scholarly journals Influence of long term stress exposure on somatisation symptoms outcome

2004 ◽  
Vol 4 (4) ◽  
pp. 28-31
Author(s):  
Sabaheta Hasić ◽  
Emina Kiseljaković ◽  
Radivoj Jadrić ◽  
Belma Zečević ◽  
Nešina Avdagić ◽  
...  

Long term stress exposure results in somatisation symptoms appearance. Cardiovascular, respiratory, gastrointestinal and muscle-bone symptoms arise because of intensified activity of autonomic nervous system caused by chronic stress. The aim of the study was to examine the relationship between long term war stress exposure and appearance of somatisation. 40 students of health-care faculties in Sarajevo, of both sexes, were included in investigation and divided in two groups-somatisation and control. Somatisation group subjects (N=20) lived in B&H under war conditions, from 1992-1995. Control subjects (N=20) spent the same period outside B&H. For evaluation of somatisation symptoms we used SCL-90-R test. The obtained data were statistically evaluated using Student’s t-test and χ2 test. Confidence level was set at ρ < 0,05. Our results showed statistically significant difference in somatisation level between somatisation and control subjects group. Different intensity of appearance of certain symptoms in male and female was established. The score of somatisation dimension between somatisation and control group showed statistically significant level (p < 0,0001). Study results confirmed correlation of chronic stress exposure (living in war environment) and somatisation symptom appearance. Individual organic systems had various level of symptom expression. The influence of sex on intensity of individual symptoms of somatisation is possible.

2021 ◽  
Author(s):  
Vildan Güngörer ◽  
Mehmet Öztürk ◽  
Mustafa Yasir Özlü ◽  
Şükrü Arslan

ABSTRACT Objectives Long-term therapy with low-dose methotrexate (MTX) is widely used in treatment of rheumatic diseases, in children. The purpose of this study was to evaluate liver elasticity in patients with juvenile idiopathic arthritis (JIA) who received MTX and compare the results with control group. Methods Liver elasticity was evaluated with shear wave elastography (SWE) technique in 25 patients aged 3–17 years who were followed up with JIA and received MTX and compared with 25 healthy controls of the same age and weight. Factors that had an effect on liver elasticity were examined. Results The mean SWE value of patients was 2.64 ± 2.13 m/s and 24.10 ± 18.50 kPa, whereas 1.83 ± 0.16 m/s and 10.09 ± 1.83 kPa in control group. There was a significant difference in liver elasticity in the patient and control groups. When the patients were evaluated as Group 1 (&lt; 1000 mg) and Group 2 (≥ 1000 mg) according to the cumulative MTX dose, no significant difference was obtained. There was positive correlation between liver elasticity and weekly MTX dose and age. Conclusions Our study revealed that liver elasticity significantly decreased in patients who received MTX when compared with the control group. The elastography technique will be understood better over time and used safely in many areas.


Author(s):  
Mustafa Can ◽  
Muhammet Kocabaş ◽  
Melia Karakose ◽  
Hatice Caliskan Burgucu ◽  
Zeliha Yarar ◽  
...  

Abstract Purpose: In our study, we aimed to determine the frequency of thyroid nodules in patients with acromegaly according to the American College of Radiology (ACR) Thyroid Imaging, Reporting and Data System (TI-RADS) classification and its relationship with acromegaly disease activity. Methods: A total of 56 patients with acromegaly and age, sex, and body mass index matched with 56 healthy control subjects were included in our study. Thyroid-stimulating hormone, free thyroxine, and anti-thyroperoxidase antibody levels of patients and control subjects were measured. In addition, patients and healthy controls were evaluated by ultrasonography to determine thyroid structure, thyroid volume, and thyroid nodules and to make ACR TI-RADS classification. Results: Thyroid nodules were present in 31 (55.4%) of 56 patients in the acromegaly group and 20 (35.7%) of 56 subjects in the control group, and the frequency of thyroid nodules was significantly higher in the acromegaly group (p=0.038). The mean number of nodules in the acromegaly group and control group was 1.27±1.43 and 0.48±0.73, respectively, and the mean number of nodules was significantly higher in the acromegaly group (p=0.003). The number of patients with TI-RADS 1, TI-RADS 2, and TI-RADS 4 nodules in the acromegaly group was higher than the control group (p=0.026, p=0.049, p=0.007, respectively). No difference was found in terms of cytological findings between those who have undergone FNAB in the acromegaly group and control group. Conclusion: In our study, we found that the frequency of thyroid nodules, the number of thyroid nodules, and the number of TI-RADS 1, TI-RADS 2, and TI-RADS 4 nodules increased in patients with acromegaly. There was no significant difference between acromegaly disease activity and thyroid nodule frequency, number of thyroid nodules, and TI-RADS classifications.


