Mean Satisfaction Score Research Articles

Prevalence and predictors of compassion fatigue among Australian oncology nurses caring for adult cancer patients: A cross-sectional study.

Compassion fatigue can impact oncology nurse's personal and professional life, which may, in turn, affect the quality of patient care. The aim of this study was to estimate the prevalence of compassion fatigue and identify risk and protective factors among Australian oncology nurses caring for adult cancer patients. 170 Australian oncology nurses caring for adult cancer patients completed a cross-sectional online survey comprising demographic information, the Professional Quality of Life, the HEXACO Personality Inventory-Revised and the Practice Environment Scale of the Nursing Work Index. Scores for each subscale of the Professional Quality of Life and corresponding prevalence rates were identified. The association of demographic factors, personality domains, and work environments with the Professional Quality of Life subscales were analysed using multiple linear regression. The mean scores of compassion satisfaction, burnout, and secondary traumatic stress were 40.02, 24.72 and 22.68, respectively. The composite score of the Practice Environment Scale of the Nursing Work Index subscales was positively associated with compassion satisfaction and negatively associated with burnout and secondary traumatic stress. The only personality domain statistically significant to all subscales of the Professional Quality of Life was extraversion. Oncology nurse's practice environment and personality traits, particularly extraversion, have been identified as key protective factors against compassion fatigue.

Rehabilitation using virtual gaming for Hospital and hOMe-Based training for the Upper limb in acute and subacute Stroke (RHOMBUS II): results of a feasibility randomised controlled trial

ObjectiveTo investigate the safety, feasibility and acceptability of the Neurofenix platform for upper-limb rehabilitation in acute and subacute stroke.DesignA feasibility randomised controlled trial with a parallel process evaluation.SettingAcute Stroke Unit...

Enhancing ophthalmology education through a mobile flipped classroom: a new teaching method

ObjectiveGlaucoma is a major cause of irreversible blindness globally. Optical coherence tomography (OCT) aids early glaucoma diagnosis. Interpreting OCT scans requires familiarity with the technology and image analysis. This study aimed to evaluate the effects of a mobile flipped classroom model on learning outcomes and satisfaction for teaching optical coherence tomography (OCT) interpretation skills in glaucoma.ResultsIn this quasi-experimental pre/post-test study, a total of 22 ophthalmology residents participated in a 4-session mobile flipped classroom educational intervention (90 min/session) and were assessed on OCT interpretation. Learning was measured via pre/post-tests designed by a panel. Satisfaction was assessed using a validated questionnaire. Mean participant age was 29.42 (± 2.09) years. Compared to pre-intervention, post-test scores showed significant improvement after the mobile flipped classroom (p < 0.001). Mean satisfaction score was 74.05 (± 16.09), denoting high satisfaction. Implementing a mobile flipped classroom significantly improved OCT interpretation skills and was associated with high satisfaction ratings among ophthalmology residents. This model shows promise for enhancing clinical knowledge in graduate medical education.

Endoscopic retrograde cholangiopancreatography training using a silicone simulator fabricated using a 3D printing technique (with videos)

Endoscopic retrograde cholangiopancreatography (ERCP) training remains challenging. This study used 3D printing techniques to develop and optimize a portable ERCP training simulator and to implement basic and advanced practical techniques. Subsequently, we aimed to determine whether endoscopy trainees acquired proficiency in ERCP techniques and assess any improvements in their skill levels from using this model. An ERCP training model was generated using 3D printing techniques, including five distinct interchangeable and transparent ampullar–common bile duct (CBD) modules. A prospective study using this model was conducted with ten trainees. The technical success rate and examination times for duodenoscope insertion and biliary cannulation were evaluated. In addition, the successful plastic-stent insertion rate and trainee satisfaction were measured. The success rates for duodenoscopy, cannulation, and plastic stent insertion were 94, 100, and 92%, respectively. The mean satisfaction scores for duodenoscope insertion, cannulation, and plastic stent insertion were 4.4, 4.7, and 4.6 on a 5-point scale, respectively. Five attempts decreased the insertion time (R = − 0.591, P < 0.001) and cannulation time (R = − 0.424, P = 0.002). This ERCP-training silicon model is durable, simulates ERCP techniques easily, and helps trainees improve their ERCP techniques.

