Κυριακή 22 Μαρτίου 2020

Audiological Findings in Patients with Vestibular Migraine and Migraine: History of Migraine May Be a Cause of Low-Tone Sudden Sensorineural Hearing Loss

Audiological Findings in Patients with Vestibular Migraine and Migraine: History of Migraine May Be a Cause of Low-Tone Sudden Sensorineural Hearing Loss: Introduction: The aim of this study was to investigate and compare the auditory findings in migraine, vestibular migraine (VM), and healthy controls. Methods: Twenty-eight migraine patients (56 ears), 18 VM (36 ears), and 25 healthy controls (50 ears) were included. Audiometry, speech discrimination scores, distortion product optoacoustic emission (DPOAE), and auditory brainstem response were tested. Results: The pure tone in the VM group showed higher thresholds at lower frequencies (250, 500, 1,000, 2,000 Hz) than the control group, with statistical differences observed (P250 Hz = 0.001, P500 Hz = 0.003, P1,000 Hz = 0.016, P2,000 Hz = 0.002). Compared with the healthy controls, the patients with VM had significantly lower amplitudes of DPOAE at 1 kHz (p #x3c; 0.001) and 2 kHz (p = 0.020), and the patients with migraine had lower amplitudes at 2 kHz (p = 0.042). Compared with the control group, the patients with migraine reported prolonged latency of wave V (p = 0.016) and IPL I–V (p = 0.003). The patients with VM had significant prolongation of IPL I–V (p = 0.024). Conclusion: Not only the peripheral, but also the central auditory system was involved in patients with migraine and VM. In particular, lower frequencies of the auditory system were more likely to be involved in VM. The history of migraine may be a cause of low-tone sudden sensorineural hearing loss.

Audiol Neurotol


[a case of eosinophilic gastroenteritis found by pica during oral immunotherapy].

[a case of eosinophilic gastroenteritis found by pica during oral immunotherapy].: We report the case of a 6-year-old boy with EGE. He was diagnosed as having immediate-type food allergies (egg, milk and wheat) by oral food challenges at 1 year of age. OIT for each food was carried out, and the amounts of the offending foods were able to be gradually increased without causing any immediate-type allergy symptoms. However, the total IgE and specific IgE values were remarkably increased at the age of 4 years and 4 months. He first developed oral mucosa symptoms and vomiting at 4 years and 10 months of age, and they gradually worsened. Stopping eggs and milk alleviated the symptoms. Nevertheless, he still occasionally vomited. He started Pica eating disorder (sand and sponge) due to anemia from 5 years and 10 months of age and developed eosinophilia without diarrhea or blood...



