Article Reviews Research Articles

The Incidence of Shoulder and Elbow Injuries in High School and Collegiate Softball Athletes: A Systematic Review.

Despite increased youth and adolescent participation in fast-pitch softball and the reporting of upper extremity injuries, there remains a relative paucity of research examining shoulder and elbow injuries in high school and collegiate softball athletes. To evaluate the reported incidence, setting, and positional factors associated with shoulder and elbow injuries in high school and collegiate fast-pitch softball players. PubMed, Ovid, Medline, EMBASE, Scopus, Cochrane Central, and Clinicaltrials.gov. English-language articles reporting the incidence of shoulder and/or elbow injuries occurring in high school or collegiate fast-pitch softball players were included. Biomechanical studies, review articles, abstract only texts, previous systematic reviews, and meta-analyses were excluded. Systematic review. Level 4. Two reviewers independently evaluated studies. Data related to the reported incidence of shoulder and elbow injuries, injury setting, position, and rate of return to play after injury were recorded. A total of 22 studies were identified. In high school athletes, shoulder injury rates ranged from 0.88 to 1.14 per 10,000 athletic exposures (AE), with elbow injury rates ranging from 0.41 to 0.71 per 10,000 AE. In collegiate athletes, reported injury rates ranged from 3.76 to 5.93 per 10,000 AE for shoulder and 1.5 to 3.39 per 10,000 AE for elbow injuries. Shoulder and elbow injuries were reported more commonly during competition in high school athletes, and with greater frequency in the practice setting in collegiate athletes. No association between injury incidence and position was appreciated at either the high school or collegiate level. Most (81%-96%) athletes were able to return to sport within 3 weeks of injury. The incidence of shoulder and elbow injuries was greater in collegiate softball athletes than in high school athletes.

6714 Bone And Radiologic Findings In Congenital Generalized Lipodystrophy: A Systematic Review

Abstract Disclosure: R.M. Tuska: None. M. Brush: None. A.A. Livinski: None. R.J. Brown: None. Congenital Generalized Lipodystrophy (CGL) is characterized by a near-total loss of subcutaneous adipose tissue, leading to severe metabolic and systemic comorbidities. CGL is most commonly caused by mutations in AGPAT2 (CGL1) and BSCL2 (CGL2) genes. Skeletal abnormalities such as diffuse sclerosis, lytic bone lesions, and high bone mineral density (BMD) have been recognized in many patients with CGL, but the radiologic and clinical features of these bone phenotypes remain ill-defined. The aim of this systematic review was to evaluate the bone manifestations and radiologic findings associated with CGL1 and CGL2. We searched 6 databases: CINAHL Plus, Embase, Global Index Medicus (WHO), PubMed, Scopus, and Web of Science: Core. We screened articles utilizing a dual reviewer process in Covidence. Included publications reported primary bone and radiologic findings in patients with CGL1 or CGL2. Exclusions comprised publications without full text, duplicate publications, those lacking bone measures, and review articles. Two reviewers extracted data using RedCap and assessed risk of bias. 270 records were screened and 37 records reporting 179 cases of CGL were included for data extraction. Among the 79 patients assessed for bone cysts, 49 (62%) exhibited lytic appearing lesions. Of these 49, 14 (29%) patients presented with symptomatic lesions, primarily manifesting as bone pain at the lesion site (n=6), or pathologic fracture at the lesion site (n=9). Bone biopsy (n=7) revealed thin trabeculae and extensive vascular proliferation at the lesion site. Bone marrow biopsies (n=2) and imaging (n=20) revealed normal hematopoietic marrow with a marked reduction in marrow fat. 12 patients underwent serial bone imaging revealing diffuse osteosclerosis and the absence of lytic lesions in early childhood. During adolescence, lytic lesions appeared and progressed throughout the proximal and distal ends of the long bones in the appendicular skeleton sparing the axial skeleton. Markers of bone turnover were within normal limits except for sclerostin, which was elevated in a cohort of 11 patients. High BMD (n= 65), advanced skeletal maturation (n= 49), diffuse osteosclerosis (n=30), scoliosis (n=8), pseudo-osteopoikilosis (n=6), coxa valga (n=5), enlarged epiphyses (n=7), and coarse trabeculae (n=8) were also reported. While leptin replacement therapy improved metabolic parameters in many patients, it did not reverse the high bone mineral density or significantly alter markers of bone turnover. Individuals with CGL exhibit a spectrum of skeletal abnormalities including lytic-appearing lesions, osteosclerosis, high bone mineral density, advanced skeletal maturation, and pseudo-osteopoikilosis. Further long-term follow-up is needed to comprehensively assess the progression of these lesions over the life course and to elucidate the mechanisms contributing to their development. Presentation: 6/2/2024

