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https://www.readbyqxmd.com/read/29135872/the-role-of-auditory-evoked-potentials-in-the-context-of-cochlear-implant-provision
#1
Sebastian Hoth, Oliver Christian Dziemba
: Auditory evoked potentials (AEP) are highly demanded during the whole process of equipping patients with cochlear implants (CI). They play an essential role in preoperative diagnostics, intraoperative testing, and postoperative monitoring of auditory performance and success. The versatility of AEP's is essentially enhanced by their property to be evokable by acoustic as well as electric stimuli. Thus, the electric responses of the auditory system following acoustic stimulation and recorded by the conventional surface technique as well as by transtympanic derivation from the promontory (Electrocochleography [ECochG]) are used for the quantitative determination of hearing loss and, additionally, electrically evoked compound actions potentials (ECAP) can be recorded with the intracochlear electrodes of the implant just adjacent to the stimulation electrode to check the functional integrity of the device and its coupling to the auditory system...
December 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/29098968/-self-referrals-at-emergency-care-access-points-and-triage-by-general-practitioner-cooperatives
#2
M Smits, M Rutten, L Schepers, P Giesen
OBJECTIVE: There is a trend for General Practitioner Cooperatives (GPCs) to co-locate with emergency departments (EDs) of hospitals at Emergency Care Access Points (ECAPs), where the GPCs generally conduct triage and treat a large part of self-referrals who would have gone to the ED by themselves in the past. We have examined patient and care characteristics of self-referrals at ECAPs where triage was conducted by GPCs, also to determine the percentage of self-referrals being referred to the ED...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/29029061/effects-of-access-to-radiology-in-out-of-hours-primary-care-in-the-netherlands-a-prospective-observational-study
#3
Martijn Hendrik Rutten, Marleen Smits, Yvonne Anthonia Sebastiana Peters, Willem Jan Jozef Assendelft, Gert Pieter Westert, Paul Hendrikus Josephus Giesen
Background: In the Netherlands, out-of-hours primary care is provided in general-practitioner-cooperatives (GPCs). These are increasingly located on site with emergency departments (ED), forming Emergency-Care-Access-Points (ECAP). A more efficient and economical organization of out-of-hours primary emergency care could be realized by increased collaboration at an ECAP. In this study, we compared the effects of different models with respect to access to (hospital) radiology by the GPC...
September 28, 2017: Family Practice
https://www.readbyqxmd.com/read/28972468/effect-of-stimulus-polarity-on-physiological-spread-of-excitation-in-cochlear-implants
#4
Emily R Spitzer, Michelle L Hughes
BACKGROUND: Contemporary cochlear implants (CIs) use cathodic-leading, symmetrical, biphasic current pulses, despite a growing body of evidence that suggests anodic-leading pulses may be more effective at stimulating the auditory system. However, since much of this research on humans has used pseudomonophasic pulses or biphasic pulses with unusually long interphase gaps, the effects of stimulus polarity are unclear for clinically relevant (i.e., symmetric biphasic) stimuli. PURPOSE: The purpose of this study was to examine the effects of stimulus polarity on basic characteristics of physiological spread-of-excitation (SOE) measures obtained with the electrically evoked compound action potential (ECAP) in CI recipients using clinically relevant stimuli...
October 2017: Journal of the American Academy of Audiology
https://www.readbyqxmd.com/read/28947082/facilitation-and-refractoriness-of-the-electrically-evoked-compound-action-potential
#5
Matthias Hey, Joachim Müller-Deile, Horst Hessel, Matthijs Killian
In this study we aim to resolve the contributions of facilitation and refractoriness at very short pulse intervals. Measurements of the refractory properties of the electrically evoked compound action potential (ECAP) of the auditory nerve in cochlear implant (CI) users at inter pulse intervals below 300 μs are influenced by facilitation and recovery effects. ECAPs were recorded using masker pulses with a wide range of current levels relative to the probe pulse levels, for three suprathreshold probe levels and pulse intervals from 13 to 200 μs...
