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Biomedical subjects

E Borg

Publications and source records attributed to E Borg.

At least 55 records · Page 3Linked to original sources
PubMed1996

On the dynamic range of different X-ray photon detectors in intra-oral radiography. A comparison of image quality in film, charge-coupled device and storage phosphor systems.

OBJECTIVE: To compare film for intra-oral radiography with two charge-coupled device (CCD) and one storage phosphor system for digital imaging in respect of subjective image quality, detectability of small mass differences and appearance of burn-out effects and blooming phenomena at various exposure times. METHODS: Dried mandibles with teeth from different areas were radiographed at exposures covering a relative range from 1 to 100. Image quality was subjectively evaluated after image processing, when applicable, using a visual grading scale from 0 to 10. The number of visible holes in an aluminium block was used to measure the detectability of small mass differences. Burn-out effects and blooming were evaluated by measuring widths of roots and of aluminium and plastic cylinders. RESULTS: Radiographs with the storage phosphor system achieved image quality scores similar to those of film but over a larger exposure range, while CCD images were rated lower and over a smaller range. All holes in the aluminium block were only detected with the storage phosphor system. While the widths of roots were strongly affected by sensor saturation in CCD images and by burn-out in film images, smaller effects were seen with the storage phosphor system. Similar results were obtained with aluminium and plastic cylinders. CONCLUSIONS: Higher image quality was achieved over a much wider exposure range with the storage phosphor system than with either film or the CCD systems.

Humans↗
PubMed1996

An image plate system for digital intra-oral radiography.

Direct image acquisition of intra-oral images using digital, filmless, techniques has been possible only since the late 1980s, although indirect methods have been available since the late 1970s. The techniques possible so far have had a number of limitations, making them cumbersome to use. A new system, the Digora system, has recently been developed in Finland, which overcomes many of these shortcomings. The principles and uses of this system are described here.

Equipment Design↗
PubMed1995

Topography of auditory evoked long-latency potentials in normal children, with particular reference to the N1 component.

Topographic maps of late auditory evoked potentials were obtained with the Brain Atlas III system in 34 healthy, normal hearing children aged 8-16 years. The stimulus was a 100 msec, 500 Hz tone burst, presented separately to the left and right ears, at 75 dB HL. The resulting auditory evoked potentials showed a prominent N1, after about 100 msec, and a topographic map with a corresponding fronto-lateral focus designated as the focus of N1 (FN1). Foci with varying positions and amplitudes were identified in 33 of 34 subjects after left ear stimulation and in 29 of 32 subjects after right ear stimulation. The topography showed a high degree of stability in most subjects, with the position of the negative "peak" of FN1 in front of the interaural line and with a dominance contralateral to the ear stimulated. There was a significant decrease in the latency of N1 with increasing age. FN1 tended to change position with age and some differences from adults were also observed. In conclusion, a distinct topographic pattern of the N1 component of the late auditory evoked potentials was seen in the majority of children. It remains to be established to what extent this method may be clinically useful for disclosing functional disturbances in the central auditory pathways.

Acoustic Stimulation↗
PubMed1995

Extra inner hair cells: prevalence and noise susceptibility.

A total of 39 cochleae, 10 non-exposed and 29 noise exposed cochleae, were analyzed in a scanning electronmicroscope. Inner hair cells (IHCs) localized on the modiolar side of the ordinary row of IHCs were described. The mean number of such extra IHCs was 11 per cochlea both for non-exposed and exposed ears, ranging from 0-37. They showed a bimodal distribution with a maximum number at apex and 6-9 mm from apex. The dimension of the cuticular plate was slightly but significantly larger than for the ordinary IHCs. The extra IHCs suffered significantly less damage to their stereocilia than the ordinary IHCs after short-term high-level noise exposure. There was a significant negative correlation between the number of extra IHCs and the size of the post exposure permanent threshold shift. There was no evidence of postexposure generation of extra IHCs in or near the region of hair cell damage. It was concluded that extra IHCs normally occur in rabbits and that they are less susceptible to noise trauma than ordinary IHCs. The negative correlation between extra IHC occurrence and noise susceptibility needs further analysis.

Acoustic Stimulation↗
PubMed1995

Accuracy of caries diagnosis in digital images from charge-coupled device and storage phosphor systems: an in vitro study.

