scholarly journals The Effect of Sleep Health Education Based on Telephone Follow-up (Tele-nursing) on Sleep Quality Improvement in Postmenopausal Elderly Women

2021 ◽  
Author(s):  
Maryam Moradi ◽  
Reza Noori ◽  
Nasim Khajavian ◽  
Kokab Basiri-Moghadam ◽  
Leila Sadeghmoghadam
Keyword(s):  
Health Education ◽  
Sleep Quality ◽  
Community Health Centers ◽  
Elderly Women ◽  
Health Centers ◽  
Sleep Health ◽  
Significant Difference ◽  
The Mean

Background and Objective: Poor sleep is one of the most common problems in old age and menopause. The aim of this study was to investigate the effect of tele-nursing-based sleep health education on sleep quality in postmenopausal elderly women. Materials and Methods: In this quasi-experimental study, 70 elderly people over 60 years of age who referred to urban community health centers of Gonabad City, Iran, and met the inclusion criteria were selected through a systematic sampling and were equally assigned into control and intervention groups. Participants completed a questionnaire that included the demographic questionnaire and Pittsburgh Sleep Quality Index (PSQI). After completing the pre-test in the intervention group, the sleep health education program was conducted as a face-to-face training session and a telephone follow-up during two months (12 follow-ups). The control group received routine health care. Post-test was performed in both groups after 2 months. Results: We did not find any significant difference between two groups at bassline variables. Besides, there was no statistically significant difference in the mean score of sleep quality before intervention in the experimental and control groups (P = 0.127), the mean score of sleep quality after the intervention showed a significant difference between the two groups (P < 0.001). Conclusion: The sleep health education program based on telephone follow-up can improve the sleep quality of postmenopausal elderly women. Therefore, teaching this non-pharmacological approach to health care workers, staff of community health centers, and caregivers is recommended to improve the sleep quality of postmenopausal elderly women.

scholarly journals Arthroscopic Debridement and Autologous Micronized Adipose Tissue Injection in the Treatment of Advanced-Stage Posttraumatic Osteoarthritis of the Ankle

Cartilage ◽  
2020 ◽  
pp. 194760352094636
Author(s):  
Yoshiharu Shimozono ◽  
John F. Dankert ◽  
John G. Kennedy
Keyword(s):  
Adipose Tissue ◽  
Advanced Stage ◽  
Arthroscopic Debridement ◽  
Posttraumatic Osteoarthritis ◽  
Significant Difference ◽  
The Mean ◽  
Grade 3

Objective To evaluate the effect of intra-articular injection of autologous micronized adipose tissue (MAT) with ankle arthroscopic debridement in patients with advanced-stage posttraumatic osteoarthritis (PTOA) of ankle. Design A retrospective cohort study investigating patients treated with arthroscopic debridement and autologous MAT injection for ankle PTOA was performed. Patients with Kellgren-Lawrence (KL) grade 3 to 4 were included. Visual analogue scale (VAS), Foot and Ankle Outcome Scores (FAOS), and patient satisfaction were evaluated. Results A total of 19 patients (19 ankles) were included (KL grade 3, 8 patients; grade 4, 11 patients). At a mean follow-up time of 14.3 months (range, 7-23 months), the mean FAOS subscales for pain and quality of life significantly increased from 48.8 and 20.1 preoperatively to 61.1 and 30.1 ( P = 0.029 and 0.048, respectively). The mean VAS score significantly improved from 6.1 to 3.8 (P = 0.003) at final follow-up. A total of 10.5% (2/19) of patients were very satisfied, 31.6% (6/19) satisfied, 26.3% (5/19) neutral, 21.1% (4/19) unsatisfied, and 10.5% (2/19) very unsatisfied with their outcomes. The overall FAOS score demonstrated a significant difference in pre- to postoperative change with 14.8 for KL grade 3 and 5.9 for KL grade 4 ( P = 0.048). Conclusions Autologous MAT injection is a safe and potentially beneficial procedure for advanced-stage ankle PTOA as an adjunct to arthroscopic debridement, although more than one-third of patients were unsatisfied with the procedure. This procedure may be more beneficial for KL grade 3 patients than grade 4 patients. However, future investigations are necessary to define the role of MAT for ankle PTOA.

