Analisi biomeccanica del MAWASHI GERI JODAN in cinture nere di Karate: modelli tecnici a confronto

In martial arts there are several ways to perform the turning kick . Following the martial arts or different learning models many types of kicks take shape. Mawashi geri is the karate turning kick. At the moment there are two models of mawashi geri, one comes from the traditional karate (OLD), and the other newer (NEW), who agrees to the change of the rules of W.K.F. (World Karate Federation) happened in 2000 (Macan J. et all 2006) . In this study we are focus on the differences about two models the mawashi geri jodan of karate. The purpose of this study is to analyse cinematic and kinetic parameters of mawashi geri jodan. Timing of the striking and supporting leg actions were also evaluated A Vicon system 460 IR with 6 cameras at sample frequency of 200 Hz was used. 37 reflective markers have been set on the skin of the subjects following the “PlugInGait-total body model”. The participants performed five repetitions of mawashi geri jodan at maximum rapidity with their dominant leg against a ball suspended in front of them placed at ear height. Fourteen skilled subjects (mean level black belt 1,7 dan; age 20,9±4,8 yrs; height 171,4±7,3 cm; weight 60,9±10,2 Kg) practicing karate have been split in two group through the hierarchical cluster analysis following their technical characteristics. By means of the Mann Whitney-U test (Spss-package) the differences between the two groups were verified in preparatory and execution phase. Kicking knee at start, kicking hip and knee at take-off were different between the two groups (p < 0,05). Striking hip flexion during the spin of the supporting foot was different between the two groups (p < 0,05). Peak angular velocity of hip flexion were different between the two groups (p < 0,05). Groups showed differences also in timing of the supporting spin movement. While Old group spin the supporting foot at 30% of the trial, instead New start spinning at 44% of the trial. Old group showed a greater supporting foot spin than New (Old 110° Vs New 82°). Abduction values didn’t show any differences between the two groups. At the hit has been evaluated a 120° of double hips abduction, for the entire sample. Striking knee extension happened for everybody after the kicking hip flexion and confirm the proximal-distal action of the striking leg (Sorensen H. 1996). In contrast with Pearson J.N. 1997 and Landeo R 2007, peak velocity of the striking foot is not useful to describe kick performance because affected by the stature. Two groups are different either in preparatory phase or in execution phase. The body is set in difference manner already before the take-off of the kicking foot. The groups differ for the timing of the supporting foot action Trainer should pay attention to starting posture and on abduction capacities of the athletes.

Fusarium species responsible for mycotoxin production in wheat crop: involvement in food safety

Fusarium Head Blight (FHB) is a worldwide cereal disease responsible of significant yield reduction, inferior grain quality, and mycotoxin accumulation. Fusarium graminearum and F. culmorum are the prevalent causal agents. FHB has been endemic in Italy since 1995, while there are no records about its presence in Syria. Forty-eight and forty-six wheat kernel samples were collected from different localities and analyzed for fungal presence and mycotoxin contamination. Fusarium strains were identified morphologically but the molecular confirmation was performed only for some species. Further differentiation of the chemotypes for trichothecene synthesis by F. graminearum and F. culmorum strains was conducted by PCR assays. Fusarium spp. were present in 62.5% of Syrian samples. 3Acetyl-Deoxynivalenol and nivalenol chemotypes were found in F. culmorum whilst all F. graminearum strains belonged to NIV chemotype. Italian samples were infected with Fusarium spp for 67.4%. 15Ac-DON was the prevalent chemotype in F. graminearum, while 3Ac-DON chemotype was detected in F. culmorum. The 60 Syrian Fusarium strains tested for mycotoxin production by HPLC-MS/MS have shown the prevalence of zearalenone while the emerging mycotoxins were almost absent. The analysis of the different Syrian and Italian samples of wheat kernels for their mycotoxin content showed that Syrian kernels were mainly contaminated with storage mycotoxins, aflatoxins and ochratoxin whilst Italian grains with mainly Fusarium mycotoxins. The aggressiveness of several Syrian F. culmorum isolates was estimated using three different assays: floret inoculation in growth chamber, ear inoculation in the field and a validated new Petri-dish test. The study of the behaviour of different Syrian wheat cultivars, grown under different conditions, has revealed that Jory is a FHB Syrian tolerant cultivar. This is the first study in Syria on Fusarium spp. associated to FHB, Fusarium mycotoxin producers and grain quality.

