Assessment Approach Research Articles

Integrating Knowledge-Based and Data-Driven Approaches for TTC Assessment in Power Systems With High Renewable Penetration

Integrating Knowledge-Based and Data-Driven Approaches for TTC Assessment in Power Systems With High Renewable Penetration

Enhanced classification of left ventricular hypertrophy in cardiac patients using extended Siamese CNN.

Left Ventricular Hypertrophy (LVH) is the thickening of the left ventricle wall of the heart. The objective of this study is to develop a novel approach for the accurate assessment of Left Ventricular Hypertrophy (LVH) severity, addressing the limitations of traditional manual grading systems.

Approach: We propose the Multi-purpose Siamese Weighted Euclidean Distance Model (MSWED), which utilizes convolutional Siamese neural networks and zero-shot/few-shot learning techniques. Unlike traditional methods, our model introduces a cutoff distance-based approach for zero-shot learning, enhancing accuracy. We also incorporate a weighted Euclidean distance targeting informative regions within echocardiograms.

Main Results: We collected comprehensive datasets labeled by experienced echocardiographers, including Normal heart and various levels of LVH severity. Our model outperforms existing techniques, demonstrating significant precision enhancement, with improvements of up to 13\% for zero-shot and few-shot learning approaches.

Significance: Accurate assessment of LVH severity is crucial for clinical prognosis and treatment decisions. Our proposed MSWED model offers a more reliable and efficient solution compared to traditional grading systems, reducing subjectivity and errors while providing enhanced precision in severity classification.

Challenges for the development of sustainable SMEs in the cement industry: a SWARA–WASPAS approach

Purpose This study aims to examine the obstacles and approaches to achieving sustainable development in India’s cement solid and hollow brick production business, with a specific emphasis on incorporating the triple bottom line (TBL) concept into strategies for small and medium-sized enterprises (SMEs). Design/methodology/approach Using the step-wise weight assessment ratio analysis (SWARA)–weighted aggregated sum product assessment (WASPAS) approach, the study prioritized 11 economic, 9 environmental and 14 social sustainability indicators based on information collected from literature and expert opinions. Findings The study provides valuable insights into the difficulties encountered by SMEs while implementing strategies that focus on the TBL. By putting emphasis on the sustainability criteria, the key areas that require attention to promote sustainability get identified and addressed. Research limitations/implications The study’s focus on SMEs in this industry limits its generalizability. To have a more complete picture, future studies may include many areas. Practical implications The identified and prioritised sustainability characteristics help small and medium-sized firms (SMEs) design strategies to address sustainable development concerns. The research findings could also inform policymakers and regulatory bodies about the challenges faced by SMEs in the cement and brick production sector regarding sustainability. It could highlight the need for supportive policies and regulations to promote sustainable practices and incentivize SMEs to adopt the TBL approach. The paper can offer practical insights for SME owners and managers on integrating sustainability principles into their business strategies. Actionable recommendations and best practices for enhancing environmental performance, social impact and economic viability within the context of cement and brick production are outlined. Social implications TBL policies improve the sustainability and profitability of small and medium-sized firms (SMEs) and promote environmentally and socially responsible practices that benefit the industry and society. The research paper may facilitate greater engagement and collaboration among various stakeholders involved in the cement and brick production industry, including SMEs, larger corporations, government agencies, non-governmental organizations (NGOs) and local communities. This cooperative approach can encourage open communication, the establishment of trust and coordinated actions to tackle sustainability challenges, ultimately improving social cohesion and collaboration. Originality/value This study provides new and valuable insights by investigating the development of TBL strategies in SMEs in the cement solid and hollow brick manufacturing sector in India. The utilization of the SWARA–WASPAS technique brings novelty to research on sustainable development in this field.

Speech and Resonance Disorders in Children With Cleft Palate: Diagnostic Evaluation and Current Speech Therapy Modalities.

