Search Results (3,774)

Background: Point-of-care ultrasound (POCUS) is gaining recognition as a valuable diagnostic tool in various fields of medicine, including pediatrics. Its application at the point of care enables real-time clinical decision-making, which is particularly advantageous in pediatric settings. Although global interest in POCUS is growing, many European countries—including Poland—still lack formal training programs for POCUS at both the undergraduate and postgraduate levels. Nevertheless, the number of pediatricians incorporating POCUS into their daily clinical practice in Poland is increasing. However, the extent of its use and perceived value among pediatricians remains largely unknown. This study aimed to evaluate the current level of POCUS utilization in pediatric care in Poland, focusing on pediatricians’ self-assessed competencies, perceptions of its clinical utility, and key barriers to its implementation in daily practice. Methods: This cross-sectional study was conducted between July and August 2024 using an anonymous online survey distributed to pediatricians throughout Poland via national professional networks, with a response rate of 7.3%. Categorical variables were analyzed using the chi-square test of independence to assess the associations between key variables. Quantitative data were analyzed using descriptive statistics, and qualitative data from open-ended responses were subjected to a thematic analysis. Results: A total of 210 pediatricians responded. Among them, 149 (71%) reported access to ultrasound equipment at their workplace, and 89 (42.4%) reported having participated in some form of POCUS training. Only 46 respondents (21.9%) reported frequently using POCUS in their clinical routine. The self-assessed POCUS competence was rated as low or very low by 136 respondents (64.8%). While POCUS was generally perceived as a helpful tool in facilitating and accelerating clinical decisions, the main barriers to implementation were a lack of formal training and limited institutional support. Conclusions: Although POCUS is perceived as clinically valuable by the surveyed pediatricians in Poland, its routine use remains limited due to training and systemic barriers. Future efforts should prioritize the development of a validated, competency-based training framework and the implementation of a larger, representative national study to guide the structured integration of POCUS into pediatric care. Full article

This paper presents the design and implementation of a high-precision vehicle detection and classification system for toll stations on national highways in Colombia, leveraging LiDAR-based 3D point cloud processing and supervised machine learning. The system integrates a multi-sensor architecture, including a LiDAR scanner, high-resolution cameras, and Doppler radars, with an embedded computing platform for real-time processing and on-site inference. The methodology covers data preprocessing, feature extraction, descriptor encoding, and classification using Support Vector Machines. The system supports eight vehicular categories established by national regulations, which present significant challenges due to the need to differentiate categories by axle count, the presence of lifted axles, and vehicle usage. These distinctions affect toll fees and require a classification strategy beyond geometric profiling. The system achieves $89.9\%$ overall classification accuracy, including $96.2\%$ for light vehicles and $99.0\%$ for vehicles with three or more axles. It also incorporates license plate recognition for complete vehicle traceability. The system was deployed at an operational toll station and has run continuously under real traffic and environmental conditions for over eighteen months. This framework represents a robust, scalable, and strategic technological component within Intelligent Transportation Systems and contributes to data-driven decision-making for road management and toll operations. Full article

The safety of lithium-ion batteries during transportation is critically important. However, current standards exhibit limitations, as their environmental testing parameter thresholds fail to fully encompass actual transportation conditions. To enhance both safety and standard applicability, in this study, we focused on four representative environmental conditions: temperature, vibration, shock, and low atmospheric pressure. Field measurements were conducted across road, rail, and air transport modes using a self-developed data acquisition system based on the NearLink communication technology. The measured data were then compared with the threshold values defined in current international and national standards. The results reveal that certain measured values exceeded the upper limits prescribed by existing standards, indicating limitations in their applicability under extreme transport conditions. Based on these findings, we propose revised testing parameters that better reflect actual transport risks, including a temperature cycling range of 72 ± 2 °C (high) and −40 ± 2 °C (low), a shock acceleration limit of 50 gn, adjusted peak frequencies in the vibration PSD profile, and a minimum pressure threshold of 11.6 kPa. These results provide a scientific basis for optimising safety standards and improving the safety of lithium-ion battery transportation. Full article

As ad-supported subscription models proliferate across over-the-top (OTT) media platforms, understanding the psychological mechanisms and perceptual factors that underlie consumers’ transition decisions becomes increasingly consequential. This study integrates the Uses and Gratifications framework with a contemporary motivation-based perspective to examine how users’ media consumption motivations and advertising attitudes predict intentions to adopt ad-supported OTT plans. Data were collected via a nationally representative online survey in South Korea (N = 813). The sample included both premium subscribers (n = 708) and non-subscribers (n = 105). The findings reveal distinct segmentation in decision-making patterns. Among premium subscribers, switching intentions were predominantly driven by intrinsic motivations—particularly identity alignment with content—and by the perceived informational value of advertisements. These individuals are more likely to consider ad-supported plans when ad content is personally relevant and cognitively enriching. Conversely, non-subscribers exhibited greater sensitivity to extrinsic cues such as the entertainment value of ads and the presence of tangible incentives (e.g., discounts), suggesting a hedonic-reward orientation. By advancing a dual-pathway explanatory model, this study contributes to the theoretical discourse on digital subscription behavior and offers actionable insights for OTT service providers. The results underscore the necessity of segment-specific advertising strategies: premium subscribers may be engaged through informative and identity-consistent advertising, while non-subscribers respond more favorably to enjoyable and benefit-laden ad experiences. These insights inform platform monetization efforts amid the evolving dynamics of consumer attention and subscription fatigue. Full article

