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EN
Parkinson's disease (PD) is a degenerative disorder of the central nervous system. The main problems associated with losses at the motor level are: tremor, rigidity, postural instability and bradykinesia. Many publications related to rehabilitation in PD r efers to methods which are used to rehabilitate patients, but there is lack of significant amount of publications concerning tools to examine the effectiveness of these programs. The purpose of the work was to determine the suitability of Senior Fitness Te st (SFT) in the assessment of the effectiveness of physical rehabilitation of people with PD. The research was conducted in a group of 52 people (age 64.52 ± 7.56 years) with idiopathic PD disease (duration of the disease was 6.69 ± 4.93 years) in II stage in Hoehn & Yahr scale. Unified Parkinson's Disease Rating Scale (UPDRS) was used to determine the clinical status of patients. Parkinson's Disease Quality of Life Questionnaire (PDQL) was applied to determine the quality of life. The patients were divided into a group of participants and non -participants in the process of physical rehabilitation. Obtained results in the tests showed statistically significant differences between the groups in all the tests. The biggest absolute difference was observed in the Back Scratch test (308,33%). In order to achieve the main goal of the work, the correlation coefficients between the quality of life and the results of the SFT were calculated. The obtained results show that correlation between all the tests in both groups is at least moderate. The highest correlation was recorded in the "2 -minute walk" test in both groups. It was found that there is a relationship between SFT results and the quality of life of people with PD. SFT is a helpful tool in assessing the effect iveness of physical rehabilitation of people with PD.
EN
Our aim in this prospective study was to determine the impact of laparoscopic sleeve gastrectomy on the quality of life of patients with morbid obesity in comparison with population standards. The study evaluated 76 morbidly obese patients who underwent laparoscopic sleeve gastrectomy. The short version of the World Health Organization Quality of Life questionnaire (WHOQOL-BREF) was used to evaluate quality of life in the following four areas: physical health, mental health, social relations, and environment. Patients completed the questionnaire before their planned operation and again 3 and 6 months after surgery. Compared with the population standard, patients with morbid obesity had significantly lower quality of life scores in the physical and mental health domains, including on independent questions related to of overall health and quality of life (p<0.001). Women scored lower on indicators of mental health than men. Three and 6 months following surgery a significant trend of body mass index (BMI) reduction was seen, as well as increased quality of life in all indicated areas (p<0.001). Laparoscopic sleeve gastrectomy treatment in morbidly obese patients reduced BMI on a long-term basis, a change seen as early as 3 months after surgery. By 6 months after surgery, patients had the same quality of life scores as the reference population.
EN
Oral health-related quality of life (OHRQoL) is multifaceted and involves many factors. One of them is the use of dental implants. It was the aim of our study to assess whether implant therapy might improve OHRQoL. We consulted patients with at least one Astra Tech implant. Each patient completed oral health questionnaires, which were then statistically evaluated using the Wilcoxon signed-ranks test and Analysis of Covariance from a functional and aesthetic point of view. Differential response on individual scales was assessed using multivariate approach. All twelve marginal Wilcoxon tests showed an overall improvement in OHQoL (α = 0.05). On the aesthetic scale, OHRQoL was found to be associated with marital status, aesthetic reasons for undergoing surgery and number of front teeth replaced by implants. On the functional scale, three covariates were statistically significantly and appeared to have affected the levels of OHRQoL. The most significant explanatory effect was observed for the number of front teeth replaced via implantation, followed by the presence of chewing problems. Marital status was also found to have significantly affected the OHRQoL functional scale. Significant implant-related improvements in both scales were observed in patients with at least one implant in the front dental area.
