Mean Scores Of Patients Research Articles

The humanistic burden of immunoglobulin A nephropathy on patients and care-partners in the United States.

This cross-sectional survey study quantified the humanistic burden of immunoglobulin A nephropathy (IgAN), in terms of physical and mental health-related quality of life (HRQoL) and work productivity, among adults with primary IgAN and their care-partners. HRQoL was assessed (01/31/22 - 05/31/23) with validated tools including the KDQoL-36 (with SF-12), GAD-7 (anxiety), PHQ-9 (depression), and WPAI: SHP (work productivity). Participant characteristics and total/domain scores were summarized; selected outcomes were compared to an external, kidney disease-free cohort. 117 adults with IgAN and their care-partner pairs, and one adult without a care-partner, were included. The mean ages of patients and care-partners were 38.0 (SD: 8.6) and 40.2 (11.8) years, respectively; 55.9% and 43.6% were female. Mean physical and mental SF-12 scores for patients were 46.7 (SD: 8.0) and 41.9 (9.2), respectively, and 50.7 (7.3) and 43.7 (10.24) for care-partners. Both SF-12 components for patients, and the mental component for care-givers, were significantly worse compared to the US general population. Among patients, 27.1% had moderate/severe anxiety and 49.2% reported at least moderate depression. Compared to external controls, patients experienced significantly higher severity of anxiety (6.6 vs. 5.4) and depression (8.1 vs. 6.6; both p < 0.0001). Among care-partners, 13.7% experienced moderate anxiety and 37.8% experienced moderate/moderately-severe depression. Among employed individuals, both groups reported IgAN-related absenteeism (8.8-9.4%), presenteeism (25.1-25.9%), and overall work impairment (30.4-30.5%). US adults with IgAN and their care partners experience impairments to mental and physical HRQoL and heightened levels of depression and anxiety, underscoring the need for effective IgAN therapies and care-partner support.

Histological Findings in Antigen E Positive and Negative in Chronic Hepatitis B.

To determine the histopathological findings in patients with HBeAg-positive chronic HBV infection (immunotolerant phase in old terminology) and HBeAg-negative chronic HBV infection (inactive carrier phase in old terminology). Observational study. Place and Duration of the Study: Department of Gastroenterology, University of Health Sciences, Diyarbakir Gazi Yasargil Education and Research Hospital, Diyarbakir, Turkiye and Diyarbakir and Mersin University School of Medicine, Diyarbakir, Turkiye, from May 2014 to August 2022. The difference between fibrosis and histological activity indices of 289 patients in the immunotolerant and inactive carrier phase who had liver biopsy was examined statistically. Additionally, the relationship of these data with age and gender was investigated. While 236 (81.7%) of the patients were in the inactive carrier phase, 53 (18.3%) patients were in the immunotolerant phase. The mean fibrosis score of patients in the immunotolerant stage was 2.0 ± 1.2, while it was 2.0 ± 1.0 in inactive carriers (p = 0.753). The number of patients with a fibrosis score of two and above was 21 (39.6%) in immunotolerant patients and 52 (22.0%) in inactive carrier patients (p = 0.004). In patients under 30 years of age, the mean fibrosis score was 1.7 ± 1.0. It was 2.0 ± 1.1 in those over 30 years of age (p = 0.016). Biochemical parameters or viral load cannot clearly reflect cellular damage in the liver. In the future, HBV DNA positivity alone may be the only criterion for the treatment. Chronic viral hepatitis B, Fibrosis, Immune tolerance phase, Inactive carrier phase.

Examination of ethical intelligence and cognitive flexibility of nurses and their role in predicting the level of patient privacy protection

