Careful Choice Research Articles

Factors influencing the willingness of older cancer patients to receive palliative care in advance care planning in southern Taiwan

ABSTRACT This study investigates the factors influencing the willingness of older cancer patients to receive palliative care, considering the ‘person-centered’ approach to advance care planning in Taiwan. Autonomy challenges are prevalent among these patients. The retrospective study, conducted at a tertiary teaching hospital in southern Taiwan from June 2020 to December 2022, included 195 eligible older cancer patients. Logistic regression was utilized to analyze factors influencing their willingness for palliative care. The optimal logistic regression analysis identified five key factors associated with receiving palliative care: age (OR, 0.42; 95% CI, 0.20–0.92), educational level (OR, 2.82; 95% CI, 1.27–6.25), metastatic disease (OR, 4.62; 95% CI, 2.08–10.27), hospice and palliative care knowledge (OR, 1.32; 95% CI, 1.11–1.57), and attitude (OR, 1.22; 95% CI, 1.12–1.33). The findings suggest that younger, more educated patients with metastatic disease, higher knowledge of hospice and palliative care, and positive attitudes toward these services were more likely to receive palliative care. Patients’ awareness of hospice and palliative care, attitudes shaped by such awareness, and disease status significantly influenced their willingness to undergo palliative care. This highlights the increasing vulnerability of older cancer patients to decision-making challenges as their illness progresses, emphasizing the importance of initiating conversations about advance care planning early on. Healthcare practitioners are urged to actively advocate for these discussions, particularly considering the decline in decision-making capacity as the disease advances. Future research should focus on empowering individuals in making end-of-life care choices.

Ketamine subcutaneous continuous infusion for depressive symptoms at home: A case report beyond pain use.

Ketamine has been widely used in refractory pain as an opioid adjuvant. Evidence suggests that ketamine can also have an essential role in easing depressive symptoms. Its rapid onset of action makes it a valuable choice in palliative care. We present a case of a 70-year-old man with stage IV renal carcinoma and bone metastasis. The main symptoms included neuropathic pain, depression, and a persistent and severe desire for death. We started continuous subcutaneous infusion with morphine 30 mg and ketamine 100 mg/day. The dose of ketamine was incremented to the maximum of 250 mg/day. During the 28-day treatment, we observed an overall improvement in neuropathic pain, depressive symptoms, and other end-of-life psychological aspects of distress. Only minor psychological side effects were identified, which were controlled by using midazolam in the continuous subcutaneous infusion. Some studies have already demonstrated the benefits of ketamine use in alleviating depression, using parental infusion or oral formulas, which are administered in hospice care. Our report enhances the benefit of the subcutaneous route for palliative patients cared for at home.

Prognostic Factors and Treatment Effect Modifiers for Physical Health, Opioid Prescription, and Health Care Utilization in Patients With Musculoskeletal Disorders in Primary Care: Exploratory Secondary Analysis of the STEMS Randomized Trial of Direct Access to Physical Therapist-Led Care.

The aims of the study were to identify prognostic factors associated with health care outcomes in patients with musculoskeletal (MSK) conditions in primary care and to determine whether characteristics associated with choice of care modify treatment effects of a direct-access physical therapist-led pathway in addition to general practitioner (GP)-led care compared to GP-led care alone. A secondary analysis of a 2-parallel-arm, cluster randomized controlled trial involving general practices in the United Kingdom was conducted. Practices were randomized to continue offering GP-led care or to also offer a direct-access physical therapist-led pathway. Data from adults with MSK conditions who completed the 6-month follow-up questionnaire were analyzed. Outcomes included physical health, opioid prescription, and self-reported health care utilization over 6months. Treatment effect modifiers were selected a priori from associations in observational studies. Multivariable regression models identified potential prognostic factors, and interaction analysis tested for potential treatment effect modifiers. Analysis of 767 participants indicated that baseline pain self-efficacy, pain severity, and having low back pain statistically predicted outcomes at 6months. Higher pain self-efficacy scores at baseline were associated with improved physical health scores, reduced opioid prescription, and less health care utilization. Higher bodily pain at baseline and having low back pain were associated with worse physical health scores and increased opioid prescription. Main interaction analyses did not reveal that patients' age, level of education, duration of symptoms, or MSK presentation influenced response to treatment, but visual trends suggested those in the older age group proceeded to fewer opioid prescriptions and utilized less health care when offered direct access to physical therapy. Patients with MSK conditions with lower levels of pain self-efficacy, higher pain severity, and presenting with low back pain have less favorable clinical and health care outcomes in primary care. Prespecified characteristics did not modify the treatment effect of the offer of a direct-access physical therapist-led pathway compared to GP-led care. Patients with MSK conditions receiving primary care in the form of direct-access physical therapist-led or GP-led care who have lower levels of self-efficacy, higher pain severity, and low back pain are likely to have a less favorable prognosis. Age and duration of symptoms should be explored as potential patient characteristics that modify the treatment response to a direct-access physical therapist-led model of care.

