Quality Assessment Tool Research Articles

Study Regarding the Possibility of Using Ultrasonic Pulse Velocity (UPV) on Earthen Construction Evaluation

The determination of drying period, compressive strength, and air-dry density represent crucial parameters for assessing the quality and performance of earthen construction materials. This paper explores the possibilities of using the ultrasonic method as a non-destructive testing technique applied to earthen materials (specimens, elements, or structures) to determine these properties. The method relies on the measurement of ultrasonic pulse velocity (UPV), which is influenced by factors such as density, elasticity, and curing process. By analyzing the propagation of ultrasonic waves through earthen samples, valuable insights can be gained regarding their drying period, compressive strength, and density. The drying period of earthen samples can be determined using the ultrasonic method by monitoring the changes in pulse velocity over time. As the moisture content decreases during the drying process, the velocity of ultrasonic waves increases due to the reduced presence of water. This allows for the estimation of the drying period without the need for time-consuming and destructive testing methods. Compressive strength is also a critical parameter in assessing the structural integrity of earthen materials. The UPV method offers a non-destructive approach to determine the compressive strength of earthen samples. This provides a valuable tool for quality control and assessment of earthen construction materials. Density is another important property that influences their performance and the UPV method can be used to determine the density of earthen materials by measuring the ultrasonic pulse velocity and analyzing its relationship with density. This non-destructive approach allows for quick and efficient estimation of the compactness and quality of earthen mixes. Overall, the ultrasonic method offers a non-destructive and efficient approach in determining the drying period, compressive strength, and density of various soil compositions. By measuring the pulse velocity and analyzing its relationship with these properties, valuable insights can be gained regarding the quality and performance of earthen construction materials. This method has the potential to significantly improve the assessment and quality control processes in earthen construction, leading to more sustainable and reliable structures associated with the earthen techniques.

Injuries in weightlifting and powerlifting: an updated systematic review

ObjectiveTo systematically review the literature on the incidence, prevalence, anatomical injury localisation and risk factors in Olympic weightlifting and powerlifting.DesignUpdated systematic review, PROSPERO registration (CRD42022382364).Data sourcesFour databases (PubMed, Embase, SPORTDiscus...

Screen Time and Autism Spectrum Disorder: A Comprehensive Systematic Review of Risk, Usage, and Addiction.

The relationship between autism spectrum disorder (ASD) and screen time (ST) has been extensively studied; but the evidence remains inconsistent, and a comprehensive quantitative synthesis of this association is lacking. This study aims to provide a robust quantitative assessment of the relationship between ASD and ST by consolidating and analyzing available evidence to offer a more precise understanding of this complex association. This systematic review followed PRISMA 2020 statement, and applied a quality assessment tool for quantitative studies to identity best available evidence. A comprehensive search was conducted in PubMed, Web of Science, Embase, and Scopus, covering literature published from January 1, 2006 to June 12, 2024. In total, 30 studies involving 356,666 participants met the inclusion criteria. The findings revealed a significant association between screen exposure in preschool children and the development of ASD, with a longer duration of screen exposure correlating with an increased likelihood of being diagnosed with autism. Furthermore, autistic people tend to have longer daily screen use and are at a higher risk of screen addiction compared to non-autistic individuals. These findings emphasize the importance of limiting ST for preschoolers and autistic people. However, the level of evidence supporting these conclusions is very low. Future studies should focus on controlling for confounding factors, using more objective measures, and further investigate the relationship between screen engagement styles (active or passive), screen use patterns (screen devices and content), and ASD.

Impact of physical inactivity and sedentary behaviour on functional constipation in children and adolescents: a systematic review

ObjectiveLack of physical activity (PA) and sedentary behaviour (SB) have emerged as critical global health concerns in children and are believed to be associated with functional constipation (FC). The present...

Nutritional Supplementation to Preserve Healthy Lean Mass and Function During Periods of Pharmacological and Nonpharmacological-Induced Weight Loss: Protocol for a Systematic Review and Meta-Analysis.

