Meta-analysis of elastic versus rigid fixation in the treatment of acute tibiofibular syndesmosis injury
ConclusionCompared to rigid fixation, elastic fixation in the treatment of acute tibiofibular syndesmosis injuries offers several advantages, including better postoperative ankle joint function recovery, more precise anatomical reduction of the syndesmosis postoperatively, a lower incidence of postoperative complications, and shorter time to full weight-bearing postoperatively. These findings provide robust guidance for clinical treatment. (Source: Systematic Reviews)
Source: Systematic Reviews - February 2, 2024 Category: International Medicine & Public Health Source Type: research

Minimal clinically important change of knee flexion in people with knee osteoarthritis after non-surgical interventions using a meta-analytical approach
ConclusionsThe estimated knee flexion MCIC values from this study are the first to be reported using a novel meta-analytical method. The novel meta-analytical method may be useful to estimate MCIC for other measures where anchor questions are problematic.Systematic review registrationPROSPERO CRD42022323927. (Source: Systematic Reviews)
Source: Systematic Reviews - February 1, 2024 Category: International Medicine & Public Health Source Type: research

Factors influencing health-related quality of life among long-term care residents experiencing pain: a systematic review protocol
DiscussionThis proposed systematic review will address an important knowledge gap related to the available evidence on factors influencing HRQoL of LTC residents with pain. Findings will be crucial for researchers, LTC administrators, and policy makers in uncovering research needs and in planning, developing, and evaluating strategies in addition to and complementary with pain management to help improve HRQoL among LTC residents with pain.Systematic review registrationPROSPERO CRD42023405425 (Source: Systematic Reviews)
Source: Systematic Reviews - February 1, 2024 Category: International Medicine & Public Health Source Type: research

Screening for depression in children and adolescents in primary care or non-mental health settings: a systematic review update
ConclusionsThe findings of this review indicate a lack of available evidence regarding the potential benefits and harms of screening for depression in children and adolescents. This absence of evidence emphasizes the necessity for well-conducted clinical trials to evaluate the effectiveness of depression screening among children and adolescents in primary care and non-mental health clinic settings.Systematic review registrationPROSPEROCRD42020150373. (Source: Systematic Reviews)
Source: Systematic Reviews - January 31, 2024 Category: International Medicine & Public Health Source Type: research

Children ’s active school transportation: an international scoping review of psychosocial factors
ConclusionThe findings of this review indicate that these psychosocial factors may be important to consider when developing interventions and highlight that both children and parents should be involved in the process. This knowledge can serve as a valuable guide for developing interventions to promote AST. However, the evidence base supporting these psychosocial factors requires further investigation to fully understand how and when to incorporate them to maximise AST efficacy. (Source: Systematic Reviews)
Source: Systematic Reviews - January 30, 2024 Category: International Medicine & Public Health Source Type: research

Optimal drug regimens for improving ALP biochemical levels in patients with primary biliary cholangitis refractory to UDCA: a systematic review and Bayesian network meta-analysis
ConclusionAs second-line therapy for UDCA-refractory PBC, PPAR agonists were more effective than any other drugs with other mechanisms in improving ALP biochemical levels, with elafibranor being the best. (Source: Systematic Reviews)
Source: Systematic Reviews - January 29, 2024 Category: International Medicine & Public Health Source Type: research

The impact of gardening on well-being, mental health, and quality of life: an umbrella review and meta-analysis
ConclusionsEvidence from observational and interventional studies supports a positive role for gardening and HT activities on well-being and general health. Interventional studies with horticultural-based therapies were effective in improving well-being and quality of life both in the general population and vulnerable subgroups. The high degree of heterogeneity in the included studies cautions against any direct clinical implications of the study findings. (Source: Systematic Reviews)
Source: Systematic Reviews - January 29, 2024 Category: International Medicine & Public Health Source Type: research

