Search Results (12,610)

Application Tracking Systems (ATSs) have evolved significantly since their inception in 1996, transitioning from simple resumérepositories to AI-driven tools with advanced capabilities. While these developments have improved recruitment efficiency, they have also raised important ethical, organizational, and human-rights-related concerns. Bias in machine learning (ML) training data, opaque decision criteria, and excessive reliance on automated judgment may contribute to unfair treatment, reduced transparency, and limited human oversight in hiring processes. This study addresses these challenges by proposing a human-centered approach to ATS-supported recruitment based on a set of Humanization Services. Using a Design Science Research approach, three main artifacts were developed: a Job Requirements Validation Module, a Bias Trigger Removal Module, and a blockchain-supported dual-authorization mechanism for vacancy approval, which requires digital signatures from qualified professionals to approve job postings, ensuring that there are humans that assume responsibility. These components are intended to improve job posting quality, reduce bias-conducive information in applicant data, and strengthen accountability in recruitment workflows. The evaluation provides initial empirical support for the operational feasibility of the proposed approach under the tested conditions. The study therefore contributes a practical and theoretically grounded step toward more transparent, accountable, and human-centered AI-supported recruitment. Full article

Background: Although pre-exposure prophylaxis (PrEP) has demonstrated strong clinical efficacy in preventing HIV infection among men who have sex with men (MSM), real-world utilization remains suboptimal. In South Korea, MSM constitute a major population within the domestic HIV epidemic; however, PrEP uptake has not increased pro-portionally to awareness. This discrepancy has been conceptualized as the “awareness–uptake gap,” reflecting multi-level barriers beyond individual knowledge. Purpose: This integrative review aimed to compare PrEP awareness, acceptance, and utilization among MSM populations in South Korea and international settings, and to identify structural, institutional, and psychosocial determinants contributing to the awaness, uptake gap. The study further sought to derive practical implications for nursing practice and health policy. Methods: An integrative literature review was conducted following Whittemore and Knafl’s five-step methodology and reported in line with PRISMA guidance. Electronic searches were performed in PubMed, Google Scholar, RISS, ScienceON, and DBpia for peer-reviewed studies published between 2015 and 2025 in English or Korean. The final search was completed on 31 January 2026. A total of 5952 records were identified, and 187 studies met the inclusion criteria after screening and duplicate removal. Quality appraisal was conducted using AXIS, Newcastle-Ottawa Scale, RoB 2.0, CASP, and MMAT according to study design, and the findings were synthesized within an environmental–structural–individual framework. Results: The included studies consistently showed that awareness of PrEP exceeded actual uptake. Across settings, the awareness–uptake gap was shaped by policy environment, service accessibility, stigma, privacy concerns, economic burden, institutional complexity, and provider preparedness. Comparative evidence from China, Thailand, Belgium and France, Brazil, and West Africa further suggested that awareness alone did not ensure uptake when service pathways were fragmented, culturally unsafe, or poorly understood. Conclusions: Closing the awareness–uptake gap requires integrated policy and practice strategies that extend beyond cost reduction. Strengthening confidentiality systems, simplifying service pathways, and enhancing provider competency—particularly through nurse-centered PrEP navigation and counseling models—may support more sustainable PrEP expansion among MSM populations in global settings. Full article

In light of the accelerating process of global urbanization, the quality of cultural ecosystem services (CES) in urban parks has become a core metric for efforts to promote urban livability and sustainable cities. However, previous research has failed to consider the differential impacts of the external environment across various travel scenes. In this study, 32 parks in Chengdu serve as the empirical data, and public CES perception data are extracted from social media comments via text mining. Based on a unified 15 min time threshold, we delineate the service scope for four travel scenes and employ geographically weighted regression and piecewise regression models to analyze the spatial heterogeneity, driving mechanisms and threshold effects associated with the relationship between external environmental factors and park CES. The findings indicate that the external environment’s influence on CES exhibits a “scene-factor-scale” adaptation pattern. Walking scenes are influenced primarily by land-use and population factors; in contrast, cycling scenes rely on the availability of shared bicycle facilities, and public transport and driving scenes are driven by economic vitality and traffic-support factors, respectively. Five critical thresholds are identified, including a 40% impervious surface area. This research proposes scene-based optimization strategies and helps enhance the “external environment–travel behavior–spatial characteristics” coupling framework, thereby serving as a scientific reference for efforts to improve 15 min living circles. Full article

