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24 pages, 620 KiB  
Article
Revisiting the Leontief Paradox in the Digital Era: Technological Specialization and Sustainable Development of Digital Service Trade
by Lin Zhang, Siyuan Chen and Ei Thinzar Min
Sustainability 2025, 17(15), 7163; https://doi.org/10.3390/su17157163 (registering DOI) - 7 Aug 2025
Abstract
To address the new challenges of sustainable international trade under the digital transformation, this study aims to explore the relevance and mechanism of the relationship between technological specialization and the sustainable development of digital service trade (focusing on economic sustainability). Based on panel [...] Read more.
To address the new challenges of sustainable international trade under the digital transformation, this study aims to explore the relevance and mechanism of the relationship between technological specialization and the sustainable development of digital service trade (focusing on economic sustainability). Based on panel data from 50 economies from 2006 to 2022, the core hypothesis of “whether technological specialization can enhance the sustainable competitiveness of digital service trade by optimizing the global value chain and industrial structure” is verified. An improved index of technological specialization is proposed, breaking through the limitations of traditional indicators, and for the first time introducing the dimension of “knowledge breadth,” reinterpreting the “Leontief Paradox” in the context of digital trade. The study finds that technological specialization significantly enhances the export of digital services, and the effect is more significant in countries with strict intellectual property protection, latecomers in technology, and the European region. Mechanically, this is achieved through improving the position in the global value chain and upgrading the industrial structure. This provides a theoretical breakthrough to solve the technology–trade paradox in the digital age and offers a path for latecomer economies to reconstruct competitive advantages and achieve sustainable development through technological specialization. Full article
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18 pages, 2535 KiB  
Article
A High-Granularity, Machine Learning Informed Spatial Predictive Model for Epidemic Monitoring: The Case of COVID-19 in Lombardy Region, Italy
by Lorenzo Gianquintieri, Andrea Pagliosa, Rodolfo Bonora and Enrico Gianluca Caiani
Appl. Sci. 2025, 15(15), 8729; https://doi.org/10.3390/app15158729 - 7 Aug 2025
Abstract
This study aimed at proposing a predictive model for real-time monitoring of epidemic dynamics at the municipal scale in Lombardy region, in northern Italy, leveraging Emergency Medical Services (EMS) dispatch data and Geographic Information Systems (GIS) methodologies. Unlike traditional epidemiological models that rely [...] Read more.
This study aimed at proposing a predictive model for real-time monitoring of epidemic dynamics at the municipal scale in Lombardy region, in northern Italy, leveraging Emergency Medical Services (EMS) dispatch data and Geographic Information Systems (GIS) methodologies. Unlike traditional epidemiological models that rely on official diagnoses and offer limited spatial granularity, our approach uses EMS call data (rapidly collected, geo-referenced, and unbiased by institutional delays) as an early proxy for outbreak detection. The model integrates spatial filtering and machine learning (random forest classifier) to categorize municipalities into five epidemic scenarios: from no diffusion to active spread with increasing trends. Developed in collaboration with the Lombardy EMS agency (AREU), the system is designed for operational applicability, emphasizing simplicity, speed, and interpretability. Despite the complexity of the phenomenon and the use of a five-class output, the model shows promising predictive capacity, particularly for identifying outbreak-free areas. Performance is affected by changing epidemic dynamics, such as those induced by widespread vaccination, yet remains informative for early warning. The framework supports health decision-makers with timely, localized insights, offering a scalable tool for epidemic preparedness and response. Full article
(This article belongs to the Special Issue Artificial Intelligence (AI) Technologies in Biomedicine)
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21 pages, 559 KiB  
Review
Interest Flooding Attacks in Named Data Networking and Mitigations: Recent Advances and Challenges
by Simeon Ogunbunmi, Yu Chen, Qi Zhao, Deeraj Nagothu, Sixiao Wei, Genshe Chen and Erik Blasch
Future Internet 2025, 17(8), 357; https://doi.org/10.3390/fi17080357 - 6 Aug 2025
Abstract
Named Data Networking (NDN) represents a promising Information-Centric Networking architecture that addresses limitations of traditional host-centric Internet protocols by emphasizing content names rather than host addresses for communication. While NDN offers advantages in content distribution, mobility support, and built-in security features, its stateful [...] Read more.
