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How do communication costs affect the creation of scientific output? This study examines changes in scientific output and citation patterns following an institution's connection to the National Science Foundation Network (NSFNET), an early version of the Internet. Established in 1985 to connect five NSF-sponsored supercomputers, the NSFNET national internet backbone quickly expanded to universities across the United States by linking existing and newly formed, wide-area regional computer networks. I estimate the effect of connection to the national internet backbone on citations per paper by exploiting plausibly exogenous variation in the connection times of the regional NSFNET networks. Following connection to the national NSFNET, average citations per paper increase by over 10% relative to the pre-connection mean. Subgroup analyses reveal that the net effect was driven largely by middle- and top-tier institutions. Finally, I show that NSFNET connection led to a decline in interdisciplinary citations and an increase in within-field citations. [ABSTRACT FROM AUTHOR]

Every modern socially active person in Ukraine uses mobile devices and has access to the Internet, state institutions have switched to electronic document management, the stable operation of the banking sector, railways, air transport and large companies depends on the stability of the cyberspace in which they work and rely on communication using electronic means. In the conditions of martial law, the activities of state authorities and local self-government bodies are reduced to assisting the governing bodies created in individual regions in the direct performance of national defense tasks. In the system of state authorities operating under martial law, internal affairs bodies occupy a special place due to the nature of the tasks they perform under these operational conditions. Effectiveness of internal affairs bodies is vital for the direct provision of internal security. It is for this purpose that it is necessary to clearly define the competence of internal affairs bodies. After all, only the presence of certain powers ensures compliance with legality in the performance of functions by services and divisions of internal affairs bodies. Of course, for the successful implementation of the tasks assigned to the Ministry of Internal Affairs under martial law, the duties and rights of the Ministry of Internal Affairs must correspond to the basic principle that new duties correspond to new rights. It is very important to include in the system of coercive measures the expansion of the powers of internal affairs bodies during the introduction of martial law. Internal security officers cannot go beyond the permitted methods and means of carrying out security operations. In our opinion, the scope of powers of the employee of internal affairs bodies in such cases should be expanded. The complexity of the powers of the Ministry of Internal Affairs is reflected in the internal management of various instit utions. The legislation of Ukraine on criminal responsibility, which was developed for the needs of peacetime, turned out to be insufficiently effective in the field of combating crime in the situation of armed aggression of the Russian Federation. Such a situation necessitated the urgent adaptation of the legislation of Ukraine to the conditions of martial law. [ABSTRACT FROM AUTHOR]

When terminal devices attempt to access the industrial internet of things (IIoT), preventing illegal access from untrusted terminals becomes challenging. This difficulty arises because most devices adopt the commonly used traditional methods of accessing the internet of things. To address this challenge, we propose a perception‐layer‐based IIoT trusted connection architecture, derived from the trusted connection architecture (TCA), and names it TCA‐IIoT. This architecture enables bidirectional identity and platform integrity authentication between access points and terminals, while also ensuring trusted authentication of IIoT terminal behavior. To validate the effectiveness of TCA‐IIoT, the paper details a simulation experiment. This experiment centers on evaluating the success rate of data transmission and measuring the average delay under various conditions, including scenarios with malicious nodes. The results of the study indicate that TCA‐IIoT markedly improves the security and reliability of IIoT networks, advancements that are vital for the sustainable development and broader application of these systems. [ABSTRACT FROM AUTHOR]

\nHighlightsOver one million people in the United States (U.S.) are living with HIV. People living with HIV in the rural South experience delayed HIV treatment and increased mortality risks. Access challenges and HIV stigma exacerbate care disengagement for rural people living with HIV (PLH). This study examines the applicability and feasibility of telehealth to provide HIV care for older adults in the rural U.S. South. Semi-structured interviews were conducted with 27 key informants with expertise in HIV care and community engagement in high rural HIV burden states. Results indicate that telehealth challenges exist for older rural PLH to receive HIV care, such as lack of internet access and low technology literacy. Phone calls can be a simple and effective telehealth option for older rural PLH, as they align with their care preferences, mitigate care barriers, and show promise increasing care engagement. When warranted, complex telehealth options for older rural PLH require tailored approaches, such as portable medical instruments allowing real-time data sharing during home visits or tablet distribution from the clinic. Findings suggest that policy makers and providers support the reimbursement and use of audio-only telehealth services, expand broadband infrastructure and affordability in rural areas, and implement tailored telehealth interventions. HIV service providers feel audio-only telehealth is effective and feasible for rural older adults living with HIV.Adequate broadband access is essential to implement complex telehealth modalities, such as video visits, for rural older adults living with HIV.The Centers for Medicare and Medicaid Services should continue to reimburse audio-only telehealth services beyond the end of 2024.The United States Federal government should invest further in broadband infrastructure and affordability in rural areas to support telehealth services.HIV service providers feel audio-only telehealth is effective and feasible for rural older adults living with HIV.Adequate broadband access is essential to implement complex telehealth modalities, such as video visits, for rural older adults living with HIV.The Centers for Medicare and Medicaid Services should continue to reimburse audio-only telehealth services beyond the end of 2024.The United States Federal government should invest further in broadband infrastructure and affordability in rural areas to support telehealth services. [ABSTRACT FROM AUTHOR]

The use of SMS messaging for education has grown in recent years, with particular attention recently during the Covid‐19 pandemic. Mobile phones often have high levels of ownership in low‐income contexts compared to computers, and lower connectivity requirements, which arguably make this a more equitable medium than data‐heavy online instruction, for example. However, given that gender can be a factor to influence mobile device access and use, it is also important to consider educational applications through a gender lens, to avoid further exacerbating digital divides. In this paper, we present an analysis of server log and evaluation data in relation to a literacy‐focused initiative for primary‐aged learners carried out in Kenya as part of the Tusome programme and through the SMS‐based M‐Shule education platform, which does not require an Internet connection or smartphone to run. The extent of engagement with the platform varies according to gender and location within the country. The data also demonstrate a positive impact on learning outcomes regardless of learners' gender and location. Furthermore, the learning gains are shown to be relatively cost‐effective in comparison with educational technology interventions in similar contexts. The findings show that this low‐connectivity adaptive model has a positive impact on learning outcomes. It is a scalable approach to support a range of learners in Kenya, providing more support to learners who need it, and leading to increased foundational learning outcomes overall. As such, the findings will also be of highly relevant to other low‐connectivity contexts. Practitioner notes What is already known about this topic Mobile phones can be used as a means to support learning, through mobile learning and SMS, particularly in low‐connectivity contexts, although there is a lack of rigorous evidence of impact upon learning outcomes. Mobile phone device ownership tends to be higher than computer or wired Internet connections in many low‐income contexts. Software applications which adapt to the learners' level have shown good potential for gender‐equitable learning outcomes in low‐income contexts; however, these often require an Internet connection in addition to computers or tablets to be run on. What this paper adds There is a lack of contextually relevant evidence of the impact of SMS‐based mobile learning applications in low‐resource and low‐connectivity contexts upon learning outcomes. Through analysis of data generated via an experimental design, this study provides evidence that literacy materials delivered through an SMS‐based educational platform—M‐Shule—can have a positive impact upon learning outcomes. Furthermore, gains are equitable in terms of learners' gender, and location, within Kenya. Implications for practice and/or policy Mobile phones can be an effective way of reaching learners to provide additional educational support as part of existing education programmes in low‐connectivity environments. Learning gains using M‐Shule are evidenced as significant and relatively cost‐effective. Existing high‐quality learning materials developed in other media can be effectively adapted to SMS to reach learners particularly who are out‐of‐school or during periods of educational disruption. What is already known about this topic Mobile phones can be used as a means to support learning, through mobile learning and SMS, particularly in low‐connectivity contexts, although there is a lack of rigorous evidence of impact upon learning outcomes. Mobile phone device ownership tends to be higher than computer or wired Internet connections in many low‐income contexts. Software applications which adapt to the learners' level have shown good potential for gender‐equitable learning outcomes in low‐income contexts; however, these often require an Internet connection in addition to computers or tablets to be run on. What this paper adds There is a lack of contextually relevant evidence of the impact of SMS‐based mobile learning applications in low‐resource and low‐connectivity contexts upon learning outcomes. Through analysis of data generated via an experimental design, this study provides evidence that literacy materials delivered through an SMS‐based educational platform—M‐Shule—can have a positive impact upon learning outcomes. Furthermore, gains are equitable in terms of learners' gender, and location, within Kenya. Implications for practice and/or policy Mobile phones can be an effective way of reaching learners to provide additional educational support as part of existing education programmes in low‐connectivity environments. Learning gains using M‐Shule are evidenced as significant and relatively cost‐effective. Existing high‐quality learning materials developed in other media can be effectively adapted to SMS to reach learners particularly who are out‐of‐school or during periods of educational disruption. [ABSTRACT FROM AUTHOR]

