Email Responses Research Articles

Exploring the Application of Machine Learning for Automatic Inbound Email Classification in CRM System at XYZ Company

Customer service has become increasingly crucial in today's business landscape, necessitating companies to provide fast, responsive, and personalized assistance to their clientele. However, amidst the challenges posed by surges in email volume, manual categorization and response strategies often lead to performance declines. To address this, we propose a system leveraging Machine Learning techniques for automated email classification. Our evaluation reveals promising results, with SVM achieving the highest accuracy of 96.59%, followed by XGB (96.02%) and RF (95.27%). These models exhibit commendable precision, recall, F1 scores, and Matthews Correlation Coefficient (MCC), showcasing their effectiveness in improving customer service efficiency and responsiveness. This integration of technology not only enhances operational efficiency but also fosters harmonious customer relationships, ultimately leading to increased loyalty and profitability for companies.

Abstract B093: Facilitating conversations on cancer genomic education: Development of a toolkit for community advisory boards

Abstract Community Advisory Boards are representative groups of individuals that reside in a particular area and serve an important role in the research process. Often CABs are the voice of the community, rather it be key community stakeholders, business, or community organizations. The purpose of this project is to describe the development of a cancer genomic toolkit and initial introduction of the toolkit to local community advisory boards to CAB members interested in cancer genomic topics to increase inclusion and awareness of emerging topics and activities around cancer genomic research. Existing CAB members from the Meharry Medical College/Vanderbilt-Ingram Cancer Center/Tennessee State University Cancer Partnership (MVTCP) and the Research Centers in Minority Institutions (RCMI) at Meharry Medical College were introduced to a cancer genomic toolkit that is in development. CAB members were presented the toolkit during a regularly scheduled CAB meeting for approximately 30 minutes and were allowed 10 minutes to answer questions. After the presentation of the cancer genomic toolkit, CAB members were sent a word document version of the toolkit to provide any feedback for improvement during the development stage. CAB members were allowed up to two months to review the cancer genomic toolkit. Directions for review were to use track changes and leave comments or provide direct feedback via email response. To date, one CAB member has provided individualized feedback. Group feedback included questions and open discussion around historic research participation. Next steps are to introduce the tool to a newly formed genomic community advisory board and begin to reiterate the toolkit for evaluation and implementation for other local CABs. Citation Format: Calandra G. Whitted. Facilitating conversations on cancer genomic education: Development of a toolkit for community advisory boards [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B093.

Framework for Mitigating Phishing E-mail in the Kenyan Banking Industry Using Artificial Intelligence (AI)

Purpose: Phishing is a significant cybercrime threat that affects individuals and organizations globally, including the banking industry in Kenya. The sophistication of phishing attacks continues to increase, and it is increasingly challenging traditional security measures to mitigate these threats. The purpose of this thesis is to build a framework for mitigating phishing e-mail attacks in the banking industry in Kenya using artificial intelligence. Phishing emails are among the most common techniques of cyber-attacks utilized by assailants to gain unauthorized access to sensitive information such as financial details, personal information, and login credentials. These attacks can have devastating effects on the victims, leading to financial loss, reputation damage, and even identity theft. Methodology: The framework development consists of four main stages: data collection, data preprocessing, model training, and deployment. In the data collection stage, a dataset of phishing and non-phishing emails is gathered from various sources such as public databases, dark web forums, and bank employees mail. In the data preprocessing stage, the collected data is cleaned, preprocessed, and labeled. In the model training stage, machine learning algorithms and NLP techniques is used to develop a robust phishing and non-phishing emails detection model. In the deployment stage, the model is integrated into the bank's email system to detect and block phishing emails in real-time. The framework is then evaluated using a dataset of phishing and non-phishing e-mails collected from the banking industry in Kenya. Various metrics such as accuracy, precision, recall, and F1-score are used to evaluate the framework. The framework is able to detect new phishing e-mails that were not previously included in the dataset, demonstrating its ability to adapt to new threats. Findings: The framework is based on a hybrid approach that combines machine learning algorithms, natural language processing (NLP) techniques, and human expertise that identify and prevent phishing emails from reaching their targets. The four main components of this framework include e-mail filtering, feature extraction, classification, and response. The e-mail filtering component uses several algorithms to identify and filter suspicious e-mails. The feature extraction component analyzes the content of the e-mail and extracts relevant features to help classify the e-mail as either legitimate or phishing. The classification component uses machine-learning algorithms to classify the e-mail as either legitimate or phishing. Finally, the response component takes appropriate action based on the classification results. Unique Contribution to Theory, Practice and Policy: The framework provides an effective way to identify and mitigate phishing e-mail attacks, reducing the risk of data breaches and financial losses.

