Sarcopenic Obesity: Definition, Health Consequences and Clinical Management

Over the last decade, a new condition, which occurs in the presence of both sarcopenia and obesity, has been termed “sarcopenic obesity”. The term describes the coexistence of obesity, defined as the increase in body fat mass deposition, and sarcopenia, defined as the reduction in lean mass and muscle strength. However, many uncertainties still surround the condition of sarcopenic obesity in terms of its definition, the adverse short- and long-term health effects (i.e., medical disease, psychosocial functioning, quality of life and mortality) and its clinical management. The aim of this short communication is to emphasize some crucial aspects that future research should take into account in order to avoid bias and misinterpretations and to underline that the study of sarcopenic obesity should be considered a scientific and clinical priority, as reported by the European Society for Clinical Nutrition and Metabolism (ESPEN) and the European Association for the Study of Obesity (EASO).

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QUALITY OF LIFE PROBLEMS OF GYNECOLOGICAL CANCER PATIENTS

Problems in oncology ◽

10.37469/0507-3758-2017-63-3-368-374 ◽

2017 ◽

Vol 63 (3) ◽

pp. 368-374

Author(s):

Olga Churuksaeva ◽

Larisa Kolomiets

Keyword(s):

Quality Of Life ◽

Gynecological Cancer ◽

Social Aspects ◽

Cancer Data ◽

Life Problems ◽

Anticancer Treatment ◽

Short And Long Term ◽

The Relationship

Due to improvements in short- and long-term clinical outcomes a study of quality of life is one of the most promising trends in oncology today. This review analyzes the published literature on problems dealing with quality of life of patients with gynecological cancer. Data on quality of life with respect to the extent of anticancer treatment as well as psychological and social aspects are presented. The relationship between quality of life and survival has been estimated.

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Capabilities of Bottom of the Pyramid Organizations

Business & Society ◽

10.1177/00076503211001826 ◽

2021 ◽

pp. 000765032110018

Author(s):

Farley Simon Nobre ◽

Rodrigo L. Morais-da-Silva

Keyword(s):

Business Model ◽

Integrative Review ◽

Responsible Innovation ◽

Future Research ◽

Bottom Of The Pyramid ◽

Main Question ◽

Responsible Management ◽

Responsible Consumption ◽

Short And Long Term

Bottom of the Pyramid (BoP) organizations are the ones that develop a set of capabilities that contribute to create short- and long-term sustainability values inside and outside the boundaries of BoP ecosystems. Capabilities have an important role in BoP organizations’ strategies that aim to solve BoP issues. Notwithstanding its developments, BoP research still lacks theoretical contributions for the analysis of organizations. We suggest special attention to the need of advancing knowledge on capabilities of BoP organizations because this field is scattered and fragmented, misinterpreted, and still underdeveloped in the literature. We oriented our research formulating and seeking answers to our main question on what are the capabilities needed to enable organizations to create sustainability values in BoP ecosystems? We conducted an integrative review of BoP research for the period from 1998 to 2019, and we found 22 key capabilities of BoP organizations. We organized the capabilities into four major categories including BoP Responsible Consumption, BoP Responsible Business Model, BoP Responsible Management, and BoP Responsible Innovation. We advanced propositions and discussions regarding the capabilities and major categories’ popularity, interdependence and combination, short- and long-term temporal functions, sustainability roles, and effectiveness to address BoP issues. Our article organizes the field of capabilities of BoP organizations; advances contributions and implications for management, organizations, and policymaking; and opens fruitful avenues for future research.

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Assessment and management of disease burden and quality of life in patients with hereditary angioedema: a consensus report

Allergy Asthma & Clinical Immunology ◽

10.1186/s13223-021-00537-2 ◽

2021 ◽

Vol 17 (1) ◽

Author(s):

Konrad Bork ◽

John T. Anderson ◽

Teresa Caballero ◽

Timothy Craig ◽

Douglas T. Johnston ◽

...

Keyword(s):

