Revisión sistemática del valor pronóstico de endoscopia funcional de la deglución (FEES) y del estudio Videofluroscópico de la deglución (VFSS) para los desenlaces de la Disfagia Orofaringea Funcional

102 Páginas.

Autores:
Aguilar Farias, Martha Johana
Bohórques Tibavisco, Leonardo
Tipo de recurso:
Fecha de publicación:
2013
Institución:
Universidad de la Sabana
Repositorio:
Repositorio Universidad de la Sabana
Idioma:
spa
OAI Identifier:
oai:intellectum.unisabana.edu.co:10818/9374
Acceso en línea:
http://hdl.handle.net/10818/9374
Palabra clave:
Desórdenes de deglución
Transtornos de deglución
Disfagia
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License
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dc.title.es_CO.fl_str_mv Revisión sistemática del valor pronóstico de endoscopia funcional de la deglución (FEES) y del estudio Videofluroscópico de la deglución (VFSS) para los desenlaces de la Disfagia Orofaringea Funcional
title Revisión sistemática del valor pronóstico de endoscopia funcional de la deglución (FEES) y del estudio Videofluroscópico de la deglución (VFSS) para los desenlaces de la Disfagia Orofaringea Funcional
spellingShingle Revisión sistemática del valor pronóstico de endoscopia funcional de la deglución (FEES) y del estudio Videofluroscópico de la deglución (VFSS) para los desenlaces de la Disfagia Orofaringea Funcional
Desórdenes de deglución
Transtornos de deglución
Disfagia
title_short Revisión sistemática del valor pronóstico de endoscopia funcional de la deglución (FEES) y del estudio Videofluroscópico de la deglución (VFSS) para los desenlaces de la Disfagia Orofaringea Funcional
title_full Revisión sistemática del valor pronóstico de endoscopia funcional de la deglución (FEES) y del estudio Videofluroscópico de la deglución (VFSS) para los desenlaces de la Disfagia Orofaringea Funcional
title_fullStr Revisión sistemática del valor pronóstico de endoscopia funcional de la deglución (FEES) y del estudio Videofluroscópico de la deglución (VFSS) para los desenlaces de la Disfagia Orofaringea Funcional
title_full_unstemmed Revisión sistemática del valor pronóstico de endoscopia funcional de la deglución (FEES) y del estudio Videofluroscópico de la deglución (VFSS) para los desenlaces de la Disfagia Orofaringea Funcional
title_sort Revisión sistemática del valor pronóstico de endoscopia funcional de la deglución (FEES) y del estudio Videofluroscópico de la deglución (VFSS) para los desenlaces de la Disfagia Orofaringea Funcional
dc.creator.fl_str_mv Aguilar Farias, Martha Johana
Bohórques Tibavisco, Leonardo
dc.contributor.advisor.none.fl_str_mv Giraldo Cadavid, Luis Fernando
dc.contributor.author.none.fl_str_mv Aguilar Farias, Martha Johana
Bohórques Tibavisco, Leonardo
dc.subject.none.fl_str_mv Desórdenes de deglución
Transtornos de deglución
Disfagia
topic Desórdenes de deglución
Transtornos de deglución
Disfagia
description 102 Páginas.
publishDate 2013
dc.date.accessioned.none.fl_str_mv 2013-12-16T18:00:06Z
dc.date.available.none.fl_str_mv 2013-12-16T18:00:06Z
dc.date.created.none.fl_str_mv 2013
dc.date.issued.none.fl_str_mv 2013-12-16
dc.type.none.fl_str_mv bachelorThesis
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.local.none.fl_str_mv Tesis de especialización
dc.type.hasVersion.none.fl_str_mv publishedVersion
dc.identifier.citation.none.fl_str_mv Lind, C.D., Dysphagia: evaluation and treatment. Gastroenterol Clin North Am, 2003. 32(2): p. 553-75.
Logemann, J.A., Swallowing disorders. Best Pract Res Clin Gastroenterol, 2007. 21(4): p. 563-73.
