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            "title": "Factors associated with swallowing assessment after oral endotracheal intubation and mechanical ventilation for acute lung injury",
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                    "creatorType": "author",
                    "firstName": "Martin B.",
                    "lastName": "Brodsky"
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                    "firstName": "Marlís",
                    "lastName": "González-Fernández"
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                    "creatorType": "author",
                    "firstName": "Pedro A.",
                    "lastName": "Mendez-Tellez"
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                {
                    "creatorType": "author",
                    "firstName": "Carl",
                    "lastName": "Shanholtz"
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                {
                    "creatorType": "author",
                    "firstName": "Jeffrey B.",
                    "lastName": "Palmer"
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                    "creatorType": "author",
                    "firstName": "Dale M.",
                    "lastName": "Needham"
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            "abstractNote": "Rationale: Endotracheal intubation is associated with post-extubation swallowing dysfunction, but no guidelines exist for post-extubation swallowing assessments.  Objectives: We evaluated the prevalence, patient demographic and clinical factors, and intensive care unit (ICU) and hospital organizational factors associated with swallowing assessment after oral endotracheal intubation and mechanical ventilation in patients with acute lung injury.  Methods: This is a secondary analysis of a prospective cohort study that evaluates 178 eligible patients with ALI who were mechanically ventilated via oral endotracheal tube, recruited from 13 ICUs at 4 teaching hospitals in Baltimore, MD.  Patient demographic and clinical factors, type of ICU, and hospital study site were evaluated for their association with completion of a swallowing assessment both in ICU and after ICU before hospital discharge.  Factors significantly associated with a swallow assessment were evaluated in a multivariable logistic regression model.  Measurements and Main Results: Before hospital discharge, 79 (44%) patients completed a swallowing assessment: 59 (75%) initiated in ICU, 20 (25%) initiated on hospital ward.  Female sex (Odds Ratio [OR]=2.01; 95% confidence interval [95%CI]=1.03, 3.97), orotracheal intubation duration (OR=1.13 per day; 95%CI=1.05, 1.22), and hospital study site (site 3 OR=2.41; 95%CI=1.00, 5.78) were independently associated with swallowing assessment.  Although hospital site 3 had a 2-fold increase in swallowing assessments in the ICU, there was no significant difference between hospitals in the frequency of swallowing assessments completed after ICU discharge (p=0.287) and in the proportion of patients failing a swallowing assessment conducted in the ICU (p=0.468) or on the ward (p=0.746).    Conclusions:  In this multi-site prospective study, female sex, intubation duration, and hospital site were associated with post-extubation swallowing assessment.  These results demonstrate variability in practice patterns between institutions and highlight the need to determine the appropriate timing and indications for swallowing assessment and to more fully understanding swallowing dysfunction after intubation.",
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            "title": "Acute Pediatric Dysphagia: When Ingestion of a Foreign Body or Caustic Material Is Not the Cause",
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            "publicationTitle": "Contemporary Diagnostic Radiology",
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            "date": "12/2014",
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        "version": 2176,
        "library": {
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            "creatorSummary": "Zheng et al.",
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            "title": "The individualized rehabilitation interventions for dysphagia: a multidisciplinary case control study of acute stroke patients",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "L.",
                    "lastName": "Zheng"
                },
                {
                    "creatorType": "author",
                    "firstName": "Y.",
                    "lastName": "Li"
                },
                {
                    "creatorType": "author",
                    "firstName": "Y.",
                    "lastName": "Liu"
                }
            ],
            "abstractNote": "Objective: To examine the effects of the individualized rehabilitation programs on the recovery of swallowing during acute stroke. Methods: A total of 88 stroke patients with dysphagia (within 2 weeks of acute stroke) were enrolled and classified into the experimental and control groups (n=44). The control group was treated with conventional rehabilitation program, while a multidisciplinary rehabilitation team was established to offer physical, social and psychological support to dysphagic patient in experimental group. All patients were assessed for their swallowing function by the water swallow test before and after the treatment. Results: After the treatment, the experimental group showed a significant improvement in the swallowing function than that of the control group (p<0.05). Total effective rate improved significantly from 54.5% at control group to 88.6% at experimental group (p<0.01), where 25 dysphagic patients were completely recovery after the individualized rehabilitation therapy. By contrast, only 12 patients were fully recovered from dysphagia when treatment with conventional rehabilitation training. Conclusion: The findings of present study showed evidence that the individualized rehabilitation interventions carried out by our multidisciplinary rehabilitation professionals provided effective therapeutic effects during the acute stroke dysphagia compared to the conventional rehabilitation interventions, which may shed light on a bright prospect of the individualized rehabilitation interventions in post-stroke dysphagic patients.",
