High-quality Literature Research Articles

RSVpreF vaccination in pregnancy: a meta-analysis of maternal-fetal safety and infant efficacy.

In May 2023, The United States Food and Drug Administration (FDA) approved a Pfizer©-sponsored (COMPANY, CITY, STATE, COUNTRY) bivalent RSVpreF (respiratory syncytial virus prefusion F protein-based vaccine) RSV vaccine (AbrysvoTM [COMPANY, CITY, STATE, COUNTRY]) for use during pregnancy to prevent neonatal/infant RSV infection. In February of 2022, FDA trials sponsored by GSK© (COMPANY, CITY, STATE, COUNTRY) on a similar RSVpreF RSV vaccine were halted because of the identification of a safety signal related to preterm births. As these vaccines use nearly identical pre-fusion F-protein technology, we sought to synthesize and evaluate the existing high-quality literature on their effectiveness and safety. From inception until March 15, 2024, we searched for randomized controlled trials (RCTs) on this topic. We used Review Manager (RevMan 5.4.1) (COMPANY, CITY, STATE, COUNTRY) to perform the analysis with 95% confidence intervals and risk ratios (RR). Our search yielded three large RCTs. From a safety perspective, many maternal side effects were greater in the RSVpreF group, with an increased incidence of local reactions (RR, 5.98 [3.68, 6.83]; P=0.01; I2=0%), blood disorders (RR, 1.07 [0.69, 1.66]; P=0.78; I2=0%), fatigue (RR, 1.05 [1.00, 1.10]; P=0.07; I2=0%), joint pain (RR, 1.60, 1.39 [0.68, 2.86]; P=0.37; I2=59%), cardiac disorders (RR, 1.19 [0.80, 1.77]; P=0.38; I2=0%), headache (RR, 0.80 [0.30, 2.10]; P=0.65; I2=0%), fever (RR, 0.90 [0.20, 4.16]; P=0.89; I2=57%), gastrointestinal disorders (RR, 1.04 [0.70, 1.56]; P=0.83; I2=0%), and pregnancy complications (RR, 1.01 [0.65, 1.56]; P=0.97; I2=17%). The vaccinated group demonstrated significant reduction RSV-lower respiratory tract disease (LRTD) cases (RR, 0.44 [0.33, 0.57]; P=0.01), severe LRT illness (RR, 0.29 [0.19, 0.44]; P=0.01), and hospitalizations (RR, 0.40 [0.24, 0.67]; P=0.005). RSVpreF vaccination was associated with a higher incidence of preterm delivery (RR, 1.24 [1.08, 1.44]; P=0.03); however, no significant difference in neonatal deaths was observed (RR, 1.42 [0.70, 2.89]; P=0.34). RSVpreF vaccination results in systemic adverse events and an increase in preterm delivery. Vaccination appeared to have acceptable short-term safety for newborns, but did not produce a significant decrease in neonatal death.

Beyond Lip Service: Decolonizing Children's Literature for Promoting Racial Pride, Equity, Achievement, and Liberation (REAL)

Children in P-12 schools are growing up in racially tumultuous times, despite the promises of desegregation since Brown vs. Board of Education. Multicultural education, included under the umbrella of equity, diversity, and inclusion, is under attack and illegal in an increasing number of school districts. Advanced placement in Black history and psychology courses and the use of diverse literature written for children and young adults have been banned by many school districts nationally. Educators are being threatened, sanctioned, reprimanded, and fired. Despite this, some teachers stand steadfast in their commitment to pedagogies that use authentic, high-quality literature about and by minoritized scholars. In this publication, I discuss the importance of gifted and talented education (GATE) students being taught Black history and culture that centers diverse literature that recognizes, respects, and celebrates similarities and differences within and across cultures including ethnicity, nationality, age, gender, gender expression, sexual orientation, socioeconomic status, physical, cognitive and emotional ability, geographic location, language, and religion. Many GATE students are avid readers and like other students, they benefit from an education that includes diverse literature. Further, I use Racial Pride, Equity, Achievement, and Liberation (REAL) to underscore the monumental need for multicultural literature due to its multitude of benefits to Black and other minoritized students. In other words, children's literature can and must be decolonized, which is supported by Bishop’s metaphor of “mirrors, windows, and sliding glass doors.”

