Pharyngocutaneous Fistula after Laryngeal Surgery: The Role of the Barium Swallow

1984 ◽  
Vol 92 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Anthony M. Giordano ◽  
Jamie Cohen ◽  
George L. Adams
Keyword(s):  
Nasogastric Tube ◽  
Fistula Formation ◽  
Barium Swallow ◽  
Pharyngocutaneous Fistula ◽  
Wide Field ◽  
University Of Minnesota ◽  
Laryngeal Surgery ◽  
The University ◽  
Length Of Hospitalization

Pharyngocutaneous fistula is one of the major complications following laryngeal surgery. Prior to 1979, patients undergoing laryngectomy at the University of Minnesota were not fed until 9 or 10 days postoperatively if unirradiated and 12 to 14 days If irradiated. Most fistulas were apparent by 14 days postoperatively, but occasionally a patient would develop a fistula as late as a month postoperatively. Starting in 1979, in an attempt to decrease the length of hospitalization as well as prevent fistula formation, routine barium-swallow videoesophagograms were obtained 7 days postoperatively in all laryngectomy patients. If the results were considered normal, the nasogastric tube was removed and oral feedings were started. Of a total of 45 patients undergoing wide-field laryngectomy, there were three clinical fistulas and three radiologic fistulas. Following this protocol, we shortened the average postoperative hospitalization by 2 days without an increase in the rate of fistulization.

When Hockey Won’t Sell in Minnesota: Using Design Thinking to Innovate the Ticket Service

2021 ◽  
Vol 10 (S1) ◽  
pp. S14-S17
Author(s):  
Clinton Warren
Keyword(s):  
Design Thinking ◽  
University Of Minnesota ◽  
Athletic Department ◽  
Ticket Sales ◽  
Sales And Marketing ◽  
Group Interviews ◽  
Spectator Attendance ◽  
The University

This case study asks students to assume the role of a ticket sales strategist hired to work as a consultant for the University of Minnesota Golden Gopher athletic department. In this case, you will be asked to work with members of the Gopher Fan Advisory Board to develop service innovations in the area of ticket sales. As a sales and marketing consultant, you will examine existing data on spectator attendance trends and focus group interviews to determine the current issues facing the athletic department. Then, you will be asked to suggest the manners by which the athletic department should innovate the ticket service, using a design thinking approach to grow ticket sales and spectator attendance for the men’s hockey program.

Pharyngocutaneous fistula and total laryngectomy: possible predisposing factors, with emphasis on pharyngeal myotomy

2000 ◽  
Vol 114 (10) ◽  
pp. 768-771 ◽  
Author(s):  
A. Ö. İkiz ◽  
M. Uça ◽  
E. A. Güneri ◽  
T. K. Erdağ ◽  
S. Sütay
Keyword(s):  
Neck Dissection ◽  
Nasogastric Tube ◽  
Total Laryngectomy ◽  
Positive Association ◽  
Fistula Formation ◽  
Pharyngocutaneous Fistula ◽  
Technical Error ◽  
Significant Positive Association ◽  
Positive Surgical Margins ◽  
Tumour Differentiation

Ninety-two total laryngectomy cases were investigated with reference to post-laryngectomy fistula formation. Fistula was observed in eight cases (8.69 per cent). There were no statistically significant differences between the fistula group and the non-fistula group with regard to pre-operative tracheotomy, tumour differentiation, positive surgical margins, concurrent neck dissection, previous radiotherapy, T stage of the tumour, presence of extended hypopharyngeal mucosal excision, and placement of nasogastric tube. The only statistically significant positive association was found with primary pharyngeal myotomy. Myotomy was performed in six of the fistula patients and in two cases a technical error was observed. In these cases myotomy was performed adjacent to the edge of hypopharyngeal mucosa resulting in a weakened area of pharyngeal closure, possibly contributing to the fistula. This should be kept in mind and avoided at all costs during the performance of myotomy. Since it was not possible to find out any specific causal relationship with myotomy in four other cases, further studies are needed to establish the association of myotomy with pharyngocutaneous fistula.

