bluuebunny/crossref_metadata_2025_split huggingface dataset:
Construct validity of the Surgical Autonomy Program for the training of neurosurgical residents
Authors: Kirsch Elayna P. , Suarez Alexander , McDaniel Katherine E. , Dharmapurikar Rajeev , Dunn Timothy , Lad Shivanand P. , Haglund Michael M. 
Published: August 2022

OBJECTIVE
There is no standard way in which physicians teach or evaluate surgical residents intraoperatively, and residents are proving to not be fully competent at core surgical procedures upon graduating. The Surgical Autonomy Program (SAP) is a novel educational model that combines a modified version of the Zwisch scale with Vygotsky’s social learning theory. The objective of this study was to establish preliminary validity evidence that SAP is a reliable measure of autonomy and a useful tool for tracking competency over time.

METHODS
The SAP breaks each surgical case into 4 parts, or zones of proximal development (ZPDs). Residents are evaluated on a 4-tier autonomy scale (TAGS scale) for each ZPD in every surgical case. Attendings were provided with a teaching session about SAP and identified appropriate ZPDs for surgical cases under their area of expertise. All neurosurgery residents at Duke University Hospital from July 2017 to July 2021 participated in this study. Chi-square tests and ordinal logistic regression were used for the analyses.

RESULTS
Between 2017 and 2021, there were 4885 cases logged by 27 residents. There were 30 attendings who evaluated residents using SAP. Faculty completed evaluations on 91% of cases. The ZPD of focus directly correlated with year of residency (postgraduate year) (χ2 = 1221.1, df = 15, p < 0.001). The autonomy level increased with year of residency (χ2 = 3553.5, df = 15, p < 0.001). An ordinal regression analysis showed that for every year increase in postgraduate year, the odds of operating at a higher level of independence was 2.16 times greater (95% CI 2.11–2.21, p < 0.001). The odds of residents performing with greater autonomy was lowest for the most complex portion of the case (ZPD3) (OR 0.18, 95% CI 0.17–0.20, p < 0.001). Residents have less autonomy with increased case complexity (χ2 = 160.28, df = 6, p < 0.001). Compared with average cases, residents were more likely to operate with greater autonomy on easy cases (OR 1.44, 95% CI 1.29–1.61, p < 0.001) and less likely to do so on difficult cases (OR 0.72, 95% CI 0.67–0.77, p < 0.001).

CONCLUSIONS
This study demonstrates preliminary evidence supporting the construct validity of the SAP. This tool successfully tracks resident autonomy and progress over time. The authors’ smartphone application was widely used among surgical faculty and residents, supporting integration into the perioperative workflow. Wide implementation of SAP across multiple surgical centers will aid in the movement toward a competency-based residency education system.
Effects of 24-hour versus night-float call schedules on the clinical and operative experiences of postgraduate year 2 and 3 neurosurgical residents
Authors: Bowden Stephen G. , Siler Dominic A. , Shahin Maryam N. , Mazur-Hart David J. , Munger Daniel N. , Ross Miner N. , O’Neill Brannan E. , Nerison Caleb S. , Rothbaum Michael , Han Seunggu J. , Wright James M. , Orina Josiah N. , Winer Jesse L. , Selden Nathan R. 
Published: August 2022

OBJECTIVE
To comply with the removal of the 88-hour week exemption and to support additional operative experience during junior residency, Oregon Health & Science University (OHSU) switched from a night-float call schedule to a modified 24-hour call schedule on July 1, 2019. This study compared the volumes of clinical, procedural, and operative cases experienced by postgraduate year 2 (PGY-2) and PGY-3 residents under these systems.

METHODS
The authors retrospectively studied billing and related clinical records, call schedules, and Accreditation Council for Graduate Medical Education case logs for PGY-2 and PGY-3 residents at OHSU, a tertiary academic health center, for the first 4 months of the academic years from 2017 to 2020. The authors analyzed the volumes of new patient consultations, bedside procedures, and operative procedures performed by each PGY-2 and PGY-3 resident during these years, comparing the volumes experienced under each call system.

