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Search Results (1,148)

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28 pages, 974 KiB  
Review
Murburn Bioenergetics and “Origins–Sustenance–Termination–Evolution of Life”: Emergence of Intelligence from a Network of Molecules, Unbound Ions, Radicals and Radiations
by Laurent Jaeken and Kelath Murali Manoj
Int. J. Mol. Sci. 2025, 26(15), 7542; https://doi.org/10.3390/ijms26157542 (registering DOI) - 5 Aug 2025
Abstract
The paradigm-shift idea of murburn concept is no hypothesis but developed directly from fundamental facts of cellular/ecological existence. Murburn involves spontaneous and stochastic interactions (mediated by murzymes) amongst the molecules and unbound ions of cells. It leads to effective charge s [...] Read more.
The paradigm-shift idea of murburn concept is no hypothesis but developed directly from fundamental facts of cellular/ecological existence. Murburn involves spontaneous and stochastic interactions (mediated by murzymes) amongst the molecules and unbound ions of cells. It leads to effective charge separation (ECS) and formation/recruitment of diffusible reactive species (DRS, like radicals whose reactions enable ATP-synthesis and thermogenesis) and emission of radiations (UV/Vis to ELF). These processes also lead to a chemo-electromagnetic matrix (CEM), ascertaining that living cell/organism react/function as a coherent unit. Murburn concept propounds the true utility of oxygen: generating DRS (with catalytic and electrical properties) on the way to becoming water, the life solvent, and ultimately also leading to phase-based macroscopic homeostatic outcomes. Such a layout enables cells to become simple chemical engines (SCEs) with powering, coherence, homeostasis, electro-mechanical and sensing–response (PCHEMS; life’s short-term “intelligence”) abilities. In the current review, we discuss the coacervate nature of cells and dwell upon the ways and contexts in which various radiations (either incident or endogenously generated) could interact in the new scheme of cellular function. Presenting comparative evidence/arguments and listing of systems with murburn models, we argue that the new perceptions explain life processes better and urge the community to urgently adopt murburn bioenergetics and adapt to its views. Further, we touch upon some distinct scientific and sociological contexts with respect to the outreach of murburn concept. It is envisaged that greater awareness of murburn could enhance the longevity and quality of life and afford better approaches to therapies. Full article
(This article belongs to the Section Molecular Biophysics)
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28 pages, 15658 KiB  
Article
Unifying Flood-Risk Communication: Empowering Community Leaders Through AI-Enhanced, Contextualized Storytelling
by Michal Zajac, Connor Kulawiak, Shenglin Li, Caleb Erickson, Nathan Hubbell and Jiaqi Gong
Hydrology 2025, 12(8), 204; https://doi.org/10.3390/hydrology12080204 - 4 Aug 2025
Abstract
Floods pose a growing threat globally, causing tragic loss of life, billions in economic damage annually, and disproportionately affecting socio-economically vulnerable populations. This paper aims to improve flood-risk communication for community leaders by exploring the application of artificial intelligence. We categorize U.S. flood [...] Read more.
Floods pose a growing threat globally, causing tragic loss of life, billions in economic damage annually, and disproportionately affecting socio-economically vulnerable populations. This paper aims to improve flood-risk communication for community leaders by exploring the application of artificial intelligence. We categorize U.S. flood information sources, review communication modalities and channels, synthesize the literature on community leaders’ roles in risk communication, and analyze existing technological tools. Our analysis reveals three key challenges: the fragmentation of flood information, information overload that impedes decision-making, and the absence of a unified communication platform to address these issues. We find that AI techniques can organize data and significantly enhance communication effectiveness, particularly when delivered through infographics and social media channels. Based on these findings, we propose FLAI (Flood Language AI), an AI-driven flood communication platform that unifies fragmented flood data sources. FLAI employs knowledge graphs to structure fragmented data sources and utilizes a retrieval-augmented generation (RAG) framework to enable large language models (LLMs) to produce contextualized narratives, including infographics, maps, and cost–benefit analyses. Beyond flood management, FLAI’s framework demonstrates how AI can transform public service data management and institutional AI readiness. By centralizing and organizing information, FLAI can significantly reduce the cognitive burden on community leaders, helping them communicate timely, actionable insights to save lives and build flood resilience. Full article
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23 pages, 1693 KiB  
Review
From Vision to Illumination: The Promethean Journey of Optical Coherence Tomography in Cardiology
by Angela Buonpane, Giancarlo Trimarchi, Francesca Maria Di Muro, Giulia Nardi, Marco Ciardetti, Michele Alessandro Coceani, Luigi Emilio Pastormerlo, Umberto Paradossi, Sergio Berti, Carlo Trani, Giovanna Liuzzo, Italo Porto, Antonio Maria Leone, Filippo Crea, Francesco Burzotta, Rocco Vergallo and Alberto Ranieri De Caterina
J. Clin. Med. 2025, 14(15), 5451; https://doi.org/10.3390/jcm14155451 - 2 Aug 2025
Viewed by 218
Abstract
Optical Coherence Tomography (OCT) has evolved from a breakthrough ophthalmologic imaging tool into a cornerstone technology in interventional cardiology. After its initial applications in retinal imaging in the early 1990s, OCT was subsequently envisioned for cardiovascular use. In 1995, its ability to visualize [...] Read more.
