scholarly journals Parent-assessed quality of life among adolescents undergoing orthodontic treatment: a 12-month follow-up

2015 ◽  
Vol 20 (5) ◽  
pp. 94-100 ◽  
Author(s):  
Lucas Guimarães Abreu ◽  
Camilo Aquino Melgaço ◽  
Mauro Henrique Nogueira Guimaraes Abreu ◽  
Elizabeth Maria Bastos Lages ◽  
Saul Martins Paiva
Keyword(s):  
Quality Of Life ◽  
Orthodontic Treatment ◽  
Well Being ◽  
Rank Test ◽  
Brazilian Version ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Fixed Appliances ◽  
Parents And Caregivers

Objective: To assess parents' and caregivers' view of the first twelve months of adolescents' orthodontic treatment with fixed appliances and to assess the evaluative properties of the Brazilian version of the Parental-Caregiver Perceptions Questionnaire (P-CPQ) in the orthodontic setting.Methods:Data from a sample of 96 parents and caregivers of adolescents undergoing orthodontic treatment with fixed appliances were collected by means of P-CPQ. Assessments were performed before banding and bracket bonding (T1) and 12 months after placement of fixed appliances (T2). Statistical analysis included Wilcoxon signed-rank test for the overall P-CPQ score and Bonferroni correction for P-CPQ subscales. The evaluative properties of the P-CPQ were assessed through responsiveness calculation and the minimally clinical important difference (MCID).Results: Among the 96 participants, 76 were mothers of patients, 16 were fathers, and four were other family members. Adolescents' mean age was 11.49 ± 0.50 years. Most families earned equal to or less than three times the Brazilian monthly minimum wage. There was significant improvement in the emotional and social well-being subscales (p< 0.001), which contributed to improve patient's overall quality of life (p< 0.001). Reductions in scores were associated with clinically meaningful moderate changes in the overall score as well as in the emotional and social well-being subscales. The MCID was 6.16 for the P-CPQ overall score.Conclusion:Parents and caregivers reported significant improvement in the quality of life of adolescents undergoing orthodontic treatment with fixed appliances.

scholarly journals A Large Randomized Trial: Effects of Mindfulness-Based Stress Reduction (MBSR) for Breast Cancer (BC) Survivors on Salivary Cortisol and IL-6

2018 ◽  
Vol 21 (1) ◽  
pp. 39-49 ◽  
Author(s):  
Cecile A. Lengacher ◽  
Richard R. Reich ◽  
Carly L. Paterson ◽  
Melissa Shelton ◽  
Steve Shivers ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Stress Reduction ◽  
Salivary Cortisol ◽  
Rank Test ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Signed Rank Test ◽  
Mindfulness Based Stress Reduction

Breast cancer survivors (BCS) often experience psychological and physiological symptoms after cancer treatment. Mindfulness-based stress reduction (MBSR), a complementary and alternative therapy, has reduced subjective measures of stress, anxiety, and fatigue among BCS. Little is known, however, about how MBSR affects objective markers of stress, specifically the stress hormone cortisol and the pro-inflammatory cytokine interleukin-6 (IL-6). In the present study, BCS ( N = 322) were randomly assigned to a 6-week MBSR program for BC or usual-care control. Measurements of cortisol, IL-6, symptoms, and quality of life were obtained at orientation and 6 weeks. Cortisol and IL-6 were also measured prior to and after the MBSR(BC) class Weeks 1 and 6. The mean age of participants was 56.6 years and 69.4% were White non-Hispanic. Most had Stage I (33.8%) or II (35.7%) BC, and 35.7% had received chemotherapy and radiation. Cortisol levels were reduced immediately following MBSR(BC) class compared to before the class Weeks 1 and 6 (Wilcoxon-signed rank test; p < .01, d = .52–.56). IL-6 was significantly reduced from pre- to postclass at Week 6 (Wilcoxon-signed rank test; p < .01, d = .21). No differences were observed between the MBSR(BC) and control groups from baseline to Week 6 using linear mixed models. Significant relationships with small effect sizes were observed between IL-6 and both symptoms and quality of life in both groups. Results support the use of MBSR(BC) to reduce salivary cortisol and IL-6 levels in the short term in BCS.

