scholarly journals CLINICAL, LABORATORY AND ECONOMIC JUSTIFICATION OF ORTHOPEDIC TREATMENT OF PATIENTS WITH A NEW DEVICE FOR RESTORING THE MISSING CLINICAL CROWN OF PREMOLARS

2020 ◽  
Vol 16 (1) ◽  
pp. 149-156
Author(s):  
Vladislav Matrosov
Keyword(s):  
Quality Of Life ◽  
Traditional Method ◽  
Clinical Laboratory ◽  
Economic Effect ◽  
Ceramic Coatings ◽  
Orthopedic Treatment ◽  
New Device ◽  
Economic Justification ◽  
Complete Destruction

Thing. A new substantiated method of orthopedic treatment of patients with complete destruction of the crown of the tooth is described, objective results of its use are given, and an economic analysis of its use is carried out in comparison with the traditional method of treatment of such patients. The goal is to create a device for restoring the missing clinical crown of premolars and its clinical, laboratory and economic justification. Methodology. During the study, orthopedic treatment of 20 patients with complete destruction of the crown of the tooth was carried out. A clinical assessment of the effectiveness of treatment using targeted radiography, occlusion and quality of life of patients was conducted using the OHIP-14 RU questionnaire. The compressive strength of ceramic coatings was studied for 10 samples of our device and 10 samples with a traditional ceramic-metal crown. The economic effect of our proposed method is analyzed in comparison with the traditional one. Results. 1 month after the treatment, a favorable outcome was observed in all patients on targeted radiographs; during occlusionography, 10 % of patients showed slight premature contacts in lateral occlusion, which were eliminated by selective grinding. 95 % of patients rated the quality of life as good, 5 % ― unsatisfactory. Safety margin of ceramic coating on samples of our device was 2.4 times higher than on samples of a traditional device. The economic efficiency of the traditional method in comparison with the one we proposed below has a ratio of 1:1.35, respectively. To restore one missing clinical tooth crown, the difference in cost between these methods is 21.2 %, or 1536 rubles. Conclusions. The results of the study allow us to recommend our proposed device for active use in practical dentistry in the treatment of patients with complete destruction of the clinical crown of premolars.

scholarly journals Satisfaction with Quality of Life in Patients with Minimum Cicatricial Damage of the Face and Neck

2018 ◽  
Vol 7 (1) ◽  
pp. 75-90 ◽  
Author(s):  
A. Iaremenko ◽  
E. Isaeva ◽  
T. Kolegova ◽  
E. Sitkina ◽  
Yu. Vasilieva
Keyword(s):  
Quality Of Life ◽  
Physical Condition ◽  
Traditional Method ◽  
Comparison Group ◽  
Short Form ◽  
Life Quality ◽  
Control Group ◽  
Surgical Methods ◽  
The Face

Satisfaction with quality of life and self-attitude in patients operated by «traditional» (conventional surgical methods) and endoscopically assisted methods are considered in the article. Differences in the quality of life in patients, self-attitude to ones appearance are described. 65 patients were surgically operated and examined. Control group – patients operated by «traditional» techniques (35 patients), the average age of patients was 38 ± 11,1 years. The comparison group – patients operated using endoscopically assisted methods (30 patients), the average age of patients was 44 ± 17,7 years. Psychodiagnostic methods: 1. N. E. Vodopyanova`s scale of life quality; 2. The Short Form-36; 3. S.R. Panteleev`s Assessment of self-relationship. Complaints of paresthesia and pain experienced by patients who underwent a “traditional” operation were revealed as a result of the examination. Operated on with an endoscopically assisted method patients did not present any complaints. Differences between the assessment of the life quality and self-relationship in examined groups were found. Operated on with an endoscopically assisted method patients evaluated life quality, satisfaction with their appearance and physical condition higher than patients operated on with a “traditional” method.

scholarly journals Mity dotyczące energii odnawialnej w opinii młodzieży województwa podkarpackiego

2020 ◽  
Vol 18 (3) ◽  
pp. 33-47
Author(s):  
Marian Woźniak ◽  
Keyword(s):  
Quality Of Life ◽  
Renewable Energy ◽  
Energy Policy ◽  
Fossil Fuel ◽  
Economic Effect ◽  
Energy Sector ◽  
Hard Coal ◽  
The European Union ◽  
Current Energy

Electricity is one of the factors shaping the quality of life of society. The Polish energy sector is to a large extent identified with fossil fuel used in conventional energy, based mainly on hard coal, which is not fully in line with the current energy policy of the European Union. Therefore, today it is necessary to use renewable energy more efficiently, which, in addition to the clearly indicated economic effect, also accentuates environmental effects. The purpose of the work is to show the opinions of young people aged 15–24 in terms of their awareness of the interpretation of myths about renewable energy, which is a key problem in the development of the modern energy sector, and to indicate the directions of development of the energy policy in Poland.

scholarly journals Orthopedic treatment in cancer patients with maxillofacial pathology

