bluuebunny/crossref_metadata_2025_split huggingface dataset:
Enhancing resilience of the smart urban electrical and gas grids considering reserve scheduling and pre-event responses via the onsite supply strategy of the energy storage systems and demand response
Authors: Darvish Seyed Morteza ,   Seyed Mehdi Hakimi1, Derakhshan Ghasem 
Published: November 2023

Abstract

Due to climate change and the occurrence of natural disasters in recent decades, energy supply to consumers has faced risks in different areas, especially in urban areas. Hurricanes are the most common natural disasters in urban areas in the damage to energy grids like electrical distribution grids. This study focused on enhancing resilience oriented in the electrical distribution grids in urban areas with smart grid technologies. The poles outage by hurricanes in the electrical distribution grid is introduced as a natural event subject to scenario generation via the pole fragility function. The short-term reserve scheduling is proposed as a pre-event response for enhancing resilience oriented against event at day-ahead. The reserve scheduling is implemented with attention to three strategies such as installing backup generators (BGs), demand response program (DRP), and storage systems (SSs) utilization considering microgrids formation in the damaged areas. The BGs are fed by urban gas grids for supply electrical demand in the damaged areas. In following, DRP is considered for demand management based on offer prices to consumers for demand reduction. Also, the SSs are operated by consumers as onsite generation for meet self-demand in the during event. The implementation of the proposed approach is done by using tri-objectives such as 1) minimizing the reserve costs, 2) minimizing the consumers’ dissatisfaction, and 3) maximizing the resilience oriented of the electrical distribution grid. The GAMS software and augmented ε-constraint method are presented for solving reserve scheduling. Finally, the superiority of the pre-event responses considering proposed reserve scheduling is verified via numerical simulation on the IEEE 33-bus distribution grid in the several case studies.
Exploring Pharmacy Students’ Perceptions and Comfort Levels with Peer-Conducted Blood Pressure Examinations
Authors: Ahmed Fahamina , Beganovic Meva , Zeini Fatima , Borghol Amne , Smith Candice 
Published: November 2023

Abstract

Introduction:Various methods are used to assess healthcare professional students’ physical exam skills. Hypertension is a common chronic disease that affects nearly half of adults in the United States, therefore measuring blood pressure is a clinical skill often assessed in a healthcare program curriculum.Methods:This study was conducted to gather data and analyze certain characteristics regarding the views of second year pharmacy students having their blood pressure assessed by their classmates in a hypertension skills lab. These views were collected using Qualtrics™, a voluntary, anonymous electronic survey.Results:Eighty-five respondents (~82% reposnse rate) were included in this survey analysis. Majority of the students were between the age of 18-24 years (75%), female (79%), and African American (56%). Most students reported feeling comfortable (82%) having their blood pressure assessed by their peer, with no significant difference when considering racial/ethnic groups, age, gender, or family history (P>0.05).Conclusions:Although there was no statistical significance found amongst the various analyses, these outcomes displayed insight into a subject that may need to be further explored. Since numerous factors can vary between the student and examiner, comfort levels and personal preferences should be of importance.
Computational fluid dynamics analysis for smart control of water supply
Authors: Hariri Asli Kian , Hariri Asli Kaveh , Nazari Sajad 
Published: November 2023

