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1.
Artigo em Russo | MEDLINE | ID: mdl-32119209

RESUMO

Among HIV-infected patients there are individuals with masked chronic diseases that affect life quality and life-span. Their timely detection and treatment can improve life quality of HIV-infected patients. The screening examination allows to establish prevalence level, structure and features of concomitant diseases under HIV- infection to provide timely medical preventive care.


Assuntos
Infecções por HIV , Transtornos da Audição , Pneumopatias , Programas de Rastreamento , Infecções por HIV/complicações , Infecções por HIV/diagnóstico , Transtornos da Audição/complicações , Transtornos da Audição/diagnóstico , Humanos , Pneumopatias/complicações , Pneumopatias/diagnóstico , Prevalência , Qualidade de Vida , Sistema Respiratório
2.
Int. arch. otorhinolaryngol. (Impr.) ; 24(1): 86-92, Jan.-Mar. 2020. tab
Artigo em Inglês | LILACS | ID: biblio-1090561

RESUMO

Abstract Introduction Spinocerebellar ataxia (SCA) is part of a genetic and clinical heteroge- neous group of neurodegenerative diseases characterized by progressive cerebellar ataxia. Objective To describe the results of audiological and electrophysiological hearing evaluations in patients with sporadic ataxia (SA). Methods A retrospective cross-sectional study was carried out with 11 patients submitted to the following procedures: anamnesis, otorhinolaryngological evaluation, tonal and vocal audiometry, acoustic immittance and brainstem auditory evoked potential (BAEP) tests. Results The patients presented with a prevalence of gait imbalance, of dysarthria, and of dysphagia; in the audiometric and BAEPs, four patients presented with alterations; in the acoustic immittance test, five patients presented with alterations, predominantly bilateral. Conclusion The most evident alterations in the audiological evaluation were the prevalence of the descending audiometric configuration between the frequencies of 2 and 4 kHz and the absence of the acoustic reflex between the frequencies of 3 and 4 kHz bilaterally. In the electrophysiological evaluation, the patients presented changes with a prevalence of increased I, III and V wave latencies and the interval in the interpeak I-III, I-V and III-V. In the present study, it was observed that auditory complaints did not have a significant prevalence in this type of ataxia, which does not occur in some types of autosomal recessive and dominant ataxia.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Audiometria de Tons Puros , Limiar Auditivo/fisiologia , Potenciais Evocados Auditivos do Tronco Encefálico , Ataxias Espinocerebelares/fisiopatologia , Testes de Impedância Acústica , Estudos Transversais , Estudos Retrospectivos , Ataxias Espinocerebelares/complicações , Transtornos da Audição/diagnóstico , Transtornos da Audição/etiologia
3.
Pediatrics ; 145(1)2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31843861

RESUMO

Early identification and intervention for developmental disorders are critical to the well-being of children and are the responsibility of pediatric professionals as an integral function of the medical home. This report models a universal system of developmental surveillance and screening for the early identification of conditions that affect children's early and long-term development and achievement, followed by ongoing care. These conditions include autism, deafness/hard-of-hearing, intellectual and motor disabilities, behavioral conditions, and those seen in other medical conditions. Developmental surveillance is supported at every health supervision visit, as is as the administration of standardized screening tests at the 9-, 18-, and 30-month visits. Developmental concerns elicited on surveillance at any visit should be followed by standardized developmental screening testing or direct referral to intervention and specialty medical care. Special attention to surveillance is recommended at the 4- to 5-year well-child visit, prior to entry into elementary education, with screening completed if there are any concerns. Developmental surveillance includes bidirectional communication with early childhood professionals in child care, preschools, Head Start, and other programs, including home visitation and parenting, particularly around developmental screening. The identification of problems should lead to developmental and medical evaluations, diagnosis, counseling, and treatment, in addition to early developmental intervention. Children with diagnosed developmental disorders are identified as having special health care needs, with initiation of chronic condition management in the pediatric medical home.


