1,977 research outputs found
Methods for measuring the citations and productivity of scientists across time and discipline
Publication statistics are ubiquitous in the ratings of scientific
achievement, with citation counts and paper tallies factoring into an
individual's consideration for postdoctoral positions, junior faculty, tenure,
and even visa status for international scientists. Citation statistics are
designed to quantify individual career achievement, both at the level of a
single publication, and over an individual's entire career. While some academic
careers are defined by a few significant papers (possibly out of many), other
academic careers are defined by the cumulative contribution made by the
author's publications to the body of science. Several metrics have been
formulated to quantify an individual's publication career, yet none of these
metrics account for the dependence of citation counts and journal size on time.
In this paper, we normalize publication metrics across both time and discipline
in order to achieve a universal framework for analyzing and comparing
scientific achievement. We study the publication careers of individual authors
over the 50-year period 1958-2008 within six high-impact journals: CELL, the
New England Journal of Medicine (NEJM), Nature, the Proceedings of the National
Academy of Science (PNAS), Physical Review Letters (PRL), and Science. In
comparing the achievement of authors within each journal, we uncover
quantifiable statistical regularity in the probability density function (pdf)
of scientific achievement across both time and discipline. The universal
distribution of career success within these arenas for publication raises the
possibility that a fundamental driving force underlying scientific achievement
is the competitive nature of scientific advancement.Comment: 25 pages in 1 Column Preprint format, 7 Figures, 4 Tables. Version
II: changes made in response to referee comments. Note: change in definition
of "Paper shares.
Treatment of Acute Otitis Media with Inner Ear Involvement in Adults
Inner ear involvement (IED) is a rare local complication of the very common acute otitis media (AOM). The most beneficial treatment for IED remains a matter of debate. The aim of this study is to analyze different treatment modalities based on hearing outcomes to contribute to the discussion of therapy for IED in AOM. This retrospective study includes 112 adult patients diagnosed with AOM with IED between 2000 and 2020. Patients either received conservative (systemic antibiotic and systemic steroid therapy), interventional (conservative plus myringotomy and tympanic tube) or operative (interventional plus antrotomy) treatment. Pre- and post-treatment pure tone audiometry was performed. The hearing outcome was compared, and hearing recovery was analyzed based on modified Siegel’s criteria. The pre-treatment pure tone average (PTA) was significantly (p < 0.05) higher in the operative group than in the other groups. All treatment modalities led to a significant hearing improvement (p < 0.001). The pre- and post-treatment hearing loss was predominantly observed in high frequencies 2–4 kHz. The operative group showed the highest rate of complete hearing recovery. While all treatment modalities led to a significant improvement in hearing, the operative group showed the most beneficial hearing results in patients with high pre-treatment hearing loss. It remains to be shown if the findings in patients with high pre-treatment hearing loss can be generalized to patients with mild or moderate pre-treatment hearing loss
Performance evaluation of a novel piezoelectric subcutaneous bone conduction device
Objectives Evaluation of the transfer function efficiency of a newly-developed piezo-electric actuator for active subcutaneous bone conduction hearing aid. Methods The experiments were conducted on four Thiel embalmed whole head cadaver specimens. A novel actuator based on piezo-electric transduction (PZTA), part of a subcutaneous bone conduction hearing aid device, was sequentially implanted on three locations: 1) Immediately posterior to pinna; 2) 50–60 mm posterior to pinna, approximately the same distance as between the BAHA (bone anchored hearing aid) location and the ear canal, but the same horizontal level as location 1; 3) the traditional BAHA location. Using a single point 3-dimensional laser Doppler vibrometer (LDV) system, three types of motion measurements were performed at the cochlear promontory for each stimulation location: 1) ipsilateral side, 2) contralateral side, 3) measurements 1 and 2 were repeated after mastoidectomy on the ipsilateral side. Results On average, stimulation at locations 1 and 2 show a trend for higher promontory motion relative to location 3 (BAHA location) above 1 kHz. Stimulation at location 1 had an average improvement of 1–6 dB at 2–4 kHz, and 1–18 dB at 6–8 kHz. The spatial composition of the motion showed significant contributions from both in-plane and out-of-plane (along ear canal) motion components, with in-plane components being dominant at mid and high frequencies for locations 2 and 3. Stimulation at locations 1 and 3 produced similar transcranial attenuation at mid frequencies (0.6–4 kHz), with a potential trend of higher attenuation (seen in 3 or the 4 samples) for location 1 at higher frequencies (>4 kHz). The mastoidectomy affected negatively mostly the high frequencies (6–8 kHz) for stimulation at location 1, with no significant change for location 3. Conclusion The sound transfer function efficacy of a novel subcutaneous bone conduction device has been quantified, and the influence of stimulation location and mastoidectomy have been analyzed based on promontory motion in Thiel-preserved cadaver heads
Experimental investigation of promontory motion and intracranial pressure following bone conduction: Stimulation site and coupling type dependence
Objective Investigation of bone conduction sound propagation by osseous and non-osseous pathways and their interactions based upon the stimulation site and coupling method of the actuator from a bone conduction hearing aid (BCHA).
