Practice Settings Research Articles

Operational Security, Safe Quantum, Space Communications and Data Privacy Cyber Security

In recent years the internet has become an important part of daily life for people around the world. 18 On the other hand, as the effectiveness of the internet increases, cybercrimes also increase. Over the last 15 years, cybersecurity has emerged as a way to accelerate the pace of change in cyberspace. Cybersecurity refers to the procedures a country or organization can use to protect its assets and information in cyberspace. Twenty years ago the term "cybersecurity" was little known to the public [1]. Cybersecurity affects not only people but also organizations or governments. In recent years, everything has been going well and it has used many technologies such as cybernetics, cloud computing, smartphones, and Internet of Things technology. Cyber attacks raise concerns about privacy, security, and financial security. Cybersecurity is a set of technologies, processes, and practices designed to prevent attacks, damage, and unauthorized access to networks, computers, operations, and machines. The main purpose of this article is to provide detailed information about types of cybersecurity, why cybersecurity is important, cybersecurity frameworks, cybersecurity tools, and problem points of cybersecurity [2].

‘Within the limits of decency and modesty’: the construction of cis-heteronormativity in New Brunswick school dress code policies

ABSTRACT This study considers the ways school dress code policies in the Atlantic Canadian province of New Brunswick subtly perpetuate heteronormative and cisgendered assumptions regarding acceptable youth cultures. Although past media attention in the province has drawn attention to their indiscriminate enforcement, little is known on how these policies implicate queer and trans youth. Using critical discourse analysis, I collect and analyse data from 113 dress code policies across the region and examine how the language constructs norms about gender and sexuality. My findings reveal many policies using language which largely excludes the stylistic expression of queer and trans students: The texts nullify overall student sexuality and attempt to stabilise gender in ways that make sense to oppressive systems. I argue that my findings have broader appeal to other educational jurisdictions and can be applied to a wider set of discourses and practices around school dress code policies.

Enhanced electrochemical detection of tartrazine in beverages and liquid soap via nickel phosphide-adorned functionalized carbon nanofibers

BackgroundTartrazine (TAT) is a widely used food colorant dye, offering an orange-yellow hue in various products such as foods, cosmetics, and pharmaceuticals. Despite its popularity, TAT is banned in several countries due to its potential health risks, including respiratory issues, migraines, and skin allergies. Moreover, TAT is linked with adverse effects on human physiology, including mutagenicity, biliary cirrhosis, changes in liver and kidney functions, and neurodegeneration at varying doses. Consequently, the detection of this food additive is crucial for safeguarding human health and protecting aquatic organisms. MethodsIn this study, a novel sensor was developed for the detection of TAT, utilizing a composite material made from nickel phosphide decorated with functionalized carbon nanofiber (Ni2P@f-CNF). The Ni2P@f-CNF was synthesized and characterized through several techniques, including X-ray diffraction, X-ray photoelectron spectroscopy, field emission-scanning electron microscopy, and elemental mapping. The composite was then integrated with a glassy carbon electrode to create a sensor. The sensor's performance was evaluated in terms of detection limit, linear range, selectivity, sensitivity, reproducibility, repeatability, and long-term stability. Main FindingsThe developed Ni2P@f-CNF composite sensor displayed a lower detection limit of 0.011 µM and a broad linear range from 0.01 to 1875 µM. Its selectivity and sensitivity were exceptional, primarily due to the catalytic activity of the Ni2P@f-CNF composite towards TAT. The sensor also demonstrated excellent reproducibility, repeatability, and notable long-term stability. Importantly, when applied in real-world scenarios, the sensor successfully detected TAT in soft drink and liquid soap samples, yielding high recovery rates between 97.45 % to 99.37 % and 98.26 % to 99.01 %, respectively, underscoring its potential applicability in practical settings.

Obstetric imaging practice characteristics associated with prenatal detection of critical congenital heart disease in a rural US region over 20years.