Named Data Networking (NDN) represents a promising Information-Centric Networking architecture that addresses limitations of traditional host-centric Internet protocols by emphasizing content names rather than host addresses for communication. While NDN offers advantages in content distribution, mobility support, and built-in security features, its stateful forwarding plane introduces significant vulnerabilities, particularly Interest Flooding Attacks (IFAs). These IFA attacks exploit the Pending Interest Table (PIT) by injecting malicious interest packets for non-existent or unsatisfiable content, leading to resource exhaustion and denial-of-service attacks against legitimate users. This survey examines research advances in IFA detection and mitigation from 2013 to 2024, analyzing seven relevant published detection and mitigation strategies to provide current insights into this evolving security challenge. We establish a taxonomy of attack variants, including Fake Interest, Unsatisfiable Interest, Interest Loop, and Collusive models, while examining their operational characteristics and network performance impacts. Our analysis categorizes defense mechanisms into five primary approaches: rate-limiting strategies, PIT management techniques, machine learning and artificial intelligence methods, reputation-based systems, and blockchain-enabled solutions. These approaches are evaluated for their effectiveness, computational requirements, and deployment feasibility. The survey extends to domain-specific implementations in resource-constrained environments, examining adaptations for Internet of Things deployments, wireless sensor networks, and high-mobility vehicular scenarios. Five critical research directions are proposed: adaptive defense mechanisms against sophisticated attackers, privacy-preserving detection techniques, real-time optimization for edge computing environments, standardized evaluation frameworks, and hybrid approaches combining multiple mitigation strategies. Full article
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19 pages, 1976 KiB  
Article
Excess Commuting in Rural Minnesota: Ethnic and Industry Disparities
by Woo Jang, Jose Javier Lopez and Fei Yuan
Sustainability 2025, 17(15), 7122; https://doi.org/10.3390/su17157122 - 6 Aug 2025
Abstract
Research on commuting patterns has mainly focused on urban and metropolitan areas, and such studies are not typically applied to rural and small-town regions, where workers often face longer commutes due to limited job opportunities and inadequate public transportation. By using the Census [...] Read more.
Research on commuting patterns has mainly focused on urban and metropolitan areas, and such studies are not typically applied to rural and small-town regions, where workers often face longer commutes due to limited job opportunities and inadequate public transportation. By using the Census Transportation Planning Package (CTPP) data, this research fills that gap by analyzing commuting behavior by ethnic group and industry in south-central Minnesota, which is a predominantly rural area of 13 counties in the United States. The results show that both white and minority groups in District 7 experienced an increase in excess commuting from 2006 to 2016, with the minority group in Nobles County showing a significantly higher rise. Analysis by industry reveals that excess commuting in the leisure and hospitality sector (including arts, entertainment, and food services) in Nobles County increased five-fold during this time, indicating a severe spatial mismatch between jobs and affordable housing. In contrast, manufacturing experienced a decline of 50%, possibly indicating better commuting efficiency or a loss of manufacturing jobs. These findings can help city and transportation planners conduct an in-depth analysis of rural-to-urban commuting patterns and develop potential solutions to improve rural transportation infrastructure and accessibility, such as promoting telecommuting and hybrid work options, expanding shuttle routes, and adding more on-demand transit services in rural areas. Full article
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20 pages, 1925 KiB  
Article
Beyond Polarity: Forecasting Consumer Sentiment with Aspect- and Topic-Conditioned Time Series Models
by Mian Usman Sattar, Raza Hasan, Sellappan Palaniappan, Salman Mahmood and Hamza Wazir Khan
Information 2025, 16(8), 670; https://doi.org/10.3390/info16080670 - 6 Aug 2025
Abstract
Existing approaches to social media sentiment analysis typically focus on static classification, offering limited foresight into how public opinion evolves. This study addresses that gap by introducing the Multi-Feature Sentiment-Driven Forecasting (MFSF) framework, a novel pipeline that enhances sentiment trend prediction by integrating [...] Read more.