Methods Experiments were conducted on five Thiel embalmed whole head cadaver specimens. The electromagnetic actuator from a commercial bone conduction hearing aid (BCHA) (Baha® Cordelle II) was used to provide a stepped sine stimulus in the range of 0.1–10 kHz. Osseous pathways (direct bone stimulation or transcutaneous stimulation) were sequentially activated by stimulation at the mastoid or the BAHA side using several methods including a percutaneously implanted screw, Baha® Attract transcutaneous magnet and a 5-N (5-N) steel headband. Non-osseous pathways (only soft tissue or intra-cranial contents) were activated by actuator stimulation on the eye or neck via attachment to a 5-N steel headband, and were compared with stimulation via equivalent attachment on the mastoid and forehead. The response of the skull was measured as motions of the ipsi- and contralateral promontory and intracranial pressure (ICP) in the central, anterior, posterior, ipsilateral and contralateral temporal regions of the cranial space. Promontory motion was monitored using a 3-dimensional Laser Doppler vibrometer (3D LDV) system.
Results The promontory undergoes spatially complex motion with similar contributions from all motion components, regardless of stimulation mode. Combined 3D promontory motion provided lower inter-sample variability than did any individual component. Transcranial transmission showed gain for the low frequencies and attenuation above 1 kHz, independent of stimulation mode This effect was not only for the magnitude but also its spatial composition such that contralateral promontory motion did not follow the direction of ipsilateral stimulation above 0.5 kHz. Non-osseous stimulation on the neck and eye induced comparable ICP relative to percutaneous (via screw) mastoid stimulation. Corresponding phase data indicated lower phase delays for ICP when stimulation was via non-osseous means (i.e., to the eye) versus osseous means (i.e., to the mastoid or forehead). Sound propagation due to skull stimulation passes through the thicker bony sections first before activating the CSF.
Conclusion Utilization of 3D promontory motion measurements provides more precise (lower inter-sample variability) information about bone vibrations than does any individual component. It also provides a more detailed description of transcranial attenuation. A comprehensive combination of motion and pressures measurements across the head, combined with a variation of the stimulation condition, could reveal details about sound transmission within the skull
Age Dependent Cost-Effectiveness of Cochlear Implantation in Adults: Is There an Age Related Cut-off?
Objective: To analyze the impact of age at implantation on the cost-effectiveness of cochlear implantation (CI).
Study Design: Cost-utility analysis in an adapted Markov model.
Setting: Adults with profound postlingual hearing loss in a “high income” country.
Intervention: Unilateral and sequential CI were compared with hearing aids (HA).
Main Outcome Measure: Incremental cost-effectiveness ratio (ICER), calculated as costs per quality adjusted life year (QALY) gained (in CHF/QALY), for individual age and sex combinations in relation to two different willingness to pay thresholds. 1 CHF (Swiss franc) is equivalent to 1.01 USD.
Results: When a threshold of 50,000 CHF per QALY is applied, unilateral CI in comparison to HA is cost-effective up to an age of 91 for women and 89 for men. Sequential CI in comparison to HA is cost-effective up to an age of 87 for women and 85 for men. If a more contemporary threshold of 100,000 CHF per QALY is applied, sequential CI in comparison to unilateral CI is cost-effective up to an age of 80 for women and 78 for men.
Conclusions: Performing both sequential and unilateral CI is cost-effective up to very advanced ages when compared with hearing aids
Reactor Neutrino Experiments with a Large Liquid Scintillator Detector
We discuss several new ideas for reactor neutrino oscillation experiments
with a Large Liquid Scintillator Detector. We consider two different scenarios
for a measurement of the small mixing angle with a mobile
source: a nuclear-powered ship, such as a submarine or an
icebreaker, and a land-based scenario with a mobile reactor. The former setup
can achieve a sensitivity to at the 90%
confidence level, while the latter performs only slightly better than Double
Chooz. Furthermore, we study the precision that can be achieved for the solar
parameters, and , with a mobile reactor
and with a conventional power station. With the mobile reactor, a precision
slightly better than from current global fit data is possible, while with a
power reactor, the accuracy can be reduced to less than 1%. Such a precision is
crucial for testing theoretical models, e.g. quark-lepton complementarity.Comment: 18 pages, 3 figures, 2 tables, revised version, to appear in JHEP,
Fig. 1 extended, Formula added, minor changes, results unchange
Local and non-local equivalent potentials for p-12C scattering
A Newton-Sabatier fixed energy inversion scheme has been used to equate
inherently non-local p-C potentials at a variety of energies to pion
threshold, with exactly phase equivalent local ones. Those energy dependent
local potentials then have been recast in the form of non-local Frahn-Lemmer
interactions.Comment: 15 pages plus 9 figures submitted to Phys. Rev.
