Clinical and epidemiological profile of patients in the chronic phase of Chagas disease treated at a reference center in the Southeast region of Brazil

Introduction: After implementing measures to control vector transmission by Triatoma infestans in Brazil, the number of new cases of Chagas disease decreased. Currently, the American continent has an annual incidence of 28 000 cases, but there are still a large number of older adults affected by the chronic phase of this disease.Objective: To characterize the clinical and epidemiological profile of patients in the chronic phase of Chagas disease treated at a reference center of São Paulo (State), Brazil.Materials and methods: Cross-sectional, descriptive study based on the analysis of the clinical histories of 62 patients in the chronic phase of Chagas disease and treated at Hospital das Clínicas de Marília.Results: No significant differences were found regarding sex, age and time of diagnosis. Cardiac problems were the most reported symptom. A significant difference was observed in the case of the indeterminate form of the disease, which was more predominant in males. In addition, functional class B1 was more common in women, while B2 predominated in men.Conclusion: A late diagnosis of Chagas disease may increase the chances of presenting digestive symptoms. However, the classic manifestations of the disease and its comorbidities can be successfully managed as long as comprehensive (multidisciplinary) medical care is provided, since this would help delay the course of the disease and, consequently, improve the patients’ quality of life.

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Family Health Strategies: Profile/quality of life of people with diabetes

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2018-0037 ◽

2018 ◽

Vol 71 (6) ◽

pp. 2899-2906 ◽

Cited By ~ 2

Author(s):

Claudete Moreschi ◽

Claudete Rempel ◽

Daiana Foggiato de Siqueira ◽

Dirce Stein Backes ◽

Luis Felipe Pissaia ◽

...

Keyword(s):

Quality Of Life ◽

Women Elderly ◽

Family Income ◽

Family Health ◽

Cross Sectional Study ◽

Care Process ◽

Cross Sectional ◽

Significant Difference ◽

Epidemiological Profile

ABSTRACT Objective: To evaluate the quality of life and to analyze the epidemiological profile of people with diabetes treated in Family Health Strategies. Method: A cross-sectional study carried out with 350 people with diabetes. Results: Most people with diabetes are women, elderly, married, white, with low educational level, retired/pensioners, family income of up to two minimum wages. As the time of people with the disease increases, their quality of life decreases. People with complications from diabetes have a lower quality of life, with a statistically significant difference. Conclusion: Knowledge of the sociodemographic characteristics, clinical evaluation and quality of life of people with diabetes can improve the care process provided to this population.

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ELISA seroprevalence of Trypanosoma cruzi in a cohort of heart disease patients

The Journal of Infection in Developing Countries ◽

10.3855/jidc.2576 ◽

2013 ◽

Vol 7 (04) ◽

pp. 348-354 ◽

Cited By ~ 3

Author(s):

Maria-Virginia Rodriguez ◽

Wendy Yamileth Hernandez ◽

Adriana N Garcia ◽

Claudia M Colato ◽

Patricia G Cardoza ◽

...

Keyword(s):

Heart Disease ◽

Chagas Disease ◽

Serological Test ◽

Chronic Phase ◽

Cross Sectional Study ◽

Cross Sectional ◽

Significant Difference ◽

Reference Hospital ◽

Two Phases ◽

And Gender

Introduction: Chagas disease is the most important parasitic disease in El Salvador and Latin America. The disease has two phases: acute and chronic, with an intermediate unspecified phase. The chronic phase develops in 30% of infected persons and its most common manifestation is cardiac disease. This study aimed to obtain reference data for the prevalence of T. cruzi seropositivity in a cohort of cardiac patients. Methodology: A cross-sectional study involving consecutive heart disease patients consulting at the National Hospital Rosales was conducted over a six-month period. Congenital heart disease patients were excluded. A survey, file review, and ELISA serological test were conducted for each subject. Results: Out of 455 subjects, 76 were seropositive for T. cruzi, giving a seropositivity prevalence of 16.7%. The average age of the patients was 58.09 years and the female:male ratio was 2.79:1. No significant difference was found between T. cruzi seropositive and seronegative patients in terms of age and gender. No association between T. cruzi serological status and either area of residence or seeing vectors in the house was found. However, living in the Salvadoran western region during childhood was significantly associated with seropositivity (p = 0.003). Other factors associated with T. cruzi seropositivity included: clinical diagnosis of cardiac Chagas disease; electrocardiographic (ECG) findings of a permanent pacemaker, all atrioventricular (AV) blocks and right bundle branch block; and grade III-IV radiological cardiomegaly. Conclusions: T. cruzi seropositivity prevalence was found to be 16.7% among heart disease patients in a public reference hospital.

