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Amos, Steve Michael. "Vertigo." College Park, Md. : University of Maryland, 2006. http://hdl.handle.net/1903/3580.
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Thesis (M.F.A.)--University of Maryland, College Park, 2006.Thesis research directed by: Dept. of Art. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.
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Sharland, Eva Catherine. "Autecology of Vertigo angustior and Vertigo geyeri in Wales." Thesis, University of Sheffield, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.369889.
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Wallace, Rick L. "How are Central Causes of Vertigo Distinguished from Peripheral Causes of Vertigo?" Digital Commons @ East Tennessee State University, 2006. https://dc.etsu.edu/etsu-works/8780.
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Akin, Faith W. "Benign Paroxysmal Positioning Vertigo." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/2437.
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Pereira, Cristiana Borges. "Tratamento domiciliar da vertigem de posicionamento paroxística benigna." Universidade de São Paulo, 2004. http://www.teses.usp.br/teses/disponiveis/5/5138/tde-08102014-160049/.
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A vertigem de posicionamento paroxística benigna (VPPB) é a síndrome mais freqüente em ambulatório especializado. Caracteriza-se por ataques de vertigem de curta duração e é diagnosticada através de nistagmo típico desencadeado pela manobra de Dix-Hallpike. Do ponto de vista fisiopatológico a VPPB é explicada pela teoria da canalolitíase, um processo no qual partículas flutuam livremente pela endolinfa do canal semicircular. Em 1980 Brandt e Daroff foram os primeiros a sugerir que a VPPB pudesse ser tratada com exercícios por ser um problema mecânico do labirinto. Posteriormente Semont e col., em 1988 e Epley em 1992 propuseram outras manobras com boa eficácia após duas sessões de tratamento. Recentemente foi proposta a manobra de Epley modificada para tratamento domiciliar. Os objetivos deste estudo foram: (1) avaliar a viabilidade do tratamento domiciliar da VPPB; (2) comparar a eficácia da manobra de Semont, de Epley modificada e de Brandt- Daroff; (3) avaliar a eficácia destas manobras após duas e quatro semanas de tratamento domiciliar; (4) analisar o efeito de uma segunda manobra no caso de falha da primeira; (5) avaliar se ajuda de familiares e acurácia na realização das manobras interfere nos resultados; e (6) determinar possíveis fatores prognósticos da VPPB. Sessenta pacientes (38 mulheres) com idade de 26 a 87 anos (média 63.5) foram distribuídos aleatoriamente em três opções terapêuticas - manobra de Brandt-Daroff, de Semont e de Epley modificada. Todos os pacientes apresentavam nistagmo típico de VPPB do canal posterior no teste de posicionamento. Dez pacientes não compareceram aos retornos. Os 50 pacientes restantes ficaram distribuídos da seguinte maneira: manobra de Brandt-Daroff, n=17, manobra de Semont, n=18; manobra de Epley modificada, n=15. Cada exercício deveria ser realizada em três sessões diárias, que consistiam de 10 repetições para a manobra de Brandt-Daroff , e três para a de Semont e Epley modificada. Na primeira consulta a manobra selecionada era realizada com o auxílio do examinador e em seguida o paciente executava o exercício sem sua ajuda. As reavaliações foram feitas com intervalos de uma ou duas semanas. Foi considerada resolução total apenas naqueles pacientes sem vertigem e sem nistagmo no teste de posicionamento. Nos retornos o paciente demonstrava a manobra para determinar a acurácia na sua realização. Após sete dias os pacientes com resolução total eram instruídos a interromper a manobra, enquanto aqueles sem remissão mantinham o tratamento por mais sete dias. Após 14 dias de tratamento domiciliar houve resolução total em 29% dos pacientes realizaram a manobra de Brandt-Daroff, em 72% dos que fizeram a de Semont e em 80% daqueles que fizeram a de Epley modificada (p=0,019, log rank test). Vinte pacientes permaneceram sintomáticos após 14 dias. Destes, 11 foram instruídos a manter o tratamento inicial por mais duas semanas (grupo 1), oito receberam a orientação de realizar uma segunda manobra pelo mesmo período (grupo 2), e uma paciente não compareceu aos retornos. Cinco pacientes (45%) do grupo 1 e cinco (62%) do grupo 2 tiveram resolução total após 14 dias. As conclusões deste estudo foram as seguintes: (1) o tratamento domiciliar da VPPB é possível e leva a bons resultados; (2) as manobras de Semont e de Epley modificada são semelhantes entre si e melhores que a de Brandt-Daroff; (3) metade dos pacientes que permaneceram sintomáticos após duas semanas se beneficiaram de um período adicional de duas semanas de tratamento; (4) o efeito obtido com a manutenção da manobra inicial por mais duas semanas foi semelhante àquele obtido com a realização de uma segunda manobra pelo mesmo período; (5) pequenos erros e ajuda de familiares não interferiram nos resultados e (6) idade, gênero, etiologia e duração dos sintomas antes do inicio do tratamento não modificaram o prognóstico da VPPBBenign paroxysmal positioning vertigo (BPPV) is the most common syndrome in a dizziness unit. It is characterized by brief attacks of vertigo and can be easily diagnosed with the Dix-Hallpike test on the basis of its typical nystagmus. Canalolithiasis, a process in which free particles float freely within the endolymph of the semicircular canal, is the underlying mechanism of BPPV. In 1980 Brandt and Daroff, were the first to suggest that BPPV could be treated by simple exercises because of its mechanical pathogenesis. Later Semont and colleages in 1988 and Epley in 1992 proposed different maneuvers, which reportedly yielded good results after two treatment sessions. Recently a modified Epley maneuver was proposed for use as self-treatment of BPPV. The aims of our study were: (1) to analyze the efficacy of self treatment (2) to compare the efficacy of Semont maneuver, modified Epley maneuver, and Brandt-Daroff exercises during self-treatment of posterior BPPV; (3) to evaluate the efficacy of these maneuvers after two and four weeks of self-treatment; (4) to analyze the effect of a second maneuver if the first one failed; (5) to evaluate if assistance of relatives or inaccuracies in performing the maneuvers may interfere in the results; and (6) to determine possible prognostic factors of BPPV . Sixty patients (38 women) aged 26 to 87 years (mean 63.5) were randomly assigned for one of the three treatment options: Semont maneuver, modified Epley maneuver, and Brandt- Daroff exercises. All patients showed a typical nystagmus of posterior canal-BPPV during the positional test. Ten patients were lost to follow-up and therefore not included in the analysis. The remaining 50 patients were distributed among the treatment options as follows: Brandt-Daroff exercises, n=17; Semont maneuver, n=18; modified Epley maneuver, n=15. Each treatment option had to be performed in three daily sessions consisting of 10 repetitions for Brandt-Daroff exercises and 3 repetitions for Semont maneuver and modified Epley maneuver. On the first visit the assigned maneuver was done with the examiner assistance and afterwards it was performed by the patient alone. Clinical revaluation occurred on weekly intervals. BPPV was considered resolved only in those patients who had neither vertigo nor nystagmus on the positional testing. Patients were asked to demonstrate the maneuver, so that their accuracy could be determined. After 7 days those patients in whom BPPV had resolved were instructed to interrupt the maneuver, whereas those without remission were required to perform the same initial maneuver for another 7 days. After 14 days of self-treatment the remission rates were 29% for those performing BDE, 72% for SM and 80% for MEM (p=0,019, log rank test). Twenty patients were still symptomatic after 14 days, 11 of these patients were instructed to perform the same initial procedure (group 1), 8 were instructed to execute another maneuver (group 2), and 1 was missed to follow-up (Table 1). Five (45%) patients in group 1 and five (62%) in group 2 were asymptomatic after another 14 days of treatment (p=0,93, log rank test;). We conclude from our data that (1) self-treatment of BPPV has a good efficacy ; (2) SM and MEM are both equally efficient and better than BDE; (3) half of all patients who remain symptomatic after a 2-week treatment, may benefit from a 4-week self-treatment; (4) equivalent results are achieved by performing one or two maneuvers during a 4-week self-treatment; (5) accurate performance and assistance of relatives did not improve the outcome; and (6) age, gender, etiology, duration of symptoms before treatment were not predictive of outcome
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Sim, Eyvonne Siew Siean. "Post Treatment Vertigo, Dizziness, and Unsteadiness in Older Adults with Benign Paroxysmal Positional Vertigo." Thesis, Curtin University, 2021. http://hdl.handle.net/20.500.11937/88138.
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Older adults are susceptible to Benign Paroxysmal Positional Vertigo (BPPV). While BPPV can be treated efficaciously with repositioning manoeuvres, some patients may experience residual dizziness and other problems. It is uncertain what factors are associated with residual dizziness in older adults. The evidence on treatment outcomes in older adults are conflicting and their experiences unexplored. This thesis aims to address these evidence gaps, and gain insight into the rehabilitation outcomes/experiences and residual dizziness in older adults with BPPV.
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Barkl, Michael Laurence Gordon, and mikewood@deakin edu au. "Vertigo: Riccardo Formosa's composition technique." Deakin University, 1994. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20051208.101826.
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Riccardo Formosa has been identified as being an important and widely recognised young Australian composer. Formosa's possession of a sophisticated composition technique is central to his approach to composition and to his reputation among contemporary composers.
Vertigo: Riccardo Formosa's Composition Technique aims to define the composition technique employed by Formosa. It does so by analysing the works from a number of clearly defined perspectives.
The study proceeds firstly through a description of the works as a whole and their relationship to the composers personal history. Secondly, the note-to-note operations Formosa has employed are reassembled through a detailed examination of the scores. Thirdly, an assessment is made of the function of the various techniques within the musical texture. Lastly, a number of comparisons are made between Formosas work and the work of his compositional models.
The study concludes that Formosas works show evidence of a composition technique operating effectively on different levels. The note-to-note processes, simple in themselves, are multiplied to form a complex counterpoint. On both the note-to-note level and the relationship between larger sections of the works, the controlling factor was found to be one of binary expression in the form of symmetry or complementarity, a compositional aesthetic also held by Formosa's teacher. Franco Donatoni.
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Rodovskaya, Liya. "Improving the Diagnosis and Management of Benign Paroxysmal Positional Vertigo in a Rural Healthcare Setting." Diss., North Dakota State University, 2020. https://hdl.handle.net/10365/31914.
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Benign paroxysmal positional vertigo (BPPV) is a condition characterized by brief spinning episodes that occur with a rapid change in head position. Although considered benign, BPPV can have many personal, social, health, and financial implications. Yet, providers in a variety of settings are frequently mismanaging the condition leading to incomplete resolution of symptoms, decreased quality of life, reduced productivity, and increased healthcare spending.
This study sought to better understand why providers fail to follow current evidence-based BPPV guidelines and the impact BPPV-specific education could have on improving their practices. Questionnaires assessing BPPV-specific knowledge as well as inquiring about provider barriers to following guidelines were distributed to 11 providers in a rural Colorado mountain town. A 45-minute education session was then presented to providers in order to update them on current recommendations. Following the education, similar questionnaires reassessing provider knowledge of BPPV guidelines were disseminated. Results showed an improvement in provider knowledge as evidenced by an increase in the percentage of correct response scores following the education session compared to pre-education. Additionally, providers identified difficulty in interpreting nystagmus patterns as well and remembering how to perform the various maneuvers as major barriers to guidelines adherence. Future BPPV education should focus on these two barriers to ensure better guidelines adherence.
In order to evaluate long-term practice changes following the intervention, a 16-month retrospective chart analysis was performed in a small rural emergency department where three of the participating providers from the education session worked. Results from the chart analysis were inconclusive due to a scarcity of patient encounters during the post-intervention period. Future studies should be performed with a larger participation pool and longer analysis period to better evaluate the effectiveness of BPPV-specific education on improving provider practices. The ultimate goals of providing BPPV education are to promote a quicker resolution of patient’s symptoms, improve their quality of life, reduce unnecessary healthcare spending, while still allowing for appropriate provider compensation.
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Ponton, Anita. "Vertigo : the technophenomenological body in performance." Thesis, Goldsmiths College (University of London), 2005. http://research.gold.ac.uk/177/.
