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https://www.readbyqxmd.com/read/29784620/comparison-of-the-efficacy-of-vocal-training-and-vocal-microsurgery-in-patients-with-early-vocal-fold-polyp
#1
Hanqing Wang, Pan Zhuge, Huihua You, Yulan Zhang, Zhifeng Zhang
INTRODUCTION: Vocal fold polyp is a benign proliferative disease in the superficial lamina propria of the vocal fold, and vocal microsurgery can improve the voice quality of patients with vocal fold polyp. In preliminary studies, we found that vocal training could improve the vocal quality of patients with early vocal fold polyp. OBJECTIVE: This study aimed to compare the efficacies of vocal training and vocal microsurgery in patients with early vocal fold polyp...
May 9, 2018: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29777898/a-survey-of-health-professionals-views-on-acceptable-gestational-age-and-termination-of-pregnancy-for-fetal-anomaly
#2
Lisa Crowe, Ruth H Graham, Stephen C Robson, Judith Rankin
Termination of pregnancy for fetal anomaly is legal in the UK with no upper limit, if two doctors, in good faith, agree "there is a substantial risk that if the child were born it would suffer from such physical or mental abnormalities as to be seriously handicapped". This is Clause E of the Human Fertlisation and Embryology Act. The most commonly sighted Clause is C, which states "the pregnancy has not exceeded its twenty-fourth week and that the continuance of the pregnancy would involve risk, greater than if the pregnancy were terminated, of injury to the physical or mental health of the pregnant woman"...
May 16, 2018: European Journal of Medical Genetics
https://www.readbyqxmd.com/read/29773324/comparison-of-pitch-strength-with-perceptual-and-other-acoustic-metric-outcome-measures-following-medialization-laryngoplasty
#3
Adam D Rubin, Cristina Jackson-Menaldi, Lisa M Kopf, Katherine Marks, Jean Skeffington, Mark D Skowronski, Rahul Shrivastav, Eric J Hunter
INTRODUCTION: The diagnoses of voice disorders, as well as treatment outcomes, are often tracked using visual (eg, stroboscopic images), auditory (eg, perceptual ratings), objective (eg, from acoustic or aerodynamic signals), and patient report (eg, Voice Handicap Index and Voice-Related Quality of Life) measures. However, many of these measures are known to have low to moderate sensitivity and specificity for detecting changes in vocal characteristics, including vocal quality. OBJECTIVE: The objective of this study was to compare changes in estimated pitch strength (PS) with other conventionally used acoustic measures based on the cepstral peak prominence (smoothed cepstral peak prominence, cepstral spectral index of dysphonia, and acoustic voice quality index), and clinical judgments of voice quality (GRBAS [grade, roughness, breathiness, asthenia, strain] scale) following laryngeal framework surgery...
May 14, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29770572/intralesional-steroid-injection-as-an-alternative-treatment-for-57-patients-of-vocal-fold-mucus-retention-cysts
#4
Po-Hsuan Wu, Po-Wen Cheng, Feng-Chuan Lin, Chi-Te Wang
This study intends to validate the effectiveness of vocal fold steroid injection (VFSI) for mucus retention cysts (MRCs) by comparing the treatment outcome with a control group and investigate the risk factors for recurrence. This study recruited 57 patients with vocal fold MRCs treated with in-office VFSI between January 2014 and December 2016. Another 24 patients with MRCs receiving only conservative treatment during the same study period were included as the control group. Treatment outcomes comparison of the 22 age- and sex- matched patients between the VFSI and control groups demonstrated significantly better improvements among the patients receiving VFSI in maximal phonation, perceptual voice quality, and 10-item voice handicap index...
May 16, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29765565/the-rediscovery-of-the-social-side-of-medicine-philosophy-and-value-of-the-international-classification-of-functioning-disability-and-health-icf
#5
EDITORIAL
Wolfgang Seger
Medicine is at risk of sliding into a sole repair service for the malfunction of organs. But the patients' hope and confidence towards doctors practicing this repair work go far beyond that: after acute medical treatment many patients suffer from chronic impairments due to the natural course of the disease or as a result of medical interventions. Despite resulting handicaps, patients aim at participating in family and social life, retaining a workplace and receiving support to remain a valued member of the family and the community...
March 2018: Electronic Physician
https://www.readbyqxmd.com/read/29764271/effect-of-intratympanic-steroid-injection-in-light-cupula
#6
Jin Su Park, So Yean Kim, Min-Beom Kim
OBJECTIVE: To evaluate the effects of intratympanic steroid injection (ITS) in light cupula. METHODS: A total of 47 patients showing persistent geotropic direction-changing positional nystagmus with null point (light cupula) were randomly classified into three groups: ITS (n = 15), vestibular suppressant (VS, n = 16) and canalith repositioning procedure (CRP, n = 16). Positional nystagmus and dizziness severity by dizziness handicap inventory (DHI) and visual analogue scale (VAS) were conducted before and 3 d and 1 week after first treatment to compare the effect of each treatment...
