Бароосмотичний аналіз як новий метод гідрогеологічних досліджень

Запропоновано методику бароосмотичного аналiзу гiдрогеологiчних даних для окремих свердловин, за якою визначаються величина бароосмотичного напору H2O у пластових (порових) водах i ступiнь вiдхилення їх вiд стану бароосмотичної рiвноваги на кiлькох водоносних горизонтах. Результати аналiзу для чотирьох свердловин з рiзних регiонiв пiдтвердили iснування вертикальних бароосмотичних потокiв у глинистих товщах усiх розрiзiв i дали змогу визначити напрями цих потокiв та виявити зони впливу особливих локальних гiдрогеологiчних процесiв.Methods of baroosmotic analysis of hydrogeological data for separate boreholes have been proposed. They can be applied to determine the baroosmotic pressure of H2O in formational (porous) waters and the degree of their defection from the state of baroosmotic balance at several water-bearing horizons. The results of analysis conducted at 4 boreholes from different regions have confirmed the existence of vertical baroosmotic flows in clayey units of all sections and have allowed us to determine the directions of these flows and to reveal the zones affected by specific local hydrogeological processes

Towards a consensus on a hearing preservation classification system

The comprehensive Hearing Preservation classification system presented in this paper is suitable for use for all cochlear implant users with measurable pre-operative residual hearing. If adopted as a universal reporting standard, as it was designed to be, it should prove highly beneficial by enabling future studies to quickly and easily compare the results of previous studies and meta-analyze their data. Objectives: To develop a comprehensive Hearing Preservation classification system suitable for use for all cochlear implant users with measurable pre-operative residual hearing. Methods: The HEARRING group discussed and reviewed a number of different propositions of a HP classification systems and reviewed critical appraisals to develop a qualitative system in accordance with the prerequisites. Results: The Hearing Preservation Classification System proposed herein fulfills the following necessary criteria: 1) classification is independent from users' initial hearing, 2) it is appropriate for all cochlear implant users with measurable pre-operative residual hearing, 3) it covers the whole range of pure tone average from 0 to 120 dB; 4) it is easy to use and easy to understand

Unilateral cochlear implants for severe, profound, or moderate sloping to profound bilateral sensorineural hearing loss : a systematic review and consensus statements

IMPORTANCE Cochlear implants are a treatment option for individuals with severe, profound, or moderate sloping to profound bilateral sensorineural hearing loss (SNHL) who receive little or no benefit from hearing aids; however, cochlear implantation in adults is still not routine. OBJECTIVE To develop consensus statements regarding the use of unilateral cochlear implants in adults with severe, profound, or moderate sloping to profound bilateral SNHL. DESIGN, SETTING, AND PARTICIPANTS This study was a modified Delphi consensus process that was informed by a systematic review of the literature and clinical expertise. Searches were conducted in the following databases: (1) MEDLINE In-Process & Other Non-Indexed Citations and Ovid MEDLINE, (2) Embase, and (3) the Cochrane Library. Consensus statements on cochlear implantation were developed using the evidence identified. This consensus process was relevant for the use of unilateral cochlear implantation in adults with severe, profound, or moderate sloping to profound bilateral SNHL. The literature searches were conducted on July 18, 2018, and the 3-step Delphi consensus method took place over the subsequent 9-month period up to March 30, 2019. MAIN OUTCOMES AND MEASURES A Delphi consensus panel of 30 international specialists voted on consensus statements about cochlear implantation, informed by an SR of the literature and clinical expertise. This vote resulted in 20 evidence-based consensus statements that are in line with clinical experience. A modified 3-step Delphi consensus method was used to vote on and refine the consensus statements. This method consisted of 2 rounds of email questionnaires and a face-to-face meeting of panel members at the final round. All consensus statements were reviewed, discussed, and finalized at the face-to-face meeting. RESULTS In total, 6492 articles were identified in the searches of the electronic databases. After removal of duplicate articles, 74 articles fulfilled all of the inclusion criteria and were used to create the 20 evidence-based consensus statements. These 20 consensus statements on the use of unilateral cochlear implantation in adults with SNHL were relevant to the following 7 key areas of interest: level of awareness of cochlear implantation (1 consensus statement); best practice clinical pathway from diagnosis to surgery (3 consensus statements); best practice guidelines for surgery (2 consensus statements); clinical effectiveness of cochlear implantation (4 consensus statements); factors associated with postimplantation outcomes (4 consensus statements); association between hearing loss and depression, cognition, and dementia (5 consensus statements); and cost implications of cochlear implantation (1 consensus statement). CONCLUSIONS AND RELEVANCE These consensus statements represent the first step toward the development of international guidelines on best practices for cochlear implantation in adults with SNHL. Further research to develop consensus statements for unilateral cochlear implantation in children, bilateral cochlear implantation, combined electric-acoustic stimulation, unilateral cochlear implantation for single-sided deafness, and asymmetrical hearing loss in children and adults may be beneficial for optimizing hearing and quality of life for these patients

Transformation pathways of phasing out coal-fired power plants in Germany

BackgroundWhile there are plenty of studies investigating the market penetration of new technologies, phase-out processes of a predominant technology are rarely analyzed. The present study explores the case of a declining technology, employing the example of coal-fired power plants in Germany. These plants were promoted by governmental decision-makers as well as by the industry for a long time, but meanwhile, the phase-out or at least a cutback of coal-fired power plants is––not only in Germany––considered to be a key strategy for the transformation towards a sustainable society.MethodsWe investigate potential pathways of the future development of the coal-fired power plant sector in an extended multi-level perspective (MLP) framework that integrates economic, social, political, and technical aspects.ResultsTaking into account the fact that coal is losing its support from several important stakeholders (e.g., governmental decision-makers, utilities) due to, e.g., changes in the prioritization of political goals, changes in the economic framework, in actor constellations, and in public attitudes, coal-fired power plants tend to be pushed into niches or to disappear completely. ConclusionsA reasonable management of the niche technology “coal-fired power plants” could include a protection of space for ensuring a smooth removal of the links between the regime and the technology with respect to, e.g., social and environmental aspects. The phase-out pathways for the coal-fired power plants elaborated on in this paper help to better inform policy-makers to design transformation processes not only for coal-fired power but also for other declining technologies