bluuebunny/crossref_metadata_2025 huggingface dataset:
Bilingual learning environment as a resource for the development of creative abilities and socio-psychological adaptation of hearing-impaired children
Authors:   Novosibirsk State Pedagogical University, Piskun Olga Yuryevna , Baskina Inessa Solomonovna ,   Company “I hear the world around me”, Petrochenko Valentina Anatolyevna ,   Novosibirsk State Pedagogical University, Shtatnyh Elena Dmitrievna ,   Novosibirsk State Pedagogical University, Agavelyan Ruben Oganesovich ,   Novosibirsk State Pedagogical University
Published: May 2021

Introduction. The article addresses the problem of bilingualism of deaf children in the educational process with the main focus on enhancing their creative abilities and socio-psychological adjustment. The purpose of the research is to study and describe the resource for the development of creative abilities and socio-psychological adaptation of children with hearing impairment. Materials and Methods. In this paper the authors provide a review of Russian and international studies into the role of bilingualism in deaf education. The evaluation of creative abilities and socialization of children with hearing impairment was conducted using the following projective methods: ‘Measurement of creative thinking’ (E. Torrance’s Incomplete figure test), N. V. Shaidurova’s measurement of older preschoolers’ creativity, ‘A picture of the family’ by T. G. Khomentauskas (adaptated by O. Y. Piskun and R. O. Agavelyan) as well as sets of survey methods including M. A. Panfilova’s “Sociometric questionnaire for children” and V. V. Tkacheva’s “Questionnaire for parents”. The sample consisted of 16 senior preschool age deaf children and their parents (n = 16). Results. Results. The authors identify the features of the development of creative abilities in children with hearing impairment: a slow formation of verbal speech, role-play interaction, and abstract thinking. The study reveals low socio-psychological adaptation, high parental deprivation and anxiety. In some cases, children are deprived of constructive interaction with their parents. It is emphasized that bilingual learning environment can be considered as a tool of deaf children’s social adjustment. The relevant learning environment can be created within the center of development and psychological and educational support for individuals with special education needs. Competent professionals (including those with disabilities) who use Russian sign language are motivated to communicate with deaf children and their parents for subsequent successful social integration and adjustment. Conclusions. The study concludes that within a personality-centered paradigm of a bilingual educational environment for creative development of children with hearing impairment and their socio-psychological adjustment, the leading factor is the bilingual approach to creating the center for psychological and educational support for families with the main focus on constructive interaction with deaf children.
Analisis Gaya Bahasa pada Debat Akademik Berbahasa Jepang (Kyouiku Dibeeto)
Authors: Anjasuma Putri Andriani , Setiawati Ai Sumirah
Published: May 2021

Tujuan dari penelitian ini adalah untuk menganalisis gaya bahasa yang digunakan dalam debat akademik berbahasa Jepang atau kyouiku dibeeto. Penelitian ini menggunakan pendekatan kualitatif dengan metode analisis deskriptif. Sumber data yang digunakan berupa video kompetisi debat mahasiswa Jepang yang berjudul “dibeeto nyumon jissenhen”. Objek data dalam penelitian ini berupa gaya bahasa debat akademik berbahasa Jepang. Teknik pengumpulan data menggunakan teknik simak catat dengan kartu data sebagai instrumen penelitian. Hasil penelitian menunjukkan bahwa ada 50 data yang menunjukkan penggunaan gaya bahasa. Gaya bahasa tersebut adalah metafora, simile, personifikasi, metonimian, pertanyaan retoris, impilaksi, repetisi, ellipsis, reticence, antithesis, klimaks, ironi dan pastice.
Kemampuan Mengajar Mahasiswa PPL Pendidikan Bahasa Jepang Angkatan 2016 UNNES Ditinjau dari Penilaian Guru Pamong dan Penilaian Diri
Authors: Diner Lispridona , Rohmatulloh Fajar
Published: May 2021

The author conduct this research with the goal to find out the teaching ability of PPL's college students of Japanese language education 2016 UNNES based on self and tutor's assessment. Teaching practice experienced (PPL) is a course with the goal to train college students of educational studies programs to apply they knowledge during lectures in their practice places (school partner) for one and a half months.The approach methode in this research is quantitative descriptive. The sample of this research was 25% of PPL's college students of Japanese language education 2016. The data collection technique used the PPL's assessment scale and questionnaire. The results of data obtained were analyzed used the descriptive percentage techniques.
Enkranisasi Manga dan Anime: Kajian Sastra Bandingan Terhadap Unsur Intrinsik dalam Nurarihyon No Mago: Shikoku Arc Karya Hiroshi Shiibashi dan Junji Nishimura
Authors: Zahrotunnisa Fathimah , Firmansyah Dian Bayu , Haryono Haryono
Published: May 2021

Penelitian ini bertujuan untuk meneliti unsur intrinsik manga Nurarihyon No Mago: Shikoku Arc oleh Hiroshi Shiibashi yang diadaptasi menjadi sebuah anime oleh Sutradara Junji Nishimura". Penelitian ini merupakan penelitian deskriptif-kualitatif, dengan menggunakan metode  simak-catat,  dengan membandingkan unsur-unsur yang ada pada manga dan anime. Total data dari penelitian ini adalah 51 buah potongan adegan yang diambil dari manga Nurarihyon No Mago: Shikoku Arc dan juga versi anime-nya. Dari penelitian yang telah dilakukan, diketahui bahwa meskipun plot utama dan  alur serita pada keduanya memiliki kesamaan, terdapat beberapa perbedaan yang muncul dan diketahui juga ada beberapa tambahan latar yang hanya terjadi pada versi anime. Hal ini menunjukkan bahwa perbedaan tersebut dapat terjadi karena danya keterbatasan yang diakibatkan oleh perubahan media. Sehingga dapat dipastikan bahwa tidak mungkin jalan ceritanya sama persis dengan sumber asli-nya.

