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Dysphagia screening

Monica Kaho Herkules Bando, O Lynne Nelson, Natalie Webster, Joshua D Ramsay, Heather Jane Bacon, Rance Sellon
Across China and Southeast Asia, over 17,000 bears are currently farmed for bile, predominantly for traditional Chinese medicines. Bears on farms in China are cage confined and undergo repeated daily bile extraction facilitated by surgically implanted catheters or gallbladder fistulas. Numerous health problems have been reported in bile-farmed bears including peritonitis, abdominal hernias, and extraction site abscessation. Between 2009 and 2014, five Asiatic black bears ( Ursus thibetanus) and one Asiatic black/Eurasian brown bear ( Ursus arctos arctos) hybrid, rescued from the bear bile industry in China, died from ruptured and/or dissecting aortic aneurysm...
September 2018: Journal of Zoo and Wildlife Medicine: Official Publication of the American Association of Zoo Veterinarians
Sabrina A Eltringham, Karen Kilner, Melanie Gee, Karen Sage, Benjamin D Bray, Sue Pownall, Craig J Smith
BACKGROUND: Patients with dysphagia are at an increased risk of stroke-associated pneumonia. There is wide variation in the way patients are screened and assessed during the acute phase. The aim of this review was to identify the methods of assessment and management in acute stroke that influence the risk of stroke-associated pneumonia. Studies of stroke patients that reported dysphagia screening, assessment or management and occurrence of pneumonia during acute phase stroke were screened for inclusion after electronic searches of multiple databases from inception to November 2016...
September 10, 2018: Cerebrovascular Diseases
Robert W Regenhardt, Maijo R Biseko, Agness F Shayo, Theoflo N Mmbando, Sara J Grundy, Ai Xu, Altaf Saadi, Leah Wibecan, G Abbas Kharal, Robert Parker, Joshua P Klein, Farrah J Mateen, Kigocha Okeng'o
Objective: Given the high post-stroke mortality and disability and paucity of data on the quality of stroke care in Sub-Saharan Africa, we sought to characterize the implementation of stroke-focused treatments and 90-day outcomes of neuroimaging-confirmed stroke patients at the largest referral hospital in Tanzania. Design: Prospective cohort study. Setting: Muhimbili National Hospital (MNH) in Dar es Salaam, July 2016-March 2017. Participants: Adults with new-onset stroke (<14 days), confirmed by head CT, admitted to MNH...
August 28, 2018: International Journal for Quality in Health Care
Zixiao Li, Jeyaraj Pandian, P N Sylaja, Yilong Wang, Xingquan Zhao, Liping Liu, Chunjuan Wang, Dheeraj Khurana, M V Padma Srivastava, Subhash Kaul, Deepti Arora, Lee H Schwamm, Yongjun Wang, Aneesh B Singhal
OBJECTIVE: To understand stroke risk factors, status of stroke care, and opportunities for improvement as China and India develop national strategies to address their disproportionate and growing burden of stroke. METHODS: We compared stroke risk factors, acute management, adherence to quality performance measures, and clinical outcomes among hospitalized ischemic stroke patients using data from the Indo-US Collaborative Stroke Project (IUCSP) and China National Stroke Registry-II (CNSR-II)...
August 29, 2018: Neurology
Mehrzad Hajialilo, Amir Ghorbanihaghjo, Alireza Khabbazi, Sousan Kolahi, Mohammad Reza Jafari Nakhjavani, Ali Asghar Ebrahimi, Hamid Zareh, Aida Malek Mahdavi
AIM: This study aimed to follow up patients with polymyositis (PM) and/or dermatomyositis (DM) to determine survival rate, pattern of disease, response to treatment, malignancy incidence and poor prognostic factors (PPFs). METHOD: A total of 76 patients with PM (n = 47) and/or DM (n = 29) based on Bohan and Peter diagnostic criteria referred to the Imam-Reza Hospital were followed up from 2004 to 2016. The follow-up period was considered from diagnosis to patient's death or last visit...
