Review Of Procedures Research Articles

Knowledge and Attitude of Undergraduate Dental Students towards Research in a private dental institute, karachi

Abstract: Background: Scientific research in healthcare is crucial for maintaining oral health and for the prevention, diagnosis, and treatment of oral disorders. Actually, it is regarded as a basic skill and one of the important areas in the medical education curriculum related to health care. The objective of this study was to evaluation the knowledge and attitude of undergraduate students towards research Methodology: A cross sectional study was conducted from BDS students using non probability convenient sampling technique. Study was conducted from a private dental institute from December 2023-may 2024. The estimated sample size was 160 using Open epi version 3.01, after inserting the prevalence 88.2% participants feel that they can plan and prepare research, with 95% confidence interval and 5% margin of error. Results: The research was conducted on 168 students from different BDS years. The majority of participants were in the age group of 20-25years (73.8%). Of the students, 40.5% were familiar with the literature review procedure; the majority of participants were from BDS's second and third years. About 42.8% of students expressed interest in pursuing this research as part of their dental profession. Reasons given by students for not being interested in doing research, 27% of the student recommended lack of time and lack of resources as the limitation in pursing research study. Conclusion: Research culture needs to be promoted since it benefits patients' health and the community that students will serve in addition to their career paths. It takes a foundational understanding of research methodology to practice medicine and dentistry competently. Engagement in research is the most effective means of achieving this familiarity Keywords: biomedical research, curriculum, students, evidence based medicine, research design, developing countries

Blockchain and Smart Cities for Inclusive and Sustainable Communities: A Bibliometric and Systematic Literature Review

Smart cities are urban areas that leverage technological solutions to enhance traditional network management and efficiency to benefit residents and businesses. Based on the Scientific Procedures and Rationales for Systematic Literature Reviews (SPAR-4-SLR) protocol, this study presents a systematic literature review aimed at analyzing the existing literature on smart cities research. The literature review specifically focuses on the impact of blockchain technology on the urban environment and its potential to contribute to the development of inclusive and sustainable communities, including financial systems and infrastructures with similar characteristics to serve these societies. The findings reveal a lack of studies on the practical applications of distributed ledger technologies (DLTs), particularly blockchain, that specifically focus on the urban context capable of developing the (financial) ecosystem of smart cities. To address this gap, a future research agenda is proposed, highlighting several research questions that could guide academics and practitioners interested in exploring the development of smart city systems, with particular attention on the financial framework.

Peer Review in Radiation Oncology: Where Does the Middle East, North Africa, and Türkiye Region Stand?

This study aims to assess the status of radiation oncology peer review procedures across the Middle East, North Africa, and Türkiye (MENAT) region. A cross-sectional electronic survey was conducted among radiotherapy centers in the MENAT region in March 2024. It assessed peer review practices, departmental demographics, perceived importance of peer review, and potential barriers. Data from 177 radiation oncology centers revealed varying peer review implementation across the MENAT region. Egypt had the highest participation (16.4%) among all responders. Most centers (31%) treated 500-1,000 cases annually. The majority (77.4%) implemented peer review, with varying levels between countries and across different centers. Advanced radiotherapy techniques significantly correlated with implementation of peer review (P < .05). Peer review meetings were mostly scheduled on a weekly basis (46%) and organized by radiation oncologists (84.7%). Target volume contouring (89%) and radiotherapy prescription (82%) were frequently peer-reviewed. Respondents with peer review at their institutions significantly valued peer review for education, adherence to guidelines, improving planning protocols, and reducing variation in practice institutions without peer review (P < .05). The most frequently reported barriers to peer review were having a high number of patients (56%) and shortage of time (54%). Peer review is essential for improving the quality of practice in radiation oncology. Despite some discrepancies, numerous obstacles, and challenges in implementation, it is instrumental in the improvement of patient care in most centers throughout the region. Raising awareness among radiation oncologists about the importance of peer review is paramount to lead to better outcomes.