Background: Families caring for children with medical complexity (CMC) face sustained psychosocial demands that may impair health-related quality of life (HRQoL) and mental health. A clear map of how these outcomes are assessed and which factors shape them is needed to guide family-centered care. Methods: We conducted a scoping review following the Joanna Briggs Institute guidelines, and reports were prepared according to the PRISMA guidelines. Searches were conducted in PubMed, CINAHL, and EMBASE (January 2011 to December 2023) to find studies reporting on health-related quality of life (HRQoL) and/or mental health outcomes (anxiety, depression, burden) of family members and/or caregivers of CMC, including operationalization based on complex chronic condition (CCC) classifications, technology dependency, or the Pediatric Medical Complexity Algorithm (PMCA). Two reviewers independently screened records and recorded data, and the findings were synthesized narratively and thematically. Results: Sixty-seven studies met the inclusion criteria and spanned cross-sectional, cohort, case–control, pre–post and qualitative designs across conditions such as epilepsy, congenital heart disease, cerebral palsy, technology dependence and cancer. Common measures were PedsQL™ Family Impact Module, SF-36/12, HADS, Beck inventories and Zarit burden scales. Across the included studies, caregivers, predominantly mothers, frequently reported poorer HRQoL and higher levels of anxiety, depressive symptoms, or burden than comparison groups when these were available. Six recurrent themes emerged: (1) gendered caregiving with disproportionate maternal burden; (2) socio-economic gradients and financing models shaping outcomes; (3) culture, religion and spirituality as coping resources; (4) family and social support buffering distress; (5) school participation and coordinated services potentially reducing burden; and (6) interdependence between caregiver and child outcomes. Conclusions: Heterogeneous CMC definitions, outcome measures, and study designs limited comparability across studies. The mapped evidence suggests that family HRQoL and mental health outcomes are shaped by interacting clinical, social, and contextual factors. These findings may inform more family-centered and equity-oriented approaches to care. Future research should harmonize CMC definitions, standardize outcome measures, and prospectively evaluate multicomponent interventions. Full article

Unmanned Aerial Vehicle Ad Hoc Networks (UAVANETs) are characterized by highly dynamic topology changes and unstable link conditions, which necessitate deep collaboration between transport-layer congestion control and network-layer routing decisions to ensure service quality. However, the existing layered architecture of Software-Defined Networking (SDN) results in a significant separation between routing information and congestion control mechanisms, rendering traditional protocols ineffective in handling severe performance fluctuations caused by highly dynamic route switching. The significant disconnect between network-layer route planning and transport-layer congestion control strategies in Software-Defined Unmanned Aerial Vehicle Ad Hoc Networks (SD-UAVANETs) leads to degraded transmission performance of BBR (Bottleneck Bandwidth and Round-trip propagation time) under high-dynamic route switching scenarios. As such, this paper proposes an in-band network telemetry (INT)-based cross-layer optimization scheme for BBR, named SDN-BBR. Firstly, a lightweight real-time route switching detection mechanism based on INT is designed. Secondly, a QoS inequality model before and after path switching is established, deriving the critical bandwidth of the new path and integrating it into the BBR algorithm to accelerate convergence and avoid congestion. Finally, the BBR state machine is redesigned to achieve cross-layer information fusion and coordinated control, thereby optimizing transmission performance. Experimental results show that the proposed scheme reduces convergence time by 69.8% and increases throughput by 73.9% in low-bandwidth to high-bandwidth switching scenarios; decreases packet loss rate by 86.8% and reduces delay by 8.3% in high-bandwidth to low-bandwidth switching scenarios; and improves throughput by 12.3%, lowers packet loss rate by 21%, and reduces delay by 7.9% in multi-traffic flow concurrent scenarios. The scheme significantly enhances the transmission performance of BBR in highly dynamic routing environments of SD-UAVANET. Full article

