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1.
Estima (Online) ; 19(1): e0121, jan.-dez. 2021.
Artigo em Português | BDENF - Enfermagem | ID: biblio-1151133

RESUMO

Objetivo:avaliar a qualidade de vida de pessoas com úlcera venosa e correlacionar com as características clínicas e sintomas associados à ferida. Método: estudo quantitativo, transversal e analítico. Para as análises das associações das variáveis qualitativas foram aplicados os testes Qui-quadrado e exato de Fisher, e para as variáveis quantitativas, o coeficiente de correlação de Spearman. Utilizou-se o instrumento Pressure Ulcer Scale for Healing para a avaliação da ferida e o Freiburg Life Quality Assessment Wound-wk para análise da qualidade de vida. Fizeram parte do estudo 103 sujeitos com tempo de feridas superior a seis semanas, de etiologia venosa. Resultados: houve correlação das características clínicas da úlcera venosa e sintomas associados com a qualidade de vida. Nas dimensões sintomas físicos, pessoas com úlcera venosa apresentraram pior escore em relação ao sintoma dor (p<0,0001). Associadas a isso, as características clínicas como a aparência (p< 0,0001) e a área (p=0,0037) da ferida também manifestaram correlação. Em relação à escala de avaliação da ferida (área, tecido na ferida e exsudato), o pior escore interferiu nos sintomas físicos. Conclusão: a dor, tamanho da ferida e seu aspecto influenciam negativamente na qualidade de vida de pessoas com úlcera venosa


Assuntos
Qualidade de Vida , Úlcera Varicosa , Cicatrização , Enfermagem
2.
Vaccimonitor (La Habana, Print) ; 30(2)mayo.-ago. 2021. tab, graf
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1252326

RESUMO

Este reporte corresponde al análisis de la calidad de vida de los pacientes que se incluyeron en el ensayo clínico fase III de evaluación de la vacuna CIMAvaxEGF® en cáncer de pulmón de células no pequeñas. La calidad de vida se evaluó empleando los cuestionarios EORTC QLQ-C30 y QLQ-C13, al inicio y cada 3 meses hasta el fallecimiento del paciente a criterio del investigador. Para comparar las medianas entre los dos grupos se utilizó la prueba no paramétrica de Mann-Whitney. Las comparaciones entre el nivel basal y los diferentes tiempos de seguimiento se realizaron a través de la prueba no paramétrica de Wilcoxon. El cuestionario QLQ-C30 evidenció un beneficio en cuanto a calidad de vida para el grupo vacunado con la vacuna CIMAvaxEGF® en las escalas funcionales (global, rol y social), en las escalas de síntomas de la enfermedad y del tratamiento (dolor) se observó que mejora la calidad de los mismos a favor de los pacientes tratados con la vacuna CIMAvaxEGF®. El cuestionario QLQ-C13, también evidenció ventajas para el grupo vacunado desde el punto de vista de beneficio clínico en los síntomas (disnea, disfagia, alopecia y dolor en el pecho). Se señala como significativo que disminuye la hemoptisis y la tos en el grupo vacunado, observándose un empeoramiento en el grupo control(AU)


This report corresponds to quality of life analysis of patient with non-small cell lung cancer included in the phase III clinical trials Evaluation of CIMAvaxEGF® vaccine in lung cancer. The quality of life was evaluate using the EORTC questionnaires QLQ-C30 y QLQ-C13, at the beginning and every 3 months. To compare the median between two groups the Mann-Whitney non-parametric test was used. To compare the baseline and different follows times the Wilcoxon non-parametric test was used. The QLQ-C30 questionnaire showed a benefit in terms of the quality of life for the CIMAvaxEGF® vaccine group on the functional scores (global, role and social) and symptoms of the disease (pain). The QLQ-LC13 questionnaire showed a benefit in terms of the quality of life for the CIMAvaxEGF® vaccine group on the symptoms scores (dyspnea, dysphagia, alopecia and chest pain). It is noted as significant that the hemoptysis decreases in the group vaccinated as well as the dysphagia, the cough and the dyspnea observing a worsening in the control group(AU)


