Academic literature on the topic 'GUSS screening'
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Journal articles on the topic "GUSS screening"
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Lee, Seon Heui. "PP80 A Systematic Review Of The Gugging Swallowing Screen For Assessing Dysphagia." International Journal of Technology Assessment in Health Care 35, S1 (2019): 52–53. http://dx.doi.org/10.1017/s026646231900223x.
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IntroductionDysphagia is a clinical burden that can lead to serious complications like aspiration and pneumonia. Complications often result in longer hospital stays or an increased mortality rates. The Gugging Swallowing Screen (GUSS) assesses swallowing ability in patients by allowing separate evaluations for non-fluid and fluid textures, and is a potentially useful tool for determining the risk of aspiration and dysphagia. The purpose of this study is to analyze the validity and effectiveness of GUSS for dysphagia screening.MethodsWe conducted a systematic review by searching the following electronic databases: Medline, EMBASE, The Cochrane Library, KoreaMed, the Research Information Sharing Service, and the Korean Studies Information Service System. We included studies related to dysphagia screening with GUSS that were published in English or Korean up to November 2018.ResultsOf 297 unique studies identified, 219 were reviewed by two independent reviewers. Finally, eight articles were identified as being relevant for this study. With regard to validity, GUSS had a sensitivity ranging from 90 to 100 percent and a specificity of between 50 and 88 percent. In addition, GUSS results significantly correlated with the results of the videofluoroscopic swallow study and the fiberoptic endoscopic evaluation of swallowing. In terms of effectiveness, early systematic dysphagia screening with GUSS by nurses reduced the duration of screening and rate of pneumonia, compared with the control group (p = 0.004). The incidence of X-ray verified pneumonia in the GUSS group was also significantly lower than in the clinical screening group (p < 0.01), although there was no difference in the occurrence of pneumonia, compared with the 10 mL water swallowing test.ConclusionsResults showed that GUSS is a reliable and sensitive tool for screening patients for dysphagia. This early and systematic assessment can reduce the occurrence of aspiration and pneumonia, although further research is needed to establish the effectiveness of GUSS.
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John, Jennilee St, and Linley Berger. "Using the Gugging Swallowing Screen (GUSS) for Dysphagia Screening in Acute Stroke Patients." Journal of Continuing Education in Nursing 46, no. 3 (March 1, 2015): 103–4. http://dx.doi.org/10.3928/00220124-20150220-12.
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Śledzik, Amelia, and Paweł Szlendak. "DYSPHAGIA IN NEUROLOGICAL DISORDERS." Wiadomości Lekarskie 73, no. 9 (2020): 1848–52. http://dx.doi.org/10.36740/wlek202009108.
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Introduction: Neurogenic dysphagia is a frequent disorder affecting people with neurological diseases. Many experts work together to diagnose and treat dysphagia. The aim: The article focuses on the specificity of neurogenic dysphagia, its symptoms and treatment possibilities. The speech pathologist can be included in the diagnostic process and can evaluate the intake of liquids and foods based on a variety of consistency tests. In clinical conditions, screening tests such as water swallowing test, multiple consistency tests: GUSS (Gugging Swallowing Screen), V-VST (Volume-Viscosity Swallow Test) and EAT-10 questionnaire can be used successfully. If you have limited ability to perform instrumental tests, they can help you to expand your diagnosis. Review and Discussion:Treatment of swallowing disorders is based on a daily modification of the patient’s posture and consistency of the eaten meals. Nursing staff are involved in this adaptation activity, which plays an invaluable role in the diagnosis and treatment of patients in neurological and rehabilitation departments. Conclusions: Despite the knowledge of the problem, difficulty swallowing is still unnoticed. The effects of this neglect are felt both for patients and from the perspective of management within treatment units For people suffering from neurological diseases, swallowing disorders should be diagnosed on a compulsory basis and their assessment should be a permanent part of the standard procedures for assessing patients with neurological deficits.
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Giannantoni, N. M., M. Minisci, V. Brunetti, E. Scarano, E. Testani, C. Vollono, E. De Corso, G. Bastanza, L. D'Alatri, and G. Della Marca. "Valutazione dell'attività muscolare faringea attraverso elettromiografia di superficie nasofaringea in pazienti disfagici affetti da ictus ischemico acuto." Acta Otorhinolaryngologica Italica 36, no. 4 (August 2016): 295–99. http://dx.doi.org/10.14639/0392-100x-1124.
