scholarly journals The Effect of Covid 19 on Tbc Patient Visits

Author(s):  
Fachrul Suarli

Pulmonary tuberculosis is a disease that is of concern to the world, especially Indonesia which is in the third-highest rank after India and China. Some studies have reported that patients living with tuberculosis and who are undergoing anti-tuberculosis drug therapy have a significant impact on their quality of life. TB patients who are undergoing treatment, both obedient and non-compliant can experience a decrease in various physical, social, psychological, and environmental functions which will have an impact on decreasing quality of life. However, since 2019, there has been a Covid-19 pandemic which is highly contagious and can cause severe illness, causing people to be afraid to come to health facilities. Because people are afraid to come to health facilities, it is feared that there will be an explosion of TB disease because of the risk of dropping out of drugs which causes an increase in the death rate due to TB. In addition, without treatment for TB patients, it can cause the spread of TB disease to become more widespread. So if a TB patient suffers from Covid-19, it can make his illness worse. During the COVID-19 pandemic, WHO estimates that there will be a 25% reduction in TB case detection.

Author(s):  
Jonea Kane Darmanto ◽  
Nina Carina

Urban where life is full of busyness, forcing people to choose to do everything instantly. Problems that arise include the absence of a social life and lifestyle that does not support the quality of public health. According to a Zipjet Company survey, Jakarta is categorized as the most stressful city and has an impact on deteriorating health and quality of life. Open Architecture is an architectural proposal that discusses The Third place or an intermediate space that is expected to serve the needs of modern urban society. Pluit, North Jakarta one of the areas that has a third place character. The location directly adjacent to the first place and second place in PLuit is one of the reasons for site selection, so presenting a third place project here is expected to be a solution to the regional problem. Projects that provide a platform for the community to be able to come entertain themselves for a moment from the busyness or problems they face. Prioritizing sports programs with the intention of increasing interest in health, with the concept of wellness that is also adjusted to the needs of the surrounding community. So that this project becomes a place of fatigue that also supports the improvement of quality of life. With sports, an activity which in its development can be carried out as an entertaining and enjoyable activity, individuals between individuals can also meet and have the same motivation so that it can also create a community that further strengthens social life among surrounding communities. Abstrak Perkotaan dimana kehidupan di penuh kesibukan, memaksa masyarakat memilih untuk melakukan semua hal dengan instan. Permasalahan yang muncul antara lain adalah tidak adanya kehidupan bersosialisasi dan  pola hidup yang kurang mendukung kualitas kesehatan masyarakat. Menurut sebuah survey Perusahaan Zipjet (2017), Jakarta masuk dalam kategori kota paling stres dan berdampak pada kemerosotan kesehatan serta kualitas hidup. Open Architecture adalah sebuah proposal arsitektur yang membahasa mengenai The Third place atau ruang antara yang diharapkan mampu melayani kebutuhan masyarakat kota modern. Pluit, Jakarta Utara salah satu daerah yang memiliki karakter third place. Lokasi  yang berbatasan langsung dengan first place dan second place di PLuit ini menjadi salah satu alasan pemilihan tapak, Sehingga menghadirkan proyek third place disini diharapkan menjadi solusi permasalahan kawasan. Proyek yang memberi wadah bagi masyarakat untuk  bisa datang  menghibur diri sejenak dari kesibukan atau masalah yang di hadapinya. Mengutamakan program olahraga dengan maksud meningkatkan minat terhadap kesehatan, dengan konsep wellness yang di sesuaikan juga dengan kebutuhan masyarakat sekitar. Sehingga proyek ini menjadi sebuah tempat pelepas penat yang sekaligus mendukung peningkatan kualitas hidup. Dengan adanya olahraga, sebuah kegiatan yang dalam perkembanganya dapat dilakukan sebagai kegiatan yang menghibur dan menyenangkan, individu antar individu juga dapat bertemu dan  memiliki motivasi yang sama sehingga dapat pula tercipta sebuah komunitas yang semakin mempererat kehidupan sosial antar masyarakat sekitar.