scholarly journals Pengaruh Program Empathic Caring Consultation terhadap Professional Quality of Life Pada Psikolog

2020 ◽  
Vol 12 (2) ◽  
pp. 97-106
Author(s):  
Anya Asbar ◽  
Maya Khairani ◽  
Marty Mawarpury
Keyword(s):  
Quality Of Life ◽  
Sampling Method ◽  
Rank Test ◽  
Professional Quality Of Life ◽  
Professional Quality ◽  
Signed Rank ◽  
Before And After ◽  
Post Test ◽  
Signed Rank Test

This study aims to determine the effect of the Empathic Caring Consultation (ECC) program on Professional Quality of Life (ProQOL) in psychologists. This study involved seven psychologists. The research sample was taken using purposive sampling method. The research method used was one group pretest-post test design. ProQOL is measured using the Professional Quality of Life Version V scale, while the implementation of ECC training refers to the concept of Prawitasari. Analysis using Wilcoxon signed-rank test with a significant value (p) = 0.340 (BO); 0.932 (STS); 0.496 (CS) (p> 0.05). The results of the study showed that there was no effect of the ECC program on ProQOL on psychologists. This is because there are several variations of the three ProQOL components before and after treatment.

scholarly journals Invisalign and Traditional Orthodontic Treatment Postretention Outcomes Compared Using the American Board of Orthodontics Objective Grading System

2007 ◽  
Vol 77 (5) ◽  
pp. 864-869 ◽  
Author(s):  
Daniel Kuncio ◽  
Anthony Maganzini ◽  
Clarence Shelton ◽  
Katherine Freeman
Keyword(s):  
New York ◽  
Orthodontic Treatment ◽  
Rank Test ◽  
Grading System ◽  
American Board Of Orthodontics ◽  
Signed Rank ◽  
Objective Grading System ◽  
Signed Rank Test ◽  
Fixed Appliances ◽  
One Year

Abstract Objective: To compare the postretention dental changes between patients treated with Invisalign and those treated with conventional fixed appliances. Materials and Methods: This is a comparative cohort study using patient records of one orthodontist in New York City. Two groups of patients were identified that differed only in the method of treatment (Invisalign and Braces group). Dental casts and panoramic radiographs were collected and analyzed using the objective grading system (OGS) of the American Board of Orthodontics (ABO). The cases were evaluated immediately after appliance removal (T1) and at a postretention time (T2), three years after appliance removal. All patients had completed active orthodontic treatment and had undergone at least one year of retention. A Wilcoxon rank sum test was used to evaluate differences in treatment outcomes between the groups for each of the eight categories in the OGS, including four additional subcategories in the alignment category. A Wilcoxon signed rank test was used to determine the significance of changes within each group from T1 to T2. Results: The change in the total alignment score in the Invisalign group was significantly larger than that for the Braces group. There were significant changes in total alignment and mandibular anterior alignment in both groups. There were significant changes in maxillary anterior alignment in the Invisalign group only. Conclusions: In this sample for this period of observation, patients treated with Invisalign relapsed more than those treated with conventional fixed appliances.

scholarly journals A retrospective analysis with quality of life assessment of nasal surgery for nasal obstruction

2018 ◽  
Vol 5 (1) ◽  
pp. 5
Author(s):  
Mehmet Fatih Karakus ◽  
Suleyman Emre Karakurt ◽  
Mustafa Colak
Keyword(s):  
Quality Of Life ◽  
Nasal Obstruction ◽  
Life Assessment ◽  
Rank Test ◽  
Signed Rank ◽  
Symptom Evaluation ◽  
Signed Rank Test ◽  
The Difference ◽  
Age Range

