Impact of epilepsy surgery on the quality of life of a low-income population through the application of the Qolie-10 scale

2015 ◽  
Vol 110 ◽  
pp. 183-188 ◽  
Author(s):  
Juan Vergara Palma ◽  
Camilo Alfonso Espinosa Jovel ◽  
Teresa Vergara ◽  
Andrés M. Betancourt ◽  
Fidel Ernesto Sobrino Mejía
2019 ◽  
Vol 15 (2) ◽  
pp. 8-26
Author(s):  
Vyacheslav Bobkov ◽  
Alevtina Gulyugina ◽  
Anna Safronova ◽  
Yelena Valer’yevna Odintsova

The Object of the Study. Quality of life of low-income population The Subject of the Study. Consumer basket of subsistence minimum as a social standard of quality of life of low-income population The Purpose of the Study. Development of the methodological basis for the formation of a socially acceptable consumer basket of the subsistence minimum. The Main Provisions of the Article. Currently, in Russia, the society faces large-scale tasks dictated by the taken course for breakthrough scientific, technological and socioeconomic development of the country, enshrined in the decree of the President of the Rossiyskaya Federatsiya No. 204 of 07.05.2018. The Designated national projects are aimed at qualitative changes in the living conditions of the population, the creation of conditions for increasing life expectancy, maintaining a healthy lifestyle, education of a harmoniously developed and socially responsible person, in particular. A large role is allotted to up-to date technology and highly qualified personnel, which implies the availability of human resources at the appropriate level. The achievement of these goals requires a new approach to the standards of quality of life of the population, which act as criteria and instruments of state social policy. The current methodology for determining the subsistence level is based on limited access to food, non-food products and services. Despite the fact that regular reviews of the consumer basket, carried out in accordance with Russian legislation, have brought some positive qualitative changes, the subsistence minimum can not act as a full-fledged social standard of quality of life. The transition from the normative approach to the definition of the consumer basket to the calculation approach, when only the minimum product set remained normative, has also had a negative impact since 2013. Today, we need a different, namely, socially acceptable current consumption standard, which would allow us to respond to the challenges of our time. The methodological basis of a socially acceptable consumer basket should be based on a normative approach to all its constituent sets – food, non-food goods and services. It should take into account domestic and foreign experience in the formation of regulatory consumer baskets for low-income population, the possibilities of the Russian consumer market of goods and services to meet the needs of the population, consumer behaviour and consumer expectations in a market economy.


2016 ◽  
Vol 127 ◽  
pp. 168-174 ◽  
Author(s):  
Camilo Alfonso Espinosa Jovel ◽  
Sergio Ramírez Salazar ◽  
Carlos Rincón Rodríguez ◽  
Fidel Ernesto Sobrino Mejía

2004 ◽  
Vol 171 (4S) ◽  
pp. 101-102
Author(s):  
Tracey L. Krupski ◽  
Arlene Fink ◽  
Lorna Kwan ◽  
Sarah Connor ◽  
Sally L. Maliski ◽  
...  

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 491A-491A
Author(s):  
Nicole I. Flores ◽  
Philippe Friedlich ◽  
Mandy Belfort ◽  
Douglas L. Vanderbilt ◽  
Roberta Williams ◽  
...  

Medicina ◽  
2020 ◽  
Vol 57 (1) ◽  
pp. 4
Author(s):  
I Re Heo ◽  
Ho Cheol Kim ◽  
Tae Hoon Kim

Background and Objectives: preserved ratio impaired spirometry (PRISm) is a common spirometric pattern that causes respiratory symptoms, systemic inflammation, and mortality. However, its impact on health-related quality of life (HRQOL) and its associated factors remain unclear. We aimed to identify these HRQOL-related factors and investigate the differences in HROOL between persons with PRISm and those with normal lung function. Materials and Methods: we reviewed the Korea National Health and Nutrition Examination Survey data from 2008 to 2013 to evaluate the HRQOL of persons with PRISm, as measured while using the Euro Quality of Life-5D (EQ-5D) and identify any influencing factors. PRISm was defined as pre-bronchodilator forced expiratory volume in 1 s (FEV1) <80% predicted and FEV1 to forced vital capacity (FVC) ratio (FEV1/FVC) ≥0.7. Individuals with FEV1 ≥80% predicted and FEV1/FVC ≥0.7 were considered as Controls. Results: of the 27,824 participants over the age of 40 years, 1875 had PRISm. The age- and sex-adjusted EQ-5D index was lower in the PRISm group than in the control group (PRISm, 0.930; control, 0.941; p = 0.005). The participants with PRISm showed a significantly higher prevalence of hypertension (p < 0.001), diabetes (p < 0.001), obesity (p < 0.001), low physical activity (p = 0.001), ever-smoker (p < 0.001), and low income (p = 0.034) than those in the control group. In participants with PRISm, lower EQ-5D index scores were independently associated with old age (p = 0.002), low income (p < 0.001), low education level (p < 0.001), and no economic activity (p < 0.001). Three out of five EQ-5D dimensions (mobility, self-care, and usual activity) indicated a higher proportion of dissatisfied participants in the PRISm group than the control group. Conclusions: the participants with PRISm were identified to have poor HRQOL when compared to those without PRISm. Old age and low socioeconomic status play important roles in HRQOL deterioration in patients with PRISm. By analyzing risk factors that are associated with poor HRQOL, early detection and intervention of PRISm can be done in order to preserve patients’ quality of life.


