Prevalence of voice disorders in African American and European American preschoolers

Several studies have reported prevalence rates for voice disorders in school-aged children. Less is known, however, about such prevalence in preschoolers, and whether racial, ethnic, or cultural diversity may influence it. The presence of voice disorders in a total of 2445 African-American and European-American preschool children, 1246 males and 1199 females, from 2 to 6 years of age is reported here. Presence of a voice disorder characterized by hoarseness was identified by a three-prong approach including teacher identification, investigator screening, and parent identification. Speech-language pathologists listened individually to each child's speech as they engaged each child in play-conversation activities. A voice disorder was identified on the basis of the judgment of two speech-language pathologists. Voice disorders characterized by hoarseness were identified in 95 children or 3.9% of the total sample by the investigators. Statistical analysis revealed no significant differences for age, gender, or race.     

地理权重回归模型在甲状腺肿大中的应用

为解决空间数据存在的空间自相关性或空间异质性,利用地理权重回归模型对四川省2000年碘缺乏病资料进行分析。结果表明地理权重回归模型中的参数估计在各区域并不是完全相等的,而且甲状腺肿大率较高的区域主要位于四川盆地中部及南部的山区和丘陵地带。     

A linked risk group model for investigating the spread of HIV

This paper describes a model that simulates the spread of HIV and progression to AIDS. The model is based on classical models of disease transmission. It consists of six linked risk groups and tracks the numbers of infectives, AIDS cases, AIDS related deaths, and other deaths of infected persons in each risk group. Parametric functions are used to represent risk-group-specific and time-dependent average contact rates. Contacts are needle sharing, sexual contacts, or blood product transfers.

An important feature of the model is that the contact rate parameters are estimated by minimizing differences between AIDS incidence and reported AIDS cases adjusted for undercounting biases. This feature results in an HIV epidemic curve that is analogous to one estimated by backcalculation models but whose dynamics are determined by simulating disease transmission. The model exhibits characteristics of both the disease transmission and the backcalculation approaches, i.e., the model:

• reconstructs the historical behavior patterns of the different risk groups,

• includes separate effects of treatment and changes in average contact rates,

• accounts for other mortality risks for persons infected with HIV,

• calculates short-term projections of AIDS incidence, HIV incidence, and HIV prevalence,

• calculates cumulative HIV infections (the quantity calculated by backcalculation approaches) and HIV prevalence (the quantity measured by seroprevalence and sentinel surveys). This latter feature permits the validation of the estimates generated by two distinct approaches.

We demonstrate the use of the model with an application to U.S. AIDS data through 1991.     

Voice problems in a small swedish town: A retrospective study of the prevalence and a follow-up

The prevalence of voice problems among patients consulting the primary health care unit of a small Swedish town during 1984 was investigated. A study of the records of 11,606 patients indicated that 102 of them consulted their doctor mainly because of voice problems. The period prevalence of voice problems in the population of 20,049 people was 0.5%. A follow-up examination 1 year later indicated that 44% of these patients still had voice problems. Among the patients with a voice disorder diagnosis made by means of indirect laryngoscopy in 1984, 72% still had a voice disorder diagnosis at the follow-up. It is pointed out that the doctor who is seeing a patient with voice problems should make a thorough examination including indirect laryngoscopy. It is also important to discuss the patient's smoking habits and professional vocal strain to prevent recurrence.     

Epidemiological Study of Voice Disorders Among Teaching Professionals of La Rioja, Spain

The purpose of the present study was to calculate the prevalence and incidence of voice disorders among teaching staff and find out the associated occupational risk factors. A case-control study was performed with 905 teachers, 579 cases and 326 controls; 492 were randomly selected and 413 volunteered. All teachers were asked to fill out a standard questionnaire. Next, a complete laryngeal exam was performed including a general ear, nose, and throat evaluation and videolaryngostroboscopy. The prevalence of voice disorders among teaching staff was 57%. The most prevalent lesions were vocal overstrain (18%), nodular lesions (14%), and hyperfunctional dysphonia (8%). The incidence rate was 3.87 new cases per year per 1000 teachers. Women had organic lesions three times more than men (odds ratio [OR]: 3.52, confidence interval [CI]: 2.04-6.09). However, men had chronic laryngitis three times more than women (OR: 2.93, CI: 1.50-5.71) and functional dysphonia nearly twice more than women (OR: 1.81, CI: 1.21-2.69). We find a significant risk of suffering voice disorders in teachers who smoke daily (OR: 2.31, CI: 1.58-3.37) and who drink several cups of coffee or tea (OR: 1.87, CI: 1.36-2.56). It is advisable to carry out an annual evaluation of all teaching staff on account of the high prevalence of voice disorders among them.     

