scholarly journals Patient experience of nasal obstruction and its clinical assessment

2018 ◽  
Vol 132 (4) ◽  
pp. 318-322 ◽  
Author(s):  
L Nip ◽  
M Tan ◽  
K L Whitcroft ◽  
R Gupta ◽  
T S Leung ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Patient Experience ◽  
Flow Measurement ◽  
Prospective Survey ◽  
Type Method ◽  
Novel Device ◽  
Nasal Inspiratory Peak Flow ◽  
Assessment Techniques ◽  
Current Assessment ◽  
One Year

AbstractBackground:The correlation between objective and subjective nasal obstruction is poor, and dissatisfaction rates after surgery for nasal obstruction are high. Accordingly, novel assessment techniques may be required. This survey aimed to determine patient experience and preferences for the measurement of nasal obstruction.Method:Prospective survey of rhinology patients.Results:Of 72 questionnaires distributed, 60 were completed (response rate of 83 per cent). Obstruction duration (more than one year) (χ2 = 13.5, p = 0.00024), but not obstruction severity, affected willingness to spend more time being assessed. Questionnaires (48 per cent) and nasal inspiratory peak flow measurement (53 per cent) are the most commonly used assessment techniques. Forty-nine per cent of participants found their assessment unhelpful in understanding their obstruction. Eighty-two per cent agreed or strongly agreed that a visual and numerical aid would help them understand their blockage.Conclusion:Many patients are dissatisfied with current assessment techniques; a novel device with visual or numerical results may help. Obstruction duration determines willingness to undergo longer assessment.

scholarly journals Evaluation of Patient Experience During Virtual and In-Person Urgent Care Visits: Time and Cost Analysis

2021 ◽  
Vol 8 ◽  
pp. 237437352098148
Author(s):  
Saif Khairat ◽  
Xi Lin ◽  
Songzi Liu ◽  
Zhaohui Man ◽  
Tanzila Zaman ◽  
...  
Keyword(s):  
Patient Experience ◽  
Care Delivery ◽  
Turnaround Time ◽  
Cross Sectional Study ◽  
Emergency Department Visits ◽  
Urgent Care ◽  
Cross Sectional ◽  
Significant Difference ◽  
Virtual Visits ◽  
One Year

Urgent care (UC) is one of the fastest growing venues of health care delivery for nonemergent conditions. This study compared the patient experience during virtual and in-person urgent care visits. We conducted a cross-sectional study of patients with the same diagnosis during Virtual Urgent Care (VUC) and in-person UC visits with the same diagnosis with regard to time and cost over a period of one year. We recorded and analyzed 16 685 urgent care visits: In-person UC (n = 14 734), VUC (n = 1262). Significant differences were found in the average total time for a visit in an in-person UC (70.89 minutes), and VUC (9.38 minutes). The average total cost of VUC ($49) and in-person UC ($142.657) differed significantly. Significant difference was found between UC turnaround time and VC turnaround time (Dependent variable (DV): 53.77, P < .01). We found significant differences in cost and time between in favor of virtual visits. Our findings suggest additional policy reform to expand the use of virtual care among target populations to improve access, reduce costs, meet the needs of patients, and reduce emergency department visits.

Psychiatric Aspects of Sterilization: A Prospective Survey

1979 ◽  
Vol 135 (4) ◽  
pp. 304-309 ◽  
Author(s):  
Anne H. W. Smith
Keyword(s):  
At Risk ◽  
Sexual Relationships ◽  
Psychiatric Disturbance ◽  
Prospective Survey ◽  
One Year

SummaryPatients consecutively referred for sterilization were examined at the time of referral, two months and one year after operation.Twenty-five per cent of the sample were identified as psychiatric cases at the time of referral, and rates of disturbance were even higher in some subgroups of women. The rate of disturbance fell in all these groups by one year after operation.New psychiatric disturbance following sterilization was similar in amount to that found in the community and was not related to any groups of women said in the literature to be at risk apart from those divorced or separated at the time of referral.Many experienced improvement in their marital and sexual relationships and only 3 per cent expressed feelings of regret.