EN
Study aim: To measure the effects of Pilates and aqua fitness training on functional fitness and quality of life in older individuals. Material and methods: A total of 54 participants (M = 66.4 ± 6.2 years) from a club for retired people in Eger, Hungary, were randomly assigned to 3 groups: one did Pilates 3 times/week (n = 22); one did aqua fitness 3 times/week (n = 17); and a control group (n = 15). The Fullerton Functional Fitness Test (FFFT) was used to measure functional fitness pre - and post-program. Quality of life was measured by WHO’s quality of life questionnaire (WHOQOL). Results: In the FFFT, significant improvement was found in 5 out of 7 variables: lower and upper body strength, lower body flexibility, physical mobility (especially dynamic balance), and aerobic endurance by the Pilates group. Shoulder flexibility improved significantly in the Aqua fitness group. Lower body strength improved in the control group. BMI did not change significantly in any of the groups. WHOQOL showed improvement in perception and autonomy in the Pilates group; sociability in the Aqua group. The between-subject analyses yielded a significant main effect of the experimental group F(1, 52) = 4367 (p < 0.001). Discussion: A 6-month intervention program is an appropriate tool to improve overall physical performance of healthy, inactive older adults, regardless of the type of exercise concerning Pilates or Aqua fitness, but might improve only some aspects of QOL. There is a strong need for well-designed intervention programs for the elderly.
EN
Introduction: Radiotherapy (RT) for patients with head and neck squamous cell carcinoma (HNSCC) affects vital functions related to the irradiation volume of the head and neck region and, in addition, has a negative impact on social functioning, thereby significantly impairing patients’ quality of life (QoL). Aim: The aim of this study was to assess changes in the quality of life in patients with head and neck cancer treated with curative RT at 12 months after completion of RT. The aim of this study was to assess the differences between the baseline QoL of patients with early clinical stage HNSCC and at 12 months after curative/radical RT. Material and methods: The prospective clinical study included 92 patients in good general condition (ECOG 0–1 – Eastern Cooperative Oncology Group performance status), without regional or distant metastases, diagnosed with pathomorphologically confirmed early-stage head and neck squamous cell carcinoma treated with definitive RT. All patients participating in the study signed an informed consent form. QoL was assessed using the standard EORTC QLQ-C30 and QLQH&N35 questionnaires. In addition, information on clinical aspects and data relating to socio-demographic factors were obtained from each patient. Statistical analysis was performed using a statistical package (SPSS 17.0). T-test was used for dependent and independent samples. A general linear model was used for repeated measures. Results: Patients’ QoL deteriorated significantly after definitive RT. Worse QoL Core-30 scores in patients 12 months after the end of RT, compared with baseline QoL, before the start of RT, were observed in domains such as physical performance, fulfillment of life roles, cognitive functioning, loss of appetite, fatigue and constipation. For the QLQ-H&N35 questionnaires, patients 12 months after the end of RT reported problems in relation to aspects of life such as senses, mouth opening, dry mouth, thick saliva, pain, and weight loss. Conclusion: RT, even in early clinical stage head and neck cancer, has a negative impact on QoL, despite modern treatment techniques.
EN
Quality of life (QoL) and individual perception of health has become a subject of great interest in Lithuania. The relationships between country residence, socio-economic status (SES), and QoL have not been well characterized among the Lithuanian urban and rural populations. The aim of the study was to assess the influence of country residence and SES on QoL in Lithuanian urban and rural population adjusting for the influence of other known determinants of QoL. The study population was randomly selected from 1193 urban and 264 rural men and women aged 45–72 years and have been filled in the self-administered the WHOQOL-100 questionnaire. The survey participation rate was 62.8%. Psychometric evaluation of the WHOQOL-100 showed good internal reliability of Cronbach’s α from 0.78 to 0.94. Multiple linear regression models were used to study the influence of country residence and SES on the WHOQOL-100 scores while adjusting for the influence of other determinants of QoL. After adjusting for the influence of these factors, country residence and SES independently influenced QoL. Rural residence negatively affected the overall QoL, psychological domain, level of independence and spirituality. Higher education level and income directly and positively influenced the WHOQOL-100 scores, while retired, unemployed and residents with chronic medical conditions had negative influence WHOQOL-100 scores. The study results conclude that country residence and SES are associated with differences in QoL among urban and rural Lithuanian population.
