scholarly journals Case Report on a Misdiagnosed Case of Subcortical Vascular Dementia – the Importance of Sound Knowledge of Psychiatry With Proper History Taking

2021 ◽  
Vol 57 (2) ◽  
pp. 199-210
Author(s):  
Natasha Subhas ◽  
Nicholas Tze Ping Pang ◽  
Kok Yoon Chee ◽  
Norzaini Rose Mohd Zain ◽  
Kok Liang Teng ◽  
...  
Keyword(s):  
Vascular Dementia ◽  
Psychiatric Symptoms ◽  
Quality Of Healthcare ◽  
Poor Quality ◽  
Brain Scans ◽  
Subcortical Vascular Dementia ◽  
Assessment And Treatment ◽  
Post Stroke Depression ◽  
And Function

Psychiatric symptoms at presentation may often be missed, if not suspected or specifically explored. A missed psychiatric diagnosis may lead to dire consequences in terms of poor quality of life and function for the patient, affecting overall quality of healthcare provided. This lady presented with depressive symptoms after multiple strokes and was initially diagnosed as post stroke depression. However, after it was observed that she did not show any improvement in symptoms despite being on antidepressants, subsequent further investigations revealed a history more suggestive of subcortical vascular dementia. Consequently, detailed neuropsychological and neuropsychiatric assessments, including NUCOG, and relevant investigations including MRI brain scans were performed suggesting a diagnosis of vascular dementia. This case illustrates that an insufficiently thorough assessment and treatment process results in unnecessary morbidity, prolongs duration of illness, and increases social and occupational dysfunction to the patient. Hence, it further underscores the need to perform a thorough history, physical examination and relevant investigations to ensure organic etiologies are ruled out in clients with relevant sociodemographic and clinical risk factors.

scholarly journals The Interplay between Mitochondrial Morphology and Myomitokines in Aging Sarcopenia

2020 ◽  
Vol 22 (1) ◽  
pp. 91
Author(s):  
Vanina Romanello
Keyword(s):  
Mitochondrial Dysfunction ◽  
Poor Quality ◽  
Whole Body ◽  
Fibroblast Growth Factor 21 ◽  
Mitochondrial Morphology ◽  
Mass Force ◽  
Major Mechanism ◽  
Muscle Aging ◽  
And Function

Sarcopenia is a chronic disease characterized by the progressive loss of skeletal muscle mass, force, and function during aging. It is an emerging public problem associated with poor quality of life, disability, frailty, and high mortality. A decline in mitochondria quality control pathways constitutes a major mechanism driving aging sarcopenia, causing abnormal organelle accumulation over a lifetime. The resulting mitochondrial dysfunction in sarcopenic muscles feedbacks systemically by releasing the myomitokines fibroblast growth factor 21 (FGF21) and growth and differentiation factor 15 (GDF15), influencing the whole-body homeostasis and dictating healthy or unhealthy aging. This review describes the principal pathways controlling mitochondrial quality, many of which are potential therapeutic targets against muscle aging, and the connection between mitochondrial dysfunction and the myomitokines FGF21 and GDF15 in the pathogenesis of aging sarcopenia.

Poor quality of life in Australian men: Cross-sectional associations with obesity, mobility, lifestyle and psychiatric symptoms

Maturitas ◽  
2017 ◽  
Vol 103 ◽  
pp. 32-36 ◽  
Author(s):  
Sharon L. Brennan-Olsen ◽  
Julie A. Pasco ◽  
Sarah M. Hosking ◽  
Amelia G. Dobbins ◽  
Lana J. Williams
Keyword(s):  
Quality Of Life ◽  
Psychiatric Symptoms ◽  
Poor Quality ◽  
Cross Sectional

Psychiatric symptoms may contribute to poor quality of life in adolescents with migraine

2013 ◽  
Vol 55 (6) ◽  
pp. 741-747 ◽  
Author(s):  
Joelma Karin Sagica Fernandes Paschoal ◽  
Jaime Lin ◽  
Ricardo Silva Pinho ◽  
Solange Andreoni ◽  
Thais Soares Cianciarullo Minett ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Psychiatric Symptoms ◽  
Poor Quality

Abstract NS8: Prevalence and Relating Factors of Sleep Disturbances at 3 Months Post Stroke

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Smi Choi-Kwon ◽  
Minhee Suh ◽  
Jong S. Kim
Keyword(s):  
Social Support ◽  
Sleep Disturbances ◽  
Poor Quality ◽  
Adverse Outcomes ◽  
Motor Dysfunction ◽  
Night Time ◽  
Post Stroke ◽  
Post Stroke Depression ◽  
Nighttime Sleep

Background: Post-stroke sleep disturbances (PSSD) are common and associated with various adverse outcomes. However, PSSD in the subacute stages of stroke have been scarcely studied. We aimed to evaluate the characteristics of and the factors related to PSSDs in stroke patients 3 months post-stroke. Methods: A total of 199 patients were evaluated for PSSD at 3 months after stroke. The quality of nighttime sleep and excessive daytime sleepiness (EDS) were assessed using the Verran Snyder-Halpern sleep scale and Epworth Sleepiness Scale, respectively. Presence of motor dysfunction and post-stroke pain, post-stroke depression, fatigue, and social support were evaluated. Results: Eighty eight patients (44.2%) had poor quality of night time sleep. Twenty eight patients (14.4%) reported EDS. Poor quality of sleep was independently associated with depression (p = 0.044) and EDS (p = 0.041) whereas fatigue (p = 0.000) and poor nighttime sleep (p = 0.045) were independently associated with EDS. Post-stroke pain and social support showed no association with PSSD. Conclusions: We found that PSSD 3 month post-stroke is common. Although causality remained to be determined, depression and nighttime sleep disturbances were related, whereas fatigue and nighttime sleep disturbances were related to EDS.