Weight loss without adequate anabolic stimuli can lead to reductions in lean, as well as adipose, tissue. Health benefits typically associated with weight loss are therefore attenuated,as body composition potentially shifts from an obese to sarcopenic/frail phenotype. In contrast to the traditional connotation of frailty, this might occur in younger adults and is characterized by reduced performance in functional tasks of daily living. Nutritional supplements as an adjunct to weight loss intervention could support the maintenance of lean mass, particularly if structured exercise is contraindicated. This systematic review aims to quantify the effect of nutritional supplements, without concurrent exercise, on lean mass in individuals undergoing pharmacological and nonpharmacological-induced weight loss. This protocol describes a prospective systematic review and meta-analysis of randomized controlled trials investigating the effect of nutritional supplements on lean mass during weight loss. Comparison arms will not use nutritional supplements. Literature searches will be conducted using the following online databases: Embase, MEDLINE, Web of Science, Google Scholar, and OpenGrey. Outcome measures related to body composition, lean mass, skeletal muscle mass/size, or physical function will be extracted. Risk of bias will be assessed using the United States National Heart Lung and Blood Institute quality assessment tool for controlled intervention studies. A meta-analysis will be conducted to synthesize comparable outcomes. The results of this review will be reported in adherence to PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols) standards, and published in a peer-reviewed journal. This study will be the first to systematically review nutritional interventions for the preservation or accretion of lean mass during weight loss. This review will identify gaps in the literature and inform the development of optimized weight loss strategies, for use in research and practice. International Prospective Register of Systematic Reviews: PROSPERO CRD42024521540.

Textbook oncologic outcome is an easy-to-use composite quality measure that is strongly associated with survival in advanced-stage ovarian cancer

ObjectiveTextbook oncologic outcome (TOO) has been validated in surgical oncology as a composite quality measure correlated with oncologic outcomes. We aimed to assess the association between TOO and overall survival (OS) in patients undergoing primary treatment for advanced epithelial tubo-ovarian cancer (AEOC). MethodsPatients undergoing surgery for AEOC between 2008 and 2019 were identified in the National Cancer Database (NCDB). Primary debulking surgery (PDS) and interval debulking surgery (IDS) cohorts were analyzed separately. TOO was defined as achieving complete debulking, length of hospital stay <10 days, no 30-day readmission, no death within 90 days, and initiation of adjuvant chemotherapy within 42 days. The Kaplan-Meier method was used to estimate 5-year OS by TOO status and Cox regression to evaluate the relationship between TOO and death within 5 years. ResultsA total of 21,657 patients were included: 51.4% in the PDS cohort and 48.6% in the IDS cohort. TOO was achieved (TOO+) in 20.5% of the PDS cohort and 39.2% of the IDS cohort. For the PDS cohort, achieving TOO was associated with improved 5-year OS: 59.0% TOO+ vs. 39.5% TOO- (HR 0.53, 95% CI 0.49–0.57). For the IDS cohort, a similar benefit was seen for 5-year OS: 43.9% TOO+ vs. 31.2% TOO- (HR 0.67, 95% CI 0.63–0.70). Multivariable analysis demonstrated that patients achieving TOO were at lower risk of death within 5 years in both the PDS cohort (HR 0.58, 95% CI 0.54–0.62) and the IDS cohort (HR 0.69, 95% CI 0.65–0.73). ConclusionsThe TOO composite measure is associated with improved long-term survival and could be a useful quality assessment tool for patients undergoing primary treatment for AEOC, irrespective of surgical timing. This tool reflects the ability to deliver risk-based individualized decision-making using a multidisciplinary approach.

Digital Interventions for Symptoms of Borderline Personality Disorder: Systematic Review and Meta-Analysis.

