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Introduction/Aims Methods Results Discussion Neuromas come in different shapes and sizes; yet the correlation between neuroma morphology and symptomatology is unknown. Therefore, we aim to investigate macroscopic traits of excised human neuromas and assess the validity of a morphological classification system and its potential clinical implications.End‐neuroma specimens were collected from prospectively enrolled patients undergoing symptomatic neuroma surgery. Protocolized images of the specimens were obtained intraoperatively. Pain data (Numeric rating scale, 0–10) were prospectively collected during preoperative interview, patient demographic and comorbidity factors were collected from chart review. A morphological classification is proposed, and the inter‐rater reliability (IRR) was assessed. Distribution of neuroma morphology with patient factors, was described.Forty‐five terminal neuroma specimens from 27 patients were included. Residual limb patients comprised 93% of the population, of which 2 were upper (8.0%) and 23 (92.0%) were lower extremity residual limb patients. The proposed morphological classification, consisting of three groups (bulbous, fusiform, atypical), demonstrated a strong IRR (Cohen's kappa = 0.8). Atypical neuromas demonstrated higher preoperative pain, compared with bulbous and fusiform. Atypical morphology was more prevalent in patients with diabetes and peripheral vascular disease.A validated morphological classification of neuroma is introduced. These findings may assist surgeons and researchers with better understanding of symptomatic neuroma development and their clinical implications. The potential relationship of neuroma morphology with the vascular and metabolic microenvironment requires further investigation. [ABSTRACT FROM AUTHOR]

Being able to talk comfortably about sexual topics enhances romantic relationships; however, revealing private sexual information entails trusting a partner with the disclosure. Based on the disclosure decision-making model, this study tested a sexual disclosure model identifying mechanisms linking perceived disclosure trust with willingness and likelihood to disclose private sexual information to partners. Survey responses from 595 individuals indicated that when deciding to reveal private sexual information, people consider their level of trust disclosing to a partner, the outcomes that they anticipate will incur if they reveal the information to the partner, and their ability to manage such a revelation. The sexual disclosure model provides a useful framework for understanding decisions to reveal private sexual information to romantic partners. [ABSTRACT FROM AUTHOR]

Objective: The goal of this study was to explore the messages young adults received from their parents about sexual morality. Background: Research on parent–child communication about sexuality has shown that parents are likely to convey moral messages about sex, however, little is known about the content of these messages. Method: Young adults (N = 350) were surveyed about parent–child communication as part of a larger study (N = 425). This paper focuses on perceptions of messages about sexual morality young adults believe they received from their parents while growing up. Results: Results indicate parents may unknowingly be providing gendered information reinforcing sexual scripts. Specifically, women are differentially taught about relationship structures (e.g., marriage), abstinence, consent, avoidance of pregnancy, sexually transmitted infections, contraception, and autonomy, while also receiving disproportionately more mixed, unclear messages than men. Conclusions: Emerging adult recollections on parent–child discussions tended to be general in scope and lacked the specificity that could inform sexual knowledge and behaviors. Implication s : These thematic messages related to sexual morality can be utilized to inform sexual education and parent education programs related to sexuality, sexual knowledge, and communication. Lack of comprehensive sexual education and parent–child discussions may have implications for health and well‐being. [ABSTRACT FROM AUTHOR]

Couples managing chronic illnesses—the leading causes of death and disability in the United States—can experience challenges in their daily lives and relationships. Both couple members have reported lower satisfaction, greater burden, and communication difficulties. Many of these illnesses are nonvisible or concealable, increasing fear and uncertainty when sharing illness information, and reducing self-disclosure. These challenges can leave couples vulnerable to dissatisfaction and distress. In this longitudinal study, we integrated dyadic coping frameworks to examine how couples' communication and coping predicted relational well-being over time. Couples, where one partner was diagnosed with a concealable chronic illness, completed three online surveys 6 months apart (n = 242 couples at baseline, 146 couples at 6 months, and 123 couples at 12 months). Couples were recruited from university settings. Actor-partner interdependence mediation models using within-person multilevel dyadic path modeling tested the theoretical model. For patient and partner actor effects, at times when they saw the illness as shared and something that they could manage together, the more they talked about the illness and used dyadic coping strategies (p <.001). In turn, when using dyadic coping strategies more often, patients and partners felt more satisfied, close, and sexually satisfied than they typically felt that year (p <.001). For cross-partner effects, when patients talked about the illness more than usual, their partners also used dyadic coping strategies more often (p =.01). Patients' open communication may not only benefit themselves but also their partners. This multifaceted approach offers new insight into promoting relational well-being while managing concealable chronic illness. [ABSTRACT FROM AUTHOR]

Background and Objectives: Anatomic features of neuromas have been explored in imaging studies. However, there has been limited research into these features using resected, ex vivo human neuroma specimens. The aim of this study was to investigate the influence that time may have on neuroma growth and size, and the clinical significance of these parameters., Methods: Patients who underwent neuroma excision between 2022 through 2023 were prospectively included in this study. Neuroma specimens were obtained after operative resection. Standardized neuroma size measurements, expressed as a neuroma-to-nerve ratio (NNR), were conducted with ImageJ software. Pain data (numeric rating scale, 0-10) were prospectively recorded during preoperative evaluation, and patient factors were collected from chart reviews., Results: Fifty terminal neuroma specimens from 31 patients were included, with 94.0% of the neuromas obtained from individuals with amputations. Most neuromas were excised from the lower extremities (n = 44, 88.0%). The neuromas had a median NNR of 2.45, and the median injury to neuroma excision interval was 6.3 years. Larger NNRs were associated with a longer injury to neuroma excision interval and with a smaller native nerve diameter. In addition, sensory nerves were associated with a larger NNR compared with mixed nerves. NNR was not associated with preoperative pain or with anatomical nerve distribution., Conclusion: This study suggests that neuromas seem to continue to grow over time and that smaller nerves may form relatively larger neuromas. In addition, sensory nerves develop relatively larger neuromas compared with mixed nerves. Neuroma size does not appear to correlate with pain severity. These findings may stimulate future research efforts and contribute to a better understanding of symptomatic neuroma development., (Copyright © Congress of Neurological Surgeons 2024. All rights reserved.)