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    Effect of Nonnutritive Sucking on Oral Feeding in Neonates With Perinatal Asphyxia: A Randomized Controlled Trial
    (Amer Speech-Language-Hearing Assoc, 2024) Ciftci, Hilal Berber; Topbas, Seyhun; Tastekin, Ayhan
    Aims: The effect of nonnutritive sucking (NNS) stimulation is unclear in infants with perinatal asphyxia. Thus, the aim of this study was to assess the effect of NNS stimulation on oral intake, discharge time, and early feeding skills in infants with perinatal asphyxia. Design: A randomized controlled study was conducted. Method: Of the 94 infants, 47 were included in the experimental group and given NNS stimulation once a day before tube feeding by a speech -language therapist (SLT) in addition to hypothermia treatment. Infants' feeding performances on the days of first oral intake and discharge were evaluated with the Early Feeding Skills Scale (EFS). Results: The time from tube feeding to oral intake was significantly lower in the experimental group compared to the control group (p < .05). EFS scores at discharge were significantly higher in the experimental group than in the control group (p < .05). There was no significant difference between the experimental and control groups in terms of discharge and weight gain (p > .05). Conclusions: The findings indicated that the NNS stimulation positively affected oral intake and early feeding skills in infants with perinatal asphyxia, as in preterms. However, NNS stimulation had no significant effect on discharge and weight gain in infants with asphyxia. This finding may be attributed to other factors. It is recommended to use NNS by an SLT in a neonatal intensive care unit within a multidisciplinary team to accelerate the transition to oral feeding and improve feeding skills in infants with perinatal asphyxia. Further studies on the effect of NNS stimulation in infants with perinatal asphyxia are needed to corroborate its effects on discharge time and weight gain.
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    Evaluation of the Effect of Oral Motor Stimulation Exercises on Feeding Skills in Premature Infants
    (Kare Publ, 2023) Atay, Funda Yavanoglu; Ciftci, Hilal Berber; Sahin, Ozlem; Guran, Omer; Colak, Derya; Gok, Nazife Reyyan; Erdem, Burcu Karakol
    Objectives: Oral feeding in preterm infants is a complex and dynamic process involving oral motor development and interaction between the neurological, cardiorespiratory, and gastrointestinal systems. Oral motor stimulation (OMS) is defined as stimulating the oropharyngeal components such as the lips, jaw, tongue, and soft palate with fingers in preterm infants to increase their feed-ing skills. In this study, we aimed to evaluate the effect of OMS exercises on the sucking and swallowing skills of preterm infants and demonstrate the utility of objective scales to evaluate infants' readiness for oral feeding.Methods: This single-center, prospective cohort study was conducted between June 1st and December 31st, 2020, which included preterm infants born at & LE;34 weeks of gestation and admitted to the neonatal intensive care unit of our hospital. All procedures of the OMS program were performed once a day, 5 times a week by a language and speech therapist who is an expert in oral feeding skills (OFS) staging and non-nutritive sucking (NNS) scoring. All infants were followed up until discharge with a weekly evaluation of OFS staging and NNS scoring.Results: A total of 50 infants were included in this prospective cohort study. The mean birth weight was 1376.9 & PLUSMN;372 g, and the me-dian gestational age was 30 weeks (interquartile range: 25-34). The comparison of OFS stages on day 5 and day 10 of OMS revealed a significant increase (p<0.001). Similarly, there was a significant improvement in the NNS scores on days 5 and 10 compared to the baseline.Conclusion: In preterm infants, OMS during the transition from gavage feeding to oral feeding improves feeding skills.
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    Is there any room for ChatGPT AI bot in speech-language pathology?
    (Springer, 2025) Birol, Namik Yucel; Ciftci, Hilal Berber; Yilmaz, Aysegul; Caglayan, Ayhan; Alkan, Ferhat
    PurposeThis study investigates the potential of the ChatGPT-4.0 artificial intelligence bot to assist speech-language pathologists (SLPs) by assessing its accuracy, comprehensiveness, and relevance in various tasks related to speech, language, and swallowing disorders.MethodIn this cross-sectional descriptive study, 15 practicing SLPs evaluated ChatGPT-4.0's responses to task-specific queries across six core areas: report writing, assessment material generation, clinical decision support, therapy stimulus generation, therapy planning, and client/family training material generation. English prompts were created in seven areas: speech sound disorders, motor speech disorders, aphasia, stuttering, childhood language disorders, voice disorders, and swallowing disorders. These prompts were entered into ChatGPT-4.0, and its responses were evaluated. Using a three-point Likert-type scale, participants rated each response for accuracy, relevance, and comprehensiveness based on clinical expectations and their professional judgment.ResultsThe study revealed that ChatGPT-4.0 performed with predominantly high accuracy, comprehensiveness, and relevance in tasks related to speech and language disorders. High accuracy, comprehensiveness, and relevance levels were observed in report writing, clinical decision support, and creating education material. However, tasks such as creating therapy stimuli and therapy planning showed more variation with medium and high accuracy levels.ConclusionsChatGPT-4.0 shows promise in assisting SLPs with various professional tasks, particularly report writing, clinical decision support, and education material creation. However, further research is needed to address its limitations in therapy stimulus generation and therapy planning to improve its usability in clinical practice. Integrating AI technologies such as ChatGPT could improve the efficiency and effectiveness of therapeutic processes in speech-language pathology.