Search Results (5,286)

Background/Objectives: Accurate risk stratification of intraductal papillary mucinous neoplasms (IPMNs) remains clinically challenging. This study evaluates a structured imaging-based scoring approach for IPMN risk stratification, referred to as the Tübingen Dignity Score (TDS), and compares its diagnostic performance with established methods. Methods: In this retrospective study, imaging findings from patients with suspected IPMN were analyzed using MRI, CT, and ultrasound. The TDS was applied as an imaging-based scoring system. Diagnostic performance was assessed in a histopathological subset and compared with MRI-based assessment and Fukuoka criteria. Results: MRI showed high sensitivity (94.4%) but limited specificity (57.1%). Fukuoka criteria showed high sensitivity (100%) and high specificity (91.3%) in this cohort, although with a lower positive predictive value. In contrast, the TDS showed high specificity (100%) and positive predictive value, but lower sensitivity (40%), reflecting a different diagnostic profile. These findings indicate a trade-off between sensitivity and specificity across the evaluated approaches. However, the limited number of malignant cases limits the robustness and generalizability of these estimates. Conclusions: The TDS may serve as a complementary, imaging-based tool within a multimodal diagnostic framework for IPMN. Its potential value lies in supporting clinical decision-making in selected cases, particularly where established criteria yield inconclusive results. Given the limited sample size, retrospective single-center design, and exploratory nature of this study, external prospective multicenter validation is required before routine clinical application can be recommended. Full article

University orientation programmes are a primary mechanism through which new students become familiar with campus facilities, academic spaces, and institutional procedures. However, many orientation activities are delivered as single in-person sessions, limiting opportunities for students to revisit spatial and procedural information after the event. To help address this constraint, a digital twin-inspired metaverse orientation application, the Digital Twin Metaverse Orientation (DTMO), was designed in Unity and hosted on Spatial.io as a spatially faithful virtual replica of a faculty environment. An exploratory pilot evaluation was conducted with 30 university students from multiple faculties after a facilitator-guided orientation session. The System Usability Scale (SUS), Net Promoter Score (NPS), and two open-ended questions were used to examine perceived usability, recommendation intention, and the reasons underpinning recommendation decisions. The application obtained a mean SUS score of 86.83, corresponding to an excellent perceived-usability rating, and an NPS of 53.33, indicating positive immediate recommendation intention. Qualitative responses suggested that participants valued the DTMO for engagement, accessibility, ease of navigation, and support for spatial familiarisation, while some participants emphasised that it should complement rather than replace physical orientation. These pilot findings indicate promising user reception in a small, guided-session sample, but they do not establish orientation effectiveness, learning transfer, wayfinding performance, retention, belonging, institutional integration, or sustained use. Further research with broader samples and outcome-based measures is therefore needed. Full article

High-dynamic amusement ride conditions involving impacts, rapid rotations, and abrupt posture changes introduce severe motion artifacts that degrade vital sign quality and destabilize physiological state recognition. This study aims to develop an engineering-ready closed-loop framework for robust passenger monitoring and intelligent diagnosis. A multimodal sensing and modeling pipeline was designed to jointly leverage physiological signals such as heart rate and SpO₂ and kinematic measurements, including acceleration, angular rate, velocity, and attitude. Inertial and PPG signals were preprocessed into supervised samples through wavelet multiresolution denoising and coordinate frame unification, while a strapdown inertial navigation system was used to propagate a 12-channel physical quantity sequence. To ensure interpretability and standards compliance, constraints from GB 8408-2018 were translated into executable threshold rules, enabling standards-driven auto-labeling and rule-based early warning. Building on this foundation, three learning modules were developed: a fusion model for high-dynamic heart rate estimation, a CNN–LSTM dynamic-threshold-enhanced network TAPNet for rapid kinematic anomaly screening, and an attention-augmented hybrid model HS-BANet integrating one-dimensional residual blocks, bidirectional LSTM, and multi-head attention for fine-grained arrhythmia classification. Experimental results demonstrated accurate and consistent heart rate estimation with RMSE of 1.18 bpm on HSSH-I and 1.24 bpm on the independent HSSH-II set, strong agreement with training and testing correlations of 0.9928 and 0.9865, and near-zero bias in Bland–Altman analysis. TAPNet achieved 96.9% validation accuracy and 98.2% test accuracy for kinematic anomaly recognition, maintaining robust generalization under class imbalance. HS-BANet enabled multi-class identification of PVC, PAC, VT, SVT, and AF, achieving an accuracy of 92.37%, an F1-score of 86.87%, a precision of 88.45%, a sensitivity of 88.14%, and a specificity of 89.42%. Overall, the proposed two-stage multimodal closed-loop—fast, interpretable early warning based on physical quantity thresholds followed by fine-grained diagnosis from physiological signals—supports stable feature extraction and reliable decision-making under strong motion artifacts and non-stationary dynamics, balancing responsiveness and diagnostic credibility, while showing potential for practical safety early warning and future deployment-oriented operational support in amusement ride scenarios. Full article