Three-dimensional Quasi-Static Displacement of Human Middle-ear Ossicles under Static Pressure Loads: Measurement Using a Stereo Camera System
The time delay and/or malfunctioning of the Eustachian tube may cause pressure differences across the tympanic membrane, resulting in quasi-static movements of the middle-ear ossicles. While quasi-static displacements of the human middle-ear ossicles have been measured one- or two-dimensionally in previous studies, this study presents an approach to trace three-dimensional movements of the human middle-ear ossicles under static pressure loads in the ear canal (EC). The three-dimensional quasi-static movements of the middle-ear ossicles were measured using a custom-made stereo camera system. Two cameras were assembled with a relative angle of 7 degrees and then mounted onto a robot arm. Red fluorescent beads of a 106-125 µm diameter were placed on the middle-ear ossicles, and quasi-static position changes of the fluorescent beads under static pressure loads were traced by the stereo camera system. All the position changes of the ossicles were registered to the anatomical intrinsic frame based on the stapes footplate, which was obtained from µ-CT imaging. Under negative ear-canal pressures, a rotational movement around the anterior-posterior axis was dominant for the malleus-incus complex, with small relative movements between the two ossicles. The stapes showed translation toward the lateral direction and rotation around the long axis of the stapes footplate. Under positive EC pressures, relative motion between the malleus and the incus at the IMJ became larger, reducing movements of the incus and stapes considerably and thus performing a protection function for the inner-ear structures. Three-dimensional tracing of the middle-ear ossicular chain provides a better understanding of the protection function of the human middle ear under static pressured loads as immediate responses without time delay.
Keywords
ambient pressure variation
micro-computed tomography imaging
middle-ear ossicles
protection function
quasi-static displacement
static pressure
static pressure loads
stereo camera system
three-dimensional displacemen
Atelectasis in obese patients undergoing laparoscopic bariatric surgery are not increased upon discharge from Post Anesthesia Care Unit.
BACKGROUND
Obese patients frequently develop pulmonary atelectasis upon general anesthesia. The risk is increased during laparoscopic surgery. This prospective, observational single-center study evaluated atelectasis dynamics using Electric Impedance Tomography (EIT) in patients undergoing laparoscopic bariatric surgery.
METHODS
We included adult patients with ASA physical status I-IV and a BMI of ≥40. Exclusion criteria were known severe pulmonary hypertension, home oxygen therapy, heart failure, and recent pulmonary infections. The primary outcome was the proportion of poorly ventilated lung regions (low tidal variation areas) and the global inhomogeneity (GI) index assessed by EIT before discharge from the Post Anesthesia Care Unit compared to these same measures prior to initiation of anesthesia.
RESULTS
The median (IQR) proportion of low tidal variation areas at the different analysis points were T1 10.8% [3.6-15.1%] and T5 10.3% [2.6-18.9%], and the mean difference was -0.7% (95% CI: -5.8% -4.5%), i.e., lower than the predefined non-inferiority margin of 5% (p = 0.022). There were no changes at the four additional time points compared to T1 or postoperative pulmonary complications during the 14 days following the procedure.
CONCLUSION
We found that obese patients undergoing laparoscopic bariatric surgery do not leave the Post Anesthesia Care Unit with increased low tidal variation areas compared to the preoperative period
MOST photometry of the enigmatic PMS pulsator HD 142666
We present precise photometry of the pulsating Herbig Ae star HD 142666
obtained in two consecutive years with the MOST (Microvariability & Oscilations
of STars) satellite.
Previously, only a single pulsation period was known for HD 142666. The MOST
photometry reveals that HD 142666 is multi-periodic. However, the unique
identification of pulsation frequencies is complicated by the presence of
irregular variability caused by the star's circumstellar dust disk. The two
light curves obtained with MOST in 2006 and 2007 provided data of unprecedented
quality to study the pulsations in HD 142666 and also to monitor the
circumstellar variability.
We attribute 12 frequencies to pulsation. Model fits to the three frequencies
with the highest amplitudes lie well outside the uncertainty box for the star's
position in the HR diagram based on published values.
The models suggest that either (1) the published estimate of the luminosity
of HD 142666, based on a relation between circumstellar disk radius and stellar
luminosity, is too high and/or (2) additional physics such as mass accretion
may be needed in our models to accurately fit both the observed frequencies and
HD 142666's position in the HR diagram.Comment: 10 pages, 11 figures, accepted for publication by Astronomy and
Astrophysic
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