Life Quality of Patients with Face Transplant

2021 ◽  
Vol 66 (Special Issue) ◽  
pp. 47-47
Author(s):  
Vlad Covrig ◽  
◽  
Cristian Budacu ◽  
Beatrice Ioan ◽  
◽  
...  

"The face is the feature which best distinguishes a person, the shape of it being influenced by the bone-structure of the skull. Facial trauma, known as maxillofacial trauma, is any physical trauma to the face that can involve soft and hard tissue having the potential to cause disfigurement. The last resort solution after major facial trauma, when conventional reconstruction techniques have failed is now represented by face transplant. The aim of this paper is to underline the life quality and psychological implication of patients that were face transplanted. Our material and method involved studying the most relevant medical literature for this issue and also using our personal experience of patient with face cancer that underwent radical oncological surgery followed by reconstruction. Based on these data we can conclude that face transplantation appears to decrease depression and to improve patient’s quality of life and societal reintegration. Also, in our opinion a very important factor involving the success of face transplantation is represented by the psychological outcomes of the patients, their follow up for a minimum 6 months period with regular psychological counselling sessions being very important. Furthermore, there is a critical need for modification of existing rating scales to allow effective assessment of face transplant candidates before and after transplantation. "

2021 ◽  
Vol 4 (2) ◽  
pp. 108
Author(s):  
Selia Apriyani ◽  
Mariyam Mariyam ◽  
Dera Alfiyanti ◽  
Amin Samiasih

Life Quality of an infant is a multidimensional concept that involves physical, emotional, mental, social and other behavioural elements and their function, One of the efforts to maintain the quality of the infant is by field massage. Baby massage is one of the stimulus touches which is also a safe and comfortable form of communication with an infant. The objective of this research to analyze the influence of field massage on the life quality of infants with hyperbilirubinemia and under phototherapy. This research was a quasi-experimental research with one group pre-test-posttest design. with 35 respondents taken as the sample. The data was collected through direct observation on infants life quality before and after the field massage treatment with the assistant of the observation sheet. Life Quality observed include body weight, temperature, pulse, sleep duration, crying time, nighttime awakening intensity. This field massage is done 2x / day (morning and night) within 10 minutes for 2 days in certain areas namely the face chest, stomach, back. The results showed the average infant weight before the massage was 3056.74 after the massage field 3097.14, the baby's temperature before field massage was 36,640 after field massage 36,974, for infant pulse before field massage the average was 142.57 after field massage 141.66, the length of the infant sleep/day before average field massage 14.252 after field massage 16.765, the average intensity of getting up at night/day before the massage field 4.14 after massage field 3.0, the average length of crying of infant/day before the massage field 2,085 after the massage field 1,464. The results of the research showed that the Wilcoxon match pair test for the life quality of infant variable obtained p-value = 0,000 (α = 0.05) meaning that there was a significant effect of field massage on the life quality of infant with hyperbilirubinemia under phototherapy.


2021 ◽  
Vol 5 (3) ◽  
pp. 42-46
Author(s):  
Luiz Eduardo Toledo Avelar

The mandible is the most important bone structure of the facial makeup. Its morphology differs with respect to genetic factors, sexual dimorphism, and age. Among its particular characteristics is the ability to adapt with its counterpart, the base of the skull, conferring a dynamic quality of this bone, by the mechanism of constant remodeling. In order to understand the involvement of the mandible in the evaluation of the lower third of the face, a fractional analysis of its parts is necessary considering morphological parameters of the mandibular angle. The purpose of this study is to demonstrate the importance of the mandible as an instrument in the analysis of the lower third of the face, allowing the accomplishment of aesthetic treatment, respecting the individual characteristics.


2018 ◽  
Vol 7 (1) ◽  
pp. 75-90 ◽  
Author(s):  
A. Iaremenko ◽  
E. Isaeva ◽  
T. Kolegova ◽  
E. Sitkina ◽  
Yu. Vasilieva

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.


2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Ying Chen ◽  
Feng Wang ◽  
Yuanxi Jiang ◽  
Chen Wang ◽  
Liwen Yao ◽  
...  

Gastroesophageal reflux disease is a diversity disease that affects life quality of people in the world. Due to the complicated pathogenesis and variations in clinical manifestations, there is still no true gold standard for GERD diagnosis, and it is still difficult to diagnose this disease in some patients. The proton pump inhibitor’s diagnostic test (the PPI test) is noninvasive, of low cost, tied to treatment, and widely accepted. Our aim is to evaluate the diagnostic significance of coapplying a rabeprazole test with the SF-36 for GERD in this study. Our study shows that the SF-36 in combination with the rabeprazole test can screen GERD patients and increase the sensitivity and specificity of GERD diagnosis through reference to the change in SF-36 score before and after the treatment (65 in the trial).


