Daily Life Management Research Articles

Agreeableness and Conflict Management in Daily Life: The Impact of Prosocial Traits on Psychological Adaptation

This paper explores the role of agreeableness, a key personality trait characterized by prosocial behaviors such as empathy, altruism, and cooperation, in conflict management and psychological adaptation in daily life. Agreeable individuals, driven by a focus on harmony and understanding, tend to employ constructive conflict resolution strategies that prioritize relational well-being and mutual respect. These strategies reduce interpersonal tensions, promote trust, and enhance relational satisfaction. Furthermore, agreeableness contributes significantly to psychological adaptation by fostering positive social interactions, enhancing emotional regulation, and promoting adaptive coping mechanisms, which together support resilience in the face of life’s challenges. The broader implications of agreeableness extend beyond individual relationships, influencing organizational dynamics, community engagement, and societal harmony by reducing conflict, fostering inclusivity, and bridging ideological divides. This paper highlights the importance of agreeableness in shaping both personal well-being and social cohesion, emphasizing its role in promoting a more empathetic, cooperative, and resilient society.

Parenting Emerging Adults with Multiple Sclerosis: A Qualitative Analysis of the Parents’ Perspective

Parents of emerging adults are requested to adjust their level of support and control according to their child’s developmental age and to foster their autonomy. This developmental task may be more difficult when emerging adults are suffering from a chronic illness. Parenting emerging adults with a chronic illness is an under-investigated topic, especially with reference to multiple sclerosis (MS), a chronic neurological disease usually diagnosed in emerging adulthood. The study aims to qualitatively explore the characteristics of the relationship that parents report having with their emerging adult children (18–29 years) with MS. Specifically, we investigated how the dimensions of support and control emerge from the parents’ perspective, whether overparenting (characterized by both oversupport and overcontrol) emerges, and its characteristics. Eleven semi-structured interviews were conducted with parents of emerging adults with MS, and a qualitative content analysis was performed through Atlas.ti 6.0 software, combining a deductive and an inductive approach in relation to the study aims. A system of 13 codes was defined and a total of 141 quotations were codified. Overparenting appears to be the most frequent relational mode among the parents interviewed. Most quotations referred to oversupport (in particular, parents report anticipatory anxiety about child’s well-being and show excessive indulgence and permissiveness) and overcontrol (in particular, parents report a vicarious management of daily life and medical therapies). The study gives indications for psychological interventions helping parents to adequately support their children while encouraging their autonomous management of daily life and illness-related difficulties.

The Use of Cyclin-Dependent Kinase 4/6 Inhibitors in Elderly Breast Cancer Patients: What Do We Know?

Breast cancer (BC) incidence increases with age, particularly in HR-positive/HER2-negative subtypes. Cyclin-dependent kinase 4 and 6 inhibitors (CDK 4/6is) alongside endocrine therapy (ET) have emerged as promising treatments for HR-positive/HER2-negative advanced and early BC. However, their efficacy, safety, and impact on quality of life (QoL) in older and frail patients remain underexplored. This position paper assesses the existing literature from 2015 to 2024, focusing on CDK4/6is use in patients aged 65 years and older with HR-positive/HER2-negative BC. Our analysis methodically addresses critical questions regarding the utilization of CDK4/6is in the elderly BC patient population, organizing findings from the metastatic and adjuvant settings. In the metastatic setting, CDK4/6is significantly improve progression-free survival (PFS), paralleling benefits observed in younger patients, and suggest potential overall survival (OS) benefits, warranting further investigation. Despite an increased incidence of grade ≥ 3 adverse events (AEs), such as neutropenia and asthenia, CDK4/6is present a markedly lower toxicity profile compared to traditional chemotherapy, with manageable side effects. QoL analysis indicates that integrating CDK4/6is into treatment regimens does not significantly impact elderly BC patients' daily life and symptom management. Special attention is given to frail subgroups, and personalized approaches are recommended to balance efficacy and adverse effects, such as starting with ET alone and introducing CDK4/6is upon progression in patients with a low disease burden. Transitioning to the adjuvant setting, early results, particularly with abemaciclib, indicate positive effects on disease-free survival (DFS), emphasizing the need for continued analysis to validate these findings and assess long-term implications. However, data on older patients are insufficient to conclude whether they truly benefit from this treatment. Overall, CDK4/6is present a favorable benefit-risk profile in older BC patients, at least in advanced BC; however, further research is warranted to optimize treatment strategies and improve outcomes in this population.