OBJECTIVES: To evaluate the diagnostic accuracy of carries detection with four intra-oral digital radiographic systems in vitro and to investigate the impact of image compression. METHODS: 116 extracted human premolars and molars mounted three in a line with approximal contacts were radiographed with four digital systems (Digora, RVG, Sens-A-Ray, and Visualix) and imported into a Windows-based program. Sixteen images from each system were compressed (JPEG, irreversible compression). The total of 528 images was assessed by six radiologists using a 5-point confidence scale for the detection of approximal and occlusal caries. Caries was validated histologically. The disease threshold was caries in enamel for approximal surfaces and in dentine for occlusal surfaces. RESULTS: Mean ROC curve areas for approximal surfaces were 0.611 (DIG), 0.572 (RVG), 0.594 (SAR), and 0.596 (VIX), and for occlusal surfaces 0.794 (DIG), 0.819 (RVG), 0.751 (SAR), and 0.761 (VIX). There were no significant differences between the areas under the ROC curves (p > 0.05); nor were there any significant differences between the compressed and uncompressed images (p > 0.05). CONCLUSIONS: The four digital systems performed almost equally well for detection of caries in vitro, and compressed images were as accurate as uncompressed.

Bicuspid↗
PubMed1995

[Multipoint video-conference. An option for highly specialized education].

Video-conferencing via the PST (Public Switched Telephone) network is a good and economical alternative for use in education. If the universities cooperate, instruction by the best lecturers can be made available to small groups of students distributed over great distances. Travel costs will be minimised and teachers under pressure of time will be able to use their time rationally. Although the social intercourse of a study group promotes the students' mental energy to the benefit of instruction, such technical advances as more rapid transmission and audiovisual integration will be needed. Last but not least, efficient course secretaries will be required to coordinate the work both of lecturers and studio and telephone personnel, as well as the participation of the various study groups.

Education, Medical↗
PubMed1994

Ear and hearing problems in 44 middle-aged women with Turner's syndrome.

The present study has investigated ear and hearing problems in 44 women with Turner's syndrome (median age 45.5 years). Social hearing problems were common after the age of 40 and 27% were fitted with hearing aids. Audiograms revealed a hearing loss > 20 dB hearing level (HL) in 91% leading to clinically significant hearing problems in 60%. A distinct dip in the 1.5 kHz frequency range, with a mean value of 46 dB was found in 30 women. The occurrence of the dip was correlated to the karyotype. All women with the karyotype 45,X and 45,X/46,X,i(Xq) demonstrated this dip while in the 45,X/46,XX group it was found in 31%. No dips were found among 45,X/46,XY and 45,X/46,XX/47,XXX women. With increasing age a progressive high frequency hearing loss was added to the dip leading to severe hearing problems earlier in the Turner women than age-matched controls. This might be due to a genetic defect leading to premature ageing of their hearing organ. These data emphasize the importance of providing early information to Turner girls of their predisposition to hearing impairment. Patient awareness of importance of audiological evaluations and the benefit of hearing aids should be stressed.

Adult↗
PubMed1994

Electromagnetic stimulation of the auditory system of deaf patients.

Electromagnetically induced auditory perception was investigated in 18 deaf patients who were candidates for cochlear implants. In the extracranial magnetic stimulation (EMS) procedure, patients were stimulated with time-varying magnetic field brief pulses from a coil positioned at the i) auricle, ii) the mastoid, and iii) the temporal lobe area. EMS elicited auditory sensations in 26 ears (of 14 patients/subjects). The lowest threshold of auditory sensation (TAS) was found to be at the 20% EMS level, with a range of 20-50% of the maximum level (2.0 Tesla), and approximately equal sensitivity in each coil position. Eleven of the subjects hearing EMS-induced sound perceived changes in pitch while 6 heard "clicks" or clicks and tones. Spearman Rho correlation analysis showed a mild negative correlation between the EMS/TAS and the pre-implant FFA, best tone threshold (BTT), and direct promontorial electrical stimulation (ES) thresholds at 250 Hz and 500 Hz. No correlation was found between EMS or ES and performance on the pre-implant or post-implant psychacoustic tests (MAC VIII or 3-Digit speech tests) or the measurements of the thickness of cutaneous and osseous tissue from the stimulation sites at the mastoid and ear canal to the cochlear and 8th nerve. A fair positive correlation was found between the EMS/TAS and the post-implant (6 months) ES threshold when the electrodes allocated the 500 Hz frequency range were stimulated. A mild positive correlation between the pre-cochlear-implant promontorial electrical stimulation (ES) at 250 Hz and the four frequency tone average (FFA: 0.5, 1, 2, 4 kHz) was also found.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1993

Ultrastructural changes in the presynaptic region of outer hair cells after acoustic stimulation.

Protection against noise trauma results by sound-conditioning animals to a low-level, long-term acoustic stimulus prior to a damaging exposure. It is known that the outer hair cells are selectively protected by sound-conditioning. The aim of the present study was to determine if the intrinsic properties of the outer hair cell had been modified by sound-conditioning. A stimulus-related increase in the vesicle content in the presynaptic region was found. It is suggested that the outer hair cells are involved in sound conditioning and that changes in the presynaptic region can be one correlate to the protection against noise trauma by sound-conditioning.

