scholarly journals Overactive bladder syndrome in the ageing population

2011 ◽  
Vol 25 (1) ◽  
pp. 12
Author(s):  
Steven Mark Finney ◽  
Ian Eardley
Keyword(s):  
Quality Of Life ◽  
Overactive Bladder ◽  
Pharmacological Treatment ◽  
Older Age ◽  
Ageing Population ◽  
Overactive Bladder Syndrome ◽  
Age Group ◽  
Negative Effects ◽  
Assessment And Treatment

Overactive bladder syndrome (OAB) is a common problem in the older age group that can seriously effect quality of life. It raises challenges in the assessment and treatment of the patient with attention needed to be given to the presence of co-existent disease, cognition, patient motivation and the potential negative effects of pharmacological treatment. Though with the correct approach a substantial amount patients should derive some benefit.

Quality of life in women with multiple sclerosis and overactive bladder syndrome

2006 ◽  
Vol 18 (2) ◽  
pp. 189-194 ◽  
Author(s):  
Giuseppe Quarto ◽  
Riccardo Autorino ◽  
Antonio Gallo ◽  
Marco De Sio ◽  
Massimo D’Armiento ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Overactive Bladder ◽  
Overactive Bladder Syndrome

scholarly journals The societal influences and quality of life among healthcare team members under COVID-19 pandemic

2021 ◽  
Author(s):  
Wei-Tsung Kao ◽  
Su-Ting Hsu ◽  
Frank Huang-Chih Chou ◽  
Li-Shiu Chou ◽  
Kuan-Ying Hsieh ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Age ◽  
Healthcare Team ◽  
Negative Effects ◽  
Team Members ◽  
Positive Effects ◽  
Societal Influences ◽  
Positive Effect ◽  
Ptsd Severity

Abstract Background: The corona virus infection disease 2019 (COVID-19) pandemic is likely to put healthcare professionals across the world in an unprecedented situation. Methods: 683 healthcare workers were recruited in this study. Short form-12 items (SF-12), Societal Influences Survey Questionnaire (SISQ), and Disaster-Related Psychological Screening Test (DRPST) were used to survey participants. Multiple linear regression and structural equation model (SEM) were used to explore the possible factors to the societal influences and quality of life. Results: Female, older, more education years, married, regular intake and posttraumatic stress disorder (PTSD) frequency had positive effects to SISQ. To physical component summary (PCS) of SF-12, chronic illness, sleep score, PTSD frequency and social distance had negative effects and exercise habits had positive effect. To mental component summary (MCS) value of SF-12, age, participate in clubs, volunteer or charity activities and social information had positive effects and PTSD frequency, sleep score, social anxiety and depression had negative effects. Under SEM analysis, PTSD had positive effect to SISQ. Sleep score and MCS value had negative effects to SISQ. PTSD severity, older age, Sleep score, smoking and Nursing staff had negative effects to PCS value. Young age, PTSD frequency, sleep score and depression had negative effects to MCS value. Conclusion: Healthcare team members with severer PTSD symptoms suffered more societal influences. Relative to PTSD severity, PTSD frequency was more important to the quality of life. Members of older age, who frequently participate in clubs, volunteers or charity activities had better mental life quality.

History and current trends in the treatment of idiopathic overactive bladder

2021 ◽  
Vol 86 (4) ◽  
pp. 284-290
Author(s):  
Dominik Habeš ◽  
◽  
Daniel Leško ◽  
Martin Štěpán ◽  
Jiří Špaček ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Overactive Bladder ◽  
Pharmacological Treatment ◽  
Current Therapy ◽  
Current View ◽  
Pelvic Floor Exercises ◽  
Entry Level ◽  
Current Trends ◽  
Bladder Symptoms

Summary: Objective: Historical and current view on the therapy of overactive bladder. Methods: This review summarizes the historical approach and current therapy of overactive bladder. The articles were gathered from Pubmed and Scopus databases. Studies published before December 2020 were used for the review. Results and Conclusion: Overactive bladder is a condition that quite a lot reduces the quality of life of our patients. Our therapeutic approach starts with non-pharmacological treatment, such as pelvic floor exercises. The next step is a  pharmacological approach. The entry level drug is trospium. If the effect is not sufficient, propiverine, solifenacin, fesoterodine, darifenacin or mirabegron are used. Electrostimulation or botulinum toxin A application is an option only in cases that didn’t respond to pharmacological treatment. It is safe to say, that in the end, there is a way of reducing the severity of overactive bladder symptoms for every patient.

