A5084210667- Dysphagia Assessment and Management
- Tracheal and airway disorders
- Esophageal and GI Pathology
- Voice and Speech Disorders
- Child Nutrition and Feeding Issues
- Head and Neck Cancer Studies
- Obstructive Sleep Apnea Research
- Amyotrophic Lateral Sclerosis Research
- Oral health in cancer treatment
- Restless Legs Syndrome Research
- Neurogenetic and Muscular Disorders Research
- Nosocomial Infections in ICU
- Salivary Gland Disorders and Functions
- Oral microbiology and periodontitis research
- Cleft Lip and Palate Research
- Dental Health and Care Utilization
- Parkinson's Disease Mechanisms and Treatments
- Transcranial Magnetic Stimulation Studies
- Alzheimer's disease research and treatments
- Pneumonia and Respiratory Infections
- Writing and Handwriting Education
- Olfactory and Sensory Function Studies
- Infection Control and Ventilation
- Respiratory Support and Mechanisms
- Effects of Radiation Exposure
Boston University
2014-2023
Google (United States)
1994-2022
University School
2022
Boston Medical Center
2011-2020
University Medical Center
2010-2020
Witten/Herdecke University
2016
Helios Hospital Schwerin
2016
Augusta University
2016
Creative Research Enterprises (United States)
2016
New York Proton Center
2015
<b><i>Background:</i></b> Patients with ALS are often told that the disease spares cognition; however, recent evidence suggests deficits in frontal executive skills occur a sizable minority of patients. In many instances, represent co-occurrence frontotemporal lobar dementia (FTLD) and ALS. <b><i>Methods:</i></b> Word generation, simple task takes <2 minutes, was tested 100 consecutive patients seen authors' multidisciplinary clinic. Any patient prior diagnosis excluded from study. A...
A new procedure for evaluating oropharyngeal dysphagia utilizing fiberoptic laryngoscopy was compared to the videofluoroscopy procedure. Twenty-one subjects were given both examinations within a 48-hour period. Results of endoscopic evaluation swallowing (FEES) and presence or absence abnormal events. Good agreement found, especially finding aspiration (90% agreement). The FEES then measured against study sensitivity, specificity, positive predictive value, negative value. Sensitivity 0.88...
To determine whether patients with ALS-frontotemporal lobar dementia (FTLD) have a shorter survival and are less compliant recommended treatments than those ALS who normal executive behavioral function (classic ALS).Survival analysis from symptom onset to death included 81 of 100 consecutive could be classified definitely as abnormal or classic ALS. Criteria were defined for compliance noninvasive positive-pressure ventilation (NPPV) percutaneous endoscopic gastrostomy (PEG).Median was 2...
This review presents the state of swallowing rehabilitation science as it relates to evidence for neural plastic changes in brain. The case is made essential collaboration between clinical and basic scientists expand positive influences dysphagia synergy with growth technology knowledge. intent stimulate thought propose potential research directions.A working group experts reviews 10 principles plasticity integrates these advancing concepts literature translation into treatment paradigms. In...
<h3>Objective</h3> To identify the nature and prevalence of cognitive behavioral abnormalities in patients with amyotrophic lateral sclerosis (ALS). <h3>Design</h3> Survey clinical characteristics. <h3>Setting</h3> Multidisciplinary clinic within a university medical center. <h3>Patients</h3> A volunteer sample 30 new ALS were recruited consecutively. Of those invited, 23 participants (20 sporadic 3 familial ALS) enrolled. Participants ranged age from 27 to 80 years (mean age, 56.5 years);...
OBJECTIVE : To study the relationship between complaints of xerostomia and salivary performance food avoidances in four geriatric groups chosen to reflect a broad spectrum individuals along health‐disease continuum. determine whether xerogenic medications taken by these could be associated with either or avoidances. DESIGN Cross‐sectional survey. Clinical examinations interview. SETTING A VA dental clinic retirement home. PATIENTS AND OTHER PARTICIPANTS Subjects were 529 older than 56 years...
Hyperorality, compulsive eating and aspiration because of food gorging, has been described in patients with frontotemporal lobar dementia (FTLD), but swallowing function this population not reported.To identify the status a sample FTLD.Case series.Referral center, ambulatory care.A consecutive series referred 3 variants FTLD were asked to participate. Twenty-one enrolled, including 9 dementia, 7 progressive nonfluent aphasia, 5 semantic dementia.The underwent fiberoptic endoscopic...
Abstract Background Neuromuscular electrical stimulation (NMES) is a highly sought after but poorly studied treatment for dysphagia among patients with head and neck cancer dysphagia. This study investigated the efficacy of NMES in this patient population. Methods In double‐blinded, randomized controlled trial, 170 experiencing posttreatment were into active + swallow exercise versus sham groups. Outcomes 12‐week program included changes fluoroscopy measures, diet, quality life. Results...
The purpose of this study was to identify the frequency swallowing dysfunction after extubation in a sample patients with no preexisting dysphagia.Mechanically ventilated ICU prior history dysphagia received flexible endoscopic evaluation (FEES) exam within 72 hours extubation. FEES then analyzed for variables related patterns and laryngeal pathology. Univariate analyses were performed relationships between variables.Fifty-nine included study. After extubation, 21 (35.6%) penetrated 13...