Barriers and Facilitators to Telemedicine Contraception Among Patients Who Speak Spanish: A Qualitative Study [ID 2692431

INTRODUCTION: The objective of this study was to evaluate the barriers and facilitators of telemedicine for contraception care among patients who speak Spanish using a community-based participatory research approach. METHODS: We interviewed 20 patients after telemedicine and in-person contraception visits conducted in Spanish at Planned Parenthood of the Pacific Southwest in Southern California. Two coders analyzed the data using content analysis. RESULTS: Most participants had some college education (14, 65%) and public insurance (18, 90%). Most chose a short-acting contraceptive method (11, 55%). Five key themes were identified. 1) Participants reported less comfort with video technology and a preference to not be seen during the appointment, therefore preferring audio-only for telemedicine visits. 2) Participants did not report difficulty with Spanish interpreters using telemedicine. 3) Telemedicine has conveniences related to time, work, childcare, and transportation but may have inconveniences related to method receipt. 4) Preference for comprehensive care with physical examination and familiarity of the in-clinic model motivated people who sought in-person care rather than technology barriers with telemedicine. 5) There is trust in the privacy and confidentiality of the visits, but privacy at home for the individual may affect choice for in-person care. CONCLUSION: Many patients who speak Spanish preferred audio-only technology for telemedicine contraception visits. Use of interpreters and technology were not perceived barriers for care. There is a need for prospective studies comparing the quality of telemedicine among patients who speak Spanish for contraception care.

Green beauty care choices: Mediating effects of self-generated word of mouth on Gen Z buying behavior

Green beauty care choices: Mediating effects of self-generated word of mouth on Gen Z buying behavior

Mini Washing Machine

Abstract: Day to day the demand of washing clothes is increased. In order to meet the demand, we are finding so many ways along with, it is very necessary to provide compact washing machines due to due rise in prices in the market. As there are many problems with space, this system plays an important role by offering a round plastic container as the main washing machine. Bond Tithe and Metal Sheet together provide improved structural stability and durability. During the spin cycle, the Spinner mechanism effectively drains water by using a High-Speed 12V DC Motor enclosed within a Rectangular Plastic Tub. Notably, an I.V. Infusion Set is repurposed, illustrating a resourceful approach to component sourcing. The prototype's complete success and its ability to spin and wash clothes efficiently prove the design's effectiveness. Space limits in urban areas are met by the small size, which is made possible by careful choice of components and materials. In general, the developed Mini Washing Machine presents an effective solution to little laundry requirements, showing an effortless combination of inexpensive components and innovative design.

A quantitative and qualitative investigation into the management of carious primary molars by foundation dentists in primary care in the South East of England.

Introduction Dental caries is the most common reason for hospital admission of children aged 5-9 in the UK. Better management of caries in primary molars would reduce the number of children requiring treatment in hospitals; however, little research has been done into why primary care clinicians do not use an evidence-based approach to caries management for deciduous molars.Aims The aim of this paper is to identify the rationale behind caries management techniques used in primary care, as well as the choice of materials and long-term success of restorations placed.Materials and methods Use of a retrospective audit and a focus group with primary care clinicians to provide an insight into the management of carious primary molars and the barriers to achieving gold standard care.Results Glass ionomer cements (GICs) were the restoration of choice in primary care. Lack of time, equipment availability and clinician inexperience were cited as to why Hall crowns were not commonly placed.Conclusions The barriers to gold standard management of carious primary molars in practice are wide-ranging but tend to focus on the limitations of NHS care under the units of dental activity system. Lack of time and cost of materials encouraged clinicians to adopt a 'quick fix' approach in GIC.

The status and influencing factors of abnormal fetal pregnancy outcomes in 265 cases in China: a retrospective study.

