bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Social Construction of Identities in Clinical Psychology Training in the Uk: A Focus Group Study
Authors: Gupta Veenu , Eames Catrin , Sharples Brooke , Bryant Alison , Greenhill Beth , Golding Laura , Fisher Peter 
Published: September 2024

Abstract

Purpose The training of clinical psychologists is conducted by clinicians, academics, trainees, service users and carers. Often those working in clinical psychology do so due to their own lived experiences. These stakeholders may require navigating both personal and professional identities in their roles. This study aimed to understand identities within UK clinical psychology training.
MethodFocus groups were used to socially construct and measure identity constructions of groups in clinical psychology training. A social constructionist lens was used to thematically analyse data.
FindingsFour themes were found across groups. Theme 1 identified ‘dynamics of identity’ where personal and professional identities were ‘integrated,’ ‘separated,’ ‘permeable,’ or ‘visible/invisible.’ Theme 2 found the ‘impact of language and labels to rebalance power’, encompassing, ‘expectations and invalidation of a label,’ ‘weight of a label,’ and motivations to ‘rebalance the power.’ Theme 3 constructed ‘learner’ and ‘expert’ identities for each group and Theme 4 found ‘Bridging Them & Us divisions’ by identifying, ‘Feeling Similar and Different,’ and ‘Barriers and Connections.’
Implications and Conclusions This is the first study to use focus groups to socially construct and measure identities in clinical psychology training. The research gives clarity to identities within clinical psychology training and can help bridge Them & Us divisions, promoting effective collaboration across the workforce.
Correlation between phytoplankton dynamics and hydrometeorological factors in the Three Gorges reservoir area tributary
Authors: Zhang Yuqian , Ma Wenning , Zhao Jianwei , Yin Qiyue , Liu Wenrong 
Published: September 2024

ABSTRACT
Phytoplankton blooms in reservoir areas’ rivers are a research problem of wide interest. To assess the influence of hydrometeorological factors on the occurrence and development of phytoplankton blooms in the Xiangxi River, a major tributary of the Three Gorges Reservoir. We employed the generalized additive model (GAM) and Random Forest importance analysis to evaluate the impact of hydrometeorological factors on phytoplankton dynamics. The findings revealed that river flow in the Xiangxi River is the most crucial factor affecting phytoplankton, with a significant decrease in phytoplankton observed when the flow exceeds 100 m3/s. At the Xiakou station within the perennial backwater area, phytoplankton exhibited correlations with river flow, temperature, solar radiation, and wind speed, with decreasing levels of importance. At the Pingyikou station and the Zhaojun station within the dynamic backwater area, phytoplankton was correlated with river flow, solar radiation, and precipitation. Furthermore, an increase in wind speed at the Xiakou station was significantly positively correlated with an increase in phytoplankton, suggesting that wind speed plays a promoting role in phytoplankton aggregation in the perennial backwater area. These results underscore the significance of hydrometeorological factors as key determinants in assessing the occurrence and development of phytoplankton blooms. This research provides valuable insights for phytoplankton blooms prediction and warning systems.
Patient Preferences for Direct-to-Consumer Telemedicine Services: Replication and Extension of a Nationwide Survey
Authors: Ivanova Julia , Wilczewski Hattie , Klocksieben Farina , Cummins Mollie , Soni Hiral , Ong Triton , Barrera Janelle , Harvey Jillian , O'Connell Nathaniel , McElligott James , Welch Brandon , Bunnell Brian 
Published: September 2024

Abstract

Background
A 2017 survey of patient perspectives showed overall willingness and comfort to use telemedicine, but low actual use. Given recent growth and widespread exposure of patients to telemedicine, patient preferences are likely to have changed.

Objective
This study aimed to (1) identify demographic trends in patient preferences and experiences; (2) measure ease of use and satisfaction of telemedicine; and (3) measure changes in telemedicine use, willingness, and comfort since 2017.

