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[PMID]:29342147
[Au] Autor:Gracy D; Fabian A; Basch CH; Scigliano M; MacLean SA; MacKenzie RK; Redlener IE
[Ad] Endereço:Children's Health Fund, New York, NY, United States of America.
[Ti] Título:Missed opportunities: Do states require screening of children for health conditions that interfere with learning?
[So] Source:PLoS One;13(1):e0190254, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:METHODS: Investigators reviewed websites of state departments of health and education, and legislation for all 50 states and DC. For states with mandated screenings and a required form, investigators applied structured analysis to assess HBL inclusion. RESULTS: No state mandated that schools require screening for all 7 HBLs. Less than half (49%) required comprehensive school health examinations and only 12 states plus DC required a specific form. Of these, 12 of the forms required documentation of vision screening, 11 of hearing screening, and 12 of dental screening. Ten forms asked about asthma and 9 required documentation of lead testing. Seven asked about general well-being, emotional problems, or mental health. None addressed hunger. When including states without comprehensive school health examination requirements, the most commonly required HBL screenings were for vision (80% of states; includes DC), hearing (75% of states; includes DC) and dental (24% of state; includes DC). CONCLUSION: The lack of state mandated requirements for regular student health screening represents a missed opportunity to identify children with HBLs. Without state mandates, accompanying comprehensive forms, and protocols, children continue to be at risk of untreated health conditions that can undermine their success in school.
[Mh] Termos MeSH primário: Transtornos de Aprendizagem/diagnóstico
Programas de Rastreamento/legislação & jurisprudência
[Mh] Termos MeSH secundário: Asma/complicações
Asma/diagnóstico
Criança
Feminino
Transtornos da Audição/complicações
Transtornos da Audição/diagnóstico
Seres Humanos
Transtornos de Aprendizagem/etiologia
Masculino
Transtornos Mentais/complicações
Transtornos Mentais/diagnóstico
Odontalgia/complicações
Odontalgia/diagnóstico
Transtornos da Visão/complicações
Transtornos da Visão/diagnóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180118
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190254


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[PMID]:29345890
[Au] Autor:Willink A; Shoen C; Davis K
[Ad] Endereço:Roger C. Lipitz Center for Integrated Health Care at the Johns Hopkins Bloomberg School of Public Health.
[Ti] Título:How Medicare Could Provide Dental, Vision, and Hearing Care for Beneficiaries.
[So] Source:Issue Brief (Commonw Fund);2018:1-12, 2018 Jan 01.
[Is] ISSN:1558-6847
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Issue: The Medicare program specifically excludes coverage of dental, vision, and hearing services. As a result, many beneficiaries do not receive necessary care. Those that do are subject to high out-of-pocket costs. Goal: Examine gaps in access to dental, vision, and hearing services for Medicare beneficiaries and design a voluntary dental, vision, and hearing benefit plan with cost estimates. Methods: Uses the Medicare Current Beneficiary Survey, Cost and Use File, 2012, with population and costs projected to 2016 values. Findings and Conclusions: Among Medicare beneficiaries, 75 percent of people who needed a hearing aid did not have one; 70 percent of people who had trouble eating because of their teeth did not go to the dentist in the past year; and 43 percent of people who had trouble seeing did not have an eye exam in the past year. Lack of access was particularly acute for poor beneficiaries. Because few people have supplemental insurance covering these additional services, among people who received care, three-fourths of their costs of dental and hearing services and 60 percent of their costs of vision services were paid out of pocket. We propose a basic benefit package for dental, vision, and hearing services offered as a premium-financed voluntary insurance option under Medicare. Assuming the benefit package could be offered for $25 per month, we estimate the total coverage costs would be $1.924 billion per year, paid for by premiums. Subsidies to reach low-income beneficiaries would follow the same design as the Part D subsidy.
[Mh] Termos MeSH primário: Transtornos da Audição/economia
Benefícios do Seguro/economia
Cobertura do Seguro/organização & administração
Seguro Odontológico/economia
Medicare/economia
Transtornos da Visão/economia
[Mh] Termos MeSH secundário: Custo Compartilhado de Seguro
Serviços de Saúde Bucal/economia
Transtornos da Audição/terapia
Seres Humanos
Renda
Estados Unidos
Transtornos da Visão/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180130
[Lr] Data última revisão:
180130
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180119
[St] Status:MEDLINE


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[PMID]:28464869
[Au] Autor:Lopes FRL; Monteiro KS; Figueiredo T; Wanderley TDC; Pequeno TA; Lima S; Santos S
[Ad] Endereço:Centre for Public Health Research, Paraiba State University (UEPB), Campina Grande, Brazil.