Optical Coherence Tomography (OCT) has evolved from a breakthrough ophthalmologic imaging tool into a cornerstone technology in interventional cardiology. After its initial applications in retinal imaging in the early 1990s, OCT was subsequently envisioned for cardiovascular use. In 1995, its ability to visualize atherosclerotic plaques was demonstrated in an in vitro study, and the following year marked the acquisition of the first in vivo OCT image of a human coronary artery. A major milestone followed in 2000, with the first intracoronary imaging in a living patient using time-domain OCT. However, the real inflection point came in 2006 with the advent of frequency-domain OCT, which dramatically improved acquisition speed and image quality, enabling safe and routine imaging in the catheterization lab. With the advent of high-resolution, second-generation frequency-domain systems, OCT has become clinically practical and widely adopted in catheterization laboratories. OCT progressively entered interventional cardiology, first proving its safety and feasibility, then demonstrating superiority over angiography alone in guiding percutaneous coronary interventions and improving outcomes. Today, it plays a central role not only in clinical practice but also in cardiovascular research, enabling precise assessment of plaque biology and response to therapy. With the advent of artificial intelligence and hybrid imaging systems, OCT is now evolving into a true precision-medicine tool—one that not only guides today’s therapies but also opens new frontiers for discovery, with vast potential still waiting to be explored. Tracing its historical evolution from ophthalmology to cardiology, this narrative review highlights the key technological milestones, clinical insights, and future perspectives that position OCT as an indispensable modality in contemporary interventional cardiology. As a guiding thread, the myth of Prometheus is used to symbolize the evolution of OCT—from its illuminating beginnings in ophthalmology to its transformative role in cardiology—as a metaphor for how light, innovation, and knowledge can reveal what was once hidden and redefine clinical practice. Full article
(This article belongs to the Section Cardiology)
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24 pages, 1380 KiB  
Article
Critical Smart Functions for Smart Living Based on User Perspectives
by Benjamin Botchway, Frank Ato Ghansah, David John Edwards, Ebenezer Kumi-Amoah and Joshua Amo-Larbi
Buildings 2025, 15(15), 2727; https://doi.org/10.3390/buildings15152727 - 1 Aug 2025
Viewed by 250
Abstract
Smart living is strongly promoted to enhance the quality of life via the application of innovative solutions, and this is driven by domain specialists and policymakers, including designers, urban planners, computer engineers, and property developers. Nonetheless, the actual user, whose views ought to [...] Read more.
