scholarly journals Internal Picture of the Disease as a Success Factor of Postoperative Neurorehabilitation in Patients with Pituitary Adenoma

2021 ◽  
Vol 15 ◽  
pp. 364-370
Author(s):  
A.M. Domracheva ◽  
I. A. Safonova ◽  
A. O. Denisenko ◽  
D.I. Sozaeva ◽  
S.B. Berezhanskaya ◽  
...  
Keyword(s):  
Pituitary Adenoma ◽  
Postoperative Period ◽  
Medical Records ◽  
Rating Scales ◽  
Psychological Adaptation ◽  
Success Factor ◽  
Stress Reactions ◽  
Psychosocial Status ◽  
Rehabilitation Process ◽  
High Level

In order to study the perception of patients operated on for pituitary adenoma, their disease, the types of response to the disease, as well as the influence of the type of internal picture of the disease ((VKB) on the success of the treatment and rehabilitation process, 52 patients (24 men, 28 women) aged from 32 to 46 years old (mean age – 37,7 ± 1,2 years), operated on for pituitary adenoma Analysis of medical records, interviews, assessment of the patient's condition using a number of rating scales and psychodiagnostic techniques to determine the type of attitude to the disease revealed in patients a high level of nosogenic stress reactions and a significant predominance of a maladaptive attitude towards an intrapsychic disease (92,3%). The presence of the dominant maladaptive type of VKB in patients significantly reduces the socio-psychological adaptation in the postoperative period. Under these conditions, in the process of forming a strategy of postoperative neurorehabilitation for the successful restoration of the psychosocial status of patients with pituitary adenomas, it is necessary to take into account the nature of maladaptive personality reactions.

Barriers of physical activity (kinesiophobia) in patients subjected to cardiac rehabilitation

2014 ◽  
Vol 6 (4) ◽  
Author(s):  
Janusz Kocjan ◽  
Andrzej Knapik
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Short Form ◽  
Social Activity ◽  
Self Assessment ◽  
Rehabilitation Process ◽  
Sf 36 ◽  
Polish Version ◽  
High Level ◽  
The Relationship

AbstractBackground: Comprehensive cardiac rehabilitation (CR) is a process designed to restore full physical, psychological and social activity and to reduce cardiovascular risk factors. Fear of movement may contribute to the occurrence and intensification of hypokinesia, and consequently affect the effectiveness of therapy. The aim of the study was to determine the level of barriers of physical activity in patients undergoing cardiac rehabilitation. The relationship between selected determinants (age and health selfassessment) and the kinesiophobia level were also examined.Material/Methods: 115 people aged 40-84 years were examined: 50 females (x = 63.46; SD = 11.19) and 65 males (x = 64.65; SD = 10.59) - patients undergoing cardiac rehabilitation at the Upper-Silesian Medical Centre in Katowice. In the present study, the Polish version of questionnaires: Kinesiophobia Causes Scale (KCS) and Short Form Health Survey (SF-36) were used. Questionnaires were supplemented by authors’ short survey.Results: The patients presented an elevated level of kinesiophobia, both in general as well as in individual components. In women, the kinesiophobia level was higher than in men. The psychological domain was a greater barrier of physical activity than the biological one. Strong, negative correlations of psychological and biological domains of kinesiophobia to physical functioning (SF-36) were noted in women. In the case of men, correlations were weaker, but also statistically significant.Conclusions: 1. Sex differentiates patients in their kinesiophobia level 2. Poor self-assessment of health is associated with a greater intensification of kinesiophobia 3. A high level of kinesiophobia may negatively affect cardiac rehabilitation process

scholarly journals Long-term postoperative opioid prescription after cholecystectomy or gastric by-pass surgery: a retrospective observational study

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Viktoria Larsson ◽  
Cecilia Nordenson ◽  
Pontus Karling
Keyword(s):  
Observational Study ◽  
Postoperative Period ◽  
Medical Records ◽  
Early Postoperative Period ◽  
Retrospective Observational Study ◽  
Opioid Use ◽  
Opioid Prescription ◽  
Post Surgery ◽  
Gastric By Pass

