High Satisfaction Research Articles

Pastoral Narrative Disclosure

This study presents a community chaplaincy evaluation of pastoral narrative disclosure (PND) as a structured intervention for addressing moral injury (MI) among individuals who have experienced morally injurious events. Pastoral narrative disclosure is an evidence-based, eight-stage pastoral counselling, guidance and education framework that integrates the principles of both adaptive disclosure and confessional narrative. Previously, PND training was evaluated exclusively among Australian military chaplains (n = 201; Carey et al., 2024). In contrast, this evaluation focuses on community chaplains (n = 76), representing diverse organizations in Australia, including police, healthcare, welfare, prison, school, ambulance and veteran sectors. All participating community chaplains completed the Australian Defence Force Chaplaincy Moral Injury Skills Training (MIST) programme, culminating in the final praxis stage of PND. The evaluation revealed high overall satisfaction with the MIST-PND strategy, with participants reporting a mean satisfaction score of 4.88 out of 5 (n = 76), aligning closely with the satisfaction ratings obtained from military chaplains (? = 4.73/5; n = 201). Qualitative feedback was thematically collated, indicating widespread satisfaction with the (i) MIST programme, (ii) PND strategy, (iii) presenters and (iv) practical application role-plays. A diverse range of suggestions are also noted for potential improvement. Overall, the findings are consistent with those from the military chaplaincy evaluation, highlighting the utility of PND within community contexts. Despite several limitations, the results support the broader application of PND in addressing MI, particularly in community health, veteran and welfare settings, as well as among first responders. These findings justify further implementation of PND and additional research to assess its effectiveness across non-military sectors.

P-538. People with HIV in the US switching to cabotegravir + rilpivirine long-acting (CAB+RPV LA) from oral antiretroviral therapy (ART) have numerous real-world benefits, including high adherence and treatment satisfaction

Abstract Background CAB+RPV LA is a complete HIV regimen which offers less frequent (monthly or every 2 months) dosing than daily oral ART. This real-world study provides additional utilization data of CAB+RPV LA and characterizes the experiences of people with HIV (PWH) receiving CAB+RPV LA in the US. Methods Data were obtained from the Adelphi HIV Disease Specific Programme™, a real-world, cross-sectional survey containing retrospective longitudinal data of healthcare professionals (HCP) and their PWH on CAB+RPV LA and over two periods (Jul 2021-Mar 2022 and Sept 2023-Feb 2024). HCPs reported demographics, clinical characteristics, and adherence for PWH on CAB+RPV LA aged ≥18 years. PWH surveys included treatment satisfaction, treatment preference and health-related quality of life (HRQoL) (HIV-specific PozQoL [score range 13-65], and EQ-5D-5L-US [score range 0-1]). Data were analyzed descriptively. Results HCPs (n=77) reported data for 237 PWH on CAB+RPV LA treatment for a median [IQR] of 1.0 [0.5, 1.7] years (n=202) at time of data collection, with 65% receiving CAB+RPV LA every 2 months (n=205). Mean age was 42 years, 20% were cisgender female, 43% were non-white (n=205) (Table 1). Top HCP-reported reasons for initiating CAB+RPV LA were tolerability (51%) and virologic potency (50%) (Figure 1). Top PWH-reported reasons for initiating CAB+RPV LA were “more convenient for my life” (43%) and “more convenient when travelling” (36%) (Figure 1). High levels of HCP-reported adherence were seen: 92% (n=205) of PWH received injections either early or within ± 7-day dosing window despite only 64% (n=103) of PWH reported to be completely adherent to prior oral ART. HCP-reported treatment satisfaction was high (93% satisfied/very satisfied). Of PWH who completed a survey, 95% (38/40) were satisfied/very satisfied with CAB+RPV LA. PWH had high HRQoL (PozQoL summary score 49.0 [SD 8.3; n=38] and EQ-5D-5L-US mean 0.88 [SD 0.14], n=39). PWH (82%) reported that fitting injection visits into their schedule was easy/extremely easy (Figure 2). CAB+RPV LA was preferred by 93%, and PWH reported numerous benefits of in-person visits to receive CAB+RPV LA (Figure 2). Conclusion PWH receiving CAB+RPV LA are adherent, highly satisfied, have high HRQoL, prefer LA regimens and reported benefits of in-person visits. Disclosures Andrew P. Brogan, PhD, GSK: Stocks/Bonds (Public Company)|ViiV Healthcare: Employee Tim Holbrook, BSc, Adelphi Real World: Employee|ViiV Healthcare: The Adelphi Real World Disease Specific Programme is wholly owned by Adelphi Real World; ViiV healthcare is one subscriber and paid for the analysis Fritha Hennessy, PhD, Adelphi Real World: Employee|ViiV Healthcare: The Adelphi Real World Disease Specific Programme is wholly owned by Adelphi Real World; ViiV healthcare is one subscriber and paid for the analysis Will Ambler, PhD, Adelphi Real World: Employee|ViiV Healthcare: The Adelphi Real World Disease Specific Programme is wholly owned by Adelphi Real World; ViiV healthcare is one subscriber and paid for the analysis Oliver-Thomas Carter, BSc, Adelphi Real World: Employee|ViiV Healthcare: The Adelphi Real World Disease Specific Programme is wholly owned by Adelphi Real World; ViiV healthcare is one subscriber and paid for the analysis Cindy Garris, MS, GSK: Stocks/Bonds (Public Company)|ViiV Healthcare: Employee

