Findings Of Review Research Articles

Cybersecurity Interventions in Health Care Organizations in Low- and Middle-Income Countries: Scoping Review.

Health care organizations globally have seen a significant increase in the frequency of cyberattacks in recent years. Cyberattacks cause massive disruptions to health service delivery and directly impact patient safety through disruption and treatment delays. Given the increasing number of cyberattacks in low- and middle-income countries (LMICs), there is a need to explore the interventions put in place to plan for cyberattacks and develop cyber resilience. This study aimed to describe cybersecurity interventions, defined as any intervention to improve cybersecurity in a health care organization, including but not limited to organizational strategy(ies); policy(ies); protocol(s), incident plan(s), or assessment process(es); framework(s) or guidelines; and emergency planning, implemented in LMICs to date and to evaluate their impact on the likelihood and impact of attacks. The secondary objective was to describe the main barriers and facilitators for the implementation of such interventions, where reported. A systematic search of the literature published between January 2017 and July 2024 was performed on Ovid Medline, Embase, Global Health, and Scopus using a combination of controlled terms and free text. A search of the gray literature within the same time parameters was undertaken on the websites of relevant stakeholder organizations to identify possible additional studies that met the inclusion criteria. Findings from included papers were mapped against the dimensions of the Essentials of Cybersecurity in Health Care Organizations (ECHO) framework and presented as a narrative synthesis. We included 20 studies in this review. The sample size of the majority of studies (13/20, 65%) was 1 facility to 5 facilities, and the studies were conducted in 14 countries. Studies were categorized into the thematic dimensions of the ECHO framework, including context; governance; organizational strategy; risk management; awareness, education, and training; and technical capabilities. Few studies (6/20, 30%) discussed cybersecurity intervention(s) as the primary focus of the paper; therefore, information on intervention(s) implemented had to be deduced. There was no attempt to report on the impact and outcomes in all papers except one. Facilitators and barriers identified were grouped and presented across national or regional, organizational, and individual staff levels. This scoping review's findings highlight the limited body of research published on cybersecurity interventions implemented in health care organizations in LMICs and large heterogeneity across existing studies in interventions, research objectives, methods, and outcome measures used. Although complex and challenging, future research should specifically focus on the evaluation of cybersecurity interventions and their impact in order to build a robust evidence base to inform evidence-based policy and practice.

Application of geochemical modelling and multiple regression analysis to reassess groundwater evolution in Kaduna Basin, NW Nigeria

Geochemical modelling (GM) and multiple regression analysis (MRA) are applied to reassess the evolution of groundwater to understand and estimate groundwater's quality and chemical changes. These methods provide a comprehensive procedure for evaluating and managing groundwater sources, especially in identifying the pollution sources, predicting upcoming changes and designing strategies for remediation. This review reassesses groundwater's hydrochemical evolution in the Kaduna Basin using GM and MRA. Hydrochemical data were obtained from the literature using a systematic approach and were subjected to GM and MRA. The geochemical modelling results showed that aquifers are saturated with Anhydrite, Chlorite, Chrysotile, Dolomite, Gypsum, Halite, K-Mica, Pyrite, Quartz, Dolomite, and Goethite. The Na2O-Al2O3-SiO2-H2O system indicated that the studied locations fell in Na-montmorillonite and Kalinite fields. However, the K2OAl2O3-SiO2-H2O system showed that groundwater is stable with Montmorillonite, Kaolinite, and K-Feldspar. MRA and Na+/Cl− molar ratio revealed that rock weathering significantly controls groundwater. The Na+/Cl− values are above 1 in 83.33%, 54.84%, and 26.27% sampling locations in the Kudenda-Nassarawa area, Kaduna South, and Kakuri and its Environs, respectively. The overall p-value was less than 0.01 and R-Sq = 63%, suggesting that all elements significantly influence aquifers' hydrochemistry. Results of geochemical modelling, Na+/Cl− molar ratio, and MRA are concurrent as they both show silicate weathering as the factor controlling groundwater hydrochemistry. Thus, geochemical and multiple regression analysis offers a reliable and user-friendly tool for assessing aquifers' hydrochemistry. We hope this review's findings will stimulate other researchers to an analogous procedure in a forthcoming study on hydrochemical analysis, especially those from semi-arid environments.

