المؤلفون: Swamy P; Author Affiliations: Goldberg Center for Community Pediatric Health, Children's National Health System, Washington, District of Columbia (Dr Swamy); Departments of Pediatrics (Drs Monterrey, Duran, Wood, Aririguzo, Moreno, Raphael, and Gupta) and Medicine (Dr Yu), Baylor College of Medicine, Houston, Texas; and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio (Dr Lopez)., Monterrey AC, Duran C, Wood MS, Aririguzo L, Lopez L, Moreno J, Yu X, Raphael JL, Gupta A

المصدر: Journal of public health management and practice : JPHMP [J Public Health Manag Pract] 2024 Jul-Aug 01; Vol. 30 (4), pp. 593-596. Date of Electronic Publication: 2024 Jun 12.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9505213 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-5022 (Electronic) Linking ISSN: 10784659 NLM ISO Abbreviation: J Public Health Manag Pract Subsets: MEDLINE

مواضيع طبية MeSH: Caregivers*/psychology , Caregivers*/statistics & numerical data , Social Determinants of Health*/statistics & numerical data , Mass Screening*/statistics & numerical data , Mass Screening*/methods , Mass Screening*/psychology , Hispanic or Latino*/statistics & numerical data , Hispanic or Latino*/psychology, Humans ; Female ; Male ; Cross-Sectional Studies ; Surveys and Questionnaires ; Adult ; Middle Aged

مستخلص: Equitable social determinants of health (SDOH) screening has been recommended by the Centers for Medicare & Medicaid Services and the Joint Commission; however, little is known about Spanish-speaking caregiver preferences on how they would like to be screened. We conducted a cross-sectional study at 3 pediatric clinics (October-December 2019). Caregivers completed (in English or Spanish) an SDOH screening preferences survey. Three hundred eighty-two of 443 caregivers approached (response rate = 86.2%) completed the survey. Most were female, preferred Spanish, and completed only high school. Spanish-speaking caregivers had greater odds of preferring verbal SDOH screening (odds ratio: 4.1; 95% confidence interval, 1.8-9.2) than English-speaking caregivers. Verbal SDOH screening should be a consideration in families who speak Spanish. Future studies should utilize qualitative methods to further explore Spanish-speaking caregiver preferences for SDOH screening.
Competing Interests: The authors declare no conflicts of interest.
(Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

المؤلفون: Anderson M; Author Affiliations: Assistant Teaching Professor, College of Nursing, Brigham Young University, Provo (Dr Anderson); Assistant Professor, Department of Nursing, Utah Valley University, Orem (Dr Taylor); Assistant Professor, College of Nursing, University of Utah, Salt Lake City (Dr Rowley); Research Assistant, Brigham Young University, Provo (Mr Owens) Research Assistant Professor, University of Utah, Salt Lake City, Utah (Dr Iacob)., Taylor N, Rowley T, Owens C, Iacob E

المصدر: Nurse educator [Nurse Educ] 2024 Jul-Aug 01; Vol. 49 (4), pp. 222-226. Date of Electronic Publication: 2024 Feb 02.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 7701902 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1538-9855 (Electronic) Linking ISSN: 03633624 NLM ISO Abbreviation: Nurse Educ Subsets: MEDLINE

مواضيع طبية MeSH: Faculty, Nursing*/statistics & numerical data , Faculty, Nursing*/psychology , Faculty, Nursing*/supply & distribution , Intention*, Humans ; Cross-Sectional Studies ; Female ; Male ; Adult ; Middle Aged ; Nursing Education Research ; Surveys and Questionnaires ; Personnel Turnover/statistics & numerical data ; Workload/statistics & numerical data ; Mentors/statistics & numerical data