2021 ◽  
Vol 2 (2) ◽  
pp. 22-33
Author(s):  
I. V. Pustovaya ◽  
M. A. Engibaryan ◽  
P. V. Svetitskiy ◽  
I. V. Aedinova ◽  
V. L. Volkova ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Soft Tissues ◽  
Malignant Tumors ◽  
Social Adaptation ◽  
Research Centre ◽  
Orthopedic Treatment ◽  
National Medical ◽  
Upper Jaw ◽  
The Aesthetic

Relevance. Staged orthopedic treatment was used to improve the quality of life of patients who underwent radical maxillofacial surgeries for cancer.Patients and methods. 197 patients receiving treatment for maxillofacial cancer were observed at the Department of head and neck tumors, National Medical Research Centre for Oncology of the Ministry of Health of Russia, in 1998- 2018. All patients underwent radical surgical treatment resulting in postoperative defects of the upper jaw, soft tissues of the zygomatic- buccal-orbital region, nose, or auricle.Results. Removable obturator prostheses with various supporting and retaining elements were made for 159 (80.7 %) patients. Individual facial prostheses were made for 38 (19.3 %) patients: 17 (44.7 %) – external orbital prostheses, 14 (36.8 %) – external nasal prostheses, 6 (15.8 %) – external zygomatic- buccal-orbital prostheses, 1 (2.7 %) – external auricle prosthesis. Combined prostheses were made for 4 patients– removable upper jaw obturator and nose prosthe[1]sis; removable upper jaw obturator and eye prosthesis. Combined prostheses were fixed to each other using magnets. The results of maxillofacial prosthetics were evaluated according to the aesthetic requirements of the patients and their quality of life. Maxillofacial prostheses allowed a complete restoration of chewing, swallowing, and speaking, restored facial deformation, and improved the appearance of patients.Conclusions. Timely and comprehensive orthopedic treatment of patients with postoperative maxillofacial defects after radical surgeries for malignant tumors takes the main place in the complex of rehabilitation measures. Early elimination of extensive defects is aimed at maximum restoration of oral dysfunctions and appearance preservation. The apparent advantages of maxillofacial prostheses involve improvement of social adaptation and the quality of life of patients, which promotes complete rehabilitation and a return to socially useful activities.

Can Objective Measurements Improve Treatment Outcomes in Parkinson’s Disease?

2014 ◽  
Vol 9 (1) ◽  
pp. 27 ◽  
Author(s):  
Filip Bergquist ◽  
Malcolm Horne ◽  
◽  
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Daily Activities ◽  
Objective Measures ◽  
Motor Symptoms ◽  
Improve Quality ◽  
Improve Treatment ◽  
Economic Justification

Many examples in medicine show that therapies are most effective when measurement is used to guide their implementation, dose and effects. There are effective symptomatic therapies for the motor symptoms of Parkinson’s disease, which improve quality of life and have a health economic justification for their subsidisation. As measurement should lead to more effective deployment of these therapies, even in a percentage of cases, then costs of therapy would be reduced and by that percentage. We conclude that there is a clear need or continuous objective measures of dyskinesia and bradykinesia while patients go about their normal daily activities. The benefit of measurement would be greatest if these measures were directed at treating fluctuations.

scholarly journals QUALITY OF LIFE IN HYPERTENSIVE PATIENTS WITH METABOLIC SYNDROME: INTERRELATION WITH MARKERS OF SYSTEMIC INFLAMMATION

2013 ◽  
Vol 12 (6) ◽  
pp. 5-11 ◽  
Author(s):  
I. D. Bespalova ◽  
V. A. Bychkov ◽  
V. V. Kalyuzhin ◽  
N. V. Ryazantseva ◽  
Yu. A. Medyantsev ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Metabolic Syndrome ◽  
Systemic Inflammation ◽  
Clinical Laboratory ◽  
Control Group ◽  
Hypertensive Patients ◽  
Reactive Protein ◽  
Sf 36 ◽  
Cardiology Clinic

Object of research: to study the interrelation of activity of systemic inflammatory response and quality of life (QOL) and evidence of metabolic disorders in hypertensive patients with metabolic syndrome (MS).Material and methods. We carried out a study of 86 patients with hypertensive disease of II stage in combination with MS and 18 volunteers, who formed the control group. Along with a complete clinical, laboratory and instrumental examination, taken in a specialized cardiology clinic, the study of QOL using the MOS SF-36 questionnaire was carried out, as well as the research of activity of systemic inflammato-ry response.Results. We determined the reverse correlative interrelation of QOL indicators with all MS components, such as abdominal obesity, hyperglycemia, hypertriglyceridemia, the degree of arterial hypertension, but also with the level of markers of systemic inflammation (C-reactive protein, neopterin and fibrinogen), hyperinsulinemia and hyperleptinemia. It was found out that physical functioning (PF) has the strongest interrelations with the maximum number of clinical and laboratory indicators of MS and all the studied markers of systemic inflammation.

scholarly journals The Use of “Quality-Adjusted Life Years” (QALYs) to Evaluate Treatment in Intensive Care