Physiotherapists' perceptions, readiness, enablers, and barriers to use telerehabilitation: A scoping review.

The growing use of telerehabilitation within the healthcare community has garnered substantial attention. In congruence with other healthcare fields, examining perceptions, barriers, and facilitators assumed paramount significance in the continuation and fortification of telerehabilitation practices among physiotherapists. In this scoping review, we aimed to systematically map the literature on the perceptions of physiotherapists as well as the barriers and enablers of telerehabilitation in their daily practice. The five-stage methodological framework recommended by Arksey and O'Malley (2005) was used for this scoping review. In the framework, eight databases were searched using key search terms such as "telerehabilitation", "physiotherapists", "readiness", "enablers" and "barriers" All findings were organised into perceptions and readiness, enablers, and barriers. Fourteen articles met the inclusion criteria and were categorized as: (1) perception and readiness, (2) enablers, and (3) barriers. In the perception and readiness category, new trends in healthcare, advancement in physiotherapy practices and the benefits to clients were identified. The enablers identified included prior training, personal experience, familiarity with technology, functional equipment and space, and client selection. The barriers to the adoption of telerehabilitation in physiotherapy practice are pinpointed to poor technology, communication hurdles, limited availability, lack of familiarity, and client-related concerns. While initial evidence suggests a generally positive perceptions it is important to consider both facilitators and barriers when understanding adoption. This review's findings revealed a wide research gap, with unequal weightage towards barriers compared to enablers, and highlights the need for further research. Developing telerehabilitation guidelines that cater to both physiotherapists and clients is necessary.

Summarizing Recommendations for the Prevention of Occupational Heat-Related Illness in Outdoor Workers A Scoping Review.

Outdoor workers face unique challenges in preventing heat-related illnesses (HRI). Although preventable, HRI and death from heat exposure continue. A review of the most recent recommendation for HRI prevention in outdoor workers in the United States was warranted. A scoping review using PRISMA guidelines was conducted to compile policy statements and recommendations on the prevention of HRI and synthesize them into a three-step plan for prevention using the Haddon Matrix. PubMed, CINAHL, Medline, and websites from organizations and regulating bodies were searched for sources. Key terms such as occupational OR workers OR employers OR policymakers, HRI OR heat stress OR heat, prevention, recommendations OR position statements were used. Inclusion criteria were articles published within the last 5 years written in English and containing recommendations for preventing HRI in outdoor workers. Research not based on U.S. workers was excluded from the review. Twenty sources comprised the review. Several themes emerged, indicating deficient recommendations for secondary and tertiary prevention. This review's findings can be used by occupational health nurses (OHNs) in developing comprehensive interventions for preventing HRI and injury, using clear language, and following evidenced-based practices to increase workplace health and safety and promote equity.

Comparative Assessment of the Accuracy of Digital Versus Conventional Interocclusal Records in Dentulous Patients: A Systematic Review.

Interocclusal registration is an essential step in oral rehabilitation. Conventionally, interocclusal registration has been conducted using interocclusal records made of wax or silicone. However, a digital method of registration utilizing an intraoral scanner has been introduced for analyzing inter-arch relationships. This systematic review aims to compare digital interocclusal records with conventional interocclusal records by considering their respective quality, such as accuracy. A thorough search was conducted to gather relevant research from databases such as Google Scholar, PubMed, and Scopus. After evaluating the study's methodological quality assessment using NIH's Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies, two independent reviewers assessed the publications for inclusion and exclusion criteria. After a methodical search, a total of five relevant papers were reviewed. The review's primary finding was that digital interocclusal records were more accurate than conventional interocclusal records.

Postpartum Women's Experiences of Postnatal Care in Sub-Saharan Africa: A Qualitative Evidence Synthesis.

