Synthesis of 4-Pyridone-3-sulfate and an improved synthesis of 3-Hydroxy-4-Pyridone

An improved synthesis of 3-hydroxy-4-pyridone via an Elbs oxidation of 4-pyridone and isolation of 4-pyridone-3-sulfate is described.     

Channel‐forming solvates of 6‐chloro‐2,5‐dihydroxypyridine and its solvent‐free tautomer 6‐chloro‐5‐hydroxy‐2‐pyridone

On crystallization from CHCl₃, CCl₄, CH₂ClCH₂Cl and CHCl₂CHCl₂, 6‐chloro‐5‐hydroxy‐2‐pyridone, C₅H₄ClNO₂, (I), undergoes a tautomeric rearrangement to 6‐chloro‐2,5‐dihydroxypyridine, (II). The resulting crystals, viz. 6‐chloro‐2,5‐dihydroxypyridine chloroform 0.125‐solvate, C₅H₄ClNO₂·0.125CHCl₃, (IIa), 6‐chloro‐2,5‐dihydroxypyridine carbon tetrachloride 0.125‐solvate, C₅H₄ClNO₂.·0.125CCl₄, (IIb), 6‐chloro‐2,5‐dihydroxypyridine 1,2‐dichloroethane solvate, C₅H₄ClNO₂·C₂H₄Cl₂, (IIc), and 6‐chloro‐2,5‐dihydroxypyridine 1,1,2,2‐tetrachloroethane solvate, C₅H₄ClNO₂·C₂H₂Cl₄, (IId), have I4₁/a symmetry, and incorporate extensively disordered solvent in channels that run the length of the c axis. Upon gentle heating to 378 K in vacuo, these crystals sublime to form solvent‐free crystals with P2₁/n symmetry that are exclusively the pyridone tautomer, (I). In these sublimed pyridone crystals, inversion‐related molecules form R²₂(8) dimers via pairs of N—H...O hydrogen bonds. The dimers are linked by O—H...O hydrogen bonds into R⁴₆(28) motifs, which join to form pleated sheets that stack along the a axis. In the channel‐containing pyridine solvate crystals, viz. (IIa)–(IId), two independent host molecules form an R²₂(8) dimer via a pair of O—H...N hydrogen bonds. One molecule is further linked by O—H...O hydrogen bonds to two 4₁ screw‐related equivalents to form a helical motif parallel to the c axis. The other independent molecule is O—H...O hydrogen bonded to two related equivalents to form tetrameric R⁴₄(28) rings. The dimers are π–π stacked with inversion‐related dimers, which in turn stack the R⁴₄(28) rings along c to form continuous solvent‐accessible channels. CHCl₃, CCl₄, CH₂ClCH₂Cl and CHCl₂CHCl₂ solvent molecules are able to occupy these channels but are disordered by virtue of the site symmetry within the channels.     

Common Practices of Voice Therapists in the Evaluation of Patients

This study surveys voice therapists regarding common diagnostic practices in patients referred for therapy with the diagnosis of muscle tension dysphonia (broadly defined as the "hyperfunctional" component of the dysphonia). Through postings on the e-mail list of the ASHA special interest division on voice, speech pathologists with at least 3 years' experience in stroboscopy and acoustic instrumentation were invited to complete the survey. Results from 53 completed surveys demonstrated that voice quality and patient self-perception are the sole assessments performed by all therapists. Voice quality, observation of body posture and movement, and probing the patient's ability to alter voice production are each significantly more likely to be performed than the more objective stroboscopic, acoustic, aerodynamic, and EGG assessments. Further, the tasks of defining specific therapy session goals and helping the patient to achieve a particular target skill are considered best served by measures of vocal quality, observation of body position and movement, and judging the patient's ability to alter voice production. For definition of the overall therapy goal, stroboscopy and patient perception scales are added to all of the subjective assessment measures as being important. Acoustic data are considered most important for patient reinforcement and outcomes assessment. Implications of these findings are discussed, and topics for further exploration are identified.     

Anterior-Posterior and medial compression of the supraglottis: signs of nonorganic dysphoniaor normal postures?

Summary: Two vocal tract postures commonly identified as hallmarks of nonorganic dysphonia are anterior–posterior and medial compression of the supraglottis. However, insufficient data exist to support their diagnostic utility. The purpose of this study was to compare these two postures in patients with nonorganic dysphonia and normal controls using interval data derived from quantitative measures of videostroboscopic images obtained with an oral endoscope. Retrospectively, 40 patients with nonorganic dysphonia and 40 normal controls were selected. Relative anterior–posterior compression (LO_AP) was calculated as the laryngeal outlet (LO) (the view of the true vocal folds during phonation) normalized to the anterior–posterior dimension in pixels. Relative ventricular fold medial compression (LO_W) was calculated as the laryngeal outlet normalized to the medial dimension in pixels. Results were as follows: (1) LO_AP was significantly greater for the dysphonic group, (2) the range of LO_AP values between the two groups overlapped considerably, (3) no significant difference was found between groups for LO_w, (4) the correlation between LO_AP and LO_W within each subject yielded r values of 0.71 and 0.67 for the nonorganic dysphonia and normal control groups, respectively. It is concluded that medial compression of the ventricular folds can be a normal laryngeal posture, and that although anterior–posterior compression is present in greater degree in dysphonics, it is sufficiently common in normals to question its utility as a diagnostic sign of phonatory dysfunction.