Punishment, Stuttering, and Disfluency

1970 ◽  
Vol 13 (4) ◽  
pp. 677-714 ◽  
Author(s):  
Gerald M. Siegel
Keyword(s):  
Theoretical Models ◽  
University Of Minnesota ◽  
Initial Portion ◽  
Apparent Paradox ◽  
Theories Of Punishment ◽  
The University ◽  
The Relationship ◽  
Frequent Observation ◽  
Two Bodies

Punishment is accorded a prominent place in most contemporary theories in attempts to explain both the origin and the persistence of stuttering behavior. A frequent observation about stuttering is that it increases and becomes more severe as the “penalty” or “punishment” for stuttering is increased. Theories of punishment, on the other hand, suggest that behaviors that are punished should decrease in frequency. The purpose of this article is to examine the role of punishment in relation to stuttering and to consider the apparent paradox between traditional views of stuttering and modern treatments of punishment. The initial portion of the paper reexamines the research usually cited in discussions of punishment and stuttering. Then, more recent research, emanating primarily from the laboratories of the University of Minnesota, is reviewed and juxtaposed against these earlier treatments. Finally, an attempt is made to reconcile some of the apparent discrepancies between the two bodies of literature, and some theoretical models are proposed for examining further the relationship between punishment and the development of stuttering.

Book Reviews

2014 ◽  
Vol 52 (4) ◽  
pp. 1170-1172
Keyword(s):  
Asset Price ◽  
Strategic Interaction ◽  
Securities Market ◽  
University Of Minnesota ◽  
Price Response ◽  
Representativeness Heuristic ◽  
New Information ◽  
The University

Jianfeng Yu of the University of Minnesota and PBCSF, Tsinghua University reviews “Asset Price Response to New Information: The Effects of Conservatism Bias and Representativeness Heuristic”, by Guo Yin Luo. The Econlit abstract of this book begins: “Examines the role of conservatism bias and representativeness heuristic in determining asset price overreaction or underreaction to new information. Discusses conservatism bias and asset price overreaction or underreaction to new information in a competitive securities market; conservatism bias and asset price overreaction or underreaction to new information in the presence of strategic interaction; representativeness heuristic and asset price overreaction or underreaction to new information in a competitive securities market; representativeness heuristic and asset price overreaction or underreaction to new information in the presence of strategic interaction; and the presence of representativeness heuristic and conservatism bias in an asset market. Luo is in the DeGroote School of Business at McMaster University.”

Post-laryngectomy pharyngocutaneous fistula – a still unresolved problem

1995 ◽  
Vol 109 (3) ◽  
pp. 221-224 ◽  
Author(s):  
Milo Fradi ◽  
Ludwig Podoshin ◽  
Jaacov Ben David
Keyword(s):  
Nasogastric Tube ◽  
Late Stage ◽  
Total Laryngectomy ◽  
Surgical Repair ◽  
Spontaneous Closure ◽  
Fistula Formation ◽  
Pharyngocutaneous Fistula ◽  
Infection Age ◽  
Neck Irradiation ◽  
Specific Factors

AbstractFifty-six total laryngectomy cases are presented with special reference to post-operative fistula formation. All these patients were operated upon at the Department of Otorhinolaryngology at the Bnai Zion Medical Centre by one surgeon over a 16-year period, from 1976–1992. The incidence of fistula was 12.5 percent. This paper could not verify reports that any specific factors were significantly related to fistula formation, although there was a preponderance of fistulas in patients presenting with late stage tumours. No relationship was found with rate of infection, age, or between previous neck irradiation (ranging from 5500 to 7000 cGy) and fistula formation in the patient population.If a fistula occurs, the administration of oral solid food keeping the nasogastric tube in place for administration of fluids may lead to spontaneous closure of the fistula, with no need for secondary surgical repair.

scholarly journals Organic Educational Opportunities at the University of Minnesota: The Role of a Student-run Organic Farm

2006 ◽  
Vol 16 (3) ◽  
pp. 443-445 ◽  
Author(s):  
Albert H. Markhart
Keyword(s):  
Public Relations ◽  
Fruits And Vegetables ◽  
Educational Opportunities ◽  
University Of Minnesota ◽  
Land Grant Universities ◽  
Organic Farm ◽  
Hands On ◽  
The University ◽  
Organic Produce