The effects of methimazole combined with propranolol on heart rate, bone metabolism, and thyroid hormone levels in patients with hyperthyroidism: A systematic review and a meta-analysis of case-control studies.

The combination of methimazole and propranolol is considered an effective treatment regimen for hyperthyroidism in clinical practice; however, detrimental effects on the heart rate, bone metabolism and thyroid hormone levels have been reported. Therefore, the present study aimed to systematically review the efficacy and safety differences in patients with hyperthyroidism and the effects of treatment on heart rate, bone metabolism, cortisol, and adrenocorticotropic hormone levels using case-control studies. Clinical case-control trials of methimazole combined with propranolol for the treatment of hyperthyroidism were selected from Chinese and English databases, and data were collected from the establishment of the database until August 2024. Two independent researchers evaluated the quality of the literature using the Newcastle-Ottawa Scale (NOS). Meta-analysis of each effect index was performed using RevMan software (version 5.3), and the quality of the results was evaluated using the GRADE profiler system letter description method. Sixteen clinical case-control trials were included in this study. Of these, 2 trials exhibited NOS scores of 7, 6 trials exhibited NOS scores of 6, and 8 trials exhibited NOS scores of 5. These accounted for 12.5% of the high-quality literatures, and included 772 patients treated with methimazole combined with propranolol (observation group) and 771 patients treated with methimazole alone (control group). The results of the meta-analysis demonstrated that methimazole combined with propranolol improved the cure rate, the total effective rate, and heart rate, compared with the control group (P < .05). In addition, calcification, bone glutamate protein, free triiodothyronine, free tetraiodothyronine, thyroid-stimulating hormone, cortisol, and adrenocorticotropic hormone were significantly different between the 2 groups (P < .05). There were no significant differences in leukemia, headache, dizziness, skin pruritus, bone pain, arthralgia, or in improving parathyroid hormone or reducing gastrointestinal reactions between the 2 groups. The present study demonstrated that methimazole combined with propranolol may significantly improve the heart rate, bone metabolism and associated hormone levels in patients with hyperthyroidism, without significantly increasing the risk of adverse reactions. However, due to the impact of primary literature type, quality or research methods high-quality, multicenter, rigorously designed clinical trials are required for further verification.

INTEGRATING ARTIFICIAL INTELLIGENCE INTO SUCCESSION PLANNING AND LEADERSHIP DEVELOPMENT IN HIGHER EDUCATION

This study evaluates and examines the use of artificial intelligence (AI) in succession planning and leadership development in higher education institutions. The primary focus is on how AI can enhance the effectiveness and efficiency in identifying and developing potential leadership candidates while addressing existing challenges. The review employs a comprehensive literature search strategy, involving four major databases: Scopus, Web of Science, ABI/INFORM Collection, and Google Scholar. Inclusion criteria ensure that relevant, up-to-date, and high-quality literature is gathered for analysis. The review findings indicate that the use of AI in succession planning and leadership development in higher education promises significant advancements. AI can enhance the effectiveness of succession planning by providing deeper analysis of talent and skills while addressing the digital transformation challenges faced by higher education institutions. The implementation of AI in this context has the potential not only to improve leadership quality but also to strengthen strong leadership continuity for the future. This review offers insights into best practices, challenges, and future potentials for AI usage in succession planning and leadership development in higher education institutions, along with recommendations for more effective implementation.

Post stroke sexual dysfunction - a current review.

Sexual dysfunction manifests as various challenges during sexual activity and is a prevalent condition that significantly impacts quality of life. Post stroke sexual dysfunction (PSSD) is particularly concerning, yet it is often overlooked by both healthcare providers and patients. We conducted a comprehensive literature review, examining research and reports related to sexual dysfunction following stroke. Our aim is to synthetize an extensive, detailed and up-to-date overview of its prevalence, underlying mechanisms, and interventions. PSSD, often underestimated among stroke survivors, has a high incidence but remains poorly understood in terms of its neurobiological mechanisms. Swift and accurate diagnosis, coupled with timely rehabilitative intervention, is crucial. However, the development of comprehensive guidelines is impeded by a lack of high-quality literature. This review seeks to present recent advances in understanding PSSD, and to advocate for a structured strategy in terms of the long-term rehabilitation of stroke survivors.