SMILE for correction of myopia in patients during the incipient phase of presbyopia.

To evaluate clinical outcomes and visual quality 12months after small incision lenticule extraction (SMILE) for correction of myopia with or without astigmatism in patients during the incipient phase of presbyopia. Peking University Third Hospital, Beijing, China. Retrospective observation study. Patients who had SMILE for myopia and myopic astigmatism with binocular plano target refraction and aged between 39 and 45years were included. Subjective refraction; distance, intermediate, and near visual acuities; defocus curve; anterior corneal surface aberrations and the Strehl ratio; accommodation function, and a subjective questionnaire assessing visual quality in real-life situations were evaluated 12months postoperatively. Clinical data of 29 cases were analyzed. The average patient age was 40.10 ± 0.94years. The mean preoperative manifest refraction was - 4.73 ± 1.11 D (range: - 2.13 to - 6.13 D) of spherical equivalent in right eyes. At the 12-month follow-up, binocular uncorrected distance visual acuity and uncorrected intermediate visual acuity ≥ 20/20 were achieved in all patients, and 96.6% (28/29) of patients achieved uncorrected near visual acuity ≥ 20/25. SMILE induced a statistically significant increase in spherical aberration, coma, and total higher-order aberrations (P < 0.001). For accommodative function, only the negative relative accommodation improved significantly after surgery (P < 0.001). The questionnaire demonstrated high patient satisfaction with near vision, and no one reported having severe visual disturbance. SMILE appeared to be safe and effective in improving distance vision in patients during the incipient phase of presbyopia, and a satisfactory amount of near vision was maintained in this group of subjects.

Classification of the Type of Contact Between Primary Molars as an Indicator of the Likelihood of Future Caries

Background/Objectives: Contact areas between first and second primary molars, shaped by concave/convex proximal surface morphology, are associated with proximal caries with concave surfaces linked to biofilm stagnation. This study aimed to evaluate the accuracy and clinical feasibility of a scoring system for classifying contact types (concave–concave, concave–convex, convex–convex, convex–concave) for dental practitioners. Methods: Following ethical approval and informed consent, 116 4–5-year-old children were enrolled. A calibrated examiner assessed caries on the distal of first molars and mesial of second molars using ICDAS-merged criteria and scored 464 proximal contacts clinically and radiographically. Stone models from silicone impressions were also scored by 17 trained practitioners, who repeated scoring a week later and assessed contacts clinically in six children. Practitioners completed a feasibility and satisfaction questionnaire. Results: Convex–convex contacts were most prevalent (58.6%), followed by convex–concave (32.6%). Contact type significantly correlated with caries (OR = 13.5; 95% CI: 6.4–28.3). Inter- and intra-examiner reproducibility ranged from 0.71 to 0.82. Most practitioners felt very (64.7%) or moderately (35.3%) capable of applying the system, found it low in difficulty (70.6%), and expressed high satisfaction (82.4%). Conclusions: The study indicated that it is possible for dental practitioners to classify the proximal contact types between primary molars both in an accurate and clinically feasible way. The system exhibited high reproducibility and practitioner satisfaction, indicating its potential as a valuable tool for identifying caries-prone surfaces and supporting evidence-based caries management.

