Future directions

未来方向
  • 文章类型: Journal Article
    游戏化涉及在非游戏环境中使用游戏设计元素。这是一个新兴的战略,能够激励消费者与品牌的互动,越来越多的公司在营销活动中使用。最近,游戏化在营销中的应用越来越受欢迎,随着研究产出的增加。然而,对该领域的清晰概述,理论取向或研究议程仍然缺失,这证明了对加入这两个研究领域的现有文献的分析是合理的。进行这次审查的动机是双重的:首先,对这个发展中的领域进行广泛的概述是有帮助的,以结构化的方式综合现有知识,了解营销中的游戏化研究是如何进展的,以及获得了什么类型的知识;其次,它使我们能够提供有价值的信息,指导未来的研究。因此,这项研究提供了一个混合综述,集成了文献计量和TCCM分析,通过分析114篇文章,探讨营销中的游戏化。数据是从Scopus科学数据库中检索的。文献计量分析表明存在8个簇,主要代表当前的研究领域。人们发现,文学的焦点,到目前为止,一直在研究哪些游戏元素应该在游戏化系统中实现,以及研究游戏化体验对参与度和消费者行为的影响。TCCM分析揭示了已发表的文章中探讨的主要理论和方法论方法。运用自决理论和定量方法,基于使用在线调查的主要数据,站出来。这些补充分析可以为从事这一领域工作的学者和从业者提供未来的研究方向,促进科学知识的进步,上下文相关性和方法论的严谨性。此外,这项审查还可以帮助营销人员做出更明智的战略决策,并支持成功的游戏化设计。
    Gamification involves using game design elements in non-game contexts. It is an emerging strategy that, being able to motivate consumer engagement with brands, has been increasingly used by companies in marketing activities. Recently, the application of gamification to marketing has become increasingly popular, with an increasing amount of research outputs. However, a clear overview of the field, a theoretical orientation or an agenda for research are still missing, which justifies the analysis of the existing literature joining these two fields of research. The motivation for conducting this review was twofold: Firstly, it is helpful to attain a broad overview of this developing field, synthesizing the existing knowledge in a structured way, understanding how gamification research in marketing has progressed and what type of knowledge has been acquired; secondly, it allows us to provide valuable information that will guide future research. Thus, this study provides a hybrid review, which integrates a bibliometric and TCCM analysis, of gamification in marketing by analyzing 114 articles. The data was retrieved from the Scopus scientific database. The bibliometric analysis showed the existence of 8 clusters, mostly representing current areas of research. It was found that the focus of the literature, so far, has been on studying which game elements should be implemented in a gamification system, as well as examining the impact of gamification experiences on engagement and consumer\'s behaviors. The TCCM analysis revealed the major theories and methodological approaches explored in published articles. The use of self-determination theory and quantitative methodology, based on primary data using online surveys, stands out. These complementary analyzes allowed to provide future research directions to scholars and practitioners working in this domain, promoting the advancement of scientific knowledge, contextual relevance and methodological rigor. Moreover, this review also helps marketers make more informed strategic decisions and supports successful gamification design.
