scholarly journals Colic in infants: modern approaches to patient management

2021 ◽  
Author(s):  
С.Б. Крутихина ◽  
Е.А. Яблокова ◽  
М.А. Кудряшова ◽  
Е.В. Борисова ◽  
Е.Ю. Полотнянко
Keyword(s):  
Quality Of Life ◽  
Patient Management ◽  
Lactobacillus Reuteri ◽  
Family Stress ◽  
Prone Positioning ◽  
Functional Disorders ◽  
Infant Colic ◽  
Rome Iv ◽  
Infants And Young Children

Функциональные расстройства желудочно-кишечного тракта у младенцев и детей раннего возраста являются крайне распространенной проблемой, диагностика которых опирается на Римские критерии IV (четвертого пересмотра). Колики у младенца определенно повышают уровень стресса в семье, ухудшая качество жизни как родителей, так и ребенка. Под младенческими коликами понимаются повторяющиеся длительные периоды плача, беспокойство или раздражительность у младенцев до 5 месяцев. Патофизиология младенческих колик не полностью ясна. Для многих педиатров наблюдение за младенцами с коликами представляет проблему. Среди немедикаментозных техник можно использовать пеленание, убаюкивание с помощью шипящих звуков («ч-ш-ш-ш-ш…»), выкладывание ребенка на живот, укачивание, использование соски, а также применение газоотводной трубочки. В настоящее время активно исследуются возможности применения пробиотиков, например, Lactobacillus reuteri. Functional disorders of the gastrointestinal tract in infants and young children are an extremely common problem, the diagnosis of which is based on the Rome IV criteria. Colic in an infant definitely increases family stress levels, impairing the quality of life for both the parent and the child. Infant colic refers to repeated, prolonged periods of crying, restlessness, or irritability in infants under 5 months of age. The pathophysiology of infant colic is not entirely clear. For many pediatricians, monitoring babies with colic is a challenge. Non-drug techniques include swaddling, prone positioning, rocking, as well as a gas tube. The possibilities of using probiotics, for example, Lactobacillus reuteri, are currently being actively explored.

scholarly journals Digestive symptoms in daily life of chronic adrenal insufficiency patients are similar to irritable bowel syndrome symptoms

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
L. Quénéhervé ◽  
D. Drui ◽  
J. Blin ◽  
M. Péré ◽  
E. Coron ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Irritable Bowel Syndrome ◽  
Adrenal Insufficiency ◽  
Gastrointestinal Symptoms ◽  
Control Group ◽  
Non Profit ◽  
Acute Adrenal Insufficiency ◽  
Irritable Bowel ◽  
Rome Iv

AbstractGastrointestinal symptoms are frequent in acute adrenal insufficiency. Although digestive symptoms can significantly reduce quality of life, they are rarely described in patients with treated chronic adrenal insufficiency (CAI). We aimed to characterize digestive symptoms in CAI patients. We used the section pertaining functional bowel disorders of the Rome IV questionnaire. A questionnaire was published on the website of the non-profit patient association “Adrenals” (NPPA of CAI patients) for five months. Information on demographics, characteristics of adrenal insufficiency, digestive symptoms and quality of life was collected. The relatives of CAI patients served as a control group. We analyzed responses of 33 control subjects and 119 patients (68 primary adrenal insufficiency (PAI), 30 secondary adrenal insufficiency (SAI) and 21 congenital adrenal hyperplasia (CAH)). Abdominal pain at least once a week over the past 3 months was reported by 40%, 47% and 33% of patients with PAI, SAI and CAH respectively versus 15% for the controls (p = 0.01). Symptoms were consistent with the Rome IV criteria for irritable bowel syndrome in 27%, 33% and 33% of patients respectively versus 6% for the controls (p < 0.0001). Quality of life was described as poor or very poor in 35%, 57% and 24% of patients respectively versus 5% for the controls (p < 0.0001). In conclusion, digestive symptoms are frequent and incapacitating in CAI patients and similar to symptoms of irritable bowel syndrome in 30% of CAI patients. Assessment and management of digestive symptoms should be considered a priority for physicians treating patients with CAI.

