WorldWideScience

Sample records for public hearing case

  1. 22 CFR 216.8 - Public hearings.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Public hearings. 216.8 Section 216.8 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT ENVIRONMENTAL PROCEDURES § 216.8 Public hearings. (a) In most... some cases the Administrator may wish to hold public hearings on draft Environmental Impact...

  2. Public hearings as a tool to improve participation in regulatory policies: case study of the National Agency of Electric Energy

    Directory of Open Access Journals (Sweden)

    Camila Moreira de Castro

    2013-10-01

    Full Text Available The participation of citizens in public policies is an opportunity not only to educate them, but also to increase their empowerment. However, the best way for deploying participatory policies, defining their scope and approach, still remains an open and continuous debate. Using as a case study the Brazilian National Agency of Electric Energy (Aneel, with its public hearings about tariff review, this paper aims at analyzing the democratic aspects of these hearings and challenges the hypothesis of many scholars about the social participation bias in this kind of procedure. This study points out a majority participation of experts, contrasting with the political content of discussions. And, this way, it contributes to a critical analysis of the public hearings as a participatory tool, indicating their strengths and their aspects which deserve a special attention.

  3. 75 FR 53303 - Notice of Public Hearing

    Science.gov (United States)

    2010-08-31

    ... From the Federal Register Online via the Government Publishing Office FINANCIAL CRISIS INQUIRY COMMISSION Notice of Public Hearing AGENCY: Financial Crisis Inquiry Commission. ACTION: Notice. SUMMARY: The next public hearing of the Financial Crisis Inquiry Commission (FCIC) is titled ``Too Big to...

  4. 15 CFR 705.8 - Public hearings.

    Science.gov (United States)

    2010-01-01

    ... INDUSTRY AND SECURITY, DEPARTMENT OF COMMERCE NATIONAL SECURITY INDUSTRIAL BASE REGULATIONS EFFECT OF IMPORTED ARTICLES ON THE NATIONAL SECURITY § 705.8 Public hearings. (a) If it is deemed appropriate by the... be held in more than one location. (2) Hearings shall be open to the public unless national security...

  5. 75 FR 2529 - Notice of Public Hearing

    Science.gov (United States)

    2010-01-15

    ... presentations. Oral testimony should not exceed ten minutes. Testimony will become part of the public record. To... are invited to present written and/or oral testimony. The hearing will be held at the Washington Court... obtain input and feedback on earlier drafts of the assessment framework. This public hearing...

  6. 75 FR 16422 - Notice of Public Hearing

    Science.gov (United States)

    2010-04-01

    ..., domestic and global, of the current financial and economic crisis in the United States, per the...; ] FINANCIAL CRISIS INQUIRY COMMISSION Notice of Public Hearing AGENCY: Financial Crisis Inquiry Commission. ACTION: Notice. SUMMARY: The Financial Crisis Inquiry Commission (FCIC) announces that it will hear from...

  7. Back Bay Wilderness study : Public hearing analysis

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This document is an analysis of the public hearing that took place on May 15th, 1974 which discussed the Back Bay Wilderness. The analysis shows that there is...

  8. Wilderness Study Report : Volume III : Public Hearing Transcripts

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This document contains public hearing transcripts from the Kenai National Moose Range Wilderness Hearing. This hearing was held to obtain information relating to...

  9. 12 CFR 1780.6 - Public hearings.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Public hearings. 1780.6 Section 1780.6 Banks and Banking OFFICE OF FEDERAL HOUSING ENTERPRISE OVERSIGHT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT RULES OF PRACTICE AND PROCEDURE RULES OF PRACTICE AND PROCEDURE General Rules § 1780.6 Public...

  10. 40 CFR 85.1807 - Public hearings.

    Science.gov (United States)

    2010-07-01

    ...) CONTROL OF AIR POLLUTION FROM MOBILE SOURCES Recall Regulations § 85.1807 Public hearings. (a) Definitions... Clerk and shall be made available to the public during Agency business hours. (c) Filing and service. (1..., Sunday, or Federal legal holiday, such period shall be extended to include the next following...

  11. 77 FR 23319 - Public Hearing

    Science.gov (United States)

    2012-04-18

    ...%209-10-09.PDF . Opportunity to Appear and Comment: Interested parties may appear at the hearing to..., Schuylkill County, Pa. Application for groundwater withdrawal of up to 0.288 mgd (30-day average) from Well... County, Pa. Modification to increase total groundwater system withdrawal by an additional 0.499 mgd,...

  12. 77 FR 27440 - New England Fishery Management Council; Public Hearings

    Science.gov (United States)

    2012-05-10

    ... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Hearings...), Commerce. ACTION: Public Hearing; Request for Comments. SUMMARY: The New England Fishery Management Council... Northeast Small-Mesh Multispecies Fishery Management Plan (FMP). DATES: The public hearing will be held...

  13. 78 FR 23635 - Notice of Open Public Hearing

    Science.gov (United States)

    2013-04-19

    ...'s Agriculture Policy and U.S. Access to China's Market.'' Background: This is the fourth public... SECURITY REVIEW COMMISSION Notice of Open Public Hearing AGENCY: U.S.-China Economic and Security Review Commission. ACTION: Notice of open public hearing--April 25, 2013, Washington, DC. SUMMARY: Notice is...

  14. 75 FR 38875 - Notice of Open Public Hearing

    Science.gov (United States)

    2010-07-06

    ...: 2010-16242] U.S.-CHINA ECONOMIC AND SECURITY REVIEW COMMISSION Notice of Open Public Hearing AGENCY: U.S.-China Economic and Security Review Commission. ACTION: Notice of open public hearing--July 14... Economic and Security Review Commission. Name: Daniel M. Slane, Chairman of the U.S.-China Economic...

  15. 76 FR 12794 - Notice of Open Public Hearing

    Science.gov (United States)

    2011-03-08

    ... (CCP) regarding China's relations with other countries, and China's future role in the world. The March... SECURITY REVIEW COMMISSION Notice of Open Public Hearing AGENCY: U.S.-China Economic and Security Review Commission. ACTION: Notice of open public hearing--March 10, 2011 Washington, DC. SUMMARY: Notice is hereby...

  16. [Hearing screening in a public hospital in Belo Horizonte, Minas Gerais State, Brazil: hearing impairment and risk factors in neonates and infants].

    Science.gov (United States)

    Tiensoli, Luciana Oliveira; Goulart, Lúcia Maria Horta de Figueiredo; Resende, Luciana Macedo de; Colosimo, Enrico Antônio

    2007-06-01

    The objective of this study was to estimate the prevalence of hearing impairment in children in a public hospital in Belo Horizonte, Minas Gerais, Brazil, and to investigate the association with risk factors described in the literature. This study was cross-sectional and retrospective and analyzed 798 newborns and infants evaluated in the Universal Neonatal Hearing Screening Program from June 2002 to December 2003. The risk factors established by the Joint Committee on Infant Hearing in 1994 and Azevedo in 1996 were studied, besides prematurity. Prevalence of hearing impairment was 1.8% (15 cases). A multivariate logistic regression analysis was used to verify associations between risk factors and hearing impairment, showing a significant statistical association (p ototoxic drugs, and low birth weight. A significant prevalence of hearing impairment in neonates and infants was confirmed. Attention should thus be focused on risk factors for hearing impairment, using hearing programs that ensure prevention, early detection, and intervention.

  17. Hearing rehabilitation through telemedicine to enhance public policies in Brazil

    Directory of Open Access Journals (Sweden)

    Silvio Pires Penteado

    2011-03-01

    Full Text Available Since 2004, the Brazilian government has run one of the most all-inclusive hearing rehabilitation program based on hearing aids worldwide. In 2007 this investment in hearing aids topped U$ 68 million, apart from covering the cost of physicians and audiologists. Nearly 140 centers are certified by the government to dispense fitted hearing aids, figures which are still low when one considers the size of the country. Telemedicine can represent a field of knowledge which broadens hearing rehabilitations services in Brazil, for it may help increase the number of hearing rehabilitation centers, enable remote training and provide for an “online second opinion”. As far as public administration is concerned, it may enable process standardization and the very control over this hugely complex operation. The present article aimed to consider Telemedicine a powerful ally to improve hearing health care policies in Brazil.

  18. Due Process Hearing Case Study

    Science.gov (United States)

    Bateman, David F.

    2009-01-01

    William is 9 years of age, residing with his parent within the boundaries of an unnamed district ("the District"). As a student with autism he is eligible for special education programming and services. There was one issue presented for this due process hearing: What was the appropriate program and placement for him for the 2008-2009 school year?…

  19. 77 FR 34127 - Notice of Open Public Hearing

    Science.gov (United States)

    2012-06-08

    ... experts on national security implications of the U.S. bilateral trade and economic relationship with China. The June 14 hearing is aimed at sharpening our understanding of contemporary Chinese trade and... U.S.-China Trade and Investment Relationship.'' Background: This is the sixth public hearing the...

  20. 77 FR 35754 - Notice of Open Public Hearing

    Science.gov (United States)

    2012-06-14

    ... experts on national security implications of the U.S. bilateral trade and economic relationship with China. The June 14 hearing is aimed at sharpening our understanding of contemporary Chinese trade and..., ``Evolving U.S.-China Trade and Investment Relationship.'' BACKGROUND: This is the sixth public hearing the...

  1. 75 FR 34534 - Notice of Open Public Hearing

    Science.gov (United States)

    2010-06-17

    ... SECURITY REVIEW COMMISSION Notice of Open Public Hearing AGENCY: U.S.-China Economic and Security Review... given of the following hearing of the U.S.- China Economic and Security Review Commission. Name: Daniel M. Slane, Chairman of the U.S.-China Economic and Security Review Commission. The Commission...

  2. 75 FR 22690 - Notice of Open Public Hearing

    Science.gov (United States)

    2010-04-29

    ... SECURITY REVIEW COMMISSION Notice of Open Public Hearing AGENCY: U.S.-China Economic and Security Review... given of the following hearing of the U.S.- China Economic and Security Review Commission. Name: Daniel M. Slane, Chairman of the U.S.-China Economic and Security Review Commission. The Commission...

  3. 75 FR 38188 - Notice of Open Public Hearing

    Science.gov (United States)

    2010-07-01

    ... SECURITY REVIEW COMMISSION Notice of Open Public Hearing AGENCY: U.S.-China Economic and Security Review... given of the following hearing of the U.S.- China Economic and Security Review Commission. Name: Daniel M. Slane, Chairman of the U.S.-China Economic and Security Review Commission. The Commission...

  4. 75 FR 15493 - Notice of Open Public Hearing

    Science.gov (United States)

    2010-03-29

    ... SECURITY REVIEW COMMISSION Notice of Open Public Hearing AGENCY: U.S.-China Economic and Security Review... given of the following hearing of the U.S.- China Economic and Security Review Commission. Name: Daniel M. Slane, Chairman of the U.S.-China Economic and Security Review Commission. The Commission...

  5. 75 FR 24775 - Notice of Open Public Hearing

    Science.gov (United States)

    2010-05-05

    ... SECURITY REVIEW COMMISSION Notice of Open Public Hearing AGENCY: U.S.-China Economic and Security Review... given of the following hearing of the U.S.- China Economic and Security Review Commission. Name: Daniel M. Slane, Chairman of the U.S.-China Economic and Security Review Commission. The Commission...

  6. 78 FR 26697 - Notice of Open Public Hearing

    Science.gov (United States)

    2013-05-07

    ... SECURITY REVIEW COMMISSION Notice of Open Public Hearing AGENCY: U.S.-China Economic and Security Review... given of the following hearing of the U.S.- China Economic and Security Review Commission. Name: William A. Reinsch, Chairman of the U.S.-China Economic and Security Review Commission. The Commission...

  7. 75 FR 78680 - New England Fishery Management Council; Public Hearings

    Science.gov (United States)

    2010-12-16

    ... Hearing. SUMMARY: The New England Fishery Management Council (Council) has rescheduled a public hearing to... National Oceanic and Atmospheric Administration RIN 0648-XA091 New England Fishery Management Council... INFORMATION CONTACT: Paul J. Howard, Executive Director, New England Fishery Management Council;...

  8. 40 CFR 92.709 - Public hearings.

    Science.gov (United States)

    2010-07-01

    ...) Definitions. The following definitions shall be applicable to this section: (1) Hearing Clerk shall mean the... rule upon offers of proof and receive relevant evidence; (3) To regulate the course of the hearings and... not obtainable voluntarily; and (iii) That such information has significant probative value. The...

  9. Slide presentation at wilderness public hearing : Laguna Atascosa

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This document is a layout for the presentation to be given at the public hearing for the Laguna Atascosa National Wildlife Refuge. It details the slides that will be...

  10. Remote hearing aid fitting: Tele-audiology in the context of Brazilian Public Policy

    Science.gov (United States)

    Penteado, Silvio Pires; Ramos, Sueli de Lima; Battistella, Linamara Rizzo; Marone, Silvio Antonio Monteiro; Bento, Ricardo Ferreira

    2012-01-01

    Summary Introduction: Currently, the Brazilian government has certificated nearly 140 specialized centers in hearing aid fittings through the Brazilian National Health System (SUS). Remote fitting through the Internet can allow a broader and more efficient coverage with a higher likelihood of success for patients covered by the SUS, as they can receive fittings from their own homes instead of going to the few and distant specialized centers. Aim: To describe a case of remote fitting between 2 cities, with revision of the literature. Method: Computer gears, a universal interface, and hearing aids were used. Case study: An audiologist located in a specialized center introduced a new hearing aid and its fitting procedure to a remote center (200 km away). The specialized center helped the remote center in fitting a hearing aid in 2 patients, and performed fitting in one of its own patients. The whole process was done through the Internet with audio and video in real time. Results: Three patients were fitted remotely. Three audiologists were remotely trained on how to fit the hearing aids. Conclusions: Remote fitting of hearing aids is possible through the Internet, as well as further supplying technical training to a remote center about the fitting procedures. Such a technological approach can help the government advance public policies on hearing rehabilitation, as patients can be motivated about maintaining their use of hearing aids with the option to ask for help in the comfort of their own homes. PMID:25991960

  11. A Case of Incus Vibroplasty: Postoperative Changes in Residual Hearing

    Science.gov (United States)

    Roh, Kyung Jin; Lee, Eun Jung; Choi, Byung Il

    2015-01-01

    In patients with mild to severe hearing loss, conventional hearing aids offer limited benefits and several problems with feedback and cosmesis. Middle ear implants are a feasible option for patients with moderate to severe hearing loss who are unable to achieve adequate benefit from or cannot tolerate hearing aids for various reasons. Here we present a case of middle ear implant surgery using Vibrant Soundbridge with incus vibroplasty technique, and describe the hearing changes during postoperative follow-up. PMID:26185793

  12. 76 FR 53021 - Public Hearing and Commission Meeting

    Science.gov (United States)

    2011-08-24

    .... 20110307), Hazleton City, Luzerne County, Pa. 3. Project Sponsor: Keister Miller Investments, LLC... Municipal Authority (Docket No. 19911102), Reading Township, Adams County, Pa. Public Hearing--Projects.... Authority: Public Law 91-575, 84 Stat. 1509 et seq., 18 CFR Parts 806, 807, and 808. Dated: August 12,...

  13. 77 FR 8809 - New England Fishery Management Council; Public Hearings

    Science.gov (United States)

    2012-02-15

    ... Administration (NOAA), Commerce. ACTION: Notice; public hearings. SUMMARY: The New England Fishery Management... National Oceanic and Atmospheric Administration RIN 0648-XB006 New England Fishery Management Council... Herring Fishery Management Plan (FMP). DATES: Written public comments must be received on or before 5...

  14. HEARING LOSS, ITS IMPLICATIONS AND PUBLIC HEALTH INTERVENTIONS

    Directory of Open Access Journals (Sweden)

    Suneela

    2015-12-01

    Full Text Available Globally, over 5% of world’s population (More than 360 million population, have disabling hearing loss according to new global estimates on prevalence; 91% of these are adults and 9% of these are children. Overall, prevalence of disabling hearing loss in children all over the world is 1.7%.1 Prevalence of hearing loss in South Asia in pediatric age group is 2.4%. Consequences of hearing impairment include inability to interpret speech sounds, often producing a reduced ability to communicate, delay in language acquisition, economic and educational disadvantage, social isolation and stigmatization. Fifty percent of hearing loss is preventable through public health actions.1 From time to time, public and private sector enterprises plan at both, small and large scale to help people with hearing impairment. But still the services available and implementation status of actions to combat ear disorders is in naïve stage. The earlier the parent/family accept the fact of impairment and follow a well-planned rehabilitation program under professional supervision, the better are the chances for the child and the family to lead a more normal life.

  15. Charles M. Russell National Wildlife Range Wilderness proposal public hearing summary analysis and wilderness study summary

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This document contains both a public hearing summary analysis and a wilderness study summary for the Charles M. Russell National Wildlife Range. The public hearing...

  16. 24 CFR 58.59 - Public hearings and meetings.

    Science.gov (United States)

    2010-04-01

    ... Environmental Review Process: Procedures for Draft, Final and Supplemental Environmental Impact Statements § 58... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Public hearings and meetings. 58.59 Section 58.59 Housing and Urban Development Office of the Secretary, Department of Housing and...

  17. 77 FR 16810 - New England Fishery Management Council; Public Hearings

    Science.gov (United States)

    2012-03-22

    ...; Public Hearings AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric...; Tuesday, April 10, 2012 at 5 p.m.--Hotel Indigo East End, 1830 West Main Street, Route 25, Riverhead, NY 11901; telephone: (631) 369-2200; Wednesday, April 11, 2012 at 5 p.m.--Radisson Hotel, 180 Water Street...

  18. 25 CFR 170.436 - How are public hearings for IRR planning and projects funded?

    Science.gov (United States)

    2010-04-01

    ... WATER INDIAN RESERVATION ROADS PROGRAM Planning, Design, and Construction of Indian Reservation Roads Program Facilities Public Hearings § 170.436 How are public hearings for IRR planning and projects funded... 25 Indians 1 2010-04-01 2010-04-01 false How are public hearings for IRR planning and projects...

  19. Disability Case Review of Administrative Law Judge Hearing Decisions

    Data.gov (United States)

    Social Security Administration — The Disability Case Review is a post-effectuation quality review of administrative law judge (ALJ) disability hearing decisions. This dataset includes results from...

  20. 14 CFR 399.62 - Target dates in hearing cases.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Target dates in hearing cases. 399.62... Target dates in hearing cases. (a) Applicability. This section applies to initial and recommended.... (b) Issuance of target dates. In cases to which this section applies, the Board or the administrative...

  1. Case Factors Affecting Hearing Aid Recommendations by Hearing Care Professionals

    DEFF Research Database (Denmark)

    Gioia, Carmine; Ben-Akiva, Moshe; Jørgensen, Ole;

    2015-01-01

    Background: Professional recommendations to patients concerning hearing instrument (HI) technology levels are not currently evidence-based. Pre-fitting parameters have not been proven to be the primary indicators for optimal patient outcome with different HI technology levels. This results...... in subjective decision-making as regards the technology level recommendation made by professionals. Purpose: The objective of this study is to gain insight into the decision-making criteria utilized by professionals when recommending HI technology levels to hearing-impaired patients....

  2. Age at the diagnosis and in the beginning of intervention from hearing impaired children, in a public Brazilian hearing health service

    Directory of Open Access Journals (Sweden)

    Pinto, Meliane Melina

    2012-01-01

    Full Text Available Introduction: The earlier the diagnosis and the intervention from the hearing impairment less will be the impact for the development of cognitive abilities, hearing and of speech from the child. Objective: Characterize the age in the diagnosis and the beginning of intervention of the hearing loss and the accompaniment of the assisted children in a public Brazillian hearing health service - Espaço Reouvir from the Clinicas Hospital from the Medical School from the University of São Paulo. Method: Retrospective study with information from 166 medical records from children regarding the: gender; etiology, type, degree and laterality of the hearing impairment; age in the diagnosis and adaptation of the Hearing aids (HA and accompaniment in the service. Results: The sample was composed by 56% men and 44% women. The prevailing etiology was from multifactorial origin. The hearing loss from the neurosensory type occurred in 88,6% of the cases. The degree of moderate hearing loss was the most frequent (30,7%, symmetry in both ears was found in 69,9% of the cases and unilateral hearing loss in 2,4%. The average age in the diagnosis was of 5,46 years and in the intervention was of 6,86 years. A total of 96,98% of children had already completed the process of adaptation and 78,32% still remained in the accompaniment. Conclusion: The program Reouvir-HCFMUSP still receives children, both for diagnosis and or intervention in a late manner. However, still is possible the realization of the accompaniment of a significant number of users of the hearing aids, enabling a process of adaptation more effective.

  3. A Clinical Analysis of Sudden Sensorineural Hearing Loss Cases

    Science.gov (United States)

    Lee, Hyun Soo; Lee, You Jae; Kang, Bo Sung; Lee, Ji Sung

    2014-01-01

    Background and Objectives High-dose systemic steroid therapy is the mainstay treatment for sudden sensorineural hearing loss (SSNHL). Recovery rates from SSNHL range are about 47-63% and are influenced by various prognostic factors. To evaluate the prognostic value of specific clinical parameters, we reviewed 289 cases by clinical and statistical analysis. Subjects and Methods This study included 289 patients with SSNHL who visited the Department of Otolaryngology at Soonchunhyang University Hospital from January 2005 to December 2012. The cases were reviewed retrospectively based on clinical charts. Hearing improvement was evaluated in relation to pure-tone audiogram results, duration between SSNHL onset and time of initial treatment, seasonal incidence, dizziness, patient age, degree of hearing loss, patterns of initial pure-tone audiogram and presence of underlying disease. Results Hearing improvement was observed in 196 of 289 (67.8%) patients; such improvement began within 7 days in most patients, followed by rapid hearing recovery. Cases that failed to show improvement within 14 days were unlikely to achieve hearing recovery. The more severe the hearing loss during the early stage, the lower the hearing recovery rates. Patients aged less than 60 years appear to have better prognosis of hearing improvement compared to those who are over 60 years. Conclusions Important prognostic factors for recovery in patients with SSNHL include the time of initiating treatment after symptom onset, the degree of early-stage hearing loss, and the age of the affected patient. PMID:25279228

  4. 33 CFR 148.222 - When must public hearings or meetings be held?

    Science.gov (United States)

    2010-07-01

    ... meetings be held? 148.222 Section 148.222 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... Hearings Or Meetings § 148.222 When must public hearings or meetings be held? (a) Before a license is issued, at least one public license hearing under 33 U.S.C. 1504(g) must be held in each adjacent...

  5. Wilderness studies : Public hearing officer request [Laguna Atascosa National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This document is a request for an a certain individual to be the hearing officer for the Laguna Atascosa National Wildlife Refuge public hearing.

  6. Macrocytosis and sudden sensorineural hearing loss: a case report.

    Science.gov (United States)

    McMurran, A E L; Adair, R A

    2015-11-01

    Although other blood dyscrasias are known to cause sudden sensorineural hearing loss, macrocytosis has not previously been implicated in the absence of another causative agent. We present a case of bilateral sequential sudden sensorineural hearing loss in a patient with significant macrocytosis (mean corpuscular volume at presentation 124 fl) secondary to alcohol-induced liver dysfunction. A possible pathophysiological mechanism linking macrocytosis and sudden sensorineural hearing loss was identified, suggesting areas for further investigation.

  7. Office of Hearings Case Tracking Data -

    Data.gov (United States)

    Department of Transportation — This data set contains information on hearings conducted for the Department of Transportation or its modal administrations by administrative law judges in accordance...

  8. Sensorineural hearing loss in Lassa fever: two case reports

    Directory of Open Access Journals (Sweden)

    Okokhere Peter O

    2009-01-01

    Full Text Available Abstract Introduction Lassa fever is an acute arena viral haemorrhagic fever with varied neurological sequelae. Sensorineural hearing loss is one of the rare complications which occur usually during the convalescent stage of the infection. Case presentation The cases of two female patients aged 19 and 43 years old, respectively, with clinical features suggestive of Lassa fever and confirmed by immunoserological/Lassa-virus-specific reverse transcriptase polymerase chain reaction are presented. Both patients developed severe sensorineural hearing loss at acute phases of the infections. Conclusion Sensorineural hearing loss from Lassa fever infections can occur in both acute and convalescent stages and is probably induced by an immune response.

  9. Polychondritis With Diminished Hearing(Case Report

    Directory of Open Access Journals (Sweden)

    Dehghan

    2012-02-01

    Full Text Available Introduction: Relapsing polychondritis is a rare autoimmune disorder which is associated with inflammation of the auricular and costochondral cartilages and may involve ocular tissue and laryngotracheobronchial tree in some occasions. This inflammatory destructive disease can potentially disrupt the structure, function and integration of cartilages. The common age of involvement is 40 to 60 years and it is similar in both genders. Case report: The patient was a 65 year-old woman referred to the cardiovascular center, with chief complaint of sudden severe chest pain. She was hospitalized with the diagnosis of unstable angina but all of the cardiovascular investigations were normal. After a few days, she developed headache, fever, nasal congestion and redness. Computed tomography scan was done with the probability of sinus involvement but it was normal. At the same time, she developed cartilage involvement as a redness and auricular pain (sparing the lobule. Subsequently her hearing progressively diminished. She was hospitalized in the rheumatology ward and treated as a polychondritis.

  10. Sudden sensorineural hearing loss in a multiple sclerosis case.

    Science.gov (United States)

    Tekin, Muhammet; Acar, Gul Ozbilen; Cam, Osman Halit; Hanege, Fatih Mehmet

    2014-01-01

    Multiple sclerosis (MS) is the most common demyelinating disease of the central nervous system. MS involves different regions of the central nervous system in different periods, and causes demyelination. MS is a neuromotor disorder which progresses with remissions and relapses. Symptoms of MS may regress completely or heal after the relapses leaving sequelae. Sudden sensorinerural hearing loss (SSHL) is hearing loss of 30 dB or more over at least three contiguous audiometric frequencies that develops over a period of a few hours to 3 days. In 4-10 % of the MS patients, sensorineural hearing loss occurs between relapses or remissions. In this case, audiotory brainstem response (ABR) test is the most appropriate test for the diagnosis of sensorineural hearing loss in MS patients. In this article, we will discuss a patient diagnosed as MS who presented with sudden sensorineural hearing loss during the remission of the disease.

  11. 32 CFR Appendix C to Part 989 - Procedures for Holding Public Hearings on Draft Environmental Impact Statements (EIS)

    Science.gov (United States)

    2010-07-01

    ... format, e.g., public/town meeting, information booths, third party moderator, etc. In these cases... hiring the court reporter, funds temporary duty costs for the hearing officer, makes logistical... interested parties have a reasonable opportunity to speak. The presiding officer should direct the speakers...

  12. 76 FR 61289 - Public Hearing on Child Labor Regulations, Orders and Statements of Interpretation; Child Labor...

    Science.gov (United States)

    2011-10-04

    ... Hour Division 29 CFR Parts 570 and 579 RIN 1235-AA06 Public Hearing on Child Labor Regulations, Orders and Statements of Interpretation; Child Labor Violations--Civil Money Penalties AGENCY: Wage and Hour... public hearing on its Notice of Proposed Rulemaking (NPRM), Child Labor Regulations, Orders and...

  13. 15 CFR 2003.4 - Presentation of oral testimony at public hearings.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false Presentation of oral testimony at public hearings. 2003.4 Section 2003.4 Commerce and Foreign Trade Regulations Relating to Foreign Trade... § 2003.4 Presentation of oral testimony at public hearings. (a) A request by an interested party...

  14. 75 FR 17331 - Public Hearings for the Mandatory Reporting Rule for Greenhouse Gases

    Science.gov (United States)

    2010-04-06

    ... 2060-AP99, AP88, AQ00 Public Hearings for the Mandatory Reporting Rule for Greenhouse Gases AGENCY... two public hearings to be held for proposed rules related to mandatory reporting of greenhouse gases... Mandatory Reporting of Greenhouse Gases rule, published on October 30, 2009 by requiring reporting...

  15. 78 FR 72123 - Sunshine Act Cancellation Notice-OPIC December 4, 2013 Public Hearing

    Science.gov (United States)

    2013-12-02

    ... From the Federal Register Online via the Government Publishing Office OVERSEAS PRIVATE INVESTMENT CORPORATION Sunshine Act Cancellation Notice--OPIC December 4, 2013 Public Hearing OPIC's Sunshine Act notice of its Public Hearing in Conjunction with each Board meeting was published in the Federal...

  16. 77 FR 3748 - Request for Comments and Notice of Public Hearings on Genetic Diagnostic Testing

    Science.gov (United States)

    2012-01-25

    ... in gathering information on the genetic diagnostic testing for purposes of preparing a report on the... testing. Public Hearings: The USPTO will hold two public hearings in support of the genetic testing study... ``Genetic Testing Study.'' Because written comments and testimony will be made available for...

  17. 75 FR 23760 - Notice of Public Hearing Regarding Environmental Protection Agency Region III's Proposed...

    Science.gov (United States)

    2010-05-04

    ... public comment on-site the day of the public hearing. Audio-visual equipment will not be provided. If you...-0985). For those who have special needs and require auxiliary aids and/or services to fully...

  18. 75 FR 18245 - Public Federal Regulatory Enforcement Fairness Hearing Region IX Regulatory Fairness Board

    Science.gov (United States)

    2010-04-09

    ... ADMINISTRATION Public Federal Regulatory Enforcement Fairness Hearing Region IX Regulatory Fairness Board.... Small Business Administration (SBA) Region IX Regulatory Fairness Board and the SBA Office of the National Ombudsman will hold a National Regulatory Fairness Hearing on Monday, April 26, 2010, at 1:30 p.m...

  19. 75 FR 17793 - Public Federal Regulatory Enforcement Fairness Hearing; Region III Regulatory Fairness Board

    Science.gov (United States)

    2010-04-07

    ... ADMINISTRATION Public Federal Regulatory Enforcement Fairness Hearing; Region III Regulatory Fairness Board.... Small Business Administration (SBA) Region III Regulatory Fairness Board and the SBA Office of the National Ombudsman will hold a National Regulatory Fairness Hearing on Tuesday, May 18, 2010, at 10 a.m...

  20. Public Speaking Course and the Hearing-Impaired College Student: Classroom Communication, Challenges and Rewards

    Science.gov (United States)

    Hureau, Marcelle S. M.

    2008-01-01

    This article examines the communication barriers and relationships between hearing and non-hearing college students in a classroom setting. Twelve college students, six female and six males, between 18 and 22 years of age took part in this ethnographic study during a sixteen week course in public speaking, conducted at the University of Colorado,…

  1. A case of sudden unilateral sensorineural hearing loss with contralateral psychogenic hearing loss induced by gunshot noise.

    Science.gov (United States)

    Hong, Young-Ho; Mun, Seog-Kyun

    2011-10-01

    The reasons behind sudden sensorineural hearing loss are mostly unknown, but viral infections, blood disorders, ototoxicity, noise trauma, autoimmune disease, acoustic tumor, and even mental stress may be related to the disease. In cases of hearing loss as a result of psychogenic factors, early diagnosis and adequate treatment under collaboration with the psychiatric department are crucial, since failure to take appropriate measures may result in permanent sequela. We report a case, with a review of the literature, of sudden unilateral sensorineural hearing loss with contralateral psychogenic hearing loss induced by gunshot noise.

  2. 78 FR 4144 - Tentative Approval and Solicitation of Request for a Public Hearing for Public Water System...

    Science.gov (United States)

    2013-01-18

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY Tentative Approval and Solicitation of Request for a Public Hearing for Public Water System...: Notice is hereby given that the State of New York is revising its approved Public Water...

  3. 76 FR 2374 - Tentative Approval and Solicitation of Request for a Public Hearing for Public Water System...

    Science.gov (United States)

    2011-01-13

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY Tentative Approval and Solicitation of Request for a Public Hearing for Public Water System.... SUMMARY: Notice is hereby given that the State of New Jersey is revising its approved Public Water...

  4. 77 FR 13125 - Tentative Approval and Solicitation of Request for a Public Hearing for Public Water System...

    Science.gov (United States)

    2012-03-05

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY Tentative Approval and Solicitation of Request for a Public Hearing for Public Water System... CFR part 142, that the Commonwealth of Virginia is revising its approved Public Water...

  5. 75 FR 7599 - Notice of Public Hearing; Passenger Vessel Financial Responsibility

    Science.gov (United States)

    2010-02-22

    ... Notice of Public Hearing; Passenger Vessel Financial Responsibility AGENCY: Federal Maritime Commission... Passenger Vessel Financial Responsibility Program. DATES: The due date for submitting a request to... make presentations concerning the Commission's passenger vessel financial responsibility program. The...

  6. 75 FR 69475 - Notice Regarding Changed Venue for Public Hearing On a Draft Programmatic Environmental Impact...

    Science.gov (United States)

    2010-11-12

    ... nepacomments@nsf.gov . The presentation slides used by NSF at the public hearings are posted on the NSF Web... perceived inconsistency between the presentation and the Draft PEIS, the language in the Draft PEIS...

  7. 77 FR 42699 - Gulf of Mexico Fishery Management Council; Public Hearings

    Science.gov (United States)

    2012-07-20

    ...; Public Hearings AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric... Biologist- Statistician; Gulf of Mexico Fishery Management Council; telephone: (813) 348-1630 x235..., Acting Deputy Director, Office of Sustainable Fisheries, National Marine Fisheries Service. BILLING CODE...

  8. Notice of public hearing regarding wilderness proposal : Rice Lake and Mille Lacs National Wildlife Refuges

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This document contains two different announcements for the Rice Lake and Mille Lacs Wilderness area public hearing. The first is a notice for the Federal Register,...

  9. Sudden sensorineural hearing loss posthypothyroidism: A case study

    Directory of Open Access Journals (Sweden)

    Priya Karimuddanahally Premkumar

    2016-01-01

    Full Text Available Sudden sensorineural hearing loss is defined as a loss of at least 30 dB in three contiguous frequencies over a period of three days or less. In the present study a client with sudden hearing loss post hypothyroidism is discussed. A 56 year old client reported of awakening from sleep due to ear fullness along with severe tinnitus and experienced reduced hearing sensitivity in the right ear. The client had a history of hypothyroidism and was under medication for the same. The successive audiological investigations revealed that there was no improvement from prescribed medications, even with early identification and intervention. For better treatment outcomes correct identification of the cause as well as application of cause based treatment procedure is essential. Endocrine disorder is said to be one of the causes for sudden sensorineural hearing loss and one among this disorder is hypothyroidism. The present study aimed to throw a light on this aspect by giving a detailed case report of the client who suffered sudden sensorineural hearing loss which is suspected to be a long term effect of hypothyroidism.

  10. 78 FR 7859 - Notice of Open Public Hearing

    Science.gov (United States)

    2013-02-04

    ... and economic relationship with China. In 2012, the Chinese Communist Party's 18th Party Congress... through the lenses of China's domestic politics, its economy, and its military. Additionally, the hearing...

  11. Hearing Assistive Technology

    Science.gov (United States)

    ... for the Public / Hearing and Balance Hearing Assistive Technology Hearing Assistive Technology: FM Systems | Infrared Systems | Induction ... Assistive Technology Systems Solutions What are hearing assistive technology systems (HATS)? Hearing assistive technology systems (HATS) are ...

  12. 77 FR 41877 - International Joint Commission; International Joint Commission To Hold Public Hearings on Lake...

    Science.gov (United States)

    2012-07-16

    ... International Joint Commission; International Joint Commission To Hold Public Hearings on Lake Osoyoos The International Joint Commission (IJC) is inviting the public to comment on recommendations for the renewal of its... of the International Joint Commission's Osoyoos Lake Order now posted on the IJC Web......

  13. 75 FR 4560 - Notice of Public Hearing; Passenger Vessel Financial Responsibility

    Science.gov (United States)

    2010-01-28

    ... Notice of Public Hearing; Passenger Vessel Financial Responsibility AGENCY: Federal Maritime Commission... to receive public testimony concerning the Commission's Passenger Vessel Financial Responsibility... responsibility in the event of nonperformance of a contracted cruise from a U.S. port. Comments received from the...

  14. 76 FR 16856 - Notice of Open Public Hearing

    Science.gov (United States)

    2011-03-25

    ... academic, industry, and government experts on national security implications of the U.S. bilateral trade... address ``Chinese State-Owned Enterprises and U.S.-China Bilateral Investment.'' Background: This is the... bilateral investment between the United States and China. The March 30 hearing will be co-chaired by Vice...

  15. 76 FR 33814 - Notice of Open Public Hearing

    Science.gov (United States)

    2011-06-09

    ... address ``China's Five Year Plan, Indigenous Innovation and Technology Transfers, and Outsourcing... Five-Year Plan, its ``Indigenous Innovation'' and industrial policies, and technology development and... as soon as available. Please check the Web site for possible changes to the hearing...

  16. Sudden sensorineural hearing loss as the first manifestation of chronic myeloid leukaemia: case report.

    Science.gov (United States)

    Diao, M; Tian, F; Sun, J

    2014-11-01

    Sudden sensorineural hearing loss rarely occurs in patients with chronic myeloid leukaemia. We present a case report of a patient who presented with sudden sensorineural hearing loss as the first manifestation of chronic myeloid leukaemia, and review the mechanisms responsible for sudden sensorineural hearing loss in leukaemic patients. A 31-year-old female presented to our clinic with unilateral sudden sensorineural hearing loss and tinnitus. Pure tone audiometry revealed profound sensorineural hearing loss in the left ear at all frequencies. During an investigation into her hearing loss, the patient was found to have chronic myeloid leukaemia. Every case of sudden sensorineural hearing loss must be carefully evaluated, and haematological disorders must be considered in the differential diagnosis of sudden hearing loss.

  17. Improvement in hearing after chiropractic care: a case series

    Directory of Open Access Journals (Sweden)

    Di Duro Joseph O

    2006-01-01

    Full Text Available Abstract Background The first chiropractic adjustment given in 1895 was reported to have cured deafness. This study examined the effects of a single, initial chiropractic visit on the central nervous system by documenting clinical changes of audiometry in patients after chiropractic care. Case presentation Fifteen patients are presented (9 male, 6 female with a mean age of 54.3 (range 34–71. A Welch Allyn AudioScope 3 was used to screen frequencies of 1000, 2000, 4000 and 500 Hz respectively at three standard decibel levels 20 decibels (dB, 25 dB and 40 dB, respectively, before and immediately after the first chiropractic intervention. Several criteria were used to determine hearing impairment. Ventry & Weinstein criteria of missing one or more tones in either ear at 40 dB and Speech-frequency criteria of missing one or more tones in either ear at 25 dB. All patients were classified as hearing impaired though greater on the right. At 40 dB using the Ventry & Weinstein criteria, 6 had hearing restored, 7 improved and 2 had no change. At 25 dB using the Speech-frequency criteria, none were restored, 11 improved, 4 had no change and 3 missed a tone. Conclusion A percentage of patients presenting to the chiropractor have a mild to moderate hearing loss, most notably in the right ear. The clinical progress documented in this report suggests that manipulation delivered to the neuromusculoskeletal system may create central plastic changes in the auditory system.

  18. 76 FR 45311 - International Joint Commission Public Hearings on Binational Management of Lake of the Woods and...

    Science.gov (United States)

    2011-07-28

    ... International Joint Commission Public Hearings on Binational Management of Lake of the Woods and Rainy River Watershed The International Joint Commission (IJC) will hold public hearings on the final report of its.... Section, International Joint Commission, 2000 L Street, NW., Suite 615, Washington, DC 20440, Fax:...

  19. Guides to Special Education in North Dakota. Volume III, Speech and Hearing Services in Public Schools. ---

    Science.gov (United States)

    Smaltz, Janet M., Ed.

    Guidelines are provided for the establishment and maintenance of public school speech and hearing programs. Administrative information covers planning the speech correction program, different types of programs, qualifications and responsibilities of clinicians, facilities for the programs, suggestions for supervisors, and state regulations and…

  20. 75 FR 57005 - Notice of Availability of Draft Environmental Impact Statement and Public Hearings for the...

    Science.gov (United States)

    2010-09-17

    ... of Availability of Draft Environmental Impact Statement and Public Hearings for the Proposed Energia... ``Draft Environmental Impact Statement for the Energia Sierra Juarez U.S. Transmission Line Project'' (DOE... a Presidential permit to Energia Sierra Juarez U.S. Transmission, LLC (ESJ-U.S.), for...

  1. 77 FR 56817 - Notice of Public Hearings for the Draft Environmental Impact Statement for Medical Facilities...

    Science.gov (United States)

    2012-09-14

    ... actions and alternatives were evaluated within several environmental resource areas: Geology, topography... Department of the Navy Notice of Public Hearings for the Draft Environmental Impact Statement for Medical... Environmental Policy Act (NEPA) and the Council on Environmental Quality Regulations for implementing the...

  2. 75 FR 80041 - Pacific Fishery Management Council; Public Meetings and Hearings

    Science.gov (United States)

    2010-12-21

    .... Meetings and Hearings January 18-21, 2011: The Salmon Technical Team (STT) will meet at the Pacific Council..., 2011: The STT will meet at the Pacific Council office in a public work session to draft ``Preseason... contained in the STT meeting agendas may come before the STT for discussion, those issues may not be the...

  3. 15 CFR 2006.9 - Presentation of oral testimony at public hearings.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false Presentation of oral testimony at public hearings. 2006.9 Section 2006.9 Commerce and Foreign Trade Regulations Relating to Foreign Trade... SECTION 301 OF THE TRADE ACT OF 1974, AS AMENDED § 2006.9 Presentation of oral testimony at...

  4. 77 FR 12853 - Draft Guidances Relating to the Development of Biosimilar Products; Public Hearing; Request for...

    Science.gov (United States)

    2012-03-02

    ... biosimilar product development. We agree with this approach and have begun with the three draft guidance... HUMAN SERVICES Food and Drug Administration Draft Guidances Relating to the Development of Biosimilar Products; Public Hearing; Request for Comments AGENCY: Food and Drug Administration, HHS. ACTION: Notice...

  5. 77 FR 19672 - Draft Guidances Relating to the Development of Biosimilar Products; Public Hearing; Request for...

    Science.gov (United States)

    2012-04-02

    ... guidances relating to the development of biosimilar products. The document published with an incorrect date... HUMAN SERVICES Food and Drug Administration Draft Guidances Relating to the Development of Biosimilar Products; Public Hearing; Request for Comments; Correction AGENCY: Food and Drug Administration,...

  6. 75 FR 67059 - Public Hearings for Greenhouse Gas Emissions Standards and Fuel Efficiency Standards for Medium...

    Science.gov (United States)

    2010-11-01

    ... INFORMATION CONTACT: If you would like to present oral testimony at a public hearing, please contact Julia Mac... 48105; telephone number: (734) 214-4131; fax number: (734) 214-4050; e-mail address: macallister.julia... numbers, and whether you require accommodations such as a sign language interpreter. Questions...

  7. 75 FR 59673 - Public Hearing Locations for the Proposed Fuel Economy Labels

    Science.gov (United States)

    2010-09-28

    ... Economy Labels AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of public hearings. SUMMARY... and Additions to Motor Vehicle Fuel Economy Label,'' published in the Federal Register on September 23... testimony or comment on the Agency's proposed revisions and additions to the motor vehicle fuel...

  8. 10 CFR 51.104 - NRC proceeding using public hearings; consideration of environmental impact statement.

    Science.gov (United States)

    2010-01-01

    ... environmental impact statement. 51.104 Section 51.104 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED....104 NRC proceeding using public hearings; consideration of environmental impact statement. (a)(1) In... scope of NEPA and this subpart are in issue, the NRC staff may not offer the final environmental impact...

  9. Avaliação dinâmica e interdisciplinar na deficiência auditiva em ambulatório público: relato de caso Dynamic and interdisciplinary assessment in hearing disability in a public ambulatory: case report

    Directory of Open Access Journals (Sweden)

    Maria Luiza Gomes-Machado

    2009-01-01

    Full Text Available A proposta deste estudo foi descrever os efeitos da avaliação clínica dinâmica interdisciplinar em um caso atendido pelo Ambulatório de Investigação da Linguagem nos Distúrbios de Audição do Hospital São Paulo - Universidade Federal de São Paulo. Trata-se de uma pessoa do sexo feminino que, aos 26 anos, apresentou quadro de surdez súbita bilateral, em decorrência da síndrome de Cogan - que afeta também a visão. Ao iniciar o processo, a paciente apresentava leitura orofacial restrita, dificuldade para se comunicar com sua família, isolamento social e quadro depressivo. A avaliação dinâmica pautada na interatividade e na escuta humanística proporcionou condições para que a paciente pudesse melhorar sua comunicação, autoconceito e interação social. Nessa perspectiva, observou-se que, com apenas dez sessões de atendimento pela equipe, operaram-se efeitos terapêuticos quebrando-se, assim, a clássica dicotomia avaliação/intervenção em momentos diferentes.The aim of this study was to describe the effects of the interdisciplinar dynamic clinical assessment in a case attended at the Research Ambulatory of Language in Hearing Disorders of the São Paulo Hospital - Federal University of São Paulo. It is describe the case of a 26-year-old woman who presented sudden bilateral deafness, as a result of Cogan's syndrome - which also affects the vision. When the intervention process began, the patient had restricted orofacial reading, difficulty to communicate with her family, social isolation and depressive symptoms. The dynamic assessment based on interactivity and humanistic listening provided conditions for the patient to improve her communication, self-concept and social interaction. From this perspective, it was noticed that, with only ten sessions of intervention, therapeutic effects were operated, therefore breaking the classic assessment/intervention dichotomy at different moments.

  10. Comparison between hearing screening-detected cases and sporadic cases of delayed-onset hearing loss in preschool-age children.

    Science.gov (United States)

    Lü, Jingrong; Huang, Zhiwu; Ma, Yan; Li, Yun; Mei, Ling; Yao, Guoyin; Wang, Yu; Shen, Xiaoming; Wu, Hao

    2014-04-01

    This study aimed to compare the diagnosis and ages of intervention for cases of delayed-onset hearing loss identified sporadically or via a preschool hearing screening program. Retrospective study with the comparative analysis of two groups of children. Cases identified from screening were selected from 34 321 preschool children who underwent screening for delayed-onset hearing loss between October 2009 and May 2011. Sporadic cases of delayed-onset hearing loss were selected from pediatric clinical records. Cases from the first group were excluded from the latter to avoid duplication. Two groups were given the same questionnaire to record risk indicators, diagnosis, and age at intervention. The average age of 26 children at the time of diagnosis in the screening group (52.81 ± 13.23 months) was significantly earlier than in the 33 cases identified in the sporadic group (62.03 ± 12.86 months; p hearing loss in the screening group (50.40 ± 10.76 months) was also earlier than in the sporadic group (62.73 ± 13.77 months; p hearing screening for preschool children with no significant symptoms of delayed-onset hearing loss.

