scholarly journals The influence of vocal rehabilitation methods on communication in patients with total laryngectomy

2021 ◽  
Vol 11 (43) ◽  
pp. 118-124
Author(s):  
Beáta Kiss ◽  
Boris Casautanu ◽  
Adriana Neagos
Keyword(s):  
Total Laryngectomy ◽  
Surgical Intervention ◽  
Voice Rehabilitation ◽  
P Value ◽  
Prospective Clinical Study ◽  
Vocal Rehabilitation ◽  
Rehabilitation Process ◽  
Self Evaluation ◽  
The Third ◽  
The Mean

Abstract BACKGROUND. Considering the problematic social integration after total laryngectomy, evaluation of communicational aptitudes of patients after the surgical intervention is necessary in order to optimize their vocal rehabilitation process. MATERIAL AND METHODS. A prospective clinical study was conducted on 24 randomly selected patients of the Otolaryngology Clinic of Targu Mures County Emergency Clinical Hospital that underwent total laryngectomy. We adapted and implemented the questionnaire for Self-Evaluation of Communication Experiences after Laryngectomy – SECEL. Three groups of patients were created: the first containing those with voice prosthesis, the second those using electrolarynx and esophageal voice, and the third with no rehabilitation. We used the Kruskal-Wallis test for the statistical analysis of the results. RESULTS. The mean age of the patients included in our study group was 63 years (+/− 7.56 SD). 95.83% of the participants were male. 79.16% were married. The majority (87.50%) of patients were retired. In 75% of cases, 0 to 5 years have passed since the surgery. 75% reported diminished communication after surgery. The test used to determine if significant differences were present between the examined groups showed a p-value of 0.1329 (total scores), p-value of 0.3244 (the first score of SECEL), p-value = 0.6004 (the second score of SECEL) and a p-value of 0.0613 (the third score of SECEL). Given that p was higher than 0.05, the null hypotheses could not be rejected. The patients who underwent rehabilitation by tracheoesophageal prosthesis showed the best results in all tested categories. CONCLUSION. The SECEL questionnaire adapted in Romanian language could be used as a valid screening instrument in order to improve voice rehabilitation, but it needs further testing.

scholarly journals A Comparative Study of Active Management of the Third Stage of Labor IV Methergine and IM Oxytocin

2021 ◽  
pp. 267-272
Author(s):  
K. Sharmila
Keyword(s):  
Blood Loss ◽  
The United States ◽  
Active Management ◽  
P Value ◽  
Negative Effects ◽  
The Third ◽  
Third Stage Of Labor ◽  
Group I ◽  
Third Stage ◽  
The Mean

Postpartum haemorrhage (PPH) has been more common over the last three decades, accounting for 11% of all pregnancy-related deaths in the United States. In the third stage of labour, risk classification and active management are crucial preventative techniques. To avoid negative effects, a multidisciplinary approach to PPH patient care is required. To treat uterine atony, uterotonic medicines like oxytocin are used in combination with manipulative procedures like uterine massage and balloon tamponade. The amount of blood loss, duration of the third stage, need for MRP, incidence of PPH, need for repeated oxytocics, and its side effects were measured in Group I 100 women who were administered injection oxytocin 10 IU injection methergin 0.2 mg IV within one minute of the baby's delivery. The mean blood loss at vaginal delivery in Group I was 100-150 ml and in group I P value 0.027, which was statistically significant .In  Group II was 160-200 ml with P value 0.036, which was statistically significant. The mean duration of third stag labour in Group 1 was 124.6 min and Group 2 was 144.8 min intravenous methergin is a better uterotonic when compared to intramuscular oxytocin to reduce the amount of blood loss at delivery and prevent complications like atonic PPH.

scholarly journals PRENATAL YOGA TERHADAP TINGKAT KECEMASAN PRIMIGRAVIDA TRIMESTER III

2020 ◽  
Vol 2 (1) ◽  
pp. 29-34
Author(s):  
Riza Amalia ◽  
Rusmini Rusmini ◽  
Diki Retno Yuliani
Keyword(s):  
Pregnant Women ◽  
Alternative Therapy ◽  
P Value ◽  
Third Trimester ◽  
The Third ◽  
Before And After ◽  
Change In The Mean ◽  
Prolonged Labor ◽  
The Mean ◽  
Anxiety Levels

