bluuebunny/crossref_metadata_2025_split huggingface dataset:
How do Japanese patients really feel about losing potency after radical prostatectomy? (MAJI study)
Authors: Kobayashi Ko , Nofuji Seisuke , Okabe Ko , Yorozuya Wakako , Sakai Yasuyuki , Kyoda Yuki , Hashimoto Kohei , Tanaka Toshiaki , Masumori Naoya 
Published: October 2024

AbstractObjectivesTo investigate actual patients' feelings about losing erectile function because of treatment for prostate cancer.MethodsThe study participants were 20 patients who were going to receive robot‐assisted laparoscopic radical prostatectomy without nerve sparing. Before surgery, we interviewed them using an original questionnaire. The questionnaire included inquiries concerning their feelings about losing sexual function, whether they were sad or not, wanted to preserve sexual function, wanted to receive treatment if there were one that would restore sexual function and how much they would be willing to pay to recover their sexual function.ResultsThe median age of the participant was 67 years (range 60–73 years). Fourteen patients (70%) were sad about losing their sexual function and 17 (85%) wanted to preserve it if they could. Thirteen patients (65%) wanted to receive treatment that would restore their lost sexual function, and they thought that they would be willing to pay a median of 500 000 yen (range 0–1 000 000 yen) to recover it.ConclusionsMost of the patients felt sad about losing their potency just before radical prostatectomy without nerve sparing. Although almost all patients wanted to preserve their sexual function if they could, they did not want to spend a great deal of money for it.
A novel anterior approach toward robotic radical prostatectomy is associated with earlier continence recovery than the conventional approach
Authors: Washino Satoshi , Saito Kimitoshi , Yazaki Kai , Miyagawa Tomoaki 
Published: October 2024

ObjectivesTo advance robotic radical prostatectomy, we developed a novel anterior approach that uses a peritoneal incision created between the umbilical ligaments to develop the Retzius space and thus spares vessels that surround the bladder and prostate, with the space being closed after prostatectomy and vesicourethral anastomosis. This approach may improve continence recovery. We investigated continence recovery following the novel anterior approach compared to after the conventional anterior approach.MethodsWe retrospectively reviewed 516 patients who underwent robotic radical prostatectomy from January 2019 to July 2023. We compared continence recovery following our novel anterior approach (N = 282) to that after conventional anterior approach (N = 234), and we compared the oncological outcomes and safety profiles of the two groups.ResultsPatient demographics did not differ significantly between the two groups. Continence recovery in patients undergoing the novel anterior approach was significantly better than that of patients treated via the conventional approach (hazard ratio: 1.651, 95% confidence interval: 1.325–2.057, p < 0.0001). Use of the novel anterior approach in addition to nerve sparing and preservation of the detrusor apron independently predicted continence, and the mixture of these three techniques afforded excellent continence recovery (1‐ and 2‐year total continence rate of 81.1% and 93.7%). Neither the biochemical recurrence‐free survival nor the complication rate differed significantly between the two groups.ConclusionOur novel anterior approach may improve continence recovery compared to the conventional anterior approach, without compromising the oncological outcomes. Prospective comparative studies are necessary to confirm the benefits of this approach.
The correlation between sub‐epidermal moisture assessment and other early indicators of pressure ulcer development: A prospective cohort observational study. Part 2. The correlation between sub‐epidermal moisture assessment, temperature, epidermal hydration and pain
Authors: Wilson Hannah Jane Elizabeth , Patton Declan , Budri Aglecia Moda Vitoriano , Boland Fiona , O'Connor Tom , McDonnell Ciarán Osmond , Rai Himanshu , Moore Zena Elizabeth Helen 
Published: October 2024

