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Kyung Ho Hwang - One of the best experts on this subject based on the ideXlab platform.
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Application of triamcinolone acetonide paste to the endotracheal tube reduces postoperative sore Throat: a randomized controlled trial
Canadian Journal of Anesthesia Journal canadien d'anesthésie, 2011Co-Authors: Sun Young Park, Sang Hyun Kim, Se Jin Lee, Won Seok Chae, Hee Cheol Jin, Jeong Seok Lee, Soon Im Kim, Kyung Ho HwangAbstract:Purpose This study was performed to examine whether applying triamcinolone acetonide paste as a lubricant to endotracheal tubes (ETTs) reduces the incidence and severity of postoperative sore Throat (POST) more effectively than applying chlorhexidine gluconate jelly. Methods This was a randomized controlled clinical trial. Patients enrolled in the study were ages 20 to 70 yr, American Society of Anesthesiologists’ physical status I and II, and scheduled for elective laparoscopic cholecystectomy. The patients were divided randomly into two groups, the chlorhexidine group and the triamcinolone group. Prior to endotracheal intubation, ETTs in the chlorhexidine group were lubricated with 0.1% chlorhexidine gluconate jelly, whereas the ETTs in the triamcinolone group were lubricated with 0.1% triamcinolone acetonide paste 0.5 mg. During the 24 hr after the operation, we recorded the incidence and severity of POST and the incidence of cough, hoarseness, dysphagia, nausea, and Dry Throat. Results Of the 150 patients initially enrolled, 143 patients were included in the study. The incidence of POST was significantly lower in the triamcinolone group compared with the chlorhexidine group (difference = 52.4%; 95% confidence interval, 36.8% to 64.2%; P
Leslie Piccolotto Ferreira - One of the best experts on this subject based on the ideXlab platform.
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voice disorder and burnout syndrome in teachers
Journal of Voice, 2019Co-Authors: Aline Ferreira De Brito Mota, Iara Bittante De Oliveira, Renata Paparelli, Rodrigo Dornelas, Susana Pimentel Pinto Giannini, Leslie Piccolotto FerreiraAbstract:Summary Objective The objective of this study was to assess the association between burnout syndrome and the likely presence of voice disorders among teachers from a public elementary school in the country town of Sergipe. Methods This is a cross-sectional study in which 208 teachers completed the following questionnaires: the Condition of Vocal Production-Teacher (CPV-P), the Screening Index for Voice Disorder (SIVD), and the Burnout Syndrome Evaluation Questionnaire (CESQT). Results Of the 208 teachers, 76.9% were women, 77.9% came from rural areas, and 64.4% were likely to have a voice disorder. Teachers with a career length of over 15 years were almost twice as likely to have a voice disorder. Of the symptoms listed in the SIVD, the following were most prevalent: Dry Throat (88.1%), hoarseness (84.4%), and fatigue when speaking (82.1%). Among the burnout subscales, psychic exhaustion was the most common (30.3%). Analyses revealed that probable voice disorder was associated with psychic exhaustion with an odds ratio of 1.78 (P Conclusions The present results confirmed that burnout syndrome was associated with the presence of a probable voice disorder.
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Relationship between vocal symptoms in college students and their possible causes
International Archives of Otorhinolaryngology, 2013Co-Authors: Leslie Piccolotto Ferreira, Juliana Ranzani Guerra, Camila Miranda Loiola, Ana Carolina De Assis Moura GhirardiAbstract:INTRODUCTION: Studies to understand the vocal profile of a population are important to plan collective health measures. The prevalence of vocal symptoms can be indicative of vocal disorder and must be investigated to support measures to prevent vocal diseases. AIM: To characterize vocal symptoms in college students and their possible causes, and to analyze the association between hoarseness, vocal fatigue, phlegm, and burning in the Throat with the possible causes mentioned. METHOD: Prospective study of 517 students who answered a questionnaire about their general heath and vocal symptoms and causes. We used the study of proportions, measures of central tendency, and a chi-square test to associate the presence of symptoms and possible causes. RESULTS: Symptoms most often mentioned: Dry mouth (21%), Dry Throat (18.2%), phlegm (17.9%). Causes most often cited: high respiratory disease (39%), intense voice use (24%), smoking (24%). Hoarseness was associated with heavy use of voice and high respiratory disease; vocal fatigue with intense voice use, stress, and digestive problems; burning in the Throat with intensive voice use, high respiratory disease, and pollution; phlegm with smoking, and upper respiratory and digestive problems. CONCLUSION: Not only do aspects of health and the voice interfere with its production, the external environment and habits influence the vocal symptoms of this population as well.