Methods
We replicated a 2017 study with a nationwide survey of US adults. The survey, an extended version of the previous study, measured patient health care access as well as knowledge, experiences, and preferences regarding telemedicine encounters. We recruited participants using SurveyMonkey Audience in July 2022. We used descriptive statistics and generalized estimating equations to measure change and identify trends.

Results
We accrued 4577 complete responses. Patient experience with telemedicine was substantially higher in 2022 than in 2017, with 61.1% (vs 5.3%) of participants aware that their primary care provider offered telemedicine and 34.5% (vs 3.5%) reporting use of telemedicine with their primary care provider. This study also reported ease of use and satisfaction rates to be similar to in-person visits, while overall willingness and comfort in using telemedicine increased from 2017. Individuals at the poverty line were significantly less likely to report satisfaction with telemedicine visits. We found increased interpersonal distance in a patient and health care professional relationship significantly reduced patient ease of use, willingness, and comfort in using telemedicine.

Conclusions
This study identified an association between income and patient satisfaction, conveying the importance of understanding telemedicine in relation to health care access and equity. Telemedicine ease of use and satisfaction were comparable to in-person visits. Individuals reported greater use and higher positive perceptions of telemedicine willingness and comfort since 2017.
Creation of an Automated and Comprehensive Resident Progress System for Residents and to Save Hours of Faculty Time: Mixed Methods Study
Authors: Perotte Rimma , Berns Alyssa , Shaker Lana , Ophaswongse Chayapol , Underwood Joseph , Hajicharalambous Christina 
Published: September 2024

Background
It is vital for residents to have a longitudinal view of their educational progression, and it is crucial for the medical education team to have a clear way to track resident progress over time. Current tools for aggregating resident data are difficult to use and do not provide a comprehensive way to evaluate and display resident educational advancement.

Objective
This study aims to describe the creation and assessment of a system designed to improve the longitudinal presentation, quality, and synthesis of educational progress for trainees. We created a new system for residency progress management with 3 goals in mind, that are (1) a long-term and centralized location for residency education data, (2) a clear and intuitive interface that is easy to access for both the residents and faculty involved in medical education, and (3) automated data input, transformation, and analysis. We present evaluations regarding whether residents find the system useful, and whether faculty like the system and perceive that it helps them save time with administrative duties.

Methods
The system was created using a suite of Google Workspace tools including Forms, Sheets, Gmail, and a collection of Apps Scripts triggered at various times and events. To assess whether the system had an effect on the residents, we surveyed and asked them to self-report on how often they accessed the system and interviewed them as to whether they found it useful. To understand what the faculty thought of the system, we conducted a 14-person focus group and asked the faculty to self-report their time spent preparing for residency progress meetings before and after the system debut.

Results
The system went live in February 2022 as a quality improvement project, evolving through multiple iterations of feedback. The authors found that the system was accessed differently by different postgraduate years (PGY), with the most usage reported in the PGY1 class (weekly), and the least amount of usage in the PGY3 class (once or twice). However, all of the residents reported finding the system useful, specifically for aggregating all of their evaluations in the same place. Faculty members felt that the system enabled a more high-quality biannual clinical competency committee meeting and they reported a combined time savings of 8 hours in preparation for each clinical competency committee as a result of reviewing resident data through the system.

Conclusions
Our study reports on the creation of an automated, instantaneous, and comprehensive resident progress management system. The system has been shown to be well-liked by both residents and faculty. Younger PGY classes reported more frequent system usage than older PGY classes. Faculty reported that it helped facilitate more meaningful discussion of training progression and reduced the administrative burden by 8 hours per biannual session.
Acceptability of a Serious Game About Proton Radiotherapy Designed for Children Aged 5 to 14 Years and Its Potential Impact on Perceived Anxiety: Feasibility and Randomized Controlled Pilot Trial
Authors: Cederved Catarina , Ljungman Gustaf , Back Jon , Ångström-Brännström Charlotte , Engvall Gunn 
Published: September 2024

Abstract

Background
Children who are going to undergo radiotherapy have displayed fear and anxiety. Therefore, a web-based serious game was developed as a psychological preparation to investigate if it could affect anxiety levels. In an earlier stage, children with experience of radiotherapy had been part of the developmental process.

