Abstract P129: Telemedicine And Relationship Of Depression Score Improvement To Hypertension Improvement Via Video Visits

Hypertension ◽  
2021 ◽  
Vol 78 (Suppl_1) ◽  
Author(s):  
Prentiss Taylor
Keyword(s):  
Depression Score ◽  
Hypertension Control ◽  
Home Video ◽  
Percent Change ◽  
Score Improvement ◽  
Average Change ◽  
Hypertension Diagnosis ◽  
Subsequent Measurement ◽  
Initial Score ◽  
Relationship Of

Telemedicine and Relationship of Depression Score Improvement to Hypertension Improvement via Video Visits Introduction: Our group has elsewhere demonstrated effectiveness of telemedicine video visits nationwide for effective hypertension control. Here we explore associated depression scores, grouping patients into cohorts with improvement in systolic BP and patients with no improvement, over 12 months. Hypothesis: PHQ-9 depression scores may reveal barriers to achieving BP control via video visits. Methods: Quantitative analysis was performed of home video visits coded with Essential Hypertension diagnosis March 2020 through February 2021, the first 12 months of the pandemic. 569 patients with 1785 hypertension visits were in our national telemedicine practice database in the period. Serial PHQ-9 scores were available on 78 patients with multiple hypertension visits. Average percent change in PHQ-9 score was calculated as average change in score / average initial score. Results: Patients with reduction in BP had an average of 3.2 visits. The average number of BP measurements in the multiple visits group was 6.37. Average age of patients was 44. There were 56 patients with PHQ-9 scores with improvement in systolic BPs in the study period. Mean initial PHQ-9 score for this group was 11.79 (SEM = +/- 0.92, SD = +/- 6.87), and mean PHQ-9 score at a subsequent measurement was 7.18 (SEM = +/- 0.72, SD = +/- 5.42) . The average change in score was 4.61 (SEM = +/- 0.92, SD = +/- 6.91). These patients improved their PHQ-9 scores by an average of 39.10% (4.61 of 11.79, SEM = +/- 7.84%, SD = +/- 58.64%). There were 22 patients with PHQ-9 scores with no improvement in systolic BPs in the study period. Mean initial PHQ-9 score for this group was 13.09 (SEM = +/- 1.54, SD = +/- 7.22), and mean PHQ-9 score at a subsequent measurement was 9.5 (SEM = +/- 7.74). The average change in score was 3.59 (SEM = +/- 1.50, SD = +/- 7.01). These patients improved their PHQ-9 scores by an average of 27.40% (3.59 of 13.09, SEM = +/- 11.42%, , SD = +/- 53.58%). Conclusions: These results are hypothesis-generating about possible relationships between depression diagnosis, improvement in management of depression, and hypertension control. Further study of more PHQ-9 data with a larger study sample would be of interest.

Relationship of Dietary and Serum Zinc with Depression Score in Iranian Adolescent Girls

2018 ◽  
Vol 186 (1) ◽  
pp. 91-97 ◽  
Author(s):  
Kayhan Gonoodi ◽  
Alireza Moslem ◽  
Mahsa Ahmadnezhad ◽  
Susan Darroudi ◽  
Zahra Mazloum ◽  
...  
Keyword(s):  
Adolescent Girls ◽  
Serum Zinc ◽  
Depression Score ◽  
Relationship Of

scholarly journals Relationship of Zinc and Magnesium Serum Levels with Postpartum Depression in Tabriz-Iran

2016 ◽  
Vol 8 (11) ◽  
pp. 120 ◽  
Author(s):  
Fatemeh Edalati-Fard ◽  
Mojgan Mirghafourvand ◽  
Sakineh Mohammad-Alizadeh-Charandabi ◽  
Azizeh Farshbaf-Khalili
Keyword(s):  
Logistic Regression ◽  
Serum Level ◽  
Postpartum Depression ◽  
Heart Diseases ◽  
Depression Scale ◽  
Serum Levels ◽  
Depression Score ◽  
World Health ◽  
Cross Sectional ◽  
Relationship Of

