Notes

[Transcranial sonographic traits associated with Parkinson's disease using the signs of disturbed lower limbs syndrome].
Regardless of which charge model is adopted, calculation of the cost of service delivery for each audiology practice is an essential business component to justify charges and make educated decisions regarding participation in various insurance, cooperative, or network plans. © Thieme Medical Publishers.Hearing health care is rapidly changing through innovation in technology, services, business models, and product categories. The introduction of hearables and over-the-counter (OTC) hearing aids in particular will change the market for hearing help and the role of the hearing care professionals (HCPs). This article focuses on how these products will be differentiated from HCP-fit hearing aids through their ability to address the unmet needs of different consumer segments within the population of people with hearing dysfunction. The unmet hearing needs of each segment are discussed, and the size of each segment estimated, demonstrating a large potential market for hearables and a smaller potential market for hearing aids than has been previously mentioned in the literature. The results from MarkeTrak 10's survey of consumers' attitudes toward an OTC model are reviewed, showing that approximately half of both hearing aid owners and nonowners are uncomfortable doing hearing- and hearing aid-related tasks on their own without the assistance of an HCP and would be unlikely to purchase OTC hearing aids if available today. MarkeTrak data are also shown that demonstrate that the majority of hearing aid and personal sound amplification product owners believe that the HCP helped or would have helped with their hearing devices. Finally, challenges to OTC hearing aids becoming successful are discussed. © Thieme Medical Publishers.The purpose of this article is threefold. First, it is to evaluate current rates of hearing aid satisfaction, in addition to the examination of factors that influence satisfaction rates. A second purpose is to evaluate the effects of hearing aid use on mental health and quality of life, from the consumer perspective. The third purpose of this article is to review the current status of the market in terms of usage and ownership. The usage statistics from MarkeTrak 10 answer questions such as what is the most common type of hearing aid style. And what types of hearing aid features are popular? The results of the usage statistics provide not only insight into the satisfaction and quality-of-life metrics but also information about marketplace trends. By fulfilling these purposes, strengths and weaknesses of the current hearing aid marketplace can be determined, guiding future technological and clinical practice developments. Survey results demonstrate the continued dominance of mini-BTE (behind the ear) hearing aids and high popularity of features, including wireless capabilities. Overall satisfaction rates are encouragingly high, driven by satisfaction with BTE instruments, especially those acquired in the past 5 years. Noted areas for improvement continue to be related to listening in noise and patient understanding of their hearing aids. Given the high levels of noted satisfaction, it is not surprising that the sample revealed significant hearing aid benefits, notably in a lower risk for depression, higher satisfaction listening in almost all environments, and improved quality of life on a regular basis. Together, these data provide insights into the factors that drive satisfaction, encourage industrial and scientific advancements in the identified areas of weakness, and paint a bright picture of the hearing aid market from the consumer perspective. © Thieme Medical Publishers.In the field of audiology, change is inevitable changes in technologies with hearing devices, changes in consumer knowledge, and changes in consumer-driven solutions. With these changes, the audiologist must adapt to meet the needs of the consumer. There are potential predictors that the audiologist could use to determine who is more likely to pursue and use amplification; by using these data, the audiologists may increase their productivity and increase patient satisfaction. The goal of this article is to investigate the MarkeTrak 10 (MT10) data to determine the trends in adoption and use of hearing aids as well as examine predictive factors that can be used to determine hearing aid adoption. © Thieme Medical Publishers.MarkeTrak has been conducted on a regular schedule for over 30 years to take the pulse of the hearing health care market and of consumers with hearing loss. The current version, MarkeTrak 10 (MT10), builds on the successful completion of MarkeTrak 9, with the same two objectives to estimate hearing difficulty, hearing aid usage, and adoption of hearing aids in the United States and to gain insights into the consumer's journey through the hearing health care delivery system. In addition, MarkeTrak 10 added additional questions regarding use and satisfaction with Personal Sound Amplification Products (PSAPs) by both owners and nonowners of hearing aids. AZD-5462 clinical trial © Thieme Medical Publishers.Iatrogenic lesion of the bile ducts is a relatively common occurrence during liver surgery, increasing morbidity and mortality rates. T2-weighted magnetic resonance cholangiography and gadoxetic acid-enhanced functional magnetic resonance cholangiography (fMRC) with administration of hepatobiliary-specific contrast medium (gadoxetic acid) are fundamental to the diagnostic imaging approach in patients with such lesions. Here, we present a review of the literature and suggest an imaging approach to biliary tract injury, focusing on clinical cases in which fMRC had an impact on the decision-making process for the management of the affected patients.Adnexal torsion is characterized by partial or complete rotation of the suspensory ligament of the ovary and its corresponding vascular pedicle, resulting in vascular impairment that can culminate in hemorrhagic infarction, as well as necrosis of the ovary and fallopian tube. Because there are myriad causes of acute pelvic pain, the differential diagnosis of ovarian torsion is often challenging. Consequently, radiologists should be familiar with the main imaging findings. In this regard, there are typical signs of ovarian torsion on magnetic resonance imaging, including increased ovarian volume with stromal edema and peripheral distribution of the ovarian follicles, as well as thickening of the fallopian tube, an adnexal mass (causal factor) that shifts toward the midline, and the classic, pathognomonic "whirlpool sign". The objective of this essay was to review and illustrate the various magnetic resonance imaging findings in ovarian torsion.
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