EVALUATION OF THE RESULTS OF USING THE ACCELERATED RECOVERY PROGRAM AFTER PERFORMING TWO-LEVEL LUMBAR SPINAL FUSION IN PATIENTS OF AN OLDER AGE GROUP

2021 ◽  
pp. 964-971
Author(s):  
В. А. Бывальцев ◽  
В. Ю. Голобородько ◽  
А. А. Калинин ◽  
Э. Е. Сатардинова ◽  
Ю. Я. Пестряков ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Spinal Fusion ◽  
Older Age ◽  
Age Group ◽  
Lumbar Spinal Fusion ◽  
Sf 36 ◽  
Lumbar Spinal ◽  
Recovery Program

Целью исследования явилась оценка результатов использования программы ускоренного восстановления после выполнения двухуровневого поясничного спондилодеза у пациентов старшей возрастной группы. Ретроспективно изучены результаты хирургического лечения 29 пациентов старше 65 лет с полисегментарными дегенеративными заболеваниями поясничного отдела, которым выполняли минимально-инвазивную двухуровневую ригидную стабилизацию с применением концепции «программа ускоренного восстановления» (ПУВ). Исследовали технические особенности оперативных вмешательств, специфичность послеоперационного периода, количество неблагоприятных исходов анестезиологического пособия и периоперационных хирургических осложнений, частоту повторных госпитализаций в течение 90 дней. Для оценки эффективности ПУВ использовали клинические параметры: уровень болевого синдрома в области операции по визуально-аналоговой шкале (ВАШ) в течение госпитализации, качество жизни пациентов по анкете SF-36 и удовлетворенность пациента результатом лечения по шкале Macnab. В результате установлено, что внедренная ПУВ после выполнения двухуровневого поясничного спондилодеза у пациентов старшей возрастной группы обеспечивает минимальное количество неблагоприятных последствий анестезиологического пособия и периоперационных хирургических осложнений, значительное восстановление уровня качества жизни и высокую удовлетворенность пациентов проведенным лечением. The aim of the study was to evaluate the results of using the accelerated recovery program after performing two-level lumbar spinal fusion in patients of an older age group. The results of surgical treatment of 29 patients older than 65 years with multisegmental degenerative diseases of the lumbar region, who performed minimally invasive two-level rigid stabilization using the concept of «accelerated recovery program» (PAR), were retrospectively studied. We studied the technical features of surgical interventions, the specificity of the postoperative period, the number of adverse outcomes of anesthetic benefits and perioperative surgical complications, the frequency of repeated hospitalizations for 90 days. Clinical parameters were used to evaluate the effectiveness of PAR: the level of pain in the area of operation according to the visual analogue scale (VAS) during hospitalization, the quality of life of patients on the SF-36 questionnaire, and patient satisfaction with the result of treatment using the Macnab scale. As a result, it was established that the introduced PAR after performing two-level lumbar spinal fusion in patients of an older age group provides the minimum number of adverse consequences of anesthesiological aid and perioperative surgical complications, a significant restoration of the quality of life and high patient satisfaction with the treatment.

Risk factors of overactive bladder syndrome and its relation to sexual function in menopausal women

2018 ◽  
Vol 85 (1) ◽  
pp. 10-14 ◽  
Author(s):  
Sevil Hakimi ◽  
Elham Aminian ◽  
Sakineh Mohammad- Alizadeh Charandabi ◽  
Parvin Bastani ◽  
Marzieh Mohammadi
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Overactive Bladder ◽  
Sexual Function ◽  
Demographic Data ◽  
Overactive Bladder Syndrome ◽  
Or Education ◽  
Menopausal Women ◽  
Significant Difference

