Electrically evoked auditory brainstem responses in deaf children with cochlear nerve canal stenosis.

BACKGROUND: Deaf children with cochlear nerve canal stenosis (CNCs) are always considered poor candidates for cochlear implantation. OBJECTIVES: To investigate the function of the peripheral auditory pathway in deaf children with CNCs, as revealed by the electrically evoked auditory brainstem response (EABR), and postoperative cochlear implants (CIs) outcomes. MATERIALS AND METHODS: Thirteen children with CNCs and 13 children with no inner ear malformations (IEMs) who received CIs were recruited. The EABR evoked by electrical stimulation from the CI electrode was recorded. Postoperative CI outcomes were assessed using Categories of Auditory Performance (CAP) and Speech Intelligibility Rate (SIR). RESULTS: Compared with children with no IEMs, children with CNCs showed lower EABR extraction rates, higher thresholds, a longer wave V (eV) latency and lower CAP and SIR scores. The auditory and speech performance was positively correlated with the diameter of the cochlear nerve canal and the number of channels showing wave III (eIII) and eV in children with CNCs. CONCLUSIONS AND SIGNIFICANCE: The physiological function of the peripheral auditory pathway in children with CNCs is poorer than that in children with no IEMs. Postoperative auditory and speech abilities may depend on the severity of cochlear nerve malformation and auditory conduction function.

Relationships between bilateral auditory brainstem activity and inter-implant interval in children with cochlear implants.

PURPOSE: To investigate the effect of the interval between bilateral cochlear implantation on the development of bilateral peripheral auditory pathways as revealed by the electrically evoked auditory brainstem response (EABR). METHODS: Fifty-eight children with profound bilateral sensorineural hearing loss were recruited. Among them, 33 children received sequential bilateral cochlear implants (CIs), and 25 children received simultaneous bilateral CIs. The bilateral EABRs evoked by electrical stimulation from the CI electrode were recorded on the day of second-side CI activation. RESULTS: The latencies of wave III (eIII) and wave V (eV) were significantly shorter on the first CI side than on the second CI side in children with sequential bilateral CIs but were similar between the two sides in children with simultaneous bilateral CIs. Furthermore, the latencies were prolonged from apical to basal channels along the cochlea in the two groups. In children with sequential CIs, the inter-implant interval was negatively correlated with the eV latency on the first CI side and was positively correlated with bilateral differences in the eIII and eV latencies. CONCLUSIONS: Unilateral CI use promotes the maturation of ipsilateral auditory conduction function. However, a longer inter-implant interval results in more unbalanced development of bilateral auditory brainstem pathways. Bilateral cochlear implantation with no or a short interval is recommended.

Historical record of nutrients inputs into the Xin'an Reservoir and its potential environmental implication.

The Xin'an Reservoir is an important water supply source and water conservation area for the Qiantang River. However, after the occurrence of the two algae blooms in 1998 and 1999, the safety of water quality has been put into question. In order to study the historical deposition of nutrients, sediment cores were collected in different regions from the Xin'an Reservoir. The stable isotopes δ13C and δ15N, nutrients, total organic carbon (TOC), and inorganic carbon (IC) in the sediment cores were determined. Radiometric methods (210Pb and 137Cs) were used to obtain sediment chronologies. Spatially, it was found that the average total nitrogen (TN) content in the upper 5 cm of sediments increased from 0.21% in the riverine zone, to 0.33%, and then to 0.57% in the lacustrine zone. The average TP content in the upper 5 cm increased from 0.67 g kg-1 in the riverine zone, to 1.03 g kg-1 in the estuary region, and then to 1.65 g kg-1 in the lacustrine zone. In addition, TOC levels showed a distinct increase from 1.42% in the bottom to 5.97% in the surface of the lacustrine zone. These results demonstrated that although primary productivity and the input of nutrients constantly increased in recent years, algae blooms rarely occurred in the Xin'an Reservoir, due to "depth effect" and an aquatic environment protection-oriented fishery policy. However, high TOC flux and high bio-available phosphorus and nitrogen in surface sediment demonstrated that the reservoir is still confronted with the potential risk of algae blooms.

A novel shielding scheme studied by the Monte Carlo method for electron beam radiotherapy.

Lead that has been employed widely for shielding in electron beam radiotherapy can produce bremsstrahlung photons during the shielding process. A novel shielding scheme with a two-layer structure has been studied using a Monte Carlo method in order to reduce this bremsstrahlung effect. Compared with the conventional lead, the novel shielding scheme, comprised of a Styrene-Ethylene-Butylene-Styrene Block Co-polymer (SEBS) above and lead below, can efficiently reduce the generation of bremsstrahlung while providing better shielding for incident electrons. Therefore, this novel shielding scheme may play an important role in future applications.

Gamma irradiation effect on Rayleigh scattering in low water peak single-mode optical fibers.

The Rayleigh scattering loss in low water peak single-mode optical fibers under varying Gamma rays irradiation has been investigated. We observed that the Rayleigh scattering coefficient (CR) of the fiber is almost linearly increased with the increase of Gamma irradiation in the low-dose range (< 500 Gy). Based on the electron spin resonance (ESR) spectra analysis, we confirmed that the Rayleigh scattering mainly results from the irradiation-induced defect centers associated with electron transfer or charge density redistribution around Ge and O atoms. This work provides a new interpretation of the optical loss and reveals a new mechanism on irradiation influence on Rayleigh scattering.

A new lead-free radiation shielding material for radiotherapy.

Lead has recently been recognised as a source of environmental pollution, including the lead used for radiation shielding in radiotherapy. The bremsstrahlung radiation caused by the interaction between the electron beam and lead may reduce the accuracy of radiotherapy. To avoid the use of lead, a new material composed of tungsten and hydrogenated styrene-butadiene-styrene copolymer is studied with the Monte Carlo (MC) method and experiment in this paper. The component of the material is chosen after simulation with the MC method and the practical measurement is taken to validate the shielding ability of the material. The result shows that the shielding ability of the new material is good enough to fulfill the requirement for application in radiotherapy. Compared with lead alloy, the present new material is so flexible that can be easily customized into arbitrary shapes. Moreover, the material is environmentally friendly and can be recycled conveniently. Therefore, the material can be used as an effective lead substitute for shielding against electron beams in radiotherapy.