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https://www.readbyqxmd.com/read/29473351/-clinical-study-of-electroacupuncture-with-different-frequencies-at-lianquan-cv-23-and-fengfu-gv-16-for-stroke-dysphagia
#1
Lizhi Zhang, Nenggui Xu, Ruliang Li, Lin Wang
OBJECTIVE: To observe the effects of electroacupuncture (EA) with different frequencies based on the western conventional treatment and rehabilita tion training for stroke dysphagia. METHODS: Sixty patients with dysphagia after stroke were randomized assigned into a low frequency (2 Hz) group and a high frequency (100 Hz) group, 30 cases in each one. Basic treatment was applied in the two groups. The acupoints were Fengfu (GV 16) and Lianquan (CV 23). EA with continuous wave and tolerant intensity were connected for 30 min, once a day for 14 days...
February 12, 2018: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29471743/masticatory-performance-parameters-for-young-adults-with-normal-occlusion
#2
Ana Maria Wintergerst, Filiberto Hernández-Sánchez
Objective To develop reference data for young men/women on the variability of parameters used for the evaluation of masticatory function with an artificial test food. Methods Subjects included were 200 18-25-year olds with complete dentition and "normal" occlusion. An artificial test food was chewed in two tests (20 cycles and swallowing threshold), during which sequences/cycles were counted and timed. Medium-particle-size (MPS) and broadness of particle distribution were calculated evaluating the chewed material...
February 22, 2018: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/29471309/the-role-of-the-diet-in-tooth-wear
#3
S O'Toole, F Mullan
An acidic diet has been associated with erosive tooth wear. However, some people who consume dietary acids develop erosive tooth wear and some do not. This review paper provides an overview of the risk factors of dietary acid consumption which increase the likelihood of developing severe erosive tooth wear. Increased frequency of dietary acid consumption, particularly between meals appears to be the predominant risk factor. However, habitually drinking acidic drinks by sipping them slowly or swishing, rinsing or holding acidic drinks in the mouth before swallowing will also increase risk of progression...
February 23, 2018: British Dental Journal
https://www.readbyqxmd.com/read/29469076/quality-of-life-outcome-measures-using-university-of-washington-questionnaire-version-4-in-early-t1-t2-anterior-tongue-cancers-with-and-without-radiotherapy-a-cross-sectional-study
#4
P Sakthivel, D V K Irugu, C A Singh, H Verma, R Yogal, B Jat, A Chadran, K Sikka, A Thakar, S C Sharma
CONTEXT: To evaluate the quality of life (QOL) outcome measures in disease-free survivors of pathological T1/T2 tongue cancers and to compare QOL in patients treated with only surgery and with adjuvant treatment. SETTINGS AND DESIGN: Cross-sectional survey. PATIENTS AND METHODS: All pathological T1/T2 anterior tongue cancer cases with follow-up from January 2011 till December 2015, who had locoregionally controlled disease with a minimum disease-free survival period of 1 year, were included in the study...
April 2017: Indian Journal of Cancer
https://www.readbyqxmd.com/read/29469011/the-effects-of-resistance-training-of-swallowing-muscles-on-dysphagia-in-older-people-a-cluster-randomized-controlled-trial
#5
Hidetaka Wakabayashi, Masato Matsushima, Ryo Momosaki, Shuhei Yoshida, Rieko Mutai, Toshifumi Yodoshi, Shinichi Murayama, Tetsuro Hayashi, Ryoko Horiguchi, Hiroko Ichikawa
OBJECTIVE: This study examined the effects of resistance training of swallowing muscles in community-dwelling older individuals with dysphagia. METHODS: A cluster randomized controlled trial was performed in day-service and day-care facilities. The participants were older (≥65 y) community-dwelling individuals with dysphagia. The intervention group performed a tongue resistance exercise and a head flexion exercise against manual resistance. Both groups received a brochure on dysphagia rehabilitation...
