Impact of Severe Acute Respiratory Syndrome Care on the General Health Status of Healthcare Workers in Taiwan

2007 ◽  
Vol 28 (1) ◽  
pp. 75-79 ◽  
Author(s):  
Ning-Hung Chen ◽  
Pa-Chun Wang ◽  
Meng-Jer Hsieh ◽  
Chung-Chi Huang ◽  
Kuo-Chin Kao ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Severe Acute Respiratory Syndrome ◽  
General Health ◽  
Healthcare Workers ◽  
Control Group ◽  
General Health Status ◽  
After Care ◽  
Contact Hours ◽  
The Impact

Background.The impact of the outbreak of severe acute respiratory syndrome (SARS) was enormous, but few studies have focused on the infectious and general health status of healthcare workers (HCWs) who treated patients with SARS.Design.We prospectively evaluated the general health status of HCWs during the SARS epidemic.The Medical Outcome Study Short-Form 36 Survey was given to all HCWs immediately after caring for patients with SARS and 4 weeks after self-quarantine and off-duty shifts. Tests for detection of SARS Coronavirus antibody were performed for HCWs at these 2 time points and for control subjects during the SARS epidemic.Setting.Tertiary care referral center in Taipei, Taiwan.Subjects.Ninety SARS-care task force members (SARS HCWs) and 82 control subjects.Results.All serum specimens tested negative for SARS antibody. Survey scores for SARS HCWs immediately after care were significantly lower than those for the control group (P < .05 by the t test) in 6 categories. Vitality, social functioning, and mental health immediately after care and vitality and mental health after self-quarantine and off-duty shifts were among the worst subscales. The social functioning, role emotional, and role physical subscales significantly improved after self-quarantine and off-duty shifts (P < .05, by paired t test). The length of contact time (mean number of contact-hours per day) with patients with SARS was associated with some subscales (role emotional, role physical, and mental health) to a mild extent. The total number of contact-hours with symptomatic patients with SARS was a borderline predictor (adjusted R2 = 0.069; P = .038) of mental health score.Conclusions.The impact of the SARS outbreak on SARS HCWs was significant in many dimensions of general health. The vitality and mental health status of SARS HCWs 1 month after self-quarantine and off-duty shifts remained inferior to those of the control group.

scholarly journals The Impact of Fatigue on Patients with Multiple Sclerosis

1994 ◽  
Vol 21 (1) ◽  
pp. 9-14 ◽  
Author(s):  
John D. Fisk ◽  
Amanda Pontefract ◽  
Paul G. Ritvo ◽  
Catherine J. Archibald ◽  
T.J. Murray
Keyword(s):  
Mental Health ◽  
Health Status ◽  
General Health ◽  
General Health Status ◽  
Severe Problem ◽  
Hypertensive Patients ◽  
Neurologic Impairment ◽  
Impact Scale ◽  
Fatigue Impact Scale ◽  
The Impact

ABSTRACT:Although fatigue is recognized as a symptom of MS, there have been insufficient methods for evaluating this symptom. We administered the Fatigue Impact Scale to 85 MS patients and 20 hypertensive patients. Neurologic impairment, mental health, and general health status were also assessed. MS patients reported significantly higher fatigue impact than hypertensive patients. Most MS patients reported fatigue as either their worst (14%), or one of their worst (55%) symptoms. Disease classification and neurologic impairment had little bearing on Fatigue Impact Scale scores in the MS sample. The best predictive models for mental health and general health status in the MS sample both included the Fatigue Impact Scale as a significant factor. This study demonstrates that: 1) fatigue is a very prevalent and severe problem in MS, 2) fatigue impact cannot be predicted by clinical measures of neurologic impairment, 3) fatigue has a significant effect on the mental health and general health status of MS patients.

Effects of Panax Ginseng on Quality of Life

2002 ◽  
Vol 36 (3) ◽  
pp. 375-379 ◽  
Author(s):  
Jennifer M Ellis ◽  
Prabashni Reddy
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Health Status ◽  
Social Functioning ◽  
Panax Ginseng ◽  
General Health ◽  
Analysis Of Covariance ◽  
General Health Status ◽  
Health Status Questionnaire

OBJECTIVE: To assess the time-dependent effects of Panax ginseng on health-related quality of life (HRQOL) by use of a general health status questionnaire. METHODS: Subjects were randomized in a double-blind manner to P. ginseng 200 mg/d (n = 15) or placebo (n = 15) for 8 weeks. The Short Form-36 Health Survey version 2 (SF-36v2), a validated general health status questionnaire, was used to assess HRQOL at baseline and at 4 and 8 weeks. HRQOL between the groups was compared by use of repeated-measures analysis of covariance. A p value <0.05 was considered statistically significant. RESULTS: There were no significant differences in baseline demographics and SF-36v2 scores between the groups. After 4 weeks of therapy, higher scores in social functioning ( P. ginseng 54.9 ± 4.6 vs. placebo 49.2 ± 6.5; p = 0.014), mental health ( P. ginseng 52.2 ± 7.7 vs. placebo 47.2 ± 7.3; p = 0.075), and the mental component summary ( P. ginseng 51.3 ± 7.4 vs. placebo 44.3 ± 8.3; p = 0.019) scales were observed in patients randomized to P. ginseng; these differences did not persist to the 8-week time point. The incidence of adverse effects was 33% in the P. ginseng group compared with 17% in the placebo group (p = 0.40). Subjects given P. ginseng (58%) were more likely to state that they received active therapy than subjects given placebo (17%; p < 0.05). CONCLUSIONS: P. ginseng improves aspects of mental health and social functioning after 4 weeks of therapy, although these differences attenuate with continued use.