Acoustic Stimulation↗
PubMed1993

Auditory degeneration after acoustic trauma in two genotypes of mice.

Two strains of mice, CBA/Ca and C57BL/6J, were exposed to a steady noise (2-7 kHz) of 120 dB SPL for 5 min at 1, 3, 6, or 12 months of age. Threshold shifts were determined by recording auditory brainstem response 1 month after exposure and thereafter up to the age of 16 months (C57BL) or 23-27 months (CBA). With increasing age of exposure, susceptibility to acoustic trauma at middle frequencies (6.3-12.5 kHz) 1 month after exposure decreased in CBA mice but remained constant in C57BL mice. With increasing age after exposure, threshold shifts were retained at the middle frequencies in CBA mice exposed at 1 month of age and in C57BL mice of all exposed groups. The progress of the interaction between the previous noise damage and aging effects was generally the same for the two strains, first an additivity and then a blocking-like interaction. The rate of the progress in post-noise hearing did not exceed the spontaneous rate of aging. The differences between exposed and non-exposed groups decreased with advancing age. The results indicate that the interaction of noise trauma and aging effects depends on the susceptibility of the individual to acoustic trauma, affected frequencies, and the severity of noise-induced PTS. A previous noise damage did not potentiate the auditory degeneration either in CBA/Ca or in C57BL/6J mice.

Acoustic Stimulation↗
PubMed1993

Measures of auditory brain-stem responses, distortion product otoacoustic emissions, hair cell loss, and forward masked tuning curves in the waltzing guinea pig.

Measures of the auditory brain-stem response (ABR), distortion product otoacoustic emission (2f1-f2), hair cell loss, and forward masked tuning curves were obtained from waltzing guinea pigs and their age-matched controls at postnatal day 2, 9, 15, and 30. A mild ABR threshold shift (10-15 dB) is seen by 2 days postnatal and gradually increases to a more severe threshold shift (40-50 dB) by postnatal day 15. Already by 30 days the auditory brain-stem response, being beyond the output of the instrumentation, could not be elicited. The mean distortion product otoacoustic emission (DPOE) amplitude as a function of f1 amplitude for the postnatal day 2, 9, and 15 waltzing guinea pigs were only between 3 and 8 dB below the control values for stimulus levels below 65 dB SPL. The DPOE audiogram constructed for the waltzing guinea pigs shows no more than an 8-dB mean difference from the control values when the intensity of f1 was 50 dB SPL, and no more than 10 dB when f1 was 60 dB SPL. Analysis of the individual cases revealed that the DPOE amplitude could be greater than control values. On the contrary, when f1 stimulus levels were below 65 dB SPL, DPOEs could not be detected for the postnatal day 30 waltzing guinea pigs. At stimulus levels above 65 dB SPL, DPOEs could be recorded yet these responses were depressed from control values by 10 to 25 dB. Analysis of surface preparations of the organ of Corti from the day 15 waltzing guinea pig reveals that the prominent alteration occurs on the third row outer hair cells. To a lesser extent, the second row outer hair cells, and then the first row outer hair cells are affected while the inner hair cells appear normal. In contrast, the organ of Corti from the postnatal day 30 waltzing guinea pig showed a more extensive outer hair cell loss among all three rows as well as a considerable degree of inner hair cell loss. Forward masked auditory brain-stem response tuning curves were generated at 8, 4, and 1 kHz for control and waltzing guinea pigs between 2 and 12 days of age. All tuning curves obtained from waltzing guinea pigs showed progressive decreases in sensitivity with increasing age. The Q 10 dB values of the 1- and 4-kHz tuning curves were not different between the controls and the waltzing guinea pigs at any age.(ABSTRACT TRUNCATED AT 400 WORDS)

Acoustic Stimulation↗
PubMed1993

Cholera toxin B-HRP and wheat germ agglutinin-HRP tracing of tensor tympani muscle motoneurons and processes in rabbits.