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My project is a consideration of how new technologies impact on the body in performance. The affect of digital media and virtual reality on conventional notions of physicality and representation is initiating a radical rethink on how we define and understand body/performance art. The question of how and where we locate the internal and external self, an issue that is crucial for artists who use their bodies, is further emphasised through new technological mediation. This signals the possibility of new thinking about presence and exchange within body/performance art. I am primarily interested in how new technologies facilitate different sorts of exchange between artwork/artist and audience. I contend that when the performing body is immersed in new technologies it’s desires and anxieties are exposed. The intersubjective relation generated between the work and audience – the phenomenological experience of a public performance of self – is consequently revealed as erotic. I aim to reconfigure contemporary ideas of performance as dependent on immediate presence (liveness). In the performance of self, as embodied by the artist in performance, the conventional distinction between fixed notions of subject and object is collapsed into an intersubjective dynamic. My analysis of this relation is informed by Merleau-Ponty’s reading of the relationship between the visible and the invisible as a ‘chiasmic intertwining’. Accordingly, rather than proceed from the idea of a split between artists and viewer/s, I examine the intersubjective dynamic as an exchange of flesh. I use the term ‘technophenomenological’ to describe the enworlded nature of the relationships between bodies, machines and media. I extend this understanding by drawing on psychoanalytic concepts of incorporation and narcissism, on cinema and media theory and on theories of excess and waste. I endeavour to ‘write through’ my practice, sometimes anecdotally and sometimes intuitively, to evolve a dialogue between my practice and theoretical concerns. (A. Ponton, Abstract)
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Valencia, Liliana Patricia Marlés. "Formas del vertigo: una estética donosiana." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/8/8145/tde-17042018-094944/.
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\"Formas del vértigo: una estética donosiana\" aborda la escritura de José Donoso como propuesta que excede el pensamiento puramente racional. Esto impacta en una fuerte presencia del mito en su narrativa, desde sus comienzos como cuentista con Veraneo y otros cuentos (1955) hasta su última novela El mocho (1997), lo que no se restringe apenas a los motivos, sino que avanza hasta la experiencia mítica, en una búsqueda trágica y vertiginosa. El vértigo, como desequilibrio o destrucción, atraviesa los temas y las formas que componen la obra. Más que eso, es envite poético que se incorpora en la imagen que recoge su proyecto autorial, dentro y fuera de la página. El corpus de esta investigación está compuesto por discursos ficcionales y no ficcionales y se concentra en momentos en que lo lúdico, como simulacro y vértigo, irrumpe con especial fuerza en las formas del juego, la fiesta o el rito. A la luz de este paradigma, elementos de reconocida trayectoria en la producción donosiana son revisitados con el objetivo de configurar una poética de autor. Como parte de este engranaje, la parodia circula en diversos niveles para promover el pathos. Algunos de los gestos paródicos involucran mitos representativos, cargados de una fuerte connotación corporal. Conceptos como el juego, el artificio y la tragedia dibujan un recorrido en el cual resalta la cuestión vertiginosa. De esta ruta, se deriva finalmente una interpretación de lo que el autor menciona, al vuelo, como \"parodia sangrante\".\"Formas da vertigem:\" entende a escrita de José Donoso como proposta que vai além do pensamento puramente racional, o que desencadeia uma forte presença do mito na sua narrativa, desde os começos como contista em Veraneo y otros cuentos (1955) até o último romance, El mocho (1997). Aquela presença não se restringe apenas aos motivos, mas avança até a própria experiência mítica, em uma busca trágica e vertiginosa. A vertigem, como desequilíbrio ou destruição, atravessa os temas e as formas que compõem a obra. Mais do que isso, ela se institui como desafio poético e incorpora-se na imagem que recolhe o projeto autorial de Donoso, dentro e fora da página. O corpus dessa investigação compõe-se de discursos ficcionais e não ficcionais. Concentra-se nos momentos nos quais o lúdico, nos aspectos do simulacro e da vertigem, irrompe com força extraordinária nas formas do jogo: a festa e o rito. À luz desse paradigma, são revisitados elementos de reconhecida trajetória na produção donosiana com a finalidade de configurar uma poética do autor, ou seja, do conjunto de interesses e princípios que sustentam sua prática. Faz parte dessa engrenagem a paródia, usada em diversos níveis, para promover o páthos. Alguns desses gestos paródicos envolvem mitos representativos, carregados com forte conotação corporal. Conceitos como jogo, artifício, tragédia, e desenha um percurso no qual destaca a questão vertiginosa. Dessa rota, deriva uma interpretação daquilo a que o autor se refere, laconicamente, como \"paródia sangrante\".
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Yardley, Lucy. "The experience of vertigo : a mutualist analysis." Thesis, University of Southampton, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.316596.
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Ward, Shelby Elise. "Bodies in Vertigo: the language of liminalities." Thesis, Virginia Tech, 2014. http://hdl.handle.net/10919/51154.
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Starting with my own travel experiences, and with the help of poets, Elizabeth Bishop, Jorie Graham, and Emily Dickinson, I create a theory of displacement, called Vertigo. Vertigo is not only a sense of falling, but a sense of detachment from reality that I felt traversing through different cultures, languages, and worlds for the first time. Vertigo is a liminal, transformative space that allows an individual to experience the created nature of their own worldview and culture. This is also a physical experience, as Bishop, Graham, and Dickinson give evidence to in their poetry, as the individual experiences a heightened sense of their physical bodies. This work acknowledges the privileged position of the traveler, and reveals that often the observations we make in this privileged position can be moves of colonization. Poetry is one way to both acknowledge these moves, and to also show what we can learn from these moments when we continue to question and explore. Additionally, poetry, as a medium of mindful reflection, allows for a language that is capable of handling the physical knowledge of the body; the mental mapping of the cultural and personal realities of the individual; and also the geographic and political landscapes that surround an individual or population, simultaneously. With this understanding, the theoretical framework for displacement, bodies, and place, which Bishop, Graham, and Dickinson give us, is the foundation for exploring how poetry can provide knowledge for more 'scientific' writing, such as, cultural geography or cognitive science.Master of Arts
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Young, Allison Stephanie. "Ictal Nystagmus Characteristics of Acute Recurrent Vertigo." Thesis, University of Sydney, 2020. https://hdl.handle.net/2123/24097.
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The aim of this doctoral research project was to capture and characterize nystagmus occurring during episodes of vertigo (ictally) by patient-initiated video oculography (VOG), which could help pinpoint the underlying diagnosis. Viewing a patient’s eyes whilst dizzy is a difficult diagnostic task as vertigo may occur at home, and may be significantly reduced by the time a patient presents to a hospital or clinic. Patients with recurrent vertigo were taught to self-record ictal nystagmus using a small, portable VOG device. All underwent history, neurological examination, audiometry, semicircular canal, and otolith function tests as standard of care. In the first study of 117 patients with episodic vertigo, 100% of patients with Ménière’s Disease (MD) and 65.7% of patients with Vestibular Migraine (VM) demonstrated ictal spontaneous nystagmus; high velocity and horizontal (93.0%) in MD (median slow-phase velocity (SPV) 39.7°/s), and lower-velocity, directionally diverse in VM (median SPV 4.9°/s). An SPV >12.05°/s had a sensitivity and specificity of 95.3% and 82.1% for MD. Nystagmus direction-change in the same attack was highly specific for MD (95.7%), as was vertical nystagmus for VM (93.0%). A composite score >3 in nine audiovestibular metrics correctly differentiated MD from VM with a sensitivity and specificity of 95.7% and 95.0%. In cases of positional vertigo, a time-constant <47.3 s separated Benign Paroxysmal Positional Vertigo (BPPV) from MD and VM with a sensitivity of 100% and specificity of 77.8%. Among 102 healthy controls, 30.4% showed very low velocity spontaneous nystagmus and 70.6% had positional nystagmus. The ictal nystagmus characteristics of uncommon presentations of vertigo are also presented. This thesis provides a framework showing that event-monitoring has the potential to assist in early separation of VM and MD in cases of episodic spontaneous vertigo, and BPPV from other causes of positional vertigo. The findings of our studies may hasten diagnosis, improve its accuracy, and guide targeted treatment resulting in better patient outcomes.
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Riska, Kristal M., Faith W. Akin, Laura Williams, Stephanie B. Rouse, and Owen D. Murnane. "A Benign Paroxysmal Positional Vertigo Triage Clinic." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1779.
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Purpose: The purpose of this study was to evaluate the effectiveness of triaging patients with motion-provoked dizziness into a benign paroxysmal positional vertigo (BPPV) clinic.
Method: A retrospective chart review was performed of veterans who were tested and treated for BPPV in a triaged BPPV clinic and veterans who were tested and treated for BPPV in a traditional vestibular clinic.
Results: The BPPV triage clinic had a hit rate of 39%. On average, the triaged BPPV clinic reduced patient wait times by 23 days relative to the wait times for the traditional vestibular clinic while also reducing patient costs.
Conclusion: Triaging patients with BPPV is one method to improve access to evaluation and treatment and a mechanism for the effective use of clinic time and resources.
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Akin, Faith W., A. Lynn Williams, Courtney D. Hall, Stephanie M. Byrd, and Owen D. Murnane. "A Benign Paroxysmal Positional Vertigo Specialty Clinic." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/1889.
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Akin, Faith W. "Benign Paroxysmal Positional Vertigo: Assessment and Treatment." Digital Commons @ East Tennessee State University, 1998. https://dc.etsu.edu/etsu-works/2458.
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Franco, Eloisa Sartori. "Avaliação otoneurologica em crianças com queixa de dificuldades escolares : estudo da função vestibular." [s.n.], 2007. http://repositorio.unicamp.br/jspui/handle/REPOSIP/309762.
