scholarly journals Nosographic classification of mood disorders: from symptoms to diagnosis and treatment

2012 ◽  
Vol 3 (3) ◽  
pp. 179-191
Author(s):  
Umberto Albert ◽  
Andrea Aguglia ◽  
Francesca Barbaro ◽  
Giuseppe Maina ◽  
Filippo Bogetto
Keyword(s):  
Quality Of Life ◽  
Mood Disorders ◽  
Psychosocial Functioning ◽  
Diagnostic Errors ◽  
Mood Stabilizers ◽  
Health Concern ◽  
Type I ◽  
The Right

Mood disorders represent a main health concern, due to their high prevalence in the general population and because they are related to a severe worsening of quality of life and psychosocial functioning of those who are affected. Because of the importance of such diseases, that, according to WHO, might become the major cause of morbidity by 2020, an efficacious, targeted and precise approach is essential in everyday clinical practice. This article reviews the methods of diagnostic approach, with the aim of describing the different phases of nosographic classification of mood disorders and their meaning. In particular, the most reliable classification distinguishes between unipolar (major depressive disorder) and bipolar (type I and II) disorders: the right differential diagnosis is important because there are great differences in the optimal management of these conditions (antidepressants vs. mood stabilizers) and diagnostic errors can potentially worsen the patient’s prognosis. In conclusion, the right nosographic classification allows the right therapeutic and prognostic approach. This may result in higher rates of remission and response, thus improving patient’s quality of life and overall wellness.http://dx.doi.org/10.7175/rhc.v3i3.200

scholarly journals Nosographic classification of mood disorders: from symptoms to diagnosis and treatment

2012 ◽  
Vol 3 (3) ◽  
pp. 179
Author(s):  
Umberto Albert ◽  
Andrea Aguglia ◽  
Francesca Barbaro ◽  
Giuseppe Maina ◽  
Filippo Bogetto
Keyword(s):  
Quality Of Life ◽  
Mood Disorders ◽  
Psychosocial Functioning ◽  
Diagnostic Errors ◽  
Mood Stabilizers ◽  
Health Concern ◽  
Type I ◽  
The Right

Mood disorders represent a main health concern, due to their high prevalence in the general population and because they are related to a severe worsening of quality of life and psychosocial functioning of those who are affected. Because of the importance of such diseases, that, according to WHO, might become the major cause of morbidity by 2020, an efficacious, targeted and precise approach is essential in everyday clinical practice. This article reviews the methods of diagnostic approach, with the aim of describing the different phases of nosographic classification of mood disorders and their meaning. In particular, the most reliable classification distinguishes between unipolar (major depressive disorder) and bipolar (type I and II) disorders: the right differential diagnosis is important because there are great differences in the optimal management of these conditions (antidepressants vs. mood stabilizers) and diagnostic errors can potentially worsen the patient’s prognosis. In conclusion, the right nosographic classification allows the right therapeutic and prognostic approach. This may result in higher rates of remission and response, thus improving patient’s quality of life and overall wellness.http://dx.doi.org/10.7175/rhc.v3i3.200

scholarly journals CONSUMMATED REVIEW ON PROSTATITIS

2019 ◽  
pp. 1-7
Author(s):  
HARINE AG ◽  
SUMITRA M ◽  
CHITRA V
Keyword(s):  
Quality Of Life ◽  
Pathological Condition ◽  
Prostate Gland ◽  
Alternative Therapy ◽  
Complete Information ◽  
Pathological State ◽  
Causative Agents ◽  
The Right

Prostatitis is an inflammatory disease, when the prostate is vulnerable to infectious stimuli like urinary pathogens, are changes in the lifestyle leads to inflammation in the prostate gland. It is a pathological state where the swelling of prostate occur to most of the men and mainly elderly. Recently, prostatitis is a dangerous threat for men almost 50% total men population. The review comprises complete information regarding prostatitis and its related complications. The compilation of the data is about the disease from classification of prostatitis, causative agents, symptoms, treatment, mitigation, natural and alternative therapy to improve the quality of life. Awareness of this disease is not known to the majority of the population when it is left untreated identification and treatment at the right time help in increase in recovering from the pathological condition of the victim to overcome.

Health-related quality of life one year after surgical treatment of the type I chronic aortic dissection

2019 ◽  
Vol 38 (1) ◽  
Author(s):  
Oksana Kamenskaya ◽  
Asya Klinkova ◽  
Irina Loginova ◽  
Alexander Chernyavskiy ◽  
Dmitry Sirota ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Aortic Dissection ◽  
Type I ◽  
Health Related Quality ◽  
Chronic Aortic Dissection ◽  
Related Quality ◽  
Health Related ◽  
One Year

Advantages of a mini right axillary thoracotomy for congenital heart defect repair in children

2021 ◽  
pp. 1-6
Author(s):  
Jannika Dodge-Khatami ◽  
Ali Dodge-Khatami
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Global Health ◽  
Congenital Heart ◽  
Surgical Repair ◽  
Median Sternotomy ◽  
Axillary Approach ◽  
Post Operative Pain ◽  
The Right

