Impact from Functional Biological Management in the Electromyography Mode on the Psychological State of Children with Non-organic Urination and Defecation Impairment

Study Objective: To identify and evaluate the impact from functional biological management (FBM) in the electromyography (EMG) mode on clinical manifestations and psychological state in children with non-organic urination and defecation impairment. Study Design: prospective controlled clinical study in parallel groups. Materials and Methods. We examined 255 children of 7 to 18 years old (mean age: 10.3 ± 3.1 years) with urinary incontinence (as the only one complaint or one of a number of complaints upon hospitalisation) and non-organic (functional) urination impairment. The study group included 153 children (66 boys and 87 girls) who had daily FBM sessions (FBM therapy) in the EMG mode (10 sessions) with the standard intensity without prior electrical stimulation. The comparison group included 102 children (43 boys and 59 girls) who were treated with oral metabolic support (MS) for 1 month. A complex examination included history, physical examination, physical development assessment, complete blood test and biochemical blood assay, urinalysis, monitoring of spontaneous urination and defecation rhythms, qualimetric tables, US examination of kidneys, urinary bladder and abdominals, urofluometry, and, if indicated, X-ray or endoscopic examinations and rectum sphincter examination. A complex psychological assessment was performed prior to and after therapy, and prevailing emotions, anxiety levels, ambitions, and self-esteem were identified. Study Results. It was found out that the children with non-organic urination impairment had mostly non-monosymptomatic enuresis (non-ME) (148 (58%)); monosymptomatic enuresis (ME) was diagnosed in 61 (24%) patients, while daytime urinary incontinence (DUI) was recorded in 46 (18%) children, with the peak detectability being at the age of 7 to 10 years. In 41.2% and 43.1%, non-organic urinary impairments (33.3% children with non-ME and 7.8% and 9.8% children with DUI) were combined with chronic constipation and faecal incontinence associated with accompanying pelvic organs impairment. FBM therapy in EMG mode was highly efficient in children both with non-organic urination impairment (84.4%) and accompanying pelvic organs impairment (74.6%); while metabolic support was efficient only in 48.3% and 40.9% of cases, respectively (р < 0.001 in both cases). Children with non-organic urination impairment and accompanying pelvic organs impairment had mostly negative emotions, increased anxiety, low ambitions and self-esteem because of the disease. Unlike metabolic support, FBM therapy in EMG mode had statistically significant impact on the shift to positive emotions, reduced anxiety, improved ambitions and self-esteem. Conclusion. When used in children with non-organic urination impairment and accompanying pelvic organs impairment, FBM therapy in EMG mode can not only arrest clinical symptoms of the disease, but also replaces negative emotions with positive ones, reduces anxiety, improves ambitions and self-esteem, resulting in higher quality of life. Keywords: impaired urination, enuresis, daytime urinary incontinence, accompanying pelvic organs impairment, functional biological management, anxiety, ambitions, self-esteem.

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Complex evaluation of diagnostic criteria in women with cystocele and stress urinary incontinence

HEALTH OF WOMAN ◽

10.15574/hw.2017.123.110 ◽

2017 ◽

pp. 107-110

Author(s):

A.A. Lyulko ◽

Keyword(s):

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Operative Treatment ◽

Pelvic Organ ◽

Control Group ◽

Pelvic Organs ◽

Uterine Ligaments ◽

Absolute Criterion ◽

Type 3 ◽

The Impact

The purpose of the study: clarification of absolute and relative criteria for the operative treatment of prolapse of the pelvic organs (POP) and stress urinary incontinence (SUI). Patients and methods. 85 patients with POP and SUI were observed. These women were divided into groups according to the stage of POP and SUI: group 2 – 32 patients with I and II stages of POP and SUI 2a, 2b types of light and moderate severity; group 3 (main) – 53 patients with III and IV stages of POP and SUI type 3 moderate and severe severity. This group of patients subsequently undergone operative treatment according to the patent for utility model No. 109201. The main group (3rd group) included: 3a group – 28 women with III and IV stages of POP and SUI type 3 moderate and severe severity without delay in urination; 3b group – 25 women with III and IV stages of POP and SUI type 3 moderate and severe severity with delay of urination (chronic or acute). 15 women were examined without complaints, who entered the control group (1st group). Results. According to the results of the study, it was recorded that, regardless of the stage of the POP and SUI, even it’s minimal manifestation significantly reduces the quality of life of patients (by 64%) due to the impact on the physical, but greater, on the psychological components of health. Conclusion. The absolute criterion for operative treatment is a set of prolapse of the pelvic organs (POP), urinary incontinence, vesicularization of the bladder type 2a and above, an increase of the posterior urethro-vascular angle of more than 114°. Treatment of stress urinary incontinence on the background of POP should necessarily include fixation of the uterine ligaments and the Berch surgery because of significant deformation of the bladder neck. Key words: pelvic organ prolapse, urinary incontinence, methods of diagnostics.