Effect of virtual reality intervention on hospitalized patients with acute pain after thoracoscopic surgery: a pilot randomized clinical trial.

The study investigates the effectiveness of immersive virtual reality (VR) as a nonpharmaceutical approach to manage postoperative pain in patients following thoracoscopic surgery. In this single-center, triple-arm pilot randomized controlled trial (RCT), 61 postsurgical patients with a postoperative pain numerical rating scale (NRS) score ≥4 after receiving standard analgesia were included and assigned to either a quantum clinics-VR (QTC-VR) group, a Placebo-VR group, or a control group. The QTC-VR group engaged in a daily 10-minute interactive pain relief 3D-VR program, while the Placebo-VR group watched a daily 10-minute relaxation-based 2D film through VR headsets for three days following surgery. 61 postsurgical patients were randomized and allocated (21 in the QTC-VR group, 20 in the Placebo-VR group, and 20 in the control group) in the final intention-to-treat (ITT) analyses. Compared with patients receiving Placebo-VR intervention, patients reported significantly lower pain scores following the daily QTC-VR intervention on postoperative days 1 (mean difference,-0.889; 95% CI,-1.464 to -0.314; P < 0.001), 2 (mean difference,-0.631; 95% CI,-1.211 to -0.051; P =0.014), and 3 (mean difference,-0.798; 95% CI,-1.345 to -0.251; P < 0.001), respectively. Additionally, patients receiving QTC-VR intervention also reported high satisfaction and tolerable adverse events with their treatment. In conclusion, this pilot RCT demonstrates that QTC-VR might be a promising intervention for pain management post-thoracoscopic surgery, warranting further validation in ongoing phase III trials.

Relationship Between Well-Being and Social Interest in Adolescents: The Mediating Role of Character Strengths

Abstract ​Well-being, in its most general definition, includes good mental health, a sense of meaning or purpose, effective stress management, and high life satisfaction. According to Alfred Adler, a proponent of Individual Psychology, social interest is a fundamental criterion for mental health. Character strengths are a set of positive traits revealed through emotions, thoughts, and behaviors. They represent strong character traits and are unique psychological processes that determine virtues. This study examines the mediating role of character strengths in the relationship between well-being and social interest in adolescents. A total of 452 high school students (282 female and 170 male, aged 13–19 years) completed self-report questionnaires assessing their social interest, well-being, and character strengths. The results revealed social interest is positively and significantly related to well-being. Character virtues such as courage, justice, temperance, and transcendence mediate the relationship between social interest and well-being, while the virtue of humanity does not.

Users´ perspectives and preferences on using wearables in epilepsy: A critical review.

Seizure detection devices (SDDs) offer promising technological advancements in epilepsy management, providing real-time seizure monitoring and alerts for patients and caregivers. This critical review explores user perspectives and experiences with SDDs to better understand factors influencing their adoption and sustained use. An electronic literature search identified 34 relevant studies addressing common themes such as usability, motivation, comfort, accuracy, barriers, and the financial burden of these devices. Usability emerged as the most frequently discussed factor, with patients and caregivers also emphasizing the importance of ease of use, long battery life, and waterproof design. Although validated devices showed high user satisfaction, technical challenges, false negatives, and false positives need much improvement. Motivation to use SDDs was driven by enhanced safety, symptom tracking, and health care professional recommendations. Comfort and wearability were also critical aspects, with users favoring lightweight, breathable, and discreet designs for long-term wear. Users reported the devices as "comfortable" and preferring wrist or arm-worn devices for the long term. Accuracy-particularly minimizing false positives and false negatives-was a priority for users. Barriers to adoption included device cost, limited insurance reimbursement, discomfort, and concerns about data privacy. Despite these challenges, many users were willing to use SDDs. Recommendations from health care professionals significantly increased user motivation. This review highlights the need for SDD designs that address user concerns regarding usability, comfort, looks, and accuracy, while also reducing financial and technical barriers. Enhancing clinical involvement and tailoring devices to specific patient needs may be crucial to promoting wider SDD adoption. Further research is needed to evaluate the impact of SDDs on quality of life and to explore ways to mitigate challenges in long-term use.

