Scottish Medical Journal最新文献

Impact of rehabilitation on quality of life in stroke patients. 康复对脑卒中患者生活质量的影响。

IF 1.2 4区医学

Scottish Medical Journal Pub Date : 2025-09-22 DOI: 10.1177/00369330251379623

Keziban Koçyiğit, Zuhal Özişler, Naime Meriç Konar

{"title":"Impact of rehabilitation on quality of life in stroke patients.","authors":"Keziban Koçyiğit, Zuhal Özişler, Naime Meriç Konar","doi":"10.1177/00369330251379623","DOIUrl":"https://doi.org/10.1177/00369330251379623","url":null,"abstract":"BackgroundThe aim of this study was to assess the efficacy of post-stroke rehabilitation and to determine the influence of differing rehabilitation program components on changes in quality of life (QoL).Methods120 patients diagnosed with stroke were included in this study. The sample comprised 53 males and 67 females, exhibiting a meantime since the event of 77.7 ± 70.5 days (range:30-365 days). Patient sociodemographic data, stroke characteristics, and received rehabilitation services were documented upon admission. Hemiplegic patients' motor development was assessed using the Brunnstrom stages. QoL was assessed using the stroke-specific quality of life scale (SS-QOL).ResultsInpatient rehabilitation lasted an average of 59.71 ± 19.56 days (range:30-70 days). A comparison of SS-QOL scale scores at admission and discharge among rehabilitation patients revealed improvements in both the overall mean and all subscales. Statistically significant improvements were found in all rehabilitation sub-dimensions. Cognitive rehab significantly improved patients' social, language, vision, cognitive, and personality functioning. Analysis revealed significant enhancements in mood and activity among subjects undergoing lower extremity robotic rehabilitation and balance laboratory treatment. Hand support showed significant improvement across all measured sub-dimensions.ConclusionsOur research facilitated a comprehensive assessment of stroke-induced impairments, demographic variables, and individualized treatment modalities influencing QoL, as measured by a dedicated SS-QOL scale.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"369330251379623"},"PeriodicalIF":1.2,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125781","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

Predictors of advanced stage and emergency presentation in colorectal cancer patients in central Scotland: A retrospective cohort study. 苏格兰中部结直肠癌晚期和急诊表现的预测因素：一项回顾性队列研究

IF 1.2 4区医学

Scottish Medical Journal Pub Date : 2025-08-19 DOI: 10.1177/00369330251368952

Peter Sciberras, Philip Paris, Gloria Montebello, Rebecca Calleja, Rebecca Bugeja, John Camilleri-Brennan

{"title":"Predictors of advanced stage and emergency presentation in colorectal cancer patients in central Scotland: A retrospective cohort study.","authors":"Peter Sciberras, Philip Paris, Gloria Montebello, Rebecca Calleja, Rebecca Bugeja, John Camilleri-Brennan","doi":"10.1177/00369330251368952","DOIUrl":"10.1177/00369330251368952","url":null,"abstract":"Background and AimsTo determine which factors were associated with and predictive of an advanced stage at diagnosis and emergency mode of presentation in colorectal cancer patients.Methods and ResultsA total of 587 consecutive patients discussed at multidisciplinary team meetings between January 2017 and December 2019 at an acute hospital in Scotland were included. The effect of predefined variables on stage and mode of presentation was analysed using logistic regression. 55.4% of patients had advanced disease and 19.7% of patients presented as an emergency: these were more likely to have advanced disease (odds ratio (OR) 1.64, 95% confidence interval (95%CI) 1.02-2.62, p = 0.04) compared to the 22.3% diagnosed at screening (OR 0.33, 95%CI 0.21-0.52, p < 0.001). Individuals with affected first-degree relatives were more likely to present with advanced disease (OR 2.39, 95%CI 1.06-5.40, p = 0.04). The association of deprivation and tumour site with advanced disease at presentation was significant (p = 0.04 and p = 0.013, respectively). The likelihood of presenting as an emergency increased with age (OR 1.03, 95%CI 1.01-1.05, p = 0.003) and with advanced disease (OR 2.15, 95%CI 1.37-3.38, p < 0.001). Again, the relationship between tumour site and emergency presentation was significant (p = 0.002).ConclusionFurther efforts are required to increase screening uptake, particularly amongst higher risk groups, to detect disease at an early stage and reduce the number of patients presenting as emergencies.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"369330251368952"},"PeriodicalIF":1.2,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144883585","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

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

IF 1.2 4区医学

Scottish Medical Journal Pub Date : 2025-08-01 Epub 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":"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":"37-43"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","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

Is clay modelling an appropriate teaching tool for laryngeal anatomy? A pilot study of 16 medical students. 黏土模型是喉解剖的合适教学工具吗？一项对16名医学生的初步研究。

