Date: 12/26/18 Source: KATV Author: Associated Press WASHINGTON (AP) — Medicare will require hospitals to post their standard prices online and make […]
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Τετάρτη 2 Ιανουαρίου 2019
Hospitals required to post all prices online beginning January 1
Woman, 68, who received a lung transplant develops her donor's peanut allergy
A 68-year-old woman in San Diego, California, had a severe allergic reaction to a peanut butter and jam sandwich after she developed the nut allergy of the man whose lung was transplanted into her. (Source: the Mail online | Health)
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Postoperative Pain and Wound Healing After Coblation-Assisted Barbed Anterior Pharyngoplasty (CABAPh): An Observational Study
Abstract
Despite the numerous progresses in the palatal surgery, one of the critical aspect of snoring and OSA surgery is the postoperative pain. Over the last decades several surgical palatal procedures have been proposed. Our aim was to evaluate the tolerability of the coblation-assisted barbed anterior pharyngoplasty (CABAPh) in terms of postoperative pain and wound healing, compared with bipolar assisted barbed anterior pharyngoplasty (BAPh). An observational study on 20 patients with simple snoring was conducted. The outcomes measured to assessing pain were a 10 cm visual analog scale (VAS) and the dose of paracetamol + codeine administrated postoperatively. The wound healing was evaluated using a 3-point scale. The other parameters indicative of both pain and surgical repair were food intake and weight loss postoperatively. The mean overall pain (VAS scale) was significantly less in the CABAPh group (M 3.7; CI 3.34–4.06) compared with the BAPh (M 4.73; CI 4.28–5.19) with a P = 0.003. The mean wound healing after 4 weeks was significantly less in CABAPh group (M 2.7; CI 3.12–2.28) compared with the BAPh (M 2.1; CI 2.45–1.75) with a P = 0.02. There were no statistically significant difference with regard to food intake (P = 0.09) and weight loss (P = 0.94). The CABAPh was able to achieve a greater pain reduction and a faster wound healing compared with bipolar forceps.
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Phase-locking of irregular guinea pig primary vestibular afferents to high frequency ( > 250 Hz) sound and vibration.
Phase-locking of irregular guinea pig primary vestibular afferents to high frequency (>250 Hz) sound and vibration. Hear Res. 2018 Dec 24;373:59-70 Authors: Curthoys IS, Burgess AM, Goonetilleke SC Abstract Phase-locking of cochlear neurons to sound has been of great value in understanding cochlear transduction. Phase-locking has also been reported previously in irregular vestibular afferents, but detailed information about it is sparse. We measured the phase-locking of guinea pig irregular otolithic neurons and canal neurons (after a semicircular canal dehiscence allowed them to respond) to both sound and vibration stimuli. Irregular vestibular afferents from both otoliths and canals have a range of preferred phase angles which systematically increase as frequenc...
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Postoperative Pain and Wound Healing After Coblation-Assisted Barbed Anterior Pharyngoplasty (CABAPh): An Observational Study
Abstract
Despite the numerous progresses in the palatal surgery, one of the critical aspect of snoring and OSA surgery is the postoperative pain. Over the last decades several surgical palatal procedures have been proposed. Our aim was to evaluate the tolerability of the coblation-assisted barbed anterior pharyngoplasty (CABAPh) in terms of postoperative pain and wound healing, compared with bipolar assisted barbed anterior pharyngoplasty (BAPh). An observational study on 20 patients with simple snoring was conducted. The outcomes measured to assessing pain were a 10 cm visual analog scale (VAS) and the dose of paracetamol + codeine administrated postoperatively. The wound healing was evaluated using a 3-point scale. The other parameters indicative of both pain and surgical repair were food intake and weight loss postoperatively. The mean overall pain (VAS scale) was significantly less in the CABAPh group (M 3.7; CI 3.34–4.06) compared with the BAPh (M 4.73; CI 4.28–5.19) with a P = 0.003. The mean wound healing after 4 weeks was significantly less in CABAPh group (M 2.7; CI 3.12–2.28) compared with the BAPh (M 2.1; CI 2.45–1.75) with a P = 0.02. There were no statistically significant difference with regard to food intake (P = 0.09) and weight loss (P = 0.94). The CABAPh was able to achieve a greater pain reduction and a faster wound healing compared with bipolar forceps.
from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2SERDda
Phase-locking of irregular guinea pig primary vestibular afferents to high frequency ( > 250 Hz) sound and vibration.
