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Producing high-quality and engaging educational videos for continuing medical education (CME) is traditionally time-consuming and costly. Generative AI tools have shown promise in creating synthetic videos that mimic traditional lecture videos. We conducted a comparative analysis of four AI video generation platforms HeyGen, Synthesia, Colossyan, and HourOne using the Kano model. Our analysis revealed that HeyGen met most of our requirements. We created two videos and collected feedback from 25 learners. The feedback indicated that the videos were of good quality, engaging, and well-paced for learning. Only 32% recognised the videos as AI-generated, citing limited facial expressions, hand gestures and monotone vocal expression. Importantly, only 24% considered disclosure of AI-generated content necessary. This research indicates that AI-generated videos can be a viable alternative to traditionally produced educational videos. It offers an efficient, cost-effective solution for producing educational content. Ethical considerations regarding AI content disclosure should be addressed to maintain transparency., Competing Interests: No potential conflict of interest was reported by the author(s)., (© 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.)

Background: Despite the implementation of prevention strategies, family violence continues to be a prevalent issue worldwide. Current strategies to reduce family violence have demonstrated mixed success and innovative approaches are needed urgently to prevent the occurrence of family violence. Incorporating artificial intelligence (AI) into prevention strategies is gaining research attention, particularly the use of textual or voice signal data to detect individuals at risk of perpetrating family violence. However, no review to date has collated extant research regarding how accurate AI is at identifying individuals who are at risk of perpetrating family violence., Objective: The primary aim of this systematic review and meta-analysis is to assess the accuracy of AI models in differentiating between individuals at risk of engaging in family violence versus those who are not using textual or voice signal data., Methods: The following databases will be searched from conception to the search date: IEEE Xplore, PubMed, PsycINFO, EBSCOhost (Psychology and Behavioral Sciences collection), and Computers and Applied Sciences Complete. ProQuest Dissertations and Theses A&I will also be used to search the grey literature. Studies will be included if they report on human adults and use machine learning to differentiate between low and high risk of family violence perpetration. Studies may use voice signal data or linguistic (textual) data and must report levels of accuracy in determining risk. In the data screening and full-text review and quality analysis phases, 2 researchers will review the search results and discrepancies and decisions will be resolved through masked review of a third researcher. Results will be reported in a narrative synthesis. In addition, a random effects meta-analysis will be conducted using the area under the receiver operating curve reported in the included studies, assuming sufficient eligible studies are identified. Methodological quality of included studies will be assessed using the risk of bias tool in nonrandomized studies of interventions., Results: As of October 2024, the search has not commenced. The review will document the state of the research concerning the accuracy of AI models in detecting the risk of family violence perpetration using textual or voice signal data. Results will be presented in the form of a narrative synthesis. Results of the meta-analysis will be summarized in tabular form and using a forest plot., Conclusions: The findings from this study will clarify the state of the literature on the accuracy of machine learning models to identify individuals who are at high risk of perpetuating family violence. Findings may be used to inform the development of AI and machine learning models that can be used to support possible prevention strategies., Trial Registration: PROSPERO CRD42023481174; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=481174., International Registered Report Identifier (irrid): PRR1-10.2196/54966., (©Kathleen de Boer, Jessica L Mackelprang, Maja Nedeljkovic, Denny Meyer, Ravi Iyer. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 02.12.2024.)

Research has shown that complex post-traumatic stress disorder (cPTSD) differs from post-traumatic stress disorder (PTSD) on core symptoms relating to the individual's sense of self, and this has driven the need for treatment approaches to address these specific features of cPTSD. The COVID-19 pandemic has led to the increased use of digital-based interventions (DBIs) to treat mental illnesses, including trauma-related disorders. However, while evidence for the use of DBIs for PTSD has previously been synthesized, the current review is the first synthesis of research on the use of DBIs for cPTSD. A systematic search of Scopus, PsychINFO, and EBSCOhost was conducted, using search terms targeting "cPTSD" and "DBIs," to identify research on the use of DBIs to treat cPTSD symptoms. Ten papers were identified, which provided preliminary evidence for the efficacy of DBIs to reduce cPTSD symptoms. Further, DBIs were reported as acceptable by individuals with a history of complex trauma. The paper also provides insight into the therapeutic approaches adopted, digital modalities utilized, safety measures included, and whether/to what degree support was provided. While DBIs show promise for treating cPTSD, there is substantial room for advancement of the empirical evidence base for these approaches. Both clinical and research-based recommendations are provided separately., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.

