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1.
Phys Rev Lett ; 123(2): 026803, 2019 Jul 12.
Article in English | MEDLINE | ID: mdl-31386494

ABSTRACT

We report ground- and excited-state transport through an electrostatically defined few-hole quantum dot in bilayer graphene in both parallel and perpendicular applied magnetic fields. A remarkably clear level scheme for the two-particle spectra is found by analyzing finite bias spectroscopy data within a two-particle model including spin and valley degrees of freedom. We identify the two-hole ground state to be a spin-triplet and valley-singlet state. This spin alignment can be seen as Hund's rule for a valley-degenerate system, which is fundamentally different from quantum dots in carbon nanotubes, where the two-particle ground state is a spin-singlet state. The spin-singlet excited states are found to be valley-triplet states by tilting the magnetic field with respect to the sample plane. We quantify the exchange energy to be 0.35 meV and measure a valley and spin g factor of 36 and 2, respectively.

2.
Opt Express ; 24(10): 10512-26, 2016 May 16.
Article in English | MEDLINE | ID: mdl-27409874

ABSTRACT

We present a thorough investigation of surface deformation and thermal properties of high-damage threshold large-area semiconductor saturable absorber mirrors (SESAMs) designed for kilowatt average power laser oscillators. We compare temperature rise, thermal lensing, and surface deformation of standard SESAM samples and substrate-removed SESAMs contacted using different techniques. We demonstrate that for all cases the thermal effects scale linearly with the absorbed power, but the contacting technique critically affects the strength of the temperature rise and the thermal lens of the SESAMs (i.e. the slope of the linear change). Our best SESAMs are fabricated using a novel substrate-transfer direct bonding technique and show excellent surface flatness (with non-measureable radii of curvature (ROC), compared to astigmatic ROCs of up to 10 m for standard SESAMs), order-of-magnitude improved heat removal, and negligible deformation with absorbed power. This is achieved without altering the saturation behavior or the recovery parameters of the samples. These SESAMs will be a key enabling component for the next generation of kilowatt-level ultrafast oscillators.

3.
Appl Opt ; 55(14): 3776-80, 2016 May 10.
Article in English | MEDLINE | ID: mdl-27168291

ABSTRACT

Semiconductor saturable absorber mirror (SESAM) modelocked high pulse repetition rate (≥10 GHz) diode-pumped solid-state lasers are proven as an enabling technology for high data rate coherent communication systems owing to their low noise and high pulse-to-pulse optical phase-coherence. Compared to quantum well, quantum dot (QD)-based SESAMs offer potential advantages to such laser systems in terms of reduced saturation fluence, broader bandwidth, and wavelength flexibility. Here, we describe the first 10 GHz pulse repetition rate QD-SESAM modelocked laser at 1.55 µm, exhibiting 2 ps pulse width from an Er-doped glass oscillator (ERGO). The 10 GHz ERGO laser is modelocked with InAs/GaAs QD-SESAM with saturation fluence as low as 9 µJ/cm2.

4.
Opt Express ; 21(25): 31548-59, 2013 Dec 16.
Article in English | MEDLINE | ID: mdl-24514728

ABSTRACT

We report a versatile way of controlling the unsaturated loss, modulation depth and saturation fluence of graphene-based saturable absorbers (GSAs), by changing the thickness of a spacer between a single layer graphene (SLG) and a high-reflection mirror. This allows us to modulate the electric field intensity enhancement at the GSA from 0 up to 400%, due to the interference of incident and reflected light at the mirror. The unsaturated loss of the SLG-mirror-assembly can be reduced to ∼0. We use this to mode-lock a vertical-external-cavity surface-emitting laser (VECSEL) from 935 to 981 nm. This approach can be applied to integrate SLG into various optical components, such as output coupler mirrors, dispersive mirrors or dielectric coatings on gain materials. Conversely, it can also be used to increase the absorption (up to 10%) in various graphene based photonics and optoelectronics devices, such as photodetectors.


