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Psychological preparation for surgery

https://read.qxmd.com/read/38524395/use-of-topical-corticosteroids-in-the-treatment-of-noninfectious-inflammatory-dermatoses-of-the-scalp-a-survey-of-practicing-dermatologists-and-dermatology-residents-using-delphi-methodology
#1
JOURNAL ARTICLE
Juan Francisco Mir-Bonafé, Jaime Piquero-Casals, Ludmila Prudkin, Jesus Delgado, Julia Santamaria Martínez, Vicente Garcia-Patos Briones
BACKGROUND: Noninfectious inflammatory dermatoses of the scalp are common, and their symptomsin particular, those affecting appearance, can have a psychological effect that may be disproportionate to their clinical severity. Effective, cosmetically acceptable treatments are important to manage these conditions. Topical corticosteroids form the cornerstone of acute treatment for many of these conditions. We surveyed practicing dermatologists and dermatology residents to determine the current clinical practice in prescribing topical corticosteroids for these disorders in their various preparation formats...
2024: Clinical, Cosmetic and Investigational Dermatology
https://read.qxmd.com/read/38513889/-recoma-study-evaluation-of-quality-of-life-and-satisfaction-after-immediate-or-delayed-breast-reconstructio
#2
JOURNAL ARTICLE
Thibaud Boudry, Yolande Maisonnette Escot, Isabelle Pluvy, Damien Feuvrier, Gilles Houvenaeghel, Rajeev Ramanah
OBJECTIVE: Breast reconstruction after mastectomy, whether immediate or delayed, is an integral part of the overall management of breast cancer. However, up to 40% of reconstructed patients are not satisfied with the aesthetic result. The primary objective of the study was to evaluate satisfaction and quality of life according to the reconstruction techniques used in our center. The secondary objectives were to identify the parameters that could influence satisfaction and quality of life after surgery, to list the main complications, and the number of operations required to consider the reconstruction process as completed...
March 19, 2024: Gynecologie, Obstetrique, Fertilite & Senologie
https://read.qxmd.com/read/38502090/nurse-led-cardiac-rehabilitation-care-coordination-program-improving-functional-outcomes-for-patients-through-automatic-referral-and-effective-care-coordination
#3
JOURNAL ARTICLE
Kristi Boggess, Emily Hayes, Mary Lizzie Duffy, Chayawat Indranoi, Andrew B Sorey, Leslie McKeon
PURPOSE: The aim of this investigation was to evaluate the impact of automated cardiac rehabilitation (CR) referral and nurse care coordination on patient and program outcomes. Specifically, the aim was to identify whether differences exist in physical and psychological function at CR Phase 2 enrollment and completion and CR Phase 2 participation and completion for hospitalized patients who receive in-person CR nurse visits versus phone consultation. Using a retrospective pre-/post-intervention descriptive design, a purposive sampling technique was used to select groups with matching clinical attributes...
March 20, 2024: Journal of Cardiopulmonary Rehabilitation and Prevention
https://read.qxmd.com/read/38491395/-i-think-my-vagina-is-still-there-women-s-perspectives-on-sexual-function-and-dysfunction-following-radical-cystectomy-for-bladder-cancer-a-qualitative-study
#4
JOURNAL ARTICLE
Rachel Carmen Ceasar, Seyedeh-Sanam Ladi-Seyedian, Domenique Escobar, Jullet Han, Kailyn Koh, Sima Porten, Carissa Chu, Erin E Gould, Sumeet Bhanvadia
BACKGROUND: Women's sexual health after radical cystectomy is an important but poorly understood aspect of bladder cancer survivorship. Dedicated investigation is needed to elucidate patient perceptions on sexual function and dysfunction in this setting. AIMS: In this study we sought to qualitatively examine women's perceptions and experiences of sexual health following radical cystectomy for bladder cancer. METHODS: We conducted one-on-one qualitative telephone interviews with 40 women who underwent radical cystectomy in the past 6 months to 5 years and signed a research consent form to be contacted for future studies...
March 15, 2024: Journal of Sexual Medicine
https://read.qxmd.com/read/38427053/metatarsal-lengthening-by-distraction-osteogenesis-for-brachymetatarsia-in-paediatric-patients-is-it-safe-and-effective
#5
JOURNAL ARTICLE
Naeem Jagani, Mohamed Fagir, Neel Dalal, Leroy A James
PURPOSE: The primary aim is to assess the efficacy of the surgical callus distraction technique of the metatarsus in paediatric patients. Secondary objectives are to assess complications and treatment duration. We have also described the details of our surgical technique. MATERIALS AND METHODS: A case series review of paediatric patients who had metatarsal lengthening at our unit between 2014 and 2022. Patient demographics, duration of time in frame, complications and metatarsal length achieved were recorded...