[Ti] Título:Reliability of information on people with disabilities gathered by community health workers in highly consanguineous communities of Northeastern Brazil.
[So] Source:BMC Health Serv Res;17(1):317, 2017 05 02.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In Brazil, community health workers have gathered monthly information on people with disabilities to maintain the Primary Care Information System since 1998; however, few studies have used this database for scientific or public health policy purposes. OBJECTIVES: This study aimed to evaluate the reliability of information on people with disabilities gathered by community health workers in primary care services. METHOD: This was a cross-sectional population-based study conducted in two highly consanguineous communities, involving a population of 18,458 inhabitants in Northeastern Brazil. To study the prevalence of people with disabilities, estimations performed by health workers were compared with those obtained by researchers who interviewed 15.6% of the total population. To study the agreement of the information, data on 106 people with disabilities completed independently by researchers and health workers were compared to evaluate the degree of agreement for 28 variables analysed. Kappa statistics (κ) were used to calculate the inter-rater agreement. RESULTS: The prevalence of disability estimated by community health workers was 3.01 and 2.00% for city A and B, respectively, while the percentages obtained by researchers were 6.72 and 5.65%, respectively, showing an underestimation of prevalence according to community health workers. The Kappa index value obtained for all data analysed (2,589 items excluding losses) was 0.808 (p < 0.01), indicating an almost perfect consistency of information collected by health workers compared to by researchers. CONCLUSION: Community health workers collected information with a high degree of reliability, although the identification of the prevalence of disabled individuals was potentially impaired due to the work process.
[Mh] Termos MeSH primário: Agentes Comunitários de Saúde
Pessoas com Deficiência/estatística & dados numéricos
[Mh] Termos MeSH secundário: Brasil/epidemiologia
Consanguinidade
Estudos Transversais
Feminino
Transtornos da Audição/epidemiologia
Seres Humanos
Deficiência Intelectual/epidemiologia
Masculino
Prevalência
Reprodutibilidade dos Testes
Transtornos da Visão/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-017-2267-3


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[PMID]:28772297
[Au] Autor:McRackan TR; Velozo CA; Holcomb MA; Camposeo EL; Hatch JL; Meyer TA; Lambert PR; Melvin CL; Dubno JR
[Ad] Endereço:Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston.
[Ti] Título:Use of Adult Patient Focus Groups to Develop the Initial Item Bank for a Cochlear Implant Quality-of-Life Instrument.
[So] Source:JAMA Otolaryngol Head Neck Surg;143(10):975-982, 2017 Oct 01.
[Is] ISSN:2168-619X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: No instrument exists to assess quality of life (QOL) in adult cochlear implant (CI) users that has been developed and validated using accepted scientific standards. Objective: To develop a CI-specific QOL instrument for adults in accordance with the Patient Reported Outcomes Measurement Information System (PROMIS) guidelines. Design, Setting, and Participants: As required in the PROMIS guidelines, patient focus groups participated in creation of the initial item bank. Twenty-three adult CI users were divided into 1 of 3 focus groups stratified by word recognition ability. Three moderator-led focus groups were conducted based on grounded theory on December 3, 2016. Two reviewers independently analyzed focus group recordings and transcripts, with a third reviewer available to resolve discrepancies. All data were reviewed and reported according to the Consolidated Criteria for Reporting Qualitative Research. The setting was a tertiary referral center. Main Outcomes and Measures: Coded focus group data. Results: The 23 focus group participants (10 [43%] female; mean [range] age, 68.1 [46.2-84.2] years) represented a wide range of income levels, education levels, listening modalities, CI device manufacturers, duration of CI use, and age at implantation. Data saturation was determined to be reached before the conclusion of each of the focus groups. After analysis of the transcripts, the central themes identified were communication, emotion, environmental sounds, independence and work function, listening effort, social isolation and ability to socialize, and sound clarity. Cognitive interviews were carried out on 20 adult CI patients who did not participate in the focus groups to ensure item clarity. Based on these results, the initial QOL item bank and prototype were developed. Conclusions and Relevance: Patient focus groups drawn from the target population are the preferred method of identifying content areas and domains for developing the item bank for a CI-specific QOL instrument. Compared with previously used methods, the use of patient-centered item development for a CI-specific QOL instrument will more accurately reflect patient experience and increase our understanding of how CI use affects QOL.
