How healthy are children one year after discharge from nutritional rehabilitation centres?

Nutritional rehabilitation centres (NRCs) have been established to ensure the nutritional recovery of severely malnourished children. The long-term nutritional outcomes in children discharged from NRCs have not been described. In this retrospective cohort study, the nutritional status of 514 children was assessed one year after discharge. Household and maternal data, as well as data regarding variables related to the children’s stay at the NRC, were collected. A total of 33.4% had moderate malnutrition and 11.7% had severe malnutrition. The mean weight for height Z-score at admission, discharge and one year after discharge were −3.61, −1.90 and −2.34, respectively. Thus, long-term monitoring and follow-up of children discharged from NRCs till they achieve normal nutritional status is mandatory.

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Identifying Effectors of Outcomes in Patients with Large Umbilical Hernias

The American Surgeon ◽

10.1177/000313481608200727 ◽

2016 ◽

Vol 82 (7) ◽

pp. 613-621 ◽

Cited By ~ 3

Author(s):

Steven A. Groene ◽

Davis W. Heniford ◽

Tanushree Prasad ◽

Amy E. Lincourt ◽

Vedra A. Augenstein

Keyword(s):

Umbilical Hernia ◽

Defect Size ◽

Long Term Outcomes ◽

Preoperative Pain ◽

The Mean ◽

The Difference ◽

One Year

Quality of life (QOL) has become an important focus of hernia repair outcomes. This study aims to identify factors which lead to ideal outcomes (asymptomatic and without recurrence) in large umbilical hernias (defect size ≥9 cm2). Review of the prospective International Hernia Mesh Registry was performed. The Carolinas Comfort Scale was used to measure QOL at 1-, 6-, and 12-month follow-up. Demographics, operative details, complications, and QOL data were evaluated using standard statistical methods. Forty-four large umbilical hernia repairs were analyzed. Demographics included: average age 53.6 ± 12.0 and body mass index 34.9 ± 7.2 kg/m2. The mean defect size was 21.7 ± 16.9 cm2, and 72.7 per cent were performed laparoscopically. Complications included hematoma (2.3%), seroma (12.6%), and recurrence (9.1%). Follow-up and ideal outcomes were one month = 28.2 per cent, six months = 42.9 per cent, one year = 55.6 per cent. All patients who remained symptomatic at one and two years were significantly symptomatic before surgery. Symptomatic preoperative activity limitation was a significant predictor of nonideal outcomes at one year ( P = 0.02). Symptomatic preoperative pain was associated with nonideal outcomes at one year, though the difference was not statistically significant ( P = 0.06). Operative technique, mesh choice, and fixation technique did not impact recurrence or QOL. Repair of umbilical hernia with defects ≥9 cm2 had a surprising low rate of ideal outcomes (asymptomatic and no recurrence). All patients with nonideal long-term outcomes had preoperative pain and activity limitations. These data may suggest that umbilical hernia should be repaired when they are small and asymptomatic.

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The association between nutritional status and motor development in children under five years old

Paediatrica Indonesiana ◽

10.14238/pi45.3.2005.107-10 ◽

2016 ◽

Vol 45 (3) ◽

pp. 107

Author(s):

Nurhayati Masloman ◽

Stefanus Gunawan

Keyword(s):

Nutritional Status ◽

Motor Development ◽

Cross Sectional Study ◽

Physical Growth ◽

Severe Malnutrition ◽

Cross Sectional ◽

Under Five ◽

Malnourished Children ◽

Child Health Surveillance ◽

Moderate Malnutrition

Background Severe malnutrition in children is closely related todelayed physical growth and mental development. Very few re-ports mention the effects of mild to moderate malnutrition on mo-tor development.Objective The objective of this study was to determine the rela-tionship between nutritional status and motor development in earlychildhood.Methods In this cross-sectional study, we examined body weightof children under 5 years of age, the ability to sit or walk withoutsupport, and parachute sign in those under 2 years of age whocame to community child health surveillance posts in TumintingSubdistrict, Manado, Indonesia.Results Among 359 under-five children, 296 were well-nourishedand 63 had mild to moderate malnutrition. The ability to sit withoutsupport in malnourished children was significantly delayed com-pared to that in well-nourished ones (P=0.03). The ability to walkwithout support and parachute sign were not significantly differentbetween the two groups.Conclusion The ability to sit without support in children with mildto moderate malnutrition is delayed compared to that in well-nour-ished ones

