Lisbon Historic Quarters

2020 ◽  
pp. 285-301
Author(s):  
Cláudia Helena Henriques
Keyword(s):  
Quality Of Life ◽  
Urban Development ◽  
Sustainable Tourism ◽  
The Other ◽  
Other Hand ◽  
Urban Rehabilitation

This chapter contributes to the emergent debate about sustainable tourism versus overtourism, in the context of urban development. The study underlines, on one hand, the growing importance of tourism in the historic quarters of Lisbon, and on the other hand the rise of overtourism and its effects on residents' quality of life. Consequently, there is the analysis and debate regarding the policies responses of the Lisbon Council in the framework of an integrated urban rehabilitation in Lisbon's historic quarters and the Lisbon Council Strategy.

P1560ANXIETY AND DEPRESSION AMONG HEMODIALYSIS PATIENTS

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Helaoui Fadwa
Keyword(s):  
Quality Of Life ◽  
Sleep Disturbances ◽  
Mental Health Problems ◽  
Psychological Symptoms ◽  
Depression Scale ◽  
Hemodialysis Patients ◽  
The Other ◽  
Male Predominance ◽  
Other Hand

Abstract Background and Aims Procedure of haemodialysis (HD) treatment is associated with an impaired quality of life in chronic kidney disease patients. It is due to changes in family, social and professional relationships. These changes can also lead to mental health problems. The purpose of our study is to determine the prevalence of depressive and anxiety disorders in hemodialysis patients. Method Fifty chronic hemodialysis patients were enrolled in our cross-sectional study during four months (September -October- November- December 2019). The HADS (Hospital Anxiety and Depression Scale) survey was used to assess depressive and anxiolytic disorder in our hemodialysis population. Were excluded patients aged less than 18 yearsold as well as kidney transplant patients and psychiatric patients. Results The mean age of our patients was 49.5 range (24-79).The sex ratio was 1.27. The prevalence of anxiety syndrome was 40% with a female predominance of 54.5% versus 54,5%. Depressive syndrome was noted in 48% of our patients with a male predominance of 58.3% versus 41,7%. 48% of our HD patients have shown depression in various degrees. It was about mild depression of 20,8% of pts, moderate depression of 41,6% of pts and severe depression of 37,5% of pts. Somatic symptoms of depression in our population were respectively noted in 52,8% of loss of energy, 57,5% fatigue, 63,4% sleep disturbances, and 38,5% changes in appetite. The most common psychological symptoms were: pessimism (79,1%), loss of interest in appearance (41,6%), psychomotor retardation (75%). On the other hand, 37, 5% of patients felt cheerful and 16,6% still enjoy doing some activities. For patients with anxiety syndrom, we noted: concentration disturbance (45,4%), palpitations (50%), abdominal pain (59,09%) and headache (81,8%). With regard to psychological symptoms, the most emphasized were: sudden feelings of panic (54,5%), worrying thoughts (72,7%),77,2% are feeling restless and 59,09% are feeling wound up. On the other hand, 68,1% feel relaxed especially after the hemodialysis session. It seems that gender, marital status and HD duration did not influence significantly in occurrence of depression with respectively (p=0,08, p=0.1 and p= 0.08). Older patients were significantly more depressed in compared to younger patients (p= 0.003). Unemployed patients were significantly more depressed in relation to employed patients(p=0.01). Finally, as the educational level of patients increased, level of depression significantly decreased (p=0,04). Conclusion Depression is the most frequent psychological complication of hemodialysis (HD) patients. Our results showed a high prevalence of depressive symptoms among the study group. The exact prevalence of depression in dialysis patients is unclear because of different criteria utilized for diagnosis of depression. A close collaboration between nephrologists and psychiatrists is needed to ensure a better quality of life in HD patients.