Real-world satisfaction and experience with injection and autoinjector device for ofatumumab indicated for multiple sclerosis

BackgroundTo evaluate the overall satisfaction, device usability, and injection experience of MS patients self-administering ofatumumab using the Sensoready® autoinjector device in the United States (US).MethodsThis US-based, cross-sectional survey study included patients with MS (≥ 18 years) who self-administered ofatumumab using the Sensoready device within the previous 12 months of the survey. Eligible patients were administered a 30-item de novo questionnaire that focused on overall device satisfaction, device usability, convenience/flexibility for travel with the device, user confidence, injection experience, and time to administer the injection. Ratings were measured on Likert and numeric rating scales, with higher scores indicating positive responses.ResultsOverall, 105 patients with MS (disease-modifying therapy [DMT]-experienced: 65; DMT-naïve: 40) were included. The mean (standard deviation [SD]) age was 42.5 (12.2) years. The majority of patients (86.7%) expressed high satisfaction (i.e., rated either 4 [satisfied] or 5 [extremely satisfied] on a 5-point Likert scale) in study population. The overall mean (SD) satisfaction score with Sensoready device was 4.4 (0.7), with a higher device satisfaction reported in the DMT-experienced vs. DMT-naïve group (4.6 [0.66] vs. 4.1 [0.69]). A higher proportion of DMT-experienced patients reported high satisfaction scores as compared to DMT-naïve patients (90.8% vs. 80.0%). The most common reasons for high satisfaction included reasonable administration time (90.5%), overall ease of use (89.5%), a monthly dosing schedule of ofatumumab (89.5%), the time required for device preparation (86.7%), ease of device preparation (81.9%), device ergonomics (76.2%), and portability (73.3%). Regardless of prior DMT experience, the majority of patients felt confident to self-administer ofatumumab using the Sensoready device; moreover, the majority expressed their intention to continue with the Sensoready device and would recommend ofatumumab to others. Furthermore, 77.1% reported that the use of Sensoready device to self-administer ofatumumab was not found to interfere with their daily activities; patients reporting non-interference with their daily activities were higher in the DMT-experienced vs. DMT-naïve group (83.1% vs. 67.5%).ConclusionsRegardless of prior DMT experience, patients with MS report high satisfaction levels and positive experiences with the use of the ofatumumab Sensoready device in real-world practice, mostly driven by reasonable administration time and ease-of-use.

Sex-Based Differences in the Arthroscopic Treatment of Femoroacetabular Impingement Syndrome: 10-Year Outcomes With a Nested Propensity-Matched Comparison.

