Digital Commons Network^™

Testing Measurement Invariance Of Self-Report And Interview Measures Of Borderline Personality Disorder Across Ethnic/Racial Groups Of Inpatient Adolescents, Salome Vanwoerden, Eric D Sumlin, Veronica Mclaren, Carla Sharp

Faculty, Staff and Student Publications

Borderline personality disorder (BPD) is a severe mental disorder that onsets during adolescence. Research examining sociocontextual differences in BPD presentation is limited and provides mixed results, highlighting the importance of further investigation and the evaluation of potential measure effects. This study assessed measurement invariance of two widely used adolescent measures (self-report—the Borderline Personality Features Scale for Children and semistructured interview—Childhood Interview of Diagnostic and Statistical Manual Borderline Personality Disorder) of BPD. Comparisons across inpatient psychiatric settings (n = 521 at a private inpatient; n = 378 at a public inpatient) and across self-identified Hispanic/Latinx (n = 193), Black …

Launching! To Adulthood, A Culturally Adapted Treatment Program For Military-Dependent Autistic Young Adults And Their Military Parents: A Pilot Study, Antonio F Pagán, Jordan Kenemore, Maj Mark Ahlenius, Linda Hernandez, Stephen Armstrong, Katherine A Loveland, Ron Acierno

Faculty, Staff and Student Publications

Introduction: Military-dependent young adults (17-25 years old) with autism spectrum disorder (ASD) face significant barriers to accessing services during their transition to adulthood. Frequent relocations, disrupted care, and limited ASD-tailored interventions exacerbate the challenges for these families, with many young adults experiencing a "service cliff" as they age out of pediatric care and school-based services. Addressing these gaps is critical, particularly given the rising mental health challenges and executive dysfunction in this population. This study evaluates the preliminary efficacy of an adapted telehealth intervention, the Military-Launching! program, designed to support young adults with ASD and their military families.

Materials and …

¡Iniciando! La Adultez (Launching! To Adulthood): A Cultural And Linguistic Adaptation Of A Group Therapy Program For Young Adults With Autism Spectrum Disorder Transitioning To Adulthood, Antonio F Pagán, Katherine A Loveland, Ron Acierno

Faculty, Staff and Student Publications

Objectives: The transition to adulthood is a formative period of development for young adults with autism spectrum disorder (ASD), as they work towards independence and managing adult responsibilities. While evidence-based interventions have been developed for young adults with ASD, they have rarely been culturally and linguistically adapted for the Latino, Spanish-speaking community. The present study provided initial feasibility and acceptability data for a therapy program for Latino young adults with ASD transitioning to adulthood and their Spanish-speaking parents.

Methods: The culturally adapted and translated intervention, called ¡Iniciando! la Adultez, is a 10-week therapy program based on an evidence-based treatment ( …

Evaluation Of A Theoretical And Experiential Training Programme For Allied Healthcare Providers To Prescribe Exercise Among Persons With Multiple Sclerosis: A Co-Designed Effectiveness-Implementation Study, Yvonne C. Learmonth, Georgios Mavropalias, Kym Wansbrough

Research outputs 2022 to 2026

Background: Multiple sclerosis (MS) is the most prevalent neurological disorder in young adults, characterised by physical, psychological and cognitive dysfunction. Exercise training is a safe management strategy. Healthcare providers (HCPs) acknowledge deficiencies in awareness, counselling strategies, and resources that prevent them from promoting and prescribing this effective treatment. We implemented an online evidence-based educational programme and evaluated the effect, acceptability, appropriateness, and feasibility of the programme in improving HCP confidence, knowledge, and attitudes towards remote exercise prescription to persons with MS. Methods: Physiotherapists and exercise physiologists were recruited and received the educational programme (online theory and 16-week experience of prescribing …

Lower Limb Muscle Strength Matters: Effect Of Relative Isometric Strength On Countermovement And Rebound Jump Performance In Elite Youth Female Soccer Players, Jack Fahey, Paul Comfort, Nicholas Joel Ripley

Research outputs 2022 to 2026

Background: Expression of maximal and rapid force in the hip, knee, and plantar flexors is important for athletic performance in female soccer. This study was designed to determine the effect of relative isometric strength in the isometric mid-thigh pull (IMTP) on countermovement jump (CMJ) and rebound jump (CMJ-R) performance in female youth soccer players. Methods: Ninety-six female soccer players (age: 14.1 ± 2.3 years, height: 160.5 ± 9.7 cm, mass: 55.0 ± 10.3 kg) completed three trials of the IMTP, CMJ, and CMJ-R using force plates. Players were categorized as stronger (top quartile, n = 19) and weaker players (bottom …

