EBSCO Medline Research Articles

The Effect of Sexuality Education During Pregnancy on Female Sexual Function: A Systematic Review and Meta-Analysis Study

Objective This meta-analysis aimed to synthesize the effect of sexuality education during pregnancy on female sexual function. Although sexual dysfunction in pregnancy is a common problem, it is often overshadowed by other outcomes, such as pregnancy risks or birth complications. Therefore, understanding the impact of educational interventions on women’s sexual health is crucial to improving their overall well-being during this period. Method Studies were searched on the electronic databases Google Scholar, Web of Science, Journal Park, the Cochrane Library, EBSCO Medline, Pubmed, and Scopus without imposing any restrictions on the publication year. This meta-analysis used the Preferred Reporting Items for Systematic Reviews and meta-analysis statement guidelines. Findings were analyzed using fixed- or random-effects models based on 95% confidence intervals, p values, and heterogeneity testing. Results This systematic review included 4 studies with 337 (training: 169 and control: 168) participants due to the limited number of studies on this topic. Interventions in the four studies using the Female Sexual Function Index showed that sexuality education provided to intervention groups had a statistically significant positive effect on the total female sexual function score compared to control groups (p < .001, range: 0.552–0.995). Conclusion This meta-analysis provides insights into the implementation of educational interventions considering their positive impact on female sexual function during pregnancy. Despite the limited number of studies (only 4 studies), the findings suggest that sex education leads to significant improvements in many aspects, such as sexual pleasure, vaginal lubrication, orgasm, sexual desire, and overall satisfaction. Furthermore, pregnancy provides an ideal opportunity to normalize and integrate this education into pregnancy care, as it is a time when women often attend antenatal checkups or childbirth classes.

Bone Stress Injury Epidemiology and Risk Factors in Female Off-Road Runners: A Systematic Review.

Off-road running is a growing sport with little research investigating injury profiles of female participants. Bone stress injuries (BSIs) are a particularly detrimental injury with little known about their incidence and risk factors in female off-road runners. Collate and review the available evidence reporting epidemiological data and risk factors associated with BSI in female off-road runners. Systematic literature review, without meta-analyses. MEDLINE OVID, PubMed, SPORTDiscus, and MEDLINE EBSCO. Searches were finalized in July 2024. Studies that reported injury surveillance statistics and/or risk factors associated with BSIs in female off-road runners. Seventeen eligible studies were included, of which all reported surveillance statistics and 2 reported risk factors associated with BSI among 897 female runners. Owing to the scarcity of data, cross-country runners were included in the population of off-road runners. Most BSIs were high severity and in the lower leg, with an overall incidence ranging from 0 to 34.39 BSIs per 100,000 athlete-exposures and prevalence ranging from 0% to 40.9%. Study characteristics were reported alongside risk of bias, quality, and level of evidence assessment outcomes from varying tools. Eight significant intrinsic risk factors were associated with BSIs in female off-road runners: increasing age, disrupted menstruation, previous BSI, increased female triad risk, and lower calcium, vitamin D, and calorie intake. Limited by the number of studies available reporting data on the specific target population, which highlights the need for performing high-quality prospective studies in the future, this review summarizes the current epidemiological data and risk factors associated with BSIs in female off-road runners.

Acupressure intervention for children: A scoping review.

Acupressure is a popular form of complementary nursing among adults. It stimulates the body's self-healing processes by enhancing energy flow, or "chi," along meridian channels. Acupressure can address many health issues and is also used on children because it is painless and straightforward. Although acupressure has existed for centuries, research on its applications for children remains limited. This review aimed to categorize and synthesize the research conducted over 30 years on acupressure in children. A scoping review. The databases searched were PubMed, ProQuest, Scopus, ScienceDirect, Wiley, Medline EBSCO, and Google Scholar. The inclusion criteria were original peer-reviewed articles in English or Indonesian that used acupressure as an intervention for children in any setting from 1991 until March 2022 and were updated until March 2024. This review followed the Joanna Briggs Institute Manual Methodologies. Subsequently, the retrieved articles were imported into the EndNote program version 20. Based on the identification results, 2924 articles were obtained, and 76 articles were retained. The review decision process was depicted in a PRISMA flow diagram. Of the 76 articles, 72% came from the Asian continent, 66% were published within the past ten years, and 59% were randomized controlled trials. Acupressure was most used (48%) by school-age children (7-12 years), with commonly targeted points being Neiguan (P6), Zusanli (ST36), Hegu (LI4), Yintang (Extra1), and auricular acupoints. Acupressure on children can be administered by acupuncturists, nurses, doctors, caregivers, and parents, offering six main benefits: alleviating nausea and vomiting, relieving pain, decreasing anxiety, relieving fatigue, increasing visual function, and increasing weight and height. Acupressure offers numerous advantages for children with various conditions. Healthcare and nursing professionals should consider using it as a complementary intervention to address issues and problems in healthy and sick children. However, further studies are needed to evaluate its effectiveness.

