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1.
Biochim Biophys Acta ; 1840(10): 3190-7, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25018004

RESUMO

BACKGROUND: Excess 5-aminolevulinic acid (ALA) and α-aminoacetone (AA) are implicated in ketosis, porphyrinpathies and diabetes. Pathologic manifestations involve O2⁻, H2O2, OH, enoyl radicals (ALA and AA) and their oxidation end products. METHODS: To characterize enoyl radicals resulting from reaction of OH radicals with ALA and AA, micromolar OH concentrations were produced by pulse radiolysis of ALA and AA in aqueous solutions. RESULTS: ALA and AA react with OH at k=1.5 × 109 M⁻¹s⁻¹. At pH7.4, the ALA absorbance spectrum has a maximum at 330 nm (ε=750 M⁻¹cm⁻¹). This band appears as a shoulder at pH8.3 where two ALA species are present: (NH3)⁺-CH2-CO-CH2-CH2-COO⁻ and NH2-CH2-CO-CH2-CH2-COO⁻ (pKa=8.3). At pH8.3, ALA reacts with oxygen (k=1.4 × 108 M⁻¹s⁻¹) but not with O2⁻. At pH8.3, AA oxidation produces two AA species characterized by an absorbance spectrum with maxima at 330 and 450 nm. ALA and AA are repaired by antioxidants (quercetin (QH), catechin, trolox, ascorbate) which are semi-oxidized (k>10(8)M⁻¹s⁻¹). QH bound to HSA or to apoferritin and ferritin repairs ALA and AA. In O2-saturated apoferritin solutions, Q, O2⁻, AA and reaction product(s) react with QH. CONCLUSIONS: The optical absorption properties and the time evolution of ALA and AA were established for the first time. These radicals and their reaction products may be neutralized by antioxidants free in solution or bound to proteins. GENERAL SIGNIFICANCE: Adjuvant antioxidant administration may be of interest in pathologies related to excess ALA or AA production.


Assuntos
Acetona/análogos & derivados , Ácido Aminolevulínico/química , Radicais Livres/química , Acetona/química , Oxirredução , Análise Espectral
2.
Science ; 153(3743): 1534-5, 1966 Sep 23.
Artigo em Inglês | MEDLINE | ID: mdl-5223147

RESUMO

Studies of a child with glycogenosis revealed an increased concentration of glycogen and low phosphorylase activity in her liver. Using mixtures of homogenates of the patient's liver and of normal liver, we found the low phosphorylase activity to be caused by a deficiency of phosphorylase kinase and not of hepatic phosphorylase. The fact that phosphorylase activity was restored to normal values by the addition of phosphorylase b kinase from rabbit muscle substantiates this conclusion.


Assuntos
Glucosiltransferases/metabolismo , Doença de Depósito de Glicogênio/metabolismo , Fígado/enzimologia , Fosforilase Quinase/metabolismo , Pré-Escolar , Feminino , Humanos
3.
J Clin Invest ; 48(4): 704-15, 1969 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-5774108

RESUMO

Low activity of phosphorylase and increased concentration of glycogen were found in liver tissue from five children with asymptomatic hepatomegaly. In vitro activation of liver phosphorylase in these patients occurred at the rate of 10% or less of normal. Elimination of the defect by the addition of kinase that activates phosphorylase demonstrated the integrity of the phosphorylase enzyme and the deficient activity of dephophophosphorylase kinase. On the average, 60% of the phosphorylase enzyme of normal human liver was in the active form. Phosphorylase kinase of rabbit muscle activated phosphorylase of normal human liver to a final value that was significantly higher than the one obtained in the absence of muscle phosphorylase kinase. The ultrastructural examination of hepatic tissue from the five patients revealed increased amounts of glycogen. There was scarcity of endoplasmic reticulum. There was intercellular glycogen in continuity with the glycogen of the hepatocytes through breaks in their circumference. Lipid droplets with lucid areas in the form of needles and plates contained aggregates of glycogen. There were numerous lysosomes, some containing glycogen. Large vacuoles filled with glycogen and surrounded by a membrane were seen occasionally. The vacuoles might reflect the lysosomal pathway of glycogen degradation, since there was apparent fusion of such autophagic vacuoles with small vesicles resembling primary lysosomes.


