scholarly journals An Alternative Approach to the Terminal Management of Ogilvie Syndrome

2017 ◽  
Vol 11 (2) ◽  
pp. 352-358
Author(s):  
Daniel Galban ◽  
Joshua J. Baiel
Keyword(s):  
Quality Of Life ◽  
Surgical Resection ◽  
Medical Therapy ◽  
Subtotal Colectomy ◽  
Abdominal Discomfort ◽  
Conservative Approach ◽  
Replacement Surgery ◽  
Alternative Approach ◽  
Ogilvie Syndrome

Ogilvie syndrome is defined as colonic pseudo-obstruction due to nonmechanical causes. Mortality of nearly 50% is associated with perforation of the distended, pseudo-obstructed colon. While conservative medical therapy has proven to be beneficial in a majority of cases, >3% of patients have significant distention or perforation of the colon that warrants surgical resection. The case of a 48-year-old male with progressive abdominal discomfort and distention 12 days following knee replacement surgery is presented. He was subsequently diagnosed with colonic pseudo-obstruction and definitively treated with subtotal colectomy and colostomy. We propose that a more conservative approach to treatment of colonic pseudo-obstruction may prevent the need for colostomy, significantly improving quality of life.

scholarly journals Quality of life of persons after total knee replacement surgery

2019 ◽  
Vol 8 (3) ◽  
pp. 170-174
Author(s):  
Soo-Hyun Leem ◽  
Byounghee Lee ◽  
EunJung Chung ◽  
Jiyeon Lee ◽  
Jung-Hee Kim
Keyword(s):  
Quality Of Life ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Knee Replacement Surgery ◽  
Replacement Surgery ◽  
Total Knee Replacement Surgery ◽  
Total Knee

scholarly journals Quality of Life in Physical, Social, and Cognitive Domains Improves With Endovascular Therapy in the DEFUSE 3 Trial

Stroke ◽  
2021 ◽  
Author(s):  
Laura C. Polding ◽  
William J. Tate ◽  
Michael Mlynash ◽  
Michael P. Marks ◽  
Jeremy J. Heit ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Ischemic Stroke ◽  
Medical Therapy ◽  
Social Participation ◽  
Endovascular Therapy ◽  
Neurological Disorders ◽  
Measurement Tool ◽  
Modified Rankin Scale ◽  
Standard Medical Therapy

Background and Purpose: The DEFUSE 3 (Endovascular Therapy Following Imaging Evaluation for Ischemic Stroke 3) randomized clinical trial demonstrated the efficacy of endovascular therapy in treating ischemic stroke 6 to 16 hours after onset, resulting in better functional outcomes than standard medical therapy alone. The objective of this secondary analysis is to analyze the effect of late-window endovascular treatment of ischemic stroke on quality of life (QoL) outcomes. Methods: Patients (n=182) who presented between 6 and 16 hours after they were last known to be well with acute anterior circulation ischemic stroke were randomized to endovascular thrombectomy plus standard medical therapy or standard medical therapy alone and followed-up through 90 days poststroke. QoL at day 90 was assessed with the QoL in Neurological Disorders measurement tool. Results: Of the 146 subjects alive at day 90, 136 (95%) filled out QoL in Neurological Disorders short forms. Patients treated with endovascular therapy had better QoL scores in each domain: mobility, social participation, cognitive function, and depression ( P <0.01 for all). Variables other than endovascular therapy that were independently associated with better QoL included lower baseline National Institutes of Health Stroke Scale, younger age, and male sex. The degree to which the modified Rankin Scale captures differences in QoL between patients varied by domain; the modified Rankin Scale score accounted for a high proportion of the variability in mobility (Rs 2 =0.82), a moderate proportion in social participation (Rs 2 =0.62), and a low proportion in cognition (Rs 2 =0.31) and depression (Rs 2 =0.19). Conclusions: Patients treated with endovascular therapy 6 to 16 hours after stroke have better QoL than patients treated with medical therapy alone, including better mobility, more social participation, superior cognition, and less depression. The modified Rankin Scale fails to capture patients’ outcomes in cognition and depression, which should therefore be assessed with dedicated QoL tools. REGISTRATION: URL: https://www.clinicaltrials.gov . Unique identifier: NCT02586415.

Comparison of Models for Predicting Quality of Life After Surgical Resection of Hepatocellular Carcinoma: a Prospective Study

2018 ◽  
Vol 22 (10) ◽  
pp. 1724-1731
Author(s):  
Chong-Chi Chiu ◽  
King-Teh Lee ◽  
Hao-Hsien Lee ◽  
Jhi-Joung Wang ◽  
Ding-Ping Sun ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hepatocellular Carcinoma ◽  
Prospective Study ◽  
Surgical Resection ◽  
A Prospective Study

Towards an HCI-Based Symbiotic Environment for Alzheimer's Support

2019 ◽  
pp. 14-42
Author(s):  
Leontios J. Hadjileontiadis ◽  
Dimitrios Mandiliotis ◽  
Konstantinos Toumpas ◽  
Aikaterini Kyprioti
Keyword(s):  
Quality Of Life ◽  
Life Expectancy ◽  
Social Inclusion ◽  
Innovative Design ◽  
Outdoor Activities ◽  
Global Epidemic ◽  
Alternative Approach ◽  
Ad Prevention ◽  
User Interfacing

Alzheimer's Disease (AD), being the most common form of dementia diagnosed in people over 65 years of age, is a global problem with dramatic impact, as there is no cure for it and worsens as it progresses, eventually leading to death. As the sufferer declines s/he often withdraws from family and society, leading to a marginalized way of living. Considering the life expectancy rise, a looming global epidemic of AD is foreseen; hence, new approaches need to be considered regarding AD prevention, diagnosis, treatment, and confrontation. In this vein, an alternative approach (namely Symbiosis) towards a symbiotic Human-Computer Interaction (HCI) environment is presented in this chapter, as a means to facilitate, understand and incorporate the needs of the whole AD community (i.e., patients, caregivers and doctors), involving cutting-edge technology, special serious games and natural-user interfacing, embedded within an innovative design framework. Overall, Symbiosis acts as a technology-based mediator for AD's indoor and outdoor activities, fostering their social inclusion and increasing their quality of life in a symbiotic context.

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