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La disfagia orofaringea è spesso presente durante la fase acuta di un ictus. Lo scopo di questo lavoro è stato quello di valutare se la registrazione elettromiografica di superficie tramite un elettrodo nasofaringeo può essere impiegata per testare l'attività muscolare del faringe nei pazienti con ictus acuto e se queste misurazioni elettrofisiologiche possono essere correlate con la valutazione clinica della deglutizione. Dal punto di vista clinico la severità del quadro è stata valutata mediante l'utilizzo della scala del National Institute of Health Stroke (NIHSS); la disfagia è stata valutata mediante il test di screening Gugging Swallowing Scale (GUSS); l'estensione della lesione ischemica alla TAC è stata misurata attraverso l'Alberta Stroke Programme Early CT Score (ASPECTS). Abbiamo valutato 70 pazienti di cui 50 disfagici (Dys+), e 20 non disfagici (Dys). Ciascun partecipante è stato sottoposto a un'elettromiografia di superficie registrata mediante un elettrodo NP costituito da un catetere di Teflon isolato in acciaio (lungo 16 cm e con un diametro in punta di 1,5 mm). L'elettrodo è stato inserito attraverso la cavità nasale, ruotato e posizionato approssimativamente 3 mm antero-inferiormente rispetto alla volta salpingo-palatina. Per ogni partecipante sono state registrate ed analizzate le risposte elettromiografiche di almeno quattro deglutizioni volontarie ripetute. La deglutizione induce sempre all'elettromiografia burst ripetitivi e polifasici di durata compresa fra 0,25 e 1 secondo, con un'ampiezza intorno ai 100-600mV. I disfagici hanno mostrano una maggiore durata del burst rilevato all'elettromiografia rispetto ai non disfagici, con una differenza statisticamente significativa (p < 0,001), ma non hanno mostrano differenze in termini di ampiezza del burst stesso (p = 0,775); quest'ultima invece era inversamente correlata con lo NIHSS score [r(48) = 0,31; p < 0,05)] e con lo ASPECTS score [r(48) = 0,27; p < 0,05]. Questi risultati suggeriscono che le registrazioni nasofaringee possono rappresentare un indice semi-quantitativo delle difficoltà deglutitorie secondarie a disfunzione faringea ed in particolare, i risultati dell'elettromiografia sarebbero indicativi di una ridotta motilità faringea durante la fase acuta di un ictus.
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Gritskevich, M. S., K. I. Logachev, O. A. Averkova, and V. A. Tkachenko. "Numerical study of the dust-air current around the spherical suction unit screened by the circular swirling jet. Part 1. Air-jet currents." NOVYE OGNEUPORY (NEW REFRACTORIES), no. 8 (December 27, 2018): 66–69. http://dx.doi.org/10.17073/1683-4518-2018-8-66-69.
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The hazardous substances screening by means of the local suction ventilation which element is the local suction gun is regarded in the article. The influence was investigated of the size ratio between the suction gun and he ring opening dimensions, as well as of the drawn in-incoming air ratio on both of the suction gun's air gripping distance and on the dust flow reducing in the local closed type suction guns. The local suction guns were regarded in the unrestricted, half-restricted and restricted spaces.Ill.3. Ref. 20.
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Martirani, Luca, Jiri Stiller, Rossana Mirabella, Flora Alfano, Alessandro Lamberti, Simona E. Radutoiu, Maurizio Iaccarino, Peter M. Gresshoff, and Maurizio Chiurazzi. "T-DNA Tagging of Nodulation- and Root-Related Genes in Lotus japonicus: Expression Patterns and Potential for Promoter Trapping and Insertional Mutagenesis." Molecular Plant-Microbe Interactions® 12, no. 4 (April 1999): 275–84. http://dx.doi.org/10.1094/mpmi.1999.12.4.275.
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High-efficiency transformation of the autogamous diploid legume Lotus japonicus by means of Agrobacterium rhizogenes was used to develop plant lines expressing a promoter-less gusA gene in a nodulation- or lateral root-associated manner. The approach exploits the putatively preferential integration of T-DNA into actively transcribed regions, thereby providing an enrichment for gene tagging events associated with the quickly assayable activation of a gusA promoter-less construct. Taking advantage of this enrichment and selection strategy, a T-DNA tagging program was initiated and screening for β-glucuronidase (GUS) activity was performed on root clones isolated after transformation with a gusA-promoter-less binary vector. The aim of this approach is the identification of genes involved in nodule formation induced by Mesorhizobium loti, lateral root organogenesis, and the eventual isolation of corresponding mutants. A large collection (220) of GUS-positive transformants showing a variety of expression patterns in different regions of roots and nodules was obtained; a preliminary molecular characterization of these plants is presented.
