Experience Report Research Articles

Parental Reports of Children's Dental Pain Experience and Associated Factors among Brazilian Children.

Exploring children's dental pain experiences helps to develop healthcare policies for improving oral health and quality of life. A cross-sectional study involved 300 parents/caregivers of four- to seven-year-old children using snowball sampling. Parents/caregivers self-completed an online questionnaire on sociodemographic characteristics, parenting styles, their child's oral hygiene practices, free sugar consumption, and dental history. The questionnaire was created using Google Forms and was disseminated to parents/caregivers via E-mail and/or WhatsApp©. Descriptive and Poisson regression analyses were performed (p < 0.05). Children's dental pain experience was reported by 20.3% of the parents. The authoritative parenting style was predominant. The child's mean age at the first consumption of sugar was 1.38 (±0.64) years, and 40.3% of the children had high-free sugar consumption. The mean age for the first dental appointment was 2.26 (±1.31) years, and 24.3% of the children never went to a dental appointment. The prevalence of dental pain experience was higher in children who attended their first dental appointment later (PR: 1.02; CI 95%: 1.01-1.03) and among those with high-free sugar consumption (PR: 1.90; CI 95%: 1.21-3.00). High sugar consumption and delay in the first dental appointment may increase the likelihood that children will experience dental pain.

The Conscious Experience of Being Hypnotized with a Metaphorical Story Script: A Case Study

&lt;p&gt;背景與目的：催眠為一經驗現象，但研究者一直無法獲得完整的第一人稱經驗描述，也就無從對其進行研究分析，這阻礙了催眠研究的進展。本研究的目的即在於獲得催眠經驗之意識過程的精細且精確描述，並分析其中的意識經驗現象。方法：本研究採取以催眠現象為標的的案例研究，設計由隱喻故事構成之催眠腳本所進行的催眠歷程，訪談參與者經驗，最後以現象學方法分析之。結果：本研究結果揭示了催眠意識經驗歷程的形式結構與內容結構。催眠意識經驗的歷程形式結構是由本研究所得之催眠經驗描述與意識三重構作理論對話後所得到的理解。催眠意識經驗的意義內容歷程則是可以用經驗生成為主題來提顯其核心意涵。本研究也從催眠過程中的無意義視覺現象獲得意識與生理作用之間關係的假設性理解。結論與建議：本研究不但揭露了催眠過程的形式結構與內容結構，也推進了對意識性質與特徵的討論，可作為意識研究的一項基礎。&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Context and Objective: Hypnosis refers to a state of deep relaxation and heightened suggestibility that either occurs spontaneously or is induced through guidance by others. Hypnosis is a topic of academic interest because it could help researchers understand the composition and operation of human consciousness. A major question in the study of hypnotic experience is how to obtain first-person reports and how to determine the relationship between its experiential content and external processes, that is, the relationship between hypnotic experience and hypnotic methods. This question arises because hypnosis is characterized by dissociation, and subjects are often unable to clearly describe what they experienced when under hypnosis; even if there are fragmentary content reports, it is not easy to determine their temporal sequence. This lack of first-person description has hindered the progress of hypnosis research. In an attempt to reduce this research gap, this study aimed to obtain a detailed and accurate description of the conscious process of hypnotic experience and to analyze the consciousness phenomena therein. Method: A case-study framework was adopted. The study implementation relied on three research maneuvers: a research design that can obtain first-person reports of hypnotic experiences, a phenomenological method for analyzing first-person experiences, and a theoretical model of consciousness operation obtained from Taiwan’s indigenous psychological healing phenomena, the tripartite theory of consciousness. The research design was as follows. Before conducting the hypnosis session and experiential interviews, the researcher and the research participant co-wrote a hypnosis script with three parts: guidance into a hypnotic state, metaphorical stories, and guidance out of a hypnotic state. It was read word-for-word to the research participant during the hypnosis session, and the entire session was videotaped. An experiential interview was conducted immediately after hypnosis. Through the hypnosis script and video playback, the research participant could identify the correspondence between the hypnotic guidance and her experience and report her experiential process in sequence. Thus, by transcribing the interview recording into a verbatim transcript, this study obtained a first-person report of hypnotic experience that could be matched with the content and sequence of the script. Second, after obtaining the first person report of the hypnotic experience, a phenomenological method was used to analyze the data. Third, the analysis results were examined based on the tripartite theory of consciousness to gain a structural understanding of the hypnotic consciousness process. The function of the tripartite theory of consciousness in this study was to serve as an aid to expand understanding rather than as theoretical conceptualization prior to research analysis. Result: The results can be presented in two parts: the formal structural process of hypnotic consciousness experience and the meaning content process. The formal structural process of hypnosis is the understanding obtained after the participant’s description of the hypnosis experience and the analysis through the lens of the tripartite theory of consciousness. The function of the utterance of hypnotic guidance was significantly demonstrated. Through the three dimensions of content, speaking speed, and rhythm, hypnotic guidance can make different connections and influences on the conscious acts toward the significative, the imaginal, and the somatic. The meaning content process of hypnosis can be described by the theme of experience generation. This study describes the characteristic of openness of consciousness, the phenomenon and function of experiential adhesion and saturation, and the conscious operation structure that can change the texture of the hypnotized person’s experience through experiential interweaving and experiential rewriting. In this way, the hypnotic consciousness experience process carried out with a metaphorical story script is presented as a process of generating meaningful experiences, and the tripartite construction of consciousness is the basic structure for generating experiences. Finally, this study also obtained a hypothetical understanding of the relationship between consciousness and physiological effects during hypnosis. Conclusion and Suggestion: The present study does not just disclose the structure of the processes of conscious experience in hypnosis, but also provides a discussion on the features and qualities of consciousness, which can serve as a basis for future exploration.&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt;

