Search Results (57)

Integrated care is increasingly shaped by digital infrastructures, data governance, and AI-enabled analytics, yet the relevant literature remains fragmented across health-services research, digital health, and machine learning. This article reports a scoping review, conducted in line with PRISMA-ScR guidance, that maps how integrated care models have evolved conceptually, what digital and AI-enabled infrastructures support them, how their clinical, economic, and equity impacts can be evaluated, and what current implementations imply for sustainable scaling. We searched PubMed, Scopus, Semantic Scholar, and Crossref (retrieval date 31 October 2025; forward screening to 31 March 2026) and added grey literature from named policy bodies. The searches identified 15,189 records, reducing to 11,789 after intra- and cross-source deduplication and grey-literature integration; 620 full texts were assessed and 192 were included in the synthesis. Four domains were synthesised: conceptual foundations of integrated care, AI and multimodal analytics, implementation barriers, and digital-governance foundations. We chart the field using a Type I–V maturity scheme (disease, cohort, whole-system, digital-integrated, learning), benchmarked against the Rainbow, MacColl, EMRAM/AMAM, and NHS ICS models. Most deployments cluster at digitally integrated but only weakly adaptive Type IV; recurrent failure modes—temporal blind spots, maintenance debt, semantic drift, and governance gaps—block progression to Type V, and high-profile clinical-AI failures illustrate the cost of attempting Type V analytics on Type IV-or-worse infrastructure. A walk through nine world regions maps each to its current Type I–V position and shows that organisational and payment integration—not digital sophistication alone—is currently the dominant driver of progress. The COMFORTage Integrated Care Model Library is positioned as a workflow of AI agents orchestrating predictive, preventive, and personalised care across the integrated-care lifecycle rather than as a single federated-learning programme. The review positions AI-enabled integrated care less as a finished model than as an emerging design space requiring longitudinal data assets, stewarded model lifecycles, accountable governance, and outcome-based contracting for clinically useful, equitable, and trustworthy learning systems. Full article

Calving front position is a key indicator of glacier and ice-sheet dynamics and an important variable for assessing mass loss and sea-level rise. Rapid growth in satellite data availability and image analysis techniques has driven the development of numerous automated calving front detection algorithms; however, the methodological landscape remains fragmented. This scoping review aims to map the existing literature on automated calving front detection, characterize the types of algorithms and data sources used, and identify trends, gaps, and challenges in current approaches. A systematic search of major bibliographic databases and complementary sources was conducted to identify studies describing automated or semi-automated calving front detection from satellite imagery or derived datasets. Eligible studies included peer-reviewed articles and relevant grey literature using optical, synthetic aperture radar (SAR), or multi-sensor data. Data were charted using a predefined framework that captures the algorithmic approach, input data characteristics, spatial and temporal coverage, validation strategies, and reported performance metrics. The review identifies a wide range of methods, from early threshold- and edge-based techniques to recent machine learning and deep learning approaches, with a strong shift toward convolutional neural networks over the past few years. Despite methodological progress, validation practices and evaluation metrics remain heterogeneous, and standardized benchmark datasets are scarce. This scoping review provides a structured overview of the field and highlights priorities for future methodological development and benchmarking. Full article

The increasing demand for Arctic route planning, climate change studies, and the growing volume of satellite sensor data have made automated sea ice mapping an essential task. In this study, we propose a multi-task sea ice mapping framework based on the U-Net architecture, which supports multi-sensor data integration and automatically modulates global and local features. The model consists of ARC blocks for enhanced multi-sensor feature fusion, a GLCM block for non-local and local feature modulation, and an adaptive loss weighting strategy to balance multi-task training. The proposed method is evaluated on the AI4Arctic RTT dataset, which includes multi-sensor inputs and ice chart-derived labels. Compared with the best-performing method in the AutoIce Challenge, the proposed approach achieves a 1.33% improvement in the combined score. In addition, the F1 scores for stage of development (SOD) and floe size (FLOE) increase by 2.85% and 3.44%, respectively. Although the $R^2$ score for SIC shows a slight decrease of 1.25%, this behavior is consistent with the practical trade-offs commonly observed in multi-task optimization. Ablation studies further demonstrate the effectiveness of the proposed blocks and the multi-task adaptive weighting strategy, confirming their potential for handling multi-sensor data and supporting ocean environment monitoring. Full article