Role of nonpharmacological concussion management in children: systematic review of randomized controlled trials.

Concussion is a global public health problem that affects many children worldwide. Most patients present with postconcussion syndrome and normal brain imaging findings. Despite the high incidence of concussion in children, published research on nonpharmacological management is lacking and much more often concerns pharmacological interventions. This systematic review aimed to evaluate the role of nonpharmacological interventions in managing concussion based on randomized controlled trials. The PubMed, Scopus, Web of Science, and Cochrane databases were extensively searched for articles published between January 2013 and July 2023. A modified patient intervention, comparison, and outcome framework was used to construct the search strategy and eligibility criteria. Risk of bias was assessed using the Risk of Bias-2 tool. A total of 16 studies conducted between January 2013 and July 2023 were analyzed. Three studies were conducted in an acute care setting (<24-hour postinjury) involving rest, computer time, and doing nothing, while the other 13 studies were conducted in a chronic care setting (>24-hour postinjury) and included aerobic exercise, collaborative care intervention, cervical spine rehabilitation, education by physiotherapists, a hyperbaric oxygen therapy protocol, family intervention therapy, virtual reality, traditional occupational therapy, virtual rehabilitation, oculomotor control exercises, vestibular rehabilitation, coordination exercises, and balance exercises. This systematic review highlights the importance of nonpharmacological therapy in pediatric concussion cases. Active rehabilitation may yield promising outcomes. Another interesting approach may be useful in pediatric concussion management. However, this systematic review shows a lack of high-quality literature supporting nonpharmacological pediatric concussion treatments.

Innovation and integration: Analysis of research hotspots and frontiers in "Chinese + vocational skills" education—based on bibliometric analysis visualized by citespace

The "Chinese + Vocational Skills" education is a new form of education merging international Chinese education with vocational training. This paradigm has emerged as a focal point in research on international Chinese language education. This article is aimed to effectively dissect the developmental patterns and prevailing research topics on "Chinese + Vocational Skills", by employing CiteSpace, a tool for visualizing scientific data, to analyze pertinent literature spanning the last decade (2013–2023). The analysis offers insights into the overall landscape and evolutionary trajectory of research in this field. The findings therefrom indicate the followings: (1) Research on "Chinese + Vocational Skills" exhibits certain interdisciplinary characteristics, with an overall trend of rapid growth in research literature, but a relatively small volume of high-quality core literature. (2) "International Chinese Language Education", "Vocational Education", "Chinese + Vocational Skills", and the "Belt and Road" are current research hotspots in this field. "Chinese +",Chinese for Specific Purpose, demand analysis, and vocational skills serve as important turning points for research on "Chinese + Vocational Skills". (3) Research topics related to "Chinese + Vocational Skills" mainly concentrate on four aspects: international Chinese language education, vocational education, talent cultivation, as well as regions and countries, yet disparities of research endeavors exist across these fields. (4) The research frontier of the field mainly focuses on international Chinese language education, "Chinese + Vocational Skills", international vocational education on Chinese language in vocational colleges, and internationalization of Chinese language. Addressing contemporary demands, research in "Chinese + Vocational Skills" needs to align with global economic trends, cater to the actual needs for talent with such skills, and further enhance understanding from various perspectives including educational models, national demands, and internationalization efforts, thus fortifying the capacity of "Chinese + Vocational Skills" education to serve the development of industries.

Pain Management Methods and Techniques in Lumbar Disc Surgery: A Narrative Review Study

Background and Aim: This study examines the complex field of pain treatment related to lumbar disc disorders in a narrative review. Methods and Materials/Patients: Our search strategy involved utilizing specific terms, including ‘pain management,’ ‘lumbar disc surgery,’ ‘methods,’ and ‘techniques.’ We formulated a search query using Boolean operators: (‘Pain management’ OR ‘analgesia’) AND (‘lumbar disc surgery’ OR ‘spinal surgery’) AND (‘techniques’ OR ‘procedures’ OR ‘approaches’ OR ‘methods’) AND ‘narrative review.’ A systematic search was conducted across reputable medical databases including PubMed, MEDLINE, and Cochrane Library. Filters were applied to refine search results based on publication type and date, with a focus on material published within the past two decades to ensure the inclusion of current, high-quality literature. Results: This study synthesized information from several sources, demonstrating the changing methods used to address pain in lumbar disc disorders. The article explored the historical background of medical treatments, emphasized both contemporary surgical and non-surgical methods, and investigated the predicted factors that affect the results. The study investigated the range of surgical incidents and examined the clinical factors to be taken into account for treatments. The value of efficient pain treatment in alleviating chronic back pain and maximizing patient results was emphasized. Conclusion: In conclusion, this review underscores the paramount importance of comprehensive management of lumbar disc pain. It stresses that effective pain control not only alleviates immediate suffering but also plays a pivotal role in ensuring positive surgical experiences, enhancing patient outcomes, and promoting long-term well-being.

