Domains relating to the everyday impact of hearing loss, as reported by patients or their communication partner(s): protocol for a systematic review

INTRODUCTION: Hearing loss is a highly prevalent condition that affects around 1 in 6 people in the UK alone. This number is predicted to rise by the year 2031 to a staggering 14.5 million people due to the ageing population of the UK. Currently, the most common intervention for hearing loss is amplification with hearing aid(s) which serve to address the issue of audibility due to hearing loss, but cannot reverse its effects. The consequences of hearing loss are multifaceted, as it is a complex condition that can detrimentally affect various aspects of an individual's life, including communication and personal relationships. The scope of these reported issues is so broad that it calls on the need for patient-centred management plans that are tailored to each patient as well as appropriate measures to assess intervention benefit. It is unclear whether current outcome instruments adequately match what patients report as the most important problems for them. METHODS AND ANALYSIS: The systematic review aims to capture existing knowledge about patients and their communication partner's perspective on the everyday impact of hearing loss. Methods are defined according to the Preferred Reporting Items for Systematic reviews and Meta-analyses for Protocols (PRISMA-P) 2015. ETHICS AND DISSEMINATION: No ethical issues are foreseen. Findings will be reported in student's thesis as well as at national and international ENT/audiology conferences and in a peer-reviewed journal. SYSTEMATIC REVIEW REGISTRATION NUMBER: PROSPERO CRD42015024914

Local multipunctual corticosteroid injections for medial tibial stress syndrome: a novel approach.

El síndrome de estrés medial de la tibia (SEMT) constituye una de las afecciones más comunes del miembro inferior. Los resultados obtenidos con terapias convencionales en esta patología son dispares. La infiltración local de corticoides ha mostrado producir efectos favorables en el tratamiento de diversos problemas musculoesqueléticos. Elefecto de la infiltración local multipuntual de un corticoide encombinación con un anestésico se estudió en 47 pacientes (29 hombres y 18 mujeres, con una edad media de 23.8) afectos de SEMT. La consulta directa y el examen físico se emplearon para valorar los resultados. Los pacientes fueron valorados una vez a la semana tras la primera aplicación durante las primeras cuatro semanas y 3 meses después del tratamiento. El nivel de actividad en ausencia de síntomas fue registrado en cada caso. Los resultados de la infiltración multipuntual se determinaron comparando los niveles de actividad en ausencia de síntomas preintervención y posintervención y la capacidad de los deportistas para volver a los niveles de actividad presintomáticos. Los resultados sugieren que este tratamiento reduce el tiempo de recuperación y mejora los resultados funcionales

Fast screening method for wine headspace compounds using solid-phase microextraction (SPME) and capillary GC technique

Solid-phase microextraction (SPME) coupled to capillary gas chromatography-mass spectrometry (GC-MS) was used for determination of volatile wine components. This combination offers a simple, quick, and sensitive approach suitable for characterization of wine aroma compounds without a complicated sample preparation procedure. Wines are characterized by "aromagrams", a set of identified components with corresponding relative abundances. Reproducibility (RSD errors of relative peak abundances) due to the analytical procedure are ca. 4%; variations among different samples of the same type of wine from the same region are ca. 8%. SPME-GC(-MS) has been shown to yield far larger differences among different wine types (Chardonnay, Muscat Ottonel, and Tramini) and among the same type of wine produced in different regions, showing the utility of the technique in wine analysis

Investigation of fiber/matrix adhesion: test speed and specimen shape effects in the cylinder test

The cylinder test, developed from the microdroplet test, was adapted to assess the interfacial adhesion strength between fiber and matrix. The sensitivity of cylinder test to pull-out speed and specimen geometry was measured. It was established that the effect of test speed can be described as a superposition of two opposite, simultaneous effects which have been modeled mathematically by fitting two parameter Weibull curves on the measured datas. Effects of the cylinder size and its geometrical relation on the measured strength values have been analyzed by finite element method. It was concluded that the geometry has a direct influence on the stress formation. Based on the results achieved, recommendations were given on how to perform the novel single fiber cylinder test

Outcomes for human immunodeficiency virus-1-infected infants in the United kingdom and Republic of Ireland in the era of effective antiretroviral therapy.

