An Analysis of the Perception of Psoriasis Symptoms and the Impact on Willingness to Seek Medical Attention

2020 ◽  
Vol 5 (3) ◽  
pp. 109-113
Author(s):  
Jeremy K. Bray ◽  
Steven R. Feldman

Background: Most people with psoriasis do not have a medical visit for psoriasis within a given year. Objective: To assess individuals’ perceptions of the impact of psoriasis symptoms and how this impact affects willingness to seek medical attention. Methods: A total of 302 subjects with self-reported psoriasis were recruited through Amazon Mechanical Turk and surveyed via Qualtrics to assess the impact of psoriasis on their daily lives and willingness to seek medical care. Comparisons were made between subjects presented with either an image of mild psoriasis or severe psoriasis. Outcome measures were evaluated on a 10-point Likert scale and compared using 1-way analysis of variance and 2-group t tests. Results: In the mild and severe psoriasis groups, those who rated the impact on their daily life ≥8 (1-10 scale) reported a greater willingness to seek medical attention for their psoriasis ( M = 9.1, SD = 1.5) compared to those who rated the impact between 6 and 7 ( M = 7.5, SD = 1.9, P < .01) and between 1 and 5 ( M = 6.4, SD = 2.4, P < .01). Those who rated the impact between 6 and 7 ( M = 7.5, SD = 1.9) reported a greater willingness to seek medical attention compared to those who rated the impact between 1 and 5 ( M = 6.4, SD = 2.4, P < .01). Conclusion: Patients with psoriasis may not visit a dermatologist in part due to not viewing their symptoms as severe enough to seek medical attention.

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rahel Kasteler ◽  
Christa Lichtensteiger ◽  
Christina Schindera ◽  
Marc Ansari ◽  
Claudia E. Kuehni ◽  
...  

Abstract Background Chest wall abnormalities are a poorly studied complication after treatment for childhood cancer. Chest wall abnormalities are not well-described in the literature, and little is known on the impact on daily life of survivors. Methods We investigated prevalence and risk factors of chest wall abnormalities in childhood cancer survivors in a nationwide, population-based cohort study (Swiss Childhood Cancer Survivor Study) with a questionnaire survey. We then interviewed a nested sample of survivors to validate types of chest wall abnormalities and understand their impact on the daily life of survivors. Results Forty-eight of 2382 (95%CI 2–3%) survivors reported a chest wall abnormality. Risk factors were older age at cancer diagnosis (16–20 years; OR 2.5, 95%CI 1.0–6.1), lymphoma (OR 3.8, 95%CI 1.2–11.4), and central nervous system tumors (OR 9.5, 95%CI 3.0–30.1) as underlying disease, and treatment with thoracic radiotherapy (OR 2.0, 95%CI 1.0–4.2), surgery to the chest (OR 4.5, 95%CI 1.8–11.5), or chemotherapy (OR 2.9, 95%CI 1.0–8.1). The nature of the chest wall abnormalities varied and included thoracic wall deformities (30%), deformations of the spine (5%) or both (55%), and scars (10%). Chest wall abnormalities affected daily life in two thirds (13/20) of those who reported these problems and necessitated medical attention for 15 (75%) survivors. Conclusion It is important that, during follow-up care, physicians pay attention to chest wall abnormalities, which are rare late effects of cancer treatment, but can considerably affect the well-being of cancer survivors.


Author(s):  
Marcielli Scremin ◽  
Pâmela Rodrigues Almeida ◽  
Kayla Araújo Ximenes Aguiar Palma ◽  
Priscilla De Oliveira Reis Alencastro

