An increasingly frail population in nursing homes accentuates the need for high quality care at the end of life and better access to palliative care in this context. Implementation of palliative care and its outcomes can be monitored by using quality indicators. Therefore, we developed a quality indicator set for palliative care in nursing homes and a tailored measurement procedure using a mixed-methods design. We developed the instrument in three phases: 1) literature search, 2) interviews with experts and 3) indicator and measurement selection by expert consensus (RAND/UCLA). Second, we pilot tested and evaluated the instrument in nine nursing homes in Flanders, Belgium. After identifying 26 indicators in the literature and expert interviews, 19 of them were selected through expert consensus. Setting-specific themes were advance care planning, autonomy and communication with family. The quantitative and qualitative analyses showed the indicators were measurable, had good preliminary face validity and discriminative power and were considered useful in terms of quality monitoring according to the caregivers. The quality indicators can be used in a large implementation study and process evaluation in order to achieve continuous monitoring of the access to palliative care for all residents in nursing homes.

In today's world, the significance of reducing energy consumption globally is increasing, making it imperative to prioritize energy efficiency in the 5th Generation (5G) networks. However, it is crucial to ensure that these energy-saving measures do not compromise the Key Performance Indicators (KPIs) such as user experience, quality of service (QoS), or other important aspects of the network. To address this challenge, advanced wireless technologies have been incorporated into the design of 5G networks across various network layers. Given the rapid advancements in Artificial Intelligence (AI) and emerging technology trends such as Machine Learning (ML), which is considered a subset of AI, the integration of such trends into 5G networks has become a significant area of research. The primary objective of this survey is to analyze AI integration into 5G networks for enhanced energy efficiency. By exploring this intersection between AI and 5G, we aim to identify potential strategies and techniques for optimizing energy consumption while maintaining the desired network performance and user experience.

Rainfall variability has resulted in extreme events like devastating floods and droughts which is the main cause of human vulnerability to precipitation in West Africa. Attempts have been made by previous studies to understand rainfall variability over Ghana but these have mostly focused on the major rainy season of April-July, leaving a gap in our understanding of the variability in the September-November season which is a very important aspect of the Ghanaian climate system. The current study seeks to close this knowledge gap by employing statistical tools to quantify variabilities in rainfall amounts, rain days, and extreme precipitation indices in the minor rainfall season over Ghana. We find extremely high variability in rainfall with a Coefficient of variation (CV) between 25.3% and 70.8%, and moderate to high variability in rain days (CV=14.0% - 48.8%). Rainfall amount was found to be higher over the middle sector (262.7 mm – 400.2 mm) but lowest over the east coast (125.2 mm – 181.8 mm). Analysis of the second rainfall season using the Mankandell Test presents a non-significant trend of rainfall amount and extreme indices (R10, R20, R99p, and R99p) for many places in southern Ghana. Rainfall Anomaly Indices show that the middle sector recorded above normal precipitation which is the opposite for areas in the transition zone. The result of this work provides a good understanding of rainfall in the minor rainfall season and may be used for planning purposes.

A smart city is a futuristic approach that evolves with new technologies. It can start as a simple community and evolve into future cities. In most developing countries, where the population growth is faster, and where the organization and the urbanization are slower, there is a serious need for a framework for progressive change towards sustainable cities. This article discusses the level of intelligence of smart city components and proposes indicators as well as a methodology for measuring intelligence based on the objectives to be achieved as well as a certain number of technical requirements and some cognitive processes implemented.

