keyword
https://read.qxmd.com/read/38435889/glass-in-the-airways-a-bronchoscopic-challenge
#1
Sai Doppalapudi, Ked Fortuzi, Abeer Qasim, Diaz Saez Yordanka, Misbahuddin Khaja
Foreign body aspiration (FBA) in adults is indeed a significant medical concern, albeit less common than in children. The increase in incidence with advancing age can be attributed to factors such as a decline in mental status and impairment of the swallowing reflex, which is more prevalent in the elderly population. The symptoms of FBA are highly variable, ranging from severe, acute asphyxiation, which may or may not involve complete airway obstruction, to more subtle signs like coughing, shortness of breath (dyspnea), choking, or fever...
January 2024: Curēus
https://read.qxmd.com/read/38415339/a-prospective-cohort-study-exploring-the-impact-of-tonsillectomy-on-feeding-difficulties-in-children
#2
JOURNAL ARTICLE
M E Walsh, R Retzler, J Huang, A Daglish, D Tweedie, C Pepper
OBJECTIVES: Paediatric feeding difficulties are common, affecting up to 25% of otherwise healthy children, symptoms include food refusal, gagging, choking, and excessive mealtime duration. These symptoms are commonly described in pre-operative discussions about tonsillectomy. This prospective study explores the impact of tonsillectomy on paediatric feeding difficulties. DESIGN: This prospective cohort study invited caregivers of children undergoing tonsillectomy to complete a PediEAT questionnaire about their children's feeding behaviours, pre and post-operatively...
February 28, 2024: Clinical Otolaryngology
https://read.qxmd.com/read/38414553/quantitative-evaluation-of-swallowing-function-in-parkinson-s-disease-using-tongue-pressure-measurement-a-mini-review
#3
REVIEW
Tatsuyuki Fukuoka, Kazuhiro Hori, Takahiro Ono
Dysphagia is a common symptom of Parkinson's disease (PD) associated with aspiration pneumonia, choking, malnutrition, and a decreased quality of life, and is a leading cause of death among patients with PD. Tongue dysfunction in patients with PD affects the oral phase of swallowing, including the formation and propulsion of a bolus into the pharynx. Assessing tongue pressure, generated between the tongue and palate, is a method that quantitatively measures tongue function and is related to dysphagia in PD...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38381156/formulation-of-functional-liquid-diets-under-iddsi-levels-0-to-2-for-dysphagia-patients-physico-chemical-sensory-antioxidant-and-electromyographic-oral-processing-analyses
#4
JOURNAL ARTICLE
Navdeep Singh Sodhi, Bhavnita Dhillon, Pashaura Singh Sandhu, Deepak Bhagat, Priya Gupta, Amritpal Kaur, Shivangi Sharma, Zakir Showkat Khan
Dysphagia is a significant health concern especially amongst the old age population. It is an ailment brought on by the weakening of the swallowing muscles. To reduce the risk of choking in dysphagia patients, the food is usually diluted to suit their swallowing ability. But dilution results in reducing the nutritional density of the foods thus causing undernutrition and malnutrition in patients. In this study, functional liquid diets were formulated under International Dysphagia Diet Standardization Initiative (IDDSI) levels 0-2...
February 21, 2024: Dysphagia
https://read.qxmd.com/read/38319367/the-100%C3%A2-ml-timed-water-swallow-test-pilot-data-from-children-with-no-dysphagia
#5
JOURNAL ARTICLE
Xue Ting Joelle Mok
Dysphagia screening tests are useful in identifying possible dysphagia for further evaluation and in supporting feeding recommendations. This study aimed to investigate swallowing parameters in children, while widening the pool of data available, using the '100 ml-Timed Water Swallow Test' (100 ml-TWST). Sixty Singaporean children aged 4 to 18 years old completed the 100 ml-TWST via a cup and a straw. Task completion, presence of cough, choke or throat clear, post-swallow voice quality, total time taken and number of swallows were observed...
February 6, 2024: Dysphagia
https://read.qxmd.com/read/38183317/the-relationship-between-the-severity-of-intellectual-and-developmental-disabilities-idds-in-adults-with-idds-and-eating-and-drinking-problems-and-nutritional-status
#6
JOURNAL ARTICLE
M E Öztürk, N Yabanci Ayhan
BACKGROUND: Adults with intellectual and developmental disabilities (IDDs) experience eating, drinking and swallowing problems, such as chewing problems, choking, gagging, coughing during eating, aspiration and rumination syndrome, which may lead to poor nutritional status. This study aimed to determine the relationship between IDD levels, eating, drinking and swallowing problems and nutritional status in adults with IDDs. METHODS: The sample consisted of 71 participants (37 men and 34 women) with a mean age of 22...