Nos últimos tempos, vem acontecendo mudanças significativas no estilo de vida dos indivíduos, que refletem no processo de envelhecimento, trabalho, cotidiano e na aposentadoria. O processo de envelhecimento é multifatorial e acontece com todos os indivíduos e variam de acordo com os hábitos de vida de cada ser humano. O objetivo principal da pesquisa foi analisar os impactos da aposentadoria no cotidiano do servidor público federal. Desse modo, utilizou-se a abordagem qualitativa, sendo utilizado o questionário BOAS e uma entrevista semiestruturada. A partir desses instrumentos, realizou-se a análise e identificação de questões da aposentadoria que podem influenciar na ruptura do cotidiano. Sendo assim, foram identificadas três categorias pertinentes à pesquisa, são elas: planejamento da aposentadoria, impacto no cotidiano e ressignificação do cotidiano. A velhice vem cercada de mudanças e uma delas é a aposentadoria. Para podermos falar de aposentadoria é preciso que entendamos qual o significado do trabalho na vida dos indivíduos, que pode ser uma forma de pertencimento social e/ou fazer parte da construção da identidade social. O impacto no cotidiano em decorrência da ausência do trabalho acarretou em mudanças positivas e negativas, sendo importante salientar que o primeiro impacto percebido com a aposentadoria foi a ausência de uma rotina que antes era proporcionada pelo trabalho, cada indivíduo buscou alternativas a fim de se reestabelecer e se reconhecer em sua nova realidade que é a aposentadoria. Abstract  In recent times, there have been significant changes in the lifestyle of individuals, which reflect in the process of aging, work, daily life and retirement. The aging process is multifactorial and happens to all individuals, and they vary according to the life habits of each human being. The main objective of the research was to analyze the impacts of retirement on the daily routine of the federal public servant. Thus, the qualitative approach was used, using the BOAS questionnaire and a semi-structured interview. From these instruments, the analysis and identification of retirement issues was carried out, which can influence the rupture of daily life. Thus, three categories relevant to research were identified: retirement planning, impact on daily life and re-signification of daily life. Old age is surrounded by change and one of them is retirement. In order to talk about retirement, we need to understand the meaning of work in individuals' lives, which can be a form of social belonging and / or part of the construction of social identity. The impact on daily life due to absence of work led to positive and negative changes, and it is important to note that the first impact perceived with retirement was the absence of a routine that was previously provided by work, each individual sought alternatives in order to reestablish and to recognize in its new reality that it is retirement.  Keywords: Retirement; Aging; Work.


2021 ◽  
Author(s):  
Robin Achterhof ◽  
Inez Myin-Germeys ◽  
Eva Bamps ◽  
Noëmi Hagemann ◽  
Karlijn Susanna Francisca Maria Hermans ◽  
...  

Early findings on the impact of the COVID-19 pandemic on adolescents, suggest that – despite being at the lowest physical health risk – both their mental health and day-to-day social lives are strongly affected. In this longitudinal study, we assessed changes in adolescent psychopathology symptoms, the quality and quantity of daily-life social interactions, and the relationship between social interactions and psychopathology symptoms before and during the pandemic.A sample of n=173 Flemish adolescents (mean age=16.0 at latest measurement; 89% girls) from the SIGMA cohort was tested between January 2018 - June 2019; and between April 27th - May 10th 2020. Subclinical psychopathology was assessed using the Brief Symptom Inventory-53; daily social interactions were assessed in six-day experience sampling periods with ten daily questionnaires.Multilevel linear and logistic regression analyses indicated lower general psychopathology and anxiety symptoms, beyond age effects; fewer face-to-face social interactions, more online social interactions; and higher-quality face-to-face interactions during the pandemic than before. Negative associations between psychopathology and the quality of face-to-face peer and family interactions were stronger during the pandemic than pre-pandemic.The observed decrease and stability in psychopathology symptoms is surprising and potentially reflects resilience. Although digital communication may buffer much of the quarantine-induced distress, the current results imply that high-quality face-to-face interactions with family and peers may have been more powerful in keeping adolescents resilient. As restrictions are lifted and adolescents’ daily lives and social worlds change, it is crucial to learn more about the longer-term effects of the experienced social deprivation.


2021 ◽  
Author(s):  
Rahel Kasteler ◽  
Christa Lichtensteiger ◽  
Christina Schindera ◽  
Marc Ansari ◽  
Claudia E. Kuehni ◽  
...  

