Article Reviews Research Articles

The Role of the Combination Paracetamol/Caffeine in Treatment of Acute Migraine Pain: A Narrative Review.

Thirty years ago, the first migraine-specific drugs (triptans) appeared. Todaytwo new categories (gepants and ditans) are marketed for acute migraine treatment. That said, is there still a role for conventional therapy? The aim of the present narrative review is to provide an expert overview examining the possible role of the combination paracetamol/caffeine in treatment of acute migraine pain. To understand possible settings for more appropriate use of paracetamol/caffeine (1000mg/130mg) in treatment of acute migraine, a structured literature search was performed using the PubMed database by a panel of experts from major Italian headache centers; articles not referring to migraine pain were excluded from this review; review articles were prioritized. Overall response, even to newer specific and selective trigeminal targeted drugs (TTTs), is not over 60%; thus, there is still room for conventional therapies in acute migraine treatment. The panel identified settings in which the use of paracetamol/caffeine combination to treat acute migraine attacks might offer benefit considering the consolidated use through years, despite the lack of studies directly addressing the efficacy of paracetamol/caffeine in the identified populations: subjects > 65years of age; presence of cardiovascular (CV) comorbidities; TTTs non-responders; pregnancy and breastfeeding; subjects < 18years of age; paracetamol/caffeine as add-on therapy. Paracetamol is included in the World Health Organization (WHO) essential drug list and has a high level of popularity among patients. Caffeine enhances the analgesic effect of other drugs including paracetamol. In early treatment of acute migraine pain, prescribing physicians might consider using the paracetamol/caffeine combination among other options.

Screening oncology articles in a qualitative literature review using large language models: A comparison of GPT4 versus fine-tuned open source models using expert-annotated data.

e23196 Background: Clinical Outcome Assessment (COA) conceptual gap analyses for oncology are complex and time consuming. Artificial Intelligence may efficiently reduce time to completion of such analyses. We aimed to assess two AI models’ performance for literature screening to identify relevant qualitative oncology research. We also compared accuracy and run-time for both AI models. Methods: We manually curated a dataset of title/abstract screening (n = 1,700 study references) across 17 landscape reviews. Among these, 11 landscape reviews (n = 951 study references) spanning over were in oncology, including 8 solid cancers (breast, lung, urothelial, colorectal, esophageal, head and neck, pancreatic, and stomach) and 3 non-solid cancers (lymphoma, acute myeloid leukemia, and multiple myeloma). Each citation was annotated for eligibility (Y/N) by population, study design (qualitative), and reporting of concepts (how patients feel or function). We then compared the accuracy of two AI models at predicting the screening decisions of expert researchers. The two AI models were Generative Pre-trained Transformers 4 (GPT4, OpenAI) prompts and a fine-tuned SciFive biomedical large language model (LLM). We used 70% of the data for training and 30% for test. Accuracy estimates were obtained only for the models’ ability to label eligibility within the 11 oncology datasets. Results: Both LLMs performed well for assessing relevance by oncology population, with F1-scores for the GPT4 and SciFive models being 0.92 and 0.83 respectively (precision was 0.92 and 0.93 respectively). For concept reporting the fine-tuned SciFive model outperformed GPT4 with an F1-score and precision 0.88 and 0.92 versus 0.81 and 0.79. The same was true but less pronounced for eligibility by study design, with an F1-score and precision 0.81 and 0.90 versus 0.86 and 0.76. For overall eligibility, the customized SciFive model outperformed the GPT4 model with an F1-score and precision of 0.84 and 0.92 versus 0.85 and 0.82. Lastly, it took the GPT4 prompts between 10-30 minutes to screen 100 abstracts. By contrast, the customized SciFive model took 1-2 minutes on a computer with a Quadro RTX 8000 GPU. Conclusions: In conclusion, both AI models are promising. The fine-tuned SciFive model appears slightly more accurate and performs substantially faster than the GPT4 model.