IntroductionPossessing ethical intelligence and cognitive flexibility can play a significant role in the acceptable performance of nurses. Furthermore, respecting the privacy of patients should always be a primary ethical principle that nurses focus on. This study aimed to investigate the ethical intelligence and cognitive flexibility of nurses and their role in predicting the level of patients’ privacy observance. Also, determining the overall status of patient privacy protection and its two domains, namely human dignity domain and maintaining personal privacy, were specific objectives of this study.MethodsThis cross-sectional descriptive-analytical study was conducted in 2022. A sample of 340 nurses and 1067 patients from teaching hospitals affiliated with Shiraz University of Medical Sciences in southern Iran were selected. Standard questionnaires of ethical intelligence and cognitive flexibility were used for nurses, and a privacy observance questionnaire was used for patients. Data were analyzed using t-tests, ANOVA, Pearson correlation coefficient, and multiple linear regression with the SPSS23 software.ResultsThe mean score of ethical intelligence and cognitive flexibility for nurses was 98.33 ± 18.06 (out of 200) and 74.56 ± 16.76 (out of 140), respectively. The mean score of patients’ privacy observance was 79.74 ± 14.53 (out of 150). The results of multiple linear regression showed that the dimensions of perseverance and assertiveness towards rights (β = 0.540, p < 0.001), action based on principles, values, and beliefs (β = 0.454, p < 0.001), responsibility towards personal decisions (β = 0.410, p < 0.001), accepting responsibility for serving others (β = 0.393, p < 0.001), ability to forgive one’s mistakes (β = 0.301, p = 0.001), ability to forgive others’ mistakes (β = 0.287, p = 0.002), honesty (β = 0.275, p = 0.004), acknowledgment of mistakes and failures (β = 0.263, p = 0.005), commitment to promises (β = 0.242, p = 0.005), and interest in others (β = 0.237, p = 0.01) from the dimensions of ethical intelligence, as well as the dimensions of perceived control (β = 0.580, p < 0.001), perception of multiple solutions (β = 0.511, p < 0.001), and perception of justifications (β = 0.373, p < 0.001) from the dimensions of cognitive flexibility had a positive and significant effect on the level of patients’ privacy observance.ConclusionEthical intelligence and cognitive flexibility of nurses and the level of patient privacy protection were estimated to be at a moderate level. Also, the level of ethical intelligence and cognitive flexibility of nurses played a predictive role in the level of patients’ privacy observance. It is suggested that hospital managers and policymakers enhance nurses’ ethical intelligence and cognitive flexibility through educational, welfare, managerial, motivational, and job-related programs, thereby improving the status of patient privacy protection.

Assessment of Patient-Reported Outcomes for Closed-Incision Negative Pressure Therapy with Wide-Coverage Dressings in Simple Mastectomy and Immediate Implant-Based Breast Reconstruction.

Objective: A new configuration of closed-incision negative pressure therapy (ciNPT) dressings now covers the incision and a broader area of peri-incisional tissues. We have implemented these ciNPT dressings following simple mastectomy (SM) or skin-sparing mastectomy with implant-based reconstruction (IBR). This study assesses patient-reported outcomes of this new protocol. Approach: Patients underwent SM or IBR for breast cancer. ciNPT with wide-coverage dressings were placed over the entire breast, and -125 mmHg was applied for 14 days. Upon dressing removal, patients rated their experience using the Wound-Q™ Suction Device Scale and recorded their satisfaction on a Likert scale ranging 1-5. Results: Thirteen SM patients and 12 IBR patients were included in the study. The median age was 62 years, and SM patients were significantly older (p < 0.01). Patients rated the ciNPT device highest on items relating to its function and appearance, and lowest on noise and interference with sleep and physical activity. The overall mean score for the combined cohort was 64.8/100. The mean score for SM patients (74.8 ± 19.9) was significantly greater than for IBR patients (53.9 ± 9.6, p < 0.01). The mean overall patient satisfaction rating was 3.92 on a 5-point scale; 4.0 in the SM group and 3.8 in the IBR group. Innovation: This study is the first to report on the patient experience with these newly available wide-coverage ciNPT dressings. Conclusion: Overall, the dressing was well-tolerated by patients, and satisfaction was high. The positive reception of ciNPT with wide-coverage dressings supports continued use at our hospital.

The association between self-efficacy, perceived social support, and family resilience in patients undergoing hemodialysis: a cross-sectional study

BackgroundSelf-efficacy of patients on hemodialysis is considered a main component of the successful management of chronic kidney diseases. The self-efficacy of these patients may be influenced by many individual and social factors. This study aimed to assess the association between perceived self-efficacy and social support by patients on hemodialysis treatment and the resilience of their families.MethodsThis cross-sectional study was conducted on 183 patients and 183 families of hemodialysis patients in the largest hemodialysis center in northwest of Iran. Data was collected from July to December 2021 using chronic kidney disease self-efficacy, multidimensional perceived social support (MSPSS), and the Walsh family resilience questionnaire (WFRQ). The collected data were analyzed by SPSS software using descriptive and inferential statistical tests.ResultsThe findings showed that the mean score of patients’ self-efficacy was 171.63 ± 38.19 in a possible range of 25 to 250. Moreover, the mean score of perceived social support was 62.12 ± 16.12 in a possible range of 7 to 84. The mean total score of family resilience was 119.08 ± 26.20 in a possible range of 32 to 84. Also, the results of the study showed a positive and significant relationship between the self-efficacy of patients with their perceived social support and the resilience of their families (p < 0.01).ConclusionThe results of the study showed that there is a significant relationship between patient self-efficacy and family resilience and social support received in chronic kidney patients undergoing hemodialysis. Therefore, it is suggested to consider practical strategies in the field of family resilience and social support to improve patients’ self-efficacy.