Experience Report: It Will Never Work in Theory

Experience Report: It Will Never Work in Theory

MP20-05 Day Case Aquablation: First Published Experience Report in Ambulatory Surgical Center (ASC)

MP20-05 Day Case Aquablation: First Published Experience Report in Ambulatory Surgical Center (ASC)

Humanized Childbirth: An Experience Report of the Assistance Offered by the Unified Health System in a City in the SouthEast of Brazil

Background: Childbirth is a crucial event in a woman’s life and her baby’s, with significant implications for the health and well-being of both. In Brazil, the predominant approach has been medicalized childbirth, with frequent medical interventions during the birthing process. However, growing evidence highlights the benefits of humanized childbirth for the physical and emotional health of the mother and baby. In this context, this study analyzes the transition towards more humanized childbirth practices in Brazil, its impacts, and associated challenges. Objectives: This study aims to analyze the implementation of humanized childbirth practices in Brazil, focusing on the stages of pregnant women reception, preparing the environment for the child’s arrival, and the symbolism of childbirth through Placenta Printing. Specific objectives include evaluating pregnant women’s satisfaction with the childbirth experience, analyzing the reduction of unnecessary medical interventions, and assessing neonatal outcomes associated with these practices. Methods: The study is an experience report that occurred in a municipal hospital in Minas Gerais, Brazil, during the year 2024. Humanized childbirths were followed through the Brazilian public healthcare system, which offers free and universal assistance to pregnant women during childbirth. The stages of pregnant women reception, preparing the environment for the child’s arrival, and the symbolism of childbirth through Placenta Printing were detailed and implemented according to established protocols. Pregnant women’s satisfaction was assessed through postpartum interviews, while data related to the rate of medical interventions and neonatal outcomes were collected and analyzed. Results: The results demonstrated high satisfaction among pregnant women with the humanized childbirth experience, highlighting empathetic reception, clear and respectful communication, and consideration of their preferences in preparing the environment and practicing Placenta Printing. Additionally, there was a significant reduction in unnecessary medical interventions, reflected in a decrease in the cesarean section rate, episiotomies, and other medical procedures during childbirth. Neonatal outcomes were also positive, with favorable neonatal adaptation indicators. Conclusion: The experience of humanized childbirth in Brazil represents a significant advancement in promoting maternal and neonatal health. Despite the challenges faced, the benefits associated with this comprehensive approach to childbirth are undeniable. It is crucial for health authorities, healthcare professionals, and society to continue supporting and promoting humanized childbirth practices as part of a broader effort to improve maternal and neonatal health outcomes in Brazil

How do Differences in Adolescent and Caregiver Reports of Adolescent Adverse Childhood Experiences Relate to Adolescent Depression?

