Ear nose and throat journal pubmed gratis,piercing keloid scar zone,tinnitus related to hearing loss jobs - Step 1

22.10.2013
How to cite this article Olsen US, Lello E, Nagaraj VS, Reimer A, Ibertsson T, Brannstrom J.
OBJECTIVE: The aim of the present study was to examine whether perceived tinnitus severity changes over time, and if so what factors contribute to this change. DESIGN: A modified Swedish version of tinnitus severity questionnaire (MS-TSQ) was used to examine changes in tinnitus severity over a period of time. STUDY SAMPLE: The MS-TSQ questionnaire was completed by 455 subjects visiting an Ear, Nose and Throat (ENT) clinic in Sweden as part of baseline assessment (Sb).
CONCLUSIONS: Results provide valuable framework for understanding the factors that affect tinnitus severity over a period of time. Keywords: duration, hearing loss, modified swedish tinnitus severity questionnaire, psychological treatment, tinnitus severity.
Subjective tinnitus is defined as the perceived sensation of sounds by individuals in the absence of any external physical stimulus1. Various factors can trigger the severity of tinnitus such as emotional stress, psychological factors and other physical or mental illnesses. Many theories and models have been proposed to explain the etiology of tinnitus in individuals with hearing loss and in normal hearing6-8. Previous research has shown that psychoacoustic measurements of tinnitus do not always correlate with how tinnitus affects a person17. There are few studies on how tinnitus severity changes over time and it has been observed that many subjects report to health clinics with questions about the course of tinnitus severity. The subjects sample consisted of a consecutive series of 455 adult subjects who were self-referred to an ENT clinic in Lund, Sweden. The Modified Swedish version of Tinnitus Severity Questionnaire (MS-TSQ) developed by Axelsson and Schenkmanis24 (see Appendix 1 for English version of the questionnaire) was used in the present study.
Pearson's correlation coefficient (rho) was used to examine associations between age, improvement, and PTA's. A one-way ANOVA test was administered to assess significant differences, if any, in age, PTAs (low and high) and improvement in the MS-TSQ scores between the three subject groups. Results indicated that subjects with NH scored the least and subjects with USNHL scored the highest on the baseline MS-TSQ assessment. Independent-Sample t-test was used to test if there were significant gender and psychological treatment differences in age, PTAs, MS-TSQ baseline, follow-up and difference score.
The purpose of this study was to explore the association between self-reported tinnitus severity and duration between baseline and follow-up assessment, degree of hearing loss, subject groups, age, gender and psychological treatment. The present study assessed tinnitus severity performance obtained through questionnaires and calculated baseline scores (Sb), follow-up scores (Sf) and difference scores (Sd). The results of the preset study are in agreement with some of the earlier studies, which conclude that the severity of the tinnitus decreases over time. Results related to hearing thresholds and tinnitus scores indicated a significant difference in PTAlow between USNHL and NIHL in the right ear. Various studies have been carried out to investigate the effect of psychological treatment on the severity of tinnitus20,21. The present study investigated whether perceived tinnitus severity changes over time, and if so what factors contribute to this change. Paper submitted to the ITJ-SGP (Publishing Management System) on June 10, 2014; and accepted on September 22, 2014.
An ENT surgeon of international repute, Dr Meenesh Juvekar completed his MS (Master of Surgery) in ENT from the renowned LMT Medical College, Mumbai in January 1999. Currently Dr Meenesh Juvekar is Consultant ENT Surgeon at Bombay Hospital, Mumbai and at Juvekar Nursing Home, Mumbai. Dr Juvekar is especially popular amongst his students right from the days of his lectureship for his ability to make the subject so simple and easy-to-learn. He has been invited many times on All India Radio (AIR) to educate the society on noise pollution, deafness and common problems in ear-nose-throat (ENT). Dr Meenesh has even authored a book titled ‘Short Notes In ENT’ which was released by Padmabhushan Dr.
Comparative Study Of Endotracheal Intubation & Tracheostomy In Emergencies: A review of 70 cases by Dr.
Oral Submucous Fibrosis: Aetio-Pathogenesis and Treatment Modalities in the Indian Practitioner Dr.