Postnatal care (PNC) is a critical service for the health and well-being of new mothers and newborns. However, in sub-Saharan Africa (SSA), most efforts to improve maternal and child health have been directed toward enhancing skilled birth attendance and urgent obstetric and neonatal care. This is despite the fact that more than half of maternal deaths globally occur in the postnatal period, with 65% of these occurring in the first week following birth. One of the health system factors influencing PNC utilization is the women's previous PNC experience at healthcare facilities. The aim of this review was to gain a better understanding of women's experiences of PNC in SSA. This study followed a qualitative evidence synthesis design. The phenomenon of interest was postpartum women's experiences of PNC in SSA. PubMed, CINAHL, EMBASE, Science Direct, Africa Journals Online (AJOL), SCOPUS, and Google Scholar were searched for peer-reviewed articles published in English between 2013 and 2023. To assess the quality of the included studies, we used an appraisal tool developed by the Evidence for Policy and Practice Information and Co-ordinating Centre. Two authors independently extracted relevant data from the included studies. Thomas and Harden's thematic synthesis framework was used to synthesize the data. Eight articles were used in this review. Seven articles reported on qualitative studies, and one reported on a mixed-method study. All the included studies fully or partially met the 12 quality assessment criteria. Synthesis of the data resulted in the development of five analytical themes. The five themes were the adequacy of physical examination and communication of the findings, adequacy of PNC information, the quality of interactions with healthcare workers (HCWs), the availability of resources and adequacy of HCWs, and denial of care. The overall confidence in the review's findings was either moderate or high. Based on our findings, we recommend that countries in the region address staff shortages, implement task shifting, electronic medicine stock management systems, optimal supply chain policies, and train HCWs on PNC and interpersonal communication skills.

Immunological Assessment of Interleukin-6 and 8 in Baghdad Patients with β-thalassemia

A genetic disorder known as β-thalassemia major is characterized by a decreased rate of hemoglobin synthesis, which results in inadequate binding of at least one globin chain. Depending on the exact illness, the actuality of deficiencies may vary. The study's model included participants who were not certain they had β-thalassemia, and a control group of fifty people who did not have the disease. The blood tests were assembled by the Medical city Thalassemia Center. between June 1st and October 31, 2023, to be exact. The purpose of this study was to evaluate the serum immunological marker levels, namely IL-6 and IL-8, in Iraqi patients suffering from β-thalassemia. The Panel has approved the survey design for the postgraduate examinations at the School of Baghdad. Human interleukin-6 (IL-6) and interleukin-8 (IL-8) unions were evaluated using the protein-associated immunosorbent assay (ELISA). The review's findings demonstrated that individuals diagnosed with β-thalassemia had notably elevated blood levels of IL-6 and IL-8, which is relevant information. IL-6 foci measuring 33.90±3.42 pg/ml were seen in β-thalassemia patients, whereas the reference group showed levels of 25.21±2.93 pg/ml. Comparably, the benchmark group's estimated IL-8 level was found to be 76.86±23.11 pg/ml, but the patient gathering revealed a higher IL-8 degree of 217.10±44.26 pg/ml. The results of this investigation demonstrate that individuals with thalassemia exhibit an insusceptible dysregulation characterized by concurrent inflammation and immunosuppression.

New Perspective of Multi-dimensional Approach for the Management of Attention-deficit Hyperactivity Disorder: A Review

One of the most common mental diseases in childhood, attention-deficit/hyperactivity disorder (ADHD) often lasts into adulthood for many individuals. The neurodevelopmental condition known as ADHD impacts three areas of the brain: hyperactivity, impulsivity, and attention. The visual field is where attention is most affected by ADHD. Non-strabismic binocular vision disorder (NSBVD), which impairs eye coordination and makes it challenging to focus, has been linked to ADHD. Through a critical cognitive process called visual attention, humans are able to take in and organize information from their visual environment. This greatly affects how one observes, processes, and understands visual information in day-to-day living. Vision therapy is a non-invasive therapeutic approach that aims to improve visual talents and address visual attention deficits. This study aims to provide an overview of the research on the many approaches to treating ADHD, the relationship between NSBVD and ADHD, and whether vision therapy is a viable treatment option for ADHD. After a comprehensive search of many online resources, relevant studies were found. The review's findings provide insight into the range of ADHD patients' treatment choices. In order to improve treatment outcomes, non-pharmacological treatments can be employed either alone or in conjunction with medicine. Medicine by itself is insufficient and has several severe side effects when used continuously. The efficacy of vision therapy in improving visual attention and making recommendations for potential directions for further research in this field. Multiple studies are needed to identify the most effective treatment modalities for achieving positive outcomes for ADHD patients.

