Specific Difficulties Research Articles

Clinical efficacy of femtosecond laser-assisted phacoemulsification in diabetic cataract patients.

Diabetic patients with cataracts encounter specific difficulties during cataract surgery due to alterations in microcirculation, blood supply, metabolism, and the microenvironment. Traditional phacoemulsification may not fully tackle these issues, especially in instances with substantial preoperative astigmatism. The utilization of femtosecond laser-assisted phacoemulsification, in conjunction with Toric intraocular lens (IOL) implantation, offers a potentially more efficient strategy. This research seeks to evaluate the efficacy and possible complications of this approach in diabetic cataract patients. To investigate the clinical efficacy and complications of femtosecond laser-assisted phacoemulsification combined with Toric IOL implantation in diabetic cataract patients, comparing it with traditional phacoemulsification methods. This retrospective study enrolled 120 patients with diabetes cataract from May 2019 to May 2021. The patients were divided into two groups: the control group underwent traditional phacoemulsification and Toric IOL implantation, while the treatment group received Len Sx femtosecond laser-assisted treatment. Outcome measures included naked eye vision, astigmatism, high-level ocular phase difference detection, clinical efficacy, and complication. There were no significant preoperative differences in astigmatism or naked eyesight between the two groups. However, postoperative improvements were observed in both groups, with the treatment group showing greater enhancements in naked eye vision and astigmatism six months after the procedure. High-level corneal phase difference tests also indicated significant differences in favor of the treatment group. This study suggests that femtosecond laser-assisted phacoemulsification combined with Toric IOL implantation appears to be more effective in enhancing postoperative vision in diabetic cataract patients compared to traditional methods offering valuable insights for clinical practice.

The associations among sleep-related difficulties, anxiety, and error-related brain activity in youth

Given the high prevalence of anxiety disorders and their associated impairment, elucidating neural mechanisms related to these disorders has been increasingly prioritized. The error-related negativity (ERN) has been identified as a neural marker that indexes risk for anxiety across development. The ERN seems to confer risk for developing anxiety, especially in the context of stressful life events. The present study sought to examine sleep-related difficulties as another stressful factor that might impact the ERN. In a sample of 221 girls, aged 8 to 15 years old, we first examined the relationship between longer-term (i.e., over the past month) and shorter-term (i.e., over the past week) sleep difficulties and the ERN. We then investigated whether specific sleep difficulties uniquely predict the ERN. In exploratory analyses, we assessed whether sleep difficulties moderate the relationship between the ERN and anxiety. Results indicated that youth who report longer-term lower sleep duration, longer-term worse sleep, and shorter-term lower sleep duration on school days over the past week have a larger (i.e., more negative) ERN. Additionally, only shorter-term sleep duration on school days over the past week uniquely predicted the ERN. Finally, an elevated ERN predicted greater clinical anxiety in the context of longer-term sleep difficulties. Future studies should clarify the direction of these associations via longitudinal designs.

Procesi u superviziji studenata socijalnog rada

ABSTRACT Supervision of social work students as an integral part of the educational process is an integrated way of learning in which social work students apply their theoretical knowledge to field practice, and by reflecting on their experiences from practice in supervision, they improve their professional and personal development. This paper presents part of the results of qualitative research into the process of supervision of students. 10 supervisors of social work students who supervised undergraduate and graduate studies at the Social Work Study Center, Faculty of Law in Zagreb, University of Zagreb participated in the research. The research was conducted using a semi-structured interview method, and data processing used a thematic framework analysis. The results of the research show that supervisors use numerous methods, techniques, models and concepts in their work, emphasizing the educational function of supervision, which ranges from focus on the task to focus on the process of supervision. In terms of feedback, the supportive aspect of supervision dominates. Specific difficulties in supervision are mainly related to the organizational model of conducting field practice and coordination of activities with the educational institution. Also, the paper describes the peculiarities of the student supervision process in relation to other types of supervision that student supervisors recognized in their work. Key words: supervision of social work students; field practice; supervision process.

