scholarly journals PREVALENCE OF HEARING SYMPTOMS RELATED TO PATULOUS EUSTACHIAN TUBE AFTER BARIATRIC SURGERY

Author(s):  
Leticia Raysa Schiavon KINASZ ◽  
Hendrick Emmanuel Vieira DE-SOUSA ◽  
Manoel Augusto Ribas CAVALCANTI ◽  
José Fernando POLANSKI

ABSTRACT Background: Rapid and severe weight loss can result in the reduction of the ear tube lining fat tissue and it becomes patent, leading to symptoms such as autophony, aural fullness and tinnitus. Patients after bariatric surgery have, in theory, a predisposition to the development of such alteration. Aim: To evaluate the presence of patent tuba-related complaints in patients undergoing bariatric surgery, correlating with weight and body mass index (BMI) values, as well as demographic data. Methods: Cross-sectional study composed of the evaluation of patients undergoing bariatric surgery through a standardized questionnaire about the presence of symptoms compatible with ear tube patency. Results: Eighty patients were evaluated, 77 female and three males. The main comorbidity was systemic arterial hypertension (37.5%). Fifteen (18.75%) presented symptoms compatible with patent auditory/Eustachian tube - aural fullness and autophony - postoperatively. In symptomatic individuals the initial weight was 112 kg on average and the preoperative BMI was 45 kg/m², while in asymptomatic individuals the weight was 117 kg and BMI 47 kg/m². There was statistical significance in the comparison between individuals with and without symptoms in the variables of initial weight (p=0.00000), current weight (p=0.00029), preoperative BMI (p=0.00219) and postoperative BMI (p=0.00148). Conclusion: The presence of symptoms compatible with patent auditory/Eustachian tube was 18.75% of the patients submitted to bariatric surgery in the evaluated sample. Both preoperative weight and BMI were lower in symptomatic patients when compared with the asymptomatic group.

2016 ◽  
Vol 44 (4) ◽  
Author(s):  
Laura Arrais Sydrião de Alencar Costa ◽  
Edward Araujo Júnior ◽  
Francisco Edson de Lucena Feitosa ◽  
Andréa Cavalcante Dos Santos ◽  
Luiz Gonzaga Moura Júnior ◽  
...  

AbstractTo compare the results of maternal and perinatal pregnancies of obese women after bariatric surgery.A retrospective cross-sectional study was carried out on 63 women who had undergone bariatric surgery and 73 obese women (control). Demographic data, the characteristics of the bariatric surgery, and the maternal and perinatal results were evaluated. The Student’sThe average body mass index (BMI) at the 1Those women who had been submitted to bariatric surgery presented better maternal and perinatal results when compared to obese women.


2021 ◽  
Author(s):  
Sabrina Wong ◽  
Marc Gabriel Romney ◽  
Kristen Haase ◽  
Nancy Matic ◽  
Manon Ranger ◽  
...  

Importance: Understanding feasibility of rapid testing in congregate living setting provides critical data to reduce the risk of outbreaks in these settings. Objective: Use rapid antigen screening to detect SARS-CoV-2 in an asymptomatic group of university students and staff. Design: Cross-sectional Setting: University of British Columbia, Vancouver, Canada. Participants: Students and staff living or working in congregate housing. Intervention: Health care professional administered rapid antigen test Main Outcomes and measures: Use of BD Veritor rapid antigen testing and asymptomatic participants experiences with rapid testing Results: A total of 3536 BD Veritor tests were completed in 1141 unique individuals. One third of participants completed between two to four tests and 21% were screened five or more times. The mean number of tests completed per person was three. The mean length of time between those who had more than one test was seven days. There were eight false positives and 25 PCR confirmed COVID-19 positive individuals identified through this work. All individuals reported having no symptoms that they attributed to COVID-19. Almost all (n=22, 88%) COVID-19 positive cases were found in male participants. A total of 86 additional students from multiple different student residences (n=9) were asked to self-isolate while they waited for their COVID-19 diagnostic test results. An average of seven additional students positive for COVID-19 living in congregate housing were identified through contact tracing by finding one positive case. Conclusions and relevance: Rapid testing is a relatively inexpensive and operationally easy method of identifying asymptomatic individuals with COVID-19.


