Hearing results in the second stage of open mastoidectomy: A comparison of the different techniques

2000 ◽  
Vol 122 (5) ◽  
pp. 748-751
Author(s):  
Fernando CristÔBal ◽  
Rafael Gômez-Ullate ◽  
Isabel CristÔBal ◽  
Alfredo Arcocha ◽  
Ramon ArrÔO
Keyword(s):  
Point Of View ◽  
Open Cavity ◽  
The Other ◽  
Hearing Results ◽  
Hearing Gain ◽  
Second Stage ◽  
Restoration Techniques ◽  
Ossicular Replacement ◽  
The Difference ◽  
Replacement Prosthesis

OBJECTIVE: The goal of this study was to compare the hearing results obtained through different hearing-restoration techniques in open-cavity mastoidectomy. METHODS AND MATERIAL: A total of 116 ears operated on during the second stage of open mastoidectomy were studied. The hearing gain was registered as the difference between preoperative and 1-year postoperative conversational frequency means (500, 1000, 2000 Hz). High-pitched frequencies (4000 Hz) were used equally. Two groups of studies were carried out: in one study the stapes was intact, and in the other the stapes arch was absent. The columella techniques we examined, from a hearing point of view, are total and partial ossicular replacement prostheses, ossiculoplasty, cartilage with or without perichondrium, and the myringostapediopexy. RESULTS AND CONCLUSIONS: In the group of patients in whom the stapes was intact, the differences in high-pitched frequencies found between the different techniques were negligible, but the differences were quite significant in conversational frequencies, where the partial ossicular replacement prosthesis turned out to be the technique with the worst results. In ears in which only the footplate was present, the total ossicular replacement prosthesis gave better results than any other technique, both in conversational frequencies and in 4000-Hz frequency.

Hearing Results in the Second Stage of Open Mastoidectomy: A Comparison of the Different Techniques

2000 ◽  
Vol 122 (5) ◽  
pp. 748-751 ◽  
Author(s):  
Fernando Cristóbal ◽  
Rafael Gómez-Ullate ◽  
Isabel Cristóbal ◽  
Alfredo Arcocha ◽  
Ramón Arroyo
Keyword(s):  
Point Of View ◽  
Open Cavity ◽  
The Other ◽  
Hearing Results ◽  
Hearing Gain ◽  
Second Stage ◽  
Restoration Techniques ◽  
Ossicular Replacement ◽  
The Difference ◽  
Replacement Prosthesis

OBJECTIVE: The goal of this study was to compare the hearing results obtained through different hearing-restoration techniques in open-cavity mastoidectomy. METHODS AND MATERIAL: A total of 116 ears operated on during the second stage of open mastoidectomy were studied. The hearing gain was registered as the difference between preoperative and 1-year postoperative conversational frequency means (500, 1000, 2000 Hz). High-pitched frequencies (4000 Hz) were used equally. Two groups of studies were carried out: in one study the stapes was intact, and in the other the stapes arch was absent. The columella techniques we examined, from a hearing point of view, are total and partial ossicular replacement prostheses, ossiculoplasty, cartilage with or without perichondrium, and the myringostapediopexy. RESULTS AND CONCLUSIONS: In the group of patients in whom the stapes was intact, the differences in high-pitched frequencies found between the different techniques were negligible, but the differences were quite significant in conversational frequencies, where the partial ossicular replacement prosthesis turned out to be the technique with the worst results. In ears in which only the footplate was present, the total ossicular replacement prosthesis gave better results than any other technique, both in conversational frequencies and in 4000-Hz frequency.

scholarly journals VII.—On the Geological History of the Cornish Serpentinous Rocks

1886 ◽  
Vol 3 (8) ◽  
pp. 359-367
Author(s):  
J. H. Collins
Keyword(s):  
East Coast ◽  
Point Of View ◽  
Open Cavity ◽  
The Other ◽  
Geological History ◽  
History Of ◽  
The One ◽  
Great Mass

