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Biomedical subjects

J Stokholm

Publications and source records attributed to J Stokholm.

17 recordsLinked to original sources
PubMed1998

[Barotrauma in children and adults after flying. Prevalence and treatment with Otovent].

To prevent barotitis during descent in aviation, the ears have to be cleared several times by performing the Valsalva's manoeuvre. The manoeuvre is difficult for children to perform, and they are therefore at high risk of developing barotitis. The treatment of barotitis is either inflation by a Politzer balloon or myringotomy. An alternative treatment is autoinflation using the Otovent. This prophylaxis/treatment can be performed by the child with assistance from its parents as soon as or preferably before the descent has started. The prevalence of barotitis amongst 45 children and 49 adults in transit was found to be highest in children, 28%, compared with adults, 10%. Only 6% of the children with negative middle ear pressure after flight managed a successful Valsalva manoeuvre, whereas 33% could normalise the middle ear pressure by inflating the Otovent. In conclusion we recommend autoinflation using the Otovent set by children and adults who have problems clearing their ears during flight.

Acoustic Impedance Tests↗
PubMed1998

Point prevalence of barotitis in children and adults after flight, and effect of autoinflation.

The most common cause of barotitis is pressure changes during descent in aviation. Equilibration is normally achieved by swallowing, jaw movements, yawning, or chewing, but some have to perform a Valsalva maneuver several times during descent and even by these means some fail. The aim of the study was to estimate the point prevalence of barotrauma in children and adults after flight, and to test the effect of an autoinflation device (Otovent), in improving negative middle ear pressure after flight. Questionnaires and Otovent, were distributed to all air passengers in eight incoming flights. The questionnaires inquired about nasal allergy, nasal congestion, previous and actual ear pain, use of decongestants and experience of inflating the Otovent set during descent. After flight, the passengers were offered an ear examination including otoscopy and tympanometry both before and after a Valsalva maneuver, as well as after Otovent inflation. Otoscopic signs of barotitis were found in 10% of the adults and in 22% of the children. Negative middle ear pressure of more than 10 hPa after landing was found in 20% of the adults and in 40% of the children. The Valsalva maneuver normalized the pressure in 46% of the adults and in 33% of the children. Of the adults, 73%, and of the children, 69% with an unsuccessful Valsalva maneuver could improve or normalize the middle ear pressure by inflating the Otovent set. In conclusion, we recommend autoinflation using the Otovent set to air passengers with problems clearing the ears during flight.

Acoustic Impedance Tests↗
PubMed1996

Barotitis in children after aviation; prevalence and treatment with Otovent.

Barotitis is an acute or chronic inflammation caused by environmental pressure changes. The most common cause is the pressure change during descent in civil aviation. To prevent barotitis the middle ear pressure has to be equalised several times during descent. This can be achieved by performing the Valsalva manoeuvre, but for children, many of whom have a dysfunction of the Eustachian tube, this is difficult to perform and they are therefore at high risk of developing barotitis during flight. The traditional treatment modalities of barotitis are inflation by a Politzer balloon, myringotomy or prophylactic grommet insertion. An alternative treatment or prophylactic measure is autoinflation using the Otovent treatment set. This prophylaxis/treatment can be performed by the child with assistance from its parents as soon as possible or rather before the descent has started. The prevalence of barotitis amongst transit passengers was found to be highest in young children, 25 per cent, compared with adults, five per cent. Only 21 per cent of the youngest children with negative middle ear pressure after flight managed a successful Valsalva's manoeuvre, whereas 82 per cent could increase the middle ear pressure inflating the Otovent set. In conclusion we recommend autoinflation using the Otovent set by children and adults with problems clearing the ears during flight.

Acoustic Impedance Tests↗
PubMed1985

Human platelet 5-hydroxytryptamine concentration as a tool in prediction of solvent induced neurotoxic effects.

Many organic solvents are lipophilic and concentrate in lipid rich tissues e.g. nervous tissue, where they are known to induce toxic effects in humans, especially in the central nervous system. Changes in the presynaptic neurotransmitter metabolism may play a role in these effects. The platelet is proposed as an alternative human model for this complex in the investigation of such changes, especially regarding 5-hydroxytryptamine (5-HT). The platelet 5-HT concentration was measured in platelets isolated from exposed persons with diagnosed neurointoxication caused by exposure to organic solvents and compared to controls. No difference in the concentration was found. Instead of using the platelet 5-HT concentration in the prediction of neurotoxic effects, the platelet 5-HT uptake rate may be an alternative parameter. A specific and sensitive double isotope derivative technique for 5-HT measurements is described. A solvent induced reduction in the number of platelets/ml platelet rich plasma was found and is discussed.

Blood Platelets↗
PubMed1982

Ophthamologic effects of man-made mineral fibers.

The effect of man-made mineral fibers on the human eye was investigated in a cross-sectional study of 15 workers exposed to Rockwool and a matched reference group of 15 people. Eye symptoms, changes in the cellular and mucous content of the conjunctival fluid, break-up time of the precorneal film, the number of microepithelial defects, and the number of dead and degenerated cells on the cornea and bulbar conjunctiva were used as measures of effect. The number of fibers accumulated in the eye and conventional dust sampling methods were used as measures of dose. A significantly higher frequency of eye symptoms related to work conditions (p less than 0.001) was found among exposed workers. Similarly, the number of microepithelial defects on the medial bulbar conjunctiva increased significantly (p = 0.009) after 4 d of exposure. Six exposed workers had a pathological increase in the neutrophil count of the conjunctival fluid after 4 d of exposure, and an increase was seen in only one worker after a weekend free from exposure. Significant correlation was found between microepithelial defects on the medial bulbar conjunctiva and measures of dose (p less than 0.01). The symptoms and cellular changes can be explained by the assumption that man-made mineral fibers have the same mechanical and reversible effect on the eye as on the skin. The described dose-effect relationship suggests that a much lower hygienic standard is needed for man-made mineral fibers than what has been recommended by the American Conference of Governmental Industrial Hygienists.

Adult↗
PubMed1981

Accumulation of fibers in the eyes of workers handling man-made mineral fiber products.

The external eye can be considered a passive dust sampler. Foreign material deposited in the conjunctival cul-de-sac becomes enclosed by mucous fibrils. The fibrils adhere to the conjunctival mucous thread. Hence, by removing the mucus, one can study, eg, man-made mineral fibers deposited in the eye. In this study a simple method for this purpose has been developed, and the sampling characteristics of the eye for nonrespirable fibers is described. The numbers of nonrespirable fibers accumulated in the eyes correlated with the total dust exposure dose (correlation coefficient r = 0.92) and with the nonrespirable fiber exposure dose (r = 0.82). There was no correlation between the airborne fiber concentration and the number of fibers in the mucous thread alone.

Air Pollution↗
PubMed1979

Air pollution, hygiene and health of Danish schoolchildren.

A comprehensive investigation forming part of a joint European study under the auspices of "WHO Long-Term Air Pollution Programme" uses 7-13 year old schoolchildren as the target group. The study has included social, housing, hygienic and epidemic factors as well as family smoking habits. The results indicate that, at exposure to low levels of air pollution, these factors dominate as causes for the impairment of health especially that of respiratory health.

Adolescent↗