Risk of developing high-grade squamous intraepithelial lesions or anal cancer after anal condylomata treatment in people living with HIV.

Aim: To assess the risk and natural history of developing advanced anal disease after diagnosis of anal condyloma in people living with HIV (PLWH).

Methods: This was a single-centre retrospective cohort study of PLWH and anal condyloma from 2001 to 2021. Patients who developed advanced anal disease (AAD; anal high-grade squamous intraepithelial lesions and/or anal cancer) were compared to those who did not progress (non-AAD).

Use and Accuracy of Intraoperative Frozen Section Analysis for Ovarian Masses in Children and Adolescents.

Study Objective: Describe the current practice patterns and diagnostic accuracy of frozen section (FS) pathology for children and adolescents with ovarian masses DESIGN: Prospective cohort study from 2018 to 2021 SETTING: Eleven children's hospitals PARTICIPANTS: Females age 6-21 years undergoing surgical management of an ovarian mass INTERVENTIONS: Obtaining intraoperative FS pathology MAIN OUTCOME MEASURE: Diagnostic accuracy of FS pathology RESULTS: Of 691 patients who underwent surgical management of an ovarian mass, FS was performed in 27 (3.9%), of which 9 (33.3%) had a final malignant pathology.

Patient preferences for GI cancer surveillance and telemedical follow-up.

Introduction: Surveillance care including routine physical exams and testing following gastrointestinal (GI) cancer treatment can be fiscally and emotionally burdensome for patients. Emerging technology platforms may provide a resource-wise surveillance strategy. However, effective implementation of GI cancer surveillance is limited by a lack of patient level perspective regarding surveillance.

Patient and provider perceptions on utilizing a mobile technology platform to improve surgical outcomes in the perioperative setting.

Background And Objectives: Patient engagement software is a ubiquitous and expensive commercially available tool designed to improve transitions of care. There are currently no high-quality patient and provider-level data about the usability of these products for surgical oncology patients. This study aims to better understand patient and provider attitudes and perceptions about the implementation of such technology.

Severity of Postoperative Complications From the Perspective of the Patient.

Background: Although provider-derived surgical complication severity grading systems exist, little is known about the patient perspective.

Objective: To assess patient-rated complication severity and determine concordance with existing grading systems.

Methods: A survey asked general surgery patients to rate the severity of 21 hypothetical postoperative events representing grades 1 to 5 complications from the Accordion Severity Grading System.

Optimization of percutaneous biopsy for diagnosis and pretreatment risk assessment of neuroblastoma.

Background: Image-guided percutaneous core needle biopsy (PCNB) is increasingly utilized to diagnose solid tumors. The objective of this study is to determine whether PCNB is adequate for modern biologic characterization of neuroblastoma.

Procedure: A multi-institutional retrospective study was performed by the Pediatric Surgical Oncology Research Collaborative on children with neuroblastoma at 12 institutions over a 3-year period.

Understanding how advanced practice registered nurses function as patient advocates.

Although patient advocacy experiences for registered nurses (RNs) have been researched over the past 40 years, very little is known about patient advocacy at the advanced practice registered nursing (APRN) level. The APRN role is distinct from the RN role, in that APRNs are focused on diagnosing, prescribing, and management of treatment of various medical conditions in the settings where APRNs are used. The purpose of this study was to explore the APRN's experience with patient advocacy using a phenomenology-based qualitative design.

Increasing Psychiatric Mental Health Nursing HESI Grade Allocation Percentage in a Psychiatric Nursing Course.

Background: Scant evidence is found in the literature regarding the unit-level Health Education Systems, Inc. (HESI) examinations. This study aims to (a) compare student Psych HESI examination scores between cohorts after increasing grade allocation from 5% to 15%, and (b) examine student perceptions of the impact of increasing the percentage of course grade allocation.

Patient Advocacy at the APRN Level: A Direction for the Future.

Patient advocacy is seen as a critical role for the nursing profession. Although there is an existing body of literature surrounding the registered nurse level of patient advocacy, little is known about the advanced practice registered nurse (APRN) and patient advocacy. This article examines the existing patient advocacy research literature and existing APRN competencies to provide direction for further research.

Interpersonal rejection sensitivity: toward exploration of a construct.

This paper addresses the construct of interpersonal rejection sensitivity (IRS) as a phenomenon experienced by individuals in varying intensities. Selected theoretical frameworks are highlighted, as are developmental perspectives and research findings on the topic. Explication of this construct and better understanding by nurses of the pain felt by clients who experience rebuff could lead to more effective and sensitive interventions in a diversity of sittings.

Substitution of liothyronine at a 1:5 ratio for a portion of levothyroxine: effect on fatigue, symptoms of depression, and working memory versus treatment with levothyroxine alone.

Objective: To attempt to confirm a previous report of superior effectiveness of using two thyroid hormones rather than one hormone to treat hypothyroidism.

Methods: This trial attempted to replicate prior findings, which suggested that substituting 12.5 microg of liothyronine (LT(3)) for 50 microg of levothyroxine (LT(4)) might improve mood, cognition, and physical symptoms in patients with primary hypothyroidism.

Psychometric properties of the DSM scale for depression (DSD) with Korean-American youths.

As a first step in developing a reliable and culturally sensitive instrument to assess depression in Korean-American youths, this community-based methodological study was designed to evaluate the characteristics of the DSM Scale for Depression (DSD). A total of 104 Korean Americans, 11 to 13 years, participated in this study, and the response patterns of this group were compared with Korean- (n = 20) and Anglo- (n = 557) American youths assessed by the Teen Life Changes Survey (TLCS). Overall, Korean-American youths showed significantly higher mental distress scores than Anglos.