Παρασκευή 30 Ιουνίου 2017

Simultaneous masking between electric and acoustic stimulation in cochlear implant users with residual low-frequency hearing

Publication date: Available online 30 June 2017
Source:Hearing Research
Author(s): Benjamin Krüger, Andreas Büchner, Waldo Nogueira
Ipsilateral electric-acoustic stimulation (EAS) is becoming increasingly important in cochlear implant (CI) treatment. Improvements in electrode designs and surgical techniques have contributed to improved hearing preservation during implantation. Consequently, CI implantation criteria have been expanded toward people with significant residual low-frequency hearing, who may benefit from the combined use of both the electric and acoustic stimulation in the same ear. However, only few studies have investigated the mutual interaction between electric and acoustic stimulation modalities.This work characterizes the interaction between both stimulation modalities using psychophysical masking experiments and cone beam computer tomography (CBCT). Two psychophysical experiments for electric and acoustic masking were performed to measure the hearing threshold elevation of a probe stimulus in the presence of a masker stimulus. For electric masking, the probe stimulus was an acoustic tone while the masker stimulus was an electric pulse train. For acoustic masking, the probe stimulus was an electric pulse train and the masker stimulus was an acoustic tone.Five EAS users, implanted with a CI and ipsilateral residual low-frequency hearing, participated in the study. Masking was determined at different electrodes and different acoustic frequencies. CBCT scans were used to determine the individual place-pitch frequencies of the intracochlear electrode contacts by using the Stakhovskaya place-to-frequency transformation. This allows the characterization of masking as a function of the difference between electric and acoustic stimulation sites, which we term the electric-acoustic frequency difference (EAFD).The results demonstrate a significant elevation of detection thresholds for both experiments. In electric masking, acoustic-tone thresholds increased exponentially with decreasing EAFD. In contrast, for the acoustic masking experiment, threshold elevations were present regardless of the tested EAFDs. Based on the present findings, we conclude that there is an asymmetry between the electric and the acoustic masker modalities. These observations have implications for the design and fitting of EAS sound-coding strategies.



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Simultaneous masking between electric and acoustic stimulation in cochlear implant users with residual low-frequency hearing

Publication date: Available online 30 June 2017
Source:Hearing Research
Author(s): Benjamin Krüger, Andreas Büchner, Waldo Nogueira
Ipsilateral electric-acoustic stimulation (EAS) is becoming increasingly important in cochlear implant (CI) treatment. Improvements in electrode designs and surgical techniques have contributed to improved hearing preservation during implantation. Consequently, CI implantation criteria have been expanded toward people with significant residual low-frequency hearing, who may benefit from the combined use of both the electric and acoustic stimulation in the same ear. However, only few studies have investigated the mutual interaction between electric and acoustic stimulation modalities.This work characterizes the interaction between both stimulation modalities using psychophysical masking experiments and cone beam computer tomography (CBCT). Two psychophysical experiments for electric and acoustic masking were performed to measure the hearing threshold elevation of a probe stimulus in the presence of a masker stimulus. For electric masking, the probe stimulus was an acoustic tone while the masker stimulus was an electric pulse train. For acoustic masking, the probe stimulus was an electric pulse train and the masker stimulus was an acoustic tone.Five EAS users, implanted with a CI and ipsilateral residual low-frequency hearing, participated in the study. Masking was determined at different electrodes and different acoustic frequencies. CBCT scans were used to determine the individual place-pitch frequencies of the intracochlear electrode contacts by using the Stakhovskaya place-to-frequency transformation. This allows the characterization of masking as a function of the difference between electric and acoustic stimulation sites, which we term the electric-acoustic frequency difference (EAFD).The results demonstrate a significant elevation of detection thresholds for both experiments. In electric masking, acoustic-tone thresholds increased exponentially with decreasing EAFD. In contrast, for the acoustic masking experiment, threshold elevations were present regardless of the tested EAFDs. Based on the present findings, we conclude that there is an asymmetry between the electric and the acoustic masker modalities. These observations have implications for the design and fitting of EAS sound-coding strategies.



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Simultaneous masking between electric and acoustic stimulation in cochlear implant users with residual low-frequency hearing

S03785955.gif

Publication date: Available online 30 June 2017
Source:Hearing Research
Author(s): Benjamin Krüger, Andreas Büchner, Waldo Nogueira
Ipsilateral electric-acoustic stimulation (EAS) is becoming increasingly important in cochlear implant (CI) treatment. Improvements in electrode designs and surgical techniques have contributed to improved hearing preservation during implantation. Consequently, CI implantation criteria have been expanded toward people with significant residual low-frequency hearing, who may benefit from the combined use of both the electric and acoustic stimulation in the same ear. However, only few studies have investigated the mutual interaction between electric and acoustic stimulation modalities.This work characterizes the interaction between both stimulation modalities using psychophysical masking experiments and cone beam computer tomography (CBCT). Two psychophysical experiments for electric and acoustic masking were performed to measure the hearing threshold elevation of a probe stimulus in the presence of a masker stimulus. For electric masking, the probe stimulus was an acoustic tone while the masker stimulus was an electric pulse train. For acoustic masking, the probe stimulus was an electric pulse train and the masker stimulus was an acoustic tone.Five EAS users, implanted with a CI and ipsilateral residual low-frequency hearing, participated in the study. Masking was determined at different electrodes and different acoustic frequencies. CBCT scans were used to determine the individual place-pitch frequencies of the intracochlear electrode contacts by using the Stakhovskaya place-to-frequency transformation. This allows the characterization of masking as a function of the difference between electric and acoustic stimulation sites, which we term the electric-acoustic frequency difference (EAFD).The results demonstrate a significant elevation of detection thresholds for both experiments. In electric masking, acoustic-tone thresholds increased exponentially with decreasing EAFD. In contrast, for the acoustic masking experiment, threshold elevations were present regardless of the tested EAFDs. Based on the present findings, we conclude that there is an asymmetry between the electric and the acoustic masker modalities. These observations have implications for the design and fitting of EAS sound-coding strategies.



