Academic Institutions Research Articles

Advancing Value-Based Academic-Clinical Partnership Evaluation in Physical Therapy Education: Multiattribute Utility Analysis as a Contextual Methodological Approach.

There is a need to investigate the application of systematic, scholarly methods to develop and implement a sustainable, flexible process for evaluating academic-clinical partnership effectiveness. The purpose of this study was to explore the potential for multiattribute utility analysis (MAUA) methodology to be applied in the context of academic-clinical partnership evaluation. Persistent systemic challenges related to academic-clinical partnership volume and quality require intentional strategies addressing the inherent complexities of the clinical learning environment and contextual differences between academic institutions. Multiattribute utility analysis appears to be a viable existing methodological framework based on its successful application in a wide variety of fields. Directors and Co-Directors of Clinical Education in accredited Doctor of Physical Therapy programs. The MAUA methodological framework was used to identify and quantify weighted priorities in factors contributing to partnership effectiveness as perceived by academic-clinical education programs across the United States. Survey participants were invited to share their perspectives regarding priority characteristics and assessment approaches to advance value-based partnership evaluation in physical therapy education. The products resulting from this contemporary analysis, coupled with the previous applied MAUA simulation, offer a methodology and flexible framework that may be utilized by academic-clinical education faculty to perform a value-based partnership evaluation and make decisions within the context of their institution. Clinical educator survey results also provide a new depth of insight regarding trends in the collective degree of attribute prioritization and the complexity and intersectionality across partnership priorities. The proposed processes may allow academic programs to narrow the large number of possible partnership criteria to a manageable subset, offering a way forward for those interested in pursuing a quantitative method for practical decision making. The ability to assess partnership quality using an evidence-based framework such as MAUA may allow partners to maintain, enhance, or discontinue partnerships based on a shared understanding of attribute alignment, rather than reactively coming together in practice to address challenges needing resolution.

Evaluating and Enhancing Canvas Course Website: Prioritizing User‐Centered Design

ABSTRACTCanvas, a learning management system (LMS), has been widely adopted by academic institutions across North America. Despite its robust features, the user experience with Canvas varies significantly. This study examines the design of a Canvas course website, providing evidence‐based guidance for creating user‐centered LMS interfaces. The findings aim to enhance the user experience by addressing issues such as information overload, user control, and accessibility. Design principles and recommendations generated from this study are crucial for our institution‐wide adoption of Canvas, promoting a seamless and supportive learning environment.

Effectiveness of Editing and Proofreading Skills in Improving Academic Writing of Law Students

Writing skills are the most difficult language skills for students, especially those students with English as a Second Language (ESL) and as an English Foreign Language (EFL) in various academic institutions. This situation has made most college students fail to write effective academic works. This study assessed the effectiveness of the Editing and Proofreading Skills Course in improving the academic writing of law students in Tanzania. Specifically, the study assessed the common errors made by law students in academic writing. The study involved the action research design consisting of pre- and post-interventions. Data were collected through observations and questionnaire methods. Data were analysed statistically through the Wilcoxon Signed-rank test and the McNemar exact test at 95% confidence intervals to analyse the before and after intervention data. The study found that law students had a limited basic understanding of the editing and proofreading techniques before the intervention. After the intervention, there was a significant improvement in students’ writing skills as the results showed an exact p-value of 0.000. It recommends the inclusion of specific instructions on Editing and Proofreading Skills Courses as part of the Legal Education Curriculum in Tanzania.

Evaluating the readability of online patient information for cholangiocarcinoma.

