scholarly journals Early same admission closure of temporary bowel stomas: pros and cones

2021 ◽  
Author(s):  
Ahmed Abdelkahaar Aldardeer ◽  
Alaa Alsuity ◽  
Ahmed Gaber Mahmoud
Keyword(s):  
Wound Complication ◽  
Stoma Closure ◽  
Stoma Reversal ◽  
Temporary Stoma ◽  
Bowel Surgery ◽  
Health Related Qol ◽  
Related Quality ◽  
Health Related ◽  
Diversion Stoma ◽  
Surgery Department

Background: Early closure of a temporary stoma is usually associated with low morbidity and mortality. However, some cases of stoma reversal may develop complications which may need surgical correction with subsequent major complications. We aim to evaluate early bowel stoma closure; de-functioning diversion stoma closure within the same admission (8-15 days) and study morbidity, health related quality of life (QOL) and length of stay at hospital (LOH).                                                                                                          Methods: This study was done at general surgery department, Sohag faculty of medicine; in the period between March 2020 and March2021, 28 patients were closed early (at the same admission). Which are chosen randomly. The 28 patients who underwent early temporary stoma reversal following bowel surgery and abdominal exploration between March 2020 and March 2021 were included. The rate of complications (medical and surgical) following early stoma closure were assessed. Health-related QoL and LoH were assessed.Results: Total 28 patients were taken up for early stoma closure, reversal of stoma occurred between 8-15 days following its creation. Postoperative complications occurred in 53% of our patients, skin excoriation the commonest (28%). No difficulty was encountered during stoma closure surgery. Post-operative complications occurred in 53% of patients. 5 patients develop Ileus which were managed conservatively and one patient (3.5%) develop intra-abdominal abscess and treated with aspiration under sonographic guided. In our study no mortality occurred.Conclusions: Early stoma closure is feasible in selected patients, with reduced hospital stay, adhesions, bowel obstruction and medical complications and leads to better QOL, but a higher wound complication rate. 

scholarly journals Quality of Life and Health for Patients with Chronic Periodontitis: A Qualitative Study

2020 ◽  
Author(s):  
Jeehee Pyo ◽  
Ji-Hyun Lee ◽  
Mina Lee ◽  
Minsu Ock
Keyword(s):  
Quality Of Life ◽  
Periodontal Disease ◽  
Dental Care ◽  
Dental Health ◽  
The Elderly ◽  
Health Related Quality ◽  
Health Related Qol ◽  
Related Quality ◽  
Health Related

Abstract Background: Disease burden created by periodontal disease has been recognized as a global challenge. The burden of medical expenses is expected to increase continuously, parallel to the growth of the elderly population. Periodontal disease causes tooth loss if not treated early, and advanced periodontitis can cause a decline in chewing ability and word pronunciation as well as aesthetic function. These results diminish the health-related quality of life (QOL) for various populations, particularly the elderly, adults, pregnant women, and workers. Thus, not only is early detection and management of the disease necessary, but also a systematic strategy for the prevention of periodontal diseaseMethods: Adults 19 years of age or older diagnosed with chronic gingivitis (K05.1) or chronic periodontitis (K05.3) under the ICD-10 codes were selected to participate in the study. Among the patients visiting the dental outpatient department, the study participants were chosen for our sample. A total of 20 participants were informed of the purpose of the study and gave consent to participate in in-depth interviews.Results: The analysis results were summarized into the four upper categories of ‘Interfering Element for Dental Care,’ ‘Declined Quality of Life caused by Dental Disease,’ ‘Satisfaction Elements after Treatment of Dental Disease,’ ‘Improvements for Voluntary Dental Care.’ The treatment of periodontal disease has improved the health-related quality of life and enabled the participants to have positive health behaviors for dental care. Furthermore, they recognized the severity of periodontal disease and the importance of dental examinations. It enabled them to be aware of the need of societal effort for dental care awareness.Conclusions: This study was an in-depth examination of the health-related QOL of periodontal patients through qualitative research methodology. The experiences of periodontal disease identified by this study can not only help to assess the adequacy of the current dental health-related QOL assessment tools but also recognize unmet needs regarding periodontal disease and, ultimately, to raise the awareness of periodontal disease among the general public. Based on this research, we expect that research on health-related QOL on periodontal disease would expand and revitalize the dental health system and practices.

