World Health Organization Quality Of Life Scale Research Articles

Impact of COVID-19 Vaccination on Menstrual Cycle, Quality of Life and Perception on Fertility: A Mixed Methods Study of Women in Delhi-NCR

The COVID-19 pandemic presented extraordinary challenges which led individuals to make global efforts to develop a vaccine that could help battle the spread of the infection. The COVID-19 vaccine came as a sigh of relief for the world, but whilst we assess the positives, we must consider looking into the potential impacts it has had on aspects of health, including female reproductive health. The current study aimed at assessing the potential impacts that COVID-19 vaccination had on menstrual cycles and the perception of women about fertility-related issues following the jab through a comprehensive mixed methods design. A structured survey, using the Menstrual Symptom Questionnaire (MSQ) and WHO Quality of life scale was carried out with a diverse sample (n=500) of women (18-40 years) in the Delhi-NCR region, collecting data on menstrual cycle changes post receiving the Vaccine. Additionally, semi-structured interviews were conducted with a subset of the participants (n=15) to understand the perceptions of women about fertility-related issues following the Vaccine. The study suggests that most of the participants reported facing menstrual concerns such as missed periods, menstrual irregularities, excessive menstrual bleeding and increased cramping on the first day of their period. Through semi-structured interviews, the themes that emerged were fear regarding conception, early menopause, infertility, mood changes, anxiety, fatigue, less pain tolerance and problems with menstrual flow. Alongside, many had low scores on the quality-of-life questionnaire which was understood better through semi-structured interviews. Cognitive distortions were observed among participants while they explained their perceptions of the whole scenario. The study seeks to address a critical topic and fill knowledge gaps to understand the possible health impacts the COVID-19 vaccine has on women’s reproductive health. The study would contribute to creating scientific evidence and valuable insights for the health industry to understand any potential side effects the vaccine could have.

Psychometric Properties of the World Health Organization Quality of Life Scale for Older Adults (WHO-QoL-Old) in a Mexican Population.

The present study aimed to contribute to analyzing the psychometric properties of the WHO Quality of Life Scale for Older Adults (WHO-QoL-Old) in a sample of older adults in Michoacán, Mexico. 111 older adults from Michoacán, Mexico, participated in the study. Confirmatory factor analysis (CFA) was conducted to test the fit of various models. Data analysis was performed using R Studio, considering the ordinal nature of the items in the model estimation method. Internal consistency was evaluated using the alpha coefficient (α) and McDonald's omega coefficient (ω). The CFA indicated that the six-correlated-factor model proposed theoretically showed a very good fit (χ2: 397.11, p < 0.001; CFI: 0.958; SRMR: 0.079; RMSEA: 0.079). The factors within the model demonstrated acceptable internal consistency, with an alpha coefficient ranging from 0.739 to 0.874 and an omega coefficient ranging from 0.748 to 0.882. It is concluded that the WHO-QoL-Old scale presents good psychometric properties for the Mexican older adult population.

Bearing the burden: Podoconiosis and mental health-A three-way comparative cross-sectional study in Rwanda.

Podoconiosis is a non-infectious, neglected tropical disease caused by chronic barefoot contact with irritant volcanic soils. It typically presents with lower limb swelling, disfigurement, and chronic disability. Patients and their families experience stigma from their communities. Depression, anxiety, and emotional distress contribute to the total illness burden of podoconiosis. This study used a survey-based comparative cross-sectional quantitative study design involving podoconiosis patients, their family members, and unaffected neighbors. The Depression, Anxiety, and Stress Scale (DASS 21), the WHO Quality of Life Scale (WHO-QOL Brief), and the Tekola clinical staging system were used to collect data. We surveyed 741 participants (33.1% patients, 33.3% family, 33.5% neighbors). Podoconiosis patients exhibited significantly elevated odds of severe depression (19.8x), anxiety (10.7x), and stress symptoms (13.5x) in comparison to unaffected neighbors. Family members of podoconiosis patients displayed 1.5x higher odds of experiencing severe anxiety symptoms compared to unaffected neighbors. Higher clinical stages of podoconiosis were associated with increased severity of depressive symptoms. Podoconiosis patients demonstrated lower median scores across all domains of the WHO QoL Brief in contrast to family members and unaffected neighbors. The burden of depression, anxiety, and stress on podoconiosis patients and their family members is high. Podoconiosis morbidity management programs need to encompass families of patients and integrate continuous mental health support within the broader framework of podoconiosis management.