August 2018: International Journal of Rheumatic Diseases
Nicola A Clayton, Caroline M Nicholls, Karen Blazquez, Cheryl Brownlow, Peter K Maitz, Oliver M Fisher, Andrea C Issler-Fisher
BACKGROUND: Management of burns in older persons is complex with evidence indicating advanced age is associated with elevated risk for morbidity and mortality. Dysphagia and its sequelae may further increase this risk. AIMS: (1) Determine the prevalence, and (2) identify risk factors for dysphagia in patients admitted with severe burn injury over 75 years. METHODS: All patients >75 years admitted to Concord Repatriation General Hospital with severe burn injury over a 4-year period (2013-2017) were assessed for dysphagia on presentation and continually monitored throughout their admission...
August 11, 2018: Burns: Journal of the International Society for Burn Injuries
Ganesh Raghu, Carlos A Pellegrini, Eric Yow, Kevin R Flaherty, Keith Meyer, Imre Noth, Mary Beth Scholand, John Cello, Lawrence A Ho, Sudhakar Pipavath, Joyce S Lee, Jules Lin, James Maloney, Fernando J Martinez, Ellen Morrow, Marco G Patti, Stan Rogers, Paul J Wolters, Robert Yates, Kevin J Anstrom, Harold R Collard
BACKGROUND: Abnormal acid gastro-oesophageal reflux (GER) is hypothesised to play a role in progression of idiopathic pulmonary fibrosis (IPF). We aimed to determine whether treatment of abnormal acid GER with laparoscopic anti-reflux surgery reduces the rate of disease progression. METHODS: The WRAP-IPF trial was a randomised controlled trial of laparoscopic anti-reflux surgery in patients with IPF and abnormal acid GER recruited from six academic centres in the USA...
September 2018: Lancet Respiratory Medicine
Donia Ayman Zakaria, Meram M Bekhet, Mona S Khodeir, Samia S Bassiouny, Marwa M Saleh
BACKGROUND: Although diabetes mellitus is a well-researched systemic endocrinal disease, literature is scarce addressing the co-occurrence of oropharyngeal dysphagia with diabetes. OBJECTIVE: The aim of this work was to screen Egyptian diabetic patients for symptoms suggestive of oropharyngeal dysphagia using the validated Arabic version of the Eating Assessment Tool (A-EAT-10). PARTICIPANTS AND METHODS: 200 Egyptian adult diabetic patients, aged from 18 to 59 years participated in the study...
August 8, 2018: Folia Phoniatrica et Logopaedica
Li Wang, Li Huang, Yang Yang, Huan Chen, Yanjuan Liu, Ke Liu, Meidong Liu, Yizhi Xiao, Hui Luo, Xiaoxia Zuo, Yisha Li, Xianzhong Xiao, Huali Zhang
Autoantibodies in patients with myositis may associate with specific clinical manifestations. This study aimed to identify a subset of patients with myositis carrying antinuclear matrix protein 2 (anti-NXP-2) antibodies using an unlabeled immunoprecipitation (IP) assay, and clarify the features of these patients in a Chinese cohort. We developed novel methods for unlabeled protein IP and immunoblotting of Myc-tagged truncated NXP-2 fragments for anti-NXP-2 detection. The sera of 120 Chinese adult patients with myositis were screened for anti-NXP-2 by IP and immunoblot...
October 2018: Clinical Rheumatology
Sarah E Posillico, Joseph F Golob, Andrea D Rinker, Laura A Kreiner, Rebecca S West, Kristen J Conrad-Schnetz, Michael L Kelly, Jeffrey A Claridge
BACKGROUND: We initiated a prospective interventional study utilizing a nurse-driven bedside dysphagia screen (BDS) in patients with cervical spine injury (CI) to address three objectives: 1) determine the incidence of dysphagia; 2) determine the utility of the new BDS as a screening tool; and 3) compare patient outcomes, specifically dysphagia-related complications, in the study period to a retrospective cohort. METHODS: All patients with CI admitted to a Level I Trauma Center were enrolled in a prospective 12-month study (June 2016-June 2017) and then were compared to a prior 18-month cohort of similar patients...