Centered on lean production, this study integrates operational technologies (OT), communication technologies (CT), and information technologies (IT) within an open-system software architecture. Under stochastic customer demand, reliance on static data and experience-based decision-making constrains firms’ responsiveness to market. The integration of lean management with a data-driven database enhances operational flexibility and decision quality, enabling small and medium-sized enterprises (SMEs) in the bicycle industry to develop responsive digital factory environments with real-time monitoring and improved operational transparency. The proposed platform is applicable to both manufacturing processes and operational management, improving overall equipment effectiveness (OEE), production efficiency, process optimization, and reducing quality losses, inventory levels, and workforce misallocation. This study investigates the application of the Analytic Hierarchy Process (AHP) and multi-criteria decision-making (MCDM) within a performance framework integrating ESG indicators and a balanced scorecard to identify key success factors for digital lean improvement in the bicycle industry. A case study of a bicycle manufacturer was conducted using questionnaire surveys and expert interviews with exporters. The results indicate that the five most critical success factors are: enhancing return on invested capital, strengthening digital capabilities, improving product quality, minimizing inventory waste, and reducing lead time. These findings provide practical guidance for decision-makers in designing more effective lean management strategies in highly competitive digital markets. Furthermore, by facilitating the adoption of appropriate digital technologies under a reasonable return on investment, this approach supports the systematic implementation of Industry 4.0 initiatives and transforms traditional lean practices into more efficient and sustainable digital lean operations. Full article

Peru’s tax dispute system—administrative claim, Tax Court appeal, and contentious-administrative review—has increasingly migrated toward electronic files, e-invoicing, interoperable databases, and data-driven oversight. This article examines whether artificial intelligence can reduce avoidable tax litigation without weakening taxpayers’ rights and identifies the institutional conditions required to reconcile administrative efficiency with due process, reason-giving, and effective contestation. Using a legal-doctrinal and policy-analytical design, the study analyzes Peru’s tax dispute architecture, digital evidence environment, and AI-related risks in compliance and administrative litigation. The findings show that only bounded decision-support applications are institutionally appropriate, including audit triage, anomaly detection, document classification, workflow prioritization, compliance assistance, and consistency checks, provided that they do not replace legally attributable human judgment. AI is compatible with digital tax justice only when six safeguards are institutionalized: legally meaningful explainability, evidentiary and computational traceability, meaningful human oversight with override authority, lifecycle auditability, effective contestation, and distributional equality. The analysis further demonstrates that facially neutral digital requirements and risk models may generate unequal effects when disparities in connectivity, digital literacy, record-keeping capacity, and access to professional assistance translate into differences in audit exposure, compliance costs, evidentiary burdens, and practical contestability. The article proposes a rights-compatible framework for AI-supported tax enforcement in Peru. Full article

