Efficacy of fluralaner against Otodectes cynotis infestations in dogs and cats.

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Taenzler, Janina; de Vos, Christa; Roepke, Rainer K A; Frénais, Régis; Heckeroth, Anja R

2017-01-16

The efficacy of fluralaner for the treatment of Otodectes cynotis infestations in dogs and cats was evaluated after oral (dogs) or topical administration (dogs and cats). Twenty-four dogs and sixteen cats were experimentally infested with O. cynotis and randomly allocated to equal sized groups (n = 8/group). Dog groups were treated once, either orally with fluralaner at a minimum dose of 25 mg/kg body weight, topically with fluralaner at a dose of 25 mg/kg body weight or topically with saline solution (control). Cat groups were treated once, either topically with fluralaner at a dose of 40 mg/kg body weight or topically with saline solution. Ears of all animals were examined otoscopically for live visible mites and the amount of debris and cerumen before, and 14 and 28 days after treatment. Twenty-eight days after treatment, animals were sedated and both ears were flushed to obtain the total number of live mites per animal. The efficacy was calculated, based on the results of the ear flushing, by comparing mean live mite counts in the fluralaner treated groups versus the saline solution treated group. A single topical treatment of cats with fluralaner reduced the mean mite counts by 100% (P dogs with fluralaner reduced the mean mite counts by 99.8% (P Cats treated topically with fluralaner had no mites visible during otoscopic examination at either 14 or 28 days after treatment. All dogs treated orally or topically with fluralaner had no mites visible during otoscopic examination at 28 days after treatment. At 14 days after treatment, only 1-2 mites were visible in three dogs (oral treatment: 2 dogs, topical treatment: 1 dog). All fluralaner-treated animals showed improvement in the amount of cerumen exudation compared with observations performed before treatment. No treatment related adverse events were observed in any dogs or cats enrolled in these studies. In this study, fluralaner administered topically to cats and orally or topically to dogs was

The feasibility of audiologists removing earwax.

LENUS (Irish Health Repository)

Browne, T

2014-11-01

Although cerumen management (CM) is routinely performed by audiologists in some countries, this is currently not the case in the Republic of Ireland. This study involved surveying the opinions of Audiologists and Ear Nose and Throat specialists (ENTs) in relation to audiologists conducting CM. In total, 20 ENT Consultants (29%) and 51 audiologists (64%) in the public services responded to an online survey. There was agreement that CM should be within audiologists\\' remit. However, with regard to risk, opinions were significantly different, with 15 ENTs (75%), compared to 14 audiologists (27%), in agreement that CM management by audiologists was more risky to patients. Nevertheless, 62 respondents (87%) supported future CM training for audiologists. The. overall similarities of opinion between the two groups contrasted to previous studies that reported strong opposition from ENTs with regard to audiologists managing earwax.

Emissões otoacústicas por produtos de distorção em crianças de 2 a 7 anos Otoacoustic emissions by distorcion products in children of 2 to 7 years old

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Alfredo R. Dell'Aringa

2004-06-01

distortions products. The DPOAE is an objective exam, fast, non painful, non invasive and easy to prescribe for screening in patients with hearing loss, and allow diagnoses and early rehabilitation. STUDY DESIGN: Transversal cohort. MATERIAL AND METHOD: All children of Lar da Criança in Marília, SP, after previous authorization of the responsible, were submitted to on otorhinolaryngology exam and DPOAE. RESULTS: The results presented that one hundred and five children participated in the study and 44,76% presented cerumen. Twelve children even after use of ceruminolytic and ear clearing persist with cerumen, or don't have parents or responsible permission. These children were exclude in the study. and 93 children were submitted to DPOAE After doing DPOAE in 93 patients, 5,37% were changed; 60% were male and 60% had bilateral changed. DISCUSSION: The results were lower than the results find in literature, even the male predominance. Besides, we observe high prevalence of cerumen in our patients. CONCLUSION: Its essential an otorhinolaryngology evaluation before doing the DPOAE. It could be done in newborn, children and adults for early detection and prevention of failure in the cognitive and psycho-emotional development.

External auditory exostoses in the Xuchang and Xujiayao human remains: Patterns and implications among eastern Eurasian Middle and Late Pleistocene crania.