Assuntos
Humanos , Masculino , Feminino , Qualidade de Vida , Inquéritos e Questionários , Ensaios Clínicos Fase III como Assunto , Carcinoma Pulmonar de Células não Pequenas/epidemiologia , Vacinas Anticâncer
3.
J Christ Nurs ; 38(3): E25-E27, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34085664

RESUMO

ABSTRACT: Compassion fatigue has become a more significant concern as nurses have cared for patients during the COVID-19 pandemic. The results of compassion fatigue are detrimental for both nurses and their patients. Both administrative and individual actions can be taken to assess, prevent, and deal with compassion fatigue. Spiritual facets of recognizing the potential for and managing the problem are presented.


Assuntos
Esgotamento Profissional/psicologia , COVID-19/psicologia , Fadiga por Compaixão/psicologia , Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem/psicologia , Adaptação Psicológica , Adulto , COVID-19/enfermagem , Empatia , Humanos , Satisfação no Emprego , Qualidade de Vida
4.
J Headache Pain ; 22(1): 52, 2021 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-34092221

RESUMO

BACKGROUND: Cluster headache (CH) is a trigeminal autonomic cephalalgia (TAC) characterized by a highly disabling headache that negatively impacts quality of life and causes limitations in daily functioning as well as social functioning and family life. Since specific measures to assess the quality of life (QoL) in TACs are lacking, we recently developed and validated the cluster headache quality of life scale (CH-QoL). The sensitivity of CH-QoL to change after a medical intervention has not been evaluated yet. METHODS: This study aimed to test the sensitivity to change of the CH-QoL in CH. Specifically we aimed to (i) assess the sensitivity of CH-QoL to change before and following deep brain stimulation of the ventral tegmental area (VTA-DBS), (ii) evaluate the relationship of changes on CH-QoL with changes in other generic measures of quality of life, as well as indices of mood and pain. Ten consecutive CH patients completed the CH-QoL and underwent neuropsychological assessment before and after VTA-DBS. The patients were evaluated on headache frequency, severity, and load (HAL) as well as on tests of generic quality of life (Short Form-36 (SF-36)), mood (Beck Depression Inventory, Hospital Anxiety and Depression Rating Scale), and pain (McGill Pain Questionnaire, Headache Impact Test, Pain Behaviour Checklist). RESULTS: The CH-QoL total score was significantly reduced after compared to before VTA-DBS. Changes in the CH-QoL total score correlated significantly and negatively with changes in HAL, the SF-36, and positively and significantly with depression and the evaluative domain on the McGill Pain Questionnaire. CONCLUSIONS: Our findings demonstrate that changes after VTA-DBS in CH-QoL total scores are associated with the reduction of frequency, duration, and severity of headache attacks after surgery. Moreover, post VTA-DBS improvement in CH-QoL scores is associated with an amelioration in quality of life assessed with generic measures, a reduction of depressive symptoms, and evaluative pain experience after VTA-DBS. These results support the sensitivity to change of the CH-QoL and further demonstrate the validity and applicability of CH-QoL as a disease specific measure of quality of life for CH.


Assuntos
Cefaleia Histamínica , Estimulação Encefálica Profunda , Cefaleia Histamínica/terapia , Humanos , Dor , Qualidade de Vida , Área Tegmentar Ventral
5.
Front Public Health ; 9: 661042, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34095066

RESUMO

Coronavirus disease 2019 (COVID-19) has disproportionately affected residents, their families, staff, and operators of congregate care settings. Assisted living (AL) is a type of long-term care setting for older adults who need supportive care but not ongoing nursing care and emphasizes a social model of care provision. Because AL is a type of long-term care, it has at times been referenced along with nursing homes in discussions related to COVID-19 but not recognized for its different care practices that pose unique challenges related to COVID-19; in that manner, it has largely been left out of the COVID-19 discourse, although ~812,000 older adults live in AL. To identify COVID-19 issues specific to AL, stakeholders with expertise in AL operations, policy, practice, and research (n = 42) were recruited to participate in remote interviews between July and September 2020. Using a thematic analysis, we derived the following overarching themes: (1) Policymakers are disconnected from and lack an understanding of the AL context; (2) AL administrators were left to coordinate, communicate, and implement constantly changing guidelines with little support; (3) AL organizations faced limited knowledge of and disparate access to funding and resources; (4) state-level regulatory requirements conflicted with COVID-19 guidelines resulting in uncertainty about which rules to follow; and (5) AL operators struggled to balance public health priorities with promoting their residents' quality of life and well-being. To develop evidence-informed policy and avoid unintended consequences, AL operators, direct care workers, residents, and clinicians practicing in these settings should have opportunities to provide feedback throughout the policy development process, both state and national.