Abstract Objectives Opioids are commonly prescribed post-surgery. We investigated the proportion of patients who were prescribed any opioids 6–12 months after two common surgeries – laparoscopic cholecystectomy and gastric by-pass (GBP) surgery. A secondary aim was to examine risk factors prior to surgery associated with the prescription of any opioids after surgery. Methods We performed a retrospective observational study on data from medical records from patients who underwent cholecystectomy (n=297) or GBP (n=93) in 2018 in the Region of Västerbotten, Sweden. Data on prescriptions for opioids and other drugs were collected from the patients` medical records. Results There were 109 patients (28%) who were prescribed opioids after discharge from surgery but only 20 patients (5%) who still received opioid prescriptions 6–12 months after surgery. All 20 of these patients had also been prescribed opioids within three months before surgery, most commonly for back and joint pain. Only 1 out of 56 patients who were prescribed opioids preoperatively due to gallbladder pain still received prescriptions for opioids 6–12 months after surgery. Although opioid use in the early postoperative period was more common among patients who underwent cholecystectomy, the patients who underwent GBP were more prone to be “long-term” users of opioids. In the patients who were prescribed opioids within three months prior to surgery, 8 out of 13 patients who underwent GBP and 12 of the 96 patients who underwent cholecystectomy were still prescribed opioids 6–12 months after surgery (OR 11.2; 95% CI 3.1–39.9, p=0,0002). Affective disorders were common among “long-term” users of opioids and prior benzodiazepine and amitriptyline use were significantly associated with “long-term” opioid use. Conclusions The proportion of patients that used opioids 6–12 months after cholecystectomy or GBP was low. Patients with preoperative opioid-use experienced a significantly higher risk of “long-term” opioid use when undergoing GBP compared to cholecystectomy. The indication for being prescribed opioids in the “long-term” were mostly unrelated to surgery. No patient who was naïve to opioids prior surgery was prescribed opioids 6–12 months after surgery. Although opioids are commonly prescribed in the preoperative and in the early postoperative period to patients with gallbladder disease, there is a low risk that these prescriptions will lead to long-term opioid use. The reasons for being prescribed opioids in the long-term are often due to causes not related to surgery.

scholarly journals ALTERNATIVE TO THE INVERTED “Y” INCISION IN SCOLIOSIS SECONDARY TO MYELOMENINGOCELE

2019 ◽  
Vol 18 (1) ◽  
pp. 14-16
Author(s):  
Diego Veiga Bezerra ◽  
Luis Eduardo Munhoz da Rocha ◽  
Dulce Helena Grimm ◽  
Carlos Abreu de Aguiar ◽  
Luiz Müller Ávila ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Spina Bifida ◽  
Postoperative Period ◽  
Medical Records ◽  
Surgical Intervention ◽  
Case Series ◽  
Material Failure ◽  
Spinal Deformities ◽  
Level Of Evidence ◽  
Skin Conditions

ABSTRACT Objective: To evaluate the healing of the modified inverted “Y” incision in patients with scoliosis due to myelomeningocele. Methods: Retrospective study through medical records review of patients with myelomeningocele surgically treated with a modified inverted “Y” approach between January 2013 and December 2015. Results: We analyzed the medical records of six patients. Two patients progressed with skin complications in the immediate postoperative period and only one of them required surgical intervention for debridement and suturing. In another patient, it was necessary to perform two surgical reviews due to material failure without skin complications in these interventions. Conclusions: The modified inverted “Y” technique is a great alternative to traditional incision and inverted “Y” because it has good results in patients with spina bifida associated with poor skin conditions treated surgically for correction of spinal deformities. Level of Evidence IV; Case series.