The relation of complex problem solving with reflective abstraction: a systematic literature review

&lt;span lang="EN-US"&gt;Complex problem solving (CPS) is a new paradigm in solving problems and is one of the soft skills needed to face the industrial revolution 4.0. Reflective abstraction is associating and modifying pre-existing conceptions into new situations. This article reviews research on CPS and reflective abstraction. This research is needed to know the relationship between reflective abstraction and CPS. The systematic writing of this review was assisted by the Publish or Perish 7 application, Mendeley, and VOSviewer. A literature search was performed through the ScienceDirect and ERIC databases. Based on the search results with the term “complex problem solving” and several exclusion criteria, 58 articles were found, whereas with the word “reflective abstraction” there were 23 articles, totaling 81 papers. Based on the literature review, it was found that there is a relationship between CPS and reflective abstraction by obtaining common ground in the form of prior knowledge. CPS requires prior knowledge from reflective abstraction to integrate the most relevant information. To improve CPS, efforts and special attention can be made to build initial knowledge through reflective abstraction. This article contributes to further research and becomes a study for the themes of CPS and reflective abstraction in learning and education.&lt;/span&gt;

Emerging role of the lateral habenula in conditioned inhibition and depression.

Associating a neutral conditioned stimulus (CS) with the absence of a biologically significant unconditioned stimulus (US) confers conditioned inhibitory properties upon the CS, referred to as conditioned inhibition. Conditioned inhibition and conditioned excitation, an association of a CS with the presence of the US, are fundamental components of associative learning. While the neural substrates of conditioned excitation are well established, those of conditioned inhibition remain poorly understood. Recent research has shed light on the lateral habenula (LHb) engagement in conditioned inhibition, along with the midbrain dopaminergic neurons. This article reviews behavioral tasks conducted to assess conditioned inhibition and how experimental LHb manipulations affect performance in these tasks. These results underscore the critical role of the LHb in conditioned inhibition. Intriguingly, stress increases LHb reactivity and impairs performances in tasks consisting of a component of conditioned inhibition in animals. Dysfunction of the LHb is observed in patients with depression. The ability of an organism to perform conditioned inhibition is closely linked to altered neuronal activity in the LHb, which has implications for mental disorders. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Artificial intelligence in veterinary diagnostics

Artificial intelligence is becoming increasingly important in veterinary medicine and is likely to play a significant role in how the profession develops in the future. It is already impacting the way veterinarians practice, with several technologies readily available. Its application to the interpretation of diagnostic images, clinicopathological data and histopathology has been demonstrated. It is hoped that these technologies will increase the speed and accuracy of a diagnosis. This article reviews some studies investigating the application of artificial intelligence to the diagnosis of disease in animals and considers future uses and limitations of the technology.

The nonsalvageable tibia: amputation and prosthetics.

Mangled extremities are a challenging problem for the orthopaedic surgeon. The decision for salvage versus amputation is multifactorial. Several work groups have attempted to create scoring systems to guide treatment, but each case must be regarded individually. As surgical technique and prosthetics continue to improve, amputations should be seen as a viable reconstructive option, rather than failure. This article reviews scoring systems for the mangled extremity, outcomes on salvage versus amputation, amputation surgical technique, and prosthetic options.

Can fracture liaison services prevent second fractures in patients with osteoporosis?

Patients who have had fractures are at increased risk for a second or fragility fracture. A fracture liaison service (FLS), often staffed or led by physician associates/assistants or NPs, may help reduce second fractures and patient mortality. This article reviews FLSs and their effectiveness.

Neonatal Seizures.

Neonatal seizures are common among patients with acute brain injury or critical illness and can be difficult to diagnose and treat. The most common etiology of neonatal seizures is hypoxic-ischemic encephalopathy, with other common causes including ischemic stroke and intracranial hemorrhage. Neonatal clinicians can use a standardized approach to patients with suspected or confirmed neonatal seizures that entails laboratory testing, neuromonitoring, and brain imaging. The primary goals of management of neonatal seizures are to identify the underlying cause, correct it if possible, and prevent further brain injury. This article reviews recent evidence-based guidelines for the treatment of neonatal seizures and discusses the long-term outcomes of patients with neonatal seizures.

Measuring due process and fairness in the child welfare court system

AbstractUpholding the fundamental rights of families during child welfare court cases is critical to ensuring equal access to justice. This article review research related to the due process measures in the Judicial, Court, and Attorney Measures of Performance (JCAMP). Studies of due process practices early in the case to avoid unnecessary involvement of families are presented. These represent divergent opinions on the role of the judge and arguments for the early appointment of parent attorneys. Future research is critical to understand practices which promote fairness and address the over‐representation of families of color in the child welfare system.

State of the Art in Low-Grade Glioma Management: Insights From Isocitrate Dehydrogenase and Beyond.