Post-conflict reconstruction concentrates institutional fragility, supply-chain disruption, and weak regulatory enforcement at the moment when long-term resilience trajectories are being set. Myanmar’s housing sector, operating under prolonged civil conflict and post-earthquake reconstruction pressure, exemplifies these conditions. This research adapts Singapore’s Buildable Design Appraisal System (BDAS) and Constructability Appraisal System (CAS) to Myanmar’s post-conflict housing context and translates the empirical findings into a Knowledge-Based Decision Support System (KBDSS). An integrated framework combining Value Chain Analysis (VCA), the Technology Acceptance Model (TAM), and Scott’s Institutional Framework (IF) underpins the study. A questionnaire survey (n = 139) of Myanmar building professionals is analysed using Partial Least Squares Structural Equation Modelling and Necessary Condition Analysis. The model explains 57.9% of the variance in framework adaptation; competitive advantage, perceived usefulness, perceived ease of use, and the post-conflict/disaster context emerge as both sufficient and necessary conditions, while regulative support dominates among the three institutional pillars. These findings underpin the inference logic of a prototype KBDSS for resilient housing reconstruction. This research contributes empirical evidence on operationalising urban resilience under institutional fragility in the Global South. Full article

Interior built environments influence user behavior through more than deliberate rational evaluation. They shape attention, movement, affective comfort, perceived safety, wayfinding, and well-being through bounded cognition, affective appraisal, heuristics, embodied perception, and automatic approach–avoidance processes. The research gap addressed in this review concerns the fact that prior work on interior environments, wayfinding, indoor environmental quality, neuroarchitecture, atmospherics, and behavioral decision-making remains fragmented across separate studies, and existing reviews rarely explain how these mechanisms can be organized into a design-usable framework for interior built environments. This narrative review synthesizes foundational and recent literature across building design, environmental psychology, neuroarchitecture, virtual reality, indoor environmental quality, wayfinding, and behavioral decision-making to clarify how decision mechanisms translate into interior design variables such as lighting, color, spatial organization, materiality, form, sensory atmosphere, environmental legibility, thermal comfort, and controllability. The review distinguishes bounded rationality, heuristics and biases, dual-process accounts, affective and atmospheric processing, prospect–refuge dynamics, mere exposure, and room-effect research rather than treating them as a single “non-rational” category. It proposes an integrative framework in which interior cues are processed through perceptual and affective appraisal; moderated by individual, cultural, contextual, temporal, and ethical factors; and expressed through behavioral outcomes such as navigation, approach or withdrawal, dwell time, perceived quality, usability, stress regulation, and well-being. The paper contributes to human-centered building design by formalizing a mechanism-based account of how interior environments can support behavior without reducing users to passive recipients of environmental manipulation. It concludes with practical implications for design briefing, post-occupancy evaluation, VR-based testing, healthcare and workplace audits, safety-critical settings, and future longitudinal validation. Full article

Climate change is reshaping agricultural systems by altering temperature and rainfall regimes, increasing the frequency of extreme events, and intensifying risks to crop productivity, water use, and farm decision-making. As climate–agriculture research expands rapidly, it becomes increasingly difficult to identify consolidated knowledge domains, emerging priorities, and evidence gaps. This study maps the structure and evolution of this literature using 219,261 Scopus-indexed documents selected from 290,560 records published between 1990 and 2025. A text-mining workflow combined BERTopic-based semantic modeling with supervised thematic classification into 18 macro-themes, while annual shares, z-scores, and document-level primary–secondary co-framing were used to assess temporal salience and cross-theme coupling. The results show sustained growth in research output, with 53.67% of publications produced between 2016 and 2025, and strong geographical concentration in the United States and China, which together account for 41.98% of the corpus. Hydrology and water management, crop production, impact assessment, and atmospheric processes remain central pillars, while socio-economic vulnerability, food security, sustainability, biotechnology, and greenhouse gas mitigation have gained prominence. The resulting evidence map provides a reproducible overview of the climate–agriculture knowledge landscape and can support research prioritization and policy design for climate-resilient agrifood systems. Full article