With the advancement of prenatal diagnosis technology, the detection rate of fetal abnormalities continues to increase, imposing a significant burden on both society and families. A retrospective analysis of essential information about pregnant women, such as their pregnancy history and delivery details, is crucial for understanding the primary factors that influence pregnancy outcomes in women with fetal abnormalities. This analysis is of great significance for improving the level of pregnancy management and outcomes in pregnant women with fetal abnormalities. To retrospectively analyze the pregnancy outcomes of women with fetal abnormalities and explore the factors that influence these outcomes. Pregnant women's pregnancy outcomes were collected from the medical information system and through telephone follow-ups. The chi-square test and logistic regression were used to analyze the factors influencing pregnancy outcomes. Among 265 pregnant women diagnosed with fetal abnormalities, 190 chose to continue the pregnancy, while 75 chose to terminate it. Pregnant women with multiple fetal abnormalities (OR = 3.774, 95% CI [1.640-8.683]) were more likely to choose termination of pregnancy (TOP), and pregnant women who were advised to terminate their pregnancy or make a careful choice were more likely to terminate the pregnancy (OR = 41.113, 95% CI [11.028-153.267]). The number of organs involved in fetal abnormalities and treatment recommendations were identified as the primary factors influencing pregnancy outcomes. Improving awareness of maternal health care during pregnancy, early pregnancy screening technology, and a multidisciplinary diagnosis and treatment approach are of great significance in assisting pregnant women in making informed decisions and improving fetal prognosis.

Nueroprotection by Anesthetics in Brain Injury Models

The aim of the study was to compare the effect of sevoflurane and chloral hydrate on the neurological status and volume of brain damage after trauma and ischemia in experimental models of traumatic brain injury (TBI) and focal ischemic stroke (IS) induced by photothrombosis (PT).Materials and methods. The experiments were performed on mongrel Wistar rats weighing 250–300 g (N=43). There were 4 groups: the Ischemia + Sevoflurane group (ISSEV) (N=10), the Ischemia + Chloral hydrate group (ISCH) (N=10), TBI + Sevoflurane group (TBISEV) (N=13), and TBI+Chloral hydrate group (TBICH) (N=10). Ischemic brain damage was modelled using Rose Bengal (RB) dye-induced PT, and TBI was modelled using mechanical force-induced concussion.Results. MRI findings indicate lower volumes of brain damage (mm³) in rats from TBISEV group compared with the TBICH group (19±5 vs. 60±5, P<0.0001), and in the ISSEV group compared with the ISCH group (9.8±1.5 vs. 21.5±2, P=0.0016). Moreover, there was a significant difference between ISSEV and ISCH groups based on the protocol assessment of neurological status on day 14 with higher scores in ISSEV (11.4±1.8 vs. 4.9±2.6, P<0.0001).Conclusion. Taking into account the data obtained, we recommend a careful choice of anesthesia when modeling ischemic stroke and traumatic brain injury in animals. In particular, the neuroprotective effect of sevoflurane should be taken into account in the PT and TBI models.

User-Centered Development of a Patient Decision Aid for Choice of Early Abortion Method: Multi-Cycle Mixed Methods Study.

People seeking abortion in early pregnancy have the choice between medication and procedural options for care. The choice is preference-sensitive-there is no clinically superior option and the choice depends on what matters most to the individual patient. Patient decision aids (PtDAs) are shared decision-making tools that support people in making informed, values-aligned health care choices. We aimed to develop and evaluate the usability of a web-based PtDA for the Canadian context, where abortion care is publicly funded and available without legal restriction. We used a systematic, user-centered design approach guided by principles of integrated knowledge translation. We first developed a prototype using available evidence for abortion seekers' decisional needs and the risks, benefits, and consequences of each option. We then refined the prototype through think-aloud interviews with participants at risk of unintended pregnancy ("patient" participants). Interviews were audio-recorded and documented through field notes. Finally, we conducted a web-based survey of patients and health care professionals involved with abortion care, which included the System Usability Scale. We used content analysis to identify usability issues described in the field notes and open-ended survey questions, and descriptive statistics to summarize participant characteristics and close-ended survey responses. A total of 61 individuals participated in this study. Further, 11 patients participated in think-aloud interviews. Overall, the response to the PtDA was positive; however, the content analysis identified issues related to the design, language, and information about the process and experience of obtaining abortion care. In response, we adapted the PtDA into an interactive website and revised it to include consistent and plain language, additional information (eg, pain experience narratives), and links to additional resources on how to find an abortion health care professional. In total, 25 patients and 25 health care professionals completed the survey. The mean System Usability Scale score met the threshold for good usability among both patient and health care professional participants. Most participants felt that the PtDA was user-friendly (patients: n=25, 100%; health care professionals: n=22, 88%), was not missing information (patients: n=21, 84%; health care professionals: n=18, 72%), and that it was appropriate for patients to complete the PtDA before a consultation (patients: n=23, 92%; health care professionals: n=23, 92%). Open-ended responses focused on improving usability by reducing the length of the PtDA and making the website more mobile-friendly. We systematically designed the PtDA to address an unmet need to support informed, values-aligned decision-making about the method of abortion. The design process responded to a need identified by potential users and addressed unique sensitivities related to reproductive health decision-making.

