Single Item Research Articles

The Effects of Spiritual Wellbeing on Self-Perceived Health Changes Among Members of the Church of England During the COVID-19 Pandemic in England

This paper tests whether changes in spiritual wellbeing were correlated with self-rated changes in mental and physical health after controlling for changes in psychological wellbeing in a sample from the Church of England taken during the third national COVID-19 lockdown in 2021. During the third lockdown in England an online survey, named Covid-19 and Church-21, was delivered through the Qualtrics XM platform from 22 January to 23 July 2021. The responses included 1878 Anglicans living in England. The change in spiritual wellbeing scale was produced using self-reported changes in the frequency of key spiritual practices (prayer and Bible reading), trust in God, the quality of spiritual life, and spiritual health. Changes in mental and physical health were assessed using single self-report items. Changes in psychological wellbeing were assessed using the Index of Balanced Affect Change (TIBACh). After controlling for changes in psychological wellbeing, better change in spiritual wellbeing was positively correlated with better change in both mental and physical health. Negative affect may have mediated the relationship between spiritual wellbeing and both mental and physical health, and positive affect may also have mediated the relationship with mental health. The results suggest changes in spiritual wellbeing, as defined within a Christian religious context, may have had positive effects in promoting better mental and physical health during a sudden crisis such as the COVID-19 pandemic.

Stress Numerical Rating Scale-11: Validation in Pediatric Inpatient and Outpatient Pain Settings

Stress is a commonly reported issue in pediatric populations of chronic and acute pain. Both outpatient and inpatient settings impose time constraints, which decreases opportunities to measure and address patient stress. The aim of these studies was to evaluate the validity of the Stress Numeric Rating Scale-11 (SNRS-11) in both inpatient and outpatient settings. The SNRS-11 is a single item stress measure ranging from 0 to 10 with endpoint anchors: 0 = “No stress” and 10 = “Highest stress possible”. Results showed discriminative validity in the inpatient sample and convergent and discriminant validity in both outpatient and inpatient samples. Additionally, approximately 40% to 50% of the sample reported moderate-severe stress on all post-operative days. The SNRS-11 shows promise as a quick, easy, and free stress measure to be used in both inpatient and outpatient settings.

Loneliness Among Medical Students, Physician Trainees and Faculty Physicians.

Aims of this study were to explore 1) how often medical students, residents, fellows, and faculty physicians who completed a suicide screening questionnaire at a large US academic medical center endorsed intense loneliness and 2) the relationships of loneliness with other negative mental health states. Between May 2009 and September 2001, all medical students, residents, fellows, and faculty physicians were invited to complete an anonymous online questionnaire as part of a screening program to identify and engage individuals in distress with mental health support. The questionnaire assessed intense loneliness, other affective states known to be associated with suicide risk, burnout, depressive symptoms, and suicidal thoughts and behaviors. Chi-square tests, independent sample t-tests, ANOVA, and correlation analysis were used to examine relationships between loneliness and these other signals of suicide risk. The response rate was ~ 20%. Overall, 364 of 2016 respondents (18.1%) endorsed intense. loneliness "a lot" or "most" of the time. This included 134/641 (20.9%) medical students, 170/703 (24.2%) residents and fellows and 60/664 (9.4%) faculty physicians. A greater odds of endorsing intense loneliness was seen in those under age 40 (OR = 0.35, p < 0.001), women (OR = 1.30, p = 0.030), and non-Whites (OR = 1.70, p < 0.001); and in those with burnout (OR = 3.14, p < 0.001), depression (OR = 12.34, p < 0.001), other intense affective states (OR = 4.34-8.34, p < 0.05), and suicidal ideation (OR = 3.47-13.00, p < 0.001). Interventions to mitigate loneliness in healthcare trainees and professionals may help decrease burnout, depression, and other suicide risk factors. A limitation of the study was the use of a single item to assess loneliness.

