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. …”
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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. …”
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Research on Mobile Agent Path Planning Based on Deep Reinforcement Learning by Shengwei Jin, Xizheng Zhang, Ying Hu, Ruoyuan Liu, Qing Wang, Haihua He, Junyu Liao, Lijing Zeng

“…For mobile agent path planning, traditional path planning algorithms frequently induce abrupt variations in path curvature and steering angles, increasing the risk of lateral tire slippage and undermining operational safety. Concurrently, conventional reinforcement learning methods struggle to converge rapidly, leading to an insufficient efficiency in planning to meet the demand for energy economy. …”
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Methodology and Application of Adaptive and Sequential Approaches in Contemporary Clinical Trials by Zhengjia Chen, Yichuan Zhao, Ye Cui, Jeanne Kowalski

“…The application of adaptive and sequential methods in clinical trials has significantly improved the flexibility, efficiency, therapeutic effect, and validity of trials. …”
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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. …”
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Quantum State Estimation for Real-Time Battery Health Monitoring in Photovoltaic Storage Systems by Dawei Wang, Liyong Wang, Baoqun Zhang, Chang Liu, Yongliang Zhao, Shanna Luo, Jun Feng

“…The growing deployment of photovoltaic (PV) and energy storage systems (ESSs) in power grids has amplified concerns over component degradation, which undermines efficiency, increases costs, and shortens system lifespan. …”
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AI meets academia: the fire model's vision for enhanced learning by Nancy Mohamed Afifi

“…AI's capacity to generate complex written outputs poses significant challenges to traditional evaluation methods and potentially undermines the development of critical thinking. …”
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Evaluation of risk-based antigen and antibody surveillance strategies and their association with HPAI outbreaks in South Korean duck farms by Saleem Ahmad, Dae Sung Yoo

“…However, the effectiveness of these strategies—especially in terms of testing frequency, timing, and spatial alignment with outbreak risks—remains under-evaluated.MethodsThis study analyzed antigen and antibody surveillance data from South Korean duck farms between 2019 and 2022. …”
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Gender and Gender Inequalities: Elucidating the Role of Supervisor–Employee Gender Congruence Through United States Survey Results by Kuk-Kyoung Moon, Jaeyoung Lim

“…Gender inequalities in the workplace present a profound challenge, undermining not only the psychological well-being and performance of employees but also the fabric of organizational justice and efficiency. …”
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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.…”
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Key Issues and Prospects for Low-Carbon Operation and Scheduling of the New Power System from an Electricity-Carbon Coupling Perspective by ZHAO Junhua, BAI Yan, WANG Zhidong

“…Moreover， market simulation methods faced a contradiction between insufficient interpretability and overly stringent assumptions， and the integration of renewable energy units （characterized by near-zero short-term marginal costs） undermined traditional pricing models and complicated multi-period cost allocation.…”
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Determinants of Banking Profitability in Angola: A Panel Data Analysis with Dynamic GMM Estimation by Eurico Lionjanga Cangombe, Luís Gomes Almeida, Fernando Oliveira Tavares

“…Banking concentration presents mixed effects, enhancing net interest income while potentially undermining efficiency. Economic growth supports profitability, whereas inflation exerts a negative influence. …”
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Edge-Assisted Label-Flipping Attack Detection in Federated Learning by Nourah S. AlOtaibi, Muhamad Felemban, Sajjad Mahmood

“…In LFA, malicious clients deliberately mislabel local data, causing the global model to misclassify certain classes, thus undermining its integrity. Although centralized detection methods have been explored, there is a notable gap in addressing LFA within the decentralized Client-Edge-Cloud architecture, which is crucial for FL systems. …”
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Public–private partnership in pipelining science of acute care ecosystem: Insights from Taiwan's Presidential Hackathon by Chao‐Wen Chen, Yung‐Sung Yeh, Ta‐Chien Chan, Yi‐Syuan Wu

“…This disorganization undermined collaboration and response efficiency. Methods Taiwan's Presidential Hackathon introduced an innovative approach to improving the trauma system by integrating digital pipeline science through public–private partnerships (PPPs). …”
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Optimizing forest stand aggregation in fragmented stands using graph convolutional networks: A case study in Japan by YangYu You, Hyun Bae Kim, Takuyuki Yoshioka

“…Japan’s forest sector faces persistent challenges due to fragmented land ownership and an increasingly skewed age-class structure, undermining not only management efficiency but also economic viability and long-term sustainability. …”
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Rethinking the potential of urban agriculture as a climate resilience strategy: Evidence from Accra, Ghana by Gideon Baffoe, Philip Antwi-Agyei

“…It critically examines the extent to which UA has been integrated into national policy frameworks and identifies the barriers undermining its broader adoption and implementation. …”
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AS-TBR: An Intrusion Detection Model for Smart Grid Advanced Metering Infrastructure by Hao Ma, Yifan Fan, Yiying Zhang

“…A significant challenge in AMI traffic data is the severe class imbalance, where existing methods tend to favor majority class samples while neglecting the detection of minority class attacks, thereby undermining the overall reliability of the detection system. …”
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Impact of artificial intelligence in transforming the doctor–cancer patient relationship by P.-E. Heudel, H. Crochet, J.-Y. Blay

“…Materials and methods: This article synthesizes empirical studies and expert opinions to offer a comprehensive understanding of AI’s current role in oncology. …”
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Navigating the Water–Energy Nexus: A Mathematical Approach by Moses Kayanda Kiteto, Cleophas Achisa Mecha

“…This has significantly undermined the efficiency of the plants as these surveys often miss out on complex interactions, lack robust predictive power and fail to account for dynamic temporal changes. …”
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Generative AI in Higher Education: Balancing Innovation and Integrity by Nigel J. Francis, Sue Jones, David P. Smith

“…This paper argues that while GenAI can provide substantial benefits in terms of automation and efficiency, its integration must be managed with care to avoid undermining the authenticity of student work and exacerbating existing inequalities. …”
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