Exploring the Feasibility of a 5-Week mHealth Intervention to Enhance Physical Activity and an Active, Healthy Lifestyle in Community-Dwelling Older Adults: Mixed Methods Study.

Advancements in mobile technology have paved the way for innovative interventions aimed at promoting physical activity (PA). The main objective of this feasibility study was to assess the feasibility, usability, and acceptability of the More In Action (MIA) app, designed to promote PA among older adults. MIA offers 7 features: personalized tips, PA literacy, guided peer workouts, a community calendar, a personal activity diary, a progression monitor, and a chatbot. Our study used a mixed methods approach to evaluate the MIA app's acceptability, feasibility, and usability. First, a think-aloud method was used to provide immediate feedback during initial app use. Participants then integrated the app into their daily activities for 5 weeks. Behavioral patterns such as user session duration, feature use frequency, and navigation paths were analyzed, focusing on engagement metrics and user interactions. User satisfaction was assessed using the System Usability Scale, Net Promoter Score, and Customer Satisfaction Score. Qualitative data from focus groups conducted after the 5-week intervention helped gather insights into user experiences. Participants were recruited using a combination of web-based and offline strategies, including social media outreach, newspaper advertisements, and presentations at older adult organizations and local community services. Our target group consisted of native Dutch-speaking older adults aged >65 years who were not affected by severe illnesses. Initial assessments and focus groups were conducted in person, whereas the intervention itself was web based. The study involved 30 participants with an average age of 70.3 (SD 4.8) years, of whom 57% (17/30) were female. The app received positive ratings, with a System Usability Scale score of 77.4 and a Customer Satisfaction Score of 86.6%. Analysis showed general satisfaction with the app's workout videos, which were used in 585 sessions with a median duration of 14 (IQR 0-34) minutes per day. The Net Promoter Score was 33.34, indicating a good level of customer loyalty. Qualitative feedback highlighted the need for improvements in navigation, content relevance, and social engagement features, with suggestions for better calendar visibility, workout customization, and enhanced social features. Overall, the app demonstrated high usability and satisfaction, with near-daily engagement from participants. The MIA app shows significant potential for promoting PA among older adults, evidenced by its high usability and satisfaction scores. Participants engaged with the app nearly daily, particularly appreciating the workout videos and educational content. Future enhancements should focus on better calendar visibility, workout customization, and integrating social networking features to foster community and support. In addition, incorporating wearable device integration and predictive analytics could provide real-time health data, optimizing activity recommendations and health monitoring. These enhancements will ensure that the app remains user-friendly, relevant, and sustainable, promoting sustained PA and healthy behaviors among older adults. ClinicalTrials.gov NCT05650515; https://clinicaltrials.gov/study/NCT05650515.

Analysis of The Influence of Visible Safety Leadership and Job Satisfaction on Safety Work Performance at PT. Solusi Bangun Indonesia Tbk Pabrik Cilacap

This research aims to analyze the influence of visible safety leadership and job satisfaction on safety work performance at PT. Solusi Bangun Indonesia Tbk Cilacap Factory. This research uses quantitative research methods with descriptive and analytical approaches. The research subjects were employees and contractors of PT. Solusi Bangun Indonesia Tbk Cilacap Factory involved in overhaul activities. Data collection was carried out randomly through questionnaires, interviews and observations. Research data was analyzed using quantitative statistical test techniques and then described in detail based on the results of each test. The research results show that work accidents at PT. Solusi Bangun Indonesia decreased during the 2023 overhaul activities due to its leadership role in ensuring workplace safety during these activities. This research highlights how visible leadership behavior in the field, or visible safety leadership and job satisfaction, contributes to increasing safety work performance. The Regression and Correlation Test Method used to analyze the data shows that 76.4% of safety work performance is influenced by visible safety leadership and job satisfaction, while the rest is influenced 23,6 % by other factors. These results confirm that leadership behavior that is proactively involved and visible in the field and high job satisfaction in implementing safety has a significant impact on safety performance, which ultimately contributes to a safer work environment for all workers.

