Background: Although many studies analyse gender differences in the clinical expression of Attention Deficit Hyperactivity Disorder (ADHD) and prevalence studies show that girls with ADHD are underdiagnosed, there are no instruments that are sensitive to the detection of girls with ADHD. Objective: The objective of this study is to develop a self-report early detection instrument for ADHD for boys and girls aged 7 to 16, which includes the gender perspective and is sensitive to the detection of girls with ADHD. Methods: The development of the scale and the items that comprise it were created from the thematic analysis of ADHD and its evaluation in children, based on the diagnostic criteria of the DSM-5-TR. A modified e-Delphi method involving a three-round web survey was used to reach a consensus on the content of the scale. Ten experts were recruited into a professional panel. The panel members were asked to assess the differential symptomatology of ADHD in boys and girls, the dimensions to be evaluated, and the importance of the scale items to evaluate the content. Results: Consensus was reached regarding 13 total items distributed in three dimensions: Inattention, Hyperactivity/Impulsivity, and a third dimension, Internalisation, which includes symptoms most present in the expression of ADHD in girls. Conclusions: To the best of our knowledge, the development of this scale using the Delphi method is the first specific scale for identifying ADHD that addresses the gender perspective and the differential symptomatology between boys and girls. Although we must proceed to the analysis of the psychometric properties, we can anticipate that this scale will provide relevant and reliable information for the identification of ADHD in both boys and girls.

Abstract: This study aims to set up a system to evaluate nursing competencies in disaster preparedness for undergraduates and influencing factors in China. The evaluation system was established by using the modified Delphi. There were 3 phases in this study: 1) an environmental scan; 2) setting framework; 3) adjusting indicators based on the modified Delphi. The questionnaire for these undergraduates lied in their basic information and assessment of nursing competencies in disaster preparedness. Based on the survey, the average score of nursing competencies in disaster preparedness for undergraduate nursing students surveyed was 3.10 (out of 5). In addition, gender, grade, inhabitation, and disaster drills of the students were four factors affecting nursing competencies of undergraduates. This study indicates that the present nursing competencies in disaster preparedness for undergraduates are weak, and it is essential to strengthen nursing education in disaster preparedness for undergraduates.

Artificial Intelligence (AI) emerges as a powerful catalyst poised to reshape the global sustaina-bility landscape by facilitating the attainment of Sustainable Development Goals (SDGs). This comprehensive Delphi study meticulously probes the insights of domain experts, shedding light on the strategic utilization of AI to advance these critical sustainability objectives. Employing rigorous statistical techniques, encompassing measures of central tendency and interquartile de-viation, this research scrutinizes consensus dynamics among experts and elucidates potential variations in their viewpoints. The findings resoundingly convey experts' collective positive perspective regarding AI's pivotal role in propelling the SDGs forward. Through two iterative rounds of extensive discussions, a compelling consensus crystallizes—AI indeed exerts an overall positive impact, exemplified by a robust mean score of 78.8%. Intriguingly, distinct SDGs manifest varied propensities toward AI intervention, with Goals 6, 7, 8, 9, 11, 13, 14 and 15 basking in the radiance of highly positive impacts. Goals 1, 2, 3, 4, 5, 10 and 12 exhibit positive impact scores, indicating a juncture ripe for positive advancements. Meanwhile, Goal 16 and Goal 17 languish with neutral scores, signifying a juncture demanding nuanced deliberations about AI's impact on peace, justice, and strong institutions as well as on partnerships for the goals respectively. This paper underscores AI as a formidable instrument poised to address humanity's most pressing challenges while harmonizing seamlessly with the overarching SDG objectives. It gracefully dovetails into established practices across pivotal domains such as health, education, and resilient infrastructures, amplifying the collective global endeavor to navigate the path toward a more sustainable future.