<p class="abstract"><strong>Background:</strong> Nasal obstruction is a common health problem that disrupts a person’s quality of life (QoL). The Nasal Obstruction Symptom Evaluation scale (NOSE) is a QoL scale with questions specific to nasal obstruction symptoms. This study aimed to evaluate surgical success in patients who underwent nasal septal deviation surgery by using a NOSE assessment, thus determining the importance and efficacy of surgery in this group of patients.</p><p class="abstract"><strong>Methods:</strong> This study was conducted in between January 2016 and June 2017, including a total of 60 patients. The age range of the patients was 18–57 (mean, 34.4±9.9 years). The preoperative and postoperative scoring and surgeries were performed by the same investigator. The surgeries were septoplasty and radiofrequency applied to the inferior concha to overcome conchal hypertrophy. Preoperative mean scores were compared with postoperative second-month values. The importance of difference was evaluated with the Wilcoxon signed-rank test.  </p><p class="abstract"><strong>Results:</strong> Preoperative minimum, maximum and mean scores were 65.0, 100.0 and 83.4 (83.41±8.15), respectively. Postoperative minimum, maximum and mean scores were 10.0, 35.0 and 21.6 (21.66±8.06), respectively. The difference in mean scores was significant (Z=−6.778; p&lt;0.001).</p><p class="abstract"><strong>Conclusions:</strong> The difficulty in evaluating patient satisfaction and postoperative success stems from differences in each surgeon’s approach and the comparison of preoperative and postoperative findings. This study, which was carried out by the same researcher for all steps, differs it from similar studies.</p>

Research interrupted: The impact of the COVID-19 pandemic on multiple sclerosis research in the field of rehabilitation and quality of life

2021 ◽  
Vol 7 (3) ◽  
pp. 205521732110380
Author(s):  
Rebecca Maguire ◽  
Sinead Hynes ◽  
Barbara Seebacher ◽  
Valerie J Block ◽  
Kathy M Zackowski ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Negative Impact ◽  
Rank Test ◽  
Signed Rank ◽  
Competing Demands ◽  
Signed Rank Test ◽  
The Impact ◽  
Future Landscape

Background The COVID-19 pandemic has likely had a negative impact on rehabilitation and quality of life (QoL) research in multiple sclerosis (MS). Method We explored perceived barriers to research among 87 researchers, representing 18 countries, both prior to and since COVID-19. Results A Wilcoxon signed-rank test found that significantly more researchers reported experiencing barriers to research since the onset of the pandemic compared to pre-COVID-19 (p < .001), with 78% of respondents reporting at least some barriers since COVID-19. The most commonly-cited barriers related to participant access (n = 38) and interruptions/delays to projects (n = 19). Although no gender differences were found in the number of barriers reported, female respondents were more likely to cite time or competing demands as barriers to research. Females were also more likely to perceive being negatively impacted by the pandemic compared to other genders (p = .007). Conclusions Implications for the future landscape of rehabilitation research in MS are discussed.

scholarly journals Evaluasi Edukasi Personal Dalam Pemahaman, HBA1c dan Kualitas Hidup Pasien DM Tipe 2 di Sidoarjo

2021 ◽  
Vol 8 (1) ◽  
pp. 132
Author(s):  
Khurin In Wahyuni ◽  
Martina Kurnia Rohmah ◽  
Herni Setyawati
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Blood Sugar ◽  
Rank Test ◽  
Signed Rank ◽  
Before And After ◽  
Signed Rank Test ◽  
Sugar Levels