July 21, 2018: Journal of Trauma and Acute Care Surgery
Naoko Yatabe, Kenji Takeuchi, Maya Izumi, Michiko Furuta, Toru Takeshita, Yukie Shibata, Shino Suma, Shinya Kageyama, Seijun Ganaha, Haruka Tohara, Yoshihisa Yamashita
OBJECTIVE: To examine the association between cognitive function and dysphagia risk among Japanese nursing home residents. BACKGROUND: Reduction in cognitive function can influence the intake of food during swallowing, and may be an aggravating factor in dysphagia. METHODS: This cross-sectional study included 236 residents aged ≥60 years from eight nursing homes. Screening of dysphagia, especially aspiration risk, was conducted using the Modified Water Swallow Test, whose scores from one to three were classified as at risk of dysphagia...
July 20, 2018: Gerodontology
Melanie Johncilla, Jose Jessurun, Ian Brown, Jason L Hornick, Andrew M Bellizzi, Jinru Shia, Rhonda K Yantiss
The World Health Organization considers enterocolic mast cell aggregates with atypical morphologic and/or immunohistochemical features diagnostic of systemic mastocytosis mostly because published data are heavily influenced by inclusion of symptomatic patients with systemic disease. We occasionally encounter atypical mast cells in gastrointestinal biopsy samples from patients in whom systemic mastocytosis is not suspected. The aim of this study was to describe the clinicopathologic features and implications of atypical enterocolic mast cell aggregates in 16 patients without suspected or established systemic mastocytosis...
October 2018: American Journal of Surgical Pathology
Katsufumi Inoue, Michifumi Yoshioka, Naomi Yagi, Shinsuke Nagami, Yoshitaka Oku
OBJECTIVE: The aim of this research was to develop a swallowing assessment method to help prevent aspiration pneumonia. The method uses simple sensors to monitor swallowing function during an individual's daily life. METHODS: The key characteristics of our proposed method are as follows: (1) we assess swallowing function by using respiratory flow, laryngeal motion, and swallowing sound signals recorded by simple sensors; (2) we classify whether the recorded signals correspond to healthy subjects or patients with dysphagia; and (3) we analyze the recorded signals using both a feature extraction method (linear predictive coding) and a machine learning method (support vector machine)...
February 19, 2018: IEEE Transactions on Bio-medical Engineering
Pablo Martinez-Martin, Jaime Kulisevsky, Pablo Mir, Eduardo Tolosa, Pilar García-Delgado, María-Rosario Luquin
Early clinical diagnosis of advanced Parkinson's disease (APD) may be difficult. This study aimed to validate a simple screening tool, the CDEPA questionnaire ("Cuestionario De Enfermedad de Parkinson Avanzada" [Questionnaire for Advanced Parkinson's Disease]), for the identification of APD in daily practice. The study included 173 consecutively selected patients with PD (40% were women, mean age was 68.4 ± 10.5 years), stratified according to the Hoehn and Yahr (HY) scale. The CDEPA questionnaire defined APD as the presence of severe disability requiring help for activities of daily living (ADL), motor fluctuations with limitation or inability to perform ADL, severe dysphagia, recurrent falls, or dementia...
2018: NPJ Parkinson's Disease
Kazuya Omura, Atsushi Komine, Mari Yanagigawa, Naomi Chiba, Maiko Osada
BACKGROUND: Post-extubation dysphagia reportedly occurs in 3%-60% of patients and is independently associated with poor patient outcomes. AIM: The aim of this study was to investigate the frequency of post-extubation dysphagia, as diagnosed using our novel nurse-performed swallowing screening protocol, and to evaluate patient outcomes, including the frequency of discharge home, the length of the intensive care unit and hospital stays, the frequency of hospital-acquired pneumonia and death in the intensive care unit and hospital...