Computational approaches to investigate the relationship between periodontitis and cardiovascular diseases for precision medicine.

Periodontitis is a highly prevalent inflammatory illness that leads to the destruction of tooth supporting tissue structures and has been associated with an increased risk of cardiovascular disease (CVD). Precision medicine, an emerging branch of medical treatment, aims can further improve current traditional treatment by personalizing care based on one's environment, genetic makeup, and lifestyle. Genomic databases have paved the way for precision medicine by elucidating the pathophysiology of complex, heritable diseases. Therefore, the investigation of novel periodontitis-linked genes associated with CVD will enhance our understanding of their linkage and related biochemical pathways for targeted therapies. In this article, we highlight possible mechanisms of actions connecting PD and CVD. Furthermore, we delve deeper into certain heritable inflammatory-associated pathways linking the two. The goal is to gather, compare, and assess high-quality scientific literature alongside genomic datasets that seek to establish a link between periodontitis and CVD. The scope is focused on the most up to date and authentic literature published within the last 10 years, indexed and available from PubMed Central, that analyzes periodontitis-associated genes linked to CVD. Based on the comparative analysis criteria, fifty-one genes associated with both periodontitis and CVD were identified and reported. The prevalence of genes associated with both CVD and periodontitis warrants investigation to assess the validity of a potential linkage between the pathophysiology of both diseases.

Conceptualizing the role of virtual service agents in service failure recovery: Guiding insights

The hospitality industry employs artificial intelligence (AI) to positively influence customer psychological reactions and behavior. Our research addresses the challenges posed by AI service failure and explores the role of virtual service agents (VSAs) during the service failure recovery (SFR) process. In this study, we conducted a scoping review of 87 high-quality literature items published between 2000 and June 2024 to investigate how AI service failures contribute to adverse customer psychological reactions and behavior. This paper conceptualizes VSAs’ anthropomorphic attributes that may play important roles during the SFR process by influencing customer comfort and service failure tolerance. Moreover, we present how the severity of service failure and the competence of VSAs moderate the relationship between VSA anthropomorphic attributes and customer service failure tolerance. Theoretical and practical implications are discussed to provide additional insights.

Safer and more effective use of opioids

Safer and more effective use of opioids The Pain PLUS literature surveillance service demonstrates the importance of high-quality literature to support decision-making and practice for the use of opioids. McMaster University has had a significant leadership role in advancing the practice of evidence-based health care. Part of this leadership has been through the creation of programs and services that support individual clinicians and others in their striving to stay up to date in the rapidly expanding volume of healthcare knowledge and to separate high-quality materials from the large quantity of published work in order to make best use of their, often limited, time for review of publications.

Automation of systematic reviews of biomedical literature: a scoping review of studies indexed in PubMed

