Background: The lip trill is a semi-occluded vocal tract exercise found to have positive outcomes on vocal parameters of healthy individuals after a single session. However, the effect of several lip trill sessions has not been studied. Objective: This study investigated the effect of a 3- to 4-week lip trill exercise program on Maximum Phonation Time (MPT), Maximum Phonation Frequency Range (MPFR), Harmonics-to-Noise Ratio (HNR), and mean Speaking Fundamental Frequency (mean SFF). Methods: Three vocally untrained healthy females with perceptually normal voices participated in a multiple-baseline, single-case experimental research. Five to seven direct training sessions were randomly assigned. Self-implementation was encouraged thereafter. Participants were assessed on all outcome measures for 15 sessions. Data were visualized and inspected. Cohen’s d was also derived using Standardized Mean Difference for single-subject research. Results: Visual and statistical analyses revealed a decreased MPT when training was introduced, increased MPFR variability during the training phase, and increased stability in mean SFF post-training. Perceived effects include vocal freedom, decreased laryngeal stress, and vocal conditioning. Vocal outcomes in one participant yielded a significant effect on MPFR and mean SFF and a small effect on HNR. Conclusion There is evidence of lip trill effect on pitch control and vocal conditioning. Findings also revealed that motivation, exercise frequency, and adherence could contribute to positive gains in vocally healthy speakers. Further investigation in consideration of the study findings and limitations is warranted.
prevention

No abstract available.
Primary Prevention*

This paper proposes a conceptual model for establishing a new approach to improvise anti-smoking strategies. The Tobacco Control programme under the World Health Organization (WHO) has established MPOWER measures to be applied globally. Although numerous approaches have been implemented, there is a knowledge gap pertaining to the positive impact of these strategies. Therefore, analyzing current approaches and establishing new strategies will be beneficial for the tobacco control movement. The proposed model has been adapted from the Medical Research Council (MRC), United Kingdom framework for complex interventions which can be used as reference for researchers to develop a new initiative or strategy for tobacco control. This proposed model incorporates three phases, which are (i) Phase 1: To identify factors influencing stop smoking desires and their successfulness among “specific location” population, (ii) Phase 2: To analyse available smoking cessation strategies globally using systematic review, and (iii) Phase 3: To develop new potential tools/products/guidelines for anti-smoking promotions based on Phase 1 and 2. The novelty of this concept in developing anti-smoking strategies is the incorporation of local needs in Phase 1. This research may contribute significantly to stop or quit smoking behavior among Malaysians. At the end of this study, researchers will be able to recommend new and/or adapted tools/products/guidelines based on the framework discussed. Also, government regulations regarding cigarettes should be properly reviewed in order to achieve more significant results whilst minimizing expenses for anti-smoking campaigns.
Smoking Prevention

Atrial Fibrillation ; prevention & control ; Humans ; Primary Prevention

Humans ; Silicosis ; prevention & control

No abstract available.
Coronary Disease* ; Secondary Prevention*

No abstract available.
Cardiovascular Diseases* ; Primary Prevention*

Data research from 1997-2004, restrospective and cross-sectional studies were conducted every 6 months from 4/2002-4/2004 to collect data on malaria patients and the rate of malaria parasite and follow up the sectoral development of Anopheles and An. minimus at areas where interruption of vector prevention at different times: 1, 2 or 3 years showed that indicators like malaria patients, malaria patients/1000 residents and the density of malaria parasite were decreasing and stable. An.minimus recovers and increase with time. The density at 2-3 years after spraying was higher than the density at the point of spraying. An.minimus presented at all sites of the study but the density in striking people was low. If the supervision, management and treatment of malaria patients are well, the malaria situation could be kept stable even vector control methods were not used often
Malaria ; Prevention & control

Vietnam has implemented the Expanded Program on Immunization (EPI) since 1981. Since 1986 the EPI has been accelerated. From that time, the proportion of full immunization coverage has steadily increased every year. The EPI has significantly impacted on the downward trend of all vaccine preventable diseases. In parallel with an increase of full immunization coverage, the incidences of the EPI target diseases have decreased each year. Especially, poliomyelitis has dramatically decreased from 559 cases in 1992 to 0 case in 1998. Neonatal tetanus has been eliminated since 1995 by achieving a rate below 1 per 1000 live births at the provincial level. Diphtheria is no longer a problem of community health. Measles has fallen by 47% between 1987-1998.
vaccines ; disease ; prevention & control

Pulmonary dust (mainly silicosis) is a serious occupational disease not only severely influences people health but also cause the death. The silicosis prevention and control is not only responsibility of health sectors but also general responsibility of society. In order to strengthen the silicosis prevention and control, treatment of nursing, it should have combination of intersectors and general community to implement uniform and effective solutions proposed
Silicosis ; Prevention & control