No abstract

Background Puberphonia is the perseverance of high pitched voice after the pubertal age in males which causes a huge psychosocial impact. Voice therapy is one modality of management of Puberphonia. Aim The Objective of our study was to evaluate the efficacy of voice therapy in patients as the sole treatment to improve the pitch and quality of voice, the psychosocial impact and patient's satisfaction. Methods A retrospective study was carried out on 71 patients who were presented to ENT unit at the National hospital of Sri Lanka for fifteen years from 2002. Pre and post voice therapy subjective assessment was done by the speech therapist for pitch and quality and patient's perceptual assessment using an analog scale (0-extremely poor to 10normal voice) and a psychosocial impact assessment was also done. Results The time duration of voice therapy ranged from 1 to 10 months (average-3.6 months). Pitch and quality of the voice became normal in 78.9% and 35.2% of patients respectively. Pre-therapy perceptual score range(PSR) was 0 to 6 (mean-3.0). Post-therapy PSR was 5 to 10 (mean-7.7). 95.8% patients had improved psychosocial impact and patient satisfaction after voice therapy. Remaining opted for surgical management. Conclusion Voice therapy significantly improves the pitch, patient's satisfaction and psychosocial impact and can be used as an effective modality of treatment for Puberphonia.

In recent years there has been increasing interest in the sociocultural aspects of psychiatric disorders, particularly schizophrenia (World Health Organization, 1975; Sartorius et al, 1986). This has extended from multicentre international studies of prevalence, through national incidence or phenomenological studies in different ethnic groups (Cochrane, 1977; Teggin et al, 1985), to outcome assessments in different cultures (Sartorius et al, 1986, 1987).

No abstract

IntroductionUrinary incontinence is a distressing problem after childbirth, but its incidence and risk factors among Sri Lankan women has not been reported.Materials and MethodsA descriptive cross-sectional study was carried out among 234 women attending postpartum clinics at two tertiary care units and two Medical Officer of Health (MOH) areas in the Colombo district using a validated interviewer administered ICIQ-FLUTS long format questionnaire. Data was analysed using SPSS software package version 26.0. Significance was taken as p<0.05.ResultsThe prevalence of postpartum urinary incontinence (PPUI) was 5.6% (13 / 234). Nine of them (69.2%) had mixed incontinence while urge incontinence was seen in three (23.1%) and stress incontinence in one (7.7 %). Patients with chronic respiratory symptoms showed a higher prevalence PPUI (p=0.028). However, birth weight of the baby, mode of delivery, episiotomy, maternal age, parity, and obesity did not show an association with higher prevalence of PPUI (p>0.05).ConclusionThe prevalence of PPUI was 5.6%. (95% CI 3.0% - 9.3%). It was more common in mothers who had chronic respiratory diseases. The mode of delivery had no influence on PPUI in our study.