High prevalence of groin pain identified in elite basketball U20s athletes and its impact on function and quality of life

Abstract. Some people, although they are perfectly healthy and happy, cannot enjoy music. These individuals have musical anhedonia, a condition which can be congenital or may occur after focal brain damage. To date, only a few cases of acquired musical anhedonia have been reported in the literature with lesions of the temporo-parietal cortex being particularly important. Even less literature exists on congenital musical anhedonia, in which impaired connectivity of temporal brain regions with the Nucleus accumbens is implicated. Nonetheless, there is no precise information on the prevalence, causes or exact localization of both congenital and acquired musical anhedonia. However, the frequent involvement of temporo-parietal brain regions in neurological disorders such as stroke suggest the possibility of a high prevalence of this disorder, which leads to a considerable reduction in the quality of life.

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Prevalence of Misconceptions about Diabetes and their Association with Metabolic and Psychological Variables

Diabetes & Obesity International Journal ◽

10.23880/doij-16000239 ◽

2021 ◽

Vol 6 (1) ◽

Author(s):

Sergio Hernández-Jiménez

Keyword(s):

Quality Of Life ◽

Educational Level ◽

Educational Assistance ◽

Assistance Program ◽

Psychological Variables ◽

Lower Educational Level ◽

High Prevalence ◽

Short And Long Term ◽

Glucose Management

Objective: To evaluate misconceptions about diabetes in people who attend the first visit at the CAIPaDi program, as well as its association with metabolic and psychological variables at short and long term. Methods and Analysis: The frequency of misconceptions in diabetes was determined through a true/false survey. We compared sociodemographic, metabolic and psychological variables between people with and without misconceptions at baseline, at 3 months and 1 year after a multidisciplinary educational program. Results: 902 participants answered the survey, with an age of 50 ±10 years old, 54.3% were women, with 1 (0-5) years living with type 2 diabetes. At baseline, 53% of the participants had at least 1 misconception, being more frequent in women (p=0.045) and in population with lower educational level (p<0.001). The most common were "emotional stress and fright cause diabetes" (34.4%), "in the control of my diabetes only matters glucose management" (15.2%) and "women with diabetes should not get pregnant" (11.8%). At basal, patients with misconceptions had higher HbA1c (9.0 ± 2.6 vs 8.4 ± 2.4, p <0.001), lower quality of life (DQOL 95.2 ± 26.2 vs 90.2 ± 23.6, p = 0.03), more problematic areas in diabetes (41.2 [21.2-58.4] vs 35 [17.5-52.6], p = 0.01), more depression (42.6% vs 32.9%, p = 0.003) and anxiety (58.6% vs 40.6%, p = 0.001) compared to patients without misconceptions. With the exception of HbA1c (6.6 ± 1 vs 6.4 ± 0.8, p = 0.025 at 1 year), no differences were observed in the annual visits. Conclusion: We found a high prevalence of people with misconceptions in diabetes. This group had worst glycaemic control, higher scores in PAID questionnaire, lower quality of life and more depression and anxiety symptoms. Participants with misconceptions had lower educational level. An educative program an educational assistance program can minimize differences by eradicating misconceptions.

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Clinical profile of patients with obstructive sleep apnea syndrome in a cardiology hospital

Terapevticheskii arkhiv ◽

10.26442/00403660.2020.04.000553 ◽

2020 ◽

Vol 92 (4) ◽

pp. 9-16

Author(s):

E. M. Elfimova ◽

O. O. Mikhailova ◽

N. T. Khachatryan ◽

A. Yu. Litvin ◽

I. E. Сhazova

Keyword(s):

