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OBJECTIVE@#To explore the impacts of delayed ureteral stent removal on the quality of life (QoL) and mental health of urinary calculi postoperative patients due to the corona virus disease 2019(COVID-19) pandemic.@*METHODS@#The demographic and clinical data of patients with ureteral stent placement after urinary endoscopic lithotripsy and returned to Peking University People's Hospital for stent removal from December 2019 to June 2020 were collected. Ureteral stent symptoms questionnaire (USSQ) score and the outcome 20-item self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were collected to estimate the QoL and mental status. The USSQ consisted of 44 questions in 6 domains (including urinary symptom, physical pain, general health, work performance, sexual function, and ureteral stent related infection). For most questions in each domain, its score was a five-point Likert-type scale from 1 to 5, and a small proportion of questions was quantified by 1 to 4 or 1 to 7 scale. SAS and SDS both contained 20 questions used to assess a patient's level of anxiety and depression. Its scoring for each item was on a four-point Likert-type scale from 1 to 4. A total score (ranging from 20 to 80) was the main statistical indicator. The level of clinical anxiety and depression was quantified by using standard scores (total score multiplied by 1.25 to produce integers). And the multi-group structural equation model was constructed by analysis of moment structure (AMOS) analysis.@*RESULTS@#Overall, 71 patients were enrolled for analysis. It was found that the median duration of ureteral stent time differed significantly between the control and delayed groups for 32 (30, 33) d and 94.5 (88, 103) d, respectively. The delayed group resulted in higher scores in the USSQ multidimensional, which included urinary symptoms, general health, work performance and ureteral stent related infections. Anxiety and depression were also significantly serious in the delayed group than in the control group. A longer indwelling time of a ureteral stent could exacerbate the effects of urinary symptoms and physical pain on work performance (P=0.029 < 0.05). Among them, the patients with severe urinary symptoms leading to poor work performance were most significantly affected by prolonged ureteral stent duration time (CR=2.619>1.96).@*CONCLUSION@#Patients with delayed ureteral stent removal due to the COVID-19 had resulted in worse QoL and mental status. Stents related symptoms are more severe in patients with higher anxiety and depression degree during COVID-19. To improve the QoL and mental health of patients after urinary calculi surgery during COVID-19, it is still not recommended to prolong the stent duration time or corresponding intervention measures should be taken.
Subject(s)
Humans , Quality of Life , Pandemics , COVID-19/epidemiology , Ureter/surgery , Urinary Calculi , Pain , Ureteral Diseases , Stents , Surveys and Questionnaires , Ureteral CalculiABSTRACT
Un tema de interés para la Terapia Ocupacional desde sus inicios, ha sido el cómo la persona distribuye el tiempo de sus actividades y a través de esto logra alcanzar el Equilibrio Ocupacional, reconociendo la importancia de éste para la salud del individuo. Sin embargo, un trabajador chileno actual se encuentra sometido a exigencias propias de su rol, que atentan directamente contra la consecución de dicho equilibrio, y por tanto, contra su salud. Atribuido esto principalmente a la gran cantidad de horas destinadas a su actividad productiva. En este documento se presenta un compilado de artículos que busca evidenciar la relación entre el estado de salud de los individuos y la duración de la jornada laboral, establecer aquellos estándares de jornada laboral con menor riesgo para la salud y además,mencionar las implicancias que la modificación de ésta puede tener para un país. Para cumplir dicho objetivo, se realizó una revisión bibliográfica en forma virtual, a través del Sistema de Bibliotecas de la Universidad de Concepción (SIBUDEC), utilizando plataformas internacionales como Lilacs, Scielo , ProQuest, Pubmed y EBSCO. Complementando además, con la búsqueda directa de artículos en algunas revistas electrónicas. Finalmente, se reconoce que una jornada laboral de 8 horas diarias y entre 45 horas semanales, es lo máximo a lo que un trabajador debiera estar expuesto a su actividad laboral y se cuestiona si los parámetros de desarrollo económico debiesen ser el principal determinante para que un país tome la decisión de implementar este tipo de medidas.