Anxiety in pregnant women often occurs in the third trimester. Anxiety results in prolonged labor, premature birth, LBW (Low Birth Weight). To prevent and reduce anxiety, prenatal yoga as an alternative therapy is given to primigravida pregnant women in the third trimester.The puropose of this study is to find out the influence of prenatal yoga toward anxiety level primigravida in the third trimester in Puskesmas I Kembaran, Banyumas District. This study used quasy experimental with pretest posttest design. The sample in this study are all of primigravida in third trimester, there are 24 pregnant woman in Puskesmas 1 Kembaran. The results showed there were differences in primigravida in third trimester anxiety levels before and after prenatal yoga with p value = 0,000 (p 0.05). There is an influence of prenatal yoga on the level of anxiety primigravida in third trimester. There is a change in the mean level of anxiety of 11,3. 

scholarly journals THE EFFECT OF USING FRINTZ’ BRAIN AND CROSSWORD PUZZLE ON VOCABULARY MASTERY FOR STUDENTS WHO HAVE DIFFERENCE LEARNING STYLE

SOLID ◽  
2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Aini Husnida Wulandari
Keyword(s):  
Learning Style ◽  
Visual Learning ◽  
Research Participant ◽  
Third Grade ◽  
P Value ◽  
Crossword Puzzle ◽  
The Third ◽  
Third Grade Students ◽  
Significant Difference ◽  
The Mean

The objective of this research is to investigate: (1) the different of students’ vocabulary mastery between those who were taught trough frintz’ brain and those who were taught through crossword puzzle, (2) the different of auditory and visual students’ vocabulary mastery, (3) the interaction between teaching methods and learning style with students vocabulary mastery, (4) which method is more effective to improve auditory students’ vocabulary mastery, and (5) which method is more effective to improve visual students’ vocabulary mastery.The research was conducted at SDN Kramatjati 27 Pagi which is located at Jl. Kerja Bakti No. 01 East Jakarta from March 2016 to June 2016. The writer took the third grade students as her research participant. There were two classes at that school. Therefore, the writer took two classes as her research with 30 students in the grade III A and 30 students in the grade IIIB. The method of the research was a quasi experiment. The data were analyzed by two-way ANOVA..Based on the results of the data analysis, there were five conclusions drawn: first, there is significant difference of students’ vocabulary mastery between those who were taught trough frinz’ brain and those who were taught trough crossword puzzle. It was supported by the p-value of methods is smaller than 0.05. Second, there is significant difference result between auditory and visual students’ on their vocabulary mastery. It was supported by p-value of learning style that is smaller than  0.05. Third, there is significant interaction between vocabulary methods and learning style on students’ vocabulary mastery. It is supported by the p-value of interaction which is smaller than 0.05. Fourth, frintz’ brain is better crossword puzzle for auditory students on their vocabulary mastery at the third grade students of Elementary School. It is supported by the mean of frintz’ brain in auditory 80.60 that is higher than the mean of crossword puzzle in auditory 75.53. Keywords: Vocabulary mastery, Frintz’brain, Crossword puzzle, Auditory and visual learning style.

scholarly journals FETAL TRANSVERSE CEREBELLAR DIAMETER MEASUREMENT;

2018 ◽  
Vol 21 (05) ◽  
pp. 888-891
Author(s):  
Anjum Afshan ◽  
Shabnam Nadeem ◽  
Shabnam Shamim Asim
Keyword(s):  
Fetal Growth ◽  
Gestational Age ◽  
Normal Growth ◽  
Maternity Hospital ◽  
Accurate Estimation ◽  
P Value ◽  
Diameter Measurement ◽  
Third Trimester ◽  
The Third ◽  
The Mean

Objective: To determine the accuracy of fetal transverse cerebellar diametermeasurement in the prediction of gestational age in growth restricted fetuses. Material andmethods: This controlled was conducted at Sobhraj Maternity Hospital, Karachi from July 2012to June 2013. A total of 100 pregnant women in the third trimester of pregnancy satisfying theeligibility criteria were included. Among these 50 were fetuses with normal fetal growth and50 growth restricted fetuses. Results: The mean transverse cerebellar diameter in the fetusesshowing normal growth was not statistically different from the mean transverse cerebellardiameter in the growth restricted fetuses (p-value = 0.219). Conclusions: Transverse cerebellardiameter measurement can be used reliably for accurate estimation of gestational age in growthrestricted fetuses.

scholarly journals Voice rehabilitation with phonatory prosthesis after total laryngectomy and pharyngolaryngectomy: comparison of functional outcomes between primary and secondary puncture

