Scottish Medical Journal最新文献

The effect of virtual reality glasses, distraction cards, and breath exercises during Pap smear tests on anxiety, pain, and satisfaction: A randomized controlled trial. 在巴氏涂片检查期间，虚拟现实眼镜、分心卡和呼吸练习对焦虑、疼痛和满意度的影响：一项随机对照试验。

IF 1.4 4区医学

Scottish Medical Journal Pub Date : 2025-03-03 DOI: 10.1177/00369330251321115

Mine Gökduman Keleş, Eylem Toker

{"title":"The effect of virtual reality glasses, distraction cards, and breath exercises during Pap smear tests on anxiety, pain, and satisfaction: A randomized controlled trial.","authors":"Mine Gökduman Keleş, Eylem Toker","doi":"10.1177/00369330251321115","DOIUrl":"https://doi.org/10.1177/00369330251321115","url":null,"abstract":"Background and aim: This study aimed to determine the effect of the use of \"virtual reality (VR) glasses, distraction cards (DCs), and breath exercises (BEs)\" on anxiety, pain, and satisfaction levels of women undergoing Pap smear tests, which is a painful and stressful procedure for women.Methods: The study was conducted as a randomized controlled trial study in a public health center with 140 women (four groups; each group was n = 35) undergoing Pap smear tests. The data were collected using the descriptive information form, state anxiety inventory, the visual analog scale for fatigue, the Newcastle-Satisfaction-Nursing-Care Scale, and the VR glasses application form.Results: After the Pap smear test, anxiety scores decreased significantly within all groups except for the control. The satisfaction scores indicated significant differences between the intervention and the control groups. In terms of the pain scores, the control group had higher pain scores during speculum insertion and the Pap smear test than the other group.Conclusion: The use of VR glasses, DCs, and BEs during a Pap smear test effectively reduces anxiety and pain while increasing satisfaction. These methods are recommended to incorporate into the Pap smear tests.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"369330251321115"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537693","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}

引用次数: 0

Outcomes of robotic-assisted radical nephrectomy during service implementation: Lessons from an audit. 服务实施期间机器人辅助根治性肾切除术的结果：来自审计的经验教训。

IF 1.4 4区医学

Scottish Medical Journal Pub Date : 2025-02-09 DOI: 10.1177/00369330251314079

Samvel Nikoghosyan, Aristeidis Alevizopoulos, Sheikh Nissar Ahmad, Ezgi Aldemir, Arian Arjomandi Rad, Robert Vardanyan

{"title":"Outcomes of robotic-assisted radical nephrectomy during service implementation: Lessons from an audit.","authors":"Samvel Nikoghosyan, Aristeidis Alevizopoulos, Sheikh Nissar Ahmad, Ezgi Aldemir, Arian Arjomandi Rad, Robert Vardanyan","doi":"10.1177/00369330251314079","DOIUrl":"https://doi.org/10.1177/00369330251314079","url":null,"abstract":"Background: Robot-assisted surgery (RAS) is an extension of minimally invasive surgery rapidly gaining acceptance in many conditions. The study aims to assess and share lessons impact of RAS on the radical nephrectomy (RN) service during the implementation phase.Methods: Two separate analyses were carried out: to compare the outcome of all RN - before and after the implementation of RAS regardless of surgical mode, and a direct comparison between two minimal invasive approaches: Robotic-assisted radical nephrectomies (RARNs) and Laparoscopic radical nephrectomies (LRNs).Results: The study included 55 pre- and 45 robotic era RNs: 45 RARNs, 48 LRNs and 7 open radical nephrectomies (ORNs). Following RAS implementation, all RNs transitioned to RARNs. The broader comparison of all RNs in the robotic versus pre-robotic periods revealed significant reductions in estimated blood loss and the length of hospital stay, though operative times were notably longer. In the direct comparison between LRNs and RARNs, no major differences in perioperative outcomes were noted, except for a significantly longer duration of surgery in the RARN group.Conclusion: The introduction of the robotic platform resulted in a paradigm shift in RN service, eliminating ORN and LRN. Despite increasing operative duration, RARNs improved certain perioperative outcomes (specifically length of stay and blood loss) and were favoured over other modalities.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"369330251314079"},"PeriodicalIF":1.4,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383224","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}

引用次数: 0

Gender disparities in adult patients undergoing emergency appendicectomy: A comparative analysis. 急诊阑尾切除术成人患者的性别差异：比较分析。

IF 1.4 4区医学

Scottish Medical Journal Pub Date : 2025-02-01 Epub Date: 2025-01-08 DOI: 10.1177/00369330241307340