COMPARATIVE ASSESSMENT OF FUNCTIONAL ABILITY AND QUALITY OF LIFE IN LOWER LIMB AMPUTEES WITH PROSTHETICS IN CHILDREN, ADOLESCENTS AND ADULTS

Background of the Study: Physical activity and exercise part of maintaining good health. Its benefits are associated with improved life quality in the physical, psychological, and social sectors. Physical exercise is therefore essential to the recovery of amputees. A person’s quality of life might suffer when a limb is amputated. The quality of life for amputees in order to improve health, though, is little understood. The primary objective of this study was to look into the quality of life and physical activity of male adults and adolescents who had lower limb prosthesis. Methodology: Lower-limb amputees participated in the cross-sectional, descriptive study. investigation.72 Adolescents (5-17 years) and male adults (18-40 years) with unilateral transtibial and transfemoral amputees participated. The World Health Organization Quality of Life scale (WHOQOL) self-administration questionnaire was used to evaluate quality of life. Whereas, to check lower extremity conditions in the participants, The Lower Extremity functionality Scale was used. Results: Low Extremity Functions had significant positive relationship with overall Quality of Life with mean 32.45±9.44 and the strength of the correlation was .24*. Moreover, components of Quality-of-Life Environmental Health and Physical Health shows significant positive relationship with Lower Extremity Functions. Physical Health and Social Relationship showed non-significant correlation with lower Extremity Function. Conclusion: It was concluded that the age group differences were not significant with the Quality of Life, Physical health, Psychological health, social relationship and environmental health. However, the results showed that the quality of life and the lower extremity functional scale had a positive relationship. If the QOL of the individual increases that LEFS also increases. The social relationships and the psychological health do not correlate with the lower extremity functions but, the physical health and the environmental health has a significant impact on it.

Mental health and co-existence with COVID-19: quality of life, fear, anxiety and burnout in the early endemic phase in Malaysia

ABSTRACT After nearly three years of COVID-19 and multiple lockdowns, Malaysia entered the early endemic phase in April 2022. This transition brought new challenges and required continued adaptation, with mental health concerns rising due to the uncertainties of living with the virus. This study thus sought to examine, within the context of the early endemic phase, the quality of life among Malaysians, the mediating effect of fear arising from COVID-19, and how it results in anxiety and burnout. A cross-sectional online survey was conducted among 462 respondents (Mean age = 24.42; S.D.= 7.88), utilizing validated measures including the Malay versions of the COVID-19 Anxiety Scale, COVID-19 Burnout Scale, Fear of COVID-19 Scale, and the abbreviated WHO Quality of Life Scale. Results showed that quality of life negatively predicted an individual’s fear and burnout, but not anxiety. Fear arising from COVID-19 mediated the relationship between anxiety and burnout. While co-existing with COVID-19, it is important to consider the psychological impacts of this co-existence in promoting good health and individual well-being. Governments can use this data to implement risk management programs and policies to improve individuals’ quality of life. Post-pandemic, recognizing and addressing fear is essential for effective interventions.

