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University of Groningen Assessment of malnutrition in patients with head and neck cancer: a multidimensional approach Sealy, Martine Jane

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Assessment of malnutrition in patients with head and neck cancer: a multidimensional

approach

Sealy, Martine Jane

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

Document Version

Publisher's PDF, also known as Version of record

Publication date: 2019

Link to publication in University of Groningen/UMCG research database

Citation for published version (APA):

Sealy, M. J. (2019). Assessment of malnutrition in patients with head and neck cancer: a multidimensional approach.

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Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum.

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PHdical screening is defined as “the systematic application of a test or inquiry to identify LQGLYLGXDOVDWVXIILFLHQWULVNRIDVSHFLILFGLVRUGHUWREHQHILWIURPIXUWKHULQYHVWLJDWLRQRU direct preventive action” (Oxford Medicine online, KWWSR[IRUGPHGLFLQHFRP  IRU LQVWDQFHVFUHHQLQJIRUULVNRIGHFXELWXV,IVFUHHQLQJLVXVHGLQWKLVVHQVHZHFDQDVVXPH WKDWWKHLQVWUXPHQWKDVWKHFDSDFLW\WRSURVSHFWLYHO\LGHQWLI\SDWLHQWVWKDWPD\GHYHORS PDOQXWULWLRQ7KLVLPSOLHVWKDWSDWLHQWVLGHQWLILHGFDQEHPRQLWRUHGDQGLQWHUYHQWLRQVFDQ EHLQLWLDWHGLQRUGHUWRSUHYHQWPDOQXWULWLRQ2QWKHRWKHUKDQGWKHWHUPPDOQXWULWLRQ VFUHHQLQJZDVDOVRXVHGLQWKHVHQVHRIVFUHHQLQJIRUSDWLHQWVZLWKPDOQXWULWLRQ,QWKLV

situation screening can be defined as “tests or examinations to discover if there is anything wrong with something” (Cambridge dictionary, KWWSVGLFWLRQDU\FDPEULGJHRUJ  IRU LQVWDQFHVFUHHQLQJIRUEUHDVWFDQFHU,IVFUHHQLQJLVXVHGLQWKLVVHQVHZHFDQDVVXPHWKDW WKHLQVWUXPHQWKDVWKHFDSDFLW\WRVHOHFWSDWLHQWVWKDWSUREDEO\KDYHPDOQXWULWLRQ7KLV LPSOLHVWKDWIXUWKHUDVVHVVPHQWRIPDOQXWULWLRQLVQHHGHGWRFRQILUPWKLVLQLWLDOVFUHHQLQJ

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PHdical screening is defined as “the systematic application of a test or inquiry to identify LQGLYLGXDOVDWVXIILFLHQWULVNRIDVSHFLILFGLVRUGHUWREHQHILWIURPIXUWKHULQYHVWLJDWLRQRU direct preventive action” (Oxford Medicine online, KWWSR[IRUGPHGLFLQHFRP  IRU LQVWDQFHVFUHHQLQJIRUULVNRIGHFXELWXV,IVFUHHQLQJLVXVHGLQWKLVVHQVHZHFDQDVVXPH WKDWWKHLQVWUXPHQWKDVWKHFDSDFLW\WRSURVSHFWLYHO\LGHQWLI\SDWLHQWVWKDWPD\GHYHORS PDOQXWULWLRQ7KLVLPSOLHVWKDWSDWLHQWVLGHQWLILHGFDQEHPRQLWRUHGDQGLQWHUYHQWLRQVFDQ EHLQLWLDWHGLQRUGHUWRSUHYHQWPDOQXWULWLRQ2QWKHRWKHUKDQGWKHWHUPPDOQXWULWLRQ VFUHHQLQJZDVDOVRXVHGLQWKHVHQVHRIVFUHHQLQJIRUSDWLHQWVZLWKPDOQXWULWLRQ,QWKLV

situation screening can be defined as “tests or examinations to discover if there is anything wrong with something” (Cambridge dictionary, KWWSVGLFWLRQDU\FDPEULGJHRUJ  IRU LQVWDQFHVFUHHQLQJIRUEUHDVWFDQFHU,IVFUHHQLQJLVXVHGLQWKLVVHQVHZHFDQDVVXPHWKDW WKHLQVWUXPHQWKDVWKHFDSDFLW\WRVHOHFWSDWLHQWVWKDWSUREDEO\KDYHPDOQXWULWLRQ7KLV LPSOLHVWKDWIXUWKHUDVVHVVPHQWRIPDOQXWULWLRQLVQHHGHGWRFRQILUPWKLVLQLWLDOVFUHHQLQJ

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horse, therefore Bella’s diet is vegetarian. This argument has one premise followed by a conclusion. Within this argument the conditional statement “If you are a horse, then your diet is vegetarian” is an implicit premise, but can be explicated. 7KLVFRQGLWLRQDOVWDWHPHQW LVDWUXHVWDWHPHQWDQGFRQWDLQVWZRVHQWHQFHVZKLFKDUHFRQQHFWHGWKURXJKWKHORJLFDO connective “If…, then...”. The sentence that follows “if” is called antecedent, the sequence that follows “then” is called consequent. The rule of inference is as following: given “if

 antecedent, then consequent” and given “antecedent”, then the conclusion “consequent” necessarily follows. The logical form of this type of reasoning is known as “modus ponendo ponens”; the truth of the premises guDUDQWHHWKHWUXWKRIWKHFRQFOXVLRQ7KHIDOODF\RI affirming the consequent occurs when the consequent is affirmed in the reasoning: “If you are a horse (antecedent), then your diet is vegetarian (consequent). Bella’s diet is YHJHWDULDQ FRQVHTXHQW WKHUefore Bella is a horse (antecedent)”. This reasoning is not YDOLGZKLFKPHDQVWKDWLIWKHWZRSUHPLVHVDUHWUXHWKHFRQFOXVLRQLVQRWJXDUDQWHHGWREH true. Furthermore it could imply the conditional “if your diet is vegetarian, then you are a horse.” The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consequent occurs: “If a patient has malnutrition (antecedent), then cOLQLFDOFRPSOLFDWLRQV PD\ DULVH FRQVHTXHQW  &OLQLFDO FRPSOLFDWLRQV PD\ DULVH FRQVHTXHQW  WKHUHIRUH WKH patient has malnutrition (antecedent)”. This reasoning is not valid. Furthermore it could imply the conditional: “if clinical complications may arise WKHQ WKLV SDWLHQW KDV malnutrition”. This statement is not conclusive since clinical complications that may arise GRQRWQHFHVVDULO\RFFXUGXHWRPDOQXWULWLRQFRPSOLFDWLRQVPD\DOVRRFFXUGXHWRRWKHU UHDVRQV

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