Navigating the challenges of imposter participants in online qualitative research: lessons learned from a paediatric health services study

BackgroundThe growth in online qualitative research and data collection provides several advantages for health service researchers and participants, including convenience and extended geographic reach. However, these online processes can also present unexpected challenges, including instances of participant fraud or scam behaviour. This study describes an incident of participant fraud identified during online focus group discussions and interviews for a PhD health services research project on paediatric neurodevelopmental care.MethodsWe aimed to recruit carers of Australian children with neurodevelopmental disorders. Potential participants were recruited via a publicly available social media advert on Facebook offering $50 AUD compensation. Those who expressed interest via email (n = 254) were sent a pre-interview Qualtrics survey to complete. We identified imposters at an early stage via inconsistencies in their self-reported geographical location and that captured by the survey as well as recognition of suspicious actions before, during and after focus group discussions and interviews.ResultsInterest in participation was unexpectedly high. We determined that all potential participants were likely imposters, posing as multiple individuals and using different IP addresses across Nigeria, Australia, and the United States. In doing so, we were able to characterise several “red flags” for identifying imposter participants, particularly those posing as multiple individuals. These comprise a combination of factors including large volumes and strange timings of email responses, unlikely demographic characteristics, short or vague interviews, a preference for nonvisual participation, fixation on monetary compensation, and inconsistencies in reported geographical location. Additionally, we propose several strategies to combat this issue such as providing proof of location or eligibility during recruitment and data collection, examining email and consent form patterns, and comparing demographic data with regional statistics.ConclusionsThe emergent risk of imposter participants is an important consideration for those seeking to conduct health services research using qualitative approaches in online environments. Methodological design choices intended to improve equity and access for the target population may have an unintended consequence of improving access for fraudulent actors unless appropriate risk mitigation strategies are also employed. Lessons learned from this experience are likely to be valuable for novice health service researchers involved in online focus group discussions and interviews.

Email responsiveness varies based on the pronouns in the requesters’ email signature: The role of they/them pronouns.

Email responsiveness varies based on the pronouns in the requesters’ email signature: The role of they/them pronouns.

Gender inequities in ENT: Insights from women speakers at American Head and Neck Society meetings.

Gender inequity exists across national speakers at American Head and Neck Society (AHNS) conferences. This qualitative study explores potential causes of this disparity by surveying women invited to speak at AHNS between 2007 and 2019 and examining advice, resources, and meaningful actions from "those who made it." An internet search for contact information for the 131 female AHNS was performed. An electronic survey was distributed via email. Deidentified qualitative responses were coded by two independent researchers into themes. Themes characterize barriers that female head and neck (HN) surgeons face and describe ways to mitigate the impact of these for the next generation. Contact information for 73/131 female AHNS speakers was obtained via internet search. Email responses were received from 22/73 (30%). Of those, respondents specialized in otolaryngology (n = 17), medical oncology (n = 2), palliative care (n = 1), vascular surgery (n = 1), and thoracic surgical oncology (n = 1). All speakers worked in academic settings at varying stages of their career with 81.8% (18/22) of respondents fellowship-trained (primarily HN surgery). Concerns about gender disparity in ENT were grouped into the following themes: (1) recruiting women to ENT, (2) removing barriers to career advancement, (3) diversifying ENT's national presence, and (4) improving the broader culture of HN surgery. Respondents emphasized a need for diversifying leadership, early exposure to otolaryngology in medical school, and connecting students with female role models. Outstanding research, involvement at annual meetings, and committee membership were consistently deemed important for establishing a national presence in the field. Implicit bias, "boys clubs" culture, and burdensome childcare responsibilities were described as barriers to career advancement. While encouraging more women to enter otolaryngology residencies, increasing the number female role models and establishing strong mentoring networks may help to mitigate challenges. Meaningful progress requires the efforts of both male and female allies within the specialty. Simple solutions, such as educating on implicit bias, removing demographics from applications, and eliminating hidden penalties for maternity leave, may help improve diversity and mitigate barriers to career progression for underrepresented groups within ENT.

