Research on Saliva Secretion and Composition
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Management of Saliva and Drooling Excessive Saliva and Drooling Affects up to 50% of People with Parkinson’S (PD)
Management of Saliva and Drooling Excessive saliva and drooling affects up to 50% of people with Parkinson’s (PD). Drooling can be embarrassing and can limit social interactions for the person with PD. Saliva and Drooling Parkinson Information Parkinson It can also be an important symptom of swallowing difficulty, which can increase the risk of choking on saliva. People with Parkinson’s disease do not swallow automatically due to rigidity and impaired mobility of the muscles of the palate, throat and esophagus. Saliva pools in the mouth and can potentially become a hazard since swallowing into the lungs carries the risk of pneumonia. If you have poor posture, saliva collects in the front of the mouth, resulting in drooling. Cause and symptoms Decreased control of saliva is most often caused by changes in the ability to swallow, rather than from producing too much saliva. A common cause of drooling for people with PD is the weakening and/or loss of motor control of the muscles involved in swallowing. You may experience one or more of the following symptoms: • Decreased ability to keep your mouth closed at rest, known as the “open mouth posture” • Difficulty keeping lips closed • Lack of awareness of the saliva in your mouth • Wetness at the sides of your mouth • A wet sounding voice • Drooling with posture changes • Coughing and/or choking Evaluation and treatment Speak with your physician about all symptoms that may not be related to PD. If you are experiencing drooling or choking on your saliva, you may require a swallowing evaluation by a Speech Language Pathologist. -
16. Questions and Answers
16. Questions and Answers 1. Which of the following is not associated with esophageal webs? A. Plummer-Vinson syndrome B. Epidermolysis bullosa C. Lupus D. Psoriasis E. Stevens-Johnson syndrome 2. An 11 year old boy complains that occasionally a bite of hotdog “gives mild pressing pain in his chest” and that “it takes a while before he can take another bite.” If it happens again, he discards the hotdog but sometimes he can finish it. The most helpful diagnostic information would come from A. Family history of Schatzki rings B. Eosinophil counts C. UGI D. Time-phased MRI E. Technetium 99 salivagram 3. 12 year old boy previously healthy with one-month history of difficulty swallowing both solid and liquids. He sometimes complains food is getting stuck in his retrosternal area after swallowing. His weight decreased approximately 5% from last year. He denies vomiting, choking, gagging, drooling, pain during swallowing or retrosternal pain. His physical examination is normal. What would be the appropriate next investigation to perform in this patient? A. Upper Endoscopy B. Upper GI contrast study C. Esophageal manometry D. Modified Barium Swallow (MBS) E. Direct laryngoscopy 4. A 12 year old male presents to the ER after a recent episode of emesis. The parents are concerned because undigested food 3 days old was in his vomit. He admits to a sensation of food and liquids “sticking” in his chest for the past 4 months, as he points to the upper middle chest. Parents relate a 10 lb (4.5 Kg) weight loss over the past 3 months. -
Catalogo CACIB Castellon 2019
XXVIII EXPOSICIÓN INTERNACIONAL CANINA DE CASTELLÓN C.A.C. – C.C.J. – C.C.V. y C.A.C.I.B. Domingo, 7 de Julio de 2019 Recinto Ferial y Mercados (REFEYME) Poniendo en competición el C.A.C. – C.C.J. – C.C.V. ‐ de la R.S.C.E y el C.A.C.I.B. de la F.C.I. Catálogo Sociedad Canina de Castellón C/ Donat, 28 - bajo 12002 Castellón Tlf. 964 256 257 / Fax 964 215 240 [email protected] www.caninacastellon.com Pagina 1 CACIB NOTA IMPORTANTE "El bienestar y la salud de los perros debe ser LA PRIORIDAD en cualquier exposición canina. Los expositores son responsables del bienestar de sus ejemplares. Está prohibido exponerlos a una situación que pueda ser peligrosa