Clinical success of greater occipital nerve blockade in improving sleep quality of chronic migraineurs: a prospective observational study

Author(s):  
Hikmet Saçmacı ◽  
Tülin Aktürk ◽  
Nermin Tanık ◽  
Levent Ertuğrul İnan
2021 ◽  
Vol 71 (6) ◽  
pp. 1954-57
Author(s):  
Syeda Ramsha Batool ◽  
Insia Hasan ◽  
Jawed Akbar Dars ◽  
Rabisa Batool ◽  
Syed Masroor Ahmed ◽  
...  

Objective: To evaluate the quality of sleep-in patients diagnosed with Type 2 Diabetes Mellitus (T2DM). Study Design: Prospective observational study. Place and Duration of Duration: Psychiatry Department and Medicine Ward of Jinnah Postgraduate Medical Centre, Karachi Pakistan, from Apr to Nov 2018. Methodology: All patients with Type 2 Diabetes Mellitus were included in the study. All cases under age 30, type I diabetes, gestational diabetes and patients with severe illness were excluded. The data of sociodemographic lifestyle factors was collected through a pre-designed semi-structured questionnaire and sleep quality of patients was assessed using Pittsburg Sleep Quality Index (PSQI). The results of the data were analyzed by using SPSS version 24. Results: Out of 260 patients with Type 2 Diabetes Mellitus, 197 (76%) were female. The mean age of the sample was 55.7 ± 9.89 years, with only 54 (20.8%) having normal body mass index. More than 50% of sample was poor sleepers and educational status was found to be strongly associated with quality of sleep (p-value <0.05). Conclusion: The present study indicates that patients with Diabetes Mellitus often experienced sleep irregularities hence poor sleep quality. There is a need to increase the awareness regarding sleep quality among patients and health professionals as well while assessing the patients with Diabetes Mellitus.


Author(s):  
Justyna Dąbrowska-Bień ◽  
Henryk Skarżyński ◽  
Sebastian Filip Górski ◽  
Piotr Henryk Skarżyński

Abstract Introduction Nasal obstruction is a common symptom in otorhinolaryngological practice. It can impact significantly on the quality of life of the individual. Objective The primary goal of the present study was to evaluate quality of life after septoplasty in adults with nasal obstruction. A secondary goal was to assess the effectiveness of septoplasty. Methods This was a single institution prospective observational study. Patients had experienced septal deviation and symptomatic nasal obstruction with no benefit from medical treatment. There were 51 patients who completed the Nasal Obstruction Symptom Evaluation (NOSE-POL) scale as well as theVisual Analogue Scale (VAS) before undergoing septoplasty, 3 months later, and finally 7 months after surgery. Patients evaluated changes in their nasal obstruction and changes in their quality of life using the Clinical Global Impression Scale (CGI-S). Results There was a significant improvement in nasal obstruction after septoplasty. Before septoplasty, the mean score on NOSE was 60.3 ± 20.4; 3 months after surgery, it was 32.9 ± 16.8; and 7 months after surgery it was 39.6 ± 33.2. The VAS results also proved a significant enhancement in nasal obstruction after septoplasty. Patients reported an improvement in nasal obstruction as well as a positive change in quality of life, confirming the effectiveness of septoplasty. Conclusions In patients with deformed septum, septoplasty contributes to high satisfaction of the patient and a compelling improvement in disease-specific quality of life. The NOSE-POL questionnaire is a useful tool for measuring the outcomes of this procedure.


BMJ Open ◽  
2012 ◽  
Vol 2 (4) ◽  
pp. e001387 ◽  
Author(s):  
Kornelis J J van Hateren ◽  
Iefke Drion ◽  
Nanne Kleefstra ◽  
Klaas H Groenier ◽  
Sebastiaan T Houweling ◽  
...  

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e023709 ◽  
Author(s):  
Esther MM Van Lieshout ◽  
Daan T Van Yperen ◽  
Margriet E Van Baar ◽  
Suzanne Polinder ◽  
Doeke Boersma ◽  
...  

IntroductionThe Emergency Management of Severe Burns (EMSB) referral criteria have been implemented for optimal triaging of burn patients. Admission to a burn centre is indicated for patients with severe burns or with specific characteristics like older age or comorbidities. Patients not meeting these criteria can also be treated in a hospital without burn centre. Limited information is available about the organisation of care and referral of these patients. The aims of this study are to determine the burn injury characteristics, treatment (costs), quality of life and scar quality of burn patients admitted to a hospital without dedicated burn centre. These data will subsequently be compared with data from patients with<10% total bodysurface area (TBSA) burned who are admitted (or secondarily referred) to a burn centre. If admissions were in agreement with the EMSB, referral criteria will also be determined.Methods and analysisIn this multicentre, prospective, observational study (cohort study), the following two groups of patients will be followed: 1) all patients (no age limit) admitted with burn-related injuries to a hospital without a dedicated burn centre in the Southwest Netherlands or Brabant Trauma Region and 2) all patients (no age limit) with<10% TBSA burned who are primarily admitted (or secondarily referred) to the burn centre of Maasstad Hospital. Data on the burn injury characteristics (primary outcome), EMSB compliance, treatment, treatment costs and outcome will be collected from the patients’ medical files. At 3 weeks and at 3, 6 and 12 months after trauma, patients will be asked to complete the quality of life questionnaire (EuroQoL-5D), and the patient-reported part of the Patient and Observer Scar Assessment Scale (POSAS). At those time visits, the coordinating investigator or research assistant will complete the observer-reported part of the POSAS.Ethics and disseminationThis study has been exempted by the medical research ethics committee Erasmus MC (Rotterdam, The Netherlands). Each participant will provide written consent to participate and remain encoded during the study. The results of the study are planned to be published in an international, peer-reviewed journal.Trial registration numberNTR6565.


2016 ◽  
Vol 66 (4) ◽  
pp. 369-375 ◽  
Author(s):  
Luís Guimarães-Pereira ◽  
Maria Costa ◽  
Gabriela Sousa ◽  
Fernando Abelha

2016 ◽  
Vol 13 (9) ◽  
pp. 686-695 ◽  
Author(s):  
Hye Eun Yoon ◽  
Young Joo Kwon ◽  
Ho Cheol Song ◽  
Jin Kuk Kim ◽  
Young Rim Song ◽  
...  

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