Smart living is strongly promoted to enhance the quality of life via the application of innovative solutions, and this is driven by domain specialists and policymakers, including designers, urban planners, computer engineers, and property developers. Nonetheless, the actual user, whose views ought to be considered during the design and development of smart living systems, has received little attention. Thus, this study aims to identify and examine the critical smart functions to achieve smart living in smart buildings based on occupants’ perceptions. The aim is achieved using a sequential quantitative research method involving a literature review and 221 valid survey data gathered from a case of a smart student residence in Hong Kong. The method is further integrated with descriptive statistics, the Kruskal–Walli’s test, and the criticality test. The results were validated via a post-survey with related experts. Twenty-six critical smart functions for smart living were revealed, with the top three including the ability to protect personal data and information privacy, provide real-time safety and security, and the ability to be responsive to users’ needs. A need was discovered to consider the context of buildings during the design of smart living systems, and the recommendation is for professionals to understand the kind of digital technology to be integrated into a building by strongly considering the context of the building and how smart living will be achieved within it based on users’ perceptions. The study provides valuable insights into the occupants’ perceptions of critical smart features/functions for policymakers and practitioners to consider in the construction of smart living systems, specifically students’ smart buildings. This study contributes to knowledge by identifying the critical smart functions to achieve smart living based on occupants’ perceptions of smart living by considering the specific context of a smart student building facility constructed in Hong Kong. Full article
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26 pages, 4032 KiB  
Review
Insights to Resistive Pulse Sensing of Microparticle and Biological Cells on Microfluidic Chip
by Yiming Yao, Kai Zhao, Haoxin Jia, Zhengxing Wei, Yiyang Huo, Yi Zhang and Kaihuan Zhang
Biosensors 2025, 15(8), 496; https://doi.org/10.3390/bios15080496 - 1 Aug 2025
Viewed by 99
Abstract
Since the initial use of biological ion channels to detect single-stranded genomic base pair differences, label-free and highly sensitive resistive pulse sensing (RPS) with nanopores has made remarkable progress in single-molecule analysis. By monitoring transient ionic current disruptions caused by molecules translocating through [...] Read more.
Since the initial use of biological ion channels to detect single-stranded genomic base pair differences, label-free and highly sensitive resistive pulse sensing (RPS) with nanopores has made remarkable progress in single-molecule analysis. By monitoring transient ionic current disruptions caused by molecules translocating through a nanopore, this technology offers detailed insights into the structure, charge, and dynamics of the analytes. In this work, the RPS platforms based on biological, solid-state, and other sensing pores, detailing their latest research progress and applications, are reviewed. Their core capability is the high-precision characterization of tiny particles, ions, and nucleotides, which are widely used in biomedicine, clinical diagnosis, and environmental monitoring. However, current RPS methods involve bottlenecks, including limited sensitivity (weak signals from sub-nanometer targets with low SNR), complex sample interference (high false positives from ionic strength, etc.), and field consistency (solid-state channel drift, short-lived bio-pores failing POCT needs). To overcome this, bio-solid-state fusion channels, in-well reactors, deep learning models, and transfer learning provide various options. Evolving into an intelligent sensing ecosystem, RPS is expected to become a universal platform linking basic research, precision medicine, and on-site rapid detection. Full article
(This article belongs to the Special Issue Advanced Microfluidic Devices and Lab-on-Chip (Bio)sensors)
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38 pages, 401 KiB  
Article
The Use of Artificial Intelligence Tools for Religious Purposes: Empirical Research Among Hungarian Religious Communities
by Mónika Andok, Zoltán Rajki and Szilvia Dornics
Religions 2025, 16(8), 999; https://doi.org/10.3390/rel16080999 (registering DOI) - 31 Jul 2025
Viewed by 422
Abstract
This study empirically investigates the use of artificial intelligence (AI) tools within Hungarian religious communities, with a focus on Catholic respondents, to assess their awareness, application, and acceptance of AI in religious contexts. By religious communities, we do not mean monastic or priestly [...] Read more.
This study empirically investigates the use of artificial intelligence (AI) tools within Hungarian religious communities, with a focus on Catholic respondents, to assess their awareness, application, and acceptance of AI in religious contexts. By religious communities, we do not mean monastic or priestly communities, but rather communities of lay religious people. Conducted between 10 February and 11 March 2025, the questionnaire-based research (N = 133) employs Campbell’s Religious Social Shaping of Technology (RSST) framework to analyze attitudes toward AI across 15 religious functions. Six hypotheses explore gender differences, religiosity types (church-based vs. self-defined), and the acceptability, authenticity, and ethicality of AI applications. Findings reveal high acceptance for administrative tasks (e.g., email list updates: 64.7%) and technical functions (e.g., live translation: 65.4%), but low acceptance for spiritual roles (e.g., spiritual leadership: 12.8%). Self-defined religious individuals are significantly more accepting, perceiving AI as more authentic and ethical compared to those adhering to church teachings. No significant gender differences were found. The study contributes to digital religion studies, highlighting the influence of religiosity on AI adoption, though its non-representative sample limits generalizability. Full article
(This article belongs to the Special Issue Religious Communities and Artificial Intelligence)
29 pages, 1119 KiB  
Systematic Review
Phishing Attacks in the Age of Generative Artificial Intelligence: A Systematic Review of Human Factors
by Raja Jabir, John Le and Chau Nguyen
AI 2025, 6(8), 174; https://doi.org/10.3390/ai6080174 - 31 Jul 2025
Viewed by 363
Abstract
Despite the focus on improving cybersecurity awareness, the number of cyberattacks has increased significantly, leading to huge financial losses, with their risks spreading throughout the world. This is due to the techniques deployed in cyberattacks that mainly aim at exploiting humans, the weakest [...] Read more.