 

The research aims to seek the intrinsic elements of Manga Nurarihyon No Mago: Shikoku Arc by Hiroshi Shiibashi, which is adapted to anime by Director Junji Nishimura”. This research is a descriptive-qualitative study, using the note-taking method, comparing the elements of the manga and anime. Total data from this study was 51 pieces of scenes taken from the manga Nurarihyon No Mago: Shikoku ARC and also the anime version. From the research that has been done, it is known that although the main plot and the Seryte groove on both of them have similarities, there are some differences that arise and there are also known some additional settings that only occur in the anime version. This suggests that these differences can occur due to the limitations caused by media changes. Therefore, it can be ensured that the storyline is unlikely to be exactly the same as its original source.
Efektivitas Strategi Know Want Learned (KWL) dalam Meningkatkan Keterampilan Berbicara Bahasa Jepang
Authors: Setiawati Nia , Nur Wijayanti Rahmania , Fitri Asih Nur Saadah
Published: May 2021

This research was conducted to attempt at improving Japanese Speaking skill through Know Want Learned (KWL) strategy of the 2018-2019’s academic years students of Japanese Department, Faculty of Language and Literature of State University of Jakarta. The classroom experiment study was triggered by the fact that the subjects still faced problem in Japanese speaking skill. The classroom action study made use of pre-test and post-test research design with quantitative analysis. Based on the experiment result, the data administered showed that there was improvement in the students’ Japanese speaking skill. Before giving the treatment, the classes’ average of pretest was 68.2. After implementing the KWL strategy, the classes’ average of posttest was 80.3. This indicated that the students’ Japanese speaking  skill has improved. Moreover, the hypothesis test revealed tcalculate is higher than ttable. Therefore, these findings clearly suggested that improving Japanese speaking skill through KWL strategy was highly effective.
Nilai-Nilai Tradisional dalam Bisnis Kuliner yang Tercermin dalam Serial Drama Jepang
Authors: Andayani Santi , Rahmawati Emma , Paramita Ni Made Savitri , Ghabella Ghe , Rahmawati Putri Azmi
Published: May 2021

Penelitian ini bertujuan untuk melihat bagaimana bentuk nilai-nilai tradisi kuliner yang diwariskan kepada generasi selanjutnya yang tercermin dalam tiga serial drama Jepang dengan genre food, yaitu Osen (2018), Wagashi Bakery (2016) dan Edo Mae no Shun (2018).penelitian ini mengunakan metode deskriptif kualitatif untuk menganalisis nilai-nilai tradisional yang terdapat dalam ketiga drama. Hasil penelitian menunjukkan bahwa dalam ketiga serial drama tersebut terdapat nilai-nilai tradisi kuliner yang selalu dijaga  sehingga mampu mempertahankan keberlangsungan bisnis kuliner tradisional mereka, yaitu nilai estetika, nilai sosial, nilai tanggung jawab, nilai kreatifitas, nilai loyalitas, dan nilai pendidikan. Nilai-nilai tersebut diturunkan dari satu generasi ke generasi penerusnya, yaitu ketika tokoh Shun mempelajari cara membuat sushi dari Matsunoshuke, ayahnya, tokoh Osen mempelajari cara memasak dan mengelola restoran dari ibunya dan kemudian Osen mengajarkan cara memasak tersebut pada Ezaki, karyawannya, serta tokoh Arare yang belajar membuat wagashi(kue tradisional Jepang) dan mengelola toko wagashi tersebut dari ibunya. Nilai-nilai tersebut adalah salah satu kunci kesuksesan keberhasilan bisnis kuliner mereka bertahan hingga lebih dari 3 generasi.
Analisis Kesalahan Penggunaan Kara dan Node pada Siswa JLMC (Japanese Language Management Center)
Authors: Hauda Hilwa , Danasasmita Wawan
Published: May 2021

This article examines the use of conjunctions or setsuzokujoshi of  kara and node that mean reasons in Japanese. The subjects in this study were students of the Nippo class who were studying at LPK Japanese Language Management Center (JLMC). This research uses descriptive analysis method by collecting data from students to answer 6 questions about kara and node. The results showed that students understanding about use of kara and node was good enough, with a percentage 59%. Then based on the results of the item analysis, can be seen that the students made more mistakes in kara form than node form, with the error percentage in kara reach 62% and node 21%. The main cause of students lack of understanding about the differences of kara and node is the teacher who does not explain in detail the differences between kara and node. Besides that, learning material or book that students used there is no details explanation about different of kara and node.
Pembelajaran Bahasa Jepang Perhotelan III Berbasis Daring di Masa Pandemi Covid-19
Authors: Wijayanti Anak Agung Ratih , Putranto Isa Wahjoedi Dwi
Published: May 2021