To explore clients' and clinicians' perspectives about the acceptability and perceived outcomes of the Sustaining New South Wales (NSW) Families (SNF) program shifted to a hybrid service delivery model during the COVID‐19 pandemic. Mixed methods design comprising cross‐sectional online surveys and a focus group. Eighty clients who accessed the SNF service and 12 SNF clinicians. Anonymous client survey comprising questions about perceived benefits and impacts of the hybrid SNF program model, and suggestions for change. Clinician focus group discussion about perceived benefits and challenges of the hybrid SNF model. The hybrid SNF program is a child and family health nursing home visitation program for families with moderate level psychosocial risks. It comprises a mix of face‐to‐face and virtual telehealth/telephone appointments, delivered during pregnancy and up to 2 years postpartum. Clients reported high levels of satisfaction with the program, and improvements in confidence and decision‐making. Clinicians spoke of increased efficiency and flexibility, and capacity for ongoing service provision during the COVID‐19 period. Technology access issues were identified as a barrier. Overall, however, both clients and clinicians expressed a preference for face‐to‐face SNF service provision. While further studies are required to test clinical outcomes, the hybrid SNF model is acceptable to clients and clinicians. [ABSTRACT FROM AUTHOR]

Introduction: Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (HIV/AIDS) remains a major global public health concern, especially in low-income countries like Ethiopia. Insufficient awareness about HIV/AIDS makes women vulnerable to infection. Notably, there is a disparity in the comprehensive HIV knowledge among reproductive-aged women in poorer and wealthier households. However, the contributing factors for wealth-related disparities in comprehensive knowledge of HIV among reproductive-aged women in Ethiopia have not been explored. Methods: We used the women's record (IR) of the 2016 Ethiopian demographic health survey. Erreygers normalized concentration index and curve were used to analyze the percentage contribution of factors in the comprehensive knowledge of HIV difference across wealth index. The concentration index was decomposed into contributing factors for poor comprehensive knowledge among poorer households. Results: A total of 14,599 reproductive-aged women were included in the analysis. The comprehensive knowledge of HIV was 14.75% and 29.33% in the poorest and wealthiest households, respectively. The weighted Erreygers normalized concentration index (ECI) was 0.11 with Standard error = 0.015 (P value < 0.05). Age (− 0.17%), residence (1.4%), education (26.2%), occupation (1.38%), region (0.61%), wealth index (30.8%), media exposure (13.4%), and internet access (0.67%) significantly contributed to the wealth-related inequalities. Conclusion: There was a pro-rich distribution of comprehensive knowledge of HIV among reproductive-age women in Ethiopia. Wealth, education, and media exposure were the major contributing factors to the wealth-related inequalities. Policymakers should prioritize media exposure and education, and work to improve the comprehensive knowledge of women in poorer households. [ABSTRACT FROM AUTHOR]

Background: The uptake of traditional mental health services among older adults remains low. Digital peer support offers older adults a resource for engaging with others to independently support their mental well‐being. This qualitative study explored the uptake and engagement of a clinically moderated digital peer support platform (Breathing Space) for older adults with depressive symptoms and alcohol use concerns. Methods: Semi‐structured interviews with 30 participants aged 60–80 years explored participants' uptake and engagement with Breathing Space, a novel, moderated, private, and anonymous peer support platform. Data were analysed using reflective thematic analysis and are discussed with reference to the Unified Theory of Acceptance and Use of Technology2. Results: Three themes were constructed to characterize participants' experiences: (i) navigating the complexities of peer‐peer online engagement; (ii) the function of anonymity in online connection; and (iii) experiences of app features and content. Conclusions: Future development of digital peer support for older adults would benefit from the following: (i) co‐design with older adults; (ii) providing choice over anonymity and increased options for interacting with peers; (iii) streamlining the basic functionality with popular platforms; (iv) providing options for users to curate their digital experience; and (v) providing telephone support for troubleshooting technical difficulties. Future research should explore the use of digital peer support among older adults who experience social exclusion challenges. [ABSTRACT FROM AUTHOR]

In the realm of intelligent healthcare, there is a growing ambition to reshape medical services through the integration of artificial intelligence (AI). However, conventional machine learning faces inherent challenges such as privacy issues, delayed updates, and protracted training times, particularly due to the hesitance of medical institutions to directly share sensitive data, with possible noises. In response to these concerns, a Quantum-Assisted Federated Intelligent Diagnosis Algorithm (β -QuAFIDA) is proposed, applied into real medical data. Leveraging the capabilities of the 5G mobile network, this approach works the connection between Internet of Medical Things (IoMT) devices through the 5G, synchronizing training and updating the server model without disrupting their real-world applications. In our quest to safeguard patient data and enhance training efficiency, our study employs an innovative heuristic approach marked by a nested loop structure. Specifically, the inner loop is dedicated to training the beta-variational quantum eigensolver (β -VQE) to approximate the expectation values of the proposed algorithm; the outer loop trains the β -QuAFIDA to reduce the relative entropy towards the target. This approach involves a balance between privacy considerations and the urgency of training. Results demonstrate that representations with low-rank attained through β -QuAFIDA offer an effective approach for acquiring low-rank states. This research signifies a step forward in the synergy between AI and 5G technologies, presenting a novel avenue for the advancement of intelligent healthcare. [ABSTRACT FROM AUTHOR]