Assuntos
COVID-19 , Idoso , Atenção à Saúde , Humanos , Casas de Saúde , Qualidade de Vida , SARS-CoV-2 , Estados Unidos/epidemiologia
6.
Am J Case Rep ; 22: e930026, 2021 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-34097671

RESUMO

BACKGROUND Calciphylaxis is a rare and lifethreatening syndrome characterized by small vascular calcifications, which lead to the occlusion of blood vessels and painful skin lesions with tissue necrosis. Although the disease can develop in a population without kidney failure, it is typically detected in patients receiving dialysis, with an increasing frequency ranging from 1% to 4%. Therefore, the disease is also known as calcific uremic arteriolopathy. The prognosis in patients with coexisting chronic kidney disease is very poor, with a 1-year mortality rate of up to 80%. Numerous risk factors for calciphylaxis have been described, such as obesity, diabetes mellitus, female sex, White race, overuse of calcium and vitamin D supplements, and vitamin K deficiency. The disease is often accompanied by disorders such as hyperphosphatemia, elevated parathyroid hormone level, and a deficiency of natural calcification inhibitors, such as fetuin-A and matrix Gla protein. However, not all patients with calciphylaxis have the abnormalities described above, suggesting that the pathogenesis of calciphylaxis is multifactorial and unfortunately still uncertain. CASE REPORT We report a case of calciphylaxis in a 52-year-old White woman with multiple comorbidities and on chronic hemodialysis treatment, who presented with severe subcutaneous painful nodules and necrotic ulcers on both legs. CONCLUSIONS Although the prognosis of this rare and underrecognized disease is poor, an early diagnosis and interdisciplinary treatment including pain relief, wound care, appropriate nutritional support, correction of mineral parameters, administration of sodium thiosulphate, and adequate hemodialysis therapy can improve patient quality of life.


Assuntos
Calciofilaxia , Falência Renal Crônica , Calcificação Vascular , Calciofilaxia/complicações , Calciofilaxia/diagnóstico , Feminino , Humanos , Falência Renal Crônica/complicações , Falência Renal Crônica/terapia , Pessoa de Meia-Idade , Qualidade de Vida , Diálise Renal , Calcificação Vascular/complicações
7.
Soins Pediatr Pueric ; 42(320): 12-15, 2021.
Artigo em Francês | MEDLINE | ID: mdl-34099230

RESUMO

The management of type 1 diabetes in paediatrics has evolved considerably over the last 20 years, mainly through the use of new technologies. The challenge of managing this disease is to achieve good glycaemic control in order to prevent complications while maintaining a good quality of life. What are the current and future means of achieving this?


Assuntos
Diabetes Mellitus Tipo 1 , Adolescente , Automonitorização da Glicemia , Criança , Diabetes Mellitus Tipo 1/tratamento farmacológico , Humanos , Hipoglicemiantes , Insulina , Sistemas de Infusão de Insulina , Qualidade de Vida
8.
Zhen Ci Yan Jiu ; 46(5): 416-20, 2021 May 25.
Artigo em Chinês | MEDLINE | ID: mdl-34085466