Subject(s)
Graphite/chemistry , Lasers , Lenses , Refractometry/instrumentation , Equipment Design , Equipment Failure Analysis , Systems Integration
5.
Opt Express ; 20(25): 27915-21, 2012 Dec 03.
Article in English | MEDLINE | ID: mdl-23262737

ABSTRACT

Ultrafast VECSELs are compact pulsed laser sources with more flexibility in the emission wavelength compared to diode-pumped solid-state lasers. Typically, the reduction of the pulse repetition rate is a straightforward method to increase both pulse energy and peak power. However, the relatively short carrier lifetime of semiconductor gain materials of a few nanoseconds sets a lower limit to the repetition rate of passively modelocked VECSELs. This fast gain recovery combined with low pulse repetition rates leads to the buildup of multiple pulses in the cavity. Therefore, we applied an active multipass approach with which demonstrate fundamental modelocking at a repetition rate of 253 MHz with 400 mW average output power in 11.3 ps pulses.


Subject(s)
Lasers , Optics and Photonics/methods , Semiconductors , Equipment Design , Lasers, Semiconductor , Lasers, Solid-State
6.
Opt Express ; 20(22): 24791-802, 2012 Oct 22.
Article in English | MEDLINE | ID: mdl-23187244

ABSTRACT

Linear and nonlinear gain characterization of electrically pumped vertical external cavity surface emitting lasers (EP-VECSELs) is presented with spectrally resolved measurements of the gain and with gain saturation measurements of two EP-VECSEL samples with different field enhancement in the quantum-well gain layers. The spectral bandwidth, small-signal gain and saturation fluence of the devices are compared. Using the sample with the larger bandwidth, we have demonstrated the shortest pulses generated from a passively modelocked EP-VECSEL to date. With a low-saturation-fluence SESAM for passive modelocking we have achieved 9.5-ps pulses with 7.6 mW average output power at a repetition rate of 1.4 GHz. With a higher output coupler transmission the pulse duration was increased to 31 ps with an average output power of 13.6 mW. The pulses were chirped mainly due to the group delay dispersion (GDD) introduced by the intermediate DBR, which compensates the optical loss in the structure.

7.
J Frailty Aging ; 7(3): 182-186, 2018.
Article in English | MEDLINE | ID: mdl-30095149

ABSTRACT

BACKGROUND: Through diet and exercise interventions, community centers offer an opportunity to address health-related issues for some of the oldest, most vulnerable members of our society. OBJECTIVES: The purpose of this investigation is to draw upon nationwide data to better characterize the population served by the congregate meals program and to gather more detailed information on a local level to identify opportunities for service enhancement to improve the health and well-being of older adults. DESIGN: We examined community center data from two sources: 2015 National Survey of Older Americans Act and surveys from two New York City community centers. To assess nationwide service delivery, we analyzed participant demographics, functional status defined by activities of daily living, and perceptions of services received. MEASUREMENTS: Participants from the two New York City community centers completed a four-day food record. Functional measures included the short physical performance battery, self-reported physical function, grip strength, and the Montreal Cognitive Assessment. RESULTS: Nationwide (n=901), most participants rated the meal quality as good to excellent (91.7%), and would recommend the congregate meals program to a friend (96.0%). Local level data (n=22) were collected for an in-depth understanding of diet, physical activity patterns, body weight, and objective functional status measures. Diets of this small, local convenience sample were higher in fat, cholesterol, and sodium, and lower in calcium, magnesium, and fiber than recommended by current United States Dietary Guidelines. Average time engaged in moderate physical activity was 254 minutes per week (SD=227), exceeding the recommended 150 minutes per week, but just 41% (n=9) and 50% (n=11) of participants engaged in strength or balance exercises, respectively. CONCLUSION: Research is warranted to test whether improvements in the nutritional quality of food served and access/supports for engaging in strength training within community centers could help older adults achieve diet and physical activity recommendations.


Subject(s)
Diet , Exercise , Food Services , Vulnerable Populations , Aged , Guideline Adherence , Guidelines as Topic , Humans , Nutrition Policy , Program Evaluation , Surveys and Questionnaires , United States
8.
Gene ; 264(1): 19-27, 2001 Feb 07.
Article in English | MEDLINE | ID: mdl-11245974