September 11, 2017: Hearing Research
https://www.readbyqxmd.com/read/28945656/use-of-electrically-evoked-compound-action-potentials-for-cochlear-implant-fitting-a-systematic-review
#6
Johan J de Vos, Jan Dirk Biesheuvel, Jeroen J Briaire, Pieter S Boot, Margriet J van Gendt, Olaf M Dekkers, Marta Fiocco, Johan H M Frijns
OBJECTIVES: The electrically evoked compound action potential (eCAP) is widely used in the clinic as an objective measure to assess cochlear implant functionality. During the past decade, there has been increasing interest in applying eCAPs for fitting of cochlear implants. Several studies have shown that eCAP-based fitting can potentially replace time-consuming behavioral fitting procedures, especially in young children. However, a closer look to all available literature revealed that there is no clear consensus on the validity of this fitting procedure...
September 22, 2017: Ear and Hearing
https://www.readbyqxmd.com/read/28922517/effective-relief-of-pain-and-associated-symptoms-with-closed-loop-spinal-cord-stimulation-system-preliminary-results-of-the-avalon-study
#7
Marc Russo, Michael J Cousins, Charles Brooker, Nathan Taylor, Tillman Boesel, Richard Sullivan, Lawrence Poree, Nastaran Hesam Shariati, Erin Hanson, John Parker
OBJECTIVES: Conventional spinal cord stimulation (SCS) delivers a fixed-input of energy into the dorsal column. Physiologic effects such as heartbeat, respiration, spinal cord movement, and history of stimulation can cause both the perceived intensity and recruitment of stimulation to increase or decrease, with clinical consequences. A new SCS system controls stimulation dose by measuring the recruitment of fibers in the dorsal column and by using the amplitude of the evoked compound action potentials (ECAPs) to maintain stimulation within an individualized therapeutic range...
September 18, 2017: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/28902802/audiological-outcomes-and-map-characteristics-in-children-with-perimodiolar-and-slim-straight-array-cochlear-implants-in-opposite-ears
#8
Lisa R Park, Holly F B Teagle, Kevin D Brown, Erika B Gagnon, Jennifer S Woodard, Craig A Buchman
OBJECTIVE: To identify differences in outcomes and map characteristics in pediatric bilateral cochlear implants with modiolar conforming and lateral wall arrays in opposite ears. STUDY DESIGN: Retrospective case series. SETTING: Tertiary care pediatric referral center. PATIENTS: Fourteen children who received a perimodiolar array in one ear and a slim straight array in the opposite ear in sequential surgeries. INTERVENTIONS: None...
October 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28886043/haplotype-dependent-association-of-rs7927894-11q13-5-with-atopic-dermatitis-and-chronic-allergic-rhinitis-a-study-in-ecap-cohort
#9
Joanna Kinga Ponińska, Bolesław Samoliński, Aneta Tomaszewska, Filip Raciborski, Piotr Samel-Kowalik, Artur Walkiewicz, Agnieszka Lipiec, Barbara Piekarska, Edyta Krzych-Fałta, Andrzej Namysłowski, Grażyna Kostrzewa, Andrzej Pawlik, Monika Jasek, Andrzej Wiśniewski, Piotr Kuśnierczyk, Sławomir Majewski, Rafał Płoski
The T allele of rs7927894 (at 11q13.5) was associated with atopic dermatitis and other allergic diseases. Our purpose was to replicate the association with allergic phenotypes and explore the role of rs7927894 in predisposing to persistent allergic rhinitis and atopic asthma. We also wanted to explore if other SNPs at 11q13.5 contributed to effect of rs7927894. We studied patients with atopic dermatitis (N = 270), atopic asthma (N = 486), persistent allergic rhinitis (N = 589) and controls matched for age, sex and region (N = 540, N = 372 and N = 1178, respectively)...
2017: PloS One
https://www.readbyqxmd.com/read/28885234/assessing-the-relationship-between-the-electrically-evoked-compound-action-potential-and-speech-recognition-abilities-in-bilateral-cochlear-implant-recipients
#10
Kara C Schvartz-Leyzac, Bryan E Pfingst
OBJECTIVES: The primary objective of the present study was to examine the relationship between suprathreshold electrically evoked compound action potential (ECAP) measures and speech recognition abilities in bilateral cochlear implant listeners. We tested the hypothesis that the magnitude of ear differences in ECAP measures within a subject (right-left) could predict the difference in speech recognition performance abilities between that subject's ears (right-left). DESIGN: To better control for across-subject variables that contribute to speech understanding, the present study used a within-subject design...