264 Background: The digital age has facilitated the dissemination of free comprehensive information regarding the diagnosis and treatment of various cancers. Especially for rarer cancers, such as cholangiocarcinoma, patients heavily rely on online patient information (OPI) as a primary source of information. However, the usefulness of these websites is dependent on the readability of the information. The National Institute of Health (NIH) recommends OPI have a readability level of grade 8 or lower. We sought to assess the readability of OPI for cholangiocarcinoma. Methods: We utilized Google to identify the top ten websites utilizing the search query "cholangiocarcinoma". The readability score of each website was defined as the median of ten popular standardized readability scales - Flesch–Kincaid, Gunning Fog, Coleman–Liau, Simple Measure of Gobbledygook, Automated Readability Index, FORCAST, Raygor, Fry Graph, and New Dale Chall. These readability scales were obtained using www.readable.com. Group comparisons of readability score were performed for affiliation (i.e., academic, non-profit, or government) and website content (i.e., treatment modalities, complications, clinical trials, supportive care, and survivorship). Statistical analysis was done in RStudio. Pairwise comparisons were performed using the Wilcoxon rank sum test. Results: A total of 10 websites were analyzed with 4/10 (40%) affiliated with academic institutions, 3/10 (30%) affiliated with non-profit organization, and 3/10 (30%) affiliated with government websites. The median readability score for all 10 websites was 9.95 (IQR 9.15-10.75). The majority of the websites (9/10, 90%) websites had readability scores that did not satisfy the NIH recommendation for readability. Readability scores did not differ significantly between academic, government, and nonprofit websites (p=0.68). Readability also did not differ by website content. The correlation between word count and readability score was not statistically significant (r = 0.03, p = 0.92). Conclusions: We performed a first of its kind analysis to assess the readability of OPI for cholangiocarcinoma. The median readability of OPI for cholangiocarcinoma was at a 10th grade level and the majority of the websites did not satisfy the NIH guideline for readability. Surprisingly, government websites were not simpler to read than their academic and nonprofit counterparts. Our study underscores the need to develop OPI for cholangiocarcinoma that is easily readable for patients and their caregivers. Organizations publishing OPI may use readability scores to ensure their content is accessible for the general population.

Is there still protected health information in openly available PowerPoint files?

IntroductionPowerPoint presentations containing radiographic images continue to be an important educational tool for healthcare professionals. When properly deidentified, these radiographic imaging files are valuable and do not pose any privacy concerns for patients. However, when these images are not properly managed, patient information can be uncovered; raising concerns about patient privacy and potential legal consequences for healthcare systems and academic institutions. This study revisited and expanded upon previous work published by Weadock et. al in an attempt to see how this issue has changed in the last 15 years. MethodsThis study consisted of 8 separate Google Web searches related to a medical imaging modality. Each PowerPoint file was manually inspected for imaging files including x rays, CT scans, MRI's, PET scans, CT and MR angiography and ultrasounds. If a PowerPoint contained an image file, it was then inspected for PHI. Full PHI included all of the following: patient's full name, medical registration number (MRN), date and a geographic indicator smaller than a state. ResultsThe first two Google searches “Magnetic Resonance Imaging filetype:ppt” and “Cardiac CT CAT Scan filetype:ppt” returned 146 search results with 7.6 % containing full PHI. “Radiology Chest X-ray filetype:ppt” resulted in accessible PHI in 40 % of the presentations with images and “Post-Operative CT Scan filetype:ppt” resulted in accessible PHI in 29 %. Magnetic Resonance Imaging filetype:pptx” returned 0 results with PHI. “Cardiac CT CAT scan filetype:pptx” returned 1 result with partial PHI.“Radiology Chest X-ray filetype:pptx” contained 4 results with partial PHI and 1 result with full PHI. “Post-Operative CT scan filetype:pptx” contained 2 presentations with partial PHI. DiscussionWhile a declining percentage of PowerPoint files containing PHI is reassuring, this follow up study demonstrated that PHI can still be easily accessed openly on the internet by anyone who has basic familiarity with Microsoft PowerPoint. Work remains to continue to educate users on how to properly protect patient information in PowerPoint files. Appropriately protecting private healthcare information is essential for patient safety and can prevent unintentional HIPAA violations. Radiologists are uniquely positioned to educate other healthcare providers on how to properly remove PHI from radiologic imaging files.

Celebrating twenty years: Happy work anniversary to Dr Joe!

In this editorial, Dr Joseph H. Hancock, II reflects on his years as a full-tenure professor and the next steps moving ahead. His years promoting his academic institution have awakened him to realize he needs to promote himself and his accomplishments, and that family is more important than being a success in the workplace because loyalty is only to oneself. Hancock thanks his publishers for all their support and states his scholarship will always go with him during his career. Hancock’s new motto, ‘move ahead!’.

