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Wartime dominates the 21st century. The term is ubiquitous in contemporary politics, providing an intuitive trope for narrating foreign relations, grappling with intractable policy problems, and responding to shocking events. Such pervasion makes it easy to forget that wartime is a relatively recent political invention. It began as an instrumental and somewhat stylized concept that authorized exceptional violence by promising to contain it within strict temporal boundaries. Yet in the same era that wartime achieved international prominence, war itself became an increasingly ordinary and extended dimension of politics. Today, ‘wartime’ refers to a number of unconstrained and often self-perpetuating violent practices that have changed global politics and national security policies in deep and enduring ways – nowhere more so than in the United States. To introduce the special issue, this article presents wartime as a neglected and paradoxical topic at the heart of International Relations. It sketches the concept’s historical emergence, from innovative Presidential discourse through expansion in World War II and the Cold War, to 21st century entrenchment in daily life and habits of foreign relations. We also make the case for why US wartime marks an especially apt example of a global phenomenon, and one worthy of increased scrutiny within International Relations (IR). Finally, we provide synoptic summaries of the articles that comprise the special issue, showing how they work together to interrogate key aspects of 21st century wartime. We conclude with reflections on how the study of wartime may be extended to better understand its impact on historical and contemporary global politics.

Wartime is fundamentally important to the study of international politics but not especially well understood. In this paper, we use timing theory and the concept of liturgy to unpack the contemporary dynamics of US wartime. A theory of political timing posits that all temporalities derive from and symbolize underlying social processes, and that these timing efforts unfold according to a master organizing standard. Liturgy highlights the way that ritualized acts help participants commune with the sacred – whether this be God or the nation-state. Scrutinizing contemporary US culture practices, we combine these ideas to argue that the notion of victory, as enacted through a widespread set of performative routines, acts as an organizing standard that embeds and reifies wartime in US security policy and daily life. Prevalent ideals of winning wars gather together a stylized past, explicate present problems, and generate expectations about future problems and conflicts. We tabulate several highly influential examples of this liturgy of triumph from national calendars, commemorative sites and events, and cultural practices like spectator sports. In addition to normalizing a view of wartime as having clear beginnings and uniquely successful endings, the US liturgy of triumph highlights a growing gap in the country’s relationship to the use of force. Most of what performative war liturgies commemorate is ‘finished’; it has been seen, known, and ostensibly won. Yet, much of what defines 21st century conflict is anything but certain or victorious. Moreover, US victory culture has only grown more acute the longer the concrete victories fail to materialize, suggesting a tragic code at the heart of US security politics.

BACKGROUND: This project investigated the effects of round window membrane (RWM) sealants after surgical incision, with a focus on audiological thresholds, ossicular mechanics, and the impact upon cochlear function and pathology. METHODS: Twenty-eight guinea pigs were randomly allocated to one of three sealant groups (muscle, n = 7; fascia, n = 7, Tisseel, n = 8) or an unsealed control group (n = 6). Preoperative hearing was measured using auditory brainstem responses (ABRs). The ossicular chain and RWM were exposed surgically, and Laser Doppler Vibrometry (LDV) measurements were obtained from the long process of the incus. The RWM was incised then sealed (or left unsealed) according to group. ABR testing and LDV measurements were repeated 4 and 12 weeks after surgery. At 12 weeks all cochleae were harvested. RESULTS: ABR thresholds deteriorated over time in all groups. Overall, group was not statistically significant (p = 0.064). There was no significant effect by group on LDV measurements (p = 0.798). Histopathological analyses of the RWM showed that the fascia group had more extensive fibrosis than other groups (Independent-Samples Median Test, p = 0.001). However, there were minimal differences in the outer hair cell counts between the different intervention groups. CONCLUSIONS: All the interventions appeared to be safe while none affected the cochlear mechanics or hearing thresholds in a statistically significant manner.

The purpose of this qualitative case study was to examine to what extent and in what ways teachers and families from an elementary school perceived the 2016 U.S. presidential election and subsequen...

