Vacuum cleaving of superconducting niobium tips to optimize noise filtering and with adjustable gap size for scanning tunneling microscopy.

Superconducting (SC) tips for scanning tunneling microscopy (STM) can enhance a wide range of surface science studies because they offer exquisite energy resolution, allow the study of Josephson tunneling, or provide spatial contrast based on the local interaction of the SC tip with the sample. The appeal of a SC tip is also practical. An SC gap can be used to characterize and optimize the noise of a low-temperature apparatus. Unlike typical samples, SC tips can be made with less ordered materials, such as from SC polycrystalline wires or by coating a normal metal tip with a superconductor. Those recipes either require additional laboratory infrastructure or are carried out in ambient conditions, leaving an oxidized tip behind. Here, we revisit the vacuum cleaving of an Nb wire to prepare fully gapped tips in an accessible one-step procedure. To show their utility, we measure the SC gap of Nb on Au(111) to determine the base temperature of our microscope and to optimize its RF filtering. The deliberate coating of the Nb tip with Au fully suppresses the SC gap and we show how sputtering with Ar+ ions can be used to gradually recover the gap, promising tunability for tailored SC gaps sizes. • Oxide free superconducting STM tips • RF filter optimization.

Lubrication mechanisms of dispersed carbon microspheres in boundary through hydrodynamic lubrication regimes.

HYPOTHESIS: Carbon microspheres have been shown to reduce friction and surface wear at relatively low speeds and high applied loads (i.e., within the boundary lubrication regime). We hypothesize that in dilute colloidal lubricating systems there is an interplay between the size of the carbon microspheres and the lubrication gap size, which determines the dominant lubricating mechanism of the system. EXPERIMENTS: A 60 wt% aqueous glycerol solution was used as the base lubricant and compared to various carbon particle-based lubricant formulations ranging in particle concentrations from 0.05 to 0.30 vol%. The tribological properties of the various lubricant formulations were tested on a pin-on-disk tribometer. A simplified Stribeck plot was produced to understand the changing mechanism of lubrication over a wide range of conditions. FINDINGS: The Stribeck curves show that the carbon microspheres assist lubrication by a rolling mechanism primarily in the boundary lubrication regime. A 0.20 vol% carbon-based lubricant formulation showed the best friction reduction compared to the base lubricant. Increasing speed increases the lubricating gap between the friction pair beyond the size of the particles, thereby nullifying the rolling mechanism of the particles. We introduce a modified specific film thickness parameter to determine the lubrication regime in a particle-lubricant system.

Biomechanical Testing of Two-Unit Bridges and a Comparison of Replacement Retention Depending on a Cementation Medium, Replacement Position, and Gap Size.

Dental replacements are placed between the abutment teeth. The exceptions are two-unit bridges, as they are supported by a single tooth prepared only on one side of the missing tooth. The presented study deals with an analysis of a pressure force action on two-unit bridges placed in the frontal part (20 samples), where the pressure action is lower, and in the distal part (20 samples), where the pressure action is higher. A CAD program by 3Shape was used for digital designing with two different gap settings, 10 µm (20 samples) and 30 µm (20 samples). Two-unit bridges were attached to the prepared tooth using two types of dental cement (20/20 samples), which were selected for their physical and bioactive properties. All two-unit bridges (a total of 80 samples) were fabricated from CoCr alloys on Mlab cusing R by applying the Selective Laser Melting (SLM) technology. Mechanical testing was performed using the Inspekt5 table blue. The obtained data were used to verify the hypotheses-a difference between both types of cement (A ≠ B), a difference between the frontal and distal two-unit bridges (F ≠ D) and a difference between the gap sizes (10 ≠ 30). To confirm the given theories, data were statistically evaluated using the F-test and subsequent t-tests. The resulting p-value was compared with the level of significance (α = 0.05). A statistical evaluation revealed a significant difference between the compared groups; however, no explicit correlation between the individual groups of specimens was identified.

Evaluation of the flexion gap with a distal femoral trial component in posterior-stabilized total knee arthroplasty.