May 15, 2018: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29760878/chiropractic-treatment-including-instrument-assisted-manipulation-for-non-specific-dizziness-and-neck-pain-in-community-dwelling-older-people-a-feasibility-randomised-sham-controlled-trial
#7
Julie C Kendall, Simon D French, Jan Hartvigsen, Michael F Azari
Background: Dizziness in older people is a risk factor for falls. Neck pain is associated with dizziness and responds favourably to neck manipulation. However, it is unknown if chiropractic intervention including instrument-assisted manipulation of the neck in older people with neck pain can also improve dizziness. Methods: This parallel two-arm pilot trial was conducted in Melbourne, Australia over nine months (October 2015 to June 2016). Participants aged 65-85 years, with self-reported chronic neck pain and dizziness, were recruited from the general public through advertisements in local community newspapers and via Facebook...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29756480/tracheoesophageal-prosthesis-use-is-associated-with-improved-overall-quality-of-life-in-veterans-with-laryngeal-cancer
#8
Ramya S Patel, Tiffany Mohr, Christine Hartman, Carol Stach, Andrew G Sikora, Jose P Zevallos, Vlad C Sandulache
OBJECTIVES: Veterans have an increased risk of laryngeal cancer, yet their oncologic and functional outcomes remain understudied. We sought to determine the longitudinal impact of tracheoesophageal puncture and voice prosthesis on quality-of-life measures in veterans following total laryngectomy (TL). METHODS: We performed a cross-sectional analysis of TL patients (n = 68) treated at the Michael E. DeBakey Veterans Affairs Medical Center using the Voice Handicap Index (VHI), MD Anderson Dysphagia Index (MDADI), and University of Washington Quality of Life Index (UW-QOL)...
May 1, 2018: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/29754713/endoscopic-partial-arytenoidectomy-for-bilateral-vocal-fold-paralysis-medially-based-mucosal-flap-technique
#9
Taner Yılmaz
PURPOSE: Endoscopic partial arytenoidectomy (EPA) is one of the static operations for treatment of bilateral vocal fold paralysis (BVFP). Improvement in airway may cause voice loss and aspiration. The author reports his experience on EPA using medially based mucosal flap to enlarge posterior glottis without removing any part of membranous vocal fold. MATERIALS AND METHODS: Sixty-four consecutive patients with BVFP underwent EPA. Pre- and postoperative evaluations included Voice Handicap Index-30, aerodynamic and acoustic analysis, flow volume loops, perceptual evaluation of pre- and postoperative voice using grade, roughness, breathiness, asthenia, strain (GRBAS) scale, speech intensity, breathing ability evaluation, and functional outcome swallowing scale...
May 10, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29753329/a-37-year-old-nigerian-woman-with-apert-syndrome-medical-and-psychosocial-perspectives-a-case-report
#10
M A Kana, T S Baduku, H Bello-Manga, A S Baduku
BACKGROUND: Apert syndrome is a rare genetic disease that presents a diagnostic dilemma because of its similarity with other craniosynostosis syndromes. Currently, there is paucity of reports about adult patients in African medical literature. Therefore, this case report highlights medical and psychosocial problems associated with the disease in an adult woman who is resident in a resource-constrained setting. CASE PRESENTATION: Our patient is a 37-year-old African woman...
May 13, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29748027/the-effect-of-smoking-on-the-fundamental-frequency-of-the-speaking-voice
#11
Marie Reine Ayoub, Pauline Larrouy-Maestri, Dominique Morsomme
OBJECTIVE: Little is known about the impact of smoking on voice acoustics. Some studies have found that tobacco affects the fundamental frequency of the voice, whereas others have not. This study aimed to overcome the major methodological limitations observed in previous studies by strictly controlling several variables that could clarify the effect of smoking on the speaking voice. METHODS: Lebanese men were chosen for this study. Thirty nonsmokers, 30 cigarette smokers, and 30 water-pipe smokers were matched on the basis of age, height, and weight...
May 7, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29747962/comparison-of-vemps-vhit-and-caloric-test-outcomes-after-vestibular-neurectomy-in-meni%C3%A3-re-s-disease
#12
Andrea Canale, Federico Caranzano, Michele Lanotte, Alessandro Ducati, Francesco Calamo, Andrea Albera, Michelangelo Lacilla, Marco Boldreghini, Sergio Lucisano, Roberto Albera
OBJECTIVE: Selective unilateral vestibular neurectomy (VN) is considered a reliable surgical treatment in case of recurrent vertigo in Menière's disease (MD) because of hearing preservation and a minimally invasive posterior fossa retrosigmoid approach. The present study aimed to assess the quality of life and the long-term vestibular function in patients submitted to yearly follow-up after VN because of intractable MD. METHODS: Retrospective series of 15 MD patients undergoing retrosigmoid VN for recurrent vertigo...
