968 resultados para Hearing Losses


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The aim of this study was to analyze clinical aspects, hearing evolution and efficacy of clinical treatment of patients with sudden sensorineural hearing loss (SSNHL). This was a prospective clinical study of 136 consecutive patients with SSNHL divided into three groups after diagnostic evaluation: patients with defined etiology (DE, N = 13, 10%), concurrent diseases (CD, N = 63, 46.04%) and idiopathic sudden sensorineural hearing loss (ISSHL, N = 60, 43.9%). Initial treatment consisted of prednisone and pentoxifylline. Clinical aspects and hearing evolution for up to 6 months were evaluated. Group CD comprised 73% of patients with metabolic decompensation in the initial evaluation and was significantly older (53.80 years) than groups DE (41.93 years) and ISSHL (39.13 years). Comparison of the mean initial and final hearing loss of the three groups revealed a significant hearing improvement for group CD (P = 0.001) and group ISSHL (P = 0.001). Group DE did not present a significant difference in thresholds. The clinical classification for SSNHL allows the identification of significant differences regarding age, initial and final hearing impairment and likelihood of response to therapy. Elevated age and presence of coexisting disease were associated with a greater initial hearing impact and poorer hearing recovery after 6 months. Patients with defined etiology presented a much more limited response to therapy. The occurrence of decompensated metabolic and cardiovascular diseases and the possibility of first manifestation of auto-immune disease and cerebello-pontine angle tumors justify an adequate protocol for investigation of SSNHL.

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In mammals, damage to sensory receptor cells (hair cells) of the inner ear results in permanent sensorineural hearing loss. Here, we investigated whether postnatal mouse inner ear progenitor/stem cells (mIESCs) are viable after transplantation into the basal turns of neomycin-injured guinea pig cochleas. We also examined the effects of mIESC transplantation on auditory functions. Eight adult female Cavia porcellus guinea pigs (250-350g) were deafened by intratympanic neomycin delivery. After 7 days, the animals were randomly divided in two groups. The study group (n=4) received transplantation of LacZ-positive mIESCs in culture medium into the scala tympani. The control group (n=4) received culture medium only. At 2 weeks after transplantation, functional analyses were performed by auditory brainstem response measurement, and the animals were sacrificed. The presence of mIESCs was evaluated by immunohistochemistry of sections of the cochlea from the study group. Non-parametric tests were used for statistical analysis of the data. Intratympanic neomycin delivery damaged hair cells and increased auditory thresholds prior to cell transplantation. There were no significant differences between auditory brainstem thresholds before and after transplantation in individual guinea pigs. Some mIESCs were observed in all scalae of the basal turns of the injured cochleas, and a proportion of these cells expressed the hair cell marker myosin VIIa. Some transplanted mIESCs engrafted in the cochlear basilar membrane. Our study demonstrates that transplanted cells survived and engrafted in the organ of Corti after cochleostomy.

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Energy efficiency is an important topic when considering electric motor drives market. Although more efficient electric motor types are available, the induction motor remains as the most common industrial motor type. IEC methods for determining losses and efficiency of converter-fed induction motors were introduced recently with the release of technical specification IEC/TS 60034-2-3. Determining the induction motor losses with IEC/TS 60034-2-3 method 2-3-A and assessing the practical applicability of the method are the main interests of this study. The method 2-3-A introduces a specific test converter waveform to be used in the measurements. Differences between the induction motor losses with a test converter supply, and with a DTC converter supply are investigated. In the IEC methods, the tests are run at motor rated fundamental voltage, which, in practice, requires the frequency converter to be fed with a risen input voltage. In this study, the tests are run on both frequency converters with artificially risen converter input voltage, resulting in rated motor fundamental input voltage as required by IEC. For comparison, the tests are run with both converters on normal grid input voltage supply, which results in lower motor fundamental voltage and reduced flux level, but should be more relevant from practical point of view. According to IEC method 2-3-A, tests are run at rated motor load, and to ensure comparability of the results, the rated load is used in the grid-fed converter measurements, although motor is overloaded while producing the rated torque at reduced flux level. The IEC 2-3-A method requires also sinusoidal supply test results with IEC method 2-1-1B. Therefore, the induction motor losses with the recently updated IEC 60034-2-1 method 2-1-1B are determined at the motor rated voltage, but also at two lower motor voltages, which are according to the output fundamental voltages of the two network-supplied converters. The method 2-3-A was found to be complex to apply but the results were stable. According to the results, the method 2-3-A and the test converter supply are usable for comparing losses and efficiency of different induction motors at the operating point of rated voltage, rated frequency and rated load, but the measurements do not give any prediction of the motor losses at final application. One might therefore strongly criticize the method’s main principles. It seems, that the release of IEC 60034-2-3 as a technical specification instead of a final standard for now was justified, since the practical relevance of the main method is questionable.

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The conclusion of the article reads "good handling during processing and re-implanting could mean the difference between a going operation and financial disaster. But it's up to you to make certain your crew understands and follows proper chute practices. When they do, it will mean more money in your pocket."

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Tesis (Maestría en Ciencias con Orientación en Psicología de la Salud) UANL, 2012.

