Patient Views Around Their Hernia Surgery: A Worldwide Online Survey Promoted Through Social Media

Introduction: Hernias are one of the most common surgical diagnoses, and general surgical operations are performed. The involvement of patients in the decision making can be limited. The aim of this study was to explore the perspectives of patients around their hernia and its management, to aid future planning of hernia services to maximise patient experience, and good outcomes for the patient.Methods: A SurveyMonkey questionnaire was developed by patient advocates with some advice from surgeons. It was promoted on Twitter and Facebook, such as all found “hernia help” groups on these platforms over a 6-week period during the summer of 2020. Demographics, the reasons for seeking a hernia repair, decision making around the choice of surgeon, hospital, mesh type, pre-habilitation, complications, and participation in a hernia registry were collected.Results: In total, 397 questionnaires were completed in the study period. The majority of cases were from English speaking countries. There was a strong request for hernia specialists to perform the surgery, to have detailed knowledge about all aspects of hernia disease and its management, such as no operation and non-mesh options. Chronic pain was the most feared complication. The desire for knowledge about the effect of the hernia and surgery on the sexual function in all age groups was a notable finding. Pre-habilitation and a hernia registry participation were well-supported.Conclusions: Hernia repair is a quality of life surgery. Whether awaiting surgery or having had surgery with a good or bad outcome, patients want information about their condition and treatment, such as the effect on aspects of life, such as sex, and they wish greater involvement in their management decisions. Patients want their surgery by surgeons who can also manage complications of such surgery or recommend further treatment. A large group of “hernia surgery injured” patients feel abandoned by their general surgeon when complications ensue.

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Audit of Referral Patterns for Hernia Repair – Are General Practitioners Aware of the Changing Face of Herniorrhaphy?

Annals of The Royal College of Surgeons of England ◽

10.1308/003588408x261573 ◽

2008 ◽

Vol 90 (2) ◽

pp. 140-141 ◽

Cited By ~ 1

Author(s):

JE Coulston ◽

GL Williams ◽

BM Stephenson

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

General Practitioners ◽

Groin Hernia ◽

Postal Questionnaire ◽

Further Education ◽

General Surgeon ◽

Hernia Surgery ◽

Referral Patterns ◽

Inguinal Hernia Surgery

INTRODUCTION The objective of this study was to examine referral patterns from general practitioners for groin hernia surgery and to assess their knowledge of services available to their patients. PATIENTS AND METHODS An anonymous postal questionnaire was sent to 120 general practitioners (GPs) in the South East Wales region who routinely refer patients for inguinal hernia surgery to the Royal Gwent Healthcare NHS Trust. RESULTS A total of 86 questionnaire replies were returned. There was variation in referral patterns between the GPs with the majority (84%) referring their patients for groin hernia repair to either a general surgeon or as an open referral. Only 14% referred directly to a hernia specialist and none regularly referred to a laparoscopic surgeon. CONCLUSIONS Referral patterns for inguinal hernia surgery do not reflect services provided in secondary care. Further education is required so that a patient's care can be optimised.

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Would you Make the Right Decision? – Decision Making Biases in Economy - Related Dilemmas

Valahian Journal of Economic Studies ◽

10.2478/vjes-2018-0006 ◽

2018 ◽

Vol 9 (1) ◽

pp. 59-66

Author(s):

Zsuzsanna Gödör ◽

Georgina Szabó

Keyword(s):

Decision Making ◽

Online Survey ◽

Framing Effect ◽

Economic Knowledge ◽

Bank Account ◽

Financial Decisions ◽

Hungarian Population ◽

The Moment ◽

The Right ◽

Decision Making Biases

Abstract As they say, money can’t buy happiness. However, the lack of it can make people’s lives much harder. From the moment we open our first bank account, we have to make lots of financial decisions in our life. Should I save some money or should I spend it? Is it a good idea to ask for a loan? How to invest my money? When we make such decisions, unfortunately we sometimes make mistakes, too. In this study, we selected seven common decision making biases - anchoring and adjustment, overconfidence, high optimism, the law of small numbers, framing effect, disposition effect and gambler’s fallacy – and tested them on the Hungarian population via an online survey. In the focus of our study was the question whether the presence of economic knowledge helps people make better decisions? The decision making biases found in literature mostly appeared in the sample as well. It proves that people do apply them when making decisions and in certain cases this could result in serious and costly errors. That’s why it would be absolutely important for people to learn about them, thus increasing their awareness and attention when making decisions. Furthermore, in our research we did find some connection between decisions and the knowledge of economics, people with some knowledge of economics opted for the better solution in bigger proportion

