Search Results (3,273)

Respiratory diseases represent a persistent global health challenge, underscoring the need for intelligent, accurate, and personalized diagnostic and therapeutic systems. Existing methods frequently suffer from limitations in diagnostic precision, lack of individualized treatment, and constrained adaptability to complex clinical scenarios. To address these challenges, our study introduces a modular AI-powered framework that integrates an audio-based disease classification model with simulated molecular biomarker profiles to evaluate the feasibility of future multimodal diagnostic extensions, alongside a synthetic-data-driven prescription recommendation engine. The disease classification model analyzes respiratory sound recordings and accurately distinguishes among eight clinical classes: bronchiectasis, pneumonia, upper respiratory tract infection (URTI), lower respiratory tract infection (LRTI), asthma, chronic obstructive pulmonary disease (COPD), bronchiolitis, and healthy respiratory state. The proposed model achieved a classification accuracy of 99.99% on a holdout test set, including 94.2% accuracy on pediatric samples. In parallel, the prescription module provides individualized treatment recommendations comprising drug, dosage, and frequency trained on a carefully constructed synthetic dataset designed to emulate real-world prescribing logic.The model achieved over 99% accuracy in medication prediction tasks, outperforming baseline models such as those discussed in research. Minimal misclassification in the confusion matrix and strong clinician agreement on 200 prescriptions (Cohen’s $\kappa$ = 0.91 [0.87–0.94] for drug selection, 0.78 [0.74–0.81] for dosage, 0.96 [0.93–0.98] for frequency) further affirm the system’s reliability. Adjusted clinician disagreement rates were 2.7% (drug), 6.4% (dosage), and 1.5% (frequency). SHAP analysis identified age and smoking as key predictors, enhancing model explainability. Dosage accuracy was 91.3%, and most disagreements occurred in renal-impaired and pediatric cases. However, our study is presented strictly as a proof-of-concept. The use of synthetic data and the absence of access to real patient records constitute key limitations. A trialed clinical deployment was conducted under a controlled environment with a positive rate of satisfaction from experts and users, but the proposed system must undergo extensive validation with de-identified electronic medical records (EMRs) and regulatory scrutiny before it can be considered for practical application. Nonetheless, the findings offer a promising foundation for the future development of clinically viable AI-assisted respiratory care tools. Full article

This study examines food safety and waste behaviours depicted in the televised cooking competition MasterChef, a globally franchised series that showcases diverse culinary traditions and influences viewers’ practices. The research focuses on the MasterChef editions aired in Turkey and the United Kingdom, two countries with distinctly different social and cultural contexts. Video content analysis, based on predefined criteria, was employed to assess observable behaviours related to food safety and waste. Additionally, content analysis of episode transcripts identified verbal references to these themes. Principal Component Analysis was employed to categorise patterns in the observed behaviours. The findings revealed frequent lapses in food safety, with personal hygiene breaches more commonly observed in MasterChef UK, while cross-contamination issues were more prevalent in MasterChef Turkey. In both versions, the use of disposable materials and the discarding of edible food parts emerged as the most common waste-related practices. These behaviours appeared to be shaped by the cultural and culinary norms specific to each country. The study highlights the importance of cooking shows in promoting improved food safety and waste management practices. It recommends involving relevant experts during production and clearly communicating food safety and sustainability messages to increase viewer awareness and encourage positive behaviour change. Full article

Background/objective: Tailoring involves adapting research findings and evidence to suit specific contexts and audiences. This study examines how international stroke guidelines can be tailored to address gait issues after a stroke. Methods: A three-phase consensus method approach was used. A 10-member health experts panel extracted recommendations from three national clinical guidelines in the first phase. In the second phase, 362 physiotherapists completed an online questionnaire to assess the feasibility of adopting the extracted recommendations. In the third phase, a 15-physical therapist consensus workshop was convened to clarify factors that might affect the tailoring process of the extracted recommendations of gait disorder rehabilitation. Results: In phase one, 21 recommendations reached consensus. In the second phase, 362 stroke physiotherapists rated the applicability of these recommendations: 14 rated high, 7 rated low, and none were rejected. The third phase, a nominal group meeting (NGM), explored four themes related to tailoring. The first theme, “organizational factors”, includes elements such as clinical setting, culture, and regulations. The second theme, “individual clinician factors”, assesses aspects like clinical experience, expertise, abilities, knowledge, and attitudes toward tailoring. The third theme, “patient factors”, addresses issues related to multimorbidity, comorbidities, patient engagement, and shared decision-making. The final theme, “other factors”, examines the impact of research design on tailoring. Conclusions: Tailoring international clinical guidelines involves multiple factors. This situation brings home the importance of a systematic strategy for tailoring that incorporates various assessment criteria to enhance the use of clinical evidence. Future research should investigate additional implementation theories to enhance the translation of evidence into practice. Full article

