scholarly journals A Narrative Review on Prevention and Treatment Strategies of Post Spinal Anesthesia Headache

2021 ◽  
Author(s):  
Ali Jabbari ◽  
Shabnam Tabasi ◽  
Nadia Bani Hashem ◽  
Alireza Jahangirifard
Keyword(s):  
Spinal Anesthesia ◽  
Experimental Studies ◽  
Treatment Strategies ◽  
Well Being ◽  
Treatment Method ◽  
Anesthesia Induction ◽  
Main Role ◽  
Cross Sectional ◽  
Wide Range ◽  
Prevention And Treatment

Background: Post spinal anesthesia headache (PSAH) is a headache occurring after spinal anesthesia induction due to Dura and arachnoid puncture and has a significant effect on the patients’ post operative well being. Methods: We run a cross sectional descriptive study on patient under spinal anesthesia that suffer from post spinal anesthesia headache parallel with a review on observational and experimental studies in the medical databases of PubMed, Scopus, Embase, Cochrane for preparing a strategy in prevention and treatment of post spinal anesthesia headache. Aim of this study was adapting different treatment method and prevention system of Post Spinal Anesthesia Headache (PSAH) according to our facilities base on our observation and experiences. Results: The overall incidence of post-Spinal Anesthesia headache has a very wide range. Its incidence obtained 17.3% by spinal needle 25G Quincke in our observation. Under hydration and tension headaches could be a factor influencing the incidence of PSAH. Intravenous administration of caffeine may be effective for prophylaxis of PSAH. Pregabalin has also been shown to alleviate PSAH. Drugs that have been used to treat PSAH include caffeine, NSAIDs, vasopressin, hydrocortisone, dexamethasone, theophylline, sumatriptan, gabapentin and adrenocorticotropic hormone (ACTH). Conclusion: A combination of keeping patients normovulemic during the spinal anesthesia induction and prophylaxis prescription of caffeine and Dexamethone before and; Aminophylline and NSAIDS after the procedure could have a main role in keeping and treatment of the patient from PSAH.

Prevalence of Hand Malformations in Patients With Moebius Syndrome and Their Management

Hand ◽  
2021 ◽  
pp. 155894472199426
Author(s):  
Jose E. Telich-Tarriba ◽  
David F. Navarro-Barquin ◽  
Karol Verdezoto-Gaibor ◽  
Alexander Cardenas-Mejia
Keyword(s):  
Upper Extremity ◽  
Treatment Strategies ◽  
Abducens Nerve ◽  
Poland Syndrome ◽  
Statistical Association ◽  
Moebius Syndrome ◽  
Cross Sectional ◽  
Reconstructive Procedures ◽  
Nerve Paralysis ◽  
Wide Range

Background: Moebius syndrome is a disorder characterized by facial and abducens nerve paralysis. Patients can present a wide range of upper extremity malformations. Literature focused on orthopedic manifestations of Moebius syndrome shows variability in the prevalence and clinical presentation of upper extremity anomalies. The aim of this work is to evaluate the prevalence of upper extremity malformations in patients with Moebius syndrome, clarify its various clinical presentations, and present treatment strategies for their management. Methods: This is a retrospective, cross-sectional study including patients with Moebius syndrome and upper extremity malformations between 2012 and 2019. Data include demographic characteristics, Moebius syndrome subtype, type of malformation, affected extremity, and surgical procedures underwent. Quantitative data were recorded as mean (standard deviation [SD]), and qualitative data were expressed in terms of totals and percentages. Statistical association between Moebius syndrome subtype and development of upper extremity anomalies was evaluated using binary logistic regression. Results: Twenty-five out of 153 patients (16.3%) presented upper extremity malformations (48% male). Mean age of presentation was 9.08 ± 9.43 years. Sixty-eight percent of the malformations were unilateral. The most common presentations included Poland syndrome and simple syndactyly with 8 cases each (32%), followed by 5 cases of brachysyndactyly (20%), 3 cases of amniotic band syndrome (12%), and 1 case of cleft hand (4%). No statistical association was found between Moebius syndrome subtype and odds ratio for development of upper extremity anomalies. Thirteen patients (52%) underwent reconstructive procedures. Conclusion: Poland syndrome and syndactyly are the most common anomalies in patients with Moebius syndrome. Patients may present with a wide range of hand malformations, each patient should be carefully evaluated in order to determine whether surgical treatment is needed and to optimize rehabilitation protocols.

