scholarly journals P1519A TWICE-WEEKLY HEMODIALYSIS : A SINGLE CENTER STUDY

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Sirine Bchir ◽  
Malek Mojaat ◽  
Mariem Ben salem ◽  
Boukadida Amine ◽  
Insaf Handous ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Kidney Function ◽  
University Hospital ◽  
Good Survival ◽  
Biological Parameters ◽  
Medical Reason ◽  
Interdialytic Weight Gain ◽  
Residual Kidney Function ◽  
The Mean

Abstract Background and Aims Conventional hemodialysis consists of a thrice-weekly in-center Hemodialysis with a mean duration of 4 hours per session. The concept of incremental dialysis has allowed a better adjustment of its prescription guided by clinical and biological parameters. Thereby a twice-weekly regimen may maintain a good quality of life, a good survival rate and adequate dialysis in comparison to a thrice-weekly hemodialysis. The aim of our study was to investigate the profile of patients undergoing a twice-weekly regimen in our center. Method It is a monocenter transversal-descriptive study gathering patients on a twice-weekly regimen in the center of hemodialysis of Fattouma Bourguiba University Hospital in Monastir Tunisia. Results We identified 32 patients with a sex ratio of 2.2 (22 men and 10 women) with a mean age of 48,96 +/- 13,74 years. Regarding the intitial nephropathy, a chronic glomerulopathy was seen in 16 patients, a chronic tubulo-interstitial nephritis In 5 patients, and kidney polykystosis among 3 patients and in 8 patients the initial nephropathy remained undetermined. The indications for a twice-weekly HD regimen were: defavourable socio-economic conditions in 9 patients, a medical reason in 17 patients and a rejection of thrice-weekly regimen in 6 patients. The mean diuresis was 850 +/- 560 cc/24h and only one patient with anuria. The mean interdialytic weight gain was 2, 64 +/- 0, 83 Kg. Normal blood pressure and volemia were reported in 27 patients (84, 37 %). The mean number of anti-hypertensive drugs used was 1,5 per patient. The mean percentage of Urea reduction was 68, 8 % and a mean Kt/V of 1.26. The average of both kalemia and calcemia was respectively 5.27 mmol/l and 1, 94 mmol/l and the mean dosage of phosphoremia was 1, 63 mmol/l. The average of PTH and Hemoglobine was respectively 403 pg/ml and 9, 97 g/dl. Conclusion According to these results, a twice-weekly hemodialysis should be guided by the residual kidney function, clinical status (volemia), cardiovascular symptoms and comorbidities, biological parameters (Hemoglobine, potassium, phosphore) and the nutritional state. By meeting the above criteria, many studies have shown that a twice-weekly regimen or incremental dialysis help preserve the residual kidney function with a good quality of life.

Quality of life questionnaires in children with bronchial asthma at Jordan University Hospital: an observational study

2020 ◽  
Vol 16 ◽  
Author(s):  
Enas M. Al-Zayadneh ◽  
Ala’ Dia-Eddin Arafah ◽  
Sarah Muwaffag Ibrahim ◽  
Maram Abdalla Glessa ◽  
Montaha Al-Iede
Keyword(s):  
Quality Of Life ◽  
Asthma Control ◽  
University Hospital ◽  
P Value ◽  
Life Questionnaire ◽  
Asthma Control Test ◽  
Cross Sectional ◽  
The Mean ◽  
Act Score

Background: Asthma is a common chronic illness worldwide. Identifying and treating impaired health-related quality of life is now recognized as an important component of asthma management. High prevalence of behavioral and emotional difficulties was noticed among children with asthma. Methods: Cross-sectional study that was conducted over 8 weeks involving 45 asthmatic children within the ages of 7-17 years old presented to Jordan University Hospital in Amman, Jordan. General demographic characteristics were collected, two questionnaires were used: asthma control test (ACT), and the pediatric asthma quality of life questionnaire (PAQLQ). We also used the feeling thermometer scale, and a pulmonary function test was done for patients. SAS Software version 9.4 USA and Pearsons coefficient were used to find associations. Results and Discussion: Among 45 patients, 53% of the sample had poor asthma control. The mean FEV1 on lung function testing was 80% (± 16.18) of predicted. The mean for asthma clinical scores (ACT) were 18.8 ± 4.53 (out of 25). FEV1 was significantly higher in children with good control compared to those with a low ACT score (P value <0.05). Mean total PAQLQ score was 5.3 ± 1.06 and it correlated significantly with ACT score (P value <0.001). Conclusion: This study highlights the association of poorly controlled asthma with a poor quality of life. It is recommended that the quality of life of children should be assessed and observed during clinic visits, for a better comprehensive approach and effective improvement of outcome.

