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EMCare is Elsevier's new database on all nursing specialities and
healthcare professions.
EMCare includes coverage of education and training, development and
management, emergency medical services, midwifery, health and health
care economics, clinical medical and health care social work,
psychiatry and mental health, and traumatology, emergency and
critical care medicine.
All specialities of nursing are covered, including (but not limited
to) addictions nursing, coronary care, flight nursing, hospice and
palliative care, neonatal nursing, occupational health,
perioperative nursing, psychiatric nursing, school health nursing,
urologic nursing, burn nursing, community and mental health,
gastroenterology nursing, gynaecologic nursing, HIV/AIDS nursing,
professional home nursing, medical-surgical nursing, obstetric
nursing, paediatric nursing, respiratory nursing and plastic
surgical nursing.
The database provides the full author abstract for about 75% of
articles in all, and about 85% of current articles. Articles are
indexed with EMTREE terms from Elsevier's Life Science Thesaurus,
which has been comprehensively expanded with nursing terms.
DataStar has implemented an online thesaurus in EMCA to help you
find the most appropriate terms for your subject. EMCA also contains
manufacturer and trade names in relevant articles so you use the
techniques you are familiar with in Embase to retrieve information
in EMCA.
EMCare is very current: articles are indexed within 15 days of
receipt and are online very soon after that. Both trade journals and
electronic-only journals from around the world are included. Just
over half the journals in EMCA are shared with Embase; relevant
coverage from Medline is included, and about 67% of CiNahl's
journals are included in EMCA.
Use EMCare to answer questions like:
- what is the best practice in pressure ulcer management?
- what has been published recently on hygiene and MRSA infections?
- how has psychotherapy been used to treat stress disorders in
adolescent victims of terrorist attacks?
Sources:
EMCare has about 2,700 currently published journals, and
a further 900 relevant ceased titles. All active titles are
included cover-to-cover. Books, patents and conference abstracts
are not included. The database includes both print and electronic-
only journals.
Accession number & update
0041443604 20051004.
Title
Effects of motor and sensory stimulation in stroke patients with
long-lasting dysphagia.
Source
Dysphagia, {DYSPHAGIA}, 2004, vol. 19, no. 4, p. 219-230, refs:
27, ISSN: 0179-051X.
Author(s)
Haegg-M, Larsson-B.
Author affiliation
Dr. M. Haegg, Speech and Swallowing Centre, ENT Department,
Hudiksvall Hospital, SE 824 81, Hudiksvall, Sweden.
e-mail: mary.hagg@lg.se.
Abstract
Dysphagia is a common poststroke symptom with negative effects on
recovery and rehabilitation. However, the orofacial regulation
therapy, developed by Castillo Morales, comprising body
regulation and orofacial regulation in combination with a
palatal plate application has shown promising results in stroke
patients. This therapy is based not only on muscle exercises
but also on an improvement of the entire sensory-motor reflex
arc involved in normal deglutition, and on the knowledge that the
function of face and oropharynx at deglutition is closely inter-
related with the entire body posture as well as with appropriate
breathing. The treatment concept is relatively unknown to
caregivers, partly due to lack of scientific evaluation of
treatment results. The present investigation aimed to assess
the effect of motor and sensory stimulation in stroke patients
with dysphagia persisting for more than six months. Seven
patients were evaluated with respect to orofacial and
pharyngeal motility and sensory function before and two weeks
after a five-week treatment period. The evaluation comprised
a swallowing capacity test, a meal observation test, clinical
examination of oral motor and sensory function, a velopharyngeal
closure test, and videofluoroscopy. In addition, the symptoms
were scored by the patients.
An overall single-blind estimation showed objective and
self-assessed swallowing improvement in all seven patients. Kappa
coefficients are calculated on all reliability data, both inter-
and intrarater reliabilities. Sensory and motor stimulation
seems to be a promising therapy in stroke patients with long-
lasting and persistent oropharyngeal dysphagia.
