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Sample records for cerumen

  1. [Otitis externa and cerumen obturans].

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    Pieren, C

    1995-11-01

    Otitis externa and cerumen obturans are two of the most frequently encountered disturbances in the external auditory canal. Both conditions can lead to hearing loss due to reduced sound transmission. Other symptoms include ear pressure, pain and secretion. Acute otitis externa occurs frequently during the swimming season. The main symptoms are local pain and secretion. Treatment consists of careful and frequent cleaning and application of topical medication to the outer ear canal and prescription of medication against pain. Systemic antibiotics are only rarely necessary and are indicated if perichondritis or lymphadenitis are present. Chronic otitis externa is often caused by eczema of the outer ear canal. Allergies, systemic diseases, such as diabetes mellitus, and manipulation by the patient must be ruled out. Therapy includes the application of topical steroid solutions. The natural pH of the skin can be reestablished by use of diluted acetic acid solutions. Blockage of the outer ear canal by cerumen [cerumen obturans] can bring the patient to the office because of sudden hearing loss. After cleaning of the ear canal, a screening hearing test should be performed to assure that the problem has been resolved.

  2. Isolation of Malassezia spp. from cerumen of wild felids.

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    Coutinho, Selene Dall' Acqua; Fedullo, José Daniel; Corrêa, Sandra Helena

    2006-06-01

    The objective of this study was to determine the presence of different species of the genus Malassezia in the healthy external auditory canal of wild felids maintained in captivity. One hundred and thirty-two adult animals (264 samples of cerumen), 77 males (58.3%) and 55 females (41.7%), were studied: large felids (55 animals) - 26 lions (Panthera leo), 13 tigers (Panthera tigris), 6 leopards (Panthera pardus), 6 jaguars (Panthera onca), 2 cheetahs (Acinonyx jubatus), 2 pumas (Puma concolor); small felids (77 animals) - 29 tiger cats (Leopardus tigrinus), 19 jaguarundis (Herpailurus yagouaroundi), 10 margays (Leopardus wiedii), 9 pampas cats (Oncifelis colocolo), 6 geoffroy's cats (Oncifelis geoffroyi), and 4 servals (Leptailurus serval). Samples were obtained by the introduction of a sterile swab into the ear canal after cleaning the auricle with an alcohol-ether solution. The swabs were seeded onto Petri dishes containing modified Mycosel agar and sterile olive oil was added to the surface of the medium before specimen seeding. The plates were incubated at 35oC for two weeks. The isolates were analyzed regarding macro-and micromorphology and identified through catalase tests and growth on Tween 20, 40, 60 and 80. Malassezia spp. were isolated from 58 of the felids studied (43.9%) and from 102 samples of cerumen (38.6%). Malassezia sympodialis was isolated exclusively in large felids (33 animals-56.9%), and Malassezia pachydermatis exclusively in smaller varieties (25 animals - 43.1%). The incidence of fungi was higher in lions, with yeast being isolated in 25 of 26 animals (96.2%). Forty-eight strains (47.1%) were isolated from the right ear canal and 54 (52.9%) from the left. Although M. pachydermatis is the species considered a member of the microbiota of the mammalian external ear canal these results suggest that M. sympodialis participates in the microbiota of large felids.

  3. Cerumen of Australian stingless bees ( Tetragonula carbonaria): gas chromatography-mass spectrometry fingerprints and potential anti-inflammatory properties

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    Massaro, Flavia Carmelina; Brooks, Peter Richard; Wallace, Helen Margaret; Russell, Fraser Donald