The Luminos Project: Co-Designing A Short-Stay Suicide Support Model For Young People, Aims Hansen, Samantha Speirs, Kirsten Panton, Jacinta Freeman, Zrinka Highfield, Kieren Marshall, Eleanor Tighe, Laura Hemming, Bep Uink, Francis Mitrou, Vu Vuong, Ashleigh Lin

Research outputs 2022 to 2026

Background: Suicide was the leading cause of death among young Australians aged 15–24 years old in 2023, with 392 lives lost. The continued high numbers of youth suicide demand urgent exploration of alternative approaches to suicide intervention in this population. The United Kingdom-based suicide service Maytree offers an innovative short-term stay for people experiencing suicidal thoughts. Grounded by the Maytree model-of-care, the aim of the current study was to co-design a short-stay service responsive to the specific needs of suicidal young people. Methods: Semi-structured and focus group interviews with young people (n = 38), caregivers (n = 11) and key …

The Effects Of Mouthguard And Physiotherapy On Bruxism: An Emg And Posture Angle Analysis—A Pilot Clinical Study, Nathalie Yared, Pascal El Braidy, Romy Slaiby, Amine El Zoghby

International Arab Journal of Dentistry

Objectives: The purpose of this research was to determine whether a clinical trial to assess the impact of physiotherapy and mouthguards on bruxism was feasible. This included assessing participant recruitment, carrying out the interventions, and gathering data with appropriate techniques. The study focused on using posture angle analysis to evaluate changes in posture linked to bruxism and electromyography (EMG) to detect muscular activity. By exploring these elements, the study aimed to provide the groundwork for a more extensive, larger clinical trial.

Methods: Participants were recruited from the USJ dental clinics after their consultations. They were screened for bruxism using a …

Old Frames On New Media: Health Misinformation In Black Digital Communities, Merriah Croston

Brown School Graduate Student Theses and Dissertations

Growing evidence suggests that health misinformation has the potential to proliferate on social media. However, our understanding of the problem’s magnitude continues to evolve. Despite several studies on health misinformation and Black communities in the United States (U.S.), few of these studies characterize misinformation within digital settings. This dissertation seeks to address this gap by: 1) synthesizing the literature on health misinformation and Black communities to identify prevalent misinformation topics and claims, characteristics of exposure to and belief in these topics and claims, and successful intervention strategies; 2) quantifying and characterizing the volume of COVID-19 misinformation on Black Twitter during …

The Blacker The Berry: Food Environments And Intake Associated With Perinatal Depression And Secondary Breastfeeding Outcomes Among Black Americans In The St. Louis Metropolitan Area, Najjuwah S. Walden

Brown School Graduate Student Theses and Dissertations

The relationship between the food environment, intake, and health is complex. The purpose of this study was to evaluate if food environments in proximity to Black pregnant women in the St. Louis Metropolitan Area were associated with prenatal eating habits and if these eating habits were associated with the risk of developing depressive symptoms in pregnancy and postpartum. The study also aimed to understand if there was a relationship between prenatal eating habits and the decision to breastfeed and if the onset of postpartum depressive symptoms has any effect on this relationship. Due to the importance of nutrient-dense, anti-inflammatory foods …

Acoustic Emission Sensing For Assessing Compressive Strain In Impacted Thermoplastic Composites, M. M. Shahzamanian, Li Ai, Sydney Houck, Md Mushfiqur Rahman Fahim, Sourav Banerjee, Paul Ziehl

Civil Engineering Faculty Publications

Composite materials used in aircraft during in-flight service are vulnerable to impacts, which can lead to undetected damage and deterioration. Impact incidents can cause considerable structural harm that might not be immediately apparent, resulting in a decline in the mechanical properties of material and overall performance. There are currently limited advanced models capable of assessing the state of compressive strain (or stress) in a compression after impact (CAI) test based on acoustic emission (AE) data. Developing such a model may enable real-time monitoring and evaluation during in-flight service, providing users with alerts when composite material failure is approaching. This paper …

The Application Of Vetiver Grass In Natural Disaster Mitigation And Environmental Protection In Vietnam: A Bibliometric Analysis And Literature Review, Truc Phan, Tan Nguyen, Thang Pham, Bich T. Luong, Huong Nguyen

