Articles

Background:</b> Within contemporary medical education systems dominated by the biomedical paradigm, medical students commonly experience a decline in empathy alongside uncertainty in professional identity formation. Narrative medicine, as an educational approach designed to bridge objective technical reasoning and subjective human experience, has been proposed as a response to this humanistic crisis. However, the psychological mechanisms underlying its effects, the boundaries of existing empirical evidence, and strategies for systematic implementation remain insufficiently clarified. <b>Content:</b> Drawing on a comprehensive review of the literature, this article elucidates two core theoretical mechanisms through which narrative medicine operates. First, through the cycle of attention, representation, and affiliation combined with reflective practice, narrative medicine facilitates the coordinated development of cognitive empathy and emotional resonance. Second, through narrative integration, it supports learners in transforming fragmented clinical experiences into coherent professional identities. A synthesis of empirical studies published over the past decade indicates that well designed narrative medicine curricula can enhance reflective capacity, communication skills, and a sense of professional meaning, although their effectiveness is substantially moderated by curricular intensity, pedagogical modality including digital and multimodal approaches, and cultural context. <b>Conclusion:</b> The integration of narrative medicine currently faces structural barriers, including limited curricular space, the scarcity of standardized assessment tools, and insufficient faculty development. Future efforts should adopt implementation science frameworks to shift from isolated elective offerings toward longitudinal spiral curricula, develop multidimensional evaluation strategies, and explore the use of emerging technologies such as artificial intelligence and virtual reality in narrative pedagogy. These efforts may establish narrative medicine as a foundational pathway for cultivating physicians with core humanistic competencies.

Mathematical modeling plays a central role in infectious disease epidemiology, shaping outbreak response strategies and informing public health policy. The COVID-19 pandemic demonstrated the value of these models but also exposed persistent limitations related to data fragility, lack of transparency, limited stakeholder engagement, and insufficient consideration of social and political contexts. Rather than critiquing modeling as a discipline, this perspective argues for a reorientation of infectious disease modeling toward a more responsive, equity-centered, and participatory paradigm. We propose a conceptual framework built on three interrelated principles: adaptability through real-time data integration, transparency via open-source and reproducible practices, and relevance through interdisciplinary and co-produced model design. Drawing on illustrative examples from COVID-19 and dengue control efforts, we highlight how integrating behavioral dynamics, local knowledge, and policy feedback can improve model usefulness and public trust. Reconceptualizing models as dynamic systems of inquiry rather than static forecasting tools can enhance decision-making and promote more equitable and effective responses to future public health emergencies.

Complexity Leadership Theory (CLT) is a new and revolutionary concept in addressing healthcare crises worldwide. Its relevance and applications were tested during the COVID-19 pandemic. However, no definite and encompassing research was done to apply it to nursing leadership. Thus, this study examines CLT integration into nursing leadership to address the challenges posed by the pandemic. Through a systematic review of literature from PubMed, Scopus, and Web of Science, relevant studies were analyzed to determine how complexity leadership theory was defined, conceptualized, and operationalized within nursing leadership context. The findings reveal that traditional hierarchical leadership models are insufficient in a dynamic crisis environment like the pandemic. Instead, CLT’s framework which encompasses adaptive, administrative, and enabling leadership facilitates innovation, resilience, and effective interprofessional collaboration. Nurse leaders employing these strategies are better positioned to manage resources limitation, foster shared decision-making, and implement technological advancements in rapidly changing healthcare settings. Overall, this study underscores the potential of complexity leadership theory to transform nursing leadership practices by promoting continuous learning and empowerment, thereby enhancing crisis response and preparedness for future pandemics.

