Search Results (59)

Peer review is the cornerstone of scholarly publishing and, in medicine, the ultimate guarantor of the reliability of clinical evidence that informs guidelines, therapeutic strategies, and patient care. However, the current peer review system is increasingly strained by bias, abuse, and reviewer overload. Favoritism toward prominent authors, editorial “nepotism,” coercive citation practices, superficial evaluations, and even documented cases of idea theft from confidential manuscripts undermine the trustworthiness of the scientific literature upon which clinical decisions depend. In this paper, we argue that artificial intelligence (AI) and large language models (LLMs) offer a transformative opportunity to strengthen the integrity and efficiency of medical peer review. AI-driven tools can perform rapid consistency checks, detect statistical errors or plagiarism, and enforce compliance with ethical and methodological standards across thousands of manuscripts. Early implementations of AI-guided review platforms, plagiarism detectors, and citation-anomaly algorithms demonstrate that machine assistance can make reviews more thorough, objective, and reproducible. At the same time, we acknowledge the limitations of AI, including hallucinations, a lack of human judgment, and risks to confidentiality if misused. To address these concerns, we propose a hybrid model in which AI handles routine screening and technical tasks under strict safeguards, while human experts retain final responsibility for scientific evaluation. This human–AI partnership may represent an essential step toward improving the quality, fairness, and reliability of the clinical evidence base. Full article

This study examines the tension between audience interests and editorial lines in the major national and regional digital media outlets in Chile. It analyzes how editors incorporate metrics and user feedback into content selection and prioritization processes. The sample included the five websites with the largest national reach according to the 2024 ComScore ranking (El Mercurio Online, BioBioChile, La Tercera, Megamedia and Chilevisión), along with digital media outlets from the country’s five most populous cities without counting the capital (La Serena, Rancagua, Antofagasta, Valparaíso, and Temuco). Semi-structured interviews were conducted with directors or editors to assess whether the use of metrics influences journalistic judgment and editorial autonomy. Data were analyzed through a thematic analysis, combining categories drawn from the literature with emergent codes. The findings indicate that audience feedback affects editorial decision-making, although to varying degrees depending on the type of outlet. In national newspapers, a fiduciary vision is more firmly sustained due to greater financial capacity, albeit with internal tensions. In contrast, regional media outlets face greater challenges in maintaining their editorial line in the face of metrics, as lower economic stability and dependence on digital traffic tend to favor dynamics closer to a market-driven model. Although the findings are based on professional discourse and do not include direct observation of production routines, the comparison between national and regional media offers a cross-cutting perspective on editorial autonomy within the Chilean digital media ecosystem, an area that remains underexplored in the country. Overall, the study shows that metrics place pressure on both editorial policy and journalistic practices by requiring a continuous balancing of professional judgment and real-time audience behavior. Full article

BioMedInformatics is an international, peer-reviewed, open access journal that covers all areas of biomedical informatics, computational biology, and medicine. Established in 2021, the journal is now five years old and reflects the evolution of the field through its consistent thematic focus on Artificial Intelligence (AI)-driven diagnosis and prediction, with a particular emphasis on translational clinical decision support and biomedical signal and imaging analysis. Despite the predominance of AI-related topics, classical bioinformatics remains a major focus, with a particular emphasis on the discovery of biomarkers and the development of data resources. This editorial summarises this evolution, which accurately reflects the field as a whole. Full article

