Search Results (85,032)

Multi-objective optimization problems (MOPs) are ubiquitous in scientific research and engineering applications, where multiple conflicting objectives must be optimized simultaneously. Unlike traditional multi-objective evolutionary algorithms, which aim to approximate the entire Pareto front, preference-based multi-objective evolutionary algorithms (PBMOEAs) incorporate decision maker preferences to guide the search toward a region of interest (ROI). This paper presents a focused survey of PBMOEAs using a three-dimensional analytical framework consisting of preference articulation mode, preference modeling approach, and preference incorporation mechanism. Under this framework, the survey reviews major preference modeling approaches and preference incorporation mechanisms, and further discusses three practical issues critical to PBMOEA design: the effectiveness of preference incorporation, the practical limits of interactive methods, and the role of visualization in ROI-oriented decision support. Findings indicate that while PBMOEAs enhance decision-making efficiency, their performance hinges on preference quality, problem characteristics, cognitive load, and method suitability. Future directions include unified modeling, comprehensive evaluation, human-centered design, and integrating surrogate models, explainable learning, and LLM-assisted interfaces. Full article

As work–life balance (WLB) is considered the main premise of a sustainable workforce, organizations and policymakers direct their efforts toward helping employees attain it. However, there is a lack of research on organizational efforts to sustain WLB across different work arrangements. This study, therefore, explores the relationships among WLB culture, boundary control, and WLB among teleworkers and on-site workers. A two-wave survey with a six-month time lag involved 379 white-collar employees from various industries. The results showed that WLB culture was associated with greater boundary control over time. Moreover, this effect was significant only among office workers but not among teleworkers, suggesting that WLB culture is more important when working on site. Additionally, greater boundary control was related to a higher affective dimension of WLB, but not with the effectiveness dimension, six months later. Practical and empirical implications for organizational practices that enhance work–life balance across various settings are discussed. Full article

With the deployment and application of the Fifth-Generation (5G) mobile communication technologies and the ongoing research and development of the Sixth-Generation (6G) mobile communication technologies, the space–air–ground–sea integrated network has become the core development vision for future communications. As aerial nodes, Unmanned Aerial Vehicles (UAVs) can be applied in a wide range of scenarios, including emergency rescue, surveying and mapping, environmental monitoring, and communication coverage enhancement. In terms of communication coverage enhancement, the space–air–ground integrated network, with UAVs as a key component, can provide seamless communication coverage for the full-domain three-dimensional space such as remote areas, deserts, and oceans. Benefiting from advantages such as low cost and high flexibility, UAVs have become a critical research focus, and the one-hop Base Station (BS)–relay UAV–slave UAV architecture for communication coverage enhancement has emerged as an important development direction. However, the high mobility and wide coverage characteristics of UAVs also pose significant synchronization challenges. Aiming at the uplink synchronization problem on the sidelink between slave UAVs and the relay UAV, a two-step random-access scheme based on Asynchronous Non-Orthogonal Multiple Access (A-NOMA) is designed to mitigate the Doppler Frequency Offset (DFO), improve access efficiency, reduce resource consumption, and accommodate the asynchrony among different users. This scheme leverages the existing preamble sequences of the Physical Random Access Channel (PRACH) and realizes DFO estimation in combination with the pairing index. On this basis, a Successive Interference Cancellation (SIC) algorithm based on DFO and phase compensation is designed to complete the demodulation of user data. For the downlink synchronization problem on the sidelink between slave UAVs and the relay UAV, the frequency offset estimation performance is improved by redesigning the resource allocation scheme of the Sidelink Synchronization Signal Block (S-SSB). Meanwhile, considering the energy constraint of UAVs, a downsampling-based detection scheme is designed to reduce UAV power consumption, and a full-link algorithm is developed to support the practical implementation of the proposed scheme. Full article