Tourette’s Disorder

2021 ◽  
pp. 201-230
Author(s):  
Kesley Ramsey ◽  
Joseph F. McGuire
Keyword(s):  
Poor Quality ◽  
Tic Disorders ◽  
Assessment Tools ◽  
Original Research ◽  
Tourette’S Disorder ◽  
Tourette's Disorder ◽  
New Directions ◽  
Assessment And Treatment ◽  
Development And Validation

Tourette’s disorder and persistent tic disorders, collectively referred to as TD, are relatively common diagnoses that are associated with functional impairment and a poor quality of life. Over the past two decades, original research has advanced the field’s understanding of the neurobiological underpinnings and clinical correlates of TD. This progress has contributed to the development and validation of key assessment tools and interventions for individuals with TD. Innovative research continues to expand our evolving conceptualization and treatment of TD. This chapter provides a brief historical overview of TD prior to outlining recent research advancements. The current genetic and neurophysiological framework on TD is reviewed and research exploring the phenomenology associated with TD is summarized. The state of evidence-based assessment and treatment of tics is outlined. The chapter concludes with a discussion of current gaps in the literature, as well as promising new directions for future TD research.

scholarly journals Patient satisfaction with healthcare services: Bangladesh perspective

2020 ◽  
Vol 9 (1) ◽  
pp. 34
Author(s):  
Absul Kader Mohiuddin
Keyword(s):  
Patient Satisfaction ◽  
Service Providers ◽  
Waiting Times ◽  
Healthcare Providers ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Poor Quality ◽  
Access To Health Services ◽  
Long Distance

<p>Patient satisfaction is a useful measure for providing a quality benchmark for healthcare services. Concern about the quality of healthcare services in Bangladesh has led to a loss of confidence in healthcare providers, low use of public health facilities and increased outflows of patients from Bangladesh to hospitals abroad. The key obstacles to access to health services are insufficient infrastructure and poor quality of existing facilities, lack of medical equipment, scarcity of doctors due to high patient load, long distance to the facilities and long waiting times until facilities have been reached, very short appointment hours, lack of empathy of health professionals, their generally callous and casual attitude, aggressive pursuit of monetary gains, poor levels of competence and, occasionally, disregard for the suffering that patients endure without being able to voice their concerns-all of these service failures are reported frequently in the print media. Such failures can play a powerful role in shaping patients’ negative attitudes and dissatisfaction with healthcare service providers and healthcare itself.</p>

scholarly journals Faith, social prestige and violence against surgeon in India and subcontinent: a narrative review

2021 ◽  
Vol 8 (5) ◽  
pp. 1679
Author(s):  
Karan J. Yagnik
Keyword(s):  
Practical Knowledge ◽  
Quality Of Healthcare ◽  
Daily Basis ◽  
Poor Quality ◽  
Research Papers ◽  
Poor Patient ◽  
Social Prestige ◽  
Low Health Literacy ◽  
Judicial Procedure

Violence against surgeons is universal problem but unique in India. It is reported on a daily basis across India. A lot of literature is available. Analysis and review are required. This article is about the best solutions to violence’s against surgeon. Various books, conference presentation and proceedings, workshop lectures, various electronic databases, symposium lectures, research papers and talks have been selected. Selected full articles were reviewed (total-13 article). This review is conducted for the practical knowledge to prevent violence against surgeon and hence patient-doctor satisfaction. Poor patient surgeon communication and lack of faith in medical system are major reasons for violence. There are more reasons which are discussed in details. Poor image of surgeons, cost of healthcare, poor quality of healthcare and poor communication is major factor for violence against surgeons. Low health literacy and lack of faith in the judicial procedure are also important factor. Media can explain all these things but they are not interested. Surgeon should understand the nature of patient and their relatives and act accordingly. Proper explanation in people’s language can change things in tremendous way.

scholarly journals Globalization, medical travel and healthcare management in Bangladesh

2016 ◽  
Vol 14 (2) ◽  
pp. 360-375 ◽  
Author(s):  
Muhammad Mahboob Ali ◽  
Anita Medhekar
Keyword(s):  
Medical Treatment ◽  
Low Cost ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Poor Quality ◽  
Healthcare Management ◽  
Medical Travel ◽  
Medical Facilities ◽  
Quality Of Nursing

