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Emotion meets coordination: Designing multi-agent LLMs for fine-grained user sentiment detection on social media. 情感与协调:面向社交媒体细粒度用户情感检测的多智能体llm设计。
IF 2.6 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-02-09 eCollection Date: 2026-01-01 DOI: 10.1371/journal.pone.0342053
Hao Dong, Zuowen Bao, Muze Li, Zhengfeng Yang

Social media platforms have become central channels for emotional communication, posing new challenges for fine-grained sentiment analysis due to their high contextual variability, multimodal content, and pervasive ambiguity. Traditional end-to-end sentiment models often struggle to capture compositional or conflicting emotional cues in user-generated texts. This study presents a modular multi-agent architecture for sentiment analysis, implemented with the LLaMA-3.3-70B-Instruct model and guided by system-level design principles. The framework decomposes emotion inference into three coordinated stages, perception, reasoning, and resolution, each managed by a specialized agent trained with parameter-efficient tuning strategies. A meta-agent mediates conflicting predictions through a coordination protocol based on confidence estimation and discourse consistency, enabling adaptive consensus formation. Evaluations on the GoEmotions v2, SemEval-2024, and Twitter benchmarks demonstrate that the proposed system achieves higher accuracy, robustness, and interpretability compared with existing baselines. These findings indicate that architectural decomposition combined with collaborative reasoning enhances reliability and transparency in sentiment analysis, offering a scalable pathway toward intelligent and emotionally aware computational systems.

社交媒体平台已成为情感交流的中心渠道,由于其高度的上下文可变性、多模式内容和普遍的模糊性,为细粒度情感分析带来了新的挑战。传统的端到端情感模型通常难以捕捉用户生成文本中的构成或冲突的情感线索。本研究提出了一种模块化的情感分析多智能体架构,采用llama -3.3- 70b - directive模型实现,并以系统级设计原则为指导。该框架将情感推理分解为三个协调的阶段,即感知、推理和解决,每个阶段都由经过参数高效调谐策略训练的专门代理进行管理。元代理通过基于置信度估计和话语一致性的协调协议调解相互冲突的预测,从而实现自适应共识的形成。对GoEmotions v2、SemEval-2024和Twitter基准的评估表明,与现有基准相比,所提出的系统具有更高的准确性、鲁棒性和可解释性。这些发现表明,结合协作推理的架构分解提高了情感分析的可靠性和透明度,为智能和情感感知计算系统提供了可扩展的途径。
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引用次数: 0
A pictural guide to postmortem examination of elephants. 大象尸体解剖图片指南。
IF 2.6 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-02-09 eCollection Date: 2026-01-01 DOI: 10.1371/journal.pone.0338783
Almuth Falkenau, Ninja Kolb, Alexandra Rieger, Isabelle Lutzmann, Katharina Erber, Clara Kaufhold, Lina Eddicks, Marco Rosati, Sonja Fiedler, Anna Gager, Effrosyni Michelakaki, Elena Dell'Era, Timo Lorenzen, Martin Zöllner, Andreas Brühschwein, Andrea Meyer-Lindenberg, Julia Heckmann, Marco Roller, Lukas Reese, Barbara Lang, Markus Menzinger, Nicole Richter, Robert Fitz, Lukas Pfaudler, Christine Lendl, Hanspeter W Steinmetz, Christine Gohl, Monir Majzoub-Altweck, Kaspar Matiasek, Andreas Blutke

The necropsy of an elephant represents a rare event for most veterinary pathology facilities outside of Africa and Asia. Here, we report a comprehensible, abundantly illustrated, step-by-step protocol adapted to the special technical and anatomical peculiarities of elephant necropsies with regard to the needed equipment, aspects of transmissible disease prevention and workplace safety, personnel, time efforts, as well as important elephant diseases and their zoonotic potential. Detailed instructions for dissection, macroscopic examination and sampling of all relevant organs and tissues are provided, along with checklists for preparation and smooth execution of elephant necropsies. Using the featured protocols, a complete elephant necropsy with generation of extensive samples for histological, microbiological, and molecular analyses can be performed by 10-12 persons (5-6 pathologists and 5-6 assistants) within 4-6 hours in case of an adult animal.