Traumatic injuries represent a significant public health challenge, affecting millions worldwide annually and necessitating acute pain management that frequently involves the use of opioid analgesics to mitigate discomfort and facilitate recovery. Although opioids remain an integral part of post-traumatic injury pain management, their use exposes trauma survivors to the risk of developing persistent use, misuse, or opioid use disorder (OUD). Pre-injury health determinants, such as age, gender, psychiatric conditions, medical conditions, and substance use history, may interact with injury-related factors to acutely escalate the risk for misuse and addiction. Despite the growing recognition of these potential vulnerabilities, there remains a lack of evidence-based clinical decision support on modifiable and non-modifiable risk factors specific to post-traumatic injury opioid risk trajectories. This review summarizes the literature related to the multifactorial contributors to opioid misuse and addiction following traumatic injury such as patient-level (e.g., demographics, behavioral health), injury-related (e.g., severity, type), and system-level (e.g., prescribing patterns) characteristics. A comprehensive literature search, inclusive of the literature from 1995 to November 2025, was performed in PubMed/MEDLINE, Scopus, and Google Scholar using combinations of terms related to “opioids,” “misuse,” “addiction,” “trauma,” and “injury.” Search keywords and operators were developed in collaboration with a university librarian. Reference lists of articles were searched and synthesized. Case reports, case series, editorials, mini-reviews, letters to editor without original data, and qualitative studies were excluded. The findings of the review are expected to provide insight into clinical-decision making as it relates to the management of pain, pain-related distress and functional impact, and co-occurring conditions that may impact injury-related outcomes and the potential likelihood of substance misuse and addiction. Full article

This study explores how institutional- and ideological-level pressures affect both the gatekeeping role and mental well-being of journalists reporting on traumatic incidents, particularly war, conflict, and crime in Pakistan. Using a qualitative research design, the study draws on in-depth interviews with (n = 50) journalists, including Directors, Reporters, Editors, NLEs, Cameramen, and Photographers from print, broadcast, and online media outlets across Pakistan. Participants were selected through purposive and snowball sampling techniques. Thematic analysis was applied, and the data were interpreted through the Hierarchy of Influences (HOI) model, an extension of gatekeeping theory. Findings reveal that official/unofficial sources, government agencies, interest groups, and cultural norms significantly influence journalistic decision-making. Importantly, participants also reported emotional distress, moral injury, and institutional neglect when covering traumatic stories. The study concludes that journalists’ dual pressures from media owners driven by ratings and audience interest in sensationalism not only shapes news content but also contributes to psychological strain and burnout. The head office’s demand for emotionally charged coverage often clashes with reporters’ ethical limits, intensifying the internal conflict between professional duty and emotional resilience. The study argues that traumatic event coverage in Pakistani media is not only ethically complex but also psychologically stressful. It highlights the need for trauma-informed newsroom policies, organizational support, and ethical editorial leadership to protect journalists and their mental health. It contributes to the broader discourse on mental well-being in high-risk journalism, especially in conflict zones. Full article

Background: Infective endocarditis (IE) is a severe and multifactorial condition historically linked to dental procedures. Current evidence shows that most cases arise from complex host–microbe interactions and biofilm colonization on damaged endothelium or intracardiac/prosthetic material, while the inappropriate use of antibiotics in dentistry promotes antimicrobial resistance. Objectives: To provide a narrative synthesis of contemporary evidence on (i) the relative contribution of dental procedures versus daily oral inflammatory burden to bacteremia and IE risk, (ii) the role of periodontal disease and the oral resistome in AMR, and (iii) the clinical and medico-legal implications of antibiotic prescribing and guideline adherence in dental practice. Materials and Methods: A narrative review was conducted using PubMed, Scopus, ResearchGate, and Google Scholar, complemented by manual screening of reference lists and relevant guideline documents. The search covered approximately the last decade (2015–2025) and included ESC 2023 and AHA 2021 guidance on IE prevention. Search terms combined concepts related to “infective endocarditis”, “antibiotic prophylaxis”, “dentistry/dental procedures”, “periodontitis/periodontal disease”, “bacteremia”, “biofilm”, “oral microbiome/oral resistome”, and “antimicrobial stewardship/antibiotic resistance”, using Boolean operators. Eligible sources included clinical studies, systematic reviews/meta-analyses, consensus statements and guidelines, and selected medico-legal literature relevant to dental decision-making and documentation. Editorials and non-peer-reviewed items without retrievable full text were not considered for evidence synthesis. Results: The reviewed evidence supports that spontaneous bacteremia associated with active periodontitis and daily oral activities may be more frequent than procedure-related bacteremia, suggesting that inflammation control and biofilm management represent a major preventive lever. Antibiotic prophylaxis should be reserved for a limited subset of high-risk cardiac patients as per contemporary ESC/AHA recommendations, whereas routine “defensive” prescribing in low-risk contexts provides minimal expected benefit and carries individual and societal harms (adverse events, microbiome disruption, AMR selection). Integrating periodontal care pathways with risk stratification and targeted antibiotic stewardship can improve patient safety and support public health. Conclusions: Dentistry plays a strategic preventive role in IE and AMR primarily through periodontal inflammation control, asepsis, and prudent antibiotic use. From a medico-legal standpoint, professional liability should be assessed on a process-based standard (risk assessment, adherence to updated guidelines, causal local treatment, informed consent, and traceable follow-up) rather than on outcome-driven hindsight. Full article

