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- Asp, Filip, et al.
(författare)
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Bilateral versus unilateral cochlear implants in children: Speech recognition, sound localization, and parental reports
- 2012
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Ingår i: International Journal of Audiology. - : Informa Healthcare. - 1499-2027 .- 1708-8186. ; 51:11, s. 817-832
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To compare bilateral and unilateral speech recognition in quiet and in multi-source noise, and horizontal sound localization of low and high frequency sounds in children with bilateral cochlear implants. Design: Bilateral performance was compared to performance of the implanted side with the best monaural speech recognition in quiet result. Parental reports were collected in a questionnaire. Results from the CI children were compared to binaural and monaural performance of normal-hearing peers. Study sample: Sixty-four children aged 5.1-11.9 years who were daily users of bilateral cochlear implants. Thirty normal-hearing children aged 4.8-9.0 years were recruited as controls. Results and Conclusions : Group data showed a statistically significant bilateral speech recognition and sound localization benefit, both behaviorally and in parental reports. The bilateral speech recognition benefit was smaller in quiet than in noise. The majority of subjects localized high and low frequency sounds significantly better than chance using bilateral implants, while localization accuracy was close to chance using unilateral implants. Binaural normal-hearing performance was better than bilateral performance in implanted children across tests, while bilaterally implanted children showed better localization than normal-hearing children under acute monaural conditions.
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| 4. |
- Edfeldt, Lennart, et al.
(författare)
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Evaluation of cost-utility in middle ear implantation in the 'Nordic School' : a multicenter study in Sweden and Norway
- 2014
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Ingår i: Acta Oto-Laryngologica. - : Informa UK Limited. - 0001-6489 .- 1651-2251. ; 134:1, s. 19-25
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Tidskriftsartikel (refereegranskat)abstract
- Conclusion: Hearing restoration using an active middle ear implant (AMEI) is a highly cost-effective treatment for a selected group of patients with no other possibilities for auditory rehabilitation. Objectives: To evaluate the cost-utility of using an AMEI for hearing rehabilitation. Methods: This was a prospective, multicenter, single-subject repeated study in six tertiary referral centers. Twenty-four patients with sensorineural (SNHL), conductive (CHL), and mixed hearing loss (MHL) were implanted with the AMEI Vibrant Soundbridge (R) (VSB) for medical reasons. All patients were previously rehabilitated with conventional hearing aids. Multiple validated quality of life patient questionnaires, Health Utilities Index (HUI 2 and 3), and Glasgow Hearing Aid Benefit Profile (GHABP) were used to determine the utility gain and quality adjusted life years (QALY). Directly related treatment costs for the implantation were calculated and related to utility gain and QALY. Results: The cost/QALY for patients with SNHL was estimated at (sic)7260/QALY, and for patients with C/MHL at (sic)12 503/QALY.
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| 5. |
- Enge, Swantje, 1981, et al.
(författare)
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An exotic chemical weapon explains low herbivore damage in an invasive alga
- 2012
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Ingår i: Ecology. - : Wiley. - 0012-9658. ; 93:12, s. 2736-2745
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Tidskriftsartikel (refereegranskat)abstract
- Invasion success of introduced species is often attributed to a lack of natural enemies as stated by the enemy release hypothesis (ERH). The ERH intuitively makes sense for specialized enemies, but it is less evident why invaders in their new area escape attacks by generalist enemies. A recent hypothesis explains low herbivore damage on invasive plants with plant defense chemicals that are evolutionarily novel to native herbivores. Support for this novel weapon hypothesis (NWH) is so far based on circumstantial evidence. To corroborate the NWH, there is a need for direct evidence through explicit characterizations of the novel chemicals and their effects on native consumers. This study evaluated the NWH using the highly invasive red alga Bonnemaisonia hamifera. In pairwise feeding experiments, preferences between B. hamifera and native competitors were assessed for four common generalist herbivores in the invaded area. Through a bioassay-guided fractionation, we identified the deterrent compound and verified its effect in an experiment with the synthesized compound at natural concentrations. The results showed that native herbivores strongly preferred native algae to B. hamifera. The resistance against herbivores could be tracked down to the algal metabolite 1,1,3,3-tetrabromo-2-heptanone, a compound not known from native algae in the invaded area. The importance of the chemical defense was further underlined by the feeding preference of herbivores for individuals with a depleted content of 1,1,3,3-tetrabromo-2-heptanone. This study thus provides the first conclusive example of a highly successful invader where low consumption in the new range can be directly attributed to a specific chemical defense against evolutionarily naive native generalists. In conclusion, our results support the notion that novel chemical weapons against naive herbivores can provide a mechanistic explanation for plant invasion success.
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| 6. |
- Fisher, James L., et al.
(författare)
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Loud Noise Exposure and Acoustic Neuroma
- 2014
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Ingår i: American Journal of Epidemiology. - : Oxford University Press (OUP). - 0002-9262 .- 1476-6256. ; 180:1, s. 58-67
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Tidskriftsartikel (refereegranskat)abstract
- The results from studies of loud noise exposure and acoustic neuroma are conflicting. A population-based case-control study of 451 acoustic neuroma patients and 710 age-, sex-, and region-matched controls was conducted in Sweden between 2002 and 2007. Occupational exposure was based on historical measurements of occupational noise (321 job titles summarized by a job exposure matrix) and compared with self-reported occupational noise exposure. We also evaluated self-reported noise exposure during leisure activity. Conditional logistic regression was used to estimate odds ratios. There was no statistically significant association between acoustic neuroma and persistent occupational noise exposure, either with or without hearing protection. Exposure to loud noise from leisure activity without hearing protection was more common among acoustic neuroma cases (odds ratio = 1.47, 95% confidence interval: 1.06, 2.03). Statistically significant odds ratios were found for specific leisure activities including attending concerts/clubs/sporting events (odds ratio = 1.82, 95% confidence interval: 1.09, 3.04) and participating in workouts accompanied by loud music (odds ratio = 2.84, 95% confidence interval: 1.37, 5.89). Our findings do not support an association between occupational exposure to loud noise and acoustic neuroma. Although we report statistically significant associations between leisure-time exposures to loud noise without hearing protection and acoustic neuroma, especially among women, we cannot rule out recall bias as an alternative explanation.
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| 8. |
- Harder, Henrik, et al.
(författare)
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Speech-perception in elderly implant recipients
- 2010
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Ingår i: 11th International Conference on Cochlear Implants and Other Implantable Auditory Technologies. ; , s. 339-
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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