    2011-04-01

    Cerumen, or propolis, is a mixture of plant resins enriched with bee secretions. In Australia, stingless bees are important pollinators that use cerumen for nest construction and possibly for colony's health. While extensive research attests to the therapeutic properties of honeybee ( Apis mellifera) propolis, the biological and medicinal properties of Australian stingless bee cerumen are largely unknown. In this study, the chemical and biological properties of polar extracts of cerumen from Tetragonula carbonaria in South East Queensland, Australia were investigated using gas chromatography-mass spectrometry (GC-MS) analyses and in vitro 5-lipoxygenase (5-LOX) cell-free assays. Extracts were tested against comparative (commercial tincture of A. mellifera propolis) and positive controls (Trolox and gallic acid). Distinct GC-MS fingerprints of a mixed diterpenic profile typical of native bee cerumen were obtained with pimaric acid (6.31 ± 0.97%, w/w), isopimaric acid (12.23 ± 3.03%, w/w), and gallic acid (5.79 ± 0.81%, w/w) tentatively identified as useful chemical markers. Characteristic flavonoids and prenylated phenolics found in honeybee propolis were absent. Cerumen extracts from T. carbonaria inhibited activity of 5-LOX, an enzyme known to catalyse production of proinflammatory mediators (IC50 19.97 ± 2.67 μg/ml, mean ± SEM, n = 4). Extracts had similar potency to Trolox (IC50 12.78 ± 1.82 μg/ml), but were less potent than honeybee propolis (IC50 5.90 ± 0.62 μg/ml) or gallic acid (IC50 5.62 ± 0.35 μg/ml, P medicinal properties of this stingless bee cerumen, which may herald a commercial potential for the Australian beekeeping industry.

  4. Optical diffusion property of cerumen from ear canal and correlation to metal content measured by synchrotron x-ray absorption

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    Holden, Todd; Dehipawala, Sumudu; Cheung, E.; Golebiewska, U.; Schneider, P.; Tremberger, G., Jr.; Kokkinos, D.; Lieberman, D.; Dehipawala, Sunil; Cheung, T.

    2012-03-01

    Human (and other mammals) would secrete cerumen (ear wax) to protect the skin of the ear canal against pathogens and insects. The studies of biodiversity of pathogen in human include intestine microbe colony, belly button microbe colony, etc. Metals such as zinc and iron are essentials to bio-molecular pathways and would be related to the underlying pathogen vitality. This project studies the biodiversity of cerumen via its metal content and aims to develop an optical probe for metal content characterization. The optical diffusion mean free path and absorption of human cerumen samples dissolved in solvent have been measured in standard transmission measurements. EXFAS and XANES have been measured at Brookhaven Synchrotron Light Source for the determination of metal contents, presumably embedded within microbes/insects/skin cells. The results show that a calibration procedure can be used to correlate the optical diffusion parameters to the metal content, thus expanding the diagnostic of cerumen in the study of human pathogen biodiversity without the regular use of a synchrotron light source. Although biodiversity measurements would not be seriously affected by dead microbes and absorption based method would do well, the scattering mean free path method would have potential to further study the cell based scattering centers (dead or live) via the information embedded in the speckle pattern in the deep-Fresnel zone.

  5. Antifungal effect of cerumen on fungi causing otomycosis

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    Arezoo Jahanbin

    2010-04-01

    Full Text Available Introduction: The purpose of this study was to evaluate anthropometric parameters of lip - nose complex in 11-17 years old males in Mashhad using photographic analysis.   Materials and Methods: Number of 357 Fars boys (11-17 years old, residence in Mashhad were included in this study. They were all class.I. Some frontal and lateral photographs of natural head position were taken by a digital camera. After landmark determination, anthropometric parameters including alar width, mouth width, nose height, cupid arch width, vertical height of lips, columellar width, nasolabial angle and nasal root slope angle were determined by Smile Analyzer software while Kruskal – Wallis test was used for data analyses. Results: This study revealed that alar width, nasal height and mouth width were increasing gradually within 11 to 16 years of age. But nose height to nose width proportion did not show any significant differences in different age groups (P=0.097. Nasolabial angle in different age groups had no significant statistical differences and it was between 95.83 and 100.05 (P=0.315. However for Cph-Cph, the distance was decreasing first and then increasing with no significant differences among age groups. Conclusion: Except significant differences observed in different age groups about nasolabial angle and nasal index, there were not any other significant differences for other anthropometric parameters. It could be helpful in orthodontic and surgical treatment planning.  

  6. Comparing Cerumen Bacterial Flora in Acute Otitis Externa Patients and Healthy Controls

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    Keyvan Kiakojori

    2010-07-01

    Full Text Available Introduction: In spite of the fact that acute otitis media is a systemic and symptomatic disease with sever otalgia, otitis media with effusion (OME is an asymptomatic and silent disease. OME is the most common cause of conductive hearing loss in children and has adverse effects on speech development and cognitive skills. Results: Among 1001 children under study, 57 subjects (5.7% were diagnosed with OME, more than 50% of which were asymptomatic. Periodic otalgia and turning up television volume were the most common symptoms. Conclusion: Regarding the improved knowledge on diagnosis and treatment of OME especially in younger children, hearing problems or cognitive and linguistic skills retardation may be avoided by promoting general information.

