生活质量(Quality of life,QOL)从概念提出到今天在医学界各学科广泛应用已有20多年的历史。不少学者认为,在评价慢性疾病的结局变量中,QOL是较具有说服力的指标。由于精神障碍患者特殊的心理原因,使得这类患者的QOL评价具有其特殊性。...生活质量(Quality of life,QOL)从概念提出到今天在医学界各学科广泛应用已有20多年的历史。不少学者认为,在评价慢性疾病的结局变量中,QOL是较具有说服力的指标。由于精神障碍患者特殊的心理原因,使得这类患者的QOL评价具有其特殊性。近年来国外出现了一些评价精神障碍患者QOL的工具,但由于受到不同社会背景和经济状况的影响,若不加以修订而直接引进,势必影响评价的可靠性和准确性。因此。展开更多
A relationship between lung transplant success and many features of recipients’/donors has long been studied.However,modeling a robust model of a potential impact on organ transplant success has proved challenging.In...A relationship between lung transplant success and many features of recipients’/donors has long been studied.However,modeling a robust model of a potential impact on organ transplant success has proved challenging.In this study,a hybrid feature selection model was developed based on ant colony opti-mization(ACO)and k-nearest neighbor(kNN)classifier to investigate the rela-tionship between the most defining features of recipients/donors and lung transplant success using data from the United Network of Organ Sharing(UNOS).The proposed ACO-kNN approach explores the features space to identify the representative attributes and classify patients’functional status(i.e.,quality of life)after lung transplantation.The efficacy of the proposed model was verified using 3,684 records and 118 input features from the UNOS.The developed approach examined the reliability and validity of the lung allocation process.The results are promising regarding accuracy prediction to be 91.3%and low computational time,along with better decision capabilities,emphasizing the potential for automatic classification of the lung and other organs allocation pro-cesses.In addition,the proposed model recommends a new perspective on how medical experts and clinicians respond to uncertain and challenging lung alloca-tion strategies.Having such ACO-kNN model,a medical professional can sum-marize information through the proposed method and make decisions for the upcoming transplants to allocate the donor organ.展开更多
Objective:To investigate the quality of life(QOL)of living donor liver transplantation(LDLT)donors.Methods:The Euro Qol 5-dimensional questionnaire(EQ-5D)was used to measure the QOL of donors.Results:One donor repor ...Objective:To investigate the quality of life(QOL)of living donor liver transplantation(LDLT)donors.Methods:The Euro Qol 5-dimensional questionnaire(EQ-5D)was used to measure the QOL of donors.Results:One donor repor ted“a little problem”of mobility(MO),and 2 donors(9.1%)repor ted“a little problem”of usual activities(UA).Moreover,there were 8 donors(36.4%)and 7 donors(31.8%)declaring“a little problem”of pain/discomfor t(PD)and anxiety/depression(AD),respectively.And both dimensions have a donor repor ting“moderate problem.”The mean visual analog scale(VAS)was 83.1±12.4.Conclusions:Donors can gain a stable and preferable QOL after donation in both the shor t and long terms.ED-5D application in the field of liver transplant could be an effective choice in QOL studies.展开更多
Background: Menopause is a period where natural cessation of menses occurs, some quality of life characteristics changes with some symptoms associated with this time such as hot flushes and anxiety. Objective: To eval...Background: Menopause is a period where natural cessation of menses occurs, some quality of life characteristics changes with some symptoms associated with this time such as hot flushes and anxiety. Objective: To evaluate and specify the level of impact of these symptoms on the quality of life among women in the Qatif area, Saudi Arabia and to study the factors that may involve in their perception. Methods: A cross-sectional study was conducted of 151 women aged 40 - 60 years old interviewed at either hospital or PHCs, a translated and revised questionnaire of other studies with some adoption. Results: 151 women out of 200 participated in questionnaires, majority of them were highly educated having at least a bachelor’s degree around 80%, and around 75% of participants were either working or retired, with a moderate level of income and enjoying a good lifestyle 93% in around and 97% in the after menopause. With the majority, were not used hormones 95% or conceptive pills 91%, personal perception of health were high around 93% for around and 97.2% for after menopause with no significant statistical difference between the two groups. Conclusion: Perception and knowledge of menopause were very high, with no differences in the severity of symptoms of the four QOL domains for the around or after menopause among the participants. High level of education and increased level of income and knowledge of the participants may play an important role in the result, so further investigation is advised.展开更多