scholarly journals The Impact of COVID-19 Infection on the Quality of Life of Health Care Workers

2021 ◽  
Author(s):  
Sadeel Shanshal ◽  
Harith Kh. Al-Qazaz
Keyword(s):  
Quality Of Life ◽  
Sleep Quality ◽  
Psychological Health ◽  
World Health ◽  
World Health Organization Quality ◽  
Significant Difference ◽  
Males And Females ◽  
The Mean ◽  
The Impact

Abstract Background: COVID-19 pandemic has negatively affected the entire world and one of its impacts was the increased level of stress and anxiety, especially among healthcare workers. Therefore, this study aims at evaluating the quality of life (QoL) and sleep quality of healthcare professionals in Iraq.Methods: This study assessed the QoL and sleep quality by using World Health Organization Quality of Life Instruments (WHOQOL-BREF) and the Insomnia Severity Index (ISI) respectively. The questionnaires were administered through an online cross-sectional survey targeted at workers in medical fields in Iraq from 1st to 20th of August 2021. Results: Three hundred medical health workers participated, and females constituted 75.3%. The two questionnaires had very good internal consistency. The highest scoring domain was the social relationships, followed by physical health. Significant difference was found in the mean scores of psychological health domain between males and females, with higher scores observed in males. The mean of the total ISI score was 11.58 ± 6.88 with a range between 0 and 27. Severe insomnia was observed in only 9.7% of the participants. A significant negative correlation (r = -0.118) was found between age and ISI scores of the participants. Significant differences were found between males and females with higher ISI mean score observed among males. Conclusion: The quality of life and sleep pattern can be impacted by COVID-19 infection with the psychological aspect of QoL being the most affected and some degrees of insomnia being observed in many participants.

scholarly journals Incidence of and Functional Significance of Floating Toe After Weil Osteotomy

2019 ◽  
Vol 4 (4) ◽  
pp. 247301141989195
Author(s):  
Emilio Wagner ◽  
Luis A. O’Connell ◽  
Ruben Radkievich ◽  
Nathaly Caicedo ◽  
Pablo Mococain ◽  
...  
Keyword(s):  
Clear Correlation ◽  
Functional Scale ◽  
Level Of Evidence ◽  
Patient’S Satisfaction ◽  
Significant Difference ◽  
The Mean ◽  
American Orthopaedic ◽  
Toe Deformity

Background: The most frequent complication after Weil osteotomies is a floating toe deformity, but there are no reports about its effect on the patient. In this study, we analyzed the consequences of floating toe deformities after the performance of a modified Weil osteotomy (MWO) or a modified Weil osteotomy with interphalangeal fixation (MWOIF). Methods: We performed a retrospective review with a prospective follow-up of 50 patients (98% women, 120 rays) who underwent MWO (65 rays) or MWOIF (55 rays), with a mean age of 54 ± 12 years and a minimum follow-up of 4 years (mean of 6 years). We analyzed the presence of floating toe deformity in MWO and MWOIF and the outcomes measured by the subjective satisfaction, Lower Extremity Functional Scale (LEFS), American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score, and quality of prehension force between patients with or without floating toe deformity. Results: The mean floating toe incidence was of 57%, with no significant difference between operative techniques (48% MWO, 67% MWOIF; P = .053). Our analysis did not show differences in satisfaction, LEFS and AOFAS scores, or grip strength between the group of patients with or without floating toes. Conclusion: The presence of a floating toe deformity was more frequent than generally believed but did not have a meaningful impact on the patient’s satisfaction or functional outcomes measured by the AOFAS and LEFS scales. There was no clear correlation between operative technique, floating toe, and quality of prehension force. Level of Evidence: Level III, retrospective comparative series.