This article investigates the invisibility of Roma communities within Scottish census ethnic monitoring categories and broader empirical data. Consistent negative stereotyping as well as systematic oppression within social policy, dominant discourses, and data collection processes excludes Roma from participatorycitizenship. This article identifies precise forms of marginality and invisibility within official government data – permeated through social and education policy – that thereby limit the effective targeting of resources to marginalized communities. Specifically, the article argues that omitting Roma as an ethnic category from past data gathering processes limits understanding of the commonalities and differences within and amongScottish communities, rendering entire populations invisible within broader empirical data and therefore restricting both identification of needs and effective resource allocation. Thus, the article presents a timely argument for the inclusion of Roma as an ethnic category in the 2021 Scottish census, while addressingissues within the census approach to data collection – including the impending digitization of the process. Through discussing and advancing the case for the inclusion of Romani communities in the 2021 Scottish Census, the paper also seeks to establish the current social context by chronicling the history of Romanimigration and marginalization within Europe.

This case study looks at racism in Scotland. Specifically, the study explores anti-racist education work undertaken in schools, youth groups and workplace. It uses football and football role models to focus the debate about race and racism. The study raises the question about the effectiveness of large-scale educational campaigns compared to more intensive and sustained small group work. In doing so it also raises questions around culture, power and embedded privilege. The main themes covered in the study are: Anti-racist work Campaigning Educational approaches

Cochlear implantation has successfully restored the perception of hearing for nearly 200 thousand profoundly deaf adults and children. More recently, implant candidature has expanded to include those with considerable natural hearing which, when preserved, provides an improved hearing experience in noisy environments. But more than half of these patients lose this natural hearing soon after implantation. To reduce this burden, biosensing technologies are emerging that provide feedback on the quality of surgery. Here we report clinical findings on a new intra-operative measurement of electrical impedance (4-point impedance) which, when elevated, is associated with high rates of post-operative hearing loss and vestibular dysfunction. In vivo and in vitro data presented suggest that elevated 4-point impedance is likely due to the presence of blood within the cochlea rather than its geometry. Four-point impedance is a new marker for the detection of cochlear injury causing bleeding, that may be incorporated into intraoperative monitoring protocols during CI surgery.

To investigate the clinical usefulness and practicality of co-registration of Cone Beam CT (CBCT) with preoperative Magnetic Resonance Imaging (MRI) for intracochlear localization of electrodes after cochlear implantation.Images of 20 adult patients who underwent CBCT after implantation were co-registered with preoperative MRI scans. Time taken for co-registration was recorded. The images were analysed by clinicians of varying levels of expertise to determine electrode position and ease of interpretation.After a short learning curve, the average co-registration time was 10.78 minutes (StdDev 2.37). All clinicians found the co-registered images easier to interpret than CBCT alone. The mean concordance of CBCT vs. co-registered image analysis between consultant otologists was 60% (17-100%) and 86% (60-100%), respectively. The sensitivity and specificity for CBCT to identify Scala Vestibuli insertion or translocation was 100 and 75%, respectively. The negative predictive value was 100%.CBCT should be performed following adult cochlear implantation for audit and quality control of surgical technique. If SV insertion or translocation is suspected, co-registration with preoperative MRI should be performed to enable easier analysis. There will be a learning curve for this process in terms of both the co-registration and the interpretation of images by clinicians.

OBJECTIVES/HYPOTHESIS: To determine if cochlear implantation has a delayed effect on the middle ear conductive hearing mechanism by measuring laser Doppler vibrometry (LDV) of the tympanic membrane (TM) in both implanted and contralateral control ears preoperatively and 3 months postoperatively, and then comparing the relative change in LDV outcome measures between implanted and control ears. STUDY DESIGN: Prospective cohort study. METHODS: Eleven preoperative adult unilateral cochlear implant recipients in previously unoperated ears with normal anatomy and aerated temporal bones were included in this study. The magnitude and phase angle of umbo velocity transfer function in response to air- conduction (AC) stimulus, and the magnitude of umbo velocity in response to bone- conduction (BC) stimulus were measured in the implant ear and the contralateral control ear preoperatively and 3 months postoperatively and compared. RESULTS: No significant changes in the magnitude or phase angle of TM velocity in response to either AC or BC stimulus were observed in the implanted ear relative to the contralateral control ear 3 months following cochlear implantation. CONCLUSIONS: From the results of LDV measurements, it can be said that cochlear implantation has no significant delayed effect on the middle ear conductive mechanism. LEVEL OF EVIDENCE: 4. Laryngoscope, 128:1207-1212, 2018.

