470 research outputs found
Quality of life measurements for patients with chronic suppurative otitis media: Italian adaptation of "Chronic Ear Survey". La misura della qualitĂ della vita in pazienti con otite media suppurativa cronica: adattamento in italiano del âChronic Ear Surveyâ
Il Chronic Ear Survey (CES) è una misura specifica della Qualità della Vita (QoL) nei pazienti affetti da Otite Media Suppurativa Cronica
(CSOM). Ă un questionario composto da 13 domande che indagano frequenza, durata e severitĂ dei sintomi associati a questa malattia. Il
CES genera tre sottoscale con rispettivo punteggio che riguardano limitazioni nelle attivitĂ fisiche e sociali, sintomi e trattamento medico.
Attraverso le risposte ottenute dai pazienti è possibile ricavare un punteggio che va da 0 a 100; il punteggio piÚ alto indica una QoL migliore,
mentre quello piÚ basso indica una QoL peggiore. Il questionario è stato creato in lingua inglese. Lo scopo del lavoro è di validare
in lingua italiana il CES. La traduzione è stata condotta seguendo le linee guida internazionali. La versione italiana del CES (CES-I) è
stata proposta a 54 pazienti con CSOM. Nello stesso tempo, è stato somministrato a tutti i pazienti anche il questionario SF-36. Un modello
trasversale è stato usato per esaminare la consistenza interna (Cronbach alpha) e la validità esterna (coefficiente di Pearson). Per
confermare la validità esterna del CES-I è stato poi analizzato il test di correlazione di Pearson considerando il punteggio totale, le singole
sottoscale del CES e le 8 scale dello Short Form Health Survey (SF-36). Il coefficiente di Cronbach è stato pari a 0.737. Il coefficiente di
correlazione interno ha dato un risultato pari a 0.737 (95% CI: 0.600-0.835, p < 0.001) di media e 0.412 (95% CI: 0.237-0.559, p < 0.001)
per le singole misure. Sulla base dei nostri risultati il questionario CES-I è risultato essere concorde con lâoriginale in lingua inglese e può
essere considerato uno strumento adeguato per valutare la QualitĂ della Vita nei pazienti con CSOM di lingua italianaThe chronic ear survey (CES) is a sensitive and disease specific quality of life (QoL) measurement tool in patients with chronic suppurative otitis media (CSOM). It is a 13-item survey that evaluates the frequency, duration and severity of problems associated with this disease. It is composed of three subscales that describe activity restrictions, symptoms and medical resource utilisation. Based on patient's answers, it is possible to obtain a score resulting in a scale ranging from 0 to 100; the highest indicates the best health, while the lowest denotes poor health. The questionnaire was originally created in English. The aim of this study is to validate the CES questionnaire in Italian (CES-I). Translation was made following international guidelines. The application follows the stages of translation from English to Italian and linguistic adaptation, and grammatical and idiomatic equivalence review. The CES-I and the Short Form Health Survey 36 (SF-36) questionnaires were administered to 54 patients with CSOM. A cross-sectional design was used to examine the internal consistency (Cronbach's alpha) and concurrent validity (Pearson's product moment correlation). To confirm the external validity of CES-I, Pearson correlation coefficient, considering the total score and single subscales of CES and the 8 scales of the SF-36, was calculated. Cronbach's alpha coefficient for internal consistency was 0.737. The intraclass correlation coefficient, measured through mixed effects, was 0.737 (95% CI: 0.600-0.835, p < 0.001) for average measures and 0.412 (95% CI: 0.273-0.559, p < 0.001) for individual measures. According to our results, CES-I is a reliable tool for evaluation of QoL in patients with CSOM among the Italian-speaking population
Hearing health outreach services to Indigenous children and young people in the Northern Territory 2012â13 and 2013â14
Presents analyses on hearing health outreach services provided to Indigenous children and young people in the Northern Territory.
Summary
This report presents information on ear and hearing outreach services funded by the Department of Health and delivered by the Northern Territory Department of Health between July 2012 and June 2014. The main funding sources for these services are the National Partnership Agreement on Stronger Futures in the Northern Territory and the Healthy EarsâBetter Hearing, Better Listening program. The report also includes information on hearing health and middle ear conditions among service recipients.
Service delivery
In 2013â14, 2,122 outreach audiology services were delivered to 1,764 Indigenous children and young people. In total, from July 2012 to June 2014, 4,054 audiology services were delivered to 2,889 children and young people.
Child Hearing Health Coordinators (CHHCs) conducted 697 visits to 675 children in 2013â14âslightly below the target of 700 children set by the Australian and Northern Territory governments. In total, 1,140 children were seen at 1,208 CHHC visits from July 2012 to June 2014.
A total of 860 ear, nose and throat (ENT) teleotology services were provided to 766 children and young people in 2013â14. From July 2012 to June 2014, 1,684 ENT teleology services were provided to 1,283 children and young people.