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Validation of a French Version of the Career Decision-Making Difficulties Questionnaire: Relationships With Self-Esteem and Self-Efficacy

Journal of Career Development ◽

10.1177/08948453211009975 ◽

2021 ◽

pp. 089484532110099

Author(s):

Jérôme Rossier ◽

Shékina Rochat ◽

Laurent Sovet ◽

Jean-Luc Bernaud

Keyword(s):

Decision Making ◽

Career Counseling ◽

Self Efficacy ◽

Age Groups ◽

Career Decision ◽

Self Esteem ◽

Career Decision Making ◽

Student Sample ◽

French Version ◽

The Relationship

The aim of this study was to validate the French version of the Career Decision-Making Difficulties Questionnaire (CDDQ) and to assess its measurement invariance across gender, age groups, countries, and student versus career counseling samples. We also examined the sensitivity of this instrument to discriminate a career counseling population from a general student sample. Third, we studied the relationship between career decision-making difficulties, career decision-making self-efficacy, and self-esteem in a sample of 1,748 French and French-speaking Swiss participants. A confirmatory factor analysis confirmed the overall hierarchical structure of the CDDQ. Multigroup analysis indicated that the level of invariance across groups almost always reached configural, metric, and scalar invariance. Differences between countries were very small, whereas differences between the general population and career counseling subsamples were much larger. Both self-esteem and self-efficacy significantly predicted career decision-making difficulties. Moreover, as expected, self-efficacy partially mediated the relationship between self-esteem and career decision-making difficulties.

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Polarized nature of the COVID-19 pandemic in Japan: associations with population age structure and behaviours

Tropical Medicine and Health ◽

10.1186/s41182-021-00324-0 ◽

2021 ◽

Vol 49 (1) ◽

Author(s):

Junko Okumura

Keyword(s):

Age Structure ◽

Public Transportation ◽

Perceived Risk ◽

Online Survey ◽

Preventive Measures ◽

Age Groups ◽

Cumulative Number ◽

Population Age Structure ◽

Major Factors ◽

Drinking Places

Abstract Background Although the scale of the coronavirus disease (COVID-19) pandemic was relatively small in Japan compared with the rest of the world, the polarisation of areas into high- and low-COVID-19-incidence areas was observed among the 47 prefectures. The aims of this study were not only identifying the factors associated with the polarised COVID-19 pandemic in Japan but also discussing effective preventive measures. Methods This was an ecological study using online survey data which was cross-sectionally conducted by the author. A total of 6000 respondents who resided in 10 low- and 10 high-COVID-19 incidence prefectures, with a wide gap in terms of COVID-19 incidence, in Japan were recruited. Data on COVID-19 cases and geodemographic information were obtained from official government sites. Statistical analyses were conducted to compare variables between the two areas and age groups. Results This study revealed that that age influenced people’s behaviours and perceptions, except one behaviour of ‘wearing facemasks’. The major factors significantly associated with the cumulative number of COVID-19 cases per 100,000 people were ‘commuting by private automobile’ (adjusted odds ratio [AOR], 0.444; 95% confidence interval [CI], 0.394–0.501), ‘commuting by public transportation’ (AOR, 6.813; 95% CI, 5.567–8.336), ‘washing hands’ (AOR, 1.233; 95% CI, 1.005–1.511), ‘opening windows regularly’ (AOR, 1.248; 95% CI, 1.104–1.412), ‘avoiding crowded places (AOR, 0.757; 95% CI, 0.641–0.893), ‘non-scheduled visits to drinking places’ (AOR, 1.212; 95% CI, 1.054–1.392) and ‘perceived risk of contracting COVID-19’ (AOR, 1.380; 95% CI, 1.180–1.612). These factors were strongly associated with age groups. Conclusions Effective preventive measures for COVID-19 transmission can be developed by understanding the characteristics of populated areas, such as public transportation infrastructure and younger people’s movements and behaviours in relation to the population age structure to contain the current epidemic and protect the most vulnerable elderly people.