The main purpose of this article is to identify key areas of research on climate change in the context of the SDGs, focusing on the potential development impacts on Bolivia and Paraguay. Application of the Delphi technique with the involvement of a panel of experts allowed the consolidation of different perspectives and knowledge on climate change, focusing on those that experts considered to have the greatest potential impact on the regions. The results of this study constitute a valuable guide for decision-makers and funding bodies, highlighting research areas that could have a significant impact at the national and regional levels, as well as for researchers, identifying specific research areas crucial for regional development and climate change mitigation.

Background: Virtual care adoption accelerated during the COVID-19 pandemic, highlighting the need for healthcare professionals to develop relevant competencies. However, limited evidence exists on the core competencies required for quality virtual care delivery. Objective: This study aimed to identify the critical competencies physicians, nurses, and other health professionals need for adequate virtual care provision in Saudi Arabia using a Delphi method. Methods: A 3-round Delphi technique was applied with a panel of 42 experts, including policymakers, healthcare professionals, academicians, and telehealth specialists. In round 1, an open-ended questionnaire elicited competencies needed for virtual care. Competencies were distilled and rated for importance in rounds 2 and 3 until consensus was achieved. Results: Consensus emerged on 151 competencies across 33 domains. The most prominent domains were communication (15 competencies), professionalism (13), leadership (12), health informatics (5), digital literacy (5) and clinical expertise (11).

Capturing complexity is both a conceptual and a practical challenge in palliative care. The HexCom model has proved to be an instrument with strong reliability and valid for describing the needs and strengths of patients in home care. In order to explore whether it is also perceived to be helpful in enhancing coordinated and patient-centered care at a practical level, a methodological study was carried out to assess the face validity of the model. Particularly, a Delphi method involving a group of 15 experts representing the full spectrum of healthcare professionals involved in palliative care was carried out. The results show that there is a high level of agreement, with a Content Validity Index-Item greater than 0.92 both with regard to the complexity model and the HexCom-Red, HexCom-Basic and HexCom-Clin instruments, and higher than 0.85 regarding the HexCom-Figure and the HexCom-Patient instruments. This consensus confirms that the HexCom model and the different instruments that are derived from it are valued as useful tools for a broad range of healthcare professional in coordinately capturing of complexity in healthcare practice.

This scientific article outlines the Artificial Intelligence Integrated Energy Education Framework (AI-IEEF), a transformative model designed to revolutionize energy education and management practices. The framework is organized into five distinct layers: Organizational (AI-enhanced administration systems), Financial (dynamic AI financial models), Technology (advanced simulation and modeling), Methodology (AI in curriculum development and personalized learning), and Social (AI for community engagement and impact). An expert panel used the fuzzy Delphi method to achieve consensus on twenty key factors within these layers, establishing a solid foundation for analysis. Following this, the Fuzzy Analytic Hierarchy Process (AHP) was employed to calculate precise weights for each layer and their respective factors, providing a quantitative assessment of their relative importance. These weight calculations are crucial, as they guide resource allocation and strategic decision-making to ensure the framework is optimized for the evolving needs of energy management. Furthermore, the article introduces five tailored variants of the AI-IEEF, each addressing specific aspects of energy education and offering a comprehensive approach to navigating the challenges in the field. The five variants include the Smart Campus Energy Education, Global Energy Policy Analysis, Renewable Energy Research and Development, Energy Workforce Development, and Community Engagement and Outreach variants. Each provides a distinct approach to energy education, from transforming campuses into living labs for hands-on learning to fostering international collaborations that explore the global implications of energy policy. These variants emphasize practical skills, policy analysis, and community-focused solutions, ensuring that students are well-prepared to contribute effectively to the energy sector.

Background: The aim of this study was to design and analyze the content validity of an instrument to assess the risk of behaviors associated with the Chemsex phenomenon since there is currently no instrument with this objective. Method: Firstly, a bank of items identified from the literature was elaborated. Secondly, 50 experts with knowledge of the Chemsex phenomenon at the national level were contacted. A Delphi group was formed with them to carry out two rounds of item evaluation (comprehension and appropriateness) using a Likert scale of 1 to 5. To assess linguistic validity, the mean score of the item comprehension scores was used. The content validity index (CVI) and Aiken's V (VdA) were calculated for each item. A minimum value of CVI and VdA of 0.6 was established to include the items in the questionnaire. Results: In the first round of evaluation, 36 experts evaluated 114 items, of which 61 were selected. In a second round, 30 experts evaluated the 61 items selected, leaving the scale finally made up of 52 items. Conclusion: A questionnaire has been designed to assess the risk of behaviors associated with the Chemsex phenomenon. The items that make up the questionnaire have shown adequate content and linguistic validity, so this instrument can be considered valid. The Delphi method proved to be a useful technique for the proposed objective.

