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Hearing loss due to urate deposition in the middle ear:A case report and literature review

Journal of Otology 2022年第1期17卷 50-53页

作者： M.Hoste M.Cabri-Wiltzer S.Hassid J.-C.Degols J.Vilain ENT and Head and Neck surgery Department Clinique Saint PierreOttigniesBelgium Department of Radiology Clinique Saint PierreOttigniesBelgium ENT and Head and Neck surgery Department CHU UCLNamenBelgium

Gout is the most common cause of monoarthritis in men occurring classically in the great toe and the knee.Extra-articular gout manifestations are rare.Only a few cases of head and neck urate crystals deposits have been described in the literature.Precipitations in the middle ear cause conductive hearing loss with common otoscopic anomalies and difficult imaging diagnosis.We report a case of a healthy 58-years-old man with a middle ear urate deposit causing a progressive hearing loss as the very first symptom of gout.The nature of the deposit was unsure on computer tomography(CT)due to atypical density.The final diagnosis was revealed after surgical procedure and histologic examination.A review of the literature is also presented.seven cases of middle ear urate deposit as the first symptom of gout were found and compared.Progressive conductive hearing loss in middle-aged patients with abnormal otoscopy and middle ear atypical density mass on CT scan must lead to a minimal surgical procedure with a histologic examination to exclude urate crystals deposits.

关键词： Hearing loss Urate deposit Gout Middle ear Otoscopy

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Instruments to Analyze Patient-Physician Communication during Electronic Medical Records Use in Primary Care

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通讯和计算机（中英文版） 2013年第2期10卷 131-140页

作者： AssiS.Hassid shiri Reychav Iris Pliskin Joseph s Reis shmuel Heart Tsipi Department of Industrial Engineering and Management Ben-Gurion University of the Negev Beer Sheva 84105 Israel Department of Industrial Engineering and Management Ariel University Center Ariel 40700 Israel Department of Industrial Engineering and Management Department of Health Systems Management B en-Gurion University of the Negev Beer Sheva 84105 Israel Faculty of Medicine Bar-Ilan University the Galilee Safed and Misgav Health center Clafit Health Services Haifa & WesternGalilee district Ramat-Gan 52900 Israel

The implications of the patient-physician relationship and communication on healthcare quality have been widely discussed in previous research. Communication has been characterized as one of the most powerful, encompassing and versatile instruments available to the physician and it has been suggested that good patient-physician communication can improve healthcare outcomes. The incorporation of EMRs (electronic medical records) in primary care provides an opportunity for improving healthcare services and quality of care. EMRs have, without a doubt, transformed the dynamics of the medical encounter. Implications of EMRs on the patient-physician communication, and thus on healthcare quality, have not yet reached a full understanding. This research in progress paper aims to describe the development of simulated medical encounters that will be used to assess the adequacy of the existing sEGUE (s-set the stage; E-Elicit information; G-Give information; U-Understand the patients" perspective; E-End the encounter)tool in evaluating physicians" communication skills in a computerized environment, while emphasizing the need to expand the sEGUE tool into a more comprehensive tool for analyzing physicians"communication skills in the computerized clinic while taking into account the new dynamics and medical setting that have been generated since the introduction of EMRs into primary care.

关键词：电子病历医疗仪器评估工具医疗质量医疗环境医疗服务计算机化通信

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生活方式干预对脂肪储存库动员的影响

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中华高血压杂志 2017年第12期25卷 1199-1199页

作者： Gepner Y shelef I schwarzfuchs D Zelicha H Tene L Yas-kolka Meir A Tsaban G Cohen N Bril N Rein M serfaty D Kenigsbuch s Komy O Wolak A Chassidim Y Golan R Avni-hassid H Bilitzky A sarusi B Goshen E shemesh E Henkin Y stumvoll M Blüher M Thiery J Ceglarek U Ru-dich A stampfer MJ shai I 黄洁叶鹏

该研究的目的是评估不同的生活方式干预能否对身体的脂质储存部位产生不同的影响。方法：研究者在278名腹型肥胖（209名，占75％）或脂质代谢紊乱的成年人中进行了一项为期18个月的随机对照研究，提供午餐并对用餐情况进行监督。

关键词：生活方式干预储存脂质代谢紊乱脂肪随机对照研究腹型肥胖成年人

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