1733 An itemised discharge letter format improves clarity of information - a quality improvement project

Abstract Introduction Commonly, discharge letters employ a chronological “narrative” style (NS). These unstructured letters often do not clearly communicate rationale for diagnoses and management – a problem exacerbated in letters compiled by multiple staff. This project trialled an alternative format. Methods An itemised letter (IL) was designed, each diagnosis a separate numbered point; guidance was provided for relevant investigations and management to include for core geriatric conditions. Four “Plan Do Study Act” (PDSA) cycles were completed. Mixed-methods feedback informed subsequent cycles. PDSA cycle 1 piloted the IL. Responding to concerns ILs took longer, cycle 2 measured writing times on a second ward. Cycle 3 monitored spontaneous IL uptake and feedback throughout geriatric medicine, continued in Cycle 4 after 12 months when the department formally adopted ILs. Results We collected 17 email responses, 9 semi-structured interviews, 1 tweet, writing times, and uptake statistics. Framework analysis synthesised qualitative and quantitative results. The key finding was that ILs improved information clarity. The standardised structure made it easier to update letters, and teach letter writing to new staff. Some staff reported challenges changing letter format, and noted electronic templates were not optimised for ILs. Mean completion times were 23 minutes for IL (range 6.5–38, N=15) and 20 minutes for NS (15–26, N=5). Sample size imbalance reflected exclusion of letters, predominantly NS, started on other wards. Uptake data evidenced continued IL use despite staff rotations. When cycle 4 commenced a mean of 35% (range 0–91%) of letters were in IL, increasing after seven months to 64% (40.6–90%). Qualitative feedback mirrored on-going usage, with many doctors continuing IL use after rotation. PDSA cycle 5 has begun, discussing using ILs in other specialties. Conclusions The IL format was well received by hospital staff, and will be improved by feedback from GPs, relatives, and patients.

Multidisciplinary care of older adults in the emergency department to influence deprescribing in older adults: a cohort study

AbstractBackgroundInappropriate polypharmacy in older adults is a major health problem associated with poor clinical and health service outcomes.AimWe aimed to evaluate the effectiveness of a geriatric pharmacist service in the emergency department (ED) identifying potentially inappropriate prescribing (PIP).MethodBetween 1 June 2018–31 May 2019, adults ≥70 years of age presenting to ED were reviewed by the Geriatric Emergency Department Intervention (GEDI) pharmacist. The intervention consisted of pharmacist‐led medication review using Screening Tool of Older Person’s Prescriptions (STOPP) and Screening Tool to Alert doctors to Right Treatment (START) criteria, patient education on recommendations, an updated medication list, and a letter sent to their general practitioner (GP) electronically. For eligible consenting older adults, telephone calls were made at least 28 days post‐discharge to assess the effectiveness of the intervention. A survey with GPs after 6 months determined how recommendations were perceived. Ethics approval was granted by the Metro North Health B Human Research Ethics Committee (reference no: HREC/18QCH/69–1245) and research governance approval was granted by the study site (Cairns Hinterland Hospital and Health Service, reference no: SSA/Q12345/40673). Informed consent was obtained from all participants via a project information sheet and either the completion of a written consent form (patient participants), verbal consent before interview (GP participants), or implied consent via email responses (GP participants). Routinely collected health data obtained for this study were de‐identified and data included in the follow‐up study was de‐identified.ResultsThe GEDI pharmacist reviewed 1214 older adults with an average age of 81 years. The median number of prescribed medications was 10 and 36.8% of older adults had STOPP recommendations. When contacted (n = 35), of those enrolled in the follow‐up study, 71% had stated their medications changed, 40% reported all STOPP medications had ceased, and 69% had START medications commenced, suggesting the recommendations provided were clinically appropriate and readily accepted by their GPs.ConclusionIntegration of a geriatric pharmacist demonstrated ample opportunities to address PIP in targeted older adults presenting to ED. This study shows that the pharmacist was able to promote appropriate prescribing through patient education and recommendations communicated to the GP on discharge.

