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Gag Reflex

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101. Peripheral Modulation of Muscle Stiffness and Spasticity

either hyaluronidase plus saline (treatment arm, n=25) or normal saline (control arm, n=25) injections. Both the assessors and the patients will be blind to group assignment. All patients will be assessed at three time points: (1) pre-injection, (2) 1-2 weeks post-injection, and (3) 12-14 weeks post-injection. Assessments will be performed pre-injection and 1-2 weeks post-injection for joint range of motion, muscle strength by EMG MVC, upper limb motor impairment and function, stretch reflex testing (...) on intramuscular GAG content by proton T1p relaxation mapping on muscle MRI. Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 50 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double (Participant, Care Provider) Primary Purpose: Treatment Official Title: Peripheral Modulation of Muscle Stiffness and Spasticity Estimated Study Start Date : June 2019 Estimated Primary Completion Date : December 2020

2017 Clinical Trials

102. Collet-Sicard Syndrome With Hypoglossal Nerve Schwannoma: A Case Report Full Text available with Trip Pro

Collet-Sicard Syndrome With Hypoglossal Nerve Schwannoma: A Case Report Collet-Sicard syndrome is a rare syndrome that involves paralysis of 9th to 12th cranial nerves. We report an uncommon case of schwannoma of the hypoglossal nerve in a 39-year-old woman presented with slurred speech, hoarse voice, and swallowing difficulty. Physical examination revealed decreased gag reflex on the right side, decreased laryngeal elevation, tongue deviation to the right side, and weakness of right trapezius

2017 Annals of rehabilitation medicine

103. The Middle Ear Cleft Status in a "Natural" Cohort With Eustachian Tube Dysfunction. (Abstract)

damage, requiring tracheotomy and gastrostomy. These patients were unable to swallow, produce valsalva, yawn, and needed oral suctioning. Examination included fiberoptic nasopharyngoscopy, gag reflex and soft palate assessments, otoscopy, and tympanometry.Nineteen patients (38 ears) were evaluated: 14 men and 5 women, aged 18 to 93 years (average 59). Duration of gastrostomy and tracheotomy were between 3 months and 18 years. All the patients lacked gag reflex, palatal movements, or supraglottic

2017 Otology and Neurotology

104. Oral Propranolol for Reducing Pediatric Dental Patients Anxiety

of tooth or molar anesthesia and removal (Frankl: Negative). Scoring more than 19 points on MCDAS(f). 6-9 years old healthy pediatric patients (ASA I). Indication for primary tooth or molar extraction. Fasting if indicated (severe gag reflex). Airway assessment (Mallampati and tonsillar hypertrophy). Exclusion Criteria: Asthma or other obstructive pulmonary disease. Cardiac failure. Cardiac arrhythmia. Renal failure. Insulin-dependent diabetes mellitus. Current use of another ß-adrenoreceptor

2017 Clinical Trials

105. Alveogyl and Gelatin Sponge in the Management of Pain After Epithelialized Free Gingival Graft Harvesting

graft harvesting Systemically healthy Exclusion Criteria: Severe gagging reflex Smokers Occlusal trauma at site of graft Pregnancy Psychiatric disorder Patients allergic to the used agents Contacts and Locations Go to No Contacts or Locations Provided More Information Go to Layout table for additonal information Responsible Party: Karim ehab gerges, Principal Investigator, Cairo University Identifier: Other Study ID Numbers: 1792013 First Posted: January 18, 2018 Last Update

2017 Clinical Trials

106. Role of bromocriptine in multi-spectral manifestations of traumatic brain injury Full Text available with Trip Pro

cases of traumatic brain injury in minimally conscious state were enrolled in the study. After hemodynamic stability, bromocriptine was given at paediatric dose of 3.75 mg/d and adult dose of 7.5 mg/d. It was administered through a naso-gastric (NG) feeding tube in the patients with minimally conscious state, then changed to oral route after proper swallowing and good gag reflex were ensured in the patient. The drug was slowly reduced over three weeks after neurological improvement in the patients

2017 Chinese Journal of Traumatology

107. Poor consistency in evaluating South African adults with neurogenic dysphagia Full Text available with Trip Pro

used to analyse the data and the small qualitative component was subjected to textual analysis.There was high frequency of use of 41% of the clinical components in more than 90% of participants (n = 38). Less than 50% of participants frequently assessed sensory function and gag reflex and used pulse oximetry, cervical auscultation and indirect laryngoscopy. Approximately a third of participants showed high (30.8%), moderate (35.9%) and poor (33.3%) consistency of practice each. Nurses, food

2017 The South African Journal of Communication Disorders

108. Clinical Predictors of Oro-esophageal Tube Feeding Success in Brain Injury Patients With Dysphagia Full Text available with Trip Pro

into two groups, based on the OE tube training success. Clinical factors assessed included age, cause of brain lesion, gag reflex, cognitive function and reasons for OE tube training failure.Of the 76 cases enrolled, 56 study patients were assigned to the success group, with the remaining 20 in the failure group. There were significant differences between these two groups in terms of age, gag reflex, ability to follow commands, and the score of Korean version of Mini-Mental Status Examination (K-MMSE (...) ). Location of the brain lesion showed a borderline significance. Multivariable analysis using logistic regression revealed that age, cause of brain lesion, gag reflex, and K-MMSE were the main predictors of OE tube training success.A younger age, impaired gag reflex and higher cognitive function (specifically a K-MMSE score ≥19.5) are associated with an increased probability of OE tube training success in dysphagic patients.

