General Quality Of Life Research Articles

A Review of Biophilic Design Concepts in Hotel Architecture

Incorporating natural materials and features into the built environment is the goal of the creative approach known as biophilic design, which aims to link people with nature through architecture and interior design. The premise of the theory is that people are naturally drawn to nature and that spending time in nature can improve productivity, well-being, and general quality of life. It has been demonstrated that biophilic architecture design can convey a healthy environment, lower stress levels, and promote a sense of serenity for people residing in it. This is because the design uses natural materials and natural patterns to create a connection between humans and the natural world. This study looks into the application of biophilic design ideas in hospitality environments. This study aims to investigate if, in the context of hotels, including biophilic design improves guest emotional responses, perceived quality, and behavioral intentions. The results of this study showed that biophilic designs produced more favorable emotional and behavioral reactions than the standard design using the scenario-based experiment. Furthermore, patrons thought hotels with biophilic decor were of higher caliber. The goal of biophilic design is to incorporate natural aspects into the built environment to improve overall guest experience, comfort, and well-being. It is based on the human connection to nature. Site inspections, management interviews, and visitor surveys are a few of the data collection techniques used in hotels. The results provide important insights for architects, designers, and hoteliers looking to build more sustainable and guest-centric settings by illuminating the challenges, advantages, and consequences of using biophilic design in a hospitality context.

Quality of Life of Children with Short Bowel Syndrome from Patients' and Parents' Points of View.

Despite limited research, existing studies using generic quality of life (QOL) tools indicate decreased physical health and compromised emotional functioning in children with IF. This study investigates QOL in children with short bowel syndrome (SBS) and its determinants. The study included 57 pediatric patients with SBS treated at Mannheim's University Hospital between 1998 and 2014. To evaluate QOL, the KINDL questionnaire was used. Three age-specific questionnaire variants were employed, and parental proxy reports were collected. Most patients underwent intestinal lengthening procedures, with varying primary diagnoses. A comparison with healthy children from the patient's perspective revealed no difference but from the parent's perspective showed lower QOL in SBS patients, especially regarding physical and mental well-being. QOL varied with age, with 7-10-year-olds reporting the lowest scores. Several factors, including independence from parenteral nutrition and the presence of a complete colon, positively influenced QOL. The independence of parenteral nutrition and the presence of a complete colon positively influenced QOL. The Bianchi technique for intestinal lengthening has also shown promise but needs further research. The observation sample in this study is too small to generalize about the whole population of SBS patients. However, this study shows that many health and treatment factors affect QOL, and a large multicenter study is necessary. Our findings underline the importance of appropriate psychological support for children with SBS and their families.

Leisure Programs for Improving Middle-Aged and Older adults’ Depression and Quality of Life: A Meta-Analysis

Engaging in leisure activities might be beneficial for ameliorating older adults’ depression and improving their quality of life. The main purpose was to explore the effectiveness of leisure programs in improving middle-aged and older adults’ depression and quality of life using a systematic review and meta-analysis. Five electronic databases were searched, including EBSCO, PubMed, Scopus, Medline, and Web of Science. Effect sizes were pooled using a random-effects model. Moderator analyses were performed by subgroup analyses and meta-regression. In total, 18 randomized controlled trials were selected for quantitative synthesis. There were significant small to medium effects of leisure programs on improving depression, general quality of life, and physical and mental health. This is the first meta-analytical study to explore middle-aged and older adults’ mental health benefits from leisure programs. Continuous leisure engagement is recommended to improve depression and well-being in mid to later life.

Transdermal Opioids and the Quality of Life of the Cancer Patient: A Systematic Literature Review.

