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What’s new in airway secretions clearance for adults? A systematic review

100%
Kołodziej M., Kochman M.
European Journal of Clinical and Experimental Medicine
|
2021
|
issue 2
162-169
EN
Introduction. Airway clearance techniques are an essential part of routine respiratory physiotherapy, enabling bronchial secretion clearance-the mucus overproduction and retaining results in lung function deterioration and disrupts effective pulmonary rehabilitation. Several mucus clearance methods are included in the physiotherapy daily routine of patients with chronic lung conditions; nevertheless, new techniques and approaches are continuously developed. Aim. Thus, this systematic review summarizes novel airway clearance techniques applied in patients with chronic pulmonary conditions. Material and methods. The PubMed, Cochrane Library, and PEDro databases were searched from 2010 to 2021, and studies were selected based on eligibility criteria. Analysis of the literature. 101 patients from five studies describing four different techniques were included. Novel techniques were non-invasive ventilation, intrapulmonary percussive ventilation, trachea vibration, and PEP-sound wave combination. Significant improvements were noted for ventilation homogeneity (NIV), saturation (NIV), respiratory rate (IPV), and diffusion capacity (VL), whereas cardiovascular function and exercise endurance did not change significantly. Conclusion. The presented methods are considered to have similar effectiveness as well-known airway clearance techniques. However, the systematic use of presented methods in routine pulmonary rehabilitation must be preceded by in-depth investigation to provide no-bias results.
2
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Resistance of mosses to drying, measured by the intensity of gas exchange and the content of malate and citrate

100%
Rzepka A., Szarek W.
Annales Universitatis Paedagogicae Cracoviensis Studia Naturae
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2021
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vol. 6
EN
Desiccation tolerance, the ability to lose virtually all of its free intracellular water and then restore normal function when rehydrated, is one of the most remarkable features of bryophytes. The aim of the study was to determine the resistance of two species of Plagiomnium undulatum (Hedw.) T.J.Kop. and Polytrichum commune Hedw. on drying to 50% relative water content of the air and rehydration. Changes in the intensity of photosynthesis and respiration as well as the content of malate and citrate in leafy moss stems were analysed. P. commune gametophores showed greater resistance to drought stress than P. undulatum. In both species, photosynthesis was much more sensitive to drought than respiration. Changes in the content of malate and citrate indicated a high plasticity of moss metabolism in conditions of water shortage and may be one of many important elements of the adaptation strategy to water deficit. The reactions of the tested mosses to dehydration and rehydration confirmed their adaptation to specific land conditions.
3
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Diagnosis and Therapy of Respiratory and Phonatory Disorders in Dysartrhia. Case Studies

88%
Szewczyk B.
Logopedia Silesiana
|
2019
|
issue 8
400-434
PL
This article presents the exemplary types of dysarthria with its characteristic respiration, phonation, and prosody disorders. The author examined the voice capabilities of three patients, aged 52, 74 and 81, respectively, described them, and composed short session programmes in voice therapy (comprised of three meetings) adapted to their individual needs. The author carried out the part of the therapy and then listed tendencies resurfacing during the exercises performed by the patients. Finally, the expected effects of further exercises (following previously applied methods) were presented.
4
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Diagnosis and Therapy of Respiratory and Phonatory Disorders in Dysartrhia. Case Studies

88%
Szewczyk B.
Logopedia Silesiana
|
2019
|
issue 8
400-434
PL
This article presents the exemplary types of dysarthria with its characteristic respiration, phonation, and prosody disorders. The author examined the voice capabilities of three patients, aged 52, 74 and 81, respectively, described them, and composed short session programmes in voice therapy (comprised of three meetings) adapted to their individual needs. The author carried out the part of the therapy and then listed tendencies resurfacing during the exercises performed by the patients. Finally, the expected effects of further exercises (following previously applied methods) were presented.
5
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Terapia logopedyczna osób z głęboką niepełnosprawnością intelektualną

51%
Chilińska-Pułkowska A.
Logopedia
|
2019
|
vol. 48
|
issue 1
287-300
PL
W artykule dokonano, na podstawie literatury oraz własnych doświadczeń, prezentacji obszarów terapii logopedycznej osób z głęboką niepełnosprawnością intelektualną. Za najważniejsze pole działań terapeutycznych uznano: wspieranie umiejętności oddechowych, sprawności komunikacyjnych oraz karmienie terapeutyczne. Prezentację poszerzono o specyfikację stosowanych metod i przykładowe ćwiczenia. Zamierzeniem artykułu jest przybliżenie tematyki osób z głęboką niepełnosprawnością oraz wyznaczenie kierunku działań możliwych do podjęcia przez logopedę, dla którego trudnością jest odnalezienie się w pracy z osobami niemówiącymi, z wielorakimi dysfunkcjami natury medycznej, poznawczej, społecznej, obniżonymi możliwościami komunikacyjnymi.
EN
The article presents, on the basis of the own experience, the fields of speech and language therapy among people with profound intellectual disability. Respiratory abilities, communication skills and therapeutic feeding are found the scopes of activity of the greatest importance. The presentation is broadened by the specification of the methods applied and exemplary exercises. The survey is also used to emphasise the most frequent difficulties in therapists’ work. The purpose of the article is to introduce the subject area of people with profound intellectual disability as well as to decide upon possible course of action that a speech therapist, who finds it difficult to work with mute people and the ones with inhibitive communication abilities, can take.
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