RESULTS
Changing from a PGY-2 resident–focused night-float call system to a 24-hour call system that was more evenly distributed between PGY-2 and PGY-3 residents resulted in decreased volume of new patient consultations, increased volume of operative procedures, and no change in volume of bedside procedures for PGY-2 residents. PGY-3 residents experienced a decrease in operative procedure volume under the 24-hour call system.

CONCLUSIONS
Transition from a night-float system to a 24-hour call system altered the distribution of clinical and procedural experiences between PGY-2 and PGY-3 residents. Further research is necessary to understand the impact of these changes on educational outcomes, quality and safety of patient care, and resident satisfaction.
Neurosurgery resident training using blended learning concepts: course development and participant evaluation
Authors: Hickmann Anne-Katrin , Ferrari Andrea , Bozinov Oliver , Stienen Martin N. , Ostendorp Carsten 
Published: August 2022

OBJECTIVE
Restrictions on working time and healthcare expenditures, as well as increasing subspecialization with caseload requirements per surgeon and increased quality-of-care expectations, provide limited opportunities for surgical residents to be trained in the operating room. Yet, surgical training requires goal-oriented and focused practice. As a result, training simulators are increasingly utilized. The authors designed a two-step blended course consisting of a personalized adaptive electronic learning (e-learning) module followed by simulator training. This paper reports on course development and the evaluation by the first participants.

METHODS
Adaptive e-learning was curated by learning engineers based on theoretical information provided by clinicians (subject matter experts). A lumbar spine model for image-guided spinal injections was used for the simulator training. Residents were assigned to the e-learning module first; after its completion, they participated in the simulator training. Performance data were recorded for each participant’s e-learning module, which was necessary to personalize the learning experience to each individual’s knowledge and needs. Simulator training was organized in small groups with a 1-to-4 instructor-to-participant ratio. Structured assessments were undertaken, adapted from the Student Evaluation of Educational Quality.

RESULTS
The adaptive e-learning module was curated, reviewed, and approved within 10 weeks. Eight participants have taken the course to date. The overall rating of the course is very good (4.8/5). Adaptive e-learning is well received compared with other e-learning types (8/10), but scores lower regarding usefulness, efficiency, and fun compared with the simulator training, despite improved conscious competency (32.6% ± 15.1%) and decreased subconscious incompetency (22.8% ± 10.2%). The subjective skill level improved by 20%. Asked about the estimated impact of the course, participants indicated that they had either learned something new that they plan to use in their practice (71.4%) or felt reassured in their practice (28.6%).

CONCLUSIONS
The development of a blended training course combining adaptive e-learning and simulator training in a rapid manner is feasible and leads to improved skills. Simulator training is rated more valuable by surgical trainees than theoretical e-learning; the impact of this type of training on patient care needs to be further investigated.
True anaplastic oligoastrocytoma with dual genotype: illustrative case
Authors: Mizuno Reina , Homma Taku , Adachi Jun-ichi , Mishima Kazuhiko , Suzuki Tomonari , Shirahata Mitsuaki , Nishikawa Ryo , Atushi Sasaki 
Published: August 2022

BACKGROUND
The revised fourth edition of the World Health Organization classification of central nervous system tumors was published in 2016. Based on this classification, one of the infiltrating glioma entities named “oligoastrocytoma/anaplastic oligoastrocytoma” is discouraged. It is proposed that these mixed gliomas should be classified as diffuse astrocytoma/anaplastic astrocytoma or oligodendroglioma/anaplastic oligodendroglioma when analyzing their genetic alteration.

