Related Concepts Research Articles

AI MyData: Fostering Middle School Students’ Engagement with Machine Learning through an Ethics-Infused AI Curriculum

As initiatives on artificial intelligence (AI) education in K-12 learning contexts continues to evolve, researchers have developed curricula among other resources to promote AI across grade levels. Yet, there is a need for more effort regarding curriculum, tools, and pedagogy, as well as assessment techniques to popularize AI at the middle school level. Drawing on prior work, we created original curriculum activities with innovative use of existing technology, a new computational teaching tool, and a series of approaches and assessments to evaluate students’ engagement with the learning resources. Our curriculum called AI MyData comprises elements of ML and data science infused with ethical orientation. In this paper, we describe the novel AI curriculum and further discuss how we engaged students in learning and critiquing AI ethical dilemmas. We gathered data from two pilot studies conducted in the Northeast United States, one Artificial Intelligence Afterschool (AIA) program, and one virtual AI summer camp. The AIA program was carried out in a local public school with four middle school students aged 12 to 13; the program consisted of eleven two-hour sessions. The summer camp consisted of two-hour sessions over four consecutive days, with eighteen students aged 12 to 15. We facilitated both pilot programs with hands-on plugged and unplugged activities. The method of capturing data included artifact collection, structured interviews, written assessments, and a pre- to post-questionnaire tapping participants’ dispositions about AI and its societal implication. Participant artifacts, written assessments, survey, observation, and analysis of tasks completed revealed that the children improved in their knowledge of AI. In addition, the AI curriculum units and accompanying approaches developed for this study successfully engaged the participants, even without prior knowledge of related concepts. We also found an indication that introducing ethics of AI to adolescents will help their development as ethically responsive citizens. Our study results also indicate that lessons establishing links with students’ personal lives (e.g., letting students choose personally meaningful datasets) and societal implications using unplugged activities and interactive tools were particularly valuable for promoting AI and the integration of AI in middle school education across the subject domains and settings. Based on these results, we discuss our findings, identify their limitations, and propose future work.

Towards a Clinically Relevant Appreciation of the Cost of Caring: A Study of Palliative Care Physicians in Malaysia.

Background: The cost of caring for patients and their families in the midst of interconnected resource, ethical, moral, legal and practical considerations compromises a physician's emotional and physical well-being and therefore patient care. Whilst the cost of caring is historically best associated with compassion fatigue, data has suggested that this may extend to other related concepts, such as vicarious trauma, secondary traumatic stress and burnout. In particular, palliative care physicians are especially vulnerable as they witness and encounter more cases of death and dying. Methods: This study aims to provide a more clinically relevant notion of the cost of caring amongst palliative care physicians in Malaysia. 11 physicians underwent semi-structured interviews as part of the Systematic Evidence-Based Approach (SEBA) for prospective studies. Results: Analysis of the interview transcripts revealed the following domains: (1) conceiving the costs of caring; (2) risk factors; and (3) support mechanisms. Conclusion: This SEBA-guided study into the cost of caring amongst Malaysian palliative care physicians suggests that the costs of caring extend beyond encapsulating moral distress, compassion fatigue, vicarious trauma, secondary traumatic stress and burnout. Rather, the data suggests a personalized notion that varies with individual and contextual factors which are in flux and change over time. A longitudinal, personalized and holistic mentoring program is therefore proposed to counter this cost.

On Connectivity of Multidimensional Fuzzy Graphs and its Applications

Connectivity, average connectivity, and its related concepts are prominent notions in fuzzy graph theory that have applications in various areas, including neural networks, transportation problems, cluster analysis, and telecommunication. This work introduces the concepts of connectivity index, average connectivity index, type 2 connectivity index, etc. to a more generalized variant of a fuzzy graph, namely the multidimensional fuzzy graph. Basic results such as the relation of these parameters to vertices and edges, their bounds in some particular multidimensional fuzzy graphs, etc. are studied with proper illustrations. Theorems on the connectivity index of multidimensional fuzzy graphs are obtained after performing operations like direct product, tensor product, composition, join, and so on. Finally, a decision-making problem that can be effectively handled using the connectivity index is demonstrated and compared with others and similar models.