Application of GUHA data mining method in cohort data to explore paths associated with premature death: a 29-year follow-up study

Background and MethodThis study set out to identify the factors and combinations of factors associated with the individual’s premature death, using data from the Finnish Longitudinal Study on Ageing Municipal Employees (FLAME) which involved 6,257 participants over a 29-year follow-up period. Exact dates of death were obtained from the Finnish population register. Premature death was defined as a death occurring earlier than the age- and sex-specific actuarial life expectancy indicated by life tables for 1981, as the baseline, with the threshold period of nine months. Explanatory variables encompassed sociodemographic characteristics, health and functioning, health behaviors, subjective experiences, working conditions, and work abilities. Data were mined using the General Unary Hypothesis Automaton (GUHA) method, implemented with LISp-Miner software. GUHA involves an active dialogue between the user and the LISp-Miner software, with parameters tailored to the data and user interests. The parameters used are not absolute but depend on the data to be mined and the user’s interests.ResultsOver the follow-up period, 2,196 deaths were recorded, of which 70.4% were premature. Seven single factors and 67 sets of criteria (paths) were statistically significantly associated with premature mortality, passing the one-sided Fisher test. Single predicates of premature death included smoking, consuming alcohol a few times a month or once a week, poor self-rated fitness, incompetence to work and poor assured workability in two years’ time, and diseases causing work disability. Notably, most of the factors selected as single predicates of premature mortality did not appear in the multi-predicate paths. Factors appearing in the paths were smoking more than 20 cigarettes a day, symptoms that impaired functioning, past smoking, absence of musculoskeletal diseases, poor self-rated health, having pain, male sex, being married, use of medication, more physical strain compared to others, and high life satisfaction, intention to retire due to reduced work ability caused by diseases and demanding work. Sex-specific analysis revealed similar findings.ConclusionThe findings indicate that associations between single predictors and premature mortality should be interpreted with caution, even when adjusted for a limited number of other factors. This highlights the complexity of premature mortality and the need for comprehensive models considering multiple interacting factors.

Students’ Perceptions of Creating Educational Videos as a Teaching and Learning Strategy

Background: The integration of digital technology in nursing education has revolutionized traditional teaching methods. Creating educational videos enhances student engagement and clinical reasoning. Purpose: This study evaluated nursing students’ satisfaction and perceptions of creating educational videos as a teaching and learning strategy. Methods: A mixed-methods descriptive study was conducted with 150 second-year nursing students enrolled in a Health Education module at San Jorge University (Zaragoza, Spain). Students developed health education videos in groups, and data were collected through a 5-point Likert scale questionnaire and reflective narratives. Results: Students produced 33 videos. Quantitative findings showed high satisfaction, with the highest ratings for video applicability. Qualitative data revealed enhanced teamwork, creativity, and information technology skills. Conclusions: Video creation is an effective tool in nursing education, fostering engagement and skill development, aligning with modern educational practices.

Evaluating dental students’ satisfaction in clinical Periodontics courses at KSAU-HS: a cross-sectional study

BackgroundThe National Commission for Academic Accreditation and Assessment (NCAAA) in Saudi Arabia underscores the importance of assessing student satisfaction to ensure program quality. No previous studies have explored the satisfaction levels of dental students enrolled in clinical Periodontics courses at King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS). This study aims to assess dental students’ satisfaction with clinical Periodontics courses and to explore potential differences in satisfaction based on gender and academic level.MethodsThis cross-sectional study surveyed dental students enrolled in Periodontics courses at KSAU-HS during the 2022–2023 academic year. A web-based questionnaire was distributed via email. The survey covered six categories: learning objectives, course materials, content relevance, instructor knowledge, delivery style, and facility environment. Responses were analyzed using chi-square tests for gender differences and t-tests to compare satisfaction between third- and fourth-year students.ResultsThe study included a balanced distribution of male (47.92%) and female (52.08%) participants, with 68.75% in their third year and 31.25% in their fourth year. Overall, students reported high satisfaction, with over 90% agreeing they understood the learning objectives and felt confident in applying their knowledge. No significant differences were found between male and female students (mean scores: 95.49 vs. 95.48) or between third- and fourth-year students (mean scores: 95.56 vs. 95.31), indicating consistent satisfaction across these groups.ConclusionHigh levels of satisfaction with clinical Periodontics courses at KSAU-HS suggest effective course design, clear objectives, and relevant content. The lack of significant associations with gender or academic level implies a uniformly positive educational experience. These findings underscore the importance of aligning course design with best practices in dental education to ensure graduates are well-prepared for clinical practice on a global scale.