Main approaches to treatment of hypoxia in acute respiratory distress syndrome, bacterial and viral pneumonia (part III)

2021 ◽  
pp. 38-55
Author(s):  
A. V. Vlasenko ◽  
E. A. Evdokimov ◽  
E. P. Rodionov
Keyword(s):  
Respiratory Failure ◽  
Distress Syndrome ◽  
Experimental Studies ◽  
Viral Pneumonia ◽  
Medical Technologies ◽  
Clinical Observations ◽  
Wide Range ◽  
Prevention And Treatment ◽  
High Degree

The paper summarizes data on modern approaches to the diagnosis, prevention and treatment of severe acute parenchymal respiratory failure of various origins, including ARDS due to bacterial viral pneumonia. The work is based on the data of modern well-organized studies, analysis of international clinical guidelines with a high degree of evidence, as well as the results of our own long-term experimental studies and clinical observations of the treatment of patients with ARDS of various origins, including viral pneumonia of 2009, 2016, 2020. Scientifically grounded algorithms for prevention, differential diagnosis and personalized therapy of severe acute respiratory failure using innovative medical technologies and a wide range of respiratory and adjuvant treatment methods have been formulated. The authors tried to adapt as much as possible the existing current recommendations for the daily clinical practice of anesthesiologists and resuscitators.

The Functional Recovery Scale in Schizophrenia (FRSS): Relationship to panss

2011 ◽  
Vol 26 (S2) ◽  
pp. 2073-2073
Author(s):  
P.-M. Llorca ◽  
L. Samalin ◽  
O. Blanc ◽  
Keyword(s):  
Social Functioning ◽  
Functional Recovery ◽  
Educational Level ◽  
Latent Variable ◽  
Negative Symptoms ◽  
Treatment Strategies ◽  
Well Being ◽  
Subjective Well Being ◽  
Cross Sectional ◽  
Quality Of Life Scale

Schizophrenia is a severe and disabling disorder, which affects multiple functional domains adversely.Several factors like premorbid functioning and psychopathological symptoms can affect functional outcome. Residual psychopathology after an acute exacerbation has a variable influence, going from a weak correlation to positive symptoms to clear association of negative symptoms with reduced social functioning to widespread influence of cognitive symptoms.We performed a cross-sectional evaluation in a sample of 296 schizophrenic patients for demographic, functional characteristics (using different scales: Functional Recovery Scale in Schizophrenia (FRSS), Subjective Well-being Scale (SWN-K), Quality of Life Scale (QLS)) and symptomatic (using the Positive and Negative Syndrome Scale (PANSS)). Exploratory multivariate analyses were conducted and a model with “functioning” as a latent variable was proposed and tested. Results: Using the 5 clinical dimensions of the PANSS, negative, cognitive and excitation factors are significant predictors of functioning. The model was constructed with “functioning” defined as a latent variable; indicators are sub-scores on FRSS, SWN-K, QLS and exogenous variables included symptomatology, Duration of Untreated Psychosis and educational level. The negative and cognitive dimensions are highly correlated via the latent variable to the 3 dimensions of functioning evaluated by the FRSS: “daily life”, “social functioning” and “treatment” and the QLS sub-scores (“interpersonal”, “common object”, “instrumental role”). Educational level is significantly linked to functioning but not DUP. The model emphasizes the need for treatment strategies that have an effect on negative and cognitive factors, to improve functioning in schizophrenia.

