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Biomedical subjects

T Poulsen

Publications and source records attributed to T Poulsen.

At least 19 recordsLinked to original sources

Temporal integration of loudness in listeners with hearing losses of primarily cochlear origin.

To investigate how hearing loss of primarily cochlear origin affects the loudness of brief tones, loudness matches between 5- and 200-ms tones were obtained as a function of level for 15 listeners with cochlear impairments and for seven age-matched controls. Three frequencies, usually 0.5, 1, and 4 kHz, were tested in each listener using a two-interval, two--alternative forced--choice (2I, 2AFC) paradigm with a roving-level, up-down adaptive procedure. Results for the normal listeners generally were consistent with published data [e.g., Florentine et al., J. Acoust Soc. Am. 99, 1633-1644 (1996)]. The amount of temporal integration--defined as the level difference between equally loud short and long tones--varied nonmonotonically with level and was largest at moderate levels. No consistent effect of frequency was apparent. The impaired listeners varied widely, but most showed a clear effect of level on the amount of temporal integration. Overall, their results appear consistent with expectations based on knowledge of the general properties of their loudness-growth functions and the equal-loudness-ratio hypothesis, which states that the loudness ratio between equal-SPL long and brief tones is the same at all SPLs. The impaired listeners' amounts of temporal integration at high SPLs often were larger than normal, although it was reduced near threshold. When evaluated at equal SLs, the amount of temporal integration well above threshold usually was in the low end of the normal range. Two listeners with abrupt high-frequency hearing losses (slopes > 50 dB/octave) showed larger-than-normal maximal amounts of temporal integration (40 to 50 dB). This finding is consistent with the shallow loudness functions predicted by our excitation-pattern model for impaired listeners [Florentine et al., in Modeling Sensorineural Hearing Loss, edited by W. Jesteadt (Erlbaum, Mahwah, NJ, 1997), pp. 187-198]. Loudness functions derived from impaired listeners' temporal-integration functions indicate that restoration of loudness in listeners with cochlear hearing loss usually will require the same gain whether the sound is short or long.

Adult↗

Impact of epidermal thickness on purpura from the pulsed dye laser.

BACKGROUND AND OBJECTIVE: To clarify whether epidermal thickness is of importance to the purpuric reaction from treatment with the pulsed dye laser (PDL). STUDY DESIGN/MATERIALS AND METHODS: Fifteen fairly pigmented volunteers were laser treated in two test regions of varying epidermal thicknesses: normal buttock skin and ultraviolet B (UVB)-exposed buttock skin. Laser treatments were performed with the flashlamp-pumped PDL (585 nm). Fluences ranged from 3-6.5 J/cm2, spot size was 7 mm, and each volunteer received at least six fluences in each treatment region. Assessment of the response was based on clinical evaluation (threshold dose to purpura 10 minutes and 1 day after treatment) and skin reflectance-evaluated redness (1 and 6 days, 2 and 6 weeks after treatment). RESULTS: The total epidermal thickness differed between the unexposed buttock skin (median, 72.7 microm) and the UVB-exposed buttock skin (87.2 microm) (P < 0.01). There was no correlation between the epidermal thickness and the threshold dose to induce purpura 10 minutes and 1 day after laser exposure. Skin reflectance revealed no correlation between the epidermal thickness and the skin reflectance evaluated redness on 1, 6 days, and 2 weeks postoperatively. A dose-response relation was seen within the two test regions; 6 weeks after laser exposure, there was no remaining laser-induced skin redness. CONCLUSION: The epidermal thickness is unimportant to the purpuric reaction after PDL treatment.

Adult↗

Equivalent threshold sound pressure levels for Sennheiser HDA 200 earphone and Etymotic Research ER-2 insert earphone in the frequency range 125 Hz to 16 kHz.

Equivalent Threshold Sound Pressure Levels (ETSPLs) have been determined for the Sennheiser HDA 200 earphone and the Etymotic Research ER-2 insert earphone. Thirty-one young normal-hearing test subjects participated and the thresholds were determined for all recommended frequencies in the frequency range 125 Hz to 16 kHz. The results for the HDA 200 earphone are generally in very good agreement with the results from two other investigations which are available at present. Only at 6 kHz is a 9 dB deviation found and at 8 kHz a 6 dB deviation is found between the three investigations. For ER-2 it has not been possible to find other ETSPL determinations in the literature.

