The Effect of Pulling Out Cochlear Implant Electrodes on Inner Ear Microstructures: A Temporal Bone Study

The exchange of an cochlear implant or the re-positioning of an electrode have become more frequently required than a decade ago. The consequences of such procedures at a microstructural level within the cochlea are not known. It was the aim of the present study to further investigate the effects of an CI electrode pull-out. Therefore 10 freshly harvested temporal bones (TB) were histologically evaluated after a cochlear implant electrode pull-out of a perimodiolar electrode. In additional 9 TB the intrascalar movements of the CI electrode while being pulled-out were digitally analysed by video- capturing. Histologically, a disruption of the modiolar wall or the spiral osseous lamina were not observed. In one TB, a basilar membrane lifting up was found, but it could not be undoubtedly attributed to the pull-out of the electrode. When analyzing the temporal sequence of the electrode movement during the pull-out, the electrode turned in one case so that the tip elevates the basilar membrane. The pull- out of perimodiolarly placed CI electrodes does not damage the modiolar wall at a microstructural level and should be guided (e.g., forceps) to prevent a 90 o turning of the electrode tip into the direction of the basilar membrane

Thinking dimensional : prevalence of DSM-5 early adolescent full syndrome, partial and subthreshold eating disorders in a cross-sectional survey in German schools

OBJECTIVES: Investigating for the first time in Germany Diagnostic and Statistical Manual Fifth Edition (DSM-5) prevalences of adolescent full syndrome, Other Specified Feeding or Eating Disorder (OSFED), partial and subthreshold anorexia nervosa (AN), bulimia nervosa (BN) and binge eating disorder (BED). METHOD: A national school-based cross-sectional survey with nine schools in Germany was undertaken that was aimed at students from grades 7 and 8. Of the 1775 students who were contacted to participate in the study, 1654 participated (participation rate: 93.2%). The sample consisted of 873 female and 781 male adolescents (mean age=13.4 years). Prevalence rates were established using direct symptom criteria with a structured inventory (SIAB-S) and an additional self-report questionnaire (Eating Disorder Inventory 2 (EDI-2)). RESULTS: Prevalences for full syndrome were 0.3% for AN, 0.4% for BN, 0.5% for BED and 3.6% for OSFED-atypical AN, 0% for BN (low frequency/limited duration), 0% for BED (low frequency/limited duration) and 1.9% for purging disorder (PD). Prevalences of partial syndrome were 10.9% for AN (7.1% established with cognitive symptoms only, excluding weight criteria), 0.2% for BN and 2.1% for BED, and of subthreshold syndrome were 0.8% for AN, 0.3% for BN and 0.2% for BED. Cases on EDI-2 scales were much more pronounced with 12.6-21.1% of the participants with significant sex differences. CONCLUSIONS: The findings were in accordance with corresponding international studies but were in contrast to other German studies showing much higher prevalence rates. The study provides, for the first time, estimates for DSM-5 prevalences of eating disorders in adolescents for Germany, and evidence in favour of using valid measures for improving prevalence estimates

Учет влияния времени коммутации полупроводниковых приборов на форму импульсов напряжения на нагрузке импульсного трансформаторного источника напряжения

Розглянутo вплив часу комутації напівпровідникових приладів на форму, амплітудні і часові параметри імпульсів напруги на навантаженні трансформаторного джерела. Встановлена залежність тривалості фронту імпульсу від власних параметрів джерела і часу комутації напівпро-відникових приладів.Influence of time of commutation of semiconductor devices is considered on a form, peak and temporal parameters of pulses of voltage in a load of transformer source. Dependence of duration of pulse front is set on the own parameters of source and time of commutation of semiconductor devices

Central Nervous Activity upon Systemic Salicylate Application in Animals with Kanamycin-Induced Hearing Loss - A Manganese-Enhanced MRI (MEMRI) Study

This study investigated the effect of systemic salicylate on central auditory and non-auditory structures in mice. Since cochlear hair cells are known to be one major target of salicylate, cochlear effects were reduced by using kanamycin to remove or impair hair cells. Neuronal brain activity was measured using the non-invasive manganese-enhanced magnetic resonance imaging technique. For all brain structures investigated, calcium-related neuronal activity was increased following systemic application of a sodium salicylate solution: probably due to neuronal hyperactivity. In addition, it was shown that the central effect of salicylate was not limited to the auditory system. A general alteration of calcium-related activity was indicated by an increase in manganese accumulation in the preoptic area of the anterior hypothalamus, as well as in the amygdala. The present data suggest that salicylate-induced activity changes in the auditory system differ from those shown in studies of noise trauma. Since salicylate action is reversible, central pharmacological effects of salicylate compared to those of (permanent) noise-induced hearing impairment and tinnitus might induce different pathophysiologies. These should therefore, be treated as different causes with the same symptoms

Scale dependent diversity of bryozoan assemblages in the reefs of the Late Ordovician Vasalemma Formation, Estonia

