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Scientific highlights and perspectives from Early-Career Geriatricians: insights from the 21st EuGMS Congress, Reykjavik 2025.

PURPOSE: To synthesise the principal scientific advances and professional development opportunities presented at the 21st EuGMS Congress, with a focus on findings likely to influence future geriatric practice and research priorities. METHODS: Members of the EuGMS-Early-Career Geriatricians Initiative (ECGI) attended and reviewed congress sessions, including all plenary lectures, joint symposia with major European and international societies, ECGI-organised sessions, and selected Special Interest Group (SIG) meetings. A narrative, non-systematic synthesis was developed through collaborative di

Hepatitis B screening disparities in the United States: An implementation-focused narrative review.

OBJECTIVES: To examine Hepatitis B Virus (HBV) epidemiology in the United States through an implementation and equity lens, with a focus on how inadequate screening and vaccination practices contribute to persistent disparities, and to synthesize evidence on interventions that improve screening uptake. STUDY DESIGN: Narrative review with implementation focus. METHODS: A thematic analysis was conducted across 24 peer-reviewed studies examining HBV epidemiology, screening practices, disparities, and intervention strategies in the United States. Studies were synthesized to identify recurring pa

Study protocol for a randomised controlled trial to evaluate the prophylactic efficacy of combined intense pulsed light (IPL) and low-level light therapy (LLLT) in preventing laser corneal refractive surgery-induced dry eye: the Treat Eye Before Laser induced Dry (TEBeLiD) study.

INTRODUCTION: Laser corneal refractive surgery is a widely adopted approach for correcting refractive errors, but postoperative dry eye remains a common side effect. Intense pulsed light (IPL) and low-level light therapy (LLLT) are two emerging treatments that have shown potential in managing dry eye disease. However, their role as a prophylactic treatment in patients without pre-existing symptomatic dry eye undergoing refractive surgery has not been explored. METHODS AND ANALYSIS: This is a single-blind, randomised controlled trial comparing the prophylactic efficacy of combined IPL and LLLT

"No one takes it seriously": U.S. military personnel with gambling concerns: recommendations for expanding treatment and public health efforts.

INTRODUCTION: Gambling is increasingly recognized as a significant public health issue, with negative consequences for financial stability, social well-being, and overall health. Growing evidence indicates that U.S. military personnel and veterans are a high-risk group for gambling-related problems, including gambling disorder (GD). Despite the challenges posed by GD, military personnel rarely seek treatment or disclose their struggles. The present study aimed to identify and develop treatment and policy recommendations to improve help-seeking and disclosure among U.S. military personnel with

The Montreal model of ketamine-therapy for alcohol use disorder and comorbid treatment-resistant depression: protocol for a feasibility trial.

BACKGROUND: Alcohol use disorder and treatment-resistant depression (TRD) often co-occur, presenting a major clinical challenge with limited effective treatments. However, ketamine produces rapid antidepressant effects and has shown promise in reducing alcohol use, and acceptance and commitment therapy (ACT) can be effective for both substance use and mood disorders. This study explores the feasibility and acceptability of combining ACT with ketamine within the framework of the Montreal Model-a structured, integrative psychedelic ketamine therapy developed for severe TRD. METHODS AND ANALYSIS

The dual roles of social support and coping in music performance anxiety: a systematic review of evidence from music students and professional musicians.

BACKGROUND: Music performance anxiety (MPA) is prevalent among music students and professional musicians, yet the roles of social support and coping strategies remain insufficiently synthesized. OBJECTIVE: This review aimed to identify the main types of social support and coping strategies involved in performance-related anxiety/stress and to examine their roles among music students and professional musicians. METHODS: Following the PRISMA 2020 guidelines, a systematic search was conducted in Scopus, Web of Science, ERIC, and PsycINFO/PsycArticles. 26 empirical studies published between 1989

Experiences and Psychosocial Needs of Adolescents and Young Adults With Newly Diagnosed Acute Leukemia Undergoing Chemotherapy: A Descriptive Qualitative Study.

BACKGROUND: Acute leukemia (AL) in adolescents and young adults (AYAs) disrupts critical developmental and social milestones, posing unique psychosocial challenges for this age group. There is currently a dearth of literature that addresses the distinct psychosocial impacts for AYAs with AL, particularly in an Asian context. OBJECTIVE: This study aimed to explore the lived experiences and psychosocial needs of AYAs who were newly diagnosed with AL and undergoing chemotherapy. METHODS: A descriptive qualitative approach was used, with individual semistructured interviews conducted among AYA p

Diagnosing deep vein thrombosis early in critically ill patients (DETECT) trial: a protocol for a randomised controlled trial.

