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Aim of the Study: To assess how virtual reality (VR) patient-specific simulations can support decision-making processes and improve care in pediatric urology, ultimately improving patient outcomes., Patients and Methods: Children diagnosed with urological conditions necessitating complex procedures were retrospectively reviewed and enrolled in the study. Patient-specific VR simulations were developed with medical imaging specialists and VR technology experts. Routine CT images were utilized to create a VR environment using advanced software platforms. The accuracy and fidelity of the VR simulations was validated through a multi-step process. This involved comparing the virtual anatomical models to the original medical imaging data and conducting feedback sessions with pediatric urology experts to assess VR simulations' realism and clinical relevance., Results: A total of six pediatric patients were reviewed. The median age of the participants was 5.5 years (IQR: 3.5-8.5 years), with an equal distribution of males and females across both groups. A minimally invasive laparoscopic approach was performed for adrenal lesions ( n = 3), Wilms' tumor ( n = 1), bilateral nephroblastomatosis ( n = 1), and abdominal trauma in complex vascular and renal malformation (ptotic and hypoplastic kidney) ( n = 1). Key benefits included enhanced visualization of the segmental arteries and the deep vascularization of the kidney and adrenal glands in all cases. The high depth perception and precision in the orientation of the arteries and veins to the parenchyma changed the intraoperative decision-making process in five patients. Preoperative VR patient-specific simulation did not offer accuracy in studying the pelvic and calyceal anatomy., Conclusions: VR patient-specific simulations represent an empowering tool in pediatric urology. By leveraging the immersive capabilities of VR technology, preoperative planning and intraoperative navigation can greatly impact surgical decision-making. As we continue to advance in medical simulation, VR holds promise in educational programs to include even surgical treatment of more complex urogenital malformations.

Previous research suggests that masks disrupt expression recognition, but the neurophysiological implications of this phenomenon are poorly understood. In this study, 26 participants underwent EEG/ERP recording during the recognition of six masked/unmasked facial expressions. An emotion/word congruence paradigm was used. Face-specific N170 was significantly larger to masked than unmasked faces. The N400 component was larger for incongruent faces, but differences were more substantial for positive emotions (especially happiness). Anterior P300 (reflecting workload) was larger to masked than unmasked faces, while posterior P300 (reflecting categorization certainty) was larger to unmasked than masked faces, and to angry faces. Face masking was more detrimental to sadness, fear, and disgust than positive emotions, such as happiness. In addition, mask covering did not impair the recognition of angry faces, as the wrinkled forehead and frowning eyebrows remained visible. Overall, facial masking polarized nonverbal communication toward the happiness/anger dimension, while minimizing emotions that stimulate an empathic response., (© 2023 The Authors. Psychophysiology published by Wiley Periodicals LLC on behalf of Society for Psychophysiological Research.)