Author(s):  
Jignya Vinodbhai Asari ◽  
Anjali Pushkar Tiwari

Introduction: Pregnant woman experience various physical, emotional, and hormonal changes that may cause anxiety. The anxiety and worries can be decreased by sharing information about the developing child, like foetal body movement. Aim: To assess effect of Foetal Movement Counting (FMC) on prenatal attachment and maternal worries among primigravida mothers. Materials and Methods: A longitudinal study was carried out among primigravida mothers of selected Hospitals of Central Gujarat using proforma of Cranley’s maternal foetal attachment scale and Cambridge worry scale. The study was conducted from March 2019 to July 2020. Eighty participants were recruited by convenient sampling 40 in each study group and control group. The study group were provided with foetal movement chart and the participants were asked to record foetal movements for seven consecutive days, twice a day for 20 minutes. Post assessment of prenatal attachment and maternal worries was done using tools of data collection for both study and control group. Chi- square test was used to test the significance (p-value <0.05). Results: The study results revealed that in study group mean score for prenatal attachment was 79.43 at the start and improved to 101.25 (p-value <0.001) after seven days of FMC. In control group, the mean score for prenatal attachment did not show significant difference pre-test and post-test (74.20 vs 74.85, p-value=0.077). In study group, the mean Cambridge worry scale score was 36.55 which came down to 20.28 (p-value <0.001) after seven days, while in control group it was 41.38 at the beginning and 41.30 after seven days (p-value=0.998). Conclusion: Foetal Movement Counting was found to improve maternal foetal attachment and reduce maternal worries. FMC can be routinely and effectively promoted among the pregnant population to help them achieve a positive pregnancy experience and outcome.


2020 ◽  
Vol 1 (1) ◽  
pp. 7-12
Author(s):  
Heydari Behrooz ◽  
◽  
Zarban Asghar ◽  
Hosseini Rad Abbas ◽  
Feizmohammadi Akram ◽  
...  

AIM: To investigate the comparison of total antioxidant capacity in the serum of patients with pterygium and control subjects. METHODS: This case-control study was conducted on all persons referred to Ophthalmology Clinic of teaching Hospital of Vali-Asr (peace upon to him) with clinical symptoms of pterygium during the year 2016. The control group was selected among patients referred to the Ophthalmology Clinic of Vali-Asr (peace without pterygium) that the two groups were matched in terms of age, gender and place of residence. Sixty-six persons [31 people (47%) in patient group and 35 people (53%) in the control group] were enrolled by convenience sampling. Venous blood sample was taken from all patients after the sampling using ferric reducing antioxidant power (FRAP); FRAP- as a quick 10min measurement, the antioxidant power measurement of samples according to the conversion of ferric iron (Fe3+) to ferrous iron (Fe2+) was checked. The collected data ware entered to software SPSS 21 and were analyzed by chi-square and Mann-Whitney tests at the level of α =0.05. RESULTS: The mean of antioxidant capacity in patients was 842/55±161/46 μmol/L and antioxidant capacity in healthy controls was 856/77±209/41 μmol/L (P=0.8). In the comparison of mean serum antioxidant capacity in healthy individuals and in the serum of people with pterygium based on gender the results showed that the antioxidant capacity mean in male control subjects has been 894/05± 176/82 μmol/L and in females control 780/01±118/33 μmol/L that the observed difference have been reported statistically significant (P=0.008) but the other comparison according the gender between cases and control does not show any significant difference. CONCLUSION: The results of this study showed that the full level of serum antioxidant capacity in patients has been less than the mean of antioxidant capacity in control subjects; however, the observed difference has not been significant. The results of this study were consistent with basic results carried out on the damaging effects of oxidative stress in the pterygium pathogenesis. Recommending diet with minerals and vitamins containing antioxidants may be preventing the onset and progression of pterygium.


2020 ◽  
Vol 36 (1) ◽  
pp. 48-53
Author(s):  
Zeynep Selen Karalok ◽  
Zeynep Öztürk ◽  
Altan Gunes ◽  
Esra Gurkas

