Search Phrases Research Articles

Video-observed therapy (VOT) vs directly observed therapy (DOT) for tuberculosis treatment: A systematic review on adherence, cost of treatment observation, time spent observing treatment and patient satisfaction.

Tuberculosis (TB) treatment demands strict adherence to multidrug regimens. Directly Observed Therapy (DOT) poses challenges, especially regarding adherence. With the popularization of smartphones, Video-Observed Therapy (VOT) has emerged as a promising alternative, allowing healthcare providers to remotely supervise patients taking their medications via video calls. This systematic review critically assesses VOT's effectiveness compared to DOT, focusing on adherence, treatment costs, time spent supervising treatment, and patient satisfaction, aiming to optimize TB supervision methods worldwide. Only studies that met the following criteria were eligible for inclusion in the systematic review: randomized trials; studies that compared VOT to DOT; studies involving patients diagnosed with pulmonary or extrapulmonary tuberculosis; studies that reported any of the desired outcomes; full-text articles available for review; and studies conducted in the English language. We excluded studies with the following attributes: studies that lacked a control group; case series or case reports; and previous systematic reviews. The search engines and databases MEDLINE, Embase, and Cochrane were used to find studies comparing Video-Observed Therapy (VOT) to Directly Observed Therapy (DOT). The following search phrases were used to look for papers that contained them in their title or abstract: ("Electronic Directly Observed Therapy" OR "Video-observed therapy" OR "Telemedicine" OR "Wirelessly observed therapy" OR "Smartphone-enabled video-observed") AND ("TUBERCULOSIS"). A systematic review of the literature revealed the following findings: in all Randomized Controlled Trials (RCTs), video-observed therapy (VOT) demonstrated non-inferiority in terms of treatment adherence compared to traditional directly observed therapy (DOT); VOT reduced costs where these outcomes were assessed in the RCTs; the use of VOT reduced the amount of time healthcare professionals spent supervising treatment in RCTs evaluating this aspect; VOT contributed to higher treatment satisfaction in RCTs where this outcome was measured. In this systematic review we emphasize the importance of Video-Observed Therapy (VOT) in the digital age for patients that have access to internet. Our findings show that VOT is comparable to DOT in terms of treatment adherence, but it is also cost-effective, improves patient satisfaction and takes less time for healthcare professionals to supervise.

Modern concepts about the problem of endometrial infertility against the backdrop of the "thin endometrium" (literature review)

Endometrial infertility is the cause of inadequate implantation and serves as an obstacle to the onset and progression of spontaneous pregnancy and the implementation of assisted reproductive technology (ART) programs. One of the most common mechanisms for the development of infertility is endometrial thinning. Despite the abundance of publications, today there are no generally accepted diagnostic criteria and treatment and rehabilitation approaches for this pathology, which encourages continued scientific research in this direction. Aim was to highlight the problem of decreased fertility caused by “thin endometrium”. To create the review, the bibliographic method was applied and domestic and foreign literary sources from the Pubmed, MedLine, RSCI, e-library and Cyberleninka search engine databases were used. The search depth was 10 years. The following search phrases were used: “uterine factor of infertility”, “endometrial factor of infertility”, “thin endometrium”. Seventy five sources that were included in this review were studied and analyzed. Data presented in the literature indicate that endometrial causes of infertility are associated with incompetence of the uterine cavity mucosa, which may manifest itself as a phenomenon of ”thin endometrium”, the development mechanisms of which have not yet been fully studied. Determining the functional status of the endometrium is very important for predicting the onset of pregnancy in the natural cycle or in ART programs, since even in the presence of a good quality embryo, endometrial deficiency can prevent adequate implantation. Thus, before planning a subsequent pregnancy, it is necessary to diagnose and, if possible, neutralize or correct endometrial causes of infertility. One of the main markers of readiness for implantation at the moment is the thickness of the endometrium.

