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https://www.readbyqxmd.com/read/29231951/phonomicrosurgery-in-vocal-fold-nodules-quantification-of-outcomes-in-professional-and-non-professional-voice-users
#1
Philipp P Caffier, Tatjana Salmen, Tatiana Ermakova, Eleanor Forbes, Seo-Rin Ko, Wen Song, Manfred Gross, Tadeus Nawka
There are few data demonstrating the specific extent to which surgical intervention for vocal fold nodules (VFN) improves vocal function in professional (PVU) and non-professional voice users (NVU). The objective of this study was to compare and quantify results after phonomicrosurgery for VFN in these patient groups. METHODS: In a prospective clinical study, surgery was performed via microlaryngoscopy in 37 female patients with chronic VFN manifestations (38±12 yrs, mean±SD). Pre- and postoperative evaluations of treatment efficacy comprised videolaryngostroboscopy, auditory-perceptual voice assessment, voice range profile (VRP), acoustic-aerodynamic analysis, and voice handicap index (VHI-9i)...
December 2017: Medical Problems of Performing Artists
https://www.readbyqxmd.com/read/29231090/esophageal-dysmotility-in-patients-following-total-laryngectomy
#2
Teng Zhang, Julia Maclean, Michal Szczesniak, Paul P Bertrand, Harry Quon, Raymond K Tsang, Peter I Wu, Peter Graham, Ian J Cook
Objectives Dysphagia is common in total laryngectomees, with some symptoms suggesting esophageal dysmotility. Tracheoesophageal (TE) phonation requires effective esophagopharyngeal air passage. Hence, esophageal dysmotility may affect deglutition or TE phonation. This study aimed to determine (1) the characteristics of esophageal dysmotility in laryngectomees, (2) whether clinical history is sensitive in detecting esophageal dysmotility, and (3) the relationship between esophageal dysmotility and TE prosthesis dysfunction...
November 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29231041/using-trial-vocal-fold-injection-to-select-vocal-fold-scar-patients-who-may-benefit-from-more-durable-augmentation
#3
Thomas L Carroll, Aaron Dezube, Laura A Bauman, Pavan S Mallur
OBJECTIVES: Clinical indications for vocal fold injection augmentation (VFI) are expanding. Prior studies demonstrate the benefit of trial VFI for select causes of glottic insufficiency. No studies have examined trial VFI for glottic insufficiency resulting from true vocal fold (TVF) scar. METHODS: Retrospective chart review of patients who underwent trial VFI for a dominant pathology of TVF scar causing dysphonia. Patients who subsequently underwent durable augmentation were identified...
December 1, 2017: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/29228111/obligatory-and-facultative-brain-regions-for-voice-identity-recognition
#4
Claudia Roswandowitz, Claudia Kappes, Hellmuth Obrig, Katharina von Kriegstein
Recognizing the identity of others by their voice is an important skill for social interactions. To date, it remains controversial which parts of the brain are critical structures for this skill. Based on neuroimaging findings, standard models of person-identity recognition suggest that the right temporal lobe is the hub for voice-identity recognition. Neuropsychological case studies, however, reported selective deficits of voice-identity recognition in patients predominantly with right inferior parietal lobe lesions...
December 8, 2017: Brain: a Journal of Neurology
https://www.readbyqxmd.com/read/29221450/peer-feedback-for-examiner-quality-assurance-on-mrcgp-international-south-asia-a-mixed-methods-study
#5
D P Perera, Marie Andrades, Val Wass
BACKGROUND: The International Membership Examination (MRCGP[INT]) of the Royal College of General Practitioners UK is a unique collaboration between four South Asian countries with diverse cultures, epidemiology, clinical facilities and resources. In this setting good quality assurance is imperative to achieve acceptable standards of inter rater reliability. This study aims to explore the process of peer feedback for examiner quality assurance with regard to factors affecting the implementation and acceptance of the method...
December 8, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29219184/minimal-clinically-important-difference-of-voice-handicap-index-10-in-vocal-fold-paralysis
#6
VyVy N Young, Kwonho Jeong, Scott D Rothenberger, Amanda I Gillespie, Libby J Smith, Jackie L Gartner-Schmidt, Clark A Rosen
OBJECTIVES/HYPOTHESIS: The Voice Handicap Index-10 (VHI-10) is commonly used to measure patients' perception of vocal handicap. Clinical consensus has previously defined clinically meaningful improvement as a decrease ≥5. This study determines the minimal clinically important difference (MCID) for VHI-10 in patients with unilateral vocal fold paralysis (UVFP) using anchor-based methodology. STUDY DESIGN: Prospective cohort questionnaire analysis. METHODS: Two hundred eighty-one UVFP patients completed the VHI-10 on two consecutive visits (within 3 months)...