BackgroundThe demand for high-quality systematic literature reviews (SRs) for evidence-based medical decision-making is growing. SRs are costly and require the scarce resource of highly skilled reviewers. Automation technology has been proposed to save workload and expedite the SR workflow. We aimed to provide a comprehensive overview of SR automation studies indexed in PubMed, focusing on the applicability of these technologies in real world practice.MethodsIn November 2022, we extracted, combined, and ran an integrated PubMed search for SRs on SR automation. Full-text English peer-reviewed articles were included if they reported studies on SR automation methods (SSAM), or automated SRs (ASR). Bibliographic analyses and knowledge-discovery studies were excluded. Record screening was performed by single reviewers, and the selection of full text papers was performed in duplicate. We summarized the publication details, automated review stages, automation goals, applied tools, data sources, methods, results, and Google Scholar citations of SR automation studies.ResultsFrom 5321 records screened by title and abstract, we included 123 full text articles, of which 108 were SSAM and 15 ASR. Automation was applied for search (19/123, 15.4%), record screening (89/123, 72.4%), full-text selection (6/123, 4.9%), data extraction (13/123, 10.6%), risk of bias assessment (9/123, 7.3%), evidence synthesis (2/123, 1.6%), assessment of evidence quality (2/123, 1.6%), and reporting (2/123, 1.6%). Multiple SR stages were automated by 11 (8.9%) studies. The performance of automated record screening varied largely across SR topics. In published ASR, we found examples of automated search, record screening, full-text selection, and data extraction. In some ASRs, automation fully complemented manual reviews to increase sensitivity rather than to save workload. Reporting of automation details was often incomplete in ASRs.ConclusionsAutomation techniques are being developed for all SR stages, but with limited real-world adoption. Most SR automation tools target single SR stages, with modest time savings for the entire SR process and varying sensitivity and specificity across studies. Therefore, the real-world benefits of SR automation remain uncertain. Standardizing the terminology, reporting, and metrics of study reports could enhance the adoption of SR automation techniques in real-world practice.

Strategi Meningkatkan Literasi Mahasiswa STIT Madani Yogyakarta Berbasis Google Scholar

During the 21st century, technology has had a positive impact on education, both formal and non-formal, by facilitating access to information and making learning more interactive. One significant impact is on literacy, which now includes the ability to read, write, access, understand, evaluate, and use digital information, including through Google Scholar. Launched in 2004, Google Scholar makes it easy to find high-quality academic literature. This research aims to improve the literacy of STIT Madani Yogyakarta students using Google Scholar. The library method was used to collect related reading materials, with 9 selected articles as references. The strategies identified include: creating an organizational structure for clear guidelines and responsibilities, providing free internet on campus, and digital literacy socialization and training. This strategy is expected to improve students' digital literacy, facilitate access to academic resources, and develop the skills necessary for success in academic and professional environments.

The incidence of lower extremity amputation and its associated risk factors in patients with diabetic foot ulcers: A meta-analysis.

This study analysed the incidence of lower extremity amputation and its associated risk factors in patients with diabetic foot ulcers. This study systematically searched both Chinese and English databases, including CNKI, Wanfang, VIP, PubMed, EMBASE and Web of Science, to identify cohort studies related to lower extremity amputation and associated risk factors in patients with diabetic foot ulcers up to October 2023. The patients were stratified based on whether they underwent lower extremity amputation, and relevant data, including basic information, patient characteristics, complications, comorbidities and pertinent laboratory test data, were extracted from the included studies. The literature quality assessment in this study utilized the Newcastle-Ottawa Scale to screen for high-quality literature, resulting in the inclusion of 16 cohort studies, all of which were of at least moderate quality. Meta-analysis of outcome indicators was conducted using the Stata 14.0 software. The results indicate that the overall amputation rate of lower extremities in patients with diabetic foot ulcers is 31% (0.25, 0.38). Among the 16 variables evaluated, gender (male), smoking history, body mass index (BMI), hypertension, cardiovascular disease, kidney disease, white blood cell count, haemoglobin and albumin levels were found to be correlated with the occurrence of lower extremity amputation in patients with diabetic foot ulcers. However, no significant correlation was observed between age, diabetes type, duration of diabetes, stroke, glycosylated haemoglobin, creatinine and total cholesterol levels and lower extremity amputation in patients with diabetic foot ulcers. This meta-analysis indicates that the overall amputation rate in patients with diabetic foot ulcers is 31%. Factors such as gender (male), smoking history, high BMI, hypertension, cardiovascular disease, kidney disease, white blood cell count, haemoglobin and albumin levels are identified as significant risk factors for lower extremity amputation in diabetic foot ulcer patients. These findings suggest that attention should be focused on these risk factors in patients with diabetic foot ulcers to reduce the risk of lower extremity amputation. Therefore, preventive and intervention measures targeting these risk factors are of significant importance in clinical practice. (Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/, identifier [CRD42024497538]).

