Background: Prebriefing is essential in clinical simulation to cognitively and emotionally prepare nursing students. Artificial intelligence (AI) offers promising opportunities to personalize this phase based on learner profiles. Aim: To assess the effectiveness of AI-assisted personalized prebriefing on nursing students' perceived preparation, self-confidence, and simulation performance. Methods: A randomized controlled trial was conducted with 60 second-year nursing students. Participants were randomly assigned to a control group receiving standard prebriefing or an intervention group using an AI chatbot. The chatbot provided tailored recommendations based on each student's learning style, clinical experience, and confidence level. Outcomes were assessed through self-reported questionnaires and performance ratings using the Ottawa Global Rating Scale. Results: Students in the AI group reported significantly higher perceived preparation (p < 0.001), increased self-confidence (p = 0.004), and improved simulation performance (p < 0.01) compared to the control group. The AI tool was positively received for its personalized guidance. Conclusions: AI-assisted prebriefing enhances student readiness, confidence, and performance in clinical simulation, reinforcing learner-centered strategies in nursing education. (c) 2025 Organization for Associate Degree Nursing. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

Background: Healthcare simulations are pivotal tools in healthcare professionals' training. This study aims to assess the effect of integrating Video Assistant Referee (VAR) technology in healthcare simulations on nursing students' clinical skills. Aim: This study evaluates the impact of integrating VAR technology into healthcare simulations on nursing students' clinical performance. Methodology: Forty nursing students were randomly divided into two groups: an experimental group using VAR (n = 20) and a control group without VAR (n = 20). Clinical performance was assessed using a standardized evaluation grid focusing on cardiac arrest management. Results: The VAR group demonstrated significantly better performance (M = 85.2, SD = 3.6) compared to the control group (M = 72.8, SD = 4.2), p < 0.001. VAR technology enabled precise assessment, real-time error correction, and effective feedback, which led to enhanced skill acquisition and clinical performance. Conclusion: The findings highlight the importance of technological innovations like VAR in healthcare education. This study demonstrates VAR's potential to improve clinical training quality and prepare healthcare professionals for complex real-world scenarios. (c) 2025 Organization for Associate Degree Nursing. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

Objective The Extended Glasgow Outcome Scale (GOSE) is a commonly used assessment tool to evaluate the outcome following traumatic brain injury (TBI). This study aims to evaluate the applicability of the GOSE structured interview in the Moroccan context and to examine its reliability. Methods In this prospective validation study, we assessed the inter-rater reliability of GOSE scoring for 123 TBI patients who attended Avicenna University Hospital's outpatient unit. Interrater agreement of the GOSE was assessed, with Cohen's weighted κ, between the rater with the structured interview and the rater without the structured interview and between the rater specialized in TBI and the non-specialized rater. Results The findings demonstrated a high level of agreement (weighted kappa = 0.96) between the rater specialized in TBI and the non-specialized rater with (p < 0.001) and a high level of agreement (weighted kappa = 0.85) between the rater with the structured interview and the neurosurgeon without the structured interview. The Moroccan version is capable of assessing the GOSE Score at a level similar to the original version. Conclusion The use of this version has the potential to expedite the process of evaluating outcomes in patients with TBI in both clinical practice and research settings.

This investigation provides a theoretical method for determining the magnetic couplings in quadruple perovskite CaCu3Mn2Os2O12 by using Monte Carlo Simulations (MCS) in accordance with the Ising model and a correlation between internal energy and magnetism at each site. Making use of the experimental temperature value of the material T_c^exp=280 K , which has been estimated under an applied magnetic field of h=0.1 T , as well as a renormalization parameter α , we have determined the magnetic exchange couplings. Along with the magnetization at each site, magnetic susceptibility, and specific heat, the internal energy of every magnetic arrangement has been calculated. The magnetic couplings that have been founded are J_Cu-Mn=10.78 meV , J_Cu-Os=22.968 meV , J_Mn-Os=73.08 meV , J_Cu-Cu=0.01 meV , J_Mn-Mn=0.001 meV and J_Os-Os=0.002 meV . The system exhibits a critical temperature of T_C=280 K , and the calculated magnetic susceptibility shows a maximum value T_C , marking a phase transition, while the specific heat shows a pronounced peak at the same temperature. After T_C , the magnetization decreases sharply, indicating a transition to an ordered-disordered magnetic state. These findings contribute to our knowledge of the exchange couplings that control the magnetic characteristics of CaCu3Mn2Os2O12 and offer a theoretical basis for its possible use in spintronics and other advanced magnetic materials.

