bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tracking Scheme Dependence of Simulated Tropical Cyclone Response to Idealized Climate Simulations
Authors: Horn Michael , Walsh Kevin , Zhao Ming , Camargo Suzana J. , Scoccimarro Enrico , Murakami Hiroyuki , Wang Hui , Ballinger Andrew , Kumar Arun , Shaevitz Daniel A. , Jonas Jeffrey A. , Oouchi Kazuyoshi 
Published: October 2014

Abstract
Future tropical cyclone activity is a topic of great scientific and societal interest. In the absence of a climate theory of tropical cyclogenesis, general circulation models are the primary tool available for investigating the issue. However, the identification of tropical cyclones in model data at moderate resolution is complex, and numerous schemes have been developed for their detection.
The influence of different tracking schemes on detected tropical cyclone activity and responses in the Hurricane Working Group experiments is examined herein. These are idealized atmospheric general circulation model experiments aimed at determining and distinguishing the effects of increased sea surface temperature and other increased CO2 effects on tropical cyclone activity. Two tracking schemes are applied to these data and the tracks provided by each modeling group are analyzed.
The results herein indicate moderate agreement between the different tracking methods, with some models and experiments showing better agreement across schemes than others. When comparing responses between experiments, it is found that much of the disagreement between schemes is due to differences in duration, wind speed, and formation-latitude thresholds. After homogenization in these thresholds, agreement between different tracking methods is improved. However, much disagreement remains, accountable for by more fundamental differences between the tracking schemes. The results indicate that sensitivity testing and selection of objective thresholds are the key factors in obtaining meaningful, reproducible results when tracking tropical cyclones in climate model data at these resolutions, but that more fundamental differences between tracking methods can also have a significant impact on the responses in activity detected.
Intra-Event Trends in Stable Isotopes: Exploring Midlatitude Precipitation Using a Vertically Pointing Micro Rain Radar
Authors: Muller Catherine L. , Baker Andy , Fairchild Ian J. , Kidd Chris , Boomer Ian 
Published: October 2014

Abstract
Annual, monthly, and daily analyses of stable isotopes in precipitation are commonly made worldwide, yet only a few studies have explored the variations occurring on short time scales within individual precipitation events, particularly at midlatitude locations. This study examines hydrogen isotope data from sequential, intra-event samples from 16 precipitation events during different seasons and a range of synoptic conditions over an 18-month period in Birmingham, United Kingdom. Precipitation events were observed simultaneously using a vertically pointing micro rain radar (MRR), which, for the first time at a midlatitude location, allowed high-resolution examination of the microphysical characteristics (e.g., rain rate, fall velocity, and drop size distributions) that may influence the local isotopic composition of rainwater. The range in the hydrogen isotope ratio (δD, where D refers to deuterium) in 242 samples during 16 events was from −87.0‰ to +9.2‰, while the largest variation observed in a single event was 55.4‰. In contrast to previous work, the results indicate that some midlatitude precipitation events do indeed show significant intra-event trends that are strongly influenced by precipitation processes and parameters such as rain rate, melting-level height, and droplet sizes. Inverse relationships between rain rate and isotopic composition are observed, representing an example of a local type of “amount effect,” a still poorly understood process occurring at different scales. For these particular events, the mean δ value may therefore not provide all the relevant information. This work has significance for the testing and development of isotope-enabled cloud-resolving models and land surface models at higher resolutions, and it provides improved insights into a range of environmental processes that are influenced by subsampled precipitation events.
Determinants of Fatal Apnea Responses to Acid Stimulation of the Larynx in Piglets
Authors: Heman-Ackah Yolanda D. 
Published: October 2014

