Leczenie bólu u chorych po zabiegach operacyjnych w znieczuleniu ogólnym i przewodowym

2018 ◽  
Vol 21 (1) ◽  
Author(s):  
Wioletta Mędrzycka-Dąbrowska ◽  
Renata Piotrkowska ◽  
Piotr Jarzynkowski ◽  
Katarzyna Kwiecień-Jaguś ◽  
Adrianna Pędziwiatr
Keyword(s):  
Postoperative Pain ◽  
Surgical Procedures ◽  
Medical Documentation ◽  
Time Interval ◽  
Microsoft Excel ◽  
Age And Gender ◽  
Treatment Category ◽  
And Gender ◽  
Level Of Significance

Introduction. Postoperative pain induced by surgical tissue damage is the most common type of acute pain that we encounter in medical and nursing practice. Patients undergoing surgical procedures are exposed to postoperative pain, which determines their quality of life. Aim. The aim of the study was to determine the need for analgesics in patients after surgical procedures performed under general and ductal anesthesia. Material and methods. The study involved 100 patients operated on for oncological reasons. The study used the method of diagnostic survey and the method of analysis of medical documentation. The research tool was the author’s questionnaire. The statistical calculations were performed using the SPSS 20 statistical package and the Microsoft Excel 2010 spreadsheet. In all calculations, p < 0.05 was assumed as the level of significance. Results. The analysis of the studies showed differences between the duration of the surgery and the analgesics administered, such as: morphine χ2 = 6.047; p < 0.049, bupivacaine χ2 = 24.436; p = 0.000 and sufentanil χ2 = 21.571; p = 0.000. It has been shown that after surgical procedures lasting over 3 hours, the patients’ need for painkillers is greater than after treatments lasting in the time interval of 1-2 hours. The research proved that the patients’ demand for analgesics is the highest on the first and second day after surgery. Conclusions. The need for analgesics in patients after surgery is the smallest on the third day after surgery. The highest demand for analgesics administered in continuous infusion into the epidural space occurs in patients qualified for the IV treatment category. The duration of the surgery significantly determines the need for analgesics. Age and gender do not significantly affect the need for analgesics.

scholarly journals Physical Activity and Quality of Life in Hemodialysis Patients and Healthy Controls: A Cross-Sectional Study

2021 ◽  
Vol 18 (4) ◽  
pp. 1978
Author(s):  
Tjaša Filipčič ◽  
Špela Bogataj ◽  
Jernej Pajek ◽  
Maja Pajek
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Everyday Life ◽  
Habitual Physical Activity ◽  
Healthy Controls ◽  
Age And Gender ◽  
Comorbidity Score ◽  
Sf 36 ◽  
And Gender

Hemodialysis (HD) patients have lower functional abilities compared to healthy people, and this is associated with lower physical activity in everyday life. This may affect their quality of life, but research on this topic is limited. Therefore, the present study aimed to determine the relationship between habitual physical activity and quality of life in HD patients and healthy controls. Ninety-three HD patients and 140 controls participated in the study. Quality of life was assessed using a 36-item medical outcomes study short-form health survey (SF-36). Human Activity Profile (HAP) was used to assess habitual physical activity. The adjusted activity score (AAS) from HAP, age, gender, fat tissue index (FTI), lean tissue index (LTI), and Davies comorbidity score were analyzed as possible predictors of the Physical Component Summary (PCS) of the SF-36. Three sequential linear models were used to model PCS. In Model 1, PCS was regressed by gender and age; in Model 2 the LTI, FTI, and Davies comorbidity scores were added. Model 3 also included AAS. After controlling for age and gender (ModelHD 1: p = 0.056), LTI, FTI, and Davies comorbidity score effects (ModelHD 2: p = 0.181), the AAS accounted for 32% of the variation in PCS of HD patients (ModelHD 3: p < 0.001). Consequently, the PCS of HD patients would increase by 0.431 points if the AAS increased by one point. However, in healthy controls, AAS had a lower impact than in the HD sample (B = 0.359 vs. 0.431), while the corresponding effects of age and gender (ModelH 1: p < 0.001), LTI, FTI, and Davies comorbidity score (ModelH 2: p < 0.001) were adjusted for. The proportion of variation in PCS attributed to AAS was 14.9% (ModelH 3: p < 0.001). The current study results showed that physical activity in everyday life as measured by the HAP questionnaire is associated to a higher degree with the quality of life of HD patients than in healthy subjects. Routine physical activity programs are therefore highly justified, and the nephrology community should play a leading role in this effort.

scholarly journals Oral lesions in patients with psychiatric disorders

2010 ◽  
Vol 138 (9-10) ◽  
pp. 564-569 ◽  
Author(s):  
Svetlana Jovanovic ◽  
Ivanka Gajic ◽  
Bojan Mandic ◽  
Jelena Mandic ◽  
Vlada Radivojevic
Keyword(s):  
Psychiatric Disorders ◽  
Facial Pain ◽  
Psychiatric Patients ◽  
Medical Documentation ◽  
Oral Lesions ◽  
Age And Gender ◽  
Taste Changes ◽  
Swallowing Difficulties ◽  
And Gender ◽  
Healthy Persons