ObjectiveThis study aims to compare adolescent and caregiver reports of adolescent ACEs and their relationship with current adolescent depression and to analyze the relationship between ACEs and depression. MethodsWe recruited 46 adolescent-caregiver dyads from a large inner city medical center's adolescent medicine clinic. Adolescents and caregivers completed the Center for Youth Wellness ACE questionnaire, encompassing traditional ACEs (e.g., abuse, neglect, household dysfunction) and non-traditional ACEs (e.g., foster care, parental death, exposure to community violence). Adolescents also completed the PHQ-9A depression screening tool. ResultsAmong adolescents, 14 (30%) reported no traditional ACEs, 11 (24%) reported one, and 21 (46%) reported more than one. Regarding non-traditional ACEs, 16 (35%) reported none, 11(24%) reported one, and 19 (41%) reported more than one. Caregiver reports consistently indicated lower ACEs compared to adolescent self-reports (p < .005). For the PHQ-9A scores, 26 (57%) of adolescents showed no or minimal depression, 14 (30%) mild, and six (13%) moderate depression. A moderate positive correlation emerged between PHQ-9A scores and self-reported traditional ACEs (rs=0.5, p<.001) and non-traditional ACEs (rs=0.49, p<.001). Additionally, a positive correlation was observed between the absolute differences in adolescent and caregiver reports of traditional ACEs and PHQ-9A scores (n=46, ρ=0.51, p<0.001). ConclusionAs the differences in ACE reports between adolescents and caregivers increased, there was a corresponding increase in adolescent depression scores. It is essential to incorporate comprehensive ACE screening and encourage open communication between adolescents and caregivers which may improve mental health outcomes.

Coaching dynamics in elite volleyball: The role of a need-supportive and need-thwarting coaching style during competitive games

Grounded in Self-Determination Theory, this game-to-game study among Flemish volleyball coaches and athletes had two primary objectives. First, we examined how variations in need-supportive and need-thwarting coaching styles related to variations in athletes’ basic psychological needs, motivation, and coach-rated performance. Second, we examined whether athletes who perceived their coach as need-thwarting during a specific game would experience different outcomes based on the overall need-supportive or need-thwarting coaching style they encountered across games. Linear mixed modeling on data from 190 elite volleyball athletes (Mage = 23.95, 32.6 % male) and their 26 coaches (Mage = 48.12, 95.7 % male) indicated positive associations between game-specific need-supportive coaching and athletes’ reports of game-specific basic psychological need experiences and motivation, as well as coach-rated performance, whereas game-specific need-thwarting coaching showed opposite trends. Athlete perceptions of a coaching style were more predictive of the outcomes than coach perceptions. Second, the lack of systematic cross-level interactions between game-specific coaching and team-level coaching indicated that the observed correlates of game-specific need-thwarting and need-supportive coaching hold regardless of the perceived overall need-thwarting or need-supportive style of the coach across games.

The associations between daily reports of loneliness and psychotic experiences in the early risk stages for psychosis.

Bi-directional associations between loneliness and psychotic experiences (PEs) have been reported, but the mechanisms underlying these associations are unknown. This study aims to explore associations between daily reports of loneliness and PEs, and test differences in this association across young adult individuals at different levels of risk for psychosis. We analysed 90-day diary data on loneliness and PEs from N = 96 participants (mean age 24.7, range 18-35, 77% female) divided into 4 subgroups, each indexing increased levels of risk for psychosis according to the clinical staging model: 'psychometric' (n = 25), 'low' (n = 27), 'mild' (n = 24), and 'ultra-high'(n = 20) risk. Multilevel vector autoregressive models examined within-day (contemporaneous) and between-day (temporal) associations between loneliness and PEs for the total sample. Next, these associations were compared across subgroups. Loneliness and PEs were significantly associated contemporaneously (partial correlation B = 0.14) but not temporally. Subgroup membership moderated both contemporaneous and temporal associations. The contemporaneous association between loneliness and PEs was stronger in the low-risk subgroup compared to the mild-risk (B = -0.35, p < .01) and ultra-high-risk (B = -0.36, p < .01) subgroups. The temporal association between loneliness on the previous day and PEs on the current day was stronger in mild-risk subgroup compared to the ultra-high-risk subgroup (B = -0.03, p = .03). After adjusting for multiple testing, only the contemporaneous-but not the temporal-associations remained statistically significant. Loneliness is associated with PEs in individuals at risk for psychosis, particularly in those with low to mild symptoms. Our findings tentatively suggest that especially individuals with low expressions of PEs may be more sensitive to social context, but future studies are needed to replicate and further unravel the potentially stage-specific interplay between social context and PEs.