            "publicationTitle": "Int J Clin Exp Med",
            "publisher": "",
            "place": "",
            "date": "2014",
            "volume": "7",
            "issue": "10",
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            "partTitle": "",
            "pages": "3789-3794",
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            "url": "http://www.ijcem.com/files/ijcem0001837.pdf",
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            "creatorSummary": "Benfer et al.",
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        "data": {
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            "itemType": "journalArticle",
            "title": "Validity and reproducibility of measures of oropharyngeal dysphagia in preschool children with cerebral palsy",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Katherine A",
                    "lastName": "Benfer"
                },
                {
                    "creatorType": "author",
                    "firstName": "Kelly A",
                    "lastName": "Weir"
                },
                {
                    "creatorType": "author",
                    "firstName": "Kristie L",
                    "lastName": "Bell"
                },
                {
                    "creatorType": "author",
                    "firstName": "Robert S",
                    "lastName": "Ware"
                },
                {
                    "creatorType": "author",
                    "firstName": "Peter SW",
                    "lastName": "Davies"
                },
                {
                    "creatorType": "author",
                    "firstName": "Roslyn N",
                    "lastName": "Boyd"
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            ],
            "abstractNote": "Aim\n\nThe aim of the study was to determine the best measure to discriminate between those with oropharyngeal dysphagia (OPD) and those without OPD, among young children with cerebral palsy (CP).\n\n\nMethod\n\nWe carried out a cross-sectional population-based study involving 130 children with CP aged between 18 months and 36 months (mean 27.4mo; 81 males, 49 females) classified according to the Gross Motor Function Classification Scale (GMFCS) as level I (n=57), II (n=15), III (n=23), IV (n=12), or V (n=23). Forty children with CP (mean 28.5mo; 21 males,19 females, eight for each GMFCS level) were included in the reproducibility sub-study, and 40 children with typical development (mean 26.2mo; 18 males, 22 females) were included in the validity sub-study. OPD was assessed using the Dysphagia Disorders Survey (DDS), Pre-Speech Assessment Scale (PSAS), and Schedule for Oral Motor Assessment (SOMA). We analysed reproducibility using inter- and intrarater agreement (percentage) and reliability (kappa values and intraclass correlation coefficients). Construct validity was assessed as concordance between measures (SOMA, DDS, and PSAS). In the absence of a criterion standard measure for OPD, prevalence was estimated using latent class variable analysis. Data from the children with typical development were used to propose modified OPD cut-points for discriminative validity.\n\n\nResults\n\nAll measures had strong agreement (>85%) for inter- and intrarater reliability. The SOMA had the best specificity (100.0%), but lacked sensitivity (53.0%), whereas the DDS and PSAS had high sensitivity (each 100.0%) but lacked specificity (47.1% and 70.6% respectively). OPD prevalence when calculated using the web-based estimation was 65.4%, which was similar to the estimate from the modified cut-points.\n\n\nInterpretation\n\nUsing the sample of children with typical development and modified cut-points, OPD prevalence was lower than estimates with standard scoring. We propose using these modified cut-points when administering the DDS, PSAS or SOMA in young children with CP.",
            "publicationTitle": "Developmental Medicine & Child Neurology",
            "publisher": "",
            "place": "",
            "date": "novembre 1, 2014",
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            "series": "",
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            "journalAbbreviation": "Dev Med Child Neurol",
            "DOI": "10.1111/dmcn.12616",
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            "title": "Dysphagia and factors associated with respiratory infections in the first week post stroke",
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                    "firstName": "Emily",
                    "lastName": "Brogan"
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                    "creatorType": "author",
                    "firstName": "Claire",
                    "lastName": "Langdon"
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                {
                    "creatorType": "author",
                    "firstName": "Kim",
                    "lastName": "Brookes"
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                {
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                    "firstName": "Charley",
                    "lastName": "Budgeon"
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