Trends in otolaryngology residency training in the surgical treatment of obstructive sleep apnea

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/102654/1/lary24325.pd

Precipitable Water Variability Using SSM/I and GOES VAS Pathfinder Data Sets

Determining moisture variability for all weather scenes is critical to understanding the earth's hydrologic cycle and global climate changes. Remote sensing from geostationary satellites provides the necessary temporal and spatial resolutions necessary for global change studies. Due to antenna size constraints imposed with the use of microwave radiometers, geostationary satellites have carried instruments passively measuring radiation at infrared wavelengths or shorter. The shortfall of using infrared instruments in moisture studies lies in its inability to sense terrestrial radiation through clouds. Microwave emissions, on the other hand, are mostly unaffected by cloudy atmospheres. Land surface emissivity at microwave frequencies exhibit both high temporal and spatial variability thus confining moisture retrievals at microwave frequencies to over marine atmospheres (a near uniform cold background). This study intercompares the total column integrated water content Precipitable Water, (PW) as derived from both the Special Sensor Microwave Imager (SSM/I) and the Geostationary Operational Environmental Satellite (GOES) VISSR Atmospheric Sounder (VAS) pathfinder data sets. PW is a bulk parameter often used to quantify moisture variability and is important to understanding the earth's hydrologic cycle and climate system. This research has been spawned in an effort to combine two different algorithms which together can lead to a more comprehensive quantification of global water vapor. The approach taken here is to intercompare two independent PW retrieval algorithms and to validate the resultant retrievals against an existing data set, namely the European Center for Medium range Weather Forecasts (ECMWF) model analysis data

Efficacy of oral appliance therapy in patients following uvulopalatopharyngoplasty failure

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/149311/1/lio2256.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/149311/2/lio2256_am.pd

Intraventricular Septation in the Context of Dilated Cardiomyopathy Associated With TTN Mutation

A 6-month-old infant boy presented with symptomatic heart failure. Dilated cardiomyopathy was found in association with a mutation in TTN. Structural heart disease included novel septation of the left ventricle with a fenestrated membrane resulting from aberrant congenital mitral valve apparatus formation. (Level of Difficulty: Advanced.)

Cooperative Origin of Low-Density Domains in Liquid Water

We study the size of clusters formed by water molecules possessing large enough tetrahedrality with respect to their nearest neighbors. Using Monte Carlo simulation of the SPC/E model of water, together with a geometric analysis based on Voronoi tessellation, we find that regions of lower density than the bulk are formed by accretion of molecules into clusters exceeding a minimum size. Clusters are predominantly linear objects and become less compact as they grow until they reach a size beyond which further accretion is not accompanied by a density decrease. The results suggest that the formation of "ice-like" regions in liquid water is cooperative.Comment: 16 pages, 6 figure

BAX Is Required for Neuronal Death after Trophic Factor Deprivation and during Development

AbstractMembers of the BCL2-related family of proteins either promote or repress programmed cell death. BAX, a death-promoting member, heterodimerizes with multiple death-repressing molecules, suggesting that it could prove critical to cell death. We tested whether Bax is required for neuronal death by trophic factor deprivation and during development. Neonatal sympathetic neurons and facial motor neurons from Bax-deficient mice survived nerve growth factor deprivation and disconnection from their targets by axotomy, respectively. These salvaged neurons displayed remarkable soma atrophy and reduced elaboration of neurites; yet they responded to readdition of trophic factor with soma hypertrophy and enhanced neurite outgrowth. Bax-deficient superior cervical ganglia and facial nuclei possessed increased numbers of neurons. Our observations demonstrate that trophic factor deprivation–induced death of sympathetic and motor neurons depends on Bax

Altered high-energy phosphate and membrane metabolism in Pelizaeus-Merzbacher disease using phosphorus magnetic resonance spectroscopy

