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Lymphology ◽  
2022 ◽  
Vol 54 (3) ◽  
Author(s):  
T. Yamamoto ◽  
N. Yamamoto

Surgical intervention and subsequent wound healing process are known to induce neo-lymphangiogenesis, but few studies have been reported to utilize this mechanism for lymphedema treatment. The aim of this study was to evaluate feasibility of subdermal dissection for neo-lymphangiogenesis induction (SDN) to treat lower extremity lymphedema (LEL). Medical records of secondary LEL patients who had undergone ICG lymphography and SDN procedure were reviewed. SDN was performed by dissecting fat tissues just below the dermis from the most proximal area showing dermal backflow through abdominal-toaxillary lymphatic pathways. Perioperative lymphedematous conditions were evaluated with lymphedema quality of life score (LeQOLiS) and LEL index. Seventeen female patients were included. SDN could be performed in 10 minutes on average without postoperative complication. Postoperative ICG lymphography showed new lymphatic pathways in 6 (35.3%) cases. Postoperative LeQOLiS ranged from 9 to 66, which was statistically lower than preoperative LeQOLiS (32.9 ± 19.2 vs. 36.6 ± 19.3, p = 0.048), whereas there was no statistically significant difference between pre- and post-operative LEL index (275.2 ± 23.3 vs. 270.5 ± 20.8, P = 0.073). Subdermal dissection, although its probability is not high, has a potential to induce neo-lymphangiogenesis. Further studies are required to improve and demonstrate efficacy of the procedure for new lymphatic pathway creation.


Author(s):  
Sun-Mi Shin ◽  
Hee-Woo Lee

Kidney disability due to kidney failure could be considered to be the most severe of all the internal-organ disabilities. The purpose of this study was to identify the disease burden between the kidney and non-kidney disabled among the internal-organ disabled, based on the number of chronic diseases, annual out-of-pocket expenditure, and quality of life. From 2009 to 2013, 308 people (6.5%) with internal-organ disabilities were extracted out of 4732 people with disabilities in the Korea Health Panel. We compared the disease burden of 136 people with kidney disability (44.2%) and 172 people with non-kidney disability (55.8%), and confirmed the trend of disease burden over five years through panel analysis. The disease burden gap between kidney and non-kidney disabilities was, respectively, the number of chronic diseases (4.7 vs. 3.3, p < 0.0001), annual out-of-pocket expenditure ($1292 vs. $847, p < 0.004), and quality of life score out of 100 (49.2 vs. 60.2, p < 0.0001). In addition, when looking at the five-year trend of the three disease burden indexes, the kidney disabled were consistently worse than the non-kidney disabled (p < 0.01). In conclusion, health policy planners aiming for health equity need to seek practical strategies to reduce the gap in the disease burden among people with disabilities.


2021 ◽  
Vol 1 ◽  
pp. 1138-1149
Author(s):  
Asri Nurul Mamluaty ◽  
Rita Dwi Hartanti