Differential Effects of Alcohol Policies Across Race/Ethnicity and Socioeconomic Status.

Sociocultural characteristics, including race/ethnicity and socioeconomic status (SES), may affect individuals' attitudes and norms regarding alcohol use and treatment as well as their access to emerging health knowledge, innovative technologies, and general resources for improving health. As a result of these differences, as well as social determinants of health such as stigma and uneven enforcement, alcohol policies may not benefit all population subgroups equally. This review addresses research conducted within the last decade that examined differential effects of alcohol policies on alcohol consumption, alcohol harm, and alcohol treatment admissions across racial/ethnic and socioeconomic groups. The authors used the following Boolean phrase search terms to assess the association between race/ethnicity and outcomes: ("alcohol policy" OR "alcohol policies") AND ("race" OR "ethnicity" OR "first nations" OR "African American" OR "Hispanic American" OR "Latino American" OR "Asian American" OR "Native American"). Association with SES was assessed using these terms: ("alcohol policy" OR "alcohol policies") AND ("socioeconomic" OR "class") AND ("effect" OR "impact" OR "outcome"). Both searches were conducted on August 28, 2023, using advanced search in seven EBSCOhost research databases: (1) EBSCO Biomedical Reference Collection: Corporate; (2) EBSCOhost E-Journals; (3) EBSCO MEDLINE Complete; (4) SocINDEX with Full Text; (5) APA PsycInfo; (6) LISTA (Library Information Sciences and Technology Abstracts); and (7) GreenFILE. Inclusion criteria for both searches were: (1) publication dates between 2014 and 2023; (2) peer-reviewed research articles; (3) data disaggregated by racial/ethnic and/or SES subgroups; and (4) English language only. The racial/ethnic search produced 64 articles, of which 14 were reviewed as relevant to this study and 50 were excluded. The SES search generated 100 articles, of which 18 were reviewed as relevant to this study and 82 were excluded. Eight of the studies identified by these two searches overlapped (i.e., included both racial/ethnic and SES outcomes), resulting in a total of 24 articles included in this review. Relying upon data from both U.S. and international research, the identified studies focused on differential effects of financially focused alcohol control policies (e.g., taxation and minimum unit pricing policies) as well as access/availability reduction policies (e.g., those governing outlet density, on-/off-premise sales, and establishment licensing). Several studies concluded that price increases via taxes or minimum unit pricing might be particularly effective in reducing the risk of alcohol-related harms in low-income/low-SES populations. Limitations of the present review include lack of standardization in the ways that SES was measured and the difficulty of measuring policy enforceability. Studies focused on differential effects of alcohol control policies across racial/ethnic groups demonstrated complex associations and the need to conduct further research that identifies better ways to reduce policy-induced health disparities across diverse populations.

Tools for clinical pharmacists to identify medications that can cause drug‐induced cognitive impairment: A systematic review

