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Paediatric dysphagia

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https://www.readbyqxmd.com/read/27063701/why-do-clinicians-choose-the-therapies-and-techniques-they-do-exploring-clinical-decision-making-via-treatment-selections-in-dysphagia-practice
#1
Arlene McCurtin, Chiara Healy
PURPOSE: Speech-language pathologists (SLPs) are assumed to use evidence-based practice to inform treatment decisions. However, the reasoning underpinning treatment selections is not well known. Understanding why SLPs choose the treatments they do may be clarified by exploring the reasoning tied to specific treatments such as dysphagia interventions. METHOD: An electronic survey methodology was utilised. Participants were accessed via the gatekeepers of two national dysphagia special interest groups representing adult and paediatric populations...
April 7, 2016: International Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/26897103/paediatric-neurological-melioidosis-a-rehabilitation-case-report
#2
Meagan E White, Jacqueline Hunt, Cheraine Connell, Katherine Langdon
CONTEXT: Melioidosis is a rare condition, endemic to northern Australia and south-east Asia, caused by an infection from the bacteria <i>Burkholderia pseudomallei</i>. The largest epidemiological review to date describes 540 cases of melioidosis seen at Darwin Hospital, in northern Australia, over a 20-year period. Of these, 14 (less than 3%) presented with neurological manifestation, with three deaths. Reports of paediatric cases of melioidosis are rarer. In a review of paediatric cases in northern Australia only eight cases were identified in 10 years...
January 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/26890847/an-unusual-case-of-an-oesophageal-foreign-body-presenting-as-torticollis
#3
J M Walton, A Darr, A George
Oesophageal foreign bodies (FBs) are commonly encountered in an otolaryngology setting. The majority of such cases remain in the paediatric population, where obtaining an accurate history of events is challenging. Oesophageal FBs present in a variety of ways other than dysphagia, which may result in delayed presentation, diagnosis and subsequent treatment. Where an ingested FB is a battery, early removal is advocated owing to the potential for significant complications, a problem highlighted by a patient safety alert issued by NHS England...
March 2016: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/26862075/diagnostic-accuracy-of-the-clinical-feeding-evaluation-in-detecting-aspiration-in-children-a-systematic-review
#4
REVIEW
Irene Calvo, Aifric Conway, Filipa Henriques, Margaret Walshe
The aim of this systematic review is to determine the diagnostic accuracy of clinical feeding evaluation (CFE) compared to instrumental assessments in detecting oropharyngeal aspiration (OPA) in children. This is important to support clinical decision-making and to provide safe, cost-effective, higher quality care. All published and unpublished studies in all languages assessing the diagnostic accuracy of CFE compared to videofluoroscopic swallowing study (VFSS) and/or fibre-optic endoscopic examination of swallowing (FEES) in detecting OPA in paediatric populations were sought...
June 2016: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/26712292/paediatric-endoscopy-by-adult-gastroenterologists-in-ile-ife-nigeria-a-viable-option-to-increase-the-access-to-paediatric-endoscopy-in-low-resource-countries
#5
Olusegun I Alatise, Henry Chineme Anyabolu, Oludayo Sowande, David Akinola
BACKGROUND: Paediatric endoscopy performed by adult gastroenterologists is a service delivery model that increases the access of children to endoscopy in countries where paediatric gastroenterologists with endoscopy skills are scarce. However, studies on the usefulness of this model in Nigeria and Sub-Saharan Africa are scarce. We aimed to evaluate the indications, procedures, diagnostic yield and safety of paediatric endoscopy performed by adult gastroenterologists in a Nigerian tertiary health facility...