scholarly journals Kualitas Pelayanan Kesehatan Di Puskesmas Pembantu (Pustu) Desa Lebang Kecamatan Cendana Kabupaten Enrekang

2017 ◽  
Vol 3 (1) ◽  
pp. 15
Author(s):  
Hamdan Hamdan ◽  
Musliha Karim ◽  
Samsir Rahim
Keyword(s):  
Health Services ◽  
Community Health ◽  
Research Method ◽  
Community Health Centers ◽  
Health Centers ◽  
Frequency Table ◽  
Quality Of Health Services ◽  
The Mean ◽  
Quantitative Descriptive

The objectives of this research were to describe and to explain about the quality of health services at auxiliary community health centers in Lebang village of Cendana subdistrict in Enrekang regency. The research method of this research was quantitative descriptive that used to explain about the quality of auxiliary community health centers.The respondent were 68 people which were chosen by using incidental sampling. There were some steps in procedures of collecting data. They were question, observation, and interview. The collected data were analyzed by using frequency table. The result of the research showed that the quality of health services at auxiliary community health centers was already good and qualified. These results were based on the recapitulations of each indicators as follows tangible, reliability, competence, and responsiveness where all the mean results were in a good and qualified category.Keywords: quality, healthy service  Penelitian ini bertujuan untuk menggambarkan dan menjelaskan kualitas pelayanan kesehatan di Puskesmas pembantu (PUSTU) Desa Lebang Kecamatan Cendana Kabupaten Enrekang. Jenis penelitian adalah deskriptif kuantitatif yang menjelaskan mengenai kualitas pelayanan kesehatan di PUSTU. Responden sebanyak 68 orang yang dipilih secara sampling insidental.Teknik pengumpulan data yaitu kuesioner, observasi, dan wawancara. Data tersebut dianalisis secara deskriptif kuantitatif menggunakan tabel frekuensi.Hasil penelitian menunjukkan bahwa kualitas pelayanan kesehatan sudah baik dan berkualitas.Hal ini berdasarkan hasil rekapitulasi dari tiap-tiap indikator yaitu bukti fisik (tangible), keandalan (reliability), kompetensi (competence), dan responsivitas (responsiveness) dengan hasil rata-rata persentase berada pada kategori baik dan berkualitas.Katakunci: kualitas, pelayanan kesehatan.

scholarly journals Evaluation of efficacy and safety of terbinafine and itraconazole in superficial mycoses: a prospective, randomized, controlled and cost-effective analysis study

2020 ◽  
Vol 9 (8) ◽  
pp. 1222
Author(s):  
D. Aruna ◽  
M. Padmaja ◽  
S. P. Vijayalakshmi
Keyword(s):  
Cost Effective ◽  
Clinical Score ◽  
Study Groups ◽  
Fungal Culture ◽  
Open Label ◽  
Superficial Mycoses ◽  
Significant Difference ◽  
The Mean

Background: Superficial mycoses are common worldwide. Dermatophytic infections can greatly affect quality of life. Several newer antimycotic agents, have been reported effective and safe. Hence this study was planned to analyse effectiveness as well as cost effectiveness of these treatments.Methods: It were a prospective, randomized, parallel, open label, comparative study. Fifty patients were included in the study and divided into 2 groups. They were randomized to receive either oral terbinafine 250 mg or itraconazole 100 mg once daily for 4 weeks. Scaling, erythema and pruritus were rated as clinical score 0 to 3: 0 - absent, 1 - mild, 2 - moderate, and 3 - severe for the above three target symptoms. Total symptom score was assessed. Pruritus was also graded on visual analogue scale (VAS). Mycological cure was assessed by skin scraping with KOH mounts and fungal culture. Clinical efficacy scoring and VAS were assessed before the study and at each follow up visit at 2 and 4 weeks. Patients were followed up for another 4 weeks after completion of the treatment.Results: There was highly significant decrease p<000.1 in the mean total symptoms scores in both the study groups from baseline. No significant difference in the mean total symptoms score was observed when compared between groups. ADRs were more in terbinafine group.Conclusions: Both terbinafine and itraconazole are effective and safe against superficial mycoses, but adverse effects are more with terbinafine. Itraconazole was found to be cost effective compared to terbinafine.