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THE QUALITY OF PUBLIC HOSPITALS IN CAN THO CITY, 2016

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2018.6.10 ◽

2018 ◽

Vol 8 (6) ◽

pp. 76-81

Author(s):

Chu Cao Minh ◽

Thang Vo Van ◽

Dat Nguyen Tan ◽

Hung Vo Thanh

Keyword(s):

Hospital Medicine ◽

Secondary Data ◽

Quality Criterion ◽

Quality Criteria ◽

Public Hospitals ◽

Ministry Of Health ◽

Cross Sectional ◽

Significant Difference ◽

Can Tho City

Background: The criteria set of assessing hospital quality in Vietnam in 2016 was revied from the criteria set in 2013 by the Ministry of Health in order to help hospitals to self-assess towards improvinge quality of hospitals in the international integration context. The study aimed to assess the quality of public hospitals in Can Tho City according to the revised criteria set of the Ministry of Health in 2016 and compare the quality among three hospital ranks (including grade I, grade II, and grade III) via to 5 groups of quality criteria. Methods: A cross-sectional study, using secondary data analysis was applied to assess the service quality of 7 general public hospitals in Can Tho City. Results: The average total score of 7 hospitals is 245 and the average for the criteria of 7 hospitals is 2.99, which is just satisfactory. In the criterion of quality, criterion D and E had the lowest scores compared to the other three groups. There was no statistically significant difference (p = 0.076) among the mean scores for the three hospital categories. Conclusion: The quality of public hospitals in Can Tho city in 2016 only reached moderately good level (2.99). Interventions should be developed to improve the quality of hospitals, with particular emphasis on improving the quality of criteria groups D and E. Key words: Quality, hospital, medicine, health, public, Can Tho

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Diabetes knowledge, risk perception, and quality of life among South Asian caregivers in young adulthood

BMJ Open Diabetes Research & Care ◽

10.1136/bmjdrc-2020-001268 ◽

2020 ◽

Vol 8 (2) ◽

pp. e001268

Author(s):

Angela Koipuram ◽

Sandra Carroll ◽

Zubin Punthakee ◽

Diana Sherifali

Keyword(s):

Quality Of Life ◽

Risk Perception ◽

South Asian ◽

Online Survey ◽

Educational Interventions ◽

Cross Sectional Study ◽

Cross Sectional ◽

Significant Difference ◽

Design And Methods

IntroductionPersons of South Asian descent have a higher prevalence of type 2 diabetes mellitus (T2DM). The management of T2DM in the South Asian community has required the support of adult children, potentially impacting the quality of life, diabetes-related knowledge, and risk perception among these caregivers.Research design and methodsTo investigate diabetes-related knowledge, quality of life, risk perception, and actual risk of developing diabetes among South Asian young adults whose parents are living with T2DM. A cross-sectional study was conducted (n=150). An online survey was administered. Data were analyzed with descriptive and inferential statistics.ResultsThere was a statistically significant difference in diabetes-related knowledge between males and females (p<0.001). Males (in comparison to females) had a lower risk perception of developing diabetes (p=0.06). Further, risk perception and diabetes-related knowledge were positively associated with caregiver’s physical health (p=0.002).ConclusionFindings highlight the importance of providing gender-specific and culturally tailored diabetes educational interventions.

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Clinical evaluation of pulmonary hypertension using patient-reported outcomes: a cross-sectional study

BMC Pulmonary Medicine ◽

10.1186/s12890-021-01416-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Miguel Ángel Amor-García ◽

Sara Ibáñez-García ◽

Xandra García-González ◽

Teresa Mombiela ◽

Cristina Villanueva-Bueno ◽

...