This systematic literature review aims to evaluate the effectiveness of transdermal opioids in managing cancer pain and their impact on the quality of life (QoL) of patients. A systematic literature review conducted following the PRISMA protocol, focusing on randomized clinical trials found in the Lilacs, Embase, PubMed, and SciELO databases over the last 20 years. We included randomized clinical trials, published in English, Portuguese, or Spanish, which assessed the impact of transdermal opioids on the QoL. Data extraction was facilitated using the Rayyan app. Six articles meeting the inclusion and exclusion criteria were analyzed. These studies covered a population ranging from 24 to 422 cancer patients experiencing moderate to severe pain. The risk of bias was assessed in each study, generally being categorized as uncertain or high. The findings indicate that the analgesic effectiveness and side effects of transdermal formulations (specifically buprenorphine and fentanyl) for managing moderate to severe cancer pain are comparable to, or in some cases superior to, those of oral opioids traditionally employed. Transdermal therapy was suggested to have several advantages over oral opioid therapy in enhancing cancer patients' QoL. These benefits span various dimensions, including pain management, physical functioning, mental health, vitality, overall patient improvement, anger/aversion, strength/activity, general QoL, cognitive and emotional functions, fatigue, and insomnia.

Association Between Wearable Device Use and Quality of Life in Patients With Idiopathic Inflammatory Myopathies and Primary Systemic Vasculitis.

Background Despite the increasing use of wearable devices worldwide, concise data on these instruments in patients with systemic autoimmune rheumatic diseases, including idiopathic inflammatory myopathies (IIM) and primary systemic vasculitis (PSV), are lacking. Objectives The aim of this study is to investigate the knowledge and use of wearable devices and to assess their impact on the general quality of life of patients with IIM and PSV. Moreover, we compared these characteristics between patients with IIM and PSV users and non-users of wearable devices. Methods This single-center, cross-sectional study was conducted between January 2023 and June 2023. We included adult patients with IIM and PSV and a control group (CTR) and evaluated their use of cell phones and wearables, level of physical activity, and quality of life. Results A total of 132 patients with IIM, 82 with PSV, and 178 in the CTR were evaluated. Overall, 169 patients and 144 in the CTR were aware of wearable devices, of whom 50 (29.6%) and 47 (32.6%), respectively, had already used this technology. In addition, the IPAQ-Mets and EQ-5D scores were lower in the IIM and PSV groups than in the CTR, and the fatigue severity scale (FSS) scores were higher in the IIM and PSV groups than in the CTR. Patients who used the devices showed FSS scores of 29 (18-40) points, with higher levels of IPAQ-Mets among device users, indicating greater physical activity than among nonusers. Conclusion Based on the results, the use of wearable devices is associated with better fatigue and IPAQ scores. Possibly, the use of such devices can have an impact on better lifestyle habits among these patients.

THE RELATIONSHIP OF ORAL HEALTH AND QUALITY OF LIFE FOR ELDERLY AT THE TRESNA WERDHA NIRWANA SOCIAL ORGANIZATION PURI SAMARINDA

Introduction: Elderly is the final stage of the aging process, usually followed by cumulative changes in human that create changes in the oral cavity as well. Oral Health plays a crucial role in general health and quality of life. Material and Methods: : This research used analytical observational study with cross-sectional design, using purposive sampling as its sampling method. The respondents were 81 elderly people. This research used oral health Levin questionnaire and Oral Health Impact Profile (OHIP-14). The data from this research were analyzed using Spearman correlation test. Results and Discussions: The correlation between dental and oral health and quality of life showed significant with the p value <0.001 and correlation coefficient R= 0.657. Conclusion: There was a significant correlation between dental and oral health and the quality of life of elderly people in Tresna Werdha Nirwana Puri Samarinda Nursing home.

Non-AIDS-defining comorbidities impact health related quality of life among older adults living with HIV.

