Post-study Survey Research Articles

A ChatGPT Assisted Reading Protocol for Undergraduate Research Students.

A major challenge for undergraduate students is reading scientific literature. This is especially true in biophysics, where many of the concepts may not have been covered in undergraduate courses. Students can become overwhelmed, which may lead to less overall engagement with the scientific literature. In response, we have developed a guided reading protocol that combines pre-reading strategies, structured notetaking, and ChatGPT to help students clarify unfamiliar concepts in an interactive way. To test the protocol, participants in this study were given an initial survey to determine their experience with reading scientific literature. After this they were given an abridged biophysics paper and the protocol. The ChatGPT transcripts were analyzed using open coding and the students were given a post-study survey. We found most students did not appear to regularly engage with the literature, possibly due to content barriers they encountered. Analyzing their transcripts, we observed that students asked for definitions, explanations, summaries, and simplifications. Overall, students reported that using ChatGPT was a positive experience and they expected to use ChatGPT in the future. From this work, we expect this new protocol may be a way to keep novice students from becoming discouraged when reading scientific papers and keep them engaged with the current literature.

Lidocaine patches after cesarean sections: a randomized control trial

ObjectivesLidocaine patches are a common topical analgesic therapy but have not been thoroughly investigated in the surgical or obstetric literature. We sought to investigate the impact of adding topical lidocaine patches to routine postcesarean pain management on patients’ postcesarean pain scores and opioid use. Study DesignThis is a prospective randomized subject-blinded controlled trial of patients undergoing cesarean delivery at a single institution. Individuals were excluded if they had three or more cesarean sections (CS), abdominoplasty, history of abdominal hernia repair with mesh, active polysubstance use, or history of opiate use disorder with current medication-assisted treatment. Patients were randomized via a 1:1 randomization scheme to a placebo patch or lidocaine patch. Baseline maternal characteristics were collected. The primary outcome was mean visual analog pain scores (0–10). Our secondary outcome was total morphine equivalents used over the postoperative hospital stay. Pre- and poststudy surveys were performed to evaluate subject's prior analgesia use (including opioids) and patient experience in the study. ResultsA total of 100 patients were randomized and 93 had complete data for analysis (46 placebo group, 47 treatment group). Groups had similar baseline characteristics (age, BMI, ethnicity, surgical time, and estimated blood loss). Mean maximum postoperative pain score by visual analog scale did not differ between placebo or lidocaine patch groups on postoperative day (POD) 1 (P=.3), day 2 (P=.9), day 3 (P=.07), or day 4 (P=.09). Mean postoperative pain score by visual analog scale did not differ between placebo or lidocaine patch groups on POD 1 (P=.7), day 2 (P=.6), day 3 (P=.2), or day 4 (P=.5). In the poststudy survey, 0% of the respondents in the lidocaine patch group reported disruption of their care and 63% reported desired use of lidocaine patch in the future. ConclusionThe addition of lidocaine patches did not significantly decrease the maximum or average postoperative pain scores via visual analog scale after CS. More research is needed into nonopioid pain management strategies in the postoperative period in obstetric care.

Use of Virtual Reality Technology for Learning Mechanical Skills

Background: With the technological landscape in education shifting rapidly, Virtual Reality presents a novel approach to practical skill development, particularly in mechanical engineering. This study explores the potential of Virtual Reality to enhance the learning of specific mechanical skills, such as Mechanical Skills, which are crucial in the increasingly automated industry. The main objective of this research was to assess the effectiveness of Virtual Reality technology in teaching mechanical skills compared to traditional hands-on methods. The study employed a quasi-experimental design involving 100 mechanical engineering students from two universities. Using conventional training methods, which included [insert specific methods], participants were randomly assigned to a VIRTUAL REALITY training group and a control group. Both groups were tested on their ability to perform specific mechanical tasks, such as [insert specific tasks], before and after the training sessions. The Virtual Reality group demonstrated a statistically significant improvement in performance accuracy and speed compared to the control group. Post-study surveys also indicated higher satisfaction and engagement levels among the Virtual Reality group. The findings suggest that Virtual Reality technology can significantly enhance the learning of mechanical skills, offering a more effective and engaging approach than traditional methods. The potential of Virtual Reality to revolutionize mechanical engineering education is inspiring, offering a new and exciting way to teach and acquire practical skills.