Psychometric Evaluation of the “Providing Validation” Measure in Vascular Anomalies

We assessed the psychometric properties of the “providing validation” subscale of PedCOM measures for parents of children with vascular anomalies and adult patients. A total of 139 adult patients and 78 parents completed surveys. The mean score for patients was 3.7 (standard deviation 1.0), and for parents was 4.0 (standard deviation 0.9). “Providing validation” measures demonstrated high internal consistency and good model fit to a unidimensional model for both patients and parents using confirmatory factor analysis. The measures also demonstrated convergent validity with co-administered measures. This study demonstrated the validity of “providing validation” measures for parents and adult patients with vascular anomalies.

The Effect of Self-Stigma on Self-Esteem and Treatment Compliance in Individuals with Type-2 Diabetes: An Example in the Southeast of Türkiye

Introduction: The aim of the study is to examine the effect of self-stigma on self-esteem and treatment compliance in individuals with Type-2 diabetes. Methods: This descriptive and correlational study was conducted with type 2 diabetes patients who applied to a hospital in southeast Turkey. The study was carried out between June and December 2022. The sample of the study consists of 172 patients who agreed to participate in the study. Participant Introductory Questionnaire, Self Stigma, Rosenberg Self-Esteem, and Morisky Medication Adherence Scale forms were used to collect data. Results: In the study, the mean scores of patients’ self-stigma, self-esteem, and treatment adherence were 51.16±15.41, 17.84±3.31, and 5.66±2.25, respectively. The results also indicated that there was a significant negative correlation between the mean scores of individuals’ self-stigma, self-esteem, and adherence to treatment (p

Transcarotid versus transfemoral transcatheter aortic valve replacement: A systematic review and meta-analysis

BackgroundIn the 2021 Transcatheter Valve Therapy (TVT) registry, 8.9 % of patients underwent TAVR via access sites other than the femoral artery. Transthoracic approaches may be contraindicated in some patients and may be associated with poorer outcomes. Therefore other alternative access routes are increasingly being performed. We conducted a systematic review of the literature on transcarotid transcatheter aortic valve replacement (TC-TAVR) and meta-analysis comparing outcomes of TC-TAVR and other access routes. MethodsWe comprehensively searched for controlled randomized and non-randomized studies from 4 online databases. We presented data using risk ratios (95 % confidence intervals) and measured heterogeneity using Higgins' I2. ResultsSixteen observational studies on transcarotid TAVR were included in the analysis; 4 studies compared TC-TAVR vs TF-TAVR. The mean age and STS score for patients undergoing TC-TAVR were 80 years and 7.6 respectively. For TF-TAVR patients, mean age and STS score were 81.2 years and 6.5 respectively. There was no difference between patients undergoing TC-TAVR and TF-TAVR in the following 30-day outcomes: MACE [8.4 % vs 6.7 %; OR 1.32 (95 % CI 0.71–2.46 p = 0.38) I2 = 0 %], mortality [5.6 % vs 4.0 %; OR 0.42 (95 % CI 0.60–3.37, P = 0.42) I2 = 0 %] and stroke [0.7 % vs 2.3 %; OR 0.49 (95 % CI 0.09–2.56, P = 0.40) I2 = 0 %]. There was no difference in 30-day major vascular complications [0.7 % vs 3 %; OR 0.55 (95 % CI 0.06–5.29, P = 0.61) I2 = 39 %], major bleeding [0.7 % vs 3.8 %; OR 0.39 (95 % CI 0.09–1.67, P = 0.21) I2 = 0 %], and moderate or severe aortic valve regurgitation [8.6 % vs 9.9 %; OR 0.89 (95 % CI 0.48–1.65, P = 0.72) I2 = 0 %]. ConclusionThere are no significant differences in mortality, stroke MACE and major or life-threatening bleeding or vascular complications when TC-TAVR is compared to TF-TAVR approaches.

