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Mutlu B, Kırkım G, Mungan Durankaya S, Gürkan S, Başokçu TO, Güneri EA. The Reliability and Validity of "Dokuz Eylül University Meniere's Disease Disability Scale". J Int Adv Otol 2019; 14:304-311. [PMID: 29283101 DOI: 10.5152/iao.2017.4386] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE Ménière's Disease (MD) is a chronic, non-life threatening inner ear disease, with attacks of disabling vertigo, progressive hearing loss, and tinnitus as the major symptoms. All three symptoms, separately or in combination, cause great distress and have a considerable impact on the quality of life of the patients. The aims of this study were to develop a disease-specific quality of life survey for patients with MD and to analyze the relationships between the audiovestibular findings and the survey. MATERIALS AND METHODS Following Ear-Nose-Throat examination and audiovestibular tests, the Dokuz Eylül University Meniere's Disease Disability Scale (DEU-MDDS) and Turkish version of the Dizziness Handicap Inventory (DHI-T) were administered to 93 patients with definite MD. Reliability and validity analyses of the scale were performed. RESULTS There were 45 (48.4%) male and 48 (51.6%) female patients and the mean age was 48.9±12.1 years. Cronbach's alpha was 0.92 and intraclass correlation coefficients of the DEU-MMDS were significant (p<0.001). Results of the Goodness of Fit Statistics showed that the expression levels of the items were high and the correlation coefficients of each item with the scale were sufficient. There was a statistically significant correlation between DHI-T scores and MDDS. DEU-MDDS was not related to the vestibular tests, age or gender (p>0.05). CONCLUSION The MDDS is a valid and reliable scale as a disease-specific quality of life questionnaire for patients with MD.
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Affiliation(s)
- Başak Mutlu
- Department of Otorhinolaryngology, Unit of Hearing, Speech and Balance, Dokuz Eylül Univeristy School of Medicine, İzmir, Turkey
| | - Günay Kırkım
- Department of Otorhinolaryngology, Unit of Hearing, Speech and Balance, Dokuz Eylül Univeristy School of Medicine, İzmir, Turkey
| | - Serpil Mungan Durankaya
- Department of Otorhinolaryngology, Unit of Hearing, Speech and Balance, Dokuz Eylül Univeristy School of Medicine, İzmir, Turkey
| | - Selhan Gürkan
- Department of Otorhinolaryngology, Unit of Hearing, Speech and Balance, Dokuz Eylül Univeristy School of Medicine, İzmir, Turkey
| | - Tahsin Oğuz Başokçu
- Department of Assessment and Evaluation in Education, Ege University School of Medicine, İzmir, Turkey
| | - Enis Alpin Güneri
- Department of Otorhinolaryngology, Dokuz Eylül University School of Medicine, İzmir, Turkey
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Pyykkő I, Manchaiah V, Kentala E, Levo H, Juhola M. Internet-Based Self-Help for Ménière's Disease: Details and Outcome of a Single-Group Open Trial. Am J Audiol 2017; 26:496-506. [PMID: 29049634 DOI: 10.1044/2017_aja-16-0068] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2016] [Accepted: 05/16/2017] [Indexed: 11/09/2022] Open
Abstract
PURPOSE In this article, we present the details and the pilot outcome of an Internet-based self-help program for Ménière's disease (MD). METHOD The Norton-Kaplan model is applied to construct a strategic, person-focused approach in the enablement process. The program assesses the disorder profile and diagnosis. In the therapeutic component of the program, the participant defines vision and time frame, inspects confounding factors, determines goals, establishes a strategy, and starts to work on the important problems caused by the disorder. The program works interactively, utilizes collaboration with significant others, and enhances positive thinking. Participants took part in an Internet-based self-help program. Data were collected interactively using open-ended and structured questionnaires on various disease-specific and general health aspects. The pilot outcome of 41 patients with MD was evaluated. RESULTS The analysis of the pilot data showed statistically significant improvement in their general health-related quality of life (p < .001). Also, the outcome of the Posttraumatic Growth Inventory (Cann et al., 2010) showed small to moderate change as a result of the intervention. CONCLUSIONS The Internet-based self-help program can be helpful in the rehabilitation of patients with MD to supplement medical therapy.
