Impact of profound burn on the quality of life of women attended at the referral outpatient clinic in the state of Pernambuco

Author(s):  
Shirley Maria Santos Mergulhão Freitas ◽  
Cláudia Fonseca de Lima ◽  
Ana Karlla Albuquerque ◽  
Ricardo Altino de Freitas Júnior ◽  
Gustavo Fonseca de Albuquerque Souza ◽  
...  

ABSTRACT Non-pigmented rapidly growing mycobacteria (NPRGM) are widely distributed in water, soil and animals. It has been observed an increasing importance of NPRGM related-infections, particularly due to the high antimicrobial resistance. NPRGM have rough and smooth colony phenotypes, and several studies have showed that rough colony variants are more virulent than smooth ones. However, other studies have failed to validate this observation. In this study, we have performed two models, invitro and in vivo, in order to assess the different pathogenicity of these two phenotypes. We used collection and clinical strains of Mycobacteriumabscessus, Mycobacterium fortuitum and Mycobacteriumchelonae. On the invitro model (macrophages), phagocytosis was higher for M. abscessus and M. fortuitum rough colony variant strains when compared to smooth colony variants. However, we did not find differences with colonial variants of M. chelonae. Survival of Galleriamellonella larvae in the experimental model was lower for M. abscessus and M. fortuitum rough colony variants when compared with larvae infected with smooth colony variants. We did not find differences in larvae infected with M. chelonae.Results of our in vivo study correlated well with the experimental model. This fact could have implications on the interpretation of the clinical significance of the NPRGM isolate colonial variants.

2021 ◽  
Vol 13 ◽  
pp. 1759720X2110348
Author(s):  
Alfredo Madrid-García ◽  
Isabel Montuenga-Fernández ◽  
Judit Font-Urgelles ◽  
Leticia León-Mateos ◽  
Esperanza Pato ◽  
...  

Aims: The aim of this study was to assess the effect of “outpatient readmissions” on the health-related quality of life (HR-QoL) of outpatients from a rheumatology clinic, meaning the effect of the patient’s return to the outpatient clinic after having received care and been discharged. Methods: We conducted an observational longitudinal retrospective study, with patients selected from the Hospital Clínico San Carlos Musculoskeletal cohort, based on having received at least one discharge from the outpatient clinic and having returned (readmission) at least once after the discharge. The main outcomes were the patients’ baseline HR-QoL (measured on the first visit of each episode) and the ΔHR-QoL (difference between the HR-QoL in the last and the first visit of each episode). Successive episodes of admission and readmission were chronologically ordered, paired and analyzed using nested linear mixed models, nested by patients and by admission–readmission tandem. We carried out bivariable and multivariable analyses to assess the effect of demographic, clinical, treatment and comorbidity-related variables in both main outcomes. Results: For the first main outcome, 5887 patients (13,772 episodes) were analyzed. Based on the multivariable level, readmission showed no significant marginal effect on the baseline HR-QoL ( p-value = 0.17). Conversely, when analyzing the ΔHR-QoL, we did observe a negative and significant marginal effect ( p-value = 0.028), meaning that readmission was associated with a lower gain in the HR-QoL during the follow-up, compared with the previous episode. Conclusion: In the outpatient setting, readmission exerts a deleterious effect in patients undergoing this process. Identification of outpatients more likely to be readmitted could increase the value of the care provided.


2007 ◽  
Vol 8 (3) ◽  
pp. 10 ◽  
Author(s):  
Margaret A Cavalcante ◽  
M Teresa NB Manzoli ◽  
Luna F Braulio ◽  
Yona A Francisco ◽  
Luigi Brollo ◽  
...  

2011 ◽  
Vol 40 (4) ◽  
pp. e235-e236 ◽  
Author(s):  
Georgios Labiris ◽  
Athanassios Giarmoukakis ◽  
Roman Larin ◽  
Maria G Gkika ◽  
Vassilios P Kozobolis

2014 ◽  
Vol 21 (3) ◽  
pp. 154-162 ◽  
Author(s):  
Christine Gimpel ◽  
Christel von Scheidt ◽  
Gerald Jose ◽  
Ulrike Sonntag ◽  
George B. Stefano ◽  
...  