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Simultaneous masking between electric and acoustic stimulation in cochlear implant users with residual low-frequency hearing

S03785955.gif

Publication date: Available online 30 June 2017
Source:Hearing Research
Author(s): Benjamin Krüger, Andreas Büchner, Waldo Nogueira
Ipsilateral electric-acoustic stimulation (EAS) is becoming increasingly important in cochlear implant (CI) treatment. Improvements in electrode designs and surgical techniques have contributed to improved hearing preservation during implantation. Consequently, CI implantation criteria have been expanded toward people with significant residual low-frequency hearing, who may benefit from the combined use of both the electric and acoustic stimulation in the same ear. However, only few studies have investigated the mutual interaction between electric and acoustic stimulation modalities.This work characterizes the interaction between both stimulation modalities using psychophysical masking experiments and cone beam computer tomography (CBCT). Two psychophysical experiments for electric and acoustic masking were performed to measure the hearing threshold elevation of a probe stimulus in the presence of a masker stimulus. For electric masking, the probe stimulus was an acoustic tone while the masker stimulus was an electric pulse train. For acoustic masking, the probe stimulus was an electric pulse train and the masker stimulus was an acoustic tone.Five EAS users, implanted with a CI and ipsilateral residual low-frequency hearing, participated in the study. Masking was determined at different electrodes and different acoustic frequencies. CBCT scans were used to determine the individual place-pitch frequencies of the intracochlear electrode contacts by using the Stakhovskaya place-to-frequency transformation. This allows the characterization of masking as a function of the difference between electric and acoustic stimulation sites, which we term the electric-acoustic frequency difference (EAFD).The results demonstrate a significant elevation of detection thresholds for both experiments. In electric masking, acoustic-tone thresholds increased exponentially with decreasing EAFD. In contrast, for the acoustic masking experiment, threshold elevations were present regardless of the tested EAFDs. Based on the present findings, we conclude that there is an asymmetry between the electric and the acoustic masker modalities. These observations have implications for the design and fitting of EAS sound-coding strategies.



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Simultaneous masking between electric and acoustic stimulation in cochlear implant users with residual low-frequency hearing

S03785955.gif

Publication date: Available online 30 June 2017
Source:Hearing Research
Author(s): Benjamin Krüger, Andreas Büchner, Waldo Nogueira
Ipsilateral electric-acoustic stimulation (EAS) is becoming increasingly important in cochlear implant (CI) treatment. Improvements in electrode designs and surgical techniques have contributed to improved hearing preservation during implantation. Consequently, CI implantation criteria have been expanded toward people with significant residual low-frequency hearing, who may benefit from the combined use of both the electric and acoustic stimulation in the same ear. However, only few studies have investigated the mutual interaction between electric and acoustic stimulation modalities.This work characterizes the interaction between both stimulation modalities using psychophysical masking experiments and cone beam computer tomography (CBCT). Two psychophysical experiments for electric and acoustic masking were performed to measure the hearing threshold elevation of a probe stimulus in the presence of a masker stimulus. For electric masking, the probe stimulus was an acoustic tone while the masker stimulus was an electric pulse train. For acoustic masking, the probe stimulus was an electric pulse train and the masker stimulus was an acoustic tone.Five EAS users, implanted with a CI and ipsilateral residual low-frequency hearing, participated in the study. Masking was determined at different electrodes and different acoustic frequencies. CBCT scans were used to determine the individual place-pitch frequencies of the intracochlear electrode contacts by using the Stakhovskaya place-to-frequency transformation. This allows the characterization of masking as a function of the difference between electric and acoustic stimulation sites, which we term the electric-acoustic frequency difference (EAFD).The results demonstrate a significant elevation of detection thresholds for both experiments. In electric masking, acoustic-tone thresholds increased exponentially with decreasing EAFD. In contrast, for the acoustic masking experiment, threshold elevations were present regardless of the tested EAFDs. Based on the present findings, we conclude that there is an asymmetry between the electric and the acoustic masker modalities. These observations have implications for the design and fitting of EAS sound-coding strategies.



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Regulation of KCNQ/Kv7 family voltage-gated K(+) channels by lipids.

http:--linkinghub.elsevier.com-ihub-imag Related Articles

Regulation of KCNQ/Kv7 family voltage-gated K(+) channels by lipids.

Biochim Biophys Acta. 2017 04;1859(4):586-597

Authors: Taylor KC, Sanders CR

Abstract
Many years of studies have established that lipids can impact membrane protein structure and function through bulk membrane effects, by direct but transient annular interactions with the bilayer-exposed surface of protein transmembrane domains, and by specific binding to protein sites. Here, we focus on how phosphatidylinositol 4,5-bisphosphate (PIP2) and polyunsaturated fatty acids (PUFAs) impact ion channel function and how the structural details of the interactions of these lipids with ion channels are beginning to emerge. We focus on the Kv7 (KCNQ) subfamily of voltage-gated K(+) channels, which are regulated by both PIP2 and PUFAs and play a variety of important roles in human health and disease. This article is part of a Special Issue entitled: Lipid order/lipid defects and lipid-control of protein activity edited by Dirk Schneider.

PMID: 27818172 [PubMed - indexed for MEDLINE]



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Language and False-Belief Task Performance in Children With Autism Spectrum Disorder

Purpose
Language is related to false-belief (FB) understanding in both typically developing children and children with autism spectrum disorder (ASD). The current study examined the role of complementation and general language in FB understanding. Of interest was whether language plays similar or different roles in the groups' FB performance.
Method
Participants were 16 typically developing children (mean age = 5.0 years; mental age = 6.7) and 18 with ASD (mean age = 7.3 years; mental age = 8.3). Children were administered FB and language tasks (say- and think-complements), receptive and expressive vocabulary tests, and relative clauses.
Results
When mental age and receptive and expressive vocabulary were used as separate covariates, the typical control group outperformed the children with ASD in FB task performance. Chi-square analyses indicated that passing both complementation tasks was linked to the FB understanding of children with ASD. Children with ASD who passed FB tasks all passed say- and think-complement tasks. However, some children in the control group were able to pass the FB tasks, even if they failed the say- and think-complement tasks.
Conclusion
The results indicate that children with ASD relied more on complement understanding to pass FB than typically developing children. Results are discussed regarding the developmental pathways for FB understanding.

