Portuguese translation and Brazilian cultural adaptation of the Assessment of Burden in Chronic Venous Disease questionnaire (ABC-V)

Introduction: The Assessment of Burden in Chronic Venous Disease questionnaire (ABC-V) is a valuable tool for assessing the impact that chronic venous disease (CVD) has on patients’ quality of life (QL). There was a need for a translated and adapted version suitable for use in the Brazilian population. CVD is becoming a public health issue as the incidence and prevalence are high. The ABC-V can be used to collect information on patients’ QL and thus the development of a Brazilian version that facilitates research into the CVD population. Objective: To provide translation and cultural validation of the Assessment of Burden in Chronic-Venous Disease (ABC-V) questionnaire for the Portuguese language. Methods: The ABC-V was translated into Portuguese by two bilingual translators working independently. The translators then created a consensus version, which was translated back into English by two native English speakers. Finally all the versions were analysed by a committee of with expertise in translation and the two cultures involved. The committee produced a draft Portuguese-language version which was tested in a pilot sample of between 30 and 40 people. The committee evaluated feedback from the pilot sample on the clarity and comprehensibility of the draft version. Results: The draft version was completed by 31 patients at the Chronic Venous Diseases Department of Padre Anchieta’s Teaching Hospital. With the analysis of the questionnaires used in the pre-test, it is possible to observe that in English, unlike Portuguese, verbs are often used in the passive tense. It also emerged that there was a need to use more colloquial terms and expressions so that the question would be easier to understand, whilst preserving the meaning of the original items. Changing the tone of the questionnaire in this way should make it more suitable for use with people from a wide range of socioeconomic levels, especially those with lower social status and less education. Because the questions are qualitative rather than quantitative they are more open to interpretation and elicit more subjective responses. This creates an additional difficulty in adapting the questionnaire for the Brazilian cultural context. The data from pilot-testing of the draft version was used to develop a translated and culturally adapted version of the ABC-V using the procedure described by Beaton et al. Conclusion: A translated and culturally adapted version of the ABC-V suitable for use in Brazil has been developed and can be used to evaluate changes in the QL of Brazilian patients with CVD.

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Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs – UIP Consensus Document. Part II: Anatomy

Phlebology The Journal of Venous Disease ◽

10.1258/026835506779115799 ◽

2006 ◽

Vol 21 (4) ◽

pp. 168-179 ◽

Cited By ~ 4

Author(s):

A Cavezzi ◽

N Labropoulos ◽

H Partsch ◽

S Ricci ◽

A Caggiati ◽

...

Keyword(s):

Lower Limb ◽

Duplex Ultrasound ◽

Lower Limbs ◽

Chronic Venous Disease ◽

Specific Reference ◽

Venous Disease ◽

Perforating Veins ◽

Consensus Document ◽

Wide Range ◽

Ultrasound Investigation

Objectives: Duplex ultrasound investigation has become the reference standard in assessing the morphology and haemodynamics of the lower limb veins. The project described in this paper was an initiative of the Union Internationale de Phlébologie (UIP). The aim was to obtain a consensus of international experts on the methodology to be used for assessment of the anatomy of superficial and perforating veins in the lower limb by ultrasound imaging. Design: Consensus conference leading to a consensus document. Methods: The authors performed a systematic review of the published literature on duplex anatomy of the superficial and perforating veins of the lower limbs. Afterwards, they invited a group of experts from a wide range of countries to participate in this project. Electronic submissions from the authors and the experts (text and images) were made available to all participants via the UIP website. The authors prepared a draft document for discussion at the UIP Chapter meeting held in San Diego, USA, in August 2003. Following this meeting, a revised manuscript was circulated to all participants and further comments were received by the authors and included in subsequent versions of the manuscript. Eventually, all participants agreed on the final version of the paper. Results: The experts have made detailed recommendations concerning the methods to be used for duplex ultrasound examination as well as the interpretation of images and measurements obtained. This document provides a detailed methodology for complete ultrasound assessment of the anatomy of the superficial and perforating veins in the lower limbs. Conclusions: The authors and a large group of experts have agreed on a methodology for the investigation of the lower limbs venous system, by duplex ultrasonography, with specific reference to the anatomy of the main superficial veins and perforators of the lower limbs in healthy and varicose subjects.