The Jucar is a perennial river with a high sedimentary load which has transferred sediment to the continental shelf in the form of a deltaic lobe since pre-historic times. The aim of this study is to analyze the changes that have occurred in the submerged delta of the Jucar since the nineteenth century. With this aim in mind, five nautical charts were georeferenced, covering the period from 1893 to the present day, from which Digital Elevation Models were generated and compared using Geographic Information Systems. The results indicate that the large-scale contributions of the nineteenth century caused the submerged delta to grow during the cold, dry period of the Little Ice Age. In the mid-twentieth century, the flow and solid load of the river were reduced by the construction of dams, leading to the stabilization of the delta. The bursting of the Tous Dam in 1982 and the ensuing ordinary floods that occurred until its reconstruction, led to large amounts of sediment that counteracted the anthropic action generated by the sediment trap of the dams. The climate of the twenty-first century, characterized by frequent extreme weather events, has allowed the deltaic lobe to continue to grow until the present day since these events increased sediment input to the shelf. Coastal erosion is also observed. Full article

High spatial resolution sea ice concentration (SIC) is crucial for global climate and marine activity. However, retrieving high spatial resolution SIC from passive microwave sensors is challenging due to the trade-off between spatial resolution and atmospheric contamination. Our study develops the Ice-WaterNet framework, a novel superpixel-based deep learning model that integrates Conditional Random Fields (CRF) with a dual-attention U-Net to enhance ice–water classification in Synthetic Aperture Radar (SAR) imagery. The Ice-WaterNet model has been extensively tested on 2735 Sentinel-1 dual-polarized SAR images from 2021 to 2023, covering both winter and summer seasons in the Fram Strait. To tackle the complex surface features during the melt season, wind-roughened open water, and varying ice floe sizes, a superpixel strategy is employed to efficiently reduce classification uncertainty. Uncertain superpixels identified by CRF are iteratively refined using the U-Net attention mechanism. Experimental results demonstrate that Ice-WaterNet achieves significant improvements in classification accuracy, outperforming CRF and U-Net by 3.375% in Intersection over Union (IoU) and 3.09% in F1-score during the melt season, and by 1.96 in IoU and 1.75 in F1-score during the freeze season. The derived high-resolution SIC products, updated every two days, were evaluated against Met Norway ice charts and compared with ASI from AMSR-2 and SSM/I, showing a substantial reduction in misclassification in marginal ice zones, particularly under melting conditions. These findings underscore the potential of Ice-WaterNet in supporting precise sea ice monitoring and climate change research. Full article

This study investigates the certification outcomes of intermediate-level ICs in The National Fire Service Academy in South Korea through a comprehensive quantitative analysis of their evaluated competencies. Using assessment data from 141 candidates collected from 2022 to 2024, we examine how scores on six higher-order competencies—comprising 35 sub-competencies—influence pass or fail results. Descriptive statistics, correlation analysis, logistic regression (a statistical model for binary outcomes), random forest modeling (an ensemble decision-tree machine-learning method), and principal component analysis (PCA; a dimensionality reduction technique) were applied to identify significant predictors of certification success. Visualization techniques, including heatmaps, box plots, and importance bar charts, were used to illustrate performance gaps between successful and unsuccessful candidates. Results indicate that competencies related to decision-making under pressure and crisis leadership most strongly correlate with positive outcomes. Furthermore, unsupervised clustering analysis (a data-driven grouping method) revealed distinctive performance patterns among candidates. These findings suggest that current evaluation frameworks effectively differentiate command readiness but also highlight specific skill domains that may require enhanced instructional focus. The study offers practical implications for fire training academies, policymakers, and certification bodies, particularly in refining curriculum design, competency benchmarks, and evaluation criteria to improve fireground leadership training and assessment standards. Full article