AbstractThere is growing interest in the roles of temperature, epidermal hydration (EH) and pain in pressure ulcer (PU) development. Investigating correlations between these measures and sub‐epidermal moisture (SEM) will address this knowledge deficit. A prospective observational study enrolled 60 surgical patients from February to November 2021. SEM, temperature, EH and pain were assessed using a SEM scanner, thermography imaging, skin hydration device and numeric pain intensity scale, respectively. Measurements were taken at the sacrum, both heels and a control site, before and after surgery for 3 days. Data were analysed using Pearson or Spearman's correlation. Of the participants, 50% were male with a mean age of 58 years (±13.46). Low positive/negative correlations between SEM and temperature were found at the sacrum. However, after removing outliers, these results were not statistically significant. Other sites and follow‐up days showed negligible correlations. No evidence of a correlation, to low correlations between SEM and EH were observed, but unreliable due to little variation in EH at the heels. Pain showed negligible correlations with SEM. This study did not find consistent evidence of a correlation between SEM, temperature, EH and pain, highlighting the unreliability of temperature and EH for early PU detection. Post‐operative pain may also confound accurate pain assessments.
A systematic review of the claw toe deformity: What is known and what is needed apart from surgical procedures
Authors: de Jesús Mayagoitia‐Vázquez José , López‐López Daniel , Miguel‐Andrés Israel , Becerro‐de‐Bengoa‐Vallejo Ricardo , Losa‐Iglesias Marta , Gómez‐Salgado Juan , Ortiz‐Lango Luis Ángel 
Published: October 2024

AbstractThe claw toe deformity is a painful condition that mainly affects the adult population. Although there are many different treatments to solve the deformity, there is no optimal procedure to restore the normal foot mechanics. The objective of this review was to identify the technical features of the kinematic evaluation methods used in patients with claw toes. Furthermore, the aim of this review was to clarify what is known and what is needed apart from the surgical procedures to correct the claw toe deformity, with the purpose of reducing risk factors of falling in elderly people. A search in electronic databases, such as Scopus (n = 78), Google Scholar (n = 705) and ScienceDirect (n = 290) was conducted. There were seven articles (43.75%) related to the fixation (arthrodesis) of proximal and distal interphalangeal joints, one article (6.25%) describes the correction of the claw toe through plantar plate tenodesis and release of collateral ligaments, four articles (25%) describe the procedure of tendon transfer, one article (6.25%) describes flexor digitorum brevis tenotomy and a proximal interphalangeal joint arthrolysis, and another article (6.25%) presented the impact of partial phalanx osteotomy to treat the claw toe deformity. In conclusion, the review indicates that there are several studies related to the treatment or correction of claw toe deformity. However, there is a lack of knowledge of the postsurgical effects of treating claw toe condition, especially in the structural mechanics (plantar pressure distribution, stability, gait, foot mechanics and so on) of the foot after the correction of the claw toe deformity. The analysis of the foot mechanics after the correction of the claw toes has to be paramount to determine the benefits of the correction.
Modulations of the skin microbiome in skin disorders: A narrative review from a wound care perspective
Authors: Piazzesi Antonia , Scanu Matteo , Ciprandi Guido , Putignani Lorenza 
Published: October 2024

AbstractThe cutaneous microbiome represents a highly dynamic community of bacteria, fungi and viruses. Scientific evidence, particularly from the last two decades, has revealed that these organisms are far from being inconsequential microscopic hitchhikers on the human body, nor are they all opportunistic pathogens waiting for the chance to penetrate the skin barrier and cause infection. In this review, we will describe how dermatological diseases have been found to be associated with disruptions and imbalances in the skin microbiome and how this new evidence had shaped the diagnosis and clinical practice relating to these disorders. We will identify the microbial agents which have been found to directly exacerbate skin diseases, as well as those which can ameliorate many of the symptoms associated with dermatological disorders. Furthermore, we will discuss the studies which suggest that bacteriotherapy, either by topical use of probiotics or by bacteria‐derived compounds, can rectify skin microbial imbalances, thereby offering a promising alternative to antibiotic treatment and reducing the risks of antibiotic resistance.
A systematic review of procedural treatments for burn scars in children: Evaluating efficacy, safety, standard protocols, average sessions and tolerability based on clinical studies
Authors: Roohaninasab Masoumeh , Najar Nobari Niloufar , Ghassemi Mohammadreza , Behrangi Elham , Jafarzadeh Alireza , Sadeghzadeh‐Bazargan Afsaneh , Goodarzi Azadeh 
Published: October 2024

