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In 78 (95.1%) patients, the array could be located in the scala tympani. In four cases, the position of the electrode was changed intracochlearly from the scala tympani to the scala vestibuli. In three additional cases, the scala vestibuli was inserted intentionally because the tympanic scale was found to be obstructed intraoperatively due to ossification. There were no significant differences between the intraoperative positioning and postoperative localization of the electrode arrays of the two manufacturers.

Within the course of rehabilitation management the Verwaltungs-Berufsgenossenschaft (VBG) has started to measure the outcomes to assure the quality of rehabilitation processes using assessment instruments. The measures included some aspects of activity and participation in accordance with the International Classification of Functioning, Disability and Health (ICF). The present paper describes the generic and condition-specific instruments used in the this study to assess the health-related quality-of-life, discusses their selection and illustrates their incorporation into management practice. The assessment process constitutes a consistent system to prove the effects of rehabilitation and their persistence. The first experience shows that the assessment-based quality management system can be recommended for permanent modelling of structures, processes and outcomes to improve the efficacy and cost-effectiveness of rehabilitation.

Electrodischarge machining (EDM) is a widely used process in the manufacturing of mould cavities for plastic products. EDM work typically accounts for a large portion of overall production time. A major cost and time element of EDM is electrode production, which can account for more than 50% of the total machining costs. A large complex electrode profile, which is very difficult to produce through machining and is also time consuming, can be easily produced using the rapid prototyping (RP) technique. The direct laser sintering of metal powders is a widely established RP process that can be employed for the rapid production of EDM electrodes.In this study, the above-mentioned technique has been employed. The powder mixture used in this process consists of copper, tin, nickel and phosphorus. An infra-red (IR) 200 W CO 2 laser is used to sinter the powdered metals layer-by-layer in order to form solid electrodes. Electroless copper and copper plating are then employed to improve the surface finishing and the conductivity of the sintered electrode as it deposits a uniform thickness of metal onto the substrate by chemical reaction, without building up at the edges and corners, and achieves unique physical characteristics. The performance of the newly developed electrode is very similar to that of conventional copper electrodes. It is found that integration of RP and electroless plating techniques can be a potential means of the rapid production of EDM electrodes at low cost.

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