Buildings can generate heats which are mostly generated from the machinery using inside the buildings, and these heats generally released to the atmosphere. Buildings can also block the wind flow by their canopies and trap the heat by using low albedo materials. These causes pointedly contribute to urban heat island and greenhouse effects. Likewise, urban development and building construction in Cambodia are growing rapidly. The construction has been recognized as a key development sector while thousands of buildings are being built and have been operated in the main cities. However, those buildings mostly have not been considered to incorporate sustainability concepts while the major final energy consumers in the country are buildings. The buildings’ energy consumption is also projected to increase more than double until 2040. Hence, sustainable building promotion in Cambodia is necessary, and sustainable building criteria are completely required. This research aims to find out significant sustainable building criteria for Cambodia and focused on planning and design criteria because having proper planning and design is a smart start leading to achieving building sustainability in all stages. This research used the Delphi methods to validate the relevant sustainable building criteria available in the literature and then select the significant ones for Cambodia based on the Delphi consensus. The results showed that ninety-nine consensus planning and design criteria were found to be significant for sustainable buildings in Cambodia.

Interventional management of neuropathic pain (NP) is available to the many patients who do not attain satisfactory outcomes with pharmacotherapy, but evidence supporting this is sparse and fragmented. We attempted to summarize and critically appraise the existing data to identify strategies that yield maximum benefit, orient clinicians, and identify areas that merit further investigation. A two-round Delphi survey that involved pain clinic specialists with experience in the research and management of NP was done over an ad hoc 26-item questionnaire prepared by the authors. Consensus on each statement was defined as either at least 80% endorsement or rejection after the second round. Thirty-five and 29 panelists participated in the first and second round, respectively. Consensus was reached in 20 out of 26 statements. There is sufficient basis to treat postherpetic neuralgias and complex regional pain syndromes with progressive levels of invasiveness and failed back surgery syndrome with neuromodulation. Radiculopathies and localized NP could be treated with peripheral blocks and neuromodulation, or pulsed radiofrequency. Non-ablative radiofrequency and non-paresthetic neuromodulation are efficacious and better tolerated than ablative and suprathreshold procedures. A graded approach, from least to most invasive interventions has the potential to improve outcomes in many patients with common refractory NP conditions. Preliminary promising data warrant further research on new indications, and technical advances might enhance the safety and efficacy of current and future therapies.

This study investigates the factors influencing consumers' intentions to purchase overseas travel packages via social media in Thailand, with a focus on consumer trust and perceived risks. A mixed-methods approach was employed, combining qualitative and quantitative research techniques. In the qualitative phase, the Fuzzy Set Delphi Method was applied to gather expert consensus from 19 participants. For the quantitative phase, a survey was conducted among 600 individuals who had experience purchasing overseas travel packages on social media in Thailand. First-order and second-order confirmatory factor analyses were used to examine the relationships between eight identified factors: social media influencer, e-WOM, trust, perceived risk, brand image, rating review, personal attitude, and destination image. The results indicate that trust and perceived risk are the most significant factors affecting purchase intention. Trust plays a crucial role in customers' decision-making processes, while perceived risk influences their tendency to avoid purchasing packages if the risk is perceived as high. The insights gained from this study contribute to the understanding of factors influencing purchase intentions for overseas travel packages through social media in Thailand, providing valuable information for travel agencies to develop effective marketing strategies.