November 27, 2017: Nutrition
https://www.readbyqxmd.com/read/29468508/ultrasound-guided-bilateral-superficial-cervical-block-and-preemptive-single-dose-oral-tizanidine-for-post-thyroidectomy-pain-a-randomized-controlled-double-blind-study
#6
Ali Ahiskalioglu, Ahmet Murat Yayik, Elif Oral Ahiskalioglu, Aysenur Dostbil, Omer Doymus, Erdem Karadeniz, Muhammet Ali Ari, Furkan Sengoz, Haci Ahmet Alici, Erkan Cem Celik
PURPOSES: The postoperative analgesic effect of tizanidine has not yet been evaluated sufficiently. The role of bilateral superficial cervical plexus block (BSCPB) for postoperative analgesia after thyroidectomy remains questionable. We aimed to evaluate the analgesic effect of combined use of BSCPB and a single-dose oral tizanidine in patients undergoing elective thyroid surgery. METHODS: Sixty patients undergoing thyroidectomy were randomized into 3 groups. The control group (Group C, n = 20) received BSCPB with 0...
February 21, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/29468378/achalasia-patients-are-at-nutritional-risk-regardless-of-presenting-weight-category
#7
Carolyn Newberry, Ravy K Vajravelu, Octavia Pickett-Blakely, Gary Falk, Yu Xiao Yang, Kristle L Lynch
BACKGROUND: Achalasia is an esophageal motor disorder that leads to swallowing dysfunction and weight loss. Nutritional risk in achalasia patients is not well defined. AIMS: The aims of this study were to define baseline body mass index (BMI), changes in weight, and nutritional risk over time in a large cohort of achalasia patients. METHODS: This was a retrospective cohort study of achalasia patients at a tertiary care center with documented BMI, symptom severity as per Eckardt score, and nutritional risk assessment as per the Malnutrition Universal Screening Tool, which considers BMI, degree of recent weight loss, and acuity of disease...
February 22, 2018: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29468067/pharyngeal-dysphagia-due-to-varicella-zoster-virus-meningoradiculitis-and-full-recovery-case-report-and-endoscopic-findings
#8
Paul Muhle, Sonja Suntrup-Krueger, Rainer Dziewas, Tobias Warnecke
Varicella zoster virus reactivation is a rare cause of pharyngeal dysphagia with long-term sequelae persisting in most cases. A 76-year-old immunocompetent woman presented with a 4-week history of dysphagia and dysphonia. Brain magnetic resonance imaging displayed a negative finding. Fiberoptic endoscopic evaluation of swallowing showed a severe dysphagia leading to a percutaneous gastrostomy eventually. Cerebrospinal fluid analysis revealed a lymphocytic pleocytosis and polymerase chain reaction amplified Varicella zoster virus DNA...
2018: SAGE Open Medical Case Reports
https://www.readbyqxmd.com/read/29467533/continuing-medical-education-questions-february-2018-timed-barium-swallow-diagnostic-role-and-predictive-value-in-untreated-achalasia-esophagogastric-junction-outflow-obstruction-and-non-achalasia-dysphagia
#9
https://www.readbyqxmd.com/read/29465580/standard-values-for-gas-perfusion-manometry-of-the-esophagus
#10
Sven Höhne, Viola Hesse
The manometry with water-perfused or solid-state catheters is the predominant diagnostic procedure to detect motility disorders of the esophagus. Another method is the manometry using gas-perfused catheters. Although the high-resolution manometry is the method of first choice, the conventional manometry with helium has some advantages: the simple and hygienically unproblematic use and the absence of any artefacts by the perfusion medium compared with water-perfusion, and the considerably lower costs compared with the solid-state catheters...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29464377/is-oral-feeding-compatible-with-an-unresponsive-wakefulness-syndrome
#11
Evelyne Mélotte, Audrey Maudoux, Sabrina Delhalle, Charlotte Martial, Georgios Antonopoulos, Stephen Karl Larroque, Sarah Wannez, Marie-Elisabeth Faymonville, Jean-François Kaux, Steven Laureys, Olivia Gosseries, Audrey Vanhaudenhuyse
OBJECTIVE: The aim of the study is to explore the possibility of oral feeding in unresponsive wakefulness syndrome/vegetative state (UWS/VS) patients. METHOD: We reviewed the clinical information of 68 UWS/VS patients (mean age 45 ± 11; range 16-79 years) searching for mention of oral feeding. UWS/VS diagnosis was made after repeated behavioural assessments using the Coma Recovery Scale-Revised. Patients also had complementary neuroimaging evaluations (positron emission tomography, functional magnetic resonance imaging and electroencephalography and diffusion tensor imaging)...