Phase-locking of irregular guinea pig primary vestibular afferents to high frequency (>250 Hz) sound and vibration. Hear Res. 2018 Dec 24;373:59-70 Authors: Curthoys IS, Burgess AM, Goonetilleke SC Abstract Phase-locking of cochlear neurons to sound has been of great value in understanding cochlear transduction. Phase-locking has also been reported previously in irregular vestibular afferents, but detailed information about it is sparse. We measured the phase-locking of guinea pig irregular otolithic neurons and canal neurons (after a semicircular canal dehiscence allowed them to respond) to both sound and vibration stimuli. Irregular vestibular afferents from both otoliths and canals have a range of preferred phase angles which systematically increase as frequenc...
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Performance metrics in mastoidectomy training: a systematic review
Abstract
Objective
To investigate validity evidence, and strengths and limitations of performance metrics in mastoidectomy training.
Methods
A systematic review following the PRISMA guidelines. Studies reporting performance metrics in mastoidectomy/temporal bone surgery were included. Data on design, outcomes, and results were extracted by two reviewers. Validity evidence according to Messick's framework and level of evidence were assessed.
Results
The search yielded a total of 1085 studies from the years 1947–2018 and 35 studies were included for full data extraction after abstract and full-text screening. 33 different metrics on mastoidectomy performance were identified and ranked according to the number of reports. Most of the 33 metrics identified had some amount of validity evidence. The metrics with most validity evidence were related to drilling time, volume drilled per time, force applied near vital structures, and volume removed.
Conclusions
This review provides an overview of current metrics of mastoidectomy performance, their validity, strengths and limitations, and identifies the gap in validity evidence of some metrics. Evidence-based metrics can be used for performance assessment in temporal bone surgery and for providing integrated and automated feedback in virtual reality simulation training. The use of such metrics in simulation-based mastoidectomy training can potentially address some of the limitations in current temporal bone skill assessment and ease assessment in repeated practice. However, at present, an automated feedback based on metrics in VR simulation does not have sufficient empirical basis and has not been generally accepted for use in training and certification.
Level of evidence
2a.
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Performance metrics in mastoidectomy training: a systematic review
Abstract
Objective
To investigate validity evidence, and strengths and limitations of performance metrics in mastoidectomy training.
Methods
A systematic review following the PRISMA guidelines. Studies reporting performance metrics in mastoidectomy/temporal bone surgery were included. Data on design, outcomes, and results were extracted by two reviewers. Validity evidence according to Messick's framework and level of evidence were assessed.
Results
The search yielded a total of 1085 studies from the years 1947–2018 and 35 studies were included for full data extraction after abstract and full-text screening. 33 different metrics on mastoidectomy performance were identified and ranked according to the number of reports. Most of the 33 metrics identified had some amount of validity evidence. The metrics with most validity evidence were related to drilling time, volume drilled per time, force applied near vital structures, and volume removed.
Conclusions
This review provides an overview of current metrics of mastoidectomy performance, their validity, strengths and limitations, and identifies the gap in validity evidence of some metrics. Evidence-based metrics can be used for performance assessment in temporal bone surgery and for providing integrated and automated feedback in virtual reality simulation training. The use of such metrics in simulation-based mastoidectomy training can potentially address some of the limitations in current temporal bone skill assessment and ease assessment in repeated practice. However, at present, an automated feedback based on metrics in VR simulation does not have sufficient empirical basis and has not been generally accepted for use in training and certification.
Level of evidence
2a.