Ceramic Cantilever Bridge as a Transitional Solution for Lateral Maxillary Incisor Replacement: A Case Report

The loss of a lateral maxillary incisor can significantly impact a patient's aesthetics, function, and self-esteem. This case report details the use of a ceramic cantilever bridge as a pre-implant temporary solution for restoring a missing lateral incisor in a 22-year-old female patient who presented with agennesic lateral incisors. A ceramic cantilever bridge was fabricated to provide immediate aesthetic and functional restoration while awaiting definitive implant placement. The bridge was designed to match the color and morphology of the adjacent teeth, ensuring seamless integration into the patient’s smile. Results indicated that the ceramic cantilever bridge effectively restored aesthetics and function without complications such as debonding or fracture. The patient reported high satisfaction with both the appearance and functionality of the bridge throughout the temporization period. This case underscores the effectiveness of ceramic cantilever bridges as a viable pre-implant solution for lateral maxillary incisor replacement. By providing immediate restoration, this approach not only enhances aesthetics but also supports oral health and patient confidence during the transitional phase before implant placement. Further studies are warranted to evaluate long-term outcomes and refine treatment protocols for similar clinical scenarios, contributing to improved strategies in restorative dentistry.

A Three-stage Cooperative Game Model for Water Resource Allocation Under Scarcity Using Bankruptcy Rules, Nash Bargaining Solution and TOPSIS

Abstract The global water security situation is deteriorating due to unequal distribution of water resources and changing climate, leading to increased conflicts in many regions. This article proposes and develops a three-stage collaborative water resource allocation model and applies this to the Indus River basin in Pakistan, where water resources are shared by four provinces (agents): Punjab, Sindh, Balochistan, and Khyber Pakhtunkhwa (KPK). The model uses bankruptcy rules, Nash bargaining theory, and TOPSIS (Technique for Order of Preference by Similarity to Ideal Solution) to allocate water resources. The model considers various factors, such as water risk and water satisfaction to achieve the best possible (most equitable and acceptable) outcome. Water allocation was conducted under three scenarios of ‘median’, ‘maximum’ and ‘low’ river flows. In the first stage of water allocation, the positive and negative ideal solutions were defined for all agents (in this case, provinces). These initial ideal solutions provided a baseline for the negotiation process. In the second stage, water allocation ratios of the four provinces Punjab, Sindh, Balochistan and KPK, using the Nash bargaining solution, under the median flows were 57.61%, 29.91%, 6.24% and 6.24%. In the third stage, water allocation ratios demonstrated the reduction in the allocation for those provinces facing high risks and having high satisfaction rates. The final allocations under the median flow conditions for the four provinces were 54.92%, 28.95%, 8.50% and 7.63%, respectively. The developed three-stage water allocation model considers the multi-dimensional attributes of water resources and is expected to support the cooperation of water agents, enabling collective bargaining and group negotiation and improving the acceptability and stability of allocations.

Lip Augmentation in Patients with Fitzpatrick Skin Type V and VI: Use of a Validated Lip Fullness Scale and Determining Preinjection Lip Size Preference and Postinjection Patient Satisfaction.

