bluuebunny/crossref_metadata_2025_split huggingface dataset:
Aperfeiçoamento da Formação de Bombeiros Através da Realidade Virtual: Perspetivas Sobre Benefícios, Desafios e Integração Tecnológica
Authors: Pinheiro Bruno Miguel , Veiga Pedro Alves da , Branco Paulo Duarte 
Published: December 2024

A utilização da realidade virtual (RV) na formação de bombeiros é uma inovação promissora, com o potencial de transformar métodos de treino tradicionais, ao permitir simulações de cenários de alto risco de forma controlada e segura. Este artigo explora os benefícios e os desafios da integração da RV em programas de formação, destacando as suas vantagens no desenvolvimento de competências práticas e na preparação para situações de emergência complexas. O realismo proporcionado pela RV facilita a imersão dos bombeiros em ambientes virtuais onde podem praticar manobras e tomada de decisões sem os riscos inerentes ao uso de fogo real, aumentando a segurança e permitindo a repetição de cenários sem custos adicionais significativos.

Contudo, a aplicação da RV enfrenta desafios técnicos e de aceitação. Barreiras como o custo elevado de equipamentos, as dificuldades na criação de simulações completamente realistas, especialmente para replicar fatores como o calor e o fumo, e a resistência de alguns profissionais em adotar tecnologias novas são questões relevantes. Além disso, a necessidade de hardware especializado e a possível ocorrência de desconfortos físicos, como enjoos, indicam a importância de um período de adaptação.

Ainda assim, estudos indicam que a RV pode oferecer benefícios significativos, como o feedback imediato e a possibilidade de personalização do treino para responder às necessidades individuais. A integração eficaz da RV requer uma abordagem colaborativa entre corporações de bombeiros e de quem desenvolve a tecnologia para adaptar a inovação às especificidades do treino de emergência. O potencial da RV para elevar o nível de preparação dos bombeiros de forma segura e eficiente aponta para uma aplicação crescente dessa tecnologia na área de segurança pública, destacando a importância de investigações futuras para otimizar o seu uso em cenários reais de emergência.
The Implementation of Project-Based Learning (PBL) with ADDIE Model to Improve Students' Creative Thinking Ability
Authors: Wahyudin Wahyudin , Qobus Muhammad Shofwan , Fatimah Nusuki Syariati , Riza Lala Septem , Adedokun-Shittu Nafisat Afolake 
Published: December 2024

Creative thinking ability is one of the thinking concepts used to find ideas that people are starting to be interested in. Creative thinking can be used as a relevant tool in building innovation and as a method for building innovation models, one of which is a learning model. The project-based learning model is a solution that influences students' activeness and creativity in learning. The purpose of this research is to apply a project-based learning model that is expected to improve students' creative thinking abilities on creative product and entrepreneurship subjects on the Internet of Things material. The development model used in this research is ADDIE (Analyze, Design, Development, Implementation, Evaluation) with a One Group Pretest-Posttest research design. Based on the research results, there are several conclusions, including the following: 1) Students' creative thinking abilities by implementing the project-based learning model can be seen from the average pretest score of 38.24 and the average posttest score of 70.15. 2) The normalized gain test results obtained a mean of 0.517 with the "Medium" criteria, which means there is a difference in creative thinking abilities after the treatment process. There are four aspects given when giving the TAM questionnaire to students, namely the user's perception of usefulness with a percentage of 86.67%, the user's perception of ease of use with a percentage of 84.71%, attitude towards use with a percentage of 83.53 and attention. With a percentage of 86.27%, and the average obtained for the four aspects was 85.29% in the "Very Good" category.
Diagnosis of the anatomic preconditions of intermittent testicular torsion
Authors: Sablin D. E. , Sizonov V. V. , Kagantsov I. M. , Shamik V. B. , Lukash Yu. V. 
Published: December 2024