PURPOSE: A distal femoral trial component was manufactured, and flexion gap size and inclination were evaluated with or without the distal femoral trial component in total knee arthroplasty (TKA). This study aimed to evaluate the effect of the distal femoral trial component on flexion gap size and joint inclination in posterior-stabilized (PS)-TKA. MATERIALS AND METHODS: A total of 84 patients with medial osteoarthritis who underwent mobile-bearing PS-TKA using modified gap techniques were included in this retrospective study. The flexion gap size and inclination before and after setting the distal femoral trial component were evaluated and compared with the final gap size and inclination. RESULTS: The joint gap size and inclination were significantly lower in those with than in those without the distal femoral trial component (P = 0.005, P < 0.001). The final gap size and inclination were similar to the gap size and inclination with the distal trial component (P = 0.468, P = 0.158). CONCLUSIONS: The joint gap size and medial tension in PS-TKA were significantly reduced after setting the distal femoral trial component. The flexion gap measured using the distal femoral trial component was similar to that when the final trial component was set. To more accurately perform the gap technique TKA, the flexion gap should be measured using the distal femoral trial component.

Effect of Inter-Fragmentary Gap Size on Neovascularization During Bone Healing: A Micro-CT Imaging Study.

Introduction: Neovascularization of the fracture site is of great importance for bone healing and could be influenced by local mechanical environment such as fixation stability and inter-fragmentary gap size. This study aims to reconstruct the neovascularization of the fracture site and explore the effect of inter-fragmentary gap size on the spatiotemporal structure of vascularity during bone healing. Methods: Osteotomy was performed on 36 Sprague-Dawley (SD) rats on the right tibial diaphysis, and the fracture was given stable fixation with two different inter-fragmentary gap sizes. SD rats received stable fixation with either a small-sized inter-fragmentary gap (FSF1, 1 mm, n = 18) or a large-sized one (FSF3, 3 mm, n = 18). The left hind limbs were treated as the control group (CON). The animals were killed at different time points (2, 4, and 6 weeks postoperatively, n = 6, respectively) for vascular perfusion and micro-CT imaging. Results: (a) At week 2 and 4, FSF1 group showed significantly higher vessel volume ratio (VV/TV) and vessel surface density (VS/TV) values than both CON and FSF3 group; there was no significant difference in either VV/TV or VS/TV values between CON and FSF3 groups. (b) At week 6, both FSF1 and FSF3 groups showed significantly higher VV/TV and VS/TV values than CON group; FSF3 group had a significantly higher VV/TV value than FSF1 group. Conclusion: Different inter-fragmentary gap sizes greatly affect the timing of angiogenesis at the fracture site. Stable fixation with a small inter-fragmentary gap (1 mm) benefits neovascularization at the early stages during bone healing and reconstruction, while stable fixation with a large inter-fragmentary gap (3 mm) delays the occurrence of angiogenesis to a later phase.

Rodent-mediated plant seed dispersal: What happens to the seeds after entering the gaps with different sizes?

In general, it is accepted that gap formation significantly affects the placement of scatter-hoarded seeds by small rodents, but the effects of different forest gap sizes on the seed-eating and scatter-hoarding behaviors of small rodents remain unclear. Thus, we examined the effects of a closed-canopy forest, forest edge, and gaps with different sizes on the spatial dispersal of Quercus variabilis acorns and cache placement by small rodents using coded plastic tags in the Taihang Mountains, China. The seeds were removed rapidly, and there were significant differences in the seed-eating and caching strategies between the stand types. We found that Q. variabilis acorns were usually eaten after being removed from the closed-canopy forest and forest edges. By contrast, the Q. variabilis acorns in the forest gap stands were more likely to be scatter-hoarded. The dispersal distances of Q. variabilis acorns were significantly longer in the forest gap plots compared with the closed canopy and forest edge plots. However, the proportion of scatter-hoarded seeds did not increase significantly as the gap size increased. In small-scale oak reforestation projects or research, creating small gaps to promote rodent-mediated seed dispersal may effectively accelerate forest recovery and successional processes.

Deciphering the fingerprint of disturbance on the three-dimensional structure of the world's forests.

Canopy gaps and the processes that generate them play an integral role in shaping the structure and dynamics of forests. However, it is only with recent advances in remote sensing technologies such as airborne laser scanning that studying canopy gaps at scale has become a reality. Consequently, we still lack an understanding of how the size distribution and spatial organization of canopy gaps varies among forests ecosystems, nor have we determined whether these emergent properties can be reconciled with existing theories of forest dynamics. Here, I outline a roadmap for integrating remote sensing with field data and individual-based models to build a comprehensive picture of how environmental constraints and disturbance regimes shape the three-dimensional structure of the world's forests.

Response of plant diversity and soil physicochemical properties to different gap sizes in a Pinus massoniana plantation.