While it is very difficult to distinguish between bacterial and viral sinus infections, many primary care physicians choose to treat acute sinusitis with antibiotics. In the study, primary care patients were divided into four treatment groups: oral amoxicillin and budesonide nasal, placebo antibiotic and the nasal steroid, oral antibiotic and placebo nasal steroid, or placebo antibiotic and placebo nasal spray. At CornerStone Ear, Nose & Throat, we suggest that the initial treatment should target the symptoms and include antipyrectics and analgesics, along with a short course of topical or systemic decongestants (unless contraindicated).
Since 1994, CornerStone Ear, Nose & Throat has helped patients enjoy every breath, sleep better every night, hear every word, and live every moment. We offer CareCredit™, a healthcare credit card specifically designed to pay for treatments and procedures not covered by insurance. Prior to joining the practice, she worked as a surgical nurse for the Oral Surgery Group in New Brunswick, NJ, was a certified New Born ICU nurse at Newark Beth Israel in Newark, worked as a surgical nurse for Alfred E Greenwald, plastic surgeon, in New Brunswick, and managed her husband's dental practice. Prior to joining our practice, she was an experienced medical biller at TSI Medical Billing In Union, NJ. Bei 61 Patienten wurden Wirksamkeit und Vertraglichkeit des neuen oralen Cephalosporins, Cefaclor, in der Behandlung verschiedener mittlerer bis schwerer HNO-Infektionen gepruft, bei denen eine Spontanremission ohne antibakterielle Therapie nicht zu erwarten war. The efficacy and tolerance of the new oral cephalosporin cefaclor was tested in 61 patients treated for a variety of moderate to severe ENT infections which were not expected to undergo a spontaneous remission without antibacterial therapy.
JavaScript is currently disabled, this site works much better if you enable JavaScript in your browser. Factors affecting severity of tinnitus - a follow-up study of tinnitus subjects at an Ear Nose Throat clinic in Sweden. The same questionnaire was completed during follow-up assessment (Sf) by 174 of these subjects to examine changes in tinnitus severity, if any. The sounds associated with tinnitus have been described as ringing, hissing, humming, whistling, etc2. It has been shown that many factors might affect the severity of tinnitus such as hearing loss, depression, anxiety and insomnia4. A variety of assessment techniques have been designed that reports subjects' tinnitus severity through questionnaires and interviews18,19. These techniques range from providing psychological treatments20,21 to wearing tinnitus maskers6,22 for subjects with tinnitus. For the baseline assessment, subjects were selected from a consecutive sample of 455 adult subjects that visited the clinic between the years 2000 and 2008. The questionnaire covers topics such as quality of life, concentration and effect on sleep quality. Descriptive data including mean, standard deviation (SD) and significance levels (p) are presented in Table 3.
There was a significant difference in PTAhigh for right and left ears between genders, indicating lower hearing thresholds for females than males. Previous studies have indicated that tinnitus patients experience increased tolerance over time20,28,29. Previous studies have reported no significant differences between subjects with high degree tinnitus and those with mild or moderate annoyance in terms of age, gender or follow-up duration30. Furthermore, it has been shown that tinnitus annoyance may increase with increasing hearing loss. In the present study, we asked our subjects if they had received treatment from a psychologist. A modified Swedish version of the tinnitus severity questionnaire was administered to assess changes of tinnitus severity. He has to his credit, numerous academic achievements some of which include the first place in DNB Examinations of National Board, New Delhi held in May 1999 – he was awarded the Kameshwaran Gold medal for standing first in India.
Not to mention that all this expertise comes from his hard work and the experience that he has gained during his tenure as an ENT surgeon so far. To help determine the effectiveness of antibiotics, a recent study published in The Journal of the American Medical Association utilized amoxicillin and topical budesonide in treating acute, nonrecurrent, maxillary sinusitis.


The results of the study found that neither the antibiotic nor topical steroid alone, or in combination, were effective as a treatment for acute sinusitis in the primary care setting. McClelland is a Board Certified Otolaryngologist (ENT), as well as the Administrative and Founding Partner of CornerStone Ear, Nose & Throat, PA. As otolaryngologists (ENTs), our physicians specialize in the medical and surgical treatment of ear, nose and throat disorders, as well as disorders related to the face and neck. With ear, nose and throat problems, you need an otolaryngologist who is experienced, understanding and supportive. Li personally evaluates and treats adults and children with problems of the ear, nose, throat and related areas of the head and neck.
Michler graduated with a Masters degree in Speech-Language Pathology and Audiology from University of Maryland in 2003. Her special interests include astronomy, art, music, ballroom dance, reading and the NY Times Crossword Puzzles.
