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| 2. |
- Hakimi Hashjin, L., et al.
(author)
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The effect of educational intervention based on the protective motivation theory on awareness and early detection behaviours of breast cancer in women
- 2022
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In: International Journal of Health Promotion and Education. - : Informa UK Limited. - 1463-5240 .- 2164-9545.
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Journal article (peer-reviewed)abstract
- ‘Cancer control and early detection’ is one of the priority programs of the World Health Organization. This quasi-experimental study aimed to investigate the effect of educational intervention, based on the Protection Motivation Theory (PMT), on awareness and early detection behaviours of breast cancer (BC) in women. The eligible women were randomly selected through electronic health records, and divided into the intervention (IG) (n = 45) and control groups (CG) (n = 45). Data were collected in three phases: baseline (T1), immediately (T2) and two-month (T3) after the PMT-based intervention using four questionnaires of Demographic-Clinical Information, Awareness of BC Warning Signs, Awareness of BC Early Detection Behaviours and Modified Early Cancer Detection Behaviours – BC version. Results showed that the PMT-based education influenced the awareness and behaviours of participants in the IG group compared with the CG over time (p < 0.001). The mean and standard deviation of variables improved in the IG in comparison to the CG from T1 to T3: ‘awareness of BC warning signs’ [IG: (T1: 68.50 ± 5.47) to (T3: 89.40 ± 3.50)] [CG: (T1: 69.70 ± 5.87) to (T3: 67.40 ± 2.42)], ‘awareness of early detection behaviours’ [IG: (T1: 78.65 ± 4.47) to (T3: 89.55 ± 4.74)] [CG: (T1: 79.20 ± 5.45) to (T3: 84.10 ± 2.89)] and ‘protection behaviours’ [IG: (T1: 65.01 ± 23.99) to (T3: 98.15 ± 12.20)] [CG: (T1: 56.94 ± 20.85) to (T3: 57.68 ± 21.01)]. Thus, women in this context should be motivated and empowered towards protective health behaviours for early detection of BC. It is suggested that healthcare providers develop PMT-based programs for BC early detection in women in different settings of the community.
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| 3. |
- Li, Hao, 1984-, et al.
(author)
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Unlocking the human inner ear for therapeutic intervention
- 2022
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In: Scientific Reports. - : Springer Nature. - 2045-2322. ; 12:1
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Journal article (peer-reviewed)abstract
- The human inner ear contains minute three-dimensional neurosensory structures that are deeply embedded within the skull base, rendering them relatively inaccessible to regenerative therapies for hearing loss. Here we provide a detailed characterisation of the functional architecture of the space that hosts the cell bodies of the auditory nerve to make them safely accessible for the first time for therapeutic intervention. We used synchrotron phase-contrast imaging which offers the required microscopic soft-tissue contrast definition while simultaneously displaying precise bony anatomic detail. Using volume-rendering software we constructed highly accurate 3-dimensional representations of the inner ear. The cell bodies are arranged in a bony helical canal that spirals from the base of the cochlea to its apex; the canal volume is 1.6 mu L but with a diffusion potential of 15 mu L. Modelling data from 10 temporal bones enabled definition of a safe trajectory for therapeutic access while preserving the cochlea's internal architecture. We validated the approach through surgical simulation, anatomical dissection and micro-radiographic analysis. These findings will facilitate future clinical trials of novel therapeutic interventions to restore hearing.
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| 5. |
- Helpard, Luke, et al.
(author)
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An Approach for Individualized Cochlear Frequency Mapping Determined From 3D Synchrotron Radiation Phase-Contrast Imaging
- 2021
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In: IEEE Transactions on Biomedical Engineering. - : Institute of Electrical and Electronics Engineers (IEEE). - 0018-9294 .- 1558-2531. ; 68:12, s. 3602-3611
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Journal article (peer-reviewed)abstract
- Objective: Cochlear implants are traditionally programmed to stimulate according to a generalized frequency map, where individual anatomic variability is not considered when selecting the centre frequency of stimulation of each implant electrode. However, high variability in cochlear size and spatial frequency distributions exist among individuals. Generalized cochlear implant frequency maps can result in large pitch perception errors and reduced hearing outcomes for cochlear implant recipients. The objective of this work was to develop an individualized frequency mapping technique for the human cochlea to allow for patient-specific cochlear implant stimulation.Methods: Ten cadaveric human cochleae were scanned using synchrotron radiation phase-contrast imaging (SR-PCI) combined with computed tomography (CT). For each cochlea, ground truth angle-frequency measurements were obtained in three-dimensions using the SR-PCI CT data. Using an approach designed to minimize perceptual error in frequency estimation, an individualized frequency function was determined to relate angular depth to frequency within the cochlea.Results: The individualized frequency mapping function significantly reduced pitch errors in comparison to the current gold standard generalized approach.Conclusion and Significance: This paper presents for the first time a cochlear frequency map which can be individualized using only the angular length of cochleae. This approach can be applied in the clinical setting and has the potential to revolutionize cochlear implant programming for patients worldwide.