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Hemostasis in Infertile Patients Participating in Assisted Reproduction Programmes

Doctor Ru ◽

10.31550/1727-2378-2021-20-6-6-11 ◽

2021 ◽

Vol 20 (6) ◽

pp. 6-11

Author(s):

A.O. Godzoeva ◽

◽

I.E. Zazerskaya ◽

V.S. Vlasov ◽

T.V. Vavilova ◽

...

Keyword(s):

Reproductive Technologies ◽

Control Group ◽

Study Group ◽

Study Objective ◽

Hemostasis System ◽

Fibrin Monomer ◽

Study Results ◽

Venous Thromboembolic Events ◽

The Impact ◽

Infertile Patients

Study Objective: To evaluate the impact of multifollicular ovarian stimulation in in vitro fertilisation (IVF) programmes on hemostasis. Study Design: perspective comparative study. Materials and Methods. The study included 68 patients divided into two groups: study group (n = 36) — infertile patients; control group (n = 32) — healthy non-pregnant women of reproductive age. The protocol with gonadotrophin releasing hormone antagonists was used for ovulation stimulation. Hemostasis system in study patients was evaluated in 2 weeks after embryos were transferred to uterus; in control group — on day 20–22 of menstrual period. For the study group, we evaluated clotting test parameters of hemostasis system, D-dimers (D-d) and fibrin monomer (FM). Study Results. We have not found statistically significant differences between hemostasis screening results of study groups. We have identified increase in pro-coagulatory properties of blood in the study group patients: increase in FM and D-d (р < 0.0001 in both cases). There is an association between study parameters and pregnancy (p < 0.001) and no association with obesity, age and infertility. Conclusion. In IVF programme, FM and D-d levels rise, evidencing hypercoagulation development. An increase in FM levels was even more significant and can be used as an early and specific fibrogenesis marker. Keywords: assisted reproductive technologies, fibrin monomer, D-dimer, hypercoagulation, venous thromboembolic events.

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Inmates’ physical activity as part of the health ecology

Open Medicine ◽

10.2478/s11536-011-0060-y ◽

2011 ◽

Vol 6 (5) ◽

pp. 679-684 ◽

Cited By ~ 4

Author(s):

Vidmantas Vaiciulis ◽

Saulius Kavaliauskas ◽

Ricardas Radisauskas

Keyword(s):

Physical Activity ◽

Social Skills ◽

Secondary Education ◽

Self Esteem ◽

Psychological State ◽

Cross Sectional ◽

Physically Active ◽

Study Results ◽

Sports Activities ◽

Physically Inactive

AbstractTo evaluate the possibilities of physical activity in developing inmates’ healthy lifestyle and social skills. The research, which was conducted in 2009 in Pravieniskes First and Second Correction Houses, was local and cross-sectional using a written questionnaire. The questionnaire consisted of four groups of questions/statements: I — demographic questions; II — questions/statements about inmates’ physical (sports) activities (was created for this study) and III — assessment of inmates’ social skills. And IV — assessment of inmates’ self esteem. Sufficiently physically active inmates (n=185) comprised 57.8 percent of the total number of respondents. Inmates’ physical activity statistically significantly (p<0.05) correlates with their younger age. Secondary education is prevailing in the group of physically active inmates, while primary — lower secondary education predominates in the group of physically inactive inmates (n=135). Only less than 6 percent of inmates have higher education. The average age of physically active inmates is statistically significantly lower than that of physically inactive inmates, 26 and 31.6 years respectively (p=0.01). The analysis of inmates’ contentment with their psychological state and satisfaction with health care services, food quality, and conditions for sports activities showed that physically active inmates are more critical about these factors than physically inactive inmates. Only the contentment with psychological state in physically active inmates is statistically significantly higher than in inactive inmates. Out of eleven social skills assessed in the study, only two skills (ability to initiate conversation with a stranger and sense of responsibility) are statistically significant (p<0.05). The probability that the convicts who have a strong sense of responsibility tend to be more physically active than the inmates who do not consider themselves responsible is 7.4 times higher. The study results showed that self-esteem in physically active inmates is statistically significantly higher that in physically inactive inmates (p=0.033). Low self-esteem was not determined in any inmates.

