European clinical practice guideline: managing and treating laryngopharyngeal reflux disease.

Objective: To propose a European consensus for managing and treating laryngopharyngeal reflux disease (LPRD) to guide primary care and specialist physicians.

Methods: Twenty-three European experts (otolaryngologists, gastroenterologists, surgeons) participated in a modified Delphi process to revise 38 statements about the definition, clinical management, and treatment of LPRD. Three voting rounds were conducted on a 5-point scale and a consensus was defined a priori as agreement by 80% of the experts.

Superspreading of SARS-CoV-2 at a choir rehearsal in Finland-A computational fluid dynamics view on aerosol transmission and patient interviews.

Introduction: COVID-19 pandemic has highlighted the role of aerosol transmission and the importance of superspreading events. We analyzed a choir rehearsal in November 2020, where all participants, except one who had recently earlier recovered from COVID-19, were infected. We explore the risk factors for severe disease in this event and model the aerosol dispersion in the rehearsal room.

Effect of Vocalization on Human Aerosol Dynamics: Whispering Produces More Aerosols than Speaking.

Objectives: Sound pressure and exhaled flow have been identified as important factors associated with higher particle emissions. The aim of this study was to assess how different vocalizations affect the particle generation independently from other factors.

Design: Experimental study.

Glottal Imaging Study Comparing Vowel Phonation with Semioccluded Vocal Tract Exercises (SOVTEs) Produced Loudly.

Objectives: This study aimed to estimate vocal loading in loud phonation of a vowel and two widely used semiocclusion voice exercises (SOVTEs). Impact stress (IS) was estimated from glottal closing speed, inertial forces from the second derivative of glottal opening and closing.

Study Design: Experimental study in vivo.