Validation of self-reported hearing loss using television volume

2010 ◽  
Vol 125 (1) ◽  
pp. 18-21 ◽  
Author(s):  
B Ranganathan ◽  
P Counter ◽  
I Johnson
Keyword(s):  
Hearing Loss ◽  
Care Setting ◽  
Primary Care Setting ◽  
Pure Tone Audiometry ◽  
Specific Test ◽  
The North ◽  
History Of ◽  
Sensitivity Specificity ◽  
First Time ◽  
Self Administered Questionnaire

AbstractObjective:To assess the diagnostic utility of using television volume as a marker for hearing loss.Study design:Prospective study using a self-administered questionnaire.Setting:ENT and audiology out-patient departments in the north of England.Participants:One hundred and seventeen patients with a history of hearing loss, undergoing pure tone audiometry for the first time.Main outcome measures:sensitivity, specificity, diagnostic accuracy, and positive and negative predictive value of television volume as a marker of hearing loss.Results:The data indicated that if the patient (or their partner or parent) reported viewing television with an increased volume, then there was a 68 per cent chance of the patient having a hearing loss of 25 dB or more. Patients reporting increased television volume had a mean hearing loss of 35 dB. Increased television volume had a sensitivity of 81 per cent and a specificity of 52 per cent as a predictor of hearing loss. Patients who increased their television volume to watch news programmes had an average hearing loss of 41 dB; increased television volume for news programmes had a sensitivity of 75 per cent and a specificity of 71 per cent as a predictor of hearing loss.Conclusions:Television volume is a useful marker of hearing loss in situations where audiometry is unavailable, for instance in a primary care setting. However, it is not a very specific test.

How general practitioners treat migraine patients—evaluation of a headache guideline

Cephalalgia ◽  
2012 ◽  
Vol 32 (12) ◽  
pp. 908-915 ◽  
Author(s):  
R Zielman ◽  
PJL Veenstra ◽  
EW van Zwet ◽  
JSP van den Berg
Keyword(s):  
Primary Care ◽  
General Practitioners ◽  
Pharmacological Treatment ◽  
Care Setting ◽  
Primary Care Setting ◽  
Referral Letter ◽  
Hospital Record ◽  
Specific Medication ◽  
History Of ◽  
First Time

Aim: The aim of the study was to evaluate the pharmacological treatment of migraine patients by general practitioners before referral to a neurologist. First, was the pharmacological treatment in accordance with the Dutch College of General Practitioners headache guideline? Second, which migraine characteristics were associated with receiving migraine-specific medication? Methods: Migraine patients (age ≥18 years) who visited the neurology outpatient clinic for the first time were included. Migraine characteristics and pharmacological status were collected retrospectively for each patient from the general practitioner’s referral letter, hospital record and a headache characteristics questionnaire. Results: A total of 420 migraine patients were included. Only 18.3% of the patients with two or more migraine attacks per month were using prophylactic medication. Furthermore, only 11.7% of patients with symptoms of nausea and/or vomiting were using anti-emetic medication. More than half of patients (51.7%) were using triptans and were likely to have typical migraine symptoms and a long history of migraine. Conclusions: Migraine prophylactic medication and anti-emetics are underutilized in the primary care setting for migraine patients in the Netherlands, when compared to the general practitioners guideline. It is important to enhance the knowledge of general practitioners regarding the diagnosis of migraine, and to increase awareness of the headache guideline.

BALLAD GENRE IN KABARDIAN LITERATURE: GENESIS AND EVOLUTION

Kavkazologiya ◽  
2021 ◽  
pp. 246-259
Author(s):  
L.B. KHAVZHOKOVA ◽  
◽  
R.S. ATLASKIROVA ◽  
Keyword(s):  
Complex Analysis ◽  
Research Papers ◽  
Evolutionary Path ◽  
Scientific Methods ◽  
The North ◽  
Literary Process ◽  
History Of ◽  
National Poetry ◽  
First Time

The article is devoted to the study of the ballad genre in Kabardian literature: the features of its genesis and evolution are considered in the context of the general Adyge literary process. For the first time, the issues of the origin of the genre in national poetry are studied, the entire evolutionary path is traced, from the origins to the present. The specificity of mastering the genre by Kabardian authors is investigated, specific works are analyzed for compliance / non-compliance with its canons. The ballads of Z. Naloev, B. Utizhev, A. Orazaev, Kh. Kazharov, A. Bitsuev are subjected to a comprehensive, complex analysis, their content and structural-compositional features are revealed. The article uses a number of scientific methods, including the main ones - analysis, description, as well as comparative-historical and hermeneutic methods. The results obtained can be helpful in studying the history of the ballad genre in the Adyghe literature, more generally in the North Caucasian literature, as well as in compiling special courses and writing qualification and other types of research papers.

