scholarly journals Comparative study of benign vocal fold lesions in a tertiary health centre

Author(s):  
Geetha K. Siddapur ◽  
Kishan R. Siddapur

<p class="abstract"><strong>Background:</strong> The present study was carried out to analyze the factors associated with different vocal fold lesions and to diagnose various benign vocal fold lesions at an early stage by their demographic profile and clinical presentations.</p><p class="abstract"><strong>Methods:</strong> Patients with history of hoarseness of voice as a predominant symptom, cough, pain, foreign body sensation, dryness of throat and with a dominant history of vocal abuse, smoking or alcoholism were included in the study. Patients with acute infections, carcinomas, vocal cord palsy or other neurological diseases were excluded from the study.</p><p class="abstract"><strong>Results:</strong> The males comprised 66.7% of patients in the study and the commonest age group involved was 30-40 years. Vocal abuse was the leading risk factor in 80% patients. Hoarseness of voice was the predominant symptom in 83% patients followed by vocal fatigue. Bilateral vocal fold involvement was seen in 50% of the cases. All vocal nodule cases had bilateral vocal fold involvement. The vocal nodules were the commonest lesion seen (35%). Intra-operative and post-operative use of intravenous steroids was also found beneficial. Statistical analysis was done using Chi-square test. Significance level was assessed with P value &lt;0.05. The bilateral involvement in all the vocal nodule cases was found significant.</p><strong>Conclusions:</strong> Voice therapy and cessation of smoking and alcohol can significantly reduce the incidence of these benign vocal fold lesions. It’s not only surgery that’s important in managing vocal fold lesions, but the post-operative care equally plays a vital role.

2022 ◽  
Vol 13 (1) ◽  
pp. 142-145
Author(s):  
Rishikesh Thakur ◽  
Abishesh Jha ◽  
Sanjeev Kumar Thakur

Background: Change in voice is one of the most common complains among patients visiting to ENT outpatient. The causes are numerous and need to be evaluated before approaching to curative intent of treatment. Aims and Objectives: The current study was designed with an aim to analyze the spectrum of voice disorders and their management option. Materials and Methods: Prospective study conducted between June 25, 2020, and November 30, 2021. Clinical, demographic profiles were recorded. Fiber-optic laryngoscopy was performed in all the cases. Radiology examination computed tomography/magnetic resonance imaging was supplemented only in required cases. Treatment was executed based of etiological profile analysis. Minimum 3 months follow-up was collected post-therapy. Statistical analysis was performed using Statistical Package for the Social Sciences version 24. Pearson Chi-square test was used for see the association between parameters. P-value was considered significant while being <0.05. Results: Out of 218 patients, the most patients (approx. 70%) occupied in the age group of 30–50 years. There was male predominance (76.6%). Voice change secondary to laryngopharyngeal reflux was seen in 56.4% of cases. Benign vocal fold lesions (nodule/cyst/polyp) were noticed in 26.5% of cases. Malignant lesions were seen in 1.8% of cases. Benign vocal fold lesions (polyp and cyst) were treated by microlaryngeal surgery (MLS). Pre-malignant lesion (leukoplakia) was treated with MLS stripping. Out of four malignant lesions, one was in early stage and underwent supraglottic laryngectomy while others were in advanced stage (T4) and treated by total laryngectomy. Conclusions: Voice disorders comprise wide etiological profile from reflux to malignant lesion. Timely proper evaluation followed by definitive management achieves good treatment outcomes.


Author(s):  
Cholada Seepuaham ◽  
Jeamjai Jeeraumporn ◽  
Sumalee Dechongkit ◽  
Montip Tiensuwan