مستخلص: Background: There is a known shortage of nursing faculty in academia. Understanding factors influencing the shortage will help to develop strategies to reduce it.
Purpose: The purpose was to identify the underlying factors influencing the decisions of current and former nursing faculty to leave or consider leaving their teaching roles.
Methods: A cross-sectional state-level survey was distributed to licensed registered nurses and advanced practice registered nurses. The survey covered demographics, employment status, compensation, tenure, mentorship experiences, and significant factors affecting their decision-making.
Results: Of 496 nursing faculty responses (221 current, 275 former), low compensation, unrealistic workload, retirement, lack of appreciation, and personal/family issues were noted as significant reasons for leaving or considering departure.
Conclusions: The study gives voice to various factors influencing nursing faculty's intention to leave and emphasizes the need to address issues of compensation, workload, and mentorship to mitigate faculty shortages.
Competing Interests: The authors declare no conflicts of interest.
(Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc.)

المؤلفون: Goddard SL, Poynten IM; The Kirby Institute, UNSW Sydney, New South Wales, Australia., Petoumenos K; The Kirby Institute, UNSW Sydney, New South Wales, Australia., Jin F; The Kirby Institute, UNSW Sydney, New South Wales, Australia., Hillman RJ; St Vincent's Hospital, Sydney, New South Wales, Australia., Fairley CK; Melbourne Sexual Health Centre, Melbourne, Victoria, Australia, and Central Clinical School Monash University Melbourne, Victoria, Australia., Garland SM, Grulich AE; The Kirby Institute, UNSW Sydney, New South Wales, Australia., Templeton DJ

مؤلفون مشاركون: Study for the Prevention of Anal Cancer (SPANC) Research Team

المصدر: Journal of lower genital tract disease [J Low Genit Tract Dis] 2024 Jul 01; Vol. 28 (3), pp. 305-309. Date of Electronic Publication: 2024 May 06.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9704963 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1526-0976 (Electronic) Linking ISSN: 10892591 NLM ISO Abbreviation: J Low Genit Tract Dis Subsets: MEDLINE

مواضيع طبية MeSH: Homosexuality, Male*/statistics & numerical data , Homosexuality, Male*/psychology, Humans ; Male ; Cross-Sectional Studies ; Middle Aged ; Adult ; Longitudinal Studies ; Aged ; Sexual and Gender Minorities/statistics & numerical data ; Papillomavirus Infections/epidemiology ; Papillomavirus Infections/complications ; Anus Neoplasms/epidemiology

مستخلص: Abstract: We investigated factors associated with "worse than usual" anal health among gay and bisexual men aged ≥35 years recruited to a longitudinal study of anal human papillomavirus infection/lesions from September 2010 to August 2015.Among 616 participants (median age 49 years; 36% HIV-positive), 42 (6.8%) reported worse than usual anal health in the last 4 weeks. Associated factors included spending less time with gay friends (odds ratio [OR] = 2.25, 95% CI = 1.06-4.77), most time "feeling down"(OR = 9.17, 95% CI = 2.94-28.59), reduced libido (OR = 2.90, 95% CI = 1.52-5.52), current anal symptoms (OR = 6.55, 95% CI = 2.54-16.90), recent anal wart diagnosis (OR = 4.33, 95% CI = 1.98-9.49), and fear of developing anal cancer (OR = 9.34, 95% CI = 4.52-19.28).Concerns regarding anal health should be routinely discussed by clinicians, and potentially associated psychosocial, physical, and sexual issues further explored.
Competing Interests: Conflict of interest statement: AEG has received honoraria and research funding from CSL Biotherapies and honoraria and travel funding from Merck and sits on the Australian advisory board for the Gardasil HPV vaccine. IMP has received travel funding from Seqiris, the distributor of Gardasil vaccine in Australia. CKF owns shares in CSL Biotherapies. SMG has received Merck Global Advisory Board fees, grant support through her institution and lecture fees from Merck. All other authors have no conflicts of interest to declare.
(Copyright © 2024, ASCCP.)