AbstractCognitive impairment affects around 19% of community‐dwelling older adults in the United States. Pharmacists can play a significant role in identifying and deprescribing cognitive‐impairing medications through cognitive‐focused medication reviews or as part of comprehensive medication management. Multiple tools exist to help pharmacists and other practitioners identify these medications, yet a comprehensive description of these tools has not been undertaken. We searched EBSCO MEDLINE, PubMed, EMBASE, CINAHL, and PsycInfo from inception to August 4, 2023, using search terms relative to medications and cognition. Studies were included if they detailed a tool to assess the cognitive burden of a medication regimen. Abstracts and full texts were screened independently and in duplicate. Any disagreements at the level of full‐text screening were resolved by consensus. Eligible studies underwent data extraction by two authors independently and in duplicate using a data extraction form. Our search identified 13 126 articles of which only four tools were initially included. Additionally, we identified seven articles from the reference lists of excluded review articles for a final inclusion count of 11 tools. Articles were published between 2001 and 2017. Nine of 11 tools (82%) were focused solely on anticholinergic medications, while only one tool indicated a clinically relevant cutoff value and alternative medication recommendations. While there are many tools to assess the cognitive burden from medications, many are limited by the development date, focus on anticholinergic medications, or lack clinically useful information. Further research is needed to develop more comprehensive, up‐to‐date, and readily implementable tools that clinical pharmacists can utilize to assess medication‐induced cognitive risks. Such as tool could be applied by pharmacists in many settings to optimize medication use and improve patient outcomes.

Trends in blood pressure: following subarachnoid haemorrhage and preceding cerebral vasospasm

Background Trends in Blood Pressure (BP) following Subarachnoid Haemorrhage (SAH) have been reported in literature since 1982. Recent studies suggest a correlation to the incidence of Cerebral Vasospasm. This renders BP a candidate for possible early detection of Vasospasm. However, conflicting results regarding the nature and numerical of this correlation exist. Objectives To determine trends in BP following SAH in terms of Systolic (SBP), Diastolic (DBP) and Mean Arterial Pressure (MAP) and collaborate current literature evidence of their association to Cerebral Vasospasm. Methods Two databases (EBSCO Medline and PubMed) systematically reviewed using specified search criteria. Thirteen studies were portrayed, of which ten were accessible. Thorough critical appraisal of each paper was then manually performed using the CASP Cohort study checklist. Results A consistent pattern of change is seen through time in majority of studies with differences in the definite values of the BP variables. Collation of results showed a gradual rise in SBP followed by a plateau of 154.08 (±10.79) mmHg on days 4-8 post-SAH. Variations exist with regards to the association with Cerebral Vasospasm: a third of the studies depicted a significant steeper rise in SBP in Vasospasm patients, another third conversely reported sudden drops in SBP, and one study concluded that MAP has no significant relation to Vasospasm. Conclusion A biphasic trend is expected following SAH with an initial gradual rise followed by a sustained hypertensive plateau. Considerable conflict exists in the nature of association between BP and Vasospasm. Further analysis of such beneficial predictive potential is recommended for advancement in Vasospasm and Neuro-Cardiogenic care.

O-108 Acceptance rates and reasons for social oocyte cryopreservation among women: systematic review and meta-analysis