Keyword(s):

Quality Of Life ◽

Pulmonary Hypertension ◽

Clinical Evaluation ◽

Patient Reported Outcomes ◽

Specific Treatment ◽

Tertiary Hospital ◽

Functional Class ◽

Cross Sectional ◽

Patient Reported

Abstract Background Patients with pulmonary hypertension (PH) have progressive and disabling symptoms, as well as a burden of treatments and a difficult clinical evaluation that make health-related quality of life a particularly relevant endpoint in this disease. The objective of the study was to evaluate patient-reported outcomes of patients receiving specific treatment for PH in a tertiary hospital using a specific questionnaire (Cambridge Pulmonary Hypertension Outcome Review-CAMPHOR) in the pharmacy consultation. Methods A cross-sectional, observational, descriptive study was conducted. It included all patients receiving specific treatment for PH in a tertiary hospital in Madrid, Spain. The inclusion period comprised between August to December 2019. CAMPHOR questionnaires containing three domains: symptoms, activities and quality of life were completed by the patients at the pharmacy consultation. Demographic and clinical variables, including WHO Functional Class (WHO FC), PH-specific tests and hemodynamic parameters, were recorded. Non-parametric analyses to assess relations between variables and CAMPHOR domains were performed. Results Thirty-six patients consented to participate in the study and completed the questionnaire. Median scores for symptoms, activities, and quality of life domains were 5.5 (2.5–10), 8.0 (4.5–10.5) and 3.5 (1–7.5), respectively. Statistically significant differences were found in the three domains when comparing by WHO FC, in the activities domain for 6-m walking test and in the quality of life domain for patients who had emergency visits or hospitalizations in the last year. Conclusions The CAMPHOR questionnaire could be useful as a complementary test to achieve an integrated evaluation of PH patients, who could complete it easily during their routine pharmacy visits.

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Abstract P546: Sleep Quality in Medical Students A Cross-sectional Study

Hypertension ◽

10.1161/hyp.70.suppl_1.p546 ◽

2017 ◽

Vol 70 (suppl_1) ◽

Author(s):

Lilian S Costa ◽

Marina C Marins ◽

Jocasta C Ansel ◽

Carolina P Tavares ◽

Fernanda T Queiroz ◽

...

Keyword(s):

Quality Of Life ◽

Medical Students ◽

Female Gender ◽

Cross Sectional Study ◽

Female Group ◽

Sleep Habits ◽

Cross Sectional ◽

Significant Difference ◽

The Hours

Introduction: Medical students, susceptible to sleep disorders, have irregular sleep-awake cycle, with repercussions on the quality of life and reduced academic performance, often with greater incidence of psychiatric disorders, estimated at 15% to 25% during your academic training. Objective: To evaluate the sleep habits in students of medical school in a private college of Rio de Janeiro, Brazil. Method: This subset study is a part of an observational study with cross-sectional delineation, with data collected through the application of an anonymous questionnaire, where they were asked about the number (and modification) of hours they sleep daily, in addition to reports of “stress and anxiety”. These data collected formed the basis of an instrument for assessing the quality of life on the medical students of this College. Results: We analyzed data from 481 students: 82 (17%) at the first year, 118 (24.5%) at the second year, 99 (20.6%) at the third, 64 (13.3%) and 118 (24.5%) within the fifth and sixth years. The average age was 21.7 years (16-42) and 306 (63.6%) of female gender. As for the hours of sleep, 445 students (92.5%) report 5 to 8 hours of sleep, and 216 (44.9%) a minimum of 6 hours. In the sleep of the weekends, 394 (81.9%) reported change in the number of hours and, 313 (65.1%) referred to a reduction after the entrance into college. It was reported "some level of stress and anxiety,“ not related to the least number of hours sleepping (0.07). Comparing the data obtained among the 199 students of the first and second years (62.8% female-group A) to 117 at fifth and sixth years (70.9% female-group B), we observed similarity in relation to (1) number of 5 to 8 hours sleepping (A 92.9% x 90.5% B), (2) change the hours of sleepping on the weekends (A 81.9% x 79.5% B), and (3) reduction of sleepping hours after the entrance into College (A 81.9% x 78.6% B). With regard to the report of "stress and anxiety”, we observed statistically significant difference between the groups (A 100% x 88% B, p < 0.03). Conclusion: The change in lifestyle imposed on joining a new school learning model, generates anxiety and loss of sleep hours among students. The development of resilience and adaptation to change, both individual and institutional, may have been responsible to varying degrees of stress.