scholarly journals Effects of Euglena gracilis EOD-1 Ingestion on Salivary IgA Reactivity and Health-Related Quality of Life in Humans

Nutrients ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 1144 ◽  
Author(s):  
Ken-ichi Ishibashi ◽  
Machiko Nishioka ◽  
Nobuteru Onaka ◽  
Madoka Takahashi ◽  
Daisuke Yamanaka ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Euglena Gracilis ◽  
Health Related Quality ◽  
Salivary Iga ◽  
Health Related Qol ◽  
Related Quality ◽  
Health Related ◽  
Antibody Titers ◽  
Iga Antibody

Euglena gracilis EOD-1, a microalgal strain known for high yields of the β-1, 3-glucan paramylon, is suggested to function as a dietary fiber and enhance immunity. Here, we aimed to investigate the effects of E. gracilis EOD-1 biomass (EOD1BM) ingestion on immunoglobulin A (IgA) antibody titers in saliva, its reactivity, and the health-related quality of life (QOL) in humans. Reacting human immunoglobulin preparations and saliva with paramylon granules revealed the presence of anti-paramylon antibodies in the blood and saliva. We conducted a placebo-controlled, double-blind, crossover study involving 13 healthy subjects who ingested the placebo or EOD1BM for 4 weeks. Saliva was collected from each subject before and after ingestion, and IgA titers and E. gracilis EOD-1 paramylon (EOD1PM) reactivity were compared. In the EOD1BM Ingestion group, the anti-EOD1PM IgA content and titer increased after EOD1BM ingestion. No such change was observed in the Placebo group. Furthermore, the health-related QOL, especially mental health, increased in the EOD1BM Ingestion group. Thus, EOD1BM ingestion led to the production of paramylon (PM)-specific IgA antibody and increased salivary IgA antibody titers. We demonstrate that EOD1BM ingestion enhanced the immunity in the mucosal surface, evoked an antigen-specific response, and increased the health-related QOL, thereby contributing to health improvement.

The impact of forced displacement in World War II on mental health disorders and health-related quality of life in late life – a German population-based study

2012 ◽  
Vol 25 (2) ◽  
pp. 310-319 ◽  
Author(s):  
Simone Freitag ◽  
Elmar Braehler ◽  
Silke Schmidt ◽  
Heide Glaesmer
Keyword(s):  
Mental Health ◽  
World War Ii ◽  
Mental Health Disorders ◽  
Forced Displacement ◽  
Health Related Qol ◽  
Related Quality ◽  
Health Related ◽  
Displaced People ◽  
Health Disorders ◽  
The Impact

ABSTRACTBackground: Long-term effects of World War II experiences affect psychological and physical health in aged adults. Forced displacement as a traumatic event is associated with increased psychological burden even after several decades. This study investigates the contribution of forced displacement as a predictor for mental health disorders and adds the aspect of health-related quality of life (QoL).Method: A sample of 1,659 German older adults aged 60–85 years was drawn from a representative survey. Post-traumatic stress disorder (PTSD), somatoform symptoms, depressive syndromes, and health-related QoL were assessed as outcome variables. Chi-square and t-test statistics examined differences between displaced and non-displaced people. Logistic regression analyses were performed to examine the impact of forced displacement on mental health disorders and QoL.Results: Displaced people reported higher levels of PTSD, depressive and somatoform symptoms, and lower levels of health-related QoL. Displacement significantly predicted PTSD and somatoform symptoms in late life, but not depressive disorders. Health-related QoL was predicted by forced displacement and socio-demographic variables.Conclusion: Forced displacement is associated with an elevated risk for PTSD and somatoform symptoms and lowered health-related QoL in aged adults. Its unique impact declines after including socio-demographic variables. Long-term consequences of forced displacement need further investigations and should include positive aspects in terms of resilience and protective coping strategies.