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Orientador: Ivone PanhocaTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-09T09:13:19Z (GMT). No. of bitstreams: 1 Franco_EloisaSartori_D.pdf: 2421851 bytes, checksum: 5590efdeb693146d5868be4b0ef799ba (MD5) Previous issue date: 2007
Resumo: As alterações no processo de aprendizagem e/ou atraso na aquisição da linguagem constituem parte das queixas relatadas na clínica pediátrica, neurológica, neuropsicológica e fonoaudiológica infantil. Além disso, altas taxas de reprovações em escolares que ingressam no primeiro ciclo têm despertado a atenção dos especialistas que atendem crianças em idade escolar. Dentre os fatores básicos para a aprendizagem encontram-se a postura, o equilíbrio e a coordenação motora. Em conjunto com o sistema nervoso central, a função do sistema vestibular é controlar a posição do corpo, os movimentos dos olhos e a percepção espacial, e assim, ele é tido hoje como um dos responsáveis pelo desenvolvimento infantil. Esta pesquisa buscou avaliar a função vestibular em crianças com queixas de dificuldades escolares bem como suas queixas vestibulares. Foi realizada em duas importantes etapas, sendo que inicialmente foram estudadas 50 crianças e posteriormente 88 crianças, todas entre 7 e 12 anos, que freqüentavam escolas públicas da cidade de Piracicaba durante os anos de 2004 a 2006. Os procedimentos utilizados foram: a anamnese; exame otorrinolaringológico; exame audiológico e avaliação vestibular. Nos resultados iniciais notamos que 38,0% das crianças referiram ter dificuldades escolares. Quando aumentamos a amostra observamos que 49,0% das crianças referiram essas dificuldades. No questionamento das queixas referidas mais comuns, pudemos observar que a queixa referida de ¿atordoação¿ apresentou uma relação estatisticamente significante nas crianças com queixas de dificuldades escolares em comparação às crianças sem queixas de dificuldades escolares e posteriormente foi acrescida a queixa referida de ¿tontura¿. Ao demonstrar os percentuais dos sintomas referidos mais comuns no ambiente escolar entre as crianças estudadas pudemos notar que, no primeiro momento, o sintoma referido de ¿náuseas¿ apresentou uma relação estatisticamente significante entre as crianças com queixas de dificuldades escolares e posteriormente, com a amostra ampliada, acrescentou-se o sintoma referido de ¿vômito¿. Ambas as amostras, sem haver discrepância, demonstraram um grande desconforto em brincadeiras que exigem integridade das funções vestibulares e suas interligações como: pular corda; andar de bicicleta e ¿brincar no gira-gira¿ apresentando uma diferença estatisticamente significante. Com relação às queixas específicas de aprendizagem escolar, verificamos que as dificuldades em ¿ler¿ e ¿copiar¿ apresentaram uma relação estatisticamente significante nas crianças com queixas de dificuldades escolares, em ambas as amostras, notando-se uma expressiva semelhança. Os dados obtidos na pesquisa da função vestibular em sua fase inicial foram reiterados no estudo final em que foi encontrado alto índice de exame vestibular normal nas crianças sem queixas de dificuldades escolares e baixo índice de normalidade nas crianças com queixas de dificuldades escolares. Todas as alterações vestibulares encontradas foram de origem periférica irritativa tanto unilateral quanto bilateral, revelando uma disfunção vestibular frente à excitação labiríntica provocando hiperatividade vestibular. Os dados mostraram uma relação estatisticamente significante nas crianças com queixas de dificuldades escolares ao serem comparadas às crianças sem queixas de dificuldades escolares
Abstract: Alterations in the learning process and/or delay in the acquisition of language account for complaints in children¿s pediatric, neurological, neuropsychological and phonoadiological clinic. Moreover, high rates of school failure in first cycle students have called the attention of specialists who assist children in school age. Amongst the basic factors for learning there are posture, equilibrium and motor coordination. Together with the central nervous system, the function of the vestibular system is to control the body position, eyes movements and space perception, this system is today taken to be one of the responsible for children¿s development. This research aimed to evaluate vestibular function in children with complaints of school difficulties as well as their complaints regarding the vestibular system. Was carried through in two important stages; initially 50 children were studied and later 88 children, all between age 7 and 12, which frequented public schools of the city of Piracicaba from 2004 to 2006. The procedures used were: anamnesis; otorhinolaryngological examination; audiologic examination and vestibular evaluation. In the initial results we noticed that 38.0% reported had school difficulties. When we increased the sample data we noticed that 49.0% of children referring school difficulties. In the study of the most common complaints reported, we could observe that the complaint reported of "stunnedness" had a statistically significant relation in children with school difficulties complaints compared to children without school difficulties complaints and later the complaint reported of "giddiness" was added. When considering the percentages of the most common symptoms reported in the school environment among the studied children we could notice that at first the symptom reported of "nauseas" presented a statistically significant relation among children with school difficulties complaints and that later, with the extended sample, the ¿vomit" symptom reported was added. Both samples demonstrate with no discrepancies a great discomfort in playful activities that demand integrity of vestibular function and its interconnections: to rope jumping; to ride a bicycle and to play in the turning wheel presenting a statistically significant difference regarding children with and without school difficulties complaints. As concerns o school difficulties complaints linked to school performance, we verified that "reading" and "copying" difficulties had a statistically significant relation in children with school difficulties complaints in both samples and there was an expressive similarity. Data collected by the research on vestibular function in its initial phase were confirmed in the final study: a high rate of normal vestibular function in children without school difficulties complaints was found and a low rate of normality in children with school difficulties complaints. All vestibular alterations found had peripheral irritative origin, both unilateral and bilateral, showing a vestibular dysfunction linked to labyrinth excitement provoking vestibular hyperactivity. Data had a statistically significant relation in children with school difficulties complaints compared to children without school difficulties complaints
Doutorado
Saude da Criança e do Adolescente
Doutor em Saude da Criança e do Adolescente
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Gawankar, Sudarshan Vijay. "Effects of timely otolaryngological/audiological intervention on patients with acute vertigo due to peripheral vestibular disorders." Thesis, University of Canterbury. Communication Disorders, 2007. http://hdl.handle.net/10092/1420.
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Vertigo is the presenting symptom of some peripheral vestibular disorders, like Benign Positional Vertigo (BPV), Ménière's disease, and vestibular neuritis, and for many other clinical conditions as well. Some clinicians from the Christchurch Public Hospital suspect that there is a significant need to improve the diagnostic accuracy and overall management of patients presenting with complaints of "acute vertigo or dizziness", especially BPV and Ménière's disease. The final diagnosis of many such patients treated for these conditions in the past has been suspected to be somewhat incomplete or inappropriate. These patients were commonly referred to various other departments, where they underwent a number of investigations, particularly medical imaging [head CT (Computed Tomography) / MRI (Magnetic Resonance Imaging) scans, which were in many cases not necessary. Such delays in the process led to an extra or unnecessary burden on the limited health funds available to the hospital or to the patient. Another drawback was an elevated patient stress and anxiety as critical time was lost with the increased number of admissions, or in transferring the patient between various departments without any conclusive diagnosis and treatment. It was proposed to conduct a retrospective study on the accuracy of diagnosis of those patients admitted to Christchurch Public Hospital with complaints of acute vertigo, particularly for suspected peripheral vestibular disorders (mainly BPV and Ménière's disease) over the period of 2004-2005. Implementation of a more specific and detailed management approach at the level of the initial clinical examination or diagnostic investigations (specifically, by an early Otolaryngology/Audiology intervention) was planned for the year 2006. The two groups of patients (2004-2005 and 2006) were compared to verify the final achievements concerning the diagnostic accuracy and at various other levels with the newly implemented changes in 2006.
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Shochat, Bagon Robin. "The vertigo of the beast : thinking animals in literature." Thesis, University of Sussex, 2016. http://sro.sussex.ac.uk/id/eprint/59662/.
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This thesis begins with the claim that the most productive and stimulating manner of addressing the question of the animal is through an engagement with the writings of Jacques Derrida. In particular, it picks up on his comment in The Animal that Therefore I Am that “thinking concerning the animal, if there is such a thing, derives from poetry.” As such, the thesis explores the specific ways in which the resources of literature can be used in order to address what is possibly the most pressing ethical task of modern humanity. One of the central questions of the thesis concerns how what Derrida calls carnophallogocentrism can be confronted by literature. Through readings of Herman Melville's Moby-Dick and the poetry and short stories of D.H. Lawrence, I explore how literature is uniquely placed to offer a sense of the radical otherness of nonhuman animals. In perhaps a contradictory manner, I also examine how literary resources can be used to evoke a sense of pity for nonhumans. There are two further important, and connected, areas of enquiry. The first relates to the position of man who is constructed in opposition to nonhuman animals and is given the right to put nonhumans to death. As such, I study how a variety of texts, chiefly J.M. Coetzee's Foe and Philip Roth's American Pastoral, reveal the fragility of some of the chief notions of humanism and give way to what has been theorised as posthumanism. The second engages with what Derrida calls “eating well.” This is a question which receives its most thorough investigation through a reading of Margaret Atwood's dystopian Maddaddam trilogy.
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Fenichel, Teresa. "Uncanny Belonging: Schelling, Freud and the Vertigo of Freedom." Thesis, Boston College, 2016. http://hdl.handle.net/2345/bc-ir:104819.
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Thesis advisor: Vanessa RumbleThe aims of my dissertation are 1) to explicate what I take to be the philosophical foundations of Freudian psychoanalysis with the aid of Schelling’s contributions to the development of the unconscious and the nature of human freedom and 2) to make use of certain fundamental discoveries of psychoanalysis in order to reinterpret Schelling’s dynamic and developmental vision of reality. My claim is that Schelling’s philosophy not only offers an important historical moment in the development of the psychoanalytic account of the unconscious, but also gives us a vision of human development—and indeed the development of Being as such—that is grounded in the unconscious and the activity of the drives. Where Freud is often viewed as a determinist, through a closer examination of the connections Schelling makes between the unconscious ground of existence and human freedom we can begin to open up the space for a more complex Freudian subjectivity. Furthermore, the advances Freud makes in terms of the structure of the unconscious, his work on the altered temporality (most notably Nachträglichkeit, or “afterwards-ness”) of trauma and repression, also serve to bring some of Schelling’s most abstract and speculative work to both a more practical and philosophically relevant level. In the work of both Schelling and Freud, the relationship between the human subject and the reality such a subject “confronts” is radically transformed. In Schelling, we find that the developmental phases of Being, of the Absolute and of Nature are also manifested in the structure of human becoming; that is, the catastrophic divide between subjective experience and objective reality is bridged by reinterpreting both as dynamic processes. Although Freud himself often has recourse to a more static view of “objective” reality, his work also speaks to a deep and disturbing revision of such a view. Indeed, Freud’s continued questioning of the boundaries between fantasy and reality, between the internal and the external, suggest that the irreducible otherness of the unconscious extends beyond the individual
Thesis (PhD) — Boston College, 2016
Submitted to: Boston College. Graduate School of Arts and Sciences
Discipline: Philosophy
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Schneider, Terri L. "The Incidence of Positional Nystagmus in Healthy Participants Revisited." Scholar Commons, 2002. https://scholarcommons.usf.edu/etd/1528.
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The purpose of this study was to examine the prevalence of nystagmus found in healthy individuals during the positional testing subtest of the standard vestibular test battery. Positional testing involves moving the patient's head, and sometimes the entire body, into a variety of positions while observing eye movement. The hypothesis of the current study was that a relatively low percentage of participants would display nystagmus during positional testing used routinely in clinical diagnostic procedures. The findings were then compared to those of an earlier study in which 82% of normal, healthy individuals were reported to exhibit nystagmus during this testing.
Twenty-five participants were selected that had no known otologic disease and who reported normal hearing sensitivity. In addition, the participants affirmed they had not consumed any alcohol or taken any medications that are known to affect nystagmus. They were then observed in nine different positions. Forty-eight percent of the participants experienced nystagmus in at least one position. Although this percentage was considerably lower than that reported in the earlier study, methodological differences appear to account for the discrepancy. Specifically, the criterion for determining the presence/absence of nystagmus potentially explains the difference in full.
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Costa, José Roberto Lima da. "Estudo da função do sistema vestibular em mulheres com disfunção temporomandibular." Universidade de Taubaté, 2011. http://www.bdtd.unitau.br/tedesimplificado/tde_busca/arquivo.php?codArquivo=410.
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Objetivo: Avaliar tipo e frequência de alteração vestibular por meio de vectoeletronistagmografia em indivíduos com Disfunção Temporomandibular (DTM) de origem muscular. Método: Foram incluídos neste estudo 25 pacientes do gênero feminino, com faixa etária de 18 a 44 anos de idade com DTM muscular, classificada de acordo com os critérios do questionário já validado Research Diagnostic Criteria for Temporomandibular Disorders (RDC). Todos os indivíduos foram submetidos à avaliação otoneurológica, composta por anamnese, meatoscopia e vectoeletronistagmografia computadorizada. Resultados: Foram encontrados apenas três sujeitos com alteração na vectoetronistagmografia (alteração do nistagmo pós-calórico). Houve elevada ocorrência de sintomas otoneurológicos, dentre eles: tontura (96%), intolerância a sons altos, cinetose (76%), insônia (72%), plenitudeaural (64%) e zumbido (52%). Os músculos que apresentaram prevalência de dor à palpação foram: tendão do músculo temporal (96%), pterigóideo lateral (96%), masseter médio (92%) e masseter Inferior (68%). Não houve diferença estaticamente significante entre indivíduos com e sem alteração na vectoeletronistagmografia em relação aos principais sintomas otoneurológicos. Também não foi observada diferença estaticamente significante entre mulheres com e sem vertigem com relação à dor à palpação nos músculos estudados. Conclusão: Indivíduos com DTM do tipo muscular apresentaram baixa taxa de alterações vestibulares evidenciadas pelo exame de vectoeletronistagmografia computadorizada, apesar da elevada ocorrência de sintomatologia otoneurológica.Objective: To evaluate the type and frequency of vestibular alteration through vectoelectronystagmography in individuals with temporomandibular disorder (TMD) muscle. Method: The study included 25 female patients, aged 18 to 44 years old with muscular TMD, classified according to the criteria of the questionnaire that has been validated by Research Diagnostic Criteria for Temporomandibular Disorders (RDC). All subjects underwent otoneurologicalavaliation consisting of anamnesis, otoscopyand computerized vectoelectronystagmography. Results: There were only three subjects with altered vectoelectronystagmography (modification of post-caloric nystagmus). There was a high occurrence of otoneurological symptoms, including dizziness (96%), intolerance to loud sounds, motion sickness (76%), insomnia (72%), fullness (64%) and tinnitus (52%). The muscles that had a prevalence of pain on palpation were temporal muscle tendon (96%), lateral pterygoid (96%), the middle portion of masseter (92%) and the lower masseter (68%). There was no statistically significant difference between individuals with and without changes in vectonystagmography on the main otoneurological symptoms.There was also no statistically significant difference between women with and without vertigo with respect to pain on palpation in the muscles studied. Conclusion: Individuals with TMD of muscular type showed a low rate of vestibular disorders revealed by the computerized vectoelectronystagmography despite the high occurrence of otoneurological symptoms.