Abstract Study question What are the acceptance rates and reasons for social oocyte cryopreservation (SOC) in the general population and healthcare professionals/students according to the current literature. Summary answer Acceptance rates for SOC was 54%. Lack of a partner and coverage of the costs contributed the acceptance with no differences in subgroup analysis. What is known already Oocyte cryopreservation is used for different purposes such as fertility preservation, social reasons and assisted reproductive treatments. In the last 15 years, many studies have been published in the literature examining the reasons and thoughts of women about oocyte freezing in different countries and groups. There is no study that evaluates this body of literature with a general view on social cryopreservation specifically and with the subgroups of the general population and healthcare professionals/students. Study design, size, duration A systematic review and meta-analysis were performed following the PRISMA guidelines after a comprehensive literature search using PubMed, EBSCO MEDLINE complete, Web of Science, ScienceDirect, Scopus and CINAHL databases between July and September 2023. Studies reporting findings about our primary outcomes including acceptance rates and reasons for SOC in general population and healthcare professionals/students were eligible without limitation on the publication year. Participants/materials, setting, methods Two reviewers independently reviewed eligibility and assessed for quality using Joanna Briggs Institute checklists. Totally, 23 studies were included. Data were expressed in risk ratio with a 95% CI using a random effect model. Prevalence estimates were calculated using meta-analysis of the proportion of women who viewed SOC acceptable. Heterogeneity was calculated using CochranQ and I2 statistics. The Q statistic was reported as p values, and the I2 statistic was reported in percentages. Main results and the role of chance In the metaanalysis based on the previous research data; the overall acceptance rate of social oocyte cryopreservation was found to be 54% (95% CI = 46%–62%). In subgroup analysis performed for healthcare professional/students, acceptance rates were not significantly different (95% CI = 0.47-0.61; p &amp;gt; 0.05). Heterogeneity was high for the acceptance rates of SOC (I2=98.64%, τ2=0.78, df = 22; p &amp;lt; 0.001). In subgroup analysis, acceptance rates were evaluated according to the most common reasons for acceptance. Acceptance rates when the cost of SOC is covered was 57% (95% CI = 0.40% - 0.71%, I2 = 98.62%, τ2 =0.88, df = 7; p &amp;lt; 0.001) and this rate was 49 % in the absence of a partner (95% CI = %34 - %64). Heterogeneity was high (I2=%98,81, τ2=0,96, df = 10; p &amp;lt; 0,001). Acceptance rates according to the reasons did not differ significantly in the subgroups for general population and healtcare professionals/students (coverage of cost: 95% CI = 0.59-0.45; p &amp;gt; 0.05; absence of a partner: 95% CI = 0,51-0,55; p &amp;gt; 0,05). Limitations, reasons for caution Some of the included studies had sample sizes that were not large enough to provide sufficient power for reporting on the disposition decision question. Wider implications of the findings Metaanalysis revealed that more than half of the women viewed SOC acceptable, acceptance varied within a wide range and increased in the absence of a partner and covering the cost. Findings of this review underline that affordable oocyte cryopreservation will increase the use of SOC among women of reproductive age. Trial registration number Not applicable

Systematic review of rural interventions addressing barriers and facilitators in recruitment and adherence of oncology clinical trials.

e13675 Background: Rural patients are significantly underrepresented in cancer clinical trials leading to an inequitable distribution of research funding and excluding rural patients from innovative care. Properly understanding the barriers and facilitators to rural patient participation in cancer clinical trials is essential to lessen this disparity in representation. Methods: EBSCO Medline, Embase, Cinahl, Cochrane and PsycInfo were systematically searched for articles related to the primary research objective. The search strategies focused on a combination of keywords pertaining to “rural populations”, “cancer”, and “clinical trials”. Additional search terms included the presence of “barriers” or “facilitators” within the articles. Articles were removed from the study if they were not written in English, were conducted outside the U.S., focused on pediatric populations, or lacked original data. Results: A systematic review of the literature reveals that barriers and facilitators to cancer clinical trial participation by rural populations are present at the patient, physician, and healthcare system levels. Notable barriers found in this review include the burden of travel, lack of patient knowledge about clinical trial participation, insufficient provider communication and awareness of current trials, and strict eligibility criteria. Promising facilitators include caregiver support, close physician support and contact, and programs to increase patient understanding of clinical trials. Potential future interventions include telemedicine, expanding monetary support for clinical trial transportation, utilizing RUCA codes to document disparities and elucidate further interventions, and cultivating stronger partnerships between industry and rural medical facilities, as well as between the NCI, academic institutions, and rural medical facilities. Conclusions: There is a significant and urgent need to strengthen this body of literature as is underscored by the apparent lack of cancer clinical trials in rural counties, specifically in the state of Texas (CPRIT). It is evident that barriers need to be further elucidated to ascertain why rural patients have less participation in clinical trials, and facilitators need to be further explored in order to sufficiently illustrate and thus effectively harness the power of facilitators in the pursuit of lessening disparities and improving cancer outcomes for rural patients.

Penerapan Intervensi Audiovisual dalam Meningkatkan Kepatuhan Selama Proses Induksi Anestesi pada Anak yang Menjalani Tindakan Operasi

This study aims to evaluate the effectiveness of audiovisual intervention in enhancing compliance during anesthesia induction in children undergoing surgery. The methodology used is a systematic review of several English-language research articles published between 2014 and 2023. Articles were retrieved from five online databases, such as ProQuest, ScienceDirect, Scopus, Ebsco MEDLINE, and Embase. The results of this study demonstrated that the use of audiovisual intervention was effective in enhancing compliance during anesthesia induction in children undergoing surgery. In conclusion, audiovisual intervention can be implemented as part of preoperative preparation programs for children undergoing surgery in order to enhance their levels of compliance during anesthesia induction. Audiovisual interventions can be used to achieve positive postoperative outcomes, either when utilized alone or combined with standard perioperative care practices. Keywords:Audiovisual Intervention, Child, Surgery, Induction Compliance.

