Two reviewers independently screened and selected all references,

and assessed the quality of systematic reviews or meta-analyses using the “”Assessment of Multiple Systematic Reviews”" (AMSTAR) tool.

Results: Twenty two systematic reviews or meta-analyses were included in this study. The median overall score (out of 11) for included reviews was 5 (range 2-11) and the mean overall score for AMSTAR was 4.7 (95% confidence interval 3.8-5.7). Nine out of 22 reviews were rated as low quality (AMSTAR score 0-4), 11 were rated as moderate quality (AMSTAR score 5-8), and two reviews were categorized as high quality (AMSTAR score 9-11).

Conclusions: The methodological quality of published reviews on nursing interventions conducted by Korean reviewers was assessed as low to moderate. In order

to use the best available evidence buy Trichostatin A learn more in clinical decision making, reviewers should conduct systematic reviews or meta-analyses using rigorous research methods.”
“The overhead athlete is at unique risk for injury because of the mechanics associated with rapid shoulder elevation, abduction, and external rotation. Angulation of the humeral head against the posterosuperior glenoid can cause rotator cuff tendon and labral impingement. The throwing or striking motion of baseball, softball, water polo, tennis, racquetball, and volleyball may result in scapular dyskinesis, partial articular-sided supraspinatus avulsions, and posterosuperior labral tears. The SICK scapula syndrome (scapular malposition, inferior medial border prominence,. coracoid pain and malposition, and dyskinesis of scapular movement) is thought to increase the risk of injury in the overhead athlete. Special physical examination Cl-amidine maneuvers and magnetic resonance

imaging may be helpful in diagnosing intra-articular pathology. Rehabilitation of injuries associated with internal impingement of the shoulder should include three basic components: strengthening, stretching, and sport-specific exercises. Arthroscopic surgery may be considered if symptoms do not improve after three months of conservative management. Copyright (C) 2014 American Academy of Family Physicians.”
“Background: Randomized controlled trials (RCTs) may be discontinued because of apparent harm, benefit, or futility. Other RCTs are discontinued early because of insufficient recruitment. Trial discontinuation has ethical implications, because participants consent on the premise of contributing to new medical knowledge, Research Ethics Committees (RECs) spend considerable effort reviewing study protocols, and limited resources for conducting research are wasted. Currently, little is known regarding the frequency and characteristics of discontinued RCTs.