Background: Descriptive statistics have been used to document the high prevalence of sleep disorders, fatigue, and pain in patients with systemic lupus erythematosus (SLE). Objectives: To describe day-to-day variation...Background: Descriptive statistics have been used to document the high prevalence of sleep disorders, fatigue, and pain in patients with systemic lupus erythematosus (SLE). Objectives: To describe day-to-day variations in sleep indicators, physical activity level, pain, and fatigue measured using objective and subjective indicators in lupus patients with sleep disorders. Methods: We selected three patients with sleep disorders, measured by the Pittsburgh Sleep Quality Index score (≥9), out of 20 participants followed up for 4 weeks. We compared the self-rated quality of life (QoL) measured using the Pittsburgh Sleep Quality Index (PSQI) with that of objectively measured sleep indicators monitored using the Nemuri scan. The detailed data collection methods have been previously published. Results: The sleep status generated by the Nemuri scan revealed that Case A with a flare and Case B without a flare required frequent daytime rest. The PSQI sleep duration and sleep latency were generally in agreement with the monitored data, although the PSQI failed to capture the complexity of sleep disorders, particularly the fluctuations in the quality of sleep indicators. Patient C approximately 4 hours on weekdays and 10 hours on Saturday nights. All three cases had high fatigue levels, and their moderate-to-vigorous physical activity duration was less than one-half of duration that recommended by the World Health Association. Conclusion: Visual display for objective monitoring of sleep quality is an excellent tool for understanding patients who require frequent resting and irregular sleep indicators. Objective monitoring of sleep quality, along with self-rated pain and fatigue, promotes an understanding of how patients with SLE cope with severe symptoms.展开更多
目的分析高血压患者生命质量(quality of life,QOL)的影响因素。方法应用SF-36量表(中文版)调查213例原发性高血压患者的QOL情况,以单因素方差分析、多元逐步线性回归对12种因素进行分析,寻找主要影响因素。结果年龄、居住地区、婚姻状...目的分析高血压患者生命质量(quality of life,QOL)的影响因素。方法应用SF-36量表(中文版)调查213例原发性高血压患者的QOL情况,以单因素方差分析、多元逐步线性回归对12种因素进行分析,寻找主要影响因素。结果年龄、居住地区、婚姻状况、在岗情况、血压控制情况、心功能、心血管系统合并症及家庭人均月收入对患者QOL总得分有显著影响。多元逐步线性回归分析显示,年龄、血压控制情况、心功能、心血管系统合并症及家庭人均月收入是主要影响因素,偏回归系数分别为-4.266、86.237、-48.048、-45.071和36.011。结论关注老龄及低收入高血压患者,积极控制血压、改善心功能、治疗心血管系统合并症对提高患者QOL有重要意义。展开更多
文摘生活质量(Quality of life,QOL)从概念提出到今天在医学界各学科广泛应用已有20多年的历史。不少学者认为,在评价慢性疾病的结局变量中,QOL是较具有说服力的指标。由于精神障碍患者特殊的心理原因,使得这类患者的QOL评价具有其特殊性。近年来国外出现了一些评价精神障碍患者QOL的工具,但由于受到不同社会背景和经济状况的影响,若不加以修订而直接引进,势必影响评价的可靠性和准确性。因此。
文摘A relationship between lung transplant success and many features of recipients’/donors has long been studied.However,modeling a robust model of a potential impact on organ transplant success has proved challenging.In this study,a hybrid feature selection model was developed based on ant colony opti-mization(ACO)and k-nearest neighbor(kNN)classifier to investigate the rela-tionship between the most defining features of recipients/donors and lung transplant success using data from the United Network of Organ Sharing(UNOS).The proposed ACO-kNN approach explores the features space to identify the representative attributes and classify patients’functional status(i.e.,quality of life)after lung transplantation.The efficacy of the proposed model was verified using 3,684 records and 118 input features from the UNOS.The developed approach examined the reliability and validity of the lung allocation process.The results are promising regarding accuracy prediction to be 91.3%and low computational time,along with better decision capabilities,emphasizing the potential for automatic classification of the lung and other organs allocation pro-cesses.In addition,the proposed model recommends a new perspective on how medical experts and clinicians respond to uncertain and challenging lung alloca-tion strategies.Having such ACO-kNN model,a medical professional can sum-marize information through the proposed method and make decisions for the upcoming transplants to allocate the donor organ.