Financial Toxicity and Its Association With Health-Related Quality of Life Among Partners of Colorectal Cancer Survivors

Partners of colorectal cancer (CRC) survivors play a critical role in diagnosis, treatment, and survivorship. While financial toxicity (FT) is well documented among patients with CRC, little is known about long-term FT and its association with health-related quality of life (HRQoL) among their partners. To understand long-term FT and its association with HRQoL among partners of CRC survivors. This survey study incorporating a mixed-methods design consisted of a mailed dyadic survey with closed- and open-ended responses. In 2019 and 2020, we surveyed survivors who were 1 to 5 years from a stage III CRC diagnosis and included a separate survey for their partners. Patients were recruited from a rural community oncology practice in Montana, an academic cancer center in Michigan, and the Georgia Cancer Registry. Data analysis was performed from February 2022 to January 2023. Three components of FT, including financial burden, debt, and financial worry. Financial burden was assessed with the Personal Financial Burden scale, whereas debt and financial worry were each assessed with a single survey item. We measured HRQoL using the PROMIS-29+2 Profile, version 2.1. We used multivariable regression analysis to assess associations of FT with individual domains of HRQoL. We used thematic analysis to explore partner perspectives on FT, and we merged quantitative and qualitative findings to explain the association between FT and HRQoL. Of the 986 patients eligible for this study, 501 (50.8%) returned surveys. A total of 428 patients (85.4%) reported having a partner, and 311 partners (72.6%) returned surveys. Four partner surveys were returned without a corresponding patient survey, resulting in a total of 307 patient-partner dyads for this analysis. Among the 307 partners, 166 (56.1%) were aged younger than 65 years (mean [SD] age, 63.7 [11.1] years), 189 (62.6%) were women, and 263 (85.7%) were White. Most partners (209 [68.1%]) reported adverse financial outcomes. High financial burden was associated with worse HRQoL in the pain interference domain (mean [SE] score, -0.08 [0.04]; P = .03). Debt was associated with worse HRQoL in the sleep disturbance domain (-0.32 [0.15]; P = .03). High financial worry was associated with worse HRQoL in the social functioning (mean [SE] score, -0.37 [0.13]; P = .005), fatigue (-0.33 [0.15]; P = .03), and pain interference (-0.33 [0.14]; P = .02) domains. Qualitative findings revealed that in addition to systems-level factors, individual-level behavioral factors were associated with partner financial outcomes and HRQoL. This survey study found that partners of CRC survivors experienced long-term FT that was associated with worse HRQoL. Multilevel interventions for both patients and partners are needed to address factors at individual and systemic levels and incorporate behavioral approaches.

Greener theatre, greener surgery - environmental sustainability in a rural surgical setup.

Greener theatre, greener surgery - environmental sustainability in a rural surgical setup.

NEURAL MECHANISM OF PHYSICAL EXERCISE IN PREVENTING AND TREATING CARDIOVASCULAR DISEASE BY DEEP LEARNING AND EDGE COMPUTING

This paper is to explore the improvement of clinical symptoms in patients with cardiovascular neurosis (CN) by physical exercise based on the deep learning architecture of edge computing, and to deeply explore the effect of physical exercise on autonomic function. Fifty-two patients with CN in this cardiovascular rehabilitation center were randomly divided into drug group and exercise group, with 26 cases in each group, and their electrocardiogram (ECG) was examined. Based on the deep learning architecture of edge computing, a four-layer stacked sparse auto encoder (SSAE) deep neural network was constructed, and the accuracy rates of least squares support vector machine (LSSVM), message passing neural network (MPNN), convolutional neural network (CNN), and SSAEs were measured to be 95.4%, 93.6%, 96.3%, and 99.5%, respectively. After physical exercise intervention, the total score of Symptom Checklist 90 (SCL-90) as well as each single item score were lower in the exercise group than in the drug group ([Formula: see text]). Heart rate recovery (HRR1) improved more significantly after 1[Formula: see text]min of exercise in patients in the exercise group ([Formula: see text]). The low-frequency (LF) power and normalized low-frequency (LFn) power of blood pressure variability (BPV) parameters in the exercise group were lower than those in the drug group ([Formula: see text]); the total power (TP), high-frequency (HF) power, and normalized high-frequency (HFn) power of heart rate variability (HRV) parameters in the exercise group were higher than those in the drug group ([Formula: see text]), LF/HF in the exercise group was lower than that in the drug group ([Formula: see text]); and the baroreflex sensitivity (BRS) in the exercise group was higher than that in the drug group ([Formula: see text]). A four-layer SSAEs was successfully constructed; the mechanism of exercise may be related to the regulation of cardiovascular autonomic nervous function, and it can effectively prevent and treat the clinical symptoms of patients with CN.