Worldwide communication bandwidth growth has largely been driven by (1) multimedia demands, (2) multicommunication-point demands and (3) multicommunication-rate demands, and has increased dramatically over the last two decades due to e-commerce, internet communication and the explosion of cell-phone use, in particular for in-flight services, all of which necessitate broadband use and low latency. In order to accommodate this huge surge in demand, next generation "mega-constellations" of satellites are being proposed combining a mix of heterogeneous unit types in LEO, MEO and GEO orbital shells, in order to provide continuous lower-latency and high-bandwidth service which exploits a wide-range of frequencies for fast internet connections (broadband, which is not possible with single satellite-type orbital shell systems). Accordingly, in this work, we develop a computationally-efficient digital-twin framework for a constellation of satellites around an arbitrary planet ("Planet-X"). The rapid speed of these simulations enables the ability to explore satellite infrastructure parameter combinations, represented by a multicomponent satellite constellation design vector Λ = def (number of satellites, satellite orbital radii, satellite orbital speeds, satellite types), that can deliver desired communication signal or camera coverage on "Planet-X", while simultaneously incorporating satellite infrastructural resource constraints. In order to cast the objective mathematically, we set up the system design as an inverse problem to minimize a cost function via a Genetic Machine Learning Algorithm (G-MLA), which is well-suited for nonconvex optimization. Numerical examples are provided to illustrate the framework. [ABSTRACT FROM AUTHOR]

Successful delivery of the virtual Medicare Diabetes Prevention Program (MDPP) is influenced by a beneficiary's access to a computer and use of the Internet. Using the 2020 nationally representative Medicare Current Beneficiary Survey Public Use File, a three-level categorical dependent variable was created: (1) has a computer AND uses Internet, (2) has a computer OR uses Internet, and (3) has no access to either (reference group). A survey-weighted multinomial logit model was performed in 2023 to examine associations between socio-demographics, comorbidities, and computer access and Internet use. Of study beneficiaries aged ≥65 years with BMI≥25 kg/m2 and no history of diabetes (n =3,875), 70.8% had a computer AND used Internet; 14.3% had a computer OR used Internet; and 14.9% had no computer AND did not use Internet. Hispanics and non-Hispanic Blacks (OR=0.28, 95% CI [0.17–0.43]) were less likely than non-Hispanic Whites to have a computer AND use Internet. Beneficiaries with less education (

To meet the problem of ever-increasing wireless data congestion, the fifth-generation (5G) wireless communication system is projected to employ tiny cellphone networks for the needs of consumers heavily. One of the most significant elements of 5G networks will be sustainable interactions, as the quantity of power utilized by the information and communication technology (ICT) sector is expected to rise significantly by the end of the century. Therefore, scientists have focused much attention in recent years on developing strategies for designing small cell networks that use electricity optimistically. In addition, service providers need energy-efficient backing-up technologies to aid in using packed tiny cells. This research presents an interaction model that is well-suited to 5G HetNets and has a low power footprint. The model here accounts for an internet connection's contact and backup portions. We create and present a mathematical framework to calculate the optimum number of tiny mitochondria that need to be maintained active at numerous hours of the day to minimize power consumption while still satisfying quality of service requirements set by customers. Our investigation into the backhaul's electrical consumption led us to discover and put forward two energy-saving backing-up methods for 5G HetNets. Computer simulations show that the provided sustainable communication framework can reduce energy consumption by as much as 49% compared to the status quo. [ABSTRACT FROM AUTHOR]

The International Telecommunication Union has estimated that more than half of the world's population use the Internet and access the hosted websites for various purposes like business, education, and social networking. These websites need to be accessible to people with visual impairments like color blindness. Thus, the design of such websites needs to follow certain web accessibility guidelines considering the accessibility for the colorblind. In this study, the authors have proposed a novel heuristic method to evaluate the compliance to the web accessibility guidelines provided by WCAG through a web accessibility score. This score is arrived at by evaluating the web design compliance to these mentioned guidelines based on a well-defined set of heuristics. As part of the experiment, websites from four categories were evaluated using the proposed method and the web accessibility score of the websites was arrived at with respect to color blindness disability. The results confirm the applicability of the proposed method to evaluate the websites for accessibility to colorblind people. The important research contributions are as follows: (a) a web accessibility score that helps to quantify the compliance to WCAG guidelines for color blindness by a web site; (b) a compilation of WCAG guidelines for web designers to design websites complying to accessibility for colorblind; (c) the proposed novel method would be further useful to check web accessibility compliance for users with other disabilities and give an indication of inclusivity for them; and (d) the novel heuristic method includes tool evaluation and manual observation ensuring maximum coverage for web accessibility guidelines. This quantification of web accessibility can support web accessibility experts for an opinion and help in providing a score for measuring web accessibility. [ABSTRACT FROM AUTHOR]

This study aimed to provide an in-depth exploration of second-chance education during the pandemic, utilizing a qualitative phenomenological research design. Additionally, purposive sampling was used to select the participant in this study. Thus, the research involved 16 Alternative Learning System (ALS) learners, with 8 participants undergoing individual interviews (IDI) and another 8 participating in focused-group discussions (FGD). Three overarching themes--challenges, coping mechanisms, and insights--were formulated to comprehensively capture the experiences of ALS learners. In examining the challenges faced by ALS learners amid the pandemic, several emergent themes emerged, including the difficulties associated with completing modules, adapting to changes, coping with the absence of face-to-face classes, securing access to necessary gadgets, overcoming shyness, dealing with module retrieval, and addressing issues related to poor internet connection. Furthermore, the coping mechanisms employed by ALS learners during the pandemic yielded additional emergent themes. This included fostering confidence, maintaining resilience, cultivating a positive mindset, embracing faith, fostering independence, self-motivation, seeking assistance when needed, and drawing inspiration from family support. The final theme, reflecting on the experiences of ALS learners during the pandemic, revealed insightful emergent themes. These encompassed recognizing the essence of hope, understanding the advantages and disadvantages, discovering personal growth, achieving educational success, emphasizing persistence, acknowledging the significance of effort, recognizing the substantial impact of ALS, advocating for the program, and remaining vigilant in the face of challenges. [ABSTRACT FROM AUTHOR]

AbstractThis study aimed to explore the potential of a mobile health (mHealth) application (app) to support the delivery of a fall prevention and management program, Individualized Reduction of FaLLs (iROLL), for people with spinal cord injury (SCI) and multiple sclerosis (MS) who use wheelchairs and scooters (WC/S) full-time by seeking end-users’ input into the functioning and ongoing design of the iROLL-O + mobile app. Two focus group discussions included nine adults with SCI or MS who used a WC/S for at least 75% of mobility, who experienced at least one fall in the past three years and have internet and access to an internet-capable device. One group had prior iROLL experience (n = 4); while the other had none (n = 5). The focus groups examined the app’s usefulness, accessibility, appearance, and ease of use. The participants with prior iROLL experience also discussed how the app would enhance their experience with the program. Thematic analysis revealed five app-related themes: perceived usefulness, perceived usability, accessibility, appearance, and enhancement of the iROLL experience, with participants providing actionable suggestions for improvement. Participants with previous exposure to the iROLL program emphasized the app’s potential to facilitate flexible access to the program and expand its reach to a wider audience. The iROLL-O + app was perceived positively, especially with respect to the enhancement of users’ access and experience with the program. Focus group findings will inform ongoing app development for optimized usability and reduced likelihood of technology abandonment.IMPLICATIONS FOR REHABILITATIONEnd-users’ impressions of the Individual Reduction of faLLs Online application (iROLL-O + app) highlight the potential for integrating mHealth apps in fall prevention and management education efforts, offering a promising and accessible avenue to support the delivery of tailored programs.The study notes that the app facilitates flexible access and wider reach to the program, indicating the importance of incorporating features that enhance accessibility and accommodate the diverse needs of individuals who use wheelchairs and scooters.Actionable suggestions provided by participants underscore the importance of a user-centered design approach in developing rehabilitation-related mobile apps.End-users’ impressions of the Individual Reduction of faLLs Online application (iROLL-O + app) highlight the potential for integrating mHealth apps in fall prevention and management education efforts, offering a promising and accessible avenue to support the delivery of tailored programs.The study notes that the app facilitates flexible access and wider reach to the program, indicating the importance of incorporating features that enhance accessibility and accommodate the diverse needs of individuals who use wheelchairs and scooters.Actionable suggestions provided by participants underscore the importance of a user-centered design approach in developing rehabilitation-related mobile apps. [ABSTRACT FROM AUTHOR]

