Prognostics Factors of Cochlear Implant in Adults: How Can We Improve Poorer Performers?

Rehabilitation for any cochlear implant (CI) recipient is a process having the aim of taking the necessary steps to enable users to achieve their best possible auditory outcome. It involves all stages of interaction including evaluations for candidacy, device selection, preoperative counseling, surgical intervention, device activation, post-implant support, evaluations of progress, and hearing training. Since rehabilitation is an ongoing process, it becomes critical to determine what is sufficient, that is, how intense the follow-up program must be, especially since there is substantial variability for results on outcome measures that assess progress in hearing function and abilities after implantation

Integrated Flush Air Data Sensing System Modeling for Planetary Entry Guidance with Direct Force Control

Flush air data sensing (FADS) systems have been previously used at both Earth and Mars to provide onboard estimates of angle of attack, sideslip angle, and dynamic pressure. However, these FADS data were often not used in an in-the-loop sense to inform the onboard guidance and control systems. A method to integrate FADS-derived density and wind estimates with a numerical predictor-corrector guidance algorithm is presented. The method is demonstrated in a high-fidelity simulation of a human-scale Mars entry vehicle that utilizes a hypersonic inflatable aerodynamic decelerator (HIAD) with direct force control. Effects on guidance commands and state uncertainties both with and without FADS system modeling are presented and discussed

Étude expérimentale et théorique de la production de nuclides légers rapides dans les interactions proton-noyau à haute énergie

Nous donnons la description d'une expérience réalisée au CERN et concernant la production de 1H, 2H, 3H, 3He, 4He lors des interactions proton-noyau (12C, 27Al, 197Au) à des angles variés (30°, 45°, 75°, 105°). Nous présentons également une théorie thermodynamique permettant d'interpréter les résultats expérimentaux obtenus

Avalanche Dynamics in Wet Granular Materials

We have studied the dynamics of avalanching wet granular media in a rotating drum apparatus. Quantitative measurements of the flow velocity and the granular flux during avalanches allow us to characterize novel avalanche types unique to wet media. We also explore the details of viscoplastic flow (observed at the highest liquid contents) in which there are lasting contacts during flow, leading to coherence across the entire sample. This coherence leads to a velocity independent flow depth at high rotation rates and novel robust pattern formation in the granular surface.Comment: 5 pages, 3 figures in color, REVTeX4, for smaller pdfs see http://angel.elte.hu/~tegzes/condmat.htm

Aging in humid granular media

Aging behavior is an important effect in the friction properties of solid surfaces. In this paper we investigate the temporal evolution of the static properties of a granular medium by studying the aging over time of the maximum stability angle of submillimetric glass beads. We report the effect of several parameters on these aging properties, such as the wear on the beads, the stress during the resting period, and the humidity content of the atmosphere. Aging effects in an ethanol atmosphere are also studied. These experimental results are discussed at the end of the paper.Comment: 7 pages, 9 figure

Dynamics of electrostatically-driven granular media. Effects of Humidity

We performed experimental studies of the effect of humidity on the dynamics of electrostatically-driven granular materials. Both conducting and dielectric particles undergo a phase transition from an immobile state (granular solid) to a fluidized state (granular gas) with increasing applied field. Spontaneous precipitation of solid clusters from the gas phase occurs as the external driving is decreased. The clustering dynamics in conducting particles is primarily controlled by screening of the electric field but is aided by cohesion due to humidity. It is shown that humidity effects dominate the clustering process with dielectric particles.Comment: 4 pages, 4 fig

Thermocapillary actuation of liquid flow on chemically patterned surfaces

We have investigated the thermocapillary flow of a Newtonian liquid on hydrophilic microstripes which are lithographically defined on a hydrophobic surface. The speed of the microstreams is studied as a function of the stripe width w, the applied thermal gradient |dT/dx| and the liquid volume V deposited on a connecting reservoir pad. Numerical solutions of the flow speed as a function of downstream position show excellent agreement with experiment. The only adjustable parameter is the inlet film height, which is controlled by the ratio of the reservoir pressure to the shear stress applied to the liquid stream. In the limiting cases where this ratio is either much smaller or much larger than unity, the rivulet speed shows a power law dependency on w, |dT/dx| and V. In this study we demonstrate that thermocapillary driven flow on chemically patterned surfaces can provide an elegant and tunable method for the transport of ultrasmall liquid volumes in emerging microfluidic technologies