Despite the focus on improving cybersecurity awareness, the number of cyberattacks has increased significantly, leading to huge financial losses, with their risks spreading throughout the world. This is due to the techniques deployed in cyberattacks that mainly aim at exploiting humans, the weakest link in any defence system. The existing literature on human factors in phishing attacks is limited and does not live up to the witnessed advances in phishing attacks, which have become exponentially more dangerous with the introduction of generative artificial intelligence (GenAI). This paper studies the implications of AI advancement, specifically the exploitation of GenAI and human factors in phishing attacks. We conduct a systematic literature review to study different human factors exploited in phishing attacks, potential solutions and preventive measures, and the complexity introduced by GenAI-driven phishing attacks. This paper aims to address the gap in the research by providing a deeper understanding of the evolving landscape of phishing attacks with the application of GenAI and associated human implications, thereby contributing to the field of knowledge to defend against phishing attacks by creating secure digital interactions. Full article
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13 pages, 3360 KiB  
Review
Technological Advances in Pre-Operative Planning
by Mikolaj R. Kowal, Mohammed Ibrahim, André L. Mihaljević, Philipp Kron and Peter Lodge
J. Clin. Med. 2025, 14(15), 5385; https://doi.org/10.3390/jcm14155385 - 30 Jul 2025
Viewed by 251
Abstract
Surgery remains a healthcare intervention with significant risks for patients. Novel technologies can now enhance the peri-operative workflow, with artificial intelligence (AI) and extended reality (XR) to assist with pre-operative planning. This review focuses on innovation in AI, XR and imaging for hepato-biliary [...] Read more.
Surgery remains a healthcare intervention with significant risks for patients. Novel technologies can now enhance the peri-operative workflow, with artificial intelligence (AI) and extended reality (XR) to assist with pre-operative planning. This review focuses on innovation in AI, XR and imaging for hepato-biliary surgery planning. The clinical challenges in hepato-biliary surgery arise from heterogeneity of clinical presentations, the need for multiple imaging modalities and highly variable local anatomy. AI-based models have been developed for risk prediction and multi-disciplinary tumor (MDT) board meetings. The future could involve an on-demand and highly accurate AI-powered decision tool for hepato-biliary surgery, assisting the surgeon to make the most informed decision on the treatment plan, conferring the best possible outcome for individual patients. Advances in AI can also be used to automate image interpretation and 3D modelling, enabling fast and accurate 3D reconstructions of patient anatomy. Surgical navigation systems utilizing XR are already in development, showing an early signal towards improved patient outcomes when used for hepato-biliary surgery. Live visualization of hepato-biliary anatomy in the operating theatre is likely to improve operative safety and performance. The technological advances in AI and XR provide new applications in pre-operative planning with potential for patient benefit. Their use in surgical simulation could accelerate learning curves for surgeons in training. Future research must focus on standardization of AI and XR study reporting, robust databases that are ethically and data protection-compliant, and development of inter-disciplinary tools for various healthcare applications and systems. Full article
(This article belongs to the Special Issue Surgical Precision: The Impact of AI and Robotics in General Surgery)
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50 pages, 8673 KiB  
Article
Challenges of Integrating Assistive Technologies and Robots with Embodied Intelligence in the Homes of Older People Living with Frailty
by Abdel-Karim Al-Tamimi, Lantana Hewitt, David Cameron, Maher Salem and Armaghan Moemeni
Appl. Sci. 2025, 15(15), 8415; https://doi.org/10.3390/app15158415 - 29 Jul 2025
Viewed by 206
Abstract
The rapid increase in the global population of older adults presents a significant challenge, but also a unique opportunity to leverage technological advancements for promoting independent living and well-being. This study introduces the CIREI framework, which is a comprehensive model designed to enhance [...] Read more.