المؤلفون: Rodríguez-Sanz J; From the Faculty of Medicine and Health Science of Universitat Internacional de Catalunya, Barcelona, Spain (JR-S, CL-D-C, MC-V, NL-L, AP-B); ACTIUM Functional Anatomy Group, Barcelona, Spain (JR-S, CL-D-C, MC-V, NL-L, AP-B); San Jorge University, Zaragoza, Spain (LER-S); Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina, Barcelona, Spain (CL-D-C); Departamento Técnico y Desarrollo, Podotec3D, Barcelona, Spain (JO-M); Clínica Vitruvio, Madrid, Spain (AF-G); and La Salle Centro Universitario, Madrid, Spain (AF-G)., Roche-Seruendo LE, López-de-Celis C, Canet-Vintró M, Ordoyo-Martin J, Fernández-Gibello A, Labata-Lezaun N, Pérez-Bellmunt A

المصدر: American journal of physical medicine & rehabilitation [Am J Phys Med Rehabil] 2024 Jul 01; Vol. 103 (7), pp. 595-602. Date of Electronic Publication: 2024 Jan 12.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8803677 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-7385 (Electronic) Linking ISSN: 08949115 NLM ISO Abbreviation: Am J Phys Med Rehabil Subsets: MEDLINE

مواضيع طبية MeSH: Cadaver* , Foot*/anatomy & histology , Foot*/physiopathology , Foot Orthoses*, Humans ; Cross-Sectional Studies ; Biomechanical Phenomena ; Male ; Female ; Aged ; Middle Aged ; Fasciotomy ; Fascia/diagnostic imaging

مستخلص: Objective: The aim of the study is to evaluate the effect of minimally invasive ultrasound-guided fascial release and a foot orthoses with first metatarsal head cutout on the biomechanics of the medial longitudinal arch of the foot in cadaveric specimens.
Design: A cross-sectional study was designed (20 body donors). Anthropometric measurements of the foot, foot posture index, and the windlass test and force were measured in different conditions: unloaded, loaded position, with foot orthoses, after a 25% plantar fascia release and after a 50% release.
Results: For the anthropometric measurements of the foot, differences were found in foot length ( P = 0.009), arch height ( P < 0.001), and midfoot width ( P = 0.019) when comparing the unloaded versus foot orthoses condition. When foot orthoses were compared with 25% plantar fascial release, differences were found in foot length ( P = 0.014) and arch height ( P < 0.001). In the comparison with 50% plantar fascial release, differences were found in the arch height ( P < 0.001). A significant interaction between foot orthoses condition and grades was found in the arch height during the windlass test ( P = 0.021).
Conclusions: The results indicate that the presence of foot orthoses leads to a significant increase in arch height compared with other conditions. Furthermore, when plantar fascia release is performed, the arch does not exhibit any signs of collapse.
Competing Interests: Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.
(Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

المؤلفون: Henriquez MA; Research Department (M.A.H., J.E.S., J.L., J.C., L.I.), Oftalmosalud Institute of Eyes, Lima, Perú; Department of Statistics, Demography, Humanities and Social Sciences (J.C.), Universidad Peruana Cayetano Heredia, Lima, Perú; Department of Ophthalmology (P.S.B.), Gavin Herbert Eye Institute, University of California Irvine, Irvine, CA; and San Fernando School of Medicine (L.I.), Universidad Nacional Mayor de San Marcos, Lima, Perú., Sacoto JE, Lopez J, Chauca J, Binder PS, Izquierdo L Jr

المصدر: Eye & contact lens [Eye Contact Lens] 2024 Jul 01; Vol. 50 (7), pp. 283-291. Date of Electronic Publication: 2024 May 07.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 101160941 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1542-233X (Electronic) Linking ISSN: 15422321 NLM ISO Abbreviation: Eye Contact Lens Subsets: MEDLINE

