Akshada Vithal Dhuma* , Haritosh K Velankar, Cassandra Carvalho, Stuti Mathur and Bhagyashree Sagane

DOI : 10.32474/SJO.2019.03.000163

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Oral cavity lesions are common complaints in clinical ENT settings. They are often misdiagnosed as a periodontal disease or granulomas. A 43-year-old male came to the our OPD with complaints of hard palate swelling on the right side for 1 year coupled with a swelling on the floor of the mouth for 2 years...... ReadMore

Ertürk Demirel*

DOI : 10.32474/SJO.2019.03.000162

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Elsewhere I tried to show that Nietzsche has a Human solution to “Is vs. Ought” problem [1]. His notion of causality as free will is Human causality, viz., habit; his picture of the mind is epiphenomenal, with clear Human traces as he rejected noumenal self and “I” as a given; he takes “Is” to be type-facts, facts about what character one is, and “Ought” to be the second-nature of human beings as build upon the type-facts...... ReadMore

Ali Hilal Alnaqbi* and Sawsan Dagher

DOI : 10.32474/MAMS.2019.02.000135

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Smart materials are a group of materials that alter its properties based on changes in their environment, thus making them stimuli-responsive materials. This study provides an overview of the six main categories of the recently used smart materials, namely, piezoelectric materials, photovoltaic materials, shape-memory materials, magneto strictive materials, thermoelectric materials, and chromogenic materials...... ReadMore

Monil Parsana, Rajesh Vishwakarma, Abhishek Gugliani* and Kalpesh Patel

DOI : 10.32474/SJO.2019.03.000160

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Osteomas are benign tumors of osteogenic origin. They are common in the para nasal sinuses with frontal sinus being the most commonly involved. They are extremely slow growing and hence are usually asymptomatic and discovered incidentally. However, large tumors can present with compressive symptoms and sinusitis due to blockage of the natural drainage of the sinus. Headache is the commonest symptom at presentation. Complete surgical excision is the treatment of choice. We present one such case of a giant frontal sinus osteoma that presented to us with the complaints of frontal headache and diplopia. The technique of resection along with the review of literature is presented...... ReadMore

Anit Jacob, Manas Ranjan Senapati, Niti Narang Raizada, S Varun Kumar and Lohith Reddy*

DOI : 10.32474/SJO.2019.03.000159

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Cancer is a heterogeneous disease, meaning differences exist not only between cancer cells from various patients, but also between cancer cells within a single patient. Cancer is constantly evolving to evade death, and this is why no single drug has been effective in “curing” cancer. Usage of unique characteristics of each patient to focus, match and direct the most effective and precise treatments based not only on the genomic profiling of the patient and the cancer, but also on other unique characteristics distinguishing one patient from another is where the concept of precision oncology stems from...... ReadMore

Petrov SM*

DOI : 10.32474/SJO.2019.03.000154

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The correct - optimal - fitting of speech processor determines the best result of rehabilitation. The optimal setting of most comfortable level (MCL) is achieved by accurate patient’s assessment of electrical stimuli loudness. Unfortunately, small children can’t give a reliable report about their feelings. How to determine the MCLs in every channel of children implant? Objective methods don’t give the final (optimal) comfort levels of the child’s working program. Therefore, we need subjective assessments. We tried to use a method of categorical loudness scaling (CLS). This article is a guide how to teach CI children to evaluate loudness. Good results of the CLS were observed...... ReadMore

Kurt Neumann*

DOI : 10.32474/SJO.2019.03.000153

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This manuscript is a follow-up of my last one in SJO where I promised to show you my solution of a client problem. This case has been transformed such, that the logic of the problem remained unchanged and the confidentiality of my client’s data is warranted, however. In the last manuscript the results of the commonly found methods of modelling were shown and discussed. Now we will show my results and a discussion of them...... ReadMore