Quality Of Life ◽

Obstructive Sleep Apnea ◽

Logistic Regression ◽

Sleep Apnea Syndrome ◽

Sleep Laboratory ◽

Obstructive Sleep ◽

High Prevalence ◽

Apnea Syndrome ◽

Severe Degree

Relevance. Obstructive sleep apnea syndrome (OSAS) is an important medical and social problem due to its high prevalence and impact on quality of life. The relationship between OSAS and cardiovascular pathology has been proven by many studies, which confirms the necessity for early diagnosis of OSAS and its treatment for the prevention of fatal and non-fatal events.Aim: to study epidemiological and clinical profile of the patients referred by a cardiologist to a specialized sleep laboratory to verify the diagnosis of OSAS.Materials and methods. Object of study 527 patients aged 56.912.5 years who were hospitalized to the Myasnikov Clinical Cardiology Research Institute from 20162018 and had OSAS risk factors. Initially, complaints, medical history, anthropometric data were collected. As a screening survey, questionnaires were conducted using questionnaire scales. Verification of the diagnosis of OSAS and determination of the severity was carried out by cardiorespiratory or respiratory monitoring. Subsequently, 4 groups were formed depending on the presence and severity of OSAS.Results. The prevalence of OSAS among patients in a cardiology hospital referred to a verification study was 88.6%. A comparative analysis of the groups revealed a progressive increase in the values of anthropometric indicators with increasing severity of OSAS. No differences were found between the groups by gender and daytime sleepiness on the Karolinska Sleepiness Scale. The average score on the Epworth sleepiness scale was statistically significantly lower only in the group of patients without OSAS when compared with the group with a severe degree of OSAS, and is comparable with the scores in the groups of mild and moderate degrees of OSAS. In a multivariate model of logistic regression, independent predictors of OSAS were identified as: age over 45 years, indications of loud intermittent snoring, frequent nightly urination, overweight or obesity. According to the results of assessing the incidence of various cardiovascular diseases in patients referred to the sleep laboratory, no significant differences were detected. At the same time, a significant difference was found in the frequency of obesity in patients with severe OSAS compared with other groups, as well as the frequency of type 2 diabetes mellitus or impaired glucose tolerance when compared with groups without OSAS, and with mild OSAS. In one-factor logistic regression models, it was found that the likelihood of having a severe degree of OSAS increases with increasing both comorbidity and age.Conclusions. High prevalence of OSAS in patients of a cardiological hospital, referred to a sleep laboratory for verification study, was confirmed. Considering the data that early diagnosis and treatment of OSAS can affect the course of both nosologies, the quality of life and prognosis of these patients, it is advisable to routinely screen and verify the diagnosis of OSAS in patients with cardiovascular diseases.

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Gambaran Kualitas Hidup pada Pasien Diabetik Retinopati Berdasarkan Tingkat Keparahan Visus

JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice) ◽

10.22146/jmpf.44456 ◽

2020 ◽

Vol 10 (2) ◽

pp. 105

Author(s):

Novita Dhewi Ikakusumawati ◽

Dewi Magistasari ◽

Novena Adi Yuhara ◽

Tri Murti Andayani ◽

Supanji Supanji ◽

...

Keyword(s):

Quality Of Life ◽

Visual Acuity ◽

Diabetic Retinopathy ◽

Utility Score ◽

Microvascular Complications ◽

Cross Sectional ◽

Number Of Patients ◽

High Prevalence ◽

Anxiety Depression

Diabetic retinopathy (DR) is one of the microvascular complications of diabetes mellitus (DM) which incidence increases with the high prevalence of DM. The presence of these complications will affect quality of life, especially vision-related. The purpose of this study was to determine the quality of life in RD patients assessed using the VFQ-25 and EQ-5D questionnaires, and to determine the of quality of life based on the visual acuity (VA) severity. This study was an observational study in outpatient with diabetic retinopathy during October 2018 – Januari 2019 period, in RSUP dr. Sardjito and RS Mata Dr. YAP, Yogyakarta. The design of this study was cross sectional which observed quality of life and vision. Quality of life was measured by specific for vision instrument (NEI-VFQ-25) and generic instrument (EQ-5D-5L). The number of patients in this study were 100 patients with an average age of 55 years, the most frequent type of RD was 84% proliferative RD. The average quality of life scores in RD patients measured using the VFQ-25 and EQ-5D utility questionnaires were 64.1 ± 16.2 and 0.61 ± 0.24, respectively. Based on VFQ-25, the most affected subscales were driving, dependence, and role difficulties subscale. Meanwhile, domains that have the most problems with the EQ-5D were pain / discomfort and anxiety / depression (78%). The total VFQ-25 score decreased with increasing visual severity, i.e. normal / mild (n = 19) 73.50 ± 15.08; moderate (n = 15) 68.14 ± 15.33; and severe (n = 66) 60.48 ± 15.64. The EQ-5D utility score showed a similar pattern, with scores of 0.66 ± 0.27 (normal / mild); 0.65 ± 0.22 (medium); and 0.59 ± 0.24 (severe); respectively. The higher severity of visual acuity so the quality of life become lower.