Identifizierung und Überexpression immunregulatorischer Moleküle in dendritischen Zellen zur gezielten Modulation ihrer T-Zell-stimulierenden Eigenschaften

Die Modifizierung von dendritischen Zellen (DCs) in vitro erfolgt meist durch eine Behandlung mit Mediatoren, die den Aktivierungszustand sowie die T-Zell-polarisierenden DC-Eigenschaften verändern. In dieser Doktorarbeit sollten zunächst mediatorinduzierte tolerogene Schlüsselmoleküle identifiziert werden. Als Modell wurden murine Knochenmarkszellen unter DC-differenzierenden Bedingungen mit dem Glucocorticoid Dexamethason (DEX) behandelt. Die generierten DEX-APCs (antigenpräsentierende Zellen) zeigten einen protolerogenen, weitgehend maturierungsresistenten Phänotyp und eine gesteigerte Expression toleranzassoziierter Moleküle. DEX-APCs induzierten in vitro aus CD25+ depletierten allogenen T-Zellen de novo CD4+ und CD8+ regulatorische T-Zellen (Tregs). Basierend auf diesen Ergebnissen und Literaturstudien wurden protolerogene Moleküle für eine Überexpression in DCs selektiert. Da DCs non-viral kaum transfizierbar sind, wurde die lentivirale Transduktion von DCs optimiert, wodurch Effizienzen bis zu 95% erreicht werden konnten. Der mit der Transduktion assoziierte physikalische Stress resultierte in einer partiellen DC-Aktivierung. Trotzdessen zeigten DCs, die die Zytokine IL-10 oder IL-21 überexprimierten, einen protolerogenen Phänotyp und induzierten in vitro Tregs. Beide DC-Populationen reduzierten im therapeutischen Ansatz im murinen Krankheitsmodell der Kontaktallergie haptenspezifisch die Ohrschwellungsreaktion. Auch DCs, die andere Zytokine, intrazelluläre Proteine oder Oberflächenrezeptoren mit protolerogenen Eigenschaften überexprimierten, wiesen eine jeweils spezifische Genexpressionssignatur auf. Diese DC-Populationen waren zumeist durch eine verminderte allogene T-Zell-Aktivierungskapazität gekennzeichnet und veränderten die Th1-/Th2-Zytokinmuster in kokultivierten T-Zellen.

The role of B cells during acute and latent infections with murine cytomegalovirus and Leishmania major

This thesis focuses on the role of B cells in mCMV and Leishmania major infection. B cells are an essential component of the adaptive immune system and play a key role in the humoral immune response. In mCMV infection we analyzed the influence of B cells on the virus-specific CD8 T cell response, in detail the role of B cells as IL-10 secreting cells, as source of immunoglobulin (Ig) and as antigen presenting cells. In Leishmania major infection we investigated the role of Ig in Th1 and Th2 directed disease.rnWe found in mCMV infection that the B cell secreted IL-10 suppresses effectively the acute virus-specific CD8 T cell response, while the IL-10 secreted by dendritic cell has no obvious effect. Ig has no effect in the acute virus-specific CD8 T cell response, but in memory response Ig is essential. If Ig is missing the CD8 T cell population remains high in memory response 135 days post infection. The complete absence of B cells dramatically reduces the acute virus-specific CD8 T cell response, while B cell reconstitution just partially rescues this dramatic reduction. A comparison of this reduction in a B cell free organism to an organism with depleted dendritic cells gave a similar result. To exclude a malfunction of the CD8 T cells in the B cell deficient mice, the decreased virus-specific CD8 T cell population was confirmed in a B cell depletion model. Further, bone marrow chimeras with a B cell compartment deficient for CD40-/- showed a decrease of the virus-specific response and an involvement of CD40 on B cells. Taken together these results suggest a role for B cells in antigen presentation during mCMV infection.rnFurther we took advantage of the altered mCMV specific CD8 T cell memory response in mice without Ig to investigate the memory inflation of CD8 T cells specific for distinct mCMV specifc peptides. Using a SIINFEKL-presenting virus system, we were able to shorten the time until the memory inflation occurs and show that direct presentation stimulates the memory inflation. rnIn Leishmania major infection, Ig of Th2 balanced BALB/c mice has a central role in preventing a systemic infection, although the ear lesions are smaller in IgMi mice without specific Ig. Here the parasite loads of ears and spleen are elevated, and an IMS-reconstitution does not affect the parasite load. In contrast in Th1 balanced C57BL/6 mice, reconstitution of IgMi mice with serum of either untreated or immunized mice decreased the parasite load of spleen and ear, further IMS treatment reduces the size of the spleen and the cytokine-levels of IL-10, IL-4, IL-2 and IFN-γ to a level comparable to wt mice. rn