Effects of n-3 polyunsaturated fatty acid supplementation on appetite: a systematic review and meta-analysis of controlled clinical trials
ConclusionAlthough we found no effect of omega-3 supplementation on overall appetite score, it modestly increases the desire to eat. Further CTs evaluating the effect of PUFAs on appetite are still needed to confirm these findings. (Source: Systematic Reviews)
Source: Systematic Reviews - January 27, 2024 Category: International Medicine & Public Health Source Type: research

An evaluation of the Invisalign ® Aligner Technique and consideration of the force system: a systematic review
ConclusionsSince the introduction of SmartForce and SmartTrack material, the efficacy of the treatment has improved. There is still a shortage of high-quality evidence concerning the treatment modality. In order to make the treatment with the aligners more efficient, a correct management of the ClinCheck ® software and a proper use of the biomechanics are necessary. The aligned force-driven system should be taken into account when developing the digital planning. (Source: Systematic Reviews)
Source: Systematic Reviews - January 27, 2024 Category: International Medicine & Public Health Source Type: research

Contraceptive dynamics among women with disabilities of reproductive age in Ethiopia: systematic review
ConclusionOverall, the review findings revealed that women with disabilities continue to encounter challenges ranging from individual level to disability-unfriendly health facility infrastructure or institutional level. Therefore, health professionals and other relevant stakeholders should draw attention to creating awareness towards contraceptive use at individual and interpersonal levels, ensuring accessible contraceptive services and disability-friendly health facilities. (Source: Systematic Reviews)
Source: Systematic Reviews - January 26, 2024 Category: International Medicine & Public Health Source Type: research

Prognostic impact of oral microbiome on survival of malignancies: a systematic review and meta-analysis
ConclusionsOur meta-analysis suggests that the composition of the oral microbiome may play a significant role in predicting survival outcomes for cancer patients. (Source: Systematic Reviews)
Source: Systematic Reviews - January 25, 2024 Category: International Medicine & Public Health Source Type: research

Connected speech features in non-English speakers with Alzheimer ’s disease: protocol for scoping review
DiscussionThe scoping review will provide an overview of languages studied in connected speech research in AD with variation in linguistic features across languages, thus allowing comparison with the established key features that distinguish AD patients from healthy controls. The findings will inform future research in connected speech in different languages to facilitate robust connected speech research in linguistically and ethnically diverse populations. (Source: Systematic Reviews)
Source: Systematic Reviews - January 25, 2024 Category: International Medicine & Public Health Source Type: research

Effectiveness of gold nanoparticles in prevention and treatment of oral mucositis in animal models: a systematic review
ConclusionThis review identifies a potential therapeutic strategy for prevention and management of oral mucositis. It also provides future direction for gold nanoparticle research in oral mucositis; however, there is lack of sufficient evidence to derive any conclusion. Research with standardized parameters including nanoparticle size, capping agent, surface charge, and appropriate oral mucositis animal models will establish risk –benefit balance and margin of safety for therapeutic use of gold nanoparticles for oral mucositis. (Source: Systematic Reviews)
Source: Systematic Reviews - January 25, 2024 Category: International Medicine & Public Health Source Type: research

Clinical prediction models for the early diagnosis of obstructive sleep apnea in stroke patients: a systematic review
ConclusionAlthough clinical prediction models have shown the potential for diagnosing OSA in stroke patients, their limited accuracy and high risk of bias restrict their implications. Future studies should focus on developing advanced algorithms that incorporate more predictors from larger and representative samples and externally validating their performance to enhance their clinical applicability and accuracy. (Source: Systematic Reviews)
Source: Systematic Reviews - January 24, 2024 Category: International Medicine & Public Health Source Type: research

Assessing risk of bias in the meta-analysis of round 1 of the Health Care Innovation Awards
DiscussionOur results suggest that it is unlikely that HCIA1 TCOC effect sizes were systematically affected by the types of bias we considered. Assessing the risk of bias based on specific study design features is likely to be more useful for identifying problematic characteristics than the subjective quality ratings used by existing risk tools. (Source: Systematic Reviews)
Source: Systematic Reviews - January 22, 2024 Category: International Medicine & Public Health Source Type: research