Satisfaction Outcomes Research Articles

Pectoralis Major Muscle Tear – Effectiveness Orthobiologic Nonoperative Treatment with Platet-Rich Plasma (PRP) Injections

Introduction Pectoralis major muscle ruptures, once considered rare, are now more common, especially in young male athletes and weightlifters involved in high-intensity sports. This injury can significantly impair upper limb function, leading to pain, weakness, and potential disability. Exploring and understanding available treatment options, particularly the promising role of orthobiologic therapies like PRP, is essential for optimizing recovery and achieving the best outcomes. Purpose The purpose of this review is to evaluate the effectiveness and the role of orthobiologic treatments such as PRP in enhancing healing and functional recovery for pectoralis major muscle ruptures. Conslusions The treatment of pectoralis major muscle ruptures requires a tailored approach that considers the injury's severity, the patient's activity level, and their goals. Nonoperative treatment can be effective for partial tendinous tears, muscle belly tears, muscle origin tears, and complete tendinous tears in sedentary individuals or when surgery is not feasible. Surgical intervention generally provides superior functional outcomes, particularly for athletes and those with complete ruptures. Orthobiologic treatments, such as ultrasound-guided PRP injections, provide a promising complement to conservative management, with potential benefits in pain reduction and accelerated functional recovery. Studies indicate that PRP-treated patients report higher satisfaction and better outcomes compared to those without PRP treatment. Nevertheless, many questions remain regarding the optimal formulation, dosage, and rehabilitation protocols for PRP. To fully understand PRP's effectiveness and refine its applications in sports medicine, more rigorous and long-term studies are needed. Additionally, further research is required to improve nonoperative treatment and rehabilitation protocols, ensuring optimal outcomes for all patients.

Optimization of a Self-management Program for Chronic Musculoskeletal Pain – Protocol of the Pain Education Program Optimization (PEPO) Randomized Controlled Trial

OBJECTIVES: The primary objective is to compare two modes of delivering an 8-week self-management program for chronic musculoskeletal (MSK) pain: standard self-management versus supported self-management, which includes two physiotherapist-led sessions and one patient-partner-led session. The primary outcome measure is pain-related disability after 10 weeks. Secondary objectives include comparing the effects of both delivery modes on pain-related disability after 26 weeks, as well as on pain severity, kinesiophobia, catastrophizing, pain self-efficacy, anxiety, and depression after 10 and 26 weeks. DESIGN: Randomized controlled trial protocol. METHODS: One hundred eight adults with chronic MSK pain will be recruited and evaluated at baseline and after 10 and 26 weeks. At each evaluation, primary (pain-related disability) and secondary (pain severity, kinesiophobia, catastrophization, pain self-efficacy, anxiety, satisfaction, and depression) outcomes will be assessed. After baseline, participants will be randomly assigned to (1) self-management group and (2) supported self-management group. In addition to the 8-week self-management program, participants in the supported self-management group will have two additional 30-minute counselling sessions with a physiotherapist and one 60-minute group session led by a peer living with chronic MSK pain. Linear mixed models will be used to compare the effects of the two delivery modes of the intervention on the outcomes. JOSPT Open 2024;2(4):282-288. Epub 10 September 2024. doi:10.2519/josptopen.2024.0070

FP4.11 - Patient Reported Outcome Measures (PROMs) of Altemeier’s Procedure

Abstract Rectal prolapse (RP) is a debilitating condition that can be managed using Altemeier’s procedure (AP). We aimed to evaluate patient-reported long-term outcomes following AP focusing on symptoms, post-procedure pain and overall satisfaction. Patients who underwent AP in a District General Hospital between January 2015 and December 2022 were reviewed. Patients were contacted by telephone and interviewed using a standardised questionnaire. Likert scores and a Numeric Rating Scale (NRS) were used to assess functional outcome and pain respectively. Indication for surgery, recurrence, and data on further procedures were also collected. Out of 38 patients identified, 20 who underwent AP over the study period (mean age 78 years, s.d. 7.44, Female=20) were contactable and included in our study. In combination with RP, indications for surgery included faecal incontinence, obstructive defaecation symptoms, pain and rectal bleeding. At the time of follow up, 75% of patients reported their initial symptoms to be slightly or much better, 10% reported no change and 15% reported slightly worse symptoms. Prior to AP, 45% of patients reported no pain compared to 70% post-procedure. Severe pain was reported by 30% of patients pre-Altemeier’s compared to five percent post-procedure. Recurrence of RP occurred in 40% patients. 30% of patients required a second procedure. Overall, 80% of patients were satisfied with their outcome and 90% would recommend AP to friends and family. Most patients reported better functional outcome and good overall satisfaction, despite 30% requiring a further procedure. Our study was limited by small sample size and subjectiveness of patient reporting.