2017 ◽  
Vol 7 (1) ◽  
pp. 59-81
Author(s):  
Hana Lukášová

Abstract Introduction: This study summarized the results of research on quality of life as conceived by Czech fifth-graders.Methods: The subjects responded in writing to three tasks that asked them to describe the characteristics of quality of life. The first task required them to picture what they imagined under a magazine headline entitled “Quality of Children’s Lives”. The second task required them to explain this headline to their classmates, while the third task asked them to generate their own ideas of a bad life, normal life, and excellent life.The sample consisted of 174 fifth-grade pupils from two Czech localities. The pupils’ statements were open-coded, and then the codes were cumulated to create content categories.Results: Ten large categories emerged from the data that depicted children’s ideas of quality of life. Data processing the frequencies of the content of the categories were computed to show the ranking of the characteristics of the quality of life as selected by the children. The study revealed that the fifth-grade pupils attributed a wide range of valuable characteristics (social, psychological, environmental, spiritual and personal) to the concept of quality of life.Discussion: In pedagogical theory, the quality of children’s lives is a concept with a number of meanings. It includes qualities related to biopsycho- personal, social, and spiritual aspects of life.Limitations: The quality of children’s lives is a multidimensional concept and we can study only some of them.Conclusions: Responses to the third research question can be summarized into three key answers, illustrated by relevant statements of the Czech fifth-grade students.


2014 ◽  
Vol 4 (2) ◽  
pp. 54-78
Author(s):  
Petr Adamec ◽  
Marián Svoboda

This paper deals with the results of sociological survey focused on identification of the attitudes of elderly people to further education. The research was carried out in September 2010. Experience of elderly people with further education, their readiness (determination) for further education as well as their motivation and barriers in further education were also subjects of this research. Detecting elderly population’s awareness of universities of the third age and finding out their further education preferences were an integral part of the research. Research sample consisted of citizens over 55 years living in the South Moravian region. The survey results are structured by socio-demographic features e.g.: age, sex, educational attainment etc. and provide an interesting insight into the attitudes of the target group to one of the activities that contributes to improvement of their quality of life.


2020 ◽  
Vol 5 (1) ◽  
pp. 21-29
Author(s):  
Magdalena Pracka ◽  
Marcin Dziedziński ◽  
Przemysław Łukasz Kowalczewski

AbstractIn recent years have seen increasing percentage of the elderly in the overall population. This has driven the attention to the lifestyle factors that influence the health and quality of life of this social group, including their nutrition and physical activity. Universities of the Third Age (U3A) are a valuable platform for the dissemination and broadening of the knowledge related to these topics. The nutritional habits of 61 U3A students in Poznań were evaluated on the basis of a modified KomPAN questionnaire. Their nutritional status was determined using the body mass index (BMI) and waist to hip ratio (WHR) indices. Nearly half of the respondents were overweight and 16% had first degree obesity. The WHR index in women was on average 0.8, while in men it was 1.01. Only 13% of the students declared regular eating, with 60% consuming 4-5 meals a day. Women were found to eat snacks between meals more often than men. It was also found that the majority of the elderly do not add salt to ready meals or sweeten beverages with sugars. Taking into account the observed nutritional problems and the occurrence of improper eating habits of the elderly, it is recommended to continue the education on the prevention of common diet-related diseased.


1998 ◽  
Vol 84 (1_suppl1) ◽  
pp. S20-S23
Author(s):  
Enrico Cortesi ◽  
E. Ballatori ◽  
P. Casali ◽  
E. Cortesi ◽  
M. Costantini ◽  
...  