Sex has been associated with different pathologic characteristics in painful hips undergoing hip arthroscopic surgery. To compare minimum 10-year patient-reported outcomes (PROs) and survivorship in patients who underwent primary hip arthroscopic surgery for femoroacetabular impingement syndrome and labral tears according to sex. Cohort study; Level of evidence, 3. Data from patients who underwent primary hip arthroscopic surgery between March 2009 and May 2011 were reviewed. Patients with minimum 10-year PROs for the modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), Hip Outcome Score-Sports-Specific Subscale (HOS-SSS), and visual analog scale (VAS) for pain were eligible. Exclusion criteria included previous ipsilateral hip conditions or surgical procedures, Tönnis grade >1, or dysplasia (lateral center-edge angle <25°). In the subanalysis, female patients were matched to male patients using a 1:1 ratio by age, sex, and body mass index. A total of 375 hips had a minimum 10-year follow-up. There were 249 female (mean age, 36.8 ± 13.1 years) and 126 male (mean age, 38.9 ± 13.1 years) hips. Survivorship was defined as no conversion to total hip arthroplasty. Female and male hips exhibited similarly high rates of survivorship (80.3% vs 72.2%, respectively; P = .076). Female hips underwent secondary arthroscopic surgery at a statistically higher rate of 14.5% (P = .021) and had higher rates of capsular repair and iliopsoas fractional lengthening (P < .0001 and P < .001, respectively). Male hips had a significantly higher rate of acetabular labrum articular disruption/Outerbridge grade 3 and 4 damage at 54.0% compared with female hips (both P < .001) and underwent femoroplasty and acetabular microfracture at significantly higher rates of 88.1% versus 51.0%, respectively, and 16.7% versus 4.8%, respectively (both P < .001). In the subanalysis, both groups showed significant improvements in all PROs from baseline (all P < .001). Even though female patients demonstrated a higher rate of secondary arthroscopic surgery, they had a higher self-reported mean satisfaction score of 9.0 compared with 8.4 (P = .003) and a greater magnitude of improvement in 10-year PROs (ΔmHHS: 29.3 ± 17.5 vs 23.1 ± 19.8, respectively [P = .036]; ΔNAHS: 33.2 ± 21.3 vs 25.1 ± 19.5, respectively [P = .012]; ΔHOS-SSS: 47.0 ± 32.0 vs 32.7 ± 31.9, respectively [P = .008]; and ΔVAS: -4.6 ± 2.7 vs -3.5 ± 2.0, respectively [P = .009]). However, all PROs at a minimum 10-year follow-up were similar between the groups. After undergoing hip arthroscopic surgery for femoroacetabular impingement syndrome, both female and male patients reported significant improvements in all PROs at a minimum 10-year follow-up and high patient satisfaction, with similar final functional scores. Even though female patients demonstrated a higher rate of secondary arthroscopic surgery, they had a higher satisfaction score and a greater magnitude of improvement in PROs postoperatively.

Feasibility and acceptability of a telephone-based ACT intervention for caregivers (TACTICs) of adults with Alzheimer’s disease and related dementias (ADRD): a randomized pilot during the COVID-19 pandemic

Objectives Examine the feasibility, acceptability, and preliminary effects of the Telephone Acceptance and Commitment Therapy Intervention for Caregivers (TACTICs) on dementia caregivers’ anxiety, depression, caregiver burden, suffering, and anticipatory grief. Method A 2-arm pilot randomized trial with dementia caregivers ≥ 21 years old with clinically elevated anxiety or anxiety-related functional interference. Two cohorts were recruited at the beginning and end of the first year of the COVID-19 pandemic. Intervention participants received 6 telephone sessions delivered by a non-licensed interventionist and control participants received readings and a list of dementia caregiver support groups in their area. Outcomes were measured at baseline, post-intervention, and at 3 and 6 months. Feasibility was measured by enrollment rates, completion rates, and adherence to TACTICs by interventionists. Acceptability was measured with participant satisfaction surveys. Results TACTICs was feasible and acceptable with 96% enrollment, 98.6% adherence, 65.5% completion, and a mean satisfaction score of 9.35 out of 10 (SD 0.91). The TACTICs group showed clinically relevant reductions in anxiety post-intervention (SRM 4.1, 95% CI [2.4,5.8]), however reductions were not significantly different from the control group (p = 0.98). Conclusion Implementation of TACTICs during the COVID-19 pandemic was feasible and acceptable. The preliminary outcomes were not as strong as expected. The results will inform the design of future trials with larger samples.

