Search Results (2,831)

Background/Objectives: Evidence-based nursing practice (EBNP) is essential in high-acuity settings such as intensive care units (ICUs) and emergency departments (EDs), where nurses are frequently required to make time-critical, high-stakes clinical decisions that directly influence patient safety and outcomes. Despite its recognized importance, the implementation of EBNP remains inconsistent, with frontline nurses often facing barriers to accessing and applying current evidence. Methods: This descriptive, cross-sectional study systematically mapped and prioritized clinical questions generated by ICU and ED nurses at a tertiary hospital in South Korea. Using open-ended questionnaires, 204 clinical questions were collected from 112 nurses. Each question was coded and classified according to the Nursing Interventions Classification (NIC) taxonomy (8th edition) through a structured cross-mapping methodology. Inter-rater reliability was assessed using Cohen’s kappa coefficient. Results: The majority of clinical questions (56.9%) were mapped to the Physiological: Complex domain, with infection control, ventilator management, and tissue perfusion management identified as the most frequent areas of inquiry. Patient safety was the second most common domain (21.6%). Notably, no clinical questions were mapped to the Family or Community domains, highlighting a gap in holistic and transitional care considerations. The mapping process demonstrated high inter-rater reliability (κ = 0.85, 95% CI: 0.80–0.89). Conclusions: Frontline nurses in high-acuity environments predominantly seek evidence related to complex physiological interventions and patient safety, while holistic and community-oriented care remain underrepresented in clinical inquiry. Utilizing the NIC taxonomy for systematic mapping establishes a reliable framework to identify evidence gaps and support targeted interventions in nursing practice. Regular protocol evaluation, alignment of continuing education with empirically identified priorities, and the integration of concise evidence summaries into clinical workflows are recommended to enhance EBNP implementation. Future research should expand to multicenter and interdisciplinary settings, incorporate advanced technologies such as artificial intelligence for automated mapping, and assess the long-term impact of evidence-based interventions on patient outcomes. Full article

Natural disasters like wildfires pose significant threats to communities, which necessitates timely and effective disaster response strategies. While Aspect-based Sentiment Analysis (ABSA) has been widely used to extract sentiment-related information at the sub-sentence level, the corresponding field of Aspect-based Emotion Analysis (ABEA) remains underexplored due to dataset limitations and the increased complexity of emotion classification. In this study, we used EmoGRACE, a fine-tuned BERT-based model for ABEA, which we applied to georeferenced tweets of the 2020 California wildfires. The results for this case study reveal distinct spatio-temporal emotion patterns for wildfire-related aspect terms, with fear and sadness increasing near wildfire perimeters. This study demonstrates the feasibility of tracking emotion dynamics across disaster-affected regions and highlights the potential of ABEA in real-time disaster monitoring. The results suggest that ABEA can provide a nuanced understanding of public sentiment during crises for policymakers. Full article

In the era of smart agriculture, accurate identification of plant species is critical for effective crop management, biodiversity monitoring, and the sustainable use of medicinal resources. However, existing deep learning approaches often underperform when applied to fine-grained plant classification tasks due to the lack of domain-specific, high-quality datasets and the limited representational capacity of traditional architectures. This study addresses these challenges by introducing a novel, well-curated leaf image dataset consisting of 39 classes of medicinal and aromatic plants collected from the Aromatic and Medicinal Plant Research Station in Odakkali, Kerala, India. To overcome performance bottlenecks observed with a baseline Convolutional Neural Network (CNN) that achieved only 44.94% accuracy, we progressively enhanced model performance through a series of architectural innovations. These included the use of a pre-trained VGG16 network, data augmentation techniques, and fine-tuning of deeper convolutional layers, followed by the integration of Squeeze-and-Excitation (SE) attention blocks. Ultimately, we propose a hybrid deep learning architecture that combines VGG16 with Batch Normalization, Gated Recurrent Units (GRUs), Transformer modules, and Dilated Convolutions. This final model achieved a peak validation accuracy of 95.24%, significantly outperforming several baseline models, such as custom CNN (44.94%), VGG-19 (59.49%), VGG-16 before augmentation (71.52%), Xception (85.44%), Inception v3 (87.97%), VGG-16 after data augumentation (89.24%), VGG-16 after fine-tuning (90.51%), MobileNetV2 (93.67), and VGG16 with SE block (94.94%). These results demonstrate superior capability in capturing both local textures and global morphological features. The proposed solution not only advances the state of the art in plant classification but also contributes a valuable dataset to the research community. Its real-world applicability spans field-based plant identification, biodiversity conservation, and precision agriculture, offering a scalable tool for automated plant recognition in complex ecological and agricultural environments. Full article