  11. Early hearing detection and intervention services in the public health sector in South Africa.

    Science.gov (United States)

    Theunissen, Marianne; Swanepoel, DeWet

    2008-01-01

    The purpose of this study was to examine the current status of newborn/infant hearing screening programs in public sector hospitals in South Africa by means of a descriptive survey. Data was gathered using a self-administered postal questionnaire, which included questions on screening resources and protocols, follow-up, diagnostic, and information management procedures as well as timing of intervention. The questionnaire was sent to 86 speech therapy and audiology departments within public sector hospitals throughout South Africa and 44 questionnaires were returned. The findings indicated that 27% (n=12) of respondents were conducting some form of hearing screening. The most frequently reported reasons for the absence of a screening program were a lack of appropriate equipment and a shortage of staff. Institutions with active screening programs face many challenges and programs are mostly unsystematic. Reported findings make a valuable contribution to the field of early hearing detection and intervention by providing a baseline for the development and structuring of early hearing detection and intervention services as a priority in the public healthcare sector of South Africa.

  12. Hearing Schedule and List of Speakers for the Public Hearing on Revisions to FIPs to Reduce Interstate Transport of Fine Particulate Matter and Ozone – October 28, 2011, Washington, D.C.

    Science.gov (United States)

    List of Speakers and Hearing Schedule for the October 28 Public Hearing on the proposed Revisions to the Federal Implementation Plans to Reduce Interstate Transport of Fine Particulate Matter and Ozone.

  13. Sensorineural hearing loss caused by MYH14 gene mutation. A case report

    Directory of Open Access Journals (Sweden)

    Pedro CARNEIRO-SOUSA

    2016-11-01

    Full Text Available Introduction and objective: Hereditary causes are responsible for half of cases of sensorineural hearing loss in young people. MYH14 mutation is autosomal dominant. Description: A 33 years-old patient with moderate-to-severe sensorineural hearing loss. Genetic study revealed MYH14 mutation. Discussion: This is a case of post-lingual sensorineural deafness, compatible with autosomal dominant inheritance. MYH14 mutation seems to increase susceptibility to acoustic trauma, which may justify the late onset of hearing loss. Conclusions: MYH14 mutation is, probably, a cause for hearing loss. Genetic study has, therefore, a growing importance.

  14. A case of bilateral sudden hearing loss and tinnitus after salicylate intoxication.

    Science.gov (United States)

    Kim, Sang Min; Jo, Joon-Man; Baek, Moo Jin; Jung, Kyu Hwan

    2013-04-01

    Salicylate, the active ingredient of aspirin can cause sensorineural hearing loss and tinnitus when plasma concentrations reach a critical level. The ototoxic mechanisms of salicylate remain unclear but hearing and tinnitus usually recovers a few days after intoxication. There have been few reports of salicylate-induced ototoxicity in Korea, and the majority is caused by a low dose of aspirin. Herein, we report a case of sudden hearing loss and tinnitus after acute salicylate intoxication and review recent updates on salicylate ototoxicity.

  15. Acute otitis media associated bilateral sudden hearing loss: case report and literature review.

    Science.gov (United States)

    Smith, A; Gutteridge, I; Elliott, D; Cronin, M

    2017-07-01

    Sudden sensorineural hearing loss is a rare otological condition with potential for dire outcomes including permanent hearing loss. Although the majority of cases are deemed idiopathic, bilateral sudden sensorineural hearing loss represents a rare subset typically related to systemic conditions, with higher morbidity and mortality. A controversial association with acute otitis media has been reported, with few bilateral cases published in the literature. A very rare case of bilateral sudden sensorineural hearing loss associated with acute otitis media is described, with a review of the literature. The limited evidence available suggests that acute otitis media with tinnitus and/or bacterial pathology may have an increased risk of sudden sensorineural hearing loss, which is consistent with the case described. Although there is no sufficiently powered published evidence to provide definitive treatment guidelines, the literature reviewed suggests that early myringotomy and antibiotics may greatly improve treatment outcomes.

  16. A case law review of the individuals with disabilities education act for children with hearing loss or auditory processing disorders.

    Science.gov (United States)

    Kreisman, Brian M; John, Andrew B

    2010-01-01

    In 1975, Congress passed the Education for All Handicapped Children Act (Public Law 94-142), and it has been revised and modified several times. At the time of this writing, this law was most recently amended by the Individuals with Disabilities Education Improvement Act (Pub. L. No. 108-446, 118 Stat. 2647, December 3, 2004), which took effect on July 1, 2005. Colloquially the law is still referred to as the Individuals with Disabilities Education Act (IDEA). Children with hearing loss or auditory processing disorder (APD) may qualify for services under IDEA. However, a review of the literature found no review of case law for such children. This article provides a comprehensive review of case law involving the IDEA and children with hearing loss or APD from the U.S. Supreme Court and U.S. courts of appeals. We conducted a systematic review of case law. A LexisNexis search for cases involving IDEA and children with hearing loss or APDs was conducted. For the purpose of the present case review, all appellate decisions (cases accepted by the U.S. courts of appeals or the U.S. Supreme Court) were included if they found that the child had hearing loss or APD, regardless of the reason for the appeal under IDEA. In the instance of multiple cases that involved the same two parties, these cases are summarized together to provide the legal context. Brief explanations of IDEA and the federal judicial process as it pertains to IDEA disputes are presented. Following these explanations, a chronological review of IDEA appellate cases concerning students with hearing loss or APD is provided. The IDEA cases reviewed focus on three main issues: placement of the child, methodology of teaching, and the provision of services. This case law review provides a helpful summary of higher court cases for educational audiologists and parents of children with hearing loss or APDs, as well as educators, individualized education program team members, school administrators, and legal

  17. Sudden Hearing Loss Treated With Hyperbaric Oxygen (HBO – Case Study

    Directory of Open Access Journals (Sweden)

    Fal Michał

    2015-06-01

    Full Text Available The article presents a case study of a 32-year-old patient admitted to the Mazowia Hyperbaric Therapy Centre due to a sudden loss of hearing. In an interview the patient reported an abrupt hearing deterioration in his right ear and the feeling of congestion in the left ear with bilateral tinnitus present for over 2 months. The patient was qualified to undergo hyperbaric oxygen therapy (HBO. After 15 treatment sessions in a pressure chamber a noticeable improvement of hearing in his right-ear was noted (proved by pure tone audiometry and subjective hearing upswing in his left ear.

  18. Hearing of the public on September 19, 2005 at Cherbourg; Audition du public, Cherbourg, le 19 septembre 2005

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    The law from December 30, 1991, precisely defines 3 axes of researches for the management of high level and long-lived radioactive wastes: separation/transmutation, surface storage and underground disposal. A global evaluation report about these researches is to be supplied in 2006 by the French government to the Parliament. A first synthesis of the knowledge gained after 14 years of research has led the national commission of the public debate (CNDP) to organize a national debate about the general options of management of high-level and long-lived radioactive wastes before the 2006 date line. The debate comprises 4 public hearings (September 2005: Bar-le-Duc, Saint-Dizier, Pont-du-Gard, Cherbourg), 12 round-tables (October and November 2005: Paris, Joinville, Caen, Nancy, Marseille), a synthesis meeting (December 2005, Dunkerque) and a closing meeting (January 2006, Lyon). This document is the synthesis of the debates of the last public hearing at Cherbourg. This meeting gathers representatives of the different actors of the nuclear industry, ministers, public authorities, non governmental organizations who argue the questions asked by peoples from the audience. The topics concern the public health aspects and the risks linked with nuclear activities in general, the safety and security aspects of waste reprocessing and disposal facilities, and the technical feasibility of transmutation. (J.S.)

  19. Public hearings on effluent standards for toxic pollutants

    Energy Technology Data Exchange (ETDEWEB)

    1976-04-29

    The purpose of the amendments made at this time is to clarify certain ambiguities in the rules as originally promulgated in the Federal Water Pollution Control Act, and to make changes in certain areas. These include the procedures for filing objections to proposed standards, the content of those objections, the timing and status of public comments on the proposed standards filed by persons other than objecting parties, the order in which evidence is to be introduced, the provisions for administrative appeals from rulings by the presiding officer, and the provisions for a tentative and final decision by the Administrator and promulgation of final standards.

  20. 75 FR 37390 - Caribbean Fishery Management Council; Public Hearings

    Science.gov (United States)

    2010-06-29

    ... Register (67 FR 63622). Alternative 2. (PREFERRED) Redefine management reference points or proxies for the... by Restrepo et al. (1998) and is not being revisited here. That default proxy effectively defines a...\\ This approach followed guidance provided by Restrepo et al. (1998), which notes that ``in cases...

  1. 77 FR 64348 - Notice of Availability of the Environmental Assessment and Notice of Public Hearing for the Blue...

    Science.gov (United States)

    2012-10-19

    ... Bureau of Land Management Notice of Availability of the Environmental Assessment and Notice of Public...-By-Application (LBA) Environmental Assessment (EA) is available for public review and comment. The... a public hearing to receive comments on the EA, Fair Market Value (FMV), and Maximum...

  2. Experiences and Challenges of Evidence Leaders ("Prosecutors" in Learner Disciplinary Hearings in Public Schools

    Directory of Open Access Journals (Sweden)

    Anthony Smith

    2015-12-01

    Full Text Available After the abolition of corporal punishment at schools, teachers have been faced with an increase in unacceptable learner behaviour and threatening situations in their classrooms. An urgent need arose to address learner discipline in innovative ways. Disciplinary hearings that deal with cases of serious misconduct represent a shift away from authoritarian control towards a corrective and restorative approach. This article presents views of educators that had acted as evidence leaders (“ELs” at disciplinary hearings. Qualitative data was collected through semi-structured interviews in a district of the Gauteng Education Department. AtlasTi software was utilised to analyse the verbatim interview transcriptions. Educators that usually served as evidence leaders (“prosecutors”, but had not been trained in law, experienced problems in conducting quasi-judicial functions without proper support and training. ELs regularly experience animosity from parents and learners; are frustrated by the unwillingness and failure of the provincial education departments to act in accordance with an SGB recommendation. Disciplinary hearings are time-consuming and lawyers representing learners complicate rather than facilitate the process. These weaknesses jeopardise the efficacy and fairness of the process and may ultimately defeat the purpose of a disciplinary hearing.

  3. Public hearing or 'hearing public'? an evaluation of the participation of local stakeholders in environmental impact assessment of Ghana's Jubilee oil fields.

    Science.gov (United States)

    Bawole, Justice Nyigmah

    2013-08-01

    This article investigates the involvement of local stakeholders in the environmental impact assessment (EIA) processes of Ghana's first off-shore oil fields (the Jubilee fields). Adopting key informants interviews and documentary reviews, the article argues that the public hearings and the other stakeholder engagement processes were cosmetic and rhetoric with the view to meeting legal requirements rather than a purposeful interest in eliciting inputs from local stakeholders. It further argues that the operators appear to lack the social legitimacy and social license that will make them acceptable in the project communities. A rigorous community engagement along with a commitment to actively involving local stakeholders in the corporate social responsibility (CSR) programmes of the partners may enhance the image of the partners and improve their social legitimacy. Local government agencies should be capacitated to actively engage project organisers; and government must mitigate the impact of the oil projects through well-structured social support programmes.

  4. Public Hearing or `Hearing Public'? An Evaluation of the Participation of Local Stakeholders in Environmental Impact Assessment of Ghana's Jubilee Oil Fields

    Science.gov (United States)

    Bawole, Justice Nyigmah

    2013-08-01

    This article investigates the involvement of local stakeholders in the environmental impact assessment (EIA) processes of Ghana's first off-shore oil fields (the Jubilee fields). Adopting key informants interviews and documentary reviews, the article argues that the public hearings and the other stakeholder engagement processes were cosmetic and rhetoric with the view to meeting legal requirements rather than a purposeful interest in eliciting inputs from local stakeholders. It further argues that the operators appear to lack the social legitimacy and social license that will make them acceptable in the project communities. A rigorous community engagement along with a commitment to actively involving local stakeholders in the corporate social responsibility (CSR) programmes of the partners may enhance the image of the partners and improve their social legitimacy. Local government agencies should be capacitated to actively engage project organisers; and government must mitigate the impact of the oil projects through well-structured social support programmes.

  5. Public voices in pharmaceutical deliberations: negotiating "clinical benefit" in the FDA's Avastin Hearing.

    Science.gov (United States)

    Teston, Christa B; Graham, S Scott; Baldwinson, Raquel; Li, Andria; Swift, Jessamyn

    2014-06-01

    This article offers a hybrid rhetorical-qualitative discourse analysis of the FDA's 2011 Avastin Hearing, which considered the revocation of the breast cancer indication for the popular cancer drug Avastin. We explore the multiplicity of stakeholders, the questions that motivated deliberations, and the kinds of evidence presented during the hearing. Pairing our findings with contemporary scholarship in rhetorical stasis theory, Mol's (2002) construct of multiple ontologies, and Callon, Lascoumes, and Barthe's (2011) "hybrid forums," we demonstrate that the FDA's deliberative procedures elides various sources of evidence and the potential multiplicity of definitions for "clinical benefit." Our findings suggest that while the FDA invited multiple stakeholders to offer testimony, there are ways that the FDA might have more meaningfully incorporated public voices in the deliberative process. We conclude with suggestions for how a true hybrid forum might be deployed.

  6. NOISE INDUCED HEARING LOSS IN CHINA:A POTENTIALLY COSTLY PUB-LIC HEALTH LSSUE

    Institute of Scientific and Technical Information of China (English)

    Shi Yongbing; William Hal Martin

    2013-01-01

    Hearing loss and tinnitus are among the most common consequences of long term noise exposure and re-main an under-addressed heath issue in most developing nations including China. The rapid industrializa-tion and life style changes in China increase the concern over noise exposure and noise induced hearing loss (NIHL). Research on NIHL in China is limited. The current paper reviews studies published in English and Chinese language literatures regarding noise exposure and NIHL in China. Their implication on the Chi-nese population is discussed. The possible utility of a research model such as the Dangerous Decibels® as a means to increase understanding of the scope of NIHL among the Chinese population, to educate the gener-al public in China (especially the young) about NIHL and its prevention, and to study effects of language and cultural factors on international information dissemination and behavioral interventions is proposed.

  7. A case of the vibrant soundbridge stapes coupler in patients with mixed hearing loss.

    Science.gov (United States)

    Park, Ah Young; Jeon, Ju Hyun; Moon, In Seok; Choi, Jae Young

    2014-09-01

    The Vibrant Soundbridge (VSB) with stapes clip coupler placement at the stapes head has been used successfully to treat mixed hearing loss. Coupling between the floating mass transducer of the VSB and the stapes head is technically less demanding than incus vibroplasty and is more likely to generate a positive outcome without significantly changing residual hearing or resulting in medical or surgical complications. A 65-year-old man with bilateral mixed hearing loss and chronic otitis media underwent vibroplasty with a stapes clip coupler. Speech discrimination scores in both quiet and noise environments showed better functional gain with the VSB than with the use of a conventional hearing aid. The results of the present case show the feasibility of implanting a VSB with a stapes coupler in patients with mixed hearing loss due to chronic otitis media.

  8. Fabry disease presenting with sudden hearing loss and otosclerosis: a case report

    Directory of Open Access Journals (Sweden)

    Felisati Giovanni

    2012-04-01

    Full Text Available Abstract Introduction Fabry disease is an X-linked lysosomal storage disorder resulting in a multiple-system disorder with a wide spectrum of physical signs and symptoms, predominantly affecting the central and peripheral nervous systems, skin, heart, kidneys, and eyes. Case presentation We describe the case of a 26-year-old European Caucasian man who had Fabry disease and who presented with episodic sudden unilateral hearing loss and was treated with glucocorticoids, pentoxifylline, hyperbaric oxygen, and fluoride because of concomitant audiometric evidence of otosclerosis. This case demonstrates the partial and transient beneficial effect of standard treatment for sudden hearing loss not related to Fabry disease and analyzes the possible connection between typical Fabry disease inner-ear lesions and otosclerosis. Whereas hearing loss has been described in connection with Fabry disease, otosclerosis-associated hearing loss in Fabry disease has not yet been described. Conclusions Although progressive hearing loss in patients with Fabry disease seems to be influenced by replacement therapy, few data concerning treatment of sudden hearing loss are available. The lack of literature concerning the pathogenesis of the otological involvement in Fabry disease makes it impossible to identify a connection between the latter and otosclerosis. Therefore, this report may help to reinforce the importance of a thorough evaluation of hearing in patients with Fabry disease and may be of help with therapeutic decision-making.

  9. Development model to public hearing for environmental licensing of nuclear facilities

    Energy Technology Data Exchange (ETDEWEB)

    Vasques, Luciana Gomes; Aquino, Afonso Rodrigues de, E-mail: lu_vasques@usp.br, E-mail: araquino@ipen.br [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2015-07-01

    The use of nuclear technology has always been a matter of concern from an environmental point of view. Although disputed, the generation of electricity in nuclear reactors was considered a source of clean emission in relation to emission of gases responsible for the greenhouse effect. In Brazil, nuclear activities are regulated and supervised by the Brazilian Commission of Nuclear Energy - CNEN. Environmental issues associated with nuclear activities are described by CONAMA, and the developments in this area are licensed by IBAMA, regardless of obtaining nuclear licenses issued by CNEN. Obtaining environmental licenses (prior, installation and operation) depends initially on preparing the Environmental Impact Study - EIS and the Environmental Impact Report - EIR, consisting of a presentation of EIS in language accessible to all. EIR is forwarded to bodies and entities with some connection to the enterprise, to be manifested with IBAMA about the relevance of its content. This information serves as a resource for Public Hearings, which are meetings organized by entrepreneurs, conducted by IBAMA, and rely on public participation, can be considered as a licensing step. Public Hearings are subject to subjectivity, and the model proposed in this research becomes more objective ill-defined, difficult to understand actions for the entrepreneur. (author)

  10. Go Ahead and Hold a Public Hearing; Just Don't Let It Get Out of Hand.

    Science.gov (United States)

    Wendler, Richard L.

    1987-01-01

    To meet the demand for control of emotional outbursts and angry confrontations at public hearings, this school district developed guidelines giving the school board a stance of deliberation and utilizing a strong, neutral moderator to limit debate and still meet the public's right to be heard. (WTH)

  11. Relationship Between Disease Activity and Hearing Loss in Rheumatoid Arthritis Patients A Case Control Study

    Directory of Open Access Journals (Sweden)

    Ilham RKAIN

    2016-06-01

    Full Text Available ObjectivesRheumatoid arthritis (RA is well known to affect many different organ systems. Previous work suggests that this includes the auditory system.The objectives of this work are to evaluate the pattern of hearing impairment in patients with rheumatoid arthritis and also to examine the possible associations between hearing impairment and related RA features especially disease activity.Materials and methodsThirty RA patients (mean age of 44.5 ± 9.9 years; female sex (90% and 17 healthy controls (mean age of 41.5±9.1 years; female sex (76.4% were included in our study. The 2 groups were matched for age and sex (p>0.05. Otoscopic examination was normal in all participants.No subject of the 2 groups has had any abnormalities at otoscopic examination. Hearing impairment was evaluated by pure tone audiometry and tympanometry including the static compliance, middle ear pressure, stapedial reflex threshold test. In all patients the clinical features, laboratory data, X-rays, disease activity index-DAS 28 were performed.ResultsHearing loss was more prevalent in RA patients compared to healthy controls (56.7 vs 11.8%; p=0.005. RA patients have conductive, sensorineural and mixed hearing loss in respectively 43.4, 3.3 and 10 % of cases. Association analysis between hearing characteristics and remission in RA patients shows that RA patients in remission have significantly lower mean hearing thresholds (12.8±5.2dB vs 18.8±6.9 dB ; p=0.04.ConclusionThis study suggests that hearing loss risk is higher in RA patients and seems to be associated to disease duration. Hearing loss in RA was directly proportional to the disease activity index-DAS 28. Audiological evaluation must be performed periodically to identify possible audiological damage.

  12. Imported Case of Lassa Fever in Sweden With Encephalopathy and Sensorineural Hearing Deficit.

    Science.gov (United States)

    Grahn, Anna; Bråve, Andreas; Lagging, Martin; Dotevall, Leif; Ekqvist, David; Hammarström, Helena; Karlberg, Helen; Lagerqvist, Nina; Sansone, Martina; Tegnell, Anders; Ulleryd, Peter; Studahl, Marie

    2016-10-01

    We describe an imported case of Lassa fever with both encephalopathy and bilateral sensorineural hearing deficit. Absence of fever during hospitalization, initially nonspecific symptoms, and onset of hearing deficit in a late stage of disease probably contributed to delayed diagnosis (14 days after admittance to hospital). The pathogenesis of neurological manifestations of Lassa fever is poorly understood and no specific treatment was given. A total of 118 personnel had close contact with the patient, but no secondary cases occurred. This case highlights the importance of considering Lassa fever as a differential diagnosis in patients with recent travel to endemic areas.

  13. Munchausen Syndrome: A Case with Presenting Sudden Hearing Loss

    Directory of Open Access Journals (Sweden)

    Murat Ozturk

    2013-04-01

    Full Text Available Munchausen syndrome is a psychiatric disorder that patients direct professionals with plausible, feigned, factitious symptoms. It%u2019s uncommon in otolaryngology clinics. We present a patient, complaint with sudden hearing loss and vertigo, and who underwent additional medical and invasive treatment in this paper. Patients with Munchausen syndrome allow invasive medical care easily, and they can be very convincing. It has to be diagnosed and kept in mind because of avoiding from unnecessary treatment.

  14. Metabolic Syndrome Increases the Risk of Sudden Sensorineural Hearing Loss in Taiwan: A Case-Control Study.

    Science.gov (United States)

    Chien, Chen-Yu; Tai, Shu-Yu; Wang, Ling-Feng; Hsi, Edward; Chang, Ning-Chia; Wu, Ming-Tsang; Ho, Kuen-Yao

    2015-07-01

    Sudden sensorineural hearing loss has been reported to be associated with diabetes mellitus, hypertension, and hyperlipidemia in previous studies. The aim of this study was to examine whether metabolic syndrome increases the risk of sudden sensorineural hearing loss in Taiwan. A case-control study. Tertiary university hospital. We retrospectively investigated 181 cases of sudden sensorineural hearing loss and 181 controls from the Department of Otorhinolaryngology, Kaohsiung Medical University Hospital, in southern Taiwan from 2010 to 2012, comparing their clinical variables. We analyzed the relationship between metabolic syndrome and sudden sensorineural hearing loss. Metabolic syndrome was defined according to the National Cholesterol Education Program Adult Treatment Panel III with Asian modifications. The demographic and clinical characteristics, audiometry results, and outcome were reviewed. Subjects with metabolic syndrome had a 3.54-fold increased risk (95% confidence interval [CI] = 2.00-6.43, P sudden sensorineural hearing loss compared with those without metabolic syndrome, after adjusting for age, sex, smoking, diabetes mellitus, hypertension, and hyperlipidemia. With increases in the number of metabolic syndrome components, the risk of sudden sensorineural hearing loss increased (P for trend hearing loss pattern may influence the outcome of sudden sensorineural hearing loss (P sudden sensorineural hearing loss in Taiwan. Vertigo and total hearing loss were indicators of a poor outcome in sudden sensorineural hearing loss. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2015.

  15. Palmdale Energy Project - Public Hearing and Request for Public Comment on Proposed PSD Permit

    Science.gov (United States)

    EPA provides notice of, and requests public comment on, EPA’s proposed action relating to a Clean Air Act (CAA) Prevention of Significant Deterioration (PSD) permit application (Application) for the construction of a natural gas-fired combined cycle power.

  16. A Case of Undiagnosed Sleep Disorder with Hearing Difficulty and Dizziness

    Directory of Open Access Journals (Sweden)

    Fumiyuki Goto

    2016-03-01

    Full Text Available Introduction: The aim of this case report was to investigate the relationship between sleep disorders and audio vestibular symptoms.   Case Report: A case of undiagnosed sleep disorder, presenting as a temporary auditory processing difficulty, is presented. The disorder was initially treated as sudden deafness with dizziness. A 23-year-old male patient complained of acute hearing disturbance despite normal results on pure tone audiometry. The patient was initially administered a steroid injection in the hospital. After treatment, his hearing symptoms improved only slightly and he reported balance difficulty with rightward spontaneous nystagmus. Vestibular rehabilitation was performed. We also suspected that his hearing symptom was due to an auditory processing difficulty. Despite steroid treatment and vestibular rehabilitation, neither of his symptoms improved. We subsequently identified the presence of insomnia. He was prescribed zolpidem 5 mg, which slightly improved his symptoms, and referred to a sleep specialist for further examination. Polysomnography was performed, which identified restless leg syndrome and sleep disturbance with delayed sleep phase syndrome. After pharmacological treatment, his sleep disturbance, hearing difficulty, and balance disorder completely resolved.   Conclusion: Sleep disorders may provoke reversible auditory processing difficulties. We should carefully evaluate patients for a potentially undiagnosed sleep disorder, even in patients chiefly complaining of intractable sensory dysfunction such as hearing or balance disturbance.

  17. Hyperbaric oxygen therapy in sudden sensorineural hearing loss following spinal anesthesia: case reports.

    Science.gov (United States)

    Carneiro, Sandra N; Guerreiro, Ditza V; Cunha, Anita M; Camacho, Óscar F; Aguiar, Isabel C

    2016-01-01

    The management of sudden sensorineural hearing loss following spinal anesthesia is currently an open problem. Several strategies have been used with variable results and, to the best of our knowledge, there are no prior accounts in the literature on the use of hyperbaric oxygen therapy in the treatment of this complication. We report two cases of acute onset of unilateral hearing loss after spinal anesthesia, with significantly improved results after hyperbaric oxygen therapy. A hypothesis on the possible mechanism behind this complication is discussed. A relation is established between hyperbaric oxygen therapy and this hypothetical mechanism, in order to explain successful results in the reported cases.

  18. Superficial Siderosis and Sudden Sensorineural Hearing Loss: A Case Report and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Kirsti S. V. Lee

    2013-01-01

    Full Text Available This case report highlights an unusual case of sudden sensorineural hearing loss related to superficial siderosis (SS. Our patient had a craniotomy for medulloblastoma 23 years earlier, and this may represent a delayed complication related to this procedure. Magnetic resonance imaging (MRI remains the key diagnostic investigation to illustrate the imaging features of superficial siderosis and exclude other pathologies. Increased awareness of progressive and sudden hearing complications caused by SS is important in the otolaryngologic community to expedite management and better counsel patients during the consent process.

  19. Superficial siderosis and sudden sensorineural hearing loss: a case report and review of the literature.

    Science.gov (United States)

    Lee, Kirsti S V; Sritharan, Niranjan; Forrest, Allan

    2013-01-01

    This case report highlights an unusual case of sudden sensorineural hearing loss related to superficial siderosis (SS). Our patient had a craniotomy for medulloblastoma 23 years earlier, and this may represent a delayed complication related to this procedure. Magnetic resonance imaging (MRI) remains the key diagnostic investigation to illustrate the imaging features of superficial siderosis and exclude other pathologies. Increased awareness of progressive and sudden hearing complications caused by SS is important in the otolaryngologic community to expedite management and better counsel patients during the consent process.

  20. 76 FR 76932 - Public Hearings for 2017 and Later Model Year Light-Duty Vehicle Greenhouse Gas Emissions and...

    Science.gov (United States)

    2011-12-09

    ... Standards.'' (December, 1, 2011; 76 FR 74854) These hearings also offer an opportunity for the public to... published in the Federal Register on December 1, 2011 (76 FR 74854) and is also available at the Web pages... the proposal must be received by January 30, 2012 (76 FR 74854). Written comments on NHTSA's Draft...

  1. 78 FR 49789 - Request for Comments and Notice of Public Hearing Concerning Russia's Implementation of Its WTO...

    Science.gov (United States)

    2013-08-15

    ... Implementation of Its WTO Obligations AGENCY: Office of the United States Trade Representative. ACTION: Request for comments and notice of public hearing concerning Russia's implementation of its obligations as a... Representative (USTR) in the preparation of its annual report to Congress on Russia's implementation of...

  2. 76 FR 48073 - Public Hearing for Secondary National Ambient Air Quality Standards for Oxides of Nitrogen and...

    Science.gov (United States)

    2011-08-08

    ... AGENCY 40 CFR Part 50 RIN 2060-AO72 Public Hearing for Secondary National Ambient Air Quality Standards... titled ``Secondary National Ambient Air Quality Standards for Oxides of Nitrogen and Sulfur'' which was... ``Secondary National Ambient Air Quality Standards for Oxides of Nitrogen and Sulfur'' proposed rule should...

  3. 10 CFR 51.105 - Public hearings in proceedings for issuance of construction permits or early site permits...

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 2 2010-01-01 2010-01-01 false Public hearings in proceedings for issuance of construction permits or early site permits; limited work authorizations. 51.105 Section 51.105 Energy NUCLEAR... concerning the benefits assessment (e.g., need for power) or alternative energy sources if those issues...

  4. Sudden hearing loss and vertigo after tooth extraction successfully treated with combined therapy including HBO2: a case report.

    Science.gov (United States)

    Yilmaz, Huseyin Baki; Erdogan, Raziye Banu Atalay; Paksoy, Mustafa; Sanli, Arif

    2015-01-01

    Sudden sensorineural hearing loss (SSNHL) is a decrease in hearing of at least 30 dB that occurs within three days and which affects at least three consecutive frequencies in either ear or both ears. This case report describes a woman who had sudden hearing loss and vertigo in the right ear after tooth extraction. As the first-line therapy, systemic and intratympanic steroid injections were used this led to a slight improvement; however, the majority of improvement in hearing was not observed until hyperbaric oxygen (HBO2) therapy was instituted on the 20th day of hearing loss. Sudden hearing loss and vertigo after tooth extraction is an otologic emergency and early evaluation and treatment are effective. HBO2, although employed beyond the Undersea and Hyperbaric Medical Society's recommended initial 14 days of symptom onset, very was effective for this particular case.

  5. 29 CFR 1904.10 - Recording criteria for cases involving occupational hearing loss.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 5 2010-07-01 2010-07-01 false Recording criteria for cases involving occupational hearing loss. 1904.10 Section 1904.10 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR RECORDING AND REPORTING OCCUPATIONAL INJURIES AND ILLNESSES Recordkeeping Forms and Recording Criteria...

  6. Investigation of the Home Reading Patterns of Families with Children with Hearing Impairment: ICEM Case

    Science.gov (United States)

    Girgin, Umit

    2012-01-01

    Parents play a critical role in the literacy development of their children. The current case study explores the reading patterns that parents have with their children with hearing impairment. First, the home reading patterns of parents with their children were investigated. Then, the home reading patterns preferred by children were addressed along…

  7. Supreme Court Hearing in Texas Admissions Case Exposes Gaps in Affirmative-Action Law

    Science.gov (United States)

    Schmidt, Peter

    2012-01-01

    The author reports on the U.S. Supreme Court hearing regarding the Texas admissions case that exposes gaps in the affirmative-action law. As the Supreme Court heard oral arguments in a lawsuit challenging race-conscious admissions at the University of Texas at Austin, it became evident that the court's past rulings on such policies have failed to…

  8. AUDIÊNCIA PÚBLICA NO EXERCÍCIO DA JURISDIÇÃO NO ESTADO CONSTITUCIONAL DEMOCRÁTICO / PUBLIC HEARING ON THE EXERCISE OF JURISDICTION IN THE STATE CONSTITUTIONAL DEMOCRACY

    Directory of Open Access Journals (Sweden)

    Antônio Gomes de Vasconcelos

    2015-12-01

    Full Text Available In our times, the Judiciary, that still exercise their praxis based on liberal postulates, has been unable to carry out the law that contemporary society craves. As a result, the explosion of litigation becomes a major problem that the Brazilian judiciary faces today. Faced with this problem, the article aims to address, narrowly, the Judiciary functions in a democratic state of Brazilian law, established by the 1988 Constitution to include social dialogue as an essential component of the exercise of the judicial function in the modern Constitutional State and in this perspective, envision the technique of public hearing as an acting instrument of the Judiciary. The aim is to develop the theme of the relationship between the Judiciary and society by conducting public hearings as institutional space of dialectic dialogue. According to sociologists Boaventura de Souza Santos, Jose Eduardo Faria and Celso Fernandes Campilongo, the practice is justified by the fact that social dialogue, that the public hearing is able to enable the Judiciary to understand the reality of contexts in which it operates and develop diagnostics to guide the exercise of jurisdiction and the administration of justice. It is invoked as empirical base the experiences enthralled by the Supreme Court, the High Courts and judges of first instance. In the last case, the public hearings realized with the intermediation of SINGESPA. The presented experiments have shown the importance of holding public audiences by the Judiciary to discuss conflicting issues that affect the Brazilian society

  9. Transforming Public Education: Cases in Education Entrepreneurship

    Science.gov (United States)

    Childress, Stacey M., Ed.

    2010-01-01

    For nearly two decades, education entrepreneurs have been working to transform the K-12 public education system in the United States. "Social entrepreneurship" has become part of the language of a new generation of idealists, many of whom are focused on education. The nineteen cases in this book profile entrepreneurs who are pursuing…

  10. Transforming Public Education: Cases in Education Entrepreneurship

    Science.gov (United States)

    Childress, Stacey M., Ed.

    2010-01-01

    For nearly two decades, education entrepreneurs have been working to transform the K-12 public education system in the United States. "Social entrepreneurship" has become part of the language of a new generation of idealists, many of whom are focused on education. The nineteen cases in this book profile entrepreneurs who are pursuing…

  11. Megadolicho basilar artery as a cause of asymmetrical sensorineural hearing loss - case report

    Directory of Open Access Journals (Sweden)

    Melo, Antonio Antunes

    2011-07-01

    Full Text Available Introduction: At the differentiated diagnosis of asymmetrical sensorineural hearing losses, vascular disorders are present, one of which is megadolicho basilar artery. This disease is generally asymptomatic, and when symptoms are found, they can be caused by a compression or ischemia. Clinically, sensorineural hearing loss, tinnitus, headache, facial hypoesthesia, trigeminal neuralgia, vertigo, diplopia and facial palsy, among others, are likely to occur. The image examination of choice for its diagnosis is nuclear magnetic resonance. The megadolicho basilar artery therapy can be surgical or conservative, according to the associated findings. A multidisciplinary approach, including a neurologist, neurosurgeon and an otorhinolaryngologist is recommended for a proper administration of the case. Objective: Report the case of a patient with asymmetrical sensorineural hearing loss, diagnosed of megadolicho basilar artery. Case report: JBS, 57-year-old white male with a history of asymmetrical sensorineural hearing loss and bilateral whistle-like tinnitus for several years. The otorhinolaryngologic evaluation, including otoscopy, anterior rhinoscopy and oral pharynx, was normal. Final Comments: The treatment consisted in following up with the patient, controlling the tinnitus by drugs and using an individual sound amplification apparatus on the left ear.

  12. PUBLIC DEBT SUSTAINABILITY ANALYSIS: EU CASE

    Directory of Open Access Journals (Sweden)

    Botoc Claudiu

    2011-07-01

    Full Text Available The global crisis has caused a serious fiscal deterioration that leaves the world economy with serious challenges. In many developed markets as well as in a few emerging markets (Emerging markets public finances have already become, or are at least at risk of becoming, unsustainable. Commonly, public debt sustainability is defined as a sovereign's ability to service debt without large adjustments to public revenue and/or expenditure and without ever-increasing public-debt-to-GDP ratios. Hence, this definition refers to both a country's ability and willingness to repay its debt. We also have to add the fact that there isn`t an universal accepted definition of fiscal or debt sustainability. In light of the growing public debt, the issue of debt sustainability has increasingly attracted attention. In this paper we analyse public debt sustainability scenario in EU economies. At least half of the EU countries will have to implement stringent fiscal consolidation programmes over the next few years in order to prevent already high public-debt-to-GDP ratios from a further significant rise, also the case of Romania. However, drastic fiscal policy adjustment may be not feasible in the short term and hence public debt is likely to grow further. In some scenarios the public-debt-to-GDP ratio is predicted to soar to 133% in 2020, from just over 100% in 2010. By contrast, nearly all EM countries, including major economies, appear to be well positioned to stabilise or even outgrow their current debt ratios without drastic fiscal adjustment. Institutional improvements may help European countries to maintain fiscal credibility. In light of the future fiscal challenges, many European governments may introduce new or more effective national debt limits, similar to those put in place in the past with good results by some Emerging markets. Such institutional reforms could help to insulate fiscal policies from political pressure and to anchor financial market

  13. Public Hearing and Comment Period Documents for the Northeast Gateway Energy Bridge Deepwater, Federal Waters of Massachusetts Bay (Modification to Existing Permit LNG Regasification Vessel/DWP Project)

    Science.gov (United States)

    List of public hearing & comment period document(s) for the Northeast Gateway Energy Bridge Deepwater Port, Federal Waters of Massachusetts Bay (Modification to Existing Permit LNG Regasification Vessel/DWP Project).

  14. Public Hearing & Comment Period Document(s) for the Cape Wind Associates, LLC, Horseshoe Shoal, Nantucket Sound (Offshore Renewable Energy Project/OCS Air Permit)

    Science.gov (United States)

    List of public hearing & comment period document(s) for the Cape Wind Associates, LLC, Horseshoe Shoal, Nantucket Sound (Offshore Renewable Energy Project/OCS Air Permit: Massachusetts Plan Approval including nonattainment NSR Appendix A requirements).

  15. Role of Platelet Parameters on Sudden Sensorineural Hearing Loss: A Case-Control Study in Iran

    Science.gov (United States)

    2016-01-01

    Sudden sensorineural hearing loss (SSNHL) is a common otological disorder characterized by a hearing loss greater than 30 dB over three consecutive frequencies, in less than 72 hours. It has been established that platelet parameters, such as mean platelet volume, are associated with ischemic heart events, whose clinical manifestations are similar to those of SSNHL. Hence, we aimed to determine if the platelet count, mean platelet volume and platelet distribution width are related to the occurrence and severity of sudden sensorineural hearing loss. A case-control prospective study was conducted in a teaching hospital in Iran. One hundred-eight patients with SSNHL and an equal number of healthy, age- and sex-matched controls were enrolled in the study. Peripheral venous blood samples were collected from the subjects, and the platelet count, mean platelet volume and platelet distribution width were measured with an automated blood cell counter. Analysis of the audiometry and hematological test results using SPSS22 software showed no statistical correlation between the platelet parameters and the occurrence of SSNHL, but correlation coefficients showed a significant correlation between PDW and hearing loss severity in patients group. However, further investigation is required to unequivocally establish the absence of correlation between the platelet parameters and occurrence of SSNHL. PMID:26829393

  16. Suppression of Tinnitus in a Patient with Unilateral Sudden Hearing Loss: A Case Report

    Directory of Open Access Journals (Sweden)

    Alessandra Fioretti

    2012-01-01

    Full Text Available We describe a case of a 67-year-old woman with severe disabling right-sided tinnitus, mild hyperacusis, and headache. The tinnitus was associated with sudden right hearing loss and vertigo, which occurred about 18 months before. Magnetic resonance imaging (MRI resulted in normal anatomical structures of the cochlea and of the cranial nerves showing a partial empty sella syndrome with suprasellar cistern hernia. Angio-MR revealed a bilateral contact between the anterior-inferior cerebellar artery (AICA and the acoustic-facial nerve with a potential neurovascular conflict. Surgery was considered unnecessary after further evaluations. The right ear was successfully treated with a combination device (hearing aid plus sound generator. Shortly after a standard fitting procedure, the patient reported a reduction of tinnitus, hyperacusis, and headache which completely disappeared at the follow-up evaluation after 3, 6, and 12 months. This paper demonstrates that the combination device resulted in a complete tinnitus and hyperacusis suppression in a patient with unilateral sensorineural sudden hearing loss. Our paper further supports the restoration of peripheral sensory input for the treatment of tinnitus associated with hearing loss in selected patients.

  17. Role of Platelet Parameters on Sudden Sensorineural Hearing Loss: A Case-Control Study in Iran.

    Science.gov (United States)

    Mirvakili, Abbas; Dadgarnia, Mohammad Hossein; Baradaranfar, Mohammad Hossein; Atighechi, Saeid; Zand, Vahid; Ansari, Abdollah

    2016-01-01

    Sudden sensorineural hearing loss (SSNHL) is a common otological disorder characterized by a hearing loss greater than 30 dB over three consecutive frequencies, in less than 72 hours. It has been established that platelet parameters, such as mean platelet volume, are associated with ischemic heart events, whose clinical manifestations are similar to those of SSNHL. Hence, we aimed to determine if the platelet count, mean platelet volume and platelet distribution width are related to the occurrence and severity of sudden sensorineural hearing loss. A case-control prospective study was conducted in a teaching hospital in Iran. One hundred-eight patients with SSNHL and an equal number of healthy, age- and sex-matched controls were enrolled in the study. Peripheral venous blood samples were collected from the subjects, and the platelet count, mean platelet volume and platelet distribution width were measured with an automated blood cell counter. Analysis of the audiometry and hematological test results using SPSS22 software showed no statistical correlation between the platelet parameters and the occurrence of SSNHL, but correlation coefficients showed a significant correlation between PDW and hearing loss severity in patients group. However, further investigation is required to unequivocally establish the absence of correlation between the platelet parameters and occurrence of SSNHL.

  18. Role of Platelet Parameters on Sudden Sensorineural Hearing Loss: A Case-Control Study in Iran.

    Directory of Open Access Journals (Sweden)

    Abbas Mirvakili

    Full Text Available Sudden sensorineural hearing loss (SSNHL is a common otological disorder characterized by a hearing loss greater than 30 dB over three consecutive frequencies, in less than 72 hours. It has been established that platelet parameters, such as mean platelet volume, are associated with ischemic heart events, whose clinical manifestations are similar to those of SSNHL. Hence, we aimed to determine if the platelet count, mean platelet volume and platelet distribution width are related to the occurrence and severity of sudden sensorineural hearing loss. A case-control prospective study was conducted in a teaching hospital in Iran. One hundred-eight patients with SSNHL and an equal number of healthy, age- and sex-matched controls were enrolled in the study. Peripheral venous blood samples were collected from the subjects, and the platelet count, mean platelet volume and platelet distribution width were measured with an automated blood cell counter. Analysis of the audiometry and hematological test results using SPSS22 software showed no statistical correlation between the platelet parameters and the occurrence of SSNHL, but correlation coefficients showed a significant correlation between PDW and hearing loss severity in patients group. However, further investigation is required to unequivocally establish the absence of correlation between the platelet parameters and occurrence of SSNHL.

  19. [Hearing handicap in childhood--responsibilities of public health, early diagnosis].

    Science.gov (United States)

    Aust, G; Föll, U; Lutt, B; Schaffrath, R

    1989-01-01

    Serious congenital hearing impairment occur in 1 per 1,000 people. Hereditary disease, perinatal complications, and postnatal disease present particular risk factors. Children, who do not hear or are extremely hard of hearing are slow in their language development and thus become retarded in their mental growth if not given appropriate stimulation. The Counseling Center for the hearing impaired was stablished as a multidisciplinary institution of the Health Office of Berlin-Neukölln for early recognition of and therapy for hearing impaired children. The average age at initial diagnosis of children with hearing impairment in the Federal Republic of Germany is between 3.3-3.4 years according to statistics from 1981. An effort should be made, however, to use the time before the completion of the first year of on's life for an optimal early therapy. Statistics from the Counseling Center for the hearing impaired indicate that at the present time all children with distinct hearing impairments, born in the FRG and West-Berlin, are diagnosed before they reach 32 months of age and are then assigned to special education programs. The average age of recognizing hearing impairments is 13.4 months. This favorable, however not optimal result can be attributed to the situation of a metropolis and its population informed by special professional events for target groups including employees of theYouth Health Services, established pediatricians and ENT specialists, teachers, social workers, educators, and also to the model of the "Berlin-Neukölln Counseling Center" which has proven successful over the past 30 years.

  20. Newborn Hearing Screening in a Public Maternity Ward in Curitiba, Brazil: Determining Factors for Not Retesting.

    Science.gov (United States)

    Luz, Idalina; Ribas, Angela; Kozlowski, Lorena; Willig, Mariluci; Berberian, Ana Paula

    2016-10-01

    Introduction Law 12.303/10 requires hearing screening in newborns before hospital discharge to detect possible hearing problems within the first three months after birth. If the newborn fails the test or presents signs of risk for hearing loss, it must undergo a retest and monitoring during the first year of life. In practice, this often does not happen. Objective To identify, in a group of mothers of children with risk factors for hearing loss, the determining reasons for non-compliance with the auditory retest. Method This is a cross-sectional quantitative study. For data collection, we handed a semi-structured questionnaire to 60 mothers of babies at risk for hearing loss who did not attend the hearing retest after hospital discharge. The questionnaire investigated their age, education, marital status, level of knowledge about the hearing screening, and reasons for non-compliance with the retest. We compared and analyzed data using the Chi-square test at a significance level of 0.05%. Results Our study found that 63% of the respondents were unaware of the hearing screening and most did not receive guidance on testing during prenatal care; 30% of participants stated forgetting as the reason for not attending the retest. There was no significant relationship between age, education, and marital status regarding knowledge about the test and the non-compliance with the retest. Conclusion Identified as the most significant determining factors for non-compliance with the newborn hearing screening retest were the surveyed mothers' forgetting the date, and their ignorance as to the importance of retesting.