Heart And/or Head? Study, Emotion, and Authority in a Complicated Kindness and We Measure the Earth With Our Bodies

This paper critically analyses the definition and delineation of knowledge in the novels We Measure the Earth With our Bodies (Tsering Yangzom Lama) and A Complicated Kindness (Miriam Toews). Focusing specifically on the legitimisation of knowledge by Western authorities and the difficulties (marginalized) women face in defending the legitimacy of their own positions, the argument is made that the emotional can coexist with knowledge, without by definition tainting it. To study with feeling is not necessarily to corrupt the truth: acquiring information and the act of studying it can be an essential part of forming identity. It is the forming of this individual identity (by young women in particular) which authorities such as academic institutions and the church seek control over. They claim that objectivity can only be legitimated by institutions such as themselves, and that objectivity is the only correct way to view and acquire information, and so they bolster their own power. Dolma and Nomi, the main characters of the novels considered here, both resist this power through their own subjective approaches to knowledge.

KINERJA GURU DITINJAU DARI SERVANT LEADERSHIP KEPALA SEKOLAH DAN KOMPETENSI GURU DI SMK PASUNDAN KOTA BANDUNG DAN CIMAHI

This study aims to Influence Servant Leadership and Teacher Competence on Teacher Performance. Each leader has a different leadership style but still plays an important role in leadership. A leader who serves is a leader with integrity, able to delegate tasks to his subordinates and is effectively carried out if the leader can make the right decisions in all conditions and situations. Servant leadership practices can also be implemented in educational institutions. Schools as academic institutions that carry out the education and learning process for students are highly determined by the leadership practices carried out by the principal. This study aims to analyze the influence of the principal's servant leadership and teacher competence on teacher performance in Vocational High Schools (SMK) within the Pasundan Secondary Basic Education Foundation (YPDM) in the Bandung-Cimahi area. The research method used is a quantitative method with a survey approach. The research sample consisted of 117 teachers who were randomly selected from 165 teachers in several vocational schools in the region. Data was collected through questionnaires and analyzed using path analysis, data analysts using the SmartPLS 4 application The results of the study were descriptive to the three variables studied in the "Good" category, while the verifiable analysis showed that the principal's servant leadership and teacher competence significantly had a positive effect on teacher performance, both partially and simultaneously. The implication of this study is the importance of developing the principal's servant leadership and improving teacher competence to improve teacher performance in Vocational High Schools (SMK).

Impact of Digital Empowerment on University Performance: Evidence from Northern Border University in Saudi Arabia

The COVID-19 pandemic, known as Covid-19, has caused unprecedented disruption in global education systems, impacting approximately 1.6 billion students across over 190 countries and affecting universities and other educational institutions profoundly. In response to this crisis, educational institutions have increasingly turned to technological advancements and the implementation of distance learning and e-learning platforms as viable alternatives to traditional educational methods. This shift has necessitated faculty members to assume new roles, managing educational processes through virtual classrooms, taking part in remote collaboration in interdisciplinary teams and making decisions pertaining to distance education. The implementation of digital empowerment in educational settings is contingent upon these endeavors. The purpose of this research is to evaluate the effect of digital empowerment on institutional performance at universities. In order to do this, 320 people, or 23% of the study population, responded to a questionnaire that was issued to 1,358 faculty members in order to test a number of hypotheses. Multiple regression analysis results show that 40.2% of the variance in institutional performance may be explained by digital empowerment and the five sub-variables it was explored in this study. This emphasizes how important digital empowerment is for improving university operations, especially at Northern Border University. Keywords: Remote learning, digital learning platforms, and academic institutions

An exploratory scientometric analysis of monosodium glutamate and cardiovascular or metabolic diseases: Dynamicity, collaboration, and emerging patterns