para su salud o bienestar, como, por ejemplo, dejarlos en el coche con unas temperaturas excesivamente elevadas o muy bajas o sobre la mesa de arreglo por más tiempo del imprescindible que exija su preparación, o sin su presencia o la de un cuidador, utilizar collares de ahorque que resulten dañinos y/o tratarlos de forma cruel. Violar estas normas o no recoger inmediatamente los excrementos que depositen en el recinto del certamen o en sus inmediaciones, conllevará a la exclusión inmediata del expositor y de sus perros de la exposición en curso y, dependiendo de la gravedad de los hechos, de las futuras” Pagina 2 CACIB JUNTA DIRECTIVA DE LA SOCIEDAD CANINA de CASTELLON PRESIDENTA: Dña. Mª Asunción Folch Puig VICE-PRESIDENTE D. Joan Quemades Beltrán SECRETARIO: D. Fco Javier Arnau Bernat TESORERA: Dña. -
Xliv Exposición Nacional Canina
XLI9 EXPOSICIÓN NACIONAL CANINA PROVINCIA DE CÁDIZ "Valedera para el Campeonato de Andalucía de 20" Poniendo en competición el C.A.C. &&-&&9 de la R.S.C.E. AUTORIZADA POR LA R.S.C.E. Palacio Provincial de Ferias (IFECA) JEREZ( de Noviembre de 201) CATÁLOGO PATROCINA: TIENDANIMAL ORGANIZA: SOCIEDAD CANINA DE ANDALUCIA OCCIDENTAL C/ Cuevas de Menga, 1, portal 8, local 17 - * 41020 SEVILLA Telf.: 954 625 061 Fax 954 237 573 E-mail: [email protected] COLABORA: INSTITUCIÓN FERIAL DE CÁDIZ Parque González Hontoria, s/n * 11405 JEREZ DE LA FRONTERA (Cádiz) Telf. : 956 180 723-32 Fax: 956 180 731 * e-mail: [email protected] LA SOCIEDAD CANINA DE ANDALUCIA OCCIDENTALreconocida por la REAL SOCIEDAD CANINA DE ESPAÑA, bajo cuyo patrocinio y de acuerdo con sus Normas y Reglamentos, realiza la XLI9EXPOSICIÓN NACIONAL CANINA “PROVINCIA DE CÁDIZ”. Pagina 1 CAC La Real Sociedad Canina de España, está declarada de carácter oficial y de utilidad pública por el Gobierno y está afiliada a la Federación Cinológica Internacional, de la que forma parte como organismo federa- do desde el año 1912. LA SOCIEDAD CANINA DE ANDALUCIA OCCIDENTAL Está reconocida por la REAL SOCIEDAD CANINA DE ESPAÑA “El bienestar y la salud de los perros debe ser LA PRIORIDAD en cualquier exposición canina. Los expositores son responsables del bienestar de sus ejemplares. Está prohibido exponerlos a una situación que pueda ser peligrosa para su salud o bienestar, como, por ejemplo, dejarlos en el coche con unas temperaturas excesivamente elevadas o muy bajas o sobre la mesa de arreglo por más tiempo del imprescindible que exija su preparación, o sin su presencia o la de un cuidador, utilizar collares de ahorque que resulten dañinos y/o tratarlos de forma cruel. -
Osteoid-Osteoma
Benign tumors of soft tissues and bones of head at children. Classification, etiology. Diagnostics, differential diagnostics, treatment and rehabilitation of children. Pediatric Surgical Dentistry Lector - Kolisnik I.A. 0504044002 (Viber, Telegram) Plan of lecture and their organizational structure. № The main stages of the Type of lecture. Means of time distribution lecture and activating students. Methodical their content support materials 1. Preparatory stage. look p 1 and 2 5 % definitionrelevance of the topic, learning objectives of the lecture and motivation 2. The main stage. Teaching lectureClinical lecture. 85 % material according to the plan: -90% 1. 1 Frequency of malignant processes of SHLD in children. 2. Phases of carcinogenesis 3. Signs of benign and malignant process. 4. Methods of diagnosis of SHLD tumors. 5. The structure of malignant pathology of the thyroid gland in children. 6. Clinical and morphological features of malignant tumors of the thyroid gland in children. Principles of treatment. 7. Basic principles of rehabilitation of children with oncological pathology. 8. Stages of formation of bone regenerate. 9. Clinical case. 1. The final stage Answers to possible 5 % 2. Lecture summary. questions. 3. General conclusions. Classification of benign neoplasm Type of tissue Type of neoplasm Pavement epithelium Squamous cell papilloma Secretory (glandular) epithelium Adenoma Connective Fibroma Adipose Lipoma Smooth muscle Leiomyoma Osseous Osteoma Cartilaginous Chondroma Lymphoid Lymphoma Transversal striated muscle Rhabdomioma -
