To evaluate the hearing results of a large series of primary stapedotomies, according to American Academy of Otolaryngology, Head and Neck Surgery guidelines and Amsterdam hearing evaluation plots.
...Retrospective chart review.
The charts for 1369 consecutive stapedotomy cases were reviewed; 1145 cases of primary stapedotomy were included. Raw data from the audiometric database were evaluated using Amsterdam hearing evaluation plots. The effect on outcomes of using different audiological parameters was analysed.
A significant improvement was demonstrated in mean post-operative air conduction and speech reception thresholds, with no change in bone conduction. Air-bone gap closure of 10 dB or more was achieved in 82 per cent of cases. A 'dead ear' occurred in one patient (0.1 per cent).
This study reports the largest series of primary stapedotomies evaluated with Amsterdam hearing evaluation plots. This method enables visual identification of successful and unfavourable results, providing more accurate and detailed presentation of surgical outcomes.
Objective
The Mental Health Continuum‐Short Form (MHC‐SF) is a brief scale measuring positive human functioning. The study aimed to examine the factor structure and to explore the cross‐cultural ...utility of the MHC‐SF using bifactor models and exploratory structural equation modelling.
Method
Using multigroup confirmatory analysis (MGCFA) we examined the measurement invariance of the MHC‐SF in 38 countries (university students, N = 8,066; 61.73% women, mean age 21.55 years).
Results
MGCFA supported the cross‐cultural replicability of a bifactor structure and a metric level of invariance between student samples. The average proportion of variance explained by the general factor was high (ECV = .66), suggesting that the three aspects of mental health (emotional, social, and psychological well‐being) can be treated as a single dimension of well‐being.
Conclusion
The metric level of invariance offers the possibility of comparing correlates and predictors of positive mental functioning across countries; however, the comparison of the levels of mental health across countries is not possible due to lack of scalar invariance. Our study has preliminary character and could serve as an initial assessment of the structure of the MHC‐SF across different cultural settings. Further studies on general populations are required for extending our findings.
We aimed to evaluate bilateral hearing function in patients undergoing primary unilateral stapedotomy, according to the 1995 American Academy of Otolaryngology, Head and Neck Surgery guidelines and ...the Glasgow benefit plot. We also aimed to analyse the effect of pre-operative hearing impairment type on post-stapedotomy hearing.
Retrospective chart review.
Medical records relating to 1369 stapedotomies performed by the senior author (JJH) from 1991 to 2006 were reviewed. Seven hundred and fifty-one patients undergoing primary unilateral stapedotomy were included. Hearing results for these patients were evaluated according to the criteria of the 1995 American Academy of Otolaryngology, Head and Neck Surgery Committee on Hearing and Equilibrium guidelines, and the Glasgow benefit plot. Subgroups of patients with pre-operative unilateral, bilateral symmetrical and bilateral asymmetrical hearing loss were separately analysed.
The most successful results, as regards the achievement of bilateral, socially serviceable hearing, were demonstrated in patients with unilateral hearing loss; 78 per cent of these patients had normal hearing post-operatively. Overall, patients' achievement of bilateral, socially serviceable hearing correlated highly with their type of pre-operative hearing impairment (r = 0.74). Normal post-operative hearing levels also correlated with pre-operative bone conduction (r = 0.61).
This study represents the largest reported series of primary stapedotomy cases evaluated with the Glasgow benefit plot. Patients' bilateral post-operative hearing function depended on their type of pre-operative hearing impairment. Pre-operative bone conduction thresholds, corrected for Carhart's effect, were useful in predicting achievable post-operative air conduction.
Modified laser-assisted stapedotomy Kisilevsky, Vitaly E.; Bailie, Neil A.; Halik, Jerry J.
The Laryngoscope,
February 2010, Letnik:
120, Številka:
2
Journal Article
Measurement of Psychological Entitlement in 28 Countries Żemojtel-Piotrowska, Magdalena A.; Piotrowski, Jarosław P.; Cieciuch, Jan ...
European journal of psychological assessment,
07/2017, Letnik:
33, Številka:
3
Journal Article
Recenzirano
Odprti dostop
This article presents the cross-cultural validation of the Entitlement Attitudes Questionnaire, a tool designed to measure three facets of psychological entitlement: active, passive, and revenge ...entitlement. Active entitlement was defined as the tendency to protect individual rights based on self-worthiness. Passive entitlement was defined as the belief in obligations to and expectations toward other people and institutions for the fulfillment of the individual's needs. Revenge entitlement was defined as the tendency to protect one's individual rights when violated by others and the tendency to reciprocate insults. The 15-item EAQ was validated in a series of three studies: the first one on a general Polish sample (N = 1,900), the second one on a sample of Polish students (N = 199), and the third one on student samples from 28 countries (N = 5,979). A three-factor solution was confirmed across all samples. Examination of measurement equivalence indicated partial metric invariance of EAQ for all national samples. Discriminant and convergent validity of the EAQ was also confirmed.