The radioisotopic dating of five stratigraphic levels within the Permian succession of the Kuznetsk Coal Basin refined the ages of the corresponding stratigraphic units and, for the first time, enabled their direct correlation with the International Chronostratigraphic Chart, 2024. The analysis revealed significant discrepancies between the updated ages and the previously accepted regional scheme (1982–1996). A comparison of regional stratigraphic units’ durations with estimated coal and siliciclastic sediment accumulation rates indicated that the early Permian contains the most prolonged stratigraphic hiatuses. The updated stratigraphic framework enabled re-evaluating the temporal sequence of regional sedimentological, volcano–tectonic and biotic events, allowing for more accurate comparison with the global record. Palaeoclimate reconstructions indicated that during the early Permian, the Kuznetsk Basin was characterised by a relatively warm, humid, and aseasonal climate, consistent with its mid-latitude position during the Late Palaeozoic Ice Age. In contrast, the middle-to-late Permian shows a transition to a temperate, moderately humid climate with pronounced seasonality, differing from the warmhouse conditions of low-latitude palaeoequatorial regions. The latest Lopingian reveals a distinct trend toward increasing dryness, consistent with global palaeoclimate signals associated with the end-Permian crisis. Full article

Sea ice concentration (SIC) monitoring in the Arctic using microwave radiometer data is a well-established method with numerous published accuracy studies. For the Baltic Sea, accuracy studies have not yet been conducted. In this study, we evaluated five different SIC products over the Baltic Sea using MODIS (250 m) and Sentinel-2 (10 m) open water–sea ice classification charts. The selected SIC products represented different SIC algorithm types, e.g., climate data records and near-real-time products. The one-to-one linear agreement between the radiometer SIC dataset and the MODIS/Sentinel-2 SIC was always quite poor; the slope of the linear regression was from 0.40 to 0.77 and the coefficient of determination was from 0.26 to 0.80. The standard deviation of the difference was large and varied from 15.5% to 26.8%. A common feature was the typical underestimation of the MODIS/Sentinel-2 SIC at large SIC values (SIC > 60%) and overestimation at small SIC values (SIC < 40%). None of the SIC products performed well over the Baltic Sea ice, and they should be used with care in Baltic Sea ice monitoring and studies. Full article

The objective of this paper was to establish a comprehensive methodology for the optimized design of propellers for ice-class vessels, aiming to enhance hydrodynamic efficiency while ensuring structural integrity. This paper begins by introducing a novel approach for calculating blade stress, which takes into account both extreme ice loads and hydrodynamic loads, to be utilized in the propeller strength design process. Subsequently, a backpropagation (BP) neural network model was developed based on the data obtained from B-series propeller charts and integrated with a genetic algorithm to achieve a preliminary optimized design of the propeller’s hydrodynamic performance. To illustrate the application of this methodology, a case study of an ice-breaking tug propeller design is presented, detailing the optimization design process, including the preliminary, intermediate, and final design stages. The study also addresses key aspects such as geometric parameterization, the selection of optimization variables, the implementation of optimization algorithms, and the balance of multi-objective trade-offs. The proposed design approach can serve as a valuable reference for the practical engineering design of propellers for ice-class vessels, providing a systematic framework for achieving optimal performance in challenging operating conditions. Full article

The Hudson Bay seasonal sea ice record has been well known since the advent of satellite reconnaissance, with a continuous record since 1971. To extend the record to earlier decades, a thermal variability framework is used with the surface temperature climatological records from four climate stations along the Hudson Bay shoreline: Churchill, Manitoba; Kuujjurapik, Quebec; Inukjuak, Quebec; and Coral Harbour, Nunavut. The day-to-day surface temperature variation for the minimum temperature of the day was found to be well correlated to the known seasonal sea ice distribution in the Bay. The sea ice/thermal variability relationship was able to reproduce the existing sea ice record (the average breakup and freeze-up dates for the Bay) largely within the error limits of the sea ice data (1 week), as well as filling in some gaps in the existing sea ice record. The breakup dates, freeze-up dates, and ice-free season lengths were generated for the period of 1922 to 1970, with varying degrees of confidence, adding close to 50 years to the sea ice record. Key periods in the spring and fall were found to be critical, signaling the time when the changes in the sea conditions are first notable in the temperature variability record, often well in advance of the 5/10th ice coverage used for the sea ice record derived from ice charts. These key periods in advance of the breakup and freeze-up could be potentially used, in season, as a predictor for navigation. The results are suggestive of a fundamental change in the nature of the breakup (faster) and freeze-up (longer) in recent years. Full article

