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Background: Esophageal defects can result from primary pathologies such as malignancy or stricture, or secondary ones such as perforation due to trauma or iatrogenic injury. Techniques, management, and outcomes of reconstruction in this setting are poorly understood. Herein, we aim to highlight surgical outcomes in patients undergoing local and free flap reconstruction of esophageal defects in the setting of an intact larynx.

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Aim: To gain a greater understanding of the ecology and metabolic potential of the rumen microbiome with the changes in the animal diet.

Methods: Diet composed of varying proportion of green and dry roughages along with grains was given to 8 Mehsani buffaloes, and rumen metagenome was sketched using shotgun semiconductor sequencing.

Results: In the present study, the Bacteroidetes were found to be dominant at the phyla level and Prevotella at the genus level.

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Issues in the management of dysphagia.

Folia Phoniatr Logop

September 1999

VA Medical Center, Ann Arbor, MI 48105, USA.

Management of patients with dysphagia is a necessary part of our clinical intervention. Some areas of management include implementing dietary changes that the patient will accept and training caretakers to feed dependent patients safely and to provide oral care to dependent patients. The tube-fed patient has special needs in regard to quality of life and is at greater risk for pneumonia, requiring the effective skills of multiple disciplines to effectively manage this patient.

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The relative contribution of feed-induced and feed-independent changes to the pattern of electrolyte excretion have been determined in sheep maintained for extended schedules providing feeds at intervals of 24, 19, 4 and 1 hr. Power spectral analysis indicated that the pattern of electrolyte excretion was predominantly fixed by the feeding cycle. Frequent small feeds reduced the peak levels of excretion.

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