Innovations in Sports: A Key to Enhancing Rehabilitation Outcomes

Introduction and purpose: Traditional rehabilitation methods often have limitations in improving motor function and cognitive abilities. This review aims to provide an updated overview of innovative methods in rehabilitation, focusing on the role of immersive and interactive technologies in enhancing rehabilitation outcomes. The literature suggests that these technologies can improve upper limb mobility, grip strength, and manual dexterity, as well as cognitive function, attention, and spatial awareness. Additionally, innovative balance and gait rehabilitation programs have been shown to improve functional mobility and reduce the risk of falls. The use of these technologies in combination with other rehabilitation modalities, such as electrostimulation and robotic assistance, may lead to even greater improvements in motor function and cognitive abilities. While more research is needed to fully understand the benefits and limitations of these innovative approaches, the existing evidence suggests that they have the potential to revolutionize rehabilitation and improve quality of life for patients. Materials and Methods: A literature review was conducted using PubMed with search phrases immersive and interactive technologies and rehabilitation. Description of the state of knowledge: Traditional rehabilitation methods often have limitations in improving motor function and cognitive abilities.Upper extremity impairment is a common and debilitating consequence of stroke. Summary: imersive and interactive technologies have the potential to improve upper limb mobility, grip strength, and manual dexterity, as well as cognitive function, attention, and spatial awareness. Innovative balance and gait rehabilitation programs have been shown to improve functional mobility and reduce the risk of falls. The use of these technologies in combination with other rehabilitation modalities may lead to even greater improvements in motor function and cognitive abilities.

Adipose derived or bone-marrow derived mesenchymal stem cell treatment for hyposalivation: protocol for a systematic review and network meta-analysis

BackgroundSalivary hypofunction leads to debilitating oral symptoms and has major complications for overall quality of life. Two of the most frequent causes of xerostomia are radiotherapy in the head and neck and Sjögren’s syndrome. Only symptomatic treatment is available today. An increasing number of both preclinical and clinical studies have suggested that mesenchymal stem cell (MSC) transplantation treatment can increase the salivary flow rate and ameliorate symptoms of xerostomia. However, both adipose-derived and bone marrow–derived MSCs are used, although they differ in important ways. The primary objective of this study is an indirect comparison of the change in the unstimulated salivary flow rate after intervention between patients treated with adipose-derived or bone marrow–derived MSCs.MethodsThis systematic review and network meta-analysis will search for eligible studies in the MEDLINE, EMBASE, and Cochrane CENTRAL register of Controlled Trials. Eligible studies are as follows: clinical studies including human patients with salivary hypofunction due to either radiotherapy or Sjogren’s syndrome who were subsequently treated with either adipose-derived MSCs or bone marrow–derived MSCs. Studies with no control group will be excluded. The search phrase has been peer-reviewed following the PRESS guidelines. The primary outcome is the change in the unstimulated salivary flow rate after treatment with either adipose-derived or bone marrow–derived MSCs. Secondary outcomes are as follows: change in patient reported outcomes, methods of intervention administration, number of injected MSCs, and safety. Data from included studies will be pooled and compared with a fixed-effects or random effects model dependent on signs of heterogeneity, presented with a forest plot, and indirectly compared with a meta-regression in a network meta-analysis. Risk of bias will be assessed with the tools ROBINS-I or RoB-2 depending on type of study.DiscussionBoth adipose-derived and bone marrow–derived MSCs are used today for experimental treatment of salivary hypofunction in humans as no direct or indirect comparisons have been made. Therefore, an evaluation of the effect of adipose-derived vs bone marrow–derived MSC treatment is needed to support future decision-making on the type of MSC used in a clinical trial.Systematic review registrationPROSPERO ID CRD42024527183.