Assuntos
Deficiências do Desenvolvimento/diagnóstico , Transtorno do Espectro Autista/diagnóstico , Pré-Escolar , Doença Crônica , Deficiências do Desenvolvimento/reabilitação , Intervenção Educacional Precoce , Transtornos da Audição/diagnóstico , Humanos , Lactente , Deficiência Intelectual/diagnóstico , Transtornos Motores/diagnóstico
4.
Psychiatr Pol ; 53(2): 447-458, 2019 Apr 30.
Artigo em Inglês, Polonês | MEDLINE | ID: mdl-31317969

RESUMO

Misophonia is a new and relatively under-explored condition characterized by experiencing strong emotions (mainly anger and disgust) and a physical response (such as muscle constriction, increased heart rate) when exposed to specific sounds. Among the most frequent aversive triggers are the sounds of eating, breathing, or typing. The experience of misophonia is associated with suffering and a significant decrease in quality of life. The phenomenon was first described in 2002. Since then, numerous case studies and data from psychophysiological and neurological and survey research on this phenomenon have been published. These data indicate that misophonia is a consistent phenomenon and preliminary identification is possible. The most recent results show that misophonia occurs independent of other disorders. There are still, however, many questions regarding the definition and diagnostic criteria to be answered. The most important diagnostic issues that are faced during clinical work with people with misophonia are described in this article. Furthermore, the main theoretical concepts and research on misophonia are reviewed and analyzed.


Assuntos
Sintomas Afetivos/diagnóstico , Transtornos da Audição/diagnóstico , Hiperacusia/diagnóstico , Som , Humanos , Transtornos da Percepção , Qualidade de Vida
5.
PLoS One ; 14(7): e0219600, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31295316

RESUMO

CONTEXT: Permanent childhood hearing loss (PCHL) can affect speech, language, and wider outcomes. Adverse effects are mitigated through universal newborn hearing screening (UNHS) and early intervention. OBJECTIVE: We undertook a systematic review and meta-analysis to estimate prevalence of UNHS-detected PCHL (bilateral loss ≥26 dB HL) and its variation by admission to neonatal intensive care unit (NICU). A secondary objective was to report UNHS programme performance (PROSPERO: CRD42016051267). DATA SOURCES: Multiple electronic databases were interrogated in January 2017, with further reports identified from article citations and unpublished literature (November 2017). STUDY SELECTION: UNHS reports from very highly-developed (VHD) countries with relevant prevalence and performance data; no language or date restrictions. DATA EXTRACTION: Three reviewers independently extracted data and assessed quality. RESULTS: We identified 41 eligible reports from 32 study populations (1799863 screened infants) in 6195 non-duplicate references. Pooled UNHS-detected PCHL prevalence was 1.1 per 1000 screened children (95% confidence interval [CI]: 0.9, 1.3; I2 = 89.2%). This was 6.9 times (95% CI: 3.8, 12.5) higher among those admitted to NICU. Smaller studies were significantly associated with higher prevalences (Egger's test: p = 0.02). Sensitivity and specificity ranged from 89-100% and 92-100% respectively, positive predictive values from 2-84%, with all negative predictive values 100%. LIMITATIONS: Results are generalisable to VHD countries only. Estimates and inferences were limited by available data. CONCLUSIONS: In VHD countries, 1 per 1000 screened newborns require referral to clinical services for PCHL. Prevalence is higher in those admitted to NICU. Improved reporting would support further examination of screen performance and child demographics.


Assuntos
Análise Custo-Benefício , Transtornos da Audição/epidemiologia , Perda Auditiva/epidemiologia , Criança , Pré-Escolar , Feminino , Transtornos da Audição/diagnóstico , Transtornos da Audição/economia , Transtornos da Audição/patologia , Perda Auditiva/diagnóstico , Perda Auditiva/economia , Perda Auditiva/patologia , Testes Auditivos/economia , Humanos , Lactente , Recém-Nascido , Masculino , Triagem Neonatal/economia
6.
Int J Pediatr Otorhinolaryngol ; 123: 110-115, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31096068