Objectives: This study explores the physiological determinants of laryngeal chemoreflex (LCR) response severity under hypoxic conditions. Methods: Thirty-four piglets underwent hypoxic laryngeal stimulation. Physiologic data were collected, and responses were graded as mild, moderate, or profound. Results: Prestimulation hypoxia caused respiratory depression and carbon dioxide retention in profound responders and respiratory stimulation in mild and moderate responders (p < .05). Resumption of respiration occurred in all animals when the Paco2 rose by a mean ± SD of 15.1 ± 6.5 mm Hg (p > .05). There was a significant difference between mild, moderate, and severe responders in change in arterial Pao2 and hydrogenated hemoglobin saturation during the LCR-induced response (p < .001 for both). Conclusions: Resumption of respiration is associated with accumulation of arterial Paco2. The respiratory response to hypoxia predicts the severity of the LCR response. The severity of the LCR-induced response is associated with changes in arterial Pao2 and hydrogenated hemoglobin saturation during the LCR-inducedapnea.
Diazepam Tolerance Effects on Vestibular Function Testing, Part I: Saccadic Parameters during Electronystagmography
Authors: Blau Patricia A. , Schwade Nathan , Roland Peter 
Published: October 2014

Objectives: Benzodiazepines, particularly diazepam (DZ), are used in clinical practice to suppress acute vestibular symptoms. There have been limited studies looking at the effects of tolerance to DZ on parameters designed to measure the integrity of the vestibular system and its interaction with the oculomotor and balance systems. Methods: In a double-blinded, repeated-measures design, we randomized 30 young healthy men into one of two treatment groups (diazepam and placebo) and assessed with electro-oculography the effects of clinical divided doses of DZ on saccadic eye movements and sedation over 16 days. Results: Only sedation and saccadic latency were significant (p < .05) for treatment group, indicating selective effects on different central nervous system mechanisms. No significant effect for time was seen in any of the variables measured. Bonferroni t-test comparisons of the DZ group among 3 days were significant (p < .017) between baseline and day 3 for saccadic latency and accuracy and between day 3 and day 16 for self-ratings of sedation. Conclusions: Saccadic latency and accuracy and sedation ratings appear to be more sensitive to changes over time and less affected by subject variability than saccadic eye velocity. It remains questionable whether patients who have been on DZ for acute or extended periods of time need to discontinue the drug 48 hours before testing.
Deltopectoral Flap Revisited in the Microvascular Era: A Single-Institution 10-Year Experience
Authors: Andrews Brian T. , McCulloch Timothy M. , Funk Gerry F. , Graham Scott M. , Hoffman Henry T. 
Published: October 2014

Objectives: In 1965, Bakamjian described the deltopectoral (DP) flap as a reconstructive option in head and neck surgery. It served as the premier flap for reconstructing complex head and neck defects until the late 1970s. Today, the DP flap is often overlooked; although its role has diminished, its use is still warranted in certain select clinical situations. Methods: A retrospective patient chart review of 25 DP flap procedures performed at the University of Iowa Hospitals and Clinics and Iowa City Veterans Administration Hospital between January 1, 1991, and June 1, 2002, was undertaken. The data collected included patient demographics and assessment of DP flap survival and its ability to accomplish established preoperative reconstructive goals. Results: The DP flap was used for the following situations: vascularized skin coverage of the neck, carotid arteries, and face (16 cases), including simultaneous coverage of other reconstructive flaps in 6 cases; controlled orocutaneous fistula development (3 cases) or fistula closure (5 cases); and pharyngoesophageal reconstruction (4 cases). In 3 cases the flap was used for more than one of the preoperative goals described above (n = 25). Minor flap-related complications that required local wound treatment developed in 5 cases (20.0%), but the flaps were successfully salvaged and no subsequent reconstructive procedure was required. In an additional 5 cases (20.0%), the flap failed in some measure to accomplish its preoperative goal, necessitating further surgical reconstruction. Sixteen patients (64%) had undergone previous or simultaneous reconstructive procedures that limited other available reconstructive options. Conclusions: The technical simplicity of the DP flap, coupled with its predictable vascular supply, has allowed it to maintain a niche role in contemporary reconstructive surgery. The DP flap provides an excellent method of reconstruction in select cases in which vascularized skin coverage of the neck is needed. The DP flap also provides a valuable salvage option in situations in which other reconstructive techniques are not possible.
Singer's Dystonia: First Report of a Variant of Spasmodic Dysphonia
Authors: Chitkara Ajay , Meyer Tanya , Keidar Anat , Blitzer Andrew 
Published: October 2014

