The effect of surgeon empathy and emotional intelligence on patient satisfaction

We investigated the associations of surgeons’ emotional intelligence and surgeons’ empathy with patient-surgeon relationships, patient perceptions of their health, and patient satisfaction before and after surgical procedures. We used multi-source approaches to survey 50 surgeons and their 549 outpatients during initial and follow-up visits. Surgeons’ emotional intelligence had a positive effect (r = .45; p < .001) on patient-rated patient-surgeon relationships. Patient-surgeon relationships had a positive impact on patient satisfaction before surgery (r = .95; p < .001). Surgeon empathy did not have an effect on patient-surgeon relationships or patient satisfaction prior to surgery. But after surgery, surgeon empathy appeared to have a significantly positive and indirect effect on patient satisfaction through the mediating effect of patients’ self-reported health status (r = .21; p < .001). Our study showed that long-term patient satisfaction with their surgeons is affected less by emotional intelligence than by empathy. Furthermore, empathy indirectly affects patient satisfaction through its positive effect on health outcomes, which have a direct effect on patients’ satisfaction with their surgeons.     

Total laparoscopic radical trachelectomy with ascending branches of uterine arteries preservation

Radical trachelectomy (RT) is a fertility-sparing treatment for young women with early-stage cervical cancer. We report here a case of a 30-year-old nulliparous woman who presented with stage IA2 cervical squamous cancer. She was treated with total laparoscopic radical trachelectomy (TLRT) and laparoscopic pelvic lymphadenectomy (LPL). During this procedure, the ascending branches of uterine arteries were preserved. No metastasis was identified after fourteen months of follow-up. The menstrual pattern normalized and the patient has been attempting to conceive for two months. TLRT might be a safe fertility-preserving procedure for early-stage cervical cancer, due to its minimally invasive nature and shorter recovery time. However, more data are required on recurrence rate, fertility rate and pregnancy outcome in order to fully evaluate the therapeutic efficacy of TLRT.

     

阻遏矽肺纤维化的实验研究

目的 比较骨髓间充质样干细胞( BM-MSCs)与pcDNA3.1肝细胞生长因子(HGF)转染的BM-MSCs对SiO2所致大鼠肺泡炎和早期肺纤维化的影响并探讨其机制.方法 收集培养雄性Wistar 幼鼠的原代BM-MSCs,并进行4,6-联脒-2-苯基吲哚(DAPI)标记.将50只雄性Wistar大鼠气管滴注40mg/ml SiO2混悬液1ml造模后,随机分为模型组、BM-MSCs组和pcDNA 3.1-HGF+BM-MSCs组.造模次日,模型组(10只):尾静脉注入PBS 1 ml; BM-MSCs组(20只):尾静脉注入106个/ml BM-MSCs 1 ml;pcD-NA3.1-HGF+BM-MSCs组(20只):尾静脉注入106个/ml pcDNA3.1-HGF转染的BM-MSCs 1 ml.14和28 d后,分别处死大鼠,取肺组织冰冻切片,荧光显微镜下检测体内DAPI标记细胞;HE和Masson染色观察肺炮炎和纤维化情况;免疫印迹( Western blot)法测各组大鼠肺组织的HGF表达量;ELISA法检测肺组织中肿瘤坏死因子(TNF)-α的含量,样本碱水解法检测肺组织中羟脯氨酸(HYP)的含量.结果14、28 d时,pcDNA3.1-HGF+BM-MSCs组肺组织肺泡炎评分(14 d:1.16±0.13,28 d:0.82±0.20)均低于同时期BM-MSCs组(14 d:1.68±0.17,28 d:1.58±0.31)和模型组(14 d:2.36±0.17,28 d:2.80±0.14),BM-MSCs组肺泡炎评分均低于同时期模型组,差异均有统计学意义(P＜0.05).14、28 d时pcDNA3.1-HGF+BM-MSCs组肺纤维化评分( 14 d:0.10±0.11,28 d:1.16±0.13)均明显低于同时期BM-MSCs( 14 d:0.54±0.15,28 d:1.36±0.13)和模型组(14 d:0.64±0.09,28 d:1.84±0.17),差异均有统计学意义(P＜0.05).14、28 d时pcDNA3.1-HGF+BM-MSCs组肺组织匀浆中TNF-α含量[14 d:(280.48±23.11) pg/mg,28 d:(249.78±22.33) pg/mg]均明显低于BM-MSCs组[14 d:(342.58±35.34) pg/mg,28 d:(319.51±17.84) pg/mg]和模型组[14 d:(442.29±36.76) pg/mg,28 d:(348.53±33.95) pg/mg],BM-MSCs组肺组织匀浆中TNF-α含量低于模型组,差异均有统计学意义(P＜0.05).14、28 d时pcDNA3.1-HGF+BM-MSCs组肺组织匀浆中HYP表达量[14 d:(0.46±0.04) μg/mg,28 d:(0.65±0.05)μg/mg]均明显低于同时期BM-MSCs组[14 d:(0.63±0.04) μg/mg,28 d:(1.04±0.07) μg/mg]和模型组[14 d:(0.72±0.06) μg/mg,28 d:(1.39±0.06) μg/mg],差异均有统计学意义(P＜0.05);28 d时,BM-MSCs组肺组织匀浆中HYP表达量低于模型组,差异有统计学意义(P＜0.05).结论 应用pcDNA3.1-HGF转染后的BM-MSCs比单独应用BM-MSCs能更有效地对抗SiO2诱导的大鼠肺泡炎和早期肺纤维化,作用机制可能与其减轻肺组织的炎症有关.