Appropriateness of Admission to General Medical-Surgical ICUs in a University Teaching Hospital by Rowan M. Abuyadek, Hoda Z. Helmy, Akram M. Fayed, Moataza M. Abdel Wahab, Dina H. Fouad

“…Abstract Introduction Resource allocation and increased cost of critical care services have been a global concern. …”
Get full text

Unveiling the hidden effect of multi-morbidities on the severity of Covid-19: a latent class analysis approach by Sedigheh Akhavnnezhad, Seyedeh Solmaz Talebi, Ehsan Mosa Farkhani, Marzieh Rohani-Rasaf

“…This approach will guide clinical decision-making and resource allocation in the ongoing management of the COVID-19 pandemic.…”
Get full text

Effectiveness of photobiomodulation therapy on pain intensity in postpartum women with nipple or perineal trauma: protocol for a multicentre, double-blinded, parallel-group, random... by Fernanda G Surita, Edna Jéssica Lima Gondim, Simony Lira Nascimento, Maria Victória Candida Gaitero, Ticiana Aparecida Alves de Mira, Andrea de Vasconcelos Gonçalves

“…Both participants and the research evaluator will be blinded to the allocation group. Intention-to-treat method and the between-group and within-group outcome measures analysis will be performed.Ethics and dissemination This research protocol was approved by the Research Ethics Committees of the University of Campinas, Brazil, and of the School Maternity Assis Chateaubriand, Brazil (numbers CAAE: 59400922.1.1001.5404; 59400922.1.3001.5050). …”
Get full text

Two-Timescale Cross-Layer Design for URLLC Over Parallel Fading Channels With Imperfect CSI by Hongsen Peng, Meixia Tao

“…As a starting step in our small timescale solution, we train a deep reinforcement learning (DRL) agent employing the Twin Delayed Deep Deterministic Policy Gradient (TD3) algorithm to allocate the data transmit power on each sub-channel and determine the decoding error probability to satisfy the URLLC constraints in an ideal environment with perfect instantaneous CSI. …”
Get full text

Comparative Analysis of qSOFA, PRIEST, PAINT, and ISARIC4C Scores in Predicting Severe COVID-19 Outcomes Among Patients Aged over 75 Years by Daniela Rosca, Vamsi Krishna, Chandramouli Chetarajupalli, Adelina Maria Jianu, Ilona Emoke Deak, Claudia Raluca Balasa Virzob, Sorina Maria Denisa Laitin, Madalina Boruga, Rodica Lighezan

“…Results: Kaplan–Meier analysis indicated significantly lower survival probabilities for elderly patients with high scores at admission. …”
Get full text

Atezolizumab plus bevacizumab and chemotherapy as first-line therapy for cervical cancer: a cost-effectiveness analysis in the US by Yingtao Lin, Cijuan Li, Chang Wang, Jian Chen, Yuanqing Huang

“…Recently, numerous countries have mandated the pharmacoeconomic assessments of novel oncological agents to mitigate patient financial risks and optimize resource allocation. The present study evaluated the cost-effectiveness of adding atezolizumab to standard therapy (atezolizumab plus bevacizumab [BC]) for metastatic, persistent, and recurrent cervical cancer from the perspective of US healthcare payers, with the aim of supporting policymaking and promoting the rational use of healthcare resources.MethodsUsing clinical efficacy and safety data from the BEATcc clinical trial, in addition to cost and utility values from publicly available databases and published literature, a partitioned survival model over a 20-year lifetime horizon was developed to assess the cost-effectiveness of atezolizumab plus bevacizumab and chemotherapy (ABC) versus BC. …”
Get full text

Stability of symptom-based subtypes in Sjogren’s disease by Xavier Mariette, Jacques-Eric Gottenberg, Jessica Tarn, Wan-Fai Ng, Dennis Lendrem, John Casement, Joe Scott Berry, Kyle Thompson

“…In this study, we stratify patients longitudinally to understand how symptom-based subtypes vary over time and factors influencing subtype change.Methods 274 patients from the United Kingdom Primary Sjögren’s Syndrome Registry (UKPSSR) with data permitting NSST subtype assignment from two study visits were included. …”
Get full text

Cost–Utility Analysis of Multigene Assays to Guide Treatment Decisions for Node-Negative Early Breast Cancer by Vladislav Berdunov, Gebra Cuyún-Carter, Yaneth Gil-Rojas, Christy Russell, Sara Campbell, Jennifer Racz, Yara Abdou

“…This study aimed to estimate the cost-effectiveness of these four multigene assays compared with clinicopathologic risk assessment alone. Methods A decision tree categorized hypothetical patients with HR + /HER2− early-stage invasive breast cancer according to clinical and genomic risk, and integrated clinical expert insights for chemotherapy allocation with literature inputs. …”
Get full text

Seasonality and dynamics of schistosomiasis in the environment: usefulness of environmental DNA (eDNA) surveillance system at a community level for risk mapping schistosomiasis in... by Mark June Revolteado, Marcello Otake Sato, Joseph Valencia, Mario Jiz, Eleonor Cervantes, Ralph Aniceto, Marianette Inobaya, Darren Gray, Catherine A. Gordon, Pengfei Cai, Yasuhito Sako, Megumi Sato

“…By introducing a field-applicable eDNA-based qPCR assay, this research provides a sensitive, non-invasive, and rapid molecular method for detecting S. japonicum and O.h. quadrasi in the environment. …”
Get full text