Objectives: We discuss the phonatory characteristics of a previously undescribed focal laryngeal dystonia present in the singing voice. Methods: We performed a retrospective chart review of 5 patients with singer's dystonia at a neurolaryngology referral center. Results: Four patients reviewed demonstrated phonatory characteristics consistent with adductor spasmodic dysphonia present in their singing voice. One patient demonstrated abductor spasmodic dysphonia in the singing voice. Each patient initially exhibited normal connected speech in conversational voicing. The treatment protocol and outcome are discussed, including the use of botulinum toxin. Conclusions: Singer's dystonia is a previously undescribed neurologic disorder that should be understood by those who treat voice performers and voice disorders.
Natural History of Adult-Onset Laryngeal Papillomatosis following Multiple Cidofovir Injections
Authors: Naiman Ana Nusa , Abedipour Darius , Ayari Sonia , Fresnel Elizabeth , Coulombeau Bruno , Bour Jean-Baptiste , Froehlich Patrick 
Published: October 2014

Objectives: A prospective study was performed to assess the intermediate and long-term efficacy of intralesional cidofovir therapy associated with surgical excision in laryngeal papillomatosis in adults. Methods: Endoscopy with intralesional injection of cidofovir 5 mg/mL was performed 3 times at 4-week intervals. The concentration was later increased to 7.5 mg/mL and the interval between injections shortened to 2 weeks. Further treatment was performed at 3 or 6 months, depending on the evolution of the papillomas. After complete remission, the treatment was stopped and the patients were reviewed every 6 months. Results: Nineteen patients completed the protocol, with a mean of 4.5 injections each. Complete remission was obtained in 17 cases (89%) after a mean of 3.8 procedures. Remission was stable after a mean follow-up of 24 months (range, 8 to 57 months). With higher cidofovir concentrations at shorter intervals, patients needed fewer injections to achieve remission (mean, 2.1 versus 4.7 injections). Conclusions: The effectiveness of intralesional cidofovir therapy in adult-onset recurrent respiratory papillomatosis was impressive. Once obtained, complete remission was stable on intermediate or long-term follow-up. The concentration and the interval between injections seemed to influence the number of injections necessary to achieve remission.
Age-Related Expression of α-Gustducin in the Rat Larynx
Authors: Nishio Takeshi , Koike Shinobu , Okano Hiroyuki , Bamba Hitoshi , Hisa Yasuo 
Published: October 2014

Objectives: The age-related changes in distribution of α-gustducin–immunoreactive structures in the larynx of Sprague-Dawley rats were studied. Methods: For this purpose, tissues obtained from 12 male rats ranging in age from 5 to 21 weeks were compared with respect to the distribution and morphology of laryngeal taste buds immunoreactive for α-gustducin, the α-subunit of a taste cell–specific G protein. Results: Three different morphological types of α-gustducin–immunoreactive structures were seen: typical gemmal forms, clusters composed of 2 or 3 cells, and isolated immunoreactive cells not associated with taste buds. α-Gustducin–immunoreactive structures were most abundant in the epiglottis in all age groups. α-Gustducin–immunoreactive cells in rats seem to be located along the lateral food channels, in which they may come in contact with food. The total number of these α-gustducin–immunoreactive structures did not show any age-related changes, but the percentage of solitary immunoreactive cells in 5-week-old rats was significantly larger than the percentages in 8-, 14-, and 21-week-old animals. Conclusions: Solitary α-gustducin–immunoreactive cells, which are abundant in 5-week-old rats but are found in fewer numbers along the base of the epiglottis in mature rats, may be nociceptic in function, whereas the chemosensory clusters or buds that contain α-gustducin–positive cells and are distributed along the lateral food channels on the pharyngeal side of the larynx may have a role in gustatory reception.
Prospective Study of Positional Nystagmus in 100 Consecutive Patients
Authors: Bertholon Pierre , Tringali Stephane , Faye Mamadou B. , Antoine Jean Christophe , Martin Christian 
Published: October 2014