Development of a Situation-Specific Theory for Explaining Health-Related Quality of Life Among Older South Korean Adults With Type 2 Diabetes

2014 ◽  
Vol 28 (2) ◽  
pp. 113-126 ◽  
Author(s):  
Sun Ju Chang ◽  
Eun-Ok Im
Keyword(s):  
Quality Of Life ◽  
Type 2 Diabetes ◽  
Health Related Quality ◽  
South Korean ◽  
Korean Adults ◽  
Health Related Qol ◽  
Related Quality ◽  
Health Related

The purpose of the study was to develop a situation-specific theory for explaining health-related quality of life (QOL) among older South Korean adults with type 2 diabetes. To develop a situation-specific theory, three sources were considered: (a) the conceptual model of health promotion and QOL for people with chronic and disabling conditions (an existing theory related to the QOL in patients with chronic diseases); (b) a literature review using multiple databases including Cumulative Index for Nursing and Allied Health Literature (CINAHL), PubMed, PsycINFO, and two Korean databases; and (c) findings from our structural equation modeling study on health-related QOL in older South Korean adults with type 2 diabetes. The proposed situation-specific theory is constructed with six major concepts including barriers, resources, perceptual factors, psychosocial factors, health-promoting behaviors, and health-related QOL. The theory also provides the interrelationships among concepts. Health care providers and nurses could incorporate the proposed situation-specific theory into development of diabetes education programs for improving health-related QOL in older South Korean adults with type 2 diabetes.

scholarly journals Health related quality of life of the geriatric population living in rural areas of West Tripura district of India: a cross-sectional study

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Arpita Debnath ◽  
Himadri Bhattacharjya
Keyword(s):  
Rural Areas ◽  
Ethnic Origin ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Health Related Qol ◽  
Related Quality ◽  
Health Related

Growing life expectancy is challenging the quality of health care for elderly. Information regarding health related quality of life (QOL) may help policy makers to design need based health programs for this population. The objectives of this study were to estimate health related QOL of the geriatric population living in rural areas of West Tripura district and to compare it between ethnic and non-ethnic populations in respect to important domains. This community based cross-sectional study was conducted during 1st February 2019 to 31st March 2020 among 225 geriatric subjects of rural West Tripura district chosen by multistage sampling. World Health Organization’s QOL-BREF scale was used for data collection. Among the study population 46.2% had overall good health related QOL. About 52.9% had good QOL in environment and 37.3% had good QOL in social relationship domains. Marginally higher proportion of the subjects from ethnic origin had better QOL than the non-ethnic but it was not significant. Higher proportion of the Muslim subjects had better QOL than the rest, but it was also not significant. Bivariate analysis showed significant associations of QOL with age, sex, literacy, financial condition, socioeconomic status and type of family. Multivariate analysis identified male sex, younger age and living with spouse as significant predictors of good QOL. Overall health related QOL of the geriatric people living in rural areas of West Tripura district is poor but younger male subjects, of ethnic origin and living with spouse may enjoy relatively better QOL.

scholarly journals Assessment of oral health-related quality of life among head-and-neck cancer patients attending cancer care center at Kanchipuram, Tamil Nadu – A cross-sectional study

2021 ◽  
Vol 4 ◽  
pp. 20-26
Author(s):  
Sekar Aswini ◽  
Girish R Shavi ◽  
S Shankar ◽  
Ranganath Sanga ◽  
G Lalithambigai ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Tamil Nadu ◽  
Care Center ◽  
Social Contact ◽  
Cross Sectional ◽  
Health Related Qol ◽  
Related Quality ◽  
Health Related

Objectives: Oral health is closely related to general health and people’s quality of life (QoL), through affecting their oral functions and social interactions. This study aims to assess the oral health-related QoL among head-and-neck cancer (HNC) patients attending cancer care center at Kanchipuram, Tamil Nadu. Materials and Methods: A cross-sectional questionnaire-based study was conducted among 340 HNC patients between August and October 2019 attending Government Arignar Anna Memorial Cancer Hospital and Research Institute in Kanchipuram District of Tamil Nadu. The questionnaire has two parts. The 1st part consists of demographic characteristics and cancer-related details. The 2nd part was the European Organization of Research and Treatment of Cancer QoL in HNC patients (EORTC QLQ H&N-35) questionnaire. Results: Among 340 patients, 72.4% were male and 27.6% were female. The majority of them had Stage II cancer. The main factors affecting oral health related QoL (OHRQoL) were taking painkillers, loss of sexual interest, difficulty in social contact, teeth problems, loss of taste, and smell senses. Significant association found between pain (P = 0.000), sense (P = 0.003), speech (P = 0.000), social eating (P = 0.016), social contact (P = 0.005), teeth problems (P = 0.031), dry mouth (P = 0.000), sticky saliva (P = 0.000), cough (0.002), feeling ill (P = 0.003), nutritional supplement (P = 0.042), and lost weight (P = 0.034) with respect to various treatment modalities. Based on the OHRQoL scores, those who were treated surgically alone had better QoL than others. Conclusion: We found that surgically treated HNC patients had better OHRQoL than others. Thus, Oral-Health related Quality of Life assessment can be used to analyse the outcome of treatment, patient satisfaction and their sense of self. We need to build a broader care protocol which satisfies/improves the demands arising from the patients.

