1) The document summarizes a study on evaluating quality of life (QOL) in patients before and after total hip arthroplasty (THA) surgery in Vietnam.
2) It finds that patients reported significantly higher QOL scores after surgery compared to before, though physical functioning was somewhat reduced in the initial postoperative period.
3) Key factors impacting QOL changes included issues with overload of patients, lack of treatment/care, and insufficient information provided to patients about rehabilitation and managing postoperative complications.
MSK HQ outcomes from patients attending cognitive behavioural and exercise i...Andrew Bateman
This poster was produced as part of the output by Alex Theobald's research internship. It demonstrates an engagement with item level data that emerges from our interactions with Musculoskeletal (MSK) outpatients. Patient reported outcomes like this deserve careful collation and analysis and I think that Alex has done a great job presenting the findings from his study.
In Cambridgeshire Community Services NHS Trust we are aiming to increase research activity throughout all of our services. It was very pleasing that this poster was accepted for presentation at a prestigious PROMS conference.
Sub153105.pdf my article Outcome Measurement of Electrical Stimulation on Qua...jayanta Jayanta0074U
Outcome Measurement of Electrical Stimulation on
Quadriceps Muscles for Knee Osteoarthritis
Jayanta Nath
Abstract: Introduction: Outcome measurement is very essential part to assess efficacy of treatment intervention. The first objective
was to perform a review of all outcome measurement used in manangement of knee OA. Secondly to know if there was any difference
of outcome measurement of electrical stimulation on quadriceps muscle based on collected review article. Question: What were the
various outcome measurement used for assessment of knee osteoarthritis specially when used electrical stimulation? Design: Review of
literature. Participant: reviewer. Adults with osteoarthritis of the knee. Intervention: Electrical stimulation for quadriceps. Outcome
measure : VAS, WOMAC, dynamometer,MMT,EMG etc Development: Literature searches were made in these databases: Medline
(Ovid), Pedro, SCOPUS, PsycINFO, Web of knowledge, CINAHL (EBSCOHost), SportDicus (EBSCOHost), DOAJ, Cochrane,
EMBASE, Academic Search Complete (EBSCOHost), Fuente Académica (EBSCOHost), and MedicLatina (EBSCOHost). A
retrospective search of 13 years was used until February 2015. 33 records were selected based on the affinity with the subject of the
review and their internal validity according to the PEDro scale. Conclusions: WOMAC, VAS, were most commonly used outcome
measurement for OA knee. recommend further research on ES and outcome measurement.There were many outcome measure for knee
OA based on literature search .The review evidence suggest that VAS,WOMAC,were useful for assessing quality of management.Out of
all outcome measurement tool the WOMAC,PPT, EMG were most valid and reliable tool.
A Preliminary Report Of Outcomes In Arthroscopic Rotator Repair With Extracel...Professor M. A. Imam
An investigation of the outcome of arthroscopic rotator cuff repair of large and massive rotator cuff repairs performed with extracellular matrix augmentation.
Arthroplasty: Present practices by DR. D. P. SWAMI DR. D. P. SWAMI
COMPARISON OF DIFFERENT APPROACHES FOR HIP REPLACEMENT, DIFFERENT ASPECTS OF OVERLAPPING SURGERIES IN TKR AND TEST FOR CONTAMINATION IN OPERATION THEATER
Mal-Alignment as a Risk Factor for Lower Extremity Overuse Injuries: A Case C...iosrjce
Engaging in sports activities has various health benefits, but also carries the risk of injury. Overuse
injuries in young adults is one of them which is challenge to the treating clinician. In the present study, we
studied the association of mal-alignment as a risk factor for overuse injuries of lower extremity in young adults.
In this prospective case-control study, we enrolled all the adult patients engaged in unorganised sports activity
presented with various lower extremity overuses injuries as cases and the without any overuse injury as
controls. After making a clinical impression, all patients were subjected to relevant X-rays to diagnose the malalignment,
if present or not. A total of 471 cases and 857 controls with overuse injuries were included. The
mean age at diagnosis of overuse injuries was 25.5(16-30) yrs in cases and 24.3 (18-30) yrs in controls. The
recreational running was the commonest unorganized activity in both males (38.2%) and females (62.5%).