AYURVEDIC MANAGEMENT OF PROGRESSIVE SUPRANUCLEAR PALSY (PSP): A CASE REPORT

Progressive Supranuclear Palsy (PSP) is a rare neurological condition that can cause problems with balance, movement, vision, speech and swallowing. This condition could be clinically compared to Kaphavrita Vyana Vata and Asthi-Majja gata Vata in Ayurveda based on signs and symptoms. A 73-year-old male patient visited the Geriatric OPD of Panchakarma Department, Government Ayurveda College Panchakarma Hospital, Poojappura, Thiruvananthapuram, Kerala, India, with complaints of balance and mobility problems, including frequent falls, changes in behaviour like irritability, inability to control eye and upward eyelid movements along with slowness of thought and some memory problems. The patient was advised for IP admission. He was diagnosed with Progressive Supranuclear Palsy (PSP) from MRI-Brain. From an Ayurvedic perspective, this condition could be considered Kaphavrita Vyana Vata and Asthi-Majja gata Vata based on signs and symptoms. Considering all the factors, the treatment principles of Avarana Vata and Asthi-Majja gata Vata were followed in this case. The assessment criteria were based on the Progressive Supranuclear Palsy Rating Scale (PSPRS) and the WHO Quality of Life Scale (WHOQOLS). The case report shows that Ayurvedic treatment effectively reduces the signs and symptoms of Progressive Supranuclear Palsy (PSP) in the early stage. No adverse effect was found during the treatment. The assessment of the disease by the Progressive Supranuclear Palsy Rating Scale (PSPRS) showed improvement by changing the total score from 20 to 9 before and after treatment. The assessment with the World Health Organisation Quality of Life Scale (WHOQOLS) showed that the patient's quality of life improved from 45% to 64.6% before and after treatment.

The Fear of COVID-19: Effects on Psychosocial Factors and Quality of Life in Patients with Cystic Fibrosis

Objective: Psychosocial effects have been reported in patients with cystic fibrosis (pwCFs), which is chronic disease, and inconsistent results were observed in pandemic between studies. This study investigated the effects of Coronavirus (COVID-19) pandemic on anxiety, depression and quality of life (QoL) levels among pwCFs. Material and Methods: The data of all participants included in the study were collected through two web-based questionnaires, one for pwCFs and general population (GP) controls. Two questionnaire versions had similar questions, prepared by the researchers. The pwCFs questionnaire augmented with CF targeted questions. Also, both questionnaires included COVID-19 Fear Scale, Hospital Anxiety Depression Scale (HADS) and World Health Organization QoL Scale Short Form (WHOQOL-Bref) question items. Results: Sixty-four pwCFs and seventy GP controls completed the questionnairesCompared to GP controls, pwCFs had increased fear of COVID-19, anxiety, depression, and decreased QoL levels (p&amp;lt;0.001). The fear of COVID-19 had significant effects on anxiety (R2=0.506; p&amp;lt;0.001), depression (R2=0.337; p&amp;lt;0.001), and QoL domains of general health status (R2=0.095; p=0.013), physical (R2=0.239; p&amp;lt;0.001) and psychological health (R2=0.275; p&amp;lt;0.001), and environment (R2=0.179; p&amp;lt;0.001), but not on social relationships (p&amp;gt;0.05) in pwCFs. In GP controls, the fear of COVID-19 had significant effects on anxiety and depression (p&amp;lt;0.05), but not on any QoL domains (p&amp;gt;0.05). Conclusion: According to our study findings, theincrease in fear of COVID-19 had a negative impact on anxiety, depression and QoL in pwCFs.Psychosocial influences in pwCFs need to be further investigated in future cross-sectional studies in case of a possible pandemic and lockdown.

A Study to Determine the Quality of Life among the Permanent Contraceptive Adopters and Non-adopters at Selected Rural Areas of Dadra and Nagar Haveli