  1. Newborn Hearing Screening in a Public Maternity Ward in Curitiba, Brazil: Determining Factors for Not Retesting

    Directory of Open Access Journals (Sweden)

    Luz, Idalina

    2015-11-01

    Full Text Available Introduction Law 12.303/10 requires hearing screening in newborns before hospital discharge to detect possible hearing problems within the first three months after birth. If the newborn fails the test or presents signs of risk for hearing loss, it must undergo a retest and monitoring during the first year of life. In practice, this often does not happen. Objective To identify, in a group of mothers of children with risk factors for hearing loss, the determining reasons for non-compliance with the auditory retest. Method This is a cross-sectional quantitative study. For data collection, we handed a semi-structured questionnaire to 60 mothers of babies at risk for hearing loss who did not attend the hearing retest after hospital discharge. The questionnaire investigated their age, education, marital status, level of knowledge about the hearing screening, and reasons for non-compliance with the retest. We compared and analyzed data using the Chi-square test at a significance level of 0.05%. Results Our study found that 63% of the respondents were unaware of the hearing screening and most did not receive guidance on testing during prenatal care; 30% of participants stated forgetting as the reason for not attending the retest. There was no significant relationship between age, education, and marital status regarding knowledge about the test and the non-compliance with the retest. Conclusion Identified as the most significant determining factors for non-compliance with the newborn hearing screening retest were the surveyed mothers' forgetting the date, and their ignorance as to the importance of retesting.

  2. Triagem auditiva em hospital público de Belo Horizonte, Minas Gerais, Brasil: deficiência auditiva e seus fatores de risco em neonatos e lactentes Hearing screening in a public hospital in Belo Horizonte, Minas Gerais State, Brazil: hearing impairment and risk factors in neonates and infants

    Directory of Open Access Journals (Sweden)

    Luciana Oliveira Tiensoli

    2007-06-01

    Full Text Available O objetivo do trabalho foi estimar a prevalência de deficiência auditiva em crianças de hospital público de Belo Horizonte, Minas Gerais, Brasil, e investigar sua associação com fatores de risco descritos na literatura. O estudo transversal, retrospectivo, analisou 798 neonatos e lactentes, avaliados no Programa de Triagem Auditiva Neonatal Universal entre junho de 2002 e dezembro de 2003. Foram pesquisados os fatores de risco estabelecidos pelo Joint Committee on Infant Hearing em 1994, e por Azevedo em 1996, além da prematuridade. A prevalência de deficiência auditiva foi de 1,8% (15 casos. Foi realizada análise multivariada por regressão logística para verificação da associação entre fatores de risco e perda auditiva, que revelou associação estatisticamente significativa (valor p The objective of this study was to estimate the prevalence of hearing impairment in children in a public hospital in Belo Horizonte, Minas Gerais, Brazil, and to investigate the association with risk factors described in the literature. This study was cross-sectional and retrospective and analyzed 798 newborns and infants evaluated in the Universal Neonatal Hearing Screening Program from June 2002 to December 2003. The risk factors established by the Joint Committee on Infant Hearing in 1994 and Azevedo in 1996 were studied, besides prematurity. Prevalence of hearing impairment was 1.8% (15 cases. A multivariate logistic regression analysis was used to verify associations between risk factors and hearing impairment, showing a significant statistical association (p < 0.05 between hearing loss and suspicion of hearing loss by relatives, hyperbilirubinemia (serum level requiring exchange transfusion, ototoxic drugs, and low birth weight. A significant prevalence of hearing impairment in neonates and infants was confirmed. Attention should thus be focused on risk factors for hearing impairment, using hearing programs that ensure prevention, early

  3. A Case-control Study on High-risk Factors for Newborn Hearing Loss in Seven Cities of Shandong Province

    Institute of Scientific and Technical Information of China (English)

    NIE Wenying; WU Hanrong; QI Yisheng; LIN Qian; XIANG Lili; LI Hui; LI Yinghui

    2007-01-01

    To investigate the high-risk factors for newborn heating loss and to provide information for preventing the development of hearing loss and delaying its progression, from May 2003 to June 2006, neonates who failed to pass the universal newborn hearing screening (UNHS) were referred to Jinan Newborn Hearing Screening and Rehabilitation Center from 7 newborn heating screening centers in seven cities of Shandong province. One-to-one pair-matched case-control method was employed for statistical analysis of the basic features of definitely identified cases. High-risk factors relating to the bilateral hearing loss were evaluated by univariate and multivariate Logistic regression analysis. Our results revealed that 721 transferred newborns who didn't pass the heating screening received audiological and medical evaluation and 367 were confirmed to have heating loss. Of them,177 neonates with heating loss who met the matching requirements were included in the study as subjects. Univariate analysis showed that high-risk factors related to hearing loss incuded age of father, education backgrounds of parents, parity, birth weight, gestational weeks, craniofacial deformity,history of receiving treatment in neonatal intensive care unit (NICU), neonatal disease, family history of otopathy and family history of congenital hearing loss. Multivariate Logistic regression analysis revealed that 4 independent risk factors were related to bilateral hearing loss, including parity (OR=16.285, 95% CI 3.379-78.481), neonatal disease (OR=34.968, 95% CI 2.720-449.534),family history of congenital hearing loss (OR=69.488, 95% CI 4.417-1093.300) and birth weight (OR=0.241, 95% CI 0.090-0.648). It is concluded that parity, neonatal disease and family history of hearing loss are the promoting factors of bilateral hearing loss in neonates and appropriate intervention measures should be taken to deal with the risk factors.

  4. Valproate-induced reversible sensorineural hearing loss: a case report with serial audiometry and pharmacokinetic modelling during a valproate rechallenge.

    Science.gov (United States)

    Yeap, Li-Ling; Lim, Kheng-Seang; Lo, Yoke-Lin; Bakar, Mohd Zukiflee Abu; Tan, Chong-Tin

    2014-09-01

    Hearing loss has been reported with valproic acid (VPA) use. However, this is the first case of VPA-induced hearing loss that was tested and confirmed with a VPA rechallenge, supported by serial audiometry and pharmacokinetic modelling. A 39-year-old truck driver with temporal lobe epilepsy was treated with VPA at 400 mg, twice daily, and developed hearing loss after each dose, but recovered within three hours. Hearing loss fully resolved after VPA discontinuation. Audiometry performed five hours after VPA rechallenge showed significant improvement in hearing thresholds. Pharmacokinetic modelling during the VPA rechallenge showed that hearing loss occurred at a level below the therapeutic range. Brainstem auditory evoked potential at three months after VPA discontinuation showed bilateral conduction defect between the cochlear and superior olivary nucleus, supporting a pre-existing auditory deficit. VPA may cause temporary hearing threshold shift. Pre-existing auditory defect may be a risk factor for VPA-induced hearing loss. Caution should be taken while prescribing VPA to patients with pre-existing auditory deficit.

  5. Bilateral sudden hearing loss following habitual abortion: a case report and review of literature.

    Science.gov (United States)

    Yin, Tuanfang; Huang, Fengying; Ren, Jihao; Liu, Wei; Chen, Xing; Li, Lihua; Xie, Dinghua; Lu, Yongde

    2013-01-01

    Sudden sensorineural hearing loss (SSNHL) is usually unilateral and can be associated with tinnitus and vertigo. The most common causes of this disease are known to be the vascular and viral agents, but immune disorders are involved in the development of sudden deafness. The antiphospholipid syndrome (APS) is an acquired autoimmune system disorder, which is defined as the presence of antiphospholipid antibodies (APA) in the patient's blood, then cause venous and/or arterial thrombosis in various organs of the body, for example, thrombosis can occur in the placenta and/or the inner ear. As a result, it can cause abortion and/or sudden deafness. Bilateral SSNHL following habitual abortion is a rare clinical event. Here, we report a case of 32-year-old woman who presented with bilateral sudden hearing loss following recurrent pregnancy loss (RPL) as the first manifestation of primary antiphospholipid syndrome. Combine the literature, the diagnosis, clinical implication and treatment are discussed.

  6. Simultaneous nonepileptic spells and nonorganic hearing loss: A case of comorbid psychogenic symptoms

    Directory of Open Access Journals (Sweden)

    Reza Sadjadi

    2014-01-01

    Full Text Available A twenty-eight-year-old woman with an eight-year history of partial hearing loss presented with a two-year history of worsening deafness and new-onset seizures. Evaluations of tympanic membranes, cochlea, and auditory brain stem reflexes demonstrated no physiologic basis for deafness. Video-EEG monitoring demonstrated that the patient responded normally to spontaneous auditory stimuli and that typical spells were nonepileptic in origin. Although pseudohypacusis is reported in audiology literature, and psychogenic nonepileptic spells are well-studied phenomena in neurology literature, the present case is an unusual case of dual psychogenic symptoms, a relationship that indicates poorer prognosis.

  7. A Qualitative Case Study of Smartphone-Connected Hearing Aids: Influences on Patients, Clinicians, and Patient-Clinician Interactions.

    Science.gov (United States)

    Ng, Stella L; Phelan, Shanon; Leonard, MaryAnn; Galster, Jason

    2017-06-01

    Innovations in hearing aid technology influence clinicians and individuals who use hearing aids. Little research, to date, explains the innovation adoption experiences and perspectives of clinicians and patients, which matter to a field like audiology, wherein technology innovation is constant. By understanding clinician and patient experiences with such innovations, the field of audiology may develop technologies and ways of practicing in a manner more responsive to patients' needs, and attentive to society's influence. The authors aimed to understand how new innovations influence clinician and patient experiences, through a study focusing on connected hearing aids. "Connected" refers to the wireless functional connection of hearing aids with everyday technologies like mobile phones and tablets. The authors used a qualitative collective case study methodology, borrowing from constructivist grounded theory for data collection and analysis methods. Specifically, the authors designed a collective case study of a connected hearing aid and smartphone application, composed of two cases of experience with the innovation: the case of clinician experiences, and the case of patient experiences. The qualitative sampling methods employed were case sampling, purposive within-case sampling, and theoretical sampling, and culminated in a total collective case n = 19 (clinician case n = 8; patient case n = 11). These data were triangulated with a supplementary sample of ten documents: relevant news and popular media collected during the study time frame. The authors conducted interviews with the patients and clinicians, and analyzed the interview and document data using the constant comparative method. The authors compared their two cases by looking at trends within, between, and across cases. The clinician case highlighted clinicians' heuristic-based candidacy judgments in response to the adoption of the connected hearing aids into their practice. The patient case revealed

  8. Hearing Nano-Structures: A Case Study in Timbral Sonification

    Energy Technology Data Exchange (ETDEWEB)

    Schedel, M.; Yager, K.

    2012-06-18

    We explore the sonification of x-ray scattering data, which are two-dimensional arrays of intensity whose meaning is obscure and non-intuitive. Direct mapping of the experimental data into sound is found to produce timbral sonifications that, while sacrificing conventional aesthetic appeal, provide a rich auditory landscape for exploration. We discuss the optimization of sonification variables, and speculate on potential real-world applications. We have presented a case study of sonifying x-ray scattering data. Direct mapping of the two-dimensional intensity values of a scattering dataset into the two-dimensional matrix of a sonogram is a natural and information-preserving operation that creates rich sounds. Our work supports the notion that many problems in understanding rather abstract scientific datasets can be ameliorated by adding the auditory modality of sonification. We further emphasize that sonification need not be limited to time-series data: any data matrix is amenable. Timbral sonification is less obviously aesthetic, than tonal sonification, which generate melody, harmony, or rhythm. However these musical sonifications necessarily sacrifice information content for beauty. Timbral sonification is useful because the entire dataset is represented. Non-musicians can understand the data through the overall color of the sound; audio experts can extract more detailed insight by studying all the features of the sound.

  9. 20 CFR 416.1448 - Deciding a case without an oral hearing before an administrative law judge.

    Science.gov (United States)

    2010-04-01

    ... § 416.1448 Deciding a case without an oral hearing before an administrative law judge. (a) Decision... the administrative law judge must be based on this record. (c) Case remanded for a revised determination. (1) The administrative law judge may remand a case to the appropriate component of our office for...

  10. 20 CFR 404.948 - Deciding a case without an oral hearing before an administrative law judge.

    Science.gov (United States)

    2010-04-01

    ....948 Deciding a case without an oral hearing before an administrative law judge. (a) Decision wholly... is based. (b) Parties do not wish to appear. (1) The administrative law judge may decide a case on... the administrative law judge must be based on this record. (c) Case remanded for a revised...

  11. Autoimmune sensorineural hearing loss as presenting manifestation of paediatric Behçet disease responding to adalimumab: a case report

    OpenAIRE

    Marsili, Manuela; Marzetti, Valentina; Lucantoni, Marta; Lapergola, Giuseppe; Gattorno, Marco; Chiarelli, Francesco; Breda, Luciana

    2016-01-01

    Background Autoimmune sensorineural hearing loss, also known as autoimmune inner ear disease (AIED) is a rare clinical entity characterized by progressive and bilateral sensorineural hearing loss often accompanied by vestibular symptoms. Diagnosis is essential as a consistent number of patients show a positive response to steroids alone or in association with other immunosuppressive drugs. AIED is defined as primary when the disease is limited to the ear, whereas in up to a third of cases it ...

  12. Bilateral sudden sensorineural hearing loss as a presenting feature of systemic lupus erythematosus: Case report and brief review of other published cases.

    Science.gov (United States)

    Chawki, Sylvain; Aouizerate, Jessie; Trad, Selim; Prinseau, Jacques; Hanslik, Thomas

    2016-09-01

    Sudden sensorineural hearing loss is an unusual presenting clinical feature of systemic lupus erythematosus. We report the case of a young woman who was admitted to hospital for sudden sensorineural hearing loss and hemophagocytic syndrome which was attributed to systemic lupus erythematosus on the basis of specific renal involvement, thrombocytopenia, and consistent autoantibodies. Favorable outcome was obtained on high-dose corticosteroids, and the hearing fully recovered. Sudden sensorineural hearing loss in systemic lupus erythematosus is seemingly more frequently associated with severe systemic involvement and antiphospholipid antibodies may be present. Although management remains empirical, the high risk of permanent hearing impairment seems to justify emergency treatment with high-dose corticosteroids. When the clinical and laboratory criteria of antiphospholipid syndrome are met, antiplatelets agents or anticoagulation therapy shall be considered.

  13. PUBLIC DEBT SUSTAINABILITY ANALYSIS: EU CASE

    National Research Council Canada - National Science Library

    Botoc Claudiu; Pirtea Marilen; Nicolescu Cristina

    2011-01-01

    .... Commonly, public debt sustainability is defined as a sovereign's ability to service debt without large adjustments to public revenue and/or expenditure and without ever-increasing public-debt-to-GDP ratios...

  14. CERN hearing day

    CERN Multimedia

    2005-01-01

    1 in 10 people suffer from hearing loss - do you? The Medical Service invites everyone working on the CERN site to participate in the NATIONAL HEARING DAY on: Thursday 10th March 2005 From 9am to 4pm The Infirmary, Blg. 57, Ground Floor We will be offering hearing tests (audiograms), as well as information and advice on hearing loss, tinnitus, etc. Deafness does not just affect the elderly: in Europe, 50% of the hearing-impaired are under the age of 55. Exposure to excessive noise is one of the main reasons for hearing problems but PREVENTION IS POSSIBLE. For example, hearing protection devices can prevent 80% of tinnitus cases.

  15. CERN hearing day

    CERN Multimedia

    2005-01-01

    1 in 10 people suffer from hearing loss - do you? The Medical Service invites everyone working on CERN premises to participate in the National Hearing Day on: Thursday 10th March From 9am to 4pm The Infirmary, Blg. 57, Gr.Fl. We will be offering hearing tests (audiogram); information, advice on hearing loss, tinnitus and more. Deafness does not just affect the elderly: in Europe, 50% the hearing-impaired are under the age of 55. Exposure to excessive noise is one of the main reasons for hearing loss. But PREVENTION IS POSSIBLE AND EFFECTIVE: for example, Hearing protection devices could reduce tinnitus cases by 80%.

  16. CERN hearing day

    CERN Multimedia

    2005-01-01

    1 in 10 people suffer from hearing loss ? do you? The Medical Service invites everyone working on the CERN site to participate in the NATIONAL HEARING DAY on: Thursday 10th March 2005 From 9am to 4pm The Infirmary, Blg. 57, Ground Floor We will be offering hearing tests (audiograms), as well as information and advice on hearing loss, tinnitus, etc. Deafness does not just affect the elderly: in Europe, 50% of the hearing-impaired are under the age of 55. Exposure to excessive noise is one of the main reasons for hearing problems but prevention is possible. For example, hearing protection devices can prevent 80% of tinnitus cases.

  17. CERN hearing day

    CERN Document Server

    2005-01-01

    1 in 10 people suffer from hearing loss - do you? The Medical Service invites everyone working on CERN premises to participate in the National Hearing Day on: Thursday 10th March From 9am to 4pm The Infirmary, Blg. 57, Gr.Fl. We will be offering hearing tests (audiogram); information, advice on hearing loss, tinnitus and more. Deafness does not just affect the elderly: in Europe, 50% the hearing-impaired are under the age of 55. Exposure to excessive noise is one of the main reasons for hearing loss. But prevention is possible and effective: for example, Hearing protection devices could reduce tinnitus cases by 80%.

  18. 10 CFR 51.105a - Public hearings in proceedings for issuance of manufacturing licenses.

    Science.gov (United States)

    2010-01-01

    ... manufacturing licenses. 51.105a Section 51.105a Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) ENVIRONMENTAL... hearings in proceedings for issuance of manufacturing licenses. In addition to complying with applicable requirements of § 51.31(c), in a proceeding for the issuance of a manufacturing license, the presiding...

  19. Different Styles of Hearing Aids

    Science.gov (United States)

    ... Careers Certification Publications Events Advocacy Continuing Education Practice Management Research Home / Information for the Public / Hearing and Balance Different Styles of Hearing Aids In-the-Canal (ITC) and ...

  20. Hearing of the public of September 12, 2005 at Bar-le-Duc; Audition du public du 12 septembre 2005, Bar-le-Duc

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    The law from December 30, 1991, precisely defines 3 axes of researches for the management of high level and long-lived radioactive wastes: separation/transmutation, surface storage and underground disposal. A global evaluation report about these researches is to be supplied in 2006 by the French government to the Parliament. A first synthesis of the knowledge gained after 14 years of research has led the national commission of the public debate (CNDP) to organize a national debate about the general options of management of high-level and long-lived radioactive wastes before the 2006 date line. The debate comprises 4 public hearings (September 2005: Bar-le-Duc, Saint-Dizier, Pont-du-Gard, Cherbourg), 12 round-tables (October and November 2005: Paris, Joinville, Caen, Nancy, Marseille), a synthesis meeting (December 2005, Dunkerque) and a closing meeting (January 2006, Lyon). This document is the synthesis of the debates of the first public hearing at Bar-le-Duc. This meeting gathers representatives of the different actors of the nuclear industry, ministers, public authorities, non governmental organizations who argue the questions asked by peoples from the audience. The topics concern the three axes of researches, the volume of wastes, the safety aspects of waste facilities and the financial aspects of waste management. Three presentations (slides) are attached to the proceedings and treat of: the context of the debate in the framework of the 1991 law and the future law project on radioactive waste management; the present day status and management of radioactive wastes; and the evaluation of the ANDRA's research program on the Bure site. (J.S.)

  1. Hearing Loss is Associated With Risk of Alzheimer’s Disease: A Case-Control Study in Older People

    OpenAIRE

    Shih-Chang Hung; Kuan-Fu Liao; Chih-Hsin Muo; Shih-Wei Lai; Chia-Wei Chang; Hung-Chang Hung

    2015-01-01

    Background: It remains unknown whether hearing loss increases the risk of Alzheimer’s disease. This study aimed to examine the association between hearing loss and risk of Alzheimer’s disease in older people in Taiwan. Methods: Analyzing the database from Taiwan’s National Health Insurance Program, this case-control study enrolled 488 subjects ≥65 years old with newly diagnosed Alzheimer’s disease as a case group and 1952 subjects without Alzheimer’s disease as a control group from 1998–20...

  2. 20 CFR 725.454 - Time and place of hearing; transfer of cases.

    Science.gov (United States)

    2010-04-01

    ... FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, AS AMENDED CLAIMS FOR BENEFITS UNDER PART C OF TITLE IV OF THE FEDERAL MINE SAFETY AND HEALTH ACT, AS AMENDED Hearings § 725.454 Time and place of hearing..., schedule the hearing in the country of the claimant's residence. (c) The Chief Administrative Law Judge...

  3. Maternal distancing strategies toward twin sons, one with mild hearing loss: a case study.

    Science.gov (United States)

    Muñoz-Silva, Alicia; Sánchez-García, Manuel

    2004-01-01

    The authors apply descriptive and sequential analyses to a mother's distancing strategies toward her 3-year-old twin sons in puzzle assembly and book reading tasks. One boy had normal hearing and the other a mild hearing loss (threshold: 30 dB). The results show that the mother used more distancing behaviors with the son with a hearing loss, and thus gave greater encouragement to this son's cognitive development. These results differ from those of previous studies of deaf or hard of hearing children, whose participants generally had severe or profound hearing loss. In those studies, parents of deaf children used more low-level distancing than parents of normally hearing children. The results of the present study are discussed in terms of their implications for the parenting of twins and of children with mild hearing loss.

  4. Hearing loss

    Science.gov (United States)

    Decreased hearing; Deafness; Loss of hearing; Conductive hearing loss; Sensorineural hearing loss; Presbycusis ... Symptoms of hearing loss may include: Certain sounds seeming too ... conversations when two or more people are talking Difficulty ...

  5. Transforming Public Education: Cases in Education Entrepreneurship. Instructor's Guide

    Science.gov (United States)

    Childress, Stacey M., Ed.

    2010-01-01

    This instructor's guide is intended for use with "Transforming Public Education: Cases in Education Entrepreneurship." This volume includes a teaching note for each case in the student edition; the note provides basic guidance in how to initaite and organize the flow of the case discussion as well as how the case links to others before…

  6. Revision Stapedotomy : Operative Findings and Hearing Results. A Prospective Study of 652 Cases From the Otology-Neurotology Database

    NARCIS (Netherlands)

    Vincent, Robert; Rovers, Maroeska; Zingade, Narayan; Oates, John; Sperling, Neil; Deveze, Arnaud; Grolman, Wilko

    2010-01-01

    Objective: To identify the causes of failure of primary stapes surgery and to evaluate the hearing results of revision stapes surgery in a consecutive series of 652 cases. Study Design: Prospective nonrandomized clinical study. Setting: Tertiary referral center. Patients: Six hundred thirty-four pat

  7. 78 FR 51744 - Digital Trade in the U.S. and Global Economies, Part 2; Scheduling of an Additional Public Hearing

    Science.gov (United States)

    2013-08-21

    ... COMMISSION Digital Trade in the U.S. and Global Economies, Part 2; Scheduling of an Additional Public Hearing..., Digital Trade in the U.S. and Global Economies, Part 2 at the NASA Ames Research Center in Moffett Field... role of digital trade in the U.S. and global economies at the request of the U.S. Senate Committee...

  8. Libraries and Accessibility: Istanbul Public Libraries Case

    Directory of Open Access Journals (Sweden)

    Gül Yücel

    2016-12-01

    Full Text Available In the study; the assessment of accessibility has been conducted in Istanbul public libraries within the scope of public area. Public libraries commonly serve with its user of more than 20 million in total, spread to the general of Turkey, having more than one thousand branches in the centrums and having more than one million registered members. The building principles and standards covering the subjects such as the selection of place, historical and architectural specification of the region, distance to the centre of population and design in a way that the disabled people could benefit from the library services fully have been determined with regulations in the construction of new libraries. There are works for the existent libraries such as access for the disabled, fire safety precautions etc. within the scope of the related standards. Easy access by everyone is prioritized in the public libraries having a significant role in life-long learning. The purpose of the study is to develop solution suggestions for the accessibility problems in the public libraries. The study based on the eye inspection and assessments carried out within the scope of accessibility in the public libraries subsidiary to Istanbul Culture and Tourism Provincial Directorate Library and Publications Department within the provincial borders of Istanbul. The arrangements such as reading halls, study areas, book shelves etc. have been examined within the frame of accessible building standards. Building entrances, ramps and staircases, horizontal and vertical circulation of building etc. have been taken into consideration within the scope of accessible building standards. The subjects such as the reading and studying areas and book shelf arrangements for the library have been assessed within the scope of specific buildings. There are a total of 34 public libraries subsidiary to Istanbul Culture and Tourism Provincial Directorate on condition that 20 ea. of them are in the

  9. What hearing children think regarding the inclusion of deaf children in the regular classroom: a comparative study with Brazilian children in a public and a private school

    Directory of Open Access Journals (Sweden)

    Beatriz Vargas Dorneles

    2010-10-01

    Full Text Available The present study investigates how hearing children relate to the presence of a deaf child in a classroom group. An analysis is made of the influence of social class in relation to the acceptance of the deaf child by the hearing children. The 144 children from the 3rd to 5th series that participated in the study were distributed thus: 76 from a private school and 68 from a public school, both from Porto Alegre, RS. The public school largely attended lower level socioeconomic classes, while the private school attended pupils from predominantly middle to upper social classes. All received the same task: Complete a story that describes the reaction of hearing students to the insertion of a new deaf colleague in the classroom group. The study demonstrates that pupils wish to attempt to communicate with the deaf child and would socialize with the child outside the classroom. They demonstrate a somewhat protective discourse in relation to the subject who they consider disabled but not incapable of communicating. Understanding how hearing children relate to, and include a deaf child within the classroom, raises the possibility of new forms of thinking regarding the preparation of hearing children to possible inclusion processes. Recognizing their ideas, feelings and forms of communication aids educational institutions to invest in inclusion policies.

  10. Hearing preservation with a hybrid cochlear implant (electro-acoustic stimulation – case report

    Directory of Open Access Journals (Sweden)

    Janez Rebol

    2014-01-01

    Full Text Available Typical preoperative hearing loss of candidates for a hybrid cochlear implant ranges from mild to moderate hearing loss in the low frequencies (up to 500 Hz and severe to profound hearing loss in the mid and high frequencies (above 1500 Hz. Usually, the patients have limited or no benefit from hearing aids and their word discrimination score is between 10–60 %. These patients often do not use the hearing aids at all, because they do not hear well in the middle and high frequencies.This 8-year old boy presented with symetrical hearing loss, which was profound in middle and high frequencies and moderate in low frequencies. Because of that, his speech development was impaired. We inserted a hybrid cochlear implant with a hearing preservation electrode by atraumatic insertion technique through the round window and succeeded to preserve his residual hearing. He adapted well to the use of hearing aid and cochlear implant and significantly improved understanding of the high frequency words and sentences.

  11. International or national publication of case reports

    DEFF Research Database (Denmark)

    Lundh, Andreas; Christensen, Mikkel; Jørgensen, Anders W

    2011-01-01

    Case reports are often regarded as second-class research, but are an important part of medical science as they often present first evidence of new discoveries. We here describe the type of case reports published in a Danish general medical journal.......Case reports are often regarded as second-class research, but are an important part of medical science as they often present first evidence of new discoveries. We here describe the type of case reports published in a Danish general medical journal....

  12. 77 FR 73987 - Pacific Fishery Management Council; Public Meetings and Hearings

    Science.gov (United States)

    2012-12-12

    ... (STT) will meet at the Pacific Council office in a public work session to draft ``Review of 2012 Ocean... salmon fisheries. February 19-22, 2013: The STT will meet at the Pacific Council office in a public work... 95501, telephone 707-445-0844. Although nonemergency issues not contained in the STT meeting agendas may...

  13. A Case of the Vibrant Soundbridge Stapes Coupler in Patients with Mixed Hearing Loss

    OpenAIRE

    Park, Ah Young; Jeon, Ju Hyun; Moon, In Seok; Choi, Jae Young

    2014-01-01

    The Vibrant Soundbridge (VSB) with stapes clip coupler placement at the stapes head has been used successfully to treat mixed hearing loss. Coupling between the floating mass transducer of the VSB and the stapes head is technically less demanding than incus vibroplasty and is more likely to generate a positive outcome without significantly changing residual hearing or resulting in medical or surgical complications. A 65-year-old man with bilateral mixed hearing loss and chronic otitis media u...

  14. Temporary bilateral sensorineural hearing loss following cardiopulmonary bypass -A case report-

    OpenAIRE

    Son, Hyo Jung; Joh, Jung Hwa; Kim, Wook Jong; Chin, Ji Hyun; Choi, Dae Kee; Lee, Eun Ho; Sim, Ji Yeon; Choi, In-Cheol

    2011-01-01

    Sudden sensorineural hearing loss has been reported to occur following anesthesia and various non-otologic surgeries, mostly after procedures involving cardiopulmonary bypass. Unilateral sensorineural hearing loss resulting from microembolism is an infrequent complication of cardiopulmonary bypass surgery that has long been acknowledged. Moreover, there are few reports on the occurrence of bilateral sensorineural hearing loss without other neurologic deficits and its etiology has also not bee...

  15. International or national publication of case reports.

    Science.gov (United States)

    Lundh, Andreas; Christensen, Mikkel; Jørgensen, Anders W

    2011-02-01

    Case reports are often regarded as second-class research, but are an important part of medical science as they often present first evidence of new discoveries. We here describe the type of case reports published in a Danish general medical journal. We included all case reports published in Ugeskrift for Laeger in 2009. For each report, two authors extracted information on study characteristics and classified the relevance and the role of the report. We included 139 case reports written in Danish. Thirty-nine (28%) were of general relevance and 100 (72%) of speciality relevance. The median number of authors was three (range: 1-7). The first author was a non-specialist physician in 119 (86%) of the reports and the last author a specialist in 103 (78%). A total of 124 (89%) reports had an educational role, six (4%) dealt with new diseases, two (1%) with new side effects, three (2%) with new mechanisms and four (3%) were curiosities. A total of 59 (42%) reports were surgical, 64 (46%) non-surgical and 16 (12%) paraclinical. We found that most case reports published in Ugeskrift for Laeger were of speciality relevance and had an educational perspective. The journal may consider focusing on cases of more general educational relevance and should also consider whether the current form and language suit the aim and role of the various types of case reports.

  16. Sudden Sensorineural Hearing Loss and Polymorphisms in Iron Homeostasis Genes: New Insights from a Case-Control Study

    Directory of Open Access Journals (Sweden)

    Alessandro Castiglione

    2015-01-01

    Full Text Available Background. Even if various pathophysiological events have been proposed as explanations, the putative cause of sudden hearing loss remains unclear. Objectives. To investigate and to reveal associations (if any between the main iron-related gene variants and idiopathic sudden sensorineural hearing loss. Study Design. Case-control study. Materials and Methods. A total of 200 sudden sensorineural hearing loss patients (median age 63.65 years; range 10–92 were compared with 400 healthy control subjects. The following genetic variants were investigated: the polymorphism c.−8CG in the promoter of the ferroportin gene (FPN1; SLC40A1, the two isoforms C1 and C2 (p.P570S of the transferrin protein (TF, the amino acidic substitutions p.H63D and p.C282Y in the hereditary hemochromatosis protein (HFE, and the polymorphism c.–582AG in the promoter of the HEPC gene, which encodes the protein hepcidin (HAMP. Results. The homozygous genotype c.−8GG of the SLC40A1 gene revealed an OR for ISSNHL risk of 4.27 (CI 95%, 2.65–6.89; P=0.001, being overrepresented among cases. Conclusions. Our study indicates that the homozygous genotype FPN1 −8GG was significantly associated with increased risk of developing sudden hearing loss. These findings suggest new research should be conducted in the field of iron homeostasis in the inner ear.

  17. Complete recovery following hyperbaric oxygen therapy in idiopathic sudden sensorineural hearing loss--a report of two cases.

    Science.gov (United States)

    Agrawal, Swati; Sharma, Nishi

    2016-01-01

    Idiopathic sudden sensorineural hearing loss (ISSHL), a common otologic emergency, presents mostly as an abrupt onset unilateral hearing loss, aural fullness, often with vertigo and tinnitus, usually upon awakening in the morning. Its etiopathogenesis is multifactorial, so a number of different therapeutic regimens are in practice, hyperbaric oxygen (HBO2) therapy being an effective yet underutilized one. Not all cases recover completely even after treatment. Here we describe two cases of ISSHL, diagnosed on the basis of clinical examination and pure-tone audiometry, who had a complete recovery following administration of HBO2 therapy in addition to medical treatment. These cases are reported to highlight the effectiveness of this modality in a physician's armamentarium.

  18. Laboratory assessment of sudden sensorineural hearing loss: A case-control study.

    Science.gov (United States)

    Fasano, Tommaso; Pertinhez, Thelma A; Tribi, Lorenzo; Lasagni, Daniela; Pilia, Annalisa; Vecchia, Luigi; Baricchi, Roberto; Bianchin, Giovanni

    2017-10-01

    Sudden sensorineural hearing loss (SSHL) is an otologic emergency that affects five to 30 subjects per 100,000/year. The cause of SSHL remains unknown or uncertain in 70% to 90% of cases, and treatment decisions are usually made without knowing the etiology. Prospective case-control study. One hundred thirty-one idiopathic SSHL patients were recruited from January 2014 to June 2015 in concordance with the Statements of Clinical Practice Guideline and divided into groups according to the disease severity. A clinical laboratory assessment was completed on blood samples collected from SSHL patients and control subjects. Multivariable regression analysis was performed to investigate the association between laboratory data and SSHL basis. Only a few SSHL patients were positive for autoimmunity or viral infection. Statistically significant (P < .05) higher levels of blood glucose, glycated hemoglobin (HbA1C), lipoprotein (a), and factor VIII were found in SSHL patients compared to controls. Furthermore, blood glucose, HbA1C, uric acid, factor VIII, and homocysteine were significantly associated to disease severity. Gluco-metabolic, lipidic, and coagulative laboratory data support the vascular hypothesis for SSHL and its severity. 3b Laryngoscope, 127:2375-2381, 2017. © 2017 The American Laryngological, Rhinological and Otological Society, Inc.

  19. Teaching the Public Relations Case Studies/Campaigns Class.

    Science.gov (United States)

    Cottone, Laura Perkins

    The public relations case studies/campaigns class entails teaching students how to die and then come back to life. As students must learn to take a critical look at complex public and social issues, teachers should create an environment in which the students feel comfortable with the process of psychological reconstruction. Students must be taught…

  20. Student Perceptions of Public Accounting Internships: A Case Study

    Science.gov (United States)

    Paine, Brenda E.

    2017-01-01

    The purpose of this dissertation research was to gather data about how students felt about their public accounting internships and to understand how their internship experiences affected their feelings toward public accounting and their career paths. One small, private, Midwest business college was selected for this case study research. Nine…

  1. Local Public Administration Reform. The Romanian Case

    Directory of Open Access Journals (Sweden)

    Tudorel Andrei

    2006-02-01

    Full Text Available The existence of an efficient and democratic administration is one of the main criteria of defining the modernity of a country. At this moment, Romania has not such an administration. That is why a major priority of Romania is to achieve, in a few years, a real reform through which the public administration in our country to achieve the European standards and to be defined by transparency, predictability, responsability, adaptability and effectiveness. As a fact, this is a profound reform. It is obvious that, in order to be successful, this reform cannot be performed exclusively through the effort and political will of more Governments. A joint and structural effort at the level of the entire society is necessary.

  2. Local Public Administration Reform. The Romanian Case

    Directory of Open Access Journals (Sweden)

    Marius Profiroiu

    2006-04-01

    Full Text Available The existence of an efficient and democratic administration is one of the main criteria of defining the modernity of a country. At this moment, Romania has not such an administration. That is why a major priority of Romania is to achieve, in a few years, a real reform through which the public administration in our country to achieve the European standards and to be defined by transparency, predictability, responsability, adaptability and effectiveness. As a fact, this is a profound reform. It is obvious that, in order to be successful, this reform cannot be performed exclusively through the effort and political will of more Governments. A joint and structural effort at the level of the entire society is necessary.

  3. 78 FR 73850 - Pacific Fishery Management Council; Public Meetings and Hearings

    Science.gov (United States)

    2013-12-09

    ... Technical Team (STT) will meet at the Pacific Council office in a public work session to draft ``Review of... the 2014 ocean salmon fisheries. February 18-21, 2014: The STT will meet at the Pacific Council office...-emergency issues not contained in the STT meeting agendas may come before the STT for discussion, those...

  4. 76 FR 78904 - Pacific Fishery Management Council; Public Meetings and Hearings

    Science.gov (United States)

    2011-12-20

    ... January 17-20, 2012: The Salmon Technical Team (STT) will meet at the Pacific Council office in a public... methodology issues pertinent to the 2012 ocean salmon fisheries. February 21-24, 2012: The STT will meet at... contained in the STT meeting agendas may come before the STT for discussion, those issues may not be the...

  5. 75 FR 61497 - Approval Pathway for Biosimilar and Interchangeable Biological Products; Public Hearing; Request...

    Science.gov (United States)

    2010-10-05

    ... HUMAN SERVICES Food and Drug Administration Approval Pathway for Biosimilar and Interchangeable...'' (biosimilar) to, or ``interchangeable'' with, an FDA-licensed biological product. The purpose of this public... for biological products shown to be biosimilar to, or interchangeable with, an FDA-licensed...

  6. Hearing Loss is Associated With Risk of Alzheimer’s Disease: A Case-Control Study in Older People

    Directory of Open Access Journals (Sweden)

    Shih-Chang Hung

    2015-08-01

    Full Text Available Background: It remains unknown whether hearing loss increases the risk of Alzheimer’s disease. This study aimed to examine the association between hearing loss and risk of Alzheimer’s disease in older people in Taiwan. Methods: Analyzing the database from Taiwan’s National Health Insurance Program, this case-control study enrolled 488 subjects ≥65 years old with newly diagnosed Alzheimer’s disease as a case group and 1952 subjects without Alzheimer’s disease as a control group from 1998–2011. Patients with Alzheimer’s disease and other comorbidities were identified by analyzing ICD-9 coding in claims data. The association of hearing loss, other comorbidities, and risk of Alzheimer’s disease were compared between groups. Results: After controlling for confounders, multivariable logistic regression showed an adjusted odds ratio of Alzheimer’s disease of 1.39 in people with hearing loss (95% CI, 1.05–1.84 versus those without. Parkinson’s disease (OR 4.44; 95% CI, 2.54–7.78, head injury (OR 2.31; 95% CI, 1.46–3.66, depression (OR 1.68; 95% CI, 1.19–2.39, hypertension (OR 1.40; 95% CI, 1.10–1.79, and age (each year, OR 1.03; 95% CI, 1.01–1.05 also showed strong links with Alzheimer’s. Conclusions: Hearing loss is associated with increased risk of Alzheimer’s disease in older people in Taiwan.

  7. Monitoring audiometry for occupational hearing loss: A case for eliminating 500 Hz

    Science.gov (United States)

    Stephenson, Mark

    2003-04-01

    Audiometric monitoring is an important element in hearing conservation programs. Nearly every existing hearing conservation standard dictate that hearing thresholds should be measured at specific frequencies, and that 500 Hz be among those frequencies tested. Actual and estimated noise-induced permanent threshold shifts were evaluated as a function of exposure duration and exposure level. The results demonstrate 500 Hz to be of little value in assessing noise-induced hearing loss for typical industrial noise exposures of up to 40 years, at least for time-weighted average exposures of up to 100 dBA. Furthermore, few hearing conservation programs currently require audiometric monitoring to be performed in an environment that meets ANSI standards for maximum permissible background noise levels. This is particularly likely to compromise hearing testing at 500 Hz. As a result, this paper argues against the need for testing at 500 Hz, and recommends it be eliminated as a required test frequency in audiometric monitoring for noise-induced occupational hearing loss.

  8. Two new cases with microdeletion of 17q23.2 suggest presence of a candidate gene for sensorineural hearing loss within this region

    DEFF Research Database (Denmark)

    Schönewolf-Greulich, Bitten; Ronan, Anne; Ravn, Kristine;

    2011-01-01

    . In this report, we describe two new 17q23.2 deletion patients with mild intellectual disability and sensorineural hearing loss. They both had submicroscopic deletions smaller than the common deleted region for the 8 previously described 17q23.2 microdeletion cases. TBX4 was previously suggested...... as the responsible gene for the heart or limb defects observed in 17q23.2 deletion patients, but the present cases do not have these features despite deletion of this gene. The finding of sensorineural hearing loss in 5 of the 10 cases, including the present cases, with a microdeletion at17q23.2, strongly suggests...... the presence of a candidate gene for hearing loss within this region. We screened 41 patients with profound sensorineural hearing loss for mutations of TBX2 and detected no mutations....

  9. 18 CFR 401.81 - Hearings generally.

    Science.gov (United States)

    2010-04-01

    ... ADMINISTRATIVE MANUAL RULES OF PRACTICE AND PROCEDURE Administrative and Other Hearings § 401.81 Hearings... subparts C and E of this part, to the conduct of other administrative hearings involving contested cases...

  10. Bilateral sudden sensorineural hearing loss caused by leptomeningeal carcinomatosis: case report and review.

    Science.gov (United States)

    Öztürk, Murat; Ila, Kadri; Düzgöl, Cihan; Akansel, Gür; Almaç, Ahmet

    2014-01-01

    Leptomeningeal carcinomatosis is a rare condition characterized by diffuse infiltration of the meninges after the metastasis of the solid tumors. Bilateral sudden hearing loss is a rare initial symptom. In this article, we report a 44-year-old male patient with bilateral sudden hearing loss and dizziness. Magnetic resonance imaging showed involvement of the bilateral vestibulocochlear nerves. Malignant cells were detected in cerebrospinal fluid cytology. To the best of our knowledge, leptomeningeal carcinomatosis due to duodenum adenocarcinoma has not been reported before in the English literature. Leptomeningeal carcinomatosis should be kept in mind in patients who have bilateral sudden sensorineural hearing loss.

  11. Hearing impairment and audiovisual speech integration ability: a case study report.

    Science.gov (United States)

    Altieri, Nicholas; Hudock, Daniel

    2014-01-01

    Research in audiovisual speech perception has demonstrated that sensory factors such as auditory and visual acuity are associated with a listener's ability to extract and combine auditory and visual speech cues. This case study report examined audiovisual integration using a newly developed measure of capacity in a sample of hearing-impaired listeners. Capacity assessments are unique because they examine the contribution of reaction-time (RT) as well as accuracy to determine the extent to which a listener efficiently combines auditory and visual speech cues relative to independent race model predictions. Multisensory speech integration ability was examined in two experiments: an open-set sentence recognition and a closed set speeded-word recognition study that measured capacity. Most germane to our approach, capacity illustrated speed-accuracy tradeoffs that may be predicted by audiometric configuration. Results revealed that some listeners benefit from increased accuracy, but fail to benefit in terms of speed on audiovisual relative to unisensory trials. Conversely, other listeners may not benefit in the accuracy domain but instead show an audiovisual processing time benefit.

  12. Hearing, Cognition, and Healthy Aging: Social and Public Health Implications of the Links between Age-Related Declines in Hearing and Cognition

    OpenAIRE

    Pichora-Fuller, M. Kathleen; Mick, Paul; Reed, Marilyn

    2015-01-01

    Sensory input provides the signals used by the brain when listeners understand speech and participate in social activities with other people in a range of everyday situations. When sensory inputs are diminished, there can be short-term consequences to brain functioning, and long-term deprivation can affect brain neuroplasticity. Indeed, the association between hearing loss and cognitive declines in older adults is supported by experimental and epidemiologic evidence, although the causal mecha...

  13. Proposed Expansion of German Air Force Operations at Holloman AFB, New Mexico, Environmental Impact Statement. Volume 2: Public Hearing Transcripts and Responses to Comments

    Science.gov (United States)

    1998-04-01

    1 V : 0 V2 0 b) 02 02 viH 0 S0 2 0- 0 H 0 Id r . 01 3 H 0 02 0 a) 02 4. 0 U(a0 02 4 J 0 Hd 0 1 M .) 10 0d $4 H 4) Fi $4 >. 0 c) $4 0 Un M H H) 01 U 0...RESPONSES TO COMMENTS U U I I I I U I I I I I I Response to Oral and Written Comments Presented at the Public HearingsI The following provides responses...which were submitted in writing. Comments provided at the public hearing, either orally or in writing, are included in Volume II of the FEIS. Written

  14. 43 CFR 4.415 - Request for hearings on appeals involving questions of fact.

    Science.gov (United States)

    2010-10-01

    ... questions of fact. 4.415 Section 4.415 Public Lands: Interior Office of the Secretary of the Interior... Actions by Board of Land Appeals § 4.415 Request for hearings on appeals involving questions of fact... fact, request that the case be assigned to an administrative law judge for such a hearing. Such a...

  15. Hearing, Cognition, and Healthy Aging: Social and Public Health Implications of the Links between Age-Related Declines in Hearing and Cognition

    Science.gov (United States)

    Pichora-Fuller, M. Kathleen; Mick, Paul; Reed, Marilyn

    2015-01-01

    Sensory input provides the signals used by the brain when listeners understand speech and participate in social activities with other people in a range of everyday situations. When sensory inputs are diminished, there can be short-term consequences to brain functioning, and long-term deprivation can affect brain neuroplasticity. Indeed, the association between hearing loss and cognitive declines in older adults is supported by experimental and epidemiologic evidence, although the causal mechanisms remain unknown. These interactions of auditory and cognitive aging play out in the challenges confronted by people with age-related hearing problems when understanding speech and engaging in social interactions. In the present article, we use the World Health Organization's International Classification of Functioning, Disability and Health and the Selective Optimization with Compensation models to highlight the importance of adopting a healthy aging perspective that focuses on facilitating active social participation by older adults. First, we examine epidemiologic evidence linking ARHL to cognitive declines and other health issues. Next, we examine how social factors influence and are influenced by auditory and cognitive aging and if they may provide a possible explanation for the association between ARHL and cognitive decline. Finally, we outline how audiologists could reposition hearing health care within the broader context of healthy aging. PMID:27516713

  16. Hearing, Cognition, and Healthy Aging: Social and Public Health Implications of the Links between Age-Related Declines in Hearing and Cognition.

    Science.gov (United States)

    Pichora-Fuller, M Kathleen; Mick, Paul; Reed, Marilyn

    2015-08-01

    Sensory input provides the signals used by the brain when listeners understand speech and participate in social activities with other people in a range of everyday situations. When sensory inputs are diminished, there can be short-term consequences to brain functioning, and long-term deprivation can affect brain neuroplasticity. Indeed, the association between hearing loss and cognitive declines in older adults is supported by experimental and epidemiologic evidence, although the causal mechanisms remain unknown. These interactions of auditory and cognitive aging play out in the challenges confronted by people with age-related hearing problems when understanding speech and engaging in social interactions. In the present article, we use the World Health Organization's International Classification of Functioning, Disability and Health and the Selective Optimization with Compensation models to highlight the importance of adopting a healthy aging perspective that focuses on facilitating active social participation by older adults. First, we examine epidemiologic evidence linking ARHL to cognitive declines and other health issues. Next, we examine how social factors influence and are influenced by auditory and cognitive aging and if they may provide a possible explanation for the association between ARHL and cognitive decline. Finally, we outline how audiologists could reposition hearing health care within the broader context of healthy aging.