A health insurance pricing model based on prevalence rates: Application to critical illness insurance

The Italian health insurance market is currently undersized. The paucity of assured data and the discontinuous statistical surveys carried out by the National Institute of Statistics (ISTAT) represent one of the main obstacles to the insurance market development. The paper sets forth a parametric model to estimate technical basis for health insurance policies when data are limited and only aggregated information on mortality and morbidity is available. The probabilistic framework is based on a multiple state continuous and time inhomogeneous Markov model. We provide an estimate of transition intensities from the healthy state to the sickness state when only prevalence rates of sickness are available, according to an extension and modification of the methodology proposed in Olivieri (1996) for Long Term Care insurance. We assume that mortality intensity of both healthy and sick lives is modelled by two independent Gompertz–Makeham models.     

A prevalent transversality theorem for Lipschitz functions

This paper provides a version of the transversality theorem for a class of Lipschitz functions of the form , where is a convex subset of a normed vector space indexing the parameters in the problem. The set may be infinite-dimensional, and the notion of generic used is the measure-theoretic notion of prevalence introduced by Hunt, Sauer and Yorke (1992) and Christensen (1974). This paper also provides some results on sensitivity analysis for solutions to locally Lipschitz equations.

     

Prevalence of voice problems in teachers

Teachers are frequently cited as experiencing a high rate of vocal dysfunction (1–7). Despite considerable research in the area of voice problems in teachers, the prevalence of voice disorders in this group is unknown. This study investigated the prevalence of self-reported voice problems in teachers using a mail survey of a simple random sample of 1168 state school teachers (preschool-Grade 12) in South Australia. As part of the survey, teachers were asked to report voice problems for the day of the survey, during the current teaching year, and during their careers. The response rate was 75%, with 16% of teachers reporting voice problems on the day of the survey, 20% reporting problems during the current teaching year, and 19% reporting problems at some time during their career. Females were twice as likely as males to report voice problems. These findings clearly indicate a need for further investigation of the causes of vocal dysfunction in teachers and for the development of educational programs aimed at preventing voice problems in this group of professional voice users.     

Adaptation of the Generic PDE’s Results to the Notion of Prevalence

Many generic results have been proved, especially concerning the qualitative behaviour of solutions of partial differential equations. Recently, a new notion of “almost always”, the prevalence, has been developed for vectorial spaces. This notion is interesting since, for example, prevalence sets are equivalent to the full Lebesgue measure sets in finite dimensional spaces. The purpose of this article is to adapt the generic PDE’s results to the notion of prevalence. In particular, we consider the cases where Sard–Smale theorems or arguments of analytic perturbations of the parameters are used. Dedicated to Professor Pavol Brunovsky in honor of his 70th birthday.     

Self-reported voice problems among three groups of professional singers

A vocal health questionnaire was administered to three groups of professional singers and a “friendship-matched” group of nonsingers in Melbourne, Australia. The responses of 79 opera, 57 musical theatre and 31 contemporary (excluding rock) singers and 86 nonsingers were analysed. The questionnaire solicited information regarding biographical data speaking and singing voice-use behaviours, and vocal health over the previous 12 months in terms of experiences of vocal impairment, vocal disability, and handicap. Significant differences between singers and nonsingers in the prevalence and nature of voice problems were reported. Of the singers, 44% reported one or more occurrences of a diagnosed vocal condition compared to 21% of nonsingers and 69% of singers experienced vocal disability compared to only 41% of nonsingers, over the previous 12 months. In contrast, no significant differences were found between the three different styles of singers in their experience of vocal impairment, disability or handicap.