Expelling demons at Nineveh: The visibility of benevolent demons in the palaces of Nineveh

Iraq ◽  
2004 ◽  
Vol 66 ◽  
pp. 83-92
Author(s):  
Tallay Ornan
Keyword(s):  
Ninth Century ◽  
Present Contribution ◽  
North West ◽  
The North ◽  
Recent Scholarship ◽  
History Of Art ◽  
Religious Subject ◽  
History Of ◽  
Historical Themes ◽  
First Time

As has been shown and extensively dealt with in early and more recent scholarship, Neo-Assyrian palatial wall reliefs went through many thematic changes throughout their two hundred and fifty years of existence. One of their conspicuous traits was a gradual abandoning of magical-religious subject matters, represented by protective supernatural beings, in favour of larger and more detailed historical compositions — mostly of a belligerent nature — revealing, for the first time in antiquity, a truer sense of narrative display. As the narrative-historical themes were rightly considered to be an innovative and prominent contribution of Assyrian imagery to the history of art, extensive efforts have been devoted to the study of these compositions within the context of Assyrian palaces.In the present contribution I intend, however, to concentrate on the “losing” side of Assyrian palatial decoration, namely to focus on the visibility of apotropaic fantastic creatures rendered on wall reliefs and to offer some explanation for their gradual expulsion from the pictorial display of the Assyrian palace. Following Porada, in this essay these hybrids are called demons, in accordance with the Greek term daimon. Benevolent demons appear already in early ninth-century Neo-Assyrian wall reliefs, both in temples, as shown by a small number of slabs from the Ninurta Temple at Nimrud, and much more commonly in palaces, in particular within the North-West Palace.

Clinical Asssessment of Sensorineural Hearing Loss among Diabetes Mellitus Patients

2020 ◽  
Vol 28 (2) ◽  
pp. 112-119
Author(s):  
Raveendra P Gadag ◽  
Puneeth S Nayak ◽  
Tejaswini J
Keyword(s):  
Hearing Loss ◽  
Blood Glucose ◽  
Family History ◽  
Hearing Impairment ◽  
Fasting Blood Glucose ◽  
Bone Conduction ◽  
Pure Tone Audiometry ◽  
Chi Square ◽  
History Of ◽  
And Gender

Background: Hearing impairment is known to hamper the quality of life among patients, especially among diabetics due to the association of neuropathy with diabetes. However, the prevalence and degree of the SNHL depends upon different factors, such as age, gender, disease duration of DM, family history and glycemic status of the patients. Therefore, this study aimed to assess the association of SNHL with DM duration and familial DM and gender preponderance among SNHL–DM patients. Methods: Total 140 patients with DM were assessed for hearing impairment using Rinne, Weber and Absolute Bone Conduction Tests along with pure tone audiometry. Patients’ glycaemic status was determined by estimating fasting blood glucose (FBG) and post prandial blood glucose (PPBG) levels. Independent t-test, chi-square, ANOVA and Pearson’s correlation tests along with linear regression model were used to find association and correlation using R software. Results: Out of 140 patients, 60 were suffering from SNHL and majority were suffering from bilateral minimal hearing loss. SNHL was significantly associated with family history, age, duration of DM, FBG and PPBG levels were(Pvalues:1.79E08, 4.41E-06 and 0.02), however, significant correlated with duration of DM, FBS and PPBG level (r value:0.14–0.41).Furthermore, significant SNHL at 500 and 8000Hz was observed in the present study (Pvalue:0.002). Conclusion: A conclusive proof was drawn that family history of DM serve as a valuable variable in assessing the SNHL among DM patients.

scholarly journals Office-Based Case Finding for Chronic Obstructive Pulmonary Disease in Older Adults in Primary Care

