The recommendations of the Royal Commission on the need for close co-operation between hospital and local health authority services in the mental health field, recently reinforced by Ministry of Health Circulars 9/59 and H.M.(59)46., are further emphasised in the Mental Health Act 1959. It may be of interest, therefore, to examine now the mechanics of a system with eleven years' operational exp...

BACKGROUND The Cambridge Pulmonary Hypertension Outcome Review (CAMPHOR) is the first disease-specific instrument for pulmonary arterial hypertension (PAH) to assess patient-perceived symptoms, activity limitations and quality of life. To be able to use this questionnaire in the Netherlands, the aim of the study was to translate and validate this instrument for the Dutch-speaking population. ...

BACKGROUND Health Related Quality of Life (HRQL) of opiate users has been studied in treatment settings, where assistance for drug use was sought. In this study we ascertain factors related to HRQL of young opiate users recruited outside treatment facilities, considering both genders separately. METHODS Current opiate users (18-30 y) were recruited in outdoor settings in three Spanish cities ...

OBJECTIVE To determine the long term health related quality of life of coronary artery bypass graft patients, to look at changes between one and five years after surgery, and to examine the ability of preoperative variables to predict longer term outcome. DESIGN Nottingham health profile (NHP) was used to assess patients at five years compared to results obtained at one year. PATIENTS 100 m...

Introduction Few studies have evaluated the functional outcomes of traumatic thoracic and lumbar vertebral body fractures. This study evaluated the functional and clinical outcomes of patients, who sustained a fracture to the thoracolumbar area of the spine (T10 to L2 region), with ≥ 25° kyphosis versus those with less kyphotic curvature. Methods The trauma registry records of two level 1 tra...

The 15D is a generic, 15-dimensional, standardised, self-administered measure of HRQOL, that can be used both as a profile and as a single index score measure. This paper examines the acceptability, reliability, validity and sensitivity of two versions (15D.1 and 15D.2) of its health state descriptive system as a profile measure compared with the Nottingham Health Profile (NHP), SF20 and EuroQo...

[Purpose] This study was aimed to analyse the effects of short-term use of compression stockings (CS) on symptoms and QoL in patients with Chronic Venous Insufficiency (CVI). [Subjects and Methods] Based on the CEAP classification C2 and C3, 117 patients with CVI were enrolled in this study. The participants were divided into two groups. The control group refused to use CS, however, was advised...

BACKGROUND In contemporary Chinese society, obstacles such as frequent violence against medical workers and tense doctor-patient relationships affect the health of Chinese doctors. This study attempted to explore the quality of life (QOL) of young clinical doctors in public hospitals in China's developed cities to study the psychometric properties of QOL and related risk factors of doctors' hea...

OBJECTIVE To determine the importance of rhythm regulation or rate control in patients with permanent atrial fibrillation (AF) and normal left ventricular function. PATIENTS AND INTERVENTIONS Thirty six patients with a mixed fast and slow ventricular response rate to their AF were randomised to either His bundle ablation (HBA) and VVIR pacemaker (HBA group) or VVI pacemaker and atrioventricul...

STUDY OBJECTIVES Hemoptysis is a common complication in patients with cystic fibrosis (CF). Current approaches to patients with hemoptysis include conservative medical therapy, bronchial artery embolization (BAE), and surgery. We investigated the effectiveness of early BAE on the outcome in patients with minor bleeding. DESIGN, PATIENTS, AND INTERVENTIONS We reviewed the clinical records from...