Interoception and its application to paediatric occupational therapy: A scoping review.

Paediatric occupational therapists assess and provide intervention for children presenting with sensory processing challenges that impact their daily occupational performance. Interoception, the ability to sense internal body signals, is an emerging practice area, yet it remains unclear how and why paediatric clinicians are applying interoception and related concepts in practice. A scoping review was conducted to report on the current body of published literature related to interoception and its application to paediatric occupational therapy practice. A comprehensive search of 10 electronic databases and related grey literature was conducted. Title and abstract screening were completed prior to full-text review of evidence. The PRISMA-ScR Checklist and the Crowe Critical Appraisal Tool were used to support a systematic scoping review process and increase robust extraction and appraisal of data. Narrative synthesis was used to analyse and synthesise data. No consumer and community involvement. A total of 18 articles were included in this review, including original research articles (n= 8), published books (n= 4), theses/dissertations (n= 3), opinion pieces (n= 2), and one government document. Narrative synthesis analysis identified six themes: (1) occupational therapy principles relevant to interoception, (2) what is interoception?, (3) assessment of interoception, (4) clinical application of interoception, (5) clinical populations receiving interoception-based intervention, and (6) relationships between interoception and other performance components. Findings indicated that paediatric occupational therapists are integrating interoception concepts alongside occupational therapy principles to inform assessment and intervention processes. Several assessments and interventions are utilised to support children; however, evidence to strengthen use is lacking. Further, there are limited occupation-based assessments and intervention programs to address interoception deficits in children. Findings from this scoping review contribute to the emerging body of empirical evidence related to interoception and paediatric occupational therapy practice. These findings provide an informed basis for practice and research by occupational therapists in this area. Interoception allows us to feel what is going on inside our body and helps us to notice how our body might be feeling (e.g. if our stomach grumbles, we might feel hungry; if our heart is beating very fast, we might feel scared; if we are sweating, our body is feeling overheated). Some children may present with problems recognising interoceptive feelings in their bodies. Therefore, occupational therapists can help children learn about their own interoception related to their bodies. This is a new topic for therapists, and they need to know more about it so that they best help children and their families. There is not a lot of information about how to use interoception in occupational therapy practice, and we wanted to know what information already exists about interoception and occupational therapy. This review provides a summary of the current knowledge that is available and summarises it. Some information about interoception and how it relates to occupational therapy services with children was found, but more research knowledge about this topic is needed.

Beyond the 9-to-5 grind: workaholism and its potential influence on human health and disease

Workaholism is often considered a conventional word in the general population to portray those individuals who continuously work and find it challenging not to work. It is usually described as a work addiction and operationalized as a compulsive need to work excessively hard. However, the concept of workaholism remains poorly understood. The first objective of this review is to define workaholism, followed by its related concepts, and how it is assessed. Notably, we distinguish workaholism from work addiction and work engagement. Next, we review the current research literature, largely from the last two decades, to suggest that workaholism contributes toward a wide range of health outcomes, ranging from sleep to stress. In particular, we focus on evidence suggesting that workaholism may be associated with differing risk factors for cardiovascular diseases and potentially other related metabolic abnormalities. Finally, we discuss potential limitations of the existing literature on workaholism, and we provide future directions for this emerging field. Specifically, we underscore the need to link workaholism with more biomarkers of metabolic diseases, such as those related to inflammation, the gut microbiome, and glucose homeostasis. In addition, we highlight the importance of establishing causality between workaholism and poor health outcomes, such as cardiovascular diseases and type 2 diabetes.