To identify clinical practice characteristics associated with the frequency of prenatal critical congenital heart disease (CCHD) detection (i.e., the number of liveborn infants with postnatally confirmed CCHD identified on prenatal sonography) over 20years in a rural setting comprised of 11 primarily low-volume obstetric hospitals and the single tertiary academic hospital to which they refer. This was a retrospective cohort study of all patients in the referral region with an initial prenatal and/or postnatal diagnosis of CCHD from 01/01/2002 to 12/31/2021. The frequency of prenatal CCHD detection at the time of an obstetric ultrasound was reported, as was the change in detection over time. Critical congenital heart disease detection was assessed as a function of cardiac lesion type, practice setting, and practice characteristics. There were 271 cases with a confirmed postnatal CCHD diagnosis, of which 49% were identified prenatally. The majority of community practices each averaged <10 CCHD cases in total over the study period. Prenatal detection at the tertiary academic hospital's obstetric ultrasound unit was 64%, compared to 22% at the combined referring community practices (p<0.001), though CCHD detection improved over time in both settings. Professional accreditation by the American Institute of Ultrasound in Medicine, image interpretation by radiology or Maternal Fetal Medicine, and use of video clips of ventricular outflow tracts were associated with improved prenatal CCHD detection. Our data demonstrate the infrequency of CCHD cases at small-volume, rural hospitals and the substantial variation in prenatal CCHD detection across practice settings. Our methods allowed for the identification of practice characteristics associated with prenatal CCHD detection.

A qualitative investigation into care-leavers' experiences of accessing mental health support.

People who grew up under the care of children's social services are a highly vulnerable group, with 50% of this population meeting the criteria for a mental health problem at any one time. Emerging evidence suggests that there is a disparity between the number of people who require support, and those that receive it, and that they face several barriers to accessing timely and effective mental health support. We have a limited understanding of how to support the mental health of this group as they 'age out' of children's social services, and the transition to independence, which occurs around the age of 18. We aimed to explore how care-leavers understand their experiences of help-seeking from formal mental health services. We used qualitative interviews, and Interpretative Phenomenological Analysis with 9 care-experienced young people aged between 18 and 25 years old. This work was co-produced by a team of care-experienced adults, from the conception of the study to write-up. Qualitative analysis revealed several themes which centred around: (1) taking reluctant steps towards recovery, (2) challenges with being understood and the importance of gaining an understanding of yourself, (3) navigating trust and (4) the legacy of not having your mental health needs met. We identified several important implications for health and social care practice, across primary and secondary health care settings. This work highlights ways to better support this highly vulnerable group in accessing evidence-based mental health support, and how to maintain engagement.

A generating family of unit-Garima distribution: Properties, likelihood inference, and application

This article proposes the unit Garima (UGa) distribution for analysing proportion data. Some statistical properties of the UGa distribution are investigated, including survival and hazard functions, order statistics, quantile function, and stress-strength reliability measure. Next, a new family of continuous distributions, called the unit Garima-generated (UGa-G) family of distributions, is studied. The UGa-G family of distributions has the feature to use the UGa distribution as the main generator and the concept of the T-X family of distributions. Some UGa-G family sub-models are provided, such as the UGa-Beta, UGa-Weibull, and UGa-normal distributions. The maximum likelihood method is used to estimate the model parameters for the statistical aspect. A Monte Carlo simulation for the percentile bootstrap confidence intervals for each parameter of the proposed distributions is provided. Applications to eight practical data sets are given to demonstrate the usefulness of the proposed distributions.

Forensic assessment of somatoform and functional neurological disorders.

Functional neurological disorders (FND) and somatization are common in clinical practice and medicolegal settings. These conditions are frequently disabling and, if arising following an accident, may lead to claims for legal compensation or occupational disability (such as social security disability insurance). However, distinguishing FND and somatization from symptoms that are intentionally produced (i.e., malingered or factitious) may pose a major forensic psychiatric challenge. In this article, we describe how somatoform disorders and FND lie along a spectrum of abnormal illness-related behaviors, including factitious disorder, compensation neurosis, and malingering. We provide a systematic approach to the forensic assessment of FND and conclude by describing common litigation scenarios in which FND may be at issue. Forensic testimony may play an important role in the resolution of such cases.

Importance of specific vital signs in nurses' recognition and response to deteriorating patients: A scoping review.