RESUMO

OBJECTIVES: Aim of this study is to report and discuss the results of 4 years of Newborn hearing screening (NHS) program at the Neonatal Intensive Care Unit (NICU), particularly evaluating the clinical ABR results. METHODS: Retrospective study. NHS data from NICU newborns, admitted for ≥5 days, in the period from January 1st, 2013 and December 31st, 2016, were retrieved and analyzed. NHS results were classified as following: (i) "pass" when both ears for both the a-TEOAE (automated Transient-Evoked Otoacoustic Emissions) and the a-ABR (automated Auditory Brainstem Response) protocol resulted as "pass"; (ii) "fail" when one ear, at either one of the two performed tests resulted as "fail"; (iii) "missing" when the newborns were not tested with both protocols. All "fail" and "missing" newborns were retested (with both tests): in the case of a second "fail" result, a clinical ABR was performed within a period of 3 months. RESULTS: A total of 1191 newborns were screened. From those, 1044/1191 resulted as "pass", 108/1191 as "fail", and 39/1191 as "missing". During the re-testing of these 147 newborns, 43 were assigned as "missing", 63 were assigned as "pass" (showing bilaterally a wave V identifiable within 30 dB nHL) and 25 failed the retest and/or did not present an identifiable wave V within 30 dB nHL. Among the 147 retested infants, we identified a group of 16 subjects who resulted as NHS "refer" and who, during the audiological follow-up, showed either: (i) a unilateral or bilateral wave V identifiable over 30 dB nHL, at the first clinical ABR assessment; or (ii) a bilateral wave V identifiable within 30 dB nHL, in a following clinical ABR test during the first year of life. These 16 subjects were defined to have an 'Auditory Brainstem Maturation' issue. CONCLUSIONS: A possible "maturation" of the ABR response (and therefore of the auditory pathway) has been hypothesised in 16 out of 1191 infants (1.3%). A delay of the auditory pathway maturation in preterm babies compared to term newborns has already been suggested in the literature. A possible delay of the NHS retest could be considered, in selected cases, with significant savings in economic resources and parental anxiety.


Assuntos
Tronco Encefálico/crescimento & desenvolvimento , Transtornos da Audição/congênito , Transtornos da Audição/diagnóstico , Testes Auditivos , Doenças do Prematuro/diagnóstico , Triagem Neonatal , Audiologia , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Feminino , Humanos , Lactente , Recém-Nascido de Baixo Peso , Recém-Nascido , Recém-Nascido Prematuro , Unidades de Terapia Intensiva Neonatal , Masculino , Emissões Otoacústicas Espontâneas/fisiologia , Estudos Retrospectivos
7.
Int J Audiol ; 58(4): 231-245, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30900518

RESUMO

OBJECTIVE: As a step towards objectifying audiological rehabilitation and providing comparability between different test batteries and clinics, the Common Audiological Functional Parameters (CAFPAs) were introduced as a common and abstract representation of audiological knowledge obtained from diagnostic tests. DESIGN: Relationships between CAFPAs as an intermediate representation between diagnostic tests and audiological findings, diagnoses and treatment recommendations (summarised as "diagnostic cases") were established by means of an expert survey. Expert knowledge was collected for 14 given categories covering different diagnostic cases. For each case, the experts were asked to indicate expected ranges of diagnostic test outcomes, as well as traffic light-encoded CAFPAs. STUDY SAMPLE: Eleven German experts in the field of audiological rehabilitation from Hanover and Oldenburg participated in the survey. RESULTS: Audiological findings or treatment recommendations could be distinguished by a statistical model derived from the experts' answers for CAFPAs as well as audiological tests. CONCLUSIONS: The CAFPAs serve as an abstract, comprehensive representation of audiological knowledge. If more detailed information on certain functional aspects of the auditory system is required, the CAFPAs indicate which information is missing. The statistical graphical representations for CAFPAs and audiological tests are suitable for audiological teaching material; they are universally applicable for real clinical databases.


Assuntos
Audiologia/estatística & dados numéricos , Correção de Deficiência Auditiva/estatística & dados numéricos , Sistemas Especialistas , Transtornos da Audição/diagnóstico , Testes Auditivos/estatística & dados numéricos , Aprendizado de Máquina , Interpretação Estatística de Dados , Transtornos da Audição/classificação , Transtornos da Audição/terapia , Humanos , Valor Preditivo dos Testes , Probabilidade , Reprodutibilidade dos Testes
8.
MMW Fortschr Med ; 161(Suppl 4): 9-14, 2019 Mar.
Artigo em Alemão | MEDLINE | ID: mdl-30895512

RESUMO

BACKGROUND: The prevalence of hypertension, hypacusis and balance disorders will increase due to demographic change and thus represent an increasing public health problem. OBJECTIVE: To determine the point prevalence of the diseases in focus outside the classical medical setting. METHOD: At the "Bavarian Central Agriculture Festival", on the margins of the Oktoberfest 2016, visitors were offered a free health check with three health stations (blood pressure measurement, hearing test, balance test). By means of standardized examinations, the prevalence of the diseases was recorded. RESULTS: 1,727 people participated in the blood pressure measurement, 510 in the hearing test and 1,320 in the balance test. At all study sites, an increase in prevalence was observed with increasing age. Overall, the prevalence of hypertensive blood pressure values (> 140/> 90 mmHg) was 23.6%, with a high rate of 30.8% among over-65s. In the hearing test, 41.6% of all participants had a low-grade (20-40 dB) and 15.5% a higher-grade (> 40 dB) hypacusis. A balance value in the normal range was achieved by only 25.2% of the participants. CONCLUSION: The prevalence of the investigated diseases was very high, especially older men were more often affected by these health problems. Overall, there is a large primary and secondary prevention potential for the prevention and early treatment of the diseases. In order to increase the use, it would be possible in particular to consider expanding access to prevention programs outside of classic medical settings.