Background/Objectives: Type 2 diabetes mellitus (T2DM) is a major public health challenge, and several lifestyle-related factors associated with later T2DM may already emerge during the secondary school years. Socioeconomic status (SES), nutrition-related behaviors, physical activity, and basic diabetes-related knowledge may shape these early risk-related patterns. This study examined the relationships between SES, adapted FINDRISC-based T2DM-related risk patterns, and diabetes-related knowledge among Hungarian secondary school students aged 16–20 years. Methods: A nationwide, cross-sectional questionnaire survey was conducted among students attending Hungarian Baptist secondary schools (N = 1585). SES was classified by Two-Step cluster analysis based on parental education, parental occupation, number of books in the household, and frequency of travel abroad. Relative T2DM-related risk patterns were described using an age-adapted FINDRISC-based screening approach, and basic diabetes-related knowledge was assessed using a 12-item questionnaire. Associations were examined using cross-tabulation and regression analyses in SPSS version 27.0. Results: Most respondents fell into the lower categories of the adapted FINDRISC-based screening framework, whereas 7.4% were classified into the moderate or high adapted FINDRISC-based screening categories. SES was significantly associated with adapted FINDRISC-based screening categories (p < 0.001). Compared with the medium-SES group, students in the low-SES group had higher odds of belonging to a higher adapted FINDRISC-based screening category (OR = 1.81; 95% CI: 1.27–2.57; p = 0.001). SES was also significantly associated with basic diabetes-related knowledge profiles (p = 0.015); students with high SES were less likely to be in the low-knowledge group than in the high-knowledge group (OR = 0.62; p = 0.039). Conclusions: Social inequalities in T2DM-related risk patterns and diabetes-related knowledge are already visible among secondary school students aged 16–20 years. The adapted FINDRISC-based approach may be useful as a school-based, non-invasive descriptive screening framework for characterizing relative T2DM-related risk patterns, but it is not a validated risk prediction instrument for this age group. Full article

Objective: Influenza and pertussis vaccines are recommended during pregnancy; however, uptake remains insufficient in many European countries, increasing the risk of preventable infections. Recent recommendations for maternal respiratory syncytial virus vaccination have been endorsed by scientific societies. This study evaluated maternal vaccination coverage, knowledge, attitudes, and factors influencing vaccine uptake among Lithuanian women. Methods: A retrospective cross-sectional online survey was conducted between 4 and 14 November 2025 in Lithuania among women aged 18–55 years with at least one previous pregnancy. The questionnaire contained 29 questions on sociodemographic characteristics, obstetric history, vaccination history, attitudes, and informational sources influencing decisions. Internal reliability was confirmed (Cronbach’s α = 0.83). Descriptive statistics were used to summarize the data. Associations between categorical variables were assessed using the Chi-square test or exact tests (Fisher’s exact or Fisher–Freeman–Halton). Binary and multivariable logistic regression analyses were performed to evaluate factors associated with self-reported vaccination uptake and the relationship between influenza and pertussis vaccination. Odds ratios with 95% confidence intervals were calculated. Statistical significance was set at p < 0.05. Results: A total of 241 women participated. Self-reported vaccination coverage during pregnancy was 28.7% for influenza, 43.8% for tetanus–diphtheria–pertussis, and 4.2% for respiratory syncytial virus. Physician’s recommendation was the strongest predictor: women advised to vaccinate were 17.0 times more likely to receive influenza, 16.5 times more likely to receive pertussis, while RSV vaccination occurred almost exclusively among women who reported receiving a physician’s recommendation. Higher uptake was associated with younger maternal age and university education. Reasons for declining vaccination were avoidance of medical interventions and concerns about safety or side effects. Conclusions: Maternal vaccination coverage in Lithuania remains low despite public funding and national recommendations. Strengthening provider communication, improving information strategies, and integrating vaccination counseling into routine antenatal care may increase uptake and enhance maternal and neonatal protection. Full article

