{"title":"Pregnant Women's Awareness of Periodontal Disease Effects: A Cross-Sectional Questionnaire Study in Saudi Arabia.","authors":"Khalid Saad Alkhurayji, Arwa Althumairi, Abdulmunim Alsuhaimi, Sultan Aldakhil, Abdulrahman Alshalawi, Muath Alzamil, Farah Asa'ad","doi":"10.3390/healthcare12232413","DOIUrl":"https://doi.org/10.3390/healthcare12232413","url":null,"abstract":"<p><strong>Background/objectives: </strong>Periodontal disease is an infection of the surrounding and supporting tissues of the teeth. Several associations have been identified for systemic conditions. This study aimed to assess the awareness of pregnant women regarding the link between premature and low-weight births with periodontal diseases.</p><p><strong>Methods: </strong>Using a cross-sectional design, we collected data from the target participants through the Pregnant Women's Periodontal Awareness Questionnaire, employing a convenience sampling technique between November and December 2023. Statistical analyses were performed using descriptive statistics. The statistical significance of all estimations was set at a <i>p</i>-value of ≤0.05.</p><p><strong>Results: </strong>Most participants were ≥31 years of age (210 participants; 67.3%). The percentage of pregnancies occurring in women who were multigravida was 69.6%. Only 29.5% of the participants were knowledgeable about low-weight and premature births with periodontal diseases. The findings indicate an association between the education level and trimester (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Pregnant women's awareness regarding periodontal disease is low, and one-third of them do not visit dental clinics during pregnancy. Expanding access to dental care and reducing anxiety about treatment outcomes can strengthen the relationship between oral health and general health.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HealthcarePub Date : 2024-11-30DOI: 10.3390/healthcare12232407
Hye Jeong Kook, Dong Hoon Kang, Yang Chun Park, Nam Kwen Kim, Hyung Won Kang, In Chul Jung
{"title":"Efficacy and Safety of Virtual Reality-Based Versus Traditional Emotion-to-Emotion Therapy for Treatment of Hwa-Byung: A Protocol for a Single-Center, Randomized, Assessor-Blind, Parallel-Group Clinical Trial.","authors":"Hye Jeong Kook, Dong Hoon Kang, Yang Chun Park, Nam Kwen Kim, Hyung Won Kang, In Chul Jung","doi":"10.3390/healthcare12232407","DOIUrl":"https://doi.org/10.3390/healthcare12232407","url":null,"abstract":"<p><strong>Background: </strong>Hwa-Byung is a culturally bound syndrome prevalent in Korea, characterized by intense emotional distress and physical symptoms related to suppressed anger. Patients frequently report experiencing chest tightness, heat sensations, and globus pharyngeus (the sensation of a lump in the throat). These physical symptoms often accompany psychological distress and can exacerbate the sense of frustration and helplessness associated with the condition. The distinctive presentation of these symptoms highlights the necessity for therapeutic interventions that address both the emotional and physical aspects of Hwa-Byung. Conventional therapeutic methods, such as Emotion-to-Emotion Therapy (ETE), have shown efficacy in treating this condition. This study aims to assess the efficacy of Virtual Reality-based Emotion-to-Emotion Therapy (VR-based ETE) compared to conventional ETE, utilizing immersive digital platforms to enhance therapeutic engagement.</p><p><strong>Methods: </strong>This single-center, randomized, assessor-blind, parallel-group clinical trial will enroll 96 participants, evenly divided into two experimental groups and one control group. Over eight weeks, each participant will undergo 12 intervention sessions. Experimental group 1 will receive conventional ETE, experimental group 2 will receive VR-based ETE, and the control group will receive Hwa-Byung management training materials. The primary outcome will be the change in symptoms, measured by the Likert Scale for Major Symptoms of Hwa-Byung from baseline to 8 weeks. Secondary outcomes will include psychometric scales and physiological measures such as the core seven-emotions inventory short form, physical health questionnaire, stress response index, Beck depression inventory, state-trait anger expression inventory, state-trait anxiety inventory, functional near-infrared spectroscopy, and heart rate variability. For economic efficiency assessment, quality-adjusted life-years will be the primary outcome using the EuroQol-5 dimension, and the secondary outcome will be using the EuroQol visual analog scale.</p><p><strong>Discussion: </strong>ETE is a recognized oriental psychotherapy that enhances symptom management, self-regulation, and stress coping. VR is expected to deepen treatment immersion. By combining these strengths, VR-ETE may further improve emotion regulation and alleviate psychosomatic symptoms. If successful, this study will not only advance the treatment of Hwa-Byung but also contribute to the modernization of traditional Korean medicine through the integration of digital therapies.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HealthcarePub Date : 2024-11-30DOI: 10.3390/healthcare12232410