Correlation of the mal-alignment with overuse injuries found to be statistically significant (p=0.003). In
conclusion overuse injuries in young adults are significantly associated with mal-alignments. Better
understanding of these mal-alignments is better for the management of these injuries.
Suture anchor Bone Response Validation StudyLennard Funk
Suture anchors are routinely used for shoulder labral reconstruction procedures. There is paucity of literature on how the response of bone to suture anchor should be measured following labral reconstruction. A new system, based on the use of magnetic resonance (MR) imaging, has been developed by Professor Bhatti and his trainee which grades bone signal changes around suture anchors using a five-point scale. This system, however, has not yet been tested on a clinical dataset. We tested the reliability of the grading system in an independent dataset.
This validation study demonstrates that the grading system is feasible and has generally moderate reliability. And, although results could be improved if a training document is added at the beginning of the study, this grading system should undergo further validation testing for use in clinical trials.
MSK HQ outcomes from patients attending cognitive behavioural and exercise i...Andrew Bateman
This poster was produced as part of the output by Alex Theobald's research internship. It demonstrates an engagement with item level data that emerges from our interactions with Musculoskeletal (MSK) outpatients. Patient reported outcomes like this deserve careful collation and analysis and I think that Alex has done a great job presenting the findings from his study.
In Cambridgeshire Community Services NHS Trust we are aiming to increase research activity throughout all of our services. It was very pleasing that this poster was accepted for presentation at a prestigious PROMS conference.
Sub153105.pdf my article Outcome Measurement of Electrical Stimulation on Qua...jayanta Jayanta0074U
Outcome Measurement of Electrical Stimulation on
Quadriceps Muscles for Knee Osteoarthritis
Jayanta Nath
Abstract: Introduction: Outcome measurement is very essential part to assess efficacy of treatment intervention. The first objective
was to perform a review of all outcome measurement used in manangement of knee OA. Secondly to know if there was any difference
of outcome measurement of electrical stimulation on quadriceps muscle based on collected review article. Question: What were the
various outcome measurement used for assessment of knee osteoarthritis specially when used electrical stimulation? Design: Review of
literature. Participant: reviewer. Adults with osteoarthritis of the knee. Intervention: Electrical stimulation for quadriceps. Outcome
measure : VAS, WOMAC, dynamometer,MMT,EMG etc Development: Literature searches were made in these databases: Medline
(Ovid), Pedro, SCOPUS, PsycINFO, Web of knowledge, CINAHL (EBSCOHost), SportDicus (EBSCOHost), DOAJ, Cochrane,
EMBASE, Academic Search Complete (EBSCOHost), Fuente Académica (EBSCOHost), and MedicLatina (EBSCOHost). A
retrospective search of 13 years was used until February 2015. 33 records were selected based on the affinity with the subject of the
review and their internal validity according to the PEDro scale. Conclusions: WOMAC, VAS, were most commonly used outcome
measurement for OA knee. recommend further research on ES and outcome measurement.There were many outcome measure for knee
OA based on literature search .The review evidence suggest that VAS,WOMAC,were useful for assessing quality of management.Out of
all outcome measurement tool the WOMAC,PPT, EMG were most valid and reliable tool.
A Preliminary Report Of Outcomes In Arthroscopic Rotator Repair With Extracel...Professor M. A. Imam
An investigation of the outcome of arthroscopic rotator cuff repair of large and massive rotator cuff repairs performed with extracellular matrix augmentation.
Arthroplasty: Present practices by DR. D. P. SWAMI DR. D. P. SWAMI
COMPARISON OF DIFFERENT APPROACHES FOR HIP REPLACEMENT, DIFFERENT ASPECTS OF OVERLAPPING SURGERIES IN TKR AND TEST FOR CONTAMINATION IN OPERATION THEATER
Mal-Alignment as a Risk Factor for Lower Extremity Overuse Injuries: A Case C...iosrjce
Engaging in sports activities has various health benefits, but also carries the risk of injury. Overuse
injuries in young adults is one of them which is challenge to the treating clinician. In the present study, we
studied the association of mal-alignment as a risk factor for overuse injuries of lower extremity in young adults.