Assuntos
Hepatomegalia/enzimologia , Glicogênio Hepático/metabolismo , Fígado/enzimologia , Fosfotransferases/metabolismo , Alanina Transaminase/sangue , Aspartato Aminotransferases/sangue , Biópsia , Pré-Escolar , Colesterol/sangue , Creatina Quinase/sangue , Feminino , Frutose-Bifosfato Aldolase/sangue , Hepatomegalia/patologia , Humanos , Lactente , Lipídeos/sangue , Fígado/patologia , Masculino
4.
Phys Rev B ; 95(11)2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28819652

RESUMO

We present calculated valence and C 1s near-edge excitation spectra of solid C60 and experimental results measured with high-resolution electron energy-loss spectroscopy. The near-edge calculations are carried out using three different methods: solution of the Bethe-Salpeter equation (BSE) as implemented in the OCEAN suite (Obtaining Core Excitations with ab initio methods and the NIST BSE solver), the excited-electron core-hole approach (XCH), and the constrained-occupancy method using the Stockholm-Berlin core-excitation code, StoBe. The three methods give similar results and are in good agreement with experiment, though the BSE results are the most accurate. The BSE formalism is also used to carry out valence level calculations using the NIST Bethe-Salpeter Equation solver (NBSE). Theoretical results include self-energy corrections to the band gap and band widths, lifetime-damping effects, and Debye-Waller effects in the core-excitation case. A comparison of spectral features to those observed experimentally illustrates the sensitivity of certain features to computational details, such as self-energy corrections to the band structure and core-hole screening.

5.
Pediatrics ; 71(1): 88-92, 1983 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-6600289

RESUMO

Two white girls had reduced serum concentration of alpha 1-antitrypsin (alpha-AT), phenotype ZZ, and liver disease. Hepatocytes exhibited the microscopic criteria of alpha-AT deficiency. Hypocomplementemia, elevated circulating immune complexes (patient 1), clinical signs of renal disease, and the histologic findings of membranoproliferative glomerulonephritis (MPGN) type I developed. Immunoglobulin A (but not alpha-AT) was demonstrable immunologically as a component of glomerular deposits in patient 1. Among 53 patients with MPGN but without clinical signs of liver disease, none had Pi type Z. Among 23 patients with phenotype ZZ but without clinical signs of kidney disease, six had abnormal complement protein levels, but the pattern did not resemble that of idiopathic MPGN type I. These results are consistent with the conclusion that MPGN in the two patients reported here is a consequence of their chronic liver disease and is not directly related to the presence of the allelic alpha-AT variant PiZ.


Assuntos
Glomerulonefrite/genética , Hepatopatias/genética , Fenótipo , Deficiência de alfa 1-Antitripsina , Adulto , Alelos , Complexo Antígeno-Anticorpo/análise , Biópsia , Criança , Proteínas do Sistema Complemento/análise , Feminino , Glomerulonefrite/patologia , Humanos , Imunoglobulina A/análise , Rim/patologia
6.
Am J Med Genet ; 64(4): 531-5, 1996 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-8870917

RESUMO

Hunter syndrome (mucopolysaccharidosis type II, or MPS II) results from a deficiency of iduronate-2-sulfatase (IDS) activity due to a primary genetic defect in the X-chromosomal iduronate-2-sulfatase gene. We have studied a 10-year-old male, diagnosed with Hunter syndrome at age 2 years, who underwent bone marrow transplantation (BMT) at age 5 years. To evaluate the metabolic effect of BMT, biochemical and enzymatic studies were performed. Urinary glycosaminoglycans (GAGs) were quantitated, and iduronate-2-sulfatase activity was measured in serum, leukocytes, and liver homogenates. Decreased urinary glycosaminoglycan excretion and increased iduronate-2-sulfatase activity in serum and leukocytes were observed. Furthermore, molecular analysis was performed using reverse transcriptional polymerase chain reaction (RT-PCR) sequencing and restriction enzyme assay. The patient was found to have a novel nonsense mutation, L279X (TTA to TGA) in exon 6 of the IDS gene, inherited from his mother. A comparison of the DNA contents of cultured skin fibroblasts prior to BMT with leukocyte DNA after BMT showed coexisting host mutant and donor normal alleles in post-BMT leukocyte DNA. We postulate that the L279X mutation is a severe disease-causing mutation for Hunter syndrome.


