bluuebunny/crossref_metadata_2025 huggingface dataset:
The Impact of Innovation Adoption of Emerging Digital Technologies within a collaborative ecosystem on Firm Innovation Performance- Focus on Emerging Economies (Middle East, Africa, and Asia)
Authors: Shonubi Ololade
Published: July 2023

ABSTRACT: In today's fast-paced and ever-changing world, innovative technologies' rapid emergence and integration profoundly impact organisational strategies, the industry landscape, and overall economic and societal development. This article explores the adoption of specific emerging digital technologies (Artificial Intelligence (AI), Industry 4.0( I4.0 ), and the Internet of Things (IoT). It proposes a comprehensive framework to enhance firm innovation performance in organisations. A deep understanding of the future commercial utilisation of these technologies is crucial for informed decision-making. Acknowledging the interconnected nature of emerging technologies, this research emphasises the importance of collaboration among various stakeholders such as businesses, academic institutions, research organisations, regulatory bodies, and government agencies. This collaborative effort forms a unique and interdependent ecosystem essential for effectively applying, adapting, and improving emerging digital technologies. This study highlights perspective and limitations, particularly in emerging economies, by investigating the determinants that impact their implementation, mainly focusing on emerging economies. A robust framework is developed to address the research objectives by combining existing technology models, including the Diffusion of Innovation Technology-Organisation-Environment and Technology Acceptance Model. A quantitative research survey targeted managers and above in large enterprises and multinationals within the Middle East, Africa, and Asia manufacturing industries. The collected responses (n=153) were analysed using Structural Equation Modelling and Chi-Square methods. The findings of this study emphasise the advantages of the collaborative adoption of emerging digital technologies in improving firm performance. By bridging the gaps in integrating multiple emerging technologies within the innovation ecosystem, organisations can enhance their innovation capabilities and leverage them for sustainable competitive advantage. This comprehensive framework provides valuable insights and practical guidance for organisations seeking to navigate the complex landscape of emerging digital technologies and maximise their innovation potential.
Interdisciplinary Talent Training Model of New Media Art Major at Xi’an University: A Literature Review
Authors: Ya Xu , Ramli Harozila Binti , Khairani Mohd. Zahuri Bin
Published: July 2023

With the rapid development of the new generation of information technology represented by the Internet, big data and the Internet of Things, the development of new media art has reached a height beyond the reach of any art in the past. In the context of the high popularity of media technology, many local universities in China have established new media arts majors. The new media art major is also an art category with strong timeliness. The rapid development of modern science and technology provides unlimited space for the development of the new media art major. Therefore, the talent training of new media art should keep up with the pace and trend of the development of the times. The main purpose of this study is reviewing the literature about interdisciplinary talent training model for new media arts major at Xi 'an University. A literature review can address research questions with a power that no single study has. It can also help to provide an overview of areas in which the re-search is disparate and interdisciplinary.
Resource Endowment and Economic Growth in Sub-Saharan African Countries
Authors: Ola Kehinde Oluwole , Onyejiuwa Daniel Chibueze
Published: July 2023

This study assessed the evidence of resource curse and identified whether Dutch disease explained resource curse in selected sub-Saharan African (SSA) countries if evident. The study used Secondary data for 14 sub-Saharan African countries endowed with natural resources. Annual data from 1981 to 2017 obtained from the World Development Indicators (2017) and open data for Africa. The study adopted panel cointegration and fixed effects panel data estimation. The results showed a positve and statistically significant relationship between resource endowment and economic growth. This implied that resource endowment has a positive effect on economic growth in sub-Saharan African countries, and there is no basis to identify whether Dutch disease explain resource curse in SSA countries. The study concluded that there is no evidence of resource curse found in SSA countries and suggested that resource-endowed SSA countries should discover profitable investment in order to re-invested proceeds from natural resources into other form of renewable physical capital assets.
The Role of Mass Media in Crisis Management in Nigeria
Authors: Adediran Ismail Adesina
Published: July 2023

The role played by the media in the resolution of conflicts and crises cannot be overemphasized. The media has been a vital channel for resolving crises in society. The media has been construed as a two-edged sword that can either instigate a crisis or provide an avenue for resolving it. In other words, the influence of the mass media can be both positive and/or negative, depending on the mode and direction of use. Apparently, media influence has increased tremendously in the last decades, but there is no agreement among scholars and researchers on the degree and tenacity of its influence in managing and resolving conflicts and crises in society. The media, by right and duty, must provide citizens with accurate, comprehensive, unbiased, and high-quality information on the causes, effects, and possible resolutions to avert a further deepening of the crisis, which could lead to the destruction of lives, properties, and the economy. Put differently, the media are always known to set agendas for the public to follow; they do this by raising salient and critical issues as they unfold in society and bringing them to the public. The media set an agenda of peace, love, unity, etc. In recent times, Plateau State, especially Jos, has been characterized by one form of crisis or another, which in turn leads to the loss of lives and properties. This research work therefore attempts to examine the relevant role played by the media in resolving the lingering crises in Northern states, particularly Plateau State. In addition, the research examines the way and manner in which the media have been used to manage the crises in Nigeria. The aim of this study is to analyse the role of the media in crisis management in Nigeria. The specific objectives were to establish the media accessibility level and the various types of media coverage; to establish the extent to which media escalated and/or de-escalated violence; and to determine how media could influence selected human factors towards crises. The research utilized both primary and secondary source materials. Other reference materials, such as newspapers, the internet, and journals, were used to gather information about the activities carried out by the media in times of crisis. The research concludes that the media have a crucial role to play in de-escalating crises.
Patterns of communication flow and organizational effectiveness in Local Government Councils in Nigeria
Authors: Akarika Daniel Calixtus , Iwok Uduot A. , Afangide Nsentip George , Akpan Etop O.
Published: July 2023