HYPOTHESIS: Depth of insertion is related to the extent of tissue response and low frequency hearing loss. Intravenous steroids have greatest effect in reducing postimplantation fibrosis and hearing loss in the presence of significant electrode insertion trauma, when compared with saline treatment. BACKGROUND: Experiments exploring the enhancement of cochlear implantation (CI) outcomes with glucocorticosteroids have produced mixed results, possibly due to lack of standardization of the CI model. METHODS: Forty-eight normal-hearing guinea pigs were randomly implanted with a highly flexible electrode to a depth of 1.5, 3.0, or 5.0 mm. For each insertion depth, sub-cohorts received either intravenous saline ("saline") or dexamethasone ("steroid") 60 minutes before implantation. Shifts in electrocochleography thresholds at 2 to 32 kHz were determined before and 4 weeks after implantation. Cochleae were harvested and imaged. RESULTS: Low-frequency hearing loss was greatest with 5.0 mm insertions. Fracture of the osseous spiral lamina and/or fibrotic involvement of the round window membrane exacerbated hearing loss. The extent of intracochlear fibrosis was directly related to the depth of insertion. Steroids reduced the intracochlear tissue response for deepest insertions and in apical regions of the cochlea where basilar membrane contact was prevalent. Steroids preserved no more hearing than saline at all insertion depths. CONCLUSION: Cochlear trauma influenced postimplantation hearing loss and steroid effect on fibrosis. Fibrosis, and to a lesser extent, postimplantation hearing loss increased proportionally to the depth of insertion. Steroids did not influence fibrosis relating to the cochleostomy, but could reduce scarring as the electrode negotiated the hook region or near the electrode tip.

Aim: To obtain direct evidence for the cochlear travelling wave in humans by performing electrocochleography from within the cochlea in subjects implanted with an auditory prosthesis. Background: Sound induces a travelling wave that propagates along the basilar membrane, exhibiting cochleotopic tuning with a frequency-dependent phase delay. To date, evoked potentials and psychophysical experiments have supported the presence of the travelling wave in humans, but direct measurements have not been made. Methods: Electrical potentials in response to rarefaction and condensation acoustic tone bursts were recorded from multiple sites along the human cochlea, directly from a cochlear implant electrode during, and immediately after, its insertion. These recordings were made from individuals with residual hearing. Results: Electrocochleography was recorded from 11 intracochlear electrodes in 7 ears from 6 subjects, with detectable responses on all electrodes in 5 ears. Cochleotopic tuning and frequency-dependent phase delay of the cochlear microphonic were demonstrated. The response latencies were slightly shorter than those anticipated which we attribute to the subjects' hearing loss. Conclusions: Direct evidence for the travelling wave was observed. Electrocochleography from cochlear implant electrodes provides site-specific information on hair cell and neural function of the cochlea with potential diagnostic value.

The aim of this study was to determine if selected kinematic measures (foot strike index [SI], knee contact angle and overstride angle) were different between aquatic treadmill (ATM) and land treadmill (LTM) running, and to determine if these measures were altered during LTM running as a result of 6 weeks of ATM training. Acute effects were tested using 15 competitive distance runners who completed 1 session of running on each treadmill type at 5 different running speeds. Subsequently, three recreational runners completed 6 weeks of ATM training following a single-subject baseline, intervention and withdrawal experiment. Kinematic measures were quantified from digitisation of video. Regardless of speed, SI values during ATM running (61.3 ± 17%) were significantly greater (P = 0.002) than LTM running (42.7 ± 23%). Training on the ATM did not change (pre/post) the SI (26 ± 3.2/27 ± 3.1), knee contact angle (165 ± 0.3/164 ± 0.8) or overstride angle (89 ± 0.4/89 ± 0.1) during LTM running. Although SI values were different between acute ATM and LTM running, 6 weeks of ATM training did not appear to alter LTM running kinematics as evidenced by no change in kinematic values from baseline to post intervention assessments.