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Exploring the Frequency of Anxiety and Depression Symptoms in a Brazilian Sample during the COVID-19 Outbreak

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18094847 ◽

2021 ◽

Vol 18 (9) ◽

pp. 4847

Author(s):

Fabiana Silva Ribeiro ◽

Flávia H. Santos ◽

Luis Anunciação ◽

Lucas Barrozo ◽

Jesus Landeira-Fernandez ◽

...

Keyword(s):

Mental Health Professionals ◽

Online Survey ◽

Age Groups ◽

Health Sector ◽

Severe Depression ◽

Well Being ◽

Sociodemographic Factors ◽

Anxiety And Depression ◽

Depression Symptoms ◽

Brazilian Sample

The COVID-19 pandemic is a public health emergency of international concern, and the main measures to contain the spread of the coronavirus causing COVID-19 were social distancing, quarantine, and self-isolation. Although these policies are effective in containing the spread of the virus, they might represent a challenge to psychological well-being, increasing levels of depressive and anxiety-related symptoms. Aims: We explored the frequency of anxiety and depression symptoms during COVID-19 restrictions and associations with sociodemographic factors in a Brazilian sample. Method: Data of a total of 936 Brazilian adults (68.2% women) aged 18 to 77 years old (M = 38.95, SD = 13.91) were collected through an online survey. Results: In general, we observed a frequency of 17.36% for severe anxiety and 66.13% for severe depression symptoms, in which younger participants (18–39 years old) and women showed higher scores in anxiety and depression scales compared to older age groups. Logistic regressions showed that women were more likely to present severe symptoms of anxiety (20.4%) compared to men (10.9%), as well as respondents in the educational sector (24.3%) compared to those in the health sector (10%). Conclusions: We highlight the importance of mental health professionals in developing strategies to help younger adults to mitigate the effects of social restriction.

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Analysing the impact of the COVID-19 outbreak on everyday travel behaviour in Germany and potential implications for future travel patterns

European Transport Research Review ◽

10.1186/s12544-021-00486-2 ◽

2021 ◽

Vol 13 (1) ◽

Author(s):

Viktoriya Kolarova ◽

Christine Eisenmann ◽

Claudia Nobis ◽

Christian Winkler ◽

Barbara Lenz

Keyword(s):

Public Transport ◽

Online Survey ◽

Adult Population ◽

Activity Patterns ◽

Age Groups ◽

Travel Behaviour ◽

German Population ◽

Travel Patterns ◽

Home Office ◽

The Impact

Abstract Introduction The global Coronavirus (COVID-19) pandemic is having a great impact on all areas of the everyday life, including travel behaviour. Various measures that focus on restricting social contacts have been implemented in order to reduce the spread of the virus. Understanding how daily activities and travel behaviour change during such global crisis and the reasons behind is crucial for developing suitable strategies for similar future events and analysing potential mid- and long-term impacts. Methods In order to provide empirical insights into changes in travel behaviour during the first Coronavirus-related lockdown in 2020 for Germany, an online survey with a relative representative sample for the German population was conducted a week after the start of the nationwide contact ban. The data was analysed performing descriptive and inferential statistical analyses. Results and Discussion The results suggest in general an increase in car use and decrease in public transport use as well as more negative perception of public transport as a transport alternative during the pandemic. Regarding activity-related travel patterns, the findings show firstly, that the majority of people go less frequent shopping; simultaneously, an increase in online shopping can be seen and characteristics of this group were analysed. Secondly, half of the adult population still left their home for leisure or to run errands; young adults were more active than all other age groups. Thirdly, the majority of the working population still went to work; one out of four people worked in home-office. Lastly, potential implications for travel behaviour and activity patterns as well as policy measures are discussed.