Low-grade gliomas present a formidable challenge in neuro-oncology because of the challenges imposed by the blood-brain barrier, predilection for the young adult population, and propensity for recurrence. In the past two decades, the systematic examination of genomic alterations in adults and children with primary brain tumors has uncovered profound new insights into the pathogenesis of these tumors, resulting in more accurate tumor classification and prognostication. It also identified several common recurrent genomic alterations that now define specific brain tumor subtypes and have provided a new opportunity for molecularly targeted therapeutic intervention. Adult-type diffuse low-grade gliomas are frequently associated with mutations in isocitrate dehydrogenase 1 and 2 (IDH1/2), resulting in production of 2-hydroxyglutarate, an oncometabolite important for tumorigenesis. Recent studies of IDH inhibitors have yielded promising results in patients at early stages of disease with prolonged progression-free survival (PFS) and delayed time to radiation and chemotherapy. Pediatric-type gliomas have high rates of alterations in BRAF, including BRAF V600E point mutations or BRAF-KIAA1549 rearrangements. BRAF inhibitors, often combined with MEK inhibitors, have resulted in radiographic response and improved PFS in these patients. This article reviews emerging approaches to the treatment of low-grade gliomas, including a discussion of targeted therapies and how they integrate with the current treatment modalities of surgical resection, chemotherapy, and radiation.

Application of fourier transform infrared (FTIR) spectroscopy in sample preparation: Material characterization and mechanism investigation

The principle of Fourier Transform Infrared (FTIR) spectroscopy is based on atoms vibration and rotation, and it has become a universal and widely used spectral methodology to detect the internal molecular structures in all kinds of fields. Numerous review articles related to the applications of FTIR spectroscopy have been published in recent years. In addition, more and more scientists are aware the significance role of sample preparation to improve our life quality in life science. However, the application of FTIR spectroscopy in sample preparation hasn't been summarized. Thus, in the current paper, the application of FTIR spectroscopy in sample preparation was reviewed with the focuses on characterization of separation materials including both solid sorbents and liquid extractants, and the extraction mechanisms involved in the separation towards different targets including inorganic molecules such as rare earth elements, organic molecules such as phenolics, pharmaceuticals and illicit-drugs, and biomacromolecules of DNA and proteins. We believe that the current paper will be interested for the researchers in food science, forensic medicine, clinical medicine, environmental analysis and analytical chemistry.

Immunotherapy related patient-reported outcomes from five randomized controlled trials in patients with triple negative breast cancer: A systematic review.

e23167 Background: Immunotherapy (IO) has improved clinical outcomes in patients with early-stage Triple Negative Breast Cancer (TNBC) receiving neoadjuvant therapy and certain patient subsets in the metastatic setting. This study aims to evaluate IO-related Patient-Reported Outcomes (PRO) in patients older than 65 years. Methods: We searched Medline ALL (Ovid), Embase (Elsevier), Cochrane Central (Wiley), ClinicalTrials.gov, and the WHO International Clinical Trials Registry Platform. The searches combined terms reflecting (1) the immune checkpoint inhibitors atezolizumab, durvalumab, and pembrolizumab; (2) breast cancer; and (3) randomized controlled trials. Results were limited to items published in English from 2013 through September 2023. We excluded review articles and clinical trial records without results. Two independent reviewers (C.S. and M.L.) screened the studies using the systematic review management tool Covidence, and conflicts were resolved by a third reviewer (W.I.Z.). We included studies that reported on PRO in adults with TNBC receiving any of the three immunotherapies of interest. Results: Five publications composed of two peer-reviewed papers and three abstracts were identified, including 3878 total patients and 3184 with PRO. Three pembrolizumab studies had 2643 total patients (2056 with PRO) and two atezolizumab studies (IMPASSION 130, IMPASSION 031) had 1235 total patients (1128 with PRO). The PRO analysis in KEYNOTE 522 included 1145 patients in the neoadjuvant phase and 847 in the adjuvant phase. The PRO analysis in KEYNOTE 355 included total 847 patients and 317 with Combined Positive Score (CPS) ≥10. No study specified PRO data for patients older than 65 years. Baseline completion rates for all studies were &gt; 80%. All studies used standardized PRO instruments, including the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC- QLQ C30) and its Breast Cancer Module (QLQ-BR23), the Functional Assessment of Cancer-Therapy-General (FACT-G GP5), and the EuroQol-5 Dimension (EQ-D5). All studies showed no statistical difference, or clinical meaningful decline in PRO endpoints between patients who received chemo with IO versus chemo with placebo, during and post treatment follow up. The PRO analysis from KEYNOTE 119, which included total 594 patients of which 187 had CPS ≥10, demonstrated that patients receiving single agent chemotherapy had worse PROs related to systemic therapy side effects and hair loss while the pembrolizumab group had decreased worry about future health. None included subgroup analysis by age, including patients older than 65 years. Conclusions: Our systematic review demonstrates that in both early and advanced TNBC, IO did not worsen PRO. Prospective and retrospective data in IO-related PRO in older patient population are needed.