BACKGROUND: There are few data about disease progression and response to antiretroviral therapy (ART) in vertically HIV-infected infants in the era of effective therapy. DESIGN: Cohort study. METHODS: We examined progression to acquired immunodeficiency syndrome (AIDS) and death over calendar time for infants reported to the National Study of HIV in Pregnancy and Childhood in the United Kingdom/Ireland. The use of ART and CD4 and HIV-1 RNA responses were assessed in a subset in the Collaborative HIV Pediatric Study. RESULTS: Among 481 infants, mortality was lower in those born after 1997 (HR 0.30; P < 0.001), with no significant change in progression to AIDS. Of 174 infants born since 1997 in the Collaborative HIV Pediatric Study, 41 (24%) were followed from birth, 77 (44%) presented pre-AIDS and 56 (32%) presented with AIDS. Of 125 (72%) children on 3- or 4-drug ART by the age of 2 years, 59% had HIV-1 RNA <400 at 12 months; median CD4 percentage increased from 24% to 35%. Among 41 infants followed from birth, 12 progressed to AIDS (5 while ART naive) and 3 died; 1 of 10 infants initiating ART before 3 months of age progressed clinically. CONCLUSION: Mortality in HIV-infected infants is significantly lower in the era of effective ART, but symptomatic disease rates remain high. Infrequent clinic attendance and poor compliance with cotrimoxazole prophylaxis and/or ART in infants born to diagnosed HIV-infected women and late presentation of infants identified after birth appear to be major contributors. Poor virologic response to ART during infancy is of concern because of increased likelihood of early development of resistance

Hydrological, Sedimentological, and Meteorological Observations and Analysis on the Sagavanirktok River

