-
Ellis Brock posted an update 4 hours, 17 minutes ago
8% (p<0.001) in workshop 1, 26.8% (p<0.001) in workshop 2, 24.9% (p<0.001) in workshop 3, and 18.6% (p<0.001) in workshop 4, with an overall mean of 22.4% (p<0.001) knowledge gained for all four workshops. Nurses reported an increase in skill, comfort, and preparedness at 18months for workshop 1, 2, and 3 and in skill and comfort at 12months for workshop 4 (p<0.01). Faculty evaluation scores ranged from 9.3 to 10.0.
A geriatric oncology curriculum designed for oncology nurses can improve levels of evidence-based knowledge and provide more skill, comfort, and preparedness in caring for this population.
A geriatric oncology curriculum designed for oncology nurses can improve levels of evidence-based knowledge and provide more skill, comfort, and preparedness in caring for this population.
It remains unclear whether minimally invasive pancreaticoduodenectomy (MIPD) and open pancreaticoduodenectomy (OPD) influences long-term survival in periampullary cancers. This review aims evaluate long-term survival between MIPD and OPD for periampullary cancers.
A systematic review was performed to identify studies comparing long-term survival after MIPD and OPD. The I
test was used to test for statistical heterogeneity and publication bias using Egger test. Random-effects meta-analysis was performed for all-cause 5-year (main outcome) and 3-year survival, and disease-specific 5-year and 3-year survival. Meta-regression was performed for the 5-year and 3-year survival outcomes with adjustment for study (region, design, case matching), hospital (centre volume), patient (ASA grade, gender, age), and tumor (stage, neoadjuvant therapy, subtype (i.e. ampullary, distal bile duct, duodenal, pancreatic)). Sensitivity analyses performed on studies including pancreatic ductal adenocarcinoma (PDAC) only.
The review identified 31 relevant studies. Among all 58,622 patients, 8716 (14.9%) underwent MIPD and 49,875 (85.1%) underwent OPD. Pooled analysis revealed similar 5-year overall survival after MIPD compared with OPD (HR 0.78, 95% CI 0.50-1.22, p=0.2). Meta-regression indicated case matching, and ASA Grade II and III as confounding covariates. The statistical heterogeneity was limited (I
=12, χ
=0.26) and the funnel plot was symmetrical both according to visual and statistical testing (Egger test=0.32). Sensitivity subset analyses for PDAC demonstrated similar 5-year overall survival after MIPD compared with OPD (HR 0.69, 95% CI 0.32-1.50, p=0.3).
Long-term survival after MIPD is non-inferior to OPD. Thus, MIPD can be recommended as a standard surgical approach for periampullary cancers.
Long-term survival after MIPD is non-inferior to OPD. Thus, MIPD can be recommended as a standard surgical approach for periampullary cancers.
Friends with benefits encounters are a relatively new pattern of relating among emerging adults where risky sexual behavior may occur.
To understand whether pornography consumption is associated with riskier behaviors during friends with benefits encounters.
Cross-sectional study of 2 samples of emerging adults who have engaged in friends with benefits relationships (study 1,N=411; study 2,N=394). For binary outcomes, we used logistic regression and report odds ratios. For ordinal outcomes, we used ordered logistic regression and reported odds ratios. We tested for moderation by biological sex.
Men who consumed pornography more frequently were more likely to engage in risky sexual behaviors during their friends with benefits encounters. KPT-330 chemical structure More frequent pornography consumption was associated with increased likelihood and amount of intoxication for both the respondent and his partner, less frequent condom use, and a higher probability of having penetrative friends with benefits encounters while intoxicateBlackhurst Z, et al. Is Pornography Consumption Related to Risky Behaviors During Friends with Benefits Relationships?. J Sex Med 2020;172446-2455.
To determine the validity and reliability of a nutrition knowledge questionnaire for adolescents.
An adult questionnaire was administered to 4 high school student convenience samples with and without known prior nutrition education. Questionnaire refinement was determined by item-total correlation, item discrimination, and item difficulty. Mean percentage of correct answers was calculated, and the group difference was assessed using an independent samples t test. A post hoc regression analyzed the association between mean percentage of correct answers and group while controlling for school.
The questionnaire, with 1 question eliminated, had good internal consistency reliability (Cronbach α = 0.83). The nutrition education group (n = 174) demonstrated significantly (P < 0.0001) higher mean percentage of correct answers compared with the no nutrition education group (n = 136). The association between mean percentage of correct answers and the group remained with school controlled.
Results suggest that the questionnaire is valid and reliable for measuring nutrition knowledge in high school-aged adolescents.
Results suggest that the questionnaire is valid and reliable for measuring nutrition knowledge in high school-aged adolescents.
To describe the experiences and perspectives of people with type 2 diabetes mellitus (T2DM) regarding dietetic services and to suggest improvements for their access and delivery.
Semistructured telephone interviews.
Urban and rural Australia.
A total of 30 English-speaking adults with T2DM recruited by means of electronic advertisements and posters.
Engagement with services, adherence to diet, and perspectives regarding dietetic services.
Capability, opportunity, and motivation model of behavior and theoretical domains framework informed the analysis.
Participants were predominantly middle-aged, White, university-educated, and full-time professionals. Most had been diagnosed with T2DM for 2 years or more, were overweight or obese, were on glucose-lowering medication, and had visited the dietitian at least once. Two inter-related behaviors were identified eating a healthy diet for T2DM and participating with dietetic services. Health literacy, as well as support by family, friends, and professionals, were reported as enablers for both these behaviors.