AbstractIn patients with chronic renal failure, hemodialysis therapy is needed to replace kidney function by removing nitrogenous substances and toxins in the blood and excessive water. Appropriate management of patients with chronic kidney failure in addition to preventing complications is expected to increase the client's life expectancy. In patients with chronic kidney failure, quality of life also reflects the quality of treatment because it involves physical, psychological, and social processes to be achieved. A good quality of life is needed by hemodialysis patients to prevent the disease from getting worse. This literature review aims to describe the quality of life hemodialysis patients. This study accesses an online database with electronic searches on Pubmed, Portal garuda and Proquest. The search was conducted by combining the keywords “quality of life, chronic kidney disease, hemodialysis” and articles published in the period 2012-2021. Instrumen for the literature review using Strobe instrument. The results of the literature review show that the quality of life score on the physical health dimension is low while on the psychological and environmental dimensions the quality of life score is high. . It is hoped that this study can be a reference for nurses in providing holistic nursing care to patients undergoing hemodialysis so that their quality of lifecan improve. This research is then needed as a data base for the development of other researchers.Keywords: Chronic renal failure; hemodialysis; quality of life AbstrakGagal ginjal kronik disebabkan karena disfungsi ginjal yang bersifat menahun, progresif, irreversible yang memerlukan terapi hemodialisa, pengaturan pola makan dan akses cairan yang masuk. Pada pasien gagal ginjal kronik terapi hemodialisa diperlukan untuk mengganti fungsi ginjal mengeluarkan zat-zat nitrogen dan racun dalam darah dan air yang berlebihan. Pasien hemodialisa dihadapkan pada sejumlah permasalahan fisik dan psikososial yang bisa menurunkan kualitas hidup. Kualitas hidup juga mencerminkan kualitas pengobatan karena melibatkan proses fisik, psikologis, dan sosial yang ingin dicapai. Kualitas hidup yang baik sangat dibutuhkan pasien hemodialisa untuk mencegah penyakit bertambah buruk. Literature review ini bertujuan untuk mengetahui gambaran kualitas hidup pasien hemodialisa. Metode penelitian yang digunakan yaitu studi literature review. Data yang dikumpulkan dengan mengakses database online dengan penelusuran elektronik pada Pubmed, Portal garuda dan Proquest. Pencarian dilakukan dengan mengkombinasikan kata kunci bahasa Inggris “quality of life, chronic kidney disease, hemodialysis dan kata kunci dalam bahasa Indonesiagagal ginjal kronik, hemodialisa dan kualitas hidup”. Instrumen untuk literature review menggunakan instrumen Strobe. Hasil literature review menunjukan skor kualitas hidup pada dimensi kesehatan fisik rendah sedangkan pada dimensi psikologis dan lingkungan skor kualitas hidup tinggi. Penilaian kualitas hidup merupakan indikator penting untuk menilai keefektifan tindakan hemodialisis yang diberikan dan menjadi tujuan penting dalam pengobatan penyakit gagal ginjal tahap akhir. Kata kunci: Gagal Ginjal Kronik; hemodialisa; kualitas hidup.


2021 ◽  
Vol 15 (11) ◽  
pp. 3467-3469
Author(s):  
Niaz Muhammad ◽  
Kashif Rafi ◽  
Hassan Nadeem ◽  
Muhammad Omer Farooq ◽  
Asmat Ullah ◽  
...  

Aim: To determine the quality of life score in patients with chronic liver disease using CLO questionnaire. Study Design: Cross sectional study Place and Duration: Department of Gastroenterology, Shaikh Zayed Hospital Lahore during from 14-June-2016to 15-December-2016. Methodology: 180 consecutive patients of chronic liver disease were selected after taking Informed consent. The diagnosis was confirmed according to the data of clinical, biochemical examinations and the results of percutaneous liver biopsy data in some selected cases. All patients were subjected to exam, LFT's, RFT's and CBC, ultrasound abdomen, esophagogastroscopy which were enrolled in this study. Anti HCV, HBsAg, ferritin, Cerruloplasmin and Autoimmune profile, was done to establish the etiology. Severity of liver disease was estimated by Child-Pugh Score (Annexed). The chronic liver disease questionnaire (CLDQ) was applied as the instrument for measuring quality of life. Results: The mean age of the patients was 35.28±7.26 years. Majority of the patients were male as there frequency was 142 (78.9%). 127 (70.60 %) cases were found to be having a child pugh grade c severity of disease. Mean quality of life score was 16.3±5.88. Mean quality of life score in males was 16.21±6.21 while in female was 16.63±4.48. Similarly the mean quality of life score in child pugh class B was 13.77±4.58 and in child pugh class C was 17.35±6.05. Conclusion: It is concluded that the quality of life was bad in the patients who had child pugh class C as compared to those who had class B. Keywords: Quality of Life, Chronic Liver Disease, Cirrhosis