Business insights using RAG–LLMs: a review and case study

ABSTRACT As organizations increasingly rely on diverse data sources like invoices and surveys, efficient Information Extraction (IE) is crucial. Natural Language Processing (NLP) enhances IE through tasks such as Named Entity Recognition (NER), Relation Extraction (RE), Event Extraction (EE), Term Extraction (TE), and Topic Modeling (TM). However, implementing these methods requires significant expertise, which smaller organizations often lack. Large Language Models (LLMs), powered by Generative Artificial Intelligence (GenAI), can address this by performing multiple IE tasks without extensive development costs. However, LLMs may struggle with domain-specific accuracy. Integrating Retrieval-Augmented Generation (RAG) with LLMs improves precision by incorporating external data. Despite the potential, research on RAG-LLM applications in the business domain is limited. This article reviews Business IE systems, explores RAG-LLM applications across disciplines, and presents a case study demonstrating how RAG-LLMs can enhance business insights, offering scalable, cost-effective solutions.

Genre Theories and Second Language Writing: Development, Trends and Tensions

This article reviews literature on genre theory and second language (L2) writing. Specifically, the application of genre theory in L2 writing classrooms and how genre theory together with other themes in the field of second language acquisition contribute to L2 writing development are discussed. Genre has emerged as an important concept in L2 writing studies because it helps teachers and learners to identify socially recognized ways of using language. Through different schools and theories, genre has become a formidable strategy that helps writers learn academic writing conventions. Despite the affordances, a major criticism of genre theory is its tendency to hinder creativity and agency in the classroom and strengthen dominant and privileged discourses. This article concludes with a discussion on genre innovation and studies that underscore the need for flexibility and innovation when developing genre-based pedagogies for classrooms. Despite the challenges, genre remains a crucial theory in L2 writing studies.