This study investigates how a range of economic, environmental, and social indicators have influenced the concept of inclusive growth in 19 member countries of the Asian Cooperation Dialogue over the period spanning from 1995 to 2021. To analyze these relationships, the research employs the Driscoll Kraay's Standard Errors regression technique, designed to account for factors such as cross-sectional dependence, hetero-scedasticity, and autocorrelation within the data. Furthermore, various preliminary tests were conducted to assess the data for cross-sectional dependence, slope heterogeneity, heteroscedasticity, and autocorrelation. Additionally, the Westerlund cointegration test was employed to evaluate the potential long-term equilibrium relationships among the variables. The findings reveal that the influence of independent variables on the dependent variable, which in this case is the level of inclusive growth (ING), differs significantly among three distinct income categories: lower-middle-income countries (LMYCs), upper-middle-income countries (UMYCs), and high-income countries (HYCs). Notably, the results underscore the overall statistical significance and robust fit of the regression model for all three income groups. One of the primary contribu-tions of this research is the provision of empirical evidence concerning the role played by fishery and aquaculture production in fostering inclu-sive growth in the Asian context. This research also highlights the trade-offs between economic development and environmental sustainability in terms of trade openness, agriculture, forestry and fishing, ecological footprint, and renewable energy utilization. Enhancing inclusive growth in Asia requires improving fishery and aquaculture management, diversifying economic activities, reducing ecological footprint, and increasing renewable energy utilization. The paper suggests some future work directions for extending the analysis to other regions and indicators, as well as incorporating dynamic panel data models and causality tests. The paper also suggests some policy implications for fostering inclusive growth in Asia through regional cooperation, capacity building, technology transfer and green financing.

Urbanization induced land use land cover (LULC) changes intensify the urban heat island effects. It magnifies the risk of urban dwellers and sometimes causes the loss of human life, defined as heat-related health risk (HRHR). Hence, urban LULC planning plays a crucial role. Present study analyses the impact of composition and configuration of urban LULC defined as urban landscape metric (ULM) on HRHR in Delhi at the ward level. Firstly, the HRHR is measured by using satellite thermal and other digital data. Then, measured HRHR is validated by conducting a rapid field survey. Thirdly, ULM measured at ward level using Fragstat 4 software. Finally, both, HRHR and ULM linked with bi-variate Moran's I and impacts of ULM are assessed using ordinary least square (OLS) and spatial error (SE) regression. The result indicates the high risk is found as clustered in north-east, central and middle of south-west Delhi. Built-up density intensifies HRHR and abundance of vegetation reduce it; however, it is not similar for all vegetation patches. Larger vegetation patches surrounded by dense built-up might not able to reduce the risk as much as a large vegetation patch could in other regions. Findings can be helpful for heat resilient city planning.

In the wake of rapid advancements in artificial intelligence (AI) and sensor technologies, a new horizon of possibilities has emerged across diverse sectors. Livestock farming, a domain often sidelined in conventional AI discussions, stands at the cusp of this transformative wave. This paper delves into the profound potential of AI and sensor innovations in reshaping animal welfare in livestock farming, with a pronounced emphasis on a human-centric paradigm. Central to our discourse is the symbiotic interplay between cutting-edge technology and human expertise. While AI and sensor mechanisms offer real-time, comprehensive, and objective insights into animal welfare, it's the farmer's intrinsic knowledge of their livestock and environment that should steer these technological strides. We champion the notion of technology as an enhancer of farmers' innate capabilities, not a substitute. Our manuscript sheds light on: Objective Animal Welfare Indicators: An exhaustive exploration of health, behavioral, and physiological metrics, underscoring AI's prowess in delivering precise, timely, and objective evaluations. Farmer-Centric Approach: A focus on the pivotal role of farmers in the adept adoption and judicious utilization of AI and sensor technologies, coupled with discussions on crafting intuitive, pragmatic, and cost-effective solutions tailored to farmers' distinct needs. Ethical and Social Implications: A discerning scrutiny of the digital metamorphosis in farming, encompassing facets like animal privacy, data safeguarding, responsible AI deployment, and potential technological access disparities. Future Pathways: Advocacy for principled technology design, unambiguous responsible use guidelines, and fair technology access, all echoing the fundamental principles of human-centric computing and analytics. In essence, our paper furnishes pioneering insights at the crossroads of farming, animal welfare, technology, and ethics. It presents a rejuvenated perspective, bridging the chasm between technological advancements and their human beneficiaries, resonating seamlessly with the ethos of the Human-Centric Intelligent Systems journal. This comprehensive analysis thus marks a significant stride in the burgeoning domain of human-centric intelligent systems, especially within the digital livestock farming landscape, fostering a harmonious coexistence of technology, animals, and humans.