Gender and social entrepreneurship in turbulent waters: developing a gender-aware conceptual framework

PurposeThis paper identifies and maps themes and critiques emerging from feminist-informed and gender-focused mainstream entrepreneurship and social entrepreneurship (SE) literature. We aim to develop a robust, theoretically informed gender-aware framework for future SE research.Design/methodology/approachA five-stage literature review process was undertaken to identify the common themes, key knowledge gaps and areas of contention highlighted by feminist critiques of mainstream entrepreneurship and what we refer to here as the “critical SE literature”. We draw on a widely used framework of epistemological approaches to discuss the emergent themes, specifically utilising three dominant epistemologies previously found to map onto entrepreneurship policy, those being: “gender as variable”, feminist standpoint and feminist poststructuralist positions.FindingsWe find feminist perspectives on SE particularly distinctive for their high reliance on relational and embedded accounts of the economy, more attentive to collectivist themes like “belongingness” in the performance of gender and identity, and maintaining a challenge to neoliberal and postfeminist norms. Anchoring each perspective in their respective epistemologies, we demonstrate their lineage in critiques of mainstream entrepreneurship and critical (non-feminist) SE. However, divergences from these lineages lead us to identify diversely contextualised and value-adding feminist accounts of SE that add richness and nuance to mainstream entrepreneurship theorising.Research limitations/implicationsThe relative “youth” of the gender-focused and feminist-informed SE literature, alongside the theoretical relevance of the feminist critique of mainstream entrepreneurship and critical social entrepreneurship literature, lead us to draw on the strengths of a more interpretivist paradigm in our research. This amplifies our ability to support the revelation of conceptual connections and relationships between emergent themes, theories, epistemologies and approaches drawn from multidisciplinary sources and to thereby enhance the reach, and associated value, of our research findings.Originality/valueThis review responds to calls for a gender-aware framework for social entrepreneurship research by (1) developing a set of original emergent themes, (2) tracing their intellectual lineage in associated research fields and (3) using them to deepen the connection between feminist epistemologies and entrepreneurship concepts.

High-resolution isochronous stratigraphic framework through well-seismic integration in tight sandstone: a case study of Luodai gas field, Sichuan, China

Tight gas sandstone represents a significant unconventional resource extensively discovered across numerous sedimentary basins around the world. Tight sandstone reservoirs are characterized by low porosity, low permeability, variable source material, rapid spatial and temporal changes, poor reservoir properties, and strong heterogeneity. Traditional geophysical methods struggle to meet the demands of exploration and development of these types of reservoirs. This study applies a high-precision comparative approach using well-seismic integration to establish a relative isochronous stratigraphic framework. Based on this framework, extracting seismic properties can effectively predict tight sandstone reservoirs. This paper, focusing on the Penglaizhen Formation in the Luodai Gas Field of the Western Sichuan Jurassic system. This entire process accomplished in three steps: starting with regional marker layers as the initial framework; followed by the establishment of a relative isochronous framework through precise well-seismic integration; and finally stratigraphic slicing techniques to delineate isochronous stratigraphic framework with shorter time intervals. Thereby enhancing the reliability of subsurface stratigraphic information and data accuracy. The study posits that current technological means cannot create a truly isochronous stratigraphic framework; thus, “isochronous” is considered a relative concept in this context. The framework aims to ensure temporal consistency by minimizing discrepancies through mutual constraints between well and seismic data, serving to exploration and development requirements. Furthermore, analyses such as sensitive attribute extraction, impedance inversion, and assessment of hydrocarbon potential in tight sandstone reservoirs demonstrate strong correlation with drilling results. This validation underscores the framework’s efficacy in interpreting industrial gas production flows, thereby providing robust support for future oil and gas exploration.