Folleto+Expo+RREE+Archidona+
NOTA IMPORTANTE EL BIENESTAR Y LA SALUD DE LOS PERROS DEBE SER LA PRIORIDAD EN CUALQUIER EXPOSICIÓN CANINA. EL BIENESTAR Y LA SALUD DE LOS PERROS DEBE SER LA PRIORIDAD EN CUALQUIER EXPOSICIÓN CANINA. LOS EXPOSITORES SON RESPONSABLES DEL BIENESTAR DE SUS EJEMPLARES. ESTÁ PRO- HIBIDO EXPONERLOS A UNA SITUACIÓN QUE PUEDA SER PELIGROSA PARA SU SALUD O BIENESTAR, COMO, POR EJEMPLO, DEJARLOS EN EL COCHE CON UNAS TEMPERA- TURAS EXCESIVAMENTE ELEVADAS O MUY BAJAS O SOBRE LA MESA DE ARREGLO POR MÁS TIEMPO DEL IMPRESCINDIBLE QUE EXIJA SU PREPARACIÓN, O SIN SU PRESENCIA O LA DE UN CUIDADOR, UTILIZAR COLLARES DE AHORQUE QUE RESULTEN DAÑINOS Y/O TRATARLOS DE FORMA CRUEL. VIOLAR ESTAS NORMAS O NO RECOGER INMEDIATAMENTE LOS EXCREMENTOS QUE DEPOSITEN EN EL RECINTO DEL CERTAMEN O EN SUS INMEDIACIONES, CONLLEVARÁ A LA EXCLUSIÓN INMEDIATA DEL EXPOSITOR Y DE SUS PERROS DE LA EXPOSICIÓN EN CURSO Y, DEPENDIENDO DE LA GRAVEDAD DE LOS HECHOS, DE LAS FUTURAS. NOTA IMPORTANTE PROTOCOLO DE MEDIDAS SANITARIAS (COVID-19) EXPOSICIONES CANINAS LAS EXPOSICIONES CANINAS SEGUIRÁN ESTRICTAMENTE TODOS LOS PLANES Y RE- COMENDACIONES DE SEGURIDAD Y SALUD DE LAS AUTORIDADES, ASÍ COMO TODOS LOS PROCEDIMIENTOS Y PROTOCOLOS NECESARIOS PARA LA DESINFECCIÓN SE IM- PLEMENTARÁN CON EL FIN DE GARANTIZAR LA SEGURIDAD DE LOS EXPOSITORES, VISI- TANTES Y ORGANIZADORES. LA SALUD ES LO MÁS IMPORTANTE POR ENCIMA DE TODO. EN LAS ÁREAS DE EXHIBICIÓN, RINGS Y EN LOS STANDS COMERCIALES Y NO COMER- CIALES, FOMENTAMOS UNA POLÍTICA DE NO CONTACTO PARA TODOS LOS ASISTEN- TES, PERSONAL Y EXPOSITORES. EXISTIRÁN DISPENSADORES DE DESINFECCIÓN EN TODAS LAS ENTRADAS, SALIDAS Y EN CUALQUIER OTRA ÁREA MUY FRECUENTADA O SENSIBLE. -
Oral Pathology Unmasking Gastrointestinal Disease
Journal of Dental Health Oral Disorders & Therapy Review Article Open Access Oral pathology unmasking gastrointestinal disease Abstract Volume 5 Issue 5 - 2016 Different ggastrointestinal disorders, such as Gastroesophageal Reflux Disease (GERD), Celiac Disease (CD) and Crohn’s disease, may manifest with alterations of the oral cavity Fumagalli LA, Gatti H, Armano C, Caruggi S, but are often under and misdiagnosed both by physicians and dentists. GERD can cause Salvatore S dental erosions, which are the main oral manifestation of this disease, or other multiple Department of Pediatric, Università dell’Insubria, Italy affections involving both hard and soft tissues such as burning mouth, aphtous oral ulcers, Correspondence: Silvia Salvatore, Pediatric Department of erythema of soft palate and uvula, stomatitis, epithelial atrophy, increased fibroblast number Pediatric, Università dell’Insubria, Via F. Del Ponte 19, 21100 in chorion, xerostomia and drooling. CD may be responsible of recurrent aphthous stomatitis Varese, Italy, Tel 0039 0332 299247, Fax 0039 0332 235904, (RAS), dental enamel defects, delayed eruption of teeth, atrophic glossitis and angular Email chelitis. Crohn’s disease can occur with several oral manifestations like indurated tag-like lesions, clobbestoning, mucogingivitis or, less specifically, with RAS, angular cheilitis, Received: October 30, 2016 | Published: December 12, 2016 reduced salivation, halitosis, dental caries and periodontal involvement, candidiasis, odynophagia, minor salivary gland enlargement, perioral -
Neurology and the Gastrointestinal System
