Quality of Life: A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.Quality Control: A system for verifying and maintaining a desired level of quality in a product or process by careful planning, use of proper equipment, continued inspection, and corrective action as required. (Random House Unabridged Dictionary, 2d ed)Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Quality Assurance, Health Care: Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.Quality Indicators, Health Care: Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.Life: The state that distinguishes organisms from inorganic matter, manifested by growth, metabolism, reproduction, and adaptation. It includes the course of existence, the sum of experiences, the mode of existing, or the fact of being. Over the centuries inquiries into the nature of life have crossed the boundaries from philosophy to biology, forensic medicine, anthropology, etc., in creative as well as scientific literature. (Random House Unabridged Dictionary, 2d ed; Dr. James H. Cassedy, NLM History of Medicine Division)Quality Improvement: The attainment or process of attaining a new level of performance or quality.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Water Quality: A rating of a body of water based on measurable physical, chemical, and biological characteristics.Total Quality Management: The application of industrial management practice to systematically maintain and improve organization-wide performance. Effectiveness and success are determined and assessed by quantitative quality measures.Food Quality: Ratings of the characteristics of food including flavor, appearance, nutritional content, and the amount of microbial and chemical contamination.Health Status: The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.Sickness Impact Profile: A quality-of-life scale developed in the United States in 1972 as a measure of health status or dysfunction generated by a disease. It is a behaviorally based questionnaire for patients and addresses activities such as sleep and rest, mobility, recreation, home management, emotional behavior, social interaction, and the like. It measures the patient's perceived health status and is sensitive enough to detect changes or differences in health status occurring over time or between groups. (From Medical Care, vol.xix, no.8, August 1981, p.787-805)Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Life Change Events: Those occurrences, including social, psychological, and environmental, which require an adjustment or effect a change in an individual's pattern of living.Reproducibility of Results: The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.United StatesCross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Life Cycle Stages: The continuous sequence of changes undergone by living organisms during the post-embryonic developmental process, such as metamorphosis in insects and amphibians. This includes the developmental stages of apicomplexans such as the malarial parasite, PLASMODIUM FALCIPARUM.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Psychometrics: Assessment of psychological variables by the application of mathematical procedures.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Health Status Indicators: The measurement of the health status for a given population using a variety of indices, including morbidity, mortality, and available health resources.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Life Tables: Summarizing techniques used to describe the pattern of mortality and survival in populations. These methods can be applied to the study not only of death, but also of any defined endpoint such as the onset of disease or the occurrence of disease complications.Activities of Daily Living: The performance of the basic activities of self care, such as dressing, ambulation, or eating.Life Support Care: Care provided patients requiring extraordinary therapeutic measures in order to sustain and prolong life.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Depression: Depressive states usually of moderate intensity in contrast with major depression present in neurotic and psychotic disorders.Voice Quality: That component of SPEECH which gives the primary distinction to a given speaker's VOICE when pitch and loudness are excluded. It involves both phonatory and resonatory characteristics. Some of the descriptions of voice quality are harshness, breathiness and nasality.Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.Management Quality Circles: Participation of employees with management as a labor-management team, in decisions pertaining to the operational activities of the organization or industry.Adaptation, Psychological: A state of harmony between internal needs and external demands and the processes used in achieving this condition. (From APA Thesaurus of Psychological Index Terms, 8th ed)Life Style: Typical way of life or manner of living characteristic of an individual or group. (From APA, Thesaurus of Psychological Index Terms, 8th ed)Chronic Disease: Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Meat: The edible portions of any animal used for food including domestic mammals (the major ones being cattle, swine, and sheep) along with poultry, fish, shellfish, and game.Stress, Psychological: Stress wherein emotional factors predominate.Personal Satisfaction: The individual's experience of a sense of fulfillment of a need or want and the quality or state of being satisfied.Benchmarking: Method of measuring performance against established standards of best practice.Research Design: A plan for collecting and utilizing data so that desired information can be obtained with sufficient precision or so that an hypothesis can be tested properly.Randomized Controlled Trials as Topic: Works about clinical trials that involve at least one test treatment and one control treatment, concurrent enrollment and follow-up of the test- and control-treated groups, and in which the treatments to be administered are selected by a random process, such as the use of a random-numbers table.Outcome and Process Assessment (Health Care): Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Sleep Disorders: Conditions characterized by disturbances of usual sleep patterns or behaviors. Sleep disorders may be divided into three major categories: DYSSOMNIAS (i.e. disorders characterized by insomnia or hypersomnia), PARASOMNIAS (abnormal sleep behaviors), and sleep disorders secondary to medical or psychiatric disorders. (From Thorpy, Sleep Disorders Medicine, 1994, p187)Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Regression Analysis: Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Mental Health: The state wherein the person is well adjusted.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Anxiety: Feeling or emotion of dread, apprehension, and impending disaster but not disabling as with ANXIETY DISORDERS.Great BritainEvidence-Based Medicine: An approach of practicing medicine with the goal to improve and evaluate patient care. It requires the judicious integration of best research evidence with the patient's values to make decisions about medical care. This method is to help physicians make proper diagnosis, devise best testing plan, choose best treatment and methods of disease prevention, as well as develop guidelines for large groups of patients with the same disease. (from JAMA 296 (9), 2006)Data Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Longevity: The normal length of time of an organism's life.Netherlands: Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, Sint Maarten, formerly included in the NETHERLANDS ANTILLES.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Cost of Illness: The personal cost of acute or chronic disease. The cost to the patient may be an economic, social, or psychological cost or personal loss to self, family, or immediate community. The cost of illness may be reflected in absenteeism, productivity, response to treatment, peace of mind, or QUALITY OF LIFE. It differs from HEALTH CARE COSTS, meaning the societal cost of providing services related to the delivery of health care, rather than personal impact on individuals.Algorithms: A procedure consisting of a sequence of algebraic formulas and/or logical steps to calculate or determine a given task.Survivors: Persons who have experienced a prolonged survival after serious disease or who continue to live with a usually life-threatening condition as well as family members, significant others, or individuals surviving traumatic life events.Practice Guidelines as Topic: Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.United States Agency for Healthcare Research and Quality: An agency of the PUBLIC HEALTH SERVICE established in 1990 to "provide indexing, abstracting, translating, publishing, and other services leading to a more effective and timely dissemination of information on research, demonstration projects, and evaluations with respect to health care to public and private entities and individuals engaged in the improvement of health care delivery..." It supersedes the National Center for Health Services Research. The United States Agency for Health Care Policy and Research was renamed Agency for Healthcare Research and Quality (AHRQ) under the Healthcare Research and Quality Act of 1999.Pilot Projects: Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.Caregivers: Persons who provide care to those who need supervision or assistance in illness or disability. They may provide the care in the home, in a hospital, or in an institution. Although caregivers include trained medical, nursing, and other health personnel, the concept also refers to parents, spouses, or other family members, friends, members of the clergy, teachers, social workers, fellow patients.Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Sleep: A readily reversible suspension of sensorimotor interaction with the environment, usually associated with recumbency and immobility.Linear Models: Statistical models in which the value of a parameter for a given value of a factor is assumed to be equal to a + bx, where a and b are constants. The models predict a linear regression.Sex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Social Support: Support systems that provide assistance and encouragement to individuals with physical or emotional disabilities in order that they may better cope. Informal social support is usually provided by friends, relatives, or peers, while formal assistance is provided by churches, groups, etc.Program Evaluation: Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.Palliative Care: Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed)Laboratories: Facilities equipped to carry out investigative procedures.Sensitivity and Specificity: Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)GermanyHealth Surveys: A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area.Analysis of Variance: A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable.Interpersonal Relations: The reciprocal interaction of two or more persons.Self Concept: A person's view of himself.Guideline Adherence: Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.EuropeHospitals: Institutions with an organized medical staff which provide medical care to patients.Guidelines as Topic: A systematic statement of policy rules or principles. Guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by convening expert panels. The text may be cursive or in outline form but is generally a comprehensive guide to problems and approaches in any field of activity. For guidelines in the field of health care and clinical medicine, PRACTICE GUIDELINES AS TOPIC is available.Medical Audit: A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of medical care.BrazilFeasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.Internet: A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.Nursing Homes: Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.Health Care Costs: The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Statistics, Nonparametric: A class of statistical methods applicable to a large set of probability distributions used to test for correlation, location, independence, etc. In most nonparametric statistical tests, the original scores or observations are replaced by another variable containing less information. An important class of nonparametric tests employs the ordinal properties of the data. Another class of tests uses information about whether an observation is above or below some fixed value such as the median, and a third class is based on the frequency of the occurrence of runs in the data. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed, p1284; Corsini, Concise Encyclopedia of Psychology, 1987, p764-5)Terminal Care: Medical and nursing care of patients in the terminal stage of an illness.Process Assessment (Health Care): An evaluation procedure that focuses on how care is delivered, based on the premise that there are standards of performance for activities undertaken in delivering patient care, in which the specific actions taken, events occurring, and human interactions are compared with accepted standards.Semen: The thick, yellowish-white, viscid fluid secretion of male reproductive organs discharged upon ejaculation. In addition to reproductive organ secretions, it contains SPERMATOZOA and their nutrient plasma.Parents: Persons functioning as natural, adoptive, or substitute parents. The heading includes the concept of parenthood as well as preparation for becoming a parent.Patient Education as Topic: The teaching or training of patients concerning their own health needs.Insurance, Life: Insurance providing for payment of a stipulated sum to a designated beneficiary upon death of the insured.Software: Sequential operating programs and data which instruct the functioning of a digital computer.Semen Analysis: The quality of SEMEN, an indicator of male fertility, can be determined by semen volume, pH, sperm concentration (SPERM COUNT), total sperm number, sperm viability, sperm vigor (SPERM MOTILITY), normal sperm morphology, ACROSOME integrity, and the concentration of WHITE BLOOD CELLS.Fatigue: The state of weariness following a period of exertion, mental or physical, characterized by a decreased capacity for work and reduced efficiency to respond to stimuli.