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Photograph Based Evaluation of Consumer Expectation on Healthiness, Fullness, and Acceptance of Sandwiches as Convenience Food

Foods ◽

10.3390/foods10051102 ◽

2021 ◽

Vol 10 (5) ◽

pp. 1102

Author(s):

Purificación García-Segovia ◽

Mª Jesús Pagán-Moreno ◽

Amparo Tárrega ◽

Javier Martínez-Monzó

Keyword(s):

Interaction Effect ◽

Online Survey ◽

Age Groups ◽

Nominal Group Technique ◽

Nominal Group ◽

Visual Appearance ◽

Consumer Expectation ◽

Preference Mapping ◽

Consumer Experiences ◽

And Cluster Analysis

Sandwiches are the most common “casual-food” consumed by all age groups in Spain. Due to the importance of visual appearance to promote unplanned or impulse buying, foodservice and hospitality companies focus on improving the visual impression of their food menus to create an expectation that satisfies both sensory and hedonic consumer experiences. To provide a list of attributes about the visual appearance of sandwiches, 25 students were recruited from a university and were invited to participate in two nominal group technique (NGT) sessions. To understand whether a sandwiches’ appearance can influence the expectation of consumers, 259 participants completed an online survey specially designed from the results of the NGT sessions. Data were analyzed using conjoint, internal preference mapping and cluster analysis; the interaction effect by gender was also studied. The conjoint results indicate that visual perception about the filling (vegetal or pork based) plays the most key role overall in consumer expectation. When consumers choose vegetables as the filling, the consumers’ perceived sandwiches as healthier, but the pork filling was perceived as more attractive and satiating. Interaction effect by gender was observed in filling when females perceived pork filling as less healthy than vegetable. By acceptance, consumers were segmented into three groups. The first cluster (n = 80) selected the pork filling. The smaller group (cluster 3, n = 36) prioritized the vegetal filling, and the most numerous cluster 2 (n = 140) liked sandwiches with multigrain bread. These results may help companies to build tailor-made marketing strategies to satisfy consumer segments.

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Chinese views on nuclear weapons: Evidence from an online survey

Research & Politics ◽

10.1177/20531680211032840 ◽

2021 ◽

Vol 8 (3) ◽

pp. 205316802110328

Author(s):

Naomi Egel ◽

R. Lincoln Hines

Keyword(s):

Nuclear Weapons ◽

Text Analysis ◽

Online Survey ◽

Public Attitudes ◽

Age Groups ◽

Computer Assisted ◽

The Public ◽

Self Defense ◽

Public Views ◽

Chinese Public

What are Chinese public attitudes regarding nuclear weapons? Although scholars have studied Chinese elites’ views on nuclear weapons, surprisingly little is known about the views of China’s public. To understand Chinese public views on nuclear weapons, we conduct an online survey ( N = 1066) of Chinese respondents. This is, to our knowledge, the first survey of Chinese public attitudes towards nuclear weapons. We find that although Chinese citizens view the possession of nuclear weapons as important for their country’s security, they strongly oppose the use of nuclear weapons under any circumstances. We also provide respondents an opportunity to describe their views on nuclear weapons in their own words. Using computer-assisted text analysis, we assess patterns in these open-ended responses and compare across age groups. We find that younger respondents emphasize non-material factors such as having a greater voice internationally, whereas older respondents emphasize self-defense. Overall, this analysis sheds light on the public attitudes that may shape China’s evolving approach to nuclear weapons.

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THU0647-HPR SHARED DECISION MAKING AMONGST RHEUMATOLOGISTS IN TRAINING IN THE NETHERLANDS: WHERE DO WE STAND?