Civil Engineering Faculty Publications

Vetiver grass (Vetiveria zizanioides or Chrysopogon zizanioides) is a versatile tropical plant widely recognized for its applications in environmental protection and natural disaster mitigation. In Vietnam, where natural disasters such as floods and landslides are frequent, particularly along highways, Vetiver grass has proven to be an effective bioengineering solution. This paper provides a comprehensive review of the applications and benefits of Vetiver grass in preventing soil erosion and stabilizing slopes along Vietnam’s transportation systems. A bibliometric analysis of 555 Scopus-indexed publications (2000 – 2024) was conducted using VOSviewer software to identify research trends, key themes, and knowledge gaps. The findings …

A Biocompatible Nitinol Based Triboelectric Stent Sensor For Prospective Cardiovascular Health Monitoring, Ulises Vidaurri Romero, Sk Shamim Hasan Abir, Najlah Karam, Mariana Torres, Shahria Ahmed, Md. Wasikur Rahman, Bahareh Azimi, Serena Danti, Jianzhi Li, M. Jasim Uddin

Mechanical Engineering Faculty Publications

Triboelectric nanogenerators (TENGs) have been considered as an effective approach for self-powered systems. Currently, coronary heart disease remains the leading cause of death in the United States. This can be easily resolved by balloon angioplasty or a specialized mesh tube called a stent. This study demonstrates a stent sensor made of nitinol, a nickel—titanium alloy used in the medical field for its pseudo-elasticity and strong corrosion resistance, poly(vinylidene fluoride) (PVDF) and polydimethylsiloxane (PDMS), which can measure several physiological parameters while placing it in the arteries. This nitinol health monitor sensor (NHMS) device thus integrates the TENG with a specific medical …

Systematic Review And Evidence Gap Mapping Of Alzheimer's Disease Biomarker Studies In Those With Intellectual And Developmental Disability, Lubnaa B. Abdullah, Ney Alex Alliey, Emma Elizondo, Ney Alliey Rodriguez, Gladys Maestre, James Hall

School of Medicine Publications

There are a relatively small number of investigations into brain aging in those with intellectual and developmental disability (I/DD). This project seeks to (1) characterize the internationally available multi-omics Alzheimer's disease (AD) biomarker studies including those with I/DD, and (2) discuss future research directions. PubMed, Web of Science, and Scopus were searched under the following criteria: cross-sectional or longitudinal AD-omics studies on adults (18 +) with I/DD. 532 studies were identified, 186 studies were evaluated for full-text, 79 studies were excluded, and 117 studies were extracted. Most biological specimens were analyzed in blood, plasma, or serum. Metabolomics, hormonomics, and transcriptomics …

Society Of Vascular And Interventional Neurology (Svin) Stroke Interventional Laboratory Consensus (Silc) Criteria For Training Standards And Maintenance Of Certification In Neurointervention, Ossama Y. Mansour, Kaiz S. Asif, Roberta Novakovic-White, Boris Pabon, Santiago Ortega-Gutierrez, Atilla Ozcan Ozdemar, Alicia Castonguay, Brijesh Mehta, Dileep R. Yavagal, Ameer E. Hassan

School of Medicine Publications

The global shortage of neurointerventionalists presents a challenge to timely stroke care, particularly in low‐ and middle‐income countries. The Society of Vascular and Interventional Neurology Stroke Interventional Laboratory Consensus criteria aim to standardize training and certification in neurointervention to address these disparities. This white paper reviews existing training standards in various regions, identifies gaps, and proposes a structured framework encompassing entry requirements, program structure, and certification processes. The Stroke Interventional Laboratory Consensus criteria further outline requirements for training centers and program directors. By establishing global standards, the Stroke Interventional Laboratory Consensus criteria seek to improve patient outcomes and expand access …

Clinical Outcomes And Independently Adjudicated Results Of M2 Aspiration Thrombectomy: A Subgroup Analysis From The Imperative Trial, Justin R. Mascitelli, Reade Andrew De Leacy, William Mack, Raul G. Nogueira, Shahram Majidi, Robert Dana Tomalty, Maxim Mokin, Jan Vargas, Brett L. Cucchiara, Victoria Parada

School of Medicine Publications

Background The ESCAPE-MeVO (Endovascular Treatment to Improve Outcomes for Medium Vessel Occlusions) and DISTAL (Endovascular Therapy plus Best Medical Treatment vs Best Medical Treatment Alone for Medium Vessel Occlusion Stroke) trials failed to demonstrate the superiority of endovascular thrombectomy over best medical management for medium and small vessel occlusions. Potential limitations of these trials include older patient populations, lower presenting National Institutes of Health Stroke Scale (NIHSS) scores, higher rates of premorbid disability, delayed revascularization times, inclusion of both medium and small vessel occlusions, and widespread use of stent retrievers. Here we present M2 occlusion data from the Imperative Trial, …