scholarly journals Quality of Life and Level of Physical Activity In Students with and without Symptoms of Functional Dyspepsia and Irritable Bowel Syndrome Surveyed with Questionnaire “7×7” (7 Symptoms Per 7 Days)

2020 ◽  
Vol 30 (3) ◽  
pp. 36-41
Author(s):  
T. V. Zhestkova
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Irritable Bowel Syndrome ◽  
Gastrointestinal Tract ◽  
Functional Dyspepsia ◽  
Functional Disorders ◽  
Men And Women ◽  
Moderate Severity ◽  
Irritable Bowel

Aim. Assessment of the quality of life and physical activity level in students with and without symptoms of functional dyspepsia (FD) and irritable bowel syndrome (IBS) according to questionnaire “7×7” (7 symptoms per 7 days).Materials and methods. Symptoms of FD and IBS were surveyed using the “7×7” questionnaire. Level of physical activity was evaluated according to the short IPAQ, and quality of life — to WAM questionnaires.Results. The study surveyed 92 students aged 20.7 ± 0.2 years (56 men and 36 women). We report borderline manifestations of functional disorders of the gastrointestinal tract (GIT) in 51.1 %, and FD and/or IBS symptoms of mild to moderate severity in 23.9 % of respondents. Symptoms of FD and/or IBS were equally common in men and women. Severity of FD and/or IBS symptoms was rated 4 [[3; 7] in men and 4 [[4; 11] in women (p = 0.25). Physical activity of 57.6 % in students corresponded to a moderate level. Healthy students were more likely to exhibit higher physical activity than individuals with FD and/or IBS symptoms, 56.5 and 31.9 %, respectively (p = 0.04). The level of wellbeing and severity of FD and/or IBS symptoms correlated negatively (r = –0.28, p = 0.01). Wellbeing and mood correlated directly with physical activity, r = 0.33, p = 0.001 and r = 0.27, respectively (p = 0.01).Conclusions. 1. Symptoms of FD and/or IBS occur widely among students and equally in men and women. Functional disorders of the gastrointestinal tract of mild to moderate severity occur in 23.9 % of students, with borderline symptoms registered with every second individual. 2. Healthy students significantly more often exhibited higher physical activity compared to individuals with FD and/or IBS symptoms of varying severity in the ratios of 56.5 and 31.9 % (p = 0.04). 3. Severity of FD and/or IBS in students negatively correlates with the wellbeing component of quality of life (r = –0.28, p = 0.01).

scholarly journals Study of Treatment Complications in Oncology / Hematology Patients: Protocol for a Prospective and Interventional Cohort Study from the Pasca Program

Blood ◽  
2020 ◽  
Vol 136 (Supplement 1) ◽  
pp. 10-11
Author(s):  
Mauricette Michallet ◽  
Romain Buono ◽  
Mohamad Sobh ◽  
Solene Poirey ◽  
Emmanuelle Nicolas-Virelizier ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cohort Study ◽  
Research Funding ◽  
Patient Management ◽  
Clinical Signs ◽  
Sexual Disorders ◽  
Management Of Complications ◽  
Physical Deconditioning

