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1.
Article in English | MEDLINE | ID: mdl-28194904

ABSTRACT

Tumour-related peer support groups (PSGs) show long-term development in quality of life and coping, and decrease distress in cancer care. To clarify channels of social support in oncologic rehabilitation by combined exercise and psychosocial therapy, individual semi-structured interviews were conducted after 1 year additional belly dance rehabilitation in a closed PSG among 51 patients with malignant tumour diagnosis in Budapest, Hungary. Interview data were transcribed and analysed using qualitative content analysis (ATLAS.ti 6 Win). Results suggest that group experience provides emotional-, practical- and informational support. We could point out specific social effects of "role model" function and extend the coping model. The group dispose all the features of effective suggestion and may be effectively applied as additional therapy for patients with malignancies. The extended coping model and the introduction of "role model" function could be useful for PSGs' efficacy assessment.


Subject(s)
Dancing , Neoplasms/rehabilitation , Peer Group , Self-Help Groups , Social Support , Adaptation, Psychological , Adult , Aged , Emotions , Female , Humans , Hungary , Middle Aged , Neoplasms/psychology , Qualitative Research , Quality of Life
2.
Otolaryngol Head Neck Surg ; 125(6): 631-4, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11743466

ABSTRACT

INTRODUCTION: The computer-based ENG system's analytical routine refinements are available only in research laboratories. The computer-based system contains a stimulator for saccadic eye-movement and an air caloric stimulator interconnected to the registration program and analysis software. Several authors have reported the preoperative and postoperative vestibular functions in cochlear implant patients. The safe examination of the operated ear and comparison of the preoperative and postoperative average slow phase velocities of the caloric nystagmus is possible using the air caloric computer system. METHODS: The authors have used a computer-based ENG system with caloric air stimulation, which is very useful for examination of the operated ear. The vestibular system of patients with total deafness was examined before and after the cochlear implantation. The results of 60 vestibular examinations of 64 patients are reported. RESULTS: The vestibular function in the operated ear was found unchanged in 20 patients. In 14 patients the vestibular function was worse. In 16 patients the postoperative vestibular responsiveness improved. The detailed data analysis of 10 patients in whom preoperative and postoperative vestibular examination was similar was performed by the authors. The preoperative and postoperative average slow phase velocity values and the relative canal paresis was observed. The values demonstrated that the caloric responsiveness of the operated ear improved in few cases. CONCLUSIONS: The computer-based air caloric system is a useful and safe method in evaluation of the vestibular system changes after ear surgery. The reason of the improvement of vestibular responsiveness is not clear. The results need further investigation to solve the problem of vestibular responsiveness improvement after cochlear implantation.


Subject(s)
Caloric Tests/methods , Cochlear Implantation , Deafness/diagnosis , Deafness/surgery , Diagnosis, Computer-Assisted/methods , Electronystagmography/methods , Monitoring, Physiologic/methods , Postoperative Care/methods , Vestibular Function Tests/methods , Adolescent , Adult , Child , Cochlear Implantation/adverse effects , Deafness/etiology , Diagnosis, Computer-Assisted/standards , Electronystagmography/standards , Female , Humans , Male , Middle Aged , Monitoring, Physiologic/standards , Numerical Analysis, Computer-Assisted , Postoperative Care/standards , Safety , Sensitivity and Specificity , Vestibular Function Tests/standards
3.
Acta Neurol Scand ; 104(2): 68-71, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11493220

ABSTRACT

OBJECTIVES: When the vascular disorder of the cochleovestibular system is mentioned, the diagnosis is based on exclusion of other diseases. Since arteries of the cochleovestibular system cannot be directly visualized, physicians must deduce from the vascular risk factors and the vascular lesion of other territories to the vascular cochleovestibular disease. MATERIALS AND METHODS: Authors analyzed the data of 19 patients with vertigo. Detailed blood tests, complete neurootological and audiological examination including ABR, carotid and vertebral artery Doppler sonography, MRI and MRA was performed. RESULTS: Cochleovestibular examination and ABR showed abnormalities in 73.7%, either carotid and vertebral artery Doppler or MRI showed abnormalities in 57.9%. MRA was abnormal in 47.4%. In most of the patients multiple risk factors of cerebrovascular disorder could be found. CONCLUSIONS: The cochleovestibular system disorders can be considered to be of vascular origin if the examinations exclude other diseases, if the patients have vascular risk factors and if other territories of brain accessible for imaging methods show vascular disorders.


