BACKGROUND Preoperative anxiety is a significant concern for patients,as it affects surgical outcomes,satisfaction,and pain perception.Although both anxiety and pain are common in surgical settings,their relationship ...BACKGROUND Preoperative anxiety is a significant concern for patients,as it affects surgical outcomes,satisfaction,and pain perception.Although both anxiety and pain are common in surgical settings,their relationship with personality traits has not been previously investigated in the Lebanese population.AIM To examine the prevalence of preoperative anxiety,pain perception,and personality traits among Lebanese surgical patients,and to assess the associations between these factors.METHODS A descriptive cross-sectional study was conducted between April 2024 and January 2025 across Lebanese hospitals.A total of 392 adult patients were recruited through convenience sampling.Data were collected using a questionnaire that included sociodemographic,clinical,and surgical variables,the Amsterdam Preoperative Anxiety and Information Scale for anxiety,the Visual Analog Scale and Numerical Pain Rating Scale for preoperative pain,and the Ten-Item Personality Inventory for personality traits.Ethical approval was obtained from the Institutional Review Boards of Makassed General Hospital and Hammoud University Medical Center.RESULTS Overall,25%of participants experienced preoperative anxiety,and 34.5%reported moderate pain.Personality assessment showed that the majority of participants had moderate extraversion(84.1%),moderate emotional stability(65.1%),high conscientiousness(61%),high agreeableness(54.1%),and moderate openness(49.2%).High conscientiousness was significantly associated with higher pain perception(P<0.05),while high emotional stability was associated with lower levels of anxiety(P<0.05).No significant association was found between preoperative anxiety and pain(P>0.05).CONCLUSION This study challenges the assumption that preoperative anxiety and pain are directly correlated and highlights the role of personality traits in shaping patient experience.These findings support the potential value of integrating psychological profiling into preoperative care and lay the groundwork for developing personalized interventions to improve patient-centered surgical outcomes.展开更多
Therapy discontinuation in inflammatory bowel disease,particularly involving immunomodulators,biologics,and small molecules,remains a controversial and evolving topic.This letter reflects on developments following the...Therapy discontinuation in inflammatory bowel disease,particularly involving immunomodulators,biologics,and small molecules,remains a controversial and evolving topic.This letter reflects on developments following the publication by Meštrovićet al,emphasizing the complex balance between risks of relapse,antidrug antibody formation,and potential complications of long-term immunosuppression.Recent evidence underscores high relapse rates following withdrawal-especially of anti-tumor necrosis factor agents-and highlights the lack of robust data for newer biologics.Updated guidelines from European Crohn’s and Colitis Organization,British Society of Gastroenterology,and American College of Gastroenterology all support cautious and individualized approaches,with strict criteria and close follow-up,particularly in Crohn’s disease.For ulcerative colitis,therapeutic cycling remains insufficiently addressed.We proposed a flowchart to support clinical decision-making and stress the importance of shared decisionmaking in the era of personalized medicine since,despite new drug classes and evolving strategies,the therapeutic ceiling in inflammatory bowel disease has yet to be fully overcome.展开更多
以废打印机壳PC/ABS再生粒子(R-PC/ABS)为基体材料,对苯二酚双(二苯基磷酸脂)(HDP)和梯形倍半硅氧烷(TSQ)为阻燃剂,采用熔融共混制备了无卤阻燃PC/ABS,对其阻燃性能、力学性能、尺寸稳定性和负荷热变形温度(HDT)进行分析,结果发现,TSQ...以废打印机壳PC/ABS再生粒子(R-PC/ABS)为基体材料,对苯二酚双(二苯基磷酸脂)(HDP)和梯形倍半硅氧烷(TSQ)为阻燃剂,采用熔融共混制备了无卤阻燃PC/ABS,对其阻燃性能、力学性能、尺寸稳定性和负荷热变形温度(HDT)进行分析,结果发现,TSQ可以阻燃R-PC/ABS,并且,对力学性能、尺寸稳定性和HDT影响较小,R-PC/ABS/0.8TSQ的LOI为29.8%,阻燃达到3.0 mm V-0和2.0 mm V-1级;HDP可以有效地阻燃R-PC/ABS,但是,对力学性能、尺寸稳定性和HDT的负面影响较大,R-PC/ABS/12HDP的LOI为36.1%,阻燃可达到UL 941.0 mm V-0级,与R-PC/ABS相比,HDT、拉伸强度、弯曲强度、弯曲模量和缺口冲击强度分别降低了20.2℃、26.6%、14.5%、16.9%和60.9%;R-PC/ABS/0.8TSQ/6HDP的LOI为35.7%,阻燃级别达到UL 941.0 mm V-0级,与R-PC/ABS/12HDP相比,模后收缩率(PMS)降低了19.7%,HDT、拉伸强度、弯曲强度、弯曲模量和缺口冲击强度分别提高了13℃、21.0%、11.3%、14.3%和85.9%。展开更多