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Relation between voice disorders and work in a group of Community Health Workers
CoDAS, 2013Co-Authors: Fabiana Gonçalves Cipriano, Leslie Piccolotto Ferreira, Emilse Aparecida Merlin Servilha, Regina Maria Giffoni MarsigliaAbstract:Purpose: To analyze the relationship between voice disorders and work in a group of Community Health Agents (CHA). Methods: The subjects of this study were 65 CHA working in the city of Sao Paulo. Thefiinstrument used for data collection was an adaptation of the questionnaire named Conditions of Vocal Production – Teachers (CPV-P). The results were keyed in twice and submitted to statistical analysis, in order to verify: the self-reported frequency of voice disorder frequency of present vocal symptoms, the association among the three most frequently reported present symptoms, and environmental and organizational aspects of work. Results: Of the 65 (100%) CHA in the study, 37 (56.9%) self-reported having present or past vocal disorders. The most frequently reported present symptoms were: Dry Throat, tiredness when speaking, and burning sensation in the Throat. There was significant association between: taking work to home, having personal items stolen, police intervention, violence against employees and vocal symptom Dry Throat, not having enough time to complete all tasks, difficulty in leaving work, inadequate furniture, intense physical strain, objects stolen from the health unit, racism and vocal symptom tiredness when speaking, dust, job dissatisfaction, work stress, building destruction, drug issues, and vocal symptom burning in Throat. Conclusion: Based on the obtained results, the initial hypothesis of association between the development of vocal disorders among the subjects and the adversities present in their work environment and organization was confirmed.
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influence of abusive vocal habits hydration mastication and sleep in the occurrence of vocal symptoms in teachers
Journal of Voice, 2010Co-Authors: Leslie Piccolotto Ferreira, Susana Pimentel Pinto Giannini, Maria Do Rosario Dias De Oliveira Latorre, Ana Carolina De Assis Moura Ghirardi, Delmira De Fraga E Karmann, Eliana Egerland Silva, Silmara FigueiraAbstract:Summary Some vocal disorders in teachers are associated with occupational factors, but there are few studies that analyze the influence of vocal habits, fluid intake, mastication, and sleep on these disorders. The objective was to analyze the occurrence of vocal fatigue, hoarseness, and Dry Throat in elementary and high school teachers and their association with vocal habits, fluid intake, mastication, and sleep. A sample of 422 elementary and secondary school teachers was studied using a specific questionnaire. The multiple regression analysis showed that hoarseness was associated with absence of water intake (odds ratio (OR)=1.7; P =0.047), yelling/speaking loudly (OR=1.6; P =0.058), jaw-opening limitations (OR=3.8; P =0.003), average of 6 hours of sleep/night (OR=1.7; P =0.039), and waking-up feeling replenished (OR=2.0; P =0.020). The presence of vocal fatigue was significantly associated with yelling/speaking loudly (OR=2.2; P =0.013), speaking excessively (OR=2.4; P =0.023), difficulty to open the mouth to masticate (OR=6.6; P =0.003), less than 6 hours of sleep (OR=4.0; P =0.008), and waking-up feeling replenished (sometimes OR=2.8; P =0.003; or never OR=3.3; P =0.002). The presence of Dry Throat was associated with being a former smoker (OR=3.3; P =0.011) and having jaw-opening limitations (OR=3.9; P =0.021). In recent years, speech and hearing interventions with teachers have focused on health-care promotion actions and prevention of vocal disorders, prioritizing issues related with hydration and healthy vocal use habits. However, the findings in the present study show the need to further focus on lifestyle habits related to sleep and eating habits.
Sun Young Park - One of the best experts on this subject based on the ideXlab platform.