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  • 文章类型: Journal Article
    近几十年来,质子治疗(PT)的兴趣与日俱增,有证据表明质子剂量分布允许在肿瘤深度最大剂量释放,然后急剧的远端剂量下降。但是,在头颈癌(HNC)的整体管理中,将PT的潜力限制为仅仅是剂量学优势似乎是减少的。的确,PT的精确目标可能有助于评估降级策略的有效性,尤其是人乳头瘤病毒相关口咽癌(OPC)和鼻咽癌(NPC)患者。此外,PT可能比常规光子疗法具有更大的免疫原性作用,可能增强放疗(RT)激活抗肿瘤免疫反应的能力和免疫治疗药物的有效性。基于这些前提,本文的目的是进行叙述性综述,报告PT与光子RT相比的安全性和有效性,重点关注NPC和OPC.我们还提供了正在进行的临床试验的快照,比较了这两种临床情况下的PT与光子RT。最后,我们讨论了可能进一步发展HNCPT临床研究的新见解。
    The growing interest in proton therapy (PT) in recent decades is justified by the evidence that protons dose distribution allows maximal dose release at the tumor depth followed by sharp distal dose fall-off. But, in the holistic management of head and neck cancer (HNC), limiting the potential of PT to a mere dosimetric advantage appears reductive. Indeed, the precise targeting of PT may help evaluate the effectiveness of de-escalation strategies, especially for patients with human papillomavirus associated-oropharyngeal cancer (OPC) and nasopharyngeal cancer (NPC). Furthermore, PT could have potentially greater immunogenic effects than conventional photon therapy, possibly enhancing both the radiotherapy (RT) capability to activate anti-tumor immune response and the effectiveness of immunotherapy drugs. Based on these premises, the aim of the present paper is to conduct a narrative review reporting the safety and efficacy of PT compared to photon RT focusing on NPC and OPC. We also provide a snapshot of ongoing clinical trials comparing PT with photon RT for these two clinical scenarios. Finally, we discuss new insights that may further develop clinical research on PT for HNC.
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  • 文章类型: Journal Article
    背景:护理教育的发展需要强大的学术能力和专家临床医生的结合。不同的专业成长和发展途径是必要的,以建立一个强大的教师与临床和研究的专业知识。一些学校已经实施了正式的临床跟踪(CT),以补充传统的终身跟踪,以促进CT的专业发展。
    方法:本文提供了一个案例示例,说明一个机构如何使用Kotter变更模型维护和推进强大的CT,并讨论了未来的方向。
    结果:学校的晋升基础设施,其遵循与保有权轨道(TT)提升和保有权准则类似的结构和准则,导致了学校各级CT教师的学术生产力的提高。越来越多的海报和讲台演示以及向国家和国际观众的出版物导致更大的影响和提高学校的声誉,国内和国际。
    结论:虽然在推进护理CT的公平性和包容性方面仍有工作要做,开发和维护具有系统级结构的CT具有重要价值,并提供了明确的推广途径,投资于临床奖学金,并包括临床教师作为学术界的正式公民。
    BACKGROUND: The evolution of nursing education requires a combination of strong academic faculty and expert clinicians. Different professional growth and development pathways are necessary to build a robust faculty with clinical and research expertise. Some schools have implemented a formal clinical track (CT) to complement the traditional tenure track for the professional advancement of CT.
    METHODS: The article presents a case example of how one institution maintains and advances a strong CT using the Kotter Change Model and discusses future directions.
    RESULTS: The school\'s infrastructure for promotion, which follows a similar structure and guidelines as Tenure Track (TT) Promotion and Tenure Guidelines, has led to an increase in the school\'s scholarly productivity among CT faculty across ranks. Increasing poster and podium presentations as well as publications to a national and international audience results in greater reach and improved reputation for the school, both nationally and internationally.
    CONCLUSIONS: While there is still work to be done to advance equity and inclusion for nursing CTs, developing and maintaining a CT with system-level structures holds significant value and provides a clear path to promotion, invests in clinical scholarship, and includes clinical faculty as full citizens in academia.