2020 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Pedro Salvador ◽  
Joana Guimarães ◽  
Eurico Monteiro
Keyword(s):  
Radiation Therapy ◽  
Success Rate ◽  
Total Laryngectomy ◽  
Salvage Surgery ◽  
Voice Rehabilitation ◽  
Adjuvant Radiation ◽  
Vocal Rehabilitation ◽  
Voice Restoration ◽  
Device Lifetime ◽  
The Impact

<p><strong>Background:</strong> Tracheoesophageal puncture (TEP) with voice prosthesis (VP) placement is considered the standard for vocal rehabilitation after total laryngectomy (TL). This study aimed to compare the success rate of primary and secondary TEP and to evaluate the impact of clinical factors on functional outcome.</p><p><strong>Methods:</strong> A retrospective medical chart review was conducted in patients who underwent TL or pharyngolaryngectomy (PLT) and TEP. Variables collected included age, gender, comorbidities, tumor location and stage, extension of surgical resection, reconstruction, neck dissection, radiation therapy, salvage surgery, device lifetime, postoperative complications and successful voice restoration.</p><p><strong>Results:</strong> A total of 186 patients were enrolled in this study, 164 patients (88.2%) underwent primary TEP and 22 (11.8%) secondary TEP. Successful voice rehabilitation was achieved in 76.9% of patients and there was no difference between primary and secondary TEP groups (76.2% vs. 81.8%, p=0.76). A poorer voice restoration outcome was found in patients who underwent radiation therapy (p=0.01) or salvage surgery (p=0.03). Adjuvant radiation was the only independent prognostic factor for functional success (OR=4.7, IC 95%= 1.4-15.9, p=0.04). VP related complications occurred in 65.7% of patients, with higher incidence in secondary TEP group (90.9% vs. 67.7%, p=0.03). Overall device lifetime was similar between primary and secondary groups (9.2 vs. 8.7 months, p=0.89).</p><p><strong>Conclusions:</strong> Voice rehabilitation outcome was similar with primary and secondary TEP. However, TEP related complications were more common in secondary procedures. Primary TEP allows earlier voice restoration, avoiding a second surgical intervention. Functional success rate was poorer for patients who underwent radiation therapy.</p>

Voice rehabilitation after laryngectomy with the Provox® voice prosthesis in South Africa

2003 ◽  
Vol 117 (1) ◽  
pp. 56-59 ◽  
Author(s):  
Anne-Sophie Cornu ◽  
Alexander C. Vlantis ◽  
Haley Elliott ◽  
R. Theo Gregor
Keyword(s):  
South Africa ◽  
Adverse Events ◽  
Total Laryngectomy ◽  
Voice Quality ◽  
Voice Prosthesis ◽  
Rural Populations ◽  
Voice Rehabilitation ◽  
Tertiary Referral ◽  
Tertiary Referral Hospital ◽  
The Mean

A study was undertaken to determine whether the Provox® voice prosthesis provides good voice rehabilitation following a total laryngectomy in the urban, suburbanand rural populations served by a tertiary referral hospital in South Africa.Between 1995 and 1999, a cohort of 128 patients at Tygerberg Hospital was rehabilitated with the Provox™ voice prosthesis after laryngectomy. In 104 patients primary placement of the prosthesis was done at the time of the laryngectomy. Mean device life and adverse events were determined. Voice quality was assessed subjectively in 104 patients and objectively in 26 patients.The mean device life was 303 days and adverse events occurred in 16 patients. Subjectively, 77 of 104 patients had a good voice, and objectively 22 of 26 patients had good voice intelligibility. The Provox® voice prosthesis provides good voice rehabilitation following total laryngectomy, with minimal complications, in the population served by Tygerberg Hospital.

The Relationship between Third Ventricle Diameter, Motor Disability and Cognitive Decline in Patients with Multiple Sclerosis

2021 ◽  
Author(s):  
Maede Kamali ◽  
Mohammad Taghi Joghataei ◽  
Mostafa Almasi-Dooghaee ◽  
Mahla Babaie ◽  
Sara Esmaeili ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Cognitive Dysfunction ◽  
Brain Atrophy ◽  
Third Ventricle ◽  
Statistical Correlation ◽  
P Value ◽  
Transverse Diameter ◽  
The Third ◽  
The Mean ◽  
Edss Score