EN
Parkinson’s disease can lead to disability and reduce the quality of life of its patients. The purpose of this study is to evaluate the quality of life of a group of people with Parkinson’s disease. The clinical and progressive characteristics of the disease, its motor and neuropsychological impact were evaluated in each Parkinsonian subject included in the study. A quality of life assessment was performed and collected from 60 Parkinsonian patients followed and hospitalized at Hassan II University Hospital in Fez. Different instruments were used, the Hoenh and Yahr scale and the Parkinson’s disease questionnaire (PDQ-39) UPDRS engine, MMS, clinical fact sheet. According to our results, through the different tests and scale of evaluation, we observed an impaired quality of life in the areas of physical discomfort, cognitive disorder, activity of daily living, mobility, and emotional well-being, especially in patients with duration of evolution more than 5 years. There was no significant difference between the two sexes. In addition, the severity of the disease tended to give the impression of an impaired quality of life with respect to the dimensions of activities of daily living and cognition, which is relevant to improving the quality of life patient life and clinical interventions.
EN
This study sought to explore the following issues 1) health-related quality of life (HRQoL) in Fabry patients relative to the general population 2) the quality of life (QoL) level in heterozygous females as compared to hemizygous males and the general population. A prospective, cross-sectional study was performed in patients diagnosed with Fabry disease in Poland (n=33). HRQoL was assessed with two generic questionnaires: the Medical Outcomes Study Short Form-36 (SF-36) and EuroQol questionnaire (EQ-5D), which includes the EQ-5D descriptive system and the EQ-visual analogue scale (EQ VAS), as well as a disease-specific author’s questionnaire. When measured with EQ-VAS, the subjective perception of health status was significantly lower in Fabry patients than that of the general population. SF-36 norm-based scores showed that patients are disadvantaged mainly in social functioning, bodily pain, and mental health. Objective assessments of HRQoL according to the EQ-5D Index tend to be lower for males than for females. Only male patients experienced extreme problems identified by the EQ-5D descriptive system. HRQoL of Fabry patients, measured by EQ-5D and SF-36, is lower as compared with that of the general population. Fabry disease effects QoL in its physical, mental and social dimensions.
EN
The aim of this study was to investigate the quality of life (HRQoL) in coronary artery disease(CAD) patients, admitted for rehabilitation within 3 months after an acute coronary event, in relation to treatment strategy [conservative treatment without revascularization (WR), percutaneous transluminal coronary angioplasty (PTCA), coronary artery bypass graft (CABG)]. Methods: Overall 719 consecutive CAD patients were involved in the study: WR (n=170), PTCA (n=226), CABG (n=323). HRQoL was estimated using the SF-36 questionnaire for total QoL and its two dimensions for physical and mental health [physical and mental component scores (PCS, MCS)]. Sexual dysfunction was assessed using the ASEX scale. Results: Significantly higher PCS, MCS and total SF-36, but lower ASEX score, were found in men compared with women. The ASEX score was significantly affected by age. Significantly higher PCS was found in PTCA group compared with that of CABG group. In multivariate analysis a significant positive association was obtained between PCS/MCS and male sex, between regular exercise, hyperlipoproteinemia, and permanent stress. ASEX was significantly positively associated with the age, CHF and non smoking. Conclusion: The results of this study have demonstrated significantly better HRQoL in men, younger CAD patients, patients who underwent PTCA and in patients without self-reported exposition to stress.
EN
Study aim: To assess quality of life, assertiveness associated with aging personalities, and personality dimensions as related to age, highest level of qualification, and place of residence of elderly males. Material and methods: Elderly (n = 1269) men were chosen from the clubs for the elderly from settlements in one of the poorest counties in Hungary. The sample was divided into groups according to their age (60-69 years old; 70 years old and above), education (primary, secondary/higher), and place of residence (village-town). Quality of life was assessed by Quality of Life – OLD (WHOQOL-OLD), assertiveness was measured by the Rathus assertiveness schedule, and personality characteristics were measured by the Big Five Questionnaire. Results: Predominantly, relatively low levels of the quality of life, assertiveness, and personality of elderly males were noticed. In none of the scales, no significant gender- or education-related differences were found; however, men living in a town had higher (p<0.05) levels of Sociability (3.49 vs. 3.42), Emotions (3.01 vs. 2.94), Openness (3.18 vs. 3.08), and Conscientiousness (3.37 vs. 3.30) and lower levels of Self-efficacy (0.31 vs. 0.69) than those living in villages. Conclusions: Age and level of education do not seem to have a meaningful effect on elderly men’s quality of life, assertiveness, and personality characteristics; however, elderly living in villages have fewer opportunities for successful ageing.