Machine learning operations (MLOps) comprises the practices, methods, and tooling that facilitate the deployment of reliable ML models in production environments. While many aspects of cloud data platforms are designed to enable reliability, only some managed ML services support the MLOps goals of continuous integration, continuous delivery, data lineage tracking, associated reproducibility, governance, and security. Furthermore, reliability encompasses not only the fulfillment of service-level objectives, but also systematic monitoring, alerting, and incident response automation. Architectural patterns are proposed to enable reliable deployment in cloud data platforms, focusing on the implementation of continuous integration and testing pipelines for ML models and the formulation of continuous delivery and rollout strategies. Continuous integration pipelines reduce the risk of regressions and ensure sufficient model performance at the time of deployment, while continuous delivery pipelines enable rapid updates to production models within acceptable risk profiles. The landscape of publicly available MLOps frameworks, tools, and services is also examined, emphasizing the pros and cons of established and rising solutions in containerization, orchestration, model serving, and inference. Containerization and orchestration contributes to the building of reliable deployment pipelines in cloud data platforms, whether general-purpose tools (e.g. Docker and Kubernetes) or solutions tailored for ML workloads. Containerized serving frameworks designed for high-throughput, low-latency inference can benefit a wide range of business applications, while auto-scaling and model versioning capabilities enhance the ease of use of cloud-native ML services.

The management of supply chains is increasingly complex. This study provides a comparative analysis of the cost-benefit analysis for managing various risks. It identifies the financial implications of leveraging artificial intelligence in supply chains to better address risk. Empirical results show a business case for managing some sources of risk more proactively facilitated through predictive modeling techniques offered by AI. Across investigation streams, the use of AI results in an average total cost saving ranging from 41,254 to 4,099,617. Findings from our research can be used to inform managers and theorists about the implications of integrating AI technologies to manage risks in the supply chain. Our work also highlights areas for future research. Given the growing interest in studying sub-second forecasting, our research could be a point of departure for future investigations aimed at considering the impact of forecasting horizons such as an intra-day basis. We formulate a conceptual framework that considers how and to what extent performance evaluation metrics vary according to differences in the fidelity of predictive models and factor importance for identifying risks. We also utilize a mixed-method approach to demonstrate the applicability of our ideas in practice. Our results illustrate the financial implications of integrating AI predictive tools with business processes. Results suggest that real-world companies can circumvent inefficiencies associated with trying to manage many classes of risk via the use of AI-enhanced predictive analytics. As managers need to justify investment to top management, our work supports decision-making by providing a means of conducting a trade-off analysis at the tactical level.

There is a growing body of evidence that the number of individuals suffering from chronic and acute pain is under-reported and the burden of the veteran, aging, athletic, and working populations is rising. Current pain management is limited by our capacity to collaborate with individuals continuing normal daily functions and self-administration of pain treatments outside of traditional healthcare appointments and hospital settings. In this review, the current gap in clinical care for real-time feedback and guidance with pain management decision-making for chronic and post-operative pain treatment is defined. We examine the recent and future applications for predictive analytics of opioid use after surgery and implementing real-time neural networks for personalized pain management goal setting for particular individuals on the path to discharge to normal function. Integration of personalized neural networks with longitudinal data may enable the development of future treatment personalizations paired with electrical simulations.

Advances in web-centric cloud computing have facilitated the establishment of an integrated cloud environment connecting a wide variety of clinical trial stakeholders. A web-centric cloud framework is proposed for real-time monitoring and risk prediction during clinical trials. The framework focuses on identifying relevant datasets, developing a data-management interface, and implementing machine-learning algorithms for data analysis. Detailed descriptions of the data-management interface and the machine-learning processes are provided, targeting active clinical trials with therapeutic uses in cancer. Demonstrations utilize publicly available clinical-trial data from the ClinicalTrials.gov repository. The real-time monitoring and risk prediction systems were assessed by developing five supervised-classification-machine-learning models for trial-status prediction and six unsupervised models for patient-safety-profile assessment, each representing a different phase of the clinical-trial process. All supervised models yielded high accuracy and area-under-the-curve values at the testing stage, while the unsupervised models demonstrated practical applicability. The results underscore the advantages of using the trial-status algorithm, the patient-safety-profile model, and the proposed framework for performing real-time monitoring and risk prediction of clinical trials.

