scholarly journals Epidemiological Profile of 96 Intracranial Tumors Treated in a Single Reference Center

Author(s):  
João Otávio Penteado Bzuneck ◽  
Anderson Matsubara ◽  
Nick Dorneli de Carvalho ◽  
Bernardo Lacerda Michelotto ◽  
Marina Tayz Martinez ◽  
...  

Abstract Objectives The present study aims to categorize the prevalence of intracranial tumors surgically treated at the neurosurgery service of Hospital Universitário Evangélico Mackenzie (HUEM) between 2016 and 2018. Material and Methods This survey included patients surgically treated due to primary or metastatic intracranial neoplasia between 2016 and 2018 at a referral center in the city of Curitiba. These patients were analyzed for epidemiological, histopathological, and topographic data, and they underwent an assessment of the outcome at the time of hospital discharge. Results A total of 96 patients met the inclusion criteria. The most prevalent tumor was the glioma, with 39.6% of the sample, with glioblastoma being the most prevalent histological type. Brain metastases and meningiomas represented, respectively, 21.9% and 18.8% of the total. There was a predominance of supratentorial and intra-axial tumors in our sample. Conclusion Glioma was the most commonly found tumor, directly associated with high morbidity and mortality. The development of new and more effective drugs with action directed at the molecular level of intracranial tumors may be the path to a longer survival and improvement in the quality of life of these patients.

2017 ◽  
Vol 7 (12) ◽  
pp. 3
Author(s):  
Jenny Paola Cervera Quintero

Esta investigación muestra las características y estrategias socioeconómicas identificadas en un grupo de famiempresas de confección en Ciudad Bolívar, localidad de Bogotá, con las cuales logran la permanencia de sus negocios y así la reproducción de la vida y la subsistencia de sus familias. Este primer elemento se contrasta con las políticas de consecución de ingresos desarrolladas por los gobiernos distritales en el período 2000-2013, con el fin de encontrar los elementos comunes y el real aporte con el que las políticas sociales y económicas del Distrito benefician la economía popular de la ciudad, teniendo como referencia el grupo de famiempresas con el que se trabajó. Después de obtener un paralelo entre las políticas socioeconómicas del Distrito y las necesidades reales de las famiempresas, se desarrolla un ejercicio práctico aplicando la metodología de Vester como base para la formulación de recomendaciones dirigidas hacia los gobiernos distritales, en las que se manifiestan las prioridades que esta población objetivo espera de la acción institucional para mejorar el desempeño de sus famiempresas y, por ende, el de su consecución de ingresos para mejor su calidad de vida y la de sus familias.ABSTRACTThis research examines the socio-economic characteristics and strategies pertaining to a group of family business in the apparel sector in Ciudad Bolivar (Bogota), which ensures some stability in the business itself and in their families´ livelihood. This first element is contrasted with the policies of resource allocation pursued by Bogota local administrations in the period 2000-2013, in order to identify the real governmental contributions to thelocal economy. Next, a practical exercise is conducted by applying the methodology of Vester as a basis for the formulation of recommendations addressed to the city government; those recommendations depict the priorities that the targeted population expects from the institutional action to improve the performance of their business and to enhance their income to better their quality of life and that of their families. Fecha de recepción: 23 agosto 2016Fecha de aprobación: 15 noviembre de 2016Fecha de publicación: 6 de enero de 2017


Vascular ◽  
2020 ◽  
pp. 170853812098020
Author(s):  
Ertan Yetkin ◽  
Makbule Kutlu Karadag ◽  
Mehmet Ileri ◽  
Ramazan Atak ◽  
Nevzat Erdil ◽  
...  

Objectives We aimed to evaluate peripheral varicose vein symptoms including ecchymosis and coldness by using the Venous Insufficiency Epidemiological and Economic Study-Quality of Life/Symptoms (VEINES-QoL/Sym) questionnaire. Methods A total of 1120 patients were enrolled to the analysis after the exclusion of 199 patients who did not match the inclusion criteria. Patients were asked to answer the VEINES-Sym questionnaire and questions about ecchymosis and coldness. Scores of ecchymosis and coldness were calculated similar to VEINES-Sym questionnaire. Classifications of peripheral varicose vein were made according to the clinical part of clinical, etiological, anatomical, and pathophysiological classification system and patients with grade 2 or higher were considered as positive for peripheral varicose vein. Results Frequency of symptoms present in the VEINES-Sym instrument, ecchymosis and coldness were significantly higher in patients with peripheral varicose vein. Mean score of each symptom was significantly lower in peripheral varicose vein patients including scores of ecchymosis and coldness. Logistic regression analysis revealed that presence of hemorrhoids and all symptoms in VEINES-Sym questionnaire except restless leg were significantly and independently associated with peripheral varicose vein. Besides, ecchymosis (odds ratio: 2.04, 95% confidence interval: 1.34–3.08, p = 0.008) but not coldness was significantly and independently associated with peripheral varicose vein. There was also significant correlation of VEINES-Sym score with ecchymosis ( r = 0.43, p < 0.001) and coldness ( r = 0.47, p < 0.001). Conclusions Venous leg symptoms present in VEINES-Sym questionnaire except restless legs, presence of hemorrhoids and ecchymosis are significantly and independently associated with peripheral varicose vein. Not only ecchymosis but also coldness has shown an independent association with total VEINES-Sym score.