Background/Objectives: Predicting comprehensive patient characteristics is essential for optimal individualized rehabilitation plans for acute stroke patients. However, current models primarily predict single outcomes. This study aimed to assess the applicability of latent class analysis (LCA) in rehabilitation practice by identifying comprehensive characteristics and associated predictors in acute stroke patients. Methods: We conducted a retrospective observational study using the Japan Association of Rehabilitation Database, including 10,270 stroke patients admitted to 37 acute-care hospitals between January 2005 and March 2016. Patients were classified using LCA based on outcomes at discharge, including Functional Independence Measure (FIM), National Institutes of Health Stroke Scale (NIHSS) subscales for upper-extremity function, length of hospitalization, and discharge destination. Predictor variables at admission included age, FIM scores, NIHSS subscales for upper-extremity function, stroke type, and daily rehabilitation volume. Results: 6881 patients were classified into nine distinct classes (class size: 4–29%). Class 1, representing the mildest cases, was noted for independent ambulation and good upper limb function. Class 2 comprised those with the most severe clinical outcome. Other classes exhibited a gradient of severity, commonly encountered in clinical practice. For instance, Class 7 included right-sided paralysis with preserved motor activities of daily living (ADLs) and modified dependence in cognitive functions, such as communication. All predictors at admission were significantly associated with class membership at discharge (p < 0.001). Conclusions: LCA effectively identified unique clinical subgroups among acute stroke patients and demonstrated that key admission variables could predict class membership. This approach offers a promising insight into targeted, personalized rehabilitation practice for acute stroke patients. Full article

The ongoing decade of UN restoration matches with the European goal of bringing nature back into our lives, including in urban systems, and Nature Restoration Regulation. Within such a framework, this work is aimed at highlighting the ecological rationale and strategic value of an NRRP measure devoted to forest restoration in Italian Metropolitan Cities, and at assessing respective preliminary results. Therefore, the measure’s overarching goal (not to create urban parks or gardens, but activate forest recovery), geographic extent and scope (over 4000 ha and more than 4 million planted trees and shrubs across the country), plantation model (mandatory use of native species consistent with local potential vegetation, density of 1000 seedlings per ha, use of at least four tree and four shrub species in each project, with a minimum proportion of 70% for trees, certified provenance for reproductive material), and compulsory management activities (maintenance and replacement of any dead plants for at least five years), are herein shown and explained under an ecological perspective. Current implementation outcomes were thus assessed in terms of coherence and expected biodiversity benefits, especially with respect to ecological and biogeographic consistency of planted forests, representativity in relation to national and European plant diversity, biogeographic interest and conservation concern of adopted plants, and potential contribution to the EU Habitats Directive. Compliance with international strategic goals and normative rules, along with recognizable advantages of the measure and limitations to be solved, are finally discussed. In conclusion, the forestation model proposed for the Italian Metropolitan Cities proved to be fully applicable in its ecological rationale, with expected benefits in terms of biodiversity support plainly met, and even exceeded, at the current stage of implementation, especially in terms of the contribution to protected habitats. These promising preliminary results allow the model to be recognized at the international level as a good practice that may help achieve protection targets and sustainable development goals within and beyond urban systems. Full article

This study examines the development of the digital economy and society in the Republic of Kazakhstan by combining international benchmarking with a context-specific national framework. It highlights the limitations of existing global indices such as DESI, NRI, and EGDI in capturing the structural and institutional dimensions of digital transformation in emerging economies. To address this gap, the study introduces a novel composite metric, the Index of Digital Economy Development (IDED), which integrates five sub-indices: infrastructure, usage, human capital, economic digitization, and transformation effectiveness. The methodology involves comparative index analysis, the construction of the IDED, and statistical validation through a public opinion survey and regression modeling. Key findings indicate that cybersecurity is a critical yet under-represented component of digital development, showing strong empirical correlations with DESI scores in benchmark countries. The results also highlight Kazakhstan’s strengths in digital public services and internet access, contrasted with weaknesses in business digitization and innovation. The proposed IDED offers a more comprehensive and policy-relevant tool for assessing digital progress in transitional economies. This study contributes to the literature by proposing a replicable index structure and providing empirical evidence for the inclusion of cybersecurity in national digital economy assessments. The aim of the study is to assess Kazakhstan’s digital economy development by addressing limitations in global measurement frameworks. Methodologically, it combines comparative index analysis, the construction of a national composite index (IDED), and statistical validation using a regional survey and regression analysis. The findings reveal both strengths and gaps in Kazakhstan’s digital landscape, particularly in cybersecurity and SME digitalization. The IDED introduces an innovative, context-sensitive framework that enhances the measurement of digital transformation in transitional economies. Full article

