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Life Quality of the Child with Diabetes Mellitus

Abstract

Background and Aims. The intensive treatment in diabetes mellitus disturbs the common activities of the child, requiring a focus on the disease both from the part of the child and of the family, having an impact on the life quality. Therefore, the general assessment of the life quality of the child with diabetes mellitus becomes important.

Materials and Methods. The study comprised 153 children known with type 1 diabetes mellitus, recorded with the Centers of Diabetes, Nutrition and Metabolic Diseases of Iasi and Suceava, aged between 8 – 18 years old, with a duration of diabetes mellitus of 1 – 10 years. For comparison, we employed a control group of 30 non-diabetic children. Each child and parent filled-in two questionnaires: Pediatric Quality of Life Inventory (PedsQL) and Diabetes Family Conflict Scale.

Results. The direct analysis showed that child life quality decreases slightly in the case of a great number of insulin injections, but not significant. The multivariate analysis regarding PedsQL assessment score highlighted the fact that only the family conflict condition reported to diabetes mellitus of the child and the number of insulin administrations a day, influence in a significant manner their life quality.

Conclusions. Family involvement in the management of diabetes mellitus of the child represents a fertile field for conflict appearance in family and we propose the intensive and correct involvement of the family in the management of diabetes mellitus of the child in order to maintain a high level of child life quality.

Open access
Particularities Of Sleep Habits In School Children From Tîrgu Mureș

Abstract

Introduction: The international literature gives us very variable data regarding sleep disorders and the complaints related to this pathology. However, interpreting these data is difficult because of the ethnical and cultural differences and the numerous possibilities of the assessments. In this paper the authors examined and evaluated the main parameters which characterize the sleep habits of a group of children in Romania, as well as the complaints related to it, which could influence the quality of sleeping.

Material and method: Distributing questionnaires amongst children in Tîrgu Mureș. We used different questionnaires, based on the Epworth and Conner’s scores, for children between 11-14 and 15-18 years and for their parents.

Results: The gender ratio was approximately equal, the height and weight of the children was within the framework of Romanian standards. The most frequent nocturnal complaints were: problems with falling asleep, agitation, awakenings during the night. The most frequent daytime complaints: fatigue when in school, difficulty waking up in the morning and mood swings. The results showed significant differences between weekday sleeping hours and weekend sleep time (p = 0.0022).

Conclusion: Sleep habits change with age, which is a physiological effect. Other factors that modify sleeping habits in a negative way and reduce the time spent sleeping, play a crucial role in the occurrence of persistent fatigue, reduced quality school performance and even of a depraved life quality.

Open access
Efficacy of Pilates Based Mat Exercise on Quality of Life, Quality of Sleep and Satisfaction with Life in Type 2 Diabetes Mellitus

Abstract

Background and Aims: Diabetes Mellitus may affect the patient’s quality of life and sleep that lead to reduced satisfaction of life. Aim of study was to improve quality of life and sleep along with satisfaction of life by giving physical therapy (pilates based on mat exercise) intervention. Material and Methods: Study design: experimental study, same subject design (pre-post). Sample size: 30 individuals (13 males,17 females) with mean age 46.05±9.01, mean weight 70.48±12.11 and mean duration of diabetes mellitus 7.88±4.49. Intervention: Pilates based mat exercises were given in experimental group. Duration of treatment:30-40minutes.Number of session:5 sessions/week. Total duration: 4 weeks. Outcomes measures: Final Qolid Questionnaire, Pittsburgh Sleep Quality Index and Satisfaction with Life Scale. Statistics: descriptive statistics used to measure mean± standard deviation and inferential statistics related t-test used to compare pre and post reading. Results: The results showed highly significant effect of exercise on quality of life and quality of sleep and significant result was found on satisfaction with life. Conclusion: Pilates based mat exercises shows positive effect on all parameters (quality of life, quality of sleep and satisfaction with life) of patients having type 2 diabetes mellitus.