Responsiveness and minimal important change of seven PROMIS computerized adaptive tests (CAT) in patients with advanced chronic kidney disease

BackgroundThe Patient-Reported Outcomes Measurement Information System (PROMIS®) has the potential to harmonize the measurement of health-related quality of life (HRQL) across medical conditions. We evaluated responsiveness and minimal important change (MIC) of seven Dutch-Flemish PROMIS computerized adaptive tests (CAT) in Dutch patients with advanced chronic kidney disease (CKD).MethodsCKD patients (eGFR < 30 ml/min.1.73m2) completed at baseline and after 6 months seven PROMIS CATs (assessing physical function, pain interference, fatigue, sleep disturbance, anxiety, depression, and ability to participate in social roles and activities), Short Form Health Survey 12 (SF-12), PROMIS Pain Intensity single item, Dialysis Symptom Index (DSI), and Global Rating Scales (GRS) of change. Responsiveness was assessed by testing predefined hypotheses about expected correlations among measures, area under the ROC Curve, and effect sizes. MIC was determined with predictive modelling.Results207 patients were included; 186 (90%) completed the follow-up. Most results were in accordance with expectations (70–91% of hypotheses confirmed), with some exceptions for PROMIS Anxiety and Ability to Participate (60% and 42% of hypotheses confirmed, respectively). For PROMIS Anxiety and Depression correlations with the GRS were too low (0.04 and 0.20, respectively) to calculate a MIC. MIC values, representing minimal important deterioration, ranged from 0.4 to 2.5 T-score points for the other domains.ConclusionWe found sufficient responsiveness of PROMIS CATs Physical Function, Fatigue, Sleep Disturbance, and Depression. The results for PROMIS CATs Pain Interference were almost sufficient, but some results for Anxiety and Ability to Participate in Social Roles and Activities were not as expected. Reported MIC values should be interpreted with caution because most patients did not change.

Physical Inactivity is Associated with Job Burnout in Health Professionals During the COVID-19 Pandemic.

The pandemic has drastically impacted lifestyles, including the frequency, duration, and intensity of physical activity, which, in turn, leads to negative effects on job burnout among healthcare workers. This study evaluated the association between the level of physical activity and job burnout in a sample of health professionals during health emergency. In this cross-sectional study, 300 workers working in a public hospital, located in the city of Rioja, Department of San Martin, Peru, were considered. Data were collected through an online and face-to-face survey. Job burnout was assessed using a validated questionnaire adapted to the Peruvian population and physical activity was assessed based on a single item. Crude and adjusted linear regression models were created to assess the association between the frequency of physical activity performed weekly and the level of job burnout. In the crude models, it was observed that participants who performed physical activity 1-2 times, 3-4 times, or more than 4 times per week had, respectively, 6.29 (95% CI, 11.00-1.59), 14.28 (95% CI, 21.70-6.85), and 14.95 (95% CI, 25.17-4.72) lower job burnout points compared to those who never performed physical activity. In the model adjusted for confounding variables, the association of this result was maintained, showing a dose-response effect. These findings suggest the need for the implementation of health education programs that include physical activity to minimize the negative effects of job burnout and ensure better medical care by health professionals for the benefit of patients.