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| 6. |
- Helpard, Luke, et al.
(author)
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Three-Dimensional Modeling and Measurement of the Human Cochlear Hook Region : Considerations for Tonotopic Mapping
- 2021
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In: Otology and Neurotology. - : Lippincott Williams & Wilkins. - 1531-7129 .- 1537-4505. ; 42:6, s. E658-E665
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Journal article (peer-reviewed)abstract
- Hypothesis: Measuring the length of the basilar membrane (BM) in the cochlear hook region will result in improved accuracy of cochlear duct length (CDL) measurements.Background: Cochlear implant pitch mapping is generally performed in a patient independent approach, which has been shown to result in place-pitch mismatches. In order to customize cochlear implant pitch maps, accurate CDL measurements must be obtained. CDL measurements generally begin at the center of the round window (RW) and ignore the basal-most portion of the BM in the hook region. Measuring the size and morphology of the BM in the hook region can improve CDL measurements and our understanding of cochlear tonotopy.Methods: Ten cadaveric human cochleae underwent synchrotron radiation phase-contrast imaging. The length of the BM through the hook region and CDL were measured. Two different CDL measurements were obtained for each sample, with starting points at the center of the RW (CDLRW) and the basal-most tip of the BM (CDLHR). Regression analysis was performed to relate CDLRW to CDLHR. A three-dimensional polynomial model was determined to describe the average BM hook region morphology.Results: The mean CDLRW value was 33.03 ± 1.62 mm, and the mean CDLHR value was 34.68 ± 1.72 mm. The following relationship was determined between CDLRW and CDLHR: CDLHR = 1.06(CDLRW)-0.26 (R2 = 0.99).Conclusion: The length and morphology of the hook region was determined. Current measurements underestimate CDL in the hook region and can be corrected using the results herein.
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| 7. |
- Jones, Benjamin L. H., et al.
(author)
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Dependence on seagrass fisheries governed by household income and adaptive capacity
- 2022
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In: Ocean and Coastal Management. - : Elsevier BV. - 0964-5691 .- 1873-524X. ; 225
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Journal article (peer-reviewed)abstract
- Seagrass meadows, like other tropical coastal ecosystems, are highly productive and sustain millions of people worldwide. However, the factors that govern the use of seagrass as a fishing habitat over other habitats are largely unknown, especially at the household scale. Using socioeconomic factors from 147 villages across four countries within the Indo-Pacific, we examined the drivers of household dependence on seagrass. We revealed that seagrass was the most common habitat used for fishing across villages in all the countries studied, being preferred over other habitats for reliability. Using structural equation modelling, we exposed how household income and adaptive capacity appears to govern dependence on seagrass. Poorer households were less likely to own motorboats and dependent on seagrass as they were unable to fish elsewhere, whereas wealthier households were more likely to invest in certain fishing gears that incentivised them to use seagrass habitats due to high rewards and low effort requirements. Our findings accentuate the complexity of seagrass social-ecological systems and the need for empirical household scale data for effective management. Safeguarding seagrass is vital to ensure that vulnerable households have equitable and equal access to the resource, addressing ocean recovery and ensuring sustainable coastal communities.
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| 8. |
- Jones, Benjamin L., et al.
(author)
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Local Ecological Knowledge Reveals Change in Seagrass Social–Ecological Systems
- 2022
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In: Oceans. - : MDPI AG. - 2673-1924. ; 3:3, s. 419-430
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Journal article (peer-reviewed)abstract
- It is widely recognized that humanity is currently facing multiple planetary crises, including the widespread loss of biodiversity and a rapidly changing climate. The impacts of these crises are often far reaching and threaten food security (SDG goal two: zero hunger). Small-scale fisheries are estimated to provide livelihoods for over one hundred million people and sustenance for approximately one billion people but face a plethora of threats and challenges linked to planetary crises. In this multi-country assessment (150 coastal villages across five countries within the Indo-Pacific), household interviews revealed how seagrass meadows are important to small-scale fisheries, particularly as a place to find and collect a reliable source of food. Interviews also revealed that habitat loss and the over-exploitation of these resources are placing people and their food security at risk. This study exposed how dynamic local ecological knowledge can be, uncovering personal opinions and responsibilities that result in the hybridization of knowledge. Here, we demonstrate the importance of using local ecological knowledge to incorporate shared values into management but also highlight that an integrated approach, pairing local and conventional scientific knowledge, is needed urgently if we are to meet the needs of people while simultaneously conserving biodiversity.
