Analysis of Surgical Recurrence after Larynx Microsurgery for Benign Lesions

Abstract Introduction The study of larynx lesions is of great importance. More than 50% of people with vocal complaints have benign vocal fold alterations and some require surgery. Objective To determine which factors are related to surgical recurrence of benign laryngeal lesions and to determine which videolaryngoscopic diagnoses are related to the risk or protection of surgical relapses over time. Methods Observational, analytical, cross-sectional study with retrospective data collection of 1,383 surgeries in 1,301 patients. Results The mean age at the first surgery was 39.2 years old. The predominant gender was female (65.6%).There were 396 cases of polyps (25.34%), 349 cases of cysts (22.33%), 261 cases of Reinke edema (16.7%), 175 cases of nodules (11.2%), 153 cases of minor structural alterations (MSAs) (9.79%), 94 cases of leukoplakia (6.01%), 77 cases of granulomas (4.93%) and 58 cases of pseudocysts (3.71%). The age presented statistical significance with the risk of surgical relapses (p = 0.016). Male gender was associated with the greatest chance of relapse.Diagnosis of granuloma (p < 0.001) and of leukoplakia (p < 0.001) were associated with a higher risk of surgical recurrence. Cyst diagnosis was associated with protection (p = 0.015) in relation to the chance of further surgeries. Patients with associated lesions, bilaterals or voice professionals did not present a statistically significant association with surgical recurrence. Conclusion Age and gender are statistically related to the increase of surgical relapses. Leukoplakia and granuloma are associated with increased surgical relapses. Patients submitted to cyst microsurgery appear to be protected against surgical recurrence.

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Pediatric Laryngeal Diadochokinetic Rates

Otolaryngology ◽

10.1177/0194599811426259 ◽

2011 ◽

Vol 146 (2) ◽

pp. 302-306 ◽

Cited By ~ 2

Author(s):

Steve Maturo ◽

Courtney Hill ◽

Glenn Bunting ◽

Cathy Ballif ◽

Rie Maurer ◽

...

Keyword(s):

English Literature ◽

Statistical Significance ◽

Age Groups ◽

Cross Sectional Study ◽

Cross Sectional ◽

Significant Difference ◽

The Mean ◽

And Gender ◽

The Voice ◽

Diadochokinetic Rates

Objective. Laryngeal diadochokinetic (L-DDK) rate is a measure of laryngeal neural integrity. The objectives for this study included the following: (1) establish the first comprehensive pediatric normative database for L-DDK rates (DDK) using the Voice Evaluation Suite, a computerized voice analysis program; and (2) analyze normal L-DDK rates for age and gender differences. Study Design. Cross-sectional study with planned data collection. Setting. Outpatient pediatric otolaryngology clinic. Subjects and Methods. Three hundred seven children aged 4 to 18 with normal voices. L-DDK rates were collected during a 6-month period. Main outcome measures included age, gender, and L-DDK rates. Results. Three hundred seven children (151 girls and 156 boys) were evaluated. There was no statistically significant difference between the overall mean L-DDK rate of boys (2.69 syllables/s) compared to girls (2.55 syllables/s; P > .05). Further analysis of all individual age groups did not reveal any statistical significance between boys and girls. There was a statistically significant difference among children aged 4 to 11 compared to those 12 to 18 years old. Among boys aged 4 to 11, the mean rate was 2.49 syllables per second, whereas among 12- to 18-year-olds, the rate was 2.95 syllables per second ( P < .01). The mean rate was 2.40 syllables per second among girls aged 4 to 11 and 2.74 syllables per second for those aged 12 to 18 ( P < .01). Conclusion. This is the largest normative pediatric L-DDK analysis in the English literature. The findings suggest that neurolaryngeal development approaches adult maturation at the beginning of the teenage years. These data have the potential application for objective measurement of neurolaryngeal coordination in children with neurologic impairment and also in children who have undergone nerve reinnervation procedures.

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Association between Industry Payments and Scholarly Impact among Academic Ophthalmologists

Journal of Academic Ophthalmology ◽

10.1055/s-0039-1677681 ◽

2019 ◽

Vol 11 (01) ◽

pp. e1-e8

Author(s):

Michael Solotke ◽

Susan Forster ◽

Jessica Chow ◽

Jenesis Duran ◽

Hasna Karim ◽

...