March 1, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38426119/patient-centered-evaluation-of-an-expectation-focused-intervention-for-patients-undergoing-heart-valve-surgery-a-qualitative-study
#6
JOURNAL ARTICLE
Caroline Clifford, Evaldas Girdauskas, Susanne G R Klotz, Saskia Kurz, Bernd Löwe, Sebastian Kohlmann
OBJECTIVE: Randomized controlled trials demonstrate the effectiveness of expectation-focused interventions in improving recovery outcomes following cardiac surgery. For dissemination in routine health care, it is important to capture the perspective of affected individuals. This qualitative study explores the perceived benefits and intervention-specific needs of patients who received expectation-focused intervention in the context of heart valve surgery. In addition, it explores potential barriers and adverse effects...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38415871/therapeutic-exercises-for-idiopathic-scoliosis-in-adolescents
#7
REVIEW
Michele Romano, Silvia Minozzi, Josette Bettany-Saltikov, Fabio Zaina, Nachiappan Chockalingam, Tomasz Kotwicki, Axel Maier-Hennes, Chiara Arienti, Stefano Negrini
BACKGROUND: Adolescent idiopathic scoliosis (AIS) is a pathology that changes the three-dimensional shape of the spine and trunk. While AIS can progress during growth and cause cosmetic issues, it is usually asymptomatic. However, a final spinal curvature above the critical threshold of 30° increases the risk of health problems and curve progression in adulthood. The use of therapeutic exercises (TEs) to reduce the progression of AIS and delay or avoid other, more invasive treatments is still controversial...
February 28, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38392040/preparing-for-and-not-waiting-for-surgery
#8
REVIEW
Andrew Bates, Malcolm A West, Sandy Jack, Michael P W Grocott
Cancer surgery is an essential treatment strategy but can disrupt patients' physical and psychological health. With worldwide demand for surgery expected to increase, this review aims to raise awareness of this global public health concern, present a stepwise framework for preoperative risk evaluation, and propose the adoption of personalised prehabilitation to mitigate risk. Perioperative medicine is a growing speciality that aims to improve clinical outcome by preparing patients for the stress associated with surgery...
January 23, 2024: Current Oncology
https://read.qxmd.com/read/38348849/recommendations-on-the-use-of-prehabilitation-i-e-comprehensive-preparation-of-the-patient-for-surgery
#9
JOURNAL ARTICLE
Tomasz Banasiewicz, Jarosław Kobiela, Jarosław Cwaliński, Piotr Spychalski, Patrycja Przybylska, Karolina Kornacka, Dagmara Bogdanowska-Charkiewicz, Magdalena Leyk-Kolańczak, Maciej Borejsza-Wysocki, Dominika Batycka-Stachnik, Rafał Drwiła
Prehabilitation is a comprehensive preparation of a patient for primarily surgical treatments. Its aim is to improve the patient'sgeneral condition so as to reduce the risk of complications and ensure the fastest possible recovery to full health. Thebasic components of prehabilitation include: improvement of nutritional status, appropriate exercises to improve functioning,psychological support, and help in eliminating addictions. Other important aspects of prehabilitation are: increasinghemoglobin levels in patients with anemia, achieving good glycemic control in patients with diabetes, treatment or stabilizationof any concurrent disorders, or specialist treatment associated with a specific procedure (endoprostheses, ostomyprocedure)...
September 15, 2023: Polski Przeglad Chirurgiczny
https://read.qxmd.com/read/38334351/prehabilitation-in-gynecological-oncology-are-we-ready-to-implement-the-program-in-polish-oncological-centers
#10
JOURNAL ARTICLE
Marcin Zebalski, Wojciech Szanecki, Paula Szostek, Krzysztof Nowosielski
OBJECTIVES: Prehabilitation is a concept of holistic approach to the patient and includes preoperative efforts focused on optimalization of patient's general condition. The idea of prehabilitation started at the beginning of the 21st century. However, prehabilitation programs in gynecological cancer patients are not standardized and are heterogeneous. The aim of the study it to present the concept of prehabilitation and propose prehabilitation protocol to be introduced in Polish oncological centers...