Objective
The study aimed to investigate the feasibility in terms of reach, usability, and acceptability of a serious game about proton radiotherapy and to pilot that it did not increase anxiety levels in children aged 5 to 14 years undergoing radiotherapy.

Methods
The design was a randomized controlled pilot trial with predefined feasibility criteria. In total, 28 children were assessed for eligibility, and 23 met the inclusion criteria. They were consecutively randomized into 1 of 2 study arms. One child was excluded after randomization. If randomized into arm 1, the children received the intervention before treatment started. Children in arm 2 were treated as controls. Questionnaires with fixed answers were used to assess anxiety levels (an adapted version of the State-Trait Anxiety Inventory for Children) and experiences of gameplay (an adapted version of Player Experience of Need Satisfaction [PENS]). The children were asked to answer questionnaires at 5 different measurement occasions during their radiotherapy treatment.

Results
In arm 1, age ranged from 5 to 13 (mean 8.4, SD 2.4) years. In arm 2, age ranged from 5 to 11 (mean 7.6, SD 2.3) years. The sample consisted of 15 girls and 7 boys. The feasibility criterion that the children should play the game for 20 minutes or more was not met. Mean playtime for children in arm 1 was 32.1 (SD 23.8) minutes, where 18 children had played for at least 15 minutes. The criterion that 70% (n=16) or more of the participants should return all of the questionnaires was not met; however, more than 73% (n=16) returned the PENS questionnaires. The State-Trait Anxiety Inventory for Children was returned by 73% (n=16) on day 0, 77% (n=17) on day 1, 82% (n=18) on day 3, 82% (n=18) on day 6, and 86% (n=19) on day 15.

Conclusions
All feasibility criteria set for the study were not met, suggesting that adaptions need to be made if a future study is to be undertaken. Further, the analysis revealed that there was no indication that playing increased the children’s self-reported anxiety. The PENS questionnaire adapted for children showed promising results regarding player satisfaction when using the serious game. When studying children with severe conditions and young age, 5 measurement occasions seemed to be too many. Measuring both player satisfaction or experience and knowledge transfer would be preferable in future studies.
Delivering a Group-Based Quality of Life Intervention to Young Adult Cancer Survivors via a Web Platform: Feasibility Trial
Authors: Fox Rina S , Torres Tara K , Badger Terry A , Katsanis Emmanuel , Yang DerShung , Sanford Stacy D , Victorson David E , Yanez Betina , Penedo Frank J , Antoni Michael H , Oswald Laura B 
Published: September 2024

Abstract

Background
Young adult (YA) cancer survivors frequently report unmet health information and peer support needs, as well as poor health-related quality of life (HRQOL). YAs also have expressed a desire that behavioral interventions be convenient. In response to this, our team has developed a 10-week, group-based, supportive care intervention titled TOGETHER to improve YA cancer survivors’ HRQOL. TOGETHER is delivered via videoconference and has shown initial feasibility, acceptability, and promise for improving HRQOL among YA survivors.

Objective
In an effort to increase convenience, the goal of this 2-part study was to design and test a website to host the TOGETHER intervention for YA cancer survivors aged 18‐39 years at the time of participation and aged 15‐39 years at the time of initial cancer diagnosis.

Methods
In part 1, we leveraged an existing web-based platform and adapted it to meet the needs of TOGETHER. We conducted 3 iterative waves of usability testing with 3 YAs per wave to refine the website. In part 2, we conducted a single-group feasibility trial of TOGETHER using the website. Primary outcomes were feasibility (ie, recruitment, retention, and attendance) and acceptability (ie, satisfaction).