对于非洲和亚洲以外的大多数兽医病理学机构来说,大象的尸检是一件罕见的事情。在这里,我们报告了一份可理解的、插图丰富的、循序渐进的协议,该协议适用于大象尸体解剖的特殊技术和解剖学特点,涉及所需设备、传染病预防和工作场所安全、人员、时间努力以及重要的大象疾病及其人畜共患的可能性。提供了解剖、宏观检查和所有相关器官和组织取样的详细说明,以及准备和顺利执行大象尸体解剖的清单。使用特色方案,对于成年大象,可以在4-6小时内由10-12人(5-6名病理学家和5-6名助手)进行完整的大象尸检,并生成广泛的组织学、微生物学和分子分析样本。
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引用次数: 0
Research on a dynamic early warning model based on refined threshold analysis: Case study of the Tanjiawan Landslide. 基于精细阈值分析的动态预警模型研究——以谭家湾滑坡为例
IF 2.6 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-02-09 eCollection Date: 2026-01-01 DOI: 10.1371/journal.pone.0339689
Wenjian Wang, Wu Yi, Xiaohu Huang, Yating Wang, Zhengyu Wang

After rainfall-induced landslides enter the creep deformation stage, timely mitigation is often challenging, making reasonable and effective early warning critical for reducing disaster losses. This study focuses on the Tanjiawan landslide, introducing the concept of "a single rainfall process" to characterize the rainfall process affecting landslide deformation. Based on a detailed analysis of deformation characteristics such as displacement and displacement rate under rainfall, the least squares method is used to identify the "failure inflection point" and "stable inflection point" on the "step-like" deformation curve to determine the accelerated deformation interval. This approach further establishes the antecedent rainfall threshold (Pe), current rainfall (P), and displacement rate threshold (V). Subsequently, a refined dynamic early warning model is developed by integrating the function F(V, P, Pe) with a Logistic regression model. The findings indicate: (1) The deformation of the Tanjiawan landslide is closely correlated with rainfall processes, with cumulative displacement curves exhibiting distinct "step-like" characteristics and displacement rates showing a "lagged attenuation" phenomenon. (2) Finer monitoring cycles enable more precise capture of dynamic landslide deformation, resulting in more reliable displacement rate thresholds. (3) The landslide early warning model can dynamically adjust monitoring cycles based on the evolutionary characteristics of deformation stages, achieving adaptive monitoring optimization.

在降雨诱发的滑坡进入蠕变变形阶段后,及时减灾往往具有挑战性,因此合理有效的预警对于减少灾害损失至关重要。本文以谭家湾滑坡为研究对象,引入“单一降雨过程”的概念,对影响滑坡变形的降雨过程进行表征。在详细分析降雨作用下位移、位移率等变形特征的基础上,采用最小二乘法识别“阶梯”变形曲线上的“破坏拐点”和“稳定拐点”,确定加速变形区间。该方法进一步建立了前降雨阈值(Pe)、当前降雨量(P)和位移率阈值(V)。随后,将函数F(V, P, Pe)与Logistic回归模型相结合,建立了精细化的动态预警模型。结果表明:(1)谭家湾滑坡变形与降雨过程密切相关,累计位移曲线呈现明显的“阶梯”特征,位移速率呈现“滞后衰减”现象;(2)更细的监测周期可以更精确地捕获动态滑坡变形,从而产生更可靠的位移率阈值。(3)滑坡预警模型可以根据变形阶段的演化特征动态调整监测周期,实现自适应监测优化。
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引用次数: 0
Interpretable ensemble machine learning framework for cardiovascular disease prediction using EMR data and large language models in Ethiopia. 埃塞俄比亚使用电子病历数据和大型语言模型进行心血管疾病预测的可解释集成机器学习框架。
IF 2.6 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-02-09 eCollection Date: 2026-01-01 DOI: 10.1371/journal.pone.0342256
Alemu Kumilachew Tegegnie, Kibrom Tewolde