The Importance of Reconstituting the Bodies of Organ and Tissue Donors: a Look at Human Dignity

Introduction: Family refusal to authorize the donation of human organs and tissues has remained high over the years. Among the many reasons for not donating, we highlight the lack of information about the process and the family’s lack of knowledge about the donor’s wishes in life, as well as other issues, such as the appearance of the donor’s body after donation. In this sense, it is necessary to bring to light the aspects that permeate the concepts of death, human dignity, and care for the donor’s image, especially in the case of tissue donors, where the removal may be more noticeable. Objectives: An integrative literature review (ILR) was carried out, seeking to highlight gaps and characterize the process of donating human organs and tissues, with a focus on the reconstruction of the donor’s body and human dignity. In addition, the aim was to describe the experience of a professional from a human tissue bank (BTH). Methods: Using the PICO strategy, the study’s guiding question was drawn up following an IR carried out over the last 10 years, operationalized by controlled descriptors in the SciELO, LILACS, Google Scholar, and PubMed databases. In addition to the search, an experience report was described on the techniques used to reconstruct the donor’s body after the tissues used by a BTH located in the interior of the state of São Paulo were harvested. Results: Nine specific studies were found on donation and the use of prostheses to reconstruct donated areas. The results show the reasons for family refusal, as well as the care taken by the technical teams in reconstructing donors’ bodies. The family’s concern about the donor’s aesthetic situation influences acceptance for donation, so it is necessary to invest in the safety and quality of the services provided by BTH to reduce family refusal for donation. Conclusion: Clear communication and the safety of the processes involved in the procurement of human organs and tissues proved to be the best way to facilitate donation and could thus increase donations.

Pets and Prams: Exploring Perceptions of Companion Animals in Relation to Maternal Wellbeing

ABSTRACT Perinatal wellbeing is a critical area of mental health to address for the benefit of parents, infants, pets, and health services. Animals, and specifically pets, have been investigated as potential wellbeing supports in clinical and non-clinical populations, yet there has been limited exploration of their role in the perinatal period. To address this gap, this study aimed to examine the perceived risks and benefits of pet ownership on perinatal mental health through qualitative reports of lived experience from mothers with pets. An online survey with open-text questions was developed; thematic analysis was applied to data from 31 eligible UK participants. The analysis identified five themes: (1) promoting wellbeing and grounding in a time of change, (2) pets as preparation for parenting, (3) caregiver burden, (4) joy and challenges of pet–baby interactions, and (5) perceptions of changing pet behavior in the perinatal period. This study indicates that accessing emotional support from pets, second-hand joy from the pet–baby bond, and having “parenting practice” are perceived wellbeing benefits from pets. Further, parents expressed that increasing social support for pet and childcare, creating boundaries for pet–baby interactions, and managing perinatal expectations could help minimize risks identified by participants, including caregiver burden and pet-based distress and anxiety. These insights may allow practitioners supporting pet-owning new parents to begin exploring new ways for families to manage pets in the perinatal period in a way that enhances wellbeing for everyone involved, including pets.