The rapid increase in the global population of older adults presents a significant challenge, but also a unique opportunity to leverage technological advancements for promoting independent living and well-being. This study introduces the CIREI framework, which is a comprehensive model designed to enhance the integration of smart home and assistive technologies specifically for pre-frail older adults. Developed through a systematic literature review and innovative and comprehensive co-design activities, the CIREI framework captures the nuanced needs, preferences, and challenges faced by older adults, caregivers, and experts. Key findings from the co-design workshop highlight critical factors such as usability, privacy, and personalised learning preferences, which directly influence technology adoption. These insights informed the creation of an intelligent middleware prototype named WISE-WARE, which seamlessly integrates commercial off-the-shelf (COTS) devices to support health management and improve the quality of life for older adults. The CIREI framework’s adaptability ensures it can be extended and refined to meet the ever-changing needs of the ageing population, providing a robust foundation for future research and development in user-centred technology design. All workshop materials, including tools and methodologies, are made available to encourage the further exploration and adaptation of the CIREI framework, ensuring its relevance and effectiveness in the dynamic landscape of ageing and technology. This research contributes significantly to the discourse on ageing in place, digital inclusion, and the role of technology in empowering older adults to maintain independence. Full article
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17 pages, 2178 KiB  
Article
Enabling Early Prediction of Side Effects of Novel Lead Hypertension Drug Molecules Using Machine Learning
by Takudzwa Ndhlovu and Uche A. K. Chude-Okonkwo
Drugs Drug Candidates 2025, 4(3), 35; https://doi.org/10.3390/ddc4030035 - 29 Jul 2025
Viewed by 250
Abstract
Background: Hypertension is a serious global health issue affecting over one billion adults and leading to severe complications if left unmanaged. Despite medical advancements, only a fraction of patients effectively have their hypertension under control. Among the factors that hinder adherence to [...] Read more.
Background: Hypertension is a serious global health issue affecting over one billion adults and leading to severe complications if left unmanaged. Despite medical advancements, only a fraction of patients effectively have their hypertension under control. Among the factors that hinder adherence to hypertensive drugs are the debilitating side effects of the drugs. The lack of adherence results in poorer patient outcomes as patients opt to live with their condition, instead of having to deal with the side effects. Hence, there is a need to discover new hypertension drug molecules with better side effects to increase patient treatment options. To this end, computational methods such as artificial intelligence (AI) have become an exciting option for modern drug discovery. AI-based computational drug discovery methods generate numerous new lead antihypertensive drug molecules. However, predicting their potential side effects remains a significant challenge because of the complexity of biological interactions and limited data on these molecules. Methods: This paper presents a machine learning approach to predict the potential side effects of computationally synthesised antihypertensive drug molecules based on their molecular properties, particularly functional groups. We curated a dataset combining information from the SIDER 4.1 and ChEMBL databases, enriched with molecular descriptors (logP, PSA, HBD, HBA) using RDKit. Results: Gradient Boosting gave the most stable generalisation, with a weighted F1 of 0.80, and AUC-ROC of 0.62 on the independent test set. SHAP analysis over the cross-validation folds showed polar surface area and logP contributing the largest global impact, followed by hydrogen bond counts. Conclusions: Functional group patterns, augmented with key ADMET descriptors, offer a first-pass screen for identifying side-effect risks in AI-designed antihypertensive leads. Full article
(This article belongs to the Section In Silico Approaches in Drug Discovery)
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12 pages, 220 KiB  
Article
Machine Intelligence, Artificial General Intelligence, Super-Intelligence, and Human Dignity
by Ted F. Peters
Religions 2025, 16(8), 975; https://doi.org/10.3390/rel16080975 - 28 Jul 2025
Viewed by 420
Abstract
Our temptation to personify machine intelligence is not unexpected. As a child we named our dolls and took our Teddy Bear to bed with us. Today we ask death bots to comfort us with post-mortem conversation. All the while we know this to [...] Read more.