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Sperm Motility: Movement characteristics of SPERMATOZOA in a fresh specimen. It is measured as the percentage of sperms that are moving, and as the percentage of sperms with productive flagellar motion such as rapid, linear, and forward progression.Sperm Count: A count of SPERM in the ejaculum, expressed as number per milliliter.Reimbursement, Incentive: A scheme which provides reimbursement for the health services rendered, generally by an institution, and which provides added financial rewards if certain conditions are met. Such a scheme is intended to promote and reward increased efficiency and cost containment, with better care, or at least without adverse effect on the quality of the care rendered.Australia: The smallest continent and an independent country, comprising six states and two territories. Its capital is Canberra.Diet: Regular course of eating and drinking adopted by a person or animal.Accreditation: Certification as complying with a standard set by non-governmental organizations, applied for by institutions, programs, and facilities on a voluntary basis.Efficiency, Organizational: The capacity of an organization, institution, or business to produce desired results with a minimum expenditure of energy, time, money, personnel, materiel, etc.Clinical Protocols: Precise and detailed plans for the study of a medical or biomedical problem and/or plans for a regimen of therapy.Multivariate Analysis: A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.Patient Care Team: Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.Exercise Therapy: A regimen or plan of physical activities designed and prescribed for specific therapeutic goals. Its purpose is to restore normal musculoskeletal function or to reduce pain caused by diseases or injuries.Consumer Satisfaction: Customer satisfaction or dissatisfaction with a benefit or service received.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Self-Assessment: Appraisal of one's own personal qualities or traits.Qualitative Research: Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)Data Interpretation, Statistical: Application of statistical procedures to analyze specific observed or assumed facts from a particular study.Spirituality: Sensitivity or attachment to religious values, or to things of the spirit as opposed to material or worldly interests. (from Merriam-Webster's Collegiate Dictionary, 10th ed, and Oxford English Dictionary, 2nd ed)Evaluation Studies as Topic: Studies determining the effectiveness or value of processes, personnel, and equipment, or the material on conducting such studies. For drugs and devices, CLINICAL TRIALS AS TOPIC; DRUG EVALUATION; and DRUG EVALUATION, PRECLINICAL are available.Review Literature as Topic: Published materials which provide an examination of recent or current literature. Review articles can cover a wide range of subject matter at various levels of completeness and comprehensiveness based on analyses of literature that may include research findings. The review may reflect the state of the art. It also includes reviews as a literary form.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Proxy: A person authorized to decide or act for another person, for example, a person having durable power of attorney.Models, Theoretical: Theoretical representations that simulate the behavior or activity of systems, processes, or phenomena. They include the use of mathematical equations, computers, and other electronic equipment.Employment: The state of being engaged in an activity or service for wages or salary.Decision Making: The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.Artifacts: Any visible result of a procedure which is caused by the procedure itself and not by the entity being analyzed. Common examples include histological structures introduced by tissue processing, radiographic images of structures that are not naturally present in living tissue, and products of chemical reactions that occur during analysis.Factor Analysis, Statistical: A set of statistical methods for analyzing the correlations among several variables in order to estimate the number of fundamental dimensions that underlie the observed data and to describe and measure those dimensions. It is used frequently in the development of scoring systems for rating scales and questionnaires.Asthma: A form of bronchial disorder with three distinct components: airway hyper-responsiveness (RESPIRATORY HYPERSENSITIVITY), airway INFLAMMATION, and intermittent AIRWAY OBSTRUCTION. It is characterized by spasmodic contraction of airway smooth muscle, WHEEZING, and dyspnea (DYSPNEA, PAROXYSMAL).Self Care: Performance of activities or tasks traditionally performed by professional health care providers. The concept includes care of oneself or one's family and friends.Neoplasms: New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms.Chi-Square Distribution: A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.Longitudinal Studies: Studies in which variables relating to an individual or group of individuals are assessed over a period of time.Canada: The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.Patient-Centered Care: Design of patient care wherein institutional resources and personnel are organized around patients rather than around specialized departments. (From Hospitals 1993 Feb 5;67(3):14)Family Practice: A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.Interviews as Topic: Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.Pain Measurement: Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.EnglandMedical Records: Recording of pertinent information concerning patient's illness or illnesses.Pain: An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.Databases, Factual: Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.Self Report: Method for obtaining information through verbal responses, written or oral, from subjects.Research Report: Detailed account or statement or formal record of data resulting from empirical inquiry.Double-Blind Method: A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment.Physician's Practice Patterns: Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.Nutritive Value: An indication of the contribution of a food to the nutrient content of the diet. This value depends on the quantity of a food which is digested and absorbed and the amounts of the essential nutrients (protein, fat, carbohydrate, minerals, vitamins) which it contains. This value can be affected by soil and growing conditions, handling and storage, and processing.Psychiatric Status Rating Scales: Standardized procedures utilizing rating scales or interview schedules carried out by health personnel for evaluating the degree of mental illness.Single-Blind Method: A method in which either the observer(s) or the subject(s) is kept ignorant of the group to which the subjects are assigned.Managed Care Programs: Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.Clinical Competence: The capability to perform acceptably those duties directly related to patient care.Patient Compliance: Voluntary cooperation of the patient in following a prescribed regimen.Safety Management: The development of systems to prevent accidents, injuries, and other adverse occurrences in an institutional setting. The concept includes prevention or reduction of adverse events or incidents involving employees, patients, or facilities. Examples include plans to reduce injuries from falls or plans for fire safety to promote a safe institutional environment.Documentation: Systematic organization, storage, retrieval, and dissemination of specialized information, especially of a scientific or technical nature (From ALA Glossary of Library and Information Science, 1983). It often involves authenticating or validating information.Human Development: Continuous sequential changes which occur in the physiological and psychological functions during the life-time of an individual.Disease Management: A broad approach to appropriate coordination of the entire disease treatment process that often involves shifting away from more expensive inpatient and acute care to areas such as preventive medicine, patient counseling and education, and outpatient care. This concept includes implications of appropriate versus inappropriate therapy on the overall cost and clinical outcome of a particular disease. (From Hosp Pharm 1995 Jul;30(7):596)Clinical Trials as Topic: Works about pre-planned studies of the safety, efficacy, or optimum dosage schedule (if appropriate) of one or more diagnostic, therapeutic, or prophylactic drugs, devices, or techniques selected according to predetermined criteria of eligibility and observed for predefined evidence of favorable and unfavorable effects. This concept includes clinical trials conducted both in the U.S. and in other countries.Models, Organizational: Theoretical representations and constructs that describe or explain the structure and hierarchy of relationships and interactions within or between formal organizational entities or informal social groups.Pulmonary Disease, Chronic Obstructive: A disease of chronic diffuse irreversible airflow obstruction. Subcategories of COPD include CHRONIC BRONCHITIS and PULMONARY EMPHYSEMA.Family: A social group consisting of parents or parent substitutes and children.Environmental Monitoring: The monitoring of the level of toxins, chemical pollutants, microbial contaminants, or other harmful substances in the environment (soil, air, and water), workplace, or in the bodies of people and animals present in that environment.Breast Neoplasms: Tumors or cancer of the human BREAST.Pediatrics: A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.Educational Status: Educational attainment or level of education of individuals.Communication: The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups.Holistic Health: Health as viewed from the perspective that humans and other organisms function as complete, integrated units rather than as aggregates of separate parts.Spain: Parliamentary democracy located between France on the northeast and Portugual on the west and bordered by the Atlantic Ocean and the Mediterranean Sea.Reproduction: The total process by which organisms produce offspring. (Stedman, 25th ed)Models, Statistical: Statistical formulations or analyses which, when applied to data and found to fit the data, are then used to verify the assumptions and parameters used in the analysis. Examples of statistical models are the linear model, binomial model, polynomial model, two-parameter model, etc.Physician-Patient Relations: The interactions between physician and patient.Health: The state of the organism when it functions optimally without evidence of disease.China: A country spanning from central Asia to the Pacific Ocean.Models, Biological: Theoretical representations that simulate the behavior or activity of biological processes or diseases. For disease models in living animals, DISEASE MODELS, ANIMAL is available. Biological models include the use of mathematical equations, computers, and other electronic equipment.Disabled Persons: Persons with physical or mental disabilities that affect or limit their activities of daily living and that may require special accommodations.Ambulatory Care: Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.Delphi Technique: An iterative questionnaire designed to measure consensus among individual responses. In the classic Delphi approach, there is no interaction between responder and interviewer.Developing Countries: Countries in the process of change with economic growth, that is, an increase in production, per capita consumption, and income. The process of economic growth involves better utilization of natural and human resources, which results in a change in the social, political, and economic structures.Hospitalization: The confinement of a patient in a hospital.Reference Standards: A basis of value established for the measure of quantity, weight, extent or quality, e.g. weight standards, standard solutions, methods, techniques, and procedures used in diagnosis and therapy.Biogenesis: The origin of life. It includes studies of the potential basis for life in organic compounds but excludes studies of the development of altered forms of life through mutation and natural selection, which is BIOLOGICAL EVOLUTION.Peer Review, Health Care: The concurrent or retrospective review by practicing physicians or other health professionals of the quality and efficiency of patient care practices or services ordered or performed by other physicians or other health professionals (From The Facts On File Dictionary of Health Care Management, 1988).Life Support Systems: Systems that provide all or most of the items necessary for maintaining life and health. Provisions are made for the supplying of oxygen, food, water, temperature and pressure control, disposition of carbon dioxide and body waste. The milieu may be a spacecraft, a submarine, or the surface of the moon. In medical care, usually under hospital conditions, LIFE SUPPORT CARE is available. (From Webster's New Collegiate Dictionary)Terminally Ill: Persons with an incurable or irreversible illness at the end stage that will result in death within a short time. (From O'Leary et al., Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, 1994, p780)Quality-Adjusted Life Years: A measurement index derived from a modification of standard life-table procedures and designed to take account of the quality as well as the duration of survival. This index can be used in assessing the outcome of health care procedures or services. (BIOETHICS Thesaurus, 1994)Costs and Cost Analysis: Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.Observer Variation: The failure by the observer to measure or identify a phenomenon accurately, which results in an error. Sources for this may be due to the observer's missing an abnormality, or to faulty technique resulting in incorrect test measurement, or to misinterpretation of the data. Two varieties are inter-observer variation (the amount observers vary from one another when reporting on the same material) and intra-observer variation (the amount one observer varies between observations when reporting more than once on the same material).Long-Term Care: Care over an extended period, usually for a chronic condition or disability, requiring periodic, intermittent, or continuous care.State Medicine: A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population.Emotions: Those affective states which can be experienced and have arousing and motivational properties.Social Behavior: Any behavior caused by or affecting another individual, usually of the same species.Hospital Administration: Management of the internal organization of the hospital.Physicians: Individuals licensed to practice medicine.Body Weight: The mass or quantity of heaviness of an individual. It is expressed by units of pounds or kilograms.Case-Control Studies: Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.Cooperative Behavior: The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed)Periodicals as Topic: A publication issued at stated, more or less regular, intervals.Predictive Value of Tests: In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.Affect: The feeling-tone accompaniment of an idea or mental representation. It is the most direct psychic derivative of instinct and the psychic representative of the various bodily changes by means of which instincts manifest themselves.

