Addressing the overuse of hospital emergency departments in the Portuguese NHS: a new paradigm by Francisco Goiana-da-Silva, Francisco Goiana-da-Silva, Francisco Goiana-da-Silva, Francisco Goiana-da-Silva, Soraia Costa, Filipa Malcata, Juliana Sá, Juliana Sá, Rafael Vasconcelos, Miguel Cabral, Raisa Guedes, Inês Morais-Vilaça, Lara Pinheiro-Guedes, João Ferreira, Nélson Pereira, José Gaspar-Pais, Judite Neves, Joaquim Monteiro, Vera Pires, Miguel Paiva, Rui Guimarães, Hutan Ashrafian, Hutan Ashrafian, Rita Moreira, Fátima Fonseca, Filomena Cardoso, Filomena Cardoso, Jaime Alves, Ara Darzi, Ara Darzi, Fernando Araújo, Fernando Araújo

“…Nonetheless, challenges such as the “reverse referral” process complexity, healthcare information systems integration, and procedural standardization need addressing, with future plans including satisfaction surveys and patient triage protocol refinements to improve service delivery and patient adherence.…”
Get full text

From chaos to order: optimizing fecal microbiota transplantation for enhanced immune checkpoint inhibitors efficacy by Anqi Lin, Aimin Jiang, Lihaoyun Huang, Yu Li, Chunyanx Zhang, Lingxuan Zhu, Weiming Mou, Zaoqu Liu, Jian Zhang, Quan Cheng, Ting Wei, Peng Luo

“…While some studies report improved outcomes, others indicate no benefit or potential adverse effects, emphasizing the complexity of host-microbiome interactions in cancer immunotherapy. …”
Get full text

Exploring the Resources Governance Connectivity of Cultural Ecosystem Services: Evidence in Tanjung Lesung SEZ Tourism, Banten Province, Indonesia by Okky Rizal Kusuma, Luky Adrianto, Fery Kurniawan, Andi Zulfikar

“…Highlight Research • The components of the social-ecological system of cultural coastal and marine ecosystem services can be identified and analyzed in a case study of a special economic zone. • The complexity of the social-ecological system was analyzed using a network perspective approach…”
Get full text

Charge-on-the-move solutions for future mobility: A review of current and future prospects by Mohd Aiman Khan, Wilco Burghout, Oded Cats, Erik Jenelius, Matej Cebecauer

“…Simultaneously, emerging transportation modes such as autonomous vehicles, shared mobility, modular systems, and aerial vehicles, introduce additional complexities, demanding more innovative charging solutions. …”
Get full text

Review of the environmental and health risks of hydraulic fracturing fluids by Sara Makki, Elsa Maalouf, Alissar Yehya

“…For example, a negative correlation was detected between HF fluid recovery and shut-in period, fracture network complexity, and induced seismicity, while a positive correlation was observed between HF fluid migration speed and permeable pathways. …”
Get full text

Case report: Prolonged and severe hungry bone syndrome after parathyroidectomy in X-linked hypophosphatemia by Giulia Puliani, Valeria Hasenmajer, Matteo Spaziani, Matteo Spaziani, Federico Frusone, Chiara Tarantino, Francesco Angelini, Ludovica Vincenzi, Riccardo Lubrano, Alessia Marcellino, Marco Biffoni, Andrea M. Isidori, Andrea M. Isidori

“…This case illustrates the complexity of treating tertiary hyperparathyroidism and mineral metabolism in patients with XLH. …”
Get full text

Specialized Scalar and SIMD Instructions for Error Correction Codes Decoding on RISC-V Processors by Mael Tourres, Cyrille Chavet, Bertrand Le Gal, Philippe Coussy

“…The objective is to improve the performance level of low-complexity processor cores through instruction set extensions for Error Correction Code (ECC) decoding. …”
Get full text

Optimization and standardization of the work of a health care facility during a chemical accident by O.V. Hudoshyna, N.V. Kurdil

“…During the years of war, as a result of aviation and missile attacks, a significant number of health care facilities in various regions of Ukraine were destroyed, and the complexity and intensity of their work increased significantly. …”
Get full text

Application and development of CRISPR technology in the secondary metabolic pathway of the active ingredients of phytopharmaceuticals by Haixin Gao, Xinyi Pei, Xianshui Song, Shiying Wang, Zisong Yang, Jianjun Zhu, Qiupeng Lin, Qinlong Zhu, Xiangna Yang

“…It also raises existing issues in research, including off-target effects, complexity of genome structure, low transformation efficiency, and insufficient understanding of metabolic pathways. …”
Get full text

Predefined-Time <italic>H</italic> _&#x221E; Cooperative Control for Multi-Robot Systems Based on Adjustable Prescribed Performance Control and Adaptive Command Filter by Haitao Liu, Weichen Li, Xin Huang, Xuehong Tian, Qingqun Mai

“…Second, the &#x201C;explosion of complexity&#x201D; issue is solved by proposing a predefined-time adaptive command filter and accelerate the convergence time and improve filter precision. …”
Get full text

