A5025130481- Vestibular and auditory disorders
- Hearing Loss and Rehabilitation
- Ear and Head Tumors
- Ear Surgery and Otitis Media
- Hearing, Cochlea, Tinnitus, Genetics
- Child and Adolescent Psychosocial and Emotional Development
- Cervical Cancer and HPV Research
- Hearing Impairment and Communication
- Health Policy Implementation Science
- Child and Adolescent Health
- Digital Mental Health Interventions
- COVID-19 and Mental Health
- Nursing Roles and Practices
- School Health and Nursing Education
- Neurological diseases and metabolism
- Facilities and Workplace Management
- Sex and Gender in Healthcare
- Mental Health and Patient Involvement
- Acute Kidney Injury Research
- Diagnosis and treatment of tuberculosis
- Facial Nerve Paralysis Treatment and Research
- Child Welfare and Adoption
- Speech and Audio Processing
- Healthcare professionals’ stress and burnout
- Mobile Health and mHealth Applications
Washington University in St. Louis
2022-2024
University of Glasgow
2023-2024
Mater Misericordiae University Hospital
2021
TherapeuticsMD (United States)
2018
Carolina Ear, Nose and Throat Clinic
1981-1992
Arkansas Department of Agriculture
1979-1988
Symptoms of depression and anxiety, suicidal ideation, self-harm have escalated among adolescents to crisis levels during the COVID-19 pandemic. As a result, primary care providers (PCPs) are often called on provide first-line for these youth. Digital health interventions can extend mental specialty care, but few evidence based. We evaluated feasibility delivering an evidence-based mobile (mHealth) app with embedded conversational agent deliver cognitive behavioral therapy (CBT) symptomatic...
Abstract Herpes zoster oticus generally has a poor prognosis, leaving many patients with permanent facial nerve dysfunction. This preliminary report describes results in seven treated for zoster; all were given intravenous acyclovir. Patients infused 10 mg/kg every 8 hours over 7‐day hospitalization period. Five of the showed some return function at time discharge. At follow‐up, 4 had achieved House grade I result, 1 patient II, and 2 III. Reasons differences final are discussed, along...
Abstract The small fenestra stapedectomy is based on a rationale of creating more effective acoustical mechanical transmission system, while reducing potential labyrinthine disturbance. Surgical technique for the described, including creation and use McGee stainless steel piston prosthesis with loose areolar tissue around piston. Postoperative results are compared in series 100 cases, 50 having technique, SFT, partial or total footplate removal procedure. Vestibular demonstrate noticeable...
During the past 25 years many variations have emerged in stapedectomy, most of which centered around either a change prosthesis itself or type oval window seal. The small fenestra stapedectomy technique (SFT) represents surgical procedure rather than prosthetic design. This offers opportunity to improve hearing results while reducing risks surgery. Four areas significant improvement are seen patients whom SFT was used: (1) improved high frequencies 2000, 4000, and 8000 Hz, (2) speech...
BACKGROUND Few adolescents with depression receive treatment in accordance national guidelines. This quality improvement project took place 11 primary care practices the aim of increasing percentage teens who received follow-up within 6 weeks diagnosis and 3 months, once stable. METHODS The strategy was external practice facilitation for 12 months. change process used goal setting plan-do-study-act cycles to identify implement ideas. A preanalysis postanalysis completed evaluate change,...
BackgroundChildren in foster care are at high risk of negative outcomes. The context surrounding the child, including family, is crucial supporting resilience.ObjectiveA randomised controlled trial was conducted to examine clinical and cost-effectiveness an infant mental health intervention novel UK context. To components fidelity intervention, interplay between its contexts, we a realist process evaluation.Participants settingThe study settings were two sites, each with very different legal...
Abstract The postoperative formation of attic retraction pockets following tympanoplasty, with or without mastoidectomy, has often been a significant cause recurrent disease accompanied by decreased hearing levels. Nasal septal cartilage is recommended as successful homograft material for support. basis and indications its use are discussed. Preparation storage the materials surgical technique described. Long‐term results reported, including special group in which status was assessed during...