OBSERVATIONS
A 78-year-old female underwent brain computed tomography (CT) because of a traffic accident. Cranial CT revealed a brain tumor in the left temporoparietal lobe; therefore, she was hospitalized. She underwent awake craniotomy. After the operation, she was treated with only local radiotherapy; the authors could not prescribe temozolomide, because she had had levetiracetam-induced pancytopenia. The remaining tumor neuroradiologically disappeared, and she was alive 40 months after the operation without tumor recurrence.

LESSONS
Histopathologically, this tumor was diagnosed as an anaplastic oligoastrocytoma with a distinct dual phenotype of astrocytoma and oligodendroglioma components. Genetically, these two components revealed astrocytoma and oligodendroglioma genotypes, respectively. Therefore, the authors considered the integrated diagnosis of the temporal tumor as a true anaplastic oligoastrocytoma with a dual genotype. Interestingly, this case also included an area composed of spindle to oval neoplastic cells that revealed intermediate genetic alterations between astrocytomas and oligodendrogliomas.
Simultaneous microvascular decompression for trigeminal neuralgia and hemifacial spasm involving a dolichoectatic vertebral artery in an elderly patient: illustrative case
Authors: Marianayagam Neelan J. , Qureshi Hanya M. , Vasandani Sagar , Vetsa Shaurey , Jalal Muhammad , Wu Kun , Moliterno Jennifer 
Published: August 2022

BACKGROUND
Hyperactive cranial neuropathies refractory to medical management can often be debilitating to patients. While microvascular decompression (MVD) surgery can provide relief to such patients when an aberrant vessel is compressing the root entry zone (REZ) of the nerve, the arteries of elderly patients over 65 years of age can be less amenable to manipulation because of calcifications and other morphological changes. A dolichoectatic vertebral artery (DVA), in fact, can lead to multiple cranial neuropathies; therefore, a strategy for MVDs in elderly patients is useful.

OBSERVATIONS
A 76-year-old man presented with medically refractory trigeminal neuralgia (TN) and hemifacial spasm (HFS). A DVA was the conflicting vessel at the left REZs of the trigeminal and facial nerves. The authors performed a retrosigmoid craniotomy for MVD of the DVA with Teflon padding at both REZs in approximately 1 hour of operative time. The patient was free of facial pain and spasm immediately after surgery and at follow-up.

LESSONS
The authors described the case of an elderly patient with both TN and HFS caused by compression of a DVA. Simultaneous MVD with Teflon padding at both REZs provided symptomatic relief with limited surgical time. This can be a particularly useful and straightforward surgical strategy in the elderly population.
Endovascular treatment of an aneurysm arising from the minor limb of an upper basilar artery fenestration: illustrative case
Authors: Matsuo Ayaka , Hiu Takeshi , Otsuka Hiroaki , Miyazaki Atsushi , Haraguchi Wataru , Kawahara Ichiro , Ono Tomonori , Izumo Tsuyoshi , Matsuo Takayuki , Tsutsumi Keisuke 
Published: August 2022

BACKGROUND
An aneurysm arising in an upper basilar artery (BA) fenestration is extremely rare. The authors reported a case involving successful endovascular treatment of an aneurysm arising from the minor limb of an upper BA fenestration.

OBSERVATIONS
A 65-year-old woman presented with an incidentally detected upper BA aneurysm arising from the minor limb of an upper BA fenestration. The irregularly shaped aneurysm was 6.0 × 2.7 mm in diameter, and the minor limb had several perforators. The aneurysm was nearly completely occluded with a catheter-assisted technique. The authors preserved both limbs of the BA fenestration. The postoperative course was uneventful, and the patient had an excellent clinical course with no neurological deficits or aneurysmal recanalization.

