Impact of subspecialty training on management of laryngopharyngeal reflux: results of a worldwide survey.

Objective: To study the management of laryngopharyngeal reflux (LPR) among the subspecialties of practicing otolaryngology-head and neck surgeons and their trainees.

Methods: A survey was sent to over 8000 otolaryngologists (OTOHNS) over 65 countries, utilizing membership lists of participating otolaryngological societies. The outcomes were answers to questions regarding LPR knowledge and practice patterns, and included queries about its definition, prevalence, clinical presentation, diagnosis, and treatment.

Management of laryngopharyngeal reflux in Brazil: a national survey.

Introduction: Studies assessing the management of laryngopharyngeal reflux by otolaryngologists have reported an important heterogeneity regarding the definition, diagnosis, and treatment, which leads to discrepancies in the management of the patient. Information about the current knowledge and practices of Brazilian otolaryngologists in laryngopharyngeal reflux is lacking.

Objective: To investigate the trends in management of laryngopharyngeal reflux disease among Brazilian otolaryngologists.

Incomplete and late recovery of sudden olfactory dysfunction in COVID-19.

Introduction: Sudden olfactory dysfunction is a new symptom related to COVID-19, with little data on its duration or recovery rate.

Objective: To characterize patients with sudden olfactory dysfunction during the COVID-19 pandemic, especially their recovery data.

Methods: An online survey was conducted by the Brazilian Society of Otorhinolaryngology and Cervico-Facial Surgery, and Brazilian Academy of Rhinology, including doctors who assessed sudden olfactory dysfunction patients starting after February 1st, 2020.

An update on COVID-19 for the otorhinolaryngologist - a Brazilian Association of Otolaryngology and Cervicofacial Surgery (ABORL-CCF) Position Statement.

Introduction: We are facing a pandemic with a great impact worldwide, as a result of the rapid spread of the novel coronavirus (COVID-19). The medical community is still getting to know behavior of this virus and the consequences from a population point of view. All this knowledge is extremely dynamic, so some behaviors are still not well established.

Removal of recalcitrant organic matter content in wastewater by means of AOPs aiming industrial water reuse.

This paper comes out from the need to provide an improvement in the current oil refinery wastewater treatment plant (WWTP) aiming to generate water for reuse. The wastewater was pretreated and collected in the WWTP after the biological treatment unit (bio-disks) followed by sand filtration. Ozonation (ozone concentration from 3.

Treatment of an industrial stream containing vinylcyclohexene by the H2O2/UV process.

Petrochemical industries generate wastewaters containing pollutants that can severely impact the biological treatment systems. Some streams from specific production units may contain nonbiodegradable or toxic compounds that impair the performance of the wastewater treatment plant and should be segregated and treated by specific techniques. In this work, the utilization of chemical oxidation (H2O2/UV) was investigated for removing 4-vinylcyclohexene (VCH) from a liquid stream coming from the production of hydroxylated liquid polybutadiene (HLPB).

Analysis of estrogenic activity in environmental waters in Rio de Janeiro state (Brazil) using the yeast estrogen screen.

The estrogenicity of waters collected from an important hydrological system in Brazil (Paraiba do Sul and Guandu Rivers) was assessed using the yeast estrogen screen (YES) assay. Sampling was performed in rivers and at the outlets of conventional water treatment plants (WTP). The removal of estrogenic activity by ozonation and chlorination after conventional water treatment (clarification and sand filtration) was investigated employing samples of the Guandu River spiked with estrogens and bisphenol A (BPA).

Evaluation of nasal patency by acoustic rhinometry after repair of complete unilateral cleft lip and palate.

Purpose: The aim of the current study was to evaluate nasal patency by acoustic rhinometry in children aged 4-8 years with repaired complete unilateral cleft lip and palate (UCLP) compared with an age-matched control group without cleft lip and palate (CLP).

Methods: This comparative cross-sectional study was conducted at a tertiary care teaching hospital and a private ENT clinic in Porto Alegre, southern Brazil. The case group consisted of 38 children who had undergone surgery for complete UCLP (mean age, 6.

Nitrification of an industrial wastewater in a moving-bed biofilm reactor: effect of salt concentration.

Nitrification of wastewaters from chemical industries can pose some challenges due to the presence of inhibitory compounds. Some wastewaters, besides their organic complexity present variable levels of salt concentration. In order to investigate the effect of salt (NaCl) content on the nitrification of a conventional biologically treated industrial wastewater, a bench scale moving-bed biofilm reactor was operated on a sequencing batch mode.

Nitrification of industrial and domestic saline wastewaters in moving bed biofilm reactor and sequencing batch reactor.