February 9, 2024: Ginekologia Polska
https://read.qxmd.com/read/38323880/risk-factors-for-multimodal-conservative-approach-failure-before-bariatric-surgery
#11
JOURNAL ARTICLE
Pia Jaeger, Marie Mortier, Ahmad Alhazmi, Marlon Gaeb, Metin Senkal
BACKGROUND: A multimodal conservative approach (MCA) is internationally recommended prior to bariatric surgery for the majority of patients. This research aimed to identify risk factors for therapy failure within the MCA. METHODS: This study was conducted in a German bariatric obesity centre. Patients who underwent a 3- to 6-month preoperative MCA from November 2019 to October 2020 were prospectively recorded and analysed. MCA included dietary and movement therapy, psychological and endocrinological referral and connection to a patient support group...
January 3, 2024: BJS Open
https://read.qxmd.com/read/38306891/the-impact-of-prehabilitation-on-outcomes-in-frail-and-high-risk-patients-undergoing-major-abdominal-surgery-a-systematic-review-and-meta-analysis
#12
JOURNAL ARTICLE
Pavel Skořepa, Katherine L Ford, Abdulaziz Alsuwaylihi, Dominic O'Connor, Carla M Prado, Dhanny Gomez, Dileep N Lobo
BACKGROUND & AIMS: Prehabilitation comprises multidisciplinary preoperative interventions including exercise, nutritional optimisation and psychological preparation aimed at improving surgical outcomes. The aim of this systematic review and meta-analysis was to determine the impact of prehabilitation on postoperative outcomes in frail and high-risk patients undergoing major abdominal surgery. METHODS: Embase, Medline, CINAHAL and Cochrane databases were searched from January 2010 to January 2023 for randomised clinical trials (RCTs) and observational studies evaluating unimodal (exercise) or multimodal prehabilitation programmes...
January 22, 2024: Clinical Nutrition
https://read.qxmd.com/read/38302857/-surgery-is-my-only-hope-a-qualitative-study-exploring-perceptions-of-living-with-obesity-and-the-prospect-of-having-bariatric-surgery
#13
JOURNAL ARTICLE
Rebecca Keyte, Michail Mantzios, Misba Hussain, Abd A Tahrani, Sally Abbott, Rachel Strachan, Rishi Singhal, Helen Egan
The health benefits of bariatric surgery are well documented; however, the occurrence of weight-regain after surgery, along with the development of mental health difficulties poses a question of how contemporary psychology could assist to prepare people living with obesity prior to undergoing bariatric surgery. This research explored individuals' (in the immediate pre-operative and post-operative population) attitudes, beliefs and experiences towards obesity and their journey to bariatric surgery. Seventeen adult participants (males n = 4; age range: 26-64 years) were recruited and participated in a semi-structured interview...
February 1, 2024: Clinical Obesity
https://read.qxmd.com/read/38283136/comparison-of-remimazolam-versus-sevoflurane-on-the-postoperative-quality-of-recovery-in-cervical-spine-surgery-a-prospective-randomized-controlled-double-blind-trial
#14
RANDOMIZED CONTROLLED TRIAL
Jiwon Lee, Dong Woo Han, Na Young Kim, Keun-Su Kim, Yunil Yang, Juyeon Yang, Hye Sun Lee, Myoung Hwa Kim
PURPOSE: Remimazolam is a newly developed ultra-short-acting benzodiazepine. We compared overall functional recovery, including the postoperative Quality of Recovery-15 (QoR-15) questionnaire scores, between balanced inhalational anesthesia using sevoflurane and total intravenous anesthesia (TIVA) with remimazolam in patients undergoing anterior cervical discectomy and fusion (ACDF). PATIENTS AND METHODS: Seventy-two patients were randomized to the remimazolam (group R) or sevoflurane (group S) group...
2024: Drug Design, Development and Therapy
https://read.qxmd.com/read/38267000/the-effect-of-cannula-drain-in-reducing-edema-and-ecchymosis-after-rhinoplasty
#15
JOURNAL ARTICLE
Saad Younus Sulaiman, Haitham Alnori, Islam Altalibi, Abdulkadir Goksel
Rhinoplasty is one of the most common plastic surgery and is commonly associated with post-operative edema, ecchymosis and pain which play a role in patient dissatisfaction. In this randomized comparative study we discuss the effect of cannula drainage in the reduction of post-operative periorbital edema, ecchymosis, pain and nasal obstruction after open structural septorhinoplasty. The study was conducted at a tertiary referral center from April to November 2022. We performed internal lateral osteotomy on all patients using the lateral saw and aided by lateral osteotome...
