Swallowing – Physiology, Disorders, Diagnosis and Therapy

Mankekar, Gauri

doi:10.1007/978-81-322-2419-8

Cited by 10 publications

(1 citation statement)

References 36 publications

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“…Second, it was similarly difficult to recruit pulmonologists, even though it would have been interesting to collect the opinion of these health professionals who have an essential if not primary role in the follow-up of dysphagia patients. 43 However, the items that are related to their specialization (aspiration, consequences of OD …) were still considered “totally appropriate” by all health professionals knowing their importance. Similarly, in Clayton’s 2006 study to identify core dermatologic content in the undergraduate medical curriculum, geriatricians and plastic surgeons did not participate.…”

Section: Discussionmentioning

confidence: 99%

Consensus on the Objectives of an Educational Intervention for Patients with Oropharyngeal Dysphagia and Their Informal Caregivers: A Delphi Study

Ghaddar¹,

Matar²,

Noujaim³

et al. 2022

PPA

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Purpose In the absence of literature allowing for an evidence-based approach to therapeutic patient education (TPE) in Oropharyngeal Dysphagia (OD), this study aims to reach a consensus of experts on the content of a competency framework of an educational program for OD patients and their informal caregivers (ICGs). Methods We used the Delphi consensus-building method. Four categories of experts were recruited: 12 patients, 17 ICGs, 46 healthcare professionals (HCP) (experienced in OD, not necessarily certified in TPE), and 19 experts in TPE (trained individuals to set up and run TPE programs not necessarily HCPs). The content of the questionnaire of the first round (R) was established according to the result of a scoping review and the opinion of an expert committee. We carried out three rounds. In R1 and R2, we collected the opinions on the relevance (7-point Likert-type scale) and on comprehensiveness (YES/No question and asking participants to propose additional content). Participants were also invited to leave comments on each objective. In R3, we asked the participants to give their opinion about the relevance of the objectives again and asked them to rank the themes from highest to lowest priority. Results Objectives were considered relevant for all participants if they reached consensus when the interquartile (IQR) ≤ 1, and if the median indicated agreement (Mdn ≥ 6) (6= appropriate, 7 = totally appropriate). Following three rounds, the final content of the educational program is composed of 23 educational objectives organized in 13 themes with an agreement about relevance amongst all participants (Mdn ≥ 6; IQR ≤ 1). The comprehensiveness criterion received also a consensus (IQR ≤ 1). The participants ranked the theme “normal swallowing vs difficulty swallowing” as the highest priority. Conclusion This Delphi study resulted in a consensus, on the content of a competency framework of an educational program for OD patients and their ICGs. Further steps are needed to construct learning activities based on these objectives before testing their feasibility and efficacy.

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Section: Discussionmentioning

confidence: 99%

Consensus on the Objectives of an Educational Intervention for Patients with Oropharyngeal Dysphagia and Their Informal Caregivers: A Delphi Study

Ghaddar¹,

Matar²,

Noujaim³

et al. 2022

PPA

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Embryology and Anatomy

Ahn

Musso

2018

Pediatric Dysphagia

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Epidermal Graphene Sensors and Machine Learning for Estimating Swallowed Volume

Polat

Becerra

Hsu

et al. 2021

ACS Appl. Nano Mater.

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Assessment of liquid intake is necessary to obtain a complete picture of an individual's hydration status. Measurements using state-of-theart wearable devices have been demonstrated, but none of these devices have combined high sensitivity, unobtrusiveness, and automated estimation of volume, i.e., using machine learning. Such a capability would have immense value in a variety of medical contexts, such as monitoring patients with dysphagia or the performance of athletes. Here, an epidermal sensor platform is combined with machine learning to measure swallowed liquid volume based on signals obtained from the surface of the skin. The key component of the device is a composite piezoresistive sensor consisting of single-layer graphene decorated with metallic nanoislands and coated with a highly p l a s t i c i z e d f o r m o f t h e c o n d u c t i v e p o l y m e r p o l y ( 3 , 4ethylenedioxythiophene):poly(styrenesuflonate) (PEDOT:PSS). Surface electromyography (sEMG) signals obtained with conventional electrodes are used in concert with the strain measurements. The use of strain and sEMG measurements together both (1) improve the accuracy of estimated volumes and (2) permit the differentiation of swallowing from motion artifacts. In a cohort consisting of 11 participants, the combined measurements of strain and sEMGprocessed by the machine learning algorithmwere able to estimate unknown swallowed volumes cumulatively between 5 and 30 mL of water with greater than 92% accuracy. Ultimately, this system holds promise for numerous applications in sports medicine, rehabilitation, and the detection of nascent dysfunction in swallowing.

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Swallowing – Physiology, Disorders, Diagnosis and Therapy

Cited by 10 publications

References 36 publications

Consensus on the Objectives of an Educational Intervention for Patients with Oropharyngeal Dysphagia and Their Informal Caregivers: A Delphi Study

Consensus on the Objectives of an Educational Intervention for Patients with Oropharyngeal Dysphagia and Their Informal Caregivers: A Delphi Study

Embryology and Anatomy

Epidermal Graphene Sensors and Machine Learning for Estimating Swallowed Volume

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