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The aim of this systematic review and meta-analysis was to evaluate the rate of return to sport in elderly patients who underwent anatomic (ATSA) and reverse (RTSA) total shoulder arthroplasty, to assess postoperative pain and functional outcomes and to give an overview of postoperative rehabilitation protocols. A systematic search in Pubmed-Medline, Cochrane Library, and Google Scholar was carried out to identify eligible randomized clinical trials, observational studies, or case series that evaluated the rate of return to sport after RTSA or ATSA. Six retrospective studies, five case series, and one prospective cohort study were included in this review. The overall rate of return to sport was 82% (95% CI 0.76-0.88, p less then 0.01). Patients undergoing ATSA returned at a higher rate (90%) (95% CI 0.80-0.99, p less then 0.01) compared to RTSA (77%) (95% CI 0.69-0.85, p less then 0.01). Moreover, the results showed that patients returned to sport at the same or a higher level in 75% of cases. Swimming had the highest rate of return (84%), followed by fitness (77%), golf (77%), and tennis (69%). Thus, RTSA and ATSA are effective to guarantee a significative rate of return to sport in elderly patients. A slightly higher rate was found for the anatomic implant.Recently, with the rapid increase of urban population and industrial agglomeration, the price of construction land has increased, and construction land has become increasingly scarce. Therefore, how to improve the construction land use quality (CLUQ) becomes more and more important. The purpose of the study is to evaluate CLUQ in China’s major cities and to analyze the dominant obstacle factors for quality improvement in order to provide policy advice for construction land management. This study adapts the data from 2014 to 2016 and constructs the evaluation framework of CLUQ involving economic quality, social quality, and ecological quality of construction land to evaluate and analyze CLUQ with the synthetic evaluation model, coupling evaluation model, and obstacle diagnosis model (ECO model). This study shows that the synthetic CLUQ of 23 cities out of 36 major cities in China shows a general increasing state. The economic quality of 26 cities out of 36 major cities in China has increased, while the social and ecological quality of 20 out of 36 major cities in China has decreased. In terms of spatial characteristics, the synthetic quality in the east and southwest of China is relatively high; in terms of spatial trend, the synthetic quality in longitude increases from west to east, and it shows an inverted U-shaped state in latitude. Moreover, economic development is the main obstacle factor for the improvement of CLUQ in Hohhot, Lanzhou, Urumqi, and Changchun. Social development results in the CLUQ lagging in Beijing, Guiyang, Shanghai, Xining, and Chongqing. Ecological development has a negative impact in that of Harbin, Qingdao, and Wuhan. Furthermore. The improvement of CLUQ lies in the coupling and coordinated development of economic, social, and ecological quality. selleck chemicals For those with a low coupling degree, the targeted suggestions are given for different types based on city’s quadrant distribution.Community pharmacists (CPs) have traditionally had limited access to patients’ estimated glomerular filtration rate (eGFR) during the medication-dispensing process. The increasing access to shared electronic health records is making eGFR available, but the skills needed to detect and manage clinically relevant drug-related problems (DRPs) are poorly documented. The primary objective of this study was to investigate the role of CPs in the medication-dispensation process for elderly patients with renal impairment. A total of 70 CPs participated in this 6 month study. Community pharmacists asked all patients ≥65 years to bring their laboratory test values for the next medication-dispensing process. Drug-related problem detection rates were compared between CPs (prospective period) and expert pharmacists (retrospectively). The clinical relevance of each DRP was assessed by nephrologists and general practitioners using an appropriate tool. Community pharmacists recruited n = 442 patients with eGFR less then 60 mL/min/1.73 m2 and detected n = 99 DRPs, whereas expert pharmacists detected n = 184 DRPs. The most frequently detected DRPs were dosage problems and contraindications. According to assessment by clinicians, CPs and expert pharmacists identified 54.0% and 84.7% of clinically relevant DRPs, respectively. This study suggests a positive impact of the systematic availability of eGFR to CPs on the detection of several DRPs with clinical relevance.Previous studies have demonstrated that there is a high possibility that the presence of certain built environment characteristics can influence health outcomes, especially those related to obesity and physical activity. We examined the associations between select neighborhood built environment indicators (crosswalks, non-single family home buildings, single-lane roads, and visible wires), and health outcomes, including obesity, diabetes, cardiovascular disease, and premature mortality, at the state level. We utilized 31,247,167 images collected from Google Street View to create indicators for neighborhood built environment characteristics using deep learning techniques. Adjusted linear regression models were used to estimate the associations between aggregated built environment indicators and state-level health outcomes. Our results indicated that the presence of a crosswalk was associated with reductions in obesity and premature mortality. Visible wires were associated with increased obesity, decreased physical activity, and increases in premature mortality, diabetes mortality, and cardiovascular mortality (however, these results were not significant). Non-single family homes were associated with decreased diabetes and premature mortality, as well as increased physical activity and park and recreational access. Single-lane roads were associated with increased obesity and decreased park access. The findings of our study demonstrated that built environment features may be associated with a variety of adverse health outcomes.