Introduction. In a series of studies, patients with intermittent testicular torsion (ITT) have a 29% to 50% chance of gonad loss. The «bell clapper» type testicular fixation abnormality is a predisposing factor for TT. In cases of ITT, episodes of hemiscrotal pain attack are not a sufficient reason to scrotal revision, which makes it important to develop imaging techniques to document the presence of anatomical preconditions for ITT.Objective. To find a methodology beneficial in solving the problem of documenting the anatomical preconditions for ITT.Materials & methods. To diagnose anatomical preconditions of ITT, we have developed a method of ultrasound. Ultrasound can be used to prove the presence of a “bell clapper» deformity by visualizing the spermatic cord proximal to the testis surrounded by fluid. Fix the testis with a slight traction in a caudal direction while moving the fluid inside the sheaths upward. Place the transducer over the spermatic cord in a horizontal position. The fluid is displaced abnormally high along the spermatic cord within the peritoneal vaginal sheath and surrounds the spermatic cord on all sides, allowing good visualization of the spermatic cord above the testis within the testicular sheaths. If we continue with the bell analogy, the resulting ultrasound picture can be called «bell clapper rod» symptom. A patient with an ultrasound-derived «bell clapper rod» symptom can be diagnosed with a testicular fixation anomaly that creates anatomic conditions for intermittent testicular torsion. The ultrasound arguments obtained allow us to confidently form indications for testicular fixation.Results. Eight patients were examined according to the described method, all of them showed the symptom of ‘bell clapper rod’, and testicular fixation was recommended. The average age of the patients was 12.4 years. The average time after scrotal pain resolution was 8 hours (from 1 to 18 hours). All eight patients had intraoperative verification of abnormal testicular fixation of the ‘bell clapper rod’.Conclusion. A patient with the acute hemiscrotal pain and then its spontaneous disappearance with the ultrasound-derived «bell clapper rod» symptom can be diagnosed with a testicular fixation anomaly that creates anatomic conditions for ITT. Preoperative diagnosis based on ultrasound combined with clinical data transforms the ITT from a diagnosis of exclusion to a diagnosis based on proven anatomical preconditions for testicular torsion. The ultrasound arguments obtained allow us to confidently form indications for testicular fixation.
Expression of angiotensin II type 2 receptors and syndecan-1 in prostate cancer
Authors: Chernogubova E. A. , Avetyan A. V. , Chibichyan M. B. , Kogan M. I. 
Published: December 2024

Introduction. Prostate cancer (PCa) remains an urgent problem of modern oncological urology due to high morbidity and mortality rates.Objective. To evaluate the expression of angiotensin II type 2 receptor (AT2-R) and syndecan-1 (CD138) receptors in prostatic intraepithelial neoplasia (PIN) and PCa.Materials & methods. For the immunohistochemical (IHC) study, the prostate biopsy cores of 20 men was used: 10 men with PIN, 10 men with PCa. Primary antibodies to AT2-R and CD138 antibodies were used for IHC staining, the EnVision FLEX imaging system. Formulation of IHC reactions, interpretation of the results obtained were carried out according to generally accepted rules.Results. The results of the study showed that AT2-R deficiency increases in the range of PIN-3 – PCa. Mild AT2-R expression or its absence was noted in tumor cells with PCa, while the AT2-R localisation was nuclear. In PIN-3, the expression of syndecan-1 was localised on the membrane of basal cells and the basolateral side of secretory epithelial cells, without expression in the adjacent stroma, while the expression level of syndecan-1 always remained high. In PCa, the membrane expression of syndecan-1 was preserved. With a decrease or absence of AT2-R nuclear expression in PCa tissue with an increase in ISUP, the expression level of syndecan-1 decreased.Conclusion. Simultaneous decrease in the expression levels of AT2-R and syndecan-1 in PCa has been demonstrated for the first time. A comprehensive determination of the expression levels of AT2-R and syndecan-1 seems to be promising for the development of diagnostic and prognostic markers of PCa initiation and development.
Management of early ureteral injury complications
Authors: Shanava G. Sh. , Nikulin R. E. , Sivakov A. A. , Mosoyan M. S. 
Published: December 2024