Quality of Sexual Life after Microsurgical Penile Denervation in Men with Primary Premature Ejaculation

2017 ◽  
Vol 10 (1) ◽  
pp. 46-49
Author(s):  
Pencho P. Genov ◽  
Nikolay H. Kolev ◽  
Rumen P. Kotsev ◽  
Vladislav R. Dunev ◽  
Boyan A. Stoykov ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Sexual Dysfunction ◽  
Sexual Function ◽  
Premature Ejaculation ◽  
University Hospital ◽  
Sexual Life ◽  
The Mean ◽  
The University ◽  
Urology Clinic

SummaryPremature ejaculation (PE) is the most common sexual dysfunction in men, yet it is not well studied. Its frequency reaches 30% for men from 18 to 59 years of age in different countries. The aim of this article was to investigate the quality of sexual life in men with primary PE operated on with microsurgical penile denervation, using the Brief Male Sexual Functional Inventory (BMSFI). From September 2011 to March 2014, 22 patients were operated on with microsurgical penile denervation in the urology clinic of the University Hospital - Pleven and the Department of Urology at UMHAT Ruse AD. The mean result from the BMSFI in patients was 22 points preoperatively, indicating significant worsening of sexual function and quality of life in all five questionnaire domains. After surgery, the results increased to 28, 33 and 39 respectively, at 3, 6 and 12 months, respectively. Premature ejaculation not only leads to problems in controlling ejaculation but also worsens the overall sexual function and quality of life of patients.

scholarly journals Efficacy of rtsa-byugs vs diclofenac gel in relieving knee pain of patients with osteoarthritis of the knee

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Dorji Nidup ◽  
Somboon Kietinun ◽  
Sunyarn Niempoog ◽  
Kusuma Sriyakul
Keyword(s):  
Quality Of Life ◽  
Knee Pain ◽  
Small Sample ◽  
Life Assessment ◽  
University Hospital ◽  
Osteoarthritis Of The Knee ◽  
Content Type ◽  
Significant Difference ◽  
The Mean

PurposeRtsa-byugs, a massage oil from Bhutan, is a traditional herbal formula known for its anti-inflammatory properties and used in osteoarthritis treatment. This study investigates the efficacy of rtsa-byugs vs diclofenacgel in relieving knee pain in osteoarthritis patients.Design/methodology/approachA single-blind, randomized controlled trial was conducted amongst osteoarthritis knee patients at an orthopedic outpatient department of Thammasat University Hospital. Participants were randomly allocated to the rtsa-byugs (N = 31) or the Diclofenac gel (N = 31) group. Primary outcomes were assessed by the knee injury and osteoarthritis outcome scores (KOOS), visual analog scale (VAS) and goniometer at day 0, 1, 3, 7.Findings62 participants completed the study. The result of the KOOS scores demonstrated a significant improvement of symptoms at the end of the study in both treatment groups. Improvement of symptoms, pain, daily life living, sport and recreational score and quality of life assessment showed a significant difference from baseline (p < 0.001) within both groups. The quality of life score for the rtsa-byugs group increased significantly on day 3 and 7. The VAS score in both groups decreased with a significant difference from baseline to day 7. The mean value of extension of angle measurement was decreased in day 7, and the mean of flexion score increased in both groups when compared with the baseline.Research limitations/implicationsThe duration of the study was very limited and included a small sample consisting of men and women.Originality/valueRtsa-byugs is safe and effective in relieving pain from osteoarthritis of the knee and can be used as an alternative treatment for knee osteoarthritis.

In Reply to ‘Residual Kidney Function and Quality of Life in Incident Hemodialysis Patients’

2011 ◽  
Vol 57 (1) ◽  
pp. 179-180
Author(s):  
Tariq Shafi ◽  
Laura C. Plantinga ◽  
Neil R. Powe ◽  
Josef Coresh
Keyword(s):  
Quality Of Life ◽  
Kidney Function ◽  
Hemodialysis Patients ◽  
Residual Kidney Function

scholarly journals Assessment of Quality of Life among Beta-Thalassemia Major Patients Attending the Hematology Outpatient Clinics at Cairo University Hospital

2021 ◽  
Vol 9 (E) ◽  
pp. 156-160
Author(s):  
Mona Hamdy ◽  
Iman Hassan Draz ◽  
Inas Talaat El Sayed ◽  
Azza Ali Fahmy Ayyad ◽  
Marwa Rashad Salemd
Keyword(s):  
Quality Of Life ◽  
Blood Transfusion ◽  
Short Form ◽  
Age At Onset ◽  
Thalassemia Major ◽  
University Hospital ◽  
Sf 36 ◽  
Significant Difference ◽  
The Mean

