Relevant Citations Research Articles

Prevalence and risk factors of subsyndromal delirium among postoperative patients: A systematic review and meta-analysis.

The aim of this study is to determine the prevalence and risk factors for subsyndromal delirium in the postoperative patient. A systematic review and meta-analysis. The Review Manager 5.3 statistics platform and the Newcastle-Ottawa Scale were used for quality evaluation. The following databases were searched: PubMed, Web of Science, EMBASE, The Cochrane Library, Scopus and EBSCO from January 2000 to December 2021. Additional sources were found by looking at relevant articles' citations. A total of 1744 titles were originally identified, and five studies including 962 patients were included in the systematic review, with a pooled prevalence of postoperative subsyndromal delirium (PSSD) of 30% (95% CI: 0.28-0.32). Significant risk variables for PSSD were older age, low levels of education (≤9 years), cognitive impairment, higher comorbidity score, and the duration of operation. PSSD is prevalent and is associated with a variety of risk factors as well as low academic performance. Identification and clinical management of patients with PSSD should be improved. Future research on PSSD risk factors should look at a wider range of intraoperative and postoperative risk factors that can be changed. No Patient or Public Contribution.

장애 유아 초등학교 전이 경험에 대한 질적 메타분석

The purpose of this research is to analyze the experiences and support requirements of teachers during the transition process of children with disabilities to elementary school and to provide practical support strategies for future elementary school transition support. To achieve this, a qualitative meta-analysis was conducted using Nobit & Hare's (1988) sevenstep qualitative meta-analysis method on five qualitative research articles involving special education teachers who have experienced the transition of children with disabilities to elementary school and daycare teachers for children with disabilities published in South Korea. As a result, two overarching categories, namely “Experiences of Elementary School Transition Support” and “Support Requirements for Elementary School Transition Support”, were identified, consisting of five subcategories and 13 main content areas under these categories. Each main content area is presented with relevant citations. Finally, based on the results, practical support strategies for elementary school transition support are proposed through discussion, along with recommendations for future research.

The road from manual to automatic semantic indexing of biomedical literature: a 10 years journey.

Biomedical experts are facing challenges in keeping up with the vast amount of biomedical knowledge published daily. With millions of citations added to databases like MEDLINE/PubMed each year, efficiently accessing relevant information becomes crucial. Traditional term-based searches may lead to irrelevant or missed documents due to homonyms, synonyms, abbreviations, or term mismatch. To address this, semantic search approaches employing predefined concepts with associated synonyms and relations have been used to expand query terms and improve information retrieval. The National Library of Medicine (NLM) plays a significant role in this area, indexing citations in the MEDLINE database with topic descriptors from the Medical Subject Headings (MeSH) thesaurus, enabling advanced semantic search strategies to retrieve relevant citations, despite synonymy, and polysemy of biomedical terms. Over time, advancements in semantic indexing have been made, with Machine Learning facilitating the transition from manual to automatic semantic indexing in the biomedical literature. The paper highlights the journey of this transition, starting with manual semantic indexing and the initial efforts toward automatic indexing. The BioASQ challenge has served as a catalyst in revolutionizing the domain of semantic indexing, further pushing the boundaries of efficient knowledge retrieval in the biomedical field.

Professional identity formation among undergraduate pre-medical students: a scoping review protocol