Cardiovascular diseases (CVDs) are leading causes of morbidity and mortality globally, with a growing burden in low- and middle-income countries such as Ethiopia. Early detection is limited by resource constraints, low screening uptake, and a lack of predictive tools tailored to local healthcare systems. This study presents an interpretable ensemble machine learning framework for predicting CVD risk via structured electronic medical record (EMR) data from public hospitals in Addis Ababa. We trained an XGBoost classifier on 20,960 anonymized records containing demographic, clinical, and physiological attributes. Preprocessing involves handling missing values, outlier capping, one-hot encoding, rare-category grouping, and dimensionality reduction. SHapley additive explanations (SHAPs) were used for feature attribution, and a large language model (Gemini) was used to translate SHAP outputs into plain-language narratives to enhance interpretability. The model achieved an accuracy of 0.99, with strong precision (0.99), recall (0.98), and F1-scores across both classes. SHAP analysis identified general_plan, history of present illness (HPI), musculoskeletal system (MSS) and diagnosis as key predictors. The integration of SHAP and LLMs provided transparent, clinician-friendly insights into model outputs, supporting adoption in resource-limited settings. This study demonstrates that combining ensemble learning with explainability techniques can yield highly accurate and interpretable CVD prediction models, offering potential for integration into clinical decision-support systems in Ethiopia.

心血管疾病是全球发病和死亡的主要原因,在埃塞俄比亚等低收入和中等收入国家造成的负担越来越重。早期发现受到资源限制、筛查使用率低以及缺乏适合当地卫生保健系统的预测工具的限制。本研究提出了一个可解释的集成机器学习框架,用于通过亚的斯亚贝巴公立医院的结构化电子病历(EMR)数据预测心血管疾病风险。我们在20,960个包含人口统计、临床和生理属性的匿名记录上训练了一个XGBoost分类器。预处理包括处理缺失值、异常值上限、单热编码、稀有类别分组和降维。SHapley加性解释(SHAP)用于特征归因,并使用大型语言模型(Gemini)将SHapley加性解释的输出翻译成简单的语言叙述,以增强可解释性。该模型实现了0.99的准确性,具有很强的精度(0.99),召回率(0.98),两个类别都有f1得分。SHAP分析确定总体计划、病史(HPI)、肌肉骨骼系统(MSS)和诊断为关键预测因素。SHAP和llm的整合为模型输出提供了透明的、对临床医生友好的见解,支持在资源有限的环境中采用。该研究表明,将集成学习与可解释性技术相结合可以产生高度准确和可解释的CVD预测模型,为埃塞俄比亚的临床决策支持系统提供了整合的潜力。
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引用次数: 0
Impact of protected areas on deforestation in Madagascar from 2000 to 2023: A pre-analysis plan. 2000 - 2023年马达加斯加保护区对森林砍伐的影响:一个预分析计划。
IF 2.6 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-02-09 eCollection Date: 2026-01-01 DOI: 10.1371/journal.pone.0342093
Diamondra Ramiandrisoa, Florent Bédécarrats, Melvin H L Wong, Thierry Razanakoto

Protected areas are the most prevalent strategy to mitigate biodiversity loss and deforestation, especially in biodiversity hotspots like Madagascar. This pre-analysis plan outlines the data, methods, and identification strategy that will be used to assess the impact on deforestation of terrestrial protected areas created in Madagascar between 2002 and 2022. We will employ coarsened exact matching and difference-in-differences methods to evaluate forest cover loss, leveraging 24 years of high-resolution satellite data. We will incorporate buffer zones to assess spillover and leakage effects. This study addresses limitations of previous ones by combining accurate protected area delimitation and characteristics, a longer temporal coverage, improved characterization of the diverse forest ecosystems, and state-of-the art econometric methods. We will then assess heterogeneity of conservation effects, to better understand the determinants of protected area effectiveness.