Descriptors
stroke*;
sensory-stimulation*;
motor-system*;
dysphagia*.
muscle-exercise;
sensorimotor-cortex;
swallowing;
motor-performance;
self-evaluation;
medical-assessment;
breathing;
human;
article;
priority-journal.
Language
English.
Language of summary
English.
Publication type
Journal.
Article type
Article.
Country of publication
United States.
CODEN
DYSPE.
Publication year
2004.
Publication date
20040000.
Entry date
Date completed: 20050118.
Copyright statement
Copyright 2005 Elsevier B.V., All rights reserved.
Label/description Example
AN Accession number 1_: 20050018214.AN.
& update 2_: 20051004.AN.
TI Title 3_: SENSORY WITH STIMULATION
WITH STROKE.TI.
TT Title in original language 4_: ATEMFUNKTION.TT.
SO Source 5_: DYSPHAGIA.SO.
6_: RESPIRATORY-MEDICINE.SO.
or 7_: RESPIRATORY.SO.
or 8_: RESPIR-MED
or 9_: ..ROOT RESPIRATORY.SO.
Volume number 10_: VOLUME=19
Issue number 11_: ISSUE=4
Page number 12_: PAGE=219$
ISSN number 13_: 0954-6111
AU Author(s) 14_: HAEGG-M$
or 15_: HAEGG.AU.
or 16_: ..ROOT HAEGG.AU.
IN Author affiliation 17_: HUDIKSVALL.IN.
AB Abstract 18_: DYSPHAGIA WITH RECOVERY
.AB.
Documents with abstracts 19_: ABSTRACT=YES
DE Descriptors 20_: MOTOR-SYSTEM
or 21_: MOTOR ADJ SYSTEM.DE.
Exploded term 22_: PAIN#
MJ Major emphasis of descriptor 23_: STROKE.MJ.
MS Molecular sequence number 24_: X16147.MS.
Gene data status:
Submitted to a Molecular
Sequence Databank 25_: MS=A
Sequence numbers referred
to only 26_: MS=B
MF Manufacturer 27_: BOEHRINGER-MANNHEIM
or BOEHRINGER ADJ MANNHEIM
.MF.
Documents with manufacturer
names 28_: MF=AVAILABLE
TN Tradename 29_: NASACORT.TN.
Documents with tradenames 30_: TN=AVAILABLE
DM Device manufacturer 31_: VENTRITEX.DM.
DN Device tradename 32_: PACESETTER.DN.
LG Language 33_: LG=ENGLISH
..ROOT LG= for a list
LS Language of summary 34_: LS=ENGLISH
PT Publication type 35_: PT=JOURNAL
..ROOT PT= for a list
AT Article type 36_: AT=ARTICLE
..ROOT AT= for a list
CN Country of publication 37_: UNITED ADJ KINGDOM.CN.
CD CODEN 38_: DYSPE
YR Publication year 39_: YEAR=2005
..ROOT YEAR= for a list
DT Publication date 40_: DATE=20050000
Publication month 41_: MONTH=200500
ED Entry date 42_: ED=20050414
Records may be 'completed',
'corrected' or 'replaced' 43_: CORRECTED WITH 2005$.ED.
Replacement records 44_: RT=R
CP Copyright statement 45_: ELSEVIER.CP.
Review articles 46_: REVIEW=YES
Priority journals 47_: PRIORITY=YES
Documents relating to:
humans 48_: HUMAN=YES
animals 49_: ANIMAL=YES
females 50_: FEMALE=YES
males 51_: MALE=YES
adults 52_: ADULT=YES
children 53_: CHILD=YES
1_: DULOXETINE SAME NAUSEA.TI,
DE.