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Guzzo, Julie, and Michael S. Dubow. "A Novel Selenite- and Tellurite-Inducible Gene inEscherichia coli." Applied and Environmental Microbiology 66, no. 11 (November 1, 2000): 4972–78. http://dx.doi.org/10.1128/aem.66.11.4972-4978.2000.
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ABSTRACT Selenium is both an essential and a toxic trace element, and the range of concentrations between the two is extremely narrow. Although tellurium is not essential and is only rarely found in the environment, it is considered to be extremely toxic. Several hypotheses have been proposed to account for the toxic effects of selenite and tellurite. However, these potential mechanisms have yet to be fully substantiated. Through screening of an Escherichia coli luxABtranscriptional gene fusion library, we identified a clone whose luminescence increased in the presence of increasing concentrations of sodium selenite or sodium tellurite. Cloning and sequencing of theluxAB junction revealed that the fusion had occurred in a previously uncharacterized open reading frame, termed o393or yhfC, which we have now designated gutS, for gene up-regulated by tellurite and selenite. Transcription fromgutS in the presence of selenite or tellurite was confirmed by RNA dot blot analysis. In vivo expression of the GutS polypeptide, using the pET expression system, revealed a polypeptide of approximately 43 kDa, in good agreement with its predicted molecular mass. Although the function of GutS remains to be elucidated, homology searches as well as protein motif and secondary-structure analyses have provided clues which may implicate GutS in transport in response to selenite and tellurite.
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Ibrahim, Mohammed, Md Ruhul Kuddus, Md Aslam Hossain, Muhammad Abdullah Al Mansur, and Mohammad A. Rashid. "Preliminary Phytochemical Screenings and Pharmacological Activities of Three Medicinal Plants of Bangladesh." Dhaka University Journal of Pharmaceutical Sciences 16, no. 2 (January 10, 2018): 195–203. http://dx.doi.org/10.3329/dujps.v16i2.35257.
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The present study was designed to evaluate the preliminary phytochemical screening and antimicrobial, antidiarrheal, anti-inflammatory, analgesic, antipyretic, anxiolytic, thrombolytic and membrane stabilizing properties of the methanolic extract of three medicinal plants Perilla ocymoides L., Murraya koenigii (Linn.) Spreng., Baliospermum montanum (Wild.) Muell growing in Bangladesh. In antimicrobial test, maximum zone of inhibition was found against Salmonella typhi (18.0 mm) and Escherichia coli (17.0 mm) by B. montanum extract. In the castor oil-induced antidiarrheal assay, the methanol extract of M. koenigii showed maximum 50% inhibition of defecation. During in-vitro anti-inflammatory test, the methanol extract of B. montanum at 500 μg/ml, b.w. revealed 39.62% inhibition of protein denaturation. Due to analgesia, the M. koenigii extract showed 53.29% inhibition of acetic acidinduced writhing reflex in experimental mice. Antipyretic effect of P. ocymoides, M. Koenigii and B. montanum extractives was assessed by Brewer’s yeast-induced pyrexia in mice. The B. montanum extract possesses significant anxiolytic effect that was evidenced by both hole cross test and open field test in mice. In thrombolytic assay, the highest activity (57.81%) was observed by B. montanum extract. Results of the preliminary phytochemical screenings demonstrated the presence of alkaloids, glycosides, flavonoids, reducing sugars, gums etc.Dhaka Univ. J. Pharm. Sci. 16(2): 195-203, 2017 (December)
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Liu, Yang, Fan Yi, Arun Babu Kumar, Naveen Kumar Chennamaneni, Xinying Hong, C. Ronald Scott, Michael H. Gelb, and Frantisek Turecek. "Multiplex Tandem Mass Spectrometry Enzymatic Activity Assay for Newborn Screening of the Mucopolysaccharidoses and Type 2 Neuronal Ceroid Lipofuscinosis." Clinical Chemistry 63, no. 6 (June 1, 2017): 1118–26. http://dx.doi.org/10.1373/clinchem.2016.269167.