AbstractAimMethodsResultsConclusionWe aimed to describe telehealth used to detect infants at risk of neurodevelopmental delay and assess the assessors’ and caregivers’ perceptions and costs.This was an observational study in which five physical therapists applied the General Movement Assessment, the neurological exam based on the Hammersmith Infant Neurological Examination, and the Alberta Infant Motor Scale via telehealth in 65 infants at risk of neurologic delay during the COVID-19 pandemic. The perceptions of assessors and caregivers were assessed using a questionnaire. We tabulated the family’s costs (internet access) and the therapist’s expenses (internet access and professional fees).In general, assessors felt comfortable and reported good quality of teleassessment. They highlighted the significant effort they and caregivers required for synchronous methods, challenges in clearly guiding caregivers on infant positioning, difficulties in adjusting the camera’s position, and unstable internet connections. Most assessors expressed a willingness to continue using telehealth. Caregivers displayed high satisfaction, and the costs were minimal.Teleassessment during the COVID-19 pandemic was feasible, although implementing this method of health service in general clinical practice still requires further scrutiny. [ABSTRACT FROM AUTHOR]

This study investigated the relationship between demographic, healthcare, and socio-economic factors, and COVID-19 incidence rate per 100,000 population in Thailand at the province level between January 2020 and March 2022, using a five-phase approach by spatial analysis. OLS models were initially used with significant variables: household, hospital, and industry density, nighttime light index (NTLI). Spatial dependency led to spatial error (SEM) and spatial lag models (SLM), performing better with similar significant variables being applied. SEM explains 58, 65 and, 70 percent in Wave 1, 4 and 5 of COVID-19 variation. SLM explains 25 and 76 percent in Wave 2 and 3 of incidence rate. Positive associations were found between incidence and household density, hospital/medical establishments with beds, Nighttime Light Index (NTLI), and negative with population, hospital, and industry density. Wave 5 showed significant changes with negative for household, hospital, and industry density, urban population; positive for hospital/medical establishments with beds, internet access, NTLI. The study showed that significant predictors of COVID-19 incidence rate vary across waves. Population, household and hospital density, urbanization, access to medical facilities, industrialization, internet access, and NTLI all play a role. The study suggests SEM and SLM models are more appropriate, providing useful information for policymakers and health officials in managing pandemic in Thailand. [ABSTRACT FROM AUTHOR]

Wind power forecasting has complex nonlinear features and behavioral patterns across time scales, which is a severe test for traditional forecasting techniques. To address the multi-scale problem in wind power forecasting, this paper innovatively proposes an ultra-short-term forecasting model LFformer based on Legendre-Fourier, which firstly focuses on the important information in the input sequences by using the encoder-decoder architecture, and then scales the range of the original data with the Devlin normalization method, and then utilizes the Legendre polynomials to The data sequence is projected into a bounded dimensional space, the historical data is compressed using feature representation, then feature selection is performed using the low-rank approximation method of Fourier Transform, the prediction is inputted into the multilayer perceptron through the multi-scale mixing mechanism, and finally the results are outputted after back-normalization. The experimental results show that compared with the existing prediction methods, the model realizes the improvement of prediction accuracy and stability, especially in the ultra-short-term prediction scenario, with obvious advantages. The research results are not only valuable for improving the overall operational efficiency of the wind power system, but also help to enhance the stable operation of the power grid, which provides strong technical support and guarantee for wind power enterprises to improve the competitiveness of bidding for Internet access in the power market competition. [ABSTRACT FROM AUTHOR]

The document from Frontiers in Pharmacology presents a survey questionnaire for pharmacy students and educators regarding the use of computer-based simulation in pharmacy practice education. The survey includes questions about the frequency of using simulation tools, the importance of various elements in simulations, personal preferences for using simulations, and perceptions of stakeholders' support for implementing computer-based simulation. The questionnaire aims to gather insights on the effectiveness and acceptance of computer-based simulation in pharmacy education. [Extracted from the article]

The COVID-19 pandemic has highlighted the ongoing challenges of the Digital Divide in educational institutions, extending beyond mere technology availability and access. This study employed inductive-thematic analysis to investigate the experiences of 20 college students at the University of Caloocan City in accessing administrative services during the height of the pandemic. The participants included incoming and current students, as well as recent graduates who had interacted with the university's administrative services. Three main themes emerged from the analysis: limited internet access, the university's inadequate online presence, and gaps in technology skills among administrators and personnel. These findings pinpoint specific areas where the university needs to enhance its information and communication technology resources and infrastructure to better serve its students. This study adds to the ongoing discussion on the Digital Divide and underscores the need to improve technology effectiveness and utilization. The results provide valuable insights for developing policies and strategies to help educational institutions address Digital Divide challenges and support students during crises. [ABSTRACT FROM AUTHOR]

Innovative models of healthcare, such as telehealth, are required to meet the growing demand for orthotic/prosthetic (O&P) services. While O&P users report being very satisfied with telehealth, many clinical facilities have reverted to in-person modes of care as COVID-19 restrictions have eased. As such, there is a disconnect between benefits of telehealth to O&P users, and the clinical services being delivered in-person. The aim of this study was to explore the orthotist/prosthetist's perspective of the barriers and facilitators influencing use of telehealth in the United States of America (USA). O&P practitioners were recruited from across the USA. In-depth, semi-structured interviews were used to document practitioner demographics, the services being provided using telehealth, and practitioners' perspective of the barriers and facilitators influencing use of telehealth. Data describing participant demographics and services were summarised. Interviews were transcribed verbatim and analysed using thematic analysis. 30 practitioners from across the USA participated. Telehealth was used to deliver a range of O&P services including: initial evaluations, routine follow-ups, and delivery of a device in rare circumstances. Barriers to using telehealth included: poor phone/internet connection and lack of access to technology. Facilitators to using telehealth included: a patient-focussed attitude, and recognition of the benefit of telehealth. Telehealth is being used across the entire spectrum of O&P care. Once the significant barriers were resolved, like access to reliable internet/phone reception, telehealth was feasible. An outstanding telehealth experience was facilitated by practitioners who focused on the benefits that telehealth can provide (not the limitations), as well as giving O&P users agency over the choice to use telehealth. There are opportunities to improve access to safe and effective O&P telehealth services by adopting a right-touch approach to practitioner regulation, and advocating for reimbursement that supports better systems and procedures within clinical facilities. [ABSTRACT FROM AUTHOR]