Life devoid of value.(1/17899)

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A chiropractic service arrangement for musculoskeletal complaints in industry: a pilot study. (2/17899)

Chiropractic services are commonly used by workers with musculoskeletal problems, especially low back and neck complaints. Research into the effectiveness and cost-effectiveness of this approach is, however, difficult to design without prior pilot studies. This study followed 32 workers with these complaints attending one such service and used five measures of outcome over a 6-month period. These measured pain (VAS), disability (FLP), quality of life (SF-36), perceived benefit and satisfaction with care. Additionally, sickness costs to the companies were recorded over two years encompassing the study period. Treatment utilization was also monitored. Over half the population were chronic sufferers. The effect sizes were large for pain and for seven out of eight dimensions of the SF-36 questionnaire at 6-month follow-up, although not for disability (FLP). High levels of satisfaction and perceived improvement were reported and sickness costs to the companies fell. However, the sample size in this pilot study was small and did not include controls. We would, therefore, recommend a full cost-effectiveness study incorporating a randomized trial in this area.  (+info)

Diabetic peripheral neuropathy and quality of life. (3/17899)

The quality of life (QOL) of 79 people with type 1 and type 2 diabetes and 37 non-diabetic controls was assessed using the Nottingham Health Profile (NHP). The NHP consists of six domains assessing energy, sleep, pain, physical mobility, emotional reactions and social isolation. Symptomatic diabetic neuropathy was present in 41 of the patients. The neuropathy patients had significantly higher scores (impaired QOL) in 5/6 NHP domains than either the other diabetic patients (p < 0.01) or the non-diabetic (p < 0.001) controls. These were: emotional reaction, energy, pain, physical mobility and sleep. The diabetic patients without neuropathy also had significantly impaired QOL for 4/6 NHP domains compared with the non-diabetic control group (p < 0.05) (energy, pain, physical mobility and sleep). This quantification of the detrimental effect on QOL of diabetes, and in particular of chronic symptomatic peripheral diabetic neuropathy, emphasizes the need for further research into effective management of these patients.  (+info)

Relative efficacy of 32P and 89Sr in palliation in skeletal metastases. (4/17899)

32p and 89Sr have been shown to produce significant pain relief in patients with skeletal metastases from advanced cancer. Clinically significant pancytopenia has not been reported in doses up to 12 mCi (444 MBq) of either radionuclide. To date, no reports comparing the relative efficacy and toxicity of the two radionuclides in comparable patient populations have been available. Although a cure has not been reported, both treatments have achieved substantial pain relief. However, several studies have used semiquantitative measures such as "slight," "fair," "partial" and "dramatic" responses, which lend themselves to subjective bias. This report examines the responses to treatment with 32P or 89Sr by attempting a quantification of pain relief and quality of life using the patients as their own controls and compares toxicity in terms of hematological parameters. METHODS: Thirty-one patients with skeletal metastases were treated for pain relief with either 32P (16 patients) or 89Sr (15 patients). Inclusion criteria were pain from bone scan-positive sites above a subjective score of 5 of 10 despite analgesic therapy with narcotic or non-narcotic medication, limitation of movement related to the performance of routine daily activity and a predicted life expectancy of at least 4 mo. The patients had not had chemotherapy or radiotherapy during the previous 6 wk and had normal serum creatinine, white cell and platelet counts. 32P was given orally as a 12 mCi dose, and 89Sr was given intravenously as a 4 mCi (148 MBq) dose. The patients were monitored for 4 mo. RESULTS: Complete absence of pain was seen in 7 of 16 patients who were given 32P and in 7 of 15 patients who were given 89Sr. Pain scores fell by at least 50% of the pretreatment score in 14 of 16 patients who were given 32P and 14 of 15 patients who were given 89Sr. Mean duration of pain relief was 9.6 wk with 32P and 10 wk with 89Sr. Analgesic scores fell along with the drop in pain scores. A fall in total white cell, absolute granulocyte and platelet counts occurred in all patients. Subnormal values of white cells and platelets were seen in 5 and 7 patients, respectively, with 32P, and in 0 and 4 patients, respectively, after 89Sr therapy. The decrease in platelet count (but not absolute granulocyte count) was statistically significant when 32P patients were compared with 89Sr patients. However, in no instance did the fall in blood counts require treatment. Absolute granulocyte counts did not fall below 1000 in any patient. There was no significant difference between the two treatments in terms of either efficacy or toxicity. CONCLUSION: No justification has been found in this study for the recommendation of 89Sr over the considerably less expensive oral 32P for the palliation of skeletal pain from metastases of advanced cancer.  (+info)

A prospective randomized study of megestrol acetate and ibuprofen in gastrointestinal cancer patients with weight loss. (5/17899)

The use of megestrol acetate in the treatment of weight loss in gastrointestinal cancer patients has been disappointing. The aim of the present study was to compare the combination of megestrol acetate and placebo with megestrol acetate and ibuprofen in the treatment of weight loss in such patients. At baseline, 4-6 weeks and 12 weeks, patients underwent measurements of anthropometry, concentrations of albumin and C-reactive protein and assessment of appetite, performance status and quality of life using EuroQol-EQ-5D and EORTC QLQ-C30. Thirty-eight and 35 patients (median weight loss 18%) were randomized to megestrol acetate/placebo or megestrol acetate/ibuprofen, respectively, for 12 weeks. Forty-six (63%) of patients failed to complete the 12-week assessment. Of those evaluable at 12 weeks, there was a decrease in weight (median 2.8 kg) in the megestrol acetate/placebo group compared with an increase (median 2.3 kg) in the megestrol acetate/ibuprofen group (P<0.001). There was also an improvement in the EuroQol-EQ-5D quality of life scores of the latter group (P<0.05). The combination of megestrol acetate/ibuprofen appeared to reverse weight loss and appeared to improve quality of life in patients with advanced gastrointestinal cancer. Further trials of this novel regimen in weight-losing patients with hormone-insensitive cancers are warranted.  (+info)

Second-line treatment for primary central nervous system lymphoma. (6/17899)

Failure after first-line treatment was reported in 35-60% of immunocompetent patients with primary central nervous system lymphoma (PCNSL). There are currently no reports focusing on salvage therapy. This review analyses prognostic factors and the efficacy of salvage therapy by focusing on data from papers reporting results of first-line treatment in 355 cases. The study group consisted of 173 patients presenting treatment failure. The interval between failure and death (TTD) was compared for age at relapse (< or =60 vs. >60 years), type of failure (relapse vs. progression), time to relapse (< or =12 vs. >12 months) and salvage treatment (yes vs no). Median TTD was similar in younger and older patients (P = 0.09). Relapsed patients had a longer TTD than patients with progressive disease (P = 0.002). Early relapse led to a shorter TTD than late relapse (P = 0.005). Median TTD was 14 months for patients who underwent salvage therapy and 2 months for untreated cases (P<0.00001). A multivariate analysis showed an independent prognostic role for salvage therapy and time to relapse. Age and type of failure had no predictive value. Salvage therapy significantly improves outcome and, possibly, quality of life. As many different treatments were used conclusions cannot be made regarding an optimal treatment schedule.  (+info)

Defining and analysing symptom palliation in cancer clinical trials: a deceptively difficult exercise. (7/17899)

The assessment of symptom palliation is an essential component of many treatment comparisons in clinical trials, yet an extensive literature search revealed no consensus as to its precise definition, which could embrace relief of symptoms, time to their onset, duration, degree, as well as symptom control and prevention. In an attempt to assess the importance of these aspects and to compare different methods of analysis, we used one symptom (cough) from a patient self-assessment questionnaire (the Rotterdam Symptom Checklist) in a large (>300 patient) multicentre randomized clinical trial (conducted by the Medical Research Council Lung Cancer Working Party) of palliative chemotherapy in small-cell lung cancer. The regimens compared were a two-drug regimen (2D) and a four-drug regimen (4D). No differences were seen between the regimens in time of onset of palliation or its duration. The degree of palliation was strongly related to the initial severity: 90% of the patients with moderate or severe cough at baseline reported improvement, compared with only 53% of those with mild cough. Analyses using different landmark time points gave conflicting results: the 4D regimen was superior at 1 month and at 3 months, whereas at 2 months the 2D regimen appeared superior. When improvement at any time up to 3 months was considered, the 4D regimen showed a significant benefit (4D 79%, 2D 60%, P = 0.02). These findings emphasize the need for caution in interpreting results, and the importance of working towards a standard definition of symptom palliation. The current lack of specified criteria makes analysis and interpretation of trial results difficult, and comparison across trials impossible. A standard definition of palliation for use in the analysis of clinical trials data is proposed, which takes into account aspects of onset, duration and degree of palliation, and symptom improvement, control and prevention.  (+info)

Is revision as good as primary hip replacement? A comparison of quality of life. (8/17899)

Primary total hip arthroplasty (THA) is one of the most effective ways of improving quality of life (QoL). We have compared the improvement in QoL in 62 patients who had a cemented revision of a THA with that of 62 primary replacements. One year after operation the median QoL score had been significantly improved in both groups; from 0.870 to 0.990 in the primary group (p < 0.0001) and from 0.870 to 0.980 in the revised group (p < 0.0001). There was no significant difference in the improvement in scores between the groups (p = 0.29). When reviewed after four years there was no difference in the pain score for either group (p = 0.89), but that for function had deteriorated significantly. This was associated with revision surgery (p = 0.018) and a low preoperative QoL score (p = 0.004). We conclude that both primary and revision operations give a significant improvement in the QoL but function after revision may be less durable than after a primary arthroplasty.  (+info)