Gillian Miller, Lewis S Gall, Andrew Macdonald, Khurram Shahzad Khan

{"title":"Gender disparities in adult patients undergoing emergency appendicectomy: A comparative analysis.","authors":"Gillian Miller, Lewis S Gall, Andrew Macdonald, Khurram Shahzad Khan","doi":"10.1177/00369330241307340","DOIUrl":"10.1177/00369330241307340","url":null,"abstract":"BackgroundEmergency appendicectomy (EA) is a common procedure, yet few studies have focused on gender differences in these patients. This study aims to evaluate the demographics, preoperative investigations, intraoperative findings, and clinical outcomes between males and females undergoing EA.MethodsA multicenter retrospective observational study was conducted across four hospitals involving patients who underwent EA between August 2018 and November 2025. Patients were identified through pathology records, and data were collected on demographics, preoperative blood tests, imaging, operative details, and clinical outcomes and results compared.Results1128 patients were included, with 57.5% being male. Males were younger (median age: 34 vs 40 years, P < .001). There was no significant difference in preoperative white cell or neutrophil counts, although males had lower C-reactive protein levels (median 72 vs 97, P < .001). Females were more likely to undergo pre-operative imaging, including ultrasound (20.7% vs 1.5%, P < .001) and CT scans (61.8% vs 54.9%, P = .020). Open surgery was more common in males (14% vs 6.5%, P < .001). No differences were observed in the severity of appendicitis, negative EA rates, hospital stay duration, postoperative complications, or 30-day readmission rates.ConclusionsAlthough differences exist between genders in terms of age, imaging usage, and surgical approach, clinical outcomes are comparable.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"4-9"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142954398","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}

引用次数: 0

Sex disparities in acute appendicitis. 急性阑尾炎的性别差异。

IF 1.4 4区医学

Scottish Medical Journal Pub Date : 2025-02-01 Epub Date: 2025-03-24 DOI: 10.1177/00369330251314169

James Lucocq, Alexander Walker

引用次数: 0

Expanding indication for healthcare technology: Watch willingness to accept vs. willingness to pay. 医疗保健技术的扩展指标：观察接受意愿与支付意愿。

IF 1.4 4区医学

Scottish Medical Journal Pub Date : 2025-02-01 Epub Date: 2025-03-24 DOI: 10.1177/00369330251318402

Ghulam Nabi

引用次数: 0

Scottish Society of Physicians 66^th Annual Meeting. 苏格兰医师协会第66届年会。

IF 1.4 4区医学

Scottish Medical Journal Pub Date : 2025-02-01 Epub Date: 2025-03-24 DOI: 10.1177/00369330241310303

引用次数: 0

Routine preoperative blood group and save is unnecessary for adult emergency appendicectomies: A retrospective multicentre study. 成人急诊阑尾切除术不需要术前常规血型和保存：一项回顾性多中心研究。

IF 1.4 4区医学

Scottish Medical Journal Pub Date : 2025-02-01 Epub Date: 2024-12-18 DOI: 10.1177/00369330241307338

Iona Robertson, Jeeva Karuniya Sundarraj, Khurram Shahzad Khan

{"title":"Routine preoperative blood group and save is unnecessary for adult emergency appendicectomies: A retrospective multicentre study.","authors":"Iona Robertson, Jeeva Karuniya Sundarraj, Khurram Shahzad Khan","doi":"10.1177/00369330241307338","DOIUrl":"10.1177/00369330241307338","url":null,"abstract":"Background and AimsRoutine group and save (G&S) is commonly performed before appendicectomy despite limited evidence. This study aims to evaluate the necessity of preoperative G&S by determining perioperative blood transfusion rates.MethodsA multicentre retrospective observational study of adult patients who had emergency appendicectomy across four hospitals between August 2018 and November 2020. Data analysed included demographics, operative details, G&S, crossmatching and perioperative blood transfusion.Results1105 patients were identified, 635 (57.4%) were male. Median age was 37 years (IQR 26-52). 1012 (91.6%) were ASA 1 or 2. Surgical approach: 890 (80.5%) laparoscopic, 79 (7.1%) converted to open, 119 (10.8%) open and 17 (1.5%) laparotomy. Severity of appendicitis: 804 (72.8%) inflamed, 56 (5.1%) gangrenous, 235 (21.3%) perforated and 10 (0.9%) normal. 921 (83.3%) patients had preoperative G&S. 42 (3.8%) patients also had crossmatch. No patients required blood transfusion in 30 days post appendicectomy. The cost of G&S is estimated to be £40,164 in this cohort.ConclusionsThe need for perioperative blood transfusion is rare in patients undergoing appendicectomy. It has a significant cost impact and can cause unnecessary delays. Our study suggests that a routine G&S policy is not necessary, and we suggest a more 'selective' G&S policy.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"10-14"},"PeriodicalIF":1.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847605","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}

引用次数: 0

Pancreatic insulinomas: Our 15-year surgical experience. 胰腺胰岛素瘤：我们 15 年的手术经验

IF 1.4 4区医学

Scottish Medical Journal Pub Date : 2024-11-01 Epub Date: 2024-10-16 DOI: 10.1177/00369330241289009