Applying neurotrophins to the round window immediately after a single noise exposure will prevent noise-induced hidden hearing loss.Loud noise can eliminate neural connections between inner hair cells and their afferent neurons (thereby diminishing sound perception) without causing a detectable change on audiogram. This phenomenon is termed hidden hearing loss.Guinea pigs were exposed for 2 hours to 4 to 8 kHz noise at either 95 or 105 dB SPL. Immediately afterward a 4 μl bolus of neurotrophins (brain-derived neurotrophic factor 1 μg/μl, and neurotrophin-3 1 μg/μl) was delivered to the round window of one ear, and saline to the other. Auditory brainstem responses to pure-tone pips were acquired preoperatively, and at 1 and 2 weeks' postexposure. Cochleae were removed and whole mounted for immunohistochemical analysis, with presynaptic ribbons of inner hair cells and associated postsynaptic glutamatergic AMPA receptors identified using CtBP2 and GluA2 antibodies respectively.After exposure to 105 dB noise, threshold did not change, but the amplitude growth of the auditory brainstem response was significantly reduced in control ears in response to 16 and 32 kHz tones. The amplitude growth was also reduced neurotrophin ears, but to a lesser degree and the reduction was not significant. Similar results were obtained from control ears exposed to 95 dB, but amplitude growth recovered in neurotrophin-treated ears, this reaching statistical significance in response to 16 kHz tones. There were significantly more presynaptic ribbons, postsynaptic glutamate receptors, and colocalized ribbons after neurotrophin treatment.A single dose of neurotrophins delivered to the round window reduced synaptopathy and recovered high-frequency hearing in ears exposed to 95 dB noise. These findings suggest that hidden hearing loss may be reduced by providing trophic support to the cochlea after injury.

A key provision in just war theory counsels that it is unjust to engage in conflict without a reasonable expectation of success. This is often imbued with an exclusive focus on achievability, such that success is connected to an a priori ethical end. This chapter challenges the focus on achievement by untangling the process from the ends. We argue that the most powerful political processes do not have the ‘finality’ so actively sought in ‘winning’ an international conflict. Instead, the process of cultivating finality through victory in war is too often dependent upon an assumed moral outcome driven through the politically, historically, and affectively determinative presentations of the past, presented in the visual and metaphorical scars of victory and defeat. Thus, scars of violence, visceral instances in which conflicts, regardless of outcome, are continually open, perpetuate interpretations and exist independent of attempts to achieve finality through their politicized use.

OBJECTIVES/HYPOTHESIS: Cochlear implant surgery now aims to preserve residual low frequency hearing. The current research explores whether fluctuations in the electrical impedance of cochlear implant electrodes may act as a biomarker for pathological changes that lead to the delayed loss of residual hearing. STUDY DESIGN: Secondary analysis of a double-blinded randomized trial, where methylprednisolone was administered intravenously before cochlear implantation with a view to preserving residual hearing. METHODS: Seventy-four patients with residual hearing after cochlear implant surgery were investigated for an impedance "spike," defined as a median rise of ≥4 kΩ across all electrodes from the baseline measurements. Spikes were related to objective and subjective hearing loss, dizziness, and tinnitus. RESULTS: An impedance spike occurred in 14% (10/74) of enrolled patients. Three months after surgery, five patients exhibited spikes and three of these patients had a total loss of their residual hearing. 4.3% of the 69 patients without spikes lost residual hearing. At 1 year, 9 of 10 patients who exhibited spikes had lost all their residual hearing. 8.1% of the 37 patients who did not experience a spike lost their residual hearing. Seventy percent of patients exhibiting a spike also experienced vertigo. The administration of steroids at the time of surgery did not influence the occurrence of spikes. CONCLUSION: Our results suggest that there is a relationship between a spike and the loss of residual hearing. It seems that rises in impedance can reflect pathology within the inner ear and predict the future loss of residual hearing.

Objective: Lay the groundwork for using electrocochleography (ECochG) as a measure of cochlear health, by characterising typical patterns of the ECochG response observed across the electrode array in cochlear implant recipients with residual hearing. Methods: ECochG was measured immediately after electrode insertion in 45 cochlear implant recipients with residual hearing. The Cochlear Response Telemetry system was used to record ECochG across the electrode array, in response to 100- or 110-dB SPL pure tones at 0.5-kHz, presented at 14 per second and with alternating polarities. Hair cell activity, as the cochlear microphonic (CM), was estimated by taking the difference (DIF) of the two polarities. Neural activity, as the auditory nerve neurophonic (ANN), was estimated by taking the sum (SUM) of the two polarities. Prior work in humans and animal studies suggested that the expected ECochG pattern in response to a 0.5-kHz pure tone is an apical-peak in CM amplitude and latency. Results: The most prevalent pattern was a peak in the DIF amplitude near the most apical electrode, with a prolongation of latency towards the electrode tip; this was found in 21 / 39 individuals with successful ECochG recordings. The 21 apical-peak recipients had the best low-frequency hearing. A low amplitude, long-latency DIF response that remained relatively constant across the electrode array was found in 10 / 39 individuals, in a group with the poorest low- and high-frequency hearing. A third, previously undescribed, pattern occurred in 8 / 39 participants, with mid-electrode peaks in DIF amplitude. These recipients had the best high-frequency hearing and a progressive prolongation of DIF latency around the mid-electrode peaks consistent with the presence of discrete populations of hair cells. Conclusions: The presence of distinct patterns of the ECochG response with relationships to pre-operative hearing levels supports the notion that ECochG across the electrode array functions as a measure of cochlear health.