Integrating blockchain into healthcare devices offers the potential for improved data control but faces significant usability and acceptance challenges. This study addresses this gap by evaluating CipherPal, an improved blockchain-enabled Smart Fidget Toy prototype, using a multi-framework approach to understand the interplay between technology, design, and user experience. We synthesized insights from three complementary frameworks: an expert review assessing adherence to Web3 Design Guidelines, a User Acceptance Toolkit assessment with professionals based on UTAUT2, and an extended three-day user testing study. The findings revealed that users valued CipherPal’s satisfying tactile interaction and perceived benefits for well-being, such as stress relief. However, significant usability barriers emerged, primarily related to challenging device–application connectivity and data synchronization. The multi-framework approach proved valuable in revealing these core tensions. While the device was conceptually accepted, the blockchain integration added significant interaction friction that overshadowed its potential benefits during the study. This research underscores the critical need for user-centered design in health-related blockchain applications, emphasizing that seamless usability and abstracting technical complexity are paramount for adoption. Full article

Background: Selecting enterprise resource planning (ERP) systems for complex port environments is a significant challenge. This study addresses a key research gap by identifying and prioritizing the critical factors for ERP selection within the strategic context of United Arab Emirates (UAE) ports, which function as vital hubs in global trade. Methods: A hybrid methodology was employed, first using the Fuzzy Delphi Method (FDM) to validate thirteen challenges with five industry experts. Subsequently, the Relative Importance Index (RII) was used to rank these challenges based on survey data from 48 UAE port professionals. Results: The analysis revealed “Cybersecurity concerns” as the highest-ranked challenge (RII = 0.896), followed by “Engagement with external stakeholders” (RII = 0.842), and both “Process optimization” and “Technical capabilities” (RII = 0.808). Notably, factors traditionally seen as critical in other sectors, such as “Organizational readiness” (RII = 0.746), were ranked significantly lower. Conclusions: The findings indicate a strategic shift in ERP selection priorities toward digital resilience and external integration rather than internal organizational factors. This research provides a sector-specific decision-support framework and offers actionable insights for port authorities, vendors, and policymakers to enhance ERP implementation in the maritime industry. Full article

Advanced technologies, such as robotic process automation, blockchain, and machine learning, increase audit efficiency. Nonetheless, some Supreme Audit Institutions (SAIs) have not undergone digital transformation. This research aimed to develop a comprehensive framework for supreme audit institutions to adopt and integrate emerging technologies into their auditing processes using a hybrid theoretical approach based on the TAM (Technology Acceptance Model) and TOE (Technology–Organisation–Environment) models. The framework was informed by insights from nineteen highly experienced experts in the field from eight countries. Through a two-round Delphi questionnaire, the experts provided valuable input on the key factors, challenges, and strategies for successful technology adoption by public sector audit organisations. The findings of this research reveal that technology adoption in SAIs starts with solid management support led by the chief technology officer. They must evaluate the IT infrastructure and readiness for advanced technologies, considering the budget and funding. Integrating solutions like the SAI of Ghana’s Audit Management Information System can significantly enhance audit efficiency. Continuous staff training is essential to build a positive attitude toward new technologies, covering areas like data algorithm auditing and big data analysis. Assessing the complexity and compatibility of new technologies ensures ease of use and cost-effectiveness. Continuous support from technology providers and monitoring advancements will keep SAIs aligned with technological developments, enhancing their auditing capabilities. Full article

Governance challenges, success factors, and stakeholder dynamics are central to the implementation of Positive Energy District (PED) Labs, which aim to develop energy-positive and sustainable urban areas. In this paper, a qualitative analysis combining expert surveys, participatory workshops with practitioners from the COST Action PED-EU-NET network, and comparative case studies across Europe identifies key barriers, drivers, and stakeholder roles throughout the implementation process. Findings reveal that fragmented regulations, social inertia, and limited financial mechanisms are the main barriers to PED Lab development, while climate change mitigation goals, strong local networks, and supportive policy frameworks are critical drivers. The analysis maps stakeholder engagement across six development phases, showing how leadership shifts between governments, industry, planners, and local communities. PED Labs require intangible assets such as inclusive governance frameworks, education, and trust-building in the early phases, while tangible infrastructures become more relevant in later stages. The conclusions emphasize that robust, inclusive governance is not merely supportive but a key driver of PED Lab success. Adaptive planning, participatory decision-making, and digital coordination tools are essential for overcoming systemic barriers. Scaling PED Labs effectively requires regulatory harmonization and the integration of social and technological innovation to accelerate the transition toward energy-positive, climate-resilient cities. Full article