ABSTRACT

Transcription factor Sp4 is a member of the Sp1 family. It functions differently from other members of this family, such as Sp1 and Sp3, and the gene for Sp4 is transcribed in a tissue-specific manner. Recent studies in mice suggest that Sp4 might play an important role in growth, viability, and male fertility. We report here the isolation and characterization of the gene for Sp4 from a mouse genomic library. The mouse gene for Sp4 was about 80 kb in length and it consisted of six exons and five introns. The promoter was found in a CpG island and had a high G+C content. The proximal promoter contained multiple putative binding sites for the transcription factors Sp1 and MAZ but lacked a consensus TATA box. Multiple sites for the initiation of transcription were mapped in a GC-rich region from 286 bp to 211 bp upstream of the ATG triplet at the site of initiation of translation, and all of the sites were either C or G. Transfection experiments and deletion analysis allowed us to localize the promoter to a region that was no more than 93 bp upstream from the first site of initiation of transcription. We also found that ectopic expression of Sp1 and of MAZ, but not of Sp3, suppressed expression of the Sp4 promoter in a dose-dependent manner.


Subject(s)
Promoter Regions, Genetic/genetics , Transcription Factors/genetics , Amino Acid Sequence , Animals , Base Sequence , Cell Line , DNA/chemistry , DNA/genetics , DNA/isolation & purification , DNA-Binding Proteins/metabolism , Gene Expression Regulation , Humans , Luciferases/genetics , Luciferases/metabolism , Mice , Molecular Sequence Data , Protein Binding , Recombinant Fusion Proteins/genetics , Recombinant Fusion Proteins/metabolism , Sequence Alignment , Sequence Analysis, DNA , Sequence Deletion , Sequence Homology, Nucleic Acid , Sp1 Transcription Factor/metabolism , Sp3 Transcription Factor , Sp4 Transcription Factor , Transcription Factors/metabolism , Transcription, Genetic
9.
Neuropharmacology ; 22(4): 501-11, 1983 Apr.
Article in English | MEDLINE | ID: mdl-6134248

ABSTRACT

Multiunit activity was recorded simultaneously in the substantia nigra pars compacta, the pyramidal layer of the hippocampus dorsalis CA 1 area, the nucleus locus coeruleus and the nucleus raphé dorsalis of encéphale isolé rats; drugs were injected intravenously in increasing doses. Chlordiazepoxide decreased multiunit activity dose-dependently to a similar extent in substantia nigra, hippocampus and dorsal raphé, but was less effective in the locus coeruleus. Midazolam reduced multiunit activity in all 4 nuclei to a similar degree and was more potent than chlordiazepoxide. Specific benzodiazepine antagonists completely reversed the effects of the two benzodiazepines. Pentobarbitone was a less potent depressant than chlordiazepoxide, and its effect was not reversed by the benzodiazepine antagonist Ro 15-1788.


Subject(s)
Benzodiazepines/pharmacology , Brain Stem/drug effects , Hippocampus/drug effects , Locus Coeruleus/drug effects , Pentobarbital/pharmacology , Raphe Nuclei/drug effects , Substantia Nigra/drug effects , Animals , Anti-Anxiety Agents/pharmacology , Behavior, Animal/drug effects , Brain/physiology , Chlordiazepoxide/pharmacology , Decerebrate State , Male , Midazolam , Rats , Rats, Inbred Strains
10.
Neurotoxicology ; 15(3): 705-13, 1994.
Article in English | MEDLINE | ID: mdl-7854610

ABSTRACT

Within a larger comparative environmental health screening program in East and West Germany neurobehavioral and neurophysiological measures were taken in 367 six year old children in Leipzig (N = 179), Gardelegen (N = 68), and Duisburg (N = 120). Lead concentrations from venous blood samples (PbB) and from deciduous teeth (PbT) were measured as markers of environmental lead exposure by electrothermal AAS. Dependent variables included four subtests from NES1 (tapping, reaction time, pattern comparison, and Benton visual retention), as well as VEP-latencies (N2, P100, N3) evoked by checkerboard patterns of different size and contrast. The overall median blood lead-concentration was 5 micrograms/dl (range: 1.3-19.0 micrograms/dl), and the corresponding tooth lead-concentration was 2 micrograms/g (0.2-14 micrograms/g). The 95-percentile of the overall frequency distribution for PbB was below 10 micrograms/dl. Associations between markers of lead-exposure and neurobehavioral or neurophysiological outcome were assessed by means of multiple linear or logistic regression analyses. After adjusting for relevant confounders/covariates significant (p < 0.05) Pb-related deficit was found for tapping and pattern recognition with respect to PbB but not PbT. No such associations could be established for VEP-latencies. These results are compatible with the hypothesis that subtle neurobehavioral dysfunction in children may be associated with very low PbB.