Background: Multiple Sclerosis (MS) causes brain atrophy at the early stages of the disease which leads to progressive motor and cognitive dysfunction. Brain atrophy can be diagnosed indirectly by measuring the Third Ventricle Diameter (TVD) using Trans Cranial Sonography (TCS). The purpose of the current study was evaluation of TVD in MS patients using TCS to examine its possible correlation with cognitive dysfunction and Expanded Disability Status Scale (EDSS). Methods: Seventy-four patients with a definite diagnosis of MS were enrolled in this study. Transverse diameter of the third ventricle was measured using TCS. All patients were assessed by neurological examination and the level of disability was measured via EDSS. The cognitive performance was assessed by the Brief  International Cognitive Assessment for Multiple Sclerosis (BICAMS). Pearson’s correlation was performed to evaluate possible correlations and p-value<0.05 was considered statistically significant. Results: From the total 74 individuals, 58.1% were diagnosed with Relapse-Remitting MS (RRMS) (n=43) and 43.9% with Secondary-Progressive MS (SPMS) (n=31). The mean EDSS score was 1.81±1.38 (Range of 0-10). The mean TVD was 5.61±1.82 cm which had no statistical correlation with the EDSS score, but it was significantly wider in group with EDSS score>3 when compared to the group with EDSS score≤3 (p-value=0.0001). The mean BICAMS score was 0.65±0.57 and there was no statistical correlation between BICAMS score and TVD. Conclusion: Measuring the diameter of the third ventricle using TCS appears to be an appropriate method to diagnose brain atrophy and is associated with cognitive dysfunction in the process of MS. Our data emphasized no association between the diameter of the third ventricle and cognitive dysfunction.

scholarly journals Halitosis in geriatrics: factors related to this oral problem. An observational prospective clinical study.

2020 ◽  
Vol 10 (2) ◽  
pp. 36-42
Author(s):  
Fernanda Pereira de Caxias ◽  
Isabela Araguê Catanoze ◽  
Emily Vivianne Freitas da Silva ◽  
Júlia Taino Helena ◽  
Daniela Atili Brandini ◽  
...  
Keyword(s):  
P Value ◽  
Prospective Clinical Study ◽  
Complete Dentures ◽  
Tongue Coating ◽  
Spearman Correlation ◽  
Complete Replacement ◽  
Before And After ◽  
Spearman Correlation Test ◽  
The Mean ◽  
Mean Time

Objective: To identify the presence and level of halitosis in edentulous individuals with or without prostheses, before and after rehabilitation with complete dentures (CD). Methods: Patients were verbally invited to participate and signed an Informed Consent. Halitosis was analyzed by the volatile sulfur compounds measurement method in the presence and absence of the old prostheses (M1) and 15 to 30 days after the patients received their new prostheses (M2). At M1, the patients answered a questionnaire with clinical data, and the saliva type and presence/absence of tongue coating were assessed. T-test and Spearman correlation test were used, and a p-value < 0,05 was considered statistically significant. Results: Twenty-seven patients (19 women) with an average age of 67 years participated in the study. The mean time of prosthesis usage was 20.2 years. Tong coating was present in 21 patients (77,8%). A good odor level of halitosis was self-claimed in 13 (41,8%) individuals. The odor level of halitosis was significantly lower in M2 compared to M1, either with or without CD and after hygiene (p < 0,001). There was a positive and statistically significant correlation between the level of halitosis and alcoholism, smoking, prostheses hygiene method, and the presence of disease (diabetes). Conclusion: The old complete replacement of the prostheses with new ones was able to improve the odor level in a period of 15 to 30 days after the treatment. The presence of halitosis was correlated with alcoholism, smoking, denture hygiene methods, and the presence of diabetes.

scholarly journals Mean Change in Refractive Status After Levator Muscle Resection in Patients of Simple Congenital Ptosis

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Rana Muhammad Mohsin Javaid ◽  
Nasir Chaudhary ◽  
Rehab Habib ◽  
Asad Aslam Khan ◽  
Kashif Siddique
Keyword(s):  
Surgical Intervention ◽  
Levator Muscle ◽  
P Value ◽  
Congenital Ptosis ◽  
Refractive Status ◽  
Quasi Experimental ◽  
The Mean ◽  
Medical University ◽  
Ptosis Surgery