This study reconceptualises marginality in China’s inter-provincial border regions as a dynamic, scale-sensitive spatial relationship rather than a static condition of underdevelopment. Using the Hubei–Henan–Anhui border area as a case study, we quantitatively assess marginality across three dimensions—production, livelihood, and ecology—based on panel data from 61 counties for 2000, 2010, and 2021. The entropy-weighted TOPSIS method is used to calculate comprehensive development indices, and geographic detector models identify key driving factors. The results show that production marginality is persistently shaped by economic level and industrial structure. Livelihood marginality exhibits a clear temporal shift: dominant drivers move from healthcare security to cultural amenities and finally to transport accessibility. Ecological marginality remains primarily determined by natural endowments such as habitat quality and ecosystem services. Theoretically, the study advances marginality analysis by integrating spatial, temporal and dimensional perspectives. Practically, it offers a diagnostic framework to support differentiated, cross-administrative governance strategies that can transform peripheral border regions into cooperative hubs. Full article

High-speed railway services represent complex service environments in which customers evaluate both functional performance and lived experience. Thus, this study investigates how high-speed railway service quality influences customer satisfaction, and further examines whether consumer emotions affect the relationship between them. Data were collected via an online survey of 558 customers with recent travel experience at major high-speed railway stations in Guangzhou. Service quality was captured via reliability, responsiveness, empathy, tangibility, and compensation; emotions were measured as positive and negative affects. Main and interaction effects were estimated using hierarchical regression. Findings suggest a strong positive link between overall service quality and satisfaction. Four of the five dimensions have significant positive effects, whereas compensation is not significant. In addition, positive emotions amplify the effects of all five service quality dimensions on satisfaction, while negative emotions reduce the effects of empathy, tangibility, and compensation on satisfaction but do not significantly affect the effects of reliability or responsiveness. Overall, satisfaction in a high-demand hub depends on dependable operations, timely support, considerate encounters, and well-maintained facilities, alongside emotional experience management to improve service management across the overall journey. Full article

Objective: To determine the publication bias of the reported prevalence of malocclusions in Mexican children and adolescents. Background: Publication bias determination is crucial in a systematic review, helping to ensure the conclusions’ validity and reliability. Nevertheless, without accurate knowledge of disease prevalence and patterns, the health system risks inefficiency, inequity, and failure to meet the population’s needs. On the other hand, malocclusions can impair proper chewing efficiency, contributing to digestive alterations, and nutritional deficiencies among other functional, psychological, and social problems. The data of the prevalence of malocclusion is imperative to implement early interventions in health services that prevent more severe skeletal discrepancies and reduce the need for invasive treatments in adolescence or adulthood. Methods: Studies were collected from five databases, following the PRISMA and Cochrane guidelines for systematic reviews. Eligibility criteria were full-text research in which the prevalence of malocclusions was reported. The risk of bias (Hoy tool), publication bias (the Doi plot and the Luis Furuya-Kanamori (LFK) index), and quality assessments (GRADE tool) were performed. The data were combined using a random-effects meta-analysis. Results: The result of the meta-analysis suggests a high prevalence of malocclusions in mixed dentition was 50.2% (95% confidence interval [CI]: 38.9–61.5%). However, the studies showed a risk of bias and publication bias. Conclusions: In Mexico, there is a high prevalence of malocclusions among children and adolescents. However, these results are not robust enough to draw solid conclusions, due to the low certainty of the evidence. Full article

Background: Population-level evidence on delivery of neuro-oncology care is essential for evaluating access, equity, and quality of treatment pathways. However, real-world data describing how patients with central nervous system (CNS) tumors, especially with glioblastoma, are managed across healthcare systems remain limited. This study aimed to characterize treatment pathways using linked registry and administrative data within a regional care network. Methods: All adult CNS tumors diagnosed between 2016 and 2020 were identified in the Veneto Cancer Registry. Tumor grading was derived using a validated text-mining algorithm, and surgical, radiotherapy, and systemic treatments were captured through linkage with regional healthcare utilization databases. Patterns of care were evaluated by tumor subtype, grade, and diagnostic pathway. Results: Among 1634 histologically confirmed tumors, glioblastoma represented the largest group. Surgical intervention was widely implemented, with high resection rates in glioblastoma and meningioma. Combined chemoradiotherapy constituted the primary adjuvant approach for glioblastoma and high-grade diffuse gliomas, whereas management of lower-grade tumors showed greater variability. Approximately one-third of patients received no oncologic therapy, primarily associated with older age or diagnostic uncertainty. Analysis of recurrent glioblastoma showed heterogeneous systemic treatment use, reflecting evolving therapeutic practice. Conclusions: Linking population-based registry and administrative data provides actionable insight into real-world delivery of neuro-oncology care, in particular for glioblastoma patients. This approach enables monitoring of treatment variability, identification of potential access gaps, and evaluation of system-level performance, supporting data-driven planning of multidisciplinary services and future quality improvement initiatives. Full article

