Comparison of Laboratory-Confirmed Influenza and Noninfluenza Acute Respiratory Illness in Healthcare Personnel during the 2010–2011 Influenza Season

2014 ◽  
Vol 35 (5) ◽  
pp. 538-546 ◽  
Author(s):  
Emily Henkle ◽  
Stephanie A. Irving ◽  
Allison L. Naleway ◽  
Manjusha J. Gaglani ◽  
Sarah Ball ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Symptom Severity ◽  
Daily Living ◽  
Influenza Season ◽  
Negative Impact ◽  
Respiratory Illness ◽  
Subjective Health ◽  
Healthcare Personnel ◽  
Acute Respiratory Illness ◽  
Severity Scores

Objective.Compare the severity of illnesses associated with influenza and noninfluenza acute respiratory illness (ARI) in healthcare personnel (HCP).Design.Prospective observational cohort.Participants.HCP at 2 healthcare organizations with direct patient contact were enrolled prior to the 2010–2011 influenza season.Methods.HCP who were fewer than 8 days from the start of fever/feverishness/chills and cough were eligible for real-time reverse-transcription polymerase chain reaction influenza virus testing of respiratory specimen. Illness severity was assessed by the sum of self-rated severity (0, absent; 3, severe) of 12 illness symptoms, subjective health (0, best health; 9, worst health), activities of daily living impairment (0, able to perform; 9, unable to perform), missed work, and duration of illness.Results.Of 1,701 HCP enrolled, 267 were tested for influenza, and 58 (22%) of these tested positive. Influenza compared with noninfluenza illnesses was associated with higher summed 12-symptom severity score (mean [standard deviation], 17.9 [5.4] vs 14.6 [4.8]; P < .001), worse subjective health (4.5 [1.8] vs 4.0 [1.8]; P < .05), greater impairment of activities of daily living (4.9 [2.5] vs 3.8 [2.5]; P < .01), and more missed work (12.1 [10.5] vs 7.8 [10.5] hours; P < .01). Differences in symptom severity, activities of daily living, and missed work remained significant after adjusting for illness and participant characteristics.Conclusions.Influenza had a greater negative impact on HCP than noninfluenza ARIs, indicated by higher symptom severity scores, less ability to perform activities of daily living, and more missed work. These results highlight the importance of efforts to prevent influenza infection in HCP.

Impact of New York State Influenza Mandate on Influenza-Like Illness, Acute Respiratory Illness, and Confirmed Influenza in Healthcare Personnel

2017 ◽  
Vol 38 (11) ◽  
pp. 1361-1363 ◽  
Author(s):  
Rachel A. Batabyal ◽  
Juyan J. Zhou ◽  
Joy D. Howell ◽  
Luis Alba ◽  
Helen H. Lee ◽  
...  
Keyword(s):  
New York ◽  
Influenza Season ◽  
New York State ◽  
Health And Safety ◽  
Respiratory Illness ◽  
Healthcare Personnel ◽  
Acute Respiratory Illness ◽  
Respiratory Illnesses ◽  
York State ◽  
Influenza Like Illness

In 2013, New York State mandated that, during influenza season, unvaccinated healthcare personnel (HCP) wear a surgical mask in areas where patients are typically present. We found that this mandate was associated with increased HCP vaccination and decreased HCP visits to the hospital Workforce Health and Safety Department with respiratory illnesses and laboratory-confirmed influenza.Infect Control Hosp Epidemiol 2017;38:1361–1363

scholarly journals Viral infections in outpatients with medically attended acute respiratory illness during the 2012–2013 influenza season

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Richard K Zimmerman ◽  
Charles R Rinaldo ◽  
Mary Patricia Nowalk ◽  
GK Balasubramani ◽  
Krissy K Moehling ◽  
...  
Keyword(s):  
Viral Infections ◽  
Influenza Season ◽  
Respiratory Illness ◽  
Acute Respiratory Illness

scholarly journals Level of asthma control and its impact on activities of daily living in asthma patients in Brazil

2013 ◽  
Vol 39 (5) ◽  
pp. 532-538 ◽  
Author(s):  
Mariana Rodrigues Gazzotti ◽  
Oliver Augusto Nascimento ◽  
Federico Montealegre ◽  
James Fish ◽  
Jose Roberto Jardim
Keyword(s):  
Quality Of Life ◽  
Activities Of Daily Living ◽  
Emergency Room ◽  
Asthma Control ◽  
Daily Living ◽  
Negative Impact ◽  
Uncontrolled Asthma ◽  
School Work ◽  
The Impact