Hearing health status among children and young people who received services
Hearing loss was present in 55% of children and young people who received outreach audiology services at their latest service in 2013â14.
Hearing health status improved for a large proportion of the children and young people who received 2 or more outreach audiology services. Of the 498 children and young people who had hearing loss at their first audiology service, 41% experienced functional improvements in their hearing (with 26% regaining normal hearing capability at their last check, and 15% having their hearing loss status improve from bilateral to unilateral).
Among 102 children and young people with hearing impairment at their first audiology check, the severity of impairment improved for 50% at their last check, remained at the same level for 40%, and deteriorated for 10%.
Middle ear conditions among children and young people who received services
In 2013â14, of the 1,791 children and young people who received an audiology or ENT service, 67% were diagnosed with at least 1 type of middle ear condition (an increase from 61% in 2012â13)âmost commonly otitis media with effusion (24%).
Of the 781 children and young people who received 2 or more ENT or audiology services from July 2012 to June 2014, the proportion diagnosed with at least 1 middle ear condition between the first and last service decreased, from 79% to 76%.
Improvements were seen for those who received 3 or more services since August 2007: the proportion of children and young people diagnosed with at least 1 middle ear condition decreased, from 81% at the first service to 55% at the last service.
Among those diagnosed with chronic suppurative otitis media with discharge or dry perforation at an initial service, overall, the results suggest poor progress, with the majority of these children and young people still experiencing the same condition or developing another type of ear disease over the course of their treatment
The evaluation of the incidence of sensorineural component of hearing loss in chronic suppurative otitis media
Background: The sensorineural component of hearing loss either in form of pure sensorineural or Mixed components has since long been suspected to be a dreaded sequela of chronic suppurative otitis media (CSOM). The aim of this study is to access the incidence of sensorineural hearing loss (SNHL) or mixed hearing loss (MHL) amongst people suffering from both mucosal and squamosal variants of CSOM.Methods: A prospective observational cohort study (control group: contralateral ear) was conducted at the E.N.T. department of tertiary care center from December 2020 to September 2022. 149 patients of ages 15-50 of either gender with unilateral CSOM were included in the study. The other normal ear of the same patient was taken as the control ear. The pure tone audiometry of both diseased and control ears at frequencies 500,1000,2000 and 4000 kHz were taken to determine SNHL or MHL.Results: The mean age was 26.54¹8.75 years of which, 79 males and 70 females. The mean duration of disease was 3.92¹3.32. SNHL occurred in 25.5% of cases, while conductive and MHL affected 69.8% and 4.7 % of patients respectively. Conclusions: SNHL and MHL occurred in a significant number of patients suffering from CSOM. Further research needs to be encouraged and management should be refined to decrease disease-related morbidity
Clinico-epidemiological study of safe and unsafe chronic suppurative otitis media
Introduction: Chronic Suppurative Otitis Media (CSOM) remains one of the most commonest chronic infectious diseases worldwide particularly in children and adolescents. India has been classified as the high prevalence country with national prevalence of 4%. Knowledge of differential regional prevalence of risk factors is required for adequate health education of masses and for customised preventive and control measures in respective areas. Aims: To study the clinical and socio-demographic profile of patients with CSOM. Methods: The study was carried out in the department of Otorhinolaryngology, Jawaharlal Nehru Medical College, AMU, Aligarh from November, 2017 to December, 2019. Patients with CSOM attending the otorhinolaryngology OPD and those admitted in IPD were included in the study. Results: A total 200 cases of chronic suppurative otitis media including both safe (mucosal) and unsafe (squamous) type were studied. The mean age of participants was 22.8 Âą 15.18 years. Of the total participants, 111 (55.5%, 95% CI 48.6 to 62.2) were males, 89 (44.5%, 95% CI 37.8 to 51.4) were females and the majority (60.5%, 95% CI 53.6 to 67) of them were from rural background. Around one-fourth of the patients were illiterate (23%, 95% CI 17.7 to 29.3) and the patients mostly belonged to lower side (lower middle, upper lower and lower) of the spectrum of Kuppuswamy socioeconomic classification. The distribution of age-group, gender and laterality (side of involvement) was similar (P>0.05) in both safe and unsafe type. Overall, 151(75.5%, 95% CI 69.9 to 80.9) patients were found to have conductive hearing loss, 30 (15%, 95% CI 10.7 to 20.6) with mixed and 19 (9.5%, 95% CI 6.2 to 14.4) did not have any hearing loss at presentation. The distribution of patients with regards to hearing loss was found to be similar in both safe and unsafe groups (P = 0.311). Conclusion: CSOM particularly afflicts younger age populations from rural background with poor socioeconomic status. Appropriate timely interventions in the form of health promotion, education about the risk factors and improvement in the living conditions will result in decrease in incidence and prevalence of the disease. Moreover, knowledge of symptoms and signs of the disease is likely to result in early seeking of healthcare and hence better treatment outcomes and prevention of complications