Systematic literature review of BIM application in the whole life cycle of green building projects

ABSTRACT Building information modelling (BIM), as an effective digital method of information representation in the field of construction engineering, helps to deal with a series of works including design optimization, construction planning, and facility management. BIM enhances sustainability through energy simulations, material selection, waste reduction, and energy monitoring. However, challenges like talent shortage, interoperability issues, data management, and lack of standardization hinder its widespread use. Current research lacks systematic exploration of BIM's application in green buildings' life cycle, limiting further development. To fill this research gap, this study aims to provide a systematic review of the application of BIM in the design, construction and operation stages of the whole life cycle of green buildings. As a guideline to conduct this research, the preferred reporting items for systematic reviews and meta-analyses (PRISMA) model are used to identify the main procedures for literature screening and review. Through the systematic review, the main applications of BIM technology in green buildings are summarized, while the challenges in the current applications and the corresponding solutions are discussed. Finally, the study proposes key points for the future development of BIM to help the construction industry truly realize the development of man and nature and harmony and greenery.

Audit Quality Evidence from Indonesia: A Systematic Literature Review

The audit quality produced by the auditor can be a benchmark in their work. This research aims to uncover factors influencing audit quality, especially in Indonesia. Articles were obtained using Google Scholar, and the publication period was between 2018-2023. The systematic literature review method uses Scientific Procedures and Rationales for Systematic Literature Reviews (SPAR-4-SLR). The results show that 157 articles are accredited by SINTA (Science and Technology Index) and registered with GARUDA (Garba Rujukan Digital). This study identifies basic theory, independent variables, intervening/moderating variables, variable measurement indicators, population and samples, sampling methods, data sources, measurement scales, data processing, respondent information, and auditors. Finally, the implications of this research are to provide direction and guidance for future research regarding audit quality in Indonesia for academics and researchers, government and professional associations, and practicing auditors.

Managing the Intricacies of Coronary Revascularization: A Close Look at the Complete Versus Culprit-Only Approach and its Implications in Elderly Patients.

Coronary heart disease is the leading cause of mortality in the United States, and data indicates that 805,000 Americans will face a new or recurrent myocardial infarction (MI) attack every year. Frailty, a conceptual syndrome categorized by a functional decline that occurs with aging, has been linked to adverse health outcomes in cardiovascular disease and all cardiac-related procedures in general. It is therefore reasonable to deliberate that more conservative medical therapy or medical management should be considered in the frail population when managing acute coronary syndrome. This course of action has, in fact, been documented in clinical practice. However, the recent Functional Assessment in Elderly MI Patients with Multivessel Disease trial, in which all subjects were 75 years of age or above, indicated that the more invasive complete revascularization approach may be favorable over incomplete or culprit-only revascularization in patients with acute MI. In this review, we will discuss coronary heart disease and review guidelines and procedures for culprit lesion identification, including electrocardiogram procedures, coronary angiography, intravascular ultrasound, fractional flow reserve, and instantaneous fractional flow reserve. We then discuss the concept of complete vs culprit-only/incomplete coronary revascularization and staging. Following this, we will delve into recent trials discussing complete vs culprit-only revascularization, emphasizing the insights gleaned from this latest trial within this special frailty cohort which warrants special consideration.

Study of Deep Learning in Medical Education: Opportunities, Achievements and Future Challenges.

In this era of progress, interest has developed regarding advancing deep learning (DL) in medicine. However, there has been reluctance to use deep learning, particularly among medical educators. The limitations of previous research were examined in this study, along with the extent to which DL can be used in medical education and its potential impact on educational quality. We were interested in discussing DL's prospects, and determining whether we could benefit from it in medical education. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol was used to manage this review procedure. Six databases were searched carefully to obtain relevant studies. Our search identified 981 articles from the database based on our standards. After filtering the duplicated articles, 11 studies were included in the systematic review. The results showed that DL applications attracted researchers' attention in the medical and education technology owing to their effectiveness to provide the personalized assistance and feedback. Furthermore, the majority of research concentrated on teaching medical students how to utilize DL applications in the classroom, and all of them tried to improve medical students' proficiency with DL instruments in practical applications. Deep learning components in medical learning environments have two segments-in the educational settings like speech recognition or Video content analysis for affecting students' learning, and in the medical settings, applying deep learning from diagnosis to prevention. An integration of them can work better in medical education. Medical education uses DL to improve the students' education. DL is a powerful instrument which has become more famous in terms of superb outcomes. Besides, using DL in medical education is likely to continue as a hotly debated area of research and a well-known classroom strategy.