A multiparental cross population for mapping QTL for relevant agronomic traits in durum wheat (Triticum durum Desf.)

Multiparental cross designs for mapping quantitative trait loci (QTL) in crops are efficient alternatives to conventional biparental experimental populations because they exploit a broader genetic basis and higher mapping resolution. We describe the development and deployment of a multiparental recombinant inbred line (RIL) population in durum wheat (Triticum durum Desf.) obtained by crossing four elite cultivars characterized by different traits of agronomic value. A linkage map spanning 2,663 cM and including 7,594 single nucleotide polymorphisms (SNPs) was produced by genotyping 338 RILs with a wheat-dedicated 90k SNP chip. A cluster file was developed for correct allele calling in the framework of the tetraploid durum wheat genome. Based on phenotypic data collected over four field experiments, a multi-trait quantitative trait loci (QTL) analysis was carried out for 18 traits of agronomic relevance (including yield, yield-components, morpho-physiological and seed quality traits). Across environments, a total of 63 QTL were identified and characterized in terms of the four founder haplotypes. We mapped two QTL for grain yield across environments and 23 QTL for grain yield components. A novel major QTL for number of grain per spikelet/ear was mapped on chr 2A and shown to control up to 39% of phenotypic variance in this cross. Functionally different QTL alleles, in terms of direction and size of genetic effect, were distributed among the four parents. Based on the occurrence of QTL-clusters, we characterized the breeding values (in terms of effects on yield) of most of QTL for heading and maturity as well as yield component and quality QTL. This multiparental RIL population provides the wheat community with a highly informative QTL mapping resource enabling the dissection of the genetic architecture of multiple agronomic relevant traits in durum wheat.

Studio della presenza di capodogli (Physeter macrocephalus, Linnaeus 1758) in due aree del Mar Balear mediante metodi acustici passivi

I capodogli (Physeter macrocephalus) sono mammiferi marini con distribuzione cosmopolita; sono presenti anche nel Mar Mediterraneo, soprattutto nella zona occidentale del bacino. Per individuare la presenza di questi animali possono essere utilizzate differenti modalità. Questo studio è stato condotto tramite l’uso di metodi acustici passivi, in quanto i capodogli (P. macrocephalus) sono animali che emettono suoni. L’uso di metodi acustici ha alcuni vantaggi, infatti permette di individuare la presenza di un animale anche se si trova al di sotto della superficie dell’acqua, purché stia emettendo suoni. Le registrazioni possono essere effettuate indipendentemente dalle condizioni meteorologiche e per lunghi periodi di tempo, permettendo la continuità nella raccolta dei dati. Il lavoro di tesi è stato svolto nell’ambito di un Progetto di Ricerca de L’Oceanogràfic di Valencia. Le registrazioni sono state effettuate tramite lo strumento EAR (Ecological Acoustic Recorder) in due aree del Mar Balear, il Mar di Bamba e il Parco Nazionale di Cabrera, in differenti periodi, profondità e con diverse frequenze di campionamento (50 kHz e 5 kHz). I dati ottenuti sono stati analizzati tramite i programmi X-BAT (Extensible Bioacoustic Tool) e Adobe Audition 3.0 al fine di rilevare i pulsi emessi dai capodogli. Per entrambe le aree di studio i dati sono stati elaborati in modo da ottenere modelli giornalieri e stagionali delle ore positive e del numero di pulsi emessi. La presenza di P. macrocephalus è stata confermata in entrambe le aree di studio, e dal confronto delle analisi spettrali dei pulsi si può affermare che, nonostante le differenze, i pulsi registrati in entrambe le aree sono effettivamente emessi da capodogli. Il lavoro di Tesi permette di suggerire che per futuri studi sia applicata la frequenza di registrazione di 20 kHz utilizzando lo strumento SAMARUC, alla cui progettazione ha partecipato L’Oceanogràfic di Valencia.