This study examined pattern of communication flow and organizational effectiveness of Uyo and Etim Ekpo local government council in Nigeria. The objectives of the study were Ascertain the pattern of communication flow prevalent in Uyo and Etim Ekpo Local Government council in Akwa Ibom State, Nigeria. Assess the extent to which communication policy and organizational structure affected the communication flow patterns in Local Government Council, determine the extent to which communication flow pattern in Uyo and Etim Ekpo Local Government council enhances organizational/effectiveness, find out the barriers to effective communications flow and organizational effectiveness in Uyo and Etim Ekpo Local Government Council, determine the extent of employee satisfaction with the pattern of communication flow in Uyo and Etim Ekpo Local Government Council in Akwa Ibom State, Nigeria. The research design adopted for the study was survey with questionnaire and interview schedule as instrument of the study. The population of the study comprised subjects who are staff of the select local government councils. The staff strength of the two local government councils stands at 1,876, with Etim Ekpo Local Government having a staff strength of 424 while Uyo Local Government Council has 1,452 as at the time of this study according to the Akwa Ibom State, National Bureau of Statistics. The sample size of 187 for this study was determined using 10% systematically drawn from the population of each local government. Findings reveals that majority of respondents 75 (42%) agreed that the prevalent communication pattern was vertical (Downward communication). That is communication from top to bottom (management to subordinates). Furthermore majority of respondents 120 (70,50) representing 67% (39, 28%) were of the opinion that communication flow pattern enhances organizational effectiveness to a very great extent and a great extent respectively. This implies that communication flow enhances organizational effectiveness among other findings. It was recommended that the administrators of Uyo and Etim Ekpo local government council in consonance with local government service commission should look into their communication pattern and improve it. The extent of use of communication should be increased to further foster organizational effectiveness. Staff should be trained regularly to overcome the barriers to effective communication which are lack of proper planning, organizational barriers, semantic barriers, noise, poorly expressed messages, poor listening and distrust.
Literary Depiction of Rokeya Sakhawat Hossain’s Vision of an Equitable and Developed Society with The Cooperation of Empowered Women in Sultana’s Dream and Padmarag
Authors: Akter Mst. Rahima
Published: July 2023

Sultana’s Dream and Padmarag present us a model of the envisaged world of Rokeya Sakhawat Hossain-an equitable and developed society with the cooperation of empowered women. She draws this model as realistically as possible. Like any utopian land, everything is not smooth and beautiful here. Women empowerment does not occur in a magical way. All the possible hindrances that may appear on the way of the women trying to be empowered are clearly foretold here. Yet the portraits of the empowered women, who successfully achieve independence, self- dignity, the right to voice their own opinions, and the ability to serve the society are indeed inspirational for all, particularly for the captivated women of patriarchy.
Apropriação de Praças Públicas Centrais em Cidades de Pequeno Porte
Authors: Benedet Michelle
Published: July 2023

Para que as praças públicas atuem como espaços urbanos de permanência é desejável que apresentem qualidade física e ambiental. A crescente especialização do espaço dentro da cidade, o deslocamento das formas de entretenimento para recintos fechados, o crescimento do uso de veículos e as condições da vida urbana atual mostram alterações nas formas de apropriação das praças públicas. Para compreender o funcionamento das praças centrais é necessário estudar a relação entre usos, funções e aspectos físico-ambientais destas com o entorno imediato e seu papel na cidade. Para entender o fenômeno de apropriação das praças públicas centrais realizamos duas etapas distintas: a revisão de literatura e a pesquisa de campo. Na revisão de literatura, discutimos os seguintes temas: centros urbanos, espaços livres e praças públicas centrais. A pesquisa de campo foi realizada em seis praças localizadas nas cidades catarinenses de Tubarão, Braço do Norte e Laguna. A metodologia adotada foi o Estudo de Caso, no qual se utilizaram os seguintes procedimentos: análise documental, observação do desempenho físico-ambiental da praça e do comportamento do usuário, através das técnicas de entrevista e jogo. A aplicação destes métodos auxiliou no entendimento do fenômeno de apropriação das praças públicas centrais, pois, além de demonstrar a situação atual que as praças se encontram, permitiu identificar a opinião de quem se apropria ou não desses espaços. Assim, a partir da sistematização dos dados obtidos são apresentados parâmetros comuns com base nas análises das situações encontradas que visam uma qualificação das praças e uma maior apropriação por parte dos habitantes de cada cidade onde elas se encontram.
Der Mietvertrag mit mehreren Mietern - Unter besonderer Berücksichtigung der Wohn- und Geschäftsraummiete
Authors: Ackermann Ruedi
Published: July 2023