Infection ◽  
2011 ◽  
Vol 39 (6) ◽  
pp. 507-514 ◽  
Author(s):  
F. M. Abrahamian ◽  
A. Krishnadasan ◽  
W. R. Mower ◽  
G. J. Moran ◽  
J. R. Coker ◽  
...  

2015 ◽  
Vol 60 (8) ◽  
pp. 66-80
Author(s):  
Anna Wierzbicka ◽  
Agata Żółtaszek

Maintaining security is one of public tasks that determine the quality of life of the population. This issue is the subject of much debate both social and political. An in-depth assessment of the situation requires a variety of analyzes, significant from the point of view of the implementation of appropriate, effective strategy to increase the sense of security among citizens. The aim of the paper is to compare the state of public safety in selected European countries. The study was conducted based on Eurostat data from the years 2005–2011.


2017 ◽  
Vol 15 ◽  
Author(s):  
Mariana Mohamed Osman ◽  
Noor Suzilawati Rabe ◽  
Muhammad Faris Abdullah ◽  
Nur Farhanah Rosli ◽  
Farah Eleena Zainudin

Housing is a basic need to man. It provides shelter and comfort from the elements and improve quality of life of the residents. Hence, housing should be affordable to all. This paper assesses the housing affordability for the districts in Melaka. This was achieved by calculating the median multiple of the price income ratio and comparing the score to the housing affordability index. Secondary data were obtained from reports published by the governmental agencies. The results show that housing is mostly moderately unaffordable in the districts of Melaka. Additionally, housing affordability has improved from 2012 to 2014 in majority of the districts.


2020 ◽  
Author(s):  
Anastasia Mallidou ◽  
Anne-Marie Boström ◽  
Daphne Kaitelidou ◽  
Jennifer Brett ◽  
Sara John Fowler ◽  
...  

Abstract Background Behavioral and psychological symptoms of dementia (BPSD) influence older persons’ quality of life. Non-pharmacological interventions such as individualized music (iM) are promising to reduce BPSD and sustain interpersonal connectedness that contributes to quality of life. The purpose of this study was to assess the practicalities (e.g., process, results) of iM activities application on older adults over 65 years of age diagnosed with dementia living in residential care facilities. Our objectives were to: a) evaluate the recruitment process; b) explore the process of iM activity implementation; c) assess the clinical significance of the outcomes. Methods A concurrent mixed methods feasibility study designed and was conducted in two residential care facilities in British Columbia, Canada to assess the practicalities (i.e., recruitment, acceptability of the intervention, adherence to it, and clinical significance) of iM activities implementation on older adults diagnosed with dementia living in residential care facilities. Data were collected from residents, their families and staff using administrative records, observations, surveys, and interviews. Our primary outcomes were affect and quality of life. Results The observed iM activities were feasible, acceptable and adhered to by residents with clinical significance. Specifically, about 47% of eligible residents, their families and staff agreed to participate in and completed the study (recruitment); approximately 86% of participants enthusiastically received and were satisfied with the iM activity (acceptability); more than 70% of participants completed at least seven of the nine iM sessions (adherence); about 55% of participants experienced an increase in positive affect scores and 29% had a decrease in negative affect scores after the intervention; more than 43% of participants had a reduction in BPSD (clinical significance). Finally, participants reported improvement of quality of life and positive effects of iM intervention and provided insights and suggestions to improve it. Conclusions Individualized music activities can be successfully implemented (i.e., feasible, acceptable, adherent) with significant clinical outcomes. Participants reported positive affect emotions, increase in quality of life and well-being. With this feasibility study, we developed a process to identify challenges and their solutions that may assist us in a following pilot study with similar iM intervention.