The years 2021 and 2022 showed that maritime logistics are prone to interruptions. Especially the ports turned out to be bottlenecks with long queues of waiting vessels. This leads to the question of whether this can be (at least partly) mitigated by means of better and more flexible terminal operations. Digital Twins have been in use in production and logistics to increase flexibility in operations and are considered a reasonable fit. They are suitable for real-time data integration to support decision-making. However, the true potential of Digital Twins to enhance terminal operations still needs to be further investigated. A Delphi study is conducted to explore operational pain points, best practices to counter them, and how these best practices can be supported by Digital Twins. A questionnaire with 16 propositions is developed, and a panel of 17 experts is asked for their degrees of confirmation for each. The results indicate that today’s terminal operations are far from ideal and leave space for optimisation. The experts see great potential in analysing past working shifts data to identify reasons for poor terminal performance. Moreover, they agree on the proposed best practices and support the use of aiding IT solutions.

Sustainable Humanitarian logistics is gaining attention due to increased disasters. It involves various operations to support people's survival efforts. Key characteristics include unpredictable demand, sudden large demand volumes, high stakes in delivery timeliness, and limited resources. However, the complexity and unpredictability of disaster scenarios necessitate robust and adaptable performance measurement models to evaluate the effectiveness of sustainable humanitarian relief logistics (SHRL). This study proposes a novel performance measurement model for sustainable humanitarian logistics and supply chains that integrates the Fuzzy Delphi Method (FDM) and Fuzzy Decision-Making Trial and Evaluation Laboratory (Fuzzy-DEMATEL) method. In this research, using 115 articles focused on sustainable humanitarian logistics and supply chains, crisis management, and humanitarian aid, this research identified 25 key performance indicators (KPIs) in the initial phase. Following the implementation of FDM, 19 KPIs were identified as crucial for further analysis. These KPIs were then divided into four distinct categories: "Quality," "Accountability," "Operational Excellence," and "Sustainability". Initially, FDM is utilized to reach a consensus among experts concerning KPIs for humanitarian logistics and supply chains. By incorporating the inherent uncertainty and vagueness in expert judgments, FDM refines the list of key performance indicators that reflect the real-life conditions and constraints in disaster operations. Finally, the fuzzy DEMATEL approach was used to analyze interrelationships among factors, identifying cause-and-effect behavior and ranking them, forming a robust theoretical framework. The study concludes with the development of a comprehensive performance measurement model that facilitates the strategic planning and operational assessment of humanitarian organization operations. The integration of FDM and fuzzy DEMATEL methods offers multiple perspectives for decision-making and helps stakeholders identify critical areas for improvement. Based on the acquired results, the KPIs attached to the Quality (P1) aspect of the proposed framework have gained significant importance and main cause in the cause-and-effect relationship which impacts and is helpful to improve the performance of humanitarian organizations in all phases of disaster management. The KPIs prompt delivery (D1), and delivery accuracy (D2) are more significant, while capacity building and training (D19) and delivery compliance (D15) are least significant in SHRL scenarios. This research is expected to support humanitarian organizations in enhancing their capabilities, thereby improving the effectiveness and efficiency of aid delivery in disaster-stricken areas.

The circular supply chain was applied to many industries in the past studies, whereas the rubber recycling industry has not been explored in detail yet. Therefore, this study indentified the key factors of the circular supply chain used in remanufactured products, thereby perfecting its framework. This study put forward 5 aspects and 19 criteria for reference, so that companies in the rubber recycling industry are able to clearly know the direction of implementation when con-structing the circular supply chain for remanufactured products. This study integrated expert opinions with the fuzzy Delphi method and the fuzzy decision making trial and evaluation laboratory proposed key factors, and performed the ranking of importance. The results have displayed that key aspects include the circular business model (A3), increasing the value of resources in the supply chain (A4), and risk management of the circular supply chain (A2). The factors that the rubber recycling industry needs to pay attention to are: optimizing the production process (C2), sharing data in the product lifecycle (C4), effectively tracking and recycling products (C5), redesigning remanufactured products (C13), enhancing resource efficiency (C16), and identifying waste composition and separating materials (C14) . Based on the abovementioned, we had a discussion in this study.

