keyword
Keywords complexity, decision making, s...

complexity, decision making, systems

https://read.qxmd.com/read/38509163/optimization-of-news-dissemination-push-mode-by-intelligent-edge-computing-technology-for-deep-learning
#21
JOURNAL ARTICLE
JiLe DeGe, Sina Sang
The Internet era is an era of information explosion. By 2022, the global Internet users have reached more than 4 billion, and the social media users have exceeded 3 billion. People face a lot of news content every day, and it is almost impossible to get interesting information by browsing all the news content. Under this background, personalized news recommendation technology has been widely used, but it still needs to be further optimized and improved. In order to better push the news content of interest to different readers, users' satisfaction with major news websites should be further improved...
March 20, 2024: Scientific Reports
https://read.qxmd.com/read/38509157/enhancing-the-driving-experience-of-smart-city-users-based-on-content-delivery-framework-for-intelligent-transportation-systems
#22
JOURNAL ARTICLE
Tariq Alqubaysi, Amr Yousef
Integration of several communication technologies that facilitate user access contributes to the rapid development of the smart city notion. Intelligent transportation systems (ITS) are introduced as part of smart city development to provide drivers with enhanced communication and information-sharing capabilities. The article introduces a novel ITS content delivery framework (CDF) that addresses communication outage issues. CDF-ITS uses End-to-end decision-making system modelling to examine factors such as communication, content distribution, and vehicle features...
March 20, 2024: Scientific Reports
https://read.qxmd.com/read/38508616/enablers-and-barriers-to-a-quaternary-prevention-approach-a-qualitative-study-of-field-experts
#23
JOURNAL ARTICLE
Jessica Anneliese Otte, Maria Llargués Pou
OBJECTIVE: There is a growing concern about the sustainability of healthcare and the impacts of 'overuse' on patients and systems. Quaternary prevention (P4), a concept promoting the protection of patients from medical interventions in which harms outweigh benefits, is well positioned to stimulate reflection and inspire solutions, yet has not been widely adopted. We sought to identify enablers and barriers to a P4 approach, according to field experts and advocates in one health system...
March 19, 2024: BMJ Open
https://read.qxmd.com/read/38507395/the-impact-of-covid-19-on-young-people-s-mental-health-wellbeing-and-routine-from-a-european-perspective-a-co-produced-qualitative-systematic-review
#24
JOURNAL ARTICLE
Lindsay H Dewa, Lily Roberts, Elizabeth Choong, Caroline Crandell, Ola Demkowicz, Emma Ashworth, Catia Branquinho, Steph Scott
BACKGROUND: The impact of the Covid-19 pandemic on young people's (YP) mental health has been mixed. Systematic reviews to date have focused predominantly on quantitative studies and lacked involvement from YP with lived experience of mental health difficulties. Therefore, our primary aim was to conduct a qualitative systematic review to examine the perceived impact of the Covid-19 pandemic on YP's (aged 10-24) mental health and wellbeing across Europe. METHODS AND FINDINGS: We searched MEDLINE, PsycINFO, Embase, Web of Science, MEDRXIV, OSF preprints, Google, and voluntary sector websites for studies published from 1st January 2020 to 15th November 2022...
2024: PloS One
https://read.qxmd.com/read/38507373/a-secure-and-interpretable-ai-for-smart-healthcare-system-a-case-study-on-epilepsy-diagnosis-using-eeg-signals
#25
JOURNAL ARTICLE
Ijaz Ahmad, Mingxing Zhu, Guanglin Li, Danish Javeed, Prabhat Kumar, Shixiong Chen
The efficient patient-independent and interpretable framework for electroencephalogram (EEG) epileptic seizure detection (ESD) has informative challenges due to the complex pattern of EEG nature. Automated detection of ES is crucial, and Explainable Artificial Intelligence (XAI) is urgently needed to justify algorithmic predictions in clinical settings. Therefore, this study implements an XAI-based computer-aided ES detection system (XAI-CAESDs), comprising three major modules including of feature engineering module, a seizure detection module, and an explainable decision-making process module in a smart healthcare system...
