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PubMed1986

Rapid coagglutination test for the direct detection of group A streptococci from throat swabs.

A one-minute antigen detection test was compared with a conventional culture method for detecting group A beta-hemolytic streptococci. The test detects coagglutination between protein A and streptococcal antigen extracted directly from throat swabs. Of the 307 specimens tested, 66 (21.5%) were positive for group A streptococci by culture and 16 specimens (5.2%) were positive for other beta-hemolytic streptococci. The direct test agreed with the culture in 274 of 307 specimens (accuracy 89.3%). The sensitivity of the test was 86.4% (57/66), the specificity 90% (217/241), the positive predictive value 70.4% and the negative predictive value 96%. If only throat cultures with more than 100 colonies of group A streptococci per plate were considered, the sensitivity of the direct test rose to 96%. If only a strong agglutination was considered positive, the specificity of the direct test rose to 98%. Further studies are needed to determine whether this test could be used alone or in addition to culture.

Agglutination Tests↗
PubMed1980

Effect of tinidazole on the oral, throat, and colon microflora of man.

Tinidazole in capsules was given orally in doses of 150 mg twice per day for 7 days to ten subjects. Saliva, throat, and faecal specimens were taken up to 16 days after administration for cultivation of aerobic and anaerobic bacteria and for assay of tinidazole. Mean peak serum levels of tinidazole varied between 3.3 microgram/ml to 5.4 microgram/ml. The saliva concentrations of tinidazole were between 2.9 microgram/ml to 5.9 microgram/ml. No concentration of tinidazole was detected in faeces. In saliva, a slight decrease in the numbers of fusobacteria was found, but no other changes in the oral, throat, or colon microflora were observed.

Adult↗
PubMed1996

Effects of pruning of a decision-tree for the ear, nose, and throat realm in primary health care based on case-notes.

In the primary health care center of Mjölby a sample of case notes in the ear-nose- and-throat realm (N = 425) was computer processed using an inductive rule-based decision-tree generating program. As a result of incomplete information in the case-files, the decision trees were "noisy," e.g., had branches and leaves without meaning. This led to a need for "pruning." Various methods were tried. The effects of different methods of decision-tree generating and pruning are discussed. The choice of root argument and branching of the decision-trees suggested by the software was the most clinically applicable. The "statistic" approach to pruning gave the most compact and still most clinically relevant decision-tree. The pruned and edited decision trees are compared with a previously published preliminary essential data set for the ear-nose- and-throat realm in primary health care and then discussed as a possible decision support system for various primary health care groups in a practice setting.

Algorithms↗
PubMed2003

[The short working period of the Austrian ear, nose and throat specialist Professor Erich Ruttin at Istanbul University in 1934 and 1935].

The Austrian Professor Erich Ruttin was appointed as the director of the Ear, Nose and Throat Department of Istanbul University at the beginning of September 1934. Leaving behind the directorship of the Ear, Nose and Throat Clinic of Rudolfspital in Wien, Ruttin no doubt tried to leave Austria due to the beginning of anti-semitic influences of the Nazi regime in Germany, which had lead him to sign a contract with the Istanbul University for a period of ten years. It is remarkable that despite this contract he stayed only one year in Turkey. This article presents his contributions in the field of otorhinolaryngology during his short stay in Turkey and explains the background of his early departure.

Austria↗
PubMed2004

Optimal mechanisms for finding and selecting mates: how threespine stickleback ( Gasterosteus aculeatus) should encode male throat colors.

Male threespine stickleback ( Gasterosteus aculeatus) use nuptial colors to attract mates and intimidate rivals. We quantified stickleback color and environmental lighting using methods independent of human perception to evaluate the information transmitted by male signals in a habitat where these signals are displayed. We also developed models of chromatic processing based on four cone photopigments (peak absorptions at 360, 445, 530, and 605 nm) characterized microspectrophotometrically in G. aculeatus and three other stickleback species. We show that a simple opponent mechanism receiving equally weighted inputs from cones with peak absorptions at 445 nm and 605 nm efficiently encodes variation in male throat colors. An orthogonal opponent mechanism-the difference between outputs of 530-nm cones and mean of outputs of 445- and 605-nm cones-produces a neural signal that could be used for species recognition and would be largely insensitive to variation in male throat color. We also show that threespine stickleback throats/photopigments are optimized for this coding scheme. These and other findings lead to testable hypotheses about the spectral processing mechanisms present in the threespine stickleback visual systems and the evolutionary interactions that have shaped this signal/receiver system.

Animals↗
PubMed2006

Optimal site for throat culture: tonsillar surface versus posterior pharyngeal wall.