Although the number of students in conventional production agriculture is declining, there is increased interest and opportunity in growing organic fruits and vegetables. Land grant universities need to invest in resources to develop curricula and hands-on opportunities to attract students from varied backgrounds who may currently be enrolled in a number of non-agricultural majors. At the University of Minnesota the student organic farm Cornercopia has successfully attracted students from 12 different majors to plan, plant, harvest, and market organic produce. The enthusiasm, interest, experiential learning, and public relations were well worth the land, faculty, and staff time.

scholarly journals The role of the University of Minnesota Global Health Chief Resident in Minnesota and Tanzania

2016 ◽  
Vol 82 (3) ◽  
pp. 492
Author(s):  
H. Pogemiller ◽  
S. Gandhi ◽  
R. Fabrizius ◽  
M. Rothenberger ◽  
P. Walker ◽  
...  
Keyword(s):  
Global Health ◽  
Chief Resident ◽  
University Of Minnesota ◽  
The University

scholarly journals Designing and Implementing a Virtual Anatomic Pathology Elective During the COVID-19 Pandemic

2021 ◽  
Vol 8 ◽  
pp. 237428952110102
Author(s):  
Emily M. Hartsough ◽  
Cade Arries ◽  
Khalid Amin ◽  
Deborah Powell
Keyword(s):  
Medical Students ◽  
Interesting Case ◽  
University Of Minnesota ◽  
Medical Graduates ◽  
Anatomic Pathology ◽  
Virtual Experiences ◽  
Residency Application ◽  
The University ◽  
Grand Rounds

The COVID-19 pandemic transformed conventional undergraduate medical education, converting previously in-person clerkships into virtual experiences. In order to allow students to gain exposure to the field of pathology, make connections with pathologists, and provide opportunities for letters of recommendation, the authors quickly developed a Virtual Anatomic Pathology Elective at the University of Minnesota. We succeeded in developing the foundation of a Virtual Anatomic Pathology Elective that allows for the rotation to be accessible not only to our medical students but also to international medical graduates and medical students from different programs. In 1 month, we were able to create a 4-week elective that was available before the start of the 2021 residency application season. We provided students with the closest possible experience to an in-person Anatomic Pathology Elective by developing an introductory week of lectures and assignments that provided structure for the rotation, introduced the field of anatomic pathology, and demonstrated the role of pathologists in health care. Furthermore, students attended virtual resident lectures and grand rounds, participated in virtual sign-out sessions, and presented an interesting case to the faculty at the end of their rotation. The goal was ultimately to customize the curriculum to students’ interests by making the rotation applicable to those applying to pathology as well as to other specialties (eg, general surgery, internal medicine, dermatology). Overall, we were able to design and implement a novel Virtual Anatomic Pathology Elective which we know can be effectively reproduced by other medical schools.

scholarly journals Reconstructing Theatre: the Globe under Dominic Dromgoole

2010 ◽  
Vol 26 (4) ◽  
pp. 319-328 ◽  
Author(s):  
Tom Cornford
Keyword(s):  
Alternative Model ◽  
Research Team ◽  
University Of Minnesota ◽  
New Production ◽  
The University ◽  
Artistic Director ◽  
Selection Of

In this article Tom Cornford examines the policy of extending and adapting the permanent stage of Shakespeare's Globe for each new production, as pursued by Dominic Dromgoole since the beginning of his tenure as Artistic Director in 2006. The article responds initially to John Russell Brown's equation in NTQ 102 of a particular kind of ‘intimate’ acting with ‘small theatres’. Cornford resists this conflation of acting and building, seeing in it a tendency to obscure both the role of reconstructed theatres to challenge contemporary notions of the ‘rightness’ of theatre spaces and the role of directors and actors to convert their apparent problems into opportunities. He explores the transformation of the Globe since 2006, using interviews given by Dromgoole and the directors working with the Globe's research team to critique the theory underpinning the ‘permanently temporary’ alterations to the theatre, and takes the evidence of performances to examine their use of the space in practice. Cornford offers a selection of staging solutions to the apparent ‘problems’ identified by Dromgoole and his team, and proposes an alternative model of reconstruction: not the rebuilding of the theatre, but the constant reviewing of theatre practice, including training. Tom Cornford is a freelance director and teacher of acting for the Guthrie Theater/University of Minnesota BFA Program, the Actors' Centre in London, and Globe Education at Shakespeare's Globe. He was, until recently, Artist in Residence at the CAPITAL Centre in the University of Warwick, where he is undertaking PhD research.

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