Molecular Weight Dependence of Spreading Rates of Ultrathin Polymeric Films

We study experimentally the molecular weight $M$ dependence of spreading rates of molecularly thin precursor films, growing at the bottom of droplets of polymer liquids. In accord with previous observations, we find that the radial extension R(t) of the film grows with time as R(t) = (D_{exp} t)^{1/2}. Our data substantiate the M-dependence of D_{exp}; we show that it follows D_{exp} \sim M^{-\gamma}, where the exponent \gamma is dependent on the chemical composition of the solid surface, determining its frictional properties with respect to the molecular transport. In the specific case of hydrophilic substrates, the frictional properties can be modified by the change of the relative humidity (RH). We find that \gamma \approx 1 at low RH and tends to zero when RH gets progressively increased. We propose simple theoretical arguments which explain the observed behavior in the limits of low and high RH.Comment: 4 pages, 2 figures, to appear in PR

Angle of repose and segregation in cohesive granular matter

We study the effect of fluids on the angle of repose and the segregation of granular matter poured into a silo. The experiments are conducted in two regimes where: (i) the volume fraction of the fluid is small and it forms liquid bridges between particles, and (ii) the particles are completely immersed in the fluid. The data is obtained by imaging the pile formed inside a quasi-two dimensional silo through the transparent glass side walls. In the first series of experiments, the angle of repose is observed to increase sharply with the volume fraction of the fluid and then saturates at a value that depends on the size of the particles. We systematically study the effect of viscosity by using water-glycerol mixtures to vary it over at least three orders of magnitude while keeping the surface tension almost constant. Besides surface tension, the viscosity of the fluid is observed to have an effect on the angle of repose and the extent of segregation. In case of bidisperse particles, segregation is observed to decrease and finally saturate depending on the size ratio of the particles and the viscosity of the fluid. The sharp initial change and the subsequent saturation in the extent of segregation and angle of repose occurs over similar volume fraction of the fluid. In the second series of experiments, particles are poured into a container filled with a fluid. Although the angle of repose is observed to be unchanged, segregation is observed to decrease with an increase in the viscosity of the fluid.Comment: 9 pages, 12 figure

Development and evaluation of the modiolar research array – multi-centre collaborative study in human temporal bones

OBJECTIVE: Multi-centre collaborative study to develop and refine the design of a prototype thin perimodiolar cochlear implant electrode array and to assess feasibility for use in human subjects. STUDY DESIGN: Multi-centre temporal bone insertion studies. MATERIALS AND METHODS: The modiolar research array (MRA) is a thin pre-curved electrode that is held straight for initial insertion with an external sheath rather than an internal stylet. Between November 2006 and February 2009, six iterations of electrode design were studied in 21 separate insertion studies in which 140 electrode insertions were performed in 85 human temporal bones by 12 surgeons. These studies aimed at addressing four fundamental questions related to the electrode concept, being: (1) Could a sheath result in additional intra-cochlear trauma? (2) Could a sheath accommodate variations in cochlea size and anatomies? (3) Could a sheath be inserted via the round window? and (4) Could a sheath be safely removed once the electrode had been inserted? These questions were investigated within these studies using a number of evaluation techniques, including X-ray and microfluoroscopy, acrylic fixation and temporal bone histologic sectioning, temporal bone microdissection of cochlear structures with electrode visualization, rotational tomography, and insertion force analysis. RESULTS: Frequent examples of electrode rotation and tip fold-over were demonstrated with the initial designs. This was typically caused by excessive curvature of the electrode tip, and also difficulty in handling of the electrode and sheath. The degree of tip curvature was progressively relaxed in subsequent versions with a corresponding reduction in the frequency of tip fold-over. Modifications to the sheath facilitated electrode insertion and sheath removal. Insertion studies with the final MRA design demonstrated minimal trauma, excellent perimodiolar placement, and very small electrode dimensions within scala tympani. Force measurements in temporal bones demonstrated negligible force on cochlear structures with angular insertion depths of between 390 and 450°. CONCLUSION: The MRA is a novel, very thin perimodiolar prototype electrode array that has been developed using a systematic collaborative approach. The different evaluation techniques employed by the investigators contributed to the early identification of issues and generation of solutions. Regarding the four fundamental questions related to the electrode concept, the studies demonstrated that (1) the sheath did not result in additional intra-cochlear trauma; (2) the sheath could accommodate variations in cochlea size and anatomies; (3) the sheath was more successfully inserted via a cochleostomy than via the round window; and (4) the sheath could be safely removed once the electrode had been inserted