a significant correlation was noted between the music-related quality-of-life questionnaire-frequency subscale and MPT scores. No significant correlations were found between age, CI age, and CI usage duration and MPT performance. Conclusions This study revealed that musical mistuning perception is a limitation for CI recipients, similar to previously evaluated aspects of music perception. Hence, it is important to consider this aspect in the assessment of music perception, enjoyment, and music-based auditory interventions in CI recipients, as vocals are paramount in music perception and recreation. The MPT is a convenient and accessible tool for mistuning assessment in CI and hearing-aid users.Publication Open Access The body image in hearing aid and cochlear implant users in Turkey(2022-11-01) ÇİPRUT, AYŞE AYÇA; Ozturk S., ÇİPRUT A. A.Purpose We investigated the relationship between hearing aid or cochlear implants usage and body image, and quality of life. Methods Of the 96 participants studied, 26 were cochlear implant users, 20 hearing aid users, 20 non-device users with hearing loss, and 30 normal hearing. The inclusion criteria for the study for all groups were subjects 18 years or older with no other physical complaints. The average age of groups and gender distributions were similar. The Body Image Scale (BIS) and World Health Organization Quality of Life Scale were applied to all participants, whereas the International Outcome Inventory for Hearing Aids, Turkish Version, was applied only to device users. Results A significant difference in body image scores was identified between non device users with hearing loss group and normal hearing group, device users group (HA/CI), and cochlear implant users group. In contrast, no significant difference in body image scores between normal hearing group and the device users group was identified. Finally, a positive correlation between body image scores and quality of life scores in all groups was identified. Conclusions Non-device users with hearing loss have a lower body image and quality of life than those in the other groups, and device usage has a positive effect on body image and quality of life.Publication Open Access Observational study of pediatric cochlear implant recipients: Two-year follow-up outcomes(2023-01-01) ÇİPRUT, AYŞE AYÇA; CESUR S., Ciprut A., Terlemez S.Objective: The aim of this study was to evaluate the improvements in quality of life and auditory performance via a descriptive report using patient-related outcomes measures in a group of children with cochlear implants (CI). Methods: This was a longitudinal and retrospective study based on the analysis of patient records of a total of 28 children with CI, 18 of whom had bilateral (64.3%) and 10 had unilateral (35.7%). The study included repeated within-subject measures of Hearing Implants Quality of Life (CuHI-QoL), Categories of Auditory Performance (CAP-II), Speech, Spatial, and Qualities of Hearing scale-Parents’ version (SSQ-P) scales, and Implant Recipient Follow-up (IRF) form at 6-month intervals from baseline up to 24 months. Results: During the 2-year follow-up assessments, all children with CI showed statistically significant improvement over time in their CAP-II, SSQ-P, CuHI-QoL, and IRF scores (p<0.001). The most significant increase in scores occurred within the first six months following the baseline and then continued to increase gradually at a slower pace over time. A moderate negative relationship was found between the age of implantation and SSQ-P and family satisfaction scores of IRF (p<0.05). Conclusions: Family expectations, overall well-being, quality of life, auditory, and verbal skills increase positively with earlier CI intervention. Moreover, the subjective assessment results showed that parents-positive attitudes toward implantation, and willingness to recommend it to others have steadily increased in time. Although the cohort is relatively small and variable, the results offer a descriptive view to outcomes in real-world practice.Publication Open Access A longitudinal study of cortical auditory maturation and implications of the short inter-implant delay in children with bilateral sequential cochlear implants(2023-03-01) ÇİPRUT, AYŞE AYÇA; ATILGAN A., CESUR S., Çiprut A.