Level Of Subjective Satisfaction Research Articles

The Effectiveness of Radiofrequency Thermal Ablation in the Treatment of Patients with Osteoid Osteomas of the Spine

Osteoid osteoma is a rare benign osteogenic bone tumor without malignant potential causing severe night pain relieved by nonsteroidal anti-inflammatory drugs. Pain associated with osteoid osteoma of the spine cannot be treated conservatively and requires surgical approach. Types of surgical treatment include intralesional curettage, marginal resection, or en bloc tumor resection. However, absence of clear intraoperative visualization of the lesion often leads to excessive resection of vertebral structures requiring additional bone reconstruction and fixation with metal structures. In some cases, due to incorrect choice of resection area and segment level, repeat surgeries are performed causing secondary spinal deformations, worsening patient’s condition, and increasing economic expenditures. Currently, minimally invasive methods of transcutaneous treatment of osteoid osteomas such as interstitial laser ablation, cryotherapy, and radiofrequency thermal ablation are becoming more prominent.Aim. To evaluate the effectiveness of radiofrequency thermal ablation treatment in patients with osteoid osteoma.Materials and methods. The prospective study included 12 patients with osteoid osteoma of the spine. Their quality of life was evaluated using the Short Form-36 (SF-36) questionnaire prior to radiofrequency thermal ablation and 30, 90 and 180 days after. At the first visit and during observation, pain syndrome intensity was measured using the Visual Analog Scale (VAS) and R.G. Watkins scale for objective evaluation of pain syndrome per number of analgesics administrations.Results. Follow-up duration varied between 12 and 36 months. In all clinical cases, general, physical, and psychological health improved 2–3-fold. Pain intensity at day 1 after radiofrequency thermal ablation compared to mean pain intensity during the day prior to the procedure was significantly lower (р = 0.05). At the final examination, none of the patients had pain (pain syndrome intensity 0 per VAS); all patients had subjective satisfaction level of 100 %. Analgesics (nonsteroidal anti-inflammatory drugs and paracetamol) were administered on request for 8 ± 2.34 days after the procedure.Conclusion. Based on literature data and our own experience of diagnosis and surgical treatment of osteoid osteoma of the spine, we conclude that in cases of small lesions (<2 cm) in hard to access locations, computed tomography-controlled radiofrequency thermal ablation allows to perform surgical intervention safely, effectively and with minimal number of complications.

Ready-to-use abobotulinumtoxinA solution versus powder botulinumtoxinA for treatment of glabellar lines: Investigators' and subjects' experience in a Phase IV study.

Botulinum neurotoxin type A (BoNT-A) is well-established for treatment of glabellar lines (GLs), and mostly formulated as powders requiring reconstitution for injection. The approved liquid formulation, ready-to-use (RTU) abobotulinumtoxinA was developed to ease injection procedures and prevent reconstitution errors. This multicenter, open-label, Phase IV study evaluated GL treatment experience using RTU abobotulinumtoxinA versus powder BoNT-A (onabotulinumtoxinA). Females with experience of BoNT-A facial treatment were randomized 2:1 to GL treatment with 50 U RTU abobotulinumtoxinA (N = 99) or 20 U powder BoNT-A (N = 51) and followed-up for 6 months or 1 month, respectively. Assessments included: time to prepare each product for injection (primary endpoint); investigators' experience with product preparation/reconstitution; investigators' and subjects' treatment experience; safety; and for the RTU product: aesthetic improvement of GLs; subject satisfaction. Compared with powder BoNT-A, RTU abobotulinumtoxinA required statistically significantly less preparation time (mean 0:33 vs. 1:34 min: s; p < 0.0001). Investigators preferred RTU abobotulinumtoxinA over powder BoNT-A (81% of treatment sessions) and found it allowed more time to communicate with subjects (97%). All investigators (100%) also found it easy-to-use, easy-to-learn, and that it fulfilled their expectations. Subjects found the RTU abobotulinumtoxinA treatment comfortable (91%), and through 6 months posttreatment, most reported satisfaction with their appearance (≥88%), looking natural (≥95%) and refreshed (≥80%). At Month 1, 99% of RTU-treated subjects had investigator-assessed improved aesthetic appearance in GLs, maintained in 76% at Month 6. No serious adverse events occurred. RTU abobotulinumtoxinA for GL treatment is well-tolerated, efficacious, shows high levels of subject satisfaction throughout 6 months, saves time, and is preferred by clinicians over powder BoNT-A. NCT05277337.