Patients’ satisfaction with services provided by family physicians at the Comprehensive Healthcare Centers in Northern Jordan

Abstract: BACKGROUND: Patient satisfaction is a paramount measure of the quality of healthcare system, particularly in the practice of family medicine. The study aimed to assess patients’ satisfaction with services provided by family physicians (FPs) at Comprehensive Healthcare Centers (CHCCs) in Northern Jordan. MATERIALS AND METHODS: A cross-sectional study was conducted at 11 CHCCs in Northern Jordan between July and October 2023. A convenient sample of 367 patients, both males and females over the age of 18 years, was selected. Participants were requested to complete the Arabic version of the Consultation Satisfaction Questionnaire (CSQ). Mean and standard deviation calculated for continuous variables, and frequencies and percentages for categorical variables. Multivariable logistic regression analysis yielded factors related to patients’ satisfaction with family physician. RESULTS: The mean score of patients’ satisfaction was 55.63 ± 12.15. The highest mean satisfaction scores were reported for the “professional care” provided by the FP (72.41 ± 15.9), followed by the “depth of relationship and the length of consultation” with the FP, respectively. Patients who had a reference health center if needed (P &lt; 0.002), had health insurance (P &lt; 0.05), patient’s privacy (P &lt; 0.027), and waiting time &lt; 20 min to see the FP (P &lt; 0.001) were all positively associated with the status of patients’ satisfaction. Logistic regression final model included only two factors, waiting time &lt; 20 minutes and having a reference health center. CONCLUSION: The study reveals moderate patient satisfaction with care provided by FP. The moderate satisfaction is attributed to good care provided by FP and the least to the length of consultation. The predictors of satisfaction are the waiting time to see FP and the availability of a reference health center. Study has implications for the health care system in Jordan, as regards the strengthening of the health information system to incorporate policies on appointments, quality of consultation times, and waiting times.

Optimizing ventral hernia repair: our experience with laparoscopic intra-peritoneal onlay mesh plus

Background: Ventral hernia repair remains a challenge, with laparoscopic techniques showing potential for lower recurrence and complications. This study aimed to assess the efficacy of the Laparoscopic intra-peritoneal Onlay mesh plus (LIPOMPlus) approach in ventral hernia repair. Methods: This observational study was conducted at Ibn Sina medical college hospital, Dhaka, Bangladesh, from August 2016 to December 2017, enrolling 75 patients with ventral hernias. Patient demographics, perioperative data, and postoperative outcomes were recorded and analyzed. The primary endpoints included recurrence, postoperative complications, and patient satisfaction. Results: The mean age was 45.6±12.3 years, with a female predominance (53.3%). The average operative time was 95±20 minutes, and the mean hospital stay was 3.2±1.1 days. Complications were minimal: seroma (1.3%), hematoma (2.7%), port site infection (4%) and/or mesh infection (1.3%), and mesh rejection (1.3%). Only 2.7% of patients experienced hernia recurrence. Patients reported high satisfaction (mean score of 8.7±1.3), and the mean time to return to normal activities was 14±4 days. Conclusions: The LIPOMPlus technique for ventral hernia repair demonstrated low complication and recurrence rate, high patient satisfaction, and a favorable recovery profile. These findings support LIPOMPlus as a viable and effective approach for ventral hernia management, warranting further investigation in diverse settings.

Satisfaction and Perceptions of an Interactive E-Book for Online Learning in an Epidemiology Course Among Nursing Students in Thailand

Background: Interactive e-books, which incorporate multimedia elements, have had a positive impact on students’ learning achievements. There has been limited research on the impact of interactive e-books on nursing students’ satisfaction and perceptions, particularly in online learning in epidemiology courses. Objective: To describe nursing students’ satisfaction and perceptions regarding an interactive e-book for online learning in an epidemiology course. Methods: This study utilized a descriptive research design. Secondary data analysis collected nursing students’ satisfaction and perceptions from existing evaluation forms regarding the interactive e-book used in the epidemiology course for the 2020 academic year, completed by 196 second-year nursing students from a nursing institution in Thailand. The quantitative data was analyzed by using descriptive statistics, and qualitative data was analyzed by using content analysis. Results: The results indicated that the mean satisfaction score for the interactive e-book was at a very high level, with a score of 4.53 out of 5. Furthermore, the mean scores of the content, system, and utility aspects were at very high levels. The content analysis related to the perception of the interactive epidemiology e-book among nursing students was categorized into 5 themes: 1) concise content and easy-to-understand, 2) effective presentation, 3) interactive quizzes to verify correct answers and build understanding, 4) easy use and access anywhere at any time, and 5) increased motivation to study. Conclusions: This study has demonstrated that interactive e-books positively enhanced nursing students’ satisfaction and learning in an epidemiology course during the COVID-19 pandemic, suggesting further research on their effectiveness in various educational outcomes.

