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More Than Smell-COVID-19 Is Associated With Severe Impairment of Smell, Taste, and Chemesthesis.
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In: Chemical senses, vol 45, iss 7 (2020)
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Inter Organizational Practice Committee Recommendations/Guidance for Teleneuropsychology in Response to the COVID-19 Pandemic†.
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In: Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists, vol 35, iss 6 (2020)
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Differential asthma odds following respiratory infection in children from three minority populations.
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In: PloS one, vol 15, iss 5 (2020)
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Diagnosis of ventilator-associated pneumonia in critically ill adult patients-a systematic review and meta-analysis.
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Clinical swallowing assessment in the diagnosis of silent aspiration
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In: Revista CEFAC, Vol 22, Iss 6 (2020) (2020)
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Pneumonia risk factors in stroke patients
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In: Revista CEFAC, Vol 22, Iss 6 (2020) (2020)
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Factors associated with aspiration pneumonia and preventive measures in hospitalized elderly: a systematic review of observational studies
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In: Revista CEFAC, Vol 22, Iss 6 (2020) (2020)
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Post-stroke dysphagia: an analysis of the competences of the care processes of the interdisciplinary team
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In: Revista CEFAC, Vol 22, Iss 4 (2020) (2020)
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Preditores clínicos do risco de broncoaspiração em crianças com cardiopatias congênitas ; Clinical predictors of the risk of bronchoaspiration in children with congenital heart disease
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Fernandes, Heloisa Regina. - : Biblioteca Digital de Teses e Dissertações da USP, 2019. : Universidade de São Paulo, 2019. : Faculdade de Medicina, 2019
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Resources for dysphagia. Dietary adaptations in head and neck cancer ; Recursos para la disfagia. Adaptaciones dietéticas en cáncer de cabeza y cuello
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In: Revista ORL; XXIV Congreso Nacional de la SOMEF 2018; 1,5 ; 2444-7986 ; 10.14201/orl.201897 (2018)
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Aspectos funcionais da deglutição na população com trauma cranioencefálico ; Swallowing functional aspects in the severe traumatic brain injury population
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Ferrucci, Juliana Lopes. - : Biblioteca Digital de Teses e Dissertações da USP, 2018. : Universidade de São Paulo, 2018. : Faculdade de Medicina, 2018
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Abstract:
Objetivo: Caracterizar os aspectos funcionais de deglutição na população com trauma cranioencefálico (TCE) de um hospital de grande porte, considerando as características clínicas e a gravidade dos indivíduos no momento da admissão hospitalar, utilizando sistemas prognósticos usualmente aplicados no ambiente das unidades de terapia intensiva. Métodos: Participaram do estudo 113 adultos, admitidos em um hospital terciário, com diagnóstico de TCE, submetidos à avaliação fonoaudiológica à beira-leito. As etapas de coleta de dados envolveram: a avaliação fonoaudiológica clínica do risco de broncoaspiração, determinação do nível funcional da deglutição (American Speech-Language-Hearing Association National Outcome Measurement System), determinação da gravidade do indivíduo de acordo com a Escala de Coma de Glasgow no momento da avaliação fonoaudiológica, Sequential Organ Failure Assessment (SOFA) no momento da admissão na Unidade de Terapia Intensiva e no dia da avaliação fonoaudiológica. Foram realizadas duas análises com a mesma população: análise 1- de acordo com a gravidade do TCE, análise 2- de acordo com a funcionalidade da deglutição. Resultados: Indicaram que as pontuações baixas na Escala de Coma de Glasgow têm relação com o aumento do tempo de intubação orotraqueal e na piora da funcionalidade da deglutição na avaliação fonoaudiológica. Houve associação entre o maior tempo de intubação, maior tempo de hospitalização, maior número de atendimentos fonoaudiológicos até a reintrodução da dieta via oral e pior funcionalidade da deglutição. A tosse e o escape extraoral foram os sinais clínicos preditores de broncoaspiração no TCE. Após a intervenção fonoaudiológica, o grupo com pior Glasgow apresentou piores resultados na evolução da funcionalidade da deglutição. Em relação ao escore SOFA, os sistemas orgânicos respiratório, cardiovascular e neurológico foram as principais alterações encontradas na população com TCE. É importante entender os mecanismos do TCE nos aspectos neurológico, cognitivo e comportamental para poder utilizar as melhores estratégias na identificação dos indivíduos com pior funcionalidade da deglutição e com necessidade de terapia fonoaudiológica precoce. Conclusão: Ao estabelecer