This paper explores emotional analysis in Hebrew texts, focusing on improving machine learning techniques for depression detection by integrating psychological feature lexicons. Hebrew’s complex morphology makes emotional analysis challenging, and this study seeks to address that by combining traditional machine learning methods with sentiment lexicons. The dataset consists of over 350,000 posts from 25,000 users on the health-focused social network “Camoni” from 2010 to 2021. Various machine learning models—SVM, Random Forest, Logistic Regression, and Multi-Layer Perceptron—were used, alongside ensemble techniques like Bagging, Boosting, and Stacking. TF-IDF was applied for feature selection, with word and character n-grams, and pre-processing steps like punctuation removal, stop word elimination, and lemmatization were performed to handle Hebrew’s linguistic complexity. The models were enriched with sentiment lexicons curated by professional psychologists. The study demonstrates that integrating sentiment lexicons significantly improves classification accuracy. Specific lexicons—such as those for negative and positive emojis, hostile words, anxiety words, and no-trust words—were particularly effective in enhancing model performance. Our best model classified depression with an accuracy of 84.1%. These findings offer insights into depression detection, suggesting that practitioners in mental health and social work can improve their machine learning models for detecting depression in online discourse by incorporating emotion-based lexicons. The societal impact of this work lies in its potential to improve the detection of depression in online Hebrew discourse, offering more accurate and efficient methods for mental health interventions in online communities. Full article

Soil salinity adversely affects crop growth and development, leading to reduced soil fertility and agricultural productivity. The indigenous salt-tolerant plant growth-promoting rhizobacteria (PGPR), as a sustainable microbial resource, do not only promote growth and alleviate salt stress, but also improve the soil microecology of crops. The strain H5 isolated from saline-alkali soil in Bachu of Xinjiang was studied through whole-genome analysis, functional annotation, and plant growth-promoting, salt-tolerant trait gene analysis. Phylogenetic tree analysis and 16S rDNA sequencing confirmed its classification within the genus Halomonas. Functional annotation revealed that the H5 genome harbored multiple functional gene clusters associated with plant growth promotion and salt tolerance, which were critically involved in key biological processes such as bacterial survival, nutrient acquisition, environmental adaptation, and plant growth promotion. The pot experiment under moderate salt stress demonstrated that seed inoculation with Halomonas sp. H5 not only significantly improved the agronomic traits of tomato seedlings, but also increased plant antioxidant enzyme activities under salt stress. Additionally, soil analysis revealed H5 treatment significantly decreased the total salt (9.33%) and electrical conductivity (8.09%), while significantly improving organic matter content (11.19%) and total nitrogen content (10.81%), respectively (p < 0.05). Inoculation of strain H5 induced taxonomic and functional shifts in the rhizosphere microbial community, increasing the relative abundance of microorganisms associated with plant growth-promoting and carbon and nitrogen cycles, and reduced the relative abundance of the genera Alternaria (15.14%) and Fusarium (9.76%), which are closely related to tomato diseases (p < 0.05). Overall, this strain exhibits significant potential in alleviating abiotic stress, enhancing growth, improving disease resistance, and optimizing soil microecological conditions in tomato plants. These results provide a valuable microbial resource for saline soil remediation and utilization. Full article

The Water Framework Directive (WFD) was designed to protect the quality of all water resources. For reservoirs, the ecological potential classification assesses biological parameters, evaluating only the phytoplankton community. Thus, this study aimed to evaluate the effectiveness of using fish communities to determine water quality in reservoirs. A literature review was conducted to gather information on how fish community data were integrated into reservoir water quality assessment under the WFD. This work includes an exploratory case study of the Aguieira Reservoir (Portugal), evaluating the ichthyofauna community, along with physical, chemical, and biological assessment of the water. The results of the review show that fish abundance and composition (sensitive metrics) should be used to develop ecological indices for assessing water quality in reservoirs. However, the effects of anthropogenic pressures and invasive species are not included in the calculation of most proposed indices. The case study serves as an illustrative example and demonstrates low abundance and composition of the fish community with a high percentage of invasive species, revealing a poor water quality, regarding ichthyofauna biotic index results (F-IBIP). Nevertheless, including these metrics in the classification of ecological potential can help guide restoration strategies to mitigate the effects of anthropogenic pressures. Full article