Introduction: Breast cancer is the most commonly diagnosed malignancy and the leading cause of death among women worldwide. The incidence of breast cancer is on the rise in developing countries. Breast cancer patients not only experience physical pain from treatment but may also face mental crises, impaired social function, and impaired quality of life. However, there are not many studies on the quality of life (QoL) of post - treatment breast cancer patients. Therefore, we carried out the study “assessment the quality of life of breast cancer patients after one year of treatment” with aims to evaluate the quality of life of breast cancer patients after one year of treatment using the scales EQ-5D-5L and QLQ-BR23 and to find out related factors to the quality of life of these subjects. Methods: A cross - sectional study was conducted on 100 breast cancer patients after one year of treatment at the Hue University of Medicine and Pharmacy Hospital to examine the quality of life using the scales EQ-5D-5L and QLQ-BR23 and to detect the associated factors. Results: The mean quality of life score of breast cancer patients after one year of treatment on the EQ- 5D-5L scale was 0.6436 ± 0.2098. By QLQ-BR23, the quality of life score on function was 74.75 ± 20.78 while the score on symptoms was 28.80 ± 12.79. The quality of life from both scales was found to be statistically significant related to social work participation, self - reported health, risk of depression, anxiety, and stress. Conclusions: The quality of life of breast cancer patients in the study was at a moderate level. This suggests more supports to be done continuously after long - term post - diagnosing especially psychological and social aspects for these subjects.


2021 ◽  
Vol 5 (5) ◽  
pp. 75-80
Author(s):  
Ningyao Wang ◽  
Guohui Xu ◽  
Nan Wang ◽  
Wuying Piao ◽  
Guanghui Gao

Objective: To explore the clinical effects of acupuncture and repeated transcranial magnetic stimulation in patients with mild vascular dementia. Method: From May 2020 to May 2021, 40 patients with mild vascular dementia in Harbin Fourth Hospital (our hospital) were divided into the experimental group (20 cases, using conventional drugs + acupuncture + repeated transcranial magnetic stimulation) and the control group (20 cases, for example, the application of conventional medication). The improvement of cognitive function score, sleep quality score, quality of life score, and cerebral hemodynamics before and after treatment were compared between the two groups. Result: Before treatment, the difference in cognitive function score, sleep quality score, quality of life score, and cerebral hemodynamic index between the two groups of patients did not form, that is, p>0.05; after treatment, the experimental group’s cognitive function score was (19.45±2.47) points , Sleep quality score (12.18±2.09), quality of life score (33.29±4.08), left cerebral blood flow velocity (65.76±3.32) cm/s, right cerebral blood flow velocity (64.32±3.25) cm/s, more For the control group, P<0.05. Conclusion: In the clinical treatment of patients with mild vascular dementia, based on conventional drugs, combined with acupuncture and repetitive transcranial magnetic stimulation, the patients’ cognitive function can be improved, and the quality of sleep and quality of life can be improved. Comprehensive clinical promotion.


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Xue Li ◽  
Ting Jiang ◽  
Jian Sun ◽  
Lingyun Shi ◽  
Jiwen Liu

Abstract Background Nursing is a high-risk occupation that involves exposure to stress. The physical and mental health of nurses is directly related to the quality of medical services, so the quality of life of nurses cannot be ignored. This study is a Chinese nursing study that investigated occupational stress, job burnout, and quality of life of surgical nurses in Xinjiang, China. Methods This study employed the cluster random sampling method and carried out a questionnaire survey among 488 surgical nurses from five hospitals from May 2019 to September 2019. The study analyzed the relationship between occupational stress, job burnout and quality of life. The Effort-Reward Imbalance questionnaire (ERI), Maslach Burnout Inventory General Survey (MBI-GS) and the 36-item Short Form Health Survey (SF-36) were used to evaluate occupational stress, job burnout and quality of life among surgical nurses. Results A total of 550 questionnaires were distributed in this study, and 488 were retrieved, with an effective recovery rate of 88.73 %. The results revealed that the quality of life score among surgical nurses was not high, and differences were observed in the quality of life score of patients according to gender, age, title, and frequency of night shifts (P < 0.05). There was a positive correlation between occupational stress and job burnout. Higher levels of occupational stress and job burnout were associated with a poorer quality of life score. Occupational stress and job burnout were identified as risk factors for quality of life, and the interaction between high levels of stress and burnout seriously reduced quality of life. The structural equation model revealed that occupational stress and job burnout had a direct impact on quality of life, occupational stress had a direct impact on job burnout, and job burnout was identified as a mediating factor in the relationship between occupational stress and quality of life. Conclusions Surgical nurses have a high level of occupational stress and burnout, and low quality of life score. Quality of life is correlated with occupational stress and job burnout. According to the individual characteristics and psychological state of nurses, managers can implement personalized intervention measures promptly and effectively to relieve their tension and burnout, and improve the quality of life of surgical nurses.