Retos ◽  
2021 ◽  
Vol 42 ◽  
pp. 684-695
Author(s):  
Marta García-Tascón ◽  
Cristina Mendaña-Cuervo ◽  
César Sahelices-Pinto ◽  
Ana-Mª Magaz-González

En España, la declaración del estado de alarma por la pandemia Covid-19, supuso que entre el 14 de marzo y el 2 de mayo de 2020, 47 millones de habitantes estuvieran confinados y sólo pudieran salir a cubrir necesidades básicas. Ante este hecho es oportuno analizar su impacto sobre la salud, tomando en consideración cómo afectó a la práctica de la actividad física. Se administró un cuestionario ad hoc. Los participantes fueron 1046 personas (hombre 48.57% y mujer 51.43%) y con una edad media de 40 (± DT 13.35 años). Respecto a la práctica de actividad física, destaca una significativa disminución de intensidad y cantidad (p < .001), y una modificación del tipo de actividad física realizada, pasando de deportes cardiovasculares y de aptitud muscular a prácticas de gimnasias suaves y flexibilidad. Aumentó el porcentaje total de personas que no realizaron nada de actividad física. Aun disponiendo de más tiempo libre, las personas en situación de ERTE, disminuyeron significativamente su cantidad de actividad física realizada (p < .001). Estos resultados permiten concluir que el confinamiento supuso una modificación de hábitos de práctica de actividad física, una disminución de los valores recomendados como saludables, lo que conllevó implicaciones sobre la salud y la calidad de vida. Se ofrece información que ayudará a entender estos nuevos comportamientos y que facilitará a los gestores estrategias innovadoras para activar la vuelta a niveles anteriores de actividad física, su incremento y, en definitiva, la reactivación del sector deportivo.  Abstract: In Spain, the declaration of the state of alarm due to the Covid-19 pandemic, meant that between 14th of March and 2nd of May 2020, 47 million inhabitants were confined at home and could only go out to cover basic needs. This unprecedented event has led to a paradigm shift, and it is appropriate to analyze its impact on health, considering how it has affected the practice of physical activity. An ad hoc questionnaire was administered. The participants were 1046 people (48.57% male and 51.43% female) and the average age of 40 (± DT 13.35 years). Regarding the practice of physical activity, a significant decrease in intensity and quantity stands out (p < .001), and a modification of the type of physical activity performed, going from cardiovascular sports and muscular fitness to soft gymnastics and flexibility practices. The total percentage of people who did no physical activity at all, increased. In addition, although more free time was available, people in ERTE situation significantly decreased their amount of physical activity performed (p < .001). These results allow us to conclude that confinement has meant a modification of physical activity practice habits and a decrease in the recommended values ​​of healthy healthy, and therefore has had implications on health and quality of life. This information will help to understand these new behaviors in order for managers to implement innovative strategies to reactivate the return to previous levels of physical activity, its increase and, in short, the reactivation of the sports sector.


2021 ◽  
Vol 4 (164) ◽  
pp. 220-233
Author(s):  
O. Rybalova ◽  
O. Bryhada ◽  
O. Ilinskyi

The work examines modern methodological approaches to assessing the quality of life using environmental indicators. Analysis of the existing methods in Ukraine for determining the environmental component when measuring the quality of life showed the need to develop a new method for a comprehensive assessment of the state of the environment. This is due to the fact that the existing methodology for assessing the quality of life does not take into account the ecological component as a separate block of indicators, and also contains some inaccuracies in the formulas for calculating the final indicator. In this regard, a new method is proposed for determining the ecological component in the general system for assessing the quality of life of the population, which is the scientific novelty of the work. Based on the analysis of monitoring data on the quality of air, surface waters and soils of Ukraine, statistical reporting on environmental indicators of the development of regions of Ukraine, intermediate indicator indicators are calculated, and then the final complex indicator of the state of the environment is determined. Calculation formulas and assessment scales in points of the state of environmental components are proposed. The proposed method is based on the processing of data from official state statistics and environmental monitoring, which determines the reliability of the initial data. The proposed technique can easily be used as an algorithm for computerized calculations of the indicator of a comprehensive assessment of the state of the environment. The calculation of the indicator of the ecological state was made on the basis of current statistical data, which showed the need for immediate environmental protection measures in the industrially developed regions of Ukraine: Donetsk, Zaporozhye, Dnepropetrovsk and Lugansk regions.


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