Quality Of Life ◽

Hereditary Angioedema ◽

Clinical Management ◽

Disease Burden ◽

The United States ◽

Consensus Meeting ◽

Consensus Statements ◽

Consensus Report

Abstract Background Hereditary angioedema (HAE) is a rare disease characterized by unpredictable, potentially life-threatening attacks, resulting in significant physical and emotional burdens for patients and families. To optimize care for patients with HAE, an individualized management plan should be considered in partnership with the physician, requiring comprehensive assessment of the patient’s frequency and severity of attacks, disease burden, and therapeutic control. Although several guidelines and consensus papers have been published concerning the diagnosis and treatment of HAE, there has been limited specific clinical guidance on the assessment of disease burden and quality of life (QoL) in this patient population. Practical guidance is critical in supporting effective long-term clinical management of HAE and improving patient outcomes. The objective of this review is to provide evidence-based guidelines for an individualized assessment of disease burden and QoL in patients with HAE. Methods A consensus meeting was held on February 29, 2020, consisting of 9 HAE experts from the United States and Europe with extensive clinical experience in the treatment of HAE. Consensus statements were developed based on a preliminary literature review and discussions from the consensus meeting. Results Final statements reflect the consensus of the expert panel and include the assessment of attack severity, evaluation of disease burden, and long-term clinical management of HAE caused by C1-esterase inhibitor deficiency. Patient-reported outcome measures for assessing HAE attack severity and frequency are available and valuable tools; however, attack frequency and severity are insufficient markers of disease severity unless they are evaluated in the broader context of the effect on an individual patient’s QoL. QoL assessments should be individualized for each patient and minimally, they should address the interference of HAE with work, school, social, family, and physical activity, along with access to and burden of HAE treatment. Advances in HAE therapies offer the opportunity for comprehensive, individualized treatment plans, allowing patients to achieve minimal attack burden with reduced disease and treatment burden. Conclusion This consensus report builds on existing guidelines by expanding the assessment of disease burden and QoL measures for patients with HAE.

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Physiotherapy management of patients with major chest trauma: Results from a global survey

Trauma ◽

10.1177/1460408619850918 ◽

2019 ◽

Vol 22 (2) ◽

pp. 133-141 ◽

Cited By ~ 1

Author(s):

Heleen van Aswegen ◽

Julie Reeve ◽

Lisa Beach ◽

Romy Parker ◽

Monika Fagevik Olsèn

Keyword(s):

Online Survey ◽

Chest Trauma ◽

Trauma Team ◽

Future Research ◽

Long Term Outcomes ◽

Breathing Exercises ◽

Surgical Fixation ◽

Short And Long Term ◽

Ventilatory Management

Aim Major chest trauma is associated with significant morbidity and mortality. Management of patients with major chest trauma includes pain relief, ventilatory management, surgical fixation and early rehabilitation to improve both short- and long-term outcomes. Physiotherapy is widely considered an integral component of the multidisciplinary trauma team and aims to improve respiratory status and reduce the sequelae associated with immobility and reduced physical function. Despite this there is scarce evidence describing or investigating physiotherapy interventions and how these practices vary worldwide. The aim of this study was to ascertain the current physiotherapy management of patients having sustained major chest trauma and to investigate how such practices varied internationally. Methods A purpose designed online survey was administered to a group of experienced physiotherapists who work in the field of trauma. Results Response rate was 51% ( n = 49) and respondents represented all five continents. Respondents reported focussing on active coughing ( n = 46, 96%, r = 0.5, p = 0.98), body positioning ( n = 43, 94%, r = 0.7, p = 0.41), deep breathing exercises ( n = 44, 94%, r = 0.8, p = 0.66) and early mobilisation ( n = 47, 98%, r = 1, p = 0.64). Ambulation in hospital was reported to be common ( n = 46, 98%, r = 0.2, p = 0.99) but rehabilitation to address longer term sequelae following hospital discharge was reported to be rare ( n = 4, 8%). Conclusion This survey has highlighted those practices used by physiotherapists worldwide which aim to address the complications associated with major chest trauma. Having established global practice, the study provides a platform for future research investigating the efficacy of such interventions in improving both short- and long-term outcomes for patients following major chest injury.

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Quality of life and patient-centered outcomes following atrial fibrillation ablation: short- and long-term perspectives to improving care

Expert Review of Cardiovascular Therapy ◽

10.1586/erc.12.62 ◽

2012 ◽

Vol 10 (7) ◽

pp. 889-900 ◽

Cited By ~ 4

Author(s):

Sanghamitra Mohanty ◽

Luigi Di Biase ◽

Rong Bai ◽

Pasquale Santangeli ◽

Agnes Pump ◽

...

Keyword(s):

Quality Of Life ◽

Atrial Fibrillation ◽

Atrial Fibrillation Ablation ◽

Patient Centered ◽

Short And Long Term

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Prospective Assessment of Short- and Long-Term Quality of Life After Ablation for Atrial Fibrillation

Journal of Cardiovascular Electrophysiology ◽

10.1111/j.1540-8167.2011.02165.x ◽

2011 ◽

Vol 23 (2) ◽

pp. 121-127 ◽

Cited By ~ 35

Author(s):

STEPHANIE FICHTNER ◽

ISABEL DEISENHOFER ◽

SIBYLLE KINDSMÜLLER ◽

MARIJANA DZIJAN-HORN ◽

STYLIANOS TZEIS ◽

...