Keyword(s):

Primary Outcome ◽

Cross Sectional Study ◽

Academic Rank ◽

Cross Sectional ◽

H Index ◽

Residency Programs ◽

Scholarly Impact ◽

The Mean ◽

And Gender ◽

Open Payments

Purpose The aim of this article is to examine the association between industry payments to ophthalmologists and scholarly impact. Design Retrospective cross-sectional study. Methods All ophthalmology faculty at United States accredited ophthalmology residency programs were included in this study. The main exposure was industry payments to ophthalmologists in 2016, as reported in the Centers for Medicare and Medicaid Services Open Payments Database. The primary outcome was Hirsch index (H-index), a measure of scholarly impact. Results Among 1,653 academic ophthalmologists in our study, 1,225 (74%) received industry payments in 2016. We did not observe a difference between the mean H-index of ophthalmologists receiving any industry payments versus those not receiving any payments (p = 0.68). In analysis including only ophthalmologists who received industry payments, H-index differed significantly by payment amount: 12.6 for ophthalmologists receiving less than $100, 12.2 for those receiving $100 to 1,000, 18.8 for those receiving $1,000 to 10,000, 21.3 for those receiving $10,000 to 100,000, and 29.4 for those receiving greater than $100,000 (p < 0.001). Within each academic rank and gender, industry payments greater than $1,000 were associated with a higher H-index (p < 0.05). Conclusions Although our analysis cannot prove causality, we observed a significant association between industry payments and scholarly impact among academic ophthalmologists, even after adjusting for gender, academic rank, and subspecialty. Prospective studies should further evaluate this relationship.

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Prevalence of Colorectal Carcinoma With Respect to Age and Gender

10.53350/pjmhs2115123198 ◽

2021 ◽

Vol 15 (12) ◽

pp. 3198-3199

Author(s):

Pervez Muhammad ◽

Sajjad Muhammad ◽

Muhammad Tariq ◽

Amir Khan ◽

Akhtar Munir ◽

...

Keyword(s):

Colorectal Carcinoma ◽

Colorectal Adenocarcinoma ◽

Cross Sectional Study ◽

Medical Institute ◽

Cross Sectional ◽

Age And Gender ◽

Medical College ◽

Gender Study ◽

The Mean ◽

And Gender

Aim: Prevalence of colorectal carcinoma with respect to age and gender Study design: Observational / cross sectional study. Place and duration of study: This study was conducted at the Department of Pathology and Surgery, Post Graduate Medical Institute Lahore and Jinnah Medical College Peshawar from July, 2013 to February, 2015 Methodology: Surgical specimens of 60 histopathologically diagnosed cases of colorectal adenocarcinoma were included in this study. Age and sex were evaluated in CRC. Results: The mean±sd of age was 54.4±19.7 yrs. Out of 60 cases, 6 (10%) were between 16-29 yrs, 9 (15%) cases were between 30-49 yrs, 34 cases (56.7%) were of 50-69 yrs and 11 cases (18.33%) were of 70 yrs. Out of sixty cases, males were 33 (55%) and females were 27(45%). Conclusion: There are 34 out of 60(56.7%) patients were 50-69 years and 33 out of 60 (55%) cases were males i.e. males dominance. Keywords: Colorectal adenocarcinoma, immunohistochemistry, gender

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Relación entre conducta prosocial, resolución de problemas y consumo de drogas en adolescentes

Anales de Psicología ◽

10.6018/analesps.32.2.204941 ◽

2016 ◽

Vol 32 (2) ◽

pp. 609 ◽

Cited By ~ 3

Author(s):

Olga Hernández-Serrano ◽

José P. Espada ◽

Alejandro Guillén-Riquelme

Keyword(s):