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Mariotto, Luciane Domingues Figueiredo. "Reabilitação vestibular em um serviço público de saúde auditiva." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/25/25143/tde-05092017-210254/.
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A tontura é considerada pela área médica, como um problema de saúde pública. Entender os distúrbios do equilíbrio corporal, como a limitação de um dos sistemas fundamentais para a sobrevivência do indivíduo, ajuda a compreender a importância e a necessidade de uma abordagem diagnóstica rápida e precisa. A valorização de sinais encontrados na avaliação vestibular, e da queixa do paciente, é fundamental para o diagnóstico, sendo de extrema importância o encaminhamento para avaliação exploratória do sistema vestibular, para que medidas terapêuticas personalizadas sejam adotadas. A reabilitação vestibular (RV) é um recurso terapêutico realizado por meio de exercícios que visam melhorar a interação vestíbulo-visual durante a movimentação cefálica, e ampliar a estabilidade postural estática e dinâmica nas condições que produzem informações sensoriais conflitantes. Objetivo: Verificar a eficácia de um protocolo de procedimentos terapêuticos de RV em grupo, aplicado em indivíduos com queixas vestibulares, considerando as variáveis: gênero, idade, presença de zumbido e influência da localização do comprometimento do sistema vestibular. Material e métodos: Estudo descritivo e retrospectivo, realizado a partir da análise de prontuários de 151 pacientes atendidos na DSA do HRAC-USP. A casuística foi delimitada a partir da análise de prontuários de pacientes de ambos os gêneros, com idade entre 10 a 88 anos. Os critérios de inclusão foram: queixas vestibulares, ter realizado a VENG pré RV em grupo, ter respondido ao Dizziness Handicap Inventory (DHI) e a Escala Visual Analógica (EVA), para os sintomas de tontura e zumbido, nas etapas pré e pós intervenção. A RV foi composta por 13 sessões de aproximadamente 60 minutos, seguindo protocolo especifico elaborado para a RV em grupo. O tratamento estatístico foi composto pelos testes Teste T, McNemar, Friedmann, Qui-Quadrado, Fisher, Binominal, Kolmogorov-Smirnov e Testes Wilcoxon. Foi adotado valor de significância (p) igual ou menor que 0,05. Resultados: Na comparação entre os resultados do DHI obtidos nas etapas pré e pós RV houve diferença para todos os aspectos, tanto a pontuação total como para a classificação por grau (p=0,001). Na análise do EVA houve diferença quanto ao desconforto da tontura (valor de p variou de 0,000 a 0,092), quanto ao desconforto relacionado ao zumbido (p=0,001). Houve diferença na comparação da avaliação vestibular por meio da VENG antes e depois da RV (p=0,003). Não houve correlação entre idade (p=0,610) e efetividade da RV porém houve correlação com o gênero (p=0,028). Houve diferença entre os resultados da VENG na comparação entre as etapas pré e pós RV em grupo (p=0,001). Na correlação da EVA com as variáveis, houve correlação com o gênero feminino (p=0,000), com todas as faixas etárias, exceto a de 10 a 20 anos (p=0,125) de 21 a 90 anos, e com o comprometimento vestibular periférico (p=0,000). Conclusão: O protocolo de RV em grupo, aplicados em pacientes com queixas vestibulares foi eficaz para a queixa de tontura e zumbido, independente da idade. O gênero feminino apresentou mais benefícios com a RV do que o gênero masculino. A RV foi eficaz para todos os tipos de comprometimento vestibular, inclusive nos achados identificados como normais.Dizziness is considered by the medical field as a public health problem. Understanding body balance disorders, such as limiting one of the fundamental systems for individual survival, helps to understand the importance and necessity of a quick and accurate diagnostic approach. The evaluation of signs found in the vestibular evaluation, and the patient\'s complaint, is fundamental for the diagnosis, being extremely important the exploratory evaluation of the vestibular system, so that therapeutic therapeutic measures are adopted. Vestibular Rehabilitation (VR) is a therapeutic resource performed through exercises that aim to improve vestibulovisual interaction during head movement and to increase static and dynamic postural stability in conditions that produce conflicting sensory information. Aim: To verify the efficacy of a group VR therapeutic protocol, applied to individuals with vestibular complaints, considering the following variables: gender, age, tinnitus and influence of the location of vestibular system impairment identified by vectoelectronystagmography (VENG). Methods: Descriptive and retrospective study, based on the analysis of medical records of 151 patients seen in the DSA of HRACUSP. The casuistry was delimited from the analysis of medical records of patients of both genders, aged between 10 and 88 years. Inclusion criteria were: vestibular complaints, VENG pre VR in group, response to Dizziness Handicap Inventory (DHI) and Visual Analogue Scale (VAS) for the symptoms of dizziness and tinnitus, in the pre- and post-intervention stages. The VR was composed of 13 sessions of approximately 60 minutes, following a specific protocol elaborated for VR in a group. The statistical treatment was composed by the Test T, McNemar, Friedmann, Chi- Square, Fisher, Binominal and Kolmogorov-Smirnov tests. Significance (p) value was adopted equal to or less than 0.05. Results: The results obtained were compared with the results obtained for each classification level (p=0,001). In the analysis of VAS, there was a difference between the discount of dizziness (variance value = 0,000 to 0,092), or discomfort related to tinnitus (p=0,001). There was a difference in the evaluation of vestibular evaluation through VENG before and after VR (p=0,003). There was no correlation between age (p=0,610) and VR efficacy, with correlation with gender (p=0,028). There was a difference between the VENG results between the previous phases of the group (p=0,001). In the correlation between the VAS and the variables, there was a correlation with the female gender (p=0,000), with all age groups, except for 10 to 20 years (p=0,125) from 21 to 90 years and with peripheral vestibular impairment (p=0,000). Conclusion: The group VR protocol applied to patients with vestibular complaints was effective for complaint of dizziness and tinnitus, regardless of age. The female had more benefits with an VR than the male sex. VR was effective for all types of vestibular compromise, including findings identified as normal.
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Rosa, Luiza Diniz da. "Avaliação do benefício da intervenção fonoaudiológica em adultos e idosos com tontura." Pontifícia Universidade Católica de São Paulo, 2016. https://tede2.pucsp.br/handle/handle/19615.
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Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq
INTRODUCTION: Dizziness is a very common symptom and it affects mainly adults and the elderly. It can lead to significant damage, disrupting the patient´s quality of life. Considering the high prevalence of reported dizziness in the population, many studies have been carried out in order to both identify its possible causes and develop speech therapy intervention techniques. OBJECTIVE: To evaluate the benefits of speech therapy intervention in adults and elderly people with dizziness. METHOD: Prospective and longitudinal clinical study conducted on a sample of 20 patients with complaints of dizziness, of both sexes and aged between 48 and 85 years of age (average of 66 years of age). All subjects were referred to vestibular rehabilitation by medical indication and they underwent ten sessions of exercises based and adapted from the Cawthorne (1944) and Cooksey (1946) Protocol. In addition, we applied the Dizziness Handicap Inventory (DHI), the Geriatric Depression Scale (GDS) and the Dizziness Quantification Scale questionnaires in three moments: before the intervention, at the fifth session of speech therapy intervention and after the tenth session. At the end of the ten sessions, all subjects answered a question concerning the improvement of the dizziness symptomatology. We used the questionnaires in the three moments of intervention both for comparison purposes and for the assessment of the effectiveness of the treatment. RESULTS: After the intervention, 17 subjects (85%) showed improvement in the DHI score and 18 (90%) reported improvement in the dizziness symptomatology. In spite of the fact that the three tests had a decrease in average in the three moments, we observed intervention interference only in relation to the DHI. The symptoms of depression, anxiety and insecurity were considered as influence variables in the intervention results. Cronbach’s Alpha showed that the DHI delivers a good consistency level, whereas GDS-5 showed only reasonable significance. CONCLUSION: The speech therapy intervention on dizziness proved to be effective. We observed there was a greater benefit in the 10-session intervention, when compared to the 5-session intervention. The use of questionnaires to assess the result of the interventions is an important instrument in the assessment of the treatment effectiveness. However, self-reference and clinical hearing should be taken into account
INTRODUÇÃO: a tontura é um sintoma muito comum e afeta principalmente adultos e idosos. Pode levar a prejuízos significativos, atrapalhando a qualidade de vida. Considerando a alta prevalência da queixa de tontura na população, muitos estudos têm sido realizados com o objetivo tanto de identificar as possíveis causas, quanto de desenvolver técnicas de intervenção fonoaudiológica. OBJETIVO: avaliar o benefício da intervenção fonoaudiológica em adultos e idosos com tontura. MÉTODO: estudo clínico prospectivo e longitudinal realizado em uma amostra de 20 pacientes com queixa de tontura, de ambos os sexos e com idade entre 48 e 85 anos (média de 66 anos). Todos os sujeitos foram encaminhados para reabilitação vestibular por indicação médica e realizaram dez sessões de exercícios, baseados e adaptados do Protocolo de Cawthorne (1944) e Cooksey (1946). Além disso, foram aplicados os questionários Dizziness Handicap Inventory (DHI), Escala Geriátrica de Depressão (GDS) e Escala de Quantificação da Tontura (QT) em três momentos: antes da intervenção, na 5ª sessão de intervenção fonoaudiológica e após a décima sessão. No término das dez sessões, todos responderam a uma questão referente à melhoria do sintoma de tontura. Os questionários foram utilizados para fins comparativos entre os três momentos da intervenção e para avaliação da efetividade do tratamento. RESULTADOS: após a intervenção, 17 sujeitos (85%) apresentaram melhora no escore do DHI e 18 (90%) relataram melhora do sintoma de tontura. Apesar dos três testes terem tido diminuição das médias nos três momentos, foi observada interferência da intervenção apenas em relação ao DHI. Os sintomas de depressão, ansiedade e insegurança foram considerados como variáveis de influência nos resultados das intervenções. O Alfa de Conbrach mostrou que o DHI apresenta um bom nível de consistência, já a GDS-15 demonstrou significância razoável. CONCLUSÃO: a intervenção fonoaudiológica na tontura mostrou-se efetiva. Foi observado maior benefício quanto a intervenção com 10 sessões, quando comparado a 5 sessões. O uso de questionários para verificar o resultado das intervenções consiste em um importante instrumento de avaliação da efetividade do tratamento. Entretanto, a auto-referência e a escuta clínica devem ser valorizadas
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Lechner, Corinna. "Open your eyes!: video-oculography findings in benign positional vertigo." Thesis, The University of Sydney, 2014. http://hdl.handle.net/2123/13304.