The Divine Game Versus the Demonic Game

In Difference and Repetition1 Deleuze sets out to critique the regime of representation and common sense by developing a new conception of difference and repetition in which difference and repetition become liberated from the coherence and continuity of a self or I.2 Difference in itself means that difference has become independent not only from representation, but also from an enduring or coherent self. Difference in itself and repetition in itself are the becoming different and the repetition of a fractured or dissolved self, which Deleuze relates to both a larval subject3 and to a simulacrum.4 In Difference and Repetition Deleuze defines both the concepts of larval subject and simulacrum through the multiplicities and differential relations of the realm of the virtual.5 However, they are not the same. A simulacrum defines a condition in which an entity has become transformed into pure appearance in which nothing appears. A simulacrum is no longer an entity, but only the illusion of an entity.6 This is distinct from the larval subject because the larval subject is an embryonic entity, an entity in the process of formation.7 Through an analysis of the conceptual relation and distinction between larval subject and simulacrum in the first part of the essay, I will reinterpret Deleuze as a philosopher of indifference and the impossibility of repetition, which is a critique on the common idea that Deleuze’s Difference and Repetition is a philosophy of pure difference and pure repetition. Also, I will argue that Deleuze did not just develop a transcendental empiricism (a metaphysics of process), but a philosophy of the universal in itself (which is the collapse of metaphysics). The universal in itself emerges when experience collapses and when the self-determination of entities has become impossible.

A Theoretical Design Framework of Contemporary Vernacular Architecture Based on a Scoping Review of the Best Practices Worldwide

This paper reviews the development of vernacular architecture design and practices worldwide and then focuses on Chinese rural development. It explores the evolution of vernacular architecture and related concepts from a longitudinal perspective, and indicates the dynamic adaptability of vernacular architecture. A scoping review based on archival materials and secondary source literature of the last 10 years is conducted. As a result, 41 design factors have been collected. With a cross-comparative study with related publications, five intangible design factors and ten key tangible design factors are discussed to build a theoretical design framework, which finally provides a foundation for related design practices and further research.

Leading with Empathy: How Understanding Others Creates Connection and Drives Success

This article examines the role of empathy in effective leadership. Through a review of scholarly literature from fields such as psychology, management, and health sciences, the article defines empathy and distinguishes it from related concepts like sympathy. It explores how empathy involves understanding others' perspectives and experiences on an emotional level. The article then discusses four key strategies leaders can use to develop stronger empathy skills, such as active listening, perspective taking, emotional self-regulation, and storytelling. Drawing on empirical research, the potential organizational benefits of leader empathy are outlined, including increased employee trust, engagement, and well-being. Specific examples demonstrate how empathy has strengthened culture and driven performance outcomes in companies and other institutions. Finally, the article advocates for leaders to incorporate empathy more fully into their approaches to better connect with people and foster environments where individuals and teams can thrive.

Employing a Generalization of Open Sets Defined by Ideals to Initiate Novel Rough Approximation Spaces with a Chemical Application

A close similarity and analogy between rough set theory and topology is attributed to the corresponding behavior of lower and upper rough approximations with interior and closure topological operators, respectively. This relation motivates joint studies between topology and this theory. We endeavor by rough set theory to enlarge the knowledge we obtain from the information systems, for this reason, we apply the abstract concept of ideal structures to build new generalized approximation spaces with less vagueness. In the present work, we employ a novel type of nearly open sets in topology so-called ``${\mathcal{L}}$-${\theta\beta}_{\lambda}$-open" with an ideal structure to introduce novel approximation spaces satisfying the desired properties concerning shrinking the boundary region of uncertainty and expanding the domain of confirmed information. We set up the fundamentals of the proposed rough paradigms and demonstrate their superiority over the preceding paradigms induced by some nearly open sets. Two algorithms are furnished to illustrate the way of specifying the family of ${\mathcal{L}}$-${\theta\beta}_{\lambda}$-open sets and exploring whether a subset is ${\mathcal{L}}$-${\theta\beta}_{\lambda}$-definable or ${\mathcal{L}}$-${\theta\beta}_{\lambda}$-rough. Then, we put forward the concepts of rough membership relations and functions and uncover their core characterizations. Finally, we examine the proposed models to model a real situation in the Chemistry field and clarify how our models improve the outcomes of generalized approximation spaces over the previous models.

