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Biomedical subjects

M E Winston

Publications and source records attributed to M E Winston.

14 recordsLinked to original sources

Clinical significance of type 5 patterns in platform posturography.

Several abnormal patterns have been identified on the sensory portion of the computerized dynamic posturography test. The vestibular deficit pattern, also known as the "5-6" pattern, is frequently seen in patients with either uncompensated unilateral vestibular lesions, severe bilateral peripheral vestibular loss, or dysfunction involving the vestibular pathways in the brain stem and/or cerebellum. In both sensory conditions 5 and 6, the patient's balance/equilibrium is determined primarily by the vestibular system. A subgroup of the vestibular deficit pattern has been identified, in which only sensory condition 5 is abnormal. This article presents findings in several cases identified with the 5 pattern. Implications for diagnosis and for monitoring the recovery phase after treatment are discussed.

Adolescent↗

Hearing aid dispensing in the otolaryngological-audiological clinic.

Many professionals in the hearing health care field recognize the need for change in the hearing aid delivery system. Reported herein are the results of 30 months of direct dispensing experience within a private otolaryngological-audiological clinic. A review of the dispensing of 520 aids shows numerous advantages and minimal disadvantages of this approach. Equipment requirements, patient cost, fitting procedures, and problems incurred are described. Direct dispensing, along with professional management of the rehabilitative process by the otolaryngological-audiological team is advocated on the basis of the positive results to date.

Arkansas↗

Total hearing rehabilitation.

The history and development of the hearing and dispensing system in this country is outlined in relation to the status of dispensing today. We enumerate the problems within the traditional system, various attempts to correct them, and advantages of variations of the traditional system. This article presents a concept of total hearing rehabilitation, including the direct dispensing of aids based on the professional otolaryngological-audiological team working together within the clinic setting. Based on the results of 20-months' experience in dispensing, we advocate a reexamination of professional roles involved in provision for hearing aids.

Aged↗

Office organization and experiences with hearing aid dispensing.

Roles of the otolaryngologist and the audiologist in providing hearing health care are expanding as a result of current trends in amplification technology, legislation, and patient populations. Within clinic dispensing of hearing aids has become a part of this role expansion. Requirements for setting up a dispensary, fitting procedures, fee analysis, and statistical results of 4 1/2 years' experience are discussed. On the basis of the benefits described, direct dispensing is advocated.

Audiology↗