This document discusses voice therapy for the management of benign voice disorders. It summarizes a study of 30 patients who underwent voice therapy with or without surgical procedures for conditions like vocal nodules, polyps, muscle tension dysphonia, sulcus vocalis, and others. Pre-therapy and post-therapy comparisons found improvements in voice quality ratings, patient quality of life measures, and laryngeal images. Voice therapy techniques discussed include vocal hygiene, exercises, massage, and various approaches. The study found voice therapy to be an effective non-surgical treatment for many benign voice disorders and helps prevent recurrence when used with surgery.
Voice therapy to treat voice disorders, basics , different techniques, methods advantages and disadvantages, where and what method to choose? otorhinolaryngology ent
Auditory brainstem response (ABR)
Approximately 1 of every 1000 children is born deaf. Many more are born with less severe degrees of hearing impairment, while others may acquire hearing loss during early childhood.
combination of technological advances in ABR and otoacoustic emissions (OAE) testing methods are used for evaluation of hearing in newborns.
Voice therapy to treat voice disorders, basics , different techniques, methods advantages and disadvantages, where and what method to choose? otorhinolaryngology ent
Auditory brainstem response (ABR)
Approximately 1 of every 1000 children is born deaf. Many more are born with less severe degrees of hearing impairment, while others may acquire hearing loss during early childhood.
combination of technological advances in ABR and otoacoustic emissions (OAE) testing methods are used for evaluation of hearing in newborns.
Assessment of voice in professional voice usersSoorya Sunil
The assessment of voice in professional voice users is different considering the fact that they have unique vocal needs.This is a brief introduction outlining how assessment of voice should be done.
Assessment of voice in professional voice usersSoorya Sunil
The assessment of voice in professional voice users is different considering the fact that they have unique vocal needs.This is a brief introduction outlining how assessment of voice should be done.
Angelo Consiglio, MD, has distinguished himself as a privately practicing ear, nose, and throat physician. Dr. Angelo Consiglio draws on formal training in numerous aspects of otolaryngology care, including care of the voice and vocal folds.
HOW TO BROACH A MUSCLE TENSION DYSPHONIA CASE
Sachender Pal Singh (PGT), Aakanksha Rathor (PGT), Smrity Rupa Borah Dutta
ABSTRACT
Muscle Tension Dysphonia (MTD) is a condition where excessive muscular tension or
muscle misuse is associated with phonation. It has multifactorial etiologies. It can be a
primary or secondary Muscle Tension Dysphonia. While it can affect anyone, sufferers
usually belong to a particular group. It has very serious impact on sufferer's personal, social
& professional life. We are presenting here, our 1 year prospective study done in the
department of Otorhinolaryngology, Silchar Medical College & Hospital from June 2012 to
July 2013. Voice therapy was given to every patient whether primary or secondary muscle
tension dysphonia & Pre therapy-versus-post therapy comparisons were made of selfratings
of Voice Handicap Index, Auditory-Perceptual Ratings, as well as, Visual -
Perceptual Evaluations of laryngeal images. Outcome of voice therapy results in such
patients were found to be very good. As the disease is multifactorial so treatment approach
should be broad based involving multidisciplinary team
What Every Professional Voice User Should Know about Their VoiceSarah Wu
It's Better Speech and Hearing Month! Check out my tips for keeping your voice in good working shape! Find out more information on my blog SpeechisBeautiful.com or tweet me at: @sarahburnswu. Thanks!
Hoarseness, also known as a hoarse voice, is the medical term for disorders of the voice: an impairment in the ability to produce voice sounds using the vocal organs, which is distinct from dysarthria which signifies dysfunction in the muscles needed to produce speech. More info visit: http://www.elabscience.com
The role of hyperbaric oxygen therapy in Sudden Sensorineural Hearing Loss: A...Apollo Hospitals
Sudden Sensorineural Hearing Loss (SSNHL) is a hearing impairment of more than 30 dB occurring within a period of upto 3 days in three consecutive pure tone frequencies. Hyperbaric oxygen therapy (HBOT) in recent years has gained relevance for treating SSNHL in combination with other agents. The aim of this study is to review the outcomes in patients with SSNHL treated with HBOT at our centre.
VOICE THERAPY
Voice therapy may be defined as an effort to return the voice to a level of adequacy that can be realistically achieved and that will satisfy the patient’s occupational, emotional, and social needs Aronson (1990)
The decision to start voice therapy and the timing and the design of the voice therapy program depend on both the type and severity of a patient’s voice disorder. Voice therapy may be recommended before and/ or after surgical treatment, depending on the patient’s needs.
