scholarly journals New estimates of eco-intensity considering the hazardous industrial pollution accumulation

2021 ◽  
Vol 258 ◽  
pp. 08003
Author(s):  
Irina Glazyrina ◽  
Andrey Chavkin

The paper proposes a new approach to environmental and economic assessments based on the author’s economic and mathematical model that takes into account the accumulation of hazardous pollutants in natural environments. It also presents the results of calculations showing the dynamics of the increase in the negative impact depending on the natural assimilation of pollutants. This data can be considered as a quantitative assessment of the “environmental cost” that society pays by consuming goods the production of which is accompanied by the accumulation of long-lived pollutants. It is shown that this “price” can very significantly exceed the eco-intensity calculated without taking into account the accumulation of pollutants. Thus, the accumulation of pollutants as a result of economic activity is an important factor in the context of the impact on the ecological and economic balance. The implementation of the results obtained in the adjustment of the calculations of payments for negative environmental impact is proposed: to set payments per unit of production which are not proportional to emissions, but proportional to the eco-intensity calculated according to the proposed methodology. In this case, the accumulation of harmful substances in natural environments, the added value of production and the timing of project implementation will be taken into account. This corresponds to the concept of “green” economy, which provides the growth of well-being and quality of life with the maximum possible reduction of the negative anthropogenic pressure and improvement of the quality of the environment.

Author(s):  
Germina-Alina Cosma ◽  
Alina Chiracu ◽  
Amalia Raluca Stepan ◽  
Marian Alexandru Cosma ◽  
Marian Costin Nanu ◽  
...  

The aim of this study was to analyze athletes’ quality of life during the COVID-19 pandemic. The study involved 249 athletes between 15 and 35 of age, M = 21.22, SD = 5.12. The sample was composed of eight Olympic Games medalists, three European medalists, 67 international medalists, and 63 national medalists. The instruments used were: (1) COVID-19 Anxiety Scale, (2) Athlete Quality of Life Scale, (3) Impact of Pandemic on Athletes Questionnaire, and (4) International Personality Item Pool (IPIP Anxiety, Depression, and Vulnerability Scales). The results indicate significant differences in COVID-19 anxiety depending on the sport practiced, F (9239) = 3.81, p < 0.01, showing that there were significant differences between sports. The negative impact of the COVID-19 pandemic mediates the relationship between trait anxiety and the athletes’ quality of life. The percentage of mediation was 33.9%, and the indirect effect was −0.11, CI 95% (−0.18, −0.03), Z = −2.82, p < 0.01. Trait anxiety has an increasing effect on the intensity of the negative impact of the COVID-19 pandemic, 0.23, CI 95% (.10, 0.35), Z = 3.56, p < 0.01, and the negative impact of the COVID-19 pandemic has a decreasing effect on quality of life, −0.47, CI 95% (−0.67, −0.27), Z = −4.62, p < 0.01. Gender and age did not moderate the relationship between the negative impact of COVID-19 and athletes’ quality of life. The results of the study highlighted the impact that social isolation and quarantine have on athletes’ affective well-being.


2017 ◽  
Vol 41 (S1) ◽  
pp. S603-S603
Author(s):  
J. Cabral ◽  
C. Barreto Carvalho ◽  
P. Castilho Freitas ◽  
C. Pato

IntroductionIntervention with informal caregivers (IC) of psychiatric patients is internationally recognized as relevant and a priority. However, the existing responses in this area are still insufficient, especially regarding caregivers of individuals with mood disorders (MD). Mindfulness and compassion focused therapy have proven to be an effective approach in stress reduction and in improving emotional and social well-being of caregivers of patients with other conditions. However, no studies testing these new approaches in IC of patients with MD have been carried out. The objective of this work is to present a research project that aims to develop, implement and empirically test the effectiveness of an innovative group program to help informal caregivers of individuals with mood disorders to cope with the negative impact of the disease and reduce caregiver burdens.MethodsThe design of this experimental study to test the program's efficacy is a non-randomised controlled trial (nrct) with 12 months follow-up, with a mixed assessment methodology (quantitative and qualitative analysis). A sample of 60 informal caregivers of individuals with chronic MD will be constituted (n = 30 Control group; n= 30 Experimental group).ResultsWe expect the program to promote significant changes in participants in terms of several emotional variables (eg: burden, stress, resilience, compassion and quality of life).ConclusionsFurther efforts to continue studying the impact of interventions in caregivers should be carried out, as a way to improve the quality of life of caregivers and their ability to provide informal care to MD patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2016 ◽  
Vol 21 (6) ◽  
pp. 74-81 ◽  
Author(s):  
Lucas Guimarães Abreu ◽  
Camilo Aquino Melgaço ◽  
Mauro Henrique Abreu ◽  
Elizabeth Maria Bastos Lages ◽  
Saul Martins Paiva

