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https://www.readbyqxmd.com/read/29474258/etiology-of-acute-otitis-media-and-characterization-of-pneumococcal-isolates-after-introduction-of-13-valent-pneumococcal-conjugate-vaccine-in-japanese-children
#1
Kimiko Ubukata, Miyuki Morozumi, Megumi Sakuma, Misako Takata, Eriko Mokuno, Takeshi Tajima, Satoshi Iwata
BACKGROUND: Acute otitis media (AOM) is a leading cause of childhood morbidity and antibiotic prescriptions. We examined etiologic changes in AOM after introduction of 13-valent pneumococcal conjugate vaccine as routine immunization for Japanese children in 2014. Serotypes, resistance genotypes, antibiotic susceptibilities, and multilocus sequence typing of pneumococcal isolates were also characterized. METHODS: Otolaryngologists prospectively collected middle ear fluid from 582 children by tympanocentesis or sampling through a spontaneously ruptured tympanic membrane between June 2016 and January 2017...
February 22, 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29469164/heart-rate-variability-affected-by-radiofrequency-electromagnetic-field-in-adolescent-students
#2
Jakub Misek, Igor Belyaev, Viera Jakusova, Ingrid Tonhajzerova, Jan Barabas, Jan Jakus
This study examines the possible effect of radiofrequency (RF) electromagnetic fields (EMF) on the autonomic nervous system (ANS). The effect of RF EMF on ANS activity was studied by measuring heart rate variability (HRV) during ortho-clinostatic test (i.e., transition from lying to standing and back) in 46 healthy grammar school students. A 1788 MHz pulsed wave with intensity of 54 ± 1.6 V/m was applied intermittently for 18 min in each trial. Maximum specific absorption rate (SAR10 ) value was determined to 0...
February 22, 2018: Bioelectromagnetics
https://www.readbyqxmd.com/read/29462193/the-influence-of-different-fever-definitions-on-diagnostics-and-treatment-after-diagnosis-of-fever-in-chemotherapy-induced-neutropenia-in-children-with-cancer
#3
Stéphanie Wagner, Eva K Brack, Eveline Stutz-Grunder, Philipp Agyeman, Kurt Leibundgut, Oliver Teuffel, Roland A Ammann
BACKGROUND: There is no evidence-based definition of the temperature limit defining fever (TLDF) in children with neutropenia. Lowering the TLDF is known to increase the number of episodes of fever in neutropenia (FN). This study aimed to investigate the influence of a lower versus standard TLDF on diagnostics and therapy. METHODS: In a single pediatric cancer center using a high standard TLDF (39°C tympanic-temperature) patients were observed prospectively (NCT01683370)...
2018: PloS One
https://www.readbyqxmd.com/read/29461654/acute-responses-to-structured-aerobic-and-resistance-exercise-in-women-with-gestational-diabetes-mellitus
#4
Iva Sklempe Kokic, Marina Ivanisevic, Tomislav Kokic, Bostjan Simunic, Rado Pisot
Research on the acute responses to exercise in pregnancy is scarce, especially for women affected by gestational diabetes mellitus (GDM). The aim of this study was to investigate responses to a single bout of exercise performed multiple times throughout the pregnacy in women diagnosed with GDM. Data from 18 pregnant women (aged: 32.8 ± 3.8) diagnosed with GDM, treated with diet only, were analysed. Participants' pre-pregnancy body mass index was 24.4 ± 4.9 kg/m2 , 50% of them were nullipaorus, and 50% of the sample regularly exercised before the pregnany...
February 20, 2018: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/29460666/effects-of-common-ear-drops-on-tympanic-membrane-healing-in-rats
#5
Carolyn O Dirain, Brendan Kosko, Patrick J Antonelli
Objective Ciprofloxacin + dexamethasone ear drops have been associated with higher rates of tympanic membrane perforations than ofloxacin. This was thought to be an effect of the steroid; however, ciprofloxacin (sans steroid) has been found to be more toxic to tympanic membrane fibroblasts than ofloxacin in vitro. This study aimed to compare the effect of these agents on tympanic membrane healing in vivo. Study Design Controlled animal study. Setting Academic research laboratory. Methods Perforations were created in 54 rats with a carbon dioxide laser...
February 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29460543/anatomic-relationship-between-temporomandibular-joint-and-middle-ear
#6
L Ottria, D Lauritano, F Guzzo, M Gargari, A Barlattani
The present study was designed to identify a relationship between temporomandibular joint and tympanic cavity and potentially justify the possible clinical correlations between these two anatomical entities. For this reason the authors conducted an anatomic-pathological study about the temporomandibular joint (TMJ) and the neighboring anatomical areas of the middle ear by autopsy finds of human adults.