保护区是缓解生物多样性丧失和森林砍伐最普遍的策略,特别是在马达加斯加这样的生物多样性热点地区。这份预分析计划概述了将用于评估2002年至2022年间马达加斯加陆地保护区对森林砍伐的影响的数据、方法和识别策略。我们将利用24年的高分辨率卫星数据,采用粗糙精确匹配和差中差的方法来评估森林覆盖损失。我们会设立缓冲区,以评估外溢和外溢的影响。本研究通过结合精确的保护区划分和特征、较长的时间覆盖范围、改进的森林生态系统特征以及最先进的计量经济学方法,解决了以往研究的局限性。然后,我们将评估保护效果的异质性,以更好地了解保护区有效性的决定因素。
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引用次数: 0
Disability level and visibility: Associations with unmet academic accommodation needs and attitudes toward requesting accommodations. 残疾水平和可见性:与未满足的学术住宿需求和对请求住宿的态度有关。
IF 2.6 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-02-09 eCollection Date: 2026-01-01 DOI: 10.1371/journal.pone.0342243
Bryan R Christ, Bani Malhotra, Olivia Chapman, Benjamin Ertman, Paul B Perrin

Purpose/objective: Despite legal mandates to provide appropriate accommodations for students with disabilities in the U.S., many report gaps between what they need and receive. This study examined the role of disability level, visibility, and demographic factors in predicting unmet academic accommodation needs and attitudes toward requesting accommodations.

Research method/design: A sample of 409 adults who had had disabilities during their school years and who still had them completed an online survey assessing their current disability level, current disability visibility (invisible, semi-visible, or visible), unmet academic accommodation needs across all levels of schooling in aggregate, and current attitudes toward requesting academic accommodations.

Results: Individuals with invisible disabilities in comparison to those with semi-visible or visible disabilities reported unmet needs for having a quiet or sensory room, extended time to take tests and exams, sensory objects (e.g., fidget toys), and an Individualized Education Plan. However, those with visible and semi-visible disabilities reported unmet need for having an educational assistant or tutor, recording equipment or a portable notetaking device, a modified or adapted course curriculum, and a computer, laptop or tablet with specialized software or apps. After controlling for disability severity and demographic variables, individuals with more visible disabilities had lower unmet academic accommodation needs compared to those with an invisible disability, as well as more positive attitudes toward requesting accommodations.

Conclusion/implications: Assisting students with disabilities-especially those with invisible disabilities-may enhance disabled students' experience of academic accommodations and empower them to advocate when those needs are unmet.

目的/目标:尽管法律规定为美国的残疾学生提供适当的住宿,但许多人报告说他们需要的和得到的之间存在差距。本研究考察了残疾水平、可见度和人口因素在预测未满足的学术住宿需求和对请求住宿的态度方面的作用。研究方法/设计:对409名在校期间有过残疾且仍有残疾的成年人进行了一项在线调查,评估他们目前的残疾水平、残疾可见度(不可见、半可见或可见)、未满足的学术住宿需求,以及目前对要求学术住宿的态度。结果:与有半可见或可见残疾的人相比,有隐形残疾的人报告说,在安静或有感官的房间、延长考试时间、有感官的物品(如烦躁玩具)和个性化教育计划等方面的需求未得到满足。然而,那些有视觉和半视觉障碍的人报告说,他们对教育助理或导师、录音设备或便携式笔记设备、修改或改编的课程课程以及装有专门软件或应用程序的电脑、笔记本电脑或平板电脑的需求没有得到满足。在控制了残疾严重程度和人口变量后,与无形残疾的个体相比,有更多可见残疾的个体有更低的未满足的学术住宿需求,并且对请求住宿的态度更积极。结论/启示:帮助有残疾的学生,尤其是那些有隐形残疾的学生,可以提高残疾学生对学术住宿的体验,并使他们能够在这些需求未得到满足时进行倡导。
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引用次数: 0
Genome-wide identification and characterization of argonaute, dicer-like, and RNA-dependent RNA polymerase gene families in potato (Solanum tuberosum): Advancing RNA interference-based crop enhancement. 马铃薯(Solanum tuberosum)中argonaute、dicer样和RNA依赖的RNA聚合酶基因家族的全基因组鉴定和表征:推进基于RNA干扰的作物增强。
IF 2.6 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-02-09 eCollection Date: 2026-01-01 DOI: 10.1371/journal.pone.0339021
Md Nahid Hasan Shuvo, Mahmudul Hassan, Md Abu Musa, Riday Hossain, Jesmin Naher Konak, Zobaer Akond, Fee Faysal Ahmed