Microbiology of chronic suppurative otitis media at Queen Elizabeth Central Hospital, Blantyre, Malawi: A cross-sectional descriptive study
Background Chronic suppurative otitis media (CSOM) is still a significant health problem in developing countries. Therefore, it was pertinent to determine the local Malawian microbiology in order to guide adequate treatment, avoid complications, and provide records for future reference.Aim The study sought to determine the CSOM-causing microorganisms at Queen Elizabeth Central Hospital in Blantyre, Malawi, and establish their relationship signs and symptoms, and with the demographic pattern of the study.Methods This was a hospital-based cross-sectional descriptive study carried out at the ENT outpatient clinic and the Microbiology Department of Queen Elizabeth Central Hospital.The sample comprised 104 patients with unilateral or bilateral active CSOM, who met the inclusion criteria. All patients were evaluated through a detailed history and clinical examination. Pus samples from draining ears were collected by aspiration with a sterile pipette. The specimens were immediately sent for microbiological analysis. Data were analyzed using SPSS.version 20.Results The study found that Proteus mirabilis, Pseudomonas aeruginosa, and Staphylococcus aureus were the most prevalent aerobic bacteria, while Bacteroides spp. and Peptostreptococcus spp. were the commonest anaerobic bacteria causing CSOM. These CSOM-causing microorganisms were predominant among males aged 18 years and below. Some CSOMcausing microorganisms wereâsignificantly more so than the othersâcharacteristically associated with each of the following clinical features: quantity of pus drainage, mode of onset, otalgia, hearing loss, location of tympanic membrane perforation, and mucosal appearance
Otitis Media; Etiology and Antibiotics Susceptibility among Children under Ten Years Old in Hillah city,Iraq
Background: This is an aerobic bacteriological study of acute otitis media to identify common pathogens and to evaluate their antibiotic susceptibility pattern. Otitis media is a major health problem of children in low income countries. Objectives: This study was done to determine the bacterial isolates and antimicrobial susceptibility of otitis media from children under 10 years old. Methods: Infected samples were collected from sixty (190) children under ten years old suffering from otitis media from out clinic and Al-Hillah education Hospital in babil, Iraq. Over a 9 months period (September 2012 to May 2013). Antimicrobial susceptibility tests were performed using disc diffusion technique as per the standard Kirby-Bauer method. Results: In this study, 48% of patients were males and 52% were females. Patients ranged in age from 0 to 8 years old. 34 percent of patients had no previous visit and regular treatment. The results of the bacteriological studies on the 190 cases showed that microbiological culture was yielded from 190 samples. Pure cultures consist of (166/30.1%) had a single organism isolated from the middle ear discharge, while the remaining or Mixed growth (367/66.37%) had two or more organisms isolated. There were (20/3.62%) samples who had a no culture with any microorganism isolated Conclusion: Otitis media linked with high levels of multiple antibiotic resistant bacteria is a major health concern in all age groups of the study population. There is a need for culture and susceptibility test facilities for appropriate antimicrobial therapy of otitis media and antimicrobial resistant infections
Investigating Real-World Benefits of High-Frequency Gain in Bone-Anchored Users with Ecological Momentary Assessment and Real-Time Data Logging
Purpose: To compare listening ability (speech reception thresholds) and real-life listening experience in users with a percutaneous bone conduction device (BCD) with two listening programs differing only in high-frequency gain. In situ real-life experiences were recorded with ecological momentary assessment (EMA) techniques combined with real-time acoustical data logging and standard retrospective questionnaires. Methods: Nineteen experienced BCD users participated in this study. They all used a Ponto 4 BCD from Oticon Medical during a 4-week trial period. Environmental data and device parameters (i.e., device usage and volume control) were logged in real-time on an iPhone via a custom iOS research app. At the end of the trial period, subjects filled in APHAB, SSQ, and preference questionnaires. Listening abilities with the two programs were evaluated with speech reception threshold tests. Results: The APHAB and SSQ questionnaires did not reveal any differences between the two listening programs. The EMAs revealed group-level effects, indicating that in speech and noisy listening environments, subjects preferred the default listening program, and found the program with additional high-frequency gain too loud. This finding was corroborated by the volume logâsubjects avoided the higher volume control setting and reacted more to changes in environmental sound pressure levels when using the high-frequency gain program. Finally, day-to-day changes in EMAs revealed acclimatization effects in the listening experience for ratings of âsound qualityâ and âprogram suitabilityâ of the BCD, but not for ratings of âloudness perceptionâ and âspeech understandingâ. The acclimatization effect did not differ among the listening programs. Conclusion: Adding custom high-frequency amplification to the BCD target-gain prescription improves speech reception in laboratory tests under quiet conditions, but results in poorer real-life listening experiences due to loudness
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