INTRODUCTION Contraceptive information and services are fundamental to the health and human rights of all individual, prevention of unintended pregnancies helps to lower maternal ill-health and the number of pregnancy-related deaths (According to WHO). Between 2000 and 2020, the contraceptive prevalence rate (percentage of women aged 15-49 who use any contraceptive method) increased from 47.7 to 49.0% and 77.5% globally in 2022. In Dadra and Nagar Haveli and Daman and Diu, total modern methods used is 59.8%, female sterilization is 41.6% male sterilization is 0.2%, IUD usage is 2.2%, pill usage is 3.1%, condom usage is 11.7%, and injectables contraceptive usage is 0.9%. AIM The aim of the study is to determine the quality of life among the permanent contraceptive adopters and non-adopters at selected rural areas of Dadra &amp; Nagar Haveli. METHODOLOGY Non-experimental two group comparative descriptive design with non- probability, purposive sampling technique was used to select 100 samples, who fulfilled inclusion criteria. WHO quality of life scale (BREF), that is self-administered scale was used to assess the level of quality of life. RESULT The result of the study showed that the adopters mean value was 70.3450 and the standard deviation was 8.55458, non-adopters mean value was 60.4000 and the standard deviation was 6.76406, ‘t’ value was 6.448 which was higher than the table value and ‘P’ value was 0.000. So there was a highly significant difference between the quality of life among the permanent contraceptive adopters and non-adopters. Hence research hypothesis was accepted. CONCLUSION The study proved that the quality of life among the permanent contraceptive adopters is much better than non-adopters. Hence there is a need to create awareness and provide health education on Family planning methods to the non-adopters.

Impact of a clinical care pathway developed through the action research method on the psychological well-being and quality of life in male patients with urethral stricture.

The objective of this study is to examine the development of a clinical care pathway utilizing an action research methodology for male patients with urethral stricture, and to assess the psychological and quality of life outcomes following the implementation of this pathway. Ninety patients diagnosed with urethral stricture, admitted to our hospital between May 2021 and May 2022, were selected as the study cohort. Employing a random number method, these patients were allocated into an observation group and a control group, each comprising 45 individuals. The control cohort employs standard care protocols for individuals with urethral stenosis, while the experimental group employs an action research methodology to develop a clinical care pathway specific to the management of patients with urethral stenosis, with an intervention cycle of 3 months. The investigation evaluated the impact of the intervention by scrutinizing pre- and post-intervention data through the utilization of the WHO Quality of Life Scale (WHOQOL-BREF), in addition to the Anxiety Rating Scale and the Depression Rating Scale. Prior to the intervention, no significant differences were observed in WHOQOL-BREF scores across dimensions, as well as anxiety and depression scores between the 2 groups (P > .05). Subsequent to the intervention, the patients in the observation group exhibited significantly higher scores across all WHOQOL-BREF dimensions and total scores compared to the control group, with statistical significance (P < .05). Moreover, anxiety and depression scores in the observation group were markedly lower than those in the control group, demonstrating statistical significance (P < .05). The implementation of a clinical nursing pathway rooted in action research methodology proves to be an effective strategy for enhancing clinical nursing practices, elevating patient quality of life, and diminishing the prevalence of anxiety and depression.

Artículo traducido] Uso de rellenos faciales en la práctica clínica: nivel de satisfacción del paciente y visión general de las complicaciones clínicas comunes

BackgroundPatient esthetic satisfaction following facial fillers is an essential topic that should be studied as the number of individuals seeking treatment increases. The face is an essential component of the human body that is frequently associated with beauty, youthfulness, and health. Individuals may seek facial augmentation with fillers for a variety of reasons, such as congenital, acquired by means of aging or disease, or current aesthetic trends. ObjectiveThe aim is to assess patient's aesthetic satisfaction and description of common clinical complications in relation to the facial filler injections. MethodA cross sectional survey using a questionnaire derived from the global aesthetic improvement scale and WHO quality of life scale, convenience sampling was used to recruit patients attending cosmetic clinics, descriptive analysis and Chi-square methods were used to analyze the data. ResultsIn the study, 500 female participants, with an average age of 28.48 years, were included. Over 90% reported improvement after filler treatment, ranging from improved to very much improved. A statistically significant correlation was observed between patient satisfaction and the number of filler treatments and the anatomical injection site. However, no statistically significant correlation was found when considering age groups. Local side effects, such as swelling and redness at the injection site, were common but generally mild and of short duration. ConclusionAlthough the satisfaction level is currently high, practitioners in the field need to pay more attention to this important outcome, since understanding the patient's motivation and expectation before proceeding with the procedure is very important and can contribute significantly in determining patient satisfaction with the result.

