The power of Artificial Intelligence (AI) combined with the surgeons’ expertise leads to breakthroughs in surgical care, bringing new hope to patients. Utilizing deep learning-based computer vision techniques in surgical procedures will enhance the healthcare industry. Laparoscopic surgery holds excellent potential for computer vision due to the abundance of real-time laparoscopic recordings captured by digital cameras containing significant unexplored information. Furthermore, with computing power resources becoming increasingly accessible and Machine Learning methods expanding across various industries, the potential for AI in healthcare is vast. There are several objectives of AI’s contribution to laparoscopic surgery; one is an image guidance system to identify anatomical structures in real-time. However, few studies are concerned with intraoperative anatomy recognition in laparoscopic surgery. This study provides a comprehensive review of the current state-of-the-art semantic segmentation techniques, which can guide surgeons during laparoscopic procedures by identifying specific anatomical structures for dissection or avoiding hazardous areas. This review aims to enhance research in AI for surgery to guide innovations towards more successful experiments that can be applied in real-world clinical settings. This AI contribution could revolutionize the field of laparoscopic surgery and improve patient outcomes.
Rural tourism, which offers authentic cultural and nature-based experiences, is increasingly recognized as a vital tool for sustainable development. Ethiopia, with its rich rural landscapes and cultural heritage, holds immense potential for rural tourism, but the sector remains underdeveloped. This study assesses the facilitating conditions and challenges of rural tourism in Ethiopia using a mixed-methods approach. Results indicate that Ethiopia’s economic growth, improved rural infrastructure, large rural population, higher ethnic and religious diversity index, and 11 UNESCO World Heritage Sites provide strong foundations for rural tourism. However, significant challenges such as inadequate infrastructure, limited marketing, restricted access to financing, ethnic conflicts, environmental degradation, and insufficient stakeholder cooperation hinder its growth. To address these barriers, the study proposes a model encompassing strategic investments in infrastructure, enhancing marketing and promotion, access to finance initiatives, conflict resolution strategies, sustainable tourism practices, enhancing stakeholder coordination, and supportive policy frameworks. By employing these strategies, Ethiopia can harness the full potential of its rural tourism sector, contributing to economic development and community well-being while promoting cultural preservation and environmental sustainability. Also, the proposed model is highly applicable to other developing economies that share similar contexts. Besides, given the importance of the seven fundamental pillars of the model, it remains relevant across tourism types like coastal destinations.
This study evaluated the development and validation of an integrated operational model for the Underground Logistics System (ULS) in South Korea’s metropolitan area, aiming to address challenges in urban logistics and freight transportation by highlighting the potential of innovative logistics systems that utilize underground spaces. This study used conceptual modeling to define the core concepts of ULS and explored the system architecture, including cargo handling, transportation, operations and control systems, as well as the roles of cargo crews and train drivers. The ULS operational scenarios were verified through model simulation, incorporating both logical and temporal analyses. The simulation outcomes affirm the model’s logical coherence and precision, emphasizing ULS’s pivotal role in boosting logistics efficiency. Thus, ULS systems in Korea offer prospects for elevating national competitiveness and spurring urban growth, underscoring the merits of ULS in navigating contemporary urban challenges and championing sustainability.
The COVID-19 pandemic has significantly restricted household resilience, particularly in developing countries. The study investigates the correlation between livelihood capital and household resilience amid uncertainties due to the COVID-19 pandemic, specifically in Bekasi Regency, West Java Province, Indonesia. Livelihood capital encompasses social, human, natural, physical, and financial, which are crucial in shaping household resilience. This study used the SEM-PLS method and utilized a survey of 120 respondents (household heads) from four villages in two districts (Muaragembong and South Tambun) in Bekasi Regency to identify critical factors that either enhance or impede rural household resilience during and after the pandemic. Findings reveal that households possessing human capital, financial capital, and empowerment are more adept at navigating socioeconomic difficulties during and after the pandemic. However, this research stated that trust and social networks enhance household resilience during the pandemic, whereas social norms are crucial for rebuilding household resilience in the post-pandemic phase. The finding revealed that social cohesion adversely affected household resilience during and after the pandemic, while trust diminished household resilience in the post-pandemic COVID-19 phase. These findings offer insight to policymakers, scholars, and other stakeholders aiming to foster household resilience during and in recovery efforts after the pandemic.