This article will provide an overview of how speech and resonance can be impacted in children with cleft palate. The authors will outline evidence-based assessment and treatment approaches commonly used for children with cleft palate and provide information on current initiatives to provide speech therapy. The methods discussed will be the use of telehealth to provide access to speech therapy for patients in areas without speech-language pathologists and the use of speech therapy camps to offer intensive, limited-duration speech therapy for groups of children due to the lack of trained providers in certain geographical regions.

Advances in next-generation sequencing for relapsed pediatric acute lymphoblastic leukemia: current insights and future directions.

Leukemia is one of the most common cancers in children; and its genetic diversity in the landscape of acute lymphoblastic leukemia (ALL) is important for diagnosis, risk assessment, and therapeutic approaches. Relapsed ALL remains the leading cause of cancer deaths among children. Almost 20% of children who are treated for ALL and achieve complete remission experience disease recurrence. Relapsed ALL has a poor prognosis, and relapses are more likely to have mutations that affect signaling pathways, chromatin patterning, tumor suppression, and nucleoside metabolism. The identification of ALL subtypes has been based on genomic alterations for several decades, using the molecular landscape at relapse and its clinical significance. Next-generation sequencing (NGS), also known as massive parallel sequencing, is a high-throughput, quick, accurate, and sensitive method to examine the molecular landscape of cancer. This has undoubtedly transformed the study of relapsed ALL. The implementation of NGS has improved ALL genomic analysis, resulting in the recent identification of various novel molecular entities and a deeper understanding of existing ones. Thus, this review aimed to consolidate and critically evaluate the most current information on relapsed pediatric ALL provided by NGS technology. In this phase of targeted therapy and personalized medicine, identifying the capabilities, benefits, and drawbacks of NGS will be essential for healthcare professionals and researchers offering genome-driven care. This would contribute to precision medicine to treat these patients and help improve their overall survival and quality of life.

Empirical comparison of assembly complexity assessment approaches in manufacturing

AbstractInvestigating assembly complexity is a continuing concern within the manufacturing field, as it may impact the quality and costs of products. A growing body of literature is aimed at developing novel and reliable methods to assess assembly complexity. The first aim of this paper is to provide an extensive literature review, identifying the main approaches to this problem. Three main approaches emerged: product-centred approach, information-centred approach and system-centred approach. A second goal is to conduct a comparative analysis of these approaches, highlighting their advantages and limitations and providing guidance for process and product designers seeking to control assembly complexity. For each approach, a representative method was chosen, analysed in detail, and applied to five different real products. As concluding findings it was observed that product-centred approaches provide a more objective analysis, focusing strictly on product features. On the other hand, information-centred approaches focus on quantity and variety of information handled by assembly operators, thus proposing a valuable link between complexity and effort required. Finally, system-centred approaches provide a holistic assessment of assembly complexity which is typically only qualitative.

Integration and evaluation of the high-precision MotionCam-3D into a 3D thermography system

Abstract. Infrared thermal imaging enables fast, accurate and non-contact measurement of temperature distributions. However, 2D representations of 3D objects often require several images to provide significant information. For such cases, 3D thermograms allow a quick temporal and spatial analysis. In this paper, the integration of an industrial high-precision 3D sensor into a 3D thermography system is presented. The performances of the existing and new systems are assessed and compared by analyzing 3D thermograms of an industry-related test object. The geometry of the obtained point cloud is evaluated by means of a non-referenced point cloud quality assessment approach. It is shown that, in the presence of the spatial resolution and the local curvature, the proposed system performs significantly better than the existing one.

