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Exercise immunology is the discipline that seeks to investigate the effects of exercise on the immune system of human beings. With advancing chronological age, the thymus (i.e., the organ responsible for T cell enhancement) involutes, which reduces the efficiency of the immune system, especially T cells. On the other hand, being physically conditioned provides long-term improvement of the immune system, regardless of age. However, it is known that strenuous exercise favors negative changes in the immune system. Thus, it is possible that changes in immunological factors after strenuous exercise depend on chronological age and level of physical conditioning.

The main objective of this scoping review was to identify evidence regarding the adjunct of virtual reality (VR) in dentistry in healthy patients (ASA I and II) with dental anxiety. The methodology of this review was based on the PRISMA checklist for scoping reviews (PRISMA-ScR checklist) and JBI guidance. The Population, Concept and Context structure were applied in order to determine eligibility criteria and search terms. A literature search strategy was carried out in PubMed and EMBASE databases on September 2nd 2021. Only studies with an available full text in English were included. Two reviewers performed the article search, selection and screening in a blinded manner. The same reviewers performed the data extraction by means of tables and graphs. In total, 43 studies were included in this scoping review, of which 34 interventional studies (mainly RCTs, CCTs and case series studies) and nine systematic reviews with/without meta-analysis. Nineteen included interventional studies were also involved in the included systematic reviews. VR was applied in pediatric dentistry, oral surgery (tooth extraction), dental caries treatment, periodontology, wound care after burn injury, upper extremity surgery, immunization and medical imaging. While using VR during dental treatment, 21 articles showed a significant reduction in anxiety and pain perception, nine articles reported a reduction in blood pressure and pulse rate, one article reported the decrease of the salivary cortisol levels. The application of VR in dentistry is reported to be user-friendly, mentioned by two articles. Adverse events due to the application of VR in dentistry go from mild nausea (12 studies) to severe dizziness, seizures, eye or muscle twitching, or blackouts triggered by light flashes (one study). No data regarding cost and maintenance were found in the included articles. VR is applied as an adjunct to dental treatment of healthy patients (ASA I and II) in diverse fields in dentistry, but reports in endodontology are lacking. It seems to decrease the patients’ anxiety, pain perception, blood pressure, pulse rate and salivary cortisol level during dental treatment. Taking into account the potential adverse effects and potential cost, it seems to be easy-to-use in dentistry.

RESUMO Objetivo: mapear as recomendações para o uso do smartphone pelos profissionais de saúde nos serviços hospitalares. Método: protocolo de revisão de escopo conduzido de acordo com a metodologia JBI para revisões de escopo. Os achados serão relatados de acordo com os Itens de Relatório Preferenciais para Revisões Sistemáticas e Extensão de Meta-análises para Revisões de Escopo (PRISMA-ScR). O protocolo está na Open Science Framework. A questão norteadora foi elaborada com base no mnemônico PCC: População (profissionais de saúde), Conceito (smartphone AND guidelines) e Contexto (hospital). Serão utilizadas três bases via Biblioteca Virtual em Saúde e cinco bases via Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior. Dois revisores independentes selecionarão os artigos usando os programas EndNote® e Rayyan®, obedecendo critérios de inclusão e exclusão. Serão consideradas como estratégias adicionais a análise da lista de referências dos estudos incluídos. Os resultados serão apresentados em quadros, fluxograma e discussão narrativa.

This review will focus on the various clinical patient populations in which cross-education and its effects have been utilized and evaluated.

Breast cancer is among the highest types of cancer that have been diagnosed globally. It is also the highest cancer case in Asia, both in incidence and mortality. Every year, many women lose their lives to breast cancer, emphasizing the need for screening to reduce breast cancer-related mortality. Apart from age and having dense breasts, the risk of developing breast cancer increases because an individual has a family history of breast disease. The most effective method of treating cancer is to stop it from growing by reducing the recognized risk factors, which includes performing a series of screening methods; Breast Self-Examination (BSE), Clinical Breast Examination (CBE), and imaging with various modalities. It is crucial to consider the perception of risk among First-Degree Relatives (FDR) because it may lead to improvements in the early detection of breast disease. Early identification of breast cancer in asymptomatic women aims to identify the disease. At the same time, it is less invasive and treatable with less invasive surgery, less chemotherapy, and adjuvant radiotherapy. This reduces the morbidity and mortality rates associated with advanced stages of the disease. Research question comprises of; -What is the rate of breast cancer early detection involvement among FDR to breast cancer patients? -Do FDR women have a high chance of developing breast cancer?