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Trinkaus, Erik; Wu, Xiu-Jie

2017-01-01

In the context of Middle and Late Pleistocene eastern Eurasian human crania, the external auditory exostoses (EAE) of the late archaic Xuchang 1 and 2 and the Xujiayao 15 early Late Pleistocene human temporal bones are described. Xujiayao 15 has small EAE (Grade 1), Xuchang 1 presents bilateral medium EAE (Grade 2), and Xuchang 2 exhibits bilaterally large EAE (Grade 3), especially on the right side. These cranial remains join the other eastern Eurasian later Pleistocene humans in providing frequencies of 61% (N = 18) and 58% (N = 12) respectively for archaic and early modern human samples. These values are near the upper limits of recent human frequencies, and they imply frequent aquatic exposure among these Pleistocene humans. In addition, the medial extents of the Xuchang 1 and 2 EAE would have impinged on their tympanic membranes, and the large EAE of Xuchang 2 would have resulted in cerumen impaction. Both effects would have produced conductive hearing loss, a serious impairment in a Pleistocene foraging context.

Occurrence and identification of yeasts in dogs external ear canal with and without otitis

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Elidiana de Bona

2012-08-01

Full Text Available Objective. To analyze the presence of yeast in the external ear canal of 116 dogs with and without a diagnosis of otitis from veterinary clinic in the Chapecó city, Santa Catarina, Brazil, and to examine the secretion of the proteinase in isolates. Materials and methods. Were collected cerumen of conduct hearing of dogs of 16 different races 71% with pendular ear type, 5% of semi-pendular and 24% of the erect type. All dogs were previously evaluated by otoscopy and grouped in dogs with and without otitis. Results. Yeasts were isolated in 44 samples (approximately 36%, where Malassezia pachydermatis was identified in 95% of samples where were observed growth of yeasts. On 20 samples the proteinase enzyme showed strong activity in 31% isolates, were 21% of the dogs with otitis tested showed high proteolytic activity. Conclusions. We observed a variation of strains of M. pachydermatis-producing enzymes. The variation in production of these enzymes is probably more associated with different response to the action of the immune system of the animal in the tissue injury.

External Ear Resonant Amplitude and Frequency of 3-7 Year Old Children

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Amir Hossein Zare

2004-06-01

Full Text Available Objective: To measure external ear resonant amplitude and frequency in children (3-7 years old and to compare with adult measures. Method and materials: The external ear resonance peak amplitude and frequency of 63 children 3-7 years old were recorded. All of the children had normal tympanogram and there was no cerumen in external auditory canal. 20 adult of 21-24 years old (10 male , 10 female were selected in order to compare with children that had normal tympanogram. The tests included : 1-otoscopy 2- tympanometry 3-microphone probe tube test. Results: The average of resonance peak frequency for children and adult is 4200 Hz and 3200 Hz , respectively. The resonance frequency of children had significantly diffrence with average of resonance frequency in adults. The average of resonance peak amplitude for children and adult is 17.70 dB and 17.17 dB , respectively. Conclusion: Resonant frequency and amplitude affect the hearing aid prescription and fitting process and calculating insertion gain; so, this measures seem should be considered in children hearing aid fitting.

Evaluating the outcomes of a hearing screening service for grade one learners in urban areas at Durban, South Africa

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Samantha Govender

2016-05-01

Full Text Available Early intervention through hearing screening can reduce the negative impact of hearing loss for children. Optimal outcomes are achieved when an appropriate screening protocol is selected, a pathway for follow up care is established, and when a hearing conservation component is included. This study aimed to describe the outcomes of a hearing screening service provided to grade one learners in urban areas at Durban. A cross-sectional design was employed. Learners (n=241 were conveniently sampled from six randomly selected schools. They were screened using otoscopy, tympanometry and pure tone audiometry. Fifty eight participants (24% obtained a refer result, with 33% referred for diagnostic assessments, 29% for middle ear pathology and 38% for cerumen management. Findings further revealed that only 33% of referrals were followed up indicating poor compliance. Association between test results and income levels (P=0.38 as well as distance to the nearest health care facility (P=0.22 did not influence test outcomes. School aged children do present with common ear problems. Appropriate protocol selection, ensuring compliance to recommendations and education on hearing conservation are essential components of any health initiative.

