Outcomes after total ankle arthroplasty with an average follow-up of 10 years: A systematic review and meta-analysis.

BACKGROUND: The literature demonstrating positive outcomes after total ankle arthroplasty (TAA) is mounting. However, the long-term outcomes of TAA (≥ 10 years) remain minimally reported. The purpose of this systematic review and meta-analysis was to evaluate outcome metrics over multiple TAA studies with greater than 10 years of average follow-up. METHODS: TAA studies were searched in Medline, Embase, and Scopus from the date of inception to September 12, 2022. Inclusion criteria included 1) studies of patients that underwent uncemented TAA, and 2) studies with an average follow-up time of at least ten years. Manuscripts in non-English languages and isolated abstracts were excluded. We collected American Orthopaedic Foot and Ankle Score (AOFAS) and Visual Analog Scale (VAS) scores from the included studies for pooled meta-analysis. Due to the varying definition of survivability between studies, this metric was not assessed in our final evaluation. RESULTS: Our data included approximately 3651 patients (3782 ankles). Of the 25 studies with an average follow-up of 10 years included in the systematic review, 5 provided pre- and post-operative AOFAS means and 5 provided pre- and post-operative VAS means with associated measures of variability and were included in our meta-analysis. The weighted mean difference between pre-and post-operative AOFAS and VAS scores was -40.36 (95% CI -47.24 to -33.47) and 4.52 (95% CI: 2.26-6.43), respectively. The risk of bias was low to moderate for the included studies. CONCLUSION: Outcomes following TAA are favorable and indicate patient-reported outcome improvement over long-term follow-up. However, a significant amount of heterogeneity exists between studies. Future, prospective, randomized research should focus on standardizing outcome measures, survivorship, and complication reporting methodologies to allow for pooled meta-analyses of these important outcome metrics.

A Content Analysis of Posts to an Online Support Forum for "Girl Lovers".

The internet is an effective tool for studying the cognitive distortions among those with a sexual attraction to children. Identified through previous works, users of an online "boy love" forum were found to present a variety of justifications for adult-child sexual relations. The current study extends this line of inquiry, analyzing posts from an online "girl love" forum. We found that the most common justification to appear reflected a belief that societal attitudes and authority figures were to blame for the harms caused by adult-child sex. We also found that the forum provided users with support and reinforcement for such distorted beliefs. Overall, online forums provide a window into the cognitive life of individuals with a sexual attraction to children, and one that reflects beliefs that may be largely unexpressed in the confines of forensic treatment settings.

The role of extracurricular activities and lectures in mitigating medical student burnout.

CONTEXT: Strong evidence throughout the literature highlights burnout as a significant and increasing problem among medical students, impacting students' ability to effectively care for and empathize with patients. OBJECTIVES: To examine how involvement in extracurricular activities and attendance at burnout lectures can impact burnout among medical students. METHODS: An anonymous digital survey including the Maslach Burnout Inventory (MBI) was sent to all students (n=765) at Rowan University School of Osteopathic Medicine. The survey included questions regarding the number of burnout/wellness lectures respondents had attended, the number of clubs in which the respondents participated, the number of hours spent in these clubs, and any leadership positions held by the respondents. RESULTS: Of the 765 students enrolled, 597 completed the survey. Results indicated that women participated in significantly more clubs than men (t[456]=-4.30; p<0.001). Men had higher scores on the depersonalization subscale of the MBI than women (t[463)=2.98; p<0.01]. There were no gender differences in emotional exhaustion or personal accomplishment. Linear regression analyses including gender and club participation as predictors of each of the burnout subscales indicated a significant interaction between gender and number of clubs (ß=0.34; p<0.05), in that more club participation was associated with higher depersonalization scores for women, but lower depersonalization scores for men. The number of wellness/burnout prevention lectures attended was not predictive of scores on any of the burnout subscales. CONCLUSIONS: Our results indicate the importance of understanding what drives burnout on the individual level and adapting interventions to suit the needs of individual students, rather than the student body as a whole.

An Examination of Dating Violence Among College Student-Athletes.

College students are at increased risk for dating violence (DV) perpetration and victimization. One group of college students who may be at elevated risk is college student-athletes. While levels of athletic involvement range from National Collegiate Athletic Association (NCAA) Division I to Division III, there is currently a lack of information about the dating and relationship behaviors of male and female Division III student-athletes. This study identified the frequency of both minor and severe physical, psychological, and sexual DV perpetration and victimization in a sample of NCAA Division III college student-athletes. We also examined hazardous drinking and hostile sexism as risk factors for DV perpetration and victimization among male and female student-athletes. A total of 350 student-athletes from a Division III university participated in this study. In total, 57% of student-athletes reported perpetrating some form of DV in the past year, while 56% reported experiencing some form of DV victimization in the past year. Two negative binomial generalized linear models assessed if hazardous drinking and hostile sexism were associated with sexual assault perpetration and victimization among men and women. Both hostile sexism and hazardous drinking were predictive of DV perpetration and victimization. These findings serve as an important first step in identifying behaviors that contribute to DV among Division III student-athletes and can be used to inform future prevention interventions aimed at decreasing DV among student-athletes.

Does Sexism Mediate the Gender and Rape Myth Acceptance Relationship?

Compared with women, men tend to blame assault victims, exonerate perpetrators, and report higher levels of sexism and rape myths. The goal of the present study was to determine whether sexist beliefs mediate the established relationship between gender and rape myth acceptance in a sample of 626 college students. Results demonstrated that hostile sexism, complementary gender differentiation, and heterosexual intimacy mediated the relationship between gender and rape myth acceptance, suggesting that these attitudes play a role in victim blaming and have potential to inform the development of sexual assault prevention programs.