In eukaryotic species, RNA silencing is a conserved mechanism for controlling gene expression. The RNA-dependent RNA polymerase (RDR), argonaute (AGO), and dicer-like (DCL) proteins are essential for RNA silencing. The RNA interference (RNAi) system regulates eukaryotic gene expression throughout growth, development, and stress response. It is also closely linked the post-transcriptional gene silencing (PTGS) process. The potato is one of the four major food crops and a staple meal in the world that has a great potential to combat global malnutrition. However, no genome-wide analysis of the silencing gene family has yet to be conducted in the economically significant plant potato. In this study, we identified 29 (6 StDCL, 14 StAGO and 9 StRDR) candidate genes in potato. These genes correspond to the Arabidopsis thaliana RNAi silencing genes. The analysis of the conserved domain, motif, and gene structure for StDCL, StAGO, and StRDR genes showed higher homogeneity within the same gene family. The Gene Ontology (GO) enrichment analysis exhibited that the identified RNAi genes could be involved in RNA silencing and associated metabolic pathways. A number of important transcription factors (TFs), BBR-BPC, bHLH, bZIP, C2H2, Dof, ERF, MIKC MADS, WRKY families, were identified by network and sub-network analyses between TFs and candidate RNAi gene families. Furthermore, the cis-acting regulatory elements (CREs) related to light, stress and hormone responsive functions and tissue-specific expression were identified in candidate genes. These genome wide analyses of these RNAi gene families provide valuable information related to RNA silencing which might be helpful for potato improvement in the breeding program.

在真核生物中,RNA沉默是控制基因表达的保守机制。RNA依赖性RNA聚合酶(RDR)、argonaute (AGO)和dicer-like (DCL)蛋白对RNA沉默至关重要。RNA干扰(RNAi)系统调节真核生物在生长、发育和应激反应过程中的基因表达。它还与转录后基因沉默(PTGS)过程密切相关。马铃薯是世界四大粮食作物之一,也是一种主食,在对抗全球营养不良方面具有巨大潜力。然而,在经济上重要的植物马铃薯中,还没有对沉默基因家族进行全基因组分析。本研究共鉴定出29个候选基因(6个StDCL、14个StAGO和9个StRDR)。这些基因与拟南芥RNAi沉默基因相对应。StDCL、StAGO和StRDR基因的保守域、基序和基因结构分析显示,在同一基因家族中,StDCL、StAGO和StRDR基因具有较高的同源性。基因本体(GO)富集分析表明,鉴定的RNAi基因可能参与RNA沉默和相关的代谢途径。通过对TFs与候选RNAi基因家族的网络和子网络分析,确定了BBR-BPC、bHLH、bZIP、C2H2、Dof、ERF、MIKC MADS、WRKY家族等重要转录因子(TFs)。此外,在候选基因中鉴定了与光、应激和激素响应功能以及组织特异性表达相关的顺式调控元件(cre)。这些RNAi基因家族的全基因组分析提供了与RNA沉默相关的有价值的信息,可能有助于马铃薯育种计划的改进。
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引用次数: 0
Feasibility and testing outcomes of task-shared implementation of advanced HIV disease point of care tests in Beira (Mozambique) and Kinshasa (DRC). 在贝拉(莫桑比克)和金沙萨(刚果民主共和国)分担任务实施艾滋病毒晚期疾病护理点检测的可行性和检测结果。
IF 2.6 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-02-09 eCollection Date: 2026-01-01 DOI: 10.1371/journal.pone.0339469
Zibusiso Ndlovu, Ruvimbo Nhandara, Kiyara Govender, Fingani Mpande-Nyasulu, Emmanuel Kabwe, Antonio Flores, Calorine Mekiedje, Laban Kyembe, Christine Bimansha, Tania Carmilla Tomas, Leticia Penna, Mariana da Silva, Micheque Jose Tauro, Ana Jossias Bonde, Luisa Rita Miguel, Pedro David Manusso, Gisele Mucinya, Yvonne Nzomukunda, Rollin Ndombe, Richard Ingwe Chuy, Aimé Mboyo, Tom Ellman, Geoffrey Fatti