Objective: To compare vocal function between females with benign vocal fold lesions, and females with normal voices by use of electroglottograph (EGG), also in addition to determining which EGG parameters were significantly correlated with the perceptual degree of dysphonia. Material and Methods: EGG data were obtained from 32 females with benign vocal fold lesions and 32 females with normal voices. The EGG parameter values were analyzed from their productions of four sustained vowels (/a:/, /u:/, /i:/, and /æ:/). Results: The two perturbation measures of EGG signals, EGG-jitter and EGG-shimmer of females with benign vocal fold lesions were significantly higher than those of normal females at a p-value<0.01 for all four vowels. EGG-SDF0 of females with benign vocal fold lesions were significantly higher than those of normal females at a p-value<0.01 for /i:/, and /æ:/. EGG-F0 of females with benign vocal fold lesions were significantly lower than those of normal females at a p-value<0.01 for /u:/, /i:/, and /æ:/. The differences in contact quotient were non-significant on all four sustained vowels between the two groups. In addition, EGG-SDF0 was found to be significantly correlated with the perceptual degree of dysphonia for four sustained vowels. Conclusion: The results of this study showed the differences between vocal function of females with benign vocal lesions and females with normal voices, using EGG parameters. Furthermore, EGG-SDF0 could be used as an indicator for the degree of severity of dysphonia in females with benign vocal fold lesions.


2021 ◽  
Vol 21 (1) ◽  
pp. 413
Author(s):  
Purwanti Purwanti ◽  
Siti Aisyah ◽  
Sri Handayani

Preeclampsia is a disease with hypertensive signs of edema and proteinuria arising from pregnancy. The aim of this study was to determine the correlation between history of hypertension, haemoglobin levels and obesity in RSUD Sungai Lilin, Musi Banyuasin District. This study used systematic random samples by dividing the desired sample size using “Random Sampling” method taken from 60 respondents in which 30% of the respondents experienced preeclampsia and 70% of the respondents did not experience preeclampsia. Respondents suffering from hypertension were 21.7% and respondents not suffering from hypertension were 78.3%. Respondents suffering from anaemia were 25%, and respondents who did not suffer from anaemia were 75%. Meanwhile, respondents who were obese were as much as 8.3% and respondents who were not obese were 91.7%. From the results of the Chi-Square statistical test with α significance level of 0.05,  there was a significant correlation between history of hypertension and the incidence of preeclampsia in pregnant women (p value = 0.000); there was a significant relationship correlation between haemoglobin levels and the incidence of preeclampsia in pregnant women (p value = 0.025); and there was a significant correlation between obesity and the incidence of preeclampsia in pregnant women (p value = 0.025)  at RSUD Sungai Lilin, Musi Banyuasin District in 2019. It is recommended that RSUD Sungai Lilin should be more active in providing training for midwives related to the incidence of preeclampsia in pregnant women.


Author(s):  
Y. Widyastuti Y. Widyastuti

ABSTRACT Preeclampsia is a disease with signs of hypertension, edema, and protein urine due to pregnancy. In Indonesia preeclampsia is still one of the cause of maternal death, range 1,5 % - 2,5 %. The purpose of this study is to determine the relationship between maternal disease and a history of gravida with severe preeclampsia incidience in the General Hospital Center Dr. Mohammad Hoesin Palembang in 2012. The method used in this reserch is Analytical research with Cross Sectional Design. The Population in this research is a case of delivering mothers with severe preeclampsia and control mothers with lower preeclampsia. The number of samples is 242 maternal, 181 maternal with weight preeclampsia and 61 maternal with lower preeclampsia. The data analysis conducted univariate and bivariate statistics with Chi-Square test with significance level α = 0,05. For the univariate analysis of 242 maternal, 181 mothers ( 74,8 % ) with  severe preeclampsia.which belong to the category of mother with primigravida as much as 131 people ( 72,3 % ) and maternal with history of genetic maternal illnes of 90 people ( 49,7 % ) . while the results of the bivariate analysis, Chi-square statistical test showed that there was sifnificant association between gravida status with weight preeclampsia accident where ( p value = 0,008 ) and also significant relationship between history of genetic maternal illnes with weight preeclampsia accident where ( p value = 0,012 ). We hope this research can be turn of weight preeclampsia accident Suggestion with prevention, early diagnose and prompt treatment with Antenatal Care Consistenly.   ABSTRAK  Preeklampsia adalah penyakit dengan tanda-tanda hipertensi, edema, dan protein urine akibat kehamilan. Diindonesia preeklampsia berat masih merupakan salah satu penyebab kematian ibu berkisar antara 1,5% - 2,5 %.. Tujuan penelitian ini adalah untuk mengetahui hubungan antara status gravida dan riwayat penyakit genetik pada ibu hamil dengan kejadian preeklampsia berat di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2012. Metode yang digunakan dalam penelitian ini adalah Survei Analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah kasus ibu hamil dengan preeklampsia berat dan kontrol yaitu ibu hamil dengan preeklampsia ringan. Jumlah sampel yang diperoleh sebanyak 242 ibu hamil, terdapat 181 ibu yang menderita Preeklampsia berat dan 61 ibu menderita preeklampsia ringan. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square melalui tingkat kemaknaan α = 0,05. Untuk hasil analisa univariat dari 242 ibu hamil, 181 ibu ( 74,8 % ) menderita preeklampsia berat. Yang termasuk kategori ibu dengan primigravida sebanyak 131 orang ( 72,3 % ) dan ibu yang mempunyai riwayat penyakit genetik sebanyak 90 orang ( 49,7 % ). Sedangkan hasil dari analisa bivariat, uji statistik Chi-Square menunjukan bahwa ada hubungan yang bermakna antara status gravida dan kejadian preeklampsia berat dimana ( p value = 0,008 ) dan ada hubungan yang bermakna antara riwayat penyakit genetik dengan kejadian preeklampsia berat dimana ( p value = 0,012 ). Hasil penelitian ini diharapkan dapat menurunkan angka kejadian preeklampsia berat tentunya dengan melakukan pencegahan dan deteksi dini melalui pemeriksaan secara  teratur.  