The life expectancy of people living with HIV receiving effective combination antiretroviral therapy is approaching that of the general population and non AIDS-defining age-related comorbidities are becoming of greater concern. In order to support healthy aging of this population, we set out to explore the association between multimorbidity (defined as presence of 2 or more non AIDS-defining comorbidities) and quality of life (QoL). We performed a cross-sectional analysis using data from the Correlates of Healthy Aging in Geriatric HIV (CHANGE HIV) study, a Canadian cohort of people living with HIV age 65 years and older. Study participants completed two QoL modules, the general QoL and health related QoL (HR-QoL). 433 participants were included in the analysis with a median age of 69 years (interquartile range, IQR 67-72). The median number of comorbidities among study participants was 3 (IQR 2-4), with 78% meeting the definition of multimorbidity. General QoL scores (median 66, IQR 58-76) were lower than HR-QoL scores (median 71, IQR 61-83) and were not associated with multimorbidity after adjusting for age, sex, relationship status, household income, exercise, tobacco smoking history, malnutrition, time since HIV diagnosis, and HIV-related stigma. In contrast, multimorbidity was associated with lower HR-QoL (adjusted β = -4.57, 95% CI -8.86, -0.28) after accounting for the same variables. Several social vulnerabilities (not having a partner, low household income), health behaviours (lower engagement in exercise, smoking), and HIV-related factors (HIV stigma, longer time since HIV diagnosis) were also associated with lower QoL. Overall, our study demonstrated a high burden of multimorbidity among older adults living with HIV in Canada, which has a negative impact on HR-QoL. Interventions aimed at preventing and managing non-AIDS-defining comorbidities should be assessed in people living with HIV to determine whether this can improve their HR-QoL.

The pathway to curb greenwashing in sustainable growth: The role of artificial intelligence

Artificial Intelligence (AI) can improve production efficiency and general quality of life through assisting human labor, potentially leading to the conversion of employment types, enhancing industrialization, and upgrading energy structure. This paper enriches the role of AI in improving sustainable growth by curbing hypocritical sustainable and greenwashing behaviors. By accessing the panel data from Chinese listed-firms for the period 2014–2021, we have shown that AI can significantly mitigate the existence of greenwashing behaviors by raising the disclosure quality of ESG rating scores. Moreover, the role of AI in mitigating greenwashing behaviors performs significantly in SOEs, less pollution-intensive industries, high environmental regulation and less developed green finance regions. Furthermore, the potential mechanisms of AI in mitigating greenwashing behaviors are displayed, including alleviating financial constraints, easing management cost, improving green innovations.

Comparative evaluation of antimicrobial efficacy of triphala, assa-foetida and 0.2% chlorhexidine mouth rinses on salivary streptococcus mutans

Oral diseases, such as dental caries and periodontal diseases are major worldwide oral health problems. Poor oral health has a profound effect on general health and quality of life. Dental caries is still a major health problem in most industrialized countries, school-aged children and the vast majority of adults. Streptococcus mutans is considered as one of the most important cariogenic species of the human oral microbial flora. Studies have proved the association between S. mutans and dental caries. Traditional Indian system of medicine “Ayurveda” includes several important medicinal herbs, which are used since ancient days. Triphala, which has a wide range of systemic benefits, is one among them. Studies have shown that Triphala has good antimicrobial effects against S. mutans. Ferula assa-foetida (F.assa-foetida), is a large herbaceous perennial plant from the Apiaceae family. The properties of Assa-foetida according to Traditional Persian Medicine resources suggest it is very effective for relieving toothache. Different parts of F. assa-foetida have a wide variety of medicinal applications including antifungal, anti-diabetic, anti-inflammatory, anti-mutagenic and anti-microbial effects. To compare and evaluate the antimicrobial efficacy of Triphala, Assa-foetida and 0.2% Chlorhexidine mouth rinses on the salivary Streptococcus mutans level. Saliva samples were collected from children of age group of 5-11 years with a DMFT/def score ≥4 and with minimum of four active caries. Triphala and Asafoetida mouth rinses were prepared indigenously. Samples were plated on the culture media and then smeared on MHA media for assessing the antimicrobial efficacy against Chlorhexidine. The zone of inhibition was measured which showed the resistance against S.mutans. Results were statistically analyzed using one way ANOVA. Significant resistance was noted with asafoetida mouth rinse by measuring the zone of inhibition. Considering the results, Triphala and asafoetida mouth rinses serve as effective herbal mouth rinses for reducing the salivary Streptococcus mutans load and can be considered as an alternative to chemical mouthwash, like Chlorhexidine.

Cement augmentation for proximal humerus fractures: a meta-analysis of randomized trials and observational studies.