To explore the published research related to nurses' documentation and use of vital signs in recognising and responding to deteriorating patients. Scoping review of international, peer-reviewed research studies. Cumulative Index to Nursing and Allied Health Literature Complete, Medline Complete, American Psychological Association PsycInfo and Excerpta Medica were searched on 25 July 2023. Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. Of 3880 potentially eligible publications, 32 were included. There were 26 studies of nurses' vital sign documentation: 21 adults and five paediatric. The most and least frequently documented vital signs were blood pressure and respiratory rate respectively. Seven studies focused on vital signs and rapid response activation or afferent limb failure. Five studies of vital signs used to trigger the rapid response system showed heart rate was the most frequent and respiratory rate and conscious state were the least frequent. Heart rate was least likely and oxygen saturation was most likely to be associated with afferent limb failure (n = 4 studies). Despite high reliance on using vital signs to recognise clinical deterioration and activate a response to deteriorating patients in hospital settings, nurses' documentation of vital signs and use of vital signs to activate rapid response systems is poorly understood. There were 21studies of nurses' vital sign documentation in adult patients and five studies related to children. A deeper understanding of nurses' decisions to assess (or not assess) specific vital signs, analysis of the value or importance nurses place (or not) on specific vital sign parameters is warranted. The influence of patient characteristics (such as age) or the clinical practice setting, and the impact of nurses' workflows of vital sign assessment warrants further investigation. No Patient or Public Contribution.

Enhancing competency of clinical research nurses: A comprehensive training and evaluation framework

The Sun et al 's training program for clinical research nurses (CRNs) in the World Journal of Clinical Cases is a comprehensive and scientific approach. It includes structured frameworks for CRN training, aiming to improve CRN competency. This program emphasizes practical abilities, updates training content, and improves evaluation methods. The cultivation of CRN talents focuses on enhancing the training system, establishing a multifaceted evaluation framework, and continuously refining the training programs. Regular feedback and evaluation are essential to improve CRNs' competency in practical settings.

Nutrition employability and graduate readiness: The Australian Working in Nutrition study.

Nutrition science graduates contribute to the nutrition workforce by bringing specialist knowledge and skills needed to address future food challenges. This study aims to provide a snapshot of the current employment landscape for nutrition science graduates in Australia and how well their degrees prepare them for employment. A cross-sectional survey of Australian tertiary nutrition graduates was conducted to explore tertiary training, employment pathways and their perceived preparedness for practice. This study included a final sample of 119 graduates from 17 Australian tertiary institutions. Almost two-thirds of respondents had completed further training. Most graduates (77%, n = 91) had worked in a food, nutrition science or health-related role after their degree; the most frequently cited employment settings were government or public health organisations; research, not-for-profit or nongovernment organisations; and the food industry. Work-integrated learning was identified as a key predictor of graduates working in a role that differed from their expectations as a student. The skill categories developed during nutrition training that were most valued in the workplace included nutrition and scientific knowledge, and professional and communication skills. This study offers first insights into the current employment landscape for nutrition graduates across Australia. Findings show that current nutrition science professionals are highly qualified and prepared to navigate the evolving demands of nutrition practice. Regular review of graduate employment will inform nutrition science curriculum to enable graduates to be well equipped in the face of dynamic practice settings.

A prototype field-to-publication data system for a multi-variable permafrost observation network

Analysis and prediction of permafrost change are hampered by lack of observational data. We implement a permafrost data management system to support multi-variable permafrost observation networks. It addresses five key challenges we identified for permafrost data management and publication: (1) existing data management strategies do not scale well, (2) data users have different skills and needs, (3) permafrost data are varied, (4) resources for permafrost data management are limited, and (5) existing permafrost data sources are difficult to integrate. This prototype system supports a workflow from observation to the distribution of interoperable data. It comprises a database with auxiliary software, a set of practices, and an ERDDAP server. We find the system simplifies data publication, hurdles in adapting CF conventions and ERDDAP for permafrost data remain, and technology cannot replace good practice. Our learning can inform organizations who collect, manage, or distribute permafrost data or those who manage large observation networks.