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Reinforcement Learning (RL) refers to a class of learning algorithms in which learning system learns which action to take in different situations by using a scalar evaluation received from the environment on performing an action. RL has been successfully applied to many multi stage decision making problem (MDP) where in each stage the learning systems decides which action has to be taken. Economic Dispatch (ED) problem is an important scheduling problem in power systems, which decides the amount of generation to be allocated to each generating unit so that the total cost of generation is minimized without violating system constraints. In this paper we formulate economic dispatch problem as a multi stage decision making problem. In this paper, we also develop RL based algorithm to solve the ED problem. The performance of our algorithm is compared with other recent methods. The main advantage of our method is it can learn the schedule for all possible demands simultaneously.

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In der Dissertation wurden die Effekte verschiedener C/N-Verhältnisse und verschiedener Verhältnisse von strukturellen zu löslichen Kohlenhydraten (NDF/SC) von Dung, der in bewässerten Gemüsekulturen im Norden Omans appliziert wurde, untersucht. Im auf sandigen Böden durchgeführten Experiment wurden zwei Büffeldungvarianten zum einen mit einem C/N-Verhältnis von 19 und einem NDF/SC-Verhältnis von 17 (ORG1) und zum anderen mit einem C/N-Verhältnis von 25 und einem NDF/SC-Verhältnis von 108 (ORG2) verwendet. Das relevante faktorielle Anbausystem war eine zweijährige Rotation, bestehend aus Rettich gefolgt von Blumenkohl und Karotte. Eine signifikante Zunahme der Erträge, des Sproßdurchmessers und der Pflanzenhöhe von Blumenkohl (P<0,001) sowie der Konzentration von Askorbinsäure in den Wurzeln von Rettich (P<0,01) mit erhöhter Verfügbarkeit von N, P und K von ORG2 über ORG1 bis hin zur Mineraldünger-Kontrollbehandlung (MIN) konnte festgestellt werden. Innerhalb von 260 Tagen wurden für die gesamte Anbauperiode mit einem photoakustischen Infrarot-Multigasmonitor und einer damit verbundenen Haube bodenbürtige Gasemissionen gemessen. Die errechneten Nettobilanzen zeigten Überschüsse von N und P, welche von Defiziten für K begleitet waren. Die Kohlenstoff Nettobilanzen waren während des Untersuchungszeitraums negativ oder nicht konsistent. Die Ergebnisse zeigen, dass unter extremen klimatischen Bedingungen bewässerter sandiger Böden organische Kultivierung zuerst durch den Kohlenstoffgehalt von Dung und Boden und erst dann durch die applizierten Mengen an N, P und K limitiert wird. Es konnte festgestellt werden, dass Gasemissionen den größten Teil der N und C Verluste von bewässerten sandigen Böden im Norden Omans darstellen. Die Reduzierung von Treibhausgasen und Sickerverlusten sollte weiterhin im Fokus zukünftiger Untersuchungen stehen, um zur Entwicklung von nachhaltigen organischen Anbausystemen im Oman und anderen ariden tropischen Ländern beizutragen.

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The extent of physical and economic postharvest losses at different stages of cassava value chains has been estimated in four countries that differ considerably in the way cassava is cultivated, processed and consumed and in the relationships and linkages among the value chain actors. Ghana incurs by far the highest losses because a high proportion of roots reach the consumers in the fresh form. Most losses occur at the last stage of the value chain. In Nigeria and Vietnam processors incur most of the losses while in Thailand most losses occur during harvesting. Poorer countries incur higher losses despite their capacity to absorb sub-standard products (therefore transforming part of the physical losses into economic losses) and less strict buyer standards. In monetary terms the impact of losses is particularly severe in Ghana and estimated at about half a billion US dollar per annum while in the other countries it is at the most about USD 50 million. This comparison shows that there are no “one-size-fits-all" solutions for addressing postharvest losses but rather these must be tailor-made to the specific characteristics of the different value chains.

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Right to Audience and Right to a Lawful Judge are presumed to be two of the most important guaranties for the rule of law. Both liberties are established in the Spanish Constitution of 1978 as “fundamental rights”, and they are included as a part of a most generic right: the right to due process of law. Along this text, I will try to show its content and significance, according to the sentences of the Spanish “Tribunal Constitucional”, passed through more than 25 years.

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La exposición a ruido se considera uno de los principales factores de riesgo involucrados en la génesis de hipoacusia neurosensorial, produciendo deterioro en la calidad de vida de la población trabajadora y pérdidas económicas en las empresas. Se considera que los sectores económicos más expuestos a este factor de riesgo son la industria manufacturera, la construcción, las refinerías de petróleo y las centrales hidroeléctricas. El presente estudio de corte transversal pretende establecer el perfil de exposición ocupacional a ruido en procesos de producción de cemento en Colombia, mediante el análisis de 458 mediciones higiénicas personales de ruido realizadas entre los años 2010 y 2015. En la definición de los grupos de exposición similar se identificaron y describieron las actividades funcionales de la población expuesta, cuyos resultados se evaluaron teniendo como valor de referencia 85 dBA, propuesto por la guía TLV-TWA de la ACGIH (American Conference of Governmental Industrial Hygienists) del 2014. Los resultados del estudio permitieron conocer el perfil de exposición a ruido en los procesos de producción de cemento, en donde se identificaron mayores condiciones de riesgo en los GES Producción, Mina y Mecánicos de Planta, con valores de exposición que exceden el límite permisible establecido por la ACGIH; datos que resultan indispensables para la formulación de medidas de seguimiento, vigilancia y control.

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This paper provides resources to help hearing impaired students in primary and elementary grades with personal and social competency training.