Mietverträge mit mehreren Mietern sind weit verbreitet (z.B. Wohngemeinschaften oder die Miete durch verheiratete oder unverheiratete Paare). Eine gemeinsame Miete entsteht auch im Erbfall, wenn der verstorbene Mieter mehrere Erben hinterlässt. Auch die gemeinsame Geschäftsraummiete gehört zu den typischen Erscheinungsformen. Das Mietrecht enthält keine besonderen Bestimmungen zur gemeinsamen Miete. Die sich stellenden Rechtsfragen sind nach den allgemeinen privatrechtlichen Rechtsnormen zu beantworten. Die vorliegende Arbeit bietet eine systematische Darstellung des Mietvertrags mit mehreren Mietern und behandelt schwergewichtig die Entstehung der gemeinsamen Miete, das Innenverhältnis zwischen mehreren Mietern und die Beendigung des Mietvertrags.
Pansitopeni İle Başvuran Bir Akut Bruselloz Olgusu
Authors: OĞUZ MIZRAKÇI Serpil , ŞAHİNOĞLU Mustafa Serhat
Published: July 2023

Bruselloz; ülkemiz için endemiktir ve hematolojik tutulumlara da yol açabilen zoonotik bir hastalıktır. Hastalık sırasında gelişen hipersplenizme veya kemik iliği tutulumuna bağlı olarak hematolojik tutulumlar görülebilir. Bel ağrısı ve terleme şikayetleri ile hastaneye başvuran ve tetkikler sonucunda pansitopeni saptanan olgumuza ileri değerlendirme için hastane yatışı yapıldı. Splenomegalisi olan, takibinde ateş yüksekliği gelişen hastaya bruselloz tanısı konuldu. Bruselloz tedavisi ile hematolojik parametreleri düzeldi. Bu olgu sunumunda; hematolojik hastalıkların ayırıcı tanısında brusellozun unutulmaması gerektiği amaçlandı.
A Rare Case of Increase in Seizure Frequency After COVID-19
Authors: ÇATAL Fatih , ÖZSARAÇ Murat , KARAKAYALI Onur , YÜRÜMEZ Yusuf , ASLAN Nuray
Published: July 2023

Tuberous sclerosis complex (TSC) is a rare genetic disease and affected individuals are usually characterized by the triad of cutaneous angiofibroma, mental retardation and epileptic seizures. Different clinical tables may occur due to the inflammatory response after COVID19. Apart from this, there is no article in the literature reporting that the frequency of seizures has increased as stated in the case example presented. A 30-year-old male patient was brought to our emergency room by his relatives with the complaint of epileptic seizures. Relatives of the patients stated that the frequency of seizures increased progressively after having COVID19 a month ago and that he had seizures 10 times in the last 24 hours. As seen in the case we presented, there may be an increase in the frequency of seizures in the late period after COVID19 in patients with epilepsy. For this reason, patients with an increased seizure frequency by emergency medicine physicians should also be evaluated for COVID19.
Clinical Experiences in Patients Treated with the Diagnosis of Covid-19
Authors: YILDIZ İlknur Esen , BAHÇECİ İlkay
Published: July 2023

Purpose : All over the world, a specific antiviral and immunomodulatory treatment method that can affect COVID-19 infection has not been found, and research is ongoing. Our goal is to share our clinical experience in patients receiving in patient treatment in our clinic.

Materials and Methods: Patients whose symptoms were compatible with COVID-19 and whose microbiological findings and/ortomography findings were compatible between March 11 and May 31, 2020 were included in the study.

Results: Among 180 patients included in the study; It was found that favipiravir treatment was added to 45 (25.0%) patients after HCQ treatment. A significant difference was found between treatment groups concerning; age, occupation, oxygen saturation, presence of Diabetes Mellitus, Hypertansion and lung disease, and CT findings (p
Determining Risk Factors for Delirium Among Elderly Patients in The Emergency Care Settings
Authors: KABADAYI SAHIN Esra , ŞAHİN Serkan
Published: July 2023

Objective: Delirium is reported as a common clinical state among elderly patients seeking care in the emergency departments (ED). However, it is commonly underdiagnosed in the ED. This study aimed to evaluate delirium prevalence and determine the risk factors for developing delirium in elderly patients in ED.

Material and Methods: 238 patients over the age of 65 who applied to the ED were included. The patient group was screened for delirium by the emergency specialist using the 'Confusion assessment method (CAM)'. The patients were then evaluated for delirium by a psychiatrist according to DSM-5 criteria. Demographic data, vital signs, and laboratory findings of the patients were recorded.