(016) A Global Survey of Sexual Dysfunction Management among Urologists and Sexual Medicine Experts

Abstract Introduction Understanding and addressing sexual dysfunction is of paramount importance to enhance the overall well-being and quality of life of individuals worldwide. While significant progress has been made in the field of sexual medicine, variability in practice patterns among healthcare professionals remains a potential barrier to optimal patient care. To bridge this knowledge gap and identify the prevailing trends in sexual dysfunction management, we conducted an international survey targeting urologists specializing in Andrology, Sexual Medicine, and related fields. Objective This international survey aimed to assess male and female sexual dysfunction management practices among sexual medicine physicians across to globe to identify variability in practice patterns. Methods A survey was distributed globally to urologists specializing in Andrology, Sexual Medicine, and related fields who are members of International Society for Sexual Medicine (ISSM) or affiliated regional societies (SMSNA, ESSM, MESSM, APSSM, SASSM, SLAMS, ISSWSH, SIU). Demographic information (age, gender, specialty, and practice setting) and treatment approaches for male and female sexual dysfunction were collected. Respondents also reported the percentage of their practice dedicated to sexual dysfunction and whether treatments were covered by health insurance. Results A total of 200/3000 practitioners participated, with 101 (50.7%) identifying as urologists. The majority were male (72.9%) and worked in private practice or community hospitals (32.7%) or a mixture of both (34.2%). Male sexual dysfunction was treated by 71.4% of respondents, with 25.7% dedicating 75–100% of their practice to it. Female sexual dysfunction was treated by 36.9% of respondents, with 64% dedicating 0–25% of their practice to it. Health insurance covered 25–49% of their care for 41.2% of respondents, predominantly provided by private companies (45.9%). The most common treatments for erectile dysfunction were oral medications (86.5%), injections (61.7%), and inflatable penile prostheses (45.1). For Peyronie's disease, oral therapies (59.1%) and penile traction therapy (34.4%) were most frequently offered, while surgical treatment for Peyronie's disease was offered by 58.2% of respondents, with penile prostheses being the primary choice (79.7%). Regarding female sexual dysfunction, 58.4% of respondents offered treatments for genitourinary syndrome of menopause/atrophic vaginitis, with vaginal estrogen being the most common choice (50%). For dyspareunia due to vaginismus/hypertonic pelvic floor dysfunction, 50.3% of respondents offered treatment, with pelvic floor exercise/physiotherapy being the most recommended (66%). Conclusions This study provides valuable insights for healthcare professionals, policymakers, and researchers regarding the current landscape of sexual dysfunction management. The results underscore the importance of continuous efforts to develop comprehensive and individualized approaches, ensuring that both male and female patients receive effective and accessible care for their sexual health concerns. By addressing issues related to insurance coverage and fostering interdisciplinary collaboration, the medical community can collectively work towards improving sexual well-being and quality of life for patients worldwide. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: Advisory board and speaker for Coloplast; consultant for Cynosure; advisory board and speaker for Halozyme; intellectual property with Masimo; advisory board for Promescent; consultant for Sprout; advisory board for Xialla.

Physician marriage survey reveals sex and specialty differences in marital satisfaction factors

Physician marriage is a valuable indicator of how vocational factors (e.g. work hours, stressors) impact satisfaction in relationships and physician wellness overall. Previous studies suggest that gender and specialty influence marriage satisfaction for physicians, though these often come from limited, local, cohorts. A cross-sectional survey was designed and distributed to publicly available email addresses representing academic and private practice physician organizations across the United States, receiving 321 responses (253 complete). Responses included data on demographics, medical specialty, age at marriage, stage of training at marriage, number of children, and factors leading to marital satisfaction/distress. A multivariable ordinal logistic regression was conducted to find associations between survey variables and marriage satisfaction. Survey results indicated that 86.5% of physicians have been married (average age at first marriage was 27.8 years old), and the rate of first marriages ending is at least 14.7%. Men had significantly more children than women. Physicians married at least once averaged 1.98 children. “Other” specialty physicians had significantly more children on average than psychiatrists. Marrying before medical school predicted practicing in private practice settings. Job stress, work hours, children, and sex were most frequently sources of marital distress, while strong communication, finances, and children were most frequently sources of marital stability. Sex differences were also found in distressing and stabilizing marital factors: Female physicians were more likely to cite their spouse’s work hours and job stress as sources of marital distress. Finally, surgery specialty and Judaism were associated with higher marriage satisfaction, whereas possession of an M.D. degree was associated with lower marriage satisfaction. This study elucidated new perspectives on physician marriage and families based on specialty, practice setting, and stage of training at marriage. Future studies may focus on factors mediating specialty and sex’s impact on having children and marriage satisfaction. To our knowledge, this study is the first physician marriage survey which integrates multiple factors in the analysis of physician marriages.