A Systematic Literature Review on Energy Efficiency Analysis of Building Energy Management

Government agencies, energy consumers, and other societal groups have all shown concern and attention for the energy management of buildings. Relevant statistical data, however, indicate that most public buildings continue to consume large amounts of energy overall and that the issues of low energy usage and energy waste have not materially improved. As a result, this study reviewed the state of progress and potential directions for future research in the field of building energy management in public buildings using a data-driven approach. Relevant studies were obtained from three databases—Web of Science, Scopus, and China National Knowledge Infrastructure—based on certain search phrases. The text mining program VOS viewer was then used to examine the material. We provide a thorough examination of the study techniques and material, as well as a visual representation of the keywords and current state of the field. According to this study, the range of data processing outcomes; the flexibility of research system standards; and the availability of a comprehensive, unified assessment system are the main factors contributing to the practical issues facing building energy management today. Based on the geographic distribution and state of energy development, this study is the first to examine possible research avenues for building energy management in public buildings through cross-fusion research on passive energy-saving design and subjective behavioral energy-saving. It offers a foundation for developing the building energy management system best practice model in the future.

Traffic Road Congestion System Using by the Internet of Vehicles (IoV): A Systematic Literature Review

Traffic problems have increased in modern life due to the significant number of vehicles, urbanization, and non-compliance with traffic regulations. Vehicular ad hoc networks (VANETs) have made improvements to the traffic system in the past, playing a crucial role in establishing efficient traffic control systems in large cities. However, VANETs alone cannot effectively address certain problems under specific conditions. Presently, the development of new Internet of Things (IoT) technologies has enabled collaborative and efficient task execution. This technology has been implemented in the transportation system, transforming it into an intelligent transportation system (ITS), known as the Internet of Vehicles (IoV). This study investigates traffic issues within the traditional system and explores the benefits, enhancements, and reasons for improving IoV through a comprehensive Systematic Literature Review (SLR). The SLR approach involved targeted searches using multiple search phrases, including 25 articles published between 2016 and 2023. Furthermore, discussion on the necessary IoV technologies and tools required to establish IoV and address specific traffic challenges. Simulation of Urban Mobility (SUMO) is employed for the design and simulation of road traffic and we aim to contribute to the development of an optimal traffic control system. This paper analyzes two vehicular congestion control models, selects the most optimized and efficient model, and provides evidence for its effectiveness through a Systematic Literature Review (SLR)-based investigation based on its efficient features, in the end, we propose IoV based on vehicular clouds as a superior model, surpassing the capabilities of the traditional model and enhancing the network system.

Examining Factors in the Decision to Sperm Bank by Adolescent and Young Adult Males Diagnosed With Cancer: A Review of the Literature.

Background: Despite American Society of Clinical Oncology and Children's Oncology Group recommendations, the rate of sperm-banking for newly diagnosed adolescent and young adult males with cancer remains between 18% and 35%. The purpose of this study was to examine recent literature regarding decision-making and fertility preservation prior to the initiation of therapy for adolescents and young adults diagnosed with cancer. Method: A search of multiple online databases was undertaken for peer-reviewed studies between the years of 2010 and 2022. The databases CINAHL, PubMed, PsycInfo, Scopus, Google Scholar, and forward citation search was employed using the same Boolean search phrases in each database. Some 402 articles were then screened for relevance by title, abstract, and full review based on inclusion/exclusion criteria for synthesis. Results: Ten articles met criteria to be included in this review. Three themes were identified as impacting the decision to cryopreserve sperm prior to the initiation of therapy. Provider recommendation, parent recommendation, and referral for fertility specialist consult emerged as statistically significant factors in the decision to attempt sperm banking. Discussion: While the most significant factor impacting the decision to preserve fertility, parents reported they were more likely to recommend this to their child if they received clear recommendations from the medical team. Pediatric oncology physicians and nurses are in a unique position to positively impact quality of life and psychosocial outcomes in survivors of pediatric cancer by providing up-to-date evidence-based information, risk assessment, recommendations, and/or referral to fertility preservation specialists to families and patients.

