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With artificial intelligence (AI) being applied to bring autonomy to decision-making in safety-critical domains such as the ones typified in the aerospace and emergency-response services, there has been a call to address the ethical implications of structuring those decisions, so they remain reliable and justifiable when human lives are at stake. This paper contributes to addressing the challenge of decision-making by proposing a structured decision-making framework as a foundational step towards responsible AI. The proposed structured decision-making framework is implemented in autonomous decision-making, specifically within disaster management. By introducing concepts of Enabler agents, Levels and Scenarios, the proposed framework's performance is evaluated against systems relying solely on judgement-based insights, as well as human operators who have disaster experience: victims, volunteers, and stakeholders. The results demonstrate that the structured decision-making framework achieves 60.94% greater stability in consistently accurate decisions across multiple Scenarios, compared to judgement-based systems. Moreover, the study shows that the proposed framework outperforms human operators with a 38.93% higher accuracy across various Scenarios. These findings demonstrate the promise of the structured decision-making framework for building more reliable autonomous AI applications in safety-critical contexts.
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http://dx.doi.org/10.1038/s41598-025-15317-w | DOI Listing |
Int J Gen Med
September 2025
Department of Dermatology, Hangzhou Third People's Hospital, Hangzhou Third Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, People's Republic of China.
Background: Nodular hidradenoma (NH) is a rare benign adnexal tumor originating from sweat glands, often misdiagnosed due to nonspecific clinical manifestations. Ultrasonography (US) plays a critical role in the diagnosis of skin tumors, yet systematic descriptions of its sonographic features remain limited.
Objective: This study aims to investigate the very-high-frequency (VHF) characteristics of eccrine nodular hidradenoma (ENH) and establish key imaging criteria to differentiate it from other cutaneous/subcutaneous lesions.
Front Med (Lausanne)
August 2025
Department of Nursing, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Background: Inflammatory bowel disease (IBD) is a chronic condition characterized by the need for highly individualized treatment plans, requiring patients to make numerous complex medical decisions. Shared decision-making (SDM) has proven effective in improving treatment outcomes, patient satisfaction, and adherence in IBD management; however, its clinical implementation remains challenging. In China, formal SDM nurse roles have not yet been established.
View Article and Find Full Text PDFPatterns (N Y)
July 2025
OPENGIS.ch GmbH, 7031 Laax, Switzerland.
The QGIS project is a prominent open-source geographic information system (GIS) that has evolved over two decades, contributing significantly to the geospatial community. This paper presents the development, governance, and operational challenges faced by QGIS, providing an in-depth analysis of its growth from a hobby project to a global platform. We examine the project's organizational structure, release management, and infrastructure, alongside the financial model that sustains its development.
View Article and Find Full Text PDFCureus
August 2025
Department of Family Medicine, Akram and Rasool Hospital, Sarai Alamgir, PAK.
Background: Patients with type 2 diabetes mellitus (T2DM) often experience hypoglycemia, an underappreciated consequence that has a major negative influence on treatment compliance and quality of life.
Objective: This study aimed to determine the prevalence and associated factors of hypoglycemia among patients with T2DM, with a focus on treatment types, comorbidities, and glycemic control. By providing population-specific data, the study intends to inform clinical decision-making and contribute to safer, more personalized diabetes management strategies.
Cureus
August 2025
College of Medicine, King Saud University, Riyadh, SAU.
Background Subclinical hypothyroidism (SCH) in pregnancy poses serious maternal and fetal risks, including miscarriage, gestational diabetes, and neurodevelopmental impairment. Despite clear international guidelines like those from the American Thyroid Association (ATA), global practice remains inconsistent. In Saudi Arabia, where SCH prevalence among pregnant women is notably high (13%), there is limited national data on how closely physicians follow these guidelines.
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