scholarly journals Family anamnesis and anomalies of locomotor system: Risk factors for developmental hip displacement

2014 ◽  
Vol 43 (6) ◽  
pp. 39-44
Author(s):  
Nikola Gavrić ◽  
Nataša Vajić ◽  
Aleksandra Hadžiavdić
2021 ◽  
Vol 29 (1) ◽  
pp. 230949902110011
Author(s):  
Kyoko Okuno ◽  
Yukihiro Kitai ◽  
Toru Shibata ◽  
Hiroshi Arai

Purpose: To investigate the risk factors for hip displacement in patients with dyskinetic cerebral palsy (DCP). Methods: We evaluated 81 patients with DCP, 45 males and 36 females, aged 10–22 years, risk factors for hip displacement were evaluated using multivariate logistic regression analysis with primary brain lesions, Gross Motor Function Classification System (GMFCS) level, gestational age, birth weight, Cobb’s angle, and complication of epilepsy as independent factors. Hip displacement was defined as migration percentage >30%. Primary brain lesions were classified into globus pallidus (GP), thalamus and putamen (TP), and others using brain magnetic resonance imaging (MRI). Perinatal and clinical features were compared between patients with GP lesions and those with TP lesions. Results: Hip displacement was observed in 53 patients (67%). Higher GMFCS levels (p = 0.013, odds ratio [OR] 2.6) and the presence of GP lesions (p = 0.04, OR 16.5) were independent risk factors for hip displacement. Patients with GP lesions showed significantly higher GMFCS levels, more frequent hip displacement, and lower gestational age and birth weight than those with TP lesions. Conclusion: Primary brain lesion location may be an important factor in predicting hip displacement among patients with DCP. Appropriate risk assessment using brain MRI may contribute to the early detection and intervention of hip displacement because brain lesion location can be assessed during infancy before GMFCS level is decided.


2020 ◽  
Vol 8 (01) ◽  
pp. 025-028
Author(s):  
Gunjan Y. Trivedi ◽  
Banshi Saboo

AbstractHealthy immune system helps in enhancing the quality of life and reduces the risk of infectious disease. Chronic disease increases the risk of immune system impairment. The article reviews the evidence on risk factors causing immune system imbalance and articulates the complex nature of the relationships between immune system risk factors, chronic disease, and infectious disease to highlight the importance of lifestyle choices. Finally, some evidence is presented on mind–body interventions and lifestyle choices for enhancing the immune system function.


2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Shih-Tong Lu ◽  
Shih-Heng Yu ◽  
Dong-Shang Chang ◽  
Shih-Chang Su

This study employs fuzzy linguistic preference relation (Fuzzy LinPreRa) approach to assess the relative degree of impact of risk factors in software development project for two expert groups working in technology enterprises and software development companies. For the identified risk dimensions, the results show the same rankings for these two groups. “Organization function risk” is considered the most important dimension influencing the software development project performance, with the others, in order, being “developing technology risk,” “resources integration risk,” “personnel system risk” and “system requirement risk.” The proposed approach not only facilitates the information collecting for making pairwise comparisons, but it also eliminates the inconsistencies in the collected information.


2014 ◽  
Vol 71 (18) ◽  
pp. 1556-1565 ◽  
Author(s):  
Harold S. Minkowitz ◽  
Stephen K. Gruschkus ◽  
Manan Shah ◽  
Aditya Raju

2021 ◽  
Vol 17 (1) ◽  
pp. 274-282
Author(s):  
Fares Alshammari ◽  

Patient protection has become one of the key elements of the quality of health care systems in Saudi Arabia. Medical errors that threaten patient safety are mediated by several factors including system risk factors. Hence, we used a self-structured questionnaire to assess and rank the system factors according to the perceptions of nurses working in the hospitals of the ministry of health in Hail, KSA. Eight out of twelve factors tested were perceived as threatening factors of the patient safety that are; ‘Shortage of medical staff’, ‘Poor design of the hospital structure’, ‘Long working hours’, ‘Overcrowding of patients’, ‘Poor coordination between hospital departments, ‘Punitive and blaming environment, ‘Lack of clinical practice standards’ and, ‘Poor financial incentives’. Thus, considering the negative impact of the identified threatening system factors in this study on patient safety, urgent planning and managing appropriate corrective actions should be designed to improve patient safety issues.


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