Open access
Exercise‐Based Cardiac Rehabilitation with and without Neuromuscular Electrical Stimulation and its Effect on Exercise Tolerance and Life Quality of Persons with Chronic Heart Failure

-systolic and end-diastolic diameters (LVESD and LVEDD, respectively). The procedure was carried out before the rehabilitation program and then repeated at week 3. Quality of life assessment (QL) . Participants completed the Minnesota Living with Heart Failure Questionnaires (MLHFQ; license no. SKU Z94019A; Toy et al., 2000 ) measuring life quality in CHF patients at entry to the cardiac rehabilitation program and at week 4. To ensure the reliability of their answers, explanations were provided whenever questions required clarification. Outcomes Primary outcome . The

Open access
Burned Out Or Just Frustrated? Reasons Why Physical Education Teachers Leave Their Profession

Abstract

This work focuses on the reasons why physical education (PE) teachers leave their profession. The study included 80 individuals who decided to leave a teaching profession in 2013. A diagnostic poll method with the use of the QWL (Quality of Work Life) index was employed in the study. It was observed that there are usually a number of reasons why they give up their job, the most important being financial reasons. Their decision is influenced by the accumulation of professional and personal problems as well as their inability to solve them. The findings showed that teachers‘ departure from the profession is generally associated with the issue of burnout; however, financial reasons are most frequently ones that directly affect this decision.

Open access
Oxidative Stress in Hemodialysis Patients: Pathophysiological Mechanisms, Clinical Consequences and Basic Principles of Treatment

Abstract

Cardiovascular diseases are the leading cause of death in patients who undergo regular hemodialysis. Oxidative stress is a non-traditional risk factor for the development of cardiovascular diseases in this population of patients. It is defined as tissue damage caused by balance disturbance between the formation of free radicals and the function of protective antioxidative systems. The superoxide anion and hydrogen peroxide are precursors in the formation of stronger oxidants, such as: hydroxyl radical, peroxynitrite and hypochloric acid. Superoxide dismutase is the first line of antioxidant protection while catalase, glutathione peroxidase, trace elements, vitamin C, vitamin E, N-acetylcysteine and coenzyme Q10 also have a significant antioxidative role. Hemo-dialysis is itself a trigger for the increased formation of oxygen free radicals. The two main pathophysiological mechanisms of the increased formation of free oxygen radicals during the hemo-dialysis session are: bionicompatibility of the dialysis membrane and the presence of endotoxins in the hemodialysis solution. The measurement of myeloperoxidase concentration in a patient’s serum during hemodialysis is an indicator of the severity of oxidative stress induced by the dialysis membrane (an indicator of the biocompatibility of the dialysis membrane). The main clinical consequences of oxidative stress include: atherosclerosis, erythropoietin resistance, malnutrition and amyloidosis associated with hemodialysis. The evaluation of oxidative stress in patients undergoing hemodialysis is performed by measuring the concentration of lipid peroxidation products (malonyldialdehyde, 4-hydroxynonenal, TBARS, F2-isoprostane, oxLDL), protein oxidation (AOPP), protein gelling (AGE), and oxidation of nucleic acids (8-OHdG). The antioxidant treatment strategy consists of replenishing vitamin C, vitamin E, selenium, N-acetylcysteine and coenzyme Q10. On-line hemodialysis, a biocompatible vitamin E-coated dialysis membrane, an ultra-pure solution for hemodialysis, prevent oxidative stress, reduce the rate of cardiovascular morbidity and mortality and improve life quality of patients treated with regular hemodialysis.

Open access
Retrospective Analysis of Reoperation Rate After Standard Lumbar Discectomy and Microdiscectomy - Single Center Experience

discectomy: outcome of repeat discectomy. Surgical Neurology 2005; 64:226-231. 46. Albayrak S, Ozturk S, Durdag E, Ayden O. Surgical management of recurrent disc herniations with micro-discectomy and long-term results on life quality: Detailed analysis of 70 cases. Journal of Neurosciences in Rural Practice 2016; 7:87-90.