From hedonism to frugality: consumption desires in different age groups across 20 years

This article examines different kinds of consumption desires of Finnish consumers by asking how they would change their consumption habits if they had more money at their disposal. As previous research on consumption desires has been mainly based on the essence of desires and the cycle of fulfilling hedonistic desires and creating new ones, this study analyses the desires in the context of the ages of both consumers and consumer society. The focus was differences in consumption desires between age groups and changes across 20 years. The data were derived from three repeated surveys collected in 1999, 2009 and 2019 in Finland (N = 5,459), which were analysed with principal-axis factor analysis and ANCOVA. The factor analysis extracted three types of consumption desires: hedonistic, charitable-cultural and materialistic. Saving-oriented desires were analysed as a single item. Hedonistic consumption desires were the most typical for the youngest age group (18–25), and materialistic desires were the highest for young adults aged 26–35 across all three years of measurement. Older people had the most charitably and culturally oriented desires in 1999, but older age groups’ orientation to saving and charitable giving and culture decreased across 20 years. Hedonistic consumption desires generally decreased over 20 years, particularly in young age groups. Conversely, young people’s desire to save increased significantly, whereas the oldest age groups saved less. The research shows that both changes in consumer values and economic circumstances are manifested in people’s consumption desires.

MP19-05 DAILY ECOLOGICAL MOMENTARY ASSESSMENTS OF PAIN AND ABILITY TO WORK AFTER URETEROSCOPY AND STENTING

You have accessJournal of UrologyCME1 Apr 2023MP19-05 DAILY ECOLOGICAL MOMENTARY ASSESSMENTS OF PAIN AND ABILITY TO WORK AFTER URETEROSCOPY AND STENTING Russell E. N. Becker, John Michael Dibianco, Andrew M. Higgins, Eduardo Kleer, David Leavitt, Andre King, Naveen Kachroo, Sami E. Majdalany, David Gandham, Golena Fernandez Moncaleano, Bronson Conrado, Stephanie Daignault-Newton, Casey A. Dauw, Khurshid R. Ghani, and for the Michigan Urological Surgery Improvement Collaborative Russell E. N. BeckerRussell E. N. Becker More articles by this author , John Michael DibiancoJohn Michael Dibianco More articles by this author , Andrew M. HigginsAndrew M. Higgins More articles by this author , Eduardo KleerEduardo Kleer More articles by this author , David LeavittDavid Leavitt More articles by this author , Andre KingAndre King More articles by this author , Naveen KachrooNaveen Kachroo More articles by this author , Sami E. MajdalanySami E. Majdalany More articles by this author , David GandhamDavid Gandham More articles by this author , Golena Fernandez MoncaleanoGolena Fernandez Moncaleano More articles by this author , Bronson ConradoBronson Conrado More articles by this author , Stephanie Daignault-NewtonStephanie Daignault-Newton More articles by this author , Casey A. DauwCasey A. Dauw More articles by this author , Khurshid R. GhaniKhurshid R. Ghani More articles by this author , and for the Michigan Urological Surgery Improvement Collaborative More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003244.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Ureteral stents can cause significant patient discomfort, yet the temporal dynamics of symptoms and impact on social activities remain poorly characterized. We employed an automated text message tool to collect daily ecological momentary assessments (EMA) following ureteroscopy with stenting regarding pain and ability to work. Our aim was to assess the feasibility of capturing EMA data, and better characterize the postoperative patient experience. METHODS: As an exploratory endpoint within an ongoing pragmatic clinical trial (NCT05026710), patients undergoing ureteroscopy and stone intervention with stenting (without a tether) were asked to complete daily EMAs for 10 days postoperatively, or until the stent was removed, whichever was longer. Stents were removed in the office. Questionnaires were distributed via text message and included a numeric pain scale (0-10) and a single item from the validated PROMIS Ability to Participate in Social Roles and Activities instrument, as well as days missed from work or school. Responses from postoperative day (POD) 1 through the day of stent removal (up to POD10) were analyzed for the first 35 participants in EMAs. RESULTS: Median patient age was 56.1 years (IQR 46.6-62.8), 51% were female. Stones were 66% renal and 34% ureteric, with median stone diameter 8.5mm (IQR 6-10). Daily EMA response rates were >90% for all days through POD10. Median stent dwell time was 7 days (IQR 6-9). Pain scores were highest on POD1 (median score 4) and declined with each day, reaching median score 2 on POD5 (Figure 1, panel A). 65% of patients on POD1 reported they had trouble performing their usual work at least sometimes, but by POD5 this was <50% of patients (Figure 1, panel B). Patients who work or attend school reported a median of 1 day missed (IQR 0-3). CONCLUSIONS: An automated daily text message EMA system for capturing patient reported outcomes was demonstrated to be feasible with sustained excellent response rates. Patients with stents reported the worst pain and interference with work on POD1 with steady improvements thereafter, and by POD5 the majority of patients had minimal pain or trouble performing their usual work. Source of Funding: Coloplast & Blue Cross Blue Shield of Michigan © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e266 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Russell E. N. Becker More articles by this author John Michael Dibianco More articles by this author Andrew M. Higgins More articles by this author Eduardo Kleer More articles by this author David Leavitt More articles by this author Andre King More articles by this author Naveen Kachroo More articles by this author Sami E. Majdalany More articles by this author David Gandham More articles by this author Golena Fernandez Moncaleano More articles by this author Bronson Conrado More articles by this author Stephanie Daignault-Newton More articles by this author Casey A. Dauw More articles by this author Khurshid R. Ghani More articles by this author for the Michigan Urological Surgery Improvement Collaborative More articles by this author Expand All Advertisement PDF downloadLoading ...