scholarly journals Effects of Aromatherapy with Lavender and Peppermint Essential Oils on the Sleep Quality of Cancer Patients: A Randomized Controlled Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
Sahar Hamzeh ◽  
Roya Safari-Faramani ◽  
Alireza Khatony
Keyword(s):  
Sleep Quality ◽  
Essential Oils ◽  
Cancer Patients ◽  
Controlled Trial ◽  
Control Group ◽  
Significant Difference ◽  
The Mean ◽  
The Difference ◽  
And Control

One of the problems of cancer patients is sleep disorder. Given the absence of studies on comparing the effect of inhalation aromatherapy with lavender and peppermint on the sleep quality of the cancer patients, this study was performed to compare the effect of inhalation aromatherapy with lavender and peppermint essential oils on the sleep quality of cancer patients. For this purpose, 120 patients were randomly allocated to three groups of lavender, peppermint, and control. The intervention groups received three drops of the essential oil for 7 days. In the control group, aromatic distilled water was used instead. Pittsburgh Sleep Quality Inventory (PSQI) was used. Before the intervention, no significant difference was observed between the mean PSQI scores of three groups, while the difference was statistically significant after the intervention. The mean PSQI scores were lower in lavender and peppermint groups than in the control group. Aromatherapy can improve the sleep quality of cancer patients. To confirm the findings, more studies should be done.

scholarly journals Quality of Services in Health Centers in Western Suburbs of Ahvaz by Examining the Gap Between Expectations and Perceptions

2021 ◽  
Author(s):  
Nastaran Rostami Borujeni ◽  
Saham Sarahi ◽  
Mohammad Hosein Haghighizadeh ◽  
Nayeb Fadaei Dehcheshmeh
Keyword(s):  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Quality Of Services ◽  
Cross Sectional ◽  
Five Dimensions ◽  
Significant Difference ◽  
The Mean ◽  
The Relationship

Background: Due to the health sector’s serious mission in maintaining the health and care of the community, the quality of provided health services is of particular prominence. Objectives: This study aims to assess the quality of services in health centers in western suburbs of Ahvaz by examining the gap between expectations and perceptions. Methods: This was a cross-sectional study and conducted in 2018. The sample size included 291 people visiting health centers in western suburbs of Ahvaz. The data were collected through the SERVQUAL standard questionnaire for assessing the quality. This questionnaire assesses five dimensions of the quality of the provided services. These five dimensions include tangible factors, reliability, responsiveness, assurance, and empathy. Pearson correlation coefficient test was used to investigate the relationship between the variables. Independent t-test was used to compare the means. Data analysis was performed through SPSS version 22. Results: Overall, 89.55% of the subjects were female. In all the five dimensions of quality, there was a significant difference between the ideal status and the observed status (P < 0.001). The lowest gap was related to empathy (r = 0.25), and the highest gap was reported for tangible factors (r = -0.99). There was a significant positive correlation between each of the dimensions of expectations and the same dimension in the perceptions section (P < 0.001). Conclusions: Expectations in all the dimensions, except for empathy, were higher than perceptions, and health centers were far from ideal. Among these dimensions, expectations and perceptions in the area of reliability were higher than in other cases, and the mean scores were at a higher level. In the area of increasing the quality of care in health centers in suburbs of Ahvaz, some measures should be taken to promote the quality.

scholarly journals The Effect of Laughter Yoga on the Quality of Life of Elderly Nursing Home Residents

