Arytenoid Cartilage Dislocation: A 20-year Experience

SUMMARY: Arytenoid cartilage dislocation is an infrequently diagnosed cause of vocal fold immobility. Seventy-four cases have been reported in the literature to date. Intubation is the most common origin, followed by external laryngeal trauma. Decreased volume and breathiness are the most common presenting symptoms. We report on 63 patients with arytenoid cartilage dislocation treated by the senior author (RTS) since 1983. Significantly more posterior than anterior dislocations were represented. Although reestablishing joint mobility is difficult, endoscopic reduction should be considered to align the heights of the vocal processes. This process may result in significant voice improvement even long after the dislocation. Strobovideolaryngoscopy, laryngeal electromyography, and laryngeal computed tomography (CT) imaging are helpful in the evaluation of patients with vocal fold immobility to help distinguish arytenoid cartilage dislocation from vocal fold paralysis. Familiarity with signs and symptoms of arytenoid cartilage dislocation and current treatment techniques improves the chances for optimal therapeutic results.     

Optimal control problems that test for envelope contacts

Systems are studied whose state vector x is governed by the usual set of first-order differential equations. When the extremals x(t) that originate at a fixed point inn-dimensional state-variable space are stopped at a fixed final time, the locus of their endpoints defines a hypersurface called the wavefront. The well-known adjoint vector is normal to the wavefront. The principal point of this paper is that a second wavefront normal can be constructed from the x(t) vectors that are available if the test for Jacobi conjugate points is performed. Verifying that the two normals are almost collinear shows that the errors due to computer truncation and numerical integration are negligible. This check is particularly useful when using the finite-difference approximation x(t) x ⁱ (t) – x ^j (t), where x ⁱ (t) and x ^j (t) are close but nonneighboring extremals. This approximation can simplify considerably the analysis and computation required for a conjugate-point test, particularly if the extremals have corners.     

Anomalous behavior of l = 0 transitions in Mo(d,p) and Mo(d,t) reactions

The states of ⁹⁹Mo dominantly populated by l = 0 transitions in ⁹⁸Mo(d,p) and in ¹⁰⁰Mo(d,t) are not the same. The ratio S(d,t)/S(d,p) for these states differs by a factor of 21 which is an order of magnitude larger than in any other known case. This represents a breakdown of the quasi-particle model.     

Anion separation by selective crystallization of metal-organic frameworks

A novel approach for the separation of anions from aqueous mixtures was demonstrated, which involves their selective crystallization with metal-organic frameworks (MOFs) containing urea functional groups. Self-assembly of Zn2+ with the N,N'-bis(m-pyridyl)urea (BPU) linker results in the formation of one-dimensional MOFs including various anions for charge balance, which interact to different extents with the zinc nodes and the urea hydrogen-bonding groups, depending on their coordinating abilities. Thus, Cl-, Br-, I-, and SO4(2-), in the presence of BPU and Zn2+, form MOFs from water, in which the anions coordinate the zinc and are hydrogen-bonded to the urea groups, whereas NO3- and ClO4- anions either do not form MOFs or form water-soluble discrete coordination complexes under the same conditions. X-ray diffraction, FTIR, and elemental analysis of the coordination polymers precipitated from aqueous mixtures containing equivalent amounts of these anions indicated total exclusion of the oxoanions and selective crystallization of the halides in the form of solid solutions with the general composition ZnCl(x)Br(y)I(z).BPU (x + y + z = 2), with an anti-Hofmeister selectivity. The concomitant inclusion of the halides in the same structural frameworks facilitates the rationalization of the observed selectivity on the basis of the diminishing interactions with the zinc and urea acidic centers in the MOFs when going from Cl- to I-, which correlates with decreasing anionic charge density in the same order. The overall crystal packing efficiency of the coordination frameworks, which ultimately determines their solubility, also plays an important role in the anion crystallization selectivity under thermodynamic equilibration.     

Raman, FTIR, photoacoustic-infrared, and inelastic neutron scattering spectra of ternary metal hydride salts A2MH5, (A = Ca, Sr, Eu; M = Ir, Rh) and their deuterides

The vibrational spectra of the ternary metal hydride (deuteride) salts, A(2)MH(5) and A(2)MD(5), where A = calcium, strontium and europium and M = iridium(I) and rhodium(I), have been assigned using Raman, Fourier transform infrared, photoacoustic infrared, and inelastic neutron scattering spectroscopies and density functional theory (DFT) calculations. The wavenumbers of the infrared-active stretching vibrations depend upon the ionization energies of the central metal atom and the cation. The phase transition in calcium pentahydridoiridate(I) was studied as a function of temperature and pressure.     

T3P-promoted synthesis of a series of novel 3-aryl-2-phenyl-2,3-dihydro-4H-1,3-benzothiazin-4-ones

A series of 11 novel 3-aryl-2-phenyl-2,3-dihydro-4H-1,3-benzothiazin-4-ones was prepared at room temperature by T3P-mediated cyclization of N-aryl-C-phenyl imines with thiosalicylic acid. This provides simple and ready access to N-aryl compounds in this family, which have been generally difficult to prepare.     

New amino-functionalized 1,3-alternate calix[4]arene bis- and mono-(benzo-crown-6 ethers) for pH-switched cesium nitrate extraction

Four calix[4]arene benzo-crown-6 ethers functionalized with primary amine groups in various positions have been synthesized. The cesium extraction behavior under alkaline and acidic conditions has been measured for these compounds and compared with that of non-amine containing analogs. Extraction strength when the amine group is neutral is not affected by the amino substituent, but protonation causes a marked decrease in extraction strength, permitting pH-switched back-extraction.