AbstractManaging burn scars in children presents significant challenges. This study investigates effective treatment methods for burn scars, focusing on efficacy, safety, standard protocols and tolerability. Major databases such as PubMed, Scopus and Web of Science were thoroughly searched up to August 2024, emphasizing procedural treatments for burn scars in children. Key data collected included participant demographics, sample sizes, intervention methods, follow‐up protocols, treatment effectiveness and reported adverse events. A total of 256 children were assessed, with all procedural treatments yielding satisfactory outcomes. Among the various methods, trapeze‐flap plasty and percutaneous collagen induction showed improvements in all patients. In the laser treatment group, which included 161 children, the Vancouver Scar Scale (VSS) score reduction ranged from 55.55% to 76.31%, with outcomes rated as good (24.61%) to excellent (60%). Laser treatment using local anaesthesia proved to be well tolerated by children. Our findings indicate that various methods—including trapeze‐flap plasty, percutaneous collagen induction, phototherapy and fractional CO2 laser—demonstrate a relatively good response and an acceptable safety profile. Notably, light‐based therapies/lasers may serve as safe, effective and tolerable options for scar treatment in this age group, often eliminating the need for general anaesthesia.
A Worked Example of Qualitative Descriptive Design: A Step‐by‐Step Guide for Novice and Early Career Researchers
Authors: Villamin Princess , Lopez Violeta , Thapa Deependra Kaji , Cleary Michelle 
Published: October 2024

ABSTRACTAimTo provide a worked example informed by relevant literature and related studies that novice and early career researchers may use to reflect on, prepare and conduct a thoughtful and rigorous qualitative descriptive study.DesignMethodological discussion of qualitative descriptive design.MethodsSeminal work and recent related literature were reviewed to situate the discussion and identify the concepts and steps to conduct a qualitative descriptive study.ResultsQualitative descriptive design is widely used in nursing and health science research. This design offers flexible use of qualitative methods, which presents a double‐edged sword, posing challenges in preparing a well‐developed study and achieving methodological rigour. The design often borrows methods from other qualitative traditions, which may need to be clarified for novice and early career researchers, wherein studies may be conducted using a mix and match of methods without giving justice to the heart of qualitative descriptive design. In this paper, we present a step‐by‐step guide, using a worked example, to demonstrate how to conduct a qualitative descriptive study.ConclusionQualitative descriptive design may be confusing due to its flexibility, which may limit the scope of research and subsequently, the quality and impact of the findings. With the appropriate application of research methods producing high‐quality and relevant findings, qualitative descriptive design is a valuable qualitative method in its own right.Implications for the ProfessionNovice and early career researchers may increase the impact of their findings through rigorously conducting their studies. Clarifying steps for thoughtful execution may inform novice and early career researchers, allowing for a rigorous application of the method, which, in turn, may contribute to impactful findings.ImpactA clear presentation of steps, supported by a worked example and related studies, may support novice and early career researchers in conducting a qualitative descriptive study with methodological rigour.Reporting MethodNot applicable.Patient or Public ContributionNo patient or public contribution.
COVID‐19's Impact in Long‐Term Care Facilities: The Health and Coping Strategies of Older Adults and Their Families
Authors: Cohen Christine , Abt Maryline , Bélanger Louise , Ortoleva Bucher Claudia 
Published: October 2024

ABSTRACTAimDescribe the stressors that long‐term care facility (LTCF) residents and their family members were exposed to during the COVID‐19 pandemic, the resources they mobilised to cope with them, and the strategies used by professionals to support them.DesignA descriptive qualitative design study.MethodBetween March 2021 and February 2022, we carried out semi‐structured interviews with 8 LTCF residents, 11 family members, and 6 focus groups made up of healthcare and support staff from 8 LTCFs.ResultsThree themes emerged: (1) residents and family members: separated and suffering, (2) residents and family members: reinventing themselves, and (3) staff: attempts to maintain residents' well‐being.ConclusionLTCF Residents' and their family members' exposure to the various stressors linked to the COVID‐19 pandemic generated suffering. Healthcare and support staff implemented strategies to support them, notably to maintain links between them. Some deep reflection must occur on the concepts of LTCF residents' autonomy and self‐determination when implementing protective measures in future pandemic situations.Implications for the Profession and Patient CareThis study has provided new insights into the nature of the stressors faced by LTCF residents and their families, and the measures implemented by professionals to support them. The role of the families of LTCF residents needs to be better recognised. Our results indicate the importance of involving nurses in discussions on patient autonomy and self‐determination when implementing protective measures (in a pandemic situation).ImpactExploring the nature of the stressors experienced by LTCF residents and their families enables professionals to tailor strategies to support them. Maintaining residents' self‐determination is essential when implementing protective measures. Families involved with residents must be recognised and included in the assessment of stressors and the personalisation and implementation of strategies to support LTCF residents.Patient or Public ContributionNo Patient or Public Contribution.
Psychometric properties of the revised internalized skin bias questionnaire
Authors: Butt Melissa , Singh Pritika , Keeler Amanda , Hollins L. Claire , Kirby Joslyn S. , Chinchilli Vernon M. , Rigby Andrea 
Published: October 2024