This paper investigates point-to-point multimodal digital semantic communications in a task-oriented setup, where messages are classified at the receiver. We employ a pre-trained transformer model to extract semantic information and propose three methods for generating semantic codewords. First, we propose semantic quantization that uses quantized embeddings of source realizations as a codebook. We investigate the fixed-length coding, considering the source semantic structure and end-to-end semantic distortion. We propose a neural network-based codeword assignment mechanism incorporating codeword transition probabilities to minimize the expected semantic distortion. Second, we present semantic compression that clusters embeddings, exploiting the inherent semantic redundancies to reduce the codebook size, i.e., further compression. Third, we introduce a semantic vector-quantized autoencoder (VQ-AE) that learns a codebook through training. In all cases, we follow this semantic source code with a standard channel code to transmit over the wireless channel. In addition to classification accuracy, we assess pre-communication overhead via a novel metric we term system time efficiency. Extensive experiments demonstrate that our proposed semantic source-coding approaches provide comparable accuracy and better system time efficiency compared to their learning-based counterparts. Full article

Modulation identification plays a crucial role in contemporary wireless communication systems, especially within 5G and future-generation networks that utilize a variety of multicarrier waveforms. This study introduces an innovative algorithm for automatic modulation classification (AMC) built on a deep residual network (DRN) architecture. The approach is tailored to accurately identify advanced 5G waveform types such as Orthogonal Frequency-Division Multiplexing (OFDM), Filtered OFDM (FOFDM), Filter Bank Multicarrier (FBMC), Universal Filtered Multicarrier (UFMC), and Weighted Overlap and Add OFDM (WOLA), using both 16-QAM and 64-QAM modulation schemes. To our knowledge, this is the first application of deep learning in the classification of such a diverse set of complex 5G waveforms. The proposed model combines the deep learning capabilities of DRNs for feature extraction with Principal Component Analysis (PCA) for dimensionality reduction and feature refinement. A detailed performance evaluation is conducted using metrics like classification recall, precision, accuracy, and F-measure. When compared with traditional machine learning approaches reported in recent studies, our DRN-based method shows significantly improved classification accuracy and robustness. These results highlight the effectiveness of deep residual networks in improving adaptive signal processing and enabling automatic modulation recognition in future wireless communication technologies. Full article

Archaeological sites located on the edge of growing cities often struggle to reconcile heritage protection with rapid development. To understand this tension, we examined a 50.83 km² zone around the Western Han Imperial Mausoleums in the Qin-Han New District. Using Landsat images from 1992, 2002, 2012, and 2022, this study applied supervised classification, land-use transfer matrices, and dynamic-degree analysis to trace three decades of land-use change. From 1992 to 2022, built-up land expanded by 29.85 percentage points, largely replacing farmland, which shrank by 35.64 percentage points and became fragmented. Forest cover gained a modest 5.78 percentage points and migrated eastward toward the mausoleums. Overall, urban growth followed a “spread–integrate–connect” pattern along major roads. This study interprets these trends through five interrelated drivers, including policy, planning, economy, population, and heritage protection, and proposes an integrated management model. The model links archaeological pre-assessment with land-use compatibility zoning and active community participation. Together, these measures offer a practical roadmap for balancing conservation and sustainable land management at imperial burial complexes and similar urban fringe heritage sites. Full article