12605 Two Systematic Reviews Of Treatment Efficacy On Patient Important Outcomes In Children X-linked Hypophosphatemia

Abstract Disclosure: D.S. Ali: None. R. Mirza: None. S. Hussein: None. F. Alsarraf: None. R. Alexander: Consulting Fee; Self; Ultragenyx. Grant Recipient; Self; Ardylex Inc.. H. AbuAlrob: None. M. Brandi: Consulting Fee; Self; Aboca, Alexion, Amolyt, Bruno Farmaceutici, Calcilytix, Echolight, Kyowa Kirin, Personal Genomics,. Speaker; Self; Kyowa Kirin, Abiogen, Alexion, Amgen, Amolyt, Amorphical, Bruno Farmaceutici, Eli Lilly & Company. T.O. Carpenter: Advisory Board Member; Self; Kyowa Kirin, Ultragenyx. Consulting Fee; Self; Kyowa Kirin, Ultragenyx. Grant Recipient; Self; Ultragenyx. Other; Self; Assoc. Editor JBMR, President Ped Endo Soc, Author UpToDate (royalties), XLH-Network (Patient Advisory Org). K. Dandurand: Speaker; Self; Amgen Inc, Kyowa Kirin. G. Filler: Consulting Fee; Self; Kyowa Kirin, Ultragenyx, ProKidney. Speaker; Self; Ultragenyx, ProKidney. P.F. Florenzano: ; Institutional Research Grants: Ultragenyx. ; Advisory Boards: Ultragenyx, Kyowa Kirin. S. Fukumoto: Consulting Fee; Self; Kyowa Kirin. C. Grasemann: Speaker; Self; Kyowa Kirin. E.A. Imel: ; Ultragenyx (Research funding and consulting). ; Kyowa Kirin (research funding and consulting). ; Inozyme (consulting). ; Amgen (research funding). S.M. Jan De Beur: Consulting Fee; Self; Ultragenyx, Kyowa Kirin. Research Investigator; Self; Ultragenyx. E. Morgante: None. L.M. Ward: ; clinical trials with Ultragenyx. ; consultancy to Kyowa Kirin and Ultragenyx. ; unrestricted educational grants from Ultragenyx and Kyowa Kirin (with funds to Dr. Ward’s instituition). A.A. Khan: Advisory Board Member; Self; Amgen Inc, Ascendis, Alexion. Grant Recipient; Self; Takeda, Amolyt, Calcilytix. Speaker; Self; Amgen Inc, Ascendis, Alexion. G. Guyatt: None. Objective: We sought to examine the highest certainty evidence on managing X-linked hypophosphatemia (XLH) in children, aiming to inform treatment recommendations of XLH international guidelines. Data Sources: We searched Embase, MEDLINE, Web of Science, and Cochrane Central from inception to March 2023. We also reviewed reference lists of eligible studies and pertinent review articles. Study eligibility criteria: Eligible studies included randomized controlled trials (RCTs) and observational studies enrolling individuals younger than 18 years old with XLH diagnosed on clinical grounds or with a confirmed pathogenic variant in PHEX. Articles were selected according to specific criteria evaluating the effectiveness of burosumab compared to either no treatment or conventional therapy (phosphate salts and active vitamin D) or evaluating conventional therapy compared to no treatment. Methods: Two reviewers independently determined eligibility, conducted data extraction, and assessed the risk of bias (RoB) in eligible articles. We employed the GRADE methodology to evaluate the certainty of the evidence. Results: After removing duplicates from 7,043 citations, we screened 4,114 records and assessed 254 full texts, of which in the systematic review (SR) addressing burosumab one RCT and one post-Hoc study proved eligible. Being open-label design, the RoB was high, with certainty of evidence on individual outcomes ranging from moderate to very low. Burosumab, compared to conventional therapy, probably prevents lower limb deformity, and improves physical health quality of life (QoL) (moderate certainty). It might also increase height and possibly improve the burden of symptoms related to chronic hypophosphatemia (low certainty). Conversely, burosumab probably increases Treatment-Emergent adverse events after the first administration (moderate certainty), and it may increase dental abscesses (low certainty). In the second SR, one observational study assessing conventional therapy versus no treatment was at high RoB providing very low certainty of evidence regarding the impact of conventional therapy compared to no treatment on final height. Conclusion: Our review indicates that burosumab likely offers benefits in preventing lower limb deformity and improving physical health QoL, while potentially increasing height and improving the burden of symptoms related to chronic hypophosphatemia (low certainty). However, it may also increase adverse events, including dental abscesses. Additionally, our review found limited evidence regarding the impact of conventional therapy compared to no treatment on final height in children. These findings highlight the need for further research to better understand the long-term impact of conventional therapy and burosumab in children. Presentation: 6/2/2024

Disruptions to protein kinase A localization in adrenal pathology.

Cell signaling fidelity requires specificity in protein-protein interactions and precise subcellular localization of signaling molecules. In the case of protein phosphorylation, many kinases and phosphatases exhibit promiscuous substrate pairing and therefore require targeting interactions to modify the appropriate substrates and avoid cross-talk among different pathways. In the past 10 years, researchers have discovered and investigated how loss of specific interactions and subcellular targeting for the protein kinase A catalytic subunit (PKAc) lead to cortisol-producing adenomas and the debilitating stress disorder adrenal Cushing's syndrome. This article reviews classical studies regarding PKA localization in glucocorticoid-producing adrenal cells and synthesizes recent evidence of disrupted PKA localization and selective regulatory interactions in adrenal pathology.

Analyzing structural racism and its health impacts: it's about time.

It's about time. Since 2020, new work on structural racism and health has erupted in the United States, with 93% of the 1655 PubMed articles indexed by "structural racism" as of April 4, 2024 having been published during or since 2020. Among the 310 review articles included, most have focused either on improving conceptual, substantive, and methodologic clarity and precision about measuring and modeling structural racism, or reviewing evidence about its impacts on specific exposures or outcomes. However, only 2.5% of these 1655 articles are also indexed by the term "lifecourse" and its variants, and among the reviews considered here, none explicitly discuss issues involving etiologic period. Informed by ecosocial theory's temporal theorizing about pathways of embodiment, and also Latin American social medicine-collective health framings of "health-illness-disease processes," lifecourse models, and the construct of the "cancer control continuum," in this brief commentary I consider how time matters in relation to concrete examples involving structural racism and cancer, and also inconsistent results reported by several studies using latent measures of structural racism. When it comes to structural racism and health, it truly is about time - and it is time for this work to tackle issues of time.