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The Future of Phlebology in Europe

Phlebology The Journal of Venous Disease ◽

10.1177/0268355514527046 ◽

2014 ◽

Vol 29 (1_suppl) ◽

pp. 181-185 ◽

Cited By ~ 1

Author(s):

Brahman Dharmarajah ◽

Tristan RA Lane ◽

Hayley M Moore ◽

HA Martino Neumann ◽

Eberhard Rabe ◽

...

Keyword(s):

Cost Effective ◽

Research Strategy ◽

Clinical Severity ◽

Venous Disease ◽

Vein Thrombosis ◽

Venous Diseases ◽

Thrombus Removal ◽

Deep Vein ◽

The Impact

Background Worldwide superficial and deep venous diseases are common and associated with significant individual and socioeconomic morbidity. Increasing burden of venous disease requires Phlebology to define itself as an independent specialty representing not only patients but the multidisciplinary physicians involved in venous care. Methods & Results In this article the scope of venous disease in Europe and subsequent future governance for treatment in the region is discussed. Superficial venous disease is common with 26.9-68.6% of European populations reported to have C2-C6 disease according to the CEAP (Clinical severity, Aetiology, Anatomy and Pathophysiology) scoring system. However, a significant disparity is observed in the treatment of superficial venous disease across Europe. Post thrombotic syndrome (PTS) after deep vein thrombosis (DVT) contributes to the increasing burden of deep venous disease. Aggressive thrombus removal for acute ileofemoral DVT provides a cost-effective 14.4% risk reduction in the development of PTS. Additionally, deep venous lesions requiring endovascular intervention are being increasingly performed to prevent recurrent thrombosis. The European College of Phlebology (ECoP) has been formed to provide a responsible body for the care of the European patient with venous disease. The role of the ECoP includes unifying European member states through standardised guideline production, identification of research strategy and provision of training and accreditation of physicians. Conclusion Creation of a European venous disease specific speciality will provide a patient centred approach through understanding of the impact of disease in the region and delivery of high quality diagnostics and treatment from an appropriately certified Phlebologist.

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Sex and Gender Interactions on the Use and Impact of Recreational Cannabis

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17020509 ◽

2020 ◽

Vol 17 (2) ◽

pp. 509 ◽

Cited By ~ 5

Author(s):

Lorraine Greaves ◽

Natalie Hemsing

Keyword(s):

Cannabis Use ◽

Public Health Issue ◽

Sex And Gender ◽

Related Factors ◽

Precise Integration ◽

Routes Of Administration ◽

Wide Range ◽

Scoping Reviews ◽

And Gender ◽

The Impact

Cannabis is the second most frequently used substance in the world and regulated or legalized for recreational use in Canada and fourteen US states and territories. As with all substances, a wide range of sex and gender related factors have an influence on how substances are consumed, their physical, mental and social impacts, and how men and women respond to treatment, health promotion, and policies. Given the widespread use of cannabis, and in the context of its increasing regulation, it is important to better understand the sex and gender related factors associated with recreational cannabis use in order to make more precise clinical, programming, and policy decisions. However, sex and gender related factors include a wide variety of processes, features and influences that are rarely fully considered in research. This article explores myriad features of both sex and gender as concepts, illustrates their impact on cannabis use, and focuses on the interactions of sex and gender that affect three main areas of public interest: the development of cannabis use dependence, the impact on various routes of administration (ROA), and the impact on impaired driving. We draw on two separate scoping reviews to examine available evidence in regard to these issues. These three examples are described and illustrate the need for more comprehensive and precise integration of sex and gender in substance use research, as well as serious consideration of the results of doing so, when addressing a major public health issue such as recreational cannabis use.