Impact of congenital heart disease on personality disorders in adulthood.

Adults with congenital heart disease (ACHD) constitute an ever-growing patient population characterized by high risks for cardiovascular- and mental disorders. Personality disorders (PDs) are associated with adverse physical and mental health. Studies assessing PD prevalence in ACHD are lacking. Personality disorder point prevalence was assessed in 210 ACHD by Structured Clinical Interview for Axis-II Personality Disorders (SCID-II) and compared to meta-analytical data from the general population (GP). Depression and anxiety were measured by self-report (Hospital Anxiety and Depression Scale, HADS) and clinician rating (Montgomery-Åsberg depression rating scale, MADRS). Childhood maltreatment was assessed with the Childhood Trauma Questionnaire and quality-of-life (QOL) with the World Health Organization QOL Scale. PD prevalence was markedly higher in ACHD compared to GP (28.1 vs. 7.7%). Particularly borderline (4.8 vs. 0.9%) and cluster C (i.e. anxious or fearful; 17.1 vs. 3.0%) PDs were overrepresented. PD diagnosis was associated with a surgery age ≤12 years (χ²(1) = 7.861, ϕ = 0.195, P = 0.005) and higher childhood trauma levels (U = 2583.5, Z = -3.585, P < 0.001). ACHD with PD reported higher anxiety (HADS-A: U = 2116.0, Z = -5.723, P < 0.001) and depression (HADS-D: U = 2254.5, Z = -5.392, P < 0.001; MADRS: U = 2645.0, Z = -4.554, P < 0.001) levels and lower QOL (U = 2538.5, Z = -4.723, P < 0.001). Personality disorders, particularly borderline- and cluster C, are significantly more frequent in ACHD compared to GP and associated with depression, anxiety, and decreased QOL. Data from the GP suggest an association with adverse cardiometabolic and mental health. To ensure guideline-based treatment, clinicians should be aware of the increased PD risk in ACHD.

Logistic regression analysis of risk factors for hematoma after autologous arteriovenous fistula in hemodialysis patients.

To determine the risk factors and nursing countermeasures for post-operative hematoma in hemodialysis patients with autogenous arteriovenous fistula by logistic regression analysis. A retrospective analysis of 240 chronic hemodialysis patients admitted to our hospital from January 2019 to October 2022 was performed. Physical and vascular examinations of the patients were performed by surgeons. Continuous care measures were implemented for all patients. The patient serum creatinine (Scr) and blood urea nitrogen (BUN) were measured on the day of inclusion and after the implementation of care measures. Self-management scales were used to analyze patients' self-management. Fatigue symptoms were assessed using the Fatigue Scale 14. The WHO Quality of Life Scale (WHOQOL-BREF score) was used to assess patients' quality of life. Self-Rating Depression Scale and Self-Rating Anxiety Scale (SAS) were used to assess negative affect. Treatment compliance was assessed according to 3 levels: complete compliance, compliance, and noncompliance. In all, 240 patients underwent 240 initial and 48 repeat procedures; 18 of the 240 patients experienced fistula failure, with an overall success rate of 92.5% (222/240). There were no significant differences in renal function, self-management, General Self-Efficacy Scale, fatigue symptom scores, and WHOQOL-BREF scores between the postoperative hematoma group and no-hematoma group before the continuous care. After continuous care, renal function, self-management, General Self-Efficacy Scale, fatigue symptom scores, and WHOQOL-BREF scores were better in the postoperative no-hematoma group than in the hematoma group, and the difference was statistically significant (P < .05). Logistic regression analysis of risk factors for postoperative hematoma showed that elevated Scr and BUN levels, decreased self-management and SAS scores and poor treatment compliance were independent risk factors for postoperative hematoma in hemodialysis patients with autologous arteriovenous fistulas (P < .05). Elevated Scr levels, elevated BUN levels, decreased self-management scores, decreased SAS scores, and poor treatment compliance were independent risk factors for postoperative hematoma in hemodialysis patients with autogenous arteriovenous fistulas. By providing continuous care to hemodialysis patients based on timing theory, the negative emotions can be alleviated and the self-efficacy, quality of life, and treatment compliance of the patients can be improved.

