scholarly journals From Prehab to Rehab: The Functional Restoration of a Bariatric Individual

2020 ◽  
Author(s):  
Anwar Suhaimi ◽  
Brenda Saria Yuliawiratman
Keyword(s):  
Functional Impairment ◽  
Surgical Outcomes ◽  
Medical Condition ◽  
Functional Decline ◽  
Functional Restoration ◽  
Chronic Medical Condition ◽  
Medical Comorbidities ◽  
Time Points ◽  
Operative Complications ◽  
The Face

The bariatric population presents at a greater risk for functional decline with increasing weight and advancing age. This can be prevented at various time points through multidisciplinary rehabilitation interventions in a multitude of different settings to accommodate the severity of an individuals’ disability and to target different functional goals. Bariatric rehabilitation is a multipronged approach that addresses the ongoing functional impairment, medical comorbidities, hospital-related deconditioning and prevents future cardiovascular and musculoskeletal complications from progressing. The emerging concept of utilising rehabilitation interventions and goal-centric approach as means to reduce post-operative complications and enhance surgical outcomes is also discussed. Pragmatic approaches to post-surgical bariatric rehabilitation are discussed highlighting the multi-faceted rehabilitation concerns to achieve optimal functionality in the face of a chronic medical condition.

Depressive Syndromes and Medical Comorbidities

2016 ◽  
pp. 347-360 ◽  
Author(s):  
Derek R. Hopko ◽  
Crystal C. McIndoo ◽  
Audrey File
Keyword(s):  
Risk Factors ◽  
Medical Condition ◽  
Chronic Medical Condition ◽  
Medical Illness ◽  
Medical Conditions ◽  
Medical Patients ◽  
Medical Problems ◽  
Optimal Care ◽  
Medical Comorbidities ◽  
Depressive Syndromes

The prevalence of depression is substantial among individuals with medical conditions and is associated with poorer treatment outcome for both the mood disorder and medical condition. This chapter examines the prevalence, risk factors, causal associations, and treatment for depression in four medical conditions: cancer, cardiovascular disease, multiple sclerosis, and HIV/AIDS. Several conclusions are evident: First, depression is unrecognized in about 30% of medical patients, and twice as many medical patients experience depression relative to the general population. Second, regardless of the medical illness, there are common risk factors for depression. Third, individuals with medical illness are most vulnerable to developing depression in the year following medical diagnosis. Fourth, the relationship between depression and medical comorbidities is bidirectional. Fifth, although there are promising psychological and pharmacological interventions for individuals with comorbid depression and medical problems, significant methodological problems limit this research. These limitations must be addressed to provide optimal care for those with depression and a chronic medical condition.

Screening Instrument for Adolescents of Parents With Chronic Medical Condition

2013 ◽  
Author(s):  
Dominik S. Sieh ◽  
Frans J. Oort ◽  
Johanna M. A. Visser-Meily ◽  
Anne Marie Meijer
Keyword(s):  
Medical Condition ◽  
Screening Instrument ◽  
Chronic Medical Condition

Effects of Face Mask Use on Objective and Subjective Measures of Thermoregulation During Exercise in the Heat

2021 ◽  
pp. 194173812110282
Author(s):  
Ayami Yoshihara ◽  
Erin E. Dierickx ◽  
Gabrielle J. Brewer ◽  
Yasuki Sekiguchi ◽  
Rebecca L. Stearns ◽  
...  
Keyword(s):  
Exercise Intensity ◽  
Thermal Sensation ◽  
Face Mask ◽  
Whole Body ◽  
Moderate Exercise ◽  
Physically Active ◽  
Time Points ◽  
The Face ◽  
And Control ◽  
Moderate Exercise Intensity