This study aims to determine the learning process of Japanese Language Hospitality during the Pandemic Covid-19 period. This study was researching effectiveness of the online distance learning process and evaluate the weakness and problem occurred during learning process. This research was conducted on 43 students of the Faculty of Tourism at Triatma Mulya University Diploma IV Hospitality Program in Third Semester, Academic Year 2020/2021. The respondent  was choosen from students who have learned Japanese Language Hospitality 3 on one semester from June to December 2020. The data collection method in this study used documentation techniques and questionnaires via google form. The online-based learning process carried out in this study is to create virtual classroom learning situations through online-based e-learning methods. Students not only listeners in class, but students are strongly directed to presentation about hotel hospitality using Japanese Language. The problem during learning process of Japanese Hospitality online are, the lack of supporting facilities in online class, less concentration and other distractions.
Status of heavy metals contamination in drinking water of district D. G. Khan, Punjab, Pakistan
Authors: Batool Aniqa , Ahmad Farhad , Ghufran Muhammad Asad , Kazmi Syeda Sabahat
Published: May 2021

Anthropogenic activities are the major cause of environmental pollution. Industrialization, urbanization and agriculture activities are also causing huge troubles linked to human health in Pakistan. Heavy metals contamination has increased in drinking water because of urbanization and agricultural activities. Being one of the urbanized Cities, Dera Ghazi Khan has also been subjected to the hastily increasing harms of contamination. The respective study was planned to evaluate the heavy metals concentrations and identification of high risk areas for the inhabitants living in the city. Total ninety-six samples of drinking water were collected. TDS and EC were in the range of 1.48 to 8.412 mg/L and1.41 to 9.4µS/cm respectively. TSS was from 40 to 599 mg/L which were exceeding WHO guidelines in eight samples. Heavy metals such as Ni, Cr, Zn, Pb and Cd were measured through atomic absorption spectrophotometer. Zn average value was well within WHO standard while Pb was exceeded in thirty-nine samples. Cd was exceeded in fifteen samples; Cr and Ni were exceeded in eighteen samples. Sources of heavy metals identified as agricultural activities, domestic and commercial effluent. Ground water samples were found potable at some locations but at the same time pose serious threat to human health due to heavy metals above permissible limits.
Reporting and interpreting the numerical results of a vaccine trial: a practical guide for students and health care professionals
Authors: Manfrin Andrea , Joshi Miland
Published: May 2021

In one year, the COVID pandemic has changed the world. Universities, pharmaceutical companies, and many other organisations worldwide worked effortlessly to develop vaccines to ease the socioeconomic burden of the disease and improve global health care. Nowadays, vaccine efficacy is a very popular term; but do we know what it means and how to calculate it? This article provides information on reporting and interpreting the numerical results of a vaccine trial. It aims to be a practical guide for students and health care professionals. It gives a simple definition of the common terminology, the vaccine efficacy, how to calculate it, and how the confidence interval can be found (though formulae for the latter are not given here). Additionally, it provides two simple examples (A, B), including the formulae for calculating the vaccine efficacy explaining the differences of vaccine efficacy between the two examples simply and pragmatically.
The connection between normal breathing and eye blinking
Authors: Tanveer Muhammad , Imran Qadir Muhammad
Published: May 2021

The main consult of this research was to check the relation between normal breathing and eye blinking. Totally 130 subjects were the part of this research. We measured the normal breathing rate of subjects by simple method. There must be a digital stop watch. First of all, we give a comfortable position to the subjects. We start counting after 10 minutes of rest, for accurate measurement. We started the stop watch and counted the breathing rate of every subject. Questionnaire was arranged to check the effect of breathing on eye blinking. We asked some question to the subjects and note their answers. This work can arouse the scientist to work more on this article. We made a table and calculate the averages and p values to check the relation. It was concluded that there was no scientific relation among normal breathing rate and eye blinking.
Systemic lupus erythematosus presenting as stevens johnson syndrome in a thirty years old female: a case report
Authors: Mukarram Mohammad Shariq
Published: May 2021

Background: SJS occurs almost exclusively secondary to drugs but very rarely, SLE can be an inciting factor for SJS without presence of an offending drug. The association is extremely rare, however few cases have been reported. Case presentation: We present a case report of a thirty year old female who presented to the rheumatology clinic with complaints of rash on her face, swelling of the lips and oral ulcers with severe hemorrhagic cheilitis. She also complained of persistent high grade fever with development of blisters on her face and oropharyngeal mucosa. She had been suffering from pain in multiple joints which did not respond to NSAIDs. A diagnosis of SLE presenting as SJS was established. Patient was given good supportive care, steroids, DMARDs and analgesics, to which she responded well and recovered. Conclusion: Stevens Johnson Syndrome is an uncommon, severe dermatological condition usually caused secondary to drugs. Secondary cause of the disease may rarely be co-existence of an autoimmune condition like SLE, as present in our patient.
Pulmonary tuberculosis and peptic ulcer disease association in geriatric patients
Authors: CASTRO VIANA GRAÇA MARIA
Published: May 2021

