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Cochlear implant restores hearing loss through electrical stimulation of the hearing nerve from within the cochlea. Unfortunately, surgical implantation of this neuroprosthesis often traumatizes delicate intracochlear structures, resulting in loss of residual hearing and compromising hearing in noisy environments and appreciation of music. To avoid cochlear trauma, insertion techniques and devices have to be adjusted to the cochlear microanatomy. However, existing techniques were unable to achieve a representative visualization of the human cochlea: classical histology damages the tissues and lacks 3D perspective; standard microCT fails to resolve the cochlear soft tissues; and previously used X-ray contrast-enhancing staining agents are destructive. In this study, we overcame these limitations by performing contrast-enhanced microCT imaging (CECT) with a novel polyoxometalate staining agent Hf-WD POM. With Hf-WD POM-based CECT, we achieved nondestructive, high-resolution, simultaneous, 3D visualization of the mineralized and soft microstructures in fresh-frozen human cochleae. This enabled quantitative analysis of the true intracochlear dimensions and led to anatomical discoveries, concerning surgically-relevant microstructures: the round window membrane, the Rosenthal's canal and the secondary spiral lamina. Furthermore, we demonstrated that Hf-WD POM-based CECT enables quantitative assessment of these structures as well as their trauma. ispartof: SCIENTIFIC REPORTS vol:13 issue:1 ispartof: location:England status: published

Active transcutaneous bone conduction (BC) devices offer the benefit of improved power output compared to passive transcutaneous devices and remove the risk of skin infections that are more common in traditional percutaneous BC devices. Despite these advantages, more research is needed on implant location, device coupling, and their influence on device performance. This study is aimed at quantifying the extent to which certain parameters affect device output when using the Osia® system actuator. Parameters under study are (1) implant location, (2) comparison with the actuator of a state-of-the-art BC device, (3) bone undergrowth simulation, and (4) skull fixation. Five human cadaveric heads were implanted with the actuator at three different implant locations: (1) recommended, (2) posterior Osia® positions, and (3) standard Baha® position. At each location, the cochlear promontory velocity and the intracochlear pressure difference were measured. A percutaneous bone conduction actuator was used as a reference for the obtained measurements. Stimulation levels corresponded to a hearing level of 60 dB HL for frequencies between 250 and 6000 Hz. In addition, bone cement was used as a simulation for reactive bone growth. Results obtained in four heads indicate an improved power transmission of the transcutaneous actuator when implanted at the recommended position compared to the actuator of the percutaneous device on its respective recommended location when stimulating at an identical force level. A correlation was found between the promontory vibration and the actuator position, indicating that the same level of stimulation leads to higher promontory vibrations when the device is implanted closer to the ear canal. This is mainly reflected at frequencies higher than 1 kHz, where an increase was observed in both measurement modalities. At lower frequencies (

In cochlear implant surgery, insertion of perimodiolar electrode arrays into the scala tympani can be complicated by trauma or even accidental translocation of the electrode array within the cochlea. In patients with partial hearing loss, cochlear trauma can not only negatively affect implant performance, but also reduce residual hearing function. These events have been related to suboptimal positioning of the cochlear implant electrode array with respect to critical cochlear walls of the scala tympani (modiolar wall, osseous spiral lamina and basilar membrane). Currently, the position of the electrode array in relation to these walls cannot be assessed during the insertion and the surgeon depends on tactile feedback, which is unreliable and often comes too late. This study presents an image-guided cochlear implant device with an integrated, fiber-optic imaging probe that provides real-time feedback using optical coherence tomography during insertion into the human cochlea. This novel device enables the surgeon to accurately detect and identify the cochlear walls ahead and to adjust the insertion trajectory, avoiding collision and trauma. The functionality of this prototype has been demonstrated in a series of insertion experiments, conducted by experienced cochlear implant surgeons on fresh-frozen human cadaveric cochleae. ispartof: SCIENTIFIC REPORTS vol:12 issue:1 ispartof: location:England status: published