A pilot study exploring the effectiveness of binaural beats at reducing anxiety associated with cadaveric dissection.

This study explored the effects of a novel intervention, binaural beats (BB), on anxiety levels of anatomy students during cadaveric dissections and its impact on the learning environment. The study was quasi-experimental, employing a purposive sampling strategy. State (SA) and trait (TA) anxiety levels were measured using the State-Trait Anxiety Inventory during two routine dissection sessions. SA was measured at three time points: at the start, after a 3-min control (silence)/intervention (10 Hz BB) session, and at the end of the dissection. A post-study survey was distributed to the participants to obtain qualitative feedback on their perceptions of BB use during cadaveric dissections. Thirteen female students participated in this study (mean age 19.62 ± 0.65 years). Both control and intervention measures significantly reduced SA levels, with BB demonstrating a greater effect size (Hedges' g = 0.98 for intervention vs. 0.76 for control). SA decreased significantly after the BB intervention (t(12) = 3.78, p = 0.003) and remained low throughout the session, in contrast to the control session, where the reduction post-measure was not sustained (t(12) = -0.64, p = 0.54). Feedback from the post-study survey indicated that most students found the BB intervention effective in reducing their anxiety levels before the dissection. The BB intervention was effective in reducing and maintaining students' SA levels during dissection. Students reported positive experiences with BB. Further investigations are warranted to determine whether the findings of this study can be generalized to larger and more heterogeneous populations.

The Street Medicine Auto-refraction Technology Study: A Model for Screening and Treating Refractive Error in Persons Experiencing Homelessness

PurposeThe SMART study is an efficient and cost-effective treatment of refractive-error (RE) and identification of potential non-RE pathology in people experiencing homelessness (PEH). DesignOutreach evaluation for diagnosis and treatment. MethodsThe internal medicine physicians/staff team used a protocol designed by ophthalmology to screen and treat PEH. First, the uncorrected visual acuity (ucVA) was measured, which was defined as a patient's visual acuity without the use of any glasses. Those with 2-line improvement on pinhole testing (phVA) underwent handheld portable auto-refraction (AR). During a second encounter, glasses purchased from the AR measurements were distributed, and vision was re-measured with the new glasses or current corrected visual acuity (ccVA). Patients with a final VA ≥0.3 logMAR (equivalent to Early Treatment Diabetic Retinopathy Study (ETDRS) 20/40) were referred to an ophthalmology clinic for further evaluation. ResultsThis was a prospective study of 117 patients (226 eyes). ucVA was 0.64 logMAR (equivalent to ETDRS 20/87) for both the right (OD) and the left eye (OS). 90/98 (91.8%) patients successfully underwent AR. 80/88 (90.1%) patients have received their glasses. For the 61 patients that completed their second visit, the average improvement in VA (ccVA – ucVA) was 5 lines. 23/117 (19.7%) were referred to ophthalmology for further evaluation. Post-study Likert surveys (1=strongly disagree to 5=strongly agree) showed patient satisfaction with the testing (4.7), the AR (4.6), seeing better (4.8), and doing activities with glasses (4.7). Additionally, most patients agreed they would not have obtained glasses without the study (4.7). ConclusionsThis is a new model to screen RE and provide affordable glasses to PEH in a non-ambulatory setting. Patients with potential non-RE can be sent for further evaluation.