BackgroundProfessional Identity formation is the process by which learners internalize a profession’s values, behaviors, and perceptions. With respect to physicians, this occurs at multiple levels of medical education, including the undergraduate, graduate, and continuing medical education stages. Professional identity formation likely starts even earlier, during the undergraduate pre-medical years but, to date, no known scoping or systematic review has been conducted on this topic. The objective of this scoping review is to systematically map the literature on professional identity formation among undergraduate pre-medical students.MethodsThis review protocol has been designed following the Arksey and O’Malley framework. We will search MEDLINE, CINAHL, Embase, and Scopus, as well as relevant grey literature, conference proceedings, and citations of selected articles. Inclusion criteria are articles (1) written in the English language, (2) involving undergraduate pre-medical students in the USA and Canada, and (3) containing original data about professional identity formation. Two independent reviewers will evaluate the titles, abstracts, and full articles for eligibility. A third reviewer will help resolve any disputes. Once the full text of articles are obtained, data will be abstracted using a standardized form. A narrative summary of findings will then be conducted, as well as a consultation exercise with university pre-medical students, pre-med advisors, and first-year medical students.DiscussionBy conducting this scoping review, we expect to gain a better understanding of how the experiences of undergraduate pre-medical students impact their professional identity formation. These findings will help to identify gaps in the literature, to better characterize professional identity formation in the specific context of the undergraduate pre-medical track, and to outline potential approaches to facilitate professional identity formation among undergraduate pre-medical students.Systematic review registrationThe protocol is registered with the Open Science Framework (htps://osf.io/nfzxc).

Mapping global evidence on injuries/trauma due to sexual and gender-based violence for research prioritisation and development of guidelines to mitigate their impact: a scoping review protocol

BackgroundThe World Health Organization recognises injuries as a growing global public health problem. While there are several causes of injuries and trauma, relevant research is mostly centred on road traffic accidents, burns, and drowning with less focus on violence-related injuries/trauma such as sexual and gender-based violence (SGBV). To identify priority research topics, prioritisation, and development of practice guidelines to mitigate the impact of injuries/trauma resulting from SGBV, this systematic scoping review will aim to map and describe the range of research relating to injuries/trauma due to SGBV in the global context.MethodsA scoping review guided by Arksey and O’Malley’s methodological framework will be conducted. Literature relating to injuries/trauma and SGBV will be searched in PubMed, SCOPUS, and PsycINFO, CINAHL, Web of Science, Google Scholar, Trip, guideline repositories, websites, and reference list of included articles. This study will include evidence sources focused on the epidemiological burden, guidelines for out-of-hospital and in-hospital care of victims, barriers or facilitators to reporting and obtaining healthcare, and approaches for mitigating injuries/trauma due to SGBV. The search will be limited to publications within 10 years (2012 to 2023). Two authors will apply the eligibility criteria to identify potentially relevant citations. The data will be extracted in duplicate and methodological quality assessed using varied tools (Mixed Method Quality Appraisal Tool; and Appraisal of Guidelines, Research and Evaluation instrument). The study will be reported in keeping with the Preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews.DiscussionThe scoping review will highlight existing literature on injuries/trauma due to SGBV and identify gaps to facilitate research prioritisation, development of guidelines, and resource allocation to alleviate the impact of injuries/trauma resulting from SGBV. This study’s findings will be disseminated via a series of meetings with key stakeholders (local and international) in the field of healthcare, policy, social welfare, GBV interest groups, and others. Also, the final scoping review results will be presented at relevant workshops, meetings, and conferences. Moreover, this study’s findings will be disseminated via journal publications and policy briefs.

Increasing the efficiency of study selection for systematic reviews using prioritization tools and a single-screening approach

BackgroundSystematic literature screening is a key component in systematic reviews. However, this approach is resource intensive as generally two persons independently of each other (double screening) screen a vast number of search results. To develop approaches for increasing efficiency, we tested the use of text mining to prioritize search results as well as the involvement of only one person (single screening) in the study selection process.MethodOur study is based on health technology assessments (HTAs) of drug and non-drug interventions. Using a sample size calculation, we consecutively included 11 searches resulting in 33 study selection processes. Of the three screeners for each search, two used screening tools with prioritization (Rayyan, EPPI Reviewer) and one a tool without prioritization. For each prioritization tool, we investigated the proportion of citations classified as relevant at three cut-offs or STOP criteria (after screening 25%, 50% and 75% of the citation set). For each STOP criterion, we measured sensitivity (number of correctly identified relevant studies divided by the total number of relevant studies in the study pool). In addition, we determined the number of relevant studies identified per single screening round and investigated whether missed studies were relevant to the HTA conclusion.ResultsOverall, EPPI Reviewer performed better than Rayyan and identified the vast majority (88%, Rayyan 66%) of relevant citations after screening half of the citation set. As long as additional information sources were screened, it was sufficient to apply a single-screening approach to identify all studies relevant to the HTA conclusion. Although many relevant publications (n = 63) and studies (n = 29) were incorrectly excluded, ultimately only 5 studies could not be identified at all in 2 of the 11 searches (1x 1 study, 1x 4 studies). However, their omission did not change the overall conclusion in any HTA.ConclusionsEPPI Reviewer helped to identify relevant citations earlier in the screening process than Rayyan. Single screening would have been sufficient to identify all studies relevant to the HTA conclusion. However, this requires screening of further information sources. It also needs to be considered that the credibility of an HTA may be questioned if studies are missing, even if they are not relevant to the HTA conclusion.