Robert J Shprintzen* and Pablo Antonio Ysunza

DOI : 10.32474/SJO.2019.02.000149

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One of the advantages of being old and seeing science and clinical practice advance is that as time passes, we can observe those things that succeed and those that fail if we are perfectly honest in our assessments. Moreover, we can determine if practices we thought were transferable to our colleagues simply by describing them in the literature have often proven to be false hopes that leave us scratching our heads in order to determine just what went wrong. Such is the case with endoscopic procedures designed to assess the upper airway anatomy and physiology [1]...... ReadMore

Heshmat S W Haroun*

DOI : 10.32474/SJO.2019.02.000148

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Digito-palmar dermatoglyphics is the study of the configurations and pattern-frequencies of the epidermal ridges on the palms and finger pads. They are ectodermal in origin, develop in early embryonic life, and remain unaltered throughout the rest of life. Fingerprints and handprints are widely used in criminology. Recently, digito-palmar dermatoglyphics have been utilized as biomarkers for detection of some dental, malignant, chromosomal, skin, ocular, and medical disorders...... ReadMore

Mohamed Salah Elgandy*, Richard Tyler and Claudia Coelho

DOI : 10.32474/SJO.2019.02.000147

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Tinnitus is common and can severely affect life quality in many. There are no FDA approved drugs for tinnitus treatment and no surgery for sensorineural tinnitus. Up till now, there are no medications or supplements approved for tinnitus; our impression is that they are widely used. Therefore, we believe it is helpful to review the literature and provide some suggestions for clinicians and sufferers. We review studies which describe current and emerging pharmacotherapies. In addition, we describe recent advances in the tinnitus field which may help overcome obstacles faced in the pharmacological treatment of tinnitus...... ReadMore

Kurt Neumann*

DOI : 10.32474/SJO.2019.02.000146

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This article is a follow up of my meanwhile published opinion about the risks of usage of statistical standard software in SJO in medicine by statistically insufficiently trained users because my experience strongly indicates, the scientific burden of providing evidence about the results of the published data is frequently transferred to actual laymen in statistical and mathematical science while the trained physicians usually do excellent work for their patients. The original problem was brought to my attention by a client whose intelligence was judged by me as very high...... ReadMore

Bishow Tulachan*, Abishesh Shakya, Paras Poudel and BN Borgohain

DOI : 10.32474/SJO.2019.02.000145

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Objective: FB (foreign bodies) in ear, nose and throat are often encountered by otolaryngologists in their daily practice and is commonly seen in both children and adults. Depending upon the type and location of FB, it may have serious impact on individual�s health if instant appropriate action is not taken. That�s why, there�s frequent visits to ED (emergency department) on having FB in ear and aerodigestive tracts. The objective of this study was to evaluate the nature, common sites, modes of presentation, modes of management of FB, age and gender distribution.Materials and Methods: A retrospective hospital-based study was done in Universal College of Medical Sciences, Bhairahawa, Rupandehi, Nepal from March 2014 to September 2017. The information was obtained from hospital record books.Results: Out of 483 total patients, 287 (59.42%) w..... ReadMore

Nilofer Halim*, Chaithra Kalkur and Anusha L Rangare

DOI : 10.32474/SJO.2019.02.000144

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Trigeminal neuralgia is the one of the most painful condition known to mankind, so much so that it has described as suicide illness. The diagnosis of Trigeminal neuralgia is clinically plausible due to its specific characteristics. Differentiating Classical form secondary Trigeminal neuralgia requires further evaluation with either a CT or MRI. A correct diagnosis is crucial, as patients can then follow a generally acknowledged treatment modality of either Medication or surgery. The aim of this article is to present a case of Trigeminal Neuralgia secondary to Cerebellopontine angle Epidermoid cyst in an elderly female patient. She had to be maintained with medicines alone as she was skeptical of undergoing brain surgery. This report also portrays that secondary trigeminal neuralgia..... ReadMore

Anand M Rahalkar* and Mukund D Rahalkar

DOI : 10.32474/SJO.2019.02.000142

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There are different types of injures to ear ossicles including ossicular chain dislocation, which is separation of the middle ear bones. It results in a hearing loss due to sound not being transmitted properly (conductive hearing loss). Its causes are fracture of one of the bones at the side or base of the skull (temporal bone), a hole in the eardrum that is caused by trauma (tympanic membrane perforation), chronic otitis media or Cholesteatoma...... ReadMore