Assuntos
Transtornos da Audição , Hipertensão , Equilíbrio Postural/fisiologia , Saúde Pública , Adulto , Idoso , Pressão Sanguínea , Determinação da Pressão Arterial/métodos , Feminino , Transtornos da Audição/diagnóstico , Transtornos da Audição/epidemiologia , Transtornos da Audição/prevenção & controle , Testes Auditivos/métodos , Humanos , Hipertensão/diagnóstico , Hipertensão/epidemiologia , Hipertensão/prevenção & controle , Masculino , Pessoa de Meia-Idade , Prevalência
9.
Med Clin North Am ; 103(2): 191-201, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30704676

RESUMO

Dizziness and imbalance are common and challenging chief complaints carrying high morbidity, due to their association with falls, injuries, and loss of quality of life. The physical examination represents an opportunity to collect objective clinical data that facilitate an understanding of symptoms that might otherwise be enigmatic and ineffable. This review focuses on the examination techniques used routinely by physicians who provide specialized care for patients with dizziness and imbalance.


Assuntos
Tontura/etiologia , Exame Neurológico/métodos , Vertigem/etiologia , Diagnóstico Diferencial , Transtornos da Audição/diagnóstico , Humanos , Nistagmo Patológico/complicações , Nistagmo Patológico/diagnóstico , Exame Físico , Equilíbrio Postural
10.
Int J Audiol ; 58(1): 53-58, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30691363

RESUMO

OBJECTIVE: The present study investigated: (a) how motivated patients are to use their hearing aid, and (b) whether post-motivational variables (e.g. action planning, coping planning) have anything to offer in terms of developing interventions to boost hearing aid use. DESIGN: participants completed a questionnaire designed to tap Health Action Process Approach constructs prior to their hearing aid prescription and fitting. STUDY SAMPLE: Sixty-seven patients attending NHS audiology clinics. RESULTS: Participants reported very strong intentions to use hearing aids (Median = 7.00 Q1 and Q3 = 6.67, 7.00, on a +1 to +7 scale) and high self-efficacy (Median = 7.00, Q1 and Q3 = 6.00, on a +1 to +7 scale) leaving little room for improvement. In contrast, participants reported moderate levels of post-motivational variables (action planning Median = 4.25, Q1 and Q3 = 1.13, 7.00 and coping planning Median = 2.75, Q1 and Q3 = 1.00, both measured on +1 to +7 scales) thereby showing significant scope for change. CONCLUSIONS: Future interventions to increase hearing aid use should focus on ensuring that patients' motivation is translated into action, rather than further trying to boost motivation.


Assuntos
Percepção Auditiva , Auxiliares de Audição , Transtornos da Audição/terapia , Motivação , Cooperação do Paciente , Pessoas com Deficiência Auditiva/reabilitação , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Audição , Transtornos da Audição/diagnóstico , Transtornos da Audição/fisiopatologia , Transtornos da Audição/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Pessoas com Deficiência Auditiva/psicologia , Autoeficácia
11.
Artigo em Inglês | MEDLINE | ID: mdl-30643401

RESUMO

Background and aims: COPD is an irreversible or persistent airflow obstruction, which affects up to 600 million people globally. The primary purpose of this systematic review was to explore the COPD-based alteration in the auditory system function by conducting a quantitative analysis of presently published data. Materials and methods: We systematically searched seven diverse electronic databases and manual searching of references to identify relevant studies. Data from the selected studies were rated by two investigators independently in a blinded fashion. Meta-analysis was done on pooled data using Cochrane's Review Manager 5.3. Results: Sixteen articles received suitable scores and were thus included for further processes. Hearing loss (HL) was defined as a change in pure tone audiometry (PTA) thresholds, auditory brainstem response (ABR), and auditory P300 parameters. ABR wave was significantly elongated in patients with COPD than in controls (standardized mean difference [SMD]=0.27, 95% CI: 0.05-0.48, P=0.02). PTA was significantly higher in patients with COPD when compared with controls (SMD=1.76, 95% CI: 0.43-3.08, P=0.0004). We found that patients with COPD had a significantly higher latency than controls (SMD=1.30, 95% CI: 0.79-1.80, P=0.0001). Conclusion: COPD patients had considerably greater incidence of HL when compared with controls. Interestingly, although the mean PTA thresholds at every frequency for COPD patients were higher than those for controls, these values were still in the slight to mild HL ranges. Prolonged ABR wave latencies in the COPD patients suggest retro-cochlear involvement. Thus, COPD most frequently clusters with HL, but it is worth noting that alteration in hearing is not always recognized by medical experts as a frequent comorbidity associated with COPD.