ABSTRACT Objective: The objective of this article was to assess the perception of parents and caregivers regarding the impact of malocclusion on adolescents’ oral health -related quality of life (OHRQoL). Methods: This cross-sectional study consisted of a sample of 280 parents/caregivers of 11 and 12-year-old adolescents who answered the Parental-Caregiver Perceptions Questionnaire (P-CPQ). Parent-assessed quality of life of adolescents was the dependent variable. The main independent variable was adolescents’ malocclusion which was diagnosed by means of the Dental Aesthetic Index (DAI). Based on DAI cut-off points, adolescents were classified into four grades of malocclusion, with different orthodontic treatment recommendations assigned to each grade: no need/slight treatment need, elective treatment, highly desirable treatment and mandatory treatment. Adolescents’ age and sex, as well as family monthly income, were considered as confounding variables. Statistical analysis involved descriptive statistics, bivariate analyses, and Poisson regression with robust variance. Results: Of the 280 parents/caregivers initially accepted in this study, 18 refused to answer the P-CPQ. Therefore, 262 individuals participated in this assessment, providing a response rate of 93.5%. The severity of adolescents’ malocclusion was significantly associated with a higher negative impact on parents’/caregivers’ perception on the oral symptoms (p< 0.05), functional limitations (p < 0.001), emotional well-being (p < 0.001), and social well-being (p < 0.001) subscale scores as well as on the overall P-CPQ score (p < 0.001), even after having been adjusted for the controlling variables. Conclusions: Parents/caregivers reported a negative impact of malocclusion on adolescents’ OHRQoL. Increased severity of malocclusion is associated with higher adverse impact on OHRQoL.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Nadia Sawicka-Gutaj ◽  
Paulina Ziółkowska ◽  
Klaudia Wojciechowska ◽  
Sara Shawkat ◽  
Agata Czarnywojtek ◽  
...  

AbstractThyroid diseases may cause a variety of functional and structural body changes, including eye and vision abnormalities, which can have a negative impact on a patient’s well-being. However, only a few studies on the impact of other benign thyroid diseases on the visual process are available in the literature. In this study, using the Polish version of the thyroid-specific quality of life (ThyPROpl) questionnaire, we aimed to determine the self-reported influence of benign thyroid diseases (e.g., nodular goiter, toxic nodular goiter, Graves’ disease, thyroid orbitopathy, Hashimoto’s thyroiditis, and surgical hypothyroidism) on patients’ eyes and vision. This was a prospective study. In total, 374 randomly selected euthyroid patients and 255 control subjects responded to the ThyPROpl questionnaire and the results were evaluated. Nearly 69% of the respondents reported that the most frequent condition was “reduced sight.” Men most often reported wet/tearing eyes (66%). The occurrence of eyelid sacks or swollen eyelids (64%), ophthalmalgia (62%), and eye dryness (61%) was marked almost as often. In total, 29% of the patients reported diplopia, and it was found to be most prevalent among those with thyroid orbitopathy. Other complaints were similarly prevalent among all the subgroups. A positive correlation was also observed between the scores of the “eye symptoms” and other ailments. Except for swelling around the lower eyelids, patients with thyroid diseases more frequently experienced all of the ocular complaints analyzed in this study compared with controls. This study showed that eye complaints are common in patients with benign thyroid diseases and ocular disturbances have a negative impact on the overall quality of life of patients.