Exploring gender dynamics in cybersecurity education: A self-determination theory and social cognitive theory perspective

The cybersecurity industry is facing two major challenges as cyber threats get more serious: a shortage of skilled workers to defend against these attacks and a noticeable underrepresentation of women in the field, underscoring the critical need for diversity and skill development. This research explores variations in cybersecurity learning based on gender using the frameworks of self-determination and social cognitive theories. Conducted over two years, the research utilized a Capture The Flag (CTF) platform to facilitate learning and assess outcomes. This study explores the gender disparities in key areas such as intrinsic and extrinsic motivation, self-efficacy, conceptual grasp, and performance across five distinct cybersecurity subdomains: web exploitation, cryptography, cyber forensics, binary exploitation, and reverse engineering. The comprehensive evaluation included participant interaction with learning materials, their adeptness in practical exercises, and their achievements in a comprehensive contest covering five essential cross-domain cybersecurity concepts. Pre- and post-study surveys were instrumental in tracking shifts in motivation and self-efficacy levels. Findings pointed to notable gender-based differences in motivational aspects and self-belief following the learning phase, with conceptual understanding and the ability to replicate challenges also varying significantly between genders, highlighting disparities in educational outcomes. Domain-based analysis reveals notable gender differences: male participants excelled in solving reverse engineering and cryptography problems, whereas female participants performed better in cyber forensics and web exploitation challenges. These findings underscore the importance of tailored educational strategies in cybersecurity training to bridge the gender gap and foster a more diverse and capable workforce, addressing both the skill shortage and the need for broader representation in the field.

Pan-tumor harmonization of pathologic response assessment for standardized data collection in neoadjuvant IO trials (PATHdata): Final analysis of a multi-institutional reproducibility study.

2515 Background: Immunotherapeutic agents are now being investigated for treating earlier-stage cancers. Radiographic assessment by RECIST, widely used to assess treatment response in clinical trials for advanced cancers, has limitations in the neoadjuvant setting; and pathologic response assessment is increasingly being used as a primary and/or secondary endpoint. To that end, a pan-tumor scoring system for assessing pathologic response was developed (1,2). This scoring system allows for the quantitative assessment of residual viable tumor (RVT) in multiple locations: i.e. primary and lymph node (LN) or distant metastases, akin to RECIST. %RVT scored using this system been associated with patient outcomes after treatment with anti-PD-1-based therapies. Additionally, %RVT in LN has been shown to have additive value to %RVT in the primary tumor when predicting patient survival (3). As a result, pathologists are now being asked to score pathologic response in the primary tumor and LN as a part of ongoing clinical trials and routine clinical care. Here, we evaluated the reproducibility of %RVT scoring using pan-tumor immune-related pathologic response criteria (irPRC). Methods: A multi-institutional, international study led by the Society for Immunotherapy of Cancer was initiated to assess the concordance of pathologic response assessment in resection specimens from patients treated with anti-PD-1-based therapies. Online lecture-based modules for irPRC scoring were developed, and 14 pathologists from multiple institutions, including academic and industry partners, were trained to score H&E-stained slides. The pathologists have scored n=37 pathology cases from resection specimens and on-treatment biopsies from >10 different tumor types, in part derived from phase II/III clinical trials. %RVT in the primary tumor and LN from patient specimens were scored separately (total of n=374 slides scored by each pathologist). Results: At the first interim analysis, scoring of pathologic response using irPRC was shown to be highly reproducible, irrespective of disease location (i.e. primary tumor vs lymph node metastasis). The second half of the study is nearing completion, and these reproducibility numbers will be finalized and presented in the final abstract. Extended analyses will also be presented that include subset analyses by tumor type. Conclusions: The results will be interpreted and presented in the context of the larger field for pathologic response assessment. A post-study survey completed by the participating pathologists will be used to refine irPRC training materials prior to dissemination to the wider immuno-oncology community. 1. Cottrell et al. Ann Oncol2018. 2. Stein et al. Clin Can Res 2020. 3. Deutsch, et al. Nat Med 2023.