Effect of academic stress, educational environment on academic performance & quality of life of medical & dental students; gauging the understanding of health care professionals on factors affecting stress: A mixed method study.

Throughout their academic careers, medical and dental students face challenges that cause varying levels of stress, affecting their academic performance and quality of life (QoL). Our study aims to ascertain the effect of academic stress and the educational environment on the QoL and academic performance of medical and dental students, encompassing the perspectives of both students and healthcare professionals. A mixed-method research was conducted from February to May 2022, comprising students from a medical and dental college in Pakistan. During Phase 1, the students participated in the cross-sectional survey and completed the WHO Quality of Life Scale (WHOQOL-BREF), Academic Stress Scale, and Dundee Ready Educational Environment Measure (DREEM) Inventory questionnaires. Academic performance was evaluated through last year's annual assessment results of the students. During Phase 2 of the study, interviews with healthcare professionals who had experience as the students' counsellors were conducted. The mean age of the sample (n = 440) was 22.24 ±1.4 years. The Cronbach Alpha reliability of the DREEM inventory was 0.877, that of the Academic Stress Scale was 0.939 and the WHOQOL scale was 0.895. More than half of the students (n = 230, 52.3%) reported better QoL and the majority perceived a positive educational environment (n = 323, 73.4%) and higher academic stress (n = 225, 51.1%). Males had significantly more academic stress (p<0.05). Those who perceived a positive educational environment and better QoL had better academic performance (p<0.05). Academic performance was positively and significantly correlated with QoL and academic stress (p = 0.000). In qualitative analysis, 112 codes were generated which converged into 5 themes: challenging educational environment, psychological need and support, individual differences, relationship and family life, and adjustment issues. Medical and dental students encounter a myriad of challenges, along with significant academic stress, which detrimentally affects their academic performance, despite perceiving a positive educational environment. Conversely, a better QoL is associated with improved academic performance.

Health-related quality of life and associated factors among patients with schizophrenia at comprehensive specialised hospitals in the Northwest Ethiopia: a multicentre cross-sectional study

ObjectivesThe aim of this study was to assess the health-related quality of life (HRQoL) and associated factors among patients with schizophrenia at comprehensive specialised hospitals in Northwest Ethiopia.Design and settingA...

A randomized controlled trial on the effectiveness of the abridged illness management and recovery program for people with schizophrenia spectrum disorders.

This study aimed to investigate the effectiveness of an abridged version of the Illness Management and Recovery Programme (AIMR) that was modified and developed in Hong Kong through a mult-centre randomized controlled trial for patients with schizophrenia spectrum disorders. This study was implemented in 10 occupational therapy departments, psychiatric day hospitals of 7 Hospital Authority clusters in Hong Kong. A total of 211 patients with schizophrenia or schizoaffective disorder was recruited and randomized into either the experimental or the control condition. In the control group, the subjects went through conventional occupational therapy programmes. In the experimental group, the subjects went through an additional 10-session programme of AIMR. were measured at baseline, completion of the AIMR, and 3-month after the AIMR programme. Measures include the expanded version of the Brief Psychiatric Rating Scale (BPRS-E), the client version of the Illness Management and Recovery Scale (IMRS), the Snyder Hope Scale, the Social and Occupational and Occupational Functioning Assessment Scale (SOFAS), the WHO Quality of Life Scale (WHOQOL-BREF), and the Chinese Version of the Short Warwick-Edinburgh Mental Well-Being Scale (C-SWEMWBS). Both the experimental and control cohorts had comparable clinical and socio-demographic characteristics except years of education and duration of illness. These two variables were entered as covariates in the linear mixed model which showed that the experimental group had significantly higher improvement than the control group in terms of illness management (F = 4.82; p = .03; Cohen's d = .45), functional (F = 10.65; p = .001; Cohen's d = .58), and hope (F = 5.52; p = .02; Cohen's d = .08) measures after the completion of treatment. The results supported the effectiveness of the AIMR programm which would be important in the recovery oriented practices in psychiatry.