Marik, P.E., Pulmonary aspiration syndromes. Curr Opin Pulm Med, 2011. 17(3): p. 148-54.
Raghavendran, K., et al., Aspiration-induced lung injury. Crit Care Med, 2011. 39(4): p. 818- 26.
Australian and New Zealand Society for Geriatric Medicine. Position statement - dysphagia and aspiration in older people*. Australas J Ageing, 2011. 30(2): p. 98-103.
Eslick, G.D. and N.J. Talley, Dysphagia: epidemiology, risk factors and impact on quality of life--a population-based study. Aliment Pharmacol Ther, 2008. 27(10): p. 971-9.
Ramsey, D.J., D.G. Smithard, and L. Kalra, Early assessments of dysphagia and aspiration risk in acute stroke patients. Stroke, 2003. 34(5): p. 1252-7.
Mann, G., G.J. Hankey, and D. Cameron, Swallowing disorders following acute stroke: prevalence and diagnostic accuracy. Cerebrovasc Dis, 2000. 10(5): p. 380-6.
Daniels, S.K., et al., Aspiration in patients with acute stroke. Archives of Physical Medicine and Rehabilitation, 1998. 79(1): p. 14-19.
Sura, L., et al., Dysphagia in the elderly: management and nutritional considerations. Clin Interv Aging, 2012. 7: p. 287-98.
Marik, P.E. and D. Kaplan, Aspiration pneumonia and dysphagia in the elderly. Chest, 2003. 124(1): p. 328-36.
Langmore, S.E., et al., Predictors of aspiration pneumonia: how important is dysphagia? Dysphagia, 1998. 13(2): p. 69-81.
Martino, R., et al., Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke, 2005. 36(12): p. 2756-63.
Pugliese, G. and D.A. Lichtenberg, Nosocomial bacterial pneumonia: an overview. Am J Infect Control, 1987. 15(6): p. 249-65.
Cook, I.J., Diagnostic evaluation of dysphagia. Nat Clin Pract Gastroenterol Hepatol, 2008. 5(7): p. 393-403.
Wilson, R.D. and E.C. Howe, A cost-effectiveness analysis of screening methods for dysphagia after stroke. PM R, 2012. 4(4): p. 273-82. .
Rao, N., et al., Gold-standard? Analysis of the videofluoroscopic and fiberoptic endoscopic swallow examinations. J Applied Res, 2003. 3(1): p. 89-96.
Langmore, S.E., Evaluation of oropharyngeal dysphagia: which diagnostic tool is superior? Curr Opin Otolaryngol Head Neck Surg, 2003. 11(6): p. 485-9.
Kelly, A.M., M.J. Drinnan, and P. Leslie, Assessing Penetration and Aspiration: How Do Videofluoroscopy and Fiberoptic Endoscopic Evaluation of Swallowing Compare? The Laryngoscope, 2007. 117(10): p. 1723-1727.
Lim, S.H., et al., Accuracy of bedside clinical methods compared with fiberoptic endoscopic examination of swallowing (FEES) in determining the risk of aspiration in acute stroke patients. Dysphagia, 2001. 16(1): p. 1-6
Aviv, J.E., Prospective, randomized outcome study of endoscopy versus modified barium swallow in patients with dysphagia. Laryngoscope, 2000. 110(4): p. 563-74
Masiero, S., et al., Pneumonia in stroke patients with oropharyngeal dysphagia: a sixmonth follow-up study. Neurological Sciences, 2008. 29(3): p. 139-145.
Aviv, J.E., et al., Laryngopharyngeal sensory testing with modified barium swallow as predictors of aspiration pneumonia after stroke. Laryngoscope, 1997. 107(9): p. 1254-60.