Introduction. Ureteral traumas account for approximately 3% of all urinary tract injuries. Up to 38 – 80 % of ureteral injuries are misdiagnosed. Consequently, missed ureteral injuries lead to the development of complications.Objective. To determine the comprehensive management for early complications of ureteral injuries.Materials & methods. From 2000 to 2022, 46 patients with early complications of various mechanisms, types, and severity of ureteral injuries were treated at the Dzhanelidze Research Institute of Emergency Medicine. The severity of ureteral injury complications was determined using the Clavien-Dindo classification system. Reconstructive and staged operations were performed in the treatment of ureteral injury complications.Results. Fourty-three patients (93.5%) had iatrogenic injuries, 2 (33.3%) had blunt traumas, and 1 (2.2%) had an open injury. Ureteral injuries included rupture, ligation, endoclips compression, and thermal injury. The type of ureteral trauma determined the development of early complications. Ureteral ligation and endoclips compression led to the development of acute renal colic, hydronephrosis, and obstructive pyelonephritis. Ureteral rupture and thermal injury were complicated by urinary leaks and peritonitis. According to the Clavien-Dindo classification, the complications were IIIb and IV grade. Staged procedures were performed for the treatment of ureteral injuries complications in the presence of infection. In other cases, reconstructive operations were performed on hemodynamically stable patients with ureteral injury complications.Conclusion. The choice of management for early complications of ureteral injuries depends on the patient's condition, the presence of infection, the mechanism, type, and localisation of the ureteral trauma.
School Climate and School Identification as Determinants of Internet Gaming Disorder Among Chinese Adolescent Internet Gamers: Cross-Sectional Mediation Study
Authors: Yu Yanqiu , Yen Stefanie H Y , Wang Deborah Baofeng , Wu Anise M S , Chen Juliet Honglei , Zhang Guohua , Du Mengni , Du Dajin , Du Mingxuan , Lau Joseph T F 
Published: December 2024

Abstract

Background
School climate and school identification are important features of the school environment and potential determinants of adolescent internet gaming disorder (IGD).

Objective
This novel study investigated their joint effects on IGD and related mediation mechanisms via the interpersonal factor of teacher-student relationship and the individual factors of academic stress and anxiety.

Methods
A large-scale cross-sectional study was conducted among adolescent internet gamers of junior, senior, and vocational middle schools in Taizhou City, China, from February to March 2022 (N=5778). Participants self-administered an anonymous, structured questionnaire in classrooms. Adjusted logistic regression and structural equation modeling (SEM) were used for data analysis.

Results
Among all participants, the prevalence of IGD was 8% (461/5778). The 4 school climate subscales (student-student relationship subscale: adjusted odds ratio [ORa] 0.88, 95% CI 0.85-0.91; student-staff relations subscale: ORa 0.87, 95% CI 0.84-0.90; academic emphasis subscale: ORa 0.88, 95% CI 0.85-0.91; shared values approach: ORa 0.88, 95% CI 0.85-0.90), the school identification subscale (ORa 0.85, 95% CI 0.83-0.88), and teacher-student relationship (ORa 0.80, 95% CI 0.76-0.84) were significant protective factors against IGD, while academic stress (ORa 1.18, 95% CI 1.14-1.23) and anxiety (ORa 1.16, 95% CI 1.14-1.18) were risk factors of IGD. The SEM showed that the negative associations between school climate and IGD and between school identification and IGD were mediated via (1) three 2-step paths, each involving a single mediator—teacher-student relationship, academic stress, and anxiety, respectively—and (2) two 3-step paths involving 2 mediators—teacher-student relationship and academic stress first, respectively, and then anxiety. The direct effect of school climate on IGD was statistically nonsignificant (ie, full mediation with effect size ranging from 4.2% to 20.4%), while that of school identification was statistically significant (ie, partial mediation with effect size ranging from 4.5% to 38.2%).

