A5039431849- Dysphagia Assessment and Management
- Tracheal and airway disorders
- Voice and Speech Disorders
- Head and Neck Cancer Studies
- COVID-19 and healthcare impacts
- Palliative Care and End-of-Life Issues
- Systemic Sclerosis and Related Diseases
- Healthcare Systems and Challenges
- Speech Recognition and Synthesis
- Health Literacy and Information Accessibility
- Smoking Behavior and Cessation
- Archaeological Research and Protection
- Child and Adolescent Health
- School Health and Nursing Education
- Health and Lifestyle Studies
- Religious Tourism and Spaces
- Health and Medical Research Impacts
- Ethics in medical practice
- Esophageal and GI Pathology
- Infant Development and Preterm Care
- Island Studies and Pacific Affairs
- Obesity, Physical Activity, Diet
- Health Sciences Research and Education
- Healthcare Decision-Making and Restraints
- Physical Activity and Health
Imperial College Healthcare NHS Trust
2018-2024
University of Salford
2021-2024
Language Science (South Korea)
2023
City, University of London
2023
Barts Health NHS Trust
2023
University of London
2023
Imperial College London
2021-2023
Charing Cross Hospital
2010-2022
St Mary's Hospital
2015
St. Mary's Hospital
2015
Abstract This is the official guideline endorsed by specialty associations involved in care of head and neck cancer patients UK. The disease itself treatment can have far reaching effects on speech swallow function, which are consistently prioritised survivors as an area concern. paper provides recommendations assessments interventions for rehabilitation this patient group. Recommendations • All multidisciplinary teams should pathways covering all stages patient's journey including...
Background: Reconstruction following pharyngolaryngectomy presents a complex reconstructive challenge, and single-stage, reliable reconstruction allowing prompt discharge from the hospital return of swallowing speech function is required. The authors present their 10-year experience 43 jejunal free flaps for by single team outline operative algorithm to minimize postoperative morbidity. Methods: data patients who underwent flap circumferential pharyngoesophageal defects between March 2000...
Abstract Ultrasound (US) has an emerging evidence base for the assessment of swallowing and laryngeal function. Accessibility technological advances support use US as a clinical tool; however, there is insufficient to its translation into practice. This study aimed establish consensus on priorities practice Nominal Group Technique (NGT) was used formal method development. Clinicians academics, all members international working group, were invited participate in study. Two NGT meetings held,...
Objective Identify prevalence of self-reported swallow, communication, voice and cognitive compromise following hospitalisation for COVID-19. Design Multicentre prospective observational cohort study using questionnaire data at visit 1 (2–7 months post discharge) 2 (10–14 from hospitalised patients in the UK. Lasso logistic regression analysis was undertaken to identify associations. Setting 64 UK acute hospital Trusts. Participants Adults aged >18 years, discharged an admissions unit or...
This study investigates the post-laryngectomy swallow. Presence and degree of residue on swallow as observed videofluoroscopy FEES is described. In addition, are assessed for reliability inter-instrument agreement. 30 laryngectomy subjects underwent dysphagia evaluation using simultaneous FEES. These were reviewed post-examination by three expert raters a rating scale designed this purpose. Raters blinded to subject details, type surgery, pairing examinations scores other raters. There was...
Abstract Background After total laryngectomy, surgical voice restoration is used to establish communication via tracheoesophageal prosthesis. Once established, there a paucity of information on what speech and language therapists (SLTs) should do improve quality ensure functional communication. No existing surveys or studies investigate this specific question. There also disconnect between guidelines, knowledge clinical practice, whereby guidelines stipulate the requirement for SLT...
Abstract Background The Arab Teens Lifestyle (ATLS) questionnaire was an initiative to assess the lifestyle habits influencing obesity rates in Middle East and North Africa (MENA) region, including physical activity (PA) patterns, sedentary eating behaviours. Since its implementation, ATLS has been used several studies among different age groups populations. This instrument not previously administered university students of Eastern Province Saudi Arabia, where are highest country. research...
People with a total laryngectomy (PTL) rely on permanent opening in their neck (stoma) to breathe. This altered anatomy may increase susceptibility contracting and transmitting SARS-CoV-2.To report (1) the frequency characteristics of PTL who tested positive for COVID-19, (2) receipt advice regarding shielding patient self-reports shielding, (3) hospital admissions length stay, (4) mortality rates this group during first UK national lockdown.This is cross-sectional survey case note review....
Voice prostheses have been examined for their effect on voice production but there is little datum swallow function. This study investigated the difference between six commonly available in terms of swallowing. Laryngectomy patients had up to placed a random order over two visits. Swallowing was evaluated each prosthesis using FEES (Fibreoptic Endoscopic Evaluation Swallowing). After trial, self-evaluated experience Three independent experts indicated which they considered best swallowing...
Objective To investigate the difference between voice prostheses in terms of quality as experienced by patients and judged expert raters. Methods Subjects had up to six placed a random order. A sample was elicited for each patient on prosthesis. Auditory perceptual analysis undertaken raters using Sunderland Tracheoesophageal Voice Perceptual Scale (SToPS). Raters also identified best overall prosthesis patient. were blinded details, type laryngectomy surgery, prosthesis, scores other After...
<b><i>Background:</i></b> The Sunderland Tracheosophageal Voice Perceptual scale (SToPS) is the only perceptual rating designed specifically for tracheosophageal voice [Hurren et al.: Clin Otolaryngol. 2009 Dec; 34(6): 533–8]. <b><i>Objective:</i></b> To investigate inter rater reliability of SToPS when analyzing alaryngeal voice. <b><i>Methods:</i></b> Prospective evaluation based on audio recordings 230 samples from 41...
This paper attempts to identify what lessons can be learned from a student knowledge exchange scheme on Merseyside. What do voluntary and community organisations (VCOs) gain such collaborations? their gains indicate about the policy context in which these function? And demonstrate future potential for community/university schemes? On Merseyside, small VCOs engaged with order generate evidence sustainability competitive marketplace where fragile deprived communities they serve struggle resources.