Minimally Invasive Approaches to Chronic Abdominal Pain: The Role of Laparoscopy | Chapter 6 | Achievements and Challenges of Medicine and Medical Science Vol. 11

Chronic abdominal pain is a prevalent complaint that significantly impacts patients’ quality of life, causing both physical and psychological distress. This study evaluates the role of diagnostic and therapeutic laparoscopy in addressing chronic and recurrent idiopathic abdominal pain, assessing its epidemiology, clinical features, and outcomes. A prospective study conducted on 63 patients revealed that diagnostic laparoscopy is a safe, effective modality that not only identifies underlying causes but also facilitates immediate therapeutic interventions. Positive outcomes were observed in over 90% of patients within two months of follow-up, highlighting its dual diagnostic and therapeutic efficacy.

 

Author (s) Details

 

Ranjeet S Kamble
Department of Surgery, LTMMC and LTMGH, Sion, Mumbai, Maharashtra, India.

 

Pankil Mota
Department of Surgery, LTMMC and LTMGH, Sion, Mumbai, Maharashtra, India.

 

Rajeev Karvande
Department of Surgery, LTMMC and LTMGH, Sion, Mumbai, Maharashtra, India.

 

Please see the book here:- https://doi.org/10.9734/bpi/acmms/v11/3790

Effectiveness of Cognitive Behaviour Therapy Targeting Eating Behaviour for Patients with Abdominal Obesity in an Ordinary Primary Health Care Setting | Chapter 8 | Novel Research Aspects in Medicine and Medical Science Vol. 8

 The purpose concerning this study is to explain in what way or manner Cognitive Behavioural Therapy Targeting Eating Behavior (CBT-TEB) was applied and to evaluate the therapy's short-term efficiency in lowering abdominal corpulence and body mass index (BMI) in routine first-contact medical care settings. Obesity is a weighty public health issue and associated with an raised risk of cardiovascular disease events and humanness. The risk of cardiovascular complications is directly had connection with excess frame fat mass and ectopic fat dethroning, but also other corpulence-related complexities such as pre-type 2 diabetes, obstructive sleep apnoea, and non-alcoholic greasy liver diseases.A screening inquiry was given to consecutive sufferers and after that a fitness dialogue, blood pressure and skin glucose check were offered. Eighty- three bodies aged 18-69 age consented to participate in the CBT-TEB invasion. Inclusion criteria were the combination of intestinal obesity and BMI ≥ 25. Primary outcome measures were changes from criterion to six months after end of remedy in waist circumference (WC), midriff-to-hip ratio (WHR), pressure, and BMI. Changes in eating behaviours: cognitive limitation eating, poignant eating and uncontrolled consuming. Obesity related psychosocial problems in addition to patients´ and group rulers´ experiences of the CBT-TEB programme were also evaluated. Pulse, systolic and diastolic blood pressure, total cholesterol, high-bulk lipoproteins (HDL-C), low-density lipoproteins (LDL-C) and triglycerides were calculated.Mean reductions after six months (total sample, last attention carried forward): WC 4.8 (sd 7.0) cm, WHR 0.027 (sd 0.04), weight 4.4 (sd 4.9) kg, BMI 1.6 (sd 1.8) kg/m2. Mean reductions afterwards six months in therapy completers: WC 5.5 (7.3) cm, WHR 0.031 (0.05), weight 5.0 (5.0) kg, BMI 1.8 (1.8) kg/m2. Cognitive limitation eating raised and uncontrolled eating, touching eating and obesity-accompanying psychosocial problems decreased considerably during remedy. Patients´ experiences of the therapy surpassed their expectations. Group leaders´ knowledge were positive. After a brief training ending, it was possible to redistribute CBT-TEB in primary care using precinct nurses and health educators as group leaders. Both cases and staff replied favorably to the treatment. The CBT-TEB program's temporary success in reducing pressure and abdominal obesity in subjects receiving first-contact medical care was pleasing and seems expected superior to the majority of different reported CBT-located programs.

Author(s) Details:

Lisbeth Stahre,
Department of Clinical Neuroscience, Section for Psychiatry, Huddinge, Karolinska Institutet, Stockholm, Sweden.

Ann Blomstrand,
Department of Primary Health Care, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Tore Hällström,
Department of Clinical Neuroscience, Section for Psychiatry, Huddinge, Karolinska Institutet, Stockholm, Sweden and Department of Neuroscience, Section of Psychiatry and Neurochemistry, Unit for Neuropsychiatric Epidemiology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Please see the link here: https://stm.bookpi.org/NRAMMS-V8/article/view/12187

Correlates of Common Sleep Disorders among Adults Attending the Family Medicine Department of the University of Ilorin Teaching Hospital, Ilorin, Kwara State | Book Publisher International

 1.1 BACKGROUNDSleep disorder discontents are highly prevailing in primary care populace. The cumulative effects of sleep disorders have happened associated with a roomy range of clinical and socio- financial consequences. Despite this, sleep disorders are under pinpointed, under-reported and under treated. This is more important in sub-Saharan Africa place there is a scarcity of research on sleep disorder in primary care backgrounds.1.2 OBJECTIVETo screen adults 18 years and above for sleep disorders and decide their socio-demographic and dispassionate correlates.1.3 METHODA cross-localized study was conducted from January to April 2011 in the inexact outpatient clinics of the Family Medicine Department, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria. Data was composed from 405 respondents utilizing a structured inquiry. The Global Sleep Assessment Questionnaire was used to screen for sleep disorders while the Hospital Anxiety and Depression Scale was used to detect accused with tension and depression. Questionnaire was interviewer executed by the investigator and data resolved using SPSS 15 Statistical bundle.1.4 RESULTSThe overall prevalence of sleep disorders irrespective of type was 84%. Insomnia (55.6%), Excessive sunshine sleepiness (46.9%), Parasomnia (35.3%) and Obstructive sleep interruption of activity (34.1%) were the most accepted types of sleep disorders in this study. Sleep disorder mainly was not significantly associated with socio-mathematical factors but was more accepted among civic servants, men and the older age groups. Increasing age was considerably associated with excessive sunshine sleepiness and opposing sleep apnea, while female common was significantly guide excessive daytime torpor. Anxiety, depression, hypertension, diabetes mellitus, corpulence, pain, joint problem, were considerably associated with the accepted sleep disorders.1.5 CONCLUSION This study showed that sleep disorders are common in the first-contact medical care population particularly in this atmosphere. They are also considerably associated with common dispassionate conditions visualized in the general person being treated for medical problem setting. Screening for sleep disorders between primary care culture especially those with worry, depression, pain, joint questions, obesity, diabetes mellitus and hypertension is thus very important to the general practitioner to be able to care sufficiently for the varied inmates seen in dispassionate practice.

Author(s) Details:

Anthony Itopa Joseph,
Consultant Family Physician, ECWA Hospital Egbe, Egbe, Kogi State, Nigeria.

Please see the link here: https://stm.bookpi.org/CCSDAAFMDUITHIKS/issue/view/879