December 8, 2017: Laryngoscope
https://www.readbyqxmd.com/read/29217389/competencies-for-engaging-high-needs-patients-in-primary-care
#7
Michael J Yedidia
BACKGROUND: Patients who heavily utilize hospitals and emergency departments frequently have complex needs requiring services spanning medical, behavioral, and social service sectors. This study identifies essential competencies for caring for high-needs patients and highlights their importance to primary care delivery. METHODS: Transcripts of in-depth interviews with 30 clinical and administrative staff at 23 complex care programs across the United States were analyzed using standard qualitative techniques...
December 4, 2017: Healthcare
https://www.readbyqxmd.com/read/29209730/enhanced-identification-of-long-versus-short-voice-onset-time-consonant-vowel-syllables-in-a-dichotic-listening-task
#8
Deborah Moncrieff, Lauren Dubyne
Purpose: This study investigated the influence of voice onset time (VOT) on the perception of consonant-vowel (CV) signals during a dichotic listening (DL) task. Method: Sixty-two young adults with normal hearing were tested with the English language version of the Hugdahl Dichotic CV (DCV) Test. They were asked to identify 1 CV syllable during 3 DL conditions: free recall (report the syllable heard most clearly), forced right (report the syllable in the right ear), and forced left (report the syllable in the left ear)...
December 6, 2017: American Journal of Audiology
https://www.readbyqxmd.com/read/29209424/severe-copd-and-the-transition-to-a-palliative-approach
#9
Amanda Landers, Rachel Wiseman, Suzanne Pitama, Lutz Beckert
Patients with severe chronic obstructive pulmonary disease (COPD) have a chaotic trajectory towards death. Research has focused on identifying a "transition point" that would allow identification of those patients who may benefit from a palliative approach to their care, or referral to a specialist palliative care service. This article aims to outline difficulties in identifying this transition point, summarise current literature on this topic and suggests a model based on clinical milestones. Educational aims: To outline the difficulties associated with identifying patients with severe COPD who are at risk of dying...
December 2017: Breathe
https://www.readbyqxmd.com/read/29208920/a-feasibility-study-on-non-invasive-oxidative-metabolism-detection-and-acoustic-assessment-of-human-vocal-cords-by-using-optical-technique
#10
Tzu-Chieh Lin, Jung-Chih Chen, Chih-Hsien Liu, Chia-Yen Lee, Yung-An Tsou, Ching-Cheng Chuang
Voice disorder such as vocal fatigue is a common and complex multifaceted clinical problem that presents a significant impact on quality of life. In this study, the functional near-infrared diffuse optical technique (fNIRS-DOT) was proposed as a novel approach for human vocal cords oxidative metabolism detection and acoustic assessment simultaneously to provide a multidimensional assessment of voice disorder. A totally of 60 healthy subjects included 30 male and 30 female adults of age-matched were recruited and performed a vocal loading task to trigger a mild inflammation of the vocal cords in this study...
December 5, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29205433/faculty-feedback-that-begins-with-resident-self-assessment-motivation-is-the-key-to-success
#11
Alex Moroz, Margaret Horlick, Neil Mandalaywala, David T Stern
CONTEXT: The seeking and incorporating of feedback are necessary for continuous performance improvement in medicine. We know that beginning feedback conversations with resident self-assessment may reduce some of the tensions experienced by faculty staff. However, we do not fully understand how residents experience feedback that begins with self-assessment, and whether any existing theoretical frameworks can explain their experiences. METHODS: We conducted a constructivist grounded theory study exploring physical medicine and rehabilitation residents' experiences as they engaged in a structured self-assessment and faculty staff feedback programme...
December 4, 2017: Medical Education
https://www.readbyqxmd.com/read/29202885/the-command-trial-of-cognitive-therapy-to-prevent-harmful-compliance-with-command-hallucinations-predictors-of-outcome-and-mediators-of-change
#12
Max Birchwood, Graham Dunn, Alan Meaden, Nicholas Tarrier, Shon Lewis, Til Wykes, Linda Davies, Maria Michail, Emmanuelle Peters
BACKGROUND: Acting on harmful command hallucinations is a major clinical concern. Our COMMAND CBT trial approximately halved the rate of harmful compliance (OR = 0.45, 95% CI 0.23-0.88, p = 0.021). The focus of the therapy was a single mechanism, the power dimension of voice appraisal, was also significantly reduced. We hypothesised that voice power differential (between voice and voice hearer) was the mediator of the treatment effect. METHODS: The trial sample (n = 197) was used...
December 5, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/29202773/process-evaluation-of-the-systematic-medical-appraisal-referral-and-treatment-smart-mental-health-project-in-rural-india
#13
Abha Tewari, Sudha Kallakuri, Siddhardha Devarapalli, Vivekanand Jha, Anushka Patel, Pallab K Maulik
BACKGROUND: Availability of basic mental health services is limited in rural areas of India. Health system and individual level factors such as lack of mental health professionals and infrastructure, poor awareness about mental health, stigma related to help seeking, are responsible for poor awareness and use of mental health services. We implemented a mental health services delivery model that leveraged technology and task sharing to facilitate identification and treatment of common mental disorders (CMDs) such as stress, depression, anxiety and suicide risk in rural areas of the state of Andhra Pradesh, India...
