Rehab Centers: Esteem(®) Middle Ear Device Versus Conventional Hearing Aids for Rehabilitation of Bilateral Sensorineural Hearing Loss.

Esteem(®) middle ear device versus conventional hearing aids for rehabilitation of bilateral sensorineural hearing loss.

Filed under: Rehab Centers

Eur Arch Otorhinolaryngol. 2012 Nov 10;
Monini S, Biagini M, Atturo F, Barbara M

This retrospective study aimed to evaluate the efficacy of the Esteem(®) middle ear implant in sensorineural hearing loss (SNHL) of different degree as well as to compare it with that obtained with conventional hearing aids. Fifteen out of 30 adults patients who received an Esteem(®) middle ear device for rehabilitation of sensorineural hearing loss met the primary eligibility criterion of prior, continuous use of conventional hearing aids. Study population included moderate-to-severe SNHL (8 patients) and severe-to-profound SNHL (7 patients). Audiometric measurements included free-field pure-tone and speech audiometry in Esteem(®)-aided, HA-aided, and baseline threshold. For speech audiometry, speech reception threshold (SRT) and word recognition score (WRS) were assessed. Subjective benefit was evaluated by Client Oriented Scale of Improvement (COSI) questionnaire. In all the subjects, SRT and WRS showed improvement both with conventional HA and Esteem(®) in respect to the unaided situation. Although not statistically significant, a slight prevalence of the Esteem(®) performances was recorded both audiometrically and as subjective satisfaction score. The Esteem(®) middle ear device demonstrated appreciable benefit for rehabilitation of SNHL of different degree, comparable to what can be achieved by conventional hearing aids. In addition, this rehabilitative process may enable also individuals presenting with severe-to-profound SNHL to achieve remarkable functional outcomes.
HubMed – rehab


Religious Faith and Psychosocial Adaptation among Stroke Patients in Kuwait: A Mixed Method Study.

Filed under: Rehab Centers

J Relig Health. 2012 Nov 11;
Omu O, Al-Obaidi S, Reynolds F

Religious faith is central to life for Muslim patients in Kuwait, so it may influence adaptation and rehabilitation. This study explored quantitative associations among religious faith, self-efficacy, and life satisfaction in 40 female stroke patients and explored the influence of religion within stroke rehabilitation through qualitative interviews with 12 health professionals. The quantitative measure of religious faith did not relate to life satisfaction or self-efficacy in stroke patients. However, the health professionals described religious coping as influencing adaptation post-stroke. Fatalistic beliefs were thought to have mixed influences on rehabilitation. Measuring religious faith among Muslims through a standardized scale is debated. The qualitative accounts suggest that religious beliefs need to be acknowledged in stroke rehabilitation in Kuwait.
HubMed – rehab


Infusion of E. Coli Lipopolysaccharides Toxin in Rats Produces an Early and Severe Impairment of Baroreflex Function in Absence of Blood Pressure Changes.

Filed under: Rehab Centers

Shock. 2012 Nov 8;
Radaelli A, Castiglioni P, Cerrito MG, De Carlini C, Soriano F, Di Rienzo M, Lavitrano ML, Paolini G, Mancia G

ABSTRACT: The assessment of baroreflex function since the first appearance of endotoxemia is important because the arterial baroreflex should exert a protective role during sepsis. Nevertheless contrasting results were previously reported. This could be due to the hemodynamic instability characterizing this condition that may per se interfere with reflex cardiovascular adjustments. Aim of our study was therefore to study the baroreflex function 1) since the very beginning of infusion of E. coli lipopolysaccharides toxin (LPS) and 2) in absence of the unloading effect produced by a decrease in blood pressure. LPS was infused in 10 rats for 20 minutes at the infusion rate of 0.05 mg/kg/min. Blood pressure was continuously measured before, during and after infusion and the baroreflex function was evaluated analysing spontaneous fluctuations of systolic blood pressure and pulse interval by the sequence and transfer-function techniques. Plasma concentrations of inflammatory (IL-6, TNF-alpha) and anti-inflammatory (IL-10) cytokines were measured in other 8 rats, similarly instrumented, 4 of which receiving the same LPS infusion. We found that blood pressure levels did not change with the infusion of LPS while inflammatory cytokines increased significantly. The baroreflex sensitivity was significantly reduced 10 minutes after the beginning of LPS infusion, reached values about half those at baseline within 15 minutes after the start of infusion, and remained significantly low after the end of infusion. In conclusion, we documented that septic-shock inducing LPS infusion is responsible for a very rapid impairment of the baroreflex function, independent from the level of blood pressure.
HubMed – rehab



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