Discrete Joint Random Variables in Fréchet-Weibull Distribution: A Comprehensive Mathematical Framework with Simulations, Goodness-of-Fit Analysis, and Informed Decision-Making

This paper introduces a novel four-parameter discrete bivariate distribution, termed the bivariate discretized Fréchet–Weibull distribution (BDFWD), with marginals derived from the discretized Fréchet–Weibull distribution. Several statistical and reliability properties are thoroughly examined, including the joint cumulative distribution function, joint probability mass function, joint survival function, bivariate hazard rate function, and bivariate reversed hazard rate function, all presented in straightforward forms. Additionally, properties such as moments and their related concepts, the stress–strength model, total positivity of order 2, positive quadrant dependence, and the median are examined. The BDFWD is capable of modeling asymmetric dispersion data across various forms of hazard rate shapes and kurtosis. Following the introduction of the mathematical and statistical frameworks of the BDFWD, the maximum likelihood estimation approach is employed to estimate the model parameters. A simulation study is also conducted to investigate the behavior of the generated estimators. To demonstrate the capability and flexibility of the BDFWD, three distinct datasets are analyzed from various fields, including football score records, recurrence times to infection for kidney dialysis patients, and student marks from two internal examination statistical papers. The study confirms that the BDFWD outperforms competitive distributions in terms of efficiency across various discrete data applications.

The Preferential Protection of Incomplete Labor Relations and Its Future Legislative Approach

Incomplete labor relations are not a definite legal relationship, but a spectrum of relationships between labor relations and civil relations. The concept of incomplete labor relations was proposed in official documents by the Ministry of Human Resources and Social Security and other departments, but it still leaves many issues such as the path, principles, content, and measures of preferential protection to be further studied and explored. The article argues that the preferential protection of incomplete labor relations should choose the "Civil Law +" approach, focusing on protecting the rights related to the basic survival of workers and their basic social rights. At the same time, the content of the preferential protection is not one-size-fits-all, and should reflect differentiation according to specific situations. In the long run, the trend of incomplete labor relations is bound to grow, and it is inevitable that the dichotomy of labor relations will be broken. At the same time, the bundling of social security and labor relations also needs to be dismantled, and the social security system should be transformed into a public service that everyone can enjoy.

UKRAINIAN NATIONAL FACTOR IN GEORGE F. KENNAN’S STRATEGIC THINKING ON THE USSR

This article highlights G. Kennan’s strategic views on Ukraine, and his recommendations regarding the Ukrainian national factor in the U.S. strategy. These issues were studied against the background of Kennan's strategic thinking on the USSR, and development of “containment” strategy, mostly in 1946–1952. The conclusions emphasize that the ultimate goals of “containment” in Kennan’s interpretation were to make the USSR abandon expansionist foreign policy, and to change its concept of international relations by means short of war. He believed that the threat from the USSR existed as long as the totalitarian regime was in power, and advocated for gradual and peaceful changes in the USSR towards liberalization and modernization. He rejected the idea of its disintegration, and recognized the right to secede only for the Baltic republics. He did not recommend any policies, and did not support any activities to promote independence of Ukraine. But he did not object to the revival of national life of some peoples, including Ukrainians, and development views among them that would help change Soviet conduct. Kennan viewed the USSR as “Russia”, and believed that the U.S. should build its policy on cooperation with Russians. His personal sentiments, that is love for Russian people and Russian culture, also influenced his policy recommendations. For him, Ukrainians and Russians were too close ethnically, and their economic activities were tightly intertwined. Therefore, Ukraine's secession could cause a negative reaction and consequences for Russians. He predicted that sooner or later Russia would challenge an independent Ukraine, and Ukrainians would be forced to turn to the United States for military support. For these reasons, he viewed the future of Ukrainians in a federal union with Russians in the “new Russia”. Some Kennan's conclusions remain relevant today, and his strategic thinking on Russia and Ukraine continues to influence a significant number of U.S. political scientists and politicians.