Background: While increased face mask use has helped reduce COVID-19 transmission, there have been concerns about its influence on thermoregulation during exercise in the heat, but consistent, evidence-based recommendations are lacking. Hypothesis: No physiological differences would exist during low-to-moderate exercise intensity in the heat between trials with and without face masks, but perceptual sensations could vary. Study Design: Crossover study. Level of Evidence: Level 2. Methods: Twelve physically active participants (8 male, 4 female; age = 24 ± 3 years) completed 4 face mask trials and 1 control trial (no mask) in the heat (32.3°C ± 0.04°C; 54.4% ± 0.7% relative humidity [RH]). The protocol was 60 minutes of walking and jogging between 35% and 60% of relative VO2max. Rectal temperature (Trec), heart rate (HR), temperature and humidity inside and outside of the face mask (Tmicro_in, Tmicro_out, RHmicro_in, RHmicro_out) and perceptual variables (rating of perceived exertion (RPE), thermal sensation, thirst sensation, fatigue level, and overall breathing discomfort) were monitored throughout all trials. Results: Mean Trec and HR increased at 30- and 60-minute time points compared with 0-minute time points, but no difference existed between face mask trials and control trials ( P > 0.05). Mean Tmicro_in, RHmicro_in, and humidity difference inside and outside of the face mask (ΔRHmicro) were significantly different between face mask trials ( P < 0.05). There was no significant difference in perceptual variables between face mask trials and control trials ( P > 0.05), except overall breathing discomfort ( P < 0.01). Higher RHmicro_in, RPE, and thermal sensation significantly predicted higher overall breathing discomfort ( r2 = 0.418; P < 0.01). Conclusion: Face mask use during 60 minutes of low-to-moderate exercise intensity in the heat did not significantly affect Trec or HR. Although face mask use may affect overall breathing discomfort due to the changes in the face mask microenvironment, face mask use itself did not cause an increase in whole body thermal stress. Clinical Relevance: Face mask use is feasible and safe during exercise in the heat, at low-to-moderate exercise intensities, for physically active, healthy individuals.

scholarly journals Psychosocial Outcomes in Adult Survivors of Retinoblastoma

2015 ◽  
Vol 33 (31) ◽  
pp. 3608-3614 ◽  
Author(s):  
Jennifer S. Ford ◽  
Joanne F. Chou ◽  
Charles A. Sklar ◽  
Kevin C. Oeffinger ◽  
Danielle Novetsky Friedman ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Medical Condition ◽  
Cancer Recurrence ◽  
Psychosocial Outcomes ◽  
The United States ◽  
Fear Of Cancer Recurrence ◽  
Chronic Medical Condition ◽  
Post Traumatic Stress ◽  
Stress Symptoms ◽  
Post Traumatic

Purpose Survival rates for individuals diagnosed with retinoblastoma (RB) exceed 95% in the United States; however, little is known about the long-term psychosocial outcomes of these survivors. Patients and Methods Adult RB survivors, diagnosed from 1932 to 1994 and treated in New York, completed a comprehensive questionnaire adapted from the Childhood Cancer Survivor Study (CCSS), by mail or telephone. Psychosocial outcomes included psychological distress, anxiety, depression, somatization, fear of cancer recurrence, satisfaction with facial appearance, post-traumatic growth, and post-traumatic stress symptoms; noncancer CCSS siblings served as a comparison group. Results A total of 470 RB survivors (53.6% with bilateral RB; 52.1% female) and 2,820 CCSS siblings were 43.3 (standard deviation [SD], 11) years and 33.2 (SD, 8.4) years old at the time of study, respectively. After adjusting for sociodemographic factors, RB survivors did not have significantly higher rates of depression, somatization, distress, or anxiety compared with CCSS siblings. Although RB survivors were more likely to report post-traumatic stress symptoms of avoidance and/or hyperarousal (both P < .01), only five (1.1%) of 470 met criteria for post-traumatic stress disorder. Among survivors, having a chronic medical condition did not increase the likelihood of psychological problems. Bilateral RB survivors were more likely than unilateral RB survivors to experience fears of cancer recurrence (P < .01) and worry about their children being diagnosed with RB (P < .01). However, bilateral RB survivors were no more likely to report depression, anxiety, or somatic complaints than unilateral survivors. Conclusion Most RB survivors do not have poorer psychosocial functioning compared with a noncancer sample. In addition, bilateral and unilateral RB survivors seem similar with respect to their psychological symptoms.