PackCache: An Online Cost-Driven Data Caching Algorithm in the Cloud

In this paper, we study a data caching problem in the cloud environment, where multiple frequently co-utilised data items could be packed as a single item being transferred to serve a sequence of data requests dynamically with reduced cost. To this end, we propose an online algorithm with respect to a homogeneous cost model, called <i>PackCache</i> , that can leverage the FP-Tree technique to mine those frequently co-utilised data items for packing whereby the incoming requests could be cost-effectively served online by exploiting the concept of anticipatory caching. We show the algorithm is <inline-formula><tex-math notation="LaTeX">$2/\alpha$</tex-math></inline-formula> competitive, reaching the lower bound of the competitive ratio for any deterministic online algorithm on the studied caching problem, and also time and space efficient to serve the requests. Finally, we evaluate the performance of the algorithm via experimental studies to show its actual cost-effectiveness and scalability.

MP22-16 FINANCIAL TOXICITY IN BLADDER CANCER: ASSOCIATIONS WITH QUALITY OF LIFE AND TIME SINCE CANCER DIAGNOSIS

You have accessJournal of UrologyCME1 Apr 2023MP22-16 FINANCIAL TOXICITY IN BLADDER CANCER: ASSOCIATIONS WITH QUALITY OF LIFE AND TIME SINCE CANCER DIAGNOSIS Stephanie Banks, Weizhou Tang, Kailyn Koh, Leora Steinberg, John L. Gore, Siamak Danneshmand, Ricky Bluthenthal, Reginald Tucker-Seeley, and Sumeet K. Bhanvadia Stephanie BanksStephanie Banks More articles by this author , Weizhou TangWeizhou Tang More articles by this author , Kailyn KohKailyn Koh More articles by this author , Leora SteinbergLeora Steinberg More articles by this author , John L. GoreJohn L. Gore More articles by this author , Siamak DanneshmandSiamak Danneshmand More articles by this author , Ricky BluthenthalRicky Bluthenthal More articles by this author , Reginald Tucker-SeeleyReginald Tucker-Seeley More articles by this author , and Sumeet K. BhanvadiaSumeet K. Bhanvadia More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003247.16AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Financial toxicity (FT) in cancer survivors is associated with low quality of life and poor cancer outcomes. Although bladder cancer is a common malignancy that usually involves costly treatment over a long period of time, there is limited data characterizing the nature of FT in these patients. Our objective was to investigate the relationship between FT and quality of life and assess if FT grew with time since cancer diagnosis. METHODS: Bladder cancer patients were prospectively recruited from an NCI-designated cancer center. Validated measures of the Comprehensive Score for Financial Toxicity (COST) and Bladder Cancer-specific Functional Assessment of Cancer Therapy (FACT-Bl) were used to assess FT and health-related quality of life (HRQOL), respectively. Additional demographic and clinical data were collected from medical records. Bivariate and multivariable logistic regression analyses were used to examine associations between questionnaires and sub-components. Logistic regression analysis was used to assess the relationship between FT and time since cancer diagnosis. RESULTS: 100 patients completed baseline questionnaires. We defined a prior high financial hardship as >75th percentile of COST and used the study mean for FACT-Bl. On bivariate analyses, COST scores were negatively correlated with the FACT-Bl total score (r=-.345, p=.0005), physical domain (r=-.287, p=.004), social domain (r=-.341, p=.0005), and functional domain (r=-.217, p=.032). Logistic regression analysis showed low physical well-being (physical domain of FACT-Bl) was associated with high FT-related psychological burden (psychological domain of COST) after adjusting for age, sex, race, education, and working status (OR: 3.556 CI: 1.128, 11.218; p<.05). Finally, patients over 1 year from diagnosis were more likely to endorse not feeling in control of their finances (single COST item) when controlling for race, sex, language, education, and treatment facility (OR 2.936, CI 1.010, 8.538; p<.05) on logistic regression analysis. CONCLUSIONS: High FT is associated with low HRQOL. Specifically, patients experiencing high psychological aspects of FT are more likely to experience low levels of physical wellbeing. Furthermore, as time since cancer diagnosis grows, patients are less likely to report feeling in control of their financial situation, reinforcing the uniquely high burden of survivorship in bladder cancer. Source of Funding: Grants from the Bladder Cancer Advocacy Network and the Wright Foundation/Southern California Clinical and Translational Science Institute © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e303 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Stephanie Banks More articles by this author Weizhou Tang More articles by this author Kailyn Koh More articles by this author Leora Steinberg More articles by this author John L. Gore More articles by this author Siamak Danneshmand More articles by this author Ricky Bluthenthal More articles by this author Reginald Tucker-Seeley More articles by this author Sumeet K. Bhanvadia More articles by this author Expand All Advertisement PDF downloadLoading ...