THE IMPACT OF HAIR LOSS IN CAMBODIA: CAUSES, PREVENTION METHODS, AND TREATMENT SOLUTIONS

Hair loss is a significant global problem, affecting individuals' quality of life physically and psychologically. In Cambodia, this issue remains understudied despite genetic, environmental, and lifestyle factors contributing to its prevalence. This research investigates hair loss prevention and treatment in Cambodia aiming to develop a comprehensive strategy tailored to the local population. The study evaluates pharmaceutical interventions, such as Minoxidil and Finasteride, surgical options, including Follicular Unit Transplantation (FUT) and Follicular Unit Extraction (FUE), along with natural remedies and lifestyle modifications. Methodology involves an extensive literature review, surveys, and clinical trials with a diverse sample from across Cambodia. Advanced data analysis assesses the effectiveness and side effects of different treatments, while qualitative methods, including interviews and focus groups, explore the psychological impact of hair loss and support systems available. Results indicate that a combined approach—integrating medical treatments, natural remedies, dietary guidance, and stress management—achieves the best outcomes in hair regrowth and patient satisfaction. The research highlights the need for accessible public health initiatives, such as educational campaigns and financial aid, to ensure broad community benefits. In conclusion, a multifaceted strategy combining medical interventions, lifestyle changes, and robust public health policies is advocated. This holistic approach effectively addresses both physical and psychological aspects of hair loss, providing a tailored solution for the Cambodian population.

Low pneumoperitoneum pressure on venous thromboembolism in laparoscopic colorectal cancer surgery: A randomized controlled study

IntroductionVenous thromboembolism (VTE) poses a significant risk in colorectal cancer surgeries due to hypercoagulability and the anatomical challenges of the pelvic cavity. With the advancement of minimally invasive techniques, intraoperative strategies for preventing VTE may prove to be effective. This study explores the effects of intraoperative pneumoperitoneum pressures on VTE incidence following colorectal cancer surgeries. MethodsThis single center parallel randomized controlled double-blind, trial involved 302 patients undergoing elective laparoscopic or robotic colorectal surgery. Patients were randomized to either a standard pneumoperitoneum pressure group (SP: 15 mmHg) or a low-pressure group (LP: 10 mmHg). Primary outcomes measured were the incidence of VTE, including symptomatic and asymptomatic DVT and PE. Secondary outcomes included postoperative D-dimer levels, surgery duration, blood loss, surgeon satisfaction, and oncological quality. ResultsOut of 302 randomized patients, 275 were evaluable post exclusions, with 138 in the SP group and 137 in the LP group. The incidence of VTE was 10.9 % in the SP and 13.9 % in the LP group, with no significant difference between the two (P = 0.450). Secondary outcomes such as D-dimer levels, surgery duration, and blood loss showed no significant differences between two groups. Surgeon satisfaction and oncological outcomes were similarly comparable. ConclusionsThe trial demonstrated no significant difference in the incidence of VTE between standard and low pneumoperitoneum pressures. This suggests that lower pressures may not necessarily provide a benefit in reducing postoperative VTE in colorectal cancer surgeries.

Evaluating the Effectiveness of Innovative Models of Care in Family Medicine: A Comparative Analysis of Health Outcomes and Patient Satisfaction

Medical care in the context of family medicine has evolved with the implementation of innovative models that seek to improve health outcomes and patient satisfaction. This study evaluated the effectiveness of these models through a comparative analysis of health outcomes and patient satisfaction levels in different contexts. A comparative observational study was conducted with 200 participants divided between those who received traditional care and those under innovative models. The results indicated significant improvements in patient satisfaction and in several health indicators in the innovative models. This study suggests that the implementation of new models of care can be an effective strategy to improve care in family medicine.