Antonietta Porzio, Alessandro Feola, Edoardo Mazzini, Angelo Lauro, Maria Rosaria Forte, Marco Trabucco Aurilio, Carlo Pietro Campobasso
{"title":"The Medico-Legal and Social Aspects of the Eligibility Examination for Enrolment in the Seafarers Registry: A Single-Center Retrospective Study.","authors":"Antonietta Porzio, Alessandro Feola, Edoardo Mazzini, Angelo Lauro, Maria Rosaria Forte, Marco Trabucco Aurilio, Carlo Pietro Campobasso","doi":"10.3390/healthcare12232410","DOIUrl":"https://doi.org/10.3390/healthcare12232410","url":null,"abstract":"<p><strong>Background: </strong>Working on board presents unique healthcare challenges for maritime personnel. Italian Law mandates a medical fitness assessment for seafarers registry enrolment. The Port Health Officer assesses seaworthiness and, against this judgment, the applicants can appeal to the First-degree Medical Commission. Studies on maritime personnel's medical fitness are limited and primarily focus on the health conditions of individuals already employed in the maritime sector.</p><p><strong>Methods: </strong>A retrospective study reviewed 459 medical reports of 361 seafarers from Naples' Port Authority First-degree Medical Commission (2013-2022). Characteristics such as sex, age, diseases, and suitability judgments were analyzed.</p><p><strong>Results: </strong>Out of the 361 candidates, most were male with an average age of 28.67 years. A total of 160 (44.32%) were deemed suitable for matriculation in both the first and second categories, 79 (21.88%) were approved for one category, 53 (14.68%) were found not suitable, and 69 (19.11%) are still under assessment. Eye diseases were most common (50.83%), followed by cardiovascular and orthopedic conditions. Applicants with poorly controlled diabetes mellitus, epilepsy, psychiatric disorders, and advanced tumors were declared unsuitable.</p><p><strong>Conclusion: </strong>Our study provides opportunities to improve applicants' awareness of the physical requirements for pursuing a career in navigation and to update the list of illnesses and physical impairments used for this medico-legal evaluation.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HealthcarePub Date : 2024-11-30DOI: 10.3390/healthcare12232408
Jacqueline Carla de Macedo, Clarice Rosa Olivo, Viviani Barnabé, Eduardo Dati Dias, Íbis Ariana Peña de Moraes, Iolanda de Fátima Lopes Calvo Tibério, Celso Ricardo Fernandes de Carvalho, Beatriz Mangueira Saraiva-Romanholo
{"title":"Short-Term Effects of Conventional Chest Physiotherapy and Expiratory Flow Increase Technique on Respiratory Parameters, Heart Rate, and Pain in Mechanically Ventilated Premature Neonates: A Randomized Controlled Trial.","authors":"Jacqueline Carla de Macedo, Clarice Rosa Olivo, Viviani Barnabé, Eduardo Dati Dias, Íbis Ariana Peña de Moraes, Iolanda de Fátima Lopes Calvo Tibério, Celso Ricardo Fernandes de Carvalho, Beatriz Mangueira Saraiva-Romanholo","doi":"10.3390/healthcare12232408","DOIUrl":"https://doi.org/10.3390/healthcare12232408","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Prematurity is a leading cause of infant mortality and mechanical ventilation increases respiratory complication risk. The effects of secretion removal techniques in premature infants remain a topic of ongoing debate. The aim of the study is to compare two secretion removal techniques in premature infants on mechanical ventilation; <b>Methods</b>: The participants were randomized into conventional chest physiotherapy (CPT; <i>n</i> = 22) or expiratory flow increase technique (EFIT; <i>n</i> = 21) groups. Each participant completed four sessions on consecutive days with a minimum of one and a maximum of two sessions per day. We assessed peripheral oxygen saturation (SpO<sub>2</sub>), heart (HR) and respiratory rates (RR), tidal volume (VT), and pain levels at specific time points: before the intervention, immediately after the intervention, 5 min