Assuntos
Vias Auditivas/fisiopatologia , Transtornos da Audição/fisiopatologia , Audição , Pulmão/fisiopatologia , Doença Pulmonar Obstrutiva Crônica/fisiopatologia , Audiometria de Tons Puros , Limiar Auditivo , Potencial Evocado P300 , Potenciais Evocados Auditivos do Tronco Encefálico , Transtornos da Audição/diagnóstico , Transtornos da Audição/epidemiologia , Transtornos da Audição/psicologia , Humanos , Incidência , Doença Pulmonar Obstrutiva Crônica/diagnóstico , Doença Pulmonar Obstrutiva Crônica/epidemiologia , Tempo de Reação , Medição de Risco , Fatores de Risco
12.
Eur Arch Otorhinolaryngol ; 276(4): 977-984, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30671602

RESUMO

PURPOSE: This study analyzed the late ear complications of radiotherapy for nasopharyngeal cancer (NPC) and compared the conventional and intensity-modulated radiotherapy (2D-RT and IMRT, respectively). METHODS: At 2-21 years after the end of NPC treatment, 104 ears of 52 patients were evaluated with the otoscopic examination, pure tone audiometry test, tympanometry, and subjective complaints by being blinded to the radiotherapy technique. RESULTS: There were no differences in terms of the pathology of the external, middle or inner ear, air and bone-conduction hearing thresholds, and the air-bone (A-B) gap at 500, 1000, 2000, and 4000 Hz, and tympanometry types between 2D-RT and IMRT groups (p > 0.05). There were positive correlations between the values of A500 and A1000 thresholds; gap 500, 4000, and mean cochlear RT dose (p < 0.05). There were positive correlations between the values of A500, A1000, and A4000 thresholds; gap 500, 1000, 2000, 4000, and maximum cochlear RT dose (p < 0.05). CONCLUSION: IMRT was not found to be superior to 2D-RT to prevent RT-induced ear complications. The solution of the middle ear problems must be the goal of the strategies for complications treatment.


Assuntos
Orelha/efeitos da radiação , Transtornos da Audição/etiologia , Audição/efeitos da radiação , Neoplasias Nasofaríngeas/radioterapia , Lesões por Radiação/prevenção & controle , Radioterapia de Intensidade Modulada/efeitos adversos , Radioterapia/efeitos adversos , Adulto , Quimiorradioterapia/efeitos adversos , Orelha/patologia , Feminino , Transtornos da Audição/diagnóstico , Transtornos da Audição/prevenção & controle , Testes Auditivos , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Nasofaríngeas/terapia , Radioterapia/métodos
13.
Int J Audiol ; 58(2): 107-115, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30289050

RESUMO

OBJECTIVE: This study describes characteristics, behaviours and readiness of people who are interested in seeking hearing healthcare (HHC) online. DESIGN: A non-profit clinic was established from which services through a virtual clinic are offered. Most of the patient-audiologist interactions are conducted online. We used online means to invite individuals to take a free online digit-in-noise (DIN) test. Upon failing the test, individuals reported their readiness to seek HHC by using two tools: the line and the staging algorithm. STUDY SAMPLE: Individuals ≥18 years of age, within the greater Durban area, South Africa, were eligible to participate in the study. RESULTS: A total of 462 individuals completed the online DIN test during the first 3 months. Of those, 58.66% (271/462) failed the test and 11.04% (51/462) submitted their details for further contact from the clinic audiologist. Five individuals proceeded to a comprehensive hearing evaluation and hearing aid trial: all those individuals showed readiness to seek further HHC on the measurement tools. These individuals have reported knowing of their hearing challenges prior to taking the test and have waited for a period of between 5 and 16 years before seeking HHC. A significant association between age and DIN test result was found. CONCLUSION: This explorative study is the first clinic to utilise digital tools across the entire patient journey in combination with face-to-face interactions in providing HHC. Internet-connected devices provide an opportunity for individuals to seek HHC and for providers to offer initial services to detect, counsel and support persons through the initial engagement process of seeking HHC. This may open up new audiology patient pathways through online hearing screening, assessment of readiness to seek further HHC and enhancement of service delivery using hybrid services by combining online and face-to-face modes of synchronous and asynchronous communication.