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Beyond vision loss: the independent impact of diabetic retinopathy on vision-related quality of life in a Chinese Singaporean population

British Journal of Ophthalmology ◽

10.1136/bjophthalmol-2018-313082 ◽

2018 ◽

Vol 103 (9) ◽

pp. 1314-1319 ◽

Cited By ~ 1

Author(s):

Eva K Fenwick ◽

Ryan E K Man ◽

Alfred Tau Liang Gan ◽

Neelam Kumari ◽

Charlene Wong ◽

...

Keyword(s):

Quality Of Life ◽

Diabetic Retinopathy ◽

Vision Loss ◽

Well Being ◽

Linear Regression Models ◽

Cross Sectional ◽

Significant Difference ◽

Related Quality ◽

The Impact

Background/aimsTo assess the independent impact of diabetic retinopathy (DR) on three domains of vision-related quality of life (VRQoL) in a Chinese Singapore population.MethodsThe Singapore Chinese Eye Study (n=3353; 2009–2011) was a population-based, prospective, cross-sectional study conducted at the Singapore Eye Research Institute. The study population included 292 adults with diabetes, with and without DR. DR (better eye) was categorised as presence and absence of any DR; severity of DR (no vision-threatening DR (VTDR); severe non-proliferative DR (NPDR); PDR and/or clinically significant macular oedema and VTDR). Our main outcome was VRQoL which was measured using Rasch-calibrated scores from the ‘Reading’, ‘Mobility’ and ‘Emotional’ domains of the Impact of Vision Impairment questionnaire. The relationship between DR and VRQoL was assessed using multiple linear regression models.ResultsOf the 292 individuals (mean age 61.35 ± 9.66 years; 55.8% male), 201 (68.8%), 49 (16.8%), 20 (6.8%), 22 (7.5%) and 27 (9.2%) had no DR, minimal-mild NPDR, moderate-severe NPDR, PDR and VTDR, respectively. Any DR and VTDR were independently associated with 6% and 12% worse Reading scores and 7% and 18% poorer Emotional well-being, respectively, compared with those without DR. These associations persisted after separate adjustment for visual impairment and presenting visual acuity. No significant difference was found in the Mobility domain between persons with and without DR.ConclusionsWe documented that DR, particularly VTDR, was independently associated with restrictions in Reading and Emotional well-being. Understanding factors underlying the detrimental DR-VRQoL relationship may optimise rehabilitation outcomes for individuals with DR.

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PROFILE OF PATIENTS RECEIVING TOTAL KNEE ARTHROPLASTY: A CROSS-SECTIONAL STUDY

Acta Ortopédica Brasileira ◽

10.1590/1413-785220172505168806 ◽

2017 ◽

Vol 25 (5) ◽

pp. 202-205 ◽

Cited By ~ 1

Author(s):

MARCELO JOSÉ CORTEZ BEZERRA ◽

IGOR MAGALHÃES BARBOSA ◽

THALES GONÇALVES DE SOUSA ◽

LARISSA MEIRELES FERNANDES ◽

DIEGO LEONARDO MENEZES MAIA ◽

...

Keyword(s):

Medical Records ◽

Severe Disease ◽

Functional Limitation ◽

Cross Sectional Study ◽

Level Of Evidence ◽

Cross Sectional ◽

Lequesne Index ◽

Total Knee ◽

Epidemiological Profile

ABSTRACT Objective: To describe the epidemiological profile, presented deformities, associated comorbidities, and impact on quality of life in patients with knee osteoarthritis. This study was conducted in a philanthropic hospital in Fortaleza from 2014 to 2015. Methods: Data were collected from medical records, epidemiological forms, and by applying the Lequesne index questionnaire, which contains several questions related to pain, discomfort and functional limitation to assess the severity of symptoms. Results: Females were more prevalent (76.7%), as were patients over 65 years of age (61.6%) and non-whites (81.6%). As for comorbidities, 83.3% had hypertension and 31.7% had diabetes. Of the total, 76.5% cases were genu varum, and 23.5% genu valgum. According to the Lequesne index findings, 61.6% cases were “extremely severe,” and women had higher scores. Conclusion: Females were more prevalent and whites were less prevalent. The most frequent comorbidity was hypertension. Female and elderly patients have more severe disease according to Lequesne index score, and these findings were statistically significant. Level of Evidence II, Prospective Study.