Pleasure-inclusive sex education, sexual agency and sexual wellbeing in youth: A scoping review

Abstract Background A recent review study showed that pleasure-inclusive sex education can contribute to reducing sexual health risks such as unwanted pregnancy and STIs (Zaneva et al., 2022). Pleasure-inclusive sex education could also contribute to other measures of sexual wellbeing. In this study, we review the literature on associations between pleasure-incorporating sex education and sexual agency (including related concepts such as autonomy) and sexual wellbeing (part 1), and between sexual agency and sexual wellbeing (part 2). Methods We searched in 5 scientific databases using a wide scope of variables related to pleasure inclusive sex education, sexual agency, and various outcomes of sexual wellbeing, focusing on the last 2 decades. Forty-six articles were selected. Results In part 1 of the review we found that all studies reported associations between pleasure-based sex education and sexual agency or sexual wellbeing, but the literature is characterized by limitations and did not permit conclusions about the role of an added benefit of the pleasure component. In part 2 of the review study, we found positive associations between sexual agency (and related variables) and sexual wellbeing (including decreased levels of (re-)victimization). Conclusions Sexual agency may be related to increased sexual wellbeing, but it is still largely unclear whether pleasure-inclusive sex education can significantly contribute to this. There is a great need for high quality research, using innovative evaluation designs, taking into account the role of other important sources of sex education and other contextual factors. Key messages • A lot of work has been done, but the evidence that pleasure in sex ed ‘works’ for sexual wellbeing, is limited and indirect. • Great need for high quality research using novel and more realistic evaluation approaches.

Perception of antibiotics in Polish Internet during the infection season 2023/2024

Aim. Public health researchers have used the Internet for disease surveillance, the assessment of risk perception and behaviour changes during epidemics in the past. Cur- rently, investigations of antibiotics (ABx) mentions and the closely related concept of antimicrobial resistance (AMR) on the Internet are mostly limited to information retrieval as well as simple analysis of Google Trends and media narratives. Methods. To address these shortcomings, we perform media listening and analysis for monitoring of ABx perception in the Polish segment of the Internet during November and December 2023 with Brand24 – a comprehensive Internet analysis tool – based on 2668 mentions. Results. Although the scientific community is aware of the importance of AMR, it was not reflected by the general public perception. Real life examples of public engagement related to practical solutions – such as natural and alternative medicine, and ABx acqui- sition with special focus on children among others – dominated the Internet discourse. Conclusion. Our findings demonstrate that while the interest in health topics in the general Polish population is high, it is often not matched by a sound biomedical literacy. A long-term patient engagement could be difficult, as they tend to think from an indi- vidual perspective (how to help myself/my family/my companion animal) rather than in the context of public health and one health.

CONCEPT OF CRISIS IN SCIENTIFIC DISCOURSE

The article examines the main approaches to the concept and content of crisis in scientific literature. The main trends in the development of the crisis and its contradictions are analyzed. It is emphasized that most crises and their understanding are the result of a combination of human errors, institutional «failures» and constant changes in the sphere of functioning of society and states. The main stages of the development of theoretical approaches regarding the concept and content of the crisis and its main derivatives are considered. It has been proven that he does not have a clear understanding of the concept and essence of the crisis; there are three main approaches to understanding the concept and content of crisis; there are several stages of development and formation of the concept and content of the crisis; for the most part, researchers give this phenomenon a positive or negative character. This is explained by the complex nature of these phenomena and insufficient attention for a long time. It is indicated that analyzing the existing definitions of the concept of «crisis», we can talk about three main approaches: a crisis is a stage of the life cycle of any system, that is, a form of its development; crisis is a turning point in the functioning of the system, which provokes any changes, regardless of the result; a crisis is a deterioration of one or more parameters of the system's functioning, which can even lead to its final disappearance. It is emphasized that the crisis is not a separate phenomenon, but a process unfolding as various factors and forces interact in an unpredictable manner; disruption of the usual daily rhythm of life; the emergence and increase of anxiety and stress in the population; potential and real threats to basic values and structural social systems. It has been proven that all views on the concept and meaning of «crisis» and related concepts are determined by the established framework of their interpretation, as well as by the theoretical and spatiotemporal relationship in which they are interpreted. The conducted research shows that in modern scientific literature there are many approaches to understanding the concepts of crisis and risk, sometimes they are even opposite to each other. In this regard, it is appropriate to generalize the existing approaches to these concepts. This will provide an opportunity to more comprehensively reveal the essence of the concepts and will help during the formation of crisis and risk management policy. The modern world is quite complex and dynamic, which leads to the appearance of an increasing number of various crises and risks. Only a thorough understanding and perception of the crisis will allow, if not to avoid them, then to get out of them with the least losses.