Fiji, with its many islands and mountainous terrain, has only about 11% of its total land area (2000 km²) suitable for cultivation. Therefore, it aims to meet both energy and food production simultaneously through agricultural photovoltaic (APV) systems. This study proposed an optimal agricultural management of APV system to increase farm income and solve the problem of low vegetable production. The practice is planned based on the data from farmer surveys, field study, simulation analysis, and agricultural market analysis. Firstly, a farmer survey was conducted to gather data on the agricultural activities and income of local farmers. Based on the survey results, field studies with various vegetables were conducted in an APV system. In simulation, yields of lettuce, taro, long bean, and cucumber were estimated in the APV system with different cropping management techniques (planting schedule and plant density). With the average yields of lettuce, taro, long bean, and cucumber at highest plant densities being (72.4, 71.1, 3.9, and 10.8) Mg/ha, respectively, according to economic analysis, the highest gross margin was achieved in taro in the APV system. This study shows that the APV system can increase farmers’ annual household income by 1.19 to 1.38%, which represents a meaningful absolute gain given the low average income levels identified in the farm survey. Full article

This research develops a new low-cost method for continuous flow monitoring in open channels. Flow is calculated using a standard 1D hydraulic model that integrates surveyed cross-sections and water level measurements at the boundaries of a studied reach, from which the name Boundary Water Level Method (BWLM) is derived. By implementing low-cost ultrasonic sensors for water level measurement, the method gains advantage for application on smaller channels, which are often not included in national hydrological monitoring networks due to limited budgets. New and innovative monitoring methods in hydrology are a necessary alternative to increasing the monitoring budgets, especially for continuous, real-time flow monitoring. Like any novel method, it requires validation under the intended environmental conditions, especially when designed primarily for ungauged channels. Validation was conducted on two test-sites by comparing the BWLM discharge and the discharge from official hydrological stations, with an error of up to 15%. BWLM provides reliable discharges using estimated hydraulic roughness values based on the literature and experience. Sensitivity analysis of the estimated hydraulic roughness coefficient demonstrated a substantial influence on the resulting discharge values. This has to be considered when implementing the method in unstudied basins. Full article

Parental involvement is widely recognized as a key component of effective schooling, particularly in educational environments that emphasize community, developmental continuity, and holistic pedagogy. Alternative education models such as Waldorf schools have expanded internationally, yet empirical evidence on how parents perceive and structure their experiences within these institutions remains limited. This study investigates parental perceptions of Waldorf education in Hungary through a nationwide questionnaire survey of 585 parents whose children attend Waldorf schools. To explore the latent structure of parental evaluations, Exploratory Factor Analysis was conducted, followed by Confirmatory Factor Analysis to test the stability of the resulting model. The analyses identified four coherent dimensions of parental experience: Trust and Pedagogy, Community and Engagement, Perceived Long-Term Educational Prosperity, and Information and Transparency. Additional analyses examined how these dimensions vary according to institutional characteristics, parental participation in school community activities, and intentions regarding long-term enrollment. The results indicate that pedagogical trust constitutes a relatively stable evaluative dimension across institutions, while perceptions related to community engagement, long-term educational prospects, and transparency are more strongly associated with institutional maturity. Parents who intend to remain in Waldorf education until the completion of upper secondary schooling report consistently higher evaluations across all dimensions. By empirically identifying the structure of parental experiences in a European alternative education context, the study contributes to research on parental engagement, school choice, and the institutional cultures of alternative schooling. Full article