This article presents the experimental characterization of a 3D-printed conformal $2\times 1$ microstrip array antenna designed for 2.4 GHz WiFi backscatter applications in indoor IoT scenarios. Starting from a planar configuration, three conformal states (${30}^{\circ }$, ${60}^{\circ }$, and ${90}^{\circ }$) were realized to systematically evaluate the effect of bending. Detailed simulation and measurement results were obtained in terms of gain, efficiency, and radiation patterns, with the measured gain decreasing from 9.4 dBi in the flat case to 6.2 dBi at ${90}^{\circ }$ bending. To evaluate the system-level impact of these measured gain variations, the measured power levels were incorporated into a TDMA-based WiFi backscatter link model, and the achievable bit transmission rate was assessed under practical indoor conditions, including line-of-sight (LoS), non-line-of-sight (NLoS), and residual interference effects. The main contribution of the work lies in combining the experimental validation of a fully 3D-printed RF-grade conformal antenna with a system-level WiFi backscatter assessment. The combined analytical–experimental results indicate that increasing curvature reduces the achievable maximum bit transmission rate and leads to earlier infeasibility under tighter quality of service (QoS) thresholds within the tested 2.4 GHz indoor WiFi backscatter conditions, suggesting that conformal geometry is an important design consideration for the studied setup. Full article

The Horn of Africa (Kenya, Djibouti, Uganda, Eritrea, Somalia, Ethiopia, South Sudan, and Sudan) faces the highest rates of hunger and malnutrition in the world, exacerbated by conflict and adverse weather conditions. These factors have serious health, educational, social, and economic consequences, especially for children under five and pregnant women. In this context, we analyze each country’s progress toward Sustainable Development Goals (SDGs) 1, 2, 3, and 4, which are closely linked to the eradication of hunger, improved health, and access to quality education. Using comparable data from the United Nations 2030 Agenda up to 2019, the achievement of the SDGs is assessed through a multidimensional approach based on Pena’s P₂ distance method, constructing a composite indicator that allows for robust cross-country comparisons. This method helps identify the key measures needed to prevent future humanitarian crises in the Horn of Africa, including providing urgent assistance to these countries in vital areas such as water, nutrition, education, sanitation, and child and maternal immunization. Factors related to the work of qualified healthcare personnel in treating diseases and improving maternal and neonatal health, as well as facilitating access to basic services such as clean drinking water and sanitation and ensuring girls’ access to primary education, top the rankings in terms of their correlation with greater progress by these countries in achieving these four SDGs, which are crucial for improving the well-being of their populations. Full article

Coastal alluvial plains underlain by unconsolidated deposits are prone to land subsidence, a geohazard that can damage infrastructure and alter drainage patterns. One such example is the Venetian–Friulian coastal plain (NE Italy), where natural sediment compaction and anthropogenic activities have led to ground deformation across multiple zones. From this perspective, this study presents a 30-year analysis of land subsidence across the Venetian–Friulian plain, particularly highlighting municipalities such as Portogruaro, Concordia Sagittaria, San Stino di Livenza, Eraclea, and Caorle. The dataset comprises multi-source SAR data from ERS, Envisat, COSMO-SkyMed (CSK), Sentinel-1, and the European Ground Motion Service (EGMS), covering the period from 1992 to 2021. The study integrates multi-platform SAR observations with ADAFinder-based extraction of Active Deformation Areas (ADAs), data quality evaluation using the Quality Index (QI), building-scale analysis based on LOS-derived vertical displacement time series, and orthophotos to confirm the building’s presence and evolution. By using the adopted extraction thresholds, a total of 57, 16, 83, 33, and 72 ADAs were identified from the ERS, ENVISAT, COSMO-SkyMed, Sentinel-1, and EGMS datasets, respectively. The result suggests that the strongest deformation occurred during the earlier observation periods in Zones 1 to 3, then progressively stabilized, whereas some parts of Zone 4 remained active and showed renewed deformation during the later periods. The research highlights the importance of conducting long-term analysis using multi-platform interferometric datasets to refine and personalize outcomes in geohazard monitoring. The findings from this research offer invaluable insights into the ongoing surveillance of geohazards, which are progressively related to urban development and planning. Full article