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Polysyllable Speech Accuracy and Predictors of Later Literacy Development in Preschool Children With Speech Sound Disorders

Purpose
The aim of this study was to determine if polysyllable accuracy in preschoolers with speech sound disorders (SSD) was related to known predictors of later literacy development: phonological processing, receptive vocabulary, and print knowledge. Polysyllables—words of three or more syllables—are important to consider because unlike monosyllables, polysyllables have been associated with phonological processing and literacy difficulties in school-aged children. They therefore have the potential to help identify preschoolers most at risk of future literacy difficulties.
Method
Participants were 93 preschool children with SSD from the Sound Start Study. Participants completed the Polysyllable Preschool Test (Baker, 2013) as well as phonological processing, receptive vocabulary, and print knowledge tasks.
Results
Cluster analysis was completed, and 2 clusters were identified: low polysyllable accuracy and moderate polysyllable accuracy. The clusters were significantly different based on 2 measures of phonological awareness and measures of receptive vocabulary, rapid naming, and digit span. The clusters were not significantly different on sound matching accuracy or letter, sound, or print concept knowledge.
Conclusions
The participants' poor performance on print knowledge tasks suggested that as a group, they were at risk of literacy difficulties but that there was a cluster of participants at greater risk—those with both low polysyllable accuracy and poor phonological processing.

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Oticon Expands Opn Options and Hearing Resources for Teens

Oticon Opn.jpgOticon (https://www.oticon.com/) has added DSL rationale and a new miniRITE-T with telecoil for FM access to their Opn products for teenage hearing aid users, which they tout as their best assistive technology option for this population. The wireless technology featured in the discreet miniRITE-T design with a telecoil and double-push button can be used wherever a loop system is installed, and delivers sound directly to the users' hearing aids. The Oticon Opn is equipped with an OpenSound Navigator, which provides an open sound experience, allowing its user to focus on a conversation while staying attentive to people and things around them so they can switch focus quickly and easily. Teenage users can also connect to their favorite devices like their iPhones for direct streaming via their Bluetooth-enabled Opn hearing aids.​

Oticon is also partnering with the Ida Institute to promote Telecare for Teens, a suite of easy-to-use online tools and resources that help teens self-mange and make more independent judgments about their hearing health care (http://ift.tt/2sZyZT8). These tools are designed for hearing care professionals to share with their teenage patients to help them prepare for appointments and make counseling more efficient. Audiologists can use these tools to identify communication needs and concerns and guide support for teens.

 

Published: 6/30/2017 10:10:00 AM


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Language and False-Belief Task Performance in Children With Autism Spectrum Disorder

Purpose
Language is related to false-belief (FB) understanding in both typically developing children and children with autism spectrum disorder (ASD). The current study examined the role of complementation and general language in FB understanding. Of interest was whether language plays similar or different roles in the groups' FB performance.
Method
Participants were 16 typically developing children (mean age = 5.0 years; mental age = 6.7) and 18 with ASD (mean age = 7.3 years; mental age = 8.3). Children were administered FB and language tasks (say- and think-complements), receptive and expressive vocabulary tests, and relative clauses.
Results
When mental age and receptive and expressive vocabulary were used as separate covariates, the typical control group outperformed the children with ASD in FB task performance. Chi-square analyses indicated that passing both complementation tasks was linked to the FB understanding of children with ASD. Children with ASD who passed FB tasks all passed say- and think-complement tasks. However, some children in the control group were able to pass the FB tasks, even if they failed the say- and think-complement tasks.
Conclusion
The results indicate that children with ASD relied more on complement understanding to pass FB than typically developing children. Results are discussed regarding the developmental pathways for FB understanding.

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Polysyllable Speech Accuracy and Predictors of Later Literacy Development in Preschool Children With Speech Sound Disorders

Purpose
The aim of this study was to determine if polysyllable accuracy in preschoolers with speech sound disorders (SSD) was related to known predictors of later literacy development: phonological processing, receptive vocabulary, and print knowledge. Polysyllables—words of three or more syllables—are important to consider because unlike monosyllables, polysyllables have been associated with phonological processing and literacy difficulties in school-aged children. They therefore have the potential to help identify preschoolers most at risk of future literacy difficulties.
Method
Participants were 93 preschool children with SSD from the Sound Start Study. Participants completed the Polysyllable Preschool Test (Baker, 2013) as well as phonological processing, receptive vocabulary, and print knowledge tasks.
Results
Cluster analysis was completed, and 2 clusters were identified: low polysyllable accuracy and moderate polysyllable accuracy. The clusters were significantly different based on 2 measures of phonological awareness and measures of receptive vocabulary, rapid naming, and digit span. The clusters were not significantly different on sound matching accuracy or letter, sound, or print concept knowledge.
Conclusions
The participants' poor performance on print knowledge tasks suggested that as a group, they were at risk of literacy difficulties but that there was a cluster of participants at greater risk—those with both low polysyllable accuracy and poor phonological processing.

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Language and False-Belief Task Performance in Children With Autism Spectrum Disorder

Purpose
Language is related to false-belief (FB) understanding in both typically developing children and children with autism spectrum disorder (ASD). The current study examined the role of complementation and general language in FB understanding. Of interest was whether language plays similar or different roles in the groups' FB performance.
Method
Participants were 16 typically developing children (mean age = 5.0 years; mental age = 6.7) and 18 with ASD (mean age = 7.3 years; mental age = 8.3). Children were administered FB and language tasks (say- and think-complements), receptive and expressive vocabulary tests, and relative clauses.
Results
When mental age and receptive and expressive vocabulary were used as separate covariates, the typical control group outperformed the children with ASD in FB task performance. Chi-square analyses indicated that passing both complementation tasks was linked to the FB understanding of children with ASD. Children with ASD who passed FB tasks all passed say- and think-complement tasks. However, some children in the control group were able to pass the FB tasks, even if they failed the say- and think-complement tasks.
Conclusion
The results indicate that children with ASD relied more on complement understanding to pass FB than typically developing children. Results are discussed regarding the developmental pathways for FB understanding.