There is an increasing evidence of people from Bangladesh travelling to neighboring countries of Asia, such as India, Thailand, Malaysia and Singapore for medical treatment due to poor quality of healthcare services, high cost, and non-availability of speciality medical treatment and facilities. Medical travel is a practise where patients travel to other countries for diagnostic, pathological and complex invasive surgeries due to various push factors in their home country which prevents them for getting affordable, accessible and accredited quality of medical treatment in a timely manner, due to high cost of surgery, uninsured, long waiting period, non-availability of treatment, lack of medical facilities and proper care, lack of trained doctors and nurses, ethical and regulatory reasons, corruption and inadequate public or private medical facilities. This study is based on qualitative and quantitative analysis to examine why people are travelling from Bangladesh to India for medical treatment. Quantitative data were randomly collected from six divisional cities of Bangladesh: Dhaka, Chittagong, Sylhet, Rajshai, Barisal and Khulna and two districts Comilla and Bogra. A total of 1282 participants, out of 1450 returned the questionnaires. Data were analyzed using regression analysis. The results concluded that the pull factors that motivated Bangladeshis to travel to India for medical treatment were: low cost of surgery, qualified experienced doctors, quality of nursing care, non-availability of treatment in Bangladesh, and state of the art medical facilities and treatment in India, which concurs with the literature

scholarly journals Strategi Politik-Hukum Meningkatkan Kualitas Kinerja DPR Ri Dalam Produktivitas Legislasi Nasional

2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Agus Riswanto
Keyword(s):  
Public Participation ◽  
House Of Representatives ◽  
Secondary Data ◽  
Poor Quality ◽  
Legal Research ◽  
And Function ◽  
Role And Function ◽  
Member Of Parliament ◽  
Research Analysis

ABSTRACT: This study examines and learn more on the need to improve the functioning of the House of Representatives (DPR RI) in national legislation. The main problem of the functions of Parliament in every period of the membership of Parliament from 2005-2016 year is the low productivity performance of the Parliament in legislation. This research is a normative law (legal research) or doctrinal explorative research-analysis. The data used is secondary data, in the form of material and the primary law and secondary law. The results showed the main causes of poor quality of legislation the DPR RI because of the extreme multiparty, Parliament favored the performance of supervisory functions in the executive and member of Parliament in the discipline in the use of his time. The legal policy  strategy to improve the productivity of legislation DPR RI is, change the course of politics from the agent/delegete to the trustee, eliminating the function of the fraction DPR RI, balancing the role and function of DPR RI and DPD RI,  accommodate veto the president, increasing public participation, and streamline costs in making law.   ABSTRAK Penelitian ini mengkaji dan mendalami tentang perlunya DPR RI meningkatkan fungsi legislasi nasional.  Problem utama fungsi DPR dalam setiap periode keanggotaan DPR dari tahun 2005-2016 adalah rendahnya kinerja DPR dalam produktivitas legislasi. Penelitian ini merupakan  penelitian hukum normatif (legal research) atau penelitian doktrinal yang bersifat eksploratif-analisis. Data yang digunakan adalah data sekunder, berupa bahan hukum primer dan dan bahan hukum sekunder. Hasil penelitian menunjukan penyebab utama rendahnya kualitas produk legislasi DPR karena faktor multipartai ekstrim, DPR lebih mengutamakan pada fungsi kinerja pengawasan pada eksekutif dan rendahnya disiplin anggota DPR dalam memanfaatkan waktunya. Adapun strategi politik-hukum untuk meningkatkan kualitas produktifitas legislasi DPR adalah, mengubah haluan politik dari agent/delegete ke trustee, menghilangkan fungsi fraksi di DPR RI, menyeimbangkan peran dan fungsi DPR RI dengan DPD RI, mengakomodasi hak veto pada presiden,  meningkatkan partisipasi publik, dan mengefektifkan biaya dalam pembuatan undang-undang.  DOI: 10.15408/jch.v4i2.4140

scholarly journals Sarcopenia, Currently a Hot Topic: A Narrative Review

2021 ◽  
Vol 23 (1) ◽  
pp. 20-26
Author(s):  
JungHoon Chai ◽  
HyunJoo Kang
Keyword(s):  
Skeletal Muscle ◽  
Poor Quality ◽  
Adverse Outcomes ◽  
Narrative Review ◽  
Amino Acid Supplementation ◽  
Muscle Loss ◽  
Progressive Decline ◽  
Life And Death ◽  
And Function

Aging is associated with a progressive decline of skeletal muscle quantity and quality leading to a gradual slowing of movement, a decline in strength and power, and a condition known as sarcopenia. Sarcopenia is a syndrome a risk of adverse outcomes such as physical disability, poor quality of life and death. Agerelated losses in skeletal muscle mass and function have had a significant important in health care issue. In this study, we reviewed the recently introduced criteria for the Eastern and Western diagnosis of sarcopenia. A narrative review of evidence- and non-evidence-based papers was conducted, using a relevant methodological framework. This review is included the following: 1) definitions and diagnostic criteria over time; 2) pathophysiology of muscle loss; 3) management especially protein or amino acid supplementation, medications, and physical exercise.

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