<p><strong>OBJECTIVE:</strong> According to the World Health Organization, depression will be the second prevalent problem after ischemic heart diseases by the year 2020. Postpartum depression (PPD) as a major depressive episode has devastating impacts on the health of mother, newborn, infant, and even the whole family. This study was conducted to investigate the relationship of zinc and magnesium serum levels with PPD, as one of the commonly assumed causes of depression.</p><p><strong>METHODS:</strong> This cross-sectional study was done on 122 postpartum women aged 18 years and more in two educational hospitals and one non-educational hospital in Tabriz-Iran, 2015. The eligible women were selected using convenience sampling method. Then, the demographic characteristics questionnaire and Edinburgh Depression Scale were completed by participants, and 5cc of blood sample was drawn from each participant. For data analysis, logistic regression test was used.</p><p><strong>RESULTS: </strong>The mean score of depression scale was 8.0 (SD: 4.7), meaning that 18.9% of mothers were depressed. Results indicated a significant inverse correlation between Edinburgh depression score and magnesium serum level (p= 0.001). However, there was no statistically significant relationship between the zinc serum level and Edinburgh depression score (p=0.831), in so far as based on logistic regression analysis, increased magnesium serum level decreased the odds of depression [Odds ratio: 0.05; CI 95%: 0.01 to 0.29].</p><p><strong>CONCLUSIONS:</strong> In this study, there was a significant inverse relationship between magnesium serum level and Edinburgh depression score.</p>

Relationship of Sociodemographic Factors and Outcomes in Functional Rhinoplasty

2019 ◽  
Vol 35 (01) ◽  
pp. 085-089
Author(s):  
Emily Spataro ◽  
Cristen Olds ◽  
Cherian Kandathil ◽  
Sam Most ◽  
Brian Nuyen
Keyword(s):  
Marital Status ◽  
Revision Surgery ◽  
Employment Status ◽  
Sociodemographic Factors ◽  
Senior Author ◽  
Sociodemographic Variables ◽  
Individual Patient Level ◽  
Average Change ◽  
Cosmetic Rhinoplasty ◽  
Relationship Of

AbstractThe objective of this article was to compare the effect of such sociodemographic factors as gender, age, marital status, employment status, race, and income on short- and long-term rhinoplasty outcomes using a validated disease-specific instrument—Nasal Obstruction Symptom Evaluation (NOSE) scale, as well as complication and revision rates. Patients who underwent a functional (+/− cosmetic) rhinoplasty with the senior author between January, 1 2012, and September 9, 2017, and had both a preoperative and at least one postoperative NOSE score, were included in the study. Sociodemographic variables of binary gender, age, marital status, employment status, race, and income based on zip code were collected. The primary outcomes were the differences between the preoperative and postoperative NOSE scores with short-term (less than 3 months) and longer-term (greater than 3 months) follow-up. Secondary outcomes were general complications and specifically revision surgery. Standard descriptive statistics, as well as univariable linear and logistic regressions, were conducted with each outcome measure. A total of 341 patients were included in this study. No individual patient-level variables were found to significantly affect the short- or longer-term average change in NOSE scores, although older age trended toward significance in longer-term average change in NOSE scores (p = 0.07). No factors significantly affected the rate of complications or revision surgery in this cohort. The authors found improvement in NOSE scores after rhinoplasty was not related to factors of age, gender, race, employment status, income, and marital status. This cohort also did not demonstrate differential rates in complications or revision surgery based on sociodemographic variables.