  7. Predisposing Factors for the Complications of Deep Neck Infection

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    Hassan Abshirini

    2010-07-01

    Full Text Available Introduction: Cerumen is known as ear wax, produced regularly by cerumen and lipid secretary glands. Regarding the effect of Mazandaran province's humid weather on the prevalence of pathogenic microorganisms, this study was performed to determine the bacterial flora of the ear in patients with acute otitis externa and its comparison with healthy subjects. Materials and Methods: In this case-control study, cerumen was collected and cultured from 40 patients with clinically diagnosed acute otitis externa and 80 healthy controls. The data were finally analyzed using SPSS. Results: In the study group, Staphylococcus aureus (20.8%, Bacillus (18.9% and Pseudomonas (11.3% and in the control group Staphylococcus epidermidis (38.7% and Diphtheroid (22.4% were the most common bacteria, respectively. Conclusion: The isolated bacteria from cerumen of healthy subjects were totally different from those of acute otitis externa patients.

  8. Innovative technologies in diagnosing acute otitis media.

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    Shand, Kate D; Campe, Kristin

    2016-01-01

    New guidelines for managing acute otitis media include stricter criteria for properly diagnosing the condition and ensuring an accurate diagnosis before clinicians make treatment decisions. This is key because of the increase in antibiotic-resistant pathogens. This article focuses on how clinicians can use ancillary techniques and technologies to improve diagnostic accuracy for acute otitis media. Techniques include proper cerumen removal, visualizing the tympanic membrane with the correct otoscope, pneumatic otoscopy, using a spectral gradient acoustic reflectometer, and tympanometry.

  9. Video otoscopy as a diagnostic tool for canine otoacariasis.

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    de Souza, Clarissa Pimentel; Verocai, Guilherme Gomes; Balbi, Margareth; Scott, Fabio Barbour

    2013-01-01

    Canine otoacariasis, or otodectic mange, is a common parasitic disorder of dogs' ear canals caused by the mite Otodectes cynotis. Infestation can be detected through diverse protocols of varying sensitivity. We evaluated the use of video otoscopy in comparison with conventional otoscopy and cerumen examination under a microscope for diagnosing O. cynotis in dogs. Thirty-five dogs were evaluated bilaterally for the presence of ear mites, using a veterinary otoscope (Gowlands®), a video otoscope (Welch Allyn®) and the gold-standard technique of examination of swab-collected cerumen under a microscope. Each ear was considered to represent one sample, and 69 ears were examined, since one dog presented with one completely stenotic ear canal. Ear mites were diagnosed in 59.42% (41/69) through video otoscopy. The same 41 infested ear canals were detected by means of cerumen examination under a microscope, whereas conventional otoscopy was able to diagnose mites in only 39.13% (27/69). This difference was statistically significant (p < 0.001). Video otoscopy proved to be superior to conventional otoscopy, and equivalent to the gold standard for detection of O. cynotis in canine ear canals, and should be recommended for controlled trials on drug efficacy for treatment of canine otoacariasis.

  10. [External auditory canal osteoma resulting in cholesteatoma which is complicated with meningitis].

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    Yorgancılar, Ediz; Kınış, Vefa; Gün, Ramazan; Bakır, Salih; Ozbay, Musa; Topçu, Ismail

    2013-01-01

    Osteoma of external auditory canal is a unilateral benign tumor which usually presents with no symptoms. They only cause symptoms when cerumen collection or conduction type hearing loss occurs. They are the most common osseous lesions of the temporal bone. It very rarely presents with cholesteatoma. So far, no osteoma case concomitant with, cholesteatoma and meningitis has not been reported. In this article, we report an interesting case presenting with external auditory canal osteoma, cholestatoma and meningitis concomitantly who was treated successfully using the canal Wall-down mastoidectomy technique.

  11. Otomycosis in São Paulo.

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    Zaror, L; Fischman, O; Suzuki, F A; Felipe, R G

    1991-01-01

    In view of the lack of researches on otomycosis in Brazil, we have tried to study their incidence, their clinical characteristics and the predispondent factors. During one year, 22 suspected cases were seen, 20 of them corresponded to otomycosis infections. The most frequent species were Aspergillus niger (35%) and Candida albicans (20%). The genus Aspergillus represented 75% of the isolates. Itching and hyperaemia (70%), otalgia (65%), hipoacusia (50%) were the commonest signs. Lack of cerumen (70%) chronic otitis (30%) previous antibiotic therapy and eczema (25%) were the most outstanding predispondent factors.