Background: Our aim in this study was to evaluate the efficacy of magnetic resonance imaging (MRI) studies in the detection of brain regions effected by Sydenham chorea and to determine whether they provided data regarding the pathogenesis of Sydenham chorea. To this end, we assessed basal ganglia structures in Sydenham chorea patients and control group by quantitative MRI volumetric analysis. Methods: Patients with a recent onset of chorea and control subjects matched for age and gender were included in the study. Medical history, laboratory tests, and physical and neurologic examinations were reviewed. All MRIs were considered within normal limits. High-resolution T1-weighted 3D magnetization-prepared rapid acquisition of gradient echo scans were used for quantitative volumetric assessment of the brain via the “volBrain” method. Results: Twenty-four subjects with Sydenham chorea (16 girls and 8 boys, aged between 7 and 16 years) and 35 control subjects were evaluated. Mean age was 11.25 ± 2.89 years for Sydenham chorea patients and 10.58 ± 2.53 years for the controls. No significant difference was found relative to globus pallidus, caudate, and thalamic volumes between patients with Sydenham chorea and controls. The relative mean total, left, and right putamen volumes were significantly larger in patients with Sydenham chorea compared to controls ( P = .003, P = .018, P = .001, respectively). Conclusion: Selective neuroanatomic differences in putamen among other basal ganglia structures and significant increases in size are consistent with a hypothesis of a cross-reactive antibody-mediated inflammation of the putamen as being the pathophysiologic mechanism for this disorder.


2010 ◽  
Vol 16 (3) ◽  
pp. 21-27
Author(s):  
R. M. Tikhilov ◽  
A. V. Kazemirsky ◽  
P. M. Preobrazhensky ◽  
I. I. Kroitoru ◽  
T. A. Kulyaba ◽  
...  

From 1999 to the present time in the Russian RITO n.a. R.R. Vreden 28 knee joint replacements were performed using bone autoplasty in patients with stage V aseptic necrosis of the tibial condyles. The control group included 150 patients who underwent knee arthroplasty using a standard technique. All the patients were monitored in the preoperative and postoperative periods in time from 3 to 7 years. Results of treatment were assessed using a 100-point Josef and Kaufman scale, as well as the scale of WOMAC. Among the patients were 128 (71,9%) women and 50 (28,1%) males, mean age was 67 years old. If comparing experimental and control groups in the preoperative period showed a significant difference, the postoperative results were identical. Bone autotransplantation during arthroplasty of the knee is a simple and effective method used in large defects condyles of the femur and tibia (more than 1/3 of the condyle, the depth of the defect over 10 mm).


2020 ◽  

Introduction: It is forecasted that in the near future, the United States will not have enough long-term care (LTC) nurses qualified or interested in the LTC arena to sustain the healthcare delivery system. The overall effectiveness of any health care delivery system hinges on a sustainable nursing workforce, which is the largest health professional group. Globally, a significant segment of the nursing workforce is nearing retirement age. Methods: Using pre- and post-intervention recruitment strategy surveys detailing the Realistic job preview (RJP), the Best-Foot-Forward, and a control brochure, this study investigated senior nursing students’ image and perception of long-term care nursing compared to their image and perception of other areas in nursing. The effects of prior experience with or exposure to LTC on students’ intention to apply for a position in LTC were examined in 221 senior year students earning the Bachelor of Science in nursing degree from three California universities. Results: The first hypothesis stated that pre-intervention students’ intent to apply for a position in LTC upon graduation would be significantly and positively associated with their pre-intervention image of LTC. A Pearson correlation coefficient between pre-intervention intent to apply and pre-intervention image was statistically significant, r = -.368, n = 221, p < .001, supporting the first hypothesis. Hypothesis 2: Post-intervention RJP students would have a significantly more positive perception of LTC nursing than BFF or control-group students. There would be no significant difference in the RJP, BFF and control group students’ pre-intervention image of LTC nursing. Hypothesis 2 was not significant. Hypothesis 3: Post-intervention RJP students would have a significantly stronger intent to apply for jobs in LTC nursing than BFF or control-group students. There would be no significant difference in RJP, BFF, and control group students’ pre-intervention intent to apply for a position in LTC nursing. Hypothesis 3 was not significant. Hypothesis 4: Senior nursing students’ pre-intervention intent to apply for a position in LTC upon graduation would be significantly and positively associated with prior experience in or exposure to LTC. Hypothesis 4 was not significant. Conclusions: To enhance LTC nursing image and to improve students’ perceptions of this line of nursing may be accomplished, in part, through program curriculum, including internships in LTC, offering multiple dedicated courses in LTC, and increasing the emphasis on LTC during nursing programs. Realistic job preview technique shows significant positive result over the Best-Foot-Forward technique. Keywords: Recruitment methods, realistic job preview, long-term care, nursing, LTC experience


2003 ◽  
Vol 15 (5) ◽  
pp. 257-261 ◽  
Author(s):  
Omar Šerý ◽  
Renáta Hladilová ◽  
Miroslav Novotný ◽  
Hana Hríbková ◽  
Vladimír Znojil ◽  
...  