Relationship between viscosity and hematocrit in blood of normal persons and burn patients

1970 ◽  
Vol 48 (3) ◽  
pp. 202-205 ◽  
Author(s):  
Walter Zingg ◽  
Judith C. Sulev ◽  
Christopher D. Morgan
Keyword(s):  
Blood Viscosity ◽  
Quantitative Assessment ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Burn Patients ◽  
Fresh Blood ◽  
Percent Change ◽  
Individual Variations ◽  
Average Change ◽  
The Relationship

The relationship between hematocrit and blood viscosity was investigated in fresh blood samples obtained from a control group of normal persons and from a group of patients with burns. Barras' equation describing the percent change in blood viscosity caused by a change of 1% in the hematocrit was found useful for the quantitative assessment of the relationship between whole blood viscosity and hematocrit. Although individual variations were observed, the average change in viscosity per 1% hematocrit change was identical in the control group and the burn patients, the value being close to that reported by Barras. Analysis of covariance showed an increased blood viscosity independent of the hematocrit in the burned patients as compared with the controls.

scholarly journals The Relationship of Dietary Intake of Zinc, Selenium, and Magnesium and Anthropometric Profiles with Depression in Female Medical Students at Zahedan University of Medical Sciences

2021 ◽  
Author(s):  
Shahrzad Shokati ◽  
Zahra Kavian ◽  
Mansour Shahraki ◽  
Mona Afshari
Keyword(s):  
Medical Students ◽  
Dietary Intake ◽  
Inverse Relationship ◽  
Depression Score ◽  
Medical Sciences ◽  
Anthropometric Indices ◽  
Magnesium Intake ◽  
The Mean ◽  
Relationship Of ◽  
The Relationship

Background: Depression, as the second leading cause of dysfunction, is one of the most common mental health disorders. Given that micronutrients have always played a significant role in all physical and psychological aspects of individuals. This study was conducted to investigate the relationship of dietary intake of Selenium, Magnesium, Zinc, and anthropometric profiles with depression in female students at Zahedan University of Medical Science, Zahedan, Iran. Methods: In this cross-sectional study, 200 female medical students of Zahedan University of Medical Sciences participated. The amount of dietary intake of Selenium, Magnesium, and Zinc were measured by Food Frequency Questionnaire (FFQ). For determining the depression score, Beck anxiety questionnaire was administered. To analyze the data, SPSS 22 software was used. Results: The mean of age, body mass index, waist-to hip ratio and waist-to-height ratio were 23.41 ± 2.26 years, 23.54 ± 4.49 kg/m2, 0.85 ± 0.08, and 0.59±0.10, respectively. The mean daily intake of Magnesium, Zinc, and Selenium were 196.37 ± 42.08 mg, 7.38 ± 3.41 mg, and 106.52 ± 31.69 mg, respectively. The mean of depression score was 31.21±10.58. Zinc and Magnesium intake had a significantly strong inverse relationship with depression score and anthropometric indices. Conclusions: The findings showed that Zinc and Magnesium intake as well as anthropometric indices had a significant inverse relationship with depression score. However, the association between Selenium intake and depression score was not significant.

Platinum-based combination chemotherapy in the treatment of older non-small cell lung cancer (NSCLC) patients (pts): Is there a role for Complete Geriatric Assessment (CGA)? Final results from the prospective multicenter NVALT-3 study

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e20547-e20547
Author(s):  
M. Wymenga ◽  
B. Biesma ◽  
A. Vincent ◽  
O. Dalesio ◽  
H. Groen
Keyword(s):  
Combination Chemotherapy ◽  
Daily Living ◽  
Depression Score ◽  
Geriatric Depression ◽  
Role Functioning ◽  
Grade Ii ◽  
Receive Combination Chemotherapy ◽  
One Year ◽  
Nsclc Patients ◽  
Relationship Of

