{"title":"Social Distancing and Lockdown Due to COVID-19 Pandemic Will not Work in Africa","authors":"Faisal Muhammad","doi":"10.5812/mejrh.104271","DOIUrl":"https://doi.org/10.5812/mejrh.104271","url":null,"abstract":"<jats:p />","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":"7 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2020-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49079702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. E. Fernández-Cuadros, M. Albaladejo-Florín, S. Álava-Rabasa, O. Pérez-Moro
Respiratory rehabilitation is requested for a 57-year-old female due to dyspnea and nonproductive cough after two days of a cytoreductive laparotomy due to a giant ovarian tumor (mucinous cystadenocarcinoma). The examination revealed semiology of massive right hemithorax pulmonary effusion and globular abdomen with displaceable dullness compatible with ascites. Preoperative radiography was normal, yet the current radiograph showed complete opacity of the right hemithorax with deviation of the trachea to the right, compatible with complete atelectasis of the lung and massive pleural effusion (hydrothorax). The diagnosis of hydrothorax in the context of this patient was related to the presentation of Pseudo-Meigs syndrome (ovarian adenocarcinoma + ascites + pleural effusion). Respiratory physiotherapy, electrolyte control, and diuretics were prescribed, which partially improved the hydrothorax after one week of evolution. The case was reviewed for sudden, delayed, and infrequent debut of the massive pleural effusion, and the physiopathology and management of hydrothorax was reviewed.
{"title":"Hydrothorax After Cytoreductive Laparotomy of an Ovarian Tumor is a Feature of Pseudo-Meigs Syndrome: Case Report","authors":"M. E. Fernández-Cuadros, M. Albaladejo-Florín, S. Álava-Rabasa, O. Pérez-Moro","doi":"10.5812/MEJRH.94742","DOIUrl":"https://doi.org/10.5812/MEJRH.94742","url":null,"abstract":"Respiratory rehabilitation is requested for a 57-year-old female due to dyspnea and nonproductive cough after two days of a cytoreductive laparotomy due to a giant ovarian tumor (mucinous cystadenocarcinoma). The examination revealed semiology of massive right hemithorax pulmonary effusion and globular abdomen with displaceable dullness compatible with ascites. Preoperative radiography was normal, yet the current radiograph showed complete opacity of the right hemithorax with deviation of the trachea to the right, compatible with complete atelectasis of the lung and massive pleural effusion (hydrothorax). The diagnosis of hydrothorax in the context of this patient was related to the presentation of Pseudo-Meigs syndrome (ovarian adenocarcinoma + ascites + pleural effusion). Respiratory physiotherapy, electrolyte control, and diuretics were prescribed, which partially improved the hydrothorax after one week of evolution. The case was reviewed for sudden, delayed, and infrequent debut of the massive pleural effusion, and the physiopathology and management of hydrothorax was reviewed.","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42598460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Sadrabad, Shabnam Sohanian, Mona Bazazzadeh, Mohammad Hosein Amirzade-Iranaq
Introduction: Oral melanotic macule (OMM) is a benign discoloration of oral mucosa that is identified by an increase in melanin pigmentation. The diagnosis of OMM is critical because it may have a similarity to oral melanoma at early stages. Therefore, microscopic examination is necessary to confirm the accurate diagnosis of the OMM. CasePresentation: Wereporttwocasesof discolorationintheoralcavitywithasymmetryandborderirregularity. Afterobtaining informedconsent,weperformedanexcisionalbiopsythatshowedtheincreaseof melaninadjacenttothebasalandparabasallayers of squamous epithelial cells, confirming the diagnosis of OMM. Conclusions: Early melanoma can have a similar clinical appearance to OMM. Therefore, an excisional biopsy can be done and the diagnosis of OMM can be confirmed by microscopic examination.