Introduction In France, cancer incidence is increasing, reaching approximately 400,000 new cases in 2017. Thanks to diagnostic and therapeutic advances, net survival at 5 years is improving, with a corollary increase in the number of survivors. Among survivors, 44% have a poor quality of life due to the more or less late onset of treatment-related complications. Despite the objectives of the 2014-2019 national cancer plan considering the latest therapeutic advances, very few initiatives integrating systematic, early detection and management of complications exist in France. Methods and analysis PASCA (Care pathways through cancer) is a single-arm, interdisciplinary, prospective, interventional, cohort study. During a period of 24 months, it is intended to include 858 adults aged 18 to 65 years with non-Hodgkin and Hodgkin lymphoma, acute myeloid leukemia, testicular germ cell tumor, non-metastatic invasive breast cancer, soft tissue sarcoma, osteosarcoma or Ewing's sarcoma at Centre Leon Berard (Lyon, France). The program consists on exhaustive identification of 22 complications at 1 month, 6 months, 24 months and 60 months after the end of first line treatment: social precariousness, return-to-work issues, cognitive problems, anxiety and depression disorders, chronic fatigue, physical deconditioning, overweight/obesity, chronic pain, dermatological disorders, gastrointestinal disorders, sexual disorders, hypogonadism, premature ovarian failure, osteoporosis, chronic kidney failure, heart failure, coronary heart disease, respiratory failure, hypothyroidism, lymphedema, modifiable risk factors associated with the occurrence of secondary cancers. Each identification will give rise to management, which consists of referring the patient to a healthcare professional belonging to the network of dedicated healthcare professionals at the regional level. The course of action to be followed will be defined using decision trees based on international, national or learned society recommendations. Referral outside Centre Leon Berard will be made to a specialist doctor, a health professional from the paramedical field or the patient's general practitioner who will confirm the diagnosis and initiate patient management and follow-up. These patients will also benefit from their usual follow-up in the context of their initial malignancy. Each study visit will include a search for clinical signs using questionnaires, an assay of 12 biological parameters, a urine test strip, 5 tests evaluating physical deconditioning and an electrocardiogram. The weight, height, waist circumference, blood pressure will also be measured. Primary outcome will be the incidence of the 22 complications, measured at 1 month, 6 months, 24 months and 60 months after the end of intensive chemotherapy treatment. Ethics and dissemination The study protocol was approved by the French ethics committee (Comité de protection des personnes Ile de France IV), the study database is currently being declared and registered to the Commission Nationale de l'Informatique et des Libertés (CNIL) and the study on ClinicalTrials.gov. The results will be disseminated to patients and in peer-reviewed journals and academic conferences. Strengths and limitations of this study This study is based on a previous feasibility study with 52 patients recruited in onco-hematology, which demonstrated the feasibility of the intervention and the existence of patient management needs.(1) The study design does not include a comparator arm, as the objective of the study is to provide a comprehensive picture of treatment-related complications, especially those that appear over the long term. Due to the lack of recent data concerning some complications, sample size was calculated empirically on the basis of the active queue of patients at the Centre Leon Berard. References Michallet M, Sobh M, Buono R, Poirey S, Pascu I, Nicolas-Virelizier E, et al. Personalised Follow-up Program after Acute Phase of Treatment in Oncology/Hematology Patients Towards Early Intervention, Better Care and Quality of Life Improvement: Results from Pasca Pilot Study. Blood. 13 nov 2019;134(Supplement_1):5817-5817. Disclosures Nicolini: Sun Pharma Ltd: Consultancy; Incyte: Research Funding, Speakers Bureau; Novartis: Research Funding, Speakers Bureau.

COMPARISON OF QUALITY OF LIFE AND FAMILY STRESS IN FAMILIES OF CHILDREN WITH LIVING-RELATED LIVER TRANSPLANTATIONS VS. FAMILIES OF CHILDREN WHO RECEIVED A CADAVERIC LIVER.

