Determination of problems in patients with post‐laryngectomy

The purpose of this study is the determination of the physical and psychosocial problems of total and partial laryngectomies. A total of 25 patients, who were operated with the diagnosis of larynx carcinoma in 2010 at Gazi University Faculty of Medicine Otolaryngology Department, were included in the study. They were evaluated with the help of the Personal Information Form (PIF) and the Determination Form of Post Laryngectomy Problem (DFPLP) for the problems they encountered after the operation. Total laryngectomy (TL) was performed on 76% of patients. It was determined that patients undergoing total laryngectomy experienced some physical and psycho‐social problems such as problems in sleep (31.6%), smell (52.6%), taste (36.8%), and difficulty in swallowing solid foods (36.8%). Furthermore in patients with TL surgery whilst 47.4% of them think that their sexual lives were affected rather negatively, this rate was determined as 33.3% in patients with partial laryngectomy surgery (PL). The psychosocial score averages of the patients who had smell and taste disorders were significantly lower (p < 0.05). The patients, who underwent a laryngectomy operation, experienced many physical, social, and psychological problems. Thus, medical personnel also need to pay attention to these concomitant problems that occur during the treatment of the primary disease and the application of necessary supplementary treatments such as voice prosthesis, pre‐op and post‐op counseling, and anti‐depressants seems significant in terms of increasing the life quality of the patients.     

Influences of examiner differences on rorschach productivity in children

Summary: Rorschach test protocols for a matched sample of male and female subjects in the child and adolescent age range were scored for total responses. The data were analyzed for evidence of interactions between sex of experimenter and sex and age of subject. Consistent differences in total numbers of responses elicited by different examiners were identified. The productivity of both male and female subjects was found to be significantly more variable for male experimenters than for female experimenters. Alternative explanations for the results include greater structuring of the test situation by female experimenters or greater variability of behavior by male experimenters in relation to different subjects. That these explanations can also account for the sex interactions reported by others is recognized.