Publications by authors named "Sanjay Munjal"

Article Synopsis
  • - The study introduces the Digit in Noise test in Hindi (DIN-H), aiming to provide a quick and effective hearing screening tool for the Hindi-speaking population in India, addressing a shortage of hearing health professionals and resources.
  • - By recording and presenting digit triplets with noise to normal hearing subjects, the test was developed and validated, showing promising results in terms of speech recognition thresholds and consistency across trials.
  • - The findings suggest that DIN-H is a reliable tool for large-scale auditory system assessments, achieving a cut-off score of -5.6 dB for effective screening among the target population.
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Introduction: Orthognathic surgery results in the positional change of the maxilla and mandible that may affect speech. The present study evaluated the effect of combined maxillary advancement and mandibular setback surgery on articulation proficiency and speech intelligibility in patients with non-syndromic skeletal Class III malocclusion.

Methods: In this prospective study, twenty-five patients with skeletal class III malocclusion and consecutively treated with Lefort-1 maxillary advancement and mandibular setback (BSSO) orthognathic surgery were included in this study.

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Article Synopsis
  • The study aimed to estimate the costs associated with cochlear implant surgeries in India, focusing on both healthcare system expenses and patients' out-of-pocket (OOP) costs.
  • A bottom-up pricing model was utilized to gather comprehensive data on all resources needed for cochlear implantation services over the year, including specifics on medical evaluations and surgery costs.
  • Key findings revealed that while the health system spent significantly on various components of the procedure, the average OOP expense for patients was quite high, highlighting the need for evidence-based policy to inform publicly funded health insurance plans in India.
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Article Synopsis
  • - Meniere's Disease, a rare ear disorder causing significant patient distress, has no definitive treatment, with Endolymphatic hydrops being a key complication, although its exact cause remains unknown.
  • - A study involving 25 patients with Meniere's Disease found that 56% had allergies, with airborne allergens being more prevalent than food allergens, and tyrophagus being the most common allergen identified.
  • - Despite high allergy prevalence, no significant correlation was found between allergy status and the severity of symptoms, but managing specific allergens may help reduce symptoms for patients with associated allergies.
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Parental involvement in the rehabilitation process is one of the critical factors for the success of cochlear implants in their wards. Skills to use a cochlear implant (CI) device appropriately and manipulate the different settings are essential to gain maximum benefits. There was a need to have a tool in Hindi to assess the skills of parents to manage the CI device.

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Objectives: The objectives of the present study were to understand the parental views regarding stress, and its affect language, and auditory outcomes. The study also aims to understand the relationship between parental stress, and child's age.

Design, Setting And Participants: A retrospective study was performed at a tertiary medical hospital.

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Article Synopsis
  • The study aimed to create phonemically balanced passages in Punjabi, designed to reflect the sound distribution in the spoken language using familiar words.
  • Five speech-language pathologists validated the passages, after which 100 participants with normal hearing were tested for nasalence while reading them.
  • The results showed varying nasalence scores for the different types of passages, indicating good reliability for assessing resonance disorders in Punjabi speakers.
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Background: In India, facility-based surveillance for congenital rubella syndrome (CRS) was initiated in 2016 to estimate the burden and monitor the progress made in rubella control. We analyzed the surveillance data for 2016-2021 from 14 sentinel sites to describe the epidemiology of CRS.

Method: We analyzed the surveillance data to describe the distribution of suspected and laboratory confirmed CRS patients by time, place and person characteristics.

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Nijmegen Cochlear Implant Questionnaire is an HRQoL tool that was developed by Dutch researchers to assess the QoL in adult CI users in the English language. It is used to measure the impact of the use of CI on the daily life situations of its users, on the perception of speech sounds, and on the cost-benefit assessment CI in adult CI users. There is no specific instrument available to assess the QoL in adult CI users in India, hence there was a need to take up this study.

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Background: Speech abnormalities due to velopharyngeal insufficiency (VPI) significantly affect communication skills, self-esteem, and scholastic performance. It leads to a poor social, emotional, educational, and behavioral development and a poor quality of life overall in cleft lip palate (CLP) patients. Its early diagnosis and severity assessment using video-nasoendoscopy and speech assessment can significantly contribute to management.

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Introduction: This paper attempts to describe the neuropsychological differences between subgroups of tinnitus with normal hearing.

Methods: The study compared 150 normal-hearing participants with and without tinnitus in the 18-55 age-group. The participants completed nine neuropsychological tests, namely, Rey's auditory verbal learning test (RAVLT), Rey complex figure test (RCFT), digit vigilance test (DVT), Verbal N-back test (N Back), controlled oral word association test (COWA), animal names test (ANT), digit symbol substitution test (DSST), Wechsler digit span test (DST), and Stroop test.