Author(s):  
Nisar Hussain Dar ◽  
Mukhtar Ahmad ◽  
Zubair A. Lone ◽  
Suhail Amin Patigaroo

Background: Clinicians use Maximum Phonatory Time (MPT) as one of tool to verify the glottic efficiency objectively. Impairment of vocal fold mucosa integrity due to lesions results in alteration in MPT. The aim of current study was to compare MPT in young adults with vocal fold lesions and age and sex matched normal subjects.Methods: This study was conducted in the Department of ENT & Head and Neck surgery of Government Medical College Srinagar on 41 adult patients with benign vocal fold lesions and 41 healthy subjects matched for age and sex for a period of 2 years from April 2017- April 2019. The aerodynamic measure was measured as maximum phonation time in seconds and the results were analysed statistically. Both patients and controls were explained the procedure. Results: Mean MPT in seconds in males with vocal fold lesion was 14.42 seconds with SD of 5.62 seconds and in females was 10.81 seconds with SD of 3.44 seconds. Coefficients of variation (CV) was 0.35 and 0.21 respectively. In control group it was 18.15 seconds with SD of 5.88 in males and in females it was 15.72 seconds with a SD of 6.21. Mean difference between patients and controls in males and females was 3.8 and 4.9 respectively. P-Value in males and females was 0.053 and 0.003 respectively.Conclusion: Vocal cord lesions decrease MPT in both sexes even in young adults.


Author(s):  
K Sunil Kumar ◽  
Abhishek Sasidharan

Introduction: Billroth Gastrojejunostomy (GJ) is less invasive surgery as compared to Roux-en-Y Gastric Bypass (RYGB), which is performed for obesity and weight loss. There is sparse data on long term metabolic effects of GJ, which was performed frequently in the past. Aim: To determine the prevalence of obesity, dyslipidemia and Diabetes Mellitus (DM) in patients that had undergone GJ. Materials and Methods: This was a cross-sectional study conducted in the Department of Gastroenterology, Government Medical College, Calicut, Kerala, India, over a period of six years. All patients with history of GJ, done in past 15 years were included in the study. Presence of obesity, DM and dyslipidemia were noted among patients and was compared with their first degree relatives. Patients with family history of diabetes and without first degree relative were excluded from the study. Statistical analysis was performed using Chi-square test for qualitative variables and independent t-test for quantitative variables. Significance level was fixed as p-value of <0.05. Results: A total of 68 patients were studied. Mean age of patients was 64.01±10.2 years with males predominating the population (92.6%). The most common three reasons for presentation in gastroenterology were dyspeptic symptoms 32(47%), evaluation of anaemia 12 (17.6%), and history of malena 10(14.7%). Prevalence of diabetes was significantly less in patients with GJ (2.9% vs 22%). Obesity and dyslipidemia was also common in patients without GJ (7.3%), with p-value <0.05. Conclusion: Prevalence of obesity, DM and dyslipidemia is significantly lower in patients with GJ.


