Dysphagia in Intensive Care Evaluation (DICE): An International Cross-Sectional Survey.

Dysphagia occurs commonly in the intensive care unit (ICU). Despite the clinical relevance, there is little worldwide research on prevention, assessment, evaluation, and/or treatment of dysphagia for ICU patients. We aimed to gain insight into this international knowledge gap. We conducted a multi-center, international online cross-sectional survey of adult ICUs. Local survey distribution champions were recruited through professional and personal networks. The survey was administered from November 2017 to June 2019 with three emails and a final telephone reminder. Responses were received from 746 ICUs (26 countries). In patients intubated > 48 h, 17% expected a > 50% chance that dysphagia would develop. This proportion increased to 43% in patients intubated > 7 days, and to 52% in tracheotomized patients. Speech-language pathologist (SLP) consultation was available in 66% of ICUs, only 4% reported a dedicated SLP. Although 66% considered a routine post-extubation dysphagia protocol important, most (67%) did not have a protocol. Few ICUs routinely assessed for dysphagia after 48 h of intubation (30%) or tracheostomy (41%). A large proportion (46%) used water swallow screening tests to determine aspiration, few (8%) used instrumental assessments (i.e., flexible endoscopic evaluation of swallowing). Swallowing exercises were used for dysphagia management by 30% of ICUs. There seems to be limited awareness among ICU practitioners that patients are at risk of dysphagia, particularly as ventilation persists, protocols, routine assessment, and instrumental assessments are generally not used. We recommend the development of a research agenda to increase the quality of evidence and ameliorate the implementation of evidence-based dysphagia protocols by dedicated SLPs

Centrality evolution of the charged-particle pseudorapidity density over a broad pseudorapidity range in Pb-Pb collisions at root s(NN)=2.76TeV

Peer reviewe

Process mapping; Analysis of traceability of herring, tuna and salmon

Traceability will be an immensely important subject for the food and fish industry the forthcoming years. From August 12th 2004, registration and prior notice sent in electronic form with a wealth of traceability information is required for all food shipments to the US (Bioterrorism Act PL107-188). The EU Common Food Law (178/2002) came into effect on January 1st 2005 and requires one-up, one-down traceability. The Seafood Plus R&D project is a European joint effort between fish industry and solution providers, assisted by research institutes and financed by the European Commission, to ensure that the fish industry is ready to meet these challenges. Companies in a pelagic supply chain in Denmark, a tuna supply chain in Spain and a farmed salmon supply chain in Norway were chosen to be pilot companies in SeafoodPLUS. The study included a kick-off meeting (D8), first visit - analysis (D9), second visit - mapping info loss (D10), common meeting – plan ahead (D11), plan for changes needed (D12), evaluation of changes done and quantification of information loss in each supply chain (D13). This report describes the material flow and information flow, points out where information is lost in the current system, recommends changes to existing routines and practices, and briefly evaluates the relevant changes voluntarily undertaken by the pilot companies as a result of the recommendations.Process mapping; Analysis of traceability of herring, tuna and salmonpublishedVersio

Sanitary prescriptions and procedures for transfer and safety standards - Aquaexcel (D3.1)

absen