Borderline personality disorder (BPD) is a mental health condition with insufficient care availability worldwide. Digital mental health interventions could reduce this treatment gap. Persuasive system design (PSD) is a conceptual framework outlining elements of digital interventions that support behavior change. This systematic review aims to characterize digital interventions targeting BPD symptoms, assess treatment efficacy, and identify its association with intervention features, including PSD elements. A systematic review of automated digital interventions targeting symptoms of BPD was conducted. Eligible studies recruited participants aged ≥18 years, based on a diagnosis of BPD or one of its common comorbidities, or as healthy volunteers. OVID Embase, OVID MEDLINE, OVID PsycINFO, and the Cochrane Central Register for Controlled Trials were searched on July 19, 2022, and February 28, 2023. Intervention characteristics were tabulated. A meta-analysis of randomized controlled trials (RCTs) determined treatment effects separately for each core symptom of BPD using Hedges g. Associations between the treatment effect and intervention features, including PSD elements, were assessed by subgroup analysis (Cochran Q test). Risk of bias was assessed using the Cochrane Risk of Bias 2 tool for RCTs and the National Institutes of Health Quality Assessment Tool for pre-post studies. A total of 40 (0.47%) publications out of 8520 met the inclusion criteria of this review, representing 6611 participants. Studies comprised examinations of 38 unique interventions, of which 32 (84%) were RCTs. Synthesis found that included interventions had the following transdiagnostic treatment targets: severity of BPD symptoms (4/38, 11%), suicidal ideation (17/38, 45%), paranoia (5/38, 13%), nonsuicidal self-injury (5/38, 13%), emotion regulation (4/38, 11%), and anger (3/38, 8%). Common therapeutic approaches were based on dialectical behavioral therapy (8/38, 21%), cognitive behavioral therapy (6/38, 16%), or both (5/38, 13%). Meta-analysis found significant effects of digital intervention for both symptoms of paranoia (Hedges g=-0.52, 95% CI -0.86 to -0.18; P=.01) and suicidal ideation (Hedges g=-0.13, 95% CI -0.25 to -0.01; P=.03) but not overall BPD symptom severity (Hedges g=-0.17, 95% CI -0.42 to 0.10; P=.72). Subgroup analysis of suicidal ideation interventions found that evidence-based treatments such as cognitive behavioral therapy and dialectical behavior therapy were significantly more effective than alternative modalities (Cochran Q=4.87; P=.03). The degree of human support was not associated with the treatment effect. Interventions targeting suicidal ideation that used reminders, offered self-monitoring, and encouraged users to rehearse behaviors were associated with a greater reduction in ideation severity. Evidence suggests that digital interventions may reduce the symptoms of suicidal ideation and paranoia and that the design of digital interventions may impact the efficacy of treatments targeting suicidal ideation. These results support the use of transdiagnostic digital interventions for paranoia and suicidal ideation. PROSPERO CRD42022358270; https://tinyurl.com/3mz7uc7k.

The effect of physical activity on sleep quality in people with diabetes: systematic review and meta-analysis.

To revise and critically summarize the available scientific evidence regarding the effect of exercise on sleep quality in people with diabetes. Three electronic databases (MEDLINE/PubMed, PEDro Database and Scopus) were searched systematically from their inception until February 2024. The methodological quality of the included studies was assessed using the Physiotherapy Evidence Database and Quality Assessment Tool for Before-After Studies with No Control Group scales. A total of 7 randomized controlled trials and 3 single-arm studies were included. Most of the studies included patients with type 2 diabetes (n = 8). Self-reported sleep quality (n = 9) and objective sleep status (n = 1) were the main outcomes analysed. A variety of training programs were assessed over durations ranging from 4 to 16 weeks in the studies included. Data from eleven interventions demonstrated a significant improvement in self-reported sleep quality among patients with type 2 diabetes (Hedges' g -1.45; 95% CI -2.6; -0.29, p = 0.005). However, data synthesis indicated that participants who exercised did not obtain significant improvements on their self-reported sleep quality compared to those in the control groups (Hedges' g 1.40; 95% CI -1.36; 4.18, p = 0.111). Preliminary evidence suggests that exercise can be prescribed to manage self-reported sleep quality in this population, although its effects may not surpass those of usual care.

The effect of altered sleep timing on glycaemic outcomes: Systematic review of human intervention studies.