AbstractBackgroundChest wall abnormalities are a poorly studied complication after treatment for childhood cancer. Chest wall abnormalities are not well described in the literature, and little is known on the impact on daily life of survivors.MethodsWe investigated chest wall abnormalities in the nationwide, population-based cohort study (Swiss Childhood Cancer Survivor Study) with a questionnaire survey to describe prevalence and risk factors. We then interviewed a nested sample of survivors to understand types of chest wall abnormalities and their impact on daily life of survivors.Results48 of 2,382 (95%CI 2%–3%) survivors reported a chest wall abnormality. Risk factors were older age at cancer diagnosis (16–20 years; OR 2.5, 95%CI 1.0– 6.1), lymphoma (OR 3.8, 95%CI 1.2–11.4), and central nervous system tumors (OR 9.5, 95%CI 3.0–30.1) as underlying disease, and treatment with thoracic radiotherapy (OR 2.0, 95%CI 1.0–4.2), surgery to the chest (OR 4.5, 95%CI 1.8–11.5), or chemotherapy (OR 2.9, 95%CI 1.0–8.1) .The nature of the chest wall abnormalities varied and included thoracic wall deformities (30%), deformations of the spine (5%) or both (55%), and scars (10%). Chest wall abnormalities affected the daily life in two thirds (13/20) of those who reported these problems, and 15 (75%) had required chest wall abnormalities-related medical attention.ConclusionIt is important that during follow-up care physicians pay attention to chest wall abnormalities, which are rare late-effect of cancer treatment, but can considerably affect well-being of cancer survivors.


2021 ◽  
Vol 26 (3) ◽  
pp. 1-5
Author(s):  
Cosmin Ionuţ Lixandru ◽  
Carmen Daniela Domnariu

Abstract Oral health-related quality of life can be defined as the perception of the impact that oral health has on the quality of life. The quality of life is characterized by a person’s perception of his/her social status and the activities he/she carries out in daily life, in relation to his/her standards, objectives, concerns and expectations, as well as the system of values and cultural conditions within he/she lives in. Objective: The objective of this study was to systematically review the dental literature to identify and classify relevant articles on the quality of life associated with the oral health of patients rehabilitated with implant-supported prostheses. Materials and methods: A systematic search of the literature on PubMed was performed for articles published between 2000 and 2021. The main method used was the electronic search using keywords such as: “quality of life”, “dental implant”. The articles found were subject to inclusion and exclusion criteria. Results: Following a systematic search, a total of 249 publications were identified, of which only 9 met the inclusion criteria. Discussions: A small number of studies were found to meet the inclusion criteria and to present high levels of evidence. Therefore, more research in the field is recommended, as current research on quality of life in patients rehabilitated with implant-supported prostheses is still in the development phase. Conclusions: The quality of oral health could have an impact on patients’ daily lives and dental satisfaction (satisfaction with dental appearance, pain perception levels, oral comfort, functional performance and chewing capacity). Patients’ satisfaction with their dentition has a definite impact on the quality of daily life and perceptions of oral health.


Author(s):  
Melissa D. Pike ◽  
Deborah M. Powell ◽  
Joshua S. Bourdage ◽  
Eden-Raye Lukacik

Abstract. Honesty-Humility is a valuable predictor in personnel selection; however, problems with self-report measures create a need for new tools to judge this trait. Therefore, this research examines the interview as an alternative for assessing Honesty-Humility and how to improve judgments of Honesty-Humility in the interview. Using trait activation theory, we examined the impact of interview question type on Honesty-Humility judgment accuracy. We hypothesized that general personality-tailored questions and probes would increase the accuracy of Honesty-Humility judgments. Nine hundred thirty-three Amazon Mechanical Turk workers watched and rated five interviews. Results found that general questions with probes and specific questions without probes led to the best Honesty-Humility judgments. These findings support the realistic accuracy model and provide implications for Honesty-Humility-based interviews.