The paradigm of magnetic molecule in quantum matter: Slow molecular spin relaxation

The quantum nature of single-ion magnets, single-molecule magnets, and single-chain magnets has been manifested among other phenomena by magnetic hysteresis due to slow spin relaxation, competing with fast quantum tunneling at low temperatures. Slow spin relaxation, described by Arrhenius-type law with the effective barrier energies Ueff = 50 cm–1, was discovered 3 decades ago in paramagnetic Mn12-acetate complex of oxy-bridged mixed-valence manganese ions, below the blocking temperature TB = 3 K. In contrast to common magnetic materials, it is governed primarily by magnetic anisotropy, set by zero-splitting of spin states of a magnetic ion in a field of ligands, and spin-lattice coupling. The emerging studies on the border of coordination chemistry, physics of spin systems with reduced dimensionality, and nanotechnologies, were performed in search of routes for enhancement of Ueff and TB characteristics, in line with increase of operation temperature and quantum correlation time, mandatory for quantum applications. The best results with TB ∼ 80 K and Ueff ∼ 1261 cm–1, were obtained for DyIII single-ion magnet, so far. Numerous excellent research and review articles address particular activities behind this achievement. It follows, that present challenges are dictated by the rational development of novel, smart magnetic molecules, featured by butterfly cores, cyano-bridges, 2D metal-organic frameworks, and metal-free graphene nanoclusters, as well as stable free radicals, magnetized by spare electrons. These species are briefly considered here with respect to the unique experience of international collaborative activity, established by Prof. Juan Bartolomé.

Substrate-based synthetic strategies and biological activities of 1,3,4-oxadiazole: A review.

The five-membered 1,3,4-oxadiazole heterocyclic ring has received considerable attention because of its unique bio-isosteric properties and an unusually wide spectrum of biological activities. After a century since 1,3,4-oxadiazole was discovered, its uncommon potential attracted medicinal chemist's attention, leading to the discovery of a few presently accessible drugs containing 1,3,4-oxadiazole units, and a large number of patents have been granted on research related to 1,3,4-oxadiazole. It is worth noting that interest in 1,3,4-oxadiazoles' biological applications has doubled in the last few years. Herein, this review presents a comprehensive overview of the recent achievements in the synthesis of 1,3,4-oxadiazole-based compounds and highlights the major advances in their biological applications in the last 10 years, as well as brief remarks on prospects for further development. We hope that researchers across the scientific streams will benefit from the presented review articles for designing their work related to 1,3,4-oxadiazoles.

Papua Conflict: An Article Review from the Best Conflict Resolution Method

This article is aimed to review conflict resolution process of Armed Criminal Group in Papua (KKB). This study is a scientific-article review using comparison technique, which compares horse trading method, counter-insurgency (COIN) model, and Military Operations Other Than War (OMSP) to later review the best method in conflict resolution and renew or develop it. This study starts from revealing the background of Armed Criminal Group (KKB) happening in Papua, and then discussing conflict resolution process referring to the separatist movement development from KKB using horse trading method, which is proven effective to resolve this conflict if it is supported by the trust between two parties to have a dialogue where both parties are allowed to deliver their purposes openly. It is different from the application of McCormick’s COIN strategy model which narrowly fails in resolving Papua conflict, and even is possible to create a chance of the new dynamics’ existence in its international dimension, so it is needed to have a new interpretation towards COIN model in Papua, which is by giving solution to conflict-root elimination instead of total elimination by military. Meanwhile, applying Military Operations Other Than War approach (OMSP) is mandatory which is done by every country in order to tackle separatism movements. By those three models mentioned earlier, several strategic steps are formulated later in conflict resolution of Armed Criminal Group (KKB) in Papua.

