RESUMO
BACKGROUND: The aim of the paper was to assess reliability and validity of the QLQ-C30 questionnaire in studying the quality of life in dialysed patients, and then to compare the life quality in patients on hemodialysis (HD), continuous ambulatory peritoneal dialysis (CAPD) and healthy controls. The present study included 65 HD patients, 22 CAPD patients and a group of 76 healthy volunteers. METHODS: Quality of Life Questionnaire (QLQ-C30), Hospital Anxiety and Depression Scale (HADS), Cantrill ladder. RESULTS: The EORTC QLQ-C30 questionnaire appeared to be a reliable and valid tool for assessing the quality of life in dialysis patients. HD patients had significantly poorer quality of life in the areas of physical, social, cognitive and emotional functioning in comparisons to the controls. CAPD patients were not significantly different life quality-wise from controls, except for their social and professional life.
Assuntos
Falência Renal Crônica/terapia , Diálise Peritoneal Ambulatorial Contínua , Qualidade de Vida , Diálise Renal , Inquéritos e Questionários , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos TestesRESUMO
The paper summarises the role of tomographic cerebral blood flow SPECT scanning in psychiatric diagnostics, its' physical and radiopharmaceutical basis, pathological physiology of cerebrovascular circulation in psychiatric disorders and interpretation of cerebral blood flow scanning results by the clinician. Cerebral blood flow scanning is, to some extent, a functional equivalent of CT/MRI scanning. In psychiatry cerebral blood flow SPECT scanning's basic application is the differentiation of dementia and cognitive impairment, in particular Alzheimer's disease, frontotemporal lobar degeneration and multi-infarct dementia. The other indications for brain SPECT scanning involve the organic brain lesions and medico-legal diagnostics, including the sequelae of cranio-cerebral trauma. Contraindications and economical aspects are underlined.
Assuntos
Lobo Frontal/irrigação sanguínea , Transtornos Mentais/diagnóstico por imagem , Transtornos Mentais/fisiopatologia , Tomografia Computadorizada de Emissão de Fóton Único , Lobo Frontal/diagnóstico por imagem , Humanos , Compostos Radiofarmacêuticos , Tecnécio Tc 99m Exametazima , Tomografia Computadorizada de EmissãoRESUMO
The questionnaire follow-up study of 86 patients treated with atropine comas in the Ist Clinic of Psychiatry, Medical Academy in Gdansk was carried out. 47 patients (62%) responded to the questionnaire. The atropine coma was estimated as the best tolerated method of treatment by 33 responders. The study confirm therapeutic efficiency of atropine coma in obsessive-compulsive neurosis and anancastic syndrome.
Assuntos
Atropina/administração & dosagem , Sonoterapia/métodos , Transtorno Obsessivo-Compulsivo/terapia , Esquizofrenia/terapia , Adolescente , Adulto , Feminino , Humanos , Injeções Intramusculares , Masculino , Pessoa de Meia-Idade , Autoavaliação (Psicologia) , Inquéritos e QuestionáriosAssuntos
Esclerose Cerebral Difusa de Schilder/diagnóstico , Transtornos Neurocognitivos/diagnóstico , Adolescente , Adulto , Córtex Cerebral/diagnóstico por imagem , Córtex Cerebral/patologia , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos Neurocognitivos/etiologia , PneumoencefalografiaAssuntos
Atropina/uso terapêutico , Transtorno Obsessivo-Compulsivo/tratamento farmacológico , Adolescente , Adulto , Atropina/administração & dosagem , Criança , Coma/induzido quimicamente , Relação Dose-Resposta a Droga , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Esquizofrenia/tratamento farmacológico , Autoavaliação (Psicologia) , Inquéritos e QuestionáriosRESUMO
The medical, neurologic and psychiatric complications in 25 hemophiles were analysed. The medical examinations did not show any changes connected with frequent blood transfusions, and bleedings to different tissues. The only changes found out were the result of local bleedings to joints. The psychological examination of the two persons suggested the brain injury, despite the lack of deviations from the norm at the neurologic examination including electroencephalography.