Abstract

This work investigated the partition walls or baffles’ effects on hydraulic parameters and water retention time in a reservoir. According to this aim, the water system was equipped with remote sensing (RS), networked sensors, advanced modems, and data loggers. The study showed how to control hydraulic parameters by the Internet of things and RS. The higher retention time led to the probability growth of rebar oxidation in concrete in the presence of chlorine and increased the possibility of water loss. This work also showed how to decrease the probability of water leakage in reservoirs. The computational fluid dynamics analysis results showed that the two baffles case led to the emergence of three eddy currents in the three zones created. The better fluid interpenetration caused the reduction in retention time. In the areas where the vortex was formed, the number of eddy currents decreased and the retention time increased. Regression analysis showed that the P value was 0.998 and 0.977 for the inlet flow and outlet flow for the reservoir, respectively (two baffles case perpendicular to the flow direction). The curve estimation showed that the power function had a suitable correlation on the scatter diagram and with the best curve fit.
Acceptance and User Experiences of a Wearable Device for the Management of Hospitalized Patients in COVID-19–Designated Wards in Ho Chi Minh City, Vietnam: Action Learning Project
Authors: Luu An Phuoc , Nguyen Truong Thanh , Cao Van Thi Cam , Ha Trinh Hoang Diem , Chung Lien Thi Thu , Truong Trung Ngoc , Nguyen Le Nhu Tung , Dao Khoa Bach , Nguyen Hao Van , Khanh Phan Nguyen Quoc , Le Khanh Thuy Thuy , Tran Luu Hoai Bao , Nhat Phung Tran Huy , Tran Duc Minh , Lam Yen Minh , Thwaites Catherine Louise , Mcknight Jacob , Vinh Chau Nguyen Van , Van Nuil Jennifer Ilo ,   Vietnam ICU Translational Applications Laboratory (VITAL)
Published: November 2023

Background
Wearable devices have been used extensively both inside and outside of the hospital setting. During the COVID-19 pandemic, in some contexts, there was an increased need to remotely monitor pulse and saturated oxygen for patients due to the lack of staff and bedside monitors.

Objective
A prototype of a remote monitoring system using wearable pulse oximeter devices was implemented at the Hospital for Tropical Diseases in Ho Chi Minh City, Vietnam, from August to December 2021. The aim of this work was to support the ongoing implementation of the remote monitoring system.

Methods
We used an action learning approach with rapid pragmatic methods, including informal discussions and observations as well as a feedback survey form designed based on the technology acceptance model to assess the use and acceptability of the system. Based on these results, we facilitated a meeting using user-centered design principles to explore user needs and ideas about its development in more detail.

Results
In total, 21 users filled in the feedback form. The mean technology acceptance model scores ranged from 3.5 (for perceived ease of use) to 4.4 (for attitude) with behavioral intention (3.8) and perceived usefulness (4.2) scoring in between. Those working as nurses scored higher on perceived usefulness, attitude, and behavioral intention than did physicians. Based on informal discussions, we realized there was a mismatch between how we (ie, the research team) and the ward teams perceived the use and wider purpose of the technology.

Conclusions
Designing and implementing the devices to be more nurse-centric from their introduction could have helped to increase their efficiency and use during the complex pandemic period.
A Novel Continuous Real-Time Vital Signs Viewer for Intensive Care Units: Design and Evaluation Study
Authors: Yang Shiming , Galvagno Samuel , Badjatia Neeraj , Stein Deborah , Teeter William , Scalea Thomas , Shackelford Stacy , Fang Raymond , Miller Catriona , Hu Peter ,   VS viewer study group
Published: November 2023

Background
Clinicians working in intensive care units (ICUs) are immersed in a cacophony of alarms and a relentless onslaught of data. Within this frenetic environment, clinicians make high-stakes decisions using many data sources and are often oversaturated with information of varying quality. Traditional bedside monitors only depict static vital signs data, and these data are not easily viewable remotely. Clinicians must rely on separate nursing charts—handwritten or electric—to review physiological patterns, including signs of potential clinical deterioration. An automated physiological data viewer has been developed to provide at-a-glance summaries and to assist with prioritizing care for multiple patients who are critically ill.

Objective
This study aims to evaluate a novel vital signs viewer system in a level 1 trauma center by subjectively assessing the viewer’s utility in a high-volume ICU setting.