A survey of emergency providers regarding the current management of anterior shoulder dislocations
DN Baden, MH Roetman, T Boeije, N Mullaart-Jansen, MD BurgJournal of Emergencies, Trauma, and Shock 2020 13(1):68-72 Background: Anterior shoulder dislocations (ASDs) are frequent painful injuries commonly treated in the emergency department. The last decade new potentially less traumatic and painful reduction techniques for ASDs have been introduced. Recent literature comparing best reduction techniques, medication use, and approaches is limited. To better guide future research including the use...
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
A case of triphasic anaphylaxis
Ikuto Takeuchi, Ken-Ichi Muramatsu, Hiroki Nagasawa, Youichi YanagawaJournal of Emergencies, Trauma, and Shock 2020 13(1):98-99
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Making roads safe for children using integrated multi-stakeholder competency building approach
Sunil Kumar RainaJournal of Emergencies, Trauma, and Shock 2020 13(1):3-4
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Noniatrogenic colorectal barotrauma with extraperitoneal rectal injury
Mohamed Javid, Shanthi Ponnandai Swaminathan, Vikas Kawarat, Arun Victor Jebasingh, Manivannan VelayuthamJournal of Emergencies, Trauma, and Shock 2020 13(1):88-90 We present the case of a 22-year-old male who presented to us with abdomen discomfort with subcutaneous emphysema in the abdomen and lower chest, following a prank played by his friend who had inserted a nozzle through his anal orifice and pumped high-pressure condensed air through it. Computed tomography showed evidence of air pockets...
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Maximizing learning and creativity: Understanding psychological safety in simulation-based learning
Fatimah LateefJournal of Emergencies, Trauma, and Shock 2020 13(1):5-14 Psychological safety refers to the belief that one can express oneself without fear of the negative consequences or feedback that their speech, comment, or action might generate. It is about the willingness of learners or workers in an organization, in expressing themselves physically, cognitively, and emotionally. Psychological safety is very dynamic and will continue to evolve and change, with the interplay of a variety of...
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
What's new in emergencies, trauma and shock? developing competency in injury prevention
Sunil Kumar RainaJournal of Emergencies, Trauma, and Shock 2020 13(1):1-2
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Safer roads to school
Amit Agrawal, Sanjeev Bhoi, Sagar Galwankar, Ranabir Pal, Harsh Deora, Amrita Ghosh, Luis Rafael Moscote-SalazarJournal of Emergencies, Trauma, and Shock 2020 13(1):15-19 Any and all advances made by medical science cannot solve the problem of road traffic injuries (RTIs) in school-going children, especially if the only concerned people are those of the medical fraternity. Children are a vulnerable part of the traveling population and thus have been persistent due to the callous nature of the citizens...
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Evaluation of wait time in the children's emergency and outpatient units of a tertiary hospital in Southeast Nigeria
Ikenna Kingsley Ndu, Chidiebere D I. Osuorah, Ogechukwu F Amadi, Uchenna Ekwochi, Bismark C Ekeh, Obinna C Nduagubam, Ifeyinwa B OkekeJournal of Emergencies, Trauma, and Shock 2020 13(1):78-83 Background: Promptness of intervention in the emergency room (ER) or outpatient unit is a major determinant of outcome in acutely ill children. Time is, therefore, of the essence in trying to reduce complications and mortality associated with children. Methods: This was a cross-sectional study conducted in...
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Novel coronavirus (COVID-19): Leveraging telemedicine to optimize care while minimizing exposures and viral transmission
Vivek Chauhan, Sagar Galwankar, Bonnie Arquilla, Manish Garg, Salvatore Di Somma, Ayman El-Menyar, Vimal Krishnan, Joel Gerber, Reuben Holland, Stanislaw P StawickiJournal of Emergencies, Trauma, and Shock 2020 13(1):20-24
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Corneal perforation and blindness from extreme proptosis
Colin Bacorn, Lily Koo LinJournal of Emergencies, Trauma, and Shock 2020 13(1):96-96
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
The INDUSEM position paper on the emerging electronic waste management emergency
Nayer Jamshed, Praveen Aggarwal, Sagar Galwankar, Sanjeev BhoiJournal of Emergencies, Trauma, and Shock 2020 13(1):25-29 Electronic waste or e-waste is a serious and concerning issue globally. Exponential increase in the production of these instrument have created a man-made problem of e-waste; United Nations has called it as “tsunami of e-waste.” Informal management and unsafe disposals have compounded the problem further. The hazardous chemicals, metals, and organic pollutants released from e-waste...
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Impalement Injury Diagnosed at the Scene by a Portable X-Ray System Transported by a Physician-Staffed Helicopter
Hiromichi Ohsaka, Kazuhiko Omori, Ikuto Takeuchi, Youichi YanagawaJournal of Emergencies, Trauma, and Shock 2020 13(1):101-102
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
An epidemiological study of injuries in Karnali, Nepal
Deepak Sharma, Prem Prasad Panta, Kapil AmgainJournal of Emergencies, Trauma, and Shock 2020 13(1):30-34 Background: Trauma, a major public health concern in remote highlands of Nepal, has led to considerable morbidity and mortality. The study elucidates the pattern and characteristics of trauma at the only tertiary care hospital in the Karnali province, Nepal. Materials and Methods: Case records of all injured patients who presented to the emergency department from January to December 2018 were...
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Profile of pediatric trauma among the patients attending emergency department in a tertiary care hospital in South India
K. N. J. Prakash Raju, S Jagdish, G Krishna Kumar, D Anandhi, Jency AntonyJournal of Emergencies, Trauma, and Shock 2020 13(1):62-67 Background: Pediatric trauma is emerging as an epidemic worldwide; the epidemiology of pediatric trauma is different in different parts of the world. There are very few studies describing the pediatric trauma in developing countries. Objectives: The objectives of this study were to assess the type, mechanism, and extent of trauma among pediatric trauma patients and...