It is unclear if elderly patients treated with plate osteosynthesis for proximal humerus fractures benefit from cement augmentation. This meta-analysis aims to compare cement augmentation to no augmentation regarding healing, complications, and functional results. PubMed, Embase, and Cochrane Central Register of Controlled Trials were searched for randomized clinical trials and observational studies. Effect estimates were pooled across studies using random effects models. The primary outcome is overall complication rate. Stratified analyses were performed for types of complication (implant-related or systemic). Secondary outcomes include re-interventions, hospital stay, operation time, functional scores, and general quality of life. Five observational studies and one randomized controlled trial with a total of 541 patients were included. The overall complication rate was significantly lower in the augmented group (15.6% versus 25.4%, OR 0.54 (95%CI 0.33-0.87)). This was caused by a reduction of implant-related complications (10.4% vs. 19.9%, OR 0.49 (95%CI 0.28, 0.88)). No difference in humeral head necrosis was found. Data on re-intervention, hospital stay, and operation time was limited but did not show significant differences. No impact on functional scores and general quality of life was detected. This meta-analysis shows that cement augmentation may reduce overall complications, mainly by preventing implant-related complications. No difference was detected regarding need for re-intervention, functional scores, general quality of life, and hospital stay. This is the first meta-analysis on this topic. It remains to be seen whether conclusions will hold when more and better-quality data becomes available.

Parental Involvement and Stress in Children's Quality of Life: A Longitudinal Study with Portuguese Parents during the COVID-19 Pandemic Period.

Parental involvement (PI) has particular relevance on children's academic adjustment and on children's general quality of life (QoL). QoL can be influenced by parental stress, specifically the stress suffered during the COVID-19 pandemic. Thus, this study aimed to analyze the differences during the pandemic period (before, after and with no lockdown), comparing these constructs with parental educational level to provide predictors of their children's quality of life. Data collection was performed with a non-probability convenience sampling procedure. It was composed of 129 parents, mainly women (71.8%), with children aged between 6 and 12 years. The family's sociodemographic characteristics were assessed, as well as the PI, parental stress, and children's QoL. The comparison between the three times revealed an increase in the children's QoL, but no differences were found in PI. Based on the parental educational level, as defined by academic qualifications and split into superior and non-superior levels, it is possible conclude that engagement in school activities and parents' meetings increased in the parents with superior education levels and decreased in the parents with lower education levels. This study concluded that despite this difficult and uncertain pandemic period, these parents were able to maintain important aspects of their children's lives.

Clinical Effects of Yoga and Meditational Practices on the Holistic Health of Chronic Kidney Disease Patients: A Systematic Review.

As the world accelerates, sedentary and unhealthy lifestyles have an increasingly negative impact on human physical and emotional well-being.Millions ofpeople globallyare thought to have chronic kidney disease (CKD), which is frequently brought on by diabetes, hypertension, and glomerulonephritis. Over time, the illness gets worse and eventually results in irreversible renal failure. A person's life can be seriously affected by CKDin many different ways, including emotionally, socially, physically, and financially. Apart from physiological manifestations like anemia, discomfort, and exhaustion, CKDcan also result in psychological problems like anxiety and depression, which can impair one's overall standard of life.Numerous studies have demonstrated the beneficial effects of yoga and meditation on people with chronic renal disease, enhancing their general health and quality of life. Because of therapeutic limitations, familial pressures, financial restraints, and symptoms of end-stage kidney disease, people with CKD frequently experience stress and anxiety.By reducing stress and anxiety, yoga and meditation can help individuals with chronic conditions maintain their health and improve their overall well-being. Recent research has found that yoga can improve blood pressure, sympathetic activity, and basal metabolic rateas well as reduce blood pressure and blood sugar levels by balancing the autonomic nervous system. Furthermore, studies have demonstrated that yoga helps CKD patients live healthier lives by lowering stress, anxiety, and sadness. Healthcare professionals can help patients with chronic renal disease manage their symptoms and enhance their general health and well-being by adding yoga and meditation into their treatment regimens. Modifying lifestyle is essential for both the prevention and treatment of chronic renal disease. CKD often co-occurs with other age-related and sedentary lifestylesand poor diet-related chronic conditions. The dearth of targeted treatment for a large percentage of CKD patients led to the investigation of the therapeutic applications of yoga and meditation in this study. These affordable, non-invasivetherapies provide a comprehensive approach to controlling CKD, benefiting both healthy individuals and those with CKD in terms of their physical and mental well-being.