January 6, 2024: Journal of Intellectual Disability Research: JIDR
https://read.qxmd.com/read/38111274/tongue-pressure-during-swallowing-is-an-independent-risk-factor-for-aspiration-pneumonia-in-middle-aged-and-older-hospitalized-patients-an-observational-study
#7
JOURNAL ARTICLE
Yen-Chin Chen, En-Ni Ku, Che-Wei Lin, Pei-Fang Tsai, Jiun-Ling Wang, Yu-Fen Yen, Nai-Ying Ko, Wen-Chieh Ko, Nan-Yao Lee
AIM: To evaluate oral frailty features present in hospitalized older patients with aspiration pneumonia. METHODS: We enrolled hospitalized patients aged ≥50 years and classified them into three groups: the community-acquired, aspiration, and non-community-acquired pneumonia groups. Oral frailty was defined as meeting three or more criteria from the following: choking, and decreased occlusal force, masticatory function, tongue-lip motor function, tongue pressure, and tongue pressure during swallowing...
December 18, 2023: Geriatrics & Gerontology International
https://read.qxmd.com/read/38110502/the-preferences-of-people-with-amyotrophic-lateral-sclerosis-on-riluzole-treatment-in-europe
#8
JOURNAL ARTICLE
Albert C Ludolph, Harish Grandjean, Evy Reviers, Valentina De Micheli, Cosetta Bianchi, Leonardo Cardosi, Hermann Russ, Vincenzo Silani
The Patient Preference Survey aims to understand unmet needs related to riluzole management in people with Amyotrophic Lateral Sclerosis (ALS) and to identify which characteristics of a new formulation could better match their preferences. The survey involved 117 people with ALS (PALS) treated with riluzole in four European countries. The dysphagic PALS were least satisfied with the riluzole tablet and oral suspension and with ease in self-administration; up to 68% of respondents postponed or missed the treatment due to swallowing difficulties and need of caregiver assistance...
December 15, 2023: Scientific Reports
https://read.qxmd.com/read/38034547/a-scoping-review-of-music-based-interventions-for-swallowing-difficulties-implications-for-treating-older-adults-with-presbyphagia
#9
REVIEW
Soo Ji Kim, Myung Sun Yeo, So Yeon Kim, Seo Yeon Kang
OBJECTIVES: Presbyphagia refers to age-related changes in the swallowing mechanism (e.g., reduced skeletal muscle strength that decreases bolus control). If left untreated, these changes can lead to dysphagia, which refers to impaired swallowing (e.g., coughing or choking when eating). Given that swallowing difficulties are common among older adults that they make up the fastest growing age group globally, the need for interventions to address presbyphagia is gaining urgency. To begin to address this need, we conducted a scoping review to analyze music therapy research aimed at enhancing swallowing function...
2023: Frontiers in Medicine
https://read.qxmd.com/read/37909490/swallowing-capacity-and-gravity-of-the-laryngotracheal-aspiration-risk-in-atypical-cerebellar-stroke-case-report
#10
Sara Virgínia Paiva Santos, Brenda Carla Lima Araújo, Claudia Sordi, Carla Patrícia Hernandez Alves Ribeiro Cesar, Daniela da Costa Maia de Andrade, Thaisa Soares Caldas Batista, Sheila Schneiberg
This case report aimed to evaluate the swallowing capacity and the severity of the risk of laryngotracheal aspiration of a 52-year-old female patient with atypical and rare stroke, with major injury in the cerebellar pathway. In order to measure swallowing capacity and risk of aspiration a routine clinical assessment used in the speech therapy clinic was performed and two valid clinical tests were used: Massey Bedside Swallowing Screen (MBSS) and Gugging Swallowing Screen (GUSS). After evaluation with the clinical tests, it was observed that the patient had reduced swallowing capacity, performance characterized as pathological, 100% dysfunction in the water swallowing test (MBSS), presence of choking, coughing, change in vocal quality and anterior escape...
