Recommendations for strengthening primary healthcare delivery models for chronic disease management in Mendoza: a RAND/UCLA modified Delphi panel by Javier Roberti, Ezequiel García Elorrio, Yanina Mazzaresi, Marina Guglielmino, Agustina Mazzoni, Andrea Falaschi

“…However, numerous challenges undermine its effectiveness in these settings.Objective To identify recommendations to improve PHC by integrating user preferences and provider capacity to deliver patient-centred and competent care in the Mendoza Province, Argentina.Design Modified RAND Corporation/University of California, Los Angeles (RAND/UCLA) Delphi method.Setting Health system of the Province of Mendoza, Argentina.Participants 32 public health experts from Mendoza.Interventions Proposals were developed from secondary data, the People’s Voice Survey, an electronic cohort of people with diabetes, qualitative studies of users’ and professionals’ experiences and reviews of interventions in primary care.Primary outcome Experts had to evaluate proposals according to five criteria selected from the evidence to decision framework (impact, resource requirements, acceptability, feasibility and measurability).Results The 19 final recommendations emphasise policy continuity, evidence-based policy-making and standardisation of healthcare processes. …”
Get full text

HiGoReg: A Hierarchical Grouping Strategy for Point Cloud Registration by Tengfei Zhou, Jianxiang Gu, Zhen Dong

“…In contrast, excessive grouping could undermine computational efficiency.…”
Get full text

Neighbor-Enhanced Link Prediction in Bipartite Networks by Guangtao Cheng, Chaochao Liu, Chuting Wei, Yueyue Li, Xue Chen, Xiaobo Li

“…Local structural methods, in particular, are widely favored for their simplicity, interpretability, and computational efficiency. …”
Get full text

Network Analysis for the Improvement of Food Safety in the International Honey Trade by József Popp, Anna Kiss, Judit Oláh, Domicián Máté, Attila Bai, Zoltán Lakner

“…The adulteration of honey can undermine confidence in products as well as having adverse public health consequences. …”
Get full text

Prediction for Coastal Wind Speed Based on Improved Variational Mode Decomposition and Recurrent Neural Network by Muyuan Du, Zhimeng Zhang, Chunning Ji

“…Accurate and comprehensive wind speed forecasting is crucial for improving efficiency in offshore wind power operation systems in coastal regions. …”
Get full text

Generative AI in Higher Education: Teachers’ and Students’ Perspectives on Support, Replacement, and Digital Literacy by Samia Haroud, Nadia Saqri

“…In contrast, teachers express reservations, particularly regarding AI’s potential to undermine critical soft skills such as collaboration, problem-solving, and critical thinking. …”
Get full text

Experimental Research on Photovoltaic Arrays Output Power Enhancement Experiment Under Partial Shading in Frigid Plateau Region by Bin ZHAO, Heng TAN, Gao LIANG, Xiaodong DONG, Hongwei QU, Li WANG, Lawu ZHOU

“…The results show that both methods can increase PV arrays output power, which can provide solutions for optimization design and operation of PV power plant.…”
Get full text

Economic inequality and corruption as social determinants of health: An empirical analysis across 136 countries (2001–2020) by Chun Kai Leung, Jeremy Ko, Fangzheng Liang, Wai Kit Ming

“…The findings indicate that this compounded impact is most severe in low- and lower-middle-income countries, where systemic governance failures intersect with structural inequities to undermine health systems. Robustness checks using alternative health indicators and econometric methods strengthen the validity of the conclusions. …”
Get full text

A Meta-Reinforcement Learning-Based Poisoning Attack Framework Against Federated Learning by Wei Zhou, Donglai Zhang, Hongjie Wang, Jinliang Li, Mingjian Jiang

“…However, the distributed nature of federated learning makes it vulnerable to poisoning attacks, which undermine the integrity and availability of the model by injecting carefully crafted perturbations into the data or model. …”
Get full text

Institutionalizing integrity: rethinking ethical and cultural standards in Kazakhstan's civil service by Zhanna Khamzina, Yermek Buribayev, Yerazak Tileubergenov

“…Consequently, unethical practices persist, undermining the efficiency and quality of public service delivery and eroding public trust. …”
Get full text

Evolution of the activities of states as reflected in legal and political Teachings by A. A. Klishin