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The impact of compression garments on the quality of life in patients with chronic venous disease

Physiotherapy ◽

10.1515/physio-2016-0011 ◽

2017 ◽

Vol 24 (2) ◽

Author(s):

Iwona Demczyszak ◽

Edyta Sutkowska ◽

Magdalena Jasiak ◽

Małgorzata Fortuna ◽

Justyna Mazurek

Keyword(s):

Quality Of Life ◽

Lower Extremity ◽

Compression Therapy ◽

Chronic Venous Disease ◽

Venous Disease ◽

Compression Garments ◽

Before And After ◽

The Impact ◽

Career Status

AbstractIntroduction. Assessment of quality of life in patients suffering from chronic venous disease of the lower extremity who were treated with compression garments. Methods. Patients of both sexes aged 30-75 years with chronic venous disease and at least varices, but without active ulceration, were qualified for the study. To assess the quality of life, the CIVIQ-20 questionnaire was used before and after 4 weeks of compression therapy with second class compression. Results. The combined results of the CIVIQ scale rose from 61.49% before compression to 75.17% after 4 weeks of compression therapy (p 0.01). No correlation was found between sex, age, career status or type of work and the averaged CIVIQ score. Conclusions. Compression therapy with special garments significantly improves the quality of life in patients with chronic venous disease. Larger studies are still needed in this field.

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Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs-UIP consensus document. Part I. Basic principles

VASA ◽

10.1024/0301-1526.36.1.53 ◽

2007 ◽

Vol 36 (1) ◽

pp. 53-61 ◽

Cited By ~ 14

Author(s):

Coleridge-Smith ◽

Labropoulos ◽

Partsch ◽

Myers ◽

Nicolaides ◽

...

Keyword(s):

Lower Limb ◽

Duplex Ultrasound ◽

Lower Limbs ◽

Chronic Venous Disease ◽

Venous Disease ◽

Consensus Document ◽

Wide Range ◽

International Experts ◽

Training Of Personnel ◽

Ultrasound Investigation

Background: Duplex ultrasound investigation has become the reference standard in assessing the morphology and haemodynamics of the lower limb veins. The project described in this paper was an initiative of the Union Internationale de Phlébologie (UIP). The aim was to obtain a consensus of international experts on the methodology to be used for assessment of veins in the lower limb by ultrasound imaging. Methods: The authors invited a group of experts from a wide range of countries to participate in this project. Electronic submissions from the experts were made available to all participants via the UIP website. The authors prepared a draft document for discussion at an UIP Chapter meeting held in San Diego, USA in August 2003. Following this meeting a revised manuscript was circulated to all participants and further comments were received by the authors and included in subsequent versions of the manuscript. Eventually all participants agreed the final version of the paper. Results: The experts have made detailed recommendations concerning the methods to be used for duplex ultrasound examination as well as the interpretation of images and measurements obtained. This document suggests a methodology for complete assessment of the superficial and perforating veins of the lower limbs, including recommendations on reporting results and training of personnel involved in these investigations. Conclusions: The authors and a large group of experts have agreed a methodology for the investigation of the lower limbs venous system by duplex ultrasonography.

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Abortion is an Information Issue

The International Journal of Information, Diversity, & Inclusion (IJIDI) ◽

10.33137/ijidi.v1i1.32187 ◽

2017 ◽

Vol 1 (1) ◽

Author(s):

Hope E Reilly

Keyword(s):

Information Access ◽

Supreme Court Decision ◽

Intellectual Freedom ◽

Public Health Issue ◽

Planned Parenthood ◽

Wide Range ◽

Information Studies ◽

Abortion Provider ◽

Legal Restrictions ◽

The Impact

In the years following the 1992 Supreme Court decision, Planned Parenthood v. Casey, abortion has been subjected to a wide range of legal restrictions, and the impact of these restrictions has not been adequately studied. While this process of increasingly restrictive regulation may be considered a public health issue, the natures of these laws also make them relevant to information studies. Biased counseling laws mandate that an abortion provider disseminate information specifically designed to discourage a woman from obtaining an abortion. This paper examines the impact of these laws on both the abortion patient and provider. Biased counseling information has a demonstrable effect on the health information access of abortion patients and on the intellectual freedom of abortion providers. However, there are also chilling effects on the intellectual freedom of the abortion patients themselves. This paper establishes abortion as an information issue and calls for future study into its effects on information access and intellectual freedom.