Evaluation of the Effect of Resilience and General Quality of Life on Frailty in the Elderly

Introduction As the life expectancy at birth improved, the increase in the elderly population, one of the most vulnerable groups in society, brings about some problems. Frailty is a condition that increases the risk of progressive deterioration in physiological functioning, hypersensitivity to stress and adverse health outcomes. Frailty is quite common in older people. In frail older people, recovery from illnesses is delayed and the likelihood of sequelae is increased. If frailty is recognized early, the likelihood of disease sequelae and mortality can be reduced.Objectives This study was conducted to determine the relationship between psychological resilience and quality of life on frailty in individuals aged 65 years and older admitted to hospital.Methods The study group of this cross-sectional study consisted of 504 people who applied to an outpatient clinic at a university hospital. The Tilburg Frailty Scale, the Connor Davidson Psychological Resilience Scale Short Form and the EQ-5D-3L General Quality of Life Scale were used. The Kolmogorov-Simirnov test, the chi-square test, the Spearman correlation analysis and the multivariate logistic regression were used to analyse the data.Results 292 of the participants in the study group were men. Their ages ranged from 65 to 90 years, and the mean was 70.5±4.9 years. Scores on the Tilburg Frail Scale ranged from 0 to 14, and the mean was 6.3±2.7 points. In the study, 71.1% of participants were classified as frail. It was determined that there was a moderate negative correlation between the results of the Tilburg Frailty Scale and the results of the Connor Davidson Psychological Resilience Scale (r= -0.436) and the EQ-5D-3L VAS Scale (r=-0.608) and a strong positive correlation between the results of the EQ-5D-3L Index Scale (r=0.729)(for each p<0.001). According to multivariate logistic regression, people who did not exercise regularly were 2,33 times more frail than those who did, and people who had a health problem that required bed rest were 2,18 times more frail than those who did not.ConclusionsIt was found that the frailty of people aged 65 and over is at a moderate level. An improvement in psychological resilience and general quality of life as well as an improvement in general health reduces frailty. It is recommended that people aged 65 and over to be physically active and to protect from situations that may require prolonged bed rest.Disclosure of InterestNone Declared

Pursuing Sleep Architecture Remodeling: Effects of Psychopharmaceuticals on Sleep Structure

IntroductionSleep plays a pivotal role in overall physical and mental health, exerting a profound influence on general well-being and quality of life. The influence of psychopharmaceuticals on sleep structure is a critical research area, given their widespread use in the treatment of psychiatric disorders, yet their precise effects on sleep remain inadequately understood.ObjectivesThis study aims to investigate how psychopharmaceuticals affect sleep architecture by identifying commonalities and disparities among different classes of psychotropic medications.MethodsSystematic review of the literature encompassing studies assessing the effects of psychopharmaceuticals on sleep structure. Electronic databases such as PubMed were employed to identify pertinent studies published within the last decade.ResultsDiverse classes of psychopharmaceuticals have varying effects on sleep architecture. Additionally, prolonged use of specific psychopharmaceuticals was correlated with sleep disturbances, such as insomnia. These findings hold significant implications for clinical practice, emphasizing the necessity of an individualized approach in treating patients with psychiatric disorders.ConclusionsPsychopharmaceuticals exert a substantial impact on sleep architecture, with effects contingent on drug class and duration of use. Understanding these alterations is crucial for optimizing the treatment of patients with psychiatric disorders, striking a balance between therapeutic benefits and potential sleep-related adverse effects. Furthermore, these discoveries underscore the importance of closely monitoring the sleep of patients undergoing psychopharmacological treatment and tailoring therapeutic approaches in accordance with individual needs.Disclosure of InterestNone Declared

Autonomous Healthcare Systems: Deep Learning-Based IoT Solutions for Continuous Monitoring and Adaptive Treatment