Test-retest reliability of single-item assessments of immune fitness, mood, and quality of life

The use of single-item assessments is increasingly important and popular, as these enable quick real-time assessments in clinical practice or research. In this study we investigated the test-retest reliability of single-item assessments of mood (“stress”, “anxiety”, “depression”, “fatigue”, “loneliness”, “being active”, “optimism”, and “happiness”), quality of life, and immune fitness in N = 108 participants. The analysis revealed high test-retest correlations between the single-item assessments (r = 0.67 to 0.90), moderate to excellent intraclass correlations (r = 0.672 to 0.889), and the Bland-Altman analysis revealed agreement between all test-retest assessments, except for depression. Taken together, it can be concluded that the single-item assessments of mood, quality and immune fitness have a good test-retest reliability. This strengthens the rationale for using these single item assessments.

Bidirectional Associations Between Physical Activity and Pain Among Older Adults: An Ecological Momentary Assessment Study.

This paper examines the within-day, bidirectional associations between physical activity and self-reported pain among older adults. Older adults (N = 104; range: 60-98years) participated in a 10-day Ecological Momentary Assessment (EMA) study. Participants received six EMA prompts/day with a single item assessing pain. Participants wore an activPAL monitor measuring step counts. At the within-person level, on occasions when participants took more steps than usual in the 30min before the EMA prompt, they were more likely to experience pain at the prompt (β^02=0.0003, p < .03). At the between-person level, greater step counts in the 30min before the EMA prompt, on average, were associated with less pain on occasions when pain was experienced (β^01=-0.0005, p < .04). Pain was not related to subsequent stepping. Bidirectional associations between physical activity and pain were not documented, but physical activity did appear to be related to subsequent pain.

Global Resilience in Plastic Surgery Study (GRIPS): Resilience is Associated with Lower Burnout Rates.

