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Intermittent catheterization (IC) is the gold-standard management for individuals with non-obstructed urinary retention and neurogenic bladder. Learning IC is physically and psychologically challenging, and several men express fear of practicing IC because of the risk of urethral trauma and urinary infections. This study aims to evaluate the effectiveness of an enhanced educational intervention in improving IC acceptance and adherence compared to standard clinical practice training. This multicenter, parallel-group, randomized controlled trial will enroll 128 male patients, randomly assigned to either the intervention group, receiving standard training plus an informational booklet and video tutorial, or the control group, receiving standard training alone. The primary outcome is the improvement in IC acceptance, measured by the Intermittent Catheterization Acceptance Test (I-CAT) score at three months (T2). Secondary outcomes include adherence levels (I-CAS), urinary symptoms (USQNB-IC), procedural autonomy (Autonomy Checklist), and patient-reported satisfaction (QUEST). Findings from this study will provide evidence-based guidance on optimizing IC education to enhance patient self-management and adherence.
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http://dx.doi.org/10.1016/j.mex.2025.103557 | DOI Listing |
Sud Med Ekspert
January 2025
Russian University of Medicine, Moscow, Russia.
Unlabelled: In 2024, the 200th anniversary of the first domestic work devoted to the study of gunshot injury was celebrated.
Objective: To present little-known information from the biography of its author, Professor P.P.
Unlabelled: Crimes against the sexual integrity of the individual represent one of the most serious forms of violence.
Objective: To perform a retrospective epidemiological analysis with the systematization of analytical data on the performed forensic medical examinations (FMEs) of survivors of sexual abuse in order to increase the effectiveness of the system of preventive measures against such crimes.
Material And Methods: The data from the industry statistical report №42 were analyzed.
J Sch Nurs
September 2025
Indiana University School of Nursing, Indianapolis, IN, USA.
To provide foundational information for the development of a training program to prepare school nurses to deliver a mental health focused SBIRT (Screening, Brief Intervention, Referral to Treatment) approach, this study aimed to describe how school nurses perceive their role in addressing student mental health concerns and determine if these perceptions align with the components of SBIRT. We used content analysis to summarize open-ended survey responses of 38 school nurses to the question "What role do school nurses play in addressing student mental health?" Findings revealed 19 responses aligned with at least one component of SBIRT, one aligned with all three, and 30 focused mainly on forming trusting relationships with students. We conclude school nurses do not implement SBIRT in a systematic way but view its components as consistent with their role.
View Article and Find Full Text PDFJAMA Surg
September 2025
Department of Surgery, Meander Medical Center, Amersfoort, the Netherlands.
Importance: Stoma reversal is associated with few complications. However, recent studies show that 1 in 3 patients develop an incisional hernia, for which half of the patients receive surgical correction.
Objective: To investigate whether prophylactic synthetic mesh placement in the retromuscular space during stoma reversal reduces the rate of stomal site incisional hernias.