October 2015: African Journal of Paediatric Surgery: AJPS
https://www.readbyqxmd.com/read/26712284/management-of-digestive-lesions-associated-to-congenital-epidermolysis-bullosa
#6
Jamila Chahed, Mongi Mekki, Amine Ksia, Nehla Kechiche, Saida Hidouri, Trimech Monia Youssef, Lassaad Sahnoun, Imed Krichene, Mohsen Belghith, Abdellatif Nouri
BACKGROUND: Congenital epidermolysis bullosa (CEB) is a rare genodermatosis. The digestive system is very frequently associated with skin manifestations. Pyloric atresia (PA) and oesophageal stenosis (OS) are considered the most serious digestive lesions to occur.The aim of this work is to study the management and the outcome of digestive lesions associated to CEB in four children and to compare our results to the literature. PATIENTS AND METHODS: A retrospective study of four observations: Two cases of PA and two cases of OS associated to CEB managed in the Paediatric Surgery Department of Fattouma Bourguiba Teaching Hospital in Monastir, Tunisia...
October 2015: African Journal of Paediatric Surgery: AJPS
https://www.readbyqxmd.com/read/26439576/pp-11-prolonged-intra-esophageal-ph-profile-and-esophageal-motility-in-children-with-eosinophilic-esophagitis-eoe
#7
P Rossi, S Isoldi, S Mallardo, G Biscione, S Oliva, D Rossetti, S Lucarelli, S Cucchiara
BACKGROUND: Patients (pts) with eosinophilic esophagitis (EoE), a chronic immune-mediated disorder, may exhibit symptoms of disturbed food transit (i.e. dysphagia, impaction) or mimicking gastro-oesophageal reflux (GOR). We aimed at characterizing in EoE pts the intra-esophageal pH pattern with 24-h multichannel intraluminal impedance (MII-pH) as well as the esophageal motility with high-resolution manometry (EHRM) METHODS:: during a 30 month period we studied 57 patients (pts), median age 11 years (range: 7-16): 25 with EoE, diagnosed according to widely agreed criteria (JPGN 2014;58:107-18; ESPGHAN guidelines) and 32 with GOR disease (GORD)...
October 2015: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/26304217/new-graduates-perceptions-of-preparedness-to-provide-speech-language-therapy-services-in-general-and-dysphagia-services-in-particular
#8
Shajila Singh, Alannah Booth, Fadziso Choto, Jessica Gotlieb, Rebecca Robertson, Gabriella Morris, Nicola Stockley, Katya Mauff
BACKGROUND: Upon graduation, newly qualified speech-language therapists are expected to provide services independently. This study describes new graduates' perceptions of their preparedness to provide services across the scope of the profession and explores associations between perceptions of dysphagia theory and clinical learning curricula with preparedness for adult and paediatric dysphagia service delivery. METHODS: New graduates of six South African universities were recruited to participate in a survey by completing an electronic questionnaire exploring their perceptions of the dysphagia curricula and their preparedness to practise across the scope of the profession of speech-language therapy...
2015: South African Journal of Communication Disorders. die Suid-Afrikaanse Tydskrif Vir Kommunikasieafwykings
https://www.readbyqxmd.com/read/26105773/high-resolution-manometry-combined-with-impedance-measurements-discriminates-the-cause-of-dysphagia-in-children
#9
Nathalie Rommel, Taher I Omari, Margot Selleslagh, Stamatiki Kritas, Charles Cock, Rachel Rosan, Leonel Rodriguez, Samuel Nurko
UNLABELLED: Pressure-flow analysis allows assessing esophageal bolus transport in relation to esophageal pressures. This study aimed to characterize pressure-flow metrics in relation to dysphagia in paediatric patients. We analysed esophageal pressure-impedance recordings of 5 ml liquid and viscous swallows from 35 children (17 M, mean 10.5 ± 0.8 years). Primary indication for referral was gastroesophageal reflux disease (GERD) (9), post-fundoplication dysphagia (5), idiopathic dysphagia (16), trachea-esophageal fistula (2) and other (3)...
December 2015: European Journal of Pediatrics
https://www.readbyqxmd.com/read/26073100/a-rare-case-of-paediatric-stridor-caused-by-achalasia
#10
J G Barr, H Dean, G Morrison
OBJECTIVE: This paper reports a case of achalasia in a 12-year-old girl who presented with stridor. CASE REPORT: An otherwise healthy 12-year-old girl presented to the ENT clinic with an 18-month history of dysphagia and noisy breathing on eating. Flexible fibre-optic examination showed a normal larynx with normal vocal fold movements. Fibre-optic endoscopic evaluation of swallowing was normal initially, but biphasic stridor occurred after several swallows. Microlaryngoscopy, bronchoscopy and upper oesophagoscopy showed a dilated oesophagus with normal mucosa...
