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Condition: Cough
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Total 318 results found since Jan 2013.
PB3. Pharyngeal Electrical Stimulation in neurointensive care patients suffering from severe post-stroke dysphagia – Post stimulation increase of salivary substance P level may indicate treatment success
Dysphagia is one of the most important and prognostically relevant complications of acute stroke. Pharyngeal Electrical Stimulation (PES) is a treatment device that enhances cortical reorganization for the restoration of swallowing function after cerebral injury. Furthermore, it was shown that PES leads to a temporary increase of Substance P (SP) level in saliva but not serum in healthy adults. The neuropeptide SP likely acts as a neurotransmitter in the pharyngeal mucosa and enhances the swallow and cough reflex.
Source: Clinical Neurophysiology - July 10, 2018 Category: Neuroscience Authors: P. Muhle, S. Suntrup-Krueger, S. Bittner, T. Ruck, I. Claus, T. Marian, J.B. Schr öder, J. Minnerup, T. Warnecke, S.G. Meuth, R. Dziewas Source Type: research
Relationship between Cough-Associated Changes in CSF Flow and Disease Severity in Chiari I Malformation: An Exploratory Study Using Real-Time MRI ADULT BRAIN
CONCLUSIONS:
Our exploratory study suggests that assessment of CSF flow response to a coughing challenge has the potential to become a valuable objective noninvasive test for clinical assessment of disease severity in patients with Chiari I malformation.
Source: American Journal of Neuroradiology - July 9, 2018 Category: Radiology Authors: Bezuidenhout, A. F., Khatami, D., Heilman, C. B., Kasper, E. M., Patz, S., Madan, N., Zhao, Y., Bhadelia, R. A. Tags: ADULT BRAIN Source Type: research
The double-sidedness of cough in the elderly
Publication date: Available online 11 January 2018Source: Respiratory Physiology & NeurobiologyAuthor(s): Ha-Kyeong Won, Sol-Ji Yoon, Woo-Jung SongAbstractCough is a physiological reflex to protect airways against aspiration, but also it is one of the most frequent problems that lead patients to seek medical care. Chronic cough is more prevalent in the elderly than younger subjects, and more challenging to manage due to frequent comorbidities and possible side effects from drug treatment. Meanwhile, cough reflex does not decrease with natural aging but is often impaired by pathologic conditions like stroke. The impairment ...
Source: Respiratory Physiology and Neurobiology - July 5, 2018 Category: Respiratory Medicine Source Type: research
A True Hematologic Emergency
BY GREGORY TAYLOR, DO, & JACKLYN MCPARLANE, DOA 33-year-old woman with a past medical history of sickle cell SS presented to the emergency department with chest pain, difficulty breathing, and a cough for two days. Her chest pain was diffuse, without radiation, and partially reproducible. Her cough was nonproductive, and she also reported fever and chills.The patient noted this was different from her normal back and leg pain from past sickle cell crises. She was following up with a sickle cell specialist, and was compliant with her hydroxyurea treatment.Her temperature was 102.8°F, blood pressure was 94/60 mm...
Source: The Case Files - June 26, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: research
Changes in Swallowing and Cough Functions Among Stroke Patients Before and After Tracheostomy Decannulation
This study suggests that if patients show improvement in swallowing and coughing after their stroke, a multidisciplinary approach to tracheostomy decannulation would be needed to achieve better rehabilitation outcomes.
Source: Dysphagia - June 18, 2018 Category: Speech-Language Pathology Source Type: research
Cough response to aspiration in thin and thick fluids during FEES in hospitalized inpatients.
CONCLUSIONS & IMPLICATIONS: Cough response to aspiration differs across bolus volumes and viscosities. The finding of inconsistent cough response to aspiration in some patients strongly encourages the use of instrumental assessment to guide decisions regarding diet modifications.
PMID: 29845700 [PubMed - as supplied by publisher]
Source: International Journal of Language and Communication Disorders - May 30, 2018 Category: Speech-Language Pathology Authors: Miles A, McFarlane M, Scott S, Hunting A Tags: Int J Lang Commun Disord Source Type: research
Implementing Cough Reflex Testing in a Clinical Pathway for Acute Stroke: A Pragmatic Randomised Controlled Trial
In conclusion, it was possible to implement a CRT pathway with minimal increases in clinician resources. While clinicians perceived CRT as beneficial in clinical decision making, the efficacy of C RT for reducing pneumonia rates in acute stroke remains to be established.Clinical Trial Registration-URL:http://www.anzctr.org.au. Unique identifier: ACTRN12616000724471
Source: Dysphagia - May 15, 2018 Category: Speech-Language Pathology Source Type: research
The Dysphagia in Stroke Protocol Reduces Aspiration Pneumonia in Patients with Dysphagia Following Acute Stroke: a Clinical Audit
AbstractCough reflex testing has been evaluated as a component of the clinical swallowing assessment as a means of identifying patients at risk of aspiration during swallowing. A previous study by our research group found good sensitivity and specificity of the cough reflex test for identifying patients at risk of aspiration post-stroke, yet its use did not decrease pneumonia rates, contrary to previous reports. The aim of this study was to expand on our earlier work by implementing a clinical management protocol incorporating cough reflex testing within the same healthcare setting and compare patient outcomes to those fro...