2017 Annals of rehabilitation medicine

109. Efficacy of atomised local anaesthetic versus transtracheal topical anaesthesia for awake fibreoptic intubation Full Text available with Trip Pro

A patients received 4-5mL of 4% atomised lignocaine using DeVilbiss atomiser before AFOI. Patient comfort assessed objectively by the anaesthetic assistant during the procedure, ease of intubation assessed using cough and gag reflex score, time taken to intubate and the haemodynamic changes during the procedure were compared.Ease of intubation, patient comfort and the time taken to intubate were significantly better in Group T patients, with P = 0.001, 0.009 and 0.019, respectively, compared

2017 Indian journal of anaesthesia Controlled trial quality: uncertain

110. Evaluation of Efficacy of Intraligamentary Injection Technique for Extraction of Mandibular Teeth-A Prospective Study Full Text available with Trip Pro

was derived for Duration of Anaesthesia (DA).Various advantages were seen such as, localized soft tissue anaesthesia, decreased PI (SD=0.83), and minimal PP (SD=0.94). The DA (SD=4.62) and mean value of 24.06 minutes.This study is one of its kinds where intraligamentary injection has been used for extraction of mandibular molars. It was also successfully used in patients with exaggerated gag reflex and patients suffering from trismus due to oral submucous fibrosis. The intraligamentary injection technique

2017 Journal of clinical and diagnostic research : JCDR

111. Childhood Laryngeal Dystonia Following Bilateral Globus Pallidus Abnormality: A Case Study and Review of Literature Full Text available with Trip Pro

structures and their connections with cortical areas have been involved in the pathogenesis of dystonia.In this paper a 7.5-year-old boy suffering from laryngeal dystonia with bilateral lesions in Globus Pallidus is presented. The patient also suffered from swallowing problems, monotone voice, vocal tremor, hypersensitivity of gag reflex, and stuttering. Drug treatment failed to cure him; therefore, he was referred to rehabilitation therapy.In conclusion, special attention should be brought upon

2017 Iranian journal of otorhinolaryngology

112. Investigation of Efficacy of Lidocaine Spray for Sedated Esophagogastroduodenoscopy in Children Full Text available with Trip Pro

, and distilled water via identically scaled pump spray in group 2, in a double blinded fashion.Sedation was not applied in 24.1% of the cases in topical lidocaine spray group (LS group) and in 5.7% of the cases in distilled water spray group (DS group). Gag reflex was observed in 6.5% of cases in LS group and 33.3% of cases in DS group (p=0.024), increased oral secretion was observed in 9.3% of cases in LS group and 51.7% of cases in DS group (p=0.038), sore throat was observed in 3.7% of cases in LS group (...) and 35.6% of cases in DS group (p=0.019) and the difference was statistically significant.The study showed that topical pharyngeal lidocaine reduces both requirement and amount of IV sedation before EGD in children and sore throat, gag reflex and decreased oral secretion increase.

2017 Pediatric gastroenterology, hepatology & nutrition Controlled trial quality: uncertain

113. Controlled Human Infection for Vaccination Against Streptococcus Pyogenes

(exaggerated gag reflex). Any systemic corticosteroid (or equivalent) treatment in the 14 days prior to challenge, or for more than seven consecutive days within the past 3 months. Any corticosteroids, anti-inflammatory drugs (besides sporadic use of non-steroidal anti-inflammatory drugs), immunomodulators or anticoagulants in the previous 3 months, or anticipated use of such drugs during the study period. Any participant currently receiving or having previously received immunosuppressive therapy

2017 Clinical Trials

114. Effect of Nebulized Lidocaine on the Quality of Laryngeal Mask Airway Insertion

% oxygen for 3 minutes via mask gently placed over the face and thereafter Propofol 2.5 mg/kg slowly IV plus Fentanyl 1 µg/kg IV will be used for induction of anesthesia, and isoflurane for maintenance of anesthesia in both groups. After confirming sufficient level of anesthesia (loss of eye lash reflex and jaw relaxation), the standard technique for LMA insertion (Brain,s method) will be used in both groups. Water based jelly will be applied on the posterior surface of the LMA and pressed along (...) : Mouth opening (3: full; 2: partial; 1: none) Ease of insertion (3: easy; 2: difficult; 1: impossible) Swallowing (3: nil; 2: slight; 1: gross) Coughing or gagging (3: nil; 2: slight; 1: gross) Head or limbs movement (3: nil; 2: slight; 1: gross), and Laryngospasm (3: nil; 2: partial; 1: total). Total score Insertion condition 18 Excellent 16-17 Satisfactory <16 Poor Any failure of insertion in both groups (defined as failure to insert the LMA after 3rd time), will be managed by endotracheal