scholarly journals Patient-reported outcome scores underestimate the impact of major complications in patients undergoing spine surgery for degenerative conditions

2017 ◽  
Vol 27 (4) ◽  
pp. 397-402 ◽  
Author(s):  
Borys V. Gvozdyev ◽  
Leah Y. Carreon ◽  
Christopher M. Graves ◽  
Stephanie A. Riley ◽  
Katlyn E. McGraw ◽  
...  
Keyword(s):  
Health Status ◽  
Spine Surgery ◽  
General Health ◽  
Major Complication ◽  
Adverse Outcomes ◽  
General Health Status ◽  
Major Complications ◽  
Significant Difference ◽  
Patient Reported ◽  
The Impact

OBJECTIVEPatient-reported outcomes (PROs) such as the Oswestry Disability Index (ODI) and EuroQol-5D (EQ-5D) are widely used to evaluate treatment outcomes following spine surgery for degenerative conditions. The goal of this study was to use the Charlson Comorbidity Index (CCMI) as a measure of general health status, for comparison with standard PROs.METHODSThe authors examined serial CCMI scores, complications, and PROs in 371 patients treated surgically for degenerative lumbar spine conditions who were enrolled in the Quality and Outcomes Database from a single center. The cohort included 152 males (41%) with a mean age of 58.7 years. Patients with no, minor, or major complications were compared at baseline and at 1 year postoperatively.RESULTSMinor complications were observed in 177 patients (48%), and major complications in 34 (9%). There were no significant differences in preoperative ODI, EQ-5D, or CCMI among the 3 groups. At 1 year, there was a significantly greater deterioration in CCMI in the major complication group (1.03) compared with the minor (0.66) and no complication groups (0.44, p < 0.006), but no significant difference in ODI or EQ-5D.CONCLUSIONSDespite equivalent improvements in PROs, patients with major complications actually had greater deterioration in their general health status, as evidenced by worse CCMI scores. Because CCMI is predictive of medical and surgical risk, patients who sustained a major complication now carry a greater likelihood of adverse outcomes with future interventions, including subsequent spine surgery. Although PRO scores are a key metric, they fail to adequately reflect the potential long-term impact of major perioperative complications.

scholarly journals The impact of vitamin E and/or selenium dietary supplementation on growth parameters and expression levels of the growth-related genes in broilers

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Olla A. Khalifa ◽  
Rasha A. Al Wakeel ◽  
Shabaan A. Hemeda ◽  
Mohamed M. Abdel-Daim ◽  
Ghadeer M. Albadrani ◽  
...  
Keyword(s):  
Health Status ◽  
Vitamin E ◽  
Liver Tissue ◽  
General Health ◽  
Dietary Supplementation ◽  
Production Performance ◽  
Poultry Production ◽  
General Health Status ◽  
Production Parameters ◽  
The Impact

Abstract Background Broilers are continuously stressed because of the rapid growth rate and the environmental issues associated with industrialized poultry production systems, which lead to higher susceptibility for infection with pathogens. It is well known that vitamin E (Vit. E) and selenium (Se) supplementation have protective functions in such stressful conditions. This protocol was to investigate the impact of Vit. E and/or Se on the production performance, some serum biochemistry, and expression of some growth-related gene in the liver tissue of the broilers. The day-old chicks were allotted into four groups according to the supplement; Control group and groups supplemented with Vit. E and/or Se into Vit. E group (100 mg Vit. E/kg diet), Se group (0.3 mg sodium selenite/kg diet), and Vit E + Se group that supplemented with both Vit. E and Se. Results The data of the present experiment showed that dietary inclusion of Vit. E and/or Se significantly (P ≤ 0.05) improved the production parameters without any side effect on the general health status of the broilers, which indicated by normal serum biochemical parameters. Moreover, the treatments positively affected the expression of some genes related to growth performance including growth hormone receptor (GHR) and insulin-like growth factor 1 (IGF1) in the liver tissue of broilers. Conclusion Dietary supplementation of Vit. E and/or Se improved the production parameters and upregulate the growth-related genes without effect on the general health status of the broilers.

scholarly journals Does Hallux Rigidus produce worse functional disability than Hallux Valgus?