Subject(s)
Child Behavior/drug effects , Evoked Potentials, Visual/drug effects , Lead/adverse effects , Child , Female , Humans , Lead/analysis , Lead/blood , Male , Reaction Time/drug effects , Regression Analysis , Tooth/chemistry
11.
J Psychosom Res ; 35(6): 729-40, 1991.
Article in English | MEDLINE | ID: mdl-1791587

ABSTRACT

Acquired hearing loss has frequently been reported to cause strains in everyday life, but few attempts have been reported where the affliction is related to the concept of stress. In this within-subjects investigation of 48 middle-aged to elderly hearing impaired patients, the relationships between hearing measurements, experienced disability and handicap (HMS), and psychological and somatic distress symptoms (SCL-90(R)) were analyzed. The variations in experienced hearing disability was found to correlate to the occurrence of a few, but more severe distress symptoms, and by loss of hearing for high frequencies. The experienced handicap, defined as emotional responses and personal opinions, was found to correlate to a general level of distress. In particular those distress items expressing insecurity were related to handicap experience. It was suggested that insecurity in social settings, and diminished hearing for contextual sounds, could cause a perceived loss of control, which could induce stress reactions.


Subject(s)
Adaptation, Psychological , Arousal , Auditory Threshold , Presbycusis/psychology , Sick Role , Aged , Audiometry, Pure-Tone , Female , Hearing Aids/psychology , Humans , Internal-External Control , Male , Presbycusis/rehabilitation , Speech Reception Threshold Test
12.
Sci Rep ; 2: 477, 2012.
Article in English | MEDLINE | ID: mdl-22745898

ABSTRACT

High pulse repetition rate (≥ 10 GHz) diode-pumped solid-state lasers, modelocked using semiconductor saturable absorber mirrors (SESAMs) are emerging as an enabling technology for high data rate coherent communication systems owing to their low noise and pulse-to-pulse optical phase-coherence. Quantum dot (QD) based SESAMs offer potential advantages to such laser systems in terms of reduced saturation fluence, broader bandwidth, and wavelength flexibility. Here, we describe the development of an epitaxial process for the realization of high optical quality 1.55 µm In(Ga)As QDs on GaAs substrates, their incorporation into a SESAM, and the realization of the first 10 GHz repetition rate QD-SESAM modelocked laser at 1.55 µm, exhibiting ∼2 ps pulse width from an Er-doped glass oscillator (ERGO). With a high areal dot density and strong light emission, this QD structure is a very promising candidate for many other applications, such as laser diodes, optical amplifiers, non-linear and photonic crystal based devices.

15.
IET Syst Biol ; 3(1): 10-23, 2009 Jan.
Article in English | MEDLINE | ID: mdl-19154081

ABSTRACT

Using mathematical models for a quantitative description of dynamical systems requires the identification of uncertain parameters by minimising the difference between simulation and measurement. Owing to the measurement noise also, the estimated parameters possess an uncertainty expressed by their variances. To obtain highly predictive models, very precise parameters are needed. The optimal experimental design (OED) as a numerical optimisation method is used to reduce the parameter uncertainty by minimising the parameter variances iteratively. A frequently applied method to define a cost function for OED is based on the inverse of the Fisher information matrix. The application of this traditional method has at least two shortcomings for models that are nonlinear in their parameters: (i) it gives only a lower bound of the parameter variances and (ii) the bias of the estimator is neglected. Here, the authors show that by applying the sigma point (SP) method a better approximation of characteristic values of the parameter statistics can be obtained, which has a direct benefit on OED. An additional advantage of the SP method is that it can also be used to investigate the influence of the parameter uncertainties on the simulation results. The SP method is demonstrated for the example of a widely used biological model.