The Contribution of Lipidomics in Ovarian Cancer Management: A Systematic Review.

Lipidomics is a comprehensive study of all lipid components in living cells, serum, plasma, or tissues, with the aim of discovering diagnostic, prognostic, and predictive biomarkers for diseases such as malignant tumors. This systematic review evaluates studies, applying lipidomics to the diagnosis, prognosis, prediction, and differentiation of malignant and benign ovarian tumors. A literature search was performed in PubMed, Science Direct, and SciFinder. Only publications written in English after 2012 were included. Relevant citations were identified from the reference lists of primary included studies and were also included in our list. All studies included referred to the application of lipidomics in serum/plasma samples from human cases of OC, some of which also included tumor tissue samples. In some of the included studies, metabolome analysis was also performed, in which other metabolites were identified in addition to lipids. Qualitative data were assessed, and the risk of bias was determined using the ROBINS-I tool. A total of twenty-nine studies were included, fifteen of which applied non-targeted lipidomics, seven applied targeted lipidomics, and seven were reviews relevant to our objectives. Most studies focused on the potential application of lipidomics in the diagnosis of OC and showed that phospholipids and sphingolipids change most significantly during disease development. In conclusion, this systematic review highlights the potential contribution of lipids as biomarkers in OC management.

Incidence of vasa praevia: a systematic review and meta-analysis

ObjectivesTo derive accurate estimates of the incidence of vasa praevia (VP) in a routine population of unselected pregnancies.DesignSystematic review and meta-analysis.Data sourcesA search of MEDLINE, EMBASE, CINAHL and the Cochrane...

MODİFİYE POSTERİOR OMUZ GERME EGZERSİZLERİNİN POSTERİOR OMUZ GERGİNLİĞİ VE GLENOHUMERAL İNTERNAL ROTASYON DEFİSİTİNDEKİ ETKİNLİĞİ: BİR SİSTEMATİK DERLEME

Purpose: Posterior shoulder tightness (PST) and Glenohumeral internal rotation deficit (GIRD) can impact shoulder biomechanics and damage shoulder function. Posterior shoulder stretching exercises (PSSEs) are often performed in traditional positions to improve posterior shoulder inflexibility. However, these traditional positions can cause inadequate control of the scapula and glenohumeral rotation. The modified PSSEs through scapular stabilization are preferred as current trends to effective management of the GIRD and PST. However, there is a lack of consensus regarding which type of modified PSSE is more effective on PST and GIRD improvement. Therefore, we aimed to describe the efficacy of modified PSSEs on PST and GIRD in symptomatic and asymptomatic populations to aid clinicians when making decisions for these populations. 
 Methods:A literature search was conducted for a systematic review. Relevant studies were searched from appropriate electronic databases (CINAHL, Cochrane Review, Pubmed (MEDLINE), Web of Science as well as Google Scholar©), and selected the eligible studies for inclusion.
 Results: The present systematic literature search generated 127 relevant citations and 17 articles were included in the final review. As an outcome measure GIRD was assessed in all included studies, whereas PST was assessed in 10 studies.There was high evidence related to the positive effects of both modified cross-body and sleeper stretch to improve GIRD and PST.
 Conclusion: According to this systematic literature review, both modified cross-body and sleeper stretch are effective in the improvement of GIRD and PST. Future research should focus on other specific shoulder diseases and should also recruit specific participants to address the effectiveness of modified PSSEs on GIRD and PST.