The role of unilateral nasal inspiratory peak flow in nasal obstruction—A study of 70 patients undergoing septorhinoplasty surgery

2019 ◽  
Vol 44 (3) ◽  
pp. 427-430
Author(s):  
Anika Kaura ◽  
Jagdeep S. Virk ◽  
Jonathan Joseph ◽  
Catherine Rennie ◽  
Prem Singh Randhawa ◽  
...  
Keyword(s):  
Nasal Obstruction ◽  
Peak Flow ◽  
Nasal Inspiratory Peak Flow

Nasal Obstruction and Quality of Life Assessment After Septoplasty With Turbinoplasty: Correlation Between Subjective Scales

2020 ◽  
pp. 194589242097895
Author(s):  
Gloria Corredor-Rojas ◽  
María A. García-Chabur ◽  
Juliana Castellanos ◽  
Sergio Moreno ◽  
Martin Pinzón ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Nasal Obstruction ◽  
Life Assessment ◽  
Santa Fe ◽  
Quality Of Life Assessment ◽  
Symptom Evaluation ◽  
Glasgow Benefit Inventory ◽  
One Year ◽  
The Impact

Background Assessment of nasal obstruction is imprecise due to a low correlation between findings on the physical examination and objective measures with the severity of symptoms reported by the patient even after septoplasty with turbinoplasty is performed. The aim of this study is to evaluate the use of subjective scales, and the correlation between them for the evaluation of nasal obstruction after surgery. Objective To assess the impact of undergoing septoplasty with turbinoplasty to relieve nasal obstructive symptoms and the quality of life in a mid-term period by using the Visual Analogue Scale (VAS), Nasal Obstruction Symptom Evaluation (NOSE), and Glasgow Benefit Inventory (GBI). Methods A retrospective study was conducted of patients who underwent a septoplasty with turbinoplasty due to nasal septodeviation and secondary nasal obstructive symptoms at the Hospital Universitario Fundación Santa Fe de Bogotá. Three scales were used to measure the outcomes one year after surgery: VAS (0–10), NOSE (0–100), and GBI (−100 to 100). Results Data from 56 patients (21 females, mean age 37.5 years of age, SD 12.13) was collected. The results showed that 75% of the patients had a post-surgical NOSE score below 50 and a VAS score below 6. Regarding the GBI scale, 75% of the patients improved in their quality of life. An inverse proportional correlation was found between the NOSE and GBI scales (rho = −0.3682) (95% CI −0.579 to –0.111), and there was a directly proportional correlation between the NOSE and VAS scales (rho = 0.7440) (95% CI 0.595 to 0.844). Conclusion Subjective measures suggest there was an improvement in nasal obstructive symptoms and quality of life after surgery. Non-anatomical causes such as rhinitis can be confounding factors to consider in subsequent studies. VAS stands out as a possible interchangeable scale with NOSE to measure nasal obstruction in these patients.

Developmental Psychopathology and Normal Fear

1996 ◽  
Vol 13 (3) ◽  
pp. 143-155 ◽  
Author(s):  
Eleonora Gullone
Keyword(s):  
Developmental Psychopathology ◽  
Future Research ◽  
Late Childhood ◽  
Childhood And Adolescence ◽  
Social Evaluation ◽  
Cross Sectional ◽  
Developmental Patterns ◽  
Assessment Techniques ◽  
Current Assessment ◽  
Status Differences

This paper reviews the extensive research examining developmental patterns in normal fear. Areas of focus include age, gender, and socioeconomic status differences in fear content, prevalence, and intensity. The structure and stability/duration of normal fears are also discussed. Finally, the crosscultural research in this area is reviewed. Cross-sectional and longitudinal studies indicate that fear decreases in prevalence and intensity with age. There are also major changes in the content of normal fear over the course of development. Such changes are characterised by a transition from infant fears which are related to immediate, concrete, and prepotent stimuli, and which are largely noncognitive, to fears of late childhood and adolescence which are related to anticipatory, abstract, and more global stimuli and events. Fears of late childhood and adolescence are also more cognitive. One of the prominent themes during these years is social evaluation. It is noteworthy that fears have been demonstrated to be largely transitory in nature, decreasing significantly in number and intensity over time and with maturation. Future research into normal fear should more closely examine the validity of current assessment techniques. There is also a need for research into the developmental correlates of fear, including individual differences and affective environmental experiences. In particular, research examining the correlates of normal fear within a developmental psychopathology framework is recommended.