My argument that at Porthalla there is a “passage” from hornblende-schist to serpentine; or rather that some beds of a common series have been changed into serpentine, others into hornblende-schist, and others again into a substance of intermediate character, is, I think, much strengthened by the fact that many such “apparent passages” are admitted to exist by all those who have examined the Lizard Coast with any degree of detail. De la Beche's description of that seen near the Lizard Town is as follows, and it would apply equally well to the others. “The hornblende slate,” he says, “supports the great mass of the Lizard serpentine with an apparent passage of the one into the other in many places—an apparent passage somewhat embarrassing,” that is, from his point of view; from mine it is perfectly natural. He goes on to say: “Whatever the cause of this apparent passage may have been, it is very readily seen at Mullion Cove, at Pradanack Point, at the coast west of Lizard Town, and at several places on the east coast between Landewednack and Kennick Cove, more especially under the Balk … and at the remarkable cavern and open cavity named the Frying-Pan, near Cadgwith.” At Kynance some of the laminse of serpentine are not more than one-tenth of an inch in thickness for considerable distances.

Autologous total ossicular replacement prosthesis

2014 ◽  
Vol 128 (12) ◽  
pp. 1050-1055 ◽  
Author(s):  
M Malhotra ◽  
S Varshney ◽  
R Malhotra
Keyword(s):  
Pure Tone ◽  
Chronic Otitis Media ◽  
Canal Wall ◽  
Hearing Improvement ◽  
Hearing Results ◽  
Replacement Technique ◽  
Ossicular Replacement ◽  
Canal Wall Down ◽  
Replacement Prosthesis ◽  
Air Conduction

AbstractObjective:To develop an autologous total ossicular replacement prosthesis with sustainable hearing results.Methods:The ears of 40 patients, who had chronic otitis media with absent suprastructure of the stapes and long process of the incus, were repaired using the autologous total ossicular replacement technique. Post-operative results were evaluated after 6 and 12 months on the basis of average pure tone air conduction and average air–bone gap measured at 0.5, 1, 2 and 3 kHz.Results:Successful rehabilitation of pure tone average to 30 dB or less was achieved in 75 per cent of patients, and air–bone gap to 20 dB or less was attained in 82.5 per cent of patients. Overall mean improvement in air–bone gap was 23.9 ± 8.5 dB (p < 0.001). Mean improvements in air–bone gap were significantly greater (p < 0.05) in the tympanoplasty only group (27.3 ± 6.6 dB) and the intact canal wall tympanoplasty group (25.9 ± 6.3 dB) than in the canal wall down tympanoplasty group (16.3 ± 8.9 dB).Conclusion:This paper describes an autologous total ossicular replacement prosthesis that is biocompatible, stable, magnetic resonance imaging compatible and, above all, results in sustainable hearing improvement.

Increased Complexity in Programs

2017 ◽  
pp. 107-117
Keyword(s):  
Government Agency ◽  
Point Of View ◽  
The Other ◽  
Support Programs ◽  
The Difference ◽  
The Government

The chapter discusses the issue of complexity in R&D support programs. The reasons for the complexity, the difference in the point of view of the government agency and the other players. With time and better understanding of the different needs of different sectors, different players – the programs tend to grow more complex. Due to different reasons such as: sectorial versus technological pressures, trying to do several things with one program, the need for different tools, the lack of other means trap – not all needs must be answered by a single program.

scholarly journals The Dreamer and Their Authenticity in the Zhuangzi

Religions ◽  
2019 ◽  
Vol 10 (2) ◽  
pp. 75
Author(s):  
Barbara Aniela Bonar
Keyword(s):  
Point Of View ◽  
The Other ◽  
Human Being ◽  
Structural Process ◽  
One Stage ◽  
Psychoanalytic Perspective ◽  
The Subject ◽  
The Difference ◽  
Two Stages

In this paper, I explain the problem of the dreamer in the Zhuangzi. I aim to show that no difference exists between dreaming states and waking states because we have a fluctual relationship with these two stages. In both, “we are dreaming.” Put another way, from a psychoanalytical point of view, one stage penetrates the other and vice versa. The difference between dreaming and non-dreaming disappears because dreaming is a structural process. Also, from a psychoanalytical perspective, all confirmations and negations about dreams and non-dreams leads to one point: the being, or rather the becoming, of the subject. How does this solve the problem of the True Person/True Human Being (zhenren真人)? Does such a person have dreams or not? Does the True Person sleep without dreams, as we find in the Zhuangzi? From a psychoanalytic perspective, this is not possible. To prove this, I will present few passages from the Zhuangzi and offer a psychoanalytic explanation of them based on Jacques Lacan’s theory of the fantasy and desire.