Improving medication adherence in glaucoma patients: a randomized controlled interventional study

Abstract Objectives The main objective of our study was to assess the adherence of Jordanian patients to their glaucoma treatment after a brief educational session. Methods The current study was a randomized controlled interventional study. One hundred and ninety open-angle glaucoma patients were divided into control and intervention groups. After baseline assessment, patients in the intervention group received an educational session about glaucoma, while patients in the control group only received the usual care. Adherence to medication, eye drop administration technique, and knowledge about glaucoma were assessed at baseline and at follow-up. Key findings The mean MGL adherence scale score baseline value was 0.67 and significantly improved to 0.4 at the follow-up (P-value = .039) for patients in the intervention group. Multivariate regression showed that having less than three kids and experiencing glaucoma medication side effects were negatively correlated with adherence to glaucoma eye drops. The mean Eye Drops Administration scale score for patients in the intervention group improved significantly from 6.25 at baseline to 7.7 at the follow-up (P-value &amp;lt; .001). The mean knowledge scale score for the intervention group patients at baseline was 8.8, which significantly increased to 10 at the follow-up (P-value &amp;lt; .001). The knowledge score was found to be significantly higher for younger patients, those who have higher education levels and health care-related education, patients who rely on the ophthalmologist for glaucoma, and patients with a longer duration glaucoma. Conclusions A short educational session improves patients’ adherence, knowledge, and eye drop administration technique in the intervention group significantly. Patients in Jordan have a relatively high adherence to glaucoma medications. Educational sessions should be provided to glaucoma patients to help the patients in managing their condition.

Exploring COVID-19 patient's dignity and satisfaction: A cross-sectional study.

With the outbreak of COVID-19 and associated challenges such as increased workload for health providers and shortage of equipment, it became more challenging to maintain patients' dignity and satisfaction. This study evaluated the patients' dignity and satisfaction with COVID-19 in Kashan, Iran, in 2021. A cross-sectional descriptive study. In total, 385 patients recovered from COVID-19 were selected through sequential sampling method. Data were collected using demographic, patient dignity inventory, and patient satisfaction questionnaires. Data were analysed using descriptive analysis, independent t-test, ANOVA, and Spearman-Brown coefficient. The mean age of patients was 50.57. The mean scores of patients' dignity and satisfaction were 1.622 ± 0.653 and 3.851 ± 0.548 (out of 5), respectively. The dignity rating was associated with age, gender, education, underlying disease, and length of hospital stay (p < 0.05); but patient satisfaction was only associated with education (p = 0.002). The results indicated that dignity and satisfaction have a significant direct correlation (r = -0.23, p < 0.001). This study was designed based on the research priorities and needs in the field of clinical research and patients were involved in conducting the study via participating in data collection.

SATISFACTION OF INPATIENTS ABOUT HEALTH EDUCATION AT CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL

Background: Health education for patients is one of the essential tasks of physicians in patient care and treatment. To improve the effectiveness of health care and treatment, physicians must spend more time with patients. The interaction of physicians in performing health education for patients must be really enthusiastic, dynamic and responsive to the needs of each patient. Objectives: This study aims to describe the satisfaction of inpatients about the health education communication activities of physicians in clinical departments of university hospitals at Can Tho University of Medicine and Pharmacy Hospital in June and July - 2023. Materials and methods: A convenience sample of 210 inpatients in 07 clinical departments at the time of discharge from the hospital was surveyed in this descriptive, cross – sectional study. Prepared questionnaires for faceto-face interviews with 37 questions (built by referencing documents related to health education communication for patients, and at the same time proposing some new elements for further study). Descriptive statistics were used to analyze data. Results: The majority of the patients were female, accounting for 57.14 %, the average age was 52.01 ± 2.3. Patients had a positive attitude toward thehealth educati on communication methods of physicians, with a score of 69.59 ± 15.73. Most patients received health education in the form of individual consultations, accounting for 95.71 %. The percentage of doctors providing health education consultation to patients was 59.62 %. Patients had a positive attitude toward the health education communication methods of physicians (69.59 ± 15.73), the mean score of patients' evaluation of health education communication activities was 28.89 ± 4.66 and the content of medical education communication was 32.17 ± 10.18. Conclusion: This study shows that patients have positive attitudes toward health education at clinical departments, but patients mainly expect doctors to be the ones to provide information and conduct health education for them. Therefore, it is necessary to develop a health education program for patients that pays attention to the central role of doctors.