GEOSPATIAL BIG DATA PROCESSING USING THE HIGH-PERFORMANCE COMPUTING TECHNOLOGY

A significant portion of the data used for different purposes includes location information. As a result, there is an increasing effort to find a general framework by utilizing crucial technological drivers. Similarly, as geospatial data becomes more accessible; the possibilities for changing scientific discoveries and methods in modern society are endless. Naturally, many applications depend on the accurate and efficient geospatial data processing. However, using the traditional method to process and compute geospatial data frequently presents several difficulties. The explanation for this is the large volume, heterogeneity, and distributed nature of these data. Consequently, it is imperative to implement contemporary techniques that can manage the computational and analytical demands of this massive amount of geospatial data. Many of these systems—particularly those related to High-Performance Computing (HPC) technology—have been described in the literature. Therefore, the goal of this article is to review the application of HPC technology to big data processing in geospatial applications. The review's findings show that predictive data science tools like parallel and grid computing are available in geographic big data applications, enabling quick and effective processing that will help create a sustainable ecosystem. Also, the efficient management of large data sets requires storage, visualization, analytics, and analysis. Of course, this review demonstrated how recent advancements in computing have impacted geospatial data handling.

Enhancing TVET Education for the Future: A Comprehensive Review of Strategies and Approaches

This systematic literature review investigates the future enhancement of TVET education. The review examines a variety of studies and research articles to gain insight into the role of vocational education in shaping and improving the TVET system. The review begins with an introduction that provides background information on the importance of TVET and vocational education in preparing individuals for the workforce. The review's objective is to analyse and synthesize existing literature to identify the critical role of vocational education in developing the TVET system. In the method section, we describe the systematic approach we used to identify relevant studies and select appropriate articles for review. In this paper, we provide a systematic review analysis based on preferred reporting items for the Systematic Reviews and Meta-Analysis (PRISMA) technique for virtual reality implementation. We conduct advanced searches using two robust databases: Scopus and Eric. Our search finally yielded the primary data (n = 35), which we will analyse using the synthesis approach. Four central themes were decided: (1) career development and employability in TVET; (2) digital transformation in TVET; (3) pedagogy and teaching approaches in TVET; and (4) assessing competency and training in TVET education. The findings section presents the key findings extracted from the selected studies, highlighting vocational education's various roles and contributions to the TVET system. The conclusion section summarizes the review's main findings and provides insights into the importance of vocational education in fostering the growth and effectiveness of the TVET system. The review highlights the need for continued research and collaboration to further enhance the role of vocational education in TVET education and meet the evolving demands of the workforce.

Novel Predictive Biomarkers in the Head and Neck Squamous Cell Carcinoma (HNSCC).

Head and neck squamous cell carcinoma (HNSCC) is the sixth most common cancer worldwide, characterized by high aggressiveness and frequent metastasis to regional lymph nodes. Despite advances in therapy, including checkpoint inhibitor immunotherapy, surgery, radiotherapy, and chemotherapy, survival rates for patients with advanced HNSCC remain unsatisfactory. This article presents the latest research on predictive biomarkers such as PD-L1, PD-1, CTLA-4, p53, and HPV, which may enhance treatment efficacy and improve clinical outcomes for patients. The clinical value of these biomarkers, their limitations, and their potential application in HNSCC therapy are emphasized. Special attention is given to immunotherapy, which shows promising results in treating this type of cancer through the modulation of the immune response. The review's findings highlight the need for further research on new biomarkers to develop more personalized and effective therapeutic strategies for HNSCC patients.

Revisiting the prevalence of psychological symptoms among health care workers in Saudi Arabia during COVID-19.

To analyze the existing literature on the prevalence of psychological symptoms in healthcare workers (HCWs) in Saudi Arabia during the COVID-19 pandemic. The review will evaluate the assessment methods used for measuring the prevalence of psychological symptoms and critically review the literature's findings concerning psychological support for HCWs. All articles were selected from the PubMed database and reviewed for potential inclusion in March 2023. The articles were screened following the preferred reporting items for systematic reviews and meta-analyses protocol. Assessment of the quality and risk of bias in the included studies was guided using the prevalence critical appraisal tool criteria. We identified 7 articles that investigated the prevalence of psychological symptoms among HCWs in Saudi Arabia during the COVID-19 pandemic. We determined the studies' characteristics and classified and explained various themes. These themes included the prevalence of psychological symptoms found in HCWs, the study designs, the tools used to assess psychological symptoms in HCWs, and the potential impact of the studies on the mental health challenges faced by HCWs due to COVID-19. We also examined the quality and risk of bias in the included studies. This review's findings provide valuable insights into the psychological symptoms experienced by HCWs during the pandemic. To ensure the consistency of the results, it is essential to reevaluate the prevalence of these symptoms and use a culturally sensitive approach to translating the measures. This review lays the groundwork for future research on psychological symptoms and the interpretation of measurement outcomes.PROSPERO No. ID: CRD42024479813.