Existing approaches to social media sentiment analysis typically focus on static classification, offering limited foresight into how public opinion evolves. This study addresses that gap by introducing the Multi-Feature Sentiment-Driven Forecasting (MFSF) framework, a novel pipeline that enhances sentiment trend prediction by integrating rich contextual information from text. Using state-of-the-art transformer models on the Sentiment140 dataset, our framework extracts three concurrent signals from each tweet: sentiment polarity, aspect-based scores (e.g., ‘price’ and ‘service’), and topic embeddings. These features are aggregated into a daily multivariate time series. We then employ a SARIMAX model to forecast future sentiment, using the extracted aspect and topic data as predictive exogenous variables. Our results, validated on the historical Sentiment140 Twitter dataset, demonstrate the framework’s superior performance. The proposed multivariate model achieved a 26.6% improvement in forecasting accuracy (RMSE) over a traditional univariate ARIMA baseline. The analysis confirmed that conversational aspects like ‘service’ and ‘quality’ are statistically significant predictors of future sentiment. By leveraging the contextual drivers of conversation, the MFSF framework provides a more accurate and interpretable tool for businesses and policymakers to proactively monitor and anticipate shifts in public opinion. Full article
(This article belongs to the Special Issue Semantic Networks for Social Media and Policy Insights)
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18 pages, 404 KiB  
Article
Deterministic Scheduling for Asymmetric Flows in Future Wireless Networks
by Haie Dou, Taojie Zhu, Fei Li, Chen Liu and Lei Wang
Symmetry 2025, 17(8), 1246; https://doi.org/10.3390/sym17081246 - 6 Aug 2025
Abstract
In the era of Industry 5.0, future wireless networks are increasingly shifting from traditional symmetric architectures toward heterogeneous and asymmetric paradigms, driven by the demand for diversified and dynamic services. This architectural evolution gives rise to complex and asymmetric flows, such as the [...] Read more.
In the era of Industry 5.0, future wireless networks are increasingly shifting from traditional symmetric architectures toward heterogeneous and asymmetric paradigms, driven by the demand for diversified and dynamic services. This architectural evolution gives rise to complex and asymmetric flows, such as the coexistence of periodic and burst flows with varying latency, jitter, and deadline constraints, posing new challenges for deterministic transmission. Traditional time-sensitive networking (TSN) is well-suited for periodic flows but lacks the flexibility to effectively handle dynamic, asymmetric traffi. To address this limitation, we propose a two-stage asymmetric flow scheduling framework with dynamic deadline control, termed A-TSN. In the first stage, we design a Deep Q-Network-based Dynamic Injection Time Slot algorithm (DQN-DITS) to optimize slot allocation for periodic flows under varying network loads. In the second stage, we introduce the Dynamic Deadline Online (DDO) scheduling algorithm, which enables real-time scheduling for asymmetric flows while satisfying flow deadlines and capacity constraints. Simulation results demonstrate that our approach significantly reduces end-to-end latency, improves scheduling efficiency, and enhances adaptability to high-volume asymmetric traffic, offering a scalable solution for future deterministic wireless networks. Full article
(This article belongs to the Special Issue Symmetry/Asymmetry in Future Wireless Networks)
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32 pages, 2173 KiB  
Article
A Swarm-Based Multi-Objective Framework for Lightweight and Real-Time IoT Intrusion Detection
by Hessah A. Alsalamah and Walaa N. Ismail
Mathematics 2025, 13(15), 2522; https://doi.org/10.3390/math13152522 - 5 Aug 2025
Abstract
Internet of Things (IoT) applications and services have transformed the way people interact with their environment, enhancing comfort and quality of life. Additionally, Machine Learning (ML) approaches show significant promise for detecting intrusions in IoT environments. However, the high dimensionality, class imbalance, and [...] Read more.