Induktion tolerogener dendritischer Zellen zur Suppression von experimenteller autoimmuner Enzephalomyelitis und Kontaktallergie

Dendritische Zellen (DC) spielen als professionelle antigenpräsentierende Zellen (APC) eine zentrale Rolle in der Aktivierung und Regulierung antigenspezifischer Immunantworten. Aus diesem Grund wird der therapeutische Einsatz von DC zur Behandlung von Autoimmunerkrankungen und Allergien sowie zur Tumorbekämpfung erforscht. Im ersten Teil der vorliegenden Arbeit untersuchten wir das Potenzial einer biolistischen DNA-Vakzinierung zur Induktion tolerogener DC in vivo. Im Tiermodell der Myelin-Oligodendrozyten-Glykoprotein Peptid 35-55 (MOGp35-55) induzierten experimentellen autoimmunen Enzephalomyelitis (EAE) sollte mittels präventiver biolistischer Kovakzinierung von Plasmid-DNA kodierend für MOG und die immunregulatorischen Zytokine TGFβ oder IL-10 eine protektive Immunität induziert werden. Die MOG-Expression stand dabei entweder unter der Kontrolle des ubiquitär aktiven CMV-Promotors oder des murinen Fascin-Promotors, um eine ektopische MOG-Expression spezifisch in dermalen DC und Langerhanszellen zu erreichen. Dass MOGp35-55-präsentierende DC nach biolistischer DNA-Vakzinierung von der Haut in die drainierenden Lymphknoten migrieren und dort T-Zellen aktivieren, konnte im Vorfeld anhand einer substanziellen Proliferation von MOGp35-55-reaktiven 2D2 T-Zellen nachgewiesen werden. Im präventiven Ansatz der MOGp35-55-induzierten EAE zeigten Mäuse, die mit MOG-kodierenden Plasmiden biolistisch transfiziert wurden, eine leicht reduzierte EAE-Symptomatik. Die Kotransfektion von MOG und TGFβ führte zu einer Verstärkung der EAE-Suppression – unabhängig davon, ob die MOG-Expression unter der Kontrolle des CMV- oder des Fascin-Promotors stand. Interessanterweise resultierte die Koapplikation von MOG- und IL-10-kodierender Plasmid-DNA nur bei DC-fokussierter MOG-Expression zu reduzierter EAE-Symptomatik. Für biolistische DNA-Vakzinierungen stellt somit der Fascin-Promotor eine potente Alternative zu viralen Promotoren dar. Entsprechend der milderen EAE-Symptome beobachteten wir bei behandelten EAE-Mäusen einen geringeren Grad an Demyelinisierung sowie eine reduzierte Infiltration des ZNS mit IFNγ-produzierenden CD4+ Th1- und IL-17-produzierenden CD4+ Th17-Zellen. Desweiteren zeigten Milzzellen ex vivo nach MOGp35-55-Restimulation eine inhibierte Proliferation und eine signifikant reduzierte IFNγ- und IL-17-Zytokinproduktion. Überraschenderweise ging die antigenspezifische Immunsuppression nicht mit der Expansion von Foxp3+ regulatorischen T-Zellen einher. Da die Milzen aber erhöhte Mengen an CD8+IFNγ+ T-Zellen aufweisen, könnte ein zytotoxisch-suppressiver Mechanismus für die Inhibition der Th1- und Th17-Immunantwort verantwortlich sein. Nachfolgende Untersuchungen sind notwendig, um die induzierten immunologischen Mechansimen mittels biolistischer DNA-Vakzinierung aufzuklären. Der zweite Teil der Arbeit befasst sich mit der Generierung von tolerogenen DC in vitro. Dafür wurden murine Knochenmarkszellen unter DC-differenzierenden Bedingungen in Gegenwart des synthetischen Glucocorticoids Dexamethason (DEX) kultiviert. Die DEX-Zugabe führte zur Differenzierung von APC mit geringer CD11c-Expression. DEX-APC waren in vitro weitestgehend gegen LPS stimulierungsresistent und zeigten eine reduzierte Expression von MHC-II und den kostimulatorischen Molekülen CD80, CD86 und CD40. Ihrem tolerogenen Phänotyp entsprechend besaßen DEX-APC ein geringeres syngenes T-Zellstimulierungspotenzial als unbehandelte BM-DC. Anhand der erhöhten Oberflächenexpression von CD11b, GR1 und F4/80 besteht eine phänotypische Ähnlichkeit zu myeloiden Suppressorzellen. Die Fähigkeit von DEX-APC in vivo antigenspezifische Toleranz zu induzieren, wurde durch einen therapeutischen Ansatz im murinen Krankheitsmodell der Kontaktallergie überprüft. Die therapeutische Applikation von DEX-APC führte hierbei im Vergleich zur Applikation von PBS oder unbehandelten BM-DC zu einer signifikant reduzierten Ohrschwellungsreaktion. Zusammenfassend demonstrieren die Ergebnisse dieser Arbeit, dass potente tolerogene DC sowohl in vivo als auch in vitro induziert werden können. Dass diese Zellpopulation effektiv antigenspezifische Immunreaktionen supprimieren kann, macht sie zu einem vielversprechenden Werkzeug in der Behandlung von Autoimmunerkrankungen und Allergien.rn

