A three-dimensional printed customized bolus: adapting to the shape of the outer ear.

Background: The skin-sparing effect of megavoltage-photon beams in radiotherapy (RT) reduces the target coverage of superficial tumours. Consequently, a bolus is widely used to enhance the target coverage for superficial targets. This study evaluates a three-dimensional (3D)-printed customized bolus for a very irregular surface, the outer ear.

A Clinical Decision Support System (KNOWBED) to Integrate Scientific Knowledge at the Bedside: Development and Evaluation Study.

Background: The evidence-based medicine (EBM) paradigm requires the development of health care professionals' skills in the efficient search of evidence in the literature, and in the application of formal rules to evaluate this evidence. Incorporating this methodology into the decision-making routine of clinical practice will improve the patients' health care, increase patient safety, and optimize resources use.

Objective: The aim of this study is to develop and evaluate a new tool (KNOWBED system) as a clinical decision support system to support scientific knowledge, enabling health care professionals to quickly carry out decision-making processes based on EBM during their routine clinical practice.

Electrically evoked compound action potentials are different depending on the site of cochlear stimulation.

One of the many parameters that can affect cochlear implant (CI) users' performance is the site of presentation of electrical stimulation, from the CI, to the auditory nerve. Evoked compound action potential (ECAP) measurements are commonly used to verify nerve function by stimulating one electrode contact in the cochlea and recording the resulting action potentials on the other contacts of the electrode array. The present study aimed to determine if the ECAP amplitude differs between the apical, middle, and basal region of the cochlea, if double peak potentials were more likely in the apex than the basal region of the cochlea, and if there were differences in the ECAP threshold and recovery function across the cochlea.

Patient management for cochlear implant recipients in audiology departments: A practice review.

Objectives: To determine and evaluate the time clinics needed to complete the sub-processes involved in the first-fitting and follow-up fitting of people with a cochlear implant.

Methods: Eight HEARRING clinics completed a questionnaire recording how long it took to complete the sub-processes involved in first-fitting and follow-up fitting cochlear implant recipients. The mean times of clinics and procedures were then compared.

Surgical and Audiologic Outcomes in Endoscopic Stapes Surgery across 4 Institutions.

Objectives: To investigate intra- and postoperative outcomes of endoscopic stapes surgery.

Study Design: Case series with chart review.

Setting: Four tertiary care otologic centers.

Incidental pelvic mass identified during ultrasound-guided transrectal needle biopsy of the prostate.

Objective: Herein we report an additional case of a seminal vesicle cyst with ipsilateral renal agenesis and ectopic ureter in an asymptomatic individual with a normal examination.

Methods: We review the literature on retrovesical mas regarding the embryology, evaluation, management and treatment..

[Preputial neurilemoma].

Objective: To present a case of preputial neurilemoma.

Methods: A 23-year-old man presented with a small, nodular, preputial mass that he had noted three years earlier.

Results: The tumor was excised under local anesthesia without complications.