International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Mar 2014
Examining potential barriers to early intervention access in Australian hearing impaired children.
Early intervention for children with hearing loss involves assistance in oral speech development, optimal use of hearing devices and fostering a holistic partnership between allied health and the children's families. Adequate access to early intervention has been shown to be vital in the positive development of long term language and social outcomes. However, there has been limited research to identify the factors which may influence access. This study aimed to explore whether access to early intervention by children with hearing loss is affected by: geographical location, socio-economic status and ethnic-minority family status. ⋯ Findings suggest that geographical proximity and ethnic-minority family status, instead of socio-economic status, are more likely to be potential barriers to early intervention access in children with hearing loss. From the health promotion perspective, attention should be directed towards these potential barriers.
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Int. J. Pediatr. Otorhinolaryngol. · Feb 2014
Clinical utility of PPPM and FPS-R to quantify post-tonsillectomy pain in children.
As pain is a subjective and difficult parameter to assess in children, we aimed to evaluate the correspondence of two pain scales - parents' post-operative pain measure (PPPM) and faces pain scale-revised (FPS-R) with analgesic intake in the assessment of post-tonsillectomy pain in a pediatric population. ⋯ Our data demonstrate that PPPM and FPS-R are equivalent pain scales to quantify post-tonsillectomy pain in children and are useful tools in post-tonsillectomy clinical research.
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Int. J. Pediatr. Otorhinolaryngol. · Feb 2014
Establishing auditory steady-state response thresholds to narrow band CE-chirps(®) in full-term neonates.
Narrow band CE-chirps(®) were developed to provide a better synchronization of neural response due to the compensation of the traveling wave delay in the basilar membrane. These stimuli combined with a detection method that includes higher response harmonics on the auditory steady-state response (ASSR) recording was studied in this research. ⋯ In this study ASSR thresholds estimated from 90% of the neonates were 34.5, 28, 12.5 and 15dB nHL. It required 21.2 (±5)min on average to obtain threshold in each ear and ASSR thresholds to narrow band CE-chirp(®) in neonates are not significant for adults ASSR thresholds, except at 500Hz, when the ASSR thresholds in neonates tend to be greater than in adults.
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Int. J. Pediatr. Otorhinolaryngol. · Jan 2014
YouTube as an information source for pediatric adenotonsillectomy and ear tube surgery.
Assess the overall quality of information on adenotonsillectomy and ear tube surgery presented on YouTube (www.youtube.com) from the perspective of a parent or patient searching for information on surgery. ⋯ Parents/patients searching YouTube for information on pediatric adenotonsillectomy and ear tube surgery will generally encounter low quality information with testimonials being common but of significantly lower quality. Viewer perceived quality ("likes") did not correlate to formally scored content quality.
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Int. J. Pediatr. Otorhinolaryngol. · Jan 2014
Is day stay adenotonsillectomy safe in children with mild to moderate obstructive sleep apnoea? A retrospective review of 100 patients.
This study explored the perioperative course of 100 children with polysomnogram (PSG) proven mild to moderate OSA to evaluate if day stay adenotonsillectomy is safe. ⋯ Children who are otherwise well with mild to moderate OSA have a sufficiently low risk of respiratory complications following adenotonsillectomy to permit day-stay surgery in the setting of appropriate facilities with careful post-operative monitoring for the first 6h to identify a small sub-group who require overnight observations.