Electricity is a significant factor in the life cycle of many products, so the reliability of greenhouse gas (GHG) emissions data is crucial. The article presents publicly available sources of emission factors representative of Poland. The aim of the study is to assess their strengths and weaknesses in the context of the calculation requirements of carbon footprint analysis in accordance with the GHG Protocol. The article presents the results of carbon footprint calculations for different ranges of emissions in the life cycle of 1 kWh of electricity delivered to a hypothetical organization. Next, a discussion on the quality of the emissions factors has been provided, taking account of data quality indicators. It was concluded that two of the emissions factors that are compared—those based on the national consumption mix and the residual mix for Poland—have been recognized as suitable for use in carbon footprint calculations. Beyond the calculation results, the research highlights the significance of the impact of the selection of emissions factors on the reliability of environmental analysis. The article identifies methodological challenges, including the risk of double counting, limited transparency, methodological inconsistency, and low correlation of data with specific locations and technologies. The insights presented contribute to improving the robustness of carbon footprint calculations. Full article

Inspired by the Toyota Mirai, this study presents a high-fidelity data-driven approach for modelling and simulation of a fuel cell hybrid electric powertrain. This study utilises technical assessment data sourced from Argonne National Laboratory’s publicly available report, faithfully modelling most of the vehicle subsystems as data-driven entities. The simulation framework is developed in the MATLAB/Simulink environment and is based on a power dynamics approach, capturing nonlinear interactions and performance intricacies between different powertrain elements. This study investigates subsystem synergies and performance boundaries under a combined driving cycle composed of the NEDC, WLTP Class 3 and US06 profiles, representing urban, extra-urban and aggressive highway conditions. To emulate the real-world load-following strategy, a state transition power management and allocation method is synthesised. The proposed method dynamically governs the power flow between the fuel cell stack and the traction battery across three operational states, allowing the battery to stay within its allocated bounds. This simulation framework offers a near-accurate and computationally efficient digital counterpart to a commercial hybrid powertrain, serving as a valuable tool for educational and research purposes. Full article

This scoping review examines the integration of the Sustainable Development Goals (SDGs)—specifically SDG 4, which concerns quality education—into national curricula at various levels of education between 2020 and 2025. This qualitative study uses the scoping review method to synthesise international research, identifying thematic trends, methodological approaches, and implications for curriculum development. The analysis reveals a strong focus on higher education, with articles from Asia and Europe dominating the discourse, while perspectives from early childhood education and the Global South are under-represented. Most articles favour qualitative designs, engaging with the SDGs as curricular content, institutional transformation frameworks, or community-based education tools. Despite these promising approaches, significant gaps remain in addressing behavioural change and equity across educational systems. Therefore, the study calls for more inclusive, context-sensitive, and interdisciplinary strategies to support the transformative ambitions of the 2030 Agenda. Full article

Identifying predictors of pro-environmental behaviors (PEBs) can not only figure out who concerns about the environment most but also inform possible pathways that advance or inhabit such prosocial actions. Most past studies and theories focus on factors that reside within personal characteristics or sociopsychological mechanisms rather than taking a holistic view that integrates these two elements into a framework. This study investigates how socioeconomic status (SES) correlates with PEBs, integrating both structural and psychological mechanisms. Drawing on the Stimulus–Organism–Response (SOR) theoretical framework, this paper examines the paradox whereby individuals with higher SES exhibit more frequent environmental actions yet demonstrate lower willingness to pay (WTP)—a form of economic sacrifice. Using nationally representative data from the 2021 Chinese General Social Survey (CGSS), our structural equation modeling reveals that adulthood SES positively correlates with environmental values and behaviors but negatively correlates with WTP. This challenges the traditional linear assumption that greater willingness necessarily leads to greater action. Additionally, while childhood SES predicts adult SES, it shows no direct effect on environmental engagement. These findings highlight multidimensional pathways by which SES shape environmental actions, necessitating differentiated policy approaches to build a sustainable world. Full article