January 2018: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/29452812/randomised-trial-comparing-forced-air-warming-to-the-upper-or-lower-body-to-prevent-hypothermia-during-thoracoscopic-surgery-in-the-lateral-decubitus-position
#7
S-H Min, S Yoon, S-H Yoon, J-H Bahk, J-H Seo
BACKGROUND: In the supine position, forced-air warming is more effective on the lower body than on the upper body to prevent intraoperative hypothermia. However, it is unknown in the lateral decubitus position. We thus compared forced-air warming on the upper and lower bodies in the lateral position. METHODS: Patients (n=123) were randomised to receive forced-air warming on the upper body or lower body during thoracoscopic surgery in the lateral position. We measured the nasopharyngeal temperature at 0, 30, 60, 90, and 120 min after lateral positioning during surgery and the infrared tympanic membrane temperature at 0, 30, 60, 90, and 120 min after surgery...
March 2018: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29449102/anterosuperior-anchoring-myringoplasty-using-cyanoacrylate-glue-can-prevent-packing-gelfoam-in-the-middle-ear-cavity
#8
Y Li, J Liang, Y Cheng, Q Zhang, X Ren, Y Sheng
OBJECTIVES: Although a number of methods have been attempted to improve securing the graft, packing gelfoam in the middle ear cavity cannot be avoided, which could obstruct the tympanic ostium of the Eustachian tube and affect inner ear function. Myringoplasty using tissue adhesive has gained traction because tissue adhesives can effectively stabilise the graft and act as scaffolding to improve the graft uptake. The aim of this prospective study was to explore myringoplasty using cyanoacrylate glue with no packing in the middle ear cavity for the repair of subtotal tympanic membrane (TM) perforations...
February 12, 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/29447898/challenges-and-outcomes-of-cholesteatoma-management-in-children-with-down-syndrome
#9
Saied Ghadersohi, Bharat Bhushan, Kathleen R Billings
INTRODUCTION: The high incidence of chronic otitis media with effusion and Eustachian tube dysfunction in children with Down syndrome (DS) may predispose them to cholesteatoma formation. Establishing the diagnosis, choosing the appropriate operative intervention, and post-operative care can be challenging. OBJECTIVE: To describe management strategies for cholesteatoma diagnosis, surgical treatment, and post-operative management in children with Down syndrome. METHODS: Retrospective case series of 14 patients (17 total ears) with Down syndrome diagnosed with cholesteatoma over a 9-year period...
March 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29447893/iphone-otoscopes-currently-available-but-reliable-for-tele-otoscopy-in-the-hands-of-parents
#10
Manan Udayan Shah, Maheep Sohal, Tulio A Valdez, Christopher R Grindle
OBJECTIVES: Tele-otoscopy has been validated for tympanostomy surveillance and remote diagnosis when images are recorded by trained professionals. The CellScope iPhone Otoscope is a device that may be used for tele-otoscopy and it enables parents to record their children's ear examinations and send the films for remote physician diagnosis. This study aims to determine the ability to diagnose, and the reliability of the diagnosis when utilizing video exams obtained by a parent versus video exams obtained by an otolaryngologist...
March 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29447881/tympanostomy-tubes-for-serous-otitis-media-and-risk-of-recurrences
#11
Nathalie Klopp-Dutote, Catherine Kolski, Vladimir Strunski, Cyril Page
OBJECTIVES: To determine the value of tympanostomy tubes (TTs) in the management of serous otitis media (SOM) and the risk factors for SOM recurrence. METHOD: This single-centre cohort study was performed in the University hospital of Amiens, France; and concerned 215 under-12 children having undergone at least one bilateral TT (Shepard grommet-type) placements for SOM. RESULTS: The mean TT retention time was 10 months. SOM recurred in 79 children (62...
March 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29447797/the-anatomic-applicability-of-transcanal-endoscopic-ear-surgery-in-children
#12
Wan-Hsuan Sun, Chin-Lung Kuo, Tzu-Chin Huang
OBJECTIVE: The feasibility of TEES in dealing with pediatric middle ear disease is still under investigation. The goal of this study was to compare anatomical dimensions of the EAC between children and adults, and to analyze the anatomic applicability of TEES in children. METHODS: Forty pediatric (18 years old and younger) and 20 adult patients who received TB-HRCT to evaluate middle ear conditions were enrolled from December 2010 to December 2015. Dimensions including the diameters of the EAC orifice, isthmus and tympanic membrane annulus, the length of EAC, the height of the middle ear, and the angle between tympanic membrane and EAC axis were determined according to the TB-HRCT data...
February 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29429175/-middle-ear-teratoma-in-infant-report-of-three-cases-and-review-of-the-literatures
#13
Z Peng, Z X Wang, J Xie, L E Wang, Y Liu, S S Gong
Objective: To summarize the clinical characteristics and therapeutic experiences of the middle ear teratoma in infants. Methods: Three cases of middle ear teratoma, from 2012-2015 in Beijing Friendship Hospital were analyzed. Results: The three cases all developed slowly and presented unilateral otorrhea and hearing loss. Otoscopy showed the granulation tissue in the external ear canal. Audiological changes varied according to the degree of severity. Imaging features showed the pocket-like occupancy lesions in the Eustachian tube area...