2017 Clinical Trials

115. Ultrasound Guided Quadratus Lumborum Block Versus Caudal Block in Pediatric Patient

-invasive blood pressure. After preoxygenation for three minutes, anesthesia would be induced with 8% sevoflurane inhalation in 50% oxygen and % 50 air ; 1ug/kg fentanyl and 3 mg/kg propofol is administered intravenously. Then laryngeal mask is inserted when conditions are satisfactory (jaw relaxed, lash reflex disappeared, no coughing, gagging, swallowing).After ethical committee approval, informed written consent will be obtained from all patients. Consenting patients scheduled to have unilaterally

2017 Clinical Trials

116. [Comparison of jaw thrust and trapezius squeezing test as indicators for laryngeal mask airway insertion in infants and young children]. (Abstract)

Children's Hospital. The patients were randomly divided into jaw thrusting group (Group J, n=50)and trapezius squeezing group(Group T, n=50). Anesthesia was induced with sevoflurane. When children's eyelash reflex lose, jaw thrust/trapezius squeeze was applied every 15 seconds.It's considered that the depth of anesthesia was not enough, and test reaction was positive if any movements of body, limbs or toes were found at the point of test. Sevoflurane should be keep on inhalation until negative test (...) reaction was appeared. Then LMA was inserted immediately.The time required for the negative test, end-tidal sevoflurane concentrations (ETsev), the index of Narcotrend anesthesia monitor(NT), the occurrence of gross purposeful movements, coughing, gagging, breath-holding, laryngospasm or an SpO2 < 90% during LMA insertion in two groups of patients were observed and recorded. The condition of LMA insertion and the rate of successful insertion were evaluated. The blood pressure(BP), heart rate(HR

2017 Zhonghua yi xue za zhi Controlled trial quality: uncertain

117. Orexin and Tau Pathology in Cognitively Normal Elderly

but not limited to diverticulitis and inflammatory bowel disease. History of disorders or impairment of the gag reflex. Previous gastrointestinal surgery. Previous felinization of the esophagus. Subjects who might undergo Nuclear Magnetic Resonance (NMR) or MRI scanning during the period that the CorTemp® Disposable Temperature Sensor is within the body. Subjects hypomotility disorders of the gastrointestinal tract including but not limited to Ileus. Contacts and Locations Go to Information from the National

2017 Clinical Trials

118. PH Metry Study to Compare the Antacid Activity of Z0063 Versus Gaviscon Double Action Tablets, in Healthy Adult Subjects

meal. Any subject with difficulty in chewing and swallowing. Any subject with strong gag reflex. Any intake of aluminium and magnesium containing antacids or other alginate-containing medicinal products within 14 days before inclusion. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor

2017 Clinical Trials

119. Chewing in Children With Repaired Esophageal Atresia-tracheoesophageal Fistula

Intervention/treatment Children with chewing dysfunction Descriptive characteristics including age, height, weight, transition time to additional food, meal time, number of meals, initial teething time, and number of teeth, were noted. The presence of open mouth, open bite, high palate, gag reflex, and oral hygiene were scored as absent or present as an observational oral motor assessment. Chewing evaluation was performed and scored with the Karaduman Chewing Performance Scale (KCPS). The International (...) of teeth, were noted. The presence of open mouth, open bite, high palate, gag reflex, and oral hygiene were scored as absent or present as an observational oral motor assessment. Chewing evaluation was performed and scored with the Karaduman Chewing Performance Scale (KCPS). The International Dysphagia Diet Standardisation Initiative (IDDSI) was used to determine the tolerated food texture of children. Other: Chewing evaluation Each child was required to bite and chew a standardized biscuit while

2017 Clinical Trials

120. Weaning From Mechanical Ventilation in Neurological Patients

, the ability to maintain airway will be analyzed by the following variables: Number of aspirations of secretions/ nursing shift (No aspiration-0, 1 aspiration-1, 2 aspiration-2, ≥ 3 aspiration-3), cough capacity (Strong -0, Mild-1, Weak-2, Absent-3), Appearance and color of secretions: [Viscosity (liquid-0, frothy-1, thick-2, dry-3) and color (clear- 0, brown- 1, yellow-2, green-3)] and the presence of gag reflex (strong- 0, moderate- 1, weak- 2, absent- 3). A score ≤8 is considered as adequate to keep

2017 Clinical Trials

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