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0044
Author(s):  
Malik Siddique ◽  
Jayasree Ramaskandhan ◽  
Sultan Qasim
Keyword(s):  
Quality Of Life ◽  
Health Status ◽  
Hallux Valgus ◽  
General Health ◽  
Functional Disability ◽  
Hallux Rigidus ◽  
Foot And Ankle ◽  
General Health Status ◽  
The Impact

Category: Midfoot/Forefoot Introduction/Purpose: There is paucity of literature comparing foot and general health status including quality of life between patients presenting with Hallux Valgus and Hallux Rigidus. We aimed to compare foot specific patient reported disability and general health status including higher functional activities and quality of life reported between patients presenting with Hallux Valgus and Hallux Rigidus. Methods: All patients who presented at our hospital foot and ankle clinics (between June 2016 and December 2017) with a diagnosis of primary Hallux Valgus or Hallux Rigidus were included in this prospective study. Patients with associated foot problems, bilateral presentations, h/o previous reconstructive surgeries, and underlying neurological conditions were excluded. These patients were grouped based on diagnosis into Group A (Hallux Valgus) and Group B (Hallux Rigidus). In these patients, differences were studied between groups for scores of MOX-FQ Manchester-Oxford foot questionnaire (Domains: Pain, Walking/Standing, Social activities), EQ-5D EuroQol (UK) and Foot and Ankle outcomes scores (FAOS) (Domains: Pain, symptoms, ADL, Recreation, Quality of Life). Statistical tests between groups included tests for normality, student t’tests and chi square tabulation tests using SPSS software. Results: MOX-FQ differences: -  Both groups reported similar level of pain (59.6 ± 22.6 vs. 58.2 ± 23.3); p=0.776; Difficulty with walking/ standing (61.6 vs. 61.4 ); p= 0.960; and restriction with social activity because of foot symptoms (61.6 vs. 59.7 ); p=0.683 EQ-5D: -  For mobility, both groups reported no (21.7% vs. 26.8); slight (28.2% vs. 29.2%) or moderate (34.7% vs. 31.7%) problems; p=0.931. For self-care, pain/discomfort, anxiety/ depression levels, there was no differences between groups; p>0.05. Mean overall general health scores was (71.3 ± 22.8) and (69.5 ± 20.8); p=0.663 FAOS: -  There was no difference in mean pain score (59.6 vs. 58.2; p=0.776), symptoms (70.3 vs. 63.8; p=0.104), ADL score (p=0.587), difficulty with sport/ recreation (p=0.907) or Quality of Life (p=0.662) between groups Conclusion: -  There is no difference in foot related quality of life, general health status and higher functional disability levels between patients presenting with Hallux Valgus vs. Hallux Rigidus. -  The impact of these conditions on disability levels remain the same, amidst the difference in pathology

scholarly journals A Longitudinal Analysis of Mental and General Health Status of Informal Carers in Australia

2019 ◽  
Author(s):  
Itismita Mohanty ◽  
Theo Niyonsenga
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Health Outcomes ◽  
General Health ◽  
Short Form ◽  
Physical Activities ◽  
Poor Health ◽  
General Health Status ◽  
Social Drinking ◽  
Informal Carers

Abstract Background The study investigates the self-assessed mental and general health status of informal carers in Australia. It evaluates the influence of carer’s health behaviours, namely: physical activity, smoking and drinking status; along with their social connectedness and workforce engagement on their health status. Methods The study uses a retrospective longitudinal design using data from the Household Income and Labour Dynamics of Australia survey, waves 5-15 (2005-2015). It includes individuals aged 15 years and older from Australian households surveyed over a period of 11 years. The sample consists of 23,251 individuals. The outcome measures include: Mental health, general health and physical functioning, domains of the Short Form 36 Questionnaire, a widely used multi-dimensional measure of health-related quality of life. Using fixed effects regression, the analysis takes care of the issue of individuals self-selecting themselves as carers due to some predisposing factors such as age, poor health, socioeconomic status and sedentary behaviour. Results Informal carers suffer from poor mental (Beta = -0.587, p=0.003) and general health (Beta = -0.670, p=0.001) outcomes compared to non-carers in Australia. Increasing age has a modifying impact on carers’ mental and general health outcomes. The older carers are coping better with their caregiving status than the younger ones. Moreover, physical activities have a positive influence on both mental and general health for non-cares, with more activities generating better health outcomes. Also, physical activities have a modifying impact on carers’ mental health compared to non-carers. Furthermore, the study finds that moderate levels of social drinking have beneficial modifying impact on carers’ mental and general health. Conclusion Findings suggest that some targeted support programs for young carers and, in general, carer focused community physical activities programs, could help to improve the poor health profiles of carers. Moreover, improved informal carer’s health would help to reduce the institutional demand for carers and could bridge the gap in carers’ demand and supply. Finally, the study identified a link between moderate levels of social drinking and carer health that needs to be further explored with more targeted future research.

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