EFFECTIVENESS OF MUSCLE ENERGY TECHNIQUES ON GLENOHUMERAL INTERNAL ROTATION DEFICIT IN OVERHEAD ATHLETES: A SYSTEMATIC REVIEW

Purpose: Posterior shoulder tightness (PST) and Glenohumeral Internal Rotation Deficit (GIRD) are frequent biomechanical changes in overhead athletes. Evidence has shown that PST and the presence of GIRD increase subacromial pain syndrome. Posterior shoulder stretching exercises are used to improve posterior shoulder tightness. Muscle Energy Techniques (MET) are a long-established and effective approach, and the number of studies investigating the effects of MET on GIRD has been increasing in recent years. Despite the use of static stretching techniques in training, GIRD continues to be common in athletes performing overhead activities. Therefore, revealing the effects of MET on GIRD might be effective in determining the type of stretching most appropriate for preventing GIRD in athletes.
 Methods: We performed a systematic literature review, assessing the relevance of studies for inclusion and selecting the studies from appropriate electronic databases (CINAHL, Cochrane Review, Pubmed (MEDLINE), Web of Science as well as Google Scholar©).
 Results: The present systematic literature search generated 178 relevant citations and 8 articles were included in the final review. As an outcome measure, GIRD was assessed in all eight, whereas PST was assessed in four.
 Conclusion: According to this systematic literature review, MET is effective in the improvement of GIRD and PST in overhead athletes. Future research should focus on symptomatic shoulders and investigate the long-term benefits of MET.

The Role of Machine Learning in Predicting the Onset and Progression of Neuropathic Pain After Spinal Cord Injury: A Literature Review

Introduction: Developing a diagnostic tool that can determine whether a patient will develop neuropathic pain following a spinal cord injury can aid clinicians in treatment procedures and improve patient outcomes. Developing new detection technology can take years, thus finding a way to use existing diagnostic tools would be optimal. Machine learning can be leveraged to incorporate existing data and classify patient outcomes when there are obvious patterns for classification. Methods: A review of full reports published in English was conducted through PubMed. The relevant keywords used in this search included “neuropathic pain”, “spinal cord injury”, machine learning, and “predict” among others. Eight relevant citations were retrieved and reviewed. Results: A decision tree regressor model using clinical measures for neuropathic pain and level of spinal cord injury found that BMI and anxiety scores were the most influential variables in predicting outcomes. A similar tree for functional magnetic resonance imaging (fMRI) data found ventral and dorsal tissue bridges to be predictors of neuropathic pain. Another fMRI study pointed to a strong correlation between changes in perioperative blood oxygen levels at the ipsilateral frontal lobe and neuropathic pain outcomes. Magnetic resonance spectroscopy (MRS) implicated a lower glutamate-glutamine/myoinositol ratio in high neuropathic pain. Various machine learning algorithms were evaluated in building an EEG classifier in two separate studies, and classification accuracies greater than 80% were reached in both. A classifier built using positron emission tomography data attained classification accuracies of 87.5%. Discussion: The most common machine learning algorithm used in building classifiers was support vector machines, linear discriminant analysis and neural net. Regression trees were also used, but they were used to elucidate the variables influencing predictions. Each study has its limitations, either due to limitations of the study method, classification method or data type. Conclusion: There exist many methods to study neuropathic pain and spinal cord injury and each method provides different information regarding the mechanism of pain, influential variables, and physiological changes that occur with pain. Classification can be done using any of these methods to achieve acceptable accuracies, but these accuracies are not enough for a clinical prognostic classifier.