A methodological review of self-acknowledged limitations in exercise therapy trials for the treatment of low back pain

Integrative review

Polarization is a process that occurs deliberately in a group of people in which, after internal discussions, they tend to support more extreme opinions. Although this phenomenon can hamper the progress of science, little is known about its effects on scientific digital messages. In this context, this scoping review aims to detect characteristics of polarized scientific digital messages regarding scientific publications, science communication or specialized discourses. The results of this scoping review will support the further development of a conceptual framework for the identification of polarized scientific messages.

A critical and mixed review of the literature around the relationship between citizenship rights and health: Proposing healthenship

In acute pain, measurement of pain and analgesic (specifically opioid use) is conceptually interrelated. Use of more analgesia will improve pain outcomes and less analgesia has the potential to worsen pain outcomes in specific surgical cohorts. Measuring pain outcomes, either continuous (as pain scores) or categorical (as patient having either severe of mild pain) without accounting for analgesic use at the same time would provide incomplete information and potentially be considered inappropriate. However, most studies consider one of them as their outcome, without controlling for the other factor. Some of the options are in combinations such as comparing one outcome by controlling for the other one; combining both in a single outcome measure, depending on whether there are validated measures; comparing both outcomes separately with equal importance – such as coprimary outcomes. It is not clear if there are validated combined measures or an outcome that can reflect a state of pain control that incorporates pain intensity and analgesia use. Methodologically, each of these solutions have different implications. A systematic review looking at studies assessing both analgesia use and pain outcomes together in a knee arthroplasty surgical population would be useful.

The aim of this scoping review is to identify, categorize and report current research for the effect and related toxicities of radiotherapy on female erectile tissues.

The objective of this project is to perform a scoping review of clinical guidelines, best practice publications, quality standards, and other related literature to develop a preliminary set of quality indicators for chiropractic care, to identify gaps, and to inform future research.

A randomised controlled trial to assess if reminding peer reviewers of the most important SPIRIT items will improve the reporting quality in published study protocols.

This scoping review will summarize the published biomedical literature on the relationship between exposure to natural elements (e.g., view of nature from a window, presence of real/artificial plants and vegetation, natural sounds, etc.) on patients' in-hospital course.

We conducted an extensive search of the PubMed/ Medline and the Cochrane Database using the following terms: Enhance Recovery After Surgery combined with pelvic floor reconstructive surgery and urogynecology. Related articles from the latest two decades up to May 2021 were scanned for relevance. We applied no restriction to region, publication type or article language. The reference lists of all eligible published articles were cross-checked, and any additional studies identified were included in the review. Since this study is a review, it did not require Institutional Review Board (IRB) approval. Our objective is to determine and summarize the interventions of an ERAS protocol targeted for urogynecological patients that would result in optimization of their surgical experience and higher patient satisfaction

The purpose of the current study is to examine the clinical relevance of Tai Chi on pain and physical function in adults with knee osteoarthritis.

This review examines the reporting and the influence of conditions in which preclinical glioblastoma in vitro cell line research takes places. We focus on the common U87 cell line model where we defined about 15 parameters like cell line authentification and details on culture media. In the course of this we will analyse if possible differences in these parameters lead to differences in the outcome of cell growth - once in the response to temozolimde (standard of care therapy of glioblastoma) and secondly in the growth without pharmacologic intervention. Our aim is to identify relevant parameters which could be responsible for insufficient reproducibility and to improve the preclinical brain cancer research with these findings.