  12. Otomycosis in São Paulo Otomicose em São Paulo (Brasil

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    Luis Zaror

    1991-06-01

    Full Text Available In view of the lack of researches on otomycoses in Brazil, we have tried to study their incidence, their clinical characteristics and the predisponent factors During one year, 22 suspected cases were seen, 20 of them corresponded to otomycosis infections. The most frequent species were Aspergillus niger (35% and Candida albicans (20%. The genus Aspergillus represented 75% of the isolates. Itching and hyperaemia (70%, otalgia (65%, hipoacusia (50% were the commonest signs. Lack of cerumen (70% chronic otitis (30% previous antibiotic therapy and eczema (25% were the most outstanding predisponent factors.Em vista da escassez de publicações sobre otomicoses no Brasil, foi projetada uma pesquisa para conhecer a incidência, características clínicas, fatores predisponentes e agentes etiológicos da micose. Durante um ano, 22 casos suspeitos foram estudados, 20 dos quais corresponderam à otomicoses. As espécies mais freqüentemente isoladas foram Aspergillus niger (35% e Candida albicans (20%. O gênero Aspergillus representou 75% dos isolamentos. Os sinais clínicos mais comuns foram prurido e hiperemia (70%, otalgia (65%, hipoacusia (50%. Falta de cerumen (70%, otite crônica (30%, antibioticoterapia prévia e eczema (25% foram os fatores predisponentes mais relevantes.

  13. Ceruminous gland adenoma

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    Himanshu Varshney

    2014-01-01

    Full Text Available Ceruminous adenoma is a rare neoplasm of the external auditory meatus (EAM with benign clinical behavior. They demonstrate a dual cell population of basal myoepithelial-type cells and luminal ceruminous cells. Cerumen pigment, cytokeratin 7 (CK7 and p63 can help to distinguish this tumor from other neoplasms that occur in the region. Complete surgical excision results in an excellent long-term clinical outcome. We present a case of histologically confirmed ceruminous adenoma of the EAM in a surgically treated 38-year-old female. She presented with recurrent serosanguineous discharge along with flakes from the right ear along with hearing impairment. She is doing well in last 8 months follow-up.

  14. External auditory canal atresia of probable congenital origin in a dog.

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    Schmidt, K; Piaia, T; Bertolini, G; De Lorenzi, D

    2007-04-01

    A nine-month-old Labrador retriever was referred to the Clinica Veterinaria Privata San Marco because of frequent headshaking and downward turning of the right ear. Clinical examination revealed that there was no external acoustic meatus in the right ear. Computed tomography confirmed that the vertical part of the right auditory canal ended blindly, providing a diagnosis of external auditory canal atresia. Cytological examination and culture of fluid from the canal and the bulla revealed only aseptic cerumen; for this reason, it was assumed that the dog was probably affected by a congenital developmental deformity of the external auditory canal. Reconstructive surgery was performed using a "pull-through" technique. Four months after surgery the cosmetic and functional results were satisfactory.

  15. Pseudomonas aeruginosa dose response and bathing water infection.

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    Roser, D J; van den Akker, B; Boase, S; Haas, C N; Ashbolt, N J; Rice, S A

    2014-03-01

    Pseudomonas aeruginosa is the opportunistic pathogen mostly implicated in folliculitis and acute otitis externa in pools and hot tubs. Nevertheless, infection risks remain poorly quantified. This paper reviews disease aetiologies and bacterial skin colonization science to advance dose-response theory development. Three model forms are identified for predicting disease likelihood from pathogen density. Two are based on Furumoto & Mickey's exponential 'single-hit' model and predict infection likelihood and severity (lesions/m2), respectively. 'Third-generation', mechanistic, dose-response algorithm development is additionally scoped. The proposed formulation integrates dispersion, epidermal interaction, and follicle invasion. The review also details uncertainties needing consideration which pertain to water quality, outbreaks, exposure time, infection sites, biofilms, cerumen, environmental factors (e.g. skin saturation, hydrodynamics), and whether P. aeruginosa is endogenous or exogenous. The review's findings are used to propose a conceptual infection model and identify research priorities including pool dose-response modelling, epidermis ecology and infection likelihood-based hygiene management.