Conclusions
The relatively high prevalence of IGD among Chinese adolescents may be reduced through school-based interventions to improve school climate and school identification. Such improvements may reduce the levels of risk factors of IGD (poor teacher-student relationship, academic stress, and anxiety) and hence the risk of IGD. Future longitudinal and intervention studies are needed to confirm the findings.
Using ChatGPT in Nursing: Scoping Review of Current Opinions
Authors: Zhou You , Li Si-Jia , Tang Xing-Yi , He Yi-Chen , Ma Hao-Ming , Wang Ao-Qi , Pei Run-Yuan , Piao Mei-Hua 
Published: December 2024

Abstract

Background
Since the release of ChatGPT in November 2022, this emerging technology has garnered a lot of attention in various fields, and nursing is no exception. However, to date, no study has comprehensively summarized the status and opinions of using ChatGPT across different nursing fields.

Objective
We aim to synthesize the status and opinions of using ChatGPT according to different nursing fields, as well as assess ChatGPT’s strengths, weaknesses, and the potential impacts it may cause.

Methods
This scoping review was conducted following the framework of Arksey and O’Malley and guided by the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). A comprehensive literature research was conducted in 4 web-based databases (PubMed, Embase, Web of Science, and CINHAL) to identify studies reporting the opinions of using ChatGPT in nursing fields from 2022 to September 3, 2023. The references of the included studies were screened manually to further identify relevant studies. Two authors conducted studies screening, eligibility assessments, and data extraction independently.

Results
A total of 30 studies were included. The United States (7 studies), Canada (5 studies), and China (4 studies) were countries with the most publications. In terms of fields of concern, studies mainly focused on “ChatGPT and nursing education” (20 studies), “ChatGPT and nursing practice” (10 studies), and “ChatGPT and nursing research, writing, and examination” (6 studies). Six studies addressed the use of ChatGPT in multiple nursing fields.

Conclusions
As an emerging artificial intelligence technology, ChatGPT has great potential to revolutionize nursing education, nursing practice, and nursing research. However, researchers, institutions, and administrations still need to critically examine its accuracy, safety, and privacy, as well as academic misconduct and potential ethical issues that it may lead to before applying ChatGPT to practice.
Lightening the Load: Generative AI to Mitigate the Burden of the New Era of Obesity Medical Therapy
Authors: Stevens Elizabeth R , Elmaleh-Sachs Arielle , Lofton Holly , Mann Devin M 
Published: December 2024

Abstract
Highly effective antiobesity and diabetes medications such as glucagon-like peptide 1 (GLP-1) agonists and glucose-dependent insulinotropic polypeptide/GLP-1 (dual) receptor agonists (RAs) have ushered in a new era of treatment of these highly prevalent, morbid conditions that have increased across the globe. However, the rapidly escalating use of GLP-1/dual RA medications is poised to overwhelm an already overburdened health care provider workforce and health care delivery system, stifling its potentially dramatic benefits. Relying on existing systems and resources to address the oncoming rise in GLP-1/dual RA use will be insufficient. Generative artificial intelligence (GenAI) has the potential to offset the clinical and administrative demands associated with the management of patients on these medication types. Early adoption of GenAI to facilitate the management of these GLP-1/dual RAs has the potential to improve health outcomes while decreasing its concomitant workload. Research and development efforts are urgently needed to develop GenAI obesity medication management tools, as well as to ensure their accessibility and use by encouraging their integration into health care delivery systems.
Opportunities for Telemedicine to Improve Parents’ Well-Being During the Neonatal Care Journey: Scoping Review
Authors: Wagenaar Josephine , Mah Crystal , Bodell Fredrik , Reiss Irwin , Kleinsmann Maaike , Obermann-Borst Sylvia , Taal H Rob 
Published: December 2024

Abstract

Background
Neonatal intensive care unit admissions of newborns are emotional and stressful for parents, influencing their mental and physical well-being and resulting in high rates of psychological morbidities. Significant research has been undertaken to understand and quantify the burden of a newborn’s medical journey on parents’ well-being. Simultaneously, an increase has been observed in the development and implementation of telemedicine interventions, defined as the remote delivery of health care. Telemedicine is used as an overarching term for different technological interventions grouped as real-time audio-visual communication, remote patient monitoring, and asynchronous communication. Various telemedicine interventions have been proposed and developed but scarcely with the primary goal of improving parental well-being during their newborn’s medical journey.

