Alexis A. Topjian, MD, MSCE, Chair; Tia T. Raymond, MD, Vice-Chair; Dianne Atkins, MD; Melissa Chan, MD; Jonathan P. Duff, MD, Med; Benny L. Joyner Jr, MD, MPH; Javier J. Lasa, MD; Eric J. Lavonas, MD, MS; Arielle Levy, MD, Med; Melissa Mahgoub, PhD; Garth D. Meckler, MD, MSHS; Kathryn E. Roberts, MSN, RN; Robert M. Sutton, MD, MSCE; Stephen M. Schexnayder, MD; On behalf of the Pediatric Basic and Advanced Life Support Collaborators

https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000000916

Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000000918

Part 1: Executive Summary: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

Objective. To determine the minimum change of the Tinnitus Handicap Inventory (THI) score that could be considered clinically relevant, the authors compared the absolute change of the THI with the Clinical Global Impression–Improvement (CGI-I) score.Study Design. International studies register with standardized data collection.Setting. Tinnitus Research Initiative (TRI).Subjects and Methods. Two hundred ten patients of the TRI database were eligible for this study. In the first analysis, the THI score change and CGI-I ratings were compared with equipercentile linking. In a second analysis, the authors categorized the CGI-I into the 4 groups much better or better, minimally better, no change, and worse and calculated the corresponding differences of the THI score and the effect sizes. An effect size separating the minimally better and the no-change groups was chosen, and the referring THI mean score difference was calculated.Results. According to the linking method, a CGI-I value of 3 (minimally better) co...

/pdf/tinnitus-handicap-inventory-for-evaluating-treatment-effects-566tiwmyjw.pdf

Tinnitus Handicap Inventory for Evaluating Treatment Effects Which Changes Are Clinically Relevant

O zumbido e um sintoma que afeta aproximadamente 15% da populacao mundial. Acomete qualquer idade, mas predomina entre 40 e 80 anos e sua prevalencia alcanca 33% entre os idosos. Aproximadamente 20% dos pacientes incomodam-se com o sintoma, mas ainda nao se conhecem todos os fatores determinantes deste incomodo. OBJETIVO: Avaliar a influencia do sexo, idade e grau de perda auditiva no incomodo do zumbido. MATERIAIS E METODOS: Foram avaliados 68 pacientes do ambulatorio de zumbido da nossa instituicao, no periodo de marco de 2007 a marco de 2008, em estudo com corte transversal. Os procedimentos realizados foram: anamnese com protocolo sistematizado, exame otorrinolaringologico completo, versao brasileira do Tinnitus Handicap Inventory (THI) e audiometria tonal liminar. RESULTADOS: A idade variou de 24 a 83 anos e a media do THI foi de 39 pontos (36 no sexo feminino e 44 no masculino). Os graus de incomodo pelo THI foram: discreto: 32,3%; leve: 19,1%; moderado: 20,6%; severo: 13,2% e catastrofico: 14,7%. Nao houve correlacao significativa do incomodo pelo zumbido com as variaveis sexo (p=0,30), idade (p=0,77) e grau de perda auditiva (p>0,05 em todas as medias avaliadas). CONCLUSAO: Sexo, idade e perda auditiva nao influenciaram no incomodo gerado pelo zumbido.

/pdf/the-impact-of-gender-age-and-hearing-loss-on-tinnitus-3olivdoqv7.pdf

The impact of gender, age and hearing loss on tinnitus severity

Endoscopic versus microscopic approach to type 1 tympanoplasty in children

Paediatric Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, BrazilAbstractObjective: To evaluate the incidence of subglottic stenosis in children undergoing endotracheal intubation.Methods: Children in the paediatric intensive care unit of a tertiary care hospital were considered eligible forinclusion if they received endotracheal intubation for more than 24 hours. After extubation, children underwentflexible fibre-optic nasolaryngoscopy. Based on this first evaluation, they were divided into two groups: ‘acutenormal’, with mild laryngeal alterations or normal findings; and ‘acute alterations’, with moderate to severelaryngeal alterations. Further laryngoscopic follow up (7–10 days later) was undertaken for those children inthe acute normal group who developed symptoms during follow up (after discharge from the intensive careunit), and for all children in the acute alterations group. Children were then classified into two final groups:‘normal final examination’, with no chronic changes; and ‘subglottic stenosis’.Results: We included 123 children. The incidence of subglottic stenosis was 11.38 per cent (95 per centconfidence interval, 6.63–17.94 per cent). All the children who developed subglottic stenosis had had moderateto severe alterations immediately after extubation.Conclusion: This incidence of subglottic stenosis is quite high and needs further investigation to identify riskfactors.Key words: Child; Acquired Subglottic Stenosis; Prevalence; Diagnosis

Incidence of post-intubation subglottic stenosis in children: prospective study.