[Mh] Termos MeSH primário: Implantes Cocleares
Transtornos da Audição/psicologia
Medidas de Resultados Relatados pelo Paciente
Qualidade de Vida
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Implante Coclear
Feminino
Grupos Focais
Transtornos da Audição/terapia
Seres Humanos
Masculino
Meia-Idade
Satisfação do Paciente
Reprodutibilidade dos Testes
Percepção da Fala
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE
[do] DOI:10.1001/jamaoto.2017.1182


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[PMID]:28674175
[Au] Autor:Garcia-Pino E; Gessele N; Koch U
[Ad] Endereço:Institute of Biology, Neurophysiology, Freie Universität Berlin, 14195 Berlin, Germany, and.
[Ti] Título:Enhanced Excitatory Connectivity and Disturbed Sound Processing in the Auditory Brainstem of Fragile X Mice.
[So] Source:J Neurosci;37(31):7403-7419, 2017 Aug 02.
[Is] ISSN:1529-2401
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Hypersensitivity to sounds is one of the prevalent symptoms in individuals with Fragile X syndrome (FXS). It manifests behaviorally early during development and is often used as a landmark for treatment efficacy. However, the physiological mechanisms and circuit-level alterations underlying this aberrant behavior remain poorly understood. Using the mouse model of FXS ( ), we demonstrate that functional maturation of auditory brainstem synapses is impaired in FXS. KO mice showed a greatly enhanced excitatory synaptic input strength in neurons of the lateral superior olive (LSO), a prominent auditory brainstem nucleus, which integrates ipsilateral excitation and contralateral inhibition to compute interaural level differences. Conversely, the glycinergic, inhibitory input properties remained unaffected. The enhanced excitation was the result of an increased number of cochlear nucleus fibers converging onto one LSO neuron, without changing individual synapse properties. Concomitantly, immunolabeling of excitatory ending markers revealed an increase in the immunolabeled area, supporting abnormally elevated excitatory input numbers. Intrinsic firing properties were only slightly enhanced. In line with the disturbed development of LSO circuitry, auditory processing was also affected in adult KO mice as shown with single-unit recordings of LSO neurons. These processing deficits manifested as an increase in firing rate, a broadening of the frequency response area, and a shift in the interaural level difference function of LSO neurons. Our results suggest that this aberrant synaptic development of auditory brainstem circuits might be a major underlying cause of the auditory processing deficits in FXS. Fragile X Syndrome (FXS) is the most common inheritable form of intellectual impairment, including autism. A core symptom of FXS is extreme sensitivity to loud sounds. This is one reason why individuals with FXS tend to avoid social interactions, contributing to their isolation. Here, a mouse model of FXS was used to investigate the auditory brainstem where basic sound information is first processed. Loss of the Fragile X mental retardation protein leads to excessive excitatory compared with inhibitory inputs in neurons extracting information about sound levels. Functionally, this elevated excitation results in increased firing rates, and abnormal coding of frequency and binaural sound localization cues. Imbalanced early-stage sound level processing could partially explain the auditory processing deficits in FXS.
[Mh] Termos MeSH primário: Vias Auditivas/fisiopatologia
Percepção Auditiva
Tronco Encefálico/fisiopatologia
Potenciais Evocados Auditivos do Tronco Encefálico
Síndrome do Cromossomo X Frágil/fisiopatologia
Transtornos da Audição/fisiopatologia
[Mh] Termos MeSH secundário: Animais
Córtex Auditivo/fisiopatologia
Potenciais Pós-Sinápticos Excitadores
Feminino
Proteína do X Frágil de Retardo Mental/genética
Masculino
Camundongos
Camundongos Knockout
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Fmr1 protein, mouse); 139135-51-6 (Fragile X Mental Retardation Protein)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170705
[St] Status:MEDLINE
[do] DOI:10.1523/JNEUROSCI.2310-16.2017


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[PMID]:28604316
[Au] Autor:Van der Westhuizen HM; Dramowski A
[Ad] Endereço:Department of Global Health, Division of Health Systems and Public Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town; and TB Proof, Cape Town, South Africa. helene1mari@gmail.com.