{"title":"Extension Without Malignant Changes in Oral Melanotic Macule: A Report of Two Cases and Review of the Literature","authors":"M. Sadrabad, Shabnam Sohanian, Mona Bazazzadeh, Mohammad Hosein Amirzade-Iranaq","doi":"10.5812/MEJRH.90059","DOIUrl":"https://doi.org/10.5812/MEJRH.90059","url":null,"abstract":"Introduction: Oral melanotic macule (OMM) is a benign discoloration of oral mucosa that is identified by an increase in melanin pigmentation. The diagnosis of OMM is critical because it may have a similarity to oral melanoma at early stages. Therefore, microscopic examination is necessary to confirm the accurate diagnosis of the OMM. CasePresentation: Wereporttwocasesof discolorationintheoralcavitywithasymmetryandborderirregularity. Afterobtaining informedconsent,weperformedanexcisionalbiopsythatshowedtheincreaseof melaninadjacenttothebasalandparabasallayers of squamous epithelial cells, confirming the diagnosis of OMM. Conclusions: Early melanoma can have a similar clinical appearance to OMM. Therefore, an excisional biopsy can be done and the diagnosis of OMM can be confirmed by microscopic examination.","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41439357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Obesity is a multi-factorial physical disorder that can lead to motor disorders and muscle mass loss. On the other hand, regular exercises and crocin consumption can exert anti-apoptotic effects. Objectives: The aim of this study was to investigate the effect of eight weeks of swimming training along with crocin consumption on the intrinsic apoptosis pathway in muscle tissue of obese rats. Methods: In this experimental study, 35 obese male Sprague Dawley rats (age: 16 weeks; weight: 390.12 ± 38.11) were selected and randomly divided into five groups of 7 mice including (1) control, (2) sham, (3) swimming training, (4) crocin consumption, and (5) swimming training and crocin consumption. During eight weeks, groups 3 and 5 performed swimming training three sessions per week and each session lasted 30 - 60 min, and groups 4 and 5 received 25 mg/kg of crocin (peritoneal) daily. Results: Swimming training had a significant effect on decreased Bcl-2-associated X (Bax) gene expression (P = 0.001) and increased P53 (P = 0.001) in the muscle tissue of obese rats while crocin consumption significantly decreased the Bax gene expression (P = 0.001). Moreover, swimming training with crocin consumption had interaction effects on decreased Bax gene expression in the muscle tissue of obese rats (P = 0.001). Conclusions: It seems that crocin consumption along with training can modify and prevent the progression of apoptosis induced by obesity.
{"title":"Effect of Swimming Training and Crocin Consumption on Intrinsic Apoptosis Pathway in Muscle Tissue of High-Fat Diet-induced Obese Rats","authors":"A. Moradi, S. Hosseini, M. Nikbakht","doi":"10.5812/MEJRH.92612","DOIUrl":"https://doi.org/10.5812/MEJRH.92612","url":null,"abstract":"Background: Obesity is a multi-factorial physical disorder that can lead to motor disorders and muscle mass loss. On the other hand, regular exercises and crocin consumption can exert anti-apoptotic effects. Objectives: The aim of this study was to investigate the effect of eight weeks of swimming training along with crocin consumption on the intrinsic apoptosis pathway in muscle tissue of obese rats. Methods: In this experimental study, 35 obese male Sprague Dawley rats (age: 16 weeks; weight: 390.12 ± 38.11) were selected and randomly divided into five groups of 7 mice including (1) control, (2) sham, (3) swimming training, (4) crocin consumption, and (5) swimming training and crocin consumption. During eight weeks, groups 3 and 5 performed swimming training three sessions per week and each session lasted 30 - 60 min, and groups 4 and 5 received 25 mg/kg of crocin (peritoneal) daily. Results: Swimming training had a significant effect on decreased Bcl-2-associated X (Bax) gene expression (P = 0.001) and increased P53 (P = 0.001) in the muscle tissue of obese rats while crocin consumption significantly decreased the Bax gene expression (P = 0.001). Moreover, swimming training with crocin consumption had interaction effects on decreased Bax gene expression in the muscle tissue of obese rats (P = 0.001). Conclusions: It seems that crocin consumption along with training can modify and prevent the progression of apoptosis induced by obesity.","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45935387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Bokaeian, F. Esfandiarpour, Shahla Zahednejad, H. Mohammadi, F. Farahmand
Background: Literatures indicate a strong association between biomechanical factors, i.e., increased knee adduction moment (KAM) and knee osteoarthritis. Laboratory studies showed that yoga exercises and medial thrust (MT) gait pattern could reduce the KAM. However, there is a lack of clinical evidence to support their efficacy compared to current exercise therapy regimens. Objectives: This randomized control trial will compare the effects of combined yoga and the MT gait training and conventional knee exercises on gait biomechanics, pain, and function in people with knee OA. Methods: Forty patients with knee OA will be randomly allocated to two treatment groups: (1) the yoga and MT gait group (YogaMT), and (2) the conventional physiotherapy group. Exercise therapy for the YogaMT group includes the MT gait training, and the yoga exercises, and for the conventional physiotherapy group, conventional knee strengthening exercises. The amount of KAM during gait, pain severity, and the functional score will be assessed at baseline, two days and one month after 12 sessions of treatment. Conclusions: Physiotherapists should explore etiology-based interventions targeting the contributing factors to the development and progression of OA. The results of this RCT may help suggest a more effective treatment for patients with knee OA.
