Otitis media needle aspiration through the tympanic membrane to relieve the ear pain and to identify the causative organism(s). Children with recurrent episodes of acute otitis media and those with otitis media with effusion or chronic suppurative otitis media have higher risks of developing conductive and sensorineural hearing loss. Globally approximately 141 million people have mild hearing loss due to otitis media (2.1% of the population). This is more common in males (2.3%) than females (1.8%). This hearing loss is mainly due to fluid in the middle ear or rupture of the tympanic membrane. Prolonged duration of otitis media is associated with
Common name not always English. For example, "Dikkop" is the centuries-old South African vernacular name for their two local species: "Burhinus capensis" is the Cape dikkop (or "gewone dikkop", not to mention the presumably much older Zulu name "umBangaqhwa"); "Burhinus vermiculatus" is the "water dikkop". The thick joints in question are not even, in fact, the birds’ knees, but the intertarsal joints—in lay terms the ankles. Furthermore, not all species in the genus have “thick knees”, so the thickness of the "knees" of some species is not of clearly descriptive significance. The family Burhinidae has members that have various common names even