The Challenges Involved in Teaching Biblical Hebrew to Students With Dyslexia: Some Observations

ABSTRACTStudying Biblical Hebrew is increasingly considered a viable option for students with dyslexia. This presents particular challenges not just for the students but also for their teachers, because the pedagogical methods for teaching ancient languages have traditionally depended on strategies that create difficulties for dyslexic students. This paper outlines the particular challenges of Biblical Hebrew for teachers of students with dyslexia and makes some proposals for addressing those challenges. Responding to dyslexia research, this paper considers the effects of phonological, morphological, and other deficits; outlines teaching and assessment strategies; and argues that learning Biblical Hebrew can be a transformative experience for students with specific learning difficulties.

Autism Detection Based on Facial Images Using VGG16 and VGG19

Abstract: A mental disability called autism spectrum disorder exhibits specific difficulties with verbal and nonverbal communication, interpersonal skills, and obsessive activities. Around 1% of the total populace is impacted by it, and its side effects frequently show up during the formative stages, or during the initial two years following birth. Autism can be diagnosed at any stage in once life and is said to be a "behavioural disease" because in the first two years of life symptoms usually appear. There hasn't been a strong diagnosis method, though, because there aren't any discernible variations between the facial images of healthy people and those of people with ASD. Machine learning and Deep learning approaches are being used in conjunction with traditional diagnostic procedures to increase the accuracy and turnaround time for diagnoses. In this study, we are looking to build a deep learning model i.e. A Convolution Neural Network that can classify and detect Autism based on facial images. The algorithm involves several key steps, including data collection, pre-processing, model training, and evaluation. This project explores the potential of using deep learning models, specifically VGG16 and VGG19 convolution neural networks (CNNs), for the detection of ASD based on facial images.

Quality of Life and Its Psychosocial Predictors among Patients with Disorders of Gut-Brain Interaction: A Comparison with Age- and Sex-Matched Controls.

The disorders of gut-brain interaction (DGBIs) are a heterogeneous group of chronic conditions that greatly reduce patients' quality of life (QoL). To date, biopsychosocial factors (such as gastrointestinal symptoms, alexithymia, and interpersonal problems) are believed to contribute to the development and maintenance of DGBIs, but their role in affecting patients' QoL is still under investigation. Out of 141 patients seeking treatment for their gastrointestinal symptoms, 71 were diagnosed with a DGBI (47 females, 66.2%; Mage: 41.49 ± 17.23 years) and were age- and sex-matched to 71 healthy controls (47 females, 66.2%; Mage: 40.45 ± 16.38 years) without any current gastrointestinal symptom or diagnosis. Participants completed a sociodemographic and clinical questionnaire and a survey investigating several psychosocial risk factors. We found greater symptom severity and difficulties in identifying feelings among patients compared to controls. Further, multiple linear regression analyses evidenced that, among patients, higher expressive suppression of emotions, difficulties in identifying feelings and interpersonal problems, and a lower cognitive reappraisal of emotions predicted lower QoL. Data suggest that the QoL of patients with DGBIs is affected not only by common risk factors (e.g., interpersonal problems) but also by specific difficulties in processing and regulating emotions. The implications of these findings are discussed.

Balloon angioplasty and stenting of lower extremity arteries in patients with critical limb ischemia