The geriatric population is predisposed to the development of pulmonary tuberculosis (PT), both by endogenous and exogenous factors. Regarding for peptic ulcer disease (PUD) in this same age group, the clinical manifestations are related to the loss of weight and to the depreciation of the general state; a situation that provokes reactivation of PT, causing a more severe clinical picture, not only due to the association of the two pathologies, but also by the age group itself. In this case report, we present a 97-year-old woman with an unexpected association of pulmonary tuberculosis and DUP.
Faecopneumothorax revealing a neglected traumatic diaphragmatic hernia
Authors: Chaoui B , Nassar I , MoatassimBillah N
Published: May 2021

Introduction: Tension fecopneumothoraxis a rare but serious complication of traumatic diaphragmatic hernias. The diagnosis of the hernia can be delayed from a few days to some years and will be made on occasion of complications representing the dramatic evolution of the “latent stage” of disease. Only few cases of post-traumatic faecopneumothorax are described in the literature. This clinical evolution is associated to a significant increase in morbidity (30–80% of cases). This is particularly the case with our patient. Case presentation: We report the case of a 26-year-old who had a trauma of the left hypochondrium about a year ago and who presented an acute intestinal occlusion, an X ray abdomen and chest was performed, showing abundant hydropneumothorax, thethoracoabdominal scan reveals an abundant effusion with heterogeneous density in the left pleural cavity, associated with an intrapleural hernia of the large intestine Discussion: Tension fecopneumothorax is a very rare complication of traumatic diaphragmatic hernia, only few cases are described in the literature, the mechanisms of the injury can blunt or penetrating, it occurs after intrapleural perforation of a strangulated colon, and very often its life threatening. Conclusion: According to our knowledge and review of the literature, Tension fecopneumothorax complicating a traumatic diaphragmatic hernia is very rare; the diagnosis is made by thoracic radiography and thoracoabdominalCT, which also allow orientation of the therapeutic attitude with non-negligible post-operative complications.
Complex multi-system illnesses occurring within a family: Presumptive evidence for an infectious disease process
Authors: Martin W John
Published: May 2021

Society is witnessing an increasing incidence of illnesses with neuropsychiatric manifestations. Prominent examples include autism and learning disorders in children, depression and chronic fatigue syndrome in adults and neurodegenerative diseases in the elderly. Although clinically diverse, all of these illnesses could be contributed to by infectious agents. If so, one might expect to trace the occurrence and progression of various brain damaging illnesses among various family members. An example of this occurring in three generations of a family was unsuccessfully submitted for publication in another journal 2015; in part because of its Public Health implications. It is submitted to this journal because of definitive evidence for the transmission to humans of infectious cellular sequences incorporated into monkey-derived stealth adapted viruses.
Fusiform aneurysm of the basilar artery associated with internal carotid artery agenesis
Authors: Palma Abrão Guilherme de , Araujo Danilo , Barbosa Matheus Miranda , Lyra André Didier , Sarmet Moreira Dantas dos Santos Alair Augusto
Published: May 2021

Internal carotid artery (ICA) agenesis is rare and corresponds to the concomitant absence of ICA and the carotid canal. Two possible mechanisms involve the association between ICA agenesis and intracranial aneurysms: hemodynamic overload and hyperflow by demand of a given territory. We describe a case of Type I agenesis of the left ICA associated with fusiform aneurysm and fenestration of the basilar artery (BA).
Normative neurophysiologic parameters of the peroneal nerve among adult Sudanese population
Authors: A Hameed Hussam Mohammed , Elmagzoub Mohammed Salah , Ahmed Hassan Ahmed  Hassan
Published: May 2021

Background: Nerve conduction studies (NCSs) are an invaluable aid to investigate and quantify the physiological activity of peripheral nerves. They include measurement of sensory and motor conduction velocities and latencies of peripheral nerves which might be influenced by anthropometric factors like age, sex, height, weight, temperature and (body mass index) BMI. Objective: As mentioned in the companion paper, normative NCS parameters were lacking in Sudan, hence the aim of this study is to establish our own EMG normal neurophysiological values among adult Sudanese people. Method: A descriptive, analytic, cross sectional study investigating 200 Peroneal nerves of 100 healthy Sudanese people was conducted in Elmagzoub Neuroscience Center; supported by the Faculty of Medicine, National Ribat University, Khartoum, Sudan. Results: The normative neurophysiologic values of the Left and Right peroneal nerve CMAP (compound muscle action potential) in the whole sample of this work were shown as; latency (ms), amplitude (mV), duration (ms), area (mVms) and conduction velocity (m/s). The Left Peroneal values were 6.1±7, 2.6±0.5, 3.6±0.9, 13.8±6.1 and 46.5±2, respectively. The right peroneal values were 5.7±2.3, 3.6±0.9, 5.7±1.3, 15.7±7 and 48.3±4.5, respectively. Conclusion: Most EMG laboratories worldwide depend on reference values originated in Caucasian populations. Consequently, this is a second of serial NCSs of common peripheral nerves, performed in Afro-Arab ethnic Sudanese population, aiming to determine if there are any diverse values between this group and the aforementioned. Eventually this work will allow us to have our own NCS reference parameters.
Normal neurophysiologic parameters of the sural nerve among adult healthy Sudanese population
Authors: Noury Ahmed Osman
Published: May 2021