Introduction: Mortality from advanced HIV disease (AHD) remains high and current strategies to promptly test people eligible for AHD screening, are insufficient. Task sharing for point of care (POC) testing utilizing lay health workers (LHW) is recommended, however it is marginally practised in many countries. This study sought to describe the feasibility and testing outcomes of task-shared implementation of the AHD POC diagnostic tests utilizing LHW and professional health care workers (HCW).

Methods: This was a cross-sectional mixed-methods implementation study in seven primary and three secondary health facilities, in Mozambique and Democratic Republic of Congo (DRC). From March to November 2022, consenting HIV positive adults eligible for AHD screening, were offered Visitect CD4 lateral flow assay (LFA), and or subsequently urinary Mycobacterium tuberculosis lipoarabinomannan antigen (TB LAM) and cryptococcal antigen (CrAg) tests. The primary study outcome was the proportion of testers (LHW and HCW) who found it 'easy' to integrate the 3 POC tests within their routine work together with their opinions on the value of task shared AHD POC testing.

Results: A total of 1542 patients were screened for AHD by 35 LHW (34 counsellors, and 1 lay educator) and 45 professional HCW (28 nurses and 9 clinical officers and 8 doctors). In the study period, LHW conducted a median number of 27 [IQR: 16-34] Visitect CD4 LFA tests, whereas nurses, clinical officers together with doctors conducted 19 and 11 respectively. Visitect CD4 LFA increased CD4 testing by 10.7% in Munhava (Beira) and 22.9% in CHK (DRC), complementing existing CD4 testing instruments. Among testers who completed the feasibility survey, nearly sixty percent of testers (25/42; LHW in particular) found it easy to integrate AHD POC testing within their routine workflow. The prevalence of AHD was 39.2% (604/1542). A total of 34% (146/430) and 5.4% (22/407) of patients tested positive for urine TB LAM and plasma CrAg respectively. Of these, 82.2% (120/146) and 36.4% (8/22) had a documented therapeutic intervention. The median time for completing the Visitect CD4 LFA and conveying the results to the clinician was 59 minutes [IQR: 48-71].

Conclusion: Task-shared integrated testing for AHD at POC among LHW and professional HCW, is feasible and can improve access to AHD testing. However, as POC testing responsibilities become shared, documentation of testing activities could increase in complexity and can be easily fragmented, especially when there is limited supervision. Nevertheless, LHW are well suited for POC testing due to limited availability and higher clinical workload of other HCW.