Chen, S.Y., et al., Can the aspiration detected by videofluoroscopic swallowing studies predict long-term survival in stroke patients with dysphagia? Disabil Rehabil, 2004. 26(23): p. 1347-53
Ding, R. and J.A. Logemann, Pneumonia in stroke patients: a retrospective study. Dysphagia, 2000. 15(2): p. 51-7
Holas, M.A., K.L. DePippo, and M.J. Reding, Aspiration and relative risk of medical complications following stroke. Arch Neurol, 1994. 51(10): p. 1051-3
Johnson, E.R., S.W. McKenzie, and A. Sievers, Aspiration pneumonia in stroke. Arch Phys Med Rehabil, 1993. 74(9): p. 973-6.
Kidd, D., et al., The natural history and clinical consequences of aspiration in acute stroke. QJM, 1995. 88(6): p. 409-13.
Masiero, S., et al., Pneumonia in stroke patients with oropharyngeal dysphagia: a sixmonth follow-up study. Neurol Sci, 2008. 29(3): p. 139-45.
Meng, N.H., T.G. Wang, and I.N. Lien, Dysphagia in patients with brainstem stroke: incidence and outcome. Am J Phys Med Rehabil, 2000. 79(2): p. 170-5
Nobrega, A.C., B. Rodrigues, and A. Melo, Is silent aspiration a risk factor for respiratory infection in Parkinson's disease patients? Parkinsonism Relat Disord, 2008. 14(8): p. 646-8
Pikus, L., et al., Videofluoroscopic studies of swallowing dysfunction and the relative risk of pneumonia. AJR Am J Roentgenol, 2003. 180(6): p. 1613-6.
Schmidt, J., et al. (1994) Videofluoroscopic evidence of aspiration predicts pneumonia and death but not dehydration following stroke. Dysphagia, 7-11
Smithard, D.G., et al., Complications and outcome after acute stroke. Does dysphagia matter? Stroke, 1996. 27(7): p. 1200-4.
Takahashi, N., et al., Videoendoscopic assessment of swallowing function to predict the future incidence of pneumonia of the elderly. J Oral Rehabil, 2012. 39(6): p. 429-37.
Teasell, R., et al., The incidence, management, and complications of dysphagia in patients with medullary strokes admitted to a rehabilitation unit. Dysphagia, 2002. 17(2): p. 115-20
Ickenstein, G.W., et al., Predictors of survival after severe dysphagic stroke. J Neurol, 2005. 252(12): p. 1510-6
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10818/9374
dc.identifier.local.none.fl_str_mv 255588
TE06002
identifier_str_mv Lind, C.D., Dysphagia: evaluation and treatment. Gastroenterol Clin North Am, 2003. 32(2): p. 553-75.
Logemann, J.A., Swallowing disorders. Best Pract Res Clin Gastroenterol, 2007. 21(4): p. 563-73.
Marik, P.E., Pulmonary aspiration syndromes. Curr Opin Pulm Med, 2011. 17(3): p. 148-54.
Raghavendran, K., et al., Aspiration-induced lung injury. Crit Care Med, 2011. 39(4): p. 818- 26.
Australian and New Zealand Society for Geriatric Medicine. Position statement - dysphagia and aspiration in older people*. Australas J Ageing, 2011. 30(2): p. 98-103.
Eslick, G.D. and N.J. Talley, Dysphagia: epidemiology, risk factors and impact on quality of life--a population-based study. Aliment Pharmacol Ther, 2008. 27(10): p. 971-9.
Ramsey, D.J., D.G. Smithard, and L. Kalra, Early assessments of dysphagia and aspiration risk in acute stroke patients. Stroke, 2003. 34(5): p. 1252-7.
Mann, G., G.J. Hankey, and D. Cameron, Swallowing disorders following acute stroke: prevalence and diagnostic accuracy. Cerebrovasc Dis, 2000. 10(5): p. 380-6.
Daniels, S.K., et al., Aspiration in patients with acute stroke. Archives of Physical Medicine and Rehabilitation, 1998. 79(1): p. 14-19.
Sura, L., et al., Dysphagia in the elderly: management and nutritional considerations. Clin Interv Aging, 2012. 7: p. 287-98.
Marik, P.E. and D. Kaplan, Aspiration pneumonia and dysphagia in the elderly. Chest, 2003. 124(1): p. 328-36.