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Flexor Hallucis Longus Tendon Transfer for Reconstruction of Chronically Ruptured Achilles Tendons

Journal of Orthopaedic Surgery ◽

10.1177/230949900901700215 ◽

2009 ◽

Vol 17 (2) ◽

pp. 194-198 ◽

Cited By ~ 33

Author(s):

Ravindra H Mahajan ◽

Rakesh B Dalal

Keyword(s):

Wound Healing ◽

Tendon Transfer ◽

Flexor Hallucis Longus ◽

Related Complication ◽

Hind Foot ◽

The Mean ◽

American Orthopaedic ◽

One Year

Purpose. To report the mid-term results of flexor hallucis longus (FHL) tendon transfer for reconstruction of chronically ruptured Achilles tendons. Methods. 24 men and 12 women aged 56 to 78 (mean, 70) years underwent FHL tendon transfer for reconstruction of chronically ruptured Achilles tendons by a single surgeon. Ruptures were secondary to trauma (n=20), long-term steroid intake (n=12), or chronic renal failure (n=6). Two patients had bilateral ruptures. The mean interval from rupture to surgery was 15 (range, 12–24) weeks. Pre- and post-operative American Orthopaedic Foot and Ankle Society (AOFAS) hind foot scores were compared. Wound healing, push-off, and patient satisfaction were evaluated. Results. The mean follow-up period was one year. The mean AOFAS scores were 69 (range, 58–76) preoperatively and 88 (range, 79–94) postoperatively; the mean improvement was 19 (p<0.001). 28 patients had excellent and 8 had fair results. 33 patients graded their outcome as ‘very satisfactory’ and 3 as ‘satisfactory’. Five patients developed wound healing complications but only one needed debridement. There was no fixation-related complication or sural nerve injury. Conclusions. Transfer of the FHL for reconstruction of chronically ruptured Achilles tendons is effective, safe and easily performed in patients with low-to-moderate demands.

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Stuttering Therapy: The Relation Between Attitude Change and Long-Term Outcome

Journal of Speech and Hearing Disorders ◽

10.1044/jshd.4303.392 ◽

1978 ◽

Vol 43 (3) ◽

pp. 392-400 ◽

Cited By ~ 60

Author(s):

Barry Guitar ◽

Colin Bass

Keyword(s):

Behavior Change ◽

Attitude Change ◽

Therapy Outcome ◽

Clinical Implications ◽

Term Outcome ◽

Long Term Outcome ◽

The Mean ◽

One Year

Previous research has indicated that attitude change generally follows behavior change in operant stuttering therapy programs. This study sought to examine the longterm therapy outcome of stutterers whose communication attitudes were not substantially normalized after fluency establishment and generalization. Posttransfer attitude scores of 20 stutterers were used to classify them into one of two groups: those whose communication attitudes had been modified to show less abnormality than the mean level for normal speakers, and those whose attitudes had not. Follow-up interviews with the 20 stutterers one year later indicated that those whose posttransfer attitudes were not substantially normalized stuttered significantly more. Theoretical and clinical implications are discussed.

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Association of Malnutrition with Functional and Cognitive Trajectories in People Living with Dementia: A Five-Year Follow-Up Study

Journal of Alzheimer s Disease ◽

10.3233/jad-200961 ◽

2021 ◽

Vol 79 (4) ◽

pp. 1713-1722

Author(s):

Miguel Germán Borda ◽

Ana María Ayala Copete ◽

Diego Alejandro Tovar-Rios ◽

Alberto Jaramillo-Jimenez ◽

Lasse Melvær Giil ◽

...

