Differentiated tactics of pregnancy in women with premature rupture of membranes

The problem of premature rupture of membranes (PROM) is unfortunately still relevant in modern obstetrics and perinatology, especially in preterm pregnancy, and leads to 20% of all cases of perinatal loss. Among the possible causes, a lot of attention has recently been paid to disorders of connective tissue structure of genetic origin. The article provides an overview of current medical literature on the causes and diagnosis of PROM. Preliminary own data on the positive effect of the advanced algorithm for detecting undifferentiated connective tissue dysplasia (UCTD) on obstetric and perinatal outcomes are also given. The objective: to clarify the causes of PROM, the role of the severity of connective tissue dysplasia to predict risk factors for preterm birth, especially when combined in pregnant women with anemia. Materials and methods. A total of 60 pregnant women with IDF were examined. During the survey, laboratory and instrumental methods were used. Results. Quality of life in women with NDTT had an inverse mean relationship between the patients’ well-being and the number of PST phenotypic manifestations (r = 0.653; p> 94%). In addition, a high constitutionally determined level of personal anxiety was established. Quality of life depends on the number and severity of phenotypic abnormalities, ie the more signs of connective tissue dysplasia (joint hypermobility, scoliosis, nephroptosis, increased bleeding, myopia, pronounced varicose veins, etc.), the lower this indicator. As pregnancy progressed, worsening of health and decrease in quality of life in patients with NDST was observed. Conclusion. The advanced algorithm has demonstrated the positive effects in pregnant women with undifferentiated connective tissue dysplasia on obstetric and perinatal delivery, and the findings suggest that it is practiced in health care. Key words: premature rupture of membranes, preterm pregnancy, undifferentiated connective tissue dysplasia.

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SYMPHYSIOPATHIA AS AN INTERDISCIPLINARY PROBLEM

Journal of Volgograd State Medical University ◽

10.19163/1994-9480-2020-3(75)-20-25 ◽

2020 ◽

Vol 75 (3) ◽

pp. 20-25

Author(s):

A.A. Vorobyev ◽

◽

M.S. Selikhova ◽

O.V. Il’ina ◽

M.S. Yаkovenko ◽

...

Keyword(s):

Quality Of Life ◽

Connective Tissue ◽

Pregnant Women ◽

Musculoskeletal System ◽

Diagnosis And Treatment ◽

Cause And Effect ◽

Pregnancy And Childbirth ◽

Connective Tissue Dysplasia ◽

Criteria For Diagnosis

Symphysiopathia is one of the complications of the musculoskeletal system that occurs in the second half of pregnancy and childbirth, which can limit the functionality of patients and worsen the quality of life. Symphysiopathia often becomes an interdisciplinary problem that requires participation in the diagnosis and treatment of not only obstetricians and gynecologists, but also traumatologists, urologists and other specialists. Information about the frequency of occurrences of symphysiopathia is contradictory and registered in the range from 0,03 to 2,8 %. These contradictions are caused by the lack of clear criteria for diagnosis, overall terminology and low clinical alertness of treating doctors. The terminology «symphysitis» is not relevant, because it indicates the inflammatory genesis of the disease. Currently, the most appropriate term is «symphysiopathia», which reflects the leading (but not the only) symptom of the disease-pain. Modern research shows that the development of symphysiopathia in pregnant women is based on a combination of several fundamental factors – biomechanical causes, undifferentiated connective tissue dysplasia and magnesium and calcium deficiency.There is no consensus about cause-and-effect interrelation, and this problem needs to be studied.