The Science of Individuality and Tailored M-Health Communication

2022 ◽  
pp. 635-656
Author(s):  
Anastasius S. Moumtzoglou
Keyword(s):  
Quality Of Life ◽  
Health Communication ◽  
Communication Technology ◽  
The Other ◽  
Health Technologies ◽  
Other Hand ◽  
Tailored Communication ◽  
The Individual ◽  
Tailored Communications

The era of the science of individuality promises to fully recognize the uniqueness of the individual who needs to be seen and treated with utter respect for his or her individuality. It will not be long until digitizing a person unlocks the cause for what is wrong, creating valuable knowledge that can save a life or markedly improve the quality of life. On the other hand, emerging m-health technologies provide fundamentally different ways of looking at tailored communication technology. As a result, tailored communications research is poised at a crossroads. It needs to both build on and break away from existing frameworks into new territory, realizing the necessary commitment to theory-driven research at basic, methodological, clinical, and applied levels. The chapter envisions tailored m-health communication in the context of the science of individuality, emphasizing the variability, stability, and centrality of the individual.

scholarly journals Analiza porównawcza jakości życia seniorów w wybranych krajach Unii Europejskiej

Ekonomia ◽  
2018 ◽  
Vol 23 (4) ◽  
pp. 85-93
Author(s):  
Katarzyna Sawicz
Keyword(s):  
Quality Of Life ◽  
European Union ◽  
Elderly People ◽  
The Elderly ◽  
Economic Aspect ◽  
The Other ◽  
The European Union ◽  
Other Hand ◽  
Economic Nature

Comparative ana lysis of the quality of life of seniors in selected countries of the European UnionFor more than twenty years, the number of elderly people in Europe has been increasing. This process is called “the graying of the continent”. The aging of societies raises many problems of a medical, social and economic nature. On the other hand, the increase in the quality of life of seniors caused less spending on medical and social care.The article attempts to analyze the quality of life of seniors in selected countries of the European Union. The level of quality of life was examined in economic aspect. Particular attention is paid to the health of the population in selected EU country and the level of poverty. The article indicates countries with the highest quality of life of the elderly and countries in which the quality of life of seniors is low.

The Science of Individuality and Tailored M-Health Communication

2019 ◽  
pp. 213-234
Author(s):  
Anastasius S. Moumtzoglou
Keyword(s):  
Quality Of Life ◽  
Health Communication ◽  
Communication Technology ◽  
The Other ◽  
Health Technologies ◽  
Other Hand ◽  
Tailored Communication ◽  
The Individual ◽  
Tailored Communications

The era of the science of individuality promises to fully recognize the uniqueness of the individual who needs to be seen and treated with utter respect for his or her individuality. It will not be long until digitizing a person unlocks the cause for what is wrong, creating valuable knowledge that can save a life or markedly improve the quality of life. On the other hand, emerging m-health technologies provide fundamentally different ways of looking at tailored communication technology. As a result, tailored communications research is poised at a crossroads. It needs to both build on and break away from existing frameworks into new territory, realizing the necessary commitment to theory-driven research at basic, methodological, clinical, and applied levels. The chapter envisions tailored m-health communication in the context of the science of individuality, emphasizing the variability, stability, and centrality of the individual.

scholarly journals Sarcopenia and Its Implications for Metabolic Health

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Gary R. Hunter ◽  
Harshvardhan Singh ◽  
Stephen J. Carter ◽  
David R. Bryan ◽  
Gordon Fisher
Keyword(s):  
Quality Of Life ◽  
Metabolic Health ◽  
The Other ◽  
Active Lifestyle ◽  
Other Hand

Sarcopenia not only affects the ability to lead an active lifestyle but also contributes to increased obesity, reduced quality of life, osteoporosis, and metabolic health, in part due to reduced locomotion economy and ease. On the other hand, increased obesity, decreased quality of life, and reduced metabolic health also contribute to sarcopenia. The purpose of this mini-review is to discuss the implications sarcopenia has for the development of obesity and comorbidities that occur with aging.

scholarly journals Psychosocial profile of children with pediatric malignancy and their families

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
E A Zaky ◽  
D M A Elnasharty ◽  
R M Elhossiny
Keyword(s):  
Quality Of Life ◽  
Mean Value ◽  
Psychosocial Aspects ◽  
The Other ◽  
Newly Diagnosed ◽  
Children With Cancer ◽  
Mean Values ◽  
Other Hand ◽  
Anxiety Depression