Epilepsy surgery for tuberous sclerosis complex in children: literature review and clinical case

Tuberous sclerosis complex (TSC) is a multisystem, autosomal-dominant, neurocutaneous syndrome that is characterized by the presence of hamartomas involving multiple organs, including the brain. Epilepsy is the most common neurological manifestation and the main cause of disability in children. Drug-resistant epilepsy is seen in 62.5 % of cases. The challenge of surgical treatment in these patients is the multifocal nature of epilepsy. Nonetheless, there is available data to suggest that surgical intervention is most likely to achieve long-term seizure freedom.The aim of the work – to analyze current data and aspects of surgical treatment of epilepsy associated with tuberous sclerosis in children.A literature search for was done on PubMed, Google Scholar, and eLIBRARY. RU for the period from 2000 to 2022. Search phrases included: TSC-associated epilepsy in children, epilepsy surgery in children with TSC, epilepsy surgery for TSC. The tubers are not the only source of epileptic activity; the perituberal brain tissue is also a proven focus. Currently, there is a tendency towards early pre-surgical evaluation and surgical treatment, which is recommended after the failure of two antiepileptic drugs. Considering the multiple brain lesions and multifocal epilepsy, the use of invasive electroencephalography is invaluable in the preoperative assessment of these patients. The effectiveness of resection surgery is 65–75 %. Over time, the proportion of patients in complete remission from seizures decreases. Lobectomy and tuberectomy plus procedures are favorable prognostic factors. Surgical treatmentsignificantly increasesthe chances of seizure freedom. Eliminating seizures in children has been shown to improve cognitive development.There is no algorithm for pre-surgical patient evaluation or selection criteria for surgical treatment. Some methods of presurgical evaluation are not included in the compulsory health insurance system, making early diagnosis and treatment very difficult. This leads to an increase in the number of patients with disabilities and a poor quality of life.

Evaluation of the Quality and Readability of Web-Based Information Regarding Foreign Bodies of the Ear, Nose, and Throat: Qualitative Content Analysis.

Foreign body (FB) inhalation, ingestion, and insertion account for 11% of emergency admissions for ear, nose, and throat conditions. Children are disproportionately affected, and urgent intervention may be needed to maintain airway patency and prevent blood vessel occlusion. High-quality, readable online information could help reduce poor outcomes from FBs. We aim to evaluate the quality and readability of available online health information relating to FBs. In total, 6 search phrases were queried using the Google search engine. For each search term, the first 30 results were captured. Websites in the English language and displaying health information were included. The provider and country of origin were recorded. The modified 36-item Ensuring Quality Information for Patients tool was used to assess information quality. Readability was assessed using a combination of tools: Flesch Reading Ease score, Flesch-Kincaid Grade Level, Gunning-Fog Index, and Simple Measure of Gobbledygook. After the removal of duplicates, 73 websites were assessed, with the majority originating from the United States (n=46, 63%). Overall, the quality of the content was of moderate quality, with a median Ensuring Quality Information for Patients score of 21 (IQR 18-25, maximum 29) out of a maximum possible score of 36. Precautionary measures were not mentioned on 41% (n=30) of websites and 30% (n=22) did not identify disk batteries as a risky FB. Red flags necessitating urgent care were identified on 95% (n=69) of websites, with 89% (n=65) advising patients to seek medical attention and 38% (n=28) advising on safe FB removal. Readability scores (Flesch Reading Ease score=12.4, Flesch-Kincaid Grade Level=6.2, Gunning-Fog Index=6.5, and Simple Measure of Gobbledygook=5.9 years) showed most websites (56%) were below the recommended sixth-grade level. The current quality and readability of information regarding FBs is inadequate. More than half of the websites were above the recommended sixth-grade reading level, and important information regarding high-risk FBs such as disk batteries and magnets was frequently excluded. Strategies should be developed to improve access to high-quality information that informs patients and parents about risks and when to seek medical help. Strategies to promote high-quality websites in search results also have the potential to improve outcomes.