The failure of human vaccine efficacy trials assessing a mosaic HIV-1 vaccine calls into question the translatability of preclinical SHIV challenge studies that demonstrated high efficacy of this vaccine in primates. Here we present a post hoc immune correlates analysis of HIV-1 Env peptide-binding antibody responses from the NHP13-19 study identifying the V2 loop as the principal correlate of protection in primates. Moreover, we found high V2 loop sequence identity between the Mos1 vaccine component and the SHIV challenge strain, while the vaccine showed considerably lower V2 identity to globally circulating HIV-1 sequences. Thus, the induction of immune responses against the V2 epitope, which had exceptional identity between the vaccine and challenge Env strains, may have contributed to the high protection in primates., (© 2024. The Author(s).)

Crohn's disease and ulcerative colitis are chronic inflammatory diseases of the gastrointestinal tract. In addition to bowel symptoms, patients may also have oral manifestations. This thesis investigated potential associations between disease activity in the gut, oral health, salivary gland function, and saliva composition. Patients with Crohn's disease had a significantly higher DMFT index, but showed no difference in periodontal diseases compared to a healthy control group. The saliva composition in patients with active bowel disease differed from that in patients with inactive bowel disease, suggesting that saliva analysis could potentially be used in the future to determine the degree and severity of bowel disease. The knowledge of gastroenterologists and dentists regarding oral manifestations of bowel diseases was found to be limited. Gastroenterologists and dentists valued interdisciplinary patient consultation as very useful, but the frequency of consultation was considered insufficient.

Background: Higher intensity of psychotherapy might improve treatment outcome in depression, especially in those with comorbid personality disorder., Aims: To compare the effects of 25 individual sessions (weekly) of two forms of psychotherapy - short-term psychoanalytic supportive psychotherapy (SPSP) and schema therapy - with the same treatments given for 50 sessions (twice weekly) in people with depression and personality disorder. Trial registration: NTR5941., Method: We conducted a pragmatic, double-randomised clinical trial and, over 37 months, recruited 246 adult out-patients with comorbid depression/dysthymia and personality disorder. A 2 × 2 factorial design randomised participants to 25 or 50 sessions of SPSP or schema therapy. The primary outcome was change in depression severity over 1 year on the Beck Depression Inventory II (BDI-II). Secondary outcomes were remission both of depression and personality disorder., Results: Compared with 25 sessions, participants who received 50 sessions showed a significantly greater decrease in depressive symptoms over time (time × session dosage, P < 0.001), with a mean difference of 5.6 BDI points after 1 year ( d = -0.53, 95% CI -0.18 to 0.882, P = 0.003). Remission from depression was also greater in the 50-session group (74% v. 58%, P = 0.025), as was remission of personality disorder (74% v. 56%, P = 0.010)., Conclusions: Greater intensity of psychotherapy leads to better outcomes of both depression and personality status in people with comorbid depression and personality disorder.

Thin plate smoothing spline models, covering Canada and the continental United States, were developed using ANUSPLIN for 30-year (1991-2020) monthly mean maximum and minimum temperature and precipitation. These models employed monthly weather station values from the North American dataset published by National Oceanic and Atmospheric Administration's (NOAA's) National Centers for Environmental Information (NCEI). Maximum temperature mean absolute errors (MAEs) ranged between 0.54 °C and 0.64 °C (approaching measurement error), while minimum temperature MAEs were slightly higher, varying from 0.87 °C to 1.0 °C. On average, thirty-year precipitation estimates were accurate to within approximately 10 % of total precipitation levels, ranging from 9.0 % in the summer to 12.2 % in the winter. Error rates were higher in Canada compared to estimates in the United States, consistent with a less dense station network in Canada relative to the United States. Precipitation estimates in Canada exhibited MAEs representing 14.7 % of mean total precipitation compared to 9.7 % in the United States. The datasets exhibited minimal bias overall; 0.004 °C for maximum temperature, 0.01 °C for minimum temperature, and 0.5 % for precipitation. Winter months showed a greater dry bias (0.8 % of total winter precipitation) compared to other seasons (-0.4 % of precipitation). These 30-year gridded datasets are available at ∼2 km resolution., (Crown Copyright © 2024 Published by Elsevier Inc.)