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Abstract BACKGROUND We expanded the use of tandem mass spectrometry combined with liquid chromatography (LC-MS/MS) for multiplex newborn screening of seven lysosomal enzymes in dried blood spots (DBS). The new assays are for enzymes responsible for the mucopolysaccharidoses (MPS-I, -II, -IIIB, -IVA, -VI, and -VII) and type 2 neuronal ceroid lipofuscinosis (LINCL). METHODS New substrates were prepared and characterized for tripeptidyl peptidase 1 (TPP1), α-N-acetylglucosaminidase (NAGLU), and lysosomal β-glucuronidase (GUSB). These assays were combined with previously developed assays to provide a multiplex LC-MS/MS assay of 7 lysosomal storage diseases. Multiple reaction monitoring of ion dissociations for enzyme products and deuterium-labeled internal standards was used to quantify the enzyme activities. RESULTS Deidentified DBS samples from 62 nonaffected newborns were analyzed to simultaneously determine (run time 2 min per DBS) the activities of TPP1, NAGLU, and GUSB, along with those for α-iduronidase (IDUA), iduronate-2-sulfatase (I2S), N-acetylgalactosamine-6-sulfatase (GALNS), and N-acetylgalactosamine-4-sulfatase (ARSB). The activities measured in the 7-plex format showed assay response-to-blank-activity ratios (analytical ranges) of 102–909 that clearly separated healthy infants from affected children. CONCLUSIONS The new multiplex assay provides a robust comprehensive newborn screening assay for the mucopolysaccharidoses. The method has been expanded to include additional lysosomal storage diseases.
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Margariti, Charikleia, Maria Kordowicz, Gillian Selman, Arjun Nair, Yvonne Akande, Azhar Saleem, and Tiago Rua. "Healthcare professionals’ perspectives on lung cancer screening in the UK: a qualitative study." BJGP Open 4, no. 3 (June 10, 2020): bjgpopen20X101035. http://dx.doi.org/10.3399/bjgpopen20x101035.
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BackgroundLung cancer screening with low-dose computed tomography (LDCT) has been shown to decrease mortality. Low lung cancer survival rates in the UK, driven primarily by late-stage presentation, provide the impetus for implementing screening. Nascent guidance on screening in the UK recommends primary care case-finding. However, the potential impact and acceptability on primary care, and the opportunistic utilisation of other case-finding routes, such as pharmacies, smoking cessation services, and respiratory clinics, have not been fully explored.AimTo explore healthcare professionals’ views and perspectives about lung cancer screening and their preparedness and willingness to be involved in its implementation.Design & settingA qualitative study was carried out with semi-structured interviews conducted with GPs, pharmacists, staff from smoking cessation services within Southwark and Lambeth in London, and staff from respiratory clinics in Guys’ and St Thomas’ NHS Foundation Trust in London between April 2018 and December 2018.MethodSixteen participants were interviewed and the interview transcripts were analysed thematically.ResultsParticipants described lung cancer screening as an important diagnostic tool for capturing lung cancer at an earlier stage and in increasing survivorship. However, the majority expressed a lack of awareness and understanding, uncertainty and concerns about the validity of screening, and the potential impact on their patients and workload.ConclusionStudy participants had mixed opinions about lung cancer screening and expressed their concerns about its implementation. Addressing these concerns by providing resources and effective and detailed guidelines for their use may lead to greater engagement and willingness to be involved in lung cancer screening.
Dissertations / Theses on the topic "GUSS screening"
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Sun, Xin. "Characterization of an auxin- and abscisic acid-inducible reporter gene : Dc3-GUS in reported auxin mutants, and mutant screening based on auxin responsive Dc3-GUS expression /." View Abstract or Full-Text, 2003. http://library.ust.hk/cgi/db/thesis.pl?BIOL%202003%20SUN.
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Moon, Jaewoong. "Transcriptional regulation in cowpea bruchid guts during adaptation to a plant defense protease inhibitor and screening of mutants that are altered in jasmonate-regulated signal transduction pathways using Arabidopsis thaliana." [College Station, Tex. : Texas A&M University, 2006. http://hdl.handle.net/1969.1/ETD-TAMU-1160.
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Conrad, Matthew. "Experimental investigations and theoretical modeling of large area maskless photopolymerization with grayscale exposure." Thesis, Georgia Institute of Technology, 2011. http://hdl.handle.net/1853/45965.
