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Biomedical subjects

S Gimsing

Publications and source records attributed to S Gimsing.

18 recordsLinked to original sources

[Horse-related accidents 1989-1999].

INTRODUCTION: A previous estimate has indicated that horse activities in Denmark account for about 5750 non-fatal and 1-2 fatal accidents every year. Many are preventable, as they are caused by carelessness. A description of the accident pattern is important. MATERIAL AND METHODS: The European Home and Leisure Accident Surveillance System (EHLASS) has included data on horse-related accidents since 1989. All 8662 accidents in the period, 1989-1999, were studied. Death certificates from 11 fatal cases during the same period were obtained from the National Board of Health. RESULTS: The annual total number of riding accidents remained fairly constant during the period. Nine per cent of the non-fatal and four of the 11 fatal accidents occurred on public roads. DISCUSSION: The data suggest that the actual annual number of riding accidents is 8500-8900. It is recommended that the Danish Riding Association initiates a national accident reporting system. This would be an important preventive instrument. Further, better opportunities for riding in rural areas should be created.

Accidental Falls↗

[Horse-related occupational injuries 1992-1999].

INTRODUCTION: Occupational injuries are notifiable in Denmark. Hitherto, occupational injuries caused by riding and horse handling have not been reported. MATERIAL AND METHODS: This retrospective study comprises all cases reported to the National Working Environment Authority during the period 1992-1999. RESULTS: There were 634 occupational accidents, and 43% of the victims were below the age of 25 years with a four-in-one female preponderance. In contrast, there were only three cases of occupational disease. DISCUSSION: Occupational diseases ought to be much more common than suggested by these few reported cases. Respiratory and musculoskeletal problems, allergy, skin diseases, and noise-induced hearing loss--widespread in general farming--would be expected. Increased attention to occupational health hazards seems required in the equestrian environment.

Accidental Falls↗

[Handling skills and utilization of hearing aids].

Seven hundred and fifty adult patients possessing hearing aids were interviewed with regard to utilization and handling skills. Although 71% were full-time users and 18% were part-time users, only 32% could handle their aids competently. Inhabitants of the county's major town clearly managed their aids better than residents of the remainder of the catchment area, despite the fact that 85% of the former group never sought counselling by hearing therapists. It is concluded that not only the traditional audiology professions, but also staff from other branches of the health and social services should participate more actively in the care of the hearing impaired.

Adult↗

Utilization of hearing aids issued by the public health service. Hearing aid use in Ribe County, Denmark.

A prospective survey was carried out to evaluate the efficiency of public audiological rehabilitation. Two hundred and fifty-four of 256 consecutive patients were interviewed six months after hearing aid issue. One hundred and sixty-eight (66%) were full-time users, 225 (88%) wore an aid either all the time or every day. Eight were successful situational users, while 21 (8%) were non-users. Eighty-six of the 233 users (37%) made use of their telecoil. Of a total of 363 aids dispensed, 26 (7%) were out of use. Experienced users differed significantly from first-time users: they had poorer hearing, they used their aids more than first-time users and they were more often treated binaurally.

Adolescent↗

Word recognition in presbyacusis.

Word recognition assessed as discrimination loss was analysed in 269 women ranging from 60 to 89 years of age. A clear relationship was found between the discrimination loss and the hearing loss (calculated as the average hearing threshold level at 1,000, 2,000, and 4,000 Hz). Furthermore, it was found that a given hearing loss was associated with a much greater discrimination loss in individuals above age 70 than in individuals below that age.

Age Factors↗

Occupational hearing impairment in pig breeders.

Individuals employed at pig breeding facilities are exposed to potentially harmful noise from several sources. In a building housing about 1,100 pigs, the animals themselves were found to produce a sustained noise level between 95 and 104 dBA during the feeding procedure. High-pressure cleaners used for cleaning the buildings generate between 98 and 105 dBA. We present a case of typical noise-induced hearing loss, which, with reasonable certainty, can be ascribed entirely to this kind of noise exposure. General use of hearing protectors in the profession is recommended.