RESUMO

OBJECTIVE: To observe the curative effect of joint administration of acupuncture, western and herbal medicines and bamboo-jar-cupping in the treatment of locomotor dysfunction in patients with apoplexy (acute phase) of wind-phlegm blocking meridian-collateral type in acute stroke patients, and its influence on some relevant laboratory indexes. METHODS: A total of 100 cases of acute stroke patients of wind-phlegm blocking meridian-collateral type were recruited, and equally and randomly divided into control group and treatment group according to the random number table. The patients of both groups received treatment of conventional western medicines (for anti-platelet aggregation, blood-lipid regulation, arterial plaque-stabilization, cerebral cell protection and blood pressure-lowering), Chinese herbal medicines (for promoting blood circulation to dredge the meridian-collaterals), and acupuncture of Neiguan (PC6), Chize (LU5), Zusanli (ST36), Binao (LI14) and Sanyinjiao (SP6); and in addition, the patients of the treatment group also treated by cupping with bamboo-jar (kept for 10 min). The treatment was conducted once a day for 2 weeks. After the treatment, the National Institute of Health Stroke Scale (NIHSS), Fugl-Meyer assessment (FMA), Barthel Index (BI), and traditional Chinese medicine (TCM) syndrome score were used to assess the state of neurofunction, locomotor function, daily living ability, and TCM symptoms. The contents of serum C-reactive protein, D-dimer and blood homocysteine were detected using radical immunodiffusion, immunoturbidimetry, and enzymic methods, respectively. RESULTS: After the treatment, of the 50 and 50 cases in the control and treatment groups, 5 and 6 were cured, 7 and 18 experienced marked improvement, 23 and 20 were effective, and 15 and 6 ineffective, with the effective rate being significantly higher in the treatment group (88.0%) than in the control group (70.0%, P<0.05). Self-comparison showed that the FMA and BI scores were significantly increased (P<0.01), and the NIHSS score and TCM syndrome score notably decreased in both groups ( P<0.01) in comparison with their own pre-treatment. Comparison between the two groups showed that the FMA and BI scores were obviously higher in the treatment group than in the control group (P<0.05), whereas the NIHSS score and TCM syndrome score as well as the C-reaction protein content evidently lower in the treatment group than in the control group (P<0.05, P<0.01). CONCLUSION: Joint administration of acupuncture, western and Chinese herbal medicines and cupping can promote the recovery of nerve function, improve locomotor function, activities of daily living and quality of life, and reduce inflammatory state in acute stroke patients with wind-phlegm blocking collaterals.


Assuntos
Terapia por Acupuntura , Acidente Vascular Cerebral , Atividades Cotidianas , Humanos , Qualidade de Vida , Acidente Vascular Cerebral/terapia , Resultado do Tratamento , Vento
9.
Zhongguo Zhen Jiu ; 41(6): 623-7, 2021 Jun 12.
Artigo em Chinês | MEDLINE | ID: mdl-34085478

RESUMO

OBJECTIVE: To explore the efficacy and action mechanism of penetrating moxibustion at governor vessel for persistent allergic rhinitis of deficiency-cold syndrome. METHODS: Ninety patients with persistent allergic rhinitis of deficiency-cold syndrome were randomly divided into an observation group (n = 45) and a control group (n = 45). The patients in the control group were treated with momethasone furoate nasal spray, 2 sprays per side per time, once a day. On the basis of treatment in the control group, the patients in the observation group were additionally treated with penetrating moxibustion at governor vessel, 2 h per treatment, once a week. Both groups were treated for 4 weeks. The TCM symptom score, visual analogue scale (VAS) score and rhinoconjunctivitis quality of life questionnaire (RQLQ) score were observed in the two groups before and after treatment. The serum level of immunoglobulin E (IgE) and complete blood count of eosinophil (EOS) were measured before and after treatment, and the clinical effects were compared. RESULTS: Compared before treatment, the TCM symptom scores, VAS scores, RQLQ scores, serum levels of IgE and complete blood count of EOS in the two groups were all reduced after treatment (P<0.05), and those in the observation group were lower than those in the control group (P<0.05). The total effective rate in the observation group was 95.6% (43/45), which was higher than 82.2% (37/45) in the control group (P<0.05). CONCLUSION: Based on the momethasone furoate nasal spray, the adjuvant treatment of penetrating moxibustion at governor vessel could significantly improve the clinical symptoms in patients with persistent allergic rhinitis of deficiency-cold syndrome, and its mechanism may be related to the regulation of immune disorder.