Nitrification of saline wastewaters was investigated in bench-scale moving-bed biofilm reactors (MBBR). Wastewater from a chemical industry and domestic sewage, both treated by the activated sludge process, were fed to moving-bed reactors. The industrial wastewater contained 8000 mg Cl(-)/L and the salinity of the treated sewage was gradually increased until that level.

Ozonation of azo dyes (Orange II and Acid Red 27) in saline media.

Ozonation of two azo dyes was investigated in a monitored bench scale bubble column reactor (8.5-L), varying liquid media salt content (0, 1, 40 and 100 g L(-1), NaCl). In experiments with Orange II pH was varied (5, 7.

Remediation of sandy soils using surfactant solutions and foams.

Remediation of sandy soils contaminated with diesel oil was investigated in bench-scale experiments. Surfactant solution, regular foams and colloidal gas aphrons were used as remediation fluids. An experimental design technique was used to investigate the effect of relevant process variables on remediation efficiency.

Is hydraulic retention time an essential parameter for MBR performance?

The effect of hydraulic retention time (HRT) on membrane bioreactors (MBR) operation is discussed. A brief literature review on this topic indicates that biased conclusions can be drawn if data is obtained under non steady-state conditions. Another relevant aspect regarding steady-state operation includes activated sludge adaptation to bioreactor running conditions.

Production and regulation of lipase activity from Penicillium restrictum in submerged and solid-state fermentations.

Different carbon (C) sources, mainly carbohydrates and lipids, have been screened for their capacity to support growth and lipase production by Penicillium restrictum in submerged fermentation (SmF) and in solid-state fermentation (SSF). Completely different physiological behaviors were observed after the addition of easily (oleic acid and glucose) and complex (olive oil and starch) assimilable C sources to the liquid and solid media. Maximal lipolytic activities (12.

Lipase production by solid-state fermentation: cultivation conditions and operation of tray and packed-bed bioreactors.

The production of lipase by Penicillium simplicissimum in solid-state fermentation was studied using babassu cake as the basal medium. Tray-type and packed-bed bioreactors were employed. In the former, the influence of temperature; content of the medium, and medium supplementation with olive oil, sugarcane molasses, corn steep liquor, and yeast hydrolysate was studied.

Comparison of neuromuscular blockade and recovery with botulinum toxins A and F.

Intramuscular injection of botulinum toxin A is used to treat focal dystonias. Because immunoresistance has been documented in some patients, other molecular forms of the toxin have been evaluated clinically. The present investigation compared the time course and extent of neuromuscular blockade and recovery of botulinum toxin types A and F using an electromyographic monitoring system implanted in the rat hindlimb.

Electrically stimulated glottal opening combined with adductor muscle botox blockade restores both ventilation and voice in a patient with bilateral laryngeal paralysis.

The purpose of this study was to determine whether paced electrical stimulation of the posterior cricoarytenoid muscle with an implantable device could restore ventilation in a patient with bilateral vocal fold paralysis without disturbing voice. In the first US case of a multi-institutional study, this patient was implanted with an Itrel II stimulator (Medtronic, Inc). In monthly postoperative sessions over an 18-month period, an effective stimulus paradigm was derived, the magnitude of stimulated vocal fold abduction and ventilation was measured, and perceptual judgments of voice quality were made.

Process development for production of medium chain triglycerides using immobilized lipase in a solvent-free system.

The synthesis of tricaprylin, tricaprin, trilaurin, and trimyristin in a solvent-free system was conducted by mixing a commercial immobilized lipase with the organic reagents (glycerol and fatty acid) in a 20-mL batch reactor with constant stirring. The effects of temperature, fatty acid/glycerol molar ratio, and enzyme concentration on the reaction conversion were determined. The reactions were carried out for 26 h and the nonpolar phase was analyzed by gas chromatography.

Enzymatic synthesis of medium chain monoglycerides in a solvent-free system.

The synthesis of monocaprin, monolaurin, and monomyristin in a solvent-free system was conducted by mixing a commercial immobilized lipase with the organic reactants (glycerol and fatty acids) in a 20-mL batch reactor with constant stirring. The effects of temperature, fatty acid/glycerol molar ratio, and enzyme concentration on the reaction conversion were determined. The addition of molecular sieves in the assays of monomyristin synthesis was also evaluated.

Epworth's sleepiness scale in outpatients with different values of arterial blood pressure.

Objective: To compare sleepiness scores of the Epworth scale in patients with different levels of arterial pressure when undergoing outpatient monitoring within the context of clinical evaluation.

Methods: A total of 157 patients selected for outpatient monitoring of arterial pressure during hypertension evaluation were divided into 3 groups: group 1 - normotensive; group 2 - hypertensive; group 3 - resistant hypertensive. For analysis, values >/=11 were considered as associated with respiratory disturbances during sleep.