Platelet-Rich Plasma Injections in Chronic Lateral Ankle Instability: A Case Series.

The platelet-rich plasma (PRP) approach may be an effective treatment for joint and cartilage pathologies. However, the rationale for its effectiveness on joint instability is limited. This study aimed to assess the safety and effectiveness of PRP injections in patients with chronic lateral ankle instability (CLAI). This retrospective study was performed at a single-center outpatient clinic between January 2015 and February 2023 and included pre-intervention assessment and short-term follow-up. Patients were excluded if they had received previous surgical treatment or had constitutional hyperlaxity, systemic diseases, or grade II or III osteoarthritis. The clinical and functional evaluation consisted of the Karlsson score, the Cumberland Ankle Instability Tool (CAIT), Good's grading system, the patient's subjective satisfaction level, and the time required to return to exercise. The entire PRP therapy regime consisted of three PRP administrations at 7-day intervals and follow-up appointments. PRP was administered both intraarticularly and into talofibular ligaments. A total of 47 consecutive patients with CLAI were included, 11 were female (23.4%), with a mean age at intervention of 31.19 ± 9.74 years. A statistically significant improvement was found in the CAIT and Karlsson scores at 3 months (27.74 ± 1.68 and 96.45 ± 4.28, respectively) relative to the pre-intervention status (10.26 ± 4.33 and 42.26 ± 14.9, respectively, p < 0.000). The mean follow-up of patients with CLAI was 17.94 ± 3.25 weeks. This study represents successful short-term functional and clinical outcomes in patients with CLAI after PRP treatment, with no adverse effects. It demonstrates the feasibility of a randomized controlled trial to further assess this therapy.

Parents’ understanding of medication at discharge and potential harm in children with medical complexity

ObjectiveChildren with medical complexity (CMC) are among the most vulnerable patient groups. This study aimed to evaluate their prevalence and risk factors for medication misunderstanding and potential harm (PH) at...

Outcomes of antegrade homodigital neurovascular island flap in fingertip amputations

BackgroundAntegrade homodigital neurovascular island flap (AHIF) is one of the methods used in fingertip amputations to cover the defect area, preserve finger length and obtain a painless and sensitive fingertip. The aim of this study was to evaluate the functional and sensory outcomes in patients who underwent AHIF for fingertip amputation and to analyze the relationship between patient satisfaction and outcome measures. MethodsTwenty patients with a mean age of 37 (18–63) years were analyzed retrospectively. The patients were evaluated in terms of hook nail development, active interphalangeal joint movements, cold intolerance, and sensory function of the flap covered area. Static two-point discrimination test and Semmes Weinstein monofilament test were performed for sensory evaluation. ResultsAll flaps survived completely at the end of follow-up (mean, 36 months; range 11–64 months). Five patients had cold intolerance and two had hook nails. In total, proximal interphalangeal or distal interphalangeal joint flexion contracture developed in 25 % of the patients. The mean static two-point discrimination score was 4.6 ± 1.6 (2–8) and Semmes–Weinstein monofilament test score was 3.48 ± 0.6 (2.44–4.17). Subjective satisfaction levels of the patients were found to be high and did not show a statistical relationship with the measured clinical outcome parameters (p > 0.05). ConclusionsSince AHIF contains a solid and continuous neurovascular pedicle, the probability of necrosis and loss of sensation is low in AHIF. In addition, the graft need of the donor area is not high. Its disadvantage is the rate of restriction of joint movements. Level of evidenceIV.

