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Plan Arbitrarily Discounted Subjective Evidence, 2nd Circuit Rules

NEW YORK - A disability plan administrator acted arbitrarily and capriciously by relying on the lack of objective evidence of tinnitus to deny an attorney's claim under the Employee Retirement Income Security Act, the Second Circuit U.S. Court of Appeals ruled June 26 (Ralph Miles v. Principal Life Insurance Company, et al., No. 12-152, 2nd Cir.; 2013 U.S. App. LEXIS 13065).
Source: LexisNexis® Mealey's™ Disability Insurance Legal News - Category: Medical Law Source Type: news

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Conclusions: Guided (using audiological support) iCBT for tinnitus resulted in statistically significant reductions in tinnitus distress and comorbidities (insomnia, depression, hyperacusis, cognitive failures) and a significant increase in quality of life. These effects remained stable at 2-months postintervention. Further trials to determine the longer term efficacy of iCBT to investigate predictors of outcome and to compare iCBT with standard clinical care in the United Kingdom are required. Registered at clinicaltrials.gov: NCT02370810 on 5/03/2015.
Source: Ear and Hearing - Category: Audiology Tags: Randomized Control Trial Source Type: research
OBJECTIVES: The purpose of this project was to investigate whether there is an association between tinnitus diagnosis and suicide and whether depression and anxiety strengthen that association. Given that tinnitus is the top service-connected disability am...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Burns, Electricity, Explosions, Fire, Scalds Source Type: news
This study used information from the VETSNET file, which is a snapshot of selected items from the Veterans Benefits Administration corporate database. We also used the National Death Index (NDI) for Veterans which is part of the VA Suicide Data Repository. In VETSNET, there were 758,324 Veterans who had a service-connected condition and died between the years 2004 and 2014. Using the scrambled social security number to link the two files resulted in 605,493 (80%) deceased Veterans. Age at death, sex, and underlying cause of death were obtained from the NDI for Veterans and military service characteristics and types of disa...
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
CONCLUSIONS: The intent of this framework is to help guide audiologists managing tinnitus. The framework has been useful in our clinic as illustrated by a case study. The benefits of this approach relative to standard care needs to be independently ascertained. Implications for Rehabilitation Tinnitus is a common oto-neurological complaint that when severe can be very disabling. Tinnitus is very heterogeneous as a consequence of this no one treatment is suitable for everyone. The sound therapy and aural rehabilitation for tinnitus framework is designed to assist audiologists in clinical planning that addresses individual n...
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Tags: Disabil Rehabil Source Type: research
Conditions:   Hearing Loss;   Hearing Disorders;   Hearing Abnormality;   Hearing Disability;   Tinnitus Intervention:   Device: HearMe Smartphone Application Sponsor:   Kasra Zarei Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Objectives/Hypothesis: To characterize the disability-related health burden of hearing loss (HL) at a global level, with a focus on socioeconomic health disparities. Methods: The global burden of HL, as calculated by disability-adjusted life years (DALYs) per 100,000 individuals, was evaluated for 184 countries. Data from 5-year intervals encompassing 1990 to 2015 were organized by human development index (HDI) categorizations as specified by the U.N. Development Program (UNDP). Gini coefficients and concentration indices were used to evaluate global inequality in HL burden over this time period. Results: There was...
Source: Otology and Neurotology - Category: ENT & OMF Tags: Sensorineural Hearing Loss and Tinnitus Source Type: research
Conclusions: MBCT is effective in reducing tinnitus severity in chronic tinnitus patients compared to intensive RT. It also reduces psychological distress and disability. Future studies should explore the generalizability of this approach and how outcome relates to different aspects of the intervention.Psychother Psychosom 2017;86:351-361
Source: Psychotherapy and Psychosomatics - Category: Psychiatry & Psychology Source Type: research
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog After years of preparation, extensive reading, sleepless nights, marriage breakdowns and caffeine – your week of being show ponies has arrived as the F.UCEM examinations are upon us. Giving hope to those who pray to the Utopian FSM we have managed to locate and leak one of the OSCE examination questions for this weeks exam – hope it helps. UCEM OSCE SCENARIO You are the ED Consultant in charge of a tertiary hospital ED You take handover from the night tea...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Utopian Medicine Exam F.UCEM Fellowship OSCE Source Type: blogs
ConclusionsThis study has identified that personal development and a positive outlook is possible despite experiencing tinnitus. Ways to facilitate positive experiences related to tinnitus should be promoted, as these may reduce the negative consequences associated with tinnitus.The most prevalent positive theme was the ability to cope with tinnitus. Positive experiences were also drawn from having clinical and other support networks. This highlights the importance of providing tinnitus interventions that can assist people in coping with tinnitus, particularly to those less likely to relate tinnitus to any positive experie...
Source: Clinical Otolaryngology - Category: ENT & OMF Authors: Tags: Original Article Source Type: research
Conclusion: Profound sensorineural hearing impairment can be the main feature of Noonan syndrome. Associated features are highly variable; thus, detailed medical history and careful physical examination are mandatory to consider the diagnosis in case of a sensorineural hearing impairment.
Source: Otology and Neurotology - Category: ENT & OMF Tags: Sensorineural Hearing Loss and Tinnitus Source Type: research
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