Results: Delirium is detected in 10.9% of the patients by using CAM and in 11.8% of the patients according to DSM-5 criteria. There was not any statistically significant difference between the groups with and without delirium in terms of age, gender, comorbid diseases, presence of dementia, and presence of polypharmacy. A positive correlation between mean arterial blood pressure (MABP) (r=0.373, p
Evaluation of Hemogram, Biochemistry, Inflammatory Markers and Electrolyte Levels in Patients with Acute Myocardial Infarction
Authors: GEDİK Muhammed Semih , GÖÇER Kemal
Published: July 2023

Aim: Hemogram, biochemistry, serum electrolyte, and inflammatory marker levels are altered in patients with acute myocardial infarction. When diagnosing and monitoring patients with acute myocardial infarction using cardiac-specific biomarkers, the levels of these markers should also be under control. We looked into the diagnostic and therapeutic value of hemogram, biochemistry, inflammatory markers, and electrolyte levels in acute myocardial infarction patients.

Material Method: It is a descriptive epidemiological study. Within the scope of the study, all patients aged 18 years and over and diagnosed with acute myocardial infarction in the Emergency Department and Cardiology Department of Kahramanmaraş Sütçü İmam University Faculty of Medicine Hospital between 01.01.2020 - 31.07.2022 were included retrospectively. Hemogram, biochemistry, serum electrolyte and inflammatory marker levels were investigated in acute myocardial infarction patients.

Results: Leukocyte, neutrophil, procalcitonin and C-reactive protein values were significantly higher in patients with acute myocardial infarction. Although platelet/lymphocyte ratios were high, no significance was found. In patients with acute myocardial infarction, glucose values measured at the time of stress were found to be high (hyperglycaemia). When we analysed the serum lactate levels of patients with acute myocardial infarction, it was found to be significantly higher.

Conclusion: In patients with acute myocardial infarction, hemogram, biochemistry, serum electrolyte and inflammatory marker levels are altered. The levels of these markers should also be controlled during the diagnosis and follow-up of acute myocardial infarction patients with cardiac specific biomarkers. We believe that hemogram, biochemistry, inflammatory markers and electrolyte levels may contribute to the prediction of early serious complications in patients with acute myocardial infarction.
GAPIO Vision
Authors: Jairam Nand Kumar
Published: July 2023

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A World Without Childhood Blindness
Authors: Raju Vederavu , Contaldi Andrea
Published: July 2023

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Understanding Polycystic Ovary Syndrome (PCOS):
Authors: Chakravorty Triya Anushka
Published: July 2023

Polycystic ovary syndrome (PCOS) is the commonest metabolic and endocrine disorder that affects women of reproductive age. It is characterised by irregular menstruation, hyperandrogenism and polycystic ovarian morphology.
 
While significant progress has been made in understanding PCOS, several research questions remain. For instance, there is a need for further investigation into the aetiology of PCOS, including the role of genetic and environmental factors, to aid in earlier diagnosis and treatment. Additionally, while some therapies have been effective in managing the symptoms of PCOS, their long-term efficacy and safety remain uncertain. There is a need to better understand the long-term health consequences of PCOS, particularly regarding cardiovascular disease and cancer risk.
                                                                        
Early diagnosis, lifestyle modifications, and appropriate medical interventions can help to reduce the risk of complications and improve the overall health outcomes of women with PCOS. Looking forward, there is a need for a multidisciplinary approach to studying PCOS, including collaborations between researchers, healthcare providers, and patient advocacy groups. This may involve developing new tools and technologies for diagnosis and treatment and exploring novel interventions and therapies.
There is a growing recognition of the importance of PCOS as a significant health issue affecting millions of women worldwide, and continued research efforts will be critical for improving diagnosis, treatment, and long-term outcomes for those affected by the condition.
Mild In Vitro Fertilisation
Authors: Farrer Beth , Nesbitt Helen , Osborne Lily , Stanley Camilla , Nargund Geeta
Published: July 2023

The case for making healthcare more sustainable is becoming increasingly urgent. Medical professionals understand the need to reduce the cost and environmental impact of our work. We also see that being creative in how we plan treatment pathways and communicate with patients can allow us to work sustainably in terms of the resources required, and in tandem, deliver real benefits for patients. Approaches that deliver ‘prevention rather than cure’ and keep medical intervention as minimally invasive as possible are often better for patients, as well as better for the environment.
These concepts are particularly pertinent in the field of reproductive and women’s health, where CREATE Fertility specialise in adopting an approach that is friendly and safe. With natural and mild IVF treatment, delivered with lower doses of drugs, CREATE is able to offer women treatment that reduces risks, side effects and the burden of IVF and supports healthier outcomes for mother and baby, while maintaining outcomes.
That philosophy of putting patients first and finding a more efficient way to work is at the heart of the foundation of CREATE’s ABC IVF. In the UK, and around the world, access to fertility treatment is not fair or equal. For many women and couples, cost is a major barrier and one that can stop them building the family they want. In the UK, availability of NHStreatment is variable around the country. At the time of its launch, ABC IVF was the UK’s lowest cost IVF provider, offering a lifeline to thousands of patients who would not otherwise have been able to access treatment.
In women’s healthcare, alongside education, innovation and research is key, yet in the UK it is acknowledged that historically there has been a ‘male as default’ approach that has affected research and clinical trials 1 . Professor Nargund is committed to helping to work towards the UN’s sustainable development goals three (health and wellbeing), five (gender inequality), ten (reduced inequality) and thirteen (climate action) with s push to provide affordable, accessible, effective and safe fertility treatment, delivered sustainably. The work is far from over and Professor Nargund and her team remain committed to improving the outlook for women’s healthcare.
Reducing Risks in Healthcare by Prioritising Workforce Well-being
Authors: Dodds Sarah , Grover Joydeep , Mahmood Ameer , Chakravorty Triya Anushka
Published: July 2023