LESSONS
The case is the first report of an unruptured aneurysm arising at the minor limb of an upper BA fenestration. In this case, the authors preserved the minor limb with endovascular treatment. The authors believe catheter-assisted coil embolization to be a feasible endovascular technique in such cases.
Students’ Autonomous Learning Activities outside the Classroom to Master English as a Foreign Language
Authors: Nurchalis Nur Fadillah , Nurhamdah Nurhamdah , Bakoko Rahmah , Afdaliah Nihla 
Published: August 2022

The complexity of foreign language learning and its restricted time to learn in the classroom need proactive efforts from the English students outside the classroom with full initiative and effort. This study tended to investigate to what extent students’ autonomous learning activities outside the classroom to master English (four English skills). This study applied a descriptive quantitative design. It was conducted at a state university in Majene, West Sulawesi, Indonesia in the academic year 2021/2022. The population was English education students in the second and third years. There were 62 students who participated in this research. They were selected by using a convenience sampling technique. To gain the data, this research employed a questionnaire as a research instrument which consists of 16 items of statements. The data, then, were analyzed by employing descriptive statistics. Based on the data analysis, it was found that students’ autonomous learning activities outside the classroom are still limited to activities that are entertaining for them. Apart from that, it has not been found that their extra efforts are done independently to become more proficient in every English skill. This indicates that students are still passive learners. By knowing the independent learning efforts carried out by students out of the classroom, English lecturers are expected to be able to design policies or teaching strategies to guide students so that they can increase their efforts by optimizing the wealth of available independent learning resources.
Photonics-based modular multistate digital coherent system
Authors: Unchenko I. V. , Emelyanov A. A. 
Published: August 2022

Objectives. The study aimed to develop interspecies and interclass methods for constructing coherent radio engineering systems based on a modular complementary structure.Methods. A set of modules and submodules having no narrow specialization and together constituting a flexible broadband hardware-reconfigurable software-defined radio engineering structure is considered as the basic set for constructing a digital radio photonic system path. Due to their broadbandness and complementary structure, modules and submodules have many applications both as self-sustained devices and as part of more complex systems.Results. Functional diagrams of modern digital receiver-shapers, as well as modules for amplifying radio frequency signals and converting radio frequency signals into an optical signal are presented along with a radio photonic synchronization network for generating clock signals. Calculations of the introduced phase error of a quartz singlemode fiber and graphs of the dependence of the change in the signal phase on external influencing factors are given. A concept for integrating the presented modules into the construction of a modular transceiver multiposition wideband coherent digital radio photonic system is proposed. The results of calculating radiation patterns and mathematical modeling the beam deflection of a broadband antenna array are presented along with antenna systems based thereon.Conclusions. The proposed circuit design solutions allow the time required for developing new types of systems to be significantly reduced due to the range of ready-made technical solutions. Not only are the parameters of the developed devices comparable to the best world analogues, but they also surpass existing solutions in terms of system integration. The developments have been tested under R&D project at the Kaluga Scientific Research Institute of Radio Technology and Hardware Solution Technologies (TAR). The proposed solutions are integrated at the subsystem level into advanced developments of products for civil and special purpose. Further development of the concept of building ultra-wideband devices allows reaching a new level in the technology of constructing modular multiposition coherent digital radio photonic systems.
Parameterization of user functions in digital signal processing for obtaining angular superresolution
Authors: Shchukin A. A. , Pavlov A. E. 
Published: August 2022

Objectives. One of the most important tasks in the development of goniometric systems is improving resolution in terms of angular coordinates. This can be achieved in two ways: firstly, by increasing the aperture, which is very expensive and often technically challenging to implement; secondly, with the help of digital signal processing methods. If the recorded signal sources are located close to each other and not resolved by the Rayleigh criterion, it can be impossible to determine their number, location and reflection characteristics. The aim of the present work is to develop a digital signal processing algorithm for obtaining angular superresolution.Methods. Mathematical methods for solving inverse problems are used to overcome the Rayleigh criterion, i.e., obtain angular superresolution. These problems are unstable, since there is an infinite number of approximate solutions and false targets may occur. The search for the optimal solution is carried out by minimizing the standard deviation.Results. A description of a mathematical model for a goniometric system is presented. A signal processing algorithm is developed based on existing methods according to the principle of parameterization of user functions. Results of numerical experiments for achieving superresolution by algebraic methods are given along with an estimation of solution stability. The accuracy and correspondence of the amplitude of the obtained objects to the initial parameters are measured. The degree of excess of the Rayleigh criterion by the obtained solution is estimated.Conclusions. Algebraic methods can be used to obtain stable solutions with angular superresolution. The results obtained correctly reflect the location of objects with a minor error. Errors in the distribution of the signal amplitude are small, appearing false targets have negligible amplitude.
Comparative analysis of compression algorithms for four-dimensional light fields
Authors: Bolbakov R. G. , Mordvinov V. A. , Makarevich A. D. 
Published: August 2022