INTRODUCTION: Deep vein thrombosis (DVT) in critically ill patients is often undetected. However, it is unclear whether ultrasound surveillance for early detection of DVT in high-risk medical-surgical intensive care unit (ICU) patients improves patients' outcomes. The DETECT trial (Diagnosing deep-vein thrombosis early in critically ill patients) evaluates the effect of twice-weekly bilateral lower limb ultrasound compared to usual care on 90-day mortality of critically ill adult patients admitted to medical, surgical and trauma ICUs. METHODS AND ANALYSIS: The DETECT trial is an international

Priority setting for nutrition research in individuals with spinal cord injury: A protocol for Delphi study among health professionals.

STUDY DESIGN: A protocol for Delphi Consensus Study. OBJECTIVES: To identify a top ten list of priorities for future nutrition research in individuals with spinal cord injury (SCI). SETTING: The International Spinal Cord Society (ISCoS) Nutrition Specialist Interest Group (SIG) priority setting partnership was established in 2024 to conduct this international Delphi study through online surveys and a hybrid meeting. METHODS: The study involves THREE key stages: topic generation, priority ranking, and consensus building. In phase 1, participants will generate potential research topics via an

A Systematic Review of Family Accommodation in Autistic Youth: Anxiety Disorders, Obsessive-Compulsive Disorder, and Restricted and Repetitive Behaviors.

Family accommodation (FA) is a term describing the change in behavior seen in parents and caregivers as they attempt to effect change in their child or adolescent's anxious behavior-usually by allowing avoidance, attempting distraction, or attempting to manage distress. FA has been well-documented in children and adolescents with anxiety and obsessive-compulsive disorders; however, there has been less summarized on the degree to which autistic youth and families engage in accommodation. This review aims to establish the phenomenology of FA in autistic youth related to comorbid anxiety, obsessi

Bilevel positive airway pressure ventilation to prevent hypoxaemia during gastroscopy under sedation in patients at risk of hypoxaemia: study protocol for a prospective randomised controlled trial.

INTRODUCTION: During sedation for gastroscopy, hypoxaemia represents the most common adverse event. The objective of this trial is to assess the efficacy and safety of bilevel positive airway pressure (BPAP) for the prevention of hypoxaemia, in comparison with nasal cannula oxygen therapy, among patients predisposed to hypoxaemia during sedation for gastroscopy. METHODS AND ANALYSIS: This randomised controlled trial (RCT) will include 616 patients at risk of hypoxaemia when undergoing gastroscopy, including those with advanced age, frailty, American Society of Anesthesiologists grades III-IV,

Palliative care access and use among homeless individuals: a scoping review.

BACKGROUND: Homeless individuals experience severe health inequalities, increased rates of disease, and premature mortality. Yet the provision of palliative care for homeless individuals faces distinct challenges. The purpose of this scoping review was to understand previous research on the provision of palliative and end-of-life care for homeless populations and to clarify current knowledge about the unique needs and recommendations for care provision to this group. METHODS: A scoping review was conducted using PubMed, CINAHL, Embase (via Elsevier), and Web of Science databases. Peer-reviewe

Burnout and Moral Injury in Healthcare Workers: An Observational Study in a Romanian Chronic Care Hospital.

BACKGROUND/OBJECTIVES: Healthcare workers in chronic care hospitals are vulnerable to psychosocial risks such as burnout and moral injury due to prolonged patient exposure and limited institutional support. This study assessed the prevalence of burnout and moral injury among staff at the Chronic Diseases Hospital of Sebiș, Romania, and examined their associations with perceived stress and managerial support. METHODS: A cross-sectional study was conducted between October 2022 and October 2024, including 62 healthcare workers (physicians, nurses, and auxiliary staff). Participants completed a s

Efficacy and safety of hyaluronic acid-enriched transfer medium in women undergoing single blastocyst transfer: a study protocol for a multicentre randomised controlled trial.

INTRODUCTION: EmbryoGlue, a commercially available hyaluronic acid (HA)-enhanced culture medium, is commonly recommended as an adjunct to support embryo implantation. Given the current lack of conclusive evidence regarding its efficacy and safety, this study aims to evaluate the effectiveness and safety of HA-enriched medium in women undergoing in vitro fertilisation (IVF) treatment. METHODS AND ANALYSIS: This multicentre, patient-blinded, randomised controlled trial involves couples planning a single fresh or frozen blastocyst-stage embryo transfer. On the morning of embryo transfer, individ

Qualitative Research on Psilocybin-Assisted Psychotherapy for the Treatment of Mental Disorders: A Scoping Review.