Extreme wildfires are becoming increasingly frequent and severe across many regions worldwide, driven by climate change, land-use transitions, and long-standing fire-suppression legacies. In this context, Nature-based Solutions (NbS)—defined as actions that work with ecological processes to address societal challenges while providing biodiversity and socio-economic benefits—offer a promising yet underdeveloped pathway for enhancing wildfire resilience. This Special Issue brings together eleven contributions spanning empirical ecology, landscape configuration, simulation modelling, spatial optimisation, ecosystem service analysis, governance assessment, and community-based innovation. Collectively, these studies demonstrate that restoring ecological fire regimes, promoting multifunctional landscapes, and integrating advanced decision support tools can substantially reduce wildfire hazard while sustaining ecosystem functions. They also reveal significant governance barriers, including fragmented policies, limited investment in prevention, and challenges in incorporating social demands into territorial planning. By synthesising these insights, this editorial identifies several strategic priorities for advancing NbS in fire-prone landscapes: mainstreaming prevention within governance frameworks, strengthening the science–practice interface, investing in long-term socio-ecological monitoring, managing trade-offs transparently, and empowering local communities. Together, the findings highlight that effective NbS emerge from the alignment of ecological, technological, institutional, and social dimensions, offering a coherent pathway toward more resilient, biodiverse, and fire-adaptive landscapes. Full article

Open access (OA) has expanded scholarly publishing, yet concerns remain about the sustainability of journals indexed in selective databases. This study analyzes editorial predictors of discontinuation among 8730 journals simultaneously registered in the Directory of Open Access Journals (DOAJ) and indexed in Scopus, including 58 (0.66%) discontinued titles as of June 2025 (latest available update at the time of data extraction). The analyses revealed that a journal’s history of prior discontinuation was the strongest and most consistent predictor of future instability, confirming that discontinuation follows a path-dependent pattern rather than isolated events. Financial structure also played a decisive role: journals applying other editorial fees beyond standard article processing charges (APCs) were nearly four times more likely to experience discontinuation (IRR = 3.877, p = 0.048), while those following standardized APC models showed a protective but non-significant tendency (IRR = 0.378, p = 0.084). Journal age exhibited a modest yet significant positive effect (IRR = 1.032, p = 0.031), suggesting that older titles face a gradual accumulation of risk over time. By contrast, editorial practices such as plagiarism detection, waiver policies, and turnaround time showed no significant association. Overall, the findings indicate that discontinuation in Scopus-indexed OA journals is statistically associated with historical trajectories, financial transparency, and governance capacity, rather than by routine editorial procedures. Full article