os parâmetros clínicos que podem prever os aspectos relacionados à funcionalidade da deglutição durante a internação hospitalar, é possível auxiliar no gerenciamento e planejamento da reabilitação ; Objective: to characterize the swallowing functional aspects in the severe traumatic brain injury (TBI) population in a large hospital considering the clinical features and the subjects' severity at the moment of hospital admission adopting prediction models usually applied in the intensive care unit environment. Methods: 113 adults participated in the study; they were admitted at a tertiary referral hospital with a TBI diagnosis and were submitted to a bedside speech-language assessment. The data collection steps included: a clinical speech-language assessment for risk of bronchoaspiration, determination of swallowing functional level (American Speech-Language-Hearing Association National Outcome Measurement System), determination of individual's severity according to the Glasgow Coma Scale at the moment of the speech-language assessment, Sequential Organ Failure Assessment (SOFA) at the moment of admission at the intensive care unit and on the day of the speech-language assessment. Two analyses were carried out with the same population: analysis 1 - according to the trauma severity, analysis 2 - according to the swallowing functionality. Results: The results indicated that low scores in the Glasgow Coma Scale are related to higher orotracheal intubation time and worsening of swallowing functionality in the speech-language assessment. There was a link between higher intubation and hospitalization periods, higher number of speech-language therapies until the reintroduction of oral diet and worse swallowing functionality. Cough and extraoral escape were found as clinical risk factors for bronchoaspiration in the TBI. After the speech-language intervention, the group with worst Glasgow presented worst results in the swallowing functionality progress. With regard to the SOFA score, the respiratory, cardiovascular and neurological organic systems were the main alterations found in the TBI population. It is important to understand the TBI mechanisms in the neurological, cognitive and behavioral aspects to adopt the best strategies in the identification of the subjects with worst swallowing functionality and in need of early speech-language therapy. Conclusion: By establishing the clinical parameters that may foresee aspects related to the swallowing functionality during hospitalization, it is possible to help in the management and planning of rehabilitation
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Keyword:
Deglutição; Deglutition; Deglutition disorders; Fonoaudiologia; Intensive care units; Pneumonia aspiration; Pneumonia aspirativa; Speech-language pathology; Transtornos da deglutição; Traumatic brain injuries; Traumatismos craniocerebrais; Unidades de terapia intensiva
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URL: https://doi.org/10.11606/D.5.2018.tde-05062018-113550
http://www.teses.usp.br/teses/disponiveis/5/5170/tde-05062018-113550/
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| 12 |
AHS Water Protocol: Knowledge Translation of a Paradigm Shift in Dysphagia Management
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| 14 |
Intervenção fonoaudiológica e anuência familiar em caso de criança com encefalopatia crônica não progressiva
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In: Revista CEFAC, Vol 17, Iss 1, Pp 286-290 (2015) (2015)
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| 15 |
Pneumocystis jirovecii Pneumonia in Patients with or without AIDS, France
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In: ISSN: 1080-6040 ; EISSN: 1080-6059 ; Emerging Infectious Diseases ; https://hal.univ-lorraine.fr/hal-01483948 ; Emerging Infectious Diseases, Centers for Disease Control and Prevention, 2014, 20 (9), pp.1490 - 1497. ⟨10.3201/eid2009.131668⟩ ; https://wwwnc.cdc.gov/eid/article/20/9/13-1668_article (2014)
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| 16 |
Traditional and alternative natural therapeutic products used in the treatment of respiratory tract infectious diseases in the eastern Catalan Pyrenees (Iberian Peninsula)
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Cough sound analysis can rapidly diagnose childhood pneumonia
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[Parapneumonic pleural effusion incidence in a French region before and during the antipneumococcal vaccine era].
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In: ISSN: 0929-693X ; EISSN: 1769-664X ; Archives de Pédiatrie ; https://hal-unilim.archives-ouvertes.fr/hal-00739633 ; Archives de Pédiatrie, Elsevier, 2011, 18 (8), pp.846-9. ⟨10.1016/j.arcped.2011.05.010⟩ (2011)
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| 19 |
Williams, John T. (Death, 1908-05-25)
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Cincinnati (Ohio). Health Dept.. - : University of Cincinnati. University of Cincinnati Libraries, 2010. : University of Cincinnati, 2010. : University of Cincinnati. Archives and Rare Books Library, 2010
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| 20 |
Comparison of two approaches to screen for dysphagia among acute ischemic stroke patients: Nursing admission screening tool versus National Institutes of Health Stroke Scale
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