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.     

Case-study evaluations of the acoustical designs of renovated university classrooms

The acoustical characteristics of 14 university classrooms at the University of British Columbia were measured before and after renovation—seven of these are discussed in detail here. From these measurements, and theoretical considerations, values of quantities used to assess each classroom configuration were predicted, and used to evaluate renovation quality. Information on each renovation was determined with the help of the university campus-planning office and/or the project acoustical consultant. These were related to the evaluation results in order to determine the relationship between design and acoustical quality. The criteria focused on the quality of verbal communication in the classrooms. Room-average Speech Intelligibility (SI) and its physical correlate, Speech Transmission Index (STI), were used to quantify verbal-communication quality. A simplified STI-calculation procedure was applied. The results indicate that some renovations were beneficial, others were not. Verbal-communication quality varied from ‘poor’ to ‘good’. The effect of a renovation depends on a complex interplay between changes in the reverberation and changes in the signal-to-noise level difference, as affected by sound absorption and the source outputs. Renovations which reduce noise are beneficial unless signal-to-noise level differences remain optimal. Renovations often put too much emphasis on adding sound absorption to control reverberation, at the expense of lower speech levels, particularly at the backs of classrooms. The absorption and noise contributed by room occupants has apparently often been neglected.     

Directed metalation/ligand coupling approach to the enantioselective synthesis of 1,1′-binaphthyls

Introduction of a 2-isopropoxycarbonyl or 2-NN-dimethylcarbamoyl group into homochiral 1-p-tolyl- or 1-t-butyl-sulfinylnaphthalenes, via directed metalation reaction, followed by ligand coupling reaction with 1-naphthylmagnesium bromide, furnished atropisomeric 1,1′-binaphthyls in 82–95% enantiomeric excess (e.e.).     

Control of the block copolymer morphology in templated epoxy thermosets

It has been found that by the addition of low concentrations of an amphiphilic block copolymer to an epoxy resin, novel disordered morphologies can be formed and preserved through curing. This article will focus on characterizing the influence of the block copolymer and casting solvent on the templated morphology achieved in the thermoset sample. The ultimate goal of this work is to determine the parameters that would control the microphase morphology produced. Epoxy resins blended with a series of amphiphilic block copolymers based on hydrogenated polyisoprene (polyethylene-alt-propylene or PEP) and polyethylene oxide (PEO), specifically, were investigated. In this article, the cure-induced order–order phase transition from the spherical to wormlike micelle morphology will also be discussed. It is proposed that the formation of the wormlike micelle structure from the spherical micelle structure is similar to the phase transition behavior that occurs in dilute block copolymer solutions as a function of the influence of the solvent on micelle morphology. © 2007 Wiley Periodicals, Inc. J Polym Sci Part B: Polym Phys 45: 3338–3348, 2007     

Navigating Schooled Numeracies: Explanations for Low Achievement,in Mathematics of UK Children From Low SES Background

The intention of the research reported here was to seek explanations for low achievement in school mathematics, as conventionally assessed, that derive from broad understandings of mathematics as social. Such a broad social perspective can provide explanations for low achievement, which could lead to different understandings and hence to different teaching approaches. This study centered on 5- to 8-year-old children from a White working-class area in England. Data were collected during visits to the children in school, in their homes, and in the broader community over a 3-year period. Parents, teachers, and other professionals in the broad school context were interviewed, and data were also collected from school documents and policy statements. Interpretations of these data in terms of ways of understanding children's achievements in school mathematics are put forward. The potential effects of these factors on low schooled numeracy attainment are discussed, together with some possible strategic implications for practice and policy.     

Differential algebraic equations with after-effect

In this paper, we are concerned with the solution of delay differential algebraic equations. These are differential algebraic equations with after-effect, or constrained delay differential equations. The general semi-explicit form of the problem consists of a set of delay differential equations combined with a set of constraints that may involve retarded arguments. Even simply stated problems of this type can give rise to difficult analytical and numerical problems. The more tractable examples can be shown to be equivalent to systems of delay or neutral delay differential equations. Our purpose is to highlight some of the complexities and obstacles that can arise when solving these problems, and to indicate problems that require further research.     

A method for molecular ionization potentials

A new method for one-electron propagator calculations of molecular inization potentials is proposed, using a large matrix technique The results of some trial calculations on molecular nitrogen are given.     

Self-assembly of a linear mesoscale tetramer with electrical connectivity

Capillary interaction-based self-assembly of block-shaped mesoscale components into an electrically interconnected 1-D tetramer is reported. Low melting point solder droplets, selectively patterned on the faces of the blocks, were employed to drive the sequential alignment, registration, linking and electrical interconnection of each block. The solder patterns were designed so that successful assembly would only occur when the solder patterns on one block face were correctly aligned with those on the face of an adjacent block. For assembly, the blocks were agitated in a flask containing KBr solution. At 60 °C the solder was molten, and collisions between blocks enabled the solder menisci to easily interact. To minimize interfacial free energy, the menisci coalesced and quickly drove the interacting blocks to form a stable, registered and aligned assembly. When agitation was terminated and the solution cooled, the self-aligned, linear tetrameric arrangement of blocks was permanently captured by solder solidification, a process that provided good mechanical bonding and electrical interconnection between each block. PACS 81.16.Dn; 68.03.Cd; 85.40.-e     

The proportional hazards regression model with staggered entries: A strong martingale approach

The proportional hazards regression model, when subjects enter the study in a staggered fashion, is studied. A strong martingale approach is used to model the two-time parameter counting processes. It is shown that well-known univariate results such as weak convergence and martingale inequalities can be extended to this two-dimensional model. Strong martingale theory is also used to prove weight convergence of a general weighted goodness-of-fit process and its weighted bootstrap counterpart.