The Selection of Biogas Plants in the Indian Context Based on Performability—An Analytic Hierarchy Process and Weighted Aggregated Sum Product Assessment Approach

The purpose of this research paper is to present a framework for selecting a biogas plant for the Indian rural community, considering performability factors such as reliability, quality, maintainability, safety, and sustainability. This will ensure that the plant operates reliably, efficiently, and safely over its entire life cycle and can play a significant role as a decision-support tool for decision-makers (e.g., managers, engineers, stakeholders). The proposed framework integrates the Analytic Hierarchy Process (AHP), and the Weighted Aggregated Sum Product Assessment (WASPAS) to optimally evaluate and prioritize the best alternative based on performability factors. The findings show that the suitable biogas plant in the context of the Indian rural population is a fixed-dome-type plant. The decision-making process in selecting the best biogas plant can be effectively aided by using this suggested tool. Currently, there are no proper tools or methods for selecting biogas plants for rural areas due to a lack of data or relevant literature on operational issues. The proposed method uses performability factors for the selection, which has not been researched so far. Moreover, the AHP–WASPAS approach offers a robust method for selecting biogas plants, ensuring efficient and sustainable energy production. The proposed method will help policymakers and stakeholders to choose the best biogas plant in the context of Indian rural application.

Predictive Geogenic Radon Potential (P-GRP): A novel approach for comprehensive hazard assessment and risk modeling in subsurface environment

Geogenic radon potential (GRP) is traditionally used for mapping radon-prone areas. However, this has challenges in the accurate assessment of radon risk because of limitations such as oversimplified soil measurements and lack of geological profiles. This study presents predictive geogenic radon potential (P-GRP), integrating geological characterization and advanced modeling for the emanation and transport of radon in the subsurface environment. Seoul, South Korea, was selected as the research area for the evaluation of hazards using P-GRP, while subway station A was selected for the assessment of indoor health risks. The geology was characterized by the layers of bedrock and soil using uranium contents and porosity. The emanation of radon was modeled considering the radioactive decay chain of uranium and the pore structures. The vertical transport of radon was modeled considering the porosity variation within geological media, which was used for the calculation of P-GRP. Without loss of continuity, the P-GRP map was constructed by calculating P-GRP at a specific depth over the Seoul area. The calculation of P-GRP in the case of subway station A demonstrates that the radon concentration in the bedrock at the platform depth was expected to be 382 million Bqm−3. The indoor radon risk was calculated using the P-GRP by coupling the vapor intrusion process. This presented a high cancer risk for the employees as well as commuters. The P-GRP map of Seoul demonstrated higher hazards in granite zones compared to banded gneiss zones. These results have demonstrated that the P-GRP could be a novel and promising approach for assessing hazard and risk by geogenic radon during subsurface development.

A Systematic Review Supporting the Endocrine Society Clinical Practice Guidelines on Vitamin D.

Low vitamin D status is common and is associated with various common medical conditions. To support the development of the Endocrine Society's Clinical Practice Guideline on Vitamin D for the Prevention of Disease. We searched multiple databases for studies that addressed 14 clinical questions prioritized by the guideline panel. Of the 14 questions, 10 clinical questions assessed the effect of vitamin D vs no vitamin D in the general population throughout the lifespan, during pregnancy, and in adults with prediabetes; 1 question assessed dosing; and 3 questions addressed screening with serum 25-hydroxyvitamin D (25[OH]D). The Grading of Recommendations Assessment, Development and Evaluation approach was used to assess certainty of evidence. Electronic searches yielded 37 007 citations, from which we included 151 studies. In children and adolescents, low-certainty evidence suggested reduction in respiratory tract infections with empiric vitamin D. There was no significant effect on select outcomes in healthy adults aged 19 to 74 years with variable certainty of evidence. There was a very small reduction in mortality among adults older than 75 years with high certainty of evidence. In pregnant women, low-certainty evidence suggested possible benefit on various maternal, fetal, and neonatal outcomes. In adults with prediabetes, moderate certainty of evidence suggested reduction in the rate of progression to diabetes. Administration of high-dose intermittent vitamin D may increase falls, compared to lower-dose daily dosing. We did not identify trials on the benefits and harms of screening with serum 25(OH)D. The evidence summarized in this systematic review addresses the benefits and harms of vitamin D for the prevention of disease. The guideline panel considered additional information about individuals' and providers' values and preferences and other important decisional and contextual factors to develop clinical recommendations.