[Ti] Título:When students become patients: TB disease among medical undergraduates in Cape Town, South Africa.
[So] Source:S Afr Med J;107(6):475-479, 2017 May 24.
[Is] ISSN:0256-9574
[Cp] País de publicação:South Africa
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Medical students acquire latent tuberculosis (TB) infection at a rate of 23 cases/100 person-years. The frequency and impact of occupational TB disease in this population are unknown. METHODS: A self-administered questionnaire was distributed via email and social media to current medical students and recently graduated doctors (2010 - 2015) at two medical schools in Cape Town. Individuals who had developed TB disease as undergraduate students were eligible to participate. Quantitative and qualitative data collected from the questionnaire and semi-structured interviews were analysed with descriptive statistics and a framework approach to identify emerging themes. RESULTS: Twelve individuals (10 female) reported a diagnosis of TB: pulmonary TB (n=6), pleural TB (n=3), TB lymphadenitis (n=2) and TB spine (n=1); 2/12 (17%) had drug-resistant disease (DR-TB). Mean diagnostic delay post consultation was 8.1 weeks, with only 42% of initial diagnoses being correct. Most consulted private healthcare providers (general practitioners (n=7); pulmonologists (n=4)), and nine underwent invasive procedures (bronchoscopy, pleural fluid aspiration and tissue biopsy). Substantial healthcare costs were incurred (mean ZAR25 000 for drug-sensitive TB, up to  ZAR104 000 for DR-TB). Students struggled to obtain treatment, incurred high transport costs and missed academic time. Students with DR-TB interrupted their studies and experienced severe side-effects (hepatotoxicity, depression and permanent ototoxicity). Most participants cited poor TB infection-control practices at their training hospitals as a major risk factor for occupational TB. CONCLUSIONS: Undergraduate medical students in Cape Town are at high risk of occupationally acquired TB, with an unmet need for comprehensive occupational health services and support.
[Mh] Termos MeSH primário: Doenças Profissionais/epidemiologia
Estudantes de Medicina/estatística & dados numéricos
Tuberculose/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Antituberculosos/efeitos adversos
Broncoscopia
Doença Hepática Induzida por Substâncias e Drogas/etiologia
Diagnóstico Tardio
Depressão/induzido quimicamente
Feminino
Custos de Cuidados de Saúde
Transtornos da Audição/induzido quimicamente
Seres Humanos
Masculino
Doenças Profissionais/diagnóstico
Doenças Profissionais/tratamento farmacológico
Doenças Profissionais/economia
Licença Médica
África do Sul/epidemiologia
Inquéritos e Questionários
Toracentese
Tuberculose/diagnóstico
Tuberculose/tratamento farmacológico
Tuberculose/economia
Tuberculose dos Linfonodos/diagnóstico
Tuberculose dos Linfonodos/tratamento farmacológico
Tuberculose dos Linfonodos/economia
Tuberculose dos Linfonodos/epidemiologia
Tuberculose Resistente a Múltiplos Medicamentos/diagnóstico
Tuberculose Resistente a Múltiplos Medicamentos/tratamento farmacológico
Tuberculose Resistente a Múltiplos Medicamentos/economia
Tuberculose Resistente a Múltiplos Medicamentos/epidemiologia
Tuberculose Pleural/diagnóstico
Tuberculose Pleural/tratamento farmacológico
Tuberculose Pleural/economia
Tuberculose Pleural/epidemiologia
Tuberculose Pulmonar/diagnóstico
Tuberculose Pulmonar/tratamento farmacológico
Tuberculose Pulmonar/economia
Tuberculose Pulmonar/epidemiologia
Tuberculose da Coluna Vertebral/diagnóstico
Tuberculose da Coluna Vertebral/tratamento farmacológico
Tuberculose da Coluna Vertebral/economia
Tuberculose da Coluna Vertebral/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antitubercular Agents)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170613
[St] Status:MEDLINE
[do] DOI:10.7196/SAMJ.2017.v107i6.12260


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[PMID]:28555598
[Au] Autor:Prabhu P; Manandhar S; Nasima Ahmed B
[Ad] Endereço:Department of Audiology, All India Institute of Speech and Hearing, Mysore, India. prashanth.audio@gmail.com.