There is a growing interest in Health Technology Assessment (HTA) in Morocco. A national EQ-5D-5L value set would allow for the computation of Quality Adjusted Life Years (QALYs) in economic evaluations of healthcare interventions to support decision-making. This study aimed to develop a Moroccan EQ-5D-5L value set based on data from a representative sample of the Moroccan adult general population. A Moroccan representative sample of adults was recruited using stratified quota sampling based on gender, age category, and place of residence. Data were collected between November 2022 and December 2023 using the international EuroQol valuation protocol, EQ-VT version 2.6.1. This protocol includes two elicitation techniques: the composite time trade-off (cTTO) and the discrete choice experiment (DCE). cTTO and DCE data were modeled using a heteroskedastic Tobit model and a conditional logit model, respectively. In addition, these models were combined using a hybrid model. A total of 976 respondents were included in the final analysis. The hybrid heteroskedastic model was considered the preferred model. The predicted utility values ranged from −1.492 for the worst health state (55555) to 1 for full health (11111), where the two mildest impaired states (11211 and 21111) had a utility value of 0.979. Pain/discomfort had the largest effect on health utility values, followed by anxiety/depression, mobility, self-care and usual activities. Morocco is the third country in the Middle East and North Africa (MENA) region with an EQ-5D-5L value set. This study supports the use of EQ-5D-5L data for healthcare decision-making in the Moroccan context.

BACKGROUND: An empirical approach to self-esteem and its associated factors is crucial during youth, when ranking and physical appearance significantly impact self-esteem. Enhancing self-esteem helps students appreciate individual characteristics and maintain a positive body image despite unhealthy exposures. This study aimed to fill the gap on self-esteem in Moroccan university students, considering sex-specific differences and associated factors. MATERIALS AND METHODS: A cross-sectional study was conducted among 654 students from various Moroccan universities. An online questionnaire was used including questions about sociodemographic factors, such as age and sex, body image figure scale to measure body image perception and satisfaction, and the Rosenberg scale of self-esteem. RESULTS: Females were observed to be more satisfied with their body shape and weight compared to males. Males were significantly more dissatisfied with their weight due to their desire to be heavier, while females generally wanted to lose weight. Additionally, we found a significant correlation between marital status, socioeconomic status, and place of residency during studies in relation to self-esteem. Single students with low socioeconomic status and those living in university housing had lower self-esteem than their counterparts. Overall, male students desired to gain weight, whereas female students wanted to lose weight. CONCLUSION: Females were more satisfied with their bodies than males, who wanted to be heavier, while females wanted to lose weight. Lower self-esteem was linked to being single, having low socioeconomic status, and living in university housing. Innovative strategies are required to ensure better appreciation of the actual body size and promote healthy self-esteem.