December 4, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/29202549/clonidine-sedation-effects-in-children-during-electroencephalography
#14
Mohammad Barzegar, Reza Piri, Mohammad Naghavi-Behzad, Masoumeh Ghasempour
It is very important to have proper management in children with Seizure. Electroencephalography (EEG) as a diagnostic instrument has a key role in determining the management method of seizure in children. Because of poor cooperation of some children (especially children with attention deficit hyperactivity disorders and developmental disorders) in performing EEG, it is the best choice to sedate children before EEG. The aim of present study is to evaluate the sedation efficacy of clonidine in children before EEG...
September 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/29201421/process-evaluation-of-a-mobile-phone-based-intervention-to-support-post-abortion-contraception-in-cambodia
#15
Chris Smith, Sokhey Ly, Vannak Uk, Ruby Warnock, Phil Edwards, Caroline Free
Background: The MObile Technology for Improved Family Planning (MOTIF) trial assessed a mobile phone-based intervention comprising voice messages and counsellor support to increase post-abortion contraception at four Marie Stopes International clinics in Cambodia. The aim of this process evaluation was to assess participants' interaction with the intervention from a service provider perspective. Methods: (1) We conducted a descriptive analysis to assess participants' interaction with the intervention...
2017: Contraception and Reproductive Medicine
https://www.readbyqxmd.com/read/29193301/exposure-to-human-voices-has-beneficial-effects-on-preterm-infants-in-the-neonatal-intensive-care-unit
#16
REVIEW
S Saliba, R Esseily, M Filippa, P Kuhn, M Gratier
We reviewed the literature up to March 2016 on the effects of non-maternal voices on preterm infants' clinical outcomes. Of the 11 studies that met the inclusion criteria, 10 focused on short-term outcomes and one looked at long-term effects. The studies mainly showed that vocal stimuli increased preterm infants' stability in terms of heart rate, respiratory rate, oxygen saturation and behavioural measures. Improvements in feeding skills were also reported. The methods and the measures used in the studies were heterogeneous, making it difficult to draw reliable conclusions...
November 28, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/29184521/getting-better-acquainted-with-auditory-voice-hallucinations-avhs-a-need-for-clinical-and-social-change
#17
Antonio Iudici, Elena Faccio, Maria Quarato, Jessica Neri, Gianluca Castelnuovo
No abstract text is available yet for this article.
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/29184488/brain-maturation-cognition-and-voice-pattern-in-a-gender-dysphoria-case-under-pubertal-suppression
#18
Maiko A Schneider, Poli M Spritzer, Bianca Machado Borba Soll, Anna M V Fontanari, Marina Carneiro, Fernanda Tovar-Moll, Angelo B Costa, Dhiordan C da Silva, Karine Schwarz, Maurício Anes, Silza Tramontina, Maria I R Lobato
Introduction: Gender dysphoria (GD) (DMS-5) is a condition marked by increasing psychological suffering that accompanies the incongruence between one's experienced or expressed gender and one's assigned gender. Manifestation of GD can be seen early on during childhood and adolescence. During this period, the development of undesirable sexual characteristics marks an acute suffering of being opposite to the sex of birth. Pubertal suppression with gonadotropin releasing hormone analogs (GnRHa) has been proposed for these individuals as a reversible treatment for postponing the pubertal development and attenuating psychological suffering...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/29175276/avatar-therapy-for-auditory-verbal-hallucinations-in-people-with-psychosis-a-single-blind-randomised-controlled-trial
#19
Tom Kj Craig, Mar Rus-Calafell, Thomas Ward, Julian P Leff, Mark Huckvale, Elizabeth Howarth, Richard Emsley, Philippa A Garety
BACKGROUND: A quarter of people with psychotic conditions experience persistent auditory verbal hallucinations, despite treatment. AVATAR therapy is a new approach in which people who hear voices have a dialogue with a digital representation (avatar) of their presumed persecutor, voiced by the therapist so that the avatar responds by becoming less hostile and concedes power over the course of therapy. We aimed to investigate the effect of AVATAR therapy on auditory verbal hallucinations, compared with a supportive counselling control condition...
November 23, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/29173211/associations-between-trauma-dissociation-adult-attachment-and-proneness-to-hallucinations
#20
Katherine Berry, Paul Fleming, Samantha Wong, Sandra Bucci
BACKGROUND: Childhood adversity, dissociation and adult attachment have all been implicated in the development of hallucinations or 'voice-hearing'. Testing psychological models in relation to subclinical phenomena, such as proneness to hallucinations in non-clinical samples, provides a convenient methodology to develop understanding of the processes and mechanisms underlying clinical symptoms. AIMS: This paper investigates the relative contribution of childhood adversity, dissociation and adult attachment in explaining hallucination proneness in a non-clinical sample...
November 27, 2017: Behavioural and Cognitive Psychotherapy
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