Myint, PK, Luben, RN, Surtees, PG, Wainwright, NWJ, Wareham, NJ and Khaw, KT (2010) Physical health-related quality of life predicts the incidence of Coronary Heart Disease in the European Prospective Investigation into Cancer (EPIC) - Norfolk prospective population based study. International Journal of Epidemiology, 39 (4). pp. 996-1003. ISSN 1464-3685 Full text not available from this repository. (Request a copy ...
TY - JOUR. T1 - The impact of gastrointestinal and genitourinary toxicity on health related quality of life among irradiated prostate cancer patients. AU - Schaake, Wouter. AU - Wiegman, Erwin M.. AU - de Groot, Martijn. AU - van der Laan, Hans Paul. AU - van der Schans, Cees. AU - van den Bergh, Alfons C.M.. AU - Langendijk, Johannes A.. PY - 2013. Y1 - 2013. N2 - PURPOSE: To determine the impact of late radiation-induced toxicity on health-related quality of life (HRQoL) among patients with prostate cancer.PATIENTS AND METHODS: The study sample was composed of 227 patients, treated with external beam radiotherapy. Common Terminology Criteria for Adverse Events version 3.0 were used to grade late genitourinary and gastrointestinal toxicity. The European Organization for Research and Treatment of Cancer Quality of life Questionnaire C30 (EORTC QLQ-C30) was used to assess HRQoL at baseline, and 6, 12 and 24 months after completion of radiotherapy. Statistical analysis was performed using a ...
Both HRQoL and the prevalence of side effects were not statistically significantly different between screening and control groups whereas treatment choices between the two groups were statistically significantly different. The mean scores of sleeping and sexual dimensions of the 15D and the mean 15D scores of the screening population were statistically significantly lower in comparison with reference population. Treatment choices were associated with the prevalence of prostate-specific side effects, the sexual dimension of the 15D and overall HRQoL. Sex-related symptoms were the most common side effects and higher occurrence was observed in surgery patients. The presence of erectile side effects was associated with the sexual dimension of the 15D and overall HRQoL. However, other side effects were not found to be related to the three dimensions (sleeping, elimination and sexual activity) of the 15D or overall HRQoL. After adjusting for a number of factors, patients who experienced the worst ...
The Physical Quality of Life Index (PQLI) is an attempt to measure the quality of life or well-being of a country. The value is the average of three statistics: basic literacy rate, infant mortality, and life expectancy at age one, all equally weighted on a 0 to 100 scale.. It was developed for the Overseas Development Council in the mid-1970s by Morris David Morris, as one of a number of measures created due to dissatisfaction with the use of GNP as an indicator of development. PQLI might be regarded as an improvement but shares the general problems of measuring quality of life in a quantitative way. It has also been criticized because there is considerable overlap between infant mortality and life expectancy.[1]. The UN Human Development Index is a more widely used means of measuring well-being.. Steps to Calculate Physical Quality of Life:. 1) Find percentage of the population that is literate (literacy rate).. 2) Find the infant mortality rate. (out of 1000 births) INDEXED Infant Mortality ...
Post-procedure, patients remained hospitalized and were monitored for 24 to 48 h. Clinical follow-up was recommended at 3 months and annually. Before and after ablation at 3 months and 1, 2, and 3 years, patients received a questionnaire that included QoL assessment, symptom information, and self-reports of arrhythmia recurrences (and interventions) that occurred outside of follow-up visits. All reported outcomes were timed in relation to the patients last ablation at Mayo Clinic.. Health-related QoL was assessed with the Medical Outcomes Study Short Form-36 (SF-36). The SF-36 contains 8 individual scales, scored from 0 (worst health) to 100 (best health). Raw scores were presented as T scores in comparison with a healthy normal population with a mean score set at 50 with an SD of 10. In addition to a total score, physical component summary (PCS) and mental component summary (MCS) scores were assessed on a raw scale of 0 to 100 (14).. After August 2004, the Mayo AF-Specific Symptom Inventory ...
In a longitudinal study reported in the Journal of Clinical Oncology, Husson et al found that health-related quality of life improved between diagnosis and 2 years after diagnosis in adolescent/young adult (AYA) patients with cancer, but it remained impaired compared with population norms.. Study Details. The study involved 176 patients aged 15 to 39 years with various cancers from 5 U.S. institutions who completed the Short Form-36 Health Survey (SF-36) within 4 months after diagnosis and at 12 and 24 months later. The SF-36 summary physical component scale (PCS) and mental component scale (MCS) scores were converted to T scores ranging from 0 to 100, with a higher score indicating better health-related quality of life.. Changes Over Time. At baseline, AYA patients had significantly poorer mean PCS scores (38.7 vs 52.9, P , .001) and MCS scores (42.9 vs 48.9, P , .001) vs population norms (ages 18-40 years). AYA patients had significant improvements in PCS and MCS scores from baseline at 12 ...
The effects of physical activity on prescription (PAP) on health-related quality of life (HRQoL) in overweight adults are unclear. We therefore aimed to explore the effects of the Swedish PAP model on HRQoL in overweight older adults. Participants were recruited from a cohort of men and women born between 1937 and 1938, and living in Stockholm County. Inclusion criteria were; insufficiently physically active, i.e. |30 min of at least moderate intensity physical activity (PA) per day; body mass index |25 kg/m2; and waist circumference ≥102 cm (men) or ≥88 cm (women). Altogether, 101 individuals, aged 67 years, were randomly assigned to two parallel groups: intervention group (n = 47) receiving individualised PAP or control group (n = 54). The 36-item Short Form Health Survey (SF-36) was administered before and after the six months intervention. Main outcomes were the SF-36 physical component summary (PCS) and mental component summary (MCS) scores. Intention to treat analysis was utilised. Regression
Background Our aim was to investigate the existence of a reciprocal relationship between patients assessment of quality of life and their appraisal of health. If present, this relationship will interfere with the interpretation of heart surgerys effect on overall quality of life. Methods Path analysis was used to investigate reciprocal causal relationships between general health perceptions and overall quality of life before and after heart surgery. Longitudinal data from a study of coronary artery bypass surgery were used to model lagged, cross-lagged, and simultaneous paths over four time-points of assessment from before surgery to one year afterwards. The conceptual framework for the analysis was the Wilson and Cleary causal pathway model. General health perceptions were measured with the Short Form 36. Overall quality of life was measured with i) a single question regarding life satisfaction and ii) the multi-item Quality of Life Survey. Results Acceptable model fit was obtained for ...
Background: The EORTC 24971/TAX 323, a phase III study of 358 patients with unresectable locoregionally advanced squamous cell carcinoma of the head and neck, showed an improved progression-free and overall survival (OS) with less toxicity when docetaxel (T) was added to cisplatin and 5-fluorouracil (PF) for induction and given before radiotherapy (RT). The impact of the addition of docetaxel on patients health-related quality of life (HRQOL) and symptoms was investigated. Methods: HRQOL was assessed at baseline, at end of cycle 2, and 4, 6, and 9 months after completion of RT using the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire C30 (QLQ-C30) and the EORTC QLQ Head and Neck Cancer-Specific Module (EORTC QLQ-H&N35). The primary HRQOL scale was global HRQOL per protocol. Results: Compliance to HRQOL assessments was 97% at baseline, but dropped to 54% by 6 months. Data were analysed up to 6 months. There was a trend towards improved global HRQOL ...
TY - JOUR. T1 - Impact of chronic gastrointestinal symptoms in diabetes mellitus on health-related quality of life. AU - Talley, Nicholas J.. AU - Young, Lisa. AU - Bytzer, Peter. AU - Hammer, Johann. AU - Leemon, Melanie. AU - Jones, Michael. AU - Horowitz, Michael. PY - 2001. Y1 - 2001. N2 - OBJECTIVES: Morbidity from GI symptoms in diabetes is considered to be high, but no studies have quantified the impact of GI symptoms in diabetes on health-related quality of life. We hypothesized that diabetics reporting increased GI symptoms would experience more impaired quality of life. METHODS: Subjects from the community with diabetes (n = 892) and outpatients with diabetes (n = 209) were recruited for this study. Subjects were divided into type 1 (diabetes diagnosed at age ,30 yr and requiring insulin) and type 2. A validated questionnaire measuring GI symptoms and diabetes status and the Short Form-36 were completed. The results were compared with Australian normal data. GI symptom groups measured ...
Research Team: Montse Ferrer, Jordi Alonso, Olatz Garin, Àngels Pont. The International health-related Quality of life Outcomes Database (IQOD) Group defines as general objective to develop a database of HRQL item responses, clinical and socio-demographic data from multiple sources of HRQL studies conducted throughout Europe; with the purpose of evaluating the psychometric properties of linguistically validated versions of three HRLQ instruments . The selected instruments were: The Womens Health Questionnaire (WHQ), the Psychological General Well-being Index (PGWB), and the Minnesota Living with Heart Failure Questionnaire (MLHFQ). Each of these instruments was selected for the IQOD project because of favourable reports of its reliability and validity, its linguistic adaptation into multiple European languages, and its extensive use throughout Europe and the US. However, the metric properties of these different versions have not been cross-culturally evaluated. The MLHFQ contains 2 domains ...
This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.Combined exposure to several healthy behaviors (HB) is associated with reduced mortality in older adults but its impact on health-related quality of life (HRQL) is uncertain. This is a cohort study of 2,388 individuals aged ≥60 recruited in 2000-2001, whose data were updated in 2003 and 2009. At baseline, participants reported both traditional HB (non-smoking, being very or moderately active, healthy diet) and non-traditional HB (sleeping 7-8 h/d, being seated <8 h/d, and seeing friends every day). HRQL was measured with the SF-36 questionnaire at baseline, in 2003 (short-term) and in 2009 (long-term); a higher score on the SF-36 represents better HRQL. Linear regression models were used to assess the association between HB at baseline and HRQL in 2003 and ...
The older Hispanic population of the U.S. is growing at a tremendous rate. While ethnic-related risk and complications of diabetes are widely-acknowledged for older Hispanics, less is known about how health related quality of life is affected in this population. Cross-sectional study assessing differences in health related quality of life between older Mexican Americans with and without diabetes. Participants (n = 619) from the Hispanic Established Population for the Epidemiological Study of the Elderly were interviewed in their homes. The primary measure was the Medical Outcomes Study Short Form (SF-36). The sample was 59.6% female with a mean age of 78.3 (SD = 5.2) years. 31.2% (n = 193) of the participants were identified with diabetes. Individuals with diabetes had significantly (F = 19.35, p | .001) lower scores on the Physical Composite scale (mean = 37.50, SD = 12.69) of the SF-36 compared to persons without diabetes (mean = 43.04, SD = 12.22). There was no significant difference between persons
International Journal of Hypertension is a peer-reviewed, Open Access journal that provides a forum for clinicians and basic scientists interested in blood pressure regulation and pathophysiology, as well as treatment and prevention of hypertension. The journal publishes original research articles, review articles, and clinical studies on the etiology and risk factors of hypertension, with a special focus on vascular biology, epidemiology, pediatric hypertension, and hypertensive nephropathy.