Adolescent↗

Ultraviolet exposure influences laser-induced wounds, scars, and hyperpigmentation: a murine study.

Laser therapy is today considered the treatment of choice for vascular skin lesions, which commonly are located on the face and, therefore, frequently are exposed to sunlight. The purpose of this study was to examine whether preoperative and postoperative ultraviolet irradiation influences the development of laser-induced side effects. We laser-treated hairless mice with a copper vapor laser; three different intensities were used at a constant pulse duration. Simulated solar ultraviolet radiation was administered either before the laser treatment (3 consecutive days, daily doses of 2.48 J/cm2) or after the laser treatment (four times weekly in 4 weeks, daily doses of 1.66 J/cm2). Laser-induced wounds, scars, and hyperpigmentation were evaluated by macroscopic, histologic, and biochemical examinations. Preoperative ultraviolet exposure enlarged the laser-induced wounds and the areas with texture change at some of the laser intensities used. However, the most pronounced effect was seen for postoperative ultraviolet-irradiated mice. These mice developed, at some of the laser intensities, a higher incidence of bulging infiltration as well as higher degrees of fibrosis and hyperpigmentation, thus developing a poor cosmetic appearance. Furthermore, ultraviolet irradiation after laser treatment resulted in slowly healing wounds of reduced size, indicating deep, constricted skin damage. We conclude that ultraviolet exposure before and after copper vapor laser treatment increases the risk of inducing side effects from dermatological laser treatment.

Animals↗

Side effects from dermatological laser treatment related to UV exposure and epidermal thickness: a murine experiment with the copper vapor laser.

BACKGROUND AND OBJECTIVE: The intention of the present study was to clarify whether UV-exposure prior to laser treatment of albino mouse skin may influence laser-induced side effects and if a possible influence may be explained by epidermal thickening. STUDY DESIGN/MATERIALS AND METHODS: Albino, hairless mice were irradiated 0, 8, and 22 consecutive times with simulated solar UV (1.4 J/cm2 per treatment). Subsequently, two areas on the back of the mice (1.26 cm2 each) were treated with a copper vapor laser that was connected to a Hexascan. The beam diameter was 1 mm, pulse duration 200 msec, and intensities 0.6 W, 0.8 W, and 1.0 W. Laser-induced wounds, scars, and histologically evaluated fibrosis were evaluated. RESULTS: We found that mice irradiated with UV before laser treatment developed smaller wounds, smaller texture change areas, and less fibrosis as compared with nonirradiated control groups, and significant, negative correlations were demonstrated between epidermal thicknesses (stratum corneum, the cellular part of epidermis, and the entire epidermis) and laser-induced skin reactions. A dose response was obtained between laser intensities and laser-induced skin reactions, which tended to be more severe in the cranial back location as compared with the caudal back location. Epidermal layers increased significantly after eight consecutive times of UV irradiation and increased to a steady level after 22 times of irradiation. CONCLUSION: We conclude that UV exposure prior to laser treatment of albino mice reduced laser-induced side-effects, which could be explained by increased epidermal thickening. Variations in epidermal thickness might thus contribute to variations in clinical response to dermatological laser treatment with the copper vapor laser.

Animals↗

Correlates versus predictors of courtship success: courtship song in Drosophila silvestris and D. heteroneura

Males of the picture-winged flies Drosophila silvestris and D. heteroneura produce a sound during courtship wing vibration; successful courtships include more time spent in wing vibration. We clipped male wings to test whether this sound is a necessary signal for the success of male courtship. We tested females in no-choice tests and also in choice tests in which each female was provided with a clipped and normal male simultaneously. We found no differences in the probability of copulation for either species in no-choice tests, and no difference for the choice tests with D. heteroneuraSurprisingly, clipped males were significantly more successful than control males in the choice tests with D. silvestrisThe latencies to copulate did not differ by treatment in any tests. Consequently, the sound produced by courtship wing vibration does not influence male mating success and thus does not meet the most important criterion for being a sexual signal. We propose that the vibration of thoracic muscles, transmitted through the substrate or through the male's forelegs, could provide a sexual signal in these species.1997The Association for the Study of Animal Behaviour

Journal Article↗

Urocanic acid isomers: relation to body site, pigmentation, stratum corneum thickness and photosensitivity.