The peculiar characteristics of the italian neoplastic patients, as far as their knowledge concerning the disease (information, prognosis, therapeutic options, etc) and the different cultural, environmental and health realities, place different problems on the routine application of the quality of life questionnaires wich were constructed and edited in North European or North American Countries, even if correctly translated and validated in Italy. The QVonc (Quality of Life in Oncology) Project started five years ago from the common interest of medical oncologists who felt the need to make a careful study on some aspects regarding the evaluation of italian patient's quality of life. A multidisciplinary working group, comprehensive of statisticians, epidemiologists, psychologists, nurses and methodologists, was then put together. During the last three years the Group produced a deep analysis of the different aspects and determinants of the italian patient's quality of life, mainly about their disease and medical environment perception. A prospective research was started in 1995 with the aims of identifying the contents of quality of life, using a sample of cancer patients as “experts” and of measuring the relevance of selected contents in different subgroups of patients. In the first study the quality of life dimensions were analysed as perceived from 248 neoplastic patients, uniformely and randomly distributed for pathology and place of residence in Italy, through an open questionnaire and interviews conducted by our psychologists. Some peculiar aspects of the quality of life perception in italian patients were evidenced: relationship with the family, with the medical team and health facilities, economic problems and occupational difficulties. The study confirmed that the information on the contents of quality of life can be derived only studying people suffering the specific disease and cast a doubt on the available QL instruments currently used. The second study evaluated the quality of life perception in 6939 consecutive cancer patients referred in the second week of July 1996 to 79 Italian medical oncology/radiotherapy Institutions. Patients were asked to fill out a questionnaire concerning the importance of 46 domains of QL, each one scored on 4 levels (not at all, a little, much and very much). Domains were derived from a previous content analysis of 268 pts answers to 4 questions related to their own QL: “in your experience, what is QL?”, “what is a bad QL?”, “what is a good QL?”, “Did the diagnosis and treatment received modify your QL?”. 6939 patients entered the study; of these, 820 (11.8%) did not fill out the questionnaire due to various reasons. Among the 6,119 evaluable pts, the most frequent cancers were: breast (2,328), colo-rectal (968), lung (517), lymphoma (351), gastric (225). The most frequently chosen domains (much or very much) were related to health facilities or communication between patient-physician/nurse. Family relationship and general well being were also found important, while from the negative perspective the presence of the disease and the related anxiety were the most relevant problems. In conclusion, when choosing or constructing QL instruments, at least for Italian cancer pts, factors such as health facilities and pt ‘- physician/nurse relationship should be more adequately considered. Most currently used QL questionnaires are probably lacking in this regard.


Author(s):  
Mihael Emilov Tsalta-Mladenov ◽  
Silva Peteva Andonova

Abstract Background Intravenous thrombolysis is a widely approved treatment method for acute ischemic stroke (AIS). Nevertheless, there is a growing interest in its impact on functional outcomes and Health-related Quality of life (HR-QoL). We aimed to evaluate and compare the HR-QoL in patients receiving intravenous thrombolysis (IVT) and in those without thrombolytic therapy during the first 3-month post-stroke in a defined Bulgarian population. Results Patients treated with IVT have simillar functional outcomes and HR-QoL on the third month as the group with conservative treatment, besides their higher NIHSS on admission. Patients with IVT had better self-assessed recovery after the AIS. The higher NIHSS and mRS scores and the lower HR-QoL on discharge are reliable predictors for a poor functional outcome on the third month. A door-to-needle of 60 min or less, and the absence of pathological neuroimaging findings 24-h post IVT predict more beneficial HR-QoL outcome. Conclusion There were no significant differences in HR-QoL and functional outcomes between the groups. Nevertheless, IVT is a treatment option with great importance for improving the clinical outcomes after ischemic stroke, which should be performed in well selected patients.


Bioimpacts ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. 137-138
Author(s):  
Jaleh Barar

COVID-19 pandemic has profoundly affected the lives of humans worldwide. We no longer experience the same quality of life and need to come up with effective solutions to combat the clinical implications. The vast knowledge about the pathways that regulate the virus entry and molecular signaling of the pathogenesis of coronavirus are the key factor for the development of de novo diagnostic/therapeutic strategies. Meanwhile, the emergence of nanotechnology, could offer enormous help in the battle against coronavirus. In this editorial, the role of molecular elements in the pathobiology of the disease and the significance of nanoscaled pharmaceuticals is highlighted.


