Unilateral Versus Bilateral Injections of Botulinum Toxin in Patients with Adductor Spasmodic Dysphonia

Both unilateral and bilateral thyroarytenoid muscle injections of Botox provide effective management of voice symptoms in patients with adductor spasmodic dysphonia; however, the preferred injection technique has not been established. In this study, 16 patients were treated with unilateral injections (72 injections total) and 33 patients were managed with bilateral injections (133 injections total). Individual assignments to injection type were based on treatment previously received and dose was adjusted according to the patient's previous treatment response. An optimal treatment included a benefit lasting 3 months or more with side effects lasting 2 weeks or less. Compared to patients receiving bilateral injections, those receiving unilateral injections more frequently noted a benefit of 3 months or more (p = 0.03), side effects of 2 weeks or less duration (p = 0.03), as well as both a 3-month benefit and a 2-week or less side effect (p = 0.0004). Injection type had no effect on optimal Botox dosing with repeat injections. Successive unilateral injections at the same dose were more likely (p = 0.012) than successive bilateral injections to produce the same or longer duration of benefit. We conclude that a unilateral injection routine has a more optimal and consistent treatment effect/side effect profile.     

The Relationship Between Cepstral Peak Prominence and Selected Parameters of Dysphonia

Traditional measures of dysphonia vary in their reliability and in their correlations with perceptions of grade. Measurements of cepstral peak prominence (CPP) have been shown to correlate well with perceptions of breathiness. Because it is a measure of periodicity, CPP should also predict roughness. The ability of CPP and other acoustic measures to predict overall dysphonia and the subcategories of breathiness and roughness in pathological voice samples is explored. Preoperative and postoperative speech samples from 19 patients with unilateral recurrent laryngeal nerve paralysis who underwent operative intervention were analyzed by trained listeners and by measures of smoothed CPP (CPPS), noise-to-harmonic ratio (NHR), amplitude perturbation quotient (APQ), relative average perturbation (RAP), and smoothed pitch perturbation quotient (sPPQ). The data were analyzed with bivariate Pearson correlation statistics. Grade of dysphonia and breathiness ratings correlated better with measurements of CPPS than with the other measures. CPPS from samples of connected speech (CPPS-s) best predicted overall dysphonia. None of the measures were useful in predicting roughness.     

Laryngeal and Other Otolaryngologic Manifestations of Crohn''s Disease

Laryngeal and other otolaryngologic manifestations of Crohn's disease are uncommon and may be subtle. Crohn's disease is a well-known inflammatory bowel disease of unknown etiology marked by relapsing and remitting granulomatous inflammation of the alimentary tract. Extraintestinal manifestations of Crohn's disease may appear anytime during the course of the disease process and may be the initial symptom. Findings are nonspecific, primarily edema and ulcerations, and may be confused with a multitude of other disease processes. Awareness of these manifestations in the head and neck will prevent misdiagnosis or a delay in diagnosis.     

Measurement of isomeric yield ratios for 93Nb(??,4n)89m,gNb and natMo(??,xn1p)95m,gNb reactions with 50-, 60-, and 70-MeV bremsstrahlung

We measured the isomeric yield ratios for the photonuclear reactions of ⁹³Nb(??,4n)^89m,gNb and ^natMo(??,xnp)^95m,gNb by using the activation method. The high-purity ⁹³Nb and ^natMo metallic foils in disc shape were irradiated with uncollimated bremsstrahlung beams of 50-, 60-, and 70-MeV generated from an electron linear accelerator in Pohang Accelerator Laboratory. The induced activities in the irradiated foils were measured by the high-resolution ??-ray spectrometry with a calibrated high-purity Germanium (HPGe) detector coupled to a PC-based 4?K multichannel analyzer. The reaction ⁹³Nb(??,4n)^89m,gNb was studied for the first time which has no comparable literature data. The result of ^95m,gNb isomeric pair was measured based on (??,p), (??,np), and (??,2np) reactions which is the first measurement at the intermediate energy region of 50?C70-MeV with a ^natMo target.     

EFFECT OF COMPOSITION AND PROCESSING CONDITION ON MICROSTRUCTURAL PROPERTIES AND DURABILITY OF FLUOROPOLYMER/ACRYLIC BLENDS

Fluoropolymer blends have been widely used as binders for exterior coatings because of their excellent resistance to ultra-violet (UV) radiation as well as to many corrosive chemical agents.It is known that the fluorinated component usually has a lower glass transition temperature and easily crystallizes in the final structure depending upon the blend composition and sample annealing condition.We investigated the effect of blend composition and annealing process (slow and fast cooling) on the surface mor...     

Synthesis and optical properties of poly[4-methacryloxy-(4′-carboxy)-azobenzene]

Abstract

In the present work, the homopolymer built from the free radical polymerization of methacrylic monomer incorporating an azobenzene side-group has been synthesized and structurally characterized. The optical properties such as refractive index, extinction coefficient, absorption coefficient and optical energy band gap of poly[4-methacryloxy-(4′-carboxy)-azobenzene] thin film prepared by high vacuum sublimation method were determined using spectroscopic ellipsometry combined with transmittance measurements.

We found that in the spectrum of extinction coefficient there are absorption bands, which are assigned as the n-π* and π-π* electronic transitions of the azo compound.     

Module categories with infinite radical square zero are of finite type

It is well known that an artin algebra A is of finite representation type if and only if red(modA)=0. In this note we deepen this result by showing that(rad(modA))²=0 implies that A is of finite representation type.     

A tandem synthesis of 3-aroylcoumarinoflavones catalyzed by <Emphasis Type="SmallCaps">l</Emphasis>-proline and their antioxidant activity

A facile, convenient, efficient and high-yielding synthesis of 3-aroylcoumarinoflavones has been developed by the condensation of easily synthesized 7-hydroxy-8-formylflavones and benzoyl acetonitriles in the presence of catalytic amount of l-proline in ethanol reflux. All the synthesized compounds were evaluated for their antioxidant activity. Some of the compounds showed very good activity compared to standard BHT.     

Coefficient estimates of negative powers and inverse coefficients for certain starlike functions

For ?1≤B<A≤1, let \(\mathcal {S}^{*}(A,B)\) denote the class of normalized analytic functions \(f(z)= z+{\sum }_{n=2}^{\infty }a_{n} z^{n}\) in |z|<1 which satisfy the subordination relation z f ^′(z)/f(z)?(1 + A z)/(1 + B z) and Σ^?(A,B) be the corresponding class of meromorphic functions in |z|>1. For \(f\in \mathcal {S}^{*}(A,B)\) and λ>0, we shall estimate the absolute value of the Taylor coefficients a _n (?λ,f) of the analytic function (f(z)/z)^?λ . Using this we shall determine the coefficient estimate for inverses of functions in the classes \(\mathcal {S}^{*}(A,B)\) and Σ^?(A,B).