As healthcare data grows in volume and complexity, the use of association rule mining (ARM) and frequent itemset mining (FISM) in disease analysis holds great potential for data-driven decision-making, personalized treatment strategies, and disease prevention. This study introduces an extensible, interactive, self-developed visualization tool designed specifically for ARM and FISM, enabling the intuitive exploration of medical datasets. The tool incorporates an innovative preprocessing method that binarizes datasets from various scaling systems using a systematic multi-threshold evaluation, ensuring standardized analysis across diverse data sources. Its interactive design empowers users to dynamically explore relevant patterns individually, enhancing both the interpretability and usability of customized results. In addition, the tool integrates exploratory statistical assessments to support the interpretation and comparison of resulting association rules (ARs) and frequent itemsets (FISs). In this paper, we evaluate the tool using two pilot datasets: one on symptoms for long COVID and one on incorporating rare diseases (RDs) while also providing sample datasets for user testing. Full article

Neighbourhood-scale sustainable urban mobility assessment requires analytical tools that evaluate walking, cycling, and public transport together rather than as separate modes. Existing studies often rely on single-mode indicators or aggregated urban-scale measures, which limit their ability to reveal micro-scale spatial inequalities and multimodal performance imbalances. This study addresses this gap by developing an integrated Geographic Information Systems (GIS)–Analytic Hierarchy Process (AHP)–correlation–clustering framework for six sample areas in Kayseri, Türkiye. The framework evaluates three main criteria—walkability, bikeability, and public transport accessibility—through ten sub-criteria. In addition, seven land-use and urban design variables are used to examine built environment relationships. A 100 × 100 m grid-based spatial database was created; criteria weights were determined using AHP; mobility scores were examined through correlation analysis; and spatial mobility typologies were identified using K-means clustering. The findings indicate that development density and land-use diversity support walkability. However, similar density patterns do not automatically improve cycling performance or public transport integration. The clustering results reveal persistent modal imbalances, even in areas with medium-to-high overall performance. The study demonstrates that density alone is insufficient for multimodal sustainability and offers an adaptable decision-support framework for context-sensitive neighbourhood planning. Full article

Water loss and significant problems in the operation of water distribution networks caused by pipe failures are a global problem that needs immediate attention. This study is based on the experience-based assumption that the probability of water main breaks occurring is highest within a short time and a short distance from a previous (considered initial or base) break. The dataset used includes the historical pipe breaks recorded from 2007 to 2020 in the city of Larisa, Greece. A Geographic Information System (GIS) application is used for better data visualization, but also for effective operation and management of the developed water network database. Cluster analysis and Near and Spatial Join geoprocessing tools are the main tools used to detect and analyze trends in data related to space and time. In addition, the study attempts to identify relations between pipe attributes (material, age), environmental stressors (traffic load, soil type), and spatiotemporal clustering patterns. Finally, a machine learning-based water pipe failure Prediction Model is developed to serve as the computational engine of a Decision Support System (DSS) designed to optimize pipe replacement prioritization. Full article

Political violence poses a significant challenge to global stability, underscoring the need for comparative analytical models that support analytical interpretation of structured conflict data. This paper presents a comparative evaluation of 12 machine learning approaches, including traditional supervised models, deep learning architectures, and zero-shot large language models, for the classification of political violence events using the Armed Conflict Location and Event Data Project (ACLED) dataset (2010–2020, over 40,000 events). The results demonstrate that, on short structured event text represented via TF-IDF, fine-tuned traditional machine learning models achieve stronger performance than zero-shot LLM approaches and deep learning models on structured event data. We further introduce a multilingual classification framework for English and Urdu news content, illustrating cross-lingual transfer robustness using machine-translated Urdu data; results reflect translation-based evaluation conditions and should not be interpreted as performance on naturally occurring low-resource Urdu political-event text. As an exploratory extension, the framework is applied to 57,700 tweets related to the Article 370 crisis in Kashmir to illustrate applicability to unstructured social media text; given that the best Twitter model (55% accuracy) falls below the 69% majority-class baseline, these results should be interpreted solely as coarse discourse indicators and not as a validated classification component. Unlike prior work, this study systematically combines multilingual evaluation with zero-shot LLM analysis for political event classification. Geographic out-of-sample validation (leave-one-country-out or leave-one-region-out) was not conducted; the reported performance should therefore not be interpreted as evidence of cross-regional generalizability without further experimentation. The findings highlight practical considerations for designing data-driven analytical frameworks for conflict monitoring and analytical decision support. Full article