BACKGROUND: Psilocybin-assisted psychotherapy (PAP) may be an effective intervention for a range of mental disorders. However, there appears to be a relative lack of qualitative evidence to complement emerging quantitative findings. To our knowledge, no reviews have systematically mapped the literature on qualitative studies on PAP for the treatment of mental disorders with the intent to identify opportunities for future research. AIMS: To assess the scope of qualitative research on PAP for mental disorders, identify research trends, and highlight future opportunities. METHODS: We conducted

Brain health in Norwegian female former top-level football players: a protocol for a longitudinal cohort study.

INTRODUCTION: Repetitive head impacts (RHI) in sports may represent a risk factor for long-term cognitive and neurological sequelae. Recent studies have identified an association between playing football at the top level and an elevated risk of cognitive impairment and neurodegenerative disease. However, these were conducted on men, and there is a knowledge gap regarding these risks in female athletes. This study aims to investigate the effect of head impacts on brain health in female former top-level football players. METHODS AND ANALYSIS: This is a prospective cohort study, enroling female

Когнитивное осознание у людей с множественным склерозом до и после нейропсихологической оценки.

ЦЕЛЬ: Связь между субъективным и объективным когнитивным функционированием у людей с множественным склерозом (PwMS) слаба, что затрудняет определение врачами необходимости направления на нейропсихологическую экспертизу. Мы изучили когнитивное сознание в PwMS, его изменение после нейропсихологической оценки и его связь с настроением, усталостью и объективным когнитивным функционированием. Методика: PwMS была нанята в рамках исследования наблюдений (не опаздывай!). Участники оценили свою эффективность в области минимальной оценки когнитивной функции в батарее MS (MACFIMS) до и после оценки по от

Совпадение в аннотации оригинала
BACKGROUND: The association between subjective and objective cognitive functioning in people with multiple sclerosis (PwMS) is weak, making … tion in MS (MACFIMS) battery before and after the assessment, relative to a demographically matched peer group. Participants were classified as overestimators, accurate estimators, or underestimators, based on discrepancies between subjective and objective percentile scores. Symptoms of mood and fatigue were assessed with the Hospital Anxiety and Depression …

Воздействие взаимосвязи между здоровьем и психическим благополучием и качеством жизни лиц с множественным склерозом и лиц, обеспечивающих уход за ними: систематический обзор.

ЦЕНТРАЛЬНАЯ ИНФОРМАЦИЯ: Связанные мероприятия в области охраны здоровья (ОЗ) могут повысить психологическое благосостояние и качество жизни лиц, обеспечивающих уход, и лиц с множественным склерозом (МС); однако это воздействие не было подвергнуто тщательной оценке. Цель этого систематического обзора заключается в обобщении литературы, в которой дается оценка воздействия технологии CH на психологическое благополучие и/или QOL людей с MS (PwMS) и/или лиц, обеспечивающих уход за ними. МЕТОДЫ: Протокол систематического обзора зарегистрирован в Международном перспективном регистре систематических о

Bronchoscopy with and without needle-based confocal laser endomicroscopy for peripheral lung nodule diagnosis: protocol for a multicentre randomised controlled trial (CLEVER trial).

INTRODUCTION: Despite many technological advances, the diagnostic yield of bronchoscopic peripheral lung nodule analysis remains limited due to frequent mispositioning. Needle-based confocal laser endomicroscopy (nCLE) enables real-time microscopic feedback on needle positioning, potentially improving the sampling location and diagnostic yield. Previous studies have defined and validated nCLE criteria for malignancy, airway and lung parenchyma. Larger studies demonstrating the effect of nCLE on diagnostic yield are lacking. We aim to investigate if nCLE-imaging integrated with conventional bro

I think you might like me: Emergence and change of meta-liking in initial social interactions.

Feeling accepted by others is a fundamental human motive and an important marker of successful social interactions. This interpersonal perception, known as meta-liking, is especially relevant during adolescence, when peer relationships deepen and expand. However, knowledge is limited regarding meta-liking formation in initial social interactions. This study investigated whether adolescents (N = 293, Mage = 15.48, 61.10% female) have default expectations for meta-liking at zero acquaintance and how these judgments are updated during initial group interactions. Specifically, we used latent chang