Self-service business intelligence (BI) platforms have become essential applications for exploring, analyzing, and visualizing business data in various domains. Here, we envisage that the business intelligence platform will perform automatic and autonomous data analytics with minimal to no user interaction. We aim to offer a data-driven, intelligent, and scalable infrastructure that amplifies the advantages of BI systems and discovers hidden and complex insights from very large business datasets, which a business analyst can miss during manual exploratory data analysis. Towards our future vision of autonomous analytics, we propose a collective machine learning model repository with an integration layer for user-defined analytical goals within the BI platform. The proposed architecture can effectively reduce the cognitive load on users for repetitive tasks, democratizing data science expertise across data workers and facilitating a less experienced user community to develop and use advanced machine learning and statistical algorithms.

The internet originated as a neutral device that was predominantly created to bring ease to the lives of people by making available all the information needed for the growth and prosperity of human beings, but the misuse of this communication medium has created a lot of challenges and the internet addiction is one of them. Internet addiction is a rapidly growing phenomenon exhibiting alarming prevalence rates and a widely recognized problematic condition around the world. Preliminary findings have shown that the unrestrained availability of this communication medium has unfetteredly increased the rate of various complications including psychological disturbances, neurological problems, and social issues. Moreover, it has accelerated the probability of those having an underlying psychological disorder being at serious risk of becoming addicted to the internet, therefore, it has stirred a hot topic of discussion among the mental health communities. The aim of this paper was to deliberately provide a brief overview of the theoretical considerations and ongoing research on internet addiction. A detailed review analysis was performed addressing the types of internet addiction, epidemiology, comorbidities associated with the excessive use of the internet, and different treatment options. Moreover, future areas of research were highlighted stressing the significance of reaching a consensus on characterizing primary features of internet addiction, and an outlook on the future goals of ongoing research has been demonstrated.

The main energy conservation opportunities in a dairy plant are in refrigeration, and steam generation. This paper aims to identify potential energy and water savings and opportunities to improve the thermal efficiency of a fluid milk processing plant, using energy analysis and Heat Integration methods. Methodologies for energy analysis and Pinch Analysis with the use of HENSAD and Aspen Energy Analyzer are applied. The main specific energy consumptions are defined as indicators of the progress of improved energy efficiency. The determination of energy performance indicators and energy targets of the heat exchanger network, as well as its design, allowed identifying opportunities for improvement to reduce fuel and water consumption through heat recovery in the milk pasteurization process. Current hot and cold utilities duties are satisfied, for a minimum allowable temperature difference of 20 °C. Total annual savings of 60 t of fuel oil and 15,800 m³ of water allow assessing the feasibility of an investment project for improved heat recovery.

The purpose of the study was to assess teachers’ knowledge in integrating affective domain in teaching and learning of Social Studies lessons in the junior high schools in Aowin Municipality. A quantitative approach and survey research design used the study. The study population constituted Social Studies teachers in the 40 Junior High Schools in the Aowin Municipality of the Western North Region of Ghana. Simple random and convenient sampling techniques were used to sample the respondents of the study. The sampling technique was to ensure the representativeness of the sample. The study used structured questionnaires to collect the data. Descriptive statistics in the form of percentages was used in this study. SPSS was used to analyse the data. The study concluded that the Social Studies teachers have some level of knowledge of the principles of developing affective test items. The study also indicated that Social Studies teachers in the study area can define affective objectives in behavioural terms and have some level of knowledge of the principles of developing affective test items, they do not teach the affective domain. It is recommended that, Coordinators for junior high schools and the headmasters (academic) should ensure that affective objectives are inculcated in the general lesson objectives of Social Studies teachers. Intensive in-service training should be ran for Social Studies teachers to equip them on the formulation of affective objectives. It is also recommended that in service training should be organised by the education directorate in the municipality to train teachers in the teaching of lessons involving the affective domain. The headmasters, as well as the coordinators for junior high schools, should monitor whether teacher’s qualification reflect in the teaching of the social studies lessons that involve the affective domain.