Reports of sudden hearing loss as the first sign an intracranial aneurysm are sparse and published primarily in neurologic literature. A case report is presented which initial signs symptoms a lobular posterior communicating artery were onset bilateral sensorineural loss, tinnitus, headache. Following evaluation identification aneurysm, this patient underwent craniotomy with clipping aneurysm; sensitivity improved dramatically following surgery. The world literature reviewed for cases...
The differential diagnosis of dizziness is difficult, yet challenging. There continues to be a need for improvement in assessment and evaluative procedures patients with symptoms dizziness. otologist must exclude wide variety potential disorders which could sources the symptoms. key well-made very carefully taken, thorough, medical history, integration that history physical examination, audiometry, vestibular evaluation.
Several abnormal patterns have been identified on the sensory portion of computerized dynamic posturography test. The vestibular deficit pattern, also known as “5–6” is frequently seen in patients with either uncompensated unilateral lesions, severe bilateral peripheral loss, or dysfunction involving pathways brain stem and/or cerebellum. In both conditions 5 and 6, patient's balance/equilibrium determined primarily by system. A subgroup pattern has identified, which only condition abnormal....
This study, merging data from two different clinics, was undertaken to evaluate the efficacy of endolymphatic mastoid shunt surgery using Denver Inner Ear Shunt operation for Meniere's disease. performed by senior authors (C.G.J., J.R.E.D., and M.E.G.) between May 1984 October 1986, after we attended Colorado Otologic Research Center (CORC) instructional course. Sixty‐six thirty‐four cases, respectively, were performed. Follow‐up questionnaires sent this total 100 patients. Fifty‐six...
The history and development of the hearing dispensing system in this country is outlined relation to status today. We enumerate problems within traditional system, various attempts correct them, advantages variations system. This article presents a concept total rehabilitation, including direct aids based on professional otolaryngological-audiological team working together clinic setting. Based results 20-months' experience dispensing, we advocate reexamination roles involved provision for aids.
As health data infrastructure improves, we have the opportunity to link increasing volumes of in order investigate important problems. This is perhaps most pertinent when looking at experiences and outcomes our disadvantaged groups, who are often invisible obtained through primary research. Whilst these offer enormous opportunity, there also ethical implications their use, which less frequently discussed than relation qualitative counterparts. a diverse group clinicians academics working...
Abstract Constant reassessment of professional services is necessary in order to maintain responsiveness patient needs. As a result current trends population, amplification technology and legislative intervention, many otolaryngologists audiologists have included the dispensing hearing aids as part their provision clinical services. The primary philosophical objective provide more allencompassing total health care within clinic setting for patients with all types loss, whether needs are...
<sec> <title>BACKGROUND</title> Depression, anxiety and related suicidal ideation self-harm are common among adolescents, have increased in prevalence severity during the pandemic to crisis levels, exacerbated by long-standing workforce shortage of child mental health professionals. As a result, primary care providers often called on provide first-line for these youth. Digital interventions extend specialty youth with moderately severe symptoms, but few evidence-based. Here, we describe...
The use of the CO2 laser in otolaryngologic microsurgery offers opportunity to reduce morbidity and deformity, decrease hospitalization time associated with resection neoplasms oral cavity, pharynx, larynx. We used resect a variety lesions 14 patients. Laser was primary mode therapy, combination irradiation chemotherapy. Local control achieved number advantages over established modes therapy. continues show promise as means head neck neoplasms, minimum deformity.
Federal (FDA) regulations recently passed require physician clearance before hearing aid sales. Discussed herein are numerous evaluative and rehabilitative procedures necessary for proper fittings. A program of total professional management the rehabilitation process, including direct dispensing aids by otology-audiology team, is described advocated.
Introduction Women with addiction issues are under-researched, despite previous evidence that women’s needs less understood than men’s and services can overlook gender-specific issues. The majority of women in treatment mothers a significant number have contact child welfare services. voices these needed to shape influence evidence-based service development. Aim To examine reasons rationale for participation research involvement the system. Method Reflexive thematic analysis was used on...