BackgroundUnderstanding gender disparities in adolescent health behaviors is crucial for developing targeted health promotion strategies. This study uses data from the Global School-based Student Health Survey (GSHS) across 17 MENA countries to analyze gender differences in adolescent health behaviors, aiming to provide a comprehensive overview for both boys and girls.MethodsThis meta-analysis incorporates data from recent years of the GSHS, covering 17 MENA countries. The objective was to assess and compare health behaviors between adolescent girls and boys. A random-effects model was employed to calculate odds ratios for gender comparisons in these behaviors. Statistical analyses and modeling were performed using JAMOVI software.ResultsIn most MENA countries, boys consumed more vegetables compared to girls. Girls were less likely to frequent fast food establishments (OR = 0.82, 95% CI: 0.69–0.98) and generally exhibited better self-care behaviors. Boys reported a higher prevalence of physical altercations (OR = 2.18, 95% CI: 1.88–2.51) and were more involved in fights (OR = 3.00, 95% CI: 2.46–3.67). Girls were more likely to miss school without permission and were consistently described as kinder and more helpful across various income levels. However, in some countries such as Oman and Tunisia, boys missed school more frequently. There were no significant gender differences in parental oversight of homework or knowledge of students’ activities, but girls were reported to have stronger parental relationships and better parental understanding of their problems and free time, with exceptions in Morocco and the Palestinian Territory-Gaza. Boys were more likely to engage in smoking (OR = 3.57, 95% CI: 2.69–4.76) and other substance use. Conversely, girls reported higher levels of physical inactivity and loneliness, but also demonstrated greater kindness and helpfulness in school settings and stronger parental relationships.ConclusionPolicymakers in the MENA region should develop and implement gender-specific interventions targeting key areas such as hygiene practices, physical activity, and substance use. By focusing on these targeted strategies, they can address the distinct health behaviors and needs of both boys and girls. Effective interventions in these areas are crucial for improving overall health outcomes and promoting healthier lifestyles, thereby enhancing adolescent health and well-being across the region.

Background: The integration of artificial intelligence (AI) in nursing education offers promising avenues to enhance students' clinical learning. This study explores the impact of AI in simulation debriefing on students' clinical development. Methodology: Forty nursing students were recruited and randomly assigned to two groups: an experimental group receiving AI-assisted debriefing and a control group receiving debriefing without AI. Simulation sessions were recorded and analyzed using AI technologies to provide personalized feedback to the experimental group students. Results: The AI-assisted debriefing group showed a significant improvement in confidence, knowledge and skills, and satisfaction compared to the control group. Additionally, increased active participation and critical reflection were observed in the experimental group. Conclusion: The integration of AI in nursing simulation debriefing demonstrates significant potential to enhance student learning. (c) 2024 Organization for Associate Degree Nursing. Published by Elsevier Inc. All rights reserved.

Background: Integrating healthcare simulators in nursing education allows for innovative training approaches. ChatGPT as a virtual patient is one such innovation. This study assessed ChatGPT's effectiveness in nursing simulation. Methodology: Twelve nursing students from Morocco's Higher Institute of Health Sciences engaged with ChatGPT in a dyspnea scenario. Data collection included acceptability, accessibility, engagement ratings, and assessing students' virtual patient interaction skills. Results: Students embraced ChatGPT (accessibility: 4.3 0.5, engagement: 4.3 0.5). They recognized its value in training (average: 4.2 0.5). Student interaction skills positively correlated with overall performance. Notably, students' interaction skills demonstrated a positive correlation with their overall performance. Further analysis revealed significant correlations between specific skills: clarity and comprehensibility of responses (r = 0.701), relevance of responses (r = 0.444), and the ability to provide useful information (r = 0.597). Conclusion: Incorporating communication-based simulations and patient engagement in nursing education is crucial. ChatGPT as a virtual patient holds promise in enriching clinical learning. Integrating such technology effectively prepares students for real patient interactions. (c) 2024 Organization for Associate Degree Nursing. Published by Elsevier Inc. All rights reserved.

The exact factors predicting outcomes following traumatic brain injury (TBI) remain elusive. In this systematic review and meta-analysis, we examined factors influencing outcomes in adult patients with TBI, from 3 months to 1 year after injury. A search of four electronic databases—PubMed, Scopus, Web of Science, and ScienceDirect—yielded 29 studies for review and 16 for meta-analysis, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. In patients with TBI of any severity, mean differences were observed in age (8.72 years; 95% confidence interval [CI], 4.77–12.66 years), lymphocyte count (−0.15 109/L; 95% CI, −0.18 to −0.11), glucose levels (1.20 mmol/L; 95% CI, 0.73–1.68), and haemoglobin levels (−0.91 g/dL; 95% CI, −1.49 to −0.33) between those with favourable and unfavourable outcomes. The prevalence rates of unfavourable outcomes were as follows: abnormal cisterns, 65.7%; intracranial pressure above 20 mmHg, 52.9%; midline shift of 5 mm or more, 63%; hypotension, 71%; hypoxia, 86.8%; blood transfusion, 70.3%; and mechanical ventilation, 90%. Several predictors were strongly associated with outcome. Specifically, age, lymphocyte count, glucose level, haemoglobin level, severity of TBI, pupillary reaction, and type of injury were identified as potential predictors of long-term outcomes.

