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.
Deepika Sharma, Jaspreet Kaur, Monika Rani, Arpit Bansal, Manoj Malik and Sivachidambaram Kulandaivelan
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.
Tanja Kosak Soklic, Matija Rijavec, Mira Silar, Ana Koren, Izidor Kern, Irena Hocevar-Boltezar and Peter Korosec
mucosal eosinophilia, Th2 and type 2 innate cell inflammation. 3 , 4 Type 2 inflammation cytokines in CRSwNP are IL-4, IL-5 and IL-13, eosinophilic cationic protein (ECP) or Charcot Leyden Crystal protein. 4 , 5 , 6 IL-5 is a key mediator in type 2 inflammation, providing survival, maturation and
activation of eosinophils at the bone marrow and the site of inflammation. 7 Higher levels of mucosal and/or peripheral blood eosinophils are correlated with poor lifequality, asthma comorbidity, recurrences after endoscopic surgery and CRSwNP disease severity, associated
Aleksandar Đorđević, Mirko Mikić, Jelena Stanišić and Filip Đorđević
Background/Aim: Implant treatment expands extensively the possibilities of prosthetic treatment, which provide benefits, bigger comfort as well as general improvement of the patient’s life quality. In cases with no possibility of implantation, it is possible to improve conditions by using modern methods for bone tissue repair. One of factors important for the long-term success is proper oral hygiene, as well as raising awareness of its importance to patients. The aim of the paper is to present a patient rehabilitated with multiple implants and followed-up for a five-year period, and to point out the importance of raising patient’s awareness and motivation in order to preserve the results of the treatment.
Case Report: A 31-year-old patient was admitted to the oral surgery clinic for rehabilitation of a poor oral health status. After taking history, clinical examination and additional analysis, the following treatment plan was suggested: to remove impacted upper canines and to put an implant supported by fixed prosthesis in the upper jaw, to make two implants supported by bridges laterally and one dental supported by bridge in the inter-canine sector in the lower jaw. The treatment was carried out in several stages that involved extraction of residual roots and impacted teeth, augmentation of bone defects with bone substitutes and bio-absorbable membranes, placing implant, and prosthetic rehabilitation. By verbal communication with the patient, we pointed out the importance of proper oral hygiene and regular check-ups. The five year follow-up showed the absence of factors that could adversely affect the success of the treatment, and the patient was still highly motivated to maintain proper oral hygiene.
Conclusions: It is possible to achieve predictable results in complex cases by using a multiphase prosthetic treatment supported by implants. Concerning a long-term success, motivation, proper information and patient’s willingness to cooperate play an important role.
Viorel T. Mogos, Carmen I. Dondoi and Daiana E. Bajko
Allergies become more common nowadays because of numerous risk factors and better medical resources for diagnostics. So, it is imperative to have at least an idea how to control them rather than treating them. A proper diet for an allergy may prevent it to be clinically significant and improve the patient’s life quality and symptoms. Milk allergy is one of the most common ones together with gluten and soy allergies. Older children and adults are easy to manage because they can communicate, and they eat almost everything. But the problem occurs especially in young infants, the most challenging ones because milk is vital for their survival and development. In the following article, we will try to highlight its particularities and explain what a patient with this condition should eat, taking into consideration processed food, found nowadays in every supermarket. We will detail what is allowed what is not allowed to consume, so this kind of a diet should be easy to prescribe by any nutritionist and easy to follow by every patient.
Maria Alexandra Barbu, Cornelia Niţipir, Theodor Voiosu and Călin Giurcăneanu
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Ding Zhu, Chao Zhang, Huahao Shen and Songmin Ying
Asthma is characterized by chronic bronchial inflammation, airway hyperresponsiveness induced by specific and nonspecific stimuli, reversible bronchial obstruction, and airway remodeling. Although standard asthma medications were applied, there are approximately 55% of patients with asthma still suffer from poorly or uncontrolled disease.[ 1 , 2 ] Uncontrolled asthma is associated with a worse lifequality and a higher risk of asthma-related hospitalization and mortality, which results in heavy health care and socioeconomic burden.[ 3 , 4 ] Various factors
M et al. The Impact of Self-care Education on LifeQuality of Diabetic Patients .J of health Administration 16: 26-36, 2012.
26. Rakhshandehro S, Heidarnia AR, Rajab A. Determination of health education on quality of life in type 2 diabetic patients. Daneshvar Med J 13: 15-20, 2006.
27. Borhani M, Rastgarimehr B, Shafieyan Z et al. Effects of predisposing, reinforcing and enabling factors on self-care behaviors of the patients with diabetes mellitus in the Minoodasht city, Iran. J Diabetes Metab Disord 14: 14: 27, 2015
enlarge the upper airway space, especially in the lateral dimension of the velopharyngeal region.[ 9 ] It is effective not only in reducing snoring and obstructive breathing events but also in improving sleepiness and lifequality.[ 10 ] Besides, overall long-term efficacy of OA treatment is fairly good. Current practice parameters of the American Academy of Sleep Medicine (AASM) indicate OA as a first line therapy in patients with mild-to-moderate OSA and in severe OSA patients who fail to CPAP therapy.[ 11 ] Of note, craniofacial factors were deemed as characteristic
However, only few studies have focused on strategies to prevent and treat cognitive deficits in brain tumour patients and many of them have serious methodological limitations, such as too small of a sample or retrospective study design, so further studies are necessary. 33 , 34 Regardless of the severity, cognitive deficits have a significant negative impact on patient’s daily living. 35 In 2003, Hahn and associates published a prospective study, in which they performed standardised neuropsychological testing and lifequality evaluation in primary brain tumour