Building a Multimodal Classifier of Email Behavior: Towards a Social Network Understanding of Organizational Communication

Within organizational settings, communication dynamics are influenced by various factors, such as email content, historical interactions, and interpersonal relationships. We introduce the Email MultiModal Architecture (EMMA) to model these dynamics and predict future communication behavior. EMMA uses data related to an email sender’s social network, performance metrics, and peer endorsements to predict the probability of receiving an email response. Our primary analysis is based on a dataset of 0.6 million corporate emails from 4320 employees between 2012 and 2014. By integrating features that capture a sender’s organizational influence and likability within a multimodal structure, EMMA offers improved performance over models that rely solely on linguistic attributes. Our findings indicate that EMMA enhances email reply prediction accuracy by up to 12.5% compared to leading text-centric models. EMMA also demonstrates high accuracy on other email datasets, reinforcing its utility and generalizability in diverse contexts. Our findings recommend the need for multimodal approaches to better model communication patterns within organizations and teams and to better understand how relationships and histories shape communication trajectories.

The Key Areas and Unmet Need of Mentorship Programs in Indian Dermatology: A Survey Based Analysis.

Mentorship programs for dermatologists have been in vogue in the West for many years, but have been on a hiatus in India. Recently, there is renewed interest, and mentorship programs are gaining momentum across the country to guide and nurture young dermatologists to attain their full potential. However, what constitutes an ideal mentorship program is still an enigma. We developed a multiple-choice questionnaire (Google-form), enquiring post graduates and dermatologists about their general opinion of mentorship, its key areas and what constituted an ideal mentorship-program. These were distributed via email and WhatsApp and responses were collected over a month's period. The statistical analysis was carried out using Statistical Package for Social Sciences (SPSS) for Windows. We received 202 responses and majority of the respondents were private practitioners (32.2%) and post graduate students (29.7%). Respondents felt that mentorship should be undertaken at the beginning of postgraduation (37.1%) or just after its completion (23.8%), and should focus on academic and research related issues (55.0%). Communication (95.5%) was an important factor for the program to be successful, and on an average, must be of seven weeks duration, with a mentor : mentee ratio of 1:2. We found a significant association between the designation of the respondent and their perceived ideal time for a mentorship program (P<0.001, Chi Square Test), seeking of mentorship beyond the program duration (P<0.01, Chi Square Test) and the type of mentorship program (P=0.01, Chi square test). Our survey concluded that a well-planned short mentorship program of six to eight weeks duration with a low mentee to mentor ratio with an informal style of mentoring in the formative years of one's career would be suitable in the Indian Dermatology scenario. Communication and availability emerged as important elements for a successful mentor mentee relationship. The positive effects of a well-planned mentorship program extend beyond its duration and enrich both the mentor and mentee.

Minimum 10-year follow-up of anatomic total shoulder arthroplasty and ream-and-run arthroplasty for primary glenohumeral osteoarthritis

Reports on long term outcomes and failures of shoulder arthroplasty are uncommon. The purpose of this study is to present minimum 10-year outcomes in consecutive patients undergoing ream-and-run and anatomic total shoulder arthroplasty (TSA) for primary glenohumeral arthritis. This study analyzed consecutive patients that had undergone a ream-and-run or TSA with minimum 10-year follow-up. Pain scores and Simple Shoulder Test (SST) values were obtained preoperatively and at a minimum of 10 years postoperatively via e-mail or mail-in response. Percentage of maximum possible improvement (%MPI) was also calculated. Of 127 eligible patients, 63 (50%) responded to a 10-year survey. This included 34 patients undergoing ream-and-run arthroplasty and 29 patients undergoing TSA. The ream-and-run patients were significantly younger than the TSA patients (60 ± 7 vs 68 ± 8, p<0.001), predominantly male (97% vs 41%, p<0.001), and had a lower American Society of Anesthesiologists classification (p=0.018). In the ream-and run group, the mean pain score improved from a preoperative value of 6.5 ± 1.9 to 0.9 ± 1.3 (p < 0.001), and the mean SST score improved from 5.4 ± 2.4 to 10.3 ± 2.1 at 10-year follow-up (p < 0.001). Twenty-eight (82%) achieved an SST improvement above the MCID of 2.6. Four patients (12%) underwent single-stage exchange to another hemiarthroplasty, while 1 (3%) required manipulation under anesthesia. In the TSA group, the pain score improved from a preoperative value of 6.6 ± 2.2 to 1.2 ± 2.3 (p < 0.001), and the SST score improved from 3.8 ± 2.6 to 8.9 ± 2.6 at 10-year follow-up. (p < 0.001). Of the 29 patients who underwent a TSA, 27 (93%) achieved an SST improvement above the MCID of 1.6. No patient in the TSA group required reoperation. While the characteristics of the patients differ between the two groups, excellent functional results can be obtained with the ream-and-run arthroplasty and total shoulder arthroplasty for glenohumeral osteoarthritis.