In this prospective case-control study, we enrolled all the adult patients engaged in unorganised sports activity
presented with various lower extremity overuses injuries as cases and the without any overuse injury as
controls. After making a clinical impression, all patients were subjected to relevant X-rays to diagnose the malalignment,
if present or not. A total of 471 cases and 857 controls with overuse injuries were included. The
mean age at diagnosis of overuse injuries was 25.5(16-30) yrs in cases and 24.3 (18-30) yrs in controls. The
recreational running was the commonest unorganized activity in both males (38.2%) and females (62.5%).
Correlation of the mal-alignment with overuse injuries found to be statistically significant (p=0.003). In
conclusion overuse injuries in young adults are significantly associated with mal-alignments. Better
understanding of these mal-alignments is better for the management of these injuries.
Suture anchor Bone Response Validation StudyLennard Funk
Suture anchors are routinely used for shoulder labral reconstruction procedures. There is paucity of literature on how the response of bone to suture anchor should be measured following labral reconstruction. A new system, based on the use of magnetic resonance (MR) imaging, has been developed by Professor Bhatti and his trainee which grades bone signal changes around suture anchors using a five-point scale. This system, however, has not yet been tested on a clinical dataset. We tested the reliability of the grading system in an independent dataset.
This validation study demonstrates that the grading system is feasible and has generally moderate reliability. And, although results could be improved if a training document is added at the beginning of the study, this grading system should undergo further validation testing for use in clinical trials.
Using Enhanced Recovery After Surgery (ERAS) to Enhance Postoperative OutcomesWellbe
Speaker: Francesco Carli, MD, MPhil, senior staff anesthesiologist at the McGill University Health Centre
Cost: Complimentary, sponsored by Wellbe
There is strong evidence that many of aspects of surgical care have little evidence, and therefore the Enhanced Recovery After Surgery (ERAS) program has been set up to accelerate the recovery process and decrease the rate of postoperative complications. There is an opportunity to improve outcomes by using team approach and revision of the standard procedures.
Learn about:
– The elements of ERAS protocols
– How to structure the Team approach
– The role of the patient in ERAS
– How to perform an audit of your program
About the Speaker:
Francesco Carli, MD, MPhil, is Professor of Anesthesia at McGill University and Associate Professor in the School of Dietetics and Human Nutrition at McGill University and a senior staff anesthesiologist at the McGill University Health Centre. He is currently an Elected Member of the American Academy of Anesthesia and a Board Member of the Enhanced Recovery After Surgery (ERAS) Society. Dr. Carli completed his medical training and anesthesia training in Turin, Italy, Paris, France, and London, England. He completed a Master’s Degree in surgical metabolism at the University of London, England.
His research interests are: metabolic changes associated with surgery and the impact of perioperative interventions (regional analgesia, nutrition, hormones, exercise) on postoperative recovery; evaluation of functional outcome measures during the surgical recovery process; prehabilitation of surgical patients. He is the author of over 250 peer-review scientific articles and has been a recipient of over 50 peer and non peer-review grants.
An opportunity to hear how service redesign positively impacts on the patient experience and improves outcomes for both the patient and NHSScotland. Showcasing examples of changes to pathways of care in orthopaedics and community support for people with complex and chronic conditions.
Evidence based management of osteoarthritis in primary care - Dr Jonathan Quickepcsciences
Dr Jonathan Quicke is an NIHR Academic Clinical Lecturer in Physiotherapy (Keele University). Dr Quicke presented at the 2017 Musculoskeletal Education Day, where he discussed how we can ensure that best practice can be implemented within general practice for patients suffering with osteoarthritis
Realizing the Promise of Patient-Reported Outcomes MeasuresHealth Catalyst
Dr. Rachel Clark Sisodia, a champion of the system-wide adoption of Patient Reported Outcomes Measures at Partners HealthcCare, will share her experience and perspective on the relevance and necessity of Patient-Reported Outcomes Measures (PROMs). In this webinar, Dr. Sisodia will highlight how the PROMs ideas have been put into practice at Partners HealthCare.
Join us and learn:
Strategies and tactics for overcoming potential barriers to collecting and effectively using PROMs.
Through specific examples, how to demonstrate that PROMs can help deliver faster, more personalized care for individual patients.
How to collect and use advanced analytics to leverage aggregate PROMs data to inform clinical patient and provider decisions.
How to use outcomes metrics for quality improvement and comparative effectiveness.