Purposes of voice therapy
• To improve vocal communication.
• Normalize vocal function; i.e., to restore function so that the vocal profile falls within the accepted normal range.
• If it is a degenerative disorder, voice therapy may be initiated to maintain the current level of function as long as possible and reduce ineffective compensatory behaviors.
• In case of medical intervention approach, preoperative voice therapy may be undertaken to eliminate vocal abuses and to provide model for optimizing the postoperative voice.
Guidelines for voice therapy:
• Without an understanding of the nature of the problem, the patient’s approach to therapy often will be highly skeptical. Therefore a thorough understanding of the normal voice physiology and the patient’s deviance from it can be critical to the patient’s response to the therapy.
• Throughout therapy, encourage the patient to verbalize perceptions of how the voice sounds and feels. This provides information to the clinician and also sensitizes the patient to the voice and increases the self awareness.
• The use of auditory and visual feedback can be extremely helpful to the client. They can be provided by the judicious use of the equipments. The patient is taught to identify certain desirable and undesirable laryngeal behaviors and has the benefit of the image to assist in shaping laryngeal activity.
• Therapy should move gradually from one step to the other. The patient should be provided adequate timing to practice the technique and master it.
• Clinician should always model the task for the patient.
• Recording therapy session in whole or in part is important. Doing so provides a record of the patient’s voice and of therapy session. Memory of the voice is very fleeting and both the clinician and the patient may readily forget what the voice sounded at certain point of time.
• Patients should be carefully instructed in what to practice, for how long, and how often. Have the patient demonstrate the exercise or therapy to be practical before leaving the therapy session.
• The prognostic statement made at the initiation of a program of vocal rehabilitation must be viewed as an educated guess about the outcome of the therapy.
PROSPECTIVE STUDY OF VOICE THERAPY EFFECTIVENESS IN PATIENTS WITH DYSPHONIA: ...Linda Veidere
LOR pulciņa dalībnieces Alises Adovičas ZPD "PROSPECTIVE STUDY OF VOICE THERAPY EFFECTIVENESS IN PATIENTS WITH DYSPHONIA: CASE SERIES". Prezentēts RSU ISC 2016. Darba vadītāji Dr.Dins Sumerags, Māra Lokenbaha. Iegūta 3.vieta RSU ISC 2016 case report sadaļā.
Effects of Mobile Phones on Auditory acuity. Dr. Balaji P.A, Dr. Kailash N.pdfDrBalaji8
RJMS 2011;1(1):25-30.
Abstract
Background and Objectives: There is an exponential
increase in the usage of mobile phones throughout the
world. Mobile phone handsets are usually held near
the ear during conversations and these phones emit
radiations (electromagnetic fields). These radiations
have a propensity to cause biological health hazards.
This has raised the question of whether the usage of
mobile phones has any detrimental effects on the
hearing of the user. The aim of this study was to
evaluate the auditory acuity in normal subjects using
mobile phones and subjects not using.
Methods: A total 400 subjects were selected
considering inclusion and exclusion criteria. Among
these 300 were mobile users and 100 non-users. These
two groups were subjected to pure tone audiometric
assessment. The resulting data was statistically
analyzed.
Results: There was an increase in the hearing
thresholds with p-value <0.05 at frequencies of lkhz
(BC), 4khz (AC and BC), 6khz(AC) and 8khz(AC) in
the mobile phone users compared to that in non-users.
The thresholds in the dominant ear were increased
with p-value <0.05 at frequencies lkhz(AC and BC),
2khz(AC and BC), 4khz(AC and BC), 6khz(AC) that
compared in non-dominant ear. The different duration
of exposures (in months) and the average time
(min/day) exposures did not have any significant
effect on the hearing thresholds.
Conclusion: There is a mild increase in the hearing
thresholds in mobile users, but the probable cause of
hearing impairment cannot be proved by this study
and the possible pathophysiology is also not
understood and it needs to be investigated further...
Key words: Mobile phones, electromagnetic fields
(EMF), Pure tone audiometry, Air conduction (AC),
Bone conduction (BC).