Total Neoadjuvant Therapy for Rectal Cancer: Which Regimens to Use?

Total neoadjuvant therapy (TNT) is a novel strategy for rectal cancer that administers both (chemo)radiotherapy and systemic chemotherapy before surgery. TNT is expected to improve treatment compliance, tumor regression, organ preservation, and oncologic outcomes. Multiple TNT regimens are currently available with various combinations of the treatments including induction or consolidation chemotherapy, triplet or doublet chemotherapy, and long-course chemoradiotherapy or short-course radiotherapy. Evidence on TNT is rapidly evolving with new data on clinical trials, and no definitive consensus has been established on which regimens to use for improving outcomes. Clinicians need to understand the advantages and limitations of the available regimens for multidisciplinary decision making. This article reviews currently available evidence on TNT for rectal cancer. A decision making flow chart is provided for tailor-made use of TNT regimens based on tumor location and local and systemic risk.

Application of Import Used Clothing Buying and Selling Transactions in Indonesia Under the Review of Article 47 Paragraph (1) of Law Number 7 of 2014 Concerning Trade.

Application of Import Used Clothing Buying and Selling Transactions in Indonesia Under the Review of Article 47 Paragraph (1) of Law Number 7 of 2014 Concerning Trade.

Should all critical care patients with a central venous catheter in situ be screened for central catheter related thrombosis?

There are many studies on central catheter related thrombosis (CCRT), however, there are significantly fewer studies focusing on the incidence and evolution of CCRT in the adult critical care population. This article reviews data collected from observational studies that have performed bedside duplex ultrasound for surveillance of CCRT and discuss if we should routinely screen for CCRT. The reported CCRT incidence is 17-38%, with most thrombus being detectable on ultrasound within seven days of line placement. Nearly all CCRT are designated as asymptomatic (no associated pulmonary embolism (PE) or deep vein thrombosis (DVT)) and no significant changes in mortality rates amongst patients that develop CCRT were reported. Based on the evidence reviewed, we do not recommend screening routinely for CCRT in the adult critical care population.

Trends of Physics Critical Thinking Skill Research in Indonesia: A Systematic Literature Review

Critical thinking skills are fundamental in 21st-century teaching. This study aims to identify trends in research on critical thinking skills in physics in Indonesia, as reported in journal articles published between 2016 and 2022. This is meta-analysis research using the Prisma model. There were 36 articles that met the selection criteria. We performed the data analysis manually and used VOSviewer software. The indicators used for data analysis include the year, type of research, research subject, topic, treatment, data collection instrument, and the application of data analysis in each article. The analysis of article reviews reveals that the research trend for critical thinking skills in physics in Indonesia has increased, with more publications expected in 2020. Temperature and heat are the physics topics that have become the focus of research. High school students in grade X are the most frequently selected research subjects. Research on physics education typically employs quantitative methods, employs a quasi-experimental design, and utilizes a test as a data collection instrument. The most common method of data analysis in research is the t-test.

NAVIGATING THE NUANCES OF TACIT KNOWLEDGE REVISITED: COMPARATIVE STUDIES IN MANAGEMENT THEORY APPLIED TO INDIGENOUS KNOWLEDGE IN GOOD HEALTH AND WELL-BEING

This article reviews previous studies and provides a rationale for the inclusion of the concept of tacit knowledge in Indigenous Knowledge as an economic resource for stakeholders. It conducts a historical and revisited comparative analysis of tacit knowledge in the management theory of oral knowledge in Indigenous Knowledge within the realm of scientific investigation. The main argument is focused on the recognition of tacit knowledge accumulated and often lacking scientific validation in its continuous existence perpetuated by local communities, tribal and Indigenous Peoples on our planet. Tacit knowledge, often shared in goodwill and good faith among stakeholders, particularly non-Indigenous Peoples, implies a moral and legal obligation of benefit-sharing for all parties involved. The case studies presented in this article illustrate the role of tacit knowledge in Indigenous Knowledge and its past uses in traditional medicine utilised in patents, having deep implications for benefit-sharing on drug profits. In reviewing past findings in the native botany drugs discovery market, this article illustrates the developments in the integration of traditional medicine into national systems of health, which often fail to express tacit knowledge value independently of the verification of Western science as a justification for its efficacy.