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Affiliation(s)
- Ilmari Pyykkő
- Hearing and Balance Research Unit, Department of Otolaryngology, University of Tampere, Finland
| | - Vinaya Manchaiah
- Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX
- Swedish Institute for Disability Research, Department of Behavioral Sciences and Learning, Linköping University, Sweden
- Audiology India, Karnataka, Mysore
- Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Karnataka, India
| | - Erna Kentala
- Department of Otolaryngology, University of Helsinki, Finland
| | - Hilla Levo
- Department of Otolaryngology, University of Helsinki, Finland
| | - Martti Juhola
- School of Information Sciences, University of Tampere, Finland
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Beukes EW, Manchaiah V, Valien TE, Baguley DM, Allen PM, Andersson G. Positive experiences related to living with tinnitus: A cross-sectional survey. Clin Otolaryngol 2017; 43:489-495. [PMID: 28994194 DOI: 10.1111/coa.13002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/29/2017] [Indexed: 02/04/2023]
Abstract
OBJECTIVE The aim of this study was to gain insights related to positive experiences reported by adults with tinnitus living in the United Kingdom. DESIGN A cross-sectional survey design was used in a sample of adults with tinnitus who were interested in undertaking an Internet-based intervention for tinnitus. SETTING The study was UK wide and data collection was online. PARTICIPANTS Participants consisted of 240 adults (137 males, 103 females), with an average age of 48.16 years and average tinnitus duration of 11.52 years (SD: 11.88). MAIN OUTCOME MEASURES Tinnitus severity was measured by means of the Tinnitus Functional Index. To evaluate the secondary effects of tinnitus, the Insomnia Severity Index, the Hearing Handicap Inventory for Adults-Screening Version and the Cognitive Failures Questionnaires were administered. Positive experiences related to tinnitus were explored using an open-ended question format. RESULTS Around a third of participants (32.5%) reported positive experiences associated with tinnitus. The number of positive responses ranged from one to eight responses per participant, although there were fewer participants with more than one positive response. The predominant themes concerned for (i) coping; (ii) personal development; (iii) support, and to a lesser extent (iv) outlook. Younger participants, those with a lower hearing disability and those with fewer cognitive failures were more likely to report positive experiences associated with having tinnitus. CONCLUSIONS This study has identified that personal development and a positive outlook are possible despite experiencing tinnitus. Ways to facilitate positive experiences related to tinnitus should be promoted, as these may reduce the negative consequences associated with tinnitus. The most prevalent positive theme was the ability to cope with tinnitus. Positive experiences were also drawn from having clinical and other support networks. This highlights the importance of providing tinnitus interventions that can assist people in coping with tinnitus, particularly to those less likely to relate tinnitus to any positive experiences. Those most likely to be helped include those who are older with greater cognitive difficulties and a greater hearing disability.