Heightened SAM- and HPA-axis activity during acute stress impairs decision-making: A systematic review on underlying neuropharmacological mechanisms

Individuals might be exposed to intense acute stress while having to make decisions with far-reaching consequences. Acute stress impairs processes required for decision-making by activating different biological stress cascades that in turn affect the brain. By knowing which stress system, brain areas, and receptors are responsible for compromised decision-making processes, we can effectively find potential pharmaceutics that can prevent the deteriorating effects of acute stress. We used a systematic review procedure and found 44 articles providing information on this topic. Decision-making processes could be subdivided into 4 domains (cognitive, motivational, affective, and predictability) and could be referenced to specific brain areas, while mostly being impaired by molecules associated with the sympathetic-adrenal-medullar and hypothalamic-pituitary-adrenal axes. Potential drugs to alleviate these effects included α1 and β adrenoceptor antagonists, α2 adrenoceptor agonists, and corticotropin releasing factor receptor1/2 antagonists, while consistent stress-like effects were found with yohimbine, an α2 adrenoceptor antagonist. We suggest possible avenues for future research.

Systematic Literature Review on Public Engagement via Government Social Media during the COVID-19 Crisis

Public engagement on government social media platforms can boost public trust in government while also improving and speeding up the distribution of health information. The importance of public engagement and its widespread existence have promoted extensive academic research on this channel. The purpose of this systematic literature review is to identify and bridge gaps in theories and conceptual frameworks in studies of public engagement via government social media. Furthermore, the objective of this research is to establish a comprehensive framework for analyzing how the public's engagement on government social media during the COVID-19 pandemic is affected by elements including information quality, source credibility, social media characteristics, and personal trust. The PRISMA method is used to review publications from 2019. After an extensive systematic review procedure that involved searching for relevant publications and utilizing inclusion and exclusion criteria to retrieve those that met the study's purpose, 32 papers were finally selected from the Scopus and Google Scholar databases. Finally, this study's findings shed light on the interactions between the public and the government during COVID-19 and offer recommendations for further research on public engagement, including more diverse social media types, the expansion of public engagement forms on social media, and the adoption of different theory or model. This study provides more evidence for research on public online engagement and offers some practical implications for effective communication between governments and the public.

Impact of horticulture on the sustainable livelihood development of smallholders: a SPAR-4-SLR &amp; future research agenda

Purpose. The perishable nature of the horticulture (fruits, vegetables, and flowers) industry makes it more complex to study. The higher return and nutritional benefits compared to traditional agricultural products expand the research scope for the stakeholders’ sustainable benefit. Nevertheless, despite limited research, this study explicitly examines additional facets of smallholder development beyond the traditional economic, social, and environmental dimensions. Methodology / approach. To fill this knowledge gap, we comprehensively reviewed 73 articles published between 2013 and 2022 in international scientific journals with an SJR (Scimago Journal &amp; Country Rank) Q1 ranking. We followed the “Scientific Procedures and Rationales for Systematic Literature Reviews” (SPAR-4-SLR) protocol to identify different aspects of smallholders’ development. Literature from Web of Science and Scopus databases was analysed and organised using the TCCM (Theory, Context, Characteristics, and Methodology) framework. Results. The study identified important factors like infrastructure, commercialisation, market access, marketing, credit, policies, information, intervention, training, technology, and collaboration that could uncover crucial economic, political, social, psychological, ecological, cultural, physical and nutritional aspects of development in general. The study also suggests that implementation Agriculture 4.0 through advanced technologies like IoT, AI, and vertical and bio-fortification practices can help in sustainable livelihood development in horticulture. Originality / scientific novelty. The limited or lack of comprehensive studies on smallholders’ sustainable livelihood development with different dimensions makes this research a bridge to identify other dimensions instead of only focusing on the horticultural sector’s economic, social, and ecological aspects. It uses the Agricultural Innovation System and Farmer First theories, stating that the farmer is the first priority and must collaborate and interact to implement technology and innovations for smallholder livelihood development. Practical value / implications. This research will help in decision-making regarding smallholders’ livelihoods in all eight dimensions at all levels of government, private and other stakeholders, suggesting a triple-helix model.