She is usually the first face you will see and the first voice you will hear when you visit or call our practice. After graduation from Dickinson High school in Jersey City, she attended New Jersey City University where she majored in Liberal Arts. Levels of penicillin in the blood, serum, and tonsillar tissue after the intramuscular administration of procain penicillin G.
Tissue concentrations of ampicillin in human tonsils after oral administration of bacampicillin. The difference in scores obtained from the two assessments was calculated and was termed as difference scores (Sd). A previous study by Stouffer et al.5 analyzed the factors responsible for the reduction or enhancement of tinnitus severity on 528 subjects with tinnitus. Most neurophysiologic evidence for tinnitus points to changes in the auditory system in individuals having hearing loss following noise exposure9,10 and over-representation in the cortical tonotopic organization at frequencies having normal hearing thresholds11. These assessment techniques quantify the impact of tinnitus on subjects' everyday life based on baseline and follow-up assessment scores.
Forti et al.23 investigated the effect of tinnitus retraining therapy on 45 subjects having idiopathic tinnitus for at least 6 months.
A modified Swedish version of the Tinnitus Severity Questionnaire (MS-TSQ) developed by Axelsson and Schenkmanis24 was used to measure the baseline and follow-up scores for assessment of tinnitus severity in the present study. During this initial visit a medical and audiological examination was performed on all subjects to identify any underlying ear diseases. The MS-TSQ which was used in this study for both baseline and follow up assessment also contains 10 items. A one-way analysis of variance (ANOVA) was used to examine any significant differences between the groups with different diagnoses regarding age, PTAs, Sb, Sf, and Sd scores. No significant differences were observed among the three groups in the follow-up MS-TSQ score. The effect of psychological intervention on the reduction of tinnitus severity has been shown to be positive. It has been shown that females seem to be at a greater risk for reporting significant tinnitus than males28. In terms of gender differences, it was found that females were less annoyed by tinnitus than males30. Changes in spontaneous neural activity in the dorsal cochlear nucleus following exposure to intense sound: relation to threshold shift. Elevated fusiform cell activity in the dorsal cochlear nucleus of chinchillas with psychophysical evidence of tinnitus. Changes in spontaneous neural activity immediately after an acoustic trauma: implications for neural correlates of tinnitus. The relationship between tinnitus pitch and the edge frequency of the audiogram in individuals with hearing impairment and tonal tinnitus. Prevalence and 5-year incidence of tinnitus among older adults: the epidemiology of hearing loss study.
When tinnitus loudness and annoyance are discrepant: audiological characteristics and psychological profile. He also secured the third place in MS (ENT) Examination of Bombay University in January 1999. Additionally, Dr Juvekar became the President – Association Of Otolaryngologists – Mumbai at a very young age. He has conducted numerous teaching programs and clinical courses not only for undergraduate and postgraduate students but also for residents and nursing staff. However, if symptoms do not improve after two weeks, or if the patient develops pulmonary symptoms, then a prescription for an antibiotic is appropriate.
CornerStone Ear, Nose & Throat is proud to offer thorough, technologically advanced diagnosis and treatment for the full range of ENT conditions. She started her career in central New Jersey before moving to the Washington, DC area in 2006.
Die Dosierung betrug dreimal taglich 500 mg Cefaclor und die Dauer der Behandlung zwischen vier und 43 Tagen mit einem Durchschnitt von 14 Tagen. The dosage consisted of 500 mg cefaclor three times daily, and the treatment lasted between 4 and 43 days (average 14 days). Use of a heavy inoculum in the in vitro evaluation of the anti-staphylococcal activity of 19 cephalosporins. Comparative study of cefaclor, a new cephalosporin, and amoxicillin in the treatment of acute otitis media in children. Previous literature has shown that tinnitus can have a significant impact on the quality of life in terms of altered psychosocial functions.
Studies on the effect of noise exposure and tinnitus12 have shown that exposure to occupational noise gave increased odds for tinnitus in subjects with hearing loss. Axelsson and Ringdahl10 administered a tinnitus questionnaire on a large population of randomly selected adults. Results indicated that the percentage of individuals with tinnitus who reported the disappearance of difficulties in different activities such as concentration, sleep, relaxation, work and social relations improved after the end of therapy. All subjects underwent audiological and medical examinations to identify any abnormality in the ear condition.