Introduction Clinical prediction models (CPMs) aim to estimate the probability of an event or clinical condition by identifying a pre-defined set of indicators (e.g., patient characteristics, laboratory values) (Cowley 2019, Zhou 2019). Their main purpose is to assist healthcare professionals and decision-makers in making diagnostic, prognostic, and ultimately therapeutic decisions during the care of a population/patients (Cowley 2019). CPMs that aim to predict the probability of a future outcome are termed prognostic, and their impact on patient-important outcomes, healthcare professional behaviour and/or cost is assessed by an impact analysis (Steyerberg 2019). The development of such models is predicated on the assumption that clinical judgment/intuition will prove inferior to any proposed mathematical model. Evidence, some from long ago, exists suggesting that this is indeed the case: any statistical model will provide predictions superior to those from clinical judgment (Ægisdóttir 2006. Dawes 1989, Grove 2000). Other authors have, however, provided evidence that heuristics – intuitively developed rules of thumb - can be more accurate than statistical models (Gigerenzer 1999). Indeed, in 2015, authors of a systematic review comparing diagnostic clinical prediction rules (CPRs) against physicians’ clinical judgment reported that diagnostic CPRs were rarely superior to clinical judgment, with a trade-off between the false positive and negative rate (Sanders 2015). Understanding the extent to which CPMs consistently have better statistical properties than clinical judgment can help inform decisions regarding model adoption in clinical practice. Existing empirical research has compared the performance between prognostic CPMs and clinical judgment, however, there is no evidence synthesis available to fully synthesize the scope of this field. In order to understand this phenomenon, we will conduct a systematic review of studies that compared the performance of prognostic CPMs against the clinical judgment of the same study participants. Clinical judgment/intuition is commonly suggested as inferior compared to any mathematical model. Evidence, some from long ago, exists suggesting that any statistical model will provide predictions superior to those from clinical judgment (Ægisdóttir 2006. Dawes 1989, Grove 2000). Other sources have found that heuristics -a models for human reasoning- can be more accurate than statistical models (Gigerenzer 1999). In 2015, authors of a systematic review comparing diagnostic clinical prediction rules (CPRs) against physicians’ clinical judgment reported that diagnostic CPRs were rarely superior to clinical judgment, with a trade-off between the false positive and negative rate (Sanders 2015). Understanding whether CPMs have better statistical properties upon clinical judgment is a useful step during their implementation in the clinical setting. Existing empirical research has compared the performance between prognostic CPMs and clinical judgment, however, there is no evidence synthesis available to fully synthesize the scope of this field. In order to understand this phenomenon, we will conduct a systematic review of studies that compared the performance of prognostic CPMs against the clinical judgment of the same study participants.

The purpose of this review is to summarise the best available recent evidence regarding the effectiveness of interventions for preventing or reversing pre-frailty and frailty in community dwelling adults aged 65 and over. This review also aims to explore the feasibility of interventions in terms of cost effectiveness, acceptability, and adherence.

Emerald Gate supported a pilot study conducted by the Institute of Noetic Sciences to evaluate energy medicine sessions efficacy in people with hand and wrist pain. Subjective pain scores were significantly improved immediately after the sessions and remained improved three weeks later (Yount et al., 2021). Many other additional exploratory measures such as geocosmic (Wahbeh, Radin, et al., 2020), water evanescence (Radin et al., 2020), and quantum noise generators (Carpenter et al., 2020) resulted in interesting findings that warrant further research. Among these results is the clairvoyant seer data collected from one clairvoyant seer’s reported observations of all the energy medicine sessions (Wahbeh, Niebauer, et al., 2020). The qualitative thematic analysis identified six major themes from the seer's notes: “Experience of the Practitioner,” “Experience of the Participant,” “Space and Other Beings” (referring to the qualities of the physical space the energy medicine session occurred in and ostensible non-physical beings present during session), “Participant-Practitioner Relationship,” “Healing Process,” and “Attributes of Energy.” The energy medicine methods used varied for each participant, according to the practitioners’ perceptions of each individual's needs. The linear regression models yielded significant associations between changes in pain scores and various codes, including energy color, practitioner touch, and the presence of ostensible non-physical beings supporting the session. However, their significance did not persist after correction for multiple comparisons. One limitation to this study was that only one seer was observing the sessions. Thus, it was impossible to tell whether the seer’s observations were purely subjective influenced by their mental filters or if there was some aspect to the observations that could be objectively measured. Thus, additional studies are needed to address this question and validate “seeing.” The current project aims to do just that. This study aims to validate “seeing” through observation of energy medicine sessions. Five Reiki Masters with extensive experience will be the energy medicine practitioners. Participants with the following conditions will be recruited: physical (injury such as broken bone), mental (Mild Cognitive Impairment), emotional (anxiety), spiritual (depression). Reiki Masters will see two participants from each condition for a total of eight 45-minute sessions each over two days. Six seers who can “see” externally will make quantitative and qualitative observations before, during, and after each session. Participants and Reiki Masters will also record their observations of the sessions. Data will be analyzed for similarities: 1) within-seers for the same sessions, 2) between the Reiki Master and seers, 3) between the participant and Reiki Master, and 4) between the participant and seers.