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Polysyllable Speech Accuracy and Predictors of Later Literacy Development in Preschool Children With Speech Sound Disorders

Purpose
The aim of this study was to determine if polysyllable accuracy in preschoolers with speech sound disorders (SSD) was related to known predictors of later literacy development: phonological processing, receptive vocabulary, and print knowledge. Polysyllables—words of three or more syllables—are important to consider because unlike monosyllables, polysyllables have been associated with phonological processing and literacy difficulties in school-aged children. They therefore have the potential to help identify preschoolers most at risk of future literacy difficulties.
Method
Participants were 93 preschool children with SSD from the Sound Start Study. Participants completed the Polysyllable Preschool Test (Baker, 2013) as well as phonological processing, receptive vocabulary, and print knowledge tasks.
Results
Cluster analysis was completed, and 2 clusters were identified: low polysyllable accuracy and moderate polysyllable accuracy. The clusters were significantly different based on 2 measures of phonological awareness and measures of receptive vocabulary, rapid naming, and digit span. The clusters were not significantly different on sound matching accuracy or letter, sound, or print concept knowledge.
Conclusions
The participants' poor performance on print knowledge tasks suggested that as a group, they were at risk of literacy difficulties but that there was a cluster of participants at greater risk—those with both low polysyllable accuracy and poor phonological processing.

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Oticon Expands Opn Options and Hearing Resources for Teens

Oticon Opn.jpgOticon (https://www.oticon.com/) has added DSL rationale and a new miniRITE-T with telecoil for FM access to their Opn products for teenage hearing aid users, which they tout as their best assistive technology option for this population. The wireless technology featured in the discreet miniRITE-T design with a telecoil and double-push button can be used wherever a loop system is installed, and delivers sound directly to the users' hearing aids. The Oticon Opn is equipped with an OpenSound Navigator, which provides an open sound experience, allowing its user to focus on a conversation while staying attentive to people and things around them so they can switch focus quickly and easily. Teenage users can also connect to their favorite devices like their iPhones for direct streaming via their Bluetooth-enabled Opn hearing aids.​

Oticon is also partnering with the Ida Institute to promote Telecare for Teens, a suite of easy-to-use online tools and resources that help teens self-mange and make more independent judgments about their hearing health care (http://ift.tt/2sZyZT8). These tools are designed for hearing care professionals to share with their teenage patients to help them prepare for appointments and make counseling more efficient. Audiologists can use these tools to identify communication needs and concerns and guide support for teens.

 

Published: 6/30/2017 10:10:00 AM


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Oticon Expands Opn Options and Hearing Resources for Teens

Oticon Opn.jpgOticon (https://www.oticon.com/) has added DSL rationale and a new miniRITE-T with telecoil for FM access to their Opn products for teenage hearing aid users, which they tout as their best assistive technology option for this population. The wireless technology featured in the discreet miniRITE-T design with a telecoil and double-push button can be used wherever a loop system is installed, and delivers sound directly to the users' hearing aids. The Oticon Opn is equipped with an OpenSound Navigator, which provides an open sound experience, allowing its user to focus on a conversation while staying attentive to people and things around them so they can switch focus quickly and easily. Teenage users can also connect to their favorite devices like their iPhones for direct streaming via their Bluetooth-enabled Opn hearing aids.​

Oticon is also partnering with the Ida Institute to promote Telecare for Teens, a suite of easy-to-use online tools and resources that help teens self-mange and make more independent judgments about their hearing health care (http://ift.tt/2sZyZT8). These tools are designed for hearing care professionals to share with their teenage patients to help them prepare for appointments and make counseling more efficient. Audiologists can use these tools to identify communication needs and concerns and guide support for teens.

 

Published: 6/30/2017 10:10:00 AM


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Vanderbilt Audiology Journal Club - Bilateral Peripheral Vestibular System Impairment

A review of articles on the topic of bilateral vestibular hypofunction and failure.

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Vanderbilt Audiology Journal Club - Bilateral Peripheral Vestibular System Impairment

A review of articles on the topic of bilateral vestibular hypofunction and failure.

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Vanderbilt Audiology Journal Club - Bilateral Peripheral Vestibular System Impairment

A review of articles on the topic of bilateral vestibular hypofunction and failure.

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Influence of Sex and Age on Posterior Semicircular Canal Thickness

Objective: The aim of this study is to determine whether sex and age influence posterior semicircular canal (PSC) thickness. Methods: This observational study was conducted in 3 tertiary hospitals. The minimal distance between the PSC and the posterior cranial fossa (PSC thickness) was estimated by thin-section multidetector row computed axial tomography (CAT) scan of the temporal bones. Nonselected consecutive patients of all ages (607 temporal bones) were considered. Results: A significant effect was only detected for sex (F = 5.418, p = 0.020); PSC thickness showed a higher mean value in women (mean difference ± SE: 0.224 ± 0.096 mm). A significant and negative r value was detected for males aged >45 years (-0.173, p = 0.026); in that group of patients, PSC thickness decreased as age increased (0.018 ± 0.008 mm/year). For females aged ≤45 years, a significant and positive r value was found (0.198, p = 0.022); in that group, PSC thickness increased as age increased (0.020 ± 0.008 mm/year). Conclusions: PSC thickness did not significantly evolve with age in young males (≤45 years) but it decreased from age 45 years onwards. On the other hand, PCS thickness increased with age in women until the age of 45 years and it did not significantly change in older females.
Audiol Neurotol 2017;22:56-59