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This thesis describes spatiotemporal characteristics of BPV. Patients were tested on the Epley Omniax rotator, a multi axis positioning device, and eye movements were recorded for offline analysis. A total of 616 patients were diagnosed with BPV. Of those, 500 had posterior, 49 had horizontal and 8 had anterior canal BPV. In posterior canal BPV the median onset was <0.5sec, median duration was 13.4sec and median peak SPV (pSPV) was 30°/sec. In horizontal canalolithiasis (n=39), with the affected ear down, nystagmus onset was mostly instantaneous, lasted for 24.5 sec and peaked at 56.5°/sec. In cupulolithiasis (n=10), the onset on the affected side was instantaneous (<0.5sec). The median pSPV was 25.6°/sec. SPV profiles were compared to vestibular migraine (VM) presenting with horizontal positional nystagmus. At 40 seconds from onset the average SPV in canalolithiasis had declined to 1.8%. In cupulolithiasis it had declined to 81% and 65% on the unaffected and affected side, respectively. In anterior canal BPV (n=8), 4 patients showed nystagmus with onset 0.77sec, duration 27.8sec and pSPV 11.6°/sec. This is the first large scale study that describes the spatiotemporal characteristics of BPV, which can be applied to a general clinic to increase the accuracy of bedside treatment
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Figueiredo, Luciane Leite de. "Indivíduos vertiginosos: um estudo comparativo entre a queixa e os achados na vestibulometria." Pontifícia Universidade Católica de São Paulo, 2006. https://tede2.pucsp.br/handle/handle/12062.
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Previous issue date: 2006-07-31Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Scope: To describe the vestibular complaints and/or symptoms found in otoneurological clinical practice and investigate the relationship between these and vestibulometry. Method: A study was performed by retrospective analysis of the medical records of 116 individuals examined in the otoneurological sector of the Institute of Advanced Studies in Audition during the period from January 2004 through November 2005. Results: The findings showed that the sample was comprised of 86 (74.1%) females and 30 (25.9%) males. The age bracket ranged from 18 to 82 years (50 years average). The vestibular evaluation revealed normal results in 66 individuals and altered results in 50. The otoneurological complaints and/or symptoms reported by the individuals were: dizziness, vertigo, tinnitus, perspiration, headaches, heaviness in the head and walking disturbances. Among the neurovegetative symptoms, nausea proved to be significant (p=0.004). The analysis of the isolated dizziness/vertigo complaint, in comparison with the variable vestibular exam (normal/altered) did not produce any statistically significant association. On the other hand, when the complaint of vertigo appeared in association with tinnitus, a considerable number of altered exam results were observed. Conclusion: Based on the data gathered, it can be seen that the fact that a patient records a complaint of isolated dizziness/vertigo does not signify that the vestibular exam will necessarily be altered. However, the association of vertigo + tinnitus reveals itself to be indicative of altered exam results. Therefore, a comparison of the clinical history of patients with vestibulometric symptoms is fundamental for establishing the diagnostic hypothesis
Objetivo: Descrever a queixa e/ou os sintomas vestibulares encontrados na clínica otoneurológica e investigar a relação destes com a vestibulometria. Método: Efetuou-se um estudo por meio da análise retrospectiva dos prontuários de 116 sujeitos examinados no setor de otoneurologia do Instituto de Estudos Avançados da Audição no período de janeiro de 2004 a novembro de 2005. Resultados: Os achados mostraram que a amostra foi constituída por 86 (74,1%) sujeitos do sexo feminino e 30 (25,9%) do sexo masculino. A faixa etária variou de 18 e 82 anos (média 50 anos). A avaliação vestibular mostrou resultados normais em 66 sujeitos e resultados alterados em 50. As queixas e/ou sintomas otoneurológicos referidos pelos sujeitos foram: tontura, vertigem, zumbido, náusea, sudorese, cefaléia, peso na cabeça e distúrbios à marcha. Dentre os sintomas neurovegetativos, a náusea apresentou-se bastante significativa (p=0,004). A análise da queixa de tontura/vertigem isolada, em comparação com a variável exame vestibular (normal/alterado), não apresentou associação estatisticamente significante. Por outro lado, quando a queixa de vertigem apareceu associada a zumbido, observou-se um número considerável de exames alterados. Conclusão: Com base nos dados encontrados, verifica-se que o fato de o paciente apresentar queixa de tontura/vertigem isolada não significa que o resultado do exame vestibular estará necessariamente alterado. Todavia, a associação vertigem + zumbido mostra-se sugestiva de exame alterado. Sendo assim, comparar a história clínica dos pacientes com os achados vestibulométricos é fundamental para o estabelecimento da hipótese diagnóstica
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Giles, Charlotte. "A Demographic and Electrocochleographic Study of Ménière's Disease and Migraine Vertigo." Thesis, University of Canterbury. Communication Disorders, 2012. http://hdl.handle.net/10092/6928.
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Ménière’s disease (MD) is an inner ear condition characterised by progressive hearing loss, tinnitus, aural fullness, and vertigo. Migraine is a common, chronic neurovascular disorder characterised by attacks of severe headaches, autonomic nervous system dysfunction, and, in some patients, visual disturbances. Patients with certain subclasses of migraine may also present with symptoms typically experienced by MD sufferers, such as vertigo, hearing loss, and tinnitus. Currently most MD cases are diagnosed through subjective criteria such as the guidelines provided by the American Academy of Otolaryngology-Head and Neck Surgery Committee on Hearing Equilibrium (AAO-HNS CHE) and the Gibson score. Migraine is diagnosed subjectively according to the International Headache Society (IHS). The purpose of this study was to investigate whether tone burst Electrocochleography (ECochG) measures, which have been found to be effective in assisting with the diagnosis of MD, may be sensitive in differentiating between suspected MD patients with and without a history of migraine. A database of 395 patients, whose medical files included ECochG records, was analysed. The ECochG data and other patient characteristics were compared between three groups, including patients who had a history of migraine and attacks of vertigo (“Migraine”), patients who had no history of migraine but reported having had headaches and attacks of vertigo (“No migraine-with headache”), and patients who reported having had attacks of vertigo but neither a history of migraine nor headaches (“No migraine-without headache”). The “Migraine” group was found to have a significantly higher proportion of “negative” ECochG cases compared to the other two groups. The “Migraine” group also had the lowest occurrence of hearing loss and lowest mean Gibson scores amongst the three groups. These findings suggest that some patients who are subjectively diagnosed with MD may have vestibular migraine instead of MD. It is, therefore, concluded that utilisation of physiological test such as ECochG may improve the differential diagnosis of MD and vestibular migraine.
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Toro, Villavicencio José Luis. "The concept of the american dream in Paul Auster’s “Mr. Vertigo”." Tesis, Universidad de Chile, 2005. http://repositorio.uchile.cl/handle/2250/110186.
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Informe de Seminario para optar al grado de Licenciado en Lengua y Literatura Inglesa.“People everywhere have hopes, but America is the only nation to claim its own collective dream. Politicians have invoked The American Dream ever since historian James Truslow Adams first coined the phrase in 1931. In his best-selling book, “the epic of America”, he described the dream as the average American’s “star in the west which led him on...in search of a home where toil would reap a sure reward, and no dead hands of custom or exaction would push him back into ´his place`”. The phrase caught on like wildfire and endures still, though its meaning is often vague. To some the “sure reward” is a luxury car. To others it’s a college degree, a steady job that pays the bills, or a house in the suburbs and a family of four `a la Ozzie and Harriet. But the dream is above all America’s own brand of optimism, which was brought over by the first settlers and which presumes no limits to what anyone can have or achieve.”
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Munaro, Gisiane. "CONTRIBUIÇÃO DO PEATE NA AVALIAÇÃO DE PACIENTES COM QUEIXAS VESTIBULOCOCLEARES." Universidade Federal de Santa Maria, 2009. http://repositorio.ufsm.br/handle/1/6460.
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The otoneurological evaluation consists of exams to investigate auditory and vestibular pathologies, among them, the auditory brainstem response and vectonystagmography are tests commonly used in clinical practice. The evoked potentials are useful in cases of peripheral neural involvement and/or brainstem diseases, rarely asked for evaluating patients with vertigo complaints only, dizziness or balance disorders. Because of this, its applicability in these cases remains still unknown. The purpose of this study is to describe the otoneurologic results in patients with vestibular complaints, normal-hearing and with hearing loss, comparing their results in auditory brainstem response to the control-group. For this, 66 dizzy patients were evaluated and then were grouped: group A consisted of 31 normal hearing patients, mean age 40 years old, group B with 25 hearing loss patients, mean age 58 years, control group of ten normal hearing patients, mean age 26 years, without any vestibular or auditory complaints. These people were evaluated through audiometry, vectonystagmography and electrophysiology exams at Centro Clínico Mãe de Deus Center, Porto Alegre city. The corresponding data were grouped according to symptomatology and the exams results. The statistical analysis ANOVA and F significance test, the electrophysiological results were compared to the control group. The patients of groups A and B showed an increased of absolute latency of waves I, III e V statistically significant when compared to control group, although the latency values were within the normal patterns. The absence of wave I occurred in both groups of normal hearing and with hearing loss. In two patients of the group B the vectonystagmography showed central vestibular disease but the electrophysiological measures were normal in these cases. Conclusion: patients with vestibulochoclear complaints showed different electrophysiologyc results when compared to the control-group.A avaliação otoneurológica consiste em exames para investigação de patologias auditivas e vestibulares, entre eles o potencial evocado de tronco encefálico e a vectoeletronistagmografia. Os potenciais evocados são utilizados em casos de suspeita de acometimento neural periférico e/ou de tronco encefálico, raramente indicado para sujeitos com queixas isoladas de vertigem, tontura ou desequilíbrio, de forma que sua contribuição na avaliação desses pacientes é pouco conhecida. Este estudo tem como objetivo descrever os achados da avaliação otoneurológica em pacientes com queixas vestibulococleares, normo-ouvintes e com perda auditiva, comparando os resultados do PEATE ao grupo-controle. Foram avaliados 66 pacientes e formaram-se os grupos A com 31 pacientes sintomáticos normo-ouvintes com média de idade de 40 anos, o grupo B com 25 pacientes sintomáticos e com perda auditiva, média de 58 anos de idade, e o grupo-controle, média de 26 anos, constituído por dez pacientes normo-ouvintes sem queixas vestibulares ou auditivas. Exames auditivos, vestibulares e eletrofisiológico foram realizados no Centro Clínico Mãe de Deus Center, em Porto Alegre, cujos dados foram agrupados conforme a sintomatologia e os resultados dos exames. Pela análise estatística ANOVA e teste F verificou-se a significância dos resultados eletrofisiológicos confrontados com o grupo-controle. Os pacientes dos grupos A e B apresentaram aumento em monobloco das latências absolutas das ondas I, III e V estatisticamente significativa, quando comparados ao grupo-controle, embora com valores dentro da normalidade. A ausência da onda I ocorreu em ambos os grupos, normo-ouvintes e com perda auditiva. Nos dois casos do grupo B em que a vectoeletronistagmografia acusou alteração vestibular central não foram verificadas alterações nos parâmetros eletrofisiológicos. Conclusão: os pacientes com sintomas vestibulares diferiram do grupo-controle quanto aos resultados eletrofisiológicos.
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Silva, Paula Andreta Barros da. "DO EQUILÍBRIO EM PACIENTES COM VERTIGEM POSICIONAL PAROXÍSTICA BENIGNA." Universidade Federal de Santa Maria, 2011. http://repositorio.ufsm.br/handle/1/6492.