Use of the supportive and palliative care indicators tool (SPICT™) for end-of-life discussions: a scoping review

BackgroundIn order to mitigate the distress associated with life limiting conditions it is essential for all health professionals not just palliative care specialists to identify people with deteriorating health and unmet palliative care needs and to plan care. The SPICT™ tool was designed to assist with this.AimThe aim was to examine the impact of the SPICT™ on advance care planning conversations and the extent of its use in advance care planning for adults with chronic life-limiting illness.MethodsIn this scoping review records published between 2010 and 2024 reporting the use of the SPICT™, were included unless the study aim was to evaluate the tool for prognostication purposes. Databases searched were EBSCO Medline, PubMed, EBSCO CINAHL, APA Psych Info, ProQuest One Theses and Dissertations Global.ResultsFrom the search results 26 records were reviewed, including two systematic review, two theses and 22 primary research studies. Much of the research was derived from primary care settings. There was evidence that the SPICT™ assists conversations about advance care planning specifically discussion and documentation of advance care directives, resuscitation plans and preferred place of death. The SPICT™ is available in at least eight languages (many versions have been validated) and used in many countries.ConclusionsUse of the SPICT™ appears to assist advance care planning. It has yet to be widely used in acute care settings and has had limited use in countries beyond Europe. There is a need for further research to validate the tool in different languages.

Assesment Fungsi Kognitif pada Anak dengan Penyakit Kronik

This study aims to identify what assessments can be used to screen cognitive function in children with chronic illnesses. The method used is a systematic review using the PRISMA flow diagram. Researchers used PIOs and searched for English language articles published from 2013 to October 2023. The databases used were PubMed, ProQuest, Science Direct, Taylor &amp; Francis, Scopus, and EBSCO Medline. This systematic review showed that the initial total of articles obtained from all databases was 5889. After limiting the articles, 297 articles were obtained, which were then screened according to the inclusion criteria, with the final result being eight articles with a cross-sectional design. In conclusion, four instruments for assessing cognitive function in children with chronic diseases include Ouvrier modified MMSE, EpiTrack Junior (EpitrackJR), pedsFACIT-PCF, and Ped-ANAM. The Ouvrier-modified MMSE is widely used in several kinds of literature and is validated against standard cognitive function examinations by examination. Keywords: Children with Chronic Diseases, Assessment, Cognitive Function

Auditory Processing and Speech-Sound Disorders.

Speech-sound disorders (SSD) have been linked to auditory processing difficulties, and auditory processing disorders (APD) have been related to phonological awareness and literacy development. To this date, there has not been a systematic literature review investigating the results of psychophysiology and language assessments related to SSD and APD in children. The literature search was conducted in PubMed, Medline EBSCO, and Scopus to identify studies with children diagnosed/suspected of having APDs and SSDs. The quality of methodology in the selected articles was evaluated with the Newcastle Ottawa Scale. Seven out of 378 relevant studies met the selection criteria. The findings were summarized for children with SSD and APD based on (a) metalinguistic and literacy skills, (b) cognitive abilities, and (c) temporal processing abilities. Three articles indicated that children with APD and SSD exhibit lower temporal task accuracy and reaction time. In two studies, children with SSD exhibited lower scores in discrimination, sequencing, and recall of brief stimuli in rapid succession. This review revealed associations between SSD severity and APD that may underline low performance in metalinguistic skills. Diagnostic assessments have been proposed based on the review to adequately identify children with SSD and APD and provide useful information for more suitable intervention.

A Systematic Review on Hearing and Balance in Patients with Chronic Kidney Disease with and Without Hemodialysis.