Nowadays, because of increasing use of Internet connection, security becomes a huge challenge for individuals as well as governments and organizations. Therefore, in the last decade, the world is moving toward green computing in the purpose either to store energy or to decrease operational costs. So, this new technology uses web servers to provide web applications to end user. Generally, these web servers become unavailable because of HyperText Transfer Protocol (HTTP) flood Denial of Service (DoS) attack, especially HTTP-Get DoS attack. This paper proposes a novel approach based on ontology to detect slow HTTP-Get DoS attack as an intelligent system at application layer. For testing our ontological model, Canadian Institute for Cybersecurity Intrusion Detection System (CIC-IDS2017) dataset test tool is used to test our model. Results show that our ontological model detects HTTP-Get DoS attack with detection accuracy of 100%. For more illustration, a comparison study with other classic existing approaches is done so that our ontological model performs better than HADM and NetFPGA, which have an accuracy of 92.63% and 93%, respectively. [ABSTRACT FROM AUTHOR]

We use unique enterprise survey data to explore the export behavior of firms in Tunisia, a small, trade-dependent country with a complex policy environment regarding exporting. Firms may export directly or indirectly through intermediaries, and can also sell to ‘offshore’ firms, which are export manufacturing firms with special legal status. Firm size, a proxy for productivity, is strongly associated with exporting of either type as well as with sales to offshore firms. In contrast to some studies, exporting is not positively associated with firm age (i.e., experience). Domestic-owned firms are more likely to use intermediaries to export while foreign-owned firms as well as those with more educated managers are more likely to export directly. Multinomial logit results reject the hypothesis of progression from indirect exports through direct plus indirect exporting and then to direct-only exporting as firm size increases; instead, the largest exporting firms are more likely to combine direct and indirect exporting, possibly to reduce risk. The findings from this study – the first to examine the heterogeneity of exporting behavior in Tunisia – reveal a complex picture of such behavior and confirm the importance of trade intermediaries for less sophisticated firms (those with lower manager education and internet access), pointing to potential measures to encourage exporting among such enterprises. The findings also suggest that efforts to encourage exporting may also improve firms’ ability to sell to ‘offshore’ firms, enhancing the so far elusive linkages of that sector with the rest of the economy. [ABSTRACT FROM AUTHOR]

Microscopy is essential for detecting, identifying, analyzing, and measuring small objects. Access to modern microscopy equipment is crucial for scientific research, especially in the biomedical and analytical sciences. However, the high cost of equipment, limited availability of parts, and challenges associated with transporting equipment often limit the accessibility and operational capabilities of these tools, particularly in field sites and other remote or resource-limited settings. Thus, there is a need for affordable and accessible alternatives to traditional microscopy systems. We address this challenge by investigating the feasibility of using a simple microcontroller board not only as a portable and field-ready digital microscope, but furthermore as a versatile platform which can easily be adapted to a variety of imaging applications. By adding a few external components, we demonstrate that a low-cost ESP32 camera board can be used to build an autonomous in situ platform for digital time-lapse imaging of cells. Our prototype of this approach, which we call ESPressoscope, can be adapted to applications ranging from monitoring incubator cell cultures in the lab to observing ecological phenomena in the sea, and it can be adapted for other techniques such as microfluidics or spectrophotometry. Our prototype of the ESPressoscope concept achieves a low power consumption and small size, which makes it ideal for field research in environments and applications where microscopy was previously infeasible. Its Wi-Fi connectivity enables integration with external image processing and storage systems, including on cloud platforms when internet access is available. Finally, we present several web browser-based tools to help users operate and manage our prototype's software. Our findings demonstrate the potential for low-cost, portable microscopy solutions to enable new and more accessible experiments for biological and analytical applications. [ABSTRACT FROM AUTHOR]

AbstractMicro-enterprises (MEs) are important players in job creation and global economic development. However, in developing countries, most fail to realise their growth potential due to challenges that include informality and a lack of quality human capital. The internet, by increasing information flows and reducing transaction costs, can help MEs to develop. This study assesses the effect of the internet on MEs’ performance in the service sector in Togo, using a large sample of 23,542 observations from the latest General Census of Businesses (RGE, 2017–2018), and exposes related channels and mechanisms. We find that MEs that adopt and use the internet are more productive than those that do not. This result remains robust to different regression methods such as instrumental variables and treatment-effects estimations. Complementary analyses show the positive effect of internet channels through applications such as e-mail, websites and e-business. We also find evidence that MEs with a Fixed internet connection perform better than those with a Mobile internet connection. Our investigations also yield interesting results regarding Togolese regions, service sub-sectors, managers’ characteristics and MEs’ status. This article thus highlights the need to promote digital development to enhance MEs’ performance in Togo. [ABSTRACT FROM AUTHOR]

The growth of technology and easy access to the internet have led to an unparalleled boom in online booking. The uncertainty surrounding online travel purchases, however, still makes traveller's decision-making process very stressful. Hence, this study aims to identify and classify different factors that drive travellers' decision-making and actual behaviour. This study seeks to fill the void by systematically reviewing and synthesizing the online travel literature. The study utilizes the fuzzy-DEMATEL approach to identify, classify and analyse various factors to provide a comprehensive framework for understanding sets of factors driving travellers' decisions and their actual behaviour. The findings reveal that travellers' online travel purchasing behaviour is influenced most by their attitude, while social influence also emerged as a significant factor. This study provides key insights for academics, researchers and practitioners by identifying major factors and sub-factors, along with their causal interactions. This study is novel in its approach as it significantly contributes to existing knowledge by synthesizing the literature and employing the fuzzy-DEMATEL technique in categorizing the key factors that influence travellers' decision-making and actual purchase. [ABSTRACT FROM AUTHOR]

In the ever-evolving nature of the healthcare sector, the advent of electronic-Pharmacy introduces a dynamic shift in how consumers acquire and access medical and pharmaceutical products. The research utilized the behaviour reasoning theory. The study evaluated the reasons for adopting and against adopting electronic-Pharmacy. By employing the qualitative approach, this study unravels rich contextual and narrative insights, shedding light on the complexities of individual decision-making processes. The study received responses from 28 through an in-depth interview, and thematic data analysis was employed for the data analysis. The outcome of the research is summarized as follows. The respondents indicated that essential reasons for adopting electronic pharmacy services include convenience and accessibility, prescription management, cost and affordability, logistics, and timely delivery. On the other hand, the reasons against adoption include trust and security concerns, regulatory challenges and legal uncertainties, lack of internet access and privacy concerns. As technology changes healthcare delivery, this research closes the knowledge gap between theory and practice by offering crucial insights into the behavioural aspects influencing electronic-Pharmacy adoption or resistance. The findings are anticipated to significantly impact the academic discourse surrounding electronic-health and the practical implementation of strategies to enhance the integration of electronic-Pharmacy services into conventional healthcare systems. [ABSTRACT FROM AUTHOR]