Background: Nerve conduction studies (NCSs) are of central importance for the assessment of peripheral nervous system disorders. They help in the diagnosis, extent distribution of neural lesion as well as the prognosis of a disease process. The aim of this study is to establish normative NCS reference data of the sural nerve in Sudanese population for our EMG electrodiagnostic center; and to survey the effects of age, gender, height, weight and temperature on conduction Parameters. Methods: The study was conducted in Elmagzoub Neuroscience Electrodiagnostic Centre; supported by the Faculty of Medicine, National Ribat University, Khartoum, Sudan. NCSs were performed in 210 sural nerves of 105 adult healthy Sudanese subjects using standardized techniques. Results: The Right sural nerve SNAP parameters in the whole subjects were set as (mean ±standard deviation) for onset latency. peak latency, amplitude and conduction velocity. The values were 2.73±0.42 ms, 3.32±0.46 ms, 8.39±3.49 uV and 52.05±8.47 m/s, respectively. The Left sural nerve SNAP parameters in the whole study group were 2.71±0.50 ms, 3.29 ±0.52 ms, 8.54±4.56 uV and 52.66 ±8.95, respectively. Conclusion: The sural sensory nerve conduction parameters compared favorably with the existing literature. Age showed a positive correlation with latencies, and negative correlation with amplitude and velocity. Gender has conspicuous effect on all sural nerve conduction parameters. Height showed an effect on latency and conduction velocity whereas BMI revealed a negative correlation with amplitude and conduction velocity of sural nerve.
Spinal Epidural varicosity resembling prolapsed intervertebral disc on MRI: A diagnostic dilemma for lumbar canal stenosis
Authors: Raut Vijay Kumar , Khan Akhlaque Hossain , Ahmad Mamun , Barua Sumit , Ahmed Nazmin , Islam Khan Shahidul , Jahan Nwoshin , Chaurasia Bipin
Published: May 2021

Sciatica is generally caused by such well-recognized entity as lumbar disc herniation in neurosurgical practice. However rare patholo­gies such as epidural varices may mimic them by causing radicular symptoms. In this case report, we present a 20-years-old man with the complaint of low back pain and bilateral sciatica (Lt>Rt) & neurogenic claudication who was operated for right L5–S1 disc herniation. The lesion interpreted as an extruded disc herniation pre­operatively on MRI but was found to be an epidural varix compressing the nerve roots intraoperatively. The varicosity of veins was found in epidural space causing canal stenosis.
An elderly woman presents with a “Transient Ischemic Attack”: A curable cause
Authors: A Kronfol Catherine , Shekhar Shashank , Huang Juebin
Published: May 2021

We report a 78-year-old female who presented to the Emergency department after a 10-minute episode of transient ischemic attack (TIA)-like symptoms of right side sensorimotor deficit, presumably due to a left carotid artery ischemia syndrome, only to be found surprisingly to have bilateral multifocal acute infarcts of cardioembolic pattern by brain magnetic resonance imaging, and, even more surprisingly, to have a rare, but curable embolic source from a large left atrial myxoma. This case report emphasizes the importance of following existing guidelines to timely and thoroughly investigate the potential management-changing causes for all TIA patients. Rare but curable causes of stroke or TIA in young adults such as cardiac myxoma can also occur in the elderly patient population.
Recurrent AOM associated with selective IgA deficiency
Authors: Muriño Silvia
Published: May 2021

Selective IgA deficiency is the most common primary immunodeficiency. A small percentage presents pathology, but at older age can associate deficiency of some subclass of IgG and greater susceptibility to infections, allergic diseases, autoimmune diseases and neoplasms.
Development of auditory, language, and speech skills of children with cochlear implants: a study of aural rehabilitation benefits
Authors: Jeddi Zahra , Kassani Aziz
Published: May 2021

Objectives: to determine the benefits of aural rehabilitation in the auditory, language, and speech development of children with cochlear implants. Method: This longitudinal study was conducted on 15 deaf children (m.a. 45.27mo) who received cochlear implants in the AmirAlam cochlear implant center in Tehran, Iran. Data on the subjects were collected before they received cochlear implants, and then again 2, 4, 6, and 8months after implantation. The children’s developmental age in terms of auditory, speech, and receptive and expressive language skills was determined through interviews with their parents and scored using the Newsha Developmental Scale. We then computed the Pretest Developmental Rate, the Intervention Efficiency Index, and the Proportional Change Index. Results: A significant difference was observed among the preintervention and the 4 follow-up assessments of the Pretest Developmental Rate in four studied skills (P<0.0001). There was a significant difference among the 4 follow-up assessments of the Intervention Efficiency
Outcome of small minimal incision technique & posteriorly based periosteal flap with subcutaneous closure in cochlear implant surgery
Authors: Mohsin Al-Anbari Bahaa , Qahtan Khalaf Adnan , Shakir Taher Feryal
Published: May 2021