Internet of Things (IoT) applications and services have transformed the way people interact with their environment, enhancing comfort and quality of life. Additionally, Machine Learning (ML) approaches show significant promise for detecting intrusions in IoT environments. However, the high dimensionality, class imbalance, and complexity of network traffic—combined with the dynamic nature of sensor networks—pose substantial challenges to the development of efficient and effective detection algorithms. In this study, a multi-objective metaheuristic optimization approach, referred to as MOOIDS-IoT, is integrated with ML techniques to develop an intelligent cybersecurity system for IoT environments. MOOIDS-IoT combines a Genetic Algorithm (GA)-based feature selection technique with a multi-objective Particle Swarm Optimization (PSO) algorithm. PSO optimizes convergence speed, model complexity, and classification accuracy by dynamically adjusting the weights and thresholds of the deployed classifiers. Furthermore, PSO integrates Pareto-based multi-objective optimization directly into the particle swarm framework, extending conventional swarm intelligence while preserving a diverse set of non-dominated solutions. In addition, the GA reduces training time and eliminates redundancy by identifying the most significant input characteristics. The MOOIDS-IoT framework is evaluated using two lightweight models—MOO-PSO-XGBoost and MOO-PSO-RF—across two benchmark datasets, namely the NSL-KDD and CICIoT2023 datasets. On CICIoT2023, MOO-PSO-RF obtains 91.42% accuracy, whereas MOO-PSO-XGBoost obtains 98.38% accuracy. In addition, both models perform well on NSL-KDD (MOO-PSO-RF: 99.66% accuracy, MOO-PSO-XGBoost: 98.46% accuracy). The proposed approach is particularly appropriate for IoT applications with limited resources, where scalability and model efficiency are crucial considerations. Full article
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16 pages, 1628 KiB  
Article
A Stackelberg Game-Based Joint Clearing Model for Pumped Storage Participation in Multi-Tier Electricity Markets
by Lingkang Zeng, Mutao Huang, Hao Xu, Zhongzhong Chen, Wanjing Li, Jingshu Zhang, Senlin Ran and Xingbang Chen
Processes 2025, 13(8), 2472; https://doi.org/10.3390/pr13082472 - 4 Aug 2025
Viewed by 144
Abstract
To address the limited flexibility of pumped storage power stations (PSPSs) under hierarchical clearing of energy and ancillary service markets, this study proposes a joint clearing mechanism for multi-level electricity markets. A bi-level optimization model based on the Stackelberg game is developed to [...] Read more.
To address the limited flexibility of pumped storage power stations (PSPSs) under hierarchical clearing of energy and ancillary service markets, this study proposes a joint clearing mechanism for multi-level electricity markets. A bi-level optimization model based on the Stackelberg game is developed to characterize the strategic interaction between PSPSs and the market operator. Simulation results on the IEEE 30-bus system demonstrate that the proposed mechanism captures the dynamics of nodal supply and demand, as well as time-varying network congestion. It guides PSPSs to operate more flexibly and economically. Additionally, the mechanism increases PSPS profitability, reduces system costs, and improves frequency regulation performance. This game-theoretic framework offers quantitative decision support for PSPS participation in multi-level spot markets and provides insights for optimal storage deployment and market mechanism improvement. Full article
(This article belongs to the Section Energy Systems)
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13 pages, 906 KiB  
Article
Integrated Flushing and Corrosion Control Measures to Reduce Lead Exposure in Households with Lead Service Lines
by Fatemeh Hatam, Mirjam Blokker and Michele Prevost
Water 2025, 17(15), 2297; https://doi.org/10.3390/w17152297 - 2 Aug 2025
Viewed by 200
Abstract
The quality of water in households can be affected by plumbing design and materials, water usage patterns, and source water quality characteristics. These factors influence stagnation duration, disinfection residuals, metal release, and microbial activity. In particular, stagnation can degrade water quality and increase [...] Read more.
The quality of water in households can be affected by plumbing design and materials, water usage patterns, and source water quality characteristics. These factors influence stagnation duration, disinfection residuals, metal release, and microbial activity. In particular, stagnation can degrade water quality and increase lead release from lead service lines. This study employs numerical modeling to assess how combined corrosion control and flushing strategies affect lead levels in household taps with lead service lines under reduced water use. To estimate potential health risks, the U.S. EPA model is used to predict the percentage of children likely to exceed safe blood lead levels. Lead exceedances are assessed based on various regulatory requirements. Results show that exceedances at the kitchen tap range from 3 to 74% of usage time for the 5 µg/L standard, and from 0 to 49% for the 10 µg/L threshold, across different scenarios. Implementing corrosion control treatment in combination with periodic flushing proves effective in lowering lead levels under the studied low-consumption scenarios. Under these conditions, the combined strategy limits lead exceedances above 5 µg/L to only 3% of usage time, with none above 10 µg/L. This demonstrates its value as a practical short-term strategy for households awaiting full pipe replacement. Targeted flushing before peak water use reduces the median time that water remains stagnant in household pipes from 8 to 3 h at the kitchen tap under low-demand conditions. Finally, the risk model indicates that the combined approach can reduce the predicted percentage of children with blood lead levels exceeding 5 μg/dL from 61 to 6% under low water demand. Full article
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27 pages, 3107 KiB  
Article
Modeling School Commuting Mode Choice Under Normal and Adverse Weather Conditions in Chiang Rai City
by Chanyanuch Pangderm, Tosporn Arreeras and Xiaoyan Jia
Future Transp. 2025, 5(3), 101; https://doi.org/10.3390/futuretransp5030101 - 1 Aug 2025
Viewed by 118
Abstract
This study investigates the factors influencing school trip mode choice among senior high school students in the Chiang Rai urban area, Chiang Rai, Thailand, under normal and adverse weather conditions. Utilizing data from 472 students across six extra-large urban schools, a Multinomial Logit [...] Read more.