The spectrum of psychological disorders in family members of patients suffering from delirium associated with critical illness: a prospective, observational study

During intensive care unit admission, relatives of critically ill patients can experience emotional distress. The authors hypothesized that families of patients who are diagnosed with intensive care unit (ICU) delirium experience more profound depression and anxiety disorders related to stress than do families of patients without delirium. We performed a prospective observational single-center study including families of adult patients (age above 18 years) hospitalized in a 17-bed ICU of a university hospital for at least 48 h who completed research questionnaires at day 2 after admission and day 30 after initial evaluation using dedicated questionnaires (HADS, CECS, IES, PTSD-C). A total of 98 family members of patients hospitalized in the ICU were included in the final analysis (50 family members whose relatives were CAM-ICU positive (DEL+), and 48 family members of patients without delirium (DEL−)). No statistically significant differences in demographics and psychosocial data were found between the groups. In the follow-up 30 days after the first conversation with a family member, the mean PTSD score for the relatives of patients with delirium was 11.02 (Me = 13.0; SD = 5.74), and the mean score for nondelirious patients' family members was 6.42 (Me = 5.5; SD = 5.50; p < 0.001). A statistically significant increase in IES scores for family members of patients with delirium was observed for total PTSD (p = 0.001), IES—intrusion (p < 0.001), and IES—hyperarousal (p = 0.002). The prevalence of anxiety symptoms, depression, and posttraumatic stress disorder (PTSD) was higher in families of patients diagnosed with ICU delirium within 48 h of admission to the ICU. No factors increasing the depth of these disorders in family members of patients with ICU delirium were identified. Taking appropriate actions and thus providing families with appropriate support will contribute to the understanding of unfavorable emotional states, including anxiety, stress, depression, anger, agitation, or avoidance.

Exploring the Complex Interplay: Fatty Liver Severity, Epicardial Fat Volume, and Coronary Artery Calcification

Background and Objective: Cardiovascular diseases and nonalcoholic fatty liver disease are the most common non-communicable diseases in most developed countries, and due to lifestyle changes, their incidence is increasing day by day. The present study aimed to assess the correlation of fatty liver with epicardial fat volume and coronary artery calcium score. Materials and Methods: This cross-sectional study was conducted on 136 patients referred to Hamadan Farshchian Cardiovascular Hospital for computed tomography (CT) angiography. They were selected using a consecutive sampling method. Using a 128-slice multidetector CT scanner, the coronary artery calcium score based on the Agatston criteria and epicardial fat volume were measured. A liver ultrasound was performed using a GE voluson E6 and a 3-5 MHz depth probe, and the severity of the fatty liver was determined based on the echogenicity of the liver on the ultrasound. Data analysis was conducted using the SPSS software (version 26). Results: The mean age scores of patients were 52.90±12.10 years. Regarding gender, 50.5% and 49.5% of cases were male and female, respectively. In terms of fatty liver grade, 64 (47.1%), 48 (35.3%), 21 (15.4%), and 3 (2.2%) cases had grades zero, I, II, and III, respectively. The mean calcium score was 30.76±35.40, and epicardial fat volume was 86.84±36.56. The severity of fatty liver demonstrated no significant relationship with calcium score and epicardial fat (P&gt;0.05). Conclusion: As evidenced by the obtained results, the severity of fatty liver had no relationship with the amount of coronary epicardial fat and coronary artery calcium.

Retrospective analysis of elderly poisoning cases admitted to emergency departments: A two-center study

This study aims to analyze demographic, clinical, and biochemical markers of geriatric individuals admitted to emergency clinics due to poisoning to develop preventive public health projects for poisoning prevention. This study was a two-center study. Patients were categorized into accidental, suicide, and misuse groups, and the patient’s clinical and laboratory data were compared. The study included individuals aged 65 and over admitted to hospital emergencies between June 1, 2021, and June 1, 2023. The mean age of the patients admitted with poisoning was 71.7±6.3 years, and the median was 70 (65-90). 69.2% (n=27) of the patients were female, and 30.8% (n=12) were male. Common causes included misuse and suicidal poisoning, drug ingestion, corrosive substance exposure, and pesticide poisoning, Antidepressants and analgesic drugs were the most common agents. There was a statistically significant difference between the mean age rank scores of patients categorized into 3 groups: accidental, suicidal, and misuse (H(3):11.186, p=0.004). The risk of being elderly in accidental poisoning and abuse (non-suicide) patients was 1.203 times that of suicide patients. In other words, it was 20% higher (odds ratio=1.203, CI 95% [1.001-1.446], p=0.049). The mean rank score of troponin values differed significantly between the groups (p=0.027). The study highlights the high rate of poisoning among the elderly, especially women, and suggests preventive public health projects, increased public awareness, and strengthened health policies to improve their quality of life.