Design and Evaluation of a Comprehensive Assistance App for Early-Stage Alzheimer's Patients

This study endeavors to create and assess a specialized mobile application (app) designed to cater to the unique needs of individuals in the early stages of Alzheimer's disease (AD). The ultimate goal is to improve their daily life management. This abstract offers a comprehensive overview of the research, encompassing the research context, problem analysis, design principles, user interface development, and evaluation of the app's users. Throughout the study, rigorous scholarly standards are upheld, with the inclusion of citations from academic literature to support the assertions put forth. The research context highlights the increasing prevalence of Alzheimer's disease and the growing importance of developing supportive tools for affected individuals. The problem investigation delves into the specific challenges faced by early-stage AD patients in their daily lives, such as memory deficits and cognitive impairments, emphasizing the need for tailored solutions. In the design phase, the study outlines the principles guiding the app's development, emphasizing user-centered design and accessibility. The user interface development section provides insights into the app's visual and interactive elements, with a focus on simplicity and usability to accommodate the cognitive limitations of the target audience. Furthermore, the paper discusses the rigorous evaluation process undertaken to gauge the app's effectiveness in improving daily life management for early-stage AD patients. This evaluation includes user feedback, usability testing, and performance metrics, ensuring that the app meets its intended objectives. Throughout this research, citations from academic literature are incorporated to validate the research findings and demonstrate the scholarly rigor of the study.

Experience of French patients with olfactory disorders

ObjectivesTo assess the experience of subjects with olfactory disorders in their daily life and medical management, and their expectations and proposals for improvement. Material and methodsA cross-sectional observational study was conducted over the period January 2020 to December 2021, with 300 subjects with olfactory disorders: 222 female, 78 male; mean age 46±15 years. In total, 126 were patients consulting in ENT, and 174 were members of the Anosmie.org patients’ association. Participants filled out a questionnaire; free texts were analyzed thematically and coded for various qualitative variables. ResultsOlfactory disorders considerably impacted health, safety and quality of life. Non-COVID-19 acute etiologies (non-COVID-19 viral infection, cranial trauma) showed particularly high risk of psychological, social, safety-related and nutritional consequences. Almost all patients (94%) were dissatisfied with their medical management: 28% had received little explanation, and 23% felt their dysosmia was completely neglected, with no exploration and no etiology suggested. Patients wished above all to have follow-up and accompaniment. ConclusionDespite significant impact on health and quality of life, olfactory disorders are neglected by the medical community. Patients should be given an ENT assessment with olfactometry, to establish diagnosis and prognosis. Global multidisciplinary management is necessary, including therapeutic education, and psychological, social and nutritional follow-up.

Dealing with the diagnosis of Parkinson's disease and its implications for couple functioning in the early stage: An interpretative phenomenological analysis.

For couples facing Parkinson's disease, marital relationships are significantly impacted, even at the early stages of the disease. However, very few studies have explicitly explored the functioning of the couple and how both partners deal with Parkinson's disease. The aim of this study was to explore the experiences and strategies of couples facing Parkinson's disease in the early stage using dyadic interpretative phenomenological analysis. Fifteen couples agreed to participate in the study. Semistructured interviews were conducted with each partner separately regarding his or her individual experience with Parkinson's disease, the couple's history, the impact of the diagnosis on the functioning of the couple, and his or her projections for the future. Three higher-order themes emerged from the analyses. The first theme, "Being tested by the diagnosis", highlights 4 dyadic configurations according to the individual's and the couple's capacity for adjustment following the diagnosis: "noncongruent", "collapsed", "relieved" and "avoidant". The second theme, "Talking about everything except the disease", underlines that communication about the disease is often avoided both within the couple and with relatives to protect the persons with Parkinson's disease or respect their wishes. The third theme, "Supporting each other", describes the different levels of harmony between the two partners in the management of daily life and symptoms and their relational impacts. These results allow us to better understand the experiences of both partners and to highlight the importance of promoting better acceptance of the diagnosis by persons with Parkinson's disease to allow better communication between partners and with relatives. Such support prevents disease-specific distress and facilitates better adjustment in the later stages of the disease.

