Background: Congenital hypothyroidism (CH) is the most common preventable causes of mental retardation in children. Screening and early treatment an important prognostic factors for normal neurodevelopment in children with CH. The Vineland Adaptive Behavior Scales Second Edition (VABS-II) is a parent report measure of adaptive functioning that could be used as a developmental screening tool in patients with CH. We have investigated the performance of VABS-II as a screening tool to identify developmental delay in children with CH. VABS-II questionnaires testing communication, daily living skills, social skills, motor skills and behaviour domains were completed by parents of 50 children with CH initially at time of diagnosis and follow up after six month with age distribution 3rd day of life -12 months (CH, n = 35) and 13-24 months (CH, n = 15). Both had positive results of screening program and positive values for thyroid function tests.
Objective:The aim of this study to assess and follow up neurodevelopmental abilities in children with congenital hypothyroidism using Vineland Adaptive Behavior Scales-Second Edition (Vineland-II).
Patients and Methods:We conducted a prospective study at Benha Children Hospital, Egypt. The study participants were 50 infants with CH and their mothers (patients group), and 50 age matched volunteers of healthy infants (control group). Data were collected to determine socioeconomic state, clinical picture at presentation, personal, family, obstetric history and assessment of neurodevelopment by using Vineland-II scale. Results: About 64% of cases were permanent CH and about 14% of cases were transient CH. There was significant positive correlation between compliance score and the parameters of the physical and neurological development.
Conclusion:Our study adds further evidence to normalize TSH as soon as possible to avoid long-term neurodevelopmental outcomes.
Background
The university teaching faculty members are one of the occupational fields in education that are more exposed to voice disorders. The current study aimed to examine the association among vocal symptoms reported by faculty teaching professionals, impact of voice problems on daily activities, their vocal habits, and knowledge on vocal hygiene in relation to specialist consultation and to identify which of the assessed factors triggered the most for medical consultation. An online questionnaire was completed by 420 faculty teaching professionals from 7 universities in Egypt between November 2019 and December 2019.
Results
All assessed vocal symptoms were significantly associated with specialist consultation (p-value <0.01). Most common bad vocal habits included increased voice loudness (71.2%), talking for long time (69.3%), and frequent throat clearance (54.0%). The most commonly reported preventive measures included avoid screaming (88.3%), stop smoking (87.1%), and taking periods of voice rest (86.4%). The strongest predictor of having specialist consultation was frequent throat clearance, recording an odds ratio of 23.809.
Conclusion
Based on information obtained from the current study, ideas are suggested for setting up vocal hygiene programs throughout a professional voice career for keeping a healthy voice. Avoid passive smoking and using microphones are considered remarkable adequate methods for healthy voice.
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