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The therapist's low self-esteem as a factor that sustains the learned helpnessness of the patient with depression. The supervision case report

European Psychiatry ◽

10.1016/s0924-9338(11)73040-1 ◽

2011 ◽

Vol 26 (S2) ◽

pp. 1335-1335

Author(s):

E. Wojtyna

Keyword(s):

Case Report ◽

Clinical Experience ◽

Learned Helplessness ◽

Negative Emotions ◽

Self Esteem ◽

Depressive Patient ◽

Negative Cognitions ◽

Dysfunctional Cognitions ◽

Sense Of Competence ◽

The Impact

IntroductionNegative self-esteem is frequently associated with a pessimistic style of explaining events. People experiencing events may see themselves as the cause, moreover they see the situation as unchangeable, and affecting all aspects of life. After experiencing some inability to avoid an adverse situation individual learns to act or behave helplessly.Working with a depressive patient can lead to the therapist's negative emotions such as frustration caused by the slow improvement, lack of the patient's engagement or escalation of suicidal tendencies. In such situation supervision seems to be essential.AimsThe aims of this case report is analysis of relation between therapist's low self-esteem and patient's learned helplessness.MethodsThe studies includes analysis of supervision case report. The supervisee has completed the CBT education and he was a psychiatrist with five years of clinical experience.ResultsThis supervision showed the therapist's poor self-esteem as a factor escalating the patient's learned helplessness. The therapist needed to prove himself and his excessive activity unmotivated the patient and decreased his sense of competence. The work on these dysfunctional cognitions was very important and reduced the therapist's anxiety. The increase of the therapist's self-consciousness improved the progress of therapy.ConclusionsThis analysis showed the impact of the therapist's cognitions on the course of therapy. The work on therapist's negative cognitions about himself is very important and can reduce the problems in therapy, e.g. learned helplessness of patient with depression.

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Comprehensive Analysis of the Quality of Orthodontic Treatment of Transcarpathian Teenagers

Ukraïnsʹkij žurnal medicini bìologìï ta sportu ◽

10.26693/jmbs06.01.237 ◽

2021 ◽

Vol 6 (1) ◽

pp. 237-243

Author(s):

O. V. Klitynska ◽

◽

V. Z. Ivaskevych ◽

N. V. Hasiuk ◽

◽

...

Keyword(s):

Quality Of Life ◽

Orthodontic Treatment ◽

Self Esteem ◽

Life Questionnaire ◽

Dental Anomalies ◽

Study Results ◽

The Impact ◽

Psychological Disability

The high prevalence of dental anomalies and deformities requires a careful approach to orthodontic treatment, especially to improve quality of life. The purpose of the study was to determine the effectiveness of orthodontic care by index assessment of the results of correction of dental anomalies and determination of the psychosocial profile in adolescents of the Transcarpathian region. Material and methods. The object of the study were 68 adolescents from the Transcarpathian region. Determination of the correction of dental and maxillary apparatus anomalies was performed by calculating the relevant part of the ICON index, calculating the evaluation of the results. The quality of life of adolescents was assessed using the OHIP-14 quality of life questionnaire. Statistical analysis was performed after consolidation of results using the application package Statistica 10.0 (StatSoft, Inc., USA) and Microsoft Office Excel 2010. Results and discussion. Many studies in the field of psychology have determined that self-esteem is a core characteristic of the individual and together with the level of claims is a regulator of human activity and significantly affects its development. The result of self-esteem depends on how a person evaluates his/her success in joint activities where he/she is a member. This is especially true for teenagers and adolescence. The most important aspect of impaired quality of life in patients of this subgroup were problems of psychological and social nature, issues of external attractiveness, which prevailed even over the physical aspects of the impact, which is quite typical of adolescence. In patients with moderate orthodontic treatment there was a statistically significant improvement on the scales of psychological discomfort (from 6.4±0.6 points to 3.96±0.6 points; p <0.05), psychological disability (from 6.5±0.5 points to 2.18±0.5 points; p <0.05) and social disability (from 5.4±0.5 points to 3.36±0.5 points; p <0.05). Patients in this group after solving problems related to the aesthetics of the smile, as well as discomfort during communication, felt greater psychological comfort, relief in interaction with others and peers. There was a noteworthy shift of accentuation in such patients from problems with appearance to study and active social life. Among patients with severe orthodontic treatment, the most pronounced dynamics was observed on all scales of dental quality of life: on the scale of masticatory dysfunction (from 5.7±1.0 points to 3.12±1.0 points; p <0.05), physical pain (from 7.5±0.7 points to 2.01±0.7 * points; p <0.05), psychological discomfort (from 7.9±0.6 points to 3.48±0.6 points; p <0.05) physical disability (from 7.7±0.5 points to 3.20±0.5 points; p <0.05), psychological disability (from 7.5±0.4 points to 3.41±0.5 points; p <0.05). Conclusion. According to the study results, the success of orthodontic treatment (indicators of severity and effectiveness of orthodontic treatment according to the ISO index) directly correlated with the level of quality of life (r = 0.62; p <0.05)