Background: There is limited literature assessing cosmetic lip size preferences in darker-skinned individuals. Objective: To measure preinjection lip augmentation preferences and postinjection satisfaction using the revised Lip Fullness Scale (LFS) in female participants with Fitzpatrick Skin Type V and VI. Methods: Females, aged 21 and over, with Fitzpatrick Skin Type V and VI desiring lip augmentation were recruited from a high-volume outpatient facial plastic surgery clinic. The LFS scale was administered pre- and postinjection. FACE-Q scales which measure patient reported outcomes for facial cosmetic procedures were administered postinjection. Results: Twenty-two female subjects participated in the study. The average age was 33.2 years (SD = 8.1). Fourteen participants (14) were Fitzpatrick V and eight (8) were Fitzpatrick VI. The average preinjection self-assessment LFS was 3.5. The final average postinjection self-assessment LFS score was 4.3. The increase in final postinjection LFS scores was found to be statistically significant with a p-value <0.001 when compared with preinjection LFS scores. Patients reported high satisfaction on postinjection FACE-Q. Conclusion: Patients with darker skin may prefer marked to very marked lip fullness, and physicians should be conscientious in understanding patients' individual perspectives and aesthetic goals.[Box: see text].

Attention Deficit Hyperactivity Disorder and Professional Scepticism

Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental condition that can affect professional scepticism, a critical aspect of effective auditing. This study examines the impact of ADHD, assessed using the Integrated Visual and Auditory‐2 Continuous Performance Test, on the professional scepticism of external auditors. Results indicate a negative association between ADHD and professional scepticism, suggesting that higher levels of ADHD reduce sceptical tendencies. However, the study finds that job satisfaction significantly mitigates the adverse effects of ADHD on professional scepticism. Specifically, findings from the Johnson‐Neyman analysis reveal that high job satisfaction mitigates the adverse impact of ADHD on scepticism. This study highlights the need for audit firms to consider ADHD‐related challenges. It emphasises the importance of creating a supportive work environment to sustain professional scepticism, which is vital for enhancing audit quality and effectively managing cognitive diversity in the workforce.

Long-Term Clinical Outcomes and Risk Indicator Analyses of Narrow-Diameter Implants in the Posterior Jaw: A Retrospective Cohort Study of 10 to 27 Years.

To assess the long-term clinical outcomes and patient satisfaction with narrow-diameter implants (NDIs) in the posterior jaws and to identify the risk indicators for NDI failure. This retrospective study reviewed 479 patients with 666 NDIs (diameter ≤ 3.5 mm) -supported fixed prostheses in posterior jaws, with a minimum 10-year follow-up. Implant survival, success, complications, demographics, and implantation characteristics were collected. Risk indicators for posterior NDI failure were analyzed using multilevel Cox regression analyses with mixed effects. Patient satisfaction and oral health impact profile (OHIP) were surveyed in a random 10% sample. Over a mean follow-up of 14.0 ± 3.6 years, implant survival was 95.9% at the implant level and 94.6% at the patient level. Success rates were 93.5% at the implant level and 91.6% at the patient level. Multilevel Cox regression analysis identified an implant length of 10 mm or less (p = 0.001) and the use of single crowns (p = 0.005) as significant risk indicators for posterior NDI failure. Patients showed high satisfaction (4.54/5) with posterior NDIs, and the mean OHIP score of 1.15 reflected an acceptable level of oral health. NDIs in the posterior jaws demonstrated robust long-term success and high patient satisfaction. An implant length of 10 mm or less and the use of single crowns are potential risk indicators for posterior NDI failure. Chinese Clinical Trial Registry: ChiCTR2200062337 on 2022/08/02.

Cross-Sectional Analysis of the Challenges Faced by Undergraduate Dental Students During Root Canal Treatment (RCT) and the Oral Health-Related Quality of Life in Patients After RCT