Background: Although cortical mastoidectomy and posterior tympanotomy has not changed for more than 40 years, the major changes are in the skin flap incision and implant technique in CI surgery. Regarding the incision technique the smaller the incision with less soft tissue manipulation the best. Post-operative healing and scar result also small incision have adequate blood supply and venous drainage, graft has good exposure and coverage of the PP field. There are different types of incisions and flaps which are used by different surgeons around the world for cochlear implant surgery. In this study 3 types of incisions and flaps were used, Small incision for cochlear implant surgery reduce the morbidity and increase parent satisfaction as compared with wider access operation incisions also will prevent the scalp flap complication, this is achieved by good flab design that should have adequate blood supply and venous drainage, enough field exposure and coverage. Methods: This is retrospective study for 145 child age ranges between (1-5)years old, underwent cochlear implant surgery with deferent companies (AB, cochlear, med el) in Al-Yarmouk Teaching Hospital/ENT department from 2014- July.2018. 3 types of incisions and flaps were used, Slight curve line post auricle incision (Small hair line post-auricle incision), Lazy S incision, Small post-auricle with superior extension, was made with posterior flap elevation was used as an axis to the mastoid cavity and the wheel for the implant device, with subcutaneous closure and without skin closure. Result: It’s found that there is early healing, no major flap complication by using Slight curve line post auricle incision (Small hair line post-auricle incision), no skin stitches are required, end with minimum or no scar, minimum time consuming and easy follow-up for the children post-operatively.
Correlation between behaviorally measured comfort (c) levels and electrically evoked stapedius reflex thresholds (ESRT) in children with unilateral cochlear implant
Authors: Mishra Roshani , Nandurkar Aparna
Published: May 2021

Introduction: Decrease in the lower age limit for paediatric cochlear implantation and increasing records of cochlear implantation in children with associated impairments demand quick and easily available objective measurements to provide MAP in these children as their speech and language ability may not be adequate to provide clear cut explanation about comfort level. Providing adequate amount of acoustic stimulation in this golden period of life (i.e. 0-2 years) is important in ensuring the proper utilization of acoustic cues. Findings of adult population cannot be directly applied to younger children and till date there is no Indian study reporting relationship between Electrically Evoked Stapedial Reflex Thresholds (ESRT) and behavioural Comfort levels, especially in pediatric population. Aim: The present study aimed to assess the correlation between behaviorally measured comfort (C) levels and Electrically Evoked Stapedius Reflex Thresholds (ESRT) in children with unilateral cochlear implant. Method: Children (n=40) with age range of 4-12 years, who received the same type of CI and electrode configuration, were selected for the study. Participants were divided into two groups – younger and older - based on their chronological age. Behavioural C-level measurement and ESRT measurement were done after tympanometry for both the groups. Correlation between the two measures was obtained and comparison between the two groups was done. Results and discussion: Recorded ESRT was consistently higher than the behaviorally obtained C-level for both the groups. The correlation between ESRT and C-level varies from moderate to very strong and strong to very strong for the younger and older groups respectively. No statistically significant difference was found between the correlations for the two age groups. Conclusions: High correlations were found between the ESRT and behaviorally obtained C-levels. Thus ESRT can be utilized as a tool for programming in younger implant recipients.
Impact of the different mutations in the cystic fibrosis gene in children with chronic rhinosinusitis
Authors: Silva Ferreira Mafalda da , Elói Moura João , Amorim Ana Margarida , Ferreira Ana Bernardo , Filipe Silva Luís
Published: May 2021

Background: Cystic fibrosis (CF) is a worldwide disease occurring mostly in caucasians. It is an autosomal recessive disorder that leads to a malfunction of CF transmembrane conductance regulator (CFTR). These mutations cause an ionic disorder on the body fluids and a modification on its consistency. Affects multiple parts of the body and rhinosinusitis is a common manifestation of the upper airway affection. Material and methods: This retrospective study performed a statistical analysis of the prevelence of chronic rhinosinusitis with polyposis, genotipe and mortality in 30 children under 18 years with cystic fibrosis followed in the CF unit of Coimbra University Hospital. Results: The mean age of this study was 12,9 years. Phenylalanine deletion at position 508 (F508delF508del) was the most prevalent genotype (66,7%). Females patients had an higher prevalence of morbidities, however male patients had an higher mortality rate 20% comparing to 6,7%. Nasal polyposis was present only in the living ones with F508delF508del genotype. ENT (ear, nouse and throut) symptons and an abnormal ENT examination were mostly observed in F508delF508del genotype. Conclusions: CF is a lifelong disease that requires long-term surveillance and compliance. The involvement of the lower airway is prevalent in young chlidren. The uper airway symptoms becomes more important with disease progression. Nasal poliposis is prevalent on the older ones with F508delF508del genotype. In this kind of patients with persistent symptoms, who have failed medical management, are often considered appropriate candidates for functional endoscopic surgery.
Foreign body: denture in oesophagus: a case report
Authors: Arora Nitin , Kaur Daljeet , Mishra Urvashi , Bhateja Radhika , Arora Nikhil
Published: May 2021

identally swallowed dentures are one of the most common foreign bodies of upper digestive tract in elderly people and it can lead to severe complications. Complications ranging from oesophageal rupture, mediastinitis, haemetemesis, and recurrent laryngeal nerve injury has been reported. Therefore, an early detection and an early intervention are important. We are reporting a case of accidentally swallowed denture. After the diagnosis of an impacted denture was made, upper GI Oesophagoscopy was done and it was removed in emergency OT. This case highlights the importance of an early treatment in order to avoid complications.
Sinus augmentation with simultaneous removal of antral polyp
Authors: Mahesh Lanka , Schwartz David Morales , Raj Kumar Varun , Shukla Sagrika , Juneja Saurabh
Published: May 2021