Reinforced concrete structures must balance immediate structural performance with long-term durability against environmental degradation, particularly carbonation-induced corrosion. While traditional cast-in-place concrete covers serve as the primary barrier, their substitution with prefabricated permanent formworks made of fiber-reinforced cementitious composites often fails to provide the necessary protective qualities required for aggressive environments. This study evaluates the durability and mechanical behavior of sisal-fiber-reinforced cementitious composites specifically engineered for use as permanent formwork. Short sisal fibers, treated by hornification to enhance dimensional stability and fiber–matrix adhesion, were incorporated at dosages of 2%, 4%, and 6% by weight. The experimental program included tests for water absorption, ultrasonic pulse velocity, axial compression, three-point flexural strength, and accelerated carbonation. The results indicated that composites with 2% and 4% of fibers exhibited reduced water absorption, sorptivity, compressive strength, and modulus of elasticity compared to the reference cement matrix. Residual stress values further demonstrated that the composites maintain significant post-cracking strength and stress transfer capacity, confirming their viability for structural elements. Although sisal-fiber-reinforced cementitious composites exhibit higher porosity and water absorption than conventional concrete used as reinforcement cover, they show sufficient resistance to carbonation to ensure a service life exceeding 50 years for reinforced concrete elements. Full article

Ensuring the structural integrity and service reliability of railway wheels has become a key challenge in modern manufacturing and maintenance strategies within the railway sector. In this context, Eddy Current (EC)-based Non-Destructive Testing (NDT) provides an automated and efficient approach for detecting surface and near-surface defects, while reducing inspection time and operator dependency compared to conventional manual methods. This study presents the integration of an EC inspection system into a precision lathe, enabling in-machining evaluation during wheel turning. Experimental validation was conducted on wheels with artificial defects, yielding high signal-to-noise ratios and enabling reliable defect characterization. Furthermore, computationally efficient and easily deployable machine learning algorithms were developed to enable automatic defect detection, localization, and size estimation. The results confirm the feasibility of in-machine EC inspection during machining operations, enabling early defect detection and contributing to safer, more efficient, and higher-quality manufacturing processes in the railway sector. Full article

Background: Podiatrists are crucial for managing lower limb pathologies, and effective appointment scheduling is vital for allocating adequate consultation time based on patient conditions. While occasional late patient arrivals may not significantly impact services, frequent lateness can disrupt patient flow and quality of care. This study explored the impact of patient lateness on podiatry practices worldwide, where no countries of origin were excluded. This study assessed current strategies to manage patient lateness, evaluated their effectiveness and reported recommendations for improvement. Methods: An international cross-sectional online survey was conducted between January and March 2024. Results: The survey, which garnered 201 responses from podiatrists, revealed that over 90% of podiatrists experienced disruptions in their clinic workflow due to late patients. Common reasons for lateness included traffic issues and difficulties with parking. SMS reminders emerged as the most effective tool for reducing tardiness. Over half (59.3%) of podiatrists implemented a 10-minute grace period before rescheduling late appointments, which effectively reduced lateness by 50%. However, some podiatrists refrained from rescheduling to avoid worsening patients' conditions or dealing with complaints. Additionally, many podiatrists reported a lack of managerial support in handling late patients. Conclusion: The frequency of late arrivals in podiatry is similar to other health professions and negatively impacts clinic workflow and staff morale. Enhanced managerial support is needed to better manage late patients, allowing podiatrists to concentrate on their clinical responsibilities. Full article