A Structured Template for Social Work Psychosocial Assessments and Formulations in Healthcare

ABSTRACT Previously, substantial inconsistencies existed in relation to social work documentation in medical records across Queensland Health. A structured, adaptable social work psychosocial assessment template, developed for use across Queensland Health, is introduced in this article. This template comprises six title headings and encompasses nine psychosocial domains. Importantly, a “Care Needs and Choice” domain encouraged promotion of the “patient voice”, while a Clinical Formulation section and matrix encouraged analysis and assessment of the presenting situation as conceptualised through the social work lens. We propose that, together with AASW guidelines and resources (e.g., AASW Practice Standards, 2023), utilisation of this template can help social workers articulate their professional identity and demonstrate their unique contributions to holistic, person-centred psychosocial healthcare. IMPLICATIONS A structured adaptable template can assist social workers to document psychosocial assessments in the medical record. Use of this template can help demonstrate the professional scope of social work practice and social workers’ unique contributions to person-centred care. The template promotes consideration and documentation of the “patient voice”, and the Formulation matrix encourages critical thinking and analysis to inform social work interventions.

The Impact of Kinlessness on Survival in Patients With Advanced Non-small Cell Lung Cancer: A Single-Center Retrospective Study.

Objectives Among patients with advanced non-small cell lung cancer (NSCLC), there are those who do not have a spouse, family members, or friends to support them in their cancer treatment and daily life: the kinless patients. Therefore, we designed an exploratory study of kinlessness and the prognosis of advanced NSCLC. Methods We retrospectively analyzed the prognosis of clinical factors and treatment and kinlessness in patients with advanced NSCLC with wild-type or unknown status for epidermal growth factor receptor/anaplastic lymphoma kinase (EGFR/ALK) and who visited our hospital from November 2018 to February 2023. In addition to the survival analysis by kinlessness, a multivariable analysis of survival was performed for all clinical factors. In a secondary analysis, a multivariable analysis of the choice of best supportive care (BSC) was performed for all clinical factors. Results One hundred forty-four patients are included in our cohort. There were 131 patients with kin, with a median survival of 1.34 years (95% CI of 1.01-1.79 years). There were 13 patients has no kin, with a median survival of 0.53 years (95% CI 0.23-0.76 years). The log-rank analysis showed that kinless patients had significantly shorter overall survival than patients who have kin. A Cox regression analysis showed that age, distant metastasis, performance status, and kinlessness were associated with overall survival. Secondary analysis showed that there was no statistical association between kinlessness and the choice of BSC in our cohort. Conclusions Kinless patients had shorter survival than patients who have kin in our single-center, retrospective study of patients with advanced NSCLC with wild-type or unknown status for (EGFR/ALK). Further research to evaluate the clinical impact of kinlessness in the treatment of advanced NSCLC is needed.

Physics-inspired transfer learning for ML-prediction of CNT band gaps from limited data

Recent years have seen a drastic increase in the scientific use of machine learning (ML) techniques, yet their applications remain limited for many fields. Here, we demonstrate techniques that allow overcoming two obstacles to the widespread adoption of ML, particularly relevant to nanomaterials and nanoscience fields. Using the prediction of the band gap values of carbon nanotubes as a typical example, we address the representation of the periodic data as well as training on extremely small datasets. We successfully showed that careful choice of the activation function allows capturing periodic tendencies in the datasets that are common in physical data and previously posed significant difficulty for neural networks. In particular, utilization of the recently proposed parametric periodic Snake activation function shows a dramatic improvement. Furthermore, tackling a typical lack of accurate data, we used the transfer learning technique utilizing more abundant low-quality computational data and achieving outstanding accuracy on a significantly expanded dataspace. This strategy was enabled by the use of a combination of the Snake and ReLU layers, capturing data periodicity and amplitude, respectively. Hence, retraining only ReLU layers allowed the transfer of the periodic tendencies captured from low-quality data to the final high-accuracy neural network. Those techniques are expected to expand the usability of ML approaches in application to physical data in general and the fields of nanomaterials in particular.