Unfolding the complexity of epigenetics in male reproductive aging: a review of therapeutic implications.

Epigenetics studies gene expression changes influenced by environmental and lifestyle factors, linked to health conditions like reproductive aging. Male reproductive aging causes sperm decline, conceiving difficulties, and increased genetic abnormalities. Recent research focuses on epigenetics' role in male reproductive aging. This review explores epigenetics and male reproductive aging, focusing on sperm quality, environmental and lifestyle factors' impact, and potential health implications for offspring. An extensive search of the literature was performed applying multiple databases, such as PubMed and Google Scholar. The search phrases employed were: epigenetics, male reproductive ageing, sperm quality, sperm quantity, environmental influences, lifestyle factors, and offspring health. This review only included articles that were published in English and had undergone a peer-review process. The literature evaluation uncovered that epigenetic alterations have a substantial influence on the process of male reproductive ageing. Research has demonstrated that variations in the quality and quantity of sperm that occur with ageing are linked to adjustments in DNA methylation and histone. Moreover, there is evidence linking epigenetic alterations in sperm to environmental and lifestyle factors, including smoking, alcohol intake, and exposure to contaminants. These alterations can have enduring impacts on the well-being of descendants, since they can shape the activation of genes and potentially elevate the likelihood of genetic disorders. In conclusion, epigenetics significantly influences male reproductive aging, with sperm quality and quantity influenced by environmental and lifestyle factors. This underscores the need for comprehensive approaches to managing male reproductive health, and underscores the importance of considering epigenetics in diagnosis and treatment.

Natural childbirth and cesarean section - descriptive analysis of queries in Google search engine.

The use of internet-based search engines for health information is very popular and common. The Internet has become an important source of health information and has a considerable impact on patient's decision making process. Knowledge of pregnant women about childbirth comes from health professionals and personal experiences described by friends or family members. There is a growing interest in digital sources used by pregnant women. Analysis of queries related to regarding to natural childbirth and cesarean section in the Google search engine. In this infodemiology, descriptive study tool "AlsoAsked" was used. This is a tool for analyzing data appearing in Google search results. "AlsoAsked" search was conducted on April 19, 2023. Search phrases "natural childbirth" and "cesarean section" in polish language were used. Questions that were typed into the Google search engine, ranked according to popularity (volume) and thematic connections have been discussed. The most frequently asked questions were related to the course and duration of labor as well as the preparation for labor and cesarean section (CS). Comparison between a natural labour and CS in the context of safety and pain received a great deal of attention. The most popular questions regarding CS were related to elective CS and indications for it. Some questions concerned the connection between labor and clinical state of a newborn.

Herbal Medicine as an Adjunct in the Treatment of Periodontal Diseases - A Systematic Review

Background In recent times, a shift has been observed among both researchers and dental patients towards opting for herbal remedies and products to address issues like dental caries, gingivitis, periodontitis, periimplantitis, and dentin hypersensitivity. These herbal solutions encompass herbs, herbal constituents, formulations, and products derived from genuine plant components or other plant-derived materials. Objective This study aims to provide a comprehensive overview of the current body of literature regarding the added advantages of herbal medicinal products in managing periodontal and peri-implant conditions. Methods RCT published in English from 2013 till Sep 2023 in the terms “medicinal plants,” “plant medicine,” “dental herbs,” “medical herbs,” and “phytomedicine” were utilized to identify pertinent research papers. These search phrases were applied across the databases of PubMed, Scopus, and Web of Science. Case reports, case series, longitudinal studies, and retrospective analyses were not included. PRISMA standards were followed in this review. Results A total of fifteen (n=24) randomized clinical trials about herbal drugs and periodontal implications and three (n=3) trials on dental hypersensitivity were assessed. The trials assessed the use of various herbal products in treating periodontal and per-implant conditions. Conclusion Plant-based phytochemicals have anti-inflammatory effects that could be used as an alternative to treat periodontal and peri-implant conditions. Recent research on the different active components included in this study show significant improvements in the clinical parameters. To suggest them as substitutes for the non-herbal elements, more research is necessary.