OBJECTIVE: To evaluate the impact of asthma on activities of daily living and on health status in patients with controlled, partially controlled, or uncontrolled asthma in Brazil. METHODS: We used data related to 400 patients in four Brazilian cities (São Paulo, Rio de Janeiro, Salvador, and Curitiba), obtained in a survey conducted throughout Latin America in 2011. All study subjects were > 12 years of age and completed a standardized questionnaire in face-to-face interviews. The questions addressed asthma control, hospitalizations, emergency room visits, and school/work absenteeism, as well as the impact of asthma on the quality of life, sleep, and leisure. The level of asthma control was determined in accordance with the Global Initiative for Asthma criteria. RESULTS: Among the 400 respondents, asthma was controlled in 37 (9.3%), partially controlled in 226 (56.5%), and uncontrolled in 137 (34.2%). The numbers of patients with uncontrolled or partially controlled asthma who visited the emergency room, who were hospitalized, and who missed school/work were higher than were those of patients with controlled asthma (p = 0.001, p = 0.05, and p = 0.01, respectively). Among those with uncontrolled asthma, the impact of the disease on activities of daily living, sleep, social activities, and normal physical exertion was greater than it was among those with controlled or partially controlled asthma (p < 0.001). CONCLUSIONS: In Brazil, asthma treatment should be monitored more closely in order to increase treatment adherence and, consequently, the level of asthma control, which can improve patient quality of life and minimize the negative impact of the disease.

scholarly journals Cardiorespiratory fitness among adults with fibromyalgia

Breathe ◽  
2018 ◽  
Vol 14 (2) ◽  
pp. e25-e33 ◽  
Author(s):  
Nathaly Gaudreault ◽  
Pierre Boulay
Keyword(s):  
Activities Of Daily Living ◽  
Lung Disease ◽  
Cardiorespiratory Fitness ◽  
Symptom Severity ◽  
Daily Living ◽  
Exercise Prescription ◽  
List Type ◽  
Exercise Rehabilitation ◽  
Assessment Protocol ◽  
Testing Protocol

This review presents and addresses the conflicting results on cardiorespiratory fitness among adults with fibromyalgia. The heterogeneity in study designs, symptom severity and the assessment protocols might partly explain these conflicting results. It also presents the possible relationship between cardiorespiratory fitness and exercise prescription, attrition from exercise/rehabilitation programmes and independence with activities of daily living.Cardiorespiratory fitness might impact aerobic exercise and independence in daily activities of patients with fibromyalgia, which is often concomitantly diagnosed in patients with sleep disordered breathing, including patients with obstructive sleep apnoea. Therefore, cardiorespiratory fitness evaluation should be considered by general and respiratory physicians as well as physiotherapists who treat patients diagnosed with fibromyalgia for more accurate diagnosis, exercise prescription and monitoring of patients’ status.Key pointsAdults with fibromyalgia often present with reduced cardiorespiratory fitness.Reduced cardiorespiratory fitness might have an important impact on functional capacity and quality of life.Adults with fibromyalgia who have a secondary condition affecting their ventilatory anaerobic threshold and/or V′O2peak, for example chronic obstructive pulmonary disease, might present with a greater reduction of their cardiorespiratory fitness which may not be entirely related to their lung disease.Educational aimsTo better understand the cardiorespiratory fitness results among adults with fibromyalgia in general, and when taking into account differences in assessment protocol (maximal versus submaximal testing protocol; cycle ergometer versus treadmill testing protocol) and symptom severity (fibromyalgia severity level).To better understand how cardiorespiratory fitness among adults with fibromyalgia could: 1) assist in exercise prescription; 2) minimise dropout rates from exercise/rehabilitation programmes; and 3) promote independence with activities of daily living.To learn why fibromyalgia might be important to consider in adults who have concurrent fibromyalgia and lung disease.