Abstract Objectives: The mini right axillary thoracotomy is an alternative surgical approach to repair certain congenital heart defects. Quality-of-life metrics and clinical outcomes in children undergoing either the right axillary approach or median sternotomy were compared. Methods: Patients undergoing either approach for the same defects between 2018 and 2020 were included. Demographic details, operative data, and outcomes were compared between both groups. An abbreviated quality of life questionnaire based on the Infant/Toddler/Child Health Questionnaires focused on the patient’s global health, physical activity, and pain/discomfort was administered to all parents/guardians within two post-operative years. Results: Eighty-seven infants and children underwent surgical repair (right axillary thoracotomy, n = 54; sternotomy, n = 33) during the study period. There were no mortalities in either group. The right axillary thoracotomy group experienced significantly decreased red blood cell transfusion, intubation, intensive care, and hospital durations, and earlier chest tube removal. Up to 1 month, parents’ perception of their child’s degree and frequency of post-operative pain was significantly less after the right axillary thoracotomy approach. No difference was found in the patient’s global health or physical activity limitations beyond a month between the two groups. Conclusions: With the mini right axillary approach, surrogates of faster clinical recovery and hospital discharge were noted, with a significantly less perceived degree and frequency of post-operative pain initially, but without the quality of life differences at last follow-up. While providing obvious cosmetic advantages, the minimally invasive right axillary thoracotomy approach for the surgical repair of certain congenital heart lesions is a safe alternative to median sternotomy.

scholarly journals Classification of endonasal HHT lesions using digital microscopy

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
F. Haubner ◽  
A. Schneider ◽  
H. Schinke ◽  
M. Bertlich ◽  
B. G. Weiss ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Treatment Modalities ◽  
Hereditary Haemorrhagic Telangiectasia ◽  
Digital Microscopy ◽  
Digital Microscope ◽  
Lower Severity ◽  
Gender Specific Differences ◽  
Vegf Level

Abstract Background Recurrent spontaneous epistaxis is the most common clinical manifestation and the most debilitating symptom in hereditary haemorrhagic telangiectasia (HHT) patients. To this date, there exist only a classification of HHT patients by different genetic mutations. There is no standard classification for the mucocutaneous endonasal manifestations of HHT. The aim of the present study was to document the variety of endonasal HHT lesions using digital microscopy and to propose a clinical classification. Methods We recorded the endonasal HHT lesions of 28 patients using a digital microscope. We reconstructed the 3D images und videos recorded by digital microscope afterwards and classified the endonasal lesions of HHT in two classes: Grade A, presence of only flat telangiectasias in the mucosa level and Grade B, (additional) presence of raised berry or wart-like telangiectasia spots. We investigated also Haemoglobin level by routine laboratory procedures, plasma VEGF level by ELISA, Severity of epistaxis by epistaxis severity score (ESS) and quality of life by a linear visual analogue scale (VAS). Results We found a higher quality of life and a lower severity of epistaxis in Grade A patients in comparison to Grade B patients. No difference in plasma VEGF level and in Haemoglobin between Grad A patients and Grade B patients could be detected. Plasma VEGF levels showed no gender specific differences. It could also not be correlated to the extranasal manifestation. Conclusion The classification for endonasal manifestation of HHT proposed in this study indicates severity of epistaxis und quality of life. Digital microscopy with the ability of 3D reconstruction of images presents a useful tool for such classifications. The classification of endonasal HHT lesions using digital microscopy allows to evaluate the dynamic of HHT lesions in the course of time independent of examiner. This allows also to evaluate the efficacy of the different treatment modalities by dynamic of HHT lesions. Moreover digital microscopy is very beneficial in academic teaching of rare diseases.

scholarly journals Assessment of Health-Related Quality of Life among People Living with HIV in Xinjiang, West China

2017 ◽  
Vol 16 (6) ◽  
pp. 588-594 ◽  
Author(s):  
Rena Maimaiti ◽  
Zhang Yuexin ◽  
Pan Kejun ◽  
Maimaitaili Wubili ◽  
Christophe Lalanne ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Southern China ◽  
Health Concern ◽  
Hiv Positive ◽  
People Living With Hiv ◽  
Health Related Quality ◽  
Patient Reported ◽  
Related Quality ◽  
Health Related

In total, 679 HIV-positive patients from 4 clinics in Urumqi city were given structured questionnaires by the doctors or nurses treating them. Health-related quality of life (HRQL) was assessed using the Chinese Patient-Reported Outcome Quality of Life-HIV questionnaire versions in Mandarin and Uyghur. This tool has been used in other parts of China and several countries. Compared to France, Australia, United States, Brazil, Thailand, Cambodia, Senegal, and Central-Southern China (CS China), the HRQL was significantly lower among HIV-positive patients in Xinjiang, with regard to the dimension of treatment impact and general health score. The health concern was similar to Brazil and Cambodia but lower than other countries and CS China. Our findings showed high stigmatization: 86% of the patients were afraid to tell others they were HIV positive and 69% often felt or always felt depressed. Only 1% of the patients were on antidepressant treatment.

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