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International Respiratory Infections Society Covid Research Conversations: Podcast 1 With Dr. Francesco Blasi, Julio A. Ramirez Md, Francesco Blasi Md, Phd Mar 2021

International Respiratory Infections Society Covid Research Conversations: Podcast 1 With Dr. Francesco Blasi, Julio A. Ramirez Md, Francesco Blasi Md, Phd

The University of Louisville Journal of Respiratory Infections

Section(s) Topics

1–2 Introductions

3 Foundations of best practice

4 COVID-19 as stimulus for innovation

5 Adapting and evolving therapeutic approach

6 Age and comorbidities as risk factors

7 Over-capacity ICU

8 Adapting the ER for COVID-19

9 Training personnel for COVID-19

10 Psychological support, healthcare heroes, and COVID fatigue

11 Increased oxygen requirement

12–13 Milan’s multi-disciplinary unit

14 Standardizing respiratory support measures

15 Nutrition, sedation, and life support

16 CPAP successes and failures

17 Prone and lateral positioning of patients on CPAP

18 Different COVID-19 phenotypes?

19 Thromboembolism risk score, age, and comorbidities

20 Cardiorespiratory considerations: hypertension, echocardiography

21 …


Blueprint For Excellence And Equity In The Education Of Black Children And Youth, Phillip Smith, Bernard Gassaway, Karen Dunkley, Dia Bryant, Hope Lesane, Monique Darrisaw-Akil, Trina Lynn Yearwood Mar 2021

Blueprint For Excellence And Equity In The Education Of Black Children And Youth, Phillip Smith, Bernard Gassaway, Karen Dunkley, Dia Bryant, Hope Lesane, Monique Darrisaw-Akil, Trina Lynn Yearwood

GSE Faculty Publications

The convergence of the health, racial, and economic crises resulting from COVID-19 has exposed long-standing inequities among New York State’s Black communities. The recent, brutal and senseless killings of Black men and women (e.g., George Floyd, Ahmaud Arbery, Breonna Taylor, Tony McDade, among an exceedingly long list of names) have ignited growing national public protests and increasing agreement about the existence of deep-seated racial injustice within systems and institutions and how it has been compounded over time. Taken together, the COVID-19 pandemic and the pandemic of senseless killings of Black people are providing a magnified reflection of the nation’s historic …


Infidelity In A Fast Paced Society, Gabriel Kua, Ralphael Joseph, Shaun Ng, Jozia Seet Mar 2021

Infidelity In A Fast Paced Society, Gabriel Kua, Ralphael Joseph, Shaun Ng, Jozia Seet

Introduction to Research Methods RSCH 202

Abstract

There are many possible factors that cause individuals to commit infidelity in modern society. Since the studies that have measured the significance of the factors causing the act of infidelity are scarce, our study aims to investigate the potential causes of infidelity and measure the significance of the causes. Through our research, we have identified that COVID-19, social networking platforms, social status and income level, access to pornography, ethnicity, marital status, and sexual orientation are possible factors of infidelity acts. We have created an anonymous survey to investigate the causes, which will be measured by regression analysis. We plan …


Ua12/2/1 College Heights Herald, Vol. 96, No. 19, Wku Student Affairs Mar 2021

Ua12/2/1 College Heights Herald, Vol. 96, No. 19, Wku Student Affairs

WKU Administration Documents

WKU campus newspaper reporting campus, athletic and Bowling Green, Kentucky news. This issue contains articles:

  • Crimmins, Michael. Pod Schooling Arrives in Bowling Green – Chapel Hill Pod School
  • Tolbert, Ellie. End of Muslim Ban Brings Change to Bowling Green Community
  • Gaskin, Loren. Will the Forgiveness of Student Debt Help Everyone?
  • Word, Gunnar. A Draft of Fresh Beer – Gasper Brewing Company
  • Burris, Lily. New Bill Affects Student Loan Borrowers’ Rights
  • Fleischman, Ian. Lady Toppers Set to Open Home Slate Against Florida International University – Soccer
  • Toennies, Drew. Lady Toppers Split Series at Florida International University, One Week Left – Basketball …


Using Ambiguous Loss To Address Perceived Control During The Covid-19 Pandemic, Rosemary A. Leone Mar 2021