The Dalton Highway near Deadhorse was closed twice during late March and early April 2015 because of extensive overflow from the Sagavanirktok River that flowed over the highway. That spring, researchers from the Water and Environmental Research Center at the University of Alaska Fairbanks (UAF) monitored the river conditions during breakup, which was characterized by unprecedented flooding that overtopped and consequently destroyed several sections of the Dalton Highway near Deadhorse. The UAF research team has monitored breakup conditions at the Sagavanirktok River since that time. Given the magnitude of the 2015 flooding, the Alyeska Pipeline Service Company started a long-term monitoring program within the river basin. In addition, the Alaska Department of Transportation and Public Facilities (ADOT&PF) funded a multiyear project related to sediment transport conditions along the Sagavanirktok River. The general objectives of these projects include determining ice elevations, identifying possible water sources, establishing surface hydro-meteorological conditions prior to breakup, measuring hydro-sedimentological conditions during breakup and summer, and reviewing historical imagery of the aufeis extent. In the present report, we focus on new data and analyze it in the context of previous data. We calculated and compared ice thickness near Franklin Bluffs for 2015, 2016, and 2017, and found that, in general, ice thickness during both 2015 and 2016 was greater than in 2017 across most of the study area. Results from a stable isotope analysis indicate that winter overflow, which forms the aufeis in the river area near Franklin Bluffs, has similar isotopic characteristics to water flowing from mountain springs. End-of-winter snow surveys (in 2016/2017) within the watershed indicate that the average snow water equivalent was similar to what we observed in winter 2015/2016. Air temperatures in May 2017 were low on the Alaska North Slope, which caused a long and gradual breakup, with peak flows occurring in early June, compared with mid-May in both 2015 and 2016. Maximum discharge measured at the East Bank station, near Franklin Bluffs was 750 m3/s (26,485 ft3/s) on May 30, 2017, while the maximum measured flow was 1560 m3/s (55,090 ft3/s) at the same station on May 20, 2015. Available cumulative rainfall data indicate that 2016 was wetter than 2017. ii In September 2015, seven dry and wet pits were dug near the hydro-sedimentological monitoring stations along the Sagavanirktok River study reach. The average grain-size of the sediment of exposed gravel bars at sites located upstream of the Ivishak-Sagavanirktok confluence show relatively constant values. Grain size becomes finer downstream of the confluence. We conducted monthly topo-bathymetric surveys during the summer months of 2016 and 2017 in each pit. Sediment deposition and erosion was observed in each of the pits. Calculated sedimentation volumes in each pit show the influence of the Ivishak River in the bed sedimenttransport capacity of the Sagavanirktok River. In addition, comparison between dry and wet pit sedimentation volumes in some of the stations proves the complexity of a braided river, which is characterized by frequent channel shifting A two-dimensional hydraulic model is being implemented for a material site. The model will be used to estimate the required sediment refill time based on different river conditions.ABSTRACT ..................................................................................................................................... i LIST OF FIGURES ......................................................................................................................... i LIST OF TABLES ....................................................................................................................... xiv ACKNOWLEDGMENTS AND DISCLAIMER ........................................................................ xvi CONVERSION FACTORS, UNITS, WATER QUALITY UNITS, VERTICAL AND HORIZONTAL DATUM, ABBREVIATIONS, AND SYMBOLS .......................................... xvii ABBREVIATIONS, ACRONYMS, AND SYMBOLS .............................................................. xix 1 INTRODUCTION ................................................................................................................... 1 2 STUDY AREA ........................................................................................................................ 2 2.1 Sagavanirktok River near MP318 Site 066 (DSS4) ......................................................... 7 2.2 Sagavanirktok River at Happy Valley Site 005 (DSS3) .................................................. 7 2.3 Sagavanirktok River below the Confluence with the Ivishak River (DSS2) ................... 9 2.4 Sagavanirktok River near MP405 Site 042 (DSS1) ....................................................... 10 3 METHODOLOGY AND EQUIPMENT .............................................................................. 13 3.1 Pits .................................................................................................................................. 13 3.1.1 Excavation............................................................................................................... 13 3.1.2 Surveying ................................................................................................................ 14 3.2 Surface Meteorology ...................................................................................................... 15 3.3 Aufeis Extent .................................................................................................................. 17 3.3.1 Field Methods ......................................................................................................... 18 3.3.2 Imagery ................................................................................................................... 18 3.4 Water Level Measurements ............................................................................................ 19 3.5 Runoff............................................................................................................................. 20 3.6 Suspended Sediment ...................................................................................................... 21 3.7 Turbidity ......................................................................................................................... 22 3.8 Stable Isotopes................................................................................................................ 22 4 RESULTS .............................................................................................................................. 23 4.1 Meteorology ................................................................................................................... 23 4.1.1 Air Temperature ...................................................................................................... 23 4.1.2 Precipitation ............................................................................................................ 31 4.1.2.1 Cold Season Precipitation ................................................................................ 31 4.1.2.2 Warm Season Precipitation ............................................................................. 36 4.1.3 Wind Speed and Direction ...................................................................................... 39 iv 4.2 Aufeis Extent .................................................................................................................. 40 4.2.1 Historical Aufeis at Franklin Bluffs ........................................................................ 41 4.2.2 Delineating Ice Surface Elevation with GPS and Aerial Imagery .......................... 45 4.3 Surface Water Hydrology ............................................................................................... 52 4.3.1 Sagavanirktok River at MP318 (DSS4) .................................................................. 58 4.3.2 Sagavanirktok River at Happy Valley (DSS3) ....................................................... 61 4.3.3 Sagavanirktok River near MP347 (ASS1) .............................................................. 65 4.3.4 Sagavanirktok River below the Ivishak River (DSS2) ........................................... 66 4.3.5 Sagavanirktok River at East Bank (DSS5) near Franklin Bluffs ............................ 70 4.3.6 Sagavanirktok River at MP405 (DSS1) West Channel .......................................... 78 4.3.7 Additional Field Observations ................................................................................ 82 4.3.8 Preliminary Rating Curves and Estimated Discharge ............................................. 85 4.4 Stable Isotopes................................................................................................................ 86 4.5 Sediment Grain Size Distribution .................................................................................. 90 4.5.1 Streambed Sediment Grain Size Distribution ......................................................... 90 4.5.2 Suspended Sediment Grain Size Distribution ......................................................... 94 4.6 Suspended Sediment Concentration ............................................................................... 95 4.6.1 Sagavanirktok River near MP318 (DSS4) .............................................................. 95 4.6.2 Sagavanirktok River at Happy Valley (DSS3) ..................................................... 100 4.6.3 Sagavanirktok River below the Ivishak River (DSS2) ......................................... 105 4.6.4 Sagavanirktok River near MP405 (DSS1) ............................................................ 111 4.6.5 Discussion ............................................................................................................. 114 4.7 Turbidity ....................................................................................................................... 116 4.7.1 Sagavanirktok River near MP318 (DSS4) ............................................................ 116 4.7.2 Sagavanirktok River at Happy Valley (DSS3) ..................................................... 119 4.7.3 Sagavanirktok River below the Ivishak (DSS2) ................................................... 124 4.7.4 Sagavanirktok River near MP405 (DSS1) ............................................................ 126 4.7.5 Discussion ............................................................................................................. 130 4.8 Analysis of Pits............................................................................................................. 130 4.8.1 Photographs of Pits ............................................................................................... 130 4.8.2 GIS Analysis of Pit Bathymetry ........................................................................... 141 4.8.3 Pit Sedimentation .................................................................................................. 142 4.8.4 Erosion Surveys .................................................................................................... 149 4.8.5 Patterns of Sediment Transport Along the River .................................................. 156 v 4.9 Hydraulic Modeling ..................................................................................................... 158 4.9.1 Model Development .............................................................................................. 160 4.9.2 Results of Simulation ............................................................................................ 165 5 CONCLUSIONS ................................................................................................................. 171 6 REFERENCES .................................................................................................................... 174 7 APPENDICES ..................................................................................................................... 18