Алгоритм моніторингу та перегляду освітніх програм у системі внутрішнього забезпечення якості

The article presents an algorithm for monitoring and periodic review of study programs in the university system for quality assurance in higher education. It is proved that the responsibility for quality assurance in higher education is delegated to the institutional level, where the learning process is directly planned, organized and implemented. The procedures and order of monitoring, periodic review and updating of study programs at five organizational levels of the internal quality assurance system (IQAS) are characterized. It was determined that information about stakeholders' satisfaction of the quality of training and their recommendations for further improvement of study programs is collected at the first level of the IQAS. The second level of IQAS (department) is responsible for monitoring the study programs and periodic review based on changes in the legislative framework, taking into account the best pedagogical education of Ukrainian and foreign universities, the results of stakeholder surveys, etc. Responsible persons of the third level of IQAS (faculty) control the deadlines, the process of preparation and completion of procedures for external quality assurance in higher education, periodic review of study programs, curricula, programs of subjects for their compliance with higher education standards, urgent requirements of the labor market, educational needs and the interests of students. At the fourth level of the IQAS, structural units monitor the content of study programs for compliance with the Licensing Requirements for Educational Activities, the regulatory framework of higher education of Ukraine, and the current regulatory university documents. The fifth level of the IQAS is responsible for monitoring compliance with the requirements of the internal quality assurance system, including the academic integrity system at all organizational levels. It is summarized that compliance with the procedure for monitoring and periodic review of study programs will allow the university to achieve strategic goal of providing high-quality educational services to students based on sustainable cooperation with stakeholders.

ІНСТИТУЦІЙНА ПОБУДОВА ЄВРОПЕЙСЬКОЇ ТА МІЖАМЕРИКАНСЬКОЇ СИСТЕМИ ЗАХИСТУ ПРАВ ЛЮДИНИ: ПОРІВНЯЛЬНО-ПРАВОВИЙ АНАЛІЗ

Institutional accoding to normative framework adopted by international organizations established on the European and American continents. In addition, in Europe it is supplemented by the European Union Acts. Both systems have judicial and extrajudicial human rights protection mechanisms. The key judicial bodies are the European and Inter-American Courts for the Protection of Human Rights. Courts perform jurisdictional, advisory and preventive functions. They are authorized to decide both interstate complaints and individual petitions. An indicative criterion for the effectiveness of the work of the European and Inter-American Courts is the implementation of their decisions by the member states of the Council of Europe and the Organization of American States. The extrajudicial mechanism for the protection of human rights is implemented by convention bodies that are present in both systems and ensure the protection of certain categories of persons (convicts, women, children), namely: the Commissioner for Human Rights (Europe) and the Inter-American Commission for the Protection of Human Rights (North and South America ). The Agency for Fundamental Rights, which promotes the realization of human rights and freedoms (European Union), operates on the territory of Europe. The article states that the complaint review procedure has its own peculiarities. In Europe, the European Court of Human Rights is the main body for reviewing complaints. On the American continent, the complaints are first examined by the Inter-American Commission on Human Rights, and then the latter can refer them to the Inter-American Court of Human Rights, i.e. a two-level system of human rights protection is provided. On the basis of the given analysis of the theoretical material, conclusions were formulated, which set out the common and distinctive features inherent in the institutional system of human rights protection in the member states of the Council of Europe and the Organization of American States. Key words: European system, American system, institutional system, international conventions, human rights, protection of human rights, protection procedure.

Urban Planning and Accessibility: A Priority Right to Ensure The Well-Being of People in Urbanized Spaces

Objective: The objective of this study is to reflect on the implications of accessibility in the urban planning of cities, since this is a legal issue ensured by the various legislation in force considering that accessibility is relevant not only for people with reduced mobility or wheelchair users, but also for those with temporary disabilities, the elderly, pregnant women, obese people among others. Method: The research is based on a qualitative approach using bibliographic review and documentary research procedures. Data interpretation is anchored in categorical content analysis. Results and Discussion: The results obtained provide an understanding of how legislation seeks to promote a better quality of life for everyone within a city, through the implementation of various laws and decrees, including those related to urban planning and city development. Therefore, urban planning presents itself as an indispensable element for the organization of a city in all its aspects, contributing to its development and orderly growth. This is because, without this planning, it becomes difficult to guarantee quality education, access to healthcare, adequate housing, leisure opportunities and employment for all citizens. Originality/Value: This study contributes to the literature by considering the importance of urban planning in achieving accessibility in cities, in this context, the importance of legislation in ensuring the well-being of all inhabitants of a city is perceived, by guaranteeing accessibility, along with other mechanisms, such as urban planning and related decrees. A change in lifestyles has been observed in relation to the rural exodus, with a greater number of people living precariously in cities, which has resulted in significant changes in their urban spaces

EFFECT OF KANGAROO MOTHER CARE (KMC) ON THE FORMATION OF MATERNAL-INFANT ATTACHMENT BETWEEN MOTHERS AND PREMATURE BABIES: A LITERATURE REVIEW