The Impact of Client Response Time and Message Processing Fluency on Staff Auditor Judgment

SUMMARY Staff auditors frequently email clients to conduct evidence inquiry. However, little research has examined how characteristics of email communication impact auditors’ assessments of evidence. We experimentally investigate whether two characteristics of email communication, client response time and message processing fluency, influence auditors’ judgments. We find that auditor skepticism is reduced when the client provides a more fluent email response compared with a less fluent response in a moderate response time. In addition, auditor skepticism is reduced when the client provides a more fluent email response in a moderate response time versus in an immediate response time. Our results suggest that if client management takes their time to respond to an auditor’s email, then this may reduce auditor skepticism, especially if the client composes a fluent response. These findings have audit quality implications because the same client information provided via email can be perceived differently depending on other client communication characteristics.

Unraveling controversies over civic honesty measurement: An extended field replication in China

Cohn et al. (2019) conducted a wallet drop experiment in 40 countries to measure "civic honesty around the globe," which has received worldwide attention but also sparked controversies over using the email response rate as the sole metric of civic honesty. Relying on the lone measurement may overlook cultural differences in behaviors that demonstrate civic honesty. To investigate this issue, we conducted an extended replication study in China, utilizing email response and wallet recovery to assess civic honesty. We found a significantly higher level of civic honesty in China, as measured by the wallet recovery rate, than reported in the original study, while email response rates remained similar. To resolve the divergent results, we introduce a cultural dimension, individualism versus collectivism, to study civic honesty across diverse cultures. We hypothesize that cultural differences in individualism and collectivism could influence how individuals prioritize actions when handling a lost wallet, such as contacting the wallet owner or safeguarding the wallet. In reanalyzing Cohn et al.'s data, we found that email response rates were inversely related to collectivism indices at the country level. However, our replication study in China demonstrated that the likelihood of wallet recovery was positively correlated with collectivism indicators at the provincial level. Consequently, relying solely on email response rates to gauge civic honesty in cross-country comparisons may neglect the vital individualism versus collectivism dimension. Our study not only helps reconcile the controversy surrounding Cohn et al.'s influential field experiment but also furnishes a fresh cultural perspective to evaluate civic honesty.

MP66-10 VARIABILITY IN PARENTAL LEAVE POLICIES FOR UROLOGY RESIDENTS ACROSS UNITED STATES ACADEMIC MEDICAL INSTITUTIONS

You have accessJournal of UrologyCME1 Apr 2023MP66-10 VARIABILITY IN PARENTAL LEAVE POLICIES FOR UROLOGY RESIDENTS ACROSS UNITED STATES ACADEMIC MEDICAL INSTITUTIONS Alice Chu, Farah Abaza, Simone Thavaseelan, Lindsey Hartsell, and Akanksha Mehta Alice ChuAlice Chu More articles by this author , Farah AbazaFarah Abaza More articles by this author , Simone ThavaseelanSimone Thavaseelan More articles by this author , Lindsey HartsellLindsey Hartsell More articles by this author , and Akanksha MehtaAkanksha Mehta More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003329.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Parental leave is a significant consideration for resident physicians when considering family planning during training. While the American College of Graduate Medical Education (ACGME) recently mandated a 6-week paid parental leave policy, there is no standardized parental leave policy across urology residency programs. This study sought to evaluate the availability and accessibility of parental leave for urology residents at academic medical institutions in the United States. METHODS: A non-validated 8-question survey was developed to capture the current status of parental leave policies (e.g. duration of leave, maternal vs paternal leave, birth vs adoptive children, compensation status). All ACGME-accredited urology residency programs were contacted via email. Data were collected via telephone/video interview, email, or online survey response. Program characteristics and demographic information were collected from the residency program website and Fellowship and Residency Electronic Interactive Database Access (FREIDA). Fisher’s exact test was used to determine association between program characteristics and favorable parental leave policies (i.e., >6 weeks). RESULTS: We successfully contacted 132 (93.6%) academic urology programs. A total of 35 (27%) programs responded. Maximum allowed weeks of parental leave ranged 3-18 weeks for birthing parents (median 6 weeks, mean 8.26+/-3.78 weeks) and 0-18 weeks for non-birthing parents (median 6 weeks, mean 7.06+/-3.83 weeks). Most institutions provided fully paid leave and did not require exhaustion of other time away from training (i.e., vacation or sick leave; 74.3% and 71.4% respectively). Having >30% female faculty was associated with resident parental leave time >6 weeks (OR 10.3, p<0.05). Geographic region, program type (university- vs community-based), program size, number of program years, and resident gender complement were not associated with parental leave time. CONCLUSIONS: There is large variability in the maximum amount of parental leave allowed and amount of paid leave among academic urology residency programs across the United States. Standardization of these policies may increase equity across urology residencies in the U.S. and alleviate fears of financial burden and need to extend training. Source of Funding: N/A © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e935 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Alice Chu More articles by this author Farah Abaza More articles by this author Simone Thavaseelan More articles by this author Lindsey Hartsell More articles by this author Akanksha Mehta More articles by this author Expand All Advertisement PDF downloadLoading ...

