Private or voluntary health insurance (VHI) does not play a significant role in many health systems in the European Union (EU), either in terms of funding or as a means of gaining access to health care. In most EU member states it accounts for less than 5% of total expenditure on health and covers a relatively small proportion of the population (see Table 1). The exceptions to this trend are Fr...

We used environmental metrics developed from multi-source satellite observations to quantify the global influence of El Niño-Southern Oscillation (ENSO) events on surface wetting and drying anomalies, their impact vegetation health. The included a microwave wetness index (ASWI) incorporating near-surface atmospheric vapor pressure deficit (VPD), volumetric soil moisture (VSM), land fractional w...

To identify the factors affecting teachers’ vocal acoustic parameters, with aim of detecting individuals at risk phonotrauma. The voicing time, voice sound pressure level [SPL] and fundamental frequency [fo] 87 teachers were measured during one workweek using a dosimeter. We retrospectively investigated impact 10 (gender, age, teaching experience, level, tobacco, gastro-esophageal problems, non...

Analyser la durée de vie l’implant phonatoire et ses complications, l’efficacité réhabilitation vocale ainsi que son impact sur QdV. Une étude observationnelle monocentrique incluait les patients traités pour un carcinome épidermoïde du larynx ou l’hypopharynx par (pharyngo)-laryngectomie totale entre 2010 2015. Pour chaque patient, éléments suivants étaient recueillis : temps maximal phonation...

BACKGROUND Dysphonia related to head and neck cancer is unique, and demands treatment tailored to its unique pathology. Activate exercises, breathing, counseling, laryngeal manipulation, oral resonance, vocal exercises, and elimination of habits (ABCLOVE) is an 8-week multimodality voice therapy program addressing vocal rehabilitation specifically for patients with head and neck cancer. METHO...

OBJECTIVES In this retrospective study, voice therapy results of adult patients with hyperfunctional voice disorders were discussed. PATIENTS AND METHODS Ninety-one adult patients (59 females, 32 males; mean age: 37 years; range 18 to 54 years) who completed their voice therapy sessions between May 2002 and May 2007 were included in this study. The voice therapy plan was focused on developing...

Background: a patient's self-assessment of his/hers vocal problem and the analysis of the results of a treatment are means used to verify the effectiveness of an intervention and to develop directive procedures for clinical health practice. Psychometric instruments are the most common tools used to perform this task. Validation of self-assessment instruments may be carried out in several ways; ...

Unilateral vocal fold paralysis (UVFP) is associated with changes in acoustic and aerodynamic voice measurements and can have a significant impact on a patient's quality of life. Few objective data regarding the efficacy of voice therapy for UVFP exist. The aim of this study was to retrospectively analyze voice modifications in a group of patients with UVFP before and after voice therapy. Forty...