Advancements in intracochlear diagnostics, as well as prosthetic and regenerative innerear therapies, rely on a good understanding of cochlear microanatomy. The human cochlea is verysmall and deeply embedded within the densest skull bone, making nondestructive visualization of itsinternal microstructures extremely challenging. Current imaging techniques used in clinical practice,such as MRI and CT, fall short in their resolution to visualize important intracochlear landmarks, andhistological analysis of the cochlea cannot be performed on living patients without compromisingtheir hearing. Recently, optical coherence tomography (OCT) has been shown to be a promisingtool for nondestructive micrometer resolution imaging of the mammalian inner ear. Various studiesperformed on human cadaveric tissue and living animals demonstrated the ability of OCT to visualizeimportant cochlear microstructures (scalae, organ of Corti, spiral ligament, and osseous spiral lamina)at micrometer resolution. However, the interpretation of human intracochlear OCT images is non-trivial for researchers and clinicians who are not yet familiar with this novel technology. In thisstudy, we present an atlas of intracochlear OCT images, which were acquired in a series of 7 freshand 10 fresh-frozen human cadaveric cochleae through the round window membrane and describethe qualitative characteristics of visualized intracochlear structures. Likewise, we describe severalintracochlear abnormalities, which could be detected with OCT and are relevant for clinical practice. ispartof: Journal Of Clinical Medicine vol:12 issue:1 ispartof: location:Switzerland status: Published online

BACKGROUND: The generally accepted method to assess the functionality of novel bone conduction implants in a preclinical stage is to experimentally measure the vibratory response of the cochlear promontory. Yet, bone conduction of sound is a complex propagation phenomenon, depending on both frequency and amplitude, involving different conduction pathways. OBJECTIVES: The aim of this study is to validate the use of intracochlear sound pressure (ICP) as an objective indicator for perceived loudness for bone conduction stimulation. It is investigated whether a correlation exists between intracochlear sound pressure measurements in cadaveric temporal bones and clinically obtained results using the outcome of a loudness balancing experiment. METHODS: Ten normal hearing subjects were asked to balance the perceived loudness between air conducted (AC) sound and bone conducted (BC) sound by changing the AC stimulus. Mean balanced thresholds were calculated and used as stimulation levels in a cadaver trial (N = 4) where intracochlear sound pressure was measured during AC and BC stimulation to assess the correlation with the measured clinical data. The intracochlear pressure was measured at the relatively low stimulation amplitude of 80 dBHL using a lock-in amplification technique. RESULTS: Applying AC and BC stimulation at equal perceived loudness on cadaveric heads yield a similar differential intracochlear pressure, with differences between AC and BC falling within the range of variability of normal hearing test subjects. CONCLUSION: Comparing the perceived loudness at 80 dB HL for both AC and BC validates intracochlear pressure as an objective indicator of the cochlear drive. The measurement setup is more time-intensive than measuring the vibratory response of the cochlear promontory, yet it provides direct information on the level of the cochlear scalae. ispartof: Hearing Research vol:422 ispartof: location:Netherlands status: Published online

This work details the acquisition, handling, and measurement of microliters of perilymph, the fluid inside the human hearing organ, using dielectric relaxation spectroscopy and the correlation of the molecular relaxations to the physiological composition. Comparing between ex-vivo fresh, fresh-frozen and fixed sources reveals that dielectric absorption of the pulses is due to alpha- and beta- charge transfer relaxation related to the geometry of white blood cells, lymphocytes, in the perilymph. Interestingly, comparing the presence of molecular relaxations and the amplitude of dielectric absorption, perilymph obtained from fixed temporal bones matches fresh perilymph better than when obtained from fresh frozen source, due to the importance of well-preserved cell geometry. ispartof: Ieee Transactions On Dielectrics And Electrical Insulation vol:28 issue:3 pages:932-937 status: published