Lower extremity peripheral vascular disease is a typical, rapidly progressive, and disabling condition. In most patients, limb ischemia is detected at late stages of the disease. As a result, they are at high risk of limb loss, which makes a complete conventional treatment ineffective. In this situation, balloon angioplasty and stenting of lower extremity ar- teries are considered the optimal modern method of treating patients with critical limb ischemia. This study aims to evaluate the effectiveness of endovascular techniques to improve revascularization during the treatment of critical lower extremity ischemia. The research involved a comprehensive examination and endovascular treatment of 170 patients with occlusive-stenotic lesions of the lower extremity arteries. The patients were operated for critical ischemia between January 2016 and December 2022, and the effectiveness of the measures taken was analyzed. It was found that the pathology under the study requires timely diagnosis and identification of the severity of limb ischemia and circulatory disorders, with the subsequent preparation of an appropriate treatment plan. The authors discussed the main problems accompanying balloon angioplasty and stenting of the lower extremity arteries in patients with critical limb ischemia. Also, the experience of developed countries in the optimization and improvement of the studied tech- nique was studied. It has been proven that the diagnosis of lower extremity vascular disease is related to specific difficulties. However, it can be made on an outpatient basis by analyzing medical examination data and simple labor- atory methods. The authors also examined the feasibility and prospects of balloon angioplasty and stenting of the lower extremity arteries in patients with critical limb ischemia. The re-search findings have a practical value for improving the treatment of patients with occlusive and stenotic lesions of the lower extremities, as well as for improving the effec-tiveness of balloon angioplasty and stenting.

Why Should I? Examining How Childhood Callous-Unemotional Traits Relate to Prosocial and Affiliative Behaviors and Motivations.

Childhood callous-unemotional (CU) traits are characterized by low empathy, limited prosocial behavior, and restricted social affiliation. However, few studies have investigated whether CU traits are associated with different subtypes of prosocial and affiliative behavior or the specific motivational difficulties underlying these behaviors. We addressed these questions using data from 135 youngchildren (M = 5.48 years old; 58% female) who viewed depictions of adults or children in instrumental need, emotional need, or neutral situations. We assessed recognition, suggested initiation of, and motivation for prosocial or affiliative behavior in response to each depiction. We distinguished between subtypes of prosocial (instrumental and emotional) and affiliative (parallel, cooperative, associative) behavior, as well as self- versus other-orientated motivations. Parents reported on child CU traits and conduct problems. Overall, children accurately recognized prosocial and neutral situations, offered help, and expressed other-orientated motivations for prosocial behavior and social motivations for affiliative behavior. Higher CU traits were related to lower overall recognition accuracy, which was more pronounced for emotional need. Higher CU traits were also related to fewer offers of help and more denial of prosocial behavior, particularly for instrumental need. Finally, CU traits were related to lower probability of initiating affiliative behavior. CU traits were not differentially related to self- versus other-orientated motivations for prosocial or affiliative behavior. Findings demonstrate difficulties of children with CU traits in recognizing need and offering help. Interventions for CU traits could include modules that explicitly scaffold and shape prosociality and social affiliation.

Social skills in neurodevelopmental disorders: a study using role-plays to assess adolescents and young adults with 22q11.2 deletion syndrome and autism spectrum disorders.

Social skills are frequently impaired in neurodevelopmental disorders and genetic conditions, including 22q11.2 deletion syndrome (22q11DS) and autism spectrum disorders (ASD). Although often assessed with questionnaires, direct assessment provides a more valid estimate of the constructs. Role-plays (i.e., simulates situational settings) therefore appear to be an appropriate indicator of social skills in daily life. This co-registered study involved 53 individuals with 22q11DS, 34 individuals with ASD, and 64 typically developing (TD) peers aged 12-30years. All participants were assessed with role-plays as well as parent-reported questionnaires and clinical interviews focusing on social skills, functioning and anxiety. Both clinical groups showed impaired social skills compared to TD, but distinct social profiles emerged between the groups. Individuals with 22q11DS displayed higher social appropriateness and clarity of speech but weaker general argumentation and negotiation skills, with the opposite pattern observed in participants with ASD. No association was found between social skills measured by direct observation and caregiver reports. Social anxiety, although higher in clinical groups than in TD, was not associated with role-plays. This study highlights the need to train social skills through tailored interventions to target the specific difficulties of each clinical population. It also highlights the importance of combining measures as they do not necessarily provide the same outcome.