Objective: This systematic review and meta-analysis aimed to update the literature on orthorexia nervosa (ON), a proposed diagnosis of pathologically 'healthy' eating, by critically analysing the current evidence for the relationship between ON and obsessive-compulsive (OC) symptoms. Further, this paper aimed to compare the ON/OC relationship significance and strength based on when the ON measurement tool was developed., Method: PsycINFO, PubMed and Web of Science databases were queried for quantitative, peer-reviewed studies recruiting adult participants, published in English up to April 2023. Studies not directly comparing ON and OC symptoms were excluded. After full-text review and quality assessment, 40 studies were included in the systematic review and 31 studies in the meta-analysis., Results: ON assessments created prior to the 2016 revised ON diagnostic criteria do not appear to fully capture OC symptoms. Studies using earlier developed ON assessments demonstrated inconsistent ON/OC relationships whereas studies implementing more recent assessments (from 2018 onwards) found consistently significant, larger relationships, highlighting a previously underrated OC component of ON., Conclusions: Early ON studies, and studies utilising early ON assessments should be interpreted with caution, particularly in relation to OC symptom involvement in ON. Future research should validate novel ON assessments and investigate common underlying factors., (© 2023 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd.)

Background: Codesigned interventions are becoming more common in health services and, in particular, in the design and development of mental health programmes and interventions. However, previous research has established that the transition from codesign to implementation can experience several challenges and that this transition process has received little research attention., Objective: The aim of this study was to explore the experience of staff members charged with the implementation of a codesigned intervention for young people and adolescents at risk of suicide., Setting and Participants: Five staff members involved in the implementation of the new codesigned programme took part in semi-structured interviews., Method: The study involved qualitative evaluation of staff experiences during the implementation of a new child and youth suicide intervention. Interviews were analysed using reflexive thematic analysis., Results: The analysis identified four themes of 'disconnect', 'operational challenges, 'service user' and 'being authentic'. 'Disconnect' captures the difficulties of implementing a codesigned programme which leads to 'operational challenges' in meeting broader expectations while ensuring the feasibility of the programme. The third theme, 'service user', captures the realisation that the young people accessing the new service were different to those involved in the codesign process. The final theme, 'being authentic', highlights how staff needed to be responsive and flexible while remaining true to the principles proposed in the codesign., Discussion: This study yielded some valuable insights into the challenges around the implementation of a codesigned intervention, an under-researched area. The findings suggest that adaption of the design may be necessary, if it is not informed by implementation constraints, making it necessary for the implementation team to be well-briefed on the initial design and given plenty of time to make the necessary adjustments in a coproduction process. Limitations for the generalisation of the results include a small sample of staff and particular challenges that may be unique to this study., Conclusion: The present study highlights that for health services undertaking codesign approaches, appropriate time and resources need to be considered for the implementation phase of an initiative, to ensure that there is effective translation from design to implementation and that new codesigned services can be effective within operational constraints., Patient and Public Contribution: The authors would like to thank and acknowledge the young people with a lived-experience and their carers who participated in the codesign process and research evaluation component of this study. We also wish to thank the clinical staff, peer workers and family peer workers who participated in the evaluation., (© 2024 The Authors. Health Expectations published by John Wiley & Sons Ltd.)

Background: Co-design is becoming common practice in the development of mental health services, however, little is known about the experience of such practices, particularly when young people are involved., Objective: The aim of this study was to conduct a process evaluation of the co-design which was undertaken for the development of an intervention for youth and adolescents at risk of suicide. This paper briefly outlines the co-design process undertaken during a COVID-19 lockdown and then focuses on a qualitative evaluation of the experience of taking part in a co-design process., Setting and Participants: The evaluation involved young consumers of a public youth mental health service, their carers/parents and service delivery staff who had taken part in the co-design process., Method: This study used follow-up semistructured interviews with the co-design participants to explore their experience of the co-design process. Inductive thematic analysis was used to draw out common themes from the qualitative data., Results: It was found that despite the practical efforts of the project team to minimise known issues in co-design, challenges centred around perceptions regarding power imbalance, the need for extensive consultation and time constraints still arose., Discussion: Despite these challenges, the study found that the co-design provided a human-centred, accessible and rewarding process for young people, parents and staff members, leaving them with the feeling that they had made a worthwhile contribution to the design of the new service, as well as contributing to changing practice in service design., Conclusion: With sensitivity and adaptation to usual practice, it is possible to include young people with suicidal ideation, their parents/carers and professional staff in a safe and effective co-design process., Patient and Public Contribution: The authors would like to thank and acknowledge the young people with a lived experience and their carers who participated in the co-design process and research evaluation component of this study. We also wish to thank the clinical staff, peer workers and family peer workers who participated in this research., (© 2024 The Authors. Health Expectations published by John Wiley & Sons Ltd.)