2021 ◽  
Vol 6 (1) ◽  
pp. 130-142
Author(s):  
Lori Zitelli

Purpose Tinnitus is reported by millions of Americans and is significantly problematic for many people. Commonly, individuals suffering from tinnitus report disturbances in the areas of sleep, hearing, emotional well-being, and so forth. This case report presents the evaluation and treatment of an adult female with severe tinnitus and multiple relevant comorbidities. This case includes the onset, evaluation, and management of significantly bothersome tinnitus in a 60-year-old woman. Tinnitus was first reported after she was treated with an Epley maneuver intended to resolve benign paroxysmal positional vertigo. An evaluation of tinnitus (including a comprehensive audiometric evaluation, an assessment of the impact of tinnitus on her life, and psychoacoustic measures of tinnitus perception) was completed. The tinnitus was reported to have a severely negative impact on her overall health, mental state, and quality of life. Method This patient opted to manage her tinnitus with a combination of pharmaceuticals, sound therapy, and education (the latter two in the form of tinnitus retraining therapy). Results The course of her active treatment spanned approximately 18 months, and, at the completion of her treatment, she demonstrated significant improvements in all areas of her life that had been impacted by tinnitus. She has become an active advocate for tinnitus management and has made herself available as a resource for other individuals who are struggling to cope with intrusive tinnitus. Conclusion Tinnitus retraining therapy is a treatment option that may significantly improve the quality of life of individuals suffering from severely bothersome tinnitus.


Author(s):  
Antonella Demma ◽  
Caterina Suitner ◽  
Emilia Ferruzza ◽  
Chiara Nicolini ◽  
Massimo Donini

Psoriasis is a chronic skin disease involving not only epidermic damages but also psychological distress for patients and their family caregivers. Little is known about the effects of a psychological support for psoriatic patients on their caregivers’ well-being. The goal of the present study was to investigate the indirect effects of the participation in a dynamic focus group reserved for psoriatic patients on their caregivers in terms of quality of life. The study involved 52 psoriatic patients and 41 family caregivers. Patients’ wellbeing was assessed using the dermatology quality of life index, hospital anxiety and depression scale. The impact of the disease on caregivers was assessed using the family dermatology life quality index (FDLQI). Data were analyzed with linear mixed models. The caregivers of psoriatic patients involved in the psychodynamic focus group reported levels of FDLQI that decreased over time, therefore showing an improvement in their quality of life in relation to the pathology of their relatives; the caregivers of patients who did not participate in the psychodynamic focus group, instead, had levels of FDLQI that were stable over time. The results provide preliminary evidence that the group setting of the Psychodynamic Focus Group may alleviate the negative impact of psychosomatic disease on the caregivers.


2019 ◽  
Vol 10 (02) ◽  
pp. 267-272 ◽  
Author(s):  
Emine Taskiran ◽  
Zeliha Matur ◽  
Günay Gül ◽  
Nerses Bebek ◽  
Betül Baykan ◽  
...  

ABSTRACT Context: Seizures and accompanying situations including social, medical, and psychiatric problems threaten the quality of life (QOL) in patients with epilepsy. The World Health Organization defines health is a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity. Aims: This study examines the prevalence of both depression and anxiety symptoms and also impact of the affective state on QOL in patients with focal epilepsy in Turkey. Settings and Design: One hundred and five patients with focal epilepsy over 18 years old were included in this study. The patients were classified into four groups according to the presence of AS and seizure control. Subjects and Methods: Patients’ affective symptoms (AS) and QOL were examined using the Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and QOL in Epilepsy Inventory-31 (QOLIE-31). Statistical Analysis Used: We used descriptive statistics, Chi-square test, independent samples t-test, one-way analysis of variance, Mann–Whitney U-test, Kruskal–Wallis H-test, and also Pearson’s and Spearman’s correlation test for correlations. Results: There were positive correlations between total QOLIE-31 score and epilepsy surgery, employment, and seizure freedom, whereas negative correlations were found with antiepileptic drug use, anxiety, and depression. Statistically significant differences were found in QOLIE-31 totals and subscores between Groups 3 and 4 (P < 0.05). Conclusions: The presence of AS has a negative impact on QOL in patients with focal epilepsy. Physicians should be aware that psychiatric comorbidities in epilepsy have a severe impact and epilepsy treatment requires comprehensive management.