Assuntos
Moxibustão , Rinite Alérgica , Pontos de Acupuntura , Humanos , Qualidade de Vida , Rinite Alérgica/tratamento farmacológico , Síndrome , Resultado do Tratamento
10.
Nutrients ; 13(6)2021 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-34064053

RESUMO

The coronavirus disease 2019 (COVID-19) pandemic has had significant morbidity, mortality, social and financial implications for the global population. Despite this knowledge, we still know very little about how COVID-19 infection affects quality of life resulting from changes in nutritional behaviour and, conversely, how nutrition could modulate the epidemiology of COVID-19. In addition, the social isolation most have experienced due to the regulations imposed by governments during the COVID-19 pandemic may have also had effects on our nutritional behaviour. It is possible that nutritional interventions may have effects on the incidence of COVID-19 infection and mortality rates. The purpose of this review is to evaluate the current status of research on the topic of nutrition as it relates to the COVID-19 pandemic.


Assuntos
COVID-19 , Comportamento Alimentar , Comportamentos Relacionados com a Saúde , Estado Nutricional , Pandemias/prevenção & controle , Qualidade de Vida , SARS-CoV-2 , COVID-19/mortalidade , COVID-19/prevenção & controle , Humanos
11.
Curr Oncol ; 28(3): 2007-2013, 2021 05 26.
Artigo em Inglês | MEDLINE | ID: mdl-34073214

RESUMO

The COVID-19 situation is a worldwide health emergency with strong implications in clinical oncology. In this viewpoint, we address two crucial dilemmas from the ethical dimension: (1) Is it ethical to postpone or suspend cancer treatments which offer a statistically significant benefit in quality of life and survival in cancer patients during this time of pandemic?; (2) Should we vaccinate cancer patients against COVID-19 if scientific studies have not included this subgroup of patients? Regarding the first question, the best available evidence applied to the ethical principles of Beauchamp and Childress shows that treatments (such as chemotherapy) with clinical benefit are fair and beneficial. Indeed, the suspension or delay of such treatments should be considered malefic. Regarding the second question, applying the doctrine of double-effect, we show that the potential beneficial effect of vaccines in the population with cancer (or those one that has had cancer) is much higher than the potential adverse effects of these vaccines. In addition, there is no better and less harmful known solution.


Assuntos
COVID-19/prevenção & controle , Tomada de Decisão Clínica/ética , Neoplasias/tratamento farmacológico , Seleção de Pacientes/ética , Tempo para o Tratamento/ética , Antineoplásicos/administração & dosagem , COVID-19/epidemiologia , COVID-19/imunologia , COVID-19/virologia , Vacinas contra COVID-19/administração & dosagem , Vacinas contra COVID-19/efeitos adversos , Humanos , Oncologia/ética , Neoplasias/imunologia , Neoplasias/mortalidade , Neoplasias/psicologia , Pandemias/prevenção & controle , Qualidade de Vida , Fatores de Risco , SARS-CoV-2/imunologia , Fatores de Tempo , Vacinação/efeitos adversos , Vacinação/ética
12.
Wiad Lek ; 74(5): 1093-1098, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34090270

RESUMO

OBJECTIVE: The aim: To study the intrinsic and extrinsic factors affecting quality of life in persons with disability after musculoskeletal injuries. PATIENTS AND METHODS: Materials and methods: A medical and social research was conducted on151 individuals with re-confirmed disability after musculoskeletal injuries. RESULTS: Results: It was found that a third of people with disabilities after musculoskeletal injuries (35.8±3.9%) has low quality of life (QoL), females more often than males (OR = 2.73; 95% CI: 1.33-5.59). The following physical determinants of low QoL were identified: severity of disability group (2.77; 1.29-5.92), severity of injury (2.73; 1.11-5.63) related to long-term inpatient treatment (6.36; 2.55-15.86) and need of special tools for rehabilitation (2.42; 1.20-4.92). It was found that QoL in people with disability is decreasing with unemployment (4.44; 2.13-9.23) and reduction in social interaction (2.67; 1.33-5.39) when living with children (3.04; 1.50-6.16), complicated relationship (5.28; 2.54-10.97) and no support in family (3.25; 1.62-6.50). This is accompanied by an increase in the need of psychotherapy (4.07; 2.10-8.24), risky alcohol consumption (3.29; 1.19-9.07) and taking of sedative drugs (2.97; 1.35-6.50). It was established such medical and social determinants of low QoL as inadequate awareness of persons with disability about content of their Individual rehabilitation program (3.85; 1.69-8.76), insufficient covering of special tools (3.41; 1.67-6.96) and dissatisfaction of rehabilitation efficacy (3.79; 1.55-9.28). CONCLUSION: Conclusions: It is necessary to improve the system of rehabilitation of persons with disability after musculoskeletal injuries in view of quality of life determinants.