Inhibition of polyphenol oxidase for preventing browning in edible mushrooms: A review.

Edible mushrooms are rich in nutrients and bioactive compounds, but their browning affects their quality and commercial value. This article reviews various methods to inhibit polyphenol oxidase (PPO)-induced browning in mushrooms. Physical methods such as heat treatment, low temperatures, irradiation, and ultrasound effectively reduce PPO activity but may affect mushroom texture and flavor. Chemical inhibitors, including synthetic chemicals and natural plant extracts, provide effective PPO inhibition but require careful monitoring of their content. Biological methods, including gene editing and microbial fermentation, show promise in targeting PPO genes and enhancing antioxidant production. Combining these methods offers a comprehensive strategy for preserving mushroom quality, extending shelf life, and maintaining nutritional value. PRACTICAL APPLICATION: These approaches can be applied in the food industry to improve post-harvest mushroom preservation, enhance product quality, and reduce waste, benefiting both producers and consumers. Further research and innovation are needed to optimize the practical application of these methods in large-scale processing and storage conditions.

Uncovering malate dehydrogenase: structure, function and role in disease.

Malate dehydrogenases (MDHs) have been extensively studied since the 1960s due to their key roles in carbon metabolism and pathways such as redox balance and lipid synthesis. Recently, there has been renewed interest in these enzymes with the discovery of their role in the metabolic changes that occur during cancer and a widespread community of undergraduate teaching laboratories addressing MDH research questions, the Malate Dehydrogenase CUREs Community (MCC). This special issue describes different facets of MDH, including its physiological role, its structure-function relationships, its regulation through post-translational modifications, and perspectives on its evolutionary history. There are two human isoforms: a cytoplasmic isoform that carries out formation of NAD+ for glycolysis, and a mitochondrial isoform that plays a major role in the citric acid cycle. Although the sequences of these two isoforms vary, the structures of the enzymes are similar, and studies suggest that each isoform may form complexes with other enzymes in common pathways. Experimental and theoretical advances have helped to characterize the post-translational modifications of MDH, allowing us to ask more complex questions involving the regulation of the enzyme and substrate promiscuity in the context of cancer. Additionally, there are many unresolved questions on the role of malate dehydrogenase in other organisms, especially in parasites. The review articles in this issue seek to shed light on the latest advances in our understanding of MDH and highlight areas for future studies.

Readability Level of Spanish Language Online Health Information: A Systematic Review.

Introduction: Because there is limited online health information in Spanish and it is critical to raise health literacy among Spanish-speaking people, it is essential to assess the readability level of Spanish material. Method: This systematic review included all articles published up to January 3, 2024, and used the CINAHL, MEDLINE, and PubMed databases. The objective was to include the body of knowledge on published articles on the readability levels of Spanish-language, web-based health information intended for lay audiences. Results: There were 27 articles in the final review. Within these articles, 11 tools were used in the Spanish language text. Of the tools, INFLESZ was the most frequently used and the FRY formula, Flesch-Szigriszt Index, and Flesch Formula Index were least used. Most materials (85.2%) reported readability levels of online Spanish information above the 8th grade reading level. Conclusions: The findings show the lack of internet-based Spanish language health information and materials at a recommended (e.g., 5th to 8th grade) reading level. More research is needed to determine which readability tests are more accurate for calculating the readability of Spanish web health information.

Do employees matter, or is everything a facade? Effective knowledge management targeting well-being

Purpose The competency trap can occur when organizations become resistant to change due to their existing competencies, leading to a culture of complacency and hindering adaptability and innovation. This paper aims to understand this trap and its hindrance to organizational learning and knowledge acquisition. The study aims to integrate employee well-being into knowledge management (KM) strategies to overcome obstacles and demonstrate its significant contribution to effective KM and improving overall organizational health. Design/methodology/approach A systematic literature review (SLR) process was used in this research, with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol used to scrutinize articles for review. Only 50 peer-reviewed articles from 2000 to 2023 that focused on KM and employee well-being were included for review. Findings Organizations can tackle the competency trap by managing knowledge effectively and prioritizing employee well-being. When considered for effective KM, the PERMA (positive emotions, engagement, relationship, meaning and accomplishment) facets of well-being strategically supports knowledge sharing and sustainable organizational change through KM. Practical implications Focusing on PERMA facets of well-being in KM, an organization can emphasize employees' sense of achievement, addressing the competency trap to build a culture of knowledge sharing. This approach benefits professionals in developing an effective KM system. Originality/value This paper addresses the challenge of the competency trap, which has gained less academic attention, and explores KM from a well-being perspective.

