Ear pain with several weeks of IV and oral antibiotics, usually fluoroquinolones. Acute otitis media is an infection of the middle ear. More than 80% of children experience at least one episode of otitis media by age 3 years. Acute otitis media is also most common in these first 3 years of life, though older children may also experience it. The most common causative bacteria are "Streptococcus pneumoniae", "Haemophilus influenzae", and "Moraxella catarrhalis". Otitis media often occurs with or following cold symptoms. The diagnosis is made by the combination of symptoms and examination of the tympanic membrane for redness, bulging, and/or a
Membrane technology in the fluid and membrane phases can be equated at the solution-membrane interface. This principle is more important for "dense" membranes without natural pores such as those used for reverse osmosis and in fuel cells. During the filtration process a boundary layer forms on the membrane. This concentration gradient is created by molecules which cannot pass through the membrane. The effect is referred as concentration polarization and, occurring during the filtration, leads to a reduced trans-membrane flow (flux). Concentration polarization is, in principle, reversible by cleaning the membrane which results in the initial flux being almost totally restored. Using a