Patient satisfaction with televisit in chronic neurologic disorders during Covid-19 pandemic.

Covid-19 pandemic has boosted telemedicine in medical clinical practice. Experience in the management of chronic neurological disorders is limited as well as patient opinion. During Covid-19 pandemic, we evaluated patients' satisfaction and opinion about televisits in a large group of patients with chronic neurological disorders. All patients with chronic neurological disorders who had a virtual visit during the first phase of pandemic were invited to fill an online anonymous questionnaire about their global satisfaction and satisfaction regarding continuity of care, possibility to stay at home, doctor-patient relationship, the future of teleconsultation after pandemic and the possibility of understanding medical information and instructions. We received 123 questionnaires among 232 e-mail (response rate 53%). Almost all (120 out of 121 patients, 99%) were satisfied with the overall experience with video-consultation. Comprehension of medical information was the same for 113 out of 122 patients (93%) and also the doctor-patient relationship was the same for 107 out of 122 respondents (88%) or better for 10 (8%). Ninety-three percent of patients (112 out of 120) were keen to integrate televisits with the traditional modality and only 11 out of 121 patients (9%) judged televisits as an option to discard. As a whole, 114 out of 122 respondents (93%) would suggest this modality to other patients. Our large cohort of patients with chronic neurologic disorders rated experience with televisits satisfactory. Comprehension of medical information and doctor-patient interaction was considered good. Eventually, patients are keen to integrate this modality with traditional follow-up visits.

Publishing in predatory language and linguistics journals: Authors’ experiences and motivations

AbstractThis study examines the experiences and motivations of language and linguistics academics who have published in potential predatory journals (PPJs). A questionnaire was administered to 2,793 academics with publications in 63 language and linguistics PPJs, and 213 of them returned their responses. A subsample of the respondents (n = 21) also contributed qualitative data through semi-structured interviews or email responses to open-ended questions. Analyses of the survey data found that the authors were mainly from Asia, mostly had a doctorate, chose the PPJs chiefly for fast publication and/or meeting degree or job requirements, were predominantly of the opinion that the PPJs were reputable, and commonly reported positive impacts of publishing in the PPJs on their studies or academic careers. A thematic analysis of the qualitative data revealed five main themes: unawareness, unrelenting publication pressures, low information literacy, social identity threat, and failure to publish in top-tier journals.

Indicators of employee phishing email behaviours: Intuition, elaboration, attention, and email typology

Employees’ behaviour to phishing emails can strengthen or undermine business organisations’ cyber security. This phishing simulation and survey study explored the relationship between sociodemographic, cyber security training, phishing email typology and information processing factors and risky and secure email response behaviours. Participants (N = 590) were employees of a large financial institution who received one of four types of phishing emails. Participants who engaged in risky cyber email behaviour clicked on the link in the phishing email whereas those who engaged in secure cyber email behaviour reported the email to the institutions cyber security team. Our findings show that the likelihood of clicking on a link in a phishing email was lower for participants who had greater faith in their intuition and paid more attention to the sender's email address. The likelihood of clicking on a link in a phishing email was greater for participants who received the ‘Undelivered package’ email relative to the ‘Received PDF’. The likelihood of reporting a phishing email was greater for participants who engaged in greater elaborative processing to evaluate the email than those who used less elaboration. Theoretical and practical implications as well as future directions are discussed.

Online teaching, learning, and health outcomes: Impact on medical undergraduate students.