Results
Usability testing participants (n=9) indicated that the TOGETHER website was easy to use (mean 5.9, SD 1.3) and easy to learn (mean 6.5, SD 0.9; possible ranges 1‐7). Qualitative feedback identified needed revisions to the aesthetics (eg, images), content (eg, session titles), function (eg, clarity of functionality), and structure (eg, expandable sections), which were implemented. In the feasibility trial, participants (n=7) were an average of 25 (SD 4.7) years old and mostly non-Hispanic White (n=4, 57%). Recruitment (58%) and retention (71%) rates and average session attendance (mean 7.1 , SD 4.2) supported feasibility. Participant agreement with positive statements about TOGETHER and average satisfaction ratings (mean 5.06, SD 1.64; possible range: 1‐7) demonstrated acceptability.

Conclusions
Results supported the usability, feasibility, and acceptability of the TOGETHER program and website. By providing the content digitally, the program effectively addresses YAs’ expressed preference for convenience. Future studies are needed to increase TOGETHER’s efficiency and explore its efficacy for improving targeted outcomes.
Improving How Caregivers of People Living With Dementia Are Identified in the Electronic Health Record: Qualitative Study and Exploratory Chart Review
Authors: Green Ariel R , Boyd Cynthia M , Rosado Rosalphie Quiles , Daddato Andrea E , Gleason Kathy S , Taylor McPhail Tobie E , Blinka Marcela D , Schoenborn Nancy L , Wolff Jennifer L , Bayliss Elizabeth A , Boxer Rebecca S 
Published: September 2024

Abstract

Background
Family and unpaid caregivers play a crucial role in supporting people living with dementia; yet, they are not systematically identified and documented by health systems.

Objective
The aims of the study are to determine the extent to which caregivers are currently identified and documented in the electronic health record (EHR) and to elicit the perspectives of caregivers and clinical staff on how to best identify, engage, and support caregivers of people living with dementia through the EHR.

Methods
People with dementia were identified based on International Classification of Diseases, Tenth Revision (ICD-10) codes or dementia medications in the EHR. A chart review of people with dementia characterized how caregiver information was documented and whether caregivers had shared access to the patient portal. Caregivers of eligible people with dementia were then recruited through mailed letters and follow-up calls to the homes of people with dementia. We conducted semistructured interviews with caregivers, clinicians, and staff involved in the care of people with dementia within 2 health systems in Maryland and Colorado. Transcripts were analyzed using a mixed inductive and deductive approach.

Results
Caregivers of people with dementia (N=22) were usually identified in the “contact information” or “patient contacts” tab (n=20, 91%) by their name and relation to the people with dementia; this tab did not specify the caregiver’s role. Caregivers were also mentioned, and their roles were described to a varying degree in clinical notes (n=21, 96%). Of the 22 caregivers interviewed, the majority (n=17, 77%) reported that the people with dementia had additional caregivers. The presence of multiple caregivers could be gleaned from most charts (n=16, 73%); however, this information was not captured systematically, and caregivers’ individual contributions were not explicitly recorded. Interviews with 22 caregivers and 16 clinical staff revealed two major themes: (1) caregiving arrangements are complex and not systematically captured or easy to locate in the EHR and (2) health systems should develop standardized processes to obtain and document caregiver information in the EHR.

Conclusions
This exploratory chart review and qualitative interview study found that people with dementia frequently have multiple caregivers, whose roles and needs are captured inconsistently in the EHR. To address this concern, caregivers and clinical staff suggested that health systems should develop and test workflows to identify caregivers, assess their needs at multiple touchpoints, and record their information in extractable EHR fields.
Impact of a Digital Scribe System on Clinical Documentation Time and Quality: Usability Study
Authors: van Buchem Marieke Meija , Kant Ilse M J , King Liza , Kazmaier Jacqueline , Steyerberg Ewout W , Bauer Martijn P 
Published: September 2024

Background
Physicians spend approximately half of their time on administrative tasks, which is one of the leading causes of physician burnout and decreased work satisfaction. The implementation of natural language processing–assisted clinical documentation tools may provide a solution.

Objective
This study investigates the impact of a commercially available Dutch digital scribe system on clinical documentation efficiency and quality.

