{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T23:40:06Z","timestamp":1793749206553,"version":"4.6.1"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2024,4,12]],"date-time":"2024-04-12T00:00:00Z","timestamp":1712880000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Teachers are a high-risk group for the development of vocal dysfunction, as they use voice extensively in their profession.<\/jats:p><jats:p>\n          Objective\u2003To know the prevalence and risk factors associated with voice strain in teachers.<\/jats:p><jats:p>\n          Methods\u2003A cross-sectional study was conducted among schoolteachers in Chitwan, Nepal. The Voice Handicap Index questionnaire was used as a survey tool.<\/jats:p><jats:p>\n          Result\u2003A total of 315 teachers were enrolled in the study. The mean age of the participants was of 36.7 years. Teachers from public schools, primary grade classes,\u2009&gt;\u200950 pupils in the classroom,\u2009&gt;\u200924\u2009hours of classes per week, dust in class, and recurrent tonsil problems were associated with various degrees of vocal handicap.<\/jats:p><jats:p>\n          Conclusion\u2003There is a high prevalence of voice disorder among teachers. A holistic approach, which includes teacher education regarding voice care during their work and management of their voice handicap by taking into consideration different risk factors, must be adopted.<\/jats:p>","DOI":"10.1055\/s-0043-1777417","type":"journal-article","created":{"date-parts":[[2024,4,12]],"date-time":"2024-04-12T23:18:36Z","timestamp":1712963916000},"page":"e374-e381","source":"Crossref","is-referenced-by-count":7,"title":["Prevalence and Risk Factors for Occupational Voice Disorders in Nepalese Teachers: A Cross-Sectional Study"],"prefix":"10.1055","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4981-1950","authenticated-orcid":false,"given":"Apar","family":"Pokharel","sequence":"additional","affiliation":[{"name":"Department of ENT and Head and Neck Surgery, College of Medical Sciences, Chitwan district, Province Number: 3, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puspa","family":"Basnet","sequence":"additional","affiliation":[{"name":"Department of Public Health, College of Medical Sciences, Chitwan district, Province Number: 3, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bibek","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of ENT and Head and Neck Surgery, College of Medical Sciences, Chitwan district, Province Number: 3, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hari Prasad","family":"Upadhyay","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, College of Medical Sciences, Chitwan district, Province Number: 3, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,4,12]]},"reference":[{"issue":"01","key":"ref1","first-page":"21","article-title":"Condi\u00e7\u00f5es de trabalho, sa\u00fade e voz 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