Disturbance caused by varying propagation delay in non-occluding hearing aid fittings

The disturbance caused by various short propagation delays to the perception of external sounds and own voice for a non-occluding hearing aid was investigated. Ten normal-hearing and 10 mildly hearing-impaired individuals listened to external sounds and their own voice while wearing non-occluding devices providing 10dB of linear gain. Participants rated the disturbance caused by delays of 2, 4 and 10ms to music, running speech, and their own voices. The results indicated greater disturbance for the longest delay for both subject groups when judging own voice, with the ratings of the hearing-impaired participants being lowest. Normal-hearing participants also judged the 10-ms delay as more disturbing for the external sounds. Owing to the listening conditions with constant gain from 800Hz and above, the results apply directly only to this experiment. Disturbance ratings for all delays were low, which suggests that any of those tested would be acceptable for this application.     

Information materials on mammography screening in Austria--do they help women with informed decision?

Summary. Information materials on mammography screening in Austria – do they help women with informed decision?Objectives: Autonomy of patients is receiving greater acceptance in health care and prevention. Therefore, patients and consumers information attains greater significance.Methods: The following study analyses the information in pamphlets on mammography aimed at consumers in Austria, in total five leaflets and two brochures.Results: The results show that the information given does not support patients informed decisions.Conclusions: The discussion lists reasons and shows ways to meet the challenges.

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Informationsmaterialien zum Mammographiescreening in Österreich – Unterstützen sie die informierte Entscheidung von Frauen?

Zusammenfassung. Fragestellung: In der Gesundheitsversorgung und in der Prävention gewinnen Information von PatientInnen und Betroffenen und damit die Unterstützung ihrer Autonomie zunehmend an Bedeutung.Methoden: In der vorliegenden Untersuchung analysieren wir den Informationsgehalt aller Faltblätter (Folder) und Broschüren zu Mammographie für EndverbraucherInnen in Österreich.Ergebnisse: Die Auswertung der insgesamt fünf Folder und zwei Broschüren zeigt, dass die gebotenen Informationen nicht ausreichend sind, um den PatientInnen und Betroffenen eine informierte Entscheidung zu ermöglichen.Schlussfolgerungen: In der Diskussion werden mögliche Gründe für die fehlende und zum Teil unzutreffende Information angeführt und Verbesserungsvorschläge gemacht.

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Résumé. Matériel dinformation sur les dépistages de mammographies en Autriche – soutiennent-ils les décisions informées des femmes?Objectifs: Dans le domaine des soins de santé et de la prévention, la signification de linformation des patient(e)s et des personnes concernées et donc le soutien de leur autonomie sont de plus en plus importants.Méthodes: La présente étude a pour but lanalyse du contenu informatique de tous les dépliants et de toutes les brochures touchant à la mammographie pour les consommatrices finales en Autriche.Résultats: Lévaluation dun total de cinq dépliants et de deux brochures prouve que les informations données ne sont pas suffisantes pour permettre aux patient(e)s et aux personnes concernées de prendre une décision informée.Conclusions: Lors de la discussion, des raisons possibles pour les informations manquantes ou erronées seront citées et des possibilités de correction proposées.

     

Informationsmaterialien zum Mammographiescreening in ?sterreich – Unterstützen sie die informierte Entscheidung von Frauen?

Information materials on mammography screening in Austria – do they help women with informed decision?Objectives: Autonomy of patients is receiving greater acceptance in health care and prevention. Therefore, patients and consumers information attains greater significance.     

Effects of zinc pyrithione and copper pyrithione on microbial community function and structure in sediments

The effects of the new antifouling biocides, zinc pyrithione (ZPT) and copper pyrithione (CPT), on microbial communities in estuarine sediments were studied in microcosms. As functional endpoints, fluxes of nutrients (NO3-, NH4+, HPO4(2-), Si(OH)4) and protein synthesis ([14C]leucine incorporation) were used, whereas molecular fingerprinting methods (polymerase chain reaction/denaturing gradient gel electrophoresis) were used to describe the bacterial community structure. The lowest-observed-effect concentration (LOEC) for ZPT was 0.001 nmol/g dry sediment for the phosphate flux and total DNA content, whereas the LOEC for CPT was 0.1 nmol/g dry sediment for the nitrate flux and total DNA content. Nitrate fluxes increased significantly following additions of both ZPT and CPT, whereas ammonium fluxes decreased significantly after ZPT addition, suggesting changes in the nitrification and denitrification processes. The total DNA content decreased significantly following addition of both ZPT and CPT, but at the highest addition of ZPT (10 nmol ZPT/g dry sediment), an increase in total DNA content was found. Increased protein synthesis and bacterial diversity were also observed at this concentration of ZPT, suggesting growth of tolerant opportunistic species.     

Decreased MK-801 binding in discrete hippocampal regions of prion-infected mice

The neurochemical alterations associated with neurodegeneration in prion diseases are not well defined. It is therefore of interest to study the influence of prion infection on messenger molecules and their receptors. In the present study we have analyzed the possible involvement of NMDA receptors in prion-infected mice using ligand binding autoradiography and iodinated MK-801, a noncompetitive NMDA antagonist. The results show a reduced binding of MK-801 in discrete regions of hippocampus at 110 days after infection, that is before the appearance of behavioral symptoms. In addition, early transient increases in MK-801 binding were observed in several layers. The exact neuroanatomical correlate of these changes in MK-801 binding, as well as its functional significance in relation to prion symptomatology, remain to be analyzed.     