Problem Solving ◽

Statistical Significance ◽

Cross Sectional Study ◽

Prosocial Behaviour ◽

Cross Sectional ◽

Problem Solving Skills ◽

Problem Solving Strategies ◽

And Gender ◽

Prosocial Behaviours ◽

Age Range

The objectives of the present study are the following ones: 1) to study the use of drugs, the prosocial behaviour and the problem-solving skills with respect to age and gender, and 2) to analyze the association of both the prosocial behaviour and the problem-solving skills with the use of drugs. An exploratory cross-sectional study was performed, amongst a sample of 567 students in Spanish Compulsory Secondary Education (48.14% males) with an age range from 14 to 17 years (M = 14.92; SD = 0.90). Statistically significant differences were found concerning alcohol use and the prosocial behaviour with respect to gender, as well as concerning alcohol and cannabis use with respect to age. Logistic regression analyses revealed statistical significance of the prosocial behaviour with respect to the use of alcohol and cannabis. The ability in problem-solving was the most important protective predictor with respect to the abuse of cannabis. The results from this study enhance the importance of tailored interventions based on the promotion of prosocial behaviours and/or problem-solving strategies as fundamental protective factors for substance use amongst adolescents.

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Prevalence and Predictors of Stress among Bankers in Enugu State South-East Nigeria

Journal of Community Medicine and Primary Health Care ◽

10.4314/jcmphc.v32i2.6 ◽

2020 ◽

Vol 32 (2) ◽

pp. 68-79

Author(s):

T.J. Okwor ◽

A.C. Ndu ◽

S.U. Arinze-Onyia ◽

I.J. Ogugua ◽

I.M. Obionu ◽

...

Keyword(s):

Sampling Method ◽

Statistical Significance ◽

Cross Sectional Study ◽

Cross Sectional ◽

Eastern State ◽

Management Standards ◽

The Mean ◽

Enugu State ◽

Multistage Sampling ◽

High Level

Background: The work environment is rapidly changing and in recent times, occupational stress poses a threat to the health, morale and productivity of workers and the organization. This study sought to determine the prevalence and predictors of stress among bankers in a south-eastern state of Nigeria. Methods: A descriptive cross-sectional study was carried out among 370 bankers in Enugu State, Nigeria using the Health, Safety, Executive (HSE) management standards indicator tool. Multistage sampling method was used to select participants. Statistical analysis was done using SPSS 22.0. Level of statistical significance was set at p< 0.05.Results: The mean age of the participants was 34.54±6.3 years while the mean years of work was 6.01±4.7years. One hundred and seventy-four (47%) reported high level of stress due to relationship at work while 318 (85.9%) reported low level of stress due to roles. Being 35 years or less was found to a predictor of high (AOR 0.55, CI 0.30-1.02) level of stress due to control.Work experience of 5 years or less was found to be a predictor of both high (AOR 0.74, CI 0.40--1.37) and low (AOR 0.99, CI 0.40-1.37) levels of stress due to control.Conclusion: This study has shown that the prevalence of stress was high among bankers in Enugu State, South-East Nigeria. There is, therefore, the need for routine stress assessment and interventions in the banking industry especially for those at high risk. Keywords: Bankers; HSE Stress Questionnaire; Stress; Workplace; Southeast Nigeria

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The relationship between smartphone addiction and depression among university students in Karachi: a cross-sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20203909 ◽

2020 ◽

Vol 7 (9) ◽

pp. 3472

Author(s):

Ubaidullah Abid ◽

Tooba Jawed Khan ◽

Asif Sheikh ◽

Saud Saleem ◽

Hammad Afzal Kayani ◽

...

Keyword(s):

University Students ◽

Statistical Significance ◽

Cross Sectional Study ◽

Assessment Tools ◽

Smartphone Addiction ◽

Short Version ◽

Sectional Study ◽

Significant Positive Association ◽

Cross Sectional ◽

The Mean

Background: Pakistan demographic and health survey (PDHS) estimated extensive ownership of cell phones in Pakistan with 94.7% in the urban population. Pakistan Advertiser Company reported 77 % of cell phone users aged between 21-30 years. Although, no research was conducted with university population for addiction and depression, so this study aims to find the link between Smartphone addiction and depression in SZABIST University students of Karachi, Pakistan.Methods: Cross-sectional study was conducted with self-assessment tools, comprised of three sections: socio-demographic information, smartphone addiction scale-short version (SAS-SV) and Beck’s depression inventory-II (BDI-II). Responses for SAS-SV were rated on a 6-point Likert scale and BDI-II was summated on range 0-60. Percentages mean score was commuted for SAS-SV; the mean score was computed and categorized for BDI-II. Descriptive statistics and regression analysis were used for data analysis. Statistical significance was set at p<0.01.Results: Total participants were N=225, of which 140 (62.2%) were males and 85 (35.8%) were females. The mean±SD of their ages were 20.9±2.9. Age was found insignificant with depression after applying multiple linear regressions. Mean score of SAS-SV was 54.8±17.2, and BDI-II was13.4±9.6, which showed a significant positive association (OR, 0.241; 95% CI, 0.2 to 0.3; p<0.001). Prior adjusting coefficient, males were speculated having a higher level of depression.Conclusions: A significant positive correlation was found between Smartphone addiction and depression, among University Students of SZABIST. Control smartphones usage is advised for undergraduate students as they are more prone to depression compared to postgraduate students.