The protic ionic liquid diethylmethylammonium methanesulfonate ([DEMA][OMs]) was analyzed in depth by differential scanning calorimetry (DSC), nuclear magnetic resonance (NMR) spectroscopy, Fourier transform infrared (FT-IR) spectroscopy, Raman spectroscopy and broadband dielectric spectroscopy (BDS) under anhydrous conditions. Karl Fischer titration, NMR and FT-IR spectra confirmed the high purity of [DEMA][OMs]. The melting point (37.7 °C) and the freezing point (14.0 °C) obtained by DSC agree well with the values determined by BDS (40.0 °C and 14.0 °C). The dc conductivity (σdc) above the melting/freezing point obeys Vogel-Fulcher-Tammann (VFT) equation well and thus the proton conduction in [DEMA][OMs] is assumed to be dominated by the vehicle mechanism. In contrast, the σdc below the melting/freezing point can be fitted by the Arrhenius equation separately and therefore the proton conduction is most likely governed by the proton-hopping mechanism. The non-negligible influence of previously reported low water contents on the physicochemical properties of [DEMA][OMs] is found, indicating the importance of reducing water content as much as possible for the study of “intrinsic” properties of protic ionic liquids. ispartof: Journal Of Chemical Physics vol:152 issue:23 ispartof: location:United States status: Published online

Extending the well-established laser intensity modulation method (LIMM) by means of sequential frequency modulation represents a new approach for obtaining polarization depth profiles at both high spatial (nanometer) and temporal (millisecond) resolution. Thin films of the archetypal, organic, ferroelectric copolymer poly(vinylidene fluoride-co-trifluoroethylene) P(VDF-TrFE) were investigated in this manner to assess local switching kinetics. For subcoercive field conditions of 5 MV/m, the central regions of 2000 nm thick samples show a “bulk”-like, uniform polarization switching behaviour at a time-scale of 250 ms. In contrast, a 100 nm thick region near the metal-polymer interface reveals clear deviations from bulk switching kinetics. This likely reflects local charge generation/injection and trapping effects.

In this work, we present a new technique for the sensitive and facile detection of Saccharomyces strains with a detection limit of 30 cells/mL in both buffer solution and food samples such as beer and yoghurt. This is achieved by combining ultrathin surface-imprinted polymer (SIP) layers as receptors with impedance spectroscopy as the readout principle. Binding of cells to the imprinted polymer surface results in a concentration-dependent increase of the impedance signal. According to the equivalent-circuit modelling of the impedance spectra, this is due to an increase of the resistive component of the solid-liquid interface while capacitive effects are negligible. Regarding selectivity, we prepared imprints with three different template strains and compared the sensor response for using the same three strains as targets. The response is strongest for combinations in which templates and targets belong to the same strain. For other situations, the sensor signal is reduced by a factor of three, indicating a certain level of selectivity, which can be interpreted in terms of size and cell wall differences. In summary, the combination of SIP-type receptors with impedance spectroscopy offers a fast and sensitive technique for on-site analysis of complex food matrices outside a laboratory environment. The results for yeast should be transferable to other microorganisms, including pathogenic ones.

The human cochlea is deeply embedded in the temporal bone and surrounded by a thick otic capsule, rendering its internal structure inaccessible for direct visualization. Clinical imaging techniques fall short of their resolution for imaging of the intracochlear structures with sufficient detail. As a result, there is a lack of knowledge concerning best practice for intracochlear therapy placement, such as cochlear implantation. In the past decades, optical coherence tomography (OCT) has proven valuable for non-invasive, high-resolution, cross-sectional imaging of tissue microstructure in various fields of medicine, including ophthalmology, cardiology and dermatology. There is an upcoming interest for OCT imaging of the cochlea, which so far was mostly carried out in small animals. In this temporal bone study, we focused on high-resolution imaging of the human cochlea. The cochlea was approached through mastoidectomy and posterior tympanotomy, both standard surgical procedures. A commercially available spectral-domain OCT imaging system was used to obtain high-resolution images of the cochlear hook region through the intact round window membrane in four cadaveric human temporal bones. We discuss the qualitative and quantitative characteristics of intracochlear structures on OCT images and their importance for cochlear implant surgery. ispartof: SCIENTIFIC REPORTS vol:9 issue:1 ispartof: location:England status: published