Keyword(s):

Nutritional Status ◽

Cognitive Decline ◽

Rating Scale ◽

Functional Decline ◽

Lewy Body Dementia ◽

Severe Malnutrition ◽

Disability Rating Scale ◽

Disability Rating ◽

Moderate Malnutrition

Background: In dementia, functional status depends on multiple factors in addition to cognition. Nutritional status is a potentially modifiable factor related to homeostasis and proper functioning of body systems and may contribute to cognitive and functional decline. Objective: This paper aims to analyze the association of malnutrition with the course of cognitive and functional decline in people living with dementia. Methods: This is an analysis of a longitudinal cohort study, the Dementia Study of Western Norway. Data of 202 patients diagnosed with mild dementia were analyzed; Alzheimer’s disease (AD) (n = 103), Lewy body dementia (LBD) (n = 74), and other dementias (OD) (n = 25). Cognition was assessed with the Mini-Mental State Examination and functional decline through the activities of daily living included in the Rapid Disability Rating Scale. The Global Leadership Initiative on Malnutrition Index was used to determine nutritional status. Associations of nutritional status with cognitive and functional decline were evaluated through adjusted linear mixed models. Results: At baseline, the prevalence of general malnutrition was 28.7%; 17.3% were classified as moderate malnutrition and 11.38% as severe malnutrition (there were no significant differences between AD and LBD). Malnutrition at diagnosis and over follow-up was a significant predictor of functional-decline, but not of cognitive decline. Conclusion: According to our results malnutrition was associated with faster functional loss but, not cognitive decline in older adults with dementia. A more comprehensive dementia approach including nutritional assessments could improve prognosis.

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Persistently Worsened Tear Break-up Time and Keratitis in Unilateral Pseudophakic Eyes after a Long Postoperative Period

Biomedicines ◽

10.3390/biomedicines8040077 ◽

2020 ◽

Vol 8 (4) ◽

pp. 77

Author(s):

Akiko Hanyuda ◽

Kazuno Negishi ◽

Kazuo Tsubota ◽

Masahiko Ayaki

Keyword(s):

Cataract Surgery ◽

Postoperative Period ◽

Ocular Surface ◽

Cross Sectional ◽

Ocular Surface Diseases ◽

The Mean ◽

Break Up ◽

One Year

Dry eye disease may develop and persist after cataract surgery; however, unilateral cases have not been fully documented. This cross-sectional, observational study was conducted in five eye clinics in Japan. A total of 1023 outpatients were initially enrolled, and 89 unilateral pseudophakic subjects with 1+ year of follow-up after uncomplicated cataract surgery were included. The tear break-up times (TBUTs) and keratoconjunctival staining results were compared between phakic and pseudophakic eyes. The mean age of the patients was 69.3 ± 10.4 years (32 men, 36.0%), and the mean postoperative period was 4.6 ± 4.4 (1–20) years. For the ophthalmic parameters, the TBUTs were 4.4 ± 1.9 and 3.8 ± 1.9 s (p < 0.001), the keratoconjunctival staining scores were 0.11 ± 0.38 and 0.22 ± 0.56 (p = 0.02), the spherical equivalents were −1.27 ± 2.51 and −0.99 ± 1.45 D (p = 0.21), the astigmatic errors were 0.79 ± 0.66 and 0.78 ± 0.58 D (p = 0.80), and the intraocular pressures were 13.6 ± 2.9 and 13.5 ± 2.6 mmHg (p = 0.62) for the phakic and pseudophakic eyes, respectively. The corneal status was significantly worse in the pseudophakic eyes than in the contralateral phakic eyes, even after more than one year after implant surgery. The present results suggested that long-term ocular surface problems should be examined further since they may not originate only from surgery or postoperative ocular surface diseases.

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Switch to Aflibercept in the Treatment of Neovascular AMD: Long-Term Results

Journal of Ophthalmology ◽

10.1155/2017/6835782 ◽

2017 ◽

Vol 2017 ◽

pp. 1-6 ◽

Cited By ~ 4

Author(s):

Pedro Neves Cardoso ◽

Ana Fernanda Pinheiro ◽

Jorge Meira ◽

Ana Catarina Pedrosa ◽

Manuel S. Falcão ◽

...