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Introduction: The dizziness is observed among 5 and 10% of the world population, affecting both genders. It can be of two sorts: rotatory (vertigo) or non-rotatory. The dizziness crises may injure the patients life, leading to the reduction of social coexistence and difficult the daily activities. The most common rotatory dizziness is the Benign Positional Paroxysmal Vertigo. The episodes are generally quick and triggered by the head movement, Furthermore, it may be accompanied by nausea, vomiting and fall. The diagnosis of Benign Positional Paroxysmal Vertigo is achieved through the Dix-Halpike maneuver, which shall verify the presence of nystagmus and/or giddiness. There are no reports of variation in conventional tests of patients with complaint of Benign Positional Paroxysmal Vertigo. It is observed only in vectonystagmography. The treatment of this type of dizziness is performed by canalith repositioning maneuvers. Objective: To verify the results found in the evaluations carried out by patients with Benign Positional Paroxysmal Vertigo, with emphasis on the results found in vectonystagmography and its relationship with affected semicircular canal. Material and Method: The study was performed in otology ambulatory of University Hospital of Santa Maria. The sample was composed of all patients who attended the ambulatory with complaints of. The patients have performed anamnesis, Dix-Halpike maneuver, vectonystagmography and Epley maneuver. They were divided in two groups: the control group, composed by patients with negative result in Dix-Halpike maneuver, and the study group, composed by patients with positive result in this maneuver. Results: There was prevalence of females among the patients and the average age was 57 years. The semicircular canal most affected was the anterior and the theory that prevailed was the ductolitiase. The average number of maneuvers necessaries to abolish the positioning nystagmus is 1.58 and there were 4 (6.9%) cases of recurrence. When analyzed the evidence of vectonystagmography, it was observed the presence of spontaneous nystagmus and a change in rotator testing. However, these variations are not related to the affected semicircular canal. It has occurred a predominance of normorreflexia in the caloric testing. Conclusion: The Epley maneuver is effective for patients with Benign Positional Paroxysmal Vertigo, even in cases in which they occur relapses. The variations found in vectonystagmography are not related to the affected semicircular canal. In fact, these variations are arising from the spontaneous and latent nystagmus presence. Consequently, it was not possible to verify other methods for the diagnosis of Benign Positional Paroxysmal Vertigo.Introdução: A tontura é observada entre 5 e 10% da população mundial, atingindo ambos os gêneros. Pode ser de dois tipos: rotatória (vertigem) ou não rotatória. As crises de tontura podem prejudicar a vida do paciente, levando à redução do convívio social e dificultando as atividades de vida diária. O tipo de tontura rotatória mais comum é a Vertigem Posicional Paroxística Benigna. Os episódios geralmente são rápidos e desencadeados pelo movimento de cabeça, podendo ser acompanhado de náuseas, vômitos e queda. O diagnóstico de vertigem posicional paroxística benigna é realizado através da manobra de Dix-Halpike, que verifica a presença de nistagmo e/ou tontura. Não há relatos de alteração nos testes convencionais de pacientes com queixa de Vertigem Posicional Paroxística Benigna. Isto é verificado apenas na vectoeletronistagmografia. O tratamento desse tipo de vertigem é realizado pela manobra de reposição canalítica. Objetivo: verificar os resultados encontrados nas avaliações realizadas pelos pacientes com Vertigem Posicional Paroxística Benigna, com ênfase nos resultados encontrados na vectoeletronistagmografia e sua relação com o canal semicircular afetado. Material e Método: o estudo foi realizado no ambulatório de otologia do Hospital Universitário de Santa Maria. A amostra foi composta por todos os pacientes que compareceram ao ambulatório com queixa de vertigem posicional paroxística benigna. Os pacientes realizaram anamnese, manobra de Dix-Halpike, vectoeletronistagmografia e manobra de Epley. Estes foram divididos em dois grupos: grupo controle, composto pelos pacientes com resultado negativo na manobra de Dix-Halpike, e grupo estudo, composto pelos pacientes com resultado positivo nesta manobra. Resultados: Houve prevalência do sexo feminino entre os pacientes e a média de idade foi de 57 anos. O canal semicircular mais afetado foi posterior e a teoria que prevaleceu foi a ductolitíase. O número médio de manobras necessárias para abolir o nistagmo de posicionamento é 1,58 e houve 4 (6,9%) casos de recidiva. Quando analisada as provas da vectoeletronistagmografia, foi observada presença de nistagmo espontâneo e alteração na prova rotatória pendular decrescente. Entretanto, essas alterações não estão relacionadas com o canal semicircular afetado. Na prova calórica houve predomínio da normorreflexia. Conclusão: A manobra de Epley é eficaz para pacientes com vertigem posicional paroxística benigna, mesmo nos casos em que ocorrem recidivas. As alterações encontradas na vectoeletronistagmografia não estão relacionadas com o canal semicircular afetado. De fato, essas alterações são decorrentes da presença de nistagmo espontâneo e nistagmo latente. Consequentemente, não foi possível verificar outros métodos para o diagnóstico da vertigem posicional paroxística benigna.
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Trovo, Maria Caroline [UNESP]. "Um estudo das [possíveis] contradições da cultura no capitalismo do pós-guerra: uma abordagem do teatro da vertigem." Universidade Estadual Paulista (UNESP), 2006. http://hdl.handle.net/11449/99021.
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O presente trabalho busca estabelecer as diretrizes de uma política estética eficaz na pós-modernidade, entendida aqui como o estágio mais avançado do capitalismo (e não como um conceito meramente estético). Para tanto, parte-se do esmiuçamento de um fundamental capítulo da história da modernidade estética - qual seja, o 'debate sobre o expressionismo'- bem como da relação entre Walter Benjamin, importante teórico da modernidade, e Bertolt Brecht, dramaturgo alemão vanguardista. Com isso, extrai-se ensinamentos e categorias interpretativas fundamentais à prática da crítica cultural, que são pensadas em relação ao grupo Teatro da Vertigem - manifestação cultural com origem na década de 90, na cidade de São Paulo (Brasil). Tal grupo apresenta como principal característica um tratamento diferenciado à categoria espaço, permitindo assim sua contraposição com a estética do mapeamento, tal como entendida pelo teórico Fredric Jameson em seu Pós-Modernismo: a lógica cultural do capitalismo tardio. Por outro lado, verifica-se também a presença, no grupo, de características que o aproximam da lógica da indústria cultural, fenômeno caracterizador da cultura na atualidade. Portanto, por meio da análise do grupo Teatro da Vertigem, que desponta como a manifestação cultural atual que mais se aproxima de uma estética emancipatória, adentra-se no universo das contradições culturais da contemporaneidade.
The present work aims to establish the directives of an efficient political aesthetic in the post-modernism, here defined as the most advanced stage of the capitalism (and not merely an aesthetic concept). Therefore, it departs from a detailed and fundamental chapter of the history of the aesthetic modernity - that is, the 'debate of the expressionism' - as well as the relation between Walter Benjamin, an important theoretician of modernity, and Bertold Brecht, a vanguard German dramatist. With this, lessons and interpretative categories fundamental to the practice of culture criticism are extracted, based on the relation to the Vertigo Theater - a cultural manifestation originated in the nineties, at São Paulo city (Brazil). This group presents as main characteristic a distinctive treatment to the category of space, permiting your contraposition with the aesthetic of special-cognitive mapping, as point the theoretician Fredric Jameson in his Post-Modernism: the cultural logic of tardy capitalism. Nevertheless, it is also verified in the group the presence of characteristics that approaches it to the logic of cultural industry, a characterizing phenomenon of the culture in the actuality. Hence, through the analysis of the Vertigo Theater group, which emerges as an actuality manifest culture closer to an emancipating aesthetic, it is possible to enter into the universe of culture contradictions of the contemporaneity.
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Wang, Xiaoting [Verfasser], and Eva [Akademischer Betreuer] Grill. "The economic burden of vertigo and dizziness / Xiaoting Wang ; Betreuer: Eva Grill." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2020. http://d-nb.info/1221761498/34.
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Akin, Faith, Sherri Smith, Kristal M. Riska, Courtney D. Hall, Jennifer R. and Speech Lang Pathology Sears, and A. Larkin. "The Development of the Benign Paroxysmal Positional Vertigo Symptom Impact Questionnaire (BSIQ)." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5396.
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Akin, Faith, Sherri Smith, Courtney D. Hall, Kristal M. Riska, and Annabelle Larkin. "The Development of the Benign Paroxysmal Positional Vertigo Symptom Impact Questionnaire (BSIQ)." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/5377.
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Akin, Faith W., Sherri L. Smith, Courtney D. Hall, Kristal M. Riska, and Annabelle Larkin. "The Development of the Benign Paroxysmal Positional Vertigo Symptom Impact Questionnaire (BSIQ)." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/5381.
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Casertano, Renata. "Perceiving the vertigo : the fall of the heroine in four New Zealand writers." Thesis, University of Stirling, 1999. http://hdl.handle.net/1893/1695.
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In this study I analyse the role of the heroine in the work of four New Zealand writers, Katherine Mansfield, Robin Hyde, Janet Frame and Keri Hulme, starting from the assumption that such a role is influenced by the notion of the fall and by the perception of the vertigo entailed in it. In order to prove this I turn to the texts of four New Zealand writers dedicating one chapter to each. In the first chapter a few of Katherine Mansfield's short stories are analysed from the vantage point of the fall, investigated both in the construction of the character's subjectivity and in the construction of the narration. In the second chapter a link is established between Katherine Mansfield and Robin Hyde. A particular emphasis is put on the notion of subjectivity in relationship developed by the two writers, highlighting the link between this kind of subjectivity and the notion of the fall. In the third chapter the focus is subsequently shifted to Robin Hyde's work, in particular one of her novels, Wednesday's Children, which is read in the context of Mikhail Bakhtin's theory of the carnivalistic. In the fourth chapter the notion of the fall is analysed in the fiction of Janet Frame, which is related to the treatment of the notion of the fall present in Keri Hulme's The Bone People. The fifth chapter is dedicated to the analysis of The Bone People as in the novel the notion of the fall and the vertigo perception find their fullest expression, whilst in the sixth chapter a significant parallel is drawn between Janet Frame's Scented Gardens for the Blind and Keri Hulme's The Bone People and links are established with their predecessors. Finally in the seventh chapter the critical perspective is broadened to comprise those common elements in the writing of Katherine Mansfield, Robin Hyde, Janet Frame and Keri Hulme that have been neglected by focusing uniquely on the notion of the fall, and thus to contribute to a more complete overall picture of the comparison presented in this study.
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Wolf, Johannes Benjamin Armand [Verfasser], and Claas [Akademischer Betreuer] Lahmann. "The relation of illness perceptions with handicap in patients with vertigo and dizziness." Freiburg : Universität, 2019. http://d-nb.info/1200352637/34.
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Júnior, Luiz Carlos Gonçalves de Oliveira. "Vertigo, a teoria artística de Alfred Hitchcock e seus desdobramentos no cinema moderno." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/27/27161/tde-29062015-123125/.
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A tese investiga a recorrência do filme Um corpo que cai (Vertigo, 1958), de Alfred Hitchcock, como esquema matricial de uma reflexão meta-artística que, tomando como objeto a própria imagem (cinematográfica, pictórica, fotográfica, digital), atravessa toda a história moderna do cinema. Depois de definir e analisar a teoria artística proposta por Vertigo, a tese verifica os desdobramentos dessa teoria em uma série de filmes realizados desde o começo da década de 1960 até os anos 2000. Dentre os filmes analisados se acham La Jetée (Chris Marker, 1962), Blow up (Michelangelo Antonioni, 1966), Trágica obsessão (Obsession, Brian De Palma, 1975), Special Effects (Larry Cohen, 1984), Síndrome mortal (La Sindrome di Stendhal, Dario Argento, 1996), Estrada perdida (Lost Highway, David Lynch, 1997), A prisioneira (La captive, Chantal Akerman, 2000) e Na cidade de Sylvia (En la ciudad de Sylvia, José Luis Guerín, 2007).The thesis investigates the recurrence of Alfred Hitchcock\'s Vertigo (1958) as the matrix scheme of a meta-artistic reflection that crosses all the modern history of cinema. It includes a series of films whose subject is the image itself (cinematographic, pictorial, photographic, as well as digital image). After defining and analyzing the artistic theory proposed by Vertigo, the thesis verifies the developments of this theory in many modern and contemporary films made since the beginning of the 1960\'s. Among the films analyzed one will find La Jetée (Chris Marker, 1962), Blow up (Michelangelo Antonioni, 1966), Obsession (Brian De Palma, 1975), Special Effects (Larry Cohen, 1984), The Stendhal Syndrome (Dario Argento, 1996), Lost Highway (David Lynch, 1997), La captive (Chantal Akerman, 2000), and In the city of Sylvia (En la ciudad de Sylvia, José Luis Guerín, 2007).
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Williams, L., Faith W. Akin, Courtney D. Hall, Kristal M. Riska, Stephanie M. Byrd, and Owen D. Murnane. "A Benign Paroxysmal Positional Vertigo Specialty Clinic: A Model for Va Health Care." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/1884.
