“
“Objective: To evaluate the change in self-reported

dizziness handicap after surgical repair using the cartilage cap occlusion technique in cases of superior canal dehiscence (SCD).

Study Design: Repeated measures, retrospective chart review.

Setting: Tertiary referral center.

Patients: Twenty patients over a 2-year period who underwent surgical repair of SCD using the cartilage cap occlusion technique.

Intervention: Therapeutic.

Main Outcome Measure: Preoperative and postoperative Dizziness Handicap Inventory (DHI) questionnaires were completed (median, interquartile range).

Results: Preoperative (48, 28-56) and postoperative (33, 19-50) total scores selleck chemicals llc were not significantly different. Scores for patients

with moderate/severe preoperative DHI scores (DHI, > 30; n = 14) demonstrated significant change (p = 0.001, Wilcoxon paired sample test), whereas those with mild scores did not (DHI, <= 30; n = 6; p = 0.67).

Conclusion: Change in DHI score is variable. As described by DHI score, patients with higher preoperative handicap may demonstrate significant improvement after surgery, whereas Selleckchem EX 527 those with mild handicap may not. These results are similar to previous reports and indicate that the cartilage cap occlusion technique may provide an alternative to middle fossa craniotomy approach for surgical management of symptomatic SCD.”
“Objective: This article presents a systematic review of epidemiological studies linking cleaning work and risk of asthma and rhinitis. Methods: Published reports were identified from PubMed covering the years from 1976 through June 30, 2012. In total, we identified 24 papers for inclusion in the review. The quality of studies was evaluated using the Strengthening of the Reporting of Observational Studies in Epidemiology (STROBE) statement checklist of 22 items for cross-sectional, cohort and case-control studies. Results: Increased risk of asthma or rhinitis has been shown in 79% of included epidemiological

studies. In four studies the increased risk of asthma in cleaning workers was confirmed by objective tests, such as bronchial hyperreactivity or airflow obstruction. Level of exposure to cleaning products, cleaning sprays, GANT61 bleach, ammonia, mixing products and specific job tasks has been identified as specific causes of asthma and rhinitis. Conclusions: Possible preventive measures encompass the substitution of cleaning sprays, bleach and ammonia, avoidance of mixing products, the use of respiratory protective devices, worker education and medical surveillance.”
“Granulosa cell tumors (GCT) of the ovary represent less than 5% of malignant ovarian tumors. Primary treatment of GCT is surgery. GCT present indolent growth and also tend to relapse many years after diagnosis. Radiotherapy, chemotherapy and hormonal therapy are of little benefit.