Our temptation to personify machine intelligence is not unexpected. As a child we named our dolls and took our Teddy Bear to bed with us. Today we ask death bots to comfort us with post-mortem conversation. All the while we know this to be pretend. Yet we must ask: if Artificial General Intelligence (AGI) or even Artificial Super-Intelligence (ASI) become available, will our game of pretend continue? Or will intelligent robots actually become selves deserving of dignity that hitherto could be ascribed only to human persons? If government-imposed guardrails shut the door on development of AGI and ASI in order to preserve human safety and even dignity, we might never learn whether AGI or ASI could develop selfhood, personhood, virtue, or religious sensibilities. As we approach the future, can we live without knowing whether AGI or ASI would be capable of developing selfhood and commanding dignity? Full article
(This article belongs to the Special Issue Religion and/of the Future)
13 pages, 5974 KiB  
Article
Proof of Concept and Validation of Single-Camera AI-Assisted Live Thumb Motion Capture
by Huy G. Dinh, Joanne Y. Zhou, Adam Benmira, Deborah E. Kenney and Amy L. Ladd
Sensors 2025, 25(15), 4633; https://doi.org/10.3390/s25154633 - 26 Jul 2025
Viewed by 245
Abstract
Motion analysis can be useful for multiplanar analysis of hand kinematics. The carpometacarpal (CMC) joint has been traditionally difficult to capture with surface-based motion analysis but is the most commonly arthritic joint of the hand and is of particular clinical interest. Traditional 3D [...] Read more.
Motion analysis can be useful for multiplanar analysis of hand kinematics. The carpometacarpal (CMC) joint has been traditionally difficult to capture with surface-based motion analysis but is the most commonly arthritic joint of the hand and is of particular clinical interest. Traditional 3D motion capture of the CMC joint using multiple cameras and reflective markers and manual goniometer measurement has been challenging to integrate into clinical workflow. We therefore propose a markerless single-camera artificial intelligence (AI)-assisted motion capture method to provide real-time estimation of clinically relevant parameters. Our study enrolled five healthy subjects, two male and three female. Fourteen clinical parameters were extracted from thumb interphalangeal (IP), metacarpal phalangeal (MP), and CMC joint motions using manual goniometry and live motion capture with the Google AI MediaPipe Hands landmarker model. Motion capture measurements were assessed for accuracy, precision, and correlation with manual goniometry. Motion capture demonstrated sufficient accuracy in 11 and precision in all 14 parameters, with mean error of −2.13 ± 2.81° (95% confidence interval [CI]: −5.31, 1.05). Strong agreement was observed between both modalities across all subjects, with a combined Pearson correlation coefficient of 0.97 (p < 0.001) and an intraclass correlation coefficient of 0.97 (p < 0.001). The results suggest AI-assisted live motion capture can be an accurate and practical thumb assessment tool, particularly in virtual patient encounters, for enhanced range of motion (ROM) analysis. Full article
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19 pages, 290 KiB  
Article
Artificial Intelligence in Primary Care: Support or Additional Burden on Physicians’ Healthcare Work?—A Qualitative Study
by Stefanie Mache, Monika Bernburg, Annika Würtenberger and David A. Groneberg
Clin. Pract. 2025, 15(8), 138; https://doi.org/10.3390/clinpract15080138 - 25 Jul 2025
Viewed by 238
Abstract
Background: Artificial intelligence (AI) is being increasingly promoted as a means to enhance diagnostic accuracy, to streamline workflows, and to improve overall care quality in primary care. However, empirical evidence on how primary care physicians (PCPs) perceive, engage with, and emotionally respond [...] Read more.
Background: Artificial intelligence (AI) is being increasingly promoted as a means to enhance diagnostic accuracy, to streamline workflows, and to improve overall care quality in primary care. However, empirical evidence on how primary care physicians (PCPs) perceive, engage with, and emotionally respond to AI technologies in everyday clinical settings remains limited. Concerns persist regarding AI’s usability, transparency, and potential impact on professional identity, workload, and the physician–patient relationship. Methods: This qualitative study investigated the lived experiences and perceptions of 28 PCPs practicing in diverse outpatient settings across Germany. Participants were purposively sampled to ensure variation in age, practice characteristics, and digital proficiency. Data were collected through in-depth, semi-structured interviews, which were audio-recorded, transcribed verbatim, and subjected to rigorous thematic analysis employing Mayring’s qualitative content analysis framework. Results: Participants demonstrated a fundamentally ambivalent stance toward AI integration in primary care. Perceived advantages included enhanced diagnostic support, relief from administrative burdens, and facilitation of preventive care. Conversely, physicians reported concerns about workflow disruption due to excessive system prompts, lack of algorithmic transparency, increased cognitive and emotional strain, and perceived threats to clinical autonomy and accountability. The implications for the physician–patient relationship were seen as double-edged: while some believed AI could foster trust through transparent use, others feared depersonalization of care. Crucial prerequisites for successful implementation included transparent and explainable systems, structured training opportunities, clinician involvement in design processes, and seamless integration into clinical routines. Conclusions: Primary care physicians’ engagement with AI is marked by cautious optimism, shaped by both perceived utility and significant concerns. Effective and ethically sound implementation requires co-design approaches that embed clinical expertise, ensure algorithmic transparency, and align AI applications with the realities of primary care workflows. Moreover, foundational AI literacy should be incorporated into undergraduate health professional curricula to equip future clinicians with the competencies necessary for responsible and confident use. These strategies are essential to safeguard professional integrity, support clinician well-being, and maintain the humanistic core of primary care. Full article
21 pages, 454 KiB  
Article
Modelling Cascading Failure in Complex CPSS to Inform Resilient Mission Assurance: An Intelligent Transport System Case Study
by Theresa Sobb and Benjamin Turnbull
Entropy 2025, 27(8), 793; https://doi.org/10.3390/e27080793 - 25 Jul 2025
Viewed by 320
Abstract
Intelligent transport systems are revolutionising all aspects of modern life, increasing the efficiency of commerce, modern living, and international travel. Intelligent transport systems are systems of systems comprised of cyber, physical, and social nodes. They represent unique opportunities but also have potential threats [...] Read more.
