RESUMEN
Introducción: El vértigo, los mareos y el desequilibrio se encuentran entre las quejas más comunes de los adultos mayores pudiendo ocasionar repercusiones biopsicosociales como aislamiento, depresión y disminución de la autonomía. Objetivo: El objetivo del presente estudio fue determinar el impacto de la autopercepción de la discapacidad vestibular y de la sintomatología asociada sobre la calidad de vida de adultos mayores autovalentes, residentes en la comunidad y sin patología vestibular diagnosticada. Material y Método: Se realizó un estudio observacional, de alcance analítico y de corte transversal. Participaron 30 sujetos adultos mayores sanos, residentes en zonas urbanas y rurales de la Región Metropolitana. Se utilizó el dizziness handicap inventory para medir la autopercepción de dificultad vestibular y el cuestionario WHOQOL-BREF para medir calidad de vida. Resultados: Ajustando por edad, escolaridad, zona de residencia y desempeño cognitivo, el puntaje del dizziness handicap inventory predijo de manera significativa (p < 0,05) la dimensión física, psicológica y el puntaje total del WHO-QOL-BREF, explicando hasta un 35%, 9% y 16% de los puntajes, respectivamente. Conclusión: La autopercepción de la dificultad vestibular afecta significativamente la dimensión de salud física y la salud psicológica de la calidad de vida, independiente de la edad, la escolaridad, la zona de residencia y el desempeño cognitivo.
Introduction: Vertigo, dizziness and imbalance are among the most common complaints of the elderly, and can cause biopsychosocial impacts such as isolation, depression and decreased autonomy. Aim: The aim of the present study was to determine the impact of self-perception of vestibular disability and associated symptoms on the quality of life of self-reliant, community residents and without diagnosed vestibular disorders older adults. Material and Method: An observational, analytical, and cross-sectional study was carried out. Thirty healthy elderly subjects participated, residing in urban and rural areas of the Metropolitan Region. The dizziness handicap inventory was used to measure self-perception of vestibular disability and the WHOQOL-BREF questionnaire to measure quality of life. Results: Adjusting for age, schooling, area of residence and cognitive performance, the dizziness handicap inventory score significantly predicted (p < 0.05) the physical and psychological dimension and the total score of the WHOQOL-BREF, explaining up to 35%, 9% and 16% of the scores, respectively. Conclusion: The self-perception of vestibular difficulty significantly affects the dimension of physical and psychological health of quality of life, independent of age, schooling, area of residence and cognitive performance.
Asunto(s)
Humanos , Masculino , Femenino , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Calidad de Vida , Autoimagen , Enfermedades Vestibulares/psicología , Vértigo , Encuestas y Cuestionarios , MareoRESUMEN
PIP: All women who were admitted to the Felix Bulnes Hospital, Santiaog, Chile, for incomplete abortion between July 1968 and June 1969 were given instruction in family planning and contraceptive services. A total of 584 women chose to have an IUD insertion. Although all the women thought they had received an IUD, 1 group had a Lippes loop D inserted immediately after curettage and the other group had no insertion. The attending doctor had no prior knowledge as to which women were to receive the device nor did the doctor at the follow-up know until after the physical exam had taken place. 30 days after discharge from the hospital, the women returned from check-up and follow-up. At this time the women who had not received an IUD were given an insertion. Differences between the group with insertion and the one without were significant only for the interval between curettage and first menses and for the quantity of flow in relation to previous menstruation. The difference between the 2 groups for duration of menstrual flow was of borderline significance at the .05 significance level. It is concluded from the study that in the absence of psychologi cal bias of the patient to the IUD insertion, and possibly bias in its use by the doctor, there are no serious complications in the first month following immediate postabortal IUD insertion even where the abortion was a septic incomplete one.^ieng
Asunto(s)
Cuidados Posteriores , Método Doble Ciego , Estudios de Evaluación como Asunto , Hemorragia , Incidencia , Dispositivos Intrauterinos , Dolor , Embarazo , Investigación , Retención en Psicología , Factores de Edad , Américas , Chile , Anticoncepción , Legrado , Países en Desarrollo , Diagnóstico , Enfermedad , Servicios de Planificación Familiar , Planificación en Salud , América Latina , Paridad , Aceptación de la Atención de Salud , Reproducción , Proyectos de Investigación , Signos y Síntomas , América del SurAsunto(s)
Mortalidad Materna , Complicaciones del Embarazo/mortalidad , Adolescente , Adulto , Chile , Femenino , Humanos , Persona de Mediana Edad , Embarazo , Estudios RetrospectivosRESUMEN
PIP: From October 1968, 100 vacuum curettage procedures were performed at Felix Bulnes Hospital using a Sorensen aspirator specially designed for the purpose. The reasons for the intervention were chiefly complications of abortion but included cases of missed abortion, molar pregnancy, and metrorrhagia. The patients were 15-45 years old; the pregnancies varied from less than 4 weeks to 20 weeks. In the majority of cases, cervical dilatation was already sufficient to introduce the cannula. The fever, an indication of the seriousness of these cases, disappeared in 62% of the patients after the aspiration. There were no instances of local infection or of uterine perforation. The postprocedure hospital stay was from 2 to 4 days in most cases; 9% of the patients were hospitalized longer for causes unrelated to the procedure. Antibiotics were used on 20% of the patients before and on 40% after the procedure. This technique has proved painless, rapid, and does not per se produce greater hemorrhage.^ieng
Asunto(s)
Legrado , Extracción Obstétrica , Complicaciones del Embarazo/cirugía , Trastornos Puerperales/cirugía , Adolescente , Adulto , Estudios de Evaluación como Asunto , Femenino , Humanos , Métodos , Persona de Mediana Edad , Paridad , EmbarazoRESUMEN
PIP: 20% of the women receiving hospital treatment by the authors show excessive multiparity and their average age is 37.7. The maternal mortality rate is 6 per 10,000 deliveries among primiparous, 9 per 10,000 among multiparous and 12 per 10,000 among "highly multiparous" women. Hemorrhage, infection, toxemia and embolism constitute the greatest risks during puerperium. Subject to the consent of the patient , the authors propose tubal sterilization in the following cases: a) in all "highly multiparous" cases, i.e., women who have delivered 5 or more viable children; b) in all multiparous cases showing a dangerous placental insertion (placenta previa, placental accretion); c) in all hospital patients who are subjected to three caesarean interventions. They suggest caesarean laparotomy to perform the operation by Pomeroy or Madlener's method, or the early puerperium period for sterilization, bec ause it has proved to be a simple and safe method.^ieng