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Neurofeedback in Alzheimer's Disease
Condition: Alzheimer Disease Intervention: Behavioral: Neurofeedback Sponsors: Oregon Health and Science University; National Institutes of Health (NIH); National Institute on Deafness and Other Communication Disorders (NIDCD) Not yet recruiting (Source: ClinicalTrials.gov)
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Neurofeedback in Alzheimer's Disease
Condition: Alzheimer Disease Intervention: Behavioral: Neurofeedback Sponsors: Oregon Health and Science University; National Institutes of Health (NIH); National Institute on Deafness and Other Communication Disorders (NIDCD) Not yet recruiting (Source: ClinicalTrials.gov)
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Nasal patency and otorhinolaryngologic-orofacial features in children
ConclusionsNasal patency was lower in children with restless sleep, rhinitis signs and symptoms, hard palate width reduced and with changes in mastication, deglutition and speech functions. It is also emphasized that most of the children presented signs and symptom of allergic rhinitis.ResumoIntroduçãoA obstrução nasal é um sintoma comum na infância relacionado a rinite e hipertrofia das tonsilas faríngeas. Na presença de obstrução nasal, a patência nasal pode estar reduzida e a respiração nasal ser substituída por respiração oral. Alterações orofaciais e otorrinolaringológicas estão relacionadas a esse modo de respiração. A avaliação objetiva das vias aéreas superiores pode ser obtida através da medida da patência nasal.ObjetivoComparar a patência nasal e carac...
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Telling tales: unlocking the potential of AAC technologies.
Authors: Waller A Abstract Augmentative and alternative communication (AAC) has been transformed by the social media revolution made possible by the emergence of mobile technology. The cumbersome dedicated devices of the 1970s have evolved into a burgeoning AAC app industry. However, the limited use and abandonment of AAC technologies remains high. Unlocking the untapped potential of technology requires a paradigm shift in the design of AAC technologies by building systems that minimize the cognitive load placed on users, adapting to their individual physical and language needs. Telling Tales shares insights and stories of how the combination of user-centred design, interdisciplinary research and the application of intelligent computing is providing a vision of future generations o...
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Nasal patency and otorhinolaryngologic-orofacial features in children
ConclusionsNasal patency was lower in children with restless sleep, rhinitis signs and symptoms, hard palate width reduced and with changes in mastication, deglutition and speech functions. It is also emphasized that most of the children presented signs and symptom of allergic rhinitis.ResumoIntroduçãoA obstrução nasal é um sintoma comum na infância relacionado a rinite e hipertrofia das tonsilas faríngeas. Na presença de obstrução nasal, a patência nasal pode estar reduzida e a respiração nasal ser substituída por respiração oral. Alterações orofaciais e otorrinolaringológicas estão relacionadas a esse modo de respiração. A avaliação objetiva das vias aéreas superiores pode ser obtida através da medida da patência nasal.ObjetivoComparar a patência nasal e carac...
MedWorm Message: Have you tried our new medical search engine? More powerful than before. Log on with your social media account. 100% free.
from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader http://bit.ly/2RtSGiV
Telling tales: unlocking the potential of AAC technologies.
Authors: Waller A Abstract Augmentative and alternative communication (AAC) has been transformed by the social media revolution made possible by the emergence of mobile technology. The cumbersome dedicated devices of the 1970s have evolved into a burgeoning AAC app industry. However, the limited use and abandonment of AAC technologies remains high. Unlocking the untapped potential of technology requires a paradigm shift in the design of AAC technologies by building systems that minimize the cognitive load placed on users, adapting to their individual physical and language needs. Telling Tales shares insights and stories of how the combination of user-centred design, interdisciplinary research and the application of intelligent computing is providing a vision of future generations o...
