Several electrical stimulation patterns of the auditory nerve have been described for tinnitus relief, but there is no consensus on the most effective stimulation pattern. Therefore, we aim to systematically review the literature on the effect of intra- and extracochlear electrical stimulation patterns as a treatment option for patients with tinnitus. Only studies on intra- and extracochlear electrical stimulation for patients with tinnitus were included if the stimulation used did not concern standardized CI stimulation patterns to primarily rehabilitate hearing loss as intervention. A total of 34 studies met the inclusion criteria, with 10 studies (89 patients) on intracochlear electrical stimulation and 25 studies on extracochlear electrical stimulation (1109 patients). There was a high to medium risk of bias in 22 studies, especially due to lack of a non-exposed group and poor selection of the exposed group. All included studies showed subjective tinnitus improvement during or after electrical stimulation, using different stimulation patterns. Due to methodological limitations and low reporting quality of the included studies, the potential of intra- and extracochlear stimulation has not been fully explored. To draw conclusions on which stimulation patterns should be optimized for tinnitus relief, a deeper understanding of the mechanisms involved in tinnitus suppression is needed.
To date, the copper complex with the tris(2-pyridylmethyl)amine (tmpa) ligand (Cu-tmpa) catalyzes the ORR with the highest reported turnover frequency (TOF) for any molecular copper catalyst. To gain insight into the importance of the tetradentate nature and high flexibility of the tmpa ligand for efficient four-electron ORR catalysis, the redox and electrocatalytic ORR behavior of the copper complexes of 2,2':6',2″-terpyridine (terpy) and bis(2-pyridylmethyl)amine (bmpa) (Cu-terpy and Cu-bmpa, respectively) were investigated in the present study. With a combination of cyclic voltammetry and rotating ring disk electrode measurements, we demonstrate that the presence of the terpy and bmpa ligands results in a decrease in catalytic ORR activity and an increase in Faradaic efficiency for H2O2 production. The lower catalytic activity is shown to be the result of a stabilization of the CuI state of the complex compared to the earlier reported Cu-tmpa catalyst. This stabilization is most likely caused by the lower electron donating character of the tridentate terpy and bmpa ligands compared to the tetradentate tmpa ligand. The Laviron plots of the redox behavior of Cu-terpy and Cu-bmpa indicated that the formation of the ORR active catalyst involves relatively slow electron transfer kinetics which is caused by the inability of Cu-terpy and Cu-bmpa to form the preferred tetrahedral coordination geometry for a CuI complex easily. Our study illustrates that both the tetradentate nature of the tmpa ligand and the ability of Cu-tmpa to form the preferred tetrahedral coordination geometry for a CuI complex are of utmost importance for ORR catalysis with very high catalytic rates.
2,3-Diketopiperazine (2,3-piperazinedione) crystallizes in the monoclinic space group P 2 1 / c with a = 5.941 (3), b = 10.080 (3), c = 8.282 (2) Å and β = 95.87 (3)°. The six-membered ring adopts a skew-boat conformation with Q = 0.467 (3) Å, θ = 64.6 (3)° and φ = 269.8 (4)°. Ab initio calculations show that the perfect skew-boat with its C 2 symmetry is broken by the formation of two intermolecular N—H...O bonds, involving only one of the C=O groups of the 2,3-diketopiperazine molecule. Vibrational spectra were recorded in solution and in the solid state. The assignment of the normal vibrations is proposed based on comparison with spectra of similar molecules and spectral changes due to deuteration. Ab initio calculations for the isolated molecule and the solid-state structure were used to calculate differences in the molecular geometry in the gas phase and crystalline state. Using these reference structures we calculated the stretching frequencies for the C=O groups. We predict an IR shift for C=O of 130 cm −1 , when the molecule goes from the gas phase to the solid state. The observed shift is 110 cm −1 . The differences between the C=O moieties in the solid state produce a calculated Δν of 55 cm −1 , which matches satisfactorily the observed value of 49 cm −1 .