scholarly journals Multifocal Assessment Reveals Anemia-related Program Gaps and Implementation Challenges in Ghana (P10-088-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Brenda Abu ◽  
Rachel Stefanic ◽  
Olivia Garror ◽  
Nicole Buttner ◽  
Kingsley Pereko ◽  
...  
Keyword(s):  
Human Resources ◽  
Dietary Intake ◽  
Treatment Strategies ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Financial Investment ◽  
Prevention And Treatment ◽  
Childhood Anemia ◽  
Underlying Causes ◽  
Inadequate Dietary Intake

Abstract Objectives Despite existing program efforts in Ghana, incidence of childhood anemia remain high. This study describes existing childhood anemia prevention and treatment strategies and assessed implementation gaps. Methods A cross-sectional study using purposive sampling/snowballing technique identified organizations implementing childhood anemia prevention and treatment programs. Interview guides constructed around UNICEF's conceptual framework of malnutrition identified programs addressing each cause of anemia. Interviews were administered via in-person and phone in August 2018. Interviews were audio-recorded, transcribed, and coded/analyzed using Dedoose software version 8.1.8. Results Twenty-five officials from Universities (n = 2), local non-governmental (n = 4), government departments (n = 6) and international (n = 2) agencies completed interviews. Reported contextual immediate causes of anemia were malaria, diarrhea, worm infestation and inadequate dietary intake. All organizations implemented programs addressing ≥1 of the immediate causes, with many overlapping programs from different organizations addressing inadequate dietary intake in the same district. Government-assisted programs and Universities reported national scope; non-governmental/private organizations had regional/district focus. The contextual underlying causes reported were inadequate nutrition knowledge, food safety and environmental hygiene, food insecurity and health services. All organizations were implementing programs addressing ≥1 of these underlying causes. Few programs addressed the reported basic causes namely, inadequate human resources (n = 5) and housing/water/toilet facilities (n = 3) and poverty/financial resources (n = 2). Reported program gaps included inadequate human resources and scarce funding for projects. The main observed gap was insufficient communication and integration between programs implementer. Conclusions Multiple programs, sometimes with overlapping focus in the same region were addressing anemia. Re-designing programs to prioritize communication between current program may result in efficient use of limited funding and human resources. New programs may focus on improving financial investment in programs and more personnel. Funding Sources RIT Miller Chair Grant for Global Experiential Research.

scholarly journals Green Space Quality and Health: A Systematic Review

2021 ◽  
Vol 18 (21) ◽  
pp. 11028
Author(s):  
Phi-Yen Nguyen ◽  
Thomas Astell-Burt ◽  
Hania Rahimi-Ardabili ◽  
Xiaoqi Feng
Keyword(s):  
Systematic Review ◽  
Health Outcomes ◽  
Cohort Studies ◽  
Green Space ◽  
Health Benefits ◽  
Experimental Studies ◽  
Tree Canopy ◽  
Current Evidence ◽  
Cross Sectional ◽  
Wide Range

(1) Background: As cities densify, researcher and policy focus is intensifying on which green space types and qualities are important for health. We conducted a systematic review to examine whether particular green space types and qualities have been shown to provide health benefits and if so, which specific types and qualities, and which health outcomes. (2) Methods: We searched five databases from inception up to June 30, 2021. We included all studies examining a wide range of green space characteristics on various health outcomes. (3) Results: 68 articles from 59 studies were found, with a high degree of heterogeneity in study designs, definitions of quality and outcomes. Most studies were cross-sectional, ecological or cohort studies. Environment types, vegetation types, and the size and connectivity of green spaces were associated with improved health outcomes, though with contingencies by age and gender. Health benefits were more consistently observed in areas with greater tree canopy, but not grassland. The main outcomes with evidence of health benefits included allergic respiratory conditions, cardiovascular conditions and psychological wellbeing. Both objectively and subjectively measured qualities demonstrated associations with health outcomes. (4) Conclusion: Experimental studies and longitudinal cohort studies will strengthen current evidence. Evidence was lacking for needs-specific or culturally-appropriate amenities and soundscape characteristics. Qualities that need more in-depth investigation include indices that account for forms, patterns, and networks of objectively and subjectively measured green space qualities.