This study aims to comprehensively examine the effects of different types of Internet use and happiness while considering the mediating role of environmental quality perception and the moderating role of a sense of environmental security. Drawing on the uses and gratifications theory, negativity bias, and social cognitive theory, the study investigates the mediating role of environmental quality perception and the moderating role of environmental security in the above relationship. Using data from 3162 respondents in the 2021 Chinese Social Survey (CSS) and Structural Equation Modeling (SEM), the study finds that Internet use for information and educational purposes significantly enhances happiness, with environmental quality perception acting as a mediator. Moreover, a moderating effect of environmental security was observed in the relationship between Internet use for educational purposes and national environmental quality perception. Specifically, the interaction between study-related Internet use and the sense of environmental security significantly and positively predicted national environmental quality perception. These findings highlight the complex interaction between Internet use, environmental factors, and happiness, offering insights into policy interventions aimed at improving Internet access and environmental awareness to enhance public mental health outcomes in China. [ABSTRACT FROM AUTHOR]

Background: The impact of COVID-19 and its mitigation measures have exacerbated the global mental health crisis. Digital mental health interventions (DMHIs) may have the potential to address health system gaps and global health inequalities in low- and middle-income countries (LMICs). Aims: This thesis aims to map the current state of DMHIs in Nigeria and illustrate their progress, limitations, and challenges. Methods: Twenty interviews were conducted with researchers, healthcare providers, and digital health experts. Interviews were recorded and transcribed. Then data were coded and analyzed using thematic analysis. Results: The majority of DMHIs in Nigeria are private mental health service delivery platforms that connect directly to mental health professionals. The target audience encompasses all mental health conditions and ages. Advantages of DMHIs include increasing efficiency, accessibility, addressing stigma, and filling the mental health service gap. Disadvantages include skepticism, limitations of applicability, lack of accessibility to internet and technology, lack of sustainability and infrastructure, and lack of funding and policies. Conclusion: The lessons learned in the Nigerian context can inform the delivery of DMHIs in other low-resource settings. Future research should examine user and provider feedback of DMHIs to allow for comparative analysis, more conclusive and replicable results to inform DMHI design and implementation. [ABSTRACT FROM AUTHOR]

BACKGROUND: As internet access continues to expand, online health care information is increasingly influencing patient decisions. Mohs micrographic surgery (MMS) is commonly used in the field of dermatology but may be unfamiliar to many patients. OBJECTIVE: The purpose of this study was to identify and analyze online educational resources regarding MMS and learn how to optimize the understanding and informational content of MMS for patients and their families. MATERIALSANDMETHODS:Thirty-two websites were evaluated for authorship, quality, and readability using DISCERN, JAMA Benchmark Criteria, and Flesch-Kincaid tests. RESULTS: Physician-authored content showed a trend toward higher quality (p 5 .058). Google scored higher in specific DISCERN questions when overlapping websites were excluded. Bing scored higher in JAMA criteria (p 5 .03) in criteria such as authorship and currency. Higher DISCERN scores correlated with lower readability. CONCLUSION: Physician involvement improves content quality, raising questions about physicians' responsibility in online resource creation. Correlations between content quality and readability highlight potential challenges for certain demographics. Balancing medical accuracy with comprehensibility is crucial for equitable patient education. This study underscores the need to refine online resources, ensuring accurate, transparent, and accessible health care information. [ABSTRACT FROM AUTHOR]

Purpose: This systematic review aims to update the results related to user interfaces and digital technologies that support the social interactions of older adults. Multiple innovative technological forms in existing research were evaluated to obtain evidence that digital technologies improve older adults' quality of life and social well-being. Materials and methods: A search for relevant studies published in the last five years was conducted using the databases of Google Scholar, IEEE Xplore, PubMed, Scopus, Springer Link and Web of Science. Results: Of the 4959 records identified, a total of 29 studies met the inclusion criteria. The findings were reviewed in three areas: social interaction of older adults supported by user interface, the digital technologies used in the user interface, and the effects of user interfaces on the social interactions of older adults. Conclusions: Future research should develop digital technologies and service models to enhance the quality of life of older adults. Long-term solutions to promote social interaction in older adults require more user interface support. Community connection-based user interfaces can support existing social relationships and develop new social circles for older adults. Implication for rehabilitation: An update on recent advances in research on user interfaces that support social interaction with older adults. Community connection-based user interfaces can support existing social relationships and develop new social circles for older adults. The application of digital technology needs to consider the establishment of long-term and deep social relationships for older adults. Future research should develop and explore digital technologies with a broader social perspective. [ABSTRACT FROM AUTHOR]

Introduction: The electronic collection of patient data is used for a large variety of conditions. The boundaries of its use in initial diagnostics and the extent to which it can replace specialist contact, however, remain vague. Our newly developed virtual diagnostic process for common sleep disorders involves digital questionnaire administration, neurophysiological diagnostic studies, and virtual consultation with a sleep specialist. In this study, we evaluated patients' virtual diagnostic process experiences as part of a full evaluation of this process. Methods: Patients who completed the virtual diagnostic process participated in online semi-structured interviews based on the following criteria: age ≥ 18 years, no obvious cognitive deficits, and access to the internet. Patients who did not complete the virtual diagnostic process were contacted by telephone and given the opportunity to explain why. Results: Of the 24 patients included, 14 completed the virtual diagnostic process. Most participants understood the concept of the virtual diagnostic process, could navigate the process, and felt that the combined use of a questionnaire and virtual consultation was meaningful. Although participants could provide information as free text, the simplified closed questions, required for diagnostic classification, triggered feelings of insecurity and the inability to sufficiently describe symptoms, thereby evoking concern. All patients deemed the complementary personal contact important. Discussion: The findings demonstrate that the virtual diagnostic process is feasible and highly accepted by most patients. However, (virtual) personal (telephone or video) contact is mandatory to address patients' concerns. The virtual diagnostic process application evaluated here likely represents the outer limit of the use of electronic data collection in virtual diagnostic procedures. [ABSTRACT FROM AUTHOR]

The widespread availability of internet access in daily life has resulted in a greater acceptance of online assessment methods. E-assessment platforms offer various features such as randomizing questions and answers, utilizing extensive question banks, setting time limits, and managing access during online exams. Electronic assessment enables real-time monitoring, customization, and scalability of feedback, benefiting students, academic staff, and administrative personnel. However, students encounter specific challenges in the electronic assessment environments. These challenges include limited control over test settings and the isolated nature of taking exams without peers. Furthermore, the technological proficiency of both instructors and students, along with resource constraints (computers, mobile devices, internet), can impede the effective utilization of these assessment tools. Technical issues like slow internet connection or disconnections can have significant consequences, especially in online exams, posing difficulties for corrections. The main goal of this study is to develop a Likert-type scale capable of measuring anxiety related to technical issues, social isolation, and the test interface experienced in e-assessment contexts. The study consists of two separate groups: the first group comprising 359 participants and the second group consisting of 356 participants. Both groups include undergraduate and pedagogical formation certificate program students from a university in the Eastern Anatolia Region of Turkiye. Construct validity was assessed through exploratory and confirmatory factor analyses. Item parameters were examined using item analysis based on classical test theory. As a result of the study, a two-factor scale structure comprising 21 items measuring social and technical anxiety was developed. These two dimensions account for 59.89% of the total variance. The Cronbach's alpha coefficient for the entire scale was 0.93, the McDonald's omega coefficient was 0.93, and the construct reliability was 0.99. [ABSTRACT FROM AUTHOR]