Primary care providers practice patterns regarding female pelvic floor disorders

IntroductionPelvic floor disorders (PFDs) pose substantial physical and psychological burdens for a growing number of women. Given the ubiquity of these conditions and known patient reluctance to seek care, primary...

From textbooks to online sources: An Investigation of drug information resource preference and utilization among healthcare Professionals

BackgroundProviding drug information (DI) is one of the essential pharmaceutical care services. Previous research has documented varying DI preferences and utilization practices among Healthcare Professionals (HCPs). This study aimed to determine the preference and utilization of DI resources among HCPs and identify the main barriers that impede their ability to utilize them. MethodsA cross-sectional survey was conducted in selected government, private hospitals, and primary healthcare clinics. A thirteen-item survey instrument was developed to assess the utilization, accessibility, preferences, and satisfaction with various DI resources and barriers. HCPs meeting the inclusion criteria were identified and contacted. The collected data were analyzed using the Statistical Package for Social Sciences (SPSS) 27. Results311 responses were considered for the final analysis. Most HCPs who contributed to this survey were pharmacists, nurses, and physicians. Google was the most frequently used reference resource, at 64.3% (n = 200), followed by other subscription-based databases at 36% (n = 112) and package inserts at 30.5% (n = 95). UpToDate was the most commonly used database, i.e., 42.1% (n = 131) (RII = 0.749196). Treatment was the most common category of DI, and 69.8% (n = 217) searched (RII = 0.899517). Lack of time, 46% (n = 201), was the most limiting factor for seeking DI. Variables such as work experience, practice setting, education level, and continuing medical education hours were the significant (p < 0.05) predictors of some DI utilization components and preferences. ConclusionThis study shows differences in preference and utilization of drug information resources (DIR) by HCPs, depending upon their clinical practice and background. Therefore, educational strategies are needed to empower HCPs about DIR.

Effect of vertical central plication on vertical deviations

PurposeTo evaluate the surgical effect of the Wright central plication on vertical rectus muscles to correct vertical strabismus. MethodsIn this multicenter, retrospective, observational outcomes study, data were collected from two surgeons in different practice settings (2017-22). All patients who underwent vertical rectus central plication were included; those undergoing any concurrent strabismus surgery for vertical strabismus were excluded. Primary outcome was amount of strabismus correction in prism diopters per vertical rectus central plication. Secondary outcome was to determine factors associated with better or worse surgical outcomes and patient and patient responses. Data were analyzed using descriptive and bivariate statistics. ResultsA total of 36 patients were included. Mean age was 60 years. Mean follow-up was 8.4 months. Of the 36 patients, 11 (31%) had idiopathic strabismus, and 7 (19%) had congenital superior oblique palsy. The remainder had a history that included prior ocular surgery, trauma, and Brown syndrome; 16 (44 %) had prior strabismus surgery. Of 31patients with preoperative diplopia, 23 (74%) had postoperative resolution of diplopia, and 10 of 16 patients with preoperative prisms (63%) no longer required prisms postoperatively. Mean vertical deviation change was 4.7Δ. Subgroup analysis removing patients with congenital superior oblique palsy showed a larger response of 5.5Δ. 78% of patients had a final deviation <5Δ. No complications or induced postoperative diplopia was reported. ConclusionsIn our study cohort, vertical rectus central plication corrected approximately 5Δ (range, 4.5Δ-5.5Δ) of vertical strabismus due to a variety of causes.

ETVO: Effectively Measuring Tactile Internet With Experimental Validation

The next frontier in communications is <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">teleoperation</i> – manipulation and control of remote environments with haptic feedback. Compared to conventional networked applications, teleoperation poses widely different requirements, ultra-low latency (ULL) is primary. Realizing ULL communication demands significant redesign of conventional networking techniques, and the network infrastructure envisioned for achieving this is termed as <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">Tactile Internet</i> (TI). The design of meaningful performance metrics is crucial for seamless TI communication. However, existing performance metrics fall severely short of comprehensively characterizing TI performance due to their inability to capture how well sensed signals are reproduced. We take Dynamic Time Warping(DTW) as the basis of our work and identify necessary changes for characterizing TI performance. Through substantial refinements to DTW, we design <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">Effective Time- and Value-Offset (ETVO)</i> – a new method for measuring the fine-grained performance of TI systems. Through an in-depth objective analysis, we demonstrate the improvements of ETVO over DTW. Through subjective experiments, we demonstrate that existing QoS and QoE methods fall short of estimating the TI session performance accurately. Using subjective experiments, we demonstrate the behavior of the proposed metrics, their ability to match theoretically derived performance, and finally, their ability to reflect user satisfaction in a practical setting.