Do you ever feel like life is kicking you in the butt? Or do you ever feel like life is dragging you down? Though it may be hard preventing negativity from pulling you into a rut when you have a chronic condition, like hepatitis B, being more positive can help lift your spirits. When you do this, you can improve your health-related quality of life!. Though there is no set definition for health-related quality of life, the CDC defines it as an individuals or a groups perceived physical and mental health over time. Health related quality of life explains how a persons physical, emotional, mental and social aspects impact their overall life. Health-related quality of life can impact your overall well-being, which the CDC defines as "a positive outcome that is meaningful for people." Basically, improving health-related quality of life and overall well-being can help people feel that things are going well in their lives. Ultimately, this can help decrease stress and improve how well someone ...
Previous studies have shown that treatment-naïve HCV patients treated with RBV and IFN experience a significant PRO impairment.[13,14] In particular, the use of IFN causes substantial side effects, including debilitating ones such as severe depression, which, in turn, affect patients ability to sustain treatment long enough to obtain a cure whether through medical discontinuation or through patients nonadherence. The use of RBV also has been shown to decrease PROs during treatment. However, the PRO data in patients who are retreated after having experienced another course of treatment have not been reported. Therefore, the aim of this study was to evaluate PROs during treatment with and without the use of IFN in patients who participated in a prior study of an IFN-containing or an IFN-free DAA-based regimen and has not achieved SVR ...
TY - JOUR. T1 - Health-related quality of life. T2 - A guide for the health professional. AU - Nanda, Upasana. AU - Andresen, Elena. PY - 1998. Y1 - 1998. N2 - The importance of evaluating health care in terms of patients quality of life has only recently been acknowledged in the context of outcomes research and the measurement of quality of care. As a health professional, trying to choose the appropriate health status or health-related quality of life (HRQOL) measure can be daunting, as one is faced with a bewildering array of choices. The purpose of this article is to describe the process by which professionals might make a choice about measures in outcomes research. The article includes examples and rationale for using generic or disease- specific HRQOL measures. In addition, examples are provided of HRQOL assessment in two adult chronic disease applications: asthma and congestive heart failure.. AB - The importance of evaluating health care in terms of patients quality of life has only ...
The Medical Outcome Study Short Form 36-Item Health Survey (SF-36) is a self-administered questionnaire that measures the impact of disease on overall quality of life and consists of 36 questions in eight domains. The domains include physical (physical functioning, role limitations due to physical health (role-physical), general health perceptions and pain) and mental domains (energy/fatigue (vitality), social functioning, emotional well-being (mental health), and role limitations due to emotional problems (role emotional)). The individual domain scores are calculated and transformed to range from 0 to 100, with higher scores indicating a better level of functioning ...
The InterStim System is the Only Proven, Long-Term Sacral Neuromodulation Solution for Overactive Active Bladder. DUBLIN - July 17, 2017 - Medtronic plc (NYSE: MDT) today announced that the InterStim(TM) system, which provides sacral neuromodulation therapy, offers sustained long-term efficacy and quality of life improvements for overactive bladder (OAB) at five years.1 Results of the InSite study, which were published online in the Journal of Urology,1 found that 82 percent of patients had therapeutic success (defined as a greater than 50 percent improvement in symptoms) at five years and sustained quality of life improvements. "Effective long-term bladder control is critical because OAB is a chronic condition that significantly impacts all aspects of a persons quality of life, including confidence, activities and intimacy," said Steven Siegel, M.D., primary investigator and director, Metro Urology Centers for Female Urology and Continence Care, Minneapolis, Minn. "Many struggle to find ...
There is a growing interest to use quality of life as one of the dialysis outcome measurement. Based on the Malaysian National Renal Registry data on 15 participating sites, 1569 adult subjects who were alive at December 31, 2012, aged 18 years old and above were screened. Demographic and medical data of 1332 eligible subjects were collected during the administration of the short form of World Health Organization Quality of Life questionnaire (WHOQOL-BREF) in Malay, English, and Chinese language, respectively. The primary objective is to evaluate the quality of life among dialysis patients using WHOQOL-BREF. The secondary objective is to examine significant factors that affect quality of life score. Mean (SD) transformed quality of life scores were 56.2 (15.8), 59.8 (16.8), 58.2 (18.5), 59.5 (14.6), 61.0 (18.5) for (1) physical, (2) psychological, (3) social relations, (4) environment domains, and (5) combined overall quality of life and general health, respectively. Peritoneal dialysis group ...
TY - JOUR. T1 - Physical activity-related differences in body mass index and patient-reported quality of life in socioculturally diverse endometrial cancer survivors. AU - Rossi, Amerigo. AU - Garber, Carol Ewing. AU - Kaur, Gurpreet. AU - Xue, Xiaonan (Nan). AU - Goldberg, Gary L.. AU - Nevadunsky, Nicole S.. PY - 2017/2/16. Y1 - 2017/2/16. N2 - Purpose: The purpose of this study was to describe physical activity-related differences in body composition, quality of life, and behavioral variables among a socioculturally diverse sample of endometrial cancer survivors. Methods: Ambulatory, English-speaking endometrial cancer survivors (6 months to 5 years post-treatment), who were residents of Bronx, NY, were recruited to complete questionnaires about physical activity (PA), quality of life (QoL), and psychosocial characteristics. Body weight and height were obtained from medical records to determine body mass index (BMI). ANOVA and independent sample t tests were used to determine differences ...
BACKGROUND: After deep venous thrombosis (DVT), many patients have impaired quality of life (QOL). We aimed to assess whether pharmacomechanical catheter-directed thrombolysis (PCDT) improves short-term or long-term QOL in patients with proximal DVT and whether QOL is related to extent of DVT. METHODS: The Acute Venous Thrombosis: Thrombus Removal with Adjunctive Catheter-Directed Thrombolysis (ATTRACT) trial was an assessor-blinded randomized trial that compared PCDT with no PCDT in patients with DVT of the femoral, common femoral, or iliac veins. QOL was assessed at baseline and 1 month, 6 months, 12 months, 18 months, and 24 months using the Venous Insufficiency Epidemiological and Economic Study on Quality of Life/Symptoms (VEINES-QOL/Sym) disease-specific QOL measure and the 36-Item Short Form Health Survey (SF-36) physical component summary (PCS) and mental component summary general QOL measures. Change in QOL scores from baseline to assessment time were compared in the PCDT and no PCDT ...
Establishing predictors of quality of life (QoL) in individuals with inflammatory bowel disease could help to identify those patients who are most likely to experience poor quality of life.. It would then be possible to target therapeutic interventions appropriately.. Dr Welfare and colleagues undertook a study to investigate how disease-specific QoL depends on demographic, disease related, and physiological markers of disease activity, cognitive representations of illness, and perceived general health status.. The researchers collected a total of 111 Inflammatory Bowel Disease Questionnaires (IBDQ), Medical Outcomes Study 36-Item Short-Form Health Surveys (SF-36), and Illness Perception Questionnaires (IPQ).. The research team was able to determine the extent of disease from records, and disease activity by a symptom index.. The researchers used bivariate analyses and multivariate regression models to identify predictors of disease-specific quality of life.. ...
Health-related quality-of-life outcomes of sirolimus-treated kidney transplant patients after elimination of cyclosporine A: results of a 2-year randomized clinical trial. ...
DENVER, Oct. 18 "" Results from a University of Pittsburgh study evaluating intensity modulated radiation therapy (IMRT) for head and neck cancer determined the ideal doses for lessening treatment side effects. The findings were presented today at the 47th Annual Meeting of the American Society for Therapeutic Radiology and Oncology (ASTRO) in Denver. "Despite major advances in chemotherapy and radiation for the treatment of head and neck cancers, many patients continue to suffer debilitating side effects that greatly impact their quality of life," said Dwight E. Heron, M.D., study co-author and associate professor of radiation oncology, University of Pittsburgh School of Medicine and director of radiation oncology, University of Pittsburgh Medical Center. "While these high-energy beams are targeted to the tumor site as precisely as possible, they often inadvertently injure healthy tissue that surrounds the tumor site, limiting the doses of radiation that can be used to effectively destroy ...
The Life Quality Index (LQI) is a compound social indicator of human welfare that reflects the expected length of life in good health and enhancement of the quality of life through access to income. The Life Quality Index combines two primary social indicators: the expectancy of healthy life at birth, E, and the real gross domestic product per person, G, corrected for purchasing power parity as appropriate. Both are widely available and accurate statistics. The three components of the Life Quality Index, G, E and K reflect three important human concerns: the creation of wealth, the duration of life in good health and the time available to enjoy life. The amount of life available to enjoy wealth acts as a multiplying factor upon the value of that wealth. Conversely, the amount of income one has to enjoy that available lifetime acts as a multiplier on the expected duration of life. Unlike the United Nations Human Development Index (HDI), the LQI is derived rigorously from the economics of human ...
My name is Ruth Slattery. I am a sixty year old wife and mother of five sons all born at home.. I have always believed in a natural, whole foods approach to life. Having a degree in anthropology from the University of Texas at Austin made understanding and accepting the philosophy and science of the Perfect Health Diet by Paul Jaminet PHD and Shou-Ching Jaminet PHD logical and easy. The atmosphere and support at Albert Oaks makes the transition to a well rounded healthy lifestyle as easy as possible. The delicious meals by chef/owner Damon Young, oak covered grounds,chicken coop, orchard and beautiful vegetable gardens remind us of and attach us to the natural food and life experiences. Participants are encouraged to join in on caring for the chickens, gardening and cooking if interested. Personally I enjoy tending the chickens and gardening.. At Albert Oaks one learns the importance of proper light exposure, sleep, exercise and nutrition in acquiring and maintaining good health. ...
There appears to be a paradox in the prostate cancer literature: despite the fact that age and comorbidities are positively correlated, comorbidities are associated with worse physical and emotional quality of life while age is associated with worse physical quality of life but better emotional quality of life. Emotional support and positive reframing coping strategies may help explain part of this paradox in that they may be more frequently used by older prostate cancer patients and associated with better emotional quality of life. In an effort to better understand this paradox, the present questionnaire-based study of pre-treatment prostate cancer patients (n=74) investigated 1) the relations among age, comorbidity level, emotional quality of life, and physical quality of life, 2) age as a potential moderator of the association between comorbidities and emotional quality of life, and 3) an age-specific coping strategy comprised of emotional support and positive reframing as a mediator of the ...