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Marijuana screening and trauma outcomes
Quinn Fujii, Issak Olsen, Andrew McCagueJournal of Emergencies, Trauma, and Shock 2020 13(1):35-38 Objective: The objective of this study was to determine if positive marijuana toxicology screen is associated with worse outcomes following trauma. Methods: A 3-year retrospective study was conducted on adult trauma patients using a Level II trauma registry. Patients were included if they had marijuana toxicology results available and were excluded if they tested positive for polysubstance. Endpoints...
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Profiling cycling trauma throughout the body with and without helmet usage in a large united states health-care network
Shanna Elizabeth Williams, Laura Cook, Tyler Goff, Reema Kashif, Rachel Nelson, Melissa JanseJournal of Emergencies, Trauma, and Shock 2020 13(1):73-77 Background: This study aimed to characterize bodily injury patterns associated with helmet usage by comparing trauma sustained by helmeted and helmetless cyclists admitted to a large US health-care system. Materials and Methods: A prospective trauma registry associated with a large regional United States health-care network was queried for bicycle...
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Spectrum of ocular injuries and visual outcome following firework injury to the eye
Neethu Ann Kurien, Jayanthi Peter, Pushpa JacobJournal of Emergencies, Trauma, and Shock 2020 13(1):39-44 Background: Ocular injury due to fireworks requires urgent ophthalmic assessment and management to preserve vision. Methods: Spectrum of injury, type of intervention, visual outcome, and reasons for visual loss were assessed in consecutive patients presenting over 2 years with firework-related eye injury. The final visual outcome was recorded as best-corrected visual acuity. Results: In the...
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Stability of surgical rib fixation hardware after repeat chest trauma
Jackson Rucker Staggers, Patrick B Dennis, Evert A ErikssonJournal of Emergencies, Trauma, and Shock 2020 13(1):84-87 Surgical management of rib fractures has long been a controversial topic, but improvements in rib plating technology have led to a recent increase in interest among surgeons. Unfortunately, follow-up data are limited in patients following rib fracture plating. We present a unique case of an adult male who had multiple ribs plated for symptomatic rib fracture nonunions and developed...
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Increase in fibrinogen degradation product levels 5 days after a traumatic insult
Hiroki Nagasawa, Kazuhiko Omori, Ikuto Takeuchi, Youichi YanagawaJournal of Emergencies, Trauma, and Shock 2020 13(1):45-49 Context: Few reports have investigated the time course of fibrinogen (or fibrin) degradation product (FDP) levels for trauma patients in the subacute phase. Aims: This study aimed to investigate the time course of the FDP levels among patients with moderate and severe trauma in the subacute phase. Settings and Design: A retrospective medical chart review in a single hospital....
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Abstracts for the 37th annual emergencies in medicine conference
Sukaina Ali Alali, Lorenzo Paladino, CAPT Sally Tamayo, Timothy E Van Meter, Daniel R Bensimhon, Sam Adelman, Abraham Akbar, Nathan Douglas Vandjelovic, Christopher Voigt, Zubaid Rafique, John Riordan, W Frank PeacockJournal of Emergencies, Trauma, and Shock 2020 13(1):91-95
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Caval aortic index: A novel tool for fluid assessment in obstetric emergencies
Lakshmi Priya Menon, Jayaraj Mymbilly Balakrishnan, William Wilson, Mariam Koshi ThomasJournal of Emergencies, Trauma, and Shock 2020 13(1):50-53 Background: Uncorrected maternal hypotension occurring during obstetric emergencies may result in maternal and fetal morbidity. Fluid status of the pregnant mother is a major variable which affects the maternal hemodynamics during patient management, and there is no objective assessment tool for the same. A relatively new sonographic parameter, the inferior...
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Isolated quadriceps weakness: A case of hypokalemic periodic paralysis
Ritika Agarwal, Ravinder Singh Aujla, Amit GuptaJournal of Emergencies, Trauma, and Shock 2020 13(1):97-98
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Manipulation of breath alcohol tests: Can specific techniques alter breath alcohol content?
Brian Kelly, Jason Black, Jill Stoltzfus, Holly A StankewiczJournal of Emergencies, Trauma, and Shock 2020 13(1):54-57 Objective: The most common form of measurement of breath alcohol content (BrAC) is through the use of a diode catheter. This study aims to test the accuracy of breath alcohol analysis through different manipulations. Methods: BrAC was measured after individuals consumed each standardized beer until they reached a 0.1 BrAC. Then, the individuals were breath analyzed while not providing...
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Transient left hemiparesis due to aortic dissection
Ken-Ichi Muramatsu, Hiroki Nagasawa, Ikuto Takeuchi, Youichi YanagawaJournal of Emergencies, Trauma, and Shock 2020 13(1):99-100
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Emergency airway management: A look into the practice, rate of success, and adverse events of 94 endotracheal intubations
Fiqry Fadhlillah, Sarah Bury, Ewa Grocholski, Mike Dean, Ali RefsonJournal of Emergencies, Trauma, and Shock 2020 13(1):58-61 Context: Endotracheal intubation in the critically unwell is a life-saving procedure, frequently performed in the emergency department (ED). The 4th National Audit Project (NAP4) of the Royal College of Anaesthetists and Difficult Airway Society, however, highlighted the deficiencies that could have led to serious harm. In direct response to NAP4, a 2018 guideline was published...
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d
Winning together: Novel coronavirus (COVID-19) infographic
Stanislaw P Stawicki, Sagar C GalwankarJournal of Emergencies, Trauma, and Shock 2020 13(1):103-103
Journal of Emergencies, Trauma, and Shock : 2014 - 7(4)
2d

Αρχειοθήκη ιστολογίου