Land ◽  
2021 ◽  
Vol 10 (4) ◽  
pp. 398
Author(s):  
Eliza Sochacka ◽  
Magdalena Rzeszotarska-Pałka

A growing number of urban interventions, such as culture-led regeneration strategies, has emerged alongside growing awareness of the concept of re-urbanization. These interventions evolve to create a holistic urban vision, with aims to promote social cohesion and strengthen local identity as opposed to traditional goals of measuring the economic impact of new cultural developments. Szczecin’s, Poland urban strategy is focused on the expansion of culture—a condition for improving the quality of life and increasing the city’s attractiveness. This article assesses the potential for re-urbanization of Szczecin’s flagship cultural developments. Questionnaire surveys and qualitative research methods were used to assess the characteristics that distinguish cultural projects in the formal, location-related, functional, and symbolic layers, as well as examining their social perception. The results show that the strength of these indicators of urbanscape identity affects how the cultural developments are assessed by the society. Semiotic coherence and functional complexity of the structures have a significant impact on the sense of identification, while their monumentality and exposure contribute to the assessment of the impact on their surroundings. A development with a firm identity, embedded in the city’s tradition not only preserves the cultural heritage of the city but also makes inhabitants feel association with the new project.


2009 ◽  
Vol 89 (5) ◽  
pp. 443-455 ◽  
Author(s):  
Stefania Costi ◽  
Mauro Di Bari ◽  
Paolo Pillastrini ◽  
Roberto D'Amico ◽  
Ernesto Crisafulli ◽  
...  

Background, Objectives, and Measurements Patients with chronic airway obstruction (CAO) frequently experience dyspnea and fatigue during activities performed by accessory muscles of ventilation, which competitively participate in arm elevation. This systematic review of randomized controlled trials (RCTs) concerning patients with CAO addresses the effects of upper-extremity exercise training (UEET), added to lower-extremity training or comprehensive pulmonary rehabilitation, on the following patient-centered outcomes: exercise capacity, symptoms, ability to perform daily activities, and health-related quality of life. Methods Studies were retrieved using comprehensive database and hand-search strategies. Two independent reviewers determined study eligibility based on inclusion criteria. A detailed description of treatments was mandatory. Reviewers rated study quality and extracted information on study methods, design, intervention, and results. Results Forty publications were evaluated. Four RCTs met the inclusion criteria but had serious methodological limitations, which introduce possible biases that reduce their internal validity. The outcomes measured were heterogeneous, and the results were inconsistent regarding maximal exercise capacity, dyspnea, and health-related quality of life. No effect of UEET was demonstrated for measures of arm fatigue. Limitations and Conclusions The limited methodological quality of the studies retrieved prevented us from performing a meta-analysis, the results of which could be misleading. This systematic review shows that there is limited evidence examining UEET and that the evidence available is of poor quality. Therefore, a recommendation for the inclusion or exclusion of UEET in pulmonary rehabilitation programs for individuals with CAO is not possible. Further research is needed to definitively ascertain the effects of this training modality on patient-centered outcomes.


Author(s):  
Minou Weijs-Perrée ◽  
Gamze Dane ◽  
Pauline van den Berg

Urbanization brings major challenges with regard to livability and the health and quality of life of citizens [...]