Machine Learning Algorithms for Predicting Hospital Readmission and Mortality Rates in Patients with Heart Failure

Purpose: The potential of predictive analytics in enhancing resource allocation and patient care for Heart failure (HF) outcomes is significant. This review aims to highlight this potential by analyzing existing studies and identifying the main barriers and challenges to applicability in all settings. Design/ Methodology/ Approach: A comprehensive search of related articles was meticulously conducted across electronic databases, including Google Scholar, Web of Science, and PubMed. Using precise search phrases and keywords, 1,835 scholarly articles published between 1 January 2017 and 14 May 2024 were retrieved. Only 23 articles that met the strict inclusion criteria were considered, ensuring the validity of the findings. A quantitative meta-analysis approach was utilised. Research Limitation/Implication: This research offers insights into enhancing healthcare outcomes as we analyse the challenges and feasibility of applying ML algorithms to predict heart failure outcomes in low-income settings. Findings: The challenges include scalability, ethical and legal issues, the choice of appropriate ML model, interpretability, data availability, and healthcare professional mistrust of these ML algorithms. Practical implications: This study offers practical strategies to bridge the gap between clinical practice and predictive analytics in these regions. These strategies should inspire and motivate healthcare professionals, researchers, and policymakers to consider and implement them. Social implication: This study provides insights that may improve HF outcomes and healthcare delivery. Originality/Value: The review identifies current gaps in the research, such as the need for more robust validation studies, the challenge of model interpretability, and the necessity for models that can be easily integrated into clinical workflows.

Leiomyosarcoma of the abdomen and retroperitoneum; a systematic review.

Intraabdominal and retroperitoneal leiomyosarcomas are rare cancers, which cause significant morbidity and mortality. Symptoms, treatment and follow up differs from other cancers, and proper diagnosis and treatment of intraabdominal and retroperitoneal leiomyosarcomas is of utmost importance. We performed a systematic review to collect and summarize available evidence for diagnosis and treatment for these tumours. We performed a systematic literature search of Pubmed from the earliest entry possible, until January 2021. Our search phrase was (((((colon) OR (rectum)) OR (intestine)) OR (abdomen)) OR (retroperitoneum)) AND (leiomyosarcoma). All hits were evaluated by two of the authors. Our predefined search identified 1983 hits, we selected 218 hits and retrieved full-text copies of these. 144 studies were included in the review. This review summarizes the current knowledge and evidence on non-uterine abdominal and retroperitoneal leiomyosarcomas. The review has revealed a lack of high-quality evidence, and randomized clinical trials. There is a great need for more substantial and high-quality research in the area of leiomyosarcomas of the abdomen and retroperitoneum. PROSPERO, identifier, CRD42023480527.

노인 저장행위에 대한 메타리뷰: 개입과 영향요인

This study sought to identify practical methods and influencing factors for intervening in hoarding behavior. To achieve this, a meta-review was conducted. A meta-review is a research methodology that summarizes and presents findings from existing systematic reviews. An electronic search was conducted in PubMed, SCOPUS, and Web of Science, using the following search phrase: “hoarding” OR “self-neglect” OR “squalor” AND “older adults” AND “systematic review.” A narrative synthesis was conducted to identify effective interventions and influncing factors. The initial search yielded 102 studies. After the screening processes, four studies were eligible for review. The analysis revealed that cognitive-behavioral therapy emerged as an effective intervention method for hoarding behavior. From the data synthesis, four factors that positively influence the intervention emerged: 1) adherence to manualized cognitive-behavioral therapy; 2) demographic characteristics (gender, age); 3) individual and group therapy, treatment duration, and frequency of home visits; and 4) pharmacological treatment. Conversely, factors that negatively affected the intervention included: 1) a small sample size; 2) higher dropout rates; and 3) a lack of focus on intervention. Based on the results, this study provides an effective intervention method and implications applicable in social work settings. Also, it proposes strategies to mitigate factors that negatively impact interventions and suggests the establishment of an educational system to enhance practitioners’ capabilities.