Reverse Logistics in the Construction Industry: Status Quo, Challenges and Opportunities

Implementing reverse logistics in the construction industry is considered a crucial method to achieve a circular economy. Despite a wealth of research focusing on improving reverse logistics systems, businesses still encounter challenges during the implementation process. Therefore, this study conducted a systematic literature review utilizing bibliometric methods to analyze 623 articles on reverse logistics in the construction industry published on Web of Science from 1995 to 2023. Additionally, a comprehensive review of 56 high-quality literature on obstacles to implementing reverse logistics in the construction industry and optimizing reverse supply chains was conducted. This review uncovered the current status and challenges of implementing reverse logistics in the construction industry and proposed potential solutions to address these issues. The main findings of this study include: (1) increasing academic interest in construction waste reverse logistics, with Chinese scholars leading the way and publications predominantly in environmental and construction journals, with limited coverage in logistics journals; (2) the primary obstacles to implementing reverse logistics in the construction industry lie in supply chain management, such as lacking deconstruction designs, incomplete recycling markets, difficulties in evaluating the quality of secondary materials, and insufficient supply chain integration; (3) proposing a framework for a construction industry reverse logistics supply chain ecosystem, aiming to establish a platform to facilitate online collection of construction waste, online transactions of secondary materials, end-to-end monitoring, and data analytics for consultation.

RefAI: a GPT-powered retrieval-augmented generative tool for biomedical literature recommendation and summarization.

Precise literature recommendation and summarization are crucial for biomedical professionals. While the latest iteration of generative pretrained transformer (GPT) incorporates 2 distinct modes-real-time search and pretrained model utilization-it encounters challenges in dealing with these tasks. Specifically, the real-time search can pinpoint some relevant articles but occasionally provides fabricated papers, whereas the pretrained model excels in generating well-structured summaries but struggles to cite specific sources. In response, this study introduces RefAI, an innovative retrieval-augmented generative tool designed to synergize the strengths of large language models (LLMs) while overcoming their limitations. RefAI utilized PubMed for systematic literature retrieval, employed a novel multivariable algorithm for article recommendation, and leveraged GPT-4 turbo for summarization. Ten queries under 2 prevalent topics ("cancer immunotherapy and target therapy" and "LLMs in medicine") were chosen as use cases and 3 established counterparts (ChatGPT-4, ScholarAI, and Gemini) as our baselines. The evaluation was conducted by 10 domain experts through standard statistical analyses for performance comparison. The overall performance of RefAI surpassed that of the baselines across 5 evaluated dimensions-relevance and quality for literature recommendation, accuracy, comprehensiveness, and reference integration for summarization, with the majority exhibiting statistically significant improvements (P-values <.05). RefAI demonstrated substantial improvements in literature recommendation and summarization over existing tools, addressing issues like fabricated papers, metadata inaccuracies, restricted recommendations, and poor reference integration. By augmenting LLM with external resources and a novel ranking algorithm, RefAI is uniquely capable of recommending high-quality literature and generating well-structured summaries, holding the potential to meet the critical needs of biomedical professionals in navigating and synthesizing vast amounts of scientific literature.

Network meta-analysis of non-pharmacological interventions for cognitive impairment after an ischemic stroke.

This study aims to evaluate the effectiveness of non-pharmacological interventions in improving cognitive function in patients with ischemic stroke through network meta-analysis. We searched databases including the Cochrane Library, PubMed, EmBase, and Web of Science for randomized controlled trials (RCTs) on non-pharmacological treatments to improve cognitive impairment following ischemic stroke. The publication date was up to 15 March 2023. Due to the insufficiency of included studies, supplementary searches for high-quality Chinese literature were performed in databases such as CNKI, WanFang Data, and VIP Chinese Science Journals Database. Two reviewers independently went through the literature, extracted data, and assessed the risk of bias in the included studies using the risk of bias assessment tool recommended by the Cochrane Handbook for Systematic Reviews of Interventions 5.1.0. By utilizing R 4.2.3 RStudio software and the GeMTC package, a Bayesian network meta-analysis was conducted to assess the improvement in Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) scores under a variety of non-pharmacological interventions. A total of 22 RCTs involving 2,111 patients and 14 different non-pharmacological treatments were included. These interventions were transcranial direct current stimulation (tDCS), reminiscence therapy (RT), remote ischemic conditioning (RIC), physical fitness training (PFT), intensive patient care program (IPCP), moderate-intensity continuous training + high-intensity interval training (MICT + HIIT), medium intensity continuous training (MICT), grip training (GT), acupuncture, cognitive behavioral therapy (CBT), cognitive rehabilitation training (CRT), high pressure oxygen (HPO), moxibustion, and repetitive transcranial magnetic stimulation (rTMS). The results of the network meta-analysis indicated that rTMS had the highest likelihood of being the most effective intervention for improving MMSE and MoCA scores. The evidence from this study suggests that rTMS holds promise for improving MMSE and MoCA scores in patients with cognitive impairment following ischemic stroke. However, further high-quality research is needed to confirm and validate this finding.