Background: Preimplantation genetic testing for polygenic diseases (PGT-P) is a reproductive technology that has made it possible to assign risk scores to embryos for various complex polygenic conditions such as diabetes, hypertension, breast cancer, and schizophrenia. Whether there is public interest in utilizing PGT-P and what public opinions are regarding this technology is unknown. Therefore, the objective of our study was to evaluate the opinion of the general United States (US) public regarding PGT-P. Methods: A web-based questionnaire consisting of 25 questions was administered to a nationally representative sample of adult US residents according to age and sex. The survey contained a description of PGT-P, followed by questions with Likert-scale responses ranging from strongly agree to strongly disagree. Results: Of the 715 respondents recruited, 673 (94%) completed the survey. Most respondents agreed that use of PGT-P is ethical (54%), and another 37% were neutral; however, approximately 9% of respondents disagreed and were opposed to the use of PGT-P. Those that opposed PGT-P cited that it was “unethical” (46%) or “not natural” (39%), believed children could be negatively affected (31%), or stated that it went against their religion (15%). The majority of respondents did not know whether PGT-P was safe for embryos (68%) or children (67%) and felt that anyone should be able to utilize it (53%). Conclusions: Participants who were younger, were Atheist, or were Democrats were more likely to agree that “PGT-P is ethical”. This study identified that more than half of respondents supported the use of PGT-P. However, concerns regarding its safety and ethical implications persist. Full article

This paper presents the implementation of a language model–based strategy for the automatic codification of crime narratives for the production of official statistics. To address the high workload and inconsistencies associated with manual coding, we developed and evaluated three models: an XGBoost classifier with bag-of-words features and word embeddings features, an LSTM network using pretrained Spanish word embeddings as a language model, and a fine-tuned BERT language model (BETO). Deep learning models outperformed the traditional baseline, with BETO achieving the highest accuracy. The new ENUSC (Encuesta Nacional Urbana de Seguridad Ciudadana) workflow integrates the selected model into an API for automated classification, incorporating a certainty threshold to distinguish between cases suitable for automation and those requiring expert review. This hybrid strategy led to a 68.4% reduction in manual review workload while preserving high-quality standards. This study represents the first documented application of deep learning for the automated classification of victimization narratives in official statistics, demonstrating its feasibility and impact in a real-world production environment. Our results demonstrate that deep learning can significantly improve the efficiency and consistency of crime statistics coding, offering a scalable solution for other national statistical offices. Full article

Central Asia (CA) faces growing Water–Energy–Food (WEF) Nexus challenges, due to its complex transboundary water management, legacy Soviet-era water infrastructure, and increasing climate and socio-economic pressures. This study presents the development of a System Dynamics Model (SDM) to evaluate WEF interdependencies across the Aral Sea Basin (ASB), including the Amu Darya and Syr Darya river basins and their sub-basins. Different downscaling strategies based on the area, population, or land use have been applied to process open-access databases at the national level in order to match the scope of the study. Climate and socio-economic assumptions were introduced through the integration of already defined Shared Socioeconomic Pathways (SSPs) and Representative Concentration Pathways (RCPs). The resulting SDM incorporates more than 500 variables interacting through mathematical relationships to generate comprehensive outputs to understand the WEF Nexus concerns. The SDM was successfully calibrated and validated across three key dimensions of the WEF Nexus: final water discharge to the Aral Sea (Mean Absolute Error, MAE, <5%), energy balance (MAE = 4.6%), and agricultural water demand (basin-wide MAE = 1.2%). The results underscore the human-driven variability of inflows to the Aral Sea and highlight the critical importance of transboundary coordination to enhance future resilience. Full article

Antimicrobial Resistance (AMR), i.e., the evolution of microbes to become resistant to chemicals used to control them, is a global public health concern that can make bacterial diseases untreatable. Inputs including antibiotics, metals, and biocides can create an environment in the agrifood chain that selects for AMR. Consumption of food represents a potential exposure route to AMR microbes and AMR genes (ARGs), which may be present in viable bacteria or on free DNA. Ready-to-eat (RTE) foods are of particular interest because they are eaten without further cooking, so AMR bacteria or ARGs that are present may be consumed intact. They also represent varied production systems (fresh produce, cooked meat, dairy, etc.). An evidence gap exists regarding the diversity and consumption of ARGs in RTE food, which this study begins to address. We sampled 1001 RTE products at retail sale in the UK, in proportion to their consumption by the UK population, using National Diet and Nutrition Survey data. Bacterial DNA content of sample extracts was assessed by 16S metabarcoding, and 256 samples were selected for metagenomic sequencing for identification of ARGs based on consumption and likely bacterial DNA content. A total of 477 unique ARGs were identified in the samples, including ARGs that may be involved in resistance to important antibiotics, such as colistin, fluoroquinolones, and carbapenems, although phenotypic AMR was not measured. Based on the incidence of ARGs in food types, ARGs are estimated to be present in a high proportion of average diets. ARGs were detected on almost all RTE food types tested (48 of 52), and some efflux pump genes are consumed in 97% of UK diets. Full article