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2020-eular.4142 ◽

2020 ◽

Vol 79 (Suppl 1) ◽

pp. 568.2-568

Author(s):

L. Kranenburg ◽

M. Dankbaar ◽

N. Basoski ◽

W. Van den Broek ◽

J. Hazes

Keyword(s):

Decision Making ◽

The Netherlands ◽

Shared Decision Making ◽

Online Survey ◽

Daily Practice ◽

Clear Understanding ◽

Shared Decision ◽

Professional Activities ◽

Self Evaluation ◽

The Subject

Background:The training curriculum for rheumatologists in training in the Netherlands describes competences and entrusted professional activities (EPA) to monitor the progress in learning. However, this training program does not discuss training of Shared Decision Making. As the basis for shared care and patient participation is made during these years, the question arises how rheumatologist in training think about Shared Decision Making and how they use this in daily practice.Objectives:Inventory of vision, experience and self-evaluation of skills related to Shared Decision Making amongst rheumatologists in training in the Netherlands in order to identify barriers in the implementation of Shared Decision Making in daily practice.Methods:Qualitative data was collected from on online survey amongst rheumatologists in training who were registered in January 2018 by the Dutch Society of Rheumatology.Results:Forty-two rheumatologists in training from various years of training responded (60%). Respondents think that Shared Decision Making is important. A third applies Shared Decision Making on a regular basis in daily practice. Self rating of skills for Shared Decision Making varies from sufficient to good. However, respondents are uncertain about their performance due to a lack of feedback and unclearness of the concept. They indicate that Shared Decision Making is not possible for all patients and find it difficult to assess whether the patient has a clear understanding of the options. Patient’s preferences are discussed only by 33% of the doctors on a regular basis when starting new treatment.Conclusion:Rheumatologists in training agree on the importance of Shared Decision Making, but are uncertain about their performance. Unclearness of the concept is described as a known barrier in literature1,2and is frequently mentioned by respondents. Rheumatologist in training indicate that not all patients are fit for Shared Decision Making. Regarding the limited training on the subject this could also be a misjudgment of patients preferences and lack of experience how to deal with different patient types. There is a clear plea for more training and feedback on the subject. Training should be integrated in the curriculum focusing on how to assess patients preferences and how to apply Shared Decision Making also for patients who indicate to leave decisions up to their doctor.References:[1]van Veenendaal, H.et al.Accelerating implementation of shared decision-making in the Netherlands: An exploratory investigation.Patient Educ Couns101, 2097-2104 (2018).[2]Legare, F., Ratte, S., Gravel, K. & Graham, I. D. Barriers and facilitators to implementing shared decision-making in clinical practice: update of a systematic review of health professionals’ perceptions.Patient Educ Couns73, 526-535 (2008).Disclosure of Interests:Laura Kranenburg Grant/research support from: Pfizer and UCB for the development of the Reuma App, a tool to support selfmanagement for patients. This is not used for the research related to the submitted abstract., Mary Dankbaar: None declared, Natalja Basoski: None declared, Walter Van den Broek: None declared, Johanna Hazes: None declared

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Drivers’ Age and Automated Vehicle Explanations

Sustainability ◽

10.3390/su13041948 ◽

2021 ◽

Vol 13 (4) ◽

pp. 1948

Author(s):

Qiaoning Zhang ◽

Xi Jessie Yang ◽

Lionel P. Robert

Keyword(s):

Decision Making ◽

Middle Age ◽

Age Groups ◽

Design Experiment ◽

Mixed Design ◽

Automated Vehicles ◽

Automated Vehicle ◽

Automated Decision Making

Automated vehicles (AV) have the potential to benefit our society. Providing explanations is one approach to facilitating AV trust by decreasing uncertainty about automated decision-making. However, it is not clear whether explanations are equally beneficial for drivers across age groups in terms of trust and anxiety. To examine this, we conducted a mixed-design experiment with 40 participants divided into three age groups (i.e., younger, middle-age, and older). Participants were presented with: (1) no explanation, or (2) explanation given before or (3) after the AV took action, or (4) explanation along with a request for permission to take action. Results highlight both commonalities and differences between age groups. These results have important implications in designing AV explanations and promoting trust.

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