Using Ambiguous Loss To Address Perceived Control During The Covid-19 Pandemic, Rosemary A. Leone

Counseling and Family Therapy Scholarship Review

The concepts of ambiguous loss and perceived control will be used to explore ways to embrace the unknown during COVID-19. By defining COVID-19 as an ambiguous loss, effective therapeutic interventions emerge that can guide clinicians in creating lasting change amidst widespread uncertainty. Four ambiguous loss interventions will be proposed to alleviate the distress of living in fearful semi-isolation for an unknown period of time. In paradoxically embracing uncertainty, clients can create new hope in the context of a global pandemic. New hope is the ideal outcome when coping with ambiguous loss. In literature on ambiguous loss, the concept of new …


Digital Learning And Innovative Possibilities From The Pandemic As Part Of Singapore Management University (Smu) Libraries’ Digital Transformation, Rajendra Munoo Mar 2021

Digital Learning And Innovative Possibilities From The Pandemic As Part Of Singapore Management University (Smu) Libraries’ Digital Transformation, Rajendra Munoo

Research Collection Library

No abstract provided.


Financial Stress Among Latino Adults In California During Covid-19, Luisa Blanco, Vanessa Cruz, Deja Frederick, Susie Herrera Mar 2021

Financial Stress Among Latino Adults In California During Covid-19, Luisa Blanco, Vanessa Cruz, Deja Frederick, Susie Herrera

School of Public Policy Working Papers

We study the impact of COVID-19 on stress, and especially financial stress, among Latino adults in California. We take a mixed-methods approach and rely on quantitative and qualitative data for our analysis. We recruited 84 Low and Moderate Income (LMI) Latino adults in California through the internet panel Understanding America Study (UAS), and among those who participated in the Mobile Financial Diaries (MFD) project, which took place during 2018-2019. We report findings about personal experiences during COVID-19 in October of 2020 and compared this to data collected during the period of August-October of 2018. Given the characteristics of our participants, …


Does Covid-19 Contribute To Development Of Neurological Disease?, Arehally M. Mahalakshmi, Bipul Ray, Sunanda Tuladhar, Abid Bhat, Shasthara Paneyala, Duraisamy Patteswari, Meena Kishore Sakharkar, Hamdan Hamdan, David M. Ojcius, Srinivasa Rao Bolla, Musthafa Mohamed Essa, Saravana Babu Chidambaram, M. Walid Qoronfleh Mar 2021

Does Covid-19 Contribute To Development Of Neurological Disease?, Arehally M. Mahalakshmi, Bipul Ray, Sunanda Tuladhar, Abid Bhat, Shasthara Paneyala, Duraisamy Patteswari, Meena Kishore Sakharkar, Hamdan Hamdan, David M. Ojcius, Srinivasa Rao Bolla, Musthafa Mohamed Essa, Saravana Babu Chidambaram, M. Walid Qoronfleh

All Dugoni School of Dentistry Faculty Articles

Background: Although coronavirus disease 2019 (COVID-19) has been associated primarily with pneumonia, recent data show that the causative agent of COVID-19, the coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), can infect a large number of vital organs beyond the lungs, such as the heart, kidneys, and the brain. Thus, there is evidence showing possible retrograde transmission of the virus from the olfactory epithelium to regions of the brain stem. Methods: This is a literature review article. The research design method is an evidence-based rapid review. The present discourse aim is first to scrutinize and assess the available literature on …


Ndikimet Në Pagjumësi Dhe Faktorëve Tjerë Psikologjike Tek Punëtorët Shëndetësor Në Përballje Me Pandeminë Covid-19 Në Regjionin E Prishtinës, Valentina Morina Mar 2021

Ndikimet Në Pagjumësi Dhe Faktorëve Tjerë Psikologjike Tek Punëtorët Shëndetësor Në Përballje Me Pandeminë Covid-19 Në Regjionin E Prishtinës, Valentina Morina

Theses and Dissertations

Hyrje: Ky punim hulumtues ka të bëjë me "Ndikimet në pagjumësi dhe faktorëve tjerë psikologjike tek punëtorët shëndetësorë në përballje me pandeminë COVID-19". Duke e ditur se me çfarë problemi po përballet bota, aktualiteti i kohëve të fundit na ka bërë kureshtarë sidomos neve si profesionistët e ardhshëm shëndetësor të hulumtojmë për vështirësitë dhe problemet që përballën kolegët e mi, pasi në të ardhmën do të jem edhe unë pjesë e këtij stafi.