HYPOTHESIS: Scala tympani morphology influences the insertion dynamics and intra-scalar position of straight electrode arrays. BACKGROUND: Hearing preservation is the goal of cochlear implantation with current thin straight electrode arrays. These hug the lateral wall, facilitating full, atraumatic insertions. However, most studies still report some postoperative hearing loss. This study explores the influence of scala tympani morphology on array position relative to the basilar membrane and its possible contribution to postoperative hearing loss. MATERIALS AND METHODS: Twenty-six fresh-frozen human temporal bones implanted with a straight electrode array were three-dimensionally reconstructed from micro-photographic histological sections. Insertion depth and the proximity between the array and basilar membrane were recorded. Lateral wall shape was quantified as a curvature ratio. RESULTS: Insertion depths ranged from 233 to 470 degrees. The mean first point of contact between the array and basilar membrane was 185 degrees; arrays tended to remain in contact with the membrane after first contacting it. Eighty-nine and 93% of arrays that reached the upper basal (>240-360 degrees) and second (>360-720 degrees) turns respectively contacted the basilar membrane in these regions. Scalar wall curvature ratio decreased significantly (the wall became steeper) from the basal to second turns. This shift correlated with a reduced distance between the array and basilar membrane. CONCLUSION: Scala tympani morphology influences the insertion dynamics and intra-scalar position of a straight electrode array. In addition to gross trauma of cochlear structures, contact between the array and basilar membrane and how this impacts membrane function should be considered in hearing preservation cases.

A current focus of the Integrated Ocean Observing System's National Glider Data Assembly Center (NGDAC) is on the adoption and implementation of quality control (QC) methods in use by the broader oceanographic community. In 2015, U.S. IOOS, soliciting input from this community, began drafting a glider specific QC manual focusing on temperature and salinity measurements made by autonomous underwater gliders. The manual implements guidance provided by the Quality Assurance/Quality Control of Real-Time Oceanographic Data (QARTOD) Manual for the Real-Time Quality Control of In-situ Temperature and Salinity Data manual [1] and focuses on the observations of temperature, conductivity, and on the calculation of practical salinity, collectively referred to herein as TS observations. The manual has recently been officially accepted and the NGDAC has started to design and implement a subset of the tests outline in the document. The NGDAC recognizes the unique knowledge and understanding, by the glider operators, of the global and local environments they work in. As such, we propose a two-fold approach to glider data quality control: 1) Glider operators may (or may not) apply global and/or locally unique QC checks of both real-time and delayed-mode glider data sets prior to submitting the data sets to the NGDAC, 2) In the event that these QC tests are not applied at the local level, the NGDAC will apply QARTOD recommended methods to the received data sets, storing the results of this process in an additional set of variable written to the NetCDF files distributed to the public and transmitted on the Global Telecommunication System. This approach preserves the original data sets while providing the first step in a comprehensive approach to ensuring that the data delivered by the National Glider DAC are suitable for science-quality analysis and model assimilation. We expect to provide this level of QC by the end of 2016.

The acoustic and mechanical properties of silk membranes of different thicknesses were tested to determine their suitability as a repair material for tympanic membrane perforations. Membranes of different thickness (10-100μm) were tested to determine their frequency response and their resistance to pressure loads in a simulated ear canal model. Their mechanical rigidity to pressure loads was confirmed by tensile testing. These membranes were tested alongside animal cartilage, currently the strongest available myringoplasty graft as well as paper, which is commonly used for simpler procedures. Silk membranes showed resonant frequencies within the human hearing range and a higher vibrational amplitude than cartilage, suggesting that silk may offer good acoustic energy transfer characteristics. Silk membranes were also highly resistant to simulated pressure changes in the middle ear, suggesting they can resist retraction, a common cause of graft failure resulting from chronic negative pressures in the middle ear. Part of this strength can be explained by the substantially higher modulus of silk films compared with cartilage. This allows for the production of films that are much thinner than cartilage, with superior acoustic properties, but that still provide the same level of mechanical support as thicker cartilage. Together, these in vitro results suggest that silk membranes may provide good hearing outcomes while offering similar levels of mechanical support to the reconstructed middle ear.