Furo Wariboko’s Interactional Emphasis in A. Igoni Barret’s Blackass

The concept of identity theory highlights that individuals may possess multiple identities, elucidated through prominence hierarchy and salience hierarchy. This thesis aimed to explore the prominence hierarchy and its effects on Furo Wariboko, the central character in A. Igoni Barrett's Blackass Novel. The study felt under the realm of literary criticism, as the researcher analyzed and interpreted the literary work. Employing a sociological approach to the analysis, the study focused on the sociological aspects portrayed in the novel. Additionally, the analysis incorporated the interactional emphasis of identity theory as proposed by George McCall and J.L Simmons. Data for the research were drawn from A. Igoni Barrett's Blackass novel in the form of words, phrases, and utterances. The researcher gathered the data by identifying and categorizing relevant citations from the novel. Subsequently, the data were analyzed by describing and explaining the quotations based on the interactional emphasis of identity theory. The results of the analysis demonstrated that the prominent hierarchy significantly influences Furo's decision to alter his identity from his original "Furo Wariboko" to a new identity as "Frank Whyte." Then, Furo's choice of prominence hierarchy as "Frank Whyte" has noteworthy implications for him in various aspects, including social, economic, and psychological dimensions.

Coronavirus Disease 2019 (COVID-19) Vaccination and Assisted Reproduction Outcomes: A Systematic Review and Meta-analysis.

To assess the association between coronavirus disease 2019 (COVID-19) vaccination and female assisted reproduction outcomes through a systematic review and meta-analysis. We searched Medline (OVID), EMBASE, Web of Science, Cochrane Library, and ClinicalTrials.gov on January 11, 2023, for original articles on assisted reproduction outcomes after COVID-19 vaccination. The primary outcome was rates of clinical pregnancy; secondary outcomes included number of oocytes retrieved, number of mature oocytes retrieved, fertilization rate, implantation rate, ongoing pregnancy rate, and live-birth rate. Two reviewers independently screened citations for relevance, extracted pertinent data, and rated study quality. Only peer-reviewed published studies were included. Our query retrieved 216 citations, of which 25 were studies with original, relevant data. Nineteen studies reported embryo transfer outcomes, with a total of 4,899 vaccinated and 13,491 unvaccinated patients. Eighteen studies reported data on ovarian stimulation outcomes, with a total of 1,878 vaccinated and 3,174 unvaccinated patients. There were no statistically significant results among our pooled data for any of the primary or secondary outcomes: clinical pregnancy rate (odds ratio [OR] 0.94, 95% CI 0.88-1.01, P =.10), number of oocytes retrieved (mean difference -0.26, 95% CI -0.68 to 0.15, P =.21), number of mature oocytes retrieved (mean difference 0.31, 95% CI -0.14 to 0.75, P =.18), fertilization rate (OR 0.99, 95% CI 0.87-1.11, P =.83), implantation rate (OR 0.92, 95% CI 0.84-1.00, P =.06), ongoing pregnancy rate (OR 0.95, 95% CI 0.86-1.06, P =.40), or live-birth rate (OR 0.95, 95% CI 0.78-1.17, P =.63). A subanalysis based on country of origin and vaccine type was also performed for the primary and secondary outcomes and did not change the study results. Vaccination against COVID-19 is not associated with different fertility outcomes in patients undergoing assisted reproductive technologies. PROSPERO, CRD42023400023.

A systematic review and meta-analysis of the sources of Campylobacter in poultry production (preharvest) and their relative contributions to the microbial risk of poultry meat

A systematic review and meta-analysis were conducted to idetnify the relative contributions of the sources of Campylobacter in poultry live production to Campylobacter prevalence of broiler meat. The keywords of Campylobacter, prevalence, live production, and broiler were used in Google Scholar to address the research interest. A total of 16,800 citations were identified, and 63 relevant citations were included in the meta-analysis after applying predetermined inclusion and exclusion criteria. A generalized linear mixed model approach combined with logit transformation was used in the current meta-analysis to stabilize the variance. The analysis revealed that Campylobacter is ubiquitous in the poultry house exterior environment including surroundings, wildlife, domestic animals, and farm vehicle, with a predicted prevalence of 14%. The recovery of Campylobacter in the interior environment of the poultry house is far less abundant than in the exterior, with a prevalence of 2%, including litter, water, insects, mice, feed, and air. A lack of evidence was observed for vertical transmission due to the day-old chicks being free of Campylobacter from 4 studies identified. Live birds are the predominant carrier of Campylobacter, with a predicted prevalence of 41%. Transportation equipment used for live haul had an overall prevalence of 39%, with vehicles showing a predicted prevalence of 44% and crates with a predicted prevalence of 22%. The results of this meta-analysis highlight the need to implement effective biosecurity measures to minimize the risk of Campylobacter in poultry meat, as human activity appears to be the primary factor for Campylobacter introduction.