Objetivo: Mapear fontes de informação técnico-científica sobre os cuidados de Enfermagem Forense aos homens vítimas de violências sexuais. Método: Trata-se de um protocolo de revisão de escopo realizado em conformidade com o método Joanna Briggs Institute (JBI). Será adotado o mnemônico PCC, sendo: População - Homens que foram acometidos por violências sexuais, Conceito – Enfermagem forense, Contexto – Não se aplica. A busca será realizada em três etapas por dois pesquisadores, destaca-se que será mantido o processo de cegamento entre os revisores. A coleta será realizada em bases de dados a Lilacs, Medline, CINAHL, IBECS, BDENF, BINACIS, Web of Science, Periódicos CAPES, Embase, Scopus, Google Acadêmico, BVS. Análise dos Dados: Os dados serão organizados e será procedida a análise de conteúdo com o apoio do software Iramuteq®. A síntese dos resultados será apresentada de forma de gráficos, diagramas e fluxos, buscando-se os devidos alinhamentos com o objetivo e a pergunta de pesquisa.

This mixed methodology study aims to describe how patient education about functional disorders differs across specialist treatment settings in Europe. We will first identify relevant network of treatment services providing specialist management of functional disorders across at least 6 European Countries, and systematically gather and analyse patient educational material that is currently in use across these services. The second stage will be to survey health-care professionals working within these services about their personal understanding of the aetiology of functional disorders, and their clinical practices with regard to patient education and guided self-help. In the third stage we will carry out in depth semi-structured interviews with a sample group of healthcare professionals to enable richer descriptions to be gathered. Qualitative data will be analysed using theoretically driven thematic analysis. This work will build on in-depth recent literature reviews of themes in etiological explanations, explanatory models and effective behavioural change techniques. Quantitative survey data will be organised to allow comparison between factors of interest in the data-set (these include the country, professional background of the participant, and clinical focus of the treatment service’). This study builds on the work of the Clinic of functional disorders at Aarhus University Hospital. The purpose of the study is to describe information that may be important in developing an e-health educational programme that has international usability and acceptability.

This registration contains the project plan prior to receiving the data of the cross sectional study regarding cancer prevalence and characteristic of cancer care between individuals with and without mild or severe intellectual disabilities in the Netherlands. The used template for this registration is the current AsPredicted standard.

Schizophrenia is a very challenging condition to medically manage, especially with majority of the population ending up with medication noncompliance due to the severity of treatment resistance, adverse affects. This ultimately leads to a very poor quality of life. Electroconvulsive therapy (ECT) has been proposed as a new intervention to use in patients with treatment resistant Schizophrenia or those who are approaching treatment resistance due to poor access and inadequate quality of life. We hypothesize that ECT will improve the quality of life in schizophrenia and reduce the overall population in the frightening treatment resistant and become more treatment compliant and potentially remission.

Higher adherence to a Mediterranean diet predicts healthier sleep (St-Onge & Zuraikat, 2019). Yet, there is not much known about potential mechanisms, mediating this bi-directional relation. This study aims to investigate gut-brain-communication, especially the impact of high fiber and tryptophan intake on the composition of the gut microbiome as a potential mediator and how it relates to human sleep quality.

 Delivery of electrical current into the body through needles for therapeutic purposes is not a new idea. A multitude of research studies over the past two decades have investigated the mechanistic and clinical effects of electric needle stimulation in both animal and human models. More recently the term Percutaneous Electrical Nerve Stimulation (PENS) has gained popularity, however, earlier have compared the use of PENs with Electroacupuncture (EA) and they appear similar in application with differences only in the underlying theoretical constructs. Intramuscular Electrical Stimulation (IMES) is another term that specifically describes the electrical stimulation of muscle tissue for analgesic effects. Recent reviews on the use of IMES have reported that few studies have sought to or were unable to identify if IMES was delivered within a contracture knot of within the vicinity of a TrP region. The purpose of this review is to identify what are the known mechanisms related to IMES within the MTrP through a scoping review of mechanistic studies on both animal and human models.