AIM: This paper aimed at assessing the quality of life (QoL) among beta (β)-thalassemia major patients using the short-form-36questionnaire (SF-36) and determining the factors associated with it. METHODS: A cross-sectional study was conducted among β-thalassemia major patients who were attending the hematology outpatient clinic at Cairo University Hospital using the consecutive sampling technique. Data were collected between October 2016 and March 2017. The QoL was assessed for patients aged ≥17 years. During the study period, a total number of 112 patients were included for participation. RESULTS: The mean age of the studied group was 18.32 ± 1.33 years. Most of the included patients (93.63%) had 1 monthly blood transfusion. The mean total score of SF-36 was 44.90 ± 7.54. Among the QoL domains of the studied patients, the “general health perception” domain was the most affected one with a mean score of (add the value of the score here), while the “vitality” domain was the least affected one. No statistically significant difference was reported between males and females regarding different QoL domains except for the “vitality” domain which mean score was significantly higher in males compared to females (p = 0.05). The age at onset of the disease and at first blood transfusion was the most documented factors to be positively correlated with the QoL among the studied patients. CONCLUSION: This study revealed that the QoL in thalassemia major patients is compromised. QoL assessment should be performed for all thalassemia patients to determine and implement the necessary interventions that focus on the affected domains.

scholarly journals Seasonal Variation in Generic and Disease-Specific Health-Related Quality of Life in Rhinologic Patients in Southern Finland

2021 ◽  
Vol 18 (12) ◽  
pp. 6428
Author(s):  
Maija Ylivuori ◽  
Reija Ruuhela ◽  
Harri Sintonen ◽  
Paula Virkkula ◽  
Risto P. Roine ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Seasonal Variation ◽  
University Hospital ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Mean ◽  
Snot 22 ◽  
Disease Specific

Background: Seasonal variation in exacerbations, hospitalisations, and mortality statistics has been reported for some diseases. To our knowledge, however, no published studies exist on the seasonality of health-related quality of life (HRQoL) amongst rhinologic patients. Aims/Objectives: This study, therefore, aimed to investigate the possible seasonal variation in rhinologic patients’ HRQoL using the rhinologic disease-specific Sino-Nasal Outcome Test-22 (SNOT-22) and the generic 15D HRQoL instrument. Material and Methods: We enrolled unselected adult rhinologic patients requiring specialist care at the Helsinki University Hospital in this cross-sectional, questionnaire-based prospective study during four seasons: February (winter), May (spring), August (summer), and November (autumn). Patients received SNOT-22 and 15D questionnaires via post. The Finnish Meteorological Institute supplied climate data from these months. Results: SNOT-22 and 15D data were available for 301 and 298 patients, respectively. We found no statistically significant differences (p = 0.948) between the mean monthly 15D scores or mean SNOT-22 scales. Furthermore, the mean SNOT-22 subscales did not differ between the monthly study periods. Conclusions and Significance: Our study shows that seasonality did not impact rhinologic patients’ SNOT-22 or 15D HRQoL scores. Thus, these questionnaires can be used for follow-up amongst rhinologic patients regardless of season.

scholarly journals Rationale and Strategies for Preserving Residual Kidney Function in Dialysis Patients

2019 ◽  
Vol 50 (6) ◽  
pp. 411-421 ◽  
Author(s):  
Tian Li ◽  
Christopher S. Wilcox ◽  
Michael S. Lipkowitz ◽  
Judit Gordon-Cappitelli ◽  
Serban Dragoi
Keyword(s):  
Quality Of Life ◽  
Adverse Effects ◽  
Kidney Function ◽  
Urine Volume ◽  
Volume Control ◽  
Dialysis Patients ◽  
Patient Centeredness ◽  
Residual Kidney Function ◽  
Middle Molecules