Adult↗

Auditory brainstem response artefact caused by caloric testing.

In the external ear canal, residual water from caloric testing or any other irrigation may act to simulate a conductive hearing loss and interfere with subsequent auditory brainstem response recording leading to increased latencies and reduced amplitudes. This artefact in the ABR may be mistaken for a retrocochlear lesion.

Auditory Threshold↗

Inversion of the stapedial reflex in ossicular chain lesions.

In ears with minor conductive hearing loss of traumatic origin, it is sometimes possible to invert the deflection of the stapedial reflex by application of a small underpressure in the external auditory meatus of the injured ear (probe ear). This inversion can be explained by an ossicular discontinuity bridged by soft tissue.

Child↗

Otoscopy compared with tympanometry.

A study comparing otoscopy with tympanometry was carried out in 1702 ears in seven- and ten-year-old children. Pneumatic otoscopy in 917 ears showed an 88 per cent agreement with tympanometry. The agreement was better in ears considered normal by the otoscopist than in ears that were considered abnormal. Furthermore, the accuracy of otoscopy was better in the older children than in the younger ones. A procedure employing simple otoscopy in 785 ears gave an 83 per cent agreement, but in about 15 per cent of these ears the examiner felt unable to base his evaluation on certainty. It was found that a middle-ear pressure of -100 mm. H2O correlated with recognizable pathology when pneumatic otoscopy was performed.

Acoustic Impedance Tests↗

Audiologic screening of seven- and ten-year-old children.

An audiologic screening of 1 062 ears In 7-year-old and 1 175 ears in 10-year-old children was carried out by means of pure-tone audiometry and tympanometry. New cases of sensorineural hearing loss were found in six ears (0.3%). The prevalence of protracted undiagnosed middle ear pathology was found to be 2.5 and 0.5%, in the younger vs. the older age group respectively. It is concluded that a middle ear pressure more negative than -250 mmH2O would be a suitable fail criterion for tympanometry. It is questionable, however, whether tympanometric mass screening of 7- and 10-year-olds is meaningful. It is felt that pure-tone audiometry maintains its position in the screening role.

Acoustic Impedance Tests↗

Audiological screening of school children--preliminary results.

An audiological screening of 1120 school children aged seven and ten revealed abnormal tympanograms in 11% of the ears. In the younger children the failure rate was twice as high as in the older. Follow-up examinations showed, however, that only about three per cent of the ears screened displayed pathological middle ear pressure after 8-16 weeks. In the light of this the cost-effectiveness of screening tympanometry can be questioned. Pathological pure tone audiograms were found in 0.5% of the ears with normal middle ear pressure.

Acoustic Impedance Tests↗

Gas absorption in serous otitis. A clinical aspect.

Animal experiments have shown that gas absorption can produce a considerable intratympanic underpressure when the gas composition of the middle ear is disturbed. A similar phenomenon was observed in children with serous otitis. In 12 ears with underpressures exceeding -150 mm H2O, Valsalva inflation or politzerization produced a transient improvement followed by a rapid return to subatmospheric pressures ranging from -130 to -300 mm H2O. In four cases with middle ear pressures between -65 and -135 mm H2O, the same procedure did not result in any significant underpressures. These findings suggest that inflation of the middle ear in the presence of a deep underpressure serves no purpose. It is also possible that a negative pressure, once established, can be maintained in this way.

Absorption↗

Branchio-oto-renal dysplasia in three families.

Branchio-oto-renal dysplasia, often called the BOR syndrome, in its full expression consists of hearing loss of conductive, sensorineural, or mixed type; preauricular pits; auricular deformities; lateral cervical sinuses, cysts, or fistulas; and renal malformations. The condition is inherited in an autosomal dominant mode. The findings in three affected families are described, and pertinent genetic and clinical aspects are discussed. The potential seriousness of the renal and aural malformations stresses the importance of early recognition of this syndrome.

Adolescent↗