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Large Area Maskless Photopolymerization (LAMP) is a technology being developed to fabricate integrally-cored ceramic molds for the investment casting of turbine airfoils. In LAMP, ultraviolet (UV) light in the form of bitmap images is projected from a spatial light modulator (SLM) onto a photocurable ceramic material system (PCMS). Exposed and unexposed regions are determined through black and white portions of the bitmaps, respectively. UV light induces photopolymerization and the formation of an insoluble solidified network. Three-dimensional structures are built layer-by-layer through sequential application and curing of PCMS layers of 100 micron thickness. To date, ceramic molds fabricated using LAMP have been successfully implemented in investment casting of single-crystal turbine airfoils without internal cooling schemes. Two particularly important challenges for the fabrication of airfoil molds with internal cooling passages are: (a) fabrication of unsupported structures in the mold geometry and; (b) mitigation of internal stresses that arise during layer-by-layer build-up due to volumetric shrinkage during photopolymerization. Unsupported geometries arise in nearly every cored airfoil mold and often in a location where support structures cannot be easily removed after fabrication. Internal stresses generated by volumetric shrinkage can lead to cracking during binder burnout (BBO), sintering and casting. This thesis aims to simultaneously address these challenges through the investigation of grayscale exposure to control the degree of monomer conversion during photopolymerization of single and multiple layers. The effective intensity of the UV light incident on the monomer system can be reduced by selectively turning off pixels within the nominally "white" or "on" regions of the projected bitmaps, effectively producing an exposure with a lower light intensity. In an effort to reduce internal stresses in the mold, the grayscale exposure can be tuned to create regions of uncured or partially cured monomer within the mold geometry to reduce the connectivity between cured regions and thus reduce the net effect of volumetric shrinkage. Grayscale exposure can also be used to generate support structures with a low degree of polymerization to create a gel state beneath and surrounding the unsupported segments of the mold, which can be washed away after completion of mold fabrication. In order to successfully utilize grayscale techniques in LAMP, the cure depth must be predicted. This is accomplished through cure depth measurements at different exposure times to develop a "working curve." In addition, the degree of monomer conversion and its relation to cure depths resulting from grayscale exposure must be understood. Measurements of the degree of conversion are obtained through Fourier Transform Infrared spectroscopy (FTIR). Empirical models are developed and compared to theoretical predictions. Also, the scattering length pixelation model is introduced as a technique to predict the light intensity distribution within the PCMS for exposure patterns at multiple length scales. Results from these grayscale investigations are then applied to LAMP and the effectiveness of grayscale to fabricate unsupported geometries and internal stresses from volumetric shrinkage is discussed.
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Broecker, Sebastian. "Aufbau und Anwendung einer Methode zur Identifizierung und Quantifizierung von Giften und deren Metaboliten in Blut und Haaren in der Systematischen Toxikologischen Analyse mittels Flüssigchromatographie-Quadrupol-Flugzeitmassenspektrometrie-Kopplung (LC-QTOF-MS)." Doctoral thesis, Humboldt-Universität zu Berlin, Mathematisch-Naturwissenschaftliche Fakultät I, 2012. http://dx.doi.org/10.18452/16461.
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Die Systematische Toxikologische Analyse (STA) stellt auf Grund der großen Vielfalt und der ständigen Zunahme an toxikologisch relevanten Substanzen eine der größten Herausforderungen in der chemischen Analyse dar. In der vorliegenden Arbeit wurde daher die Eignung der Flüssigchromatographie in Kombination mit der Hybrid-Quadrupol-Flugzeitmassenspektrometrie (LC-QTOF-MS) für diesen Zweck untersucht. Dazu wurden eine Datenbank mit über 7360 und eine CID-Spektrenbibliothek mit mehr als 2720 toxikologisch relevanten Substanzen erstellt und geeignete Probenvorbereitungsmethoden entwickelt. Die Erprobung der Methoden erfolgte an dotierten Blut- und Haarproben. Hierbei zeigte sich, dass die Analyse im Auto-MS/MS-Modus (Messzyklen von MS- und MS/MS-Spektren) eine Identifizierung basischer Substanzen mittels CID-Spektren zwischen 0,5 und 2 ng/ml im Blut ermöglichte. Die Nachweisgrenzen der für 24 Wirkstoffe validierten Methode