Statistical models and implant customization in hip arthroplasty: Seeking patient satisfaction through design

ObjectivesThis study conducts a systematic literature review to explore the role of statistical models and methods in the design of orthopedic implants, with a specific focus on hip arthroplasty. Through a comprehensive analysis of the scientific literature, it aims to understand the relevance and applicability of these models in implant development and research trends in the field of design. MethodsData analysis and co-occurrence mapping techniques were employed to investigate the statistical models used as predictors of satisfaction in hip arthroplasty and in implant design. This approach facilitated a detailed and objective assessment of existing literature, revealing key trends and identifying gaps in current knowledge. Key findingsThe review's findings underscore a burgeoning interest in implant customization, with a significant emphasis on leveraging statistical techniques for optimal design. The logistic model methodology was applied to analyze a survey of hip surgery specialists, revealing that the physician's age does not influence the decision to use a customized implant. Furthermore, the review highlighted a knowledge gap at the intersection of statistics and design discipline concerning implant customization. SignificanceDespite the recognized importance of customization in implant design, there remains a dearth of contributions from the design discipline perspective in the existing literature, indicating substantial room for improvement and the need for interdisciplinary integration. ConclusionThe integration of statistical methods in implant design is crucial, emphasizing the need for multidisciplinary approaches and customization to enhance patient satisfaction. This study provides a foundation for future research that could transform the field of hip arthroplasty through more personalized and effective solutions.

Towards the future of bot detection: A comprehensive taxonomical review and challenges on Twitter/X

Harmful Twitter Bots (HTBs) are widespread and adaptable to a wide range of social network platforms. The use of social network bots on numerous social network platforms is increasing. As the popularity and utility of social networking bots grow, the attacks using social network-based automated accounts are getting more coordinated, resulting in crimes that might endanger democracy, the financial market, and public health. HTB designers develop their bots to elude detection while academics create several algorithms to identify social media bot accounts. This field is active and necessitates ongoing improvement due to the never-ending cat-and-mouse game. X, previously known as Twitter, is among the biggest social network platforms that has been plagued by automated accounts. Even though new research is being conducted to tackle this issue, the number of bots on Twitter keeps on increasing. In this research, we establish a robust theoretical foundation in the continuously evolving domain of Harmful Twitter Bot (HTB) detection by analyzing the existing HTB detection techniques. Our research provides an extensive literature review and introduces an enhanced taxonomy that has the potential to help the scientific community form better generalizations for HTB detection. Furthermore, we discuss this domain's obstacles and open challenges to direct and improve future research. As far as we are aware, this study marks the first comprehensive examination of HTB detection that includes articles published between June 2013 and August 2023. The review's findings include a more thorough classification of detection approaches, a spotlight on ways to spot Twitter bots, and a comparison of recent HTB detection methods. Moreover, we provide a comprehensive list of publicly available datasets for HTB detection. As bots evolve, efforts must be made to raise awareness, equip legitimate users with information, and help future researchers in the field of social network bot detection.