The effect of low sludge age on wastewater fractionation (SS, SI)

2003 ◽  
Vol 47 (11) ◽  
pp. 203-209 ◽  
Author(s):  
S. Haider ◽  
K. Svardal ◽  
P.A. Vanrolleghem ◽  
H. Kroiss
Keyword(s):  
Activated Sludge ◽  
Maximum Growth ◽  
Maximum Growth Rate ◽  
The Other ◽  
Second Stage ◽  
Lower Maximum ◽  
The Difference ◽  
Selection Of ◽  
Activated Sludge Systems ◽  
Raw Wastewater

In lab-scale experiments at the 2-stage activated sludge pilot plant of Vienna's central WWTP it is shown that the wastewater soluble COD concentration, which is inert to a sludge with SRT &lt; 1 d (SIA) is about double compared to the SI concentration in sludge with SRT &gt; 10 d (SIB). Unexpectedly the ratio of SIA/SIB is independent of the sludge age between SRTs of 0.4 and 1.0 days. The difference between the two SI fractions is soluble COD that is readily biodegradable by the sludge with SRT &gt; 10 d. However, it is degraded at a lower maximum growth rate. These results comply with earlier results gained with different methods and at different WWTPs. It is hypothesised that very low sludge ages result in a selection of fast growing bacteria, which can utilise only part of the SS in the raw wastewater. The other part of SS therefore remains in the wastewater and can thus be utilised for enhanced denitrification in the second stage. It is still unknown beyond which sludge age the soluble inert COD SIA starts to decrease, finally reaching the value SIB for low loaded systems (SRT &gt; 5 days). From this point on SI and SS are assumed only to depend on the wastewater composition and not on the sludge age. The assumption of the Activated Sludge Model No.1 that the biodegradable fractions can be modelled as a single substrate and by a single removal kinetic (one Monod term) appears not to be applicable for low sludge ages. Some suggestions for mathematical modelling, design and operation of 2-stage activated sludge systems are given.

How to put yourself in someone else’s shoes: The role of point-of-view in the interpretation of mixed messages

2019 ◽  
Vol 16 (2) ◽  
pp. 219-238
Author(s):  
Nikos Vergis
Keyword(s):  
Short Stories ◽  
Point Of View ◽  
The Other ◽  
Web Based ◽  
Affective Factors ◽  
The Difference ◽  
Mixed Messages ◽  
Communicative Role ◽  
The Way

AbstractDoes having a communicative role other than the speaker’s make a difference to the way pragmatic meaning is construed? Standard paradigms in interpersonal pragmatics have implicitly assumed a speaker-centric perspective over the years, however modern approaches have re-considered the role of listener evaluations. In the present study, I examine whether assuming different communicative roles (speaker, listener, observer) results in varying interpretations. A web-based experiment revealed that participants who took the perspective of different characters in short stories differed in the way they interpreted what the speaker meant. In most cases, participants in the role of the listener interpreted speaker meaning in more negative ways than participants in the other roles. The present study suggests that the directionality of the difference (negative inferences under the listener’s perspective) could be explained by taking into account affective factors.

The Effect of Waking Suggestion on Post-Hypnotic Amnesia

1981 ◽  
Vol 11 (1) ◽  
pp. 44-46 ◽  
Author(s):  
D.P. Fourie
Keyword(s):  
Point Of View ◽  
The Other ◽  
Hypnotic Susceptibility ◽  
The Subject ◽  
The Mean ◽  
The Difference ◽  
The One ◽  
The Relationship ◽  
Female Subjects

It is increasingly realized that hypnosis may be seen from an interpersonal point of view, meaning that it forms part of the relationship between the hypnotist and the subject. From this premise it follows that what goes on in the relationship prior to hypnosis probably has an influence on the hypnosis. Certain of these prior occurences can then be seen as waking suggestionns (however implicitly given) that the subject should behave in a certain way with regard to the subsequent hypnosis. A study was conducted to test the hypothesis that waking suggestions regarding post-hypnotic amnesia are effective. Eighteen female subjects were randomly divided into two groups. The groups listened to a tape-recorded talk on hypnosis in which for the one group amnesia for the subsequent hypnotic experience and for the other group no such amnesia was suggested. Thereafter the Stanford Hypnotic Susceptibility Scale was administered to all subjects. Only the interrogation part of the amnesia item of the scale was administered. The subjects to whom post-hypnotic amnesia was suggested tended to score lower on the amnesia item than the other subjects, as was expected, but the difference between the mean amnesia scores of the two groups was not significant.