HYPOTHESIS: Intracochlear pressure (ICP) measurements during bone conduction (BC) stimulation may be affected by motion of the pressure sensor relative to the cochlear promontory bone, demonstrating the need to cement the sensor firmly to the cochlear bone. BACKGROUND: ICP is a promising measurement tool for investigating the cochlear drive in BC transmission, but its use is not yet standardized. Previous ICP studies have reported artificially increased pressure due to motion of the sensor relative to the temporal bone. The artifact can be reduced by firmly cementing the sensor to the bone, but this is destructive for the sensor. Previous studies used a custom-made sensor; the use of commercially available sensors, however, is more generic, but also more challenging to combine with the cement. Therefore, the goals of the current study are: firstly, to evaluate a non-destructive cementing method suitable for a commercially available sensor, and secondly, to investigate ICP measurements during BC stimulation in more detail. METHODS: To study the effect of sensor cementing, three fixation conditions were investigated on six fresh-frozen temporal bones: 1) alginate, 2) alginate and dental composite, 3) alginate and dental composite, released from micromanipulators. Pressures in scala tympani and vestibuli were measured simultaneously, while velocity measurements were performed on the cochlear promontory and sensor. The ratio between sensor and promontory bone velocity was computed to quantify the relative motion. RESULTS: For air conduction stimulation, results were in line with those from previous ICP studies, indicating that baseline measurements were valid and could be used to interpret the results obtained with BC stimulation. Results showed that cementing the sensors and releasing them from the micromanipulators is crucial for valid ICP measurements. When the sensors were only sealed with alginate, the pressure was overestimated, especially at low and mid-frequencies. When the sensors were cemented and held in the micromanipulators, the pressure was underestimated. Compared with the scala tympani measurements, ICP measurements showed a lower scala vestibuli pressure below 1 kHz, and a higher pressure above 1 kHz. CONCLUSION: Dental composite is effective as a cement to attach commercially available sensors to the cochlear promontory bone. When sensors are firmly attached, valid ICP measurements can be obtained with BC stimulation. ispartof: OTOLOGY & NEUROTOLOGY vol:40 issue:9 pages:E858-E867 ispartof: location:PEOPLES R CHINA, Shanghai status: published

We disclose a supramolecular material that combines semiconducting and dipolar functionalities. The material consists of a discotic semiconducting carbonyl-bridged triarylamine core, which is surrounded by three dipolar amide groups. In thin films, the material self-organizes in a hexagonal columnar fashion through Jr-stacking of the molecular core and hydrogen bonding between the amide groups. Alignment by an electrical field in a simple metal/semiconductor/metal geometry induces a polar order in the interface layers near the metal contacts that can be reversibly switched, while the bulk material remains nonpolarized. On suitably chosen electrodes, the presence of an interfacial polarization field leads to a modulation of the barrier for charge injection into the semiconductor. Consequently, a reversible switching is possible between a high-resistance, injection-limited off-state and a low-resistance, space-charge-limited on-state. The resulting memory diode shows switchable rectification with on/off ratios of up to two orders of magnitude. This demonstrated multifunctionality of a single material is a promising concept toward possible application in lowcost, large-area, nonvolatile organic memories. Funding Agencies|NWO Nano program; Bavarian State Ministry of Science, Research, and the Arts for the Collaborative Research Network Solar Technologies go Hybrid; Deutsche Forschungsgemeinschaft (DFG) [SFB 953]; Vetenskapsradet [2015-03813]

Scanning Pyroelectric Microscopy (SPEM) at micrometer resolutions has been employed to study permanent polarity and its spatial organization in various insect wings containing chitin, one of the most abundant biopolymers. Both measurements on wings of houseflies and wasps revealed a well defined pyroelectric response, showing a multidomain polarization pattern at several length scales, from millimeter sized domains in the wing veins, to 20 micrometer sized domains in the membranes. The size of the smaller domains correlates well with the average chitin fiber length of 18 micrometers.