March 20, 2024: IEEE Journal of Biomedical and Health Informatics
https://read.qxmd.com/read/38504205/the-common-drivers-of-children-and-young-people-s-health-and-wellbeing-across-13-local-government-areas-a-systems-view
#26
JOURNAL ARTICLE
Siobhan A O'Halloran, Joshua Hayward, Melissa Valdivia Cabrera, Tiana Felmingham, Penny Fraser, Cindy Needham, Jaimie Poorter, Doug Creighton, Michael Johnstone, Melanie Nichols, Steven Allender
BACKGROUND: System dynamics approaches, including group model building (GMB) and causal loop diagrams (CLDs), can be used to document complex public health problems from a community perspective. This paper aims to apply Social Network Analysis (SNA) methods to combine multiple CLDs created by local communities into a summary CLD, to identify common drivers of the health and wellbeing of children and young people. METHODS: Thirteen community CLDs regarding children and young people health and wellbeing were merged into one diagram involving three steps: (1) combining variable names; (2) CLD merging, where multiple CLDs were combined into one CLD with a set of unique variables and connections; (3) paring, where the Decision-Making Trial and Evaluation Laboratory (DEMATEL) method was used to generate a cut-point to reduce the number of variables and connections and to rank the overall importance of each variable in the merged CLD...
March 19, 2024: BMC Public Health
https://read.qxmd.com/read/38503935/global-state-of-the-art-and-science-of-childhood-dysphagia-similarities-and-disparities-in-burden
#27
REVIEW
Maureen A Lefton-Greif, Joan C Arvedson, Daniele Farneti, Deborah S Levy, Sudarshan R Jadcherla
Feeding/swallowing and airway protection are complex functions, essential for survival, and continue to evolve throughout the lifetime. Medical and surgical advances across the globe have improved the long-term survival of medically complex children at the cost of increasing comorbidities, including dysfunctional swallowing (dysphagia). Dysphagia is prominent in children with histories of preterm birth, neurologic and neuromuscular diagnoses, developmental delays, and aerodigestive disorders; and is associated with medical, health, and neurodevelopmental problems; and long-term socioeconomic, caregiver, health system, and social burdens...
March 19, 2024: Dysphagia
https://read.qxmd.com/read/38503863/self-sustainable-autonomous-soft-actuators
#28
REVIEW
Zhen-Zhou Nie, Meng Wang, Hong Yang
Self-sustainable autonomous locomotion is a non-equilibrium phenomenon and an advanced intelligence of soft-bodied organisms that exhibit the abilities of perception, feedback, decision-making, and self-sustainment. However, artificial self-sustaining architectures are often derived from algorithms and onboard modules of soft robots, resulting in complex fabrication, limited mobility, and low sensitivity. Self-sustainable autonomous soft actuators have emerged as naturally evolving systems that do not require human intervention...
March 19, 2024: Communications Chemistry
https://read.qxmd.com/read/38502617/personalized-federated-graph-learning-on-non-iid-electronic-health-records
#29
JOURNAL ARTICLE
Tao Tang, Zhuoyang Han, Zhen Cai, Shuo Yu, Xiaokang Zhou, Taiwo Oseni, Sajal K Das
Understanding the latent disease patterns embedded in electronic health records (EHRs) is crucial for making precise and proactive healthcare decisions. Federated graph learning-based methods are commonly employed to extract complex disease patterns from the distributed EHRs without sharing the client-side raw data. However, the intrinsic characteristics of the distributed EHRs are typically non-independent and identically distributed (Non-IID), significantly bringing challenges related to data imbalance and leading to a notable decrease in the effectiveness of making healthcare decisions derived from the global model...
March 19, 2024: IEEE Transactions on Neural Networks and Learning Systems
https://read.qxmd.com/read/38498390/the-obesity-challenge-in-joint-replacement-a-multifaceted-analysis-of-self-reported-health-status-and-exercise-capacity-using-nhanes-data-a-population-based-study
#30
JOURNAL ARTICLE
Xianzuo Zhang, Shen Xianyue, Bai Jiaxiang, Zang Wanli, Chen Mo, Abasi Maimaitiabula, Zhu Chen
BACKGROUND: Joint replacement is successful for end-stage osteopathy, with obesity linked to evaluated risk. But the impact of obesity on self-reported health and exercise capacity among joint replacement patients remains complex and requires investigation. METHODS: This study utilizes data from the National Health and Nutrition Examination Survey (NHANES) to examine the relationship between obesity severity, demographic factors, medical comorbidities, and self-reported health status...