Clinical Outcomes and Return to Sports After Arthroscopic Repair of Humeral Avulsion of the Glenohumeral Ligament: A Meta-Analysis.

This study aimed to evaluatethe clinical outcomes and the frequency of return to sport after the arthroscopic repair of a humeral avulsion of the inferior glenohumeral ligament (HAGL) lesion.Web of Science, Scopus, and Medline via PubMed and OVID were searched to identify the relevant citations. Screening and data extraction were performed independently. The Comprehensive Meta-Analysis software was used for all statistical analyses (CMA; USA version 3.3.070). A total of 18 articles (n = 832 patients; of whom, 379 patients had HAGL) were included. The fixed-effect estimate showed that the percentage of patients who returned to their sports was 89.1% (95% CI = 85% to 92.2%). The mean duration to return was estimated to be 6.65 months (95% CI = 5.10 to 8.20). Postoperatively, the meanWestern Ontario Shoulder Instability Index (WOSI), Oxford Shoulder Instability Score (OSIS), and Subjective Shoulder Value (SSV) scores were 88.60 (95% CI = 86.18 to 90.98), 15.02 (95% CI = 7.42 to 22.63), and 86.90 (95% CI = 80.79 to 93.00), respectively. The Rowe score improved significantly postoperatively with a mean difference (MD) of54.47 (95% CI = 39.28 to 69.66). The University of California - Los Angeles (UCLA) shoulder score increased significantly post-arthroscopic repair (MD = 10.91, 95% CI = 10.07 to 11.76). The current evidence suggests that arthroscopic repair of HAGL lesions is associated with a high percentage of return to sports and improved Rowe score, WOSI, UCLA shoulder score, OSIS scale, and SSV score. The quality of the included studies is moderate; however, these findings are promising and call for further multicenter, prospective studies.

#3484 A NETWORK META-ANALYSIS COMPARING INTENSIVE GLYCEMIC CONTROL AND SGLT-2 INHIBITORS IN PREVENTING RENAL OUTCOMES

Abstract Background and Aims Type 2 diabetes (T2D) is one of the prominent causes for chronic kidney disease (CKD) leading to end-stage renal failure. Traditionally, prevention and retardation of CKD was attempted with effective glycemic and blood pressure control. In recent times sodium glucose co-transporter 2 inhibitors (SGLT-2is), glucagon-like peptide 1 receptor agonists (GLP1-RA), and non-steroidal mineralocorticoid receptor (MRA) inhibitors have proved to be excellent agents in preventing cardio-renal outcomes in patients with T2D, independent of baseline glucose control. SGLT-2is rank the highest in recent network meta-analysis-based scoring. We conducted this network meta-analysis to explore the ranking of intensive glucose therapy in comparison to SGLT-2is, to better understand the present position of the traditional approach and its relevance. Method A database search was conducted using the Cochrane library to identify relevant citations. Analysis was conducted using RStudio (2022.07.1, Build 554). Using progression of macroalbuminuria and end-stage kidney disease (ESKD) as the outcomes of interest, scoring was performed comparing intensive glycemic control (IGC) and SGLT-2is. Using a frequentist approach P-score was conducted and corroborated using the Surface Under the Cumulative Ranking (SUCRA) using Bayesian network meta-analysis. Results A pooled population of 62,742 patients from twelve citations were included for analysis. The Cochrane risk of bias was used to assess quality of the studies. IGC scored higher than SGLT-2is as far as retardation of progression of macroalbuminuria was concerned while using both the P-score (0.99 Vs 0.50) as well as the SUCRA (0.97 Vs 0.52). A similar trend was also observed with ESRD as the end point with both the P-score (0.84 Vs 0.65) and the SUCRA (0.81 Vs 0.68) rankings favoring IGC (Fig. 1). Conclusion The importance of achieving glycemic targets should be emphasized in recommendations in the same footing as the choice of individual reno-protective agents.