Assuntos
Pessoas com Deficiência , Doenças Musculoesqueléticas , Criança , Feminino , Humanos , Masculino , Qualidade de Vida
13.
Wiad Lek ; 74(5): 1147-1151, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34090281

RESUMO

OBJECTIVE: The aim: The aim of research was to determine of socio-hygienic and psychophysiological characteristics of adolescents with different levels of professional readiness at the beginning of professional education. PATIENTS AND METHODS: Materials and methods: Among 451 adolescents aged 15-18 who start vocational training were studied vocational readiness, quality of life related to health, social characteristics, self-assessment of individual psychological and physiological characteristics and needs. RESULTS: Results: Students of vocational schools have a lower (p <0.05) level of readiness to make decisions and plan future professional activities. Medical students had the highest levels of professional readiness. It was found that (57.5 ± 4.3)% of the studied adolescents did not have a clearly defined hierarchy of life spheres and terminal values. There are no significant differences in the quality of life related to health among students of different educational institutions. The highest indicators of satisfaction of basic needs were observed among students of vocational schools. The level of professional readiness of adolescents who studied in the pedagogical field had a greater impact on their physical functioning and mental health; аmong medical students - social and physical functioning, general and psychological health. CONCLUSION: Conclusions:The professional orientation of young students has a significant impact on their health-related quality of life and health-promoting behavior. Students whose behavior depends on external circumstances are a risk group for healthy lifestyle disorders, and their health-preserving behavior is more dependent on the positive impact of the educational environment.


Assuntos
Saúde do Adolescente , Educação Profissionalizante , Adolescente , Humanos , Saúde Mental , Qualidade de Vida , Instituições Acadêmicas
14.
J Pak Med Assoc ; 71(5): 1384-1387, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34091619

RESUMO

Objective: To investigate the prevalence and severity of lower urinary tract symptoms among calcium channel blocker users, and the impact on patients' quality of life. METHODS: The cross-sectional study was conducted at one hospital and 2 community pharmacies in Lahore, Pakistan, from November 2017 to July 2018, and comprised patients using calcium channel blockers. Data was collected using standardised scales to assess lower urinary tract symptoms and quality of life. Data was analysed using SPSS 22. RESULTS: Of the 410 subjects, 315 (76.8%) were males. The overall median age was 50.84 years, IQR 19 with 126 (30.7%) aged 41-50 years. Of the total, 108 (26.3%) patients were on calcium channel blockers alone, while the rest were taking it in combination with other drugs. Prevalence of lower urinary tract symptoms was 307 (74.9%); mild 103 (25.1%), moderate 201 (49.1%) and severe 106 (25.9%). The symptoms were significantly associated with reduced quality of life (p<0.05). Conclusion: Majority calcium channel blockers users had clinically significant lower urinary tract symptoms which significantly reduced patients' quality of life.


Assuntos
Sintomas do Trato Urinário Inferior , Preparações Farmacêuticas , Bloqueadores dos Canais de Cálcio/uso terapêutico , Estudos Transversais , Feminino , Humanos , Sintomas do Trato Urinário Inferior/epidemiologia , Masculino , Pessoa de Meia-Idade , Paquistão/epidemiologia , Qualidade de Vida
15.
J Pak Med Assoc ; 71(5): 1413-1419, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34091625