The temporal and spatial variation in seasonal sea ice in Hudson Strait is examined using time series and spatial clustering analyses. For the period from 1971 to 2018, a time series of sea ice breakup and freeze-up dates and ice-free season length at twenty-four grid points were generated from sea ice charts derived from satellite and other data. These data were analyzed temporally and spatially. The temporal analyses indicated an unambiguous response to a warming climate with statistically significant earlier breakup dates, later freeze-up dates, and longer ice-free seasons, that were statistically linked to coincident regional surface air temperatures. The rate of change in freeze-up dates and ice-free season length was particularly strong in the early 2000s and less so in the 2010s. There was evidence that breakup date behaviour was not only coincident with regional temperatures but likely with temperature and ice conditions of the previous year. Later freeze-up dates were directly linked to earlier breakup dates using detrended time series. Spatial clustering analysis on the Hudson Strait gridded sea ice data revealed distinctive signatures for Ungava Bay, Frobisher Bay, and for grid points close to the shore and a clear linkage to the underlying circulation of Hudson Strait. Full article

Exploring the interface of environmental sustainability and civil infrastructure development, this study introduces waste butter (WB), a byproduct of animal fat processing, as a novel bio-modifier in asphalt production. This approach not only recycles animal waste but also charts a course for sustainable infrastructural development, contributing to a reduced environmental impact and promoting circular economy practices. The experiments incorporated varying WB concentrations (e.g., 3%, 6%, and 9% by weight of binder) into standard AP-5 asphalt, employing advanced analytical tools for comprehensive characterization. These included thin-layer chromatography–flame ionization detection (TLC-FID), Fourier-transform infrared spectroscopy (FT-IR), scanning electron microscopy (SEM), thermogravimetric analysis (TGA), and Differential Scanning Calorimetry (DSC). The critical properties of the asphalt blends, such as penetration, softening point, viscosity, ductility, rutting factor (Dynamic Shear Rheometer), and thermal susceptibility (Penetration Index, Penetration–Viscosity Number), were assessed. FT-IR analysis indicated negligible chemical alteration with WB addition, suggesting predominantly physical interactions. TLC-FID showed a decrease in aromatic and asphaltene components but an increase in resin content, highlighting the influence of WB’s fatty acids on the asphalt’s chemical balance. The colloidal instability index (I_C) confirmed enhanced stability due to WB’s high resin concentration. Meanwhile, SEM analysis revealed microstructural improvements with WB, enhancing binder compatibility. TGA demonstrated that even a minimal 3 wt. % WB addition significantly improved thermal stability, while the DSC results pointed to improved low-temperature performance, reducing brittleness in cold conditions. Rheologically, WB incorporation resulted in increased penetration and ductility, balanced by decreased viscosity and softening point, thereby demonstrating its multi-faceted utility. Thermal susceptibility tests emphasized WB’s effectiveness in cold environments, with further evaluation needed at higher temperatures. The DSR findings necessitate careful WB calibration to meet Superpave rutting standards. In conclusion, this research positions waste butter as a superior, environmentally aligned bio-additive for asphalt blends, contributing significantly to eco-friendly civil engineering practices by repurposing animal-derived waste. Full article