Inductively coupled plasma mass-spectrometric determination of platinum in excretion products of client-owned pet dogs.

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Janssens, T; Brouwers, E E M; de Vos, J P; de Vries, N; Schellens, J H M; Beijnen, J H

2015-06-01

Residues of antineoplastic drugs in canine excretion products may represent exposure risks to veterinary personnel, owners of pet dogs and other animal care-takers. The aim of this study was to measure the extent and duration of platinum (Pt) excretion in pet dogs treated with carboplatin. Samples were collected before and up to 21 days after administration of carboplatin. We used validated, ultra-sensitive, inductively coupled plasma-mass spectrometry assays to measure Pt in canine urine, faeces, saliva, sebum and cerumen. Results showed that urine is the major route of elimination of Pt in dogs. In addition, excretion occurs via faeces and saliva, with the highest amounts eliminated during the first 5 days. The amount of excreted Pt decreased over time but was still quantifiable at 21 days after administration of carboplatin. In conclusion, increased Pt levels were found in all measured excretion products up to 21 days after administration of carboplatin to pet dogs, with urine as the main route of excretion. These findings may be used to further adapt current veterinary guidelines on safe handling of antineoplastic drugs and treated animals. © 2013 Blackwell Publishing Ltd.

Caracterización físicoquímica de miel de angelita Tetragonisca angustula (Latreille, 1811 producida en Esmeraldas, Ecuador

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Vit, Patricia

2016-09-01

Full Text Available In Ecuador the mega-biodiversity is also present in the honey produced in cerumen pots, which are not included in the technical quality norms of the Ecuadorian Institute of Norms NET INEN 1572. The honey norms only refer to the honey produced by the comercial honey bee Apis mellifera. “Angelita” is the ethnic name of the stingless honey bee Tetragonisca angustula in Ecuador and in other Latin-American countries. In order to single out the honey of T. angustula, its physicochemical characterization was carried out according to conventional methods of quality indicators in standards for honey. The nitrogen content was determined by microKjeldahl. These are clear amber color honeys from 75 to 102 Pfund units. The physicochemical composition varied as follows: free acidity 22.50 – 25.20 meq/kg, reducing sugars 56.43 – 63.83 g/ 100g, ash 0.50 – 0.16 g /100 g, color 75 – 102 Pfund units, hydroximethylfurfural 0.44 – 1.41 mg/kg, moisture 23.1 – 25.2 g/100 g, nitrogen 33.66 – 85.78 mg/100 g, pH 3.66 – 4.22, apparent sucrose 1.46 – 2.36 g/100 g and water insoluble solids 0.03 – 0.07 g/100g.

Hearing loss in urban South African school children (grade 1 to 3).

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Mahomed-Asmail, Faheema; Swanepoel, De Wet; Eikelboom, Robert H

2016-05-01

This study aimed to describe the prevalence and characteristics of hearing loss in school-aged children in an urban South African population. Children from grade one to three from five schools in the Gauteng Province of South Africa formed a representative sample for this study. All children underwent otoscopic examinations, tympanometry and pure tone screening (25dB HL at 1, 2 and 4kHz). Children who failed the screening test and 5% of those who passed the screening test underwent diagnostic audiometry. A total of 1070 children were screened. Otoscopic examinations revealed that a total of 6.6% ears had cerumen and 7.5% of ears presented with a type-B tympanogram. 24 children (12 male, 12 female) were diagnosed with hearing loss. The overall prevalence of hearing loss was 2.2% with Caucasian children being 2.9 times more (95% confidence interval, 1.2-6.9) likely to have a hearing loss than African children. Hearing loss prevalence in urban South African school-aged children suggest that many children (2.2%) are in need of some form of follow-up services, most for medical intervention (1.2%) with a smaller population requiring audiological intervention (0.4%). Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Hearing alterations in children aged 7 to 9 years old from an elementary public school in São Luís, Maranhão - doi:10.5020/18061230.2007.p155

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Barbara Tereza Fonseca da Silva