Risks of regionalized stock assessments for widely distributed species like the panmictic European eel

Abstract In fisheries management, accurate stock assessment is pivotal to determine sustainable harvest levels or the scope of conservation measures. When assessment is decentralized and methods differ regionally, adopted approaches must be subjected to rigorous quality-checking, as biased assessments may mislead management decisions. To enable recovery of the critically endangered European eel, EU countries must fulfill a biomass target of potential spawner (“silver eel”) escapement, while local eel stock assessment approaches vary widely. We summarize local approaches and results of ground-truthing studies based on direct silver eel monitoring, to evaluate the accuracy of eel stock assessments in retrospect and identify bias sources. A substantial fraction of eel habitat is currently unassessed or assessed by unvalidated approaches. Across assessment models for which validation exists, demographic models frequently overestimated actual escapement, while misestimations of extrapolation (“spatial”) models were more balanced, slightly underestimating escapement. Stock size overestimation may lead to overexploitation or insufficient conservation measures, increasing the risk of stock collapse or slow recovery in coordinated frameworks. Underestimations may imply inefficient allocation of conservation efforts or negatively affect socioeconomy. Our work highlights the risks of regionalizing assessment responsibilities along with management decisions, calling for a common assessment toolbox and centralized quality-checking routines for eel.

Radiographic diagnosis of periodontal diseases - Current evidence versus innovations.

Accurate diagnosis of periodontal and peri-implant diseases relies significantly on radiographic examination, especially for assessing alveolar bone levels, bone defect morphology, and bone quality. This narrative review aimed to comprehensively outline the current state-of-the-art in radiographic diagnosis of alveolar bone diseases, covering both two-dimensional (2D) and three-dimensional (3D) modalities. Additionally, this review explores recent technological advances in periodontal imaging diagnosis, focusing on their potential integration into clinical practice. Clinical probing and intraoral radiography, while crucial, encounter limitations in effectively assessing complex periodontal bone defects. Recognizing these challenges, 3D imaging modalities, such as cone beam computed tomography (CBCT), have been explored for a more comprehensive understanding of periodontal structures. The significance of the radiographic assessment approach is evidenced by its ability to offer an objective and standardized means of evaluating hard tissues, reducing variability associated with manual clinical measurements and contributing to a more precise diagnosis of periodontal health. However, clinicians should be aware of challenges related to CBCT imaging assessment, including beam-hardening artifacts generated by the high-density materials present in the field of view, which might affect image quality. Integration of digital technologies, such as artificial intelligence-based tools in intraoral radiography software, the enhances the diagnostic process. The overarching recommendation is a judicious combination of CBCT and digital intraoral radiography for enhanced periodontal bone assessment. Therefore, it is crucial for clinicians to weigh the benefits against the risks associated with higher radiation exposure on a case-by-case basis, prioritizing patient safety and treatment outcomes.

Collaboration matters: A randomized controlled trial of patient-clinician collaboration in suicide risk assessment and intervention

BackgroundClinician collaboration can help high-risk individuals to manage their suicidal crises. However, limited research has directly examined how higher patient-clinician collaboration during assessment and intervention can effectively reduce suicidal ideation. This novel randomized clinical trial compared a high vs. low level of patient-clinician collaboration by pairing commonly used assessment (Structured Interview vs. Narrative Assessment) and intervention approaches (Safety Planning Intervention vs. Crisis Response Planning). We hypothesized that the interventions involving higher (than lower) patient-clinician collaboration during assessment (Narrative Assessment) or intervention (Crisis Response Planning) would lead to larger reductions in suicidal ideation. MethodsEighty-two participants with a history of suicide ideation and/or attempts were randomly assigned to one of the four interventions varying in patient-clinician collaboration. After attrition, sixty-six participants completed the study. Suicidal ideation via ecological momentary assessment was measured 14 days before and 14 days after treatment. ResultsAlthough the severity of suicidal ideation decreased in all groups, the two groups that included highly collaborative assessment had larger pre-post reductions in suicidal ideation (Narrative Assessment+Safety Plan; dwithin = 0.26, and Narrative Assessment+Crisis Response Plan; dwithin = 0.19) than the groups that included a checklist-based assessment (Structured Interview). LimitationsLonger follow-up periods with a larger sample would have provided an understanding of the durability of intervention effects. ConclusionResults suggest that the inclusion of higher patient-clinician collaboration techniques during suicide risk assessment can effectively reduce suicidal thoughts. Thus, clinician-led collaborative risk assessment approaches can enhance the effects of safety planning-type interventions among patients with elevated risk for suicide versus checklist-based assessment approaches.