As one means of close-to-nature management, forest gaps have an important impact on the ecological service function of plantations. To improve the current situation of P. massoniana plantations, three different sizes of forest gaps (large gaps, medium gaps and small gaps) were established to observe whether gap setting can improve the soil fertility and plant diversity of forest plantations. The results showed that compared with the control, the soil organic matter content of different soil layers increased significantly in the medium forest gap and large forest gap. The content of soil organic matter in the surface layer of the middle gap had the largest increase (80.64%). Compared with the control, the content of soil-available potassium between different soil layers decreased significantly by 15.93% to 25.80%. The soil hydrolysable nitrogen reached its maximum under the medium gap. Soil moisture showed significant changes among different gap treatments, different soil layers and their interaction, decreasing significantly in large gaps and small gaps but increasing significantly in medium gaps. The soil bulk density decreased significantly compared with the control, and the surface soil reached the minimum in the medium gap. There were different plant species in forest gaps of different sizes, and shrub layer plants were more sensitive to gap size differences than herb layer plants. The plant diversity indices of the shrub layer increased significantly and showed a maximum under the medium gap. The plant diversity of the herb layer showed the opposite trend, and the Shannon-Wiener index, Simpson index and Pielou index were significantly lower than those of the control. RDA showed that different gap treatments had significant effects on the distribution of plants under the forest. Soil available potassium, soil moisture and soil bulk density affected the distribution and diversity of plants under the forest, serving as the limiting factors of plant growth. In forest management, if we strictly consider the improvement of plant diversity and soil physicochemical properties, these results suggest that a medium gap should be established in a plantation for natural restoration.

Balance Between Mechanical Stability and Mechano-Biology of Fracture Healing Under Volar Locking Plate.

The application of volar locking plate (VLP) is promising in the treatment of dorsally comminuted and displaced fracture. However, the optimal balance between the mechanical stability of VLP and the mechanobiology at the fracture site is still unclear. The purpose of this study is to develop numerical models in conjunction with experimental studies to identify the favourable mechanical microenvironment for indirect healing, by optimizing VLP configuration and post-operative loadings for different fracture geometries. The simulation results show that the mechanical behaviour of VLP is mainly governed by the axial compression. In addition, the model shows that, under relatively large gap size (i.e., 3-5 mm), the increase of FWL could enhance chondrocyte differentiation while a large BPD could compromise the mechanical stability of VLP. Importantly, bending moment produced by wrist flexion/extension and torsion moment produced from forearm rotation could potentially hinder endochondral ossification at early stage of healing. The developed model could potentially assist orthopaedic surgeons in surgical pre-planning and designing post-operation physical therapy for treatment of distal radius fractures.

Accuracy of total knee arthroplasty using the modified gap technique based on the bone gap: an evaluation of the bone gap with a distal femoral trial component.

BACKGROUND: In total knee arthroplasty (TKA) using the modified gap technique, the soft-tissue balance is measured after osteotomy of the distal femur and proximal tibia (conventional bone gap). However, after osteotomy, the flexion gap size during 90° knee flexion may be larger than that observed after implantation. The tension of the lateral compartment during 90° flexion may also be reduced after osteotomy of the distal femur. We manufactured a distal femoral trial component to reproduce the condition after implantation and prior to posterior condyle osteotomy. This study aimed to evaluate the effect of the trial component on the flexion gap. METHODS: This prospective study included 21 consecutive patients aged 78 years with medial osteoarthritis who underwent cruciate-retaining TKA between February 2017 and March 2018. The postoperative flexion gap size and inclination during 90° flexion were compared between cases with and without the trial component. RESULTS: The mean joint gap size with the trial component (13.4 ± 0.80 mm) was significantly smaller than that without the trial component (14.7 ± 0.84 mm). The mean gap inclination angle with the trial component (3.7° ± 0.62°) was significantly smaller than that without the trial component (5.5° ± 0.78°). CONCLUSIONS: In the present study, the joint gap size and medial tension were significantly reduced after the trial component had been set. Accurate measurement of the soft-tissue balance is an important factor in the modified gap technique, and this method using a distal femoral trial component can offer better outcomes than those achieved with conventional methods.

Retaining the medial collateral ligament in high tibial medial open-wedge osteotomy mostly results in post-operative intra-articular gap reduction.