Autonomous healthcare systems are a big change in the way medicine is done. They use deep learning algorithms and Internet of Things (IoT) devices to keep an eye on patients all the time and change their treatment as needed. This new way of doing things could change the way patients are cared for by giving real-time information and personalized treatments. With the help of deep learning, these systems can look at huge amounts of data produced by IoT sensors, like those in medical implants and smart tech, to spot small changes in health and spot problems before they get worse.Autonomous healthcare systems are based on their ability to constantly gather and analyze data from a variety of sources, such as vital signs, biological markers, and patient-reported complaints. Deep learning algorithms are very important to this process because they can find complicated patterns and connections in the data. These algorithms can get useful information from raw sensor data by using methods like CNN, MobileNet, and InceptionV3. This algorithm lets healthcare professionals move quickly and proactively.Also, independent healthcare systems are made to change based on the wants and interests of each patient by using personalized treatment plans. These systems can improve results and patient happiness by constantly checking how patients respond to actions and making changes to treatment plans on the fly. Adding IoT devices also makes it easier for patients and healthcare workers to talk to each other, allowing for distant discussions and quick solutions. The automated healthcare systems are a revolutionary way to provide medical care. They use deep learning-based IoT solutions to keep an eye on patients all the time and adjust their treatment as needed. These systems might be able to improve patient results, lower healthcare costs, and raise general quality of life by using the power of data-driven insights and individual actions

Fostering quality of life in young adults living with multiple sclerosis: a pilot study of a co-created integrated intervention.

Multiple sclerosis (MS) is generally diagnosed at an early age, making the acceptance of this chronic disease challenging. Research dedicated to young adults with MS (YawMS) is still limited. A biopsychosocial co-created intervention for YawMS integrating social, physical and psychological activities was developed (ESPRIMO intervention) in order to improve the quality of life (QoL) and well-being. This pre-post intervention assessment study examines the feasibility of the ESPRIMO intervention and its signal of efficacy. Inclusion criteria were: age 18-45 years, MS diagnosis, Expanded Disability Status Scale score < 3.5. After giving informed consent, YawMS completed a battery of questionnaires, which was repeated after the intervention. The battery included a bespoke feasibility scale, the COOP/WONCA charts, and the Short Form-12 Health Survey (SF-12). Fifty-three YAwMS were enrolled and 43 (81.1%) completed the intervention. The majority of the sample positively rated the pleasantness, usefulness and feasibility of the intervention. A significant change in the COOP/WONCA "general QoL" chart (t = 3.65; p < 0.01) and SF-12 mental wellbeing component (t = -3.17; p < 0.01) was found. ESPRIMO is an innovative intervention that is feasible; preliminary results show an improvement in QoL and mental wellbeing. Further studies are needed to test its efficacy and evaluate future implementation in health services.Clinical trial registration: ClinicalTrials.gov, NCT04431323.

(O-29) QUALITY OF LIFE AND SELF-ESTEEM IN SPANISH MEN WITH ERECTILE DYSFUNCTION

Abstract Introduction Sexuality is an important aspect for men, so suffering from pathologies such as erectile dysfunction (ED) can affect different areas of their lives beyond sexual health. Aim To evaluate the degree of affectation and the factors associated with the self-esteem and quality of life of men with ED. Methods and patients Men over 18 years old with ED treated in different cities in Spain participated. The general quality of life (World Health Organization Quality of Life-BREF, WHOQOL-BREF), quality of sexual life (Sexual Life Quality Questionnaire-SLQQ), and the degree of self-esteem (Self-Esteem and Relationship-SEAR) were evaluated, and identified factors associated with these constructs. How ED affects areas and quality of life was qualitatively explored with semi-structured interviews. Results 356 men participated in the quantitative phase and 21 in the qualitative phase. The average age was 58.2 years old (SD 12.2), 13.2% lived in Madrid, 55.6% worked, 59% lived with their partner, 98% were heterosexual, and 72.2% presented comorbidities related to ED. The mean IIEF was 11.4 (SD 6.6) and the mean time with ED was 5.9 years. In 17.4% the general quality of life was very bad or regular and in 55.3% quite good or very good, with no association found between this value and the quality of the erection or the degree of ED. The average score for the SLQQ questionnaire was 48.7 (SD 1.4) and for the SEAR questionnaire was 36.4 (SD 17.76), with an average score of 37.9 (SD 18.5) on the self-esteem subscale. Time with ED and frequency of sexual relations was associated with low self-esteem and confidence, and the severity of ED was associated with a low score in the social relationships domain (p&amp;lt;0.05). In the qualitative evaluation, few patients considered that ED affects other areas of their lives in addition to their sexual health. Conclusions ED can negatively affect the quality of sexual life and self-esteem in Spanish men, but other areas of their lives are not affected. Financing Boston Medical Group.