  16. New combination for the therapy of canine otitis externa. I. Microbiology of otitis externa.

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    Kiss, G; Radványi, S; Szigeti, G

    1997-02-01

    In order to compound a new drug combination against canine otitis externa (OE), 515 dogs affected with OE were subjected to physical examination and microbiological analysis of their ear exudates. OE was erythematous-ceruminous in 83 per cent and suppurative in 17 per cent of the patient material. Erythematous-ceruminous inflammations were characterised by severe pruritus and accumulation of brownish, greasy cerumen in the auditory canal. The yeast Malassezia pachydermatis was isolated from the ears of 76 per cent of the dogs, often in combination with Staphylococcus intermedius bacteria. M pachydermatis showed the most sensitivity, in decreasing order of efficacy, to ketoconazole, econazole, clotrimazole, miconazole and nystatin. S intermedius isolates were most sensitive to amoxycillin-clavulanic acid, enrofloxacin, cephalexin and gentamicin. The microorganism most frequently isolated from dogs with suppurative OE was Pseudomonas aeruginosa; in some cases Proteus, Streptococcus and Pasteurella were also isolated. The P aeruginosa isolates showed the highest sensitivity to gentamicin, polymyxin B and tobramycin.

  17. 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.

  18. Freqüência de Malassezia pachydermatis em otite externa de cães

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    Leite C.A.L.

    2003-01-01

    Full Text Available The occurrence of Malassezia pachydermatis in the ears of dogs with otitis externa, comparing both direct exam and growth on culture method was evaluated. Auditory cerumen/exsudate specimens of 50 dogs with otitis externa were analized for M.pachydermatis. Stained by Giemsa, were prepared and microscopically analysed for budding yeasts. Each sample was cultured on modified Sabouraud glucose agar incubated at 28°C (82.4 F for detection of M. pachydermatis. The frequency of M. pachydermatis from auditory meatus of otitic dogs was 79% (direct microscopy and 88% (growth on modified Sabouraud glucose agar, and no difference between the results provided by both methods used in the fungus detection was observed.

  19. Selective pressurized liquid extraction of pesticides, polychlorinated biphenyls and polybrominated diphenyl ethers in a whale earplug (earwax): a novel method for analyzing organic contaminants in lipid-rich matrices.

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    Robinson, Eleanor M; Trumble, Stephen J; Subedi, Bikram; Sanders, Rebel; Usenko, Sascha

    2013-12-06

    Lipid-rich matrices are often sinks for lipophilic contaminants, such as pesticides, polychlorinated biphenyls (PCBs), and polybrominated diphenyl ethers (PBDEs). Typically methods for contaminant extraction and cleanup for lipid-rich matrices require multiple cleanup steps; however, a selective pressurized liquid extraction (SPLE) technique requiring no additional cleanup has been developed for the simultaneous extraction and cleanup of whale earwax (cerumen; a lipid-rich matrix). Whale earwax accumulates in select whale species over their lifetime to form wax earplugs. Typically used as an aging technique in cetaceans, layers or laminae that comprise the earplug are thought to be associated with annual or semiannual migration and feeding patterns. Whale earplugs (earwax) represent a unique matrix capable of recording and archiving whales' lifetime contaminant profiles. This study reports the first analytical method developed for identifying and quantifying lipophilic persistent organic pollutants (POPs) in a whale earplug including organochlorine pesticides, polychlorinated biphenyls (PCBs), and polybrominated diphenyl ethers (PBDEs). The analytical method was developed using SPLE to extract contaminants from ∼0.25 to 0.5g aliquots of each lamina of sectioned earplug. The SPLE was optimized for cleanup adsorbents (basic alumina, silica gel, and Florisil(®)), adsorbent to sample ratio, and adsorbent order. In the optimized SPLE method, the earwax homogenate was placed within the extraction cell on top of basic alumina (5g), silica gel (15g), and Florisil(®) (10g) and the target analytes were extracted from the homogenate using 1:1 (v/v) dichloromethane:hexane. POPs were analyzed using gas chromatography-mass spectrometry with electron capture negative ionization and electron impact ionization. The average percent recoveries for the POPs were 91% (±6% relative standard deviation), while limits of detection and quantification ranged from 0.00057 to 0.96ngg(-1

  20. Analytical methods applied to diverse types of Brazilian propolis

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    2011-01-01

    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. PMID:21631940

  1. 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.

