The use of social media platforms (SMPs) in the field of scientific literature is a new and evolving realm. The past few years have seen many novel strategies to promote engagement of readers with articles. The aim of this study was to gauge the acceptance, opinion, and willingness to partake in the creation of online social media educative material among authors. We conducted a validated and anonymized cross-sectional e-survey with purposive sampling among authors of the Indian Journal of Rheumatology journal over a cloud-based platform (SurveyMonkey). Descriptive statistics are used and values expressed as the number of respondents (n) against each answer. Of 408 authors, 102 responded. We found that a large majority (74) supported promotions on SMPs. Visual abstracts (81) were the most preferred means for promotion. A reasonable proportion (54) of the authors held the view that they could make these materials for themselves, with little guidance. However, currently only a few (47) were doing so. Awareness on social media editors in rheumatology was dismal (4). Citations were the preferred metric of article visibility (95), followed by altmetrics (21). These findings suggest that authors support article promotions on SMPs, although most do not promote their articles. Graphical abstracts are the preferred means of promotions. Further, the opinion on logistics is divided, calling for larger studies to understand the factors that need to be addressed to bridge the gap.
OBJECTIVES Infections including Tuberculosis (TB) are a leading cause of morbidity and mortality in Idiopathic Inflammatory Myopathies (IIM). We systematically reviewed the prevalence of Mycobacterial infections in patients with IIM. METHODS We screened PUBMED, EMBASE and SCOPUS databases and conference abstracts (2015–20) for original articles using Covidence. Pooled estimates of prevalence were calculated. RESULTS Of 83 studies (28 cohort-studies, 2 case-control and 53 case reports), 19 were analysed. Of 14043 IIM patients, Dermatomyositis (54.41%) was the most common subset among TB. Most studies were from Asia with high prevalence [5.86%,2.33%-10.60%]. Pooled prevalence of Mycobacterial infections among IIM was 3.58% (95% CI = 2.17% - 5.85%, p< 0.01). Disseminated and extrapulmonary forms (46.58%; 95% CI 39.02%-54.31%, p= 1.00) were as common as pulmonary TB (49.07%; 95% CI = 41.43%-56.75%, p= 0.99) both for I2=0. Muscle involvement, an otherwise rare site, was frequently seen in case reports (24.14%). M. Tuberculosis (28.84%) was the most common pathogen followed by Mycobacterium Avium Complex (3.25%). Non-tuberculous Mycobacteria were less common overall (6.25; 95% CI = 3.49%-10.93%) I2=0, p= 0.94. Subgroup analysis & meta-regression based on high vs low TB regions found prevalence 6.61% (2.96%-11.33%) in high TB regions vs 2.05% (0.90%-3.56%) in low TB regions. While death due to TB was occasionally reported [p= 0.82], successful anti-tubercular treatment was common (13.95%). CONCLUSION TB is common in IIM, particularly in endemic regions though current data is largely heterogeneous. Extra-pulmonary forms &atypical sites including the muscle are frequent. Limited data suggests fair outcomes, although larger prospective studies may offer better understanding.
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