Aim To monitor cochlear function during cochlear implantation and determine correlations with postoperative acoustic hearing. Background Cochlear response telemetry measures cochlear function directly from cochlear implant electrodes. We have adapted this system to provide real-time cochlear response telemetry (RT-CRT) monitoring of a patient's acoustic hearing as the cochlear implant electrode array is inserted. Methods Eighteen subjects (1 child and 17 adults) with sloping high frequency hearing loss were implanted with Cochlear Ltd slim straight arrays (CI422/CI522). Tone bursts (500 Hz, 100-110 dB) were presented at 14 Hz continuously during the array insertion. RT-CRT amplitudes were correlated with surgical manoeuvres recorded on the video from the operating microscope and with postoperative pure tone audiograms. Results Despite an excellent overall rate of complete or partial hearing preservation (79%), RT-CRT identified that in 47% of these implantations there was transient or permanent reduction in the amplitude of the cochlear microphonic (CM). Patients with a preserved CM at the end of insertion had on average 15 dB better low-frequency hearing preservation. The CM amplitude was most vulnerable during the last few millimeters of insertion or when inadvertent movement of the array occurred after full insertion. Physical contact/elevation of the basilar membrane is hypothesized as a likely mechanism of hearing loss rather than overt physical trauma. Conclusion RT-CRT can be used to predict early postoperative hearing loss and to potentially refine surgical technique. In the future, feedback of RT-CRT may prove to be a valuable tool for maximizing preservation of residual hearing or providing feedback on electrode contact with the basilar membrane.

Cochlear implant recipients show improved speech perception and music appreciation when residual acoustic hearing is combined with the cochlear implant. However, up to one third of patients lose their pre-operative residual hearing weeks to months after implantation, for reasons that are not well understood. This study tested whether this "delayed" hearing loss was influenced by the route of electrode array insertion and/or position of the electrode array within scala tympani in a guinea pig model of cochlear implantation. Five treatment groups were monitored over 12 weeks: (1) round window implant; (2) round window incised with no implant; (3) cochleostomy with medially-oriented implant; (4) cochleostomy with laterally-oriented implant; and (5) cochleostomy with no implant. Hearing was measured at selected time points by the auditory brainstem response. Cochlear condition was assessed histologically, with cochleae three-dimensionally reconstructed to plot electrode paths and estimate tissue response. Electrode array trajectories matched their intended paths. Arrays inserted via the round window were situated nearer to the basilar membrane and organ of Corti over the majority of their intrascalar path compared with arrays inserted via cochleostomy. Round window interventions exhibited delayed, low frequency hearing loss that was not seen after cochleostomy. This hearing loss appeared unrelated to the extent of tissue reaction or injury within scala tympani, although round window insertion was histologically the most traumatic mode of implantation. We speculate that delayed hearing loss was related not to the electrode position as postulated, but rather to the muscle graft used to seal the round window post-intervention, by altering cochlear mechanics via round window fibrosis.

We present a simulation of the X-ray absorption near-edge spectrum (XANES) of the metal porphyrin NiTPP (nickel tetraphenylporphyrin) and investigate the changes to the spectrum caused by adding piperidine ligands to the metal atom. The main features in the experimental spectrum (Chen et al., Science 292 (2001) 262) are interpreted in terms of changes in the electronic structure.

Aim To explore morphological or electrophysiological evidence for the presence of endolymphatic hydrops (EH) in guinea pig cochleae in the first 3 months after cochlear implantation. Methods Dummy silastic electrodes were implanted atraumatically into the basal turn of scala tympani via a cochleostomy. Round window electrocochleography (ECochG) was undertaken prior to and after implantation. Animals survived for 1, 7, 28 or 72 days prior to a terminal experiment, when ECochG was repeated. The cochleae were imaged using micro-CT after post-fixing with osmium tetroxide to reveal the inner ear soft tissue structure. EH was assessed by visual inspection at a series of frequency specific places along the length of the cochlea, and the extent to which Reissner's membrane departed from its neutral position was quantified. Tissue response volumes were calculated. Using ECochG, the ratio of the summating potential to the action potential (SP/AP ratio) was calculated in response to frequencies between 2 and 32 kHz. Results There was minimal evidence of electrode trauma from cochlear implantation on micro-CT imaging. Tissue response volumes did not change over time. EH was most prevalent 7 days after surgery in implanted ears, as determined by visual inspection. Scala media areas were increased, as expected in cases of EH, over the first month after cochlear implantation. SP/AP ratios decreased immediately after surgery, but were elevated 1 and 7 days after implantation. Conclusions EH is prevalent in the first weeks after implant surgery, even in the absence of significant electrode insertion trauma.