Comparative Analysis Of Postoperative Visual Outcomes Of Light-Adjustable Lens, Toric Monofocal, And Spherical Monofocal Intraocular Lenses, Marisa Nakagama, Dhruv Nagesh, John F. Doane

Student Publications

This retrospective study compares postoperative visual outcomes among 150 eyes treated with Light-Adjustable Lenses (LAL), toric monofocal lenses, and spherical monofocal lenses at Discover Vision Centers in Missouri and Kansas. The study included individuals with an average age of 68.9 years (25-82 years) who had cataract extraction (CE) within the past five years. Patients with prior corneal refractive procedures, including Radial Keratotomy (RK), Photorefractive Keratectomy (PRK), Laser-Assisted In Situ Keratomileusis (LASIK) or Small Incision Lenticule Extraction (SMILE) were excluded. Sixty-four percent of eyes with LALs achieved uncorrected distance visual acuity (UCDVA) better than 20/20 after the final lock-in, 46.0% with …

Enhancing Hip And Knee Arthroplasty Outcomes With Immunonutrition: A Review Of The Evidence, Kyle Taylor, Winifred Chijoke, Quinci Howard, Sandra Messiha, Jocelyn Hunt, Bernice Diaz, Hamza Khalid, Janae Rasmussen

Student Publications

Total hip and knee arthroplasty are common surgical procedures aimed at improving mobility and quality of life. Despite surgical advances, postoperative complications remain a concern, particularly for patients with comorbidities and poor nutritional status. Immunonutrition, the targeted administration of nutrients that modulate inflammation, such as arginine, omega-3 fatty acids, and antioxidants, has been shown to reduce infections, complications in wound healing, and shorten hospital length of stay. This review examines current evidence on the role of immunonutrition in hip and knee arthroplasty, focusing on the mechanisms of key nutrients, clinical application of supplementation, and areas for future investigation. Despite promising …

Challenges And Opportunities In Reducing Risk Of Diabetes-Related Cardiovascular Disease: Making Every Contact Count, Michelle Clapham

School of Nursing and Midwifery

Despite recent Government initiatives to reduce rates, the prevalence of type 2 diabetes isexpected to continue rising to almost 10% of the population by 2035. Complications of type 2diabetes, such as cardiovascular disease (CVD), contribute to approximately 22 000 deathsannually in England, indicating a need for population health management through preventativehealthcare. The Making Every Contact Count (MECC) initiative recommends the building ofpreventative strategies into routine primary care appointments to reduce modifiable risk factorsassociated with both type 2 diabetes and CVD. This article explores the unique opportunitiesgeneral practice nurses have to promote primary and secondary prevention of CVD.

Father-Land: Narratives Of Memory In A Place Of Conflict, Kayla Parker

School of Art, Design and Architecture

The chapter shares critical insights into and reflective analysis of the screenwriting process for the author's essay film Father-land (2018), made collaboratively with the sound artist and film-maker Stuart Moore through an artists' research residency in Nicosia, the only divided capital city in Europe. During the residency, the film-makers lived close to the demilitarized Buffer Zone - a physical border controlled by the United Nations, which has separated the Greek Cypriot south from the Turkish-occupied north since the violent conflict that tore the island in two in 1974. Their day-to-day experience of this fractured urban landscape, inflected by their childhood …

The Outcomes Of A Structured Bowel Management Programme On Childhood Functional Constipation: A Retrospective Pre – Post Intervention Study, Gunilla Flankegård, Peter Wide, Evalotte Mörelius

Research outputs 2022 to 2026

Aim: The purpose of this study was to describe and evaluate the effectiveness of a six-month structured bowel management programme (SBMP) for children with therapy-resistant functional constipation (FC). Method: A retrospective review of medical records with a pre-post design was conducted at an outpatient paediatric clinic in Sweden. Bowel frequency, stool form, faecal incontinence, and abdominal pain were compared before and after the intervention. Predictive factors for successful discharge and duration of care through long-term follow-up were calculated. Results: Of the 142 children enrolled in the SBMP, 132 completed the programme. Despite previous FC therapy resistance, the SBMP achieved a …

