Motherhood confers upon a woman the responsibility of raising a child. This process also changes the way in which she is perceived in society and at her workplace. It can necessitate her to take more than available leave options, and job security can be at risk. Significant social and personal adjustments are necessary to cope with such a situation. A working mother, especially one who has the good fortune to be able to balance her home and work, enjoys the stimulation that a job or career provides. She develops the ability of raising a useful member of society and at the same time gains financial independence. Along with motherhood, work adds to the completeness of being a woman.
To discuss a case of suspected retropharyngeal abscess having important clinical and academic significance. This paper discusses an unusual presentation and evolution of a well known condition such as retropharyngeal abscess. Though the diagnosis in this case was initially a retropharyngeal abscess, several unusual findings were evident, which interfered with the optimal management of the patient. A literature review revealed rare causes and lesions mimicking a retropharyngeal abscess, such as retropharyngeal calcific tendinitis and Kawasaki disease, which are neither familiar to otolaryngologists nor other specialists such as orthopedicians. It is possible that this patient was both over treated and undertreated at the same time. Though the diagnosis in this case could not be established with certainty, several important pieces of information came up, especially unusual causes of retropharyngeal abscess and management of the same. Retropharyngeal abscess is a well-known condition with established modes of management. However, certain variations may occur and may pose challenges in diagnosis and management. These variations are little known and need to be highlighted so that optimal management is ensured.
The medical profession is set for a change. It is being redesigned as a corporate enterprise. The health-care industry has proved to be lucrative and therefore has seen the entry of newer players from the corporate field into the market. The “Medical-Industrial complex” has led to the commercialization of health care well beyond what traditional practitioners would consider ideal. Medicine is being treated as a business, with cost curtailment measures and profit margins often dictating physicians' choices. A number of factors decide working environment in a corporate setup, all of which may affect the sacrosanct physician-doctor relationship and “physician” ethics. On the other side, the ability of the corporate sector to bring about a welcome change in the health-care sector in terms of availability of newer modalities of management, implementation of preventive and personalized health-care programme and, at the same time, adding to the comfort of the treating physician cannot be ignored.
<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>A professional voice user is defined as an individual who depends on the use of his or her voice to earn a living, and nowadays encompasses a gamut of professions ranging from highly skilled artistes to call center workers. All of them have various levels of vocal demand but not all are suitably equipped to meet these demands because of a lack of formal training. </p><p class="abstract"><strong><span lang="EN-US">Methods: </span></strong><span lang="EN-US">This study was conducted as a short-term project under the auspices of the ICMR (Indian Council of Medical Research). The principal investigator is the first author, an undergraduate medical student, while the corresponding author is the faculty who guided the student in this endeavor. With a view to exploring how voice training, as opposed to voice therapy for a specific complaint or lesion, could improve the outcome and performance of a professional voice user with no prior training, we carried out this study in our institution and in a nearby school and college.</span></p><p class="abstract"><strong><span lang="EN-US">Results: </span></strong>Over half the subjects were found to have a complaint about their voice. There were equal numbers of men and women in this study and the age group of 26-30 years was the best represented. This age group is significant as it represents the start of the working life of a typical individual, in this case the professional voice user. A positive correlation was found between increasing age (and years of work experience) and the frequency of a voice complaint. With years of work experience more than 15 years, the frequency of voice problems decreased slightly. On cross checking, it was found that these persons were in more senior levels of work, and so had less work pressure.</p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>This study shows that voice training has to be imparted over a considerable period of time even for the less skilled group of professional voice users. </p><p class="keywords"><strong><span lang="EN-US">Keywords: </span></strong>Voice assessment, Voice training, Professional voice user</p>
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