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CO-EDUCATION VERSUS SINGLE-GENDER EDUCATION: INFLUENCE OF DIFFERENT EDUCATIONAL SYSTEM ON THE STUDENT SELF-ESTEEM, CONFIDENCE LEVEL, AND ACADEMIC ACHIEVEMENT IN PAKISTAN

December 2020 - Gomal University Journal of Research ◽

10.51380/gujr-36-02-09 ◽

2020 ◽

Vol 36 (02) ◽

pp. 94-106

Author(s):

Bushra Yasin ◽

Muhammad Azim ◽

Aminah Qayyum

Keyword(s):

Academic Achievement ◽

Confidence Level ◽

Active Role ◽

Self Esteem ◽

Study Results ◽

Selective Universities ◽

Single Gender Education ◽

Study Population ◽

Level Scale ◽

The Impact

Different education sectors are playing active role in the development of students like performance, self-esteem, and confidence. To fulfill the study purpose, the researcher used 2 scales (Rosen Berg self-esteem and Dr. John confidence level scale) and collected the data from the students of both of the specified educational settings. The students of universities of the district Faisalabad were the study population, and students of 3 selective universities were the sample of the study. After data collection, the researcher applied one-way ANOVA to check the impact of all variables on students’ academic achievement. The study results showed no significant impact of both types of education on students’ academic achievement but it has a significant impact on their confidence level and the self-esteem. At the end of the paper, it was recommended that teachers need to focus on student confidence level and self-esteem to build their good personalities leading to the higher academic achievements.

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The Impact of Structural and Functional Social Resources on Loneliness Among Americans Age 50 Years and Older

Innovation in Aging ◽

10.1093/geroni/igab046.2065 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 540-540

Author(s):

Jillian Minahan

Keyword(s):

Social Resources ◽

Psychological State ◽

Negative Consequences ◽

Functional Aspects ◽

Study Results ◽

Quality Aspects ◽

The Impact ◽

The Relationship ◽

Cognitive Discrepancy ◽

Structural Aspects

Abstract Social isolation and loneliness have many negative consequences (e.g., Cacioppo et al., 2006; Griffin et al., 2018; Uchino, 2006), especially among older adults (Perissinotto et al., 2012). According to the cognitive discrepancy theory (CDT), loneliness is the negative psychological state resulting from the perceived discrepancy between one’s desired level of social resources and one’s actual level of social resources (Peplau & Perlman, 1982; Perlman & Peplau, 1998). Social resources have both structural (e.g., objective) and functional (e.g., perceptions of the quality) aspects (Holt-Lunstad, 2017). The relationship between structural and functional social resources has been described as a filtration process in which functional aspects mediate the association between structural aspects and loneliness (Cacioppo et al., 2016; Hawkley et al., 2008, Hawkley & Kocherginsky, 2018). However, this filtration model has not been empirically tested within the CDT. This study examined the relationship among structural social resources (SSR), functional social resources (FSR), and loneliness cross-sectionally and longitudinally using a sample of 3,345 Americans aged 50 years and older from the 2008 and 2012 waves of the Health and Retirement Study. Results showed that there was a significant indirect effect both cross-sectionally (β = -.07) and longitudinally (β = -.06) such that FSR mediated the relationship between SSR and loneliness. Ultimately, the CDT is useful in explaining the complex relationship between structural and functional aspects of one’s social resources with loneliness, and interventions may seek to target the functional aspects of one’s social network to improve loneliness, rather than focusing solely on structural aspects.