Methods
ICU attendings were surveyed during morning rounds. Physicians were asked to conduct rounds normally, using data reported from nurse charts and briefs from fellows to inform their clinical decisions. After the physician finished their assessment and plan for the patient, they were asked to complete a questionnaire. Following completion of the questionnaire, the viewer was presented to ICU physicians on a tablet personal computer that displayed the patient’s physiologic data (ie, shock index, blood pressure, heart rate, temperature, respiratory rate, and pulse oximetry), summarized for up to 72 hours. After examining the viewer, ICU physicians completed a postview questionnaire. In both questionnaires, the physicians were asked questions regarding the patient’s stability, status, and need for a higher or lower level of care. A hierarchical clustering analysis was used to group participating ICU physicians and assess their general reception of the viewer.

Results
A total of 908 anonymous surveys were collected from 28 ICU physicians from February 2015 to June 2017. Regarding physicians’ perception of whether the viewer enhanced the ability to assess multiple patients in the ICU, 5% (45/908) strongly agreed, 56.6% (514/908) agreed, 35.3% (321/908) were neutral, 2.9% (26/908) disagreed, and 0.2% (2/908) strongly disagreed.

Conclusions
Morning rounds in a trauma center ICU are conducted in a busy environment with many data sources. This study demonstrates that organized physiologic data and visual assessment can improve situation awareness, assist clinicians with recognizing changes in patient status, and prioritize care.
Validating the Safe and Effective Use of a Neurorehabilitation System (InTandem) to Improve Walking in the Chronic Stroke Population: Usability Study
Authors: Smayda Kirsten Elisabeth , Cooper Sarah Hodsdon , Leyden Katie , Ulaszek Jackie , Ferko Nicole , Dobrin Annamaria 
Published: November 2023

Background
Persistent walking impairment following a stroke is common. Although rehabilitative interventions exist, few exist for use at home in the chronic phase of stroke recovery. InTandem (MedRhythms, Inc) is a neurorehabilitation system intended to improve walking and community ambulation in adults with chronic stroke walking impairment.

Objective
Using design best practices and human factors engineering principles, the research presented here was conducted to validate the safe and effective use of InTandem.

Methods
In total, 15 participants in the chronic phase of stroke recovery (≥6 months after stroke) participated in this validation study. Participants were scored on 8 simulated use tasks, 4 knowledge assessments, and 7 comprehension assessments in a simulated home environment. The number and types of use errors, close calls, and operational difficulties were evaluated. Analyses of task performances, participant behaviors, and follow-up interviews were conducted to determine the root cause of use errors and difficulties.

Results
During this validation study, 93% (14/15) of participants were able to successfully complete the critical tasks associated with the simulated use of the InTandem system. Following simulated use task assessments, participants’ knowledge and comprehension of the instructions for use and key safety information were evaluated. Overall, participants were able to find and correctly interpret information in the materials in order to answer the knowledge assessment questions. During the comprehension assessment, participants understood warning statements associated with critical tasks presented in the instructions for use. Across the entire study, 3 “use errors” and 1 “success with difficulty” were recorded. No adverse events, including slips, trips, or falls, occurred in this study.

Conclusions
In this validation study, people in the chronic phase of stroke recovery were able to safely and effectively use InTandem in the intended use environment. This validation study contributes to the overall understanding of residual use–related risks of InTandem in consideration of the established benefits.
Assessment of ChatGPT-3.5's Knowledge in Oncology: Comparative Study with ASCO-SEP Benchmarks
Authors: Odabashian Roupen , Bastin Donald , Jones Georden , Manzoor Maria , Tangestaniapour Sina , Assad Malke , Lakhani Sunita , Odabashian Maritsa , McGee Sharon 
Published: November 2023

Background
ChatGPT (Open AI) is a state-of-the-art large language model that uses artificial intelligence (AI) to address questions across diverse topics. The American Society of Clinical Oncology Self-Evaluation Program (ASCO-SEP) created a comprehensive educational program to help physicians keep up to date with the many rapid advances in the field. The question bank consists of multiple choice questions addressing the many facets of cancer care, including diagnosis, treatment, and supportive care. As ChatGPT applications rapidly expand, it becomes vital to ascertain if the knowledge of ChatGPT-3.5 matches the established standards that oncologists are recommended to follow.

