▁sc ream ▁more ▁frequently . ▁However , ▁in ▁ad ul th ood , ▁women ▁are ▁more ▁likely ▁to ▁have ▁nod ules , ▁and ▁are ▁especially ▁likely ▁if ▁they ▁have ▁an ▁out going ▁person ality ▁or ▁sing ▁frequently . ▁The ▁exact ▁pre val ence ▁of ▁vocal ▁fol d ▁nod ules ▁is ▁not ▁known , ▁but ▁it ▁has ▁been ▁reported ▁that ▁ 2 3 . 4 % ▁of ▁children ▁who ▁attended ▁an ▁EN T ▁clin ic ▁for ▁voice ▁ho ars eness , ▁ 6 % ▁of ▁ph oni at ric ▁clin ic ▁at ten de es , ▁and ▁ 4 3 % ▁of ▁teachers ▁with ▁d ys ph onia ▁had ▁nod ules . ▁ ▁References ▁ ▁External ▁links ▁▁ ▁Category : V o ice ▁dis orders ▁Category : V ocal ▁fol d ▁dis orders ▁Category : Les ion <0x0A> </s> ▁Vice ▁Admir al ▁Gir ish ▁L uth ra , ▁P V SM , ▁AV SM , ▁VS M , ▁AD C ▁is ▁a ▁retired ▁officer ▁of ▁Indian ▁Navy ▁who ▁served ▁as ▁Flag ▁Officer ▁Command ing - in - Ch ief ▁( FO C - in - C ), ▁Western ▁Naval ▁Command ▁from ▁ 1 ▁June ▁ 2 0 1 6 ▁to ▁ 3 0 ▁January ▁ 2 0 1 9 . ▁He ▁took ▁over ▁the ▁position ▁from ▁Admir al ▁Sun il ▁Lan ba ▁who ▁was ▁promoted ▁to ▁Chief ▁of ▁Naval ▁Staff , ▁and ▁was ▁succeeded ▁by ▁Vice ▁Admir al ▁A j it ▁K umar . ▁ ▁Early ▁life ▁and ▁education ▁ ▁L uth ra ▁has