September 6, 2017: Ear and Hearing
https://www.readbyqxmd.com/read/28834942/using-electrically-evoked-compound-action-potentials-to-estimate-perceptive-levels-in-experienced-adult-cochlear-implant-users
#11
Charles-Alexandre Joly, Vincent Péan, Ruben Hermann, Fabien Seldran, Hung Thai-Van, Eric Truy
HYPOTHESIS: The cochlear implant (CI) fitting level prediction accuracy of electrically-evoked compound action potential (ECAP) should be enhanced by the addition of demographic data in models. INTRODUCTION: No accurate automated fitting of CI based on ECAP has yet been proposed. METHODS: We recorded ECAP in 45 adults who had been using MED-EL CIs for more than 11 months and collected the most comfortable loudness level (MCL) used for CI fitting (prog-MCL), perception thresholds (meas-THR), and MCL (meas-MCL) measured with the stimulation used for ECAP recording...
October 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28776202/neurotrophin-gene-therapy-in-deafened-ears-with-cochlear-implants-long-term-effects-on-nerve-survival-and-functional-measures
#12
Bryan E Pfingst, Deborah J Colesa, Donald L Swiderski, Aaron P Hughes, Stefan B Strahl, Moaz Sinan, Yehoash Raphael
Because cochlear implants function by stimulating the auditory nerve, it is assumed that the condition of the nerve plays an important role in the efficacy of the prosthesis. Thus, considerable research has been devoted to methods of preserving the nerve following deafness. Neurotrophins have been identified as a potential contributor to neural health, but most of the research to date has been done in young animals and for short periods (less than 3 to 6 months) after the onset of treatment. The first objective of the current experiment was to examine the effects of a neurotrophin gene therapy delivery method on spiral ganglion neuron (SGN) preservation and function in the long term (5 to 14 months) in mature guinea pigs with cochlear implants...
August 3, 2017: Journal of the Association for Research in Otolaryngology: JARO
https://www.readbyqxmd.com/read/28774000/influence-of-processing-techniques-on-microstructure-and-mechanical-properties-of-a-biodegradable-mg-3zn-2ca-alloy
#13
Pavel Doležal, Josef Zapletal, Stanislava Fintová, Zuzanka Trojanová, Miroslav Greger, Pavla Roupcová, Tomáš Podrábský
New Mg-3Zn-2Ca magnesium alloy was prepared using different processing techniques: gravity casting as well as squeeze casting in liquid and semisolid states. Materials were further thermally treated; thermal treatment of the gravity cast alloy was additionally combined with the equal channel angular pressing (ECAP). Alloy processed by the squeeze casting in liquid as well as in semisolid state exhibit improved plasticity; the ECAP processing positively influenced both the tensile and compressive characteristics of the alloy...
October 28, 2016: Materials
https://www.readbyqxmd.com/read/28773072/influence-of-equal-channel-angular-pressing-passes-on-the-microstructures-and-tensile-properties-of-mg-8sn-6zn-2al-alloy
#14
Weili Cheng, Liang Tian, Shichao Ma, Yang Bai, Hongxia Wang
An I-phase containing Mg-8Sn-6Zn-2Al (wt %; TZA862) alloy was fabricated and subjected to different number of passes of equal channel angular pressing (ECAP) processing at 300 °C. The results showed that the alloys exhibited a bimodal microstructure, which consisted of fine dynamically recrystallized (DRX) grains and coarse non-DRX grains. When increasing the number of ECAP passes from 2 to 6, the fraction of DRX grains and the dispersed second phase particles subsequently increase. However, the fraction and particles then decrease once the number of ECAP passes increases to 8...
June 27, 2017: Materials
https://www.readbyqxmd.com/read/28772447/microstructure-evolution-in-high-purity-aluminum-single-crystal-processed-by-equal-channel-angular-pressing-ecap
#15
Jinfang Dong, Qing Dong, Yongbing Dai, Hui Xing, Yanfeng Han, Jianbo Ma, Jiao Zhang, Jun Wang, Baode Sun
Aluminum single crystal with 99.999% purity was deformed at room temperature by equal channel angular pressing (ECAP) up to 16 passes. Grain size and misorientation of processed samples were quantitatively characterized by TEM and EBSD. The results show that the refinement efficiency of high purity aluminum single crystal was poor in the initial stage. Extrusion by fewer ECAP passes (n ≤ 8) resulted in only elongated grains containing a large number of subgrains and small misorientations between grains. Stable microstructures of nearly equiaxed grains with high misorientations were obtained by 15 passages, indicating that the initial extremely coarse grains and highly uniform grain orientation are not conducive to the accumulation of strain energy...
