scholarly journals Assessment tool for early prediction of patients in an acute hospital requiring long term institutional placement

2017 ◽  
Vol 17 (3) ◽  
pp. 165
Author(s):  
Melissa Chew
Keyword(s):  
Assessment Tool ◽  
Acute Hospital ◽  
Early Prediction ◽  
Institutional Placement

Post-Operative Dysphagia in Anterior Cervical Discectomy and Fusion

2021 ◽  
pp. 000348942110155
Author(s):  
Leonard Haller ◽  
Khush Mehul Kharidia ◽  
Caitlin Bertelsen ◽  
Jeffrey Wang ◽  
Karla O’Dell
Keyword(s):  
Risk Factors ◽  
Medical Records ◽  
Assessment Tool ◽  
Demographic Data ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Long Term Follow Up

Objective: We sought to identify risk factors associated with long-term dysphagia, characterize changes in dysphagia over time, and evaluate the incidence of otolaryngology referrals for patients with long-term dysphagia following anterior cervical discectomy with fusion (ACDF). Methods: About 56 patients who underwent ACDF between May 2017 to February 2019 were included in the study. All patients were assessed for dysphagia using the Eating Assessment Tool (EAT-10) survey preoperatively and late postoperatively (≥1 year). Additionally, 28 patients were assessed for dysphagia early postoperatively (2 weeks—3 months). Demographic data, medical comorbidities, intraoperative details, and post-operative otolaryngology referral rates were collected from electronic medical records. Results: Of the 56 patients enrolled, 21 patients (38%) had EAT-10 scores of 3 or more at long-term follow-up. None of the demographics, comorbidities, or surgical factors assessed were associated with long-term dysphagia. Patients who reported no long-term dysphagia had a mean EAT-10 score of 6.9 early postoperatively, while patients with long-term symptoms had a mean score of 18.1 ( P = .006). Of the 21 patients who reported persistent dysphagia symptoms, 3 (14%) received dysphagia testing or otolaryngology referrals post-operatively. Conclusion: Dysphagia is a notable side effect of ACDF surgery, but there are no significant demographics, comorbidities, or surgical risk factors that predict long-term dysphagia. Early postoperative characterization of dysphagia using the EAT-10 questionnaire can help predict long-term symptoms. There is inadequate screening and otolaryngology follow-up for patients with post-ACDF dysphagia.

scholarly journals Development and Verification of the Available Number of Water Intake Days in Ungauged Local Water Source Using the SWAT Model and Flow Recession Curves

Water ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 1511
Author(s):  
Jung-Ryel Choi ◽  
Il-Moon Chung ◽  
Se-Jin Jeung ◽  
Kyung-Su Choo ◽  
Cheong-Hyeon Oh ◽  
...  
Keyword(s):  
Water Supply ◽  
Water Intake ◽  
Water Resource Management ◽  
Assessment Tool ◽  
Swat Model ◽  
High Water ◽  
Coefficient Of Determination ◽  
Severe Drought ◽  
Regional Government

Climate change significantly affects water supply availability due to changes in the magnitude and seasonality of runoff and severe drought events. In the case of Korea, despite high water supply ratio, more populations have continued to suffer from restricted regional water supplies. Though Korea enacted the Long-Term Comprehensive Water Resources Plan, a field survey revealed that the regional government organizations limitedly utilized their drought-related data. These limitations present a need for a system that provides a more intuitive drought review, enabling a more prompt response. Thus, this study presents a rating curve for the available number of water intake days per flow, and reviews and calibrates the Soil and Water Assessment Tool (SWAT) model mediators, and found that the coefficient of determination, Nash–Sutcliffe efficiency (NSE), and percent bias (PBIAS) from 2007 to 2011 were at 0.92, 0.84, and 7.2%, respectively, which were “very good” levels. The flow recession curve was proposed after calculating the daily long-term flow and extracted the flow recession trends during days without precipitation. In addition, the SWAT model’s flow data enables the quantitative evaluations of the number of available water intake days without precipitation because of the high hit rate when comparing the available number of water intake days with the limited water supply period near the study watershed. Thus, this study can improve drought response and water resource management plans.

scholarly journals Attitudes Toward Sexual Behaviors in Long-Term Care: Development of an Assessment Tool

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 602-603
Author(s):  
Rachael Spalding ◽  
Emma Katz ◽  
Barry Edelstein
Keyword(s):  
Sexual Behaviors ◽  
Long Term Care ◽  
Assessment Tool ◽  
Qualitative Interviews ◽  
Family Members ◽  
Community Dwelling ◽  
Term Care ◽  
Care Development

Abstract Most older adults living in long-term care settings (LTCs) indicate that expressing their sexuality is important to them (Doll, 2013). Little is known about the general public’s attitudes towards sexual behaviors in LTCs. Attitudes of LTC residents’ family members are particularly important, as family members are most likely to visit residents and to care about their quality of life. Family members’ attitudes could in turn inform facility policies and management. We will present preliminary data from a series of qualitative interviews with community-dwelling adults regarding their attitudes. We will discuss how these data are being used to inform current work on a measure of attitudes toward sexual behavior in LTCs.