Objectives. The widespread use of systems for capturing light fields is due to the high quality of the reproduced image. This type of capture, although qualitatively superior to traditional methods to capturing volumetric images, generates a huge amount of data needed to reconstruct the original captured 4D light field. The purpose of the work is to consider traditional and extended to four-dimensional image compression algorithms, to perform a comparative analysis and determine the most suitable.Methods. Mathematical methods of signal processing and methods of statistical analysis are used.Results. Algorithms are compared and analyzed in relation to the compression of four-dimensional light fields using the PSNR metric. The selected evaluation criterion is affected not only by the dimension of the compression algorithm, but also by the distance of the baseline of the capture setting, since the difference between images increases with the distance between the optical centers of each camera matrix. Thus, for installations consisting of an array of machine vision cameras located on racks and placed in a room, the obvious choice would be to use conventional image compression methods. Furthermore, based on the assessment of the arbitrariness of video compression methods, it should be noted that the XVC algorithm remains undervalued, although its results are higher. Algorithm AV1 can be considered the next in order of importance. It has been established that the latest compression algorithms show higher performance if compared to their predecessors. It has also been shown that with a small distance between the optical centers of the captured images, the use of video compression algorithms is preferable to the use of image compression algorithms, since they show better results in both three-dimensional and four-dimensional versions.Conclusions. A comparison of the results obtained shows the need to use algorithms from the video compression family (XVC, AV1) on installations with a long baseline (mounted on camera stands). When working with integrated light field cameras (Lytro) and setting the capture with a short baseline, it is recommended to use image compression algorithms (JPEG). In general, video compression algorithms are recommended, in particular XVC, since on average it shows an acceptable level of PSNR in both the case of a short and long installation baseline.
Nanoelectronics and nanotechnology: promising approaches in the educational process
Authors: Sigov A. S. , Gladyshev I. V. , Yurasov A. N. 
Published: August 2022

Objectives. Nanoelectronics is concerned with the development of physical and technological foundations for the creation of integrated circuits comprised of elements whose topological dimensions do not exceed 100 nm. Nanotechnology includes the creation and use of materials, devices and technical systems whose functioning is determined by their nanostructure, i.e., comprising ordered fragments ranging from 1 to 100 nm in size. The present research is aimed at developing a concept for training highly qualified specialists in the field of nanoelectronics and nanotechnologies on the example of the Department of Nanoelectronics of the Institute of Advanced Technologies and Industrial Programming at the MIREA - Russian Technological University.Methods. Promising approaches for supporting the educational process within the nanoindustry are analyzed and compared.Results. Three fundamental components of education in the field of nanoindustry can be distinguished: physical (the study and search for new promising physical effects); materials science, related to the study, search, and synthesis of new advanced materials; informatics (including mastering of modern software packages and programming languages for modeling a wide range of nanoindustry elements and materials).Conclusions. All three fundamental components of education within nanoindustry have been effectively implemented by combining scientific laboratories and centers at the Department of Nanoelectronics. After graduating from the Department of Nanoelectronics, graduates can work for leading scientific institutes and technical organizations in Russia, intern at specialized organizations in neighboring and other countries, teach at leading universities, and start their own knowledge-intensive business.