The more empowered schools, the more fruitful students

This study emphasizes the importance of adding life skills education to school curricula, recognizing that not all students' paths will lead to traditional employment. While not all students will become doctors, engineers, or lawyers, they will all go through a process of growth. Every individual needs key life skills necessary for resilience, adaptation, and effective management of daily life. This study aims to explore the important role of education in preparing the developing generation to live at the desired level by emphasizing the importance of empowering schools to shape a more productive future. This study utilizes the case study research approach. In this technique, researchers remain outside of the situation under investigation, focusing on the examination of many aspects and components that may interact. as a result, a holistic education, active families, and a developing curriculum with 21st-century skills enable children to overcome social barriers and prepare them for postsecondary education and the workforce. This study proposes a holistic strategy that emphasizes life skills alongside academic coursework, developing individuals who are adaptable and ready to face future challenges by revisiting the traditional educational tripod.

Therapeutic impact of an intervention associating pharmacist counseling and the use of a mobile health application for type 2 diabetes patients

Background and objectives: Diabetes represents a real public health problem, due to its constantly increasing prevalence and many complications. Prevalence of type 2 diabetes is high in Belgium (estimated at over 8%, 1 patient out of 3 being unaware of their diagnosis). Management based on a change of lifestyle and the adoption of health-promoting behaviors, complemented if necessary by drug treatment, prevents complications, improves the patient's quality of life, and reduces mortality. It is essential to implement multidisciplinary patient support, in which the pharmacist can participate through pharmaceutical care, but also through the implementation of educational sessions promoting the involvement of the diabetic patient in the management of his or her health. Research suggests that the use of mobile technologies combined with health coaching can help patients with their daily life and disease management. This study, a collaboration between ULiège, Multipharma and Comunicare, aims at exploring the benefits of the use of mobile technologies combined with health coaching by the community pharmacist for type 2 diabetes patients. The intervention aimed to reinforce the patient's willingness to actively participate in the management of their disease and to adopt favorable health behaviors, in order to increase their level of therapeutic adherence.
 Intervention and methods: This interventional study combined educational intervention and coaching sessions by the community pharmacist with the daily use of a mobile health application provided by Comunicare. This was a quantitative study established over a period of six months with three data collection periods (before, during and after the intervention). Primary outcomes (HbA1c and MARS-5 score), related to the level of medication adherence, and secondary outcomes (HDL cholesterol, LDL cholesterol, systolic and diastolic blood pressure, BMI and waist circumference), considered as cardiovascular risk factors, were analyzed.
 Results: The baseline sample consisted of 66 patients, 50 of whom completed the study. Statistical analyses did not show an improvement in the level of medication adherence. However, significant results were observed for systolic blood pressure and waist circumference (both improving). All the other outcomes, including HbA1c, changed positively or stabilized between the beginning and end of the study.
 Conclusion: This study showed that counseling by the community pharmacist, combined with the use of a mobile health application, can achieve the therapeutic intent of physician-initiated therapy and have a positive impact on the management of the type 2 diabetic patients as well as on outcomes considered as cardiovascular risk factors.

Relationship between Self-Management Behavior on the Severity of Artery Coronary Disease

Coronary artery disease (CAD) is a non-communicable disease that is the main cause of death and loss of disability-adjusted life years (DALYs) globally. Patients can experience various complications that affect the severity of the disease. Various factors, especially self-management behavior, can influence the severity of CAD patients. This study aimed to determine the relationship between self-management behavior and the severity of CAD in Dr. Zainoel Abidin Regional General Hospital Banda Aceh. This study used a cross-sectional design from March 28 to May 19, 2023. The sample consisted of 221 CHD patients who had undergone coronary angiography, were selected using purposive sampling, and met the inclusion and exclusion criteria. Data was collected through guided interviews using the self-management scale (CSMS) and syntax score. Data were analyzed descriptively and inferentially. Data analysis showed a significant relationship between self-management behavior and the severity of CAD. Daily life management (p=0.000, OR=5.334), disease management (p=0.000, OR=2.633), and emotional management (p=0.000, OR=2.047) were associated with the severity of CAD. Logistic regression indicated that daily life management was the most dominant factor associated with the severity of CAD (OR=5.334). Good daily life, disease, and emotional management can help reduce the risk of complications and improve the prognosis of CAD patients. Self-management behavior, particularly daily life management, is significantly related to the severity of CAD in Dr. Zainoel Abidin Regional General Hospital patients.