Experimenter bias: exploring the interaction between participant’s and investigator’s gender/sex in VR

This study explores the effect of the experimenter’s gender/sex and its interaction with the participant’s gender/sex as potential contributors to the replicability crisis, particularly in the man-gendered domain of VR. 75 young men and women from Western France were randomly evaluated by either a man or a woman during a 13-min immersion in a first-person shooter game. Self-administered questionnaires were used to measure variables commonly assessed during VR experiments (sense of presence, cybersickness, video game experience, flow). MANOVAs, ANOVAs and post-hoc comparisons were used. Results indicate that men and women differ in their reports of cybersickness and video game experience when rated by men, whereas they report similar measures when rated by women. These findings are interpreted as consequences of the psychosocial stress triggered by the interaction between the two genders/sexes, as well as the gender conformity effect induced, particularly in women, by the presence of a man in a masculine domain. Corroborating this interpretation, the subjective measure of flow, which is not linked to video games and/or computers, does not seem to be affected by this experimental effect. Methodological precautions are highlighted, notably the brief systematic description of the experimenter, and future exploratory and confirmatory studies are outlined.Graphical abstract

Art therapy as a therapeutic device in mental health: an experience report

This article is the result of the experiences of nursing, medicine and physical education students and tutors at the State University of Pará (UEPA), who participated in the Health Work Education Program (PET-Saúde) in Santarém. The objective of this experience report is to socialize the experiences of academics and tutors during the carrying out of educational actions within the scope of prevention and health promotion, with participants in the mental health program, in Primary Health Care, in the Uruará neighborhood, in the municipality from Santarém. This is a study with a qualitative approach, developed at UBS do Uruará, in the city of Santarém-PA. As a result, patients' adherence to the art therapy proposal, their engagement and motivation to be present at the Unit, in the days of activities, and the feeling of self-confidence and pride in the work carried out. The work developed over four months demonstrated the importance of associating art therapy in the conventional treatment of mental illnesses, constituting an effective strategy not only to ensure users' adherence to treatment, but also to help them discover themselves as capable people. and socially useful.

Implementation of Care Coordination by nursing in digital Primary Care: an experience report

Implementation of Care Coordination by nursing in digital Primary Care: an experience report

Educational experiences of U.S. children during the 2020-2021 school year in the context of the COVID-19 pandemic.

The coronavirus disease 2019 (COVID-19) pandemic is a historic event impacting children around the globe. Prior research on the educational experiences of children during the COVID-19 pandemic focused almost exclusively on spring 2020. This article extends this literature past the initial shock of spring 2020, capturing the first full school year (2020-2021) during the COVID-19 pandemic. This registered report study utilized a national sample of 1,666 United States twins in kindergarten through 12th grade from 43 states to provide the current descriptive report of children's educational experiences during this time, as reported by their parents. Specifically, we reported on school format, parents' role in education, parent-teacher interactions, schoolwork struggles, technology access, and school services. About half of children attended in-person schooling, with many children switching from online to in-person throughout the school year. Parents saw the pandemic as a risk to their children's education. During the 2020-2021 school year of the pandemic, parents felt they had a larger role in their children's education and were less satisfied in their interactions with teachers than what they experienced during the prepandemic part of the 2019-2020 school year. Children experienced more schoolwork struggles than they had in previous years, and this was similar across age groups. For most constructs, results were equivalent across age group, but parents of younger children tended to provide more schoolwork help. Overall, this article highlights the disruptions in their educational environments that children continued to experience through the first full school year (2020-2021) of the COVID-19 pandemic. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Which criterion guarantees successful cervical disc surgery? A report of a 20-year academic experience

Which criterion guarantees successful cervical disc surgery? A report of a 20-year academic experience

Robotic transabdominal preperitoneal mesh repair of an inguinal hernia using the HugoTM Robotic Assisted Surgery system—a case report of the first Australian clinical experience in general surgery

Robotic transabdominal preperitoneal mesh repair of an inguinal hernia using the HugoTM Robotic Assisted Surgery system—a case report of the first Australian clinical experience in general surgery

Seeing the Void: Experiencing Emptiness and Awareness with the Headless Way Technique