Exploring the auditory and vestibular manifestations associated with chronic kidney disease (CKD) has been growing in recent years. Understanding these complaints in CKD patients is crucial for comprehensive patient care. This review aimed to investigate the audiological findings and profiles across various stages of CKD and guide for informed decision-making in their management. Relevant articles from PubMed, ScienceDirect, EBSCO Medline, SCOPUS, Google Scholar, and Clinical Key were identified for review. The selected articles were published from 2008 to 2023 and written in English language. A total of 41 articles on auditory and vestibular assessments in CKD were eligible for review. Pure tone audiometry (PTA), immittance audiometry (IA) and otoacoustic emissions (OAEs) were the most commonly employed hearing tests respectively, with a higher frequency of utilization in hemodialysis cases compared to non-hemodialysis ones. Also, vestibular evoked myogenic potentials (VEMPs) emerged as the most popular vestibular test among hemodialysis patients while questionnaires were frequently employed in CKD patients. Moreover, our analysis suggests a potential association between the duration of hemodialysis and the development of tinnitus and vertigo. Abnormalities were also observed in auditory brainstem response (ABR), speech audiometry, central auditory processing tests and videonystagmography (VNG) assessment in hemodialysis and non-hemodialysis patients. CKD patients, particularly those undergoing hemodialysis, face a higher risk of hearing loss, tinnitus, and vestibular complaints. Performing otoacoustic emissions and vestibular-evoked myogenic potentials along with PTA on CKD patients, regardless of the disease stage is recommended to more effective management of audiovestibular complaints in these population.

Spider's Silk as a Potential Source of Antibiotics: An Integrative Review.

Spiders produce webs, which are still a largely unexplored source of antibacterial compounds, although the reports of its application in the medical field. Therefore, this study aims to present an integrative review of the antibacterial activity of spider webs. The research was conducted using Google Scholar, Scielo, Web of Science, PubMed, ScienceDirect, Medline EBSCO, LILACS, and Embase. The inclusion criteria were original articles written in English that studied the antibiotic properties of the web or isolated compounds tested. The studies were compared according to the spider species studied, the type of web, treatment of the sample, type of antimicrobial test, and the results obtained. Nine hundred and seventy-three publications were found, and after applying the inclusion and exclusion criteria, sixteen articles were selected. Bacterial inhibition was found in seven studies against various species of bacteria such as Escherichia coli, Klebsiella pneumoniae, Staphylococcus aureus, Salmonella Typhi, Bacillus megaterium, Listeria monocytogenes, Acinetobacter baumannii, Streptococcus pneumoniae, Pasteurella multocida, and Bacillus subtilis. Additionally, there was no apparent relationship between the proximity of the spider species evaluated in the studies and the presence or absence of activity. Methodological problems detected may affected the reproducibility and reliability of the results in some studies, such as the lack of description of the web or microorganism strain, as well as the absence of adequate controls and treatments to sterilize the sample. Spider webs can be a valuable source of antibiotics; however, more studies are needed to confirm the real activity of the web or components involved.

Nursing student volunteers and their level of involvement during the COVID-19 pandemic: a systematic review

Abstract Objective Many strategic efforts were made to address nurses’ shortage in controlling Coronavirus disease 2019 (COVID-19), including recruiting student health volunteers. This review aimed to explore the contribution and involvement of nursing student volunteers during COVID-19. Methods A systematic review was registered in PROSPERO International CRD42021283069. Electronic databases for article search included: SCOPUS, EBSCO MEDLINE, PubMed, ProQuest, Springer, Sage Pub, and hand searching. The critical appraisal study quality using The Joanna Briggs Institutes. Data extraction and synthesis used Population, Intervention, Comparison, Outcome, and Design (PICO and D) framework with thematic analysis. Results Twelve studies were enrolled from 2545 retrieved, with 4 synthesized themes: (1) determinant of the involvement of nursing student volunteers during COVID-19, which includes 3 subthemes: motivations, perception, and barriers, (2) expectations and actual condition of nursing students as volunteers, (3) the need for nursing student volunteers, and (4) the impact and level of student volunteers’ contribution. All student volunteers contribute to providing direct or indirect services to patients. Conclusions This review provides an overview of nursing student volunteers’ needs useful in developing competency frameworks and the role of culturally sensitive volunteers in education and training. In the future, student volunteers could choose the appropriate volunteer program and location according to their competence.

Prioritising patients for semi-urgent surgery: A scoping review.