Evaluating pre-and post-oral health literacy of undergraduate nursing students on an oral-systemic health learning intervention.

Oral health is significantly linked with systemic health. Nurses play a crucial role in patient education. Improving oral health literacy in nursing students can pave the way for the seamless integration of oral health into nursing practice. This study aimed to evaluate an interprofessional co-designed oral-systemic health learning intervention using a pre-and-post study design that measured oral health literacy levels among Year 2 undergraduate nursing students. Evaluation was measured using the validated Comprehensive Measure of Oral Health Knowledge questionnaire before and after the semester-long education intervention. Data were analyzed using independent and paired t-tests and an analysis of variance one-way analysis of variance. A total of 78 out of 164 students (82% female, 42% aged 21-24, and 52% speaking English as a first language) participated in the pre- and post-study surveys. Statistically significant improvement was noted in pre-and-post total oral health literacy scores (Pre 14.92 [3.85] vs.. Post 15.85 [3.74], p=0.031). Students showed the highest proficiency in the domain of oral disease prevention, while oral cancer knowledge was the least mastered domain. Those without English as their first language and those with secondary education as the highest qualification showed the greatest improvement in oral health literacy scores post-intervention. This study highlights the efficacy of an interprofessional co-designed oral-systemic educational intervention in increasing oral health literacy among undergraduate nursing students. This intervention marks a preliminary step towards integrating oral health into future nursing practice. Further research is warranted to explore the enduring impact of these interventions on their future clinical endeavors.

Does Transparency of Ankle Implant Costs Influence Surgeon Behavior?

Ankle fractures are a common injury treated by orthopaedic surgeons. Unstable, displaced ankle fractures are often fixed with open reduction internal fixation (ORIF) using different implant constructs at various cost. No study to date has looked at transparency in ankle implant costs to surgeon behavior. Our surgeons self-identified that the biggest barrier for lowering implant cost was the lack of cost transparency. This was a surgeon-led-study to evaluate whether increased transparency in implant costs affected surgeon behavior. Monthly operative logs from December 2021 to September 2022 were reviewed at our level 1 trauma center for operative fixation of ankle fractures. The cost data of each fixation construct was reported to trauma-trained surgeons at the end of each month from March 2022 to June 2022. Average costs of implants were compared before and after education. A linear mixed model was used to explore what factors were associated with changes in costs. Surgeons also participated in a poststudy survey. The implant costs of 110 ankle fracture fixations were reviewed over the period before education (n = 60), during education (n = 30), and after education (n = 20). The mean implant cost difference for unimalleolar fractures was -$204.80 (P = .68), whereas the mean cost difference for bimalleolar fractures was -$9.82 (P = .98). Trimalleolar fractures had a mean cost difference of +$94.47 (P = .84). Linear mixed model demonstrated fracture pattern as the only factor significantly associated with implant costs (P < .01). Post-education surgeon survey revealed that 6 of 7 surgeons felt that monthly updates affected their implant selection. However, only 2 surgeons demonstrated a change in practice with decreased implant costs during the study. The majority of surgeons self-reported being influenced by the implant cost education, but the detected change in implant cost was only observed in less than one-third of surgeons. Our results suggest implant selection and related costs are not influenced by increased cost transparency education alone. Level III, case control study.

Artificial intelligence-assisted full-mouth radiograph mounting in dental education.

With the increasing prevalence of artificial intelligence (AI) and the significant research gap in the application of AI within dentistry, this study aimed to (1) evaluate the efficiency and accuracy of dental students in full-mouth radiograph series (FMS) mounting with and without AI assistance, and (2) assess dental students' perceptions of AI in clinical education to address the impact of AI in dental education. An AI-based interface for mounting radiographs on FMS templates was designed and implemented in the study. Forty third-year dental students were randomly assigned to control and test groups. The control group manually mounted FMS radiographs, while the test group reviewed AI-pre-mounted radiographs for adjustments. Students' performance in efficiency and accuracy was evaluated. Pre- and post-study surveys were conducted to gauge students' confidence levels and opinions regarding the usefulness of the AI-assisted program. The test group (using AI) demonstrated significantly faster radiograph mounting times than the control group (manual) (p<0.05). Accuracy was lower in the test groups, when comparing AI-assisted and manual mounting of FMS (p<0.01). Self-confidence and confidence in AI were consistent between the control and test groups, both before and after the study. Students with AI presented with a decreased accuracy in FMS radiograph mounting. Therefore, AI automation could potentially have negative impacts in a learning environment with inexperienced clinicians.