Cerebral Palsy and Dentistry: A Narrative Review

Cerebral palsy is defined by reduced cognitive and psychomotor capacity and ability caused by cerebral hypoxia. Patients with cerebral palsy usually have a higher incidence of diseases than the general population. Both systemic and stomatological alterations are commonly observed. Dentistry provides part of the special care that patients with cerebral palsy may require, and the dental surgeon must be prepared to meet their needs, both preventively and curatively. Care requires not only specific oral health care, but also a psychological approach and support for family members and carers, favouring general health and quality of life of the patient with cerebral palsy. The purpose of this article is to review stomatological and behavioural characteristics to help establish a protocol for caring for patients with cerebral palsy

Is caregiver sleep quality an important clinical issue?

Sleep quality is directly related to general health and quality of life. Caregivers' sleep disturbances affect not only their own health, but also the optimal care of their patients, with negative consequences such as neglect and medication errors. This study was conducted prospectively in the palliative care unit. The participants were divided into two groups: the caregivers and the control group. The caregiver groups were categorized into two subgroups: family and paid caregivers. The sleep quality of the caregivers was evaluated with the Pittsburgh Sleep Quality Index (PSQI). The demographics, body mass index, educational level, the presence of chronic diseases and medications, need for spiritual support, daytime sleepiness, duration of caregiving, nighttime awakening, and tea/coffee consumption were recorded. The study included 250 caregivers (female: 74.8%, mean age: 50.6 ± 12.1) and 103 control group members. Family caregivers significantly had an advanced age, lower educational level, more chronic diseases, and medications, need for spiritual support, and longer duration of caregiving compared to the paid caregivers (p = 0.018, < 0.001, 0.001, 0.005, < 0.001, and 0.003, respectively). The total PSQI scores of caregivers were significantly higher in the FDR, family group, females, those with need of spiritual support, and tea/coffee consumption close to bedtime (p = 0.002 < 0.004. 0.026. < 0.001, and 0.022, respectively). The fact that the sleep quality of family group caregivers is worse than that of paid caregivers may prevent healthy medical service delivery. The provision of care by paid professional caregivers will improve quality of care and quality of life.

Utilization of hospital anxiety and depression scale to measure mental disorders of patients with lung cancer in Vietnam: A cross-sectional study

ABSTRACT This study aimed to measure the anxiety, and depression among lung cancer patients, and identify factors associated with these conditions. A cross-sectional study was carried out at a hospital in Vietnam. A standardized medical record was used as a data collection tool. Sociodemographic, clinical and mental health characteristics were collected. Hospital Anxiety and Depression Scale (HADS) was used to measure anxiety and depression. Results showed that among 256 patients, the rate of anxiety and depression was 15.6% and 20.0%, respectively. Better quality of life was negatively associated with the likelihood of having anxiety and depression. Patients having 4-6 months from diagnosis were more likely to have anxiety (OR = 6.98) than those having less than 1 month of diagnosis. Patients having moderate pain were more likely to be depressed (OR = 6.49) compared to those without pain. Being restricted in physically strenuous activity and better perceived general quality of life were negatively associated with anxiety score. Having a better perceived general quality of life (Coef. = -1.28) was also negatively associated with depression score while having NSCLC (Coef. = 2.07) were positively correlated with depression score. To conclude, this study suggested high rates of anxiety and depression in lung cancer patient.