scholarly journals Predictive Factors Associated with Achieving Oral Intake in Patients with Dysphagia

2022 ◽  
Vol 12 (1) ◽  
pp. 35-44
Author(s):  
Jeong-Bo Moon ◽  
Jun-Hyung Kim ◽  
Yoon-Hee Kim ◽  
Byung-Ju Ryu
2016 ◽  
Vol 21 (6) ◽  
pp. 715-720
Author(s):  
Enri Nakayama ◽  
H. Tohara ◽  
K. Sakai ◽  
M. Hayata ◽  
S. Ohnishi ◽  
...  

2021 ◽  
Vol 49 (6) ◽  
pp. 030006052110244
Author(s):  
Yantao Cai ◽  
Chenfang Zhu ◽  
Qianqian Chen ◽  
Feng Zhao ◽  
Shanyu Guo

Objective The probability of malignancy in women who are diagnosed with a Breast Imaging Reporting and Data System (BI-RADS) 4A score is low. Application of a second opinion ultrasound (SOUS), which is low in cost and minimally invasive, may lower the biopsy rate for patients who fall into this category. This study aimed to apply SOUS to patients with a BI-RADS score of 4A and predict the pathological results of a biopsy. Methods One hundred seventy-eight patients were analyzed. Univariate and multivariate analyses were performed to screen for predictive factors that are associated with malignancy. Categorical alteration of downgraded, unchanged, or upgraded was made after SOUS results. Changes in category were compared with biopsies to determine their predictive value of benignancy or malignancy. Results Independent factors associated with malignancy were age (>50 years), tumor size (≥20 mm), margin (not circumscribed), orientation (not parallel), and peripheral location, and an upgraded categorical alteration from SOUS. Downgraded categorical alterations were associated with benignancy. Conclusions In BI-RADS 4A cases, a biopsy is recommended when independent factors are associated with malignancy. A downgraded result from an SOUS examination is a protective factor, supporting the likelihood of benignancy in these patients.


Joints ◽  
2019 ◽  
Vol 07 (01) ◽  
pp. 013-018
Author(s):  
Davide E. Bonasia ◽  
Anna Palazzolo ◽  
Umberto Cottino ◽  
Francesco Saccia ◽  
Claudio Mazzola ◽  
...  

AbstractTotal knee arthroplasty (TKA) is a valuable treatment option for advanced osteoarthritis in patients unresponsive to conservative treatments. Despite overall satisfactory results, the rate of unsatisfied patients after TKA remains high, ranging from 5 to 40%. Different modifiable and nonmodifiable prognostic factors associated with TKA outcomes have been described. The correction, whenever possible, of modifiable factors is fundamental in preoperative patients' optimization protocols. Nonmodifiable factors can help in predicting the outcomes and creating the right expectations in the patients undergoing TKA. The goal of this review is to summarize the modifiable and nonmodifiable prognostic factors associated with TKA outcomes.


2021 ◽  
Vol 30 (11) ◽  
pp. 924-929
Author(s):  
Cristiana Forni ◽  
Nicola Cerantola ◽  
Gianfranco Ferrarelli ◽  
Luana Lombrosi ◽  
Andrea Bolzon ◽  
...  

Objective: The aim of this study was to find the rate of pressure ulcers (PUs) in patients with knee replacements and identify predictive factors. The ability of the Braden scale to predict the onset of PUs was also investigated. Method: A retrospective prognostic cohort study was carried out involving all consecutive patients undergoing knee replacement surgery. The data were collected from patient records. The variables collected were grouped into two categories: those connected to the patient's own characteristics; and those linked to the care methods used. Results: The total number of patients included in the study was 565. Of these, 2.3% had developed a PU: 0.5% at the heel and 1.8% at the sacrum. Multivariate analysis showed that the variables actually correlated to the outcome were age (p=0.074; odds ratio (OR)=1.08), body mass index (BMI, p=0.037; OR=1.13) and Braden scale (p=0.029; OR=0.72). A combination of these three parameters showed better predictivity of PUs (area under the curve (AUC) 84%). Conclusion: Age, BMI and preoperative Braden score were shown to be independent predictive factors of the onset of PUs in patients with knee replacements. The combined use of all three variables increased the ability to identify the patients at most risk of developing a PU. Declaration of interest: The study was financed by the Professional Nurse Register of Bologna as winner of a competition for research projects in the province of Bologna. The authors declare no conflicts of interest.


1993 ◽  
Vol 33 (4) ◽  
pp. 417 ◽  
Author(s):  
MO Etheridge ◽  
CR Stockdale ◽  
PD Cranwell

This experiment measured the voluntary intake and rate of eating of sheep fed lucerne (Medicago sativa) that had been conserved as sun-dried material or as silage at 3 different DM contents (29.2, 33.1, and 51.2%). Changes in rumen osmolality and palatability due to diet were measured. Palatability was assessed by introducing feed directly into the rumen and measuring the subsequent oral intake. Eight sheep with rumen fistulae were used in two 4 x 4 latin squares, which allowed for adjustment for carryover effects. There was no significant (P<0.05) difference between voluntary intakes of lucerne conserved as sundried material and as silages of various DM contents (mean intake 1189 g DM/day). The lack of difference in intake was attributed to the high quality of fermentation of the silages. Rate of eating was also generally similar for all diets. Evidence from measurements of palatability and rumen osmolality support these observations. Palatability appeared not to influence the voluntary intake of any of the diets, because the sheep reduced their daily oral intake by an amount similar to that introduced into the rumen. Under normal feeding conditions, rumen osmolality was also similar for all feeds and was relatively consistent for the 9 h immediately after the start of feeding. While rumen osmolality per se may affect voluntary intake, the lack of response reported here for changes in osmolality due to diet support the lack of response reported for feed consumption.


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