Antral polyps are the most common pathologies found in maxillary sinus. If asymptomatic, it can be left untreated but if symptomatic and is encountered during posterior maxillary rehabilitation procedures like sinus augmentation procedures, it has to be treated preoperatively through FESS procedure by otolaryngologist or may be treated intra operatively during sinus elevation procedure as the case presented here.
Performance of normal hearing preschool children on audiometric ling’s six sound test
Authors: Milind Gaikwad Shrutika , Arvind Patil Vedanti , Nandurka Aparna
Published: May 2021

Introduction: Ling’s six sound test is a quick and simple test to ascertain access to speech sounds essential for development of optimum listening and speaking skills. However, most of the normative data available for Ling’s six sound test is adult based. Therefore, there is a need to develop normative data for subsequent use with children who are receiving early intervention procedures. This study aims at obtaining the awareness and identification thresholds for Ling’s six sounds for normal hearing preschool children between 3 to 6 years of age. Methods: Each of the six sounds of Ling’s six sound test namely; |a| |i| |u| |s| |sh| |m| were presented in the sound field through an audiometer to fifty 3 to 6-year-old children with normal hearing sensitivity in a sound treated room. Each child was explained the task and was conditioned well before the testing. Both awareness and identification thresholds were obtained. The lowest level at which the child responded was noted as the threshold. Results: The lowest threshold for awareness and identification was obtained for the sound |a| (10.3 dB HL and 15.4 dB HL respectively). whereas the highest threshold was obtained for the sound |s| (18.2 dB HL and 24 dB HL respectively. A significant difference was seen in thresholds across all the sounds for both awareness and identification. Conclusions: The differences seen in thresholds across all the sounds for both awareness and identification are due to several higher order factors as well as the acoustic and spectral features of each of the Ling’s six sounds.
Management of foreign bodies in children’s upper digestive tract at Parakou, Benin
Authors: Alabi Bouraïma Fatiou , HR Hounkpatin Spéro , C Flatin Marius , Sake Kadidjath , Avakoudjo François , Akanni Djivédé , Ngamgne Deffo Hermine , Adjibabi Wassi
Published: May 2021

Introduction: Foreign bodies (FB) of the upper digestive tract (UDT) are specific to children. The objective of this study was to report the epidemiological, diagnostic and course of foreign bodies of the digestive tract of children in Parakou. Method: This was a retrospective study conducted from January 2014 to December 2018, in the ENT departments of the regional teaching hospital of Borgou and the Boko Hospital. Included in this study were all children admitted for ingestion of foreign bodies whose age was under 15 years. Results: Thirty-seven cases of pharyngeal foreign bodies and the child's esophagus were recorded, 46% of the children's ENT foreign bodies (80cases) during the study period. The sex ratio was 1.64. The average age of children was 3.61±2.15 years with the extremes of 07 months and 08 years. Children under 4 were the most predominant of the series (70%). A proportion of 21/37 (56%) children had consulted in less than 24 hours. Hypersalivation was the main symptom (84.85% of cases). A cervico-thoracic X-ray was performed in all children. The most frequent location of foreign bodies were the hypopharynx and the mouth of the esophagus (75.68%). Fibroscopy with a rigid tube under general anesthesia in emergency condition had enabled the extraction of all the foreign bodies. Coin-type non-organic foreign bodies were the most common with 29 cases (78.4%). The course was favorable in 95% of the cases. Complications identified were necrotic lesions in the oesophagus mouth with laryngeal involvement and respiratory distress in a case of flat battery ingestion. Conclusion: Ingestion of foreign bodies is relatively common within children. The non-organic foreign bodies recovered were mainly the coins. The natural course was favorable in the majority of the cases. Nevertheless the presence of flat battery in the digestive tract is to be scared.
A comparative study between the effect of radio-chemotherapy versus surgery with or without postoperative radiotherapy on advanced stage hypopharyngeal carcinoma (stage III and IV); review of literature
Authors: Hamid Ossama , Ahmed Samia , Fathi El Rashedy Mohamed , Abdelhamid Amr Ossama
Published: May 2021

