COVID-19, pandemia y acúfeno

paythelady.61 shared this article with you from Inoreader COVID-19, pandemia y acúfeno Via Revista de otorrinolaringología y cirugía de cabeza y cuello Resumen El acúfeno es un síntoma que puede presentarse aislado o en diferentes patologías. Se describe como la percepción de un sonido o percepción auditiva fantasma no producida por una vibración o estímulo acústico externo, que es inaudible para el entorno. La COVID-19 causada por el virus SARS-CoV-2, es una enfermedad que ha mostrado diversidad en su expresión, severidad, síntomas y secuelas. El acúfeno es una condición relacionada con el sistema auditivo que ha sido estudiada durante la pandemia por COVID-19 y se ha podido observar un incremento en la incidencia y/o exacerbación de la percepción de este síntoma, en donde se involucran múltiples factores que se vuelven importantes de considerar. Abstract Tinnitus is a symptom that can occur in isolation or in different pathologies. It is described as the perception of a sound, or as a phantom auditory perception that is not produced by a vibration or external acoustic stimulus, which is inaudible to the en vironment. COVID-19 caused by the SARS-CoV-2 virus, is a disease that has shown diversity in its expression, severity, symptoms and sequelae. Tinnitus is a condition related to the auditory system that has been studied during the COVID-19 pandemic, and an increase in the incidence and/or exacerbation of the perception of this symptom has been observed, involving multiple factors that become important to consider. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Impacto de la autopercepción de dificultad vestibular en la calidad de vida de adultos sin patología otoneurológica diagnosticada

paythelady.61 shared this article with you from Inoreader Impacto de la autopercepción de dificultad vestibular en la calidad de vida de adultos sin patología otoneurológica diagnosticada Via Revista de otorrinolaringología y cirugía de cabeza y cuello Resumen Introducción: El vértigo, los mareos y el desequilibrio se encuentran entre las quejas más comunes de los adultos mayores pudiendo ocasionar repercusiones biopsicosociales como aislamiento, depresión y disminución de la autonomía. Objetivo: El objetivo del presente estudio fue determinar el impacto de la autopercepción de la discapacidad vestibular y de la sintomatología asociada sobre la calidad de vida de adultos mayores autovalentes, residentes en la comunidad y sin patología vestibular diagnosticada. Material y Método: Se realizó un estudio observacional, de alcance analítico y de corte transversal. Participaron 30 sujetos adultos mayores sanos, residentes en zonas urbanas y rurales de la Región Metropolitana. Se utilizó el dizziness handicap inventory para medir la autopercepción de dificultad vestibular y el cuestionario WHOQOL-BREF para medir calidad de vida. Resultados: Ajustando por edad, escolaridad, zona de residencia y desempeño cognitivo , el puntaje del dizziness handicap inventory predijo de manera significativa (p < 0,05) la dimensión física, psicológica y el puntaje total del WHO-QOL-BREF, explicando hasta un 35%, 9% y 16% de los puntajes, respectivamente. Conclusión: La autopercepción de la dificultad vestibular afecta significativamente la dimensión de salud física y la salud psicológica de la calidad de vida, independiente de la edad, la escolaridad, la zona de residencia y el desempeño cognitivo. Abstract Introduction: Vertigo, dizziness and imbalance are among the most common complaints of the elderly, and can cause biopsychosocial impacts such as isolation, depression and decreased autonomy. Aim: The aim of the present study was to determine the impact of self-perception of vestibular disability and associated symptoms on the quality of life of self-reliant, community residents and without diagnosed vestibular disorders older adults. Material and Method: An observational, analytical, and cross-sectional study was carried out. Thirty healthy elderly subjects participated, residing in urban and rural areas of the Metropolitan Region. The dizziness handicap inventory was used to measure self-perception of vestibular disability and the WHOQOL-BREF questionnaire to measure quality of life. Results: Adjusting for age, schooling, area of residence and cognitive performance, the dizziness handicap inventory score significantly predicted (p < 0.05) the physical and psychological dimension and the total score of the WHOQOL-BREF, explaining up to 35%, 9% and 16% of the scores, respectively. Conclusion: The self-perception of vestibular difficulty significantly affects the dimension of physical and psychological health of quality of life, independent of age, schooling, area of residence and cognitive performance. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Wie kann wissenschaftliches Arbeiten in der Medizin vermittelt werden? Digitale Lehre in Zeiten der COVID-Pandemie am Beispiel der HNO-Heilkunde

