Scottish Medical Journal最新文献

Thyroid incidentalomas in cervical spine MRI. 颈椎MRI中的甲状腺偶发瘤。

IF 1.4 4区医学

Scottish Medical Journal Pub Date : 2025-05-05 DOI: 10.1177/00369330251339732

Dana Khaldun Atiyat, Bayan Naim Abusheikha, Feras Suleiman Al Khatib, Nosaiba Tawfeeq Al Ryalat, Rawand Yahya Husami, Obada Naim Abusheikha, Azmy Hadidy, Saif Aldeen Alryalat

{"title":"Thyroid incidentalomas in cervical spine MRI.","authors":"Dana Khaldun Atiyat, Bayan Naim Abusheikha, Feras Suleiman Al Khatib, Nosaiba Tawfeeq Al Ryalat, Rawand Yahya Husami, Obada Naim Abusheikha, Azmy Hadidy, Saif Aldeen Alryalat","doi":"10.1177/00369330251339732","DOIUrl":"https://doi.org/10.1177/00369330251339732","url":null,"abstract":"BackgroundThe increasing prevalence of thyroid incidentalomas and their uncertain malignancy risk necessitates population-specific analyses. This study aimed to investigate the prevalence and characteristics of thyroid incidentalomas in patients at the University of Jordan.MethodsConducted at the Jordan University Hospital (JUH), the retrospective study reviewed Magnetic Resonance Imaging (MRI) reports. Patients aged 18-83 were included, and MRI findings were screened for thyroid incidentalomas. Further assessments included neck ultrasound (US) and serum thyrotropin (TSH) analysis to evaluate thyroid function.ResultsOf 194 images reviewed, 190 met inclusion criteria, with 128 (67.4%) showing thyroid incidentalomas. Subsequent ultrasound examinations in 28 patients confirmed findings consistent with MRI in 17 cases (60.7%). Of fine-needle aspiration biopsies performed, 38.89% were benign, while 11.11% were classified as atypia or follicular lesions of undetermined significance, ultimately diagnosed as papillary cancer.ConclusionThe study underscores the high prevalence of thyroid incidentalomas in imaging performed for unrelated conditions and highlights their potential malignancy risk. Increased awareness among medical professionals is crucial for timely identification and management. Incidental thyroid lesions on MRI warrant further evaluation to ensure appropriate clinical and diagnostic follow-up.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"369330251339732"},"PeriodicalIF":1.4,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030248","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

Scottish Cardiac Society 33^rd Annual General Meeting Thursday 24 & Friday 25 October 2024. 苏格兰心脏协会第33届年度大会星期四24和星期五25 2024年10月。

IF 1.4 4区医学

Scottish Medical Journal Pub Date : 2025-05-01 Epub Date: 2025-05-03 DOI: 10.1177/00369330241309179

引用次数: 0

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 : 2025-05-01 Epub 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":"10.1177/00369330251321115","url":null,"abstract":"Background and aimThis 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.MethodsThe 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.ResultsAfter 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.ConclusionThe 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":"27-35"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","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 : 2025-05-01 Epub 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":"10.1177/00369330251314079","url":null,"abstract":"BackgroundRobot-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.MethodsTwo 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).ResultsThe 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.ConclusionThe 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":"19-24"},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","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

Modernising management of cancers: Prevent, screen and improve precision in treatment. 癌症现代化管理：预防、筛查和提高治疗精度。

IF 1.4 4区医学

Scottish Medical Journal Pub Date : 2025-05-01 Epub Date: 2025-05-03 DOI: 10.1177/00369330251337828

Ghulam Nabi

引用次数: 0

Cervical cancer prevention - interventions to improve screening. 预防子宫颈癌-改善筛检的干预措施。

IF 1.4 4区医学

Scottish Medical Journal Pub Date : 2025-05-01 Epub Date: 2025-05-03 DOI: 10.1177/00369330251332863

Kalpana Ragupathy, Wendy McMullen

引用次数: 0

A new era in radical nephrectomy: Balancing innovation, training, and cost. 根治性肾切除术的新时代：平衡创新、培训和成本。

IF 1.4 4区医学

Scottish Medical Journal Pub Date : 2025-05-01 Epub Date: 2025-05-03 DOI: 10.1177/00369330251315453

Gonzalo Azcárraga Aranegui, Jose Antonio Campos Sañudo

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