Cochlear Implantation in Cases of Asymmetric Hearing Loss: Subjective Benefit, Word Recognition, and Spatial Hearing.

A prospective clinical trial evaluated the effectiveness of cochlear implantation in adults with asymmetric hearing loss (AHL). Twenty subjects with mild-to-moderate hearing loss in the better ear and moderate-to-profound hearing loss in the poorer ear underwent cochlear implantation of the poorer hearing ear. Subjects were evaluated preoperatively and at 1, 3, 6, 9, and 12 months post-activation. Preoperative performance was evaluated unaided, with traditional hearing aids (HAs) or with a bone-conduction HA. Post-activation performance was evaluated with the cochlear implant (CI) alone or in combination with a contralateral HA (bimodal). Test measures included subjective benefit, word recognition, and spatial hearing (i.e., localization and masked sentence recognition). Significant subjective benefit was reported as early as the 1-month interval, indicating better performance with the CI compared with the preferred preoperative condition. Aided word recognition with the CI alone was significantly improved at the 1-month interval compared with preoperative performance with an HA and continued to improve through the 12-month interval. Subjects demonstrated early, significant improvements in the bimodal condition on the spatial hearing tasks compared with baseline preoperative performance tested unaided. The magnitude of the benefit was reduced for subjects with AHL when compared with published data on CI users with normal hearing in the contralateral ear; this finding may reflect significant differences in age at implantation and hearing sensitivity across cohorts.

Subjective Benefits of Bimodal Listening in Cochlear Implant Recipients with Asymmetric Hearing Loss.

OBJECTIVE: To investigate the influence of cochlear implant (CI) use on subjective benefits in quality of life in cases of asymmetric hearing loss (AHL). STUDY DESIGN: Prospective clinical trial. SETTING: Tertiary academic center. SUBJECTS AND METHODS: Subjects included CI recipients with AHL (n = 20), defined as moderate-to-profound hearing loss in the affected ear and mild-to-moderate hearing loss in the contralateral ear. Quality of life was assessed with the Speech, Spatial, and Qualities of Hearing Scale (SSQ) pragmatic subscales, which assess binaural benefits. Subjective benefit on the pragmatic subscales was compared to word recognition in quiet and spatial hearing abilities (ie, masked sentence recognition and localization). RESULTS: Subjects demonstrated an early, significant improvement (P < .01) in abilities with the CI as compared to preoperative abilities on the SSQ pragmatic subscales by the 1-month interval. Perceived abilities were either maintained or continued to improve over the study period. There were no significant correlations between results on the Speech in Quiet subscale and word recognition in quiet, the Speech in Speech Contexts subscale and masked sentence recognition, or the Localization subscale and sound field localization. CONCLUSIONS: CI recipients with AHL report a significant improvement in quality of life as measured by the SSQ pragmatic subscales over preoperative abilities. Reported improvements are observed as early as 1 month postactivation, which likely reflect the binaural benefits of listening with bimodal stimulation (CI and contralateral hearing aid). The SSQ pragmatic subscales may provide a more in-depth insight into CI recipient experience as compared to behavioral sound field measures alone.

Low-Frequency Hearing Preservation With Long Electrode Arrays: Inclusion of Unaided Hearing Threshold Assessment in the Postoperative Test Battery.

Purpose The goal of this work was to evaluate the low-frequency hearing preservation of long electrode array cochlear implant (CI) recipients. Method Twenty-five participants presented with an unaided hearing threshold of ≤ 80 dB HL at 125 Hz pre-operatively in the ear to be implanted. Participants were implanted with a long (31.5-mm) electrode array. The unaided hearing threshold at 125 Hz was compared between the preoperative and postoperative intervals (i.e., initial CI activation, and 1, 3, 6, 9, and 12 months after activation). Results Eight participants maintained an unaided hearing threshold of ≤ 80 dB HL at 125 Hz postoperatively. The majority (n = 5) demonstrated aidable low-frequency hearing at initial activation, whereas 3 other participants experienced an improvement in unaided low-frequency hearing thresholds at subsequent intervals. Conclusions CI recipients can retain residual hearing sensitivity with fully inserted long electrode arrays, and low-frequency hearing thresholds may improve during the postoperative period. Therefore, unaided hearing thresholds obtained within the initial weeks after surgery may not reflect later hearing sensitivity. Routine measurement of postoperative unaided hearing thresholds-even for patients who did not demonstrate aidable hearing thresholds initially after cochlear implantation-will identify CI recipients who may benefit from electric-acoustic stimulation. Supplemental Material https://doi.org/10.23641/asha.11356637.

Tunable synthesis of ultrathin AuAg nanowires and their catalytic applications.

Metallic nanowires (NWs) are very interesting and important nanomaterials with unique properties and a number of potential applications. Herein we report a tunable synthesis of water soluble ultrathin AuAg NWs. By using TEM and UV-vis spectroscopy, we demonstrate that these NWs can be produced by a new two-step process, which involves the formation of NW templates during the aging period and the subsequent formation of thicker NWs by a solvent driven fusion and wetting process. Our control studies further show that silver concentration plays a key role in the formation of these nanowires. We also demonstrate that these nanowires can effectively catalyse the reduction of 4-nitrophenol to the corresponding 4-aminophenol. Interestingly, the larger diameter ultrathin nanowires (av. 8 nm) exhibit a greater catalytic performance than the thinner nanowires (av. 3 nm). We believe that these studies are important for further development of one dimensional metal based nanomaterials, which may find a range of potential research and technological applications.

Pt and RhPt dendritic nanowires and their potential application as anodic catalysts for fuel cells.

Fuel cells have a number of benefits over conventional combustion-based technologies and can be used in a range of important applications, including transportation, as well as stationary, portable and emergency backup power systems. One of the major challenges in this field, however lies in controlling catalyst design which is critical for developing efficient and cost-effective fuel cell technology. Herein, for the first time, we report a facile controlled synthesis of Pt and RhPt dendritic nanowires using ultrathin AuAg nanowires as sacrificial templates. These dendritic nanowires exhibit remarkable catalytic performance in the elecrochemical oxidation of methanol and formic acid. In particular, the RhPt dendritic nanostructures show very high resistance to catalyst poisoning in methanol oxidation. This research demonstrates the advantages of using bimetallic dendritic nanostructures and we believe that these materials and electrocatalytic studies are important for further advancement of fuel cell research and technology.

Preparation of multifunctional nanoparticles and their assemblies.

This article describes the synthesis of multifunctional nanoparticulate systems and a range of organic reactions for modifying the surface functionalities of these particles and their composites. The reactions include surface silanization, amine-azide conversion, azide-alkyne 'click' chemistry, thiol and amine click chemistry and amide coupling. In addition, we discuss a number of relevant nanoparticle preparations to exemplify the interrelationship of these reactions. This system can readily be adapted to produce a wide range of composites with different features, such as fluorescence, magnetism, plasmon resonance and multiple biofunctionalities.