scholarly journals Importance of the Evaluation in the Quality of life in bariatric surgery

2020 ◽  
Vol 8 (15) ◽  
pp. 3-8
Author(s):  
Iracema Islas-Vega ◽  
Alfredo García-Alvarado ◽  
Juan Roberto González Santamaría

Obesity is a serious health problem that has increased in recent decades. It is a chronic disease responsible for serious physical, psychological and social problems, reaching to alter the quality of life of people who suffer from it. Bariatric surgery is the best treatment for obesity even in its most severe levels, since in addition to reducing excess weight, it achieves a high rate of improvement and remission of metabolic comorbidities, improving the quality and expectation of life of the operated patients. Within bariatric procedures, laparoscopic gastric bypass and laparoscopic sleeve gastrectomy are the most performed worldwide. Quality of life is defined as, the perception that the obese person has of their physical, psychological, and social limitations and the reduction of opportunities. The success of the surgery consists of changing the quality of life of the patient. The results should not be evaluated only according to the initial loss or late weight gain, complications or sequelae of one or another technique or the subsequent need for cosmetic surgery, but a series of factors derived from the patients themselves should be taken into account, which together define the quality of life and even the cost / benefit ratio.

2015 ◽  
Vol 48 (5) ◽  
pp. 319-323 ◽  
Author(s):  
André Hadyme Miyague ◽  
Fernando Marum Mauad ◽  
Wellington de Paula Martins ◽  
Augusto César Garcia Benedetti ◽  
Ana Elizabeth Gomes de Melo Tavares Ferreira ◽  
...  

AbstractThe authors review the main concepts regarding the importance of cleaning/disinfection of ultrasonography probes, aiming a better comprehension by practitioners and thus enabling strategies to establish a safe practice without compromising the quality of the examination and the operator productivity. In the context of biosafety, it is imperative to assume that contact with blood or body fluids represents a potential source of infection. Thus, in order to implement cleaning/disinfection practice, it is necessary to understand the principles of infection control, to consider the cost/benefit ratio of the measures to be implemented, and most importantly, to comprehend that such measures will not only benefit the health professional and the patient, but the society as a whole.


Author(s):  
W.J. Becker

ABSTRACT:The triptans represent a major advance in migraine therapy but their cost per dose greatly exceeds that of many older treatments. There is evidence that for a significant proportion of migraine patients these new drugs can show a positive cost benefit and also improve quality of life. Cost benefit would be expected to be greatest in patients with more severe migraine attacks.


2021 ◽  
Author(s):  
Evelyn Müller ◽  
Jan Hoffmann ◽  
Dennis Schulze

<p>Actual, continuously available information on the accuracy of forecasts can support both weather services and users of forecasts in quality assurance during operations and identify systematic weaknesses. Comparing the forecast success of different forecasting methods allows decision makers in the weather service and on the user side to evaluate the cost-benefit ratio of available forecasting approaches, be it different models, DMO and post-processing, or different providers. Finally, in addition to on-off experiments for version comparison, the success of developments to the forecast system can be seen in the comparison of time series of verification results against those of other forecasts. </p><p>From the development of the forecasting process to daily operations to the use of forecasts in subsequent industry applications, stakeholders have very different questions about the quality of weather forecasts. From the weather room, there is a particular need for up-to-date information on the previous day's forecast success and rapid access to case verification analyses following unusual events. Especially in B2B, case-specific comparison with the success of other forecasts is also in demand. For management, on the other hand, longer-term trends in forecast quality are the focus of interest. Finally, users often base their choice of a forecasting provider not only on procurement costs and convenience of access, but also take into account the current forecast accuracy of their relevant parameters, in their region, in the forecast horizon relevant to them. Especially weather-sensitive industries such as road weather services, energy production and transmission, but also media often agree with forecast suppliers on continuous monitoring of forecast quality. </p><p>We present different perspectives and questions and show possible answers as use cases in a verification portal.</p>


2010 ◽  
Vol 20 (7) ◽  
pp. 919-928 ◽  
Author(s):  
Laura N. McEwen ◽  
Renuka B. Coelho ◽  
Lauren M. Baumann ◽  
Dori Bilik ◽  
Betsy Nota-Kirby ◽  
...  