Copyright of Itobiad: Journal of the Human & Social Science Researches / İnsan ve Toplum Bilimleri Araştırmaları Dergisi is the property of Itobiad: Journal of the Human & Social Science Researches and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Law, State & Telecommunications Review / Revista de Direito, Estado e Telecomunicações is the property of Grupo de Estudos em Direito das Telecomunicacoes (GETEL) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Law, State & Telecommunications Review / Revista de Direito, Estado e Telecomunicações is the property of Grupo de Estudos em Direito das Telecomunicacoes (GETEL) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Environmental & Social Management Journal / Revista de Gestão Social e Ambiental is the property of Environmental & Social Management Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In 2013, the young philologist Yoani Sánchez was "possibly the most famous living Cuban not named Castro" and one of the world's most famous bloggers. Although, at the time, very few people in Cuba had access to the internet, a legion of volunteers worldwide translated her Generation Y blog into eighteen languages, reaching millions of internauts globally every month. In many parts of the world, the press and political figures viewed Sánchez with awe, describing her as a "girl genius" and a "rock star." This view was not unreasonable—a thirty-four-year-old woman who built her computer from scratch in a country ruled undemocratically by old military men—Sánchez's writing constituted a daily defiance of the Cuban state. Yet, questions remained: What made Sánchez different? Why did so much attention flow to Sánchez rather than the numerous hunger strikers in and out of Cuban jails during this period? Why did global media pick Sánchez to speak for and translate Cuba to the world and with what effects? Here, Frances Negrón-Muntaner investigates how multiple forms of translation, of language but also of form, education, ideology, color, and gender, in a context of capitalist and technological change allowed Sánchez to play a pivotal and mediating role that changed her, Cuba, and beyond. [ABSTRACT FROM AUTHOR]

PURPOSE: Previous randomized controlled trials have demonstrated benefit from remote symptom monitoring (RSM) with electronic patient-reported outcomes. However, the racial diversity of enrolled patients was low and did not reflect the real-world racial proportions for individuals with cancer. METHODS: This secondary, cross-sectional analysis evaluated engagement of patients with cancer in a RSM program. Patient-reported race was grouped as Black, Other, or White. Patient address was used to map patient residence to determine rurality using Rural-Urban Commuting Area Codes and neighborhood disadvantage using Area Deprivation Index. Key outcomes included (1) being approached for RSM enrollment, (2) declining enrollment, (3) adherence with RSM via continuous completion of symptom surveys, and (4) withdrawal from RSM participation. Risk ratios (RR) and 95% CI were estimated from modified Poisson models with robust SEs. RESULTS: Between May 2021 and May 2023, 883 patients were approached to participate, of which 56 (6%) declined RSM. Of those who enrolled in RSM, a total of 27% of patients were Black or African American and 67% were White. In adjusted models, all patient population subgroups of interest had similar likelihoods of being approached for RSM participation; however, Black or African American patients were more than 3× more likely to decline participation than White participants (RR, 3.09 [95% CI, 1.73 to 5.53]). Patients living in more disadvantaged neighborhoods were less likely to decline (RR, 0.49 [95% CI, 0.24 to 1.02]), but less likely to adhere to surveys (RR, 0.81 [95% CI, 0.68 to 0.97]). All patient populations had a similar likelihood of withdrawing. CONCLUSION: Black patients and individuals living in more disadvantaged neighborhoods are at risk for lower engagement in RSM. Further work is needed to identify and overcome barriers to equitable participation. Black patients and individuals living in more disadvantaged neighborhoods are at risk for lower engagement in remote symptom monitoring [ABSTRACT FROM AUTHOR]

Internet use among older adults has several beneficial impacts on their health and general wellbeing. However, there are limited studies on internet use among older adults in low- and middle-income countries, including Ghana. Also, studies on internet use among older adults have used surveys rather than census data, which minimises the potential for sampling bias and improves representativeness. Therefore, this study used census data to examine the prevalence and predictors of internet use among Ghanaian older adults. This study utilised the Ghana 2021 Population and Housing Census. The data were analysed using Pearson's chi-square test and binary logistic regression. Overall, 52.9% of older adults used the internet 3 months preceding the census. Older adults mainly use mobile phones to access the internet. The significant predictors of internet use were age, sex, educational status, marital status, religious affiliation, place of residence, sight and hearing impairment, household wealth status, and ecological zone. Internet use among Ghanaian older adults was relatively high. Policymakers should consider these intrapersonal (age, sex, educational status, and sight and hearing impairments), interpersonal (marital status and household wealth), institutional (religious affiliation), and community (place of residence and ecological zone) level factors when developing interventions to promote internet use among older adults. [ABSTRACT FROM AUTHOR]

In recent years, more websites have been collecting personal information for many processes, such as banks, internet connections, and government services. The public needs to provide all personal information, such as Aadhar, PAN card, date of birth, and phone number. The personal and sensitive information is at risk of being used for phishing attacks through URL manipulation. In addition, a phishing attack cause's financial and reputational loss. Hence protecting sensitive information by adapting required protection is extremely valuable for global security. To overcome this, we proposed a method to detect phishing attacks based on previous history, including the duration of operation, customer reviews, web traffic, and the URL. Based on these parameters, the proposed optimal machine learning-based algorithm (OmLA) analyze the previous information about URLs and predict whether it is phishing- or legitimate. As per simulation and performance analysis, the proposed method outperforms conventional methods such as random forest (RF), support vector machine (SVM), and genetic algorithms (GA) by 8%, 18%, and 23%, respectively in terms of accuracy. Additionally, it achieves detection times of 0.2%, 0.6%, and 0.9%, respectively, and excels in response times of 0.45%, 0.56%, and 0.62%, respectively. [ABSTRACT FROM AUTHOR]

We present here a unit-log-symmetric model based on the bivariate log-symmetric distribution discussed in recent literature. It is a flexible family of distributions over the interval (0, 1). We then discuss its mathematical properties such as stochastic representation, identifiability, symmetry, modality, moments, quantile function, entropy and maximum likelihood estimation, paying particular attention to the special cases of unit-log-normal, unit-log-Student-t and unit-log-Laplace distributions. Finally, some empirical results and a real-life data analysis involving internet acess data are presented for illustrative purpose. [ABSTRACT FROM AUTHOR]

Abstract\nPoints of interestThe COVID-19 pandemic highlighted the importance of internet access across various aspects of life, from remote work and online education to healthcare services and social connections. As we transition to a post-pandemic era, a pressing need arises to update our understanding of the multifaceted nature of internet access. This study is one of the first attempts to do so. Using survey data from New Zealand adult internet users (n = 960), it compares internet connection types, frequency of internet use at home, social media use, and concerns about online risk between people with and without disabilities. Results show people with disabilities have restricted fibre access and higher wireless broadband (a much slower connection type). People with disabilities use social media platforms less and are more concerned about certain online risks. The findings highlight persistent disparities in internet access for people with disabilities in the post-pandemic era. Implications of the study are discussed.The study explores internet access and compares trends between people with and without disabilities from New Zealand in the aftermaths of the pandemic.Internet access is investigated in terms of its frequency of use at home, type of internet connection, frequency of social media use, and perceptions about the benefits of the internet as well as concerns related to online risks.The data indicate that inequities in internet access exist. A disability broadband divide has been identified, with disabled people having less access to faster internet connections than non-disabled people.There were significant differences in the frequency with which people with and without disabilities used the internet at home and used prominent social media sites. People with disabilities are also more concerned about internet threats like conspiracy theories and hate speech.The study explores internet access and compares trends between people with and without disabilities from New Zealand in the aftermaths of the pandemic.Internet access is investigated in terms of its frequency of use at home, type of internet connection, frequency of social media use, and perceptions about the benefits of the internet as well as concerns related to online risks.The data indicate that inequities in internet access exist. A disability broadband divide has been identified, with disabled people having less access to faster internet connections than non-disabled people.There were significant differences in the frequency with which people with and without disabilities used the internet at home and used prominent social media sites. People with disabilities are also more concerned about internet threats like conspiracy theories and hate speech. [ABSTRACT FROM AUTHOR]