Hope and Stress Resilience

2017 ◽  
Author(s):  
Anthony D. Ong ◽  
Taylor Standiford ◽  
Saarang Deshpande
Keyword(s):  
Psychological Functioning ◽  
Experimental Studies ◽  
Well Being ◽  
Protective Effects ◽  
Cross Sectional ◽  
Phenomenological Experience ◽  
Direct Association ◽  
Beneficial Impact ◽  
The Impact ◽  
Clinical Populations

A sizeable literature has implicated hopelessness in the phenomenological experience of various mood disorders, vulnerability to psychopathology, and overall poor psychological functioning. By contrast, how hope contributes to resilience and well-being has been understudied. This systematic review integrates findings from cross-sectional, longitudinal, ambulatory, and experimental studies that investigate the impact of hope and well-being outcomes in both healthy and clinical populations. Although the literature is not without theoretical gaps and methodological inconsistencies, the pattern of findings suggests that aggregate or trait measures of hope provide the most consistent evidence of a direct association between hope and well-being in healthy and clinical populations. More limited empirical data exists on the protective effects of hope. The chapter concludes that more rigorous and theoretically informed research is needed before firm conclusions can be drawn about the possible beneficial impact of hope on well-being.

scholarly journals Does self-reported chronic pain influence savoring of aesthetic experiences?

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259198
Author(s):  
Rosalie Weigand ◽  
Annika Moosmayer ◽  
Thomas Jacobsen
Keyword(s):  
Chronic Pain ◽  
Positive Emotions ◽  
Positive Impact ◽  
Clinical Sample ◽  
Well Being ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Aesthetic Experiences ◽  
Reward Seeking ◽  
Wide Range

Background Aesthetic experiences elicit a wide range of positive emotions and have a positive impact on various health outcomes. In this context, savoring refers to a cognitive form of emotion regulation used to maintain and extend positive emotional experiences and is considered to contribute to health and well-being. Chronic pain has been linked to reduced reward-seeking behavior. This is the first study to investigate the relationship between self-reported chronic pain and savoring. Methods We conducted an anonymous cross-sectional survey in a large non-clinical sample (opera, theater, and cabaret visitors; n = 322). The variables were assessed with a two-item-questionnaire. Results Self-reported chronic pain was significantly negatively correlated with savoring (r = -.547) Conclusion Altogether, this result helps to develop a better understanding of the effects of chronic pain in humans and to shed light on state-dependent differences in aesthetic experiences.

scholarly journals Associations Between Multiple Leisure Activities, Mental Health and Substance Use Among Adolescents in Denmark: A Nationwide Cross-Sectional Study

2020 ◽  
Vol 14 ◽  
Author(s):  
Ziggi Ivan Santini ◽  
Charlotte Meilstrup ◽  
Carsten Hinrichsen ◽  
Line Nielsen ◽  
Ai Koyanagi ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Mental Health Problems ◽  
Leisure Activities ◽  
Leisure Activity ◽  
Well Being ◽  
Single Type ◽  
Cross Sectional ◽  
Wide Range ◽  
Activity Types

Background: Previous research has suggested that leisure activity may benefit mental health and protect against substance use among adolescents, but more research is needed to asses associations with a wide range of outcomes. The aim of this study was to assess associations between multiple leisure activities and (1) mental health outcomes and (2) substance use outcomes in a sample of Danish adolescents.Methods: Using data from the Danish part of the European School Survey Project on Alcohol and Other Drugs (ESPAD) collected in 2019, nation-wide cross-sectional data from 2,488 participants aged 15 or 16 in Denmark were analyzed to assess associations between number of leisure activity types and outcomes pertaining to mental health and substance use.Results: Our results show that engaging in multiple activity types at least once a week—as compared to one single type of activity—is associated with increased odds for high mental well-being, and reduced odds for mental health problems. Engaging in multiple activity types is also associated with reduced odds for overall substance use and for using substances as a coping method. Among those using substances, engaging in multiple activity types is associated with reduced odds of above average substance use.Conclusion: Increasing opportunities for adolescents to engage in leisure activities is suggested to be useful in enhancing mental health and preventing substance use and promoting mental health. Promoting and increasing access to leisure activities among adolescents could be a promising avenue for policy and practice.