2020 ◽  
Vol 4 (2) ◽  
pp. 53
Author(s):  
Peter Johannes Manoppo

Nowadays, the paradigm of ‘Listen to the Doctor’ is weakening in health-care-delivery. The higher expectation of health-care-delivery quality expectation, the better patient-best-preference, and the more complicated system in health-care-delivery, have led to the shift of the paradigm to ‘Listen to the Patient’. Ethically, these situations are enhancing the bargaining position of the patient based on the principle of respect for autonomy. The principles of ethics in health-care- delivery are very important as the proper ground to anticipate the possibilities of unethical behavior by the health-care-provider and caregiver. Those evolutions are also enhancing the efforts of improving the quality of medical human resources, up-to-date medical technology, novel medical researches, and efficient cost-benefit ratio, so that the patient’s health, safety, quality-of-life, and patient-best-preference, can be achieved on the highest level. The paradigm of ‘Listen to the Patient’, which is in line with the principle of respect for autonomy, should be implemented to improve health governance and create the best health-care-delivery quality, good quality-of-life, patient safety, and patient-best-preference to any extent.


Robotica ◽  
1993 ◽  
Vol 11 (6) ◽  
pp. 529-534 ◽  
Author(s):  
Gary E. Birch

It is expected that an appropriate robotic appliance can play a major role in providing long periods of independence, which in turn will lead to improved quality of life, for people who are severely physically limited. As part of its research programme over the past several years the Neil Squire Foundation has been developing a workstation-based robotic assistive appliance (RAA) for use by such persons. We feel that robotic aids initially will have their most profound impact when applied in a vocational environment. Although other rehabilitation researchers have similar interests there is a great need for the utility of robots in these environments to be more fully substantiated and assessed. A formal evaluation process currently is under way in an attempt to quantify and to understand the cost/benefit results of using the RAA in office situations.


2019 ◽  
Author(s):  
Sara Merino-Molina ◽  
Angel Rebollo-Roman ◽  
Aura-Dulcinea Herrera-Martinez ◽  
Maria-Dolores Alcantara-Laguna ◽  
Concepcion Munoz-Jimenez ◽  
...  

Author(s):  
Khaled Alghamdi ◽  
Feras Aljohani ◽  
Ala Alrehaili ◽  
Ahmed Alhusayni ◽  
Turki Alrehaili ◽  
...  

2009 ◽  
Vol 101 (04) ◽  
pp. 674-681 ◽  
Author(s):  
Massimo Franchini ◽  
Annarita Tagliaferri ◽  
Antonio Coppola

SummaryA four-decade clinical experience and recent evidence from randomised controlled studies definitively recognised primary prophylaxis, i.e. the regular infusion of factor concentrates started after the first haemarthrosis and/or before the age of two years, as the first-choice treatment in children with severe haemophilia. The available data clearly show that preventing bleeding since an early age enables to avoid or reduce the clinical impact of muscle-skeletal impairment from haemophilic arthropathy and the related consequences in psycho-social development and quality of life of these patients. In this respect, the aim of secondary prophylaxis, defined as regular long-term treatment started after the age of two years or after two or more joint bleeds, is to avoid (or delay) the progression of arthropathy. The clinical benefits of secondary prophylaxis have been less extensively studied, especially in adolescents and adults; also in the latter better outcomes and quality of life for earlier treatment have been reported. This review summarises evidence from literature and current clinical strategies for prophylactic treatment in patients with severe haemophilia, also focusing on challenges and open issues (optimal regimen and implementation, duration of treatment, long-term adherence and outcomes, cost-benefit ratios) in this setting.


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