Search Results (1,144)

Multimodal emotion recognition (MER) is essential for understanding human emotions from diverse sources such as speech, text, and video. However, modality heterogeneity and inconsistent expression pose challenges for effective feature fusion. To address this, we propose a novel MER framework combining a Dynamic Weighted Graph Convolutional Network (DW-GCN) for feature disentanglement and a Cross-Attention Consistency-Gated Fusion (CACG-Fusion) module for robust integration. DW-GCN models complex inter-modal relationships, enabling the extraction of both common and private features. The CACG-Fusion module subsequently enhances classification performance through dynamic alignment of cross-modal cues, employing attention-based coordination and consistency-preserving gating mechanisms to optimize feature integration. Experiments on the CMU-MOSI and CMU-MOSEI datasets demonstrate that our method achieves state-of-the-art performance, significantly improving the $AC{C}_7$, $AC{C}_2$, and $F1$ scores. Full article

The aim of this study was to evaluate the relationship between visual functions and road traffic accidents (RTAs) by meta-analysis of observational studies. The analysis included all drivers of motor vehicles, regardless of age, and those using private or public transport. Self-reported visual outcomes were excluded. The risk of RTA in patients with reduced visual acuity was observed in commercial drivers in cross-sectional studies (PR 1.54, 95% CI 1.26–1.88), but not in private drivers in cohort (RR 1.04, 95% CI 0.74–1.46) or case–control studies (OR 1.04, 95% CI 0.78–1.40). A non-statistically significant association between colour vision defects and RTA was observed in cross-sectional studies (PR 1.50, 95% CI 0.91–2.45). No evidence was found for an increased risk of accidents in people with reduced stereopsis. In older adults with abnormal contrast sensitivity, a weak risk of RTA was observed in cohort studies. Evidence from low-quality cross-sectional studies suggests an increased risk of RTAs among commercial drivers with reduced visual acuity. The few case–control and cohort studies identified did not show an association between accident occurrence and visual function. Attention needs to be paid to this issue to facilitate the conduct of high-quality research that can support the development of road safety policies. Full article

Private array equality comparison (PAEC) aims to evaluate whether two arrays are equal while maintaining the confidentiality of their elements. Current private comparison protocols predominantly focus on determining the relationships of secret integers, lacking exploration of array comparisons. To address this issue, we propose a swap test-based quantum protocol for PAEC, which satisfies both functionality and security requirements using the principles of quantum mechanics. This protocol introduces a semi-honest third party (TP) that acts as a medium for generating Bell states as quantum resources and distributes the first and second qubits of these Bell states to the respective participants. They encode their array elements into the received qubits by performing rotation operations. These encoded qubits are sent to TP to derive the comparison results. To verify the feasibility of the proposed protocol, we construct a quantum circuit and conduct simulations on the IBM quantum platform. Security analysis further indicates that our protocol is resistant to various quantum attacks from outsider eavesdroppers and attempts by curious participants. Full article

Public service innovation research often focuses on the private or general public sectors, leaving the distinct challenges government entities face unexplored. An empirical study was carried out to bridge this gap using survey results from the United Arab Emirates (UAE) government entities. This study built on that research by further analyzing the relationships among these challenges through a social network approach, visualizing and analyzing the connections between them by utilizing betweenness centrality and eigenvector centrality as key metrics. Based on this analysis, the challenges were classified into different categories; 8 out of 22 challenges were identified as critical due to their high values in both metrics. Addressing these critical challenges is expected to create a cascading impact, helping to resolve many others. Targeted strategies are proposed, and leveraging open innovation is highlighted as an effective and versatile solution to address and mitigate these challenges. This study is one of the few to adopt a social network analysis perspective to visualize and analyze the relationships among challenges, enabling the identification of critical ones. This research offers novel and valuable insights that could assist decision-makers in UAE government entities and countries with similar contexts with actionable strategies to advance public service innovation. Full article

In the increasingly competitive landscape of higher education, student satisfaction and loyalty are recognized as essential components for institutional sustainability and long-term success. This study aims to examine the interrelationships between service quality, technological innovation, student satisfaction, and student loyalty within higher education institutions in the Turkish Republic of Northern Cyprus (TRNC). Grounded in relationship marketing theory and the expectancy–disconfirmation paradigm, the research develops and tests a structural model that investigates the impact of perceived service quality on technological innovation, student satisfaction, and loyalty. The data were collected from 448 undergraduate students studying in the faculties of education at five leading private universities in TRNC, selected based on their international academic rankings. The analysis, conducted using structural equation modelling (SEM), reveals that service quality significantly and directly influences technological innovation, student satisfaction, and student loyalty. Additionally, technological innovation has a positive but comparatively weaker effect on student loyalty. Among the variables, student satisfaction emerges as the strongest determinant of loyalty, serving as a key mediator in the relationship between service quality and loyalty. This research contributes to the higher education literature by extending the traditional service quality–loyalty framework with the inclusion of technological innovation. The findings offer practical insights for university administrators, emphasizing the importance of delivering high-quality educational services combined with continuous digital innovation to enhance the student experience and foster long-term student commitment. Full article