导言:晚期艾滋病毒疾病(AHD)的死亡率仍然很高,目前对有资格进行AHD筛查的人进行及时检测的策略是不够的。建议在使用非专业卫生工作者(LHW)的护理点(POC)检测方面分担任务,但在许多国家很少实行。本研究试图描述任务共享实施AHD POC诊断测试的可行性和测试结果,利用LHW和专业卫生保健工作者(HCW)。方法:这是一项横断面混合方法实施研究,在莫桑比克和刚果民主共和国(DRC)的7个初级和3个二级卫生机构中进行。从2022年3月到11月,符合AHD筛查条件的HIV阳性成年人接受了Visitect CD4侧流测定(LFA)和随后的尿结核分枝杆菌脂阿拉伯糖甘露聚糖抗原(TB LAM)和隐球菌抗原(CrAg)检测。主要研究结果是测试人员(LHW和HCW)发现在日常工作中“容易”整合3种POC测试的比例,以及他们对任务共享AHD POC测试的价值的看法。结果:35名LHW(咨询师34名,非专业教育者1名)和45名专业HCW(护士28名,临床官9名,医生8名)共筛查了1542例AHD患者。在研究期间,LHW进行了27次访体CD4 LFA检测[IQR: 16-34],护士、临床人员和医生分别进行了19次和11次。Visitect CD4 LFA将Munhava(贝拉)和CHK(刚果民主共和国)的CD4检测增加了10.7%和22.9%,补充了现有的CD4检测仪器。在完成可行性调查的测试人员中,近60%的测试人员(25/42,特别是LHW)发现将AHD POC测试集成到他们的日常工作流程中很容易。AHD患病率为39.2%(604/1542)。尿结核LAM和血浆CrAg阳性率分别为34%(146/430)和5.4%(22/407)。其中,82.2%(120/146)和36.4%(8/22)有记录的治疗干预。完成Visitect CD4 LFA并将结果传达给临床医生的中位时间为59分钟[IQR: 48-71]。结论:LHW和专业HCW在POC进行AHD任务共享综合检测是可行的,可以提高AHD检测的可及性。然而,随着POC测试责任的共享,测试活动的文档可能会增加复杂性,并且很容易被分割,特别是在监督有限的情况下。然而,由于其他HCW的可用性有限和较高的临床工作量,LHW非常适合POC检测。
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引用次数: 0
Individual and interaction effects of health determinants on health-related quality of life in Korean adults aged 50-81 years: A causal Bayesian network analysis. 健康决定因素对50-81岁韩国成年人健康相关生活质量的个体和相互影响:因果贝叶斯网络分析
IF 2.6 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-02-09 eCollection Date: 2026-01-01 DOI: 10.1371/journal.pone.0342187
Chae Young Lee, Man-Suk Oh

Health-related quality of life (HRQoL) reflects physical and mental well-being and is increasingly important in aging populations, yet traditional approaches often fail to capture the complex causal pathways among its determinants. We analyzed 2,566 adults aged 50-81 years from the Korean Genome and Epidemiology Study using the Short Form-12 (Physical Component Summary [PCS] and Mental Component Summary [MCS]). A causal Bayesian network was learned using the PC algorithm of Spirtes and Glymour with hierarchical constraints to ensure causal interpretability. We then estimated the causal effects of each variable on tail-defined outcomes-poor (bottom quartile) and good (top quartile) PCS and MCS-and quantified pairwise interaction effects. The network revealed how upstream factors propagate through direct and indirect pathways to shape HRQoL. Notably, PCS and MCS shared common upstream causes but showed no direct causal connection. Quantifying these causal pathways through relative risk (RR) estimates revealed the magnitude of individual factor effects. For poor PCS, severe insomnia (RR = 1.98), high stress (RR = 1.45), low physical activity (RR = 1.39), and multimorbidity (RR = 1.36) were the principal risk factors. For poor MCS, high stress (RR = 3.28) and severe insomnia (RR = 2.72) dominated. Notably, low BMI increased poor MCS risk (RR = 1.20), consistent with frailty pathways. The patterns for good outcomes largely mirrored these findings, with favorable levels showing protective effects. Interaction analyses revealed substantial synergistic effects: severe insomnia with high stress increased poor MCS probability by 6.44 percentage points (pp) beyond additivity, while high stress with physical inactivity added 4.77 pp. For good MCS, low insomnia with low stress (+4.72 pp) and low BMI with exercise (+4.21 pp) showed synergy, whereas stress with inactivity exhibited antagonism (-4.00 pp). These results support integrated interventions that combine sleep improvement, stress reduction, physical activity promotion, and multimorbidity management to improve HRQoL in aging populations.