YEAR Publication year YYYY 2_: ..L 1 YEAR>2003
UMONTH Update month YYYYMM 3_: ..L 1 UMONTH WL 200306,
200512
UDATE Update date YYYYMMDD 4_: ..L 1 UDATE>20050101
Tags - HUMAN, ANIMAL, FEMALE, MALE,
ADULT, CHILD, PRIORITY (Journal), 5_: ..L 1 HUMAN=Y
REVIEW
By paragraph - title _: ..P TI 1,3,5-10
SHORT AN TI TT CF SO AU IN YR
MEDIUM AN TI TT CF SO AU IN AB LG YR
LONG AN TI TT CF SO AU IN AB DE RN MS TN MF DN DM LG ED YR
ALL AN TI TT CF SO AU IN AB DE MJ MN RN MS MF TN DM DN LG LS PT
AT CN CD YR DT ED CP YR
KWIC Context of search terms from AB paragraph
FREE AN TI TT CF DE RN LG PT CN YR DT ED CP
_: ..P MEDIUM 1-5.
The EMTREE Life Science Thesaurus
The DE paragraph contains descriptors from the EMTREE Thesaurus,
which consists of almost 40,000 controlled drug and medical terms.
EMTREE is available in hard copy (see Search Aids) and online
(..THES, ..TREE and ..EXPL and in database EVOC).
EMTREE descriptors are arranged hierarchically in subject
categories. You can search for any term in the usual ways, e.g.:
1_: BACTERIUM.DE.
2_: MULTIPLE-SCLEROSIS
3_: MULTIPLE ADJ SCLEROSIS.DE.
To retrieve terms which have major emphasis in the article, use .MJ.
e.g.:
4_: MULTIPLE-SCLEROSIS.MJ.
You can search for whole sections of the hierarchy, or 'exploded'
terms using the hash sign, e.g.:
4_: ANTIINFECTIVE-AGENT#
Use the online EMTREE thesaurus to look up the descriptor term(s)
you need. Type ..THES and your term, e.g.:
5_: ..THES LUPUS
THES LUPUS$
R1 1 LUPUS-ANTICOAGULANT
R2 LUPUS-ERYTHEMATODES --> LUPUS-ERYTHEMATOSUS
R3 LUPUS-ERYTHEMATODES-DISSEMINATUS --> SYSTEMIC-LUPUS-ERY+
R4 LUPUS-ERYTHEMATOSIS --> LUPUS-ERYTHEMATOSUS
R5 # 4 LUPUS-ERYTHEMATOSUS
R6 LUPUS-ERYTHEMATOSUS-CHRONIC-DISCOID --> DISCOID-LUPUS-E+
R7 LUPUS-ERYTHEMATOSUS-DISCOIDES --> DISCOID-LUPUS-ERYTHEM+
(...)
The hash sign (see R5) indicates that the descriptor is explodable.
The number (see R1, R5) shows the number of different sections of the
hierarchy in which the term occurs. The terms indicated with an
arrow (-->) are descriptors (see R2-R4).
Use ..TREE to display the hierarchy for the term in which you are
interested.
5_: ..TREE R2
T1 # . PHYSICAL-DISEASE-BY-ANATOMICAL-STRUCTURE#
T2 # .. CONNECTIVE-TISSUE-DISEASE
T3 # ... COLLAGEN-DISEASE
T4 # .... SYSTEMIC-LUPUS-ERYTHEMATOSUS
T5 ..... LUPUS-ERYTHEMATOSUS
T6 # . PHYSICAL-DISEASE-BY-ANATOMICAL-STRUCTURE#
T7 # .. SKIN-DISEASE
T8 # ... CONNECTIVE-TISSUE-DISEASES-AFFECTING-THE-SKIN#
T9 # .... LUPUS-ERYTHEMATOSUS
T10 ..... DISCOID-LUPUS-ERYTHEMATOSUS
(...)
Use the hash symbol to explode the term and retrieve all narrower
terms below the selected term in the hierarchy.
Either enter the term# or the T number#, e.g.:
6_: SKIN-DISEASE#
7_: T7#
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