The Effect of Dragon Boating on the Quality of Life for Breast Cancer Survivors: A Systematic Review.

Physical activity improves breast cancer-related symptoms in women and decreases cancer-related mortality. The main objective of this systematic review is to synthesize and analyze the evidence of the effect of dragon boating on the quality of life of female breast cancer survivors. A systematic review based on the PRISMA method was conducted using four databases (Web of Science, Scopus, Cochrane and Pubmed). The search phrase used was "Breast Cancer" AND "Dragon Boat" AND "Quality of Life". The search was conducted in June 2024. The PEDro method was used to ensure the quality of the publications. A total of 77 articles published until 2024 were selected, of which 10 met the inclusion criteria of assessing the application of dragon boating and that used a validated instrument to assess quality of life. There is no homogeneity in terms of the instrument used to measure QOL. The SF-36 was the most commonly used, followed by the FACT-B and the EORTC QLQ-C30. Five out of ten articles compared the improvement in quality of life between dragon boating and other physical activities, while 6 out of 10 analyzed the pre-post effect of dragon boat use. Dragon boating is a physical activity alternative that improves the quality of life of breast cancer survivors and reduces the symptomatology caused by the disease and its treatments. As dragon boat programs are applied over a longer period of time, the improvements in quality of life are greater. When compared with other types of physical activity, dragon boating does not show significant differences that position it as a better option for this population.

The Unfolding Model of Voluntary Turnover: An Analysis and Evaluation.

Background and Purpose: Hospital nurse turnover is a global concern. This author aims to analyze and evaluate the unfolding model of voluntary turnover (UMVT) theory, initially theorized by Lee and Mitchell in 1991, to determine its current usage related to nursing turnover. Methods: A literature search was conducted using the search phrases "unfolding theory of turnover" and "unfolding model of voluntary turnover" to identify empirical evidence. Full-text, English-only journals that primarily utilized the UMVT theory on nurses or other service industries were selected for inclusion. Of the 57 articles identified, 11 were deemed appropriate for analysis. The six steps outlined by Walker and Avant (2019) were used for theory analysis, while Bedow's (2017) points of internal and external criticisms were used to evaluate the theory. Results: The UMVT theory has been tested on a variety of populations, including nurses. This has resulted in new insights into profession-specific turnover and understanding one's decision-making process related to turnover. Despite its decreased usage in the past decade, this theory still underscores benefits for hospital administrators to better understand nursing turnover. Although this theory is not currently ideal for explaining turnover in all populations, such as new graduate nurses or more irrational decision-makers, continued testing of the theory may provide new knowledge regarding voluntary turnover in nursing and highlight areas for refinement. Implications for Practice: The UMVT theory has demonstrated an ability to understand turnover in a variety of professions but remains underresearched internationally. Therefore, new opportunities to test this theory globally are present.

Pioneering Online Assessment Solutions: Empirical Experiences from Educational Practitioners