Objective
This study aims to evaluate whether ChatGPT-3.5’s knowledge aligns with the established benchmarks that oncologists are expected to adhere to. This will furnish us with a deeper understanding of the potential applications of this tool as a support for clinical decision-making.

Methods
We conducted a systematic assessment of the performance of ChatGPT-3.5 on the ASCO-SEP, the leading educational and assessment tool for medical oncologists in training and practice. Over 1000 multiple choice questions covering the spectrum of cancer care were extracted. Questions were categorized by cancer type or discipline, with subcategorization as treatment, diagnosis, or other. Answers were scored as correct if ChatGPT-3.5 selected the answer as defined by ASCO-SEP.

Results
Overall, ChatGPT-3.5 achieved a score of 56.1% (583/1040) for the correct answers provided. The program demonstrated varying levels of accuracy across cancer types or disciplines. The highest accuracy was observed in questions related to developmental therapeutics (8/10; 80% correct), while the lowest accuracy was observed in questions related to gastrointestinal cancer (102/209; 48.8% correct). There was no significant difference in the program’s performance across the predefined subcategories of diagnosis, treatment, and other (P=.16, which is greater than .05).

Conclusions
This study evaluated ChatGPT-3.5’s oncology knowledge using the ASCO-SEP, aiming to address uncertainties regarding AI tools like ChatGPT in clinical decision-making. Our findings suggest that while ChatGPT-3.5 offers a hopeful outlook for AI in oncology, its present performance in ASCO-SEP tests necessitates further refinement to reach the requisite competency levels. Future assessments could explore ChatGPT’s clinical decision support capabilities with real-world clinical scenarios, its ease of integration into medical workflows, and its potential to foster interdisciplinary collaboration and patient engagement in health care settings.
Everyday Digital Literacy Questionnaire for Older Adults: Instrument Development and Validation Study
Authors: Choi JiYeon , Choi Seongmi , Song Kijun , Baek Jiwon , Kim Heejung , Choi Mona , Kim Yesol , Chu Sang Hui , Shin Jiyoung 
Published: November 2023

Background
The need for digital literacy in aging populations is increasing in the digitalizing society. Digital literacy involves the identification, evaluation, and communication of information through various digital devices or relevant programs.

Objective
The aims of this study were to develop an Everyday Digital Literacy Questionnaire (EDLQ), a digital literacy assessment scale, and subsequently evaluate its psychometric properties using a population of community-dwelling older adults in South Korea.

Methods
The EDLQ was developed using an instrument development design. A nationwide survey was conducted, and the study included 1016 community-dwelling older adults (age ≥60 years). To evaluate the psychometric properties, the participants were randomly divided into 2 groups (n=508 each), and the internal consistency (Cronbach α and McDonald ω), structural validity (exploratory factor analysis and confirmatory factor analysis), hypothesis-testing construct validity using the eHealth Literacy Scale (eHEALS), and measurement invariance were analyzed.

Results
Among the initial 30 items of the EDLQ, 22 items with a 3-factor solution had a total explained variance of 77%. The domains included “information and communication” (9 items), “content creation and management” (4 items), and “safety and security” (9 items). Confirmatory factor analysis was conducted with this 3-factor solution (χ2206=345.1; normed χ2206=1.7; comparative fit index=0.997; Tucker-Lewis index=0.997; root-mean-square error of approximation=0.036; standardized root-mean-square residual=0.050; composite reliability=0.903-0.959; average variance extracted=0.699-0.724; R2=0.616-0.773). Hypothesis-testing construct validity with the eHEALS revealed a strong correlation (r=0.75). Cronbach α and McDonald ω coefficients were .98 and 0.98, respectively. The fit indices for measurement invariance, including the configural, metric, and scalar invariance models, demonstrated a satisfactory fit to the data. Our findings suggest that the psychometric properties of the 22-item EDLQ are valid and reliable for assessing digital literacy among older Korean adults.