To determine the optimal site of throat culture for the detection of potential pathogens by comparing culture results from the tonsillar surface and the posterior pharyngeal wall in children selected for adenotonsillectomy and in children without upper respiratory disease. Cotton culture swabs were taken from the tonsillar surface and the posterior pharyngeal wall of 50 children selected for adenotonsillectomy for symptoms of recurrent tonsillitis and/or adenotonsillar hypertrophy and of 50 children without upper respiratory disease. Potential respiratory pathogens were identified. In the overall group (n = 100), positive culture results were found in 67 posterior pharyngeal wall samples and 47 tonsillar surface samples (P = 0.001). Haemophilus influenzae was the most frequently isolated micro-organism both in the posterior pharyngeal wall and the tonsillar surface samples; 55 and 35%, respectively (P = 0.001). Group A beta-haemolytic streptococci were found in the samples of the posterior pharyngeal wall and the tonsillar surface in 17 and 13%, respectively (P = 0.2). When dealing with patients with sore throat, sampling both tonsillar surfaces is enough for the detection of group A beta-haemolytic streptococci. When detection of other bacteria is also important, such as for research purposes, the posterior pharyngeal wall should be sampled as well.

Adenoidectomy↗
PubMed2005

Stable isotope and band-encounter analyses delineate migratory patterns and catchment areas of white-throated sparrows at a migration monitoring station.

The Canadian Migration Monitoring Network consists of several fixed migration monitoring stations (MMS) that apply constant-effort protocols to track changes in the abundance of migratory birds. Such monitoring will be important for tracking long-term population trends of songbirds, especially for species breeding in remote areas such as the North American boreal forest. The geographical catchment sampled by individual MMS, however, remains largely unknown. Here, we used hydrogen isotope measurements (deltaD) of feathers of white-throated sparrows (Zonotrichia albicollis) moving through Delta Marsh MMS in Manitoba, Canada, to determine both wintering and breeding ground catchment areas monitored by this station. The deltaD of tail feathers, collected from spring and fall migrants delineated previous breeding or natal latitudes, ranging from the northern to the southern extremes of the western boreal forest. The deltaD values of head feathers grown on the wintering grounds and collected during spring migration revealed that individuals wintered in a broad region of the southeastern United States. The isotope data showed no relationship between estimated breeding/natal and wintering latitudes of white-throated sparrow populations. Stable isotope data provided little information on longitude. Band-encounter analyses, however, indicated a clear east-west segregation of these sparrows across Canada, supporting connectivity among breeding/natal and wintering longitudes over the entire scale of this species' range. Isotope analyses of multiple feather types representing different periods and geographic regions of the annual cycle can provide key information on migratory connectivity for species moving through dedicated MMS.

Animal Migration↗
PubMed2005

Female throat ornamentation does not reflect cell-mediated immune response in bluethroats Luscinia s. svecica.

The brilliantly coloured throat patch in male bluethroats, Luscinia s. svecica, influences their social mating success and both within- and extra-pair paternity. Female bluethroats are highly variable in their extent of throat coloration, from entirely drab to almost male-like. The ornament in females could be due to a genetic correlation between the sexes. However, it has been shown that male bluethroats prefer brightly coloured females, suggesting that female ornamentation has evolved by direct sexual selection on females through male choice. Males may prefer extravagant traits in females if these reliably signal female quality, such as resistance to disease. We investigated whether variation in the extent of structural and melanin plumage ornamentation in female bluethroats reflects cell-mediated immune response. We caught the females at their nests and measured their immune response as a swelling following a challenge by phytohemagglutinin. An analysis of the data from two years of study revealed that the cell-mediated immune response was not related to female ornamentation. However, the immune response was strongly correlated with female body condition. Thus, our results do not support the hypothesis that female ornament expression signals quality in terms of cell-mediated immunity.

Animals↗
PubMed2005

The effect of written information on adherence to antibiotic treatment in acute sore throat.

A randomised clinical trial was conducted to establish whether written instructions, in addition to verbal ones, significantly improve adherence to antibiotic treatment for acute sore throat in comparison with verbal instructions only. Patients were selected by consecutive sampling at seven primary healthcare surgeries. The pill count average was 87.4+/-25.2% and it was higher in the intervention group (93.7+/-24.5%) than in the control group (81.1+/-24.5%) (P < 0.05). Absolute risk reduction was 14% (95% confidence interval (CI), -3.77 to 26.56); relative risk reduction was 24.9% (95% CI, -11.04 to 58.28); the number needed to treat was 8.77. Written instructions, in addition to verbal ones, significantly improve compliance with antibiotic treatment in tonsillitis of acute sore throat in comparison with verbal instructions only.