Migrating enterprise policy systems to .NET Core is a key objective of digital transformation in the Insurance IT ecosystem. This change directly addresses strategic drivers: enabling adoption of cloud-first development, resisting market pressure for more flexible and usable enterprise solutions, and preparing for changing demands from regulation and compliance. Phases of operational benefit aligned with risk mitigation form the basis of the migration roadmap, with a strong focus on engaging all relevant stakeholders. Market pressure for a SEAMLESS user experience across ALL applications is a fundamental driver for Investment in digital transformation. Gaps remain in enterprise Operations, where Legislative and regulatory accountability Demand rigid and complex solutions that Liberty has not yet been able to provide. New risk-based capital requirements, Data-Sovereignty controls, Controls for sensitive Data in the Cloud, and new Audit requirements create a long list of challenges for the ecosystem that can no longer be Deferred. At the same time, Cross-organisational integration is becoming more important and integrating partners from the insurance supply-chain requires a much more flexible approach to development and Deployment. These factors combine to generate a credible case for accelerated digital investment with a focus on Migration to Cloud Platforms, with related Risk mitigation, Quality Improvements, and flexibility benefits that close Industry gaps.

The continuous integration (CI) and continuous delivery/deployment (CD) methods are key tools in the field of modern software development, and they assist in the rapid, reliable and quality delivery of software. These DevOps methods are automated, and the code development, testing, and deployment processes are streamlined, which reduces the risk of integration, enhances productivity, and minimizes human labor. To implement CI/CD, Java cloud applications can utilize cloud-native services such as AWS Code Pipeline, Azure DevOps, and Google Cloud Build, as well as tools like Jenkins, GitLab CI/CD, GitHub Actions, CircleCI, Travis CI, and Bamboo. Basic concepts of CI/CD include automation, regular integration, testing, intensive testing, constant feedback, and process improvement. Some of the major pipeline phases include deployment, monitoring, testing, artefact management, build automation, and source code management. Despite clear benefits, challenges remain, including infrastructure complexity, dependency management, test reliability, and cultural barriers, particularly in large-scale or enterprise Java projects. This work provides a thorough analysis of CI/CD procedures and resources, including frameworks, best practices, and challenges for Java cloud applications. It highlights strategies to optimize adoption, improve software quality, and accelerate delivery cycles.

Data warehousing is a technique for collecting, managing, and presenting data to help people analyze and use that data effectively. It involves a large database designed to support management-level staff by providing all the relevant historical data for analysis. This chapter begins with a definition of data warehousing, followed by an overview of large-scale policy management to highlight the need for data warehousing. Next, an overview of an ETL framework is presented, along with a discussion of advanced ETL techniques. The chapter concludes with an outline of performance optimization techniques for data warehousing. Data warehousing is considered a key enabler for efficient reporting and analysis, with implementation choices ranging from cost-effective desktop systems to large-scale, mission-critical data marts and warehouses containing petabytes of data. Extract, transform, and load (ETL) systems remain one of the largest cost and effort areas within data warehouse development projects, requiring significant planning and resources to build, manage, and monitor the flow of data from source systems into the data warehouse. The technology and techniques used for ETL can greatly influence the success or failure of a data warehouse. Complex business requirements for data cleansing, loading, transformation, and integration have intensified, while operational plans for real-time and near-real-time reporting add additional challenges. Parallel loading mechanisms, incremental data loading, and runtime update and insert strategies not only improve ETL performance but also optimize data warehousing performance, particularly for large-scale policy management.