Urocanic acid (UCA), present in the stratum corneum as trans-UCA, absorbs ultraviolet (UV) radiation and isomerizes to cis-UCA. Cis-UCA has been demonstrated to initiate suppression of selected immune responses in several experimental systems. Topical application of UCA-containing products reduces UV-induced erythema, but a role for endogenous UCA in photoprotection has not been reported. In this study the relationship between UCA isomers, pigmentation, minimal erythema dose (MED), and stratum corneum thickness was investigated. Pigmentation, concentration of total UCA, and the percentage present as the cis-isomer was measured in 36 healthy subjects, skin type I-IV, at six UV-exposed and nonexposed body sites: forehead, chest, back, outer upper arm, inner upper arm, and buttock. The MED was determined by phototesting on buttock skin, and a punch biopsy for measurement of stratum corneum thickness was taken adjacent to the site of the phototest. The percentage of cis-UCA was significantly higher in UV-exposed than on nonexposed areas. A small intraindividual variation in total UCA was found, being high on the buttock and the arm, lowest on the forehead. The subject to subject variation of total UCA was considerable at all body sites. No correlation was found between total UCA and MED, skin type, pigmentation, or stratum corneum thickness.

Adolescent↗

Epidermal thickness, skin pigmentation and constitutive photosensitivity.

The important factors for UV sensitivity in humans are considered to be the skin pigmentation and the epidermal thickness. In this study on 73 Caucasians (age 20-85 years), we investigated in UV unexposed buttock skin the relationship between the UV sensitivity and constitutive skin pigmentation and thickness of the stratum corneum and the cellular part of the epidermis, in 34 normal people and in 39 skin cancer patients (20) patients with cutaneous malignant melanoma and 19 patients with basal cell carcinoma of the skin). Skin pigmentation was measured by skin reflectance spectroscopy, and UV sensitivity by phototest with a solar simulator. Thicknesses of the stratum corneum and the cellular part of the epidermis were determined by light microscopic evaluation of skin biopsies from the phototest areas. We found that epidermal thickness was independent of skin type and was not correlated to constitutive skin pigmentation. Thickness of the stratum corneum was statistically not different in normal persons and in skin cancer patients (P = 0.41) and was independent of gender (P = 0.61) and age (P = 0.56), while thickness of the cellular epidermis decreased with age (P < 0.01). Stratum corneum thickness was found to be of minor importance for the constitutive UV sensitivity (accounting for on average 11% of the total photoprotection), which was mainly determined by the constitutive skin pigmentation (goodness-of-fit for correlation r = 0.83). A theoretical model for the relationship of UV dose to induction of clinical erythema grade and skin pigmentation and thickness of the stratum corneum was developed. Objective measurements of skin pigmentation in UV unexposed skin by skin reflectance spectroscopy in Caucasians, normal people and people with cutaneous malignant melanoma and basal cell carcinoma of the skin predicts the constitutive UV sensitivity with a high degree of precision.

Adult↗

Photodynamic therapy with topical delta-aminolevulinic acid delays UV photocarcinogenesis in hairless mice.

Photodynamic therapy (PDT) with topical application of delta-aminolevulinic acid (ALA) followed by irradiation with visible light (ALA-PDT) is a relatively new and promising experimental treatment of superficial premalignant and malignant skin neoplasms. The purpose of this study was to determine whether ALA-PDT can prevent photocarcinogenesis in hairless mice exposed to solar UV. A total of 140 mice was divided into seven groups of 20 mice each. Group 1: solar-UV exposure. Group 2: solar UV and a cream base+visible light once a week. Group 3: solar UV and ALA-PDT once a week. Group 4: solar UV and ALA-PDT once every second week. Group 5: solar UV and ALA-PDT every fourth week. Group 6: ALA-PDT once a week. Group 7: no treatment. The time to first and to second tumor > or = 1 mm was registered. Predefined endpoints, such as one tumor > or = 4 mm or an area of small confluent tumors on the back of the mice were criteria for withdrawal from the experiment. The time to first and to second tumor was significantly longer in the ALA-PDT-treated mice than in mice only exposed to solar UV and solar-UV/cream base-visible light (P < 0.005). However, we observed an increased death and accident rate in the ALA-PDT-treated groups compared to the groups not treated with ALA-PDT (chi-square test, P = 0.0250). Significantly more ALA-PDT-treated mice were withdrawn because of a tumor > or = 4 mm (P = 0.0005). The UV unexposed mice developed no tumors. Repetitive treatments with ALA-PDT delay photoinduced carcinogenesis in mice.

