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Alternative and adjunctive assessment techniques to endonasal laryngoscopy are desirable for assessing and monitoring treatment outcomes for paradoxical vocal fold motion (PVFM) disorder. This disorder, which is characterized by adductory [...], Purpose: In this study, the authors aimed to determine reliability of the airflow perturbation device (APD) to measure respiratory resistance within and across sessions during resting tidal (RTB) and postexercise breathing in healthy athletes, and during RTB across trials within a session in athletes with paradoxical vocal fold motion (PVFM) disorder. Method: Prospective, repeated-measures design. The APD measured respiratory resistance during 3 baseline assessments in 24 teenage female athletes, 12 with and 12 without PVFM. Control athletes provided data at rest and following a customized exercise challenge during each of 3 sessions. Intraclass correlation coefficient (ICC) analysis assessed strength of relationships, and repeated-measures analysis of variance assessed differences across trials and sessions. Results: ICC analyses confirmed strong correlations across RTB trials for inspiratory, expiratory, and mean respiratory resistance in both groups. Inspiratory resistance decreased ~5% between sessions for control participants; expiratory and mean respiratory resistances were stable. Data from control athletes across sessions and following rigorous exercise were strongly correlated when taken at comparable intervals. Conclusions: APD-measured respiratory resistance, including separate assessments for the inspiratory and expiratory phases, has strong test-retest reliability during RTB and after exercising. This suggests that the APD is a useful measurement tool for the assessment of airway function in patients suspected of having PVFM. Key Words: vocal fold disorder, paradoxical vocal fold motion, vocal cord dysfunction, respiratory resistance, airflow perturbation device

Treatment of pigs with porcine somatotropin (pST) is associated with altered nutrient partitioning. The aim of this investigation was to determine the role of pST in protein and collagen deposition in growing pigs. Barrows were treated daily with buffer or pST when they weighed between 30 and 64 kg (n = 8 pigs/group). Pigs were restrictively fed such that the average feed intake for both groups was 1.86 kg/d. Treatment with pST was associated with 25, 55, 78 and 31% higher growth rates for carcass, skin, viscera and head, respectively. Total protein depositions (g/d) were 52, 60, 81, 42 and 54% greater in carcass, skin, viscera, head and empty body, respectively, of pST-treated pigs. Collagen represented approximately 70, 15 and 43% of total protein in skin, viscera and head; pST did not influence this ratio. However, collagen relative to total protein was 16% lower in the carcass of pST-treated pigs. Deposition rate of collagen was higher in all components of empty body, except carcass, as a result of pST treatment. The ratio of non-collagen protein to collagen deposition rate was 49% greater in the carcass of pST-treated pigs. The deposition rate of acid-soluble collagen was approximately 2-fold higher in skin but was 25% lower in carcass of pST-treated pigs. Depositions of insoluble collagen in viscera and head of pST-treated pigs were 74 and 46% greater, respectively, than for controls. These data show that pST treatment enhances collagen deposition in skin, head and viscera, whereas non-collagen protein deposition and collagen maturation are enhanced in the carcass.

This study evaluated the ability of practitioners experienced in the use of Brånemark implant components to impart a desired torque using handheld screwdrivers. The torque output and variability of mechanical torque devices was also examined. For clinicians using handheld screwdrivers, values ranged from 0.7 to 18.1 Ncm, 1.4 to 33.7 Ncm, and 8.2 to 36.2 Ncm for the 10-Ncm, 20-Ncm, and 32-Ncm torques respectively. The manually operated mechanical torquing devices produced torque values within the tolerances specified by their respective manufacturers at all levels. Significant variation from the manufacturer's set values were noted as a function of tightening speed with the electronic torquing device. The data indicate that there is wide variation in the ability of clinicians to perceive adequate torquing forces applied to implant components. Calibrated torquing devices are mandatory if proper torquing procedures are to be accomplished. [ABSTRACT FROM AUTHOR]

Physiologically optimized processes, such as respiration, walking, and cardiac function, usually show a range of variability about the optimized value. Airway resistance has, in the past, been noted as variable, and this variability has been connected to pulmonary disease (e.g., asthma). A hypothesis was presented many years ago that postulated airway resistance as an optimized parameter in healthy individuals, and we have noticed that respiratory measurements made with the airflow perturbation device (APD) tend to be variable in nature. It was posited that this variability indicates that respiratory resistance is optimized similarly to other physiological processes. Fifty subjects with a wide range of demographics volunteered to have 100 measurements made of their respiratory resistances. Resistances were separated into inhalation and exhalation phases. These were plotted and shown to have frequency distributions that were consistent with expectations for an optimized process. The frequency distributions were not quite symmetrical, being skewed slightly toward upper resistances. Comparison between subject data and data from a mechanical respiratory analog showed that subject resistance variation is overwhelmingly from the respiratory system and not from the APD. [ABSTRACT FROM PUBLISHER]