  17. Final environmental impact statement. Management of commercially generated radioactive waste. Volume 3. Public comments hearing board report

    Energy Technology Data Exchange (ETDEWEB)

    1980-10-01

    This EIS analyzes the significant environmental impacts that could occur if various technologies for management and disposal of high-level and transuranic wastes from commercial nuclear power reactors were to be developed and implemented. This EIS will serve as the environmental input for the decision on which technology, or technologies, will be emphasized in further research and development activities in the commercial waste management program. The action proposed in this EIS is to (1) adopt a national strategy to develop mined geologic repositories for disposal of commercially generated high-level and transuranic radioactive waste (while continuing to examine subseabed and very deep hole disposal as potential backup technologies) and (2) conduct a R and D program to develop such facilities and the necessary technology to ensure the safe long-term containment and isolation of these wastes. The Department has considered in this statement: development of conventionally mined deep geologic repositories for disposal of spent fuel from nuclear power reactors and/or radioactive fuel reprocessing wastes; balanced development of several alternative disposal methods; and no waste disposal action. This volume contains written public comments and hearing board responses and reports offered on the draft statement.

  18. Resolution of giant basilar artery aneurysm compression and reversal of sensorineural hearing loss with use of a flow diverter: case report.

    Science.gov (United States)

    Mohammad, Laila M; Coon, Alexander L; Carlson, Andrew P

    2017-07-01

    The authors present an unusual case of a 15-year-old boy in whom sensorineural hearing loss and disequilibrium developed in the setting of a giant basilar artery aneurysm. This patient was treated with a flow-diverting stent and had complete resolution of his clinical symptoms including hearing loss. This case demonstrates the efficacy of flow diversion in select pediatric patients with posterior circulation aneurysms. The features that are thought to result in successful treatment are discussed.

  19. Cancer treatment in determination of hearing loss.

    Science.gov (United States)

    Oliveira, Priscila Feliciano de; Oliveira, Camila Silva; Andrade, Joice Santos; Santos, Tamara Figueiredo do Carmo; Oliveira-Barreto, Aline Cabral de

    2016-01-01

    Chemotherapy and radiotherapy in oncology have repercussions in hearing health, and can damage structures of the inner ear. These repercussions usually, result in a bilateral and irreversible hearing loss. To identify sensorineural hearing loss cases with complaints of tinnitus and difficulty in speech understanding and investigate their relationship with the types of chemotherapy and radiotherapy the patients received. Cross-sectional, clinical, observational, analytical, historical cohort study of 58 subjects treated in a public hospital in the state of Sergipe, diagnosed with neoplasia. The subjects were submitted to anamnesis, conventional pure tone audiometry, and speech recognition threshold. Of the 116 ears, 25.9% presented sensorioneural hearing loss characterized by changes in high frequencies. There was a positive correlation between hearing loss and the association of chemotherapy and radiotherapy (p=0.035; R=0.196). The auditory complaint analysis shows that most of the subjects had tinnitus and speech understanding difficulty, even with a normal auditory threshold. Cancer treatment causes hearing loss, associated with the administration of chemotherapy and radiotherapy. Cyclophosphamide increased the risk of causing hearing loss. Complaints of tinnitus and speech understanding difficulty were observed. Copyright © 2015 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

  20. Exploring potentials of sense-making theory for understanding social processes in public hearing

    DEFF Research Database (Denmark)

    Lyhne, Ivar

    authorities and the public in such planning often characterised by conflict. A sense-making framework is developed based on Karl Weick's theory to investigate how participants at the meeting change their understanding aspects like other actors' opinions and the infrastructure project. Through interviews...... and observations it is shown that participants' senses do not change except from a few aspects. The participants at the meeting thus seem stuck in their positions without interest in being open for other interpretations or arguments. The investigation leads to considerations about the benefit and role...

  1. What We Say, What Our Students Hear: A Case for Active Listening.

    Science.gov (United States)

    Buerk, Dorothy

    2000-01-01

    Encourages teachers to listen more carefully to what students say. Discusses two modes of reasoning in an effort to understand more deeply what students hear and the styles of reasoning that they might use in mathematics. (Contains 12 references.) (ASK)

  2. Public Participation: Lessons from the Case Study Record

    Energy Technology Data Exchange (ETDEWEB)

    Beierle, Thomas C.; Cayford, Jerry [Resources for the Future, Washington, DC (United States)

    2001-07-01

    Public participation has received increasing attention in environmental policy making world wide. Yet research has been inadequate to answer fundamental questions about how successful past programs have been, what factors lead to success, and where efforts to improve public involvement should focus. To address these questions, we examine the case study record of public participation efforts in the United States over the last 30 years. We evaluate the success of numerous examples of public participation in environmental decision making and identify the factors that lead to success. The paper deals with a number of themes, including: The extent to which participation can incorporate public values into decision making, improve the substantive quality of decisions, reduce conflict, increase trust in institutions, and educate and inform the public; What can be expected from different approaches to public participation, such as public meetings, advisory committees, and mediation; The relative importance of the participatory process vs. the context in which participation takes place; Procedural features of particular importance; and The relationship between participation and implementation. The paper provides general results that can be used to guide the improvement of public participation programs, support assessment of innovative methods, and advance the theoretical understanding of public participation.

  3. Virtual Reality Therapy: case study of fear of public speaking.

    Science.gov (United States)

    North, Max M; Schoeneman, Curt M; Mathis, James R

    2002-01-01

    The major goal of this research case study was to investigate the effectiveness of Virtual Reality Therapy (VRT) in the treatment of the fear of public speaking. A twenty-eight-year-old Caucasian male was selected from questionnaires distributed to a class of undergraduate students enrolled at Kennesaw State University. Two assessment measures were used in this study. The first measure used was the Attitude Towards Public Speaking (ATPS) Questionnaire. The second measure used was the eleven-point Subjective Units of Disturbance (SUD) scale. These measurements assessed the anxiety, avoidance, attitudes and disturbance associated with the subject's fear of public speaking before and after each VRT treatment session. This case study of public speaking fear indicates that VRT may be used as an effective treatment method for reducing self-reported anxiety.

  4. Sudden sensorineural hearing loss and vertigo associated with arterial occlusive disease: three case reports and literature review

    Directory of Open Access Journals (Sweden)

    Ney Penteado de Castro Junior

    Full Text Available Sudden sensorineural hearing loss and vertigo (SSNHLV has multifactorial causes, of which viral, autoimmune and vascular insufficiency are the most common. The therapeutic management for SSNHLV includes antiviral drugs, corticosteroids, vasodilators, normovolemic hemodilution therapy and hyperbaric oxygen therapy. Vertebrobasilar occlusive disease and carotid occlusive disease are seldom related to SSNHLV. Discussions concerning SSNHLV caused by occlusive vascular disease are important and necessary for both neurologists and otolaryngologists, since their therapeutic management and prognosis are very different from other causes of hearing loss and vertigo. Here, we present our experience with three cases managed with interventional treatment and conduct a review and discussion on the relevant literature. We conclude that investigation of vertebrobasilar and carotid occlusive diseases is necessary in patients over 50 years of age who present SSNHLV, mild neurological symptoms and a history of arteriosclerosis, high blood pressure or thrombosis.

  5. 76 FR 62389 - Request for Comments and Notice of Public Hearings on the Study of International Patent...

    Science.gov (United States)

    2011-10-07

    ... ). Speakers selected to provide testimony at the hearing should provide a final written copy of their..., United States Patent and Trademark Office, Mail Stop External Affairs, P.O. Box 1450, Alexandria,...

  6. Hyperbaric oxygen therapy for idiopathic sudden sensorineural hearing loss.

    Science.gov (United States)

    Murphy-Lavoie, H; Piper, S; Moon, R E; Legros, T

    2012-01-01

    Idiopathic sudden sensorineural hearing loss (ISSHL) is the newest indication approved by the Undersea and Hyperbaric Medical Society's Hyperbaric Oxygen Therapy Committee. Idiopathic sudden sensorineural hearing loss appears to be characterized by hypoxia in the perilymph and therefore the scala tympani and the organ of Corti. A review of the literature reveals more than 100 publications evaluating the use of hyperbaric oxygen (HBO2) for the treatment of ISSHL, including eight randomized controlled trials. The best and most consistent results are obtained when HBO2 is initiated within two weeks of symptom onset and combined with corticosteroid treatment. The average hearing gain is 19.3 dB for moderate hearing loss and 37.7 dB for severe cases. This improvement brings hearing deficits from the moderate/severe range into the slight/no impairment range. This is a significant gain that can markedly improve a patient's quality of life, both clinically and functionally.

  7. Low Frequency Fluctuated Hearing Loss in a Case with Vestibular Schwannomas

    Directory of Open Access Journals (Sweden)

    Mahin Sedaei

    1998-09-01

    Full Text Available A 34-year-old female with a history of a sudden mild left-sided hearing loss and high-pitched tinnitus along with fullness in the same ear was referred to the audiology clinic. Hearing fluctuation and variability in other symptoms were also reported. Although no complain of any vertigo or balance disorder was mentioned, light headedness was implied. Differential diagnosis of endolymphatic Fistula and retro cochlear lesion was demanded. Audiologic and radiologic findings of this patient are presented in the article to discuss findings regarding the diagnosis of the suspected disorder.

  8. Educational Innovation from Distributed Leadership: Case Study Spanish Public School

    Science.gov (United States)

    García, Ingrid

    2017-01-01

    The purpose of the communication is to present a case study of distributed leadership practices and the performances of the Principal of a public school in Madrid. Educational leadership can be considered one of the most important elements of the education system to be effective, achieve quality results, and develop processes of change and…

  9. Third Sector Involvement in Public Education: The Israeli Case

    Science.gov (United States)

    Berkovich, Izhak; Foldes, Vincent Jonathan

    2012-01-01

    Purpose: The purpose of this article is to address the involvement of third sector organizations in state public education in Israel, with emphasis on the decision-making processes affecting the geographic distribution of service provision. Design/methodology/approach: A collective case study approach was used to investigate non-governmental…

  10. Privatising the Public University: The Case of Law

    Science.gov (United States)

    Thornton, Margaret

    2011-01-01

    "Privatising the Public University: The Case of Law" is the first full-length critical study examining the impact of the dramatic reforms that have swept through universities over the last two decades. Drawing on extensive research and interviews in Australia, New Zealand, the UK and Canada, Margaret Thornton considers the impact of the…

  11. Teaching Public Finance Administration Online: A Case Study.

    Science.gov (United States)

    Ebdon, Carol

    1999-01-01

    A case study of an online masters course in public finance administration, conducted primarily through texts and electronic bulletin boards with no face-to-face contact, found advantages (time and space independence) and disadvantages (lack of interaction with instructors) for both faculty and students. Although student grades equaled those in…

  12. New surveillance technologies and their publics: A case of biometrics.

    Science.gov (United States)

    Martin, Aaron K; Donovan, Kevin P

    2015-10-01

    Before a newly-elected government abandoned the project in 2010, for at least eight years the British state actively sought to introduce a mandatory national identification scheme for which the science and technology of biometrics was central. Throughout the effort, government representatives attempted to portray biometrics as a technology that was easily understandable and readily accepted by the public. However, neither task was straightforward. Instead, particular publics emerged that showed biometric technology was rarely well understood and often disagreeable. In contrast to some traditional conceptualizations of the relationship between public understanding and science, it was often those entities that best understood the technology that found it least acceptable, rather than those populations that lacked knowledge. This paper analyzes the discourses that pervaded the case in order to untangle how various publics are formed and exhibit differing, conflicting understandings of a novel technology.

  13. Hearing Loss

    Science.gov (United States)

    ... effects on your hearing — ringing in the ear (tinnitus) or hearing loss — can occur if you take ... adults with hearing loss, commonly reported problems include: Depression Anxiety An often false sense that others are ...

  14. Hearing Aids

    Science.gov (United States)

    ... more in both quiet and noisy situations. Hearing aids help people who have hearing loss from damage ... your doctor. There are different kinds of hearing aids. They differ by size, their placement on or ...

  15. 41 CFR 60-30.34 - Conduct of hearing.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Conduct of hearing. 60-30.34 Section 60-30.34 Public Contracts and Property Management Other Provisions Relating to Public... ORDER 11246 Expedited Hearing Procedures § 60-30.34 Conduct of hearing. (a) At the hearing, the...

  16. Perda auditiva hereditária: relato de casos Hereditary hearing loss: case report

    Directory of Open Access Journals (Sweden)

    Aline Mizozoe de Amorim

    2008-03-01

    Full Text Available OBJETIVO: descrever os resultados da avaliação auditiva de uma família com perda auditiva de caráter hereditário autossômico dominante. MÉTODOS: foram avaliados 17 indivíduos, por meio da audiometria tonal, audiometria vocal, timpanometria e pesquisa dos reflexos acústicos, além de acompanhamento genético. RESULTADOS: Dos 17 sujeitos avaliados, 11 apresentaram algum grau de perda auditiva neurossensorial (64,7%, sendo oito do sexo feminino (73% e três do sexo masculino (27%. A idade dos sujeitos avaliados variou de cinco a 68 anos (média=29,6 e a idade do aparecimento da queixa variou de 20 a 38 anos (média=26,1. Ocorreu a progressão da perda auditiva com o aumento da idade, sendo que a partir dos 41 anos, não houve indivíduos com audição normal na família. CONCLUSÃO: a investigação audiológica de todos os membros da família, independentemente da queixa, é imprescindível, pois a perda auditiva pode existir, mesmo que esta ocorra em freqüências isoladas.PURPOSE: to describe the hearing findings of a family with autosome dominant hereditary hearing loss. METHODS: we evaluated 17 subjects. The evaluation was made by pure tone audiometry, Speech audiometry, tympanometry and acoustic reflex testing, in addition to genetic follow-up. RESULTS: from 17 evaluated subjects, 11 showed some degree of neurosensorial hearing loss (64.7%, being 8 female gender (73% and 3 male gender (27%. The subject age varied from 5 to 68 years (average = 39.6 and the time from the complaint's appearance varied from 20 to 38 years. The hearing loss was modified with age. We did not find normal hearing after the age of 41 years in the family. CONCLUSION: the hearing investigation regarding all members of the family regardless of any complaint is extremely indispensable due to the existence of hearing loss even when limited to isolated frequencies.

  17. The public spending crisis: a case study of Nigeria public sector

    Directory of Open Access Journals (Sweden)

    PhD(AccountingMBA.Mukoro Dick Oluku

    2011-12-01

    Full Text Available The objective of this paper is to discuss the differences in the concept and measurement of efficiency between the private and public sectors, stressing that the lessons from the private sector can only be transferred to the public sector if there is a proper awareness of these issues and constrains imposed by considerations of equity. In evaluating policy initiatives, the governments method for all the talk of “rolling back the public sector” and opposition companies of “cuts,” the public expenditure/EDP ration went up steadily during Obasanjo’s first term. However deep the divisions over what ought to be in the public sector, it is of paramount importance to all concerned that the resources are managed effectively. The paper argued that an attempt to instill into the public sector the cost consciousness of the best parts of the private sector is wholly admirable. In conclusion, the severity of the impending budgetary crises will make the search for greater efficiency in the public sector of paramount importance. The paper recommends that the common theme of all these cases in that an appropriate set of relative prices can encourage resources to be minimized. very great care has to be taken when introducing piecemeal charging in order to ensure that this does not have side-effects at odds with programme objectives

  18. Social Interaction and Participation of Hearing Impaired Students in the Regular Classroom Setting : The Case of Four Hearing Impaired Students in Amhara Regional State, Ethiopia.

    OpenAIRE

    Habte, Nitsuh Belachew

    2008-01-01

    This study is carried out in the classroom and out of classroom at one of the school in the Amhara Regional State in Debre Markos. The purpose of the study is to investigate the social interaction and participation of hearing impaired students with their teachers and hearing peers in the regular classroom setting in different teaching learning activities. Out of classroom in extra-curricular activities, guidance and counseling, sport and play during break time are also investigated in this st...

  19. PUBLIC COMPANIES IN LATIN AMERICA: HISTORY, CONCEPTS, CASES AND PERSPECTIVES

    Directory of Open Access Journals (Sweden)

    Guillermo Guajardo Soto

    2013-06-01

    Full Text Available The article highlights the need to address the history of public companies in Latin America for having played a significant role in regional development during the 20th Century, as well as for the current reappearance of these organisms in the international energy sector, for the strategic role they still play in many countries and, lastly, because decades of privatization have weakened the collective memory on these organisms, in favour of the prevailing neoliberal version which justified the sale of the public heritage. Do we have good knowledge on the history behind the importance and track record of public companies in Mexico and Latin America? How can their resistance after decades of privatizations be explained? These queries are replied in the current dossier of the Public Management Journal, which gathers a group of studies analysing the cases of Uruguay, Costa Rica, Bolivia, Brazil and Argentina between 1912 and 2012, shedding light on the entrepreneurial activities of the State under different economic models. In these countries, public companies have placed themselves in vital areas for the functioning of the economies, such as telecommunications, electricity,oil, transportation and, to a lesser extent, manufacturing. The final section is an invitation not only to read but also to initiate an agenda to analyse and allow revealing the complex history of these public organisms.

  20. Curating Public Art 2.0: The case of Autopoiesis

    DEFF Research Database (Denmark)

    Ajana, Btihaj

    2017-01-01

    This article examines the intersections between public art, curation and Web 2.0 technology. Building on the case study of Autopoiesis, a digital art project focusing on the curation and online exhibition of artworks received from members of the public in the United Arab Emirates, the article...... explores the ways and extent to which a Web platform can enable participatory culture and novel forms of audience engagement. While major cultural institutions in the region tend to promote brand-like activities and prestige cultural projects, Autopoiesis seeks to offer a more inclusive platform...... to facilitate autonomous creative self-expressions and enable greater public participation in culture. By providing a critical reflection on the ‘material’ contexts of this digital project, the article also demonstrates the related tensions between the virtual and the physical, and the wider ‘local’ realities...

  1. Curating Public Art 2.0: The case of Autopoiesis

    DEFF Research Database (Denmark)

    Ajana, Btihaj

    2017-01-01

    to facilitate autonomous creative self-expressions and enable greater public participation in culture. By providing a critical reflection on the ‘material’ contexts of this digital project, the article also demonstrates the related tensions between the virtual and the physical, and the wider ‘local’ realities......This article examines the intersections between public art, curation and Web 2.0 technology. Building on the case study of Autopoiesis, a digital art project focusing on the curation and online exhibition of artworks received from members of the public in the United Arab Emirates, the article...... explores the ways and extent to which a Web platform can enable participatory culture and novel forms of audience engagement. While major cultural institutions in the region tend to promote brand-like activities and prestige cultural projects, Autopoiesis seeks to offer a more inclusive platform...

  2. Diversity and the European Public Sphere. The Case of Denmark

    DEFF Research Database (Denmark)

    Pristed Nielsen, Helene; Siim, Birte; Agustin, Lise Rolandsen

    2010-01-01

    This report contains empirical findings from the Danish case within the Eurosphere project. It is based on 55 interviews with Danish opinion makers on the topics of diversity, EU polity and the European public sphere The empirical research programme of EUROSPHERE aims to explore whether...... it is possible to develop an inclusive public sphere in the European Union. Based on different scenarios and alternative combinations of different approaches to diversity, polity, and the public sphere, EUROSPHERE aims to identify the notions, discourses, and objectives that are in the process of becoming...... Series represents the finalization of the very first step of a comprehensive comparative research programme. The aim of this series is to provide a brief summary of a huge data material collected by the project researchers. This report summarises empirical findings from the Danish setting...

  3. Prelingual deafness: Benefits from cochlear implants versus conventional hearing aids

    Science.gov (United States)

    Bittencourt, Aline Gomes; Torre, Ana Adelina Giantomassi Della; Bento, Ricardo Ferreira; Tsuji, Robinson Koji; Brito, Rubens de

    2012-01-01

    Summary Introduction: The majority of patients with hearing loss, including those with severe hearing loss, benefits from the use of hearing aids. The cochlear implant is believed to achieve better results in a child with hearing loss in cases where the severity of disability renders hearing aids incapable of providing adequate sound information, as they require sufficient cochlear reserve so that acoustic detention occurs. Objective: To assess if cochlear implants provide more benefit than conventional hearing aids in prelingually deaf patients. Summary of the findings: The study was a systematic review of scientific papers selected by a search of the SciELO, Cochrane, MEDLINE, and LILACS-BIREME databases. Among the 2169 articles found, 12 studies proved relevant to the issue and presented an evidence strength rating of B. No publications rated evidence strength A. Seven of the studies analyzed were prospective cohorts and 5 were cross-sectional studies. Conclusion: Based on several studies, cochlear implants were demonstrated to be the best current alternative for bilateral severe or profound hearing loss, achieving better results in speech perception and development in prelingual children when compared to conventional hearing aids. PMID:25991962

  4. Beacon Communities’ Public Health Initiatives: A Case Study Analysis

    Science.gov (United States)

    Massoudi, Barbara L.; Marcial, Laura H.; Haque, Saira; Bailey, Robert; Chester, Kelley; Cunningham, Shellery; Riley, Amanda; Soper, Paula

    2014-01-01

    Introduction: The Beacon Communities for Public Health (BCPH) project was launched in 2011 to gain a better understanding of the range of activities currently being conducted in population- and public health by the Beacon Communities. The project highlighted the successes and challenges of these efforts with the aim of sharing this information broadly among the public health community. Background: The Beacon Community Program, designed to showcase technology-enabled, community-based initiatives to improve outcomes, focused on: building and strengthening health information technology (IT) infrastructure and exchange capabilities; translating investments in health IT to measureable improvements in cost, quality, and population health; and, developing innovative approaches to performance measurement, technology, and care delivery. Methods: Four multimethod case studies were conducted based on a modified sociotechnical framework to learn more about public health initiative implementation and use in the Beacon Communities. Our methodological approach included using document review and semistructured key informant interviews. NACCHO Model Practice Program criteria were used to select the public health initiatives included in the case studies. Findings: Despite differences among the case studies, common barriers and facilitators were found to be present in all areas of the sociotechnical framework application including structure, people, technology, tasks, overarching considerations, and sustainability. Overall, there were many more facilitators (range = 7–14) present for each Beacon compared to barriers (range = 4–6). Discussion: Four influential promising practices were identified through the work: forging strong and sustainable partnerships; ensuring a good task-technology fit and a flexible and iterative design; fostering technology acceptance; and, providing education and demonstrating value. Conclusions: A common weakness was the lack of a framework or model for

  5. Beacon communities' public health initiatives: a case study analysis.

    Science.gov (United States)

    Massoudi, Barbara L; Marcial, Laura H; Haque, Saira; Bailey, Robert; Chester, Kelley; Cunningham, Shellery; Riley, Amanda; Soper, Paula

    2014-01-01

    The Beacon Communities for Public Health (BCPH) project was launched in 2011 to gain a better understanding of the range of activities currently being conducted in population- and public health by the Beacon Communities. The project highlighted the successes and challenges of these efforts with the aim of sharing this information broadly among the public health community. The Beacon Community Program, designed to showcase technology-enabled, community-based initiatives to improve outcomes, focused on: building and strengthening health information technology (IT) infrastructure and exchange capabilities; translating investments in health IT to measureable improvements in cost, quality, and population health; and, developing innovative approaches to performance measurement, technology, and care delivery. Four multimethod case studies were conducted based on a modified sociotechnical framework to learn more about public health initiative implementation and use in the Beacon Communities. Our methodological approach included using document review and semistructured key informant interviews. NACCHO Model Practice Program criteria were used to select the public health initiatives included in the case studies. Despite differences among the case studies, common barriers and facilitators were found to be present in all areas of the sociotechnical framework application including structure, people, technology, tasks, overarching considerations, and sustainability. Overall, there were many more facilitators (range = 7-14) present for each Beacon compared to barriers (range = 4-6). Four influential promising practices were identified through the work: forging strong and sustainable partnerships; ensuring a good task-technology fit and a flexible and iterative design; fostering technology acceptance; and, providing education and demonstrating value. A common weakness was the lack of a framework or model for the Beacon Communities evaluation work. Sharing a framework or approach

  6. Synchronised national publics as functional equivalent of an integrated European public. The case of biotechnology

    Directory of Open Access Journals (Sweden)

    Franz Seifert

    2006-09-01

    Full Text Available In the second half of the nineties, a number of EU Member States went through intense public controversies over agro-food biotechnology. These controversies occurred almost synchronously, brought about parallel issue-framings and actor-constellations, led national governments to adopt biotechnology aversive policies, and prompted a considerable tightening of the EU’s agro-food biotechnology regulation. This article analyses these events against the background of the current discussion on the lack of a European public. It tries to demonstrate that, as far as the democratic functions information and control are concerned, synchronized national controversies brought about effects equivalent to those theoretically expected from an integrated European public. The analysis also explores the reasons for the synchronous and, in important respects, analogous mobilizations of national publics, and highlights the major policy mechanisms accounting for the observed supranational responsiveness to mobilized national publics. The article concludes with a reflection as to whether other policy fields might provoke similar cases of supranational responsiveness to mobilisations of national publics.

  7. Good Governance in Public Procurement: A South African Case Study

    Directory of Open Access Journals (Sweden)

    R Roos

    2008-08-01

    Full Text Available In this article good governance in public procurement, with particular reference to accountability is discussed. The principle of providing adequate remedies in public procurement is put under the spotlight. This is done with reference to the decision in Steenkamp NO v Provincial Tender Board, Eastern Cape. In this case the Constitutional Court had to consider whether an initially successful tenderer could lodge a delictual claim for damages to compensate for expenses incurred after conclusion of a contract, which was subsequently rendered void on an application for review of the tender award. The applicable principles of good governance and the applicable provisions of the UNCITRAL Model Law on Public Procurement and the WTO plurilateral Government Procurement Agreement are analysed. This is done to enable an evaluation of the decision by the Constitutional Court in the above case. It is concluded that the South African public procurement system does in this instance comply with the basic principles of good governance with regard to accountability.

  8. [Success factors in public healthy eating campaigns: a case study].

    Science.gov (United States)

    Aschemann-Witzel, J; Pérez-Cueto, F J A; Strand, M; Verbeke, W; Bech-Larsen, T

    2012-01-01

    Public campaigns and interventions are rarely fully evaluated regarding their effectiveness. The analysis of past, successful activities can contribute to the future development of public campaigns and interventions for healthier eating. The study of public campaigns and interventions for healthier eating aimed at identifying the underlying success factors and describing their relation. Interviews were conducted with representatives of 11 cases that had been identified as especially successful in an earlier research step. The interviews were analysed with regard to possible success factors and the latter used to develop a model of success factor interrelation. It was found that success of the cases was first, attributed to characteristics of the macro environment or to public private partnerships in the initiation of campaigns, second, to the engagement of social communities, elements of empowerment of the target group and the implementation of social marketing measures, and thirdly, in citizens adoption of the campaign and in accompanying structural changes. The model and identified success factors underline that success can stem from three crucial phases: the set up of a campaign, the conduction and finally, the interrelation with the citizen. The model can serve as a guide in the future development of campaigns.

  9. 76 FR 37826 - Notice of Availability of the Environmental Assessment and Notice of Public Hearing for the Sage...

    Science.gov (United States)

    2011-06-28

    ... Hearing for the Sage Creek Holdings, LLC, Federal Coal Lease Application, COC-74219 AGENCY: Bureau of Land... regulations, the Sage Creek Holdings, LLC, Federal Coal Lease-By-Application (LBA) Environmental Assessment... Value (FMV), and Maximum Economic Recovery (MER) of the coal resources for Sage Creek Holdings, LLC,...

  10. 75 FR 49512 - Notice of Availability of the Environmental Assessment and Notice of Public Hearing for the Sage...

    Science.gov (United States)

    2010-08-13

    ... Hearing for the Sage Creek Holdings, LLC, Federal Coal Lease Application, COC-74219 AGENCY: Bureau of Land... with the Federal coal management regulations, the Sage Creek Holdings, LLC Federal Coal Lease-By... Economic Recovery (MER) of the coal resources for Sage Creek Holdings, LLC LBA COC-74219. DATES: The...

  11. 45 CFR 32.5 - Hearing.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Hearing. 32.5 Section 32.5 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION ADMINISTRATIVE WAGE GARNISHMENT § 32.5 Hearing. (a) In general. Upon timely written request of the debtor, the Secretary shall provide a hearing...

  12. 42 CFR 431.222 - Group hearings.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Group hearings. 431.222 Section 431.222 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED... Recipients Right to Hearing § 431.222 Group hearings. The agency— (a) May respond to a series of...

  13. [Public interactions, private censorship: the case of Facebook].

    Science.gov (United States)

    Silveira, Sergio Amadeu da

    2015-12-01

    Facebook is examined as a transnational online social networking platform where public discussions and interactions take place. The study surveys the private control of cultural and political expressions exercised by the platform's managers, which can be defined as private censorship. Cases of removal of content are presented and Facebook's political control policies discussed. The article also shows how Facebook rules display highly discretionary components and an aesthetic that can be portrayed as a kind of biopolitics of the information-age society.

  14. Internal Communication in the Public Management: The Case of a Brazilian Federal Public Authority

    Directory of Open Access Journals (Sweden)

    Priscila Reinaldo Marson

    2013-03-01

    Full Text Available The intention of this article is to present a case study on the adoption and use of new channels of internal communication in a federal public autarchy. The study was conducted at the National Institute of Social Security, in São Paulo, between July 2008 and July 2009, and aimed to monitor the period in which a new internal communication plan was developed and implemented in its initial phase. The research methodology used was the case study, consisting of documentary analysis, field research and in-depth interviews conducted with the institution’s public employees. As a result, it was possible to observe the internal resistance and the difficulties encountered in the management of the new plan. Among its conclusions, the study highlights the need for a previous study on the conditions of relationships and practices developed in a public service unit at the adoption of new communication tools. It also highlights the importance of planning and management actions in the implementation of the intended communication actions, including internal marketing efforts to sensitize users about the meaning and importance of internal communication in promoting greater agility and efficiency in the workplace, in order to offer best public services to users.

  15. Research on Legal Problems of Public Participation in Environmental Impact Assessment Hearings%公众参与环评听证法律问题研究

    Institute of Scientific and Technical Information of China (English)

    韩冰

    2011-01-01

    The hearings are the generally adopted express way of public participation for relatively sensitive or large - scale environmental impact assessment (EIA). Chinese public participation in EIA faced adverse conditions in hearing announcements, representative selection and government response and all of them need to be addressed immediately. For hearing announcement, the application scale must be definite, reasonable time limits and complete contents must be regulated to realize reasonable man-agement. For representative selection, a set of effective system is imperative. For government response, reasonable evaluation sys-tern and judicial review is necessary.%对于比较敏感或涉及面较广建设项目的环境影响评价公众参与的表达途径,一般采用听证会。在中国,公众参与环评听证会,在听证公告、代表遴选、政府回应方面都面临困境,需要分别找寻出路:对于听证公告,要明确适用范围、确立合理期限、完善内容规定、采用合理方式来应对;对于代表遴选,建立一整套行之有效的制度势在必行;对于政府回应,建立一个合理的评估系统、启动司法审查不失为良策。

  16. Sudden sensorineural hearing loss.

    Science.gov (United States)

    Stew, B T; Fishpool, S J C; Williams, H

    2012-02-01

    Sudden onset sensorineural hearing loss is a medical emergency that continues to be poorly understood despite being recognized in the literature since 1944 (De Kleyn, 1944). A commonly used criterion to qualify for this diagnosis is a sensorineural hearing loss over three contiguous pure-tone frequencies of 30 dB or more that develops within 72 hours. The vast majority of cases are unilateral and the estimated annual incidence is 20 per 100 000 persons (Nosrati-Zarenoe et al, 2007). A cause for the hearing loss is only identified in up to 10% of cases but 50% of patients will improve spontaneously (Penido et al, 2009).

  17. 42 CFR 422.666 - Designation of hearing officer.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Designation of hearing officer. 422.666 Section 422.666 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES....666 Designation of hearing officer. CMS designates a hearing officer to conduct the hearing....

  18. 76 FR 20595 - Guidance on Reporting Interest Paid to Nonresident Aliens; Hearing

    Science.gov (United States)

    2011-04-13

    ... Nonresident Aliens; Hearing AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice of public hearing... nonresident alien individuals. DATES: The public hearing is being rescheduled on Monday, April 25, 2011, at 10...

  19. [Cases of fraud in publications: From Darsee to Poldermans].

    Science.gov (United States)

    Bonnet, Francis; Samama, Charles Marc

    2012-09-01

    Fraud in biomedical literature has been highlighted by recent cases referring to key opinion leaders responsible for "massive" fake due to the number of papers published with made-up data in peer-review journals with high impact factor. Editors have an increasing responsibility in preventing publication of culprit studies, leading to check not only the value and the interpretation of submitted data but the whole process of elaborating protocols and performing studies. Increased transparency in clinical trials performance is critical to prevent biomedical fraud. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

  20. "Audiometric studies in 53 cases with sudden sensorineural hearing loss:can we suggest an algorithm for treatment? "

    Directory of Open Access Journals (Sweden)

    Nemati Sh

    2007-08-01

    Full Text Available Background: Sudden sensorinueural hearing loss (SSNHL is a baffling condition for patients, and its etiology, audiologic characteristics, prognostic factors, and treatment are still controversial. Methods: In this prospective study, we performed pure tone audiometry (PTA, impedance acoustics (IA, auditory brainstem responses (ABR, otoacoustic emissions (OAE, and transiently evoked otoacoustic emissions (TEOAE before beginning treatment for 53 patients with SSNHL. We then entered each patient, randomly and alternately, in one of two treatment groups: oral steroids + acyclovir vs. intravenous urographin. Results: In 22 (41.5% of the 53 patients (22 female, 31 male, we found negative or no signal to noise ratio and overall correlation in TEOAE. Furthermore, 26 cases (49% had positive overall correlations less than 50%, and five cases (4.4% had overall correlations >50%. Although 15 cases (28.3% responded well, 20 cases (37.7% showed only a partial response, and 18 cases (33.9% had poor or no response to our treatment. The mean value for overall correlation in the three subgroups of patients (no response, partial response, and complete response was -3.5% (±1/16%, + 11% (±1.99%, and +36.6% (±3.07% respectively (P = 0.01. From 52 cases, 20 had no reproducible wave in ABR (38.5%, three cases had abnormal ABR with normal OAE, all of which responded completely to treatments. Thirteen cases had abnormal ABR and OAE, none of which responded to treatment, and six cases had normal ABR with abnormal OAE, which often responded to treatment. Conclusions: ABR and OAE may be useful in the diagnosis of SSNHL and determining the site of such lesions as ischemia or neuropathy. The overall correlation (and S/N ratio in TEOAE is a valuable prognostic factor in SSNHL.

  1. Universal newborn hearing screening: preliminary experience at the University Hospital of Cagliari

    Directory of Open Access Journals (Sweden)

    Giulia Pinna

    2012-10-01

    Full Text Available Bilateral congenital or acquired sensorineural hearing loss is a pathological condition affecting 1-2 children per 1,000 live births; it represents a major issue in public health because its late identification can negatively affect speech and language development. The aim of hearing screening is to obtain diagnosis and management of hearing loss as soon as possible; in fact early diagnosis and treatment allow children with congenital hearing impairment to acquire adequate linguistic competence. The present study reports our preliminary experience in newborn hearing screening at Neonatology services of University of Cagliari (Italy. During the first semester of surveillance, between January 2012 and June 2012, hearing screening was performed on a total of 901 babies using two different methods, TEOAEs in healthy neonates and automated ABR in high-risk babies. All infants were screened prior to hospital discharge; in some cases, especially for preterm infants of Neonatal Intensive Care Unit and Puericulture Institute, the screening was performed after discharge, to achieve a possible better global and acoustic maturation; 5 cases of hearing impairment were found. In the present study the Authors confirmed that it is possible to start a universal hearing screening in a relatively short time reaching the percentages suggested by Joint Committee on Infant Hearing.

  2. Behavioral trends in young children with conductive hearing loss: a case-control study.

    Science.gov (United States)

    Gouma, Panagiota; Mallis, Antonios; Daniilidis, Vasilis; Gouveris, Haralambos; Armenakis, Nikolaos; Naxakis, Stephanos

    2011-01-01

    Otitis media with effusion (OME) is a common condition affecting children and a well-known cause of conductive hearing loss that can potentially lead to speech development disorders. Recent studies, however, have demonstrated the influence of OME on development of attention disorders or social adaptation and acceptance. Hence, this study aimed to investigate the behavioral trends of children with OME based on the Achenbach test. A group of 117 patients with episodes of OME at the age of 4-5 was compared with a control group according to the Achenbach system of evaluation, by application of the Child Behavior Checklist questionnaire (CBCL). Patients suffering from OME had more anxiety/depression related disorders and attention disorders as compared with the control group. The psychological effect of OME in children of ages 6-8 is evident with anxiety and depression disorders being especially prominent among these patients.

  3. Persistent Positional Vertigo in a Patient with Sudden Sensorineural Hearing Loss: A Case Report.

    Science.gov (United States)

    Kim, Yong Won; Shin, Jung Eun; Lee, Yong-Sik; Kim, Chang-Hee

    2015-09-01

    Because inner ear organs are interconnected through the endolymph and surrounding endolymphatic membrane, the patients with sudden sensorineural hearing loss (SSNHL) often complain of vertigo. In this study, we report a patient with SSNHL accompanied by persistent positional vertigo, and serial findings of head-roll tests are described. At acute stage, head-roll test showed persistent geotropic direction-changing positional nystagmus (DCPN), which led to a diagnosis of SSNHL and ipsilateral light cupula. Although vertigo symptom gradually improved, positional vertigo lasted for more than 3 weeks. At this chronic stage, persistent apogeotropic DCPN was observed in a head roll test, which led to a diagnosis of the heavy cupula. Although the mechanism for the conversion of nystagmus direction from geotropic to apogeotropic persistent DCPN is unclear, the change of specific gravity of the endolymph might be one of the plausible hypothetical explanations.

  4. Lungfish Hearing

    DEFF Research Database (Denmark)

    Christensen, Christian Bech; Madsen, Peter Teglberg; Christensen-Dalsgaard, Jakob

    and urodeles. Based on ABR and vibration measurements also on amphib - ians, lizards, snakes and alligators we can outline scenarios for the initial adaptations of the middle ear to non-tympanic hearing and assess the selection pressures later adapting the middle ear for tympanic hearing. Hearing by bone...

  5. Knowledge of parents from urban and rural areas vs. prevention methods of hearing loss threats seen as challenges for public health

    Directory of Open Access Journals (Sweden)

    Maria Danuta Głowacka

    2017-05-01

    Knowledge and awareness of factors that may trigger hearing loss is not synonymous with avoidance of the problem. Main components of hearing loss prevention among children and youths should be administrative actions, extensive education, and proper childcare at home.

  6. Sensorineural Hearing Loss in Non-depressed Essential Tremor Cases and Controls: A Clinical and Audiometric Study

    OpenAIRE

    Yilmaz, Nesrin Helvaci; Akbostanci, Muhittin Cenk; Yılmaz, Nurhan

    2015-01-01

    Background Patients with essential tremor (ET) have an increased prevalence of hearing loss, and depression is a confounding issue for both conditions. We assessed hearing loss in non-depressed ET patients and controls using a questionnaire and audiometric tests. Methods The study included 34 patients with ET and 45 volunteers were included. Both groups were asked if they had hearing loss, and pure tone audiometry, speech recognition threshold, tympanogram, short increment sensitivity index (...

  7. Preface to the publication of the Chinese Version of the WHO Guidelines for Hearing Aids and Services for Developing Countries (2nd Edition) in the January 2005 issue of the Journal of Audiology and Speech Pathology

    Institute of Scientific and Technical Information of China (English)

    Hearing Aids Working Group

    2005-01-01

    @@ It is a great pleasure to be given this opportunity to write a preface for the publication of the first Chinese version of the World Health Organization (WHO) Guidelines for Hearing Aids and Services for Developing Countries (2nd Edition) in this issue of the Journal of Audiology and Speech Pathology.

  8. Psychosocial Aspects of Hearing Loss in Children.

    Science.gov (United States)

    Sorkin, Donna L; Gates-Ulanet, Patricia; Mellon, Nancy K

    2015-12-01

    Pediatric hearing loss changed more in the past two decades than it had in the prior 100 years with children now identified in the first weeks of life and fit early with amplification. Dramatic improvements in hearing technology allow children the opportunity to listen, speak and read on par with typically hearing peers. National laws mandate that public and private schools, workplaces, and anywhere people go must be accessible to individuals with disabilities. In 2015, most children with hearing loss attended mainstream schools with typically hearing peers. Psychosocial skills still present challenges for some children with hearing loss.

  9. Academic status of deaf and hard-of-hearing students in public schools: student, home, and service facilitators and detractors.

    Science.gov (United States)

    Reed, Susanne; Antia, Shirin D; Kreimeyer, Kathryn H

    2008-01-01

    We examined facilitators and detractors of academic success of 25 deaf or hard-of-hearing (DHH) students selected from a pool of 187 students attending general education classes and enrolled in a study of academic progress. Interviews with their teachers of DHH, general education teachers, principals, parents, interpreters, and students themselves were analyzed for child, family, and school facilitators and detractors of academic status. Facilitators included student self-advocacy and motivation, high family and school expectations, families' ability to help with homework, and good communication between professionals. Detractors included additional disabilities and poor family-school communication. A comparison of above- and below-average students revealed no single distinguishing facilitator or detractor. Each above-average student had many facilitators, whereas each below-average student had several significant detractors.

  10. 45 CFR 1386.106 - Exclusion from hearing for misconduct.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Exclusion from hearing for misconduct. 1386.106 Section 1386.106 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN... Requirements Hearing Procedures § 1386.106 Exclusion from hearing for misconduct. Disrespectful, disorderly,...

  11. 45 CFR 213.26 - Exclusion from hearing for misconduct.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 2 2010-10-01 2010-10-01 false Exclusion from hearing for misconduct. 213.26 Section 213.26 Public Welfare Regulations Relating to Public Welfare OFFICE OF FAMILY ASSISTANCE... REQUIREMENTS Hearing Procedures § 213.26 Exclusion from hearing for misconduct. Disrespectful, disorderly,...

  12. 45 CFR 681.25 - Where is the hearing held?

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Where is the hearing held? 681.25 Section 681.25 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION PROGRAM FRAUD CIVIL REMEDIES ACT REGULATIONS Hearing Procedures § 681.25 Where is the hearing held? The ALJ...

  13. The Use of Dynamic Assessment to Evaluate Narrative Language Learning in Children with Hearing Loss: Three Case Studies

    Science.gov (United States)

    Asad, Areej Nimer; Hand, Linda; Fairgray, Liz; Purdy, Suzanne Carolyn

    2013-01-01

    The primary objectives of this research were to establish whether dynamic assessment could be implemented in children with hearing loss with a range of language abilities and to obtain pilot data to support the use of dynamic assessment for determining narrative language learning difficulties in children with hearing loss. Participants were three…

  14. 78 FR 37842 - Notice of Availability of the Environmental Assessment and Notice of Public Hearing Federal Coal...

    Science.gov (United States)

    2013-06-24

    ... Bureau of Land Management Notice of Availability of the Environmental Assessment and Notice of Public... Assessment (EA) is available for public review and comment. The United States Department of the Interior... comments on the EA, Fair Market Value (FMV), and Maximum Economic Recovery (MER) of the coal resources...

  15. A case-control study on proinflammatory genetic polymorphisms on sudden sensorineural hearing loss.

    Science.gov (United States)

    Cadoni, Gabriella; Gaetani, Eleonora; Picciotti, Pasqualina M; Arzani, Dario; Quarta, Miriam; Giannantonio, Sara; Paludetti, Gaetano; Boccia, Stefania

    2015-01-01

    Sudden sensorineural hearing loss (SSNHL) is strictly related to inner ear vascular injuries and recently to some atherosclerotic risk factors. The pathogenic role of inflammatory molecules in atherosclerosis is well established. However, there is little knowledge about the potential role of inflammatory cytokines and adhesion molecules on SSNHL etiology. The aim of this study was to evaluate the role of proinflammatory genetic polymorphisms of the MCP-1 (CCL2), E-selectin, and interleukin (IL)-6 gene in SSNHL patients. We evaluated the frequency and distribution of selected single nucleotide polymorphisms of the MCP-1 (CCL2), E-selectin, and IL-6 gene in 87 SSNHL patients and 107 healthy controls. Our results did not show significant difference between the compared groups for MCP-1 and E-selectin genes, whereas a significant difference was reported for the IL-6 gene (P < .0001). The main finding of our study is that the 174G/G polymorphism (with a wider distribution of wt/wt genotype in SSNHL patients than in the healthy controls) of the IL-6 gene is significantly associated with the risk of SSNHL, which is consistent with a previous finding on serum levels of IL-6 in SSNHL. It is possible that the variant acts as a triggering agent of different lipidemia-related phenotypes. Both the -174G/G polymorphism and elevated IL-6 levels in SSNHL patients could suggest that IL-6 plays a role in the inner ear involvement by atherosclerotic inflammatory events. © 2014 The American Laryngological, Rhinological and Otological Society, Inc.