“Notice of major cleaning”: A qualitative study of the negative impact of encampment sweeps on the ontological security of unhoused people who use drugs

BackgroundUnhoused people who use drugs in the United States are at risk for a variety of negative health outcomes. As the crisis of houselessness continues to impact major urban areas, a wave of punitive policies has been enacted to remove visible unhoused people from public spaces. There is reason to believe that harsh policies of encampment displacement will have negative immediate and downstream impacts on this community. MethodsParticipant observation was conducted weekly or bi-weekly at unhoused encampments in Los Angeles County, USA over the course of two years (2021, 2022). Data were generated through the lens of ontological security theory via in-field jottings and comprehensive field notes. Formal, semi-structured qualitative interviews were conducted with 30 unhoused people who use drugs recruited primarily through peer-referral sampling at these same venues. Data were coded and analyzed thematically using the Template Analysis approach. Field notes were used to triangulate and further contextualize thematic analysis of interview data. ResultsEncampment sweeps impacted nearly all participants and occurred multiple times at every visited field site. They were observed to occur both with and without the presence of police, but always resulted in the loss of the personal property of encampment residents. Sweeps occurred across seasons, hazardous weather, and without offers of alternative shelter. Participants described sweeps as impacting all aspects of their ontological security, including dismantling material and social constancy, disrupting routines of daily life and resource management, increasing feelings of surveillance, and potentially creating negative identity formation. ConclusionsIn both ethnographic observation and participant interviews, encampment sweeps were noted to be physically, psychologically, and socially destructive. Sweeps left participants feeling anger, loss, and hopelessness while further driving the societal marginalization of unhoused people who use drugs. Sweeps should be discontinued as they harm the capacity of unhoused people to improve their well-being.

Current status and influencing factors of self-management in knee joint discomfort among middle-aged and elderly people: a cross-sectional study

BackgroundThis study aims to identify the current status and factors influencing self-management of knee discomfort in middle-aged and elderly people in China.MethodsA stratified multistage cluster sampling method was used to select participants from communities in China from January 15 to May 31, 2020. A cross-sectional survey was conducted using the general information questionnaire and the Knee Joint Discomfort Self-management Scale. Univariate analysis and a generalized linear model were used to analyze the factors influencing self-management.ResultsThe prevalence of knee discomfort was 77%. Moderate to severe discomfort accounted for 30.5%. The average item score of self-management in 9640 participants was 1.98 ± 0.76. The highest and lowest levels were: ‘daily life management’ and ‘information management’. Gender, ethnicity, education level, economic source, chronic disease, knee pain in the past month, and the degree of self-reported knee discomfort were significant predictors of self-management.ConclusionThe self-management of knee discomfort in middle-aged and elderly people is poor, and the degree of discomfort is a significant predictor. Healthcare providers should consider socioeconomic demographic and clinical characteristics to help these individuals improve their self-management skills. Attention should also be given to improving their ability to access health information and making them aware of disease risks.

Evaluation of community pharmacist follow-up supported by the use of healthcare technology for type 2 diabetes patients

BackgroundPrevalence of type 2 diabetes is high in Belgium (estimated at over 10%, 1 patient out of 3 being unaware of their diagnosis). Management based on a change of lifestyle and the adoption of health-promoting behaviors, supplemented when needed with drug treatment, prevents complications, improves the patient's quality of life and reduces mortality. Multidisciplinary patient support is essential. In this, pharmacists have a key role, e.g. through therapeutic patient education activities, in which they are increasingly involved. Moreover, research suggests that the use of mobile technologies can be a useful tool for helping patients with their daily life and disease management. ObjectivesThis study aims at exploring the benefits of community pharmacist follow-up supported by the use of mobile technologies in the monitoring of individuals with type 2 diabetes. The presented intervention aimed to reinforce the patients' willingness to actively participate in the management of their disease and to adopt favorable health behaviors, in order to increase their level of medication adherence. MethodsA quantitative quasi-experimental study was conducted in community pharmacies throughout Belgium over a 6-month period with 3 data collection periods (before, during and after the intervention). Primary outcomes, related to the level of medication adherence, and secondary outcomes, considered as markers of the patient's overall health, were analyzed. In addition, qualitative data concerning participants' opinions on their experience were collected. Results66 patients participated in the study, with 50 remaining after 3 months and 46 completing the entire study. Statistical analyses did not show an improvement in the level of medication adherence. This parameter was high from the beginning, reflecting patients with controlled diabetes. However, statistically significant results were observed for systolic blood pressure and waist circumference (both improved), while other outcomes showed a positive trend or remained stable. Patient follow-up by the pharmacist was a positive experience for both parties which noted their interest and satisfaction for the project. ConclusionsAlthough clinical results are not conclusive, patients were motivated and the attrition rate was low. Participants showed their interest in participating in this kind of project, opening up opportunities for further studies in the community pharmacy setting. As front-line health professionals, community pharmacists certainly have a key-role to play in therapeutic patient education and mobile technologies could be additional tools in this process.