A topic of relevance for occupational therapy from their bases, has been how the person distributes the time of their activities and through this reach Occupational Balance, recognizing its importance to the health of the human. However, a current Chilean worker is under its own role demands, which directly threaten the scope of this balance, and therefore their health . Attributed this mainly to the large number of hours devoted to its production. This document shows a compilation of articles that seek to demonstrate the relationship between health status of individuals and the length of the workday, set those workday standards with less risk to health, and also to mention the implications that amending this can have on a country. For this, a literature review was conducted virtually, through the Library System of the Universidad de Concepción (SIBUDEC) using international platforms like Lilacs, Scielo, ProQuest and EBSCO. Well complemented by direct search for items on some electronic journals. Finally it is recognized that a working day of 8 hours per day and 45 hours per week is the most that a worker should be exposed to their work and questions whether the parameters of economic development slated to be the primary determinant for a country to take the decision to implement such measures.
Subject(s)
Humans , Legislation, Labor , Occupational Therapy , Occupational Groups , Working Conditions , WorkloadABSTRACT
Cardiopulmonary resuscitation (CPR) has been standard treatment for all cardiac arrest patients that arrive at the Emergency Department. However it is unclear whether prolonging resuscitation among the elderly victims will provide any benefit or improve outcome. This study is to evaluate factors that can influence outcome of CPR among the elderly, such as time of arrest, duration of CPR, lactate levels and age (among elderly age groups). 89 patients fit the inclusion criteria from January 2007 to January 2009, and all underwent CPR. Lactate levels (p=0.047) and duration of CPR performed (p=0.019) had significant relation to outcome. Time of arrest to CPR and age had no significance. Of 89 patients studied, 4 (4.5%) survived to hospital discharge. The remaining 85 (95.5%) died either in the emergency department, the wards or the Intensive Care Unit. Among the survivors, only 2 (2.3%) functional (independent on activities of daily life) patients were identified. Among the survivors, the mean lactate level was 4.0 mmol/L. The mean lactate levels among the dead were 9.84 mmol/L. The mean length of CPR among the survivors was 5.42 minutes and for the non-survivors, 19.28 minutes. This study reports certain factors such as duration of resuscitation and initial lactate levels that can be valuable tools in decision making when resuscitating an elderly.
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This paper aimed to study what the influences of orthodontic treatment of pronunciation are. We compared the duration and the acoustic wave patterns of Korean consonants pronounced by a control group with those of a patient who had his four premolars extracted and had been given orthodontic treatment The results were as follows : 1. Compared to the control group, the treatment group had a longer duration time of consonant pronunciation for all consonants but "s " and "th" in CV(consonant-vowel) pairs. Especially in the case of "dz", "phih" for CV-pairs, and "d" in VCV(vowel-consonant-vowel) clusters, the duration of consonant sound showed a sharp contrast between the control group and the treatment group. 2. There were clear differences in the acoustic wave patterns of "ts", "phih" and "ch", all of which were in VCV-clusters. The acoustic wave pattern of "ts", when pronounced by the treatment group, was stronger than the control group's. This phenomenon was most remarkable in the transitive section where the "ts" sound flowed into the following vowel. When a preceding vowel shifted to the consonant "phih", the attack property of the appeared clearly in the acoustic waves of the t,reament group, while in the control group the starting point of consonart was indistinctive. Consonant duration for the treatment group was longer, and the appearance of a zero crossing point in the acoustic wave was more frequent. In the case of "ch", the treatment group produced a strong acoustic wave, and the property of aspiration was obvious in it 3. When the treatment group pronounced "d" and "dz" in CV-pairs, the acoustic-wave was similar to that of aspirated "th" and "ch". 4. The aspirated "th" and "ch" pronounced by the treatment group showed the stronger airstream and acoustic wave form.