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The impact of pregnancy on women’s oral health-related quality of life: a qualitative investigation

BMC Oral Health ◽

10.1186/s12903-020-01290-5 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Omid Fakheran ◽

Mahmoud Keyvanara ◽

Zahra Saied-Moallemi ◽

Abbasali Khademi

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Pregnant Women ◽

Social Life ◽

Well Being ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

The Impact

Abstract Background Complex psychological and physiological changes occur in women’s body during pregnancy. These changes affect both oral health status and oral health-related quality of life (OHRQoL). In almost all of the previous cross-sectional design studies on pregnant women, generic OHRQoL instruments have been used to measure OHRQoL. While such instruments may be reliable, they may not be appropriate to evaluate the OHRQoL in special populations like pregnant women. The purpose of this study was to investigate the self-perceived factors affecting the OHRQoL among pregnant women. Methods In this qualitative descriptive study, twenty- seven pregnant women were recruited from four healthcare centers located in Isfahan city, Iran. The interpretative phenomenological analysis was used to collect and analyze the data. Four criteria of credibility, dependability, transferability, and confirmability were implemented through established procedures to confirm the study rigor. Results Three major themes and six sub-themes capturing the impacts of pregnancy on women’s OHRQoL were identified. They covered all areas of life, including daily life, psychological well-being, social life, physical impact, and also barriers to utilization of dental care services. Some new domains such as “dentists’ refusal to treat pregnant women”, “negative feelings about pregnancy” and “concerns about fetal health” were found as important factors which could influence the OHRQoL during pregnancy. Conclusion The findings help to better understand the oral health issues impacting women during pregnancy and to achieve person-centered care and improved oral health outcomes in pregnant women. The conceptual framework created based on the results of this study may help health care workers and policy makers for improving the health of pregnant women.

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Pregnancy-Related Low Back Pain and The Quality of Life among Pregnant Women : A Narrative Literature Review

Journal of Public Health for Tropical and Coastal Region ◽

10.14710/jphtcr.v4i3.10795 ◽

2021 ◽

Vol 4 (3) ◽

pp. 108-116

Author(s):

Tiara Fatmarizka ◽

Raudhatus Shofy Ramadanty ◽

Dini Afriani Khasanah

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Pregnant Women ◽

Well Being ◽

Low Back ◽

Cross Sectional ◽

Cross Sectional Studies ◽

In Pregnancy

Introduction: Around 50-70% of pregnant women have reported pregnancy-related back pain during the second and third trimesters of pregnancy. Physical and physiological aspects during pregnancy might affect the quality of life (QoL) of pregnant women, and the problems due to the alteration can be seen in how they run their daily activities. The effect of LBP in pregnancy on the QoL among pregnant women must be known to avoid the pain that affects pregnant women’s activities and well-being. The aim of this study is to review the relationship between low back pain and the QoL during pregnancy.Methods: Using the search terms via PubMed and Google Scholar, seven cross-sectional studies have met the inclusion criteria and included for further analysis. The appraisal tool for Cross-Sectional Studies (AXIS) is used to assess the quality of the included studies including the risk of bias.Results: The findings show that LBP in pregnancy affects the level of quality of life such as sleep quality and sexual activity, limits the activities and productivities, and even make physical disability among pregnant women. The 75-90% was of the range score obtained from the AXIS critical appraisal.Conclusions: This review mentioned those pregnant women with PRBP had decreased QoL during and after childbirth, so the awareness of health professionals needs to be improved.

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Enterosorption as concomitant therapy for early toxicosis in pregnant women after assisted reproductive technologies against the background of constipation

Ukrainian journal of Perinatology and Pediatrics ◽

10.15574/pp.2021.85.42 ◽

2021 ◽

pp. 42-46

Author(s):

Iu.V. Davydova ◽

◽

A.Y. Lymanskaya ◽

Keyword(s):