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  • 文章类型: Journal Article
    炎症性肠病(IBD),包括克罗恩病和溃疡性结肠炎,提出了以胃肠道慢性炎症为特征的复杂和具有挑战性的临床情况。传统草药作为IBD的潜在辅助或替代疗法已引起越来越多的兴趣。由于其感知的功效,安全概况,和全面的健康方法。这篇综述全面概述了IBD的草药干预措施的现状,解决科学问题,监管,临床,和患者相关的考虑。科学上,草药干预措施的探索面临与草药配方的复杂性有关的挑战,标准化,和质量控制。监管障碍包括严格的安全要求,功效,和质量标准,需要坚持稳健的临床前和临床方案。临床上,患者群体的异质性,与传统疗法的潜在相互作用,和患者偏好在将草药干预纳入临床实践中带来挑战。
    Inflammatory Bowel Disease (IBD), encompassing Crohn\'s disease and ulcerative colitis, presents a complex and challenging clinical scenario characterized by chronic inflammation of the gastrointestinal tract. Traditional herbal medicine has garnered increasing interest as a potential adjunctive or alternative therapy for IBD, owing to its perceived efficacy, safety profile, and holistic approach to health. This review provides a comprehensive overview of the current landscape of herbal interventions for IBD, addressing scientific, regulatory, clinical, and patient-related considerations. Scientifically, the exploration of herbal interventions faces challenges related to the complexity of herbal formulations, standardization, and quality control. Regulatory hurdles encompass stringent requirements for safety, efficacy, and quality standards, necessitating adherence to robust preclinical and clinical protocols. Clinically, the heterogeneity of the patient population, potential interactions with conventional therapies, and patient preferences pose challenges in the integration of herbal interventions into clinical practice.
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  • 文章类型: Journal Article
    棘球蚴囊肿(ECs)是全球重大的公共卫生问题,特别是在流行地区。其中,原发性腹膜后包虫病(PREC)由于其位置和复杂的表现而面临独特的挑战.全膀胱切除术,包括完全切除EC和周围组织,是管理PRECs的手术选择。然而,关于其有效性和安全性的证据有限.我们根据系统评价和荟萃分析(PRISMA)指南的首选报告项目进行了系统评价,以评估全膀胱切除术在PREC管理中的作用。对数据库的全面搜索产生了四项相关研究。这些研究报告了膀胱全切除术后的良好结果,包括低复发率和最低的术后并发症。然而,注意到诸如技术复杂性和接近重要结构等挑战。未来的研究应该集中在评估微创方法上,探索辅助疗法,确定复发的预测因子,并评估成本效益。本系统评价强调需要进一步调查以优化PREC的管理并改善患者预后。
    Echinococcal cysts (ECs) are a significant public health concern globally, particularly in endemic regions. Among these, primary retroperitoneal echinococcal cysts (PRECs) present unique challenges due to their location and complex presentations. Total cystectomy, involving complete removal of the EC and surrounding tissue, is a surgical option for managing PRECs. However, evidence regarding its efficacy and safety is limited. We conducted a systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to evaluate the role of total cystectomy in managing PRECs. A comprehensive search of databases yielded four relevant studies. These studies reported favorable outcomes following total cystectomy, including low recurrence rates and minimal postoperative complications. However, challenges such as technical complexity and proximity to vital structures were noted. Future research should focus on evaluating minimally invasive approaches, exploring adjuvant therapies, identifying predictors of recurrence, and assessing cost-effectiveness. This systematic review underscores the need for further investigation to optimize the management of PRECs and improve patient outcomes.
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  • 文章类型: Journal Article
    这篇特别文章对人工智能(AI)在皮肤病学领域的重要作用进行了全面的评论。它探索了人工智能在皮肤病学实践各个方面的潜力,包括诊断,治疗计划,研究和患者管理。本文讨论了皮肤科人工智能的现状,它的挑战和围绕其实施的道德考虑。它强调了AI对皮肤病护理的变革性影响,并提供了对AI在该领域的未来方向的见解。
    This special article provides a comprehensive commentary on the significant role of artificial intelligence (AI) in the field of dermatology. It explores the potential of AI in various aspects of dermatologic practice, including diagnosis, treatment planning, research and patient management. The article discusses the current state of AI in dermatology, its challenges and the ethical considerations surrounding its implementation. It highlights the transformative impact of AI on dermatologic care and offers insights into the future directions of AI in the field.