Methods
Medical students with experience in clinical practice and documentation (n=22) created a total of 430 summaries of mock consultations and recorded the time they spent on this task. The consultations were summarized using 3 methods: manual summaries, fully automated summaries, and automated summaries with manual editing. We then randomly reassigned the summaries and evaluated their quality using a modified version of the Physician Documentation Quality Instrument (PDQI-9). We compared the differences between the 3 methods in descriptive statistics, quantitative text metrics (word count and lexical diversity), the PDQI-9, Recall-Oriented Understudy for Gisting Evaluation scores, and BERTScore.

Results
The median time for manual summarization was 202 seconds against 186 seconds for editing an automatic summary. Without editing, the automatic summaries attained a poorer PDQI-9 score than manual summaries (median PDQI-9 score 25 vs 31, P<.001, ANOVA test). Automatic summaries were found to have higher word counts but lower lexical diversity than manual summaries (P<.001, independent t test). The study revealed variable impacts on PDQI-9 scores and summarization time across individuals. Generally, students viewed the digital scribe system as a potentially useful tool, noting its ease of use and time-saving potential, though some criticized the summaries for their greater length and rigid structure.

Conclusions
This study highlights the potential of digital scribes in improving clinical documentation processes by offering a first summary draft for physicians to edit, thereby reducing documentation time without compromising the quality of patient records. Furthermore, digital scribes may be more beneficial to some physicians than to others and could play a role in improving the reusability of clinical documentation. Future studies should focus on the impact and quality of such a system when used by physicians in clinical practice.
The upper geodetic vertex covering number of a graph
Authors: Leema J. Anne Mary , Flower Mary V. M. Arul , Titus P. , Uma Devi B. 
Published: September 2024

A set S ⊆ V (G) is a geodetic vertex cover of G if S is both a geodetic set and a vertex cover of G. The minimum cardinality of a geodetic vertex cover of G is defined as the geodetic vertex covering number of G and is denoted by gα(G) . A geodetic vertex cover S in a connected graph G is called a minimal geodetic vertex cover of G if no proper subset of S is a geodetic vertex cover of G. The upper geodetic vertex covering number g+­­α(G) of G is the maximum cardinality of a minimal geodetic vertex cover of G. Some general properties satisfied by the upper geodetic vertex covering number of a graph are studied. The upper geodetic vertex covering number of several classes of graphs are determined. Some bounds for g+­­α(G) are obtained and the graphs attaining these bounds are characterized.
¿Qué deseamos en América Latina Caribe en el siglo 21? La región, el país, la localidad, la existencia personal, el cuerpo y más
Authors: Devés Valdés Eduardo 
Published: September 2024

el objetivo del trabajo consiste en presentar las variadas fórmulas para expresar lo deseable, elaboradas en los ecosistemas intelectivos de alc, durante las primeras décadas del siglo xxi. A partir de aquí se intenta una interpretación del pensamiento latinoamericano del primer cuarto del siglo xxi, complementando, de esta manera, lo que se conoce sobre los siglos anteriores. Para realizar el objetivo se revisa lo deseable en muy diversos niveles, considerando tendencias como el eco-socialismo, el desarrollismo, sumakausaysmo, feminismo comunitario, autoayudismo, post-humanismo, calividismo, indianismo, teniendo en cuenta macro-temas como globalización y calentamiento global. La tesis más fuerte, y que es la conclusión del trabajo, consiste en que a mediados del periodo se transita desde el gran problema de la globalización hacia el calentamiento global, y donde el identitarismo en alc pasa a identificarse con posiciones indígenas que serían las únicas capaces de asegurar la existencia de la humanidad frente a la catástrofe inminente.
Velázquez Castro, Adrián; Emiliano Ricardo Melgar Tísoc (coords.). Conchas de fuego y de sangre. El tapachtli y el mullu en la América antigua. México: INAH, 2021
Authors: Limón Olvera Silvia 
Published: September 2024

Reseña del libro: Velázquez Castro, Adrián; Emiliano Ricardo Melgar Tí