after the intervention, and 10 min after the intervention. The partial Eta squared (ŋ<sub>p</sub><sup>2</sup>) was reported to measure the effect size; <b>Results</b>: HR and RR increased post-intervention in both groups (<i>p</i> < 0.001; HR ŋ<sub>p</sub><sup>2</sup> = 0.51; RR ŋ<sub>p</sub><sup>2</sup> = 0.38); post hoc comparisons showed EFIT group decreased RR from the first to last session (<i>p</i> = 0.045). Both groups exhibited increased VT and SpO<sub>2</sub> in all sessions (<i>p</i> < 0.001; VT ŋ<sub>p</sub><sup>2</sup> = 0.40; SpO<sub>2</sub> ŋ<sub>p</sub><sup>2</sup> = 0.50). The EFIT group had higher SpO<sub>2</sub> values (<i>p</i> = 0.013; ŋ<sub>p</sub><sup>2</sup> = 0.15) and lower pain scores (<i>p</i> < 0.001; ŋ<sub>p</sub><sup>2</sup> = 0.46) post-intervention compared to CPT; <b>Conclusions</b>: CPT and EFIT resulted in similar effects on short-term respiratory parameters and heart rate; however, EFIT had advantages, including lower RR, higher SpO<sub>2</sub>, and reduced pain, suggesting it may be a more effective, comfortable neonatal respiratory treatment.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HealthcarePub Date : 2024-11-30DOI: 10.3390/healthcare12232409
Catarina Fabiola González González, Marcelo Navarro, Fabiola María Del Carmen Helbig Soto, Braulio Henrique Magnani Branco, Daniela Avello, Florencia Carmine, Nicolás Márquez Álvarez, Cristian Sandoval, Síbila Floriano Landim, Marcelo Leiva-Bianch
{"title":"Psychosocial Impact of Quarantines: A Systematic Review with Meta-Analysis.","authors":"Catarina Fabiola González González, Marcelo Navarro, Fabiola María Del Carmen Helbig Soto, Braulio Henrique Magnani Branco, Daniela Avello, Florencia Carmine, Nicolás Márquez Álvarez, Cristian Sandoval, Síbila Floriano Landim, Marcelo Leiva-Bianch","doi":"10.3390/healthcare12232409","DOIUrl":"https://doi.org/10.3390/healthcare12232409","url":null,"abstract":"<p><p><b>Background</b>: Quarantine is one of the most effective strategies to control outbreaks of communicable diseases. Individuals under isolation or quarantine experience both physical and mental effects. Therefore, given its widespread implementation around the world, it is pertinent to analyze this effect on physical and mental health. The psychosocial impact model, which divides four dimensions into two main points, exposure or protection and positive or negative responses, was used to analyze the psychosocial impact of quarantine. <b>Objectives</b>: The present study aimed to investigate the psychosocial impact of people exposed to or protected from quarantine. <b>Methods</b>: We conducted a search for primary articles in the Web of Science and Scopus databases, and after applying the inclusion and exclusion criteria, we meta-analyzed five of them. <b>Results</b>: Quarantined individuals were more likely to experience anxiety (<i>K</i> = 4; <i>OR</i> = 2.62) and depressive symptoms (<i>K</i> = 6; <i>OR</i> = 1.61) compared to those who did not undergo quarantine. Researchers discuss a twofold increase in the probability of anxiety or depression among those in quarantine. As a result, advancing interventions that reduce this impact is critical for both health and the global economy. <b>Conclusions</b>: In terms of economic variables, the non-moderation of GDP per capita and the moderation of the GINI index stand out, demonstrating that countries must move toward policies that promote the reconstruction of more resilient and inclusive societies.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HealthcarePub Date : 2024-11-29DOI: 10.3390/healthcare12232394
Yuan-Ji Zhong, Qing Meng, Chun-Hsien Su
{"title":"Mechanism-Driven Strategies for Reducing Fall Risk in the Elderly: A Multidisciplinary Review of Exercise Interventions.","authors":"Yuan-Ji Zhong, Qing Meng, Chun-Hsien Su","doi":"10.3390/healthcare12232394","DOIUrl":"https://doi.org/10.3390/healthcare12232394","url":null,"abstract":"<p><p>Falls among older adults present a major public health challenge, causing significant physical, psychological, and economic consequences. Exercise interventions are a proven strategy to reduce fall risk by targeting biomechanical, physiological, and psychological factors. This review examines evidence from 155 studies published between 2004 and 2024, including systematic reviews, meta-analyses, randomized controlled trials, and cohort studies. Data were rigorously screened and extracted using predefined criteria, with studies sourced from PubMed, MEDLINE, EBSCO (EDS), and additional gray literature identified via Google Scholar. Key findings show that balance and strength training improves postural control, gait stability, and neuromuscular coordination, while resistance training mitigates sarcopenia and enhances joint mobility. Cognitive exercises enhance attention, spatial awareness, decision-making, and psychological benefits like reduced fear of falling and greater social engagement. Multidisciplinary approaches integrating physical, cognitive, and social components deliver the most significant impact. This review underscores the value of evidence-based exercise programs in promoting active aging and enhancing the quality of life for older adults.