AIM:This study aimed to evaluate nursing students' potential misconceptions about traumatic brain injuries and the relationship between these misconceptions and students' sociodemographic characteristics.BACKGROUND:Although traumatic brain injuries have severe consequences, misconceptions about traumatic brain injury are widespread among healthcare professionals. Studying misconceptions about traumatic brain injury among nursing students can help enhance nursing curricula for better traumatic brain injury care and rehabilitation.DESIGN:This is a cross-sectional observational study reported according to the STROBE guideline.METHODS:We conducted a survey among nursing students in Morocco using a questionnaire "Common Misconceptions about Traumatic Brain Injury". A total of 550 nursing students from multiple nursing institutes in different cities in Morocco participated in the study. We calculated the average percentage of misconceptions for 7 different questionnaire domains. To study the relationship between misconceptions and sociodemographic factors, we used a t-test for independent samples and ANOVA, considering the total score for each participant.RESULTS:Out of the 550 nursing students who participated in the study, most were female and the 20-21 years old category represented two-thirds of our sample. The domain related to "Amnesia" had the highest rate of misconceptions, followed by "Recovery", while the "brain damage" domain had the lowest rate of misconceptions. The overall mean score of misconceptions was higher than the value defined in our study as a reference cut-off. Interestingly, there were significant differences in the total score of misconceptions based on variables such as age, state of origin, city of the Institute and year of study.CONCLUSIONS:Misconceptions about traumatic brain injuries were prevalent among nursing students, which could have a negative impact on patient assessment, treatment and education. The findings indicate the need to improve the level of knowledge related to traumatic brain injury among nursing students and to strengthen the nursing curriculum in Morocco.

The double hexagonal lattice model is a new statistical model constructed by connecting two-dimensional hexagonal structured materials such as Graphene and Lie symmetries. The double hexagonal structure of this model appears in the G2 symmetry of Lie algebras. To investigate the magnetic properties of this new lattice model, an Ising-1/2 model was constructed with spin values sigma = +/- 1. An effective-field theory (EFT) method was used with the differential operator technique to formulate the identity of the spin system, based on Callen's work. Different phase diagrams were established by varying the double-exchange interaction couplings and the superexchange interaction coupling present in the model. The accurate results obtained by the EFT method were compared with those found by the mean-field approximation (MFA) method. The symmetry of the MFA diagrams was broken in the EFT diagrams. The critical temperature behavior was found to depend on the type of superexchange ferromagnetism.

The Monte Carlo simulation was used to theoretically investigate the exchange parameters in double perovskite Sr2CuOsO6. The correlation between magnetism and internal energy on every site, as proposed by the Ising model, forms the basis of the numerical method used in this study. We have calculated the exchange parameters by taking into account a parameter α that we have defined, and using the experimental Transition temperature ( T_C^exp ) measured under an external magnetic field h of 1 T . This investigation also, includes calculations of the internal energy of each magnetic pattern, magnetization on every site, magnetic susceptibility, and specific heat. Lastly, a comparison between the outcomes of our simulation and others has been carried out. The exchange parameters achieved are J_Cu-Os=3.062 meV , J_Cu-Cu=-1.531 meV and J_Os-Os=0.742 meV .