A Visual Analysis of the Hotspots, Processes and Prospects of Digitalization Research on Rural Teachers in China over the Past 10 Years

Over the past decade, research on rural teachers' digitization in China has gradually become a hot social issue of great concern. Using CiteSpace to visualize and analyze the high-quality literature on rural teacher digitization-related research in the CNKI database in the past 10 years, the timeline shows a clear research trend during the decade, including three stages of sustained growth (2014-2019), a brief decline (2020), and a rapid rebound (2021-2024), which is in line with the changes in the national education tactic , the rural revitalization strategy, and the rise of online education in the wake of the COVID-19 epidemic and the global trend of digital transformation. The research power of rural teachers' digitalization is mainly concentrated in teacher training colleges and education academies, and the authors and research institutes are characterized by small concentration and large dispersion, and the cooperation network has not yet been widely formed. The three core themes of "rural teachers", "rural education" and "rural revitalization" are highlighted in the cited keywords, reflecting the close connection between the research content and national tactic and social needs. In light of the regional and special characteristics of rural education, research that is detached from the reality of the countryside and based on a single methodology will gradually change to a diversified research model based on the localized characteristics of the countryside.

Managing Undernutrition in Pediatric Oncology: A Consensus Statement Developed Using the Delphi Method by the Polish Society for Clinical Nutrition of Children and the Polish Society of Pediatric Oncology and Hematology.

"Managing Undernutrition in Pediatric Oncology" is a collaborative consensus statement of the Polish Society for Clinical Nutrition of Children and the Polish Society of Pediatric Oncology and Hematology. The early identification and accurate management of malnutrition in children receiving anticancer treatment are crucial components to integrate into comprehensive medical care. Given the scarcity of high-quality literature on this topic, a consensus statement process was chosen over other approaches, such as guidelines, to provide comprehensive recommendations. Nevertheless, an extensive literature review using the PubMed database was conducted. The following terms, namely pediatric, childhood, cancer, pediatric oncology, malnutrition, undernutrition, refeeding syndrome, nutritional support, and nutrition, were used. The consensus was reached through the Delphi method. Comprehensive recommendations aim to identify malnutrition early in children with cancer and optimize nutritional interventions in this group. The statement underscores the importance of baseline and ongoing assessments of nutritional status and the identification of the risk factors for malnutrition development, and it presents tools that can be used to achieve these goals. This consensus statement establishes a standardized approach to nutritional support, aiming to optimize outcomes in pediatric cancer patients.

Ji Desheng Snake Medicine for Herpes Zoster

Objective: to evaluate the clinical efficacy and application value of Ji Desheng snake medicine in the treatment of herpes zoster by Meta-analysis. Methods: CNKI, WANFANG, VIP, PubMed, The Cochrane Library and Embase were searched to identify available articles (up to January 2024). The included articles were subjected to data extraction and bias risk evaluation, and ＲevMan5.3 software was used to evaluate the efficacy and safe recovery time. Results: Nine articles involving 459 patients were finally included. Meta-analysis showed that Ji Desheng snake medicine combined with conventional treatment could improve and shorten the disease recovery time of patients [MD = − 3.30, 95%CI (-5.50, -1.1%), P &lt; 0.05]. Ji Desheng snake medicine combined with routine treatment tended to improve the curative effect, and the difference was not statistically significant [RR = 1.11, 95%CI (0.99, 1.24), P = 0.12]. Conclusion: Ji Desheng snake medicine combined with conventional antiviral therapy can shorten the course of herpes zoster, suggesting that the combination of Ji Desheng snake medicine and conventional antiviral drugs should be considered in the clinical treatment of herpes zoster. However, due to the large differences in the included literature, we should treat the research results carefully, and large sample size and high-quality literature are needed to further confirm its clinical efficacy.