paythelady.61 shared this article with you from Inoreader Wie kann wissenschaftliches Arbeiten in der Medizin vermittelt werden? Digitale Lehre in Zeiten der COVID-Pandemie am Beispiel der HNO-Heilkunde Via Latest Results for HNO Zusammenfassung Hintergrund Um aus der Not der Umstellung der Lehre in Zeiten der COVID-Pandemie eine Tugend zu machen, entwickelten wir das Konzept eines neuen digitalen Seminars zum wissenschaftlichen Arbeiten. Digitale Kompetenz begründet den kompetenten Umgang mit Daten in medizinischer Lehre und wissenschaftlicher Ausbildung. Diese Studie präsentiert die Ergebnisse der studentischen Lehrevaluation des Seminars mit Fokus auf den Erwerb von digitaler und wissenschaftlicher Kompetenz. Methode In diese prospektive Fragebogen-Studie wurden 265 Studierende eingeschlossen. Das Seminar beinhaltete eine Einführung über die Kriterien guten wissenschaftlichen Arbeitens, gefolgt von einer individuellen Arbeitsphase der Studenten mit Bearbeitung einer wissenschaftlichen Publikation und selbstständigen Erstellung des zugehörigen Abstracts mit abschließender Evaluation. Ergebnisse Das Seminar wurde insgesamt gut bewertet. In Freitext-Kommentaren wurde deutlich, dass sich die Studierenden statt digitaler Lehre dennoch Anwesenheitsseminare zum Thema wünschten. Die Studierenden gaben an, dass ihre wissenschaftliche Kompetenz durch das digitale Seminar und das selbständige Verfassen eines Abstracts verbessert wurde. Schlussfolgerung Die digitale Lehre wurde von den Studierenden zwar nicht ausschließlich positiv bewertet, verbesserte jedoch deren subjektive wissenschaftliche Kompetenz und erfüllte deren Wunsch einer digitalen Transformation der Lehre und damit auch die Ziele des neuen Nationalen Kompetenzbasierten Lernzielkatalogs der Medizin. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Association between malocclusion and articulation of phonemes in early childhood

paythelady.61 shared this article with you from Inoreader Association between malocclusion and articulation of phonemes in early childhood Via pubmed: "angle orthod"[jour] Angle Orthod. 2022 Mar 11. doi: 10.2319/043021-342.1. Online ahead of print. ABSTRACT OBJECTIVES: To evaluate the relationship between dental malocclusion and speech to understand the etiology of speech sound disorders (SSD) in schoolchildren and to make a correct diagnosis and treatment plan. MATERIALS AND METHODS: Articulation and dental occlusion, oromyofunctional evaluation with orofacial praxis and musculature, resting tongue position, and swallowing pattern were analyzed in 290 schoolchildren between the ages of 4 and 7 years. Statistical tests were considered significant for P < .05. RESULTS: A significant association between dental malocclusions (Angle Class II and III, anterior open bite, edge-to-edge bite, overjet and anterior crossbite) and phonetic alterations (P = .008) was observed. Sigmatisms and rhotacisms were the most frequent disorders. Malocclusions also showed a significant association with oral habits and with orofacial praxis and muscle activity. CONCLUSIONS: The presence of malocclusion can cause imbalances in the functions involved in the stomatognathic system. Awareness of this relationship in young children would help professionals to implement preventive measures for the optimum development of children's oral health. PMID:35275982 | DOI:10.2319/043021-342.1 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

