著者

福田 章一郎 井口 郁雄 福島 邦博 木村 宣彦 杉原 博子 松原 浄

出版者

The Society of Practical Otolaryngology

雑誌

耳鼻咽喉科臨床 補冊 (ISSN:09121870)

巻号頁・発行日

vol.1993, no.64, pp.27-35, 1993

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Group pure tone screening test was performed on kindergartners to efficiently screen for hearing disorders. Pure tones of 500,1000 and 4000 Hz in each ear were combined with a hand raising response. The test frequency of 500 Hz was added to screen for otitis media.<BR>About 80% of children over 3 years and 6 months of age were capable of takin g the group screening test with hand raising response. At the same time, the ratio of children who could pass the screening test also increased considerably from 45.2% to 65.2%.<BR>Although we used 500 Hz to screen for otitis media, it was difficult to di a g nose otitis media by hearing screening only. Therefore, hearing screening was mainly effective in determining moderate hearing loss and unilateral sensorineural hearing loss.<BR>We found that a well-planned screening procedure and preparation b e fore the screening as well as decrease in the fail one rate on initial screening are necessary to examine large numbers of children rapidly and screen hearing disorders efficiently.

著者

井口 郁雄

出版者

日本喉頭科学会

雑誌

喉頭 (ISSN:09156127)

巻号頁・発行日

vol.29, no.2, pp.30-36, 2017-12-02 (Released:2018-06-08)

参考文献数

10

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Regional branches of the Japan Medical Association take the initiative to establish the comprehensive system of care which provides medical and nursing care recently. Otolaryngologists are expected to join in this system to exercise their expertise because of the burgeoning of needs for evaluation and rehabilitation of deglutition disorders. Without the system, practicing otolaryngologists who are interested in the care of deglutition disorders may be faced with difficulties of medical collaboration. Also, if the collaboration itself requires considerable effort, some medical providers would avoid the clinical practice of dysphagia. It is therefore imperative to build an easy-to-join system for otolaryngologists to exert their expertise in the regional community. Division of Hiroshima Prefecture, The Oto-Rhino-Laryngological Society of Japan has set up the committee of home care in November 2015. We describe regarding the launch of the committee, activities such as “dysphagia case conference” for the members and actions against public administration and the Japan Medical Association in this article.