Background and Objectives: This study examined dental students’ challenges with root canal treatment (RCT). It also assessed patients’ perceptions of oral health-related quality of life (OHRQoL). Materials and Methods: The study utilized three prevalidated questionnaires. One questionnaire was administered to dental students to assess their challenges related to various aspects of RCT. Another questionnaire was distributed to patients, comparing demographic factors such as age and gender to the tooth type, pain scores before and after RCT, and socioeconomic status. The third questionnaire focused on patients’ OHRQoL considering age, gender, tooth types, pain, and socioeconomic status using the Oral Health Impact Profile-14 scale (OHIP-14). A total of 75 dental students filled out the survey, and patient-related questionnaires were filled out by 585 patients with the following demographics: age: young adults n = 385 (65.81%), middle-aged adults n = 200 (34.19%); gender: males n = 366 (62.56%), and females n = 219 (37.44%). Categorical data were analyzed using frequency and percentage. Chi-square tests were used for comparative analysis, and one-way ANOVA was used when more than two variables were present. A p-value of ≤0.05 was set as statistically significant. Results: Dental students perceived themselves as competent in performing RCT but faced difficulties with canal localization in middle-aged patients (p &lt; 0.01) and in communicating with female patients (p 0.009). There was a significant difference in preoperative (p 0.007) and postoperative pain levels (p 0.003) when comparing genders. Overall, there was a 30.60% reduction in pain levels. The OHIP-14 scale indicated high patient satisfaction (78.9%), with physical disability (26.16%) and psychological discomfort (23.33%) being the most affected domains. Among different variables, socioeconomic status was statistically significant, with patients of lower socioeconomic status reporting higher satisfaction levels (p 0.02). No significant differences in OHRQoL were found based on age or gender. Conclusions: The OHRQoL was high among patients treated by dental students, with those with a low socioeconomic status being the most satisfied.

Development and preliminary validation of the dyadic sexual self-esteem inventory

Abstract Previous research has consistently shown a close relationship of sexual health with the dynamics within a romantic relationship. However, most measurements in this field have traditionally focused solely on the individual level, thus neglecting relationship aspects. In the present study, we introduce a new theoretical framework and the Dyadic Sexual Self-Esteem Inventory (DSSEI) as a measurement tool designed to evaluate sexual self-esteem from an interpersonal perspective. Using data from individuals in monogamous relationships (N = 784), we conducted confirmatory factor analyses, tested measurement invariance, and assessed the instrument’s reliability and validity. The results demonstrate that the DSSEI is a reliable and valid 30-item tool that consists of one higher-order factor (Dyadic Sexual Self-Esteem), five second-order factors (Evaluation of the Self, Perceived Partner’s Influence on Self, Perceived Partner’s Self-Evaluation, Perceived Influence on Partner, Couple Evaluation) and ten first-order factors that differentiate between sexual self-worth and sexual self-efficacy within dyadic sexual self-esteem. The DSSEI exhibits partial scalar invariance across gender and measurement points for the second-order factors. Reliability analyses demonstrate good internal consistency and stability over time. The validity analyses incorporated Pearson product-moment correlations and regression analyses, revealing significant associations between dyadic sexual self-esteem and sexual self-esteem, sexual subjectivity, self-esteem, sexual function, sexual satisfaction, relationship satisfaction, and emotional intimacy. Additionally, the DSSEI differentiates between individuals with and without sexual dysfunction and between those with high and low relationship satisfaction. The DSSEI has implications for both sexual health research and clinical practice and adds to an understanding of couples’ sexual interactions as a product of their dyadic experiences rather than the sum of individual predispositions.

The Integration of English Language Skills in Business Education: Insights from Accounting in the Saudi Context

ABSTRACT This study investigates the integration of English language skills in Saudi Arabian accounting education by employing a quantitative descriptive research design to examine faculty and student perceptions. Data were collected through validated questionnaires, distributed electronically to 18 faculty members using convenience sampling and 167 students using stratified sampling, ensuring diverse representations across gender, academic levels, and professional experience. Descriptive and inferential statistical analyses were conducted to evaluate perceptions and identify potential differences across demographic variables. Descriptive statistics provided mean scores and levels of agreement for various aspects of English integration, while independent sample t-tests and one-way ANOVA assessed differences based on gender, education level, experience, and university level. The findings revealed high faculty satisfaction with English integration but identified moderate perceptions of its implementation, particularly regarding assessment and curriculum design. Students expressed very high appreciation for English language integration, emphasizing the necessity for additional resources and practical applications to enhance their academic and professional preparedness. No statistically significant differences were observed in faculty perceptions across demographic groups or student perceptions across academic levels, suggesting consistent views shaped by institutional policies and practices. These findings reaffirm the importance of English proficiency in preparing students for global business environments, highlighting the need for enhanced instructional strategies and resources. Future research should investigate the long-term impacts of language integration and extend its focus to other business disciplines to provide a comprehensive understanding of its role in education.