Thin ice with a thickness of less than half a meter produces strong salt and heat fluxes which affect deep water circulation and weather in the polar oceans. The identification of thin ice areas is essential for ship navigation. We have developed thin ice detection algorithms for the AMSR2 and FY-3C MWRI radiometer data over the Arctic Ocean. Thin ice (<20 cm) is detected based on the classification of the H-polarization 89–36-GHz gradient ratio (GR8936H) and the 36-GHz polarization ratio (PR36) signatures with a linear discriminant analysis (LDA) and thick ice restoration with GR3610H. The brightness temperature ($T_B$) data are corrected for the atmospheric effects following an EUMETSAT OSI SAF correction method in sea ice concentration retrieval algorithms. The thin ice detection algorithms were trained and validated using MODIS ice thickness charts covering the Barents and Kara Seas. Thin ice detection is applied to swath $T_B$ datasets and the swath charts are compiled into a daily thin ice chart using 10 km pixel size for AMSR2 and 20 km for MWRI. On average, the likelihood of misclassifying thick ice as thin in the ATIDA2 daily charts is 7.0% and 42% for reverse misclassification. For the MWRI chart, these accuracy figures are 4% and 53%. A comparison of the MWRI chart to the AMSR2 chart showed a very high match (98%) for the thick ice class with SIC > 90% but only a 53% match for the thin ice class. These accuracy disagreements are due to the much coarser resolution of MWRI, which gives larger spatial averaging of $T_B$ signatures, and thus, less detection of thin ice. The comparison of the AMSR2 and MWRI charts with the SMOS sea ice thickness chart showed a rough match in the thin ice versus thick ice classification. The AMSR2 and MWRI daily thin ice charts aim to complement SAR data for various sea ice classification tasks. Full article

Over the past few years, the effects of global warming have become more pronounced, particularly with the melting of the polar ice caps. This has led to an increase in sea levels, which poses a threat of flooding to coastal cities and islands. Furthermore, monitoring and analyzing changes in water levels has proven effective for predicting natural disasters caused by the rising sea levels. One vital factor in understanding the impact of global warming is the sea surface height (SSH). Measuring the SSH can provide valuable information about changes in ocean levels. This study used data from the Jason 2 altimetry radar satellite, which provided 36 cycle periods per year, to investigate the water heights around the Hawaiian Islands in 2019. To accurately evaluate the water height variations, a specific area near the Pacific Ocean close to the Hawaiian Islands was selected. By analyzing the collected satellite data, a chart of water heights was generated, which showed an overall increase in the height over one year. This analysis provided evidence of changing ocean levels in the region, highlighting the urgency of addressing the potential threats faced by coastal communities. This study also explored several factors that contribute to water height variations, such as the sea surface temperature, precipitation, and sea surface pressure in the Google Earth Engine cloud-based platform. Algorithms, including MLP and XGBOOST, were used to model the water height within the specified range. The results showed that the XGBOOST algorithm was superior in accurately predicting the water height, with an impressive R-squared value of 0.95. In comparison, the MLP algorithm achieved an R-squared value of 0.92. This study shows that advanced machine learning techniques are effective in understanding and modeling the complex changes in the water height due to climate change. This information can help policymakers and local authorities make informed decisions and create strategies to protect coastal cities and islands from the growing threats of rising sea levels. Taking proactive measures is crucial in reducing the risks posed by more frequent and severe natural disasters caused by global warming. Full article

The Laney p′ control chart is a new type of attribute control chart that can be applied in situations where the process exhibits either overdispersion or underdispersion. While it has gained acceptance in the industry, there is still limited knowledge about its effectiveness in detecting process variation. It is well known that before applying a control chart, understanding its performance is crucial, especially when the parameters of the control chart need to be estimated from historical data. In this study, we used simulations to investigate the ability of the Laney p′ control chart to detect process variations when the parameters are estimated. We designed appropriate experiments to assess the impact of overdispersion on the average run length (ARL) performance. In this study, we assumed that the overdispersion comes from the variation in the mean fraction nonconforming of each sample. The mean value varies according to a uniform distribution. This study evaluated the performance of the Laney $p^{\prime }$ control chart using the average of the ARL (AARL) and the standard deviation of the ARL (SDARL). Additionally, real-world data were utilized to illustrate the practical applications of the Laney $p^{\prime }$ control chart in the PCB and IC substrate industries. The research findings can serve as valuable guidance for practical implementation. Full article