The ecosystem services (ESs) of forests are the benefits that people derive from forest ecosystems. Their precise recognition is important for differentiating and determining the optimal principles of multifunctional forest management. The aim of this study is to identify some important ESs based on a site classification system at the lowest level—i.e., forest stands, at the forest owner level—as a tool for differentiated management. ESs were assessed within the Czech Republic and are expressed in units in accordance with the very sophisticated Forest Site Classification System. (1) Biomass production: The vertical differentiation of ecological conditions given by vegetation tiers, which reflect the influence of altitude, exposure, and climate, provides a basic overview of biomass production; the highest value is in the fourth vegetation tier, i.e., the Fageta abietis community. Forest stands are able to reach a stock of up to 900–1200 m³·ha⁻¹. The lowest production is found in the eighth vegetation tier, i.e., the Piceeta community, with a wood volume of 150–280 m³·ha⁻¹. (2) Soil conservation function: Geological bedrock, soil characteristics, and the geomorphological shape of the terrain determine which habitats serve a soil conservation function according to forest type sets. (3) The hydricity of the site, depending on the soil type, determines the hydric-water protection function of forest stands. Currently, protective forests occupy 53,629 ha in the Czech Republic; however, two subcategories of protective forests—exceptionally unfavorable locations and natural alpine spruce communities below the forest line—potentially account for 87,578 ha and 15,277 ha, respectively. Forests with an increased soil protection function—a subcategory of special-purpose forests—occupy 133,699 ha. The potential area of soil protection forests could be up to 188,997 ha. Water resource protection zones of the first degree—another subcategory of special-purpose forests—occupy 8092 ha, and there is potentially 289,973 ha of forests serving a water protection function (specifically, a water management function) in the Czech Republic. A separate subcategory of water protection with a bank protection function accounts for 80,529 ha. A completely new approach is presented for practical use by forest owners: based on the characteristics of the habitat, they can obtain information about the fulfillment of the habitat’s ecosystem services and, thus, have basic information for the determination of forest categories and the principles of differentiated management. Full article

Background/Objectives: Laboratory tests conducted in community settings are occasionally repeated within hours of presentation to pediatric emergency departments (PEDs). Reducing unnecessary repetitions can ease child discomfort and alleviate the healthcare burden without compromising the diagnostic process or quality of care. The aim of this study was to develop a decision tree (DT) model to guide physicians in minimizing unnecessary repeat blood tests in PEDs. The minimal decision tree (MDT) algorithm was selected for its interpretability and capacity to generate optimally pruned classification trees. Methods: Children aged 3 months to 18 years with community-based complete blood count (CBC), electrolyte (ELE), and C-reactive protein (CRP) measurements obtained between 2016 and 2023 were included. Repeat tests performed in the pediatric emergency department within 12 h were evaluated by comparing paired measurements, with tests considered justified when values transitioned from normal to abnormal ranges or changed by ≥20%. Additionally, sensitivity analyses were conducted for absolute change thresholds of 10% and 30% and for repeat intervals of 6, 18, and 24 h. Results: Among 7813 children visits in this study, 6044, 1941, and 2771 underwent repeated CBC, ELE, and CRP tests, respectively. The mean ages of patients undergoing CRP, ELE, and CBC testing were 6.33 ± 5.38, 7.91 ± 5.71, and 5.08 ± 5.28 years, respectively. The majority were of middle socio-economic class, with 66.61–71.24% living in urban areas. Pain was the predominant presented complaint (83.69–85.99%), and in most cases (83.69–85.99%), the examination was conducted by a pediatrician. The DT model was developed and evaluated on training and validation cohorts, and it demonstrated high accuracy in predicting the need for repeat CBC and ELE tests but not CRP. Performance of the DT model significantly exceeded that of the logistic regression model. Conclusions: The data-driven guide derived from the DT model provides clinicians with a practical, interpretable tool to minimize unnecessary repeat laboratory testing, thereby enhancing patient care and optimizing healthcare resource utilization. Full article

The effect of periodical heatwaves and related thermal stratification in freshwater aquatic ecosystems has been a hot research issue. A large dataset of samples was generated from samples exposed to temporary thermal stratification in mesocosms mimicking shallow eutrophic freshwater lakes. Temperature regimes were based on IPCC climate warming scenarios, enabling simulation of future warming conditions. Surface oxygen levels reached 19.37 mg/L, while bottom layers dropped to 0.07 mg/L during stratification. Analysis by FlowCAM revealed dominance of Cyanobacteria under ambient conditions (up to 99.2%), while Cryptophyta (up to 98.9%) and Chlorophyta (up to 99.9%) were predominant in the A2 and A2+50% climate scenarios, respectively. We identified temperature changes and shifts in nutrient concentrations, particularly phosphate, as critical factors in microbial community composition. Furthermore, five distinct Microcystis morphospecies identified by FlowCAM-based analysis were associated with different microbial clusters. The combined use of imaging flow cytometry, which differentiates phytoplankton based on morphological parameters, and nanopore long-read sequencing analysis has shed light into the dynamics of microbial communities associated with different Microcystis morphospecies. In our observations, a peak of algicidal bacteria abundance often coincides with or is followed by a decline in the Cyanobacteria. These findings highlight the importance of species-level classification in the analysis of complex ecosystem interactions and the dynamics of algal blooms in freshwater bodies in response to anthropogenic effects and climate change. Full article