Research Note: Women's Experience of the Mother Role

1993 ◽  
Vol 41 (2) ◽  
pp. 347-360 ◽  
Author(s):  
Pat O'Connor
Keyword(s):  
Medical Records ◽  
Rating Scales ◽  
Empirical Work ◽  
Research Note ◽  
Small Scale ◽  
Intensive Study ◽  
Lower Middle Class ◽  
Women's Experience ◽  
Mother Role

Despite the feminist critique of the assumptions implicit in the ideology of motherhood, relatively little empirical work has been done on women's own experience of this role. This research note uses data from a small scale intensive study of 51 married or cohabiting mothers aged 20–42 years old, whose oldest child was 15 years old, and who were randomly selected from medical records in a lower middle class area of North London. Building on Boulton's (1983) conceptualization, it differentiates between three aspects of this role (namely their commitment to it; its perceived identity enhancing/ destructive character and the positive/negative quality of their interaction with their children). These women's experience of the mother role was then assessed on these dimensions – using rating scales and anchoring examples (which are illustrated here). This research note suggests that even within this relatively homogenous lower middle/upper working class sample, the experience of motherhood was extremely varied: with less than half of the sample experiencing it positively at all three levels. An attempt is made to explain this variation.

Comparison of Prescription and Medical Records in Reflecting Patient Antihypertensive Drug Therapy

1994 ◽  
Vol 28 (1) ◽  
pp. 99-104 ◽  
Author(s):  
Dale B. Christensen ◽  
Barbara Williams ◽  
Harold I. Goldberg ◽  
Diane P. Martin ◽  
Ruth Engelberg ◽  
...  
Keyword(s):  
Medical Record ◽  
Medical Records ◽  
Health Maintenance Organizations ◽  
Antihypertensive Drug Therapy ◽  
Antihypertensive Medications ◽  
Pharmacy Records ◽  
Health Maintenance ◽  
Computer Based ◽  
High Level ◽  
Level Of Agreement

OBJECTIVE: To determine the completeness of prescription records, and the extent to which they agreed with medical record drug entries for antihypertensive medications. SETTING: Three clinics affiliated with two staff model health maintenance organizations (HMOs). PARTICIPANTS: Randomly selected HMO enrollees (n=982) with diagnosed hypertension. METHODS: Computer-based prescription records for antihypertensive medications were reviewed at each location using an algorithm to convert the directions-for-use codes into an amount to be consumed per day (prescribed daily dosage). The medical record was analyzed similarly for the presence of drug notations and directions for use. RESULTS: There was a high level of agreement between the medical record and prescription file with respect to identifying the drug prescribed by drug name. Between 5 and 14 percent of medical record drug entries did not have corresponding prescription records, probably reflecting patient decisions not to have prescriptions filled at HMO-affiliated pharmacies or at all. Further, 5–8 percent of dispensed prescription records did not have corresponding medical record drug entry notations, probably reflecting incomplete recording of drug information on the medical record. The percentage of agreement of medical records on dosage ranged from 68 to 70 percent across two sites. Approximately 14 percent of drug records at one location and 21 percent of records at the other had nonmatching dosage information, probably reflecting dosage changes noted on the medical record but not reflected on pharmacy records. CONCLUSIONS: In the sites studied, dispensed prescription records reasonably reflect chart drug entries for drug name, but not necessarily dosage.

Rehabilitation in Tehri Dam: An evaluation

Social Change ◽  
2001 ◽  
Vol 31 (1-2) ◽  
pp. 110-143 ◽  
Author(s):  
B. K. Sinha ◽  
H. C. Pokhriyal
Keyword(s):  
Common Property ◽  
Rehabilitation Process ◽  
Common Property Resources ◽  
Urban Households ◽  
Positive Externalities ◽  
Rural And Urban ◽  
Tehri Dam ◽  
High Level ◽  
Available Information ◽  
Ownership Rights