Subject(s)
Models, Biological , Research Design , Systems Biology/methods , Algorithms , Bioreactors , Computer Simulation , Confidence Intervals , Kinetics , Monte Carlo Method
16.
Lett Appl Microbiol ; 42(2): 165-71, 2006 Feb.
Article in English | MEDLINE | ID: mdl-16441383

ABSTRACT

AIMS: To determine the phylogenetic composition of the colonic microbiota of transgenic (TG) HLA-B27 rats using 16S ribosomal RNA (rRNA) gene sequences obtained from denaturing gradient gel electrophoresis (DGGE) gels and sequences from a 16S rRNA gene library. METHODS AND RESULTS: Colonic microbiota of TG and nontransgenic (NT) rats harboured by 10-week-old and 6-month-old animals was screened using PCR/DGGE. Six months old TG rats had marked inflammation of the colon compared with 10-week-old TG and NT rats. The DGGE profiles of rats with inflamed colon were similar from rat to rat (Dice's Similarity Coefficient proximal colon 73%, distal colon 83%) whereas profiles from animals without inflammation were dissimilar (52-64%). Identifications of bacterial origins of 16S rRNA gene sequences obtained from DGGE gels (200 bp) and from 16S rRNA clones (450 bp) of the colonic microbiota of diseased rats gave sequences most closely phylogenetically affiliated with uncultured or unknown bacteria. CONCLUSIONS: PCR/DGGE was shown to be an effective method to compare the colonic microbiota composition of TG and NT rats relative to the progression of inflammatory disease. Sequencing of 16S rRNA gene fragments from DGGE gels or 16S rRNA gene clones from a random library showed that uncultured or unknown bacteria were most commonly detected by both methods. It can be concluded that it would be better in future studies to search for the antigens produced by the gut microbiota against which the dysfunctional immune system reacts rather than seek phylogenetic associations. SIGNIFICANCE AND IMPACT OF THE STUDY: PCR/DGGE can be used as a rapid initial screening method to compare the composition of bacterial communities of initially unknown composition that are associated with the development of intestinal disease.


Subject(s)
Animals, Genetically Modified/microbiology , Bacteria/classification , HLA-B27 Antigen/genetics , Intestines/microbiology , RNA, Ribosomal, 16S/analysis , Animals , Animals, Genetically Modified/immunology , Animals, Genetically Modified/metabolism , Bacteria/genetics , Bacteria/isolation & purification , Electrophoresis, Polyacrylamide Gel , Gene Library , Genes, rRNA , Phylogeny , Polymerase Chain Reaction , RNA, Ribosomal, 16S/genetics , Rats , beta 2-Microglobulin/deficiency , beta 2-Microglobulin/genetics
17.
J Am Acad Dermatol ; 26(4): 579-84, 1992 Apr.
Article in English | MEDLINE | ID: mdl-1597544

ABSTRACT

BACKGROUND: Cutaneous manifestations are common in Wegener's granulomatosis and may occur at any time during the illness. OBJECTIVE: Our purpose was to describe the relation of the appearance of cutaneous leukocytoclastic vasculitis to activity and other manifestations of Wegener's granulomatosis. METHODS: Three patients with Wegener's granulomatosis who had recent onset of skin lesions are reported. Data regarding the relation of their cutaneous disease to their systemic disease was collected. RESULTS AND CONCLUSION: In each case, onset of the skin lesions of biopsy-proven cutaneous leukocytoclastic vasculitis was associated with activation of the systemic features of Wegener's granulomatosis.


Subject(s)
Granulomatosis with Polyangiitis/complications , Vasculitis, Leukocytoclastic, Cutaneous/etiology , Adult , Female , Granulomatosis with Polyangiitis/immunology , Humans , Male , Middle Aged , Vasculitis, Leukocytoclastic, Cutaneous/immunology
18.
J Neurochem ; 62(2): 479-88, 1994 Feb.
Article in English | MEDLINE | ID: mdl-8294910

ABSTRACT

The effects of the protein kinase inhibitor H-7 on early and delayed responses to nerve growth factor (NGF) were investigated in PC12 cells. H-7 reduced the NGF-induced expression of c-Fos in a dose-dependent manner without affecting the time course of c-Fos appearance. Conversely, H-7 potentiated delayed NGF effects, i.e., neurite outgrowth and Ca2+/phospholipid-dependent protein kinase (PKC) induction, but not choline acetyltransferase induction. Long-term treatment with NGF resulted in an increase of at least four tyrosine-phosphorylated protein bands with molecular masses between 39 and 48 kDa, which was also potentiated by H-7. In the absence of NGF, H-7 had no significant effect on c-Fos expression, tyrosine phosphorylation of the 45 kDa protein, or choline acetyltransferase activity. However, 4 days of exposure to H-7 alone induced PKC activity and tyrosine phosphorylation of the 39-kDa protein. The action of H-7 derivatives on neurite outgrowth did not correlate with their inhibition profile of cyclic nucleotide-dependent protein kinases. Down-regulation of PKC activity by prolonged exposure to phorbol ester did not completely abolish the effects of NGF and H-7 on induction of c-Fos, choline acetyltransferase activity, and neurite outgrowth, indicating that PKC-independent pathways contribute to these actions. These results suggest that additional pathway(s) sensitive to H-7 may exist, which induce immediate early gene expression and suppress neuronal differentiation of PC12 cells.