Across the lifespan, exercise is associated with improved cognitive performance, learning, and memory, as well as reduced stress in adults (Erikson et al., 2011; Fernandes et al., 2017; Voss et al,. 2011). These changes appear to manifest via changes to the brain, as exercise is also associated with volume increases in the hippocampus (Nino Cruz et al., 2018), a brain area important for memory, and cognitive processing (Burgess et al., 2002; Knierim, 2015; Lisman et al., 2017). Animal models suggest that similar benefits can be conferred to offspring when mothers are active during pregnancy: offspring of more active mothers show improved memory and learning (Akhavan et al., 2008; da Silva et al., 2016), as well as enhanced neurogenesis and cell proliferation in the hippocampus (da Silva et al., 2016). A limited number of human studies have provided preliminary evidence of positive associations between prenatal maternal physical activity and cognitive function and language in early childhood (Nino Cruz et al., 2018), but the mechanisms underlying these changes are unknown. We hypothesize that exposure to prenatal maternal physical activity positively impacts structural and functional brain development in children, which in turn improves cognitive function and language. This project will combine two overlapping datasets, to answer the critical question of how prenatal maternal physical activity impacts child neurodevelopment.

The purpose of this review is to provide an conceptual framework of the treatmen burden experienced by patients with multimorbidity by synthesizing qualitative and quantitative research data. Therefore, this review will identify the domains, antecedents, and consequences of treatment burden. Also, this review will evaluate the comprehensiveness of the instruments that have been used to assess treatment burden in patients with multimorbidity as well as their psychometric properties

Introduction: Evidence syntheses, often in the form of systematic reviews, are essential for the development of clinical guidelines which inform changes to health policies. Clinical guidelines are recommendations on how health care providers and patients make decisions about appropriate healthcare for specific circumstances. Guideline development groups (GDG) are often comprised of a mix of individuals with different levels of expertise and experience, including healthcare professionals, patient representatives, administrators, policymakers, and researchers. GDGs work together to combine or synthesize all of the information on a specific topic through different forms of evidence synthesis. There is currently no standard for how to best present summaries of these evidence syntheses to the different members in a GDG. We recently conducted a mixed methods systematic review (MMSR) to investigate this further and synthesized findings which provided us with a list of recommendations to help produce more effective summary formats for evidence syntheses. However, there were 126 heterogeneous recommendations covering a mix of evidence synthesis types and summary formats. Ninety four recommendations applied broadly to evidence syntheses whereas the other 32 related to specific types (e.g., network meta-analysis). Nine recommendations had mixed-methods support whereas an additional 21 were supported by at least 3 different streams of evidence. The overall aim of this project is to co-develop and test different ways of communicating findings of evidence syntheses (visual, audio, and digital summary formats) which are easy to understand to the different GDG members. Methods: This study will use co-design focus group workshops to develop prototype summary formats to conduct user testing with those who have been involved in GDGs. To create topic guides for the focus groups (Phase 1), we will first conduct a pragmatic prioritisation exercise with the project expert advisory group to narrow down the list of 94 recommendations developed from our MMSR into a shorter priority list. Interactive online focus groups will then be conducted with multidisciplinary groups of key stakeholder including those who have been previously involved in GDGs, methodologists and communications experts. Based on feedback, we will develop prototype summary formats to present to participants in user testing via one-on-one semi-structured interviews in Phase 2. Discussion: Results from workshops and semi-structured interviews will help develop and test evidence syntheses summary formats. These templates can then be further disseminated to help with more effective communication to guideline development groups.

INTRODUCTION: The need to be able to assess collaborative practice in health care teams has been recognized in response to the direction for team-based care in a number of policy documents. The purpose of this study is to report on further refinement of such a measurement instrument, the Assessment of Interprofessional Team Collaboration Scale (AITCS) first published in 2012. To support this refinement, two objectives were set: Objective 1: to determine whether the items from the data collected in 2016 load on the same factors as found for the 2012 version of the 37-item AITCS. Objective 2: to determine whether the items in the subscales of the AITCS could be reduced while retaining psychometric properties similar to those from the earlier versions of the AITCS. METHODS: Initially, the overall data sets of 1002 respondents from two hospitals and four community agencies were analyzed for demographics and scale and subscale mean values, SDs, and mean item scores. After deletion of respondents because of missing data, 967 respondents were available for the first analysis. An exploratory factor analysis was then conducted to determine the factor structure. All respondents with any random missing data were further removed to reduce the data set to 676 responses, followed by a confirmatory factor analysis to find a model fit resulting in an item reduction in the scale. RESULTS: The result was a 23-item AITCS-II for practitioners that retained acceptable levels of reliability and validity within 3 subscales-partnership (8 items), cooperation (8 items), and coordination (7 items). DISCUSSION: The shortened version of the AITCS-II is a valid and reliable instrument that can be used to assess collaboration in health care teams in practice settings.