Objective: Monosodium glutamate (MSG) is a popular food additive in all ethnic strata, but its impact on public health is questionable due to symptoms such as headaches and nausea that have been attributed to it. This study aimed to perform a scientometric analysis of the literature related to MSG and cardiovascular and metabolic diseases, covering the period from 2018 to 2023. Methods: A cross-sectional, exploratory study design was employed. A comprehensive search of the Scopus database was performed using specific search terms related to MSG and cardiovascular or metabolic diseases. The analysis process in SciVal enabled the examination and visualization of various aspects of the scientific literature. Bibliometric metrics such as Scholarly Output, h-index, Field-Weighted Citation Impact, and Citations per Publication were used to assess the relevance and impact of the research results. Results: The bibliometric analysis covered 114 documents retrieved from 96 sources, including journals and books. Although the annual growth rate was negative, the average number of citations per paper was 10.1, indicating a significant impact. Collaboration among authors was remarkable, with an average of 6.68 coauthors per paper and 12.28% international coauthorships. Several authors and academic institutions were highlighted for their contributions to the field. The thematic analysis revealed changing terminology trends, reflecting the evolution of research approaches and interests over time. Conclusion: There has been a significant impact and collaboration within the research community on the study of MSG and its association with cardiovascular or metabolic diseases. The results of these studies offer valuable insights into the dynamics and quality of research in this field. They highlight the importance of further research to address the complexities of MSG’s impact on human health.

Oncologists’ management of non-cancer conditions: An observational study.

23 Background: Cancer diagnoses introduce layers of complexity for care coordination. Oncologists often find themselves independently managing coincident, non-cancer illnesses. How often oncologists engage in direct management of non-cancer conditions, rather than coordinating with patients' other providers, is not well understood. We examined how often oncologists prescribe medications to manage non-oncologic conditions, as a proxy for assuming primary-care responsibilities. Methods: The cohort included all US physicians with a specialty of Hematology-Oncology or Medical Oncology from 2016-2020, available in the Centers for Medicare & Medicaid Services Part D Prescribers dataset. Prescription drugs were categorized as “cancer-directed”, “cancer-related” (eg., opioid pain medications), or “non-cancer” (eg., antihypertensives). Primary outcomes included prescription of cancer-directed, non-cancer, and cancer-related medications. Multivariate logistic regression assessed the association between non-cancer medication prescriptions and provider location, medical school graduation year, gender, and practice affiliation during 2020. Results: A mean of 8.3% (median 5.3%, IQR 0% – 12.5%) of oncologists’ prescriptions were for non-cancer medications; this decreased during the study period, falling from 9.5% in 2016 to 7.4% in 2020 (p<0.001 on Kruskal Wallis test for non-parametric data). Providers practicing in the Midwest (aOR 1.3, 95%CI [1.2-1.5]), Southeast (1.5 [1.3-1.7]), and Southwest (1.6 [1.4-1.9]) were more to prescribe non-cancer medications, as were providers who graduated >10 years prior to the end of the study period, most notable in providers graduating 1990–1991 (2.2 [1.9-2.6]). Those at academic institutions (0.7 [0.6-0.8]) were less likely to prescribe non-cancer medications. Conclusions: A small but substantive portion of oncologists’ prescriptions are for medications unrelated to cancer care. The downtrend in non-cancer prescriptions may reflect that coordinated co-management of patients with cancer is increasing. The rise in telemedicine and digital health represents an opportunity to establish stronger multidisciplinary care for patients with cancer through hybrid cross-collaboration between primary care physicians and oncologists. This is especially advantageous in regions where in-person integration of physician groups may not be possible. Additionally virtual continuing medical education sessions may aid primary care physicians in managing non-cancer medications for the cancer population. Trends in oncologists’ prescribing patterns from 2016–2020: Mean per-provider proportion of non-cancer medication prescription (%). Medication Class 2016 2017 2018 2019 2020 Cancer-Directed 30.4 31.1 32.2 32.7 33.9 Non-Cancer 9.5 8.9 8.2 7.6 7.4

150 - Leadership behavior and job satisfaction as predictors of turnover intention of radiologic technologists working in academic institutions in Region XI, Philippines

150 - Leadership behavior and job satisfaction as predictors of turnover intention of radiologic technologists working in academic institutions in Region XI, Philippines

Cultivating resilience: Camburi Quilombo’s role in preserving local knowledge amid climate change

