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OBJECTIVE: Hypnotherapy is currently used for tinnitus therapy in our university hospital. The aim of this study was to evaluate its efficacy. MATERIAL AND METHODS: This study was performed on 110 patients suffering from distressing tinnitus. They were treated during five sessions with hypnotherapy, supplemented by instruction on self-hypnotherapy. A subjective evaluation was done by the practitioner at the end of the sessions of hypnotherapy. Then a questionnaire on psychologic distress (Wilson 1991) was sent retrospectively to the patients. RESULTS: We received 65 responses which were used for this study. Before treatment, the mean value of the Wilson score was 54 (28-104). After treatment, it was: 31 (0-86). 69% of the patients felt an improvement > or = 5 points Wilson score. These results were compared with the evaluation carried out by the practitioner at the end of the sessions of hypnosis. There was a "significant correlation" between the evaluation of the felt benefice, analyzed by the practitioner at the end of the sessions of hypnosis, and by the patient questioned long after the treatment. These results had significant correlation with the evaluation made by the therapist at the end of the five sessions of hypnotherapy. They show, how effective (68% improvement) this therapeutic approach can be. CONCLUSION: Hypnotherapy can be regarded as an effective treatment against distressing tinnitus.
Assuntos
Hipnose , Zumbido/terapia , Humanos , Hipnose/métodos , Satisfação do Paciente , Qualidade de Vida , Estudos Retrospectivos , Inquéritos e Questionários , Zumbido/psicologia , Resultado do TratamentoRESUMO
We present evidence for the cooling of normal-metal phonons, in addition to the well-known electron cooling, by electron tunneling in a superconductor-normal-metal-superconductor tunnel junction. The normal-metal electron temperature is extracted by comparing the device current-voltage characteristics to the theoretical prediction. We use a quantitative model for the heat transfer that includes the electron-phonon coupling in the normal metal and the Kapitza resistance between the substrate and the metal. It gives a very good fit to the data and enables us to extract an effective phonon temperature in the normal metal.
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We have studied the charge-density-wave (CDW) current conversion process in NbSe3 wire structures of mesoscopic dimensions. A significant reduction of the phase-slip voltage associated with this conversion is observed if the spacing between current contacts is smaller than a few &mgr;m. This reduction cannot be explained with existing models of CDW current conversion. We suggest that single phase-slip events play a central role in micron-sized systems. The removal and addition of wave fronts may then become correlated in time.
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We have studied hybrid superconducting microcoolers made of a double superconductor-insulator-normal metal tunnel junction. Under subgap conditions, the Andreev current is found to dominate the single-particle tunnel current. We show that the Andreev current introduces additional dissipation in the normal metal equivalent to Joule heating. By analyzing quantitatively the heat balance in the system, we provide a full description of the evolution of the electronic temperature with the voltage. The dissipation induced by the Andreev current is found to dominate the quasiparticle tunneling-based cooling over a large bias range.
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We have studied the current-voltage characteristics of diffusive mesoscopic Nb-Cu-Nb Josephson junctions with highly transparent Nb-Cu interfaces. We consider the low-voltage and high-temperature regime eV < epsilon(c) < k(B)T, where epsilon(c) is the Thouless energy. The observed excess current as well as the observed subharmonic Shapiro steps under microwave irradiation suggest the occurrence of low-energy coherent multiple Andreev reflection.