2012-01-01

Full Text Available The objective of this study was to verify the hearing alterations and their frequencies in children aged 7-9 years old from a public elementary school in São Luís, Maranhão. The study was carried out from May to July, 2004, with 101 first grade scholars, 52 boys and 49 girls. The scholars were evaluated by means of otoscopic, audiometric and tympanometric procedures at the Medical Dental Integrated Clinic. The tests involving 202 ears demonstrated that 27% (54 of these had cerumen impaction. One scholar showed perforated tympanic membrane (0.5%. Hearing within the normal limits was observed in 75.7% (153 of the ears, while 24.3% (49 presented hearing alterations. The most frequent alterations were the conductive hearing loss, in 15% (31 of the ears, followed by the sensorineural hearing loss, in 6% (13. Mixed hearing loss occurred in 2.5% (5. Imitation testing involving 201 ears showed altered tympanic membrane: type B curve in 8.5% (17 and type C curve in 9.5% (19. There were no statistical associations between hearing impairments and gender or between hearing impairments and laterality of the ear. It was concluded that hearing evaluation of school children is necessary for the early identification and correction of its multiple consequences.

Analytical methods applied to diverse types of Brazilian propolis

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Marcucci Maria

2011-06-01

Full Text Available Abstract Propolis is a bee product, composed mainly of plant resins and beeswax, therefore its chemical composition varies due to the geographic and plant origins of these resins, as well as the species of bee. Brazil is an important supplier of propolis on the world market and, although green colored propolis from the southeast is the most known and studied, several other types of propolis from Apis mellifera and native stingless bees (also called cerumen can be found. Propolis is usually consumed as an extract, so the type of solvent and extractive procedures employed further affect its composition. Methods used for the extraction; analysis the percentage of resins, wax and insoluble material in crude propolis; determination of phenolic, flavonoid, amino acid and heavy metal contents are reviewed herein. Different chromatographic methods applied to the separation, identification and quantification of Brazilian propolis components and their relative strengths are discussed; as well as direct insertion mass spectrometry fingerprinting. Propolis has been used as a popular remedy for several centuries for a wide array of ailments. Its antimicrobial properties, present in propolis from different origins, have been extensively studied. But, more recently, anti-parasitic, anti-viral/immune stimulating, healing, anti-tumor, anti-inflammatory, antioxidant and analgesic activities of diverse types of Brazilian propolis have been evaluated. The most common methods employed and overviews of their relative results are presented.

EFEITO AUXILIAR DO CERUMINOLÍTICO NA TERAPIA TÓPICA DE CÃES (Canis lupus familiaris COM OTITE EXTERNA CERUMINOSA

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Eduardo Negri Mueller

2013-03-01

Full Text Available We evaluated the help effect of ceruminolytic in ceruminous external otitis in dog’s ears. Dogs with bilateral ceruminous external otitis, whose ears were evaluated by palpation, inspection, otoscopy and fungal and bacterial culture were studied. For the treatment, carried out twice a day during 15 days, the animals were divided into two groups, A and B. The animals in group A were treated with ceruminolytic and otological solution, containing, respectively, salicylic acid and aminoglycoside, while the animals in group B were treated only with otological solution. Clinical and microbiologic evaluations were performed on 0 and 15 days of treatment. Twenty dogs (n=40 ears, with at least erythema in the otoscopy and moderate to intense ceruminous exsudate. Besides these, we observed more erythema (n=16 in both groups and exsudate in the acoustic conch (n=14 and n=11, respectively, groups A and B and itch (n=13 and n=11, respectively, groups A and B. On the 15th day, we observed reduction of all clinical signals, except stenosis, which did not change in any of the groups, and pain, which increased in group A. The microorganisms Malassezia pachydermatis e Staphylococcus sp. reduced in treatment B with statistical significance. Bacteria were more sensitive to gentamicin. The use of ceruminolytic associated to otological solution reduced the external ottis clinical signals, mainly exsudate and smell in the acoustic conch and the quantity of cerumen in the otoscopy, without interfering in the microorganisms reduction.

Ectodermal dysplasia: otolaryngologic evaluation of 23 cases.

