8 dB) groups, but the differences between groups were not statistically significant.

Conclusion

Satisfactory hearing results were achieved with all the techniques, and STAMP showed better hearing outcomes, especially in high frequencies. CSM is ARN-509 a good option for children and patients in whom it is desirable to avoid a footplate fenestration or prosthesis. CSM and STAMP had significantly higher rates of revision for refixation than SFS.”
“Objective. This study aimed to describe prescribing and administration of opioids in a tertiary referral teaching hospital.

Secondary aims were assessment of staff knowledge of opioid pharmacology and available preparations, and of perceived barriers limiting opioid use.

Design. A cross-sectional survey of in-patients requiring opioid analgesia was performed. An anonymous semi-structured questionnaire was administered to medical and nursing staff.

Setting. Australian tertiary referral teaching hospital.

Patients. All patients prescribed opioids on study wards over 3 months (N = 190).

Results. Oxycodone was the most frequently prescribed opioid (51.4%). The majority (64.7%) of participants had incomplete pain relief, which was significantly associated with having opioid related side effects. There was no association CUDC-907 solubility dmso between pain relief and prescribed daily dose or received

daily dose of opioids. Limited understanding of opioid preparations, tolerance, and dependence was demonstrated by staff. The

most common perceived barriers to opioid use included difficulties in identifying the right dose, staff time required to prescribe Epigenetic Reader Do inhibitor and monitor, and large numbers of preparations. While prescription of inadequate doses was perceived as a barrier, this study identified that submaximal doses were administered. An opioid educational session improved knowledge of opioid formulations.

Conclusion. The majority of participants had incomplete pain relief and the maximum prescribed doses of opioids were not administered. Reported barriers included staff knowledge of opioid dose titration and opioid preparations, and time constraints. Identified barriers included poor knowledge of opioid preparations.”
“Objective

Cochlear implants (CIs) are typically activated 3 to 6 weeks after the surgery. For some patients who live in remote areas, this waiting period could impose some personal and financial burdens. The current study examined whether CI recipients can be safely and effectively fitted with their speech processor five days after their implantation.

Study Design

Randomized controlled trial.

Setting

Tertiary referral center.

Patients

A total of 23 patients (2-30 yr of age) undergoing traditional CI surgery were recruited to participate in this study. Participants were divided into 2 groups: an early-fit group whose devices were activated 5 days after surgery and standard-fit group whose devices were activated using the recommended waiting period.