12
100%
Open Medicine
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2012
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vol. 7
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issue 4
523-524
EN
A case of a female patient with thalidomide-induced phocomelia and additional dermal complications associated with the prosthesis itself is presented herein.
EN
Introduction. In recent times, patient outcome measurement has developed from being narrowly focussed upon levels of symptomatology and service use, to being a broader assessment of the impact of illness and treatment on the individual. Thus, it can be said that quality of life has become as significant as life expectance. This has brought about a transition in the assessment of treatment. Quality of life (QOL) is a multidimensional concept that usually includes subjective evaluations of both positive and negative aspects of life as it is being led. With regard to healthcare, a cross-sectional comparison of palliative care needs is crucial in understanding differences in the patients' quality of life. Hence, an analysis of programme implementation within different types of healthcare institutions is significant in evaluating current medical care standards. Our study analyzed the satisfaction level and quality of life of patients with Chronic Obstructive Pulmonary Disease (COPD), and after myocardial infarction (MI). Different types of healthcare institutions were evaluated. Aim. To evaluate patients' satisfaction and quality of life in selected healthcare institutions in southern-eastern Poland. Material and methods. The quality of life of patients with Chronic Obstructive Pulmonary Disease (COPD) was analyzed through the medical documentation obtained from different types of healthcare institutions. Among these are the pulmonary outpatient department in Moczary, as well as a GP Practice and a Nursing Home in this location. The quality of life of patients after myocardial infraction was analyzed through a survey study conducted at “Polonia” hospital spa in Rymanów Zdrój (the cardiology department). Results and conclusions. The post-myocardial infarction incident patients had began to care more about their health condition and the quality of life they led. Moreover, their satisfaction level from received treatment and medical care indicated that the cardiological services implemented in southern-eastern Poland has proceeded in a good direction. Of note, these patients were systematically under specialist control. In contrast, among patients with COPD, only those under everyday care in the Nursing Home in Moczary received a similar systematic treatment, thus, COPD patients in Moczary lead a poor quality of life. This indicates a need to re-evaluate the current programmes and services provided by health care institutions in this region.
EN
Introduction: Rectal cancer is one of the most common malignancies in developed countries. However, despite the increasingly better preoperative diagnostics, adaptation of surgical techniques to the location and advancement of the tumor, the combination of surgical treatment with neoadjuvant therapy and adjuvant treatment, standardized control tests, Poland still has not obtained satisfactory results regarding long-term survival. In addition, the effects of the therapy often differ significantly from those expected by patients and the doctors treating them. Aim of the study: To evaluate the effects of rectal cancer treatment among patients of the General and Oncological Surgery Clinic of the Pomeranian Medical University in Szczecin. The impact of numerous factors on postoperative quality of life was analyzed. Material and methods: Between 2007 - 2015, 263 radical resection procedures were performed in patients with diagnosed rectal cancer. Retrospectively, based on medical records, a database was created covering a range of clinical data. Information about death dates of some patients was obtained at the Registry Office in Szczecin. A survey supplementing clinical data and standardized quality of life assessment forms (EORTC QLQ - C30 and CR29) were sent to 120 living patients. A telephone conversation was carried out with some patients who did not respond to the surveys. Finally, data from 90 people was collected, which represents 75% of the patients enrolled in the study. Patients quality of life was assessed using EORTC questionnaire evaluation guides. Results: The patients quality of life worsened the most as a result of anorectal dysfunction. Incontinence of gases and stool, urgency and difficulty in defecation were demonstrated primarily in patients undergoing low rectal resection and irradiation. Patients undergoing radiotherapy, as a result of persistent low anterior resection syndrome, were forced to partially or completely withdraw from professional activity and to limit the pursuit of their interests. Their contacts with family, friends and acquaintances have also deteriorated. The presence of the intestinal stoma significantly affected the deterioration of the reception of the body's own image. However, no relation was found between the existence of the fistula and other aspects of the patients everyday life, including functioning in life and social roles. Conclusions: Due to the acceptable postoperative quality of life of patients with fistula and numerous imperfections of sphincter preserving techniques, operations resulting in terminal ostomy should not be considered as an extremity, and in the case of tumors of the lower rectum with unaffected sphincters, they should be considered as alternative methods for low anterior resection.