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Syndromes of postural stability and gait disorders in patients with discirculatory encephalopathy: clinical forms and features of pathogenesis

Medical Science And Education Of Ural ◽

10.36361/1814-8999-2021-22-2-141-143 ◽

2021 ◽

Vol 22 (2) ◽

pp. 141-143

Author(s):

Yu. I. Doyan ◽

◽

O. A. Kicherova ◽

L. I. Reikhert ◽

L. V. Graf ◽

...

Keyword(s):

Quality Of Life ◽

Clinical Picture ◽

Postural Stability ◽

Modern Medicine ◽

Postural Instability ◽

Gait Disorders ◽

Gait Disturbance ◽

Clinical Forms ◽

High Prevalence

The problem of discirculatory encephalopathy (DEP) is still relevant in modern medicine due to the high prevalence of this pathology. The symptoms of gait disturbance and postural instability, which are an additional factor of disability and a decrease in the quality of life in patients with DEP, are discussed in this article. Modern concepts of the pathogenesis and clinical picture of static-dynamic disorders are highlighted.

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How to evaluate Quality of Life

Monaldi Archives for Chest Disease ◽

10.4081/monaldi.2019.1033 ◽

2019 ◽

Vol 89 (1) ◽

Author(s):

Silvia Porcu ◽

Antonella Mandas

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Technological Progress ◽

Objective Evaluation ◽

Medical Intervention ◽

Social Health ◽

Clinical Parameters ◽

Medical Terminology ◽

High Prevalence

In medical terminology, it has become more and more common the use of the expression “Quality of Life” (QoL) to define a series of aspects that go beyond the traditional, clinical and “objective” evaluation of the medical intervention. The attention to QoL comes from the need to find tools that are able to reveal important aspects of the life of the patient that cannot be measured by a laboratory exam and/or a radiological procedure. The QoL is measured through multidimensional questionnaires on, at the very least, the domains of physical, psychological and social health. The improvement of the health care standards and the technological progress in medical matters have brought about an increase in the average age of the population, and as a consequence, an increase of the chronic and degenerative disease, which can negatively influence the patient’s quality of life. Amongst these pathologies, heart failure (HF) has a high prevalence in patients who are at least 70 years old, and it’s the cause of frequent and repeated hospitalizations. The estimate of the QoL becomes then a very important piece of the puzzle to figure out, as important as the clinical parameters, to allow the patient to become an integral part of the physician’s decisions and to reach more quickly and with better results the therapeutic objectives.

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Prevalence and management of headache in a selected area of Southern Santa Catarina

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2010000200012 ◽

2010 ◽

Vol 68 (2) ◽

pp. 216-223 ◽

Cited By ~ 1

Author(s):

Taís dos Santos Corrêa ◽

Kelly Miranda dos Santos ◽

Dayani Galato

Keyword(s):

Quality Of Life ◽

Cross Sectional Study ◽

Disability Assessment ◽

Sectional Study ◽

Self Medication ◽

Cross Sectional ◽

High Prevalence ◽

Headache Management ◽

Prescribed Medicines

Headache is a worldwide health problem which affects quality of life. OBJECTIVE: To identify the prevalence and management of headache and examine its impact. METHOD: A cross-sectional study with 240 participants was performed to collect data related to (a) headache occurrence, (b) its impact through the "Migraine Disability Assessment Test" (Midas), and (c) headache management. RESULTS: Last year prevalence (2008) was 64.6%. There was a low Midas score in 80.6% of cases. With regard to headache management, 86.4% of respondents said that they use medicines, mainly analgesics (73.9%). Prescribed medicines were used in 31.0% of cases, although 72.4% of those were old prescriptions. Headache was associated with gender (p=0.0002), occupation (p=0.0109) and mean age (p=0.0083), while the Midas score was associated with pain intensity (p=0.0069) and the use of drugs only during headache crisis (p=0.0464). CONCLUSION: There was a high prevalence of headaches and a low level of disability among the population studied, being the management based on self-medication.