Author(s):  
S. Patel ◽  
M. Clancy ◽  
H. Barry ◽  
N. Quigley ◽  
M. Clarke ◽  
...  

Abstract Objectives: There is a high rate of psychiatric comorbidity in patients with epilepsy. However, the impact of surgical treatment of refractory epilepsy on psychopathology remains under investigation. We aimed to examine the impact of epilepsy surgery on psychopathology and quality of life at 1-year post-surgery in a population of patients with epilepsy refractory to medication. Methods: This study initially assessed 48 patients with refractory epilepsy using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), the Hospital Anxiety and Depression Scale (HADS) and the Quality of Life in Epilepsy Inventory 89 (QOLIE-89) on admission to an Epilepsy Monitoring Unit (EMU) as part of their pre-surgical assessment. These patients were again assessed using the SCID-I, QOLIE-89 and HADS at 1-year follow-up post-surgery. Results: There was a significant reduction in psychopathology, particularly psychosis, following surgery at 1-year follow-up (p < 0.021). There were no new cases of de novo psychosis and surgery was also associated with a significant improvement in the quality of life scores (p < 0.001). Conclusions: This study demonstrates the impact of epilepsy surgery on psychopathology and quality of life in a patient population with refractory surgery. The presence of a psychiatric illness should not be a barrier to access surgical treatment.


2018 ◽  
Vol 104 (3) ◽  
pp. 135-140
Author(s):  
Pooja Harijan ◽  
Arnab Kumar Seal ◽  
Manish Prasad ◽  
William P Whitehouse

Drug-resistant epilepsy (DRE) occurs in 20%–30% of children with epilepsy with significant impact on their quality of life. Management of this group of children has greatly improved in the recent years with streamlining of epilepsy surgery services and associated quaternary multimodal evaluation. This article provides a review of DRE in children and management based on recent evidence and published opinion. We have also presented an algorithmic approach to the child with possible DRE.


BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e020913 ◽  
Author(s):  
Andrés Cabrera-León ◽  
Miguel Ángel Cantero-Braojos ◽  
Llenalia Garcia-Fernandez ◽  
Juan Antonio Guerra de Hoyos

ObjectivesTo estimate the prevalence of disabling chronic pain (DCP) in Spanish adults, to analyse its characteristics, to determine its multimorbidity and to identify its associated factors.Settings2011 Andalusian Health Survey, a cross-sectional population survey based on face-to-face home interviews.Participants6507 people aged 16 years or older and living in Andalusia, Spain.OutcomesThe response variable was disabling chronic pain. Multivariate multinomial logistic regression models were used to analyse the association of factors with disabling chronic pain. The sample design was considered throughout the statistical analysis.ResultsThe prevalence of disabling chronic pain in the Spanish adult population was 11.36% (95% CI 11.23 to 11.49), while that of non-disabling chronic pain was 5.67% (95% CI 5.57 to 5.77). Disabling chronic pain was associated with high multimorbidity (especially in women (51%) and in the elderly (70%) with three or more additional chronic diseases), as well as with disadvantaged social status (such as female gender (OR=2.12), advanced age (OR10-year increase=1.28), unemployment (OR=1.33), manual work (OR=1.26), low income (OR=1.14) and reduced emotional social support (OR=1.04)). Other influential factors were tobacco consumption (OR=1.42), sleeping ≤7 hours (OR=1.2)], environmental or work conditions (OR=1.16) and quality of life (ORmental=1.21, ORphysical=2.37).ConclusionsThe population with disabling chronic pain was associated with multimorbidity, vulnerable social status and an impaired quality of life. In contrast, the population with non-disabling chronic pain showed almost no differences when compared with the population without chronic pain. The association between DCP and mental disorders highlights the need for psychosocial services in the management of chronic pain.


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