Assuntos
Audiologia , Correção de Deficiência Auditiva/instrumentação , Auxiliares de Audição , Transtornos da Audição/terapia , Audição , Aceitação pelo Paciente de Cuidados de Saúde , Telemedicina , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Transtornos da Audição/diagnóstico , Transtornos da Audição/fisiopatologia , Transtornos da Audição/psicologia , Testes Auditivos , Humanos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , África do Sul , Adulto Jovem
14.
J Craniofac Surg ; 30(1): e24-e26, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30358748

RESUMO

The primary aim of the present study was to investigate parent cognitive satisfaction and demand by using a valid and reliable questionnaire developed for this purpose (Parent Cognitive Satisfaction and Demand Questionnaire with Neonatal Hearing Screening Program, PCSDQ-NHSP). About 1000 parents whose children received hearing screening participated in this study. The satisfaction questionnaire was found to be a useful instrument for identifying service shortfalls, and the routine use of the PCSDQ-NHSP in other neonatal hearing screening programs is recommended. Overall, parents focused their attention to the neonatal hearing screening results and had high levels of expectations. They also longed for more information about relevant knowledge. Screening ability differed in different areas of Guangdong province where grass-roots hospitals had poor ability to perform this well. More preappointment information leaflets or brochures should be sent to parents. Regular training for neonatal hearing screening test is needed in primary hospitals. We can establish a neonatal hearing screening network to link as many hospitals as possible, and develop a standardized neonatal hearing screening system.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Transtornos da Audição/diagnóstico , Testes Auditivos , Triagem Neonatal , Pais/psicologia , Comportamento do Consumidor , Humanos , Recém-Nascido , Inquéritos e Questionários
15.
World Neurosurg ; 122: 220-223, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30414520

RESUMO

BACKGROUND: An epidermoid cyst is a rare tumor of the cerebellopontine angle region. It usually presents with ipsilateral compressive symptoms. The contralateral trigeminal neuralgia is an unusual presentation in such cases. We did not find such case reports in the literature. CASE DESCRIPTION: Here, we report a case of a 62-year-old female with a right cerebellopontine angle epidermoid cyst presenting with right hearing impairment and the contralateral trigeminal neuralgia. CONCLUSION: The possible mechanism leading to the contralateral trigeminal neuralgia is discussed here along with the diagnosis and management of the case.


Assuntos
Cisto Epidérmico/complicações , Cisto Epidérmico/diagnóstico , Transtornos da Audição/complicações , Transtornos da Audição/diagnóstico , Neuralgia do Trigêmeo/complicações , Neuralgia do Trigêmeo/diagnóstico , Ângulo Cerebelopontino , Diagnóstico Diferencial , Gerenciamento Clínico , Cisto Epidérmico/patologia , Cisto Epidérmico/terapia , Feminino , Transtornos da Audição/patologia , Transtornos da Audição/terapia , Humanos , Pessoa de Meia-Idade , Neuralgia do Trigêmeo/patologia , Neuralgia do Trigêmeo/terapia
16.
Acta Neurol Belg ; 119(3): 385-392, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30542965