This paper evaluates norms and assesses the level of knowledge in air conditioning project management within the construction industry. A total of 25 questions were distributed to multiple candidates, who were filtered based on pre-established inclusion and exclusion criteria. Thirty-nine candidates were ultimately approved to participate in the survey. The questions were designed to address five hypotheses, with each set of five questions corresponding to one hypothesis. The results were obtained after pre-processing the data using Matlab software. The data was pre-processed using Matlab software, and the results were analyzed using the Delphi method. The analysis revealed that only two hypotheses were approved: No matter whether there are nationalized safety rules or not, the impact of data sciences and smart technologies, including air conditioning management systems, is critical for human life in the building business.

Some researchers in Taiwan argue that the current mechanism by which government subsidies are allocated for smart city demonstration projects warrants improvement. A comprehensive literature review determined that the development potential of smart cities should be prioritized in site selection for such demonstration projects. This study developed an evaluation framework on the basis of multi-criteria evaluation methods to enable the identification of suitable smart community demonstration sites. Evaluation criteria were first identified through the Delphi method. Next, the weights of each criterion were derived through the analytic hierarchy process. Furthermore, the capability of the proposed evaluation model was determined through simulation testing.

International guidelines are published in oncology to provide standardized information and fertility preservation (FP) care for adults and children with cancer. For benign gynecologic diseases (BGD), many recommendations are based on data coming from oncofertility studies rather than studies with a stronger and broader evidence base. The purpose of the study was to conduct a modified Delphi process for generating FP guidelines for BGD. A steering committee identified 42 potential FP practices for BGD. Then 114 key stakeholders were asked to participate in a modified Delphi process via two online survey rounds and a final meeting. Consensus was reached for 28 items. Among them, stakeholders rated age-specific information concerning the risk of diminished ovarian reserve after surgery as important but rejected proposals setting various upper and lower age limits for FP. All women should be informed about the benefit/risk balance of oocyte vitrification, in particular about the likelihood of live birth according to age. FP should not be offered in rASRM stages I and II endometriosis without endometriomas. These guidelines could be useful for gynecologists to identify situations at risk of infertility and to better inform women with BGDs who might need personalized counseling for FP.

Social media has become part and parcel of the world of today. These days, it’s still the most talked about thing. It cannot be overlooked because it plays a key role in our business functions such as marketing and advertising. Social Media is all about collaboration on files, ideas and projects that help users and stakeholders to successfully complete the project. It influences how people communicate, develop relationship, build trust, increase transparency and provide cultural context. The fundamental aim of this research is to investigate the capacity for project management in social media. This paper explains how social media is used for project management knowledge areas and process groups. Also this research aims to identify SM tools that can be suitable for project management processes. Two studies Delphi Study of three rounds and structured case study interview are used to investigate the impact on the performance of the project team and process robustness. These studies support social media use by accessing the contribution to relationship building, trusts, coordination and cohesion.

Introduction: Management of hypoxic-ischemic encephalopathy (HIE) has been the subject of international recommendations. However, some aspects remain within the realm of service practices and appear to vary greatly from one center to another. Objectives: To achieve a multidisciplinary consensus in France regarding management of HIE newborns that are not covered by international and national guidelines. Methods: This is a prospective, multicenter study using the Delphi method from April 21, 2021, to July 15, 2021. Perinatal professionals were contacted through professional societies. Participants received a questionnaire in three successive rounds. Each proposal was rated using a Likert scale from 1 (completely disagree) to 8 (completely agree). An item was considered consensual if at least 70% of responses were in agreement or disagreement. Results: 58 french neonatal professionals participated. A consensus was reached in the first round concerning the use of passive hypothermia in maternity ward, with 84% agreement and to define the target temperature between 35.0°C and 35.5°C at the third round. Regarding hypoglycemia in the delivery room, 79.2% agreed in the first round to correct blood glucose levels below a threshold of <2.2 mmol/l. Parenteral route was the preferred correction method for 91.4% of respondents, while enteral route via nasogastric tube did not reach consensus. Conclusion: This study highlights the variability in definitions and practices among professionals in the management of HIE. Consensus was found regarding certain care practices performed without formal guidelines. The work to harmonize definitions and practices for the management of HIE likely needs to continue.