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Linda Lee ◽  
Tejal Patel ◽  
Loretta M. Hillier ◽  
James Milligan
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Smoking History ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Previous Diagnosis ◽  
History Of ◽  
Screening Questions

Background. Chronic Obstructive Pulmonary Disease (COPD) is underdiagnosed in primary care.Aim. To explore the utility of proactive identification of COPD in patients 75 years of age and older in a Canadian primary care setting.Methods.Canadian Thoracic Society (CTS) screening questions were administered to patients with a smoking history of 20 pack-years or more; those with a positive screen were referred for postbronchodilator spirometry.Results. A total of 107 patients (21%), of 499 screened, had a 20-pack-year smoking history; 105 patients completed the CTS screening. Forty-four (42%) patients were positive on one or more questions on the screening; significantly more patients with a previous diagnosis of COPD (64%) were positive on the CTS compared to those without a previous diagnosis of COPD (30%). Of those who were not previously diagnosed with COPD (N= 11), four (36%) were newly diagnosed with COPD.Conclusion. A systematic two-stage method of screening for COPD, using CTS screening questions followed by spirometric confirmation, is feasible in the context of a busy primary care setting. More research is needed to assess the value of restricting screening to patients with a smoking history of 20 pack-years and on the sensitivity and specificity of these measures.

Sudden Bilateral Sensorineural Hearing Loss Following Speedballing

2008 ◽  
Vol 19 (06) ◽  
pp. 461-464 ◽  
Author(s):  
Cynthia G. Fowler ◽  
Jennifer L. King
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Otoacoustic Emissions ◽  
Rare Complication ◽  
Pure Tone Audiometry ◽  
Sensorineural Hearing ◽  
Acoustic Reflexes ◽  
History Of ◽  
Bilateral Sensorineural Hearing Loss ◽  
The Right

Background: Hearing loss is an infrequently-reported consequence of recreational drug abuse. Although there are sporadic reports of hearing loss from heroin and cocaine ingested separately, there are no reports of hearing loss resulting from the combination of both drugs ingested simultaneously in the form of speedballing. Purpose: The purpose of this report is to document a case of bilateral sensorineural hearing loss associated with an episode of speedballing. Research Design: Case Report Data Collection And Analysis: The subject of this report was a 40-year-old man with a 20-year history of substance abuse. Data collected included a case history, pure tone audiometry, tympanometry and acoustic reflexes, and transient evoked otoacoustic emissions. Results: The audiologic evaluation indicated a mild to moderate, relatively flat, bilateral sensorineural hearing loss that was worse in the right ear. Conclusions: A bilateral sensorineural hearing loss involving both cochlear and neural pathology may be a rare complication of cocaine, heroin, or the combination of the two drugs.

scholarly journals XXIV.—The History of Malmesbury as a Village Community

Archaeologia ◽  
1887 ◽  
Vol 50 (2) ◽  
pp. 421-438
Author(s):  
G.L. Gomme
Keyword(s):  
Eastern Europe ◽  
Social Group ◽  
Western Europe ◽  
North West ◽  
Village Community ◽  
The North ◽  
History Of ◽  
First Time

In the north-west of Wilts is a district which contains some remarkable reminiscences of the two dominant races who have influenced the history of this country. In tracing out the history of this district, as it has come down to us by the traditions and records of early chronicle writers, we arrive at an important epoch when for the first time is brought into strongly marked prominence the outline of the community which had settled there. This community, known to us later under the local name of Malmesbury, is one of the most perfect types of the primitive village which has survived in England, and to the elucidation of its chief characteristics it is proposed to devote some little attention. Keeping before us the outline made known from early records we shall see how this is gradually filled in from facts, which though gleaned from later and modern records, are nevertheless stamped as belonging to the earliest stages of history. And when this local mosaic is completely pieced in we shall be able, I think, to satisfy ourselves that what has so persistently clung to locality in later days originally belonged to a social group, types of which are still to be found in Eastern Europe and India, where society is in a state of arrested progress and has not advanced along the lines which mark its development in Western Europe.

scholarly journals Validation of SHOEBOX QuickTest Hearing Loss Screening Tool in Individuals With Cognitive Impairment

