Vocal Fold Cancer Transoral Laser Microsurgery Following European Laryngological Society Laser Cordectomy Classification

BackgroundThe surgical treatment of glottic, or vocal cord, cancer has seen considerable progression over the past several decades. Specifically, there has been a stark transition from open partial laryngectomy surgery to endoscopic laser microsurgical techniques which have been inspired in large part by two landmark studies: Professor Wolfgang Steiner’s original case series describing transoral laser microsurgery for glottic cancer (1993) and the European Laryngological Society’s (ELS) classification scheme (2000). We performed a comprehensive review of published literature to characterize the pattern of this novel modality as compared with two landmark studies over the past four decades.MethodsAn English literature search was conducted on PubMed for available original investigations on surgical treatment of glottic laryngeal cancer published over the past 40 years. Our Boolean criteria included the following terms: cancer, glottic, laryngeal, surgery, endoscopic, and laser. The publication rates were calculated as annual compound growth as well as corrected growth rates as defined by the Fisher equation for inflation effects.ResultsOur review identified 13,372 studies covering larynx cancer and 3,557 studies covering glottic cancer original studies. Among these, we analyzed the compound annual growth rates and correct growth rates for three distinct publication periods or epochs, prior to 1993, 1993–1999, and 2000–2017. For all but two of the search term groups covering both glottic cancer as well as larynx cancer, there was a substantial growth improvement in the time period following the ELS classification scheme as compared with the growth rate of the time period following Steiner’s case series.ConclusionThe progress toward minimally invasive treatment of glottic cancer has progressed steadily over the past several decades. Analysis of publication show increased growth during the time period following the ELS classification scheme over the time period following Steiner’s landmark study. A mistake would be concluding any diminished importance of Professor Steiner’s work, instead, our analysis demonstrates the wide-spread adoption of the endoscopic laser cordectomy procedure following the ELS classification system. Complex surgical techniques such as transoral laser microsurgery are optimally disseminated within well-defined classification schemes, though further validation is warranted

A Retrospective Analysis of Multiple Affected Salivary Gland Diseases: Diagnostic and Therapeutic Benefits of Interventional Sialendoscopy.

OBJECTIVES Multiple affected salivary gland diseases are rare compared to single gland diseases and represent a major diagnostic challenge. These cases are commonly neglected in the scientific literature, despite the considerable suffering of these patients. The aim of this retrospective study was to report disease characteristics, diagnostic pathways, and therapeutic options, including sialendoscopic treatment of multiple affected salivary gland disorders. METHODS Patients experiencing multiple affected salivary gland diseases treated between 2013 and 2020 were consecutively identified. Data regarding demographics, clinical presentation, disease characteristics, treatment, complications, and follow-up were analyzed retrospectively. RESULTS In total, 71 patients were identified with these diseases and included obstructive disease without sialolithiasis (n = 22), inflammation (n = 15), immune disease (n = 19), radioiodine-induced sialadenitis (RAI) (n = 5), sialadenosis (n = 2), and juvenile recurrent parotitis (JRP) (n = 8). Diagnostic and therapeutic sialendoscopy was performed on 113 salivary glands in 42 patients, leading to completely (n = 27, 64.3%) or partially (n = 11, 26.2%) improved symptoms in most cases. In total, 4 patients did not improve after interventional therapy. CONCLUSIONS Multiple affected salivary gland diseases are rare and diagnostically challenging. Interventional sialendoscopy offers an effective and safe therapeutic option and should be considered in this specific cohort

Physical activity, emotional intelligence and food habits of Belgian pupils: effects of the Oblomov methodology

In Belgium, only 2% of children 6 to 9 year-old reach the international physical activity (PA) recommendations (Wijtzes et al., 2016). Such finding underlines the need of concrete actions aiming to tackle inactivity in preteens, particularly during physical education (PE) lessons. Several approaches are experimented worldwide. One of them proposes an original combinaison of physical activity and theatre: the ObLoMoV (Obesity and Low Motility Victims) project. It is developed within the scope of the Erasmus+ program (see https://www.oblomovproject.eu/).The aim of this paper was to examine the influence of that innovative pedagogical approach on self-reported PA, emotional intelligence, and food habits of elementary school children. Five PE teachers from the area of Liege (Belgium) proposed a 10 lessons unit to 176 pupils of 5thand 6thgrades (95 boys). Each lesson combined High Intensity Interval Training (HIIT), dramatization and health education (Remacle et al., 2018). Pupils fulfilled questionnaires before (T0) and after the intervention (T1), and after a six months follow-up period (T2) in order to collect data about their levels of PA (PAQ-C), emotional intelligence (TEIQue-ASF), and food habits (Adolescent food habits Checklist). An analysis of the teaching process was conducted during the unit (pupils’ lessons perceptions and punctual informal observation). Preliminary results exposed children’s positive reaction during the lessons both from pleasure and perceived energy expenditure perspectives. Comparisons T0-T1 revealed very few (non-significant) differences of the average scores for PA (3.075 Vs 3.25), emotional intelligence (144.15 Vs 143.7), and food habits (13.74 Vs 13.42). Differences at T2 are still under analysis but preliminary investigations on the questionnaires allows us to consider that the real impact of the unit on the pupils’ lifestyle is limited, underlining the need for multisectorial approaches for lifestyle modification.ObLoMoV: Obesity and Low Motility Victims – “physical short shocks” and “theatre short stories” to convert inactive victims into HEPA social actor