2018 ◽  
Vol 36 (1) ◽  
pp. 61
Author(s):  
Warut Aunjitsakul ◽  
Jarurin Pitanupong

Objective: To estimate the level of quality of life (QoL), emotional intelligence (EI) and the association between QoL and EI in schizophreniaMaterial and Method: A cross-sectional study was conducted at the outpatient department of Songklanagarind Hospital from; May to November, 2016. A total of 96 participants were interviewed. Demographic data and medical history were collected. QoL and EI were assessed using the WHO QOL BREF (Best available techniques REFerence document) Thai version and the Thai EI Screening Test for ages of 18-60. The results were analyzed by descriptive statistics and multiple logistic regression.Results: Our subjects were predominantly single males. Sixty-seven point seven percent of the participants were poor to moderate QoL while only two factors significantly related to their poor to moderate QoL; difficulties from psychiatric conditions and a lower level of life satisfaction. Fifty-seven point four to eighty-seven point two percent of the participants were generally within normal EI in every subscale. Moreover, there was statistical significance for positive relationships between EI with QoL in schizophrenia.Conclusion: The high prevalence of schizophrenia was a moderate QoL. A positive relationship of individual subscales of EI towards QoL was substantially found.


2020 ◽  
Author(s):  
Ana Nemcic ◽  
Stana Pacaric ◽  
Tajana Turk ◽  
Nikolina Farcic ◽  
Andrea Milostic- ◽  
...  

Abstract Background: The aim of this study was to determine whether there are differences in opinion and knowledge about organ donation of nurses working in the surgical and non-surgical department. Methods: This cross-sectional study included 223 nurses working in surgical, and non-surgical departments. An anonymous survey questionnaire was used as a research instrument, which consisted of questions on socio-demographic data, and questions on opinions and knowledge about organ donation. Results: Most participants would donate their organs after death (71.2%). The most common reason for not donating organs was insufficient information (40%), the importance of knowing that their body will be whole at the time of burial (21.8%), and the age of the respondents (20%). Participants would donate organs after the death of a close family member (52.3%). 29 (13.2%) participants have a donor card, significantly more of them from surgical departments (P = 0.04). Participants who would not donate their organs were significantly more likely to say that they would not or did not know whether they would receive an organ from a person of another religion (P < 0,001). Participants from surgical departments (P = 0.04) and Masters of Nursing have significantly more correct answers. (P = 0,009). Conclusion: Most participants would donate their organs after death, with no statistical significance regarding the position and level of education. Knowledge about organ donation was average, significantly higher among Masters of Nursing and among participants from surgical departments.


2021 ◽  
Vol 82 (1) ◽  
Author(s):  
Badawy A. Abd Elraheem ◽  
Ahmed S. Bayoumy ◽  
Mohamed S. El-Faramawy ◽  
Nasr Eldeen M. Aly ◽  
Ayman A. El-Badry

Abstract Background Diagnosis of schistosomiasis depends mainly on stool or urine microscopy for Schistosoma egg detection as well as immunoassays. The low sensitivity of these conventional tests makes molecular detection the diagnostic method of choice. The study aimed to detect the molecular prevalence of urine schistosomiasis and evaluate microscopic examination vs. PCR technique for detection of Schistosoma haematobium (S. haematobium) in urine of patients with suggestive symptoms or previous history of urine schistosomiasis coming from endemic regions. Results This cross-sectional study was performed on eighty patients attending the urology clinic of Sohag University Teaching Hospital from August 2016 to July 2018. Socio-demographic data and clinical data were collected. Urine samples from all study individuals were collected and examined microscopically for S. haematobium eggs as well as detection of S. haematobium DNA of using PCR assay. Microscopic examination and PCR were positive among (68.8%) and (87.5%) of cases, respectively. There was 60% agreement between microscopy and molecular assay. Microscopy was a good test to rule in cases of urine schistosomiasis, with 100% specificity and 100% PPV, but was of limited sensitivity (NPV = 40%) and missed 12.5% of positive cases. Among studied patient variables, only hematuria showed association with urine schistosomiasis with statistical significance. Conclusion Urine schistosomiasis was highly prevalent in studied population. Considering the high sensitivity and specificity of PCR, it should be implemented as the test of choice, especially in chronic urinary schistosomiasis with low infection setting. In our study population, patients presenting hematuria were likely to have S. haematobium.


2020 ◽  
pp. 019459982096523
Author(s):  
Sean M. Parsel ◽  
Graham D. Unis ◽  
Spenser S. Souza ◽  
Heather Bartley ◽  
Jeffrey M. Bergeron ◽  
...  