Enhancing Congenital Cardiac Postprocedural Care: A QR Code-Enabled Medical Bracelet Pilot Study.

The study aimed to evaluate the feasibility of using QR code-enabled medical bracelets for congenital heart disease (CHD) patients after hospital discharge to ensure quick communication of vital information to other medical personnel in emergency situations. A prospective study was conducted where QR code-enabled medical bracelets were given to families of postoperative pediatric cardiac patients. The QR code linked to a secure medical information sheet detailing the patient's cardiac history. Post-study surveys were completed by providers and families to assess their experiences with the bracelet. Of the 20 participants enrolled, 65% used the QR bracelet when seeking medical care. 55% found the bracelet useful, and 70% rated their experience as either "positive" or "very positive". Additionally, 80% recommended the bracelet for other patients undergoing cardiac procedures. The use of QR code bracelets for postoperative CHD patients has shown high levels of satisfaction from families and providers, potentially reducing medical errors and treatment delays.

Perception and Action Augmentation for Teleoperation Assistance in Freeform Telemanipulation

Teleoperation enables controlling complex robot systems remotely, providing the ability to impart human expertise from a distance. However, these interfaces can be complicated to use as it is difficult to contextualize information about robot motion in the workspace from the limited camera feedback. Thus, it is required to study the best manner in which assistance can be provided to the operator that reduces interface complexity and effort required for teleoperation. Some techniques that provide assistance to the operator while freeform teleoperating include: (1) perception augmentation, like augmented reality visual cues and additional camera angles, increasing the information available to the operator; (2) action augmentation, like assistive autonomy and control augmentation, optimized to reduce the effort required by the operator while teleoperating. In this article, we investigate: (1) which aspects of dexterous telemanipulation require assistance; (2) the impact of perception and action augmentation in improving teleoperation performance; and (3) what factors impact the usage of assistance and how to tailor these interfaces based on the operators’ needs and characteristics. The findings from this user study and resulting post-study surveys will help identify task-based and user-preferred perception and augmentation features for teleoperation assistance.

Coaching Program to Address Burnout, Well-being, and Professional Development in Pediatric Surgery Trainees: A Randomized Controlled Trial.

To assess impact of participation in a positive psychology coaching program on trainee burnout and well-being. Coaching using principles of positive psychology can improve well-being and reduce physician burnout. We hypothesized that participation in a coaching program would improve pediatric surgery trainee well-being. With IRB approval, a coaching program was implemented during the COVID-19 pandemic (September 2020 to July 2021) in the American Pediatric Surgical Association. Volunteer pediatric surgery trainees (n=43) were randomized to receive either one-on-one quarterly virtual coaching (n=22) from a pediatric surgeon trained in coaching skills or wellness reading materials (n=21). Participants completed prestudy and poststudy surveys containing validated measures, including positive emotion, engagement, relationships, meaning, accomplishment, professional fulfillment, burnout, self-valuation, gratitude, coping skills, and workplace experiences. Results were analyzed using the Wilcoxon rank sum test, Kruskal-Wallis test, or χ 2 test. Forty trainees (93%) completed both the baseline and year-end surveys and were included in the analysis. Twenty-five (64%) were female, mean age 35.7 (SD 2.3), and 65% were first-year fellows. Coached trainees showed an improved change in positive emotion, engagement, relationships, meaning, accomplishment ( P =0.034), burnout ( P =0.024), and gratitude ( P =0.03) scores from precoaching to postcoaching compared with noncoached trainees. Coping skills also improved. More coaching sessions were associated with higher self-valuation scores ( P =0.042), and more opportunities to reflect were associated with improved burnout and self-valuation. Despite the stress and challenges of medicine during COVID-19, a virtual positive psychology coaching program provided benefits in well-being and burnout to pediatric surgery trainees. Coaching should be integrated into existing wellness programs to support the acquisition of coping skills that help trainees cope with the stressors they will face during their careers.