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  • 文章类型: Journal Article
    这项研究提供了1980年至2022年智利空气污染研究的全面概述和文献计量分析。分析揭示了科学生产的显著提高,9.2年增长率,H指数为60。这项研究涉及33个国家,受到环境科学的影响,气象学,和大气科学期刊。排名前十的作者占所有出版物的33.49%,当地机构的贡献超过35%。智利大学和智利天主教大学是重要的贡献者。被引用最多的文章集中在健康影响和各种污染物来源,强调空气污染是一个关键的公共卫生问题。该研究还强调环境科学,气象学,大气科学,关注空气污染和健康等主题,污染物,模型,来源和化学,和社会科学。通过严格的讨论和审查,这些发现得到了肯定,为未来的研究提供路线图,指导决策过程,扩大该领域的知识前沿。
    This study provides a comprehensive overview and bibliometric analysis of air pollution research in Chile from 1980 to 2022. The analysis reveals a significant increase in scientific production, a 9.2 annual growth rate, and an H-index of 60. The research spans 33 countries and is influenced by environmental sciences, meteorology, and atmospheric sciences journals. The top ten authors account for 33.49 % of all publications, with local institutions contributing more than 35 %. The University of Chile and the Pontifical Catholic University of Chile are significant contributors. The most cited articles focus on health impacts and various pollutant sources, emphasizing air pollution as a critical public health concern. The study also emphasizes environmental science, meteorology, and atmospheric science, focusing on topics such as air pollution and health, pollutants, models, sources and chemistry, and social sciences. The findings are affirmed through rigorous discussion and review, providing a roadmap for future research, guiding decision-making processes, and expanding the knowledge frontier in the field.
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  • 文章类型: Editorial
    坦普尔贝勒·斯科特和怀特纪念医院的神经外科,几十年前,德克萨斯州开始是外科部门的一个部门。该医院长期以来一直是贝勒·斯科特和怀特医疗保健系统的旗舰三级转诊中心,2013年与贝勒大学医学中心合并,达拉斯的医院系统.它现在是德克萨斯州最大的非营利性医院系统,也是美国新闻和世界报道授予最多的医院系统。神经外科于2006-2007学年在贝勒·斯科特和怀特纪念医院成立。从那时到2014年,四位神经外科医生担任系主任或临时主席:罗伯特·布坎南博士,GerhardFriehs博士,IbrahimElNihum博士,和小大卫·加勒特博士.2014年,JasonHuang博士在全国范围内被任命为董事长,并于2015年建立了神经外科住院医师计划。该系在黄博士的带领下经历了巨大的成长,居住计划是该部门的优先事项。卓越的手术主要在三个校区得到磨练:贝勒·斯科特和怀特纪念医院,BaylorScott&WhiteMcLane儿童医疗中心,和贝勒斯科特和怀特医疗中心-希尔克雷斯特。在这篇社论中,我们提供了该机构的简要历史,最近在坦普尔的贝勒·斯科特和怀特纪念医院神经外科手术的历史,德州,并简要描述了该计划在JasonHuang博士的继续领导下的未来方向。
    Neurosurgery at Baylor Scott & White Memorial Hospital in Temple, Texas began as a division in the Department of Surgery many decades ago. The hospital has long served as the flagship tertiary referral center for the Baylor Scott & White healthcare system, which merged in 2013 with Baylor University Medical Center, a hospital system based in Dallas. It is now the largest non-profit hospital system as well as the most awarded hospital system by the US News and World Report within the state of Texas. The Department of Neurosurgery was established at Baylor Scott & White Memorial Hospital in the 2006-2007 academic year. Between then and 2014, four neurosurgeons served as department chair or interim chair: Dr. Robert Buchanan, Dr. Gerhard Friehs, Dr. Ibrahim El Nihum, and Dr. David Garrett Jr. In 2014, Dr. Jason Huang was appointed chairman after a national search and established the neurosurgery residency program in 2015. The department has undergone tremendous growth under the leadership of Dr. Huang, and the residency program is a priority of the department. Surgical excellence is honed at primarily three campuses: Baylor Scott & White Memorial Hospital, Baylor Scott & White McLane Children\'s Medical Center, and Baylor Scott & White Medical Center - Hillcrest. In this editorial, we provide a brief history of the institution, a recent history of the neurosurgical presence at Baylor Scott & White Memorial Hospital in Temple, Texas, and briefly describe the program\'s future directions under the continued leadership of Dr. Jason Huang.