Assuntos
Transplante de Medula Óssea , Mucopolissacaridose II/genética , Criança , Humanos , Masculino , Linhagem , Reação em Cadeia da Polimerase
7.
Am J Clin Pathol ; 65(5 Suppl): 870-5, 1976 May.
Artigo em Inglês | MEDLINE | ID: mdl-218441

RESUMO

Whether a patient develops the HBsAg carrier state may depend on his genome. HBsAg subtypes may reflect the viral genome and may be of prognostic significance. Different subtypes predominate in different populations throughout the world. Altered immune response, as in patients with Down's syndrome, may increase the HBsAg carrier rate. Autoantibodies have been used to differentiate various types of hepatitis. There is an increased incidence of histocompatibility antigen HL-A1 and HL-A8 in patients who have chronic aggressive hepatitis. In primary hepatic carcinoma, the HBsAg carrier rate is increased. Because of the suggestion that neonatal hepatitis, biliary atresia and choledochal cyst may all result from infantile obstructive cholangiopathy, with the precise outcome depending on whether other conditions such as alpha 1-antitrypsin deficiency are also present, we have determined HBsAg in 166 children with a variety of diseases, among them Reye's syndrome, alpha 1-antitrypsin deficiency, and renal disorders. The HBsAg carrier rate in the sera of these patients was normal.


Assuntos
Autoanticorpos , Antígenos de Superfície da Hepatite B/imunologia , Hepatite B/imunologia , Portador Sadio/imunologia , Feminino , Antígenos HLA , Hepatite B/genética , Hepatovirus/imunologia , Humanos , Neoplasias Hepáticas/imunologia , Troca Materno-Fetal , Gravidez
9.
Chem Commun (Camb) ; (20): 2542-3, 2003 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-14594271

RESUMO

We present a new synthesis route for nitrogen doped carbon nanotubes (CNx) based on the aerosol method. Tubes with a record high concentration of nitrogen (approximately 20 atom%) have been synthesized, confirmed by electron energy loss spectroscopy (EELS). A strong correlation between the N/C ratio and morphology of the tubes is observed and discussed.

10.
Free Radic Res ; 33(4): 383-91, 2000 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11022847

RESUMO

The kinetics of O2*- reaction with semi-oxidized tryptophan radicals in lysozyme, Trp*(Lyz) have been investigated at various pHs and conformational states by pulse radiolysis. The Trp*(Lyz) radicals were formed by Br2*- oxidation of the 3-4 exposed Trp residues in the protein. At pH lower than 6.2, the apparent bimolecular rate is about 2 x 10(8) M(-1) s(-1); but drops to 8 x 10(7) M(-1) s(-1) or less above pH 6.3 and in CTAC micelles. Similarly, the apparent bimolecular rate constant for the intermolecular Trp*(Lyz) + Trp*(Lyz) recombination reaction is about (4-7 x 10(6) M(-1) s(-1)) at/or below pH 6.2 then drops to 1.3-1.6 x 10(6) M(-1) s(-1) at higher pH or in micelles. This behavior suggests important conformational and/or microenvironmental rearrangement with pH, leading to less accessible semi-oxidized Trp* residues upon Br2*- reaction. The kinetics of Trp*(Lyz) with ascorbate, a reducing species rather larger than O2*- have been measured for comparison. The well-established long range intramolecular electron transfer from Tyr residues to Trp radicals--leading to the repair of the semi-oxidized Trp*(Lyz) and formation of the tyrosyl phenoxyl radical is inhibited by the Trp*(Lyz) + O2*- reaction, as is most of the Trp*(Lyz) + Trp*(Lyz) reaction. However, the kinetic behavior of Trp*(Lyz) suggests that not all oxidized Trp residues are involved in the intermolecular recombination or reaction with O2*-. As the kinetics are found to be quite pH sensitive, this study demonstrates the effect of the protein conformation on O2*- reactivity. To our knowledge, this is the first report on the kinetics of a protein-O2*- reaction not involving the detection of change in the redox state of a prosthetic group to probe the reactivity of the superoxide anion.