Purpose:  To determine the mean change in refractive status after Levator muscle resection in patients of simple congenital ptosis. Study Design:  Quasi Experimental study. Place and Duration of Study:  This study was carried out at Institute of Ophthalmology, King Edward Medical University, Mayo Hospital Lahore, from 2014 to 2015. Material & Methods:  Fifty patients were selected under the age of 12 years with no sex predilection presenting with simple congenital ptosis of pupil sparing type. Patients with neurogenic, aponeurotic ptosis, mechanical ptosis, Blepharophimosis syndrome, patients with previous failed ptosis surgery and patients with corneal anomalies were excluded. After history and examination, Cycloplegic retinoscopy was done, which was repeated after surgical intervention. All interventions were done by a single ophthalmic surgeon. The patients were examined and discharged on the second post operative day. All data including preoperative and postoperative recordings of spherical and cylindrical values were collected on a self-designed proforma. Follow up period was extended to 3 months. At 3rd month cycloplegic retinoscopy was done and change in character of refractive status was analyzed. Mean change in refractive status was calculated by difference of preoperative and postoperative sphere and cylinder values. Results:  Mean age of patients was 4.26 ± 3.78 years. Mean change in spherical value after treatment was 0.447 ± 0.339. This difference was statistically significant with p-value = 0.000. While mean change in cylindrical value after treatment was 0.640 ± 0.580. This difference in cylinder value after treatment was also statistically significant with p-value = 0.000. Conclusion:  Levator muscle resection has a significant effect on refractive status of the patients with congenital ptosis.

PENINGKATAN KUALITAS HIDUP MELALUI LOGOTERAPI PADA KLIEN YANG MENJALANI HEMODIALISIS

2019 ◽  
Vol 11 (1) ◽  
pp. 9-18
Author(s):  
Abdul Wakhid ◽  
Ana Puji Astuti ◽  
Maya Kurnia Dewi
Keyword(s):  
Quality Of Life ◽  
Renal Failure ◽  
Test Group ◽  
Sampling Technique ◽  
T Test ◽  
P Value ◽  
Number Of Patients ◽  
Post Test ◽  
The Mean

Logoterapi merupakan terapi untuk menemukan makna positif dibalik sebuah kejadian yang tidak diharapkan. Logoterapi dilaksanakan secara individu maupun berkelompok dalam bentuk konseling dan berorientasi pada pencarian makna hidup individu. Tujuan logoterapi meningkatkan makna pengalaman hidup individu yang diarahkan kepada pengambilan keputusan yang bertanggung jawab. Penelitian ini dilakukan dengan menggunakan rancangan pre-experiment dengan metode pre and post test group, artinya pengumpulan data dilakukan terhadap responden untuk membandingkan kualitas hidup sebelum dan sesudah dilakukan intervensi. Teknik pengambilan sampel dilakukan dengan metode total sampling yaitu pengambilan seluruh sampel dengan tetap memperhatikan kriteria yang telah ditetapkan. Jumlah pasien yang menjalani hemodialisis di RSUD Ungaran sebanyak 21 orang dan di RSUD Ambarawa sebanyak 25 pasien. Analisis data dilakukan dengan menggunakan uji t test dependent. Hasil penelitian didapatkan bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 60.22 dengan skor terrendah 55 dan skor tertinggi 69. Bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 88.72 dengan skor terrendah 79 dan skor tertinggi 103. Hasil uji statistik dengan uji t test dependent diketahui ada pengaruh logoterapi terhadap kemampuan memaknai hidup pada klien yang menjalani hemodialisis di RSUD Kabupaten Semarang (p value: 0,0001). Saran perlunya peningkatan kemampuan perawat dalam memberikan layanan kesehatan termasuk pemberian atau pemanduan penemuan makna hidup bagi pasien hemodialysis, agar selain dengan hemodialysis, ada faktor internal dari pasien yang dapat dijadikan sebagai motivasi untuk sembuh dari penyakit.   Kata Kunci: Logoterapi, kualitas hidup   IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH RENAL FAILURE WHO UNDERWENT HEMODIALYSIS   ABSTRACT Logotherapy is a therapy to discover the positive meaning behind an unexpected event. Logotherapy is carried out individually or in groups in the form of counseling and oriented to the search for the meaning of individual life. This study aims to improve the quality of life of patients with renal failure who underwent hemodialysis. This research was conducted by using pre-experiment with pre-post test study. The sampling technique was done by the convenience sampling. The number of patients undergoing hemodialysis as many as 46 respondents. Data analysis was done by using test t test dependent. The result showed that from 46 respondents got the mean of quality of life of patients who had hemodialysis 60.22 with lowest score 55 and highest score 69. Whereas from 46 respondents got the mean score of life quality of patients who had hemodialysis 88.72 with score the lowest score 79 and the highest score 103. The result of statistical test with t test dependent is known there is influence of logoterapi to the ability of meaningful life on client who undergo hemodialysis at Semarang Regency hospitals (p value: 0.0001). Advice on the need to improve the nurse's ability to provide health services, including the provision or guidance of the discovery of the meaning of life for hemodialysis patients, in addition to hemodialysis, there are internal factors of the patient that can be used as a motivation to recover from illness.   Keywords: Logotherapy, quality of life, kidney failure.  

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