in Haaren lagen bei 3 bis 15 pg/mg. Die Eignung der LC-QTOF-MS zur STA von Haarproben wurde an 30 Drogentodesfällen und 60 Todesfällen mit bekannter chronischer Medikamenteneinnahme zu Lebzeiten sowie an 77 Blutproben nachgewiesen. Für die Suche nach Metaboliten wurde ein Metaboliten-Tool entwickelt. In der praktischen Anwendung auf Datenfiles von Blut- und Haarproben erwies sich das Tool als wertvolles Hilfsmittel zur Identifizierung unbekannter Peaks und zur Bestätigung von Suchergebnissen in der Datenbank. Zur automatischen Konzentrationsabschätzung identifizierter Substanzen wurde ein Tool „Estimate Concentration“ geschaffen. Die Überprüfung des Verfahrens an realen Blut- und Haarproben durch Vergleich mit HPLC-DAD- und GC-MS-Ergebnissen wies eine gute Übereinstimmung der Konzentrationen auf. Insgesamt zeigten die Untersuchungen, dass die LC-QTOF-MS zurzeit die am besten geeignete Methode für die STA darstellt. Auch bei einem erst später aufkommenden Verdacht kann eine gezielte Suche in dem bereits gemessenen Datenfile durchgeführt werden.Due to the large variety and the steady increase of toxicologically relevant substances, systematic toxicological analysis (STA) is one of the most difficult tasks in analytical chemistry and, therefore, a steady topic of research and methodical improvement. For this reason, the suitability of liquid chromatography in combination with hybrid quadrupole time-of-flight mass spectrometry (LC-QTOF-MS) for STA was investigated. For this purpose, a database of more than 7360 and a CID spectra library of more than 2720 toxicologically relevant substances and suitable methods for sample preparation were developed. The application was evaluated at spiked blood and hair samples. It was found that the analysis in Auto-MS/MS mode (alternating measurement cycles of MS and MS/MS spectra) allowed substance identification in blood using CID spectra between 0.5 and 2 ng/ml for basic substances. The detection limits of the validated method in hair ranged from 3 to 15 pg/mg for 24 drugs. The suitability of LC-QTOF-MS for STA was tested for hair samples from 30 drug-related death cases and from 60 death cases with known chronic medication as well as for 77 blood samples. For the search of metabolites, a metabolite tool was developed. In the practical application to data files from blood and hair samples, the tool proved to be very helpful for identification of unknown peaks and for confirmation of results obtained only from the database without CID spectra. A tool "Estimate Concentration" was created for automatic estimation of concentrations of identified substances. The application to real blood and hair samples and the comparison of the concentrations with results from HPLC-DAD and GC-MS showed good agreement. Overall, these investigations showed that LC-QTOF-MS is currently the most favorable method for STA. Because of the comprehensive registration of all substances in a sample, the data files can be checked for the presence of certain poisons even later without new measurements.
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Šmídová, Michaela. "Zhodnocení využití GUSS testu u pacientů s poruchou polykání po cévní mozkové příhodě." Master's thesis, 2017. http://www.nusl.cz/ntk/nusl-358473.
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(v AJ) Nursing care for patients with dysphagia after stroke is nowadays a very serious problem. This disease is particularly dangerous for patients because of the risk of imminent aspiration pneumonia. In 2015, Czech Republic has developed a standard treatment plan for patients with dysphagia after stroke and following this plan a new screening method was put into practice, which would prevent aspiration pneumonia (Salt, 2015). This method is called THE GUGGING SWALLOWING SCREEN - GUSS test. After a positive GUSS test result a standardized nursing care should follow, which would involve the whole medical team (doctors, health nurses, speech therapists, physiotherapists and orderly). The aim of this work is to verify whether the GUSS test and subsequently the determined process of the standard treatment together with the nursing care meets and the needs of the nurses. Another objective is to verify whether the nurses would want to add, innovate or make necessary updates based on the already acquired experiences. Furthermore, taking into consideration the frequent collaboration of nurses with the speech therapists, this study also aims to evaluate and asses the cooperation between nurses and the speech therapists. The work also evaluates the effectiveness of the use of GUSS test in providing nursing...
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Šišková, Ivana. "Potřeba nutriční intervence u pacientů po cévní mozkové příhodě." Master's thesis, 2017. http://www.nusl.cz/ntk/nusl-357810.
