Overheard: Using Respiratory Muscle Strength Training in Dysphagia

The objective data comes from what you measure as an outcome. The device is the trainer. Again, use pressure threshold and then set out to measure the outcomes, a scale, a swallow exam, a cough flow rate, a voice quality, etc. Participant: How do you establish goals? There are norms for peak cough, is this what you use? Kiourkas: Respiratory uses cough peak flow to qualify for noninvasive ventilation for ALS and neuromuscular patients. The norms are different for each person. Suggested ranges are used as a guide to assist in determining if the patient is getting worse at subsequent visits. We also use a SNIP (sniffing pressure) when they are extremely weak as a trending tool. Participant: Would you recommend using RMST in the pediatric population? Kiourkas: I would. Children are very resourceful, they would learn quickly, and they would enjoy the improved ability to swallow. I do not know how well it could work under the age of 5. In the NICU, they would use CPAP or nasal prongs with end expiratory pressure.   Renee Kiourkas, MS, RRT, RPFT, is a respiratory care practitioner, Rush Pulmonary Function Lab, and adjunct faculty, Department of Cardiopulmonary Sciences, Division of Respiratory Care Program, Rush University Medical Center, Chicago. Renee_d_kiourkas@rush.edu Christine Sapienza, PhD, CCC-SLP, is the dean of The Brooks Rehabilitation College of Healthcare Sciences, and professor of Communication Sciences and Disorders, Jacksonville University, Jacksonville, Florid...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - Category: Speech-Language Pathology Authors: Tags: Academia & Research Health Care Private Practice Schools Slider Speech-Language Pathology Dysphagia dyspnea muscle strength skilled nursing facility Swallowing Disorders Source Type: blogs

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We examined whether advanced MRI analysis techniques have the capacity to detect brain injury (particularly white matter injury) caused by chronic hypoxia-induced fetal growth restriction in newborn preterm lambs.MethodsSurgery was undertaken in twin bearing pregnant ewes at 88–90 days gestation (term = 150 days) to induce FGR in one fetus. At 127 days gestation (~32 weeks human brain development), FGR and control (appropriate for gestational age, AGA) lambs were delivered by caesarean section, intubated and ventilated. Conventional and advanced brain imaging was conducted within the first two hours of li...
Source: NeuroImage: Clinical - Category: Radiology Source Type: research
Publication date: Available online 23 August 2019Source: Social Science &MedicineAuthor(s): Megan D. CogburnAbstractOver the last two decades, there has been a global push to improve maternal health by increasing numbers of facility births in low- and middle-income countries like Tanzania. While recent scholarship has interrogated the increasing hegemony of numbers and metrics in global health, few have ethnographically explored how this push for numbers and its accompanying technologies affect the lived experiences of parturients and those who care for them during pregnancy and childbirth in rural communities. Based o...
Source: Social Science and Medicine - Category: Psychiatry & Psychology Source Type: research
Publication date: Available online 23 August 2019Source: The Journal of Molecular DiagnosticsAuthor(s): Claudia Herrera, Carine Truyens, Eric Dumonteil, Jackeline Alger, Sergio Sosa-Estani, Maria Luisa Cafferata, Luz Gibbons, Alvaro Ciganda, Maria Luisa Matute, Concepcion Zuniga, Yves Carlier, Pierre BuekensAbstractTrypanosoma cruzi, the causative agent of Chagas disease, exhibits a high genetic variability and has been classified into six discrete typing units (DTUs) named TcI-TcVI. This genetic diversity is believed to be associated with clinical characteristics and outcomes, but evidences supporting such associations ha...
Source: The Journal of Molecular Diagnostics - Category: Pathology Source Type: research
This study aimed at determining if first trimester serum biomarkers could predict adverse pregnancy outcomes associated with villitis (VUE) and chronic intervillositis of unknown etiology (CIUE).Study designBetween January 2013 and June 2018, we selected from pathology department files placentas with VUE or CIUE associated with VUE and control placentas with available first trimester Down syndrome screening results. First trimester PAPP-A and βhCG levels were recorded. Placental growth factor (PlGF) levels were measured in patients with an available first trimester serum sample. Histological findings in placentas, cou...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
Transgender individuals and women who've terminated pregnancy would lose explicit protections under ‘sex discrimination’ umbrella.
Source: AJN - Category: Nursing Tags: In the News Source Type: research
Comment on "Pregnancy Screening before Diagnostic Radiography in Emergency Department; an Educational Review". Arch Acad Emerg Med. 2019;7(1):e23 Authors: Bijwaard H, Wit F PMID: 31432033 [PubMed]
Source: Accident and Emergency Nursing - Category: Emergency Medicine Authors: Tags: Arch Acad Emerg Med Source Type: research
ConclusionSZYQD may regulate the Cholinergic synapse, Th17 cell differentiation, Fluid shear stress and atherosclerosis, Apoptosis, PI3K-Akt signaling pathway, NF-κB signaling pathway, TNF signaling pathway, C-type lectin receptor signaling pathway and so on, to resist oxidation, diminish inflammation, balance proliferation and apoptosis of cells, inhibit vagal excitation in the treatment of COPD.
Source: European Journal of Integrative Medicine - Category: Complementary Medicine Source Type: research
Gastroesophageal reflux disease (GERD) is associated with a nearly three-fold increased risk of temporomandibular disorders (TMD), according to a new case-control study.Reuters Health Information
Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: Gastroenterology News Source Type: news
Conclusions: These findings provide converging support for neurocognitive models that propose two channels for speech-language processing: a fast-automatic channel that predominates whenever possible and a compensatory slow-effortful processing channel that is activated during perceptually-challenging speech processing tasks that are not fully managed by the fast-automatic channel (ease of language understanding, framework for understanding effortful listening, and auditory neurocognitive model). CI users showed significantly poorer performance on measures of high-variability sentence recognition than NH peers, even afte...
Source: Ear and Hearing - Category: Audiology Tags: Research Articles Source Type: research
CONCLUSIONS: There is no strong evidence that first-line therapy with intravenous iron is superior to oral administration for treating IDA in pregnant women. The few identified differences in outcomes were small in magnitude and from studies at high risk of bias. REGISTRATION: International Prospective Register of Systematic Reviews (PROSPERO), CRD42019120652. PMID: 31441077 [PubMed - as supplied by publisher]
Source: Medical Journal of Australia - Category: General Medicine Tags: Med J Aust Source Type: research
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