Efficacy of modified anterior maxillary segmental distraction osteogenesis based on 3D visualisation for the treatment of maxillary hypoplasia among adolescents with cleft lip and palate

BackgroundThis study evaluates a three-dimensional (3D) visualisation design combined with customized surgical guides to assist anterior maxillary segmental distraction osteogenesis (AMSDO) in correcting maxillary hypoplasia in adolescents with cleft lip and palate (CLP), focusing on treatment outcomes, satisfaction and the validity of 3D planning.MethodsThis retrospective cohort study was conducted at a single hospital in China. Between January 2020 and December 2023, 12 adolescents with CLP with maxillary hypoplasia were included. An advanced 3D simulation was used to convey the treatment strategy to the patients and their families. A customized surgical guide and distraction osteogenesis device were designed. Cephalometric analysis evaluated AMSDO changes and long-term stability. Patient satisfaction was assessed. The Chinese version of the Child Oral Health Impact Profile was used to evaluate the children’s oral health-related quality of life before and after treatment. The postoperative outcomes were compared with the planned outcomes by superimposing the actual postoperative data onto the simulated soft tissue models and calculating the linear and angular differences between them.ResultsOne patient experienced postoperative gingivitis, yielding an 8.33% complication rate. Most patients (83.33%) were highly satisfied with the target position, with the rest content. Cephalometric analysis showed significant improvements in various indices post-traction. Quality-of-life scores significantly improved post-treatment. The discrepancies in facial soft tissue between the simulated and actual results were within clinically satisfactory ranges.ConclusionsDigitally designed surgical guides effectively treat maxillary hypoplasia in adolescents with CLP, ensuring stability, reducing complications, reducing dependency on operator experience, and enhancing satisfaction and health outcomes. Although the simulated results were clinically acceptable, it is important to inform patients of potential variations in the predicted soft tissue.

Nurse-Patient Communication: An Examination of Student-Nurses of Post Basic Nursing Anesthesia (PBNA) and Peri-Operative Nursing (PON) of Jos University Teaching Hospital (JUTH), Plateau State, Nigeria

Effective nurse-patient communication is essential for providing high-quality healthcare and ensuring patient safety and satisfaction. Proficiency in English is crucial for nurses to effectively interact with patients, families, and other healthcare professionals. However, many nurses face challenges in using correct grammar and language, which can impact communication and care delivery. This paper explores the relevance of English proficiency in nurse-patient communication, examines the grammar challenges nurses face, and suggests potential strategies to overcome these challenges. A total of 35 student-nurses were randomly selected from the Post Basic Nursing Anesthesia (PBNA) and Peri-Operative Nursing (PON) program at JUTH. The study adopted a mixed-methods research design, combining both qualitative and quantitative data collection and analysis methods. Among other challenges, the study discovered that nurses face problems in the areas of tenses, choice of words, sentence construction, and patients’ poor grasp of English. The study suggests that language training and support, and continuous professional development, etc. can help improve the communication among nurses and with patients. The study thus concludes that proficiency in English and proper grammar usage are essential for effective nurse-patient communication, and overcoming language and grammar challenges can improve patient safety, satisfaction, and healthcare outcomes.

‘A Reputation to Protect’: Sport-Team Reputation as a Strategic Source of Brand Equity

AbstractThis study investigates how sports team reputation shapes brand equity through consumers’ relationship satisfaction, life satisfaction, and commitment. Data were collected from India in two stages, with 523 responses used to test relationships among constructs via structural equation modelling. Barring the effects of social responsibility and financial soundness on relationship satisfaction and the effect of life satisfaction on team brand equity, all hypothesised relationships were significant. Self-congruity also positively moderated relationship satisfaction outcomes, including sport-team heritage, spectator orientation, and management style dimensions. The study’s findings provide important insights for managers, highlighting the crucial role of a strong reputation in building consumer-team loyalty. Our research suggests that marketing strategies should focus on enhancing consumer self-identification by involving fans in on-field and off-field successes to foster meaningful connections.

