Tag: pubmed

J Cosmet Dermatol. 2022 Mar 5. doi: 10.1111/jocd.14897. Online ahead of print.

ABSTRACT

Aging is an inevitable process. Eyebrows, cheeks, mandible and neck are the areas that are the most vulnerable to the aging process. The most commonly thread lifted areas of the face are the jawline, midface, eyebrows and the neck. In this retrospective study, patients who were treated with thread-lifting between January 2018 and April 2020 were evaluated and the following were noted: the age and gender of the patient; the type of thread used; number of threads used; treatment area; patient satisfaction; and complications. The effects of age, type of thread used, number of threads used and treatment area on patient satisfaction were analysed statistically.The relationship between age and patient satisfaction is statistically insignificant, p=0.697. The relationship between patient satisfaction and the type of the thread used was insignificant, p=0.533. There is no relationship between the number of threads used and patient satisfaction, p=0.783. There is no difference in patient satisfaction between treatment areas, p=0.930. The most commonly observed complications were edema, pain and ecchymosis. We report that the patient satisfaction in thread-lifting is independent of the patient’s age, treatment area, type of thread used and the number of threads used. Our study is novel since it is the first study to report that the age of the patient and the thread type do not effect patient satisfaction.

PMID:35246938 | DOI:10.1111/jocd.14897

Int J Ment Health Nurs. 2022 Mar 4. doi: 10.1111/inm.12987. Online ahead of print.

ABSTRACT

Clinical learning experiences are known to exacerbate nursing student anxiety, causing them to present to clinical placement in distressed, meaning anxious, states. Students already living with anxiety are also more likely to suffer setbacks at this time. Supervising Registered Nurses (RNs), in the clinical settings, struggle to support this student cohort. A professional development activity was designed to introduce RNs to higher education and nursing students’ known mental health concerns (such as anxiety) and to arm them with strategies for working with distressed students. A research approach that enabled researchers to collaborate with participants was employed to design the intervention. A study evaluated the impact of the educational intervention with 45 Australian RN supervisors. Two tailed T-tests were chosen to explore the statistical difference between pre- and post-test mean results across the survey items. A 95% confidence interval was used. Statistical significance was set at <0.05. The evaluation indicated the activity could be useful for improving supervising RNs’ mental health literacy, thus enhancing their understanding of how to work with distressed students. Participants recommended the activity be offered to any staff supporting student clinical learning. Collaboration between nursing researchers and nursing clinical staff produced a meaningful professional development activity and motivated the participants to increase their mental health literacy and understanding of strategies to support distressed students. Future projects should adopt similar approaches that would support both RNs’ ability to support students’ during clinical learning and students in distress would also benefit.

PMID:35246903 | DOI:10.1111/inm.12987

J Prosthodont. 2022 Mar 5. doi: 10.1111/jopr.13501. Online ahead of print.

ABSTRACT

PURPOSE: The purpose of the study was to assess the effect of internal design modifications on the mechanical properties of multi-unit Cobalt-Chromium (Co-Cr) metal-ceramic frameworks manufactured by direct metal laser sintering.

MATERIAL AND METHODS: Four-unit fixed partial denture metal-ceramic frameworks were digitally designed on a metal die model using 3D software. A total of 30 specimens were prepared using Co-Cr alloy powder with direct metal laser sintering (n = 10). The control group specimens were solid where the inside of the specimens was completely full. For the test groups, the internal design of the framework was modified. Leaving the outer shell thickness of the framework at .5 mm, two different internal designs with hollow geometries were created (1.5 mm and 2 mm inner bar distances) and a cross section area of the connector was calculated. The weights of the specimens were measured and subjected to a 3-point-bending test at 1 mm/min crosshead speed. Data were statistically analyzed using One-way ANOVA followed by Tukey (α = .05).

RESULTS: There was a statistically significant difference among the groups in terms of weight of the specimens (P≤ .05). However, no significant difference was observed among groups in term of both flexural strength and flexural modulus (P≤ .05).

CONCLUSIONS: Within the limitations of the study, it was concluded that changing the internal design of the metal frameworks decreases the weight of the framework, but does not affect the flexural strength and flexural modulus. Therefore, clinical applications of internally modified frameworks seem promising for metal-ceramic restorations. This article is protected by copyright. All rights reserved.

