Search results for "impact"

showing 10 items of 1703 documents

Assessing Somatic, Psychosocial, and Spiritual Distress of Patients with Advanced Cancer

2012

Objective: For adequate distress assessment in palliative care, we developed a screening evaluation tool. Methods: Proven methods of scale construction led to a 53-item pilot form of the Advanced Cancer Patients’ Distress Scale (ACPDS). We used Hornheide Questionnaire (HQ), Palliative Outcome Scale (POS), and Minimal Documentation System (MIDOS) for validation. Advanced cancer patients (N = 168) from 3 centers for palliative medicine (aged 23-89, 51% female) filled out the questionnaire. Results: With a principal component analysis (PCA), we extracted 5 distress scales (emotional reactions/physical restrictions, communication deficits, negative social reactions, pain, and gastrointestinal s…

AdultMalemedicine.medical_specialtyPalliative carePsychometricsGastrointestinal DiseasesPsychological interventionPainSpiritual distressYoung AdultGermanyNeoplasmsSickness Impact ProfileSurveys and QuestionnairesActivities of Daily LivingmedicineHumansTerminally IllPsychological testingSex DistributionAgedAged 80 and overbusiness.industryPalliative CareReproducibility of ResultsCancerGeneral MedicineMiddle Agedmedicine.diseaseDistressDyspneaScale (social sciences)Physical therapyFemalebusinessPsychosocialAmerican Journal of Hospice and Palliative Medicine®
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Myoelectric Activation and Kinetics of Different Plyometric Push-Up Exercises

2011

The kinetic and myoelectric differences between 3 types of plyometric push-ups were investigated. Twenty-seven healthy, physically active men served as subjects and completed both familiarization and testing sessions. During these sessions, subjects performed 2 series of 3 plyometric push-up variations in a counterbalanced order according to the following techniques: Countermovement push-ups (CPUs) were push-ups performed with the maximum speed of movement; jump push-ups (JPUs) were similar to clapping push-ups; and fall push-ups (FPUs) required kneeling subjects to drop and then attempt to return to their initial position. Vertical ground reaction forces were determined by using a force pl…

AdultMalemedicine.medical_specialtyPhysical Therapy Sports Therapy and RehabilitationElectromyographyYoung AdultHumansMedicinePlyometricsOrthopedics and Sports MedicineProspective StudiesGround reaction forceExercise physiologyMuscle SkeletalExerciseAnalysis of Variancemedicine.diagnostic_testElectromyographybusiness.industryKneelingGeneral MedicineBiomechanical PhenomenaCross-Sectional StudiesPush-upPhysical therapyImpactbusinessMuscle ContractionMaximum rateJournal of Strength and Conditioning Research
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Long term clinical outcome of chronic hepatitis C patients with sustained virological response to interferon monotherapy.

2004

Background: The key end point for treatment efficacy in chronic hepatitis C is absence of detectable virus at six months after treatment. However, the incidence of clinical events during long term follow up of patients with sustained virological response is still poorly documented and may differ between the Eastern and Western world. Aims: To assess clinical end points during long term follow up of European patients with a sustained virological response to interferon monotherapy. Methods: Meta-analysis of individual patient data from eight European protocolled follow up studies of interferon treatment for chronic hepatitis C. Results: A total of 286 sustained virological responders and 50 b…

AdultMalemedicine.medical_specialtyPlus ribavirinCirrhosisHepatocellular-CarcinomaAdolescentFibrosiPopulationAlpha interferonAntiviral AgentsSDG 3 - Good Health and Well-beingInternal medicinemedicineHumansDecompensationeducationSurvival analysisAgededucation.field_of_studyCirrhosibusiness.industryIncidence (epidemiology)Follow-upNatural-historyGastroenterologyCohortHepatitis CHepatitis C ChronicMiddle Agedmedicine.diseaseSurvival AnalysisImpactTreatment OutcomeLiverHepatocellular carcinomaImmunologyRegression AnalysisFemaleTherapyInterferonsbusinessAlpha-interferonGut
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Quality of Life in Individuals Affected by Arnold Chiari Malformation: Comparison and Validation of a Measurement Instrument.

2017

BACKGROUND Introduction. Arnold Chiari Malformation (ACM) type I is a pathology whose symptomatology has repercussions for the quality of life of those affected by it. Quality-of-life measurement instruments can allow the severity of the impact of Chiari type I malformation on patients' lives to be monitored. The Chiari Symptom Profile (CSP) is a valid and reliable instrument designed for this purpose. The aim of the study was to adapt the CSP to Spanish and to explore the reliability and validity of this construct in the context of Spanish-speaking patients with ACM. METHODS The English CSP instrument has a good internal validity and consistency. We used a standardized procedure for the li…