Objectives: The purpose of this study was to investigate the various diagnoses of patients who present with positional nystagmus. Methods: Positional maneuvers were systematically performed in the plane of the posterior canal (PC; Dix-Hallpike maneuver) and the horizontal canal (HC; patients were rolled to either side in a supine position) on 490 consecutive patients essentially referred for vertigo and/or gait unsteadiness. Results: One hundred patients (20%) presented positional nystagmus. This nystagmus had a peripheral origin in 83 patients, including 80 patients with benign paroxysmal positional vertigo (BPPV). In BPPV, the PC was involved in 61 patients, the HC in 18 patients (geotropic horizontal nystagmus in 11 and ageotropic in 7; changing from geotropic to ageotropic or the reverse in 4 patients), and both the PC and HC in 1 patient. There was evidence of central positional nystagmus in 12 patients, including positional downbeat nystagmus during the Dix-Hallpike maneuver in 7 patients with various neurologic disorders, and ageotropic horizontal nystagmus during the HC maneuver in 2 patients with, respectively, cerebellar ischemia and definite migrainous vertigo. The peripheral or central origin of the positional nystagmus could not be ascertained in 5 patients, including 1 patient with probable migrainous vertigo and another with possible anterior canal BPPV. Conclusions: A rotatory-upbeat nystagmus in the context of PC BPPV, a horizontal nystagmus, whether geotropic or ageotropic, due to HC BPPV, and a positional downbeat nystagmus related to various central disorders are the 3 most common types of positional nystagmus. Geotropic horizontal positional nystagmus and, most certainly, horizontal positional nystagmus changing from geotropic to ageotropic or the reverse point to HC BPPV. In contrast, an ageotropic horizontal positional nystagmus that is not changing (from ageotropic to geotropic) may indicate a central lesion.
Intermediate-Term and Long-Term Results after Treatment by Cidofovir and Excision in Juvenile Laryngeal Papillomatosis
Authors: Naiman Ana Nusa , Ayari Sonia , Nicollas Richard , Landry Guillaume , Colombeau Bruno , Froehlich Patrick 
Published: October 2014

Objectives: We assessed the intermediate-term and long-term efficacy of intralesional injection of cidofovir used with surgical excision in juvenile-onset recurrent respiratory papillomatosis. Methods: The protocol was revised during the study, from endoscopy at 4-week intervals with intralesional injection of cidofovir at 5 mg/mL, to a 2-week interval and a 7.5-mg/mL dosage. Partial surgical excision of hypertrophic papillomas was performed before the initiation of injection. Further injections at 4-week (or 2-week) intervals were performed until complete remission. Results: Sixteen patients received a mean 8.9 injections. Complete remission was obtained in 12 patients (75%) after a mean 7.2 endoscopic treatments. Remission was stable at a mean 33.6 months' follow-up. Five of these 12 patients received 5.2 injections and remained disease-free at a mean 39.3 months' follow-up. Seven of the 12 had 1 relapse; they needed complementary treatment to become disease-free, and remained so thereafter over a mean 27.3 months' follow-up. The other 4 of the 16 patients (25%) continued to present active disease. Conclusions: Active endoscopic treatment until complete remission led to a higher-than-expected complete remission rate on intermediate-term to long-term follow-up, with or without relapse. Transient relapse was associated with a long delay in initiating cidofovir treatment.
Differential Gene Expression Profiling of Vocal Fold Polyps and Reinke's Edema by Complementary DNA Microarray
Authors: Duflo Suzy M. , Thibeault Susan L. , Li Wenhua , Smith Marshall E. , Schade Goetz , Hess Markus M. 
Published: October 2014

Objectives: Our purpose was to determine whether complementary DNA (cDNA) microarray analysis (MA) can establish distinct gene expression profiles for 2 phenotypically similar vocal fold lesions: Reinke's edema (RE) and polyps. Established transcript profiles can provide insight into the molecular and cellular processes involved in these diseases. Methods: Eleven RE specimens and 17 polyps were analyzed with MA for 8,745 genes. Further MA profiling was attempted within each lesion group to identify molecular markers for reflux exposure and smoking. Prediction analysis was used to predict lesion classification for 2 unclassified samples. A real-time polymerase chain reaction was performed to corroborate MA transcript levels for selected significant genes. Results: Sixty-five genes were found to differentiate RE and polyps (p = .0088). For RE, 19 genes were differentiated for reflux exposure (p = .016). No genes were found to differentiate smokers from nonsmokers. For polyps, no genes were found to differentiate for reflux (p = .16) and smoking (p = .565). Categorization of unclassified lesions was possible with a minimum of 13 genes. Conclusions: We demonstrate the feasibility of benign lesion classification based on MA. Microarray analysis is useful not only for improving diagnosis and classification of such lesions, but also for potentially generating prognostic indicators and targets for therapy.
Effects of Altered Consciousness on the Protective Glottic Closure Reflex
Authors: Sasaki Clarence T. , Yu Ziwei , Xu Jiajun , Hundal Jagdeep , Rosenblatt William 
Published: October 2014