  16. Sudden Hearing Loss Basically Due to Low Frequencies Hearing Loss: a Report of 30 Cases%以低频听力下降为主的突发性耳聋30例临床分析

    Institute of Scientific and Technical Information of China (English)

    王承华; 甘忠; 何金水; 董玉礼

    2012-01-01

    Objective To discuss the prevalence situation and therapeutic efficacy of sudden hearing loss basically due to low frequencies hearing loss. Methods The attack situations, examination results and therapeutic effects of 30 cases of sudden hearing loss basically due to the low frequencies hearing loss were analyzed retrospectively. The curative effect was evaluated with recovered, marked effect,effective and no effect. The pure tone tests were carried out before and after treatment. Results In this study, female was more than male ,2/3 of them were aged from 30 to 50 years old; the morbidity of the left ears were more than the right ones; 10 cases were with the history of catching a cold or overwork;24 cases were with tinnitus. 29 cases received the treatment and the effective rate 86.2% , in which the total effective rate of female patients was 94.73% , and male patients was 70%. The early diagnosis leaded to a good therapeutic effect. The tinnitus symptoms disappeared in 22 cases. Conclusion Women are with a higher incidence of sudden hearing loss due to the low frequencies hearing loss. The timely diagnosis and treatment will a-chieve a satisfying result,especially in female patients.%目的 探讨以低频听力下降为主的突发性耳聋发病情况及治疗效果.方法 回顾性分析近两年收治的30例以低频听力下降为主的突发性耳聋患者发病情况、检查结果及治疗效果,将疗效分为痊愈、显效、有效和无效.治疗前后进行纯音听力检测.结果 30例以低频听力下降为主的突发性耳聋患者,女性发病比男性多,年龄以30~50岁占2/3,左耳较右耳发病多,10例发病前有感冒、劳累史;24倒伴发有耳鸣症状.经过治疗的29例患者总的治疗有效率86.2%,其中女性患者的治疗总有效率94.73%,男性患者的治疗总有效率70%.就诊及时的治疗效果较好,有22例耳鸣症状消失.结论 以低频听力下降为主的突发性耳聋以女性发病较多,

  17. Sudden Sensorineural Hearing Loss in the Only Hearing Ear: Large Vestibular Aqueduct Syndrome

    Directory of Open Access Journals (Sweden)

    Kemal Koray Bal

    2016-01-01

    Full Text Available Sudden hearing loss in the only hearing ear cases are rarely published in the English literature; most of the cases are idiopathic. It is an otologic emergency needing urgent treatment. Delayed diagnosis can interfere with patient’s social life with interrupting the verbal communication. In this case report we presented a 33-year-old female patient having sudden sensorineural hearing loss in the only hearing ear diagnosed as bilateral large vestibular aqueduct syndrome.

  18. Sudden Sensorineural Hearing Loss in the Only Hearing Ear: Large Vestibular Aqueduct Syndrome

    Science.gov (United States)

    Bal, Kemal Koray; Bucioglu, Helen; Vayısoğlu, Yusuf; Gorur, Kemal

    2016-01-01

    Sudden hearing loss in the only hearing ear cases are rarely published in the English literature; most of the cases are idiopathic. It is an otologic emergency needing urgent treatment. Delayed diagnosis can interfere with patient's social life with interrupting the verbal communication. In this case report we presented a 33-year-old female patient having sudden sensorineural hearing loss in the only hearing ear diagnosed as bilateral large vestibular aqueduct syndrome. PMID:28018692

  19. Sudden Sensorineural Hearing Loss in the Only Hearing Ear: Large Vestibular Aqueduct Syndrome

    OpenAIRE

    Bal, Kemal Koray; Ismi, Onur; Bucioglu, Helen; Vayısoğlu, Yusuf; Gorur, Kemal

    2016-01-01

    Sudden hearing loss in the only hearing ear cases are rarely published in the English literature; most of the cases are idiopathic. It is an otologic emergency needing urgent treatment. Delayed diagnosis can interfere with patient's social life with interrupting the verbal communication. In this case report we presented a 33-year-old female patient having sudden sensorineural hearing loss in the only hearing ear diagnosed as bilateral large vestibular aqueduct syndrome.

  20. A Sound Therapy-Based Intervention to Expand the Auditory Dynamic Range for Loudness among Persons with Sensorineural Hearing Losses: Case Evidence Showcasing Treatment Efficacy.

    Science.gov (United States)

    Formby, Craig; Sherlock, LaGuinn P; Hawley, Monica L; Gold, Susan L

    2017-02-01

    Case evidence is presented that highlights the clinical relevance and significance of a novel sound therapy-based treatment. This intervention has been shown to be efficacious in a randomized controlled trial for promoting expansion of the dynamic range for loudness and increased sound tolerance among persons with sensorineural hearing losses. Prior to treatment, these individuals were unable to use aided sound effectively because of their limited dynamic ranges. These promising treatment effects are shown in this article to be functionally significant, giving rise to improved speech understanding and enhanced hearing aid benefit and satisfaction, and, in turn, to enhanced quality of life posttreatment. These posttreatment sound therapy effects also are shown to be sustained, in whole or part, with aided environmental sound and to be dependent on specialized counseling to maximize treatment benefit. Importantly, the treatment appears to be efficacious for hearing-impaired persons with primary hyperacusis (i.e., abnormally reduced loudness discomfort levels [LDLs]) and for persons with loudness recruitment (i.e., LDLs within the typical range), which suggests the intervention should generalize across most individuals with reduced dynamic ranges owing to sensorineural hearing loss. An exception presented in this article is for a person describing the perceptual experience of pronounced loudness adaptation, which apparently rendered the sound therapy inaudible and ineffectual for this individual. Ultimately, these case examples showcase the enormous potential of a surprisingly simple sound therapy intervention, which has utility for virtually all audiologists to master and empower the adaptive plasticity of the auditory system to achieve remarkable treatment benefits for large numbers of individuals with sensorineural hearing losses.

  1. Speech and Hearing Therapy.

    Science.gov (United States)

    Sakata, Reiko; Sakata, Robert

    1978-01-01

    In the public school, the speech and hearing therapist attempts to foster child growth and development through the provision of services basic to awareness of self and others, management of personal and social interactions, and development of strategies for coping with the handicap. (MM)

  2. Experiences in New Public Management in Africa: The Case of ...

    African Journals Online (AJOL)

    seriane.camara

    state since the 1980s as a background to public sector reforms in Africa. The paper further .... Public sector reform initiatives in Commonwealth countries to 2002 included .... which consisted of Permanent Secretaries and Heads of Independent.

  3. ETHICS IN PUBLIC ADMINISTRATION. CASE STUDY – ROMANIA

    OpenAIRE

    Rãzvan VIORESCU; Gabriela NEMÞOI

    2015-01-01

    Public services represent useful activities designated to meet a social need. The laws and regulations empower the activities of public services, without indicating the motives for public services. The impact of government in day to day life of citizens and communities is increasingly greater in terms of both public affairs management and budgetary aspect. The power to spend the community resources and to influence the lives of others means at the same time a great responsibility. That is the...

  4. THICS IN PUBLIC ADMINISTRATION. CASE STUDY – ROMANIA

    OpenAIRE

    Răzvan VIORESCU; Gabriela NEMŢOI

    2015-01-01

    Public services represent useful activities designated to meet a social need. The laws and regulations empower the activities of public services, without indicating the motives for public services. The impact of government in day to day life of citizens and communities is increasingly greater in terms of both public affairs management and budgetary aspect. The power to spend the community resources and to influence the lives of others means at the same time a great responsibility. That is the...

  5. 75 FR 77636 - Public Information Exchange on EPA Nanomaterial Case Studies

    Science.gov (United States)

    2010-12-13

    ... AGENCY Public Information Exchange on EPA Nanomaterial Case Studies AGENCY: Environmental Protection... Information on EPA Nanomaterial Case Studies and Their Purpose SUMMARY: EPA is announcing a public meeting to receive comments and questions on the EPA Nanomaterial Case Studies ( http://cfpub.epa.gov/ncea/cfm...

  6. What's Hearing Loss?

    Science.gov (United States)

    ... A Real Lifesaver Kids Talk About: Coaches What's Hearing Loss? KidsHealth > For Kids > What's Hearing Loss? Print A ... brain, allowing you to hear. continue Types of Hearing Loss There are a few different types of hearing ...

  7. Types of Hearing Aids

    Science.gov (United States)

    ... Consumer Devices Consumer Products Hearing Aids Types of Hearing Aids Share Tweet Linkedin Pin it More sharing ... are some features for hearing aids? What are hearing aids? Hearing aids are sound-amplifying devices designed ...

  8. Experimental pretesting of public health campaigns: a case study.

    Science.gov (United States)

    Whittingham, Jill; Ruiter, Robert A C; Zimbile, Filippo; Kok, Gerjo

    2008-01-01

    The aim of the present study is to demonstrate the merits of evaluating new public health campaign materials in the developmental phase using an experimental design. This is referred to as experimental pretesting. In practice, most new materials are tested only after they have been distributed using nonexperimental or quasiexperimental designs. In cases where materials are pretested prior to distribution, pretesting is usually done using qualitative research methods such as focus groups. Although these methods are useful, they cannot reliably predict the effectiveness of new campaign materials in a developmental phase. Therefore, we suggest when pretesting new materials, not only qualitative research methods but also experimental research methods must be used. The present study discusses an experimental pretest study of new campaign materials intended for distribution in a national sexually transmitted infection (STI) AIDS prevention campaign in the Netherlands. The campaign material tested was the storyline of a planned television commercial on safe sex. A storyboard that consisted of drawings and text was presented to members of the target population, namely, students between the ages of 14 and 16 enrolled in vocational schools. Results showed positive effects on targeted determinants of safe sexual behavior. The advantages, practical implications, and limitations of experimental pretesting are discussed.

  9. Public Perception of Climate Risk: The Case of Greece

    Science.gov (United States)

    Voskaki, Asimina; Tsermenidis, Konstantinos

    2015-04-01

    Climate change is generally considered as one of the greatest challenges our world is facing. In the case of Greece climatic change seems to be associated with sea level rise, increase in temperature, variation in precipitation patterns, and extreme weather events. As a result of climate pattern changes a series of consequences are expected in areas involving build environment, infrastructures, health and various sectors of the economy. Even though climate change is probably going to affect Greece in terms of human welfare and economic growth, public perception and attitude do not always identify it as the most important, amongst others, environmental area of concern, or compared to various socio-economic issues. Considering that topics related to climate change involve a certain degree of uncertainty public perception seems to be important when dealing with adaptation strategies to manage or prevent risks from climate change impact and therefore people's reaction to risks seem to be an issue of great importance in future policy planning and implementation. The key issue of this paper is to investigate and analyse public perception in Greece as regards to climate change risk. Through a questionnaire survey this research investigates people's understanding, specific knowledge, opinion, awareness, emotions, behavior with regards to climate change risks and their willingness to pay in order to minimize or prevent risk. In addition, it examines people's willingness to alter current lifestyle and adapt to a changing climate. The information derived from survey data concern the topics and the perceived importance of the causes of the climate change between certain groups of people; the analysis of the data is focused on the correlation between perceived risk and knowledge about the issues involved. Rather than applying a specific technique extensively, we choose to deploy a number of methodologies with which we are able to draw different aspects from the data. To this

  10. Levels of Evidence: Universal Newborn Hearing Screening (UNHS) and Early Hearing Detection and Intervention Systems (EHDI)

    Science.gov (United States)

    Yoshinaga-Itano, Christine

    2004-01-01

    Levels of evidence differ according to the audience addressed. Implementation of universal newborn hearing screening requires responses to a complex myriad of diverse groups: the general public, families with children who are deaf or hard of hearing, the deaf and hard of hearing communities, hospital administrators, physicians (pediatricians,…

  11. A young patient with polyarthralgia and hearing loss: a case report of Muenke syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Didolkar, Manjiri M.; Vinson, Emily N.; Gaca, Ana M. [Duke University Medical Center, Department of Radiology, Durham, NC (United States)

    2009-10-15

    There are few reports of the typical radiographic findings in the hands and feet of patients with Muenke syndrome. We present a case report of a young girl with Muenke syndrome, whose diagnosis was made following the observation of coalitions and coned epiphyses on hand radiographs. (orig.)

  12. Hearing Loss due to Carbon Monoxide Poisoning

    DEFF Research Database (Denmark)

    Mehrparvar, Amir Houshang; Davari, Mohammad Hossein; Mollasadeghi, Abolfazl

    2013-01-01

    Carbon monoxide poisoning is one of the rare causes of hearing loss which may cause reversible or irreversible, unilateral or bilateral hearing loss after acute or chronic exposure. In this report, we present a case of bilateral sensorineural hearing loss in a secondary smelting workshop worker...

  13. National Childhood Vaccine-Injury Compensation Act. Hearing before the Committee on Labor and Human Resources, United States Senate, Ninety-Eighth Congress on S.2117 to Amend the Public Health Service Act to Provide for the Compensation of Children and Others Who Have Sustained Vaccine-Related Injury, and for Other Purposes.

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

    Statements are presented which were made at this hearing to amend the Public Health Service Act to provide for the compensation of children and others who have sustained vaccine-related injury. While the hearing focused on the costs and the regulatory burden that might be imposed by the legislation, the following areas were also addressed: (1) the…

  14. Assessing the Level of Performance of Sign Language Interpreters from Impaired Hearing Students' Perspectives at Public and Private Jordanian Universities

    Science.gov (United States)

    Shanikat, Feryal Abdel-Hadi

    2014-01-01

    This study aimed at assessing the level of performance of sign language interpreters in both public and private Jordanian universities, as well as to recognize the effect of the study variables specifically gender and qualifications for acoustically disabled and interpreter, and the experience of the interpreter on the level of the performance…

  15. 76 FR 15968 - Notice of Availability of the Draft Environmental Impact Statement and Public Hearing Notice for...

    Science.gov (United States)

    2011-03-22

    ... under the Clean Coal Power Initiative (CCPI) program. DOE prepared this draft EIS in accordance with the... Clean Energy Project, near Odessa, Ector County, TX AGENCY: Department of Energy. ACTION: Notice of... Texas Clean Energy Project Draft Environmental Impact Statement (DOE/EIS-0444D) for public review...

  16. Educating for Civic Engagement: Public Achievement as a Case Study

    Science.gov (United States)

    Costello, Bernadette Christine

    Over the last four decades there is evidence that citizens are less civically engaged, have less trust in each other and governmental institutions, and are less prepared to participate in deliberative and civic processes. This research studies the importance of acquiring deliberative and civic skills and behaviors as an integral part of civic engagement and developing educational and learning strategies to impart those skills and behaviors in an educational environment. This research uses a civic action program called Public Achievement (PA) as a case study to investigate if participating in a civic and deliberative focused program enables participants to continue to use the skills and behaviors learned in PA in non-PA activities. The research study was focused by a literature review of philosophical frameworks, educational history in the United States, and educational theory. The literature review and examples of learning civic skills and behaviors in secondary and higher educational institutions are examined to frame the analysis of PA. Based on the literature review and the design of PA, constructs and a survey instrument were developed to test the hypothesis that students who participate in PA will be more likely to exhibit civic skills and behaviors than students who did not participate in PA. The research was conducted with two schools in rural Missouri, two schools in Minneapolis, Minnesota, and two schools in St. Paul, Minnesota. The study results show that students who participated in PA were not more likely to exhibit civic skills and behaviors, and in many cases, non-PA students exhibited civic skills and behaviors more often. The findings revealed that there are programmatic, organizational, and societal barriers that may impede the effectiveness of PA. The findings suggest that implementation of civic engagement programs may be more effective when the effort is supported and reinforced by and across all parts of the organization, organizational

  17. Hearing Loss due to Carbon Monoxide Poisoning

    Directory of Open Access Journals (Sweden)

    Amir Houshang Mehrparvar

    2013-01-01

    Full Text Available Carbon monoxide poisoning is one of the rare causes of hearing loss which may cause reversible or irreversible, unilateral or bilateral hearing loss after acute or chronic exposure. In this report, we present a case of bilateral sensorineural hearing loss in a secondary smelting workshop worker after an acute exposure to carbon monoxide. This complication was diagnosed by pure-tone audiometry and confirmed by transient evoked otoacoustic emissions. Hearing loss has not improved after 3 months of followup.

  18. 42 CFR 405.1050 - Removal of a hearing request from an ALJ to the MAC.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Removal of a hearing request from an ALJ to the MAC... Removal of a hearing request from an ALJ to the MAC. If a request for hearing is pending before an ALJ, the MAC may assume responsibility for holding a hearing by requesting that the ALJ send the hearing...

  19. Effects of poor sanitation on public health: Case of Yopougon town ...

    African Journals Online (AJOL)

    Effects of poor sanitation on public health: Case of Yopougon town (Abidjan) ... African Journal of Environmental Science and Technology ... Under-five children are much affected with 24% of the patients among which 43% were cases of the ...

  20. Public Values in Water Law : A Case of Substantive Fragmentation?

    NARCIS (Netherlands)

    Ambrus, Monika; Gilissen, Herman Kasper; van Kempen, Jasper JH

    2014-01-01

    Horizontal fragmentation, from a public-values perspective, is a quite well-documented phenomenon in international (water) law. However, the literature does not provide any insight into vertical or substantive fragmentation, i.e. differences in the protection of public values at the various institut

  1. Public Values in Water Law: A Case of Substantive Fragmentation?

    NARCIS (Netherlands)

    Ambrus, M.; Gilissen, Herman Kasper|info:eu-repo/dai/nl/314838732; van Kempen, Jasper|info:eu-repo/dai/nl/314011900

    2014-01-01

    Horizontal fragmentation, from a public-values perspective, is a quite well-documented phenomenon in international (water) law. However, the literature does not provide any insight into vertical or substantive fragmentation, i.e. differences in the protection of public values at the various institut

  2. Public Values in Water Law : A Case of Substantive Fragmentation?

    NARCIS (Netherlands)

    Ambrus, Monika; Gilissen, Herman Kasper; van Kempen, Jasper JH

    2014-01-01

    Horizontal fragmentation, from a public-values perspective, is a quite well-documented phenomenon in international (water) law. However, the literature does not provide any insight into vertical or substantive fragmentation, i.e. differences in the protection of public values at the various

  3. Public Values in Water Law: A Case of Substantive Fragmentation?

    NARCIS (Netherlands)

    Ambrus, M.; Gilissen, Herman Kasper|info:eu-repo/dai/nl/314838732; van Kempen, Jasper|info:eu-repo/dai/nl/314011900

    2014-01-01

    Horizontal fragmentation, from a public-values perspective, is a quite well-documented phenomenon in international (water) law. However, the literature does not provide any insight into vertical or substantive fragmentation, i.e. differences in the protection of public values at the various

  4. 42 CFR 423.2030 - ALJ hearing procedures.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false ALJ hearing procedures. 423.2030 Section 423.2030 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES..., and Judicial Review § 423.2030 ALJ hearing procedures. (a) General rule. A hearing is open to the...

  5. 42 CFR 430.90 - Exclusion from hearing for misconduct.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Exclusion from hearing for misconduct. 430.90 Section 430.90 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN... hearing for misconduct. The presiding officer may immediately exclude from the hearing any person who—...

  6. 76 FR 66011 - Modifications of Certain Derivative Contracts; Hearing Cancellation

    Science.gov (United States)

    2011-10-25

    ... Internal Revenue Service 26 CFR Part 1 RIN 1545-BK13 Modifications of Certain Derivative Contracts; Hearing Cancellation AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Cancellation of notice of public hearing... when there is an assignment of certain derivative contracts. DATES: The public hearing,...

  7. 42 CFR 498.68 - Dismissal of request for hearing.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Dismissal of request for hearing. 498.68 Section 498.68 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES... IN THE MEDICAID PROGRAM Hearings § 498.68 Dismissal of request for hearing. (a) The ALJ may, at...

  8. 45 CFR 96.68 - Administrative record of a hearing.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Administrative record of a hearing. 96.68 Section 96.68 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION BLOCK GRANTS Hearing Procedure § 96.68 Administrative record of a hearing. (a) The exclusive administrative record...

  9. 42 CFR 431.221 - Request for hearing.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Request for hearing. 431.221 Section 431.221 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED... Recipients Right to Hearing § 431.221 Request for hearing. (a) The agency may require that a request for...

  10. Public accounting and its challenges: the case of Hungary

    Directory of Open Access Journals (Sweden)

    JOZSEF SIMON

    2013-09-01

    Full Text Available In a democratic state, citizens expect that those currently in power be obliged to justify the way they spend and manage public funds. The enforcement of accountability has several preconditions. At the same time, the accounting system constitutes one part of the public sector’s information system. Thus, studying the information system in a systematic manner is important. The information system must meet diverse needs. The present paper aims at showing those requirements. When considered in a comparative perspective, different public accountancy systems implemented internationally show different forms. Every country can decide in which area and how the cash-flow approach and accrual based accounting can be used. The purpose of this paper is to verify whether and how could the usage of accrual based accounting influence the public accounting methods and the functions of public accountancy.

  11. Some Influences on the Autonomy of Corporate Public Relations Professionals: A Case Study.

    Science.gov (United States)

    Serini, Shirley A.

    A case study examined the process of preparing information for publication in an in-house newsletter for a large organization, focusing on the factors determining the amount of autonomy of public relations practitioners as professionals in organizations. The subject of the case study was a communication and advertising department of a "mixed…

  12. Online Communication And PR in Romanian Public Administration. The Case Study of Public Institutions From Transylvania

    Directory of Open Access Journals (Sweden)

    Delia Cristina BALABAN

    2016-02-01

    Full Text Available New technologies such as Internet and new media introduce new challenges for public communication. Private companies from Romania use in a very creative way the new tools of Web 2.0, such as social media. In the Romanian public sector, especially in the public administration there are important steps taken towards a modern communication. Based on the example of over 40 city halls, city councils, prefectures and county councils from Transylvania, the present paper analyzes the use of new media tools in public communication by applying content analysis and in-depth interviews with the PR representatives in those institutions in two stages, 2011 and 2015. The most important advantages of online communication in public administration are high speed, cost reduction, reaching young audiences, etc. Nevertheless, there are also critical voices that express possible risks such as exclusion of audience groups that have no online media literacy.

  13. Preferential procurement in the public sector: The case of Amathole

    African Journals Online (AJOL)

    The end of the apartheid era in South Africa ushered in a new institutional environment through .... examine how their services are procured for construction project purposes. .... are all responsible for major public sector capital infrastructure.

  14. ESSENTIALS OF PUBLIC SECTOR REFORM: A CASE STUDY OF CROATIA

    Directory of Open Access Journals (Sweden)

    Farhad Analoui

    2008-09-01

    Full Text Available This paper explores the challenges faced by developing countries and countries in transition in their attempt at reforming the inherited bureaucratic public service. The paper explores how the public sector in Croatia has managed to come this far after the turbulent years of political and technocratic dislocation. Croatia is determined to reform its public sector to become eligible for joining the European Union (EU in near future. This has posed a major challenge for top senior officials and consultants alike. Adopting ‘action research’ as both a methodology and a strategy, a programme of intervention for change was designed and implemented in the Ministry of Finance. The overall results suggest that for the successful implementation of public sector reforms in the 21st century, attention should focus on strategic issues including systems thinking, HRMD, behavioural and attitudinal change, skills and competencies development and, above all, honest and responsible transformational leadership.

  15. The Internet as Public Sphere: A Zimbabwean Case Study

    African Journals Online (AJOL)

    chifaou.amzat

    2012-03-06

    Mar 6, 2012 ... development of a virtual counter-public sphere. The Internet has ..... Mthwakazi community has no physical reality as it exists only on the Internet ... articulate and sustain a 'grand' and 'dominant' narrative through the teaching.

  16. Public Values in Water Law: A Case of Substantive Fragmentation?

    Directory of Open Access Journals (Sweden)

    Monika Ambrus

    2014-05-01

    Full Text Available Horizontal fragmentation, from a public-values perspective, is a quite well-documented phenomenon in international (water law. However, the literature does not provide any insight into vertical or substantive fragmentation, i.e. differences in the protection of public values at the various institutional levels. This article assesses whether there is substantive fragmentation in water law at the international, the European, the sub-regional (Danube River Basin, and the Dutch domestic level. To this end, first a working definition of the concept of ‘public water values’ will be formulated. Subsequently, this article will draw conclusions regarding the degree of substantive fragmentation in water law across the institutional levels mentioned, based on an in-depth analysis of relevant sources of water law. The article will not present an exhaustive overview of public water values, but elaborates on a number of core values in water law.

  17. Hearing Impairments

    Science.gov (United States)

    Cavender, Anna; Ladner, Richard E.

    For many people with hearing impairments, the degree of hearing loss is only a small aspect of their disability and does not necessarily determine the types of accessibility solutions or accommodations that may be required. For some people, the ability to adjust the audio volume may be sufficient. For others, translation to a signed language may be more appropriate. For still others, access to text alternatives may be the best solution. Because of these differences, it is important for researchers in Web accessibility to understand that people with hearing impairments may have very different cultural-linguistic traditions and personal backgrounds.

  18. Noise and Hearing Loss Prevention: Facts and Statistics

    Science.gov (United States)

    ... Follow us on Twitter Follow @NIOSHNoise Noise and Hearing Loss on the NIOSH Science Blog Smartphone Sound Apps ... Publications and Products Programs Contact NIOSH NOISE AND HEARING LOSS PREVENTION Recommend on Facebook Tweet Share Compartir NIOSH ...

  19. SCHOLARSHIP AND DECISION CASES: PEDAGOGY AND STANDARDS FOR PUBLICATION

    OpenAIRE

    2000-01-01

    Case studies represent an important form of scholarly output for educators of agribusiness management. This article defines scholarship with respect to case writing. First, it explains how case studies are scholarship in the educational process. The pedagogical foundation of the case method is this method's effectiveness in developing the critical thinking skills of students. This in turn enhances learning and advances scholarly understanding. Second, it examines criteria that are used to ass...

  20. Public Values in Water Law: A Case of Substantive Fragmentation?

    OpenAIRE

    Monika Ambrus; Herman Kasper Gilissen; Jasper J.H. van Kempen

    2014-01-01

    Horizontal fragmentation, from a public-values perspective, is a quite well-documented phenomenon in international (water) law. However, the literature does not provide any insight into vertical or substantive fragmentation, i.e. differences in the protection of public values at the various institutional levels. This article assesses whether there is substantive fragmentation in water law at the international, the European, the sub-regional (Danube River Basin), and the Dutch domestic level. ...

  1. THICS IN PUBLIC ADMINISTRATION. CASE STUDY – ROMANIA

    Directory of Open Access Journals (Sweden)

    Răzvan\tVIORESCU

    2015-06-01

    Full Text Available Public services represent useful activities designated to meet a social need. The laws and regulations empower the activities of public services, without indicating the motives for public services. The impact of government in day to day life of citizens and communities is increasingly greater in terms of both public affairs management and budgetary aspect. The power to spend the community resources and to influence the lives of others means at the same time a great responsibility. That is the responsibility to act morally (with integrity and ensure effective spending of resources. This means not to corrupt and do not let yourself be bribed, but it also means openness to dialogue with stakeholders, internal organizational climate of trust and cooperation, internal procedures to ensure ethical advise. In this sense, in the last 20 years, the public sector has developed legal rules or internal policies, procedures and organizational tools to ensure the integrity and responsible leadership. Public organizations have adopted and applied ethics codes, procedures regarding conflicts of interest, whistleblowing, declaring gifts and other measures to prevent corruption.

  2. Ecological validity and the study of publics: The case for organic public engagement methods.

    Science.gov (United States)

    Gehrke, Pat J

    2014-01-01

    This essay argues for a method of public engagement grounded in the criteria of ecological validity. Motivated by what Hammersly called the responsibility that comes with intellectual authority: "to seek, as far as possible, to ensure the validity of their conclusions and to participate in rational debate about those conclusions" (1993: 29), organic public engagement follows the empirical turn in citizenship theory and in rhetorical studies of actually existing publics. Rather than shaping citizens into either the compliant subjects of the cynical view or the deliberatively disciplined subjects of the idealist view, organic public engagement instead takes Asen's advice that "we should ask: how do people enact citizenship?" (2004: 191). In short, organic engagement methods engage publics in the places where they already exist and through those discourses and social practices by which they enact their status as publics. Such engagements can generate practical middle-range theories that facilitate future actions and decisions that are attentive to the local ecologies of diverse publics.

  3. Sudden Hearing Loss.

    Science.gov (United States)

    Vaughan, John C.

    1997-01-01

    Patients with a sudden dramatic decline in hearing usually require rapid diagnosis and treatment. Unfortunately, the treatment of this condition continues to be controversial and an exact etiology in most cases has been inconclusive. Nevertheless, physicians have reached a consensus regarding several broad principles, which are presented in this…

  4. Sudden Hearing Loss.

    Science.gov (United States)

    Vaughan, John C.

    1997-01-01

    Patients with a sudden dramatic decline in hearing usually require rapid diagnosis and treatment. Unfortunately, the treatment of this condition continues to be controversial and an exact etiology in most cases has been inconclusive. Nevertheless, physicians have reached a consensus regarding several broad principles, which are presented in this…

  5. Water resources policy issues - (Field Hearings). Hearings before the Subcommittee on Water Resources of the Committee on Environment and Public Works, United States Senate, Ninety-Seventh Congress, First Session. Part 3

    Energy Technology Data Exchange (ETDEWEB)

    1982-01-01

    Part 3 of the hearing record covers hearings held in seven cities to discuss legislation on various water projects. Albuquerque, NM witnesses focuesed on S. 620, which will help the city with its purchases of San Juan-Chama water. Water projects of regional and national interest were also addressed in Juneau, Alaska, Santa Fe, NM, St. Paul, Minn., Great Falls, Mont., Rapid City, S.D., and Vancouver, Washington. The testimony of 151 witnesses is arranged by location. The record also includes the text of S. 620, statements of committee members, and additional material submitted for the record. (DCK)

  6. [Combined treatment supported by piracetam and/or acyclovir in idiopathic sudden sensorineural hearing loss: experience with 81 cases].

    Science.gov (United States)

    Karakurt, Süleyman Emre; Ozkul, Mehmet Doğan; Cukurova, Ibrahim; Demirhan, Erhan; Yiğitbaşi, Orhan Gazi

    2009-01-01

    To investigate the efficiency of piracetam and acyclovir in treating sudden hearing loss. Eightyone patients (44 males, 37 females; mean age 40.4 year; range 18 to 72 years) who had treatment between January 2002 and December 2006 with diagnosis of idiopathic sudden hearing loss were evaluated retrospectively. These patients were divided into four groups according to the treatment they received. The patients who had combined treatment constituted the first group; those who had combined treatment and piracetam the second; those who had combined treatment and acyclovir the third; those who had combined treatment, acyclovir, and piracetam the fourth group. For the four treatment groups, in the pre-and post-treatment (10th day) evaluation of the treatment efficiency made by calculation of the hearing thresholds in 250-8000 Hz frequencies, no significant difference between the groups was determined (p>0.05). No additional benefit was obtained with acyclovir and piracetam in treatment.

  7. Adult hearing screening: the Cyprus Pilot Program

    Directory of Open Access Journals (Sweden)

    C. Thodi

    2011-03-01

    Full Text Available Hearing loss is the third most common condition affecting adults over 65 (Cruickshanks et al., 1998. It can affect quality of life, limiting the ability to communicate efficiently, and leading to isolation, psychological strain, and functional decline (LaForge, Spector, Sternberg, 1992; Yueh, Shapiro, MacLean, Shekelle, 2003. Communication limitations impinge on the person directly, as well as the family, friends, and social circle. Reports on hearing loss among adults indicate that less than 25% of people who can benefit from amplification are actually using hearing aids, and that people diagnosed with a hearing loss delay seeking amplification by about seven years (Kochkin, 1997. Often, family members are the driving force behind a person with a hearing loss who decides to seek help. Adult hearing screening programs might have a positive effect on raising public awareness on hearing loss and its implications, and shortening delay time for intervention. There is no routine hearing screening for the adult population in Cyprus. The health system provides hearing tests for beneficiaries upon physician recommendation or self-referral. The Cyprus pilot adult hearing screening program (ΑΠΑΣ- EVERYONE- Greek acronym for Screening- Intervention-Hearing-Participation to Life screened hearing in retired adults.

  8. The beneficial effect of escitalopram on obsessive-compulsive-related musical hallucinations in elderly patients with hearing impairment: a case series.

    Science.gov (United States)

    Bergman, Josef; Pashinian, Artashez; Weizman, Abraham; Poyurovsky, Michael

    2014-09-01

    Musical hallucinations (MHs), characterized by the hearing of tunes, melodies, or songs, is a relatively under-recognized phenomenon among elderly individuals with hearing impairment. In some patients, MHs represent a complex psychopathological phenomenon, hallucinatory in content and obsessive-compulsive (OC) in form, justifying trial with an antiobsessive agent. In the present case series, we describe our clinical experience with escitalopram in six (two men, four women; age 74-85 years) elderly individuals with OC-related MH and hearing impairment who did not respond to previous antipsychotic treatment. Switch to escitalopram (mean 12.5 mg) led to a substantial improvement in the MH symptom severity, as reflected in a decrease in the global score of the Yale-Brown Obsessive-Compulsive Scale adapted to OC-related MH (scores before escitalopram, 13.2±0.9; after 12 weeks of treatment, 7.8±2.8; P<0.01). Escitalopram was well tolerated, and the only detected side effects, nausea and headache, were mild and transient. If confirmed in controlled trials, escitalopram and probably other selective serotonin reuptake inhibitors may be a therapeutic option in elderly individuals with OC-related MH.

  9. Fish Hearing.

    Science.gov (United States)

    Blaxter, J. H. S.

    1980-01-01

    Provides related information about hearing in fish, including the sensory stimulus of sound in the underwater environment, mechanoreceptors in fish, pressure perception and the swimbladder, specializations in sound conduction peculiar to certain fish families. Includes numerous figures. (CS)

  10. Hearing Aids

    Science.gov (United States)

    ... slightly different from the ITC and is nearly hidden in the ear canal. Both canal hearing aids ... Privacy Policy & Terms of Use Visit the Nemours Web site. Note: All information on TeensHealth® is for ...

  11. The size of the public sector: Case of Albania

    Directory of Open Access Journals (Sweden)

    Dosti Bernard

    2014-01-01

    Full Text Available The government is one of the key players in the economic area of each country. Its impact is evident in all areas, such as political, economic and socio-cultural ones. This impact is measured by an indicator which economists call 'the size of the public sector'. As government's influence is so significant a question naturally arises: Should the impact of the government be big or small? There are many arguments in favor and against this issue and it is difficult to come to a consensus on the extent of government's intervention in the economy. That is why the purpose of this paper is to present a picture of this intervention in the economic life of our country by connecting this indicator with the budget deficit. First, we will elaborate the progress of the size of the public sector in Albania and its measurement by various indicators. Secondly, we will compare the size of the public sector in Albanian with the sizes of the public sector of other countries in the region. Finally, we will present the results of a study on the optimal size of the public sector in the economy of a country being analyzed and in terms of our country.

  12. Perda auditiva sensorioneural no lúpus eritematoso sistêmico: relato de três casos Sensorineural hearing loss in systemic lupus erythematosus: report of three cases

    Directory of Open Access Journals (Sweden)

    Suzana B. Cecatto

    2004-06-01

    Full Text Available INTRODUÇÃO: O Lúpus Eritematoso Sistêmico (LES é uma doença sistêmica do tecido conectivo, de etiologia desconhecida, provavelmente multifatorial. Acomete principalmente o sexo feminino podendo afetar múltiplos órgãos, dentre eles o sistema auditivo. A orelha interna pode ser lesada por diversos mecanismos auto-imunes, sendo a manifestação mais freqüente a disacusia sensorioneural flutuante, geralmente bilateral, rapidamente progressiva e com boa responsividade a imunossupressores. OBJETIVO: O objetivo deste trabalho é relatar três casos de disacusia de etiologia auto-imune, enfocando formas de acometimento e manifestações clínicas, bem como correlacionando o efeito ototóxico da cloroquina - droga empregada no controle do LES - com a perda auditiva. CONCLUSÃO: As perdas auditivas sensorioneurais súbitas, rapidamente progressivas ou flutuantes, podem ocorrer em pacientes com doença auto-imune e devem ser sempre lembradas nos casos de disacusia sem causa aparente.INTRODUCTION: The Systemic Lupus Erythematosus (SLE is a systemic disease of the connective tissue, with unknown etiology, probably associated to multiple events. It is a multiple organs disease that affects mainly women. The inner ear can be damaged by several immunopathogenic mechanisms, and the most common symptom is a progressive sensorineural hearing loss, generally bilateral, with good response to immunossupression. AIM: The purpose of this article is to report three cases of women suffering from SLE and hearing loss and to establish a link between the autoimmune and the vascular mechanisms of the disease, also focusing attention on the ototoxicity due to chloroquine applied during the treatment of SLE. CONCLUSION: Sudden or fluctuant sensorineural hearing loss may affect patients with autoimmune disease, so it must always be taken into account when dealing with patients suffering from hearing loss without any apparent cause.

  13. The public library as therapeutic landscape: a qualitative case study.

    Science.gov (United States)

    Brewster, Liz

    2014-03-01

    The idea of the therapeutic landscape has been widely used to describe the relationship between place and improvements in mental health. This paper uses data from a qualitative study conducted with people with mental health problems to outline the role of the public library as a therapeutic landscape. It situates the public library as a space that is simultaneously familiar and welcoming, comforting and calming, and empowering. Further, the paper reflects on the impact of proposed library closures in light of these previously hidden benefits, thinking about the library's role as an environment and not as a service provider. Copyright © 2014 Elsevier Ltd. All rights reserved.

  14. ALTERNATIVE STRATEGIES TO REDUCE PUBLIC DEFICITS: THE CASE OF SPAIN

    Directory of Open Access Journals (Sweden)

    O. Bajo-Rubio

    2013-03-01

    Full Text Available High government deficits are a matter of concern in many European countries. We examine the effects of several alternative measures intended to reduce public deficits, distinguishing between those acting through either taxes or spending. Our analysis is applied to the Spanish economy, using a computable general equilibrium model.

  15. Video surveillance in public libraries : A case of unintended consequences?

    NARCIS (Netherlands)

    Newell, Bryce; Randall, David P.

    2013-01-01

    This paper presents the findings of an exploratory qualitative research study in which we examine why two public libraries have implemented video security systems and why one of these libraries has reversed course and recently removed a previously installed surveillance system.

  16. The Efficiency of Public Schools: The Case of Kuwait

    Science.gov (United States)

    Burney, Nadeem A.; Johnes, Jill; Al-Enezi, Mohammed; Al-Musallam, Marwa

    2013-01-01

    This paper investigates the technical, and allocative efficiencies of public schools in Kuwait over four levels of schooling (kindergartens, primary, intermediate and secondary) and two periods (1999/2000 and 2004/2005) using data envelopment analysis. Mean pure technical efficiency varies between 0.695 and 0.852 across all levels of education;…

  17. Video surveillance in public libraries : A case of unintended consequences?

    NARCIS (Netherlands)

    Newell, Bryce; Randall, David P.

    This paper presents the findings of an exploratory qualitative research study in which we examine why two public libraries have implemented video security systems and why one of these libraries has reversed course and recently removed a previously installed surveillance system.

  18. Information Literacy Training in Public Libraries: A Case from Canada

    Science.gov (United States)

    Lai, Horng-Ji

    2011-01-01

    The purpose of this study was to explore the current state of information literacy (IL) training and to identify the strategies and methods used by Canadian public libraries in improving IL skills for their staff and patrons. Also, the study sought to identify problems associated with the development of IL training. This study employed document…

  19. Information Literacy Training in Public Libraries: A Case from Canada

    Science.gov (United States)

    Lai, Horng-Ji

    2011-01-01

    The purpose of this study was to explore the current state of information literacy (IL) training and to identify the strategies and methods used by Canadian public libraries in improving IL skills for their staff and patrons. Also, the study sought to identify problems associated with the development of IL training. This study employed document…

  20. Building a Statewide Digital Public Library: A Case Study.

    Science.gov (United States)

    Bertot, John Carlo

    2002-01-01

    Presents results of a study undertaken for the state library of Maryland to develop a process for the development of a Maryland Digital Public Library. Highlights include planning; management; implementation requirements; networked environments; technical infrastructure issues; collection development; standards; information content; information…

  1. Making the case for a 'fifth wave' in public health.

    Science.gov (United States)

    Hanlon, P; Carlisle, S; Hannah, M; Reilly, D; Lyon, A

    2011-01-01

    This paper will argue that the UK has seen several phases of public health improvement since the Industrial Revolution, and that each of these can be linked to major shifts in thinking about the nature of society and health itself. The authors are not, however, attempting to delineate firm sequences of events (or imply causality) as this would require a level of analysis of the relationship between economy, society and culture which is beyond the scope of this paper. Rather, it is suggested that each phase of health improvement can be thought of in metaphorical terms as a 'wave'. The first wave is associated with great public works and other developments arising from social responses to the profound disruptions which followed the Industrial Revolution. The second wave saw the emergence of medicine as science. The third wave involved the redesign of our social institutions during the 20th Century and gave birth to the welfare state. The fourth wave has been dominated by efforts to combat disease risk factors and the emergence of systems thinking. Although a trough of public health activity continues from each wave, none exerts the same impact as when it first emerged. This paper will discuss the complex challenges of obesity, inequality and loss of wellbeing, together with the broader problems of exponential growth in population, money creation and energy usage. As exponential growth is unsustainable on a finite planet, inevitable change looms. Taken together, these analyses suggest that a fifth wave of public health development is now needed; one which will need to differ radically from its forerunners. The authors invite others to join them in envisioning its nature and in furthering the debate about future public health.

  2. Individual Hearing Loss: Characterization, Modelling, Compensation Strategies

    DEFF Research Database (Denmark)

    Santurette, Sébastien; Dau, Torsten; Christensen-Dalsgaard, Jakob

    2016-01-01

    It is well-established that hearing loss does not only lead to a reduction of hearing sensitivity. Large individual differences are typically observed among listeners with hearing impairment in a wide range of suprathreshold auditory measures. In many cases, audiometric thresholds cannot fully...... account for such individual differences, which make it challenging to find adequate compensation strategies in hearing devices. How to characterize, model, and compensate for individual hearing loss were the main topics of the fifth International Symposium on Auditory and Audiological Research (ISAAR...

  3. Public Participation in Land Use Planning:Values and Case Analysis

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    Objective:we want to explore values and methods of public participation in land use planning through analysis on values of public participation and case of Ji’an County in Jiangxi Province.Methods:document and data method,case analysis method,qualitative and quantitative combined methods.Results:public participation in land use plays a positive role in improving science and practice of planning.Conclusions:preparation and implementation of land use planning should manifest human-oriented,public participation,wisdom of the masses,scientific demonstration,and democratic decision-making.

  4. Wired to freedom: Life science, public politics, and the case of Cochlear Implantation.

    Science.gov (United States)

    Jepsen, Kim Sune; Bertilsson, T Margareta

    2017-02-01

    Cochlear Implantation is now regarded as the most successful medical technology. It carries promises to provide deaf/hearing impaired individuals with a technological sense of hearing and an access to participate on a more equal level in social life. In this article, we explore the adoption of cochlear implantations among Danish users in order to shed more light on their social and political implications. We situate cochlear implantation in a framework of new life science advances, politics, and user experiences. Analytically, we draw upon the notion of social imaginary and explore the social dimension of life science through a notion of public politics adopted from the political theory of John Dewey. We show how cochlear implantation engages different social imaginaries on the collective and individual levels and we suggest that users share an imaginary of being "wired to freedom" that involves new access to social life, continuous communicative challenges, common practices, and experiences. In looking at their lives as "wired to freedom," we hope to promote a wider spectrum of civic participation in the benefit of future life science developments within and beyond the field of Cochlear Implantation. As our empirical observations are largely based in the Scandinavian countries (notably Denmark), we also provide some reflections on the character of the technology-friendly Scandinavian welfare states and the unintended consequences that may follow in the wake of rapid technology implementation of life science in society.

  5. The Adaptive Capabilities of Organizations. Case of Polish Public Hospitals

    Directory of Open Access Journals (Sweden)

    Mariola Ciszewska-Mlinaric

    2009-09-01

    Full Text Available Information gathering and analysis, reaction design and implementation, and activities correction and learning are three types of adaptive capabilities connected to three phases of organizational adaptation to the environment. The primary objective of this article is to present how adaptive capabilities of high and low performers differ. In the second part of the article the key factors influencing the adaptive capabilities of Polish public hospitals will be identified and examined.

  6. Clean Air Act oversight: field hearings. Hearings before the Committee on Environment and Public Works, United States Senate, Ninety-Seventh Congress, First Session, June 27, 1981 Seattle, Washington, June 30, 1981 Randolph, Vermont, July 1, 1981 Albany, New York, July 1, 1981 Fairbanks, Alaska, Part 7

    Energy Technology Data Exchange (ETDEWEB)

    1981-01-01

    Part 7 of the field hearings report covers hearings held on June 27, 1981 in Seattle, Washington, June 30, 1981 in Randolph, Vermont, July 1, 1981 in Albany, NY, and also July 1, 1981 in Fairbanks, Alaska. A total of 122 witnesses appeared to express their views on reauthorizing the Clean Air Act and to suggest possible amendments. Witnesses represented federal and state agencies, local businesses, and public interest groups. Witnesses were asked to address the issues of health standards, the Prevention of Significant Deterioration rule, all air pollutants and the effects, and the lack of clear responsibility and flexibility in the Clean Air Act. Present at the Albany meeting were representatives from the Canadian government, which is concerned with the problem of transboundary pollution. The record includes the testimony and supporting materials submitted for the record. (DCK)

  7. Relationship between hearing complaint and hearing loss among older people

    Directory of Open Access Journals (Sweden)

    Teixeira, Adriane Ribeiro

    2009-03-01

    Full Text Available Introduction: Presbycusis is a public health problem. Despite its high prevalence, many elders do not have their hearing ability investigated periodically, because they do not have a specific complaint. Objective: To check whether there is a relationship between the complaint and the presence of hearing loss in elder people. Method: Transversal study in elders from a neighborhood in the city of Canoas, Rio Grande do Sul. After the definition of the neighborhood's geographic boundaries, all houses were visited, the older people's addresses were ascertained and the invitations to take part in the research were provided. A questionnaire survey was applied which had a question about hearing loss complaint and air-conducted hearing thresholds were obtained and studied. Out of the 72 identified elders 50 elders agreed to participate, 35 (70% women, and 15 (30% men. Results: It was confirmed that only 12 (24% elders showed a specific complaint of hearing loss, although 33 (66% elders showed slight, moderate, severe and profound hearing losses. Conclusion: Data analysis confirmed there was no relationship between the complaint and the presence of hearing loss in the assessed group, and demonstrated the need to forward the elders for audiological evaluation even without any specific complaint.