مواضيع طبية MeSH: Keratoconus*/diagnosis , Keratoconus*/diagnostic imaging , Tomography, Optical Coherence*/methods , Corneal Topography*/methods, Humans ; Prospective Studies ; Male ; Cross-Sectional Studies ; Female ; Adult ; Young Adult ; Cornea/pathology ; Cornea/diagnostic imaging ; Anterior Eye Segment/diagnostic imaging ; Anterior Eye Segment/pathology ; Middle Aged ; Normal Distribution

مستخلص: Purpose: To investigate and compare the morphological features and differences among Gaussian, Sagittal, and Tangential anterior corneal curvature maps obtained with an anterior segment optical coherence tomographer combined with a Placido disc MS-39 device in keratoconus (KC) and normal eyes.
Methods: Prospective, cross-sectional study including 37 KC and 51 healthy eyes. The pattern of astigmatism and maximum keratometry (Kmax), keratometry at the thinnest point (Ktp) and 2 mm diameter (K 2mm ), and inferior-superior dioptric asymmetry values were obtained and calculated from Gaussian, Tangential, and Sagittal curvature maps using the MS-39 (CSO).
Results: In KC eyes, an asymmetric bowtie pattern was observed in 64.86% (24/37), 64.86% (24/37), and 0% in the Sagittal, Tangential, and Gaussian maps, respectively. In normal eyes, 51.0% (26/51), 51.0% (26/51), and 0% showed a symmetric bowtie pattern in the Sagittal, Tangential, and Gaussian maps, respectively. There was a significant difference for the variables Kmax, Ktp, and K 2mm inferior among the Gaussian, Tangential, and Sagittal maps in both normal and KC groups. Sensitivity discriminating between normal and KC eyes was 100%, 97.3%, and 90.9% and specificity was 94.1%, 100%, and 100% for Kmax coming from the Tangential, Gaussian, and Sagittal maps, respectively.
Conclusions: Gaussian maps displayed significantly different morphological features when compared with Sagittal and Tangential maps in normal and KC eyes. Anterior curvature maps from Gaussian maps do not show the morphological pattern of symmetric bowtie in normal eyes nor asymmetric bowtie in KC eyes. Kmax from Gaussian maps are more specific, however less sensitive than Tangential maps in discriminating KC from normal eyes.
Competing Interests: The authors have no funding or conflicts of interest to disclose.
(Copyright © 2024 Contact Lens Association of Ophthalmologists.)

المؤلفون: Middlebrooks EH; From the Department of Radiology, Mayo Clinic, Jacksonville, FL (E.H.M., V.P., X.Z., S.S., J.V.M.J., A.K.A., L.O., R.B.S., E.M.W., V.G., S.J.S.S., S.T.); and Department of Neurology, Mayo Clinic, Jacksonville, FL (A.S.L.C., I.V.M.)., Patel V, Zhou X, Straub S, Murray JV Jr, Agarwal AK, Okromelidze L, Singh RB, Lopez Chiriboga AS, Westerhold EM, Gupta V, Sandhu SJS, Marin Collazo IV, Tao S

المصدر: Investigative radiology [Invest Radiol] 2024 Jul 01; Vol. 59 (7), pp. 513-518. Date of Electronic Publication: 2024 Jan 09.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0045377 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1536-0210 (Electronic) Linking ISSN: 00209996 NLM ISO Abbreviation: Invest Radiol Subsets: MEDLINE

مواضيع طبية MeSH: Multiple Sclerosis*/diagnostic imaging , Magnetic Resonance Imaging*/methods, Humans ; Female ; Male ; Adult ; Cross-Sectional Studies ; Retrospective Studies ; Middle Aged ; Reproducibility of Results ; Aged

