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Abstract | {
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} | [] |
The auditory training with wide-band white noise is a methodology for the qualitative recovery of the hearing loss in people suffering from sensorineural hearing loss. | {
"entities": {
"disability": [
{
"text": "hearing loss",
"start": 102,
"end": 114
},
{
"text": "sensorineural hearing loss",
"start": 140,
"end": 166
}
]
}
} | [] |
It is based on the application of a wide-band modified noise which we will call "K-noise". | {
"entities": {}
} | [] |
The auditory trainer GAES 100 KT is a voice amplifier device with earphone outlets. | {
"entities": {}
} | [] |
It incorporates a wide-band noise generator which produces a noise that is a mixture of all the audibles frequencies. | {
"entities": {}
} | [] |
Therefore, it estimulates all the sensory cells in the organ of Corti, but from 1000 Hz it has a progressive fall towards the high pitch of 6 db per octave. | {
"entities": {}
} | [] |
This device consists of a series of controls which make possible to apply both the noise and the phonetic materials -texts and words lists that the therapist´s voice presents- to either one of the ears or to both of them, in diffferent intensities and for different periods of time. | {
"entities": {}
} | [] |
In this first article of our study of the auditory training with wide-band white noise we will review the different methods of hearing training and present not only the basic concepts on auditory training, but also the systematic we have followed to apply it. | {
"entities": {}
} | [] |
Abstract | {
"entities": {}
} | [] |
The auditory training with wide-band white noise is a methodology for the qualitative recovery of the hearing loss in people suffering from sensorineural hearing loss. | {
"entities": {
"disability": [
{
"text": "hearing loss",
"start": 102,
"end": 114
},
{
"text": "sensorineural hearing loss",
"start": 140,
"end": 166
}
]
}
} | [] |
It is based on the application of a wide-band white modified noise. | {
"entities": {}
} | [] |
In a prospective study, we have assessed the modifications of the verbal reception threshold URV), the maximum discrimination (Dmax), and the discrimination coefficient (Kd) in a sample of 48 patients, who have followed a program of 15 auditory training with wide- band white noise sessions. | {
"entities": {}
} | [] |
The average improvements of the verbal discrimination variables expressed in percentage are 4.23% for the URV, a 9.04% for the kd, a 17.87% for the Dmax, and 4.32%, 10.05%, 13.04% for the binaural URV, Kd and Dmax respectively. | {
"entities": {}
} | [] |
From our results, it can be deduced that the auditory training with wide-band white noise improves the verbal discrimination measures. | {
"entities": {}
} | [] |
Not only it allows to reach the verbal reception threshold at a lower intensity, but also it moves the discrimination line towards the left. | {
"entities": {}
} | [] |
Furthermore, it increases the maximum discrimination both in binaural measurements and in those which consider all the ears. | {
"entities": {}
} | [] |
Abstract | {
"entities": {}
} | [] |
The aim of this study was to examine the results of transient evoked otoacoustic emissions (Teoae) as screening test for hearing impairment in newborn infants. | {
"entities": {
"disability": [
{
"text": "hearing impairment",
"start": 121,
"end": 139
}
]
}
} | [] |
We examined 9.951 of 11.405 infants born in our city from January 1st, (1995), to December 31st, (1998). | {
"entities": {}
} | [] |
A Teoae test was performed prior to discharge and repeated one week later in cases who failed the first Teoae. | {
"entities": {}
} | [] |
In case of suspected hearing loss auditory brainstem response (Abr) was performed 3 months later. | {
"entities": {
"disability": [
{
"text": "hearing loss",
"start": 21,
"end": 33
}
]
}
} | [] |
Hearing loss was defined as Abr threshold >20 Db. | {
"entities": {
"disability": [
{
"text": "Hearing loss",
"start": 0,
"end": 12
}
]
}
} | [] |
157 infants (1,5%) were identified with hearing loss. | {
"entities": {
"disability": [
{
"text": "hearing loss",
"start": 40,
"end": 52
}
]
}
} | [] |