{"title":"The Effects of Yoga and Medial Thrust Gait Training and Conventional Physiotherapy on Gait Biomechanics, Pain, and Function in Individuals with Knee Osteoarthritis: A Randomized Clinical Trial Protocol","authors":"H. Bokaeian, F. Esfandiarpour, Shahla Zahednejad, H. Mohammadi, F. Farahmand","doi":"10.5812/MEJRH.89813","DOIUrl":"https://doi.org/10.5812/MEJRH.89813","url":null,"abstract":"Background: Literatures indicate a strong association between biomechanical factors, i.e., increased knee adduction moment (KAM) and knee osteoarthritis. Laboratory studies showed that yoga exercises and medial thrust (MT) gait pattern could reduce the KAM. However, there is a lack of clinical evidence to support their efficacy compared to current exercise therapy regimens. Objectives: This randomized control trial will compare the effects of combined yoga and the MT gait training and conventional knee exercises on gait biomechanics, pain, and function in people with knee OA. Methods: Forty patients with knee OA will be randomly allocated to two treatment groups: (1) the yoga and MT gait group (YogaMT), and (2) the conventional physiotherapy group. Exercise therapy for the YogaMT group includes the MT gait training, and the yoga exercises, and for the conventional physiotherapy group, conventional knee strengthening exercises. The amount of KAM during gait, pain severity, and the functional score will be assessed at baseline, two days and one month after 12 sessions of treatment. Conclusions: Physiotherapists should explore etiology-based interventions targeting the contributing factors to the development and progression of OA. The results of this RCT may help suggest a more effective treatment for patients with knee OA.","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46769655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology Department, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran Lifestyle Modification Research Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran Corresponding author: Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Zakarya Razi Boulevard, Kermanshah, Iran. Tel: +98-8334276299, Fax: +98-8334276299, Email: s_komasi63@yahoo.com
{"title":"Role of Informal Caregivers of Acute Ischemic Stroke Patients in the Failure of Update Medications: A Letter to the Editor","authors":"Payam Sariaslani, A. Soroush, Saeid Komasi","doi":"10.5812/MEJRH.94131","DOIUrl":"https://doi.org/10.5812/MEJRH.94131","url":null,"abstract":"Neurology Department, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran Lifestyle Modification Research Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran Corresponding author: Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Zakarya Razi Boulevard, Kermanshah, Iran. Tel: +98-8334276299, Fax: +98-8334276299, Email: s_komasi63@yahoo.com","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48563678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hossein Humayun Fard, S. Hosseini, M. Azarbayjani, M. Nikbakht
Background: Cadmium has negative effects on various tissues of the body while selenium has antioxidant activities. Moreover, the benefits of exercise training for apoptotic factors including caspase-3 and cytochrome c, as well as cyclin D, have been regarded. Objectives: Therefore, the present study aimed to evaluate the anti-apoptotic effects of continuous training and selenium consumption on the liver tissue of cadmium-exposed rats. Methods: In this study, 25 rats were selected and randomly divided into five groups of five rats including: (1) control, (2) selenium consumption, (3) continuous training, (4) continuous training with selenium consumption, and (5) sham. For eight weeks, groups 1 to 4 received peritoneal cadmium (2 mg/kg) daily; groups 2 and 4 received peritoneal selenium (0.23 mg/kg) daily; and groups 3 and 4 performed continuous training three sessions per week. Caspase-3, cytochrome c, and cyclin D were measured at the protein level. Results: Cadmium consumption significantly increased the protein levels of caspase-3 and cytochrome c and decreased cyclin D in rats (P = 0.001). Selenium consumption and continuous training significantly decreased the protein levels of caspase-3 and cytochrome c and increased cyclin D in rats exposed to cadmium (P = 0.001). Continuous training along with selenium consumption had interactive effects on increasing the protein levels of cyclin D in rats exposed to cadmium (P = 0.02). Conclusions: It appears that continuous training and selenium consumption have interactive anti-apoptotic effects in the liver tissue of cadmium-exposed rats.