[Ti] Título:Test-Retest Reliability of the Components of Multi-Frequency Tympanometry.
[So] Source:J Int Adv Otol;13(1):74-76, 2017 Apr.
[Is] ISSN:1308-7649
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Multi-frequency tympanometry and its components are extensively used to identify middle ear disorders. However, there are a limited number of studies that have attempted to determine its test-retest reliability. Thus, the present study attempted to determine the test-retest reliability of the different components of multi-frequency tympanometry. MATERIALS AND METHODS: The resonant frequency (RF), F45, and ΔG were determined three times in 40adults with normal hearing. The results obtained across the three trials were compared to determine the test-retest reliability. RESULTS: F45 and ΔG had excellent intra- and inter-session reliabilities. The reliability of the RF was also good, but it was relatively less compared to that of the other two measures. The study also showed that there was no effect of gender on the reliability measures. CONCLUSION: Thus, F45 and ΔG can be clinically used considering theirhigh reliability, and the RF should be interpreted with caution. However, further studies on a larger group of patientsincluding a clinical group are essential for determining the further applicability of these results.
[Mh] Termos MeSH primário: Testes de Impedância Acústica/métodos
Transtornos da Audição/diagnóstico
Audição
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Masculino
Valor Preditivo dos Testes
Valores de Referência
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170531
[St] Status:MEDLINE
[do] DOI:10.5152/iao.2017.3479


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[PMID]:28541242
[Au] Autor:Niewiadomski P; Bielinska M; Pietkiewicz P; Olszewski J
[Ad] Endereço:Klinka Otolaryngologii, Onkologii Laryngologicznej, Audiologii i Foniatrii Uniwersytetu Medycznego w Lodzi Kierownik kKliniki: prof. dr hab. med. Jurek Olszewski.
[Ti] Título:Diagnostic evaluation of neck torsion test in objective examination in patients with vertigo and/or hearing-impairment.
[So] Source:Otolaryngol Pol;71(3):20-26, 2017 Jun 30.
[Is] ISSN:2300-8423
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The aim of the study was to evaluate the neck torsion test in objective examinations of patients with vertigo and/or hearing loss. MATERIAL AND METHODS: The study was conducted in 100 patients, including 54 women and 46 men aged 17-79 years, who were divided into two groups: I - 50 patients, including 30 women and 20 men aged 17-79 years (mean age 49.92 years) with dizziness and/or hearing impairments, and confirmed asymmetry of intracranial vessels, II - 50 patients - control group, including 24 women and 26 men aged 20-71 years without dizziness and/or hearing disorders and without disturbance in the construction of intracranial vessels. For each patient, the following tests were carried out: subjective, objective otorhinolaryngological, Doppler ultrasound specifying diameter of vertebral and carotid arteries and the velocity of blood flow in these vessels, audiological diagnostics, including the examination of latency of waves I, III, V of the auditory evoked potentials of the brain stem, otoneurological diagnostics with used the neck torsion test. RESULTS: It appears from the analysis of the material presented that the application of the neck torsion test in the Doppler ultrasound results in the fact that the difference in the mean systolic velocity of blood flow in vertebral artery is higher on the side opposite to the turning of the neck, and the increase in the average diastolic blood flow velocity in the vertebral artery on the side of the test being performed and its reduction on the opposite side in the study group, when compared to the control group. The value of the wave I, II, V latency in the ABR test during the neck torsion test is extended more in the study group than in the controls, on the side of the performed test. The performed neck torsion test in the VNG test increases the occurrence of both, square waves and nystagmus (much higher in the study group than in the controls). Conclussion. The application of the neck torsion test in the Doppler ultrasound, ABR and VNG test in patients with vertigo and/or hearing loss means that these tests become functional, thereby increasing their diagnostic value and may be used to monitor the rehabilitation of inner ear disorders.