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Medicine A


15:57
Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolaos,Crete 72100,Greece,tel :00302841026
Obstructive sleep apnea in postmenopausal women: a comparative study using drug induced sleep endoscopy
 
Abstract Introduction: The key to successful treatment of OSAS is to individually tailor such treatment. Thus, it is very important to determine the severity of OSAS, its pattern, and the extent of collapse, by gender, age, and BMI. Objective: The objective of the study was to understand the characteristics...
15:57
Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolaos,Crete 72100,Greece,tel :00302841026
Comparison of microRNA profiles between benign and malignant salivary gland tumors in tissue, blood and saliva samples: a prospective, case-control study
 
Abstract Introduction: Salivary gland tumors (SGTs) are rare head and neck malignancies consisting of a spectrum of tumors with different biological behaviors. Objective: In this study we aimed to find out differential expression of microRNA profiles between benign and malignant SGTs. Methods: We investigated...
15:57
Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolaos,Crete 72100,Greece,tel :00302841026
The role of facial canal diameter in the pathogenesis and grade of Bell's palsy: a study by high resolution computed tomography
 
Abstract Introduction: The exact etiology of Bell's palsy still remains obscure. The only authenticated finding is inflammation and edema of the facial nerve leading to entrapment inside the facial canal. Objective: To identify if there is any relationship between the grade of Bell's palsy and diameter...
15:57
Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolaos,Crete 72100,Greece,tel :00302841026
Airway reconstruction: review of an approach to the advanced-stage laryngotracheal stenosis
 
Abstract Introduction: The management of laryngotracheal stenosis is complex and is influenced by multiple factors that can affect the ultimate outcome. Advanced lesions represent a special challenge to the treating surgeon to find the best remedying technique. Objective: To review the efficacy of our...
15:57
Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolaos,Crete 72100,Greece,tel :00302841026
Ophthalmic complications of endoscopic sinus surgery
 
Abstract Introduction: The proximity of the paranasal sinuses to the orbit and its contents allows the occurence of injuries in both primary or revision surgery. The majority of orbital complications are minor. The major complications are seen in 0.01-2.25% and some of them can be serious, leading to...
15:57
Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolaos,Crete 72100,Greece,tel :00302841026
LS CE-Chirp® vs. Click in the neuroaudiological diagnosis by ABR
 
Abstract Introduction: The chirp stimulus was developed seeking to counterbalance the delay of the sound wave on its journey through the cochlea, allowing the hair cells to depolarize at the same time. The result is a simultaneous stimulation providing better neural synchrony and, consequently, the recording...
15:57
Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolaos,Crete 72100,Greece,tel :00302841026
Ethics is the best professional policy
 
Abstract Introduction: The relationship between gastroesophageal reflux disease (GERD) and chronic rhinosinusitis (CRS) is still a controversial issue in literature. Objective: A systematic review of the association between these two diseases in adult patients. Methods: Systematic review in PubMed and...
15:57
Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolaos,Crete 72100,Greece,tel :00302841026
Combined ocular and cervical vestibular evoked myogenic potential in individuals with vestibular hyporeflexia and in patients with Ménière's disease,
 
Abstract Introduction: The vestibular evoked myogenic potential is a potential of mean latency that measures the muscle response to auditory stimulation. This potential can be generated from the contraction of the sternocleidomastoid muscle and also from the contraction of extraocular muscles in response...
15:57
Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolaos,Crete 72100,Greece,tel :00302841026
Deep neck abscesses: study of 101 cases
 
Abstract Introduction: Although the incidence of Deep Cervical Abscess (DCA) has decreased mainly for the availability of antibiotics, this infection still occurs with considerable frequency and can be associated with high morbidity and mortality. Objective: This study aimed to present our clinical-surgical...
15:57
Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolaos,Crete 72100,Greece,tel :00302841026
Relation between chronic rhinosinusitis and gastroesophageal reflux in adults: systematic review
 
Abstract Introduction: The relationship between gastroesophageal reflux disease (GERD) and chronic rhinosinusitis (CRS) is still a controversial issue in literature. Objective: A systematic review of the association between these two diseases in adult patients. Methods: Systematic review in PubMed and...
15:57
Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolaos,Crete 72100,Greece,tel :00302841026
Postoperative otorhinolaryngologic complications in transnasal endoscopic surgery to access the skull base
 
Abstract Introduction: The large increase in the number of transnasal endoscopic skull base surgeries is a consequence of greater knowledge of the anatomic region, the development of specific materials and instruments, and especially the use of the nasoseptal flap as a barrier between the sinus tract...
15:57
Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolaos,Crete 72100,Greece,tel :00302841026
Vertebral artery dissection: an important differential diagnosis of vertigo
 
Abstract Introduction: The relationship between gastroesophageal reflux disease (GERD) and chronic rhinosinusitis (CRS) is still a controversial issue in literature. Objective: A systematic review of the association between these two diseases in adult patients. Methods: Systematic review in PubMed and...
15:57
Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolaos,Crete 72100,Greece,tel :00302841026
First branchial cleft fistula: a difficult challenge
 
Abstract Introduction: The relationship between gastroesophageal reflux disease (GERD) and chronic rhinosinusitis (CRS) is still a controversial issue in literature. Objective: A systematic review of the association between these two diseases in adult patients. Methods: Systematic review in PubMed and...
15:56
OtorhinolaryngologySfakianakis
Lower limb kinematics during the swing phase in patients with knee osteoarthritis measured using an inertial sensor
 
Publication date: September 2017Source:Gait & Posture, Volume 57 Author(s): Kenji Tanimoto, Makoto Takahashi, Kazuki Tokuda, Tomonori Sawada, Masaya Anan, Koichi Shinkoda BackgroundDuring gait, the swing limb requires flexible control to adapt to ever changing environmental circumstances. However,...
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OtoRhinoLaryngology by Alexandros G.Sfakianakis
Efficacy of a standardized extract of Matricariae chamomilla L., Melissa officinalis L. and tyndallized Lactobacillus acidophilus (HA122) in infantile colic: An open randomized controlled trial
 
