{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T16:31:06Z","timestamp":1789576266429,"version":"build-2803163510"},"reference-count":15,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jvoice.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Voice"],"published-print":{"date-parts":[[2023,11]]},"DOI":"10.1016\/j.jvoice.2021.05.013","type":"journal-article","created":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T17:04:44Z","timestamp":1625936684000},"page":"907-912","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Characterization of Vocal Fold Pathology in Military Drill Instructors"],"prefix":"10.1016","volume":"37","author":[{"given":"Amber","family":"Duvall","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory R.","family":"Dion","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvoice.2021.05.013_bib0001","doi-asserted-by":"crossref","unstructured":"Titze IR, Lemke J, Montequin D. Populations in the U.S. workforce who rely on voice as a primary tool of trade: a preliminary report. J Voice1997; 11:254-259.","DOI":"10.1016\/S0892-1997(97)80002-1"},{"key":"10.1016\/j.jvoice.2021.05.013_bib0002","doi-asserted-by":"crossref","unstructured":"Szabo Portela A, Granqvist S, Ternstr\u00f6m S, et al. Vocal behavior in environmental noise: comparisons between work and leisure conditions in women with work-related voice disorders and matched controls. J Voice2018; 32:126.e123-126.e138.","DOI":"10.1016\/j.jvoice.2017.04.010"},{"key":"10.1016\/j.jvoice.2021.05.013_bib0003","doi-asserted-by":"crossref","unstructured":"Roy N, Merrill RM, Gray SD, et al. Voice disorders in the general population: prevalence, risk factors, and occupational impact. Laryngoscope2005; 115:1988-1995.","DOI":"10.1097\/01.mlg.0000179174.32345.41"},{"key":"10.1016\/j.jvoice.2021.05.013_bib0004","doi-asserted-by":"crossref","unstructured":"Estes C, Sadoughi B, Coleman R, et al. Phonotraumatic injury in fitness instructors: risk factors, diagnoses, and treatment methods. J Voice2020; 34:272-279.","DOI":"10.1016\/j.jvoice.2018.10.001"},{"key":"10.1016\/j.jvoice.2021.05.013_bib0005","doi-asserted-by":"crossref","unstructured":"Stinnett S, Chmielewska M, Akst LM. Update on management of hoarseness. Med Clin North Am2018; 102:1027-1040.","DOI":"10.1016\/j.mcna.2018.06.005"},{"key":"10.1016\/j.jvoice.2021.05.013_bib0006","doi-asserted-by":"crossref","unstructured":"Dion GR, Miller CL, Ramos RG et al. Characterization of voice disorders in deployed and nondeployed US army soldiers. J Voice2013; 27:57-60.","DOI":"10.1016\/j.jvoice.2012.08.001"},{"key":"10.1016\/j.jvoice.2021.05.013_bib0007","doi-asserted-by":"crossref","unstructured":"Nascimento CL, Constantini AC, Mour\u00e3o LF. Vocal effects in military students submitted to an intense recruit training: a pilot study. J Voice2016; 30:61-69.","DOI":"10.1016\/j.jvoice.2015.03.005"},{"key":"10.1016\/j.jvoice.2021.05.013_bib0008","doi-asserted-by":"crossref","unstructured":"Spellman J, Coulter M, Roth C, et al. Prevalence, characteristics and impact of dysphonia in US marine corps drill instructors. J Voice2020; 34:694-701.","DOI":"10.1016\/j.jvoice.2019.02.015"},{"key":"10.1016\/j.jvoice.2021.05.013_bib0009","doi-asserted-by":"crossref","unstructured":"Sapir S, Atias J, Shahar A. Symptoms of vocal attrition in women army instructors and new recruits: results from a survey. Laryngoscope1990; 100:991-994.","DOI":"10.1288\/00005537-199009000-00013"},{"key":"10.1016\/j.jvoice.2021.05.013_bib0010","doi-asserted-by":"crossref","unstructured":"Pomaville F, Tekerlek K, Radford A. The effectiveness of vocal hygiene education for decreasing at-risk vocal behaviors in vocal performers. J Voice2020; 34:709-719.","DOI":"10.1016\/j.jvoice.2019.03.004"},{"key":"10.1016\/j.jvoice.2021.05.013_bib0011","doi-asserted-by":"crossref","unstructured":"Jacobson BH, Johnson A, Grywalski C, et al. The voice handicap index (VHI). Am J Speech Lang Pathol1997; 6:66-70.","DOI":"10.1044\/1058-0360.0603.66"},{"key":"10.1016\/j.jvoice.2021.05.013_bib0012","doi-asserted-by":"crossref","unstructured":"Nieh C, Powell TM, Gackstetter GD, et al. Smoking among U.S. service members following transition from military to veteran status. Health Promot Pract2020; 21:165s-175s.","DOI":"10.1177\/1524839919881478"},{"key":"10.1016\/j.jvoice.2021.05.013_bib0013","doi-asserted-by":"crossref","unstructured":"Mann EA, McClean MD, Gurevich-Uvena J, et al. The effects of excessive vocalization on acoustic and videostroboscopic measures of vocal fold condition. J Voice1999; 13:294-302.","DOI":"10.1016\/S0892-1997(99)80035-6"},{"key":"10.1016\/j.jvoice.2021.05.013_bib0014","doi-asserted-by":"crossref","unstructured":"Poburka BJ, Patel RR, Bless DM. Voice-vibratory assessment with laryngeal imaging (VALI) form: reliability of rating stroboscopy and high-speed videoendoscopy. J Voice2017; 31:513.e511-513.e514.","DOI":"10.1016\/j.jvoice.2016.12.003"},{"key":"10.1016\/j.jvoice.2021.05.013_bib0015","doi-asserted-by":"crossref","unstructured":"Sandage MJ, Connor NP, Pascoe DD. Voice function differences following resting breathing versus submaximal exercise. J Voice2013; 27:572-578.","DOI":"10.1016\/j.jvoice.2013.04.001"}],"container-title":["Journal of Voice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199721001818?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199721001818?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T19:44:21Z","timestamp":1760211861000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0892199721001818"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["S0892199721001818"],"URL":"https:\/\/doi.org\/10.1016\/j.jvoice.2021.05.013","relation":{},"ISSN":["0892-1997"],"issn-type":[{"value":"0892-1997","type":"print"}],"subject":[],"published":{"date-parts":[[2023,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Characterization of Vocal Fold Pathology in Military Drill Instructors","name":"articletitle","label":"Article Title"},{"value":"Journal of Voice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvoice.2021.05.013","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier Inc. on behalf of The Voice Foundation.","name":"copyright","label":"Copyright"}]}}