scholarly journals Dysphagia bedside evaluatation in adults with nasogastric tube

2021 ◽  
Vol 2 (5 (293)) ◽  
pp. 1-7
Author(s):  
Saulė Grigaliūnaitė ◽  
Rita Kantanavičiūtė-Petružė

The theoretical analysis of scientific literature sources and practice show that standardized adult assessment tools for the evaluation of adult swallowing disorders and readiness for withdrawal of the nasogastric tube (NGZ) are not uniformly used in Lithuanian health care institutions. The theoretical analysis of the assessment of swallowing disorders in adults fed by NGZ in the article showed that in the early stage of the disorder, examinations that are performed in the patient's ward and do not require radiological evaluation are sufficiently accurate. The aim of the study is to reveal the tools and methodologies for the evaluation of swallowing disorders in adults fed by NGZ in the patient's ward during the acute period of the disease. After the theoretical analysis of scientific literature sources, it can be stated that: enteral feeding improves feeding quality, but it restricts patient's movements, complicates communication, induces isolation; accurate assessment of dysphagia can be made by performing a swallowing sample in the patient’s ward; assessment of swallowing function takes into account masticatory muscle function, movements of lips, tongue and soft palate, swallowing, cough and gag reflex, oral control, oral residue, voice quality after swallowing and aspiration risk.

2020 ◽  
Vol 81 (6) ◽  
pp. 23-31
Author(s):  
M. I. Vasileva

The aim of the study was to investigate approaches to the formation of general educational skills. A survey examining the design and research process was carried out by 6th-grade Russian students over the course of an extracurricular project entitled «Names of Modern Professions». In the paper, the selection of the «Lexicology» section for such activities carried out by school pupils is substantiated and stages of work on the project are described. The applied methodology involves theoretical analysis of scientific literature, formative experimentation, analysis of products of educational activities, observation and description. It is concluded that the design of extracurricular research activities in the Russian language contributes to the formation of general educational competencies in conducting surveys and searching for information on the basis of subject skills.


Author(s):  
S. V. Ushakov

Hundreds of scientific works are devoted to the study of the Tauric Chersonesus, but the problem of chronology and periodization of its ancient history is not sufficiently developed in historiography. Analysis of scientific literature and a number of sources concerning this subject allows to define the chronological framework and to reveal 10 stages of the history of ancient Chersonesos (as a preliminary definition). The early stage, the Foundation and formation of the Polis, is defined from the middle/last third of the VI century (or the first half of the V century BC) to the end of the V century BC. The end of the late-Antique − early-Byzantine (transitional) time in Chersonesos can be attributed to the second half of the VI – first third of the VII centuries ad).


2013 ◽  
Vol 21 (7) ◽  
pp. 2025-2032 ◽  
Author(s):  
Marieke J. de Bruijn ◽  
Rico N. P. M. Rinkel ◽  
Ingrid C. Cnossen ◽  
Birgit I. Witte ◽  
Johannes A. Langendijk ◽  
...  

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
J-J Stelmes ◽  
E. Vu ◽  
V. Grégoire ◽  
C. Simon ◽  
E. Clementel ◽  
...  

Abstract Introduction The current phase III EORTC 1420 Best-of trial (NCT02984410) compares the swallowing function after transoral surgery versus intensity modulated radiotherapy (RT) in patients with early-stage carcinoma of the oropharynx, supraglottis and hypopharynx. We report the analysis of the Benchmark Case (BC) procedures before patient recruitment with special attention to dysphagia/aspiration related structures (DARS). Materials and methods Submitted RT volumes and plans from participating centers were analyzed and compared against the gold-standard expert delineations and dose distributions. Descriptive analysis of protocol deviations was conducted. Mean Sorensen-Dice similarity index (mDSI) and Hausdorff distance (mHD) were applied to evaluate the inter-observer variability (IOV). Results 65% (23/35) of the institutions needed more than one submission to achieve Quality assurance (RTQA) clearance. OAR volume delineations were the cause for rejection in 53% (40/76) of cases. IOV could be improved in 5 out of 12 OARs by more than 10 mm after resubmission (mHD). Despite this, final IOV for critical OARs in delineation remained significant among DARS by choosing an aleatory threshold of 0.7 (mDSI) and 15 mm (mHD). Conclusions This is to our knowledge the largest BC analysis among Head and neck RTQA programs performed in the framework of a prospective trial. Benchmarking identified non-common OARs and target delineations errors as the main source of deviations and IOV could be reduced in a significant number of cases after this process. Due to the substantial resources involved with benchmarking, future benchmark analyses should assess fully the impact on patients’ clinical outcome.


2021 ◽  
Vol 13 (4) ◽  
pp. 95
Author(s):  
Geneci da Silva Ribeiro Rocha ◽  
Letícia de Oliveira ◽  
Edson Talamini

Blockchain is a technology that can be applied in different sectors to solve various problems. As a complex system, agribusiness presents many possibilities to take advantage of blockchain technology. The main goal of this paper is to identify the purposes for which blockchain has been applied in the agribusiness sector, for which a PRISMA-based systematic review was carried out. The scientific literature corpus was accessed and selected from Elsevier’s Scopus and ISI of Knowledge’s Web of Science (WoS) platforms, using the PRISMA protocol procedures. Seventy-one articles were selected for analysis. Blockchain application in agribusiness is a novel topic, with the first publication dating from 2016. The technological development prevails more than blockchain applications since it has been addressed mainly in the Computer Sciences and Engineering. Blockchain applications for agribusiness management of financial, energy, logistical, environmental, agricultural, livestock, and industrial purposes have been reported in the literature. The findings suggest that blockchain brings many benefits when used in agribusiness supply chains. We concluded that the research on blockchain applications in agribusiness is only at an early stage, as many prototypes are being developed and tested in the laboratory. In the near future, blockchain will be increasingly applied across all economic sectors, including agribusiness, promoting greater reliability and agility in information with a reduced cost. Several gaps for future studies were observed, with significant value for science, industry, and society.