The emergence of E-learning has shaped the university's new pedagogical, environment to guarantee business continuity in worse pandemics. Assessment is an end process of learning however, measuring it to globally accepted standards is still a nightmare in universities. It is not clear whether the assessment spells out the tasks posed to learners? illustrate an observable demonstration of the learners’ ability? or have a detailed scoring criterion? no wonder stake holders still doubt assessment online. The research examined qualitative literature regarding the innovative strategies for online educational assessment sustainable and scalable. To gather empirical qualitative data on this subject, a systematic review of literature was undertaken. The study responded to one major research question. “What are the experiences of educational practitioners reported in empirical qualitative research studies pertaining innovative strategies for online educational assessment?” We conducted a qualitative review of the scientific literature published between 2010 and 2022 using the PRISMA framework, thematic analysis was employed to generate themes and patterns. Education databases, like ERIC were used for the article search. Search phrases utilized for this systematic review included “Strategies for online assessment” and “Assessment of E-learning.” 16 articles were included in the analysis for this study. findings point to the Asynchronous Online Discussion, E-portfolios, Distance Project based assessment, Online proctored Exams, Online non-proctored exams as sustainable strategies. The study demonstrates a potential solution to online assessment in universities and restores confidence among educational partners and funders.

OMEGA-3 FATTY ACID SUPPLEMENTATION FOR ATTENTION DEFICIT HYPERACTIVITY DISORDER IN CHILDREN AND ADOLESCENT: LITERATURE REVIEW

Introduction and objective: Attention Deficit Hyperactivity Disorder affects 5.29% globally, with rising incidence, particularly in boys. The eleventh revision of the International Classification of Diseases defines ADHD by persistent patterns of inattention and/or hyperactivity-impulsivity. Stimulants (such as methylphenidate) and atomoxetine are effective but carry side effects. Omega-3 fatty acids show promise in influencing synaptic membrane structure and neurotransmitter activity. Studies suggest benefits for ADHD symptoms, making Omega-3 supplementation a potential adjunctive treatment. Review methods: PubMed database was used for the review. An electronic search was performed within publication years (2005–2024) using English search phrases such as "ADHD," "ADHD treatment," "Omega-3 supplementation," and "polyunsaturated fatty acids in ADHD." All retrieved articles, including original and randomized controlled studies, were analyzed. Results: The average Omega-3 intake in the U.S. falls below recommended levels. Western diets' Omega-6 dominance may exacerbate inflammation, while Omega-3 deficiencies could impact ADHD symptoms. Studies suggest Omega-3 supplementation may reduce impulsivity and improve attention. A Mexican trial found comparable efficacy between Omega-3/6 and methylphenidate (MPH). However, a French trial favored a placebo. Recent Italian research found limited benefits in mild ADHD cases. Conclusions: As ADHD rates rise, more research is needed to manage the disorder. Omega-3 supplementation shows mixed results in improving symptoms, highlighting the need for further investigation. For a final determination of this impact, it seems necessary to conduct studies with a long observation period, in which various doses and combinations of Omega-3 acids will be considered, as well as retrospective studies.

Physical education research trend in the last 100 years: bibliometric analysis and systematic review of Scopus journal database

This study carried out a bibliometric analysis and systematic review of the trends in physical education research during the previous 100 years using the Scopus journal database. This research aims to map the academic progress of the discipline and highlight the conceptual and methodological alterations that have occurred. Using the Scopus journal database, papers related to physical education published in the last 100 years were compiled for this bibliometric analysis. Using "physical education" as a search phrase, the article search limited the results to publications published between 1924 and 2023. Exclusion criteria were used to weed out publications that had no relevance to the research's primary topic. Based on their importance and pertinence, 217 articles from a preliminary screening of 43,238 were selected for additional review. Next, this data was examined using the VOS viewer program to look for trends, citation patterns, and institutional contributions. The literature review method was also applied to the top 10 papers, with one being selected as the most cited article over a ten-year period. The literature review approach followed PRISMA guidelines to ensure an open and replicable article selection process. The study's findings demonstrate how physical education has evolved significantly from its original emphasis on militaristic and physical components to a more inclusive and technologically advanced approach that incorporates mental health and inclusion. The study's conclusions provide a standard for further investigation into this field by confirming the value of physical education in promoting both academic achievement and general well-being. Keywords: holistic approach, educational inclusivity, technological development, educational diversity, physical activity, physical fitness.