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Application of triamcinolone acetonide paste to the endotracheal tube reduces postoperative sore Throat: a randomized controlled trial
Canadian Journal of Anesthesia Journal canadien d'anesthésie, 2011Co-Authors: Sun Young Park, Sang Hyun Kim, Se Jin Lee, Won Seok Chae, Hee Cheol Jin, Jeong Seok Lee, Soon Im Kim, Kyung Ho HwangAbstract:Purpose This study was performed to examine whether applying triamcinolone acetonide paste as a lubricant to endotracheal tubes (ETTs) reduces the incidence and severity of postoperative sore Throat (POST) more effectively than applying chlorhexidine gluconate jelly. Methods This was a randomized controlled clinical trial. Patients enrolled in the study were ages 20 to 70 yr, American Society of Anesthesiologists’ physical status I and II, and scheduled for elective laparoscopic cholecystectomy. The patients were divided randomly into two groups, the chlorhexidine group and the triamcinolone group. Prior to endotracheal intubation, ETTs in the chlorhexidine group were lubricated with 0.1% chlorhexidine gluconate jelly, whereas the ETTs in the triamcinolone group were lubricated with 0.1% triamcinolone acetonide paste 0.5 mg. During the 24 hr after the operation, we recorded the incidence and severity of POST and the incidence of cough, hoarseness, dysphagia, nausea, and Dry Throat. Results Of the 150 patients initially enrolled, 143 patients were included in the study. The incidence of POST was significantly lower in the triamcinolone group compared with the chlorhexidine group (difference = 52.4%; 95% confidence interval, 36.8% to 64.2%; P
Ray Kinsella - One of the best experts on this subject based on the ideXlab platform.
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the prevalence and impact of voice problems in primary school teachers
Occupational Medicine, 2008Co-Authors: Caitriona Munier, Ray KinsellaAbstract:BACKGROUND: Teachers have been identified as at increased risk of developing an occupational voice disorder. Primary school teachers are particularly at risk as they have little opportunity for voice rest during the working day. AIM: To analyse the prevalence and impact of voice problems in primary school teachers in the workplace. METHOD: An 85-item questionnaire was administered to 550 primary school teachers from 42 schools in the greater Dublin area. RESULTS: A response rate of 55% was obtained. Results suggest that 27% suffered from a voice problem, 53% an 'intermittent' voice problem, while only 20% had no voice problem. Teachers of the junior classes were more vulnerable to developing a voice problem than those of senior classes. The most common symptoms were 'Dry Throat' and 'vocal fatigue'. CONCLUSION: Voice disorders were very common in our study of primary school teachers. Those most frequently affected taught the younger classes. Further intervention is needed to identify and minimize risk factors and reduce the negative impact of voice on the individual and on work.
Hee Cheol Jin - One of the best experts on this subject based on the ideXlab platform.
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Application of triamcinolone acetonide paste to the endotracheal tube reduces postoperative sore Throat: a randomized controlled trial
Canadian Journal of Anesthesia Journal canadien d'anesthésie, 2011Co-Authors: Sun Young Park, Sang Hyun Kim, Se Jin Lee, Won Seok Chae, Hee Cheol Jin, Jeong Seok Lee, Soon Im Kim, Kyung Ho HwangAbstract:Purpose This study was performed to examine whether applying triamcinolone acetonide paste as a lubricant to endotracheal tubes (ETTs) reduces the incidence and severity of postoperative sore Throat (POST) more effectively than applying chlorhexidine gluconate jelly. Methods This was a randomized controlled clinical trial. Patients enrolled in the study were ages 20 to 70 yr, American Society of Anesthesiologists’ physical status I and II, and scheduled for elective laparoscopic cholecystectomy. The patients were divided randomly into two groups, the chlorhexidine group and the triamcinolone group. Prior to endotracheal intubation, ETTs in the chlorhexidine group were lubricated with 0.1% chlorhexidine gluconate jelly, whereas the ETTs in the triamcinolone group were lubricated with 0.1% triamcinolone acetonide paste 0.5 mg. During the 24 hr after the operation, we recorded the incidence and severity of POST and the incidence of cough, hoarseness, dysphagia, nausea, and Dry Throat. Results Of the 150 patients initially enrolled, 143 patients were included in the study. The incidence of POST was significantly lower in the triamcinolone group compared with the chlorhexidine group (difference = 52.4%; 95% confidence interval, 36.8% to 64.2%; P