Background/Objectives: Temporal bone surgery in children is technically challenging due to their smaller anatomical structures, developmental differences, and the closer proximity of critical neurovascular structures. The limited availability of conventional training materials and pediatric cadaveric specimens has led to greater enthusiasm for simulation-based methods. The aim of this systematic review was to identify existing otologic simulation models and evaluate their anatomical accuracy, teaching effectiveness, and supporting evidence. Methods: In accordance with PRISMA guidelines, the PubMed, Embase, Scopus, and Cochrane Library databases were searched for studies reporting simulation tools for pediatric otologic surgery. Articles describing three-dimensional printed (3DP) models, virtual reality (VR) platforms, cadaver specimens, and animal models were included. Studies focusing on children and providing educational outcomes were selected. The extracted data were synthetized and analytically discussed. Results: Thirteen studies met the inclusion criteria: nine on 3DP models and four on VR environments. No research involving cadavers or animals was identified. 3DP models exhibited consistent anatomical accuracy and notable educational advantages. Five studies used surveys for their evaluations, and three relied on expert observer assessments. The studies including validation analyses showed a high correlation between printed models and computed tomography (CT) images. VR systems supported anatomical reconstruction and segmentation tasks, as well as guided simulation exercises. However, most of the research consisted of feasibility studies with limited participant groups. Conclusions: Simulation-based training with 3DP and VR models could be ethical and accurate methods for obtaining relevant skills in pediatric otologic surgery. The reviewed data suggest that these tools may be suitable as a first-line step within an integrated, multimodal training pathway prior to direct patient contact. Full article

This study examines how military professionals interpret claims about decision making in volatile, uncertain, complex, and ambiguous (VUCA) environments. A survey of active-duty personnel (N = 225) from the Norwegian Armed Forces (2024–2025) was used to assess whether endorsement of Klein’s 11 decision-making claims reflects a unified construct or several distinct decision-making beliefs. After removing two items with insufficient communalities, exploratory factor analysis (principal axis factoring with Oblimin rotation) was conducted on the remaining nine items. Sampling properties were adequate (KMO = 0.741; Bartlett’s χ² (36) = 282.86, p < 0.001). Comparative model testing indicated that a two-factor structure provided a better fit than a unidimensional model, accounting for 29.24% cumulative variance. The resulting dimensions—Planning/Structure (e.g., “Identify and mitigate risks,” loading 0.618) and Analytic/Evidence-based practices (e.g., “Prefer logic over intuition,” loading 0.556)—showed acceptable internal reliability (α = 0.65 and α ≈ 0.71). These findings suggest that military professionals’ endorsement of Klein’s framework is not unidimensional but instead reflects two complementary attitudes about effective decision making. This bifactorial structure offers a theoretically grounded basis for advancing research on adaptive decision making in the military and other high-stakes operational contexts. Full article

During a survey of myxozoan diversity in fishes from Hunan Province, two new Myxidium species were discovered infecting the gallbladder of Sarcocheilichthys kiangsiensis Nichols, 1930 and Sarcocheilichthys parvus Nichols, 1930, in Dongting Lake, China. In both cases, myxospores were observed freely floating in the biles, with no typical plasmodia detected. Morphologically, both of them can be differentiated from previously described congeners by a combination of features, including myxospore dimensions, polar capsule shape, number of polar tubule coils and shell valve striations. BLASTn research indicated that neither species matched any available species in GenBank. The highest sequence similarity for Myxidium kiangsiensis n. sp. was 98.54% with M. asiaticum Chen et al., 2020 (PQ776264), and that for Myxidium parvusis n. sp. was 93.06% with Zschokkella guelaguetza Alama-Bermejo et al., 2023 (OQ888223). This study represents the first record of Myxidiidae infection in Sarcocheilichthys hosts. Phylogenetic analysis based on the obtained SSU rDNA sequences placed the two species in separate subclades interspersed with other Myxidium and Zschokkella species. This topology further corroborates the polyphyletic nature of these two genera. Full article