RESUMO

Stenosis of arteries that supplies blood to the brain is one of the main causes of ischemic stroke which is the third most common cause of deaths in Europe. Atherosclerosis of carotid and vertebral arteries is responsible for 20% of the ischemic stroke cases. Stenosis may be either asymptomatic or manifested with typical neurological symptoms including motor and sensory disturbances as well as disturbances in vision and speech. However, discrete non-specific symptoms of ischemia, including headaches and vertigo, tinnitus and hearing loss, are also quite common. These symptoms may be indicative of a clinically significant stenosis of carotid and vertebral arteries, particularly within the internal carotid artery region, as well as of a risk of ischemic stroke. To date, research reports were unable to provide exact explanation of correlations between impaired hearing and the stenosis of carotid and vertebral arteries. Despite this, numerous articles list these symptoms as one of the first non-specific symptoms of this disorder. The ischemic mechanism within the inner ear region may lead to early symptoms of atherosclerosis of large vessels. However, no evidence of relationship and no explanation could be provided with this regard. The objective of the study was to assess the effect of carotid and vertebral artery stenosis on the function of the hearing and equilibrium organ on the basis of diagnostic audiological examinations including pure-tone threshold audiometry, impedance audiometry, otoacoustic emission tests and brainstem auditory evoked potential tests. The study was conducted in 63 patients (32 males, 31 females) aged 45-75 years, presenting with carotid and vertebral artery stenosis and treated at the Vascular Surgery Clinic of the University Clinical Hospital in Wroclaw. Patients were stratified into two subgroups according to their age (45-60 years, 61-75 years). Patients were also divided into subgroups according to the stenotic arteries and to the symptomatic/asymptomatic status of the disorder. All patients were homogeneous in terms of the degree of artery stenosis. The control group consisted of 32 healthy persons (14 males, 18 females) aged 48-75 years. Patients qualified to the control group reported no history of middle or inner ear disorders, disturbed hearing, vertigo and balance disorders, as well as cardiovascular diseases; they also presented with unremarkable ultrasound scans of the arteries. All patients were subjected to precise audiological examinations. Prior to being qualified for the study, patients were subjected to the assessment of arteries by means of Doppler ultrasonography. The hearing organ function was assessed by means of pure-tone threshold audiometry, impedance audiometry, otoacoustic emission tests and brainstem auditory evoked potential tests. Reduction of the flow through the carotid arteries causes problems in the organ of hearing; abnormalities are reported especially in tone threshold audiometry, examinations of the stapedius muscle reflexes and brainstem auditory evoked potentials, which prove the presence of receptive cochlear-extracochlear hearing damage. Disturbances of the organ of hearing have similar severity in stenosis of the internal carotid artery and vertebral artery. Abnormalities found in audiologic examinations in patients with carotid artery stenosis are not always explicitly clinically expressed in patients with hearing loss; we should consider diagnostics for carotid artery stenosis.


Assuntos
Artéria Carótida Externa/patologia , Estenose das Carótidas , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Transtornos da Audição , Testes Auditivos , Testes de Impedância Acústica , Idoso , Audiometria , Artéria Carótida Externa/diagnóstico por imagem , Estenose das Carótidas/complicações , Estenose das Carótidas/diagnóstico , Feminino , Transtornos da Audição/diagnóstico , Transtornos da Audição/etiologia , Transtornos da Audição/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Ultrassonografia Doppler , Insuficiência Vertebrobasilar/complicações , Insuficiência Vertebrobasilar/diagnóstico
17.
Int J Audiol ; 58(2): 77-86, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30261774

RESUMO

OBJECTIVE: This study aimed to determine the prevalence of hearing loss and ear problems in Pacific children, and investigate current and past demographic, health and social factors potentially associated with hearing and ear problems. DESIGN: A cross-sectional observational study design nested within a birth cohort was employed. STUDY SAMPLE: Nine-hundred-twenty Pacific children aged 11 years were audiologically assessed. Using average hearing thresholds at 500, 1k and 2k Hz, 162 (18%) right and 197 (21%) left ears had ≥20 dB hearing loss. Hearing loss was mild (20-39 dB) in most cases; 2% of ears had moderate to moderate-severe (40-69 dB) hearing loss. However, only 101 (11%) children had normal peripheral hearing defined by passing hearing threshold, tympanogram and distortion product otoacoustic emission assessments. Those with confirmed middle ear disease at age 2 years had significantly increased odds of a non-Type A tympanogram (adjusted odds ratio: 2.00; 95% confidence interval: 1.56, 2.50) when re-assessed at age 11 years. CONCLUSIONS: Hearing loss, abnormal tympanograms, and auditory processing difficulties were present in many Pacific children. Interventions are also urgently needed to mitigate the effect of the longstanding ear disease likely to be present for many Pacific children.


Assuntos
Crianças com Deficiência/psicologia , Orelha/fisiopatologia , Transtornos da Audição/epidemiologia , Audição , Pessoas com Deficiência Auditiva/psicologia , Fatores Etários , Limiar Auditivo , Criança , Comportamento Infantil , Estudos Transversais , Feminino , Transtornos da Audição/diagnóstico , Transtornos da Audição/fisiopatologia , Transtornos da Audição/psicologia , Humanos , Aprendizagem , Masculino , Nova Zelândia/epidemiologia , Prevalência , Fatores de Risco , Comportamento Social
18.
PLoS One ; 13(12): e0208797, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30533057