July 2015: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/25982341/food-and-fluid-texture-consumption-in-a-population-based-cohort-of-preschool-children-with-cerebral-palsy-relationship-to-dietary-intake
#11
Katherine A Benfer, Kelly A Weir, Kristie L Bell, Robert S Ware, Peter S W Davies, Roslyn N Boyd
AIM: To determine the texture constitution of children's diets and its relationship to oropharyngeal dysphagia (OPD), dietary intake, and gross motor function in young children with cerebral palsy (CP). METHOD: A cross-sectional, population-based cohort study comprising 99 young children with CP (65 males, 35 females) aged 18 to 36 months (mean age 27mo; Gross Motor Function Classification System [GMFCS] level I, n=45; II, n=13; III, n=14; IV, n=10; V, n=17). CP subtypes were classified as spastic unilateral (n=35), spastic bilateral (n=49), dyskinetic (n=5), and other (n=10), in accordance with the criteria of the Surveillance of Cerebral Palsy in Europe...
November 2015: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/25833074/developing-clinical-skills-in-paediatric-dysphagia-management-using-human-patient-simulation-hps
#12
Elizabeth C Ward, Anne E Hill, Rebecca L Nund, Anna F Rumbach, Katie Walker-Smith, Sarah E Wright, Kris Kelly, Pamela Dodrill
PURPOSE: The use of simulated learning environments to develop clinical skills is gaining momentum in speech-language pathology training programs. The aim of the current study was to examine the benefits of adding Human Patient Simulation (HPS) into the university curriculum in the area of paediatric dysphagia. METHOD: University students enrolled in a mandatory dysphagia course (n = 29) completed two, 2-hour HPS scenarios: (a) performing a clinical feeding assessment with a medically complex infant; and (b) conducting a clinical swallow examination (CSE) with a child with a tracheostomy...
June 2015: International Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/25809664/the-2011-2014-prevalence-of-eosinophilic-oesophagitis-in-the-elderly-amongst-10-million-patients-in-the-united-states
#13
C Maradey-Romero, R Prakash, S Lewis, A Perzynski, R Fass
BACKGROUND: Eosinophilic oesophagitis (EoE) is primarily diagnosed by clinicians. There are less than a handful of epidemiological studies in EoE that have included elderly patients (>65 years). AIM: To determine the prevalence of elderly subjects among EoE patients and compare their clinical presentation, associated conditions and treatment modalities with adult and paediatric EoE patients. METHODS: A large nationwide database (Explorys) between January 2011 and January 2014 was used...
May 2015: Alimentary Pharmacology & Therapeutics
https://www.readbyqxmd.com/read/25762581/perspectives-on-the-role-of-the-speech-and-language-therapist-in-palliative-care-an-international-survey
#14
Aoife C O'Reilly, Margaret Walshe
BACKGROUND: Speech and language therapists can improve the quality of life of people receiving palliative care through the management of communication and swallowing difficulties (dysphagia). However, their role in this domain is poorly defined and little is understood about the current international professional practice in this field. AIMS: To examine how speech and language therapists perceive their role in the delivery of palliative care to clients, to discover current international speech and language therapist practices and to explore the similarities and differences in speech and language therapists' practice in palliative care internationally...
September 2015: Palliative Medicine
https://www.readbyqxmd.com/read/25242701/botulinum-toxin-a-for-children-with-salivary-control-problems
#15
Jenny Montgomery, Sarah McCusker, Jane Hendry, Eleanor Lumley, Haytham Kubba
OBJECTIVE: The aim of this study was to review the response of children who have received botulinum toxin A (BtA) injections for saliva control in our institution. METHODS: Retrospective case series of children attending a saliva control clinic in a paediatric tertiary referral hospital. Children were identified from the saliva control database, which has been in place since its creation in 2006. Prior to receiving BtA all the children in the study had previously undertaken a 3-month trial of pharmacological therapy, with no effect...