{"title":"Antiapoptotic Effects of Continuous Training and Selenium Consumption on the Liver Tissue of Cadmium-Exposed Rats","authors":"Hossein Humayun Fard, S. Hosseini, M. Azarbayjani, M. Nikbakht","doi":"10.5812/MEJRH.91278","DOIUrl":"https://doi.org/10.5812/MEJRH.91278","url":null,"abstract":"Background: Cadmium has negative effects on various tissues of the body while selenium has antioxidant activities. Moreover, the benefits of exercise training for apoptotic factors including caspase-3 and cytochrome c, as well as cyclin D, have been regarded. Objectives: Therefore, the present study aimed to evaluate the anti-apoptotic effects of continuous training and selenium consumption on the liver tissue of cadmium-exposed rats. Methods: In this study, 25 rats were selected and randomly divided into five groups of five rats including: (1) control, (2) selenium consumption, (3) continuous training, (4) continuous training with selenium consumption, and (5) sham. For eight weeks, groups 1 to 4 received peritoneal cadmium (2 mg/kg) daily; groups 2 and 4 received peritoneal selenium (0.23 mg/kg) daily; and groups 3 and 4 performed continuous training three sessions per week. Caspase-3, cytochrome c, and cyclin D were measured at the protein level. Results: Cadmium consumption significantly increased the protein levels of caspase-3 and cytochrome c and decreased cyclin D in rats (P = 0.001). Selenium consumption and continuous training significantly decreased the protein levels of caspase-3 and cytochrome c and increased cyclin D in rats exposed to cadmium (P = 0.001). Continuous training along with selenium consumption had interactive effects on increasing the protein levels of cyclin D in rats exposed to cadmium (P = 0.02). Conclusions: It appears that continuous training and selenium consumption have interactive anti-apoptotic effects in the liver tissue of cadmium-exposed rats.","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49346448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Neck pain is one of the most common and painful musculoskeletal conditions. It is a problem in societies probably due to the widespread use of electronic gadgets such as computers, mobile phones, and tablets. It causes pain, functional disability, depression, and sleep disturbances. Therapeutic exercises have been known to be one of the major interventions to improve chronic neck pain. Objectives: This randomized controlled study aimed to compare the efficacy of muscle energy technique (MET) and neck stabilization exercise (NSE) on pain, neck disability, depression, anxiety, and sleep disturbance in patients with non-specific chronic neck pain (NSCNP). Methods: Thirty-five participants participated in this study. They were recruited from two hospitals in Lagos state and randomly assigned into 3 groups using computer-generated random number sequence. Group 1 (n = 12) received MET, neck care education (NCE), and infra-red radiation (IR), group 2 (n = 12) received NSE, neck care education (NCE), and IR, and group 3 (n = 11) received NCE and IR. Assessment of pain, neck disability, depression, anxiety, and sleep disturbance were done using numerical pain rating scale (NPRS), neck disability index (NDI), hospital anxiety depression scale (HADS) and Insomnia severity index (ISI) at baseline, end of 4 weeks and 8 weeks post-intervention. This study lasted for a period of 5 months (May - September, 2017). Results: The participants in the 3 groups (MET+NCE+IR, NSE+NCE+IR, NCE+IR) indicated significant improvement in all the outcome parameters; pain (P = 0.001, 0.001, 0.001, respectively), disability (P = 0.002, P = 0.002, P = 0.003, respectively), depression (P = 0.02, 0.002, 0.003, respectively), anxiety (P = 0.01, P = 0.002, P = 0.03, respectively), and sleep disturbance (P = 0.01, P = 0.002, P = 0.01, respectively) post-intervention. Significant differences were observed in all outcome parameters except for depression (P = 0.456) and anxiety (P = 0.179) when across group comparisons were performed. Conclusions: Muscle energy technique and neck stabilization exercises and neck care are all effective in managing pain, neck disability, depression, anxiety, and sleep disturbance in NSCNP patients, but neck stabilization exercises have a better effect than a muscle energy technique.