A survey was sent via email to the members of plastic surgery societies (ICOPLAST) and the trainees from (ASPS) Resident Council from November 2021 through January 2022. The data included: demographics, training program characteristics, physician wellness resources, and single item Maslach-Burnout Inventory and Connor-Davidson Resilience Scale questionnaire. One-hundred seventy-five plastic surgery trainees responded to the survey. Of these, 119 (68%) trainees from 24 countries completed the full survey. Most respondents 110 (92%) had heard of physician burnout, and almost half of respondents (45%) had burnout. The average Connor-Davidson Resilience Scale score varied significantly amongst trainees self-reporting burnout and those who did not (28.6 versus 31.3, P = 0.008). Multivariate logistic regression demonstrated that increased work hours per week were associated with an increased risk of burnout (OR = 1.03, P = 0.04). Higher resilience score (OR = 0.92; P = 0.04) and access to wellness programs (OR = 0.60, P = 0.0004) were associated with lower risk of burnout. Burnout is prevalent across plastic surgery trainees from diverse countries. Increased work hours were associated with burnout, whereas access to wellness programs and higher resilience scores were "protective." Our data suggest that efforts to build resilience may mitigate burnout in plastic surgery trainees.

Perceptions of vaccine safety and hesitancy among incarcerated adults and correctional staff in the rural midwest.

This project assessed vaccine hesitancy among staff and incarcerated adults in one rural medium-security prison in the Midwestern United States and identified differences in hesitancy across sociodemographic and work-related variables. 610 prison staff and people incarcerated completed a cross-sectional survey in May 2021. The vaccine hesitancy scale (VHS) identified perceived risk and confidence in vaccination. A single item assessed whether people typically follow public health protocols in the prison. A combination of analyses was utilized, including ANOVA, Chi-Square, and Pearson's correlation. Vaccine hesitancy was moderate to high for both populations. Incarcerated people had more confidence in vaccination than staff; differences did not reach statistical significance. Incarcerated people had statistically significantly higher perceptions of risk compared to staff. Both populations reported doing their best to follow public health protocols. For both populations, vaccine hesitancy varied by education and veteran status. Among staff, hesitancy varied by gender and political beliefs. For people incarcerated, it varied by pre-incarceration income and visit frequency. Results support the need for public health policy and procedural interventions to reduce hesitancy towards vaccination in correctional settings.

MP45-17 THE NEW COUPLE DYNAMICS AT THE TIME OF COVID-19: HOW THE SEXUAL HEALTH OF MALE AND FEMALE INDIVIDUALS HAS CHANGED DURING THE PANDEMIC

You have accessJournal of UrologyCME1 Apr 2023MP45-17 THE NEW COUPLE DYNAMICS AT THE TIME OF COVID-19: HOW THE SEXUAL HEALTH OF MALE AND FEMALE INDIVIDUALS HAS CHANGED DURING THE PANDEMIC Piero Mannone, Davide Baiamonte, Gabriele Tulone, Gianpaolo Di Gregorio, Nicola Pavan, Rosa Giaimo, and Alchiede Simonato Piero MannonePiero Mannone More articles by this author , Davide BaiamonteDavide Baiamonte More articles by this author , Gabriele TuloneGabriele Tulone More articles by this author , Gianpaolo Di GregorioGianpaolo Di Gregorio More articles by this author , Nicola PavanNicola Pavan More articles by this author , Rosa GiaimoRosa Giaimo More articles by this author , and Alchiede SimonatoAlchiede Simonato More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003291.17AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The current pandemic has forced the population to experiencing negative psychological reactions and changes in sexual behavior. The aim of our study is to investigate how the sexual health of male and female individuals has changed during the COVID pandemic period. METHODS: We conducted a retrospective cohort study with an anonymous survey using the Google Forms platform on a population of individuals of both sexes. Participants were spontaneously enrolled and asked to answer questions regarding their sexual health and habits during the pre-pandemic (T0) and a pandemic (T1) period. Participants were stratified into four age groups: G1 (18-35 yo), G2 (36-50 yo), G3 (51-60 yo), and G4 (61-70 yo). Male and female patients’ sexual function was evaluated with IIEF-15 questionnaire and FSFI questionnaire, respectively; both populations responded to the CSFQ-14 questionnaire. Data were compared between groups reporting the mean standard deviation (SD). Results were compared with the analysis of variance (ANOVA) and the mean scores of the questionnaires were analyzed with the Wilcoxon test. RESULTS: 244 patients, 144 males and 100 females spontaneously participate to the survey. Overall, IIEF-15 score in the general population at T1 were lower than T0 (58.95±15.8 vs 62.44±11.1, p<0.001). However, considering results divided by age groups, there was a statistically significative difference only in the younger age group (G1: 58.22±16.9 vs 63.41±9.7, p<0.0001). Regarding the female subjects, the statistical analysis showed that the differences between T0 and T1 were not statistically significative both for the total population (p=0.9) and for the different age groups. Analyzing the single items of FSFI, Q15 (mean 2.77±1.6 vs 2.46±1.5, p<0.005) and Q16 (mean 2.87±1.5 vs 2.46±2.4, p<0.0001) that are part of the Satisfaction domain, demonstrated a significative differences between groups. In both gender groups there was no differences in CSFQ-14 at T0 and T1. CONCLUSIONS: During the pandemic period, the male population in our study reported an impairment in the sexual function. However, in female individuals there were no variations in the two periods analyzed. The COVID-19 pandemic has played a role in changing couple dynamics and more research will be necessary to study the effects on the sexual health of the affected population. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e628 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Piero Mannone More articles by this author Davide Baiamonte More articles by this author Gabriele Tulone More articles by this author Gianpaolo Di Gregorio More articles by this author Nicola Pavan More articles by this author Rosa Giaimo More articles by this author Alchiede Simonato More articles by this author Expand All Advertisement PDF downloadLoading ...

