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PubMed · 1583707

Granular myringitis: a review.

Abstract

Granular myringitis is the result of a localized chronic inflammation of the lateral surface of the tympanic membrane which is characterized by the development and persistence of granulation tissue over the involved area. The onset of the disease is insidious, and the symptoms, which are minor, are usually confined to chronic otorrhea and mild discomfort in the involved ear. Granular myringitis is a disease which is poorly understood and has received relatively little attention in the literature. The clinical features of this disease are outlined, the pathologic changes in the tympanic membrane illustrated, the literature reviewed and a strategy for treatment presented.

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BibTeXRIS

P Stoney, P Kwok, M Hawke. 1992. Granular myringitis: a review.. https://pubmed.ncbi.nlm.nih.gov/1583707/

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The long-term effect of multidisciplinary back training: a systematic review.

STUDY DESIGN: Systematic review of randomized controlled trials. OBJECTIVES: To determine the long-term effect of multidisciplinary back training on the work participation of patients with nonspecific chronic low back pain. SUMMARY OF BACKGROUND DATA: Chronic low back pain is influenced by multiple factors. Multidisciplinary back training represents one of the options to take this multiplicity into account. So far, only evidence of the short-term effectiveness of this approach in terms of work participation is available. METHODS: Electronic databases were searched and the references of various articles were screened for relevant publications. Ten studies met the inclusion criteria. All included studies were evaluated for their methodologic quality. RESULTS: Five of the studies had a low methodologic quality. All high-quality studies found a positive effect on at least one of the 4 outcome measures used. Based on our criteria, effectiveness was found for the outcome measures of work participation and quality of life. No effectiveness was found for experienced pain and functional status. The intensity of the intervention seems to have no substantial influence on the effectiveness of the intervention. CONCLUSION: In the long-term, multidisciplinary back training has a positive effect on work participation in patients with nonspecific chronic low back pain.

Chronic Disease↗