Cybersecurity threats increasingly originate from human actions within organizations, emphasizing the need to understand behavioral factors behind non-compliance with information security policies (ISPs). Despite the presence of formal security policies, insider threats—whether accidental or intentional—remain a major vulnerability. This study addresses the gap in behavioral cybersecurity research by developing an integrated conceptual model that draws upon Operant Conditioning Theory (OCT), Protection Motivation Theory (PMT), and the Theory of Planned Behavior (TPB) to explore ISP compliance. The research aims to identify key cognitive, motivational, and behavioral factors that shape employees’ intentions and actual compliance with ISPs. The model examines seven independent variables of perceived severity: perceived vulnerability, rewards, punishment, attitude toward the behavior, subjective norms, and perceived behavioral control, with intention serving as a mediating variable and actual ISP compliance as the outcome. A quantitative approach was used, collecting data via an online survey from 302 employees across the public and private sectors. Structural Equation Modeling (SEM) with SmartPLS software (v.4.1.1.2) analyzed the complex relationships among variables, testing the proposed model. The findings reveal that perceived severity, punishment, attitude toward behavior, and perceived behavioral control, significantly and positively, influence employees’ intentions to comply with information security policies. Conversely, perceived vulnerability, rewards, and subjective norms do not show a significant effect on compliance intentions. Moreover, the intention to comply strongly predicts actual compliance behavior, thus confirming its key role as a mediator linking cognitive, motivational, and behavioral factors to real security practices. This study offers an original contribution by uniting three well-established theories into a single explanatory model and provides actionable insights for designing effective, psychologically informed interventions to enhance ISP adherence and reduce insider risks. Full article

The continued migration of physicians from independent practice to affiliation with larger entities has garnered significant scrutiny. These affiliation models include hospitals and health systems, payers and corporate entities, and management services organizations, which may or may not be private equity (PE)-backed. Data on the impact of different physician affiliation models on cost of care is limited. We examined the relationship between provider affiliation model, site of care (SOC), and cost of care for certain high-volume procedures in procedure-intensive specialties for both Medicare and commercial insurance. We found that hospital-affiliated physicians are least likely—and PE-affiliated physicians are most likely—to provide care in lower-cost settings. For both Medicare and commercial insurance, SOC contributes meaningfully to procedure unit price, which is consistently greater in hospital-based settings. These findings suggest that the physician affiliation model and associated SOC cost differentials contribute materially to healthcare expenditures. As the Medicare cost differentials are set by statute and regulations, strategies such as site-neutral payments are needed to mitigate the monetary impact of historical and future physician practice migration. Full article

Assessment of the placental cord insertion (PCI) is a vital component of antenatal ultrasound examinations. PCI can be complex, particularly in cases of abnormal PCI, and requires proficient sonographer spatial perception. The current literature describes the increasing potential of three-dimensional (3D) modelling to enhance spatial awareness and understanding of complex anatomical structures. This study aimed to evaluate sonographers’ confidence in ultrasound assessment of the PCI and the potential benefit of novel 3D-printed models (3DPMs) of the PCI in ultrasound education. Sonographers employed at a large private medical imaging practice in Western Australia were invited to participate in a face-to-face presentation of two-dimensional (2D) ultrasound images, ultrasound videos, and 3DPMs of normal cord insertion (NCI), marginal cord insertion (MCI), and velamentous cord insertion (VCI). Our objective was to determine the benefit of 3DPMs in improving sonographers’ confidence and ability to spatially visualise the PCI. Thirty-three participants completed questionnaires designed to compare their confidence in assessing the PCI and their ability to spatially visualise the anatomical relationship between the placenta and PCI, before and after the presentation. There was a significant association between a participant’s year of experience and their confidence levels and spatial awareness of the PCI prior to the demonstration. The results showed the 3DPMs increased participant confidence and their spatial awareness of the PCI, with no significant association with years of experience. Additionally, participating sonographers were asked to rate the 3DPMs as an educational device. The 3DPMs were ranked as being a more useful educational tool for spatially visualising the NCI, MCI, and VCI than 2D ultrasound images and videos. Most participants responded favourably when asked whether the 3DPMs would be useful in ultrasound education, with 75.8%, 84.8%, and 97% indicating the models of NCI, MCI, and VCI, respectively, would be extremely useful. Our study has demonstrated a potential role for 3DPMs of the PCI in ultrasound education, supplementing traditional 2D educational resources. Full article