July 3, 2018: Nursing in Critical Care
S Nordio, T Innocenti, M Agostini, F Meneghello, I Battel
Telerehabilitation is the use of telecommunications technology for rehabilitation. Recently, some studies have shown positive effects of telerehabilitation of swallowing disorders, yet there are no systematic reviews verifying the evidence. The aim of this review is to assess the effects of telerehabilitation in the field of dysphagia as an alternative to face-to-face patient care, considering swallowing recovery and/or quality of life in different patient populations. We searched the Cochrane Library, MEDLINE, EMBASE, Google Scholar, Google Search and the grey literature from inception until December 2016 for publications written in English (keywords: telerehabilitation, telemedicine, dysphagia, swallowing disorders), which resulted in 330 records...
April 2018: Acta Otorhinolaryngologica Italica
Umberto Vespasiani-Gentilucci, Claudio Pedone, Moises Muley-Vilamu, Raffaele Antonelli-Incalzi
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is commonly associated with other chronic diseases, which poses several diagnostic and therapeutic problems. Indeed, important comorbidities frequently remain unrecognized and, then, untreated, whereas respiratory drugs may have non respiratory side effects, and selected non respiratory drugs may variably affect the respiratory function. OBJECTIVE: to describe: how COPD affects the presentation and contributes to the diagnostic challenges of its most common comorbidities; how coexisting COPD impacts the therapeutic approach to selected comorbidities and viceversa...
August 2018: Pulmonary Pharmacology & Therapeutics
Han Gil Seo, You Gyoung Yi, Young-Ah Choi, Ja-Ho Leigh, Youbin Yi, Keewon Kim, Moon Suk Bang
OBJECTIVES: To investigate the characteristics of oropharyngeal dysphagia in adults with dyskinetic cerebral palsy (DCP) and cervical dystonia (CD). DESIGN: Exploratory observational cross-sectional study. SETTING: University hospital. PARTICIPANTS: Seventeen patients with DCP (8 men, 9 women; age, 45.7±6.3y) enrolled in a randomized controlled trial on the effects of botulinum toxin injection on CD. INTERVENTIONS: Not applicable...
June 26, 2018: Archives of Physical Medicine and Rehabilitation
Rachel W Mulheren, Alba M Azola, Stephanie Kwiatkowski, Eleni Karagiorgos, Ianessa Humbert, Jeffrey B Palmer, Marlís González-Fernández
Older adults may evidence changes in swallowing physiology. Our goals were to identify dysphagia risk in community-dwelling older adults with no history of dysphagia, and to compare swallowing physiology and safety between older and younger adults. Thirty-two older adults with no history of dysphagia were prospectively recruited and completed the Dysphagia Handicap Index (DHI), two trials of a 3 oz. swallow screen, and videofluoroscopy (VFSS). Self-ratings of swallowing function were compared to published norms by paired t tests, and multivariate logistic regression models were generated to determine whether these ratings and VFSS analysis of swallowing function were associated with failure of one or both swallow screen trials...
June 8, 2018: Dysphagia
Karen M Galloway, Romy Parker
BACKGROUND: Expert clinicians and researchers in the field of spinal tuberculosis (STB) advocate for early identification and diagnosis as a key to reducing disability, severity of disease, expensive surgery and death, especially in tuberculosis (TB) endemic countries like South Africa. South Africa has the highest incidence per capita of tuberculosis in the world, and a conservative estimate of the incidence of STB in South Africa is 8-16:100 000. People living with STB may initially present to primary health care (PHC) centres, where the opportunity exists for early identification...
June 18, 2018: African Journal of Primary Health Care & Family Medicine
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