Assuntos
Transporte de Elétrons , Muramidase/química , Superóxidos/química , Triptofano/química , Tirosina/química , Ânions , Ácido Ascórbico/farmacologia , Radicais Livres , Concentração de Íons de Hidrogênio , Cinética , Micelas , Oxirredução , Oxigênio/farmacologia , Radiólise de Impulso
11.
Free Radic Res ; 35(2): 129-36, 2001 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11697193

RESUMO

The kinetics of several processes involving the potential antioxidant role of urate in physiological systems have been investigated by pulse radiolysis. While the monoanionic urate radical, .UH-, can be produced directly by oxidation with .Br2- or .OH, it can also be generated by oxidation with the neutral tryptophan radical, .Trp, with a rate constant of 2 x 10(7) M-1s-1. This radical, .UH-, reacts with .O2- with a rate constant of 8 x 10(8) M-1s-1. Also, .UH- is reduced by flavonoids, quercetin and rutin in CTAB micelles at rate constants of 6 x 10(6) M-1s-1 and 1 x 10(6) M-1s-1, respectively. These results can be of value by providing reference data useful in further investigation of the antioxidant character of urate in more complex biological systems.


Assuntos
Flavonoides/metabolismo , Superóxidos/metabolismo , Triptofano/metabolismo , Ácido Úrico/metabolismo , Animais , Catequina/metabolismo , Bovinos , Cinética , Micelas , Oxirredução , Radiólise de Impulso , Quercetina/metabolismo , Rutina/metabolismo , Soluções/metabolismo , Espectrofotometria Ultravioleta , Superóxidos/química , Triptofano/química , Ácido Úrico/química , Água/metabolismo
12.
Photochem Photobiol ; 72(1): 1-9, 2000 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10911722

RESUMO

Quantum yields for the formation of transients were measured following the quenching of triplet 4-carboxy-benzophenone (3CB*) by methionine-containing peptides in aqueous solutions. Ketyl radicals (CBH.), ketyl radical anions (CB.-) and various sulfur radical cations were identified following the triplet-quenching events. The presence of these intermediates indicated that the triplet-quenching mechanism can be characterized as mainly electron-transfer in nature. The quenching rate constants were of the order of 2 x 10(9) M-1 s-1. There were small, but significant, differences in the triplet-quenching rate constants, and these trends indicate the existence of multiple sulfur targets in the quenchers. The absorption of the transient products was followed in detail by using spectral-resolution analysis. From the absorption data, quantum yields were estimated for the formation of the various transients. There were differences found in the yields of the transient products between the experiments, where the quenchers were the "mixed" stereoisomers of methionylmethionine (L,D and D,L) and experiments where the quenchers were L,L and D,D stereoisomers. Triplet-quenching data from several other methionine-containing small oligopeptides were analyzed in an analogous manner. Systematic variations were observed, and these patterns were discussed in terms of competitive donation of protons to the CB.- within the charge-transfer complex. The competition was between protons on carbons adjacent to the sulfur-radical center and protons on the protonated amino groups of the radical cation. In addition, there was a competition between the two intramolecular two-centered, three-electron bonded species (S therefore S)+ and (S therefore N)+ that play roles in the secondary kinetics.


Assuntos
Oligopeptídeos/química , Oligopeptídeos/efeitos da radiação , Sequência de Aminoácidos , Benzofenonas/química , Benzofenonas/efeitos da radiação , Técnicas In Vitro , Metionina/química , Metionina/efeitos da radiação , Oxirredução , Fotoquímica , Prótons , Soluções , Água
13.
Ultramicroscopy ; 86(3-4): 265-72, 2001 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11281147

RESUMO

The mechanical properties of gamma-TiAl-based intermetallic alloys are strongly influenced by Ti d-Ti d and Al p-Ti d hybridizations. These directional bonds supply good mechanical properties at high temperature but they are also associated with a low ductility at room temperature. Small amounts (about 3%) of additional elements can improve this behaviour noticeably and modify the mechanical properties. In the present case, the addition of zirconium in the gamma-TiAl-based alloys has been reported to increase their ductility at low temperature. Beyond the modifications of the directional bonds which come directly from the band structure, the different atomic volumes of the solute atoms induce local deformation fields which interact with the dislocations. We present ab initio calculations (FLAPW method) compared with an EXAFS study which the aim is to determine the site preference of zirconium in the TiAl lattice and the deformation fields around the solute atoms.