L'influenza della preferenza manuale nell'interpretazione di conferenza: un contributo sperimentale

This study is based on a former student’s work, aimed at examining the influence of handedness on conference interpreting. In simultaneous interpreting (IS) both cerebral hemispheres participate in the decoding of the incoming message and in the activation of the motor functions for the production of the output signal. In right-handers language functions are mainly located in the left hemisphere, while left-handers have a more symmetrical representation of language functions. Given that with the development of interpreting skills and a long work experience the interpreters’ brain becomes less lateralized for language functions, in an initial phase left-handers may be «neurobiologically better suited for interpreting tasks» (Gran and Fabbro 1988: 37). To test this hypothesis, 9 students (5 right-handers and 4 left-handers) participated in a dual test of simultaneous and consecutive interpretation (CI) from English into Italian. The subjects were asked to interpret one text with their preferred ear and the other with the non-preferred one, since according neuropsychology aural symmetry reflects cerebral symmetry. The aim of this study was to analyze:1) the differences between the number of errors in consecutive and simultaneous interpretation with the preferred and non-preferred ear; 2) the differences in performance (in terms of number of errors) between right-handed and left-handed, both with the preferred and non-preferred ear; 3) the most frequent types of errors in right and left-handers; 4) the influence of the degree of handedness on interpreting quality. The students’ performances were analyzed in terms of errors of meaning, errors of numbers, omissions of text, omissions of numbers, inaccuracies, errors of nexus, and unfinished sentences. The results showed that: 1) in SI subjects committed fewer errors interpreting with the preferred ear, whereas in CI a slight advantage of the non-preferred ear was observed. Moreover, in CI, right-handers committed fewer mistakes with the non-preferred ear than with the preferred one. 2) The total performance of left-handers proved to be better than that of right-handers. 3) In SI left-handers committed fewer errors of meaning and fewer errors of number than right-handers, whereas in CI left-handers committed fewer errors of meaning and more errors of number than right-handers 4) As the degree of left-handedness increases, the number of errors committed also increases. Moreover, there is a statistically significant left-ear advantage for right-handers and a right-ear one for left-handers. Finally, those who interpreted with their right ear committed fewer errors of number than those who have used their left ear or both ears.

