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Κυριακή 12 Ιουνίου 2016
20Q: Pediatric Vestibular Disorders and the Role of the Audiologist
1. Pediatric assessment of dizziness? That’s something new for me. It’s new for a lot of us, but truth be told, there has never been a more exciting time to be in this area of Audiology. New research in pediatric vestibular assessment and management has opened our eyes to the developmental consequences of balance impairments. 2. You say “developmental”—I remember something about the vestibular system having several end organs? Right you are! In fact, there are five organs in the peripheral vestibular system with each one serving a different purpose. These five organs (three semicircular canals and two otolith organs) are connected to the two branches of the vestibular nerve (i.e. inferior and superior). All five end organs are functional at birth.
from #Audiology via ola Kala on Inoreader http://ift.tt/21hcn8A
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from #Audiology via ola Kala on Inoreader http://ift.tt/21hcn8A
via IFTTT
20Q: Pediatric Vestibular Disorders and the Role of the Audiologist
1. Pediatric assessment of dizziness? That’s something new for me. It’s new for a lot of us, but truth be told, there has never been a more exciting time to be in this area of Audiology. New research in pediatric vestibular assessment and management has opened our eyes to the developmental consequences of balance impairments. 2. You say “developmental”—I remember something about the vestibular system having several end organs? Right you are! In fact, there are five organs in the peripheral vestibular system with each one serving a different purpose. These five organs (three semicircular canals and two otolith organs) are connected to the two branches of the vestibular nerve (i.e. inferior and superior). All five end organs are functional at birth.
from #Audiology via ola Kala on Inoreader http://ift.tt/21hcn8A
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from #Audiology via ola Kala on Inoreader http://ift.tt/21hcn8A
via IFTTT
20Q: Pediatric Vestibular Disorders and the Role of the Audiologist
1. Pediatric assessment of dizziness? That’s something new for me. It’s new for a lot of us, but truth be told, there has never been a more exciting time to be in this area of Audiology. New research in pediatric vestibular assessment and management has opened our eyes to the developmental consequences of balance impairments. 2. You say “developmental”—I remember something about the vestibular system having several end organs? Right you are! In fact, there are five organs in the peripheral vestibular system with each one serving a different purpose. These five organs (three semicircular canals and two otolith organs) are connected to the two branches of the vestibular nerve (i.e. inferior and superior). All five end organs are functional at birth.
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Alport Syndrome in Women and Girls.
Alport Syndrome in Women and Girls.
Clin J Am Soc Nephrol. 2016 Jun 10;
Authors: Savige J, Colville D, Rheault M, Gear S, Lennon R, Lagas S, Finlay M, Flinter F
Abstract
Alport syndrome is an inherited disease characterized by progressive renal failure, hearing loss, and ocular abnormalities. Inheritance is X-linked (85%) or autosomal recessive (15%). Many renal physicians think of Alport syndrome as primarily affecting men. However, twice as many women are affected by the X-linked diseases. Affected women are commonly undiagnosed, but 15%-30% develop renal failure by 60 years and often hearing loss by middle age. Half of their sons and daughters are also affected. Autosomal recessive Alport syndrome is less common, but is often mistaken for X-linked disease. Recessive inheritance is suspected where women develop early-onset renal failure or lenticonus. Their family may be consanguineous. The prognosis for other family members is very different from X-linked disease. Other generations, including parents and offspring, are not affected, and on average only one in four of their siblings inherit the disease. All women with Alport syndrome should have their diagnosis confirmed with genetic testing, even if their renal function is normal, because of their own risk of renal failure and the risk to their offspring. Their mutations indicate the mode of inheritance and the likelihood of disease transmission to their children, and the mutation type suggests the renal prognosis for both X-linked and recessive disease. Women with X-linked Alport syndrome should be tested at least annually for albuminuria and hypertension. The "Expert guidelines for the diagnosis and management of Alport syndrome" recommend treating those with albuminuria with renin-angiotensin-aldosterone system (RAAS) blockade (and adequate birth control because of the teratogenic risks of angiotensin converting enzyme inhibitors), believing that this will delay renal failure. Current recommendations are that women with autosomal recessive Alport syndrome should be treated with RAAS blockade from the time of diagnosis. In addition, women should be offered genetic counseling, informed of their reproductive options, and monitored closely during pregnancy for the development of hypertension.
PMID: 27287265 [PubMed - as supplied by publisher]
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