Screening with Teoae was sufficiently sensitive in identification of congenital hearing impairment and the efficacy increased with the experience. | {
"entities": {
"disability": [
{
"text": "congenital hearing impairment",
"start": 69,
"end": 98
}
]
}
} | [] |
Abstract | {
"entities": {}
} | [] |
The auditory training with wide-band white noise is a methodology for the qualitative recovery of the hearing loss in people suffering from sensorineural hearing loss. | {
"entities": {
"disability": [
{
"text": "hearing loss",
"start": 102,
"end": 114
},
{
"text": "sensorineural hearing loss",
"start": 140,
"end": 166
}
]
}
} | [] |
It is based on the application of a wide-band white modified noise. | {
"entities": {}
} | [] |
In a prospective study, we have assessed the modifications of the recruitment coefficient in a sample of 48 patients who have followed a program of 15 auditory training with wide- band white noise sessions. | {
"entities": {}
} | [] |
The average improvement of the recruitment coefficient expressed in percentage is a 7.7498%, which comes up to 23.5249% in the case of a binaural recruitment coefficient. | {
"entities": {}
} | [] |
From our results, it can be deduced that the auditory training with wide-band white noise reduces the recruitment. | {
"entities": {}
} | [] |
That is to say, the decrease of the recruitment in high intensities both binaurally and in all ears. | {
"entities": {}
} | [] |
Abstract | {
"entities": {}
} | [] |
The auditory training with wide-band white noise is a methodology for the qualitative recovery of the hearing loss in people suffering from sensorineural hearing loss. | {
"entities": {
"disability": [
{
"text": "hearing loss",
"start": 102,
"end": 114
},
{
"text": "sensorineural hearing loss",
"start": 140,
"end": 166
}
]
}
} | [] |
It is based on the application of a wide-band white modified noise. | {
"entities": {}
} | [] |
In a prospective study, we have assessed the modifications of the total auditory threshold (UAt), the conversational auditory threshold (UAc), and the pain threshold (Ud) in a sample of 48 patients, who have followed a program of 15 auditory training with wide-band white noise sessions. | {
"entities": {}
} | [] |
The average improvements of the variables expressed in percentage are 0.78% for the UAt, 0.64% for the UAc, and 5.31% for the Ud. | {
"entities": {}
} | [] |
From our results, it can be deduced that the auditory training with wideband white noise does not modify the pure tone thresholds, but it moves the pain threshold towards higher intensities, enlarging the dinamic auditory field. | {
"entities": {}
} | [] |
Abstract | {
"entities": {}
} | [] |
We report on nine cases with jugular dehiscence in middle ear diagnosticated and followed up in our clinic from 1987 to 2000. | {
"entities": {}
} | [] |
Diagnosis was made, in some cases, when carrying out an otoscopy and others by clinical sintomatology, otomicroscopically imaging, audiometry, ct-scan and mri. | {
"entities": {}
} | [] |
All patients were affected of hearing loss. | {
"entities": {
"disability": [
{
"text": "hearing loss",
"start": 30,
"end": 42
}
]
}
} | [] |
Some of them also suffered pulsatile tinnitus and even vertigo. | {
"entities": {}
} | [] |
The follow up of all patients has been stable and devoid of bleeding complications | {
"entities": {}
} | [] |
Abstract | {
"entities": {}
} | [] |
An hemorheological study on whole blood filterability (wbf) was done in eleven patients bearing of sudden deafness, in a continuous way, even before clinical onset. | {
"entities": {
"disability": [
{
"text": "sudden deafness",
"start": 99,
"end": 114
}
]
}
} | [] |
This evaluation is making usually in animal models, but not in humans. | {
"entities": {}
} | [] |
Independently of clinical diagnosis of each patient (two cases of diabetes mellitus, one of ulcerative colitis, systemic lupus erythematosus, systemic hypertension, after blood transfusion, sepsis with disseminated intravascular coagulation, upper respiratory ways infection, after surgery, and two healthy individuals),... | {
"entities": {
"disability": [
{
"text": "hearing loss",
"start": 360,
"end": 372
}
]
}
} | [] |