Real-Time Seizure Detection Using Behind-the-Ear Wearable System.

This study examines the usability and comfort of a behind-the-ear seizure detection device called brain seizure detection (BrainSD) that captures ictal electroencephalogram (EEG) data using four scalp electrodes. This is a feasibility study. Thirty-two patients admitted to a level 4 Epilepsy Monitoring Unit were enrolled. The subjects wore BrainSD and the standard 21-channel video-EEG simultaneously. Epileptologists analyzed the EEG signals collected by BrainSD and validated it using video-EEG data to confirm its accuracy. A poststudy survey was completed by each participant to evaluate the comfort and usability of the device. In addition, a focus group of UT Southwestern epileptologists was held to discuss the features they would like to see in a home EEG-based seizure detection device such as BrainSD. In total, BrainSD captured 11 of the 14 seizures that occurred while the device was being worn. All 11 seizures captured on BrainSD had focal onset, with three becoming bilateral tonic-clonic and one seizure being of subclinical status. The device was worn for an average of 41 hours. The poststudy survey showed that most users found the device comfortable, easy-to-use, and stated they would be interested in using BrainSD. Epileptologists in the focus group expressed a similar interest in BrainSD. Brain seizure detection is able to detect EEG signals using four behind-the-ear electrodes. Its comfort, ease-of-use, and ability to detect numerous types of seizures make BrainSD an acceptable at-home EEG detection device from both the patient and provider perspective.

What’s in the Shadows? Formal Analysis: Art History Method to Improve Interpretation Skills for Mammography and Chest Radiographs in Resident Education

To assess the feasibility of using an art history tool of formal analysis in resident education for interpretations of mammography and chest radiographs METHODS: In a pre-post study design, residents were shown pre-selected 10 mammograms and 10 chest radiographs for a total of 20 unique anonymized patient cases. After the pretest, residents attended fourformal analysis art history lessons. The formal elements included line, light, dark, shade, proportion and balance. The post-tests were administered utilizing the same set of images given during the pre-test. After the completion of the pre- and post-tests, the participants filled out a written survey. On average, participants improved their image descriptions for a mean of 30% of the total number of mammographic images they evaluated, and similarly they improved their image diagnoses for a mean of 31% of the mammographic images. On average, participants improved their image descriptions for a mean of 37% of the total number of chest radiographs they evaluated, while improving their image diagnoses for a mean of 52% of the chest X-rays. Of the 20 participants, 14 (70%) completed the post study survey. Almost all of the respondents endorsed agreement in understanding the application of formal analysis to radiologic interpretation. Eight out of 14 (57%) participants self-reported improvement in identifying abnormalities and contriving descriptors. This pilot study shows that formal art analysis used by art historians may improve radiologic learners' ability to perceive and describe relevant radiologic abnormalities which in turn would lead to a more accurate radiologic differential diagnosis. The formal analysis process trains the eye to detect and categorize the underlying structure of images. This method provides an alternative arts intervention specifically designed to improve fundamental visual skills in radiology education.