Considering risks to healthcare covers a wide variety of topics. This cover’s an extensive area such as sustainability, including funding; planning, long-term policy development; and trends, including the emergence of publicly funded versus private healthcare or a hybrid offering. Other topics include workforce planning, involving the consideration of self-sufficiency versus importing; examination of delivery modes of hospitals versus community; and final consideration of balancing affordability with expectation and need. As part of a consideration of risk is an anticipation of what dangers may arise. This can be borne out of existing knowledge of known threats, which remain ongoing, trends and predicted risk patterns, and unexpected risks.
Mutually Beneficial Immigration is Key to Global Healthcare Sustainability
Authors: Mehta Ramesh , Chakravorty Indranil
Published: July 2023

It is estimated that this unequal world we live in, will need 80 million health workers to meet the demands of the global population by the end of the decade, double the number in 2013.1,2 The population distribution across the globe is skewed (Fig 1) with high densities in Africa, South Asia and South America which characteristically remains mismatched to their gross domestic product and net wealth, which is enjoyed by nations with the least population densities (Fig 2). Healthcare provision within geo-politically separated nation-states continues to be driven by local social, political and economic factors. Therefore, the adage of ‘no size fits all’ is applicable. No two countries have the same healthcare system, anywhere in the world, we know today. Yet the desire to achieve ‘Health for All’ should be universal.3 Implementation of the fundamental principle that health promotion and prevention must be prioritised before the resource intense diagnosis and management of maladies, is believed to be the only way to achieve any form of sustainability in healthcare provision.
Introduction to Artificial Intelligence Prediction for Healthcare
Authors: Chakravorty Anindya
Published: July 2023

Artificial intelligence (AI) aims to mimic human cognitive functions. It is bringing a paradigm shift to healthcare, powered by the increasing availability of healthcare data and rapid progress of analytics techniques.1 AI can be applied to various types of healthcare data (structured and unstructured). Popular AI techniques include machine learning methods for structured data, such as the classical support vector machine and neural network, modern deep learning, and natural language processing for unstructured data. Major disease areas that use AI tools include cancer, neurology and cardiology.
Frugal Surgical Innovations are the Need of the Hour
Authors: Sharma Dhananjay
Published: July 2023

Innovation is defined by the dictionaries as “a new idea, device, or method; or the act or process of introducing new ideas, devices, or methods.” However, Surgical Innovation (SI) is more difficult to define. Common narratives include why-where-how-what-who as well as novelty, degree of change, safety, ethical standards, level of impact and peer acceptance. [1, 2] We have proposed a simpler, more egalitarian and ‘inclusive’ definition: “a SI is ‘any’ new surgical idea which improves patient welfare by solving an existing problem; and which like a three-legged stool is balanced by the three legs which represent surgical-precision, surgical-wisdom and patient-safety”. [3]
Frugal Surgical Innovations (FSIs) are low-cost surgical innovations which are designed for economic reasons. These are all about ‘doing more and better with less for more people’. [4] FSIs make up for their lack in sophistication or complexity in affordability, without scrimping on safety or effectiveness. The three constructs of FSIs are: affordability, adaptability and accessibility. [5] The philosophy of FSIs originates from grassroots, resource-constrained settings (RCS), where most abundant of all-natural resources — human ingenuity — is used to optimize limited resources to solve problems. [6] Clinically meaningful inclusive research can be performed ‘only’ by surgeons working in RCS; as ‘only’ they understand the difficulties and nuances of various problems and can provide simple affordable solutions for their patients. [7]
Metacognition for Every Clinician
Authors: Shiralkar Uttam
Published: July 2023

A call to action, Surgical Metacognition: Smarter Decision-making for Surgeons challenges surgeons to understand the processes that underpin decision-making and performance, and how we can use this new knowledge to improve a surgeon's performance both in and outside the operating theatre.
Decision-making is a core professional activity for surgeons of all levels. It is a distinct high-level skill that is closely associated with the quality of surgical outcomes, patient satisfaction, teamwork, and a surgeon's well-being. Yet it has so far been woefully neglected in surgical training and professional development, with an assumption that these skills develop on their own and cannot be taught or improved. This is an unfortunate and costly oversight that it is time we redress.
But how are good decisions and expertise made? And how can we as a profession improve our thinking to optimize our decision-making and train expertise?
The answer lies not only in gaining more knowledge and experience, which although essential for good decision-making, do not address the fact that so few of us understand the process itself, let alone how to optimize and teach it. The first step, and focus of this book, is understating 'metacognition'; 'thinking about thinking, ' to improve self-awareness, critical thinking and how we make decisions.
The profound developments of psychology and decision-science are now well established and have been successfully incorporated into other high-stakes professions such as senior business management, the military and aviation, to significantly improve both professional and personal outcomes. That surgery has yet to implement this knowledge is like a race car driver using a car with technology that is decades old, ignoring developments that would significantly increase performance. It is time for surgery to embrace this knowledge; to advance and modernize the profession with sharper critical thinking and teaching.
With many real-world surgical examples, Surgical Metacognition: Smarter Decision-making for Surgeons reviews the psychological understanding of decisions and decision-making from recent decades of research, giving us the tools to improve how we think and teach this fundamental skill of expertise.
Enhancing Clinical Empathy in Medical Education: A Review of Current Strategies and Future Directions
Authors: Karnesis Georgios , Sai P Rama , Parsa Cyrus , Prasad Chaya
Published: July 2023