This value normalized at six or seven days from the onset in cases with some kind of hearing recovery (18,83±1,01 ?l/sec, n=4), but did not in those with no improvement even at thirty days (17,39±0,77 ?l/sec, n=7). | {
"entities": {}
} | [] |
There were differences in wbf values of patients with and without hearing recovery in determinations at seven and thirty days from onset. | {
"entities": {}
} | [] |
Decrease in wbf accompanies this hearing disorder and confirms the cochlear microcirculation susceptibility to the impairment of blood viscoelastic properties. | {
"entities": {
"disability": [
{
"text": "hearing disorder",
"start": 33,
"end": 49
}
]
}
} | [] |
Abstract | {
"entities": {}
} | [] |
We show two atypical Cogan’s syndrome cases in forty-seven and fifty-six years old individuals. | {
"entities": {}
} | [] |
Characteristical symptoms of the syndrome were detected in both (interstitial keratitis, sensorineural deafness and vestibular dysfunction), but they could be considered as unusual because of the association of sistematic symptoms and an onset with hearing loss. | {
"entities": {
"disability": [
{
"text": "sensorineural deafness",
"start": 89,
"end": 111
},
{
"text": "hearing loss",
"start": 249,
"end": 261
}
]
}
} | [] |
In both cases there was an increase in erythrosedimentation rate and immunoglobulins leveles, as well as high titles for rheumatoid factor and non-specific autoantibodies. | {
"entities": {}
} | [] |
By means of a Western-blot technique, several choclear antibodies with distinct molecular weight were detected, but the 68 KD appeared in both. | {
"entities": {}
} | [] |
Metil-prednisolone treatmen did not avoid ocular and auditive reactivation in ne of the patients. | {
"entities": {}
} | [] |
Abstract | {
"entities": {}
} | [] |
A69-year-old woman presented with a one-year history of dysphagia and a hard overgrowth of the right palatine tonsil visible in oral examination. | {
"entities": {
"disability": [
{
"text": "dysphagia",
"start": 56,
"end": 65
}
]
}
} | [] |
Computerized Tomography scan showed a big calcified lesion inside the tonsil not seen in a pharyngoscopy. | {
"entities": {}
} | [] |
Tonsillectomy was performed and a giant tonsillolith was found inside the resected piece. | {
"entities": {}
} | [] |
The calculus was 3x2x2.3 cm and with an irregular-pyramidal shape. | {
"entities": {}
} | [] |
Normal tonsillar tissue with many colonies of Actionomyces inside the tonsillar crypts was the definitive pathological feature. | {
"entities": {}
} | [] |
Abstract | {
"entities": {}
} | [] |
Diabetes mellitus is considered a risk factor for sensorineural sudden deafness. | {
"entities": {
"disability": [
{
"text": "sensorineural sudden deafness",
"start": 50,
"end": 79
}
]
}
} | [] |
Its pathogenesis remains unknown. | {
"entities": {}
} | [] |
However, the physiopathological implication of a hyperviscosity syndrom in diabetics and patients bearing of sudden deafness can mean the nexus between the two entities. | {
"entities": {
"disability": [
{
"text": "sudden deafness",
"start": 109,
"end": 124
}
]
}
} | [] |
Total blood viscosity and erythrocyte adhesion were haemorheological parameters significatively higher in blood of diabetics with sudden deafness than in normal hearing controls. | {
"entities": {
"disability": [
{
"text": "sudden deafness",
"start": 130,
"end": 145
}
]
}
} | [] |
Moreover, erythrocyte filterability and deformability were lower in diabetics, but it was not statistically significative. | {
"entities": {}
} | [] |
These findings help to guide therapy in these patients towards specific measures to improve blood viscoelastic properties. | {
"entities": {}
} | [] |
Abstract | {
"entities": {}
} | [] |
We report two cases of sudden deafness which appeared during vaso-occlusive crisis of a sickle cell anaemia (homozygous form of disease) and a sickle cell trait (heterozygous form) in two males aged sixteen and twenty-two, respectively. | {
"entities": {
"disability": [
{
"text": "sudden deafness",
"start": 23,
"end": 38
}
]
}
} | [] |
A high erythrocyte aggregability and low deformability were proved in both young men. | {
"entities": {}
} | [] |
Although hearing disorders have been reported in this disease, a sudden onset is not common. | {
"entities": {