This paper questions the potential shift of reproduction towards assisted reproductive technologies due to benefits provided by genetic manipulation of embryos. In order to examine the viability of such a shift and its implications from a regulatory perspective, we relied on two panels of experts from Israel and Spain, using the Delphi method and a series of in-depth interviews. We anticipate, at a first stage, a continuous-steady growth in the use of IVF, supplemented by preimplantation genetic diagnosis and the introduction of CRISPR/Cas. At a second stage, attracting a growing share of fertile people would require developments in genomics. While it is unclear whether these developments will fully materialize, they could be replaced by technoscientific imaginaries generating perceived benefits. We conclude that the regulation of reproductive genetics is becoming more critical and complex. The aim should be to ensure good practices and equity, while providing more information to the public. A broad and inclusive societal debate may overcome the difficulty of drawing a clear line between medical uses and non-medical uses of genetic selection and engineering and may contribute to finding the right balance between allowing autonomous decisions of patients and protecting the public interest.

Apartment buildings, which make up 83% of all structures in Jordan, play a crucial role in the country's construction sector. This study examines the main barriers that are preventing the implementation of low-carbon emission techniques in these buildings. It uses the Fuzzy Delphi Method to collect ideas from 14 housing investors. The results suggest that a major obstacle is the insufficient knowledge among end-users regarding environmental concerns, along with financial limitations, resulting in a lack of enthusiasm for low-carbon construction initiatives. Moreover, insufficient cooperation between consultants and contractors leads to subpar constructability, which is worsened by the prevailing conventional procurement method that prioritizes cost and schedule above environmental consequences. To further investigate, it is advisable to examine the utilization of contemporary procurement methods, such as Design-Build and Construction Management, in the housing industry of Jordan. These alternative methods have the potential to solve the current difficulties by promoting more effective and environmentally friendly building practices. This will help increase the use of low-carbon emission solutions and improve the overall sustainability of Jordan's construction sector.

Quality of life (QoL) assessments are integral to cancer care, yet their effectiveness in providing essential information for supporting survivors varies. This study aimed to elucidate key indicators of QoL among colorectal cancer survivors from the perspective of healthcare professionals, and to evaluate existing QoL questionnaires in relation to these indicators. Two studies were conducted: a Delphi study to identify key QoL indicators and a scoping review of questionnaires suitable for colorectal cancer survivors. Fifty-four healthcare professionals participated in the Delphi study's first round, with 25 in the second. The study identified two primary QoL domains (Physical and Psychological) and 17 subdomains deemed most critical. Additionally, a review of 12 questionnaires revealed two instruments assessing the most important general domains. Findings underscored a misalignment between existing assessment tools and healthcare professionals' clinical priorities in working with colorectal cancer survivors. To enhance support for survivors' QoL, efforts are needed to develop instruments that better align with the demands of routine QoL assessment in clinical practice.

The purpose of this study was to develop a reflective evaluation tool that can enhance the teaching competency of pre-service physical education teachers. A Delphi survey was conducted to modify the questions based on the evaluation tool for the teaching competency of physical education teachers, and each evaluation standard based on teaching competency was developed. The evaluation tool consisted of 46 questions for class preparation (the creation of the learning environment), the introduction (routine activities, learning goals, and task presentation), development (class strategy, observation and interaction, and the maintenance of the learning environment), and conclusion (routine activities, summary, and closure). It was designed to increase the accuracy of evaluation by developing evaluation criteria for each question. An evaluation tool including quantitative and qualitative methods for use in pre-service physical education teacher education was developed. The significance of this study was the development of an effective evaluation tool that can evaluate the core teaching behaviors in the field of physical education. This evaluation tool should be used as a learning tool that includes planning, operation, evaluation, and seeking improvement measures through reflective activities. If pre-service teacher education institutions apply this evaluation tool in their teacher training programs, it would be a great chance to learn how to develop and sustain teaching abilities and effectiveness.

