Objectives :Determining the frequency distribution of hearing disorders among the student of public elementary school by Otoscopy, Puretone Audiometry, impedance Audiometry and questionnaires.
Methods and Materials: This study was can-led out in a cross - sectional descriptive survey - on 1000 students (500 girls and 500 boys) among the student of primary school of EslamAhad Gharh, academic year 1376-77
Results: 1- Otoscopy examination abnormal conditions of external ear canal was found in 13.65% of cases mostly impacted ceruman (13.3%). Abnormal conditions of external ear canal was more prevalent in girls than boys and the difference was statistically meaningful in the right (P V=0 .012) and left (PV=0.043) ear. Abnormal tympanic membrane was seen in 6.75% of cases mostly retraction (295%).
2- Impedance Audiometry: 11.05% abnormal tympanograms were observed, mostly type C (4.1%).
3- Pure Tone Audiometry: An overall 9.7% hearing loss was found in this population including 3.5% bilateral and
6.2% unilateral hearing loss. 4.15% of population suffered from SNHL observed mostly in boys and conductive. Hearing loss mostly in girls and the difference was statistically meaning in the left ear (PV=0.03).25.8% of cases were in need of medical care and surgery and six of them (l.e 0.6%) were in need of rehabilitation services.Family background showed on effects on the hearing disorders.Only 11. 4% of parents, 13.4% of teachers and 14.4% of afflicted students were aware of the problem.

Background and Aim: Families who have a child with hearing deficiency deal with different challenges, and mothers have a greater responsibility towards these children because of their traditional role of caregiver so, they deal with more psychological problems. The aim of this study was to compare the psychological well-being and coping styles in mothers of deaf and normal children.
Methods: In this cross-sectional and post event study (causal-comparative method), 30 mothers of deaf students and 30 mothers of normal students from elementary schools of Ardabil, Iran, were selected using available sampling. The Ryff psychological well-being (1989) and Billings and Moos coping styles (1981) questionnaires were used in this study. The data were analyzed using MANOVA test.
Results: We found that in mother&aposs of deaf children, psychological well-being and its components was significantly lower than mothers of normal children (p<0.01 and p<0.05, respectively). There was a significant difference between two groups in terms of cognitive coping style, too (p<0.01). However, mothers of deaf children used less cognitive coping style.
Conclusions: It seems that child&aposs hearing loss affects on mothers psychological well-being and coping styles this effect can be visible as psychological problems and lower use of adaptive coping styles.