Foster knowledge and integration of healthy behaviors among Belgian pupils : impact of the Oblomov methodology

As underlined by the recommendations of the Kazan Action Plan (Unesco, 2017), motivating youth to adopt an active and healthy lifestyle became one of the priorities of the physical education (PE) course. Based on the motivational power of playful situations and the imaginary of the pre-adolescents, an Erasmus+ project called ObLoMoV (Obesity and Low Motility Victims) has been developed by seven partners coming from Italia, Belgium, Finland, Greece, and Slovenia (see https://www.oblomovproject.eu/ for all details). In its Belgian adaptation, activities focused on health messages have been integrated to the content taught (Franck et al., 2018). Accordingly, the aim of this paper was to determine how the pupils’ knowledge and practices were impacted by these specific activities. Nine classes of 5th and 6th grades (pupils of 11-13 year-old) were recruited in five different schools around Liege (Belgium). Pupils took part in a 10 lessons PE unit. Seven health topics were proposed during the unit (nutrition, sleep, physical activity recommendations ...). Data were collected before (questionnaire at T0), during (informal pupils behavior, good practices) and after (questionnaire at T1) the implementation of the unit. The total amount of subjects comprised 176 pupils (95 boys). They reported more than 400 good practices implemented outside of school while 160 pre-post questionnaires have been collected and analyzed. At baseline, results seem to be mainly influenced by the grade (p=.057). After the unit, pupils’ knowledge seems to improve in several classes underlining overall positive short-term effects of the approach proposed. Further analyses will provide additional information about the impact of the independent variables. Provisional implication is that encouraging pupils to report regularly how they use what they learn during the PE course could contribute to increase the accountability of the subject.ObLoMoV: Obesity and Low Motility Victims – “physical short shocks” and “theatre short stories” to convert inactive victims into HEPA social actor

Combining HIIT, open scenarios, and health recommendations: Implementation of the OBLOMOV method in Belgium

The University of Liege is one of the 7 partners involved in an Erasmus+ project aiming to develop and implement a new pedagogic methodology aiming to tackle the inactivity problem among 11/13 years old youth, as an effective strategy to prevent the problem of physical inactivity among adolescents. The OBLOMOV approach is based on the integration of short periods of High Intensity Intermittent Training (HIIT) in theatre open scenarios. A teaching unit has been adapted to the French speaking Belgian context: "Oblomov: bouger, jouer, créer!". This paper describes the project's implementation in 8 classes of 5-6th grades (176 pupils) and provides an overview of the first results.Erasmus+ 'ObLoMoV: Obesity and Low Motility Victims – “physical short shocks” and “theatre short stories” to convert inactive victims into HEPA social actors

Effects of the HEPA Oblomov methodology on primary school children

peer reviewedAbstract Background If children are encouraged early in childhood to engage in a physically active lifestyle and if they are used to practice physical activity (PA) as children, they are likely to be more active as they grow up (Telama et al., 2014). Nevertheless, in Belgium, only 2% of children 6 to 9 years of age are able to reach PA international recommendations (Wijtzes et al., 2016). Fortunately, holistic school-focused initiatives can raise children's level of physical activity (Heath et al., 2012). Accordingly, the aim of the study was to scrutinise the influence of an innovative pedagogical approach on self-reported PA and lifestyle habits among elementary school children. Methods 176 pupils (11-13) and 5 physical education (PE) teachers were recruited in the area of Liege. Those pupils took part in a 10 weeks intervention including one weekly session of PE. PE lessons are original since they combine High Intensity Interval Training (HIIT), dramatization and health education. Assessments were performed before (T0), during (process analysis) and after the intervention (T1). Childrens' levels of PA were assessed with the PAQ-C, as their food habits were assessed with the Adolescent food habits Checklist. Children were also invited, before each session, to notify and share their good practices related to the health education activities proposed during the lesson. Results Results exposed significant improvements in self-reported PA (3,09 to 3,26 scores; p > 0,000). As we sort out results by gender, we noticed higher improvements among girls. In contrast, we observed a slight and non-significant decrease in children's food habits (13,88 to 13,55 scores; p = 0,24). On over 400 good practices collected, half were related to physical activity and hydration. By involving physical and psychosocial objectives, the study is expected to provide a deeper understanding of the impact of this teaching method on children. Conclusion As Oblomov pedagogy seems to have the potential to generate health basic knowledge as well as pleasure of being physically active, it could be extended to other various settings such as obesity prevention. This method will also be shared with PE teachers in Belgium, as part of the PE curriculum reform in Belgium