A systematic review of medical practitioners’ retention and application of basic sciences to clinical practice

BackgroundMedical education offers the foundational base for future healthcare professionals, with basic sciences playing a pivotal role in providing essential knowledge and skills for clinical practice. However, the long-term retention and application of this knowledge in clinical practice remain a significant challenge. This systematic review synthesised global evidence from diverse studies on the short / long-term retention and clinical application of basic sciences among medical doctors.MethodsA comprehensive search was conducted across six databases, including Web of Science, Scopus, Medline, CINAHL, Emcare, and Informit. The review included studies that encompassed a variety of study designs, participant groups, and educational interventions. The Quality Assessment with Diverse Studies (QuADS) tool was utilised to assess the quality of the reviewed studies.ResultsA total of 10 studies were included in the review. The findings revealed that rehearsals significantly optimise the retention of basic science knowledge among medical practitioners. Retention varied by discipline, with medical practitioners retaining more knowledge in anatomy (mean scores ranging from 45.0 to 82.9%), while microbiology had the lowest retention score (39.1%). Factors influencing retention included age, gender, and curriculum type. Educational interventions such as targeted courses, integration of basic sciences with clinical skills, generative retrieval and continuous quality improvement in the curriculum were found to enhance both knowledge retention and clinical reasoning. The concept of ‘encapsulated knowledge’ demonstrates that integrated basic science knowledge helps in synthesising clinical presentations, reducing the need for detailed recall as clinical experience increases. The reviewed studies primarily involved interns and surgeons, leaving a significant gap in research for specialties like internal medicine and primary care/ general practice.ConclusionDetailed retention of basic science knowledge may diminish over time; however, the conceptual framework remains essential for ongoing learning and clinical reasoning. This review’s findings highlight the need for specialised educational interventions to improve long-term retention. Continuous professional development and targeted educational techniques are vital for maintaining clinical competence and applying basic science knowledge effectively throughout a medical career. Further research is needed to address gaps in specialty-specific knowledge application and the impact of different instructional methods.

Self-Perceived Lactose Intolerance Versus Confirmed Lactose Intolerance in Irritable Bowel Syndrome: A Systematic Review.

Disorders of gut-brain interaction (DGBI) are prevalent, affecting 20-40% of the population, with irritable bowel syndrome (IBS) being the most common and impactful. While congenital lactose intolerance is rare, lactase deficiency in adults is widespread, causing gastrointestinal symptoms like bloating and diarrhea. Self-perceived lactose intolerance often overestimates symptoms, impacting dietary choices and quality of life, necessitating better understanding and management for improved patient outcomes. This article evaluates the diagnostic accuracy of self-reported lactose intolerance in patients with lactose intolerance and IBS through a systematic review. A systematic literature search was conducted using PubMed, EMBASE, and SCOPUS, including terms related to IBS, lactose intolerance, and self-reported symptoms, without applying filters to ensure comprehensive coverage. Inclusion criteria focused on observational studies with adult participants diagnosed with lactose intolerance, addressing symptoms and lactose malabsorption, while excluding non-English articles, reviews, editorials, and studies involving pediatric subjects. The systematic review analyzed six studies with 845 participants, revealing significant variability and moderate accuracy in self-reported lactose intolerance for diagnosing actual lactose intolerance in IBS patients. Hydrogen breath tests (HBTs) showed that self-reported symptoms often led to false positives, underscoring the need for objective diagnostic tools and standardized criteria. The findings highlight the complexity of diagnosing lactose intolerance in IBS patients and suggest that lactose-free diets and routine HBT should not be recommended without clear indications. The rigorous selection process ensured the inclusion of high-quality, relevant studies, thereby enhancing the reliability and validity of the review's findings. These studies revealed that a lactose-free diet should not be routinely recommended for IBS patients, nor should the routine use of HBT to identify lactose malabsorption in this group. Future research should focus on better understanding the factors influencing lactose perception and tolerance, which is crucial for more effective management of lactose intolerance in IBS patients.

Does the Incorporation of Graphene Oxide into PMMA Influence its Antimicrobial Activity?

The increase in infectious diseases mediated by oral bacteria has been one of the most potent threats to human health, specifically to the elderly. Researchers seek to incorporate antimicrobial nanomaterials into PMMA to control the colonization of microorganisms and reduce deadly diseases. To conduct a systematic review to answer the question: "Does graphene oxide incorporated into polymethylmethacrylate influence its antimicrobial activity?" The electronic search was performed in PubMed, Embase, Web of Science, Scopus, and Google Scholar databases, and articles published until October 2021 were selected. The search terms were: ("acrylic resin" OR PMMA) AND (graphene OR "oxide graphene") AND (antimicrobial OR antibacterial OR "anti-infective agent"). The risk of bias analysis of the articles was performed using the quasi-experimental study assessment tool adapted from the JBI. Two hundred and fifty-nine articles were found in the databases. After removing the duplicates, 245 were analyzed by title and abstract. Of these, 06 were selected for full reading, of which 03 met the eligibility criteria and were included in this systematic review. This systematic review's findings can infer that the incorporation of graphene in the form of graphene-based coatings to PMMA showed antimicrobial effectiveness.

