Deafness prevention should focus mainly on chronic suppurative otitis media, otitis media with effusion, and impacted ear wax prevention, integrated within the primary healthcare system and addressing the equity issue.
Objective: To investigate the role of allergy in nasal polyposis. Methods: 60 patients of nasal polyposis were selected randomly in a multicentric prospective trial from July 2006 to July 2008. Data were collected from the patient by personal interview, clinical examination and laboratory tests in a prescribed protocol. Socio-demographic character and presentation of the samples were studied and according to the symptoms of allergy those were submitted to skin pick test with a large series of seasonal and perennial airborne allergens. Results were presented in a tabulated form. Results: The incidence of nasal polyposis was highest among the people of 5th decade (40%) with male predominance (53.33%). The majority of the patients came from rural area (76.67%) and most of them were farmer (50%) and came from relatively poor class (73.33%). All the patients presented with significant nasal obstruction (100%). Next common presentations were running nose 90%, headache 80%, sneezing 70% and nasal itching 40%. Severity of symptoms increased with the exposure of national allergens (20%), food allergens (30%) and drugs (3.33%). 10% of patients were suffering from bronchial asthma. 20% patients with nasal polyposis were positive on Skin prick tests(SPT) with airborne allergens. A review of the clinical histories of SPT-positive patients revealed the presence of obstructive rhinitis and chronic rhinorrhea in most cases, whereas acute symptoms, such as sneezing and itching, were reported by a minority of subjects. Conclusion: Clinically evident respiratory allergies, particularly to perennial airborne allergens, play a relevant role in the pathogenesis of nasal polyposis. Key words: Allergic rhinitis; nasal polyposis. DOI: http://dx.doi.org/10.3329/bjo.v17i2.8851 BJO 2011; 17(2): 117-120
Currently, one out of 160 children have autism spectrum disorder (ASD) in the world. This problem is observed in both developed and low-middle-income countries (LMICs) around the globe. Usually, in developed countries, the number can be estimated, but in LMICs, this number is largely unknown, and in some cases, many children with ASD are not treated after identification of the problem. In these cases, both for the developed and LMICs, mobile technology can continuously monitor children with ASD. In this chapter, the authors describe the techniques of remote monitoring of the behavioral and milestone parameters development for children with ASD that care practitioners can use as an evidence-based tool to make the decision in the treatment process. Lastly, the authors describe the advantages and challenges of using the mHealth tools in the ASD treatment based on the NIH-funded successful completion project “mCARE” in Bangladesh.
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