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Affiliation(s)
- E W Beukes
- Department of Vision and Hearing Sciences, Anglia Ruskin University, Cambridge, UK
| | - V Manchaiah
- Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA.,Linnaeus Centre HEAD, Swedish Institute for Disability Research, Department of Behavioral Science and Learning, Linköping University, Linköping, Sweden.,Audiology India, Mysore, India.,Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Karnataka, India
| | - T E Valien
- Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA
| | - D M Baguley
- Department of Vision and Hearing Sciences, Anglia Ruskin University, Cambridge, UK.,National Institute for Health Research, Nottingham Biomedical Research Centre, Ropewalk House, The Ropewalk, Nottingham, UK.,Otology and Hearing Group, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK
| | - P M Allen
- Department of Vision and Hearing Sciences, Anglia Ruskin University, Cambridge, UK.,Vision and Eye Research Unit, Anglia Ruskin University, Cambridge, UK
| | - G Andersson
- Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden.,Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institute, Stockholm, Sweden
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Pyykkö I, Manchaiah V, Zou J, Levo H, Kentala E. Relational quality, illness interference, and partner support in Ménière’s disease. Int J Audiol 2017; 57:69-75. [DOI: 10.1080/14992027.2017.1367847] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Ilmari Pyykkö
- Department of Otolaryngology, Hearing and Balance Research Unit, University of Tampere, Tampere, Finland,
| | - Vinaya Manchaiah
- Department of Speech and Hearing Sciences, Lamar University, Beaumont, Texas, United States,
- The Swedish Institute for Disability Research, Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden,
- Audiology India, Mysore, Karnataka, India,
- Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal, Karnataka, India,
| | - Jing Zou
- Department of Otolaryngology, Hearing and Balance Research Unit, University of Tampere, Tampere, Finland,
- Department of Otolaryngology-Head and Neck Surgery, Center for Otolaryngology-Head & Neck Surgery of Chinese PLA, Changhai Hospital, Second Military Medical University, Shanghai, China, and
| | - Hilla Levo
- Department of Otolaryngology, University of Helsinki, Helsinki, Finland
| | - Erna Kentala
- Department of Otolaryngology, University of Helsinki, Helsinki, Finland
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Abstract
Meniere's disease (MD) is a disorder of the inner ear that causes vertigo attacks, fluctuating hearing loss, tinnitus and aural fullness. The aetiology of MD is multifactorial. A characteristic sign of MD is endolymphatic hydrops (EH), a disorder in which excessive endolymph accumulates in the inner ear and causes damage to the ganglion cells. In most patients, the clinical symptoms of MD present after considerable accumulation of endolymph has occurred. However, some patients develop symptoms in the early stages of EH. The reason for the variability in the symptomatology is unknown and the relationship between EH and the clinical symptoms of MD requires further study. The diagnosis of MD is based on clinical symptoms but can be complemented with functional inner ear tests, including audiometry, vestibular-evoked myogenic potential testing, caloric testing, electrocochleography or head impulse tests. MRI has been optimized to directly visualize EH in the cochlea, vestibule and semicircular canals, and its use is shifting from the research setting to the clinic. The management of MD is mainly aimed at the relief of acute attacks of vertigo and the prevention of recurrent attacks. Therapeutic options are based on empirical evidence and include the management of risk factors and a conservative approach as the first line of treatment. When medical treatment is unable to suppress vertigo attacks, intratympanic gentamicin therapy or endolymphatic sac decompression surgery is usually considered. This Primer covers the pathophysiology, symptomatology, diagnosis, management, quality of life and prevention of MD.
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Pyykkő I, Manchaiah V, Levo H, Kentala E. Impact evaluation and association with EuroQol 5D health-related utility values in Ménière's disease. SPRINGERPLUS 2015; 4:717. [PMID: 26636005 PMCID: PMC4656266 DOI: 10.1186/s40064-015-1527-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/12/2015] [Accepted: 11/10/2015] [Indexed: 11/10/2022]
Abstract
The study was aimed at evaluating the validity of impact measures among patients with Ménière’s disease (MD) with outcome variables of EuroQol generic health-related quality of life (HRQoL) measures (i.e., EQ-5D) by using Visual Analogue Scale (VAS) and EQ-5D index values. 183 members (out of 200 contacted) of the Finish Ménière Association returned the questionnaires that they had filled out. Various open-ended and structured questionnaires focusing on diagnostic aspects of symptoms and impairment caused by the disease were used. For activity limitation and participation restriction, standardized questionnaires were used. Open-ended questions on impact of the disease were asked, and subsequently classified based on the WHO-ICF classification. The general HRQoL was evaluated with EQ-5D index value and EQ VAS instruments. Correlation and linear regression analyses were used to explore the association between HRQoL and other aspects. Based on the explanatory power of different models the disease specific semeionic model provides the most accurate prediction in EQ-5D index calculations (38 % of the variance explained). In EQ VAS scores, HRQoL is most accurately determined by participation restriction (53 % of the variance explained), but the worst prediction was in ICF-based limitations (8 % of the variance explained). Interestingly, attitude and personal trait explained the reduction of HRQoL somewhat better than ICF-based variables. Activity limitation and participation restrictions are significant components of MD, but are less frequently recognized as significant factors in self-evaluating the effect of MD on the quality of life. The current study results suggest that MD patients seem to have problem identifying factors causing activity limitation and participation restrictions and hence use the semiotic description focusing on complaints.