There appears to be a paradox in the prostate cancer literature: despite the fact that age and comorbidities are positively correlated, comorbidities are associated with worse physical and emotional quality of life while age is associated with worse physical quality of life but better emotional quality of life. Emotional support and positive reframing coping strategies may help explain part of this paradox in that they may be more frequently used by older prostate cancer patients and associated with better emotional quality of life. In an effort to better understand this paradox, the present questionnaire-based study of pre-treatment prostate cancer patients (n=74) investigated 1) the relations among age, comorbidity level, emotional quality of life, and physical quality of life, 2) age as a potential moderator of the association between comorbidities and emotional quality of life, and 3) an age-specific coping strategy comprised of emotional support and positive reframing as a mediator of the ...
Background Chemotherapy treatment for metastatic breast cancer (MBC) has shown significant benefits in survival for breast cancer patients. However, chemotherapy is associated with several side effects that have a significant impact on patients quality of life. The objective of this analysis was to quantify the value patients with MBC place on reduced risk of treatment side effects.. Methods: A willingness to pay (WTP) survey was developed to assess metastatic breast cancer patients willingness to pay for a reduction in the risk of breast cancer treatment side effects. The survey assessed patients WTP for a 25%, 50% and 100% reduction in the risk of all side effects. Patients were also asked to select the side effect they would pay the most to avoid. Additionally, the survey collected demographic information such as treatment regimen, age, race/ethnicity, region, employment status, and insurance type.. Results: The survey was completed by 202 metastatic breast cancer patients. Most survey ...
Milwaukee, WI (PRWEB) May 25, 2017 -- A research study led by Drs. David Skaggs, Behrooz Akbarnia and Michael Vitale compared the health-related quality of
With increasing numbers of people suffering from a variety of orthopedic ailments, the use of orthopedic implants has become common. The surgeons use these implants for treatment of a wide range of bone related diseases such as fracture, several bone injuries, and joint pains. The surgeons replace the damaged bone and joint to give relief to the patient.. In India, manufacturers make and supply an entire range of orthopedic implants with high global quality standards ascertain. HEMC Ortho is one of the leading orthopedic implants manufacturers known for its quality production of a whole gamut of the implants. The company makes sure that each phase of the manufacturing takes place with global quality standards met. Implants such as rods, screws, pins, plates and host of others including the instruments are made in India and supplied to the domestic and overseas markets.. Types of implants used in orthopedic surgery There are many types of orthopedic implants. In fact, there are many implants used ...
Acpuris Intensive Spot Treatment - Get up-to-date information on Acpuris Intensive Spot Treatment side effects, uses, dosage, overdose, pregnancy, alcohol and more. Learn more about Acpuris Intensive Spot Treatment
Health-related QOL was measured by mean changes from baseline in the EORTC-QLQ-C30 global health status/quality of life composite scale and by mean changes from baseline in the remaining EORTC QLQ-C30 questionnaire, Version 3. The EORTC QLQ-C30 is a questionnaire developed to assess the QOL of cancer patients. The questionnaire is a 30-item tool covering multiple items, including 5 functional scales (physical, role, emotional, social, and cognitive); 3 symptom scales (fatigue, nausea and vomiting, and pain); a global health status/QOL scale; and 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). Scores for each item range from 0 to 100. A high score for a functional scale represents a high (healthy) level of functioning, and a high score for the global health status represents a high QOL. However, a high score for a symptom scale represents more severe symptoms ...
Background: In order to assess and plan for changing healthcare needs, the lack of available information regarding temporal changes in the health-related quality of life of a population must be addressed. Aim: This paper aims to describe such changes over 5 years in a general population. Design of study: Longitudinal postal questionnaire study. Setting: UK general practice. Method: This was a longitudinal postal questionnaire study in two general practice populations, using the generic instalment EQ-5D to measure health-related quality of life. Individuals were included if they responded to three postal surveys in 1999, 2001, and 2004 and there were three consecutive values of EQ-5Dindex available between 1999 and 2004. Results: A total of 2498 subjects were included in the study. After adjustment for potential confounders (including ageing), health-related quality of life declined significantly over the observation period. The change in EQ-5Dindex was from 0.79 to 0.74 and for EQ-5Dvas 76.8 to ...
Chronic rhinosinusitis (CRS) is a common disorder with a significant impact on health-related quality of life (HRQL). Due to symptoms based diagnosis, disease severity is usually estimated using questionnaires which evaluate subjective scores on severity of symptoms and deterioration of HRQL, like Sino-Nasal Outcome Test-22 Questionnaire (SNOT-22). Objective severity staging is rather based on computerized tomography (CT) scores than on severity of inflammation. There is recent evidence that perceived stress has significant impact on asthma incidence and hospitalization, as well as on allergic rhinitis. As CRS is comorbidity of asthma and allergic rhinitis, we hypothesized that perceived stress may have impact on severity of CRS. The aim of the study is to correlate objective and subjective outcome measures with perceived stress. ...
IN PATIENTS WITH estrogen receptor-positive, HER2-negative advanced or metastatic breast cancer, better quality of life may be prolonged by delaying the progression of the disease, according to an ongoing quality-of-life assessment from the PALOMA-2 study, presented by Nadia Harbeck, MD, PhD, of the Breast Cancer Center at the University of Munich, Germany, and colleagues, at the 2017 European School of Oncology (ESO)/ European Society for Medical Oncology (ESMO) International Consensus Conference for Advanced Breast Cancer (ABC4) in Lisbon, Portugal.1 Analysis of trial data showed that patients whose disease took longer to progress had a significantly greater delay in the deterioration of health-related quality of life compared with patients whose disease progressed earlier, regardless of which treatment they had received. "This study is important because it shows for the first time that progression-free survival determination by imaging in a first-line clinical phase III trial indeed also ...
BC-CfE - Short term health-related quality of life improvement during opioid agonist treatment. - BACKGROUND:Opioid dependence is associated with high levels of morbidity, yet sparse data exists
Background Health-related quality of life (HRQoL) is widely used as an outcome measure in the evaluation of treatment interventions in patients with chronic obstructive pulmonary disease (COPD). In order to address challenges associated with existing fixed-length measures (e.g., too long to be used routinely, too short to ensure both content validity and reliability), a COPD-specific item bank (COPD-SIB) was developed. Methods Items were selected based on literature review and interviews with Dutch COPD patients, with a strong focus on both content validity and item comprehension. The psychometric quality of the item bank was evaluated using Mokken Scale Analysis and parametric Item Response Theory, using data of 666 COPD patients. Results The final item bank contains 46 items that form a strong scale, tapping into eight important themes that were identified based on literature review and patient interviews: Coping with disease/symptoms, adaptability; Autonomy; Anxiety about the course/end-state ...
Results The median disease duration was 7.5 (range 1-26) years in the WG group, and the median total VDI score was 2.0 (range 0-7). Compared to controls,WG patients reported impaired HRQOL reflected by significantly lower SF-36 physical component summary scores (PCS) and mental component summary scores (MCS) (p , 0.001) and by significantly lower scores in 7 out of 8 SF-36 subscales (p ≤ 0.001). In theWG group, no statistically significant correlations were found between the different SF-36 scores and the total VDI score, number of organ systems affected by damage, disease duration, or number of WG relapses. Patients with organ failure or other major forms of damage did not report significantly lower HRQOL than less severely affected patients. ...
Author(s): Kahn, Katherine L; Tisnado, Diana M; Adams, John L; Liu, Honghu; Chen, Wen-Pin; Hu, Fang Ashlee; Mangione, Carol M; Hays, Ronald D; Damberg, Cheryl L | Abstract: The validity of quality of care measurement has important implications for practicing clinicians, their patients, and all involved with health care delivery. We used empirical data from managed care patients enrolled in west coast physician organizations to test the hypothesis that observed changes in health-related quality of life across a 2.5-year window reflecting process of care.Patient self-report data as well as clinically detailed medical record review regarding 963 patients with chronic disease associated with managed care from three west coast states.Prospective cohort study of change in health-related quality of life scores across 30 months as measured by change in SF-12 physical component scores.Patient self-report and medical record abstraction.We found a positive relationship between better process scores and higher
To explore potential response shift effects with different quality of life (QoL) instruments in cardiac patients undergoing coronary intervention. Study Design and Setting: Recalibration was assessed with the disease specific health-related quality of life (HRQL) instrument MacNew in combination with a then-test approach. Reconceptualisation and reprioritisation were assessed with the individualised QoL instrument SEIQoL-DW. Significant treatment effects were seen on the MacNew (global Delta: 0.6 +/- 1.1, p = 0.004) but not on the SEIQoL-DW (Delta: 3.3 +/- 16, p = 0.37) 6 months after coronary intervention. No recalibration effect was found on the MacNew then-test, while with the SEIQOL-DW potential response shift effects of reconceptualisation and reprioritisation were seen. For the first time response shift effects were explored in cardiac patients undergoing coronary intervention. This study confirmed that there is a clinically significant improvement in disease specific HRQL over time ...
Aim: Advances in chemotherapy have significantly prolonged survival of patients with lymphoma and a significant percentage of patients may be cured. The assessment of the quality of life in patients undergoing chemotherapy is of growing interest. The aim of this study is to assess the effect of chemotherapy on quality of life in patients with lymphoma. Methods: All patients (n=49) diagnosed with stage I lymphoma in the Cukurova University Oncology Department from June 2000 to January 2001 received a quality-of-life questionnaire (EORTC QLQ C-30) before chemotherapy and after the second cycle of chemotherapy. Results: Significant improvement during treatment was found in some of the physical activities, emotional functioning, relieve from pain and fatigue, dyspnea, anorexia, sleep, and global quality of life. When chemotherapy, age, gender and lymphoma type were taken into account, the most important factor influencing the global quality of life was educational status. Conclusion: The results may ...
A head-to-head trial evaluated quality of life improvements in patients with moderate-to-severe psoriasis treated with secukinumab (Cosentyx) or ustekinumab (Stelara).
