International consensus (ICON) on treatment of sudden sensorineural hearing loss

© 2018 Elsevier Masson SAS Sudden sensorineural hearing loss (SSNHL) is a common and alarming symptom that often prompts an urgent visit to an ENT specialist. Treatment of SSNHL remains one of the most problematic issues for contemporary otorhinolaryngology: although many meta-analyses and national guidelines have been issued, management is not standardized in terms of medical treatment, and duration and route of administration. We present several methodological suggestions for the study of treatments for SSNHL. These were developed from the existing level of evidence of the main treatments used in SSNHL by experts who convened at the IFOS 2017 ENT World Congress in Paris, France. All panelists agreed that one of the main limitations present in studies on SSNHL is related to the wide heterogeneity, which characterizes both the initial hearing deficit and the amount of hearing recovery. Although evidence of the efficacy of systemic steroids cannot be considered as strong enough to recommend their use, it is still the most widespread primary therapy and can be considered as the current standard of care. Therefore, systemic steroids stand as an adequate control for any innovative treatment. To reduce the number of subjects we suggest that the inclusion criteria should be restricted to moderate to profound levels of hearing loss. The efficacy of trans-tympanic steroids as a salvage therapy was suggested in several reports on small populations and needs to be confirmed with larger randomized controlled trials

Level densities and γ\gamma-ray strength functions in 170,171,172^{170,171,172}Yb

Level densities and radiative strength functions in $^{171}$Yb and $^{170}$Yb nuclei have been measured using the $^{171}$Yb($^3$He,$^3$He$^\prime\gamma$)$^{171}$Yb and $^{171}$Yb($^3$He,$\alpha\gamma$)$^{170}$Yb reactions. New data on $^{171}$Yb are compared to a previous measurement for $^{171}$Yb from the $^{172}$Yb($^3$He,$\alpha\gamma$)$^{171}$Yb reaction. Systematics of level densities and radiative strength functions in $^{170,171,172}$Yb are established. The entropy excess in $^{171}$Yb relative to the even-even nuclei $^{170,172}$Yb due to the unpaired neutron quasiparticle is found to be approximately 2$k_B$. Results for the radiative strength function from the two reactions lead to consistent parameters characterizing the ``pygmy'' resonances. Pygmy resonances in the $^{170,172}$Yb populated by the ($^3$He,$\alpha$) reaction appear to be split into two components for both of which a complete set of resonance parameters are obtained.Comment: 8 pages, 7 figure

Detection of Very Low-Frequency Quasi-Periodic Oscillations in the 2015 Outburst of V404 Cygni

In June 2015, the black hole X-ray binary (BHXRB) V404 Cygni went into outburst for the first time since 1989. Here, we present a comprehensive search for quasi-periodic oscillations (QPOs) of V404 Cygni during its recent outburst, utilizing data from six instruments on board five different X-ray missions: Swift/XRT, Fermi/GBM, Chandra/ACIS, INTEGRAL's IBIS/ISGRI and JEM-X, and NuSTAR. We report the detection of a QPO at 18 mHz simultaneously with both Fermi/GBM and Swift/XRT, another example of a rare but slowly growing new class of mHz-QPOs in BHXRBs linked to sources with a high orbital inclination. Additionally, we find a duo of QPOs in a Chandra/ACIS observation at 73 mHz and 1.03 Hz, as well as a QPO at 136 mHz in a single Swift/XRT observation that can be interpreted as standard Type-C QPOs. Aside from the detected QPOs, there is significant structure in the broadband power, with a strong feature observable in the Chandra observations between 0.1 and 1 Hz. We discuss our results in the context of current models for QPO formation.Comment: 17 pages, 9 figures, published in Ap

The effects of digital predistortion in a CO-OFDM system – a stochastic approach

Digital predistortion is topic of significant interest in telecommunications – both in the wireless radio field and, more recently, in photonics. In the present letter, the authors undertake a sensitivity analysis of various digital predistortion algorithms. Using recent metamodeling techniques designed for efficient stochastic analysis, the authors show that using predistortion not only leads to a reduction of the error vector magnitude in general but can also make the system less sensitive to uncertainties

Fiber-Flux Diffusion Density for White Matter Tracts Analysis: Application to Mild Anomalies Localization in Contact Sports Players

We present the concept of fiber-flux density for locally quantifying white matter (WM) fiber bundles. By combining scalar diffusivity measures (e.g., fractional anisotropy) with fiber-flux measurements, we define new local descriptors called Fiber-Flux Diffusion Density (FFDD) vectors. Applying each descriptor throughout fiber bundles allows along-tract coupling of a specific diffusion measure with geometrical properties, such as fiber orientation and coherence. A key step in the proposed framework is the construction of an FFDD dissimilarity measure for sub-voxel alignment of fiber bundles, based on the fast marching method (FMM). The obtained aligned WM tract-profiles enable meaningful inter-subject comparisons and group-wise statistical analysis. We demonstrate our method using two different datasets of contact sports players. Along-tract pairwise comparison as well as group-wise analysis, with respect to non-player healthy controls, reveal significant and spatially-consistent FFDD anomalies. Comparing our method with along-tract FA analysis shows improved sensitivity to subtle structural anomalies in football players over standard FA measurements