Using immersive virtual environments for teaching and socializing children with autism spectrum disorder

The authors' research interests are focused on the development of preschool children with autism spectrum disorder and the potential of virtual reality technologies for teaching and developing children in a gaming environment. The article reviews articles published in peer-reviewed journals and posted in the Scopus database and the Google Scholar search engine for scientific publications over the past 10 years. The objective of the review is to identify international research experience regarding the impact of virtual environments and hardware on children with autism spectrum disorder, their potential effectiveness, recommended conditions and limitations of using virtual reality for social adaptation, development of communication, cognitive and motivational skills. The articles analyzed in the review focus on the following issues: the potential and results of using different types of virtual reality technologies for developing various skills and abilities in children with autism; using virtual reality to work with problems and risks; as well as the features, limitations and safety of using virtual reality headsets by children with autism spectrum disorder. It is recommended to use immersive virtual environments for children with autism under the following conditions: the presence of close and trusted people (caregivers or parents), the presence of real game objects for switching children after exiting the virtual environment and distracting attention from possible negative effects of using gadgets, continuing communication with the child after a virtual reality session in a normal physical space to practice the skill being taught, specific time limits for staying in the virtual environment, etc. It is concluded that the results of using virtual reality technologies remain contradictory, but valid data from scientific research allow us to assert that the use of immersive virtual environments is acceptable, can be effective for teaching children with autism spectrum disorder and, if certain conditions are met, is adequately perceived by them.

Relationship between Family Support and Quality of Life in Stroke Patients

Stroke is a disease of the brain in the form of impaired local nerve function that appears suddenly, progressively, and quickly. Family support is very influential on stroke patients, because family support is very instrumental in a form of assistance provided by family members to provide physical and psychological comfort when someone experiences illness and provides social support. This article review aims to determine the relationship between family support and quality of life in stroke patients. This study used the literature review method with the Preferred Reporting Items for Systematic Reviews & Meta-Analyses (PRISMA) protocol. Scientific articles or journals were downloaded from PubMed, Garuda Portal, and Google Scholar with SINTA IV and V standards within 2020-2024. In this literature, it was found that family support is an aspect that plays an important role in the quality of life of stroke patients. Family support itself includes emotional support, appreciation support, instrumental support and information support. The family is the closest person who always interacts with post-stroke patients, so the role of the family is very important in an effort to provide various supports that create a sense of security for patients.

Flemingia Strobilifera– An Updated Review on its Pharmacognostic and Pharmacological Properties

Background: Our health care system greatly benefits from the use of old medical techniques. In Ayurvedic medicine to improve manhood, Flemingia strobilifera (Lam.) is utilized as an herb. The Fabaceae family, which includes Flemingia strobilifera (Palas), is widely cultivated throughout India. There are more than forty species of Flemingia throughout the globe; out of which 15 species of this genus are in India. Objective: To learn more details about this plant and various species of Flemingia, specifically the chemical makeup of the plant, its species, and/or its elements, traditional and medical uses for the plant. This review article also focuses on the origin, history, classification, phytochemistry, morphology, microscopy, and pharmacological aspects. Methods: A detailed and extensive literature survey through research findings, review articles, Google sources, database etc was done to explore the aspect of Flemingia species for its various physical, chemical, pharmacological, phytochemistry and related fields. Results: Our findings report that several representatives of this genus have been employed as vermifuges and remedies for fever, diarrhea, indigestion in traditional medicine. The plant's anthelmintic, anticancer, antirheumatic, antiinflammatory, antioxidant and antihistaminic effects are well documented. According to literature reports, the chemical constituents of this genus' are flavonoids, glycosides, chalcones, epoxy chromenes, and pterocarpans. Rural and ethnic people regularly use this plant to treat a range of diseases. Conclusion: Research on Flemingia strobilifera has a bright future thanks to its strong natural origin. The uniqueness and usefulness of Flemingia strobilifera was obscured. In future, many more potential of Flemingia could be investigated in combination with other herbs.