  2. Prevalence of hearing impairement in the district of Lucknow, India

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    Anupam Mishra

    2011-01-01

    Full Text Available A multi-cluster study (survey was carried out by department of ENT KG Medical University, Lucknow from July 2003 to August 2004 in rural and urban population of Lucknow district to estimate prevalence and causes of hearing impairment in the community. Data included audiological profile and basic ear examination that was analysed through EARFORM software program of WHO. Overall hearing impairment was seen in 15.14% of rural as opposed to 5.9% of urban population. A higher prevalence of disabling hearing impairment (DHI in elderly and deafness in 0-10 years age group was seen. The prevalence of sensorineural deafness necessitating hearing aids was 20% in rural and 50% in urban areas respectively. The presence of DHI was seen in 1/2 urban subjects and 1/3rd of rural counterparts. The incidence of cerumen / debris was very common in both types of population and the need of surgery was much more amongst rural subjects indicating more advanced / dangerous ear disease.

  3. Is Malassezia nana the main species in horses' ear canal microbiome?

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    Aldrovandi, Ana Lúcia; Osugui, Lika; Acqua Coutinho, Selene Dall'

    2016-01-01

    The objective of this study was to characterize genotypically Malassezia spp. isolated from the external ear canal of healthy horses. Fifty-five horses, 39 (70.9%) males and 16 (29.1%) females, from different breeds and adults were studied. External ear canals were cleaned and a sterile cotton swab was introduced to collect cerumen. A total of 110 samples were cultured into Dixon medium and were incubated at 32°C for up to 15 days. Macro- and micromorphology and phenotypic identification were performed. DNA was extracted, strains were submitted to polymerase chain reaction technique, and the products obtained were submitted to Restriction Fragment Length Polymorphism using the restriction enzymes BstCI and HhaI. Strains were sent off to genetic sequencing of the regions 26S rDNA D1/D2 and ITS1-5.8S-ITS2 rDNA. Malassezia spp. were isolated from 33/55 (60%) animals and 52/110 (47%) ear canals. No growth on Sabouraud dextrose agar was observed, confirming the lipid dependence of all strains. Polymerase chain reaction-Restriction fragment length polymorphism permitted the molecular identification of Malassezia nana - 42/52 (81%) and Malassezia slooffiae - 10/52 (19%). Sequencing confirmed RFLP identification. It was surprising that M. nana represented over 80% of the strains and no Malassezia equina was isolated in this study, differing from what was expected.

  4. 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.

  5. Ceruminous otitis in native chicken breeders belonging to Robusta Lionata breed

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    Eliana Schiavon

    2006-01-01

    Full Text Available At the beginning of 2005, an outbreak of ceruminous otitis has been observed in a breeders flock belonging to the Robusta Lionata breed, a native chicken breed reared in a Centre for the valorisation and conservation of native poultry breeds. The disease caused a high morbidity rate (90% of birds, whereas the mortality affected only 10% of the birds. The death of the birds was preceded by clinical signs, such as worsening of the ceruminous otitis with abundant secretion of bad-smelling cerumen, lack of appetite and depression. The otitis externa, mainly bilateral, was the only evident finding at necropsy. Laboratory examinations showed only the presence of Mycoplasma synoviae, either by isolation on culture media or by PCR, on ear and choana samples. Aspergillus fumigatus was detected only in one bird. In this paper, the Authors report for the first time on an outbreak of ceruminous otitis in native chicken breeds and point out that the only pathogenic agent isolated from the birds has been Mycoplasma synoviae.

  6. 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.

  7. Ceruminous otitis in native chicken breeders belonging to Robusta Lionata breed

    Directory of Open Access Journals (Sweden)

    Franco Mutinelli

    2010-01-01

    Full Text Available At the beginning of 2005, an outbreak of ceruminous otitis has been observed in a breeders flock belonging to the Robusta Lionata breed, a native chicken breed reared in a Centre for the valorisation and conservation of native poultry breeds. The disease caused a high morbidity rate (90% of birds, whereas the mortality affected only 10% of the birds. The death of the birds was preceded by clinical signs, such as worsening of the ceruminous otitis with abundant secretion of bad-smelling cerumen, lack of appetite and depression. The otitis externa, mainly bilateral, was the only evident finding at necropsy. Laboratory examinations showed only the presence of Mycoplasma synoviae, either by isolation on culture media or by PCR, on ear and choana samples. Aspergillus fumigatus was detected only in one bird. In this paper, the Authors report for the first time on an outbreak of ceruminous otitis in native chicken breeds and point out that the only pathogenic agent isolated from the birds has been Mycoplasma synoviae.