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Interrelation of venous and osteoarticular pathology in patients with Giacomini's vein

Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH) ◽

10.20340/vmi-rvz.2021.5.clin.7 ◽

2021 ◽

Author(s):

G. V. Yarovenko ◽

A. I. Zhdanova

Keyword(s):

Soft Tissues ◽

Lower Extremities ◽

Chronic Venous Disease ◽

Venous Stasis ◽

Venous Disease ◽

Pearson Criterion ◽

The Third ◽

Group I ◽

Venous Diseases ◽

The Relationship

Objective: To establish a possible relationship between the Giacomini vein and osteoarticular pathology of the lower extremities in chronic venous diseases (CVD).Materials and methods. In 115 examined patients (out of 321), we identified the Giacomini vein (92 women, 23 men). The average age of men was 44.82 ± 1.62 years; women – 45.36 ± 3.31 years. All patients were divided into 3 groups by anatomical randomization. The first group was without pathology, the second group of patients had only CVD, and the third group included patients with CVD and osteoarticular pathology. The criteria for inclusion in the groups were: the presence of Giacomini vein in patients, chronic venous disease and osteoarticular pathology on one or both lower extremities. Exclusion criteria: age of patients less than 18 years, the presence of CVD C5-C6 according to the CEAP classification, post-traumatic changes in the osteoarticular system, post-thrombotic transformation of the veins of the lower extremities. Using triplex angioscanning, the anatomical features of the structure of the venous system of the lower extremities were assessed. The study of the condition of the foot was carried out using the Friedland method.Results. Group I with an absolute norm of the venous and osteoarticular systems included 30 people (26 %). The second group consisted of 45 patients (39.22 %) with CVD C0-C4 according to CEAP, and the third group consisted of 40 patients (34.78 %) who, in addition to venous, osteoarticular pathology. Chronic venous diseases in patients of groups II and III were distributed as follows: C0 – 25.6 %; C1 – 16.4 %; C2 – 49.4 %; C3 – 4.3 %; C4 – 4.3 % on the CEAP scale. Among the osteoarticular pathology, the most numerous group consisted of changes in the configuration of the foot, non-traumatic deformities – 32 (27.81 %) cases. To confirm the relationship between venous and osteoarticular pathology, we used the Pearson criterion. We found a significant correlation in the presence of nontraumatic deformities of the foot in the group of patients with CVD (Pearson's criterion 0.749642; p < 0.22). A strong correlation was established between the age of patients and changes in the venous and osteoarticular systems of the lower extremities (Pearson's criterion 0.7677696; p < 0.22), which confirms the relationship between the development of nontraumatic changes in the foot and CVD in patients with Giacomini vein with age.Conclusion. It was found that the presence of an altered Giacomini vein leads to an aggravation of venous stasis in the lower extremities, which in turn increases the likelihood of developing venous pathology. Chronic diseases of the veins of the lower extremities contribute to dystrophic changes in soft tissues, most pronounced in the distal part of the extremity and, as a consequence, predispose to the development of osteoarticular pathology.

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Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs – UIP Consensus Document. Part I: Basic principles

Phlebology The Journal of Venous Disease ◽

10.1258/026835506779115780 ◽

2006 ◽

Vol 21 (4) ◽

pp. 158-167 ◽

Cited By ~ 10

Author(s):

P Coleridge-Smith ◽

N Labropoulos ◽

H Partsch ◽

K Myers ◽

A Nicolaides ◽

...

