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Frazier water protocol

Anna Gillman, Renata Winkler, Nicholas F Taylor
The Frazier Free Water Protocol was developed with the aim of providing patients with dysphagia an option to consume thin (i.e. unthickened) water in-between mealtimes. A systematic review was conducted of research published in peer-reviewed journals. An electronic search of the EMBASE, CINAHL and MEDLINE databases was completed up to July 2016. A total of 8 studies were identified for inclusion: 5 randomised controlled trials, 2 cohort studies with matched cases and 1 single group pre-post intervention prospective study...
June 2017: Dysphagia
Shari Bernard, Vicki Loeslie, Jeffrey Rabatin
Limited information is available regarding use of the Frazier free water protocol (FWP) with hospitalized patients who have dysphagia and have survived a critical illness with compromised pulmonary status. This pilot study used a two-group nonequivalent comparison group design to evaluate the FWP in 15 adults admitted to a respiratory care unit (RCU) with dysphagia concerns. Inclusion criteria included recommendation for a modified diet with thickened liquids by a dysphagia therapist and ability to follow the specific free water guidelines...
January 2016: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
Martha Karagiannis, Tom C Karagiannis
Oropharyngeal dysphagia, typically associated with older adults, represents a spectrum of swallowing disorders with potentially serious complications and a negative impact on quality of life. A major complication of dysphagia is caused by aspiration, predominantly of thin liquids, which may cause aspiration pneumonia. Given that thin liquids are typically aspirated, the conventional therapy involves altering the diet to one consisting of modified solid consistencies and thickened fluids. While it is well known that this approach is appropriate for aspiration, it does represent difficulties with compliancy and quality of life...
January 2014: Hellenic Journal of Nuclear Medicine
Shari Bernard, Vicki Loeslie, Jeffrey Rabatin
SESSION TYPE: ICU Infections PostersPRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PMPURPOSE: The Frazier Water Protocol (FWP) is a part of dysphagia rehabilitation designed to allow patients whose diet restrictions include thickened liquids (nectar, honey or pudding consistency) to also have water and ice chips. Use of the FWP remains controversial due to the concern for pneumonia. There is limited information regarding use of the FWP for hospitalized patients with pulmonary diagnoses and the FWP is commonly discouraged due to risk of aspiration...
October 1, 2012: Chest
Melanie Frazier, A Whitman Miller, Henry Lee, Deborah A Reusser
Discharge from the ballast tanks of ships is one of the primary vectors of nonindigenous species in marine environments. To mitigate this environmental and economic threat, international, national, and state entities are establishing regulations to limit the concentration of living organisms that may be discharged from the ballast tanks of ships. The proposed discharge standards have ranged from zero detectable organisms to < 10 organisms/ m3. If standard sampling methods are used, verifying whether ballast discharge complies with these stringent standards will be challenging due to the inherent stochasticity of sampling...
March 2013: Ecological Applications: a Publication of the Ecological Society of America
A L Neme, K B Frazier, L B Roeder, T L Debner
Many polishing protocols have been evaluated in vitro for their effect on the surface roughness of restorative materials. These results have been useful in establishing protocols for in vivo application. However, limited research has focused on the subsequent care and maintenance of esthetic restorations following their placement. This investigation evaluated the effect of five polishing protocols that could be implemented at recall on the surface roughness of five direct esthetic restorative materials. Specimens (n=25) measuring 8 mm diameter x 3 mm thick were fabricated in an acrylic mold using five light-cured resin-based materials (hybrid composite, microfilled composite, packable composite, compomer and resin-modified glass ionomer)...
January 2002: Operative Dentistry
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