Diabetic rats transplanted with adult porcine islets and immunosuppressed with cyclosporine A, mycophenolate mofetil, and leflunomide remain normoglycemic for up to 100 days

BACKGROUND: Transplantation of adult porcine islets (APIs) offers a possible means of treating diabetes. However, isolating APIs has been notoriously difficult. Furthermore, islet xenograft rejection must be prevented. MATERIALS AND METHODS: APIs were isolated by a modified automated method. API quality was assessed by static glucose stimulation (SGS), by transplantation to diabetic nude mice and by intraperitoneal glucose tolerance tests (IPGTTs). The morphologic characteristics of API xenograft rejection in rats were studied immunohistochemically. Furthermore, APIs were transplanted to diabetic rats that were either left untreated or immunosuppressed with cyclosporine A (CsA), mycophenolate mofetil (MMF) and leflunomide (LEF). B-glucose and porcine C-peptide levels were monitored and grafts were studied morphologically. RESULTS: Large numbers of APIs were isolated. At SGS, insulin release increased significantly. All nude mice transplanted with APIs were normoglycemic within 24 hr and remained so for up to 1 year. During IPGTTs, B-glucose levels were rapidly regulated to porcine levels. In untreated rats, API xenografts were destroyed within 6 days by a cellular infiltrate consisting mainly of macrophages. In untreated diabetic rats normoglycemia was sustained for 5.5+/-0.3 days. Rats immunosuppressed with CsA+MMF+LEF remained normoglycemic for 59.6+/-11.3 days. In 3 of 11 rats, normoglycemia was sustained for up to 101 days. Porcine C-peptide was detected in serum. At recurrence of hyperglycemia, many mononuclear cells were found close to the xenografts. However, only occasional cells infiltrated the grafts and many APIs were intact. CONCLUSIONS: Well-functioning APIs can be isolated in large numbers. API xenografts can be protected from rejection and can maintain an adequate function for up to 100 days, in rats immunosuppressed with CsA+MMF+LEF.     

DIABETES MELLITUS AND ADDISON'S DISEASE IN AN ADOLESCENT FEMALE

Abstract. Matsaniotis, N., Tzortzatou-Stathopoulou, F., Thomaidis, Th., Karakatsani-Kerasioti, Z., Theodoridis, Ch. and Dacou-Voutetakis, C. (First Department of Paediatrics of Athens University, "Aghia Sophia" Children's Hospital, Athens, Greece). Diabetes mellitus and Addison's disease in an adolescent female. Acta Paediatr Scand, 70: 949, 1981.-This short report describes a 16-year-old female who presented with Addison's disease 6 years after diabetes mellitus had been diagnosed. The possibility of both conditions being present should be borne in mind whenever an unexplained reduction of insulin requirements is noted, especially if this is accompanied by cutaneous pigmentation. The metabolic interrelationships of the two conditions are briefly discussed.     

Pharmacokinetics and safety of single oral doses of sirolimus (rapamycin) in healthy male volunteers

A phase I study was conducted to determine the pharmacokinetics, safety, and tolerability of sirolimus, a new immunosuppressive drug, in 45 healthy men between 19 and 36 years of age. Nine subjects in each group were randomly assigned to receive single oral doses of either sirolimus (n = 6) or placebo (n = 3) in group I (0.3 mg/m2), group II (1 mg/m2), group III (3 mg/m2), group IV (5 mg/m2) and group V (8 mg/m2). No serious adverse events occurred during the study. Twenty-eight of the 45 volunteers (62%) reported an adverse event; 19 of 30 (63%) were in the sirolimus group and 9 of 15 (60%) were in the placebo group (ns). Asthenia was the most common adverse event, occurring in 7 of 30 (23%) in the sirolimus group compared with 6 of 15 (40%) in the placebo group (ns). Absorption occurred within 1 hour in all volunteers. Whole blood peak concentration and area under the concentration-time curve increased proportionally with dose. Mean (+/- SD) whole blood terminal disposition half-life (t1/2), apparent oral dose clearance (Cl/F), and volume of distribution (Vss/F) were 82 +/- 12 hours, 278 +/- 117 mL/h x kg and 23 +/- 10 L/kg, respectively. Distribution of sirolimus into formed blood elements was extensive, with a mean whole blood-to-plasma ratio of 36. Single oral doses of sirolimus (0.3 to 8 mg/m2) solution were well tolerated in healthy male volunteers.     

Some considerations on middle ear cholesteatoma in ‘foreign workers’*

The treatment of cholesteatoma in patients without a permanent residence or in medically underdeveloped countries presents a serious problem in middle ear surgery. Methods which erradicate disease safely and reduce the risk of recurrence to a minimum are necessary. We differentiate 3 clinical types of cholesteatoma: 1 Retraction of Shrapnell's membrane or in the postero-superior quadrant with very little cholesteatoma lateral to the ossicles. A transcanal technique is used to evert the cholesteatomatous pocket into the meatus intact, followed by reconstruction of the outer attic wall. 2 Circumscribed cholestatoma lateral and often also medial to the ossicles. Combined approach tympanoplasty is used in such cases. 3 Marginal perforations with large cholesteatomas, situated medial to the ossicular chain. For these ears, classical radical mastoidectomy is the method of choice. (Radical mastoidectomy also has to be performed in all cases of type II, where luxation of the matrix in toto has failed.) Results: No recurrence has been detected in cases where follow-up was possible.