2021 ◽  
Vol 3 (3) ◽  
pp. 265
Author(s):  
Lilik Anggraini ◽  
Sunarsih Sunarsih ◽  
Baksono Winardi

Abstrak Latar Belakang : Kelas Ibu Hamil (KIH) adalah kelompok belajar ibu-ibu hamil dengan anggota maksimal 10 orang yang merupakan sarana untuk belajar bersama. Puskesmas Menur merupakan puskesmas yang terendah cakupan K4 66,93% dari target 90%. Jumlah peserta dari kelas ibu hamil sendiri 3,4%. Tujuan dari penelitian ini adalah menganalisis pengaruh partisipasi ibu dalam kelas ibu terhadap cakupan K4. Metode dan Bahan Penelitian : Jenis penelitian ini observasional analitik dengan pendekatan cross sectional. Besar sampel sebanyak 44 orang, dengan teknik pengambilan sampel accidental sampling. Variabel Independent yang diukur adalah partisipasi ibu dalam kelas ibu hamil sedangkan variabel dependent adalah cakupan K4. Pengambilan data dengan menggunakan kuisioner untuk mengukur partisipasi ibu dalam kelas ibu hamil dan cakupan K4 dengan mengobservasi dari buku KIA dan kohort. Analisis data menggunakan uji statistik Spearman Rho’ dengan α= 0,05. Hasil : Sebagian besar ibu hamil (65,9%) memiliki partisipasi baik, ibu hamil yang berpartisipasi baik sebagian besar (61,4%) cakupan K4 lengkap, dan ibu hamil yang berpartisipasi kurang sebagian kecil (13,6%) cakupan K4 tidak lengkap. Pada analisis data didapatkan p value = 0,004 (p<0,05) artinya ada pengaruh partisipasi ibu dalam kelas ibu hamil terhadap cakupan K4. koefisien korelasi 0,421 yang berada pada rentang 0,40 – 0,599 bermakna kekuatan korelasi antar variable sedang. Sedangkan angka koefisien korelasi pada hasil diatas bernilai positif,, sehingga pengaruh kedua variable tersebut bersifat positif yang kuat. Kesimpulan : ada pengaruh partisipasi ibu dalam kelas ibu hamil terhadap cakupan K4 di Puskesmas Menur Kecamatan Kota SurabayaAbstract Background: Maternal Class is a study group pregnant mothers with members a maximum of 10  to learn together. Menur Public Health Centre is the lowest completeness (K4) ANC of maternal 66,93% from target 90%. Total of participants from the maternal class just 3,4%. This research aims to analyze the influence of maternal class participant to completeness (K4) Antenatal care. Methods and Material: the research was conducted using quantitative observational analytic with cross sectional study approach.. The number of research is 44 pregnant women. The Accidental sampling method is apllied in taking the sample in this research. Data collected by quistionaire to determine participation in maternal class and completeness seen by observing MCH books and cohort. Data analyzed by Spearman Rho’statistic test at significance level α=0,05. Results: Most (65,9%) have a good participation in maternal class, most pregnant women who have good participation (61,4%) have K4 antenatal care scope completely, and a small proportional (13,6%) of pregnant women with lack participation did not have completeness (K4) Antenatal care. Data analize was obtained p value = 0,004 (p<0,05) which means there was influence of maternal class participant to completeness (K4) Antenatal care . Correlation coefficients value’s 4,21 in the range of 0,40 – 0,599 which means the strength between variables is medium. While the correlation coefficient number in results are positively strong. Conclusion : there was influence of maternal class participant to completeness (K4) Antenatal care at working area Menur Public Health Centre in Sukolilo Municipality Surabaya City.