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  • 文章类型: Systematic Review
    本文对ChatGPT的学术足迹进行了全面分析,AI语言模型,使用文献计量学和科学计量学方法。该研究放大了从2022年11月ChatGPT推出到2023年6月初的早期爆发阶段。它旨在了解研究成果的演变,引文模式,协作网络,应用程序域,以及未来与ChatGPT相关的研究方向。通过从Scopus数据库中检索数据,确定了533篇相关文章进行分析。调查结果揭示了著名的出版场所,有影响力的作家,以及为ChatGPT研究做出贡献的国家。研究人员和机构之间的合作网络是可视化的,突出共同作者的模式。ChatGPT的应用领域,例如客户支持和内容生成,被检查。此外,该研究确定了新兴的关键词和潜在的研究领域,以供未来探索。采用的方法包括数据提取,使用各种指标的文献计量分析,和Sankey图等可视化技术。该分析为ChatGPT在学术界的早期足迹提供了宝贵的见解,并为研究人员的进一步发展提供了指导。这项研究激发了讨论,合作,和创新,以增强ChatGPT的能力和跨领域的影响。
    This paper presents a comprehensive analysis of the scholarly footprint of ChatGPT, an AI language model, using bibliometric and scientometric methods. The study zooms in on the early outbreak phase from when ChatGPT was launched in November 2022 to early June 2023. It aims to understand the evolution of research output, citation patterns, collaborative networks, application domains, and future research directions related to ChatGPT. By retrieving data from the Scopus database, 533 relevant articles were identified for analysis. The findings reveal the prominent publication venues, influential authors, and countries contributing to ChatGPT research. Collaborative networks among researchers and institutions are visualized, highlighting patterns of co-authorship. The application domains of ChatGPT, such as customer support and content generation, are examined. Moreover, the study identifies emerging keywords and potential research areas for future exploration. The methodology employed includes data extraction, bibliometric analysis using various indicators, and visualization techniques such as Sankey diagrams. The analysis provides valuable insights into ChatGPT\'s early footprint in academia and offers researchers guidance for further advancements. This study stimulates discussions, collaborations, and innovations to enhance ChatGPT\'s capabilities and impact across domains.
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  • 文章类型: Journal Article
    蓝光在调节植物伸长中起着重要作用。然而,由于旧照明技术的限制,植物对纯蓝光的反应尚未得到充分研究,我们对文献中蓝光功能的一些理解需要重新审视。这篇综述巩固并分析了以前关于蓝光介导的植物伸长研究的不同发现。通过综合对比结果,我们揭示了最近研究中提出的潜在机制和解释。此外,我们深入研究了蓝色发光二极管(LED)作为在受控环境植物生产中操纵植物伸长的工具的探索,强调这一领域的最新进展。最后,我们承认面临的挑战,并概述了这个有前途的领域的未来研究方向。这篇综述提供了有关蓝光在植物生长中的关键作用的宝贵见解,并为进一步研究使用蓝光技术优化植物伸长奠定了基础。
    Blue light plays an important role in regulating plant elongation. However, due to the limitations of older lighting technologies, the responses of plants to pure blue light have not been fully studied, and some of our understandings of the functions of blue light in the literature need to be revisited. This review consolidates and analyzes the diverse findings from previous studies on blue-light-mediated plant elongation. By synthesizing the contrasting results, we uncover the underlying mechanisms and explanations proposed in recent research. Moreover, we delve into the exploration of blue light-emitting diodes (LEDs) as a tool for manipulating plant elongation in controlled-environment plant production, highlighting the latest advancements in this area. Finally, we acknowledge the challenges faced and outline future directions for research in this promising field. This review provides valuable insights into the pivotal role of blue light in plant growth and offers a foundation for further investigations to optimize plant elongation using blue light technology.
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