Quality of Life in Patients with Psoriasis Seen in the Department of Dermatology, Antananarivo, Madagascar

Background. Psoriasis is a chronic, inflammatory, and multifactorial dermatosis that impairs quality of life (QoL). Health-related QoL has become an important element in medical decision-making along with the effectiveness and the harmlessness of the treatments. Objective. To assess the impact of psoriasis in the QoL of patients with psoriasis by using the DLQI scales. Methods. A cross-sectional study from January to June 2018 was conducted in the Department of Dermatology of the University Hospital Joseph Raseta Befelatanana, Antananarivo, Madagascar, including patients more than 18 years old with mild to severe psoriasis. The severity of psoriasis was assessed using the “Psoriasis Area and Severity Index (PASI)”. QoL of patients with psoriasis was evaluated by using the DLQI scales. Results. 80 patients were included, their mean age was 36.5 years, and the male to female was 1.5 : 1. The mean DLQI score was 13.8. Symptoms, feelings, and psychic were the most altered dimensions. QoL was impaired in young patients, single, having medium level education. Even though patients with disease duration more than 5 years had higher DLQI score than other patients, the difference was not statistically significant (p=0.36). Furthermore, the clinical presentation of psoriasis did not influence the patient’s QoL (p=0.73). Patients with nail involvement had QoL impaired but the difference with another localization was not statistically significant (p=0.2). The quality of life was influenced by body area involved. The higher the body surface area involved, the more QoL is impaired (p=0.002). Furthermore, the higher the PASI, the more QoL is altered (p=0.002). Conclusion. Psoriasis has a negative impact in the quality of life in Malagasy patients with psoriasis, especially in younger and single patients. Worse quality of life is correlated to severity of psoriasis.

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Quality of life in patients with psoriasis seen in the Department of Dermatology, Antananarivo Madagascar.

10.21203/rs.2.23219/v3 ◽

2020 ◽

Author(s):

Fandresena Arilala Sendrasoa ◽

Ratovonjanahary Volatantely ◽

Razanakoto Naina Harinjara ◽

Raharolahy Onivola ◽

Rakotoarisaona Mendrika Fifaliana ◽

...

Keyword(s):

Quality Of Life ◽

Negative Impact ◽

Young Patients ◽

The Body ◽

University Hospital ◽

Medical Decision ◽

Cross Sectional ◽

The Difference ◽

The Impact

Abstract BACKGROUND: Psoriasis is a chronic, inflammatory and multifactorial dermatosis that impairs quality of life (QoL). Health-related QoL has become an important element in medical decision making along with the effectiveness and the harmlessness of the treatments.OBJECTIVE: To assess the impact of psoriasis in the QoL of patients with psoriasis by using the DLQI scales.METHODS: A cross-sectional study, during ten months, was conducted in the Department of Dermatology of the University Hospital Joseph Raseta Befelatanana Antananarivo Madagascar including patients more than 15 years-old with moderate to severe psoriasis. The severity of psoriasis was assessed using the “Psoriasis Area and Severity Index (PASI)”. QoL of patients with psoriasis was evaluated by using the DLQI scales.RESULTS: 80 patients were included, their mean age was 36.52 years and the male to female was 1.5:1. The mean DLQI score was 13.85. Symptoms, feelings and psychic were the most altered dimensions. QoL was impaired in young patients, single, having medium level education. Even though patients with disease duration more than 5 years had higher DLQI score than other patients, the difference was not statistically significant (p=0.36). Furthermore, clinical presentation of psoriasis didn’t influence patient’s QoL (p=0.73). Patients with nail involvement had QoL impaired but the difference with another localization was not statistically significant (p=0.2).The quality of life was influenced by body area involved. The higher the body surface area involved, the more QoL is impaired (p=0.002). Furthermore, the higher the PASI, the more QoL is altered (p=0.002).CONCLUSION: Psoriasis has a negative impact in the quality of life in Malagasy patients with psoriasis, especially in younger and single patients. Worse quality of life is correlated to severity of psoriasis.

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Quality of Life in Patients With Psoriasis Seen in the Department of Dermatology, Antananarivo Madagascar.