Diabetes Mellitus (DM) merupakan salah satu penyakit degeneratif tertinggi ke-enam di dunia, dimana prevalensi diabetes semakin meningkat sejalan dengan perubahan gaya hidup masyarakat yang cenderung konsumtif dan minim aktifitas fisik. Diabetes Mellitus ditandai dengan kenaikan gula darah karena kelainan insulin, resistensi insulin atau bisa juga keduanya. Salah satu upaya untuk penanganan dan pencegahan timbulnya peningkatan DM tipe 2 adalah dengan pemberian edukasi menggunakan media booklet. Edukasi merupakan penyampaian pesan kesehatan kepada kelompok atau individu dengan tujuan memperoleh pemahaman dan peningkatan kualitas hidup yang ditandai dengan penurunan HBA1c yang lebih baik. Penelitian ini bertujuan untuk mengevaluasi pemahaman, kualitas hidup dan perbedaan kadar gula darah sebelum dan sesudah pemberian edukasi dengan media booklet terhadap pasien DM tipe 2 di Sidoarjo. Rancangan penelitian yang digunakan adalah Random Control Trial Design. Penelitian ini dilakukan dari bulan Juni sampai Oktober 2020 dengan sampel 60 pasien. Pengukuran pemahaman menggunakan kuesioner DKQ Quessioner, perubahan perilaku menggunakan kuesioner DQOL sedangkan penetapan kadar HBA1c dengan alat tes gula darah. Hasil analisis kuantitatif dilakukan dengan menggunakan uji Wilcoxon Signed Rank Test dan uji Mann Whitney dimana terdapat perbedaan yang signifikan antara, pemahaman, kualitas hidup serta kadar gula darah HBA1c sebelum dan sesudah edukasi.  Pada hasil uji Spearman’Rank’s kelompok intervensi diperoleh nilai koefisien korelasi sebesar 0,586 dengan signifikansi 0,001 untuk pemahaman dengan HBA1c, hasil pemahaman dengan kualitas hidup diperoleh korelasi dengan nilai 0,552 dan p= 0,002. Pada uji korelasi antara HBA1c dengan kualitas hidup diperoleh nilai -0,434, sedangkan signifikansi diperoleh p=0,017, Hal ini menunjukan hubungan antara variable didapat korelasi sedang. Berdasarkan penelitian ini maka dapat disimpulan bahwa terdapat efektivitas edukasi terhadap pemahaman, A1c dan kualitas hidup. Kata Kunci: Diabetes Mellitus, Edukasi, Pemahaman, Kualitas Hidup, Kadar HBA1C, Kualitas Hidup  Diabetes Mellitus (DM) is one of the sixth highest degenerative diseases in the world, the prevalence of diabetes is increasing in line with changes in people's lifestyles that tend to be consuming and minimal physical activity. DM is characterized by an increase in blood sugar due to insulin disorders, insulin resistance or both. One of the efforts to handle and prevent an increase in type 2 diabetes is trough education using booklet media. Education is the delivery of health messages to groups or individuals to gain understanding and improve the quality of life, marked by a better decrease in HBA1c. This study used a Random Control Trial Design. This study aims to determine the understanding, quality of life and differences in blood sugar levels before and after giving education with booklet media to type 2 DM patients in Sidoarjo. This study was conducted from June-October 2020 with a sample of 60 patients. Measurement of understanding using the DKQ Quessioner questionnaire, behavior change using the DQOL questionnaire while HBA1c levels using a blood sugar test kit. The results of quantitative analysis were carried out using the Wilcoxon Signed Rank Test and the Mann Whitney test, from these results there were significant differences between, understanding, quality of life and blood sugar levels of HBA1c before and after education. While the results of the Spearman 'Ranks test for the intervention group obtained a correlation coefficient of -0.586 with a significance of 0.001 for understanding with HBA1c, the results of understanding with quality of life obtained a correlation with a value of 0.552 and p = 0.002. In the correlation test between HBA1c and quality of life, the value -0.434, while the significance was p = 0.017, and this shows the relationship between variables obtained moderate correlation. From this research, there is educational effectiveness on understanding, A1c and quality of life.

scholarly journals Comparison of effects of medicinal cannabis or standard palliative care on quality of life of patients with cholangiocarcinoma in Northeast Thailand