Hot spring bathing practices have a positive effect on mental health in Japan

Hot springs have long been used for medical purposes throughout the world. Recently, the positive effects of hot spa-bathing on circulatory diseases have been reported, while there are few reports on the mental effects of hot spa-bathing. Therefore, the purpose of this study was to clarify the relationship between hot spa-bathing habits and mental health throughout Japan. We conducted a nationwide online survey, including questions on bathing behavior, subjective satisfaction, lifestyle, and illness. The results showed a significant positive correlation between hot spa-bathing habits and multiple subjective satisfaction levels regarding mental health effects. The factor analysis results indicated that hot spa-bathing habits tended to be associated with good mental health, high health consciousness, and disease. Our study revealed that subjective satisfaction was higher among individuals with hot spa-bathing habits, suggesting that the hot spring spa-bathing habit may have a positive influence on mental health.

Evaluation of Subjective Satisfaction with Orthokeratology: A Pilot Study

Background: This study evaluates subjective satisfaction levels among Singapore-based OK lens wearers and investigates what motivated them to go for OK.&#x0D; Methods: A customised survey form was administered. Participants’ perceptions were assessed along the dimensions of vision, facial appearance, satisfaction, activity, and symptoms. The participants also had to indicate what motivated them to go for OK. The remaining questions focussed on the participants’ demographics and OK related routines since the survey was designed to be a stand-alone questionnaire that is suitable for a specialised optometry setting.&#x0D; Results: OK participants (n=100) demonstrated an overall positive experience across vision, facial appearance, satisfaction, and activity dimensions. Most participants either did not experience or only occasionally experienced the surveyed symptoms. Seeing clear throughout the day (71%), myopia control (70%), and convenience for school/occupation (65%) and sports (59%) were the most popular reasons why participants were on OK. Better appearance (36%), and discomfort with spectacles (34%) and contact lenses (11%) were the other motivating factors.&#x0D; Conclusion: Orthokeratology is associated with high levels of satisfaction rate. Seeing clear throughout the day, myopia control and convenience for day-to-day activities are the key reasons why participants are on OK treatment. Optometrists, while ensuring rigorous compliance to lens care regimen and good adherence to routine follow-ups, may positively recommend orthokeratology not just for children for the purpose of myopia control but to potentially anyone, who wants to be free of day-time myopic refractive correction.

3D Virtual Reality Rehabilitation Therapy for Patients with Vertigo Due to Peripheral Vestibular Dysfunction.

This study aimed to evaluate 3D virtual reality rehabilitation therapy in patients with vertigo due to peripheral vestibular dysfunction. The subjects were 20 patients with peripheral vestibular dysfunction confirmed by Videonystagmography, Divided into 2 groups: Group 1 (study group) underwent vestibular rehabilitation therapy using 3D virtual reality in a customised VR lab with specific headset (Oculus rift and htc vive) with software application, which allows vestibular rehabilitation treatment using high quality immersive virtual reality console in which environment appears real and in 3D. The exercises are designed for gaze stability, increase postural stability, improve vertigo and daily activities, through sensory stimuli and in addition to conventional Cawthorne-Choksey exercises. Group 2 (control group) are treated by conventional Cawthorne-Choksey exercises alone. A VSS-SF (Vertigo Symptom Scale-short form) questionnaire and VAS (Visual Analog Scale) were used to assess the levels of patient satisfaction compared before and after each treatment session in both groups. A significant higher level of subjective satisfaction was observed in patients who underwent 3D virtual reality rehabilitation therapy with conventional therapy (group 1) compared to patients who underwent conventional cawthorne-Choksey exercises alone (group 2). The study gave a substantial subjective satisfaction in patients using 3D virtual reality rehabilitation therapy with conventional therapy (group1) than conventional Cawthorne-Choksey exercises alone (group 2). Future of VR rehabilitation therapy brings a revolutionary novelty in field of rehabilitation therapy were it involves real time stimulation and interaction between sensory, motor and cognitive channels.