Abstract 14236: Cardiovascular Risk at Presentation for Gender-Affirming Care in the Transgender Population

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Kara J Denby ◽  
Meghana Patil ◽  
Karlo Toljan ◽  
Leslie Cho ◽  
Cecile A Ferrando
Keyword(s):  
Medical Condition ◽  
Risk Scores ◽  
Chronic Medical Condition ◽  
Inclusion Criteria ◽  
Undiagnosed Hypertension ◽  
Laboratory Results ◽  
Ascvd Risk ◽  
Cv Disease ◽  
Risk Categories ◽  
Statin Use

Introduction: Due to stigma, the transgender (TG) population experiences socioeconomic and health disparities, including decreased access to care. Use of gender affirming hormone therapy (GAHT) may place TG individuals at increased cardiovascular (CV) risk. The objective of this study is to identify the baseline CV risk of TG individuals presenting for gender affirming care. Methods: This was a retrospective study of TG patients seeking GAHT from a multi-disciplinary transgender program. Patients were included if they had not yet initiated GAHT. Once patients were identified, the EMR was queried for the following data: demographics, medical history, vitals, medications, and laboratory results. The ACC/AHA ASCVD and QRISK3 risk scores were calculated for all patients who did not have documented CV disease. Results: 427 patients met inclusion criteria. Demographics are in Table 1. Of the patients, 237 (55.4%) had a chronic medical condition. The incidence of undiagnosed hypertension and hyperlipidemia was 6.8% and11.3% respectively, and of these cases, only 64.4% and 24.1% were on appropriate therapies. Mean ASCVD risk and QRISK3 for ages 40-65 was 8.3% and 12.2%, respectively. Mean QRISK for ages 25-39 years was 4.6%. Of those patients who fell into intermediate or high risk categories, there was limited statin use (Figure 1). Conclusions: TG individuals presenting for GAHT have elevated CV risk, including high rates of undiagnosed and untreated CV risk factors with inadequate CV prevention. They appear to be at higher risk than their age matched historical cohorts regardless of gender.

scholarly journals Cognitive Reserve in Early Manifest Huntington Disease Patients: Leisure Time Is Associated with Lower Cognitive and Functional Impairment

2022 ◽  
Vol 12 (1) ◽  
pp. 36
Author(s):  
Simone Migliore ◽  
Giulia D’Aurizio ◽  
Eugenia Scaricamazza ◽  
Sabrina Maffi ◽  
Consuelo Ceccarelli ◽  
...  
Keyword(s):  
Functional Impairment ◽  
Huntington Disease ◽  
Leisure Time ◽  
Cognitive Reserve ◽  
Rating Scale ◽  
Cognitive Outcome ◽  
Inverse Association ◽  
Time Points ◽  
Disease Rating

We focused on Cognitive Reserve (CR) in patients with early Huntington Disease (HD) and investigated whether clinical outcomes might be influenced by lifetime intellectual enrichment over time. CR was evaluated by means of the Cognitive Reserve Index questionnaire (CRIq), an internationally validated scale which includes three sections: education, working activity, and leisure time. The clinical HD variables were quantified at three different time points (baseline-t0, 1 year follow up-t1 and 2 years follow up-t2) as per the Unified Huntington’s Disease Rating Scale (UHDRS), an internationally standardized and validated scale including motor, cognitive, functional and behavioral assays. Our sample consisted of 75 early manifest patients, withclinical stage scored according to the Total Functional Capacity (TFC) scale. Our correlational analysis highlighted a significant inverse association between CRIq leisure time (CRIq_LA) and longitudinal functional impairment (namely, the differential TFC score between t2 and t0 or ΔTFC) (p < 0.05), and the multidimensional progression of HD as measured by the composite UHDRS (cUHDRS, p < 0.01). CRIq_LA was significantly and positively associated with better cognitive performances at all time points (p < 0.05). Our results suggest that higher is the CRIq_LA, milder is the progression of HD in terms of functional, multidimensional and cognitive outcome.