Abstract Background Infant colic (IC) is a prevalent physiological event of infants, which can disrupt the child's home environment. We aimed to investigate the effectiveness of a mixture of Matricariae chamomilla L., Melissa officinalis L. and tyndallized Lactobacillus acidophilus (HA122) compared...
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ΩΡΛ Ιατρικά Άρθρα απ' το Μελετητή
Scholar : The American Journal of Bioethics, Volume 17, Issue 7, July 2017 is now available online on Taylor & Francis Online
 
The online platform for Taylor & Francis Online content The American Journal of Bioethics, Volume 17, Issue 7, July 2017 is now available online on Taylor & Francis Online. This new issue contains the following articles: Guest Editorial Modernizing...
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Medicine by Sfakianakis Alexandros
Seeing the soil through the net: an eye-opener on the soil map of the Flemish region (Belgium)
 
A systematic soil survey of Belgium was conducted from 1948 to 1991. Field surveys were done at the detailed scale of 1:5000 with the final maps published at a 1:20,000 scale. The legend of these detailed soil maps (scale 1:20,000) has been converted to the 3rd edition of the international soil classification...
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Medicine by Sfakianakis Alexandros
Identification of candidate oncogenes and chromosomal breakpoint sequencing by targeted locus amplification in T-cell acute lymphoblastic leukemia
 
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Medicine by Sfakianakis Alexandros
Comparison between FLT3-ITD measurements based on RNA and DNA of childhood myeloid leukemia samples
 
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Medicine by Sfakianakis Alexandros
The long non-coding RNA H19 is regulated by LIN28B
 
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Medicine by Sfakianakis Alexandros
Morphology and spatial patterns of Macrotermes mounds in the SE Katanga, D.R. Congo
 
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Medicine by Sfakianakis Alexandros
Delineating the roles of lysine 27 methylation-associated epigenetic modulators in T cell leukemia
 
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Ιατρικά Άρθρα Αλέξανδρος Γ. Σφακιανάκης
Sporotrichosis: Update on Diagnostic Techniques
 
Abstract Purpose of Review Sporotrichosis, the disease caused by Sporothrix spp, ranges from subcutaneous infections to the severe disseminated or invasive diseases. The taxonomy of Sporothrix has been revised. The subcutaneous disease is suspected easily, but the extra-cutaneous disease is diagnosed...
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Medicine Sfakianakis G. Alexandros
Toll like Receptor 2 engagement on CD4+ T cells promotes TH9 differentiation and function
 
We have recently demonstrated that mycobacterial ligands engage Toll like receptor 2 (TLR2) on CD4+ T cells and up-regulate T-cell receptor (TCR) triggered Th1 responses in vitro and in vivo. To better understand the role of T-cell expressed TLR2 on CD4+ T-cell differentiation and function, we conducted...
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Medicine Sfakianakis G. Alexandros
Extracellular vesicles mediate intercellular communication: Transfer of functionally active microRNAs by microvesicles into phagocytes
 
Cell activation and apoptosis lead to the formation of extracellular vesicles (EVs) such as exosomes or microvesicles (MVs). EVs have been shown to modulate immune responses; recently, MVs were described to carry microRNA (miRNA) and a role for MVs in the pathogenesis of autoimmune diseases has been...
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OtorhinolaryngologySfakianakis
Preparation and characterization of bioadhesive system containing hypericin for local photodynamic therapy
 
Publication date: Available online 29 June 2017Source:Photodiagnosis and Photodynamic Therapy Author(s): Fernanda Belincanta Borghi-Pangoni, Mariana Volpato Junqueira, Sabrina Barbosa de Souza Ferreira, Larissa Lachi Silva, Bruno Ribeiro Rabello, Lidiane Vizioli de Castro, Mauro Luciano Baesso, Andréa...
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Cancer by Sfakianakis G.Alexandros
Dickkopf-4 is frequently overexpressed in epithelial ovarian carcinoma and promotes tumor invasion
 
Abstract Background Dickkopf-4 (DKK4), a member of DKK family, appears to be a divergent protein. It remained multi-biological functions in carcinogenesis. The effect of DKK4 on the ovarian cancer cells remains unclear. This study...
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Cancer by Sfakianakis G.Alexandros
Optimizing the treatment of bevacizumab as first-line therapy for human epidermal growth factor receptor 2 (HER2)-negative advanced breast cancer: an updated meta-analysis of published randomized trials
 
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Cancer by Sfakianakis G.Alexandros
Clinical importance of serum HE4 and MMP2 levels in endometrial cancer patients
 
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Cancer by Sfakianakis G.Alexandros
Phase I dose-escalation study of long-acting pasireotide in patients with neuroendocrine tumors
 
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Cancer by Sfakianakis G.Alexandros
Patients harboring ALK rearrangement adenocarcinoma after acquired resistance to crizotinib and transformation to small-cell lung cancer: a case report
 
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Cancer by Sfakianakis G.Alexandros
RE: "RISK PREDICTION FOR EPITHELIAL OVARIAN CANCER IN 11 UNITED STATES–BASED CASE-CONTROL STUDIES: INCORPORATION OF EPIDEMIOLOGIC RISK FACTORS AND 17 CONFIRMED GENETIC LOCI"
 
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Cancer by Sfakianakis G.Alexandros
Protecting Confidentiality in Cancer Registry Data With Geographic Identifiers
 
AbstractThe National Cancer Institute's Surveillance, Epidemiology, and End Results Program releases research files of cancer registry data. These files include geographic information at the county level, but no finer. Access to finer geography, such as census tract identifiers, would enable richer analyses—for...
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Cancer by Sfakianakis G.Alexandros
RE: "ASSOCIATIONS OF ACCELEROMETRY-ASSESSED AND SELF-REPORTED PHYSICAL ACTIVITY AND SEDENTARY BEHAVIOR WITH ALL-CAUSE AND CARDIOVASCULAR MORTALITY AMONG US ADULTS"
 