Background: Effective communication improves patient satisfaction and reduces stress for both patients and physicians. Surveys consistently highlight the importance of strong communication skills among physicians, especially in oncologic settings. Yet, communication training is neither ubiquitous nor standardized in medical studies or residency, and physicians report that this task represents a burden for them. Given the limited data addressing the observations and expectations of patients with gynecologic malignancies when receiving bad news, this survey aimed to assess their perspective on this topic. Methods: We examined throughout an anonymous questionnaire how patients with gynecological and breast cancer experienced the delivery of bad news. Data were collected in Germany from July 2024 to September 2025. The questionnaire was available online and in paper form in four languages (German, English, Turkish, Arabic), with the purpose of recording culture-specific data. Results: A total of 249 patients completed the survey. Regarding the overall need for improvement in delivering bad news, 222 women (94.5%) declared that improvement was necessary, with 92 (39.1%) of them indicating that substantial improvement was required. While 67.9% of patients were content with the physician’s professional competence, 30.5% stated a lack of empathy, and 32.9% stated insufficient time for conversation. When comparing satisfied and dissatisfied patients, significant differences were observed across several aspects, such as consultation length, nonverbal communication, calmness of the setting, stress level after the conversation, and the offer to bring a trusted person or arrange a follow-up conversation. Conclusions: This patient survey highlights a persistent gap between patients’ expectations and physicians’ performance when it comes to delivering bad news. The findings underline the urgent need for the implementation of systematic training programs and structured communication protocols in gynecologic oncology. Full article

This study aimed to examine the impact of online social support on sleep quality and the potential roles of psychological resilience and digital literacy in this relationship. A cross-sectional survey was conducted with 606 university freshmen from a college in Hengyang City, Hunan Province, China, using cluster random sampling. Data were collected using the Online Social Support Questionnaire, Pittsburgh Sleep Quality Index (PSQI; note that higher PSQI scores indicate poorer sleep quality), Connor–Davidson Resilience Scale, and Domestic College Student Digital Literacy Assessment Scale. Statistical analysis was conducted using SPSS 27.0, with mediation effects tested via the PROCESS macro. The analytical results demonstrated that online social support showed a significant negative predictive effect on the sleep quality of university freshmen (β = −0.11, p < 0.01); psychological resilience exhibited a suppression effect (i.e., opposing direct and indirect effects) between online social support and sleep quality; and digital literacy moderated the first half of the mediation pathway (β = 0.18, p < 0.001). Collectively, this study shows that online social support directly harms sleep quality but indirectly benefits it by enhancing psychological resilience. Digital literacy serves as a key moderator that amplifies this beneficial indirect effect. These findings provide significant theoretical and practical insights for developing campus health promotion initiatives. Full article

Background/Objectives: Dietary sweetener use is common among individuals with diabetes, yet little is known about the socioeconomic and dietary factors that influence the choice between caloric and artificial sweeteners in Central and Eastern Europe. This study examined the determinants of caloric and artificial sweetener use among adults with diabetes mellitus (DM) in Hungary. Methods: We conducted a cross-sectional analysis using frequency-based self-reported dietary measures of 542 adults with self-reported DM from the 2019 European Health Interview Survey (EHIS). Weighted descriptive statistics and multivariable logistic regression models were used to evaluate associations between sweetener use and sociodemographic, lifestyle, and dietary characteristics. Results: Overall, 28.0% of participants reported daily use of caloric sweeteners, and 45.2% reported daily use of artificial sweeteners. Higher educational attainment and healthier dietary patterns, including greater fruit and vegetable consumption, were associated with lower odds of caloric sweetener use. Individuals with lower fruit and vegetable intake, less frequent fruit juice consumption, and poor adherence to diabetic diet recommendations were more likely to use caloric sweeteners. In contrast, artificial sweetener use was strongly associated with daily fruit consumption, lower intake of fruit juice, and adherence to a diabetic diet. Vegetable intake showed a positive association with artificial sweetener use, which may reflect compensatory patterns in dietary self-management. Conclusions: Caloric and artificial sweetener use were associated with distinct socioeconomic and dietary profiles. Caloric sweetener use was linked to less healthy dietary behaviors, whereas artificial sweetener use appeared to be consistent with sugar-reduction strategies. These findings highlight the need for tailored dietary counseling that addresses both sweetener use and broader dietary patterns among individuals with diabetes in Hungary. Full article