2020 ◽  
pp. 17-23
Author(s):  
E. A. Khlystova ◽  
A. L. Savastenko

Introduction. The article provides latest data on modern methods of treating rosacea. The results of own clinical observations of patients with moderate to severe papulopustular rosacea receiving combination treatment and a comparative analysis of the efficacy of various therapy regimens are presented.Objective of the study. The aim of the study was to conduct a comparative analysis of the therapeutic efficacy of combination therapy using the ivermectin 1% topical drug combined with systemic therapy drugs (doxycycline, minocycline, isotretinoin).Materials and methods. We observed 37 patients with moderate to severe papulo-pustular rosacea subtype. The patients were divided into 4 groups (A, B, C, D). Patients in the control group received monotherapy with 1% ivemectin topical drug, patients in the other groups received combination therapy (1% ivermectin combined with low-dose doxycycline, minocycline and isotretinoin). The efficacy of the therapy was evaluated by measuring rosacea severity on the Scale for Diagnostic Assessment of Rosacea (SDAR), clinical manifestations according to the IGA (Investigator Global Assessment) criteria, and by assessing the patients' quality of life using the DLQI (Dermatology Life Quality Index) questionnaire before and after 3-month treatment.Results. The comparative analysis of changes in severity indicators of the skin process and quality of life in patients with moderate to severe papulopustular rosacea after topical and combination therapy showed that the results of the treatment in patients receiving combination therapy were more significant than those in the group receiving monotherapy.Conclusion. The concomitant use of 1% ivermectin and systemic drugs is most effective in patients with severe papulopustular rosacea subtype. The combination treatment tailored to the clinical forms and severity of rosacea allows to optimize the clinical results of the therapy, which significantly affects the patients' quality of life and opens up potential for an individual approach in the algorithms for the treatment of rosacea.


2015 ◽  
Vol 174 (4) ◽  
pp. 50-52
Author(s):  
T. B. Duboshina ◽  
M. P. Askerov ◽  
O. A. Zhmyleva

The authors analyzed quality of life before and after thyroid surgery in 350 patients. The article suggested the ways of improving of surgical treatment by developing some technical details. Indications to operation and choice of the operation volume were specified by morphological diagnostics refinement.


2021 ◽  
pp. 019459982110641
Author(s):  
Yair Heskiau Shteinberg ◽  
Netanel Eisenbach ◽  
Maayan Gruber ◽  
Ohad Ronen

Objective Parents of children with any chronic illness may experience increased anxiety and reduced health-related quality of life (QoL). Our objective was to evaluate the change in parental QoL before vs after tonsillectomy. Our hypothesis was that pediatric tonsil surgery with or without adenoidectomy would improve parental QoL. Study Design A prospective cohort study. Setting An otolaryngology department in a tertiary academic center. Methods We enrolled parents of 79 children <5 years old. Adenotonsillectomy due to an obstructive airway indication was performed in 45 children. A group of 34 parents to healthy children served as a control group. Initially, we validated a modified version of the PAR-ENT-QoL questionnaire; then, we analyzed QoL parameters among parents of children with obstructive sleep-disordered breathing before and after surgical treatment. Results We found significant differences between the QoL score before and after surgery ( P = .003). The QoL score after surgery significantly improved and was even lower than that of the control group ( P < .001). Conclusions These results highlight the importance of timely diagnosis and treatment of children with obstructive sleep-disordered breathing, as this condition may affect not only the children themselves but also their caregivers.


Author(s):  
Kelly Cristina Fernandes Rocha ◽  
Kliger Kissinger Fernandes Rocha ◽  
Regina Helena Da Silva ◽  
Alessandra Mussi Ribeiro

Introduction: Meditation is described as a method for improving attention and promoting psychological and emotional stability, presenting favorable results on cognitive functions and stress tolerance as well. Recently, studies have shown differences on psychological measurements between meditators and non-meditators. The aim of this study was to investigate the influence of regular practice of meditation on psychological measures of healthy participants in basal conditions or after experimental stress-induction. Methods: Forty-four healthy participants (20 meditators and 24 non-meditators) were evaluated by inventories of life quality, anxiety, mood, sleep quality, depression, and stress. Furthermore, all participants were submitted to working memory tasks (Hanoy tower and Digit Spam) before and after two stress-induction procedures: Stroop Color-word and Serial Subtraction tests. The research protocol was approved by the institutional ethics committee (204/09 - CEP/UFRN, CAAE 0221.0.051.000-09). Results: Our results showed that meditators presented better inventories scores when compared with non-meditators in parameters such as life quality (score 15.6 versus 14.9, p = 0.04), mood (score 6.0 versus 22.5, p = 0.02), and depression (score 2.5 versus 7.0, p = 0.01). Regarding stress levels, 10 % of meditators (against 37.5% of non-meditators) presented low levels of stress (p = 0.04). Moreover, there was an improvement in performance of meditators (23.3 ± 0.8) in relation to non-meditators (19.0 ± 1.0) on digit span task and in Hanoi tower of meditators (165.2 ± 6.1 ) in relation to non-meditation (224.1 ± 13.1) after stress induction. Conclusion: These findings corroborate other studies showing that meditation can provide an improvement in general quality of life as well as the performance of practitioners in memory tasks.


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