Abstract
PurposeTo develop, implement and assess the results of psychoeducation to improve the QoL of parents with CHD newborns.MethodsParticipants were parents of inpatient newborns with the diagnosis of non-syndromic CHD. We conducted a parallel RCT with an allocation ratio of 1:1 (intervention vs. control), considering the newborns, using mixed methods research. The intervention group received psychoeducation (Parental Psychoeducation in CHD [PPeCHD]) and the usual routines, and the control group received just the regular practices. The allocation concealment was assured. PI was involved in enrolling participants, developing and implementing the intervention, data collection and data analysis. We followed the Consolidated Standards of Reporting Trials (CONSORT) guidelines.ResultsParents of eight newborns were allocated to the intervention group (n = 15 parents) and eight to the control group (n = 13 parents). It was performed as an intention-to-treat (ITT) analysis. In M2 (4 weeks), the intervention group presented better QoL levels in the physical, psychological, and environmental domains of World Health Organization Quality of Life instrument (WHOQOL-Bref). In M3 (16 weeks), scores in physical and psychological domains maintained a statistically significant difference between the groups.ConclusionsThe PPeCHD, the psychoeducational intervention we developed, positively impacted parental QoL. These results support the initial hypothesis. This study is a fundamental milestone in this research field, adding new essential information to the literature.

Abstract
This paper explores the intricate interplay between perceived challenge and narrative immersion within role-playing game (RPG) video games, motivated by the escalating influence of game difficulty on player choices. A quantitative methodology was employed, utilizing three specific questionnaires for data collection on player habits and experiences, perceived challenge, and narrative immersion. The study consisted of two interconnected stages: an initial research phase to identify and understand player habits, followed by an in-person intervention involving the playing of three distinct RPG video games. During this intervention, selected players engaged with the chosen RPG video games separately, and after each session, responded to two surveys assessing narrative immersion and perceived challenge. The study concludes that a meticulous adjustment of perceived challenge by video game studios moderately influences narrative immersion, reinforcing the enduring prominence of the RPG genre as a distinctive choice in narrative.

Abstract
Significant medical image visualization and annotation tools, tailored for clinical users, play a crucial role in disease diagnosis and treatment. Developing algorithms for annotation assistance, particularly machine learning (ML)-based ones, can be intricate, emphasizing the need for a user-friendly graphical interface for developers. Many software tools are available to meet these requirements, but there is still room for improvement, making the research for new tools highly compelling. The envisioned tool focuses on navigating sequences of DICOM images from diverse modalities, including Magnetic Resonance Imaging (MRI), Computed Tomography (CT) scans, Ultrasound (US), and X-rays. Specific requirements involve implementing manual annotation features such as freehand drawing, copying, pasting, and modifying annotations. A scripting plugin interface is essential for running Artificial Intelligence (AI)-based models and adjusting results. Additionally, adaptable surveys complement graphical annotations with textual notes, enhancing information provision. The user evaluation results pinpointed areas for improvement, including incorporating some useful functionalities, as well as enhancements to the user interface for a more intuitive and convenient experience. Despite these suggestions, participants praised the application's simplicity and consistency, highlighting its suitability for the proposed tasks. The ability to revisit annotations ensures flexibility and ease of use in this context.

Abstract
Smart grids with EVs have been proposed as a great contribution to sustainability. Considering environmental sustainability is of great importance to humanity, it is essential to assess whether electrical vehicles (EVs) actually contribute to improving it. The objectives of the present study are, from a macro (broad-scope) perspective, to identify the sources of emissions and to create a framework for the calculation of CO2 emissions resulting from large-scale EV use. The results show that V2G mode increases emissions and therefore reduces the benefits of using EVs. The results also show that in the best scenario (NC mode), an EV will have 32.7% less emissions, and in the worst case (V2G mode), it will have 25.6% more emissions than an internal combustion vehicle (ICV), meaning that sustainability improvement is not always ensured. The present study shows that considering a macro perspective is essential to estimate a more comprehensive value of emissions. The main contributions of this work are the creation of a framework for identifying the main contributions to CO2 emissions resulting from large-scale EV integration, and the calculation of estimated CO2 emissions from a macro perspective. These are important contributions to future studies in the area of smart grids and large-scale EV integration, for decision-makers as well as common citizens.

Abstract
Several studies demonstrate that the structure of the brain increases in hierarchical complexity throughout development. We tested if the structure of artificial neural networks also increases in hierarchical complexity while learning a developing task, called the balance beam problem. Previous simulations of this developmental task do not reflect a necessary premise underlying development: a more complex structure can be built out of less complex ones, while ensuring that the more complex structure does not replace the less complex one. In order to address this necessity, we segregated the input set by subsets of increasing Orders of Hierarchical Complexity. This is a complexity measure that has been extensively shown to underlie the complexity behavior and hypothesized to underlie the complexity of the neural structure of the brain. After segregating the input set, minimal neural network models were trained separately for each input subset, and adjacent complexity models were analyzed sequentially to observe whether there was a structural progression. Results show that three different network structural progressions were found, performing with similar accuracy, pointing towards self-organization. Also, more complex structures could be built out of less complex ones without substituting them, successfully addressing catastrophic forgetting and leveraging performance of previous models in the literature. Furthermore, the model structures trained on the two highest complexity subsets performed better than simulations of the balance beam present in the literature. As a major contribution, this work was successful in addressing hierarchical complexity structural growth in neural networks, and is the first that segregates inputs by Order of Hierarchical Complexity. Since this measure can be applied to all domains of data, the present method can be applied to future simulations, systematizing the simulation of developmental and evolutionary structural growth in neural networks.

Abstract
Currently, the transmission system operators (TSOs) from Portugal and Spain do not procure a frequency containment reserve (FCR) through market mechanisms. In this context, a virtual power plant (VPP) that aggregates sources, such as wind and solar power and hydrogen electrolyzers (HEs), would benefit from future participation in this ancillary service market. The methodology proposed in this paper allows for quantifying the revenues of a VPP that aggregates wind and solar power and HEs, considering the opportunity costs of these units when reserving power for FCR participation. The results were produced using real data from past FCR market sessions. Using market data from 2022, a VPP that aggregates half of the HEs and is expected to be connected in the country by 2025 will have revenues over EUR 800k, of which EUR 90k will be HEs revenues.