Useful residual hearing despite radiological findings suggestive of anacusis

A severe malformation of the inner ear, often referred to as severe labyrinthine dysplasia or common cavity deformity, consists of an absent or dilated cochlear basal coil, wide communication with the vestibule and a tapered internal acoustic meatus and can be associated with absent hearing. We discuss two children with severe labyrinthine dysplasia as shown by computed tomography (CT) scans and, in the first case, an absent VIIIth nerve bilaterally shown by magnetic resonance imaging (MRT). In 1995, both cases were precluded from cochlear implantation, on the basis of the absent VIIIth nerve (first case) and increased risk of CSF leak during operation (second case). However, audiometric results and vocalization patterns of both children suggested the presence of some residual hearing function, while recently reported specific surgical techniques have been found to be safe and effective in the cochlear implantation of the common cavity deformity. The management of such cases should be decided on the grounds of a full audiological assessment in conjunction with the radiological features, in the light of current surgical trends shown to be safe and effective

The Relationship between Types of Attention and Auditory Processing Skills: Reconsidering Auditory Processing Disorder Diagnosis

Measures of attention have been found to correlate with specific auditory processing tests in samples of children suspected of Auditory Processing Disorder (APD), but these relationships have not been adequately investigated. Despite evidence linking auditory attention and deficits/symptoms of APD, measures of attention are not routinely used in APD diagnostic protocols. The aim of the study was to examine the relationship between auditory and visual attention tests and auditory processing tests in children with APD and to assess whether a proposed diagnostic protocol for APD, including measures of attention, could provide useful information for APD management. A pilot study including 27 children, aged 7–11 years, referred for APD assessment was conducted. The validated test of everyday attention for children, with visual and auditory attention tasks, the listening in spatialized noise sentences test, the children's communication checklist questionnaire and tests from a standard APD diagnostic test battery were administered. Pearson's partial correlation analysis examining the relationship between these tests and Cochrane's Q test analysis comparing proportions of diagnosis under each proposed battery were conducted. Divided auditory and divided auditory-visual attention strongly correlated with the dichotic digits test, r = 0.68, p < 0.05, and r = 0.76, p = 0.01, respectively, in a sample of 20 children with APD diagnosis. The standard APD battery identified a larger proportion of participants as having APD, than an attention battery identified as having Attention Deficits (ADs). The proposed APD battery excluding AD cases did not have a significantly different diagnosis proportion than the standard APD battery. Finally, the newly proposed diagnostic battery, identifying an inattentive subtype of APD, identified five children who would have otherwise been considered not having ADs. The findings show that a subgroup of children with APD demonstrates underlying sustained and divided attention deficits. Attention deficits in children with APD appear to be centred around the auditory modality but further examination of types of attention in both modalities is required. Revising diagnostic criteria to incorporate attention tests and the inattentive type of APD in the test battery, provides additional useful data to clinicians to ensure careful interpretation of APD assessments

Arboricultural Assessment of Street Trees in Colombo City, Sri Lanka

Roadside trees are beneficial for providing ecological services, such as heat absorbance, natural air conditioning, and reducing GHG emissions in urban landscapes. This study examines the tree structure, species composition, species diversity, and some field observations (i.e. tree structural defects and disorders) on roadside trees in Colombo City. The vegetation parameters, such as diameter-at-breast height (DBH), tree height, and crown radius were measured in each tree. Purposive random sampling was adapted to invent street trees along High-level Road (Nugegoda to Tummulla junction), Bauddhaloka Mawatha (Tummulla junction to Borella Cemetery junction),Viharamahadevi Park circle and suburbs, Ananda Coomaraswamy Mawatha-Sri Jayawardanapura Mawatha (Kollupitia to Rajagiriya), Jawatta Road, Torinton Avenue and Keppitipola road. A total of 1458 street trees belonging to 92 species, 71 genera and 33 families were recorded along the roadways of Colombo City expanding ca. 20 km in length. Average 41±18 trees were located per kilometer. The survey shows that 64% of the species were exotic and 36% were indigenous species, reflecting the trend towards planting more exotic tree species in streets in recent past. The most dominant street trees were Albizia saman [% Relative Density (RD)=8; % Relative Basal Area (RBA)=34, % Relative Crown Cover (RCC)=30] and Peltophorum pterocarpum [% RD=11; % RBA=16; % RCC=19]. The highest number of trees was recorded from Public Library to Town Hall via Anagarika Dharmapala Mawatha (69 trees/km and 36 spp./km) and the most diverse tree species composition was found along Marcus Fernando Mawatha (66 trees/km and 52 spp./km) at Viharamahadevi Park circle. In conclusion, maintaining urban forest inventories, silvicultural managing of street trees from Ficus invasion, and introducing suitable native trees viz., Lagerstroemia speciose (Murutha), Pongamia pinnata (Magul-Karanda), Barringtonia asiatica (Mudilla) and Phyllanthus emblica (Nelli) for future tree planting areas will be recommended.Keywords: Street trees, Forest inventory, Silvicultural management, Colombo cit

Causes of deafness in British Bangladeshi children: a prevalence twice that of the UK population cannot be accounted for by consanguinity alone

Objective: To study the causes and prevalence of sensorineural deafness in Bangladeshi children resident in East London. Methods: This was a cross sectional survey of children of Bangladeshi origin living in East London with bilateral sensorineural hearing loss of 40 db HL or more. In this study, 134 patients were included. The study looked primarily at the causes of sensorineural hearing loss in this population

Preliminary study on herpetofaunal diversity of Nilgala forest area in Monaragala district, Sri Lanka

Nilgala ForestArea (NFA) is one of the largest and important forest area in Monaragala District, UvaProvince. It contain 12,432 hectares and lies within 7° 08' - 7° 14' NL and 81 D 16' - 81020' EL. Itselevation range between 200m to 700m within the Irindahela, Hangale, Yakun hela (highest point 700rn), Hamapola, Badangarnuwa, Keenagoda, Makada, Karadugala, Kukulagoda, Ewalahela, Gorikkadahills. The mean annual rainfall varies between where the average annual rainfall 1500mm - 2000mm(rain during northeast monsoon). while the mean annual temperature of the area is 28 DC - 31°C.The vegetation comprised with lowland tropical moist semi evergreen forest and savannah forest,home gardens and small patch paddy cultivations. The dominant tree species are Aralu (Terminaliachebulav, Bulu iTerminalia bellirica) and Nelli iPhyllanthus emblicay. Other than biodiversity,Nilgala is rich of archaeological monuments, such as prehistoric, proto-historic and historical Buddhistmonasteries.During the two-year study period, total number of 70 reptile species were and 19 amphibian speciesrecorded. Reptiles include 44 genera of 17 families and 20 (28.5%) endemic species. Amphibianfauna contain 13 genera including 4 families and 6 (31.5%) endemic species. 41.4% (29) of reptilesand 26.3% (5) of Amphibians listed as 'Nationally Threatened' in the 1999 IUCN National threatenedlist. Out of70 species 38 (54.2%) are Serpentoid reptiles (11 endemics) and 32 (45.7%) species areof Tetrapod reptiles (9 endemics). Among the recorded species, 11 Serpentoid, 3 Tetrapod, and 2amphibians have not been recorded by previous workers. Furthermore seven unidentified specieswere also recorded during the survey, which probably include new amphibian species belonging togenus Nannophrys. Human activities such as man-made fire, ilIegallogging, extensive use of chemicalsfor agriculture, forest clearing for chena cultivation and road kills were identified as a main threat forthe natural habitats as well as faunal species.