BACKGROUND Tympanometry and pneumatic otoscopy are recommended for diagnosis of otitis media, but are not frequently used by general practitioners (GPs). We examined how, after targeted short training, GP diagnosis and management of childhood ear disease was changed by the addition of these techniques to non-pneumatic otoscopy. We further explored factors influencing the uptake of these techniq...

background achalasia is the most recognized motor disorder of the esophagus.because it is an uncommon disease, most studies have reviewed small numbers of patients. here, we report demographic, clinical features and treatment outcomes in 700 achalasia patients. methods in all patients, diagnosis was established based on clinical, radiological, endoscopic and manometric criteria. a questionnaire...

background: achalasia is the most recognized esophageal motor disorder with an unknown etiology. symptoms rather than physical findings are hallmarks of the disease. modalilies for treatment include pharmacologic, botulinum toxin injection, pneumatic dilation and surgery. materials and methods: to review the diagnostic and therapeutic options currently available for achalasia. a medline search ...

achalasia is a well- defined esophageal motor disorder. graded pneumatic dilation using rigiflex ballon is one of the therapeutic modalities that had not been evaluated in a large long-term study. we aimed at evaluating long-term efficacy of graded rigiflex pneumatic dilation in the treatment of achalasia. symptomatic patients with achalasia who had been referred to our center were consecutivel...

• Chipping, sledging and hammering on metal, stone or concrete • Use of manual, pneumatic and power impact tools • Caulking, brushing and grinding • Drilling, scaling and scraping soldering and casting hot metals • Handling acids, caustics and creosoted materials • Gas welding, cutting and brazing • Drilling overhead • In environments of excessive dust • Electric arc welding and cutting, and ot...