PURPOSE: The current study aimed to evaluate how open-wedge high tibial osteotomy (OWHTO) without the release of medial collateral ligament (MCL) changes in vivo intra-articular joint space after the surgery. METHODS: Patients with varus malalignment of the knee with an indication for OWHTO were included in this study. The intra-articular gap was measured before and 30 min after OWHTO without MCL release using a series of calibrated nerve hooks. The association of post-operative gap size with varus angle, medial proximal tibial angle (MPTA), lateral distal femoral angle (LDFA) and joint line convergence angle (JLCA) was also assessed. RESULTS: A total of 42 knees from 38 patients were evaluated. The mean size of the intra-articular gap of the medial compartment was 5.2 ± 1 mm before the osteotomy and 3.1 ± 2.2 mm at 30 min post-osteotomy. The size of the intra-articular gap decreased post-operatively in 30 knees (71.5%), increased in eight knees (19%) and remained the same in the remaining four knees (9.5%). Smaller MPTA and more correction were associated with a decrease in gap size after the osteotomy (p = 0.01 and p = 0.03, respectively). A significant negative correlation was observed between the correction size and the gap size after osteotomy (r = - 0.317, p = 0.04). CONCLUSION: Intra-articular pressure of the medial compartment increases in the majority of cases following OWHTO without MCL release. Until the factors affecting this increased pressure are thoroughly identified, MCL release seems to be a wiser option during OWHTO. LEVEL OF EVIDENCE: III.

Comparison of platelet activation through hinge vs bulk flow in bileaflet mechanical heart valves.

Bileaflet mechanical heart valves (BMHVs) are prone to thromboembolic complications which are believed to be initiated by platelet activation. Platelets are activated by non-physiologic shear stresses in the bulk flow or the leakage/hinge flow, whose contributions has yet to be quantified. Here, the contribution of bulk and hinge flows to the activation of platelets in BMHVs is quantified for the first time by performing simulations of the flow through a BMHV and resolving the hinge by overset grids (one grid for the bulk flow and two for the hinge regions coupled together using one-way and two-way interpolation). It was found that two-way coupling is essential to obtain correct hinge flow features. The platelet activation through the hinge for two gap sizes (250 and 150 µm) is compared to the activation in the bulk flow using two platelet activation models to ensure the consistency of the observed trends. The larger gap has a higher total activation, but a better washout ability due to higher velocities. The maximum shear stress observed in the bulk flow (∼320dyne/cm2) is much smaller than the hinge (∼1000dyne/cm2). However, the total activation by the bulk flow is found to be several folds higher than by the hinge/leakage flow. This is mainly due to the higher flow rate of the bulk flow which exposes much more platelets to shear stress than the leakage flow.

The nature of the DNA substrate influences pre-catalytic conformational changes of DNA polymerase ß.

DNA polymerase ß (Pol ß) is essential for maintaining genomic integrity. During short-patch base excision repair (BER), Pol ß incorporates a nucleotide into a single-gapped DNA substrate. Pol ß may also function in long-patch BER, where the DNA substrate consists of larger gap sizes or 5'-modified downstream DNA. We have recently shown that Pol ß fills small gaps in DNA during microhomology-mediated end-joining as part of a process that increases genomic diversity. Our previous results with single-nucleotide gapped DNA show that Pol ß undergoes two pre-catalytic conformational changes upon binding to the correct nucleotide substrate. Here we use FRET to investigate nucleotide incorporation of Pol ß with various DNA substrates. The results show that increasing the gap size influences the fingers closing step by increasing its reverse rate. However, the 5'-phosphate group has a more significant effect. The absence of the 5'-phosphate decreases the DNA binding affinity of Pol ß and results in a conformationally more open binary complex. Moreover, upon addition of the correct nucleotide in the absence of 5'-phosphate, a slow fingers closing step is observed. Interestingly, either increasing the gap size or removing the 5'-phosphate group results in loss of the noncovalent step. Together, these results suggest that the character of the DNA substrate impacts the nature and rates of pre-catalytic conformational changes of Pol ß. Our results also indicate that conformational changes are important for the fidelity of DNA synthesis by Pol ß.