Building energy consumption accounts for 30% of global energy use, making building management pivotal to achieving global sustainability. Occupants have profound impacts on the building environment. Incorporating occupant-related factors into the environmental control process is essential for optimizing the efficiency of building management systems (BMSs), which thus gives rise to the concept of occupant-centric control (OCC). Conventional methods rely on simplified models and fixed schedules that fail to satisfy environmental control and occupant requirements, while constructing credible models places strict requirements on the dataset. In this paper, we propose a Model-Aware Predictive Control (MAPC) framework that can construct credible models with limited data and provide room-level control strategies to optimize the trade-off between occupant comfort and energy consumption. The technological innovations of this research are twofold. On the one hand, we design a model construction and fine-tuning method that combines data-driven subspace projection approach with physical priors that can construct credible thermal dynamic models with limited data. On the other hand, to balance the potential conflicts between enhancing occupant comfort and saving energy, we present a hierarchical decision-making mechanism that enables adaptive multi-objective room-level control considering dynamic occupant comfort requirements and energy usage. The experimental results obtained on an EnergyPlus-based simulation dataset and a publicly available dataset demonstrate that MAPC can provide room-level control strategies based on dynamic occupant requirements and user preferences and achieve superior trade-offs between occupant comfort and energy consumption. The ablation experiments also demonstrated the superiority of MAPC in constructing reliable models on limited datasets. MAPC provides pivotal support for the advancement of the intelligent buildings and sustainable indoor environment. Full article

Maintenance management increasingly depends on effective information flow and coordination between internal teams and external service providers. This study investigates the use of Business Process Model and Notation (BPMN) to support the formalization of Computerized Maintenance Management System (CMMS) workflows and improve transparency, decision-making, and interorganizational coordination. A single case study was conducted in the maintenance department of an electricity distribution company characterized by tacit knowledge, informal communication practices, and limited process formalization. Existing corrective maintenance workflows were analyzed and modeled using BPMN to identify inefficiencies, decision points, and opportunities for improvement. The proposed BPMN models were aligned with CMMS operational states associated with anomaly management and work-order execution processes and supported by a procedural manual. Results obtained during a three-month observation period suggest reductions in training time, email communications, and dependence on individual decision-makers, together with increased use of CMMS workflow functionalities and improved process traceability. These findings provide preliminary evidence, derived from operational indicators within a single case study, that BPMN-supported process formalization may contribute to workflow standardization, operational clarity, and knowledge management in maintenance-intensive environments. Given the single-case design and limited observation period, the results should be interpreted as context-specific and not directly generalizable to the broader energy sector. Full article

Artificial intelligence (AI) is increasingly applied to healthcare decision-making; however, many persistent patient safety risks arise from sociotechnical conditions such as communication breakdowns, coordination failures, and organisational culture rather than diagnostic or decision error alone. While simulation can engage these dimensions of care, AI-supported simulation remains limited by heterogeneity and a lack of explicit conceptual structure. This study presents a narrative and conceptual review of the healthcare simulation and AI literature to identify structural barriers to coherent AI reasoning about simulation. Drawing on this synthesis, we introduce Transformative Simulation (TfS) as an intentional framework that can be formalised as an ontology for AI-supported simulation focused on cultural and systems-level change. TfS structures simulation through explicit Simulation-Based Intentions, an aligned design–delivery–data–debrief process, and foundational considerations of purpose, perspective, power, preparation, and possibility. Framed in this way, TfS enables AI systems to interpret simulation artefacts in relation to declared intent, sociotechnical context, and ethical boundaries. We further describe an Intentionality–Simulation–Intelligence triad and a continuous learning loop that align human values, simulation structure, and AI reasoning. The findings of this review suggest that an important challenge in applying AI to healthcare simulation may be ontological as well as technical, and that explicit representation of intention and context is necessary to support coherent, context-sensitive, and system-aligned AI reasoning in healthcare. Full article