Effects of Mobile Phones on Auditory acuity. Dr. Balaji P.A, Dr. Kailash N.pdfDrBalaji8
Abstract
Background and Objectives: There is an exponential
increase in the usage of mobile phones throughout the
world. Mobile phone handsets are usually held near
the ear during conversations and these phones emit
radiations (electromagnetic fields). These radiations
have a propensity to cause biological health hazards.
This has raised the question of whether the usage of
mobile phones has any detrimental effects on the
hearing of the user. The aim of this study was to
evaluate the auditory acuity in normal subjects using
mobile phones and subjects not using.
Methods: A total 400 subjects were selected
considering inclusion and exclusion criteria. Among
these 300 were mobile users and 100 non-users. These
two groups were subjected to pure tone audiometric
assessment. The resulting data was statistically
analyzed.
Results: There was an increase in the hearing
thresholds with p-value <0.05 at frequencies of lkhz
(BC), 4khz (AC and BC), 6khz(AC) and 8khz(AC) in
the mobile phone users compared to that in non-users.
The thresholds in the dominant ear were increased
with p-value <0.05 at frequencies lkhz(AC and BC),
2khz(AC and BC), 4khz(AC and BC), 6khz(AC) that
compared in non-dominant ear. The different duration
of exposures (in months) and the average time
(min/day) exposures did not have any significant
effect on the hearing thresholds.
Conclusion: There is a mild increase in the hearing
thresholds in mobile users, but the probable cause of
hearing impairment cannot be proved by this study
and the possible pathophysiology is also not
understood and it needs to be investigated further...
Key words: Mobile phones, electromagnetic fields
(EMF), Pure tone audiometry, Air conduction (AC),
Bone conduction (BC).
Evaluation of Radiotherapy Effect on Auditory System in Patients with Head and Neck Tumors by Seyedeh Mahtab Ashja Arvan in Experiments in Rhinology & Otolaryngology
Radiotherapy in patients with head and neck tumors may result in damage of different organs such as eyes and ears. However, there is no consensus regarding the level of damage, especially its effect on hearing threshold. This study has been designed to determine the effect of radiotherapy on auditory system of patients with head and neck tumors.
https://crimsonpublishers.com/ero/fulltext/ERO.000509.php
Abstract: We report a case of sinonasal paraganglioma presenting with episodes of epistaxis. A 55 year old male presented with a
nasal mass. It is an uncommon site of presentation and in an uncommon age group. A high grade of suspicion is required to diagnose
sino nasal paraganglioma. However, CT Scan and histopathology helps in early diagnosis and treatment. Surgical excision done with
cranialization of frontal sinus with fascia lata graft, followed up for 1 year without any evidence of disease recurrence.
Keywords: Sinonasal; Paraganglioma; Fascia Lata.
Unusual Presentation of Tuberculosis in Head and Neck RegionSachender Tanwar
Abstract: 3 case reports of tuberculosis at uncommon sites within head and neck region. Diagnosed on the basis of various clinical,
histopathological and imaging studies. Managed either with DOTS regimen only or both surgery & antitubercular treatment. None of
the cases showed non-compliance to treatment or recurrence of disease.
Keywords: tuberculosis, intra parotid lymphadenitis, branchial cyst, jugular chain lymphadenitis level II-III.
Analysis and Management of Tripod Fractures: Our ExperienceSachender Tanwar
Abstract: The present prospective study seeks to evaluate the incidence of tripod fracture, etiology and treatment options. All patients
with faciomaxillary fractures following road traffic accidents admitted in the Deptt. Of otorhinolayngology, silchar medical college &
hospital, Assam during the period of one year from Aug 2011 to Aug 2012, were scrutinized for tripod fracture, both clinically and
radiologically & were managed according to the severity of fracture. Patients presenting with simple zygomaticomaxillary complex
fractures were managed conservatively. While comminuted/malaligned fractures had monofragments fixed using open & closed
reduction methods. Out of which most had early intubation, before edema occurred, to make airway control and provide anaesthesia.in
few patients in whom intubation by oral route was impossible, tracheostomy was performed to secure airway.The adequacy of fracture
reduction & its stability was confirmed by subsequent CT scan measurements, statistical analysis, and clinical follow-up during the
postoperative period, in which patients showed no significant associated complications, facial asymmetry, enophthalmos, or diplopia.
Road traffic accidents came out to be most common cause of facio-maxillary fracture, incidence of zygomaticomaxillary fractures is
second to nasal bone fracture, which in itself most common facial fracture.
Keywords: tripod fracture, zygomaticomaxillary complex fractures, fracture reduction.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.