ABSTRACT
The primary prevention of communication problems is a growing part of the professional responsibility of the speech-language therapist. Functional voice hyperfunction, which often occurs in professional users of voice, can be prevented. In this article three separate studies on voice problems of people in three different professions are reported. The subjects included 183 educators, 50 ministers and 20 singers. The data were obtained using questionnaires. The results indicate that voice problems and symptoms of voice problems occur in all three groups, that these speakers have little knowledge of the subject, that they expose themselves to high risk factors, and that they do not conserve their voices. Guidelines for instruction in prevention are provided.
Subject(s)
Occupational Diseases/prevention & control , Voice Disorders/prevention & control , Adult , Humans , Middle Aged , Occupational Diseases/diagnosis , Surveys and Questionnaires , Voice Disorders/diagnosisABSTRACT
In an open clinical endoscopic study, 50 patients with duodenal ulcer showed no significant difference in ulcer healing during a 6-week treatment period with doxepin HCl (50 mg h.s.) versus cimetidine (1000 mg/day in divided doses). Possible tricyclic mechanisms of action in the treatment of peptic ulcer, e.g., histamine H2 blockade, are discussed.
Subject(s)
Cimetidine/therapeutic use , Doxepin/therapeutic use , Duodenal Ulcer/drug therapy , Guanidines/therapeutic use , Adult , Aged , Duodenal Ulcer/pathology , Duodenoscopy , Gastric Acid/metabolism , Humans , Middle Aged , Random Allocation , Receptors, Histamine H2/drug effectsABSTRACT
Sixty patients with endoscopically confirmed duodenal ulcers were treated with 50 mg of trimipramine daily. After the end of the treatment 45 patients showed healed ulcers. Ulcer healing was not related to serum concentration of trimipramine, but seemed to be influenced by smoking habits and duration of the total and actual disease history.
Subject(s)
Dibenzazepines/therapeutic use , Duodenal Ulcer/drug therapy , Trimipramine/therapeutic use , Antacids/administration & dosage , Antacids/therapeutic use , Drug Therapy, Combination , Duodenal Ulcer/etiology , Female , Humans , Male , Smoking/complications , Trimipramine/bloodABSTRACT
A 64-year-old woman with adult coeliac disease developed recurrent ulceration and perforation of the small intestine, dermatitis herpetiformis and a reticulosarcoma of the small intestine. She died following the third perforation. The possible importance of strict adherence to a gluten-free diet in the hope of preventing these complications in patients with adult coeliac disease is discussed.
