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.     

The Interaction of Shocks with Dispersive Waves II. Incompressible-Integrable Limit

This is the second in a two-part series of articles in which we analyze a system similar in structure to the well-known Zakharov equations from weak plasma turbulence theory, but with a nonlinear conservation equation allowing finite time shock formation. In this article we analyze the incompressible limit in which the shock speed is large compared to the underlying group velocity of the dispersive wave (a situation typically encountered in applications). After presenting some exact solutions of the full system, a multiscale perturbation method is used to resolve several basic wave interactions. The analysis breaks down into two categories: the nonlinear limit and the linear limit, corresponding to the form of the equations when the group velocity to shock speed ratio, denoted by ε, is zero. The former case is an integrable limit in which the model reduces to the cubic nonlinear Schrödinger equation governing the dispersive wave envelope. We focus on the interaction of a “fast” shock wave and a single hump soliton. In the latter case, the ε=0 problem reduces to the linear Schrödinger equation, and the focus is on a fast shock interacting with a dispersive wave whose amplitude is cusped and exponentially decaying. To motivate the time scales and structure of the shock-dispersive wave interactions at lowest orders, we first analyze a simpler system of ordinary differential equations structurally similar to the original system. Then we return to the fully coupled partial differential equations and develop a multiscale asymptotic method to derive the effective leading-order shock equations and the leading-order modulation equations governing the phase and amplitude of the dispersive wave envelope. The leading-order interaction equations admit a fairly complete analysis based on characteristic methods. Conditions are derived in which: (a) the shock passes through the soliton, (b) the shock is completely blocked by the soliton, or (c) the shock reverses direction. In the linear limit, a phenomenon is described in which the dispersive wave induces the formation of a second, transient shock front in the rapidly moving hyperbolic wave. In all cases, we can characterize the long-time dynamics of the shock. The influence of the shock on the dispersive wave is manifested, to leading order, in the generalized frequency of the dispersive wave: the fast-time part of the frequency is the shock wave itself. Hence, the frequency undergoes a sudden jump across the shock layer.In the last section, a sequence of numerical experiments depicting some of the interesting interactions predicted by the analysis is performed on the leading-order shock equations.     

Die Bestimmung von Methylpropan

Ohne Zusammenfassung     

A new polymorph of tetraphenyldiboroxane

A new polymorph of tetraphenyldiboroxane [or oxybis(diphenylborane)], C₂₄H₂₀B₂O, (Ia), has been found. It is monoclinic, like the already known form, (Ib), and can be refined in the same space group, namely P2₁/c, or in the equivalent setting P2₁/n. The molecular conformations of the two polymorphs differ in the rotations of two of the phenyl rings about the B—C bonds, leading to markedly different packing patterns and cell dimensions.     

Probing the use of small‐angle light scattering for characterizing structure of titanium dioxide/low‐density polyethylene nanocomposites

Small‐angle light scattering (SALS) measurements were used to study the structure of titanium dioxide (TiO₂)/low‐density polyethylene (LDPE) nanocomposites. The results showed that the scattering from LDPE crystalline structures and the scattering from TiO₂ nanoparticles can be resolved and separated. It is shown that the independent effects of crystallization conditions and the presence of nanoparticle aggregates on the spherulitic structure of the LDPE matrix can be determined by analyzing the scattering patterns using the methods proposed. From the SALS results, we conclude that the nanoparticle surface chemistry affects both nucleation of spherulites and their structure particularly under rapid cooling conditions. © 2006 Wiley Periodicals, Inc. J Polym Sci Part B: Polym Phys 44: 1084–1095, 2006     

Recent trends and open issues in reverse engineering

This paper discusses recent trends in the field of reverse engineering, particularly those highlighted at the Second Working Conference on Reverse Engineering, held in July 1995. The trends observed include increased orientation toward tasks, grounding in complex real-world applications, guidance from empirical study, analysis of non-code sources, and increased formalization. The paper also summarizes open research issues and provides pointers to future events and sources of information in this area.     

Closo → nido cage degradation of 1-(substituted-phenyl)-1,2-dicarbadodecaborane(12)s in wet DMSO under neutral conditions

1-(2-Nitrophenyl)-1,2-dicarba-closo-dodecaborane(12) shows C-H?O intramolecular hydrogen bonding in chloroform. The reaction of isomeric 1-(nitrophenyl)-1,2-dicarba-closo-dodecaborane(12)s and of 1-(4-fluorophenyl)-1,2-dicarba-closo-dodecaborane(12) with wet DMSO causes the removal of 3-B or 6-B, leading cleanly to nido-carboranes. The rank order of rates of these deboronations is consistent with developing negative charge in the rate-determining step.