Simultaneous Contralateral Vestibular Schwannoma and Middle Ear Paraganglioma Tumor

To the best of our knowledge, only 2 cases of a simultaneous contralateral vestibular schwannoma (VS) and middle ear paraganglioma (MEP) have previously been reported in literature. We report the third case observed in a 43-year-old male, who presented with an 11-year history of right-sided hearing loss and a 1-year history of left-sided pulsatile tinnitus. A magnetic resonance imaging (MRI) showed a VS on the right side and computer tomography (CT) identified a Fisch type A1 paraganglioma on the left side. The VS was treated using a translabyrinthine approach and the MEP was kept under radiological observation for 1 year. Due to the growth of the MEP (Fisch type A2), it was treated with excision via a retroauricular approach. Our case was very challenging because there was a different and important pathology on each side, both carrying a risk of deafness as a consequence of the disease and/or the treatments

Troubleshooting Time-Dependent Density-Functional Theory for Photochemical Applications: Oxirane

The development of analytic-gradient methodology for excited states within conventional time-dependent density-functional theory (TDDFT) would seem to offer a relatively inexpensive alternative to better established quantum-chemical approaches for the modeling of photochemical reactions. However, even though TDDFT is formally exact, practical calculations involve the use of approximate functionals, in particular the TDDFT adiabatic approximation, whose use in photochemical applications must be further validated. Here, we investigate the prototypical case of the symmetric CC ring opening of oxirane. We demonstrate by direct comparison with the results of high-quality quantum Monte Carlo calculations that, far from being an approximation on TDDFT, the Tamm-Dancoff approximation (TDA) is a practical necessity for avoiding triplet instabilities and singlet near instabilities, thus helping maintain energetically reasonable excited-state potential energy surfaces during bond breaking. Other difficulties one would encounter in modeling oxirane photodynamics are pointed out but none of these is likely to prevent a qualitatively correct TDDFT/TDA description of photochemistry in this prototypical molecule.Comment: 19 pages, 17 figures, submitted to the Journal of Chemical Physic

Early assessment of vestibular function after unilateral cochlear implant surgery

Introduction : Cochlear implantation (CI) has been reported to negatively effect on the vestibular function. The study of the vestibular function has variably been conducted by different types of diagnostic tools. The combined use of modern, rapidly performable diagnostic tools could reveal useful for standardizing the evaluation protocol. Methods: In a group of 28 subjects undergoing CI, the video Head Impulse Test (vHIT), the cervical Vestibular Evoked Myogenic Potentials (cVEMPS) and the short-form of Dizziness Handicap Inventory (DHI) questionnaire were investigated pre-operatively and post-operatively (implant on and off) in both the implanted and the contralateral, non-implanted ear. All surgeries were performed with a round window approach (RWA), except for three otosclerosis cases were the extended RWA (eRWA) was used. Results: The vHIT of the lateral semicircular canal showed a pre-operative vestibular involvement in nearly 50% of the cases, whilst the three canals were contemporarily affected in only 14% of them. In all the hypo-functional subjects, cVEMPs were absent. A low VOR gain in all the investigated SSCC was found in 4 subjects (14%). In those subjects, (21.7%) in whom cVEMPs were pre-operatively present and normal in the operated side, absence of response was post-operatives recorded. Discussion/Conclusion: The vestibular protocol applied for the study showed to be appropriate for distinguishing between the CI operated and the non-operated ear. In this regard, cVEMPs showed to be more sensitive than vHIT for revealing a vestibular sufferance after CI, although without statistical significance. Finally, the use of the RWA surgery was apparently not avoiding signs of vestibular impairment to occur

Isotope effect on the E2g phonon and mesoscopic phase separation near the electronic topological transition in Mg1-xAlxB2

We report the boron isotope effect on the E2g phonon mode by micro-Raman spectroscopy on the ternary Mg1-xAlxB2 system, synthesized with pure isotopes 10B and 11B. The isotope coefficient on the phonon frequency is near 0.5 in the full range decreasing near x = 0. The intraband electron-phonon (e-ph) coupling, for the electrons in the sigma band, has been extracted from the E2g line-width and frequency softening. Tuning the Fermi energy near the electronic topological transition (ETT), where the sigma Fermi surface changes from 2D to 3D topology the E2g mode, shows the known Kohn anomaly on the 2D side of the ETT and a splitting of the E2g phonon frequency into a hard and soft component from x = 0 to x = 0.28. The results suggest a minor role of the intraband phonon mediated pairing in the control of the high critical temperature in Mg1-xAlxB2. The common physical features of diborides with the novel multigap FeAs-based superconductors and cuprates is discussed.Comment: 19 pages, 6 figure

Comparing the Weighted Density Approximation with the LDA and GGA for Ground State Properties of Ferroelectric Perovskites

First-principles calculations within the weighted density approximation (WDA) were performed for ground state properties of ferroelectric perovskites PbTiO$_3$, BaTiO$_3$, SrTiO$_3$, KNbO$_3$ and KTaO$_3$. We used the plane-wave pseudopotential method, a pair distribution function $G$ based on the uniform electron gas, and shell partitioning. Comparing with the local density approximation (LDA) and the general gradient approximation (GGA), we found that the WDA significantly improves the equilibrium volume of these materials in cubic symmetry over both the LDA and GGA; Ferroelectric instabilities calculated by the WDA agree with the LDA and GGA very well; At the experimental ferroelectric lattice, optimized atom positions by the WDA are in good agreement with measured data; However the WDA overestimates the strain of tetragonal PbTiO$_3$ at experimental volume; The WDA overestimates the volume of fully relaxed structures, but the GGA results are even worse. Some calculations were also done with other models for $G$. It is found that a $G$ with longer range behavior yields improved relaxed structures. Possible avenues for improving the WDA are discussed.Comment: 19 pages, 3 figures, submitted to PR

Exact exchange-correlation potential for a time-dependent two electron system

We obtain an exact solution of the time-dependent Schroedinger equation for a two-electron system confined to a plane by an isotropic parabolic potential whose curvature is periodically modulated in time. From this solution we compute the exact time-dependent exchange correlation potential v_xc which enters the Kohn-Sham equation of time-dependent density functional theory. Our exact result provides a benchmark against which various approximate forms for v_xc can be compared. Finally v_xc is separated in an adiabatic and a pure dynamical part and it is shown that, for the particular system studied, the dynamical part is negligible.Comment: 23 pages, 6 figure

Performance of 15-Stage Experimental J71 Axial-Flow Compressor. III - Effects of Inlet-Guide-Vane Adjustment

The stall-limit line at low speeds was improved somewhat by closing the inlet guide vanes 6 deg, while the design-speed maximum flow and pressure ratio were reduced. The first-stage characteristic curve was moved to lower values of both flog coefficient and equivalent pressure ratio. The second-stage pressure ratio was decreased slightly at high speeds, while the later stages were unaffected