Nuovi suoni di balenottera comune (Balaenoptera physalus) nel Mediterraneo occidentale

Fin whale (Balaenoptera physalus) is the only misticeto commonly observed in the Mediterranean. The males emit sounds, classic pulse products in sequences called songs, at 20Hz for sexual purposes: sounds are produced during the spring for migration to the Tirreno-Ligurian-Provençal basin, the summer feeding area, and during the autumn, when there is a migration to the south to meet the winter breeding season. This area in the Mediterranean sea is unknown. The east coast of the Iberian Peninsula is a migration area. The study was conducted by analyzing through Adobe Audition 3.0 and XBAT softwares files audio of 30 minutes recorded in 2006, in 2011 and 2012 at the level of the Columbretes Islands, in the western Mediterranean sea, using two hearing aids: the MARU, used in 2006 and the EAR, used in 2011 and 2012. From the analysis have emerged that, in addition to songs with pulses of 20 Hz, there are new sounds of fin whale never previously recognized: the VFPs (Variable Frequency Pulses), higher-frequency pulses emitted, between 50 and 120Hz and the ramps, a set of 7-8 pulses, pertaining to a particular song, of increasing frequency. Further studies are needed to understand the importance of these new sounds.

Fattibilità della misura di cattura neutronica sugli isotopi dispari del gadolinio

In questo lavoro di tesi ci proponiamo di determinare lo spessore degli isotopi ^157Gd e ^155Gd in vista della misura della sezione d’urto di cattura neutronica presso la facility n_TOF del CERN. La principale motivazione dell’esperimento è legata alla necessità di ottenere misure più accurate per le applicazioni ai reattori nucleari. Inoltre, i nuovi risultati, potranno essere sfruttati anche per applicazioni ai recenti sviluppi nella Terapia di Cattura Neutronica e per costruire nuovi rivelatori nell’ambito della ricerca del neutrino. La misura sarà effettuata nella prima area sperimentale EAR-1 di n_TOF, equipaggiata con rivelatori, come per esempio gli scintillatori liquidi al benzene deuterato (C6 D6) particolarmente adatti per questi tipi di misura. La sezione d’urto di questi due isotopi cambia di molti ordini di grandezza al variare dell’energia dei neutroni incidenti. Per questo motivo, lo studio effettuato in questa tesi ha mostrato che sono necessari due campioni altamente arricchiti per ogni isotopo da misurare: un campione estremamente sottile per energie del neutrone fino a 100 meV, e uno più spesso per energie maggiori. Inoltre per questi campioni sono stati determinati le densità areali necessarie per lo svolgimento dell’esperimento affinchè avvenga il fenomeno di trasmissione dei neutroni.

Integrating optical fiber force sensors into microforceps for ORL microsurgery

The delicate anatomy of the ear require surgeons to use great care when operating on its internal structures. One example for such an intervention is the stapedectomy, where a small crook shaped piston is placed in the oval window of the cochlea and connected to the incus through crimping thus bypassing the diseased stapes. Performing the crimp process with the correct force is necessary since loose crimps poorly transmit sound whereas tight crimps will eventually result in necrosis of the incus. Clinically, demand is high to reproducibly conduct the crimp process through a precise force measurement. For this reason, we have developed a fiber Bragg grating (FBG) integrated microforceps for use in such interventions. This device was calibrated, and tested in cadaver preparations. With this instrument we were able to measure for the first time forces involved in crimping a stapes prosthesis to the incus. We also discuss a method of attaching and actuating such forceps in conjunction with a robot currently under development in our group. Each component of this system can be used separately or combined to improve surgical accuracy, confidence and outcome.

