Chern and Pontryagin Numbers in Perfect Symmetries of Spheres

The paper presents a procedure for constructing smooth actions of finite perfect groups on spheres with fixed point sets having certain prescribed properties (Theorem A); in particular, having any prescribed configuration of Chern and Pontryagin numbers (Corollary C). The main ingredients used are equivariant thickening and equivariant surgery.     

A Pilot Survey of Vocal Health in Young Singers

The objective of this study was to determine the incidence of vocal problems in young choir singers and to correlate vocal problems with demographic and behavioral information. A questionnaire addressing vocal habits and hygiene was offered to 571 young choir singers, up to 25 years of age, who sing at least weekly; 129 (22.6%) responded. More than one-half of the respondents had experienced vocal difficulty, particularly older adolescents. Detrimental behaviors and circumstances surveyed were not reflective of the incidence of vocal difficulty, except for morning hoarseness, chronic fatigue, insomnia, and female gender after puberty. Voice care professionals should be aware that self-reported voice difficulties are common among young choral singers, especially postpubescent girls, and children with symptoms consistent with reflux (morning hoarseness) and emotional stress (insomnia). Laryngologists should communicate with choral conductors and singing teachers to enhance early identification and treatment of children with voice complaints, and to develop choral educational strategies that help decrease their incidence.     

Inverse filtering

Inverse filtering is a noninvasive method of producing a glottogram thought to reflect the vibratory motions of the vocal fold. The flow glottogram provides information related to the type of phonation, the sound pressure level, the regularity of vocal fold vibrations, and to the presence or absence of vocal fold closure. Limited data, speech samples, filter tuning, and lack of unanimity on waveform display and interpretation have contributed to slow application of the techniques to the clinical population. The author argues the technique has utility in both diagnosis and treatment     

The π-π-theorem for manifold pairs with boundaries

The surgery obstruction of a normal map to a simple Poincaré pair (X, Y) lies in the relative surgery obstruction group L _*(π ₁(Y) → π ₁(X)). A well-known result of Wall, the so-called π-π-theorem, states that in higher dimensions a normal map of a manifold with boundary to a simple Poincaré pair with π ₁(X) ? π ₁(Y) is normally bordant to a simple homotopy equivalence of pairs. In order to study normal maps to a manifold with a submanifold, Wall introduced the surgery obstruction groups LP _* for manifold pairs and splitting obstruction groups LS _*. In the present paper, we formulate and prove for manifold pairs with boundary results similar to the π-π-theorem. We give direct geometric proofs, which are based on the original statements of Wall’s results and apply obtained results to investigate surgery on filtered manifolds.     

Infraglottic aspect of canine vocal fold vibration: Effect of increase of mean airflow rate and lengthening of vocal fold

The mucosal upheaval (MU), where the mucosal wave starts and propagates upward, appears only when the vocal fold vibrates. The location of the MU histologically and the effect of changes in mean air flow rate (MFR) and vocal fold length on occurrence of the MU were studied in twelve excised canine larynges. The lower surface of the vocal fold was marked to serve as a landmark for subsequent study. Cricothyroid approximation was performed to lengthen the vocal fold. After taking high-speed pictures or recording stroboscopic images from the tracheal side, a small cut wound was made at the mark. This wound served to compare the position of the MU with the histologically identified location of the mark. The larynx was then sectioned in the frontal plane. Before lengthening the vocal fold, the MU occurred on the area where the lamina propria became thinner and where the muscular layer neared the epithelial layer. After lengthening the vocal fold, the MU actually shifted medially compared with its original position. The subglottic area surrounded by the bilateral MUs became longer and thinner. Whether or not complete glottal closure during a vibratory cycle was achieved did not alter these findings. In contrast, with a fixed vocal fold length the MU appeared more laterally as MFR increased, but, based on the relation with the mark, its location on the vocal fold did not change from its original position before increase of MFR.     

Simulation of a turbulent premixed open V-shaped flame using contour advection with surgery

Despite its capability of high spatial resolution, simulation of turbulent flows with traditional Lagrangian (front tracking) scheme is often discouraged by numerical instability caused by clustering of marker nodes and topological changes of fronts. Contour advection surgery (CAS), being a robust front tracking scheme, can limit the growth of front complexity during simulation without jeopardizing accuracy or efficiency. This allows it to open up an advantage over traditional front-tracking schemes. It has already been demonstrated that CAS, with incorporation of the reaction sheet model, can accurately simulate the propagation and advection of a turbulent premixed V-shaped flame. In this study, it is further tested with 10 values of vortex circulation. A range of upstream turbulence levels of 1.8–19.8% was obtained. Results indicate that upstream turbulence increase the average flame length, flame zone area and the overall burning rate. Flame surface density Σ was also estimated. Maximum values of Σ obtained lie in the range 0.1–1.4 mm⁻¹. Skewness towards the burnt region was observed in all profiles of Σ. Similar to results from laboratory experiments, it was found that Σ values decreases with upstream turbulence. From this study, the ability of CAS to cope with intense turbulence is demonstrated and a better quantitative understanding on the scheme has also been acquired.     

Complications of collagen injection of the vocal fold: report of several unusual cases and review of the literature

Injection laryngoplasty is one of the most frequently performed procedures in patients with voice complaints. Various biomaterials have been used to medialize vocal folds or to treat symptoms of vocal fold scar. The ideal biomaterial would be easily injected through a fine-gauge needle, well tolerated, and long lasting. Injectable collagen preparations fulfill at least two of these criteria, and collagen has been used widely for vocal fold injections. MATERIALS AND METHODS: We present a retrospective review of two unusual complications of collagen injection and a review of the relevant literature on the complications of medical use of collagen compounds. RESULTS: Two patients in whom collagen was injected formed firm submucosal deposits that interrupted the normal mucosal wave and produced significant dysphonia. Surgical removal of these deposits restored the mucosal wave and improved voice quality. Management of this unusual complication of human collagen injection in the vocal fold has not been reported previously. Other complications of collagen injection include hypersensitivity reactions to bovine collagen, local abscess formation at injection sites, and possibly induction of collagen vascular disease in some patients. CONCLUSIONS: Although collagen injections of the vocal fold rarely result in complications, physicians using collagen must be familiar with the types of complications that can occur. Proper diagnosis and prompt management of complications can result in good outcomes.     

Spontaneous Surgery on the Borromean Rings

We study the cone-manifolds whose singular sets are obtained by orbifold and spontaneous surgeries on components of the Borromean rings. We establish existence of geometric structures on these manifolds. For manifolds with hyperbolic structure we obtain an integral representation for volumes.     

The potential role of ultrasound in differentiating solid and cystic swellings of the true vocal fold

This study was designed to investigate the potential role of ultrasound in the diagnosis of cysts of the true vocal fold. Materials and Methods: Grayscale ultrasound of the larynx was carried out in 29 patients with a swelling of the true vocal fold and dysphonia. The findings were then compared with those at subsequent microlaryngoscopy, in the majority of cases. Results and Conclusions: Whereas preoperative laryngeal ultrasound correctly predicted the surgical findings of a cystic lesion in only 5 of 11 cases, it correctly identified that no cyst was present in 15 of 16 instances when this had been queried. This study suggests that ultrasound may have some role in investigation of unilateral vocal fold pathology, but that further fine-tuning of the technique may be necessary.