Gap edge attributes in Neotropical rainforest, Ecuador / Atributos de los bordes de los fragmentos en un bosque húmedo neotropical, en Ecuador

Abstract The application of gap dynamics theory appears to be a promising option for tropical forest management and conservation. In the present study of a tree species-rich and old-growth Ecuadorian Neotropical forest, we assessed the spatial distribution of gaps and gap size in relation to: i) tree number at the gap edge, ii) number of tree species at the gap edge, iii) number of tree species per stem at the gap edge, iv) species similarity, v) species evenness at the gap edge, vi) size differentiation at the gap edge, vii) gap isolation and viii) species mingling at the gap edge. Our results demonstrated that the spatial distribution of gaps was random. Various gap attributes were strongly associated with gap size. The number of tree species per stem at the gap edge was negatively correlated to the gap size. Gap sizes up to 50 m2were mostly sufficient to generate tree species-rich forest stands. Assuming that our results were representative for an old-growth neotropical rainforest in Ecuador, our study remarks the following management recommendations: 1) Rainforests have a very complex spatial and diversity structure and logging activities should preferably be omitted because of adverse effects. 2) If logging is inevitable, this should mimic a random choice of trees and tree species, to prevent special selection of tree dimension and species; and a random distribution of trees to be logged, to produce gaps smaller than 50 m2and never larger than 400 m2. Additionally, we suggest cutting not more than 5 % of the tree biomass per 10-20 years period, to preclude stronger alterations of ecosystem processes, and the reduction of existing dead wood from the ecosystem. Rev. Biol. Trop. 66(1): 149-163. Epub 2018 March 01.

Resumen Aplicar la teoría de la dinámica de parches parece ser una opción prometedora para el manejo y conservación de los bosques tropicales. En el presente estudio se analizó la distribución espacial y el tamaño de los parches en relación con: i) el número de árboles en el borde del parche, ii) el número de especies arbóreas en el parche iii) número de especies arbóreas por tronco en el borde del parche, iv) similitud de las especies, v) uniformidad de las especies en el borde del parche, vi) separación del tamaño en el borde del parche, vii) aislamiento del parche y viii) borde del parche. Nuestros resultados demostraron que la distribución espacial de los parches fue aleatoria. Varios atributos de la vegetación se asociaron fuertemente con el tamaño del parche. El número de especies de árboles por fuste en el borde del parche se correlacionó negativamente con el tamaño del parche. Asumiendo que, nuestros resultados fueron representativos de un bosque neotropical en el Ecuador, nuestro estudio respalda las siguientes recomendaciones: 1) Este tipo de bosque húmedo tiene una diversidad espacial y estructural muy compleja; por lo tanto, las actividades de explotación forestal deberían omitirse, ya que afectarán negativamente sus estructuras. 2) Si la tala es inevitable, entonces deberían imitarse las estructuras naturales descritas en este estudio. Es decir, i) una selección aleatoria de especies de árboles a cosechar, con el fin de evitar la selección específica por dimensiones del arbolado o por especies, ii) en la distribución aleatoria de árboles debe tomarse en cuenta que los parches sean menores a 50 m2y jamás mayores a 400 m2. Adicionalmente, se recomienda no cortar más del 5 % de la biomasa arbórea en cada período de corta de entre 10 a 20 años, para evitar alteraciones mayores en los procesos del ecosistema y la reducción de madera muerta existente en estos ecosistemas.

Are contemporary femoral components sizing and design likely to affect functional results in TKA? A mathematical model of an implanted knee to predict knee forces.

PURPOSE: This study is aimed to investigate the effects of the choice of femoral and tibial components on several mechanical outputs that might be associated with total knee replacement surgery outcomes using a validated computational model: the Kansas knee simulator. METHODS: Two models from the same range of implants were taken into account: Model 1, the femoral component fitted the femoral epiphysis, with physiological positioning of the articulating surface using a 10-mm-thick tibial component, and in Model 2, the femoral component was 4 mm smaller than in Model 1, and a 14-mm-thick tibial component was used with a similar tibial resection and the tibio-femoral joint line was 4 mm more proximal to compensate the increased posterior bone resection and maintain proper soft-tissue tension in flexion. Changes in reaction forces and contact pressures between the components, changes in extensor muscle forces and changes in patello-femoral joint kinematics during walking gait have been studied. RESULTS: While the computational model predicted that most kinematic and kinetic outputs, including tibio-femoral and patello-femoral joint motions, contact forces, pressures and areas, were similar for Model 1 and Model 2, and a dramatic difference has been found in the extensor muscle forces necessary to flex and extend the knee. To reproduce the same knee motion with a knee reconstructed as in Model 2, a patient would need to generate approximately 40% greater extensor muscle force throughout the gait cycle in order to do so. CONCLUSION: As a consequence of such a large increase in the extensor muscle force, the knee motions would probably be compromised and, subsequently, a patient with a knee reconstructed as in Model 2 would be less likely to be able to reproduce normal knee function and therefore more likely to report poor outcome.