February 20, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29464162/hinge-flap-with-triangular-extension-for-reconstruction-of-pharyngocutaneous-and-laryngocutaneous-fistulas
#12
Ryuichi Azuma, Shimpo Aoki, Masahiro Kuwabara, Tetsushi Aizawa, Hisato Nagano, Tomoharu Kiyosawa
Hinge flaps are commonly used for closure of a pharyngocutaneous fistula (PCF) or laryngocutaneous fistula. These flaps are employed to augment the wall of the pharynx or larynx, but the junction between the reconstructed and native lumens can eventually become narrow and irregular after reconstruction with standard hinge flaps. We devised a method of adding a triangular extension to the end of either or both flaps and used it to treat 3 patients. In 1 patient who developed a PCF (4 × 10 cm) after laryngectomy followed by radiotherapy, the fistula was closed with 2 hinge flaps...
January 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29463320/medialisation-thyroplasty-with-tensor-fascia-lata-a-novel-approach-for-reducing-post-thyroplasty-complications
#13
T N Chao, A Mahmoud, K Rajasekaran, N Mirza
BACKGROUND: Medialisation thyroplasty is considered the 'gold standard' treatment for unilateral vocal fold paralysis, enabling improvement of voice and swallowing function, and preventing life-threatening aspiration events. The most commonly used laryngeal implants induce some degree of local tissue inflammatory response, and carry the risk of immediate or delayed implant extrusion. METHODS: This paper describes a novel approach for medialisation thyroplasty. Specifically, it utilises a ribbon of autologous tensor fascia lata harvested at the time of surgery...
February 21, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29461649/contextual-and-stress-process-factors-associated-with-head-and-neck-cancer-caregivers-physical-and-psychological-well-being
#14
M-S Paek, C L Nightingale, J A Tooze, B-J Milliron, K E Weaver, K R Sterba
Head and neck cancer (HNC) caregivers are especially vulnerable to poor outcomes because the HNC patients are at high risk for physical and functional impairments. This study examines contextual and stress process variables potentially associated with HNC caregivers' physical and psychological well-being. Patient-caregiver variables included socio-demographics, primary stressors (caregiving, patient clinical characteristics, HNC-related symptoms/dysfunction), secondary stressors (caregiver employment, childcare responsibilities and sleep duration <7 hr), appraisal, and response (physical activity)...
February 20, 2018: European Journal of Cancer Care
https://www.readbyqxmd.com/read/29461287/developing-competent-videofluoroscopic-swallowing-study-analysts
#15
Ann Edwards, Elspeth Froude, Gabriella Sharpe
PURPOSE OF REVIEW: This review examines the recent literature concerning the development of VFSS analysts. RECENT FINDINGS: Face-to-face and blended methods of training improve reliability and accuracy of VFSS analysis. However, with the exception of the literature describing the MBSImP training, most studies investigate relatively brief training for specific VFSS rating tools. The influence of training mode and trainee factors has received limited attention. SUMMARY: There is a lack of controlled studies investigating the influences of training methods for VFSS analysis...