Impression management in daily life: an experience sampling test for the expression of impression management as interpersonally oriented self-control.

Impression management (IM) scales (often called lie or social desirability scales) have long been applied as validity scales in assessment processes. Recent developments have indicated that these scales measure a substantive personality predisposition and not response bias, but the nature of the disposition is disputable. According to the 'interpersonally oriented self-control' approach, IM is associated with high self-control exerted mainly in public social contexts to facilitate adaptation. Supported in laboratory settings, this approach has not been tested in real-life dynamics. In the present experience sampling study, participants reported 3 times a day (10 days) about their social condition (alone/'with others') and their level of self-control. Results revealed that IM was associated with stronger self-control when with other people than when alone. Comparable reactions to public social context were not found for self-deception enhancement, trait self-control, or agreeableness, marking this a unique aspect of IM. The findings further stress the need to reconsider the use of IM scales for validity purposes in assessment processes.

Remote Patient Monitoring and Teleconsultation to Improve Health Outcomes and Reduce Health Care Utilization of Pediatric Asthma (ALPACA Study): Protocol for a Randomized Controlled Effectiveness Trial

Background Childhood asthma is imposing a great financial burden on the pediatric health care system. Asthma costs are directly related to the level of asthma control. A substantial part of these costs may be preventable by the timely and adequate assessment of asthma deterioration in daily life and proper asthma management. The use of eHealth technology may assist such timely and targeted medical anticipation. Objective This paper describes the Ambulatory Pediatric Asthma Care (ALPACA) study protocol to investigate the effectiveness of an eHealth intervention consisting of remote patient monitoring and teleconsultation integrated into the daily clinical care of pediatric patients with asthma. This intervention aims to reduce health care utilization and costs and improve health outcomes compared to a control group that receives standard care. In addition, this study aims to improve future eHealth pediatric asthma care by gaining insights from home-monitoring data. Methods This study is a prospective randomized controlled effectiveness trial. A total of 40 participants will be randomized to either 3 months of eHealth care (intervention group) or standard care (control group). The eHealth intervention consists of remote patient monitoring (spirometry, pulse oximetry, electronic medication adherence tracking, and asthma control questionnaire) and web-based teleconsultation (video sharing, messages). All participants will have a 3-month follow-up with standard care to evaluate whether the possible effects of eHealth care are longer lasting. During the entire study and follow-up period, all participants will use blinded observational home monitoring (sleep, cough/wheeze sounds, air quality in bedroom) as well. Results This study was approved by the Medical Research Ethics Committees United. Enrollment began in February 2023, and the results of this study are expected to be submitted for publication in July 2024. Conclusions This study will contribute to the existing knowledge on the effectiveness of eHealth interventions that combine remote patient monitoring and teleconsultation for health care utilization, costs, and health outcomes. Furthermore, the observational home-monitoring data can contribute to improved identification of early signs of asthma deterioration in pediatric patients. Researchers and technology developers could use this study to guide and improve eHealth development, while health care professionals, health care institutions, and policy makers may employ our results to make informed decisions to steer toward high-quality, efficient pediatric asthma care. Trial Registration ClinicalTrials.gov NCT05517096; https://clinicaltrials.gov/ct2/show/NCT05517096 International Registered Report Identifier (IRRID) PRR1-10.2196/45585

Testing Gender Differences: The Dark Triad and Motives for Deceptive Impression Management