OBJECTIVES:Individuals after traumatic brain injury (TBI) commonly experience a variety of symptoms that impact their daily life functioning. This study aims to evaluate the applicability, validity, and reliability of the health-related Quality of Life after Brain Injury (QOLIBRI) questionnaire in the Moroccan context. METHODS:This multicentric cross-sectional study included 203 individuals after TBI in medical centers from three different cities at a mean of 4.92 (±6.02) months post-injury. Demographic and clinical factors, and health-related quality-of-life outcomes were assessed. The QOLIBRI psychometric properties were assessed using classical (reliability and validity) and modern (Rating Scale Model; RSM) test theory frameworks. RESULTS:The Moroccan version of the QOLIBRI questionnaire demonstrated satisfactory to excellent internal consistency (0.81-0.90) and test-retest reliability (0.86-0.91). The RSM demonstrated acceptable infit (0.623-1.676) and outfit indices (0.627-1.533), supporting the one-dimensionality of the subscales. The models had values indicating a good fit, with a slightly better fit in the six-factor model (χ2(614) = 1094, RMSEA = 0.062 [CI: 0.056-0.068], SRMR = 0.074, and CFI = 0.989). CONCLUSIONS:The Moroccan version of the QOLIBRI was found to be valuable, meaningful, and met psychometric criteria when administered to individuals after TBI.Implications for rehabilitationThe successful cross-cultural adaptation and validation of the Quality of Life after Brain Injury (QOLIBRI) questionnaire, a disease-specific instrument, provides a valuable tool for assessing health-related quality of life in Moroccan patients with traumatic brain injury.QOLIBRI instrument can help identify specific areas of impairment and guide the development of individualized rehabilitation plans.Rehabilitation professionals should consider incorporating the QOLIBRI questionnaire into their clinical practice to assess the health-related quality of life of individuals with traumatic brain injury.Rehabilitation professionals should be aware of the age and sex-specific differences in traumatic brain injury presentation and recovery.

The transition to university is a critical period during which considerable life changes arise. Useful national data to design tailored interventions aimed at promoting health-related quality of life (HRQoL) among Moroccan students are lacking. The present study is aimed at filling this gap by investigating the levels and associated factors of HRQoL among a national sample of Moroccan university students. HRQoL was assessed using the EQ-5D-5L instrument. Data from 2759 university students were collected in a large, cross-sectional, web-based survey. All statistical analyses were conducted using the R software. The EQ-5D-5L findings showed that the majority of students rated level 1 (no problems) and level 2 (slight problems) for the “Mobility”, “Self-Care”, “Usual Activities”, and “Pain/Discomfort” HRQoL dimensions. However, the “Anxiety/Depression” dimension was the exception; more than half (57.1%) of the students were slightly to extremely anxious or depressed. The levels of lifestyle habits were of concern among participants of this study. With respect to sedentary behaviors and physical activity, we found that approximately 80% of participants spent ≥2 h/day on different screen-based sedentary behaviors, and 60% were physically inactive. Lifestyle habits that were found to be associated with HRQoL are sleeping time, physical activity, leisure, hygiene, household activities, homework, and social media time. The multiple regression model explained 93% of the EQ-VAS score variance. The findings could be of great importance for researchers and policymakers interested in promoting health of university students.

This theoretical work uses Monte Carlo simulation to calculate exchange interactions in the double perovskite La2CuIrO6. The numerical method employed in this research is constructed around the Ising model’s correlation between internal energy and magnetism on each site. The experimental transition temperature ( $${T}_{C}^{exp}$$ ) obtained beneath an external magnetic field $$h$$ of $$0.5 T$$ has been considered to examine the exchange interactions, considering a parameter $$\alpha$$ that we have established. Additionally, each magnetic pattern’s internal energy, as well as magnetization on each site, magnetic susceptibility, and specific heat, has been calculated in this study. The estimated exchange interactions are, $$J_{Cu-Ir}=7.84\;meV,J_{Cu-Cu}=-9.71\;meV$$ , and $$J_{Ir-Ir}=0.54\;meV$$ .

Traumatic brain injury (TeI) represents a major health concern worldwide. Currently, systematic TeI studies in North Africa are lacking. Nevertheless, they are highly needed to ameliorate TeI outcomes and increase survival rates among TeI patients. Through this systematic review, we aimed to characterize the progress in TeI research in North Africa and analyse the literature on TeI in the region in the last two decades. A review of North African articles was performed over 22 years (2000-2021) and the required data were collected using keywords: "traumatic brain injury", "traumatic brain damage", "traumatic head injury", and "traumatic head damage". Abstracts were screened, and selected eligible studies were reviewed independently by two reviewers. The review included 22 studies within the 59,204, 63,083, and 45,918 records that were identified between 2000 and 2021 through Scopus, Web of Science, and PubMed, respectively. The proportion of the total global TeI records that relate to North Africa was less than 1%. Overall, the indices show low progress in the number of new records occurring every year in North Africa and all the records in North Africa were produced after the year 2004. The results show that North Africa has witnessed a low production in TeI research, and the progress is far from being equal to other regions. Production of scientific publications, providing the required information and raising awareness about complications resulting from TeI on individuals and society in general, should be considered.