Social Inclusion of Transgender People in Intercollegiate Sports—A Scoping Review

Transgender individuals face discrimination and exclusion in various areas of society, including sports. Notably, intercollegiate athletics suffer criticism for their lack of inclusivity towards transgender athletes. Despite the increasing visibility of transgender individuals and ongoing efforts towards greater inclusivity, there is a significant lack of research on their social integration within college sports. This scoping review aimed to explore the then-current state of research on the social integration of transgender individuals in intercollegiate athletics, identify gaps in the literature, and suggest areas for further investigation. The study examined articles published between 2013 and 2023, using databases such as PubMed, ERIC, and EBSCO Essentials, as well as relevant citations from selected articles. The inclusion criteria for articles were their focus on the social integration of transgender individuals in sports events, publication in English, and relevance to the research question. A standardized technique based on the PRISMA flow diagram 2020 was used to locate, assess, and extract information from eligible research. The results of the study are expected to inform policy and strategy in transgender participation in college sports and promote greater inclusivity for transgender individuals in sports institutions and groups.

Group-based active artistic interventions for adults with primary anxiety and depression: a systematic review

ObjectivesThis systematic review examined the potential benefit of all group-based performing arts interventions for primary anxiety and/or depression.SettingScholarly literature from any country or countries globally.Data sourcesThree key bibliographic databases, Google...

Revision hip arthroplasty dislocation risk calculator: when to select dual mobility, large heads, constrained liners, or a standard head size? Testing one hundred thousand hip revisions with artificial intelligence.

Preventing dislocation with large head (≥ 36mm), dual mobility, or constrained acetabular liner is another option than a standard (≤ 32mm). Many other dislocations risk factors than size of the femoral head exist after hip arthroplasty revision. Predicting dislocation with a calculator according to the implant, to the indication of revision, and to patient's risks could allow a better surgery decision. Our search method covers the period from 2000 to 2022. A total of 470 relevant citations on hip major revision (cup or stem or both revisions) were identified with artificial intelligence comprising 235 publications of 54,742 standard heads comprising 142 publications of 35,270 large heads, comprising 41 publications of 3945 constrained acetabular components, and 52 publications of 10,424 dual mobility implants. We considered four implant types (standard, large head, dual mobility, or constrained acetabular liner) as the entry layer of the artificial neural network (ANN). Indication for revision THA was the second hidden layer. Demographics, spine surgery, and neurologic disease were the third layer. Implant revision, reconstruction process as next input (hidden layer). Surgery-related factors, and so on. The output was a postoperative dislocation or not. Of the 104,381 hips that underwent a major revision, a second revision for dislocation was performed for 9234 hips. In each implant group, dislocation remained the first cause of revision. The rate of second revision for dislocation as a percentage of first revision procedures was significantly higher in the standard head group (11.8%) than in the constrained acetabular liner group (4.5%), the dual mobility group (4.1%), and the large head group (6.1%). Instability of a previous THA, infection, or periprosthetic fracture as the indication for revision was increased risk factors as compared with aseptic loosening. One hundred variables were used to create the calculator with the best parameter combination of data and ranking the different factors, according to the four implant types (standard, large head, dual mobility, or constrained acetabular liner). The calculator can be used as a tool to identify patients at risk for dislocation after hip arthroplasty revision and individualize recommendations to select another option than a standard head size.

Urban neighbourhood elements that influence psychoactive substance use among populations with adverse childhood experiences: a scoping review protocol

IntroductionAdverse childhood experiences (ACEs) are stressful or traumatic events experienced before the age of 18 years old. ACEs have been associated with an increased risk for substance use in adulthood....