FACTORS OF SOCIAL AND PSYCHOLOGICAL ADAPTATION OF TEENAGERS TO EDUCATION IN SUVOROV MILITARY SCHOOL by M. V. Ivanova, V. V. Savelyev

“…The aim of the article is to reveal the content of the concept ofsocio-psychological adaptation.Methods. In the course of work theoretical methods of research are used: an overview and synthesis of approaches to the study of such a theoretical construct as adaptation and disadaptation; practical methods: methods of diagnostics of socio-psychological adaptation by K. …”
Get full text

INFORMATION MODEL OF MANUFACTURING AND TECHNOLOGICAL SOLUTION FOR PROCESS CONTROL SYSTEM OF MULTIPART PRODUCTION by Konstantin Vladimirovich Bashlayev

“…A special type of the manufacturing operation is selected for spoilage probability cases and for the process operations recurrence.…”
Get full text

Bank’s Credit Portfolio Optimization Using Actuarial Approach and Artificial Neural Networks by Saeed Bajalan, Saeid Fallahpour, Sara Raeesi

“…MethodsThe actuarial approach, which includes calculating loan default probabilities and conducting precise financial risk assessments, is a widely used tool in bank risk management. …”
Get full text

Knowledge of Preconception Healthcare and Associated Factors: A Study among Mothers in Jinka Town, Southern Region, Ethiopia by Kassahun Fikadu Tesema, Tamirat Cheneka, Alemayehu Alemu, Mekonen Feyissa, Birhanu Birkaye, Hafiza Mohammed, Eleni Kidu, Getahun Wegaso, Biresaw Wasihun

“…In the multivariable analysis, housewives (AOR = 2.93; 95% CI: 1.38–6.19), an education level of at least college (AOR = 3.79; 95% CI: 1.75–8.23), no history of neonatal death (AOR = 4.13; 95% CI = 1.39–12.25), and the use of family planning methods (AOR = 2.38; 95% CI: 1.49–3.79) increased the probability of preconception healthcare knowledge compared to the counterparts. …”
Get full text

Position Deployment Optimization of Maneuvering Conventional Missile Based on Improved Whale Optimization Algorithm by Yaxiong Li, Xinwei Zhang, Jiufen Zhao, Xinzhi Yang, Mingyuan Xi

“…To reasonably allocate mobile conventional missile battle positions and improve the survivability and combat effectiveness of the missile weapon system, a missile position deployment optimization design model based on Mixed-Integer Nonlinear Programming (MINLP) is established. …”
Get full text

Cost-effectiveness analysis for implementation of smoking cessation strategies at primary health care settings in Tamil Nadu. by Vasantha Mahalingam, Ramesh Kumar Santhanakrishnan, Muniyandi Malaisamy, Karthick Chelvanayagam, Kavi Mathiyazhagan, Adhin Bhaskar, Karikalan Nagarajan, Jerard Maria Selvam, Surendran Veeraiah, Kavitha Rajsekar, Kirti Tyagi, Ponnuraja Chinnaiyan

“…<h4>Methods</h4>In this hypothetical cohort of 100,000 individuals using the decision tree analysis, a cost-effectiveness assessment was conducted for both proposed and existing strategies. …”
Get full text

A world malaria map: Plasmodium falciparum endemicity in 2007. by Simon I Hay, Carlos A Guerra, Peter W Gething, Anand P Patil, Andrew J Tatem, Abdisalan M Noor, Caroline W Kabaria, Bui H Manh, Iqbal R F Elyazar, Simon Brooker, David L Smith, Rana A Moyeed, Robert W Snow

“…<h4>Background</h4>Efficient allocation of resources to intervene against malaria requires a detailed understanding of the contemporary spatial distribution of malaria risk. …”
Get full text

Zoning and Identification of Factors Affecting Illegal Livestock Grazing in Golestan National Park Using Logistic Regression by Meysam Madadi, HamidReza Rezaei, Alireza Mohammadi, Bagher Nezami Balochi, Maryam Shahbazi

“…By discerning patterns in these violations, managers can allocate resources strategically to those groups exhibiting the least compliance with conservation regulations and implement more effective protection strategies. …”
Get full text

Customer segment model with the purchase recency, frequency and monetary amount by Huang Hui-Hsin

“…This research contributes to the field by presenting a robust method for dynamic customer segmentation, applicable across various industries.…”
Get full text

Leveraging large language models for automated detection of velopharyngeal dysfunction in patients with cleft palate by Myranda Uselton Shirk, Catherine Dang, Jaewoo Cho, Hanlin Chen, Lily Hofstetter, Jack Bijur, Claiborne Lucas, Andrew James, Ricardo-Torres Guzman, Andrea Hiller, Noah Alter, Amy Stone, Maria Powell, Matthew E. Pontell, Matthew E. Pontell

“…By providing a reliable pretest probability, the Whisper model can serve as a triaging mechanism to prioritize patients for further evaluation, reducing diagnostic delays and optimizing resource allocation.…”
Get full text

Mapping of radionuclide-contaminated agricultural land to make them available for use by Yu. V. Khomutinin, V. O. Kashparov, M. M. Lazarev, S. E. Levchuk, V. P. Protsak, V. V. Pavliuchenko

“…The approach allows to assess not only the average value of the activity concentration of radionuclides in crop, but also the probability of exceeding permissible levels. Method was successfully tested in the fields, which are allocated to the second zone of radioactive contamination. …”
Get full text