Empathy is crucial to healthcare as it improves patient outcomes, reduces malpractice
errors and healthcare costs, and increases physician resilience while reducing burnout
rates. Despite its importance, studies show that empathy declines as clinical training
progresses, likely due to a lack of consensus on its definition, a focus on science-
centered education rather than humanistic skills and high-stress levels. To address this,
medical schools and healthcare organizations must develop efficient tools for teaching
empathy. Various methods have been employed, including creative arts, reflective
essays, communication skills, and experiential learning. This review provides an overview
of recent studies on clinical empathy and aims to enhance the understanding and guide
future interventions to teach empathy in medical schools. A pilot study is also included,
showing that community connectedness positively impacts empathy levels among
medical students.
Polypharmacy and Deprescribing for Older Adults
Authors: Kamajian Steve
Published: July 2023

Polypharmacy, which refers to using multiple medications by an individual, is
becoming increasingly common in the aging population. Although it can be beneficial
in treating complex medical conditions, it also carries inherent risks, such as adverse
drug reactions, drug interactions, cognitive impairment, and increased healthcare
costs. With increased medication use, it is essential to consider the risks and benefits
of each prescribed medication. Evidence-based guidelines, such as the Beers Criteria
and the Screening Tool of Older Persons’ Prescriptions criteria, can help healthcare
providers reduce the risks of polypharmacy. Deprescribing, the process of reducing
or stopping medication use that is no longer necessary or potentially harmful, is
becoming increasingly important in managing polypharmacy. The 5Rs Framework and
the Medication Appropriateness Index are two examples of clinical practice guidelines
for deprescribing. Communication and collaboration between healthcare providers and
patients, gradual tapering of medication, and involvement of patients and caregivers
in decision-making are important considerations for deprescribing in primary care.
This article provides an overview of the prevalence and negative consequences of
polypharmacy, evidence-based guidelines for reducing polypharmacy, clinical practice
guidelines for deprescribing, and considerations for deprescribing in primary care.
A Challenging Case of Scleroderma: Diagnosis, Treatment, and Management
Authors: Tamhane Shrikant , Bernal Rebekah
Published: July 2023

Scleroderma is a relatively rare autoimmune disorder that causes progressive hardening,
tightening, and scarring of the skin, as well as internal organ involvement. This case study
presents a 56-year-old African American female with diffuse cutaneous scleroderma
who has had recurrent complications since 2017, including earaches and fingertip
infections. The patient’s medical history, clinical course, diagnosis, and treatment
options, including NSAIDs, low-dose corticosteroids, and methotrexate, are discussed.
Osteopathic manipulative medicine is explored as a potential symptomatic treatment
for scleroderma. Early diagnosis and chronic management for scleroderma patients
are emphasized to avoid severe complications such as pulmonary hypertension, which
can lead to cor pulmonale and right-sided heart failure. Further research is needed on
prophylactic treatments for scleroderma complications and the potential link between
multiple autoimmune disorders and increased susceptibility to scleroderma. This case
study provides medical professionals with a better understanding of scleroderma and
the available treatment options to improve patient quality of life.
Hypnotherapy and Purge Emotional Writing For Chronic Disease Management
Authors: Sadeghi Habib
Published: July 2023

Chronic disease is a significant burden on individuals, families, and healthcare
systems, with costs that continue to rise at alarming rates. It is the leading cause of
illness, disability, and death in the United States, accounting for 70% of all deaths.
Finding new and effective treatment options to address the complex and multifaceted
issues surrounding the chronic disease burden is essential. Research has shown that
emotional stress plays a prominent role in all major disease processes, including the
growth and metastasis of cancer, autoimmune diseases, and gastrointestinal disorders.
Clinical psychotherapy has effectively reduced emotional stress and improved health
outcomes in various chronic disease contexts. Clinical hypnotherapy has shown promise
in enhancing immune function, managing pain, improving outcomes, and alleviating
symptom burden. Another option, purge emotional writing, has effectively reduced
emotional stress. By integrating hypnotherapy and purge emotional writing into patient
care, physicians can potentially reduce healthcare costs and enhance quality of life,
particularly for those individuals with chronic diseases.
An Investigative Report on Homelessness, Its Correlation with Psychiatric Illness and Substance Abuse
Authors: Nwosu Ikenna
Published: July 2023