10.21203/rs.2.23219/v1 ◽

2020 ◽

Author(s):

Fandresena Arilala Sendrasoa ◽

Ratovonjanahary Volatantely ◽

Razanakoto Naina Harinjara ◽

Raharolahy Onivola ◽

Rakotoarisaona Mendrika Fifaliana ◽

...

Keyword(s):

Quality Of Life ◽

Negative Impact ◽

Young Patients ◽

The Body ◽

University Hospital ◽

Medical Decision ◽

Cross Sectional ◽

The Difference ◽

The Impact

Abstract BACKGROUND: Psoriasis is a chronic, inflammatory and multifactorial dermatosis that impairs quality of life (QoL). Health-related QoL has become an important element in medical decision making along with the effectiveness and the harmlessness of the treatments.OBJECTIVE: To assess the impact of psoriasis in the QoL of patients with psoriasis by using the DLQI scales.METHODS: A cross-sectional study, during ten months, was conducted in the Department of Dermatology of the University Hospital Joseph Raseta Befelatanana Antananarivo Madagascar including patients more than 15 years-old with moderate to severe psoriasis. The severity of psoriasis was assessed using the “Psoriasis Area and Severity Index (PASI)”. QoL of patients with psoriasis was evaluated by using the DLQI scales.RESULTS: 80 patients were included, their mean age was 36,52 years and the male to female was 1,5:1. The mean DLQI score was 13,85. Symptoms, feelings and psychic were the most altered dimensions. QoL was impaired in young patients, single, having medium level education. Even though patients with disease duration more than 5 years had higher DLQI score than other patients, the difference was not statistically significant (p=0,36). Furthermore, clinical presentation of psoriasis didn’t influence patient’s QoL (p=0,73). Patients with nail involvement had QoL impaired but the difference with another localization was not statistically significant (p=0,2).The quality of life was influenced by body area involved. The higher the body surface area involved, the more QoL is impaired (p=0,002). Furthermore, the higher the PASI, the more QoL is altered (p=0,002).CONCLUSION: Psoriasis has a negative impact in the quality of life in Malagasy patients with psoriasis, especially in younger and single patients. Worse quality of life is correlated to severity of psoriasis.

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Quality Of Life In Patients With Psoriasis Seen In The Department of Dermatology, Antananarivo Madagascar.

10.21203/rs.2.23219/v2 ◽

2020 ◽

Author(s):

Fandresena Arilala Sendrasoa ◽

Ratovonjanahary Volatantely ◽

Razanakoto Naina Harinjara ◽

Raharolahy Onivola ◽

Rakotoarisaona Mendrika Fifaliana ◽

...

Keyword(s):

Quality Of Life ◽

Negative Impact ◽

Young Patients ◽

The Body ◽

University Hospital ◽

Medical Decision ◽

Cross Sectional ◽

The Difference ◽

The Impact

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The Impact Of Death Anxiety On Quality Of Life Among Cancer Patients: A Case Of Bahawalpur And Multan District

Psychology and Education Journal ◽

10.17762/pae.v58i1.2162 ◽

2021 ◽

Vol 58 (1) ◽

pp. 5473-5477

Author(s):

Siraj Hussain Et al.

Keyword(s):

Quality Of Life ◽

Cancer Patients ◽

Death Anxiety ◽

Negative Impact ◽

Sampling Technique ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Difference ◽

The Impact

The current study aimed to carved the impact of death anxiety on quality of life among cancer patients. The study focused to find out the difference of death anxiety in the context of gender and socio-demographic factors; and to seek out the impact of death anxiety on the quality of life of cancer patients. Purposive sampling technique was opted to collect the N= 110 cancer patients from Victoria hospital Bahawalpur and the Minar hospital Multan though the cross-sectional survey research design. The instrument was adopted from Lemming fear of death anxiety scale and WHOQOL. To cognizant the study Correlation t-test was computed which put forth that women cancer patients have a positive correlation between death anxiety and the quality of life. The conclusion is there is an impact of death anxiety on quality of life among patients who were hospitalized. Death anxiety has a negative impact on quality of life among cancer patients. Patients both male and female experience death anxiety at a certain level that may impact their quality of life, cancer patients who were hospitalized they have more death anxiety than other cancer patients. Septate Psychological counseling sessions can assist to decline the death anxiety among cancer patients.