Background: Nursing care of premature babies in the Neonatal Intensive Care Unit (NICU) setting can inhibit the maternal-infant attachment. One of the evidence-based interventions for premature babies is Kangaroo Mother Care (KMC). KMC needs to be further studied and researched through a review of previous articles to ensure the effectiveness of that implementation. However, there is a very limited review that specifies the effect of KMC on the formation of maternal-infant attachment. Objective: This study was conducted to assess the effect of KMC on maternal-infant attachment between mothers and premature babies. Design: The design of this study uses a literature review. Data Sources: Initial searches of journal articles were performed on the Pubmed, ScienceDirect, and CINAHL search databases. The study found 676 articles but only 7 journal articles that met the search inclusion criteria. Review Methods: A literature review procedures were used to collect library data, reading and taking notes, as well as critical assessment of managing research materials. Results: The results of this review showed that KMC has been shown to have a positive impact on improving attachment status and resulting in a lower risk of bonding failure between mothers and premature babies. Conclusion: It is recommended that health workers can provide treatment using KMC as an intervention to improve the formation of maternal-infant attachment between mothers and premature babies. The policies related to the implementation of KMC as standard operating procedures are also important.

Pharmacovigilance Practices by Healthcare Providers in Oncology: A Cross-Sectional Study.

Investigating pharmacovigilance (PV) practices among oncology healthcare providers (HCPs) is crucial for patient safety in oncology settings. This study aimed to assess the awareness, attitudes, and practices towards PV and identify barriers to effective adverse drug reaction (ADR) reporting for HCPs working in oncology-related settings. Employing a cross-sectional survey design, we collected data from 65 HCPs, focusing on their experiences with ADR reporting, education on ADR management, and familiarity with PV protocols. The results showed that about half of the responders were pharmacists. Around 58.9% of the respondents reported ADRs internally, and 76.9% had received some form of ADR-related education. However, only 38.5% were aware of formal ADR review procedures. Methotrexate and paclitaxel emerged as the drugs most frequently associated with ADRs. The complexity of cancer treatments was among the common reasons for the low reporting of ADRs by the study participants. The findings highlight the need for enhanced PV education and standardized reporting mechanisms to improve oncology care. We conclude that reinforcing PV training and streamlining ADR-reporting processes are critical to optimizing patient outcomes and safety in oncology, advocating for targeted educational interventions and the development of unified PV guidelines.

Editorial Vol.14(1)

With great satisfaction, the Research Management Cell (RMC) of Mahendra Multiple Campus, Dharan, announces the successful publication of the annual multi-disciplinary peer-reviewed research journal named Dristikon, as vol. 14(1) includes the editorial peer-review process that almost all scholarly and research articles published in the journal go through before being published to meet the requirements of the peer-review process that UGC, Nepal, and international standards guide. The purpose of the peer review procedure is to guarantee that the legitimate article gets approved, the disorganized piece gets fixed up, and the invalid article gets turned down. The editorial board has approved the suggestions of the reviewer. A thorough double-blinded peer review process is applied to every paper submitted for publication to guarantee its quality before it is published. A research article’s main goal is to present new information backed by evidence, and all the authors’ statements should be carefully examined before publication. In other ways, ChatGPT has shown to be more beneficial. Its ability to generate more sophisticated sentences is greater than unedited ones. It can produce a revised paragraph in a matter of seconds, and it's now free for everyone to use. The accepted papers, which covered the particular subjects of Nepali, English, Sanskrit, Economics, Education, Science, and Management, were added to the issue after the necessary changes and adjustments from the review process. The journal carefully adheres to the requirements of the APA 7th edition and vehemently rejects any information that has been copied without proper citation, as determined by the iThenticate plagiarism detection program. The writer's thoughts are their own, and neither the editorial board nor the publisher endorses anything that is written in the articles. After they are published, all manuscripts belong to the publishing company. As the Dristikon continues to grow and thrive, we hope that readers' inspiration and support will do the same. Your feedback and recommendations for future developments are also welcome and will be considered. The articles in this publication were submitted by authors in both Roman and Devanagari alphabetical order and were received from both campus and other colleges and institutions. To improve the journal's qualitative content, intellectuals, readers, and observers are invited to submit articles and comments. We appreciate the insightful feedback and recommendations from the peer reviewers. The editorial board would like to express its sincere gratitude to everyone who has contributed to the research publications. Additionally, we would like to express our gratitude to Assoc. Prof. Chandra Kumar Rai, Campus Chief for his unwavering assistance with finances and administration of the production of this journal.