Homelessness and substance abuse are prevalent, interconnected issues that present
significant challenges for both social and medical communities. Despite significant efforts
from various stakeholders, including supportive lawmakers, governing councils, and the
medical community, these problems persist and are often refractory to interventions. This
study aims to investigate the coexistence and severity of homelessness and substance
abuse in Clinica Sierra Vista, a federally qualified health center serving Kern County
and other counties in California’s Central Valley. By identifying potential points for early
intervention, we hope to improve outcomes for individuals affected by homelessness
and substance abuse. Evidence suggests that early intervention in disease processes
can lead to better outcomes. We aim to explore whether this is true for the complex
interplay between homelessness and substance abuse.
Liquid Biopsy: New Kid on the Block
Authors: Sai P Rama , Parsa Cyrus , Prasad Chaya
Published: July 2023

Cancers have historically been diagnosed by gold-standard invasive procedures,
such as an open biopsy, CT, or US guided needle biopsy. These procedures provide
pathologists with adequate tissue specimens to conduct routine histopathology (H&E
stain), specialized tests such as immunohistochemistry and submit tissue for genetic
analysis, molecular studies, and flow cytometry. This has translated into a need for larger
specimens. Over the past years, there has been an emerging need for less invasive or
minimally invasive procedures in surgical and oncologic specialties. This has resulted in
the much acclaimed, revolutionary, noninvasive, or minimally invasive technique, Liquid
Biopsy, a boon to oncologists much appreciated by the patient population. In this era of
“precision,” “personalized,” or “point of care” medicine, there are major advancements
in not only diagnostic methodologies but also in prognostic and therapeutic modalities.
This allows the treating physicians to work with less material obtained by a non-invasive
or minimally invasive procedure. However, it is important to note that this innovative
testing modality does not replace the gold standard tissue diagnosis. Liquid Biopsy,
however, provides an excellent practical, complement, or on occasion an alternative,
procedure for obtaining sequential samples for molecular testing. It allows for real-time
monitoring of the cancers as it provides a snapshot of the primary and/or metastatic
tumor, allowing for personalized treatment options. Liquid Biopsy can change the
prognostic and predictive landscape for cancer genotyping, impacting patient
management. In this review article, the authors will provide a simplified overview of the
various aspects of Liquid Biopsy, including its pros, cons, clinical applications, current
role, and future potential in healthcare. We hope to provide new insights that will
enhance the current understanding of Liquid Biopsy as it stands today and how it may
shape future patient care.
Human-Generated vs. AI-Generated Articles on XLH: A Comparative Analysis
Authors: Barag Steven , Raja Ajith , Shieh Jennifer
Published: July 2023

X-linked hypophosphatemia (XLH) is a hereditary condition characterized by reduced
phosphate levels in the bloodstream, leading to skeletal abnormalities. Extensive
research has been conducted on XLH, leading to the publication of numerous
scientific papers and disease state reviews. With the advancement of artificial
intelligence (AI) language models, such as ChatGPT, evaluating their proficiency
in medical academic writing becomes crucial. In this study, we aimed to assess the
capabilities of ChatGPT by comparing its AI-generated research paper on XLH
with a human-generated review of the disease state we authored. We employed a
comparative analysis approach to examine the AI- and human-generated articles’
content, structure, accuracy, and overall quality. Our evaluation considered factors
such as accuracy of the information, writing style and clarity, evidence-based
documentation quantity, and content depth and breadth. The findings of this
study have important implications for integrating AI language models into medical
research and academic writing. Understanding the strengths and limitations of AI-
generated articles can help researchers and healthcare professionals make informed
decisions regarding their utilization in scientific publications and clinical practice.
Algebraic Bethe Ansatz for the Open XXZ Spin Chain with Non-Diagonal Boundary Terms via $U_{\mathfrak{q}}\mathfrak{sl}_2$ Symmetry
Authors:   Universite de Paris, France, Chernyak Dmitry , Gainutdinov Azat M. ,   Universite de Tours, France, Jacobsen Jesper Lykke ,   Universite de Paris, France, Saleur Hubert ,   Institut de Physique Theorique, France
Published: July 2023

We derive by the traditional algebraic Bethe ansatz method the Bethe equations for the general open XXZ spin chain with non-diagonal boundary terms under the Nepomechie constraint [J. Phys. A 37 (2004), 433-440, arXiv:hep-th/0304092]. The technical difficulties due to the breaking of $\mathsf{U}(1)$ symmetry and the absence of a reference state are overcome by an algebraic construction where the two-boundary Temperley-Lieb Hamiltonian is realised in a new $U_{\mathfrak{q}}\mathfrak{sl}_2$-invariant spin chain involving infinite-dimensional Verma modules on the edges [J. High Energy Phys. 2022 (2022), no. 11, 016, 64 pages, arXiv:2207.12772]. The equivalence of the two Hamiltonians is established by proving Schur-Weyl duality between $U_{\mathfrak{q}}\mathfrak{sl}_2$ and the two-boundary Temperley-Lieb algebra. In this framework, the Nepomechie condition turns out to have a simple algebraic interpretation in terms of quantum group fusion rules.
Seiberg-Witten Geometry of Four-Dimensional $\mathcal N=2$ Quiver Gauge Theories
Authors:   Stony Brook University, USA, Nekrasov Nikita , Pestun Vasily ,   Institut des Hautes Etudes Scientifiques, France
Published: July 2023

