the voice handicap index (vhi) is a widespread instrument for measuring the psychosocial handicapping effect of a voice disorder over 3 domains, the physical (p), the emotional (e) and the functional (f) domain. it is a disease specific quality of life instrument and consists of 30 items/statements (10 in each domain), which are to be scored from 0 to 4 with a maximum score of 120. the higher t...

Abstract Introduction Post-menopasual women experience changes in vaginal flora and atrophy that have been associated with declining estrogen levels. These to the microenvironment often lead significant genital pain discomfort during sexual intercourse. Vaginal treats thereby restoring flora, which prevents UTIs improves function post-menopausal women. While is effective, some patients contrain...

AIMS To construct and validate a short scale for the assessment of the severity of visual height intolerance (vHI) and acrophobia. METHODS The questionnaire was developed from two earlier representative epidemiological studies (n = 5,529). Items were applied in a telephone survey of a representative population-based sample. RESULTS A total of 1,960 persons were included. The life-time preva...

OBJECTIVES To characterize the voice quality of individuals with dysphonia and to investigate possible correlations between the degree of voice deviation (D) and scores on the Dysphonia Risk Screening Protocol-General (DRSP), the Voice-Related Quality of Life (V-RQOL) measure and the Voice Handicap Index, short version (VHI-10). METHODS The sample included 200 individuals with dysphonia. Foll...

OBJECTIVE To assess the oncological and functional outcomes of T1b squamous cell carcinoma (SCC) of the glottic larynx treated with laser in comparison with radiation. DESIGN A Canadian multicenter cohort study. SETTING Three tertiary referral centers for head and neck cancer- Dalhousie University in Halifax, Nova Scotia, Western University in London, Ontario and the University of Manitoba,...

OBJECTIVES/HYPOTHESIS Benign midmembranous vocal fold lesions (BMVFLs) are common voice disorders, but interpretation of outcomes following treatment is difficult due to the lack of a standardized nomenclature system for these lesions. Outcome results are increasingly important to third party payers. This study aimed to investigate the outcomes of patients with BMVFLs using a previously validat...

INTRODUCTION Treatments for patients with laryngeal cancer often have an impact on physical, social, and psychological functions. OBJECTIVE To evaluate quality of life and voice in patients treated for advanced laryngeal cancer through surgery or exclusive chemoradiation. METHODS Retrospective cohort study with 30 patients free from disease: ten total laryngectomy patients without productio...

Remote sensing is used for monitoring the impacts of meteorological drought on ecosystems, but few large-scale comparisons of the response timescale to drought of different vegetation remote sensing products are available. We correlated vegetation health products derived from polar-orbiting radiometer observations with a meteorological drought indicator available at different aggregation timesc...

The objective of this study is to cross-validate 34 Coupled Model Intercomparison Project Phase 5 (CMIP5) historical simulations of precipitation against the Global Precipitation Climatology Project (GPCP) data, quantifying model pattern discrepancies, and biases for both entire distributions and their upper tails. The results of the volumetric hit index (VHI) analysis of the total monthly prec...

OBJECTIVES To investigate the efficacy of stretch-and-flow voice therapy as a primary physiological treatment for patients with hyperfunctional voice disorders. STUDY DESIGN Prospective case series. METHODS Participants with a diagnosis of primary muscle tension dysphonia or phonotraumatic lesions due to hyperfunctional vocal behaviors were included. Participants received stretch-and-flow v...