Conclusions
In this study, we developed a digital literacy measure with strong psychometric properties that made it suitable for assessing the digital literacy of community-dwelling older adults in Korea. To broaden its applicability, however, further assessment of its feasibility for use with different languages and cultures is necessary. Moreover, more empirical research on digital literacy and related factors in older adults can facilitate the development of personalized digital health care services and educational interventions in the digital society.
Mistaking the Terrestrial slum for the Celestial City: A Reading of Nathaniel Hawthorne’s “The Celestial Railroad”
Authors: Ndah Nyaa Hans 
Published: November 2023

Nathaniel Hawthorne’s allegory “The Celestial Railroad” depicts an American society in which morality and spirituality have been relegated to the background. We set out in this study to critically analyse how Hawthorne in this short story depicts the alarming extent to which terrestrial distractions especially in this modern age of industry, innovation and capitalism have instead derailed many Christians from the celestial city to the terrestrial slums of perdition, misery and destruction. The qualitative approach was used to analyse the data collected for this study. This paper is based on the hypothesis that the quest for pleasure and the advent of industrial and technological development have drifted the Christian further away from the path of salvation as depicted in Hawthorne’s “The Celestial Railroad.” New Historicism was the theoretical lens employed for this research endeavour. This study revealed that, Hawthorne’s “The Celestial Railroad” is even more relevant in the 21st century due to the alarming extent to which Christian ideals have been violated, much more than what obtained when the story was published.
Periodontitis: causes, conditions of occurrence and prevention
Authors: Chernysh Vladimir F. , Kovalevsky Alexander M. , Bokarev Mikhail A. , Lopatin Stanislav A. 
Published: November 2023

OBJECTIVE. Analyze the causes and conditions for chronic generalized periodontitis, study means of preventive health care through individual oral hygiene.
MATERIALS AND METHODS. The study analyzed the scientific literature, devoted to casual factors and conditions of developing chronic generalized periodontitis, its influence on the health of the body and as well as the role of oral hygiene in preventing its onset and progression. Articles in leading domestic dental peer-reviewed publications along with data sources from Pubmed over the past 5 years were analyzed.
RESULTS. The literature analysis found that majority of authors acknowledge microbial biofilm microbiota of the oral cavity as the leading etiological factor of periodontitis; such factors as poor oral hygiene, endogenous and exogenous erythrocyte sorption overload, the impact of physical environmental factors – external electromagnetic fields and vibrations affect the progression of the disease. Meanwhile, measures of professional oral hygiene и normalization of individual oral hygiene allows to significantly reduce the risk of emerging and progressing chronic generalized periodontitis.
DISCUSSION. By category visits patients, suffering from CGP, were distributed as follows: 61,6 ± 0,7 % people – retirees of Russian Defense Ministry, 16,5 ± 0,5 % people – family members of military men and retired of RDM, 16,3 ± 0,5 % – military men, attached to the dentistry clinic of RDM military units and institutions, 5,7 ± 0,3 % – RMD cadets. Means of individual oral hygiene, relevant for the prevention of periodontitis, include about 15 items. Part of them are classified as traditional, and the proper application of some of them requires additional training, including in the framework of special medical training during hygiene education work and health promotion. The authors came to a conclusion about the expediency of increasing the number of dentists to intensify the prevention of dental caries and periodontal diseases among military men through professionally monitored oral hygiene.
CONCLUSION. The high prevalence and intensity of dental system diseases among military men shows the relevance of regular sanitation of their oral cavity. Systematic implementation of individual oral hygiene measures decreases the number of bacteria in the mouth, prevents the development of severe overall body response to inflammation, contributes to a significant reduction in the number of exacerbation of concomitant somatic diseases that improves overall health and people’s quality of life. Professionally monitored oral hygiene, oral hygiene education and motivation for applying modern hygiene products are considered as the basis of oral disease prevention.