scholarly journals Children with an Autism Spectrum Disorder and Their Caregivers: Capturing Health-Related and Care-Related Quality of Life

2019 ◽  
Vol 50 (1) ◽  
pp. 263-277 ◽  
Author(s):  
Leontine W. ten Hoopen ◽  
Pieter F. A. de Nijs ◽  
Jorieke Duvekot ◽  
Kirstin Greaves-Lord ◽  
Manon H. J. Hillegers ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Autism Spectrum Disorder ◽  
Primary Caregivers ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Negative Effects ◽  
Health Related Qol ◽  
Related Quality ◽  
Health Related

Abstract This study investigated health-related QoL (HRQoL) and care-related quality of life (CarerQol) in clinically referred children with an autism spectrum disorder (ASD), and their primary and secondary caregivers. The EuroQol five-dimensional (EQ-5D) and the CarerQol questionnaires were used to respectively measure health-related QoL and care-related QoL. Primary caregivers reported pain/discomfort (42%) and anxiety/depression (40%). In caring, they mostly experienced problems in the relationship with the child (84%), and in combining care with daily activities (51%). Children with ASD had a relevantly lower QoL. Despite negative effects, almost all caregivers (96%) derived fulfillment from caring for their affected children. HRQoL and CarerQol reports of primary caregivers and children were correlated, both providing useful information to ASD measurement and treatment.

Tinnitus and Its Association With Mental Health and Health-Related Quality of Life in an Older Population: A Nationwide Cross-Sectional Study

2020 ◽  
pp. 073346482096651
Author(s):  
Hye-Min Park ◽  
Jinsei Jung ◽  
Jong-Koo Kim ◽  
Yong-Jae Lee
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Older People ◽  
Community Dwelling ◽  
Three Dimensions ◽  
Health Related Quality ◽  
Health Related Qol ◽  
Related Quality ◽  
Health Related

This study investigated the relationship of tinnitus with mental health and health-related quality of life (QoL) in older people. Data source included 5,129 community-dwelling men and women ≥60 years old from the Korean National Health and Nutrition Examination Survey. Tinnitus was categorized into three groups: normal, tolerable tinnitus, and annoying tinnitus. Mental health and health-related QoL were assessed according to three dimensions (depressive mood, psychological distress, and suicidal ideation) and five domains (impaired mobility, impaired self-care, impaired usual activities, pain/discomfort, and anxiety/depression). The odds ratios (ORs) and 95% confidence intervals (CIs) of mental health and health-related QoL were calculated using multiple logistic regression analyses. Annoying tinnitus was positively and independently associated with deteriorated mental health and health-related QoL, suggesting comprehensive care is needed in older people with annoying tinnitus.

scholarly journals A-107 Historyt of Remote Mild TBI Predicts Poor Health-Related Quality of Life Outcomes in Military Veterans

2020 ◽  
Vol 35 (6) ◽  
pp. 900-900
Author(s):  
Sakamoto M ◽  
Delano-Wood L ◽  
Schiehser D ◽  
Merritt V
Keyword(s):  
Social Functioning ◽  
Bodily Pain ◽  
Combat Exposure ◽  
Sf 36 ◽  
Health Related Qol ◽  
Related Quality ◽  
Health Related ◽  
History Of ◽  
Neurobehavioral Symptoms