e20547 Background: Nearly 50% of NSCLC pts are aged over 70 years, but only few receive combination chemotherapy. CGA is often advocated to assess the benefits and risks of chemotherapy in older pts. Methods: A total of 182 NSCLC pts ≥ 70 years with stage IIIb/IV disease were randomized to 4 cycles carboplatin/gemcitabine (CG) or carboplatin/paclitaxel (CP). Primary endpoint was change in QoL at week18. At baseline, CGA was performed with nine different tests. Toxicity (tox) was scored using NCI-CTC v2. Tox related outcomes were defined as all grade III/IV tox, SAEs, ≥ grade II neurological or neuropsychiatric (NP) tox and the ability to finish all cycles. Relationship of CGA and QoL scores with tox endpoints were investigated. Results: Median age was 74 yrs (70–87). PS was 0 in 30%, 1 in 54% and 2 in 17%. Median OS was 8.6 mo (95% CI, 7.2–10.2) for CG and 6.9 mo (95% CI, 5.6–10.0) for CP. Median PFS was 4.7 mo (95% CI, 3.9–5.8) for CG and 4.5 mo (95% CI, 4.1–5.3) for CP. One year survival was 29% (95% CI, 21–41%) for CG and 23% (95% CI, 16–35%) for CP. There was no difference in the change in global QoL between arms. Quality-adjusted survival curves were not different. PS was prognostic, but not different for both arms. Pts with better Activities of Daily Living (ADL), instrumental ADL, or physical functioning were more likely to finish all chemotherapy cycles. Pts with worse emotional or role functioning or Geriatric Depression Score were more likely to experience NP tox. None of the CGA or QoL summary scores were associated with the occurrence of the other tox endpoints at p< 0.01. Conclusions: Carboplatinum based combination chemotherapy in older NSCLC pts is feasible. The choice for adding paclitaxel or gemcitabine to carboplatin cannot be made based on effects on QoL. CGA predicts toxicity to a limited extent but does not add substantial information to PS. No significant financial relationships to disclose.

Abstract 11719: “I Have to Live Like I’m Old” - Young Adults’ Perspectives on Managing Hypertension: A Multi-Center Qualitative Study

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Heather M Johnson ◽  
Ryan Warner ◽  
Jamie LaMantia
Keyword(s):  
Young Adults ◽  
Text Messaging ◽  
Healthcare Delivery ◽  
Self Management ◽  
Hypertension Control ◽  
Patient Portals ◽  
Antihypertensive Medications ◽  
Hypertension Diagnosis ◽  
Education Network ◽  
Multi Center Study

Introduction: In the U.S., young adults (18-39 year-olds) have the lowest hypertension control rates among hypertensive adults. The objectives of this multi-center study were to explore young adults’: 1) experiences receiving a hypertension diagnosis, 2) attitudes and beliefs about self-management and antihypertensive medication, and 3) opinions about their healthcare system’s hypertension education materials. Methods: Young adults (18-39 year-olds) with a known diagnosis of hypertension were recruited by the Wisconsin Research and Education Network. Two focus groups (one per age range: 18-29 years, 30-39 years) were conducted in three Midwestern practices (academic, rural, and urban clinics). Content analysis was performed. Results: In total, 35 young adults (mean: 30 [5.2] years old, 65% female, 47% Black, 45% with at least 1 year of college) identified barriers to managing hypertension. Emergent themes overlapped across ages and geographic regions. A majority of respondents were surprised and angry about a hypertension diagnosis; they expected to develop hypertension, but at a much older age. A hypertension diagnosis altered their “young” self-identity. Suggested behavior changes and antihypertensive medications made them feel “older” in health status. Young adults requested more resources for blood pressure self-monitoring to provide greater autonomy. Contrary to our hypothesis, most young adults disliked using social media or text messaging to support self-management; electronic patient portals were considered more personal, decreasing the risk of peers seeing their hypertension communications. Current hypertension education materials were described as not addressing young adults’ health questions; focus group respondents provided topics of interest. Conclusions: Targeting interventions to young adults’ unique needs are important next steps to improve healthcare delivery and hypertension control for young adults.

iRest Meditation for Older Adults with Depression Symptoms: 6-Month and 1-Year Follow-up

2019 ◽  
Vol 29 (1) ◽  
pp. 51-56
Author(s):  
Helané Wahbeh ◽  
Nina Fry
Keyword(s):  
Older Adults ◽  
Negative Mood ◽  
Depression Score ◽  
Public Health Issue ◽  
Depression Symptoms ◽  
Effective Interventions ◽  
Score Improvement ◽  
Long Term Follow Up