Alterations in sleep timing can lead to disturbances in glycaemic control, although the evidence is inconsistent. Therefore, this systematic review summarizes results from human intervention studies of altered sleep timing on glycaemic outcomes. As part of a broader search on the effect of altering timing of sleep, physical activity and dietary intake, Medline and Embase were searched from inception to February 2023, and subsequent reference searches were done. With the help of a machine learning-aided program 'ASReview', we selected any type of intervention study in the general adult population, which acutely delayed sleep by ≥2 h for at least one night, while the total time in bed was the same between early and late sleep. Quality assessment was done using the quality assessment tool for quantitative studies. In total, 14 studies (159 adults with normal or increased weight) were identified. Methodological quality was high (n = 4), moderate (n = 7) or low (n = 3). Acute delays of sleep onset showed unfavourable effects in 10 out of 27 measured glycaemic outcomes (one-six studies reported on each outcome) with outcomes mostly measured in the postprandial period, compared to (early) nighttime sleep. Acutely delaying sleep timing might have unfavourable effects on glycaemic outcomes, compared to (early) nighttime sleep. Future research does however need better controlled trials, also measuring and controlling sleep quantity, sleep quality, physical activity and dietary intake, with longer follow-up periods, consistent outcomes and designs and more diverse populations to provide targeted advice regarding the optimal timing for sleep. This review is part of a larger search 'The effect of altering timing of physical activity, sleep and energy intake on glycaemia and Type 2 Diabetes risk in humans', of which the protocol was registered in the PROSPERO database on 27 November 2021 under number: CRD42021287828.

Context, mechanisms and community engagement in implementation strategies: a systematic review protocol of implementation strategies designed using implementation mapping

IntroductionImplementation Mapping (IM) has increasingly been used for the design and/or selection and tailoring implementation strategies to promote the effective translation of evidence-based interventions into practice. IM is a tool...

The arch myth: investigating the impact of flat foot on vertical jump height: a systematic review and meta-analysis

ObjectiveThe necessity to exclude flat foot when selecting athletes is a controversial issue. This study aimed to investigate whether flat foot affects vertical jump.MethodsThe quality of the literature was assessed using the observational study quality assessment tool provided by the Joanna Briggs Institute (JBI) Centre for Evidence-Based Health Care in Australia. Meta-analysis, heterogeneity testing, sensitivity analysis, subgroup analysis, and forest plot were conducted using Review Manager 5.4.ResultsIn the end, 9 articles met the meta-analysis criteria. Due to the heterogeneity of the studies, only vertical jump height was used as an indicator for meta-analysis. Meta-analysis results showed low heterogeneity among studies (I2 = 6%, P = 0.39), and the combined effect size showed no significant difference in jumping height between flat foot and normal foot (P = 0.73, ES = 0.13, 95%CI [-0.58, 0.83]). Subgroup analyses showed no significant differences in jump heights between flat and normal foot in either the adolescent subgroup (ES = 0.07, 95% CI [-1.04, 1.18]) or the adult subgroup (ES = 0.16, 95% CI [-0.76, 1.08]). Subgroups were divided according to training background, and jump height was unaffected by flat foot in both athletes (ES = -0.08, 95%CI [-1.07, 0.90]) and amateur (ES = 0.34, 95%CI [-0.67, 1.35]).ConclusionOverall, flat foot do not affect vertical jump height, although flat foot have different vertical jump biomechanics. This study breaks the bias that flat foot have poorer athletic performance. The meta-analysis has been registered with PROSPERO under registration number CRD42023481326.

Providing Nutrition Information on US Restaurant Menus: A Systematic Review Since the Affordable Care Act (2010)

AbstractOne noteworthy provision in the Affordable Care Act (ACA) of 2010 in the USA was the mandate for restaurants with more than 20 locations to provide nutrition information on their printed restaurant menus and menu boards. This provision has received a wide variety of scrutiny in the literature and in popular press. This systematic review attempts to summarize the current state of research exploring the consumer behavior effects of providing nutrition information, identify gaps in the literature, and suggest future areas for research into the provision of such nutrition information. PRISMA guidelines were followed, and study quality was assessed using the Effective Public Health Practice Project’s (EPHPP) Quality Assessment Tool. Due to stringent inclusion criteria, focusing on research from ACA 2010 onwards in the USA, published in English, and assessed using EPHPP for high quality, 24 papers were ultimately included. The studies included dependent variables such as the calories or nutritional values of the meal choices made following menu exposure, the perceptions of the restaurant, the sales of the menu items, and evaluations or perceptions of the menu itself. The final discussion in this paper identifies a multitude of gaps in the current literature and avenues for further research into the effects of providing nutrition information on different socio-demographic segments, in different food and restaurant categories, in different health contexts and individual health situations, and groups with pre-existing eating disorders.