ObjectivesPractitioners in contemplative traditions commonly report experiencing an awareness that is distinct from sensory objects, thoughts, and emotions (“awareness itself”). They also report experiences of a void or underlying silence that is closely associated with this awareness. Subjects who carry out the Headless Way exercises frequently report an experience of emptiness or void at the same time as other contents (void-like experiences). The goals of this study were to (1) assess the reliability of these methods in eliciting the recognition of awareness and void-like experiences in participants who had no prior exposure to these techniques, (2) investigate the prevalence of these experiences in these tasks, and (3) to differentiate these experiences from closely related and potential precursor experiences.MethodTwenty adults participated in in-depth individual interviews in which they were guided through the Headless Way exercises. A thematic analysis was conducted on the interview transcripts.ResultsTwelve of the participants reported a void-like experience, and five participants reported an experience of awareness itself. These experiences were respectively categorized as subsets of the more general categories of perceptual absences and the sense of not being person-like. Another novel finding was the real-time reports of awareness and void-like experiences during the exercises.ConclusionsOur findings provide preliminary evidence that the Headless Way exercises can effectively induce experiences of emptiness and awareness in participants without prior experience. The findings suggest that such experiences can be elicited outside of a traditional meditation context, including in non-meditators. Furthermore, the experience of not being person-like and of perceptual absences may be precursors and more general forms of recognizing awareness itself and the void-like nature of the mind.PreregistrationThis study is not preregistered.

Insights from Seoul National University Hospital's experience: a systematic review of pure laparoscopic donor hepatectomy progression.

Following its initial execution in November 2015, pure laparoscopic donor hepatectomy (PLDH) has gained acceptance as a conventional practice at Seoul National University Hospital (SNUH). It is noteworthy that a significant proportion of cases entail full right hepatectomies, which are acknowledged to be technically demanding. As expertise and knowledge have been accrued, the pure laparoscopic technique has been extended to encompass liver recipients as a viable option in SNUH. The aim of this review is to present the developmental progression of PLDH, with a focus on pure laparoscopic donor right hepatectomy (PLDRH), at SNUH. This includes the standardization process, which can be achieved by sharing the hospital's accumulated experience and previous reports. Various types of graft, including full right, left, left lateral section, and monosegment, were procured by pure laparoscopic technique. The criteria for selection were expanded to include donors with variations in the anatomy of the portal vein and bile duct. Additionally, the procedure of PLDRH was determined to be safe and viable for donors with high body mass index and larger graft weight. In conclusion, this review demonstrates the alterations implemented throughout our evolution from restricted to inclusive criteria for donor selection, leading to a complete shift from open surgery to pure laparoscopic procedures in donor hepatectomy and eventually pure laparoscopic living donor liver transplantation (LDLT) in recipient.

The introduction of microvascular free tissue transfer in primary burn reconstruction. Experience report of the national burn center in Chile

BackgroundSurgical debridement and split thickness graft is the most common treatment for acute burn patients that require surgery. However, there is a relevant minority that will require more complex reconstructive options. Microsurgery has evolved as a valuable tool in the acute setting allowing early closure of complex wounds in order to avoid infection, maintain function and even for limb salvage in one stage reconstruction. We present our experience in the management of severely acute burned patients with free flaps, flap survival rate and complications in Chile’s National Health service. MethodWe performed a retrospective analysis of all major burn patients admitted in our unit who received a microsurgical flap in the period between april 2019 and march 2023. Data was collected on patient sex, age, mechanism of injury, total burned surface area (TBSA), location of the defect, days to reconstruction, flaps used, operatory time, flap survival and complications. ResultsIn the study period we had 925 admissions. A total of 36 patients had 42 free flaps (5,1%). All but two patients were male (95 %), mean age 46 years (range 20–––76 years). Total body surface area burned averaged 14 % (range 1–64 %). The majority of injuries were caused by high voltage electricity (59 %) and fire (33 %). 59 % compromised lower limbs and 31 % upper limbs. In 81 % of the cases anterolateral thigh flaps were used. Mean time to reconstruction was 39 days(range 1–64 days), we had 9 complications (21 %) and only one flap was lost (2,9%). DiscussionThe introduction of free flaps in the burn reconstruction field was first described in sequelae management. In the acute phase it has also proven to be safe and feasible with a surgical indication of 1,5% to 2% of the admissions in different series. In our unit, 5,1% of our admissions required it, with a low flap loss rate. The increased confidence for its use in the acutely burned setting allowed us to achieve complex coverage while maintaining surgical risk and an internationally acceptable rate of losses and complications. Free flaps cpnstitute an active approach in the classical treatment of this pathology pushing the boundaries in the local environment.

Response to the letter to the editor:Osteonecrosis of the jaws in patients under osteoporosis treatment:nine-year experience report.

None.