  8. Otologic and Audiologic Manifestations of Hutchinson-Gilford Progeria Syndrome

    Science.gov (United States)

    Guardiani, Elizabeth; Zalewski, Christopher; Brewer, Carmen; Merideth, Melissa; Introne, Wendy; Smith, Ann C.M; Gordon, Leslie; Gahl, William; Kim, H. Jeffrey

    2013-01-01

    Objectives To define the audiologic and otologic phenotype of Hutchinson-Gilford Progeria syndrome (HGPS). Study Design Prospective case series. Methods Fifteen patients with HGPS were enrolled in a prospective natural history study; fourteen were evaluated in the neurotology clinic and eleven received audiologic evaluations. The physical exam and audiologic findings of these patients were reviewed to define an otologic and audiologic phenotype for HGPS in the largest series of subjects in the literature. Results All patients were noted to have stiff auricular cartilages, small or absent lobules and hypoplasia of the lateral soft tissue portion of the external ear canal leading to a shortened canal. Ten of 14 patients (71%) had dry cerumen impaction and four of 14 patients (29%) reported a history of recurrent otitis media. Nineteen of 22 ears (86.4%) demonstrated low frequency conductive hearing loss in the 250 Hz to 500 Hz range. Sixteen of 22 ears (73%) had type A tympanograms; three of 22 ears (14%) displayed bimodal or "W" peaked tympanograms; two of 22 ears (9%) had type B tympanograms; one of 22 ears (4%) had a type C tympanogram. Nine of 10 patients had distortion product otoacoustic emissions consistent with normal peripheral hearing sensitivity. Conclusions HGPS is caused by a mutation in the LMNA gene resulting in the production of an abnormal nuclear protein; this in turn affects nuclear structure and function. Patients with HGPS have characteristic otologic features due to cartilaginous and subcutaneous tissue abnormalities and typically demonstrate low frequency conductive hearing loss despite largely normal tympanometry. It is important to be aware of these conditions in managing these patients. PMID:21898437

  9. Detection of hepatitis B virus infection: A systematic review

    Institute of Scientific and Technical Information of China (English)

    Mallika; Ghosh; Srijita; Nandi; Shrinwanti; Dutta; Malay; Kumar; Saha

    2015-01-01

    AIM: To review published methods for detection of hepatitis B virus(HBV) infection.METHODS: A thorough search on Medline database was conducted to find original articles describing different methods or techniques of detection of HBV, which are published in English in last 10 years. Articles outlining methods of detection of mutants or drug resistance were excluded. Full texts and abstracts(if full text not available) were reviewed thoroughly. Manual search of references of retrieved articles were also done. We extracted data on different samples and techniques of detection of HBV, their sensitivity(Sn), specificity(Sp) and applicability.RESULTS: A total of 72 studies were reviewed. HBV was detected from dried blood/plasma spots, hepatocytes, ovarian tissue, cerumen, saliva, parotid tissue, renal tissue, oocytes and embryos, cholangiocarcinoma tissue, etc. Sensitivity of dried blood spot for detecting HBV was > 90% in all the studies. In case of seronegative patients, HBV DNA or serological markers have been detected from hepatocytes or renal tissue in many instances. Enzyme linked immunosorbent assay and Chemiluminescent immunoassay(CLIA) are most commonly used serological tests for detection. CLIA systems are also used for quantitation. Molecular techniques are used qualitatively as well as for quantitative detection. Among the molecular techniques version 2.0 of the Cobas Ampliprep/Cobas Taq Man assay and Abbott’s real time polymerase chain reaction kit were found to be most sensitive with a lower detection limit of only 6.25 IU/m L and 1.48 IU/m L respectively. CONCLUSION: Serological and molecular assays are predominant and reliable methods for HBV detection. Automated systems are highly sensitive and quantify HBV DNA and serological markers for monitoring.

