Work hoarse?

first_img Comments are closed. Work hoarse?On 1 Aug 2001 in Personnel Today Related posts:No related photos. More and more people use their voice at work whether in a call centre or aclassroom.  This presents a challenge theOH team which needs to help workers develop strategies to look after theirvocal health.  By Carey Gardner In modern societies about one third of the labour force works in professionsin which the voice is the primary tool. And this number is in- creasing withthe development of new employment arenas such as telephone banking and callcentres. Recent research has suggested that teachers, trainers and instructorscomprise a large proportion of the population who seek help and therapy forvoice disorders. Although voice problems are common, they are most common inprofessions where there is a heavy vocal loading, for example, prolonged voiceuse, long speaking distances and in the presence of background noise1. Smith et al2 found that schoolteachers report voice problems at a rate ofnearly three times that of a randomly selected group of individuals who workedin a variety of other occupations2. The voice is the primary instrument of communication for humans bothsocially and in the workplace. Although rarely life-threatening, voice problemscan have a tremendous impact on daily life3. According to Perkins, because the human voice is a powerful indicator of anindividual’s physical and emotional health, personality, identity and aestheticorientation as well as an acoustic signal for speech, singing, drama andemotional expression, voice disorders may exert a profound effect on affectedindividuals4. Voice disorders can result from many causes including disease processes, congenitalabnormalities, faulty use of the vocal mechanism, and psychogenic causes. Themajority of voice disorders are due to the latter two factors, that isfunctional rather than organic causes5. Koufman6 suggests that the voice in actuality is the entire person, sinceany abnormality of the psyche or soma can give rise to an abnormality of thevoice. Therefore, the voice is a measure of a person’s overall sense ofwell-being. He also claims that traditional medicine has created a dichotomousmodel of disease – organic versus functional – but many voice disorders can beboth organic and functional simultaneously. However, this dichotomy has littlerelevance to understanding the management of voice disorders. The causes of voice change Voice changes appear to be associated with vocalisations that occur overlong periods of time, at a high volume, at an unusual pitch, with excessive orinappropriate tension, in the presence of unhealthy vocal fold tissue or due toa combination of these factors7. Over the past 10 years there have been several studies that have sought toidentify the nature, frequency and risk factors that contribute to voicesymptoms experienced by teachers. However, research is important in identifyingrisk factors for any profession where there is a heavy vocal loading andenvironmental risk factors. A survey by Sapir et al8, which was designed to assess the prevalence andimpact of voice loss, suggested that it was prevalent among teachers. More thanhalf of teachers suffered more than three voice symptoms, and these symptomsadversely affected their ability to teach effectively. Teachers also felt thattheir voice was a chronic source of frustration or stress to them8. In research by Smith et al2 teachers complained that teaching had an adverseimpact on their voices, and 39 per cent had cut down on their teachingactivities as a result. Further research on teachers in comparison to individuals working in otheroccupations, suggested that teachers are at a high risk for disability fromvoice disorders and that this health problem may have significant work-relatedand economic effects: 20 per cent of teachers but only 4 per cent ofnon-teachers had missed work due to voice problems2. A group of aerobics instructors were studied by Long et al9. Results showedthat a significant number of instructors experienced partial or complete voiceloss during and after instruction, as well as increased episodes of hoarsenessand sore throats unrelated to illness. Several studies indicate teaching produces a high risk of voice symptoms,and that the problem is related to vocally abusive behaviours associated withthe occupation. This health problem may have significant work-related andeconomic effects on the affected individual. The working environment Individuals who use their speaking voice as the main instrument of theirprofession are often required to speak for prolonged periods where optimalvoice quality and projection is demanded, in environments which are notconducive, and where they are required to place exceptional and continualdemands on their voices in stressful circumstances. Noise Background noise can be significant in the development of vocal symptoms.Individuals will increase the volume of their voice in noisy situations inorder to be heard. Therefore, vocal intensity and the consequential strainincrease proportionately in order to communicate effectively in noisyenvironments10. Humidity and temperature A hot dry environment can be detrimental to the voice and humidification maybe required, especially during the winter. Dehydration should be