scholarly journals The role of psychological support in cardiac surgery: initial experience

2011 ◽  
Vol 1 (4) ◽  
pp. 100
Author(s):  
Fabrizio Sansone ◽  
Erika Bellini ◽  
Sabrina Ghersi ◽  
Edoardo Zingarelli ◽  
Roberto Flocco ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Emotional State ◽  
Postoperative Outcome ◽  
Psychological Evaluation ◽  
Psychological Support ◽  
Anxiety And Depression ◽  
Positive Effects ◽  
Rehabilitation Period ◽  
Emotional Condition

The scientific literature has pointed out several predictors of negative outcome after surgery such as pain and depression, negatively affecting the postoperative outcome in cardiac surgery. From January 2009 until June 2010, 15 patients scheduled for cardiac surgery were enrolled. The patients were assessed by psychological evaluation either in the hospital stay either in the rehabilitation period with the aim of identifying their emotional condition (sentiments about the onset of the disease, support received from family and friends) even by means of preformed tests for anxiety and depression (tests of Stay and Back). Thus, in our preliminary experience, the psychological evaluation failed to detect the occurrence of postoperative complications. Conversely, the psychological evaluation is very effective in detecting a poor emotional state and the psychological support decreases the degree of anxiety and depression with positive effects on postoperative outcome. In conclusion, a standardize test for anxiety and depression should be used for patients at hospital admission to detect who may benefits by psychological support.

Ultrasound for diaphragmatic dysfunction in postoperative cardiac children

2016 ◽  
Vol 27 (3) ◽  
pp. 452-458 ◽  
Author(s):  
Hussam K. Hamadah ◽  
Mohamed S. Kabbani ◽  
Mahmoud Elbarbary ◽  
Omar Hijazi ◽  
Ghassan Shaath ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Positive Pressure ◽  
Diaphragmatic Dysfunction ◽  
Ultrasound Studies ◽  
Positive Effects ◽  
Paediatric Cardiac Surgery ◽  
Chest X Ray ◽  
Critical Care Ultrasound ◽  
Ultrasound Assessment

AbstractIntroductionThe use of ultrasound for assessing diaphragmatic dysfunction after paediatric cardiac surgery may be under-utilised. This study aimed to evaluate the role of bedside ultrasound performed by an intensivist to diagnose diaphragmatic dysfunction and the need for plication after paediatric cardiac surgery.MethodsWe carried out a retrospective cohort study on prospectively collected data of postoperative children admitted to the paediatric cardiac ICU during 2013. Diaphragmatic dysfunction was suspected based on difficulties in weaning from positive pressure ventilation or chest X-ray findings. Ultrasound studies were performed by the paediatric cardiac ICU intensivist and confirmed by a qualified radiologist.ResultsOut of 344 postoperative patients, 32 needed diaphragm ultrasound for suspected dysfunction. Ultrasound studies confirmed diaphragmatic dysfunction in 17/32 (53%) patients with an average age and weight of 10.8±3.8 months and 6±1 kg, respectively. The incidence rate of diaphragmatic dysfunction was 4.9% in relation to the whole population. Diaphragmatic plication was needed in 9/17 cases (53%), with a rate of 2.6% in postoperative cardiac children. The mean plication time was 15.1±1.3 days after surgery. All patients who underwent plication were under 4 months of age. After plication, they were discharged with mean paediatric cardiac ICU and hospital stay of 19±3.5 and 42±8 days, respectively.ConclusionsCritical-care ultrasound assessment of diaphragmatic movement is a useful and practical bedside tool that can be performed by a trained paediatric cardiac ICU intensivist. It may help in the early detection and management of diaphragmatic dysfunction after paediatric cardiac surgery through a decision-making algorithm that may have potential positive effects on morbidity and outcome.

scholarly journals Stress, Anxiety, and Depression for Chinese Residents in Japan during the COVID-19 Pandemic

2021 ◽  
Vol 18 (9) ◽  
pp. 4958
Author(s):  
Qin Hu ◽  
Maki Umeda
Keyword(s):  
Risk Factors ◽  
Social Support ◽  
Disaster Preparedness ◽  
Online Survey ◽  
Psychological Symptoms ◽  
Well Being ◽  
Protective Role ◽  
Anxiety And Depression ◽  
Positive Effects

