-
41
Recommendations for strengthening primary healthcare delivery models for chronic disease management in Mendoza: a RAND/UCLA modified Delphi panel
Published 2025-04-01“…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
Article -
42
Economic inequality and corruption as social determinants of health: An empirical analysis across 136 countries (2001–2020)
Published 2025-01-01“…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
Article -
43
Generative AI in Higher Education: Teachers’ and Students’ Perspectives on Support, Replacement, and Digital Literacy
Published 2025-03-01“…These findings underscore the opportunities of generative AI, such as personalized learning and efficiency, while addressing limitations like ethical concerns and over-reliance, offering actionable insights for policymakers, educators, and technologists aiming to integrate AI responsibly in education.…”
Get full text
Article -
44
Neighbor-Enhanced Link Prediction in Bipartite Networks
Published 2025-05-01“…Local structural methods, in particular, are widely favored for their simplicity, interpretability, and computational efficiency. …”
Get full text
Article -
45
Institutionalizing integrity: rethinking ethical and cultural standards in Kazakhstan's civil service
Published 2025-04-01“…Consequently, unethical practices persist, undermining the efficiency and quality of public service delivery and eroding public trust. …”
Get full text
Article -
46
High-quality development and rural revitalization: the role of rural e-commerce
Published 2025-07-01“…This study explores how high-quality development (HQD), a strategic priority aimed at sustainable and efficient growth, impacts RR, with a focus on the mediating role of rural e-commerce (RE).MethodsUsing Chinese provincial panel data from 2011 to 2021, this study applies a panel quantile regression model to capture the nonlinear relationship between HQD, RE, and RR. …”
Get full text
Article -
47
Experimental Research on Photovoltaic Arrays Output Power Enhancement Experiment Under Partial Shading in Frigid Plateau Region
Published 2021-08-01“…By taking advantage of the photovoltaic (PV) power generation technology, the abundant solar energy resource in frigid plateau region can greatly improve the local energy infrastructure. However, the low efficiency of PV power plant has been existing as a widely publicized technical barrier. …”
Get full text
Article -
48
The Great Disruption: How Machine Intelligence Will Transform the Role of Lawyers in the Delivery of Legal Services
Published 2019-06-01“…Objective: to analyze the influence of machine intelligence on legal practice and services.Methods: dialectical approach to cognition of social phenomena, allowing to analyze them in the historical development and functioning in the context of a set of objective and subjective factors, which determined the choice of the following research methods: formal-logical, comparative-legal, state and legal modeling.Results: The market for electronic legal services is at a relatively early, yet significant, stage in terms of the disruptive effect of machine intelligence in undermining lawyers' monopoly. …”
Get full text
Article -
49
Comparative review of intelligent structural safety in building seismic risk mitigation utilizing an integrated artificial intelligence controller
Published 2025-04-01“…Abstract Seismic events provide significant hazards to the safety and structural integrity of building structures, requiring efficient mitigation techniques. Conventional approaches to mitigating earthquake risks may lack the capacity for prompt adaptation and response. …”
Get full text
Article -
50
The Urgency of Enacting the Asset Confiscation Bill for the Eradication of Corruption and Money Laundering in Indonesia
Published 2025-07-01“…Given the magnitude of these threats, there is an urgent need for effective legal mechanisms to recover stolen assets swiftly and efficiently. This study explores the urgency of ratifying the Asset Confiscation Bill as a critical step in enhancing Indonesia’s legal framework for combating corruption and money laundering. …”
Get full text
Article -
51
Modelado predictivo de actitudes y comportamientos ético-profesionales en médicos latinoamericanos mediante redes neuronales
Published 2025-07-01“…Conclusions: The multilayer perceptron neural network was efficient for analyzing ethical and professional attitudes and behaviors in medical practice.…”
Get full text
Article -
52
Mapping stakeholders, services, data, and the information system for adolescent health in the West Bank
Published 2025-05-01“…In conflict-affected regions like the West Bank, fragmented service delivery, inconsistent data collection, and lack of coordination between providers undermine the effectiveness of health services. An efficient health information system ensures accurate data collection, stakeholder integration, and evidence-based decision-making. …”
Get full text
Article -
53
The Dynamics of Doctor-Patient Communication During Remote Consultations: Qualitative Study Among Norwegian Contract General Practitioners
Published 2025-03-01“…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
Article -
54
MRP-YOLO: An Improved YOLOv8 Algorithm for Steel Surface Defects
Published 2024-12-01“…As the accuracy of the algorithm increases, its complexity also rises, resulting in a decrease in detection speed, which undermines its practicality. This issue is particularly evident in the context of surface defect detection in industrial parts, where low contrast, small target features, difficult feature extraction, and low real-time detection efficiency are prominent challenges. …”
Get full text
Article -
55
Evolution of the activities of states as reflected in legal and political Teachings
Published 2020-12-01“…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
Article -
56
Examining How Technology Supports Shared Decision-Making in Oncology Consultations: Qualitative Thematic Analysis
Published 2025-06-01“…Digital technologies can both improve and undermine SDM. Current systems are generally not designed to support SDM. …”
Get full text
Article -
57
Network Analysis for the Improvement of Food Safety in the International Honey Trade
Published 2018-02-01“…The adulteration of honey can undermine confidence in products as well as having adverse public health consequences. …”
Get full text
Article -
58
An Improved PSO-Based DC Discharge Heating Strategy for Lithium-Ion Batteries at Low Temperatures
Published 2025-04-01“…This strategy addresses the limitations of traditional heating methods, providing a novel solution for the efficient application of lithium-ion batteries in low-temperature environments.…”
Get full text
Article -
59
Assessment of gender-related differences in digital financial services use and health worker performance in Nigeria
Published 2025-07-01“…Abstract Background Gender disparities in access to Digital Financial Services (DFS) may undermine the efficiency and equity of health campaign payments. …”
Get full text
Article -
60
Contextual factors influencing implementation of tuberculosis digital adherence technologies: a scoping review guided by the RE-AIM framework
Published 2025-02-01“…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
Article