In terms of baseline audiometric assessment, two pure tone averages (PTAs) were calculated - one for the low frequencies (PTAlow consisting of 0.5, 1 and 2 kHz) and the other for high (PTAhigh consisting of 3, 4 and 6 kHz) frequencies. The MS-TSQ items are identical to those of the original TSQ, but the number of response alternatives differs. A post-hoc analysis was conducted using Bonferroni correction to know if significant differences existed between groups.
In terms of the improvement in the MS-TSQ scores, the USNHL group obtained significantly lower scores than the NIHL group. The method of obtaining the responses through questionnaires sent out by mail has generally been shown to obtain a low response rate.
A study by Nondahl et al.28 assessed tinnitus severity of subjects with five years in between. The results of the present study observed that females had a higher Sb and Sd scores than males. It is possible that the subjects may only have had a conversation or may have had further follow-up sessions with a psychologist, but those subjects who answered 'yes' in the questionnaire did receive psychological intervention. Also, psychological intervention had an influence on the improvement in tinnitus annoyance in subjects with tinnitus. He attended and assisted various surgeries during that period and also performed cadaveric temporal bone dissection under the guidance of Prof Hildmann, Bochum. An ENT referral is indicated if the symptoms are not resolved within three to four weeks of treatment, if the patient requires chronic use of decongestants, or if the patient has more than three episodes of sinusitis a year. Our staff works together as a team to be sure we are responsive to your needs and keep you informed about your health issues. She has worked in a variety of settings, including private hearing clinics as well as hearing aid centers, and has been at a busy ENT office for the last five years. In 35 cases, some of whom had already been treated unsuccessfully with another antibiotic, the results were very good.


In vitro susceptibility ofHaemophilus influenzae to sulfamethoxazole-trimethoprim and cefaclor, cephalexin, and cephradine. Comparison of in vitro antibacterial activity of three oral cephalosporins: Cefaclor, cephalexin, and cephradine. Comparative in vitro activities of oral cephalosporins and competitive antibiotics against recent clinical isolates.
In such cases, the subjects' response to tinnitus can produce annoyance, mood changes, fear, anxiety and depression - all of which are associated with tinnitus severity3.
They also concluded that tinnitus severity increased as a function of number of years since onset. These subjects were mainly exposed to leisure-time noise and had frequent tinnitus but their thresholds were within normal limits. Studies have shown that tinnitus affects a person's well being and can lead to a range of associated problems. Audiological examination consisted of pure tone audiometry supplemented with Auditory Brainstem Response (ABR) and Magnetic Resonance Imaging (MRI) if required.
An addition of a response alternative of 'not sure' was added to the already existing four response alternatives in the original TSQ version. Independent samples t-test was used to analyze gender differences and the effect of psychological treatment. No significant differences were observed in the MS-TSQ difference scores between NH and NIHL; and between NH and USNHL groups.
Two-hundred and thirty-three patients reported significant tinnitus at the first examination, and 105 patients (45%) reported decreased annoyance during the follow-up assessment. Also, no significant hearing threshold differences were observed between the groups who received psychological intervention versus those who did not. The NIHL group showed the lowest Sd score and these scores were significantly lesser compared to USNHL group. Concentrations of erythromycin in serum and tonsil: Comparison of the estolate and ethyl succinate suspensions.
Studies have suggested that being exposed to excessive noise for longer periods of time, could lead to hearing loss and tinnitus, whereas a noise exposure over a short time period, could cause tinnitus as the only symptom. No significant correlation was observed between improvement in tinnitus scores and other variables of age, pure tone audiometry types or duration of follow-up.
A study by Snow27 concluded that a questionnaire can be a good method to assess tinnitus severity. Of these 105 patients, 45 reported no tinnitus, and 60 reported that their tinnitus had shifted from significant to mild. In our study, the NH group had the lowest Sb score among the three groups, but had a higher Sd score than subjects with NIHL. In the present study baseline audiometric measurements indicate females had significantly lower hearing thresholds in the high frequencies. This finding indicates that hearing thresholds may not be the most important influencing factor on how the subjects experienced annoyance by their tinnitus, especially since the group receiving treatment had a significantly higher Sb score.
Further studies investigating the effects of the type and duration of psychological treatment on the tinnitus severity can be explored.
It covers all the common conditions seen in ENT practice and is also up-to-date with common ENT procedures including the latest in ENT such as LASERS.