2021 ◽  
Vol 11 (3) ◽  
pp. 659-670
Author(s):  
Hatice Daldal ◽  
Mustafa Turkyilmaz ◽  
Melike Balikoglu Yilmaz ◽  
Ufuk Berberoglu

Aims: To investigate the changes in vision-related quality of life after a loading dose of three consecutive intravitreal ranibizumab (IVR) injections in patients with unilateral diabetic macular edema (DME). Materials and Methods: Fifty-two eyes of 52 patients who received IVR injections in only one eye with DME were included in our study. The following characteristics of the patients were recorded: gender, education status, marital status, work status, presence of chronic disease. The changes in best-corrected visual acuity (BCVA) and central macular thickness (CMT) were evaluated at baseline (before treatment) and 1 month after the third intravitreal injection (after treatment). Patients were administered the Turkish form of the National Eye Institute 25-Item Visual Functions Questionnaire (NEI VFQ-25 TR). The quality of life scores assessed by the NEI VFQ-25 TR, the BCVA, intraocular pressure (IOP), and CMT measurements were compared at baseline (before treatment) and 1 month after the third intravitreal injection (after treatment). Results: We enrolled 52 patients (25 females, 27 males) in our study; mean age was 64.35 ± 9.26 years. After treatment, BCVA improved significantly (p = 0.001), and macular thickness decreased significantly (p < 0.001). All NEI VFQ-25 TR subscale scores were significantly higher after treatment (p < 0.05). However, no significant correlation was found between the change in BCVA and CMT and the change in NEI VFQ-25 TR subscale and composite scores. The increase in near activities scores was significantly higher in males (p = 0.020) and in the retired group (p = 0.022). There were no significant differences in the changes in NEI VFQ-25 TR subscale and composite scores in relation to educational status. Discussion: Significant improvements in BCVA, macular edema, and vision-related quality of life were found in DME patients who received IVR injections with a loading dose, as shown by the NEI VFQ-25 TR. Interestingly, a significant improvement in quality of life was observed even though the patients could see well with the fellow eye. In conclusion, the NEI VFQ-25 TR is a useful scale to evaluate the changes in visual function and psychosocial characteristics of DME patients after treatment.


2003 ◽  
Vol 2 (2) ◽  
pp. 189-206 ◽  
Author(s):  
Mohammad Taghi Sheykhi

AbstractThe paper explores how quality of life is influenced by leisure, tourism, and sports. While these three concepts are counted as the cultural needs of the current industrial and especially urban life, they are not well-provided in many parts of the Third World. While working hours are shortened in the industrial world, followed by provision of leisure and tourism, leisure opportunities are less prevalent in the developing world including many parts of Asia. It should be kept in mind that changes in the quantitative aspects of such concepts lead to qualitative change in any society. This trinity, which also leads to modernization and development, acts as an economic multiplier as well. Today, while the industrial countries invest on employment, they simultaneously do the same on leisure time and sports. Under the overall conditions, the developing countries, including Iran, have yet a long way to go.


2018 ◽  
Vol 9 ◽  
pp. 117967071775143 ◽  
Author(s):  
Naoya Miyashita ◽  
Yasuhiro Yamauchi

Bacterial pneumonia is one of the most important infectious diseases in terms of incidence, effect on quality of life, mortality, and impact on society. Pneumonia was the third leading cause of death in Japan in 2011. In 2016, 119 650 Japanese people died of pneumonia, 96% of whom were aged 65 years and above. The symptoms of pneumonia in elderly people are often atypical. Aspiration pneumonia is seen more frequently than in young people because of swallowing dysfunction in the elderly. The mortality rate is also higher in the elderly than in young people. In Japan, the population is aging at an unprecedented rate, and pneumonia in the elderly will be increasingly important in medicine and medical economics in the future. To manage pneumonia in the elderly, it is important to accurately evaluate its severity, administer appropriate antibiotic treatment, and implement effective preventive measures.


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