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Yildirim, Muzeyyen; Yorgancilar, Ediz; Gun, Ramazan; Topcu, Ismail

2012-02-01

The aim of this prospective study was to improve the quality of life of and reduce morbidity for patients with ectodermal dysplasia by assessing their actual and potential ENT pathologies, and offering methods of prevention and treatment. The study was conducted between 2006 and 2008 and included 23 patients diagnosed with ectodermal dysplasia. The major symptoms of ectodermal dysplasia were evaluated. Patient histories were obtained in all cases, and a complete head and neck examination was carried out. Of the 23 patients (11 males and 12 females, aged 5 to 45 years) diagnosed with ectodermal dysplasia, 22 had hypohidrotic ectodermal dysplasia and 1 had ectrodactyly-ectodermal dysplasia-clefting syndrome. In all patients diagnosed with hypohidrotic ectodermal dysplasia, the salivary glands were examined by ultrasonography and, when necessary, by scintigraphy. Hearing defects in patients with otologic problems were determined by audiometric examination: 39.1% of the patients had hearing loss, 43.5% had otitis media, and 39.1% had impacted cerumen. The most common rhinologic findings were saddle nose deformity in 56.5%, nasal obstruction and nasal dryness (52.2% each), and chronic rhinitis/rhinosinusitis (34.8%). The most common oral and oropharyngeal findings were difficulty chewing in 82.6% and dry mouth in 78.3%. All 23 patients had required dental work. Because this disorder affects several aspects of the body, its treatment requires a multidisciplinary approach, with the otolaryngologist being a vital part of the management team.

Otologic Manifestations of Autosomal Recessive Congenital Ichthyosis in Children.

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Martín-Santiago, A; Rodríguez-Pascual, M; Knöpfel, N; Hernández-Martín, Á

2015-11-01

Few studies have investigated ear involvement in nonsyndromic autosomal recessive congenital ichthyosis (ARCI). To assess the type and frequency of otologic manifestations of ARCI in patients under follow-up at the pediatric dermatology department of our hospital. We prospectively studied the presence of ear pain, ear itching, tinnitus, otitis, cerumen impaction, accumulation of epithelial debris, and hearing loss. Daily hygiene measures, topical treatments, medical-surgical interventions, and frequency of visits to an ear, nose, and throat (ENT) specialist were noted in the patients' medical records. Ear examination and hearing tests were performed in all cases. Ten patients were studied: 2 had a self-healing collodion baby phenotype and 8 had ichthyosis. There was mention of otologic manifestations in the records of all 8 patients with ichthyosis (100%); 6 of these patients (75%) had abnormalities in the external auditory canal examination and 2 (25%) had conductive hearing loss. Our findings are limited by the small number of patients studied, all of whom were younger than 19 years. The involvement of both dermatologists and ENT specialists in the management of patients with ichthyosis is crucial to ensure the application of the best therapeutic and preventive measures. More studies are needed to assess the prevalence and impact on quality of life of ear involvement in patients with ichthyosis and to determine the optimal interval between ENT visits for these patients. Copyright © 2015 Elsevier España, S.L.U. and AEDV. All rights reserved.

Assessment of common otolaryngological diseases among children in rural primary schools in south eastern Nigeria.

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Ukaegbe, Onyinyechi C; Umedum, Nnaemeka G; Chime, Ethel N; Orji, Foster T

2016-10-01

Despite a global improvement in health care delivery, rural areas in developing countries still have poor access to specialist care. This study aims to assess the occurrences of ear, nose, and throat (ENT) disorders among rural primary school children in south-eastern Nigeria. Two rural primary schools were selected randomly from one of the rural regions of South Eastern State of Nigeria. All the pupils of the schools who gave consent were recruited. A structured study proforma investigating the pupils' biodata, otolaryngological symptoms, ear, nose and throat examination findings, was used to evaluate each pupil in the presence of the teachers. A total of 246 children participated in the study. 145(58.9%) were males while 101(41.1%) were females with a mean age of 8.5 ± 2.4 years. The commonest symptoms reported were nasal discharge (20%) followed by nasal obstruction (11.1%), itching of the ears (11.1%) and sneezing bouts (10%), while 3.7% had subjective hearing impairment. The commonest ENT finding was cerumen auris (43%) and this was observed in 43.4% of males and 42.4% of females, 11% had abnormal tympanic membranes and 20% had grades 3/4 tonsils(Brodsky grading). ENT disorders are still common in children in the rural areas of developing countries. To avoid the morbidity associated with these preventable and easily manageable disorders, community health workers should be trained to manage common ENT disorders and mobile clinics with scheduled visits made available in areas where ENT services remain inaccessible. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Use of oral fluralaner for the treatment of Psoroptes cuniculi in 15 naturally infested rabbits.