EN
Quality of life after pancreatoduodenectomy (PD) for cancer of the head of the pancreas depends on multiple factors. Handling of the pancreatic remnant is a decisive factor for the success of the operation. The aim of the study is to assess quality of life of patients with cancer of the head of the pancreas undergoing pylorus-sparing PD and reconstruction with pancreaticojejunostomy (PJ) versus pancreaticogastrostomy (PG).Material and methods. An analysis was performed for 115 patients with malignancy of the head of the pancreas who underwent surgical treatment in the Department of Gastrointestinal Surgery Medical Academy of Silesia between 2004 and 2006. Quality of life was assessed with the EORTC QLQ-C30 and QLQ-PAN26 forms. These questionnaires were mailed to 34 patients at least 6 months after PD. The 20 patients who returned correctly completed questionnaires were divided into two groups. Group I included 14 patients after PD with (Traverso or Imanaga) PJ. Group II included six patients after PD with Flautner PG.Results. The study groups were homogeneous with respect to age, gender, preoperative and intraoperative factors, and complications. Better quality of life was observed in group I with respect to the cognitive functions, general fatigue, and insomnia scales., Group II exhibited better quality of life with respect to the physical functioning, social functioning, life activity, general health, dyspeptic symptoms, nausea and vomiting, diarrhea, respiratory disturbances, lack of satisfaction with own appearance, taste changes, liver symptoms, decreased muscle strength, indigestion, dry mouth and treatment of emergent side-effects scales.Conclusions. Patients in the study group following PD and Flautner PG exhibit markedly better quality of life.
EN
Study aim: To explore how elderly people with different living conditions are characterized by their fitness, body composition, and quality of life.Material and methods: Women aged 60 years and over (n = 60; age = 76.2 ± 7.6 years) were examined in cross-sectional study from a medium-sized city in western Hungary. Participants were chosen from a twilight home (n=27, age = 79.4 ± 7.7years) and clubs for retired people (n = 33, age = 73.7 ± 6.6 years). Physical fitness status was assessed by Fullerton Functional Fitness Test - Senior Fitness Test (FFFT); body composition (BC) with Inbody-720 bioelectrical impedance spectroscopy; and quality of life with WHOQOL-OLD questionnaire. Data were analysed with the use of t-test for independent samples and stepwise discriminant analysis.Results: FFFT shows significant differences in each variable: lower and upper body strength, aerobic endurance, upper and lower body flexibility, and dynamic balance. These variables were significantly higher in the clubs for retired people. The BC of twilight home residents was significantly lower in height and fat-free mass. Regarding quality of life, there were significant differences in perception, autonomy, and sociability for the favour of elderly in clubs; however, there were no differences in activities of past, present and future, or differences in attitudes towards death or intimacy.Conclusions: A sedentary and institutionalized lifestyle with little variety in daily activity and programing has a negative effect on physical fitness status, body composition, and quality of life. Self-motivation, active lifestyle, and regular and varied programs seem to have leading roles in the quality of life in elder population.
EN
The restoring of motor functions in adults through brain-computer interface applications is widely studied in the contemporary literature. But there is a lack of similar analyses and research on the application of brain-computer interfaces in the neurorehabilitation of children. There is a need for expanded knowledge in the aforementioned area. This article aims at investigating the extent to which the available opportunities in the area of neurorehabilitation and neurological physiotherapy of children with severe neurological deficits using brain-computer interfaces are being applied, including our own concepts, research and observations.
20
Content available remote

Quality of life and functional fitness of the elderly

88%
EN
Study aim: To assess the perceived life quality and functional fitness of elderly subjects.Material and methods: Two groups of subjects, aged 70 - 92 years, were studied: residents of a nursing home (Group R; n = 53) and those attending daytime nursing homes (Group D; n = 76). The EuroQol 5D questionnaire, and Romberg's and The Fullerton Functional Fitness tests were applied.Results: Subjects from Group D perceived their daily functioning and general feeling much higher than those from Group R. Group R seemed more homogenous in that respect than Group D since only in the former all three indices of the quality of life (daily functioning, general feeling and perceived health) were significantly intercorrelated (p<0.05 - 0.001).Conclusions: Social aid for the elderly ought to be focused on stimulating them to be active instead of giving them a direct assistance only.
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