Unconventional Metaphor Use in the Writing of Chinese Learners of English

Metaphors are known to present both opportunities and challenges for second language learners, but relatively little is known about learners’ awareness of them. To investigate this, we analyzed 72 argumentative essays written in English by a group of 37 intermediate Chinese university students of English. We identified metaphors using an established identification procedure, and then used dictionary descriptions and corpus procedures to identify unconventional uses. Seeking to understand students’ thoughts about their uses of metaphor, we interviewed them within 2 days of the writing task. In this article, we explore the boundary between unconscious use of non-nativelike metaphors and deliberate choices. We argue that in many cases, our learners made conscious, careful language choices which they were able to articulate fluently and thoughtfully. Interview data show that sometimes they consciously decided to use a metaphor from their L1, fully aware that it was not a nativelike use in English, for one of various communicative functions. Our study extends thinking on deliberate metaphor, suggesting implications for its use in reframing research into second language metaphor use. Pedagogical implications are presented for developing learners’ metaphoric competence in L2 writing classrooms.

Ferromagnetic materials for Josephson π junctions

The past two decades have seen an explosion of work on Josephson junctions containing ferromagnetic materials. Such junctions are under consideration for applications in digital superconducting logic and memory. In the presence of the exchange field, spin–singlet Cooper pairs from conventional superconductors undergo rapid phase oscillations as they propagate through a ferromagnetic material. As a result, the ground-state phase difference across a ferromagnetic Josephson junction oscillates between 0 and π as a function of the thickness of the ferromagnetic material. π-junctions have been proposed as circuit elements in superconducting digital logic and in certain qubit designs for quantum computing. If a junction contains two or more ferromagnetic layers whose relative magnetization directions can be controlled by a small applied magnetic field, then the junction can serve as the foundation for a memory cell. Success in all of those applications requires careful choices of ferromagnetic materials. Often, materials that optimize magnetic properties do not optimize supercurrent propagation, and vice versa. In this review, we discuss the significant progress that has been made in identifying and testing a wide range of ferromagnetic materials in Josephson junctions over the past two decades. The review concentrates on ferromagnetic metals, partly because eventual industrial applications of ferromagnetic Josephson junctions will most likely start with metallic ferromagnets (either in all metal junctions or junctions containing an insulating layer). We will briefly mention work on non-metallic barriers, including ferromagnetic insulators, and some of the exciting work on spin–triplet supercurrent in junctions containing non-collinear magnetic inhomogeneity.

Kesehatan Mulut dan Nutrisi Optimal Dalam Membangun Kemandirian Kesehatan Generasi Emas di Sekolah Dasar (SD N Glagahwero 2 Jember)

Background: Oral health and optimal nutrition are pivotal in fostering the health autonomy of the golden generation, particularly among primary school-aged children. However, awareness regarding dental care and nutrition significance often lacks among children, especially within the primary school environment. Hence, an effective and innovative educational approach is imperative to instill awareness and healthy habits among young children. Purpose: This study aims to develop and execute a community engagement program focused on cultivating awareness of oral health and optimal nutrition among primary school children at Glagahwero Elementary School, Jember. Implementation: The program will entail employing interactive educational media, including dental and oral health games, and engaging learning materials that are accessible and comprehensible to children. Result: It is envisaged that through this program, there will be an augmentation in knowledge and comprehension among children regarding the importance of oral health and optimal nutrition, as well as the adoption of healthy habits in dental care and dietary choices. Suggestion: Sustainable and collaborative measures need to be undertaken between schools, communities, and local governments to ensure the long-term viability and success of this program.

Low-Acuity Pediatric Emergency Department Utilization: Caregiver Motivations.