Assessment of Pregnant Women's Satisfaction With the Model of Care Initiative: Antenatal Care Services at Primary Health Care Centers in the Qassim Health Cluster, Saudi Arabia.

Patient satisfaction is a critical indicator of healthcare quality, including high-quality antenatal care (ANC), and it directly impacts care continuity and health outcomes. This study assessed the satisfaction levels of pregnant women with ANC services provided at primary healthcare centers (PHCs) within the Qassim Health Cluster, Saudi Arabia. A cross-sectional survey was conducted among 646 pregnant women attending ANC services in the Qassim region. Participants completed a validated questionnaire assessing demographic characteristics, healthcare interactions, and satisfaction levels across various ANC service aspects, including waiting times, healthcare provider communication, and healthcare service quality. Statistical analyses, including Pearson's chi-squared tests, Fisher's exact tests, and regression analyses, were performed to identify predictors of satisfaction. The majority of participants (N=366, 90.6%) reported successfully booking their appointments, and 368 (91.1%) faced no challenges during the process. While 393 (97.3%)and 398 (98.5%) reported receiving weight and blood pressure measurements, respectively, only 312 (77.2%) were advised on diet, and 298 (73.8%) received explanations about alarming symptoms. Communication gaps were noted, with 71% (N=287) of participants indicating that physicians did not introduce themselves, and 307 (76%) reported that physicians did not disclose their specialties. Satisfaction levels were highest for maintaining privacy (273 (67.6%) highly satisfied) and healthcare staff attitudes (247 (61.1%) highly satisfied), with an overall satisfaction mean score of 4.31±0.869. Regression analyses identified healthcare service levels and years of marriage as significant predictors of satisfaction (p<0.05). While overall satisfaction with ANC services was high, areas such as physician communication and health education require improvement. Interventions focusing on enhancing patient-provider interactions, providing comprehensive health education, and optimizing service delivery could further improve satisfaction.

Developing nurse and midwife centred rostering principles using co-design: a mixed-methods study

BackgroundCurrent nursing and midwifery rosters are based on guidelines which may no longer adequately meet the needs of health services or staff and often result in decreased job satisfaction, poor health and wellbeing, and high turnover. Little is known about the rostering needs and preferences of contemporary nurses and midwives in Australia. The aim of this study was to identify the rostering concerns, needs and preferences of nurses and midwives, and co-design acceptable, equitable and feasible rostering principles.MethodsA mixed-methods design using a co-design approach with three components: survey, discussion groups, and co-design workshops. Nurses and midwives employed at three public health services in Victoria, Australia were invited to participate. The quantitative (survey) data were analysed using descriptive statistics and the qualitative (discussion groups and co-design workshops) data using thematic analysis.ResultsSurveys were completed by 715 nurses and midwives including unit (n = 14) and roster (n = 13) managers. Nurses and midwives (n = 688) were mostly satisfied with their roster (mean satisfaction score = 57.4). Many had responsibilities or commitments which impacted their roster availability (n = 406, 61.6%) and over half had taken personal leave due to roster-related fatigue (n = 335, 59.1%) or unmet roster requests (n = 310, 54.7%). Midwives reported significantly less satisfaction (p < 0.001) and more challenges with current roster practices than nurses. Roster and unit managers described spending considerable time preparing and reworking rosters. Thirty-nine nurses and midwives participated in a focus group and outlined concerns about the fairness and equity of current roster practices, and the adverse impact on their health, work, and personal lives. Ninety-one nurses and midwives participated in a co-design workshop and identified a need for roster practices and guidelines which ensure flexibility, fairness and equity, and fatigue management.ConclusionsAlthough nurses and midwives were mostly satisfied with their rosters, they often experienced frustrations and challenges with current roster guidelines and practices as well as adverse effects on their health and work and personal lives. Nurses and midwives identified a preference for fair and equitable rosters which provide flexibility and enable them to manage their other commitments and responsibilities, reduce roster-related fatigue, and provide high quality patient care.

