Definitive diagnosis of Craniosynostosis (CS) with computed tomography (CT) is readily available, however, exposure to ionizing radiation is often a hard stop for parents and practitioners. Lowering head CT radiation exposure helps mitigate risks and improves diagnostic utilization. The purpose of the study is to quantify radiation exposure from head CT in patients with CS using a ‘new’ (ultra-low dose) protocol; compare prior standard CT protocol; summarize published reports on cumulative radiation doses from pediatric head CT scans utilizing other low-dose protocols. A retrospective study was conducted on patients undergoing surgical correction of CS, aged less than 2 years, between August 2014 and February 2022. Cumulative effective dose (CED) in mSv was calculated, descriptive statistics were performed, and mean ± SD was reported. A literature search was conducted describing cumulative radiation exposure from head CT in pediatric patients and analyzed for ionizing radiation measurements. Forty-four patients met inclusion criteria: 17 females and 27 males. Patients who obtained head CT using the ‘New’ protocol resulted in lower CED exposure of 0.32 mSv ± 0.07 compared to the prior standard protocol at 5.25 mSv ± 2.79 (p < 0.0001). Five studies specifically investigated the reduction of ionizing radiation from CT scans in patients with CS via the utilization of low-dose CT protocols. These studies displayed overall CED values ranging from 0.015 mSv to 0.77 mSv. Our new CT protocol resulted in 94% reduction of ionizing radiation. Ultra-low dose CT protocols provide similar diagnostic data without loss of bone differentiation in CS and can be easily incorporated into the workflow of a children’s hospital.
Recognizing the discipline category of the abstract text is of great significance for automatic text recommendation and knowledge mining. Therefore, this study obtained the abstract text of social science and natural science in the Web of Science 2010-2020, and used the machine learning model SVM and deep learning model TextCNN and SCI-BERT models constructed a discipline classification model. It was found that the SCI-BERT model had the best performance. The precision, recall, and F1 were 86.54%, 86.89%, and 86.71%, respectively, and the F1 is 6.61% and 4.05% higher than SVM and TextCNN. The construction of this model can effectively identify the discipline categories of abstracts, and provide effective support for automatic indexing of subjects.
The expanding blue economy, marked by its focus on sustainable use of ocean resources, offers enormous opportunity for Small and Medium-sized Enterprises (SMEs). However, for SMEs to properly integrate and succeed in this economy, they must first have a thorough awareness of the sector’s challenges and prospects. This research used a scoping review and a qualitative study to identify the challenges and opportunities facing SMEs operating in the blue economy. The study discovered recurring themes and gaps in the existing literature by conducting an extensive examination of scholarly publications. The key challenges identified include complicated regulatory frameworks, restricted access to funding, infrastructure restrictions, talent deficiencies, government support, and market outreach. In-depth interviews with Malaysian SME leaders, industry stakeholders, and policymakers were conducted to decipher these findings. The results of interviews confirmed the relevance of the regulatory framework, infrastructure restrictions, talent deficit, and market access challenges in the Malaysian context. In particular, the study revealed emerging opportunities for Malaysian blue SMEs in sectors such as renewable energy, sustainable fisheries, marine biotechnology, and ecotourism. The study emphasizes the importance of an encouraging policy framework, knowledge-sharing platforms, and capacity building activities. It finishes by underlining the ability of SMEs to drive a sustainable and thriving blue economy, if challenges are systematically handled, and opportunities are appropriately capitalized.
Amid the unfolding Fourth Industrial Revolution, the integration of Logistics 4.0 with agribusiness has emerged as a pivotal nexus, harboring potential for transformational change while concurrently presenting multifaceted challenges. Through a meticulous content analysis, this systematic review delves deeply into the existing body of literature, elucidating the profound capacities of Logistics 4.0 in alleviating supply chain disruptions and underscoring its pivotal role in fostering value co-creation within agro-industrial services. The study sheds light on the transformative potential vested within nascent technologies, such as Internet of Things (IoT), Blockchain, and Artificial Intelligence (AI), and their promise in shaping the future landscape of agribusiness. However, the path forward is not without impediments; the research identifies cardinal barriers, most notably the absence of robust governmental policies and a pervasive lack of awareness, which collectively stymie the seamless incorporation of Industry 4.0 technologies within the realm of agribusiness. Significantly, this inquiry also highlights advancements in sustainable supply chain management, drawing attention to pivotal domains including digitalization, evolving labor paradigms, supply chain financing innovations, and heightened commitments to social responsibility. As we stand on the cusp of technological evolution, the study offers a forward-looking perspective, anticipating a subsequent transition towards Industry 5.0, characterized by the advent of hyper-cognitive systems, synergistic robotics, and AI-centric supply chains. In its culmination, the review presents prospective avenues for future research, emphasizing the indispensable need for relentless exploration and pragmatic solutions. This comprehensive synthesis not only sets the stage for future research endeavors but also extends invaluable insights for practitioners, policymakers, and academicians navigating the intricate labyrinthstry of Logistics 4.0 in agribusiness.
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