ABSTRACT
ABSTRACT Objective: Avascular necrosis of the hip is a common debilitating disease during the fourth and fifth decades of life. This study attempted to evaluate quality of life in patients with avascular necrosis of the hip joint before and after surgery. Methods: In this study, 40 patients with avascular necrosis of the hip who underwent total hip arthroplasty, bipolar surgery, or cord compression were examined during 2006-2013. Harris Hip Score was used to assess the hip joint function and quality of life before and after surgery. The mean scores and standard deviation were used to describe data for quantitative variables, while frequency percentage was used to describe qualitative variables. Data were analyzed through SPSS v.19 and paired t-test. p < 0.05 was considered significant. Results: This study involved 40 subjects with a mean age of 32 ± 7.38 years, ranging from 21 to 45 years old. The mean Harris Hip Score for patients before and after surgery were 20.36 and 96.15, respectively, showing a statistically significant difference (p < 0.001). The average patient activity scores before and after surgery (8.9 and 44.2, respectively), non-deformity (1.6 and 3.9), and movement (3.6 and 4.9) indicated significant differences (p < 0.001). Furthermore, 80% of patients felt no hip joint pain six months after surgery, while 92.5% patients did not use any assistive device to walk. Conclusions: The results of this study demonstrated that surgery substantially contributed to relieving pain and improving hip function in patients with osteonecrosis of the hip joint in the short term.
RESUMO Objetivo: A necrose avascular do quadril é uma doença debilitante comum durante a quarta e quinta décadas de vida. O presente estudo tentou avaliar a qualidade de vida em pacientes com necrose avascular da articulação do quadril antes e após a cirurgia. Métodos: Entre 2006 e 2013, o estudo avaliou 40 pacientes com necrose avascular do quadril que foram submetidos a artroplastia total do quadril, cirurgia bipolar ou descompressão do núcleo. O Harris Hip Score foi empregado para avaliar a função da articulação do quadril e a qualidade de vida antes e após a cirurgia. Os escores médios e o desvio padrão foram usados para descrever dados para variáveis quantitativas, enquanto a porcentagem de frequência foi usada para descrever variáveis qualitativas. Além disso, os dados foram analisados com o SPSS v.19 e o teste t pareado; p < 0,05 foi considerado significativo. Resultados: Este estudo envolveu 40 indivíduos com média de 32 ± 7,38 anos, variação de 21 a 45. Os escores médios no Harris Hip Score para pacientes antes e após a cirurgia foram 20,36 e 96,15, respectivamente, apresentaram diferença estatisticamente significante (p < 0,001). Diferenças significativas (p < 0,001) foram observadas na atividade média do paciente antes e após a cirurgia (8,9 e 44,2, respectivamente), sem deformidade (1,6 e 3,9) e movimento (3,6 e 4,9). Além disso, 80% dos pacientes não sentiram dor nas articulações do quadril seis meses após a cirurgia, enquanto 92,5% dos pacientes não usaram dispositivo auxiliar para deambulação. Conclusões: Os resultados do presente estudo demonstraram que a cirurgia contribui substancialmente para aliviar a dor e melhorar em curto prazo a função do quadril em pacientes com osteonecrose da articulação do quadril.
Subject(s)
Humans , Male , Female , Adult , Quality of Life , Arthroplasty, Replacement, Hip , Femur Head NecrosisABSTRACT
Objective: To determine the relationship between unwanted pregnancy and health-related quality of life in pregnant Women
Study Design: Case-control study
Place and Duration of Study: Department of Community Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran, from October 2013 to July 2014
Methodology: Of the pregnant women who presented to primary healthcare centers of Kermanshah, Iran to receive prenatal care at 6 - 10 weeks of their pregnancy, those with unwanted pregnancy were selected as cases and those with wanted pregnancy were selected as control group. The selection process was done using multi-stage stratified random sampling. Frequency matching was applied to match the two groups. Quality of life was measured by the SF-36 questionnaire and was compared by the t-test. Relationship power between pregnancy type [wanted or unwanted pregnancy] and impairment of quality of life subscales as the outcome was assessed using odds ratio [OR]
Results: Frequency distribution of matched variables was not statistically different between the two studied groups. Mean scores of mental component summary and physical component summary as well as eight subscales [physical functioning, role, bodily pain, general health, vitality, social functioning, role emotional, and mental health] were lower in the unwanted pregnancy group compared to women with wanted pregnancy [p < 0.001]. The highest high impairment odds ratio was highest for the mental component summary [MCS] [OR = 9.19; 95% Cl = 5.17- 16.32] and vitality subscale [OR = 5.2; 95% Cl = 2.89- 9.33]
Conclusion: Mental health of the pregnant women with unwanted pregnancy is affected more than their physical health. Mental health in women with unwanted pregnancy is 9.19 times more likely to be reduced. Among mental health subscales, vitality [energy/fatigue] showed the highest decrease
ABSTRACT
To determine the students' comparison of their one month educational trainings in Community-Oriented Medical Education with hospitals clinical education. Observational study. Kermanshah Community-Oriented Medical Education Field, Kermanshah University of Medical Sciences, Kermanshah, Iran, from April 2000 to February 2009. As of 2000, medical interns of Kermanshah University of Medical Sciences spend one month in the field of community-oriented medical education. At the end of the one-month period, the interns filled a questionnaire of 11 questions [based on the Likert scale] to assess the level of education in the field compared to hospital clinics. Data of questionnaires collected and completed from 2000 through 2009 [948 questionnaires] were analyzed on SPSS 18 using descriptive statistics [percentage] and analytic statistics [Chi-square test]. The 948 students consisted of 66.4% males [n = 666] and 33.6% females [n = 282]. All 11 variables of comparison were rated improved in the field education compared to the hospital training. The greatest difference pertained referring patients to the relevant health units [82% vs. 23.3%]; patience in education [84.6% vs. 37.1%]; consideration given to the three levels of prevention [77.2% vs. 33.6%] and the attention paid to the presence of students [91.7% vs. 51.8%], all of which were statistically significant [p < 0.0001]. According to the interns, the educational status of specialized clinics of the field was superior to the specific clinics of hospitals [p < 0.0001]. From the standpoint of medical students, training in community-oriented medical education in the field was better than training in the hospitals' clinics