Tulisan ini telah terbit pada Prosiding Seminar Nasional Kependudukan, "Peran Keilmuan Kesehatan Masyarakat dalam Pembangunan Kependudukan Pasca MDGs 2015", Jember 16 November 2013. Jember University Press. ISBN; 978-602-9030-42-6. The number of Indonesian`s babies born was 10,000 baby per day or estimated almost 4 million babies per year (BKKBN, 2011), with totally 2,6 babies per woman (SDKI, 2012). The using of disposable baby diapers was increased. It was used by mother because of a lot of reasons such as practice and lifestyle. The objective of this research is to analyze the mother perception of disposable baby diapers. It was a qualitative study involved 10 informants aged 20-35 years old in posyandu Sumber Sari, Jember distric area. Data was collected by in- depth interview and they are analyzed by thematic content analysis. the result of the study showed that mother using the disposable baby diapers because of practice and simple, they have thrown a way disposable baby diapers waste 2-6 per baby per day. There are specific believes and culture how to consider the disposable baby diapers waste such thrown away in the river etc. The government should know about the perception, specific belieftes and culture people to had a good policy and strategy on waste management, especially on disposable baby diapers waste.

Makalah ini membahas studi biokimia dan biologi molekuler asam lemak terutama asamasamlemak esensial terhadap fungsi fisiologi dan biologi manusia. Asam lemak esensial tidakdapat disintesis dalam tubuh manusia tetapi dapat diperoleh dari tanaman, termasuk dariminyak biji kenari (Canarium indicum). Secara khusus, makalah bertujuan mengkarakterisasikomposisi asam lemak dalam minyak kenari menggunakan kromatografi gas dari hasil ekstraksidengan hydraulic-pressure test machine pada suhu 30°C, tekanan 400 psi selama 10 menit.Hasil analisis menunjukkan komposisi asam lemak terbanyak dalam minyak kenari berturutturutadalah asam palmitat (23,58%), asam stearat (11,40%), dan asam oleat (50,65%). Lebihjauh, dilakukan juga analisis terhadap komponen nutrisi kenari defatted sebagai hasil sampingdari ekstraksi yaitu total serat pangan sebesar (0,53%), kadar protein (8,95%) dan kadar lemakkasar (28%). Hasil samping ekstraksi ini masih dapat dimanfaatkan sebagai sumber pangan.Karakterisasi fisika dan kimia juga dilakukan untuk menentukan kualitas minyak kenari kasar.Data dari hasil penelitian ini akan digunakan sebagai referensi pembuatan lipid terstrukturmenggunakan bahan baku berasal dari minyak kenari untuk produk substitusi susu formulamaupun untuk aplikasi pangan lainnya.

Objectives: To describe a characterize patients’ hearing health and to evaluate a method for tele-audiology in a hearing clinic in Nyeri in Kenya. Study design: Field study with quantitative approach using consecutive sampling of patients visiting the hearing clinic. Methods: Questionnaires were answered by patients to identify the amount of visitors, the prevalence of hearing loss, tinnitus, ear diseases and malaria. In addition, hearing tests of patients were gathered during a four week. The results of hearing measurements with pure tone audiometry was compared to that of a new tele-audiology device, Kuduwave, as a validation testing of the tele method under field conditions. Also the tele-audiology method was tested in a pilot study by doing a hearing test at a distance. Results: Eighty patients were included in this study. Thirty-five out of 54 adult patients had tinnitus. Forty patients received malaria medication and 37 patients had hearing aids. Comparative results with eleven patients between pure tone audiometry and Kuduwave showed significant differences on frequencies 250-2000 Hz on the right ear and 250 Hz and 1000 Hz on the left ear. Conclusions: A field study is an opportunity to get close to the population to be studied. Tele-audiology offers new opportunities in hearing health care.