A Preliminary Assessment of Barriers and Facilitators to Accessing Footcare in Homeless Shelters: A Scoping Review

ObjectiveBy examining the scientific literature, this scoping review aims to explore the most common foot problems people experiencing homelessness (PEH) experience, as well as to explore the potential strategies for addressing foot problems in PEH, such as foot clinics, foot screening and foot care for adults experiencing homelessness. MethodsA scoping review of the literature from MEDLINE (Ovid), CINAHL (EBSCOhost), Cochrane Register of Controlled Trials (Ovid), EMBASE (Ovid), PubMed, clinicaltrials.gov, Google Scholar and Web of Science was conducted to identify relevant articles published from inception to April 14, 2023. Literature discussing foot problems, foot care and intervention in PEH were included. 61 articles were retained after screening by two independent reviewers. Data were extracted by three independent reviewers and disagreements were resolved by a fourth reviewer. Outcomes were determined after data extraction given the nature of the scoping review. Primary outcomes include foot problems, their severity, and their prevalence. The quality of studies included for data extraction was assessed using the Newcastle-Ottawa quality assessment scale and the National Institute of Health Quality Assessment Tool when applicable. ResultsWe present a summary of the prevalence of foot pain and foot problems along with gender differences when data was available. Frostbites, foot ulcers, peripheral arterial disease, foot infections (including diabetic foot infection), and related amputations were also found to be prevalent in PEH, with data suggesting that homelessness is an independent risk factor for these foot problems. Strategies and interventions to address foot health for PEH were divided into: 1) direct interventions in the field, such as wound care, moisturization, or education of PEH during clinical encounters, and 2) organizational interventions, such as expanding outreach efforts, coordinating resources to avoid interfering with shelter hours, or improving the timeliness of interventions by first responders. The literature shows that foot exams, appropriate footwear and education, which can be provided in the context of mobile clinics, play a critical role in the detection and prevention of foot pathologies. Barriers to care were broken down into four categories: accessing and receiving care, comorbid health issues or substance use, emotional barriers and social inequalities. ConclusionFoot problems in PEH, which have been reported in the literature for decades, remain unchanged. Interventions and strategies to address this issue include provision of holistic care, enrollment in insurance programs, provision of supplies and education, and development of outreach services. Indeed, mobile clinics have been shown to eliminate multiple barriers to care for PEH. Although some screening tools were reported, their relevance and reliability have yet to be defined in further studies. While remaining gaps and barriers such as stigma, lack of follow-up care and gratuity of services have been identified, alternative methods other than the aforementioned outreach efforts have yet to be described.

The use of patient-reported outcome measures to improve patient-related outcomes – a systematic review

BackgroundPatient-reported outcome measures (PROMs) provide invaluable information on patients’ health outcomes and can be used to improve patient-related outcomes at the individual, organizational and policy levels. This systematic review aimed to a) identify contemporary applications and synthesize all evidence on the use of PROMs in these contexts and b) to determine characteristics of interventions associated with increased effectiveness.MethodsFive databases were searched for studies providing quantitative evidence of the impact of PROM interventions. Any study design was permitted. An overall benefit (worsening) in outcome was defined as a statistically significant improvement (deterioration) in either a PROM, patient-reported experience measure or clinical outcome. Study quality was assessed using the Effective Public Healthcare Panacea Project’s Quality Assessment Tool for Quantitative Studies. A narrative synthesis was conducted.ResultsSeventy-six studies of the 11,121 articles identified met the inclusion criteria. At the individual level, 10 (43%) of 23 studies that fed back PROMs to the patient or healthcare provider showed an improvement in outcome. This percentage increased in studies which used PROMs to monitor disease symptoms and linked these to care-pathways: 17 (68%) of 25 studies using this mechanism showed an improvement. Ten (71%) of 14 studies using PROMs to screen for disease found a benefit. The monitoring and screening approach was most effective using PROMs covering cancer-related, depression and gastro-intestinal symptoms. Three studies found that the mere collection of PROMs resulted in improved outcomes. Another three studies used PROMs in decision aids and found improved decision quality.At the organizational/policy level, none of the 4 studies that used PROMs for benchmarking found a benefit. The three studies that used PROMs for in-depth performance analyses and 1 study in a plan-do-study-act (PDCA) cycle found an improvement in outcome.Studies employing disease-specific PROMs tended to observe improved outcomes more often. There are concerns regarding the validity of findings, as studies varied from weak to moderate quality.ConclusionsThe use of PROMs at the individual level has matured considerably. Monitoring/screening applications seem promising particularly for diseases for which treatment algorithms rely on the experienced symptom burden by patients. Organizational/policy-level application is in its infancy, and performance evaluation via in-depth analyses and PDCA-cycles may be useful. The findings of this review may aid stakeholders in the development and implementation of PROM-interventions which truly impact patient outcomes.