  8. New Public Management or Mismanagement? The Case of Public Service Agency of Indonesia

    Directory of Open Access Journals (Sweden)

    JIN-WOOK CHOI

    2016-02-01

    Full Text Available In line with the new public management (NPM, a public service agency (PSA is considered as an alternative to replace the government-led public service delivery in a more efficient and effective way. At the same time, a PSA mechanism can deliver public service with better quality. To meet these ends, a PSA is granted with operational flexibility and autonomy particularly in managing finance and personnel. However, the PSA system has not yielded the expected benefits in Indonesia. On the contrary, PSAs have been regarded to cause financial burdens to the Government of Indonesia. This paper explores the current conditions of three key institutional bases of PSAs in Indonesia including PSA governance, financial management and performance management. The notable challenges related to the three dimensions in the Indonesia’s PSAs include the weak PSA governance structure, and an inappropriate balance between flexibility and autonomy on the one hand and accountability and performance on the other in managing a PSA. Focusing on these challenges, this paper draws the following policy suggestions for Indonesia to improve the efficient operation of the PSA system: rebuild the PSA governance on a firm and clear legal base, absorb diverse stakeholders and outside experts in the PSA governance decision-making; monitor and evaluate the PSA’s financial flexibility and autonomy through vigilant internal and external monitoring mechanisms; redesign performance appraisal to set up right appraisal structure, process, and performance criteria; and link the results of performance appraisal to relevant rewards and punishment.

  9. Public Management Reform without Managers: The Case of German Public Schools

    Science.gov (United States)

    Mintrop, Rick

    2015-01-01

    Purpose: The purpose of this paper is to discuss the role of principals in light of public management reforms taking place in the German educational system and in reference to the empirical patterns uncovered by the papers contained in the Special Issue. Policy makers have created new expectations and new technologies that seem to suggest to…

  10. Strategic Planning and Public management Reform: The Case of Romania

    Directory of Open Access Journals (Sweden)

    Călin Emilian HINȚEA

    2015-12-01

    Full Text Available Strategic planning is an excellent tool that local governments can (and should use in order to deal effi ciently with change, which means that planning is an important aspect of public sector reform, arguably one of the defi ning elements of the public policy landscape for the past three decades (Pollitt and Bouckaert, 2011. Our main objective with this research is twofold: to analyze why and how local public administration uses strategic planning as a managerial tool for managing change (reform, and to identify whether the planning efforts display a specifi c reform pattern. We employed a quantitative methodology – online survey – to collect data on the strategic planning process at the local level in Romania, with a specifi c framework for the strategic profi le (Hinţea, 2015 and another three dimension model – NPM, NWS, NPG1 – for the reform component (Pollitt and Bouckaert, 2011. Our analysis indicates that over 70% of strategic planning efforts are done because it is a mandatory condition for accessing EU funds. Major issues concern implementation, monitoring and evaluation with only around a third of organizations having a formal body responsible for this. Although the process has mixed characteristics, NWS type elements are more common/preferred, while NPM seem least common/preferred by local authorities

  11. [Regulatory policies and public opinion: the case of smoking].

    Science.gov (United States)

    Saltó, Esteve; Joan R, Villalbí; Valverde, Araceli; Baranda, Lucía; Plasencia, Antoni

    2006-01-01

    Collecting and disseminating information about the public opinion on a regulatory process gives visibility to the silent social support and facilitates the process, which often confronts resistance from interest groups. This paper presents a survey about a proposed legislation on tobacco in its final stages and its results, and some considerations on the use of this sort of information in change processes. Cross sectional descriptive study. In December 2005 a brief telephone survey was made to a population sample of 18 and more years of age (N=830) in Catalonia (Spain). The questionnaire explored opinions on the proposed regulations under discussion. We present the degree of support and the rating of nine regulatory measures, stratified by the respondents use of tobacco. Daily smokers are 26.3% of the surveyed population. Awareness and general support for tobacco regulation are very high. Aspects with wider support include bans on sales to minors (97.3%), smoking in enclosed public places (92.8%) and workplaces (89%), and publicity (90.8%). The aspect with less social support is banning smoking in bars and cafes (80.2%). The population supports widely tobacco regulation. This reinforces the process and weakens the arguments of those against it. Although smokers are less supportive, most of them accept the regulations, except for limitations in bars and cafes.

  12. Hyperbaric oxygen therapy for sudden sensorineural hearing loss in divers.

    Science.gov (United States)

    Van Der Wal, A W; Van Ooij, P J A M; De Ru, J A

    2016-11-01

    Sudden sensorineural hearing loss in divers may be caused by either inner-ear barotrauma or inner-ear decompression sickness. There is no consensus on the best treatment option. This study aimed to evaluate the therapeutic value of hyperbaric oxygen therapy for sudden sensorineural hearing loss in divers. A literature review and three cases of divers with sudden sensorineural hearing loss treated with hyperbaric oxygen therapy are presented. Hyperbaric oxygen therapy resulted in hearing improvement in 80 per cent of patients: 39 per cent had hearing improvement and 41 per cent had full recovery. Hyperbaric oxygen therapy improved hearing in divers with sudden sensorineural hearing loss.

  13. Determination of Hearing Loss Prevalence in Preschool Children of Ahwaz

    Directory of Open Access Journals (Sweden)

    Mozafar Sarafraz

    2011-03-01

    Full Text Available Introduction: Children learn to communicate by hearing sounds. If there is hearing loss, the cognitive and speaking abilities and language learning will deteriorate. Early detection and intervention are important factors in the successful treatment of hearing loss in children. Hearing loss (HL is divided into two main groups: conductive hearing loss (CHL and sensorineural hearing loss (SNHL, the prevalence of the former being higher in children, many whose causes are easy to detect and treat. Material and Methods: In this descriptive, cross-sectional study, 785 children, aged 6-7 years, entering elementary school Grade 1 in the school year 2010/2011, were randomly selected from 10% of Ahwaz Hearing Loss Screening Centers, and their audiograms were studied. The collected data were analyzed using SPSS and descriptive statistics. Results: Out of the 785 preschool children examined in this study, 77 children (9.8% suffered from HL (42.9% female and 57.1% male, 59.7% from CHL, and 40.3% from SNHL. Twenty-six percent suffered from bilateral HL and 74% from unilateral HL. Thirty-eight point ninety-six percent had abnormal tympanometry, 61% of whom were Type B. Most of the children (53% had mild HL. Thirty-one point two percent of parents were aware of their children's HL. Conclusion: Considering the high prevalence of HL, especially SNHL, in this study, which is usually permanent but detectable at the neonatal ages, raising public awareness and early screening of ear diseases, which can lead to the detection and treatment in most cases, seem to be vital.

  14. Public private partnerships in solid waste management – case study

    Directory of Open Access Journals (Sweden)

    Christine Parmezani Munhoz

    2016-02-01

    Full Text Available This paper analyzes two public notices for PPP (Public-Private Partnerships - Law 11.079/2004 for solid waste management and verifies the suitability of these contracts to the new guidelines of Law 12.305/2010 - National Solid Waste Policy - PNRS. The online versions of 2 public notices and draft PPP Contracts, recently signed in the city of São Carlos and the Metropolitan Area of Belo Horizonte and Colar Metropolitano were analyzed. The mapping of the performance indicators of these documents was carried out according to 4 criteria: (a minimization of waste in landfills, (b recovery and valorization of solid waste (recycling, composting, etc.; (c pickers inclusion; and (d social participation. The results indicate that the analyzed contracts meet only part of the guidelines set by PNRS, mainly the eradication of the dumps and the final disposal of waste in landfills. The main object of these contracts remains linked to the old paradigm of waste management: collection and transportation of waste and operation of landfills. To meet the waste minimization policies, there are financial incentives that reward the reduction in the final disposal in landfills. However, there are no fixed contractual targets for the minimization of waste at landfills. If waste minimization policies, like reverse logistics and responsibility shared are implemented by the government, the contracts have clauses allowing periodic reviews for gradual adjustments, ensuring the economic and financial balance of the contract. It is yet to determine the efficiency of these mechanisms to meet the guidelines of PNRS, in the curse of the concession.

  15. Managing IT Projects in Public Companies: A Case Study

    Directory of Open Access Journals (Sweden)

    Bouras, A.

    2014-07-01

    Full Text Available As part of its public sector modernization effort, a North African government has put a lot of effort and allocated significant budgets since 1997 to modernize one of its main public sector companies. Consequently, this company, that mainly offers postal services, initiated many IT-based projects to computerize all paper-based ongoing services offered through its branches and to present new products to customers. This company was aiming to improve service quality and to diversify the range of its services. However, some of these IT-based projects inevitably faced problems. Some projects were either not completed successfully, cancelled, over-budget or taking more time than scheduled. As a result, many employees and customers of this company were dissatisfied and complained about bad planning, slowness and significant disruptions in these projects, an event that affected adversely the quality of service. This study aims at determining the causes of these project disruptions, failures or delays. To achieve this aim, 30 experienced project developers and engineers working in that company’s IT department volunteered to respond to a detailed questionnaire specifically developed for this purpose. The questionnaire included questions about project vision clarity, time/cost management, project quality assurance, risk management and human resources management. Results show that the main reasons for disruptions, failure or delays in IT projects are lack of business plan and poor documentation during and after finishing projects, lack of clear quality assurance criteria, standards and reviews, and poor project risk management practices. Ramifications of such results in terms of improving IT project management practices in the public service sector are finally presented.

  16. Clean Air Act oversight (Field Hearings). Part 6. Hearings before the Committee on Environment and Public Works, United States Senate, Ninety-Seventh Congress, First Session, April 14, 1981, May 26, 1982, May 27, 1981

    Energy Technology Data Exchange (ETDEWEB)

    1981-01-01

    Part 6 of the field hearings covers testimony heard in Augusta, Maine on April 14, 1981, in Billings, Montana on May 26, and in Casper, Wyoming on May 27. A total of 54 witnesses spoke at the three hearings. Attention focused on the issue of acid rain, its causes and effects, and its possible solutions. The witnesses spoke of environmental damage that has already taken place and the transboundary effects of airborne pollutants. Witnesses were asked to comment on whether the present level of information justifies action and, if so, what type of legislative action is appropriate, and whether it should place the cost burden on the sources of acid rain or on the recipients. The witnesses represented environmental and recreational interests, industry, Indian tribes, and the Canadian government as well as State and Federal agencies. The testimony is followed by additional statements and material submitted for the record. (DCK)

  17. PROFITABILITY - CAPITAL STRUCTURE TRADE OFF: CASE OF PUBLICLY ROMANIAN COMPANIES

    Directory of Open Access Journals (Sweden)

    Botoc Claudiu

    2013-07-01

    Full Text Available There is an increasing number of empirical works that test what drives firm profitability, since it is an objective and at the same time a frame of how a company is performing. The main aim of this paper is to test capital structure, noncurrent assets ratio and tax rate as determinants for profitability, with capital structure as main focus. Using a sample of 62 publicly Romanian for period 2001-2011 and panel data model the results suggest that financial statement variables considered are significant in gauging profitability. It was concluded that there is evidence for pecking order theory and firms with large amounts of noncurrent assets are under performing.

  18. [Incidence of normal hearing in acoustic neuroma].

    Science.gov (United States)

    De Donato, G; Russo, A; Taibah, A; Saleh, E; Sanna, M

    1995-04-01

    Unilateral or asymetrical sensorineural hearing loss, tinnitus and instability classically represent the main symptoms for the suspected diagnosis of acoustic neurinoma. In literature there are very few studies which refer about acoustic neurinoma in patients with normal hearing. In this article we report the results of a retrospective analysis of 155 acoustic neurinoma cases with normal hearing managed in our center in the last 7 years. These patients are classified in two groups: 1) with normal hearing at the time of diagnosis and 2) with at least a mild sensorineural hearing loss. Of this 155 cases, 21 (13.5%) had normal pure tone audiogram. An important characteristic of these patients, in comparison with the group with normal hearing, is the younger age. Tinnitus, instability, sudden hearing loss with complete recovery and vertigo are the most common symptoms. The mean pure tone threshold is 14.7 dB, speech audiometry is positive in very few cases, while a large number of cases show false negative. ABR are positive in 90.5% of cases, and demonstrate its high sensitivity for retrococlear pathology. The mean tumor size shows significant differences between the group with normal hearing and this with hearing loss. We believe that the presence of this symptoms in a young patient should necessitate complete neurotologic examination and in the patients with normal hearing a high level of suspicion represents the first step for early diagnosis of small tumors; the next step is the through evaluation of patient with pure tone audiogram, ABR, and imaging studies, preferably MRI with gadolinium, as this permits the diagnosis of small intracanalicular tumor. Thus, in cases of small tumors with good hearing we feel that will be possible to adopt hearing conservation surgical approach like FCM and retrosigmoid approach in more cases.

  19. Sensorineural hearing loss after magnetic resonance imaging

    DEFF Research Database (Denmark)

    Mollasadeghi, Abolfazl; Mehrparvar, Amir Houshang; Atighechi, Saeid

    2013-01-01

    Magnetic resonance imaging (MRI) devices produce noise, which may affect patient's or operators' hearing. Some cases of hearing impairment after MRI procedure have been reported with different patterns (temporary or permanent, unilateral or bilateral, with or without other symptoms like tinnitus)......). In this report, a case of bilateral sensorineural hearing loss in an otherwise healthy patient underwent brain MRI was described. The patient's hearing loss was accompanied with tinnitus and was not improved after 3 months of followup.......Magnetic resonance imaging (MRI) devices produce noise, which may affect patient's or operators' hearing. Some cases of hearing impairment after MRI procedure have been reported with different patterns (temporary or permanent, unilateral or bilateral, with or without other symptoms like tinnitus...

  20. Sensorineural hearing loss in hemorrhagic dengue?

    Directory of Open Access Journals (Sweden)

    Bruna Natália Freire Ribeiro

    2015-01-01

    Discussion and conclusion: This is the first case report that brings together DHF and sudden hearing loss. In the development of this case no other cause to sudden hearing loss was found and the correlation between dengue and hearing loss was questioned. In the literature review was found that some viruses, as mumps virus, varicella-zoster virus and HSV-1 and HSV-2 are related to sudden hearing loss, all of them fit in the viral theory. Besides the viral theory of sudden hearing loss, there is the vascular theory that is the occlusion of the end artery that supplies the cochlea. DHF has a vascular commitment, and the hypothesis of a vascular cause could be elicited in this case. Many studies in this area are needed and this article has the objective of elicit the discussion about the subject. Could dengue be associated with sensorineural hearing loss?

  1. Quality of Service and Crime Incidents in Public Transport: A Case ...

    African Journals Online (AJOL)

    Quality of Service and Crime Incidents in Public Transport: A Case Study of Lagos ... Data obtained were analyzed using frequency distribution, correlation and ... Findings revealed that poor quality of bus stops, unemployment/poverty, poor ...

  2. Public Company Bankruptcy Cases Opened and Monitored for Fiscal Year 2009

    Data.gov (United States)

    Securities and Exchange Commission — This file contains all of the bankruptcy cases for public companies opened and monitored in the fiscal year 2009. The data includes the District Court, the state,...

  3. Management of information security risks in a federal public institution: a case study

    OpenAIRE

    Jackson Gomes Soares Souza; Carlos Hideo Arima; Renata Maria Nogueira de Oliveira; Getulio Akabane; Napoleão Verardi Galegale

    2016-01-01

    Public institutions bound to the Brazilian federal public sector must apply security measures, policies, procedures and guidelines as information assets protection measures. This case study sought to determine whether the management of information security risks is applied in a federal public institution according to Information Technology (I.T.) managers perceptions and the results expose the importance of the roles played by people, responsibilities, policies, standards, procedures and thei...

  4. Early predictors of autism in young children who are deaf or hard of hearing: three longitudinal case studies.

    Science.gov (United States)

    Kellogg, Elizabeth Cameron; Thrasher, Amy; Yoshinaga-Itano, Christine

    2014-11-01

    Early assessment data (starting at 9 months) for three children who were deaf or hard of hearing and later diagnosed with autism spectrum disorder (ASD) were analyzed. The results from the MacArthur-Bates Communicative Development Inventories (CDI) Words and Gestures and the Child Development Inventory were used to develop three profiles of children who were deaf or hard of hearing and had ASD. One child lacked expected skills and language at ages 9 and 14 months. Another child lost skills and language after 17 months. The third child had results usually within or above the average range until 3 years of age. However, his age quotient decreased for MacArthur-Bates CDI: Words and Gestures Words Expressed and the Child Development Inventory: Social to significantly below the normal range. Although it can be difficult to diagnose the co-occurrence of ASD and deafness, there were early warning signs for these children.

  5. Education for All the Handicapped Children Act, Hearing Officer and the Labor Arbitrator.

    Science.gov (United States)

    Fox, M. J., Jr.; Stack, William B.

    1979-01-01

    The authors review the qualifications for hearing officers required in Public Law 94-142 and suggest that practicing labor arbitrators in the public and private sectors be considered for use as hearing officers. (Author/IRT)

  6. The Public Finance Stance and the Economic Growth: the Case of European Union

    OpenAIRE

    2007-01-01

    This paper is studying the impact of public budget deficit on the economic growth. We have tested the connection between budget deficit and economic growth, using econometrical analysis (the Pool Data Model). Within this framework, we have quantified the intensity of connections between public budget deficit and economic growth in the case of European Union 25.

  7. Corporate Publics and Rhetorical Strategies: The Case of Union Carbide's Bhopal Crisis.

    Science.gov (United States)

    Ice, Richard

    1991-01-01

    Examines the role of rhetorical strategies in repairing damaged corporate relationships. Demonstrates the utility of an integrated model (multiple-publics concept and strategies of apologia) to corporate public relations through a case study of Union Carbide's justification of the Bhopal gas leak. (KEH)

  8. Performance measurement of public facilities in Thailand: A case study of Dhanarak Asset Development

    NARCIS (Netherlands)

    Riratanaphong, C.; Van der Voordt, D.J.M.

    2015-01-01

    This paper aims to present Key Performance Indicators (KPIs) that are used in public real estate management practice in Thailand, and to discuss similarities and dissimilarities between theory and practice. The findings from a single case study are compared with data from 55 other public organisatio

  9. Collaboration between Correctional and Public School Systems Serving Juvenile Offenders: A Case Study.

    Science.gov (United States)

    Hellriegel, Kimberly L.; Yates, James R.

    1999-01-01

    This case study examined the relationship between an educational agency and a human service agency in providing services to juvenile offenders in a county-operated correctional facility as they transition to the local public school system. It urges juvenile justice and public school systems to work together to effectively meet the needs of this…

  10. Newsgroups, Activist Publics, and Corporate Apologia: The Case of Intel and Its Pentium Chip.

    Science.gov (United States)

    Hearit, Keith Michael

    1999-01-01

    Applies J. Grunig's theory of publics to the phenomenon of Internet newsgroups using the case of the flawed Intel Pentium chip. Argues that technology facilitates the rapid movement of publics from the theoretical construct stage to the active stage. Illustrates some of the difficulties companies face in establishing their identity in cyberspace.…

  11. Collaboration between Correctional and Public School Systems Serving Juvenile Offenders: A Case Study.

    Science.gov (United States)

    Hellriegel, Kimberly L.; Yates, James R.

    1999-01-01

    This case study examined the relationship between an educational agency and a human service agency in providing services to juvenile offenders in a county-operated correctional facility as they transition to the local public school system. It urges juvenile justice and public school systems to work together to effectively meet the needs of this…

  12. Molecular Pathology of 6 Novel GJB2 Allelic Variants Detected in Familial and Sporadic Iranian Non Syndromic Hearing Loss Cases

    Directory of Open Access Journals (Sweden)

    M Hashemzadeh Chaleshtori

    2008-09-01

    Full Text Available "nBackground: Mutations of GJB2 gene encoding connexion 26 are the most common cause of hearing loss in many popula­tions. A very wide spectrum of GJB2 gene mutations associated with hearing loss have been detected but pathogenic role has been tested only for a part of them. In this study, we have provided genetic evidence on the pathogenicity of our previ­ously reported novel GJB2 allelic variants. "nMethods: The pathogenic role of GJB2 allelic variants were assessed using co segregation of each allelic variant with hear­ing loss in family members, absence of the allelic variants in control populations, coexistence with a second GJB2 mutation, na­ture of the amino acid substitution and evolutionary conservation of the appropriate amino acid. "nResults: The GJB2 allelic variants including 363delC, 327delGGinsA, H16R and G200R have been co segregated with auto­somal recessive non syndromic hearing loss in five families and are not found in control subjects. The G130V and K102Q were found in heterozygous state in two deaf individuals. G130V results in an exchange a residue highly conserved among all the connexins but was found with a rate of 1% in control subjects and K102Q results in an exchange a residue not con­served among all the connexins and not identified in control subjects. "nConclusion: We conclude that, 363delC, 327delGGinsA, H16R and G200R may be pathogenic. However, the pathogenic­ity and inheritance of K102Q and G130V can not be assessed clearly and remains to be identified.

  13. Primary tuberculosis of the adenoids in an 11-year-old male presenting with hearing loss: a case report.

    Science.gov (United States)

    Taghipour-Zahir, S; Baradaranfar, M H; Zolfaghari, A A

    2013-04-01

    Hypertrophy of adenoids is usually caused by repeated throat infections, especially viral and bacterial infections, that in microscopic examination reveal reactive lymphoid follicular hyperplasia. Herein, we present an 11-year-old boy who developed hearing loss in his left ear three months before admission, and in direct examination the adenoids were hypertrophied. Histopathological study of the resected adenoid revealed caseating granulomatous inflammation. Based on histopathological and clinical findings, primary tuberculosis of adenoids was suggested which was confirmed by PCR.

  14. Phygital public space approach: a case study in Volpiano

    Directory of Open Access Journals (Sweden)

    Liliana Bazzanella

    2014-05-01

    Full Text Available Today an important challenge is opening: designing public spaces by taking into account the augmented meaning carried by “new digital citizen and users”. New ways of digital communication, a broader network of digital information and the open data naturally transform also the physical space into something new we can call “phygital” (Momentum 2012. The usual way to read urban spaces could be improved with new digital technology. How is the boundary between virtual and real?; what if people overcome easily these boundaries? The phygital spaces are not the common urban spaces as we usually think but a place-based network of interaction among people. Throughout a research experiment carried out by Polytechnic of Turin in collaboration with the Municipality of Volpiano (TO, this paper proposes a community planning strategy where people keep their central role and virtual interaction empower the design of a new sustainable city space.

  15. Informing the Swedish public about radiation. A case study

    Energy Technology Data Exchange (ETDEWEB)

    Waahlberg, A. af

    1997-09-01

    The two Swedish state agencies handling radiation protection and nuclear safety are studied as to their information policies and documents, with special attention to Chernobyl. The principal aim is an assessment of policies and documents. A quantitative coding is made of the printed document`s key features. The study is a part of a larger CEC-project, and similar studies are made in three other countries, according to common guidelines. The general radiation situation in Sweden and its historical background is described, generating a picture of a rather safe, tightly controlled and thoroughly researched issue. The agencies are very active in their information work, using just about every conceivable channel to disseminate radiation information. The intellectual range of the printed documents is great, as very different groups are targeted, from the general public to researchers and other state agency employees

  16. Public health accreditation and metrics for ethics: a case study on environmental health and community engagement.

    Science.gov (United States)

    Bernheim, Ruth Gaare; Stefanak, Matthew; Brandenburg, Terry; Pannone, Aaron; Melnick, Alan

    2013-01-01

    As public health departments around the country undergo accreditation using the Public Health Accreditation Board standards, the process provides a new opportunity to integrate ethics metrics into day-to-day public health practice. While the accreditation standards do not explicitly address ethics, ethical tools and considerations can enrich the accreditation process by helping health departments and their communities understand what ethical principles underlie the accreditation standards and how to use metrics based on these ethical principles to support decision making in public health practice. We provide a crosswalk between a public health essential service, Public Health Accreditation Board community engagement domain standards, and the relevant ethical principles in the Public Health Code of Ethics (Code). A case study illustrates how the accreditation standards and the ethical principles in the Code together can enhance the practice of engaging the community in decision making in the local health department.

  17. Sudden sensorineural hearing loss after heroin injection.

    Science.gov (United States)

    Schrock, Andreas; Jakob, Mark; Wirz, Stefan; Bootz, Friedrich

    2008-05-01

    Sudden sensorineural hearing loss is a symptom of cochlear injury. Potential aetiologies are vascular diseases, viral infections, allergic reactions, autoimmune disorders, and traumatic rupture of the intralabyrinthe membrane. Unlike in unilateral cases bilateral sensorineural hearing loss is often associated with specific disease entities. We report a case of sudden bilateral deafness after intravenous heroin abuse. The putative pathophysiological mechanisms are discussed.

  18. 42 CFR 93.211 - Hearing.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Hearing. 93.211 Section 93.211 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS AND HEALTH EFFECTS STUDIES OF HAZARDOUS SUBSTANCES RELEASES AND FACILITIES PUBLIC HEALTH SERVICE POLICIES ON RESEARCH...

  19. 75 FR 30693 - Revised Medical Criteria for Evaluating Hearing Loss

    Science.gov (United States)

    2010-06-02

    ... ADMINISTRATION 20 CFR Part 404 RIN 0960-AG20 Revised Medical Criteria for Evaluating Hearing Loss AGENCY: Social... Impairments (the listings) that we use to evaluate claims involving hearing loss under titles II and XVI of... knowledge, treatment, and methods of evaluating hearing loss, and public comments we received in response to...

  20. 33 CFR 327.8 - Conduct of hearings.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Conduct of hearings. 327.8 Section 327.8 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE PUBLIC HEARINGS § 327.8 Conduct of hearings. (a) The presiding officer shall make an opening...

  1. 77 FR 3321 - Public Hearing

    Science.gov (United States)

    2012-01-23

    ...: Pine Creek Municipal Authority. Project Facility: Wastewater Treatment Plant, Pine Creek Township, Clinton County, Pa. Application for withdrawal of treated wastewater effluent of up to 0.999 mgd....

  2. 78 FR 24785 - Public Hearing

    Science.gov (United States)

    2013-04-26

    ... withdrawal of up to 0.999 mgd (peak day). 14. Project Sponsor and Facility: Furman Foods, Inc., Point... average) from Well 3, and authorization for interconnection with Mansfield University as a supplemental... Solid Waste and Refuse Authority, Hopewell Township, York County, Pa. Modification to...

  3. 78 FR 11237 - Public Hearing

    Science.gov (United States)

    2013-02-15

    ... major injuries. Fuel tanks from the derailed locomotives were ruptured, which created a diesel-fed fire. Damage was estimated at $14.79 million. Although this accident investigation is still ongoing, evidence.... Analysis of the accident, along with conclusions and a determination of probable cause, will become...

  4. 77 FR 44703 - Public Hearing

    Science.gov (United States)

    2012-07-30

    .../pubinfo/docs/2009-02%20Access%20to%20Records%20Policy%209-10-09.PDF . Opportunity To Appear and Comment..., Lancaster County, Pa. Application for renewal of groundwater withdrawal of up to 0.099 mgd (30-day average... for renewal of groundwater withdrawal of up to 0.035 mgd (30-day average) from Well 6 (Docket...

  5. 78 FR 43961 - Public Hearing

    Science.gov (United States)

    2013-07-22

    .../2009-02%20Access%20to%20Records%20Policy%209-10-09.PDF . Opportunity To Appear and Comment Interested... Akron, Lancaster County, PA. Application for renewal of groundwater withdrawal of up to 0.396 mgd (30..., Lancaster County, PA. Application for renewal of groundwater withdrawal of up to 0.166 mgd (30-day...

  6. 77 FR 64576 - Public Hearing

    Science.gov (United States)

    2012-10-22

    .../2009-02%20Access%20to%20Records%20Policy%209-10-09.PDF . Opportunity to Appear and Comment: Interested..., Berks County, PA. Application for renewal of groundwater withdrawal of up to 0.035 mgd (30-day average... Lycoming Township, Lycoming County, PA. Application for groundwater withdrawal of up to 0.250 mgd...

  7. 78 FR 5556 - Public Hearing

    Science.gov (United States)

    2013-01-25

    ... Sponsor and Facility: Talisman Energy USA Inc. (Sugar Creek), West Burlington Township, Bradford County.... 20090327). 18. Project Sponsor and Facility: Talisman Energy USA Inc. (Towanda Creek--Franklin Township...

  8. 78 FR 64260 - Public Hearing

    Science.gov (United States)

    2013-10-28

    .... 20091210). 19. Project Sponsor and Facility: Talisman Energy USA Inc. (Choconut Creek), Choconut Township... Sponsor and Facility: Talisman Energy USA Inc. (Fall Brook--C.O.P. Tioga State Forest), Ward Township...) (Docket No. 20091204). 21. Project Sponsor and Facility: Talisman Energy USA Inc. (Fellows Creek--C.O.P...

  9. Sensorineural Hearing Loss after Magnetic Resonance Imaging

    Directory of Open Access Journals (Sweden)

    Abolfazl Mollasadeghi

    2013-01-01

    Full Text Available Magnetic resonance imaging (MRI devices produce noise, which may affect patient’s or operators’ hearing. Some cases of hearing impairment after MRI procedure have been reported with different patterns (temporary or permanent, unilateral or bilateral, with or without other symptoms like tinnitus. In this report, a case of bilateral sensorineural hearing loss in an otherwise healthy patient underwent brain MRI was described. The patient’s hearing loss was accompanied with tinnitus and was not improved after 3 months of followup.

  10. [The importance of hearing-aid testing by the otorhinolaryngologist].

    Science.gov (United States)

    Schorn, K

    1983-12-01

    In a period of 16 months, 312 patients suffering from impaired hearing were supplied with hearing aids after undergoing conventional hearing tests conducted by acousticians. During the hearing follow-up tests, it was found that 111 patients (35.5%) had been optimally supplied with hearing aids and that for 98 hard-of-hearing persons (31.4%) merely fine adjustments had to be made on the hearing aids. In some cases a second bore had to be drilled into the ear mould. We had to completely refit 103 patients (33.0%) with hearing aids, since the previously fitted devices no longer complied with the type and degree of a hearing impairment based on the frequency characteristics, amplification, and dynamic range. The fitting reports had not been filled out satisfactorily in the case of 224 patients (71.8%). This was especially true of the stereophonic adjustment reports.

  11. Mediterranean spotted fever and hearing impairment: a rare complication

    Directory of Open Access Journals (Sweden)

    Raffaella Rossio

    2015-06-01

    We describe a case of Rickettsia conorii that was complicated with hearing loss and did not respond to specific treatment. Hearing loss is a rare event, but clinicians should be aware of this complication.

  12. Processo de implantação de Programa de Saúde Auditiva em duas maternidades públicas Implantation process of a Hearing Health Program in two public maternity hospitals

    Directory of Open Access Journals (Sweden)

    Carmen Barreira-Nielsen

    2007-06-01

    Full Text Available OBJETIVOS: Apresentar os resultados do processo de implantação de um programa de saúde auditiva neonatal em serviço público e revisar os aspectos determinantes no planejamento, efetividade, manutenção e aprimoramento. MÉTODOS: A fim de colaborar com a implantação de novos serviços, avaliamos os fatores: capacitação de equipe, ambiente de teste (ruído e indivíduo, falso-negativo, evasão e tempo de exame, em um estudo transversal, que incluiu a triagem auditiva de todos os recém-nascidos de duas maternidades públicas, por meio de Emissões Otoacústicas. RESULTADOS: Dos 4951 bebês recém-nascidos no período de 2002 a 2005, foram avaliados 3364 (67,9%, sendo 425 (12,61% portadores de indicadores de risco para deficiência auditiva. Houve confirmação da perda auditiva em sete recém-nascidos (0,3% por meio do Potencial Evocado Auditivo do Tronco Encefálico. CONCLUSÕES: Verificou-se a necessidade de protocolos com critério "passa e falha" bem definidos para cada população alvo. A triagem auditiva pode ser realizada até 30 dias após o nascimento, e sua realização não deve se limitar às maternidades. Treinamento e supervisão da equipe são cruciais, além de um sistema de agendamento e acompanhamento dos casos em seguimento, para diminuição da evasão e localização das perdas auditivas de aparecimento tardio, associando os programas de triagem à responsabilidade da confirmação do diagnóstico e intervenção. Desta maneira, teremos condições de mensurar a deficiência auditiva no Brasil e compará-la com o perfil epidemiológico de países onde estes programas já delinearam a saúde auditiva de sua população.PURPOSE: To present the results of an implantation process of a neonatal hearing health program in public services and to review determinant aspects on its planning, effectiveness, maintenance and improvement. METHODS: In order to aid the implementation of new services, factors such as team

  13. Sociocultural and Academic Considerations for School-Age d/Deaf and Hard of Hearing Multilingual Learners: A Case Study of a Deaf Latina.

    Science.gov (United States)

    Baker, Sharon; Scott, Jessica

    2016-01-01

    For decades , research has focused on American Sign Language/English bilingual education for d/Deaf and hard of hearing students whose families used English or ASL. However, a growing population of d/Dhh children come from households where languages other than English (e.g., Spanish, Chinese, Vietnamese) are used. In a longitudinal case study, the authors document the K-12 educational pathway of a deaf Latina student. Anecdotal records, semistructured interviews, assessment data, and document reviews of the participant's school and clinical records are used to develop the case study. The findings provide the basis for recommendations for future research and for critical factors to consider to improve the education of d/Dhh Multilingual Learners (DMLs). These include ensuring appropriate educational placements, addressing early communication and language needs, determining effective instructional techniques and assessments, strengthening the L1 to support L2 learning, and providing students with opportunities to learn their heritage language.

  14. 45 CFR 2554.31 - Where is the hearing held?

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Where is the hearing held? 2554.31 Section 2554.31 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY... held? The ALJ will hold the hearing in any judicial district of the United States: (a) In which...

  15. A Doctoral Student of Physics Writing for Publication: A Sociopolitically-Oriented Case Study

    Science.gov (United States)

    Li, Yongyan

    2006-01-01

    This is a sociopolitically-oriented qualitative case study [Casanave, C. P. (2003). Looking ahead to more sociopolitically-oriented case study research in L2 writing scholarship (But should it be called "post-process"?). "Journal of Second Language Writing," 12, 85-102.] of the writing-for-publication experience of an NNSE (nonnative speaker of…

  16. How Does Writing for Publication Help Professional Development of Teachers? a Case Study in China

    Science.gov (United States)

    Wong, Jocelyn L. N.

    2014-01-01

    Publications by teachers reporting results or case studies of school-based teacher inquiry activities benchmark their professional development by indicating they have a "stance of inquiry". Such papers also disseminate valuable knowledge to the education community for sharing. Essay or case writing has always been a part of school-based…

  17. Childhood Hearing Health: Educating for Prevention of Hearing Loss

    Directory of Open Access Journals (Sweden)

    Lacerda, Adriana Bender Moreira

    2014-09-01

    Full Text Available Introduction The presence of noise in our society has attracted the attention of health professionals, including speech-language pathologists, who have been charged along with educators with developing hearing conservation programs in schools. Objective To describe the results of three strategies for awareness and hearing preservation in first to fourth grades in public elementary schools. Methods The level of environmental noise in classrooms was assessed, and 638 elementary school students from first to fourth grades, 5 to 10 years of age, were audiologically evaluated. After the evaluations, educational activities were presented to children and educators. Results The noise level in the classroom ranged from 71.8 to 94.8 A-weighted decibels. The environment of the classroom was found to promote sound reverberation, which hinders communication. Thirty-two students (5.1% presented hearing alterations. Conclusion The application of strategies for a hearing conservation program at the school showed that noise is present in the room, and hearing loss, sometimes silent, affects schoolchildren. Students and teachers were aware that hearing problems can be prevented. Avoiding exposure to noise and improving the acoustics in classrooms are essential.

  18. Association of the 4 g/5 g polymorphism of plasminogen activator inhibitor-1 gene with sudden sensorineural hearing loss. A case control study

    Directory of Open Access Journals (Sweden)

    Cho Seong

    2012-06-01

    Full Text Available Abstract Background The 5 G/5 G genotype of PAI-1 polymorphism is linked to decreased plasminogen activator inhibitor-1 (PAI-1 levels and it has been suggested that lower PAI-1 levels may provide protective effects on inflammation, local microcirculatory disturbance, and fibrotic changes, which are likely associated with development of sudden sensorineural hearing loss (SSNHL. Methods The association of the 4 G/5 G PAI-1 polymorphism with the development and clinical outcome of SSNHL is evaluated via a case control study. 103 patients with SSNHL and 113 age and sex-matched controls were enrolled at University of Ferrara, Italy and hearing loss outcome was measured at least 3 months after the onset of hearing loss. DNA was isolated from peripheral blood using the QIAamp kit and the 4 G/5 G polymorphism in the −675 promoter region was genotyped with an allele-specific PCR. Genotype distribution was tested in patients and compared to controls by chi-square and odd-ratio analysis. The codominant and recessive models were used for the multiple logistic regression analyses of the PAI-1 gene allele. Results In this population, 5 G/5 G genotype had a two-time lower frequency in SSNHL patients compared to healthy controls (15.5% vs 30.1% and was associated with decreased odds compared to 4 G/5 G genotype (OR 0.37, 95% CI 0.19-0.75, p = 0.005. In addition, the patients with 5 G/5 G genotype showed a trend of more than 2 times higher ratio of hearing recovery (> 20 dB after systemic corticosteroid treatment compared to 4 G/5 G genotype (OR 2.3, 95% CI 0.32 - 16.83, p = 0.39, suggesting a better clinical outcome. Conclusions The 5 G/5 G genotype of PAI-1 may be associated with a reduced risk of SSNHL in the Italian population.

  19. Relations of power in public schools: a case study

    Directory of Open Access Journals (Sweden)

    Maria Custódia Jorge Rocha

    2014-04-01

    Full Text Available In this paper, based on a few authors who see power as a substantive element – instituted power – and others who consider it as an action verb – instituting power (ROCHA, 2007 –, highlighting some types of power relevant in sociological and organizational research on schools, we present empirical data and institutional discourses, enabled by a case study of qualitative nature. Thus, we can say that relations of power in schools both allow the strengthening of hierarchical and asymmetrical relations of power that exist between institutional players and enable the creation of new “circles of power” that can be promptly activated or can be object of a modernization process held in a more or less generalized manner. This may be reinforced and introduced to players/students, our main target of study, as the most legitimate object, superseding all others but not canceling them. The key objective is to present school organization as a highly complex environment, especially when considered in the light of the multiple and cumulative relations of power that emerge and are materialized.

  20. Laser application in otology for hearing restoration

    Science.gov (United States)

    Lombardo, Igino

    1994-09-01

    Prior to the development of the stapes replacement prosthesis in the early 1950s, loss of hearing due to otosclerosis remained an untreatable disease. Today, loss of hearing due to otosclerosis can be restored in the majority of cases to near normal levels. Since 1980 the laser has played a major and important role in otosclerosis surgery. This paper explores the use of lasers for hearing restoration and compares the results of laser surgery to non-laser surgery.

  1. Medulloblastoma Manifesting as Sudden Sensorineural Hearing Loss

    OpenAIRE

    Terakawa, Yuzo; Tsuyuguchi, Naohiro; Takami, Toshihiro; Ohata, Kenji

    2011-01-01

    We present a rare case of medulloblastoma which presented with unilateral sudden sensorineural hearing loss as an initial symptom. A 19-year-old man was admitted to our hospital with a chief complaint of dizziness and facial numbness on the right side. His illness had begun two years previously with sudden hearing loss on the right side, for which he had been treated as an idiopathic sudden hearing loss. Magnetic resonance imaging demonstrated abnormal signals located mainly in the right midd...

  2. Sensorineural Hearing Loss following Carbon Monoxide Poisoning

    Directory of Open Access Journals (Sweden)

    Joseph P. Pillion

    2012-01-01

    Full Text Available A case study is presented of a 17-year-old male who sustained an anoxic brain injury and sensorineural hearing loss secondary to carbon monoxide poisoning. Audiological data is presented showing a slightly asymmetrical hearing loss of sensorineural origin and mild-to-severe degree for both ears. Word recognition performance was fair to poor bilaterally for speech presented at normal conversational levels in quiet. Management considerations of the hearing loss are discussed.

  3. Chikungunya virus induced sudden sensorineural hearing loss.

    Science.gov (United States)

    Bhavana, Kranti; Tyagi, Isha; Kapila, Rajeev Kumar

    2008-02-01

    The aim of this study is to demonstrate the association of Chikungunya virus and sudden sensorineural hearing loss. In the case report described we had a case which developed sudden unilateral sensorineural hearing loss following chikungunya fever. A 15-year-old female presented to us with the complains of unilateral sudden onset of hearing loss following an episode of fever, arthralgia and rashes 1 month ago. At the time of these symptoms there were many cases of chikungunya fever in the city, three being in her locality. Clinically Chikungunya fever was suspected and a positive serological test further confirmed our diagnosis. The hearing loss could thus be attributed to Chikungunya virus. Viruses have always been implicated in causing sudden sensorineural hearing loss but Chikungunya virus as a cause has not been documented earlier making this case report a unique one.

  4. Hearing Aid with Visual Indicator

    DEFF Research Database (Denmark)

    2004-01-01

    The invention comprises a hearing aid, which has a casing containing a signal receiving part for receiving an audio signal, an audio transducer for providing an audio signal to the user, a signal transmission path between the signal receiving part and the audio transducer, whereby a battery...... is provided for powering the signal receiving part, the signal path and the audio transducer, and where further means are provided for assessing the function of the hearing aid and for generating an electrical indication signal which indicates the function of the hearing aid and where further means...... are provided for intermittently generating a power signal in response to the electrical indication signal and where means are provided for converting the power signal into a light signal, such that the light signal is visible from outside the hearing aid....

  5. 76 FR 26333 - National Federal Regulatory Enforcement Fairness Hearing Region III Regulatory Fairness Board

    Science.gov (United States)

    2011-05-06

    ... ADMINISTRATION National Federal Regulatory Enforcement Fairness Hearing Region III Regulatory Fairness Board... III) Small Business Regulatory Fairness Board. SUMMARY: The SBA, Office of the National Ombudsman is... Fairness Hearing. This hearing is open to the public. DATES: The hearing will be held on Tuesday, May 24...

  6. 42 CFR 423.2050 - Removal of a hearing request from an ALJ to the MAC.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Removal of a hearing request from an ALJ to the MAC..., ALJ Hearings, MAC review, and Judicial Review § 423.2050 Removal of a hearing request from an ALJ to the MAC. If a request for hearing is pending before an ALJ, the MAC may assume responsibility for...

  7. Important Factors in the Cognitive Development of Children with Hearing Impairment: Case Studies of Candidates for Cochlear Implants

    Directory of Open Access Journals (Sweden)

    Nasralla, Heloisa Romeiro

    2014-06-01

    Full Text Available Introduction The factors that affect the development of children with and without hearing disabilities are similar, provided their innate communication abilities are taken into account. Parents need to mourn the loss of the expected normally hearing child, and it is important that parents create bonds of affection with their child. Objective To conduct a postevaluation of the development and cognition of 20 candidates for cochlear implants between 1 and 13 years of age and to observe important factors in their development. Methods The following instruments were used in accordance with their individual merits: interviews with parents; the Vineland Social Maturity Scale; the Columbia Maturity Scale; free drawings; Bender and Pre-Bender testing; and pedagogical tests. Results The results are described. Conclusion Parental acceptance of a child's deafness proved to be the starting point for the child's verbal or gestural communication development, as well as for cognitive, motor, and emotional development. If the association between deafness and fine motor skills (with or without multiple disabilities undermines the development of a child's speech, it does not greatly affect communication when the child interacts with his or her peers and receives maternal stimulation. Overprotection and poor sociability make children less independent, impairs their development, and causes low self-esteem. Further observational studies are warranted to determine how cochlear implants contribute to patient recovery.

  8. Important factors in the cognitive development of children with hearing impairment: case studies of candidates for cochlear implants.

    Science.gov (United States)

    Nasralla, Heloisa Romeiro; Goffi Gomez, Maria Valéria Schimidt; Magalhaes, Ana Tereza; Bento, Ricardo Ferreira

    2014-10-01

    Introduction The factors that affect the development of children with and without hearing disabilities are similar, provided their innate communication abilities are taken into account. Parents need to mourn the loss of the expected normally hearing child, and it is important that parents create bonds of affection with their child. Objective To conduct a postevaluation of the development and cognition of 20 candidates for cochlear implants between 1 and 13 years of age and to observe important factors in their development. Methods The following instruments were used in accordance with their individual merits: interviews with parents; the Vineland Social Maturity Scale; the Columbia Maturity Scale; free drawings; Bender and Pre-Bender testing; and pedagogical tests. Results The results are described. Conclusion Parental acceptance of a child's deafness proved to be the starting point for the child's verbal or gestural communication development, as well as for cognitive, motor, and emotional development. If the association between deafness and fine motor skills (with or without multiple disabilities) undermines the development of a child's speech, it does not greatly affect communication when the child interacts with his or her peers and receives maternal stimulation. Overprotection and poor sociability make children less independent, impairs their development, and causes low self-esteem. Further observational studies are warranted to determine how cochlear implants contribute to patient recovery.

  9. Lungfish Hearing

    DEFF Research Database (Denmark)

    Christensen, Christian Bech; Madsen, Peter Teglberg; Christensen-Dalsgaard, Jakob

    Recent research has shown that tympanic middle ears evolved independently in the major vertebrate groups and represent independent experiments in terrestrial hearing. Furthermore, the tympanic ear emerged quite late – ap - proximately 120 mya after the origin of the tetrapods and approximately 70...... cros - sopterygian ear with immobile middle ear bone, 2) increased inner ear frequency ranges, 3) mobile middle ear structures and 4) the tympanic middle ear....

  10. Measurements on Hearing

    DEFF Research Database (Denmark)

    Poulsen, Torben

    1996-01-01

    Background material for measurements of hearing for grammar school pupils. The note gives the necessary background for the exercise 'Measurement on Hearing'. The topics comprise sound and decibel, the ear, basic psychoacoustics, hearing threshold, audiometric measurement methods, speech and speech...

  11. Genes and Hearing Loss

    Science.gov (United States)

    ... Find an ENT Doctor Near You Genes and Hearing Loss Genes and Hearing Loss Patient Health Information News media interested in covering ... One of the most common birth defects is hearing loss or deafness (congenital), which can affect as many ...

  12. Hearing Problems in Children

    Science.gov (United States)

    Most children hear and listen from the moment they are born. They learn to talk by imitating the sounds around them ... United States are born deaf or hard-of-hearing. More lose their hearing later during childhood. Babies ...