This study investigates the factors influencing school trip mode choice among senior high school students in the Chiang Rai urban area, Chiang Rai, Thailand, under normal and adverse weather conditions. Utilizing data from 472 students across six extra-large urban schools, a Multinomial Logit (MNL) regression model was applied to examine the effects of socio-demographic attributes, household vehicle ownership, travel distance, and spatial variables on mode selection. The results revealed notable modal shifts during adverse weather, with motorcycle usage decreasing and private vehicle reliance increasing, while school bus usage remained stable, highlighting its role as a resilient transport option. Car ownership emerged as a strong enabler of modal flexibility, whereas students with limited access to private transport demonstrated reduced adaptability. Additionally, increased waiting and travel times during adverse conditions underscored infrastructure and service vulnerabilities, particularly for mid-distance travelers. The findings suggest an urgent need for transport policies that promote inclusive and climate-resilient mobility systems, particularly in the context of Chiang Rai, including expanded school bus services, improved first-mile connectivity, and enhanced pedestrian infrastructure. This study contributes to the literature by addressing environmental variability in school travel behavior and offers actionable insights for sustainable transport planning in secondary cities and border regions. Full article
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12 pages, 732 KiB  
Perspective
Implementing Person-Centered, Clinical, and Research Navigation in Rare Cancers: The Canadian Cholangiocarcinoma Collaborative (C3)
by Samar Attieh, Leonard Angka, Christine Lafontaine, Cynthia Mitchell, Julie Carignan, Carolina Ilkow, Simon Turcotte, Rachel Goodwin, Rebecca C. Auer and Carmen G. Loiselle
Curr. Oncol. 2025, 32(8), 436; https://doi.org/10.3390/curroncol32080436 - 1 Aug 2025
Viewed by 164
Abstract
Person-centered navigation (PCN) in healthcare refers to a proactive collaboration among professionals, researchers, patients, and their families to guide individuals toward timely access to screening, treatment, follow-up, and psychosocial support. PCN—which includes professional, peer, and virtual guidance, is particularly crucial for rare cancers, [...] Read more.
Person-centered navigation (PCN) in healthcare refers to a proactive collaboration among professionals, researchers, patients, and their families to guide individuals toward timely access to screening, treatment, follow-up, and psychosocial support. PCN—which includes professional, peer, and virtual guidance, is particularly crucial for rare cancers, where affected individuals face uncertainty, limited support, financial strain, and difficulties accessing relevant information, testing, and other services. The Canadian Cholangiocarcinoma Collaborative (C3) prioritizes PCN implementation to address these challenges in the context of Biliary Tract Cancers (BTCs). C3 uses a virtual PCN model and staffs a “C3 Research Navigator” who provides clinical and research navigation such as personalized guidance and support, facilitating access to molecular testing, clinical trials, and case reviews through national multidisciplinary rounds. C3 also supports a national network of BTC experts, a patient research registry, and advocacy activities. C3’s implementation strategies include co-design, timely delivery of support, and optimal outcomes across its many initiatives. Future priorities include expanding the C3 network, enhancing user engagement, and further integrating its innovative approach into routine care. Full article
(This article belongs to the Special Issue Feature Reviews in Section "Oncology Nursing")
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40 pages, 1548 KiB  
Article
Real-Time Service Migration in Edge Networks: A Survey
by Yutong Zhang, Ke Zhao, Yihong Yang and Zhangbing Zhou
J. Sens. Actuator Netw. 2025, 14(4), 79; https://doi.org/10.3390/jsan14040079 - 1 Aug 2025
Viewed by 333
Abstract
With the rapid proliferation of Internet of Things (IoT) devices and mobile applications and the growing demand for low-latency services, edge computing has emerged as a transformative paradigm that brings computation and storage closer to end users. However, [...] Read more.