A sustainability-oriented approach for performance assessment of existing buildings and a case study

The practice of sustainable buildings has become a general trend in urban development. Yet, with the rapid development of urban renewal, the performance of existing buildings often fails to meet the actual needs of sustainable urban development. To improve the performance of existing buildings, it is urgently needed to transform the existing structures and upgrade their functions and facilities. However, the pertinent guidelines have often been unclear for assessing the performance of existing structures, and a sounder and quantitative sustainable performance assessment approach has been lacking to guide decisions on the restoration, protection, or demolition of existing buildings. Based on a multi-expert consultation methodology, we proposed a revised flexible comprehensive assessment system and a comprehensive sustainability assessment approach. The system includes 4 categories, 7 quantitative and 47 qualitative indicators. Specifically, the assessment system involves a series of steps: 1) building a hierarchical model, 2) defining assessment indicators/items and constructing a judgment matrix, 3) determining the weight coefficients of the indicators, 4) collecting/calculating quantitative and qualitative data, 5) analyzing the data and results, and 6) drawing the assessment conclusions. A case study was presented to demonstrate the application of the approach. Compared to current practices, this comprehensive assessment system may serve as a scientifically sounder and quantitative approach to guide sustainable development of existing urban buildings.

A catastrophe model approach for flood risk assessment of Italian municipalities

A catastrophe model approach for flood risk assessment of Italian municipalities

Testing the Multivariate Hüsler–Reiss Model as a Practical Parametric Approach for Multiple River Flood Risk Assessment Using d4PDF Data: A Case Study in Kyushu Island, Japan

Testing the Multivariate Hüsler–Reiss Model as a Practical Parametric Approach for Multiple River Flood Risk Assessment Using d4PDF Data: A Case Study in Kyushu Island, Japan

Investigation of the sensory attributes, physicochemical characteristics, and functional properties of Malaysian stingless bee honeys: a chemometric approach for comprehensive honey assessment

Investigation of the sensory attributes, physicochemical characteristics, and functional properties of Malaysian stingless bee honeys: a chemometric approach for comprehensive honey assessment

Italian guidelines for the management of adult individuals with overweight and obesity and metabolic comorbidities that are resistant to behavioral treatment.