Problem statement: An environmentally conscious consumer’s perspective can shift as they look for things that are gentler on the planet. Conversely, businesses engage in greenwashing when they try to cover up their lacklustre environmental initiatives. The current research was used the theory of rational choice behaviour to examine a model that connects corporate green washing and consumers’ green purchase intentions via the mediating roles of perceived risk, green trust and green confusion about food and beverage brands in Saudi Arabia. Research motivation: Sustainable business practices have been developed and adopted by corporations in response to the growing interest in environmentally friendly lifestyles and green products. However, green washing has become increasingly common as a means for businesses to give off the impression that they care about the environment when they really don’t. Research methodology: The online survey was used to obtain data directly from consumers about their views on green washing by corporations. Primary data was analysed using appropriate statistical tools and techniques in SPSS, AMOS and SmartPLS software, such as Correlation, Regression, Structural Equation Modelling (SEM), etc. Results: In terms of perceived greenness and confusion, the results showed that green wash mediates the relationship between green purchasing intention and greenness. There is a two-way correlation between consumers’ intentions to buy environmentally friendly products and their levels of green perception, and green confusion. The findings of this study were broadening our understanding of the consequences of green washing. Conclusions: All things considered, the study was encouraging more research on the subject and be a useful tool for academics, corporate managers, and students interested in environmental sustainability, product innovation, and green branding. According to the results, businesses can improve their green purchasing intentions by cutting down on green washing and focusing instead on building a positive reputation for their brand and encouraging customer loyalty. Corporate performance and social environment sustainability can both benefit greatly from this paper’s expansion of knowledge regarding the processes of individual customer psychological effects after perceptions of corporate greenwashing behaviour.
The objective of the study was to determine the relationship between open government and municipal effectiveness State a region of the Peruvian jungle. The research followed a quantitative approach with a non-experimental, cross-sectional, and correlational design. The population comprised citizens of State in a region of the Peruvian jungle, with a sample of 625 individuals. A structured survey was employed as the data collection technique, using a validated questionnaire as the instrument. The results revealed a positive, high, and significant correlation between governance and municipal effectiveness (Spearman’s Rho = 0.813, p < 0.01). Furthermore, the dimensions of transparency, integrity, accountability, and citizen participation showed moderate to high correlations with municipal effectiveness, with accountability (Rho = 0.779) emerging as the most influential dimension. It was concluded that the principles of open government play a crucial role in shaping the perception of effective municipal management. This underscores the need to strengthen transparency, integrity, and citizen participation policies to enhance public services and foster trust in local authorities.
In immigration services, it is essential to provide good service to the public, in line with the principles of public service. However, in reality, many people still feel that they have not received optimal public service. This study addresses the issue of whether there is a direct and indirect influence of employee competence on citizen satisfaction, with the indirect influence using service quality as a mediating variable. This research employs a quantitative associative method with a population of applicants at the Surakarta Class I Checkpoint Immigration Office over one month, totaling 6236 individuals. A sample of 259 people was obtained using the Isaac and Michael table. Data collection was conducted using a questionnaire distributed via Google Forms to the applicants. The results were then analyzed using descriptive analysis, hypothesis testing with SPSS version 26, path analysis, and finally, the Sobel test. The results of the study indicate that employee competence directly affects service quality with a t-value (18.119) exceeding the t-table (1.969), but does not directly affect citizen satisfaction with a t-value (0.831) less than the t-table (1.969). Meanwhile, service quality directly affects citizen satisfaction with a t-value (10.156) greater than the t-table (1.969). Path analysis and the Sobel test also show that employee competence indirectly affects citizen satisfaction through service quality, with a Sobel test t-value of (8.87) greater than the t-table (1.969). Based on these results, it is concluded that there is no direct influence of employee competence on citizen satisfaction, but there is an indirect influence of employee competence on citizen satisfaction through service quality.
Infrastructure decision-making has traditionally been focused on the use of cost-benefit analysis (CBA) and multicriteria decision analysis (MCDA). Nevertheless, there remains no consensus in the infrastructure sector regarding a favored approach that comprehensively integrates resilience principles with those tools. This review focuses on how resilience has been evaluated in infrastructure projects. Initially, 400 papers were sourced from Web of Science and Scopus. After a preliminary review, 103 papers were selected, and ultimately, the focus was narrowed down to 56 papers. The primary aim was to uncover limitations in both CBA and MCDA, exploring various strategies for amalgamating them and enhancing their potential to foster resilience, sustainability, and other infrastructure performance aspects. Results were classified based on different rationalities: i) objectivist, ii) conformist, iii) adjustive, and iv) reflexive. The analysis revealed that while both CBA and MCDA contribute to decision-making, their perceived strengths and weaknesses differ depending on the chosen rationality. Nonetheless, embracing a broader perspective, fostering participatory methods, and potentially integrating both approaches seem to offer more promising avenues for assessing the resilience of infrastructures. The goal of this research proposal is to devise an integrated approach for evaluating the long-term sustainability and resilience of infrastructure projects and constructed assets.
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