Antipsychotic use during pregnancy and risk of specific neurodevelopmental disorders and learning difficulties in children: a multinational cohort study

Antipsychotics are commonly prescribed to treat a range of psychiatric conditions in women of reproductive age and during pregnancy, including schizophrenia, bipolar disorder, anxiety, depression, autism spectrum disorder, and insomnia. This study aimed to evaluate whether children exposed to antipsychotic medication prenatally are at increased risk of specific neurodevelopmental disorders and learning difficulties. Our population-based cohort study used nationwide register data (1 January 2000-31 December 2020) on pregnant women diagnosed with a psychiatric disorder and their live-born singletons from Denmark, Finland, Iceland, Norway, and Sweden. Cox proportional hazard regression yielded propensity score-weighted hazard ratios (aHRs) and 95% confidence intervals (CIs) for risk of intellectual-, speech or language-, learning-developmental disorders, and a composite outcome of the listed disorders. We defined poor performance as scoring within the lowest quartile on national school tests in mathematics and language arts. We estimated propensity score-weighted risk ratios (aRRs) using Poisson regression. We analysed data from Denmark separately and pooled results using random effects meta-analysis. Among 213,302 children (median follow-up: 6.7 years), 11626 (5.5%) were exposed to antipsychotics prenatally. Adjusted risk estimates did not suggest an increased risk of neurodevelopmental disorders: aHR of 1.06 (95% CI 0.94-1.20) for the composite outcome, or for poor academic performance: aRR of 1.04 (95% CI 0.91-1.18) in mathematics, and of 1.00 (95% CI 0.87-1.15) in language arts. Results were generally consistent across individual medications, trimesters of exposure, sibling- and sensitivity analyses. The findings of this large multinational cohort study suggest there is little to no increased risk of child neurodevelopmental disorders or learning difficulties after prenatal exposure to antipsychotics. Our findings can assist clinicians and women managing mental illness during pregnancy. This study was funded by the NordForsk Nordic Program on Health and Welfare (Nordic Pregnancy Drug Safety Studies, project No. 83539), by the Research Council of Norway (International Pregnancy Drug Safety Studies, project No. 273366) and by the Research Council of Norway through its Centres of Excellence funding scheme (project No. 262700), and UNSW Scientia Programme Awards (PS46019, PS46019-A).

Feeding Management and Palate Repair Timing in Infants with Cleft Palate with and without Pierre Robin Sequence: A Multisite Study.

Compare the feeding management practices in infants with cleft palate with and without Pierre Robin sequence (PRS) and determine if specific feeding difficulties or interventions predict delayed palate repair. Retrospective cross-sectional study. Seventeen cleft palate teams contributed data. 414 infants were included in this study: 268 infants with cleft palate only and 146 infants with cleft palate and PRS. Data were collected via parent interview and electronic health records. Outcomes for the primary objective included categorical data for: history of poor growth, feeding therapy, milk fortification, use of enteral feeding, and feeding difficulties. The outcome for the secondary objective was age in months at primary palate repair. Infants with PRS had a significantly higher prevalence of feeding difficulties (81% versus 61%) and poor growth (29% versus 15%) compared to infants with cleft palate only. Infants with PRS received all feeding interventions-including feeding therapy, milk fortification, and enteral feeding-at a significantly higher frequency. Infants with PRS underwent primary palate repair at a mean age of 13.55 months (SD = 3.29) which was significantly (P < .00001) later than infants with cleft palate only who underwent palate repair at a mean age of 12.05 months (SD = 2.36). Predictors of delayed palate repair included diagnosis of PRS as well as Hispanic ethnicity and a history of poor growth. These findings can be used to establish clinical directives focused on providing early, multimodal feeding interventions to promote optimal growth and timely palate repair for infants with PRS.