Semi-urgent surgery where surgical intervention is required within 48 h of admission and the patient is medically stable is vulnerable to scheduling delays. Given the challenges in accessing health care, there is a need for a detailed understanding of the factors that impact decisions on scheduling semi-urgent surgeries. To identify and describe the organisational, departmental and contextual factors that determine healthcare professionals' prioritising patients for semi-urgent surgeries. We used the Joanna Briggs Institute guidance for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for scoping reviews (PRISMA-ScR) checklist. Four online databases were used: EBSCO Academic Search Complete, EBSCO Cumulative Index to Nursing and Allied Health Literature, OVID Embase and EBSCO Medline. Articles were eligible for inclusion if they published in English and focussed on the scheduling of patients for surgery were included. Data were extracted by one author and checked by another and analysed descriptively. Findings were synthesises using the Patterns, Advances, Gaps, Evidence for practice and Research recommendations framework. Twelve articles published between 1999 and 2022 were included. The Patterns, Advances, Gaps, Evidence for practice and Research recommendations framework highlighted themes of emergency surgery scheduling and its impact on operating room utilisation. Gaps in the management of operating room utilisation and the incorporation of semi-urgent surgeries into operating schedules were also identified. Finally, the lack of consensus on the definition of semi-urgent surgery and the parameters used to assign surgical acuity to patients was evident. This scoping review identified patterns in the scheduling methods, and involvement of key decision makers. Yet there is limited evidence about how key decision makers reach consensus on prioritising patients for semi-urgent surgery and its impact on patient experience. No Patient or Public Contribution.

Is there 'trustworthy' evidence for using manual therapy to treat patients with shoulder dysfunction?: A systematic review.

The primary objective of this review was to create a 'trustworthy,' living systematic review and meta-analysis for the application of manual therapy interventions in treating patients with shoulder dysfunction. Included studies were English-language randomized controlled trials published between 1/1/2010 and 8/3/2023, with searches performed in: PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), CINHAL, ProQuest Nursing & Allied Health, EBSCO Medline, and PEDro. The population of focus included adults 18 years and older with musculoskeletal impairments related to shoulder dysfunction. Our primary outcomes included pain and region-specific outcome measures. We excluded trials, including participants having shoulder dysfunction resulting from surgery, radicular pain, instability/dislocation, fracture, lymphedema, and radiation. Our screening methodology was based upon a previously published 'trustworthy' systematic review protocol. This included the application of our PICOTS criteria in addition to screening for prospective clinical trial registration and following of prospective intent, as well as assessment of PEDro scores, risk-of-bias ratings, GRADE scoring, and examination of confidence in estimated effects. Twenty-six randomized controlled trials met our PICOTS criteria; however, only 15 of these were registered. Only three were registered prospectively. Two of these did not have discussions and conclusions that aligned with their primary outcome. The remaining single study was found to have a high risk-of-bias, meaning the remainder of the protocol could not be employed and that no randomized controlled trials could undergo further assessment or meta-analysis. The results of this systematic review indicate there are no 'trustworthy' randomized controlled trials examining the effectiveness of manual therapy interventions for the treatment of patients with shoulder dysfunction, as defined by the prospectively established methodology. Therefore, these findings signal that creating a 'trustworthy,' living systematic review on this clinically relevant topic is not yet possible due to a lack of 'trustworthy' randomized controlled trials.

Factors Influencing Nurses Turnover in Saudi Arabia: A Systematic Review

The turnover of nurses has been an ordeal for healthcare institutions not only locally but also globally. It ranges from changing unit or workplace to changing or leaving the nursing profession. High turnover rates affect care provision and organizational cost. Therefore, this review aims to identify the factors that influence nurse turnover in Saudi Arabia. An in‐depth review of quantitative, qualitative, and mixed‐method studies that includes all studies on nurses who intend to leave the job or profession (resigned or terminated) in any institution within Saudi Arabia was conducted. The grey literature and studies conducted outside of Saudi Arabia were excluded. PubMed, ScienceDirect, EBSCO Medline, ProQuest, and Web of Science were searched for relevant literature from inception to publication. MMAT (Mixed‐Methods Appraisal Tool) is used to assess the risk of bias. A narrative synthesis of the findings is conducted and presented in a table. A total of 1286 articles were retrieved from the initial search and managed using Rayyan software. Out of 1102 articles screened, 44 articles were reviewed for eligibility yielding to 21 articles included in this study. Preliminary screening is performed by two authors by independently scrutinizing the title and abstracts followed by full‐text screening. The data are carefully extracted by the author and validated by a second reviewer. The factors identified to influence nurse turnover in Saudi Arabia are classified into themes, namely, individual‐related factors (demographic characteristics and psychological and personal aspects), work environment, and organizational factors. More studies are needed in all regions using more robust designs. The review protocol is registered in Prospero with ID no. CRD42023433406.