To respond to China’s sustainable development goals, this study uses a dynamic panel data set (2009–2023) and the PSM-DID model to examine how blockchain adoption impacts corporate sustainable development performance (CSDP). The results show that blockchain significantly enhances CSDP by 9.8–12.3%, primarily through two channels (reducing financing constraints by improving transparency and decreasing chairman-CEO duality) to optimize governance. Regional environmental regulation strengthens this relationship. Heterogeneity analysis reveals stronger impacts in unregulated industries, private firms, and central–western regions, while state-owned firms show policy-driven governance improvements. The study enriches the understanding of blockchain’s dual role in balancing efficiency and sustainability, offering insights for integrating digital technology into green policy frameworks. Full article

This paper explores the effectiveness of an innovative FinTech risk-scoring model to predict the risk-appropriate return for short-term credit sales. The risk score serves to mitigate the information asymmetry between the seller of receivables (“Seller”) and the purchaser (“Funder”), at the same time providing an opportunity for the Funder to earn returns as well as to diversify its portfolio on a risk-appropriate basis. Selling receivables/credit to potential Funders at a risk-appropriate discount also helps Sellers to maintain their short-term financial liquidity and provide the necessary cash flow for operations and other immediate financial needs. We use 18,304 short-term credit-sale transactions between 23 April 2020 and 30 September 2022 from the private FinTech startup Crowdz and its Sustainability, Underwriting, Risk & Financial (SURF) risk-scoring system to analyze the risk/return relationship. The data includes risk scores for both Sellers of receivables (e.g., invoices) along with the Obligors (firms purchasing goods and services from the Seller) on those receivables and provides, as outputs, the mutual gains by the Sellers and the financial institutions or other investors funding the receivables (i.e., the Funders). Our analysis shows that the SURF Score is instrumental in mitigating the information asymmetry between the Sellers and the Funders and provides risk-appropriate periodic returns to the Funders across industries. A comparative analysis shows that the use of SURF technology generates higher risk-appropriate annualized internal rates of return (IRR) as compared to nonuse of the SURF Score risk-scoring system in these transactions. While Sellers and Funders enter into a win-win relationship (in the absence of a default), Sellers of credit instruments are not often scored based on the potential diversification by industry classification. Crowdz’s SURF technology does so and provides Funders with diversification opportunities through numerous invoices of differing amounts and SURF Scores in a wide range of industries. The analysis also shows that Sellers generally have lower financing stability as compared to the Obligors (payers on receivables), a fact captured in the SURF Scores. Full article

Achieving sustainable economic growth requires a careful balance between public debt accumulation and the macroeconomic stability necessary for long-term development. While public debt can support growth through productive public investment, excessive debt may crowd out private investment, raise borrowing costs, and undermine financial stability, ultimately threatening economic sustainability. In this context, the quality of institutions plays a pivotal moderating role by fostering responsible debt management and ensuring that debt-financed investments contribute to sustainable development. In this context, this study investigates the relationship between public debt and economic growth, with a focus on the moderating role of institutional quality (IQ). Utilizing an unbalanced panel of 115 countries over the period from 1996 to 2021, this study tests the hypothesis that robust institutional frameworks mitigate the negative impact of public debt on economic growth. To address potential endogeneity, this study employs the dynamic system Generalized Method of Moments (GMM) estimation technique. The results reveal that, although the direct effect of public debt on economic growth is negative, the interaction between public debt and IQ yields a positive influence. Furthermore, the results indicate the presence of a threshold beyond which public debt begins to exert a beneficial effect on economic growth, whereas its impact remains adverse below this threshold. These findings underscore the critical importance of sound debt management strategies and institutional development for policymakers, suggesting that effective government governance is essential to harnessing the potential positive effects of public debt on economic growth. Full article