Aquatic therapies have been used in some of the earliest human civilizations. Examples can be seen in China, ancient Rome and even in the early history of U.S. settlements.1,2 Over the past few years aquatic environments have become a more common method for rehabilitation, injury prevention, and cross training. Additionally, research has observed that aquatic exercise may assist in pain relief, swelling reduction, and ease of movement due to the pressure and warmth of water.7 Aquatic environments can also be used to reduce forces placed on the lower extremities by reducing the weight of the subject through buoyancy.3 Buoyancy can unload a participant���s body weight by as much as 70% when submerged to the xiphoid process.

Aim To record cochlear responses to acoustic stimulation (electrocochleography) directly from a cochlear implant (CI) in awake recipients with residual hearing, using an adaptation of Neural Response Telemetry (NRT) that achieves a 10-ms recording window. Background Modern cochlear implants contain circuitry for recording neural responses to electrical stimulation, which is known in Cochlear Ltd systems as NRT. We adapted NRT to achieve an extended recording window long enough to record an acoustic electrocochleogram. This paper reports recordings made with this system in recipients with residual hearing. Methods Subjects were adults with CI422 CIs who retained audiometric thresholds between 75 and 90 dB HL at 500 Hz in their implanted ear. The CI was interfaced to a laptop via a Freedom speech processor connected by USB. Calibrated acoustic stimuli (clicks and tone bursts between 500 and 1,500 Hz) were presented via insert tube phones to the implanted ear. Responses were acquired through the adapted NRT system. Recordings were made from apical, mid-array, and basal electrodes. Electrocochleography responses were compared with audiometric thresholds. Results Electrocochleography could be recorded from all five subjects. The compound action potential, cochlear microphonic, and summating potentials were identified. Good quality recordings were most reliably attained from apical electrodes using 40 to 100 repetitions. Audiometric thresholds were similar to compound action potential thresholds. Conclusions Intracochlear responses to acoustic stimulation can be recorded directly from the CI in awake recipients with residual hearing. This may prove useful for monitoring postoperative hearing and for device fitting.

This paper aims to predict and control the probability of firing of a neuron in response to pulsatile electrical stimulation of the type delivered by neural prostheses such as the cochlear implant, bionic eye or in deep brain stimulation. Using the cochlear implant as a model, we developed an efficient computational model that predicts the responses of auditory nerve fibers to electrical stimulation and evaluated the model's accuracy by comparing the model output with pooled responses from a group of guinea pig auditory nerve fibers. It was found that the model accurately predicted the changes in neural firing probability over time to constant and variable amplitude electrical pulse trains, including speech-derived signals, delivered at rates up to 889 pulses s(-1). A simplified version of the model that did not incorporate adaptation was used to adaptively predict, within its limitations, the pulsatile electrical stimulus required to cause a desired response from neurons up to 250 pulses s(-1). Future stimulation strategies for cochlear implants and other neural prostheses may be enhanced using similar models that account for the way that neural responses are altered by previous stimulation.

The L(3) edge x-ray absorption near edge spectrum (XANES) of the ground electronic state and the metal to ligand charge transfer state of ruthenium tris-2,2(')-bipyridine is calculated. The final valence states and energies in the presence of the photoelectron and core hole, and the corresponding transition intensities are computed using time dependent density functional theory with the Becke three-parameter density functional with the Lee-Yang-Parr correlation functional. Calculations show a valence shift of the primary XANES peak and the appearance of the new XANES transition to the hole created by the optical excitation, in agreement with experiment [M. Saes, C. Bressler, R. Abela, D. Grolimund, S. L. Johnson, P. A. Heimann, and M. Chergui, Phys. Rev. Lett. 90, 047403 (2003)].