March 18, 2024: International Journal of Surgery
https://read.qxmd.com/read/38498357/rarpkb-a-knowledge-guide-decision-support-platform-for-personalized-robot-assisted-surgery-in-prostate-cancer
#31
JOURNAL ARTICLE
Jiakun Li, Tong Tang, Erman Wu, Jing Zhao, Hui Zong, Rongrong Wu, Weizhe Feng, Ke Zhang, Dongyue Wang, Yawen Qin, Zheng Shen, Yi Qin, Shumin Ren, Chaoying Zhan, Lu Yang, Qiang Wei, Bairong Shen
BACKGROUND: Robot-assisted radical prostatectomy (RARP) has emerged as a pivotal surgical intervention for the treatment of prostate cancer. However, the complexity of clinical cases, heterogeneity of prostate cancer, and limitations in physician expertise pose challenges to rational decision-making in RARP. To address these challenges, we aimed to organize the knowledge of previously complex cohorts and establish an online platform named the RARP Knowledge Base (RARPKB) to provide reference evidence for personalized treatment plans...
March 18, 2024: International Journal of Surgery
https://read.qxmd.com/read/38493680/using-simulation-modelling-to-transform-hospital-planning-and-management-to-address-health-inequalities
#32
JOURNAL ARTICLE
Eren Demir, Usame Yakutcan, Stephen Page
Health inequalities are a perennial concern for policymakers and in service delivery to ensure fair and equitable access and outcomes. As health inequalities are socially influenced by employment, income, and education, this impacts healthcare services among socio-economically disadvantaged groups, making it a pertinent area for investigation in seeking to promote equitable access. Researchers widely acknowledge that health equity is a multi-faceted problem requiring approaches to understand the complexity and interconnections in hospital planning as a precursor to healthcare delivery...
March 14, 2024: Social Science & Medicine
https://read.qxmd.com/read/38491544/generative-ai-in-healthcare-an-implementation-science-informed-translational-path-on-application-integration-and-governance
#33
REVIEW
Sandeep Reddy
BACKGROUND: Artificial intelligence (AI), particularly generative AI, has emerged as a transformative tool in healthcare, with the potential to revolutionize clinical decision-making and improve health outcomes. Generative AI, capable of generating new data such as text and images, holds promise in enhancing patient care, revolutionizing disease diagnosis and expanding treatment options. However, the utility and impact of generative AI in healthcare remain poorly understood, with concerns around ethical and medico-legal implications, integration into healthcare service delivery and workforce utilisation...
March 15, 2024: Implementation Science: IS
https://read.qxmd.com/read/38491440/power-imbalances-and-equity-in-the-day-to-day-functioning-of-a-north-plus-multi-south-higher-education-institutions-partnership-a-case-study
#34
JOURNAL ARTICLE
Silondile Luthuli, Marguerite Daniel, J Hope Corbin
BACKGROUND: Partnerships between Higher Education Institutions (HEIs) in the global north and south have commonly been used as a vehicle to drive global health research and initiatives. Among these initiatives, include health system strengthening, research capacity building, and human resource training in developing countries. However, the partnership functioning of many global north-south partnerships still carry legacies of colonialism through unrecognized behavior patterns, attitudes, and belief systems in how they function...
March 15, 2024: International Journal for Equity in Health
https://read.qxmd.com/read/38490903/systemic-amyloidosis-and-kidney-transplantation-an-update
#35
REVIEW
Shankara K Anand, Vaishali Sanchorawala, Ashish Verma
Amyloidosis is a heterogeneous disorder characterized by abnormal protein aggregate deposition that often leads to kidney involvement and end-stage kidney disease. With advancements in diagnostic techniques and treatment options, the prevalence of patients with amyloidosis requiring chronic dialysis has increased. Kidney transplantation is a promising avenue for extending survival and enhancing quality of life in these patients. However, the complex and heterogeneous nature of amyloidosis presents challenges in determining optimal referral timing for transplantation and managing post-transplantation course...