Proper emergency department (ED) utilization is a hallmark of population health. Emergency department overcrowding due to nonurgent visits causes increased stress to healthcare staff, higher costs, and longer wait times for more urgent cases. This study sought to better understand post pandemic reasons caregivers have when bringing in their children for nonurgent visits and devise effective interventions to improve caregiver choice for non-ED care for nonurgent conditions. Surveys were conducted at an urban pediatric hospital for Emergency Severity Index (ESI) level 3 to 5 visits. A total of 602 surveys were completed with 8 being excluded from analysis. Survey responses and anonymized demographic information were collected. Responses were compared between surveys grouped by respondent age category, relation to child, child's race, insurance type, and ESI levels. Primary reasons given for nonurgent ED visits were perceived urgency (74.2%, n = 441), ED superiority to other locations (23.9%, n = 142), and referral to the ED by a third party (17.7%, n = 105). Of those who cited perceived urgency as a reason, 80.5% (n = 355) wanted to lessen their child's pain/discomfort as soon as possible, but only 13.6% said that their child was too ill to be seen anywhere else (n = 60). Demographic differences occurred in the proportions of respondents citing some of the primary and secondary reasons for bringing their child to the ED. This study highlights 3 key findings. An immediate desire for care plays a key role in caregiver decision making for low-acuity visits. There is potential socioeconomic and racial bias in where care is recommended that needs to be further explored in this region. Cross community interventions that target key reasons for seeking low-acuity care have the highest likelihood of impacting the use of the ED for low-acuity conditions.

Are Individual Care Investments Affected by Past Accident Experiences?

Abstract In this paper, we analyze the impact of past accident experiences on individual care choices. By relying on standard economic theory and evidence of behavioral economics and psychology, we posit that individuals’ care investments should be affected by their past accidents as injurers or victims (accident-history effect hypothesis), or by their prior exposure to accident risks in the opposite role (role-reversal effect hypothesis). We test these two hypotheses using experimental data. We find that individuals’ accident history has no statistically significant effect on their care investments, but that care decisions vary with changes in the parties’ roles. Specifically, injurers with prior experience as victims invest statistically more in care than injurers without prior victim experience. By contrast, care investments are not sensitive to victims’ prior experience as injurers. Our research can be regarded as a preliminary study toward the understanding of the role of past accident experiences on individuals’ care behavior, and calls for both replication efforts and reconsideration of traditional economic models of torts.

A Study on Consumer Behavior in Selection of Personal Care Products based on their Financial Status

This research delves into the labyrinth of consumer behaviour, dissecting the nuanced preferences in the realm of personal care product selection. Focusing on the pivotal influence of financial status, our study seeks to unravel the intricate tapestry of choices made by individuals across diverse economic backgrounds. From essential grooming items to indulgent self-care commodities, the research delineates the spectrum of consumer decisions influenced by income brackets. Moreover, it uncovers potential shifts in consumer preferences amidst economic fluctuations and their implications for the personal care industry. As we navigate through the labyrinth of consumer behaviour, this study not only contributes valuable insights to marketers and policymakers but also prompts a re-evaluation of societal perceptions surrounding personal care choices. By understanding the symbiotic relationship between financial status and consumer behaviour, we hope to foster a more nuanced discourse on the intricate dynamics governing our daily grooming rituals.

Diverticulitis in the Under-40 Population.

As obesity and lifestyle factors become more prevalent in younger populations, we are diagnosing and treating diverticulitis in younger patients. In this study, the demographics, risk factors for the development, and treatment of acute diverticulitis were assessed focusing on patients under the age of 40. A retrospective review of the electronic medical records of a cohort of subjects diagnosed with diverticulitis was performed. Inclusion criteria included patients aged 18-40 who were treated for acute diverticulitis with or without any complications. Of the 109 patients, 40 patients required surgery, and 69 patients were managed conservatively. Analysis showed that the Hinchey classification (p<0.001) was the strongest predictor of treatment modality. As the incidence of diverticulitis has increased in recent decades, so too has the frequency with which elective surgical procedures are performed as treatment. While these procedures are vital components in the management of diverticulitis, the majority of research comparing conservative versus surgical treatments has been done in patients over 50 years old. Although diverticulitis has been classically thought of as a disease of the elderly, it has become more prevalent in younger populations due to the rise of obesity and lifestyle modification in the under-40 population. Although the prevalence of treatment and diagnosis of acute diverticulitis in younger patients has risen, there is a paucity of data surrounding treatment protocols for diverticulitis in association with patient symptoms for patients under the age of 40 years old. Our study has found that there is a higher incidence of complications in diverticulitis inpatients under the age of 40.Additionally, when considering the pattern of complication presentation in younger patients with complicated diverticulitis, surgical intervention might not be appropriate. The current treatment algorithm relates diverticulitis complications with surgical interventions. However, our data suggest that patients under the age of 40 presenting with abscesses or strictures may not need surgical intervention. This information could be particularly helpful in guiding physicians and younger patients in selecting the best choice of care and minimizing complications.Additionally, further research should help guide treatment protocol in this specific population of patients, as there is a lack of established guidelines pertaining to diverticulitis surrounding younger patients.