  13. Public Private Partnerships and the Public Interest: A Case Study of Ottawa’s Lansdowne Park Development

    Directory of Open Access Journals (Sweden)

    Christopher Stoney

    2011-01-01

    Full Text Available Public private partnerships (PPPs are increasingly advocated as beneficial for the delivery of public services, facilities, and infrastructure for municipal governments. However, such partnerships often raise serious concerns about transparency and accountability. While municipal governments across Canada have tried to increase public participation in local affairs, PPPs can impede such efforts. This article presents a case study of the Lansdowne Park PPP redevelopment in the City of Ottawa. We focus on how transparency and citizen engagement have been compromised and circumvented and link to broader issues of how to balance the privileged status of business and the demands for commercial confidentiality with the public interest, transparency, and citizen engagement in projects that use PPPs. The article concludes by arguing that some projects and some conditions can render the use of PPPs inappropriate and counterproductive in terms of both effectiveness and the basic principles of good governance. / Les partenariats public-privé (PPP sont de plus en plus préconisés par les municipalités comme étant une solution avantageuse pour la prestation de services publics ainsi que la réalisation de projets d’installations et d’infrastructures publiques. Toutefois, de tels partenariats soulèvent souvent d’importantes préoccupations quant à la transparence et la reddition de compte en lien avec ce processus. Plusieurs municipalités canadiennes ont fait de grands progrès pour accroître la participation des citoyens aux affaires municipales, mais les PPP peuvent représenter un obstacle important à de tels efforts. Cet article présente une étude de cas sur le réaménagement du parc Lansdowne dans le cadre d’un PPP à la Ville d’Ottawa. L’article se concentre sur la façon dont la transparence et l’engagement des citoyens ont été compromis et contournés dans ce processus. Cette analyse est liée à des considérations sur la

  14. Distribution of Malaria Case in Simpenan Public Health Centre Sukabumi District in 2011

    Directory of Open Access Journals (Sweden)

    Hubullah Fuadzy

    2012-12-01

    Full Text Available The number of malaria in Simpenan public health centre area needs a quick step in the patients finding by malaria microscopic officers, both by Active Case Detection (ACD and Passive Case Detection (PCD. The objective of th is article is to determine the distribution of malaria cases at Simpenan public health centre in Sukabumi during 2011. Data collection was carried out by malaria officersfrom Simpenan public health centre by identifying malaria parasite with microscope to any gold miners who just got home and was having a highfever. Malaria cases during the year 2011 experienced an increasing trend (R2 = 0.0175 from January (8.86% to December (15.18%, 79 cases of malaria was found and the peak of cases happened in December. Malaria was notfound in the age group of 0-14 years, but cases ofmalaria were found in productive age group (15-44 years old = 83%, 45-59 years old = 14%, 2: 60 years old = 3%, and also to all people working as gold miners in malaria-endemic areas i.e. Aceh, Bangka, Jambi, Kalimantan, Medan, Papua, Riau, and Sumbawa. This indicated that malaria in Simpenan was predicted as import cases.

  15. Acceptability, benefit and costs of early screening for hearing disability: a study of potential screening tests and models.

    Science.gov (United States)

    Davis, A; Smith, P; Ferguson, M; Stephens, D; Gianopoulos, I

    2007-10-01

    complete data were available, matching with two control groups of 50 people. The major prospective interventions were to introduce amplification through offering people, with minimal hearing impairment, hearing aid(s) in a rehabilitative setting. In the population study, aids were offered as a monaural in-the-ear (ITE) hearing aid and in the clinical effectiveness study people who met the criteria were randomised to be offered two different ITE hearing aids to be fitted bilaterally. The retrospective case-control study used unilateral and bilateral hearing aids. Prevalence of hearing problems and degree to which services meet need in 55-74-year age group. Public acceptability and individual benefits of hearing screening and intervention as a function of demographic and hearing domain-specific characteristics. Improvement in quality of life. Screening costs and cost-effectiveness as a function of proposed programmes. It was found that 12% of people aged 55-74 years have a hearing problem that causes moderate or severe worry, annoyance or upset, 14% have a bilateral hearing impairment of at least 35 dB hearing level (HL) and only 3% currently receive intervention, through the use of hearing aids. Good amplification was shown to benefit about one in four of this 55-74-year-old population and the degree of hearing loss predicted benefit well. Overall, there was a strong correlation between benefit from amplification and from using hearing aids. Questionnaires and audiometric screens gave good screening operating characteristics. The systematic screening programme was more acceptable and gave a better response than the opportunistic. About 70% of those who were offered an aid accepted a bilateral fitting. This increased to 95% for those with > or =35 dB HL (averaged over 0.5, 1, 2 and 4 kHz in the better ear). The retrospective case-control study showed that long-term hearing aid use was low, unless hearing impairment was quite high (e.g. >35 dB HL). Those identified early had

  16. Single-Case Design Research: Building the Evidence-Base in the Field of Education of Deaf and Hard of Hearing Students.

    Science.gov (United States)

    Cannon, Joanna E; Guardino, Caroline; Antia, Shirin D; Luckner, John L

    2016-01-01

    The field of education of deaf and hard of hearing (DHH) students has a paucity of evidence-based practices (EBPs) to guide instruction. The authors discussed how the research methodology of single-case design (SCD) can be used to build EBPs through direct and systematic replication of studies. An overview of SCD research methods is presented, including an explanation of how internal and external validity issues are addressed, and why SCD is appropriate for intervention research with DHH children. The authors then examine the SCD research in the field according to quality indicators (QIs; at the individual level and as a body of evidence) to determine the existing evidence base. Finally, future replication areas are recommended to fill the gaps in SCD research with students who are DHH in order to add to the evidence base in the field.

  17. Alignment of single-case design (SCD) research with individuals who are deaf or hard of hearing with the what Works Clearinghouse standards for SCD research.

    Science.gov (United States)

    Wendel, Erica; Cawthon, Stephanie W; Ge, Jin Jin; Beretvas, S Natasha

    2015-04-01

    The authors assessed the quality of single-case design (SCD) studies that assess the impact of interventions on outcomes for individuals who are deaf or hard-of-hearing (DHH). More specifically, the What Works Clearinghouse (WWC) standards for SCD research were used to assess design quality and the strength of evidence of peer-reviewed studies available in the peer-reviewed, published literature. The analysis yielded four studies that met the WWC standards for design quality, of which two demonstrated moderate to strong evidence for efficacy of the studied intervention. Results of this review are discussed in light of the benefits and the challenges to applying the WWC design standards to research with DHH individuals and other diverse, low-incidence populations. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  18. Genetic Effects on Sensorineural Hearing Loss and Evidence-based Treatment for Sensorineural Hearing Loss

    Institute of Scientific and Technical Information of China (English)

    Yong-qiang Yu; Huai-an Yang; Ming Xiao; Jing-wei Wang; Dong-yan Huang; Yagesh Bhambhani; Lyn Sonnenberg

    2015-01-01

    In this article, the mechanism of inheritance behind inherited hearing loss and genetic susceptibility in noise-induced hearing loss are reviewed. Conventional treatments for sensorineural hearing loss (SNHL), i.e. hearing aid and cochlear implant, are effective for some cases, but not without limitations. For example, they provide little benefit for patients of profound SNHL or neural hearing loss, especially when the hearing loss is in poor dynamic range and with low frequency resolution. We emphasize the most recent evidence-based treatment in this field, which includes gene therapy and allotransplantation of stem cells. Their promising results have shown that they might be options of treatment for profound SNHL and neural hearing loss. Although some treatments are still at the experimental stage, it is helpful to be aware of the novel therapies and endeavour to explore the feasibility of their clinical application.

  19. Economic evaluation of newborn hearing screening: modelling costs and outcomes

    Directory of Open Access Journals (Sweden)

    von Voß, Hubertus

    2003-12-01

    Full Text Available Objectives: The prevalence of newborn hearing disorders is 1-3 per 1,000. Crucial for later outcome are correct diagnosis and effective treatment as soon as possible. With BERA and TEOAE low-risk techniques for early detection are available. Universal screening is recommended but not realised in most European health care systems.Aim of the study was to examine the scientific evidence of newborn hearing screening and a comparison of medical outcome and costs of different programmes, differentiated by type of strategy (risk screening, universal screening, no systematical screening. Methods: In an interdisciplinary health technology assessment project all studies on newborn hearing screening detected in a standardized comprehensive literature search were identified and data on medical outcome, costs, and cost-effectiveness extracted. A Markov model was designed to calculate cost-effectiveness ratios. Results: Economic data were extracted from 20 relevant publications out of 39 publications found. In the model total costs for screening of 100,000 newborns with a time horizon of ten years were calculated: 2.0 Mio.€ for universal screening (U, 1.0 Mio.€ for risk screening (R, and 0.6 Mio.€ for no screening (N. The costs per child detected: 13,395€ (U respectively 6,715€ (R, and 4,125€ (N. At 6 months of life the following percentages of cases are detected: U 72%, R 43%, N 13%. Conclusions: A remarkable small number of economic publications mainly of low methodological quality was found. In our own model we found reasonable cost-effectiveness ratios also for universal screening. Considering the outcome advantages of higher numbers of detected cases a universal newborn hearing screening is recommended.

  20. Increasing medical students' engagement in public health: case studies illustrating the potential role of online learning.

    Science.gov (United States)

    Sheringham, J; Lyon, A; Jones, A; Strobl, J; Barratt, H

    2016-09-01

    The value of e-learning in medical education is widely recognized but there is little evidence of its value in teaching medical students about public health. Such evidence is needed because medical students' engagement with public health has been low. We present three recent case studies from UK medical schools to illustrate diverse ways in which online approaches can increase medical students' engagement with learning public health. A comparative case study approach was used applying quantitative and qualitative data to examine engagement in terms of uptake/use amongst eligible students, acceptability and perceived effectiveness using an analytic framework based on Seven Principles of Effective Teaching. Across the three case studies, most (67-85%) eligible students accessed online materials, and rated them more favourably than live lectures. Students particularly valued opportunities to use e-learning flexibly in terms of time and place. Online technologies offered new ways to consolidate learning of key public health concepts. Although students found contributing to online discussions challenging, it provided opportunities for students to explore concepts in depth and enabled students that were uncomfortable speaking in face-to-face discussions to participate. E-learning can be applied in diverse ways that increase medical student engagement with public health teaching. © The Author 2015. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  1. KARYOTYPE STUDY IN PATIENTS WITH HEARING DISABILITY

    Directory of Open Access Journals (Sweden)

    Rajput H B

    2012-02-01

    Full Text Available Background: Hearing disability is the most common sensory disorder in humans. About 50% cases of congenital hearing loss are due to genetic causes. About 70% of genetic hearing loss is nonsyndromic and 30% is syndromic. Syndromic hearing loss is found as about 500 syndromes associated with chromosomal abnormalities. Genetic study of hearing loss include numerical chromosomal aberrations like trisomy 13, 18, 21 and structural chromosomal aberrations like deletion, translocation or invertion involving chromosome numbers 1, 2, 3, 5, 6, 7, 8,10,11, 12, 13, 15, 18, 21 and many more . Materials & Method: The aim of this study was to carry out a cytogenetic profile of 25 clinically diagnosed patients of hearing loss from school of deaf & dumb and from ENT clinics, Ahmedabad to find out the chromosomal abnormalities in these patients. Karyotypes of all the patients were prepared from peripheral venous blood & photographed at genetic laboratory at B.J.Medical College, Ahmedabad. Observations: Clinical & karyotype analysis revealed that out of 25 patients, 8 cases had positive family history of hearing loss. Positive history of consanguineous marriage was found in 6 patients. It was observed that 17(68% cases had isolated(non-syndromic hearing loss and 8(32% cases had syndromic deafness. Among 17(68% non-syndromic patients 13(52% cases showed normal chromosomal constitution and in 4(16% cases metaphase was not found and out of 8(32% patients with syndromic deafness, one female (4% & two males (8% had trisomy 21, one female (4% had monosomy of X chromosome and 4(16% cases showed normal chromosomal constitution. Conclusion: Cytogenetic pattern of hearing loss is variable among different studies.So, cytogenetic analysis of suspected hearing loss is of value to objectively confirm the diagnosis and to provide a basis for genetic counselling. [National J of Med Res 2012; 2(1.000: 89-92

  2. Electoral impact of public policies Case Study: Elections as an instrument of civic participation in public policies in Kosovo

    Directory of Open Access Journals (Sweden)

    Dr.Sc. Ibrahim Gashi

    2013-06-01

    Full Text Available Being aware of the role of electoral systems as the most important mechanisms of fostering political interaction in a political system of a certain democratic society, it is our intention to study and theoretically and practically analyze the establishment and functioning of the electoral system in Kosovo, in the temporal context of the last decade. Before that thought, several standard theoretical modalities attributable to electoral systems are to be set, with a view of explaining the role and functions of the electoral systems in consolidating basic attributes of a mature democracy. In our case studies, amongst the most important attributes under analysis are: elections, as an instrument of civil participation in public policies. Furthermore, in studying the function of elections, we shall make efforts to elaborate on the level of political culture in Kosovo, creation of authority and legitimacy, and the extent of maturity of Kosovar society itself. Since Kosovo has been under international administration for more than ten years, the analysis of the electoral system in Kosovo is found to be sui generis, and this fact allows for an extraordinary understanding of the role of elections as an instrument of citizens for participating in public policies and public life in Kosovo. In attaining such goals, we shall focus on the analysis of all cycles of elections held in Kosovo since 2001, and up to the constitutional reforms ongoing related to electoral reforms in Kosovo.

  3. Sudden sensorineural hearing loss: a case report supporting the immunologic theory Surdez neurosensorial súbita: relato de um caso clínico corroborando a teoria auto-imune

    OpenAIRE

    Antonio Luiz dos Santos Werneck; Luiz Carlos do Amaral Gurgel; Laurinda Moura de Mello; Gabriella Queiroz de Albuquerque

    2003-01-01

    Sudden sensorineural hearing loss (SSNHL) is one of the autoimmune diseases of the inner ear (AIED), which is characterized by a hearing loss of above 30 decibels in at least three contiguous audiometric frequencies over a time course of 72 hours or shorter. Its cause can be found in only 10% to 15% of patients. Histopathologic findings have reported retrograde neuronal degeneration and atrophy of Corti's organ and of the vascular stria. This paper describes a case of a middle-aged female pat...

  4. Management of information security risks in a federal public institution: a case study

    Directory of Open Access Journals (Sweden)

    Jackson Gomes Soares Souza

    2016-11-01

    Full Text Available Public institutions bound to the Brazilian federal public sector must apply security measures, policies, procedures and guidelines as information assets protection measures. This case study sought to determine whether the management of information security risks is applied in a federal public institution according to Information Technology (I.T. managers perceptions and the results expose the importance of the roles played by people, responsibilities, policies, standards, procedures and their implementation aiming greater control of information security risks and opportunities related to information technology security.

  5. Blogging as Popular History Making, Blogs as Public History: The Singapore Case Study

    Directory of Open Access Journals (Sweden)

    Stephanie Ho

    2007-08-01

    Full Text Available Blogging is a twenty-first century phenomenon that has heralded an age where ordinary people can make their voices heard in the public sphere of the Internet. This article explores blogging as a form of popular history making; the blog as a public history document; and how blogging is transforming the nature of public history and practice of history making in Singapore. An analysis of two Singapore ‘historical’ blogs illustrates how blogging is building a foundation for a more participatory historical society in the island nation. At the same time, the case studies also demonstrate the limitations of blogging and blogs in challenging official versions of history.

  6. Governance and innovation in public sector services: The case of digital library

    DEFF Research Database (Denmark)

    Scupola, Ada; Zanfei, Antonello

    2016-01-01

    This paper examines the co-evolution of public governance and innovation, and proposes an adaptation of Hartley's model to take into consideration such co-evolution. This model is then applied to a longitudinal case study of the digitalization of Roskilde University Library. The theoretical...... changes; (ii) user-driven innovations have significantly increased with the diffusion of ICTs and Web based public services; and (iii) complex innovations are facilitated by face-to-face meetings between public servants and users. Third, it is suggested that changes in governance modes affect the balance...

  7. Screening of the hearing of newborns - Update

    Directory of Open Access Journals (Sweden)

    von Voß, Hubertus

    2006-11-01

    our former health technology assessment report was updated. Results: Universal newborn hearing screening programs are able to substantially reduce the age at identification and the age at intervention of children with CHL to six months of age in the German health care setting. High coverage rates, low fail rates and - if tracking systems are implemented – high follow-up-rates to diagnostic evaluation for test positives were achieved. New publications on potential benefits of early intervention could not be retrieved. For a final assessment of cost-effectiveness of newborn hearing screening evidence based long-term data are lacking. Decision analytic models with lifelong time horizon assuming that early detection results in improved language abilities and lower educational costs and higher life time productivity showed a potential of UNHS for long term cost savings compared to selective screening and no screening. For the short-term cost-effectiveness with a time horizon up to diagnostic evaluation more evidence based data are available. The average costs per case diagnosed range from 16,000 EURO to 33,600 EURO in Germany and hence are comparable to the cost of other implemented newborn screening programs. Empirical data for cost of selective screening in the German health care setting are lacking. Our decision analytic model shows that selective screening is more cost-effective but detects only 50% of all cases of congenital hearing loss. Discussion: There is good evidence that UNHS-Programs with appropriate quality management can reduce the age at start of intervention below six months. Up to now there is no indication of considerable negative consequences of screening for children with false positive test results and their parents. However, it is more difficult to prove the efficacy of early intervention to improve long-term outcomes. Randomized clinical trials of the efficacy of early intervention for children with CHL hearing losses are inappropriate because of

  8. DHM in human-centered product design: a case-study on public transport vehicle.

    Science.gov (United States)

    Santos, V; Guimarães, C P; Franca, G A N; Cid, G L; Paranhos, A G

    2012-01-01

    The goal of this paper is to present the advantages on the use of 3D Digital Human Models (DHM) on the design of public transport vehicles. In this case, the subjects were scanned using the WBX Cyberware 3D Whole Body Scanner, with functional and daily postures according to the use of public transportation and some especial cases, such as a mother with her offspring or a business man with his valise, so the volume of the person would be taken in consideration. A data collection was created to simulate several situations of the daily use of the vehicle.

  9. Methadone Induced Sensorineural Hearing Loss

    OpenAIRE

    Chadi Saifan; Daniel Glass; Iskandar Barakat; Suzanne El-Sayegh

    2013-01-01

    Background. Sudden sensorineural hearing loss (SSHL) caused by opiate abuse or overuse has been well documented in the medical literature. Most documented case reports have involved either heroin or hydrocodone/acetaminophen. Recently, case reposts of methadone induced SSHL have been published. Case Report. We present the case of a 31-year-old man who developed SSHL after a methadone overdose induced stupor. He was subsequently restarted on methadone at his regular dose. On follow-up audiomet...

  10. Relationship between swim bladder morphology and hearing abilities--a case study on Asian and African cichlids.

    Directory of Open Access Journals (Sweden)

    Tanja Schulz-Mirbach

    Full Text Available BACKGROUND: Several teleost species have evolved anterior extensions of the swim bladder which come close to or directly contact the inner ears. A few comparative studies have shown that these morphological specializations may enhance hearing abilities. This study investigates the diversity of swim bladder morphology in four Asian and African cichlid species and analyzes how this diversity affects their hearing sensitivity. METHODOLOGY/PRINCIPAL FINDINGS: We studied swim bladder morphology by dissections and by making 3D reconstructions from high-resolution microCT scans. The auditory sensitivity was determined in terms of sound pressure levels (SPL and particle acceleration levels (PAL using the auditory evoked potential (AEP recording technique. The swim bladders in Hemichromis guttatus and Steatocranus tinanti lacked anterior extensions and the swim bladder was considerably small in the latter species. In contrast, Paratilapia polleni and especially Etroplus maculatus possessed anterior extensions bringing the swim bladder close to the inner ears. All species were able to detect frequencies up to 3 kHz (SPL except S. tinanti which only responded to frequencies up to 0.7 kHz. P. polleni and E. maculatus showed significantly higher auditory sensitivities at 0.5 and 1 kHz than the two species lacking anterior swim bladder extensions. The highest auditory sensitivities were found in E. maculatus, which possessed the most intimate swim bladder-inner ear relationship (maximum sensitivity 66 dB re 1 µPa at 0.5 kHz. CONCLUSIONS: Our results indicate that anterior swim bladder extensions seem to improve mean absolute auditory sensitivities by 21-42 dB (SPLs and 21-36 dB (PALs between 0.5 and 1 kHz. Besides anterior extensions, the size of the swim bladder appears to be an important factor for extending the detectable frequency range (up to 3 kHz.

  11. Sudden (reversible) sensorineural hearing loss in pregnancy.

    LENUS (Irish Health Repository)

    Kenny, R

    2011-03-01

    Sudden hearing loss directly associated with pregnancy or birth is a little known and rare occurrence. The temporary, unilateral, low-frequency sensorineural hearing loss in this case was reported after the birth of the patient\\'s first child, and again during the third trimester of her second pregnancy.

  12. 18 CFR 1308.33 - Hearings.

    Science.gov (United States)

    2010-04-01

    ... parties in a particular case. The terms court, plaintiff, defendant, and action as used in those Rules... evidence shall generally be governed by the Federal Rules of Evidence, subject, however, to the Hearing Officer's discretion. As used in those Rules, the term court shall be deemed to mean “Hearing Officer.”...

  13. Linking science, public values, and decision-making: Case study development for public deliberations about climate change resilience

    Science.gov (United States)

    Weller, N.; Bennett, I.; Bernstein, M.; Farooque, M.; Lloyd, J.; Lowenthal, C.; Sittenfeld, D.

    2016-12-01

    Actionable science seeks to align scientific inquiry with decision-making priorities to overcome rifts between scientific knowledge and the needs of decision makers. Combining actionable science with explorations of public values and priorities creates useful support for decision makers facing uncertainty, tradeoffs, and limited resources. As part of a broader project to create public forums about climate change resilience, we convened workshops with decision makers, resilience experts, and community stakeholders to discuss climate change resilience. Our goals were 1) to create case studies of resilience strategies for use in public deliberations at science museums across 8 U.S. cities; and 2) to build relationships with decision makers and stakeholders interested in these public deliberations. Prior to workshops, we created summaries of resilience strategies using academic literature, government assessments, municipal resilience plans, and conversations with workshop participants. Workshops began with example deliberation activities followed by semi-structured discussions of resilience strategies centered on 4 questions: 1) What are the key decisions to be made regarding each strategy? 2) What stakeholders and perspectives are relevant to each strategy? 3) What available data are relevant to each strategy? 4) What visualizations or other resources are useful for communicating things about each strategy? Workshops yielded actionable dialogue regarding issues of justice, feasibility, and the socio-ecological-technical systems impacted by climate change hazards and resilience strategies. For example, discussions of drought revealed systemic and individual-level challenges and opportunities; discussions of sea level rise included ways to account for the cultural significance of many coastal communities. The workshops provide a model for identifying decision-making priorities and tradeoffs and building partnerships among stakeholders, scientists, and decision makers.

  14. Use of Comparative Case Study Methodology for US Public Health Policy Analysis: A Review.

    Science.gov (United States)

    Dinour, Lauren M; Kwan, Amy; Freudenberg, Nicholas

    There is growing recognition that policies influence population health, highlighting the need for evidence to inform future policy development and reform. This review describes how comparative case study methodology has been applied to public health policy research and discusses the methodology's potential to contribute to this evidence. English-language, peer-reviewed articles published between 1995 and 2012 were sought from 4 databases. Articles were included if they described comparative case studies addressing US public health policy. Two researchers independently assessed the 20 articles meeting review criteria. Case-related characteristics and research design tactics utilized to minimize threats to reliability and validity, such as the use of multiple sources of evidence and a case study protocol, were extracted from each article. Although comparative case study methodology has been used to analyze a range of public health policies at all stages and levels, articles reported an average use of only 3.65 (out of 10) research design tactics. By expanding the use of accepted research design tactics, public health policy researchers can contribute to expanding the evidence needed to advance health-promoting policies.

  15. Army Hearing Program Status Report Quarter 3 Fiscal Year 2017

    Science.gov (United States)

    2017-09-14

    Health Administration (OSHA) 29 CFR 1904 and Department of Defense Instruction (DODI) 6055.12 require reporting of occupational hearing illness and...U.S. Army Publ ic Heal th Center Army Hearing Program Status Report Q3 FY17 Clinical Public Health and Epidemiology Directorate Army...Program Status Report (AHPSR) is a component of the Public Health Management System and provides a means for the installation Hearing Program Managers

  16. 39 CFR 955.12 - Submission without a hearing.

    Science.gov (United States)

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Submission without a hearing. 955.12 Section 955.12 Postal Service UNITED STATES POSTAL SERVICE PROCEDURES RULES OF PRACTICE BEFORE THE POSTAL SERVICE BOARD OF CONTRACT APPEALS § 955.12 Submission without a hearing. Submission of the case without hearing...

  17. 5 CFR 1201.51 - Scheduling the hearing.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Scheduling the hearing. 1201.51 Section 1201.51 Administrative Personnel MERIT SYSTEMS PROTECTION BOARD ORGANIZATION AND PROCEDURES PRACTICES AND PROCEDURES Procedures for Appellate Cases Hearings § 1201.51 Scheduling the hearing. (a)...

  18. Methadone Induced Sensorineural Hearing Loss

    Directory of Open Access Journals (Sweden)

    Chadi Saifan

    2013-01-01

    Full Text Available Background. Sudden sensorineural hearing loss (SSHL caused by opiate abuse or overuse has been well documented in the medical literature. Most documented case reports have involved either heroin or hydrocodone/acetaminophen. Recently, case reposts of methadone induced SSHL have been published. Case Report. We present the case of a 31-year-old man who developed SSHL after a methadone overdose induced stupor. He was subsequently restarted on methadone at his regular dose. On follow-up audiometry exams, he displayed persistent moderately severe sensorineural hearing loss bilaterally. Discussion. This case is notable because unlike all but one previously reported case, the patient—who was restated on methadone—did not make a complete recovery. Conclusion. Methadone overuse in rare cases causes SSHL.

  19. Methadone induced sensorineural hearing loss.

    Science.gov (United States)

    Saifan, Chadi; Glass, Daniel; Barakat, Iskandar; El-Sayegh, Suzanne

    2013-01-01

    Background. Sudden sensorineural hearing loss (SSHL) caused by opiate abuse or overuse has been well documented in the medical literature. Most documented case reports have involved either heroin or hydrocodone/acetaminophen. Recently, case reposts of methadone induced SSHL have been published. Case Report. We present the case of a 31-year-old man who developed SSHL after a methadone overdose induced stupor. He was subsequently restarted on methadone at his regular dose. On follow-up audiometry exams, he displayed persistent moderately severe sensorineural hearing loss bilaterally. Discussion. This case is notable because unlike all but one previously reported case, the patient-who was restated on methadone-did not make a complete recovery. Conclusion. Methadone overuse in rare cases causes SSHL.

  20. Management skills as competitive advantage. The case of public sector in Córdoba (Spain

    Directory of Open Access Journals (Sweden)

    Francisco Javier Pereda Pérez

    2014-05-01

    Full Text Available Purpose: To analyze the assessment of management skills in the public sector of Cordoba (Spain, trying to find out the possible relationship or influence between the administration of belonging to a set of management skills.Design/methodology/approach: Initial Theoretical study on the public sector, public management and managerial skills, conducting fieldwork affecting four administrations and application of statistical techniques contrast, which, finally, the analysis of their results and the conclusions drawn from them.Findings and Originality/value: The findings of an investigation into the management skills in the context of the public sector in the Province of Córdoba (Spain are presented. At present the personal, interpersonal and managerial skills to manage, are becoming increasingly important in companies and organizations. The strong commitment to the development of management skills becomes a true competitive advantage capable of leading business improvement processes in organizations, especially those in which the human resource is crucial, as is the case of the public sector.Research limitations/implications: To progress in research on management skills in the public sector, it would be desirable to develop more sector research to comparative studies the results of which lead to the establishment of specific labor policies aimed at improving the selection of public employees, developing training policies that emphasize the enhancement of skills and a true career based on merit and efficient performance.Social implications: The selection, training and development of public employees, and greater give greater importance to human resource processes in which the skills and competencies should fill the role they need.Originality / value: The better knowledge of the public sector, the importance of having competent public managers , and basically point out the critical importance of developing leadership skills at all levels

  1. Public health implications of lead poisoning in backyard chickens and cattle: four cases

    Directory of Open Access Journals (Sweden)

    Roegner A

    2013-04-01

    Full Text Available Amber Roegner,1 Federico Giannitti,2 Leslie W Woods,2 Asli Mete,2 Birgit Puschner1,2 1Department of Molecular Biosciences, School of Veterinary Medicine, University of California, Davis, CA, USA; 2California Animal Health and Food Safety Laboratory System, School of Veterinary Medicine, University of California, Davis, CA, USA Abstract: Lead intoxication in livestock has historically been associated with cattle turned out to pasture and accidental ingestion of lead from drinking crankcase oil, licking grease from machinery, chewing on plumbing or batteries, or drinking water contaminated from leaching materials. Even with the decrease in manufactured items produced with lead, contaminants persist in the landscape and may enter the food supply through animal products. Changing patterns of open range herds moving to new pasture and the increased popularity of urban/suburban backyard chickens or other livestock necessitates public awareness about the clinical signs of lead intoxication, the potential for subclinical animals, public health concerns, particularly for exposure in children, and testing options available. Cases of lead intoxication in livestock demand a thorough case work-up to identify all sources of lead, address subclinical cases, evaluate risk to consumers, and make management suggestions for future prevention. We discuss four recent cases of confirmed lead poisoning in backyard chickens and open range cattle and assess the public health implications therein. Taken as a whole and considering the potential of the remaining herd or flock to be affected without necessarily showing signs, public health officials and veterinarians should be prepared to advise clients on case work-up and management and prevention considerations. Backyard chickens and cattle may not present for suspected lead poisoning as in several of the cases discussed herein yet may still contain concerning tissue or blood levels. The authors believe increased

  2. The right not to hear: the ethics of parental refusal of hearing rehabilitation.

    Science.gov (United States)

    Byrd, Serena; Shuman, Andrew G; Kileny, Sharon; Kileny, Paul R

    2011-08-01

    To explore the ethics of parental refusal of auditory-oral hearing rehabilitation. Case study with medical ethical discussion and review. Two young brothers present with severe-to-profound congenital sensorineural hearing loss. The parents, both of whom have normal hearing and work as sign language interpreters, have decided to raise their children with American Sign Language as their only form of communication. They have chosen not to pursue cochlear implantation nor support the use of hearing aids. This case raises significant questions concerning whether hearing rehabilitation should be mandated, and if there are circumstances in which parental preferences should be questioned or overridden with regard to this issue. In addition, legal concerns may be raised regarding the possible need to file a report with Child Protective Services. Although similar cases involving the Deaf community have historically favored parental rights to forego hearing rehabilitation with either cochlear implantation or hearing aids, we explore whether conclusions should be different because the parents in this case are not hearing impaired. The ethics of parental rights to refuse hearing rehabilitation are complex and strikingly context-dependent. A comprehensive appreciation of the medical, practical, and legal issues is crucial prior to intervening in such challenging situations. Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.

  3. 42 CFR 423.2126 - Case remanded by the MAC.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Case remanded by the MAC. 423.2126 Section 423.2126... (CONTINUED) MEDICARE PROGRAM VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT Reopening, ALJ Hearings, MAC review, and Judicial Review § 423.2126 Case remanded by the MAC. (a) When the MAC may remand a case to the ALJ...

  4. [Sudden unilateral sensorineural hearing loss after carbon monoxide intoxication].

    Science.gov (United States)

    Michalska-Piechowiak, Teresa; Miarzyńska, Maria; Perlik-Gattner, Irena

    2004-01-01

    A case of unilateral sensorineural hearing loss of the left ear after carbon monoxide intoxication was presented. The diagnosis was based upon an interview, medical examinations and audiometric investigations. Results of diagnostic evaluations, clinical presentation and treatment were discussed. Hearing improvement was obtained after 6 days of treatment and normal hearing returned after 14 days. Patients who suffer from CO intoxication are at risk of hearing impairment, therefore, there is a need for audiometric follow up in these patients.

  5. Diclofenac induced sudden sensorineural hearing loss

    OpenAIRE

    M Bhanukumar; Vineetha Bharathan Menon; Justin Kurian; Madhan Ramesh

    2015-01-01

    A few cases of mild to moderate, gradual and reversible sensorineural hearing loss (SNHL) with prolonged doses of nonsteroidal anti-inflammatory drugs has been reported. We present a case of sudden irreversible SNHL in a 60-year-old female after taking a single dose of diclofenac. The patient was a known case of diabetes mellitus and hypertension and was on regular treatment. We postulate that the patient's hearing loss was the result of diclofenac's ototoxic effects which may have been poten...

  6. Seller's liability for conformity of the goods with public law standards: Frozen pork case

    Directory of Open Access Journals (Sweden)

    Fišer-Šobot Sandra

    2012-01-01

    Full Text Available When the goods are exported from one country to another an important question arises - do the goods have to comply with the public law requirements of the seller's country, buyer's country or even with the rules in effect in some third country. The question is of high importance because the public law requirements, including standards established by environmental law, can have decisive impact on the possibility to use the goods. In order to avoid potential disputes parties should explicitly or implicitly stipulate the qualities of the goods and applicable public law standards. In case law, there are no uniform standards for determination and application of criteria for assessment whether the goods are in conformity with public law requirements. The best solution is to follow the rules established in Mussels case and to consider every case separately. Finally, according to our opinion, fitness for the purpose for which the goods would ordinarily be used does not imply the obligation of the seller to deliver the goods conforming to the public law standards of the import country, unless he knew or ought to have known of such standards. On the other hand, legal standards in effect in buyer's place or in the place of destination will be relevant when requirements for application of the Art. 35(2(b are fulfilled i.e. when particular purpose was expressly or impliedly made known to the seller and when the buyer relied on the seller's skill and judgment.

  7. Hearing rehabilitation in Treacher Collins Syndrome with bone anchored hearing aid

    Directory of Open Access Journals (Sweden)

    José Fernando Polanski

    2015-12-01

    Full Text Available Objective: To describe a case of hearing rehabilitation with bone anchored hearing aid in a patient with Treacher Collins syndrome. Case description: 3 years old patient, male, with Treacher Collins syndrome and severe complications due to the syndrome, mostly related to the upper airway and hearing. He had bilateral atresia of external auditory canals, and malformation of the pinna. The initial hearing rehabilitation was with bone vibration arch, but there was poor acceptance due the discomfort caused by skull compression. It was prescribed a model of bone-anchored hearing aid, in soft band format. The results were evaluated through behavioral hearing tests and questionnaires Meaningful Use of Speech Scale (MUSS and Infant-Toddler Meaningful Auditory Integration Scale (IT-MAIS. Comments: The patient had a higher acceptance of the bone-anchored hearing aid compared to the traditional bone vibration arch. Audiological tests and the speech and auditory skills assessments also showed better communication and hearing outcomes. The bone-anchored hearing aid is a good option in hearing rehabilitation in this syndrome.

  8. Hearing rehabilitation in Treacher Collins Syndrome with bone anchored hearing aid

    Science.gov (United States)

    Polanski, José Fernando; Plawiak, Anna Clara; Ribas, Angela

    2015-01-01

    Objective: To describe a case of hearing rehabilitation with bone anchored hearing aid in a patient with Treacher Collins syndrome. Case description: 3 years old patient, male, with Treacher Collins syndrome and severe complications due to the syndrome, mostly related to the upper airway and hearing. He had bilateral atresia of external auditory canals, and malformation of the pinna. The initial hearing rehabilitation was with bone vibration arch, but there was poor acceptance due the discomfort caused by skull compression. It was prescribed a model of bone-anchored hearing aid, in soft band format. The results were evaluated through behavioral hearing tests and questionnaires Meaningful Use of Speech Scale (MUSS) and Infant-Toddler Meaningful Auditory Integration Scale (IT-MAIS). Comments: The patient had a higher acceptance of the bone-anchored hearing aid compared to the traditional bone vibration arch. Audiological tests and the speech and auditory skills assessments also showed better communication and hearing outcomes. The bone-anchored hearing aid is a good option in hearing rehabilitation in this syndrome. PMID:26298651

  9. Recommendations for Writing Case Study Articles for Publication in the "Journal of College Counseling"

    Science.gov (United States)

    Scholl, Mark B.

    2017-01-01

    The author presents recommendations for writing case studies for publication in the "Journal of College Counseling." Recommendations fall into 2 categories: (a) ethical considerations and (b) criteria essential to methodological rigor (e.g., Hyett, Kenny, & Dickson-Swift, 2014). The article is intended to guide and encourage…

  10. Institutional and Strategic Barriers to Public-Private Partnership: An Analysis of Dutch Cases.

    NARCIS (Netherlands)

    E-H. Klijn (Erik-Hans); G.R. Teisman (Geert)

    2003-01-01

    textabstractPublic Private Partnerships (PPP) have been much discussed throughout Europe, but does the practice match the idea of cooperating actors who achieve added value together and share risks? An analysis of three cases of PPP in The Netherlands suggests that practice tends to be less ideal th

  11. Improving the effectiveness of sickness benefit case management through a public-private partnership?

    DEFF Research Database (Denmark)

    Larsen, Malene Rode; Aust, Birgit; Høgelund, Jan

    2017-01-01

    Background The aim of this study was to investigate whether a multidimensional public-private partnership intervention, focussing on improving the quality and efficiency of sickness benefit case management, reduced the sickness benefit duration and the duration until self-support. Methods We used...

  12. Does Private School Competition Improve Public School Performance? The Case of Nepal

    Science.gov (United States)

    Thapa, Amrit

    2013-01-01

    Using data from the survey of the Ministry of Education, Nepal-2005 for school leaving certificate (SLC) exam, this paper attempts to estimate the impact of private school competition on public school performance for the case of Nepal. The study uses the number of private schools in the neighborhood as a measure of competition. The identification…

  13. Preparing Public Relations and Advertising Students for the 21st Century: A Case Study.

    Science.gov (United States)

    Carroll, Robert A.

    In 1993, the Task Force on Integrated Communications reported that public relations and advertising students would better be prepared to enter a changing communications industry through an "integrated" curriculum. This paper is a case study of how one university has attempted to meet that challenge. The work has resulted in the development of an…

  14. Institutional and Strategic Barriers to Public-Private Partnership: An Analysis of Dutch Cases.

    NARCIS (Netherlands)

    E-H. Klijn (Erik-Hans); G.R. Teisman (Geert)

    2003-01-01

    textabstractPublic Private Partnerships (PPP) have been much discussed throughout Europe, but does the practice match the idea of cooperating actors who achieve added value together and share risks? An analysis of three cases of PPP in The Netherlands suggests that practice tends to be less ideal th

  15. Does Private School Competition Improve Public School Performance? The Case of Nepal

    Science.gov (United States)

    Thapa, Amrit

    2013-01-01

    Using data from the survey of the Ministry of Education, Nepal-2005 for school leaving certificate (SLC) exam, this paper attempts to estimate the impact of private school competition on public school performance for the case of Nepal. The study uses the number of private schools in the neighborhood as a measure of competition. The identification…

  16. 45 CFR 400.83 - Mediation and fair hearings.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 2 2010-10-01 2010-10-01 false Mediation and fair hearings. 400.83 Section 400.83... Employment § 400.83 Mediation and fair hearings. (a) Mediation—(1) Public/private RCA program. The State must ensure that a mediation period prior to imposition of sanctions is provided to refugees by...

  17. 77 FR 32951 - Commission Agenda and Priorities; Notice of Hearing

    Science.gov (United States)

    2012-06-04

    ... COMMISSION Commission Agenda and Priorities; Notice of Hearing AGENCY: U.S. Consumer Product Safety... (``Commission'') will conduct a public hearing to receive views from all interested parties about its agenda and priorities for fiscal year 2014, which begins on October 1, 2013. Participation by members of the public...

  18. 76 FR 38117 - Commission Agenda and Priorities; Notice of Hearing

    Science.gov (United States)

    2011-06-29

    ... COMMISSION Commission Agenda and Priorities; Notice of Hearing AGENCY: U.S. Consumer Product Safety... (``Commission'') will conduct a public hearing to receive views from all interested parties about its agenda and priorities for fiscal year 2013, which begins on October 1, 2012. Participation by members of the public...

  19. Risk factors for hearing loss in neonates

    Directory of Open Access Journals (Sweden)

    Ni Luh Putu Maharani

    2016-11-01

    Full Text Available Background An estimated 6 of 1,000 children with live birthssuffer from permanent hearing loss at birth or the neonatal period.At least 90% of cases occur in developing countries. Hearing lossshould be diagnosed as early as possible so that intervention canbe done before the age of 6 months.Objective To determine risk factors for hearing loss inneonates.Methods We performed a case-control study involving 100neonates with and without hearing loss who were born atSanglah Hospital, Denpasar from November 2012 to February2013. Subjects were consisted of 2 groups, those with hearingloss (case group of 50 subjects and without hearing loss (controlgroup of 50 subjects. The groups were matched for gender andbirth weight. We assessed the following risk factors for hearingloss: severe neonatal asphyxia, hyperbilirubinemia, meningitis,history of aminoglycoside therapy, and mechanical ventilationby Chi-square analysis. The results were presented as odds ratioand its corresponding 95% confidence intervals.Results Seventy percent of neonates with hearing loss had historyof aminoglycoside therapy. Multivariable analysis revealed thataminoglycoside therapy of 14 days or more was a significant riskfactor for hearing loss (OR 2.7; 95%CI 1.1 to 6.8; P=0.040.There were no statistically significant associations betweenhearing loss and severe asphyxia, hyperbilirubinemia, meningitis,or mechanical ventilation.Conclusion as a risk factor for hearing loss in neonates. [

  20. Improving Risk Governance of Emerging Technologies through Public Engagement: The Neglected Case of Nano-Remediation?

    DEFF Research Database (Denmark)

    Grieger, Khara Deanne; Wickson, Fern; Andersen, Henning Boje

    2012-01-01

    assessment. This paper therefore carries out a literature review to capture and analyse how governance strategies have focused on public engagement for NT and how such engagement relates to processes of risk analysis. To further investigate these issues, we focus on a specific NT application as a case study......: the use of nanoparticles for environmental remediation (nano-remediation). Through our review and analysis we find that the main approaches to incorporating public engagement into governance strategies have been the generation of a better understanding of public perceptions of NT and the setting......While public engagement is internationally considered to be crucial for successful governance of nanotechnologies (NT), it has not necessarily been clear what the relationship is (or should be) between these engagement efforts and the more traditional governance practice of scientific risk...

  1. 41 CFR 105-56.008 - Pre-offset paper hearing.

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Pre-offset paper hearing. 105-56.008 Section 105-56.008 Public Contracts and Property Management Federal Property Management... General Services Administration Employees § 105-56.008 Pre-offset paper hearing. If a hearing is to be...

  2. 77 FR 60959 - Basis of Indebtedness of S Corporations to Their Shareholders; Hearing Cancellation

    Science.gov (United States)

    2012-10-05

    ..., 2012 (77 FR 39655) announced that a public hearing was scheduled for October 9, 2012, at 10 a.m. in the... Shareholders; Hearing Cancellation AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Cancellation of... S corporations to their shareholders. DATES: The public hearing originally scheduled for October...

  3. 43 CFR 4.118 - Hearings-where and when held.

    Science.gov (United States)

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Hearings-where and when held. 4.118 Section 4.118 Public Lands: Interior Office of the Secretary of the Interior DEPARTMENT HEARINGS AND... Procedure Rules § 4.118 Hearings—where and when held. Hearings may be held in Arlington, Virginia, or...

  4. 42 CFR 431.223 - Denial or dismissal of request for a hearing.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Denial or dismissal of request for a hearing. 431.223 Section 431.223 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND... Fair Hearings for Applicants and Recipients Right to Hearing § 431.223 Denial or dismissal of...

  5. Managing Hearing Loss

    Science.gov (United States)

    ... you can get help. See your doctor. Hearing aids, special training, certain medicines, and surgery are some of the choices that can help people with hearing problems, but they are not a cure. Read More "Hearing Loss" Articles Managing Hearing Loss / Symptoms, Devices, Prevention & Research / Screening ...

  6. Hard of Hearing?

    DEFF Research Database (Denmark)

    T Christensen, Vibeke

    This summary presents the results of a study of the impact of reduced hearing in relation to labour-market attachment and working life. Reduced hearing contributes to early retirement. Many people with impaired hearing are not aware of the impact of their hearing problems on their working life...

  7. Oversight on Family Planning Programs under Title X of the Public Health Service Act, 1984. Hearings before the Subcommittee on Family and Human Services of the Committee on Labor and Human Resources. United States Senate, Ninety-Eighth Congress, Second Session on Consideration of the Reauthorization of Title X of the Public Health Service Act, the Population Research and Voluntary Family Planning Programs (April 5 and May 1, 1984).

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

    This document provides witness testimony and prepared statements from two sessions of the congressional hearing called to consider the reauthorization of Title X of the Public Health Service Act, the Population Research and Voluntary Family Planning Programs. Testimony is provided from the federal administration, state officials, representatives…

  8. Analysing researchers’ outreach efforts and the association with publication metrics: A case study of Kudos

    Science.gov (United States)

    Aung, Htet Htet; Aw, Ashley Sara; Rapple, Charlie; Theng, Yin-Leng

    2017-01-01

    With the growth of scholarly collaboration networks and social communication platforms, members of the scholarly community are experimenting with their approach to disseminating research outputs, in an effort to increase their audience and outreach. However, from a researcher’s point of view, it is difficult to determine whether efforts to make work more visible are worthwhile (in terms of the association with publication metrics) and within that, difficult to assess which platform or network is most effective for sharing work and connecting to a wider audience. We undertook a case study of Kudos (https://www.growkudos.com), a web-based service that claims to help researchers increase the outreach of their publications, to examine the most effective tools for sharing publications online, and to investigate which actions are associated with improved metrics. We extracted a dataset from Kudos of 830,565 unique publications claimed by authors, for which 20,775 had actions taken to explain or share via Kudos, and for 4,867 of these full text download data from publishers was available. Findings show that researchers are most likely to share their work on Facebook, but links shared on Twitter are more likely to be clicked on. A Mann-Whitney U test revealed that a treatment group (publications having actions in Kudos) had a significantly higher median average of 149 full text downloads (23.1% more) per publication as compared to a control group (having no actions in Kudos) with a median average of 121 full text downloads per publication. These findings suggest that performing actions on publications, such as sharing, explaining, or enriching, could help to increase the number of full text downloads of a publication. PMID:28817627

  9. International patients within the NHS: a case of public sector entrepreneurialism.

    Science.gov (United States)

    Lunt, Neil; Exworthy, Mark; Hanefeld, Johanna; Smith, Richard D

    2015-01-01

    Many public health systems in high- and middle-income countries are under increasing financial pressures as a result of ageing populations, a rise in chronic and non-communicable diseases and shrinking public resources. At the same time the rise in patient mobility and concomitant market in medical tourism provides opportunities for additional income. This is especially the case where public sector hospitals have a reputation as global centres of excellence. Yet, this requires public sector entrepreneurship which, given the unique features of the public sector, means a change to professional culture. This paper examines how and under what conditions public sector entrepreneurship develops, drawing on the example of international patients in the UK NHS. It reports on a subset of data from a wider study of UK medical tourism, and explores inward flows and NHS responses through the lens of public entrepreneurship. Interviews in the English NHS were conducted with managers of Foundation Trusts with interest in international patient work. Data is from seven Foundation Trusts, based on indepth, semi-structured interviews with a range of NHS managers, and three other key stakeholders (n = 16). Interviews were analysed using a framework on entrepreneurship developed from academic literature. Empirical findings showed that Trust managers were actively pursuing a strategy of expanding international patient activity. Respondents emphasised that this was in the context of the current financial climate for the NHS. International patients were seen as a possible route to ameliorating pressure on stretched NHS resources. The analysis of interviews revealed that public entrepreneurial behaviour requires an organisational managerial or political context in order to develop, such as currently in the UK. Public sector workers engaged in this process develop entrepreneurship - melding political, commercial and stakeholder insights - as a coping mechanism to health system constraints.