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Sheinberg, Galia; Romero, Camilo; Heredia, Rafael; Capulin, Miguel; Yarto, Enrique; Carpio, Juan

2017-08-01

Psoroptes cuniculi, a nonburrowing ear mite, is a common ectoparasite of rabbits. Constant irritation of the auditory canal by the presence of this mite can lead to otitis externa or otoacariasis. The goal of this study was to evaluate the effect of fluralaner on rabbits naturally infested with P. cuniculi and exhibiting clinical signs. Fifteen female New Zealand domestic rabbits with otitis due to naturally occurring infestation with P. cuniculi. The external ears and ear canals of each individual were examined; samples of otic exudate were extracted with cotton swabs and examined microscopically for identification of the ectoparasite. Each animal was treated with a single 25 mg/kg oral dose of fluralaner. The amount of otic exudate/cerumen was assessed and samples were obtained from the ears to evaluate for presence or absence of mites at 4, 8, 12, 16, 20, 40 and 90 days after receiving treatment. Post-treatment, the amount of otic exudate decreased rapidly in all animals; by Day 12 and until the end of the study all rabbits were judged to have low amount of exudate with normally visible canals. The percentage of ears positive for P. cuniculi decreased to 13.3% of ears sampled by Day 4, and by Day 12 all rabbits were negative for the parasite. Administration of a single oral dose of fluralaner was effective for the treatment of naturally occurring P. cuniculi infestation in rabbits during a 90 day period. © 2017 ESVD and ACVD.

Prevalence and causes of hearing impairment in Africa.

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Mulwafu, W; Kuper, H; Ensink, R J H

2016-02-01

To systematically assess the data on the prevalence and causes of hearing impairment in Africa. Systematic review on the prevalence and causes of hearing loss in Africa. We undertook a literature search of seven electronic databases (EMBASE, PubMed, Medline, Global Health, Web of Knowledge, Academic Search Complete and Africa Wide Information) and manually searched bibliographies of included articles. The search was restricted to population-based studies on hearing impairment in Africa. Data were extracted using a standard protocol. We identified 232 articles and included 28 articles in the final analysis. The most common cut-offs used for hearing impairment were 25 and 30 dB HL, but this ranged between 15 and 40 dB HL. For a cut-off of 25 dB, the median was 7.7% for the children- or school-based studies and 17% for population-based studies. For a cut-off of 30 dB HL, the median was 6.6% for the children or school-based studies and 31% for population-based studies. In schools for the deaf, the most common cause of hearing impairment was cryptogenic deafness (50%) followed by infectious causes (43%). In mainstream schools and general population, the most common cause of hearing impairment was middle ear disease (36%), followed by undetermined causes (35%) and cerumen impaction (24%). There are very few population-based studies available to estimate the prevalence of hearing impairment in Africa. Those studies that are available use different cut-offs, making comparison difficult. However, the evidence suggests that the prevalence of hearing impairment is high and that much of it is avoidable or treatable. © 2015 John Wiley & Sons Ltd.

Ecuadorian honey types described by Kichwa community in Rio Chico, Pastaza province, Ecuador using Free-Choice Profiling