Furkan Karahan, Serkan Karaıslı, Arif Atay, Osman Nuri Dilek, Mehmet Hacıyanlı

{"title":"Pancreatic insulinomas: Our 15-year surgical experience.","authors":"Furkan Karahan, Serkan Karaıslı, Arif Atay, Osman Nuri Dilek, Mehmet Hacıyanlı","doi":"10.1177/00369330241289009","DOIUrl":"10.1177/00369330241289009","url":null,"abstract":"Background: Insulinomas are rare endocrine tumors of the pancreas. The majority are benign, sporadic, and solitary. Surgery is the only curative treatment. In this study, we present our experiences with the perioperative management of sporadic and benign pancreatic insulinomas.Methods: Patients who underwent surgery for pancreatic insulinoma in our clinic between 2008 and 2023 were retrospectively reviewed. Demographic data, preferred radiological methods, surgical procedures, and morbidity and mortality data were evaluated. Patients with malignant, invasive, or familial multiple endocrine neoplasia mutations were excluded from the study.Results: Nineteen patients underwent surgery, with a median age of 49 years (range: 33-85). Symptoms related to hypoglycemia were the most commonly observed. The tumor location was identified preoperatively in 74% of cases using computed tomography. Palpation and intraoperative ultrasound identified the tumor location in 88% of patients. Enucleation (53%) were the most common surgical procedures. Pancreatic fistula occurred in three patients (17%). While serious morbidity was lower in patients who underwent enucleation, the rate of fistula formation was higher.Conclusion: The accurate localization of insulinomas plays a crucial role in determining the appropriate surgical procedure. With high success rates and lower morbidity, enucleation is the recommended procedure for suitable patients.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"108-114"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473898","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}

引用次数: 0

Efficacy and outcomes of a highland prehospital trauma response team. 高原院前创伤应对小组的功效和成果。

IF 1.4 4区医学

Scottish Medical Journal Pub Date : 2024-11-01 Epub Date: 2024-09-05 DOI: 10.1177/00369330241277895

Reuben Burgess, Tom Mallinson, Luke Regan

{"title":"Efficacy and outcomes of a highland prehospital trauma response team.","authors":"Reuben Burgess, Tom Mallinson, Luke Regan","doi":"10.1177/00369330241277895","DOIUrl":"10.1177/00369330241277895","url":null,"abstract":"Background and aims: The Scottish Highlands face unique prehospital care challenges due to population dispersity, mountainous terrain, seasonal weather, and higher trauma burden compared to the nearest Major Trauma Centres (MTCs) as highlighted by the Scottish Trauma Audit Group (STAG). Primary road/air transfer from scene to nearest designated MTC averages 1-5 hours, making prompt and informed utilisation of prehospital and in-hospital resources within the Highlands critical - comparative to other UK metropolitan regions where the trauma population majority lay within 20-45 minute transfer windows. This paper reviews the Highland pre-hospital immediate care and trauma (PICT) Team's trauma response through a retrospective review of PICT patient report forms (PRFs).Methods and results: The analysis highlighted increased trauma response by the team in the nature of attended callouts and interventions utilised. Improving trends of patient outcomes, increased advanced analgesia and medico-surgical intervention utilisation, and relative increase of road traffic collision attendance and trauma-specific calls were noted.Conclusion: Results highlight the Scottish Highlands' trauma burden and PICT's added value; with increased trauma response and improving outcomes. Despite the rate and ratio of major trauma not reducing PICT Team utilisation has, potentially led to fewer patients over narrower geography at later stages in emergency calls accessing the enhanced care doctor and advanced physician team than was achieved previously.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"115-120"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142133668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The state of robotic surgery in Spain: Results of a national survey on robotic surgery. 西班牙机器人手术的现状：全国机器人手术调查结果。

IF 1.4 4区医学

Scottish Medical Journal Pub Date : 2024-11-01 Epub Date: 2024-11-21 DOI: 10.1177/00369330241300376

Gonzalo Azcárraga Aranegui, Jose Antonio Campos Sañudo, Joan Benejam Cual, Roberto Ballestero Diego

{"title":"The state of robotic surgery in Spain: Results of a national survey on robotic surgery.","authors":"Gonzalo Azcárraga Aranegui, Jose Antonio Campos Sañudo, Joan Benejam Cual, Roberto Ballestero Diego","doi":"10.1177/00369330241300376","DOIUrl":"10.1177/00369330241300376","url":null,"abstract":"Background and aims: To assess the present state of robotic surgery and the surgical approaches employed by urology departments utilizing robotic systems in Spain.Methods and results: An email invitation was sent to heads of urology departments in public and private hospitals with surgical robots. A 78-question online questionnaire was distributed, and data were collected over 3 months. Of 82 invitations, 57.31% responded, mostly male (95.7%) urologists over 50 years old, with 77.8% having more than 20 years of practice. About 45.7% worked in both public and private settings. Most units use robots 1-3 days per week, with 56.1% of these units having 1-3 surgeons trained. 92.3% of respondents had laparoscopic experience, and 71.1% received robotic surgery training from the robot company. Radical prostatectomy, pyeloplasty, and cystectomy are mainly performed robotically, while other surgeries vary in approach.Conclusion: Robotic surgery has been firmly established in Spain, although the percentage of surgeries in robotic units remains low. Radical prostatectomy, pyeloplasty, and radical cystectomy with diversion are the most commonly performed techniques using robotic approaches.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"102-107"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682227","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}

引用次数: 0