Log in to search using one of your social media accounts:


Accuracy of a Laryngopharyngeal Endoscopic Esthesiometer (LPEER) for Evaluating Laryngopharyngeal Mechanosensitivity: A Validation Study in a Prospectively Recruited Cohort of Patients

AbstractRecent studies have shown an association between alterations in laryngopharyngeal mechanosensitivity (LPMS) and dysphagia, obstructive sleep apnea, and chronic cough hypersensitivity syndrome. A previous reliability study of a new laryngopharyngeal endoscopic esthesiometer and rangefinder (LPEER) showed high intra- and inter-rater reliability; however, its accuracy has not been tested. We performed an accuracy study of the LPEER in a prospectively and consecutively recruited cohort of 118 patients at two tertiary care university hospitals. Most of the patients were suffering from dysphagia, and all of them underwent a standard clinical evaluation and fiberoptic endoscopic evaluation of swallowing with sensory testing (FEESST) using a new sensory testing protocol. The sensory test included determinations of the laryngeal adductor reflex threshold (LART), the cough reflex threshold (CRT) and the gag reflex threshold (GRT). Abnormalities on these reflex thresholds were evaluated for associations with major alterations in swallowing safety (pharyngeal residues, penetration, and aspiration). We evaluated the discriminative capacity of the LPMS test using ROC curves and the area under the curve (AUC –ROC) and its relationship with the eight-point penetration–aspiration scale (PAS) using the Spearman’sρ correlation coefficient (SCC). We found a positive correlation between the PAS and LART (SCC 0.47;P 
Source: Dysphagia - Category: Speech-Language Pathology Source Type: research

Related Links:

US researchers analyzed data from an Australian study of more than 3,400 children whose mothers answered surveys when the children were nine months old and again when they were two.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
5 hours ago ... Comedian Jerry Lewis, known for his unique brand of comedy and his work with the Muscular Dystrophy Association, passed away in Las  ...
Source: AARP.org News - Category: American Health Source Type: news
NEW YORK (Reuters Health) - - Inconsistent childcare arrangements can affect toddlers ’ sleep at night, a new study suggests.
Source: Reuters: Health - Category: Consumer Health News Tags: healthNews Source Type: news
        Victoria Maxwell stars in this short video filled with useful tips to develop healthier sleep habits, important in the management of bipolar disorder. This video was made by the bipolar research group CREST.BD at UBC in Vancouver, a collaborative group of researchers, clinicians, and people with lived experience like Victoria. CREST.BD has also compiled a resource page about sleep and bipolar which is a helpful companion to the video, with lots of great info. It’s part of the Bipolar Wellness Centre web site, featuring fourteen domains of life that make up quality of life and wellness for...
Source: Channel N - Category: Psychiatry Authors: Tags: All Documentary bipolar brain CanCon habits psychiatry psychology routine sleep video wellness Source Type: blogs
The Center for Translation Research and Implementation Science (CTRIS), a part of the National Heart, Lung and Blood Institute (NHLBI), fosters and supports an integrated portfolio of late-stage T4 translation research, implementation science, and related research training in heart, lung, blood, and sleep (HLBS) disorders. CTRIS serves as a strategic focal point at NHLBI to identify optimal research strategies for the delivery of evidence-based interventions which, when scaled up, will improve population level health for all and reduce related health inequities. An important part of the CTRIS mission is the commitment to r...
Source: Videocast - All Events - Category: General Medicine Tags: Upcoming Events Source Type: video
CONCLUSION: Age equivalent receptive communication doesn't appear to correlate with performance/improvement on these measures. Perhaps suggesting performance on these measures is more closely associated with motor function/planning. This article is protected by copyright. All rights reserved.
Source: Muscle and Nerve - Category: Internal Medicine Authors: Tags: Abstract Source Type: research
Well I took the DAT this past Friday and was pretty bummed. I was hoping to score way higher but obviously that did not happen. As I returned to my car I yelled every curse word possible and proceeded to drive home then sleep for the rest of the weekend. I know my scores aren't bad but I put in so much work and thought I deserved better. (Studied from early June to mid-August) I'm considering a retake. Here are my scores: PAT: 20 QR: 18 RC: 20 BIO: 20 GC: 19 OC: 20 TS: 20 AA:19 (how tf...) I... Aunty's Average DAT Breakdown (19AA/20TS/20PAT)
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums
Lack of sleep immediately prior to surgery may worsen postoperative pain, but caffeine may help to offset this effect, according to a new study in rats.
Source: Health News from Medical News Today - Category: Consumer Health News Tags: Surgery Source Type: news
Babies, toddlers, and older children can develop feeding difficulties—ranging from general picky eating to severe feeding disorders—for a variety of reasons. As a speech-language pathologist who specializes in feeding challenges in children, I peer into a lot of little mouths. In my professional experience, these three “mouth offenders” can shape a child’s willingness to try new foods. Misaligned teeth: Crowded, missing or blocked teeth that haven’t erupted properly can impact a child’s ability to adequately chew food. The way the teeth contact each other might also indicate misali...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - Category: Speech-Language Pathology Authors: Tags: Speech-Language Pathology Early Intervention Feeding Disorders Swallowing Disorders Source Type: blogs
CONCLUSIONS: The propofol-remifentanil combination was associated with a higher incidence of desaturation. The dexmedetomidine-remifentanil combination was associated with inadequate sedation in one half of the patients, even though it produced less respiratory depression. Addition of remifentanil reduced the cough reflex. PMID: 25643766 [PubMed - as supplied by publisher]
Source: Sleep and Breathing - Category: Sleep Medicine Authors: Tags: Sleep Breath Source Type: research
More News: Cough | Hospitals | Obstructive Sleep Apnea | Reflex Sympathetic Dystrophy | Sleep Apnea | Sleep Disorders | Sleep Medicine | Speech-Language Pathology | Study