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Recognition of Weld Penetration During K-TIG Welding Based on Acoustic and Visual Sensing
Abstract
In the field of welding process control, on-line monitoring of welding quality based on multi-sensor information fusion has attracted more attention. In order to recognize the penetration state of the Keyhole mode Tungsten Inert Gas welded joint in real time, an acoustic and visual sensing system was established in this paper. The acoustic and visual features that characterize the penetration state of the welded joints in 34 dimensions were extracted and the variation of the acoustic signal and the keyhole geometry were analyzed. In addition, the weighted scoring criterion based on the Fisher distance and the maximum information coefficient (Fisher–MIC) and Support Vector Machine (SVM) model based on cross-validation (CV) are designed as the feature selection method. The feature selection method can evaluate the penetration recognition accuracy of different feature subsets. The experiment results show that the maximum recognition accuracy was 97.1655%, which was performed by the 10-dimension optimal feature subset and the CV–SVM model with particle swarm optimization (PSO–CV–SVM). It is proved that the selected acoustic and visual features can well characterize the penetration state of the welded joints, and the feature selection method and PSO–CV–SVM model have superior performance.
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Recognition of Weld Penetration During K-TIG Welding Based on Acoustic and Visual Sensing
Abstract
In the field of welding process control, on-line monitoring of welding quality based on multi-sensor information fusion has attracted more attention. In order to recognize the penetration state of the Keyhole mode Tungsten Inert Gas welded joint in real time, an acoustic and visual sensing system was established in this paper. The acoustic and visual features that characterize the penetration state of the welded joints in 34 dimensions were extracted and the variation of the acoustic signal and the keyhole geometry were analyzed. In addition, the weighted scoring criterion based on the Fisher distance and the maximum information coefficient (Fisher–MIC) and Support Vector Machine (SVM) model based on cross-validation (CV) are designed as the feature selection method. The feature selection method can evaluate the penetration recognition accuracy of different feature subsets. The experiment results show that the maximum recognition accuracy was 97.1655%, which was performed by the 10-dimension optimal feature subset and the CV–SVM model with particle swarm optimization (PSO–CV–SVM). It is proved that the selected acoustic and visual features can well characterize the penetration state of the welded joints, and the feature selection method and PSO–CV–SVM model have superior performance.
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The protective effects of whortleberry extract against cisplatin-induced ototoxicity in rats
ConclusionThe results obtained in this study show that whortleberry extract has a protective effect against cisplatin-induced ototoxicity.ResumoIntroduçãoA cisplatina é um dos principais agentes quimioterápicos utilizados para o tratamento de muitos tipos de câncer. No entanto, a ototoxicidade, um dos efeitos colaterais mais graves da cisplatina, restringe seu uso.ObjetivoNosso objetivo foi investigar os efeitos protetores do extrato de uva-do-monte contra a ototoxicidade induzida por cisplatina, avaliar o dano auditivo e histopatológico coclear e medir os parâmetros bioquímicos afetados pelo estresse oxidativo.MétodoForam incluídos no estudo 48 ratos machos após teste de emissão otoacústica evocada por produto de distorção para confirmar que seus níveis de audição eram n...
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Behavioral Disorders in Children with Hearing Loss
No abstract available (Source: The Hearing Journal)
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Highlights in 2018 Pediatric Audiology Research
No abstract available (Source: The Hearing Journal)
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The protective effects of whortleberry extract against cisplatin-induced ototoxicity in rats
ConclusionThe results obtained in this study show that whortleberry extract has a protective effect against cisplatin-induced ototoxicity.ResumoIntroduçãoA cisplatina é um dos principais agentes quimioterápicos utilizados para o tratamento de muitos tipos de câncer. No entanto, a ototoxicidade, um dos efeitos colaterais mais graves da cisplatina, restringe seu uso.ObjetivoNosso objetivo foi investigar os efeitos protetores do extrato de uva-do-monte contra a ototoxicidade induzida por cisplatina, avaliar o dano auditivo e histopatológico coclear e medir os parâmetros bioquímicos afetados pelo estresse oxidativo.MétodoForam incluídos no estudo 48 ratos machos após teste de emissão otoacústica evocada por produto de distorção para confirmar que seus níveis de audição eram n...
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