Effect of Respiratory Training on Dysphagia in Children with Cerebral Palsy by Qishan LIU, Haofeng MO, Xiaofang CHEN

“…The degree and grade of dysphagia were assessed by DDS before and after treatment, and the curative effect was assessed by Fujima Ichiro's dysphagia evaluation criteria before and after treatment.Results:There was no significant difference in DDS scores and dysphagia grade between the two groups before treatment(<italic>P</italic>&gt;0.05).After three months of treatment, the DDS scores of two groups showed significant improvement compared with those before treatment(<italic>P</italic>&lt;0.05).The total scores of DDS, oral and pharyngeal stages in the observation group were(5.33±3.08), (4.63±2.23), (0.70±0.78)respectively, which were better than those in the control group(7.20±3.43), (5.58±2.13), (1.81±1.38).The differences were statistically significant(<italic>P</italic>&lt;0.05).The DDS score in oesophagus stage of the observation group was(0.06±0.24)and that of the control group was(0.08±0.28).There was no significant difference between the two groups(<italic>P</italic>&gt;0.05).The DDS scores of children with spastic quadriplegia, involuntary motor type and mixed cerebral palsy before and after treatment in the two groups were significantly improved compared with those before treatment(<italic>P</italic>&lt;0.05).The DDS scores of children with spastic quadriplegia, involuntary motor type and mixed cerebral palsy in the observation group(6.58±2.47), (4.57±2.10)and(4.57±2.59)were better than those in the control group(8.78±3.30), (6.41±2.35), (7.47±3.18), and there were significant differences between the two groups(<italic>P</italic>&lt;0.05).There was no significant difference in the sample size of ataxia and spastic hemiplegia children(<italic>P</italic>&gt;0.05).The degree of dysphagia was improved in the two groups before and after treatment, and the improvement in the observation group was more obvious than that in the control group(<italic>P</italic>&lt;0.05).The total effective rate of the observation group(87.50%)was better than that of the control group(70.83%), and the difference was statistically significant(<italic>P</italic>&lt;0.05).Conclusion:Respiratory training combined with basic swallowing training can significantly improve the symptoms of dysphagia in children with cerebral palsy.…”
Get full text

Nissen-Sleeve procedure versus laparoscopic Roux-en-Y gastric bypass in patients with morbid obesity and gastro-oesophageal reflux disease: protocol for a non-inferiority randomise... by Jan A Apers, Martin Dunkelgrun, Ivonne Leeuwenburgh, Judith W H 't Hart, Bo J Noordman, Laser U Biter

“…Secondary outcome measures are long-term GORD improvement; failure rate of procedure; health-related quality of live; weight loss; proton pump inhibitor use; postoperative complications &lt;30 days and &gt;30 days; length of hospital stay; duration of primary surgery; effect on comorbidities; presence and grade of oesophagitis (grade A–D) and/or presence of Barrett’s oesophagus and cost-effectiveness.Ethics and dissemination The protocol was approved by the Medical Research Ethics Committees United (MEC-U), Nieuwegein, on 15 September 2021. …”
Get full text

Application of bedside ultrasound-guided nasointestinal tube placement in critically ill patients during the recovery period (床旁超声定位引导鼻肠管置管在重症康复患者中的应用)... by ZHONG Lirong (钟丽容), HUANG Chunxia (黄春霞), CHEN Fengzhen (陈凤珍), WANG Yingmin (王颖敏)

“…Guided by the bedside ultrasound, the nasointestinal tube was passed via the nose into the oesophagus, on into the stomach, through the pylorus and into the duodenum or jejunum, the position of the catheter was confirmed by X-ray. …”
Get full text