J Neurol Neurosurg Psychiatry 1998;65:291–300 291 J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.65.3.291 on 1 September 1998. Downloaded from NEUROLOGY AND MEDICINE Neurology and the gastrointestinal system G D Perkin, I Murray-Lyon The interrelation of neurology and the gas- that the two techniques are complementary, trointestinal system includes defects of gut acetylcholinesterase staining being particularly innervation, primary disorders of the nervous helpful when the biopsy material does not system (or muscle) which lead to gastrointesti- include submucosa, or in older infants or chil- nal symptoms—for example, dysphagia—and, dren in whom the population of distal submu- finally, certain gut disorders which include cosal ganglion cells may be less dense.6 neurological features in their clinical range. The first of this trio will be discussed only Gastrointestinal disorders due to briefly in this review, the second and third in neurological disease more detail. DYSPHAGIA A neurogenic mechanism for dysphagia, which Defects of innervation may have either sensory or motor components, ACHALASIA or both, can result from a disorder at the oral, Achalasia is characterised by an absence of pharyngeal, or oesophageal phase of swallow- peristalsis in the oesophageal body accompa- ing. In most patients, the neurological disorder nied by a failure of relaxation of the lower is evident, but in others, dysphagia is the oesophageal sphincter.1 Although the condi- presenting feature. Besides the dysphagia, tion can be secondary to other disease other symptoms suggesting a neurogenic copyright. processes—for example, Chagas’ disease—in mechanism include drooling of saliva, nasal Europeans it is usually a primary disorder. -
A 10-Year Retrospective Review of Botulinum Toxin Injections and Surgical Management of Sialorrhea
Open Access Original Article DOI: 10.7759/cureus.7916 A 10-year Retrospective Review of Botulinum Toxin Injections and Surgical Management of Sialorrhea Rachel E. Weitzman 1 , Kosuke Kawai 2 , Roger Nuss 3 , Amy Hughes 4 1. Otolaryngology, Harvard Medical School, Boston, USA 2. Otolaryngology, Boston Children’s Hospital, Boston, USA 3. Otolaryngology, Boston Children's Hospital, Boston, USA 4. Otolaryngology, Connecticut Children's Medical Center, Hartford, USA Corresponding author: Amy Hughes, [email protected] Abstract Background Sialorrhea is a common comorbidity among children with neurologic disorders. Botulinum toxin injections and surgical procedures are recommended for the management of pathological sialorrhea in patients who fail conservative management or with concerns for salivary aspiration. The following review evaluates outcomes following botulinum toxin injections and surgical interventions for sialorrhea over a 10-year period with a focus on treatment options and outcomes for patients with anterior and posterior drooling. Methods The study included all patients less than 25 years of age who underwent a procedure for drooling (Current Procedural Terminology (CPT) codes 42440, 42450, 42509, 42510, 64611 matched with the International Classification of Diseases (ICD)-9 and ICD-10 codes 527.7 and K11.7) from January 1, 2006 to December 31, 2015. A chart review collected demographics, drooling medication use, and type of drooling (anterior, posterior, both). Outcome variables included pre- and post-procedure number of bibs, parent-reported outcomes, post-intervention drooling medication requirement, post-procedure length of stay, and complications. Results Seventy-one patients were included in our analysis, with 88 total procedures performed. The average age at first intervention was 8.9 years; 43 patients were male and 40 patients had cerebral palsy. -
Reglamento De Certámenes De Morfología Canina (Exposiciones Y Concursos) Aprobado En La Reunión Del Comité De Dirección De La R.S.C.E
REGLAMENTO DE CERTÁMENES DE MORFOLOGÍA CANINA (EXPOSICIONES Y CONCURSOS DE BELLEZA) Aprobado el 23 de mayo de 2018 En vigor desde el 29 de junio de 2018 Contiene anexos 1, 2 y 3 TEXTO CONSOLIDADO Última modificación: 18 de diciembre de 2018 REAL SOCIEDAD CANINA DE ESPAÑA C/ Lagasca, 16 – Bajo Derecha – 28001 Madrid Tfno: 91 426 49 60 - www.rsce.es N.B.: El masculino genérico se aplica al femenino, así como el singular puede tener un sentido de plural o viceversa. I OBJETO Y ÁMBITO DE APLICACIÓN La Real Sociedad Canina de España (R.S.C.E.) organiza certámenes (exposiciones y concursos) de morfología canina, juzgados por jueces cualificados de reconocida experiencia que tienen en cuenta en sus calificaciones las cualidades y posibles defectos de cada uno de los ejemplares