February 7, 2018: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/29429024/middle-ear-microvascularization-an-in-vivo-endoscopic-anatomical-study
#14
Matteo Alicandri-Ciufelli, Pierre Guarino, Filippo Fabbri, Elio Maria Cunsolo, Livio Presutti, Lukas Anschuetz
PURPOSE: To describe the in vivo vascularization of middle ear by an endoscopic point of view, particularly focusing on the medial wall of tympanic cavity and incudostapedial region (ISR). STUDY DESIGN: Case series with surgical videos review and anatomical description. METHODS: 48 videos from exclusive endoscopic middle ear surgery performed at the University Hospital of Modena from November 2015 to July 2017 were reviewed. Data about anatomy of vessels, and blood flow direction (BFD) were collected in an appropriate database for further analyses...
February 10, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29424820/the-antioxidant-effect-of-rosmarinic-acid-by-different-delivery-routes-in-the-animal-model-of-noise-induced-hearing-loss
#15
Anna R Fetoni, Sara Letizia Maria Eramo, Antonella Di Pino, Rolando Rolesi, Fabiola Paciello, Claudio Grassi, Diana Troiani, Gaetano Paludetti
HYPOTHESIS: Trans-tympanic Rosmarinic Acid (RA), as compared with the systemic administration, protects against noise-induced auditory hair cell and hearing losses in rats in vivo. BACKGROUND: ROS production, lipoperoxidative damage, and an imbalance of antioxidant defences play a significant role in noise-induced hearing loss. Several molecules with antioxidant properties have been tested to restore redox homeostasis; however, drug delivery system represents a challenge for their effectiveness...
March 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29424008/prophylactic-granisetron-for-post-spinal-anesthesia-shivering-in-caesarean-section-a-randomized-controlled-clinical-study
#16
H S Abdel-Ghaffar, S M Moeen
BACKGROUND: The serotonergic system is known to be involved in control of post-anesthetic shivering. Our hypothesis was that prophylactic granisetrone (serotonin antagonist) might reduce incidence of post- spinal anesthesia shivering in cesarean section. METHODS: Parturient scheduled for elective Caesarean delivery under spinal anesthesia were allocated to receive 0.9% saline (Group I, n = 71), 1 mg granisetron (Group II, n = 69), or 0.7 mg granisetron (Group III, n = 72) before the spinal block...
February 8, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/29419375/tri-phasic-fever-in-dengue-fever
#17
Pradeepa H D, Sathish B Rao, Ganaraj B, Gopalakrishna Bhat, Chakrapani M
Dengue fever is an acute febrile illness with a duration of 2-12 days. Our observational study observed the 24-h continuous tympanic temperature pattern of 15 patients with dengue fever and compared this with 26 others with fever due to a non-dengue aetiology. A tri-phasic fever pattern was seen among two-thirds of dengue fever patients, but in only one with an inflammatory disease. One-third of dengue fever patients exhibited a single peak temperature. Continuous temperature monitoring and temperature pattern analysis in clinical settings can aid in the early differentiation of dengue fever from non-dengue aetiology...
January 1, 2018: Tropical Doctor
https://www.readbyqxmd.com/read/29417275/cochlear-implantation-using-the-underwater-technique-long-term-results
#18
Konrad Johannes Stuermer, David Schwarz, Andreas Anagiotos, Ruth Lang-Roth, Karl-Bernd Hüttenbrink, Jan Christoffer Luers
INTRODUCTION: The opening of the round window and the insertion of the electrode array into the scala tympani during cochlear implant surgery can lead to a pressure shock of the delicate inner ear structures. By filling the tympanic cavity with Ringer Solution during these surgical steps (underwater technique), the hydrostatic pressure of the fluid acts as a smooth pressure stabilizer, avoiding a pressure shock of the inner ear structures. The aim of this retrospective study was to present long-term results of this new method of cochlear implantation in underwater technique...
February 7, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29405737/hiv-positivity-per-se-does-not-affect-tympanoplasty-outcomes
#19
Es-Hak Bedri, Asnake Bitew, Miriam Redleaf
BACKGROUND: The English language literature finds no clear protocols for otologic surgery for HIV+ patients. OBJECTIVE: To demonstrate that simple tympanoplasty and type III tympanoplasty in HIV+ patients with CD4 >400 cells/cc results in tympanic membrane closures and hearing improvements equivalent to the same procedures in controls. MATERIALS AND METHODS: This retrospective review documents the otologic conditions and operative results of 32 HIV+ patients and 32 controls...
February 1, 2018: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/29397250/endoscopic-cartilage-versus-temporalis-fascia-grafting-for-anterior-quadrant-tympanic-perforations-a-prospective-study-in-a-tertiary-care-hospital
#20
Sanjeev Mohanty, Vinoth Manimaran, Preethi Umamaheswaran, Shivapriya Jeyabalakrishnan, Sreenivas Chelladurai
OBJECTIVE: Management of anterior perforations of tympanic membrane is a surgical challenge. The objective of this study is to analyse and compare the results of composite cartilage perichondrium island (CCPI) graft and temporalis fascia graft by endoscopic technique in anterior quadrant perforations. METHODS: A prospective study was conducted in a tertiary care centre from 2012-16. A total of 187 ear drums(n) in 168 patients with perforations involving anterior quadrant were included in the study...
January 31, 2018: Auris, Nasus, Larynx
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