scholarly journals URGENSI PENETAPAN KRITERIA FAKIR MISKIN BAGI PENYALURAN ZAKAT DI INDONESIA

2018 ◽  
Vol 4 (1) ◽  
pp. 167
Author(s):  
Kuntarno Noor Aflah
Keyword(s):  
Comparative Research ◽  
Basic Needs ◽  
Point Of View ◽  
The Other ◽  
Local Conditions ◽  
Other Hand ◽  
The Difference ◽  
The Government ◽  
Literacy Research

Poverty has many definitions, parameters, and standards. From the viewpoint of Islam, many theologians define and measure poverty by various terms and sizes. The difference among theologians’ opinion is caused by poverty terms contained in the Qur’an and Hadits. “Fakir” and “poor” have many meanings. It allows a wide interpretation of the verse and word from theologians. It is also seen from the regulation point in Indonesia, there are many definitions, standards and parameters of poverty. The difference of point of view on determination of poverty criteria and regulations according to Islam in Indonesia shows that the ways of ijtihad by theologians and the government elements is very open. The absence of standard stipulation held, encouraging the writer to conduct a comparative research in this paper; through literacy research. Syafi’i sect does not specify a quantitative standard for poverty. Poverty is only categorized on requirement. As long as people are not able to cover 50% of their basic needs, they are called as fakir. If people are only able to cover close to 70% of their basic needs then they are categorized as poor. Meanwhile, according to Hanafi sect, the qualitative standards turned to the Syafi’i sect. Poor conditions are more severe than the fakir. Besides,the quantitative standard of poverty is one nisab of zakat or the equivalent of 85 grams of gold. On the other hand, BPS and BKKBN formulate the concept and standard of poverty by economic concepts. Poverty is conceptualized as the inability of someone to meet basic consumption needs of the formulation adapted to local conditions respectively.

scholarly journals Ossiculoplasty using Autologous Reshaped Incus and Teflon PORP: A Comparative Study

2019 ◽  
Vol 27 (2) ◽  
pp. 129-134
Author(s):  
Ankit Choudhary ◽  
Sayan Hazra ◽  
Arindam Das ◽  
Aryabrata Dubey ◽  
Mridul Janweja ◽  
...  
Keyword(s):  
Chronic Otitis Media ◽  
Ossicular Chain ◽  
Care Hospital ◽  
Hearing Results ◽  
Extrusion Rate ◽  
Hearing Result ◽  
Ossicular Replacement ◽  
Ossicular Chain Reconstruction ◽  
Study Population ◽  
Replacement Prosthesis

Introduction Autologous reshaped Incus and Teflon partial ossicular replacement prosthesis (PORP) are commonly used for ossicular chain reconstruction. The present study attempts to assess the post-operative outcome with these two prostheses. Materials and Methods  A Randomized prospective study was conducted in Tertiary referral care hospital to determine which material, among autologous reshaped Incus and Teflon partial ossicular replacement prosthesis (PORP) gives better postoperative hearing result in Ossiculoplasty. Patients presenting at outpatients’ department with the clinical diagnosis of chronic otitis media with perforation or retraction. The study population consisted of a total of 50 patients. Ossiculoplasty with reshaped Incus or PORP was performed after Canal Wall Up mastoidectomy. Hearing results were measured by Air-Bone gap in PTA after 6 months of surgery. Results  Selecting the criteria <20 dB ABG as success when Stapes superstructure is present, Incus has 64.29% success rate, whereas PORP has 31.81% success. Extrusion rate of different prosthesis shows PORP has 18.18% extrusion whereas autologous Incus has lower (7.14%) extrusion rate. Conclusion  Among these two ossiculoplasty materials, autologous Incus gives better postoperative hearing gain and lower extrusion rate.

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