November 2014: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/24552674/objective-assessment-of-swallow-function-in-children-with-suspected-aspiration-using-pharyngeal-automated-impedance-manometry
#16
Nathalie Rommel, Margot Selleslagh, Ilse Hoffman, Maria H Smet, Geoffrey Davidson, Jan Tack, Taher Imad Omari
OBJECTIVES: The purpose of the present study was to apply a new method, pharyngeal automated impedance manometry (AIM), as an objective assessment tool of swallow function relevant to aspiration, in a cohort of paediatric patients with dysphagia. METHODS: We studied 20 children (mean age 6 years [5 months to 13.4 years]) referred for videofluoroscopy to assess aspiration risk with simultaneous manometry-impedance. Fluoroscopic evidence of aspiration was scored using a validated aspiration-penetration score...
June 2014: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/24549514/-neuromuscular-electric-stimulation-therapy-in-otorhinolaryngology
#17
REVIEW
S Miller, D Kühn, M Jungheim, C Schwemmle, M Ptok
BACKGROUND: Animal experiments have shown that after specific nerve traumatization, neuromuscular electrostimulation (NMES) can promote nerve regeneration and reduce synkinesia without negatively interfering with normal regeneration processes. NMES is used routinely in physical rehabilitation medicine. METHODS: This systematic literature search in the Cochrane Central Register of Controlled Trials, the Cochrane Database of Systematic Reviews, the DAHTA database, the Health Technology Assessment Database and MEDLINE or PubMed considered studies on the use of NMES in otorhinolaryngology that have been published in German or English...
February 2014: HNO
https://www.readbyqxmd.com/read/24469483/paediatric-acute-retropharyngeal-abscesses-an-experience
#18
Khan A Nazir, Patigaroo Amin Fozia, Mudasir Ul Islam, Ahmed Shakil, Suhail Amin Patigaroo
BACKGROUND: To describe our experience of paediatric patients with acute retropharyngeal abscess in terms of clinical presentation, diagnosis, management and complications. MATERIALS AND METHODS: A prospective study was done for a period of 4 years (Jan 2009 to Jan 2013) on paediatric patients (< 15 years) with acute retropharyngeal abscess at two tertiary hospitals in Srinagar. Diagnosis was made on the basis of X-ray, CECT scan findings and confirmed on incision and drainage...
October 2013: African Journal of Paediatric Surgery: AJPS
https://www.readbyqxmd.com/read/24403624/anaesthetic-management-of-two-different-cases-of-mediastinal-mass
#19
Hemalatha Subbanna, Poola N Viswanathan, Manjula B Puttaswamy, Ashwini Andini, Tulsi Thimmegowda, Sondekoppa N Bhagirath
We report the management of two paediatric cases undergoing median sternotomy and right lateral thoracotomy for mediastinal mass. An 8-year-old boy presented with a history of intermittent fever and episodes of respiratory illness since 3 years and a 16-year-old girl presented with dyspnoea, cough, fever and dysphagia for solid foods. Radiological investigation confirmed the diagnoses. Absence of pressure symptoms pointed towards a compressible mass in the boy and indicated a non-compressible mass in the girl...
November 2013: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/24028466/the-benefits-of-a-5-day-dysphagia-intensive-placement
#20
Naomi Cocks, Celia Harding, Madeleine Pritchard
Finding practical dysphagia opportunities for students pre-qualification is challenging. Discussions with clinicians led to the development of a new placement model. The placement was just five days and had an accompanying workbook. The current study aimed to evaluate the benefits of the placement. Data were analysed from 40 students who attended an adult dysphagia placement and 13 who attended a paediatric dysphagia placement. Measures included a pre and post self-rating questionnaire, qualitative feedback from clinical educators and students and a pre and post measure of knowledge using concept maps...
October 2014: International Journal of Speech-language Pathology
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