Quality Of Life ◽

Pregnant Women ◽

Rating Scale ◽

Assisted Reproductive Technologies ◽

Severe Heart Failure ◽

Well Being ◽

Reproductive Technologies ◽

Active Surface Area ◽

Significant Deterioration

The aim is to evaluate the effectiveness of the drug «Atoxil Plus» use in the group of pregnant women after assisted reproductive technologies (ART) with early mild toxicosis against the background of constipation. Materials and methods. The effectiveness of the drug «Atoxil Plus» (Orisil-Pharma) in 37 pregnant women with early mild toxicosis on the background of constipation was studied. The pregnant women in the study had no other comorbidities (pathology of the gastrointestinal tract, severe heart failure, infectious diseases, etc.). Taking into account that the definition of the quality of life indicator is an integral indicator of the effectiveness of treatment, the quality of life of pregnant women was assessed according to the «Gastrointestinal Simptom Rating Scale» (GSRS), a special questionnaire, before and after complex treatment of early toxicosis using the drug «Atoxil Plus». GSRS includes 15 questions to assess the following domains: the presence of abdominal pain, heartburn, constipation, diarrhea and signs of dyspepsia. The lower the results for the studied domains, the better. All pregnant women used the «Atoxil Plus» (2 g 3 times/day) for 10–14 days. Any general or local laxatives were excluded from the treatment regimen. Results. Treatment of early pregnancy toxicosis is important, given the loss of electrolytes, microelements, water and significant deterioration in the quality of life. High sorption capacity of Atoxil Plus in relation to microorganisms and bacterial toxins, the possibility of moderate therapeutic doses use due to the large active surface area, the increased binding rate of bacteria and their toxins provide quick therapeutic effect. Against the background of the «Atoxil Plus» enterosorbent use, not only does the constipation frequency not increase, which is very important during pregnancy, but the number of bowel movements is normalized due to the presence of lactulose in the medication, especially given the significant amount of gestagens pregnant women receive after ART. Conclusions. The non-invasive nature of the use of Atoxil Plus, its oral administration, high efficacy in pregnant women with early toxicosis, which manifests itself in improving the quality of life and general well-being, a high safety profile make it possible to recommend this drug as a treatment for early mild toxicosis against the background of constipation in pregnant women after ART. The study was conducted in accordance with the principles of the Declaration of Helsinki. The research protocol was approved by the Local Ethics Committee of the institution mentioned in the work. Informed consent of women was obtained for the research. The authors declare no conflict of interest. Key words: pregnant women, assisted reproductive technologies, constipation, treatment, sorbents.

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How does a targeted active labour market program impact on the well-being of the unemployed? A Concept Mapping study on Barcelona “Employment in the Neighbourhoods”

10.21203/rs.2.13889/v5 ◽

2020 ◽

Author(s):

Vanessa Puig-Barrachina ◽

Davide Malmusi ◽

Lucía Artazcoz ◽

Xavier Bartoll ◽

Eva Clotet ◽

...

Keyword(s):

Quality Of Life ◽

Labour Market ◽

Concept Mapping ◽

Technical Assistance ◽

Well Being ◽

Scaling Analysis ◽

Labour Market Situation ◽

Positive Effects ◽

Active Labour

Abstract Background: The “Employment in the neighbourhoods” program is an innovative, tailor-made Active Labour Market Program that has been implemented in 12 neighbourhoods in Barcelona (Spain). Its goal is to get people from deprived, high-unemployment neighbourhoods back to work. The aim of this study was to describe the effects of the program on participants’ quality of life, and identify the mechanisms underlying these effects, according to their own perception and the perception of technical staff who assisted them. Methods: We used Concept Mapping, a mixed methods approach combining qualitative and quantitative analysis, to develop a conceptual map of the participants’ and technical staffs’ perceptions about changes in the participants’ quality of life. Data collection occurred within the generation and structuring steps where participants brainstormed answers to a focus question, and then rated and sorted the responses. To create maps, we used Concept Systems Incorporated software, which conducted two main forms of analysis, a multidimensional scaling analysis, and a hierarchical cluster analysis. Results: Study participants reported several positive effects on mental health and emotional wellbeing, including self-esteem and empowerment, and considered that this was achieved through strengthened social networks, skills acquisition, emotional coaching, and personalized technical assistance. They also described some negative impacts, mainly related to the labour market situation. We observed marked gender differences in the discourses of program participants. Conclusions: The results obtained have allowed us to identify different perceived effects and mechanisms by which the “Employment in the Neighbourhoods” Active Labour Market Programme can influence quality of life of participants from the most deprived areas of Barcelona. Keywords Active labour market programs, unemployment, Barcelona City (Spain), deprived neighbourhoods, gender, quality of life, concept mapping.