AbstractBackgroundThe psychological impacts of skin disease are well documented, with patients reporting increased anxiety, depression and poorer quality of life. More recent studies suggest that adverse psychopathology is associated with re‐direction of skin‐disease‐related social stigma towards oneself or internalized skin bias (ISB).ObjectivesTo refine the Internalized Skin Bias Questionnaire (ISBQ) to reflect the construct of ISB with additional skin‐specific biases as well as to evaluate its psychometric properties in a diverse sample of individuals with various skin conditions.MethodsTwo‐part observational design including consensus‐building surveys among a dermatology expert group and a cross‐sectional survey among participants with self‐reported dermatological conditions to assess instrument psychometric properties. Eligible participants completed an online survey comprised of the revised ISBQ (ISBQ‐R), the Questionnaire on Experiences with Skin Diseases‐Short Form (QES‐SF), the Dermatology Life Quality Index (DLQI), the Beck Depression Inventory‐II (BDI‐II) and the Burns Anxiety Inventory (BAI).ResultsOverall, 33 experts participated including 22 (66.7%) dermatologists or dermatology researchers and 11 (33.3%) patients. Except for three items in the first round, all items received high agreement for inclusion from the expert group. The revised survey was completed by 214 participants who identified mostly as female (n = 185; 86.9%), White (n = 182; 85.5%) and non‐Hispanic/Latino (n = 200; 93.4%). Adding and modifying new items resulted in an instrument with stronger internal consistency (Cronbach's alpha = 0.92) and a stronger correlation with other existing stigma measures (QES‐SF; ρ = 0.72).ConclusionsThe ISBQ‐R is a modified instrument with stronger internal consistency and a stronger correlation with other existing stigma measures. Additionally, the study further expanded upon previous research by exploring a two‐factor structure, suggesting that the ISBQ‐R could be used as a single‐ or a dual‐factor instrument depending on investigator goals.
Multicenter Prospective Clinical Study on Chairside‐Fabricated Partial Crowns: 5‐Year Results for Lithia‐Zirconia Glass–Ceramic Restorations
Authors: Rinke Sven , Reinermann Emanuel , Leha Andreas , Roediger Matthias , Ziebolz Dirk 
Published: October 2024

ABSTRACTObjectivesClinical evaluation of chairside‐fabricated lithia‐zirconia glass–ceramic (LZGC) partial crowns (CCPCs) in a multicenter practice‐based study.Materials and MethodsSeventy‐one patients were restored with 92 adhesively luted CCPCs (Cerec SW 4.2/Cerec MC XL/Celtra Duo) in three private dental clinics (C1–C3). Time‐dependent (Kaplan–Meier) survival rates (SVR) and success rates (SCR) were calculated. The following possible covariates of SVRs and SCRs were evaluated in a Cox regression model: Restoration position (premolar/molar), luting material (Variolink/Calibra), and operator (C1–C3).ResultsSeventy‐three CCPCs were placed in 59 patients and were included in the study (mean observational period: 58.0 ± 15 months). Four complete failures (two tooth fractures, one restoration fracture, and one endodontic failure) were recorded. All failures and interventions occurred in one of the three centers (5‐year SCR: C1 + C2: 100%; C3: 71%; 95% confidence interval: [0.55; 0.87]). Additionally, three biological, and two technical complications required clinical intervention to maintain function, and all occurred in C3. Restorations placed in C1 and C2 showed a significantly reduced risk for failure/intervention (hazard ratio = 0.103, p = 0.026) compared with restorations placed in C3.ConclusionsLZGC CCPCs showed good five‐year clinical performance. However, SVRs and SCRs were significantly influenced by the operator. Additional clinical data are required for a more detailed investigation of this effect.
Comparison of 4‐week versus 8‐week dietitian‐led FODMAP diet group education sessions in tertiary care clinical practice for irritable bowel syndrome: A service evaluation
Authors: Martin Lee D. , Patel Pinal S. 
Published: October 2024

