Assessing the Feasibility of Using the Ketogenic Diet in Autism Spectrum Disorder

alexandrossfakianakis shared this article with you from Inoreader Assessing the Feasibility of Using the Ketogenic Diet in Autism Spectrum Disorder via Journal of Human Nutrition and Dietetics Abstract Evidence demonstrating efficacy of dietary interventions for autism spectrum disorder (ASD) remains inconsistent. Recent research on the ketogenic diet (KD) for the treatment of ASD has suggested benefit. Children with ASD often demonstrate ritualized food specific behaviors, taste and texture aversions, and an increased prevalence of food restrictions and allergies. There is a need to investigate how these features contribute to initiation and adherence of the KD. Two surveys were administered to assess the feasibility of utilizing the KD for ASD. First, paper surveys were given to caregivers of children presenting to outpatient neurology clinics. Next, experienced clinicians were recruited and surveyed online using Redcap. χ2 analysis was used to compare ASD and non ASD caregiver responses. Descriptive metrics were used to present clinician responses. Responses to each question were evaluated individually. This article is protected by copyright. All rights reserved. View on Web

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Asymptomatic Patients and Rising Incidence of Thyroid Cancer

alexandrossfakianakis shared this article with you from Inoreader Asymptomatic Patients and Rising Incidence of Thyroid Cancer via JAMA Otolaryngology–Head & Neck Surgery Current Issue To the Editor The overdiagnosis of thyroid cancer has been a global public health problem. We read the recent study by Sajisevi et al in which the authors retrospectively analyzed data from 1328 patients who underwent thyroid-directed surgery and suggested limiting overtreatment of asymptomatic thyroid cancer. Herein, we raise several concerns. View on Web

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Delayed-Onset Bilateral Vocal Fold Paralysis After Surgery

alexandrossfakianakis shared this article with you from Inoreader Delayed-Onset Bilateral Vocal Fold Paralysis After Surgery via JAMA Otolaryngology–Head & Neck Surgery Current Issue A 68-year-old man with heart disease and obesity who had undergone surgery for cervical spondylotic myelopathy presented with difficulty breathing. What is your diagnosis? View on Web

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Optimizing the Assessment of Olfactory Dysfunction

alexandrossfakianakis shared this article with you from Inoreader Optimizing the Assessment of Olfactory Dysfunction via JAMA Otolaryngology–Head & Neck Surgery Current Issue In this issue of JAMA Otolaryngology–Head & Neck Surgery, Lee et al report their development and validation of a novel patient-reported outcome measure (PROM) of smell loss–related quality of life, the 28-item Olfactory Dysfunction Outcomes Rating (ODOR). ODOR represents a visually appealing, straightforward, concise, and patient-centered instrument to assess the physical problems, functional limitations, and emotional consequences of olfactory dysfunction. View on Web

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Tonsillectomy vs Modified Uvulopalatopharyngoplasty for Hypertrophy and Obstructive Sleep Apnea

alexandrossfakianakis shared this article with you from Inoreader Tonsillectomy vs Modified Uvulopalatopharyngoplasty for Hypertrophy and Obstructive Sleep Apnea via JAMA Otolaryngology–Head & Neck Surgery Current Issue This randomized clinical trial examines whether modified uvulopalatopharyngoplasty is more effective than tonsillectomy alone for treating adults with tonsillar hypertrophy and moderate to severe obstructive sleep apnea. View on Web

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Development of the Taste And Smell Tool for Evaluation

alexandrossfakianakis shared this article with you from Inoreader Development of the Taste And Smell Tool for Evaluation via JAMA Otolaryngology–Head & Neck Surgery Current Issue This survey study develops and validates an instrument wit h all relevant domains concerning chemosensory dysfunction and quality of life using modern psychometrics. View on Web

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American Thyroid Association Guidelines and Management of Papillary Thyroid Carcinoma

alexandrossfakianakis shared this article with you from Inoreader American Thyroid Association Guidelines and Management of Papillary Thyroid Carcinoma via JAMA Otolaryngology–Head & Neck Surgery Current Issue This cohort study determines how the 2009 and 2015 Americ an Thyroid Association guidelines may have corresponded with trends in the management of patients with low-risk papillary thyroid carcinoma. View on Web

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Berichtetes und gemessenes Riech- und Schmeckvermögen in einer Long-COVID-Kohorte

alexandrossfakianakis shared this article with you from Inoreader Berichtetes und gemessenes Riech- und Schmeckvermögen in einer Long-COVID-Kohorte via Laryngo-Rhino-Otologie Laryngorhinootologie DOI: 10.1055/a-1970-6510 Einleitung Störungen des Riech- und Schmecksinns werden häufig zahlenmäßig übereinstimmend als Long-COVID-Symptom beklagt. Anhand von Befunden einer Spezialsprechstunde (HNO-LCS) soll geklärt werden, wie groß tatsächlich der Anteil pathologischer olfaktorischer bzw. gustatorischer Diagnosen in dieser Kohorte ist. Methodik 48 erwachsene Patienten, die die HNO-LCS aus eigenem Leidensdruck aufsuchten, wurden nach ihrer Anamnese befragt, sie schätzten ihr Riech- (SER) und Schmeckvermögen (SES) mit Schulnoten ein und absolvierten als Riechtest den erweiterten Sniffin'Sticks-Test und als Schmecktest den 3-Tropfen-Test. Aus dem SDI-Riechscore und dem totalen Schmeckscore (SScore-total) wurden anhand von Normwerten Diagnosen erstellt. Zwischen den gemessenen Scores und der Selbsteinschätzung und zwischen SER und SES wurden Korrelationen berechnet. Ergebnisse Tatsächliche pathologische chemosensorische Diagnosen bestanden bei 90% der Patienten. Pathologische olfaktorische Diagnosen waren doppelt so häufig wie gustatorische. Bei 10% der Kohorte war keine pathologische Diagnose verifizierbar. Bei 6 Patienten wurde ein Anosmie-Ageusie-Syndrom diagnostiziert. SER korrelierte stark mit SDI. SES korrelierte moderat mit SScore-total. SER korrelierte stark mit SES. Schlussfolgerungen Bei der Interpretation berichteter chemosensorischer Symptome besteht die Gefahr einer Konfusion von Riechen und Schmecken durch die Betroffenen. Deshalb ist die Überprüfung der chemischen Sinne mit validierten Tests in Long-COVID-Ambulanzen wichtig. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text View on Web

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