Author(s):  
Louis Hyman

This epilogue argues that the dependence on credit was the creation, intentional and unintentional, of the sometimes unlikely choices of government, business, and consumers. Over the first half of the twentieth century, government and business fashioned a new legal network of credit institutions and offered most American consumers a choice of whether or not to use this debt in their daily lives. By the end of the century, however, the choice to opt out of the credit system no longer remained. Three corporations assigned every American a credit rating. Their opinions governed consumers' ability to rent and to buy housing, to afford an education, to shop for clothes and food, to commute to work, and even to receive medical care—that is, the basic materials of daily life. Even to get a job, a worker needed good credit. Ultimately, the choice of whether or not to use credit ceased to exist for the American consumer.


Author(s):  
Cristine D. Delnevo ◽  
Michelle Jeong ◽  
Ollie Ganz ◽  
Daniel P. Giovenco ◽  
Erin Miller Lo

Research demonstrates that characteristics of cigarette packaging influence consumer product perceptions, yet the current literature on the impact of cigar packaging is limited. This study aims to examine how different cigarillo packaging features influence young adult cigar smokers’ perceptions. In 2016, we recruited past-year cigar users aged 18–34 from Amazon Mechanical Turk (N = 1260). We utilized a 2 × 2 × 3 × 2 between-subjects factorial design, randomly assigning participants to view one of 24 images of a cigarillo package that varied by brand (Black & Mild vs. Swisher Sweets), brand name (full vs. abbreviated), color (brown vs. green vs. purple), and price promotion (present vs. absent). Participants rated the product on several perceptions and purchase intentions, and they reported on cigar use and demographics. Overall, color and brand name influenced perceptions, but effects varied by brand. For Swisher Sweets, only price promotions influenced perceptions (e.g., taste, use for marijuana); for Black & Mild, all packaging features influenced perceptions (e.g., harshness, tobacco quality), and price promotions increased purchase intentions. Our findings also raise questions that product features may interact with one another, with certain features, such as color, overpowering other attributes. More research is needed to understand the impact of other packaging features, such as warning labels, on product perceptions across a variety of brands.


2020 ◽  
Vol 5 (4) ◽  
pp. 174-177
Author(s):  
Jeremy K. Bray ◽  
Steven R. Feldman

Background: Lack of treatment or undertreatment of psoriasis is a major issue. Demographics might be related to specific barriers to health care. Objective: To assess the association between demographic background and barriers to seek medical attention for individuals with psoriasis. Methods: A total of 152 subjects with self-reported psoriasis were recruited through Amazon Mechanical Turk and surveyed via Qualtrics to assess the impact of demographics on health care barriers. Subjects were presented with an image of a psoriatic plaque on an elbow and asked to rate how large of a barrier they would face to seek care on a 1 to 10 scale. Outcome measures were compared using multiple linear regression. Results: Demographics were correlated with high cost of care (F(6,107) = 3.38, P < .01, R 2 = 0.16), lack of availability of services (F(6,60) = 2.84, P = .01, R 2 = 0.22), and lack of understanding treatment options (F(6,61) = 2.18, P = .05, R 2 = 0.18). Conclusion: Some demographic groups face higher rates of barriers to seek medical attention. These barriers may contribute to undertreatment of psoriasis.


2020 ◽  
Author(s):  
Sa-kiera Tiarra Jolynn Hudson ◽  
Mina Cikara ◽  
Jim Sidanius

Social dominance orientation (SDO)—the tendency to accept and endorse group-based dominance—has been linked with reduced empathy and increased schadenfreude (i.e., pleasure at the misfortunes of others) towards competitive others. Are these outcomes driven by a strategic motivation to feel emotions that facilitate hierarchy-reinforcing behaviors (and avoid those that interfere)? Across three pre-registered studies using Amazon Mechanical Turk participants (N = 1724), we find that SDO determines which emotions people want and choose to feel. People with higher (relative to lower) levels of SDO make similar predictions of others’ emotions when asked, but desire to feel less empathy and schadenfreude toward low-status targets, and when given a choice, choose to feel less empathy and more schadenfreude. This work adds to a growing literature on the impact of ideology—in this case, SDO—on emotion tendencies and further expands work on the motivated nature of empathy.


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