January 22, 2017: Materials
https://www.readbyqxmd.com/read/28693819/haemodynamics-and-stresses-in-abdominal-aortic-aneurysms-a-fluid-structure-interaction-study-into-the-effect-of-proximal-neck-and-iliac-bifurcation-angle
#16
Corey J Drewe, Louis P Parker, Lachlan J Kelsey, Paul E Norman, Janet T Powell, Barry J Doyle
Our knowledge of how geometry influences abdominal aortic aneurysm (AAA) biomechanics is still developing. Both iliac bifurcation angle and proximal neck angle could impact the haemodynamics and stresses within AAA. Recent comparisons of the morphology of ruptured and intact AAA show that cases with large iliac bifurcation angles are less likely to rupture than those with smaller angles. We aimed to perform fluid-structure interaction (FSI) simulations on a range of idealised AAA geometries to conclusively determine the influence of proximal neck and iliac bifurcation angle on AAA wall stress and haemodynamics...
June 27, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/28691403/effects-of-davallia-formosana-hayata-water-and-alcohol-extracts-on-osteoblastic-mc3t3-e1-cells
#17
Chia-Feng Wu, Yeong-Shenn Lin, Sheng-Chi Lee, Cheng-Yu Chen, Ming-Chang Wu, Jen-Shinn Lin
The Taiwanese native fern Davallia formosana Hayata (DFH) is used to treat bone diseases in classical Chinese medicine. We analyzed MC3T3E1 osteoblasts treated with different concentrations of water and ethanol extracts (10, 25, and 50 [both], and 100 μg/mL [DFE only]) using cell viability, expression of osteoblast differentiation markers [bone morphogenetic protein 2 (BMP-2), collagen 1 (CoL-1), alkaline phosphatase (ALP), and Runt-related transcription factor 2 (Runx 2)], and mineralization. These were significantly increased by DFW or DFE after 24-h incubation compared with the untreated controls...
September 2017: Phytotherapy Research: PTR
https://www.readbyqxmd.com/read/28690494/the-electrically-evoked-compound-action-potential-from-laboratory-to-clinic
#18
REVIEW
Shuman He, Holly F B Teagle, Craig A Buchman
The electrically evoked compound action potential (eCAP) represents the synchronous firing of a population of electrically stimulated auditory nerve fibers. It can be directly recorded on a surgically exposed nerve trunk in animals or from an intra-cochlear electrode of a cochlear implant. In the past two decades, the eCAP has been widely recorded in both animals and clinical patient populations using different testing paradigms. This paper provides an overview of recording methodologies and response characteristics of the eCAP, as well as its potential applications in research and clinical situations...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/28688564/utility-of-intraoperative-and-postoperative-radiographs-in-pediatric-cochlear-implant-surgery
#19
Samantha Anne, Jose Miguel Juarez, Amber Shaffer, David Eleff, Dennis Kitsko, Sarah Sydlowski, Erika Woodson, David Chi
OBJECTIVE: Routine plain film radiographs are often obtained to confirm proper placement of electrode after pediatric cochlear implant surgery. Objective is to evaluate necessity of routine radiographs in pediatric cochlear implant cases. STUDY DESIGN: Retrospective review. SETTING: Two tertiary care academic centers. SUBJECTS AND METHODS: Review of all children that underwent cochlear implantation from January 2003 thru June 2015...
August 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28678078/responsiveness-of-the-electrically-stimulated-cochlear-nerve-in-children-with-cochlear-nerve-deficiency
#20
Shuman He, Bahar S Shahsavarani, Tyler C McFayden, Haibo Wang, Katherine E Gill, Lei Xu, Xiuhua Chao, Jianfen Luo, Ruijie Wang, Nancy He
OBJECTIVES: This study aimed to (1) investigate the responsiveness of the cochlear nerve (CN) to a single biphasic-electrical pulse in implanted children with cochlear nerve deficiency (CND) and (2) compare their results with those measured in implanted children with normal-size CNs. DESIGN: Participants included 23 children with CND (CND1 to CND23) and 18 children with normal-size CNs (S1 to S18). All subjects except for CND1 used Cochlear Nucleus cochlear implants with contour electrode arrays in their test ears...
July 1, 2017: Ear and Hearing
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