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STRIA GRAVIDARUM;

The Professional Medical Journal ◽

10.29309/tpmj/2019.26.01.2586 ◽

2019 ◽

Vol 26 (01) ◽

Author(s):

Uzma Nusrat ◽

Sadaf Ahmed Asim ◽

Sahar Soomro ◽

Mehnaz Nuruddin Gitay ◽

Sadia Iqbal ◽

...

Keyword(s):

Quality Of Life ◽

Pregnant Women ◽

Cross Sectional Study ◽

The Body ◽

University Hospital ◽

Sectional Study ◽

Cross Sectional ◽

The Impact ◽

Striae Gravidarum

Striae gravidarum (SG) is a physiological skin change that many pregnant women experience during pregnancy. Striae gravidarum seems to be undesirable to many pregnant women but its impact on women’s life is unclear. It is a disfiguring change on the skin of pregnant women presenting atrophic linear scars. They may occur anywhere on the body, though the abdomen, breasts, hips and legs are common. This change has a deep impact on the psychology and quality of life (QoL) of women. The quality of life of pregnant women deteriorates with distressing body image, causing psychological problems.The aim of this study is to evaluate the impact of striae gravidarum on the dermatology-specific quality of life (QOL) of pregnant women. Objectives:To evaluate the impact of Stria gravidarum on the dermatology - specific qualoty of life (QOL) among pregnant women.Method:A multi-disciplinary cross-sectional study was conducted among the pregnant women attending the outpatient department at Dow university hospital for antenatal visits in third trimester. Striae gravidarum was assessed by using Dave’s score. After taking informed consent, Skindex 16 dermatology specific QOL questionnaire was used to evaluate the QOL. Data was analyzed by using SPSS version -16. Using Mann Whitney level of significance <0.05.Study Design:A cross sectional study. Duration of Study: January 2016 till January 2017. Place of Study: Department of Dermatology and department of Gynecology, Dow University Hospital, Dow International Medical College (Ojha Campus), DUHS, Karachi.Result:Among 112 pregnant women striae gravidarum was present in 32(28.6%) in primigravida, and 80(71.4%) in multigravida.Severity of striae gravidarum was assessed by using Davey’s score. Pregnant women with severe striae gravidarum showed significantly higher scores on emotion of Skindex-16 compared with those with absent or mild striae gravidarum. Conclusion:It is concluded that due to Striae gravidarum, pregnant females worry more with greater concern regarding their appearance. Their interaction with others was found to be highly affected due to this disfiguring physical change. The symptoms, emotional well-being and functionality differed significantly when the women with mild SG were compared with those with severe SG, though no difference was observed when primiparae subjects were compared with multipara subjects.The occurrence and severity of striae gravidarum influenced their dermatology-specific QOL and it is important to prevent or reduce the severity of striae gravidarum.

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Quality of Life in People Living With HIV: An Exploratory Cross-Sectional Survey in Belgium

AIDS Education and Prevention ◽

10.1521/aeap.2021.33.3.249 ◽

2021 ◽

Vol 33 (3) ◽

pp. 249-264

Author(s):

Gert Scheerder ◽

Sandra Van den Eynde ◽

Patrick Reyntiens ◽

Ria Koeck ◽

Jessika Deblonde ◽

...

Keyword(s):

Quality Of Life ◽

Negative Impact ◽

Sexual Life ◽

People Living With Hiv ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Related Stigma ◽

Living With Hiv ◽

The Impact

This cross-sectional survey explored the quality of life in 505 people living with HIV in Belgium. Several domains of quality of life were impaired: 26% had been diagnosed with depression and 43% had weak social support. HIV-related stigma is still widespread, with 49% believing most people with HIV are rejected and 65% having experienced discrimination due to HIV. The impact of HIV was limited on professional life, but 40% experienced a negative impact on life satisfaction and 41% a negative impact on sexual life. For several domains, people with a recent diagnosis of HIV and long-term survivors had significantly worse scores. This survey also uncovered strengths of people living with HIV, such as positive coping and HIV self-image. Expanding the scope of quality of life in people living with HIV may provide a more complete picture of relevant life domains that may be impacted by living with HIV, but this needs further validation.

