301 research outputs found

    Effects of cochlear implantation on binaural hearing in adults with unilateral hearing loss

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    A FDA clinical trial was carried out to evaluate the potential benefit of cochlear implant (CI) use for adults with unilateral moderate-to-profound sensorineural hearing loss. Subjects were 20 adults with moderate-to-profound unilateral sensorineural hearing loss and normal or near-normal hearing on the other side. A MED-EL standard electrode was implanted in the impaired ear. Outcome measures included: (a) sound localization on the horizontal plane (11 positions, −90° to 90°), (b) word recognition in quiet with the CI alone, and (c) masked sentence recognition with the target at 0° and the masker at −90°, 0°, or 90°. This battery was completed preoperatively and at 1, 3, 6, 9, and 12 months after CI activation. Normative data were also collected for 20 age-matched control subjects with normal or near-normal hearing bilaterally. The CI improved localization accuracy and reduced side bias. Word recognition with the CI alone was similar to performance of traditional CI recipients. The CI improved masked sentence recognition when the masker was presented from the front or from the side of normal or near-normal hearing. The binaural benefits observed with the CI increased between the 1- and 3-month intervals but appeared stable thereafter. In contrast to previous reports on localization and speech perception in patients with unilateral sensorineural hearing loss, CI benefits were consistently observed across individual subjects, and performance was at asymptote by the 3-month test interval. Cochlear implant settings, consistent CI use, and short duration of deafness could play a role in this result

    Design and Synthesis of a Novel Alpha-Methylene Lactone Chemotherapeutic Agent

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    Goniothalamin, a natural product isolated from the dried stem bark of Malaysian plants of the genus Goniothalamus, has been shown to induce apoptosis in cancer cells. The bioactivity of this molecule is though to be due to its ability to react with thiols. One mechanism involves its reaction with glutathione, a natural antioxidant found in all cells. Using a four step synthetic sequence, a novel gamma-lactone analogue of goniothalamin has been prepared that replaces the endocylic double bond in goniothalamin\u27s lactone core with an exocyclic double bond. It is anticipated that this alteration will allow the compound to react more rapidly with thiols and therefore increase its cytotoxicity towards cancer cells

    Festschrift Symposium: Honoring Professor Samuel Pillsbury

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    The Loyola of Los Angeles Law Review is pleased to publish this Festschrift Symposium Honoring Professor Samuel Pillsbury. The following is an edited transcript of the live symposium held at LMU Loyola Law School on Friday, March 25, 2022

    The Compound Action Potential in Subjects Receiving a Cochlear Implant

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    The compound action potential (CAP) is a purely neural component of the cochlea’s response to sound, and may provide information about the existing neural substrate in cochlear implant (CI) subjects that can help account for variance in speech perception outcomes

    Construction of Precision sMDT Detector for ATLAS Muon Spectrometer Upgrade

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    This paper describes the small-diameter monitored drift-tube detector construction at the University of Michigan as a contribution to the ATLAS Muon Spectrometer upgrade for the high-luminosity Large Hadron Collider at CERN. Measurements of the first 30 chambers built at Michigan show that the drift tube wire position accuracy meets the specification of 20 microns. The positions of the platforms for alignment and magnetic field sensors are all installed well within the required precision. The cosmic ray test measurements show single wire tracking resolution of 100 +- 7 microns with an average detection efficiency above 99 %. The infrastructure, tooling, techniques, and procedures for chamber production are described in detail. The results from the chamber quality control tests of the first 30 constructed chambers are reported.Comment: 35 pages, 41 figure

    Influence of Age at Revision Cochlear Implantation on Speech Perception Outcomes

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    IMPORTANCE: This study reviewed whether advanced age should be a consideration when revision cochlear implantation is warranted. OBJECTIVE: To examine whether age at revision cochlear implantation is related to postrevision speech perception performance. DESIGN, SETTING, AND PARTICIPANTS: A retrospective analysis was performed in an academic tertiary care center. Participants included 14 younger adults (<65 years) and 15 older adults (≥65 years) who underwent revision cochlear implantation. INTERVENTION: Revision cochlear implantation. MAIN OUTCOMES AND MEASURES: Speech perception performance, as measured with consonant-nucleus-consonant [CNC] words in quiet, at the best prerevision interval as well as the 3- and 6-month postrevision intervals were compared between the 2 cohorts. The CNC word test consists of 10 lists of 50 phonemically balanced monosyllabic words, scored with a range of 0% to 100% correct. RESULTS: Both cohorts experienced a restoration in speech perception scores after revision cochlear implantation compared with their best performance before the revision (mean [SD] CNC word test scores for the younger cohort: 43.9% [25.6%] before revision and 47.7% [21.3%] at 3 months and 47.6% [19.8%] at 6 months after revision; for the older cohort: 36.3% [19.1%] before revision and 35.3% [17.2%] at 3 months and 39.9% [16.3%] at 6 months after revision; F₂,₅₄= 0.93; P = .40). There was no interaction between age at revision surgery and speech perception performance at each assessment interval (F₂,₅₄= 0.51; P = .60). CONCLUSIONS AND RELEVANCE: In this study, age at revision cochlear implantation was not related to postrevision speech perception performance. Advanced age should not be considered a contraindication to revision cochlear implantation
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