Pelizaeus-Merzbacher disease is an X-linked recessive leucodystrophy of the central nervous system caused by mutations affecting the major myelin protein, proteolipid protein 1. The extent of the altered in vivo neurochemistry of protein, proteolipid protein 1 duplications, the most common form of Pelizaeus-Merzbacher disease, is, however, poorly understood. Phosphorus magnetic resonance spectroscopy is the only in vivo technique that can assess the biochemistry associated with high-energy phosphate and membrane phospholipid metabolism across different cortical, subcortical and white matter areas. In this cross-sectional study, whole-brain, multi-voxel phosphorus magnetic resonance spectroscopy was acquired at 3 T on 14 patients with Pelizaeus-Merzbacher disease with protein, proteolipid protein 1 duplications and 23 healthy controls (all males). Anabolic and catabolic levels of membrane phospholipids (phosphocholine and phosphoethanolamine, and glycerophosphoethanolamine and glycerophosphocholine, respectively), as well as phosphocreatine, inorganic orthophosphate and adenosine triphosphate levels relative to the total phosphorus magnetic resonance spectroscopy signal from 12 different cortical and subcortical areas were compared between the two groups. Independent of brain area, phosphocholine, glycerophosphoethanolamine and inorganic orthophosphate levels were significantly lower (P = 0.0025, P \u3c 0.0001 and P = 0.0002) and phosphocreatine levels were significantly higher (P \u3c 0.0001) in Pelizaeus-Merzbacher disease patients compared with controls. Additionally, there was a significant group-by-brain area interaction for phosphocreatine with post-hoc analyses demonstrating significantly higher phosphocreatine levels in patients with Pelizaeus-Merzbacher disease compared with controls across multiple brain areas (anterior and posterior white matter, superior parietal lobe, posterior cingulate cortex, hippocampus, occipital cortex, striatum and thalamus; all P ≤ 0.0042). Phosphoethanolamine, glycerophosphoethanolamine and adenosine triphosphate levels were not significantly different between groups. For the first-time, widespread alterations in phosphorus magnetic resonance spectroscopy metabolite levels of Pelizaeus-Merzbacher disease patients are being reported. Specifically, increased high-energy phosphate storage levels of phosphocreatine concomitant with decreased inorganic orthophosphate across multiple areas suggest a widespread reduction in the high-energy phosphate utilization in Pelizaeus-Merzbacher disease, and the membrane phospholipid metabolite deficits suggest a widespread degradation in the neuropil content/maintenance of patients with Pelizaeus-Merzbacher disease which includes axons, dendrites and astrocytes within cortex and the myelin microstructure and oligodendrocytes within white matter. These results provide greater insight into the neuropathology of Pelizaeus-Merzbacher disease both in terms of energy expenditure and membrane phospholipid metabolites. Future longitudinal studies are warranted to investigate the utility of phosphorus magnetic resonance spectroscopy as surrogate biomarkers in monitoring treatment intervention for Pelizaeus-Merzbacher disease

On positivity of Ehrhart polynomials

Ehrhart discovered that the function that counts the number of lattice points in dilations of an integral polytope is a polynomial. We call the coefficients of this polynomial Ehrhart coefficients, and say a polytope is Ehrhart positive if all Ehrhart coefficients are positive (which is not true for all integral polytopes). The main purpose of this article is to survey interesting families of polytopes that are known to be Ehrhart positive and discuss the reasons from which their Ehrhart positivity follows. We also include examples of polytopes that have negative Ehrhart coefficients and polytopes that are conjectured to be Ehrhart positive, as well as pose a few relevant questions.Comment: 40 pages, 7 figures. To appear in in Recent Trends in Algebraic Combinatorics, a volume of the Association for Women in Mathematics Series, Springer International Publishin

Ghost Images in Helioseismic Holography? Toy Models in a Uniform Medium

Helioseismic holography is a powerful technique used to probe the solar interior based on estimations of the 3D wavefield. Porter--Bojarski holography, which is a well-established method used in acoustics to recover sources and scatterers in 3D, is also an estimation of the wavefield, and hence it has the potential to be applied to helioseismology. Here we present a proof of concept study, where we compare helioseismic holography and Porter--Bojarski holography under the assumption that the waves propagate in a homogeneous medium. We consider the problem of locating a point source of wave excitation inside a sphere. Under these assumptions, we find that the two imaging methods have the same capability of locating the source, with the exception that helioseismic holography suffers from "ghost images" (i.e., artificial peaks away from the source location). We conclude that Porter--Bojarski holography may improve the current method used in helioseismology.Comment: 17 pages, 8 figure