Background: The improvement of clinical outcomes for patients with hypopharyngeal squamous cell carcinoma (SCC) has been particularly challenging for head and neck surgeons and oncologists. Chemoradiotherapy (CRT) has been used for patients with advanced hypopharyngeal cancer with the aim of preserving the larynx. The reasons for the un-favorable prognosis of hypopharyngeal cancers are the strong tendency for extensive sub-mucosal spread, the early occurrence of regional lymphatic involvement, and the relatively high rate of distant spread. Aim: This study was conducted to collect the recent data about the different modalities of management of advanced stage hypopharyngeal carcinoma (stage III and IV), and systematically review the outcomes of each modality either alone or in combination and compare their efficacy. Methods: Search of published medical articles from 2001 till 2018, on management of advanced hypopharyngeal carcinoma either by radio- chemotherapy versus surgery alone or in combination with postoperative radiotherapy in Medline, Embase, Elsvier. Twenty-one articles fulfilled the inclusion criteria and were included in our study. Results: Overall survival, regarding surgery group was reported in 8 studies with total 1657 patients achieved overall survival (46.23%); While in CRT group, it was reported in 18 studies with total 2995 patients achieved overall survival (43%). Comparative study between the 2 groups revealed decrease in overall survival rate; in CRT group; compared to surgery group; with significant statistical difference (p=0.019). Conclusion: The treatment approach had a significant impact on overall survival and recurrence rate, as described in other series. Given the equivalence between these two strategies suggested in several series, definitive CRT seems to be an advantageous option as it improves organ preservation and, consequently, the functional outcome. Recent developments in chemo-radiation treatment techniques could hopefully increase tumor management and survival rates.
Postauricular revolving door island flap: surgical option to concha squamous cell carcinoma
Authors: J Casas
Published: May 2021

The postauricular revolving door island flap is one versatile option that may be used to reconstruct the auricular concha of the ear after remove a squamous cell carcinoma. The technique has been described as an immediate one-stage elegant reconstructive procedure for closure of anterior auricular defects, simple and safe to perform with early excellent cosmetic results. A 71-year-old female Portuguese patient with Squamous Cell Carcinoma in left auricular concha and the external auditory canal is reported. Cutaneous squamous cell carcinoma is the second most common cancer of the skin in the United States. In the ear, this type of cancer because of its location is high risk and has a high possibility of metastasis. The tumor was completely excised including the cartilage. The surgical defect was reconstructed with Postauricular Revolving Door Island Flap based on the post auricular vessels. A full thickness design is made considering the defect, the flap is maintained to a subcutaneous central pedicle and is passed through the anterior window to resurface the anterior ear. This case demonstrates the use of the postauricular (revolving door) island pedicle flap for cover large anterior ear defects with loss of cartilaginous support and illustrates how the flap improve ear contour after resection successfully.
Voice changes associated with inhaled steroids 1n obstructive lung disease patients
Authors: M Baraka , ElDessouky Hossam , Amer Khamees Ahmed , Ali Abd ElFattah Ayman , Ezzat Eman , Labeb Elnakeb Nasser
Published: May 2021

Background/Aims: The widespread use of inhaled corticosteroids (ICS) for the treatment of obstructive lung disease may be associated with both systemic and local side effects. These local side effects; including voice problems, oropharyngeal candidiasis, throat clearing, sense of fullness, pharyngitis, and cough, are generally viewed as minor complications of therapy in what is called steroid inhaler laryngitis (SIL). Few studies have been performed to specifically evaluate local side effects of ICS. However, they can be clinically significant, affect patient's quality of life, hinder compliance with therapy, and mask symptoms of more serious disease. The aim of this study is to examine the effect of ICS on the larynx and subsequent voice changes, and highlighting if these voice problems related to the type of inhaled corticosteroids in order to determine the importance of regular laryngeal examination in those patients. Methods: 40patients with bronchial asthma and 40 patients with COPD admitted to Chest department in Menoufia and Zagazig University Hospitals during the period from March 2017 to March 2019 were included in the study. They were divided according to the type of cortisone used into four groups; group (I): beclomethasone dipropionate (BDP) users, group (II): budesonide (BUD) users, group (III): Ciclesonide users and group (IV): fluticasone propionate (FP) users. They were evaluated as regards videolaryngoscopic examination and acoustic analysis Results: The age of the patients with bronchial asthma ranged from 29 to 42years and the age of the patients with COPD ranged from 31 to 43years. There was a statistically significant difference among the four groups of cortisone inhalation regarding laryngoscopic findings; as presence of congestion (diffuse and local), mucus spills on VF and glottis gap were all higher in frequency among the group of patients used fluticasone FP, while least signs found among ciclesonide users. Also, average pitch, Jitter, H/N ratio and MPT were more worsen in fluticasone group when compared with Ciclesonide group. Conclusion: obstructive lung disease patients may suffer from voice problems related to the type of inhaled corticosteroids that could be fade when therapy is stopped. So, regular laryngeal examination in those patients is important.
Tracheastomal myiasis in ventilator dependant patient: case report and review of literature
Authors: L Connolly James , Allison Wilson Mary
Published: May 2021

A 51 year old severe morbidly obese female 1 week s/p tracheotomy with fenestration and PEG complicated by IDDM, ARF, CHF, COPD, OSA, and HVS was readmitted to hospital for tracheostomy wound myiasis and cellulitis. The patient had been admitted to a local long term assisted care facilty where the infection was noted. The patient was taken back to the OR where the tracheotomy tube was removed and oral ETT was placed. Wound debridement along with larvae removal was performed. Airway endoscopy was done to rule out presence of intra-luminary larvae. It was noted that the Bjork flap had become devitalized with the infection, leaving a 2 ring defect. The wound was packed with Dakin's Solution and daily wound care was done until no further larvae or necrotic tissue was seen. The patient was then taken back to OR where an anterior tracheal wall reconstruction was performed and replacement of trachostomy tube with removal of oral ETT. She was then transferred back to the ICU and long-term assisted care living.