  10. Reconceptualizing the “Publicness” of Public Housing: The Case of Brussels

    Directory of Open Access Journals (Sweden)

    Nele Aernouts

    2015-04-01

    Full Text Available This article brings together various spatial and political theorizations on the commons as a broader project to understand multiple dimensions of the inclusive nature of public housing. By picking up theorizations on the commons, the article feeds the debate on the loss of “publicness” of public housing and removes attention from what is seen as a state related business. Four core-dimensions are identified: ownership, participation, community activity and physical configuration. The article takes a sample of public housing estates in the Brussels capital region as case studies to test the capacity of this framework to detect the degree of “publicness” of various forms of public housing. The preliminary results—based on this limited sample of cases studied through interviews with privileged informers and a literature study—suggest that approaches where individual households are actively involved in the organization of the dwelling environment work best to compensate for the loss of “publicness” that has occurred since the decline of the welfare state. In that respect, these approaches tie in with some early predecessors of “public” housing, mainly cooperatively organized garden city developments. Further in-depth case study research should shed more light on the validity of this hypothesis, as well as on the precise mechanisms and features that determine this regained “publicness”.

  11. 76 FR 22064 - Guidance on Reporting Interest Paid to Nonresident Aliens; Hearing

    Science.gov (United States)

    2011-04-20

    ... Nonresident Aliens; Hearing AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice of public hearing... maintained at U.S. offices of certain financial institutions and paid to nonresident alien individuals. DATES...

  12. 78 FR 73471 - Guidance Regarding Dispositions of Tangible Depreciable Property; Hearing Cancellation

    Science.gov (United States)

    2013-12-06

    ... appeared in the Federal Register on September 19, 2013 (78 FR 57547) announced that a public hearing was... hearing on proposed regulations regarding dispositions of property subject to depreciation under...

  13. 7 CFR 15.123 - Appeals from ruling of hearing officer.

    Science.gov (United States)

    2010-01-01

    ... Procedure for Hearings, Decisions and Administrative Review Under the Civil Rights Act of 1964 Hearing... prejudice to any part or substantial detriment to the public interest. If an appeal is allowed, any...

  14. Prospective study of hearing loss in schools for deaf children in

    African Journals Online (AJOL)

    hearing loss among children attending public schools for the deaf were ... Moderate to severe sensorineural deafness is a major disability and permanent hearing .... mon among the Saudi people and this was found to be mainly between first ...

  15. The public libraries as a subjective integration spaces: A case study in La Peña public Library of BibloRed, in Bogota, Colombia

    Directory of Open Access Journals (Sweden)

    Alejandro Toro Peña

    2014-04-01

    Full Text Available The proposed research addresses how public libraries in popular contexts can realize processes of collective subjectivity from their library services. An analysis of these libraries as agencies for the construction of the public sphere is carried out through a case study in a public library of Bogota, Colombia. It was initially proposed to illustrate the way in which the public library has addressed the question of what is a public library and what is its social and political role, identifying the reasons that we believe are necessary questioned by the social sciences. Then, reviewing the theories of subjectivity and collective subjectivity, an instrument for qualitative inquiries was built around the category of collective subjectivity, allowing to explore from subjective narratives of users, the elements to describe the processes from the selected public library. Finally, considerations are presented about public libraries as agencies of social and cultural processes, involved in training and participation scenarios.

  16. The political economy of a public health case management program's transition into medical homes.

    Science.gov (United States)

    Wells, Rebecca; Cilenti, Dorothy; Issel, L Michele

    2015-11-01

    Throughout the United States, public health leaders are experimenting with how best to integrate services for individuals with complex needs. To that end, North Carolina implemented a policy incorporating both local public health departments and other providers into medical homes for low income pregnant women and young children at risk of developmental delays. To understand how this transition occurred within local communities, a pre-post comparative case study was conducted. A total of 42 people in four local health departments across the state were interviewed immediately before the 2011 policy change and six months later: 32 professionals (24 twice) and 10 pregnant women receiving case management at the time of the policy implementation. We used constant comparative analysis of interview and supplemental data to identify three key consequences of the policy implementation. One, having medical homes increased the centrality of other providers relative to local health departments. Two, a shift from focusing on personal relationships toward medical efficiency diverged in some respects from both case managers' and mothers' goals. Three, health department staff re-interpreted state policies to fit their public health values. Using a political economy perspective, these changes are interpreted as reflecting shifts in public health's broader ideological environment. To a large extent, the state successfully induced more connection between health department-based case managers and external providers. However, limited provider engagement may constrain the implementation of the envisioned medical homes. The increased focus on medical risk may also undermine health departments' role in supporting health over time by attenuating staff relationships with mothers. This study helps clarify how state public health policy innovations unfold at local levels, and why front line practice may in some respects diverge from policy intent.

  17. [Aggravation after Diagnosis of Sudden Sensorineural Hearing Loss].

    Science.gov (United States)

    Fukumoto, Ichiro; Nemoto, Toshimitsu; Tsukuda, Tomoko; Koshizuka, Keiichi

    2015-03-01

    Among 95 patients with sudden sensorineural hearing loss who received inpatient treatment at our hospital within the 27-month period between October 2009 and December 2011, those in whom hearing loss was aggravated after diagnosis were compared with a control group. Hearing loss aggravation was defined as a decrease by 10 dB or more in the mean hearing threshold at 5 frequencies from 250 to 4,000 Hz or decrease of 15 dB or more in the hearing threshold at 2 consecutive frequencies. Hearing loss was aggravated after diagnosis in 22 (23.2%) of the 95 patients, showing a similar tendency to that previously reported. Although the grades of hearing loss in these patients were higher than those in 73 control group patients, according to the sudden hearing loss severity classification, their outcomes were favorable. The hearing loss aggravation group consisted of those with steroid-dependent hearing loss (6) and those who had undergone perilymphatic fistula repair (4), in addition to a large number of patients with idiopathic hearing loss, including suspicious perilymphatic fistula (10). When hearing loss becomes aggravated after the diagnosis of sudden sensorineural hearing loss, it may be important to determine the most appropriate approach in each case, such as a careful and gradual decrease in the adenocortical steroid dose and the consideration of perilymphatic fistula repair.

  18. Secretory Otitis Media Characterized by Sudden Hearing Loss(Report of 24 cases)%以听力突然下降为特征的分泌性中耳炎(附24例报告)

    Institute of Scientific and Technical Information of China (English)

    佘万东; 张倩; 姜萍; 王健

    2001-01-01

    目的提高对以听力突然下降为特征的分泌性中耳炎的确诊率。方法回顾性分析24例(28耳)以听力突然下降为特征的分泌性中耳炎的临床资料。结果11例患者被误诊或漏诊,各频率的平均气导阈值在60.2~66.5dBHL,平均骨导阈值在40.5~58.6dBHl,听力图示感音神经性聋9耳,混合性聋19耳,鼓室压图为B型,治疗后听力明显改善。结论鼓室积液影响圆窗及卵圆窗间的相位差,导致听力突然下降,它们的听力图无特征,并对产生误诊的原因进行了讨论。%Objective To increase the knowledge and the diagnostic level ofsecretory otitis media (SOM). Methods 24 cases (28 ears) of SOM characterized by sudden hearing loss were retrospectively analyzed. Results Among 24 cases, 11 were misdiagnosed. The average air conduction hearing threshold from 0.25 to 6 kHz were between 60.2 and 66.5 dB HL. The average bone conduction hearing threshold were 40.5 to 58.6 dB HL. The hearing of all ears was improved satisfactorily after treatment. The audiogram showed sensorineural hearing loss in 9 ears, mixed hearing loss in 19 ears. Tempanograms in 20 cases (24 ears) were all B type. Conclusion The reason of sudden hearing loss in these patients was possibly that the effusion in tympanum affected the phase-difference between the round window and the oval window. The audiogram in these patients was not specific. The suspected causes of misdiagnosis were discussed.

  19. Public design of digital commons in urban places: a case study

    DEFF Research Database (Denmark)

    Teli, Maurizio; Bordin, Silvia; Menendez Blanco, Maria

    2016-01-01

    This paper can be framed within the growing interest in the public dimension of technology design: it proposes a framework for the public design of urban technologies by elaborating on the concepts of digital commons, matters of concerns and engagement. The framework is discussed through the case...... study of a mobility application developed within a wider project of digital commons design. We contrast a Smart City approach and a urban computing one, and we argue that the latter is more fruitful in the long run, since it entails elements for the establishment of forms of recursive engagement...

  20. Understanding Situated Social Interactions: A Case Study of Public Places in the City

    DEFF Research Database (Denmark)

    Paay, Jeni; Kjeldskov, Jesper

    2008-01-01

    of a physical place providing an understanding of peoples’ situated social interactions in public places of the city derived through a grounded analysis of small groups of friends socialising out on the town. Informed by this, we describe the design and evaluation of a mobile prototype system facilitating...... these and their situated interactions. In response, this paper addresses the challenge of informing design of mobile services for fostering social connections by using the concept of place for studying and understanding peoples’ social activities in a public built environment. We present a case study of social experience...

  1. Can You Hear Architecture

    DEFF Research Database (Denmark)

    Ryhl, Camilla

    2016-01-01

    Taking an off set in the understanding of architectural quality being based on multisensory architecture, the paper aims to discuss the current acoustic discourse in inclusive design and its implications to the integration of inclusive design in architectural discourse and practice as well...... design and architectural quality for people with a hearing disability and a newly conducted qualitative evaluation research in Denmark as well as architectural theories on multisensory aspects of architectural experiences, the paper uses examples of existing Nordic building cases to discuss the role...... of acoustics in both inclusive design and multisensory architecture....

  2. Educational reform and the public: Two case studies of Poland and Saskatchewan (Canada)

    Science.gov (United States)

    Kaproń, Danuta; Stephan, Werner

    1991-09-01

    The involvement of the public in educational reform processes in modern democratic societies primarily serves the purpose of politically legitimizing the reform agenda. This study examines the rationales implicitly or explicitly submitted to the public to explain why educational reforms in the two countries should be endorsed. Although differences in the political culture caution against a hasty comparison of the two case studies, a number of politico-economic similarities allow for a valid juxtaposition. In Poland the context of socio-political and economic renewal prompted the reformers to emphasize the human-capital model which heightened public awareness and participation in the debate surrounding the reform. Public involvement in Saskatchewan was negatively affected for mainly two reasons. First, the government evidently manipulated public input by various means and thereby appears to have predetermined the outcome. Second, the rationale for the reform, based on a free-market model, tightened the linkage between the needs of the labour market and the mandate of the schools. As a result, public interest and participation was greatly diminished.

  3. Additional funding mechanisms for Public Hospitals in Greece: the case of Chania Mental Health Hospital

    Science.gov (United States)

    2010-01-01

    Objectives To investigate whether the long term lease of public hospital owned land could be an additional financing mechanism for Greek public (mental) health hospitals. Methods We performed a financial analysis of the official 2008 data of a case - study hospital (Mental Health Hospital of Chania). We used a capital budgeting approach to investigate whether value is created for the public hospital by engaging its assets in a project for the development of a private renal dialysis Unit. Results The development of the private unit in hospital owned land is a good investment decision, as it generates high project Net Present Value and Internal Rate of Return. When the project commences generating operating cash flows, nearly €400.000 will be paid annually to the Mental Health Hospital of Chania as rent, thereby gradually decreasing the annual deficit of the hospital. Conclusions Revenue generated from the long term lease of public hospital land is crucial to gradually eliminate hospital deficit. The Ministry of Health should encourage similar forms of Public Private Partnerships in order to ensure the sustainability of public (mental) hospitals. PMID:21067580

  4. Correlation between Land Use and Urban Public Transport: Case Study of Zagreb

    Directory of Open Access Journals (Sweden)

    Gordana Štefančić

    2014-04-01

    Full Text Available Investment in the transport system with the aim of fostering attractiveness and land use in urban structures is of great interest for planners and investors. Investment in urban public transport would especially contribute to revitalising distinct city areas. The samples of high population density and diversified area use are organised around accessible means of urban public transport.The main objective of this case study was to find an adequate model for the solution of urban public transport on the location Novi Jelkovec in Zagreb after the construction of a new urban settlement, with the aim to revitalise the peripheral parts of the city. The theoretical assumption on the influence of better organised transport on land use is hereby researched through the example of correction of timetables and reduction of travelling time between nodes on the line in the Novi Jelkovec settlement. In preparing this paper the following methods were used: analysis and synthesis, mathematical and statistical methods, methods of interviewing. The theory of correlation of land use and urban public transport is based on models that develop the “compact city”. The obtained research results confirm the significance of the correlation between urban land use and urban public transport. It can be concluded that this paper proves the influence of the correlation between land use and urban public transport on the concrete example of Novi Jelkovec. Its implementation could result in solving the concrete traffic problem and along with it a faster urbanisation of the new settlement.

  5. Additional funding mechanisms for Public Hospitals in Greece: the case of Chania Mental Health Hospital

    Directory of Open Access Journals (Sweden)

    Golna Christina

    2010-11-01

    Full Text Available Abstract Objectives To investigate whether the long term lease of public hospital owned land could be an additional financing mechanism for Greek public (mental health hospitals. Methods We performed a financial analysis of the official 2008 data of a case - study hospital (Mental Health Hospital of Chania. We used a capital budgeting approach to investigate whether value is created for the public hospital by engaging its assets in a project for the development of a private renal dialysis Unit. Results The development of the private unit in hospital owned land is a good investment decision, as it generates high project Net Present Value and Internal Rate of Return. When the project commences generating operating cash flows, nearly €400.000 will be paid annually to the Mental Health Hospital of Chania as rent, thereby gradually decreasing the annual deficit of the hospital. Conclusions Revenue generated from the long term lease of public hospital land is crucial to gradually eliminate hospital deficit. The Ministry of Health should encourage similar forms of Public Private Partnerships in order to ensure the sustainability of public (mental hospitals.

  6. Relation Between Rheumatoid Arthritis and Hearing Disorders

    Directory of Open Access Journals (Sweden)

    A Doosti

    2007-07-01

    Full Text Available Introduction: Some of the studies have shown that RA (Rheumatoid Arthritis may cause hearing disorders. These disorders can result in problems later in life, so survey of correlation between rheumatoid arthritis and hearing disorders is important . Methods: This was a case-control study which has done from December 2004 to August 2006 at Shaheed Sadoughi hospital in Yazd. In this study, 50 Rheumatoid arthritis patients as case group (100 ears with 50 persons as control group who were of the same age, sex and job (100 ears were compared. Results: Patients were 21-67 years old and the mean age was 47.58 years(It was the same as the control group.From 50 cases (controls 42 were women and 8 were men . Audiometric tests in different frequencies showed that hearing loss in high frequencies, especially in 8000 Hz was significantly different in the two groups. Also, acoustic reflex was absent in case group and this too was significantly different.The evaluation of sensory neural hearing loss showed that this hearing loss was sensory, not neural . Conclusion: In Rheumatoid arthritis, middle and inner ear disorders have been shown. But some patients aren't aware of their hearing loss and they have no clinical complains, so frequent evaluation of audiometric tests is recommended. Hearing disorders can be controlled by therapeutic and rehabilitation procedures in these patients.

  7. International public health research involving interpreters: a case study from Bangladesh

    Directory of Open Access Journals (Sweden)

    van Teijlingen Edwin

    2005-06-01

    Full Text Available Abstract Background Cross-cultural and international research are important components of public health research, but the challenges of language barriers and working with interpreters are often overlooked, particularly in the case of qualitative research. Methods A case-study approach was used to explore experiences of working with an interpreter in Bangladesh as part of a research project investigating women's experiences of emergency obstetric care. The case study Data from the researcher's field notes provided evidence of experiences in working with an interpreter and show how the model of interviewing was adapted over time to give a more active role to the interpreter. The advantages of a more active role were increased rapport and "flow" in interviews. The disadvantages included reduced control from the researcher's perspective. Some tensions between the researcher and interpreter remained hard to overcome, irrespective of the model used. Independent transcription and translation of the interviews also raised questions around accuracy in translation. Conclusion The issues examined in this case study have broader implications for public health research. Further work is needed in three areas: 1 developing effective relationships with interpreters; 2 the impact of the interpreter on the research process; and 3 the accuracy of the translation and level of analysis needed in any specific public health research. Finally, this paper highlights the importance to authors of reflecting on the potential impact of translation and interpretation on the research process when disseminating their research.

  8. Hearings Before the Subcommittee on Education of the Committee on Labor and Public Welfare, United States Senate, Ninety-Third Congress, Second Session on Examination of the Quaranteed Student Loan Program and the Incidence of Defaults and Interest Rates on Loans Under this Program.

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Public Welfare.

    The hearings were conducted on September 18 and 19, 1974. This document contains statements by representatives, senators, the U.S. Commissioner of Education, and various directors and assistant directors of financial aid from U.S. colleges. Additional information included is as follows: articles, publications, and communications. Questions and…

  9. Reliability of case definitions for public health surveillance assessed by Round-Robin test methodology

    Directory of Open Access Journals (Sweden)

    Claus Hermann

    2006-05-01

    Full Text Available Abstract Background Case definitions have been recognized to be important elements of public health surveillance systems. They are to assure comparability and consistency of surveillance data and have crucial impact on the sensitivity and the positive predictive value of a surveillance system. The reliability of case definitions has rarely been investigated systematically. Methods We conducted a Round-Robin test by asking all 425 local health departments (LHD and the 16 state health departments (SHD in Germany to classify a selection of 68 case examples using case definitions. By multivariate analysis we investigated factors linked to classification agreement with a gold standard, which was defined by an expert panel. Results A total of 7870 classifications were done by 396 LHD (93% and all SHD. Reporting sensitivity was 90.0%, positive predictive value 76.6%. Polio case examples had the lowest reporting precision, salmonellosis case examples the highest (OR = 0.008; CI: 0.005–0.013. Case definitions with a check-list format of clinical criteria resulted in higher reporting precision than case definitions with a narrative description (OR = 3.08; CI: 2.47–3.83. Reporting precision was higher among SHD compared to LHD (OR = 1.52; CI: 1.14–2.02. Conclusion Our findings led to a systematic revision of the German case definitions and build the basis for general recommendations for the creation of case definitions. These include, among others, that testable yes/no criteria in a check-list format is likely to improve reliability, and that software used for data transmission should be designed in strict accordance with the case definitions. The findings of this study are largely applicable to case definitions in many other countries or international networks as they share the same structural and editorial characteristics of the case definitions evaluated in this study before their revision.

  10. From recovery-oriented care to public health: Case studies of participatory public art as a pathway to wellness for persons with behavioral health challenges.

    Science.gov (United States)

    Mohatt, Nathaniel Vincent; Hunter, Bronwyn A; Matlin, Samantha L; Golden, Jane; Evans, Arthur C; Tebes, Jacob Kraemer

    2015-06-01

    The objective of this study is to identify individual mechanisms of change that result from engaging in an innovative participatory public art project for persons with significant behavioral health challenges. We present two case studies that examine how participatory public art promotes recovery and wellness. This research is part of a larger, multilevel comparative outcome trial on the impact of participatory public art on the health and well-being of adults in recovery from mental illness and addiction and on the distressed city neighborhoods in which they live. The case studies describe the unique ways in which participatory public art contributed to key recovery domains of growth in friendship, self-discovery, giving back, and hope. The two cases indicate that the development of a strengths-based sense of self through art was accompanied by a growth in personal social responsibility. The two cases also indicate that participatory public art may have a profound impact on the internalization of stigma. The findings support the value of participatory public art as a strategy for blending recovery and public health perspectives to promote both individual and community wellness.

  11. The mediatization of public sex cultures in the case of the hook-up app Grindr

    DEFF Research Database (Denmark)

    Jørgensen, Kristian Møller

    . This paper focuses on the interplay between media and public sex cultures in the case of the Grindr app use in gay male intimacy cultures. Though gay men’s sex practices, vis-à-vis cruising, have historically been thoroughly mobile and mediated, the Internet has brought about new ways of accessing...... and becoming visible in such cultures (Hollister, 2002). Making oneself visible to the right public (and as importantly invisible to others), now occurs in relation to the affordance structure that apps like Grindr offer. The paper asks to what extend different gay, public sex cultures are shaped by Grindr...... and Social Sciences, 1149–A. Jansson, A. (2013). Mediatization and social space: Reconstructing mediatization for the transmedia age. Communication Theory, 23, 279–296. Jansson, A. (2015). The molding of mediatization: The stratified indispensability of media in close relationships. Communications, 40...

  12. 77 FR 41986 - Division of Nursing, Public Health Nursing Community Based Model of PHN Case Management Services

    Science.gov (United States)

    2012-07-17

    ...), Community Based Model of Public Health Nursing Case Management Services. This program is authorized under... management model that utilizes the PHN as a case manager. Research indicates nursing case management is a..., communication and monitoring. The goals and outcomes of the PHN case management model are early detection...

  13. Vowel Formant Values in Hearing and Hearing-Impaired Children: A Discriminant Analysis

    Science.gov (United States)

    Ozbic, Martina; Kogovsek, Damjana

    2010-01-01

    Hearing-impaired speakers show changes in vowel production and formant pitch and variability, as well as more cases of overlapping between vowels and more restricted formant space, than hearing speakers; consequently their speech is less intelligible. The purposes of this paper were to determine the differences in vowel formant values between 32…

  14. Hearing symptoms personal stereos

    Science.gov (United States)

    da Luz, Tiara Santos; Borja, Ana Lúcia Vieira de Freitas

    2012-01-01

    Summary Introduction: Practical and portable the personal stereos if had become almost indispensable accessories in the day the day. Studies disclose that the portable players of music can cause auditory damages in the long run for who hear music in high volume for a drawn out time. Objective: to verify the prevalence of auditory symptoms in users of amplified players and to know its habits of use Method: Observational prospective study of transversal cut carried through in three institutions of education of the city of Salvador BA, being two of public net and one of the private net. 400 students had answered to the questionnaire, of both the sex, between 14 and 30 years that had related the habit to use personal stereos. Results: The symptoms most prevalent had been hyperacusis (43.5%), auricular fullness (30.5%) and humming (27.5), being that the humming is the symptom most present in the population youngest. How much to the daily habits: 62.3% frequent use, 57% in raised intensities, 34% in drawn out periods. An inverse relation between exposition time was verified and the band of age (p = 0,000) and direct with the prevalence of the humming. Conclusion: Although to admit to have knowledge on the damages that the exposition the sound of high intensity can cause the hearing, the daily habits of the young evidence the inadequate use of the portable stereos characterized by long periods of exposition, raised intensities, frequent use and preference for the insertion phones. The high prevalence of symptoms after the use suggests a bigger risk for the hearing of these young. PMID:25991931

  15. Hearing symptoms personal stereos

    Directory of Open Access Journals (Sweden)

    Tiara Santos da Luz1

    2012-01-01

    Full Text Available Introduction: Practical and portable the personal stereos if had become almost indispensable accessories in the day the day. Studies disclose that the portable players of music can cause auditory damages in the long run for who hear music in high volume for a drawn out time. Objective: to verify the prevalence of auditory symptoms in users of amplified players and to know its habits of use. Method: Observational prospective study of transversal cut carried through in three institutions of education of the city of Salvador BA, being two of public net and one of the private net. 400 students had answered to the questionnaire, of both the sex, between 14 and 30 years that had related the habit to use personal stereos. Results: The symptoms most prevalent had been hyperacusis (43.5%, auricular fullness (30.5% and humming (27.5, being that the humming is the symptom most present in the population youngest. How much to the daily habits: 62.3% frequent use, 57% in raised intensities, 34% in drawn out periods. An inverse relation between exposition time was verified and the band of age (p=0,000 and direct with the prevalence of the humming. Conclusion: Although to admit to have knowledge on the damages that the exposition the sound of high intensity can cause the hearing, the daily habits of the young evidence the inadequate use of the portable stereos characterized by long periods of exposition, raised intensities, frequent use and preference for the insertion phones. The high prevalence of symptoms after the use suggests a bigger risk for the hearing of these young.

  16. Hearing Disorders and Sensorineural Aging

    Directory of Open Access Journals (Sweden)

    Alessandra Fioretti

    2014-01-01

    Full Text Available The physiological age-related hearing loss is defined as presbycusis and it is characterized by reduced hearing sensitivity and problems in understanding spoken language especially in a noisy environment. In elderly the reduced speech recognition is generally caused by a reduction of the cochlear cells in the organ of Corti and degeneration of the central auditory pathways. In order to have a complete management strategy of central and peripheral presbycusis the diagnostic evaluation should include clinical ENT examination, standard audiological tests, and tests of central auditory function. Treatment should include not only the appropriate instruments for peripheral compensation but also auditory rehabilitative training and counseling to prevent social isolation and loss of autonomy. Other common hearing disorders in elderly are tinnitus and hyperacusis which are often undervalued. Tinnitus is characterized by the perception of a “phantom” sound due to abnormal auditory perception. Hyperacusis is defined as a reduced tolerance to ordinary environmental sounds. Furthermore auditory, visual, nociceptive, and proprioceptive systems may be involved together in a possible context of “sensorineural aging.” The aim of this review is to underline the presence of hearing disorders like tinnitus and hyperacusis which in many cases coexist with hearing loss in elderly.

  17. Outsourcing in public health: a case study of contract failure and its aftermath.

    Science.gov (United States)

    Young, Suzanne

    2008-01-01

    Outsourcing has been used in Australia as part of the new public management agenda with the aim of increasing efficiency and decreasing costs. In the public health sector its use has been problematic and the purpose of this paper is to explore the largest Australian health contract at the time; investigating the reasons, the processes and the outcomes. Specifically, it investigates why the contract failed and the lessons to be learned from its subsequent awarding. The paper uses a case study approach to investigate in depth the outsourcing decision. Alongside savings in costs, changes to work practices and reduction in union power, it was found that the outsourcing contract produced problems with service quality, sharing of culture, relationships between contract and internal staff, and in managing the contract and staff; and reductions in trust and morale of both internal and contract staff. Inadequate contract specifications and subsequent under pricing was the cause of contract termination, poor quality, and difficulties in contract management. The paper provides important lessons for decision makers when outsourcing in public health. The paper investigates the largest outsourcing contract in public health in Australia in the 1990s. It investigates the failure of the initial contract and its subsequent awarding to another vendor. The case study approach provides an in-depth analysis of this decision.

  18. Is Hearing Impairment Associated with Rheumatoid Arthritis?

    DEFF Research Database (Denmark)

    Emamifar, Amir; Bjoerndal, Kristine; Jensen Hansen, Inger Marie

    2016-01-01

    and ComDisDome to cover all relative reports. The following keywords were used: hearing loss, hearing difficulties, hearing disorders, hearing impairment, sensorineural hearing loss, conductive hearing loss, mixed hearing loss, autoimmune hearing loss, drug ototoxicity, drug-induced hearing loss, hearing...

  19. Juxtaposing Sport and Public Health: The Case of Fit University, Inc.

    OpenAIRE

    Antonio S. Williams; Benjamin K. Wright; Crystal T. Williams

    2014-01-01

    The purpose of this research was to examine a childhood obesity initiative that successfully used strategic brand management as a fundamental aspect of its mission and goal to promote physical activity through sport, fitness, and education. Using the case study approach, we evaluated Fit University, Inc. (Fit U) in order to identify brand-related characteristics of a successful public health initiative using sport, fitness and education to reduce childhood obesity. The re- searchers and creat...

  20. The relationship between public education expenditure and economic growth: The case of India

    OpenAIRE

    Sayantan Ghosh Dastidar; Sushil Mohan; Monojit Chatterji

    2012-01-01

    The paper reviews the theoretical and the empirical case for public investment in education in India. Though the theoretical literature provides a backing for such a policy, the empirical literature fails to find a robust relation between education expenditure and growth. Expenditure on education is a necessary but not a sufficient condition for growth. It seems that the effectiveness of education expenditure depends on the institutional and labour market characteristics of the economy. The e...

  1. Promoting sustainable food consumption: the case of nutrition education programs in public schools

    OpenAIRE

    Gorgitano, Maria Teresa; Sodano, Valeria

    2012-01-01

    Within the realm of public policies for a sustainable food system, the focus has gradually shifted from production oriented towards consumption oriented interventions. Whilst changing consumer behavior can have a long-lasting positive environmental impact, choosing effective sustainable consumption policy instruments may be a challenging task. In the case of food consumption, the choice of interventions is particularly difficult because of the multiple aspects- psychological, cultural, econom...

  2. Technological behaviour of Argentine public enterprises: the case of yacimientos petroliferos fiscales.

    OpenAIRE

    Lucangeli J

    1986-01-01

    ILO pub-WEP pub. Working paper, case study of technological change at the Yacimientos Petroliferos Fiscales petroleum refinery (public enterprise) in Argentina, 1950-1980 - discusses technical aspects; considers short term and long term factors influencing decision making concerning technological change, including industrial policy and petroleum prices; examines the petroleum product mix; makes comparisons of its efficiency with private enterprises. Diagrams, graphs, references, statistical t...

  3. 43 CFR 19.5 - Hearing procedures.

    Science.gov (United States)

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Hearing procedures. 19.5 Section 19.5 Public Lands: Interior Office of the Secretary of the Interior WILDERNESS PRESERVATION National... concerning the suitability or nonsuitability of any roadless area or island for preservation as wilderness...

  4. Noise-induced hearing loss

    Directory of Open Access Journals (Sweden)

    Mariola Sliwinska-Kowalska

    2012-01-01

    Full Text Available Noise-induced hearing loss (NIHL still remains a problem in developed countries, despite reduced occupational noise exposure, strict standards for hearing protection and extensive public health awareness campaigns. Therefore NIHL continues to be the focus of noise research activities. This paper summarizes progress achieved recently in our knowledge of NIHL. It includes papers published between the years 2008-2011 (in English, which were identified by a literature search of accessible medical and other relevant databases. A substantial part of this research has been concerned with the risk of NIHL in the entertainment sector, particularly in professional, orchestral musicians. There are also constant concerns regarding noise exposure and hearing risk in "hard to control" occupations, such as farming and construction work. Although occupational noise has decreased since the early 1980s, the number of young people subject to social noise exposure has tripled. If the exposure limits from the Noise at Work Regulations are applied, discotheque music, rock concerts, as well as music from personal music players are associated with the risk of hearing loss in teenagers and young adults. Several recent research studies have increased the understanding of the pathomechanisms of acoustic trauma, the genetics of NIHL, as well as possible dietary and pharmacologic otoprotection in acoustic trauma. The results of these studies are very promising and offer grounds to expect that targeted therapies might help prevent the loss of sensory hair cells and protect the hearing of noise-exposed individuals. These studies emphasize the need to launch an improved noise exposure policy for hearing protection along with developing more efficient norms of NIHL risk assessment.

  5. Noise-Induced Hearing Loss

    Science.gov (United States)

    ... America Information For… Media Policy Makers Noise-Induced Hearing Loss Recommend on Facebook Tweet Share Compartir Hearing plays ... sounds over an extended period. Preventing Noise-Induced Hearing Loss Hearing loss caused by exposure to loud sound ...

  6. Negotiating hearing disability and hearing disabled identities

    DEFF Research Database (Denmark)

    Lykke Hindhede, Anette

    2012-01-01

        Using disability theory as a framework and social science theories of identity to strengthen the arguments, this paper explores empirically how working-age adults confront the medical diagnosis of hearing impairment. For most participants hearing impairment threatens the stability of social...... interaction and the construction of hearing disabled identities is seen as shaped in the interaction with the hearing impaired person‟s surroundings. In order to overcome the potential stigmatisation the „passing‟ as normal becomes predominant. For many the diagnosis provokes radical redefinitions of the self....... The discursively produced categorisation and subjectivity of senescence mean that rehabilitation technologies such as hearing aids identify a particular life-style (disabled) which determines their social significance. Thus wearing a hearing aid works against the contemporary attempt to create socially ideal...

  7. Could Neonatal Hypernatremia Dehydration Influence Hearing Status?

    Directory of Open Access Journals (Sweden)

    Hassan Boskabadi

    2014-01-01

    Full Text Available Introduction: Neonatal hypernatremia dehydration (NHD is a dangerous condition in neonates, which is accompanied by acute complications (renal failure, cerebral edema, and cerebral hemorrhage and chronic complications (developmental delay. Children begin learning language from birth, and hearing impairment interferes with this process. We assessed the hearing status of infants with hypernatremia dehydration.   Materials and Methods: In a case-control study in 110 infants presenting at the Ghaem Hospital (Mashhad, Iran between 2007 and 2011, we examined the incidence of hearing impairment in infants suffering from hypernatremia dehydration (serum sodium >150 mEq/L in comparison with infants with normal sodium level (serum sodium ≤150 mEq/L.   Results: Three of 110 cases examined in the study group showed a transient hearing impairment. A mean serum sodium level of 173mg/dl was reported among hearing-impaired infants.   Conclusion:  Transient hearing impairment was higher in infants with hypernatremia; although this difference was not significant (P>0.05. Hearing impairment was observed in cases of severe hypernatremia.  

  8. Building Social Infrastructure through Public-Private Partnerships: The Case of Student Housing in Public Higher Education

    Science.gov (United States)

    Cole, Bruce Kevin

    2012-01-01

    Evaluations of Public-Private Partnership arrangements as alternatives to traditional government procurement methods for the delivery of public infrastructure projects have been anecdotal at best. This paper proposes a framework to evaluate a public university's infrastructure asset management performance and a specific measure based on a new…

  9. When advocacy obscures accuracy online: digital pandemics of public health misinformation through an antifluoride case study.

    Science.gov (United States)

    Seymour, Brittany; Getman, Rebekah; Saraf, Avinash; Zhang, Lily H; Kalenderian, Elsbeth

    2015-03-01

    In an antifluoridation case study, we explored digital pandemics and the social spread of scientifically inaccurate health information across the Web, and we considered the potential health effects. Using the social networking site Facebook and the open source applications Netvizz and Gephi, we analyzed the connectedness of antifluoride networks as a measure of social influence, the social diffusion of information based on conversations about a sample scientific publication as a measure of spread, and the engagement and sentiment about the publication as a measure of attitudes and behaviors. Our study sample was significantly more connected than was the social networking site overall (PSocial diffusion was evident; users were forced to navigate multiple pages or never reached the sample publication being discussed 60% and 12% of the time, respectively. Users had a 1 in 2 chance of encountering negative and nonempirical content about fluoride unrelated to the sample publication. Network sociology may be as influential as the information content and scientific validity of a particular health topic discussed using social media. Public health must employ social strategies for improved communication management.

  10. Indirect costs of diabetes and its impact on the public finance: the case of Poland.

    Science.gov (United States)

    Torój, Andrzej; Mela, Aneta

    2017-08-31

    Growing public and private expenditure on healthcare results i.a. from the spreading of chronic diseases. Diabetes belongs to the most frequent ones, beyond neoplasms and cardiological diseases, and hence generates a significant burden for the public finance in terms of the direct costs. However, the economy suffers also from the indirect cost of diabetes that manifests itself in the loss in Gross Domestic Product (GDP) and general government revenues. This paper aims to measure this indirect cost, both in terms of GDP drop (social perspective) and public revenue drop (public finance perspective), in the case of Poland in 2012-2014. We use a modified human capital approach and unique dataset provided by the Social Security institution in Poland and the Polish Central Statistical Office. Diabetes is a substantial and growing burden for the Polish economy. In the years 2012, 2013 and 2014 the indirect cost (output loss) amounted to 1.85 bn USD, 1.94 bn USD and 2.00 bn USD respectively. Estimated indirect cost of diabetes can be a useful input for health technology analyses of drugs or economic impact assessments of public health programmes.

  11. Building capacity for evidence informed decision making in public health: a case study of organizational change.

    Science.gov (United States)

    Peirson, Leslea; Ciliska, Donna; Dobbins, Maureen; Mowat, David

    2012-02-20

    Core competencies for public health in Canada require proficiency in evidence informed decision making (EIDM). However, decision makers often lack access to information, many workers lack knowledge and skills to conduct systematic literature reviews, and public health settings typically lack infrastructure to support EIDM activities. This research was conducted to explore and describe critical factors and dynamics in the early implementation of one public health unit's strategic initiative to develop capacity to make EIDM standard practice. This qualitative case study was conducted in one public health unit in Ontario, Canada between 2008 and 2010. In-depth information was gathered from two sets of semi-structured interviews and focus groups (n = 27) with 70 members of the health unit, and through a review of 137 documents. Thematic analysis was used to code the key informant and document data. The critical factors and dynamics for building EIDM capacity at an organizational level included: clear vision and strong leadership, workforce and skills development, ability to access research (library services), fiscal investments, acquisition and development of technological resources, a knowledge management strategy, effective communication, a receptive organizational culture, and a focus on change management. With leadership, planning, commitment and substantial investments, a public health department has made significant progress, within the first two years of a 10-year initiative, towards achieving its goal of becoming an evidence informed decision making organization.

  12. When Advocacy Obscures Accuracy Online: Digital Pandemics of Public Health Misinformation Through an Antifluoride Case Study

    Science.gov (United States)

    Getman, Rebekah; Saraf, Avinash; Zhang, Lily H.; Kalenderian, Elsbeth

    2015-01-01

    Objectives. In an antifluoridation case study, we explored digital pandemics and the social spread of scientifically inaccurate health information across the Web, and we considered the potential health effects. Methods. Using the social networking site Facebook and the open source applications Netvizz and Gephi, we analyzed the connectedness of antifluoride networks as a measure of social influence, the social diffusion of information based on conversations about a sample scientific publication as a measure of spread, and the engagement and sentiment about the publication as a measure of attitudes and behaviors. Results. Our study sample was significantly more connected than was the social networking site overall (P < .001). Social diffusion was evident; users were forced to navigate multiple pages or never reached the sample publication being discussed 60% and 12% of the time, respectively. Users had a 1 in 2 chance of encountering negative and nonempirical content about fluoride unrelated to the sample publication. Conclusions. Network sociology may be as influential as the information content and scientific validity of a particular health topic discussed using social media. Public health must employ social strategies for improved communication management. PMID:25602893

  13. The Effect of Music on Hearing of String Musicians

    OpenAIRE

    Parisa Mirhaj; Ghasem Mohammad Khani; Mahin Sedaie; Soghrat Faghihzadeh

    2006-01-01

    Background and Aim: Hearing sensitivity is so vital for musicians as loud music can cause hearing loss. The aim of this study was to assess hearing sensitivity of musicians in order to determine the effects of music exposure on hearing organ. Materials and Methods: This case-control study was conducted on 15 string musicians with musicianship history of more than 10 years and 15 normal hearing subjects. They all were male and 20-30 years old. TEOAE and DPOAE performed and after otoscopy, immi...

  14. Resolution of Sudden Sensorineural Hearing Loss Following a Roller Coaster Ride

    OpenAIRE

    Kumar, Aman; Sinha, Amrita; Al-Waa, Ahmad M.

    2011-01-01

    We report a case of sudden unilateral sensorineural hearing loss of sudden onset during an aeroplane flight, which completely resolved during a roller coaster ride at Alton Towers theme park. A review of the literature concerning sudden idiopathic sensorineural hearing loss and spontaneous resolution are discussed. Initially, pure-tone audiometry showed a profound sensorineural hearing loss in the right ear and mild sensorineural hearing loss in the left ear (of note, the hearing was normal p...

  15. Resolution of Sudden Sensorineural Hearing Loss Following a Roller Coaster Ride

    OpenAIRE

    Kumar, Aman; Sinha, Amrita; Al-Waa, Ahmad M.

    2011-01-01

    We report a case of sudden unilateral sensorineural hearing loss of sudden onset during an aeroplane flight, which completely resolved during a roller coaster ride at Alton Towers theme park. A review of the literature concerning sudden idiopathic sensorineural hearing loss and spontaneous resolution are discussed. Initially, pure-tone audiometry showed a profound sensorineural hearing loss in the right ear and mild sensorineural hearing loss in the left ear (of note, the hearing was normal p...

  16. [Clinical features associated with sudden hearing loss in children].

    Science.gov (United States)

    Taiji, Hidenobu; Morimoto, Noriko

    2012-07-01

    Sudden sensorineural hearing loss is usually unilateral, and the cause is not identified in most adult cases. However, a specific cause has frequently been found in the case of children, in whom idiopathic sudden sensorineural hearing loss (ISHL) is comparatively rare. We investigated 20 cases of acute unilateral sensorineural hearing loss in children associated with a certain disease, but which was first diagnosed as ISHL. Thirteen patients aged 6 to 16 years old were diagnosed as having psychogenic (functional) hearing loss. Discrepancies in behavioral and objective tests are most valuable when functional hearing loss is suspected. Elevated pure-tone thresholds associated with normal distortion product otoacoustic emissions (DPOAEs) enable prompt further investigation. There are several conditions that may mimic functional hearing loss, so auditory brainstem response (ABR) testing is necessary to verify the actual cause. The unilateral profound hearing loss in 2 patients aged 7 and 11 years old was due to asymptomatic mumps proven by detecting the mumps IgM antibody. Total hearing recovery in the 125-1000 Hz frequencies occurred in one case. In 5 patients aged 6 to 12 years old with acute hearing loss and vertigo, high resolution CT imaging showed an abnormally enlarged vestibular aqueduct on the affected side. Large vestibular aqueduct syndrome should be considered in acute high-frequency sloping hearing loss with an A-B gap at low frequencies.

  17. Hearing aid effectiveness after aural rehabilitation - individual versus group (HEARING trial: RCT design and baseline characteristics

    Directory of Open Access Journals (Sweden)

    Heagerty Patrick J

    2009-12-01

    Full Text Available Abstract Background Hearing impairment is the most common body system disability in veterans. In 2008, nearly 520,000 veterans had a disability for hearing loss through the Department of Veterans Affairs (VA. Changes in eligibility for hearing aid services, along with the aging population, contributed to a greater than 300% increase in the number of hearing aids dispensed from 1996 to 2006. In 2006, the VA committed to having no wait times for patient visits while providing quality clinically-appropriate care. One approach to achieving this goal is the use of group visits as an alternative to individual visits. We sought to determine: 1 if group hearing aid fitting and follow-up visits were at least as effective as individual visits, and 2 whether group visits lead to cost savings through the six month period after the hearing aid fitting. We describe the rationale, design, and characteristics of the baseline cohort of the first randomized clinical trial to study the impact of group versus individual hearing aid fitting and follow-up visits. Methods Participants were recruited from the VA Puget Sound Health Care System Audiology Clinic. Eligible patients had no previous hearing aid use and monaural or binaural air-conduction hearing aids were ordered at the evaluation visit. Participants were randomized to receive the hearing aid fitting and the hearing aid follow-up in an individual or group visit. The primary outcomes were hearing-related function, measured with the first module of the Effectiveness of Aural Rehabilitation (Inner EAR, and hearing aid adherence. We tracked the total cost of planned and unplanned audiology visits over the 6-month interval after the hearing aid fitting. Discussion A cohort of 659 participants was randomized to receive group or individual hearing aid fitting and follow-up visits. Baseline demographic and self-reported health status and hearing-related measures were evenly distributed across the treatment arms

  18. Examining the therapeutic relationship and confronting resistances in psychodynamic psychotherapy: a certified public accountant case.

    Science.gov (United States)

    Manetta, Christopher T; Gentile, Julie P; Gillig, Paulette Marie

    2011-05-01

    Psychodynamic psychotherapy is effective for a variety of mental health symptoms. This form of psychotherapy uses patient self reflection and self examination, as well as the therapeutic relationship between the patient and psychiatrist, to explore maladaptive coping strategies and relationship patterns of the patient. A thorough understanding of resistance and the core conflictual relationship theme afford the psychiatrist the ability to facilitate this work. In this article, the composite case illustrates some of the psychodynamic psychotherapy techniques that can be employed in a psychotherapy case. In this example, the case is about a certified public accountant that came to treatment because of an acute stressor that put her career goals at risk. An acute episode or event can bring to light chronic and ongoing symptoms, which have had a remitting and relapsing course, and leave the patient unable to compensate on his or her own.

  19. [Management of tuberculosis (TB) cases from view points of public health].

    Science.gov (United States)

    Satoh, Ken; Motomiya, Masakichi

    2011-08-01

    Tuberculosis control law was enacted in 1951 and has been the basis for the management of TB cases over the long post-war period. This law has legalized the use of public founds for the treatment of TB patients for the first time and has provided the authentic basis for mandatory hospitalization, routine health examination, vaccination, notification and registration of TB cases. However, this law was abrogated in 2001 and was joined to the comprehensive infectious diseases control law, in order to facilitate a prophylactic measure against TB infection and to protect human rights of TB patients. Concurrently the medical care system and the formalities connected to hospitalization treatment of TB patients were reviewed. The purpose of the present overview is to explain how TB cases are managed under the newly-enacted law.

  20. OI Issues: Hearing Loss

    Science.gov (United States)

    Hearing Loss and Osteogenesis Imperfecta Introduction Significant hearing loss has been reported in approximately 50% of people with osteogenesis imperfecta (OI) beginning any time from childhood into middle age. While not everyone ...