2000 ◽  
Vol 69 (Supplement) ◽  
pp. S174
Author(s):  
Karl-Heinz Schulz ◽  
Christina Hofmann ◽  
Kattrin Sander ◽  
Susanne Edsen ◽  
Martin Burdelski ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Family Stress ◽  
Liver Transplantations ◽  
Living Related

Understanding constipation in adults

2021 ◽  
Vol 32 (12) ◽  
pp. 480-484
Author(s):  
Margaret Perry
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
At Risk ◽  
Health Professionals ◽  
Patient Management ◽  
Frequent Reason

Constipation is a common problem which can affect any age and ethnicity and is a frequent reason for patients to seek advice from health professionals. Margaret Perry looks at the risk factors, patient management and potential complications Constipation is a common problem which can affect any age and any ethnicity and is a frequent reason for patients to seek advice from health professionals. Symptoms can vary widely from mild to severe and can impact on quality of life. Given the frequency of its occurrence, it is very likely that nurses and non-medical prescribers will be asked for advice by patients. This article will therefore look at risk factors, patient management and potential complications and hopes to provide useful information for any clinicians who may be approached for advice and guidance in dealing with this condition.

Making quality of life assessment a dashboard for patient management

2014 ◽  
Vol 22 (9) ◽  
pp. 2311-2312 ◽  
Author(s):  
Andrea Tendas ◽  
Pasquale Niscola ◽  
Laura Scaramucci ◽  
Marco Giovannini ◽  
Teresa Dentamaro ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Management ◽  
Life Assessment ◽  
Quality Of Life Assessment

scholarly journals General Quality of Life in Youth With Type 1 Diabetes: Relationship to patient management and diabetes-specific family conflict

Diabetes Care ◽  
2003 ◽  
Vol 26 (11) ◽  
pp. 3067-3073 ◽  
Author(s):  
L. M.B. Laffel ◽  
A. Connell ◽  
L. Vangsness ◽  
A. Goebel-Fabbri ◽  
A. Mansfield ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Type 1 Diabetes ◽  
Family Conflict ◽  
Patient Management ◽  
General Quality

Children with Epilepsy: Quality of Life and Psychosocial Needs

2000 ◽  
Vol 18 (1) ◽  
pp. 26-47 ◽  
Author(s):  
JOAN K. AUSTIN ◽  
DAVID W. DUNN
Keyword(s):  
Quality Of Life ◽  
Psychological Functioning ◽  
Intervention Studies ◽  
School Age Children ◽  
Future Research ◽  
School Age ◽  
Psychosocial Needs ◽  
Life Problems ◽  
Infants And Young Children

In this chapter, research related to quality of life in children with epilepsy and their psychosocial needs is reviewed. Nursing and nonnursing research reports and descriptions of instruments developed between January 1994 and February 1999 are included. Most research reports described quality-of-life problems, especially psychological functioning in school-age children. Less attention was devoted to psychosocial needs. Major gaps included intervention studies and research on infants and young children. Conclusions include recommendations for future research.

scholarly journals An Observational Real-Life Study with a New Infant Formula in Infants with Functional Gastro-Intestinal Disorders

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3336
Author(s):  
Yvan Vandenplas ◽  
Laetitia Gerlier ◽  
Karin Caekelbergh ◽  
Mike Possner ◽  
Keyword(s):  
Quality Of Life ◽  
Lactobacillus Reuteri ◽  
Real Life ◽  
Magnesium Content ◽  
Nutritional Intervention ◽  
Cow Milk ◽  
Life Study ◽  
Real Life Study ◽  
Life Circumstances

Functional gastro-intestinal disorders (FGIDs) impair the quality of life of many infants and their families. A formula with partial whey hydrolysate, starch, high magnesium content, prebiotic fructo-oligosaccharide and galacto-oligosaccharide and the probiotic Lactobacillus reuteri DSM 17938 was given during two weeks to 196 infants with at least two FGIDs. The efficacy was evaluated with the Cow Milk-associated Symptom Score (CoMiSS®) and quality of life with the QUALIN score. The formula was shown to decrease FGIDs within three days (decrease of CoMiSS −1.29 (3.15) (mean (SD), p < 0.0001) followed by an improvement of quality of life after seven days (increase QUALIN +1.4 (7.8); p: 0.008). Constipation decreased from 18.8% to 6.5% within three days. In combination with reassurance and guidance, the nutritional intervention was shown to be effective in infants with FGIDS in real-life circumstances.

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