F1000Research ◽  
2022 ◽  
Vol 11 ◽  
pp. 20
Author(s):  
Narisara Phansila ◽  
Chaiyasit Sittiwet ◽  
Ranee Wongkongdech
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Rank Test ◽  
Northeast Thailand ◽  
Care Clinic ◽  
Early Access ◽  
Signed Rank Test ◽  
Medicinal Cannabis ◽  
Pre Treatment

Background: Cholangiocarcinoma (CCA) has a poor prognosis and is a major cause of mortality and suffering in Thailand’s Northeastern (Isaan) Region.   Methods: This prospective cohort study aimed to compare the health-related quality of life (HRQoL) among 72 newly diagnosed CCA patients; 42 patients who received cannabis treatment (CT) and 30 patients who received a standard palliative care treatment (ST). The study was carried out between 1st September 2019 to 31st October 2020.  Data were collected from patients from oncology clinics of six hospitals in five provinces of northeast Thailand. The HRQoL was measured at baseline, and at 2 and 4 months after diagnosis by the European Organisation for Research and Treatment of Cancer (EORTC) Core Quality of Life questionnaires QLQ-C30, and QLQ-BIL21. The Mann-Whitney U-test was performed to compare quality of life scores between the two patient groups and Wilcoxon signed rank test was performed to compare within groups QoL scores at pre-treatment, and 2 and 4 month follow-ups. Results: Global health status and functional scales, for both groups were high at pre-treatment. At 2 and 4 month follow-up, CT group patients had consistent statistically significantly better Palliative Performance Scale (PPS), and QoL scores, and many symptom scores than the ST group.   Conclusions: Medicinal cannabis may increase QoL for advanced CCA patients. Our findings support the importance of early access to palliative cannabis care clinic before the terminal and acceleration phase close to death.

scholarly journals The Incidence and Severity of Drug Interactions Before and After Antiretroviral Therapy Simplification in Treatment-Experienced Patients With HIV Infection

2019 ◽  
Vol 54 (1) ◽  
pp. 36-42
Author(s):  
Nicholas V. Hastain ◽  
Aleena Santana ◽  
Jason J. Schafer
Keyword(s):  
Antiretroviral Therapy ◽  
Hiv Infection ◽  
Drug Interactions ◽  
Patient Adherence ◽  
Potential Interaction ◽  
Rank Test ◽  
Signed Rank ◽  
Before And After ◽  
Signed Rank Test

Background: Current guidelines advocate for antiretroviral therapy (ART) simplification in patients on complicated regimens. Simplifying ART improves patient adherence and quality of life, but changes in drug interactions (DIs) are uncertain. Objective: This study assessed changes in DIs following ART simplification in patients with HIV. Methods: This was an observational, retrospective cohort study of patients attending an urban HIV clinic. Patients were included if they had ART simplification (a decreased number of daily tablets) and ≥1 concomitant medication (CM). Total DI scores were generated for each patient pre–ART simplification and post–ART simplification using an online DI database. Each ART-CM pair labeled as “do not co-administer” was given a score of 2, “potential interaction” a score of 1, or “no interaction” a score of 0. Differences in total DI scores following simplification were analyzed with a Wilcoxon Signed-Rank test. Predictors of DI score reductions were examined with linear regression. Results: A total of 99 patients were included. Their median age was 54 years, and 79% were male. The median durations of HIV infection and ART were 16 and 10 years, respectively. Patients were receiving an average of 4.5 CMs. Median interaction scores presimplification and postsimplification were 3 (interquartile range [IQR], 1-6) and 1 (IQR, 0-2) respectively ( P < 0.001). Predictors of score reductions were the patient’s number of CMs, discontinuing a protease inhibitor, and switching to a dolutegravir-based regimen. Conclusion and Relevance: ART simplification decreased the incidence of DIs in this analysis of patients with advanced age who had ART experience and polypharmacy.

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