Evaluation of Subjective Satisfaction with Orthokeratology

Background: This study evaluates subjective satisfaction levels among Singapore-based OK lens wearersand investigates what motivated them to go for OK.Methods: A customised survey form was administered. Participants’ perceptions were assessed along thedimensions of vision, facial appearance, satisfaction, activity, and symptoms. The participants also had toindicate what motivated them to go for OK. The remaining questions focussed on the participants’demographics and OK related routines since the survey was designed to be a stand-alone questionnairethat is suitable for a specialised optometry setting.Results: OK participants (n=100) demonstrated an overall positive experience across vision, facialappearance, satisfaction, and activity dimensions. Most participants either did not experience or onlyoccasionally experienced the surveyed symptoms. Seeing clear throughout the day (71%), myopia control(70%), and convenience for school/occupation (65%) and sports (59%) were the most popular reasonswhy participants were on OK. Better appearance (36%), and discomfort with spectacles (34%) and contactlenses (11%) were the other motivating factors.Conclusion: Orthokeratology is associated with high levels of satisfaction rate. Seeing clear throughout theday, myopia control and convenience for day-to-day activities are the key reasons why participants are onOK treatment. Optometrists, while ensuring rigorous compliance to lens care regimen and good adherenceto routine follow-ups, may positively recommend orthokeratology not just for children for the purpose ofmyopia control but to potentially anyone, who wants to be free of day-time myopic refractive correction.

"Imagine Your Career after the COVID-19 Pandemic": An Online Group Career Counseling Training for University Students.

The COVID-19 pandemic has negatively influenced the psychological well-being of people around the world; university students have experienced feelings of fear of the COVID-19 pandemic, due to the intolerance of uncertainty, and a worsened quality of life, related to the reduction of social contacts. Scholars all around the world widely suggest the need to take care of this issue, proposing solutions to support students' adjustment in the post-pandemic period. The literature on positive psychology and the life design approach has identified multiple psychological resources, the character strengths, that can sustain people's life satisfaction and well-being in changing contexts, including their university experience. We proposed an online group career counseling intervention for 30 Italian university students (experimental group) to promote university students' psychological resources and mitigate the long-term negative implications of the COVID-19 pandemic on life satisfaction. The other 30 students formed the control group. We found that the students engaged in the online group career counseling intervention evidenced, at the post-test, higher levels than the pre-test of (a) resilience, (b) subjective risk intelligence, (c) career adaptability, (d) self-efficacy, (e) optimism, (f) hope, (g) life satisfaction, and lower levels than the pre-test of (h) fears of COVID-19 pandemic. No differences at Time 1 and Time 2 were found in the control group. Implications for future research and practice will be discussed.

A Comprehensive Review of Long-Term Safety and Effectiveness of FACILLE Modified Sodium Hyaluronate Gel for Injection over 3 Years

FACILLE modified sodium hyaluronate gel was designed to be used for nasolabial fold (NLF) correction. However, no study has investigated the long-term safety and effectiveness of FACILLE. Thus, a retrospective study of 14 aesthetic clinics in China was conducted. This was the first large-scale, postmarketing study on FACILLE to evaluate the occurrence of adverse events (AEs) and provide essential information on the satisfaction of patients with FACILLE injections. This study recruited participants aged >18 years. FACILLE was injected into the NLFs on both sides of each participant’s face. The primary endpoint for safety was systemic or severe AEs at an injection site. Effectiveness was assessed on the basis of the participants’ subjective perceptions and satisfaction levels. Safety and effectiveness data were collected on the day of injection and at 2 weeks and 1, 3, 6, 9, 12, 18, 24, 30 and 36 months postinjection. In total, 1552 participants were enrolled (mean age, 29.1 years), and most of them (96.5%) were women. The mean injection volume was 1.39 ± 0.658 mL, and the average number of injections was 2.4 ± 1.68. AEs were reported by 205 participants (13.2%). All AEs occurred at local injection sites. No systemic or severe AEs were observed. Local pain was the most frequently reported AE regardless of the number of injections or the injection volume. Only eight AE cases were correlated with FACILLE administration, with two cases involving local allergic reactions. The participants self-reported that they perceived the procedure to have an effectiveness of ≥90% within 6 months postinjection although this percentage decreased substantially after 9 months. Their satisfaction level was >90% within 1 month postinjection but decreased gradually after 3 months. Our results indicate that the long-term safety of FACILLE injection is adequate. The high self-reported perceived effectiveness and satisfaction levels indicate the considerable potential of FACILLE injections for correcting NLFs.