Contemporary clinical medicine relies on the integration of clinical observation with physiological and pathological mechanisms to improve diagnosis, therapeutic decision-making, and patient outcomes. However, most current biomedical research interprets these mechanisms predominantly through the lens of upward emergence, according to which higher-order biological functions arise from the interaction of simpler lower-level components. Although indispensable for understanding visceral diseases, this perspective provides only partial access to biological complexity. Accumulating evidence from neuroscience, developmental biology, endocrinology, psychiatry, and regenerative medicine shows that higher-level systemic functions can also reorganize, modulate, or generate lower-level structures, a phenomenon known as downward emergence. Together, upward and downward emergence form a bidirectional framework that more accurately reflects the complex organizational pattern of biological systems. This editorial argues that clinical practice and biomedical research must explicitly acknowledge this bidirectional dynamic, as many diseases (including malignancy) cannot be fully understood through upward emergence alone. Downward emergent processes explain phenomena such as morphogenesis, regeneration, matrix remodeling, immunological reprogramming, endocrine-neurovegetative integration, and forms of pathological transformation that are difficult to interpret through classical reductionism. Viewing cancer as the pathological expression of a disturbed supracellular program provides a coherent explanation of its complex biology and highlights the possibility that malignant progression could be responsive to higher-order regulatory instructions. In this context, the Journal of Mind and Medical Sciences is undertaking a conceptual and editorial realignment, positioning itself as a journal of bidirectional emergence in health and disease. Rather than diminishing its clinical mission, this shift strengthens it by providing a more comprehensive framework for understanding physiological and pathological organization, one that integrates structure–function and function–structure relationships. As medicine moves toward increasingly integrative and mechanistic models of disease, adopting a bidirectional perspective becomes not only scientifically justified but also necessary for advancing diagnostic accuracy, therapeutic innovation, and the development of novel supracellular strategies for human health. Full article

This article explores how fashion, as a cultural system, constructs and circulates dominant imaginaries of the body, focusing on the visual narratives presented on the covers of Vogue Italia. Moving beyond a purely esthetic or biological notion of beauty, this study adopts an embodiment perspective to analyze how socio-cultural contexts shape representations of bodies, identities, and subjectivities within fashion media. Through a qualitative longitudinal analysis of Vogue Italia covers spanning over sixty years, this study explores how visible diversity is mediated through the visual and symbolic codes of fashion, revealing significant changes in esthetic sensibility and editorial strategies throughout the course of time. Rather than interpreting these representations as a straightforward response to growing demands for inclusion, we argue that fashion’s engagement with diversity operates through a mimetic logic that simultaneously displays alterity while reasserting existing hierarchies of power, desirability, and visibility. The results suggest that editorial choices have been decisive in determining the visual trajectory of the magazine, sometimes anticipating broader cultural debates on gender, race, and identity. We contend that Vogue Italia does not simply reflect social transformations, but actively contributes to shaping a cultural script in which inclusion becomes both commodified and contained. Ultimately, this study highlights the ambivalent role of fashion media in negotiating inclusion and exclusion through the visual construction of bodies emphasizing how the language of diversity can either challenge or reproduce hegemonic visual imaginaries. Full article

Rehabilitation after anterior cruciate ligament reconstruction cannot be reduced to a linear, time-based sequence of protection, strength, and return to sport. Persistent asymmetries, quadriceps inhibition, and variable re-injury rates highlight that recovery is a complex adaptive process in which outcomes emerge from dynamic interactions between biological, neural, and psychological subsystems. Grounded in complexity science and chaos theory, this editorial reframes rehabilitation as the regulation of variability rather than its suppression. The Control–Chaos Continuum provides a practical structure to translate this concept into progressive exposure, where clinicians dose uncertainty as a therapeutic stimulus. Adaptive periodization replaces rigid stages with overlapping macro-blocks that respond to readiness, feedback, and context. Neuroplastic mechanisms and ecological dynamics justify the deliberate introduction of controlled “noise” to foster coordination, confidence, and resilience. Ultimately, the goal is not perfect control but stable performance under variability—the ability to function “at the edge of chaos.” This conceptual perspective articulates a clinically actionable framework—linking the Control–Chaos Continuum with adaptive periodization—to guide non-linear decision-making and safe return-to-sport. Full article

This article analyses journalistic decisions in the face of disinformation, focusing on the case of Vaza Jato in Brazil. Drawing on a mixed-methods approach—combining critical discourse analysis of online articles with semi-structured interviews with two editors—the study explores how two ideologically contrasting newspapers (Folha de S.Paulo and Gazeta do Povo) framed and justified their editorial positions regarding the publication of hacked content. The findings reveal distinct narrative strategies, degrees of epistemological openness, and levels of institutional trust in the judiciary and political actors. The results also show how editorial decisions are shaped by broader concerns about professional legitimacy, audience trust, and the ambiguous boundary between journalism and disinformation. This article contributes to research on disinformation, editorial ethics, and media trust, proposing an analytical framework applicable to other high-risk communication contexts. Full article