Background and Objectives: During pandemics, emergency departments face the challenge of managing critically ill patients with limited resources. Point-of-Care Ultrasound (POCUS) has emerged as a crucial diagnostic tool in such scenarios. This study aimed to develop a standardized POCUS protocol using expert consensus via a modified Delphi survey to guide physicians in managing these patients more effectively. Materials and Methods: A committee of emergency imaging experts and board-certified emergency physicians identified essential elements of POCUS in the treatment of patients under investigation (PUI) with shock, sepsis, or other life-threatening diseases. A modified Delphi survey was conducted among 39 emergency imaging experts who were members of the Korean Society of Emergency Medicine. The survey included three rounds of expert feedback and revisions, leading to the development of a POCUS protocol for critically ill patients during a pandemic. Results: The developed POCUS protocol emphasizes the use of POCUS-echocardiography and POCUS-lung ultrasound for the evaluation of cardiac and respiratory function, respectively. The protocol also provides guidance on when to consider additional tests or imaging based on POCUS findings. The Delphi survey results indicated general consensus on the inclusion of POCUS-echocardiography and POCUS-lung ultrasound within the protocol, although there were some disagreements regarding specific elements. Conclusions: Effective clinical practice aids emergency physicians in determining appropriate POCUS strategies for differential diagnosis between life-threatening diseases. Future studies should investigate the effectiveness and feasibility of the protocol in actual clinical scenarios, including its impact on patient outcomes, resource utilization, and workflow efficiency in emergency departments. Full article

Rainbow table attacks utilize a time-memory trade-off to efficiently crack passwords by employing precomputed tables containing chains of passwords and hash values. Generating these tables is computationally intensive, and several researchers have proposed utilizing parallel computing to speed up the generation process. This paper introduces a modification to the traditional master-slave parallelization model using the MPI framework, where, unlike previous approaches, the generation of starting points is decentralized, allowing each process to generate its own tasks independently. This design is proposed to reduce communication overhead and improve the efficiency of rainbow table generation. We reduced the number of inter-process communications by letting each process generate chains independently. We conducted three experiments to evaluate the performance of the parallel rainbow tables generation algorithm for four cryptographic hash functions: NTLMv2, MD5, SHA-256 and SHA-512. The first experiment assessed parallel performance, showing near-linear speedup and 95–99% efficiency across varying numbers of nodes. The second experiment evaluated scalability by increasing the number of processed chains from 100 to 100,000, revealing that higher workloads significantly impacted execution time, with SHA-512 being the most computationally intensive. The third experiment evaluated the effect of chain length on execution time, confirming that longer chains increase computational cost, with SHA-512 consistently requiring the most resources. The proposed approach offers an efficient and practical solution to the computational challenges of rainbow tables generation. The findings of this research can benefit key stakeholders, including cybersecurity professionals, ethical hackers, digital forensics experts and researchers in cryptography, by providing an efficient method for generating rainbow tables to analyze password security. Full article

This study aimed to investigate the future trajectories of last-mile delivery (LMD), and their implications for sustainable urban logistics and smart city planning. Through a Delphi-based scenario analysis targeting the year 2030, this research draws on inputs from a two-round Delphi study with 52 experts representing logistics, academia, and government. Four key thematic areas were explored: consumer demand and behavior, emerging delivery technologies, innovative delivery services, and regulatory frameworks. The projections were structured using fuzzy c-means clustering, and analyzed through the Technology Acceptance Model (TAM) and Innovation Diffusion Theory (IDT), supporting a systemic understanding of innovation adoption in urban logistics systems. The findings offer strategic insights for municipal planners, policymakers, logistics service providers, and e-commerce stakeholders, helping align infrastructure development and regulatory planning with the evolving needs of last-mile logistics. This approach contributes to advancing resilient, low-emission, and inclusive smart city ecosystems that align with global sustainability goals, particularly those outlined in the UN 2030 Agenda for Sustainable Development. Full article

This paper provides a comparative study of unsupervised Deep Learning (DL) methods for anomaly detection in Flight Data Monitoring (FDM). The paper applies Long Short-Term Memory (LSTM), Gated Recurrent Units (GRUs), Convolutional Neural Network (CNN), classic Transformer architecture, and LSTM combined with a self-attention mechanism to real-world flight data and compares the results to the current state-of-the-art flight data analysis techniques applied in the industry. The paper finds that LSTM, when integrated with a self-attention mechanism, offers notable benefits over other deep learning methods as it effectively handles lengthy time series like those present in flight data, establishes a generalized model applicable across various airports and facilitates the detection of trends across the entire fleet. The results were validated by industrial experts. The paper additionally investigates a range of methods for feeding flight data (lengthy time series) to a neural network. The innovation of this paper involves utilizing Transformer architecture and LSTM with self-attention mechanism for the first time in the realm of aviation data, exploring the optimal method for inputting flight data into a model and evaluating all deep learning techniques for anomaly detection against the ground truth determined by human experts. The paper puts forth a compelling case for shifting from the existing method, which relies on examining events through threshold exceedances, to a deep learning-based approach that offers a more proactive style of data analysis. This not only enhances the generalization of the FDM process but also has the potential to improve air transport safety and optimize aviation operations. Full article