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Affiliation(s)
- Ilmari Pyykkő
- Department of Otolaryngology, University of Tampere, Tampere, Finland
| | - Vinaya Manchaiah
- Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX USA ; Department of Behavioural Sciences and Learning, The Swedish Institute for Disability Research, Linköping University, Linköping, Sweden ; Audiology India, Mysore, Karnataka India
| | - Hilla Levo
- Department of Otolaryngology, University of Helsinki, Helsinki, Finland
| | - Erna Kentala
- Department of Otolaryngology, University of Helsinki, Helsinki, Finland
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Pyykkő I, Manchaiah V, Levo H, Kentala E, Rasku J. Attitudes of significant others of people with Ménière's disease vary from coping to victimization. Int J Audiol 2015; 54:316-22. [DOI: 10.3109/14992027.2014.989547] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Levo H, Kentala E, Rasku J, PyykkF I. Aural Fullness in M3ni2re's Disease. Audiol Neurootol 2014; 19:395-9. [DOI: 10.1159/000363211] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2013] [Accepted: 04/25/2014] [Indexed: 11/19/2022] Open
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Manchaiah V, Baguley DM, Pyykkö I, Kentala E, Levo H. Positive experiences associated with acquired hearing loss, Ménière's disease, and tinnitus: A review. Int J Audiol 2014; 54:1-10. [DOI: 10.3109/14992027.2014.953217] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Ketola S, Levo H, Rasku J, Pyykkö I, Kentala E. The sense of coherence in patients with Menière's disease. Auris Nasus Larynx 2014; 41:244-8. [PMID: 24560095 DOI: 10.1016/j.anl.2013.12.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2013] [Revised: 11/29/2013] [Accepted: 12/09/2013] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To investigate how the ability to adapt, measured by the sense of coherence (SOC), is related to specific complaints of Menière's disease (MD) and the disease specific and general health related quality of life (EQ-5D) and on disease specific impact of the disease (MD-impact). METHODS Postal survey, including a structured questionnaire on EQ-5D, SOC, symptoms, positive experiences, and the impact of MD, was sent to the members of the Finnish Menière Federation, reporting a diagnosis compatible with the condition. A sample of 547 members replied and were analyzed. RESULTS The SOC reflected the disabilities caused by symptoms of MD and psychosocial factors including verbal score scale (VSS) anxiety (p<0.01) and loss of vitality (p<0.001). Higher SOC scores were related to better scores in EQ-5D and lower scores in MD-impact. Positive attitudes consequential to MD were associated with higher SOC scores reflecting better control over the consequences of disease. CONCLUSION SOC is an element of patient's attitude toward illness and correlates with perceived good health. Patients with higher SOC scores are more content with their quality of life. Future research should focus on whether influencing modifiable psychological factors, such as positive attitudes, could improve adaptive ability in MD.
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Affiliation(s)
- Sirpa Ketola
- Department of Otorhinolaryngology, Helsinki University Hospital, PB 220, 00029 HUS, Finland
| | - Hilla Levo
- Department of Otorhinolaryngology, Helsinki University Hospital, PB 220, 00029 HUS, Finland
| | - Jyrki Rasku
- School of Information Sciences, University of Tampere, 33014 Tampere, Finland
| | - Ilmari Pyykkö
- Department of Otorhinolaryngology, Medical School, University of Tampere, Tampere University Hospital, 33014 Tampere, Finland
| | - Erna Kentala
- Department of Otorhinolaryngology, Helsinki University Hospital, PB 220, 00029 HUS, Finland.