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Comparison of Quality and Lifestyle in Women with and Without Uterine Leiomyoma Referred to Gynecology Clinics of Shiraz University of Medical Sciences in 2018

Shiraz E-Medical Journal ◽

10.5812/semj.100815 ◽

2020 ◽

Vol In Press (In Press) ◽

Author(s):

Mahnaz Zarshenas ◽

Mozhgan Sorkhenezhad ◽

Marzieh Akbarzadeh

Keyword(s):

Quality Of Life ◽

Uterine Leiomyoma ◽

Healthy Lifestyle ◽

World Health ◽

Medical Sciences ◽

Cross Sectional ◽

World Health Organization Quality ◽

Significant Difference ◽

The Mean

Background: Uterine leiomyomas are considered as a major source of complications and the most common cause of hysterectomy. Objectives: The aim of this study was to compare the quality of life in women with and without uterine leiomyoma referred to gynecology clinics of Shiraz University of Medical Sciences in 2018. Methods: In this cross-sectional study, a total of 126 patients who referred to the clinics of Shiraz University of Medical Sciences were selected and divided into equal groups according to uterine leiomyoma, 1 - 7 cm uterine leiomyoma group and non-uterine leiomyoma group by convenience sampling. The World Health Organization Quality of Life and Healthy Lifestyle questionnaires were used for data collection. Independent t-test was used to analyze the data. Results: The mean quality of life of women with uterine leiomyoma was 47.20 ± 12.41 and women without uterine leiomyoma had a significant difference (51.11 ± 11.23, t = 3.93, P = 0.041). The mean lifestyle of women with uterine leiomyoma was 114.18 ± 25.48 and women without uterine leiomyoma had 149.11 ± 23.81 (t = 4.01, P = 0.029). Conclusions: The mean score of quality of life and lifestyle were significantly different in women with and without uterine leiomyoma. Therefore, it is necessary to improve the quality of life of women by improving their lifestyle and providing psychological counseling.

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Comparison of Quality of Life between Active and Inactive Workers

Journal of Shahid Sadoughi University of Medical Sciences ◽

10.18502/ssu.v28i8.4453 ◽

2020 ◽

Author(s):

Mohammad Hassan Dashty Khavidaki ◽

Mahmood Kamali Zarch ◽

Naser Mohammadi Ahmadabadi ◽

Haider Hosseini

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Mental Condition ◽

Positive Role ◽

Cross Sectional ◽

Positive Effects ◽

Sf 36 ◽

Significant Difference ◽

Cement Manufacturing

Introduction: Numerous important factors such as physical and mental condition affect the quality of life Job stress is one of the key factors in decreasing productivity in organizations. Given the positive effects of physical activity on quality of life, this study aimed to compare the quality of life between active and inactive workers (case study). Methods: This study was a cross-sectional comparative study.190 tile and cement-manufacturing workers who were eligible for the study were selected completely voluntarily, based on a convenience sampling. Of these, according to Beck questionnaire, 88 were selected in inactive and 64 in active groups; Weir and Sherborn questionnaire was used for assessing the quality of life (SF-36). For analysis the data, independent T-test and SPSS 23 software were used for analysis (P≤0.05). Results: The results showed that physical, psychological and quality of life components in the active group of cement factory workers were (p = 0.012) (p = 0.001) (p = 0.005) and tile workers (p = 0.012) (P = 0.005) (p = 0.014) was a significant and more compare to the inactive group, but there was no significant difference between active and inactive workers of the two tile and cement factories. Conclusion: The results of this study showed the positive role of exercise and physical activity on the quality of life of people working in cement and tile factories. It seems easier physical activity and sports are related to the quality of life of workers and have nothing to do with the workplace.

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