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A Multidisciplinary Approach to Managing Swallowing Dysfunction in Older People provides comprehensive coverage on oropharyngeal dysphagia (OD), focusing on older patient phenotypes. The book provides the knowledge needed for translational researchers and professionals to aid in the detection, diagnosis, treatment and management of OD, ultimately improving patient quality of life. OD has been recently considered a geriatric syndrome because of its high prevalence, the increase of life-expectancy and the need to be managed by a multidisciplinary approach. This reference takes a novel approach to OD, covering all aspects as a geriatric syndrome, examining a complicated and multi-level topic in...
Oropharyngeal dysphagia is a major complaint among many patients suffering from neurological diseases as well as in the elderly. Its severity ranges from moderate difficulty to complete inability to swallow, and it may give rise to clinically relevant complications such as aspiration pneumonia, malnutrition and/or dehydration, impaired quality of life, and death. However, despite its high prevalence and even though it would be very cost-effective to avoid complications by adequate treatment, dysphagia is still severely underdiagnosed. The contributions in this book present and discuss state-of-the-art diagnostic methods, treatment, and care of dysphagia patients, putting special emphasis on a multidisciplinary approach. A variety of clinical specialists will find this publication a most valuable addition to their library, including nurses, speech-language pathologists, dieticians, nutritionists, gastroenterologists and related specialties.
The clinical problems and dilemmas which the busy clinician encounters on a daily basis are the main focus of this publication. Emphasizing a clinical rather than a pathophysiological approach to problems, it facilitates access and helps the practicing clinician to develop an effective and efficient diagnostic and therapeutic strategy. Nevertheless, clinically important aspects of pathophysiology are also dealt with in detail when called for. A variety of scenarios that are especially relevant to modern medical practice, such as the intensive care unit, are taken into account. A group of internationally renowned experts guides the reader through the broad variety of diagnostic options available to assist in the assessment of symptoms originating anywhere along the gastrointestinal tract, from the esophagus to the anus, and, in each instance, every effort is made to critically appraise the technology discussed. Moreover, general overviews of broadly relevant therapeutic approaches are also provided.
The pace and sophistication of advances in medicine in the past two decades have been truly breathtaking. This has necessitated a growing need for comprehensive references that highlight the current issues in specific sectors of medicine. Keeping this in mind, each volume in the Current Issues in Medicine series is a stand‐alone text that provides a broad survey of various critical topics in a focused area of medicine—all accomplished in a user-friendly yet interconnected format. However, unlike other series on medicine or medical texts, this series focuses on current trends, perspectives, and issues in medicine that are central to healthcare delivery in the 21st century. Medical practit...
This book provides a state-of-the-art overview of dysphagia. The text reviews current evidence behind the diagnosis, evaluation, and management of esophageal disorders that cause dysphagia, including GERD, eosinophilic esophagitis, achalasia, and spastic motor disorders. The book also focuses on the different variants of dysphagia, from oropharyngeal dysphagia to functional dysphagia, highlights advances in testing for dysphagia, and features evidence-based algorithms. Written by experts in the field, Evaluation and Management of Dysphagia: An Evidence-Based Approach is a valuable resource for gastroenterologists, otolaryngologists, and other clinicians and practitioners who treat patients afflicted with dysphagia.
Dysphagia refers to any difficulty or problem with deglutition or bolus movement from the time the bolus is placed in the mouth until the time it enters the stomach. It affects around 16 million individuals in the USA and over 40 million individuals in Europe. Evaluation of dysphagia by a phoniatrician/speech-language pathologist (SLP) may consist of a clinical swallow evaluation and an instrumental assessment, such as a videofluoroscopic swallow study (VFSS) and fiberoptic endoscopic valuation of swallow (FEES). This resource is designed to benefit a broad audience, including phoniatricians, SLPs, trainee SLPs, physicians, nurses, dietitians, and occupational and physical therapists who work with populations who have dysphagia, as well as researchers in the field of swallowing disorders. Table of Contents: • Definition, etiology, epidemiology, symptoms and consequences • Normal swallowing and pathophysiology of dysphagia • Screening and clinical swallowing examination • Instrumental assessment • Management • Recent advances and future directions
Emerging literature and research have currently shown that sleep, sleep disturbances, diet and nutrition are interlinked in numerous ways. For example, sleep deprivation alters food intake and snacking behaviour. On the other hand, dietary restriction and obesity alter sleep. Specific nutrients such as caffeine and alcohol also affect sleep. Furthermore, variations in these relationships differ with respect to age, gender and state of health. There is a connection between sleep and disordered nutrition as defined by conditions such as diabetes and metabolic syndrome. This book demonstrates that disruptive sleep patterns can be remedied by appropriate dietary or nutritional changes including the usage of supplements. The contribution of sleep to our daily lives is not yet fully understood, but it is clear that its impact should not be underestimated. This handbook discusses the important relationship between diet and nutrition and disruptive or abnormal sleep in the sub-clinical or clinical setting. Authorities in the field offer a wide range of scientifically sound perspectives and approaches of the link between sleep, nutrition and diet.
Modern medicine considers the causative of acute nonspecific inflammation of the lung tissue as the main cause of the disease, and its effective neutralization as a guarantee of successful treatment. The book is based on results of the correction of the doctrine of pneumonia undertaken by the author several decades ago, which allowed him to substantiate the pathogenetic principles of treatment, and their clinical approbation showed the possibility of effective treatment of this category of patients without the usual emphasis on etiotropic agents. The analysis of materials on the mental perception of the problem discussed in the book against the background of objective facts and evidence presents the causes and scale of the formed misconceptions, which opens up the opportunity to purposefully begin to eliminate them.
Frontiers in Clinical Drug Research - CNS and Neurological Disorders is an ebook series that brings updated reviews to readers interested in advances in the development of pharmaceutical agents for the treatment of central nervous system (CNS) and other nerve disorders. The scope of the ebook series covers a range of topics including the medicinal chemistry, pharmacology, molecular biology and biochemistry of contemporary molecular targets involved in neurological and CNS disorders. Reviews presented in the series are mainly focused on clinical and therapeutic aspects of novel drugs intended for these targets. Frontiers in Clinical Drug Research - CNS and Neurological Disorders is a valuable...