avoided sincethis can affect the vocal process and it is important to have access todrinking water to lubricate the vocal system. Pace of work and job content Prolonged periods of using the voice can contribute to vocal fatigue. Notall vocal demands are of equal importance. Therefore a schedule of work thatleaves room for voice rest and recovery should be developed. If workers are suffering vocal problems and throat symptoms due to thenature of their work this has important implications from an occupationalhealth point of view since employers have responsibilities under legislationsuch as the Health and Safety at Work Act 1974 and the Management of Health andSafety at Work Regulations 1992. This legislation requires employers to carryout systematic health and safety inspections of their premises and practicesand to identify any risks or hazards to their workers arising from thosepremises or practices. Employers are then required to take action to eliminatethe risks and hazards to health identified, or reduce them as far as is reasonablypracticable. Remedial action could apply to environmental considerations such as roomacoustics, speaking duration, distance, humidity and noise levels. Combined with remedial environmental changes, where required, and areduction in risk factors associated with vocal abuse and overuse, thedevelopment of health education programmes focusing on the voice may help to preventthe development of voice symptoms. Education would increase awareness of the factors that affect voice health,and encourage workers to become more attentive to the risk factors that lead tovocal fatigue and discomfort. Chan has detailed a programme of vocal hygiene education. This programmeincludes: – Education on the anatomy and physiology of the vocal system – Explanation of vocal abuses, talking loudly, forced whispering, forexample – Lifestyle behaviours that can affect voice health – smoking, caffeine, andalcohol, for instance – Education on healthy vocal use including strategies to maintain order, bynon-vocal signals such as clapping, which aims to conserve the voice – Moving closer to the target audience to alleviate the need for strenuousvocal effort11. The impact of a voice disorder on an individual is considered immeasurable,and the resulting symptoms such as vocal fatigue, hoarseness, voice loss anddiscomfort of the throat, can affect a worker’s ability to function andtherefore may have significant work-related and economic effects. Voice dysfunction can lead to increased sickness absence, reduced effectivenessand may in severe circum- stances, lead to the individual leaving employment. Clear evidence is emerging from a number of recent studies for developmentof strategies and educational programmes for the maintenance of voice health. The voice is the primary instrument of one-third of the labour force and assuch every effort should be made to protect it. References1. Vilkman E (2000) Voice problems at work: a challenge for occupationalsafety and health arrangement. Folia Phoniatr Logop 52(1-3):120. 2. Smith E, Lemke J, Taylor M, Kirchner HL, Hoffman H (1998) Frequency ofvoice problems among teachers and other occupations. Journal Voice, 2(4):480-8.3. Garrett.CG, Ossoff RH (1999) Hoarseness. Medical Clinics of NorthAmerica, 83 (1):115-123. 4. Perkins WH (1971) Vocal function: a behavioural analysis. In:Travis LE,ed. Handbook of speech, pathology and audiology. New York: Appleton-CenturyCrofts. 5. Herrington-Hall BL, Lee L, Stemple JC, Niemi KR, McHone M (1988)Description of laryngeal pathologies by age, sex and occupation in a treatmentseeking sample. .Journal of Speech & Hearing Disorders, 53:57-64. 6.Koufman, James A. Medicine in the vocal arts. Center for Voice Disordersof Wake Forest University. http://www.bgsm.edu/voice/medicine_vocal_arts.html 7. Gotaas C, Starr CD (1993) Vocal fatigue among teachers. Folia Phoniatr(Basel), 45(3):120-1. 8. Sapir S, Keidar A, Mathers-Schmidt B (1993) Vocal attrition in teachers: surveyfindings.European Journal of Disorders of Communication, 28 (2): 177. 9. Long J, Williford HN, Olson MS, Wolfe. (1998) Voice problems and riskfactors among aerobics instructors. Journal Voice, 12(2):197-207. 10. Rontal E, Rontal M, Jacob HJ, Rolnick MI (1979) Vocal cord dysfunction –an industrial health hazard. Ann Otol Rhinol Laryngol,88(pt 1):818-21. 11. Chan RW (1994) Does the voice improve with vocal hygiene education? Astudy of some instrumental voice measures in a group of kindergarten teachers.Journal Voice, 8(3):279-91. Carey Gardner RGN, BA(hons), BSc OHN (Bristol) Specialist NursePractitioner is a health adviser for Bupa Wellness (Cardiff) The manifestation of voice disordersVocal fatigue a problem that begins to occur as the speaking dayprogresses and which worsens during the dayLaryngeal fatigue affects the physical sensations and effort andperceptual quality of voice productionHoarseness a term used to describe a change in a person’s normalvoice quality or change in normal pitch, vocal abuse is one of the most commoncauses of hoarseness and can lead to other vocal pathologies such as vocalnodulesAphonia loss of voiceOdynophonia pain and soreness in the throat with prolonged vocal useVoice break or voce “crack”A loss of pitch range Previous Article Next Articlelast_img read more