Seamless integration of information in organizations promotes not only the operational efficiency but also the quality of decisions made by managers. Real-time decision support systems enable organizations to evaluate organizational changes immediately and ideally gives a hint of problems before they even appear in the organization. Such real time systems are nowadays regarded as the front-line solutions for managing organizations effectively. The technological possibilities seem not to conquer management. For most companies the data is still dealt with traditional solutions, data is collected and reports are generated to evaluate the past occurrences which only gives information on what has happened in the organization. The problem with these non-real-time systems is the reflection of organizational condition very late. These are the common rear-mirror descriptions for what already has been. Managers are receiving information from their organizations too late and often too little to make optimal decisions. Is it not possible to manage operations in real-time? Is real-time decision support really needed? If so, why most organizations still rely on traditional reporting systems.

Integrated Risk and Compliance Frameworks for Global Data Center Operations: A Governance-Centric Approach presents an objective, evidence-based analysis through a governance-focused lens, emphasizing strategic alignment, stakeholder engagement, and measurable outcomes. Specific risk and compliance paradigms governing data center operations are identified, and the impact of these paradigms on oversight, control, and reporting is assessed. A comparative study of traditional operational controls and a governance-led compliance-centric methodology demonstrates the latter's potential to become the primary driver of data center risk and compliance. Governance encompasses the continued alignment of business goals with risk appetite, regulatory requirements, and operational capabilities; a defined structure for accountability, including oversight committees and established roles and responsibilities for risk and compliance decision rights; and a mechanism for stakeholder engagement that enables periodic and continuous validation of strategic decisions. Integrated risk management frameworks leveraging these principles are a prerequisite for effective risk and compliance management in the context of global data center operations.

While several application domains are exploiting the added-value of analytics over various datasets to obtain actionable insights and drive decision making, the public policy management domain has not yet taken advantage of the full potential of the aforementioned analytics and data models. To this end, in this paper authors present an overall architecture of a cloud-based environment that facilitates data retrieval and analytics, as well as policy modelling, creation and optimization. The environment enables data collection from heterogeneous sources, linking and aggregation, complemented with data cleaning and interoperability techniques. An innovative approach for analytics as a service is introduced and linked with a policy development toolkit, which is an integrated web-based environment to fulfil the requirements of the public policy ecosystem stakeholders [1]. Large information databases on various public issues exist, but their usage for public policy formulation and impact analysis has been limited so far, as no cloud-based service ecosystem exists to facilitate their efficient exploitation. With the increasing availability and importance of both public big and traditional data, the need to extract, link and utilize such information efficiently has arisen. Current data-driven web technologies and models are not aligned with the needs of this domain, and therefore, potential candidates for big data, cloud-based and service-oriented public policy analysis solutions should be investigated, piloted and demonstrated [2]. This paper presents the conceptual architecture of such an ecosystem based on the capabilities of state-of-the-art cloud and web technologies, as well as the requirements of its users.

Imagine a consumer financial services company with 20 million customers. Its sales and marketing organizations collaborate across product lines, deploying hundreds of marketing campaigns each quarter that aim to increase customer product usage and/or cross-buying of products. Each campaign is based on forecasts of customer responses derived from predictive models updated every quarter. The goals of these models are to achieve large return on investment ratios and to maximize contribution to local profit centers. What’s important is that their modeling is based only on data created, curated and maintained by these marketing organizations. The difference today is that the modeling is no longer based solely on a small number of response-determined variables that are constantly assessed in terms of importance. A quarterly campaign update generates hundreds of statistical models — involving campaign responses, purchase-lag time, the relative magnitude of the direct effect, and the cross-buying effects — using thousands of variables, including customer demographics, life stage, product transactions, household composition, and customer service history. It’s a network of models, not just a table of variable-by-residual importance values. But that’s only part of the story of data products. The predictive modeling utilized by these campaign plans is based on analytics and data preparation, which are data products in their most diminutive form. These products would be even more elementary were they not crafted quarterly by highly skilled, experienced modelers using advanced software and processes. Most companies have enough data to create models that contain not simply hundreds of variables, but thousands, so that the focus can return to information instead of data reduction. These models largely replace the internal econometric models previously used to produce advanced forecasts in the absence of campaign modeling. People used these forecasts to simulate ROI and contribution forecasts for the planned campaigns. In the old days, reliance on econometrically forecast ROI-guideline contribution values reduced the reliance on the marketing campaign modelers because of a lack of trust in their predictive ability.