Decision aids for people facing health treatment or screening decisions: What...Health Evidence™
Dr. Dawn Stacey, University Research Chair in Knowledge Translation to Patients, and Director, Patient Decision Aids Research Group, Ottawa Hospital Research Institute, University of Ottawa, provides an overview of findings from her recent Cochrane review examining use of decision aids for identifying and making decisions about health treatment or screening options:
Stacey D, Legare F, Col NF, Bennett CL, Barry MJ, Eden KB, et al. (2014). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, 2014(1), CD001431.
We welcomed Dr. Andrew Feifer for a presentation about Ned, an app designed specifically for prostate cancer patients, as well as a discussion about the incorporation of data driven smart technology in the survivorship of cancer patients.
The webinar was followed by an interactive question & answer session.
Ned was conceptualized and co-founded by our webinar presenter: Dr. Andrew Feifer, a Urologic Surgical Oncologist at Trillium Health Centre in Toronto. Dr. Feifer evisioned a tool that would empower prostate cancer survivors by putting their health into their own hands and giving them more options to manage their own care.
Low Back Pain & Sciatica, a brief epidemiological introduction and review of 2 articles with conflicting findings addressing the prognostic factors and outcome.
Erectile Dysfunction Treatment Without Medication or OperationBetterBlue
The most significant medical revolution in the treatment of erectile dysfunction (ED) over the past 15 years. No medication and operation. High success rate and without side effect
The Flu-FIT Program : An Effective Colorectal Cancer Screening Intervention
Présentation de Michael B. Potter au colloque "Recherche interventionnelle contre le cancer : Réunir chercheurs, décideurs et acteurs de terrain » - 17 et 18 novembre 2014, BnF, Paris
550 tb Thông báo số 550/ TB-VĐ vv Hướng dẫn chấm công vinhvd12
Thông báo số 550/ TB-VĐ vv Hướng dẫn chấm công và thủ tục cần thiết để thanh toán chế độ cho nhân viên nghỉ cách ly trong thời điểm diễn ra dịch Covid-19
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
4. Total hip arthroplasty (TPA) is optimal therapy for diseases in
the head top and femoral neck.
population aging tendency:
→ There are many patients of femoral neck fracture
and hip disease.
TPA: Technique – Quality of lide (QOL) of patients of hip
dislocation → important
5. The world: Numerous researches on QOL of HD patients
in USA, Australia, Greece, Italy, France, Croatia…
In Vietmale, such research has not been conducted yet.
Viet Duc Hospital: 500 TPA cases (in 2013)
Purpose
- Help patients and doctors to select the suitable
therapy
- Evaluate efficiency of operation and nursing
- Determine supporting methods for nursing and
treatment
6. Veljko santie’(Croatia-
2012) evaluate and
compare points of QOL
02 years before and
Veljko santie’(Croatia-
2012) evaluate and
compare points of QOL
02 years before and
Henning R
Johansson (Germany
- 2010): evaluate 6,
12, 24 months before
and after operation
BSF36 Toolkit
36 questions for 8 problems of QOL
Some international researches on QOL of the after after patients operation
operation
after
total hip arthroplasty using SF36 toolkit
The further it is after operation, the higher QOL point is
Less factors related to QOL changing point
Study combined with qualitative has not been recorded
yet
Henning R
Johansson (Germany
- 2010): evaluate 6,
12, 24 months before
and after operation
Alessandro Aprato (Italy
-2011) evaluate 2 years
after, compare FNF
group and degenerative
coxathroxis group
Alessandro Aprato (Italy
-2011) evaluate 2 years
after, compare FNF
group and degenerative
coxathroxis group
8. Dịch vụ y tế
Điều trị liên quan đến bệnh
trước và sau phẫu thuật
Đặc điểm cá nhân
- Tuổi
- Giới