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TREÑAS REPEATS CALL FOR DUQUE’S FIRING; DOH hit over ‘mass recovery’ tally for COVID-19

first_imgARNOLD ALMACEN/CMO“I think it is about time that he gives up his position,” says Mayor Jerry Treñas of Iloilo City. As of July 31, Iloilo City has 91 local cases, 47 of which are active and 40 already recovered. The city has also 64 infected locally stranded individuals and overseas Filipino workers. This tally surpassed the number of COVID-19 cases in China, the original epicenter of the pandemic. As of Thursday, China has 87,680 cases. But the new record on the number of new cases was not the only thing that worries Treñas. According to the mayor, the “miraculous” DOH’s adjustment – now identifying mild and asymptomatic cases who stayed healthy for 14 days as recovered patients – is enough for President Rodrigo Duterte to fire Duque. Duterte defended Duque numerous times amid criticisms on how his agency is handling the COVID-19 pandemic. The agency said reconciliation activity resulted in over 3,000 identified recoveries from July 12 to 14./PN The keywords “mass recovery” is now a trending topic on Twitter, with over 7,400 tweets as of posting time – with majority of the posts denouncing the government for allegedly trying to deceive the public. ILOILO City – Mayor Jerry Treñas once more urged Health secretary Franciso Duque III to step down.   Duterte said he has known Duque since the time of former President Gloria Macapagal Arroyo. “Libagon gid ang tanan nga gina-obra nila,” Treñas said.  “The massive data reconciliation efforts have resulted in faster and more accurate tagging of health statuses, particularly on death and recoveries. Data on recovery reconciliations will be reported every 15 days,” the DOH said. “Mabudlay para saton gobyerno nga maka-move forward if we have a leader like this,” Treñas pointed out. “We have already overtaken China [for COVID-19 cases] and all of sudden DOH comes up with this idea,” Treñas said. But according to Treñas, if the President finds it difficult to fire Duque, it’s about time for the latter to voluntarily resign. Back in June, the mayor questioned the department’s move to pull out rural doctors from Western Visayas to Cebu City. On Thursday, DOH also recorded the highest single increase in confirmed cases at 3,954, bringing the total number to 89,374 – of which, 1,983 patients died while 65,064 recovered. According to the DOH, the surge in the number of recoveries was attributed to enhanced data reconciliation efforts with local government units through “Oplan Recovery.” These thousands of new recoveries shocked Treñas. “Medyo nakibot ako,” he said. “If Secretary Duque cannot really perform as Health chief, I think it is about time he gives up his position,” Treñas stressed.   The President, according to Treñas, should hire more qualified and competent doctors who can “deliver the goods better” in addressing the health concerns of the country. The mayor was also anxious about the surge in new recoveries, saying DOH might also identify the city’s  COVID-19 asymptomatic cases as recoveries.     This was the second time Treñas demanded for the DOH chief’s resignation. The DOH has been the target of ridicule in social media, after netizens noted that the government supposedly changed the way it tallies recoveries just to make it appear that more people are fighting off the disease. His fresh call came after the Department of Health (DOH) tallied a “dubious” record of 38,075 coronavirus disease 2019 (COVID-19) recoveries nationwide in a single day.last_img read more

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Pulis rallies clubs against diving