Use of Collagen Powder in Secondary Intention Healing After Mohs Surgery or Excisional Surgery: A Retrospective Study

Background. Little is known about the usefulness of collagen powder in secondary intention healing in patients undergoing cutaneous surgery. Objective. To investigate the clinical outcomes associated with application of collagen powder in cutaneous surgery and patients’ perceptions of the procedure. Methods. A retrospective chart review of 266 patients who underwent Mohs surgery or excisional surgery at a single institution between January 2020 and January 2022, and who had secondary intention healing of wounds assisted by powdered collagen was conducted. Personal interviews were conducted with 63 of those patients (23.7%). Tumor characteristics, estimated healing times, and patient satisfaction were scored. The Vancouver Scar Scale and the Patient and Observer Scar Assessment Scale were used to assess the resulting wound bed. All data underwent statistical analysis. Results. Of 266 granulating wounds with an average defect size of 6.0 cm2, excisional surgery was performed in 143 (54%) and Mohs surgery in 123 (46%). Most procedures (92.1%) were undertaken for nonmelanoma skin cancers. The average healing time was 6.3 weeks. The mean patient score for ease of use and overall impression of collagen application was 8.2 on a scale of 1 to 10, with 10 being most favorable. Conclusion. When clinically appropriate, granulation assisted by collagen powder should be considered for augmenting secondary intention healing.

Self-stigma of leprosy affected persons in Jaffna District

Leprosy new case detections are stagnant over the past 20 years and continue to be stigmatized in socially marginalized groups and the urban poor are less likely to seek care. There is a big gap in studies related to leprosy stigma in Sri Lanka. This study aimed to measure the stigma among leprosy affected persons in Jaffna District.This was a cross sectional descriptive study done in dermatology clinic, teaching hospital, Jaffna using all 109 leprosy patients. The validated interviewer administered questionnaire with the tool (Internalized Scale of Mental Illness (ISMI) adapted for leprosyaffected persons) was used to measure the stigma. Average of mean scores (with SD) was calculated to demonstrate the level of stigma. The level of stigma to different domains/item responses were described by presenting compound bar diagrams/charts.Mean age of the participants was 40.3±18.6yrs. Most of the participants were males (53.2%), Sri Lankan Tamils (97.2%), Hindus (77.1%), married (65.1%), from MOH Chankanai area (50.5%) and affected by MB type of leprosy (68.8%). Only 44% completed secondary education, 36.7% had no job and 32.1% were manual workers. The mean score of (ISMI) leprosy patients was 2.43 which mean high level of stigma. The response pattern to different components of ISMI was heterogeneous.

Physical function evaluation in older patients with knee osteoarthritis

Knee osteoarthritis is one of the most common joint disorders of older individuals. It is a painful and disabling disease characterized by pain, stiffness. However, in Vietnam, the number of studies on this issue is still very limited, especially those on physical function. Objective: This study aimed to evaluate physical function in 178 elderly patients with knee OA. A cross-sectional study was utilized. Physical function was assessed by The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Timed up and go test (TUG). Mean total WOMAC scores of older patients with knee OA in the study was: 34.67 (± 15.63). The proportion of older patients with knee OA with impaired mobility (assessed by TUG test) was 64.8%. The mean total WOMAC scores were more likely to be higher in the elderly with knee OA whohave advanced age, living with others (family, caregiver), overweight/obese or underweight, poor nutritional status, no sleep disturbance, more pain, inflammatory pain and had no treatment for knee OA. There was a decrease in physical function in patients with osteoarthritis of the knee. Mobility impairment was associated with the level of pain, and treatment of knee OA or lack of.