Objectives: The sphincteric function of the larynx, essential to lower airway protection, is most efficiently achieved through strong reflex adduction by both vocal folds. We hypothesize that central facilitation is an essential component of a bilateral brain stem-mediated adductor reflex and that its disturbance by altered consciousness or physiologic sleep could result in weakened sphincteric closure. Methods: In 10 adult pigs the glottic closure response was evaluated under light and deep isoflurane anesthesia. The internal branch of the left superior laryngeal nerve was stimulated through bipolar platinum-iridium electrodes, and recording electrodes were positioned in the ipsilateral and contralateral thyroarytenoid muscles. The force of evoked glottic closure was measured with a pressure transducer positioned between the vocal folds. Results: Consistent threshold responses (>90%) were obtained ipsilaterally from 0.5 to 2.0 minimal alveolar concentration (MAC) anesthesia. However, the contralateral reflex responses declined to 6.4% in successive trials as anesthetic levels approached 1.5 to 2.0 MAC. Furthermore, glottic closing force closely reflected these electromyographic changes, declining from 383 mm Hg at 0.5 to 1.0 MAC to 114 mm Hg at 1.5 to 2.0 MAC. Conclusions: Alteration of central facilitation by progressively deeper loss of consciousness abolishes a lower brain stem-mediated crossed adductor reflex, predisposing the subject to a weakened glottic closure response.
Office-Based and Microlaryngeal Applications of a Fiber-Based Thulium Laser
Authors: Zeitels Steven M. , Burns James A. , Akst Lee M. , Hillman Robert E. , Broadhurst Matthew S. , Anderson R. Rox 
Published: October 2014

Objectives: The carbon dioxide (CO2) laser is the premier dissecting instrument for hemostatic cutting and ablation during endolaryngeal surgery. However, microlaryngeal tangential dissection and office-based photoablation have been limited by the lack of a fiber-based delivery system. To address this limitation, a new laser was designed, which is a diode-pumped solid-state laser with a thulium-doped yttrium-aluminum-garnet laser rod. It produces a continuous-wave beam with a wavelength of 2,013 nm and a target chromophore of water. This new laser functions similarly to a CO2 laser with the benefit of being delivered through a small glass fiber (0.365 to 0.550 mm). Methods: A prospective pilot trial was done in 74 cases to explore applications of the new thulium laser. Thirty-two procedures were done with the laser used as an ablating instrument and topical anesthesia through a flexible laryngoscope (papillomatosis, 20; microinvasive carcinoma, 6; benign supraglottic lesions, 3; edema, 2; granuloma, 1). Forty-two procedures were done with the laser used as a cutting or ablating instrument for microlaryngeal dissection and general anesthesia. These included 27 partial laryngeal resections (supraglottis, 15; glottis, 10; subglottis, 2) and 8 posterior glottic laryngoplasties. The laser was also used as an ablative instrument during microlaryngoscopy in 7 cases. Results: The thulium laser was used effectively in all cases, under both local and general anesthesia. In microlaryngeal dissection, electrocautery was not needed to control bleeding, even during cutting in the highly vascular paraglottic space. No complications related to the use of the thulium laser were experienced in any case. Conclusions: Because of the fiber-based delivery system, the 2,013-nm continuous-wave thulium laser shows substantial promise for tangential dissection during microlaryngoscopy and soft tissue photoablation during office-based flexible laryngoscopy. Hemostasis was judged to be superior to experiences with the CO2 laser. In this pilot study, performing en bloc laryngeal cancer resection procedures was facilitated by use of the thulium laser.