Associations of Indoor Environmental Quality Parameters with Students' Perceptions in Undergraduate Dormitories: A Field Study in Beijing during a Transition Season.

A healthy and comfortable dormitory environment is crucial to the quality of students' daily lives. In this field study, the indoor environmental quality (IEQ) parameters of undergraduate dormitories in Beijing were measured, while questionnaire surveys were conducted to evaluate the corresponding subjective perceptions of students. Integrated environmental monitoring kits were used to collect temperature, relative humidity, CO2, PM2.5, PM10, TVOC, formaldehyde, and noise data in the investigated dormitories, during the transition season from winter to spring. Questionnaires and scales were distributed to obtain the students' subjective perceptions of and satisfaction with the IEQ, and their health and well-being status. The measured IEQ data showed that the thermal environment tended to be warm and dry during the heating period. The CO2 concentrations seriously exceeded standard levels due to insufficient indoor natural ventilation. Noise exposure could sometimes interfere with students' rest. The students' overall satisfaction with the dormitory environment was low, especially in terms of air quality and acoustic environment. The unsatisfactory IEQ factors have led to several health symptoms, poor sleep quality, and slightly lower well-being. Correlations were found between the IEQ parameters and the corresponding subjective perceptions and satisfaction levels. It was speculated that students' satisfaction and well-being could be effectively improved by appropriately adjusting the corresponding IEQ parameters.

Integrated clinical case discussions – a fully student-organized peer-teaching program on internal medicine

BackgroundIn response to students´ poor ratings of emergency remote lectures in internal medicine, a team of undergraduate medical students initiated a series of voluntary peer-moderated clinical case discussions. This study aims to describe the student-led effort to develop peer-moderated clinical case discussions focused on training cognitive clinical skill for first and second-year clinical students.MethodsFollowing the Kern Cycle a didactic concept is conceived by matching cognitive learning theory to the competence levels of the German Medical Training Framework. A 50-item survey is developed based on previous evaluation tools and administered after each tutorial. Educational environment, cognitive congruence, and learning outcomes are assessed using pre-post-self-reports in a single-institution study.ResultsOver the course of two semesters 19 tutors conducted 48 tutorials. There were 794 attendances in total (273 in the first semester and 521 in the second). The response rate was 32%. The didactic concept proved successful in attaining all learning objectives. Students rated the educational environment, cognitive congruence, and tutorials overall as “very good” and significantly better than the corresponding lecture. Students reported a 70%-increase in positive feelings about being tutored by peers after the session.ConclusionPeer-assisted learning can improve students´ subjective satisfaction levels and successfully foster clinical reasoning skills. This highlights successful student contributions to the development of curricula.

COMPARISON OF SURGICAL RESULTS OF RETROGRADE INTRAMEDULLARY NAILING AND FIXING WITH PLATE SCREW IN SUPRACONDYLAR FEMUR FRACTURES