The Use of Facial Fillers in Clinical Practice: The Level of Patient Satisfaction and an Overview of Common Clinical Complications

BackgroundPatient esthetic satisfaction following facial fillers is an essential topic that should be studied as the number of individuals seeking treatment increases. The face is an essential component of the human body that is frequently associated with beauty, youthfulness, and health. Individuals may seek facial augmentation with fillers for a variety of reasons, such as congenital, acquired by means of aging or disease, or current aesthetic trends. ObjectiveThe aim is to assess patient's aesthetic satisfaction and description of common clinical complications in relation to the facial filler injections. MethodA cross sectional survey using a questionnaire derived from the global aesthetic improvement scale and WHO quality of life scale, convenience sampling was used to recruit patients attending cosmetic clinics, descriptive analysis and Chi-square methods were used to analyze the data. ResultsIn the study, 500 female participants, with an average age of 28.48 years, were included. Over 90% reported improvement after filler treatment, ranging from improved to very much improved. A statistically significant correlation was observed between patient satisfaction and the number of filler treatments and the anatomical injection site. However, no statistically significant correlation was found when considering age groups. Local side effects, such as swelling and redness at the injection site, were common but generally mild and of short duration. ConclusionAlthough the satisfaction level is currently high, practitioners in the field need to pay more attention to this important outcome, since understanding the patient's motivation and expectation before proceeding with the procedure is very important and can contribute significantly in determining patient satisfaction with the result.

Relationship Between Coping Strategies and Quality of Life with Mediating Role of Depression and Stigmatization among Patients with Opioid Use Disorder (OUD) With Relapse Condition

The current study aims to investigate the relationship between coping strategies and quality of life (QOL) with the mediating role of depression and stigma among patients with opioid use disorder (OUD). In this correlational study, a total sample of 357 participants was taken from different hospitals and rehabilitation centers. The patients (20 to 65 years) who have a history of relapse at least once a time were included. with relapse condition. Demographic form, Patient Health Questionnaire-9 (PHQ-9), Brief Coping Inventory (BCI), WHO-Quality of Life Scale (WHO-QLS), and Perceived Stigma Scale were used. All the data were scrutinized, and the final data was assessed using SPSS version-26. The findings showed that the direct effect of coping strategies was a significant negative predictor of depression and stigma among patients with opioid use disorder-relapse conditions. Depression and stigma were found to be significant negative predictors of quality of life. Furthermore, the findings reveal that depression and stigma play significant mediating between coping and quality of life among patients with opioid use disorder-relapse condition. It is concluded that coping is a significant predictor of QOL and depression and stigma play significant mediating roles in the increase and decrease of the QOL among patients with OUD.

Chronic Low Back Pain: Prevalence, Impact on Quality of Life, and Predictors of Future Disability.

In primary healthcare settings, chronic low back pain (cLBP) is a widespread health issue with a great global impact. A cross-sectional analytical study was performed on 918 adults attending primary healthcare settings in Makkah, Saudi Arabia, to estimate the cLBP prevalence, its effect on health-related quality of life (QOL), and predictors of subsequent disability. The visual analog scale of pain(VAS), World Health Organization Quality of Life Scale (WHO-QOL), and Oswestry low back pain disability index (ODI) were used to assess back pain severity, impact on QOL, and physical disability, respectively. The prevalence of cLBP among adults attending primary care settings in Makkah City was 25.9%, and 88.6% of them had a limited range of motion of the spine. About 58.1% had abnormal radiological findings detected by MRI. Based on the VAS scale, most patients (83.8%) had mild pain. The median (IQR) QOL score was 70 (60-80). Minimal and moderate disability scores were prevalent among 16.2% and 65.7% of patients, respectively. Disability scores were independently predicted by a lower QOL score (beta = -0.39, 95%CI = -0.49 to -0.29, p < 0.001) and higher VAS scores (beta = 0.47, 95%CI = 0.38-0.56, p < 0.001). Furthermore, disability was independently associated with having post-void residual volume (PVRV) (beta = 5.84, 95%CI = 1.97-9.72, p = 0.004) and abnormal X-ray findings (beta = 7.10, 95%CI = 1.77-12.4, p = 0.010). cLBP is common among adults attending primary care settings in Makkah City; it is associated with moderate disability and lower health-related QOL.