文摘BACKGROUND Preoperative anxiety is a significant concern for patients,as it affects surgical outcomes,satisfaction,and pain perception.Although both anxiety and pain are common in surgical settings,their relationship with personality traits has not been previously investigated in the Lebanese population.AIM To examine the prevalence of preoperative anxiety,pain perception,and personality traits among Lebanese surgical patients,and to assess the associations between these factors.METHODS A descriptive cross-sectional study was conducted between April 2024 and January 2025 across Lebanese hospitals.A total of 392 adult patients were recruited through convenience sampling.Data were collected using a questionnaire that included sociodemographic,clinical,and surgical variables,the Amsterdam Preoperative Anxiety and Information Scale for anxiety,the Visual Analog Scale and Numerical Pain Rating Scale for preoperative pain,and the Ten-Item Personality Inventory for personality traits.Ethical approval was obtained from the Institutional Review Boards of Makassed General Hospital and Hammoud University Medical Center.RESULTS Overall,25%of participants experienced preoperative anxiety,and 34.5%reported moderate pain.Personality assessment showed that the majority of participants had moderate extraversion(84.1%),moderate emotional stability(65.1%),high conscientiousness(61%),high agreeableness(54.1%),and moderate openness(49.2%).High conscientiousness was significantly associated with higher pain perception(P<0.05),while high emotional stability was associated with lower levels of anxiety(P<0.05).No significant association was found between preoperative anxiety and pain(P>0.05).CONCLUSION This study challenges the assumption that preoperative anxiety and pain are directly correlated and highlights the role of personality traits in shaping patient experience.These findings support the potential value of integrating psychological profiling into preoperative care and lay the groundwork for developing personalized interventions to improve patient-centered surgical outcomes.
文摘Therapy discontinuation in inflammatory bowel disease,particularly involving immunomodulators,biologics,and small molecules,remains a controversial and evolving topic.This letter reflects on developments following the publication by Meštrovićet al,emphasizing the complex balance between risks of relapse,antidrug antibody formation,and potential complications of long-term immunosuppression.Recent evidence underscores high relapse rates following withdrawal-especially of anti-tumor necrosis factor agents-and highlights the lack of robust data for newer biologics.Updated guidelines from European Crohn’s and Colitis Organization,British Society of Gastroenterology,and American College of Gastroenterology all support cautious and individualized approaches,with strict criteria and close follow-up,particularly in Crohn’s disease.For ulcerative colitis,therapeutic cycling remains insufficiently addressed.We proposed a flowchart to support clinical decision-making and stress the importance of shared decisionmaking in the era of personalized medicine since,despite new drug classes and evolving strategies,the therapeutic ceiling in inflammatory bowel disease has yet to be fully overcome.
文摘以废打印机壳PC/ABS再生粒子(R-PC/ABS)为基体材料,对苯二酚双(二苯基磷酸脂)(HDP)和梯形倍半硅氧烷(TSQ)为阻燃剂,采用熔融共混制备了无卤阻燃PC/ABS,对其阻燃性能、力学性能、尺寸稳定性和负荷热变形温度(HDT)进行分析,结果发现,TSQ可以阻燃R-PC/ABS,并且,对力学性能、尺寸稳定性和HDT影响较小,R-PC/ABS/0.8TSQ的LOI为29.8%,阻燃达到3.0 mm V-0和2.0 mm V-1级;HDP可以有效地阻燃R-PC/ABS,但是,对力学性能、尺寸稳定性和HDT的负面影响较大,R-PC/ABS/12HDP的LOI为36.1%,阻燃可达到UL 941.0 mm V-0级,与R-PC/ABS相比,HDT、拉伸强度、弯曲强度、弯曲模量和缺口冲击强度分别降低了20.2℃、26.6%、14.5%、16.9%和60.9%;R-PC/ABS/0.8TSQ/6HDP的LOI为35.7%,阻燃级别达到UL 941.0 mm V-0级,与R-PC/ABS/12HDP相比,模后收缩率(PMS)降低了19.7%,HDT、拉伸强度、弯曲强度、弯曲模量和缺口冲击强度分别提高了13℃、21.0%、11.3%、14.3%和85.9%。