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HealthcarePub Date : 2024-11-29DOI: 10.3390/healthcare12232403
Alessandra Inzoli, Marta Barba, Clarissa Costa, Valeria Carazita, Alice Cola, Martina Fantauzzi, Paolo Passoni, Serena Polizzi, Matteo Frigerio
{"title":"The Evil Twins of Chronic Pelvic Pain Syndrome: A Systematic Review and Meta-Analysis on Interstitial Cystitis/Painful Bladder Syndrome and Endometriosis.","authors":"Alessandra Inzoli, Marta Barba, Clarissa Costa, Valeria Carazita, Alice Cola, Martina Fantauzzi, Paolo Passoni, Serena Polizzi, Matteo Frigerio","doi":"10.3390/healthcare12232403","DOIUrl":"https://doi.org/10.3390/healthcare12232403","url":null,"abstract":"<p><strong>Background: </strong>Chronic pelvic pain is a debilitating condition affecting quality of life. Endometriosis is one of the leading causes of CPP, but recent studies highlighted the role of interstitial cystitis/bladder pain syndrome (IC/PBS) in causing CPP. Only some studies addressed the coexistence of these two conditions, which seems more frequent than what is supposed, leading to diagnostic delays and unnecessary surgeries. This systematic review aimed to evaluate the estimate of the prevalence of the comorbidity of endometriosis and IC/PBS.</p><p><strong>Methods: </strong>We performed a systematic review of the literature indexed on PubMed, Scopus, ISI Web of Science, and Cochrane using a combination of keywords and text words represented by \"painful bladder syndrome\", \"endometriosis\", \"interstitial cystitis\", and \"bladder pain syndrome\". We performed a meta-analysis of the results.</p><p><strong>Results: </strong>The meta-analysis shows that the coexistence of endometriosis and IC/PBS in women with CPP ranged from 15.5% to 78.3%, which is higher than the prevalence of IC/PBS in the general population.</p><p><strong>Conclusions: </strong>Prevalence data about the coexistence of endometriosis and IC/PBS are highly heterogeneous, probably due to the paucity of available data. However, in cases of endometriosis unresponsive to treatment, other reasons for CPP (such as IC/PBS) need to be ruled out.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Various Forms of Cardiac Rehabilitation and Their Effect on Frailty Syndrome in Cardiac Patients-A Systematic Review.","authors":"Magdalena Wójciak, Natalia Świątoniowska-Lonc, Kinga Węgrzynowska-Teodorczyk","doi":"10.3390/healthcare12232401","DOIUrl":"https://doi.org/10.3390/healthcare12232401","url":null,"abstract":"<p><p><b>Background:</b> The growing population of the elderly is accompanied by an increase in the number of people with frailty syndrome. Apart from advanced age, the occurrence of cardiovascular diseases is also one of the agents favorable to frailty that is a factor aggravating the disease prognosis. However, it is worth noting that this is an agent changeable by, i.a., movement rehabilitation. Cardiac rehabilitation (CR) based on comprehensiveness, early implementation, and multiplicity is standard intervention in patients with cardiovascular diseases. In cardiac patients with accompanying frailty or pre-frailty syndrome, it is worth making efforts to upgrade the CR program. <b>Methods:</b> Studies on the effect of cardiac rehabilitation or its modifications on the level of frailty of patients with cardiovascular disease were analyzed. <b>Results:</b> Training programs based on endurance training should be supplemented by resistance, balance, mobility, and respiratory exercises. Furthermore, it is important to educate patients about the need to increase daily physical activity. This review presents different approaches to CR (traditional CR, multicomponent training, training with a HAL (Hybrid Assistive Limb), and prehabilitation) and their impact on frailty score. <b>Summary:</b> Early implemented and comprehensive rehabilitation allows for the improvement of the clinical state and for a decrease in overall frailty. It also guarantees safety during everyday activities. It is crucial for the fitness of the elderly to encourage them to increase daily physical activity and to exercises at home.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HealthcarePub Date : 2024-11-29DOI: 10.3390/healthcare12232404