The study investigates the challenges associated with blended learning, specifically in medical education. Blended learning poses several obstacles related to technology proficiency, internet connectivity, access to digital resources, educational methodology, and social isolation. Blended learning integrates traditional classroom instruction with ICTsupported learning. The study employed vital informant interviews and other qualitative methods to collect primary data from people working in the field. The study found that a lack of access to digital tools and technical literacy presents difficulties for students, especially those pursuing medical education. Furthermore, their inability to participate in blended learning is caused by insufficient internet access. The study also emphasized the necessity for students to acquire technical literacy and the significance of technology as a critical skill for the future. According to the report, educational institutions should help students become more digitally literate and have better access to digital resources. It also underlined the importance of having access to the Internet and the necessity of inclusive and accessible educational opportunities. The study's conclusions shed light on the difficulties with integrated learning and suggest overcoming them, especially in medical education. The study aims to provide practical solutions that actively include research participants to improve medical education students' blended learning experiences. [ABSTRACT FROM AUTHOR]

The rise in Africans involvement in cybercrimes globally due to increased access to the internet has prompted some African governments to enact ICT and Cybercrime related Laws. Unfortunately, some provisions of these laws, criminalize some expressions and are likely to stifle and restrict online activities and freedom of expression of Africans. This paper argues that the criminalization of certain expressions by these laws are contrary to the expectations of international and regional instruments on freedom of expression. It recommends the adaptation of the experiences and jurisprudence of the European and Inter-American Courts. [ABSTRACT FROM AUTHOR]

Telehealth services are a growing aspect of the US healthcare delivery system. Some rural patients, however, lack proper internet speed in their home to access telehealth services and need alternative telehealth access points. Public libraries can be an alternative telehealth access point due to their access to high-speed internet services; however, these programs often experience limited success due to a lack of planning with community health providers and local health organizations. This article describes a novel workbook that guides public libraries to collaborate with community stakeholders when considering the implementation of telehealth services. Development of the workbook leveraged expertise of library and public health professionals. The workbook is currently free to download and updated versions will be available as more knowledge is gained in the field. [ABSTRACT FROM AUTHOR]

The development of space-based Internet of Things is limited by insufficient allocable frequency resources and low spectrum utilization. To meet the demand for massive access users under the condition of restricted frequency resources, a multi-dimensional hybrid multiple-access method for space-time-frequency-code division based on user distribution (MHSTFC-UD) is established. It divides the beam cell of a low orbit satellite into the central and edge area and dynamically adjusts the radius of the central area and the allocation of frequency resources according to the distribution of users. The optimization model for the radius of the central area and the allocation of frequency resources is established and solved by the genetic algorithm. Also, it takes the edge area as the protection interval to realize the full-frequency multiplexing between the beam cells in the time domain, space domain and code domain. The simulation results show that compared with the traditional method of frequency reuse in two or three dimensions, the multi-dimensional hybrid multiple-access method can improve the maximum access capacity of a single satellite user by one to three orders of magnitude. Moreover, the MHSTFC-UD can increase users by an additional 11.5% to 33.1% compared to fixed area division and frequency resource allocation. [ABSTRACT FROM AUTHOR]

Smoking is a leading cause of preventable morbidity and mortality globally. During the COVID-19 pandemic, Smoking Cessation (SC) services faced many challenges, including lockdown and social distancing restrictions. Consequently, SC services had to adapt to the challenges in different ways or halt delivery. This research evaluated the impact of COVID-19 on the delivery and outcomes of SC services. This was achieved by comparing service delivery and outcomes pre-COVID-19 and during the pandemic and drawing insights for the delivery of SC services post-pandemic. Secondary analysis was performed on the data of 11,533 participants who attended the One Life Suffolk (OLS) SC services pre- and during the COVID-19 pandemic. A total of 4923 and 6610 participants attended SC services pre-COVID-19 and during COVID-19 respectively. Fifty-four percent of participants achieved quit status at week-4 while attending the SC services during the COVID-19 pandemic, compared with 46% pre-COVID-19, (X2(1) = 38.2, p-value<0.001). Participants who attended the SC services during the COVID-19 period were 1.7 times more likely to achieve quit status at week-4 than pre-COVID-19. However, the proportion of participants lost-to-follow-up (LTF) was significantly higher during the COVID-19 period (11%) compared to pre-COVID-19 (7%), (X2(1) = 51.4, p-value <0.001). There was an increased participation and quit rate during the pandemic for modified, remotely delivered SC services indicating successful delivery of remote services during the pandemic. Although switching from face-to-face to online helped some smokers to access the service at a time of motivational readiness, despite the COVID-19 restrictions, some smokers could not access or use some aspects of the remote delivery due to a lack of internet access, poor digital literacy, no peer support and no commitment to a group during face-to-face sessions, contributing to an increased rate of LTF. Posing a major challenge to SC services delivery, COVID-19 compelled OLS SC services to adapt and be more innovative in their delivery. SC services need to continue to evolve and adapt by applying the lessons learnt during the pandemic in terms of flexibility and person-centered delivery given what did and did not work well for different demographics within the population. [ABSTRACT FROM AUTHOR]

Background: A decade ago paper questionnaires were more common in epidemiology than those administered online, but increasing Internet access may have changed this. Researchers planning to use a self-administered questionnaire should know whether response rates to questionnaires administered electronically differ to those of questionnaires administered by post. We analysed trials included in a recently updated Cochrane Review to answer this question. Methods: We exported data of randomised controlled trials included in three comparisons in the Cochrane Review that had evaluated hypotheses relevant to our research objective and imported them into Stata for a series of meta-analyses not conducted in the Cochrane review. We pooled odds ratios for response using random effects meta-analyses. We explored causes of heterogeneity among study results using subgroups. We assessed evidence for reporting bias using Harbord's modified test for small-study effects. Results: Twenty-seven trials (66,118 participants) evaluated the effect on response of an electronic questionnaire compared with postal. Results were heterogeneous (I-squared = 98%). There was evidence for biased (greater) effect estimates in studies at high risk of bias; A synthesis of studies at low risk of bias indicates that response was increased (OR = 1.43; 95% CI 1.08–1.89) using postal questionnaires. Ten trials (39,523 participants) evaluated the effect of providing a choice of mode (postal or electronic) compared to an electronic questionnaire only. Response was increased with a choice of mode (OR = 1.63; 95% CI 1.18–2.26). Eight trials (20,909 participants) evaluated the effect of a choice of mode (electronic or postal) compared to a postal questionnaire only. There was no evidence for an effect on response of a choice of mode compared with postal only (OR = 0.94; 95% CI 0.86–1.02). Conclusions: Postal questionnaires should be used in preference to, or offered in addition to, electronic modes. [ABSTRACT FROM AUTHOR]