PMID:35246899 | DOI:10.1111/jopr.13501

J Nurs Manag. 2022 Mar 4. doi: 10.1111/jonm.13575. Online ahead of print.

ABSTRACT

AIMS: To analyse the prevalence and levels of burnout syndrome in nurse managers and to evaluate the relationship between burnout and related sociodemographic, occupational and psychological factors.

BACKGROUND: Burnout syndrome, defined as an emotional response to chronic stress, is a major problem among nurse managers.

METHODS: The study was conducted using a cross-sectional survey design and data collected by the Maslach Burnout Inventory, The revised NEO Five Factor Inventory and the Educational-Clinical Questionnaire for Anxiety and Depression. The sample population consisted of 86 nurse managers from different hospitals from the Public Health Service of Andalusia, Spain.

RESULTS: 22.4% of the participants presented high levels of emotional exhaustion, 21% experienced depersonalisation and 57.6% had little sense of personal accomplishment. Working long shifts was related to burnout. Emotional exhaustion and depersonalisation were predicted by depression, while personal accomplishment was predicted by conscientiousness, agreeableness and openness.

CONCLUSIONS: 34.1% of the participants presented high levels of burnout, manifested by feelings of low personal accomplishment. Psychological and occupational factors play an important role in the development of this syndrome.

IMPLICATIONS FOR NURSING MANAGEMENT: nurse managers should seek to detect burnout among staff and colleagues matching the risk profile for this condition and promote interventions to prevent it.

PMID:35246900 | DOI:10.1111/jonm.13575

Neurogastroenterol Motil. 2022 Mar 5:e14342. doi: 10.1111/nmo.14342. Online ahead of print.

ABSTRACT

BACKGROUND: Diagnosing anal incontinence (AI) based on manometry results is challenging due to the variation of the normal values and overlap between patients with and without AI. This study aimed to perform a systematic review on the difference in sphincter fatigability between patients with and without AI.

METHODS: MEDLINE, EMBASE, SCOPUS, and Google Scholar were searched. Studies were included if they included adult patients and assessed anal sphincter fatigability between using manometry. The effect size was estimated as the standardized mean difference (SMD) with 95% confidence intervals. A random-effects model was used.

RESULTS: The database searches identified 125 unique articles, and five additional articles were identified from the reference list of articles. One hundred thirteen were excluded through title and abstract review. Nine articles were included in the final analysis. There was no statistically significant difference in the resting pressure between the two groups. Patients with AI had significantly lower squeeze pressure. There was no statistically significant difference between the groups in the fatigue rate. The FRI was significantly lower in patients with AI (SMD 1.636, p = 0.001). Approximately a third of the patients in one study were able to maintain a contraction for 20s without reducing pressure. There was significant heterogeneity in the studies. The data available were inadequate for more robust calculations.

CONCLUSIONS: Sphincter fatigability, measured by the Fatigability Rate Index, has good discriminating power for anal incontinence. A standardized protocol needs to be followed by future researchers. Graphical Abstract The analysis used six studies with 413 patients to compare Fatigue Rate Index between patients with AI and controls. All studies reported a lower FRI in patients with incontinence and the FRI was significantly lower in patients with AI (standardized mean difference [SMD] 1.636, p= 0.001). Conflicting results were reported on the correlation between FRI and AI symptom scores.

PMID:35246890 | DOI:10.1111/nmo.14342

Int J Nurs Pract. 2022 Mar 4:e13044. doi: 10.1111/ijn.13044. Online ahead of print.

ABSTRACT

AIMS: This study aimed to investigate the relationship between family caregivers’ health-related quality of life and health outcomes in care recipients.

METHODS: A total of 160 female caregivers in Japan were initially assessed using self-reported baseline questionnaires to determine physical and mental aspects of their health-related quality of life. Based on these scores, they were divided into three groups: lower, middle, and higher quality of life. We followed up with the 133 participants (after excluding those that did not respond) 6 years later to assess the health of their care recipients; 36 caregivers continued to provide home care, while 97 reported that their care recipient had died or been admitted into institutionalized care.

RESULTS: Statistically, a higher risk for care recipients’ health deterioration was strongly associated with the mental component score in the lower caregivers’ quality of life group of than for the middle group, after adjusting for the care recipients’ age, health status, and caregivers’ age at baseline. There was no significant association between deterioration of health of care recipients and physical component scores of the caregivers.