Background: Residual kidney function (RKF) conveys a survival benefit among dialysis patients, but the mechanism remains unclear. Improved volume control, clearance of protein-bound and middle molecules, reduced inflammation and preserved erythropoietin and vitamin D production are among the proposed mechanisms. Preservation of RKF requires techniques to measure it accurately to be able to uncover factors that accelerate its loss and interventions that preserve it and ultimately to individualize therapy. The average of renal creatinine and urea clearance provides a superior estimate of RKF in dialysis patients, when compared with daily urine volume. However, both involve the difficult task of obtaining an accurate 24-h urine sample. Summary: In this article, we first review the definition and measurement of RKF, including newly proposed markers such as serum levels of beta2-microglobulin, cystatin C and beta-trace protein. We then discuss the predictors of RKF loss in new dialysis patients. We review several strategies to preserve RKF such as renin-angiotensin-aldosterone system blockade, incremental dialysis, use of biocompatible membranes and ultrapure dialysate in hemodialysis (HD) patients, and use of biocompatible solutions in peritoneal dialysis (PD) patients. Despite their generally adverse effects on renal function, aminoglycoside antibiotics have not been shown to have adverse effects on RKF in well-hydrated patients with end-stage renal disease (ESRD). Presently, the roles of better blood pressure control, diuretic usage, diet, and dialysis modality on RKF remain to be clearly established. Key Messages: RKF is an important and favorable prognostic indicator of reduced morbidity, mortality, and higher quality of life in both PD an HD patients. Further investigation is warranted to uncover factors that protect or impair RKF. This should lead to improved quality of life and prolonged lifespan in patients with ESRD and cost-reduction through patient centeredness, individualized therapy, and precision medicine approaches.

scholarly journals Effect of an Educational Intervention on Quality of Life and Sexual Function in Women with Endometriosis

2018 ◽  
Vol 3 (2) ◽  
pp. 127 ◽  
Author(s):  
Hend Abdallah EL Sayed ◽  
Samia Abdel Hakeem Hanseen Aboud
Keyword(s):  
Quality Of Life ◽  
Sexual Function ◽  
Educational Intervention ◽  
University Hospital ◽  
Control Group ◽  
Study Group ◽  
Significant Difference ◽  
Quasi Experimental ◽  
The Mean

Aim of the study was to investigate the effect of an educational intervention on quality of life and sexual function in women with endometriosis. Design: Quasi experimental time series research design. Setting: obstetrics and gynecology outpatient clinic affiliated to Benha University Hospital and Benha teaching Hospital. Sample: A purposive sample of 138 women diagnosed with endometriosis was eligible in the study and assigned equally into study and control groups. Tools for data collection: A structured interviewing questionnaire, Endometriosis Health Profile Questionnaire-30 and Sexual Health Outcomes in Women Questionnaire. Results: There was no statistically significant difference between both groups regarding demographic and obstetrical characteristics (p ˃ 0.05). Before implementation of educational intervention, the mean scores of total EHP-30 and SHOW-Q showed impaired quality of life and sexual function in the both groups (p ˃ 0.05). After one and two months of educational intervention implementation, mean total score of EHP-30 was significantly lowered in the study group compared with the control group. The mean scores of satisfaction, orgasm, and desire subscales were significantly higher in study group compared with control group. Whereas, the mean score of the pelvic problem interference subscale was significantly lower in study group compared with control group (p ≤ 0.001). Conclusion: The educational intervention about endometriosis has significant effect on the improvement of women's quality of life and sexual function. Recommendation: Provide health educational program for women with endometriosis to improve quality of life as well as sexual function.

scholarly journals Quality of life assessment in chronic wound patients using the Wound-QoL and FLQA-Wk instruments

2020 ◽  
Vol 38 (3) ◽  
Author(s):  
Tatiele Naiara Vogt ◽  
Francisco José Koller ◽  
Pamella Naiana Dias Santos ◽  
Bruna Eloise Lenhani ◽  
Paulo Ricardo Bittencourt Guimarães ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Wounds ◽  
Treatment Plan ◽  
Life Assessment ◽  
University Hospital ◽  
Total Quality ◽  
Cross Sectional ◽  
Mean Values ◽  
The Mean

Objective. To evaluate changes in the quality of life of patients with chronic wounds. Methods. Quantitative research with a cross-sectional design performed with 100 patients with chronic wounds from a university hospital and a Basic Health Unit in southern Brazil. The mean values of the domains of the instruments Wound Quality of Life (Wound-QoL) and Freiburg Life Quality Assessment Wound were compared with sociodemographic variables of age, sex and education. Results. The average age of the participants was 60.98 years old; 41% had diabetic ulcers and 83% treated the wounds for more than 24 months. The total quality of life value was below the mean with 37.50/100 with (Wound-QoL) and 44.20/100 with (FLQA-Wk). The variables of gender, and educational level were not correlated with either of the two instruments used to assess the quality of life. The age variable was significantly correlated with the satisfaction item of the FLQA-Wk. Conclusion. The quality of life of patients with chronic wounds was considered poor. The age variable was correlated with the satisfaction domain, showing that the older the age, the lower the satisfaction. The use of instruments to evaluate the quality of life of patients with chronic wounds may help an effective treatment plan.

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