2021 ◽  
Vol 17 (31) ◽  
pp. 139
Author(s):  
Jesus Velasquez-Bermudez

Make decision during an epidemic process implies enter in the dialectic of duality of goals: lives saved in the short term versus loss of quality of life of the population in the long term. The optimization models may be used to support epidemic management without entering the duality of goals do not try to compare economic impact with avoided deaths, concentrating the mathematical effort into avoid additional deaths over the minimum natural death due to the biological aspects of the epidemics, considering the real restrictions about economic budgets and logistics constraints. The pandemic is a natural process that follows known mathematical rules, which involve great uncertainty for being unknown, but humanity has developed great scientific (analytical) capacity to face complex natural processes, managing a pandemic like COVID-19 is perhaps the biggest challenge it must overcome. Tackling the pandemic by ignoring humanity's ability to model processes and find the "best" decision means that, despite acting with goodwill, policies that do not produce the greatest social well-being and that possibly generate more dead than the minimum possible and cause an economic impact that negatively affects quality of life by returning to levels 20 or more years ago, it affects strongly to countries in development way. SEIMR/R-S simulation epidemic model is the core of SEIMR/R-S/OPT, it considers the impact of modeling the population divided into sociodemographic segments based on age and economic stratum (other dimensions, for example: ethnics, gender, …). The added value by mathematical programming approach is to convert simulation models into optimization models enabling decision makers to determine optimal policies for public health management. SEIMR/R-S/OPT may determine optimal policies considering the socio-spatial distribution of the population. SEIMR/R-S/OPT was implemented in GAMS using OPTEX Expert Optimization System.


2020 ◽  
Vol 6 (2) ◽  
pp. 388-414
Author(s):  
Fernando Oliveira Pereira

Conciousness is decisive in attributing meanings to the manifestations of life. The impact of diabetes mellitus on patients` psychic and psychosocial functionality depends on the understanding of the disease. Objective: to study the dynamics of changes in psychic and psychosocial functionality in patients with diabetes mellitus, before and after diagnosis. Participants: 50 subjects of both sexes, with diabetes mellitus (30 - 88 years) and 50 subjects with the same socio-demographic characteristics, who do not suffer from the disease. Methodology: Clinical-psychological interview; Socio-demographic questionnaire; Clinical-dynamic disease questionnaire; Self-assessment questionnaire on psychic, family, social and work functionality. Results: Diabetes mellitus patients in the period of life “after diagnosis”, compared to the period “before diagnosis”, show statistically significant differences of greater expressiveness psychic functionality (nervousness, anxiety, irritability, depression, pessimism and fatigue) and lower in psychosocial and work activities (work capacity, availability to socialize with friends and family). In the comparison “before diagnosis” and “current moment” there are significant differences in all categories, but if comparing “after diagnosis” and “current moment”, significant differences only exist in work capacity, fatigue, availability to live together with friends; lower values at the present time. Conclusion: The intrusion of diabetes mellitus and the patient's knowledge of the diagnosis cause changes in the dynamics of psychic functionality and psychosocial activity, aggravating the levels of nervousness, anxiety, irritability, depression, pessimism, feeling of fatigue, less work capacity, availability to socialize with friends and family. Diabetes has a negative impact on the functionality of patients, affecting well-being and quality of life.


2018 ◽  
Vol 6 (2) ◽  
pp. 71-79
Author(s):  
Velya Apro ◽  
Susi Susi ◽  
Desy Purnama Sari

Caries is one of the most common dental and oral health problems in the world and attacks all ages. According to WHO in 2016 the prevalence of caries in school children is 60-90%. Caries affects the disruption of children's activities and will have an impact on the quality of life. The quality of life is an individual perceptions of physical, psychological, social, and environmental conditions in someone daily life. Purpose: to review the impact between caries and children's quality of life using an instrument. The caries assessments we used are DMF-T/dmft index, PUFA/pufa, and the Caries Assessment Spectrum and Treatment Index and the quality of life assessment instrument is the Child Perceptions Questionnaire. Results: The results of the literature review show that caries has an impact on daily activities that will affect on the quality of life of the children, where children with dental caries have a worse quality of life than children without caries. Based on the Child Perception Questionnaire instrument, the negative impact of caries are oral symptoms, functional limitation, emotional well-being and social well-being. Conclusion: The impact by the child can cause disruption of growth and development and other daily activities that will affect the child's social environment.


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