In this short communication, we evaluate the place-pitch relation of a newly designed, deeply inserted, cochlear implant electrode. The insertion depths ranged from 471 degrees to 662 degrees. Pitch perception was measured in eight subjects with monopolar stimulation on each electrode contact at intensities of 50% and 80% of the dynamic range. We observed a monotonic reduction of pitch estimate with insertion depth. For about half of the subjects, a flattening of the pitch estimate at the basal end of the electrode was seen, while for the other half, pitch continued to decrease monotonically up to the most apical part of the array. We conclude that deeper insertion could increase pitch range for at least some cochlear implant recipients, and could hence potentially increase group performance.
The significance of Mendeleev's periodic table extends beyond the classification of elements; it lies in its remarkable predictive power for discovering new elements and properties, revealing the underlying symmetrical patterns of nature that were only fully understood with the advent of quantum mechanics. Fundamental material properties, such as electron transport and magnetism, are also governed by crystal symmetry. In particular, spin transport depends on the spin polarization of electronic states, and recently discovered materials where the electron spin polarization is independent of momentum - a property known as a persistent spin texture (PST) - promise extended spin lifetime and efficient spin accumulation. In this paper, we establish the general conditions for the existence of symmetry-protected PST in bulk crystals. By systematically analyzing all 230 crystallographic space groups, similar to elements in the periodic table, we demonstrate that PST is universally present in all nonmagnetic solids lacking inversion symmetry. Using group theory, we identify the regions within the Brillouin zone that host PST and determine the corresponding directions of spin polarization. Our findings, supported by first-principles calculations of representative materials, open the route for discovering robust spintronic materials based on PST.
Abstract Purpose Current clinical measures used in cochlear implantation (CI) provide a broader view of speech recognition ability at word-level, often missing granular details contained at phoneme-level that may be valuable for CI mapping. This study evaluates how outcomes of Phoneme Recognition in Quiet tests (PRQ) differ from those of more commonly used word recognition tests (CVC) and outlines how these tests may be useful for different purposes in clinical adult CI care. Methods As part of the AuDiET (Auditory Diagnostics and Error-based Treatment) study, 23 adult postlingually deafened unilateral CI users underwent a battery of tests, including both PRQ and CVC tests. Their results were compared at the phoneme level, including an evaluation of fitness and error dispersion. Results PRQ had a significantly lower accuracy and fitness than CVC. The error patterns also tended to be less random and more systematic. Fitness correlated strongly and positively with accuracy, while error dispersion negatively correlated with accuracy. Conclusion There are clear differences between PRQ and CVC outcomes in absolute accuracy and error distribution. Comparing these tests might provide clinicians with more granular insights into which areas/phonemes to target during mapping, to achieve optimal speech recognition.
One hundred and forty-seven adult recipients of the Nucleus<sup>®</sup> 24 cochlear implant system, from 13 different European countries, were tested using neural response telemetry to measure the electrically evoked compound action potential (ECAP), according to a standardised postoperative measurement procedure. Recordings were obtained in 96% of these subjects with this standardised procedure. The group results are presented in terms of peak amplitude and latency, slope of the amplitude growth function and ECAP threshold. The effects of aetiological factors and the duration of deafness on the ECAP were also studied. While large intersubject variability and intrasubject variability (across electrodes) were found, results fell within a consistent pattern and a normative range of peak amplitudes and latencies was established. The aetiological factors had little effect on the ECAP characteristics. However, age affected ECAP amplitude and slope of the amplitude growth function significantly; i.e., the amplitude is higher in the lowest age category (15–30 years). Principal component analysis of the ECAP thresholds shows that the thresholds across 5 electrodes can be described by two factors accounting for 92% of the total variance. The two factors represent the overall level of the threshold profiles (‘shift’) and their slopes across the electrode array (‘tilt’). Correlation between these two factors and the same factors describing the T- and C-levels appeared to be moderate, in the range of 0.5–0.6.
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