[Mh] Termos MeSH primário: Transtornos da Audição/diagnóstico por imagem
Transtornos da Audição/fisiopatologia
Pescoço
Vertigem/diagnóstico por imagem
Vertigem/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Limiar Auditivo
Estudos de Casos e Controles
Feminino
Seres Humanos
Masculino
Meia-Idade
Anormalidade Torcional
Ultrassonografia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.5604/01.3001.0010.0129


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[PMID]:28514357
[Au] Autor:Daykhes NA; Grigor'eva EA; Nazarochkin YV; Davydov VM; Kuznetsov AO
[Ad] Endereço:Research and Clinical Centre of Otorhinolaryngology, Russian Federal Medico-Biological Agency, Moscow, Russia, 123192.
[Ti] Título:[The results of universal audiological screening of newborn infants in the Astrakhan region].
[Ti] Título:Rezul'taty universal'nogo audiologicheskogo skrininga novorozhdennykh v Astrakhanskoi oblasti..
[So] Source:Vestn Otorinolaringol;82(2):16-18, 2017.
[Is] ISSN:0042-4668
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:We have evaluated the results of universal audiological screening of 93 352 newborn infants performed in the Astrakhan region of the Russian Federation during the period from 2009 till 2015. The screening coverage amounted to 95%. The prevalence of hearing disorders was estimated at 1:1111 and that of their severe forms at 1:3000. The clinical significance of the examination during its first stage consists of the exclusion of evoked otoacoustic emission. After the completion of the second stage, it is necessary to carry out the regular medical follow up observation of the children suffering from hearing impairment and to undertake the early rehabilitative treatment based on the application of hearing aids and prosthetic devices. Sensorineural hearing loss was found to be the predominant form of hearing disorders in the children during the first year of life (80%). The impairment of hearing was documented in 22.3% of the premature children which suggests the necessity of long-term monitoring of evoked otoacoustic emission in these patients.
[Mh] Termos MeSH primário: Transtornos da Audição
Testes Auditivos/métodos
Assistência de Longa Duração
Triagem Neonatal
[Mh] Termos MeSH secundário: Feminino
Transtornos da Audição/diagnóstico
Transtornos da Audição/epidemiologia
Seres Humanos
Recém-Nascido
Assistência de Longa Duração/métodos
Assistência de Longa Duração/organização & administração
Masculino
Determinação de Necessidades de Cuidados de Saúde
Triagem Neonatal/métodos
Triagem Neonatal/organização & administração
Federação Russa/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170518
[St] Status:MEDLINE
[do] DOI:10.17116/otorino201782216-18


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Fotocópia
[PMID]:28506347
[Au] Autor:Mei SL; Zhang Z; Liu X; Gao TT; Peng XX
[Ad] Endereço:School of Public Health, Jilin University, Changchun 130021, China. 1106693990@wow.com.
[Ti] Título:[Association between autism spectrum disorder and epilepsy in children].
[So] Source:Zhongguo Dang Dai Er Ke Za Zhi;19(5):549-554, 2017 May.
[Is] ISSN:1008-8830
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVE: To examine the association between autism spectrum disorder (ASD) and epilepsy in children. METHODS: A total of 190 children with ASD were enrolled. A self-designed questionnaire, Childhood Autism Rating Scale, and Autism Behavior Checklist were used to determine the association between ASD and epilepsy. RESULTS: Among the 190 children with ASD, 20 (10.5%) had epileptic seizures and 12 (6.3%) were diagnosed with epilepsy. The rates of abnormal physical development and hearing disorders before the age of one year were significantly higher in ASD children with epileptic seizures than in those without epileptic seizures (P<0.05). The ASD children diagnosed with epilepsy and those receiving epilepsy treatment had a significantly increased rate of abnormal physical development before the age of one year (P<0.05). The ASD children with epileptic seizures had poorer sensory responses and behavioral competencies than those without epileptic seizures (P<0.05). Epilepsy treatment have a positive effect on behavioral competencies in ASD children (P<0.05). CONCLUSIONS: There is a significant association between ASD and epilepsy in children. The possibility of the comorbidity between ASD and epilepsy may be assessed according to the status of growth and development before the age of one year, sensory responses and behavioral competencies, and the presence or absence of epileptic seizures.
[Mh] Termos MeSH primário: Transtorno do Espectro Autista/complicações
Epilepsia/complicações
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Deficiências do Desenvolvimento/etiologia
Feminino
Transtornos da Audição/etiologia
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170831
[Lr] Data última revisão:
170831
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170517
[St] Status:MEDLINE



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