Subject(s)
Cochlear Diseases/diagnosis , Cochlear Diseases/etiology , Vascular Diseases/complications , Vascular Diseases/diagnosis , Vestibular Diseases/diagnosis , Vestibular Diseases/etiology , Carotid Arteries/diagnostic imaging , Circle of Willis/diagnostic imaging , Circle of Willis/pathology , Diagnostic Techniques, Otological , Female , Humans , Male , Middle Aged , Radiography , Risk Factors , Ultrasonography , Vertebral Artery/diagnostic imaging
4.
Acta Otolaryngol ; 119(2): 225-8, 1999 Mar.
Article in English | MEDLINE | ID: mdl-10320081

ABSTRACT

A cochlear implant program has been carried out at the ORL Clinic of Semmelweis University in Budapest since 1985. Different devices and techniques have been used in pre- and postlingual children and adults. Over the last 6 years contralateral hearing improvement has been observed in 18 patients. This phenomenon can usually be demonstrated 6 months after the operation. Since our first observation several other authors have confirmed this phenomenon. However, the underlying mechanism is still obscure; both the efferent innervation and the plasticity of the brain may be important factors. The vestibular function of cochlear implant candidates was checked routinely pre- and postoperatively and changes in vestibular responsiveness were observed. Over the last 3 years air-caloric stimulation has been performed by means of a computer-based ENG system. In most patients the vestibular function was unchanged after the implantation. but in some cases a significant improvement in vestibular responsiveness was noted. Here we briefly describe cases of re-implantation carried out at the clinic. All the patients obtained better speech discrimination scores after having been implanted with intracochlear devices. None of the patients suffered any inner ear abnormality due to the first implant.


Subject(s)
Cochlear Implantation , Hearing/physiology , Vestibule, Labyrinth/physiopathology , Adult , Child , Cochlear Implants , Electronystagmography , Humans , Reoperation , Speech Perception
6.
Eur Arch Otorhinolaryngol ; 254 Suppl 1: S55-7, 1997.
Article in English | MEDLINE | ID: mdl-9065628

ABSTRACT

Vestibular symptoms frequently occur in patients with migraine headache. The common migraine is defined in neurology as a unilateral, pulsating headache, which may be associated with nausea and vomiting, and lasts one or several days. In the classic form patients have visual prodromal symptoms. Focal neurological signs in the migraine complique include, for example, oculomotor palsy and vestibular abnormalities. This so-called vestibular migraine is different from basilar migraine, which involves the irritation of the cervical sympathetic system, and can cause symptoms that resemble transient brainstem ischemia. In order to evaluate vestibular dysfunction electronystagmography (ENG) was used. Patients frequently had abnormal caloric test responses, especially with a directional preponderance, and most had a spontaneous nystagmus. In the migraine attack the patients are presumed to have hypersensitivity of the labyrinth with nausea and vomiting, while in the headache-free period the ENG was almost normal. At present, we have had a high success rate in treating patients with pyracetam. Diazepam was used to treat basilar migraine and flunarizine to prevent vestibular migraine.


Subject(s)
Migraine Disorders/complications , Vestibular Diseases/etiology , Adolescent , Adult , Aged , Basilar Artery/physiopathology , Calcium Channel Blockers/therapeutic use , Caloric Tests , Child , Diazepam/therapeutic use , Ear, Inner/physiopathology , Electronystagmography , Female , Flunarizine/therapeutic use , Hearing Loss, Sensorineural/etiology , Humans , Ischemic Attack, Transient/physiopathology , Male , Middle Aged , Migraine Disorders/classification , Migraine Disorders/drug therapy , Migraine Disorders/physiopathology , Muscle Relaxants, Central/therapeutic use , Nausea/etiology , Neuroprotective Agents/therapeutic use , Nystagmus, Pathologic/etiology , Ophthalmoplegia/etiology , Piracetam/therapeutic use , Sympathetic Nervous System/physiopathology , Vestibular Diseases/drug therapy , Vomiting/etiology
7.
Orv Hetil ; 137(28): 1525-9, 1996 Jul 14.
Article in Hungarian | MEDLINE | ID: mdl-8757075

ABSTRACT

The authors give a description of the causes of the peripheral facial palsy (traumas, viral and bacterial infections, tumors and palsies of unknown origin). Emphasis is given to those anamnestic data, which are useful in the differential diagnostic procedure. Diagnostic methods (modern otologic investigation technics, imaging methods, electrodiagnostic tests), which may help in the precise diagnosis, are discussed. Authors survey the guidelines in the medical and surgical treatment, as well as the electrotherapy of the peripheral facial palsy. The prognostic factors of the disease are also discussed. The author's opinion, that the effectiveness of the treatment is good, and consequently to treat the patients is necessary, and gives high success rate to the doctor.


Subject(s)
Facial Paralysis , Diagnosis, Differential , Electric Stimulation Therapy , Facial Paralysis/diagnosis , Facial Paralysis/etiology , Facial Paralysis/therapy , Facies , Humans , Medical History Taking , Neurologic Examination , Prognosis
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