AdultMalemedicine.medical_specialtyPsychometricsEndocrinology Diabetes and MetabolismHealth StatusContext (language use)Linguistic validation030218 nuclear medicine & medical imagingCorrelation03 medical and health sciences0302 clinical medicineQuality of lifeCronbach's alphaCost of IllnessPredictive Value of TestsSickness Impact ProfileSurveys and QuestionnairesImmunology and AllergyMedicineHumansInternal validityReliability (statistics)business.industryfungiReproducibility of ResultsMiddle AgedTranslatingSyringomyeliaArnold-Chiari MalformationSpainScale (social sciences)Physical therapyQuality of LifeFemalebusiness030217 neurology & neurosurgeryEndocrine, metabolicimmune disorders drug targets
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Health-Related Quality of Life and Somatization in Patients With Long-Term Low Back Pain

2001

Study Design. For this study, a prospective cohort of 109 patients was recruited consecutively at an orthopedic inpatient unit of a university hospital. Three self-report instruments were administered to patients with sciatica believed to be caused by a herniated lumbar disc to examine their quality of life and psychic stress at baseline and at the 1-year follow-up visit. Objectives. To investigate whether patients who have undergone a previous discectomy experience greater psychic stress than patients with no surgery, and to determine whether the groups differed regarding their health-related quality of life at the follow-up visit. Summary of Background Data. Previous studies have describe…

AdultMalemedicine.medical_specialtySF-36Health StatusSymptom Checklist 90Cohort StudiesHospitals UniversitySciaticaQuality of lifeSickness Impact ProfileSurveys and QuestionnairesmedicineBack painHumansOrthopedics and Sports MedicineProspective StudiesSomatoform DisordersProspective cohort studybusiness.industryMiddle Agedmedicine.diseaseLow back painQuality of LifePhysical therapyFemaleNeurology (clinical)medicine.symptombusinessLow Back PainPsychosocialSomatizationIntervertebral Disc DisplacementSpine
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Retrospective analysis of management of ingested foreign bodies and food impactions in emergency endoscopic setting in adults.

2016

Background: Ingestion of foreign bodies and food impaction represent the second most common endoscopic emergency after bleeding. The aim of this paper is to report the management and the outcomes in 67 patients admitted for suspected ingestion of foreign body between December 2012 and December 2014. Methods: This retrospective study was conducted at Palermo University Hospitals, Italy, over a 2-year period. We reviewed patients’ database (age, sex, type of foreign body and its anatomical location, treatments, and outcomes as complications, success rates, and mortalities). Results: Foreign bodies were found in all of our 67 patients. Almost all were found in the stomach and lower esophagus (…

AdultMalemedicine.medical_specialtySedationAchalasiaEndoscopy GastrointestinalHospitals University03 medical and health sciencesYoung Adult0302 clinical medicineSex FactorsRisk FactorsmedicineIngestionHumansFood bolus impactionRetrospective StudiesEndoscopic managementEsophageal diseasebusiness.industryStomachAge FactorsEndoscopic management; Food bolus impaction; Foreign body; Upper endoscopyRetrospective cohort studyMiddle Agedmedicine.diseaseForeign BodiesEndoscopic ProcedureSurgerySettore MED/18 - Chirurgia GeneraleForeign bodymedicine.anatomical_structureItalyUpper endoscopyFood030220 oncology & carcinogenesisEmergency Medicine030211 gastroenterology & hepatologyFemalemedicine.symptomForeign bodyEmergenciesbusinessResearch ArticleBMC emergency medicine
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Patient and physician views on the quality of care in inflammatory bowel disease: Results from SOLUTION-1, a prospective IG-IBD study

2014

Remarkable differences in quality of care (QoC) might be observed in different countries, affecting quality of life of inflammatory bowel disease (IBD) patients. The aim of this study was to assess patient and physician perceptions of the QoC in Italy.A multicentre observational study on the quality of care in IBD (SOLUTION-1) was conducted in 36 IG-IBD (Italian Group for Inflammatory Bowel Disease) centres in Italy. The QUOTE-IBD (Quality of Care Through the Patient's Eyes) questionnaire was administered to IBD patients and to the attending physicians. The Quality Impact (QI) score summarises the QUOTE-IBD questionnaire, and a QI9 is considered satisfactory.Nine-hundred-ninety-two patients…

AdultMalemedicine.medical_specialtyquality impact score; quote-ibd; quality of careAdolescentAttitude of Health PersonnelQuality impact score; Quality of care; QUOTE-IBD; Adolescent; Adult; Aged; Aged 80 and over; Attitude of Health Personnel; Clinical Competence; Continuity of Patient Care; Female; Humans; Inflammatory Bowel Diseases; Italy; Male; Middle Aged; Patient Education as Topic; Patient Satisfaction; Professional Autonomy; Prospective Studies; Surveys and Questionnaires; Young Adult; Quality of Health Care; Medicine (all)Quality impact scoreGastroenterologyInflammatory bowel diseaseYoung AdultQUOTE-IBDPatient Education as TopicSurveys and QuestionnairesInternal medicineHealth care80 and overPhysician perceptionHumansMedicineProfessional AutonomyPharmaceutical SolutionsProspective StudiesQuality of careCompetence (human resources)AgedQuality of Health CareAged 80 and overbusiness.industryMedicine (all)Quality of careGastroenterologyQuality impact score; Quality of care; QUOTE-IBD; GastroenterologyGeneral MedicineContinuity of Patient CareMiddle AgedInflammatory Bowel Diseasesmedicine.diseasedigestive system diseasesItalyPatient SatisfactionFamily medicineFemaleContinuity of careObservational studyClinical CompetencebusinessJournal of Crohn's and Colitis
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Running in highly cushioned shoes increases leg stiffness and amplifies impact loading