2021 ◽  
Vol 12 ◽  
Author(s):  
William Moot ◽  
Marie Crowe ◽  
Maree Inder ◽  
Kate Eggleston ◽  
Christopher Frampton ◽  
...  

Objectives: Research suggests that patients with co-morbid bipolar disorder (BD) and substance use disorder (SUD) have a poorer illness course and clinical outcome. The evidence is limited as SUD patients are often excluded from BD studies. In particular, evidence regarding long term outcomes from studies using psychotherapies as an adjunctive treatment is limited. We therefore examined data from two studies of Interpersonal Social Rhythm Therapy (IPSRT) for BD to determine whether lifetime or current SUD affected outcomes.Methods: Data were analyzed from two previous clinical trials of IPSRT for BD patients. Change in scores on the Social Adjustment Scale (SAS) from 0 to 78 weeks and cumulative mood scores from 0 to 78 weeks, measured using the Life Interval Follow-Up Evaluation (LIFE), were analyzed.Results: Of 122 patients (non-SUD n = 67, lifetime SUD but no current n = 43, current SUD n = 12), 79 received IPSRT and 43 received a comparison therapy—specialist supportive care—over 18 months. Lifetime SUD had a significant negative effect on change in SAS score but not LIFE score. There was no effect of current SUD on either change in score. Secondary analysis showed no correlation between symptom count and change in SAS total score or LIFE score.Conclusion: Current SUD has no impact on mood or functional outcomes, however, current SUD numbers were small, limiting conclusions. Lifetime SUD appears to be associated with impaired functional outcomes from psychotherapy. There is limited research on co-morbid BD and SUD patients undergoing psychotherapy.


Author(s):  
Mohamad Fahad Alreshoudi ◽  
Chandra Sekhar Kalevaru

Background: Life of doctors puts them at a high level of challenges and stress which can affect their quality of life. Therefore, the objective of the study was to evaluate the Quality Of Life of Primary health care providers by applying a brief version of the World Health Organization questionnaire for assessing Quality of Life (WHOQOL-BREF). To find the factors which affect the QOL of PHC physicians and know the aspects where it was affecting the health and performance of the Doctors. Methods: A cross-sectional study was conducted among 186 physicians working in primary health care centers in BURAIDAH city under Ministry Of Health. WHOQOL BREF validated questionnaire was used in both English and Arabic versions. Data was entered and cleaned in SPSS 21.0 version and necessary statistical tests were applied. Results: In the present study, about 29.6% were females and 70.4% were males. About 66.6% of the study population were in 30-49 years age group and half (48.4%) of them were general practitioners. Mean QOL score in psychological domain (domain 2) was 63.66. In the other three domains of physical health, social relationships and environmental domain (domain 1, 3 & 4) was scoring more than 65. There was a statistically significant association observed between age and physical ,psychological health domains. This association was also seen between marital status and psychological, social domains. Conclusions: Based on the results, on the whole, the majority of primary health care doctors had a moderate quality of life score to a high quality of life score ranging from 63.66-68.06. Still, there is a scope of improvement in domain 2 (psychological domain). 


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