Abstract Background The diagnosis and treatment of cancer are a stressful and threatening experience, which has tremendous impact on children and their families. As advances in cancer care have led to more treatment options and longer survival for cancer patients, a focus on quality of life for patients and their families has gained. Objectives The aim of this study was to evaluate the psychosocial aspects of children with different types of pediatric cancer (newly diagnosed as well as survivors), their parents, and sibs in comparison with those with normal children. Patients and Methods This study comprised 60 children, their sibs and caregivers. They were classified into three groups. Group I which comprised 20 newly diagnosed children with cancer, their caregivers and sibs, group II which comprised 20 cancer survivors children, their caregivers and sibs, group III which comprised 20 clinically healthy children, their caregivers and sibs. All children and their sibs in this study were subjected to full history taking, thorough clinical examination, assessment of socioeconomic standard, assessment of pediatric quality of life, a battery of psychometric tests included pediatric checklist, anxiety, depression, and self- esteem scores. All caregivers were subjected to record of demographic variable, assessment of socio-economic level, assessment of anxiety, depression, and isolation score, assessment of stress and burden related to the disease itself, if any, using standardized questionnaire and assessment of quality of life. Results Mean value of DS was significantly higher (P < 0.05) in newly diagnosed cancer children and survivors compared to controls while AS and PCLS was only significantly higher (P < 0.05) in newly diagnosed cancer children compared to controls. On the other hand, mean value of IQ of newly diagnosed cancer children and survivors was significantly than controls(P < 0.05); Mean values of Child as well as the Parental Total HRQL were significantly lower in newly diagnosed and survivors compared to controls (P < 0.05) with the former significantly lower than the later. In studied sib groups, AS was significantly higher in newly diagnosed compared to survivors and controls (P < 0.05), while PCLS was only significantly higher when newly diagnosed compared to survivors. In studied parental groups, mean values of DS, AS, and SS were significantly higher(P,0.05) in newly diagnosed compared to survivors and controls. Meanwhile, IS was significantly higher in newly diagnosed compared to controls. Newly diagnosed children with cancer, their parents and sibs had significantly lower mean values of all Child HRQL subcategories. On the other hand, survivors showed only significantly lower physical and social subcategories compared to controls. In studied sib groups only sibs of newly diagnosed patients and those of survivors, had significantly lower mean value of social subcategory compared to controls. Conclusion The current study showed that newly diagnosed cancer children had severe impact on their psychosocial aspects as well as their HRQL compared to controls while survivors showed a much lesser effects. On the other hand, sibs were mainly affected socially while parents were extremely affected.

A network analysis approach to the needs of oncological patients.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e24128-e24128
Author(s):  
Alessandro Rossi ◽  
Maria Marconi ◽  
Stefania Mannarini ◽  
India Minelli ◽  
Claudio Verusio
Keyword(s):  
Quality Of Life ◽  
Network Analysis ◽  
Cancer Patients ◽  
The Other ◽  
Medical Treatments ◽  
Beneficial Effects ◽  
Other Hand ◽  
Oncological Patients ◽  
Network Methods

e24128 Background: In recent years, an ever greater importance is given to the needs of cancer patients which could impact medical treatments, adherence and compliance, and patients’ quality of life (Teo et al. 2019; NCCN, 2015). However, recognizing and addressing the needs of patients may not be enough. Indeed, on one hand, needs that clinicians might consider as 'important' could play a marginal role, and – on the other hand – needs that clinicians may perceive as 'unimportant' may be central for patients. An innovative approach – psychometric network analysis (PNA; Epskamp, 2017) – was used to assess the network among needs ( nodes). Notably, the more a central node (need) is modified (addressed), the more a cascade change will occur in all the other nodes (needs). This study aimed to evaluate: (A) the structure of relationships among needs ( edges) of cancer patients, (B) which needs ( nodes) are the most relevant ( central), and (C) play a key role in the network. Methods: Patients ( n = 511; mean age = 65.95, SD = 12.72; 280 males) were enrolled at the Oncology Day Hospital at the “Presidio Ospedaliero” of Saronno, ASST Valle Olona, Italy. Patients were tested with the Need Evaluation Questionnaire (NEQ) which is composed of 23 items that investigate as many needs – divided into 4 areas: (1) information about diagnosis/prognosis, (2) information about exams and treatment, (3) communicative, and (4) relational needs. Results: Preliminary analysis revealed that all of the items were informative (SDitem < 2.5SDall_itemsSD) and there was no redundancy between items (redundancy index < 0.25). An Ising model (5,000 nonparametric bootstraps) with LASSO regularized nodewise logistic regression was performed. PNA showed a high accuracy: CS-coefficient = 0.56. On one hand, PNA showed that item#2 ( “I need more information about my future condition”; z = 2.039), item#17 ( “I need to speak with a psychologist”; z = 1.209), and item#13 ( “I need to be reassured more by the doctors”; z = 1.201) were the strongest (central) nodes. On the other hand, item#14 ( “ I need the hospital to provide better services”; z = -2.261) was the weakest node in the network. Conclusions: These findings show useful implications for clinical practice. Clinical interventions should address the needs showing the strongest connections in the network. These central nodes can influence all the other connected needs, thus representing important needs to be targeted by clinicians – allowing to tailoring more targeted and efficient therapeutic approaches to meet patients’ needs, with beneficial effects for medical treatments and quality of life.