Author(s):  
Olga Shcherbakova ◽  
Anna Tatarinceva

The levels of conflictological culture of pedagogues and engineers, the peculiarities of its formation as well as the comparison of the conflictological culture’s levels among representatives of these specialties on the base of their gender and work experience are analyzed in the proposed research. Each specialist owns a certain level of the conflictological culture’s development and he/she expresses it in a professional environment. The relevance of the research’s theme is caused by the necessity to improve conflictological culture of specialists for their further successful activities. The Aim of the research is the identification of differences in the levels’ formation of specialists’ conflictological culture by the example of pedagogues and engineers and the influence of such a characteristic as a gender and work experience  on it. The Object of the research is the process of forming conflictological culture of pedagogues and engineers. The Methods of the research are the following:1. the theoretical analysis of scientific literature on the given problem;2.the empirical analysis of obtained data reflected the level’s formation of pedagogues and engineers. 


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Irene R. Faber ◽  
Till Koopmann ◽  
Dirk Büsch ◽  
Jörg Schorer

Abstract Background The assessment of technical skills as part of a multidimensional approach for talent identification and development in sports seems promising, especially in a technique-based sport like table tennis. However, current instruments mostly focus on a single element of technical skills, mainly use quantitative outcomes, and/or are not developed for talent purposes. Practice would benefit from a new instrument using a more ecologically valid approach. Thus, the purpose of this study was to identify the essential elements of technical skills in young table tennis players and to establish a first tool while using a multi-methods study design including an archive search for professional literature, a systematic search for scientific literature, as well as ten in-depth interviews with expert coaches. Results This approach taken ensured empirical findings to be combined with knowledge and experiences from the practical field and detailed explications by high-level expert coaches. Results for the literature searches yielded 23 professional and 21 scientific articles while data saturation was reached through all ten interviews. The triangulation process resulted in two general (i.e., individuality, interconnection between elements) and five specific (i.e., bat grip, ready position, footwork/body positioning, service, stroke) elements of technical skills in young table tennis players. In addition, criteria for both flawed and excellent executions were identified for each of the five specific elements. Finally, these results were used to create an observation sheet usable for an assessment during competition. Conclusions This study revealed the crucial elements of technical skills that should be taken into account when assessing sport-specific technical skills of youth table tennis players (8–12 years). Moreover, it provided concise descriptions of what is considered to be flawed or excellent executions of technical skills. Based on these findings, a first observation sheet, the Oldenburg observation sheet for Table Tennis Technique (O3T), was created to be used for the assessment of the current technical skill level within a competitive context at the early stage of a table tennis player’s career. Future research should focus on its measurement properties and its value within a multidimensional assessment for talent purposes.


2022 ◽  
Vol 14 (1) ◽  
pp. 558
Author(s):  
Ingrid Priscylla Silva Araújo ◽  
Dayana Bastos Costa

Studies on particulate matter (PM) from construction activities are still at an early stage. Thus, there is still no consensus on standardized experimental methods for monitoring PM in construction sites, which impedes the advancement of knowledge on this subject. This work proposes guidelines for measuring and monitoring the concentration of suspended PM and the annoyance generated by sedimented particles on construction sites in urban areas. These guidelines aim to reduce the variability and uncertainties that exist during the PM sampling processes at construction sites. This study adopts a literature review strategy in order to update the available scientific literature based on empirical evidence obtained in experimental PM studies and relevant documents from government agencies. The proposed guidelines were applied in a study protocol for gravimetric monitoring PM and annoyance tracking generated by sedimented particles using sticky pads. As a result, this article details sampling techniques, procedures, and instruments, focusing on gravimetric sampling, highlighting their characteristics compared to other monitoring approaches. Additionally, it points out a series of parameters for the measurement and monitoring of PM. This paper seeks to support future researchers in this area, inform decision making for experimental sampling, and provide a benchmark for measuring and monitoring PM at construction sites.


Author(s):  
Yu. V. Borets ◽  
◽  
O. V. Palahniuk ◽  

The purpose of the article. Theoretical analysis of personal mediation of manipuiative tendencies. Methodology. The basis of this study is a theoretical analysis, synthesis, generalization, systematization of available scientific literature on the subject. Results. Manipulation of consciousness is one of the ways to dominate and suppress the will of people by acting on them through the programming of their behavior. This action is aimed at the mental structures of man, which is carried out secretly and aims to change the thoughts, motivations and goals of people in the right direction for a certain group of people. In this case, the purpose of manipulation – hiding their true intentions, to encourage another person to take certain actions, change values, ideas and opinions, etc., while maintaining the illusion of independence in general and independence of decisions or actions. In other words, to motivate a person to what he does not want to do, to distract from what he aspires to, but at the same time to create in him the confidence that he is acting of his own free will. Practical implications. The need to study manipulative tendencies is to determine the main ways and methods of manipulation and ways to protect against manipulative action. To reveal the main features of the manipulator’s personality and the category of people who are most prone to manipulative action. Theoretical materials can be used in the training process of the courses “Psychology of personality”, “Age Psychology”, “Differential Psychology”, “Fundamentals psychological correction”. Originality/value. It was found that the criteria for manipulation are: the attitude of the manipulator to the objects of manipulation as a means to achieve their own goal, the desire to gain unilateral advantage, the hidden nature of influence, use of force, motivation, motivation and skill in the process of manipulative influence. Key words: manipulation, coercion, manipulation, subject of manipulation, projection, Machiavellianism, manipulative influence.


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