In the article "Associations of Accelerometry-Assessed and Self-Reported Physical Activity and Sedentary Behavior With All-Cause and Cardiovascular Mortality Among US Adults" by Evenson et al. (1), the units of measure for screen time were incorrectly listed as hours/week and MET-hours/week in Tables...
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Cancer by Sfakianakis G.Alexandros
Skin Pigmentation and Risk of Hearing Loss in Women
 
AbstractBlack individuals have a lower risk of hearing loss than do whites, possibly because of differences in cochlear melanocytes. Previous studies have suggested that darker-skinned individuals tend to have more inner ear melanin, and cochlear melanocytes are important in generating the endocochlear...
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Cancer by Sfakianakis G.Alexandros
RE: "MULTI-SITE CLINICAL ASSESSMENT OF MYALGIC ENCEPHALOMYELITIS/CHRONIC FATIGUE SYNDROME (MCAM): DESIGN AND IMPLEMENTATION OF A PROSPECTIVE/RETROSPECTIVE ROLLING COHORT STUDY"
 
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Cancer by Sfakianakis G.Alexandros
Association Between Serum Tumor Necrosis Factor Receptor 1 and Trajectories of Functional Status The Northern Manhattan Study
 
AbstractWe hypothesized that tumor necrosis factor receptor 1 (TNFR1) levels are associated with long-term trajectories of functional status independently of vascular risk factors and the occurrence of stroke and myocardial infarction (MI) during follow-up. In the Northern Manhattan Study, stroke-free...
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Cancer by Sfakianakis G.Alexandros
Cigarette Smoking and Risk of Incident Rosacea in Women
 
AbstractThe relationship between smoking and rosacea is poorly understood. We aimed to conduct the first cohort study to determine the association between smoking and risk of incident rosacea. We included 95,809 women from Nurses' Health Study II (1991–2005). Information on smoking was collected biennially...
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Cancer by Sfakianakis G.Alexandros
Modeling Seasonal and Spatiotemporal Variation: The Example of Respiratory Prescribing
 
AbstractMany measures of chronic diseases, including respiratory disease, exhibit seasonal variation together with residual correlation between consecutive time periods and neighboring areas. We demonstrate a strategy for modeling data that exhibit both seasonal trend and spatiotemporal correlation,...
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Cancer by Sfakianakis G.Alexandros
Time-Dependent Associations Between Body Composition, Physical Activity, and Current Asthma in Women: A Marginal Structural Modeling Analysis
 
AbstractThe role of obesity in adult asthma is well-known and has been partly attributed to a confounding role of physical inactivity. However, the interrelationships between obesity, physical activity, and asthma have been incompletely addressed, probably because their time-dependent and bidirectional...
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Cancer by Sfakianakis G.Alexandros
Original Findings and Updated Meta-Analysis for the Association Between Maternal Diabetes and Risk for Congenital Heart Disease Phenotypes
 
AbstractMaternal diabetes is associated with congenital heart defects (CHDs) as a group, but few studies have assessed risk for specific CHD phenotypes. We analyzed these relationships using data from the Texas Birth Defects Registry and statewide vital records for deliveries taking place in 1999–2009...
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Cancer by Sfakianakis G.Alexandros
RE: "RESPONSE AND FOLLOW-UP BIAS IN COHORT STUDIES"
 
In the article "Response and Follow-up Bias in Cohort Studies" by Greenland (1), there is a missing decimal point in the first footnote of Table 3. The risk ratio of 70 should be 0.70. from Cancer via xlomafota13 on Inoreader http://ift.tt/2trLoQR via IFTTT
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OtoRhinoLaryngology - Head and Neck Surgery
Neuropsychiatry phenotype in asthma: Psychological stress-induced alterations of the neuroendocrine-immune system in allergic airway inflammation
 
Publication date: Available online 29 June 2017Source:Allergology International Author(s): Isao OhnoSince the recognition of asthma as a syndrome with complex pathophysiological signs and symptoms, recent research has sought to classify asthma phenotypes based on its clinical and molecular pathological...
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OtoRhinoLaryngology - Head and Neck Surgery
CME Activities Calendar
 
▪ AAAAI QCDR for Practice Improvement 2017http://ift.tt/2t8oxr3
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OtoRhinoLaryngology - Head and Neck Surgery
Cover 1
 
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OtoRhinoLaryngology - Head and Neck Surgery
News & Notes
 
Are you seeking additional training in the causes and mechanisms of atopic and contact dermatitis? Need to enhance your overall hands-on skills to accurately apply patch tests and interpret the results? Mark your calendar for the new, live course "Eczema and Contact Dermatitis in the Allergy/Immunology...
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OtoRhinoLaryngology - Head and Neck Surgery
Brief Overview of This Month's JACI
 
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OtoRhinoLaryngology - Head and Neck Surgery
News Beyond Our Pages
 
Infection with respiratory syncytial virus (RSV) during infancy has been linked to increased risk for later onset of asthma. Additionally, prophylactic use within the first year of life of palivizumab, an mAb directed against the RSV fusion glycoprotein, protects against chronic wheezing through the...
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OtoRhinoLaryngology - Head and Neck Surgery
An exposome perspective: Early-life events and immune development in a changing world
 
Advances in metagenomics, proteomics, metabolomics, and systems biology are providing a new emphasis in research; interdisciplinary work suggests that personalized medicine is on the horizon. These advances are illuminating sophisticated interactions between human-associated microbes and the immune system....
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OtoRhinoLaryngology - Head and Neck Surgery
The environment, epigenome, and asthma
 
Asthma prevalence has been on the increase, especially in North America compared with other continents. However, the prevalence of asthma differs worldwide, and in many countries the prevalence is stable or decreasing. This highlights the influence of environmental exposures, such as allergens, air pollution,...
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OtoRhinoLaryngology - Head and Neck Surgery
Environmental determinants of allergy and asthma in early life
 