Psychiatric Morbidities and Their Impact on Quality of Life in Patients With Psoriasis.

Background Psychiatric morbidities, which are commonly seen in psoriasis patients, are often missed or ignored leading to poor quality of life. A lack of communication between psychiatrists and dermatologists leads to ignorance of psychiatric morbidities in psoriasis patients, which can eventually take a severe form. Therefore, both groups must collaborate to provide high-quality patient care. As there is a dearth of such studies in the North-Eastern part of India, this study aimed to highlight the above-mentioned problem. Aim The aim of this study was to study psychiatric morbidities in patients with psoriasis and to compare quality of life in psoriasis patients with and without psychiatric morbidities. Methods This study was a hospital-based cross-sectional study conducted in the Dermatology Department, Assam Medical College and Hospital, Dibrugarh, Assam, India from July 2020 to July 2021. Ninety patients with psoriasis were included in the study and the diagnosis was confirmed by a consultant dermatologist, then the Mini International Neuro-psychiatric Interview Scale (M.I.N.I.; version 5.0) scale was applied to screen psychiatric morbidities. The diagnoses were confirmed using ICD-10 followed by dividing psoriasis patients into two groups, i.e. with and without psychiatric morbidities. After that the World Health Organization Quality of Life (WHOQOL) scale was applied to both groups and the domains of quality of life were compared. Results Our results showed that 61.1% of psoriatic patients had psychiatric morbidities, which is abnormally high compared to other dermatological disorders. The psychological domain of quality of lifewas the most affected (WHOQOL scale scoring of 38.12±6.67 vs. 48.76±6.21) in both groups of patients (i.e., with and without psychiatric morbidities), and the environmental domain was the least affected (56.67±10.65 vs. 64.67±8.18). Every domain of quality of life had a lower score in patients with psoriasis with psychiatric morbidities as compared to those without (p<0.05). Conclusion Our results of 61.1% psychiatric morbidities in psoriasis patients emphasize the need for psychiatric evaluation in every psoriasis patient. The timely intervention of psychiatric morbidity in psoriasis patients withcollaboration of psychiatrists and dermatologists will surely improve the patient's condition to some extent and, thus, their quality of life.

Patient Satisfaction after Lip Enhancement Procedure by Facial Fillers in Sulaimani City

Objective: The aim of this paper is to assess the level of patient satisfaction after receiving lip filler injections. It also attempts toinvestigate the association between the satisfaction level and various factors such as number of filler treatments, amount of fillerinjected and site of injection, among female patients in Sulaimani.Methods: A cross-sectional survey that used a questionnaire derived from the Global Aesthetic Improvement Scale, WHO quality oflife scale and convenience sampling were used to recruit patients attending cosmetic clinics to the study. Besides, descriptive analysisand chi-square methods were used to analyze the data.Results: 300 female patients participated in the study, with a mean age of 28.48 years. About 90% of the participants reportedimprovement after filler treatment, ranging from “improved” to “very much improved”. A statistically significant association was foundbetween patient satisfaction and number of filler treatments. Local side effects such as swelling and redness at the site of injection were common but they were mostly mild and did not last for an extended period.Conclusions: Although the satisfaction level is currently high, practitioners in the field need to pay more attention to this importantoutcome, since understanding the patients’ motivation and expectations before proceeding with the procedure is very important andcan contribute significantly to increasing patient satisfaction with the results.