Background: Overactive bladder syndrome is a common and annoying complication worldwide that could negatively affect the quality of life of afflicted individuals. We aimed to determine the prevalence and risk factors of overactive bladder syndrome and its relation to sexual function in healthy menopausal women. Methods: This cross-sectional study was done on 340 women aged 45-60 years in Tabriz, northwest Iran, during 2015-2016. Data were collected using a demographic data questionnaire, the Overactive Bladder Syndrome Score, and the McCoy Female Sexuality Questionnaire. Results: Fifty-six (16.5%), 63 (18.5%), and 10 (2.9%) of the participating women had mild, moderate, and severe overactive bladder syndrome, respectively. Predictors of overactive bladder included: night sweats, central prolapse, episiotomy, varicose disease, illiteracy or education at the primary level, systolic blood pressure >140 mmHg and lack of physical activity. We found a significant difference between the women with and without overactive bladder with respect to the total score and sub-domain scores related to sex partner (p = 0.029) and sexual interest (p = 0.049). Conclusions: The prevalence of overactive bladder was quite high in this study. Since sexual dysfunction is not an easy topic to talk about and can affect women’s quality of life, physicians should consider talking about these issues besides urinary issues to all middle-aged women.

scholarly journals SURGICAL TREATMENT OF ELDERLY AND SENILE PATIENTS WITH DEGENERATIVE CENTRAL LUMBAR SPINAL STENOSIS

2018 ◽  
Vol 15 (3) ◽  
pp. 73-84 ◽  
Author(s):  
R. V. Khalepa ◽  
V. S. Klimov ◽  
J. A. Rzaev ◽  
I. I. Vasilenko ◽  
E. V. Konev ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Spinal Stenosis ◽  
Nerve Root ◽  
Spinal Canal ◽  
Older Age ◽  
Age Group ◽  
Cross Sectional ◽  
Clinically Significant

Objective. To analyze the results of surgical treatment of patients of the older age group with central spinal stenosis at the lumbar level. Material and Methods. A total of 107 patients of elderly and senile age with clinically significant degenerative central stenosis of the spinal canal were treated. They were divided into two groups: patients in Group 1 underwent bilateral decompression of nerve roots through unilateral approach; those in Group 2 - nerve root decompression supplemented with interbody fusion and transpedicular fixation. Results. The surgery resulted in statistically significant reduction in pain, improvement of the quality of life, enlargement of spinal canal dimension parameters, and increase in the distance of walking. Statistical difference in the quality of life between Groups 1 and 2 was revealed for the indicator characterizing the psychological component of the SF-36 questionnaire (p = 0.03); there were no statistical differences for the remaining indicators. The key parameter for assessing central stenosis is the cross-sectional area of the dural sac. Conclusion. Preoperative examination of patients of the older age group should be comprehensive and include CT myelography with 3D reconstruction. The cause of nerve root compression in central stenosis is a combination of various factors in 41.9 % of cases. Differential surgical tactics provides an improvement in the quality of life in 80 % of cases. Excessive decompression does not improve the quality of life of patients. Instrumental fixation does not improve the outcome of surgical intervention and should be used only for clinically significant instability of the spinal motion segment.

Varicose veins—Who should be referred?

2015 ◽  
Vol 30 (2_suppl) ◽  
pp. 4-8 ◽  
Author(s):  
Sarah Onida ◽  
Alun H Davies ◽  
Ian Franklin
Keyword(s):  
Quality Of Life ◽  
Secondary Care ◽  
Varicose Veins ◽  
Venous Disease ◽  
Evidence Based ◽  
Negative Effects ◽  
Referral Criteria ◽  
Assessment And Treatment ◽  
The Uk

Varicose veins are a common, progressive condition in the UK, with significant negative effects on patients’ quality of life. Despite their prevalence, access to secondary care for the assessment and treatment of varicose veins can be variable throughout the country. The National Institute of Health and Care Excellence guidelines developed in 2013 provide evidence-based guidance on the referral, assessment, and management of the patient with venous disease. In this article, we review the development of the guidelines for the management of varicose veins over the last 15 years, highlighting the latest changes in referral criteria.

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