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OtoRhinoLaryngology - Head and Neck Surgery
The Editors' Choice
 
Perturbations or "dysbiosis" of the bronchial microbiota have been implicated in the pathogenesis of asthma. However, it remains unclear whether reported differences are reflective of atopy, a common comorbidity of asthma. In a National Heart, Lung, and Blood Institute AsthmaNet study of well-characterized...
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OtoRhinoLaryngology - Head and Neck Surgery
The Journal of Allergy and Clinical Immunology: An update on style and substance
 
Our stewardship of the Journal of Allergy and Clinical Immunology (JACI) is now in its sophomore year.1 In this short time, we have had the privilege of working with our authors and readers and have endeavored to respond to your concerns and suggestions. We have instituted several changes in our quest...
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OtoRhinoLaryngology - Head and Neck Surgery
Information for Readers
 
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OtoRhinoLaryngology - Head and Neck Surgery
Correction
 
With regard to the article in the July 2016 issue entitled "Diminution of signal transducer and activator of transcription 3 signaling inhibits vascular permeability and anaphylaxis" (J Allergy Clin Immunol 2016;138:187-99), it has been brought to the Editors' attention that Fig 1 was incorrect as printed....
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OtoRhinoLaryngology - Head and Neck Surgery
Table of Contents
 
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OtoRhinoLaryngology - Head and Neck Surgery
Editorial Board
 
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174
Cells, Vol. 6, Pages 17: Standard Immunohistochemical Assays to Assess Autophagy in Mammalian Tissue
 
Autophagy is a highly conserved lysosomal degradation pathway with major impact on diverse human pathologies. Despite the development of different methodologies to detect autophagy both in vitro and in vivo, monitoring autophagy in tissue via immunohistochemical techniques is hampered due to the lack...
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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00306932607174
Increase in Hospital Discharges for Inflammatory Bowel Diseases in Chile Between 2001 and 2012
 
Abstract Aim To determine the number of annual hospital discharges for inflammatory bowel diseases in Chile. The hypothesis is that there is a significant increase in the hospital discharges due to this disease from 2001 to 2012. Materials and Methods This is a descriptive study. Data were obtained...
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Head and Neck Diseases by Alexandros G.Sfakianakis
Evolution of Spitz Nevi
 
Abstract Background/Objectives Spitz nevi are melanocytic lesions with clinical, dermoscopic, and histopathologic presentations that may resemble those of melanoma. The evolution of Spitz nevi is a well-known feature. The objectives of this study were to investigate the clinical and dermoscopic...
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Medicine by Alexandros G.Sfakianakis,Anapafseos 5 Agios Nikolao
Photo-Induced Bending Behavior of Post-Crosslinked Liquid Crystalline Polymer/Polyurethane Blend Films
 
Photoresponsive blend films with post-crosslinked liquid crystalline polymer (CLCP) as a...
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Emergency Medicine by Alexandros G. Sfakianakis
Prehospital parameters can help to predict coagulopathy and massive transfusion in trauma patients
 
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15:40
Emergency Medicine by Alexandros G. Sfakianakis
US Senate health bill would decimate long-term care coverage
 
Reuters Health Newsfrom Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2trExqr
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Emergency Medicine by Alexandros G. Sfakianakis
Reconstruction of AAOS type III and IV acetabular defects with the Ganz reinforcement ring: High failure in pelvic discontinuity
 
Archives of Orthopaedic and Trauma Surgeryfrom Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2tryi63
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Emergency Medicine by Alexandros G. Sfakianakis
Cancer researchers may overestimate reliability of mouse studies
 
Reuters Health Newsfrom Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2s8LGrN
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Emergency Medicine by Alexandros G. Sfakianakis
Concussion assessment recommendations not followed during last World Cup, research finds
 
St. Michael's Hospitalfrom Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2s8Cp3f
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Emergency Medicine by Alexandros G. Sfakianakis
Smoking is a risk factor for proliferative vitreoretinopathy after traumatic retinal detachment
 
Retinafrom Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2trKrYS
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Emergency Medicine by Alexandros G. Sfakianakis
Markedly increased incidence of critical illness in adults with Type 1 diabetes
 
Diabetic Medicinefrom Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2trKqEi
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Emergency Medicine by Alexandros G. Sfakianakis
US FDA outlines plan to speed rare disease drug reviews
 
Reuters Health Newsfrom Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2s8Za6Y
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Emergency Medicine by Alexandros G. Sfakianakis
Patient-proxy agreement on the health-related quality of life one year after traumatic brain injury
 
Archives of Physical Medicine and Rehabilitationfrom Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2trgxno
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Emergency Medicine by Alexandros G. Sfakianakis
Intraoperative cholangiography during cholecystectomy among hospitalized Medicare beneficiaries with non-neoplastic biliary disease
 
The American Journal of Surgeryfrom Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2trGGCG
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Emergency Medicine by Alexandros G. Sfakianakis
Impact of a cardiac intensivist on mortality in patients with cardiogenic shock
 
International Journal of Cardiologyfrom Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2s8FaBo
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Emergency Medicine by Alexandros G. Sfakianakis
Effect of bariatric surgery on emergency department visits and hospitalizations for atrial fibrillation
 
The American Journal of Cardiologyfrom Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2s8CuE5
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Emergency Medicine by Alexandros G. Sfakianakis
Risk factors for early return visits to the emergency department in patients with urinary tract infection
 
The American Journal of Emergency Medicinefrom Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2s98szM
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Emergency Medicine by Alexandros G. Sfakianakis
Salvage of failed ankle arthrodesis after posttraumatic septic arthritis by Ilizarov external fixator: Mid-term results
 
Current Orthopaedic Practicefrom Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2trFXBx
15:40
Emergency Medicine by Alexandros G. Sfakianakis
Pain intensity, interference, and medication use after spinal cord injury: relationship with risk of mortality after controlling for socioeconomic and other health factors
 
Archives of Physical Medicine and Rehabilitationfrom Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2s8OJAu