Since only frequencies from 125 Hz to 8 kHz are measured in conventional pure-tone audiometry, it is possible that a person with normal hearing can have a hearing loss at frequencies higher than 8 kHz accompanied by tinnitus13,14.
In relation to hearing thresholds, it was observed that, in subjects who had tinnitus always, 19% considered themselves as having normal hearing, 55% had some hearing loss, 19% had marked hearing loss and 3% were deaf.
The study had the approval of the Ethical committee in the section of Logopedics, Phoniatrics and Audiology, Lund University.
The subjects' responses were rated based on the global score obtained from the MS-TSQ questionnaire.
We believe that the 'true' response rate in our study is much higher (around 59%) since 267 of the total 455 subjects initially responded to the questionnaires that were sent to them.
For 341 patients who reported mild tinnitus at baseline, 40% reported that their tinnitus had not changed, compared to 55% of the 233 who had moderate tinnitus. The range of the duration between the baseline and follow-up visit varied from 1 year and 11 months to 9 years and 4 months and this factor might have had an effect on the audiometric thresholds during the follow-up phase. He received his Doctorate of Medicine at the Mount Sinai School of Medicine in New York City.
Bei 22 Patienten trug eine lokale medikamentose oder chirurgische Therapie zum guten Resultat bei. It is shown that subjects with tinnitus have steeper maximum high-frequency slopes compared to the subjects without tinnitus.
It has also been shown that cognitive behavioral therapies can improve a person's ability to cope with their tinnitus21. Of the total 455 subjects, 267 subjects (response rate of around 59%) returned back the questionnaire.
After exclusions based on subject category and responses to all items in the questionnaire, our study yielded a final response rate of around 38% (n = 174).
Studies have shown that prevalence of tinnitus increases due to exposure to industrial and recreational noise1,6. Studies have argued that the presence of tinnitus is related to the boundary in the audiogram between the frequency regions of normal or near-normal hearing and a region with a higher degree of hearing loss15,16. A similar study by Andersson et al.20 observed that the severity of tinnitus reduced over time in all of their subjects, when psychological intervention was provided. In the MS-TSQ item 1 is provided with scores ranging from 2-8, item 2 from 1-4 and items 3-10 has scores ranging from 0-4. In the present study, no significant associations were found between Sd scores in the MS-TSQ and age, PTA, or duration. It has been shown that NIHL results in an imbalance of spontaneous and sound-driven cochlear output across different frequencies. These results indicate that both the degree of hearing loss and the shape of an audiogram were factors that could predict the occurrence of tinnitus. It was observed that females had a higher MS-TSQ Sb score and a lower MS-TSQ Sf score than males.
Beeindruckend war das oft festgestellte sehr rasche Ansprechen auf die Cefaclor-Behandlung.
Clinical examinations in 61 patients and a complete range of laboratory tests in 47 patients did not reveal any case of allergic reaction. Subjects with a global score below 20 were classified to have mild tinnitus, while a global score above 30 was classified as severe. Hence, these pathophysiological changes might be responsible for observing lesser improvement in the tinnitus severity scores in subjects with NIHL. Subjects with global scores between 20 and 30 were classified as having moderate tinnitus24. In two patients temporary low grade thrombopenia and thrombocytosis respectively were observed.
The MS-TSQ was administered on all subjects in two stages - a baseline score (Sb) during the initial visit and a follow-up score (Sf) with varying duration of time after the baseline assessment.
Die klinischen Untersuchungen bei 61 Patienten und die vollstandigen labortechnischen Kontrolluntersuchungen bei 47 Patienten lie?en keine allergischen Reaktionen erkennen.
The change in the tinnitus severity was calculated as (Sb - Sf), termed as the difference scores (Sd). The duration between the baseline and follow-up assessment varied from 1 year 11 months to 9 years and 4 months.



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Comments Ear nose and throat journal pubmed gratis

  1. lya
    Doing therapy once again your cheek as turn your vincristine, Nitrogen Mustard and.
  2. BI_CO
    Tinnitus could be totally in discussing your answers to these questions, the.
  3. Kacok_Qarishqa
    Aspirin, anti-inflammatories, antibiotics colleagues employed components of sound-based retraining therapy and following 10 episodes I ought to have more.
  4. FENERBAHCE
    And if the workers are not.
  5. Emrah
    Has difficulty hearing difficulties connected you can in fact turn your tinnitus.