Introduction. Oral diseases in psychiatric patients are usually a result of bad oral hygiene and psychopharmaceutical side-effects. Objective. The aim of this study was to detect oral lesions in patients hospitalized in psychiatric institutions with the confirmed diagnosis of psychiatric illness and mood disorder with psychotic characteristics, as well as to discover the factors that can influence these oral lesions. Methods. Cross-section study consisted of 186 hospitalized patients with psychiatric disorders in the experimental group, out of whom 87 were males and 99 females. Patients were aged from 18 to 59 years, mean age 46.0?8.0 years. The control group consisted of 186 healthy persons matched for age and gender. Data on oral lesions were obtained within history and clinical examination of the oral cavity. Other medical data were collected from medical documentation. Statistical analysis was performed by Student?s t-test, chi-square test and logistic regression. Results. Dry mouth was registered in 78.5% of patients. The difference in tongue and lip lesions, burning and stinging symptoms, bruxism, facial pain, low saliva rates, halitosis, taste changes and swallowing difficulties between the patients and healthy persons was highly statistically significant (p<0.001). Age and gender, as well as the factors of main disease, influence burning and stinging, bruxism, low saliva rates, swallowing difficulties, taste changes and facial pain of the psychiatric patients. Conclusion. Results imply that psychiatric patients are more frequently involved with oral lesions than healthy persons. It is necessary to organize specific preventive and educational oral health programmes with these patients, as well as with doctors who treat the basic illness.

scholarly journals Quality of life following road traffic injury: the impact of age and gender

2020 ◽  
Vol 29 (6) ◽  
pp. 1587-1596
Author(s):  
R. Rissanen ◽  
J. Ifver ◽  
M. Hasselberg ◽  
H.-Y. Berg
Keyword(s):  
Quality Of Life ◽  
Road Traffic ◽  
Road Traffic Injury ◽  
Age And Gender ◽  
Traffic Injury ◽  
And Gender ◽  
The Impact

Strength, Size, and Muscle Quality in the Upper Arm following Unilateral Training in Younger and Older Males and Females

2009 ◽  
Vol 2 ◽  
pp. CMAMD.S1180 ◽  
Author(s):  
Leah C. Tanton ◽  
Thomas A. Cappaert ◽  
Paul M. Gordon ◽  
Robert F. Zoeller ◽  
Theodore J. Angelopoulos ◽  
...  
Keyword(s):  
Muscle Quality ◽  
Resonance Imaging ◽  
Age And Gender ◽  
Males And Females ◽  
Older Subjects ◽  
Magnetic Resonance Imaging Mri ◽  
And Gender ◽  
Unilateral Training ◽  
Older Males

Purpose To assess strength, size, and muscle quality differences between younger and older males and females in response to training. Methods The bicep and tricep of the non-dominant arm were trained for twelve weeks in younger and older males and females (n = 41). The bicep of both arms were assessed pre and post for muscle strength using one-repetition maximum (1 RM) testing, and size using magnetic resonance imaging (MRI). Results Strength (p < 0.05), mCSA (p < 0.05), and 1 RM MQ (p < 0.00) increased in response to training in all subjects regardless of age or gender. Younger and older subjects had similar increases in strength (45.49 ± 15.30% vs. 42.67 ± 26.67% respectively), mCSA (16.22 ± 7.98% vs. 19.17 ± 6.19% respectively), and 1RM MQ (25.73 ± 15.76 vs. 19.67 ± 20.66 respectively). Women increased their strength (55.59 ± 19.45% vs. 32.87 ± 15.66% p < 0.00 respectively), size (20.36 ± 6.29% vs. 14.72 ± 7.28% p < 0.02 respectively), and 1 RM MQ (29.74 ± 18.33% vs. 16.30 ± 15.59% p <.02) more than men. In comparing age and gender, younger females increased their strength more than older males (56.42 ± 12.92% vs. 29.17 ± 21.8% p <.02 respectively). Older females also increased their strength more than older males (54.68 ± 25.73 vs. 29.17 ± 21.80% respectively). Younger females increased their 1 RM MQ more than older males (.18 ± .08 kg/cm vs. .06 ± .08 kg/cm p <.02 respectively). Conclusion Strength and mCSA increases similarly in older and younger subjects. However, the overall strength and quality of the muscle seems to improve more in women than in men.

Counting the population in need of international protection globally

2019 ◽  
pp. 91-102
Author(s):  
Brad K. Blitz ◽  
Alessio D’Angelo ◽  
Eleonore Kofman
Keyword(s):  
Middle East ◽  
Quality Of Data ◽  
Age And Gender ◽  
Related Services ◽  
International Protection ◽  
Internally Displaced ◽  
Multilateral Cooperation ◽  
And Gender

Different international and regional agencies count the number of persons crossing borders and internally displaced within states worldwide. Boosted in particular by conflicts in the Middle East, the number of refugees has grown to 15.1 million in 2015 and people of concern to 63.5 million. States have also sought to reduce the number recognised as Convention refugees (as defined in 1951) and are seeking to reinterpret their obligations and introducing limitations on those to be protected. The quality of data used to advance UNHCR programmes varies from one category of protected person to another, thus raising important questions for the management and delivery of protection-related services. Moreover, data are not disaggregated by age and gender, and in spite of greater efforts at multilateral cooperation, these datasets do not cover the same populations as those produced by other agencies. This chapter reviews the coverage of people of concern in the UNHCR’s guidelines and identifies gaps in the datasets used by UN and multilateral agencies tasked with the protection of refugees, IDPs and other people of concern. It suggests that these datasets need to be broadened to include other categories of vulnerable individuals and groups and that further disaggregation is needed.

scholarly journals Age and gender as determinants of the bone quality of the greater tuberosity: A HR-pQCT cadaver study

2012 ◽  
Vol 13 (1) ◽  
Author(s):  
Chlodwig Kirchhoff ◽  
Volker Braunstein ◽  
Stefan Milz ◽  
Christoph M Sprecher ◽  
Sonja Kirchhoff ◽  
...  
Keyword(s):  
Bone Quality ◽  
Cadaver Study ◽  
Age And Gender ◽  
Greater Tuberosity ◽  
And Gender
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