مستخلص: Objectives: Detection of infratentorial demyelinating lesions in multiple sclerosis (MS) presents a challenge in magnetic resonance imaging (MRI), a difficulty that is further heightened in 7 T MRI. This study aimed to assess the efficacy of a novel MRI approach, lesion-attenuated magnetization-prepared gradient echo acquisition (LAMA), for detecting demyelinating lesions within the posterior fossa and upper cervical spine on 7 T MRI and contrast its performance with conventional double-inversion recovery (DIR) and T2-weighted turbo spin echo sequences.
Materials and Methods: We conducted a retrospective cross-sectional study in 42 patients with a confirmed diagnosis of MS. All patients had 7 T MRI that incorporated LAMA, 3D DIR, and 2D T2-weighted turbo spin echo sequences. Three readers assessed lesion count in the brainstem, cerebellum, and upper cervical spinal cord using both DIR and T2-weighted images in one session. In a separate session, LAMA was analyzed alone. Contrast-to-noise ratio was also compared between LAMA and the conventional sequences. Lesion counts between methods were assessed using nonparametric Wilcoxon signed rank test. Interrater agreement in lesion detection was estimated by intraclass correlation coefficients.
Results: LAMA identified a significantly greater number of lesions than DIR + T2 (mean 6.4 vs 3.0; P < 0.001). LAMA also exhibited better interrater agreement (intraclass correlation coefficient [95% confidence interval], 0.75 [0.41-0.88] vs 0.61 [0.35-0.78]). The contrast-to-noise ratio for LAMA (3.7 ± 0.9) significantly exceeded that of DIR (1.94 ± 0.7) and T2 (1.2 ± 0.7) (all P 's < 0.001). In cases with no lesions detected using DIR + T2, at least 1 lesion was identified in 83.3% with LAMA. Across all analyzed brain regions, LAMA consistently detected more lesions than DIR + T2.
Conclusions: LAMA significantly improves the detection of infratentorial demyelinating lesions in MS patients compared with traditional methods. Integrating LAMA with standard magnetization-prepared 2 rapid acquisition gradient echo acquisition provides a valuable tool for accurately characterizing the extent of MS disease.
Competing Interests: Conflicts of interest and sources of funding: E.H.M. has received unrelated research funding from Varian Medical Systems, Inc and Vigil Neuroscience, Inc. He is a paid lecturer for Varian Medical Systems, Inc and Siemens Healthineers. He is a consultant for Boston Scientific Corp and Varian Medical Systems, Inc. For the remaining authors, none were declared. No funding was received for this work.
(Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

المؤلفون: Gregory EF; Author Affiliations: Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (Drs Gregory and Tindall, Mr Ibarra, and Dr Virudachalam); Clinical Futures, Children's Hospital of Philadelphia, Philadelphia, PA (Dr Gregory, Ms Maddox, and Drs Tindall and Virudachalam); PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA (Dr Gregory, Ms Maddox, and Drs Tindall and Virudachalam)., Maddox AI, Tindall A, Ibarra JL, Virudachalam S

المصدر: Family & community health [Fam Community Health] 2024 Jul-Sep 01; Vol. 47 (3), pp. 231-238. Date of Electronic Publication: 2024 May 07.

نوع المنشور: Journal Article; Comparative Study

بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 7809641 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-5057 (Electronic) Linking ISSN: 01606379 NLM ISO Abbreviation: Fam Community Health Subsets: MEDLINE

مواضيع طبية MeSH: Parents*/psychology , Cardiovascular Diseases*/epidemiology, Humans ; Female ; Male ; Cross-Sectional Studies ; Adult ; Middle Aged ; United States/epidemiology ; Nutrition Surveys ; Young Adult ; Parenting/psychology ; Body Mass Index