Prevalence and Predictors of Burnout among Pharmacists at King Abdullah University Hospital, Jordan: A Cross-Sectional Study

Objective: This study aims to determine the prevalence of burnout among hospital pharmacists and to identify the relationship between certain variables and burnout levels. Methods: This is a cross-sectional study where a survey was distributed among hospital pharmacists during a one-month period. A non-probability consecutive sampling method was used, and the total sample size was 42 participants. Descriptive data were presented in frequencies, and an ANOVA test was used to assess the association between demographic variables and burnout levels. Results: Our results showed high levels of burnout among the studied population. While age, gender, years of experience, and number of night shifts were not associated with burnout levels, the number of working hours per week, number of sleeping hours per day, marital status, number of children, and outcome satisfaction were associated with burnout. Conclusions: There is a high prevalence of burnout among pharmacists in Jordan. Factors associated with burnout can be modified to reduce its risk.

Using Existing Resources to Create a Successful End-of-Life Doula Program

The end-of-life doula role has emerged as an integral part of the interdisciplinary team caring for patients. The doulas provide an extra layer of support from a non-clinical lens to prevent crises, follow-up with families, and guide them through their journey. This manuscript describes how a hospice agency developed a performance improvement project to train volunteers to become end-of-life doulas through a rigorous training program, based on the Doula Model of Care. The implementation of the program was evaluated based on caregiver and staff satisfaction, and volunteer knowledge competency. The results from the pilot program showed mixed outcomes for patient and staff satisfaction, but created a rigorous training program for hospice volunteers. The COVID-19 pandemic disrupted data gathering and implementation of the program, so outcomes were varied. However, the program remains successful with ongoing training of the end-of-life doulas and an increase in new volunteers to support the program.

Clinical Working Time and Patient Satisfaction Outcomes: A Crossover Trial Comparing Digital and Conventional Implant Impression Techniques.

Clinical Working Time and Patient Satisfaction Outcomes: A Crossover Trial Comparing Digital and Conventional Implant Impression Techniques.

A Study on Self-Direction, Learning Satisfaction, and Learning Outcomes in Design Thinking-Based Cosmetology Major Classes

A Study on Self-Direction, Learning Satisfaction, and Learning Outcomes in Design Thinking-Based Cosmetology Major Classes

Adjustable continence therapy (ProACT/ACTTM) with periurethral balloons for treatment of stress urinary incontinence: a narrative review.

First-line surgical management of stress urinary incontinence (SUI) currently involves implantation of an artificial urinary sphincter (AUS) in male patients and midurethral sling in female patients. Still, there is demand for a less invasive treatment option without the need to use a device during voiding. Since its first description in 2005, many clinics have implemented adjustable continence therapy balloons in male (ProACTTM) and female patients (ACTTM). Publications on the use of ProACT/ACTTM were reviewed from 2002 until September 2022, focusing on functional and safety outcomes, including predictors of treatment failure and complications. Most publications report the use of ProACTTM in patients after prostate surgery, with approximately 60% experiencing a cure rate and 82% achieving over 50% improvement. Consistent functional outcome assessment in female and neurogenic lower urinary tract dysfunction (NLUTD) patients lacks. Few predictors of treatment failure were described, resulting in an advise to not use the balloons after male pelvic radiation therapy. High revision rates were observed in all patient groups, with balloon defects as one of the most common causes for revision. Based on the current literature, ProACTTM is safe and effective in male patients after prostate surgery, but the role of ProACT/ACTTM in female and NLUTD patients is still unclear. There is need for research of higher level of evidence with uniform outcome assessments. Preferably, ProACTTM is prospectively compared with AUS in a randomized setting. In addition, development of better-quality balloons should reduce mechanical failure and revision surgeries, resulting in improved functional and patient satisfaction outcomes.

An Audit of Outcomes in Cosmetic Rhinoplasty with the Mandatory Psychiatric Evaluation Protocol.