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How does a targeted active labour market program impact on the well-being of the unemployed? A Concept Mapping study on Barcelona “Employment in the Neighbourhoods”

10.21203/rs.2.13889/v3 ◽

2020 ◽

Author(s):

Vanessa Puig-Barrachina ◽

Davide Malmusi ◽

Lucía Artazcoz ◽

Xavier Bartoll ◽

Eva Clotet ◽

...

Keyword(s):

Quality Of Life ◽

Labour Market ◽

Concept Mapping ◽

Technical Assistance ◽

Well Being ◽

Scaling Analysis ◽

Labour Market Situation ◽

Positive Effects ◽

Active Labour

Abstract Background: The “Employment in the neighbourhoods” program is an innovative, tailor-made Active Labour Market Program that has been implemented in 12 neighbourhoods in Barcelona (Spain). Its goal is to get people from deprived, high-unemployment neighbourhoods back to work. The aim of this study was to describe the effects of the program on participants’ quality of life, and identify the mechanisms underlying these effects, according to their own perception and the perception of technical staff who assisted them. Methods: We used Concept Mapping, a mixed methods approach combining qualitative and quantitative analysis, to develop a conceptual map of the participants’ and technical staffs’ perceptions about changes in the participants’ quality of life. Data were collected during the generation and structuring steps, where participants brainstormed answers to a focus question, and then rate and sort the responses. To create maps, we used Concept Systems Incorporated software, which conducted two main forms of analysis, a multidimensional scaling analysis, and a hierarchical cluster analysis. Results: Study participants reported several positive effects on mental health and emotional wellbeing, including self-esteem and empowerment, and considered that this was achieved through strengthened social networks, skills acquisition, emotional coaching, and personalized technical assistance. They also described some negative impacts, mainly related to the labour market situation. We observed marked gender differences in the discourses of program participants.Conclusions: The results obtained have allowed us to identify different perceived effects and mechanisms by which the “Employment in the Neighbourhoods” Active Labour Market Programme can influence quality of life of participants from the most deprived areas of Barcelona.

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Singing as a health-promoting activity in elderly care: a qualitative, longitudinal study in Norway

Journal of Research in Nursing ◽

10.1177/1744987120917430 ◽

2020 ◽

Vol 25 (5) ◽

pp. 404-418

Author(s):

Kari Bjerke Batt-Rawden ◽

Kristi Stedje

Keyword(s):

Quality Of Life ◽

Nursing Homes ◽

Elderly Care ◽

Symptom Relief ◽

Well Being ◽

Educational Programme ◽

Standards Of Care ◽

Older Person ◽

Positive Effects

Background The current standards of care of the older person recommend employing non-pharmacological approaches to challenges, including safe approaches to managing pain and stress, enhancing symptom relief, and fostering independent lifestyles with the highest quality of life possible. More research is needed to enable nurses and other medical staff to use singing and music-based interventions, to access singing-based programmes, and promote a greater use of choirs in nursing homes. A solid basis of positive experiences and feedback through evidence in practice is required to help promote support for such activities. Aims To identify, explore and describe experiences, attitudes, beliefs, issues, processes and changes among nurses, carers and leaders in reference to implementation of the educational programme ‘Singing Nursing Homes’, Norway. To increase knowledge and understanding of how an educational song programme could become an integral part of nursing practice and quality of care in nursing and care homes, and identify why this would be constructive. Since its inception in 2015, ‘Singing Norway’ wanted to offer a professional, evidence-based programme for nursing homes throughout the country. Methods A longitudinal, qualitative and explorative approach. In-depth interviews and focus group interviews of female employees ( n = 19) from three nursing homes in Norway, 2018. Results Nursing home employees perceived singing to have potential benefits for their patients, such as reducing uneasiness, increased comfort, well-being and joy, improved sleep, and believed singing had the potential to reduce the need for medication and prevent accidents among their patients. By facilitating opportunities for learning and practice, staff in nursing homes were able to use singing as part of their ‘art of caring’, enhancing environmental care for the older person. Singing was found to have positive effects for the patients, their relatives and the staff, which improved the psychosocial working climate overall. Conclusions Singing interventions could be a vital component for the enhancement of health, well-being and quality of life for the patients and staff in nursing homes.