Qëllimi i hulumtimit: Qëllimi kryesor i këtij studimi është të hulumtojë si studente e degës së infermierisë se cila është puna me të cilën përballen profesionistët, rreziku …


Did Federalism Impact The Capacity For Public Health Policy Response To Covid-19? The Case Of Germany, Matthew Pelowski Mar 2021

Did Federalism Impact The Capacity For Public Health Policy Response To Covid-19? The Case Of Germany, Matthew Pelowski

Working Papers Series

Over the course of the pandemic, Germany’s strong federal system required explicit coordination and cooperation between the federal and state governments. Before any substantial outbreak struck Germany in March, the German strategy to combat the disease was to contact trace and rely on state and local governments to stop the spread. As cases rose and the country moved into the first wave time period, COVID-19 restrictions primarily came from the national government as consented to by the states. For each new mandate released, the wording was unanimously agreed upon by all 16 federal state leaders and Chancellor Merkel. When cases …


Associations Between Parenting Stress, Feeding Practices, And Child Eating Behaviors During The Covid-19 Pandemic, Maria G. Gonzalez Mar 2021

Associations Between Parenting Stress, Feeding Practices, And Child Eating Behaviors During The Covid-19 Pandemic, Maria G. Gonzalez

Master's Theses

The COVID-19 pandemic provides an important opportunity to understand how parenting stress during social crisis may predict child feeding practices and perceptions of child mealtime behaviors. The objective of the present study was to explore whether parents’ perceived increases in and overall levels of parenting stress during the pandemic were associated with controlling feeding practices and perceptions of child eating behaviors. Parents (n = 284) of 4–6-year-old children completed a cross-sectional online survey between March and April 2020. The survey assessed parents’ perceived change in parenting stress during the onset of the pandemic and levels of parenting stress during …


Nursing Professionals' Mental Well-Being And Workplace Impairment During The Covid-19 Crisis: A Network Analysis, Umit Tokac, Selen Razon Mar 2021

Nursing Professionals' Mental Well-Being And Workplace Impairment During The Covid-19 Crisis: A Network Analysis, Umit Tokac, Selen Razon

Kinesiology Faculty Publications

Aim: To investigate the effects of years of nursing experience and mental health on work impairment among nurses during the COVID-19 crisis. Background: During the COVID-19 crisis, nurses experience a greater psychological burden than other health care workers. Studies have not yet investigated the effects of years in nursing and mental health on potential work impairment during the COVID-19 crisis in nurses. Methods: A survey was administered to 83 nurses on active duty during the COVID-19 crisis. The graphical LASSO and the DAG helped estimate the associations between years of nursing experience, mental health and work impairment. Results: A moderate …


Tim O'Brien: Theme Park Perspective, Editorial Staff, Tim O’Brien Mar 2021

Tim O'Brien: Theme Park Perspective, Editorial Staff, Tim O’Brien

Visions in Leisure and Business

This is an interview with Tim O’Brien exploring his thoughts about some of the important issues that affect the theme park and attractions business. His reflection gives rise to issues that are important now and in the future. The insight that he has provided is a bridge from the old to the new. He is always on the cutting edge of new thoughts, yet with a focus on the past to develop continuity. It is important to note that some of the issues emphasize COVID-19, but most of the thoughts are dealing with future issues.

His thoughts are a guideline …


Marketing And Operations Impacts Of The Corona Virus Era In Tourism And Leisure Related Industries, Jack Samuels, Yawei Wang Mar 2021

Marketing And Operations Impacts Of The Corona Virus Era In Tourism And Leisure Related Industries, Jack Samuels, Yawei Wang

Visions in Leisure and Business

This article explores the impacts of COVID-19 on the tourism, leisure, entertainment, sports, hospitality, and related industries. It focuses mostly on long-lasting impacts of the pandemic and has numerous ideas regarding the management and marketing of these interrelated industries in the wake of the crisis. It also looks at preparation for future crises in these industries.