Langmore, S.E., et al., Predictors of aspiration pneumonia: how important is dysphagia? Dysphagia, 1998. 13(2): p. 69-81.
Martino, R., et al., Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke, 2005. 36(12): p. 2756-63.
Pugliese, G. and D.A. Lichtenberg, Nosocomial bacterial pneumonia: an overview. Am J Infect Control, 1987. 15(6): p. 249-65.
Cook, I.J., Diagnostic evaluation of dysphagia. Nat Clin Pract Gastroenterol Hepatol, 2008. 5(7): p. 393-403.
Wilson, R.D. and E.C. Howe, A cost-effectiveness analysis of screening methods for dysphagia after stroke. PM R, 2012. 4(4): p. 273-82. .
Rao, N., et al., Gold-standard? Analysis of the videofluoroscopic and fiberoptic endoscopic swallow examinations. J Applied Res, 2003. 3(1): p. 89-96.
Langmore, S.E., Evaluation of oropharyngeal dysphagia: which diagnostic tool is superior? Curr Opin Otolaryngol Head Neck Surg, 2003. 11(6): p. 485-9.
Kelly, A.M., M.J. Drinnan, and P. Leslie, Assessing Penetration and Aspiration: How Do Videofluoroscopy and Fiberoptic Endoscopic Evaluation of Swallowing Compare? The Laryngoscope, 2007. 117(10): p. 1723-1727.
Lim, S.H., et al., Accuracy of bedside clinical methods compared with fiberoptic endoscopic examination of swallowing (FEES) in determining the risk of aspiration in acute stroke patients. Dysphagia, 2001. 16(1): p. 1-6
Aviv, J.E., Prospective, randomized outcome study of endoscopy versus modified barium swallow in patients with dysphagia. Laryngoscope, 2000. 110(4): p. 563-74
Masiero, S., et al., Pneumonia in stroke patients with oropharyngeal dysphagia: a sixmonth follow-up study. Neurological Sciences, 2008. 29(3): p. 139-145.
Aviv, J.E., et al., Laryngopharyngeal sensory testing with modified barium swallow as predictors of aspiration pneumonia after stroke. Laryngoscope, 1997. 107(9): p. 1254-60.
Chen, S.Y., et al., Can the aspiration detected by videofluoroscopic swallowing studies predict long-term survival in stroke patients with dysphagia? Disabil Rehabil, 2004. 26(23): p. 1347-53
Ding, R. and J.A. Logemann, Pneumonia in stroke patients: a retrospective study. Dysphagia, 2000. 15(2): p. 51-7
Holas, M.A., K.L. DePippo, and M.J. Reding, Aspiration and relative risk of medical complications following stroke. Arch Neurol, 1994. 51(10): p. 1051-3
Johnson, E.R., S.W. McKenzie, and A. Sievers, Aspiration pneumonia in stroke. Arch Phys Med Rehabil, 1993. 74(9): p. 973-6.
Kidd, D., et al., The natural history and clinical consequences of aspiration in acute stroke. QJM, 1995. 88(6): p. 409-13.
Masiero, S., et al., Pneumonia in stroke patients with oropharyngeal dysphagia: a sixmonth follow-up study. Neurol Sci, 2008. 29(3): p. 139-45.
Meng, N.H., T.G. Wang, and I.N. Lien, Dysphagia in patients with brainstem stroke: incidence and outcome. Am J Phys Med Rehabil, 2000. 79(2): p. 170-5
Nobrega, A.C., B. Rodrigues, and A. Melo, Is silent aspiration a risk factor for respiratory infection in Parkinson's disease patients? Parkinsonism Relat Disord, 2008. 14(8): p. 646-8
Pikus, L., et al., Videofluoroscopic studies of swallowing dysfunction and the relative risk of pneumonia. AJR Am J Roentgenol, 2003. 180(6): p. 1613-6.
Schmidt, J., et al. (1994) Videofluoroscopic evidence of aspiration predicts pneumonia and death but not dehydration following stroke. Dysphagia, 7-11
Smithard, D.G., et al., Complications and outcome after acute stroke. Does dysphagia matter? Stroke, 1996. 27(7): p. 1200-4.