“…The return of the law to its traditional, system-level basics that are clear to everyone taking part in the social relations is often facilitated by crises, such as the one in place today when the existing challenges and problems are complemented by the objective force majeure events like the virus attack in 2020 which the amorphous “network-based” instruments or not entirely just and efficient elements of the “international legal order” cannot cope with, as opposed to the active governmental and legal mechanisms of sovereign states capable of ensuring the balance of legal instruments and administrative levers of management in crisis situations.MATERIALS AND METHODS. …”
Get full text

Generative AI in Game Design: Enhancing Creativity or Constraining Innovation? by Sultan A. Alharthi

“…Generative AI tools are increasingly being integrated into game design and development workflows, offering new possibilities for creativity, efficiency, and innovation. This paper explores the evolving role of these tools from the perspective of game designers and developers, focusing on the benefits and challenges they present in fostering creativity. …”
Get full text

Design of low-carbon planning model for vehicle path based on adaptive multi-strategy ant colony optimization algorithm by Qi Guo, Rui Li, Changjiang Zheng, Gwanggil Jeon

“…The method offers an innovative technical approach to vehicle path planning and is instrumental in advancing low-carbon and environmentally sustainable goals while enhancing transportation efficiency.…”
Get full text

High-throughput screening of monoclonal antibodies against carbapenemases using a multiplex protein microarray platform by Sascha D. Braun, Sascha D. Braun, Martin Reinicke, Martin Reinicke, Celia Diezel, Celia Diezel, Elke Müller, Elke Müller, Katrin Frankenfeld, Thomas Schumacher, Hugo Arends, Stefan Monecke, Stefan Monecke, Ralf Ehricht, Ralf Ehricht, Ralf Ehricht

“…IntroductionCarbapenemase-producing bacteria undermine the efficacy of carbapenems, a class of last-resort antibiotics used primarily to treat infections caused by multidrug-resistant Gram-negative pathogens. …”
Get full text

The Dynamics of Doctor-Patient Communication During Remote Consultations: Qualitative Study Among Norwegian Contract General Practitioners by Børge Lønnebakke Norberg, Bjarne Austad, Eli Kristiansen, Paolo Zanaboni, Linn Okkenhaug Getz

“…Although these modalities can enhance efficiency, there is a discernible risk of compromised retrieval of essential information and unvoiced problems, potentially resulting in unintended consequences. …”
Get full text

Modelado predictivo de actitudes y comportamientos ético-profesionales en médicos latinoamericanos mediante redes neuronales by Alberto Guevara Tirado, Raul Emilio Real Delor

“…Conclusions: The multilayer perceptron neural network was efficient for analyzing ethical and professional attitudes and behaviors in medical practice.…”
Get full text

Assessment of gender-related differences in digital financial services use and health worker performance in Nigeria by Jesuloluwa Adeolu Alabi, David Ayobami Adewole, Folashayo Peter Adeniji, Segun Bello, Juliet Aweko, Elizabeth Ekirapa, Peter Waiswa, Olufunmilayo Ibitola Fawole

“…Abstract Background Gender disparities in access to Digital Financial Services (DFS) may undermine the efficiency and equity of health campaign payments. …”
Get full text

The Urgency of Enacting the Asset Confiscation Bill for the Eradication of Corruption and Money Laundering in Indonesia by Khilmatin Maulidah, Ratna Kumala Sari, Aldisa Melissa, Agnes Fitryantica

“…These crimes not only result in the direct loss of public funds but also undermine trust in state institutions, obstruct development programs, and damage Indonesia's international reputation. …”
Get full text

Examining How Technology Supports Shared Decision-Making in Oncology Consultations: Qualitative Thematic Analysis by Alan Yung, Tim Shaw, Judy Kay, Anna Janssen

“…Digital technologies can both improve and undermine SDM. Current systems are generally not designed to support SDM. …”
Get full text

Contextual factors influencing implementation of tuberculosis digital adherence technologies: a scoping review guided by the RE-AIM framework by Ramnath Subbaraman, Katherine L Fielding, Genevieve Gore, Nicola Foster, Kevin Schwartzman, Miranda Zary, Cedric Kafie, Shruti Bahukudumbi, Chimweta I Chilala, Barbie Patel, Mona S Mohamed

“…Introduction Digital adherence technologies (DATs) may enable person-centred tuberculosis (TB) treatment monitoring; however, implementation challenges may undermine their effectiveness. Using the reach, effectiveness, adoption, implementation and maintenance framework, we conducted a scoping review to identify contextual factors informing ‘reach’ (DAT engagement by people with TB) and ‘adoption’ (DAT uptake by healthcare providers or clinics).Methods We searched eight databases from 1 January 2000 to 25 April 2023 to identify all TB DAT studies. …”
Get full text