Objective
This study aims to identify telemedicine interventions with the potential to improve parents’ well-being and to present the methods used to measure their experience.

Methods
A scoping review was conducted, including empirical studies evaluating telemedicine in neonatal care that either measured parental well-being or included parents in the evaluation. Abstract and title screening, full-text screening, and data extraction were performed by three researchers. Two researchers were needed to reach decisions on both the inclusion and extraction of articles.

Results
The review included 50 out of 737 screened articles. Telemedicine interventions focused mainly on daily visits at the neonatal intensive care unit and discharge preparedness for parents. Surveys were the primary tool used for outcome measurement (36/50, 72%). Aspects of parents’ well-being were evaluated in 62% (31/50) of studies. Telemedicine interventions developed to provide education and support showed a potential to improve self-efficacy and discharge preparedness and decrease anxiety and stress when they included a real-time telemedicine component.

Conclusions
This scoping review identified specific telemedicine interventions, such as real-time audio-visual communication and eHealth apps, that have the potential to improve parental well-being by enhancing self-efficacy and discharge preparedness, and reducing anxiety and stress. However, more insights are needed to understand how these interventions affect well-being. Parents should be included in future research in both the development and evaluation stages. It is important to not only measure parents’ perceptions but also focus on the impact of a telemedicine intervention on their well-being.
Impact of Ophthalmic Knowledge Assessment Program Scores and Surgical Volume on Subspecialty Fellowship Application in Ophthalmology Residency: Retrospective Cohort Study
Authors: Hertel Amanda Kay , Ajlan Radwan S 
Published: December 2024

Abstract

Background
Ophthalmology residents take the Ophthalmic Knowledge Assessment Program (OKAP) exam annually, which provides percentile rank for multiple categories and the total score. In addition, ophthalmology residency training programs have multiple subspecialty rotations with defined minimum procedure requirements. However, residents’ surgical volumes vary, with some residents exceeding their peers in specific subspecialty rotations.

Objective
This study aims to identify if there is a difference in OKAP examination scores and surgical volume exposure during ophthalmology residency training between nonfellowship and fellowship applicants and among various subspecialties.

Methods
A retrospective review of OKAP scores and surgical procedure numbers of graduating residents in an accredited academic ophthalmology residency program in the Midwest United States was conducted. Data were collected from 2012 to 2022.

Results
A total of 31 residents were identified. Most residents decided to pursue fellowship training upon graduation (20/31, 65% residents), and the rest chose to practice comprehensive ophthalmology (11/31, 35% residents). A total of 18/31 residents had OKAP score reports available. The fellowship group outperformed the nonfellowship group in multiple subsections and the total exam (P=.04). Those pursuing fellowship training in glaucoma performed higher on the Glaucoma section (P=.004) and the total exam (P=.005). Residents pursuing cornea performed higher on nearly all subsections, including External Disease and Cornea (P=.02) and the total exam (P=.007). The majority of the surgical volume exposure was identical between fellowship and nonfellowship groups. Those who pursued glaucoma fellowship performed more glaucoma filtering and shunting procedures (P=.03). Residents going into pediatrics fellowship were primary surgeons in more strabismus cases (P=.01), assisted in fewer strabismus cases (P<.001), and had no difference in the total number of strabismus surgeries.

Conclusions
In our program, residents pursuing fellowship training had higher OKAP scores on multiple sections and the total exam. There was no significant difference in the overall surgical volume averages between fellowship and nonfellowship groups, but few differences existed in subspecialty procedures among fellowship applicants. Larger multicenter studies are needed to clarify the relationship between OKAP scores and ophthalmology fellowship decisions nationwide.