14.
Forensic Sci Int ; 30(2-3): 143-54, 1986.
Artigo em Inglês | MEDLINE | ID: mdl-3957187

RESUMO

The activity of phosphoenolpyruvate carboxykinase (EC 4.1.1.32) (PEPCK), a rate-limiting gluconeogenic enzyme, was found decreased by others in genetically determined disorders and in Sudden Infant Death Syndrome (SIDS). To understand these findings, we made a systematic study of normal human hepatic PEPCK activities in specimens obtained under various conditions from patients not suspected of having SIDS. PEPCK was assayed by the method of Ballard and Hanson [J. Biol. Chem., 244 (1969) 5625] and activity reported as units (1 mumol/min) per gram protein. Intra-assay precision was 4.1% (n = 1094); inter-assay precision using the same homogenate was 10.4% (n = 51); and inter-assay precision using different homogenates of the same tissue specimen was 16.3% (n = 17). The assay was linear with time and enzyme concentration for at least 60 min up to 1.3 mU/assay and for at least 5 min up to 20 mU/assay. Biopsy specimens had significantly (P = 0.015) higher PEPCK activity, 12.60 +/- 3.01 U/g (range 3.5-10.4, n = 9) compared to specimens obtained at autopsy, 3.20 +/- 0.45 U/g (range 0-8.6, n = 33). Specific activity was not significantly correlated with the patient's age, fresh vs. frozen tissue, postmortem intervals up to 68 h, or length of storage at -70 degrees C up to 21 years. One patient had activity at autopsy (tissue obtained less than 2 h postmortem) 26% less than was observed in his biopsy specimen. Autopsy samples separated by differential centrifugation into mitochondrial and cytosolic fractions and checked with marker enzymes ornithine transcarbamylase (mitochondrial) and arginase (cytosolic) had considerable cross-contamination between the two fractions in fresh and frozen specimens.


Assuntos
Fígado/enzimologia , Fosfoenolpiruvato Carboxiquinase (GTP)/metabolismo , Adulto , Autopsia , Biópsia , Fracionamento Celular , Criança , Pré-Escolar , Citosol/enzimologia , Humanos , Lactente , Recém-Nascido , Mitocôndrias Hepáticas/enzimologia , Fosfoenolpiruvato Carboxiquinase (GTP)/análise , Fosfoenolpiruvato Carboxiquinase (GTP)/deficiência , Morte Súbita do Lactente/enzimologia , Preservação de Tecido
15.
Forensic Sci Int ; 30(2-3): 93-8, 1986.
Artigo em Inglês | MEDLINE | ID: mdl-3456961

RESUMO

Levels of 18 enzymes and metabolites were measured in liver obtained at autopsy from 41 infants, 28 of whom were found unexpectedly dead at home. Four infants had meningitis, 11 had pathologic findings not clearly sufficient to explain death (SUD), and 13 were considered totally unexplained pathologically (SIDS). The possible contributions of postmortem interval, age and diet to the results are reviewed. No characteristic metabolic profile was recognized amongst SUD and SIDS groups. It is speculated that the amount of glycogen found in liver may provide insight into premortal events and reflect the rapidity of the death mechanism. Five individuals (20%) were suspected of having major metabolic abnormality including glycogenosis (1), urea cycle defect (1), and possibly abnormal levels of carnitine palmityl transferase (3).