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Santos, Elizângela dos 1976. "Prevalencia de sinais e sintomas otologicos em portadores de espondilose cervical." [s.n.], 2006. http://repositorio.unicamp.br/jspui/handle/REPOSIP/309648.
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Orientador: Ibsen Bellini CoimbraDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: A osteoartrite (OA), osteoartrose, ou ainda doença articular degenerativa é enfermidade que tem sido muito estudada em razão do grande número de pessoas acometidas por ela. A espondilose cervical é o tipo de osteoartrite que acomete a coluna cervical e é também conhecida pela sua grande incidência. Os trabalhos disponíveis na literatura e que estudaram a OA limitaram-se fundamentalmente à sua etiologia, métodos diagnósticos, marcadores bioquímicos e formas de tratamento, não considerando, no entanto, algumas queixas apresentadas por esses pacientes sobre alguns sinais e sintomas auditivos como as disacusias, os zumbidos e as tonturas, muitas vezes presentes e relatados pelos pacientes por ela acometidos. Este estudo analisou em uma amostra de 50 pacientes, a prevalência de sinais e sintomas auditivos em portadores de espondilose cervical através da anamnese e da avaliação audiométrica e da vectoeletronistagmografia. Verificou-se através das respostas obtidas na anamnese que 44% (22) dos enfermos consideravam sua audição boa, enquanto 56% (28 pacientes) não. Dentre esses pacientes, encontraram-se em 33% deles alterações na orelha direita, 48% na orelha esquerda e em 19% alterações nas duas orelhas. Na avaliação dos resultados dos exames audiométricos (audiometria tonal) encontrou-se ainda uma maior porcentagem de indivíduos com uma alteração auditiva nas freqüências altas (4,6,8Hz) (52%,66%,66%) na orelha esquerda e na orelha direita somente na freqüência de 6 Hz (56%). Em relação à presença de zumbidos, 36 (72%) pacientes relataram a sua presença. Quando verificada a ocorrência de vertigem, 37 (74%) dos 50 pacientes a apresentaram, no entanto, os exames de vectoeletronistagmografia foram normais. conclui-se, portanto, que há prevalência de sinais e sintomas otológicos em portadores de espondilose cervical, embora eles não apareçam, necessariamente, concomitantemente, sendo que a vertigem aparece com maior freqüência, seguida por zumbido e, logo após, pela hipoacusia
Abstract: The osteoarthiris (OA) is the most common rheumatologic disease and cervical spondylosis is the OA on the cervical spine. It has been well studied in the past few years, mainly due to its high prevalence, as well as the costs to the health systems all over the world. The great majority of those studies have been focusing on its pathophysiologic aspects, etiology, diagnosis and its treatment. However few studies considered some symptoms that cervical spondylosis carriers can present, such as tinnitus and vertigo, in a such way frequent in the practical clinic. The aim of this study was to analyze in a sample of 50 patients with cervical spondylosis the auditory prevalence of signs and symptoms. It was observed that 56% of them (28 patients) didn't consider their audition as ?Good?, whereas 44% (22 patients) didn?t have any complaint. Among those subjects that didn't consider audition good the right ear was reported with deficit by 33%, the left ear by 48% and by 19% patients, both ears had problems.All patients underwent to a tonal audiometric evaluation. Its was observed a greater percentage of individuals with an audition "No Good" in the high (4, 6, 8Hz) (52%, 66%, 66% respectively) frequencies in the left ear and in the frequency of 6 Hz (56%) in the right ear. The results showed that 36 (72%) patients presented tinnitus complaint. When it verified the complaint of vertigo, 37 (74%) patients presented complaint, whose examinations of vectography had been normal. We concluded that there is a connection between signs and hearing symptoms, such as hearing loss, tinnitus e vertigo, among the patients with cervical spondylosis, suggesting that more studies in this area are required
Mestrado
Clinica Medica
Mestre em Clinica Medica
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André, Ana Paula do Rego. "Reabilitação vestibular da vertigem postural paroxística benigna de canal posterior em idosos." Universidade de São Paulo, 2003. http://www.teses.usp.br/teses/disponiveis/17/17138/tde-11102006-142440/.
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A Reabilitação Vestibular (RV) é um programa de tratamento realizado por exercícios, associado a um conjunto de medidas relacionadas à mudança de hábitos e esclarecimentos sobre os sintomas associados à alteração do equilíbrio. É um método de terapia fisiológico, inócuo e coerente, que pretende trabalhar o paciente vertiginoso aliviando os sintomas e aumentando seu limiar de sensibilidade para a vertigem. A Vertigem Postural Paroxística Benigna (VPPB) é a mais comum das vestibulopatias periféricas em adultos, principalmente em idosos do sexo feminino, apresentando como etiologia mais comum a degeneração da mácula utricular. Nos idosos, caracteriza-se por tontura rotatória e nistagmo posicional à mudança de posição da cabeça ou por determinada posição do corpo e, como conseqüência, pode ocorrer quedas e limitações na qualidade de vida dos mesmos, tornando-os limitados físico e emocionalmente. O presente estudo teve como objetivo avaliar prospetivamente a Reabilitação Vestibular como tratamento da VPPB com acometimento de canal semicircular posterior e seu efeito na qualidade de vida em indivíduos idosos. Participaram do estudo 23 voluntários com hipótese diagnóstica otorrinolaringológica de VPPB de canal semicircular posterior por ductolitíase, com faixa etária entre 60 e 91 anos, com média de 70,69 anos e desvio padrão de 9,24. Quanto ao gênero 17 (73,9%) eram do sexo feminino e 6 (26,1%) do masculino. No tratamento da VPPB por meio da reabilitação vestibular em 17 (73,9%) dos voluntários, utilizou-se a manobra de Epley; 6 (26,08%) com manobra de Epley associada ao exercício de Brandt e Daroff . O tempo de tratamento variou de 2 a 6 semanas. Aplicou-se um questionário (Dizziness Handicap Inventory - DHI brasileiro) pré e pós RV para quantificar a tontura quanto aos aspectos: físico, emocional, funcional e geral. Quanto ao aspecto físico, emocional, funcional e geral observou-se diferença estatisticamente significativa (p<0,0001) entre os escores pré e pós RV. Concluímos que os escores dos aspectos avaliados no DHI brasileiro melhoraram após intervenção fonoaudiológica pela RV nos pacientes com VPPB de canal semicircular posterior, havendo um incremento na qualidade de vida dos voluntários estudados.Vestibular rehabilitation is a treatment?s program based on exercises, associated with a factor?s collection related to changing habits and guidance about symptoms associates to unbalance. It is harmless, coherent and physiologic therapy method that intends to work the dizzy patient, relieving the symptoms and increasing his vertigo?s threshold. The Benign Paroxysmal Positional Vertigo is the one most frequent adult?s pathologies of the peripheral vestibular?s system. It is caused by the utricle?s degeneration. In aged people, is characterize by vertigo and positional nystagmus provoked by certain cephalic movements or body movements and, as sequelae, can take to falls and life quality restriction, physical and emotional. This study?s purpose was evaluate the Vestibular Rehabilitation in posterior canal?s BPPV?s treatment and its effect in the elderly life?s quality. Twenty three volunteers with BPPV ?s posterior canal?s canalith diagnoses pointed out by otorhinolaryngologist, aged between sixty to ninety one years old, average of 70,69 years and deviation of 9,24. Seventeen volunteers (73,9%) were female and six (26,1%) were male. In BPPV?s treatment by vestibular rehabilitation, thirteen (56,52%) were submitted to Epley maneuver, six (26,08%) used the Epley maneuver associated to Brandt- Daroff exercises and four patients (17,39%) were submitted only to the Brandt- Daroff exercises. The treatment?s time lasted from 2 to 6 weeks. A questionnaire (Dizziness Handicap Inventory Portuguese- DHI Portuguese) was used in order to dizziness quantity in the physical, emotional, functional and general aspects, which was observed a significant statistical difference (p<0,001) between the scores previous and after Vestibular Rehabilitation. Concluding that the aspects? scores evaluated improved after Vestibular Rehabilitation therapy in the posterior canal?s BPPV?s patients, occurring an improvement in volunteers? life quality.
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Arvidsson, Mimmi, and My Arvidsson. "”Anti-vertigo-systemet behöver kalibreras” : En undersökning av Bamsetidningens läsbarhet i förhållande till målgruppen." Thesis, Högskolan i Gävle, Avdelningen för humaniora, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-19783.
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Salisbury, Derek. "Growing up with Vertigo: British Writers, DC, and the Maturation of American Comic Books." ScholarWorks @ UVM, 2013. http://scholarworks.uvm.edu/graddis/209.
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At just under thirty years the serious academic study of American comic books is relatively young. Over the course of three decades most historians familiar with the medium have recognized that American comics, since becoming a mass-cultural product in 1939, have matured beyond their humble beginnings as a monthly publication for children. However, historians are not yet in agreement as to when the medium became mature. This thesis proposes that the medium’s maturity was cemented between 1985 and 2000, a much later point in time than existing texts postulate. The project involves the analysis of how an American mass medium, in this case the comic book, matured in the last two decades of the twentieth century. The goal is to show the interconnected relationships and factors that facilitated the maturation of the American sequential art, specifically a focus on a group of British writers working at DC Comics and Vertigo, an alternative imprint under the financial control of DC. The project consulted the major works of British comic scriptwriters, Alan Moore, Jamie Delano, Grant Morrison, Peter Milligan, Neil Gaiman, Warren Ellis, and Garth Ennis. These works include Watchmen, V for Vendetta, Shade: the Changing Man, Batman: Arkham Asylum, Animal Man, Sandman, Transmetropolitan, Preacher and several other important works. Following a chronological organization, the work tracks major changes taking place in the American comic book industry in the commercial, corporate, and creative sectors to show the processes through which the medium matured in this time period. This is accomplished by combining textual analysis of the comics with industry specific records and a focus on major cultural shifts in US society and culture
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Simon, Debra Rachel. "The Romantic Quest and the Disparity Between Sight and Understanding in Alfred Hitchcock's Vertigo." Thesis, The University of Arizona, 2012. http://hdl.handle.net/10150/245081.
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In many cases of romantic pursuit, all other endeavors within the male's world are cast aside, with the conquest of a woman and her love alone dictating the character's actions. Much is the case in Alfred Hitchcock's 1958 film, Vertigo, which manages to build upon this tradition of the romantic quest, while still maintaining a sense of suspense and mystery. This time, John "Scottie" Ferguson fills the role of the male protagonist, falling madly in love with the woman he assumes to be Madeleine Elster. Unaware of Gavin Elster's plot to murder his wife, Scottie becomes wholly enamored with both the Madeleine impersonator and the romantic tale she helps form: in which Scottie is the hero of the romantic conquest. Much of the complications for Scottie arise from his inability to see and interpret the world around him: although he perceives Madeleine's image as reflections of true love, he remains blissfully unaware of the far more substantial feelings his caring confidant, Margaret "Midge" Wood, directs towards him. Scottie's continued inability to break free from the romantic quest, to abandon his pursuit to write his own heroic ending, leads to an ambiguous ending that showcases neither support for the protagonist's nor the audience's senses of authority or control.
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Akin, Faith W., Kristal M. Riska, Laura Williams, Stephanie B. Rouse, and Owen D. Murnane. "Characteristics and Treatment Outcomes of Benign Paroxysmal Positional Vertigo in a Cohort of Veterans." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1780.
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Background: The Mountain Home Veterans Affairs (VA) Medical Center has been diagnosing and treating veterans with benign paroxysmal positional vertigo (BPPV) for almost 2 decades. The clinic protocol includes a 2-week follow-up visit to determine the treatment outcome of the canalith repositioning treatment (CRT). To date, the characteristics of BPPV and treatment efficacy have not been reported in a cohort of veterans with BPPV.
Purpose: To determine the prevalence and characteristics of veterans diagnosed with BPPV in a Veterans Affairs Medical Center Audiology Clinic and to examine treatment outcomes.
Research Design: Retrospective chart review.
