Development of a high-frequency hearing loss questionnaire for children

The "Pediatric Assessment of Hearing" questionnaire was developed to evaluate how children with high-frequency hearing loss perform in various listening conditions.

Efficacy of 1000 Hz tympanometry in infants birth to 4 months of age: A follow up study

Interpretation of 1000 Hz tympanometry is not standardized. Several compensated and uncompensated measures were analyzed and compared to otologic findings. Results of auditory brainstem testing and otoacoustic emissions were considered to better obtain middle ear status. Findings were inconclusive due to small sample size.

Pediatric conversion to the HiResolution processing strategy: 6 case studies

This paper presents a study documenting the general trends in the programming techniques, aided behavioral thresholds, speech perception abilities, and overall behavior when converting children into processing strategy called HiResolution (HiRes), used with the Advanced Bionics Clarion II Cochlear Implant System.

Perception and modification of plant flavonoid signals by rhizosphere microorganisms

Flavonoids are a diverse class of polyphenolic compounds that are produced as a result of plant secondary metabolism. They are known to play a multifunctional role in rhizospheric plant-microbe and plant-plant communication. Most familiar is their function as a signal in initiation of the legume-rhizobia symbiosis, but, flavonoids may also be signals in the establishment of arbuscular mycorrhizal symbiosis and are known agents in plant defence and in allelopathic interactions. Flavonoid perception by, and impact on, their microbial targets (e.g. rhizobia, plant pathogens) is relatively well characterized. However, potential impacts on 'non-target' rhizosphere inhabitants ('non-target' is used to distinguish those microorganisms not conventionally known as targets) have not been thoroughly investigated. Thus, this review first summarizes the conventional roles of flavonoids as nod gene inducers, phytoalexins and allelochemicals before exploring questions concerning 'non-target' impacts. We hypothesize that flavonoids act to shape rhizosphere microbial community structure because they represent a potential source of carbon and toxicity and that they impact on rhizosphere function, for example, by accelerating the biodegradation of xenobiotics. We also examine the reverse question, 'how do rhizosphere microbial communities impact on flavonoid signals?' The presence of microorganisms undoubtedly influences the quality and quantity of flavonoids present in the rhizosphere, both through modification of root exudation patterns and microbial catabolism of exudates. Microbial alteration and attenuation of flavonoid signals may have ecological consequences for below-ground plant-microbe and plant-plant interaction. We have a lack of knowledge concerning the composition, concentration and bioavailability of flavonoids actually experienced by microbes in an intact rhizosphere, but this may be addressed through advances in microspectroscopic and biosensor techniques. Through the use of plant mutants defective in flavonoid biosynthesis, we may also start to address the question of the significance of flavonoids in shaping rhizosphere community structure and function.

The radiative effect of a fir canopy on a snowpack

Models of snow processes in areas of possible large-scale change need to be site independent and physically based. Here, the accumulation and ablation of the seasonal snow cover beneath a fir canopy has been simulated with a new physically based snow-soil vegetation-atmosphere transfer scheme (Snow-SVAT) called SNOWCAN. The model was formulated by coupling a canopy optical and thermal radiation model to a physically based multilayer snow model. Simple representations of other forest effects were included. These include the reduction of wind speed and hence turbulent transfer beneath the canopy, sublimation of intercepted snow, and deposition of debris on the surface. This paper tests this new modeling approach fully at a fir site within Reynolds Creek Experimental Watershed, Idaho. Model parameters were determined at an open site and subsequently applied to the fir site. SNOWCAN was evaluated using measurements of snow depth, subcanopy solar and thermal radiation, and snowpack profiles of temperature, density, and grain size. Simulations showed good agreement with observations (e.g., fir site snow depth was estimated over the season with r(2) = 0.96), generally to within measurement error. However, the simulated temperature profiles were less accurate after a melt-freeze event, when the temperature discrepancy resulted from underestimation of the rate of liquid water flow and/or the rate of refreeze. This indicates both that the general modeling approach is applicable and that a still more complete representation of liquid water in the snowpack will be important.

Participation of future pharmacists in a professional development certificate scheme; the paradox of personal identity

The white paper ‘Pharmacy in England’ advocates establishing a new pharmacy regulator, building leadership and integrating undergraduate education.[1] Students must morph into competent pharmacists with the skills, expertise and confidence to lead the profession to 2020 and beyond.[2] One way individuals are encouraged to ‘professionalise’ is through participation in personal/professional development schemes. The British Pharmaceutical Students’ Association (BPSA) and the College of Pharmacy Practice have operated a professional development certificate (PDC) scheme since 2001. The scheme rewards students with a joint certificate for evidence of participation in five accredited activities in one academic year. Although the scheme is relevant to development of students, less than 2% of BPSA members take part annually. We wanted to understand the reasons for the low uptake. Our primary objectives were to examine the portrayal of the scheme and to investigate what it signifies to individuals. We describe our attempts to apply social marketing techniques[3] to the PDC, and we use ‘logical levels of change’[4] to highlight a paradox with personal identity.