An evaluation of opioid use during acute hospital admissions

2022 ◽  
Vol 4 (1) ◽  
pp. 24-31
Author(s):  
Alison Blackburn
Keyword(s):  
Acute Pain ◽  
Hospital Admissions ◽  
Hospital Setting ◽  
Acute Hospital ◽  
Opioid Use ◽  
Opioid Medication ◽  
Age Range ◽  
The Impact ◽  
Acute Hospital Setting

Long-term opioid use can begin with the treatment of acute pain. However, there is little evidence concerning the impact that better opioid awareness in the acute phase may have on reducing the use of opioids in the long term. This project explored which opioids are routinely prescribed within an acute hospital setting and how these opioids were used over the course of the hospital stay. Codeine and morphine remain the most commonly prescribed opioids. Opioids were prescribed and given to people across the age range, from 16 to 98 years. The project found that 19% of patients were admitted with a pre-existing opioid. Up to 66% of patients were discharged with opioid medication, with almost 20% leaving with more than one opioid. Regular opioid use routinely exposes patients to long-term opioid use and those patients initiated onto opioid medication during admission should have the benefit of planned de-escalation before discharge.

scholarly journals Long-term streamflow forecasting for the Cascade Reservoir System of Han River using SWAT with CFS output

2018 ◽  
Vol 50 (2) ◽  
pp. 655-671
Author(s):  
Tian Liu ◽  
Yuanfang Chen ◽  
Binquan Li ◽  
Yiming Hu ◽  
Hui Qiu ◽  
...  
Keyword(s):  
Machine Learning ◽  
Assessment Tool ◽  
Flow Simulation ◽  
Machine Learning Algorithms ◽  
Support Vector ◽  
Streamflow Forecasting ◽  
Distribution Models ◽  
Han River ◽  
Reservoir System

Abstract Due to the large uncertainties of long-term precipitation prediction and reservoir operation, it is difficult to forecast long-term streamflow for large basins with cascade reservoirs. In this paper, a framework coupling the original Climate Forecasting System (CFS) precipitation with the Soil and Water Assessment Tool (SWAT) was proposed to forecast the nine-month streamflow for the Cascade Reservoir System of Han River (CRSHR) including Shiquan, Ankang and Danjiangkou reservoirs. First, CFS precipitation was tested against the observation and post-processed through two machine learning algorithms, random forest and support vector regression. Results showed the correlation coefficients between the monthly areal CFS precipitation (post-processed) and observation were 0.91–0.96, confirming that CFS precipitation post-processing using machine learning was not affected by the extended forecast period. Additionally, two precipitation spatio-temporal distribution models, original CFS and similar historical observation, were adopted to disaggregate the processed monthly areal CFS precipitation to daily subbasin-scale precipitation. Based on the reservoir restoring flow, the regional SWAT was calibrated for CRSHR. The Nash–Sutcliffe efficiencies for three reservoirs flow simulation were 0.86, 0.88 and 0.84, respectively, meeting the accuracy requirement. The experimental forecast showed that for three reservoirs, long-term streamflow forecast with similar historical observed distribution was more accurate than that with original CFS.

scholarly journals The Role of Ultra-widefield Retinal Imaging as a Standard Assessment Tool in the Cataract Practice

2017 ◽  
Vol 10 (01) ◽  
pp. 31
Author(s):  
Kerry K Assil ◽  
V Nicholas Batra ◽  
◽  
Keyword(s):  
Cataract Surgery ◽  
Assessment Tool ◽  
Comprehensive Evaluation ◽  
Retinal Imaging ◽  
High Expectations ◽  
Optimal Outcomes ◽  
Standard Assessment ◽  
Retinal Pathology ◽  
Quality Of Vision

Comprehensive evaluation of retinal health prior to and following cataract surgery is critical to supporting optimal outcomes. In addition to the importance of identifying retinal pathology that may prevent or delay cataract surgery, continuous advances in refractive intraocular lens technology and cataract surgical technique, coupled with increasingly high expectations regarding visual outcomes among younger patients, make the consideration of long-term quality of vision paramount in the cataract assessment. Optos® ultrawidefield retinal imaging supports this clinical objective by providing imaging standardization in a streamlined, patient-friendly exam process, supporting robust documentation that facilitates mapping of disease progression, and offering potential economic advantages in a resourceconstrained environment.

OPTIONS FOR ASSESSING THE SUITABILITY OF URBAN ENVIRONMENTAL ACUPUNCTURE

2021 ◽  
Author(s):  
Barbara Vojvodíková ◽  
Jiří Kupka ◽  
Adéla Brázdová ◽  
Radim Fojtík ◽  
Iva Tichá
Keyword(s):  
Climate Change ◽  
Assessment Tool ◽  
Mitigation Measures ◽  
Small Scale ◽  
Financial Sustainability ◽  
Technical Solution ◽  
The City

To increase their resilience to climate change, cities are looking to apply elements of urban environmental acupuncture. The essence of such measures is many smaller sites that is functioning as mitigation measures. Many of these small places then create a large overall effect. The advantage of these small-scale measures is that they can be in densely populated areas The assessment tool described in this paper is designed for city representatives and is an aid to assess the suitability of applying a particular measure based on the parameters described. The evaluation itself then helps to decide whether the solution is suitable for a particular site or whether any of the parameters need to be adjusted to make it suitable, or whether it would be appropriate to change the proposed solution. The intention of the evaluation is not to assess the technical solution but relies primarily on the location, long-term (especially financial) sustainability and acceptance by the citizens of the city. The paper presents an example of the application of the evaluation to four sites in city Liptovský Mikuláš, describing the results and identifying parameters that can be improved to ensure the urban environmental acupuncture is accepted by citizens and thus future-proofed.

Sign in / Sign up

Export Citation Format

Share Document