TY - JOUR. T1 - Validation of the WHO-5 well-being index in adolescents with type 1 diabetes. AU - De Wit, Maartie. AU - Pouwer, Frans. AU - Gemke, Reinoud J.B.J.. AU - Delemarre-Van De Waal, Henriette A.. AU - Snoek, Frank J.. PY - 2007/8/1. Y1 - 2007/8/1. N2 - OBJECTIVE - It is recommended that the psychological status of adolescents with diabetes be assessed periodically as part of ongoing care. The World Health Organization-Five Well-Being Index (WHO-5) is a short self-report instrument that appears suitable for this purpose. This study is the first to assess the reliability and validity of the WHO-5 in adolescents with type 1 diabetes. RESEARCH DESIGN AND METHODS - Ninety-one adolescents with type 1 diabetes (aged 13-17 years) from four pediatric clinics completed the WHO-5, along with other psychological measures: the Center for Epidemiologic Studies Depression Scale (CES-D), the Diabetes Family Conflict Scale (DFCS), and the mental health and self-esteem subscales of the Child Health ...
Purpose To present the impact of treatment on health-related quality-of-life (HRQOL) and health utility measures from the randomized controlled trial (ClinicalTrials.gov Identifier: NCT02398721) that...
The objective of this study is to compare health-related quality of life (QOL) outcomes between radical prostatectomy (RP) and external beam radiation therapy (EBRT) for localized prostate cancer. PubMed, EMBASE, the Cochrane Library and Web of Science (to July 2017) were searched. Pooled analysis of each domain-specific score was calculated in relevant studies, and its change with follow-up time was explored by sub-group analysis. A total of six studies containing 4423 patients were included. Men underwent RP was associated with worse urinary and sexual domain score than EBRT (standardized mean difference (SMD) = -0 ...
The team found that general health status, measured by the Short Form-36 questionnaire, was worse in the constipated vs non-constipated populations.. Results were comparable in all countries.. The research team observed that quality of life scores correlated negatively with age.. The team noted that constipated women reported more impaired health related quality of life than constipated men.. People from Brazil were most affected by constipation as to their social functioning and general health perception.. Dr Petrinis team concludes, "There are significant differences in health related quality of life between constipated and non-constipated individuals.". "We found a significant, negative correlation between the number of symptoms and complaints and Short Form-36 scores.". "The study detected a correlation of constipation with quality of life and the influence of social and demographic factors on health related quality of life in constipated people.". ...
Patient-reported health-related quality of life (Hr-QoL) is an essential end-point to assess the efficacy of multiple sclerosis (MS) treatment. Most QoL tools were developed for clinical research, for which measurement accuracy is required, irrespective of ease of use or the human resources needed. In routine medical practice (RMP), time and resources are limited, requiring simple and quick tools. Our objective was to set up a Hr-QoL measurement adapted for patients with MS, and providing an accurate estimate of Hr-QoL, whilst remaining easy to use and interpret in the RMP context. ...
Background: Pulmonary function is severely reduced in the early period after cardiac surgery, and impairments have been described up to 4-6 months after surgery. Evaluation of pulmonary function in a longer perspective is lacking. In this prospective study pulmonary function and health-related quality of life were investigated 1 year after cardiac surgery.. Methods: Pulmonary function measurements, health-related quality of life (SF-36), dyspnoea, subjective breathing and coughing ability and pain were evaluated before and 1 year after surgery in 150 patients undergoing coronary artery bypass grafting, valve surgery or combined surgery.. Results: One year after surgery the forced vital capacity and forced expiratory volume in 1 s were significantly decreased (by 4-5 %) compared to preoperative values (p , 0.05). Saturation of peripheral oxygen was unchanged 1 year postoperatively compared to baseline. A significantly improved health-related quality of life was found 1 year after surgery, with ...
Quality of life[edit]. Several studies, primarily involving patients with GH deficiency, have suggested a crucial role of GH in ... "Quality of life, mood disturbances and psychological parameters in adult patients with GH deficiency". Panminerva Medica. 54 (4 ... decreased energy and quality of life".[42] Diagnosis of GH deficiency involves a multiple-step diagnostic process, usually ... GH-secreting tumors are typically recognized in the fifth decade of life. It is extremely rare for such a tumor to occur in ...
Quality of life[edit]. In mild cases, individuals with XXXY syndrome may lead a relatively good life. These individuals may ... Those with higher scores in adaptive functioning are likely to have higher quality of life because they can be independent.[3] ... Individuals affected with XXXY are also prone to developing Taurodontism, which often presents early in life, and can be an ...
TNG: "The Quality of Life". *^ DS9: "The Adversary". *^ DS9: "By Inferno's Light" ... Veridian IV - Sister planet to Veridian III which supports a pre-industrial humanoid society, the lives of which were ... It was revealed that Velara III already had silicon-based life and the terraforming operation was unknowingly destroying them. ... Garak suspects that a Yridian whom he owes money may be responsible for the attempt on his life.[114] After playing darts with ...
Mayer, M.; Till, J.E. (1996). "The Internet: a modern Pandora's box?". Quality of Life Research. 5 (6): 568-71. doi:10.1007/ ... In the 1980s Till's focus shifted, moving gradually into evaluation of cancer therapies, quality of life issues, and Internet ... Sutherland, H.J.; Llewellyn-Thomas, H.; Boyd, N.F.; Till, J.E. (1982). "Attitudes toward quality of survival. The concept of " ...
"Risk of malnutrition and health-related quality of life in community-living elderly men and women: The Tromsø study". Quality ... Facts for life (PDF) (4th ed.). New York: United Nations Children's Fund. 2010. pp. 61 and 75. ISBN 978-92-806-4466-1.. ... Undernourishment is most often due to not enough high-quality food being available to eat.[5] This is often related to high ... For humans, "critical period varies from the final third of gestation to the first 2 years of life".[43] Iron deficiency anemia ...
Dias Report (2003). "Life Cycle Assessment in the Agri-food sector" (PDF). Retrieved 29 February 2008. URS/PK Project Report ( ... ISO 22006 - Quality management systems - Guidance on the application of ISO 9002:2000 for crop production. ISO 22000 is also ... Surak, John G. "A Recipe for Safe Food: ISO 22000 and HACCP". Quality Progress. October 2007. pp. 21-27. ISO 22000 at ISO ... which can be closely incorporated with the quality management system of ISO 9001. The detailed similarities and differences of ...
He said he wanted services to stay in the NHS, where the quality of health care is prioritised, as opposed to provision by ... and end of life care. Within these there are 62 indicators. Eventually 15% of the contract value will depend on performance ... The contract provides seven domains against which its outcomes will be judged: patient experience; safe care; quality care; ...
It also refers to a practical, "real life" ability and intelligence that is in contrast with scholarship and knowledge acquired ... For meaning ①, the most salient word (used 7 times) is koyū (固有 "inherent; innate; characteristic; special quality"). This ... "real life; everyday/practical reality') or jitsumutekina (実務的な "actual things, practical experience"). For meaning ②, all the ... "without regard for one's life"), especially when koto ni atatte (事に当たって "facing a vital matter; in case of crisis"). Purity is ...
2008 MISS AMERICA "QUALITY OF LIFE" WINNER ANNOUNCED, Miss America Organization, 24 gennaio 2008. (archiviato dall'url ...
Brown MM, Chamlin SL, Smidt AC (April 2013). "Quality of life in pediatric dermatology". Dermatologic Clinics (Review). 31 (2 ... Barnes LE, Levender MM, Fleischer AB, Feldman SR (April 2012). "Quality of life measures for acne patients". Dermatologic ... Cologne: Institute for Quality and Efficiency in Health Care. July 2016. Archived from the original on 6 September 2017. ... Retinoids are medications that reduce inflammation, normalize the follicle cell life cycle, and reduce sebum production.[45][84 ...
2018-10-27: Health and Quality of Life Outcomes. *2018-10-26: World Journal of Urology ... WikiProject Academic Journals articles by quality Refresh. Welcome to WikiProject Academic Journals, a collaboration area and ... We want to improve the quality of articles about academic journals and their related topics, encourage the use of {{cite ... Shisha-Tom (talk) 19:07, 24 September 2012 (UTC) Some toxicology, renewal of impact factors in life science and chemistry ...
Quality of Life. *Self-perceived quality-of-life scale. *Subjective well-being (SWB) ...
Quality of Life. *Self-perceived quality-of-life scale. *Subjective well-being (SWB) ...
People who report a higher quality of life tend to survive longer.[168] People with lower quality of life may be affected by ... "Health and Quality of Life Outcomes. 7: 102. doi:10.1186/1477-7525-7-102. PMC 2805623. PMID 20030832.. ... Additionally, patients with worse prognoses may be depressed or report poorer quality of life because they perceive that their ... "Clinical Practice Guidelines for Quality Palliative Care" (PDF). The National Consensus Project for Quality Palliative Care ( ...
Eden KJ, Wylie KR (1 July 2009). "Quality of sexual life and menopause". Women's Health. 6 (4): 385-396. doi:10.2217/WHE.09.24 ... a period during which healthy sexuality can be integral to their quality of life.[44] A major complaint among postmenopausal ... With increasing life spans, women today are living one third or more of their lives in a postmenopausal state, ... Congress passed the 2013 Drug Quality and Security Act, authorizing creation by the FDA of a voluntary registration for ...
Quality of Life. *Self-perceived quality-of-life scale. *Subjective well-being (SWB) ... between the lives of the poor and the lives of those around them. For practical purposes, the problem of poverty in the ... Rowntree, Benjamin Seebohm (1901). Poverty: A Study in Town Life. Macmillan and Co.. p. 298 ... For example, a person who lives in a home with a mud floor is considered severely deprived of shelter. A person who never ...
Sustainable Environment for Quality of Life. "100 Ways to Save the Environment." Retrieved on: 2009-06-13. ... The simple definition that sustainability is something that improves "the quality of human life while living within the ... and ideological structures that will improve the quality of life rather than the standard of living. Those who subscribe to ... as it leads to a decline in quality of life.[211][212] Minimizing such growth can provide opportunities for local businesses. ...
"Health and Quality of Life Outcomes. 10: 70. doi:10.1186/1477-7525-10-70. PMC 3502161. PMID 22709981.. ... "Epilepsy community: Factors affecting quality of life" (PDF). PatientsLikeMe.. *^ "Clinical Researcher - April 2015". www. ... quality of life and more on an ongoing basis. The result is a detailed longitudinal record - organized into charts and graphs ... A 2013 collaboration with UCB explored factors underlying quality of life in epilepsy and identified a number of issues beyond ...
"Health and Quality of Life Outcomes. 3 (1): 76. doi:10.1186/1477-7525-3-76. PMC 1315350. PMID 16313678.. ... In terms of total disability-adjusted life years (DALYs), which is an estimate of how many years of life are lost due to ... Nemet-Nejat, Karen Rhea (1998). Daily Life in Ancient Mesopotamia. Daily Life. Santa Barbara, California: Greenwood. pp. 80-81 ... A 2004 cross-Europe study found that approximately one in four people reported meeting criteria at some point in their life for ...
"It" refers to "quality of life? Ah, no, "Australia".. I removed it as it is rather nebulous. Casliber (talk · contribs) 00:53, ... Would there be any objection to removing this photo from this history section of the article? It's low quality and is ... Interesting issue, isn't it, so does anyone have access to Estensen? On the prose quality, we have "the name: the name"; and " ... Some citations are missing bibliographic information, while others are certainly not high-quality (such as http://populstat. ...