Objectives:IL-6 plays the role as a physiological neuromodulator involved in dopaminergic, serotonergic and other neurotransmissions. The aim of the present association study was to examine the effect of the G/C -174 polymorphism of the IL-6 gene on disposition to alcoholism.Methods:We investigated the relationship between the G/C -174 polymorphism of the IL-6 gene and alcohol dependence in 281 alcoholics and 242 control subjects.Results:The significant difference in G allele frequency between alcoholic group (0.52) and control group (0.59) was found (P < 0.03).Conclusion:To our knowledge, this is the first finding providing evidence for an association between alcoholism and the polymorphism of the IL-6 gene. The background of the relationship between the IL-6 gene and alcoholism is discussed.


Author(s):  
Samir K Choudhari ◽  
Nutan Potdar ◽  
Prabhuswami Hiremath ◽  
Dhanraj Kharat

Objectives: (1) To assess the level of anxiety among experimental and control groups of patients undergoing hemodialysis. (2) To determine the effectiveness of foot reflexology on anxiety among experimental group of patients undergoing hemodialysis. (3) To find the association between level of anxiety and selected sociodemographical variables among experimental and control groups of patients undergoing hemodialysis.Methods: The research approach adopted for this study was an evaluative approach, where the research design was a quasi-experimental design. The study was conducted in the dialysis unit in Krishna Hospital, Karad. The sample consists of 40 patients undergoing hemodialysis and further assigned to 20 in the experimental group and 20 in the control group. A convenient sampling technique was used to select the sample. The experimental group received foot reflexology twice in a week for 3 consecutive weeks and each session lasted for 20 minutes where a control group followed hospital routine management. The data were collected by structured questionnaire. The data were analyzed using descriptive and inferential statistics.Results: The mean post-test anxiety score in the experimental group was 16.6, and in the control group, it was 22.55, which was significantly greater. The t-test value was 3.50 and was found significant at p<0.001 level. The values revealed that there was a statistically significant difference in a level of anxiety between the experimental and control groups in the post-test.Conclusion: The study results show that the foot reflexology was effective to reduce the level of anxiety.


2011 ◽  
Vol 14 (2) ◽  
pp. 121-126
Author(s):  
Abdul Madjid ◽  
Dewi Irawaty ◽  
Tuti Nuraini

AbstrakPenelitian ini bertujuan untuk mendapatkan gambaran pengaruh Kegel’s exercise terhadap keluhan dribbling pasien pascatransurethral resection of the prostate (TURP). Sampel penelitian adalah responden yang dirawat di RS X dan RS Y yangmemenuhi kriteria inklusi. Jumlah sampel pada kelompok intervensi sejumlah 10 responden, sedangkan kelompok kontrol 10responden. Hasil penelitian menunjukan keluhan dribbling pada kelompok intervensi berhenti mulai hari ke-13, sedangkanpada kelompok kontrol berhenti mulai hari ke-24, sehingga membuktikan ada perbedaan yang signifikan rata-rata lama keluhandribbling antara kelompok intervensi dan kelompok kontrol (p= 0,007; α= 0,05). Penurunan lama keluhan dribbling padaresponden yang patuh melakukan Kegel’s exercise berhenti mulai hari ke-13, sedangkan pada responden yang tidak patuhberhenti mulai hari ke-20, sehingga membuktikan ada perbedaan yang bermakna rerata lama keluhan dribbling responden yangpatuh melakukan Kegel’s exercise dengan responden yang tidak patuh (p= 0,004; α= 0,05). Simpulan dari penelitian ini adalahKegel’s exercise terbukti dapat menurunkan keluhan dribbling pasien pasca TURP. Disarankan agar tiap rumah sakit dapatmenerapkan Kegel’s excercise terhadap pasien dengan keluhan dribbling pasca-TURP.Kata Kunci: Kegel’s exercise, keluhan dribbling, pasca transuretral resection of the prostate (TURP), patuh Kegel’s exerciseAbstractThis study aims to see the effect of Kegel’s exercise on Dribbling Complaint of Post Transurethral Resection of the Prostate(TURP) patient. The sample was the patients who are hospitalized in X hospital and Y hospital fulfill the inclusion criteria.There were 10 responden each for intervention and control groups. The study results show that dribbling complaint of patientin intervention group stop at day 13, while in control group stop at day 24. Thus, there is a significant difference of the averageof dribbling complaint duration between intervention and control groups (p= 0.007; α= 0.05). In addition, for the respondentsin intervention group who did the exercise regularly, the dribbling complaint stop at day 13 and those who did not do exerciseregularly the complaint stop at day 20. This is shown again that there is a significant difference of the average of dribblingcomplaint duration between those who do the exercise regularly and who do not do it regularly (p= 0.004; α= 0.05). Inconclusion, the Kegel’s’s exercise is proven can reduce the dribbling complaint of post TURP patient. It is recommended thateach hospital can apply Kegel’s excercise for patients with symptoms of post-TURP dribbling.Key words: Kegel’s’s exercise,


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