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Patricia Vit

Full Text Available Abstract Pastaza is the largest and least populated province in Ecuador, with seven native indigenous nationalities. The Kichwas from the Rio Chico community live near to the capital city Puyo, are recognized for their knowledge on stingless honey bees. From the 400 species of Neotropical Meliponini that make honey in cerumen pots, almost 100 thrive in Southern Ecuador, and confer such biodiversity to pot-honey. In this study sensory characteristics of Ecuadorian false and genuine honeys with diverse entomological origin: Apis mellifera – light amber and amber, Geotrigona leucogastra, Melipona grandis and Scaptotrigona sp. (S. ederi np Schwarz were investigated with Kichwa assessors (four female and four male, aged 18–62 years old. The panel was asked to taste and to identify sensory attributes of honey (appearance, taste, smell, aroma, mouthfeel, other tactile sensations, and to score their intensities in 10 cm unstructured line scales anchored with the words weak and strong, using the Free-Choice Profile methodology The Generalized Procrustes Analysis was used on the data. The first and second dimensions accounted for by 61.1% of the variance. In the descriptive sensory evaluation, darker honeys (amber A. mellifera, false and Geotrigona were separated from (light amber A. mellifera, Melipona and Scaptotrigona by the first dimension; whereas thicker honeys (A. mellifera and false were discriminated from thinner honeys (Geotrigona, Melipona and Scaptotrigona by the second dimension. The assessors were able to evaluate and differentiate honey types without previous sensory training. Remarkably, two Kichwa ladies immediately spit out the false honey, in contrast to an acceptance study on 18-honeys, where the false honey was scored among the preferred ones by 58 participants of the First Congress on Apiculture and Meliponiculture in Ecuador. Therefore, results suggest that Ecuadorian native Kichwas keep a sensory legacy of ancestral knowledge

[Hearing screening at nursery schools: results of an evaluation study].

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Weichbold, Viktor; Rohrer, Monika; Winkler, Cornelia; Welzl-Müller, Kunigunde

2004-07-31

This study aimed to evaluate the hearing screening of pre-school children at nursery schools in Tyrol, Austria. 47 nursery schools with a total of 2199 enrolled children participated in the study. At the screening, the children were presented a series of tones at frequencies 0.5 kHz (25dB), 1 kHz, 2 kHz, 3 kHz, and 4 kHz (20 dB each) from portable audiometers. The tones were presented over headphones for each ear separately and at irregular intervals. Failure to respond to any of the frequencies was considered failure of the screening. Parents were then advised in written form to have the child examined by an ENT-specialist. 1832 individuals were screened (coverage: 83% of nursery school children; corresponding to at least 63% of all Tyrolean children aged 3 to 5 years). Of these, 390 failed the test (referral rate: 21% of all screened). Examination through an ENT-specialist occurred with 217 children, and this confirmed the positive test in 139 children (hit rate: 64%). In most cases, a temporary conductive hearing loss due to external or middle ear problems (glue ear, tube dysfunction, cerumen, otitis media) was diagnosed. A sensorineural hearing loss was found in 4 children (in 3 of them bilateral). The need for therapy was recognized in 81 children (4% of all screened). Pre-school hearing screening identifies children with ear and hearing problems that need therapeutical intervention. Although the hearing problems are mostly of a temporary nature, some may require monitoring over some period. Also some children with permanent sensorineural hearing loss may be detected through this measure. Hearing screening is an efficient means of assessing ear and hearing problems in pre-school children. However, the follow-up rate needs to be improved for optimizing the efficacy.

Prevalence of hearing-loss among HAART-treated children in the Horn of Africa.

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Smith, Alden F; Ianacone, David C; Ensink, Robbert J H; Melaku, Abebe; Casselbrant, Margaretha L; Isaacson, Glenn

2017-07-01

The prevalence of hearing loss (HL) in children infected with HIV/AIDS is not well studied. Even fewer studies focus on stable HIV-infected children treated with high-effective antiretroviral therapy (HAART). We aim to compare the prevalence of ear disease and HL in HAART-treated, HIV + children in Addis Ababa, Ethiopia with a well, similarly-aged elementary school population with unknown HIV status (HIVU). Children underwent standard head and neck examination and cerumen removal by board certified otolaryngologists. Next, certified audiologists performed hearing screening with pure-tone audiometry using a circumaural headset but without an ambient noise reducing environment. Children failing audiometric screening underwent full behavioral audiometry including air and bone testing. The primary outcome parameter was HL > 25 dB with the audiologist accounting for background noise. A second endpoint was PTA >40 dB (500, 1000, 2000 Hz) without assessment of background noise. 107 HIV+ and 147 HIVU children met inclusion criteria. In the HIV + cohort 17.8% had evidence of TM perforations and 8.4% had otorrhea. In the HIVU group 2.7% had a TM perforation and 0% had otorrhea. Hearing was significantly worse in HIV + children. (Audiologist determination: 38.3% HL HIV+, 12.2% HIVU, Fisher's-Exact-Test OR: 4.5, 95% CI 2.4-8.3, p-value hearing-ear PTA > 40 dB: 19.6% HL HIV+, 6.1% HIVU, OR: 3.7, 95% CI 1.7-8.4, p-value hearing losses are significantly more common in HAART-treated HIV + children than in well, similarly-aged controls. Rates of SNHL are similar. Copyright © 2017 Elsevier B.V. All rights reserved.