What influences the community well-being of Chinese living in metropolitan areas? A scale validation and invariance test across gender, age, and hukou

BackgroundRapid socioeconomic development has congregated urban dwellers in various communities, and it remains unclear whether raising income has brought greater happiness or well-being in China. The study aims to validate the Multi-dimensional Community Well-being Scale (MCWS) in the context of Chinese metropolitan areas.MethodsMultistage stratified sampling from North, East, and West China yielded a total of 4786 community-dwelling adults (mean age = 54.66 years; 33.8% female). Exploratory factor analysis identified a four-factor pattern of habitability, accessibility, relation, and satisfaction. Confirmatory factor analysis (CFA) further verified the structure, and multigroup CFA tested the measurement invariance upon different genders, age groups, and hukou statuses.ResultsAll the subscales and the total scale (α = 0.852) had satisfactory internal consistency. In addition, significant community well-being disparities exist between communities with and without elderly care and child care services. Also, the mean scores of accessibility, relation, and satisfaction grow steadily with age, except for habitability.ConclusionsOverall, this study filled the research gap in China by presenting a reliable and valid instrument to measure community well-being, showing gender, age, and hukou-related characteristics in community well-being and enabling cross-cultural comparisons in urban studies.

Dorsal Augmentation Rhinoplasty by Cartilage Allograft.

The aim of this study was to evaluate long-term outcomes and patient satisfaction after nasal dorsal rhinoplasty with allogeneic cartilage graft of the nasal septum. The present study included 104 patients (41 males and 63 females) whose mean age at surgery was 28.7 years and who underwent nasal dorsal augmentation with allogenous nasal septal cartilage graft during the period 2017-2023. Depending on the use of platelet-rich fibrin (PRF), the patients were divided into two groups: Group I had PRF applied in dorsal rhinoplasty and included 53 patients (29 males and 24 females). Group II (control group) had dorsal rhinoplasty without the use of PRF and included 51 patients (26 males and 25 females). Donor patients included those who had taken excess nasal septal cartilage during functional rhinoplasty. According to the indications, crushed allogenic septal cartilage graft and PRF were also used. Esthetic results of rhinoplasty were assessed from preoperative and postoperative clinical pictures and also by visual examination. To assess the results of esthetic rhinoplasty, the Portuguese version of the Utrecht Questionnaire (UQ) was used, which contains a visual analog scale (VAS) on a 5-point Likert scale. In patients included in the study, there were no serious complications: there was no deformation or extrusion, and allograft resorption was not observed. After rhinoplasty in the Group I patients, the mean score of VAS esthetic satisfaction with nose improved from 3.6 preoperatively to 8.5 3 months postoperatively and 9.2 12 months postoperatively. After rhinoplasty in the Group II patients, the mean score of VAS esthetic satisfaction with nose improved from 3.7 preoperatively to 7.8 3 months postoperatively and 8.3 12 months postoperatively. Rhinoplasty with allogeneic cartilage graft of the nasal septum allows to achieve stable, positive, functional, and esthetic results and is safe to use. It is an alternative to autologous cartilage used in rhinoplasty and also prevents additional surgical procedures.