Takahashi, N., et al., Videoendoscopic assessment of swallowing function to predict the future incidence of pneumonia of the elderly. J Oral Rehabil, 2012. 39(6): p. 429-37.
Teasell, R., et al., The incidence, management, and complications of dysphagia in patients with medullary strokes admitted to a rehabilitation unit. Dysphagia, 2002. 17(2): p. 115-20
Ickenstein, G.W., et al., Predictors of survival after severe dysphagic stroke. J Neurol, 2005. 252(12): p. 1510-6
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dc.publisher.department.none.fl_str_mv Facultad de Medicina
publisher.none.fl_str_mv Universidad de la Sabana
dc.source.none.fl_str_mv Universidad de La Sabana
Intellectum Repositorio Universidad de La Sabana
institution Universidad de la Sabana
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spelling Giraldo Cadavid, Luis FernandoAguilar Farias, Martha JohanaBohórques Tibavisco, LeonardoEspecialista en Medicina Interna2013-12-16T18:00:06Z2013-12-16T18:00:06Z20132013-12-16Lind, C.D., Dysphagia: evaluation and treatment. Gastroenterol Clin North Am, 2003. 32(2): p. 553-75.Logemann, J.A., Swallowing disorders. Best Pract Res Clin Gastroenterol, 2007. 21(4): p. 563-73.Marik, P.E., Pulmonary aspiration syndromes. Curr Opin Pulm Med, 2011. 17(3): p. 148-54.Raghavendran, K., et al., Aspiration-induced lung injury. Crit Care Med, 2011. 39(4): p. 818- 26.Australian and New Zealand Society for Geriatric Medicine. Position statement - dysphagia and aspiration in older people*. Australas J Ageing, 2011. 30(2): p. 98-103.Eslick, G.D. and N.J. Talley, Dysphagia: epidemiology, risk factors and impact on quality of life--a population-based study. Aliment Pharmacol Ther, 2008. 27(10): p. 971-9.Ramsey, D.J., D.G. Smithard, and L. Kalra, Early assessments of dysphagia and aspiration risk in acute stroke patients. Stroke, 2003. 34(5): p. 1252-7.Mann, G., G.J. Hankey, and D. Cameron, Swallowing disorders following acute stroke: prevalence and diagnostic accuracy. Cerebrovasc Dis, 2000. 10(5): p. 380-6.Daniels, S.K., et al., Aspiration in patients with acute stroke. Archives of Physical Medicine and Rehabilitation, 1998. 79(1): p. 14-19.Sura, L., et al., Dysphagia in the elderly: management and nutritional considerations. Clin Interv Aging, 2012. 7: p. 287-98.Marik, P.E. and D. Kaplan, Aspiration pneumonia and dysphagia in the elderly. Chest, 2003. 124(1): p. 328-36.Langmore, S.E., et al., Predictors of aspiration pneumonia: how important is dysphagia? Dysphagia, 1998. 13(2): p. 69-81.Martino, R., et al., Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke, 2005. 36(12): p. 2756-63.Pugliese, G. and D.A. Lichtenberg, Nosocomial bacterial pneumonia: an overview. Am J Infect Control, 1987. 15(6): p. 249-65.Cook, I.J., Diagnostic evaluation of dysphagia. Nat Clin Pract Gastroenterol Hepatol, 2008. 5(7): p. 393-403.Wilson, R.D. and E.C. Howe, A cost-effectiveness analysis of screening methods for dysphagia after stroke. PM R, 2012. 4(4): p. 273-82. .Rao, N., et al., Gold-standard? Analysis of the videofluoroscopic and fiberoptic endoscopic swallow examinations. J Applied Res, 2003. 