Online education has become a norm since the pandemic and it was a complete change for the medical curriculum. Many students missed patient interaction, which was a crucial part of their learning. This study was designed to know the perceptions of online teaching of both the non-competency-based medical education (non-CBME) and competency-based medical education (CBME) curriculum during the coronavirus disease 2019 (COVID-19) pandemic, learning outcomes, and health-related problems due to online teaching-learning in medical undergraduates. It was an online survey done after ethics approval. The survey questionnaire was sent to all medical undergraduates via email or WhatsApp and responses were recorded after informed consent. The total number of students who completed the survey was 346. 66% of students found that online classes were not as enjoyable as offline. 66% found them time-saving with learning at their own pace. 85% felt they learned no clinical skills, and 80.6% said there was a lack of practical demonstrations. 71% experienced digital fatigue, 62% missed learning in a group, and 73% felt the poor motivation to study. Only 30% and 18.7% were confident enough to take a history or do an examination of the patient, respectively, after online clinics. 33% were confident to appear for university theory and only 11% for practical exams. The health problems faced due to online teaching included somatic complaints, sleep disturbances anxiety, and depressive symptoms in 40% of students. The students were dissatisfied with online teaching. Learning outcomes were affected, as they were not confident to appear for university exams. Hence, though teaching happened during the pandemic, the online education imparted revealed lacunae and health effects.

Prompt text classifications with transformer models! An exemplary introduction to prompt-based learning with large language models

This study investigates the potential of automated classification using prompt-based learning approaches with transformer models (large language models trained in an unsupervised manner) for a domain-specific classification task. Prompt-based learning with zero or few shots has the potential to (1) make use of artificial intelligence without sophisticated programming skills and (2) make use of artificial intelligence without fine-tuning models with large amounts of labeled training data. We apply this novel method to perform an experiment using so-called zero-shot classification as a baseline model and a few-shot approach for classification. For comparison, we also fine-tune a language model on the given classification task and conducted a second independent human rating to compare it with the given human ratings from the original study. The used dataset consists of 2,088 email responses to a domain-specific problem-solving task that were manually labeled for their professional communication style. With the novel prompt-based learning approach, we achieved a Cohen’s kappa of .40, while the fine-tuning approach yields a kappa of .59, and the new human rating achieved a kappa of .58 with the original human ratings. However, the classifications from the machine learning models have the advantage that each prediction is provided with a reliability estimate allowing us to identify responses that are difficult to score. We, therefore, argue that response ratings should be based on a reciprocal workflow of machine raters and human raters, where the machine rates easy-to-classify responses and the human raters focus and agree on the responses that are difficult to classify. Further, we believe that this new, more intuitive, prompt-based learning approach will enable more people to use artificial intelligence.

Experience, exposure, and attitudes regarding off-pump coronary artery bypass grafting techniques in US cardiothoracic surgical residents: Results of a survey

BackgroundWe sought to determine the current level of exposure to and interest in off-pump coronary artery bypass and beating heart surgery techniques regarding cardiothoracic surgical residents in the United States. MethodsAn email survey consisting of 6 questions was sent to all cardiothoracic surgery residents of approved cardiothoracic training programs in the United States. The survey was emailed using the Qualtrics XM cloud-based survey platform. When the email responses were received, the answers to the survey questions were tabulated by the Qualtrics software and the resident's institution and year of graduation from their residency was noted. ResultsOf 400 surveys sent, we received 99 responses for a response rate of 25%. A total of 78% of cardiothoracic surgery residents reported that they are at programs that do off-pump coronary artery bypass or beating heart surgery infrequently, noting that these cases are done in less than 5% of the coronary artery bypass graftings to which they are exposed. A total of 51% responded that they do not feel comfortable with off-pump coronary artery bypass grafting under any circumstances. A total of 49% reported some comfort with the technique with most of these respondents noting that they would do off-pump coronary artery bypass or beating heart surgery on a selective basis if the clinical situation arose and 4% plan to do off-pump coronary artery bypass routinely. Exposure to off-pump coronary artery bypass and beating heart surgery significantly correlated with future adoption of the technique by the cardiothoracic surgery residents. Cardiothoracic surgery residents in the lowest, middle, and highest terciles of exposure to off-pump coronary artery bypass and beating heart surgery plan to use these techniques 31%, 86%, and 75%, respectively, in selective cases when they are in independent practice. ConclusionsOver half of graduating cardiothoracic surgery residents do not feel comfortable with off-pump coronary artery bypass or beating heart surgery techniques. Exposure to these techniques in training correlates with comfort level and plans to use them in independent practice.