The brain stem position, organization and number of motoneurons innervating the rabbit tensor tympani muscle (TTM) were determined by retrograde axonal transport of cholera toxin B/horseradish peroxidase conjugate (CTB-HRP) and wheat germ agglutinin HRP conjugate (WGA-HRP) tracers. The synaptic input to the TTM motoneurons was examined with WGA-HRP. The results show the motoneurons of the TTM to be localized in a cluster ventro-lateral to the outer margin of the ipsilateral trigeminal motor nucleus (VMN) and dorso-lateral to the superior olive. The number of labeled cells was greater in the combined CTB-HRP/WGA-HRP injected cases. The TTM motoneurons were triangular and elongated in shape and smaller than those of the VMN. An extensive network of dendritic branches was present ventro-laterally in the vicinity of the superior olive. Similar, but less extensive collections of dendritic processes were observed to course dorso-medially, rostrally and caudally. Axons were observed to project first dorsally or laterally, towards the trigeminal motor root, then after a sharp turn coursed ventrally within the trigeminal motor root (VMR). Transneuronal transport of the WGA-HRP was not accomplished in any preparation, suggesting among other things, system or species differences in the effectiveness of the WGA-HRP conjugate as a transynaptic tracer. It is concluded that the TTM acoustic reflex in rabbits and other mammals, its threshold, prolonged contraction capacity, and its influence on middle ear sound transmission may be related to its demonstrated extensive synaptic field in the reflex chain, particularly in the area of the superior olive, while its many other physiological functions may be made possible by the number, location, and multi-dimensional orientation of its motoneurons and dendrites.

Animals↗
PubMed1993

Acoustic middle ear muscle reflex protection against magnetic coil impulse noise.

Electromagnetic stimulation (EMS) of the brain and the intracranial portion of the facial nerve has become a widely used clinical technique. The high intensity impulse noise acoustic artifact generated by some magnetic coils used in EMS has been shown to cause severe cochlear damage in experimental animals. This damage results in permanent threshold shifts throughout the auditory spectrum of the rabbit. As with other impulse and impact noise signals, the duration of the coil impulse noise is too short to be influenced by the normally protective acoustic middle ear muscle reflex. Artificially activating the acoustic reflex with a contralateral broad band noise during exposure to the intense coil artifact reduced the compound threshold shift (CTS) significantly, and the permanent threshold shifts (PTS) to near zero at each tone frequency and noise band tested. The results demonstrate the effectiveness of a suprathreshold sound in activating the acoustic middle ear muscle reflex and protecting against impulse noise-induced hearing loss caused by high frequency magnetic coil acoustic impulses.

Acoustic Impedance Tests↗
PubMed1993

Oto-traumatic effects of computer simulated magnetic coil impulse noise: analysis of mechanisms.

The brief impulse noise artifacts of 1.0 ms or less generated by some magnetic coils used in extracranial magnetic stimulation may induce acoustic trauma. We investigated the effects of these magnetic coil acoustic artifacts (MCAA) on the inner ear by exposing rabbits to computer stimulated impulse noise designed to mimic the impulse noise of the coil in spectrum and acoustic energy. The simulated impulse noise stimuli (50 impulses) were varied in maximum peak sound pressure (160, 157, and 155 dB re: 20 muPascal), rise-time (100 microseconds and 1,000 microseconds) and duration. The frequency spectrum of the simulated impulse noises were kept constant at 0.5 kHz to 7 kHz with peak energy in the 2-5 kHz range. The results indicated that the simulated magnetic coil impulse noise caused extensive cochlear damage and permanent threshold shifts largely equal to those induced by the MCAA. The MCAA created slightly greater PTS than the simulated impulse of the same peak sound pressure. Each of the 3 experimental stimuli induced similar PTS in the auditory range of 0.5 to 16 kHz, with the higher peak sound pressure stimuli (157 and 160 dB) causing greatest hearing loss. Increasing the rise-time of the simulated brief impulse noise from 100 microseconds to 1,000 microseconds did not reduce the level of PTS significantly. The results suggest that for brief acoustic signals of around 1 ms or less, the peak pressure and spectral content rather than the rise-time and duration were the important factors in the development of noise-induced hearing loss.(ABSTRACT TRUNCATED AT 250 WORDS)

Acoustic Stimulation↗
PubMed1992

Auditory degeneration after exposure to toluene in two genotypes of mice.

Two inbred strains of mice, CBA/Ca (with a moderate hearing loss starting late in life) and C57BL/6J (with an early onset of spontaneous auditory degeneration), were exposed to toluene by inhalation (1000 ppm, 12 h/day, 7 days) at either 1 or 6 months of age. Thresholds of auditory brainstem response (ABR) were measured 3-5 days after exposure and assessed repeatedly up to the age of 16 months (C57) or 23 months (CBA). Both strains of mice exposed to toluene at 1 month of age showed a mild loss of sensitivity at a high frequency (31.5 kHz) shortly after exposure. With increasing age, toluene exposure had little effect on the aging process of the auditory system in CBA mice but accelerated age-related hearing loss in C57 mice. The results indicate that toluene exposure can aggravate auditory deterioration only in mice with a strong genetic predisposition to spontaneously precocious age-related hearing loss.

Administration, Inhalation↗