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| 9. |
- Li, Hao, 1984-, et al.
(author)
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A Synchrotron and Micro-CT Study of the Human Endolymphatic Duct System : Is Meniere's Disease Caused by an Acute Endolymph Backflow?
- 2021
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In: Frontiers in Surgery. - : Frontiers Media S.A.. - 2296-875X. ; 8
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Journal article (peer-reviewed)abstract
- Background: The etiology of Meniere's disease (MD) and endolymphatic hydrops believed to underlie its symptoms remain unknown. One reason may be the exceptional complexity of the human inner ear, its vulnerability, and surrounding hard bone. The vestibular organ contains an endolymphatic duct system (EDS) bridging the different fluid reservoirs. It may be essential for monitoring hydraulic equilibrium, and a dysregulation may result in distension of the fluid spaces or endolymphatic hydrops. Material and Methods: We studied the EDS using high-resolution synchrotron phase contrast non-invasive imaging (SR-PCI), and micro-computed tomography (micro-CT). Ten fresh human temporal bones underwent SR-PCI. One bone underwent micro-CT after fixation and staining with Lugol's iodine solution (I2KI) to increase tissue resolution. Data were processed using volume-rendering software to create 3D reconstructions allowing orthogonal sectioning, cropping, and tissue segmentation. Results: Combined imaging techniques with segmentation and tissue modeling demonstrated the 3D anatomy of the human saccule, utricle, endolymphatic duct, and sac together with connecting pathways. The utricular duct (UD) and utriculo-endolymphatic valve (UEV or Bast's valve) were demonstrated three-dimensionally for the first time. The reunion duct was displayed with micro-CT. It may serve as a safety valve to maintain cochlear endolymph homeostasis under certain conditions. Discussion: The thin reunion duct seems to play a minor role in the exchange of endolymph between the cochlea and vestibule under normal conditions. The saccule wall appears highly flexible, which may explain occult hydrops occasionally preceding symptoms in MD on magnetic resonance imaging (MRI). The design of the UEV and connecting ducts suggests that there is a reciprocal exchange of fluid among the utricle, semicircular canals, and the EDS. Based on the anatomic framework and previous experimental data, we speculate that precipitous vestibular symptoms in MD arise from a sudden increase in endolymph pressure caused by an uncontrolled endolymphatic sac secretion. A rapid rise in UD pressure, mediated along the fairly wide UEV, may underlie the acute vertigo attack, refuting the rupture/K+-intoxication theory.
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| 10. |
- Li, Hao, 1984-, et al.
(author)
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Aeration of the Human Prussak's Space : A 3D Synchrotron Imaging Study
- 2021
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In: Otology and Neurotology. - : Lippincott Williams & Wilkins. - 1531-7129 .- 1537-4505. ; 42:7, s. E894-E904
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Journal article (peer-reviewed)abstract
- Objectives: Prussak's space (PS) is an intricate middle ear region which may play an essential role in the development of middle ear disease. The three-dimensional (3D) anatomy of the human PS and its drainage routes remain relatively unknown. Earlier studies have histologically analyzed PS, by micro-dissection and endoscopy. Here, we used synchrotron-radiation phase-contrast imaging (SR-PCI), 3D reconstructions, and modeling to study the framework of the human PS, including aeration pathways. It may lead to increased understanding of development of middle ear pathology.Design: Nine human temporal bone specimens underwent in-line SR-PCI at the Canadian Light Source in Saskatoon, Saskatchewan, Canada. Data were processed with volume-rendering software to create 3D reconstructions using scalar opacity mapping and segmentations to visualize its walls in fixed, undecalcified human temporal bones.Results: The PS was found to be an irregular, variably shaped chamber with different aeration systems. Three different drainage pathways were found: 1) via the posterior malleolar pouch of von Troltsch in seven of nine ears; 2) directly posterior-inferior into the mesotympanum medial to the posterior malleolar pouch in one ear; and 3) anteriorly in another. The posterior-inferior communications depended on the anatomy of the posterior malleolar fold. In one bilateral case, the aeration differed between the ears. Earlier descriptions of upper ventilation routes between the PS and the epitympanic spaces could not be substantiated.Conclusions: The 3D anatomy of the membrane folds organizing the PS in humans was demonstrated for the first time using in-line SR-PCI. The PS was always aerated into the mesotympanum, suggesting its relative independence of attic ventilation. The impact of its various drainage routes on middle ear ventilation and disease were discussed.
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