Socioeconomic Disadvantage, All-Cause And Cause-Specific Mortality In Patients Treated With Maintenance Dialysis: A Mediation Analysis Of Geographical Inequity And Multimorbidity, Farzaneh Boroumand, Wai H. Lim, Shuvo Bakar, Ryan Gately, Pedro Lopez, Dharshana Sabanayagam, Anita Van Zwieten, Lin Zhu, Germaine Wong, Armando Teixeira-Pinto

Research outputs 2022 to 2026

Rationale & Objective: Social gradient in health (a “social gradient in health” refers to the observed pattern in which individuals with lower socioeconomic status typically experience poorer health outcomes than those with higher socioeconomic status. This indicates that health disparities exist across different social levels, with the most disadvantaged groups experiencing the worst health outcomes) is significant and established in patients with kidney failure, but the pathways of this relationship are unknown. We aimed to assess the mediating effects of multimorbidity and geographical remoteness in the socioeconomic status (SES)-death associations. Study Design: A cohort study. Setting & Participants: All patients …

Combining Lumipulse P-Tau217 And Aβ42/40 As Confirmatory Tests For Aβ Positivity Prior To Disease-Modifying Therapy, James D. Doecke, Ahmed Chenna, Mintzu Lo, Youssouf Badal, Brandon Yee, Robert Martone, Christos Petropoulos, Christopher J. Fowler, Simon Laws, Stephanie R. Rainey-Smith, Ralph N. Martins, Christopher C. Rowe, Colin L. Masters, John Winslow

Research outputs 2022 to 2026

Introduction: For a blood-based biomarker to be considered a confirmatory test for the detection of abnormal amyloid beta (Aβ) levels, the sensitivity and specificity must be equivalent to that of current cerebrospinal fluid tests. Methods: In the current study we assessed the ability of phosphorylated tau (p-tau)217 and Aβ42/40 from the Lumipulse G p-tau217 and β-amyloid ratio (1-42/1-40) tests, individually and combined, to predict Aβ positron emission tomography status in two sub-cohorts from the Australian Imaging, Biomarkers, and Lifestyle Study of Ageing. Results: Testing an Alzheimer's disease continuum cohort, the area under the curve (AUC), sensitivity, specificity, and accuracy for …

Neurologists' Perspectives On Sudep Communication: A Comparative Study Across Five European Countries, Rohit Shankar

Peninsula Medical School

Objectives: The leading cause of epilepsy mortality is Sudden unexpected death in epilepsy (SUDEP). National and international guidelines recommend that people with epilepsy are counseled on SUDEP risk at the point of diagnosis or at the earliest opportunity. This study compares neurologist views from five European countries on attitudes and relevance of SUDEP communication. Methods: A cross-sectional online survey of 17 Likert questions using validated themes was circulated via different ILAE and/or equivalent organizations using a non-discriminatory exponential snowballing technique, leading to a non-probability sampling. Data were analyzed using descriptive statistics, Kruskal–Wallis, Chi-square, and Fisher's exact tests. Significance was accepted …

The Immeasurable Value Of Plankton To Humanity, Maria Grigoratou, Susanne Menden-Deuer, Abigail Mcquatters-Gollop, George Arhonditsis, Luis Felipe Artigas, Sakina-Dorothée Ayata, Dalida Bedikoğlu, Beatrix E Beisner, Bingzhang Chen, Claire Davies, Lillian Diarra, Owoyemi W Elegbeleye, Jason D Everett, Tatiane M Garcia, Wendy C Gentleman, Rodrigo Javier Gonçalves, Tamar Guy-Haim, Svenja Halfter, Jana Hinners, Richard R Horaeb, Jenny A Huggett, Catherine L Johnson, Maria T Kavanaugh, Ana Lara-Lopez, Christian Lindemann, Celeste López-Abbate, Monique Messié, Klas Ove Möller, Enrique Montes, Frank E Muller-Karger

School of Biological and Marine Sciences

Plankton, a diverse group of aquatic organisms, make Earth livable, regulate aquatic life, and provide benefits to human societies such as access to clean water, food security, and well-being. They also support economies and inspire biotechnological innovations. This article aims to raise awareness of the value of plankton to humanity and serves as an informative guide for aquatic professionals, policymakers, and anyone interested in plankton. We present the value of plankton across six themes of human interest: biogeochemistry; ecology; climate; the evolution of science; economy; and culture, recreation, and well-being. Guided by the 2022 Intergovernmental Science-Policy Platform on Biodiversity and …