In the whole debate of ecological suitability of Tehri Dam, the rehabilitation aspect has been found ignored. Keeping in view of the significance of complete rehabilitation and resettlement of the oustees, the overall rehabilitation process including rural and urban population is analysed in the present paper. In total, 125 villages will be fully or partially submerged affecting more than one lakh population. More than twenty thousand urban populations will also be rehabilitated. It is expected that around 6000 cores of rupees (at 1993 price level) will be spent. Out of which 13% will be spent on the rehabilitation of the oustees. On the basis of the available information, it is found that only 33% of the rural families and 66% of the urban households have actually received the compensation or taken the possession of the land in the new sites. Non availability of land to the rest of the oustee households has been identified as the peculiar dimension of the rehabilitation process. The resettled households in Dehradun and Haridwar districts are facing the problem of geographic continuity, land owner shiprights and absence of institutional mechanism like panchayati raj institutions in the new settlements. The absence of non-farm employment and non-accessibility to the common property resources are the critical problems, including the availability of drinking water, irrigation, primary health and education, which can be observed seen in the rehabilitation sites. The resettlers are unable to adjust with the new environment including a high level of dependency on the market forces for each and every requirement. The partially submerged population is also facing peculiar problems. They will only be given cash compensation without any other compensatory measures. The ‘upstream cost and down stream benefits syndrome’ is strikingly visible in the rehabilitation process. In the urban resettlement process various issues Iike-the validity of survey, classification of urban households and cut off dates are relevant to mention. The positive externalities of the old Tehri town were completely missing in the new urban rehabilitation site. As a whole it can be tentatively said that the process of rehabilitation has been loosely coordinated and badly implemented. The issues of upstream cost, accessibility to common property resources and customary rights are the neglected aspects in the process. The re-organisation of the institutional frame work and granting land ownership rights to the resettlers and quality of the basic amenities are the other inevitable requirements need proper assessment and implementation. The present process of rehabilitation is largely non-participatory and non transparent, which can only be solved through radical measures. These measures are unlikely to be initiated in the present set of Tehri dam administration.

scholarly journals Acute postoperative perforated ulcers of the small bowel as a topical problem of modern surgery

2019 ◽  
Vol 178 (2) ◽  
pp. 33-37
Author(s):  
V. P. Zemlyanoy ◽  
A. B. Singaevskiy ◽  
D. V. Gladyshev ◽  
N. M. Vryblevskiy ◽  
E. M. Nesvit ◽  
...  
Keyword(s):  
Small Intestine ◽  
Small Bowel ◽  
Mortality Rate ◽  
Postoperative Period ◽  
Topical Problem ◽  
Emergency Operations ◽  
Pelvic Organs ◽  
The Past ◽  
Oncological Diseases ◽  
High Level

The objective is to study acute perforated ulcers of the small bowel, which arise as a complication after operations on the abdominal and pelvic organs.Material and methods. A retrospective analysis of patient’s cases whose postoperative period was complicated by the development of acute perforated ulcers of small bowel.Results. Over the past 20 years, the frequency of this complication increased by 8 times. In the structure of primary nosology, various types of oncological diseases prevail (69.4 %), moreover most patients underwent emergency operations. Most often, this complication occurred on the 4–10th day of the postoperative period, and the ulcers were multiple. Among these patients, there was an extremely high mortality rate of 74.2 %.Conclusion. Considering the significant increase in the number of this complication in recent years and the high level of mortality among patients, a detailed study of acute perforated ulcers of the small intestine of the postoperative period is necessary.

scholarly journals Pulmonary Cavitation – An Under-recognized Late Complication of Severe COVID-19 Lung Disease

2020 ◽  
Author(s):  
Zaid Zoumot ◽  
Maria-Fernanda Bonilla ◽  
Ali S. Wahla ◽  
Irfan Shafiq ◽  
Mateen Uzbeck ◽  
...  
Keyword(s):  
Lung Disease ◽  
Medical Records ◽  
Late Complication ◽  
Ground Glass ◽  
The Novel ◽  
Radiological Findings ◽  
Imaging Characteristics ◽  
Microbiological Parameters ◽  
Novel Coronavirus ◽  
High Level