Long-Term Changes in Poststroke Depressive Symptoms: Effects of Functional Disability and Social Support.

Long-term changes in specific depressive symptoms have rarely been studied in stroke patients. Such changes and the effects of social support and functional disability on specific symptoms after a long-term follow-up period (LTP) were investigated. The Montgomery-Åsberg Depression Rating Scale (MADRS), ENRICHD Social Support Instrument, and modified Rankin Scale (mRS) for functional disability were administered at baseline, a 6-month follow-up, and an LTP (35-83 months). Effects of social support and poor functional outcome (mRS score of 3 to 6) on the 10 single items included on the MADRS were identified. Among 222 patients, mRS score, total MADRS score, and all single-item scores except "concentration difficulties," "inability to feel," and "suicidal thoughts" improved at the 6-month follow-up. From the 6-month follow-up to the LTP, the total MADRS score and half of the single-item scores worsened, although the functional outcome measure continued to improve. In multivariable linear regression tests, low social support was associated with "reduced sleep" (standardized β=0.20; 95% CI=0.06 to 0.34, p=0.005) and "pessimistic thoughts" (standardized β=0.16, 95% CI=0.03 to 0.30, p=0.019), and poor functional outcome was associated with all specific symptoms (standardized β values=0.18-0.43, all p<0.02) except "reduced sleep." Although total MADRS and single-item scores improved in parallel with improvements in functional outcome at the 6-month follow-up, these scores worsened afterward. The lack of social support and presence of functional disability were both associated with total MADRS scores. However, specific symptoms were differentially affected, suggesting that tailored strategies should be applied to manage depression in stroke patients.

Using Meaning Discovery Strategies to Comprehend Idioms and Single Words

Using vocabulary learning strategies allows learners to gain vocabulary autonomously. This study presents data from a self-report survey of Korean university students comparing meaning discovery strategies they employ to comprehend unknown singleword items and unknown idioms. Survey data recorded strategies used by learners, and effectiveness of these strategies measured by rates of correct meaning discovery. The survey revealed that learners relied on context clues, dictionaries, and vocabulary analysis for both idioms and single word vocabulary items with equal effectiveness. Dictionary use was the most effective strategy for correct meaning discovery for both types of vocabulary, although context clues might be a positive factor for idioms but not for single-word items. Data also showed that learners tended to apply strategies methodically rather than heuristically but that methodical application did not necessarily translate into higher rates of correct meaning discovery. Implications for learners and paths for further research are discussed.

Thoughts About Measuring Concepts: Using Single-Item Indicators and Multiple-Item Indicators.

This essay presents a discussion about using a single item to measure a concept versus using multiple items. The discussion is data-based, using the results from a cross-sectional pilot study of correlates of functional status of women and their male partners who were experiencing high-risk childbearing.