Exploring the Benefits of a Simulator-Based Emergency Braking Exercise with Novice Teen Drivers

This exploratory study investigated whether using the Pedals Emergency Stop© interactive driving simulator exercise improved the understanding and performance of emergency braking among novice teen drivers. Seventy-one high school driver education students (aged 15–19) participated. All of the teens completed the Pedals Emergency Stop© interactive exercise driving simulator task and then an on-road ABS exercise in a driver’s education vehicle; there was no control group. Students’ ability to complete the simulator-based emergency braking task increased from an initial passing rate of only 18.3% to a maximum of 81.7% by the end of the simulation exercise. A positive trend was observed over successive simulator trials, with the linear effect explaining 51.1% of the variance in emergency stopping “pass” rates using the simulator task. In addition, participants who passed more trials during the Pedals Emergency Stop© simulator exercise were 12.3% more likely to fully activate the ABS during the on-road emergency stop activity using the driver’s education vehicle. Post-study surveys revealed that 95% of the participants improved their understanding of ABS as a result of the simulation-based training, and 98% felt there was a positive impact from the driving simulation exercise on their real-world emergency braking capabilities. Participants highly endorsed the Pedals Emergency Stop© exercise for ABS education and refresher training, with a rating of 4.7 out of 5. This study emphasizes the potential benefits of incorporating simulator-based exercises into driver education and training, with the long-term goal of promoting safe driving behaviors and outcomes.

Adopting a personal learning environment and network to strengthen students’ self-directed and life-long learning attributes

This study explored the implementation of a learner-centered interactive platform termed “Personal Learning Environment and Network (PLE&amp;N)” in fostering a connected, deep, and personalized learning environment for accommodating students' diverse and unique learning needs. Leveraging the network-based and technology-enhanced PLE&amp;N model introduced by the course instructor, students actively engaged with peers, instructors, experts, and professionals in a collaborative learning environment. As the successful implementation of PLE&amp;N extensively relied on the student’s contribution to the PLE&amp;N platforms, they were rewarded with up to 10% of the total marks, which was counted toward the final grading in the subject. Through active and meaningful engagement in the PLE&amp;N platform, students enhanced their learning horizons beyond the traditional classroom boundaries, accessing and exchanging vital and cutting-edge knowledge within their fields of interest, while effectively managing information overload by collaborative effort through PLE&amp;N. The post-study questionnaire survey indicated that the majority of the students (80%) found useful content posted on PLE&amp;N and highly agreed that PLE&amp;N postings improved their understanding of the subject knowledge. Moreover, the integration of constructivist and connectivist pedagogies within PLE&amp;N positively influenced the learning environment, enhancing students’ self-directed learning attributes, as corroborated by in-depth interviews and survey responses. Impressively, at least 65% of students expressed a strong interest in adopting PLE&amp;N for other subjects, suggesting a strong motivation towards life-long learning. These results underscore the potential of learner-driven personalized learning environments, such as PLE&amp;N, to strengthen students' self-directed and life-long learning attributes. Insights from this research might encourage further innovative approaches in designing learner-driven personalized learning environments to strengthen students’ self-directed and life-long learning attributes. Keywords: PLE&amp;N, RSS Feed, Constructive Learning, Connective Learning, Learner-centric Pedagogy. Higher Education.

Assessing Biomechanical and Clinical Outcomes of an Elbow Orthosis Intervention in Youth Baseball: Preliminary Results.

Proper orthosis design may help youth baseball players develop safer pitching mechanics to prevent elbow injuries. This study evaluated the impact of a custom elbow orthosis on pitching biomechanics and adverse events. Ten 11-12-year-old players (mean age 11.5 years) from a regional league team were recruited. The inclusion criteria were at least two years of baseball experience. Six players were randomly assigned to the orthosis group, with four in the control group. Anthropometric data and baseline characteristics were recorded. A video analysis assessed elbow flexion angle during pitching at baseline and at 2 months. The frequency of orthosis wear was also tracked. Adverse events during twice-weekly practices were documented. Post-study surveys evaluated orthosis comfort, stability, and safety perceptions. In the orthosis group (n = 6), four participants showed improved elbow flexion angle, and two of the six participants showed almost no change. The overall median difference was 23.5°. In the control group (n = 4), three participants showed improvement, with a median improvement of 5.5°. Twelve adverse events, including pain, were reported by players not wearing orthoses, whereas no events occurred with orthosis use. Individual players in the control group or who did not wear the orthosis correctly experienced multiple episodes of pain from pitching over the study period. This preliminary study indicates a custom elbow orthosis can optimize pitching biomechanics and prevent adverse events in youth baseball players over the course of two months.