Otomycosis: a retrospective study Otomicoses: um estudo retrospectivo

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Zélia Braz Vieira da Silva Pontes

2009-06-01

Full Text Available Otomycosis is a fungal infection of the external ear canal with only a few studies about its real frequence in Brazil. AIM: to evaluate otomycosis frequence and characteristics in patients with clinical suspicion of external otitis. STUDY DESIGN: Retrospective study with transversal cohort (2000-2006. MATERIALS AND METHODS:103 patients were assigned to mycological diagnosis (direct microscopic examination and culture. RESULTS: Otomycosis was diagnosed in 19.4% of the patients. Patient age varied from 2 to 66 years (an average of 23.5 years of age, and 60% of otomycosis cases were seen in women between 2 to 20 years of age. Chronic otitis, previous antibiotic therapy and the lack of cerumen were predisposing factors; itching, otalgia, otorrhea and hypoacusis were the symptoms reported by the patients. The most frequently isolated species were C. albicans (30%, C. parapsilosis (20%, A. niger (20%, A. flavus (10%, A. fumigatus (5%, C. tropicalis (5%, Trichosporon asahii (5% and Scedosporium apiospermum (5%. CONCLUSIONS: Otomycosis is endemic in João Pessoa-PB. Clinical exam and mycological studies are important for diagnostic purposes because otomycosis symptoms are not specific.Otomicose é uma infecção fúngica do conduto auditivo externo com poucos estudos sobre sua real frequência no Brasil. OBJETIVO: Avaliar a frequência e características das otomicoses em pacientes com suspeita clínica de otite externa. DESENHO DO ESTUDO: Estudo retrospectivo com corte transversal (2000-2006. MATERIAL E MÉTODOS: 103 pacientes foram atendidos para diagnóstico micológico (exame microscópico direto e cultivo. RESULTADOS: Otomicoses foram diagnosticadas em 19,4% dos pacientes. A idade desses pacientes variou de 2 a 66 anos (média de 23,5 anos e 60% das otomicoses foram observadas em mulheres entre 2 a 20 anos de idade. Otite crônica, antibioticoterapia prévia e ausência de cerume foram os fatores predisponentes e prurido otológico, otalgia

Avaliação de necessidades para um currículo de otorrinolaringologia na graduação Evaluation of the necessities for an otolaryngology curriculum in the graduation

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Lucas Gomes Patrocínio

have been performed about teaching and curricular change. Aim: For such, we aimed to assess the needs for an undergraduate ENT curriculum, in the vision of otolaryngologists and general physicians. Study design: clinical. Material and method: Questionnaires were applied to two groups: Group 1 - otolaryngologists; Group 2 - general physicians. The questionnaire contained a list of 88 areas of knowledge and 65 of skills in ENT. Result: The interviewees evaluated each area in accordance with a scale of relevance for the undergraduate curriculum, being 4 indispensable, 3 important, 2 useful for few general physicians, 1 interesting, but unnecessary its inclusion, and 0 dispensable. Based on this score system, the average was calculated for each area. Areas of knowledge as tonsillitis, otitis, allergic rhinitis, epistaxis, sinusitis and pharyngitis received the highest scores. The otolaryngologists prioritized complications of otitis and sinusitis. In the areas of skills, the topics with highest scores were: history taking; otoscopy; physical examination of ENT; cranial nerves examination; anterior nasal packing. The general physicians prioritized removal of foreign body from ear and nose and cleaning cerumen from ear canal. Conclusion: This study showed data that may subsidize medical educators when reformulating undergraduate ENT curriculum.