مستخلص: Background and Objectives: We compared cardiovascular health for parents and non-parents using the American Heart Association's Life's Essential 8 (LE8).
Methods: This cross-sectional cohort analyzed 2011-2018 NHANES participants aged 20 to 54. The exposure was parenting, defined as living with a child. Logistic regression assessed whether parenting was associated with odds of ideal LE8 total or sub-scores. Regression adjusted for age, sex, race and ethnicity, educational attainment, marital status, and income. Subgroups included female sex, male sex, income <150% federal poverty levels, and parents of younger children.
Results: 6847 participants represented a weighted population of 79 120 285 (57% parents). Parenting was not associated with adjusted odds of ideal total LE8 (OR 0.91, 95% CI 0.76-1.09). Parenting was associated with decreased odds of ideal body mass index (BMI) (OR 0.81, 95% CI 0.72-0.91) and increased odds of smoking avoidance (OR 1.22, 95% CI 1.09-1.38). Associations varied by subgroup. Only the subgroup with lower incomes demonstrated reduced odds of ideal total LE8 for parents (OR 0.58, 95% CI 0.41-0.82).
Conclusions: Parents and non-parents differed in smoking and BMI, though not in LE8 total. Families with low incomes may particularly benefit from dual generation cardiovascular risk reduction.
Competing Interests: The authors declare no conflicts of interest.
(Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

المؤلفون: Peeler J; From the Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada (JP, TO); Division of Orthopaedics, Department of Surgery, Queen's University, Kingston, Canada (SM); and Division of Physical Medicine and Rehabilitation, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada (JY)., Mann S, Orchard T, Yu J

المصدر: American journal of physical medicine & rehabilitation [Am J Phys Med Rehabil] 2024 Jul 01; Vol. 103 (7), pp. 624-631. Date of Electronic Publication: 2024 Jan 06.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8803677 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-7385 (Electronic) Linking ISSN: 08949115 NLM ISO Abbreviation: Am J Phys Med Rehabil Subsets: MEDLINE

مواضيع طبية MeSH: Education, Medical, Undergraduate* , Curriculum* , Clinical Clerkship*, Humans ; Canada ; Cross-Sectional Studies ; Anatomy/education ; Accreditation ; Musculoskeletal System/anatomy & histology ; Physical and Rehabilitation Medicine/education ; Musculoskeletal Diseases

مستخلص: Objective: The aim of the study is to document the current state of musculoskeletal (MSK) medicine education across nationally accredited undergraduate medical programs.
Design: A cross-sectional survey design was used to gather curricular data on the following three musculoskeletal themes: (1) anatomy education, (2) preclinical education, and (3) clerkship education.
Results: The survey had a 100% response rate with all 14 English-language medical schools in Canada responding. The mean time spent teaching musculoskeletal anatomy was 29.8 hrs (SD ± 13.7, range = 12-60), with all but one program using some form of cadaveric-based instruction. Musculoskeletal preclinical curricula averaged 58.0 hrs (SD ± 53.4, range = 6-204), with didactic lectures, case-based learning, and small group tutorials being the most common modes of instruction. Curricular content varied greatly, with only 25% of "core or must-know" musculoskeletal topics being covered in detail by all programs. Musculoskeletal training in clerkship was required by only 50% of programs, most commonly being 2 wks in duration.
Conclusions: Results document the large variability and curricular inadequacies that exist in musculoskeletal education across nationally accredited allopathic programs and highlight the need for the identification and implementation of more consistent musculoskeletal curricular content and educational standards by all nationally accredited medical programs.
Competing Interests: Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.
(Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

المؤلفون: Walker C; Author Affiliation: Assistant Professor, Department of Nursing, The University of Scranton, Scranton, Pennsylvania.

المصدر: Nurse educator [Nurse Educ] 2024 Jul-Aug 01; Vol. 49 (4), pp. 200-205. Date of Electronic Publication: 2023 Nov 23.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 7701902 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1538-9855 (Electronic) Linking ISSN: 03633624 NLM ISO Abbreviation: Nurse Educ Subsets: MEDLINE

مواضيع طبية MeSH: Students, Nursing*/psychology , Students, Nursing*/statistics & numerical data , Education, Nursing, Baccalaureate* , Nursing Education Research* , Test Anxiety*/psychology, Humans ; Female ; Male ; Cross-Sectional Studies ; Adult ; Young Adult ; Nursing Evaluation Research ; Sex Factors ; Educational Measurement/statistics & numerical data