Analyzing Student Experience On Group Work With The Application Of Different Group Allocation Approaches, An Yee Tan Mar 2021

Analyzing Student Experience On Group Work With The Application Of Different Group Allocation Approaches, An Yee Tan

Management and HR

Working as a group can be as challenging as working by oneself. Common issues like ineffective group work, unequal work contribution, and poor communication are believed to be the reasons why many students preferred to work individually. The purpose of this study is to understand if there is a disparity in student experience on group work by implementing different methods of group formation, which are, intentional group formation and random assignment. Topics around team well-being, team communication, and team effectiveness are the main focus of this study. The second emphasis of this study is students’ opinions on whether or not …


Significant Stakeholders: Toward An Agile Knowledge Management System In The Time Of Coronavirus Crisis, Yaojie Li, Yi Zhou, Thomas Stafford, Xuan Wang Mar 2021

Significant Stakeholders: Toward An Agile Knowledge Management System In The Time Of Coronavirus Crisis, Yaojie Li, Yi Zhou, Thomas Stafford, Xuan Wang

Information Systems Faculty Publications

Effective crisis response requires sophisticated knowledge management in organizations. Agile systems development capabilities for such crisis response systems are important, particularly for purposes of tailoring a crisis-oriented knowledge management system to a rapidly shifting threat landscape. We propose an architecture for achieving both of these ends in the form of an Agile Crisis Management System involving three specific stakeholders, and we discuss the steps, outcomes, and implications of such a system.


Noncompliance With Safety Guidelines As A Free-Riding Strategy: An Evolutionary Game-Theoretic Approach To Cooperation During The Covid-19 Pandemic, Jose C. Yong, Bryan K. C. Choy Mar 2021

Noncompliance With Safety Guidelines As A Free-Riding Strategy: An Evolutionary Game-Theoretic Approach To Cooperation During The Covid-19 Pandemic, Jose C. Yong, Bryan K. C. Choy

Research Collection School of Social Sciences

Evolutionary game theory and public goods games offer an important framework to understand cooperation during pandemics. From this perspective, the COVID-19 situation can be conceptualized as a dilemma where people who neglect safety precautions act as free riders, because they get to enjoy the benefits of decreased health risk from others' compliance with policies despite not contributing to or even undermining public safety themselves. At the same time, humans appear to carry a suite of evolved psychological mechanisms aimed at curbing free riding in order to ensure the continued provision of public goods, which can be leveraged to develop more …


Health Literacy Of The Covid-19 Pandemic On The Behavior Of Street Children’S Mothers In Indonesia, Yanti Tayo, Ninis Agustini Damayani, Atwar Bajari, Wawan Setiawan Mar 2021

Health Literacy Of The Covid-19 Pandemic On The Behavior Of Street Children’S Mothers In Indonesia, Yanti Tayo, Ninis Agustini Damayani, Atwar Bajari, Wawan Setiawan

Library Philosophy and Practice (e-journal)

The COVID-19 virus, which is spreading rapidly and massively around the world, is causing panic and fear in everyone; the Indonesian government is taking quick steps to solve the COVID 19 pandemic that is currently happening. What about the fate of street children currently still on the streets working as street singers, beggars, and hawkers? This study aims to see how health literacy possessed by the mothers of street children who are still on the streets during the COVID-19 pandemic. This study uses a qualitative research method with a phenomenological approach. The resource persons in this study were ten mothers …


Assessment Of Characteristics And Conditions Before The End Of Lockdown, David San-Martín-Roldán, Francisca Rojo-Lazo, Aracelis Calzadilla-Núñez, Pablo San-Martín-Roldán, Patricia Díaz-Calzadilla, Víctor P. Díaz-Narváez Feb 2021

Assessment Of Characteristics And Conditions Before The End Of Lockdown, David San-Martín-Roldán, Francisca Rojo-Lazo, Aracelis Calzadilla-Núñez, Pablo San-Martín-Roldán, Patricia Díaz-Calzadilla, Víctor P. Díaz-Narváez

Kesmas

After months of blockades and restriction, the decision of the best time to end the lockdown after the first wave of the COVID-19 pandemic is the big question for health rectors. This study aimed to evaluate the characteristics and conditions for ending the blockade after the first wave of COVID-19. Data on the variables of interest were subjected to linear and non-linear regression studies to determine the curve that best explains the data. The coefficient of determination, the standard deviation of y in x, and the observed curve of the confidence interval were estimated. Regression which was estimated subsequently revealed …