1995 ◽  
Vol 23 (3) ◽  
pp. 322-331 ◽  
Author(s):  
R. K. Kerridge ◽  
P. P. Glasziou ◽  
K. M. Hillman
Keyword(s):  
Quality Of Life ◽  
Patient Outcome ◽  
Intensive Care ◽  
Pulmonary Oedema ◽  
Trauma Patients ◽  
Quality Adjusted Life Years ◽  
Economic Justification ◽  
Life Years ◽  
Quality Adjusted Life

This study examines the feasibility of using Quality-Adjusted Life Years (QALYs) to assess patient outcome and the economic justification of treatment in an Intensive Care Unit (ICU). 248 patients were followed for three years after admission. Survival and quality of life for each patient was evaluated. Outcome for each patient was quantified in discounted Quality-Adjusted Life Years (dQALYs). The economic justification of treatment was evaluated by comparing the total and marginal cost per dQALY for this patient group with the published cost per QALY for other medical interventions. 150 patients were alive after three years. Quality of life for most longterm survivors was good. Patient outcome (QALYs) was greatest for asthma and trauma patients, and least for cardiogenic pulmonary oedema. The tentative estimated cost- effectiveness of treatment varied from AUD $297 per QALY for asthma to AUD $2323 per QALY for patients with pulmonary oedema. This compares favourably with many preventative and non-acute medical treatments. Although the methodology is developmental, the measurement of patient outcome using QALYs appears to be feasible in a general hospital ICU.

scholarly journals Assessment of the Patient Acceptable Symptom State (PASS) in psoriatic arthritis: association with disease activity and quality of life indices

RMD Open ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. e001170 ◽  
Author(s):  
Ennio Lubrano ◽  
Silvia Scriffignano ◽  
Ana Belen Azuaga ◽  
Julio Ramirez ◽  
Juan Canete ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Psoriatic Arthritis ◽  
Disease Activity ◽  
Clinical Laboratory ◽  
Laboratory Data ◽  
Health Assessment ◽  
Cross Sectional ◽  
Low Disease Activity ◽  
Patient Acceptable Symptom State

ObjectiveThe aim of this study was to evaluate the discriminant capability of the Patient Acceptable Symptom State (PASS) according to disease activity, remission/low disease activity indices and quality of life indices in patients with psoriatic arthritis (PsA).MethodsConsecutive patients with PsA were enrolled in this cross-sectional study. At each visit, the patients underwent a complete physical examination and their clinical/laboratory data were collected. Disease activity was assessed using the Disease Activity Score for Psoriatic Arthritis (DAPSA) and remission/low disease activity using the DAPSA minimal disease activity (MDA) and very low disease activity (VLDA) criteria. The Psoriatic Arthritis Impact of Disease (PsAID) and the Health Assessment Questionnaire-Disability Index scores were also collected. Finally, PASS was assessed by asking all patients to answer yes or no to a single question.ResultsPatients who answered yes to PASS showed a significantly better overall mean DAPSA score than those who were not in PASS. Furthermore, patients in PASS showed a significantly lower level of systemic inflammation, lower Leeds Enthesitis Index score, a significantly lower impact of disease (PsAID), lower pain and better function than patients who answered no to PASS. A moderate to good agreement was found between PASS, MDA, DAPSA low disease activity and PsAID score ≤4. Good sensitivity and specificity were found with PASS with respect to DAPSA low disease activity, and although PASS is sensitive in the identification of patients with MDA, DAPSA remission and VLDA it lacks of specificity.DiscussionThis study showed that PASS might be used as an alternative to determine disease activity in patients with PsA in real clinical practice, mainly in patients with low disease activity according to DAPSA criteria.

scholarly journals Down syndrome – a challenge for Latvian health care and education system

2018 ◽  
Vol 51 ◽  
pp. 03008
Author(s):  
Julija Cirule-Galuza ◽  
Strale Ilze ◽  
Solvita Jegorenko ◽  
Liga Priedena ◽  
Erika Gintere ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Down Syndrome ◽  
Family Environment ◽  
Genetic Disorder ◽  
Economic Effect ◽  
Institutional Care ◽  
Rehabilitation Services ◽  
The Family ◽  
The Impact

Down syndrome (DS) is a genetic disorder. From 1997 to 2015, 473 DS patients were born in Latvia. Prenatal diagnosis allows terminating pregnancies with high risk of DS. The aim of our research was to assess the impact of environmental quality (family and extra-familial care) on the child's development, range of services for DS patients, and to identify the optimal early support system. Families and specialists were interviewed to analyze differences between children in families and institutional care clients. State financial support for a DS child in the family is less than to a child in institutional care, and does not provide adequate rehabilitation services. Conclusion: the environment (family/institution, available resources, and rehabilitation services) where the child grows up after the birth, determines both their quality of life and level of independence development. If the somatic problem-solving path is clear, then social integration needs to be improved. Support of inter-professional teams for the families is necessary immediately after the diagnostic statement in order to ensure a more favourable family environment and to reduce the risk of institutionalization. Despite the potentially higher early intensive rehabilitation costs, in the course of time we can predict that it will provide an economic effect on the state and improve the patient and their family's quality of life.

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