The TeleDent™ Teledentistry Platform by MouthWatch Now Integrates with Henry Schein’s Dentrix G6 and G7 Practice Management Software

paythelady.61 shared this article with you from Inoreader The TeleDent™ Teledentistry Platform by MouthWatch Now Integrates with Henry Schein's Dentrix G6 and G7 Practice Management Software Via John Flucke's Dental Technology Blog - Ramblings of Dentistry's Technology Evangelist The healthcare industry has been on a steady progression toward tele-health  for a few years now.  Covid-19 pushed it more to the forefront of discussions due to its lack of direct contact between provider and patient.  Now as both patients and providers become more adjusted and accepting of the concept, the dental industry is seeing more and more companies supporting the idea. The latest industry move in the tele-dentistry arena is with practice management software.  As most of you probably know, MouthWatch, LLC makes the incredibly popular MouthWatch intraoral camera.  However, they also are the parent company behind TeleDent, a tele-health company with a focus on dentistry.   Now, the TeleDent platform can be integrated into Dentrix, the most popular practice management system.  If you are an office that is using either Dentrix G6 or Dentrix G7, you can enjoy T eleDent directly inside the system. One of the biggest hinderances to acceptance of technology evolution is the lack of integration of new products into existing platforms.  Ease of use is important.  Multiple clicks to bring information into your existing informatics is a hassle.  Here is what MouthWatch is doing now: MouthWatch, LLC recently announced the integration of its award-winning, market leading TeleDent teledentistry platform with Henry Schein's Dentrix G6 and G7 practice management software.  According to MouthWatch LLC founder and CEO Brant Herman. "Deploying teledentistry is now easier for Dentrix G6 and G7 users. TeleDent's comprehensive, convenient, and secure virtual care platform is able to scale across the full spectrum of Dentrix G6 and G7 clients, from individual private practices to DSOs with hundreds of locations."  TeleDent provides Dentrix G6 and G7 users with real-time two-way video confere ncing along with HIPAA-secure patient and provider messaging that can be used on desktop and mobile devices, so practitioners can conduct emergency triages, consultations, pre-visit screenings, post-op visits, and virtual case presentations either synchronously or asynchronously.  Dental practices using these latest versions of Dentrix can now clinically integrate virtual consults with video recordings, patient records, and intraoral photos within the platform to ensure effective and thorough virtual dental care. What's more, the patient-facing messaging included in the TeleDent platform enables practitioners to communicate directly with patients, and also seamlessly collaborate and share diagnostic information with their dental teams and specialists, in a cloud-based portal.  TeleDent/Dentrix G6 / G7 integration is now available for new and current TeleDent users. For more information, please contact Jay Martorelli, MouthWatch Director of Sales at sales@mout hwatch.com. About TeleDent: TeleDent, the all-in-one teledentistry solution from MouthWatch, LLC was designed to  help dental teams  connect with their patients and collaborate with their colleagues. The recent introduction of new features such as an intuitive, mobile-friendly patient portal, text messaging, and online patient intake, make it easier to connect with patients in the safe and convenient way they now expect. For example, new patient consults, post-op evaluations, home care instructions, specialist referrals and emergency triage can all be conducted with the highest degree of simplicity, security, and safety. TeleDent's professional grade technology can serve as the backbone of key virtual clinical workflows to increase  efficiency and profitability. In recent years, TeleDent has received several prestigious industry awards, such as The 2020 and 2021 Cellerant Best of Class Award. In 2021, TeleDent also won Dentistry Today's&nb sp; Top Innovative Products, and Top 25 Aesthetic and Restorative Products awards. For more information visit www.TeleDent.com. About MouthWatch, LLC: Founded in 2012, MouthWatch, LLC is a leader in innovative teledentistry solutions, digital case presentation tools and intraoral imaging devices. Since its formation, the company has pioneered the integration of digital imaging and communications technology in the field of oral health. This experience makes it possible for MouthWatch to take the lead in introducing the benefits of telemedicine to the world of dentistry. For more information, visit www.MouthWatch.com. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Head and neck pedicled flap autonomization using a new high‐resolution indocyanine green fluorescence video‐angiography device