3(1): p. 89-96.Langmore, S.E., Evaluation of oropharyngeal dysphagia: which diagnostic tool is superior? Curr Opin Otolaryngol Head Neck Surg, 2003. 11(6): p. 485-9.Kelly, A.M., M.J. Drinnan, and P. Leslie, Assessing Penetration and Aspiration: How Do Videofluoroscopy and Fiberoptic Endoscopic Evaluation of Swallowing Compare? The Laryngoscope, 2007. 117(10): p. 1723-1727.Lim, S.H., et al., Accuracy of bedside clinical methods compared with fiberoptic endoscopic examination of swallowing (FEES) in determining the risk of aspiration in acute stroke patients. Dysphagia, 2001. 16(1): p. 1-6Aviv, J.E., Prospective, randomized outcome study of endoscopy versus modified barium swallow in patients with dysphagia. Laryngoscope, 2000. 110(4): p. 563-74Masiero, S., et al., Pneumonia in stroke patients with oropharyngeal dysphagia: a sixmonth follow-up study. Neurological Sciences, 2008. 29(3): p. 139-145.Aviv, J.E., et al., Laryngopharyngeal sensory testing with modified barium swallow as predictors of aspiration pneumonia after stroke. Laryngoscope, 1997. 107(9): p. 1254-60.Chen, S.Y., et al., Can the aspiration detected by videofluoroscopic swallowing studies predict long-term survival in stroke patients with dysphagia? Disabil Rehabil, 2004. 26(23): p. 1347-53Ding, R. and J.A. Logemann, Pneumonia in stroke patients: a retrospective study. Dysphagia, 2000. 15(2): p. 51-7Holas, M.A., K.L. DePippo, and M.J. Reding, Aspiration and relative risk of medical complications following stroke. Arch Neurol, 1994. 51(10): p. 1051-3Johnson, E.R., S.W. McKenzie, and A. Sievers, Aspiration pneumonia in stroke. Arch Phys Med Rehabil, 1993. 74(9): p. 973-6.Kidd, D., et al., The natural history and clinical consequences of aspiration in acute stroke. QJM, 1995. 88(6): p. 409-13.Masiero, S., et al., Pneumonia in stroke patients with oropharyngeal dysphagia: a sixmonth follow-up study. Neurol Sci, 2008. 29(3): p. 139-45.Meng, N.H., T.G. Wang, and I.N. Lien, Dysphagia in patients with brainstem stroke: incidence and outcome. Am J Phys Med Rehabil, 2000. 79(2): p. 170-5Nobrega, A.C., B. Rodrigues, and A. Melo, Is silent aspiration a risk factor for respiratory infection in Parkinson's disease patients? Parkinsonism Relat Disord, 2008. 14(8): p. 646-8Pikus, L., et al., Videofluoroscopic studies of swallowing dysfunction and the relative risk of pneumonia. AJR Am J Roentgenol, 2003. 180(6): p. 1613-6.Schmidt, J., et al. (1994) Videofluoroscopic evidence of aspiration predicts pneumonia and death but not dehydration following stroke. Dysphagia, 7-11Smithard, D.G., et al., Complications and outcome after acute stroke. Does dysphagia matter? Stroke, 1996. 27(7): p. 1200-4.Takahashi, N., et al., Videoendoscopic assessment of swallowing function to predict the future incidence of pneumonia of the elderly. J Oral Rehabil, 2012. 39(6): p. 429-37.Teasell, R., et al., The incidence, management, and complications of dysphagia in patients with medullary strokes admitted to a rehabilitation unit. Dysphagia, 2002. 17(2): p. 115-20Ickenstein, G.W., et al., Predictors of survival after severe dysphagic stroke. J Neurol, 2005. 