Acute Disease↗
PubMed2004

Cult of St. Blasius, patron saint of throat sufferers and of otolaryngologists, in Croatia.

In the introductory part presented is a short hagiography of St. Blasius, and the legend of miraculous healing of a child in whose throat a bone had stuck, threatening to choke the child. Thanks to that legend, St. Blasius has become the traditional patron of the laryngeal diseases, and, since recently, the patron of the otolaryngologists, too. The second part of the paper is dedicated to the cult of St. Blasius, which is present in Croatia since the 10th century until present. Venerated all over the country, St. Blasius has been "elected" the heavenly protector of 10 parish communities, as well as of the city and the dioceses of Dubrovnik. Beside pilgrimage and prayers, among many traditional forms of folk piety, a ritual called "grlicenje" has been preserved-a curative and preventive blessing of the throat with crossed candles on the Saint's Day. In more recent times, the same day has been remembered among Croatian otolaryngologists and the societies of laryngectomized persons, who chose St. Blasius for their patron, too.

Ceremonial Behavior↗
PubMed2005

Measuring quality of life in preschool children with sore throats and otitis media using the TAPQOL questionnaire.

OBJECTIVES: TNO-AZL Preschool Quality of Life Questionnaire (TAPQOL) is one of the few instruments designed to assess health-related quality of life in preschool children but its applicability to otolaryngology is unknown. STUDY DESIGN AND SETTING: We studied a consecutive series of children aged 1 to 5 years referred to hospital with recurrent sore throats, recurrent acute otitis media, or otitis media with effusion. RESULTS: TAPQOL domain scores were not influenced by age, sex, or socio-economic class, but correlated with markers of disease severity (frequency of sore throat or pyrexia, time off school), ear-related handicap (assessed with the OM6 questionnaire), and other measures of health-related quality of life (visual analogue scale, 5-point rating scale and the Health Utilities Index mark III). Comparison with published data from healthy children suggests that these common otolaryngologic problems have a large impact on a child's quality of life. CONCLUSIONS: TAPQOL seems to be appropriate for use in this context. Marked ceiling effects in some domains, however, may limit their sensitivity.

Child, Preschool↗
PubMed2006

Endocrine correlates of alternative phenotypes in the white-throated sparrow (Zonotrichia albicollis).

Many vertebrate species exhibit alternative phenotypes (or morphs), in which one sex displays phenotypic variation equal to or greater than the variation between the sexes. Males in such species typically display differences in reproductive strategies and morphology. Steroid hormones such as testosterone are known modulators of reproductive behavior and morphology and therefore are obvious candidates for the mediation of phenotypic differences between morphs. We conducted a year-round study in the white-throated sparrow (Zonotrichia albicollis) that exhibits alternative phenotypes in plumage coloration and behavior in both sexes: during the breeding season, white-striped males and females are more aggressive and have higher song rates than tan-striped individuals. At the beginning of the breeding season, free-living white-striped males had higher plasma testosterone concentrations than tan-striped males. However, this finding might have been due to different social experiences because captive male morphs sampled at similar times of year did not differ in testosterone concentrations. Captive white-striped males had larger testis and cloacal protuberance sizes than tan-striped males, which might be related to the divergent mating strategies of the morphs. Male morphs showed similar increases in luteinizing hormone following injections of gonadotropin-releasing hormone, but white-striped males showed larger increases in testosterone, indicating differences between morphs in gonadal testosterone production. Females had low concentrations of testosterone, and morphs did not differ. Plasma dehydroepiandrosterone (DHEA) concentrations were elevated in both sexes and morphs during the breeding and non-breeding seasons. These data do not support the hypothesis that testosterone activates behavioral differences between alternative phenotypes in the white-throated sparrow. Alternative testable hypotheses include hormonal effects during early development and direct genetic effects.

Animals↗
PubMed1984

Latex agglutination tests for rapid identification of group A streptococci directly from throat swabs.

A comparison of the accuracy and practicality of two new latex agglutination tests for the rapid identification of group A beta-hemolytic streptococci directly from throat swabs was performed in a busy pediatric office. The Directigen Group A Strep Test kit had a sensitivity of 84%, specificity 99%, positive predictive value 99%, and negative predictive value 93% when compared with blood agar cultures. The Culturette Brand 10-Minute Group A Strep ID Kit had a sensitivity of 83%, a specificity 99%, positive predictive value 97%, and negative predictive value 93% when compared with blood agar cultures. When cultures with less than 10 colonies of group A beta-hemolytic streptococci per plate were not considered positive, both rapid tests had a sensitivity of 95%. The Culturette Brand test required considerably less time, equipment, supplies, and skill than the Directigen test. Only the Culturette Brand test appeared to be practical for routine use in a pediatrician's office. Further investigations of the accuracy of both of these rapid tests need to be performed before either is accepted as a substitute for the throat culture.