The effect of sexual counseling based on the PLISSIT model on improving the sexual function of postmenopausal women: a randomized controlled trial

Objective Menopause can impact women’s physical and mental well-being, including sexual function. The present study aims to evaluate the effect of sexual counseling based on the PLISSIT model on improving the sexual function of postmenopausal women. Methods The randomized trial focused on postmenopausal married women who did not have any pre-existing health conditions. The intervention group were provided with personalized sexual counseling grounded in the PLISSIT model, whereas the control group were given educational pamphlets. Participants filled out the Female Sexual Function Index (FSFI) questionnaire and were categorized into two groups through randomized blocking, utilizing blocks of four and six. The main outcome measure was the average sexual function score assessed at the start of the study, as well as at 4 and 8 weeks following the intervention. Results A total of 60 eligible participants were included in the study. The mean ± standard deviation participant age was 58.7 ± 3.5 years. At week 4 following the intervention, statistically significant differences were observed between the study groups in the mean scores of sexual desire (p = 0.023), arousal (p = 0.002), orgasm (p = 0.0001), lubrication (p = 0.001) and satisfaction (p = 0.004). At week 8 following the intervention, significant differences were noted in the mean scores for sexual arousal (p = 0.001), orgasm (p = 0.000), lubrication (p = 0.031) and satisfaction (p = 0.004) between the study groups. Conclusion The sexual counseling based on the PLISSIT model can significantly improve sexual function in postmenopausal women, making it a valuable intervention for healthcare providers to consider in their practice.

Efficacy and safety of nanofractional radiofrequency in treatment of atrophic acne scars: A retrospective analysis of 5 years

Objectives: The objective of the study was to evaluate the efficacy of nanofractional radiofrequency in the treatment of acne scars. Material and Methods: In this 5-year retrospective study, adults with atrophic acne scars on their cheeks underwent four monthly sessions of nanofractional radiofrequency treatment (Venus Viva™, Venus Concept Inc., Toronto, Canada). Follow-up occurred 2 months after the last session. Clinical photographs were assessed by physicians and patients, and two dermatologists performed independent subjective analysis. Side effects, including pain, erythema, post-inflammatory pigmentation, and burning, were recorded after each session. Results: In the analysis, 65 patients were included, with a mean age of 27.6 ± 5.6 years. Among them, 67.7% had Fitzpatrick skin type IV. The mean satisfaction score at the end of the study was 7.33 ± 1.31, and 55.4% of patients scored &gt;7. Of the 24 patients with scars lasting less than 6 months, 70.8% experienced &gt;75% improvement. For patients with macular scars (11 in total), 72.7% saw &gt;75% improvement. Transient pain and swelling were observed in all patients, while 32 out of 65 reported a burning sensation lasting &lt;2 h. Conclusion: Nanofractional radiofrequency is highly effective, with positive responses in macular to mild scars. Scar duration is inversely related to treatment response. It is safe with transient, controlled side effects.

ACADEMIC PROCRASTINATION OF ADOLESCENTS IN RELATION TO ACADEMIC SATISFACTION

The main objectives of the study were, to assess the academic procrastination and academic satisfaction of adolescents and to examine if there exists any significant difference in the mean score of academic procrastination and academic satisfaction of adolescents on the basis of gender, locale of school, residential area, educational qualification of parents and type of school. For this study, the Normative-survey method was followed. Academic Procrastination scale and Academic satisfaction scale were used to collect the data for this study. The researcher used Simple Random Sampling Technique for the selection of the sample. The sample consisted of 801 higher secondary students. The appropriate statistical techniques were employed to analyze the data. The main findings show that the academic procrastination of adolescents is high and the academic satisfaction of adolescents is low.

Effectiveness of Simulation-Based Education on Educational Practices of Communication Skills, Satisfaction, and Self-Confidence Among Undergraduate Nursing Students.