Assuntos
Fígado/metabolismo , Morte Súbita do Lactente/metabolismo , Carnitina/metabolismo , Carnitina O-Palmitoiltransferase/deficiência , Doença de Depósito de Glicogênio Tipo I/complicações , Humanos , Lactente , Recém-Nascido , Glicogênio Hepático/metabolismo , Erros Inatos do Metabolismo/complicações , Morte Súbita do Lactente/etiologia , Ureia/metabolismo
16.
J Pediatr Surg ; 30(7): 959-65; discussion 966, 1995 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7472953

RESUMO

Increased oxidation of fat is an important host response to sepsis, and carnitine is essential for long-chain fatty acid oxidation. Because neonates have low levels of carnitine, their ability to respond to a septic insult may be impaired. The purpose of this study was to compare fatty acid and carnitine metabolism in septic weanling (60 to 85 g) and septic adult (285 to 310 g) rats. Sepsis was induced in weanling and adult male Sprague-Dawley rats by cecal ligation and puncture (CLP). The rats were killed 16 hours after CLP or sham operation, and serum glucose, lactate, beta-hydroxybutyrate, fatty acid, carnitine, liver fatty acid, and tissue carnitine levels were measured. The data suggest that during sepsis weanling rats may be more dependent on fatty acid oxidation than adult rats are, as evidenced by their elevated serum fatty acid and acylcarnitine levels, and relative hypoglycemia and hyperketonemia. In addition, although total serum carnitine levels were increased in both adult and weanling septic rats, tissue carnitine levels of weanling rats became significantly depleted during sepsis, unlike in adult rats. This study supports further investigation regarding the role of exogenous carnitine in newborn sepsis.


Assuntos
Envelhecimento/metabolismo , Infecções Bacterianas/metabolismo , Carnitina/metabolismo , Ácidos Graxos/metabolismo , Ácido 3-Hidroxibutírico , Animais , Glicemia/análise , Carnitina/sangue , Ácidos Graxos/sangue , Ácidos Graxos não Esterificados/sangue , Ácidos Graxos não Esterificados/metabolismo , Hidroxibutiratos/sangue , Hipoglicemia/sangue , Cetonas/sangue , Rim/metabolismo , Lactatos/sangue , Fígado/metabolismo , Masculino , Músculo Esquelético/metabolismo , Miocárdio/metabolismo , Oxirredução , Ratos , Ratos Sprague-Dawley , Distribuição Tecidual , Desmame
17.
Ann Otol Rhinol Laryngol ; 106(3): 210-4, 1997 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-9078932

RESUMO

Using the Hearing Handicap Inventory for Adults (HHIA), we assessed self-perceived hearing handicap in a sample of 63 patients having either unilaterally normal hearing or a mild hearing loss (pure tone average < or = 40 dB hearing level). Large intersubject variability in responses to the HHIA confirmed observations that reactions to minimal hearing impairment vary greatly among patients. The individual differences in responses highlight the importance of quantifying the perceived communication and psychosocial handicap, which cannot be determined from the audiogram alone. An item examination of responses to the HHIA revealed a number of emotional and social-situational problems encountered by patients with minimal hearing loss.


Assuntos
Pessoas com Deficiência , Perda Auditiva , Adolescente , Adulto , Comunicação , Humanos , Pessoa de Meia-Idade , Carência Psicossocial , Autoavaliação (Psicologia) , Índice de Gravidade de Doença
18.
J Am Acad Audiol ; 2(2): 70-5, 1991 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-1768876

RESUMO

Self-assessment handicap scales are gaining recognition as objective measures of audiologic intervention, including benefit derived from hearing aid use. A short form of the Hearing Handicap Inventory for the Elderly (HHIE-S) comprised of 10 items (5 emotional and 5 social/situational) was administered to 91 new hearing aid users prior to and 3 weeks following hearing aid provision. A significant reduction in perceived emotional and social/situational effects of hearing impairment was observed following this brief interval of hearing aid use. The magnitude of hearing aid benefit was not affected by pure-tone sensitivity or word recognition ability. Further, a 95 percent confidence interval was established for the HHIE-S (9.3 points) in order to determine a true change in self-perceived handicap and pre- and post-hearing aid fitting for a given subject. Our findings support the use of the HHIE-S as an expedient approach for quantifying hearing aid benefit in a busy clinical practice.


Assuntos
Auxiliares de Audição , Transtornos da Audição , Satisfação do Paciente , Idoso , Idoso de 80 Anos ou mais , Humanos , Autoavaliação (Psicologia) , Inquéritos e Questionários
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