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ORAL HEALTH;

The Professional Medical Journal ◽

10.29309/tpmj/2017.24.12.605 ◽

2017 ◽

Vol 24 (12) ◽

pp. 1894-1898

Author(s):

Shahid Ali Mirani ◽

Syed Yousif Ali Shah ◽

Muhammad Ameen Sahito

Keyword(s):

Oral Health ◽

Dental Caries ◽

Cross Sectional Study ◽

Female Students ◽

Sectional Study ◽

Cross Sectional ◽

Male And Female ◽

The Mean ◽

And Gender ◽

Study Setting

Objectives: This study was carried out to evaluate the dental students’perception about condition of their gums and teeth and prevalence of dental caries. StudyDesign: Descriptive cross sectional study. Setting: Liaquat University of Medical and HealthSciences. Period: July 2011 to December 2011. Material and Method: The sample size was200 students comprising of both male and female. Clinical Oral examination was performedwith the help of mouth mirror and explorer in dental chair. The perception of dental studentsabout condition of their gums and teeth was obtained through questionnaire. Results: Theresults revealed that 25 % of students in present study had dental decay. The mean DMFT scorewas 0.625. Moreover, the mean DMFT score for male and female students was 0.658 and 0.576respectively. The results about distribution of DMFT components indicated that the decayed(D) teeth were in greatest number followed by filled (F) and missed (M) teeth. Conclusion:There was statistically no significant association between dental caries and gender. Moreover,prevalence of dental caries was significantly different between those who perceived their gumsand teeth condition excellent and good compared to the students who perceived their gumsand teeth condition as poor.

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Prevalence and Socio-Demographic Association of Depression, Anxiety and Stress Among University Students

International Journal of Engineering & Technology ◽

10.14419/ijet.v7i2.29.13998 ◽

2018 ◽

Vol 7 (2.29) ◽

pp. 688 ◽

Cited By ~ 1

Author(s):

Sanil S Hishan ◽

Heethal Jaiprakash ◽

Suresh Ramakrishnan ◽

Jaiprakash Mohanraj ◽

Jayanthi Shanker ◽

...

Keyword(s):

University Students ◽

Coping Strategies ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Professional Lives ◽

Cross Sectional ◽

Demographic Questionnaire ◽

Positive Reframing ◽

The Mean ◽

And Gender

Prevalence of Stress, anxiety and depression has been identified to be high among university students which may affect their social and professional lives. The study aims at assessing the prevalence of stress, anxiety and depression among university students and analyzes their association with gender, ethnicity and area of upbringing. The study also intends to identify their coping strategies. This was a cross sectional study utilizing validated questionnaires. It was conducted among a total of 143 university students in Johar bahru. The questionnaires used were the socio-demographic questionnaire, DAAS-21 questionnaire and Brief coping strategy Questionnaire. Data was analyzed using SPSS software. Descriptive statistics was used. The mean age of the students under the study was 25.02±8.6 years. Depression was seen in 62.2% of the students and anxiety and stress were seen in 78.3% and 55.9 % students respectively. Depression, anxiety and stress were found more in females than males. Anxiety was more in Malays and depression and stress was more among other ethnic groups. Anxiety and depression were seen more in students with a rural upbringing and stress in students with a urban upbringing. There was no significant association between depression, anxiety, stress and gender, ethnicity and area of upbringing. The mean score for the common coping strategies employed which was acceptance, positive reframing and self distraction were 2.8±0.9, 2.8±1.0, 2.8±1.0 respectively. Prevalence of anxiety was more compared to stress or depression. Students used active coping Strategies to cope with stress.