Intelligent transport systems are revolutionising all aspects of modern life, increasing the efficiency of commerce, modern living, and international travel. Intelligent transport systems are systems of systems comprised of cyber, physical, and social nodes. They represent unique opportunities but also have potential threats to system operation and correctness. The emergent behaviour in Complex Cyber–Physical–Social Systems (C-CPSSs), caused by events such as cyber-attacks and network outages, have the potential to have devastating effects to critical services across society. It is therefore imperative that the risk of cascading failure is minimised through the fortifying of these systems of systems to achieve resilient mission assurance. This work designs and implements a programmatic model to validate the value of cascading failure simulation and analysis, which is then tested against a C-CPSS intelligent transport system scenario. Results from the model and its implementations highlight the value in identifying both critical nodes and percolation of consequences during a cyber failure, in addition to the importance of including social nodes in models for accurate simulation results. Understanding the relationships between cyber, physical, and social nodes is key to understanding systems’ failures that occur because of or that involve cyber systems, in order to achieve cyber and system resilience. Full article
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13 pages, 919 KiB  
Article
Cognitive Functions Among Pupils in Schools Near and Around an Electronic Waste Recycling Site at Agbogbloshie in Accra, Ghana
by Serwaa A. Bawua, Kwame M. Agbeko, Ibrahim Issah, Afua A. Amoabeng-Nti, Saskia Waldschmidt, Katja Löhndorf, Thomas Küpper, Jonathan Hogarh and Julius N. Fobil
Toxics 2025, 13(8), 615; https://doi.org/10.3390/toxics13080615 - 23 Jul 2025
Viewed by 382
Abstract
Background: Electronic waste (e-waste) recycling in informal settings like Agbogbloshie in Accra, Ghana, releases toxic metals into the environment, posing serious health risks to nearby residents, particularly children. This study assessed the body burdens of lead (Pb), manganese (Mn), cadmium (Cd), chromium (Cr), [...] Read more.
Background: Electronic waste (e-waste) recycling in informal settings like Agbogbloshie in Accra, Ghana, releases toxic metals into the environment, posing serious health risks to nearby residents, particularly children. This study assessed the body burdens of lead (Pb), manganese (Mn), cadmium (Cd), chromium (Cr), nickel (Ni), and arsenic (As) and their association with cognitive function in schoolchildren living within 1 km of the Agbogbloshie site. Method: A cross-sectional study involving 56 pupils collected demographic data and blood and urine samples and administered the Wechsler Intelligence Scale for Children—Fourth Edition (WISC-IV). Blood was tested for Pb and Mn and urine for Cd, Cr, Ni, and As. Associations between metal levels and cognitive outcomes were examined using regression analyses, adjusting for confounders. Result: Children showed elevated metal levels, with mean blood Pb of 60.43 µg/L and urinary s of 21.50 µg/L. Symptoms of cognitive dysfunction were common: 75% reported confusion, 67.9% poor memory, and 66% poor concentration. Urinary Cr levels were significantly associated with lower Full-Scale IQ (β = −18.42, p < 0.05) and increased difficulty in decision-making (OR = 0.1, p < 0.05). Conclusion: These findings underscore the neurodevelopmental risks of heavy metal exposure from e-waste in low- and middle-income countries and call for urgent public health interventions and policy actions. Full article
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