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Mastectomy versus conservative surgical treatment: the impact on the quality of life of women with breast cancer

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/s1519-38292010000100005 ◽

2010 ◽

Vol 10 (1) ◽

pp. 51-57 ◽

Cited By ~ 8

Author(s):

Daniela Francescato Veiga ◽

Fabíola Soares Moreira Campos ◽

Leda Marques Ribeiro ◽

Ivanildo Archangelo Junior ◽

Joel Veiga Filho ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Physical Functioning ◽

Negative Impact ◽

Young Patients ◽

Conservative Surgery ◽

Sf 36 ◽

Significant Difference ◽

The Impact

OBJECTIVES: to compare the impact of mastectomy and conservative surgery on the quality of life of patients with breast cancer. METHODS: an assessment was made of the quality of life of patients undergoing mastectomy or segmentary mastectomy, at the Pouso Alegre Clinical Hospital, in the Brazilian State of Minas Gerais, using SF-36. The patients were grouped by age (<50 years and >50 years) and years of schooling (<8 years and >8 years). The Mann-Whitney test was used to compare the groups with regard to the age and schooling domains of SF-36. RESULTS: a significant difference between the two groups was found in the domains of "physical functioning" (p=0.04) and "pain" (p=0.01): with the patients undergoing a mastectomy registering the worst scores. Young patients who had undergone a mastectomy displayed the worst quality of life in terms of "physical functioning" (p=0.03), "pain" (p=0.01) and "social functioning" (p=0.01); those undergoing conservative surgery aged over 50 years scored worst on "role emotional" (p=0.05). Patients undergoing a mastectomy with lower levels of schooling scored lower in "physical functioning" (p=0.01), "role physical" (p=0.05) and "pain" (p=0.05). Among those who had attended school for more than eight years, those having undergone a mastectomy scored less in the "pain" domain (p=0.04). CONCLUSIONS: patients who had undergone a mastectomy had worse results in the physical component of the evaluation of quality of life and this negative impact was more strongly felt among younger patients and those with lower levels of schooling.

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Quality of life in swallowing of the elderly patients affected by stroke

Arquivos de Gastroenterologia ◽

10.1590/s0004-2803.2017v54n1-05 ◽

2017 ◽

Vol 54 (1) ◽

pp. 27-32 ◽

Cited By ~ 3

Author(s):

Émerson Soares PONTES ◽

Ana Karênina de Freitas Jordão do AMARAL ◽

Flávia Luiza Costa do RÊGO ◽

Elma Heitmann Mares AZEVEDO ◽

Priscila Oliveira Costa SILVA

Keyword(s):

Quality Of Life ◽

Life Quality ◽

Public Health Problem ◽

The Elderly ◽

University Hospital ◽

Feeding Time ◽

Cross Sectional ◽

Significance Level ◽

The Impact

ABSTRACT BACKGROUND The elderly population faces many difficulties as a result of the aging process. Conceptualize and evaluate their life quality is a challenge, being hard to characterize the impact on daily activities and on functional capacity. The stroke is one of the most disabling neurological diseases, becoming a public health problem. As an aggravating result, there is dysphagia, a disorder that compromises the progression of the food from the mouth to the stomach, causing clinical complications to the individual. OBJECTIVE Characterize the life quality of the elderly swallowing affected by stroke. METHODS Cross-sectional study conducted at the University Hospital, attended by 35 elderly with stroke, being 19 women and 16 men, with age between 60 and 90 years old, that self-reported satisfactory overall clinical picture. It was applied the Quality of Life Swallowing protocol. The data were statistically analyzed, by means of ANOVA tests, Spearman correlation, t test, with significance level of 5%. RESULTS The mean age was 69.5 years; as for the scores obtained by the 35 participants in the 11 domains of the protocol, it was observed a change in score indicating severe to moderate impact in quality of life related to self-reported swallowing (31.8% to 59.5%); the domain that most interfered was the feeding time (31.8%). CONCLUSION Elderly affected by stroke that present dysphagia has low scores in quality of life related to swallowing.