This article examines the struggles for water justice led by women in the Aconcagua River Basin (Valparaíso, Chile) through a hydrofeminist perspective. Chile’s water crisis, rooted in a colonial extractivist model and exacerbated by neoliberal policies of water privatization, reflects a deeper crisis of socio-environmental injustice. Rather than understanding water merely as a resource, this research adopts a relational epistemology that conceives water as a living entity shaped by and shaping social, cultural, and ecological relations. Drawing on life-history interviews and the construction of a hydrofeminist cartography with women river defenders, this article explores how gendered and racialized bodies experience the crisis, resist extractive practices, and articulate alternative modes of co-existence with water. The hydrofeminist framework offers critical insights into the intersections of capitalism, colonialism, patriarchy, and environmental degradation, emphasizing how women’s embodied experiences are central to envisioning new water governance paradigms. This study reveals how women’s affective, spiritual, and territorial ties to water foster strategies of resilience, recovery, and re-existence that challenge the dominant extractivist logics. By centering these hydrofeminist life histories, this article contributes to broader debates on environmental justice, decolonial feminisms, and the urgent need to rethink human–water relationships within the current climate crisis. Full article

The association between aluminum exposure and obesity remains uncertain. This study investigated whether aluminum exposure (dietary, serum, and urinary) is linked to obesity and whether dietary antioxidant capacity moderates this relationship. A total of 54 adult women (26 obese, 28 normal weight) were recruited from a private weight loss clinic in Türkiye. Dietary aluminum exposure was estimated using 24 h dietary recalls and literature values, and antioxidant capacity was calculated through a food frequency questionnaire. Serum and spot urine samples were collected, and aluminum levels were measured using inductively coupled plasma optical emission spectrometry. No significant differences were observed between normal weight and obese groups in serum aluminum (127.7 ± 102.42 vs. 122.9 ± 88.37 µg/L, p > 0.05), urinary aluminum (28.1 ± 12.73 vs. 14.1 ± 10.77 µg/L, p > 0.05), or weekly dietary aluminum exposure (0.61 ± 0.45 vs. 0.45 ± 0.24 mg/kg bw/week, p > 0.05). Dietary aluminum exposure correlated positively with total antioxidant capacity (r = 0.665, p < 0.001). Regression analysis revealed that dietary aluminum exposure was inversely associated with body mass index (β = −0.27, p < 0.05), while antioxidant capacity did not moderate this relationship, nor did the age difference. These results suggest dietary aluminum exposure reflects diet quality and/or food preparation methods, etc., rather than directly influencing obesity. Full article

This study proposes a deep learning-based, non-contact method for detecting elevated intraocular pressure (IOP) by integrating Scheimpflug images with corneal biomechanical features. Glaucoma, the leading cause of irreversible blindness worldwide, requires accurate IOP monitoring for early diagnosis and effective treatment. Traditional IOP measurements are often influenced by corneal biomechanical variability, leading to inaccurate readings. To address these limitations, we present a multi-modal framework incorporating CycleGAN for data augmentation, Swin Transformer for visual feature extraction, and the Kolmogorov–Arnold Network (KAN) for efficient fusion of heterogeneous data. KAN approximates complex nonlinear relationships with fewer parameters, making it effective in small-sample scenarios with intricate variable dependencies. A diverse dataset was constructed and augmented to alleviate data scarcity and class imbalance. By combining Scheimpflug imaging with clinical parameters, the model effectively integrates multi-source information to improve high IOP prediction accuracy. Experiments on a real-world private hospital dataset show that the model achieves a diagnostic accuracy of 0.91, outperforming traditional approaches. Grad-CAM visualizations identify critical anatomical regions, such as corneal thickness and anterior chamber depth, that correlate with IOP changes. These findings underscore the role of corneal structure in IOP regulation and suggest new directions for non-invasive, biomechanics-informed IOP screening. Full article

This article presents a comparative analysis of digital manufacturing laboratories (DMLs) in Mexico and Spain. It is argued that DMLs, also known as makerspaces or FabLabs, play a key role in innovation and experimentation, but that their success depends on the relationships they establish with social actors, such as local governments, universities, and firms. Key concepts of the transformative innovation approach such as “protective space” and “embeddedness” are introduced, which allow us to understand how DMLs operate within a complex system. The comparative analysis of a DML in Mexico City (Mexico) and a DML in Valencia (Spain) allows us to identify similarities and differences in their operational contexts. While the Mexican DML faces a lack of government support and dependence on the private sector, the Spanish one benefits from strong institutional support and public policies that facilitate its development. This results in greater stability and capacity for action for the Valencian FabLab VLC compared to the Mexican FabLab Finally, we reflect on how the embeddedness received from different social actors affects the autonomy and transformative capacity of DMLs, suggesting that while both labs have the potential to innovate, their contexts and relationships determine their effectiveness and sustainability in the digital sociotechnical system. Full article