{"title":"Effects of Muscle Energy Technique and Neck Stabilization Exercises on Pain, Psychological Status, and Sleep Disturbance in Patients with Non-Specific Chronic Neck Pain","authors":"R. Zibiri, A. Akodu, U. Okafor","doi":"10.5812/MEJRH.87192","DOIUrl":"https://doi.org/10.5812/MEJRH.87192","url":null,"abstract":"Background: Neck pain is one of the most common and painful musculoskeletal conditions. It is a problem in societies probably due to the widespread use of electronic gadgets such as computers, mobile phones, and tablets. It causes pain, functional disability, depression, and sleep disturbances. Therapeutic exercises have been known to be one of the major interventions to improve chronic neck pain. Objectives: This randomized controlled study aimed to compare the efficacy of muscle energy technique (MET) and neck stabilization exercise (NSE) on pain, neck disability, depression, anxiety, and sleep disturbance in patients with non-specific chronic neck pain (NSCNP). Methods: Thirty-five participants participated in this study. They were recruited from two hospitals in Lagos state and randomly assigned into 3 groups using computer-generated random number sequence. Group 1 (n = 12) received MET, neck care education (NCE), and infra-red radiation (IR), group 2 (n = 12) received NSE, neck care education (NCE), and IR, and group 3 (n = 11) received NCE and IR. Assessment of pain, neck disability, depression, anxiety, and sleep disturbance were done using numerical pain rating scale (NPRS), neck disability index (NDI), hospital anxiety depression scale (HADS) and Insomnia severity index (ISI) at baseline, end of 4 weeks and 8 weeks post-intervention. This study lasted for a period of 5 months (May - September, 2017). Results: The participants in the 3 groups (MET+NCE+IR, NSE+NCE+IR, NCE+IR) indicated significant improvement in all the outcome parameters; pain (P = 0.001, 0.001, 0.001, respectively), disability (P = 0.002, P = 0.002, P = 0.003, respectively), depression (P = 0.02, 0.002, 0.003, respectively), anxiety (P = 0.01, P = 0.002, P = 0.03, respectively), and sleep disturbance (P = 0.01, P = 0.002, P = 0.01, respectively) post-intervention. Significant differences were observed in all outcome parameters except for depression (P = 0.456) and anxiety (P = 0.179) when across group comparisons were performed. Conclusions: Muscle energy technique and neck stabilization exercises and neck care are all effective in managing pain, neck disability, depression, anxiety, and sleep disturbance in NSCNP patients, but neck stabilization exercises have a better effect than a muscle energy technique.","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45984270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Physical activity (PA) has a wide range of beneficial effects on the overall health and quality of life (QOL) of breast cancer survivors (BCS). Objectives: The aim of this study was to determine the relationship between PA and health-related QOL in Malaysian BCS. Methods: This is a cross-sectional survey involving 334 BCS. In addition to socio-demographic information, participants’ PA was assessed using the international physical activity questionnaire (IPAQ-SF). Health-related QOL was assessed using the functional assessmentforcancertreatment-breast(FACT-B)version4questionnaire. Pearson’scorrelationwasusedtoexploretherelationship between PA and QOL of the participants. Results: The mean age, weight, and body mass index (BMI) of the participants were 51.9 ± 8.3 years, 60.1 ± 11.4 kg, and 25.1 ± 4.6 kg/m 2 , respectively. The majority of the participants were Malays (71.0%), married (83.8%), and had secondary education (52.7%). The mean total PA was 660.2 ± 797.2 whereas the mean overall QOL was 79.6 ± 17.7. Moderate-intensity PA was significantly correlated withphysicalwell-being(r=0.39,P=0.009)andoverallQOL(r=0.49,P=0.002). Itwasalsosignificantlycorrelatedwithfunctional well-being (r = 0.57, P = 0.054) and breast cancer concern (r = 0.48, P = 0.019). Meanwhile, the total PA was correlated positively and significantly with functional well-being (r = 0.78, P = 0.041). Conclusions: This study found a significant relationship between the moderate-intensity PA and the overall QOL among the participants. The result also showed a significant relationship between moderate-intensity PA and breast cancer concern. The total PA showed a significant relationship with functional well-being. The breast cancer survivors needed to be encouraged to remain physically active.