IF 1.2 4区医学

Scottish Medical Journal Pub Date : 2025-08-01 Epub Date: 2025-08-19 DOI: 10.1177/00369330251356670

Mervyn Owusu-Ayim, Sam Majumdar, Luke Reid

{"title":"Is clay modelling an appropriate teaching tool for laryngeal anatomy? A pilot study of 16 medical students.","authors":"Mervyn Owusu-Ayim, Sam Majumdar, Luke Reid","doi":"10.1177/00369330251356670","DOIUrl":"10.1177/00369330251356670","url":null,"abstract":"BackgroundIn an era where ENT educators face reduced teaching hours alongside a limited selection of interactive pedagogical tools, laryngeal anatomy remains a difficult topic to teach medical students. A comparative pilot study was performed to investigate the aptness of clay models as a teaching tool in the undergraduate ENT setting.MethodsSixteen medical students were recruited. Students were assigned to prosections (n = 8) or clay models (n = 8); and tasked to identify or model laryngeal structures. Participants were examined using a pre- and post-test multiple-choice questionnaire. Feedback was obtained via a 5-scale Likert questionnaire. To investigate the impact of student learning approaches on assessment, the ASSIST questionnaire was used.ResultsClay modelling students performed better on post-test than their prosection counterparts (mean: 14.37 vs 13.62; p = 0.67), whilst surface learners (n = 7) achieved higher scores on post-test compared to their strategic counterparts (n = 9; p = 0.87). Findings were not statistically significant. Feedback indicated higher levels of satisfaction in students allocated to clay models, whilst usefulness was perceived more by those in the prosection group.ConclusionClay modelling is an enjoyable teaching tool which yields comparable scores to prosections on assessment. Educators may use this tool to improve interactivity and accommodate for contact free teaching requirements.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":"70 3","pages":"56-63"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875063","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

Recurrent urinary tract infection: Stimulating immune response through vaccines as an alternative to antimicrobial prophylaxis. 复发性尿路感染：通过疫苗刺激免疫反应作为抗微生物预防的替代方法。

IF 1.2 4区医学

Scottish Medical Journal Pub Date : 2025-08-01 Epub Date: 2025-08-19 DOI: 10.1177/00369330251355745

Ghulam Nabi, Bokhari Abdullah

引用次数: 0

Cost of non-antimicrobials for prophylaxis in the management of recurrent UTIs. 复发性尿路感染管理中用于预防的非抗菌剂费用。

IF 1.2 4区医学

Scottish Medical Journal Pub Date : 2025-08-01 Epub Date: 2025-07-03 DOI: 10.1177/00369330251355285

Arun Joshi, Lazaros Tzelves, Patrick Juliebø-Jones, Wissam Kamal, Anil Shrestha, Bhaskar Somani

{"title":"Cost of non-antimicrobials for prophylaxis in the management of recurrent UTIs.","authors":"Arun Joshi, Lazaros Tzelves, Patrick Juliebø-Jones, Wissam Kamal, Anil Shrestha, Bhaskar Somani","doi":"10.1177/00369330251355285","DOIUrl":"10.1177/00369330251355285","url":null,"abstract":"ObjectiveThe aim of this paper was to look at the cost of the different non-antimicrobials available for the management of recurrent UTIs, and to compare these to the antimicrobials currently recommended for prophylaxis in the United Kingdom.MethodsFive non-antimicrobials (D-mannose, Probiotics/lactobacillus, Methenamine Hippurate, Oestrogens and Cranberry) and four antimicrobials (prophylactic dose Trimethoprim, Nitrofurantoin, Amoxicillin and Cefalexin) were included. The cost for 6 months of prophylactic treatment was calculated for each, with the median and range included for the non-prescription products.ResultsFor a 6-month duration, the median cost of Vaginal oestrogen, Cranberry, Methenamine Hippurate, Probiotics and D-mannose was £22.04, £55.95, £100.44, £139.5 and £158.40 respectively. Vaginal oestrogens were the cheapest non-antimicrobial management option with D-mannose being the most expensive. Trimethoprim was the cheapest of the antimicrobials for 6 months of prophylaxis (£5.08), followed by Cefalexin (£7.97), Amoxicillin (£10.71) and Nitrofurantoin (£16.32).ConclusionThe cost of antimicrobial management options for the prophylaxis of UTIs was found to be generally cheaper across the board, in comparison to non-antimicrobial products. However, the continuing public health crisis with regards to overprescribing of antimicrobials, growing resistance and the need for antimicrobial stewardship makes non-antimicrobials an ever-important consideration.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"46-53"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144554372","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

Surgical simulation using innovative models: Tying the loose ends. 使用创新模型的外科模拟：解决问题。

IF 1.2 4区医学

Scottish Medical Journal Pub Date : 2025-08-01 Epub Date: 2025-08-19 DOI: 10.1177/00369330251359482

Fatima Zaidi, Ghulam Nabi

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