Legal Issues in the European Unions Anti-Cross Border Subsidy Measures: A Study

This article provides a panoramic overview of the "Foreign Subsidies Regulation" that passed on June 30, 2022 and officially took effect throughout the European Union on July 13, 2023. It conducts a deep analysis of the Foreign Subsidies Regulation through the background analysis and discusses why is the Foreign Subsidies Regulation made. Then the basic provisions of the Foreign Subsidies Regulations are discussed in detail from the aspects of the definition of foreign subsidies, distortive effects, review procedures of foreign subsidies, and implementing agencies. In future, most of the non-EU companies doing business in Europe could be subject to the European Commission's new rules on foreign subsidies. Then this article provides an objective analysis of access for companies investing in Europe. By discussing the possible influence, this article identifies strategies for non-EU countries' companies investing in Europe from four aspects:compliance management, corporate mergers and acquisitions and investment, public procurement and corporate financing. Hope the suggestions in this article can be helpful.

School counselors in the classroom: A systematic review

AbstractThe American School Counseling Association has continuously defined school counselors as having a role in the classroom across four different iterations of the ASCA Model. And yet, the amount of scholarly production is limited along with the amount of time school counselors report actually spending time in the classroom with students. Further, the social‐emotional learning (SEL) movement, among others, has encouraged the utilization of teachers in classrooms to provide lessons and interventions related to the social‐emotional development of students rather than school counselors who have been trained to do so. The current study examines the literature on school counselor‐facilitated classroom interventions over the past 30 years utilizing systematic review procedures to do so. The results indicate that only 40 classroom intervention studies have been published in peer‐reviewed journals over the past 30 years. Implications for counselor education scholars and school counselors are discussed.

Fermatean fuzzy sets and its extensions: a systematic literature review

The Fermatean Fuzzy Set (FFS) theory emerges as a crucial and prevalent tool in addressing uncertainty across diverse domains. Despite its recognized utility in managing ambiguous information, recent research lacks a comprehensive analysis of key FFS areas, applications, research gaps, and outcomes. This study, conducted through the Scientific Procedures and Rationales for Systematic Literature Reviews (SPAR-4-SLR) protocol, delves into an exploration of the FFS literature, reviewing 135 relevant articles. The documents are meticulously analyzed based on their integrated methodologies, Aggregation Operators (AOs), linguistic sets, and extensions. Additionally, a thematic analysis, facilitated by the Bibliometrix tool, is presented to provide nuanced insights into future research directions and crucial areas within the literature. The study unveils valuable findings, including the integration of linguistic variables with interval-valued FFS, fostering robust environments for dynamic decision-making—a mere glimpse of the potential directions for future research. The gaps and future directions section further articulates recommendations, offering a structured foundation for researchers to enhance their understanding of FFS and chart future studies confidently.

The current status and global trends of clinical trials related to robotic surgery: a bibliometric and visualized study.

Conducting clinical trials can evaluate the effectiveness and safety of surgical robots. To promote the advancement of academic robotic programs in surgery, this study captures the development trend and research hotspots of clinical trials related to surgical robots by bibliometric analysis. Bibliometrix package in R software was used to analyze the publication year, authors, countries, institutes, and journals. The visualization maps of keywords were formed using VOSviewer. The keywords with the strongest citation bursts and the institutional collaboration map were created by CiteSpace. Urology dominates with 31.3% of publications and the controlled clinical trials in urology and orthopedic accounted for the highest proportion, reaching 73%. North America, the USA, and Seoul National University lead in productivity. The most productive country, region and institution are North America, USA and Seoul National University, respectively. The trend of collaboration is regional instead of international. Keyword and burst keyword analysis revealed a primary focus in clinical research on robotic surgery: evaluating process improvements, comparing robotic and traditional surgery, and assessing feasibility. Long-term clinical trials assess surgical robots not only intraoperative performance but also postoperative complications and overall surgical outcomes. The development in the field is unbalanced between regions and countries. To promote multi-center clinical trials, governments can streamline review procedures and establish international consensus review standards, while academic institutions can form academic alliances. Also, the study offers recommendations for the development of academic robotic programs and regional collaboration units in robotic surgery, which may provide researchers with a strong reference for future research.