{"title":"Physical Activity and Health-Related Quality of Life in Breast Cancer Patients: A Multicenter Cross-Sectional Survey","authors":"A. Rufa’i, B. Muralikrishna, S. Yen, W. Muda","doi":"10.5812/MEJRH.89858","DOIUrl":"https://doi.org/10.5812/MEJRH.89858","url":null,"abstract":"Background: Physical activity (PA) has a wide range of beneficial effects on the overall health and quality of life (QOL) of breast cancer survivors (BCS). Objectives: The aim of this study was to determine the relationship between PA and health-related QOL in Malaysian BCS. Methods: This is a cross-sectional survey involving 334 BCS. In addition to socio-demographic information, participants’ PA was assessed using the international physical activity questionnaire (IPAQ-SF). Health-related QOL was assessed using the functional assessmentforcancertreatment-breast(FACT-B)version4questionnaire. Pearson’scorrelationwasusedtoexploretherelationship between PA and QOL of the participants. Results: The mean age, weight, and body mass index (BMI) of the participants were 51.9 ± 8.3 years, 60.1 ± 11.4 kg, and 25.1 ± 4.6 kg/m 2 , respectively. The majority of the participants were Malays (71.0%), married (83.8%), and had secondary education (52.7%). The mean total PA was 660.2 ± 797.2 whereas the mean overall QOL was 79.6 ± 17.7. Moderate-intensity PA was significantly correlated withphysicalwell-being(r=0.39,P=0.009)andoverallQOL(r=0.49,P=0.002). Itwasalsosignificantlycorrelatedwithfunctional well-being (r = 0.57, P = 0.054) and breast cancer concern (r = 0.48, P = 0.019). Meanwhile, the total PA was correlated positively and significantly with functional well-being (r = 0.78, P = 0.041). Conclusions: This study found a significant relationship between the moderate-intensity PA and the overall QOL among the participants. The result also showed a significant relationship between moderate-intensity PA and breast cancer concern. The total PA showed a significant relationship with functional well-being. The breast cancer survivors needed to be encouraged to remain physically active.","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47446851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Adenofibroma is a type of mixed mesodermal tumor that both epithelial and stromal components are benign, and often originate from endometrium at postmenopausal age. Uterine adenofibroma is an extremely rare tumor and this lesion must be differentiated from some benign or malignant lesions of the uterus, particularly adenosarcoma. Because of the rarity and im-portance of such histopathology at post-menopausal age, this case is presented. CasePresentation: A63-year-oldwoman,parity9,whowasatmenopauseperiodwithahistoryof prolongedandseverenobloody vaginal discharge during the past 3 months was referred to our center. Transvaginal ultrasonography revealed a hyperechoic area with the dimensions 65 × 37 × 33 mm inside the endometrial cavity, that was suspicious to severe endometrial hyperplasia or malignancy. Tumor marker tests (BHCC, LDH, α FP, CA125, CA19-9, and CEA) were in normal limit. Endometrial biopsy by pipelle was unsatisfactory for diagnosis. Total abdominal hysterectomy was done, and the result of histopathology confirmed endometrial adenofibroma with the dimensions 70 × 47 × 40 mm. Conclusions: The presence of a hyperechoic area of the endometrium with complain of prolonged vaginal discharge in post menopause subjects could attribute to endometrial adenofibroma.
{"title":"Endometrial adenofibroma, A Case Report","authors":"S. Moradan, B. Hosseinzadeh","doi":"10.5812/MEJRH.90184","DOIUrl":"https://doi.org/10.5812/MEJRH.90184","url":null,"abstract":"Introduction: Adenofibroma is a type of mixed mesodermal tumor that both epithelial and stromal components are benign, and often originate from endometrium at postmenopausal age. Uterine adenofibroma is an extremely rare tumor and this lesion must be differentiated from some benign or malignant lesions of the uterus, particularly adenosarcoma. Because of the rarity and im-portance of such histopathology at post-menopausal age, this case is presented. CasePresentation: A63-year-oldwoman,parity9,whowasatmenopauseperiodwithahistoryof prolongedandseverenobloody vaginal discharge during the past 3 months was referred to our center. Transvaginal ultrasonography revealed a hyperechoic area with the dimensions 65 × 37 × 33 mm inside the endometrial cavity, that was suspicious to severe endometrial hyperplasia or malignancy. Tumor marker tests (BHCC, LDH, α FP, CA125, CA19-9, and CEA) were in normal limit. Endometrial biopsy by pipelle was unsatisfactory for diagnosis. Total abdominal hysterectomy was done, and the result of histopathology confirmed endometrial adenofibroma with the dimensions 70 × 47 × 40 mm. Conclusions: The presence of a hyperechoic area of the endometrium with complain of prolonged vaginal discharge in post menopause subjects could attribute to endometrial adenofibroma.","PeriodicalId":36354,"journal":{"name":"Middle East Journal of Rehabilitation and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44743184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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