Evolution of level density step structures from 56,57-Fe to 96,97-Mo

Level densities have been extracted from primary gamma spectra for 56,57-Fe and 96,97-Mo nuclei using (3-He,alpha gamma) and (3-He,3-He') reactions on 57-Fe and 97-Mo targets. The level density curves reveal step structures above the pairing gap due to the breaking of nucleon Cooper pairs. The location of the step structures in energy and their shapes arise from the interplay between single-particle energies and seniority-conserving and seniority-non-conserving interactions.Comment: 9 pages, including 5 figure

Syn‐rift sediment gravity flow deposition on a Late Jurassic fault‐terraced slope, northern North Sea

Structurally controlled bathymetry in rifts has a significant influence on sediment routing pathways and depositional architecture of sediment gravity flow deposits. In contrast to rift segments characterized by crustal-scale half-grabens, the tectono-stratigraphic evolution of deep-water rift domains characterised by distributed faulting on narrow fault terraces has received little attention. We use 3D broadband seismic data, calibrated by boreholes, from the Lomre and Uer terraces in the northern North Sea rift to investigate Late Jurassic syn-rift sediment gravity flow systems on fault-terraced slopes. The sediment gravity flow fairways were sourced from hinterland drainages via basin margin deltaic systems on the Horda Platform to the southeast. The deep-water sedimentary systems evolve from initial, widespread submarine channelized lobe complexes, through submarine channels, to incised submarine canyons. This progressive confinement of the sediment gravity flow system was concomitant with progressive localization of strain onto the main terrace-bounding faults. Although the normal fault network on the terraces has local impact on deep-water sediment transport and the architecture of gravity flow deposits, it is the regional basin margin to rift axis gradient that dominantly controls deep-water sediment routing. Furthermore, the gravity flow deposits on the Lomre and Uer terraces were predominantly sourced by rift margin deltaic systems, not from erosion of local uplifted footwall crests, emphasising the significance of hinterland catchments in the development of volumetrically significant deep-water syn-rift depositional systems

Superdeformation in 198^{198}Po

The $^{174}$Yb($^{29}$Si,5n) reaction at 148 MeV with thin targets was used to populate high-angular momentum states in $^{198}$Po. Resulting $\gamma$ rays were observed with Gammasphere. A weakly-populated superdeformed band of 10 $\gamma$-ray transitions was found and has been assigned to $^{198}$Po. This is the first observation of a SD band in the $A \approx 190$ region in a nucleus with $Z > 83$. The ${\cal J}^{(2)}$ of the new band is very similar to those of the yrast SD bands in $^{194}$Hg and $^{196}$Pb. The intensity profile suggests that this band is populated through states close to where the SD band crosses the yrast line and the angular momentum at which the fission process dominates.Comment: 10 pages, revtex, 2 figs. available on request, submitted to Phys. Rev. C. (Rapid Communications

John Schuster, Descartes-agonistes: Physico-mathematics, method and corpuscular-mechanism, 1618–1633

We report on a 10 ks simultaneous Chandra/HETG-NuSTAR observation of the Bursting Pulsar, GRO J1744-28, during its third detected outburst since discovery and after nearly 18 years of quiescence. The source is detected up to 60 keV with an Eddington persistent flux level. Seven bursts, followed by dips, are seen with Chandra, three of which are also detected with NuSTAR. Timing analysis reveals a slight increase in the persistent emission pulsed fraction with energy (from 10% to 15%) up to 10 keV, above which it remains constant. The 0.5-70 keV spectra of the persistent and dip emission are the same within errors, and well described by a blackbody (BB), a power-law with an exponential rolloff, a 10 keV feature, and a 6.7 keV emission feature, all modified by neutral absorption. Assuming that the BB emission originates in an accretion disc, we estimate its inner (magnetospheric) radius to be about 4x10^7 cm, which translates to a surface dipole field B~9x10^10 G. The Chandra/HETG spectrum resolves the 6.7 keV feature into (quasi-)neutral and highly ionized Fe XXV and Fe XXVI emission lines. XSTAR modeling shows these lines to also emanate from a truncated accretion disk. The burst spectra, with a peak flux more than an order of magnitude higher than Eddington, are well fit with a power-law with an exponential rolloff and a 10~keV feature, with similar fit values compared to the persistent and dip spectra. The burst spectra lack a thermal component and any Fe features. Anisotropic (beamed) burst emission would explain both the lack of the BB and any Fe components.Comment: 15 pages, 11 figures, Accepted in Ap