[Effects of forest gap size on the growth and form quality of Taxus wallichina var. mairei in Cunninghamia lanceolata forests]. / æž—çª—å¤§å°å¯¹æ‰æœ¨æž—å† å—æ–¹çº¢è±†æ‰ç”Ÿé•¿ä¸Žå½¢è´¨çš„å½±å“.

In order to clarify the effects of forest gap size on the growth and stem form quality of Taxus wallichina var. mairei and effectiveness of the precious timbers cultivation, 25 sample plots in Cunninghamia lanceolata forest gaps were established in Mingxi County, Fujian Province, China to determine the indices of the growth, stem form and branching indices of T. wallichina var. mairei seedlings. The relationships between the gap size and growth, stem form and branching were investigated. The 25 sample plots were located at five microhabitats which were classified based on gap size as follows: Class1, 2, 3, 4 and 5, which had a gap size of 25-50 m2, 50-75 m2, 75-100 m2, 100-125 m2 and 125-150 m2, respectively. The evaluation index system of precious timbers was built by using hierarchical analysis. The 5 classes of forest gaps were evaluated comprehensively by using the multiobjective decision making method. The results showed that gap size significantly affected 11 indices, i.e., height, DBH, crown width, forking rate, stem straightness, stem fullness, taperingness, diameter height ratio, height under living branch, interval between branches, and max-branch base diameter. Class1and 2 both significantly promoted the growth of height, DBH and crown width, and both significantly inhibited forking rate and taperingness, and improved stem straightness. Class2 significantly improved stem fullness and diameter height ratio. Class1and 2 significantly improved height under living branch and reduced max-branch base diameter. Class 1 significantly increased interval between branches. Class1and2 significantly improved the comprehensive evaluation score of precious timbers. This study suggested that controlled cutting intensity could be used to create forest gaps of 25-75 m2, which improved the precious timber cultivating process of T. wallichina var. mairei in C. lanceolata forests.

Retrieving Leaf Area Index (LAI) Using Remote Sensing: Theories, Methods and Sensors.

The ability to accurately and rapidly acquire leaf area index (LAI) is an indispensable component of process-based ecological research facilitating the understanding of gas-vegetation exchange phenomenon at an array of spatial scales from the leaf to the landscape. However, LAI is difficult to directly acquire for large spatial extents due to its time consuming and work intensive nature. Such efforts have been significantly improved by the emergence of optical and active remote sensing techniques. This paper reviews the definitions and theories of LAI measurement with respect to direct and indirect methods. Then, the methodologies for LAI retrieval with regard to the characteristics of a range of remotely sensed datasets are discussed. Remote sensing indirect methods are subdivided into two categories of passive and active remote sensing, which are further categorized as terrestrial, aerial and satellite-born platforms. Due to a wide variety in spatial resolution of remotely sensed data and the requirements of ecological modeling, the scaling issue of LAI is discussed and special consideration is given to extrapolation of measurement to landscape and regional levels.

Nasoendoscopy of velopharynx before and during diagnostic therapy

Nasoendoscopy is an important tool for assessing velopharyngeal function. The purpose of this study was to analyze velar and pharyngeal wall movement and velopharyngeal gap during nasoendoscopic evaluation of the velopharynx before and during diagnostic therapy. Nasoendoscopic recordings of 10 children with operated cleft lip and palate were analyzed according to the International Working Group Guidelines. Ratings of movement of velum and pharyngeal walls, and size, location and shape of gaps were analyzed by 3 speech-language pathologists (SLPs). Imaging was obtained during repetitions of the syllable /pa/ during a single nasoendoscopic evaluation: (a) before diagnostic therapy, and (b) after the children were instructed to impound and increase intraoral air pressure (diagnostic therapy). Once the patients impounded and directed air pressure orally, the displacement of the velum, right, left and posterior pharyngeal walls increased 40, 70, 80, and 10%, respectively. Statistical significance for displacement was found only for right and left lateral pharyngeal walls. Reduction in gap size was observed for 30% of the patients and other 40% of the gaps disappeared. Changes in gap size were found to be statistically significant between the two conditions. In nasoendoscopic assessment, the full potential of velopharyngeal displacement may not be completely elicited when the patient is asked only to repeat a speech stimulus. Optimization of information can be done with the use of diagnostic therapy’s strategies to manipulate VP function. Assuring the participation of the SLP to conduct diagnostic therapy is essential for management of velopharyngeal dysfunction.