- Dysphagia Assessment and Management
- Tracheal and airway disorders
- Voice and Speech Disorders
- Esophageal and GI Pathology
- Restless Legs Syndrome Research
- Infection Control in Healthcare
- Child Nutrition and Feeding Issues
- Infection Control and Ventilation
- COVID-19 and healthcare impacts
- Gastroesophageal reflux and treatments
- Nosocomial Infections in ICU
- Transcranial Magnetic Stimulation Studies
- Pneumonia and Respiratory Infections
- Experimental and Theoretical Physics Studies
- Emergency and Acute Care Studies
- Control and Dynamics of Mobile Robots
- Obstructive Sleep Apnea Research
- Eosinophilic Esophagitis
- Neonatal skin health care
- Child Nutrition and Water Access
- Breastfeeding Practices and Influences
- Robotic Path Planning Algorithms
- Pediatric health and respiratory diseases
- Burn Injury Management and Outcomes
- Respiratory and Cough-Related Research
Boston Medical Center
2015-2024
Boston University
2015-2024
Google (United States)
2017-2024
University School
2022
University Medical Center
2015-2020
New York Proton Center
2015
Engineering Associates (United States)
2015
Iowa City Public Library
2015
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...
Purpose While flexible endoscopic evaluation of swallowing (FEES) is a common clinical procedure used in the head and neck cancer (HNC) population, extant outcome measures for FEES such as bolus-level penetration-aspiration residue scores are not well suited global patient-level endpoint dysphagia severity cooperative group trials or outcomes research. The Dynamic Imaging Grade Swallowing Toxicity (DIGEST) was initially developed validated use during videofluoroscopic evaluations way to...
Objectives/Hypothesis Dysphagia is one of the most significant side effects treatment head and neck cancer. Residue aspiration are two indicators dysphagia, but historically only indicator interest, because it may impact health outcomes. Clinicians have anecdotally used residue as another marker swallowing dysfunction, understudied. This project investigated versus on function quality life (QoL) in these patients. Study Design Observational study. Methods A total 168 cancer survivors with...
Until 2010, newborns at our institution were bathed in the nursery approximately 2 hours of life. In May infant baths delayed until least 12 Infants are now hospital room with parents' participation and placed skin-to-skin immediately after bath. This study explored whether delaying newborn's first bath correlates increased in-hospital breastfeeding rates Baby-Friendly, urban safety-net hospital.We performed a retrospective chart review comparing during 6 months before was delayed.Of...
Abstract Dysphagia is a serious stroke complication but lacks effective therapy . We investigated safety and preliminary efficacy of anodal transcranial direct current stimulation (atDCS) paired with swallowing exercises in improving post-stroke dysphagia from an acute unilateral hemispheric infarction (UHI). conducted double-blind, early phase-2 randomized controlled trial, subjects (n = 42) moderate-severe [Penetration Aspiration Scale (PAS) score ≥ 4], acute-subacute UHI. Subjects were to...
Clinicians often test laryngeal sensation by touching the mucosa with tip of a flexible laryngoscope. However, pressure applied to larynx using this touch method is unknown, and expected responses elicited are uncertain. The variability in delivered clinicians was investigated, subject touches were also reported.A fiberoptic sensor passed through working channel laryngoscope, its positioned at distal port channel. Two examiners each tested 8 healthy adults. Each examiner touched covering...
No AccessSIG 13 Swallowing and Disorders (Dysphagia)Article1 Jan 2018The Ice Chip Protocol: A Description of the Protocol Case Reports Jessica M. Pisegna, Susan E. Langmore Pisegna Department Otolaryngology, Boston Medical CenterBoston, MA Speech-Language Pathology Sciences, University School MedicineBoston, Google Scholar Otolaryngology-Head & Neck Surgery, https://doi.org/10.1044/persp3.SIG13.28 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationTrack Citations...
Hospital-acquired pneumonia (HAP) contributes greatly to patient mortality and healthcare costs. Studies have shown that aggressive oral care in intensive units (ICUs) can significantly reduce rates, hospitals implemented stringent protocols this setting. However, little is known about the effectiveness of reducing HAP non-intensive wards, prompting us conduct a nonrandomized controlled clinical trial. A structured toothbrushing program was provided an experimental cohort patients. control...
Objective This study described swallowing patterns in a large head/neck cancer (HNC) cohort. Study Design In retrospective review of data from randomized controlled trial, we studied timing penetration events as they related to aspiration and oral/pharyngeal residue. Setting Retrospective multicenter trial. Subjects Methods total, 168 patients who were >3 months postradiation received baseline modified barium swallow evaluations. analyses these exams studied, including...