252(12): p. 1510-6http://hdl.handle.net/10818/9374255588TE06002102 Páginas.Introducción: Solamente en aspiración; se ha encontrado asociación entre alteraciones en videofluoroscópica de deglución (VFSS) y fibro-endoscópica (FEES). Métodos: Se incluyeron estudios de cohorte, realizando evaluación de la calidad de estos. Elaboramos una revisión sistemática , ya que había gran heterogeneidad de los ensayos. Resultados: Aspiración en VFSS se asoció a aumento de riesgo de neumonía y muerte, en algunos estudios. En FEES hubo aumento en el riesgo de neumonía pero sin significancia estadística. No hay datos suficientes sobre el riesgo de complicaciones con los otros hallazgos. Conclusiones Aspiración por VFSS se asocia con riesgo de neumonía y muerte siendo menos clara en FEES Es necesario realizar más estudios, para definir mejor el papel de la FEES y VFSS en disfagia.spaUniversidad de la SabanaEspecialización en Medicina InternaFacultad de MedicinaUniversidad de La SabanaIntellectum Repositorio Universidad de La SabanaDesórdenes de degluciónTranstornos de degluciónDisfagiaRevisión sistemática del valor pronóstico de endoscopia funcional de la deglución (FEES) y del estudio Videofluroscópico de la deglución (VFSS) para los desenlaces de la Disfagia Orofaringea FuncionalbachelorThesisTesis de especializaciónpublishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_7a1fhttp://purl.org/coar/access_right/c_abf2ORIGINALMartha Johana Aguilar Farias (TESIS).pdfMartha Johana Aguilar Farias (TESIS).pdfVer documento en PDFapplication/pdf932939https://intellectum.unisabana.edu.co/bitstream/10818/9374/1/Martha%20Johana%20Aguilar%20Farias%20%28TESIS%29.pdf024fe788b07453b7d68d657b35682304MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-8498https://intellectum.unisabana.edu.co/bitstream/10818/9374/2/license.txtf52a2cfd4df262e08e9b300d62c85cabMD52Martha Johana Aguilar Farias (Carta).pdfMartha Johana Aguilar Farias (Carta).pdfapplication/pdf1227358https://intellectum.unisabana.edu.co/bitstream/10818/9374/4/Martha%20Johana%20Aguilar%20Farias%20%28Carta%29.pdf5eff9cb339d7d6a41c674dba65361ba7MD54TEXTMartha Johana Aguilar Farias (TESIS).pdf.txtMartha Johana Aguilar Farias (TESIS).pdf.txtExtracted Texttext/plain103https://intellectum.unisabana.edu.co/bitstream/10818/9374/3/Martha%20Johana%20Aguilar%20Farias%20%28TESIS%29.pdf.txt872783e413b530c4cf460f1baafc5171MD5310818/9374oai:intellectum.unisabana.edu.co:10818/93742020-02-26 14:40:37.223Intellectum Universidad de la Sabanacontactointellectum@unisabana.edu.coPGEgcmVsPSJsaWNlbnNlIiBocmVmPSJodHRwOi8vY3JlYXRpdmVjb21tb25zLm9yZy9saWNlbnNlcy9ieS1uYy1uZC8zLjAvIj48aW1nIGFsdD0iTGljZW5jaWEgQ3JlYXRpdmUgQ29tbW9ucyIgc3R5bGU9ImJvcmRlci13aWR0aDowIiBzcmM9Imh0dHA6Ly9pLmNyZWF0aXZlY29tbW9ucy5vcmcvbC9ieS1uYy1uZC8zLjAvODh4MzEucG5nIiAvPjwvYT48YnIgLz5Fc3RlIDxzcGFuIHhtbG5zOmRjdD0iaHR0cDovL3B1cmwub3JnL2RjL3Rlcm1zLyIgaHJlZj0iaHR0cDovL3B1cmwub3JnL2RjL2RjbWl0eXBlL1RleHQiIHJlbD0iZGN0OnR5cGUiPm9icmE8L3NwYW4+IGVzdMOhIGJham8gdW5hIDxhIHJlbD0ibGljZW5zZSIgaHJlZj0iaHR0cDovL2NyZWF0aXZlY29tbW9ucy5vcmcvbGljZW5zZXMvYnktbmMtbmQvMy4wLyI+bGljZW5jaWEgQ3JlYXRpdmUgQ29tbW9ucyBSZWNvbm9jaW1pZW50by1Ob0NvbWVyY2lhbC1TaW5PYnJhRGVyaXZhZGEgMy4wIFVucG9ydGVkPC9hPi4K