February 15, 2018: Current Opinion in Otolaryngology & Head and Neck Surgery
https://www.readbyqxmd.com/read/29460767/how-should-a-stigmatized-diagnosis-be-conveyed-how-what-went-wrong-is-represented-in-swallow-me-whole
#16
Jared Gardner
This essay considers the ethical problems raised by a scene of diagnosis presentation in Nate Powell's graphic novel Swallow Me Whole, in which the patient is not only not engaged by the physician, but also effectively marginalized from the moment that her condition is named and medicalized. Put in the context of the book as a whole and in relationship to the unique affordances of the comics form, however, we see that though the physician made a correct diagnosis, the case did not end well due to the poor delivery of that diagnosis and the lack of support from members of the patient's extended community...
February 1, 2018: AMA Journal of Ethics
https://www.readbyqxmd.com/read/29460462/cri-du-chat-syndrome-characteristics-of-73-brazilian-patients
#17
R S Honjo, C B Mello, L S E Pimenta, E C Nuñes-Vaca, L M Benedetto, R B F Khoury, D M Befi-Lopes, C A Kim
BACKGROUND: Cri du Chat syndrome (CdCS) is a genetic syndrome caused by deletions in the short arm of chromosome 5. Although the main clinical features of CdCS are well known, the neurocognitive and behavioural characteristics of the phenotype are rarely described in detail in the literature. In this study, we analysed the main phenotypic features of CdCS from a parental perspective. METHOD: A questionnaire was sent to 700 Brazilian families that were registered in the Brazilian Association of CdCS...
February 20, 2018: Journal of Intellectual Disability Research: JIDR
https://www.readbyqxmd.com/read/29460049/double-blind-study-investigating-the-effect-of-different-voice-prostheses-on-ease-of-swallowing-and-residue-post-laryngectomy
#18
Margaret M Coffey, Neil Tolley, David Howard, Mary Hickson
Voice prostheses have been examined for their effect on voice production but there is little datum on their effect on swallow function. This study investigated the difference between six commonly available voice prostheses in terms of swallowing. Laryngectomy patients had up to six voice prostheses placed in a random order over two visits. Swallowing was evaluated for each prosthesis using FEES (Fibreoptic Endoscopic Evaluation of Swallowing). After each prosthesis trial, patients self-evaluated their experience of swallowing...
February 19, 2018: Dysphagia
https://www.readbyqxmd.com/read/29459564/-retention-of-patency-capsule-in-a-patient-with-crohn-s-disease
#19
Masaya Iwamuro, Shiho Takashima, Toshihiro Inokuchi, Masahiro Takahara, Seiji Kawano, Sakiko Hiraoka, Yoshitaka Kondo, Takehiro Tanaka, Hiroyuki Okada
A 40-year-old Japanese man with abdominal pain was referred to our hospital. The patient had been diagnosed with Crohn's disease at the age of 21 years and had since then received treatment with mesalazine and had been advocated an elemental diet. About 30 months before his visit to the hospital, he had swallowed a patency capsule, the retention of which in the ileum was subsequently detected on abdominal ultrasonography. The patient was advised to undergo the evaluation of stenosis, but he refused further investigation at that time...
2018: Nihon Shokakibyo Gakkai Zasshi, the Japanese Journal of Gastro-enterology
https://www.readbyqxmd.com/read/29458885/prenatal-diagnosis-of-fetal-glutaric-aciduria-type-1-with-rare-compound-heterozygous-mutations-in-gcdh-gene
#20
Hsiu-Huei Peng, Sheng-Wen Shaw, Kuan-Gen Huang
OBJECTIVE: Glutaric aciduria type 1 is a rare disease, with the estimated prevalence about 1 in 100,000 newborns. GCDH gene mutation can lead to glutaric acid and 3- OH glutaric acid accumulation, with clinical manifestation of neuronal damage, brain atrophy, microencephalic macrocephaly, decreased coordination of swallowing, poor muscle coordination, spasticity, and severe dystonic movement disorder. CASE REPORT: A 22-year-old female, Gravida 4 Para 2, is pregnancy at 13 weeks of gestational age...
February 2018: Taiwanese Journal of Obstetrics & Gynecology
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