Summary Tinnitus can greatly impact an individual’s life quality and it is very difficult quantify. Aim: To determine the reproducibility and validity of a Brazilian Portuguese version of the Tinnitus Handicap Inventory (THI), a self-applicable questionnaire which assesses tinnitus impact on patients’ life quality. Materials and Methods: This was a prospective transversal study. The questionnaire was translated into Portuguese and cross-culturally adapted to the Brazilian environment according to internationally recommended methods. The Portuguese version of the THI was answered by 180 patients who complained of tinnitus. Reproducibility was assessed using the Cronbach’s Alpha Calculation; and the validity was assessed by means of the Beck Depression Inventory (BDI), calculating the Pearson correlation coefficient. Results: The Portuguese version of the THI showed high internal validity, comparable to the original version. A high correlation was observed between the THI and the BDI. Conclusion: The Brazilian Portuguese version of THI is a valid and reproducible tool used to quantify how tinnitus impact the life quality of those Brazilian patients who complain of this symptom.

/pdf/brazilian-portuguese-language-version-of-the-tinnitus-lgg717e10d.pdf

Brazilian Portuguese Language version of the "Tinnitus Handicap Inventory": validity and reproducibility.

Tinnitus can greatly impact an individuals life quality and it is very difficult quantify. AIM: To determine the reproducibility and validity of a Brazilian Portuguese version of the Tinnitus Handicap Inventory (THI), a self-applicable questionnaire which assesses tinnitus impact on patients life quality. MATERIALS AND METHODS: This was a prospective transversal study. The questionnaire was translated into Portuguese and cross-culturally adapted to the Brazilian environment according to internationally recommended methods. The Portuguese version of the THI was answered by 180 patients who complained of tinnitus. Reproducibility was assessed using the Cronbachs Alpha Calculation; and the validity was assessed by means of the Beck Depression Inventory (BDI), calculating the Pearson correlation coefficient. RESULTS:The Portuguese version of the THI showed high internal validity, comparable to the original version. A high correlation was observed between the THI and the BDI. CONCLUSION: The Brazilian Portuguese version of THI is a valid and reproducible tool used to quantify how tinnitus impact the life quality of those Brazilian patients who complain of this symptom.

/pdf/adaptacao-para-lingua-portuguesa-do-questionario-tinnitus-1rjncybe0i.pdf

Adaptação para língua portuguesa do questionário Tinnitus Handicap Inventory: validade e reprodutibilidade

Objectives: Chronic otitis media is currently associated with an increase in air conduction thresholds. However, a few groups reported a decrease in sensorineural function in these patients. This study evaluates the occurrence of sensorineural hearing loss in patients with chronic otitis media. Methods: The records of patients with unilateral chronic otitis media were reviewed. Eighty-four patients met the inclusion criteria that were normal otoscopy and normal hearing in the contra lateral ear. Bone conduction threshold averages were calculated over 500 Hz, 1000 Hz, 2000 Hz, 3000 Hz and 4000 Hz frequencies. We compared the bone conductions threshold averages between the normal ear and the ear with chronic otitis media. Thresholds were examined separately for each frequency. Results: The bone conduction threshold averages in the normal side were smaller than those of the chronic otitis media ear. The threshold shift was statistically significant in each frequency ( P t Student test) but in 500 Hz ( P = 0.16). There were no differences between the groups when we analyzed the role of age or in the role of the cholesteatoma presence in the sensorineural hearing loss. Conclusions: This study shows that chronic otitis media is associated with decrease in cochlear function. Neither the presence of cholesteatoma in the middle ear nor the patients’ age showed any influence in the sensorineural hearing loss.

/pdf/sensorineural-hearing-loss-in-patients-with-chronic-otitis-9hwiuz9wn4.pdf

Sensorineural Hearing Loss in Patients with Chronic Otitis Media

Flexible fiber-optic laryngoscopy in the first hours after extubation for the evaluation of laryngeal lesions due to intubation in the pediatric intensive care unit.

Mariana Magnus Smith

Papers

Incidence of post-intubation subglottic stenosis in children: prospective study.

Brazilian Portuguese Language version of the "Tinnitus Handicap Inventory": validity and reproducibility.

Adaptação para língua portuguesa do questionário Tinnitus Handicap Inventory: validade e reprodutibilidade

Sensorineural Hearing Loss in Patients with Chronic Otitis Media

Flexible fiber-optic laryngoscopy in the first hours after extubation for the evaluation of laryngeal lesions due to intubation in the pediatric intensive care unit.