"disability": [
{
"text": "hearing disorders",
"start": 9,
"end": 26
}
]
}
} | [] |
The treatment used was useful in the removal of painful crisis and infections, but deafness did not improve in either of then. | {
"entities": {
"disability": [
{
"text": "deafness",
"start": 83,
"end": 91
}
]
}
} | [] |
Abstract | {
"entities": {}
} | [] |
Susac’s syndrome is an extremely rare clinical manifestation characterized by the triad of fluctuating sensorineural hearing loss, sudden visual loss and encephalopathy. | {
"entities": {
"disability": [
{
"text": "fluctuating sensorineural hearing loss",
"start": 91,
"end": 129
},
{
"text": "sudden visual loss",
"start": 131,
"end": 149
}
]
}
} | [] |
Probably subdiagnosed, it affects young women who start the clinical history with headache, visual and hearing disturbances, with neurological findings in MRI. | {
"entities": {
"disability": [
{
"text": "visual and hearing disturbances",
"start": 92,
"end": 123
}
]
}
} | [] |
With unknown aetiology, pathogenesis is based on arteriolar microinfarcts in retina, cochlea, and grey and white matter in the brain. | {
"entities": {}
} | [] |
Treatment is, as stated in the bibliography and our experience, intravenous high doses of steroids followed by oral steroids together with hyperbaric oxygen to minimize ischaemic lesions. | {
"entities": {}
} | [] |
Aspirin associatet to nimodipin has been useful to date in the treatment of our patient. | {
"entities": {}
} | [] |
We present a case and review the existing literature. | {
"entities": {}
} | [] |
Abstract | {
"entities": {}
} | [] |
This report describes a patient with Von Hippel-Lindau disease revealed by an endolymphatic sac tumor. | {
"entities": {}
} | [] |
Endolymphatic sac tumor (EST) was only recently recognized as a manifestation of Von Hippel-Lindau (VHL) disease. | {
"entities": {}
} | [] |
EST are vascular lesions that destroy and expand bone. | {
"entities": {}
} | [] |
We report a recently treated case of an EST. | {
"entities": {}
} | [] |
A 30-year-old woman presented with otalgia and hearing loss. | {
"entities": {
"disability": [
{
"text": "hearing loss",
"start": 47,
"end": 59
}
]
}
} | [] |
Computed tomography and magnetic resonance imaging showed typical features of an EST. | {
"entities": {}
} | [] |
We checked for VHL and found this disease in the patient. | {
"entities": {}
} | [] |
VHL disease is a hereditary cancer syndrome caused by germline mutations of the VHL tumor suppressor gene. | {
"entities": {}
} | [] |
A molecular diagnosis of VHL is nowadays available, and this has change the clinical management of patients and their families. | {
"entities": {}
} | [] |
Diagnosis of VHL has to be suspected in patients with a VHL-related tumor without familial history and especially in those cases of hemangioblastoma or endolymphatic sac tumors. | {
"entities": {}
} | [] |
Such patients should be systematically investigated for clinical and molecular evidence of VHL disease. | {
"entities": {}
} | [] |
Abstract | {
"entities": {}
} | [] |
Introduction | {
"entities": {}
} | [] |
Sensorineural deafness is a very common disorder in humans, which affects approximately 10% of the population. | {
"entities": {
"disability": [
{
"text": "Sensorineural deafness",
"start": 0,
"end": 22
}
]
}
} | [] |
Genetic causes are suggested to be responsible for more than half of the cases. | {
"entities": {}
} | [] |
The A1555G mutation in the mitochondrial 12S rRNA gene and the 35delG mutation in the GJB2 gene are the most common mutations for sensorineural deafness in the Spanish population. | {
"entities": {
"disability": [
{
"text": "sensorineural deafness",
"start": 130,
"end": 152
}
]
}
} | [] |
Methods | {
"entities": {}
} | [] |
A genetic study was carried out in order to determine the frequency of the mutations A1555G in the mitochondrial DNA and 35delG in the connexin-26 gene in 21 patients from 21 non-consanguineous unrelated families affected by late- onset bilateral non-syndromic sensorineural hearing loss from Cantabria. | {
"entities": {
"disability": [
{
"text": "late- onset bilateral non-syndromic sensorineural hearing loss",
"start": 225,
"end": 287
}
]
}
} | [] |
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