scholarly journals The health and well-being of Australia’s future medical doctors: protocol for a 5-year observational cohort study of medical trainees

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e016837 ◽  
Author(s):  
Erin Cvejic ◽  
Gordon Parker ◽  
Samuel B Harvey ◽  
Zachery Steel ◽  
Dusan Hadzi-Pavlovic ◽  
...  
Keyword(s):  
Cohort Study ◽  
Clinical Training ◽  
Multiple Stressors ◽  
Psychiatric Morbidity ◽  
Treatment Strategies ◽  
Well Being ◽  
Self Report ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Impact

IntroductionClinical training in the undergraduate medical course places multiple stressors on trainees, which have been held to lead to heightened distress, depression, suicide, substance misuse/abuse and poor mental health outcomes. To date, evidence for morbidity in trainees is largely derived from cross-sectional survey-based research. This limits the accuracy of estimates and the extent to which predispositional vulnerabilities (biological and/or psychological), contextual triggers and longer-term consequences can be validly identified. Longitudinal clinical assessments embedded within a biopsychosocial framework are needed before effective preventative and treatment strategies can be put in place.Methods and analysisThis study is an observational longitudinal cohort study of 330 students enrolled in the undergraduate medicine course at the University of New South Wales (UNSW) Sydney, Australia. Students will be recruited in their fourth year of study and undergo annual assessments for 4 consecutive years as they progress through increasingly demanding clinical training, including internship. Assessments will include clinical interviews for psychiatric morbidity, and self-report questionnaires to obtain health, psychosocial, performance and functioning information. Objective measures of cognitive performance, sleep/activity patterns as well as autonomic and immune function (via peripheral blood samples) will be obtained. These data will be used to determine the prevalence, incidence and severity of mental disorder, elucidate contextual and biological triggers and mechanisms underpinning psychopathology and examine the impact of psychopathology on performance and professional functioning.Ethics and disseminationEthics approval has been granted by the UNSW human research ethics committee (reference HC16340). The findings will be disseminated through peer-reviewed publications and conference presentations, and distributed to key stakeholders within the medical education sector. The outcomes will also inform targeted preventative and treatment strategies to enhance stress resilience in trainee doctors.

Resilience and risk, metal health and well-being: How do these concepts relate?

2017 ◽  
Vol 41 (S1) ◽  
pp. S463-S463
Author(s):  
F. Schultze-Lutter ◽  
S. Ochsenbein ◽  
S.J. Schmidt
Keyword(s):  
Mental Health ◽  
Well Being ◽  
The Other ◽  
Cross Sectional ◽  
Wide Range ◽  
Proxy Measure ◽  
Competing Interest ◽  
Universal Definition ◽  
Definition Of ◽  
Relationship Of

IntroductionResilience and well-being have become commonplace and increasingly used terms in a wide range of scientific as well as mental health political contexts.ObjectivesThere is much confusion about the relationship of the two constructs: while some use well-being as a proxy measure of resilience, others treat one concept as a component of the other or see interchangeably one as the prerequisite of the other.AimsTo study the definition of these two concepts in relation to each other.MethodsLiterature review.ResultsBoth ‘resilience’ as well as ‘well-being’, have so far defied universal definition and common understanding of their respective measurement. Part of the confusion around these two concepts is the overlap in their components, in particular with regard to resilience and psychological well-being, and the lack of research on these concepts both by themselves, in relation to each other and in relation to other concepts like mental health, risk or protective (or promotive) factors.ConclusionOur critical and comparative inspection of both concepts highlights the need for more conceptual cross-sectional as well as longitudinal studies:– to uncover the composition of these constructs and to reach agreement on their definition and measurement;– to detect their potential neurobiological underpinnings;– to reveal how they relate to each other;– to determine the potential role of developmental and cultural peculiarities.Thus, the use of the terms resilience and well-being should always be accompanied by a brief explanation of their respective meanings and theoretical framework.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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