exhibidos, con el fin de valorar y seleccionar los ejemplares más representativos de cada una de las razas caninas que puedan ser utilizados para la crianza y contribuir con ello a mejorar las razas puras, teniendo siempre en cuenta su salud, el bienestar animal y la tenencia responsable, y siguiendo los criterios morfológicos, estéticos y de comportamiento establecidos en los estándares de cada raza, aprobados por la Fédération Cynologique Internationale (F.C.I.), y aceptados por la R.S.C.E.; y en el caso de perros de razas puras españolas, por los estándares oficiales publicados en el Anexo al R.D. 558/2001, de 25 de mayo, por el que se regula el reconocimiento oficial de las organizaciones o asociaciones de criadores de raza pura, versión vigente consolidada. -
Oral Complications at the End of Life
CE HOURS Continuing Education1.5 Oral Complications at the End of Life Although dysphagia and stomatitis can have devastating effects on the quality of a patient’s life, there are many ways to manage them. By Constance Dahlin, MSN, APRN, BC, PCM en Eldredge, a 76-year-old retired truck driver, has end-stage heart disease and dementia. In the last year, his health has worsened considerably. He is bedbound, extremely weak, and occasionally short of breath. He has a poor appetite and is losing weight. After an evaluation including a com- plete blood count and computed tomographic scans of the chest and abdomen revealed colon cancer, he received chemotherapy, which ended Ktwo months ago. Mr. Eldredge is being cared for at home by his 75-year- old wife, Jean, and two of their adult children. He complains of dry mouth and says that foods “don’t taste right.” During meals he often coughs and sputters and says his mouth hurts when he eats and that food gets caught in his throat. His wife reports that he often must be coaxed to eat more. Swallowing difficulties (dysphagia) and oral mucosal inflammation (stomatitis) are common in patients who have progressive terminal ill- ness. Perhaps because these conditions are common within the context of a patient’s deconditioning near the end of life, many providers consider them relatively trivial and they’re therefore underreported, underesti- mated, and frequently overlooked for more prominent symptoms such as pain or shortness of breath.1-4 But swallowing difficulties and oral mucosal inflammation can have tremendous adverse consequences for patients and families and should not be dismissed. -
Salivary Gland Disorders and Tumours
Salivary gland disorders and tumours Sumamry This lesson is one we all tend to avoid because most of them sound the same! Hopefully this lesson will help you with clarification. Introduction to Salivary gland disorders and tumours: List of Salivary gland disorders and tumours Viral sialadenitis (mumps) Bacterial sialadenitis Sialosis (sialadenosis) Sialolithiasis Mucocele Acute Necotising Sialometaplasia Tumours: Pleomorphic adenoma Warthins Tumour Mucoepidermoid carcinoma Adenoid cystic carcinoma Acinic cell carcinoma Low-grade polymorphic adenoma Sjogren's syndrome Xerostomia Sialorrhea ReviseDental.com Key words: Sialosis non-pathogenic, non-neoplastic increase in salivary gland size Sialodenitis ductal infection Sialolithiasis duct obstruction Sialectasis cystic widening of the duct Sialorrhea excessive salivation/drooling (1) Acute Viral Sialadenitis Aetiology and epidemiology Common in the childhood disease Mumps caused by the RNA virus Parmyxovirus Typically affects the parotid gland Spread by droplet spread or direct contact 2-3 week incubation period precedes the clinical symptoms Can cause extrasalivary manifestations such as Orchitis Oophoritis Pancreatitis Clinical features Painful Typically bilateral enlargement of parotid glands Skin over the glands is not affected which distinguishes from bacterial sialodenitis Malaise, fever and headaches Histopathology Accumulation of neutrophils and fluid in the lumen of the ductal structures Diagnosis Made on clinical presentation Management FluidsReviseDental.com and medication for