scholarly journals Promoting Sports Practice in Persons with Hemophilia: A Survey of Clinicians’ Perspective

2021 ◽  
Vol 18 (22) ◽  
pp. 11841
Author(s):  
Giuseppe Lassandro ◽  
Domenico Accettura ◽  
Paola Giordano
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Hemophilia A ◽  
Physical Activities ◽  
The Other ◽  
Special Role ◽  
Other Hand ◽  
Developmental Age ◽  
Possible Cause

Historically, people with hemophilia have been warned to avoid physical activities as a possible cause of bleeding; however, currently, sport is considered necessary, especially in the developmental age, for providing a good quality of life. A survey was proposed to a group of hematologists and sports physicians working in Puglia, Italy, to explore their approach to physical activities for their patients with hemophilia and to obtain suggestions about possible interventions to promote the access of patients to sports. The survey was answered by 6 hematologists and 15 sports physicians. In total, 71% (about six patients/year/physician) of patients with hemophilia seen by sports physicians asked for counseling about sports, and 67% (about five patients/year/physician) actually practiced sports. On the other hand, only 31% (about 16 patients/year/hematologist) of patients asked hematologists questions on sports, and only 16% (about seven patients/year/hematologist) of patients with hemophilia and that were followed-up by hematologists practiced sports. The sports most often recommended to patients with hemophilia by physicians included swimming, athletics, tennis, running and gymnastics. According to hematologists, physical activity was very efficient in improving the quality of life of patients; stability of joints; their psychological, social and musculoskeletal wellbeing; and in reducing the risk of bleedings. On the other hand, physical activity was considered less important in all these areas by sport physicians. In conclusion, answers to this survey suggested that sports could be promoted among hemophilic patients by increasing the sports physicians’ knowledge about hemophilia and their special role in this area. In addition, interviewed clinicians were of the opinion that increased awareness of specific guidelines and clinical practice protocols among both hematologists and sports physicians could be beneficial. Finally, answers suggested that access to fitness certification should be facilitated.

scholarly journals Electronic services with impact on quality of life - a survey of usage and attitudes of north-western croatian

2018 ◽  
Vol 325 ◽  
pp. 29-42
Author(s):  
Nikolina Žajdela Hrustek ◽  
Diana Šimić ◽  
Neven Vrček
Keyword(s):  
Quality Of Life ◽  
English Language ◽  
Adult Population ◽  
Supply And Demand ◽  
The Other ◽  
Governmental Organizations ◽  
Other Hand ◽  
Non Governmental Organizations ◽  
User Attitudes

Nowadays governmental and non-governmental organizations and private businesses offer a range of electronic services that, if used, directly or indirectly affect quality of life. The supply of electronic services is growing fast, and this growth is expected to continue in the near but also in the distant future. Current generation of digital natives will not know how to live without ICTs and services provided by these technologies. User attitudes towards electronic services and the relationship between their supply and demand are the focus of this paper. Data on demand for and user attitudes towards electronic services were collected on a representative sample of adult population from Northwest Croatia. Participants were interviewed using a measurement instrument created for this purpose. Survey covered usage of electronic services offered by various governmental and non-governmental organizations and private businesses, the nature of user attitudes and the extent to which electronic services are used for the purpose of education, communication, entertainment, employment, improvement of health services and culture. The results show that, on the one hand, participants' demand for electronic services is very poor, while on the other hand their motivation and attitudes towards these services are very positive. Consistently significant differences were found in usage and attitudes toward electronic services by age, level of education and English language fluency. On the other hand, gender, standard of living and urban / rural residence were generally not associated with differences in usage of or attitudes to electronic services.

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