- Nơi sinh sống
- Nghề nghiệp
- Trình độ học vấn
- Tình trạng hôn nhân
- Chi phí cho bệnh tật (Có
BHYT hay tự chi trả toàn
bộ )
Đặc điểm cá nhân
- Tuổi
- Giới
- Nơi sinh sống
- Nghề nghiệp
- Trình độ học vấn
- Tình trạng hôn nhân
- Chi phí cho bệnh tật (Có
BHYT hay tự chi trả toàn
bộ )
Yếu tố lâm sàng
Yếu tố lâm sàng
Chẩn đoán:
- Viêm thoái hóa khớpháng
- Hoại tử chỏm xương đùi
- Khối u ở chỏm, cổ xương đùi
- Gãy chỏm hoặc cổ xương đùi
- Chấn thương gây biến dạng ổ cối
Thời gian mắc bệnh
Chỉ số mật độ xương
Chẩn đoán:
- Viêm thoái hóa khớpháng
- Hoại tử chỏm xương đùi
- Khối u ở chỏm, cổ xương đùi
- Gãy chỏm hoặc cổ xương đùi
- Chấn thương gây biến dạng ổ cối
Thời gian mắc bệnh
Chỉ số mật độ xương
Sự đau đớn
Sự đau đớn
- Mức độ đau
- Cường độ
- Thời gian
- Ảnh hưởng đến mất ngủ,đến dinh dưỡng
- Mức độ đau
- Cường độ
- Thời gian
- Ảnh hưởng đến mất ngủ,đến dinh dưỡng
Dịch vụ y tế YYếếuu t ốtố t âtâmm l ýlý
Điều trị liên quan đến bệnh
trước và sau phẫu thuật
Khả năng vận động
- Hoạt động hàng ngày
- Lao động
- Vận động đi lại
- Sinh hoạt cá nhân
Khả năng vận động
- Hoạt động hàng ngày
- Lao động
- Vận động đi lại
- Sinh hoạt cá nhân
Hỗ trợ hàng ngày
Từ gia đình, người
thân và những người
xung quanh
Hỗ trợ hàng ngày
Từ gia đình, người
thân và những người
xung quanh
DDịcịchh v vụụ x xãã h hộội i
Chất lượng cuộc sống
người bệnh
(Có chỉ định phẫu thuật
thay khớp háng)
Khung lý thuyết
10. • Object: Hip dislocation patients at Viet Duc
Hospital, surgeons and nurses
• Time: Feb - Jun 2014
• Place: 02 Departments of Orthopaedic Sugery,
Orthopaedics Institute under Viet Duc Hospital
• Longitudinal study design: combine
quantitative and qualitative study
11. Sample size, collection, processing, analysis of
data
Quantitative
- Main purpose
04 interview with patients
02 interview with surgeons
01 discussion with nurse group
- Instruction board PVS and TLN
- bandage removal, coding, by-subject
analysis.
Qualitative
-Total: 115 patients
- Interview three times:
Hospitalization, discharge and 01
month after follow-up examination.
- Data entry: Epidatta 3.0;
SPSS16.0 analyzer.
- Analysis: statistic description,
pairing test.
12. Study variables
Quantitative variable
• Personal characteristics
• Clinical characteristics
• QOL point (Gross point: Min=0; Max=100)
Point <25 26-50 51-75 76-100
QOL Poor Average Fair Fairly good
- Good
Qualitative subject: Influence factors and solutions to
QOL improvements for the patients, medical workers.
14. General information on patients (n=115)
Content Frequency Percent
Age
Lưu Hồng Hải
(2008) 54.2
years of age
Anakwe (UK- 2010) 68.0 years
< 30 years of age
08 7,0
30 - 49 years 32 27,8
50 - 69 years 55 47,8
≥ 70 years 20 17,4
Mean age (Mean ± SD) 54,5 ± 11,98
The oldest and youngest age 19 - 87
Veljko santie’(Croatia - 2012)
72.6
Tshonga (Greece - 2011) 74.8
Gender male 80 69,6
female 35 30,4
Residence Rural 71 61,7
Urban 44 38,3
Marriage status Unmarried 07 6,1
Married 99 86,1
Divorce/widowed 09 7,8
Medical
insurance
With medical insurance 107 93,0
self-pay 08 7,0
15. Clinical characteristics (n=115)
Content Frequenc
y Percent
Diagnosis
femoral neck fracture 35 30,4
necrosis of the femoral head 33 28,7
femoral neck disease 04 3,5
Hip osteoarthritis 43 37,4
Suffering period
< 01 month 24 20,9
From 1-> less than 06 months 14 12,2
From 06-> 12 months 15 13,0
>12 months 62 53,9
Surgical methods
total hip arthroplasty 99 86,1
Bipolar hip arthroplasty 16 13,9
16. Mean days of treatment by clinincal features and
surgical method (n=115)
Index Frequency Mean days of treatment ±
SD
Diagnosis
femoral neck fracture 35 11,8 ± 4,15
necrosis of the femoral head 33 9,3 ± 3,54
femoral neck disease 4 9,0 ± 2,00
Hip osteoarthritis 43 8,9 ± 2,56
Surgical methods
total hip arthroplasty 99 9,3 ± 2,94
Bipolar hip arthroplasty 16 13,3 ± 5,02
Total 115 9,8 ± 3,26
17. Mean QOL point before and after operation