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Prevalence of back pain, its effect on functional ability and health-related quality of life in lower limb amputees secondary to trauma or tumour: a comparison across three levels of amputation

Prosthetics and Orthotics International ◽

10.1177/0309364610389357 ◽

2011 ◽

Vol 35 (1) ◽

pp. 97-105 ◽

Cited By ~ 30

Author(s):

Catharina Sjödahl Hammarlund ◽

Maria Carlström ◽

Rebecca Melchior ◽

Björn M Persson

Keyword(s):

Quality Of Life ◽

Back Pain ◽

Lower Limb ◽

Limb Amputation ◽

Health Related Quality ◽

Sf 36 ◽

High Prevalence ◽

Related Quality ◽

Health Related

Background and Objectives: The prevalence of back pain and its effect on function and health-related quality of life across three levels of lower limb amputation secondary to trauma or tumour was studied. Study design: Cross-sectional survey. Methods: Forty-six lower limb amputees, aged 19–78 years, participated. The Roland Morris disability questionnaire (RMDQ) and the short form 36 health survey (SF-36) were used. Results: Participants reported more back pain after amputation than before ( p < 0.001). There was a significant association between back pain daily or several times/week and severe or moderate disability reporting on the RMDQ ( p = 0.003). On the SF-36, the group as a whole scored significantly lower in health-related quality of life with regard to physical functioning, role physical, bodily pain, general health, social functioning and the physical component summary (PCS), and significantly higher in the mental component summary (MCS) compared to normative Swedish data. When all three levels of amputation were compared, no statistically significant differences were found in the RMDQ or SF-36 results. Conclusions: There was a high prevalence of back pain after amputation. Almost all participants having back pain daily or several times per week reported severe or moderate disability on the RMDQ. The group as a whole scored significantly lower for health-related quality of life in the PCS and significantly higher in the MCS compared to normative Swedish data. Clinical relevance The high prevalence of back pain, and the significant association between back pain daily or several times per week and severe or moderate disability on the RMDQ, and the negative correlation between RMDQ and SF-36, may have clinical relevance with regard to rehabilitation and follow-up of lower limb amputation.

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The role of the dentist and orthodontist in recognizing oro-facial manifestations of acromegaly: a questionnaire-based study

Pituitary ◽

10.1007/s11102-021-01183-y ◽

2021 ◽

Author(s):

Giorgia Preo ◽

Alberto De Stefani ◽

Francesca Dassie ◽

Alexandra Wennberg ◽

Roberto Vettor ◽

...

Keyword(s):

Quality Of Life ◽

Early Recognition ◽

Sella Turcica ◽

Mandibular Prognathism ◽

Oral Manifestation ◽

Number Of Patients ◽

High Prevalence ◽

Strategic Role

Abstract Purpose Oro-facial manifestations of acromegaly are among the earliest signs of the disease and are reported by a significant number of patients at diagnosis. Despite this high prevalence of acromegaly oral manifestation, dentists do not play a pivotal role in acromegaly identification and diagnosis. The aim of our study was to evaluate the ability of dentists and orthodontists in the early recognition of the oro-facial manifestations of acromegaly. Methods A telematic questionnaire was administered to dentists and orthodontists. The questionnaire included photos with facial and oral-dental details and lateral teleradiography of acromegaly patients (ACRO). Results The study included 426 participants: 220 dentists and 206 orthodontists. Upon reviewing the photos, dentists most often observed mandibular prognathism and lips projection, while orthodontists also reported the impairment of relative soft tissue. Orthodontists, who usually use photos to document patients’ oral-facial characteristics, paid more attention to oral-facial impairment than dentists. During dental assessment, 90% of the participants usually evaluated tongue size and appearance, diastemas presence, and signs of sleep impairment (mainly orthodontists). Orthodontists were also more able to identify sella turcica enlargement at teleradiography. A total of 10.8% of the participants had ACRO as patients and 11.3% referred at least one patient for acromegaly suspicion. Conclusion The study highlighted dentists’ strategic role in identifying ACRO. Increasing dentists’ awareness about acromegaly clinical issues may improve early diagnosis, potentially resulting in an increased quality of life and decreased mortality among ACRO.

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