Keyword(s):

Intravitreal Bevacizumab ◽

Long Term Results ◽

Neovascular Amd ◽

Morphological Response ◽

The Mean ◽

Group 2 ◽

One Year ◽

Sd Oct

Purpose. To report the long-term clinical outcomes after switching from intravitreal bevacizumab or ranibizumab to aflibercept therapy in eyes with AMD. Methods. Retrospective analysis of changes in BCVA, SD-OCT image, and frequency of injections after 1, 2, and 3 years of follow-up. Results. 164 eyes were analyzed, 101 eyes switched from bevacizumab (group 1) and 63 from ranibizumab (group 2). One year after the switch, there was an overall nonsignificant mean decrease of 2 ETDRS letters in BCVA. Three years after, there was an overall mean decrease of 7 ETDRS letters, which was statistically significant. A significant improvement in the mean CRT was found at 1, 2, and 3 years. There was a significant decrease in the mean number of injections per year (7.8 to 6.5, p<0.005) between the first and third year. Conclusion. Aflibercept can be useful in the management of refractory neovascular AMD, with a good morphological response. However, in the long-term, BCVA stabilization was not achieved.

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Microcatheter–Assisted Circumferential Trabeculotomy in Primary Congenital Glaucoma: Long-Term Clinical Outcomes

Journal of Clinical Medicine ◽

10.3390/jcm11020414 ◽

2022 ◽

Vol 11 (2) ◽

pp. 414

Author(s):

Luigi Fontana ◽

Alberto Neri

Keyword(s):

Clinical Outcomes ◽

Primary Outcome ◽

Glaucoma Surgery ◽

Congenital Glaucoma ◽

Primary Congenital Glaucoma ◽

Age At Surgery ◽

The Mean ◽

One Year

Purpose: The purpose of this study was to report the long-term efficacy and clinical outcomes of microcatheter-assisted circumferential trabeculotomy (MCT) in children with primary congenital glaucoma (PCG). Methods: This is a single-center retrospective study including consecutive children with PCG who underwent MCT with > two years follow up. The primary outcome was surgical success, defined as intraocular pressure (IOP) ≤ 21 mmHg with (qualified) or without (complete) medications, measured at six months, one year, and then annually. Secondary outcomes were visual acuity (VA), refraction, axial length (AXL), complications, reinterventions, and number of medications. Results: Twelve eyes of ten patients were included. In eight children only one eye was affected. The mean ± standard deviation (SD) age at surgery was 6.3 ± 4.1 months. The mean postoperative follow-up was 66 ± 35 months. The mean IOP was 34.3 ± 9.6 mmHg preoperatively and 14.6 ± 2.3 mmHg postoperatively at the last visit (p < 0.001). Complete success was achieved at all time points in 10 out of 12 eyes, while 2 eyes had a qualified success. At three years of age, the mean VA of the operated eyes was 0.25 ± 0.12 logMAR, the mean spherical equivalent was −0.78 ± 1.43 diopters, and the mean AXL was 23.78 mm. Transient hyphema was the only complication observed. None of the children required additional glaucoma surgery. Conclusions: Circumferential trabeculotomy for PCG effectively lowers the IOP at more than two years after surgery. Following this procedure, the prognosis for the visual function is good, and the refractive error is low. Postoperative complications were not significant.

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Accurate resection of periacetabular tumor and reconstruction with a novel 3D printing individualized prosthesis

10.29007/lrvd ◽

2018 ◽

Author(s):

Zheng Guo ◽

Hong-Bin Fan ◽

Jun Fu ◽

Xiao-Kang Li ◽

Yu-Lin Hao

Keyword(s):

3D Printing ◽

En Bloc Resection ◽

Bloc Resection ◽

Prosthesis Loosening ◽

En Bloc ◽

Long Term Stability ◽

The Mean ◽

One Year

From December 2010 to May 2016, 8 patients with periacetabular tumor (chondrosarcoma 5 cases and GCT 3 cases) were treated by accurate en-bloc resection and precise reconstruction with a novel 3D printing individualized prosthesis.One case suffered dislocation of hip joint and two cases presented deep venous thrombosis. The mean follow-up period was 37.5 months (range, 5-70 months). 6 patients survived free of disease. One patient was subject to local recurrence after one year. One patient died from distal metastasis after three years. No infection, prosthesis loosening and breakage occurred. The MSTS score was 18~27. Our study suggest 3D printing implants might be a promising approach for precision reconstruction and long-term stability.

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