PurposeThis paper examines how the Camburi Quilombo community in Ubatuba, Brazil, can be empowered to develop cultural resilience and conserve its Afro-Brazilian heritage in the face of challenges posed by climate change, urbanization and cultural erosion with the adverse consequences of tourism and inadequate infrastructure.Design/methodology/approachEmphasizing traditional knowledge, the project consisted of data collection, climate risk assessments and the development of an action plan in collaboration with academic institutions, governmental bodies and nongovernmental organizations (NGOs).FindingsAligned with sustainable development goals (SDGs), the project contributes to zero hunger, quality education, sustainable cities, climate action and life on land. Seed exchange fairs, decentralized seed banks and education initiatives foster environmental awareness and sustainable agriculture, impacting the community directly and over 1,000 individuals indirectly. While demonstrating short-term changes and mid-term viability, the project faced some challenges due to local communication complexities and overlapping jurisdiction.Originality/valueServing as a bridge between scientific research and local knowledge, the project aims to promote a paradigm shifts toward recognizing, respecting and incorporating indigenous practices, so that a more environmentally aware future can be envisioned for these communities amidst climate challenges. Reflecting on achievements, the project underscores integrating diverse cultural knowledge for community resilience.

Examining associations between social vulnerability and maternal morbidity among a multicentre cohort of pregnancies complicated by placenta accreta spectrum disorder in New York City

BackgroundPlacenta accreta spectrum (PAS) disorder is a source of severe obstetric morbidity and mortality worldwide. The objective of this paper was to evaluate the potential relationship between social vulnerability and...

The FDA Sentinel Real World Evidence Data Enterprise (RWE-DE).

The US Food and Drug Administration's Sentinel Innovation Center aimed to establish a query-ready, quality-checked distributed data network containing electronic health records (EHRs) linked with insurance claims data for at least 10 million individuals to expand the utility of real-world data for regulatory decision-making. In this report, we describe the resulting network, the Real-World Evidence Data Enterprise (RWE-DE), including data from two commercial EHR-claims linked assets collectively termed the Commercial Network covering 21 million lives, and four academic partner institutions collectively termed the Development Network covering 4.5 million lives. We discuss provenance and completeness of the data converted in the Sentinel Common Data Model (SCDM), describe patient populations, and report on EHR-claims linkage characterization for all contributing data sources. Further, we introduce a standardized process to store free-text notes in the Development Network for efficient retrieval as needed. Finally, we outline typical use cases for the RWE-DE where it can broaden the reach of the types of questions that can be addressed by the Sentinel system.

Telemetry discontinuation education for Nurse Practitioners decreases hospital costs-A quality-improvement project.

Despite updated American Heart Association guidelines, interventions designed to reduce telemetry misuse are uncommon. There was a systemic failure within the institution to adopt the most recent guidelines, resulting in poor use of resources and downstream costs. Case-control. Pre-post educational intervention, quality-improvement (QI) project in an urban academic cancer institution. Baseline telemetry usage was observed in 2,984 nonintensive inpatients in 21 hospital services over 6 months. Outcome measures were weekly telemetry usage in total minutes and cost savings based on a cost-predicted algorithm. Performance was compared between the intervention group and a control group for 3 months. Measures were compared using QI control charts and inferential statistics. Three high-using telemetry services primarily staffed by certified nurse practitioners (CNPs) were provided with a telemetry education intervention. The intervention consisted of four ten-minute educational sessions over 2 weeks delivered to the highest three telemetry using services. Forty-five providers received the educational intervention (78% CNPs and physician assistants [PAs] and 22% medical doctors [MDs]) and 272 did not (57% CNPs and PAs and 43% MDs). Only the educational intervention group showed measurable decreases shown by shifts in QI control charts. Decreased usage in the intervention group produced greater cost savings per patient when compared with the control group ($71.98 vs. $60.68), resulting in an estimated total annual cost savings of $94,740. Educational interventions for inpatient CNPs that reinforce national policies for telemetry discontinuation improve practice efficiency and potentially decrease health care costs.

Quality of life and interpersonal support among adult patients with cancer undergoing chemotherapy at an academic cancer institute.