January 24, 2024: Facial Plastic Surgery: FPS
https://read.qxmd.com/read/38238119/european-military-surgical-teams-in-combat-theater-a-survey-study-on-deployment-preparation-and-experience
#16
JOURNAL ARTICLE
Frederike J C Haverkamp, Thijs T C F Van Dongen, Michael J R Edwards, Thomas Boel, Antti Pöyhönen, Edward C T H Tan, Rigo Hoencamp
INTRODUCTION: Adequate (predeployment) training of the nowadays highly specialized Western military surgical teams is vital to ensure a broad range of surgical skills to treat combat casualties. This survey study aimed to assess the self-perceived preparedness, training needs, deployment experience, and post-deployment impact of surgical teams deployed with the Danish, Dutch, or Finnish Armed Forces. Study findings may facilitate a customized predeployment training. METHODS: A questionnaire was distributed among Danish, Dutch, and Finnish military surgical teams deployed between January 2013 and December 2020 (N = 142)...
January 10, 2024: Injury
https://read.qxmd.com/read/38229235/preparing-for-colorectal-surgery-a-feasibility-study-of-a-novel-web-based-multimodal-prehabilitation-programme-in-western-canada
#17
JOURNAL ARTICLE
Nathanael Ip, Kexin Zhang, Ahmer A Karimuddin, Carl J Brown, Kristin L Campbell, Joseph H Puyat, Jason M Sutherland, Annalijn I Conklin
AIM: Prehabilitation for colorectal cancer has focused on exercise-based interventions that are typically designed by clinicians; however, no research has yet been patient-oriented. The aim of this feasibility study was to test a web-based multimodal prehabilitation intervention (known as PREP prehab) consisting of four components (physical activity, diet, smoking cessation, psychological support) co-designed with five patient partners. METHOD: A longitudinal, two-armed (website without or with coaching support) feasibility study of 33 patients scheduled for colorectal surgery 2 weeks or more from consent (January-September 2021) in the province of British Columbia, Canada...
January 16, 2024: Colorectal Disease
https://read.qxmd.com/read/38152116/cardiac-rehabilitation-for-elderly-weak-patients-who-undergo-transcatheter-edge-to-edge-repair-a-case-report
#18
Jieru Zou, Xiaoxin Zhang, Jie Yuan, Qingshan Geng, Jingjin Liu
BACKGROUND: The positive role of rehabilitation programmes for some cardiac patient populations (e.g. coronary artery disease, heart failure, transcatheter aortic valve replacement, and heart transplantation) is now well-known. However, the feasibility and outcomes of rehabilitation, prior to or immediately after percutaneous mitral valve reconstruction, using a clamping procedure have been poorly reported, especially among frail elderly patients. CASE SUMMARY: An 85-year-old woman with acute heart failure symptoms (New York Heart Association functional class III), who had acute myocardial infarction 3 months ago, was hospitalized...
January 2024: European Heart Journal. Case Reports
https://read.qxmd.com/read/38073897/clinical-application-of-multidisciplinary-team-and-evidence-based-practice-project-in-gynecological-patients-with-perioperative-hypothermia
#19
JOURNAL ARTICLE
Qing-Yan Liu, Tong-Yang You, Dai-Ying Zhang, Juan Wang
BACKGROUND: Perioperative hypothermia (PH) negatively affects the physical and mental health of patients to varying degrees. Currently, there is no effective multidisciplinary team (MDT) intervention for gynecological patients with PH. AIM: To apply the best evidence on the prevention and management of PH in gynecological patients, improve the quality of perioperative evidence-based care based on treatment by an MDT for gynecological patients and analyze the effect of MDT- and evidence-based practice (EBP) projects on the psychological status and cognitive function of gynecological patients with PH...
November 19, 2023: World Journal of Psychiatry
https://read.qxmd.com/read/38058772/prehabilitation-in-elective-surgical-interventions%C3%A2-what-must-the-general-and-abdominal-surgeon-know
#20
JOURNAL ARTICLE
Carl Meißner, Frank Meyer, Karsten Ridwelski
OBJECTIVES: For years, many efforts have been invested to prepare patients, in particular, those with reduced physical and psychic status, much better to provide and finally achieve better outocme if there is time available to provide several beneficial measures. METHODS: Therefore, the objective was to illustrate the concept and various single elements of a complex prehabilitation concept based on (i) selective references from the medical literature and (ii) own clinical experiences from clinical practice in general and abdominal surgery...
June 2023: Innovative Surgical Sciences
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