Implications of the Cass Review for health policy governing gender medicine for Australian minors.

To summarize the key recommendations of England's independent inquiry into gender identity services for children and young people (the Cass Review) and to evaluate their relevance to Australian health policy. The Cass Review's findings and recommendations have clear applicability to Australian health policy. As a matter of priority, Australian health authorities need to seriously engage with the Cass Review's findings and recommendations. To not do so will put the health and well-being of vulnerable children and young people at risk.

Assessing Telehealth in Palliative Care: A Systematic Review of the Effectiveness and Challenges in Rural and Underserved Areas.

The integration of telehealth into palliative care has garnered significant attention due to its potential to enhance both access and quality of care, particularly for patients in rural and underserved areas. This interest stems from the need to address geographical and logistical barriers that traditionally hinder palliative care delivery. Despite its potential benefits, the effectiveness of telehealth and the challenges associated with its implementation remain underexplored, necessitating further investigation. This study aims to critically evaluate the effectiveness of telehealth in palliative care by focusing on several key areas: its impact on access to care, symptom management, patient satisfaction, and cost-effectiveness. To achieve this, a systematic review was conducted, synthesizing data from various studies that investigated telehealth interventions within palliative care settings. The review employed a comprehensive search strategy across electronic databases, concentrating on randomized controlled trials (RTCs) published between 2014 and 2024. To ensure the reliability of the findings, low-quality and unrelated studies were excluded, and the remaining studies were meticulously analyzed for bias and methodological quality. The review's findings indicate that telehealth significantly enhances access to palliative care, allowing patients to receive timely and appropriate care without the need for extensive travel. It also improves symptom management and patient satisfaction, aligning to provide patient-centered care. Additionally, telehealth is cost-effective by reducing expenses associated with travel and in-person visits. These benefits highlight telehealth's potential to address some of the critical challenges in palliative care delivery. Despite its advantages, implementing telehealth in palliative care is not without challenges. Technological barriers, such as inadequate infrastructure and device limitations, pose significant hurdles. Integration issues, including the need for seamless incorporation into existing care systems, and varying levels of digital literacy among patients and caregivers, also impact the effectiveness of telehealth. Addressing these challenges is crucial for optimizing telehealth's implementation. Ensuring that telehealth solutions are accessible, user-friendly, and well-integrated into care practices is essential for fully leveraging its potential benefits.

Do proprioceptive training strategies with dual-task exercises positively influence gait parameters in chronic stroke? A systematic review.

This study aims to assess the impact of proprioceptive training strategies with dual-task exercises on gait in people with chronic stroke. Systematic review. Chronic stroke. Searches were conducted in accordance with PRISMA guidelines and PICOS criteria. PubMed, Web of Science, and Scopus databases were systematically searched from November 2020 to February 2022, for eligible clinical trials. Two independent reviewers thoroughly screened potential articles for relevance and assessed the methodology quality. In accordance with the GRADE, PICOS criteria, and Cochrane risk of bias tools, the authors included articles concerning the effectiveness of dual-task in proprioceptive training on gait parameters in people with chronic stroke. Of 3075 identified studies, 11 articles met the inclusion criteria: 7 were randomized clinical trials, 1 was not randomized, and 3 were observational studies. The overall quality of evidence, assessed using the GRADE framework, was high, indicating a high level of confidence in the systematic review's findings. The papers involved 393 stroke patients; 241 underwent dual-task in proprioceptive training, with 152 participants in other stroke rehabilitation; within the dual-task group, 71 engaged in cognitive tasks, and 170 participated in motor tasks. dual-task in proprioceptive training improved gait speed, cadence, stride time, stride length, and step length. The best effects were observed with training 3 times a week for 4 weeks, with each session lasting 30 minutes, on speed, cadence, stride length, and step length. Current evidence suggests that proprioceptive training strategies with dual-task exercises improved walking abilities in people with chronic stroke. Specifically, it enhanced gait speed, a key indicator of clinical severity.