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Manchaiah V, Pyykkö I, Kentala E, Levo H, Stephens D. Positive impact of Ménière's disorder on significant others as well as on patients: Our experience from eighty-eight respondents. Clin Otolaryngol 2013; 38:550-4. [DOI: 10.1111/coa.12190] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/15/2013] [Indexed: 12/01/2022]
Affiliation(s)
- V.K.C. Manchaiah
- Department of Vision and Hearing Sciences; Anglia Ruskin University; Cambridge UK
- Department of Behavioral Science and Learning; Linnaeus Centre HEAD; Swedish Institute for Disability Research; Linköping University; Linköping Sweden
| | - I. Pyykkö
- Department of Otorhinolaryngology; Medical School; University of Tampere; Tampere Finland
| | - E. Kentala
- Department of Otorhinolaryngology; Helsinki University Central Hospital; Helsinki Finland
| | - H. Levo
- Department of Otorhinolaryngology; Helsinki University Central Hospital; Helsinki Finland
| | - D. Stephens
- Department of Psychological Medicine and Neurology; School of Medicine; Cardiff University; Cardiff UK
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Levo H, Kentala E, Rasku J, Pyykkő I. Fatigue in Ménière’s disease. HEARING BALANCE AND COMMUNICATION 2013. [DOI: 10.3109/21695717.2013.835090] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Toyoshima K, Momma K, Nakanishi T. Fetal reversed constrictive effect of indomethacin and postnatal delayed closure of the ductus arteriosus following administration of transplacental magnesium sulfate in rats. Neonatology 2009; 96:125-31. [PMID: 19279396 DOI: 10.1159/000208794] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/19/2008] [Accepted: 10/08/2008] [Indexed: 11/19/2022]
Abstract
BACKGROUND Magnesium sulfate (MgSO4) is used therapeutically for eclampsia and tocolysis. Some reports have suggested a relationship between therapeutic MgSO4 and patent ductus arteriosus (DA) in preterm infants. OBJECTIVES To clarify patent DA induction by MgSO4 in preterm infants, we studied the increase in serum Mg concentrations and fetal dilatation and postnatal delayed closure of the ductus, using transplacental MgSO4 in rats. METHODS Fetal and neonatal ductus diameters were measured with a microscope and a micrometer after rapid whole-body freezing. In the postnatal study, 21-day pregnant dams were administered a subcutaneous injection of MgSO4 1-3 h before delivery, and the ductus was studied 0, 15, 30, 60 and 120 min after birth. In the fetal study, MgSO4 (1 g/kg) and indomethacin (10 mg/kg) were simultaneously administered to 21-day dams and the fetal ductus was studied 1, 2 and 4 h later. Serum Mg concentration was measured in the dams and newborns. RESULTS Neonatal Mg concentrations increased from 3.8 to 4.7 and 5.8 mg/dl at 1 and 3 h after maternal administration of MgSO4. Following MgSO4 administration 3 h before birth, closure of the neonatal DA was delayed. The ductus diameter was 0.88 mm (0.80 mm in control) at 0 min, and 0.26 mm (0.08 mm in the control) at 60 min after birth. In the fetal study, MgSO4 initially reversed and later attenuated the ductus-constricting effect of indomethacin. CONCLUSIONS Hypermagnesemia induced by transplacental MgSO4 attenuates the fetal ductus-constricting effects of indomethacin, and delays postnatal ductal closure in rats.
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Affiliation(s)
- Katsuaki Toyoshima
- Section of Pediatric Cardiology, Tokyo Women's Medical University, Tokyo, Japan.
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