Open access
Workability for persons with chronic diseases. A systematic review of validity and utility of assessments in German language / Valide und praktikable deutschsprachige Assessments zur Erfassung der Arbeitsfähigkeit bei Menschen mit chronischen Erkrankungen – eine systematische Review

, P. T., Kahler, K. H., & Pariser, D. M. (2003). Validation of the Dermatology Life Quality Index and the Work Productivity and Activity Impairment-Chronic Hand Dermatitis questionnaire in chronic hand dermatitis. J Am Acad Dermatol 48 (1), 128–130. 10.1067/mjd.2003.128 12522383 Reilly M. C. Lavin P. T. Kahler K. H. Pariser D. M. 2003 Validation of the Dermatology Life Quality Index and the Work Productivity and Activity Impairment-Chronic Hand Dermatitis questionnaire in chronic hand dermatitis J Am Acad Dermatol 48 1 128 130 10.1067/mjd.2003.128 Revicki, D

Open access
The quality of sexual life of women with menopause

Abstract

Introduction. The approach to women, menopause and its consequences have changed – the perimenopausal period has stopped being treated as the end of femininity, career and sexual activity. However, symptoms coexisting with menopause influence health and female’s life quality. A decrease of sexual activity is observed as one of the most frequent symptoms, and it is induced by physiological and psychological factors.

Aim. Assessment of sexual life quality among women with menopause and defining the main factors influencing this area.

Material and methods. Thanks to an original questionnaire composed of 28 questions, single and multiple choice, 200 women in the perimenopausal period were examined between July and September 2017.

Results. The number of 200 women in perimenopausal period were chosen accidentally. The questionnaire was filled out via the Internet. Statistically significant factors occurred to be: level of education – higher education is connected with more frequent sexual activity, professional activity – 81% of working women remain sexually active while 73% of non-working females deny being sexually active. Hormonal Replacement Therapy does not influence the frequency of sexual contact but it alleviates vagina dryness, and provides a higher level of agitation during cohabitation.

Conclusion. Higher educated and professionally active women declare better life satisfaction and see themselves as attractive. However, marital status remains meaningless as well as Hormonal Replacement Therapy. It was observed that men from rural areas and towns initiate sexual contact more often.

Open access
Immersive VR in Phantom Limb Pain Therapy of Amputee Patients Due to Critical Limb Ischemia

Abstract

Introduction: Phantom limb pain (PLP) occurs in approximately 75% of patients who undergo limb amputation. In identifying the etiopathogenic mechanisms, multidisciplinary approaches are increasingly important in explaining the causality based on neurological and psychological factors. PLP has many negative effects on the amputee's physical and mental integrity, which is why a variety of treatments have been conceived, whose effectiveness is rather limited.

Objective: The purpose of this study is to evaluate the effectiveness of an immersive virtual reality (IVR) intervention program using the mirror therapy principles in decreasing PLP.

Method: Twenty participants suffering from PLP were randomly assigned to one of the two intervention groups: IVR and kinesiotherapy, respectively. Pre- and post-intervention measurements were performed both on pain level and on several psychological variables: depression and anxiety symptoms, pain catastrophizing, quality of life, body representation and coping strategies.

Results: Preliminary data show a significant pain relief in patients in the IVR group compared to those in the kinesiotherapy group. Besides, significant improvement was found in the case of the patients in the IVR group, in terms of life quality improvement, reducing irrational pain catastrophizing-related thoughts and positive coping strategies (positive refocusing and reappraisal). There were no differences identified between the two groups in terms of anxiety and depression symptoms. Despite expectations, patients in the IVR group experienced a significant increase in one negative coping strategy: rumination.

Conclusions: The results obtained are advocating the use of IVI intervention as a method phantom limb pain alleviation, with positive consequences on patients' life quality.

Open access