AbstractBackgroundThe implementation of the fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diet for irritable bowel syndrome (IBS) can be effectively delivered by dietitians in group settings. The initial FODMAP restriction phase is recommended to be followed for 4 weeks; however, limited efficacy data exist for 4‐week FODMAP restriction in group education clinical practice.MethodsWe aimed to compare 4‐week versus 8‐week FODMAP group treatment pathways on clinical outcomes using a prospective service evaluation design of IBS patients attending FODMAP restriction (baseline) and reintroduction (follow‐up) group sessions (between 2015 and 2019). Clinical outcomes included global symptom question (GSQ) measuring satisfactory relief, gastrointestinal symptom rating scale (GSRS), stool frequency (SF), stool consistency using Bristol stool form scale (BSFS), diet acceptability, patient satisfaction with group sessions and dietary adherence. Logistic regression was used to test for differences in treatment effects when clinical outcomes were compared between groups.ResultsPatients (n = 284) included were aged 18 to 86 years (mean ± SD [standard deviation], 44.6 ± 15.5), 80% female, and were split into 4‐week (41%, 117/284) versus 8‐week (59%, 167/284) pathways with no differences in baseline characteristics. Mean ± SD time gap between baseline and follow‐up was 4.6 ± 0.9 weeks in the 4‐week pathway and 9.6 ± 3.3 weeks in the 8‐week pathway. When groups were compared at follow‐up, no statistical differences were observed in any measures (GSQ, GSRS, SF, BSFS, dietary adherence, diet acceptability and patient satisfaction).ConclusionA 4‐week dietitian‐led group FODMAP treatment pathway is as clinically effective and maintains patient acceptability when compared to 8‐weeks and should be considered as part of routine clinical practice.
Hospital Experiences of Carers in Relation to the Comprehensive Care Standard: A Mixed Method Study
Authors: Xiong Beibei , Stirling Christine , Bailey Daniel X. , Trinh Emmy , Zeng Ziyinyue , Martin‐Khan Melinda 
Published: October 2024

ABSTRACTAimsTo explore the care experiences of informal carers of people with chronic conditions in hospitals and identify areas for improvement in the context of comprehensive care delivery.DesignA explanatory sequential mixed‐method study.MethodsThis study was conducted, involving a survey with 182 carers and interviews with 31 carers of individuals who attended an Australian hospital. Descriptive analysis of quantitative data was performed using RStudio, while thematic analysis of qualitative data was conducted using NVivo.ResultsThe findings revealed seven overarching components of care that influenced carers' hospital experiences and their perceptions of care quality. Areas requiring improvement were identified within these categories.ConclusionThis review identifies common perspectives of informal carers of people with chronic conditions in hospital settings and highlights important areas that require attention to improve carers' hospital care experiences. Carers should be welcomed, involved, informed and supported during hospital attendance to foster the most positive care experiences.ImplicationsHealthcare professionals should involve carers in assessment, shared decision‐making and the care process and recognise and address carers' needs.ImpactThe findings revealed the carer's hospital experiences in the context of comprehensive care delivery and identified areas requiring improvement.Reporting MethodThe CROSS and the COREQ guidelines were followed.Patient or Public ContributionThe study protocol was presented to stakeholders from two hospitals in Australia, a Patient and Carer Advisory Board (attached to the parent project: evaluating Quality of Care (eQC)) and the Australian Commission on Safety and Quality in Health Care, and discussions were held to assess the relevance and significance of this study to clinical practice and health policy.