This study examined the effect of the dark triad personality traits of Machiavellianism, narcissism, and psychopathy on motives for deceptive impression management in consideration of gender differences. An online survey was conducted with 121 Japanese university students (57 men, 64 women), who completed the Short Dark Triad-Japanese version and the Acting in Daily Life Scale. Multiple-group structural equation modeling results were as follows: (a) Men with high Machiavellianism scored lower on relationship maintenance and relationship acquisition than women with high Machiavellianism did; (b) narcissism was positively associated with relationship acquisition in men, whereas in women, narcissism was negatively associated with difficult situations; and (c) in both men and women, psychopathy was negatively associated with relationship acquisition. The findings suggest that the effects of the dark triad of personality on deceptive impression management in daily life are gender-specific and dependent on cost estimates.

Development and psychometric evaluation of a new patient -reported outcome measure for psoriasis self-management efficacy: the self-management efficacy questionnaire among patients with psoriasis (SMEQ-PSO)

BackgroundIt is significant for the healthy outcome of patients with psoriasis (PSO) to improve their self-management efficacy. A standardized assessment tool, however, was lacking. Therefore, we aimed to develop a self-management efficacy questionnaire for patients with PSO (SMEQ-PSO) and evaluate its psychometric properties.MethodsA cross-sectional study developing clinical evaluation tool was conducted from October 2021 to August 2022. In the process of developing SMEQ-PSO, three phases were involved: item generation, item evaluation, and psychometric evaluation.ResultsThe SMEQ-PSO with five dimensions and 28 items was developed. The questionnaire’s content validity index was 0.976. Exploratory factor analysis indicated a five-factor structure (self-efficacy of psychosocial adaptation, self-efficacy of daily life management, self-efficacy of skin management, self-efficacy of disease knowledge management and self-efficacy of disease treatment management) that explained 62.039% of the total variance. Confirmatory factor analysis indicated appropriate fit of the five-factor model. The overall Cronbach’α coefficient was 0.930, the test-retest reliability was 0.768 and the split half reliability coefficients was 0.952.ConclusionsThe 28-item SMEQ-PSO is a reliable and valid tool that can be used to assess the self-management efficacy among patients with PSO and provide personalized interventions based on their individual circumstances to improve their health outcomes.

Challenges and worries in life stories of women with bleeding disorders

Women with bleeding disorders have rarely been studied. Recently, thanks to the advancement in treatment options and the recognition that women can also suffer from haemo-philia, new research lines have been developed. This study investigated the experiences of women affected by bleeding disorders (patients, healthy or symptomatic carriers), specifically focussing on disease diagnosis and management in daily life, relational issues, and reproductive options. Age, family history, educational qualification and religiosity were also considered. Thirty-two women were interviewed, and their narratives were analysed with lexical-metric and qualitative content analysis. The results showed some key themes, which refer to cognitive, affective and behavioural responses to the disease. They included both sex-neutral and female-specific contents, offering a new reading of the phenomenon. Although the aware-ness of female bleeding disorders has increased in recent years, sick women stressed late di-agnosis paths and symptom underestimations, while female carriers discussed psychosexual issues and motherhood choices, with related implications on physical and psychological well-being, and relational life. Alongside commonalities, some differences emerged depending on women's socio-cultural situations. Overall, they suggested the importance of developing early patient-centred psycho-educational paths in order to tailor interventions to specific women's needs, promote disease and self-acceptance, and enhance effective management.

Executive Functioning, Daily Self-Regulation, and Diabetes Management while Transitioning into Emerging Adulthood.

Executive functioning (EF) predicts better Type 1 diabetes (T1D) management in the high-risk years after high school, but the daily self-regulation processes involved are unclear. To examine whether EF is associated with daily self-regulation that minimizes one's exposure or buffers adverse reactions to daily diabetes problems, and to determine whether these patterns become stronger during the transition out of high school. A measurement burst design with convenience sampling was used. Seniors in high school with T1D (N = 207; 66% female) completed self-report (i.e., Behavioral Rating Inventory of Executive Functioning) and performance measures of EF (i.e., Delis-Kaplan Executive Function System). A 14-day daily diary assessing self-regulation failures, diabetes problems, affect, and indicators of diabetes management was completed at baseline and 1 year later. Correlations and multilevel modeling were conducted. Lower self-reported EF problems were associated with lower average levels of daily self-regulation failures, and these variables were associated with fewer daily diabetes problems. In contrast, better EF performance was unrelated to average daily self-regulation failures, and was unexpectedly associated with more frequent diabetes problems in year 2. Equally across years, on days participants reported lower than their average levels of daily self-regulation failures, they had fewer diabetes problems, regardless of EF. On days with lower than average diabetes problems, participants reported better diabetes management indicators. EF generally did not buffer daily associations in either year. Regardless of EF, promoting daily self-regulation may prevent diabetes problems and promote T1D management in daily life at this high-risk transitional time.