2018

AbstractRunning shoe cushioning has become a standard method for managing impact loading and consequent injuries due to running. However, despite decades of shoe technology developments and the fact that shoes have become increasingly cushioned, aimed to ease the impact on runners’ legs, running injuries have not decreased. To better understand the shoe cushioning paradox, we examined impact loading and the spring-like mechanics of running in a conventional control running shoe and a highly cushioned maximalist shoe at two training speeds, 10 and 14.5 km/h. We found that highly cushioned maximalist shoes alter spring-like running mechanics and amplify rather than attenuate impact loading. T…

AdultMalemusculoskeletal diseasesrasitusvammatComputer sciencelcsh:MedicineHEEL STRIKEMASSbone quality and biomechanicsurheilujalkineetArticlejuoksuGROUND REACTION FORCES03 medical and health sciences0302 clinical medicineotorhinolaryngologic diseasesHumans315 Sport and fitness sciencesGround reaction forcelcsh:ScienceHeel strikeWORKLeg stiffnessLegMultidisciplinaryRunning injuriesbusiness.industryWork (physics)lcsh:Rtechnology industry and agricultureCushioning030229 sport sciencesStructural engineeringShoesbody regionsMECHANICSRUNNERSImpact loadingLoading rateINJURIESlcsh:Qbiomekaniikkabusiness030217 neurology & neurosurgeryScientific Reports
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Survey of Spanish dentists on the prescription of antibiotics and antiseptics in surgery for impacted lower third molars

2015

Background: This study explored the attitude of registered dentists in Biscay towards prescribing antibiotics and/ or antiseptics to prevent potential infections after surgical extraction of completely bone-impacted third molars in otherwise healthy individuals, with no history of infection. Material and Methods: We sent letters to 931 registered dentists in Biscay, with an explanation of the study objectives, description of a case of lower third molar impaction, including a panoramic radiograph, and a questionnaire. The questionnaire asked whether they would prescribe antibiotics and/or antiseptics, in the hypothetical case of lower third molar extraction surgery presented, and if so, when…

AdultMolarmedicine.medical_specialtyAttitude of Health Personnelmedicine.drug_classAntibioticsAlternative medicineDentistryOdontologíaDrug Prescriptions03 medical and health sciences0302 clinical medicineSurveys and QuestionnairesSurgical extractionmedicineHumansPractice Patterns Physicians'Antibiotic prophylaxisMedical prescriptionGeneral DentistryAgedbusiness.industryPractice patternsResearchTooth Impacted030206 dentistryAntibiotic ProphylaxisMiddle Aged:CIENCIAS MÉDICAS [UNESCO]Ciencias de la saludAnti-Bacterial AgentsOtorhinolaryngologySpainDentistry030220 oncology & carcinogenesisHealthy individualsTooth ExtractionUNESCO::CIENCIAS MÉDICASAnti-Infective Agents LocalMolar ThirdSurgeryOral Surgerybusiness
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Effect of lingual-based flap design on postoperative pain of impacted mandibular third molar surgery : split-mouth randomized clinical trial

2020

Background The extraction of third molars is one of the most common procedures in oral and maxillofacial surgery clinic. Surgical extraction involves the manipulation of both soft and hard tissues, so the patient usually experiences pain, swelling, and trismus in the immediate post-operative period. Several studies have been conducted using different types of surgical flaps to provide access with the least possible damage of soft tissues. Designing and implementing an optimum flap, which provides easier technique, better visibility, minimal post-operative complications, and best healing, is an aspired goal of every oral surgeon. This study aimed to compare lingual-based four-cornered flap w…

AdultMolarmedicine.medical_specialtyVisual analogue scaleOral SurgeonMandibleTrismusSurgical Flapslaw.inventionYoung Adult03 medical and health sciences0302 clinical medicineRandomized controlled triallawEdemaHumansMedicineSurgical FlapsGeneral DentistryMouthPain Postoperativebusiness.industryResearchTooth ImpactedSoft tissue030206 dentistry:CIENCIAS MÉDICAS [UNESCO]MolarSurgeryOtorhinolaryngologyTooth ExtractionUNESCO::CIENCIAS MÉDICASOral and maxillofacial surgeryMolar ThirdTrismusSurgeryOral Surgerymedicine.symptombusiness
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