Study Sample: A total of 102 veterans who tested positive for BPPV in the Vestibular Clinic at the Mountain Home VA Medical Center from March 2010 to August 2011.
Results: In 102 veterans who were diagnosed with BPPV, the posterior semicircular canal was most often involved (75%), motion-provoked vertigo was the most common symptom (84%), and the majority (43%) were diagnosed with BPPV in their sixth decade. The prevalence of BPPV in the Audiology Vestibular Clinic was 15.6%. Forty-one percent of veterans reported a symptom onset within 12 months of treatment for BPPV; however, 36% reported their symptoms began > 36 months prior to treatment. CRT was effective (negative Dix–Hallpike/roll test) in most veterans (86%) following 1 treatment appointment (M = 1.6), but more than half reported incomplete symptom resolution (residual dizziness) at the follow-up appointment. Eighteen percent of veterans experienced a recurrence (M = 1.8 years; SD = 1.7 years).
Conclusions: The characteristics and treatment outcomes of BPPV in our veteran cohort was similar to what has been reported in the general population. Future work should focus on improving the timeliness of evaluation and treatment of BPPV and examining the time course and management of residual dizziness.
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Viana, Luciana de Paula. "Efeito das manobras terapêuticas na qualidade de vida dos pacientes com vertigem posicional paroxística benigna." Universidade Federal de Juiz de Fora, 2011. https://repositorio.ufjf.br/jspui/handle/ufjf/2071.
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Vertigem Posicional Paroxística Benigna (VPPB) é uma das mais freqüentes afecções do sistema vestibular. Caracteriza-se clinicamente pela presença de episódios recorrentes de tonturas rotatórias, tipicamente desencadeados por determinados movimentos cefálicos realizados pelo paciente. A confirmação diagnóstica é obtida através de testes como a manobra de Dix-Hallpike e de Brandt-Daroff, nos quais, observa-se sistematicamente o desencadeamento de nistagmo. O objetivo do presente trabalho foi avaliar a eficácia do tratamento com manobras de reposicionamento em pacientes com VPPB. Foi realizado em estudo prospectivo, longitudinal e experimental de Coorte envolvendo 36 pacientes acompanhados em ambulatório de otoneurologia. Foram considerados, para a análise dos dados, a evolução clínica dos pacientes, e os resultados obtidos na aplicação do questionário Dizziness Handicap Inventory (DHI) na primeira consulta do paciente e após o tratamento com as manobras de reposicionamento. Os escores dos aspectos físico, funcional, emocional foram comparados e, assim, analisado o efeito da reabilitação vestibular sobre a qualidade de vida dos pacientes submetidos a esse tratamento. Para a comparação dos escores antes e depois do tratamento foi utilizado o teste t de Student para amostras pareadas. A análise dos resultados mostrou diferença significativa dos valores do DHI. As manobras de reposicionamento demonstraram ser um método simples e eficaz de tratamento da VPPB nos pacientes aqui relatados.
Benign Paroxysmal Positional Vertigo (BPPV) is among the most common vestibular disorders. It is characterized by recurrent episodes of vertigo induced by changes in head position. The condition is diagnosed by performing the tests like Dix-Hallpike and Brandt- Daroff maneuvers. Nystagmus is present by this way. The objective of this work was to evaluate the efficacy of the treatment with repositioning maneuvers in patients with BPPV. A prospective, longitudinal and experimental cohort study involving 36 patients followed up in outpatient neurotology. Were considered for data analysis, the clinical course of patients, and the results obtained in the Dizziness Handicap Inventory (DHI) in the first visit to the patient and after treatment with repositioning maneuvers. The scores of physical, functional, and emotional aspects were compared and thus the effect of vestibular rehabilitation on quality of life of the patients undergoing this treatment was analyzed. For comparison of the scores before and after treatment it was used the Student’s t-test for paired samples. Data analysis showed a significant difference to the values of DHI. The repositioning maneuvers are an excellent treatment for BPPV. The patients of our series were successfuly treated by this method.
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Hänsel, Toni [Verfasser]. "Meta-analysis of subjective complaints of vertigo and vestibular tests after Cochlear Implantation / Toni Hänsel." Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2018. http://d-nb.info/1176639684/34.
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Pleguezuelos, Cobo Eulogio. "Factores pronósticos en el latigazo cervical." Doctoral thesis, Universitat Pompeu Fabra, 2011. http://hdl.handle.net/10803/77903.
Full textAbstract:
Múltiples revisiones científicas han intentado determinar los factores
pronósticos en la evolución del latigazo cervical sin llegar a un consenso.
Nuestros resultados se han obtenido tras 8 años de estudio en pacientes
controlados desde la primera visita en el servicio de Medicina Física y
Rehabilitación del Hospital de Mataró. Se han utilizado escalas de valoración
fáciles de cumplimentar y cuantificar para poder obtener los resultados en el
mismo momento de la consulta. Este hecho es importante, ya que la mayoría
de las escalas que se identifican en los artículos publicados son poco prácticas
en la consulta diaria por la dificultad que conllevan en su cumplimentación y
valoración. Los factores pronósticos que hemos identificado en nuestra
muestran han sido: la edad, la presencia de “vértigos”, la intensidad del dolor
cervical inicial valorada mediante la escala analógica visual y el grado de
funcionalidad cervical inicial valorado mediante el Northwick Park Hospital Neck
Pain Questionnaire.
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Abramides, Patricia Arena. "Avaliação sequencial do equilíbrio pré e pós-implante coclear em pacientes com surdez pós-lingual." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/5/5143/tde-25112014-150742/.
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INTRODUÇÃO: A literatura é discordante com relação à interferência do IC sobre o equilíbrio corporal. Sendo assim, resolvemos avaliar o equilíbrio corporal de pacientes surdos pós-linguais, submetidos a implante coclear unilateral. OBJETIVO: Observar o equilíbrio corporal pré e pós-implante coclear (IC) ao longo de 1 ano. CASUÍSTICA E METODOLOGIA: Estudo prospectivo observacional realizado com 24 pacientes adultos, surdos pós-linguais submetidos à avaliação vestibular antes e depois da cirurgia de implante coclear unilateral. A avaliação vestibular contou com um questionário sobre vertigem, prova calórica (PC), cadeira rotatória (CR) e posturografia dinâmica computadorizada (PDC) aplicados no pré-operatório, 60, 120, 180 dias e 1 ano após a cirurgia de IC. RESULTADOS: A tontura foi referida por 13 (54,2%) pacientes pré-IC, enquanto 11 (45.8%) não apresentaram a queixa. Ao final do estudo 11 sujeitos (84,6%) referiram melhora da tontura, em 1 (7,7%) permaneceu inalterada e em 1 (7,7%) piorou. Dos 24 pacientes apenas 5 indivíduos (20,8%) desenvolveram tontura no pós-operatório imediato com resolução completa após um mês. A prova calórica identificou 7 (29,2%) sujeitos normorreflexos, 8 (33,3%) com hiporreflexia ou arreflexia unilateral , 3 (12,5%) com hiporreflexia bilateral e 6 (25%) com arreflexia vestibular bilateral (AVB).Houve interferência do estímulo elétrico em ambas as orelhas e na evolução da recuperação postural após ativação do IC, que promoveu a melhora significativa dos índices da PDC ao longo de um ano de acompanhamento. Ao final do estudo, as médias numéricas das condições avaliadas pela PDC mostraram-se superiores nos indivíduos que apresentaram resposta à prova calórica em relação àqueles que possuíam AVB. CONCLUSÃO: Foi decisiva a presença ou não de resposta pós-calórica na evolução do equilíbrio corporal ao longo de 1 ano. A ausência de resposta pós-calórica na avaliação pré-operatória implicou em pior prognóstico na evolução do equilíbrio corporal. No entanto, o melhor desempenho postural dos sujeitos com AVB pode ser explicado pelo melhor aproveitamento da informação visual. É fundamental documentar a presença de função vestibular antes da cirurgia de IC, pois dela depende o prognóstico do individuo em relação às habilidades de aprendizado e recuperação postural ao longo do tempoINTRODUCTION: There is no consensus in the literature with regard to the effects of cochlear implantation (CI) on vestibular function and balance in patients with deafness. Because of this fact we decided to assess vestibular function before and after unilateral cochlear implantation (CI) in patients with postlingual deafness. OBJECTIVE: To assess balance before and after cochlear implantation (CI) over the course of 1 year. PATIENTS AND METHODS: prospective, observational study sought to assess balance in 24 postlingually deaf adults undergoing vestibular evaluation before and after cochlear implantation (CI). Vestibular assessment consisting of a vertigo questionnaire, caloric tests (CT), rotary chair testing (RC), and computerized dynamic posturography (CDP) was performed preoperatively and at 60, 120, 180 days and 1 year after CI. RESULTS: Overall, 13 patients (54.2%) reported preoperative dizziness and 11 (45.8%) did not have the symptom pre-CI. At the end of the study dizziness ameliorated in 11 (84.6%), remained unchanged in 1 (7.7%) and worsened in 1 (7.7%). Only 5 of the 24 patients (20.8%) developed immediate postoperative dizziness, which resolved within a month. The caloric tests identified 7 (29.2%) patients with normal reflexes, 8 (33.3%) with unilateral areflexia or hyporeflexia, 3 (12.5%) with bilateral hyporeflexia, and 6 (25%) with bilateral vestibular loss (BVL). Electrical stimulation affected both ears and interfered with the progression of postural recovery after CI activation, which led to a significant improvement in CDP values over the course of 1 year of follow-up. At the end of the study, the mean values of the conditions assessed by CDP were higher in individuals who had responded to caloric tests than in individuals with BVL. The better postural performance of subjects with BVL may be due to better use of visual information. CONCLUSION: The presence or absence of CT response was a decisive determinant of balance outcomes over the year after surgery. The absence of post-caloric response in preoperative assessment resulted in a worse prognosis in the evolution of body balance. However, patients with BVL were able to use the visual information for postural stabilization with improvement in the Composite Score. It is essential that vestibular assessment findings be documented before CI surgery because a patient\'s prognosis in terms of learning skills and postural recovery over time depends on this information
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Criddle, Alison Mary. "Madeleine time : Alfred Hitchcock's 'Vertigo' (1958), Percy Adlon's 'Céleste' (1980), and Chantal Akerman's 'La Captive' (2000)." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/madeleine-time-alfred-hitchcocks-vertigo-1958-percy-adlons-celeste-1980-and-chantal-akermans-la-captive-2000(ebe4096f-5ec6-4480-a729-475f76fff2c6).html.
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Three female protagonists—Madeleine Elster of Alfred Hitchcock’s Vertigo (1958), Céleste Albaret of Percy Adlon’s Céleste (1980), and Ariane of Chantal Akerman’s La Captive (2000)—are considered as the three Proustian women who form the tripart body of this thesis. In approaching them as such, the research has at its origin in the sensory encounter of the notorious ‘madeleine moment’ of Marcel Proust’s A la recherche du temps perdu, in which the taste of a morsel of cake dipped in tea expands memory, collapses linear time, and from which the voluminous novel blooms. Transcribed, translated, and transposed from the literary experiences of the reader’s encounter with Proust’s writing, text transcends the page and the encounter becomes visual in the form of the moving image of film. These three filmed women all differ: the first, Hitchcock’s dizzying, dazzling Hollywood siren of San Francisco, lifted from the pages of a Parisian detective novel; the next, a German reincarnation of Proust’s devoted housekeeper, drawn from her own words, recorded fifty years after his death; the third, a closely-watching memory-making woman-loving nomadic director’s nod to the Search’s captivating Albertine Simmonet. To experience this trinity in contiguous proximity to one another through Proust is to enter a sensorial spiral in which time, bodies, text, and vision press up against one another in a movement that has the power to be as unsteadying as it can be pleasurable. Immersed in Madeleine Time, the time of these three Proustian women, allows for a consideration of the author’s life-in-writing, the Narrator’s waiting, and the reader’s own place in relation to the textual encounter. Madeleine Time is shown to suspend and sustain, nourish and withhold, prevent and provoke, to move.