RESUMO

OBJECTIVE: To evaluate the effect of education given according to daily living activities model on arm dysfunction, lymphoedema and quality of life in patients undergoing breast cancer surgery. METHODS: The randomised controlled study was done at a tertiary hospital and comprised patients undergoing breast cancer surgery who underwent breast cancer surgery from November 2017 to October 2018. After randomisation, the intervention group received education through specifically-designed tools, while the control group received routine care. Data was collected using a patient information form, the subjective perception of post-operative functional impairment of the arm scale, Katz index of daily living activities, the disabilities of the arm, shoulder and hand scale and the short form of the quality of life scale. Three interviews were conducted at post-surgery 1st week, 1st month and 3rd month. Data was analysed using SPSS 23. RESULTS: Of the 58 subjects, 29(50%) each were cases and controls. The overall mean age was 48.9±9 years. In the intervention group, the measurements of the upper arm circumference were significantly better than the control group (p<0.05). Also there were significant differences between the groups in terms of scales and indices used (p<0.05). CONCLUSIONS: The intervention group recovered earlies than the control group.


Assuntos
Neoplasias da Mama , Linfedema , Atividades Cotidianas , Adulto , Braço , Neoplasias da Mama/cirurgia , Humanos , Linfedema/etiologia , Pessoa de Meia-Idade , Qualidade de Vida
16.
No Shinkei Geka ; 49(3): 536-548, 2021 May.
Artigo em Japonês | MEDLINE | ID: mdl-34092559

RESUMO

Maximum safe resection is the principal goal of glioma surgery to improve patient prognosis, and various skills and techniques are available to achieve this. First, detailed preoperative image assessment of the tumor, arteries, veins, and white matter is helpful in developing the surgical plan. Second, surgical supporting technology, such as a navigation system, electrophysiological monitoring, awake craniotomy, and fluorescence-guided surgery, are vital for glioma surgery. Third, and most importantly, neurosurgeons should develop surgical techniques. In this review, we will focus on the following points: how to determine and dissect the tumor boundary, how to preserve passing arteries and veins, how to identify and preserve the eloquent cortex and fibers, and how to treat bleeding during tumor removal. Dissection of the tumor margin includes sharp dissection and subpial dissection. Subpial dissection using a suction tube or Cavitron Ultrasonic Surgical Aspirator(CUSA)is often effective in glioma surgery, not only for achieving better resection, but also for the preservation of passing vessels. Using these techniques, excessively small vessels, such as perforating arteries, can be finely exposed and preserved during tumor resection. In this way, we should achieve an ideal balance between maximum tumor resection and patient quality of life.


Assuntos
Glioma , Qualidade de Vida , Craniotomia , Glioma/diagnóstico por imagem , Glioma/cirurgia , Humanos , Tecnologia , Vigília
17.
Soins ; 66(855): 46-48, 2021 May.
Artigo em Francês | MEDLINE | ID: mdl-34103136

RESUMO

In the palliative care day hospital of Marie-Galène health centre in Bordeaux, care is provided in two different ways: through the interdisciplinary individual day hospital and the collective day hospital in the form of group days. In both cases, the palliative approach guides the team's reflection regarding the anticipation of complex situations and quality of life. The health crisis has had a significant impact on the activity of this service.


Assuntos
Enfermagem de Cuidados Paliativos na Terminalidade da Vida , Qualidade de Vida , Hospital Dia , Hospitais , Humanos , Cuidados Paliativos
18.
Georgian Med News ; (313): 26-33, 2021 Apr.
Artigo em Russo | MEDLINE | ID: mdl-34103425

RESUMO

The aim of the study is to substantiate the surgical treatment tactics of recurrence varicose veins after endovenous interventions. Early and long-term results of the treatment, quality of life of patients with recurrence of varicose veins were studied. Among the admitted patients, there were 55 (65.5%) women and 29 (34.5%) men, the age of patients varied from 19 to 76 years. Of these, 9 patients underwent crossectomy, endovenous laser coagulation - 22, various stripping options - 4, echosclerotherapy - 20, intraoperative catheter sclerobliteration - 1, ligation of perforating veins - 28 patients. The choice of the treatment method depends on the data of duplex angioscanning, the source of recurrence, the diameter and length of the varicose veins. In the early postoperative period 18 (22.6%) patients had complications and side effects. Most often hyperpigmentation and neurological disorders developed, which were observed in 8 (9.5%) and 7 (8.3%) cases. 2 (2.4%) patients had a slightly painful dense cord after endovenous laser coagulation. 1 (1.2%) patient had a lymphocele in the inguinal incision area. This complication was eliminated by use of the puncture treatment method. Long-term results in terms of 1 to 3 years were studied in 82 (97.6%) patients. In the long-term period, 1 (1.2%) patient noted the varicose veins recurrence due to neovasculogenesis in the groin. The patient underwent micro-foam echosclerotherapy. Patient`s quality of life was studied by using the CIVIQ2 questionnaire before and 1 year after treatment. It was found that 4 main indicators of the quality of life in the long-term period improved by 35.6-48.8% of the preoperative values. At the same time, the most significant positive dynamics of psychological (48.8%) and pain (47.1%) factors was observed. The results justify the need for a differentiated approach, taking into account the individual characteristics of the disease, as well as the expediency of using minimally invasive techniques in patients with varicose veins recurrence.