Source: Translational Stroke Research - March 30, 2018 Category: Neurology Source Type: research
Effect of Dysphagia Screening Strategies on Clinical Outcomes After Stroke: A Systematic Review for the 2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke AHA/ASA Systematic Review
Conclusions—There were insufficient RCT data to determine the effect of dysphagia screening protocols on reducing the rates of pneumonia, death, or dependency after stroke. Additional trials are needed to compare the validity, feasibility, and clinical effectiveness of different screening methods for dysphagia.
Source: Stroke - February 26, 2018 Category: Neurology Authors: Eric E. Smith, David M. Kent, Ketan R. Bulsara, Lester Y. Leung, Judith H. Lichtman, Mathew J. Reeves, Amytis Towfighi, William N. Whiteley, Darin B. Zahuranec Tags: Statements and Guidelines AHA/ASA Systematic Review Source Type: research
IJERPH, Vol. 15, Pages 252: Residents ’ Self-Reported Health Effects and Annoyance in Relation to Air Pollution Exposure in an Industrial Area in Eastern-Estonia
IJERPH, Vol. 15, Pages 252: Residents’ Self-Reported Health Effects and Annoyance in Relation to Air Pollution Exposure in an Industrial Area in Eastern-Estonia
International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15020252
Authors:
Hans Orru
Jane Idavain
Mihkel Pindus
Kati Orru
Kaisa Kesanurm
Aavo Lang
Jelena Tomasova
Eastern Estonia has large oil shale mines and industrial facilities mainly focused on electricity generation from oil shale and shale oil extraction, which produce high air pollution emissions. The “Study of the health impact of the oil shale sector—SO...
Source: International Journal of Environmental Research and Public Health - February 2, 2018 Category: Environmental Health Authors: Hans Orru Jane Idavain Mihkel Pindus Kati Orru Kaisa Kesanurm Aavo Lang Jelena Tomasova Tags: Article Source Type: research
New treatment for SMA offers hope for Arianna
For the first few months of Arianna Condon’s life, everything was moving along fine. She was a happy baby, and seemed to be developing much like her older sister, Tessa.
“She was gaining weight, and seemed to be doing great,” says Arianna’s mom, Marina. “She did have problems with reflux, but it was nothing too unusual for a baby.”
But by the time Arianna was 3 months old, Marina started to have concerns. Arianna wasn’t lifting her head the way Tessa had at that age. Something didn’t seem right.
“I brought it up to her pediatrician, but she told me that all babies develop differently and there wasn’t a ...
Source: Thrive, Children's Hospital Boston - January 16, 2018 Category: Pediatrics Authors: Ellen Greenlaw Tags: Diseases & Conditions Our Patients’ Stories Dr. Basil Darras spinal muscular atrophy spinal muscular atrophy program Spinraza Source Type: news
The double-sidedness of cough in the elderly
Publication date: Available online 11 January 2018 Source:Respiratory Physiology & Neurobiology Author(s): Ha-Kyeong Won, Sol-Ji Yoon, Woo-Jung Song Cough is a physiological reflex to protect airways against aspiration, but also it is one of the most frequent problems that lead patients to seek medical care. Chronic cough is more prevalent in the elderly than younger subjects, and more challenging to manage due to frequent comorbidities and possible side effects from drug treatment. Meanwhile, cough reflex does not decrease with natural aging but is often impaired by pathologic conditions like stroke. The impairme...
Source: Respiratory Physiology and Neurobiology - January 12, 2018 Category: Respiratory Medicine Source Type: research
Peak expiratory cough flow and respiratory muscle function in acute stroke patients
Conclusion: Stroke patients presents important impairment on cough and respiratory muscle function. No differences were observed in the main outcomes between dysphagic and non-dysphagic patients.
Source: European Respiratory Journal - December 6, 2017 Category: Respiratory Medicine Authors: Messaggi Sartor, M., Guillen-Sola, A., Ramirez-Fuentes, C., Duarte, E., Marco, E. Tags: Rehabilitation and Chronic Care Source Type: research
Comparison of clinical features and outcome in COPD patients with and without heart failure, admitted at tertiary care hospital
Conclusion: COPD with HF most likely presented with breathlessness and cough, with longer hospital stay and were more prone to arrhythmias as compared to COPD without HF.
Source: European Respiratory Journal - December 6, 2017 Category: Respiratory Medicine Authors: Ashraf, S., Ashraf, A. Tags: Monitoring Airway Disease Source Type: research
Characterization of sociodemographic and health characteristics of USA adults with frequent respiratory symptoms
Conclusion: Our population-based data provides insight into relationships among frequent respiratory symptoms, chronic diseases, and sociodemographics.
Source: European Respiratory Journal - December 6, 2017 Category: Respiratory Medicine Authors: Pleasants, R., Heidari, K., Ohar, J., Lugogo, N., Donohue, J., Strange, C., Mannino, D. Tags: Epidemiology Source Type: research