2023: CoDAS
https://read.qxmd.com/read/37892711/expert-consensus-on-clinical-decision-making-in-the-disease-trajectory-of-oropharyngeal-dysphagia-in-adults-an-international-delphi-study
#11
JOURNAL ARTICLE
Renée Speyer, Mathieu Balaguer, Emmanuelle Cugy, Clémence Devoucoux, Sylvain Morinière, Gaëlle Soriano, Eric Vérin, Virginie Woisard
To date, no consensus exists on the complex clinical decision-making processes involved in oropharyngeal dysphagia, or swallowing disorders. This study aimed to develop an international consensus on a clinical decision tree for the disease trajectory of oropharyngeal dysphagia in adults, taking into account physiological impairments of swallowing, risk factors for the development of complications from oropharyngeal dysphagia, and prognostic factors for treatment outcomes. Using the Delphi technique, consensus was achieved among dysphagia experts across 31 countries, resulting in a total of 10 physiological impairments, 23 risk factors and 21 prognostic factors identified as relevant factors in the clinical decision-making process...
October 17, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37890644/the-impact-of-polymer-mixture-composition-on-the-properties-of-electrospun-membranes-for-drug-delivery-applications
#12
JOURNAL ARTICLE
Dominik Švára, Barbora Filipová, Petr Jelínek, Petr Mikeš, Anna Kluk, Miroslav Šoóš
Orally dispersible films (ODFs) prepared by an electrospinning are a novel type of pharmaceutical formulation. This dosage form has the potential to be beneficial for small children and the elderly, who can have problems with administration of classical tablets due to the increased risk of choking and difficulty with swallowing. Due to the highly porous nanofiber morphology, the ODFs examined in this study achieve rapid disintegration into drug microparticles when in contact with saliva. The suspension is then easier to swallow...
October 25, 2023: International Journal of Pharmaceutics
https://read.qxmd.com/read/37872072/choking-in-patients-with-neurological-disorders-and-role-of-drug-induced-dysphagia
#13
Alessandro Feola, Paola Ciamarra, Antonio Cavezza, Anna Carfora, Carlo Pietro Campobasso
Choking is a type of asphyxia due to the internal obstruction of airways by foreign material, quite always food. Most choking deaths are accidental and occur so quickly that may mimic a heart attack. This scenario is also known as "Cafè coronary syndrome" or "bolus death". At autopsy, pieces of under-chewed food are commonly lodged at, above, or in the tracheal space adjacent to the laryngeal inlet. In these fatal events mechanisms other than asphyxia can be also involved, such as a vasovagal episode (by stimulation of the autonomic nerve plexus of the laryngeal inlet) or swallowing impairment...
October 21, 2023: Legal Medicine
https://read.qxmd.com/read/37828877/-the-consensus-among-experts-on-the-diagnosis-and-treatment-of-pediatric-vocal-cord-paralysis
#14
JOURNAL ARTICLE
Zhengmin Xu
<b/>Pediatric vocal ford paralysis is a vocal cord movement disorder caused by damage to the pediatric laryngeal motor nerves.It is mainly characterized by voice, breathing,and swallowing difficulties,and in severe cases,it can lead to choking in affected children. Currently, the diagnosis and treatment of this condition pose a significant challenge for pediatric otolaryngologists, as the goal is to minimize damage to the vocal folds and laryngeal framework.In order to standardize the diagnosis and treatment of pediatric vocal cord paralysis, the Pediatric Otolaryngology Committee of the Chinese Medical Association,in collaboration with multiple children's medical centers nationwide, have formulated this consensus document...
October 2023: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://read.qxmd.com/read/37818896/dysphagia-in-patients-undergoing-esophageal-atresia-surgery-assessment-using-a-functional-scale
#15
JOURNAL ARTICLE
P Salcedo Arroyo, C Corona Bellostas, P Vargova, R Fernández Atuan, P Bragagnini Rodríguez, R García Romero, I Ros Arnal, M J Romea Montañés, R Escartín Villacampa
INTRODUCTION: Dysphagia is defined as difficulty swallowing. Up to 84% of patients undergoing esophageal atresia surgery have dysphagia beyond the neonatal period. MATERIALS AND METHODS: A retrospective study of patients undergoing esophageal atresia surgery from 2005 to 2021 was carried out. The Functional Oral Intake Scale (FOIS) was used to assess dysphagia in 4 age groups (< 1 year old, 1-4 years old, 5-11 years old, and > 11 years old). FOIS scores < 7 or symptoms of choking, impaction, or food aversion were regarded as dysphagia...
