Combined-modality treatment of adductor spasmodic dysphonia with botulinum toxin and voice therapy

A combined-modality treatment program consisting of botulinum toxin injection (Botox) and voice therapy was used to treat 17 subjects diagnosed with adductor spasmodic dysphonia (ADD SD). Ten subjects with ADD SD served as the control and were given Botox only. Voice therapy after Botox injection was directed toward reducing the hyperfunctional vocal behaviors, primarily glottal overpressure at voice onset and anterior-posterior squeezing. The results indicated that subjects who underwent combined-modality treatment maintained significantly higher mean airflow rates for significantly longer periods. Moreover, there was a carryover effect in these patients when they received Botox only. Adductor spasmodic dysphonia is treated most effectively when intrinsic laryngeal muscle spasms are reduced or eliminated by Botox injection and extrinsic hyperfunctional vocal behaviors are treated with voice therapy     

Synthesis and biomimetic rearrangement of a chiral diterpene dioxide

As pan of a biomimetic approach towards me marine triterpene teurilene (2), the synthesis of the chiral diepoxide 3 is described. Aiming at the synthesis of the squalene tetraepoxide 1, double Sharpless epoxidation led to the intermediate bisglycidic alcohol 7 being subject to a stereochemical analysis.     

Groupwise density and the cofinality of the infinite symmetric group

We study the relationship between the cofinality of the infinite symmetric group and the cardinal invariants and . In particular, we prove the following two results. Theorem 0.1 It is consistent with ZFC that there exists a simple $P_{\omega_{1}}$ -point and that $c(Sym(\omega)) = \omega_{2} = 2^{\omega}$ . Theorem 0.2 If there exist both a simple $P_{\omega_{1}}$ -point and a $P_{\omega_{2}}$ -point, then $c(Sym(\omega)) = \omega_{1}$ . Received: 7 March 1996     

A convection/reaction/switching system

We consider a spatially distributed hybrid system consisting of a convection/reaction system in which the reaction switches discontinuously in time between modes, independently at each spatial point on reaching “switching thresholds”. The model involves a novel formulation for evolution of the free boundary between the modal regions.     

Cell transfer and monomial positivity

We give combinatorial proofs that certain families of differences of products of Schur functions are monomial-positive. We show in addition that such monomial-positivity is to be expected of a large class of generating functions with combinatorial definitions similar to Schur functions. These generating functions are defined on posets with labelled Hasse diagrams and include for example generating functions of Stanley's (P,ω)-partitions. T.L. was supported in part by NSF DMS-0600677.