Assessing The Impact Of Social Media Platforms On Students Learning Activities In The University Of Ghana Amidst Covid-19, Noah Darko-Adjei Feb 2021

Assessing The Impact Of Social Media Platforms On Students Learning Activities In The University Of Ghana Amidst Covid-19, Noah Darko-Adjei

Library Philosophy and Practice (e-journal)

The study investigated the impact of social media platforms on students learning activities among distance learning students of the University of Ghana amidst COVID-19. The study was based on the following objectives; to find out some of the devices used in accessing social media platforms, to ascertain the dominant reasons for using social media by distance learning students, to assess the impact of social media platforms on students’ academic activities and to found out the challenges in the use of some social media platforms. The study made use of a survey approach and a questionnaire was used to gather data …


Asian Americans Experience Microassaults During The Covid-19 Pandemic, Aaron Cheng, Brooklyn King, Aldo Barrita, Anthony King, Gloria Wong-Padoongpatt Feb 2021

Asian Americans Experience Microassaults During The Covid-19 Pandemic, Aaron Cheng, Brooklyn King, Aldo Barrita, Anthony King, Gloria Wong-Padoongpatt

Spectra Undergraduate Research Journal

Microaggressions are typically brief and common behavioral/verbal indignities that communicate a sense of hostility, derogatory, or negative perception towards a targeted group. During the COVID-19 pandemic, we observed an increase in the amount of microassaults, a more intentional type of microaggression, towards the Asian American population. In our study, we used a two-way 2x2 (Race: Asian Americans vs. White Americans; Time: before vs. during COVID-19) analysis of covariance (ANCOVA) with repeated measures on one factor (Time) to determine whether there was a statistical significance between race in the experiences of microassaults before and during COVID-19. We used a self-report survey …


Impact Of Secondary Traumatic Stress From Covid-19 On Nurses, Marni B. Kellogg, Anna Schierberl Scherr Feb 2021

Impact Of Secondary Traumatic Stress From Covid-19 On Nurses, Marni B. Kellogg, Anna Schierberl Scherr

Creating Healthy Work Environments (CHWE)

COVID-19 is a global disaster resulting in unprecedented stress on the healthcare system. An understanding of secondary traumatic stress, functional impairment, and wellbeing in nurses may elucidate potential intervention targets to help mental health professionals support nurses during these challenging times.


The Grizzly, February 25, 2021, Simra Mariam, Marisa Spiegel, Shelsea Deravil, Ava Compagnoni, Layla Halterman, Julia Paiano Feb 2021

The Grizzly, February 25, 2021, Simra Mariam, Marisa Spiegel, Shelsea Deravil, Ava Compagnoni, Layla Halterman, Julia Paiano

Ursinus College Grizzly Newspaper, 1978 to Present

"Do Not Be Afraid": Letter From a Graduate • The Celebration of Black Professors and Staff at Ursinus College • February is Black History Month! • Phi Alpha Psi • The Virtual JIN Fair • Opinion: Class of 2021 Getting the Short End of a Senior Year • Advice Column: Ask a Bear • Wrestling Takes a COVID Hit • UC Gymnastics is on a Roll


Covid-19 And Impact Of Workplace Stressors Among Nurses: A Systematic Review, Divya Kuzhivilayil Yesodharan, Deepa Shaji Thomas Feb 2021

Covid-19 And Impact Of Workplace Stressors Among Nurses: A Systematic Review, Divya Kuzhivilayil Yesodharan, Deepa Shaji Thomas

Creating Healthy Work Environments (CHWE)

COVID-19 pandemic has put the front liners especially nurses under immense pressure and this review is exploring the stressors, impact on nurses and the coping used by them.