370 Background: The National Cancer Institute (NCI) defines quality of life (QOL) as “overall enjoyment of life.” Increasingly, cancer treatments like chemotherapy are focused on not only increasing survival time but on maintaining and/or improving QOL. Interpersonal support has been shown to have an impact on QOL. Assessment of both can help focus efforts to improve quality of care for cancer patients. Methods: This study enrolled patients from the Lifespan Cancer Institute at The Miriam Hospital (TMH) in Rhode Island who were adults 18+ and on chemotherapy infusion treatment with an active cancer diagnosis. Patients were randomly selected for an in-person interview during scheduled chemotherapy infusion appointments from February 9 to April 26, 2024. We collected patient demographics and study staff administered the 16-item Quality of Life Scale (QOLS) and 12-item Interpersonal Support Evaluation List (ISEL). Results: Of 432 total eligible cancer patients at TMH, 96 (22%) completed the prospective survey. The average (SD) age was 68.4 years old (10.3). The majority of patients were male (51%), Caucasian (80%), married (65%), on Medicare (62%), diagnosed in 2023 or 2024 (59%), and the most common cancers were gastrointestinal (30%), genitourinary (24%), and breast (17%). Overall, patients demonstrate mostly high satisfaction in certain QOL and interpersonal support domains with variation across others. Over 80% of patients are “delighted” or “pleased” with their material comforts, close family and friends, entertainment, and independence. However, approximately 50% of patients report a mixed or worse level of satisfaction with their health, participation in organizations/public affairs, and active recreation and varying levels of satisfaction with other QOL domains. Over 60% of patients report the highest level of perceived interpersonal support across all domains (appraisal, belonging, tangible) with indication of stronger appraisal support compared to belonging and tangible. Conclusions: Our results indicate a strong satisfaction among patients with their close interpersonal networks rather than external affairs or activities. Satisfaction with health and active recreation among chemotherapy patients is much more variable. These findings suggest possible benefits of wellness and health maintenance programs during treatment. Lowest areas of interpersonal support indicate a need to build more comprehensive support resources for tangible tasks like moving, assisting with chores, or other physical activities and building support groups to increase belonging. Opportunities to build community among chemotherapy patients or utilize clinical social workers will likely improve satisfaction in many of the more low and variable QOL and interpersonal support domains, particularly for patients navigating a new or first-ever cancer diagnosis.

Improving verbal communication for oncology patients who self-identify as having low/marginal health literacy.

177 Background: Within our academic oncology institute, patient’s health-related social needs (HRSN) are identified through the new patient intake questionnaire (NPIQ). 28% (n=2787) of patients who completed the NPIQ (n=9836) reported low/marginal health literacy (HL). While reviewing the HRSN data, it was discovered that there was no formal process to support patients who reported having low/marginal HL. While printed and online health materials use standard reading levels, verbal communications are not individualized to patients’ literacy needs. As an integral member of the interdisciplinary team, Oncology Nurse Navigators (ONNs) communicate vital and complex health information with patients throughout the cancer continuum. This quality improvement project explored the impact ONNs could have with patients who self-identify as having low/marginal HL. Methods: To assess ONN HL knowledge and communication strategies for patients with low/marginal HL, a survey was conducted in March 2024. Findings revealed a HL knowledge gap across all disease programs. For project manageability, our team piloted HL interventions to the sarcoma disease group where 33% of patients (n=223) responded to the NPIQ as having low/marginal HL. Two-part intervention included: 1) creation of a HL training and tools for ONNs (e.g., teach-back method; scripting; reference materials) and 2) development of Epic Smartphrase acknowledging training and tools were utilized. Results: To understand ONNs knowledge of where to find patient HL score in Epic, we conducted a survey (n=69; response rate=43%). 94% of ONNs reported not knowing where to access HL information. The first intervention was training-based. ONN trainings (n=2) were held from 3/12/2024 to 5/14/2024. At baseline, 0% of ONNs (n=4) used HL tools, as they were not in existence. At first reassessment, 75% of ONNs reported using the HL tools to communicate with patients. Part two of the intervention (in-progress) is the creation of a Smartphrase to document when ONNs altered patient communication. Data on Smartphrase usage are forthcoming. Conclusions: Providing HL training and tools to ONNs equips them to 1) identify patients who have low/marginal HL, and 2) conduct conversations with patients at an appropriate literacy level.