Recent Advancements on Sustainable Electrochemical Water Splitting Hydrogen Energy Applications Based on Nanoscale Transition Metal Oxide (TMO) Substrates.

The development of green hydrogen generation technologies is increasingly crucial to meeting the growing energy demand for sustainable and environmentally acceptable resources. Many obstacles in the advancement of electrodes prevented water electrolysis, long thought to be an eco-friendly method of producing hydrogen gas with no carbon emissions, from coming to fruition. Because of their great electrical conductivity, maximum supporting capacity, ease of modification in valence states, durability in hard environments, and high redox characteristics, transition metal oxides (TMOs) have recently captured a lot of interest as potential cathodes and anodes. Electrochemical water splitting is the subject of this investigation, namely the role of transition metal oxides as both active and supportive sites. It has suggested various approaches for the logical development of electrode materials based on TMOs. These include adjusting the electronic state, altering the surface structure to control its resistance to air and water, improving the flow of energy and matter, and ensuring the stability of the electrocatalyst in challenging conditions. In this comprehensive review, it has been covered the latest findings in electrocatalysis of the Oxygen Evolution Reaction (OER) and Hydrogen Evaluation Reaction (HER), as well as some of the specific difficulties, opportunities, and current research prospects in this field.

Professionals' Views On Forensic-Psychiatric Patients With Intellectual Disability: Impact Of Structural, Systemic And Diagnosis-Related Aspects On Treatment And Release

In forensic psychiatric clinics, patients who have committed a criminal offense on the basis of intellectual disability are also treated in according to Sect. 63 of the German Criminal Code. This group of patients has above-average lengths of stay and specific difficulties in treatment and in transition to aftercare systems are reported from practice. The present study is based on a content-analytical evaluation of ten structured interviews with practitioners of different professions who are familiar with the treatment of this patient group in forensic psychiatry. The aim was to identify treatment experiences and challenges of inpatient forensic care for this group as well as needs for change and suggestions for improvement. Respondents confirmed the specific treatment needs and person- and diagnosis-related challenges known from other studies, which were considered to be causally related to prolonged hospital stay and problems at discharge. Numerous structural and systemic barriers were also identified that impede the shortest possible forensic inpatient care and seamless transition to the non-forensic aftercare system. At the structural level, these included the need for human resources (both quantitative and qualitative) and adapted treatment concepts. Professional aftercare was considered very important for this group of patients. In this regard, the non-availability of suitable institutions, long waiting lists and reservations on the part of these institutions towards former forensic patients were identified as problems. The fact that patients with intellectual disability were less able to make their needs known than other patients and thus often received less attention from the treatment providers can be described as a systemic obstacle. This also applies to the rather high demands that the forensic system, with its goal of "improvement" through treatment, also places on people with intellectual disability. The findings of this study can contribute to improvement of the forensic inpatient care of people with intellectual disability at systemic and structural levels.

Enhancing Food Safety Measures in Micro Small Medium Enterprises: A Comprehensive Analysis of MSMEs in Kemiling Bandar Lampung

MSMEs in the food business, especially in Indonesia, encounter major obstacles in adhering to food safety requirements because of their restricted resources and technical knowledge. This study investigates the effects of applying Hazard Analysis and Critical Control Points (HACCP) methodology on enhancing food safety standards at a particular MSME, Desi Kue, situated in Bandar Lampung, Indonesia. The study uses surveys, interviews, and hazard analysis assessments to identify potential dangers and suggest effective management techniques to improve food safety processes at Desi Kue. Customized education and training programs are crucial for enhancing awareness and comprehension of food safety among MSME stakeholders. The report emphasizes the importance of adjusting food safety policies and resources to tackle the specific difficulties encountered by MSMEs. MSMEs can effectively adopt HACCP principles by working with regulatory organizations and industry associations. This will help improve consumer trust, ensure public health, and promote sustainable growth in the food sector. This study offers significant insights for Desi Kue and MSMEs in Indonesia and other developing countries, enabling them to capitalize on prospects for competitiveness and growth in the global market by implementing strong food safety management systems.