Seiberg-Witten geometry of mass deformed $\mathcal N=2$ superconformal ADE quiver gauge theories in four dimensions is determined. We solve the limit shape equations derived from the gauge theory and identify the space $\mathfrak M$ of vacua of the theory with the moduli space of the genus zero holomorphic (quasi)maps to the moduli space ${\rm Bun}_{\mathbf G} (\mathcal E)$ of holomorphic $G^{\mathbb C}$-bundles on a (possibly degenerate) elliptic curve $\mathcal E$ defined in terms of the microscopic gauge couplings, for the corresponding simple ADE Lie group $G$. The integrable systems $\mathfrak P$ underlying the special geometry of $\mathfrak M$ are identified. The moduli spaces of framed $G$-instantons on ${\mathbb R}^{2} \times {\mathbb T}^{2}$, of $G$-monopoles with singularities on ${\mathbb R}^{2} \times {\mathbb S}^{1}$, the Hitchin systems on curves with punctures, as well as various spin chains play an important role in our story. We also comment on the higher-dimensional theories.
Un portrait de la santé psychologique des enseignants du collégial durant la pandémie de COVID-19
Authors: Barroso da Costa Carla , Loye Nathalie , Lapointe Karina , Doyon Élisabeth
Published: July 2023

Dans le contexte particulier de la pandémie de COVID-19 pour les enseignants, il est essentiel de s’intéresser à la santé psychologique de ces derniers, compte tenu de tous les bouleversements qu’ils ont vécus. La recherche dont traite cet article vise à comprendre les états affectifs et émotionnels témoignant de la santé psychologique des enseignants du collégial à travers leurs tâches durant la pandémie. Menée à l’automne 2020, la recherche a poursuivi deux objectifs spécifiques : 1) tracer un portrait de la santé psychologique des enseignants, en tenant compte des manifestations positives de bien-être et négatives de détresse psychologique liées au contexte de travail et 2) décrire les sentiments qu’éprouvent les enseignants, selon leur genre et leurs habiletés avec la technologie. De type exploratoire, la recherche a utilisé des analyses quantitatives et qualitatives pour dresser un portrait détaillé du sujet étudié. Au total, 148 enseignants québécois francophones provenant du milieu collégial ont répondu, sur une base volontaire, à un questionnaire en ligne autoadministré. Les résultats quantitatifs mettent en évidence la prédominance des sentiments positifs par rapport aux sentiments négatifs vécus par les enseignants, ainsi que les différences liées à leur état de santé psychologique selon leur genre et leur habileté avec la technologie. Les résultats qualitatifs, quant à eux, permettent d’approfondir les réflexions des enseignants sur certains aspects de leur santé psychologique. Finalement, l’étude fournit des pistes d’action adaptées à certains éléments vécus par les enseignants afin de favoriser leur santé psychologique.
Pratiques pédagogiques inclusives en enseignement postsecondaire, en contexte pandémique
Authors: Heilporn Géraldine , Larose Simon , Beaulieu Catherine , Janosz Michel , Cellard Caroline , Bureau Julien S. , Côté Sylvana
Published: July 2023

En enseignement postsecondaire, la mise en œuvre de pratiques pédagogiques inclusives dépend à ce jour d’initiatives individuelles des enseignants. La pandémie de COVID-19 a toutefois forcé la mise en ligne des cours, amenant les enseignants à revoir leurs pratiques. L’objectif de cette étude consiste à analyser l’évolution des usages de pratiques pédagogiques inclusives au postsecondaire, plus précisément en enseignement collégial, à la suite de la transition des cours en présentiel vers des cours hybrides et en ligne pendant la pandémie. Suivant une méthodologie mixte de recherche, des données quantitatives et qualitatives ont été recueillies auprès d’étudiants de 10 établissements à travers le Québec, par le biais de questionnaires avant et pendant la pandémie (n = 1242) complétés par des entrevues auprès d’étudiants en situation de handicap (n = 25). Les résultats montrent une augmentation de l’accessibilité du matériel pédagogique, une progression sur l’utilisation d’outils technologiques pour diversifier les formats de présentation des contenus et pour faciliter la communication et la participation, ainsi qu’une certaine diversification des activités d’évaluation et une plus grande flexibilité dans les dates de remise. Toutefois, une régression des pratiques est constatée quant à la variété des méthodes pédagogiques et aux occasions d’engagement des étudiants dans les cours hybrides et en ligne. L’enseignement a aussi été perçu comme moins inclusif et moins structuré par les étudiants, sauf dans les cours où les enseignants réservaient un temps spécifique pour les questions et pour résumer les points importants. Les résultats sont discutés à la lumière des principes et des pratiques visant à soutenir les apprentissages et l’engagement de tous les étudiants, en reconnaissance de la variabilité de leurs besoins et préférences.