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Slow Tourism in Low-Density Territories

10.4018/978-1-7998-7339-6.ch007 ◽

2022 ◽

pp. 106-130

Author(s):

Mafalda Marques ◽

João Reis

Keyword(s):

Quality Of Life ◽

Local Development ◽

Tourism Development ◽

Well Being ◽

Host Community ◽

Low Density ◽

Positive Effects ◽

Serra Da Estrela ◽

To Receive

This research focuses on slow tourism in low-density areas of Beiras and Serra da Estrela, Portugal, and explores how these genuine and authentic spaces can become attractive for tourism development. Compared to visitors who travel to a destination to visit as many attractions as possible in the shortest time, slow tourists refuse to be treated as a number and seek to receive from and give to their destination in the same proportion. Their involvement in a host community, practiced in a personalized, deep, and informed way, contributes to their well-being. The community's inhabitants recognize that their cultural identity is valued, feel motivated to serve as ambassadors, and note that tourist activities can lead to improvements in their quality of life. This research includes the results of interviews, a benchmarking in Italy, and an analysis of a village tourism. The findings reveal the opportunities they hold for slow tourism, with very positive effects for local development.

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How to Make Digitalization Better Serve an Increasing Quality of Life?

Sustainability ◽

10.3390/su13020611 ◽

2021 ◽

Vol 13 (2) ◽

pp. 611

Author(s):

Oleg A. Kryzhanovskij ◽

Natalia A. Baburina ◽

Anastasia O. Ljovkina

Keyword(s):

Quality Of Life ◽

Social Economic ◽

Well Being ◽

Close Correlation ◽

Social Progress ◽

Positive Effects ◽

Visual Tool ◽

National Trends ◽

Objective Indicators

Modern people live in the era of knowledge and digitalization supposed to increase their quality of life. Nevertheless, digital technologies are only the instruments in the development and transformation of social-economic processes and their usage per se does not ensure only positive effects, which much depends on goals, conditions, institutes, etc. Thus, digitalization has an unambiguous influence on many social-economic processes and needs a wise policy to provide smooth progress and well-being for everybody. This study aims to design and test appropriate tools for managing digitalization to direct this process on increasing the quality of life. For this purpose we analyzed: (1) correlation to identify interrelations between digitalization and quality of life; (2) the potential of using the visualization matrix method to identify and monitor national trends of digitalization in the context of quality of life. We found: (1) close correlation between subjective and objective indicators of quality of life and between the quality of life and digitalization; (2) the two-dimensional matrix turned out to be a relevant visual tool that embraces specific two-way relationships between human development and digitalization. In combination with statistical and qualitative methods, this tool has wide prospects for managing digitalization in the context of social progress and increasing quality of life.

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DIAGNOSIS AND TREATMENT OF SEVERE AORTIC REGURGITATION IN A 14-YEAR-OLD PATIENT WITH CONNECTIVE TISSUE DISEASE: A CLINICAL CASE

Complex Issues of Cardiovascular Diseases ◽

10.17802/2306-1278-2019-8-3-130-135 ◽

2019 ◽

Vol 8 (3) ◽

pp. 130-135

Author(s):

L. N. Igisheva ◽

A. A. Anikeenko ◽

R. A. Kornelyuk ◽

М. V. Kulavskaya ◽

N. G. Perevalova

Keyword(s):

Quality Of Life ◽

Connective Tissue ◽

Medical Records ◽

Clinical Case ◽

Clinical Laboratory ◽

Long Term Outcomes ◽

Severe Aortic Regurgitation ◽

Connective Tissue Dysplasia

Medical records of a patient presented with severe aortic and mitral regurgitation and connective tissue dysplasia were reviewed. Clinical, laboratory and instrumental findings were collected at baseline and after the surgery. Long-term outcomes, including quality of life, were estimated.

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