2019 ◽  
Vol 5 (1) ◽  
pp. 7-15
Author(s):  
Sajjad Rezaei ◽  
◽  
Maryana Mahfeli ◽  
Seyed Valiollah Mousavi ◽  
Shima Poorabolghasem Hosseini ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Elderly People ◽  
The Elderly ◽  
Life Questionnaire ◽  
Significant Difference ◽  
The Mean ◽  
Experimental Group

Background: Old age is associated with the physical and psychological problems that affect the Quality of Life (QoL). Objectives: This study aimed to investigate the effect of Laughter Therapy (LT) on the QoL of elderly people in nursing homes. Materials & Methods: This was a quasi-experimental study with‌ pre-test and post-test with the control and experimental group and one-month follow-up conducted in 2017. The statistical population consisted of 44 elderly people in the Mehr Aein nursing home in Astaneh-ye Ashrafiyeh City, Iran. Based on the inclusion criteria, 32 old people were selected and randomly assigned to experimental ‌(n=16) and control (n=16) groups. The experimental group received an interventional program consisting of Madan Kataria Laughter Therapy, showing comic films, and reading comic books for one month, over 12 sessions of 100 minutes. After the end of laughter intervention, the elderly of both groups responded to the elderly quality of life questionnaire (LIPAD). The obtained data were analyzed using covariance analysis of repeated measures. Results: There was a significant difference between the two groups with regard to their QoL‌ (P<0.01).‌ That is, the adjusted mean of the experimental group in the QoL was significantly higher than the mean of the control group‌ (P<0.01). Also, in the experimental group, the mean follow-up score was higher than the mean score of the pre-test, which indicates the stability of the intervention effects after one month‌ (P<0.01). Conclusion: Laughter Therapy intervention has a positive effect on improving the QoL of the elderly. Therefore, it is necessary that authorities consider this program at nursing home centers as a complementary method besides the existing treatments for reducing the mental health problems and improving the QoL of the elderly.

Restaging of patients with lymphoma

2008 ◽  
Vol 47 (01) ◽  
pp. 37-42 ◽  
Author(s):  
T. Pfluger ◽  
V. Schneider ◽  
M. Hacker ◽  
N. Bröckel ◽  
D. Morhard ◽  
...  
Keyword(s):  
Low Dose ◽  
Non Hodgkin Lymphoma ◽  
Contrast Enhanced ◽  
Pet Ct ◽  
Significant Difference ◽  
18F Fdg ◽  
Sensitivity Specificity ◽  
Fdg Pet Ct

SummaryAim: Assessment of the clinical benefit of i.v. contrast enhanced diagnostic CT (CE-CT) compared to low dose CT with 20 mAs (LD-CT) without contrast medium in combined [18F]-FDG PET/CT examinations in restaging of patients with lymphoma. Patients, methods: 45 patients with non-Hodgkin lymphoma (n = 35) and Hodgkin's disease (n = 10) were included into this study. PET, LD-CT and CECT were analyzed separately as well as side-by-side. Lymphoma involvement was evaluated separately for seven regions. Indeterminate diagnoses were accepted whenever there was a discrepancy between PET and CT findings. Results for combined reading were calculated by rating indeterminate diagnoses according the suggestions of either CT or PET. Each patient had a clinical follow-up evaluation for >6 months. Results: Region-based evaluation suggested a sensitivity/specificity of 66/93% for LD-CT, 87%/91% for CE-CT, 95%/96% for PET, 94%/99% for PET/LD-CT and 96%/99% for PET/CE-CT. The data for PET/CT were obtained by rating indeterminate results according to the suggestions of PET, which turned out to be superior to CT. Lymphoma staging was changed in two patients using PET/ CE-CT as compared to PET/LD-CT. Conclusion: Overall, there was no significant difference between PET/LD-CT and PET/CE-CT. However, PET/CE-CT yielded a more precise lesion delineation than PET/LD-CT. This was due to the improved image quality of CE-CT and might lead to a more accurate investigation of lymphoma.

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