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Evaluation of Somnoplasty using Snoring Symptom Inventory

Otolaryngology ◽

10.1016/j.otohns.2008.05.264 ◽

2008 ◽

Vol 139 (2_suppl) ◽

pp. P82-P82 ◽

Cited By ~ 2

Author(s):

Venkat R Srinivasan ◽

Christopher Low ◽

Paul W A Goodyear ◽

Steve Derbyshire ◽

Aneesh Veetil

Keyword(s):

Quality Of Life ◽

Cross Sectional Study ◽

Sleep Apnoea ◽

Long Term Results ◽

Cross Sectional ◽

The Difference ◽

The Impact ◽

Radiofrequency Volumetric Tissue Reduction ◽

Tissue Reduction

Objective To assess whether radiofrequency volumetric tissue reduction of the palate can improve patients’ snoring symptoms and quality of life. Methods A prospective cross-sectional study was undertaken. Over an 18-month period, consecutive habitual snorers without sleep apnoea were asked to complete a validated Snoring Symptoms Inventory (SSI) questionnaire before and 3–6 months after radiofrequency surgical treatment. It contained 25 questions on the impact of snoring symptoms, including social, work, physical and emotional aspects. Most patients underwent 2 operations (Somnoplasty® Somnus device) with a 2-month interval. A scale of 0 (no snoring) to 10(extremely loud snoring) was used to assess partners’ perception of the snoring intensity. Paired T-test was used to compare the mean difference in the SSI before and after surgery. Partners’ scores were analysed with Wilcoxon signed ranks test. Results 26 patients (19 male, 7 female) aged between 33 and 74 (mean=48) were recruited. Preoperative BMI scores ranged from 19 to 35 (mean=28). Pre- and postoperative mean SSI scores were 60.5 (SD 12.3) and 42.8 (SD 17.4). The difference between the 2 means is 17.6 (95% Confidence Interval, 11.0 to 24.2), P<0.0001. The median for pre- and postoperative partners’ scores is 10 and 5 respectively. and the difference is statistically significant (P<0.0001). Conclusions Radiofrequency volumetric tissue reduction can improve habitual snorers’ snoring symptoms, snoring-related quality of life, and partner's perception of their snoring. Long-term results of this procedure need to be ascertained with further studies.

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Impact of malocclusion on the quality of life of children aged 8 to 10 years

Dental Press Journal of Orthodontics ◽

10.1590/2177-6709.23.2.046-053.oar ◽

2018 ◽

Vol 23 (2) ◽

pp. 46-53 ◽

Cited By ~ 9

Author(s):

Sônia Rodrigues Dutra ◽

Henrique Pretti ◽

Milene Torres Martins ◽

Cristiane Baccin Bendo ◽

Miriam Pimenta Vale

Keyword(s):

Quality Of Life ◽

Negative Impact ◽

Cross Sectional Study ◽

Cross Sectional ◽

Significance Level ◽

Normal Occlusion ◽

Study Results ◽

Belo Horizonte ◽

The Impact

ABSTRACT Objective: The aim of the present cross-sectional study was to assess the impact of malocclusion on the quality of life of children aged 8 to 10 years attending public elementary schools in Belo Horizonte, State of Minas Gerais, Brazil. Methods: The Brazilian version of the Child Perceptions Questionnaire 8-10 (CPQ8-10) was used to evaluate oral health-related quality of life. The children were examined for the diagnosis of malocclusion using the Dental Aesthetic Index (DAI). The data were analyzed by bivariate and multivariate descriptive statistics using Poisson regression at a 5% significance level. A total of 270 children participated in the study. Results: Children with normal occlusion or mild malocclusion (DAI ≤ 25) were 56% less likely (95%CI: 0.258-0.758; p= 0.003) to have their quality of life affected compared with children diagnosed with extremely severe malocclusion (DAI ≥ 36). Children with a maxillary anterior overjet ≥ 3 mm had higher CPQ8-10 mean scores (19.4; SD = 17.1) than those with an overjet < 3 mm (13.6; SD = 11.7; p= 0.038). Conclusions: Extremely severe malocclusion and pronounced maxillary anterior overjet were associated with a negative impact on quality of life.

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