Amaç&#x0D; Erişkinlerde görülen suprakondiler femur kırıkları eklem&#x0D; yüzeyini ilgilendiren veya ilgilendirmeyen kırıklar&#x0D; olup farklı cerrahi tespit seçenekleri bulunmasına&#x0D; rağmen, tedavisi kolay olmayan bir kırık çeşididir. Bu&#x0D; kırıklarda yapılan plak uygulamalarında geniş insizyonlar&#x0D; sebebiyle yumuşak doku ve periost canlılığı&#x0D; korunamayıp kaynamama gibi sonuçlarla karşılaşıldığından&#x0D; dolayı cerrahlar tarafından retrograd intramedullar&#x0D; çivileme metoduna bir yönelim meydana&#x0D; gelmiştir.&#x0D; Gereç ve Yöntem&#x0D; Çalışmamızda retrograd intrameduller çivileme ve&#x0D; plak ile tespit edilen iki grup hastada karşılaştırma yapıldı.&#x0D; 2005-2016 tarihleri arasında kliniğimizde tedavi&#x0D; olan 20 hasta çalışmaya dahil edildi, bu hastaların 11’i&#x0D; plak ile 9’u ise retrograd çivi ile tedavi edildi. Bu hastalarda&#x0D; subjektif memnuniyet derecesi ameliyat sonrası&#x0D; VAS, HSS, Neer skorları, artroz gelişimi, kuadriseps&#x0D; kası gücü, uyluk atrofisi ve kısalık açısından araştırıldı&#x0D; ve karşılaştırıldı.&#x0D; Bulgular&#x0D; Yapılan karşılaştırmalarda her iki tedavi grubu arasında&#x0D; memnuniyet derecesi postoperatif VAS, HSS,&#x0D; Neer skorları, artroz gelişimi, kuadriseps kası gücü,&#x0D; uyluk kas atrofisi ve kısalık açısından istatiksel olarak&#x0D; anlamlı bir fark saptanmadı.&#x0D; Sonuç&#x0D; Suprakondiler femur kırıklarında plak-vida ile tedavi&#x0D; ve retrograd çivileme yöntemleri güvenilir tedavi yöntemleridirler,&#x0D; her iki yöntemin avantaj ve dezavantajları&#x0D; mevcut olup uzun vadede değerlendirildiğinde her&#x0D; iki yönteminde suprakondiler femur kırıkları tedavisinde&#x0D; başarılı olduğunu söyleyebiliriz.

Revision lateral ankle ligament reconstruction for patients with a failed modified Brostrom procedure

The Brostrom-Gould procedure has been considered as a gold standard operative technique for chronic lateral ankle instability. Despite the popularity and excellent outcomes of the modified Brostrom procedure, some patients still experience recurrence of ankle instability. Few studies reported outcomes of revision reconstruction for patients with a failed modified Brostrom procedure. This study aimed to evaluate the outcomes of a percutaneous anatomic revision lateral ankle ligament reconstruction for patients with a failed modified Brostrom procedure. From March 2017 to April 2020, 21 patients with persistent ankle instability after a modified Brostrom procedure underwent revision lateral ankle ligament reconstruction. The operation was performed through minimally invasive incisions. Functional assessment was performed using the Karlsson-Peterson ankle scoring system (KP) and the Visual Analogue Scale (VAS). The questionnaires of KP and VAS were completed before surgery and at the last follow-up. Patients' subjective satisfaction level was graded as excellent, good, fair, and poor. Preoperative and postoperative anterior talar displacement and varus talus tilt angle in stress radiographs were recorded. The average age at the revision surgery time was 39.6years. The mean follow-up was 39.2months. The VAS score improved from 4.1 ± 1.5 preoperatively to 1.3 ± 1.3 at the final follow-up (p < .05). The KP score improved from 59.0 ± 20.2 preoperatively to 88.2 ± 9.6 at the last follow-up (p < .05). The mean varus talar tilt angle was 14.1 ± 3.9mm preoperatively versus 4.9 ± 4.7mm at the final follow-up (p < .05). The mean anterior talar displacement was 12.8 ± 2.2mm versus 5.6 ± 3.7mm at the last follow-up (p < .05). The revision anatomic reconstruction of the lateral ligaments of the ankle is effective for patients with recurrent instability after a failed modified Broström procedure.

Development and Evaluation of a Pillow to Prevent Snoring Using the Cervical Spine Recurve Method.