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Background: The Penn Acoustic Neuroma Quality-of-life Scale (PANQOL) was specifically developed for assessing the quality of life (QOL) in patients with vestibular schwannoma (VS). Its utility has been established in many populations, but it has not been validated for use in India.

Objective: The objective of this study was to translate PANQOL into Hindi and validate it for use in India.

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The objective was to measure the effect of various face masks on speech recognition threshold and the word recognition score in the presence of varying background noise levels. 20 normal-hearing adult subjects (a total of 40 ears) participated. Pure tone audiometry followed by speech recognition threshold and word recognition score at the most comfortable level in varying signal-to-noise ratios (SNR0, SNR10, and SNR15) using surgical, pleated cloth, and N95 masks.

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Background: This study aimed to delineate the underlying pathophysiology of tinnitus between normal hearing and hearing loss subjects.

Objective: The study aimed to characterize the neuropsychological aspects of two types of groups with tinnitus having variable hearing thresholds.

Materials And Methods: The study sample comprises 75 subjects in a group with tinnitus and normal hearing, and 100 subjects in the tinnitus and hearing loss group.

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Introduction: Obesity has tripled since 1975 and affects health across many domains. Increasing body mass index increases the risk to the obese subject of many non-communicable diseases. The study evaluated the perceptive, aerodynamic, and acoustic parameters that characterize the voice of the obese population.

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Introduction: The present study reviews our experience with children with white matter disturbances and the benefits they get from rehabilitation post cochlear implantation.

Materials And Methods: It is a retrospective cohort study of 7 cochlear implanted children with white matter disturbances. Preoperatively all the subjects had undergone a complete Audiological test battery for confirmation of hearing thresholds.

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Objective: To determine the effect of earmuffs on stability of physiological parameters i.e. heart rate, respiratory rate, and oximeter saturation (SpO2) in preterm neonates.

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Background: Reports on childhood neurodevelopmental and neurosensory outcomes following acute bilirubin encephalopathy from low- and middle-income countries are scarce.

Aim: This study aimed to analyze the neurodevelopmental and neurosensory outcomes of survivors of acute bilirubin encephalopathy.

Study Design: Retrospective cohort.

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Introduction: This research was conducted to investigate the severity of tinnitus, its impact on subject's daily, personal and emotional life, which varies widely across the age groups.

Methodology: Sample population of 60 unilateral tinnitus subjects with normal hearing between the age ranges of 15-55years were divided into four age groups. Tinnitus severity was measured using tinnitus severity index, impact of tinnitus on daily life was documented through tinnitus handicap inventory and the stress levels through perceived stress scale.

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Stimulation approach is a therapy technique to improve language production using auditory and visual stimulation. Jellow app is a mobile app designed for compensating for impaired language skills and may be used in the intervention of persons with aphasia. The study aimed to determine the benefits of using the Jellow app as a facilitator of stimulus therapy to improve language and psychosocial domains in chronic Broca's Aphasia.

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Introduction: Osteoporosis and osteopenia are progressive disorders characterized by decreased bone mass, especially in postmenopausal women. These can be associated with body pain, fractures, hearing loss and balance disorders. The present study aims to evaluate audio-vestibular function in postmenopausal patients with osteopenia or osteoporosis.

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Introduction: College students use their voices at excessively loud intensities and long durations during college fests. The accumulative effect of vocally abusive behaviors in the presence of high ambient noise, poor vocal hygiene, and other environmental factors contribute significantly towards reducing vocal effectiveness in college students.

Objective: The present study aimed to study the effect of a vocally demanding situation (college Fest) on perceptual and objective voice features of college students.

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Background: Government of India is committed to eliminate measles and control rubella/congenital rubella syndrome (CRS) by 2020. In 2016, CRS surveillance was established in five sentinel sites. We analyzed surveillance data to describe the epidemiology of CRS in India.

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FAPCI is a parent/caregiver reporting questionnaire, which evaluates the communication performance of pre-school children with cochlear implants in the age range of 2-5 years, using behavioral examples of children's daily activities. Tools for the objective and effective measurement of communication for cochlear implanted Indian children in Hindi language are lacking. The primary aim of the study was to adapt American English version of FAPCI into the Hindi language.

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Parents of implanted children develop a set of expectations prior to implantation about future performance and outcomes of their child. This set of expectations has an important impact on post-implant satisfaction levels. The position of the parent in the household makes them uniquely placed to assess the impact of implantation in the context within which the child grows up.

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