Assuntos
Ablação por Cateter , Terapia a Laser , Varizes , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Recidiva , Veia Safena/cirurgia , Escleroterapia , Resultado do Tratamento , Varizes/cirurgia , Adulto Jovem
19.
Georgian Med News ; (313): 66-71, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34103433

RESUMO

Musculoskeletal diseases significantly impair the quality of life and work limitation. Purpose: to determine specificities of work limitation dynamic amongst the patients with lower back and lower limbs musculoskeletal disorders grouped by their psychotypes within the outpatient physical therapy. The Work Limitations Questionnaire (WLQ) was used in the research. The study involved 55 patients who completed a course of physical therapy. The data obtained confirmed the impact of the type of attitude to the disease on all indicators of work limitations according to the WLQ, except for the "Physical Demands" scale. The study confirmed the existence of greater work limitations amongst the patients with irrational psychotypes. The biggest difference between the groups was observed on the "Time Management" scale. All questionnaire scales had significant improvements during physical therapy in both groups. The most significant changes were observed on the "Physical Demands" and "Time Management" scales. The largest difference between the groups was observed on the "Physical Demands" and "Mental-Interpersonal Demands" scales. After grouping the patients by the type of attitude to the disease, a number of significant differences in the indicators of work limitations were observed. Though being slightly better, dynamic indicators did not register any statistical advantages in group rational psychotypes during physical therapy. These results are important for working out an individualized physical therapy program according to the type of attitude to the disease, improving dynamic of work limitation indicators, and probably the quality of life.


Assuntos
Pessoas com Deficiência , Doenças Musculoesqueléticas , Humanos , Doenças Musculoesqueléticas/terapia , Qualidade de Vida , Inquéritos e Questionários
20.
Codas ; 33(6): e20200193, 2021.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34105614

RESUMO

PURPOSE: To investigate the influence of photobiomodulation associated with orofacial myofunctional therapy (OMT) in patients with temporomandibular muscle disorders (TMD). METHODS: Randomized, blinded trial clinical study with a sample of eleven women with muscle TMD divided into two groups. The experimental group (EG) consisted of five women submitted to orofacial myofunctional therapy associated with photobiomodulation, and the control group (CG) consisted of six women submitted to orofacial myofunctional therapy associated with inactive photobiomodulation (placebo). The intervention was performed in the following twelve sessions: one evaluation, ten speech therapy sessions associated with photobiomodulation, and one reevaluation. For outcomes, investigation on pain perception using the visual analogue scale (VAS), investigation of palpation sensitivity with the research diagnostic criteria for temporomandibular disorders (RDC/TMD), and quality of life (QOL) verification through oral health impact profile - short form (OHIP-14) were considered. RESULTS: The EG increased measurements of mandibular movements of opening and protrusion and improved in the evaluation of QOL. CONCLUSION: Orofacial myofunctional therapy, when associated with photobiomodulation, contributed to increase the range of mandibular movements, with important improvements in the perception of quality of life and with significant improvement in the painful conditions of volunteers with TMD.


Assuntos
Qualidade de Vida , Transtornos da Articulação Temporomandibular , Feminino , Humanos , Mandíbula , Terapia Miofuncional , Articulação Temporomandibular , Transtornos da Articulação Temporomandibular/terapia
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