Adolescent↗
PubMed1988

Evaluation of TestPack Strep A for the detection of group A streptococci in throat swabs.

The performance of TestPack Strep A (Abbott Laboratories), a rapid enzyme immunoassay, was compared with a culture-based method for the detection of group A streptococci in 648 throat swabs. The rapid test correctly detected 99 of the 128 positive and 511 of the 520 negative specimens, a sensitivity of 77% and a specificity of 98%. Although highly specific, TestPack Strep A is less sensitive than culture techniques for the detection of group A streptococci in throat swabs.

Evaluation Studies as Topic↗
PubMed2002

Colonization rate of bacteria in the throat of healthy infants.

OBJECTIVE: the human throat is a major ecological site for various bacteria that can reach neighbouring sterile sites and cause mild infections or invasive diseases. The aim of this study was to investigate the carriage rate of several potential pathogens in the throat of healthy children under the age of 2 years. METHODS: cultures were taken from the tonsils of 1000 healthy infants aged 1-24 months attending well-baby clinics, who had not received antibiotic therapy during the preceding 14 days. RESULTS: one hundred and ninety-eight (19.8%) cultures were positive. Thirteen (1.3%) cultures were positive for beta-haemolytic Streptococcus group A, 23 (2.3%) for Streptococcus pneumoniae. In 28 (2.8%) and 24 (2.4%) cultures, respectively, Haemophilus influenzae Type b and non-typeable Haemophilus influenzae were recovered. The commonest bacterium found was Staphylococcus aureus (99 positive cultures). Eleven children carried two species of bacteria and from one 6-month-old child three species were isolated concurrently. CONCLUSIONS: it is concluded that children younger than 2 years of age can be carriers of several types of pathogenic bacteria. In contrast to many other studies, in this study beta-haemolytic Streptococcus group A was isolated from the tonsils of children younger than 1 year of age.

Carrier State↗
PubMed2002

Detection of measles vaccine in the throat of a vaccinated child.

Measles vaccine is widely used, most often in association with mumps and rubella vaccines. We report here the case of a child presenting with fever 8 days after vaccination with a measles-mumps-rubella vaccine. Measles virus was isolated in a throat swab taken 4 days after fever onset. This virus was then further genetically characterised as a vaccine-type virus. Fever occurring subsequent to measles vaccination is related to the replication of the live attenuated vaccine virus. In the case presented here, the vaccine virus was isolated in the throat, showing that subcutaneous injection of an attenuated measles strain can result in respiratory excretion of this virus.

Base Sequence↗
PubMed1978

Pharyngeal gram stains in the treatment of sore throats.

The use of the direct pharyngeal Gram stain for diagnosis of group A beta-hemolytic streptococcal pharyngitis was evaluated. Seventy-five consecutive out-patients presented with pharyngitis (or high fever in infants) were studied with pharyngeal cultures and Gram stains. Gram stains were read as either positive, negative, or indeterminate for streptococcal pharyngitis. When these predictions were correlated with the resulting culture growth of group A beta-hemolytic streptococci, the predictive value of a throat smear Gram stain was found to be significant (p less than 0.005). There were two false positives and three false negatives. Approximately one third of the smears were in the indeterminate category. Although the Gram stain of a pharyngeal smear was found to be less sensitive than the routine throat culture, the ability to obtain inexpensive rapid microbiological information suggests that the Gram stain can be used as a quick screening procedure.

Adolescent↗
PubMed1996

Relationship between abnormal sensation in the throat and menopause.

Abnormal sensations in the throat (AST) are commonly encountered in general and otolaryngological practice, especially among middle aged women. These sensation may occur alone, or more often, in combination with the systemic symptoms, including those of menopause. We analyzed 26 Japanese women with a complaint of an abnormal sensation in the throat who were taking a synthetic sex hormone (Methermon-F). Multianalysis of variance (MANOVA) was used to evaluate the efficacy of the treatment using the quantitative scores of Kupperman's climacteric symptoms. The presence of the excessive perspiration and vertigo, insomnia, and the absence of fatigue were associated with clinical efficacy of the hormone, while the presence of hyposthenia and tingling sensation were associated with a poor response. Results suggested that the clinical efficacy of this hormone in treating middle-aged menopausal women with AST was related to the menopausal symptoms.

Adult↗