Description and Evaluation of a Short-Stay Admission Ward

1980 ◽  
Vol 136 (3) ◽  
pp. 205-215 ◽  
Author(s):  
Peter Kennedy ◽  
Fiona Hird
Keyword(s):  
General Practitioners ◽  
Patient Experience ◽  
Readmission Rate ◽  
Psychiatric Ward ◽  
Short Stay ◽  
Admission Ward ◽  
Clinical Methods ◽  
The Family ◽  
Acute Psychiatric Ward ◽  
One Year

SummaryDuration of stay for unselected admissions to an acute psychiatric ward was reduced to an average of 11 days. The clinical methods by which this was achieved are described. Comparing patients randomly allocated to this experimental ward and other admission wards: (i) the readmission rate to the experimental ward was higher but readmissions were briefer so that total in-patient experience per patient over the course of one year remained substantially lower; (ii) symptom levels and burden on the family had improved equally at three weeks and at four months after discharge; (iii) experimental ward patients made fewer demands on their general practitioners and reported fewer parasuicides. Beds can be released for other purposes in this way.

The incidence of cryptosporidiosis in children: A one-year prospective survey in a general hospital in Spain

1989 ◽  
Vol 5 (1) ◽  
pp. 70-73 ◽  
Author(s):  
J. A. García-Rodríguez ◽  
A. M. Martin Sánchez ◽  
A. Canut Blasco ◽  
J. Cedeño Montaño ◽  
M. I. Heras De Pedro
Keyword(s):  
General Hospital ◽  
Prospective Survey ◽  
One Year

scholarly journals Clinical benefits of surgical management of concha bullosa

2017 ◽  
Vol 3 (4) ◽  
pp. 833 ◽  
Author(s):  
Kulwinder Singh Mehta ◽  
Aamir Yousuf ◽  
Iftikhar Ali Wazir ◽  
Kouser Sideeq
Keyword(s):  
Surgical Management ◽  
Nasal Obstruction ◽  
Facial Pain ◽  
Anatomical Variation ◽  
Concha Bullosa ◽  
Female Ratio ◽  
Male Female Ratio ◽  
Clinical Benefits ◽  
Proper Diagnosis ◽  
One Year

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Concha bullosa is a common anatomical variation in nasal cavity, responsible for headache, Rhinogenic origin is an important cause for headache wrongly managed now a day, which may be treated by medical or surgical intervention, proper diagnosis and patient’s selection is very important to achieve good results with surgery of CB. The aim of this study is to evaluate the efficacy and assess the clinical benefits outcome results of our endoscopic turbinoplasty technique for CB. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This study was done in SMHS GMC Srinagar for a period of one year and about 30 patients with mild/moderate DNS and associated CB with symptoms of facial pain, head ache, nasal obstruction, anosmia, recurrent rhinitis were selected for surgical management and symptoms assessment was done using VAS.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">The 30 patient group with 1: 1 male: female ratio predominatly in 3<sup>rd</sup> decade of life presented with nasal obstruction more on concha bullosa side, 26 with facial pain and 27 patients with head ache and nasal obstruction, anosmia/hyposmia in 20 and recurrent rhinitis in 26. There was statistical significant benefit on symptoms score in patients managed with endoscopic chonchoplasty. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">The endoscopic turbinoplasty is safe and efficacious procedure for concha bullosa and is causuative factor for rhinogenic origin of headache and facial pain.</span></p>

scholarly journals A rare cause of bilateral exophthalmos: about one case with a sphenoid mucocele

2020 ◽  
Vol 3 (3) ◽  
pp. 174-177
Author(s):  
N. Pilor ◽  
M. Ndiaye ◽  
M.S. Diouf ◽  
A.D. Faye ◽  
A. Tall ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Ct Scan ◽  
Nasal Cavity ◽  
Nasal Obstruction ◽  
Male Patient ◽  
Nasal Septum ◽  
Endoscopic Guidance ◽  
One Year

Background: Mucocele is a benign cystic pseudo-tumor that develops within the sinus cavities. The most frequent locations are frontal and frontoethmoidal. The sphenoidal forms are rare. We report a case of sphenoidal mucocele revealed by bilateral exophthalmos. Methods and results: We report the case of a 14 year old male patient, without any particular pathological history, referred by his ophthalmologist for bilateral nasal obstruction, bilateral exophthalmos and visual acuity decrease evolving since one year. The ENT examination found a large, renitrant mass, filling the entire right nasal cavity. This mass pushed the nasal septum to the left. The CT scan showed a large sphenoidal, hypodense mass evoking a mucocele. The patient underwent endonasal marsupialization by endoscopic guidance. Conclusions: Sphenoidal mucocele is a rare cause of bilateral exophthalmos. The diagnosis can be misplaced when the signs are overt extra-sinus. Hence the interest of CT in order to eliminate other differential dignostics.

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