Objective:To assess and characterize online ratings and comments on laryngologists and determine factors that correlate with higher ratings.Methods:All the American Laryngological Association(ALA)members were queried ...Objective:To assess and characterize online ratings and comments on laryngologists and determine factors that correlate with higher ratings.Methods:All the American Laryngological Association(ALA)members were queried across several online platforms.Ratings were normalized for comparison on a five-point Likert scale.Ratings were categorized based on context and for positive/negative aspects.Results:Of the 331 ALA members,256(77%)were rated on at least one online platform.Across all platforms,the average overall rating was 4.39±0.61(range:1.00-5.00).Specific positive ratings including“bedside manners,”“diagnostic accuracy,”“adequate time spent with patient,”“appropriate follow-up,”and“physician timeliness”had significant positive correlations to overall ratings,by Pearson's correlation(P<0.001).Long wait times had significant negative correlations to overall ratings(P<0.001).Conclusion:Online ratings and comments for laryngologists are significantly influenced by patient perceptions of bedside manner,physician competence,and time spent with the patient.展开更多
Objective:Tinnitus is defined as the perception of sound in the absence of an external source.We propose the hypothesis that migraine can cause exacerbation of tinnitus in some patients.Methods:English literature from...Objective:Tinnitus is defined as the perception of sound in the absence of an external source.We propose the hypothesis that migraine can cause exacerbation of tinnitus in some patients.Methods:English literature from PubMed has been reviewed.Results:Studies have reported a high prevalence of cochlear symptoms in patients with migraine headaches and up to 45%of tinnitus patients have been shown to concomitantly suffer from migraine.Both conditions are thought to stem from central nervous system disturbances,involving disruption of the auditory and trigeminal nerve pathways.One proposed mechanism of this association is the modulation of sound sensitivity by trigeminal nerve activation of the auditory cortex during migraine attacks,resulting in tinnitus fluctuation in some patients.Increased brain and inner ear vascular permeability resulting from trigeminal nerve inflammation,can also cause observed headache and auditory symptoms.Tinnitus and migraine also share a number of symptom triggers including stress,sleep disturbances,and dietary factors.These shared features may help explain promising results of migraine therapies for the treatment of tinnitus.Conclusion:Given the complex association between tinnitus and migraine,further investigation is needed to identify the underlying mechanisms and determine the optimal treatment strategies for managing migraine-related tinnitus patients.展开更多
基金National Center for Advancing Translational Sciences,Grant/Award Number:TL1TR001415National Center for Research Resources,Grant/Award Number:TL1TR001415。
文摘Objective:To assess and characterize online ratings and comments on laryngologists and determine factors that correlate with higher ratings.Methods:All the American Laryngological Association(ALA)members were queried across several online platforms.Ratings were normalized for comparison on a five-point Likert scale.Ratings were categorized based on context and for positive/negative aspects.Results:Of the 331 ALA members,256(77%)were rated on at least one online platform.Across all platforms,the average overall rating was 4.39±0.61(range:1.00-5.00).Specific positive ratings including“bedside manners,”“diagnostic accuracy,”“adequate time spent with patient,”“appropriate follow-up,”and“physician timeliness”had significant positive correlations to overall ratings,by Pearson's correlation(P<0.001).Long wait times had significant negative correlations to overall ratings(P<0.001).Conclusion:Online ratings and comments for laryngologists are significantly influenced by patient perceptions of bedside manner,physician competence,and time spent with the patient.
基金National Center for Advancing Translational Sciences(Grant/Award Number:TL1TR001415)National Center for Research Resources(Grant/Award Number:TL1TR001415)。
文摘Objective:Tinnitus is defined as the perception of sound in the absence of an external source.We propose the hypothesis that migraine can cause exacerbation of tinnitus in some patients.Methods:English literature from PubMed has been reviewed.Results:Studies have reported a high prevalence of cochlear symptoms in patients with migraine headaches and up to 45%of tinnitus patients have been shown to concomitantly suffer from migraine.Both conditions are thought to stem from central nervous system disturbances,involving disruption of the auditory and trigeminal nerve pathways.One proposed mechanism of this association is the modulation of sound sensitivity by trigeminal nerve activation of the auditory cortex during migraine attacks,resulting in tinnitus fluctuation in some patients.Increased brain and inner ear vascular permeability resulting from trigeminal nerve inflammation,can also cause observed headache and auditory symptoms.Tinnitus and migraine also share a number of symptom triggers including stress,sleep disturbances,and dietary factors.These shared features may help explain promising results of migraine therapies for the treatment of tinnitus.Conclusion:Given the complex association between tinnitus and migraine,further investigation is needed to identify the underlying mechanisms and determine the optimal treatment strategies for managing migraine-related tinnitus patients.
