Three year experience with the cochlear BAHA attract implant: a systematic review of the literature

Background Bone conduction devices are widely used and indicated in cases of conductive, mixed or single sided deafness where conventional hearing aids are not indicated or tolerated. Percutaneous bone-conduction devices gave satisfactory hearing outcomes but were frequently complicated by soft tissue reactions. Transcutaneous bone conduction devices were developed in order to address some of the issues related to the skin-penetrating abutment. The aim of this article is to present a systematic review of the indications, surgical technique and audiological, clinical and functional outcomes of the BAHA Attract device reported so far. Methods A systematic computer-based literature search was performed on the PubMed database as well as Scopus, Cochrane and Google Scholar. Out of 497 articles, 10 studies and 89 reported cases were finally included in our review. Results The vast majority of implanted patients were satisfied with the aesthetics of the device scoring highly at the Abbreviated Profile of Hearing Aid Benefit, Glasgow Benefit Inventory and Client Oriented Scale of Improvement. Overall, hearing outcomes, tested by various means including speech in noise, free field hearing testing and word discrimination scores showed a significant improvement. Complications included seroma or haematoma formation, numbness around the area of the flap, swelling and detachment of the sound processor from the external magnet. Conclusions The functional and audiological results presented so far in the literature have been satisfactory and the complication rate is low compared to the skin penetrating Bone Conduction Devices. Further robust trials will be needed to study the long-term outcomes and any adverse effects

Molecular identification of fungi associated with advanced decomposition at a human taphonomy facility in Canada

Abstract Forensic taphonomy investigates the postmortem processes of human remains, focusing on the environmental factors that influence decomposition. Recent studies have highlighted the potential forensic relevance of fungi in this context, but the knowledge base remains limited. This study explored fungal communities associated with outdoor human decomposition at the REST[ES] facility in Quebec. Nested PCR amplification and Illumina MiSeq sequencing were used to identify fungal species on discolored patches of twelve samples of desiccated soft tissues from three donors. Twelve fungal species were putatively identified, some of which were previously unknown on human remains, including Leucosporidium yakuticum, Tausania pullulans, and Fusicolla species. These fungi may contribute to tissue discoloration and following longitudinal investigation, could serve as biomarkers for forensic reconstructions, including place and time of death. This study emphasizes the need for further research into the role of fungi in human decomposition processes and their applications in forensic science

Carte de la Guadeloupe et dépendances / par A. Devèze ; Gravé par L. Wuhrer

Échelle(s) : [1:122 000 environ]Appartient à l’ensemble documentaire : FranceAmAppartient à l’ensemble documentaire : Caraïbes1Appartient à l’ensemble documentaire : Guadeloup

Carte de la Guadeloupe et dépendances / par A. Devèze ; Gravé par L. Wuhrer

Échelle(s) : [1:122 000 environ]Appartient à l’ensemble documentaire : FranceAmAppartient à l’ensemble documentaire : Caraïbes1Appartient à l’ensemble documentaire : Guadeloup