The vast volume of media content, combined with the costs of manual annotation, challenges scalable codebook analysis and risks reducing decision-making accuracy. This study evaluates the effectiveness of large language models (LLMs) and multi-agent teams in structured media content analysis based on codebook-driven annotation. We construct a dataset of 200 news articles on U.S. tariff policies, manually annotated using a 26-question codebook encompassing 122 distinct codes, to establish a rigorous ground truth. Seven state-of-the-art LLMs, spanning low- to high-capacity tiers, are assessed under a unified zero-shot prompting framework incorporating role-based instructions and schema-constrained outputs. Experimental results show weighted global F1-scores between 0.636 and 0.822, with Claude-3-7-Sonnet achieving the highest direct-prompt performance. To examine the potential of agentic orchestration, we propose and develop a multi-agent system using Meta’s Llama 4 Maverick, incorporating expert role profiling, shared memory, and coordinated planning. This architecture improves the overall F1-score over the direct prompting baseline from 0.757 to 0.805 and demonstrates consistent gains across binary, categorical, and multi-label tasks, approaching commercial-level accuracy while maintaining a favorable cost–performance profile. These findings highlight the viability of LLMs, both in direct and agentic configurations, for automating structured content analysis. Full article

Background: Large Language Models (LLMs) such as ChatGPT, Claude, and Gemini are being increasingly adopted in medicine; however, their reliability in cardiology remains underexplored. Purpose of the study: To compare the performance of three general-purpose LLMs in response to cardiology-related clinical queries. Study design: Seventy clinical prompts stratified by diagnostic phase (pre or post) and user profile (patient or physician) were submitted to ChatGPT, Claude, and Gemini. Three expert cardiologists, who were blinded to the model’s identity, rated each response on scientific accuracy, completeness, clarity, and coherence using a 5-point Likert scale. Statistical analysis included Kruskal–Wallis tests, Dunn’s post hoc comparisons, Kendall’s W, weighted kappa, and sensitivity analyses. Results: ChatGPT outperformed both Claude and Gemini across all criteria (mean scores: 3.7–4.2 vs. 3.4–4.0 and 2.9–3.7, respectively; p < 0.001). The inter-rater agreement was substantial (Kendall’s W: 0.61–0.71). Pre-diagnostic and patient-framed prompts received higher scores than post-diagnostic and physician-framed ones. Results remained robust across sensitivity analyses. Conclusions: Among the evaluated LLMs, ChatGPT demonstrated superior performance in generating clinically relevant cardiology responses. However, none of the models achieved maximal ratings, and the performance varied by context. These findings highlight the need for domain-specific fine-tuning and human oversight to ensure a safe clinical deployment. Full article

Supplier selection is one of the critical processes that entail multiple complex deliberations. The selection of an appropriate alternative supplier is a highly intricate process, primarily due to there being multiple criteria which are exceptionally subjective. This paper aims to develop a practical framework for choosing a suitable precast supplier by integrating the Value Engineering (VE) concept, Stepwise Weight Assessment Ratio Analysis (SWARA), and the Weighted Aggregated Sum Product Assessment (WASPAS) technique. This paper introduces a novel method to estimate the quality weights of alternative suppliers’ criteria (CQW) by linking factory capacity with the coefficients of the nine significant criteria, computed using principal component analysis (PCA). None of the formal studies make this link directly. The framework’s findings were validated by comparing its results with an expert assessment of five Saudi supplier alternatives. The results revealed that the framework’s results agree with the expert’s judgment. The method of payment criterion received the highest weight, indicating that it was considered the most important of the nine criteria identified. Combining PCA and VE with the WASPAS technique resulted in an unprecedentedly effective selection tool for precast suppliers. Full article

This study examines the integration and sustainability of solar energy technologies as a tool for rural electrification in Ghana, using the Lofetsume community as a case study. Persistent electricity access deficits in rural areas, coupled with unreliable grid systems and high energy costs, underscore the need for alternative energy solutions. Through semi-structured interviews and surveys, the study explores community perspectives and expert views on the viability of solar energy in rural Ghana. Findings reveal strong grassroots support for solar energy due to its reliability and environmental benefits, despite barriers such as high upfront installation costs and maintenance challenges. The study recommends multi-stakeholder partnerships, innovative financing models, and capacity-building initiatives to enhance solar energy adoption. By prioritizing solar energy technologies, the government, private sector, and local communities can collaborate to develop sustainable and affordable electrification solutions, ultimately improving living standards in remote areas and contributing to Ghana’s broader energy sustainability goals. Full article