Impact of Self-medications and Medications Misuse on Health Outcomes

Introduction: The availability of prescription drugs as OTC medications is also becoming more common. However, self-medication carries risks such as misdiagnosis, use of excessive drug doses, prolonged use, and drug interactions. This review aimed to collect evidence about the impact of self-medications on health outcomes. Methods: The systematic review in this study involved several steps to identify and assess relevant research. The search phase involved finding potentially relevant studies in various databases such as PubMed, PsychInfo, EBSCO Medline, BioMed central, and Science Direct. The screening phase involved applying predetermined inclusion and exclusion criteria to determine which studies were appropriate for the review. To conclude the selection process, the full text of the articles was reviewed to determine whether they met the inclusion criteria. Additionally, the full text of review articles was reviewed to identify any additional articles that might be relevant and included in the review. Results: A total of 17 studies were found that met the inclusion criteria. The majority (11/17) of these studies were cross-sectional and relied on self-report. The combined sample size of the 17 studies was 28,628 (ranging from 5 to 5,426), and the average response rate was 66%. In 76% of the studies, reported self-treatment was 50% (ranging from 12% to 99%). Overall, only one or two respondents were registered with a general practitioner (GP) or primary care physician (mean of 56%, ranging from 21% to 96%). In the 13 studies that provided information on self-prescription, the mean percentage of physicians reporting self-prescription was 61% with a standard deviation of 25% and a range of 9% to 99%. Conclusions: Although many patients view over-the-counter (OTC) medications as completely safe, their use always carries some degree of risk for the consumer. This is especially true for patients who do not follow the instructions on the label or package insert.

The Adverse Outcomes of Chorioamnionitis on the Pregnant Female and Their Fetus

Introduction: Chorioamnionitis is an intra-amniotic infection caused by an ascending polymicrobial bacterial infection. Triple I (intrauterine inflammation or infection or both) is also proposed to replace chorioamnionitis due to its imprecise definition and variable clinical manifestations. Intraamniotic infection is characterized by inflammation of the amniotic fluid, placenta, fetus, fetal membranes, or decidua. Maternal fever, uterine tenderness, maternal tachycardia, fetal tachycardia, and purulent fluid coming from the cervical os (the cervical opening can be external, near the vagina, or internal, near the uterus) are the key clinical findings that are crucial for the diagnosis of clinical chorioamnionitis. Clinically, intra-amnionitic infections have been linked to severe morbidity and death in pregnant women, fetuses, and newborns. Method: A systematic search of PubMed, Embase, LitCovid, MedRxiv, BioRxiv, Google Scholar, EBSCO MEDLINE, CINAHL and Scopus electronic database was done using key words like Chorioamnionitis, adverse complication in pregnancy to mother and her fetus associated with intrauterine infection, Intraamniotic inflammation and triple I. Studies have been included from January 2015 to December 2022. Result: Chorioamnionitis is most typically caused by ascending infection and is frequently linked with premature membrane rupture. Chorioamnionitis is typically caused by a polymicrobial infection, with Ureaplasma urealyticum, Mycoplasma hominis, and Gram-negative anaerobes being common pathogens. Antimicrobial drugs, antipyretics, rapid treatment, and supportive care are the mainstays of management. Conclusion: Overall, this review provides a better understanding of Chorioamnionitis and its potential impact on public health. By shedding light on this emerging disease, we hope to contribute to ongoing efforts to prevent and treat of this serious disorder. Keywords: Chorioamnionitis, Intrauterine Infection, Pregnancy, adverse complication, Triple I, Intraamniotic Inflammation