© 2023 Elsevier B.V.Objective: This longitudinal study aimed to investigate the maturational development of P1 latency and the effects of a short inter-implant delay in children who received bilateral sequential cochlear implants. Materials and methods: Fourteen children (first CI mean age: 1.4 ± 0.4 years and Second CI mean age: 3.3 ± 0.5 years) who had received sequential bilateral cochlear implants during the sensitive period for auditory maturation participated in our study. The speech-evoked cortical P1 response was recorded after the activation of the second CI at four intervals (implant activation, 3 months, 6 months, 12 months) under three listening conditions (first CI, second CI, binaural). Results: Our results showed that the P1 latencies of the second CI reached normative values within 3 months, but did not reach the P1 latency of the first CI until 12 months. We found a strong negative correlation between the inter-implant delay and the P1 latencies of the second CI when the second CI was activated. Conclusion: Changes in cortical auditory responses over time resulted in normal auditory maturation in children with sequential bilateral cochlear implants during the sensitive period. The results also provide evidence that the timing of auditory experience in the first ear during the sensitive period may influence the speed of compensation in children receiving sequential cochlear implants.Publication Metadata only Listening effort in prelingual cochlear implant recipients: Effects of spectral and temporal auditory processing and contralateral acoustic hearing(2022-12-01) ÇİPRUT, AYŞE AYÇA; Yüksel M., TAŞDEMİR İ., Çiprut A. A.© 2022 Wolters Kluwer Health, Inc. All rights reserved.Objective Considering the impact of listening effort (LE) on auditory perception, attention, and memory, it is a significant aspect in the daily hearing experiences of cochlear implant (CI) recipients. Reduced spectral and temporal information on an acoustic signal can make listening more difficult; as a result, it is important to understand the relationship between LE and spectral and temporal auditory processing capacities in CI receivers. Study Design, Setting, and Patients This study used spectral ripple discrimination and temporal modulation transfer function to evaluate 20 prelingually deafened and early implanted CI recipients. The speech perception in noise test (primary) and the digit recall task (DRT-secondary) were used to assess LE using the dual-task paradigm. To assess the effects of acoustic hearing, contralateral acoustic hearing thresholds between 125 Hz and 8 kHz with a hearing aid were also acquired. To examine the relationship between the research variables, correlation coefficients were generated. Furthermore, the Mann-Whitney U test was used to compare unilateral and bimodal users. Results There was a statistically significant correlation between LE and spectral ripple discrimination (r = 0.56; p = 0.011), 125 Hz (r = 0.51; p = 0.020), 250 Hz (r = 0.48; p = 0.030), 500 Hz (r = 0.45; p = 0.045), 1,000 Hz (r = 0.51; p = 0.023), 2000 Hz (r = 0.48; p = 0.031), and 4,000 Hz (r = 0.48; p = 0.031), whereas no statistically significant correlations were observed between temporal modulation transfer function in four frequencies and LE. There was no statistically significant difference between unilateral and bimodal CI recipients (p > 0.05). Conclusion As a result of the improved signal-to-noise ratio in the auditory environment, CI users with better spectral resolutions and acoustic hearing have a reduced LE. On the other hand, temporal auditory processing, as measured by temporal modulation detection, does not contribute to the LE.Publication Open Access P149 The association between the cumulative dose of aminoglycoside exposure and hearing loss in children with cystic fibrosis(2022-06-01) ÇİPRUT, AYŞE AYÇA; Yegit C. Y. , Ergenekon P., Yanaz M., Guliyeva A., Kalyoncu M., Meral O., Selcuk M., Taştan G., Uzunoglu B., Ozturk N., et al.We discuss the excitation of sterile neutrinos in the early universe using general quantum kinetic equations, which also incorporate a possible primordial magnetic field $B$. We find a new contribution to the excitation propability, which has its origin in the shrinkage of the spin vector. In the absence of $B$ nucleosynthesis implies the constraint $\mid \Delta m^2\mid\sin^22\theta_0\lsim 1.6\times 10^{-6}~{\rm eV}^2$ which is more restrictive than previous estimates. We also present examples of possible stringent limits for $B\ne 0$.Publication Metadata only Tek taraflı işitme kayıplı bireylerde Vhit ve Shimp bulguları(2022-10-09) ÇİPRUT, AYŞE AYÇA; GEÇİCİ, CENNET REYYAN; Geçici C. R. , Konca S., Çiprut A. A.Publication Metadata only Dil ve konuşma gelişiminin işitsel temporal sıralama becerisi üzerine etkisi(2023-06-14) YURDAKUL ÇINAR, FATMA; ÇİPRUT, AYŞE AYÇA; Yurdakul Çınar F., Çiprut A. A.Publication Metadata only Tek taraflı işitme kayıplı bireylerin santral işitsel işlemleme becerileri ile benlik saygısı, konuşma algısı, uzaysal algı ve işitme kalitesi arasındaki ilişkinin incelenmesi(2022-10-09) GEÇİCİ, CENNET REYYAN; ÇİPRUT, AYŞE AYÇA; Geçici C. R. , Konca S., Çiprut A. A.