Effects of ultrasound-guided erector spinae plane block on postoperative acute pain and chronic post-surgical pain in patients underwent video-assisted thoracoscopic lobectomy: a prospective randomized, controlled trial

ObjectiveTo investigate the effects of ultrasound-guided erector spinae plane block (ESPB) on acute and chronic post-surgical pain in patients underwent video-assisted thoracoscopic lobectomy.MethodsA total of 94 patients, who underwent elective unilateral video-assisted thoracoscopic lobotomy from August 2021 to December 2021 were randomly divided into general anesthesia group (group A, n = 46) and ESPB combined with general anesthesia group (group B, n = 48) by computer. Patient controlled intravenous analgesia(PCIA) was performed in both groups after operation. The numerical rating scale(NRS) of rest and cough pain at post anesthesia care unit(PACU), 2 h, 6 h, 12 h, 24 and 48 h after operation, frequency of PCIA in 24 h after operation, frequency of rescue analgesia, patient satisfaction, adverse reactions and complications were recorded in the two groups. Incidence of chronic pain at 3 months and 6 months after operation, the effect of daily life and rating of chronic pain management measures were recorded in the two groups.ResultsCompared with group A, rest and cough NRS score at 2 h, 6 h, 12 h, 24 and 48 h after surgery, frequency of PCIA use at 24 h after surgery, frequency of rescue analgesia were significantly decreased in group B (P < 0.05). There was no significant difference in NRS scores of rest and cough at PACU after operation between 2 groups after surgery at post anesthesia care unit (P > 0.05). There were no significant differences in the incidence of postoperative chronic pain between the 2 groups(P > 0.05);The effect of postoperative chronic pain on daily life and pain management measures in group B were significantly lower than those in group A(P < 0.05). Compared with group A, patients in group B had higher satisfaction degree, lower incidence of postoperative nausea and vomiting(PONV), and lower incidence of agitation during anesthesia recovery (P < 0.05). There were no pneumothorax, hematoma and toxicity of local anesthetic in the 2 groups.ConclusionUltrasound-guided erector spinae plane block can significantly reduce acute post-surgical pain, can not reduce the incidence of chronic post-surgical pain, but can significantly reduce the severity of chronic pain in patients underwent video-assisted thoracoscopic lobectomy.Trial registrationChiCTR2100050313,date of registration:26/08/2021

PREVALENCE OF LOW BACK PAIN DURING PREGNANCY: A CROSS-SECTIONAL STUDY IN A TERTIARY CARE HOSPITAL.

Objective:To assess the severity of low back pain (LBP) during pregnancy including prevalence,risk factors,impact on daily life and health management in a tertiary care hospital in Jammu. Methods: An anonymous, 30-question questionnaire was administered to pregnant women admitted to a tertiary care hospital and attending the OPD.A total of 500 surveys were returned between April 2022 and September 2022. Results: 325 (65%) respondents reported experiencing LBP during the current pregnancy. Gestational age did not affect incidence. Back pain during current pregnancy was predicted by age (younger women were more likely to experience it; LBP without pregnancy, during menstruation and during previous pregnancy. Most respondents reported that LBP during pregnancy caused sleep disturbances (52).%) and worsened daily life (58%) Average pain was moderate Almost 32% of respondents stopped at least one daily activity because of pain and reported that the pain also prevented them from performing other routine activities. Only 40% of respondents who experienced LBP during pregnancy reported the problem to their prenatal care providers,and only 22% of prenatal care providers recommended treatment. Conclusion: Our study showed that LBP during menstruation predicts a high risk of LBP in the current pregnancy. The study showed that LBP during menstruation and previous LBP can be useful tests to rule out and resolve LBP during pregnancy.