paythelady.61 shared this article with you from Inoreader Head and neck pedicled flap autonomization using a new high‐resolution indocyanine green fluorescence video‐angiography device Via Head & Neck Abstract In head and neck oncologic surgery a reconstructive phase is often required and pedicled flaps are still a viable option, though they may need a pedicle division performed at a later stage. Several techniques are commonly used for perfusion assessment of the flaps, with indocyanine green (ICG) fluorescence video-angiography representing a promising tool. We used ICG video-angiography to evaluate the perfusion of two of the most commonly adopted pedicled flaps in the head and neck field (the supraclavicular and the paramedian forehead flap) before and after second-stage pedicle division, allowing a safer in-setting. Moreover, the new high-resolution device that we have employed added further accuracy to the traditional video-angiography, providing a real-time flap-to-normal skin ICG ratio. Indeed, ICG video-angiography proved to be a useful tool in head and neck reconstructive surgery and it may allow an earlier second-stage pedicle division. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

18F-FDG-PET/CT can be used to predict distant metastasis in hypopharyngeal squamous cell carcinoma

paythelady.61 shared this article with you from Inoreader 18F-FDG-PET/CT can be used to predict distant metastasis in hypopharyngeal squamous cell carcinoma Via Most Recent Articles: Journal of Otolaryngology - Head & Neck Surgery Hypopharyngeal squamous cell carcinoma (HPSCC) has a high rate of distant metastasis, resulting in poor prognosis. The role of the maximum standardized uptake value (SUVmax), which was assessed via pretreatmen... View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

In Vivo Murine Models of Cardiotoxicity Due to Anticancer Drugs: Challenges and Opportunities for Clinical Translation

paythelady.61 shared this article with you from Inoreader In Vivo Murine Models of Cardiotoxicity Due to Anticancer Drugs: Challenges and Opportunities for Clinical Translation Via Latest Results for Journal of Cardiovascular Translational Research Abstract Modern therapeutic approaches have led to an improvement in the chances of surviving a diagnosis of cancer. However, this may come with side effects, with patients experiencing adverse cardiovascular events or exacerbation of underlying cardiovascular disease related to their cancer treatment. Rodent models of chemotherapy-induced cardiotoxicity are useful to define pathophysiological mechanisms of cardiac damage and to identify potential therapeutic targets. The key mechanisms involved in cardiotoxicity induced by specific different antineoplastic agents are summarized in this state-of-the-art review, as well as the rodent models of cardiotoxicity by different classes of anticancer drugs, along with the strategies tested for primary and secondary cardioprotection. Current approaches for early detection of cardiotoxicity in preclinical studies with a focus on the application of advanced imaging modalities and biomarker strategies are also discussed. Graphical abstract Potential applications of cardiotoxicity modelling in rodents are illustrated in relation to the advancements of promising research topics of cardiotoxicity. Created with BioRender.com. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

The Role of Angiogenesis and Arteriogenesisin Myocardial Infarction and Coronary Revascularization

paythelady.61 shared this article with you from Inoreader The Role of Angiogenesis and Arteriogenesisin Myocardial Infarction and Coronary Revascularization Via Latest Results for Journal of Cardiovascular Translational Research Abstract Surgical myocardial revascularization is associated with long-term survival benefit in patients with multivessel coronary artery disease. However, the exact biological mechanisms underlying the clinical benefits of myocardial revascularization have not been elucidated yet. Angiogenesis and arteriogenesis biologically leading to vascular collateralization are considered one of the endogenous mechanisms to preserve myocardial viability during ischemia, and the presence of coronary collateralization has been regarded as one of the predictors of long-term survival in patients with coronary artery disease (CAD). Some experimental studies and indirect clinical evidence on chronic CAD confirmed an angiogenetic response induced by myocardial revascularization and suggested that revascularization procedures could constitute an angiogenetic trigger per se. In this review, the clinical and basic science evidence regarding arteriogenesis and angiogenesis in both CAD and coro nary revascularization is analyzed with the aim to better elucidate their significance in the clinical arena and potential therapeutic use. Graphical abstract View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Development and Validation of Instrument for Operative Competency Assessment in Selective Neck Dissection