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Sonographic Measurement and Sex Variability of Portal Vein Using US scan in a sample of Sudanese Adults

10.21203/rs.3.rs-944749/v1 ◽

2021 ◽

Author(s):

◽

Elbagir Mustafa ◽

Mohamed Abdulkarim ◽

Khalid A. Awad ◽

Alaa Osman Mohamed Koko

Keyword(s):

Portal Vein ◽

Cross Sectional Study ◽

Radiology Department ◽

P Value ◽

Cross Sectional ◽

Normal Diameter ◽

Vein Diameter ◽

The Mean ◽

Computed Topography ◽

And Gender

Abstract Background: Measurements of the normal portal venous dimension in a specified population is so crucial. portal vein can be measured by several methods for assessing different parameters, Computed topography (CT) and sonographic imaging are common examples. The diagnosis of portal hypertension depends on the transverse portal vein diameter (normal diameter from 6-15 mm). The aim of this study is to establish baseline value for the portal vein diameter and assess the correlation with age, gender, weight, height and BMI in Sudanese populations.Methodology: This was a descriptive cross-sectional study that included a sample of Sudanese adults who were requested to have routine abdominal sonographic scanning due to reasons not related to liver or portal vein problems. The study was carried out at the Radiology Department of Qatar Alnada Hospital, Umbadda, Khartoum, Sudan 2020.Results: In this study, 376 participants were included of which more than half were females (56.1%, n=211), while 165(43.9%) were males. The mean age of the participants was 38.12 + 15.57 years. The mean portal vein diameter was 10.79 + 1.27 millimeters. From this study the portal vein diameter varied with age (p value = 0.000), weight (p value = 0.002), height (p value = 0.000) and gender (p value = 0.000). It is not related to BMI (p value = 0.3).Conclusion: This study has revealed that the portal vein diameter has positive correlation with age, gender, height, and weight of the person and has no correlation with the BMI.

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Associations between midlife chronic conditions and medication use with anxiety and depression: A cross-sectional analysis of the PREVENT Dementia study

Journal of Comorbidity ◽

10.1177/2235042x20920443 ◽

2020 ◽

Vol 10 ◽

pp. 2235042X2092044

Author(s):

Lucy E Stirland ◽

Sarah Gregory ◽

Tom C Russ ◽

Craig W Ritchie ◽

Graciela Muniz-Terrera

Keyword(s):

Anxiety Disorder ◽

Medication Use ◽

Cross Sectional Study ◽

Epidemiologic Studies ◽

Anxiety And Depression ◽

Cross Sectional ◽

Physical Conditions ◽

Antidepressant Use ◽

The Mean ◽

And Gender

Background: Multimorbidity including physical and mental illness is increasing in prevalence. We aimed to investigate the associations between physical conditions and medication use with anxiety and depression in midlife. Methods: We conducted an observational cross-sectional study of volunteers in the PREVENT Dementia study. Using logistic and linear regression, we investigated the association between increasing numbers of self-reported chronic physical conditions and medications with self-reported depression and anxiety disorder, and scores on the Center for Epidemiologic Studies Depression (CES-D) scale and Spielberger State-Trait Anxiety Inventory (STAI) state subtest. Results: Of the 210 participants, 148 (71%) were women and 188 (90%) Caucasian. The mean age was 52 (standard deviation (SD) = 5.5) years. The mean number of physical conditions was 2.2 (SD = 1.9) and medications 1.7 (SD = 2.2). Each additional physical condition was associated with increased odds of self-reported depression (odds ratio (OR) 1.41, 95% confidence interval (CI) 1.11–1.80; p = 0.004, adjusted for age and gender) and anxiety disorder (OR 1.70, 95% CI 1.30–2.37; p < 0.001). Increasing medication use was associated with self-reported depression (adjusted OR per additional medication 1.35, 95% CI 1.08–1.71; p = 0.008) but not anxiety disorder. For each additional condition, CES-D scores increased by 0.72 (95% CI 0.11–1.33; p = 0.020) and for each extra medication, by 0.88 (95% CI 0.32–1.44; p = 0.002). There was no significant association between increasing conditions and medications with STAI scores. In models accounting for antidepressant use, all associations were attenuated. Conclusions: Having more physical conditions is associated with anxiety and depression in midlife, and taking more medications is associated with depression but not anxiety.

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