scholarly journals Depression among Older Adult Prisoners at the Jos Central Prison- North Central Nigeria

2019 ◽  
Vol 2 (3) ◽  
pp. 167-171
Author(s):  
CG Piwuna ◽  
TO Piwuna ◽  
N Dami ◽  
MA Bankat ◽  
TM Agbir ◽  
...  
Keyword(s):  
Older Adult ◽  
Medical Condition ◽  
Occupational Status ◽  
Chronic Medical Condition ◽  
P Value ◽  
Medical Conditions ◽  
Violent Crimes ◽  
North Central ◽  
Older Prisoners ◽  
Prevalence Of Depression

This study was carried out to determine the prevalence of depression and its correlates among Older Adult Prisoners at the Jos Central Prison, North Central Nigeria. The study was a cross-sectional descriptive chart, conducted at the Jos Central prisons on eighty-six (86) older prisoners between June 2012 to December 2012. Bio-demographic data and history of any chronic medical condition as well as that of psychiatric condition were also obtained from their clinical records in the clinic located within the prison. Depression was assessed using the Geriatric Depression Scale (GDS) on all the volunteers 50 years and above. The GDS measures cognitive, affective, functional state and a factor that reflects helplessness and fear for the future. The study was largely composed of male making up to 99%. The age range was between 50 to 75 years with a mean 54.36 (SD 3.24) with most of them between 50 to 60 years (90%). A quarter (25%) had not received any form of education while 7 out of 10 had received some form of education. Majority of them were employed (skilled or un-skilled employment) before incarceration. Only 2% were unemployed before their incarceration. Those incarcerated for violent crimes (65%) nearly doubled those in prison for non-violent crimes 35%. Occupational status, pre-existing medical conditions and the perception of their health status before incarceration were found to be statistically significant. Type of crimes committed was not statistically significant. Known chronic medical condition(s) was a risk factor in the inmates developing depression (P-value =0.009). In comparing the specific medical conditions with depression, significant findings were found (P-value= 0.003). The study revealed a prevalence of depression at 59% in older prisoners of 50 years and above. The significant predictors of depression include occupational status, pre-exisitng medical conditions, and the perception of their health status before incarceration were found to be statistically significant.

scholarly journals Nepal COVID-19 Governmental Response

2021 ◽  
Author(s):  
Omar S. Abdellatif ◽  
Ali Behbehani
Keyword(s):  
Public Health ◽  
Medical Condition ◽  
International Health ◽  
Who Guidelines ◽  
Member States ◽  
Rapid Spread ◽  
The World ◽  
Travel Restrictions ◽  
Current Cycle ◽  
The Face

The International Health Regulations (2005) are legally binding on 196 States Parties, Including all WHO Member States. The IHR aims to keep the world informed about public health risks, through committing all signatories to cooperate together in combating any future “illness or medical condition, irrespective of origin or source, that presents or could present significant harm to humans.” Under IHR, countries agreed to strengthen their public health capacities and notify the WHO of any such illness in their populations. The WHO would be the centralized body for all countries facing a health threat, with the power to declare a “public health emergency of international concern,” issue recommendations, and work with countries to tackle a crisis. Although, with the sudden and rapid spread of COVID-19 in the world, many countries varied in implementing the WHO guidelines and health recommendations. While some countries followed the WHO guidelines, others imposed travel restrictions against the WHO’s recommendations. Some refused to share their data with the organization. Others banned the export of medical equipment, even in the face of global shortages. The UN Compliance Research group will focus during the current cycle on analyzing the compliance of the WHO member states to the organizations guidelines during the COVID-19 pandemic.

Sign in / Sign up

Export Citation Format

Share Document