CONCLUSION: Caregivers’ poor health-related quality of life, particularly poor mental health, may be linked to the deterioration of care recipients’ health.

PMID:35246893 | DOI:10.1111/ijn.13044

Biometrics. 2022 Mar 5. doi: 10.1111/biom.13658. Online ahead of print.

ABSTRACT

A novel feature screening method is proposed to examine the correlation between latent responses and potential predictors in ultrahigh dimensional data analysis. First, a confirmatory factor analysis (CFA) model is used to characterize latent responses through multiple observed variables. The expectation-maximization algorithm is employed to estimate the parameters in the CFA model. Second, R-Vector (RV) correlation is used to measure the dependence between the multivariate latent responses and covariates of interest. Third, a feature screening procedure is proposed on the basis of an unbiased estimator of the RV coefficient. The sure screening property of the proposed screening procedure is established under certain mild conditions. Monte Carlo simulations are conducted to assess the finite sample performance of the feature screening procedure. The proposed method is applied to an investigation of the relationship between psychological well-being and the human genome. This article is protected by copyright. All rights reserved.

PMID:35246841 | DOI:10.1111/biom.13658

Urol J. 2022 Mar 5. doi: 10.22037/uj.v19i.6977. Online ahead of print.

ABSTRACT

PURPOSE: To evaluate the effectiveness of a modified disposable circumcision suture device (DCSD) with application of plastic sheet to avoid severe bleeding after circumcision and compare the surgical effects and other postoperative complications of two DCSDs.

MATERIALS AND METHODS: A total of 943 excess foreskin patients from January 2018 to January 2020 who underwent circumcision using two different DCSDs were recruited. Preoperative characteristics (patient age, height and weight), main surgical outcomes (surgical time, intraoperative blood loss, incision healing time) and postoperative complications (postoperative hemorrhage and hematoma rate, edema rate, incision infection rate, residual staples rate) were collected and analyzed. Patients’ “satisfaction” or “dissatisfaction” was also investigated.

RESULTS: Preoperative characteristics showed no significant statistical difference. The modified DCSD group has a lower intraoperative bleeding, postoperative hemorrhage or hematoma rate and residual staples rate compared with the conventional group. Incision healing time and incision infection rate between the two groups were similar. Nevertheless, conventional group has a shorter surgical time, a lower edema rate and a higher satisfaction rate.

CONCLUSION: The modified DCSD with application of plastic sheet can avoid severe bleeding after circumcision effectively and can be served as a new choice for circumcision.

PMID:35246834 | DOI:10.22037/uj.v19i.6977

Int J Gynaecol Obstet. 2022 Mar 4. doi: 10.1002/ijgo.14171. Online ahead of print.

ABSTRACT

OBJECTIVE: To compare the ability of six scoring systems to predict successful labor induction with cervical ripening among women with a Bishop score less than 3.

METHODS: Secondary analysis of data from a prospective, multicenter observational Methods of Induction of Labor and Perinatal Outcomes (MEDIP) cohort study in 94 obstetrical French units. We included women with a Bishop score less than 3 before cervical ripening. We compared six scores: Bishop, simplified Bishop, modified Bishop, simplified Bishop including parity, Hughey, and Levine scores. Vaginal delivery defined successful labor induction. The ability of each score to predict successful labor induction was evaluated by comparing their area under the curve (AUC).

RESULTS: Among the 600 eligible women in this study, 408 (68%) delivered vaginally. Body mass index (24.7 ± 5.5 kg/m² vs. 26.0 ± 5.7 kg/m² ; P = 0.01) and nulliparity (48.8% vs. 85.4%; P < 0.0001) were lower in the successful induction group, whereas height was higher (165.3 ± 6.0 cm vs. 163.7 ± 6.0 cm; P = 0.002). The simplified Bishop including parity, Hughey, and Levine scores had the highest AUC (0.70 [0.65-0.73], 0.68 [0.64-0.74], and 0.69 [0.65-0.74], respectively).

CONCLUSION: In women with a very unfavorable cervix, scores that include parity predict successful labor induction more accurately, such as simplified Bishop including parity, Hughey, or Levine scores.

PMID:35246840 | DOI:10.1002/ijgo.14171

Can J Anaesth. 2022 Mar 4. doi: 10.1007/s12630-022-02203-6. Online ahead of print.

NO ABSTRACT

PMID:35246814 | DOI:10.1007/s12630-022-02203-6