Snoring lowers the quality of sleep, causing many secondary diseases. In response, various types of preventive devices were manufactured, but most of them were far from actual snoring prevention by only sensing snoring and giving feedback. In this study, we proposed a new method to prevent snoring by adjusting the posture during sleep by widening the oropharynx space. An increase in the oropharynx area was confirmed through the expansion of the cervical spine, and a dedicated pillow that can extend through an angle of up to 20° was manufactured. Through this developed method, it was possible to easily extend the cervical spine angle in a supine position to the user, and the frequency of snoring was then tested. As a result, it was confirmed that by using the pillow with an expansion angle of 20° or more, snoring did not occur. Furthermore, looking at the evaluation results of the subjective levels of satisfaction, sleep-related items received an average of 5.9 or higher, and function-related items received high scores with an average of 5.7. We can confirm that the reliability of performance evaluation will be dramatically improved if the scope of the subject group is expanded to include various body types, ages, and genders and conduct performance evaluations for each group.

Efficacy and Tolerability of a Retinoid Eye Cream for Fine to Moderate Wrinkles of the Periorbital Region.

The periorbital region is susceptible to premature skin aging and among the first areas to manifest age-related changes. Retinoids are highly effective but can be irritating, limiting use in this vulnerable area. A hydrating formulation comprised of a double-conjugated retinoid/alpha hydroxy acid (lactic acid; AHARet-EM) has been developed to address photoaging of the periorbital area. This study evaluated the efficacy, tolerability, and subject satisfaction of nightly application of AHARet-EM, and a regimen that included application of a peptide-rich eye cream (InF-E; AM) and AHARet-EM (PM). A 12-week, dual-center, open-label study evaluated nightly application of AHARet-EM in subjects 35 to 65 years of age with fine to moderate lines/wrinkles in the periorbital area (3-7 score based on the Fitzpatrick Classification Wrinkle Scale [FCWS]). A subset of subjects applied AHARet-EM (PM) and InF-E (AM). Investigator assessments at baseline and weeks 4, 8, and 12 were based on the 9-point FCWS for lines/wrinkles (1 [Fine Wrinkles] to 9 [Deep Wrinkles]) and a 6-point scale (0 [None] to 5 [Severe]) for texture, erythema, and under-eye darkness, puffiness, and dryness. Subject satisfaction and adverse events (AEs) were captured over 12 weeks. Twenty-six subjects, Fitzpatrick skin type III-VI, completed the study. Subjects applying AHARet-EM (n=16) demonstrated significant improvements from baseline at week 12 in the appearance of lines/wrinkles (33%; P&lt;.0001), texture (37%, P&lt;.0001), erythema (37%, P=.004), under-eye darkness (41%; P&lt;.001), puffiness (55%, P&lt;.0001) and dryness (94%, P&lt;.0001). Significant improvements from baseline were demonstrated in subjects using the AM/PM regimen (n=10) at week 12 in the appearance of texture (33%; P=.002), erythema (68%; P=.001), under-eye darkness (32%; P=.007), puffiness (64%; P=.01) and dryness (90%; P&lt;.0001). No AEs occurred related/possibly related to use of the study products. High levels of subject satisfaction were reported over 12 weeks. Nightly application of a hydrating, double-conjugated retinoid eye cream demonstrated significant improvements in the appearance of lines/wrinkles, under-eye darkness, puffiness, and dryness of the periorbital area at week 12. Morning application of a peptide-rich eye cream afforded additional benefits. The study products were non-irritating, and subjects reported high levels of satisfaction throughout the study. J Drugs Dermatol. 2022;21(9):932-937. doi:10.36849/JDD.6815.