The Association between Illness Perception and Depression in Patients with Coronary Heart Disease Undergoing Percutaneous Coronary Intervention

Background and Objectives Depression in cardiovascular diseases produces a relative risk between 1.5-2.5 for cardiac mortality. Illness perception influences patients’ coping methods against the problems and outcomes of their disease. The aim of this study was to determine the association of illness perception with depression in patients with coronary heart disease undergoing percutaneous coronary intervention. Subjects and Methods This descriptive cross-sectional study was conducted on 342 patients with coronary heart disease undergoing percutaneous coronary intervention between 2016-2017. Participants were selected using convenience sampling, and data were collected using a valid 3-section questionnaire including demographic information, illness perception questionnaire and Beck depression inventory. Data were analyzed by descriptive and analytical statistics in SPSS-V.21. Results The mean score of patients’ depression was 10±11.35 out of 63. The mean score of patients’ illness perception was obtained 17.92±4.55 out of 32. A statistically significant correlation was observed between depression and illness perception (P=0.001). Employment status, functional status, and illness perception were regarded as depression predicators. Conclusion Illness perception as a cognitive variable seems to have a significant effect on psychological outcomes such as depression. Putting emphasis on the positive aspects of psychological well-being which enhance perception of the disease in these patients is of paramount importance.

A Study to Assess The effectiveness of Hot Application on Prevention of Thrombophlebitis among patients with a Peripheral Intravenous Cannula admitted in selected hospitals of Mehsana

Introduction: Thrombophlebitis occurs when a blood clot causes inflammation in one or more of the veins near the surface of the skin. Damage to a vein can occur as a consequence of indwelling catheters, trauma or the infection of the irritating substances. Objectives: 1. To assess the occurrence of thrombophlebitis among patients with a peripheral intravenous cannula by using modified thrombophlebitis scale in experimental and control group. 2. To assess the effectiveness of hot application on experimental group. 3. To compare the occurrence of thrombophlebitis among patients with an intravenous cannula in experimental and control group. 4. To find out the association between the occurrence of thrombophlebitis with their selected demographic variables. Hypothesis: H0: There will be no significant difference in the occurrence of thrombophlebitis among patients with a peripheral intravenous cannula in experimental group and control group. H1: There will be a significant difference in the occurrence of thrombophlebitis among patients with a peripheral intravenous cannula in experimental group and control group. Design: A quantitative approach using quasi experimental two group post test. Participants: 30 patient in experimental group and 30 patients in control group were selected using Non-Probability convenient sampling technique. Tool: standardized phlebitis scale for using the assess thrombophlebitis among patients with peripheral IV cannula. Results: The mean score of experimental group patients 0.46 was less than control group patients 2.83 and ‘t’ test show that there was a significant difference in the occurrence of thrombophlebitis (‘t’=8.43, p&gt;0.05) between experimental group and control group. Conclusion: From the above findings, it evident that hot application is effective on prevention of thrombophlebitis among patients with peripheral IV cannula.

Prevalence of self-reported thyroid disease among adults with depression

BackgroundThyroid disorders are a common comorbidity in patients with depression, yet there is limited information available about the clinical epidemiology of thyroid diseases in this specific population. This study aims to describe the prevalence of thyroid disease among US adults with depression from 2007 to 2018. MethodsThis cross-sectional study used nationally representative data collected through the National Health and Nutrition Examination Survey (NHANES) between January 1, 2007, to December 31, 2018. Age-standardized prevalence of thyroid disease among depressed patients was calculated within 4-year survey periods (2007–2010, 2011–2014, and 2015–2018), and adjusted to the 2000 U.S. standard population. ResultsIn our weighed sample, 6.1% of depressed individuals and 4.3% of non-depressed individuals reported thyroid disease between 2007 and 2018 (P < 0.0001). The age-standardized prevalence of thyroid disease in patients with depression increased over time, from 5.4% (95%CI, 4.6%–6.2%) in 2007–2010 to 6.8% (95%CI, 5.8%–8.0%) in 2015–2018 (P for trend = 0.0270). Furthermore, thyroid disease prevalence was highest in non-Hispanic white individuals, increased with age, and tended to be higher in women. Mean depression scores in patients with thyroid disease (9.1; 95%CI, 8.7–9.5) did not significantly different from those without thyroid disease (9.1; 95%CI, 9.0–9.3) (P = 0.96). ConclusionThe age-standardized prevalence of thyroid disease among US adults with depression exhibited a consistent increase from 2007 to 2018, with the highest rate occurring in older, non-Hispanic white individuals, and women.