With unclaimed property assets reaching record levels, businesses have become, in some cases, overwhelmed and hamstrung by stagnant, unoptimized processes. That sentiment is compounded by ever-evolving regulatory changes, resulting in organizations struggling to hit compliance deadlines while delivering an optimal claimant experience. Often, early systems had periods of short-term success but are on the verge of obsolescence, resulting in stressed workflows and cumbersome integrations. Deploying an integrated IT infrastructure, supported by cloud-enabled AI, represents the quickest path to modernizing unclaimed property management. A fully integrated IT infrastructure is crucial to optimize the management of unclaimed property [1]. When lone solutions exist across an organization, companies miss out on automation opportunities generated through the interconnectedness of systems and data. AI presents organizations with the opportunity to traverse these gaps, enabling a vast library of applications to improve the perturbed workflows of unclaimed property teams. Automated data extraction, document comparison, fraudulent claim detection, and workflow completion analysis are just a few popular applications well suited for the unclaimed property space. In addition to the lagging technology currently deployed by many organizations, the unclaimed property landscape itself is evolving. Compliance issuance, asset availability, rates, the ability to collect fraudulently posted claims, and the claimant experience have all become hot-button items that are now front of mind for regulation agencies and businesses alike. Issuing duplication letters in a compliant manner, accommodating claimant inquiries regarding held assets, and managing, processing, and understanding the operational impact of rate changes are vexing problems many organizations now find themselves playing catch-up to address. The opportunity posed by cloud-enabled AI is furthered by economic, regulatory, and report cycle pressures on unclaimed property teams to do more with the same size or fewer resources. It’s now no longer simply a case of hitting the audit date deadline and checking off a box but an emerging priority for businesses at all sides of the market, from Fortune 500 to mid-market firms. In-house shared service teams are comfortable in areas of monitoring and curating business data; however, unclaimed property is an unknown territory with a learning curve, compliance gaps, and operational holes that, if ignored, stand to scale up exponentially. The combined fallout from regulatory changes and the recent pandemic have only made the situation riskier, with increased volatility in balancing time-sensitive tasks against stringent regulatory deadlines and growing claimant outreach.

The supply chain ecosystem plays a very important role in the success or failure of organizations, markets, and economies. Supply chain ecosystems are broadly defined as supply chain organizations and their collaborators. Today's combined challenges of pandemic shutdowns, rising internet usage, and skyrocketing climate change concerns demand that the supply chain ecosystem better connect with customers, when and how they want, to provide products and services with high levels of availability and zero defects, yet collaboratively do this to reduce transportation and production risks, often at the same time reducing operational costs and carbon footprints. Addressing these challenges, this work explores the cloud delivery capabilities of cloud-native architectures to enable the big data integrations and analytics that are needed to grow smarter supply chain ecosystems. This work describes what smart supply chain ecosystems are and how they are planning to grow their technology and integration capabilities. Discussing the industry-leading advanced and manufacturing technology producer ecosystems, it is explained how their technology collaboration and investment plans are driven by climate change and job creation goals. With these background models, the work examines the new digital reality of customer-driven experiences and economies that are demanding cloud-native and intelligent technology partnerships to deliver climate objectives, operational responsiveness, and compatibility to avoid trading economies of scale for economies of integration. The final objectives of this paper are to share key ideas about the need to balance the growing customer service direct-to-consumer business models with those for collaborative investment by market and industry. In doing this, it hopes to promote an intelligent supply chain ecosystem foundation for helping its different participating countries survive and thrive in the digital economy.