Consecutive Microsurgical Cases Performed by Single Surgeon at a Canadian Tertiary Care Center: A Retrospective Review

Background: The practice of a microsurgeon evolves over time with experience, changes in clinical interest, and practice setting. Previous reports suggest that complication rates may be influenced by years of practice. The aim of this study was to analyze consecutive microsurgical cases performed by a single surgeon during the first half of their career in a broad microsurgical practice at a Canadian academic tertiary care center. Methods: A retrospective chart review of all free tissue transfers between 2007 and 2020 completed by a single academic plastic surgeon was performed. The primary outcomes were the odds of postoperative complications and free flap failure. The secondary outcomes included the annual number and type of free flap cases over time. Results: The surgeon performed 795 free flaps on 537 patients. There were a total of 131 postoperative complications. There was no statistically significant association between the years in practice and odds of a complication. Overall, there were 26 flap failures, yielding a 96.7% success rate. There was no association between flap failure and years in practice. The most common type of reconstruction was breast, followed by lower extremity and head and neck. There was a significant change in the type of reconstruction cases over time ( P &lt; 0.005). Conclusion: The type and volume of free flap reconstruction conducted by the surgeon has changed over time. In this single surgeon career, surgical experience did not have a significant impact on free flap complications. At our center, free tissue transfer remains a valuable tool for reconstruction in both low and high-risk patients.

Enhancement of Preoperative Mental Health Assessment Through Clinical Nurse Specialist Project Leadership.

The aim of the project was to discern whether a collaborative, consultative-rich, clinical nurse specialist-led project could increase completion rates of a patient health questionnaire for depression and a generalized anxiety disorder questionnaire with appropriate referrals in adult patients in the ambulatory and hospital settings of a robust cardiovascular surgery practice before cardiovascular surgery. The Define, Measure, Analyze, Improve, Control implementation methodology guided this quality improvement project. The workflow was analyzed in collaboration with stakeholders, and barriers to and facilitators of questionnaire completion were identified. Interpreter services partnerships were enhanced and used for patients with a preferred language other than English. Weekly data analysis assessed ongoing questionnaire completion rates. Documented completion rates of questionnaires improved across ambulatory and hospital settings by 15%. Patients with a preferred language other than English had an 80-percentage-point increase in documented questionnaire completion. Clinical nurse specialists are poised to lead projects because of their use of the collaborative and consultative core competencies. A formal electronic health record report was established for monitoring outcomes. Embedding questionnaire administration within the standard workflow of ambulatory and hospital staff makes administering questionnaires preoperatively a sustainable practice in both settings.

The SAFE procedure: a practical stopping heuristic for active learning-based screening in systematic reviews and meta-analyses

Active learning has become an increasingly popular method for screening large amounts of data in systematic reviews and meta-analyses. The active learning process continually improves its predictions on the remaining unlabeled records, with the goal of identifying all relevant records as early as possible. However, determining the optimal point at which to stop the active learning process is a challenge. The cost of additional labeling of records by the reviewer must be balanced against the cost of erroneous exclusions. This paper introduces the SAFE procedure, a practical and conservative set of stopping heuristics that offers a clear guideline for determining when to end the active learning process in screening software like ASReview. The eclectic mix of stopping heuristics helps to minimize the risk of missing relevant papers in the screening process. The proposed stopping heuristic balances the costs of continued screening with the risk of missing relevant records, providing a practical solution for reviewers to make informed decisions on when to stop screening. Although active learning can significantly enhance the quality and efficiency of screening, this method may be more applicable to certain types of datasets and problems. Ultimately, the decision to stop the active learning process depends on careful consideration of the trade-off between the costs of additional record labeling against the potential errors of the current model for the specific dataset and context.