Administration, Topical↗

Temporal integration of loudness, loudness discrimination, and the form of the loudness function.

Temporal integration for loudness of 5-kHz tones was measured as a function of level between 2 and 60 dB SL. Absolute thresholds and levels required to produce equal loudness were measured for 2-, 10-, 50-, and 250-ms tones using adaptive, two-interval, two-alternative forced-choice procedures. The procedure for loudness balances was new and employed ten interleaved tracks to obtain concurrent measurements for ten tone pairs. Each track converged at the level required to make the variable stimulus just louder than the fixed stimulus. Thus, the data yield estimates of the just-noticeable difference (jnd) for loudness level and temporal integration for loudness. Results for four listeners show that the amount of temporal integration, defined as the level difference between equally loud short and long tones, varies markedly with level and is largest at moderate levels. The effect of level increases as the duration of the short stimulus decreases and is largest for comparisons between the 2- and 250-ms tones. The loudness-level jnds are also largest at moderate levels and, contrary to traditional jnds for the level of two equal-duration tones, they do not appear to depend on duration. The latter finding indicates that loudness discrimination between stimuli that differ along multiple dimensions is not the same as level discrimination between stimuli that differ only in level. An equal-loudness-ratio model, which assumes that the ratio of loudnesses for a long and short tone at equal SPL is the same at all SPLs, can explain the level dependence of temporal integration and the loudness jnds. It indicates that the loudness function [log(loudness) versus SPL] is flatter at moderate levels than at low and high levels in agreement with earlier findings for 1-kHz tones [M. Florentine et al., J. Acoust. Soc. Am. 99, 1633-1644 (1996)].

Female↗

Temporal integration of loudness as a function of level.

Temporal integration of loudness for 1-kHz tones and broadband noises was compared over a wide range of levels. Absolute thresholds and levels required to produce equal loudness were measured for 5-, 30-, and 200-ms stimuli using an adaptive, two-interval, two-alternative forced-choice procedure. Levels ranged from 5 to 80 dB SL for noises and from 5 to 90 dB SL for tones. Results for six listeners with normal hearing show that the amount of temporal integration, defined as the level difference between equally loud 5- and 200-ms stimuli, varies nonmonotonically with level. The average amount of temporal integration varies from about 10-12 dB near threshold, to a peak of 18-19 dB when the 5-ms tone is about 56 dB and the 5-ms noise is about 76 dB SPL; the amount of temporal integration decreases to 10 dB for tones and 13 dB for noises with levels around 100 dB SPL. The data for tones are in good agreement with the majority of existing data. The data for noises are within the range of the few previous data, but the effect of level differs from that obtained in previous studies. The present results indicate that the growth of loudness may, at least in part, be consistent with the nonlinear input/output function of the basilar membrane.

Adult↗

Photoprotection in vitiligo and normal skin. A quantitative assessment of the role of stratum corneum, viable epidermis and pigmentation.

Pigmentation, stratum corneum and viable epidermis are considered to be the main factors protecting against ultraviolet radiation. We quantitatively investigated the degree of photoprotection provided by these structures in vitiligo and adjacent normally pigmented skin. In 14 patients 61 MED tests were performed in vitiligo and adjacent normally pigmented skin using a solar simulator. The thickness of stratum corneum and viable epidermis was determined from frozen skin sections, and pigmentation was calculated by measuring skin reflectance at 555 nm and 660 nm. To analyse photoprotection, the UV dose necessary to evoke erythema was regressed against the thickness of stratum corneum and viable epidermis, pigmentation and the erythema grade in the MED test. By analysing regression coefficients we found that stratum corneum was the main photoprotective factor not only in vitiligo but also in normally pigmented skin. The effect of pigmentation in normal skin was slightly less prominent. Stratum corneum was thicker in vitiligo than in normally pigmented skin. However, the photoprotection due to stratum corneum was similar in both groups because significantly less photoprotection was achieved per thickness unit of stratum corneum in vitiligo than in normal skin. Neither in vitiligo nor in normally pigmented skin did the photoprotection depend on viable epidermis. Our data quantitatively document the importance of stratum corneum and pigmentation. Hyperkeratosis in vitiligo offers just as efficient photoprotection as does the normal stratum corneum in pigmented skin.