Exploring the relationship between website quality and equity in living donor kidney transplant.

Health system websites are important resources to guide health care decisions and may be useful tools to improve racial equity in access to living donor kidney transplant (LDKT). We performed a cross-sectional study of adult LDKT programs in the United States. We created an assessment tool for website quality across three domains: accessibility (access to LDKT specific information from the transplant center website), readability (ease of reading and clarity), and educational content (appropriateness and presentation of information, LDKT-specific content, program-specific characteristics, and adherence to equity-centered principles of web design). Among the 185 transplant center websites reviewed, only 14.6% of LDKT sites could be accessed directly from the transplant center webpage. The median suitability assessment of materials (SAM)-a validated measure of website content for chronic kidney disease (CKD)-was 45 out of 86 (IQR 4) and the median Flesch-Kincaid grade level and ease score were 9.1 (IQR 0.8) on a scale of 0-18 and 51.2 (IQR 5) on a scale of 0-100, respectively. These results indicate that LDKT websites are currently not available, accessible, and understandable for many potential transplant candidates and donors. Optimizing the content and design of transplant center websites may be a promising and effective strategy for improving equity in access to LDKT.

Quality assessment tool for theory-based and literature review studies (QATTL): development and validation of a critical appraisal tool

Quality assessment tool for theory-based and literature review studies (QATTL): development and validation of a critical appraisal tool

Relationship of anatomical variations of sphenoid sinus and the outcomes of endoscopic endonasal transsphenoidal surgeries: a systematic review.

The sphenoid sinus features many anatomical variations between individuals from different populations in the world. The understanding of these variations is important for the surgeons to plan for surgeries which involve intervention through the nasal approach. The aim of the present systematic review was to perform a qualitative synthesis of available studies which assess the effect of sphenoid sinus (SS) anatomical variations on the outcomes of endoscopic endonasal transsphenoidal surgeries (ETSS). The current review followed PRISMA 2020 guidelines. A systematic advanced electronic search was performed in four databases Medline (via PubMed), Scopus, Web of Science (WoS) and Lilacs in December 2023. Studies that assessed the anatomical variations of the SS that affect the outcomes of ETSS were eligible for inclusion. A qualitative synthesis of the methodology and results of the included studies was carried out. Quality assessment was performed using the National Institute of Health (NIH) quality assessment tool (last accessed on December 24, 2023). A total of 14 studies were included in the qualitative synthesis. Most of the studies included in the review found that the sellar pneumatization was the commonest followed by the postsellar type. Single intersphenoid sinus septum (ISS) was found to be the most common variation, which is more frequently found in males compared to females. There was sex difference seen in the attachment of the ISS to the carotid canal. It is more commonly attached to the posterolateral wall of the sinus in males compared to the females. Though complicated cases were less compared to uncomplicated ones, cerebrospinal fluid (CSF) leak was the leading post operative complication amongst the complicated cases and paranasal sinus (PNS) computed tomography (CT) scan showed ISS findings differed from intraoperative findings. It is concluded that the ISS poses the commonest anatomical variations encountered during the ETSS. During planning for transsphenoidal endoscopic procedure, the ISS should thoroughly be assessed to minimize potential surgical complications.

Physician-led YouTube videos related to anterior cruciate ligament injuries provide higher quality educational content compared to other sources