  10. 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

  11. 不同原因耳聋患者耳鸣的发生率调查%The Incidence of Tinnitus and Hearing Loss with Different Diseases

    Institute of Scientific and Technical Information of China (English)

    刘蓬; 阮紫娟; 龚慧涵; 郭恩钦; 安玲玲

    2011-01-01

    Objective To provide clinic data to study the pathogenesis of tinnitus and the incidence and correlation of tinnitus and hearing loss with different diseases. Methods The clinic investigation was conducted for 376 hearing loss with different diseases consisting of 120 cases of sudden deafness, 21 cases of Meniere diseases, 10 cases of noise deafness, 10 cases of presbycusis, 70 cases of unknown causes sensorineural deafness, 70 cases of suppurative otitis media, 45 cases of secretory otitis media, 10 cases of otosclerosis, 2 cases of ossicular chain malformations, 4 cases of traumatic tympanic membrane perforation, 4 cases of external auditory canal cholesteatoma, 10 cases of impacted cerumen. Each patient was interviewed in detail regarding tinnitus onset and the degree of correlation about tinnitus and hearing loss was determined for the time and location. Results In 376 cases of deafness, the incidence of tinnitus are 51.3% ,and the incidence of tinnitus related deafness is 43.6%. The incidence of tinnitus is different in different diseases: sudden deafness and Meniere's disease are higher 90%, 85.7% respectively, while noise deafness may also be higher. The other diseases are very lower with an average of 13.3%. Conclusion No tinnitus has been noted in more than half of deaf cases, further research is warranted.%目的 对不同疾病致聋患者耳鸣的发生率及耳鸣与所患耳疾的有关与否进行调查,为进一步研究耳鸣的发病机理提供临床资料.方法 对376例不同原因导致的耳聋患者进行临床调查,包括突发性聋120例,梅尼埃病21例,噪声性聋10例,老年性聋10例,不明原因感音神经性聋70例,化脓性中耳炎70例,分泌性中耳炎45例,耳硬化10例,听骨链畸形2例,外伤性鼓膜穿孔4例,外耳道胆脂瘤4例,耵聍栓塞10例.对每例患者详细询问是否出现耳鸣,并根据耳鸣与耳聋发生的时间先后及部位等判定二者的相关程度.结果 376例耳聋患

  12. 某区集体儿童耳声发射筛查8521例听力结果分析%Analysis of 8521 Cases of Children Screening by Otoacoustic Emission in a District

    Institute of Scientific and Technical Information of China (English)

    尚佳; 贾明珍; 陈庆红; 熊丽

    2013-01-01

    Objective:To understand the children’s auditory status by screening 2.5-6 years children in nurseries of Chenghua district in Chengdu, and finding out the listening loss children in early stage. Carry out early interference actions to them, effectively reducing the occurrence of language&hearing disability. Method:Utilizing the Otoacoustic Emission to do hearing test for 8521 children in nurseries total y (3048 children in city and 5473 in countryside), and analyzing the statistic results. Results:Total 1294 children are positive screening in initial Otoacoustic Emission, the rate is 15.19%, including city children 493 and countryside children 801. In the re-screening after 4 weeks, 361 children are positive stil . By acoustic impedance test, the etiologies list as below (someone has two or more repetition etiology): 291 cases of impacted cerumen, 104 cases of catarrhal otitis media, 106 cases of otitis externa, 1 of perforation of tympanic membrane, 87 cases of acute rhinitis, 4 cases of sinusitis, and 5 of nerve deafness.Conclusion:The screening result has obvious geographic differences. The positive screening in countryside children is much more than in city children, and more boys than girls. In order to make a definite diagnosis and provide the most effective treatment for children’s hearing loss, so as to timely improve their communicative skil s in language acquisition and behavior modulation, it is very necessary and important to do the early auditory screening for them.%目的:了解成都市成华区内托幼机构2.5-6岁儿童听力现状,尽早发现听力障碍问题儿童,采取早期干预措施,可有效减少听力言语残疾的发生。方法:运用客观测试技术耳声发射,随机抽取成都市成华区所属幼儿园8521名儿童进行听力检查,其中城市幼儿园3048名儿童,农村幼儿园5473名儿童,并统计分析筛查结果。结果:8521例儿童中,耳声发射初筛阳性检出1294人,占15.19%