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The objective of this study was to determine the incidence of vocal problems in young choir singers and to correlate vocal problems with demographic and behavioral information. A questionnaire addressing vocal habits and hygiene was offered to 571 young choir singers, up to 25 years of age, who sing at least weekly; 129 (22.6%) responded. More than one-half of the respondents had experienced vocal difficulty, particularly older adolescents. Detrimental behaviors and circumstances surveyed were not reflective of the incidence of vocal difficulty, except for morning hoarseness, chronic fatigue, insomnia, and female gender after puberty. Voice care professionals should be aware that self-reported voice difficulties are common among young choral singers, especially postpubescent girls, and children with symptoms consistent with reflux (morning hoarseness) and emotional stress (insomnia). Laryngologists should communicate with choral conductors and singing teachers to enhance early identification and treatment of children with voice complaints, and to develop choral educational strategies that help decrease their incidence.  相似文献   
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A multilevel approach is proposed to the study of the evolution of multiple networks. In this approach, the basic evolution process is assumed to be the same, while parameter values may differ between different networks. For the network evolution process, stochastic actor-oriented models are used, of which the parameters are estimated by Markov chain Monte Carlo methods. This is applied to the study of effects of delinquent behavior on friendship formation, a question of long standing in criminology. The evolution of friendship is studied empirically in 19 school classes. It is concluded that there is evidence for an effect of similarity in delinquent behavior on friendship evolution. Similarity of the degree of delinquent behavior has a positive effect on tie formation but also on tie dissolution. The last result seems to contradict current criminological theories, and deserves further study.  相似文献   
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