IntroductionAnterior cruciate ligament (ACL) injuries and ACL reconstruction (ACLR) surgery are very common. Patients increasingly use social media platforms like YouTube to find healthcare information to help them make medical decisions. The purpose of this study was to evaluate the quality of YouTube videos providing information about ACL injuries and ACL surgery. MethodsThe most-viewed YouTube videos for ACL-associated search terms were reviewed for inclusion and assessed by two authors using four video quality assessment tools: Journal of American Medical Association benchmark (JAMA) (0-4), Global Quality Score (GQS) (1-5), modified DISCERN (mod-DISCERN) (0-5), and YouTube ACL Specific Score (ASS) (0-25). Intraclass Correlation Coefficients (ICCs) were calculated to determine interrater reliability. Unpaired t-tests were used for comparisons between groups and linear regressions to identify associations. ResultsThere were 45 videos that met the inclusion criteria. Overall, 31.1% of videos reported an academic affiliation, and 53.3% listed an MD as the lead author. Mean JAMA score was 2.8, GQS 3.2, mod-DISCERN 2.6, and overall ASS 5.9. There was good interobserver agreement across all quality tools (ICC>0.75). Videos with an MD lead author had significantly higher JAMA (p<0.001) and GQS (p<0.01) scores than non-physicians. Videos with academic affiliations had significantly higher JAMA (p<0.001), GQS (p<0.01), mod-DISCERN (p<0.01), and ASS Management Domain (p=0.04) scores. ConclusionAmong the most-viewed YouTube videos related to ACL injuries and ACL surgery, physician-led and academically affiliated videos provided higher quality educational information compared to other sources, however, the overall quality of content provided is low. Level of EvidenceLevel IV.

Utilization of modern contraception and determinants among HIV positive women in Ethiopia: a systematic review and meta-analysis

BackgroundThe burden of pediatric HIV/AIDS, mother-to-child transmission rate, and unintended pregnancy among HIV-positive women remain high in sub-Saharan Africa, including Ethiopia. Provision of contraceptives is an undeniable strategy to overcome the risks. However, pooled data to provide informed decisions on modern contraceptive use among HIV-positive women attending ART clinics in Ethiopia are meager. Hence, this review aimed to estimate the magnitude of modern contraception, and revisable long act contraceptives methods (RLCM) use and associated factors among HIV positive ART clinic attending women.MethodsA systematic review and meta-analysis was conducted using PubMed, Google, Cochrane library, Web of Science, Google Scholar, and Scopus database. A funnel plot and Egger’s regression test were used to assess publication bias. Heterogeneity of studies was assessed using I-square statistics and the Joanna Briggs Institute (JBI) quality assessment tool was applied to ensure the quality of the included articles. We employed a random-effect model to pool the national utilization of modern contraceptives and the effect size of associated factors. We conducted sub-group analysis by regions to control heterogeneity and to detect variation.ResultsA total of 21 studies were included in the meta-analysis. The magnitude of pooled utilization of modern contraceptive and RLCM was 60% [95% CI: 52–68] and 11%, [95% CI: 8–14], respectively. In the random effect model, young women [OR = 2.36, 95% CI: 1.78–3.13], attending secondary school and above [AOR = 1.34, 95% CI: 1.06–1.69], having two or more live children [AOR = 1.84, 95% CI: 1.46–2.34], discussion with a husband [AOR = 2.92, 95% CI: 2.39–3.57], CD4 > 250cells/mm3 [AOR = 1.59, 95% CI: 1.08–2.33], and using HAART [AOR = 1.71, 95% CI: 1.35–2.15] increased odds of modern contraceptive methods utilization.ConclusionOverall the utilization of RLCM among modern contraceptive users HIV positive women is low. Therefore, to improve the uptake of RLCM among modern contraceptive users HIV positive women, policymakers and program designers need to take into account age and educational levels of women and programs which enhance reproductive health consultation habit between couples. Moreover, integration of family planning services to ART clinics needs to be strengthened.

PENGUJIAN NESS-APP UNTUK DETEKSI SARANG BURUNG WALET TESTING OF NESS-APP FOR DETECTING SWIFTLET NESTS

This article discusses the development and testing of the Ness-App application, designed to detect and assess the quality of swallow nests effectively and efficiently. The main issue addressed is the difficulty in determining the quality of swallow nests through photos or videos in buying and selling transactions. The purpose of this research is to develop an Android application using object detection technology to assist PT. Waleta Asia Jaya in assessing the quality of swallow nests. The method used involves creating an object detection model using Convolutional Neural Network (CNN) and SSD MobileNet architecture. The results indicate that the Ness-App application can improve transaction efficiency and quality, providing a better understanding of swallow nest conditions for collectors and farmers. In conclusion, Ness-App supports digitalization and technological advancement in the swallow nest industry by providing an effective tool for quality assessment and accelerating the transaction process.