The George-Anne, Georgia Southern University Feb 2021

The George-Anne, Georgia Southern University

The George-Anne

  • INTERVIEW WITH MARRERO
  • Georgia Southern renames School or Music
  • Convocation center to be named after GS graduates
  • Renovating the records
  • Double Safety, Double Masking
  • Statesboro honors retired GSU professor
  • The Alternative Breaks Program
  • Paulson Stadium booked for in-person spring graduation
  • Choose Your Major
  • Statesboro's State of the City Address
  • University System of Georgia reflects on state bonus plan
  • Ryan Langan's Journey
  • Previewing the 2021 Georgia Southern softball season
  • Efforts at inclusion on campus


Ua12/2/1 College Heights Herald, Vol. 96, No. 18, Wku Student Affairs Feb 2021

Ua12/2/1 College Heights Herald, Vol. 96, No. 18, Wku Student Affairs

WKU Administration Documents

WKU campus newspaper reporting campus, athletic and Bowling Green, Kentucky news. This issue contains articles:

  • Crisp, Hannah. Homesickness & COVID-19: Obstacles for Freshmen Increase Amid Strange Semester
  • On Student Press Freedom Day: Stop Suing the College Heights Herald
  • Mallon, Sam. Slippery Slopes – Snow, Winter
  • Aboah, Henri. A Place in My Heart: Professor on 38 Years at WKU – Saundra Starks
  • Broekema. Gabi. Instagram Account Glorifies the Common Chair – Chairs of Western
  • Gaylord, Kaden. WKU to Play No. 6 Houston, Host Florida International University as Season Nears End – Basketball
  • Toennies, Drew. Lady Toppers Travel to Florida This Weekend …


Psychological Experience And Coping Strategies Of Patients In The Northeast Us Delaying Care For Infertility During The Covid-19 Pandemic., David B Seifer, William D Petok, Alisha Agrawal, Tanya L Glenn, Arielle H Bayer, Barry R Witt, Blair D Burgin, Harry J Lieman Feb 2021

Psychological Experience And Coping Strategies Of Patients In The Northeast Us Delaying Care For Infertility During The Covid-19 Pandemic., David B Seifer, William D Petok, Alisha Agrawal, Tanya L Glenn, Arielle H Bayer, Barry R Witt, Blair D Burgin, Harry J Lieman

Department of Obstetrics and Gynecology Faculty Papers

BACKGROUND: On March 17, 2020 an expert ASRM task force recommended the temporary suspension of new, non-urgent fertility treatments during an ongoing world-wide pandemic of Covid-19. We surveyed at the time of resumption of fertility care the psychological experience and coping strategies of patients pausing their care due to Covid-19 and examined which factors were associated and predictive of resilience, anxiety, stress and hopefulness.

METHODS: Cross sectional cohort patient survey using an anonymous, self-reported, single time, web-based, HIPPA compliant platform (REDCap). Survey sampled two Northeast academic fertility practices (Yale Medicine Fertility Center in CT and Montefiore's Institute for Reproductive Medicine …


The Effect Of Aromatherapy To Decrease Perceived Stress During The Covid-19 Pandemic, Ebony M. Samuel-Bakpessi, Judith Maloy Feb 2021

The Effect Of Aromatherapy To Decrease Perceived Stress During The Covid-19 Pandemic, Ebony M. Samuel-Bakpessi, Judith Maloy

Creating Healthy Work Environments (CHWE)

The novel COVID-19 pandemic has created increased stress in our communities and healthcare team at the front-line, behind the scenes, and beyond. In an effort to decrease perceived stress of healthcare members behind the scenes the use of essential oils are thought to ease tensions and instill clarity and focus.


The George-Anne Inkwell Edition, Georgia Southern University Feb 2021

The George-Anne Inkwell Edition, Georgia Southern University

The Inkwell

No abstract provided.


Assessing The Psychological Impact Of Covid-19 Among College Students: An Evidence Of 15 Countries, Kavita Batra, Manoj Sharma, Ravi Batra, Tejinder P. Singh, Nena Schvaneveldt Feb 2021

Assessing The Psychological Impact Of Covid-19 Among College Students: An Evidence Of 15 Countries, Kavita Batra, Manoj Sharma, Ravi Batra, Tejinder P. Singh, Nena Schvaneveldt

School of Medicine Faculty Research

Mental health issues among college students is a leading public health concern, which seems to have been exacerbating during the COVID-19 pandemic. While previous estimates related to psychological burden among college students are available, quantitative synthesis of available data still needs to be performed. Therefore, this meta-analysis endeavors to present collective evidence discussing the psychological impact of COVID-19 among college students. Bibliographical library databases, including Embase, Medline, CINAHL, Scopus, and PsycINFO, were systematically searched for relevant studies. Titles, abstracts, and full articles were screened, and two reviewers extracted data. Heterogeneity was assessed by I-2 statistic. The random-effects model was utilized …