Background/Aims In the last decade, simulation has become a key pedagogical tool in midwifery education. The purpose of this study was to undertake a scoping review of the literature to explore the integration and application of simulation in midwifery education. Methods A search was carried out using the online database PUBMED, for articles published between 2011 and 2021. After screening and quality assessment, n=44 articles were included in the review. Results The number of articles published on this topic increased from three published in 2011–2012 to seven published in 2020–2021. A total of 44 articles were included, and assessed based on their main aims and objectives. These were development and evaluation of a simulation, description and/or comparison of fidelity, description of a simulation via screens/remotely, exploring student midwives' experiences, the impact on student midwives, and assessing student midwives' satisfaction in a simulation. Conclusions This review explored the existing literature on simulation and midwifery education. It allows an assessment of the current state of midwifery education and opens up avenues for further development.

Introduction:few studies have examined the factors influencing fertility differentials and the variation in their effects in countries with different socioeconomic and cultural backgrounds and different fertility transition paces. To address this gap, our study sought to first identify the factors that influenced fertility differentials in Morocco and Burundi during their fertility transition periods, and then to compare the effects of these factors between the two countries.Methods:using data from the 2003-4 Morocco and 2010 Burundi Demographic and Health Surveys, bivariable and multivariable Poisson regression analyses offset by the natural logarithm of the women´s age were performed to identify the socioeconomic and cultural factors that influenced fertility differentials in Morocco and Burundi during their fertility transition.Results:our main findings showed that the total number of children ever born ranged from 0 to 17 with a mean of 2.71 ± 2.89 in Burundi and from 0 to 16 with a mean of 1.88 ± 2.80 in Morocco. In Burundi, both socioeconomic and cultural factors like rural residence adjusted incident rate ratio (AIRR) = 1.159, 95% CI: 1.103 - 1.217, P=0.020), women´s illiteracy (AIRR=1.465, 95% CI: 1.241- 1.729, P <0.001) and agricultural profession (AIRR=1. 332, 95% CI: 1.263 - 1.401, P = 0.004), household poverty (AIRR= 1.381, 95% CI: 1.223 - 1.431, p<0.001), infant mortality (AIRR= 1.602, 95% CI: 1.562 - 1.643, p<0.001), early marriage (AIRR= 1.313, 95% CI: 1.264 - 1.364, p<0.001), lack of knowledge of any contraceptives (AIRR= 1.263, 95% CI: 1.125 - 1.310, p = 0.003) and failure to use modern contraceptives (AIRR= 1.520, 95% CI: 1.487 - 1.611, p<0.001) were associated with high number of children ever born. However, in Morocco socioeconomic factors like residence place, women´s agricultural profession and household poverty were not significant. In this country, women´s illiteracy (AIRR=1.428, 95% CI: 1.315 - 1.551, P <0.001), lack of access to mass media (AIRR= 1.241, 95% CI: 1.108 - 1.375, p = 0.006), infant mortality (AIRR=1.222, 95%CI: 1.184 - 1.361, p<0.001), early marriage (AIRR1.481, 95% CI: 1.435 - 1.529, p<0.001), lack of knowledge of any contraceptives (AIRR1.508, 95% CI: 1.409 - 1.613, p<0.001) and failure to use modern contraceptives (AIRR1.745, 95% CI: 1.627 - 1.863, p<0.001) were associated with high fertility but with different effects than in Burundi.Conclusion:the evidence from this study suggests that interventions to accelerate the fertility transition processes in Burundi and many other countries with slow fertility transitions should be designed and implemented according to each country's local context.