May 7, 2018: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29747086/is-lp-a-ready-for-prime-time-use-in-the-clinic-a-pros-and-cons-debate
#13
REVIEW
Karam M Kostner, Gert M Kostner, Anthony S Wierzbicki
Lipoprotein (a) (Lp(a)) is a cholesterol-rich lipoprotein known since 1963. In spite of extensive research on Lp(a), there are still numerous gaps in our knowledge relating to its function, biosynthesis and catabolism. One reason for this might be that apo(a), the characteristic glycoprotein of Lp(a), is expressed only in primates. Results from experiments using transgenic animals therefore may need verification in humans. Studies on Lp(a) are also handicapped by the great number of isoforms of apo(a) and the heterogeneity of apo(a)-containing fractions in plasma...
April 30, 2018: Atherosclerosis
https://www.readbyqxmd.com/read/29743556/no-evidence-for-the-immunocompetence-handicap-hypothesis-in-male-humans
#14
Judyta Nowak, Bogusław Pawłowski, Barbara Borkowska, Daria Augustyniak, Zuzanna Drulis-Kawa
The observations that testosterone might be immunosuppressive, form the basis for the immunocompetence handicap hypothesis (ICHH). According to ICHH only high-quality individuals can maintain high levels of testosterone and afford the physiological cost of hormone-derived immunosuppression. The animal and human studies that attempted to support the ICHH by precisely defined impairment of immunity associated with high testosterone levels are inconclusive. Furthermore, human studies have used only selected immune functions and varying testosterone fractions...
May 9, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29741680/j%C3%A3-rg-neuzner-md-where-determination-overcomes-handicap
#15
Thomas Dietze
No abstract text is available yet for this article.
May 7, 2018: European Heart Journal
https://www.readbyqxmd.com/read/29740194/opinions-of-israeli-neonatologists-about-life-and-death-decisions-in-neonates
#16
Moshe Y Kasirer, Francis B Mimouni, Alona Bin-Nun, Michael S Schimmel
BACKGROUND: In 2005, the Israeli parliament passed the "law of dying patients" legalizing life and death decisions (do not resuscitate) in patients with life expectancy less than 6 months. OBJECTIVE: To determine whether ethnic and religious backgrounds (both religion and religiosity) influence neonatologists' attitudes in simulated clinical situations and opinions about the new law. DESIGN/METHODS: Prospective design, using standard questionnaire sent to all 155 board-certified practising Israeli Neonatologists...
May 8, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29738389/endolymphatic-sac-decompression-with-intra-sac-dexamethasone-injection-in-meni%C3%A3-re-s-disease
#17
Dennis I Bojrab, Michael J LaRouere, Dennis I Bojrab, Seilesh C Babu, Eric W Sargent, Eleanor Y Chan, Robert S Hong
OBJECTIVE: Endolymphatic sac decompression surgery (ELSD) may be used to treat patients who have Menière's 's disease refractory to medical therapy. In this study, we investigated whether or not the injection of steroid into the endolymphatic sac at the time of ELSD provides additional benefit to patient outcomes. STUDY DESIGN: Randomized prospective single-blinded placebo-controlled study. SETTING: Tertiary center. PATIENTS: Patients with Menière's disease with poorly controlled vertigo despite medical therapy and serviceable hearing that were offered ELSD...
June 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29731379/adaptation-and-validation-of-the-kannada-singing-voice-handicap-index-10
#18
Dhanshree R Gunjawate, Venkataraja Aithal U, Rajashekhar Bellur
OBJECTIVE: The aim of the present study was to adapt and validate the English version of the Singing Voice Handicap Index-10 (SVHI-10) into Kannada language. STUDY DESIGN: Cross-sectional Comparitive study design. METHODS: The English version of SVHI-10 was translated into Kannada using standard procedure. A total of 115 singers participated in the study, including 90 singers with no voice problems (control group) and 25 singers with voice problems...
May 3, 2018: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29730784/voice-quality-preservation-in-thyroid-surgery-with-neuromonitoring
#19
Beata Wojtczak, Krzysztof Sutkowski, Krzysztof Kaliszewski, Zdzisław Forkasiewicz, Bartłomiej Knychalski, Michał Aporowicz, Marek Bolanowski, Marcin Barczyński
PURPOSE: Voice problems are common after thyroidectomy. The aim of this study was to assess the voice related quality of life after thyroidectomy with neuromonitoring. The sociodemographic and treatment factors influencing the quality of voice after the operation were investigated. METHODS: A total of 40 patients after thyroidectomy with neuromonitoring were enrolled into the study. The voice outcome was analyzed pre and postoperatively by two validated self-assessment questionnaires: Voice Handicap Index and Voice-Related Quality of Life survey...
May 5, 2018: Endocrine
https://www.readbyqxmd.com/read/29730506/the-severity-of-the-visual-impairment-and-practice-matter-for-drawing-ability-in-children
#20
Annie Vinter, Patrick Bonin, Pascal Morgan
BACKGROUND AND AIMS: Astonishing drawing capacities have been reported in children with early visual impairments. However, most of the evidence relies on single case studies. Hitherto, no study has systematically jointly investigated, in these children, the role of (1) the severity of the visual handicap, (2) age and (3) practice in drawing. The study aimed at revealing the specificities of the drawing in children deprived from vision, as compared to children with less severe visual handicap and to sighted children performing under haptic or usual visual control...
May 3, 2018: Research in Developmental Disabilities
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