The concept of charge polarization coupling in the ferroelectric copolymer PVDF TrFE(poly[(vinylidene fluoride co trifluoroethylene]) has been revisited by employing high resolution (

Bio-organic materials such as bones, teeth, and tendon generally show nonlinear optical (Masters and So in Handbook of Biomedical Nonlinear Optical Microscopy, 2008), pyro- and piezoelectric (Fukada and Yasuda in J Phys Soc Jpn 12:1158, 1957) properties, implying a permanent polarization, the presence of which can be rationalized by describing the growth of the sample and the creation of a polar axis according to Markov’s theory of stochastic processes (Hulliger in Biophys J 84:3501, 2003; Batagiannis et al. in Curr Opin Solid State Mater Sci 17:107, 2010). Two proven, versatile techniques for probing spontaneous polarization distributions in solids are scanning pyroelectric microscopy (SPEM) and second harmonic generation microscopy (SHGM). The combination of pyroelectric scanning with SHG-microscopy in a single experimental setup leading to complementary pyroelectric and nonlinear optical data is demonstrated, providing us with a more complete image of the polarization in organic materials. Crystals consisting of a known polar and hyperpolarizable material, CNS (4-chloro-4\('\)-nitrostilbene) are used as a reference sample, to verify the functionality of the setup, with both SPEM and SHGM images revealing the same polarization domain information. In contrast, feline and human nails exhibit a pyroelectric response, but a second harmonic response is absent for both keratin containing materials, implying that there may be symmetry-allowed SHG, but with very inefficient second harmonophores. This new approach to polarity detection provides additional information on the polar and hyperpolar nature in a variety of (bio) materials.

Recently [S. Capponi, S. Napolitano, and M. Wubbenhorst, Nat. Commun. 3, 1233 (2012)], vapor deposited glasses of glycerol have been found to recover their super-cooled liquid state via a metastable, ordered liquid (MROL) state characterized by a tremendously enhanced dielectric strength along with a slow-down of the relaxation rate of the structural relaxation. To study the calorimetric signature of this phenomenon, we have implemented a chip-based, differential AC calorimeter in an organic molecular beam deposition setup, which allows the simultaneous measurement of dielectric relaxations via interdigitated comb electrodes and specific heat relaxation spectra during deposition and as function of the temperature. Heating of the as-deposited glass just above the bulk Tg and subsequent cooling/reheating revealed a step-wise increase in cp by in total 9%, indicating unambiguously that glycerol, through slow vapour deposition, forms a thermodynamically stable glass, which has a specific heat as low as that of crystalline glycerol. Moreover, these glasses were found to show excellent kinetic stability as well as evidenced by both a high onset-temperature and quasi-isothermal recovery measurements at -75 °C. The second goal of the study was to elucidate the impact of the MROL state on the specific heat and its relaxation to the super-cooled state. Conversion of "MROL glycerol" to its "normal" (ordinary liquid, OL) state revealed a second, small (∼2%) increase of the glassy cp, a little gain (

Bio-organic materials such as bones, teeth and tendon generally show pyro- and piezoelectric activity that implies the existence of macroscopic polarity. The first discoveries date from 1957 1 in the bones and tendon of both humans and animals and has led to the suggestion that the presence of spontaneous polarity might play a crucial role during morphogenesis and could facilitate other biological functions. © 2011 IEEE. ispartof: pages:75-76 ispartof: 2011 14th international symposium on electrets (ise) pages:75-76 ispartof: 14th International Symposium on Electrets (ISE) Montpellier, FRANCE, AUG 28-31, 2011 location:FRANCE, Montpellier date:28 Aug - 31 Aug 2011 status: published