first_img Pulis confirmed both players accepted their punishment and insisted the responsibility to rid the game of diving does not lie solely with referees. “They (Thomas and Chamakh) have done fantastic for us but we just don’t want to see it,” he said. “I think it is most probably the first time and the last time you will see it. “The one thing I will say is that it is difficult enough refereeing games of football with the pace that the players play at today. “We should be trying to make it as simple as possible for them to do that, not make it more difficult and we have a responsibility on our side to do that properly.” Chamakh is a doubt for Saturday’s visit of Southampton having suffered a hamstring injury in south Wales. Mauricio Pochettino’s Saints are likely to be buoyed heading into the game at Selhurst Park as their quartet of England internationals return to club duties. Adam Lallana and Luke Shaw both came off the bench as England beat Denmark 1-0 while Jay Rodriguez and Rickie Lambert also made up Hodgson’s 30-man squad. Pulis was full of praise for the production line in place at Southampton and revealed he had a soft spot for Lallana, who he has been aware of from a young age. The Crystal Palace boss was irked following last weekend’s 1-1 Barclays Premier League draw at Swansea after Jerome Thomas had been booked for diving and Marouane Chamakh had also gone to ground easily. England coach Roy Hodgson praised Pulis’ hard-line approach earlier in the week after the Welshman came out immediately after the draw and said he intended to reprimand the pair. “I have watched them quite a few times and I think the manager has done a fantastic job there,” Pulis said. “They have got an identity to their team, they play a certain way that is a little bit different to most other teams in the Premier League. As a manager you enjoy watching certain teams. “Lallana actually went to school with my daughter so we always look at what Adam is doing. He comes from a lovely family and is a very level-headed lad and it is lovely to see him doing so well. “With Shaw and (Callum) Chambers, I don’t know what they put in the water down there but they certainly produce some very, very good players.” Tony Pulis believes clubs have to help officials to eradicate simulation after confirming he issued fines to two of his players this week. Press Associationlast_img read more

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Benteke to have op in Belgium

first_img “I’ve been told the surgeon is really highly regarded, so as long as the job is done right and everything goes swimmingly then he will be okay.” Ahead of Saturday’s Barclays Premier League trip to Crystal Palace, Lambert will at least have three other key players available who sat out the 2-1 loss at home to Fulham last weekend. Striker Gabby Agbonlahor and midfielders Fabian Delph and Karim El Ahmadi should all go straight back into the starting line-up for the game at Selhurst Park. Lambert said: “They all trained this week and they’re all fine.” Benteke ruptured his Achilles tendon in training last Thursday, and has returned to his home in Belgium for the operation. Manager Paul Lambert said: “Our doctor (Roddy Macdonald) is over in Belgium and he has spoken with the surgeon, and it’s pretty imminent he will get it done – today, tonight or tomorrow. Press Association Crocked Aston Villa striker Christian Benteke is poised to go under the knife ahead of the weekend. “Then after that it’s all about the rehabilitation with him. When it’s a long-term injury you have good days, bad days, like everyone else when they are out injured for a long time, but he’ll be fine.” With Benteke out of the World Cup, and unlikely to return to match action until October at the earliest, the short-term shock will affect him. Lambert believes, however, knowing the player as he does he will be eager to return as quickly as possible, not just for club, but also for country and qualification for the next European Championship. “It’s probably just sinking in now he is going to miss the World Cup, which is a major blow for him,” added Lambert. “But he is in a generation of Belgian players who will qualify for a few more tournaments down the line. “He is still a young guy in that group, and he will come back totally strong, given the way he is as a guy and his physical aspect. “Of course, everybody is different as to how they want to progress, and how quick their body heals. “But looking at Christian and the way he is as a pro he will knuckle down and work really hard to get back. last_img read more

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Wellington Police Notes: Thursday, March 26, 2015

first_imgWellington Police notes for Thursday, March 26, 2015•7:30 a.m. Injury accident in the 700 block E. U.S. 160, Wellington involving vehicles operated by juvenile male, 16, Wellington and Kyle D. Everhart, 77, Wellington.•7:30 a.m. Juvenile male, 16, Wellington was issued a notice to appear for inattentive driving and violation of basic speed law.•7:45 a.m. Non-Injury accident in the area of U.S. 160 and Jefferson, Wellington involving vehicles operated by Cody A. Myers, 21, Wellington and Elaina M. Sigg, 34, Wellington.•7:50 a.m. Cody A. Myers, 21, Wellington was issued a notice to appear for inattentive driving.•7:55 a.m. Non-Injury accident in the area of 15th & B, Wellington involving vehicles operated by Chase A. Biles, 26, Wellington and Gary W. Bull, 63, Wellington.•Kari L. Stark, 27, Wellington was served a summons to appear for battery.•Jeremy L. Harris, 40, Wellington was served a summons to appear for driving while license is suspended and driving under the influence.•2:52 p.m. Officers investigated theft of services and criminal damage to property by a known suspect in the 800 block N. Woodlawn, Wellington.•5:11 p.m. Officers took a report of a suicide threat in the 100 block W. 13th, Wellington.•7:53 p.m. Officers took a report of suspicious activity in the 700 block E. Lincoln, Wellington.•11:48 p.m. Alan D. Rowand Jr., 64, Wellington was issued a notice to appear for defective headlight.last_img read more

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