With the rapid proliferation of Internet of Things (IoT) devices and mobile applications and the growing demand for low-latency services, edge computing has emerged as a transformative paradigm that brings computation and storage closer to end users. However, the dynamic nature and limited resources of edge networks bring challenges such as load imbalance and high latency while satisfying user requests. Service migration, the dynamic redeployment of service instances across distributed edge nodes, has become a key enabler for solving these challenges and optimizing edge network characteristics. Moreover, the low-latency nature of edge computing requires that service migration strategies must be in real time in order to ensure latency requirements. Thus, this paper presents a systematic survey of real-time service migration in edge networks. Specifically, we first introduce four network architectures and four basic models for real-time service migration. We then summarize four research motivations for real-time service migration and the real-time guarantee introduced during the implementation of migration strategies. To support these motivations, we present key techniques for solving the task of real-time service migration and how these algorithms and models facilitate the real-time performance of migration. We also explore latency-sensitive application scenarios, such as smart cities, smart homes, and smart manufacturing, where real-time service migration plays a critical role in sustaining performance and adaptability under dynamic conditions. Finally, we summarize the key challenges and outline promising future research directions for real-time service migration. This survey aims to provide a structured and in-depth theoretical foundation to guide future research on real-time service migration in edge networks. Full article
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20 pages, 4874 KiB  
Article
Influence of Vegetation Cover and Soil Properties on Water Infiltration: A Study in High-Andean Ecosystems of Peru
by Azucena Chávez-Collantes, Danny Jarlis Vásquez Lozano, Leslie Diana Velarde-Apaza, Juan-Pablo Cuevas, Richard Solórzano and Ricardo Flores-Marquez
Water 2025, 17(15), 2280; https://doi.org/10.3390/w17152280 - 31 Jul 2025
Viewed by 173
Abstract
Water infiltration into soil is a key process in regulating the hydrological cycle and sustaining ecosystem services in high-Andean environments. However, limited information is available regarding its dynamics in these ecosystems. This study evaluated the influence of three types of vegetation cover and [...] Read more.
Water infiltration into soil is a key process in regulating the hydrological cycle and sustaining ecosystem services in high-Andean environments. However, limited information is available regarding its dynamics in these ecosystems. This study evaluated the influence of three types of vegetation cover and soil properties on water infiltration in a high-Andean environment. A double-ring infiltrometer, the Water Drop Penetration Time (WDPT, s) method, and laboratory physicochemical characterization were employed. Soils under forest cover exhibited significantly higher quasi-steady infiltration rates (is, 0.248 ± 0.028 cm·min−1) compared to grazing areas (0.051 ± 0.016 cm·min−1) and agricultural lands (0.032 ± 0.013 cm·min−1). Soil organic matter content was positively correlated with is. The modified Kostiakov infiltration model provided the best overall fit, while the Horton model better described infiltration rates approaching is. Sand and clay fractions, along with K+, Ca2+, and Mg2+, were particularly significant during the soil’s wet stages. In drier stages, increased Na+ concentrations and decreased silt content were associated with higher water repellency. Based on WDPT, agricultural soils exhibited persistent hydrophilic behavior even after drying (median [IQR] from 0.61 [0.38] s to 1.24 [0.46] s), whereas forest (from 2.84 [3.73] s to 3.53 [24.17] s) and grazing soils (from 4.37 [1.95] s to 19.83 [109.33] s) transitioned to weakly or moderately hydrophobic patterns. These findings demonstrate that native Andean forest soils exhibit a higher infiltration capacity than soils under anthropogenic management (agriculture and grazing), highlighting the need to conserve and restore native vegetation cover to strengthen water resilience and mitigate the impacts of land-use change. Full article
(This article belongs to the Special Issue Soil–Water Interaction and Management)
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15 pages, 675 KiB  
Article
A Trusted Multi-Cloud Brokerage System for Validating Cloud Services Using Ranking Heuristics
by Rajganesh Nagarajan, Vinothiyalakshmi Palanichamy, Ramkumar Thirunavukarasu and J. Arun Pandian
Future Internet 2025, 17(8), 348; https://doi.org/10.3390/fi17080348 - 31 Jul 2025
Viewed by 180
Abstract
Cloud computing offers a broad spectrum of services to users, particularly in multi-cloud environments where service-centric features are introduced to support users from multiple endpoints. To improve service availability and optimize the utilization of required services, cloud brokerage has been integrated into multi-cloud [...] Read more.