مستخلص: Background: Test-taking is a prominent cause of anxiety for nursing students. Test anxiety may interfere with academic performance, program completion, and successful transition to practice. Prior research suggests that nursing students are more test-anxious than other students, yet this concept is not well studied.
Purpose: This study examined differences between test anxiety in nursing and nonnursing students while comparing current trends related to academic level and gender.
Methods: Using a cross-sectional design, participants completed the Test Anxiety Inventory as a measure of perceived test anxiety.
Results: Minimal differences in scores based on major and academic level were found. Differences based on gender were noted with females reporting higher levels of test anxiety.
Conclusions: Findings may help nurse educators better understand test anxiety and guide the implementation of supportive strategies to improve learning outcomes.
Competing Interests: The author declares no conflicts of interest.
(Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)

المؤلفون: Petrovic B; Clinic for Gynecology and Obstetrics, University Clinical Center of Serbia., Milicevic S; Clinic for Gynecology and Obstetrics, University Clinical Center of Serbia.; Faculty of Medicine, University of Belgrade., Sljivancanin D; Clinic for Gynecology and Obstetrics, University Clinical Center of Serbia.; Faculty of Medicine, University of Belgrade., Zdelar Stojanovic L; Clinic for Gynecology and Obstetrics, University Clinical Center of Serbia., Stamenkovic J; Clinic for Gynecology and Obstetrics, University Clinical Center of Serbia.; Faculty of Medicine, University of Belgrade., Grk M; Institute of Human Genetics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia., Dusanovic Pjevic M; Institute of Human Genetics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

المصدر: Clinical dysmorphology [Clin Dysmorphol] 2024 Jul 01; Vol. 33 (3), pp. 137-144. Date of Electronic Publication: 2024 Feb 16.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: England NLM ID: 9207893 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-5717 (Electronic) Linking ISSN: 09628827 NLM ISO Abbreviation: Clin Dysmorphol Subsets: MEDLINE

مواضيع طبية MeSH: Ultrasonography, Prenatal*/methods , Karyotyping*/methods , Abnormal Karyotype* , Fetus*/abnormalities , Fetus*/diagnostic imaging, Humans ; Female ; Pregnancy ; Cross-Sectional Studies ; Adult ; Chromosome Aberrations

مستخلص: Objective: Fetuses with abnormal karyotypes often exhibit distinctive ultrasonographic markers, including major anomalies and "soft" markers, indicating potential chromosomal issues. A crucial consideration arises when a single fetal anomaly is detected, raising the question of whether karyotyping is warranted, given the associated procedural risks. Our objective was to establish correlations between single fetal anomalies identified through ultrasound and chromosomal abnormalities.
Methods: A cross-sectional study analyzed the karyotype of 1493 fetuses and detected a single ultrasonographic anomaly over a 16-year period. Karyotyping was performed using the standard karyotype technique. Moreover, data regarding the type of anomaly detected ultrasonographically, karyotype results, and outcomes following interventions were collected. Among other methods, the use of positive likelihood ratios (LR+) was used to evaluate the diagnostic accuracy of ultrasound compared to karyotyping.
Results: In total, an aberrant karyotype was identified in 99 fetuses (6.6%). This was most commonly observed in cases involving a "soft" marker, occurring in 27 out of 218 fetuses (12.4%). The most frequently detected aberrant karyotype resulted from aneuploidies (80.6% of cases), notably trisomy 21 (50.5%). "Soft" markers predicted chromosomal issues (LR+ = 1.9; OR = 2.4), and isolated polyhydramnios (LR+ = 1.54; OR = 1.6) showed significance in predicting fetal chromosomal aberrations.
Conclusion: When assessing the necessity for karyotyping in fetuses with single major anomalies or "soft" markers, it is crucial to consider individual risks for chromosomopathies, including the LR+ of the detected marker. In cases where fetuses exhibit isolated anomalies with a normal karyotype, additional diagnostic measures, such as molecular cytogenetic and molecular genetics techniques, may become necessary.
(Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)