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Urinary incontinence after stroke

Stroke in the Older Person ◽

10.1093/med/9780198747499.003.0019 ◽

2020 ◽

pp. 307-320

Author(s):

Amy Hillarious ◽

Sunil K. Munshi ◽

Rowan H. Harwood

Keyword(s):

Urinary Incontinence ◽

Urinary Tract ◽

Lower Urinary Tract ◽

Pharmacological Therapy ◽

Psychological State ◽

Age Related ◽

Urinary Tract Symptoms ◽

Symptom Complex ◽

The Impact ◽

Functional Incontinence

‘Urinary incontinence after stroke’ explores the problem of urinary incontinence. It describes the different types of urinary incontinence with a focus on the types of incontinence prevalent after a stroke; the impact of this symptom complex on the psychological state of the patient, mortality, dependency, and institutionalization; the age related changes in the urinary tract; the epidemiology of post-stroke urinary incontinence, risk factors predisposing to it, assessment methods (including bedside assessments), management with identification of transient causes of incontinence, behavioural strategies, pharmacological therapy, treatment of comorbid conditions, and management in special situations. Urge incontinence, stress incontinence, incomplete emptying, functional incontinence, overflow incontinence, and lower urinary tract symptoms, are all discussed in the context of the pathophysiology and management of these conditions.

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Impact of family intervention on self-esteem and well-being for individuals with alcohol dependence

Indian Journal of Psychiatric Social Work ◽

10.29120/ijpsw.2020.v11.i1.199 ◽

2020 ◽

Vol 11 (1) ◽

pp. 31

Author(s):

Shrikant Shivaji Pawar ◽

Shaly Joseph ◽

Manisha Kiran ◽

Kamlesh Kumar Sahu

Keyword(s):

Alcohol Dependence ◽

Mental Health Professionals ◽

Family Intervention ◽

Well Being ◽

Self Esteem ◽

Family Interventions ◽

Study Results ◽

The Family ◽

Alcohol Dependence Syndrome ◽

The Impact

Background: Family interventions are the core interventions in which mental health professionals provide support and understanding of the illness to affected individuals and family members. They work together on planning treatment; provide psychological support and understanding of the disorder. Aim: To study the impact of the family intervention on self-esteem and wellbeing of individuals with alcohol dependence syndrome. Methodology: It was a hospital-based pre-post design intervention study. Ten samples purposively selected and equal numbers were assigned to the experimental and control group. Tools used for assessment were - a semi-structured socio-demographic and clinical data sheet, Rosenberg Self-Esteem Scale, PGI General Well-being, and The McMaster Family Assessment Device. Results: The study results show that family intervention brings significant improvement in the family functioning; self-esteem and well being of the study sample which sustained over three months follow up period. Conclusion: This line of treatment can be used for better outcome among persons with alcohol dependence syndrome. Keywords: Alcohol dependence, family interventions, self-esteem, wellbeing

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Not the normal commute: bicycling for transport in Columbia, Missouri

10.32469/10355/62063 ◽

2017 ◽

Author(s):

◽

Tracy Matteson

Keyword(s):

Local Government ◽

Online Survey ◽

Structuration Theory ◽

Advocacy Groups ◽

Study Objective ◽

Structure And Agency ◽

Study Results ◽

The Impact ◽

The Relationship ◽

Depth Interviews

The objective of this research study is to assess the bicycle transportation system in Columbia, Missouri using structuration theory. Each component of this system is part of the structure or an agent inside the structure. The structure consists of infrastructure and culture, which includes roads and trails, local government, and bicycling advocacy groups. The local cyclists are the agents, although advocacy groups and members of local government can act as agents as well. Two questions are addressed to reach the study objective: 1) How have structural conditions impacted the behavior of bike commuters? And 2) How have bike commuters and other agents impacted the local structure for cycling? In order to gain a detailed understanding of the impact of these forces, the study includes an online survey of local cyclists, in-depth interviews with bike commuters, and interviews with key figureheads such as members of local government. Study results provide an enhanced understanding of how the local bicycling system works and changes, including the relationship between structure and agency.

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