Implementation Readiness and Initial Effects of a Brief Mindfulness Audio Intervention Compared With a Brief Music Control During Daily Radiation Therapy for Prostate Cancer: A Randomized Pilot Study.

The most common and debilitating side effects of radiation therapy (RT) for prostate cancer (PC) are fatigue, sleep disturbance, anxiety, and depression. Previous research has reported palliative benefits from certain self-management approaches, such as mindfulness meditation. To develop, pre-test, and evaluate the feasibility, acceptability and initial benefit of brief, audio-based mindfulness delivered during daily RT for PC compared to a relaxing music control. Following intervention development, participants were randomized to either brief guided mindfulness audio recordings or a relaxing music control during daily RT. A pre-testing phase was first conducted to determine optimal program start time, length, and content most associated with retention. A final program (n = 26) was delivered daily, starting on day one of week 2 of RT and lasting 4 consecutive weeks. Feasibility was defined as ≥70% on enrollment rate, retention, and audio program adherence. Acceptability was measured with a 12-item post-study survey. A secondary focus compared between group changes on patient reported outcomes of fatigue, anxiety, depression, sleep disturbance, and related outcomes at baseline and follow up assessments. Descriptive statistics and general linear models were used. Overall, 76% (n = 38) of approached men enrolled. Pre-testing retention rates were <70% while the final program's retention rate was 89%. The majority of acceptability criteria were met in both conditions, with relatively higher ratings in the mindfulness arm. Compared to music controls, mindfulness participants demonstrated significantly less uncertainty intolerance at 4-weeks (P = .046, d = .95); and significantly lower fatigue scores (P = .049, d = 1.3) and lower sleep disturbance scores (P = .035, d = 1.1) at the 3months follow up. The final intervention met feasibility and acceptability criteria. Pre-testing refinements played a key role for optimal program delivery and retention. Audio-based mindfulness delivered during RT for PC hold potential to help decrease RT-related physical and emotional side effects.

Observational study of the Amaze™ asthma disease management platform.

Asthma is often inadequately controlled, which can result in exacerbations that lead to unplanned healthcare visits. Mobile application (app) use could help manage asthma exacerbations. We implemented the Amaze™ asthma disease management platform in clinical practice and assessed user satisfaction, usage, and usability. Adults with asthma and healthcare professionals (HCPs) were enrolled from a community allergy practice (ClinicalTrials.gov Identifier: NCT04901260) and a large academic hospital (ClinicalTrials.gov Identifier: NCT04868500). Primary and exploratory outcomes included assessment of platform design, patient app usage, patient-reported daily asthma status, emergency room/urgent care visits, and ease of implementation by HCPs. The system usability scale and a post-clinic visit survey were also administered. HCPs/staff monitored the Amaze dashboard to assess patient needs and completed a post-study survey. Overall, 159 patients and five HCPs participated in the study. Patients' mean (SD) age was 38.7 (16.4) years; most were female (78%) and White (78%). Mean patient app usage began at 3.6 days/week but declined to 1.0 day/week by the end of the study. Throughout the study, most daily entries (>69%) reported patient asthma status as "good." Most patients were satisfied/very satisfied with the app (66%) and reported it helped them during discussions with their HCP (44%). Most patients rated the usability of Amaze as "excellent" (49%) or "good" (30%). Most HCPs (71%) reported that Amaze was "very easy" to implement. Most patients and HCPs were satisfied with Amaze. The Amaze platform may help patients and HCPs monitor asthma status, which could improve asthma control.