Towards Multimodal Emotional Support Conversation Systems, Yuqi Chu, Lizi Liao, Zhiyuan Zhou, Chong-Wah Ngo, Richang Hong

Research Collection School Of Computing and Information Systems

The integration of conversational artificial intelligence (AI) into mental health care promises a new horizon for therapist-client interactions, aiming to closely emulate the depth and nuance of human conversations. Despite the potential, the current landscape of conversational AI is markedly limited by its reliance on single-modal data, constraining the systems’ ability to empathize and provide effective emotional support. This limitation stems from a paucity of resources that encapsulate the multimodal nature of human communication essential for therapeutic counseling. To address this gap, we introduce the Multimodal Emotional Support Conversation (MESC) dataset, a first-of-its-kind resource enriched with comprehensive annotations across text, …

Comparisons Between Different Methods Of Calculating Dynamic Strength Index: Effect On Training Recommendations, Nicholas Joel Ripley, Jack Fahey, Stuart Guppy, Paul Comfort

Research outputs 2022 to 2026

An impulse-based dynamic strength index (iDSI) that constitutes time-dependent force expression in contrast to the common peak force-based DSI (fDSI) may be more insightful when considering training recommendations. However, a limitation of the iDSI is that any change in countermovement jump (CMJ) propulsion phase duration could affect longitudinal comparisons. A fixed duration (e.g., 250ms) iDSI however could overcome this limitation. The purpose of the study was to determine the effect of different methods of calculating DSI (fDSI, iDSI matched, iDSI fixed) on the DSI value and resultant training prioritization. Thirty-seven team sport athletes (female=13, male=25, age=22.2±2.8 years, height=174.4±6.0cm, mass=74.9±11.9kg) performed …

History Informing The Future Of Exercise Oncology, Daniel A. Galvão, Kerry S. Courneya, Alejandro Lucia, Anne M. May, Karen Mustian, Allison B. Warner, Wiskemann Joachim, Karen Wonders, Kathryn H. Schmitz, Robert U. Newton

Research outputs 2022 to 2026

Exercise is increasingly recognized by patients, clinicians, and allied health professionals globally as an important component of cancer care. In this paper, we provide a viewpoint on developments in exercise oncology over the past 4 decades leading up to the creation of the International Society of Exercise Oncology (ISEO). We briefly review research in adult and pediatric cancers from early foundation studies to larger randomized controlled trials published in mainstream oncology journals alongside critical work undertaken in exercise and cancer biological mechanisms. We also discuss potential strengths, weaknesses, opportunities, and threats facing ISEO in becoming a global forum for exercise …

Closing The Youth Activity Gap Through School District–Community Partnerships, Joseph Anthes

Journal of Youth Development

A growing divide in physical activity amongst youth, fueled by the privatization of youth athletic programs, most negatively impacts underrepresented students. Intramural-sports programs hold the potential to engage more of our youth in physical activity, including those from marginalized populations. Utilizing a collective impact approach, school-community partnerships can create opportunities for access and strive toward equity in youth health. This study evaluates a partnership between a school district and a regional health care provider that resulted in the creation of a youth intramural-sports program by describing the partnership’s implementation strategies and by comparing first year enrollment data. Implementation strategies include: …

Full Issue, Volume 20, Issue 3

Journal of Youth Development

No abstract provided.

Efficacy And Safety Of Bridging Intravenous Thrombolysis Before Mechanical Thrombectomy In Acute Ischemic Stroke: A Systematic Review And Meta-Analysis, Tallal Mushtaq Hashmi, Mushood Ahmed, Hadiah Ashraf, Muhammad Shakir, Ibrahim Ahmad Bhatti, Ahmad Alareed, Faizan Ahmed, Ali Hasan, Ameer E. Hassan

School of Medicine Publications

Background: The safety and efficacy of intravenous thrombolysis (IVT) before mechanical thrombectomy (MT) in acute ischemic stroke remain uncertain.

Methods: We comprehensively searched PubMed, Embase, and the Cochrane Library from inception to May 30, 2025. Randomized controlled trials comparing IVT before MT versus MT alone in acute ischemic stroke were included. The primary outcome was excellent functional outcome (modified Rankin Scale score 0–1 at 90 days) and good functional outcome (modif ied Rankin Scale score 0–2). Secondary outcomes included successful recanalization, all-cause death, symptomatic, and any intracranial hemorrhage. Odds ratios (ORs) with 95% confidence intervals (CIs) were pooled using …