The editorial policies of science journals have an impact on access to scientific knowledge. One of the most effective ways to share knowledge with the entire society is to offer it free of charge. Considering the international recognition of Scopus and Web of Science, this study analyses 28 scientific journals in the field of communication that are indexed under the “Communication” category in both databases in order to review their editorial decisions regarding the dissemination of articles they publish. By taking a descriptive approach, the authors have examined the inner workings and design, as well as aspects related to ethics and transparency, as key components of this policy. The findings indicate that most journals are influenced by digital publishing platforms and that various features examined in this study are offered by these platforms by default. This is especially true in terms of design, which simultaneously enables yet influences each journal’s editorial policy. Together with the need for financial support and adequate human resources, this situation makes it difficult to implement an editorial policy free of external encroachment. This article concludes by emphasising the importance of establishing editorial policies that promote open access as a standard practice, thereby reinforcing the democratisation of access to scientific knowledge. It is recommended to strengthen institutional support for journals operating under the diamond model, promote their visibility and thematic specialisation, enhance technical and visual aspects, and clearly articulate ethical commitments within their editorial policies. In short, this analysis provides a comprehensive overview of both strengths and areas of improvement, offering recommendations to help these journals optimise their contribution to the global academic ecosystem. Full article

Agriculture, as a core pathway for advancing modern agricultural development, emphasizes data-driven perception and intelligent decision-making. Unmanned aerial vehicles (UAVs), with advantages such as high-resolution imaging, flexible deployment, and adaptability to diverse terrains, have become an essential tool in this domain. This Editorial synthesizes the key findings from nine representative studies featured in this Special Issue, focusing on recent advancements in UAV-based remote sensing, flight control, and precision spraying. The results indicate that the integration of multispectral imagery with deep learning models significantly enhances crop identification and parameter inversion accuracy. Flight control performance has been greatly improved through innovations such as free-tail configuration optimization and fuzzy sliding mode composite control, ensuring stable operations in complex environments. In the realm of precision spraying, progress in wind vortex regulation and airflow modeling has led to improved droplet deposition consistency and target accuracy. Overall, UAV technologies demonstrate strong potential for cross-disciplinary integration and scalable application, offering robust support for the intelligent transformation of agricultural production. Full article

Artificial intelligence (AI) is transforming how news is produced, curated, and consumed, challenging traditional gatekeeping theories rooted in human editorial control. We develop a robust theoretical framework to reconceptualize gatekeeping in the AI era. We integrate classic media theories—gatekeeping, agenda-setting, and framing—with contemporary insights from algorithmic news recommender systems, large language model (LLM)–based news writing, and platform studies. Our review reveals that AI-driven content curation systems (e.g., social media feeds, news aggregators) increasingly mediate what news is visible, sometimes reinforcing mainstream agendas, according to Nechushtai & Lewis, while, at other times, introducing new biases or echo chambers. Simultaneously, automated news generation via LLMs raises questions about how training data and optimization goals (engagement vs. diversity) act as new “gatekeepers” in story selection and framing. We found pervasive Simon’s theory that reliance on third-party AI platforms transfers authority from newsrooms, creating power dependencies that may undercut journalistic autonomy. Moreover, adaptive algorithms learn from user behavior, creating feedback loops that dynamically shape news diversity and bias over time. Drawing on communication studies, science & technology studies (STS), and AI ethics, we propose an updated theoretical framework of “algorithmic gatekeeping” that accounts for the hybrid human–AI processes governing news flow. We outline key research gaps—including opaque algorithmic decision-making and normative questions of accountability—and suggest directions for future theory-building to ensure journalism’s core values survive in the age of AI-driven news. Full article