Infection following mini-open rotator cuff repair: a single surgeon experience

Surgical technique has been shown to influence risk of surgical site infection following rotator cuff repair (RCR). Few studies have reported the rate of infection associated with mini-open RCR. The goal of this study was to report the postoperative infection rate and risk factors for infection among patients undergoing RCR performed by a single surgeon using a modified mini-open technique. Our hypothesis was that the rate of infection after mini-open RCR would be lower than previously reported for this surgical approach. We retrospectively reviewed an institutional shoulder surgery database to identify patients who underwent mini-open RCR performed by one surgeon at an academic tertiary care institution between 2003 and 2020. Patient records were reviewed to determine which individuals returned within 3 months postoperatively with a superficial or deep surgical site infection requiring operative management. Patient demographics, preoperative clinical characteristics, intraoperative variables, microbiological findings, infection management, and clinical course after infection were recorded. Backward elimination multivariate regression was used to assess for significant risk factors for infection. Of the 925 patients identified, 823 (89%) had at least 3 months of follow-up and were included for further analysis. A majority of the patients undergoing RCR were men (57%). The mean age was 58.4 ± 9.9 years, and the mean body mass index was 29.3 ± 5.9 kg/m2. Fourteen cases (1.7%) of postoperative surgical site infection were identified in 13 patients. Ten infections (1.2%) were superficial and 4 (0.49%) were deep. The most commonly identified organisms were Staphylococcus aureus and Cutibacterium acnes. Male sex (odds ratio [OR] 4.3, 95% CI 1.2-15.3) and diabetes mellitus (OR 3.9, 95% CI 1.2-12.6) were found to be associated with greater risk of infection. The RCR construct was found to be intact in all 10 patients with superficial infections and 2 of the 4 patients with deep infections. All infections were successfully treated with 1 round of surgical débridement and wound irrigation, and with 6 or fewer weeks of intravenous antibiotic therapy. All patients with postoperative infections recovered with no sequelae at a median final follow-up of 63.5 months (range, 3-215 months). This single-surgeon series of a large patient cohort undergoing mini-open RCR over an 18-year period demonstrated a low overall infection rate of 1.7%. Only 4 infections were deep, which suggests that deep infection after mini-open RCR is uncommon and approximates infection rates seen with arthroscopic techniques.

Research Hotspots of Acupuncture Treatment for Myopia Over the Past Decade: A Bibliometric Analysis (2014-2023).

To explore the research hotspots in acupuncture treatment for myopia from 2014 to 2023. A comprehensive search was conducted in the Science Citation Index-Expanded (SCI-E) within the Web of Science Core Collection (WOSCC). We used CiteSpace 6.2.R6 to perform an in-depth analysis of the annual publication trends, prolific authors, institutions, keyword co-occurrences, and citation bursts. The study followed the PICO framework: the population (P) includes studies on patients with myopia, the intervention (I) is acupuncture treatment, no direct comparison (C) is applied, and the primary outcome (O) focuses on the identification of research trends and hotspots. Major outcome assessments included the analysis of publication trends over time, author productivity, influential journals, and the detection of emerging research topics through citation burst analysis. This bibliometric analysis was conducted on November 15, 2023. A total of 281 articles were included in the analysis. The trend line of annual publications over the past decade showed a modest increase, with a significant decline in 2019 and a surge in 2021. China and its affiliated academic institutions led globally in publication volume, with Ma Xiaopeng being the most prolific author and Fudan University the most influential institution. Ophthalmology emerged as the journal with the highest citation frequency. The most frequently occurring keywords were related to adolescent myopia and its complications. The developmental trajectory of the field is distinct, characterized by the integration of a single discipline. Acupuncture shows promise as a complementary and alternative therapy for treating myopia, with growing interest in its clinical efficacy and mechanisms of action. Future research is likely to focus on optimizing treatment protocols and understanding the underlying biological mechanisms of acupuncture in myopia management.