Social competencies of children with disinhibited social engagement disorder: A systematic review.

Children with Disinhibited Social Engagement Disorder (DSED) have specific difficulties with indiscriminate sociability, yet little is known about their broader social competencies as DSED tends not to be identified within samples in the wider 'maltreatment literature.' To systematically review the literature to determine the social competencies of children with DSED. A comprehensive search following PRISMA guidelines was undertaken using PsycINFO, Medline, Embase, and Cumulative Index to Nursing & Allied Health. From a total of 553 articles, 16 studies were selected and critically evaluated. Children with DSED were consistently reported to have poorer social competencies than non-maltreated peers and environmental controls. Greater peer problems were consistently found, and they may present with poor self-esteem/concept related to social acceptance. Findings regarding social interaction/communication skills were mixed. 50% of studies were of moderate quality due to sampling and possible confounding variables. Children with DSED present with social relationship problems, beyond the core symptoms of the disorder, but the relative impact of co-occurring neurodevelopmental conditions is not yet clear. In addition, pragmatic language and communication skills require further research.

The experience of parenting a child with dyslexia – A UK perspective with single parents

Dyslexia is a specific learning difficulty that affects the development of literacy and language-related skills, unrelated to intellectual ability. While the impact of parenting an individual with dyslexia (IWD) for married parents has been widely studied, little is known about the impact on single parents. This study explored the lived experiences of single parents of an IWD. Six female participants completed semi-structured interviews discussing their experience of the diagnostic process, support received and general parenting perspectives. Interview transcripts were analysed using Interpretative Phenomenological Analysis. Three main themes were identified: Navigating the diagnosis; Various levels of support; Battling Misconceptions and Lack of Knowledge. Findings suggested that single parents had a mixed experience, both after receiving the diagnosis and in terms of the support they received from family and schools. Differences in the quality of statutory support were highlighted, implicating the need for improved dyslexia support in schools. Unique challenges of parenting an IWD as a single parent were also identified, highlighting important implications. Future research should explore differences in single fathers' experiences and the impact of dyslexia comorbidities on single parents.

Dissociation between Selecting and Orienting Attentional Reading Deficits: A Study in Adults with Epilepsy.

Word reading requires a range of spatial attention processes, such as orienting to a specific word and selecting it while ignoring other words. This study investigated whether deficits of these spatial attention processes can show dissociations after hemispheric lesions. Thirty-nine patients with left or right focal epilepsy and 66 healthy participants had to read aloud four-letter words presented in the left and right visual hemifields. There were three successive blocks of presentation: in the unilateral block, a single word was presented in one of the visual hemifields; in the bilateral block, two words were presented simultaneously, one in each visual hemifield; in the cued block, two words were also presented, but only the cued word had to be reported. Twenty-one patients, twelve with a left and nine with a right hemisphere lesion, showed a word reading deficit. Four had specific difficulties in the cued block, suggesting an attentional selection reading deficit. Twelve patients had an asymmetric reading deficit, suggesting an attention orientation or a visual field deficit. Five patients had more complex deficits. The visual field presentation procedure may help to reveal different types of reading disorders in patients with epilepsy and to dissociate orienting and selecting deficits.