Keyword(s):

Lower Limb ◽

Duplex Ultrasound ◽

Consensus Conference ◽

Lower Limbs ◽

Chronic Venous Disease ◽

Venous Disease ◽

Consensus Document ◽

Wide Range ◽

International Experts ◽

Ultrasound Investigation

Objectives: Duplex ultrasound investigation has become the reference standard in assessing the morphology and haemodynamics of the lower limb veins. The project described in this paper was an initiative of the Union Internationale de Phlébologie (UIP). The aim was to obtain a consensus of international experts on the methodology to be used for assessment of veins in the lower limb by ultrasound imaging. Design: Consensus conference leading to a consensus document. Methods: The authors invited a group of experts from a wide range of countries to participate in this project. Electronic submissions from the experts were made available to all participants via the UIP website. The authors prepared a draft document for discussion at a UIP Chapter meeting held in San Diego, USA, in August 2003. Following this meeting, a revised manuscript was circulated to all participants, and further comments were received by the authors and included in subsequent versions of the manuscript. Eventually, all participants agreed on a final version of the paper. Results: The experts have made detailed recommendations concerning the methods to be used for duplex ultrasound examination, as well as the interpretation of images and measurements obtained. This document suggests a methodology for complete assessment of the superficial and perforating veins of the lower limbs, including recommendations on reporting results and training of personnel involved in these investigations. Conclusions: The authors and a large group of experts have agreed a methodology for the investigation of the lower limbs venous system by duplex ultrasonography.

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Venous thromboembolism – prevalence and risk factors in chronic venous disease patients

Phlebology The Journal of Venous Disease ◽

10.1177/0268355516633392 ◽

2016 ◽

Vol 32 (2) ◽

pp. 135-140 ◽

Cited By ~ 1

Author(s):

Dalibor Musil ◽

Markéta Kaletová ◽

Jiří Herman

Keyword(s):

Risk Factors ◽

Venous Thromboembolism ◽

Family History ◽

Hormone Therapy ◽

Chronic Venous Disease ◽

Venous Disease ◽

Obese Patients ◽

Obese People ◽

History Of ◽

The Impact

Aims This study was aimed to investigate the prevalence of venous thromboembolism in patients with chronic venous disease and the impact of some intrinsic and extrinsic risk factors. Methods A retrospective study on 641 outpatients (489 women) with primary chronic venous disease (C0–C6). The prevalence of venous thromboembolism was evaluated according to sex, age, BMI, the presence of ≥1 first-degree siblings diagnosed with venous thromboembolism, CEAP clinical class, smoking and the use of hormone therapy. Results Venous thromboembolism episodes occurred in 32 patients (5%) with no gender predominance (OR 1.49, 95% CI = 0.90–2.45; p = 0.146). There was no increased RR of venous thromboembolism in the age group 46–69 years compared with patients aged ≤45 years ( p = 0.350). In persons aged ≥70 years, the risk of venous thromboembolism was 3.2 times higher than in patients aged 46–69 years and 4.78 times higher than in patients aged ≤45 years. The risk of venous thromboembolism rose very significantly in obese compared with normostenic patients ( p = 0.002). There were significantly more venous thromboembolism episodes in patients with chronic venous insufficiency (55.3%) than patients with varicose veins (44.7%) ( p < 0.001). A family history of venous thromboembolism ( p = 0.12), smoking ( p = 0.905) and hormone therapy ( p = 0.326) were not associated with increased risk of venous thromboembolism. Smoking was a risk factor in obese patients ( p = 0.033), but the combination of obesity, smoking, estrogens in women did not increase the risk of venous thromboembolism. Conclusions The 5% prevalence of venous thromboembolism episodes in patients was comparable with the prevalence of venous thromboembolism in the general European population. Age ≥70 years and obesity were strongly associated with an occurrence of venous thromboembolism. Obese patients with chronic venous disease were at higher risk for venous thromboembolism than obese people in the general population. A family history of venous thromboembolism, smoking and estrogens alone or in combination were not revealed as significant risk factors.

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