与健康有关的生活质量(HRQoL)反映了身心健康,在老龄化人口中越来越重要,但传统方法往往无法捕捉其决定因素之间复杂的因果关系。我们使用Short Form-12 (Physical Component Summary [PCS]和Mental Component Summary [MCS])分析了韩国基因组和流行病学研究中2566名年龄在50-81岁之间的成年人。利用Spirtes和Glymour的PC算法学习了一个具有层次约束的因果贝叶斯网络,以确保因果可解释性。然后,我们估计了每个变量对尾部定义结果的因果效应——差(底部四分位数)和好(顶部四分位数)PCS和mc——并量化了成对的相互作用效应。该网络揭示了上游因素如何通过直接和间接途径传播来塑造HRQoL。值得注意的是,PCS和MCS具有共同的上游原因,但没有直接的因果关系。通过相对风险(RR)估计量化这些因果途径揭示了个体因素影响的程度。重度失眠(RR = 1.98)、高压力(RR = 1.45)、低体力活动(RR = 1.39)和多病(RR = 1.36)是不良PCS的主要危险因素。MCS较差者以高压力(RR = 3.28)和重度失眠(RR = 2.72)为主。值得注意的是,低BMI增加了不良MCS风险(RR = 1.20),与脆弱途径一致。良好结果的模式在很大程度上反映了这些发现,良好的水平显示出保护作用。相互作用分析显示了大量的协同效应:严重失眠伴高压力使MCS不良概率增加了6.44个百分点(pp),超出了可加性,而高压力伴不运动使MCS不良概率增加了4.77个百分点。对于良好的MCS,低失眠伴低压力(+4.72 pp)和低BMI伴运动(+4.21 pp)表现出协同作用,而应激伴不运动表现出拮抗作用(-4.00 pp)。这些结果支持将改善睡眠、减轻压力、促进身体活动和多种疾病管理结合起来的综合干预措施,以改善老年人的HRQoL。
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引用次数: 0
"I Still Need Your Help": Online information seeking behavior of International Students in the United States on Reddit. “我仍然需要你的帮助”:在美国的国际学生在Reddit上的在线信息搜索行为。
IF 2.6 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-02-09 eCollection Date: 2026-01-01 DOI: 10.1371/journal.pone.0341314
Sangpil Youm, Chaeeun Han, Hojeong Yoo, Sou Hyun Jang, Bonnie J Dorr

This study examines the online information-seeking behavior of international students in the United States. Following the onset of COVID-19, their need for timely and relevant information becomes critical. Despite greater challenges than domestic students, limited research explores how international students use online platforms to meet their unique information needs. With online communities being essential sources of information and bridges for online social capital, our study analyzes the r/f1visa subreddit to examine international students' information-seeking patterns before and during the COVID-19 pandemic. Additionally, we identify unmet information needs through members' interactions and recurring questions. Our analysis reveals a shift in topics, with pandemic discussions focusing on travel, financial difficulties, and entry concerns, while pre-pandemic conversations primarily about employment. The increased similarity among recurring questions during the pandemic suggests a convergence of shared struggles that fosters solidarity and emotional support, even as many informational needs remain inadequately addressed. By examining international students' information needs through the theoretical lens of online social capital, this study contributes to understanding how crisis conditions reshape the dynamics of online communities, blurring traditional distinctions between bonding and bridging capital. The findings can inform universities, policymakers, and online community designers in developing more responsive and inclusive information environments that recognize both the instrumental and emotional support functions of digital platforms for international students.

本研究考察了在美留学生的网络信息搜寻行为。在2019冠状病毒病爆发后,他们对及时和相关信息的需求变得至关重要。尽管比国内学生面临更大的挑战,但关于国际学生如何使用在线平台来满足他们独特的信息需求的研究有限。由于在线社区是在线社会资本的重要信息来源和桥梁,我们的研究分析了r/f1签证子reddit,以检查国际学生在COVID-19大流行之前和期间的信息寻求模式。此外,我们通过成员的互动和反复出现的问题来确定未满足的信息需求。我们的分析揭示了话题的转变,大流行的讨论侧重于旅行、财务困难和入境问题,而大流行前的讨论主要是关于就业的。大流行期间反复出现的问题越来越相似,这表明,尽管许多信息需求仍未得到充分满足,但共同的斗争仍能促进团结和情感支持。通过网络社会资本的理论视角考察国际学生的信息需求,本研究有助于理解危机条件如何重塑网络社区的动态,模糊了传统的纽带资本和桥梁资本之间的区别。研究结果可以为大学、政策制定者和在线社区设计师提供信息,帮助他们开发更具响应性和包容性的信息环境,从而认识到数字平台对国际学生的工具和情感支持功能。
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