Carlo Ronsini, Irene Iavarone, Alessandro Carotenuto, Antonio Raffone, Giada Andreoli, Stefania Napolitano, Pasquale De Franciscis, Domenico Ambrosio, Luigi Cobellis
{"title":"Now or Later? The Role of Neoadjuvant Treatment in Advanced Endometrial Cancer: A Systematic Review.","authors":"Carlo Ronsini, Irene Iavarone, Alessandro Carotenuto, Antonio Raffone, Giada Andreoli, Stefania Napolitano, Pasquale De Franciscis, Domenico Ambrosio, Luigi Cobellis","doi":"10.3390/healthcare12232404","DOIUrl":"https://doi.org/10.3390/healthcare12232404","url":null,"abstract":"<p><p><b>Background:</b> Endometrial cancer (EC) is, nowadays, the most frequent gynecological malignancy worldwide. The main treatment approach for EC is surgery, especially for early-stage tumors. For advanced EC, chemotherapy (CT) with carboplatin and paclitaxel is the standard treatment, especially for women with metastatic or recurrent disease. The present systematic review aimed to establish whether neoadjuvant treatment regimens with CT and/or radiotherapy (RT) lead to better survival outcomes compared to upfront surgery in advanced EC. <b>Methods:</b> Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, through the string \"((\"Endometrial Neoplasms\"[Mesh]) AND \"Hysterectomy\"[Mesh]) AND \"Radiotherapy\"[Mesh] AND Chemotherapy\", the selection of articles was made. A quality assessment was conducted using the Newcastle-Ottawa Scale (NOS). The studies included patients with EC with survival and recurrence outcomes-patients treated with upfront surgery or neoadjuvant CT ± External Beam Radiation Therapy (EBRT) or CT ± Brachytherapy (BT). <b>Results:</b> According to the selected evidence in the scientific literature, the 5-year DFS was 21.3% for upfront surgery and ranged from 42 to 73% for neoadjuvant chemotherapy. Also, the 5-year OS was 6.2 to 49.7% with upfront surgery and 15.5 to 100% for neoadjuvant schemes. None of the studies dedicated to surgery reported the 5-year Recurrence Rate (RR), while in the neoadjuvant treatments, it ranged from 27 to 64.7%. <b>Conclusions:</b> The literature's paucity of data makes it difficult to compare neoadjuvant therapy regimens with upfront surgery in advanced endometrial carcinoma. Nevertheless, the current data show more encouraging results for the neoadjuvant treatment group.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HealthcarePub Date : 2024-11-29DOI: 10.3390/healthcare12232399
Alba Fernández-Collantes, Cristian Martín-Vázquez, María Cristina Martínez-Fernández
{"title":"Patient and Healthcare Provider Satisfaction with Sexual Assault Nurse Examiners (SANEs): A Systematic Review.","authors":"Alba Fernández-Collantes, Cristian Martín-Vázquez, María Cristina Martínez-Fernández","doi":"10.3390/healthcare12232399","DOIUrl":"https://doi.org/10.3390/healthcare12232399","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The World Health Organization (WHO) estimates that one in three women worldwide has experienced physical or sexual violence. In countries like the US, UK, and Canada, victims are often cared for by sexual assault nurse examiners (SANEs), who are trained to conduct forensic exams and offer emotional support, reducing the risk of retraumatisation. Thus, the aim of this study was to describe the satisfaction of patients and healthcare professionals with SANEs' services. <b>Methods</b>: A systematic review was conducted by searching the PubMed, Web of Science, and Scopus databases, selecting studies that focused on patient and healthcare provider satisfaction with SANEs' services. <b>Results</b>: In total, nine studies meeting the inclusion and exclusion criteria were analysed. Of these, 55% focused on healthcare provider satisfaction, while 44% examined the experiences of sexual assault survivors. All studies examining patient satisfaction with the care provided by SANE professionals (n = 3) reported satisfaction levels exceeding 90%, with many users highly recommending their services. <b>Conclusions</b>: The role of sexual assault nurse examiners is crucial in providing victims with a safe environment and quality of care, and in reducing the risk of retraumatisation.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"12 23","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}