Adolescent↗

Evaluation of noise in hearing instruments caused by GSM and DECT mobile telephones.

The annoyance of noise in hearing instruments caused by electromagnetic interference from Global Systems for Mobile Communication (GSM) and Digital European Cordless Telecommunication (DECT) mobile telephones has been subjectively evaluated by test subjects. The influence on speech recognition from the GSM and DECT noises was also determined. The measurements involved 17 hearing-impaired subjects. The annoyance was tested with GSM and DECT noise, each one mixed with continuous speech, a mall environment noise, or an office environment noise. Speech recognition was tested with the DANTALE word material mixed with GSM and DECT noise. The listening test showed that if noise level is acceptable so also is speech recognition. The results agree well with an investigation carried out on normal-hearing subjects. If a hearing instrument user is to be able to use a telephone without annoyance, the input-related noise level must not exceed 47 dB SPL for GSM and 46 dB SPL for DECT.

Adult↗

Effects of systemic indomethacin on photocarcinogenesis in hairless mice.

The effect of systemic treatment with the anti-inflammatory drug indomethacin on sun-induced skin carcinogenesis was examined in lightly pigmented hairless hr/hr C3H/Tif mice. Two groups of 20 mice were exposed to simulated solar ultraviolet radiation from one Phillips TL 12 and five Bellarium-S SA-1-12 tubes for 8 min/day, 4 days/week (daily dose was 12.6 kJ/m2, equivalent to 2.1 B-MED the basic minimal erythema dose). A mean dose of 1.8 mg kg-1 24 h-1 indomethacin was supplied to one of the two groups via the drinking water. The pharmacological treatment started on the first day of the trial and continued during the entire experiment. The time to first, second, and third tumour was significantly delayed in the group treated with indomethacin (P < 0.001). The mortality rate was higher in the indomethacin-treated group than in the group receiving no pharmacological treatment (P < 0.0005). Under the present conditions, our study suggests that indomethacin may be beneficial in protection against photocarcinogenesis.

Animals↗

Near-visible-UV radiation delays UVB tumorigenesis.

The effect of UVA radiation (321-400 nm) on UVB photocarcinogenesis was examined in lightly pigmented hairless hr/hr C3H/Tif mice. Five groups of 22 mice were exposed to UVB radiation (281-320 nm) from one Philips 12 tube for 10 min per day and 4 days per week. Four of the groups were simultaneously exposed to UVA from two to six filtered Philips 09 tubes. The daily dose of UVB was 2.0 kJ m-2 in all five groups; the UVA2 (321-340 nm) dose varied from 0.7 to 4.5 kJ m-2 and the UVA1 (341-400 nm) dose from 0.3 to 45.6 kJ m-2. A sixth group was exclusively irradiated with the filtered UVA tubes and served as a control. Skin tumor development was not significantly different for the groups exposed to the UVB source alone or the UVB source in combination with the largest daily UVA dose (0.2 > p > 0.1). Skin tumor development was significantly delayed in the other groups irradiated with the UVB source and the lower doses of UVA (p < 0.001). No tumors were observed in the control group. This study suggests that UVA1 radiation delays UVB-induced skin tumor development. However, the delay cannot be expected to persist when UVA is administered in higher daily doses.

Animals↗

Hearing aid measurements with speech and noise signals.

An increasing number of hearing aid types include one or more features which are intentionally non-linear. In such devices measurement of frequency response and distortion using sweep tone measurements are typically of little relevance. Five different non-linear hearing aid types were used to evaluate three different broad-band measuring methods. The results revealed that these methods were meaningful in estimating average frequency response obtained with a specific input signal, but none of the three methods used in the study was able to evaluate separately the effects of the most important signal modifications: memoryless non-linearity like peak clipping, time-varying gain from AGC and additive internal noise.

Equipment Design↗