Abstract Aims To analyze hearing results of surgical treatment of hearing loss associated with the congenital stapes ankylosis with or without malformations of ossicular chain. Study design ...Retrospective chart review. Methods The charts of 1369 stapedotomies performed by senior author (JH) from 1991 to 2006 were reviewed. In 40 cases operative findings were consistent with isolated congenital stapes fixation or associated with middle ear malformations. The modified stapedotomy technique was employed in 33 cases and malleo-vestibulopexy was used in 7 cases. Operative findings were standardized according to Cremers’ classification. The outcomes of 40 surgeries were analyzed according to the 1995 AAO-HNS Committee on Hearing and Equilibrium guidelines. High frequency hearing results on 4, 8 and 12 kHz were reported in addition to standard frequencies. Results of stapedotomies and malleo-vestibulopexies were calculated separately. Surgical complications were described. Results The mean post-operative air conduction (AC) was 33 dB, bone conduction (BC) 22 dB and speech reception thresholds (SRT) 31 dB. Closure of the air–bone gap (ABG) to within 10 dB was achieved in 24/40 (60%) of cases. Lack of improvement was observed in 3/40 (8%) patients. In 26/32 (81%) of cases with potential for bilaterally serviceable hearing it was achieved. In 24/40 (60%) of cases symmetrical hearing with interaural difference of less than 10 dB was demonstrated. Conclusion Significant hearing gain in patients with congenital stapes ankylosis makes surgical treatment a valuable adjunct or an alternative to hearing aids in selected cases.
This study aimed to evaluate the results of 394 bilateral stapedotomies according to the American Academy of Otolaryngology–Head and Neck Surgery (AAO–HNS) guidelines and with the Glasgow Benefit ...Plot (GBP) and also analyze the benefit of a second-ear stapedotomy in achievement of normal and symmetrical hearing using retrospective chart review. The charts of 1,369 stapedotomies performed by senior author (J.H.) from 1991 to 2006 were reviewed. Results of 394 bilateral stapedotomies were included. The hearing results were evaluated according to the 1995 AAO–HNS Committee on Hearing and Equilibrium (CHE) guidelines and the GBP criteria. Success rates after the first and second ear surgeries were separately analysed. ABG closure ≤20 dB was demonstrated in 98% of cases after both first and second procedures. Postoperative AC gain was higher in the first ear surgery compared with the second ear surgery in all groups of preoperative hearing impairment. As a result of first ear surgery, 142 (72%) patients changed into the category of unilateral hearing loss. As a result of second ear surgery, 125 (64%) patients changed into the category of normal and symmetric hearing. In this study the largest group of 394 primary bilateral stapedotomies was simultaneously evaluated according to AAO–HNS guidelines and GBP criteria. The results showed that the first ear surgery was more successful in achievement of normal hearing in the operated ear. Second ear surgery was more beneficial in providing symmetric hearing.
To evaluate the technical and functional results of 144 stapedotomies in patients with severe to profound hearing loss (SPHL) and to compare the success rate in this group with that of 1001 primary ...stapedotomies for mild to moderate hearing loss (MMHL).
Retrospective chart review.
Tertiary referral centre.
The charts of 1369 consecutive stapedotomy cases were reviewed. One hundred twenty-seven patients (144 stapedotomies) with SPHL were included. The outcomes were analyzed according to the 1995 American Academy of Otolaryngology-Head and Neck Surgery Committee on Hearing and Equilibrium guidelines and evaluated with the Amsterdam Hearing Evaluating Plots and the Glasgow Benefit Plot.
The magnitude of hearing improvement was greater in patients with SPHL compared with patients with MMHL. The mean gain in air conduction in patients with SPHL was 32 (+/- 13) dB compared with 23 (+/- 11) dB in the series of 1001 primary stapedotomies for MMHL. Air-bone gap closure < or = 10 dB was achieved in 63% of cases and < or = 20 dB in 90% of patients with SPHL, compared with 82% and 97%, respectively, in patients with MMHL.
SPHL in otosclerosis is not infrequent, comprising 13% of all primary stapedotomies in this series. The magnitude of hearing improvement poststapedotomy is greater in SPHL compared with MMHL. Symmetric hearing could be achieved in two-thirds of patients, and normal hearing can be achieved in selected cases.
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