Cloud computing offers a broad spectrum of services to users, particularly in multi-cloud environments where service-centric features are introduced to support users from multiple endpoints. To improve service availability and optimize the utilization of required services, cloud brokerage has been integrated into multi-cloud systems. The primary objective of a cloud broker is to ensure the quality and outcomes of services offered to customers. However, traditional cloud brokers face limitations in measuring service trust, ensuring validity, and anticipating future enhancements of services across different cloud platforms. To address these challenges, the proposed intelligent cloud broker integrates an intelligence mechanism that enhances decision-making within a multi-cloud environment. This broker performs a comprehensive validation and verification of service trustworthiness by analyzing various trust factors, including service response time, sustainability, suitability, accuracy, transparency, interoperability, availability, reliability, stability, cost, throughput, efficiency, and scalability. Customer feedback is also incorporated to assess these trust factors prior to service recommendation. The proposed model calculates service ranking (SR) values for available cloud services and dynamically includes newly introduced services during the validation process by mapping them with existing entries in the Service Collection Repository (SCR). Performance evaluation using the Google cluster-usage traces dataset demonstrates that the ICB outperforms existing approaches such as the Clustering-Based Trust Degree Computation (CBTDC) algorithm and the Service Context-Aware QoS Prediction and Recommendation (SCAQPR) model. Results confirm that the ICB significantly enhances the effectiveness and reliability of cloud service recommendations for users. Full article
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14 pages, 779 KiB  
Article
Barriers in Access to Healthcare Services in Greece Post-COVID-19: Persisting Challenges for Health Policy
by Kyriakos Souliotis, Christina Golna, Agni Baka, Aikaterini Ntokou and Dimitris Zavras
Healthcare 2025, 13(15), 1867; https://doi.org/10.3390/healthcare13151867 - 30 Jul 2025
Viewed by 210
Abstract
Background/Objectives: Access to health services is often limited due to socio-economic and organizational determinants of health systems, which lead to increased unmet healthcare needs. This study aimed to identify access barriers for the general population in Greece, including those that may have [...] Read more.
Background/Objectives: Access to health services is often limited due to socio-economic and organizational determinants of health systems, which lead to increased unmet healthcare needs. This study aimed to identify access barriers for the general population in Greece, including those that may have emerged following the COVID-19 pandemic. Methods: This was a cross-sectional survey of 1002 Greek citizens. A questionnaire regarding socio-demographics, healthcare utilization, and access to health services was used. Interviews took place between October and November 2022. Results: Of 837 participants who used health services in 2022, 82.6% had a medical consultation, 80.6% took diagnostic tests, and 63.6% visited a pharmacy for pharmaceuticals. Of those having a medical consultation, 33.1% did so at an NHS health unit, while 75% of the participants taking diagnostic tests visited a contracted private laboratory. Out of the 135 participants requiring hospitalization, 62% were hospitalized in a public hospital, while 85% of the participants requiring pharmaceuticals visited a private pharmacy. Access barriers in the past year were reported by 48% of the participants requiring a medical consultation, 34% of the participants requiring diagnostic tests, and 40% of the participants requiring hospitalization. The most common barriers were long waiting times and financial constraints. The main barrier to accessing pharmaceuticals was the availability and administration of the product. Conclusions: The identified healthcare access barriers highlight the vulnerabilities of the current health system in Greece, which were further exposed during the COVID-19 pandemic crisis. Addressing socioeconomic factors that are considered key access indicators should be the focus of future health policy initiatives. Full article
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