Application of the Flux-Variance Technique for Evapotranspiration Estimates in Three Types of Agricultural Structures by Ori Ahiman, Yonatan Mekhmandarov, Moran Pirkner, Josef Tanny

“…Nevertheless, the eddy-covariance technique remains difficult to apply in the farm due to costs, operational complexity, and postprocessing of data, thereby inviting alternative techniques to be developed. …”
Get full text

SiC MOSFET with Integrated SBD Device Performance Prediction Method Based on Neural Network by Xiping Niu, Ling Sang, Xiaoling Duan, Shijie Gu, Peng Zhao, Tao Zhu, Kaixuan Xu, Yawei He, Zheyang Li, Jincheng Zhang, Rui Jin

“…However, the static and dynamic characteristics of this device are influenced by a multitude of parameters, and traditional TCAD simulation methods are often characterized by their complexity. Due to the increasing research on neural networks in recent years, such as the application of neural networks to the prediction of GaN JBS and Finfet devices, this paper considers the application of neural networks to the performance prediction of SiC MOSFET devices with an integrated SBD. …”
Get full text

Factors involved in the development of hospital-acquired conditions in older patients in acute care settings: a scoping review by Mélanie Verdon, Thomas Agoritsas, Cécile Jaques, Sophie Pouzols, Cédric Mabire

“…Prevention of hospital-acquired conditions must involve to consider the complexities of older patients and of acute care hospitals. …”
Get full text

Radical Resection of Differentiated Thyroid Cancer in Elderly Patients: Evaluation of the Efficacy of the Immunocolloidal Gold Strip Method Combined with Nanocarbon Negative Imagin... by YanBin Liu, LiJuan Zuo, YunChao Xin, YaChao Liu, ZeDong Tian, XiaoLing Shang

“…Objective Extant imaging methods used for the proper identification of the parathyroid glands to prevent post-operative hypothyroidism associated with the resection of differentiated thyroid cancer (DTC) are limited by factors such as low specificity, high cost, and technical complexity. This study, therefore, sought to investigate the efficacy of the immunocolloidal gold strip method combined with nanocarbon negative imaging tracing technology for parathyroid gland imaging during radical resection of DTC in elderly patients.Methods A total of 100 elderly patients with DTC were enrolled and randomly divided into two groups: the control group and the observation group. …”
Get full text

DSMF-Net: Dual Semantic Metric Learning Fusion Network for Few-Shot Aerial Image Semantic Segmentation by Xiyu Qi, Yidan Zhang, Lei Wang, Yifan Wu, Yi Xin, Zhan Chen, Yunping Ge

“…However, the intrinsic complexities of aerial images, compounded by scarce samples, often result in inadequate feature representation and semantic ambiguity, detracting from the model&#x0027;s performance. …”
Get full text

Implementing sustainability frameworks at a product-level – Exploring the usability by Paule Bhérer-Breton, Anna Woodhouse, Bente Aspeholen Åby, Hilke Bos-Brouwers, Melanie Kok, Hanne Fjerdingby Olsen

“…The criteria included the following: data availability, data correctness, ease of use, transparency, effectiveness or relevance, and complexity of use. The selected frameworks provided a holistic and comprehensive approach to assessing social and environmental sustainability. …”
Get full text

Preparation of efficient and reusable lanthanum and iron co-modified soda residue for selective phosphate removal from domestic sewage by Huiteng Wang, Hui Luo, Rubin Han, Wenbo Wu, Jing Yang, Teng Qin, Limin Chen, Meng Liu, Bao-Jie He, Zhaoqian Jing

“…Ligand exchange and inner-sphere complexation constituted the primary mechanisms through which L-Fe-CSR removed phosphate. …”
Get full text

Evaluation of the Impact of Morphological Differences on Scale Effects in Green Tide Area Estimation by Ke Wu, Tao Xie, Jian Li, Chao Wang, Xuehong Zhang, Hui Liu, Shuying Bai

“…Green tide patches were categorized into small, medium, and large sizes, and morphological features such as elongation, compactness, convexity, fractal dimension, and morphological complexity were designed and analyzed. Machine learning models, including Extra Trees, LightGBM, and Random Forest, among others, classified medium and large patches into striped and non-striped types, with Extra Trees achieving outstanding performance (accuracy: 0.9844, kappa: 0.9629, F1-score: 0.9844, MIoU: 0.9637). …”
Get full text

Mathematics Anxiety and Undergraduate Nursing Students: A Mixed Methods Study by Jen Austerberry, Thomas Mathew, Jacqueline Johnston, Maria Murphy, Kolsoom Safari, Christine Murray, Lisa McKenna

“…Survey items demonstrated extensive variation in perceptions. Conclusions The complexity and diversity of anxieties presents key challenges for nurse academics seeking to educate competent, safe students. …”
Get full text

Mechanisms of Herbal Nephroprotection in diabetes mellitus by Dorin Dragoș, Maria Mirabela Manea, Delia Timofte, Dorin Ionescu

“…Despite the multilayered complexity of the mechanisms involved in the pathogenesis of DN, the conventional treatment is limited to just a few drug classes fraught with the risk of adverse events, including the progression of renal dysfunction. …”
Get full text