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Need of nutritional intervention in patients after stroke Summary Aims: To identify how many patients after acute stroke have accurate oral intake of energy and proteins and how is this condition changed after one month of hospitalization. To evaluate the association between dysphagia and food intake. Methods: The evaluation was conducted by observations of food intake, eaten food records, calculating of energy and nutrients intake and comparing to needed energy (by Harris-Benedicts equation) and proteins. GUSS screening tool was used to evaluation of swallowing, ADL test for self-sufficiency assessment. Data included antropometrical indicators (weight, height, arm circumference) and nutritional screenings in Thomayer hospital in Prague. Results: Of the 35 patients, 54 % had adequate oral intake of energy and 23 % adequate intake of proteins in the first week after stroke. Adequate oral intake of energy was indicated in 66 % of patients and adequate intake of proteins in 11 % after one month of hospitalization. There were no significant improvements of oral energy intake (p=0,2891, α=0,05) or protein intake (p=0,1336, α=0,05) after one month of hospitalization. 84,4 % of patients suffered from dysphagia in first week after stroke and 60,6 % after one month of hospitalization. Correlation between inadequate...
Books on the topic "GUSS screening"
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Right Person, Right Job: Guess or Know--The Breakthrough Technologies of Performance Information, 2nd Edition. 2nd ed. HRD Press, Inc., 2003.
Find full textBook chapters on the topic "GUSS screening"
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"Appendix A. Screening Interview Questions." In Guys, Gangs, and Girlfriend Abuse, 205–16. Toronto: University of Toronto Press, 2000. http://dx.doi.org/10.3138/9781442602656-009.
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"Chapter 2. Laying the Foundations: The Screening Interviews." In Guys, Gangs, and Girlfriend Abuse, 45–64. Toronto: University of Toronto Press, 2000. http://dx.doi.org/10.3138/9781442602656-004.
Full textConference papers on the topic "GUSS screening"
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Abdul Razak, Mohamad Anas, Ahmad Zawawi Abdul Rajab, Jay Sern Chew, John Brian Chesson, and Susin Lim. "Pushing the Operational Envelope of a Cap-Rock Restoration Campaign Utilizing Perforate Wash Cement Technology and a Hydraulic Work Over Unit Offshore Malaysia." In International Petroleum Technology Conference. IPTC, 2021. http://dx.doi.org/10.2523/iptc-21367-ms.
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Abstract Malaysia's government recognizes the high risk that aging idle wells pose to its health, safety and environment and has developed some of the most stringent plug and abandonment, P&A, regulations to protect its future. Corroded casing strings and sustained casing pressure are common issues on its multi-decade old platforms and a risk-based design philosophy has been adopted to balance risk mitigation and operational costs, while still ensuring an eternal barrier. Both conventional rigs as well as rigless hydraulic workover units, HWU, are being used for P&A operations. This study considers the barrier element rationale applied in four offshore wells that were plug and abandoned by cap-rock restoration Perforate, Wash, Cement, PWC, barrier plugs. It also considers the operating window of a jet-based PWC technology to understand the challenges and opportunities for further optimization during HWU operations. Cap rock restoration utilizing both cup-based and jet-based PWC technology is being widely applied throughout Malaysia as a cost-effective alternative to casing section milled barrier plugs. Malaysia's P&A regulation allows isolation at the cap rock level, whereby "Contractor shall adhere to the Cap-Rock Abandonment Applicability Flowchart to identify technically and commercially acceptable candidates for this well abandonment method." The PWC method enables cap rock restoration in a single trip process; whereby the casing annulus is accessed by TCP guns to allow for annular debris to be effectively washed prior to cement plug placement. The process is not limited only to TCP guns; as a mechanical casing perforator was utilized in a shallow cased hole section of one of the wells to avoid damaging the outer casing. A custom BHA was developed and tested to match the cuts from the mechanical perforator. Specially oriented, rotating, wash jets were configured to maximize the annular access during the washing process. The washing effectiveness of this new BHA was confirmed by the massive amount of annular debris that was observed over the surface shakers. Operations were conducted offshore with a HWU with limited infrastructure and operating capability compared to a conventional rig. A PWC candidate screening matrix was applied early during the planning phase to manage rig limitation, well condition and operational risk to ensure successful barrier placement. All cap rock barriers were successfully installed and tested, and no sustained annular pressure remained in any of the wells. Fewer PWC plugs were required than originally planned, due to strict adherence to the Caprock Restoration Plan Decision Tree, resulting in significant cost savings for the project. The detailed time breakdown of the HWU operations provides useful insight into the operational efficiencies and unplanned events during the HWU campaign and lessons learned are shared from the project.