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After cochlear implantation, auditory and speech training is usually necessary. Up until now, this has been performed on an out- or inpatient basis in direct contact with atherapist. Due to technical advances but also particularly because of an increasing use of digital media and adesire for mobility and independence, the demand for digital training programs is increasing in the field of hearing rehabilitation.

In a first step, the most important elements of auditory training were determined on the basis of commonly used auditory and speech processing models, and the core features of a computer-based teletherapeutic hearing platform were defined. This process considered motivational elements and adaptive mechanisms as regularly used in educational and speech and language therapy. In a second step, an initial prototype of the "train2hear" teletherapeutic hearing platform was developed by an interdisciplinary research team.

The core of the train2hear platform is an initial analysis according to the International Classification of Functioning, Disability, and Health (ICF), on the basis of which an individual training plan is designed. Various adaptive mechanisms enable the level of difficulty to be continually adapted to the individual user's learning progress. Avideoconference tool enables contact between the patient and the therapist.

The train2hear platform represents afirst prototype of acomputer-based auditory rehabilitation program in German. Further evaluation and development in aclinical study are needed to determine the feasibility and efficacy of the platform.

The train2hear platform represents a first prototype of a computer-based auditory rehabilitation program in German. Further evaluation and development in a clinical study are needed to determine the feasibility and efficacy of the platform.

To build a detection algorithm of non-accidental pediatric burns (NAB) using hospital resumes from the French Hospital Discharge Database (HDD) and to describe cases with no judicial or administrative report.

Children aged 0-16years old hospitalized at the University Hospital of Tours from 2012 to 2017 with a coded burn were included. "Probable" or "possible" HDD cases of NAB were defined based on the International Classification of Diseases 10th version codes during the inclusion stay or the previous year. A chart review was performed on all the HDD cases and HDD non cases matched on sex and age with a 12 ratio. Performance parameters were estimated for three clinical definitions of child maltreatment excluding neglect, including neglect in a restrictive definition, and in a broad definition. For clinical cases, report to the judicial or administrative authorities was searched.

Among the 253 included children, 83 "probable" cases and 153 non-cases were analyzed. Sensitivity varied from 48 (

CI [36-60], excluding neglect) to 90% [55-100] and specificity from 70 [63;77] to 68% [61;74]. The proportion of clinical cases with no report without justification varied from 0 (excluding neglect) to > 85% (with the broadest definition); all corresponded to possible isolated neglect.

The performances of the algorithm varied tremendously according to the clinical definition of child maltreatment. Neglect is obviously complex and tough to clinically detect. Training for healthcare professionals and qualitative studies on obstacles to report should be added to this work.

The performances of the algorithm varied tremendously according to the clinical definition of child maltreatment. Neglect is obviously complex and tough to clinically detect. Training for healthcare professionals and qualitative studies on obstacles to report should be added to this work.Polychlorinated biphenyls (PCBs) are chemicals that have become ubiquitous environmental pollutants due to their past use, persistence, and long-range transport thus requiring continuous monitoring. Therefore, this research was carried out to investigate spatial and temporal trends of seven indicator PCBs and two others (PCB 105 and PCB 156) in the Nairobi River. Levels of PCBs ranged from below detection limit (bdl) to 157.64 ± 1.52 ng g-1 and bdl to 718.78 ± 1.71 ng L-1 for sediment and water, respectively. PCBs 28, 138, and 153 were the most dominant contributing 33.4%, 17.9%, and 14.5% to the total PCBs in sediments and 54.6%, 19.3%, and 14.1% to the total PCBs in water. There was a general increase in ΣPCBs from 18.89 to 151.18 ng g-1 for sediments and 275.52 to 429.84 ng L-1 for water as the River flowed downstream. The dry season recorded the highest ΣPCB in sediments while the rainy season recorded the highest ΣPCBs in water, with levels exceeding the WHO water quality guidelines. Risk assessment revealed that populations living downstream are exposed to high levels of PCBs through the consumption of water. Levels of ΣPCBs downstream also exceeded the sediment quality guidelines meaning that aquatic organisms are threatened.

Telomere stability is one of the hallmarks of cancer that promotes cellular longevity, the accumulation of genetic alterations, and tumorigenesis. The loss of death domain-associated protein (DAXX) and α-thalassemia/mental retardation X-linked protein (ATRX) plays a role in telomere lengthening and stability. This study aims to evaluate the prognostic significance of telomere length (TL) and its association with DAXX and ATRX proteins in breast cancer (BC). Our study used the FISH technique to detect peptide nucleic acid (PNA) in the peripheral blood cells of a cohort of BC patients (n = 220) and a control group of apparently healthy individuals (n = 100). Expression of DAXX and ATRX proteins was evaluated using immunohistochemistry (IHC) in all BC tissues.

Patients with a shorter TL had worse disease-free survival (DFS) and overall survival (OS). There were significant associations between shorter TL and advanced disease stages, lymph node metastasis, and positive HER2/neu expression. DAXX protein expression was significantly correlated with TL. Lower DAXX expression was significantly with shorter DFS.

Assessing TL can be used as a worthy prognostic indicator in BC patients. Specifically, short TL had a poor impact on the prognosis of BC patients. Low DAXX expression is associated with poor outcomes in BC. Selleckchem Hydroxyfasudil Further mechanistic studies are warranted to reveal the underlying mechanisms of these associations.

Assessing TL can be used as a worthy prognostic indicator in BC patients. Specifically, short TL had a poor impact on the prognosis of BC patients. Low DAXX expression is associated with poor outcomes in BC. Further mechanistic studies are warranted to reveal the underlying mechanisms of these associations.