Objective To characterize the relationship between objective tympanogram values and patient-reported symptoms and associations with common comorbid conditions. Study Design Cross-sectional study with prospective data collection. Setting Tertiary medical center. Methods Patients undergoing routine audiometric evaluation between October 2018 and June 2019 were included. Participants with temporomandibular joint dysfunction, inner ear hydrops, and similar conditions were excluded. Symptoms were assessed with the 7-item Eustachian Tube Dysfunction Questionnaire. Demographics and medical comorbidities were recorded from the medical record. Analysis of tympanometric peak pressure (TPP), demographics, and comorbidities was performed to determine associations with clinically significant eustachian tube dysfunction (ETD) symptoms. Results A total of 250 patients were included with similar demographics: 101 (40.4%) in the asymptomatic group and 149 (59.6%) in the symptomatic group. The median (interquartile range) TPP was –10 (20) daPa and –25 (100) daPa in the asymptomatic and symptomatic groups, respectively. A diagnosis of rhinitis was more likely to be associated with significant ETD symptoms (adjusted odds ratio, 2.61; 95% CI, 1.23-5.63). A subgroup analysis revealed that symptomatic patients with normal TPP values were negatively skewed as compared with asymptomatic patients. This symptomatic group had a higher prevalence of rhinitis and chronic rhinosinusitis than the asymptomatic group. Conclusion Patients with symptoms of ETD may have a TPP within a range typically considered normal per conventional standards. This suggests that the currently accepted interpretation of tympanometry findings may be insensitive for the diagnosis of less severe cases of ETD.


2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Seena, M. Mathai ◽  
P. S Swathymol ◽  
Nizar Abdul MajeedKutty ◽  
Gan Ee Ju

Obesity is one of the most pervasive phenomena in this world and it is now regarded as the main public health challenge. Obesity is highly stigmatized in our society. Weight stigma in health care professionals can lead to poor treatment outcome to obese patients. This study is aimed to determine the attitude of physiotherapy students towards weight. A cross-sectional study was conducted in Universiti Tunku Abdul Rahman, Malaysia. A total of 179 physiotherapy students participated in this survey. Anti-Fat Attitude Questionnaire was used as an outcome measure to determine explicit weight stigma. Questions on demographic data and experience of weight bias were also included in the questionnaire. Majority of the students score negative marks in Anti-Fat Attitude Questionnaire in which any value greater than 0 was considered as explicit weight stigma. The relationship between gender with dislike, fear and willpower subscales shows statistical significance. Clinical posting has also shown significant association with fear and willpower subscale. Body mass index has shown no statistical significance with dislike and willpower subscale though it shows statistical significance with fear subscales. Overall, physiotherapy students do not demonstrate explicit weight stigma.


Author(s):  
Erika Toapaxi ◽  
Yeisy Guarate ◽  
Nadihezka Cusme

Introducción: El estilo de vida es aquella elección consciente o inconsciente de practicar ciertos comportamientos que se van adquiriendo con el paso del tiempo y que en ocasiones son difíciles de modificar, influyendo principalmente en la salud. Objetivo: Analizar el estilo de vida y su influencia en el estado de salud de los adultos mayores del Sector la Unión, Provincia de Cotopaxi, Ecuador. Métodos: Estudio cuantitativo, correlacional, transversal, con una muestra censal de 35 adultos mayores, se aplicó el instrumento fantástico y el cuestionario Salud SF-12, ambos instrumentos válidos y confiables. Los datos obtenidos fueron procesados a través del software estadístico PSPP, por medio del cálculo de la distribución numérica, porcentual y la prueba de Chi Cuadrado, con significancia estadística (p<0.05). Resultados: En los datos demográficos predominan el sexo en 63%, 71% son indígenas, el 44% con edad entre 60-70 años, en los adultos mayores predominó el estilo de vida bueno con una diferencia significativa p<0,05 en relación al estilo de vida fantástico y regular, en la alimentación la mayoría consume dietas hiposódicas y bajas en grasas, mantienen un peso adecuado, automedicación ocasional y 43% presenta dolor corporal que dificulta un poco sus labores. Conclusiones: La población mantiene un estilo de vida adecuado, sin embargo, se evidenció debilidades que se deben fortalecer con actividades educativas de promoción de salud como el poco consumo frutas y verduras, hábitos cafeicos frecuentes. Palabras clave: adulto mayor, estilo de vida, hábitos saludables, alimentación.  ABSTRACT Introduction: The lifestyle is that conscious or unconscious choice to practice certain behaviors that are acquired over time and that are sometimes difficult to modify, mainly influencing health. Objective: To analyze the lifestyle and its influence on the health status of the elderly in the Sector La Unión, Province of Cotopaxi, Ecuador. Methods: Quantitative, correlational, cross-sectional study, with a census sample of 35 older adults, the fantastic instrument and the SF-12 Health questionnaire were applied, both valid and reliable instruments. The data obtained were processed through the PSPP statistical software, through the calculation of the numerical distribution, percentage and the Chi Square test, with statistical significance (p <0.05). Results: In the demographic data, sex predominates in 63%, 71% are indigenous, 44% aged between 60-70 years, in older adults the good lifestyle predominated with a significant difference p <0.05 in relation to a fantastic and regular lifestyle, most of them consume low-sodium and low-fat diets, maintain an adequate weight, occasional self-medication and 43% have body pain that makes their work a little difficult. Conclusions: The population maintains an adequate lifestyle, however, weaknesses were evidenced that should be strengthened with educational activities to promote health such as low consumption of fruits and vegetables, frequent coffee habits. Keywords: elderly, lifestyle, healthy habits, eating