RESUMO

The authors are developing an intake tool based on the Brief International Classification of Functioning Disability and Health Core Set for Hearing Loss, by operationalizing its categories into a Patient Reported Outcome Measure. This study was aimed at identifying enablers and barriers to using this tool as perceived by hearing health professionals (HHPs) and patients. Focus groups and interviews were held with HHPs (ENT surgeons, N = 14; audiologists, N = 8) and patients (N = 18). Interview questions were based on the Capability-Opportunity-Motivation-Behavior (COM-B) model. Using the COM-B model and the Theoretical Domains Framework (TDF), transcript fragments were divided into meaning units, which were then categorized into capability-, opportunity- and motivation-related barriers and enablers. These were further specified into TDF domains. HHP barriers included: lack of time to use the tool (O); and fear of being made responsible for addressing any emerging problems, which may be outside the expertise of the HHP (M). Enablers included integration of the tool in the electronic patient record (O); opportunity for the patient to be better prepared for the intake visit (M); and provision of a complete picture of the patient's functioning via the tool (M). Patient' barriers included fear of losing personal contact with the HHP (M); and fear that use of the tool might negatively affect conversations with the HHP (M). Enablers included knowledge on the aim and relevance of the tool (C); expected better self-preparation (M); and a more focused intake (M). These findings suggest that an intervention is needed to enhance HHPs' knowledge, skills and motivation regarding the relevance and the clinical usefulness of the tool. Providing clear and specific information on the purpose of the tool can also enhance patient motivation. For both HHPs and patients, opportunities relating to the (digital) administration and the design of the tool provide additional targets for successful implementation.


Assuntos
Audiologia , Avaliação da Deficiência , Transtornos da Audição/diagnóstico , Humanos , Pesquisa Qualitativa
19.
Creat Nurs ; 24(4): 215-219, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30567962

RESUMO

School nurses provide routine formal vision and hearing health screenings to school children. However, time available during the school day for nurses to visit elementary classrooms and conduct pre-screening education and orientation is limited. A group of school nurses in Missouri needed an age-appropriate and time-saving method to introduce and orient children to the equipment, materials, and procedures that will be used on screening day. The school nurses collaborated with a health education specialist at a state university to develop two e-learning edutainment programs (one for vision screening and one for hearing screening) following best practices for educational design of e-learning programs. Edutainment is an e-learning technology that mixes education and entertainment using sound, video, and pictures. Edutainment is used to attract student attention through an enjoyable computer-based interaction to encourage focus on lesson content. The edutainment programs developed can be used by students at their own pace on their school-provided or personal devices, and/or the teacher can play the program module to the entire class as a group activity.


Assuntos
Programas de Rastreamento/organização & administração , Educação de Pacientes como Assunto , Serviços de Saúde Escolar/organização & administração , Serviços de Enfermagem Escolar , Criança , Feminino , Transtornos da Audição/diagnóstico , Humanos , Masculino , Meios de Comunicação de Massa , Missouri , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Transtornos da Visão/diagnóstico
20.
Einstein (Sao Paulo) ; 16(4): eAO4359, 2018 Nov 29.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30517363

RESUMO

OBJECTIVE: To compare performance in Avaliação Simplificada do Processamento Auditivo Central and Scale of Auditory Behaviors scores before and after auditory and motor training. METHODS: Sample comprising 162 children aged 9 to 11 years and attending public schools in the city of São Paulo (SP), Brazil; 122 out of 162 children were allocated to one of three experimental groups: Multisensory; Auditory/Motor and Motor/Auditory. Experimental groups were submitted to 8 hours of auditory, visuospatial and motor stimulation over the course of 8 weeks. The remaining 40 children formed the Control Group and received no stimulation. RESULTS: Relation between child behavior as perceived by school teachers and auditory test responses revealed that the better the performance in auditory processing assessment, the higher the Scale of Auditory Behaviors scores. CONCLUSION: Auditory and motor training led to improvements in auditory processing skills as rated by Avaliação Simplificada do Processamento Auditivo Central and Scale of Auditory Behaviors; this intervention model proved to be a good tool for use in school settings.


Assuntos
Estimulação Acústica/métodos , Percepção Auditiva , Transtornos da Percepção Auditiva/reabilitação , Transtornos da Percepção Auditiva/diagnóstico , Criança , Correção de Deficiência Auditiva/métodos , Feminino , Transtornos da Audição/diagnóstico , Testes Auditivos/métodos , Humanos , Estudos Longitudinais , Masculino , Amostragem
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