March 14, 2024: Seminars in Nephrology
https://read.qxmd.com/read/38490031/isolated-scrotal-lymphedema-in-a-43-year-old-male-patient-a-case-report
#36
Ghazal Talal Saeed, Donia Ahmad, Montaser Nabeeh Al Smady, Gunjan Awatramani, Tariq Abdul Hamid, Farhad Janahi
INTRODUCTION: Lymphedema of the external genitalia is a rare condition characterized by swelling of the scrotal skin and subcutaneous tissue, resulting from a pathology in lymphatic drainage. Over time, the development of fibrosis leads to a considerable impairment in the patient's quality of life. While conservative management is generally the first-line approach, surgical cases may necessitate surgical intervention to achieve comprehensive and lasting improvements. CASE PRESENTATION: We present the case of a 43-year-old obese male patient who presented to the clinic with a complaint of persistent bilateral scrotal swelling for three months...
February 23, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38487586/improving-emergency-department-care-for-adults-presenting-with-mental-illness-a-systematic-review-of-strategies-and-their-impact-on-outcomes-experience-and-performance
#37
REVIEW
Elizabeth E Austin, Colleen Cheek, Lieke Richardson, Luke Testa, Amanda Dominello, Janet C Long, Ann Carrigan, Louise A Ellis, Alicia Norman, Margaret Murphy, Kylie Smith, Donna Gillies, Robyn Clay-Williams
BACKGROUND: Care delivery for the increasing number of people presenting at hospital emergency departments (EDs) with mental illness is a challenging issue. This review aimed to synthesise the research evidence associated with strategies used to improve ED care delivery outcomes, experience, and performance for adults presenting with mental illness. METHOD: We systematically reviewed the evidence regarding the effects of ED-based interventions for mental illness on patient outcomes, patient experience, and system performance, using a comprehensive search strategy designed to identify published empirical studies...
2024: Frontiers in Psychiatry
https://read.qxmd.com/read/38486450/governing-principles-of-transcriptional-logic-out-of-equilibrium
#38
JOURNAL ARTICLE
Smruti Dixit, Teije C Middelkoop, Sandeep Choubey
To survive, adapt, and develop, cells respond to external and internal stimuli, by tightly regulating transcription. Transcriptional regulation involves the combinatorial binding of a repertoire of transcription factors (TFs) to DNA, which often results in switch-like binary outputs, akin to Boolean logic gates. Recent experimental studies have demonstrated that in eukaryotes, transcription factor binding to DNA often involves energy expenditure, thereby driving the system out of equilibrium. The governing principles of transcriptional logic operations out of equilibrium remain unexplored...
March 14, 2024: Biophysical Journal
https://read.qxmd.com/read/38485141/exploring-equity-in-global-health-collaborations-a-qualitative-study-of-donor-and-recipient-power-dynamics-in-liberia
#39
JOURNAL ARTICLE
Brigid E Cakouros, Johannah Gum, Defne L Levine, Joseph Lewis, Antoinette H Wright, Bernice Dahn, Kristina Talbert-Slagle
Introduction Global health collaborations between individuals from high-resource and low-resource settings are complex and often built on hierarchical structures and power differentials that are difficult to change. There have been many calls and frameworks developed to facilitate more equity within these collaborations, yet little is known about the lived experiences of global health donors and recipients working within such collaborations and how those experiences can facilitate more equitable collaboration...
March 13, 2024: BMJ Global Health
https://read.qxmd.com/read/38483089/soil-specific-outcomes-in-the-oecd-216-nitrogen-transformation-test
#40
JOURNAL ARTICLE
Christopher J Sweeney, Melanie Bottoms, Lennart Schulz
The Organisation for Economic Co-operation and Development (OECD) 216 test guideline investigates the impact of agrochemicals on soil nitrogen transformation. After an evaluation of 465 OECD 216 studies, we describe two distinct yet contrasting outcomes in control nontreated samples that are possible in this testing framework, which we term the "rise" (consistent increases in nitrate concentrations throughout the test period) and "dip" (initial decline in nitrate concentration between Days 0-7, followed by a net-generation of nitrate across Days 7-28) responses...
March 14, 2024: Integrated Environmental Assessment and Management
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