2021 ◽  
Vol 3 ◽  
Author(s):  
Andrew Frank ◽  
Serena Goldlist ◽  
Amy E. Mark Fraser ◽  
Matthew Bromwich
Keyword(s):  
Hearing Loss ◽  
Cognitive Impairment ◽  
Screening Tool ◽  
Hearing Threshold ◽  
Pure Tone Audiometry ◽  
Cross Sectional ◽  
Hearing Ability ◽  
Memory Clinics ◽  
Hearing Test ◽  
Sensitivity Specificity

Objectives: The aim of this study was to validate a novel iPad-based rapid hearing loss screening tool (SHOEBOX QuickTest) in individuals with cognitive impairment.Design: Cross-sectional validation study.Setting: Bruyère Research Institute, Ottawa, Canada.Subjects and Methods: Twenty-five individuals with mild cognitive impairment (MCI) and mild dementia from the Bruyère Memory Program were included in this study. The study consisted of two components: (1) SHOEBOX QuickTest hearing screener and (2) a conventional hearing test (pure tone audiometry).Measurements: Hearing was assessed at 1,000, 2,000, and 4,000 Hz separately for each ear. The agreement between hearing ability groupings (good vs. reduced) from conventional hearing test and SHOEBOX QuickTest was determined. Specifically, accuracy, sensitivity, specificity, as well as alignment between conventional thresholds and hearing threshold ranges.Results: An overall accuracy of 84% was observed for SHOEBOX QuickTest, and a sensitivity and specificity of 100 and 66.7%, respectively. 72% ([95% CI], 60.0–84.1%) of conventional audiometry thresholds were within the pre-established 10 dB SHOEBOX QuickTest.Conclusion: SHOEBOX QuickTest is a valid hearing loss screening tool for individuals with cognitive impairment. Implementing this iPad-based screening tool in memory clinics could not only aid in the timely diagnosis of hearing loss, but also assist physicians in providing a better assessment of cognitive impairment by ruling out hearing loss as a confounding variable.

scholarly journals Depositional History of Paleocene Sediments in the Offshore Canterbury Basin, New Zealand

2021 ◽  
Author(s):  
◽  
Sanjay Paul Samuel
Keyword(s):  
Seismic Data ◽  
The South ◽  
Depositional History ◽  
Reservoir Rocks ◽  
The North ◽  
Late Paleocene ◽  
Shelf Slope ◽  
History Of ◽  
Well Correlation ◽  
First Time

<p>The Paleocene interval within the Canterbury Basin has been relatively understudied with respect to the Neogene and Cretaceous intervals. Within the Paleocene interval is the Tartan Formation and the Charteris Bay Sandstone, which are potential source and reservoir rocks respectively. These two formations have not been previously mapped in the offshore Canterbury Basin and their limits have not been defined. This study utilises a database of nearly 12,000km of 2D seismic data together with data from four open–file wells and sidewall core samples from three wells and newly availiable biostratigraphic information to better constrain the chronostratigraphical interpretation of seismic data. Seismic mapping together with corroboration from well correlation and core lithofacies analysis revealed new insights into the development of the offshore Canterbury Basin through the Paleocene. These include the delineation of the lateral extents and thicknesses of the Tartan Formation and Charteris Bay Sandstone and location of the palaeo shelf–slope break and also the development of a new well correlation panel that incorporates the Tartan Formation for the first time.  This study presents four new paleogeographic maps for the offshore Canterbury Basin that significantly improves our understanding of the development of the basin during the Paleocene. These maps show that during the Earliest Paleocene, the mudstones of the Katiki Formation were being deposited in the south of the study area, with the siltier sediments of the Conway Formation being deposited in the north. The coarser grained Charteris Bay Sandstone was deposited from Early to possibly Middle Paleocene in the northeast. The mudstones of the Moeraki Formation were being deposited in the south at this time. From Middle to Late Paleocene, the mudstones of the Moeraki Formation were deposited in the south and these mudstones onlapped against the Charteris Bay Sandstone which remained as a high in the north. The Tartan Formation was deposited during the Late Paleocene in the central and southern areas of the offshore Canterbury Basin, during a relative fall in sea–level. Deposition had ceased in the north of the study area or erosion possibly removed Late Paleocene sediments from there. During the Latest Paleocene, the mudstones of the Moeraki Formation were deposited over the Tartan Formation in the central and southern parts of the offshore Canterbury Basin with the northern area undergoing erosion, sediment bypass or both.</p>

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