With the high demand of rhinoplasty surgery, careful selection and management of aspirants, as well as proper assessment of outcomes after surgery, are imperative for achieving successful outcomes and learning from it. The aim of this study was to answer two important questions: (1) What is the success rate in cosmetic rhinoplasty? (2) How can we best identify candidates who would achieve good outcomes in cosmetic rhinoplasty? In this study cohort, we excluded patients with any functional concerns and confounding factors that could in any way influence patient satisfaction with a cosmetic surgery. This study is a part of the trilogy of articles on "psychology of rhinoplasty" submitted to this volume of Facial Plastic Surgery, using mandatory psychiatric evaluation (MPE) to optimize candidacy. In total, 184 patients (144 females and 40 males) aged 16 to 63 years (M = 31.09) met the inclusion criteria and were included in this study (follow-up: 3-122 months; M = 70.18 months), and outcome satisfaction was assessed using the visual analog scale (VAS) score and a 5-point Likert scale. The mean improvement between preoperative (M = 4.26) and postoperative VAS scores (M = 8.47) was 4.23. Most patients were happy or very happy (95.1%) about the surgical outcome. Patients who were very happy generally scored between 8 and 10 on the VAS (77.2%) and those who were happy generally scored between 6 and 7.9 (21.2%). Some patients, however, were neutral (3.3%) or unhappy (1.6%) about their surgical outcome, and generally scored around ≤7 on the VAS. Although the successful outcome in 95.1% patients reflects a carefully designed protocol for rhinoplasty candidacy, 4.9% patients reported poor satisfaction despite these efforts. An ever-present proportion of unhappy outcomes is a reality of this popular surgery.

Integrating Psychological Insights into Aesthetic Medicine: A Cross-Generational Analysis of Patient Archetypes (IMPACT Study).

Aesthetic medicine has evolved significantly, accommodating diverse demographics and motivations influenced by societal shifts and technological advancements. The IMPACT (integrative multigenerational psychological analysis for cosmetic treatment) study refines patient archetypes, integrating psychological theories to tailor treatments, especially for younger demographics and LGBTQIA + communities. This cross-sectional study utilized a comprehensive, validated survey with a Cronbach's alpha of 0.89 and a Content Validity Index (CVI) of 0.92, distributed across a globally diverse, generationally stratified sample. Techniques like regression analysis, ANOVA, Bayesian modelling, and factor analysis were employed to analyse the data, focusing on developing nuanced patient archetypes. Among 5645 participants, 5340 complete responses highlighted significant generational differences in aesthetic preferences. Millennials showed a strong preference for non-invasive procedures (β = 0.65, p < 0.001). ANOVA results confirmed significant variances across generations [F (3, 5118) = 157.6, p < 0.001], with post-hoc analyses delineating specific inter-group differences. Bayesian modelling provided insights into the probability of non-invasive preferences among younger cohorts at over 92% certainty. Factor analysis revealed key dimensions such as 'Generational Influence' and 'Technological Adoption,' which helped in defining archetypes including Dynamic Self-Identity, Digital Native, Stability Seeker, Classic Conservatism, and Holistic Health, collectively explaining up to 78% of the variance in responses. The IMPACT study underscores the influence of generational identity and digital exposure on aesthetic preferences, advocating for personalized, archetype-based treatment approaches. This aligns with enhancing patient satisfaction and treatment outcomes, promoting an adaptive aesthetic medicine practice that meets the evolving needs of modern patients. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Teachers’ Work-Life Balance and Well-Being Across Opol East District, Division of Misamis Oriental

The study investigates the relationship between work-life balance and well-being among teachers in Opol East District, Misamis Oriental for the 2023-2024 school year, focusing on workplace support, work-family conflicts, and satisfaction. It involved 159 teachers selected through random sampling and used a descriptive-correlational design with an adapted questionnaire. The findings indicate a generally positive work-life balance, with satisfaction being closely linked to overall well-being. Emotional well-being was particularly strong, while work-family conflict mainly impacted mental well-being, and family-work conflict was significantly associated with social well-being. The study emphasizes the crucial role of workplace support in fostering teachers' well-being and suggests that targeted interventions are needed to manage specific conflicts. It concludes that enhancing work-life balance through supportive policies and a better working atmosphere can significantly improve teachers' well-being, satisfaction, and overall educational outcomes. Schools and educational institutions are encouraged to focus on creating environments that support teacher satisfaction and well-being, contributing to a stronger educational community.

Efficacy and safety of intradetrusor abobotulinumtoxinA and incobotulinumtoxinA in women with overactive bladder and the value of local anesthesia: arandomized clinical study.