Othman Alfleesy*

DOI : 10.32474/SJO.2019.02.000141

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For nearly 3000 years, it has been recognized that apparently healthy infants could die suddenly and unexpectedly usually during sleep [1]. During the last 60 years an intensive study were made by researchers for this dilemma. Studies showed that sudden infant death syndrome (SIDS) has association with sleeping positions. It affects about one out of every 500-600 live births [2]. SIDS is a common cause of infant’s deaths in developing countries, it is classified by Centre of disease control (CDC) as the third leading cause of overall infant mortality in USA [3]...... ReadMore

Manisha Choudhury*

DOI : 10.32474/SJO.2019.02.000137

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Introduction: Hearing loss is a hidden disability that affects the hearing ability of an individual and makes it difficult to recognize or discriminate the various auditory signals. People who usually suffer from hearing loss tend to exhibit heterogeneous characteristics comprising of diverse and complex psychosocial behaviours which includes resentment, hostility, rejection and subtle denial resulting to a significant deterioration on socio-emotional development which could ultimately lead to serious mental illness like depression. Objective: Present review study was conducted to assess the comprehensiveness and trend of various other studies related to impact of hearing loss in individuals leading to depression by assembling diversified online data bases from various sources. Methods: To conduct this systematic review, a t..... ReadMore

Alireza Bina*

DOI : 10.32474/SJO.2019.02.000133

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There are some studies which confirmed that dysfunction in Central Nervous System (CNS) may cause a malfunction in the Peripheral Auditory system (Cochlea_ Auditory Nerve, Auditory Neuropathy), but the question is could Brain Disorder without any lesion in Cochlea and/or Auditory nerve cause Sensorineural Hearing Loss? It seems that there are a lot of Sensorineural hearing loss which they have neither Sensory nor Neural lesion, Brain is involved causing them. We deal with this subject in this paper and we propose a new theory that External Ear Canal is not the only input of Auditory Signals, Sounds could receive by the head and Cerebral Cortex and approach to the Cochlea (Backward Auditory input of Sounds)...... ReadMore

Ramesh Kumar Sharma*

DOI : 10.32474/SJO.2019.02.000131

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A person inhales daily almost 14 kiloliters of air, breathing on average 18 times a minute, or consumes around 540 milliliters of air per breath; and makes every cell of the body receive oxygen essential for respiration, a biochemical process that releases energy from food within the cells [1]. The nose, the first organ which comes in contact of air in the respiration process, conceptually should be considered the most worthy of attention, when the patients suffering from respiratory diseases are checked by a physician...... ReadMore

Shah Neha*

DOI : 10.32474/SJO.2019.02.000127

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Radiofrequency proves to be a useful tool for snoring/ sleep Apnoea cases. Its advantage includes relative precision in incision making, relative bloodless fields if used appropriately, decrease postoperative pain and excellent healing with fibrosis which aids in stiffening tissues. Radiofrequency is high frequency alternating current used to ablate (cut/coagulate) tissues. It can be applied to nasal turbinate’s, soft palate, tongue base, tonsils etc. and it can be used to perform various procedures in the cutting mode to improve obstructive sleep disordered breathing. The objective/aim was to assess efficacy of radiofrequency as a tool for procedures/surgeries for snoring/ sleep apnoea. The parameters assessed were post-op pain, post- op blood loss, reduction in subjective snoring sounds by patients and partner, reduc..... ReadMore

Marine Raquel Diniz da Rosa*, Daviany Oliveira Lima, Mariana Lopes Martins, Thaís Mendonça Maia Wanderley Cruz de Freitas and Amanda Câmara Miranda

DOI : 10.32474/SJO.2019.01.000124

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This article explores the occurrence of tinnitus and hearing loss in the elderly. Both are highly prevalent after 60 years old. It highlights the relationship between hearing loss, tinnitus and aging. And it points out some possible form of intervention...... ReadMore