Notes

Mendelian Randomisation Research associated with Smoking, Alcohol, and Coffee Consuming with regards to Parkinson's Illness.
ining pathologic diagnosis to rule out malignancy. In addition, the surgeon should maintain surgical techniques and knowledge of available instruments and lasers that can assist in surgical management while prioritizing the preservation of vibratory tissue and voice quality. Finally, the surgeon and the patient should understand the clinical importance of routine endoscopic surveillance.
The proportion of women in otolaryngology-head and neck surgery (OHNS) has steadily increased in recent years. This study examines gender representation in recognition awards given by OHNS societies between 2009 and 2019.

Retrospective analysis of recognition awards given by 10 OHNS societies between 2009 and 2019.

Retrospective review of web-based, public records.

Data from 19 awards were analyzed for recipient gender ratio, society, subspecialty, award type (research, achievement, or humanitarian), and change over time.

Of 184 awards given by societies in otolaryngology-head and neck surgery, 59 (28%) were given to women. Women received 49 (28%) research awards, 9 (31%) humanitarian awards, and 1 (2.8%) achievement award. Women represented 31% of award winners in rhinology/skull base, 30% of award winners in head and neck surgery, 8% in neurotology, and 6% in facial plastic surgery. The American Head and Neck Society Prevention and Early Detection award had the highest representation of women at 43%. Some awards had no female awardees over the past decade. No temporal trends were observed.

From 2009 to 2019, women received recognition awards at a higher percentage than overall gender representation in OHNS. Comparison of research, humanitarian, and achievement awards revealed the disparity of women receiving fewer achievement awards relative to men. Gender representation of award recipients varied by subspecialty, which may be partially determined by gender distribution within the fields.
From 2009 to 2019, women received recognition awards at a higher percentage than overall gender representation in OHNS. Comparison of research, humanitarian, and achievement awards revealed the disparity of women receiving fewer achievement awards relative to men. Gender representation of award recipients varied by subspecialty, which may be partially determined by gender distribution within the fields.
Third-party payers advocate for prior authorization (PA) to reduce overutilization of health care resources. The impact of PA in elective surgery is understudied, especially in cases where evidence-based clinical practice guidelines define operative candidacy. The objective of this study is to investigate the impact of PA on the incidence of pediatric tonsillectomy.

Cross-sectional study.

Health claims database from a third-party payer.

Any pediatric patient who had evaluation for tonsillectomy from 2016 to 2019 was eligible for inclusion. A time series analysis was used to evaluate the change in incidence of tonsillectomy before and after PA. Lag time from consultation to surgery before and after PA was compared with segmented regression.

A total of 10,047 tonsillectomy claims met inclusion and exclusion criteria. Female patients made up 51% of claims, and the mean age was 7.9 years. Just 1.5% of claims were denied after PA implementation. There was no change in the incidence of tonsillectomy for all plan types (
= .1). Increased lag time from consultation to surgery was noted immediately after PA implementation by 2.38 days (95% CI, 0.23-4.54;
= .030); otherwise, there was no significant change over time (
= .98).

A modest number of tonsillectomy claims were denied approval after implementation of PA. The value of PA for pediatric tonsillectomy is questionable, as it did not result in decreased incidence of tonsillectomy in this cohort.
A modest number of tonsillectomy claims were denied approval after implementation of PA. The value of PA for pediatric tonsillectomy is questionable, as it did not result in decreased incidence of tonsillectomy in this cohort.Purpose Psychoacoustical studies on transmission characteristics related to bone-conducted (BC) speech, perceived by speakers during vocalization, are important for further understanding the relationship between speech production and perception, especially auditory feedback. For exploring how the outer ear part contributes to BC speech transmission, this article aims to measure the transmission characteristics of bone conduction focusing on the vibration of the regio temporalis (RT) and sound radiation in the ear canal (EC) due to the excitation in the oral cavity (OC). Method While an excitation signal was presented through a loudspeaker located in the enclosed cavity below the hard palate, transmitted signals were measured on the RT and in the EC. The transfer functions of the RT vibration and EC sound pressure relative to OC sound pressure were determined from the measured signals using the sweep-sine method. Results Our findings obtained from the measurements of five participants are as follows (a) the transfer function of the RT vibration relative to the OC sound pressure attenuated the frequency components above 1 kHz and (b) the transfer function of the EC relative to the OC sound pressure emphasized the frequency components between 2 and 3 kHz. Conclusions The vibration of the soft tissue or the skull bone has an effect of low-pass filtering, whereas the sound radiation in the EC has an effect of 2-3 kHz bandpass filtering. Considering the perceptual effect of low-pass filtering in BC speech, our findings suggest that the transmission to the outer ear may not be a dominant contributor to BC speech perception during vocalization.The devastating effects of natural hazards uncover and exacerbate social inequalities, yet reproductive health outcomes are often overlooked. Despite a small but growing literature on gender and disaster-related impacts, there are no studies to date to our knowledge on the intersection of abortion and disasters, which is important because abortion is common in the U.S. see more and is a critical component of comprehensive reproductive healthcare yet is routinely inaccessible due to a lack of health insurance coverage and other policy barriers. This is a qualitative case study of 8 individuals who required abortion services in Texas at the time of Hurricane Harvey. The study sample comes from caller data from a local Texas abortion fund. We present caller demographics, which reveal nonwhite patients in later trimesters struggling economically. Callers display a need for funding, particularly for travel, and were affected by interpersonal and sexual violence. We conclude with policy and research implications for disaster planners, domestic violence organizations, state and federal officials, and health insurers.
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