Evaluation of esophagogastric anastomosis with additional mechanical anti-reflux barrier after proximal gastrectomy

The application of proximal gastrectomy for suitable upper gastric cancer and AEG patients is increasing along with the promotion of the concept and technology for function-preserving partial gastrectomy. The following problems such as postoperative reflux esophagitis and anastomotic stenosis naturally become the focus of academic field. Based on the understanding of the anti-reflux structure and function of the esophagogastric junction, scholars have successfully established some representative esophagogastric anastomosis methods with additional mechanical anti-reflux barrier, including gastric tube reconstruction, side overlap esophagogastrostomy, and double flap technique. Subsequently, a series of improved esophagogastric reconstruction methods have been derived. At present, the recognized ideal reconstruction method has not yet been established, and there are also misunderstandings in related concepts and cognition. Based on the literatures and the authors' own practical experience, this paper draws on the research results in the field of surgical treatment for reflux esophagitis, and discusses the theoretical basis, key details and anti-reflux effect of the above-mentioned digestive tract reconstruction methods after proximal gastrectomy, as well as the possible problems in the exploration of innovative surgical methods at home and abroad.

A Canadian Sexual Assault Nurse Examiner's Personal Reflection and Ongoing Questioning of Vicarious Trauma.

The objective of this article was to provide a first-person account of the vulnerable aspects of my life where I questioned if VT had influenced my thought processes and to uncover the potential health risks associated with exposure to patients' repeated stories of trauma. I questioned whether I was experiencing VT or other disorders such as burnout, posttraumatic stress disorder, or compassion fatigue. The scholarly literature was reviewed after my personal reflection to analyze my personal experiences and to gain clarity on how VT and/or other related concepts may impact the professional and personal lives of SANEs. Methods used to produce my personal stories have been done via self-reflection and journaling. Three stories that I believe may resemble VT are shared and analyzed vis-à-vis the literature. My personal vignettes are compared with signs and symptoms of VT and illustrate how they may manifest in the daily lives of SANEs. To date, researchers have neglected to explore concrete examples of the personal depth VT may exhibit in an individual's life. By disclosing and synthesizing my personal stories, I hope to encourage SANEs to be open about their experiences, spread awareness and prevention strategies regarding VT, and, ultimately, further enhance well-being and promote increased longevity in their careers.

Assessing the harmonization of structured electronic health record data to reference terminologies and data completeness through data provenance

AbstractIntroduction(1) Assess the harmonization of structured electronic health record data (laboratory results and medications) to reference terminologies and characterize the severity of issues. (2) Identify issues of data completeness by comparing complementary data domains, stratifying by time, care setting, and provenance.MethodsQueries were distributed to 3 Data Partners (DP). Using harmonization queries, we examined the top 200 laboratory results and medications by volume, identifying outliers and computing summary statistics. The completeness queries looked at 4 conditions of interest and related clinical concepts. Counts were generated for each condition, stratified by year, encounter type, and provenance. We analyzed trends over time within and across DPs.ResultsWe found that the median number of codes associated with a given laboratory/medication name (and vice versa) generally met expectations, though there were DP‐specific issues that resulted in outliers. In addition, there were drastic differences in the percentage of patients with a given concept depending on provenance.ConclusionsThe harmonization queries surfaced several mapping errors, as well as issues with overly specific codes and records with “null” codes. The completeness queries demonstrated having access to multiple types of data provenance provides more robust results compared with any single provenance type. Harmonization errors between source data and reference terminologies may not be widespread but do exist within CDMs, affecting tens of thousands or even millions of records. Provenance information can help identify potential completeness issues with EHR data, but only if it is represented in the CDM and then populated by DPs.