Abstract Preliminary positive evidence supports the use of iRest (Integrative Restoration) in older adults with depression symptoms. No long-term follow-up measures have been reported on whether the preliminary effects continue beyond initial iRest trainings. The growing population of older adults with depression symptoms is a serious public health issue, and effective interventions to support this vulnerable population are warranted. The objectives of this study were to evaluate the depression and depression-related symptoms 6 and 12 months after an iRest intervention. All study measures were collected online. Twenty-five of the original participants completed the 6- and 12-month surveys. Of those, nine stated that they still practiced the guided meditations at the time of the 12-month follow-up (five iRest and four vacation participants). Both groups had improvements in depression scores from baseline (week 0) to the 12-month follow-up. There were no differences between groups on depression symptoms or other measures except for negative mood and perceived stress, which were improved in the vacation group compared to the iRest group. Meditation practice was not a significant predictor of depression score improvement.

Anger and depression in the old people with hypertension

2011 ◽  
Vol 26 (S2) ◽  
pp. 860-860
Author(s):  
H. Tel
Keyword(s):  
Older People ◽  
Depression Scale ◽  
Depression Score ◽  
Economic Conditions ◽  
Trait Anger ◽  
Old People ◽  
Daily Life Activities ◽  
Hypertension Diagnosis ◽  
The Individual ◽  
Individual Information

IntroductionHypertension is closely related with the anger control of the individual. While anger causes hypertension, the incapability to express anger in an appropriate way leads to depression. Depression is a mental problem occurring frequently in the old age period.ObjectiveThe present study was carried out in order to determine the anger and depression conditions in the old people diagnosed with hypertension.Method418 old people diagnosed with hypertension and living in home with their families were included in the study. The data of the research were gathered with the individual information form, trait anger, anger types scale and depression scale for old people.FindingsIn the study, it has been understood that there are positive correletion between anger and depression in older people, and between hypertension during and depression (p < 0.05). It was found out that the anger mean score is high in old people who were male, using cigarette and alcohol; likewise, the depression score is high in older people who were women, widow, interdependent to someone in order to carry out daily life activities, illiterate and having poor economic conditions.ResultsIn old people with hypertension, depression increases as anger increases. As the hypertension diagnosis during of older people rises, depression rises, too. For this reason, it is needed to plan approaches for old people to recognize their anger, to ensure expressing their anger in an appropriate way and to prevent depression.

scholarly journals Depression and low physical activity are related to sarcopenia in hemodialysis: a single-center study

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11695
Author(s):  
Kornanong Yuenyongchaiwat ◽  
Sasikan Jongritthiporn ◽  
Kasarn Somsamarn ◽  
Oranat Sukkho ◽  
Sasipim Pairojkittrakul ◽  
...  
Keyword(s):  
Physical Activity ◽  
Muscle Mass ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Depression Score ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Minimum Age ◽  
Relationship Of

Background The number of patients who suffer from chronic renal failure (CRF) has widely increased worldwide. Patients with advanced stages of CRF experience a gradual and progressive loss of muscle and fat mass leading to decreased physical activity and mental health problems. The loss of muscle mass in CRF might contribute to the development of sarcopenia. Therefore, this study aimed to explore the prevalence of sarcopenia and to determine the relationship of physical activity and mental state of depression with sarcopenia in hemodialysis patients. Methods A cross-sectional study was designed with a total of 104 male and female with a minimum age of 35 years. Based on the guidelines of the Asian Working Group for Sarcopenia in 2019, gait speed, muscle mass, and handgrip were used to define sarcopenia. In addition, participants were requested to perform a set of questionnaires to evaluate their physical activity and state of depression. Logistic regression analyses were used to explore the risk factors of sarcopenia. Results Thirty-four (32.69%) of 104 participants had sarcopenia. Compared to the 70 individuals without sarcopenia, they had a low physical activity and a high depression score (ps < .05). Furthermore, low physical activity and high depression scores in combination with sarcopenia were associated with an increased mortality risk. Low physical activity and high depression scores were also independently associated with sarcopenia in hemodialysis patients after controlling for age (odds ratio = 3.23, and 4.92, respectively).

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