paythelady.61 shared this article with you from Inoreader Development and Validation of Instrument for Operative Competency Assessment in Selective Neck Dissection Via SAGE-Journals: Annals of Otology, Rhinology & Laryngology: Table of Contents Annals of Otology, Rhinology &Laryngology, Ahead of Print. Background:Instruments to assess surgical skills have been validated for several key indicator procedures in otolaryngology. Selective neck dissection is a core procedure for which trainees must integrate knowledge of complex head and neck anatomy with technical surgical skills. An instrument for assessment of surgical performance in selective neck dissection has not been previously developed. The objective of the current study is to develop and validate an instrument for assessing surgical competency for level II-IV selective neck dissection.Design:A Delphi working group comprised of 23 fellowship trained head and neck surgeons from 17 institutions was assembled. The modified Delphi method encompassed a 3-step process, including 2 anonymous voting rounds to successively refine individual items and establish levels of consensus. Thresholds for achieving strong consensus, at >80% agreement, were determined a p riori. The resulting instrument was subsequently validated in a prospective cohort of 17 resident surgeons, spanning postgraduate year 1 to 5 training experience. Participants were asked to perform a level II-IV selective neck dissection on fresh-frozen cadaveric specimens. Performance was scored by 2 independent, blinded observers using the devised instrument and construct validity was assessed.Results:Through the modified Delphi process a final list of 30 items, considered to be the most essential items for achieving the goals of a level II-IV selective neck dissection, was developed. Construct validity was supported by a positive association between instrument scores compared to both resident postgraduate year level and number of head and neck rotations completed.Conclusion:The development and validation of a novel instrument for assessment of surgical competency in level II-IV selective neck dissection, a key indicator case in otolaryngology, is described. This new instrument ma y be used to provide objective feedback on overall and task-specific competency to identify surgical deficiencies and offer granular feedback to enhance surgical training. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Readmission Rates Following Major Head and Neck Surgery With Concurrent Tracheostomy

paythelady.61 shared this article with you from Inoreader Readmission Rates Following Major Head and Neck Surgery With Concurrent Tracheostomy Via SAGE-Journals: Annals of Otology, Rhinology & Laryngology: Table of Contents Annals of Otology, Rhinology &Laryngology, Ahead of Print. Objectives:To determine the influence of major head and neck procedures on readmission and complication rates following tracheostomy.Methods:A retrospective cohort study using the 2005 to 2017 National Surgical Quality Improvement Program (NSQIP) database. Current Procedural Terminology codes were used to identify tracheostomy patients and to define the underlying head and neck procedure. Patients under the age of 18 and with unknown pre-operative variables were excluded. Univariate and multivariable analyses were performed.Results:A total of 3240 tracheostomy patients undergoing major head and neck surgery were identified in NSQIP. The 30-day mortality rate was 104 (3.2%) and 258 (9.0%) patients were readmitted. 637 (19.7%) patients had an unplanned return to the operating room. There were 1606 (49.6%) non-tracheostomy specific complications, which included 850 (26.2%) medical and 1142 (35.2%) surgical complica tions. On multivariable analysis, we found that the underlying procedures did not impact the risk of readmission (P > .05 for all). The underlying procedure was also not associated with unplanned return to the operating room except for thyroidectomies, which had a lower risk than free tissue graft reconstruction (OR = 0.53 (95%CI 0.31, 0.88), P = .018).Conclusion:While almost 1 in every 2 patients had a complication following major head and neck surgery that included creation of a tracheostomy, the rate of readmission is comparatively low and is not associated with the underlying procedure. These findings should reassure head and neck surgeons that properly managed tracheostomies do not constitute a disproportionate risk of readmission. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.