Abstract Background: Pulmonary radiological findings of the novel coronavirus disease 2019 (COVID-19) have been well documented and range from scattered ground-glass infiltrates in milder cases to confluent ground-glass change, dense consolidation, and crazy paving in the critically ill. However, lung cavitation has not been commonly described in these patients. The objective of this study was to assess the incidence of pulmonary cavitation in patients with COVID-19 and describe its characteristics and evolution.Methods: We conducted a retrospective review of all patients admitted to our institution with COVID-19 and reviewed electronic medical records and imaging to identify patients who developed pulmonary cavitation.Results: Twelve out of 689 (1.7%) patients admitted to our institution with COVID-19 developed pulmonary cavitation, comprising 3.3% (n=12/359) of patients who developed COVID-19 pneumonia, and 11% (n=12/110) of those admitted to the intensive care unit. We describe the imaging characteristics of the cavitation and present the clinical, pharmacological, laboratory, and microbiological parameters for these patients. In this cohort six patients have died, two are recovering in hospital and four have been discharged home. Conclusion: Cavitary lung disease in patients with severe COVID-19 disease is not uncommon, and is associated with a high level of morbidity and mortality.

scholarly journals Characteristics of professional adaptation of correctional school teachers

2020 ◽  
Vol 11 (2) ◽  
pp. 101-108
Author(s):  
Nataliia V. Kosina ◽  
Anna V. Radkevich
Keyword(s):  
Mental Health Problems ◽  
Organizational Factors ◽  
Psychological Adaptation ◽  
Adaptive Strategy ◽  
Professional Activity ◽  
Physical And Mental Health ◽  
School Teachers ◽  
Factors Affecting ◽  
Psychological Techniques ◽  
High Level

Training and education of children with physical and mental health problems makes a number of requirements for teachers working in various correctional medical institutions. These specialists must have a high level of adaptive characteristics allowing combining up-to-date pedagogical methodology with individual approach, taking into account the current state of the child. As a result of applying complex experimental psychological techniques we managed to identify specific features of correctional teachers adaptive characteristics (when comparing with public school teachers), namely: low level of activity and optimism, insufficient adaptive strategy to cope with stress characterizing maladaptive personality types. There were also a lot of negative organizational factors affecting the process and result of professional activity: a lot of work, unauthorized persons at the lessons, interaction problems with parents, insufficiency of pupils independent work, need for individual explanation, lack of real results in teachers activity. Teachers working in correctional schools and having an average level of social and psychological adaptation give a lower evaluation of various aspects in professional activity. They have a pronounced value of psychological and physiological professional maladjustment shown in somatic, emotional and social spheres as well as motivation decrease in their professional activity. Correctional school teachers have a high degree of professional burnout and their emotional exhaustion and depersonalization are more pronounced.

scholarly journals Screening Library Evolution through Automation of Solution Preparation

2007 ◽  
Vol 12 (5) ◽  
pp. 724-732 ◽  
Author(s):  
U. Schopfer ◽  
F. Höhn ◽  
M. Hueber ◽  
M. Girod ◽  
C. Engeloch ◽  
...  
Keyword(s):  
Process Control ◽  
High Throughput Screening ◽  
High Performance ◽  
Life Cycle Management ◽  
Storage Conditions ◽  
Success Factor ◽  
Manual Task ◽  
Solution Preparation ◽  
High Level ◽  
Screening Library

The quality of the compound library is a critical success factor in every high-throughput screening campaign. Screening solutions have to be prepared with a high level of process control to ensure the correct identity and initial concentration of each compound. However, even under optimized storage conditions, a certain level of degradation in solution cannot be avoided. Therefore, regular quality control and eventual removal of solutions from the screening deck is necessary. Because solution preparation, especially the weighing of compounds, is a tedious and often manual task, a regular resolubilization of compounds is difficult to achieve. By complete automation of the solution preparation, the authors have laid the foundation for a life cycle management of screening solutions. They demonstrate how a combination of quality and process control leads to a continuous improvement of the screening library. In presenting an automation concept, they show how a series of innovative process optimizations led to a high-performance system that achieves full industrialization of solution preparation. ( Journal of Biomolecular Screening 2007:724-732)

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