Digital transformation technologies for conveyor belts predictive maintenance: a review

The availability of condition-monitoring data has increased due to internet of things (IoT) technologies, providing information on various parameters like vibration, temperature, current, and voltage. Cloud computing and big data facilitate the prevention of failures and estimation of remaining useful life through advanced mathematical models and artificial intelligence (AI) techniques. These enable prompt and suitable maintenance actions. This article conducts a systematic review of digital transformation technologies, including cloud computing, edge computing, AI, machine learning (ML), and TinyML, in predictive maintenance for conveyor belt systems. This article reviews how these digital transformation technologies improve predictive maintenance strategies for conveyor belts. The systematic review summarizes the results and challenges of various methodologies used in conveyor belt systems and suggests areas for further research. This paper aimed to serve as a useful resource for researchers, practitioners, and industry professionals seeking insights into current predictive maintenance technologies for conveyor belt systems. The takeaways of the review are expected to ignite discussion on efficient and proactive maintenance strategies and promote the development of innovative solutions for ensuring the reliability and longevity of conveyor belt systems in the digital era.

Fuzzing drones for anomaly detection: A systematic literature review

Drones, also referred to as Unmanned Aerial Vehicles (UAVs), are becoming popular today due to their uses in different fields and recent technological advancements which provide easy control of UAVs via mobile apps. However, UAVs may contain vulnerabilities or software bugs that cause serious safety and security concerns. For example, the communication protocol used by the UAV may contain authentication and authorization vulnerabilities, which may be exploited by attackers to gain remote access over the UAV. Drones must therefore undergo extensive testing before being released or deployed to identify and fix any software bugs or security vulnerabilities. Fuzzing is one commonly used technique for finding bugs and vulnerabilities in software programs and protocols. This article reviews various approaches where fuzzing is applied to detect bugs and vulnerabilities in UAVs. Our goal is to assess the current state-of-the-art fuzzing approaches for UAVs, which are yet to be explored in the literature. We identified open challenges that call for further research to improve the current state-of-the-art.

Pearls and pitfalls of over-the-counter nasal sprays for seasonal allergy.

Allergic rhinitis (AR), commonly called hay fever, is primarily caused by the release of histamine after exposure to an allergen. This article reviews over-the-counter nasal spray options for the prevention and treatment of AR, including mechanisms of action, risks and benefits, and patient education.

ICD-10-CM Update for Epileptic Disorders

This article reviews new International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes related to epileptic disorders that will be implemented for services provided on and after October 1, 2024. Codes for reporting the following conditions and status are discussed: KCNQ2-related epilepsyDevelopmental and epileptic encephalopathyGenetic susceptibility to epilepsy and neurodevelopmental disorders

An overview of the psychological complexities in sports performance

Our special issue comprises a diverse collection of ten research and review articles, each offering unique insights into the psychological dimensions of athletic performance. From studies examining the role of resilience in overcoming extreme score shifts to explorations of the mental toll caused by external crises like the COVID-19 pandemic and geopolitical conflict, these papers provide a broad spectrum of perspectives. The issue digs into critical topics such as the influence of crowd dynamics, athlete-coach relationships, and the psychological challenges of breaking long-standing records, all while highlighting innovative methodologies like ecological approaches and creative non-fiction. Together, these ten papers underscore the complexity of the psychological factors that impact athletes’ success and well-being, offering both theoretical advances and practical applications for the sporting world.

Suicide publications from nursing perspective: A bibliometric analysis from 1982 to 2023

AimThis study aims to demonstrate the quantitative and qualitative features of suicide publications in the field of nursing from a bibliometric perspective. DesignDescriptive study. MethodsWeb of Science was used during the research. The data were searched with the keyword combination “suicide and nursing,” including studies published until March 2023, the study date, without a time limit. ResultsIn this study, 1608 suicide research/reviews in the field of nursing were identified between 1982 and 2023, and the research was completed with 1274 suicide studies in line with the exclusion criteria. 3374 authors wrote 1173 research and 101 review/systematic review articles, with an average of 13.31 citations for each publication. Most were published in 2021. ConclusionsNurses seem to begin to take a more active part in suicide studies. It may be recommended that nurses conduct more studies to determine suicide processes and biopsychosocially and ethically appropriate approaches to patients/healthy individuals.