The coronavirus disease 2019 (COVID-19) has profoundly affected the psychological well-being of foreign residents. This study examines stress, anxiety, and depression levels in Chinese residents in Japan during the COVID-19 pandemic. It identifies risk factors and the roles of disaster preparedness and social support. An online survey among Chinese residents in Japan was conducted from 22 June to 14 July 2020. The Depression, Anxiety and Stress Scale, Disaster Preparedness for Resilience Checklist, and Social Support Rate Scale were used to measure psychological symptoms. Multivariable linear regressions identified the risk factors and positive effects of disaster preparedness and social support. Of the total 497 participants, 45.3%, 66.6%, and 54.3% reported severe stress, anxiety, and depressive symptoms, respectively. People with a lower level of education, a higher level of economic influence, the presence of COVID-19 symptoms, and confirmed or suspected family or friends in China were associated with higher levels of stress, anxiety, and depression. This study, to the best of our knowledge, is the first survey to reveal the protective role of disaster preparedness in reducing psychological symptoms during the pandemic. It offers unique data for further research on how to promote the mental health of vulnerable populations including foreign residents.

Nonsuicidal Self-Injurious Behavior: The Role of Shame, Guilt, Anxiety, and Depression

2012 ◽  
Author(s):  
Susan E. Vanderhei ◽  
Sarah M. Waldron ◽  
Kiara Elkin ◽  
Tamra Rich ◽  
Lisa Meier ◽  
...  
Keyword(s):  
Anxiety And Depression

Risk factors for stroke after cardiac surgery: The role of screening carotid ultrasonography

2012 ◽  
Vol 60 (S 01) ◽  
Author(s):  
U Boeken ◽  
P Akhyari ◽  
JP Minol ◽  
A Assmann ◽  
A Lichtenberg
Keyword(s):  
Risk Factors ◽  
Cardiac Surgery ◽  
Carotid Ultrasonography

Systemic inflammatory complications in cardiac surgery – role of cytokines and complement

2005 ◽  
Vol 53 (S 3) ◽  
Author(s):  
U Boeken ◽  
P Feindt ◽  
J Litmathe ◽  
D Kindgen-Milles ◽  
S Loer ◽  
...  
Keyword(s):  
Cardiac Surgery

On the Methodology of Cartel agreements analysis

2014 ◽  
pp. 53-64 ◽  
Author(s):  
E. Andreyashchenko ◽  
A. Zazdravnykh
Keyword(s):  
Economic Models ◽  
Social Consequences ◽  
Positive Effects ◽  
Industrial Markets

This article is an attempt of summarizing key economic approaches to cartel agreements analysis, its stability, ways of estimating social consequences of cartel agreements. It is alleged that the traditional way of understanding the cartels’ role as completely negative is not accurate; this type of inter-corporate agreements may also bring positive effects on industrial markets. Typical limits of analytical apparatus, contradictions that appear while interpreting results of specific economic models are also represented in the article, as well as substantiation of a discrete role of pricing factor within the analysis of anti-competitive agreements.

Moderating Role of Stress, Anxiety, and Depression in the Relationship Between Tinnitus and Hearing Loss Among Patients

2020 ◽  
Vol 34 (4) ◽  
pp. 753-772
Author(s):  
Ammar Ahmed ◽  
Muhammad Aqeel ◽  
Tanvir Akhtar ◽  
Sammeen Salim ◽  
Bashir Ahmed
Keyword(s):  
Hearing Loss ◽  
Psychological Problems ◽  
Anxiety And Depression ◽  
Adaptation Level ◽  
Depression Anxiety Stress Scale ◽  
Neuropsychological Theory ◽  
Anxiety Depression ◽  
The Relationship ◽  
Moderating Role

Adaptation level theory of tinnitus and neuropsychological theory of tinnitus are extensively used frameworks for understanding emotional and psychological distress among tinnitus sufferers. Objective of the present study was to investigate potential associations between hearing loss, tinnitus, anxiety, depression, and stress. The Tinnitus Handicap Inventory (Newman, Jacobson, & Spitzer, 1996) and the Depression, Anxiety, Stress Scale (Lovibond & Lovibond, 1995)scales were administered to a sample of 110 tinnitus outpatients recruited from Audiology departments of Lahore and Rawalpindi hospitals. Results revealed tinnitus was positively linked with psychological problems. Additionally, it was established that tinnitus is a positive significant predictor for anxiety, stress and depression. The moderation models related to the interactions between psychological problems and hearing loss were negative significant predictors for tinnitus symptoms. Moreover, the comparative analysis between gender differences revealed a significant diversity in the levels of stress, anxiety, and depression. Results also elucidated that patients at initial stages of hearing loss were more prone towards reporting tinnitus symptoms along with emerging psychological problems.

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