Symptomatic Treatment in Multiple Sclerosis

US Neurology ◽  
2013 ◽  
Vol 09 (01) ◽  
pp. 35
Author(s):  
Sandra Bigi ◽  
E Ann Yeh ◽  
◽  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Young Adults ◽  
Sexual Dysfunction ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Negative Impact ◽  
Treatment Options ◽  
Symptomatic Treatment

Multiple sclerosis (MS) is a progressive and disabling neurodegenerative disease that primarily affects young adults. Despite significant therapeutic advances in the prevention of relapses, individuals with MS experience a variety of symptoms, most notably fatigue, spasticity, depression, gait and balance difficulties, and sexual dysfunction. These symptoms may interfere with activities of daily living and have a negative impact on quality of life. This review discusses treatment options for these symptoms.

scholarly journals Family accommodation in hoarding

2021 ◽  
Author(s):  
Valerie Vorstenbosch
Keyword(s):  
Activities Of Daily Living ◽  
Symptom Severity ◽  
Daily Living ◽  
Family Members ◽  
Health Condition ◽  
Self Report ◽  
Relationship Conflict ◽  
Interpersonal Processes ◽  
Family Accommodation ◽  
The Individual

Hoarding, which includes the excessive acquisition of, and inability to discard, numerous possessions, is a debilitating mental health condition and is associated with significant family dysfunction and burden on family members. Currently, little is known about the effect that family members have on individuals‟ hoarding symptomatology and functioning, and vice versa. Thus, the present study examined the nature and frequency of family accommodation (i.e., the process by which family members participate in hoarding symptoms or modify personal and family routines in response to an individual‟s symptoms; Calvocoressi, Mazure, Stanislav, et al., 1999), in 52 individuals with self-reported hoarding problems and their close significant others (CSOs; i.e., intimate partner or family member). Participants completed the Family Accommodation Interview for Hoarding (FAI-H), which is an 11-item clinician-rated interview that was adapted from a previously validated measure for this study, and a series of self-report questionnaires. The FAI-H was found to be a valid and reliable assessment of accommodation in this hoarding sample. Most CSOs reported engaging in at least some accommodating behaviours; however, CSOs who lived with the individual with the hoarding problem engaged in accommodating behaviours more frequently than those who did not live with the individual with the hoarding problem. More than half of the CSOs endorsed hoarding participant-driven, as well as personally-driven motivations for engaging in accommodating behaviours, and believed that their accommodating behaviours were reasonable or helpful for both the individual with the hoarding problem and themselves. Family accommodation was positively associated with hoarding symptom severity, relationship conflict, CSOs‟ rejecting attitudes toward the individual with hoarding problems, relationship problems, impairment in activities of daily living, and hoarding participant-rated anger. Family accommodation partially mediated the association between hoarding symptom severity and relationship conflict, averaging across hoarding participants and CSOs, and between hoarding symptom severity and impairment in activities of daily living for individuals with hoarding problems, but not CSOs. Results of the present study further elucidate the role of accommodation in hoarding, and increase our understanding of the interpersonal processes that may play an important role in problematic hoarding.

scholarly journals Personality Profile in Focal Hand Dystonia: A Cross-Sectional Study

2021 ◽  
Vol 18 (15) ◽  
pp. 7863
Author(s):  
Marta Pérez-de-Heredia-Torres ◽  
Elisabet Huertas-Hoyas ◽  
Nuria Trugeda-Pedrajo ◽  
Sergio Serrada-Tejeda ◽  
Alfonso Gómez-Gil-Díaz-Río ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Negative Impact ◽  
Personality Factors ◽  
Upper Limbs ◽  
Personality Profiles ◽  
Cross Sectional ◽  
Focal Hand Dystonia ◽  
Significant Difference ◽  
Hand Dystonia

It has been suggested that focal hand dystonia (FHD) should be viewed as a neuropsychiatric disorder rather than as a pure movement disorder. We aimed to compare the personality factors that are common to people with FHD and evaluate how personality factors could affect the functionality of the upper limbs and community participation. We conducted a cross-sectional case–control study in which 12 people with FHD were matched with 12 age and gender matched healthy control participants. The Big Five Questionnaire; the Quick Disabilities, Arm, Shoulder, and Hand questionnaire; and the Jebsen–Taylor Test of Hand Function were used as assessment measures. Control of emotions was the only variable for which a significant difference was found, with participants with FHD displaying lesser control. Correlations were not observed between different personality profiles, the functionality of the upper limb,s and the perceived participation of people with FHD in activities of daily living. People with FHD may present with low emotional stability, but this does not have a negative impact on the functionality of the upper limbs and activities of daily living. These findings have clinical implications to be considered for interventions, as they suggest that personality aspects, such as extraversion, may not predict for better functionality and perceived participation in activities of daily living.

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