Author(s):  
Manali Deb Barma ◽  
R. Pradeep Kumar

Background and Aim: Tobacco is a leading preventable cause of death which causes death of six millions each year worldwide. One of the most effective methods of preventing this are tobacco counseling sessions as it provides a platform for the patient and the dental professionals to map out a plan for the patient to lead a tobacco free life. Therefore, the study was conducted to assess nicotine dependence, cotinine level and carbon monoxide levels among tobacco users employed in private automobile companies in Chennai. Study Design: Cross-sectional study. Subject and Methods: A cross sectional study of 53 males was conducted among automobile company employees, using simple random sampling technique in Chennai, India. A detailed questionnaire assessing their demographic data, pattern of usage of tobacco, Fagerstrom test for Nicotine Dependence was recorded, carbon monoxide levels were recorded using Smokerlyzer, and presence of urine cotinine was recorded. Descriptive statistics and Chi square test were used to analyze the data. Results: The mean age of the study participants was 31.7±11.32. Prevalence of smoking tobacco (64.20%) was higher among the study participants. Majority of the smoker study participants were highly dependent on tobacco, according to the FNTD scale. No statistical significance was found between dependency on nicotine and carbon monoxide levels among users of smoking tobacco (p <0.05). A statistical significant association (p <0.05) was found between dependency on nicotine and presence of urine cotinine among smokers. Conclusion: High level of nicotine dependence was observed in the smoker participants, and cotinine in urine was found to be a prominent marker of nicotine among users of smoking tobacco. Carbon monoxide levels were high among people with higher dependency on smoking.


2020 ◽  
Vol 14 (1) ◽  
pp. 520-528
Author(s):  
Emad M. Hadlaq

Background: Orofacial Pain (OFP) is a group of non-dental painful conditions affecting the oral cavity and facial area. Objectives: The objective of this study was to explore which barriers to manage the patient with chronic OFP as perceived by general dentists versus dental specialists and to investigate whether if professionals with degrees from their home country versus another country or number of years of professional experience differ in their perceptions. Methods: A closed-end questionnaire was hand-delivered to 600 participants [300 general dentists and 300 dental specialists] in four major provinces in Saudi Arabia. Demographic data were expressed as frequency. Proportional t-tests and chi-square tests were used to analyse intergroup differences. Statistical significance for all analyses was set at P-value < 0.05. Results: Overall, the response rate was 56.6% (340/600). Around two-thirds of the participants were general dentists (60.9%), while the remainder were dental specialists (39.1%). There was an obvious consensus by the participants that “Low payment/reimbursement” and “Lack of OFP knowledge” were among the most common barriers (85% and 83.5%, respectively). In contrast, “Legal risks” were the least frequently reported factor (38.8%). The most commonly reported barrier by general dentists was “Shortage of patients/lack of demand;” this was significantly different from the experience of dental specialists (87% vs. 72.2%; P- value < 0.01). In terms of the country of graduation or years of experience, there were no significant differences. Conclusion: The study demonstrates the existence of many significant barriers other than OFP knowledge, such as reimbursement, facility and demand that could present obstacles and challenges to the management of OFP by general dentists and dental specialists. Most participants believed that dentists should manage this condition and that OFP courses should be included in the dental school curriculum.


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