2014 ◽  
Vol 3 (3) ◽  
pp. 158
Author(s):  
Eny Retna Ambarwati ◽  
Ria Listiyani

Postpartum depression is a condition that may be experienced by women. If it is not addressed properly, it will have a negative impact. Determine the correlation between parity and the early stage of the marriage with the incidence of postpartum depression. This research used analytic observational method with cross sectional approach. The population in this research was postpartum mothers in Maternal Hospital Leonisa. The sampling was done using purposive sampling technique. The data analysis was done with univariate and bivariate analysis using Chi-square.The correlation between parity and the incidence of postpartum depression obtains the result of x<sup>2</sup> count of 22.864 and p value of 0.000 with df2 and the significance level of (α) at 5% (0.05) x table at 5.591. Therefore, Ho is rejected and Ha is accepted. The correlation between the early stage of the marriage variable with the incidence of postpartum depression obtains a result of x<sup>2</sup> count of 12.965 and p value of 0.000 with df 1, the significance level at 5% (0.05), x table at 3.481, therefore, Ho is rejected and Ha is accepted. There is a correlation between parity and the early stage of the marriage with the incidence of postpartum depression.


2020 ◽  
Vol 11 (4) ◽  
pp. 402-412
Author(s):  
Doha Abo Aljadayel ◽  
Hadi Jalilvand ◽  
Mojtaba Abdi ◽  
Hesam Jahandideh

Background and Objectives: Smell disorder such as dostorted olfaction (parosmia) is one of the most common symptoms of COVID-19. Therefore, this study aimed to investigate the improvement of symptoms of parosmia in patients with COVID-19 in 2020. Material and Methods: This cross-sectional study was conducted in summer and spring of 2020 using a data collection form which was validated with Cronbach's alpha of r=0.826. The study was done in an international health center in Tehran. To report descriptive results, mean, standard deviation, absolute frequency and absolute frequency percentage, and for analysis, independent t-test and chi-square test were used using SPSS software version 16 and the significance level was considered to be 0.05. Results: In total ,350 patients participated in the study, the prevalence of parosmia in patients was 15.14% and the mean and age deviation of patients was 32.71 ± 10.93 years. There was not a significant relationship between parosmia and gender (p value=0.317), age (p value=0.271), previous history of allergic symptoms (p value=0.083), family history of the disease (p value=0.638), taste disorder (p-value=0.768), and smoking (p-value=0.558). 31 cases (58.49 % of Patients) with parosmia had complete remission within 4-6 weeks. Conclusion: Due to the high prevalence of olfactory disorders, especially parosmia in patients with COVID-19, parosmia and other olfactory disorders can be used to screen and triage patients with COVID-19, especially moderate and mild patients. Patients with parosmia should be followed for at least 4 to 6 weeks and if they do not recover for up to 12 weeks, they should be referred to ENT specialists for more specific measures.


2019 ◽  
Vol 19 (1) ◽  
pp. 79
Author(s):  
Ria Febrina

In the Special Region of Yogyakarta (DIY), the Infant Mortality Rate (IMR) is 25 per 1000 live births, the most common causes of infant mortality in DIY are low birth weight (LBW) and sepsis. LBW is most commonly found in Sleman Regency as many as 823 babies. One of the management of LBW babies is exclusive breastfeeding. Exclusive breastfeeding coverage in Yogyakarta City in 2015 was 71.62%. The purpose of this study is to obtain information on the differences in the success of exclusive breastfeeding between counseling and education. In addition, it is to understand the relationship of extraneous variables (age, education, occupation, parity) with the success of exclusive breastfeeding in mothers who breastfeed a baby with a history of LBW.The type of this research was Quasi-Experimental, Posttest Only Control Design, using breastfeeding mother respondent who had a 4-months-old baby with a history of LBW as much as 51 people, sample as much as 30 people based on minimum sample size for the experiment. The location of the research was in 14 working area of community health center in Sleman Regency. The determination of the samples in each location was determined based on Proportional Random Sampling. The instrument used in determining the success of exclusive breastfeeding was a questionnaire. The data obtained were analyzed using Wilcoxon Sign Rank Test and Chi-square test with a significance level of 0.05.The results showed no significant difference in the success of exclusive breastfeeding between the groups of counseling and education (p-value 0.414). Education and parity had a significant relationship to the success of exclusive breastfeeding (p-value 0.003 and p-value 0-016).


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