Abstract Objective We examined health-related quality of life (QOL) in military Veterans with and without a history of mild traumatic brain injury (mTBI). Additionally, we investigated how mTBI injury characteristics modify health-related QOL. Method Veterans with a history of remote mTBI (n = 81) and military controls (MCs) without a history of mTBI (n = 62) completed self-report questionnaires measuring combat exposure, posttraumatic stress disorder (PTSD) and neurobehavioral symptoms, and health-related QOL. Primary outcomes included the eight subscales of the 36-Item Short-Form Survey (SF-36). Results ANCOVAs adjusting for combat exposure and PTSD symptoms found that the mTBI group demonstrated significantly more health-related QOL symptoms when compared to MCs across the following SF-36 subscales: General Health, Vitality, Bodily Pain, Physical Role Functioning, and Social Functioning (p = .001–.045, ηp2 = 0.03–0.07). Within the mTBI sample, repetitive mTBI, combat exposure, and PTSD and neurobehavioral symptoms collectively significantly predicted all five QOL subscales (all p’s < .001), accounting for roughly 33–53% of the total variance. Greater neurobehavioral symptoms were associated with lower Physical Role Functioning, Vitality, and Social Functioning scores; repetitive TBI was associated with higher Bodily Pain scores; greater PTSD symptoms were associated with lower Social Functioning scores; and greater combat exposure was associated with lower General Health scores. Conclusions Results suggest that, over and above PTSD and combat exposure, mTBI status independently contributes to health-related QOL. Moreover, specific dimensions of health-related QOL are influenced by different factors, with affective and vestibular-related neurobehavioral symptoms showing the strongest negative associations with health-related QOL. Findings highlight the need for comprehensive assessment and multimodal treatment within this vulnerable population.

360 Efficacy of CBT-I and its Components on Health-Related Quality of Life Outcomes in Older Adults

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A143-A144
Author(s):  
Kelly Showen ◽  
Kathleen O’Hora ◽  
Beatriz Hernandez ◽  
Laura Lazzeroni ◽  
Jamie Zeitzer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Older Adults ◽  
Health Related Quality ◽  
Health Related Qol ◽  
Related Quality ◽  
Health Related ◽  
The Impact ◽  
Over Time

Abstract Introduction Insomnia affects 30–48% of older adults and impairs health-related quality of life (HRQoL). Numerous studies report Cognitive Behavioral Therapy (CBT-I) as an effective non-pharmacological treatment for insomnia symptoms, with few examining the impact of CBT-I on mental and physical aspects of HRQoL. While limited research suggests that CBT-I leads to improvements in HRQoL, the impact of the cognitive versus behavioral components of CBT-I on HRQoL is unknown. Methods 128 older adults with insomnia (mean age=69, 66% female, 19% minority) were randomized to receive cognitive therapy (CT), behavior therapy (BT), or CBT-I. The Short Form (36) Health Survey (SF-36) was collected at baseline, post-treatment and six-month follow-up. Split-plot linear mixed models with age and sex as covariates to assess within and between subject changes were used to test intervention, time, and interaction effects on the mental health and physical well-being domains of HRQoL. Significance for all effects was defined as p < 0.05. The effect size (d) was calculated by dividing the difference between means by the root-mean-squared error of the mixed effects model. Results The mental health-related QoL improved over time independent of treatment (Main effect of time: F(2, 202) = 6.51, p < 0.002). The interaction failed to reach significance (Interaction: F(4, 202) = 1.19, p = .31). Simple effects revealed significant improvements among CBT-I participants at six months (p = .02, d = .53) and CT participants at post-treatment (p = .00, d = .79) and six months (p = .03, d = .66), but not among BT participants for either time point (p = .32, d = .24; p = .16, d = .35). Treatment did not improve physical health-related QoL over time (F(2, 202) = 1.01, p = .37) nor was there a significant interaction (F(4, 202) = .46, p = .76). Conclusion These findings suggest that CBT-I, particularly the CT component, may be effective in improving mental health-related QoL outcomes for older adults with insomnia. In contrast, neither CBT-I nor its component treatments were effective in improving physical health-related QoL. Support (if any) NIMHR01MH101468-01; Mental Illness Research, Education, and Clinical Center (MIRECC) at the VAPAHCS

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