In this study, we conducted two steady-state visual evoked potential (SSVEP) studies to develop a practical brain–computer interface (BCI) system for communication and control applications. The first study introduces a novel visual stimulus paradigm that combines checkerboard patterns with flickering circles configured in single-, double-, and triple-layer forms. We tested three flickering frequency conditions: a single fundamental frequency, a combination of the fundamental frequency and its harmonics, and a combination of two fundamental frequencies. The second study utilizes personalized visual stimuli to enhance SSVEP responses. SSVEP detection was performed using power spectral density (PSD) analysis by employing Welch’s method and relative PSD to extract SSVEP features. Commands classification was carried out using a proposed decision rule–based algorithm. The results were compared with those of a conventional checkerboard pattern with flickering squares. The experimental findings indicate that single-layer flickering circle patterns exhibit comparable or improved performance when compared with the conventional stimuli, particularly when customized for individual users. Conversely, the multilayer patterns tended to increase visual fatigue. Furthermore, individualized stimuli achieved a classification accuracy of 90.2% in real-time SSVEP-based BCI systems for six-command generation tasks. The personalized visual stimuli can enhance user experience and system performance, thereby supporting the development of a practical SSVEP-based BCI system. Full article

The advance of 5G technology marks a significant evolution in wireless communications, characterized by ultra-high data rates, low latency, and massive connectivity across varied areas. A fundamental enabler of these capabilities is represented by beamforming, an advanced signal processing technique that focuses radio energy to a specific user equipment (UE), thereby enhancing signal quality—crucial for maximizing spectral efficiency. The work presents a classification of beamforming techniques, categorized according to the implementation within 5G New Radio (NR) architectures. Furthermore, the paper investigates beam management (BM) procedures, which are essential Layer 1 and Layer 2 mechanisms responsible for the dynamic configuration, monitoring, and maintenance of optimal beam pair links between gNodeBs and UEs. The article emphasizes the spectral spectrogram of Synchronization Signal Blocks (SSBs) generated under various deployment scenarios, illustrating how parameters such as subcarrier spacing (SCS), frequency band, and the number of SSBs influence the spectral occupancy and synchronization performance. These insights provide a technical foundation for optimizing initial access and beam tracking in high-frequency 5G deployments, particularly within Frequency Range (FR2). Additionally, the versatility of 5G’s time-frequency structure is demonstrated by the spectrogram analysis of SSBs in a variety of deployment scenarios. These results provide insight into how different configurations affect the synchronization signals’ temporal and spectral occupancy, which directly affects initial access, cell identification, and energy efficiency. Full article

Variable selection (VS) is a critical step in developing predictive binary classification (BC) models. Many traditional methods for assessing the added value of a candidate variable provide global performance summaries and lack an interpretable graphical summary of results. To address this limitation, we developed the U-smile method, a residual-based, post hoc evaluation approach for assessing prediction improvements and worsening separately for events and non-events. The U-smile method produces three families of interpretable BA-RB-I coefficients at three levels of generality and a standardized graphical summary through U-smile and prediction improvement–worsening (PIW) plots, enabling transparent, interpretable, and explainable VS. Validated in balanced and imbalanced BC scenarios, the method proved robust to class imbalance and collinearity, and more sensitive than traditional metrics in detecting subtle but meaningful effects. Moreover, the method’s intuitive visual output (U-smile plot) facilitates the rapid communication of results to non-technical stakeholders, bridging the gap between data science and applied decision-making. The U-smile method supports both local and global evaluations and complements existing explainable machine learning (XML) and artificial intelligence (XAI) tools without overlapping in their functions. The U-smile method offers a transparency-enhancing and human-oriented approach for ethical and fair VS, making it highly suited for high-stakes domains, e.g., healthcare and public health. Full article