Introduction: Simulation-based education is one of the important teaching and learning strategies that imitate real situations in a clinical environment of safety. Simulation-based education offers experiential, interactive, and collaborative learning opportunities, and hence can help improve students' communication skills and increase their satisfaction and self-confidence. Purpose: This study aimed to examine the effectiveness of simulation-based learning on the educational practice of communication skills, satisfaction, and self-confidence among undergraduate nursing students. Methods: An uncontrolled before-and-after study design among first-year nurse students (n = 112) used the Educational Practices Questionnaire and the Student Satisfaction and Self-Confidence in Learning instruments for data collection. Results: In total, 91.1% of participants reported high satisfaction with simulation-based education experiences. Mean scores for communication skills, student satisfaction, and self-confidence were higher on posttest. There was a suggestive correlation between simulation-based education and the practices of communication skills, satisfaction, and self-confidence. Conclusion: Simulation-based education is associated with improved communication, student satisfaction, confidence, and critical thinking among nursing students. This study is important for institutions because it demonstrates that simulation-based education enhances a safer and more effective learning environment to meet the demands of future health-care professionals by increasing their satisfaction and self-confidence and improving communication skills through increased collaboration in several real-life scenarios.

Fat graft for facial contouring in patients with post-surgical and post- traumatic defects: A case series study

Background and objective: Facial deformities provide a considerable challenge for both the patient and the facial reconstructive surgeon. They can be caused by congenital, traumatic, and oncological ablative surgery. The aim of the study is to evaluate the reliability of autologous fat grafting in residual facial deformities. Methods: This is a case series study of 10 patients with secondary facial defects induced by trauma, parotidectomy and orthognathic surgery. The patients were more than18 yeas old age and of both sexes. The study was conducted at Sulaimani Teaching Hospital from May to December 2021. The defects were grafted with autologous fat grafts harvested from the abdomen and suprapubic region using two techniques, en-bloc and structural fat grafting (minimum 10 cc to maximum 35 cc). Result: Mean graft volume (20.8 cc) Revision was required for 10% of patients. Mean satisfaction score (8.3). Patient’s satisfaction score increased with graft volume p-value &lt;0.01. No major complications were reported. Conclusion: Autologous fat graft is a reliable and cost-effective method for correcting mild to moderate facial soft tissue and hard tissue asymmetry, resulting in a significant improvement in the patients' facial esthetics and psychology.

Feasibility and Patient Experience of a Pilot Artificial Intelligence-Based Diabetic Retinopathy Screening Program in Northern Ontario

ABSTRACT Purpose To assess the feasibility, implementation, and patient experience of autonomous artificial intelligence-based diabetic retinopathy detection models. Methods This was a prospective cohort study where consenting adult participants previously diagnosed with diabetes were screened for diabetic retinopathy using retinal imaging with autonomous artificial intelligence (AI) interpretation at their routine primary care appointment from December 2022 through October 2023 in Thunder Bay, Ontario. Demographic (age, sex, race) and clinical (type and duration of diabetes, last reported eye exam) data were collected using a data collection form. A 5-point Likert scale questionnaire was completed by participants to assess patient experience following the AI exam. Results Among the 202 participants (38.6% women) with a mean age of 70.8 ± 11.7 years included in the study and screened by AI, the exam was successfully completed by 93.6% (n = 189), with only 1.5% (n = 3) requiring dilating eyedrops. The most common reason for an unsuccessful exam was small pupils with patient refusal for dilating eyedrops (n = 4). Among the participants with successful eye exams, 22.2% (n = 42) had referable diabetic retinopathy detected and were referred to see an ophthalmologist; 32/42 (76.0%) of these attended their ophthalmologist appointment. A total of 184 participants completed the satisfaction questionnaire; the mean score (out of 5) for satisfaction with the addition of an eye exam to their primary care visit was 4.8 ± 0.6. Conclusion Screening for diabetic retinopathy using autonomous artificial intelligence in a primary care setting is feasible and acceptable. This approach has significant advantages for both physicians and patients while achieving very high patient satisfaction.