СРАВНИТЕЛЬНОЕ ИССЛЕДОВАНИЕ ЧАСТОТЫ ЗАНЯТИЙ ПОВСЕДНЕВНЫМ ТВОРЧЕСТВОМ И СУБЪЕКТИВНОГО БЛАГОПОЛУЧИЯ В ПОЖИЛОМ ВОЗРАСТЕ

Statement of the problem. The increase in the proportion of elderly people in the population makes the problem of subjective well-being in old age urgent. This article examines everyday creativity as a way to increase the subjective well-being and life satisfaction of older people. The purpose of the article is to present comparative research of the frequency of daily creative activities and subjective well-being in old age. The methodology of the study consists of the subject-activity approach; the interview method; the scale of self-assessment of creative activity; the scale of subjective happiness of Lubomirski and Lepper; the Life satisfaction Index (by Neugarten, Havinghurst, and Tobin). The Kruskel-Waliss criterion was used for comparative statistical analysis. The study involved respondents (N = 189) aged 60 to 90 years (M = 68.76; SD = 7.54), of which 71 were men (37.57 %). Research results. Higher indicators of subjective well-being, hedonistic well-being and life satisfaction were revealed in those elderly people who often or daily engage in creativity (p &lt; 0.001). Conclusion. The conducted comparison between the frequency of creative activities among elderly respondents and well-being scales showed that creatively active elderly people have significantly higher levels of well-being than those who never or rarely engage in creativity. The results obtained can be used by socio-psychological services in the development of coping strategies to maintain or increase the level of subjective well-being and life satisfaction in old age.

Transcutaneous Bone Conduction Implants in Patients With Single-Sided Deafness: Objective and Subjective Evaluation.

This study aimed to investigate the audiological outcomes and subjective benefits of transcutaneous bone conduction implants (BCIs) in patients with single-sided deafness (SSD). This retrospective study was conducted on 11 patients with SSD implantations between 2015 and 2018 at a tertiary center. Pure-tone audiometry, speech reception threshold (SRT), and speech-in-noise (SPIN) tests were performed. Preoperative and postoperative performances were compared. Subjective satisfaction level was assessed using validated questionnaires. A PubMed search was conducted to identify the relevant studies published to date. All patients demonstrated significant audiological improvements compared with their preoperative condition. The mean SRT improved significantly (p = 0.001) from 109dB to 23dB after implantation. The mean SPIN score improved significantly after implantation. The questionnaires showed an overall positive benefit of transcutaneous bone conduction devices (BCDs). A literature search revealed 21 articles, of which 14 reported the use of BCIs in patients with SSD. Our results agree with the published evidence showing the overall benefit of BCI in patients with SSD. Transcutaneous BCDs could be considered as an alternative treatment option for patients with SSD, it could show good audiological outcomes and high satisfaction levels. Further studies should be conducted on patients with SSD to determine the most appropriate hearing solutions.

Study of self-assessment, coping strategies and eating behavior in women with normal and overweight

This article provides an analysis of an empirical study of self-esteem, coping strategies and eating be- havior of women with normal and overweight. The study was conducted on a woman between the ages of 30 and 65 in July-October 2021. A total of 80 women took part in the study. For the analysis, we used the procedures of correlation, cluster, frequency analyzes, as well as other methods of nonparametric statistics, considering the nature of the distribution of data and psychodiagnostic techniques. The study revealed that there are significant statistical differences between overweight and normal weight women in terms of self-esteem of their own body image and types of eating behavior. Overweight women are characterized by emotional eating behavior in contrast to women of normal weight. The relationship was revealed between body mass index and the peculiarities of using coping strategies, that is, the preferred ways of coping with stress. So, the higher a woman’s body mass index, the more often she chooses a non-adaptive coping strategy: “escape-avoidance”. Correlation analysis revealed that there are reliably significant correlations between body mass index and the level of subjective satisfaction / dissatisfaction with an individual’s own body: the higher the body mass index, the greater the dissatisfaction. It was&nbsp; found that women with a higher body mass index are more likely to have emotional eating behavior, while women with a low body mass index have restrictive eating behavior. In general, the women tested showed an adequate level of self-esteem with a tendency to high. Frequency analysis confirms that all 100% of the women surveyed have a sufficiently high level of self-esteem, so 80% of the subjects showed a stable adequate level of self-esteem, and 20% of the subjects showed a very high self-esteem. Correlation analysis did not show any relationship between body mass index and the level of general self-esteem of the tested women. This means that being overweight and obese do not affect your overall self-esteem. The results obtained will make it possible to develop more effective targeted psychological interventions aimed at developing constructive coping strategies and coping resources, correcting eating disorders in overweight women. Key words: overweight, eating behavior, self-esteem, coping strategies.