The Relationship Between VHI Scores and Specific Acoustic Measures of Mildly Disordered Voice Production

This study was designed to examine the relationship between the Voice Handicap Index (VHI) and acoustic measures of voice samples common in clinical practice. Fifty participants, 38 women and 12 men, ranging in age from 19 to 80 years, with a mean age of 49 years, served as participants. Of these 50 participants, 17 participants could be included in the acoustic analysis of voice based on measures of error calculated with the TF32 software. All participants completed the VHI and provided voice samples including three trials of the sustained vowel /A/ at a comfortable loudness level as well as a connected speech sample consisting of the Zoo Passage. Acoustic measures were made with TF32 and Cool Edit software and included fundamental frequency, jitter %, shimmer %, signal-to-noise ratio, mean root-mean-square intensity, fundamental frequency standard deviation, aphonic periods, and breath groups. Results indicate that these measures were not predictive of overall VHI score, and no cohesive or predictable pattern was identified when comparing individual measures with overall VHI or with each subscale item. Likely contributions to this lack of correlation and subsequent clinical implications are discussed, as well as the direction for further research.     

Pediatric Laryngotracheal Stenosis and Airway Reconstruction: A Review of Voice Outcomes, Assessment, and Treatment Issues

Laryngotracheal stenosis is defined as a congenital or acquired narrowing of the airway. Congenital causes may include subglottic membranous or cartilaginous narrowing. Acquired causes may include trauma due to prolonged endotracheal or tracheal intubation or laryngotracheal injury. Although advances have been made over the past 30 years in reconstructive surgeries to improve airway patency in these patients, long-term laryngeal function for voice production is not well defined in this population. This review examines causes, symptoms and signs, and methods for diagnosing laryngotracheal stenosis. Surgical management procedures are briefly summarized. The current literature on voice outcomes is summarized. The predominant voice characteristics in the population are presented, although results are challenged by the heterogeneity of voice presentation and paucity of data from instrumental measures. Considerations for subjective and instrumental assessment, measures of quality of life, instrumental methods, and treatment options specific to the needs of this population are discussed. Research strategies to identify long-term outcomes of surgical and behavioral treatments in this population are posed.     

Organization of matter into one-dimensional units on designed media

The organization of magnetic materials into one-dimensional micro- and nanowires on designed media is discussed, exemplified by two experiments on the microscale and nanoscale, with regard to particles as basic building blocks for the growth and development of matter.     

Reduced field-of-view DTI segmentation of cervical spine tissue

The number of diffusion tensor imaging (DTI) studies regarding the human spine has considerably increased and it is challenging because of the spine’s small size and artifacts associated with the most commonly used clinical imaging method. A novel segmentation method based on the reduced field-of-view (rFOV) DTI dataset is presented in cervical spinal canal cerebrospinal fluid, spinal cord grey matter and white matter classification in both healthy volunteers and patients with neuromyelitis optica (NMO) and multiple sclerosis (MS). Due to each channel based on high resolution rFOV DTI images providing complementary information on spinal tissue segmentation, we want to choose a different contribution map from multiple channel images. Via principal component analysis (PCA) and a hybrid diffusion filter with a continuous switch applied on fourteen channel features, eigen maps can be obtained and used for tissue segmentation based on the Bayesian discrimination method. Relative to segmentation by a pair of expert readers, all of the automated segmentation results in the experiment fall in the good segmentation area and performed well, giving an average segmentation accuracy of about 0.852 for cervical spinal cord grey matter in terms of volume overlap. Furthermore, this has important applications in defining more accurate human spinal cord tissue maps when fusing structural data with diffusion data. rFOV DTI and the proposed automatic segmentation outperform traditional manual segmentation methods in classifying MR cervical spinal images and might be potentially helpful for detecting cervical spine diseases in NMO and MS.     

Simulation of front motion in a reacting condensed two phase mixture

The computational technique is developed in order to provide the scale capturing for numerical simulation of the thermal processes. The thermal front motion and gas flow dynamics as well as the rate of particle growth during the Carbon Combustion Synthesis of Oxides (CCSO) were predicted using the numerical simulation. In CCSO the exothermic oxidation of carbon nanoparticles generates a self-sustained thermal reaction front that propagates through the solid reactant mixture converting it to the desired complex oxides. The combusted carbon is emitted from the sample as carbon dioxide and its high rate of release increases the product porosity and friability. It was shown that the complicated finger front instability can be developed during the carbon combustion synthesis. This phenomenon results from a vortex gas flow in the reaction zone fed by the carbon dioxide co-flow and oxygen counter-flow filtration.     

Salt-induced swelling-to-shrinking transition in polyelectrolyte multilayer capsules

We study the size of polyelectrolyte multilayer capsules as a function of ionic strength, temperature, and time. A dynamic micromechanical model is developed which successfully describes the experiments. The model includes the polymer-solvent surface tension, an electrostatic force which is strongly ionic strength dependent, and a temperature-dependent mobility parameter. The activation of >50 kT suggests that multiple ion pairs must be broken simultaneously in the process of chain rearrangement. In support of our physical model capsules can repeatedly swell and shrink by varying ionic strength.     

Up a gear? The significance of an elevated mutation rate in tumorigenesis

Mutations involved in many cancers have been identified, but with some cancers requiring six or more mutations to take on their fully metastatic forms, the question remains whether all of these mutations can be acquired via a process of successive mutation, at a normal rate, and clonal expansion or whether heightened mutation rates are required. This issue has been debated for decades. Recently there has been much interest in forms of genomic instability such as chromosomal instability and microsatellite instability. It remains to definitively show whether or not these instabilities are very early causal events in tumorigenesis. This article reviews the evidence for and against genomic instability being an early causal event in tumorigenesis and surveys the mathematical modelling literature in this area. The focus is on chromosomal instability and microsatellite instability in colorectal cancer.     

Shapes of semiflexible polymer rings

The shape of semiflexible polymer rings is studied over their whole range of flexibility. Investigating the joint distribution of asphericity and the nature of asphericity as well as their respective averages, we find two distinct shape regimes depending on the flexibility of the polymer. For a small perimeter to persistence length the fluctuating rings exhibit only planar, elliptical configurations. At higher flexibilities three-dimensional, crumpled structures arise. Analytic calculations confirm the qualitative behavior of the averaged shape parameters and the elliptical shape in the stiff regime.     

Equipartition of rotational and translational energy in a dense granular gas

Experiments quantifying the rotational and translational motion of particles in a dense, driven, 2D granular gas floating on an air table reveal that kinetic energy is divided equally between the two translational and one rotational degrees of freedom. This equipartition persists when the particle properties, confining pressure, packing density, or spatial ordering are changed. While the translational velocity distributions are the same for both large and small particles, the angular velocity distributions scale with the particle radius. The probability distributions of all particle velocities have approximately exponential tails. Additionally, we find that the system can be described with a granular Boyle's law with a van?der?Waals-like equation of state. These results demonstrate ways in which conventional statistical mechanics can unexpectedly apply to nonequilibrium systems.