Tshonga (Greece – 2011)
QOL point
Before operation 29.3 and
55.1; 62.3 (after 3 , 6 months),
Patient is female > 65 years of
age
18. Mean QOL point by physical health field
Tshonga :
Tshonga :
Before operation
Before operation
29.3
29.3
After 03 months
After 03 months
64.4
64.4
Veljko santie’:
Before operation
Veljko santie’:
Before operation
30
30
After 6 months 65
After 6 months 65
19. Mean QOL point by mental health field
Veljko santie’ : Before
operation 22,2 sau 06
Veljko santie’ : Before
operation 22,2 sau 06
months 94,4
months 94,4
Tshonga Before
operation 18,3;
sau 03 months
Tshonga Before
operation 18,3;
sau 03 months
63,1
63,1
20. “When I did not have access or surgery, people
round me said that my disease could not
operated, that I had to live with such flood.
That’s why I was in two minds about doing and
not doing…”, “Even on that day I was ready for
surgery that is scheduled, my Quá
aunt said: “Oh, my
God. Please, I beg you not to have tải
operation; if
yes, you will be unable to walk, surely like me,
don’t operate”.
Some factors
affect the QOL
change
“After operation, which
food can I eat? What
should I keep off?”
When need, it lacks;
when no need, it is
redundant
Treatment,
Treatment,
care
care
Quá
tải
SOLUTION
-Satellite hospital, transfer of
technical packaget.
- Cooperate with junior
hospitali.
- Build more facilities
Information
supply
Information
supply
Surgerical technique, I have no
comment but patients are overcrowded.
On some days, I have been already
operated but lied with other patients in
the same bed. Being painful and
overcrowde made me unable to move,
but stepping out of bed may tread on
other patients; fear to be stuck, fall may
dislocate the new hip that is more
miserable“
“First day after surgery, I felt
too painful; SOLUTION
using up the
analgestic, I cannot bears
the pain but just wanted to
Monitor, control pain
Work assignment
Train, develop die.”
instruction sheet …
Nutrition provision
SOLUTION
Propaganda method of medicine sector is not
very good; just concentrating in some big cities
and only big hospitals can perform this surgery. A
bit far from these places, in northern delta for
example, people thinks that hip dislocation is so
formidable. They wonder whether they can move
if taking out their hip and replacing with a new
Propaganda method of medicine sector is not
very good; just concentrating in some big cities
and only big hospitals can perform this surgery. A
bit far from these places, in northern delta for
example, people thinks that hip dislocation is so
formidable. They wonder whether they can move
if taking out their hip and replacing with a new
Using mass media.
Develop consulting form, guidance on
monitoring and prevention from post-operative
“Will I move on my foot again? Can I do
heavy works? Or “Will I get married, have
sex or will there any influence, or will my hip
be dislocated?”
complications
artificial hip?” (PTV-02)
artificial hip?” (PTV-02)
Today is the third days
since my operation but
nobody has guided me
to practice; maybe on
weekend no
rehabilitation officers is
working
22. Change in QOL of the patients
There is change in QOL point after TPA ( Hospitalization
24.6; Discharge 39.5; Follow-up exam 61.6 ; p< 0.001)
Mean point of 8 areas rise at the time of follow-up exam
(p<0.0001).
Postoperative physical functioning reduced (35.8 to
25.5; p< 0.001)
Factors affecting the QOL change (from quantitative
results): Overload, treatment and care, information
supply to the patients.
23. Recommendations
Rehabilitation solution: Training the nurses in
rehabilitation knowledge; assigning the rehabilitation
technicians working on Saturdays and Sundays.
Provide meals to each patient.
Develop consulting form, guidance on monitoring and
prevention from after-TPA complications…
Continue this research for a longer period.