Objective:To determine the effect of self-management program on the health status of elderly patients with heart failure.Methods:The present study was a single-blind,randomized clinical trial,and conducted on 90 patie...Objective:To determine the effect of self-management program on the health status of elderly patients with heart failure.Methods:The present study was a single-blind,randomized clinical trial,and conducted on 90 patients with heart failure of stages Ⅱ-Ⅲ at one teaching hospital in eastern Iran in 2017.The participants were randomly assigned into two groups:the intervention group and the control groups,with 45 patients in each group.Self-management programs including awareness and recognition,problem-solving process,diet,exercise,and stress management were carried out.The participants were trained for six weeks and were followed for two months.Data of the health status were collected before,after and eight weeks after intervention by Kansas City Cardiomyopathy Questionnaire.Data analysis by chi-square,independent t-test,Fisher,ANOVA with repeated measures was conducted.Results:Patients in both groups were matched in terms of demographic characteristics before the intervention.There was no significant difference in the mean scores of health status between the two groups (P=0.1) before the intervention.However,the second measurement after intervention showed a significant difference in the mean scores between the two groups (P=0.001).Conclusions:Self-management program can improve the different dimensions of health (except in the subscale of sign and symptoms).Therefore,this supportive method can be used to improve the health of patients and manage problems caused by heart failure.展开更多
Purpose: The main goal of this article is to review the literature of general health and nasal anatomical-physiological profile of the elderly, prior to considering them as a candidate for primary cosmetic rhinoplasty...Purpose: The main goal of this article is to review the literature of general health and nasal anatomical-physiological profile of the elderly, prior to considering them as a candidate for primary cosmetic rhinoplasty (PCR). Rhinoplasty is the cosmetic nose’s surgical alteration. Materials and Methods: We extracted the information from internet search engines and the End Note software version X7. Criteria were applied to the most appropriate clinical messages related to the elderly. We focused on their general health status and their nasal anatomicalphysiological considerations prior to consider them for undergoing PCR. Research links were mostly from the Pub Med and the Medline databases. Results: the literature review showed that as people age, their health status and anatomical-physiological components of their nose alter. Their nasal anatomical supports get weaker, and their nasal internal and external physiology undergoes modifications. Functions related to the nasal supports, normal physiology of smell, airway passage, humidification mechanism and their general appearances are affected by age. Conclusion: Cosmetic surgeons must be aware of the aforementioned changes of the patients’ past and present health. Considering performing a complete systemic evaluation and the nasal anatomical-physical examination to assess the degrees of alterations, are crucial pre-operatively.展开更多
The aging population has far-reaching implications for health,significantly influencing medical care and health policy.According to the World Health Organization(WHO),by 2030,one in six people worldwide will be aged 6...The aging population has far-reaching implications for health,significantly influencing medical care and health policy.According to the World Health Organization(WHO),by 2030,one in six people worldwide will be aged 60 years or older.Furthermore,the population of individuals aged 60 and older is projected to increase from 1 billion in 2020 to 1.4 billion in 2030.By 2050,this population is expected to double,reaching 2.1 billion.Similarly,the number of people aged 80 years and older is anticipated to triple between 2020 and 2050,reaching 426 million[1].This demographic shift toward older adults,known as population aging,initially began in high-income countries but has now extended to low and middle-income nations.By 2050,approximately two-thirds of the world’s population aged 60 and older will reside in these countries.The effects of this aging population pose significant challenges for human health,necessitating substantial societal adjustments[2].展开更多
文摘Objective:To determine the effect of self-management program on the health status of elderly patients with heart failure.Methods:The present study was a single-blind,randomized clinical trial,and conducted on 90 patients with heart failure of stages Ⅱ-Ⅲ at one teaching hospital in eastern Iran in 2017.The participants were randomly assigned into two groups:the intervention group and the control groups,with 45 patients in each group.Self-management programs including awareness and recognition,problem-solving process,diet,exercise,and stress management were carried out.The participants were trained for six weeks and were followed for two months.Data of the health status were collected before,after and eight weeks after intervention by Kansas City Cardiomyopathy Questionnaire.Data analysis by chi-square,independent t-test,Fisher,ANOVA with repeated measures was conducted.Results:Patients in both groups were matched in terms of demographic characteristics before the intervention.There was no significant difference in the mean scores of health status between the two groups (P=0.1) before the intervention.However,the second measurement after intervention showed a significant difference in the mean scores between the two groups (P=0.001).Conclusions:Self-management program can improve the different dimensions of health (except in the subscale of sign and symptoms).Therefore,this supportive method can be used to improve the health of patients and manage problems caused by heart failure.
文摘Purpose: The main goal of this article is to review the literature of general health and nasal anatomical-physiological profile of the elderly, prior to considering them as a candidate for primary cosmetic rhinoplasty (PCR). Rhinoplasty is the cosmetic nose’s surgical alteration. Materials and Methods: We extracted the information from internet search engines and the End Note software version X7. Criteria were applied to the most appropriate clinical messages related to the elderly. We focused on their general health status and their nasal anatomicalphysiological considerations prior to consider them for undergoing PCR. Research links were mostly from the Pub Med and the Medline databases. Results: the literature review showed that as people age, their health status and anatomical-physiological components of their nose alter. Their nasal anatomical supports get weaker, and their nasal internal and external physiology undergoes modifications. Functions related to the nasal supports, normal physiology of smell, airway passage, humidification mechanism and their general appearances are affected by age. Conclusion: Cosmetic surgeons must be aware of the aforementioned changes of the patients’ past and present health. Considering performing a complete systemic evaluation and the nasal anatomical-physical examination to assess the degrees of alterations, are crucial pre-operatively.
文摘The aging population has far-reaching implications for health,significantly influencing medical care and health policy.According to the World Health Organization(WHO),by 2030,one in six people worldwide will be aged 60 years or older.Furthermore,the population of individuals aged 60 and older is projected to increase from 1 billion in 2020 to 1.4 billion in 2030.By 2050,this population is expected to double,reaching 2.1 billion.Similarly,the number of people aged 80 years and older is anticipated to triple between 2020 and 2050,reaching 426 million[1].This demographic shift toward older adults,known as population aging,initially began in high-income countries but has now extended to low and middle-income nations.By 2050,approximately two-thirds of the world’s population aged 60 and older will reside in these countries.The effects of this aging population pose significant challenges for human health,necessitating substantial societal adjustments[2].