基金sponsored by the Natural Science Foundation of Min Hang District(grant no.2021MHZ021)。
文摘Objective:To investigate the quality of life(QOL)of living donor liver transplantation(LDLT)donors.Methods:The Euro Qol 5-dimensional questionnaire(EQ-5D)was used to measure the QOL of donors.Results:One donor repor ted“a little problem”of mobility(MO),and 2 donors(9.1%)repor ted“a little problem”of usual activities(UA).Moreover,there were 8 donors(36.4%)and 7 donors(31.8%)declaring“a little problem”of pain/discomfor t(PD)and anxiety/depression(AD),respectively.And both dimensions have a donor repor ting“moderate problem.”The mean visual analog scale(VAS)was 83.1±12.4.Conclusions:Donors can gain a stable and preferable QOL after donation in both the shor t and long terms.ED-5D application in the field of liver transplant could be an effective choice in QOL studies.
文摘Background: Menopause is a period where natural cessation of menses occurs, some quality of life characteristics changes with some symptoms associated with this time such as hot flushes and anxiety. Objective: To evaluate and specify the level of impact of these symptoms on the quality of life among women in the Qatif area, Saudi Arabia and to study the factors that may involve in their perception. Methods: A cross-sectional study was conducted of 151 women aged 40 - 60 years old interviewed at either hospital or PHCs, a translated and revised questionnaire of other studies with some adoption. Results: 151 women out of 200 participated in questionnaires, majority of them were highly educated having at least a bachelor’s degree around 80%, and around 75% of participants were either working or retired, with a moderate level of income and enjoying a good lifestyle 93% in around and 97% in the after menopause. With the majority, were not used hormones 95% or conceptive pills 91%, personal perception of health were high around 93% for around and 97.2% for after menopause with no significant statistical difference between the two groups. Conclusion: Perception and knowledge of menopause were very high, with no differences in the severity of symptoms of the four QOL domains for the around or after menopause among the participants. High level of education and increased level of income and knowledge of the participants may play an important role in the result, so further investigation is advised.
文摘Background: Descriptive statistics have been used to document the high prevalence of sleep disorders, fatigue, and pain in patients with systemic lupus erythematosus (SLE). Objectives: To describe day-to-day variations in sleep indicators, physical activity level, pain, and fatigue measured using objective and subjective indicators in lupus patients with sleep disorders. Methods: We selected three patients with sleep disorders, measured by the Pittsburgh Sleep Quality Index score (≥9), out of 20 participants followed up for 4 weeks. We compared the self-rated quality of life (QoL) measured using the Pittsburgh Sleep Quality Index (PSQI) with that of objectively measured sleep indicators monitored using the Nemuri scan. The detailed data collection methods have been previously published. Results: The sleep status generated by the Nemuri scan revealed that Case A with a flare and Case B without a flare required frequent daytime rest. The PSQI sleep duration and sleep latency were generally in agreement with the monitored data, although the PSQI failed to capture the complexity of sleep disorders, particularly the fluctuations in the quality of sleep indicators. Patient C approximately 4 hours on weekdays and 10 hours on Saturday nights. All three cases had high fatigue levels, and their moderate-to-vigorous physical activity duration was less than one-half of duration that recommended by the World Health Association. Conclusion: Visual display for objective monitoring of sleep quality is an excellent tool for understanding patients who require frequent resting and irregular sleep indicators. Objective monitoring of sleep quality, along with self-rated pain and fatigue, promotes an understanding of how patients with SLE cope with severe symptoms.
文摘目的分析高血压患者生命质量(quality of life,QOL)的影响因素。方法应用SF-36量表(中文版)调查213例原发性高血压患者的QOL情况,以单因素方差分析、多元逐步线性回归对12种因素进行分析,寻找主要影响因素。结果年龄、居住地区、婚姻状况、在岗情况、血压控制情况、心功能、心血管系统合并症及家庭人均月收入对患者QOL总得分有显著影响。多元逐步线性回归分析显示,年龄、血压控制情况、心功能、心血管系统合并症及家庭人均月收入是主要影响因素,偏回归系数分别为-4.266、86.237、-48.048、-45.071和36.011。结论关注老龄及低收入高血压患者,积极控制血压、改善心功能、治疗心血管系统合并症对提高患者QOL有重要意义。