Design of a semi-implantable hearing device for direct acoustic cochlear stimulation

A new hearing therapy based on direct acoustic cochlear stimulation was developed for the treatment of severe to profound mixed hearing loss. The device efficacy was validated in an initial clinical trial with four patients. This semi-implantable investigational device consists of an externally worn audio processor, a percutaneous connector, and an implantable microactuator. The actuator is placed in the mastoid bone, right behind the external auditory canal. It generates vibrations that are directly coupled to the inner ear fluids and that, therefore, bypass the external and the middle ear. The system is able to provide an equivalent sound pressure level of 125 dB over the frequency range between 125 and 8000 Hz. The hermetically sealed actuator is designed to provide maximal output power by keeping its dimensions small enough to enable implantation. A network model is used to simulate the dynamic characteristics of the actuator to adjust its transfer function to the characteristics of the middle ear. The geometry of the different actuator components is optimized using finite-element modeling.

Molecular analysis of aquaporin genes 1 to 4 in patients with Menière's disease

Menière's Disease (MD) is an episodic cochleovestibular dysfunction of unknown etiology, still lacking a specific test and therapy. The proposed theories on the pathophysiology include genetic factors and factors relating to inner ear homeostasis. Various aquaporins (AQP), water channels, expressed in the inner ear and the vestibular organ, are involved in homeostasis. Mutations in AQP genes could result in disturbed inner ear homeostasis and endolymphatic hydrops, and therefore be involved in the pathogenesis of MD. Aim: To search for mutations in AQP1 to 4 in patients suffering from MD.

Non-organic hearing loss: new and confirmed findings

Although non-organic hearing losses are relatively rare, it is important to identify suspicious findings early to be able to administer specific tests, such as objective measurements and specific counseling. In this retrospective study, we searched for findings that were specific ti or typical for non-organic hearing losses. Patient records from a 6 year period (2003-2008) from the University ENT Department of Bern, Switzerland, were reviewed. In this period, 40 subjects were diagnosed with a non-organic hearing loss (22 children, ages 7-16, mean 10.6 years; 18 adults, ages 19-57, mean 39.7 years; 25 females and 15 males). Pure tone audiograms in children and adults showed predominantly sensorineural and frequency-independent hearing losses, mostly in the range of 40-60 dB. In all cases, objective measurements (otoacoustic emissions and/or auditory-evoked potentials) indicated normal or substantially better hearing thresholds than those found in pure tone audiometry. In nine subjects (22.5%; 2 children, 7 adults), hearing aids had been fitted before the first presentation at our center. Six children (27%) had a history of middle ear problems with a transient hearing loss and 11 (50%) knew a person with a hearing loss. Two new and hitherto unreported findings emerged from the analysis: it was observed that a small air-bone gap of 5-20 dB was typical for non-organic hearing losses and that speech audiometry might show considerably poorer results than expected from pure tone audiometry.

Factors influencing the decision for Baha in unilateral deafness: the Bern benefit in single-sided deafness questionnaire

The data of 46 adults with single-sided sensorineural deafness who were candidates for bone-anchored hearing aids (Baha) CROS (contralateral routing of signals) were analyzed. All candidates tested a Baha with a headband in their normal environment. Subsequently, 29 of the candidates chose a permanent Baha CROS fitting, and 17 declined, thus forming the two study groups. No significant difference regarding age, sex or duration of deafness was found between the two groups. Similarly, the transcranial attenuation was not significantly different between those who accepted and declined a Baha. Subjects with some residual hearing in their poorer ear tended to decline a Baha, but the effect was not statistically significant. For a subset of 28 subjects, the Bern Benefit in Single-Sided Deafness questionnaire was administered. The questionnaire consists of 10 visual analogue scales rating the subjectively perceived benefit of the Baha or any other CROS device in different situations. Scores were found to be significantly higher for speech understanding at some distance (p = 0.026), for speech understanding in noise (p = 0.037), for group conversations (p < 0.01), and for the overall benefit (p < 0.01) for those candidates who chose to use a Baha as a CROS device permanently.