October 1, 2023: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://read.qxmd.com/read/37747661/experience-of-daily-life-with-generalized-myasthenia-gravis-a-qualitative-investigation-and-assessment-of-instrument-content-validity
#16
JOURNAL ARTICLE
Christopher A Hartford, Steven A Sherman, Stella Karantzoulis, Isabelle Guillemin, Michael G Phinney, Kimberly L Kelly, Kayla E Negron, Shruti M Raja, Diana Rofail
INTRODUCTION: Generalized myasthenia gravis (gMG) is a rare autoimmune disease. Symptoms of gMG are diverse, and understanding of their impact on patients is limited. This qualitative study aimed to provide an in-depth exploration of patients' daily experiences of gMG. METHODS: Published qualitative studies were reviewed to identify the most important signs, symptoms, and functional impacts related to the patient experience in gMG. Semi-structured hybrid concept elicitation interviews (allowing spontaneous generation of disease concepts) and cognitive debriefing interviews (assessing the validity of existing disease assessments) were conducted with clinicians and adult patients with gMG...
September 25, 2023: Neurology and Therapy
https://read.qxmd.com/read/37723959/a-novel-development-of-levothyroxine-sodium-orodispersible-mini-tablets-for-the-treatment-of-pediatrics-hypothyroidism
#17
JOURNAL ARTICLE
Cecilia Henestrosa, Camila Olivera, Sabrina Flor, Silvia Lucangioli, Ariel Vacatello, Claudia A Ortega, Laura S Favier, Diego A Cifuente
BACKGROUND: In pediatrics, developing new pharmaceutical forms that offer safety and efficacy is crucial to improve pediatric pharmaceutical care. Orodispersible tablets do not require swallowing because orodispersible tablets dissolve quickly in the mouth, reducing the risk of choking and making medication administration safer and more straightforward. There is no solid dosage form in the pharmaceutical market offering a unit dose of Levothyroxine for pediatric hypothyroidism patients...
September 8, 2023: Recent advances in drug delivery and formulation
https://read.qxmd.com/read/37637547/reversible-dysphagia-associated-with-risperidone-presenting-with-a-choking-episode
#18
Shradha Pandit, Krishna Mahat
Dysphagia has been associated with antipsychotic drug use. This case report describes the management of dysphagia in a psychiatric patient who presented to the emergency department from a psychiatric facility after choking on a hot dog. The patient was on risperidone 4 mg, initiated a month prior to treat acute psychosis. Foreign body removal from the distal trachea was performed by bronchoscopy, followed by a swallow evaluation by the speech and swallow team. The patient exhibited severe oropharyngeal dysphagia, leading to aspiration pneumonia and subsequent enteral feeding through a nasojejunal tube...
July 2023: Curēus
https://read.qxmd.com/read/37579785/dysphagia-in-neurological-disorders
#19
JOURNAL ARTICLE
Maan El Halabi, Remy Arwani, Henry P Parkman
Dysphagia is a common symptom in many neurologic disorders. Patients with oropharyngeal dysphagia present with difficulties when they start to swallow, often with coughing and choking; whereas patients with esophageal dysphagia describe the feeling that swallowed food stops in the chest. Chronic neurologic diseases such stroke, Parkinson's disease, or dementia often have dysphagia as a symptom, particularly oropharyngeal dysphagia, and the term "neurogenic dysphagia" is often used. A disruption of the sophisticated, integrated sensorimotor swallowing system is usually the main reason behind dysphagia...
August 2023: Seminars in Neurology
https://read.qxmd.com/read/37500784/evaluation-of-swallowing-in-children-with-higher-grades-glottic-web
#20
JOURNAL ARTICLE
Ahmed El-Sobki, Reham Ae Ibrahim, Saad Elzayat, Mohamed E El-Deeb, Bassem Ashraf, Menna Ibrahim Hashish, Mahmoud Elsaid Ibrahim Alsobky, Abeer Salamah
PURPOSE: to evaluate the swallowing function in children with higher grades of glottic web and to detect the impact of surgical division of the glottic web on the swallowing parameters. We also performed a voice analysis as a secondary objective in this study. METHODS: This prospective case series study included 12 children with higher grades of the glottic web; grades 3 and 4. Evaluation of the swallowing function was done by clinical swallowing evaluation including symptoms and signs of swallowing dysfunction during feeding, such as vomiting, coughing, choking, or cyanosis, and bedside swallowing assessment using the 3-oz water swallow test...
July 27, 2023: European Archives of Oto-rhino-laryngology
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