2018 ◽  
Vol 44 (4) ◽  
pp. 292-298 ◽  
Author(s):  
Erica Nishida Hasimoto ◽  
Daniele Cristina Cataneo ◽  
Tarcísio Albertin dos Reis ◽  
Antonio José Maria Cataneo

ABSTRACT Objective: To determine the prevalence of primary hyperhidrosis in the city of Botucatu, Brazil, and to evaluate how this disorder affects the quality of life in those suffering from it. Methods: A population survey was conducted in order to identify cases of hyperhidrosis among residents in the urban area of the city, selected by systematic cluster sampling. In accordance with the census maps of the city, the sample size should be at least 4,033 participants. Ten interviewers applied a questionnaire that evaluated the presence of excessive sweating and invited the subjects who reported hyperhidrosis to be evaluated by a physician in order to confirm the diagnosis. Results: A total of 4,133 residents, in 1,351 households, were surveyed. Excessive sweating was reported by 85 residents (prevalence = 2.07%), of whom 51 (60%) were female. Of those 85 respondents, 51 (60%) agreed to undergo medical evaluation to confirm the diagnosis and only 23 (45%) were diagnosed with primary hyperhidrosis (prevalence = 0.93%). Of the 23 subjects diagnosed with primary hyperhidrosis, 11 (48%) reported poor or very poor quality of life. Conclusions: Although the prevalence of self-reported excessive sweating was greater than 2%, the actual prevalence of primary hyperhidrosis in our sample was 0.93% and nearly 50% of the respondents with primary hyperhidrosis reported impaired quality of life.


2013 ◽  
Vol 16 (1) ◽  
pp. 117-126 ◽  
Author(s):  
Mariana Martinez Orlando ◽  
Maria Stella Peccin da Silva ◽  
Império Lombardi Junior

INTRODUCTION: Ageing has become a huge public health challenge due to the need to find solutions for improving quality of life. OBJECTIVE: This study aimed to assess quality of life, muscle strength, balance and physical capacity among elderly practitioners and non-practitioners of physical activity. MATERIALS AND METHODS: An observational, cross-sectional study was carried out involving 74 elderly individuals in the city of Santos (state of São Paulo, Brazil), divided into two groups: practitioners and non-practitioners of physical activity. The International Physical Activity Questionnaire was used for the classification of the participants. The generic SF-36 questionnaire was used to assess quality of life. The Berg scale was used for the analysis of balance. Dynamometry was used for the muscle strength test. The six-minute walk test was used for the assessment of physical capacity. RESULTS: Significant differences were found between elderly practitioners and non-practitioners of physical activity regarding quality of life (p = 0.001), muscle strength (p = 0.001), balance (p = 0.001) and physical capacity (p = 0.001). The data also showed that aspects of quality of life were strongly correlated with physical capacity among the non-practitioners of physical activity (r = 0.741). CONCLUSION: Elderly individuals in the city of Santos (Brazil) who practice physical activity have better quality of life, muscle strength, physical capacity and balance in comparison to those who do not practice physical activity.


2018 ◽  
Vol 71 (6) ◽  
pp. 2899-2906 ◽  
Author(s):  
Claudete Moreschi ◽  
Claudete Rempel ◽  
Daiana Foggiato de Siqueira ◽  
Dirce Stein Backes ◽  
Luis Felipe Pissaia ◽  
...  

ABSTRACT Objective: To evaluate the quality of life and to analyze the epidemiological profile of people with diabetes treated in Family Health Strategies. Method: A cross-sectional study carried out with 350 people with diabetes. Results: Most people with diabetes are women, elderly, married, white, with low educational level, retired/pensioners, family income of up to two minimum wages. As the time of people with the disease increases, their quality of life decreases. People with complications from diabetes have a lower quality of life, with a statistically significant difference. Conclusion: Knowledge of the sociodemographic characteristics, clinical evaluation and quality of life of people with diabetes can improve the care process provided to this population.


2005 ◽  
Vol 27 (1) ◽  
pp. 67-69 ◽  
Author(s):  
Adriana Regina Ferreira Marciano ◽  
Cláudia Ines Scheuer

OBJECTIVE: To evaluate the Quality of Life (QoL) among siblings of autistic patients. METHODS: Casuistic: siblings of autistic patients (n = 31) and, as a control group, siblings of patients with speech disorder (n = 30). Inclusion criteria: age between 7 and 11 years old; absence of current mental disorder; regular attendance to school. Exclusion criteria: antecedents of clinical or psychiatric diseases; disabilities (visual, auditive or motor); antecedents of cognitive and/or intelligence disabilities. Instruments included a questionnaire which evaluated the quality of life in a subjective way. RESULTS: it was observed worse QoL among siblings of autistic patients (p = 0.000). CONCLUSION: The hypothesis that the quality of life was compromised in children (aged 7 to 11) by the presence of an autistic sibling was confirmed, and was worse than that of siblings of children with speech disorders.


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