Anon-inferiority clinical study evaluated the efficacy and safety of abobotulinumtoxinA vs. incobotulinumtoxinA intradetrusor injections in women with overactive bladder and urge urinary incontinence. Also, the effect of local anesthesia on the pain level of the procedure was assessed. Patients were randomized to receive 20intradetrusor injections of either 300 U abobotulinumtoxinA or 100 U incobotulinumtoxinA. They were further randomized to receive either local anesthesia (40 ml 1% lidocaine solution) or placebo before botulinum toxin injection. Before the procedure and 4months after the procedure each patient reported urinary incontinence episodes, frequency, nocturia, completed the Urogenital Distress Inventory (UDI-6) score, Incontinence Impact Questionnaire (IIQ-7), and Incontinence Quality of Life (I-QOL) questionnaire. Each patient completed apatient satisfaction survey 4 months after the procedure. During the procedure, the patients graded the pain intensity of every injection on avisual analog scale (VAS). The total score of each questionnaire was considered. A total of 54patients with amean age of 66 ± 13(SD) years completed the study. Total scores of UDI‑6, IIQ‑7, I‑QOL, patient satisfaction, urinary incontinence episodes, frequency, nocturia and VAS questionnaires did not show differences between the abobotulinumtoxinA (n = 26) or incobotulinumtoxinA (n = 28) group. Urinary retention requiring catheterization was noted in five patients. The VAS and patient satisfaction questionnaire values did not show significant differences between the group receiving bladder instillation with lidocaine solution (n = 28) or the group receiving placebo (n = 26). In women with overactive bladder and urge urinary incontinence where conservative treatment failed, abobotulinumtoxinA vs. incobotulinumtoxinA intradetrusor injections showed comparable results regarding improved clinical outcome and patient satisfaction. Local anesthesia before the procedure did not reduce the pain level in comparison with the placebo.

Sponsored senior computers never happened – a 20-year perspective on ICT deployment of healthcare at home!

PurposeThe article studies the utilization of ICT within healthcare at home in Sweden overlooking a perspective of 20 + years. Starting point are articles by the authors from 2002 and 2003. These outlined an already feasible ICT supported healthcare at home as a tool to address healthcare’s identified challenges—a growing elderly population and general demand for more healthcare in combination with issues on financing and lack of human resources. Despite early signals the care transition has been unexpectedly slow. Why?MethodsWith the articles as take-off the journey for ICT based healthcare at home up to today is discussed. In the articles five areas considered as critical for a successful transition were pinpointed and are now used to support the authors considerations, reasoning, and conclusions.ResultsResults indicate that technology has never been a limiting factor. Nor has selected medical issues or expected benefits normally been a limitation. Instead limitations and hindrances are found in other areas and activities.ConclusionsTechnology is not the main challenge when it comes to implementation, instead a focus on business models, deployment, and scaling issues is now advocated. Initiatives also must make more use of gained knowledge and experience. Not doing so delays utilization and deployment. The impact on healthcare effects and expected savings may be over-optimistic. A thorough analysis of all associated costs, consequences, investments, and benefits is recommended. Non-digital alternatives must continue to be offered to these who cannot go digital. In communication improved medical outcome and patient satisfaction must be emphasised.

Enhancing Clinical Practice: Creating Dynamic Medical Content in Electronic Medical Records.

The integration of Electronic Medical Records (EMRs) revolutionized healthcare but often retained limitations from paper-based structures. This study proposes a framework for developing dynamic medical content specifically adapted to the clinical context including medical specialty and diseases. Tailoring content to this dynamic context offers several benefits, including improved access to relevant information, streamlined workflows, and potentially better patient outcomes. We applied our framework to develop neurosurgical content, focusing on brain tumors. The method involves defining the medical specialty, outlining user journeys, and iteratively developing artifacts like assessment forms, dashboards, and order sets. Standardized terminologies ensure consistency and interoperability. Our results demonstrate a successful development of content meeting user needs and clinical relevance. While initial implementation focused on neurosurgery, exploring scalability and AI integration offers promising avenues for further advancement. Future studies could quantitatively evaluate the impact of this method on user satisfaction and patient outcomes.