... indicating the quality of life and by Score-based ranking for all households. Each of the indicators have 0-4 marks. Thus for ... The food indicator of the BPL method counts the number of meals a family has and completely ignores the quality and nutritional ... There is an emphasis on school attendance as an indicator of better opportunities; quality of education and skills is ignored ...
"Monitoring quality of life in Europe - Gini index". Eurofound. 26 August 2009. Archived from the original on 1 December 2008.. ... it has been used as a measure of the inequality of health related quality of life in a population.[75] In education, it has ... the quality of life, economic opportunity and absolute income in these countries are very different, i.e. countries may have ... the average health-related quality of life and its inequality across individuals and groups". Population Health Metrics. 3: 7. ...
"Quality of life of individuals with and without facial feminization surgery or gender reassignment surgery". Quality of Life ... "Quality of Life Research. 23 (2): 669-676. doi:10.1007/s11136-013-0497-3. ISSN 0962-9343. PMID 23943260.. ... Quality of life and physical health[edit]. Patients of sex reassignment surgery may experience changes in their physical health ... Gómez-Gil, E., Zubiaurre-Elorza, L., De Antonio, I. E., Guillamon, A., & Salamero, M. (2014). "Determinants of quality of life ...
"Tattoo life. Retrieved 20 August 2018.. *^ "Tattoos and Numbers: The System of Identifying Prisoners at Auschwitz". www.ushmm. ... The Times (London), 3 April 1879, p. 9: "Crime has a ragged regiment in its pay so far as the outward ... qualities are ... Broadwell, Albert H. (27 January 1900). "Sporting pictures on the human skin". Country Life.. "In especially sensitive cases a ... Broadwell, Albert H. (27 January 1900). "Sporting pictures on the human skin". Country Life.. Article describing work of ...
"Quality of Life." Historic Prince George's County: A Confluence of Cultures. San Antonio, TX: Historical Network, 2011. ...
... especially in the life sciences. And each case seems to present a new low in terms of the depth and quality of analysis." She ... Chris Holman, Federal Circuit Decides Ariosa, and It's Not Good News for Innovation in the Life Sciences, Holman's Biotech IP ... This is especially true in the life sciences, where development of useful new diagnostic and therapeutic methods is driven by ... and in the life sciences generally."[12] Holman said that he hoped that "the Federal Circuit can find some way to rein in the ...
... worry about guarding the quality of life you can expect both for yourself and your family throughout their lives and your life ... What Is Quality of Life Insurance?. This type of insurance is a way of financially warding against an unexpected death, an ... Quality of Life Insurance is a specific type of insurance that helps to provide protection to you and your family if some ... What is quality of life insurance?. November 26, 2019. By anthony Leave a Comment ...
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In addition, the quality of life of FM patients who consumed cannabis was compared with FM subjects who were not cannabis users ... the Pittsburgh Sleep Quality Index (PSQI) and the Short Form 36 Health Survey (SF-36). Results Twenty-eight FM patients who ... Quality of life Is the Subject Area "Quality of life" applicable to this article? Yes. No. ... Discover a faster, simpler path to publishing in a high-quality journal. PLOS ONE promises fair, rigorous peer review, broad ...
"Quality of Life: How Good is Life for You?". University of Toronto Quality of Life Research Unit. Retrieved 14 October 2009. ... Hecht and Shiel measure quality of life as "the patients ability to enjoy normal life activities" since life quality is ... at Wikiversity Ethical Markets Quality of Life Indicators The First European Quality of Life Survey 2003 Quality of Life in a ... Researchers at the University of Torontos Quality of Life Research Unit define quality of life as "The degree to which a ...
The Life Quality Index (LQI) is a compound social indicator of human welfare that reflects the expected length of life in good ... The Life Quality Index combines two primary social indicators: the expectancy of healthy life at birth, E, and the real gross ... doi:10.1016/S0951-8320(02)00051-0. Lind, N.C. (2007). "Turning Life into Life Expectancy: The Efficiency of Life-Saving ... then the gains in life expectancy will be sufficiently large that there is a net increase in the Life Quality Index (LQI). In ...
Quality of life indicators is a Eurostat online publication providing recent statistics on the quality of life in the European ... Measuring quality of life 1. Material living conditions. 2. Productive or main activity. 3. Health. 4. Education. 5. Leisure ... For each quality of life dimension a set of selected relevant statistical indicators is presented and analysed. Trends over ... 1 dimensions which can be measured statistically to represent the different complementary aspects of quality of life, ...
The Physical Quality of Life Index (PQLI) is an attempt to measure the quality of life or well-being of a country. The value is ... 4) Physical Quality of Life =. (Literacy Rate + INDEXED Infant Mortality Rate + INDEXED Life Expectancy ... 3) Find the Life Expectancy. INDEXED Life Expectancy = (Life expectancy - 42) × 2.7 ... Morris, MD (1980). "The Physical Quality of Life Index (PQLI)". Development digest. 18 (1): 95-109. PMID 12261723.. ...
As I did so, I also noticed changes in the way I felt and in my hay fever allergies and in the quality of my skin. I began to ...
Community Quality-of-Life and Well-Being: www.springer.com/series/13761 for more information.The Community Quality-of-Life ... The focus is typically subjective indicators of quality of life such as community residents satisfaction with life overall, ... The Community Quality-of-Life Indicators: Best Cases book series is a collection of books, each containing a set of chapters ... For ongoing publications, please see Community Quality-of-Life and Well-Being: www.springer.com/series/13761 for more ...
Measurement of Quality of Life VI. Quality-Adjusted Life Years (QALY) is an Unfortunate Use of the Quality-of-Life Concept, ... Quality of Life Theory II. Quality of Life as the Realization of Life Potential: A Biological Theory of Human Being, Soren ... Quality of Life Philosophy I. Quality of Life, Happiness, and Meaning in Life, Søren Ventegodt, Niels Jørgen Andersen, and Joav ... Quality of Life as Medicine. II. A Pilot Study of a Five-Day �Quality of Life and Health� Cure for Patients with Alcoholism, ...
... everything you need for studying or teaching Quality of life. ... Immediately download the Quality of life summary, chapter-by- ... Quality of life Summary. Everything you need to understand or teach Quality of life. ... Advancements in medical technology have forced us again to question our definition of Human Life, and what makes it so valuable ... The Quality of life Study Pack contains: Essays & Analysis (1). Sanctity of Life Versus Quality of Life ...
quality-of-life. Making a career through life-long learning. Companies that want to attract and retain committed and motivated ... quality-of-life. Every age counts. Prof. Dr. Ursula M. Staudinger from Columbia University, New York, about life-long learning ... quality-of-life. Energy every step of the way. With the adidas BoostTM running shoe, the impact energy of jogging is no longer ... quality-of-life. 3D in real time. The XperYenZ™ sensor system is the first that, in real time, can measure the distance to an ...
... accumulation of fat in the tissues of farmed fish and the dependency of the aquaculture industry on fish oils for high-quality ...
Learn how a program developed by Dartmouth Colleges Prevention Research Center improves quality of life and attention span for ... Participants improved their quality of life score (an indication of how they rate their life quality) by an average seven ... to improve lives of people with epilepsy. Participants in HOBSCOTCHExternal. showed improved quality of life and attention. ... Saving Lives, Protecting People Centers for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting ...
Health-related quality of life (HRQOL) is an individuals or a groups perceived physical and mental health over time. ... On this site, find general information about health-related quality of life, such as HRQOL surveillance and its role in public ... Health-Related Quality of Life Measures. * Measurement Properties ...
Check out just released Quality of Life Pics, Images, Clips, Trailers, Production Photos and more from Rotten Tomatoes ... Home , Billions , Season 1 , Quality of Life , Pictures Quality of Life Photos. ... Quality of Life Pictures and Photo Gallery -- ...
... Study Shows People With Bunions Report Poorer Mental and Physical Functioning ... also had the poorest scores on measures of life quality, like social and physical functioning. ... indicate that hallux valgus is a significant and disabling musculoskeletal condition that affects overall quality of life," ... people with severe bunions may report less satisfaction with their lives because they have trouble finding shoes they like to ...
... international research on the quality of urban life. It emphasizes the contributions of the urban environment to the overall ... Approaches to the Study of Quality of Life and Quality of Urban Life. * Front Matter Pages 31-31 ... The Quality of Life in Dhaka, Bangladesh: Neighborhood Quality as a Major Component of Residential Satisfaction ... Innovations in Modeling Quality of Urban Life Data. * Front Matter Pages 345-345 ...
Duffy JP, Kao K, Ko CY, Farmer DG et al (2010) Long-term patient outcome and quality of life after liver transplantation. Ann ... Riano-Galan I, Malaga S, Rjmil L et al (2009) Quality of life of adolescents with end-stage renal disease and kidney transplant ... Health-related quality of life Psychosocial functioning Growth Developmental outcomes School performance ... Lanuza DM, Lefaiver CA, McCabe M et al (2000) Prospective study of functional status and quality of life before and after lung ...
Associations of Health-Related Quality of Life with Overall Quality of Life in the Patient Reported Outcomes Measurement ... A Comparison of Perceptions of Quality of Life Among Adults with Spinal Cord Injury in the United States Versus the United ... Preferences of Adults with Spinal Cord Injury for Widely Used Health-Related Quality of Life and Subjective Well-Being Measures ... This article describes preferences for survey instruments on health-related quality of life and subjective well-being among ...
  • Whole Life Insurance Market Global Report 2020 from The Business Research Company provides strategists, marketers and senior management with the critical information they need to assess the global whole life insurance market. (bccresearch.com)
  • To make life insurance policies more enjoyable for residents of Boca Raton and other popular Florida cities, the state senate has been committed to creating its life insurance law policies to be one of the most customer-centered in the U.S. The 2017 Prohibited Insurance Act , among other things, makes it mandatory for policy providers in the state to protect their customers from fraudulent activities. (goldcoastlifeinsurance.com)
  • The arguments in favor for this type of insurance include that you shouldn't just be worried about what happens if you're dead in terms of your family, you should worry about guarding the quality of life you can expect both for yourself and your family throughout their lives and your life. (citizeneffect.org)
  • So this is another argument in favor of the quality of life insurance, namely that there's an effort given to give someone a certain standard of quality of life even while they are dying so they don't have to worry about financial stressors on top of everything else. (citizeneffect.org)
  • It will most likely be a significant determinant in the quality of life of your dependent relatives as well as the survival of your investments and other commitments after you have passed. (goldcoastlifeinsurance.com)
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