The Effect of Innovation on Competitiveness in the Food Processing Industry of Cameroon: A Mediating Effect of Quality Management

With the intensification of national and global competition, the focus of companies is now on how to achieve competitive advantage. With globalisation, Cameroon’s industry is facing specific difficulties such as unchecked competition from imports, internal weaknesses in output, low technology acquisition as well as poor links between industry and the institutional sector, making competition a problem for them. This led to the foundation of studies on innovation and competitiveness, but at this point, there are still inconclusive results. This paper focuses on examining the effect of innovation on competitiveness in the food processing industry of Cameroon, with a specific emphasis on the mediating effect of quality management. This study adopted the cross-sectional research design for its investigation. The primary source of data was used for this study, as it was current. This primary data was collected through the distribution of questionnaires to the respondents. Innovation in this study was captured in terms product, process, market, and organisational innovations. Quality management on the other hand was captured in terms of commitment to quality, employee involvement, customer focus, process monitoring, incentives, and recognition. In relation to competitiveness, the study focused on productivity, output growth, and market share. Data was collected from 335 managers of food processing companies drawn randomly after stratification from a population of 2564 food processing companies operating in Cameroon. This includes Douala, Yaounde, Ngaoundere, Buea, Bafoussam, Maroua, and Bertoua with 201, 40, 34, 3, 30, 17, and 10 as corresponding sample proportions respectively. Inferential statistics was used during the analysis of the data, specifically using Baron and Kenny’s approach of testing the mediation hypothesis. Based on the results, there were traces of positive and significant direct effects of product, process, and organisational innovations on competitiveness. On the other hand, market innovation was insignificant. In terms of the indirect effect, the study revealed a partial mediation of quality management in the effect of product innovation on competitiveness. Quality management, however, had no mediating role on other dimensions of innovation (process, market, and organisational) and competitiveness.

ARTIFICIAL INTELLIGENCE IN EDUCATION: CASES OF USING CHATGPT 3.5

Formulation of the problem. This research explores the possibilities and peculiarities of employing artificial intelligence in general secondary education. A retrospective analysis of human utilization of artificial intelligence is conducted. Emphasis is placed on the relevance and significance of aligning the education system with contemporary demands and implementing new technological solutions. The focus is on the correctness of queries to systems and the necessity of analyzing work outcomes. Materials and methods. Data collection and processing were conducted during professional development courses for education professionals in the Chernihiv region (Ukraine) through pedagogical observation of course participants and their work with AI. Throughout the study, 34 training sessions were conducted, involving 748 teachers teaching various subjects. Among the showcased cases of AI usage, the most demanded queries among teachers are presented. Results. Examples of text analysis using the generative system ChatGPT 3.5 are provided. The obtained results are analyzed. The findings emphasized the necessity of clearly formulating queries and providing comprehensive input data and complete texts for analysis. In such cases, the artificial intelligence system can provide more accurate responses. This study demonstrated that the system handles this task quite successfully when providing the text of a program code and requesting commentary. However, solving mathematical problems poses specific difficulties, and obtaining the correct answer is only sometimes achievable. That reiterates the critical approach toward the system's obtained work outcomes. Conclusions. ChatGPT 3.5 can correctly analyze well-known facts and provide accurate information about them, but if the facts are local, the system cannot cope with the task. Simple math problems and tasks are performed correctly, but more complex ones already cause difficulties. It is essential not only to write prompts correctly but also to present input data. Such tasks as paraphrasing, translation, and changing the text's tone demonstrate modern AI systems' capabilities. ChatGPT 3.5 can become a good teacher's assistant or assistant for preparing various documentation. Requests for help in writing lesson plans, preparation of educational activities, formation of project topics, and technological maps of projects are carried out by the system at a high level.

Ensuring the safety of surgical correction of scoliosis in children using neuromonitoring and O-arm navigation

Severe multiplanar spinal deformities of various etiologies are accompanied by disorders of the organ systems, causing early disability and reduced life expectancy of patients, which, in turn, dictates the need for surgical correction. The method of choice for the surgical correction of scoliosis is the technology of three-dimensional polysegmental fixation according to Cotrel–Dubousset. Despite the advantages of this spinal stabilization technology, it has its own specific difficulties and risks of various complications, most often associated with malposition of the supporting elements. To reduce the number of complications associated with the surgical correction of scoliosis, methods have been developed, including intraoperative neuromonitoring and O-arm navigation, the effectiveness of which will be discussed in this article.