Subject(s)
Isoquinolines/pharmacology , Nerve Growth Factors/metabolism , Piperazines/pharmacology , Protein Kinase C/antagonists & inhibitors , 1-(5-Isoquinolinesulfonyl)-2-Methylpiperazine , Animals , Osmolar Concentration , PC12 Cells , Phosphorylation , Proto-Oncogene Proteins c-fos/metabolism , Rats , Time Factors , Tyrosine/metabolism
19.
J Neurosci Res ; 61(3): 263-72, 2000 Aug 01.
Article in English | MEDLINE | ID: mdl-10900073

ABSTRACT

Nerve growth factor (NGF) binds to two neurotrophin receptors: p75(NTR) and p140(Trk) (TrkA). Both receptors dimerize in response to NGF binding. TrkA homodimers and heteromers of TrkA and p75(NTR) promote cell survival whereas homodimers of p75(NTR) mediate apoptosis upon binding of NGF. The interaction between receptor and NGF can be inhibited either on the level of the ligand by altering NGF conformation so that NGF is no longer recognized by the receptor or on the level of the receptor by blocking the binding site of p75(NTR) or TrkA. The effect of altering NGF conformation on NGF signaling was investigated in two neuron-like cell lines: in human SK-N-MC cells that express only p75(NTR) and in rat PC12 cells that express both p75(NTR) and TrkA. In the present study we demonstrate that Ro 08-2750 binds to the NGF dimer thereby probably inducing a change in its conformation such that NGF cannot bind to p75(NTR) anymore. In SK-N-MC cells this leads to inhibition of NGF-induced programmed cell death. In PC12 cells enhanced signaling through TrkA was observed.


Subject(s)
Nerve Growth Factor/physiology , Pteridines/pharmacology , Receptor, Nerve Growth Factor/physiology , Receptor, trkA/physiology , Animals , Apoptosis , Cell Survival , Choline O-Acetyltransferase/metabolism , Flavins , Humans , Ligands , Nerve Growth Factor/chemistry , Nerve Growth Factor/metabolism , Neurites/physiology , PC12 Cells , Phosphorylation , Protein Conformation , Pteridines/metabolism , Rats , Receptor, Nerve Growth Factor/metabolism , Receptor, trkA/metabolism , Tumor Cells, Cultured , Tyrosine/metabolism
20.
Br J Audiol ; 29(6): 309-14, 1995 Dec.
Article in English | MEDLINE | ID: mdl-8861407

ABSTRACT

Eighteen patients judged the sound quality of the new Classic 300 and the existing HC 100 or HC 200 on 4 five-stage sound quality scales. Two of the scales relate to the perceptual dimensions softness and clarity, one relates to interference or noise and one relates to the overall impression. The evaluations were made, based on a questionnaire, in the patients' own homes and comprised the listening situations: TV news, music, conversation with two to three people in a noisy environment and one optional choice. The patients also stated which hearing aid was best in each situation and made a confidence rating for their selection. The patients were accustomed to wearing the HC 100 or HC 200. In these comparisons of the different bone-anchored hearing aid models, the Classic 300 received the best ratings overall. Seventeen patients changed their previously fitted hearing aid to a Classic 300 and satisfactory sound quality was undoubtedly one of the principal reasons. When it came to the confidence rating for their selections, some two-thirds of the patients stated that it was without hesitation or with little hesitation. Our overall conclusion is that the sound quality of bone-anchored hearing aids is satisfactory when it comes to clarity and overall impression. However, it may be expected that these patients with conductive losses get a better sound quality than other patients with sensorineural losses if the same type of aid is used.


Subject(s)
Equipment Design , Hearing Aids , Hearing Loss, Conductive/rehabilitation , Hearing Loss, Sensorineural/rehabilitation , Adolescent , Adult , Aged , Humans , Middle Aged
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