Oil has become the object of global exploits and fierce competition among the major world powers as it is a key strategic non-renewable resource. Transnational petroleum investment is therefore an important mechanism available to countries and international corporations to control oil resources even though there are numerous inherent uncertainties and risks. A new risk assessment index system is proposed in this paper based on use of the Delphi expert scoring system and fuzzy comprehensive evaluation that aims to minimize the potential risks inherent to multinational petroleum investment. This approach encapsulates political, legal, socioeconomic, and infrastructural factors to develop a technical method that can be used for transnational petroleum investment risk assessment. An evaluation of oil investment risk within a case study area is also presented; results provide reference data that can be applied by national and international oil companies to mitigate risks of transnational oil investment.

The study of coordination practices in health policy and, especially in emergency situations is a central aspect. The COVID-19 pandemic has highlighted the need for further research on such practices, especially those that are deployed in complex and unforeseen situations to respond quickly while minimising errors. These dialogic coordination practices (DP) have been identified through case studies but have not been validated. The purpose of this study is to develop and validate a DP questionnaire for healthcare teams. The development of the items was based on a literature review and the content validation was carried out by means of a Delphi study. A total of 10 experts assessed the clarity and appropriateness of the items and their corresponding measurement scales. Consensus was reached after the second round, with a percentage of agreement greater than or equal to 90% for all items. The validation of these items constitutes a methodological innovation that responds to the call in the literature to open up new avenues for comparative studies, the possibility of generalising the findings obtained and the possibility of bringing together different approaches to the problem of coordination, key in health policy.

Background/Objectives: The aim of this study is the operationalization of the International Classification of Functioning, Disability and Health in the rehabilitation care performed at the Institute of Cancer of the State of São Paulo through structuring a goal-oriented tool with relevant categories of evaluation and follow-up for cancer outpatients to be applied by physiatrists, physiotherapists, physical educators, occupational therapists, and psychologists. Methods: A qualitative study based on a literature review and a modified Delphi exercise, Estimate-Talk-Estimate (ETE) technique, was performed with the service’s rehabilitation experts. Consensus was obtained after four rounds under the 80% agreement threshold. Results: Forty categories were identified for neuropsychological evaluation and thirty-three for psychoaffective support, with 12 goals. Thirty-five categories with 13 goals were accounted for physiotherapy. Physical educators identified 18 categories, with 7 goals. Occupational therapists selected 54 categories, with 10 goals. A referral for personal factors was established. Functional Assessment of Cancer Therapy-General (FACT-G) was the quality of life tool chosen to be applied. Conclusions: A set of relevant ICF categories was structured, tailored by a clinically meaningful routine of assessment and follow-up of cancer outpatients based on specialists’ clinical practice and scientific literature. It will contribute for analyzable and more specific and quantifiable institutional health data. Its implementation and future discussion may promote the instrument’s refinement for its use in this population.

Background: The last-mile delivery phase, the final stage where goods move from a distribution center to customers, is pivotal but faces significant inefficiencies and high costs due to its complexity. Recent advancements in Edge AI or Edge Intelligence (EI) offer promising solutions to these challenges. Methods: This study explores how AI-driven technologies and real-time data processing, combined with EI, can enhance last-mile delivery operations. A thorough literature review was conducted to assess technological advancements, and a Delphi method was used to systematically and empirically assess the impact of EI solutions on both operational efficiency and customer satisfaction. Results: Although EI technologies offer substantial benefits, EU companies are hesitant to adopt these innovations due to high implementation costs. However, firms that have embraced these technologies report significant improvements, including better route optimization, reduced delivery times, and enhanced service reliability. These findings highlight the need for a culture of innovation and the recruitment of experts with advanced qualifications to drive technological advancement in last-mile logistics. Conclusions: The integration of EI represents a significant step towards more efficient, cost-effective, and customer-focused last-mile delivery solutions. Future research should aim to refine these technologies and explore their long-term impacts on the logistics industry.