This guideline (GL) is aimed at providing a clinical practice reference for the management of adult patients with overweight or obesity associated with metabolic complications who are resistant to lifestyle modification. Surgeons, endocrinologists, gastroenterologists, psychologists, pharmacologists, a general practitioner, a nutritionist, a nurse and a patients' representative acted as multi-disciplinary panel. This GL has been developed following the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. A systematic review and network meta-analysis was performed by a methodologic group. For each question, the panel identified potentially relevant outcomes, which were then rated for their impact on therapeutic choices. Only outcomes classified as "critical" and "important" were considered in the systematic review of evidence. Those classified as "critical" were considered for clinical practice recommendations. Consensus on the direction (for or against) and strength (strong or conditional) of recommendations was reached through a majority vote. The present GL provides recommendations about the role of both pharmacological and surgical treatment for the clinical management of the adult patient population with BMI > 27kg/m2 and < 40kg/m2 associated with weight-related metabolic comorbidities, resistant to lifestyle changes. The panel: suggests the timely implementation of therapeutic interventions in addition to diet and physical activity; recommends the use of semaglutide 2.4mg/week and suggests liraglutide 3mg/day in patients with obesity or overweight also affected by diabetes or pre-diabetes; recommends semaglutide 2.4mg/week in patients with obesity or overweight also affected by non-alcoholic fatty liver disease; recommends semaglutide 2.4mg/week as first-line drug in patients with obesity or overweight that require a larger weight loss to reduce comorbidities; suggests the use of orlistat in patients with obesity or overweight also affected by hypertriglyceridemia that assume high-calorie and high-fat diet; suggests the use of naltrexone/bupropion combination in patients with obesity or overweight, with emotional eating; recommends surgical intervention (sleeve gastrectomy, Roux-en-Y gastric bypass, or metabolic gastric bypass/gastric bypass with single anastomosis/gastric mini bypass in patients with BMI ≥ 35kg/m2 who are suitable for metabolic surgery; and suggests gastric banding as a possible, though less effective, surgical alternative. The present GL is directed to all physicians addressing people with obesity-working in hospitals, territorial services or private practice-and to general practitioners and patients. The recommendations should also consider the patient's preferences and the available resources and expertise.

Effectiveness of combined virtual and clinical simulation compared with other active teaching strategies on health students' learning: a systematic review protocol.

The objective of this review is to synthesize the available evidence on the effectiveness of combined virtual and clinical simulation compared with other active teaching strategies on health students' learning. Current evidence indicates that both virtual simulation and clinical simulation are effective in assisting students to acquire clinical skills. However, there is a knowledge gap regarding the effectiveness of the combined use of both teaching strategies, which could enhance health students' learning. This review will consider experimental, quasi-experimental, and observational studies that address the combined use of virtual simulation with clinical simulation compared with other active teaching strategies in learning, clinical reasoning, clinical decision-making, and/or clinical competencies of health students. Combining different hybrid simulators to form a new one will not be considered for inclusion in the review. The databases to be searched will include Cochrane Library, MEDLINE (PubMed), CINAHL (EBSCOhost), Scopus, LILACS (VHL), Web of Science Core Collection, Embase, ERIC, and gray literature sources. Two independent reviewers will perform the study selection, critical appraisal, and data extraction using JBI tools. A narrative synthesis will be performed and, if possible, meta-analysis and risk assessment of publication bias. The Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach will be used to assess the certainty of the findings. PROSPERO CRD42023422410.

Preoperative lifestyle modifications combined with a structured exercise protocol on patient outcomes following total knee replacement surgery: A systematic review.

Medical guidelines recommend structured prehabilitation protocols consisting of lifestyle modifications and exercise to enhance post-operative outcomes for patients undergoing a total knee replacement (TKR). However, current research showing effectiveness is limited and has primarily focused on outcomes of exercise-based prehabilitation. To investigate whether a structured prehabilitation protocol consisting of exercise and lifestyle modifications improves physical function and patient-reported outcomes following TKR surgery compared with usual care. Systematic review. Five databases were searched to identify randomised controlled trials comparing structured prehabilitation programs consisting of lifestyle modifications and exercise, with usual care, for those undergoing a TKR. Methodological quality of included studies was assessed via the RoB 2.0 tool and results synthesis via a Grading of Recommendation Assessment, Development and Evaluation approach was performed to determine the certainty evidence for each outcome. Four studies were included in this review. Despite a positive trend supporting the inclusion of a structured prehabilitation protocol, additional improvements in post-operative pain, physical function and self-reported function were only seen in one study. Reductions in hospital length of stay were also seen in one study. No additional improvements in post-operative quality of life following prehabilitation were reported. Limited evidence supporting prehabilitation reported in our review is likely attributed to the intervention type, intensity, and delivery model of included studies. However, there remains to be strong evidence supporting the use of a structured prehabilitation protocol consisting of lifestyle modifications and exercise to improve post-operative outcome.