The fieldwork for BK and AP was partly funded by the Academy of Finland project ‘Ecological Engineering as a Biodiversity Driver in Deep Time’ (Decision No. 309422). Deutsche Forschungsgemeinschaft (DFG) is appreciated for financial support of AE (project ER 278/10.1). The work is a contribution to the IGCP program 735 ‘Rocks and the Rise of Ordovician Life’.The reefs of the Vasalemma Formation, late Sandbian, Late Ordovician, of northern Estonia contain an exceptional rich and abundant bryozoan fauna. They are an example of contemporaneous bryozoan-rich reefs known from around the world, representing the peak diversification interval of this group during the Ordovician. The global Ordovician bryozoan diversification was associated with a decrease in provinciality, a pattern known from other skeletal marine metazoans of this period. The diversification is associated with climatic cooling and increasing atmospheric and sea water oxygenation. However, the mechanisms that led to the bryozoan diversification are poorly known. Here we estimate the bryozoan richness (α and γ diversity) and turnover (β diversity) at the level of samples, reefs, and formations in the Vasalemma Formation and in contemporaneous reef limestone occurrences of the Baltoscandian region. The resulting richness and turnover values differ among the three observational levels and hence are scale dependent. A consistent pattern with lowest between-reef turnover and relatively high between-sample turnover could be detected, reflecting high small-scale (within reef) heterogeneities in lithology and original bryozoan habitat. This is consistent with published work, in which evidence has been presented for small-scale substrate heterogeneity as the most important diversification driver of the Ordovician brachiopod diversification in the Baltoscandian region. The fact that reefs and their local substrate are strongly organism moderated environments sheds light on the potentially important ecosystem engineering role of organisms, such as bryozoans, for the Ordovician diversification.Publisher PDFPeer reviewe

Sound Localization in Single-Sided Deaf Participants Provided With a Cochlear Implant

Spatial hearing is crucial in real life but deteriorates in participants with severe sensorineural hearing loss or single-sided deafness. This ability can potentially be improved with a unilateral cochlear implant (CI). The present study investigated measures of sound localization in participants with single-sided deafness provided with a CI. Sound localization was measured separately at eight loudspeaker positions (4°, 30°, 60°, and 90°) on the CI side and on the normal-hearing side. Low- and high-frequency noise bursts were used in the tests to investigate possible differences in the processing of interaural time and level differences. Data were compared to normal-hearing adults aged between 20 and 83. In addition, the benefit of the CI in speech understanding in noise was compared to the localization ability. Fifteen out of 18 participants were able to localize signals on the CI side and on the normal-hearing side, although performance was highly variable across participants. Three participants always pointed to the normal-hearing side, irrespective of the location of the signal. The comparison with control data showed that participants had particular difficulties localizing sounds at frontal locations and on the CI side. In contrast to most previous results, participants were able to localize low-frequency signals, although they localized high-frequency signals more accurately. Speech understanding in noise was better with the CI compared to testing without CI, but only at a position where the CI also improved sound localization. Our data suggest that a CI can, to a large extent, restore localization in participants with single-sided deafness. Difficulties may remain at frontal locations and on the CI side. However, speech understanding in noise improves when wearing the CI. The treatment with a CI in these participants might provide real-world benefits, such as improved orientation in traffic and speech understanding in difficult listening situations

Evaluation of Central Auditory Discrimination Abilities in Older Adults

The present study focuses on auditory discrimination abilities in older adults aged 65-89 years. We applied the ‘Leipzig Inventory for Patient Psychoacoustic’ (LIPP), a psychoacoustic test battery specifically designed to identify deficits in central auditory processing. These tests quantify the just noticeable differences (JND) for the three basic acoustic parameters (i.e. frequency, intensity, and signal duration). Three different test modes (monaural, dichotic signal/noise [s/n] and interaural) were used, stimulus level was 35dB sensation level. The tests are designed as three-alternative forced-choice procedure with a maximum-likelihood procedure estimating p=0,5 correct response value. These procedures have proven to be highly efficient and provide a reliable outcome. The measurements yielded significant age-dependent deteriorations in the ability to discriminate single acoustic features pointing to progressive impairments in central auditory processing. The degree of deterioration was correlated to the different acoustic features and to the test modes. Most prominent, interaural frequency and signal duration discrimination at low test frequencies was elevated which indicates a deterioration of time- and phase-dependent processing at brain stem and cortical levels. LIPP proves to be an effective tool to identify basic pathophysiological mechanisms and the source of a specific impairment in auditory processing of the elderly

Formale Methoden zur Systemperformanzanalyse und -optimierung

With increasing system complexity, there is growing interest in using formal methods in wider range of systems to improve system predictability and determine system robustness to changes, enhancements and pitfalls. This paper gives an overview over a formal approach to system level performance modelling and analysis. A methodology is presented to cover distributed multiprocessor systems as well as multiprocessor systems on chip. The abstract modelling allows early design space exploration and optimization. We investigate an example multimedia application and optimize the usage of the shared memory to reach an optimal performance