Keyword(s):

Quality Of Life ◽

Atrial Fibrillation ◽

Prospective Assessment ◽

Short And Long Term

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Assessment of Implicit Interests through an Unobtrusive Computer Task. Their Relations with Career Decision, Anxiety, and Personality Traits

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182312366 ◽

2021 ◽

Vol 18 (23) ◽

pp. 12366

Author(s):

Antoni Castelló ◽

Ramon Cladellas

Keyword(s):

Personality Traits ◽

Compulsory Education ◽

Career Decision ◽

Computer Tool ◽

Efficient Tool ◽

Short And Long Term ◽

Career Preferences ◽

Important Shift

Adolescence is a period where youngsters still do not know much about themselves. That makes some decisions, like those concerning vocational elections, a complicated issue that has important consequences for their life. The main goal of this piece of research is to measure implicit interests using a situated, unobtrusive computer tool (PrUnAs: Preferences Unobtrusive Assessment) as well as its connection with anxiety and personality traits: neuroticism, extraversion, self-efficacy, optimism, consciousness, and openness. Sample: 304 16-year-old adolescents enrolled in the last course of compulsory education. Instruments: Computer programs were used to measure implicit interests, career preferences, and to self-descript personality traits; finally, the paper-and-pencil test Stai was applied to measure anxiety. Results: Concordance between implicit interests and explicit choices was less than 50%. The software developed for assessing implicit interests not only proved to be an efficient tool to make them arise but also a good predictor of anxiety. Conclusions: Implicit interests and explicit elections are not the same. The approach from implicit preferences is an important shift in the approximation to vocational guiding and to reduce youngsters’ indecision level. Beyond vocational choice, this information may improve the short- and long-term quality of life and mental health.

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Selected life quality variables of women treated surgically due to intertrochanteric femur fractures in the aspect of nursing and rehabilitation standards

Rehabilitacja Medyczna ◽

10.5604/01.3001.0010.8158 ◽

2018 ◽

Vol 21 (3) ◽

pp. 4-13

Author(s):

Małgorzata Kamińska ◽

Joanna Golec ◽

Dorota Czechowska

Keyword(s):

Quality Of Life ◽

Femur Fracture ◽

Femoral Fractures ◽

Femur Fractures ◽

Short And Long Term ◽

Intertrochanteric Femur Fracture ◽

Long Term Observation ◽

Nursing Standards

Introduction: The aim of presented study was to evaluate selected quality of life indicators for women treated surgically due to intertrochanteric femur fractures in terms of implementation of physiotherapeutic and nursing standards. Clinical Hospital in Krakow (5WSK) within the period from January 2015 to December 2016. At that time, 145 women with intertrochanteric femur fracture were admitted to the hospital. The age of the patients ranged between 58 and 92 years, with an average of 83.6 years. The following questionnaires and score scales were used to assess the quality of life: Short Pfeiffer Mental Status Questionnaire (SPMSQ), Instrumental Activities of Daily Living (IADL) scale, SF-36 Quality of Life Questionnaire, Barthel scale, HOOS scale, Geriatric Depression Scale (GDS) by Yesavage, the author’s questionnaire on rehabilitation care problems related to urinary tract infections, bed sores, pneumonia, gastrointestinal disorders, gastrointestinal infections and thromboembolic complications as well as survival rate. Results and conclusions: 1. The quality of life of women operated because of intertrochanteric femoral fractures using an intramedullary Gamma nail had deteriorated in both short and long-term observation. 2. Maintenance and individualization of nursing standards and rehabilitation in women treated surgically due to intertrochanteric femoral fractures had a positive effect on the overall process of their treatment. 3.The level of physical activity declared by women operated due to intertrochanteric femur fracture prior to the occurrence of these fractures, has a signifi cant effect on their functional results in short and long-term observation. The higher the level of physical activity of these patients before the fracture, the more favourable was the functional outcome. 4. The level of mood and self-acceptance of the disease in women treated surgically for this fracture had signifi cant impact on the process of their nursing as well as rehabilitation, and on functional status in short and long-term follow-up. The higher the level of mood and self-acceptance of the disease in these women, the better the process of their nursing, rehabilitation and the functional outcome.

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Effect of COVID-19 pandemic on perceptions and career goals of undergraduate tourism students in Ecuador

Ciencia Unemi ◽

10.29076/issn.2528-7737vol14iss37.2021pp15-28p ◽

2021 ◽

Vol 14 (37) ◽

pp. 15-28

Author(s):

Maria José Ortiz Zurita ◽

Lluís Coromina Soler

Keyword(s):

Higher Education ◽

Tourism Industry ◽

Quantitative Approach ◽

Career Goals ◽

Tourist Destinations ◽

Professional Goals ◽

Short And Long Term ◽

Professional Perceptions

This paper explored the perceptions and career goals of undergraduate tourism students, before and during the pandemic COVID-19, in the Universidad Estatal de Milagro, in Milagro, Ecuador. The study is based on a quantitative approach. The sample is made up of 207 students during 2018 (before the COVID-19 pandemic) and 161 students in 2020 (during COVID-19). The questionnaire included questions about professional perceptions and questions about the professional goals that students have in the short and long term. Finally, perceptions exclusively related to COVID-19 were measured. The results showed that the vast majority of the students are highly motivated and committed to pursue a career in the tourism industry. A high percentage of the participants expressed their desire to do a Tourism master degree and undertake their own tourism businesses, despite the uncertainty now generated by COVID-19. The findings also reaffirmed the importance of guiding improvements on tourism higher education and tourism industry, with the aim of ensuring the quality of the tourist services, with highly skilled professionals, especially in emerging tourist destinations as Ecuador.

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