The creation of nurses' schedules is a critical task that directly impacts the quality and safety of patient care as well as the quality of life for nurses. In most hospitals in Japan, this responsibility falls to the head nurse of each ward. The physical and mental burden of this task is considerable, and recent challenges such as the growing shortage of nurses and increasingly diverse working styles have further complicated the scheduling process. Consequently, there is a growing demand for automated nurse scheduling systems. Technically, modern integer programming solvers can generate feasible schedules within a practical timeframe. However, in many hospitals, schedules are still created manually. This is largely because tacit knowledge, considerations unconsciously applied by head nurses, cannot be fully formalized into explicit constraints, often resulting in automatically generated schedules that are not practically usable. To address this issue, we propose a novel "two-stage scheduling method." This approach divides the scheduling task into night shift and day shift stages, allowing head nurses to make manual adjustments after the first stage. This interactive process makes
Healthcare systems face increasing pressure to allocate limited nursing resources efficiently while accounting for skill heterogeneity, patient acuity, staff fatigue, and continuity of care. Traditional optimization and heuristic scheduling methods struggle to capture these dynamic, multi-constraint environments. I propose NurseSchedRL, a reinforcement learning framework for nurse-patient assignment that integrates structured state encoding, constrained action masking, and attention-based representations of skills, fatigue, and geographical context. NurseSchedRL uses Proximal Policy Optimization (PPO) with feasibility masks to ensure assignments respect real-world constraints, while dynamically adapting to patient arrivals and varying nurse availability. In simulation with realistic nurse and patient data, NurseSchedRL achieves improved scheduling efficiency, better alignment of skills to patient needs, and reduced fatigue compared to baseline heuristic and unconstrained RL approaches. These results highlight the potential of reinforcement learning for decision support in complex, high-stakes healthcare workforce management.
Nurse staffing and scheduling are persistent challenges in healthcare due to demand fluctuations and individual nurse preferences. This study introduces the concept of bounded flexibility, balancing nurse satisfaction with strict rostering rules, particularly a real-world time regularity policy from a major hospital in Singapore. We model the problem as a multi-stage stochastic program to address evolving demand, optimizing both aggregate staffing and detailed scheduling decisions. A reformulation into a two-stage structure using block-separable recourse reduces computational burden without loss of accuracy. To solve the problem efficiently, we develop a Generative AI-guided algorithm. Numerical experiments with real hospital data show substantial cost savings and improved nurse flexibility with minimal compromise to schedule regularity. Numerical experiments based on real-world nurse profiles, nurse preferences, and patient demand data are conducted to evaluate the performance of the proposed methods. Our results demonstrate that the stochastic model achieves significant cost savings compared to the deterministic model. Notably, a slight reduction in the regularity level can remar
Asymptotic analysis provides powerful insights into physical systems by examining their behavior in limiting cases. This paper explores how extending this advanced methodology to high school physics education can deepen conceptual understanding of fundamental topics. Through two carefully selected case studies -- multi-ball collisions and internal resistance in circuits -- we demonstrate how asymptotic approaches offer: Intuitive physical interpretations beyond standard derivations Resolution of conceptual paradoxes through limit analysis Connections between elementary and advanced physics concepts. Our analysis reveals that asymptotic methods help students develop stronger physical intuition while preparing them for more advanced studies. By examining boundary behaviors in collision dynamics and circuit theory, we show how these techniques transform abstract equations into tangible physical understanding, suggesting valuable applications across the high school physics curriculum.
We present the design principles of a nurse scheduling system built using Answer Set Programming (ASP) and successfully deployed at the University of Yamanashi Hospital. Nurse scheduling is a complex optimization problem requiring the reconciliation of individual nurse preferences with hospital staffing needs across various wards. This involves balancing hard and soft constraints and the flexibility of interactive adjustments. While extensively studied in academia, real-world nurse scheduling presents unique challenges that go beyond typical benchmark problems and competitions. This paper details the practical application of ASP to address these challenges at the University of Yamanashi Hospital, focusing on the insights gained and the advancements in ASP technology necessary to effectively manage the complexities of real-world deployment.
Recent advancements in Large Language Models (LLMs) have played a significant role in reducing human workload across various domains, a trend that is increasingly extending into the medical field. In this paper, we propose an automated pipeline designed to alleviate the burden on nurses by automatically extracting clinical observations from nurse dictations. To ensure accurate extraction, we introduce a method based on Retrieval-Augmented Generation (RAG). Our approach demonstrates effective performance, achieving an F1-score of 0.796 on the MEDIQA-SYNUR test dataset.
Artificial intelligence (AI) has become a transformative force across global societies, reshaping the ways we communicate, collaborate, and make decisions. Yet, as AI systems increasingly mediate interactions between humans, questions about the ability to take into account and understand culture, language, and context have taken center stage. This book explores these questions through a series of articles that try to assess AI's capacity to navigate cross-cultural, multilingual, and high-stakes policy environments, emphasizing human-centered approaches that balance technological innovation with social equity. It brings together six case studies from the First African Digital Humanism Summer School that took place in Kigali, Rwanda in July 2025.
Today, users are reading the news through social platforms. These platforms are built to facilitate crowd engagement, but not necessarily disseminate useful news to inform the masses. Hence, the news that is highly engaged with may not be the news that best informs. While predicting news popularity has been well studied, it has not been studied in the context of crowd manipulations. In this paper, we provide some preliminary results to a longer term project on crowd and platform manipulations of news and news popularity. In particular, we choose to study known features for predicting news popularity and how those features may change on reddit.com, a social platform used commonly for news aggregation. Along with this, we explore ways in which users can alter the perception of news through changing the title of an article. We find that news on reddit is predictable using previously studied sentiment and content features and that posts with titles changed by reddit users tend to be more popular than posts with the original article title.
This study discusses the opportunity to integrate tinkering, a constructionist practice, into formal education, highlighting its potential and challenges. We propose a model through which teachers can blend the open exploratory nature of tinkering with structured learning in primary school classrooms, focusing on Physics Education. Despite pandemic-induced limitations, feedback from 20 teachers and analysis of fishbowl protocols revealed the positive impact of tinkering on classroom dynamics, teacher engagement, and student access to knowledge. Our findings indicated that tinkering can surface relevant scientific questions. Nevertheless, teachers feel unprepared to tackle them in the classroom. This evidence will guide our future co-designs to enhance learning experiences and address the complexities of incorporating tinkering into formal education.
News recommendation is one of the most challenging tasks in recommender systems, mainly due to the ephemeral relevance of news to users. As social media, and particularly microblogging applications like Twitter or Weibo, gains popularity as platforms for news dissemination, personalized news recommendation in this context becomes a significant challenge. We revisit news recommendation in the microblogging scenario, by taking into consideration social interactions and observations tracing how the information that is up for recommendation spreads in an underlying network. We propose a deep-learning based approach that is diffusion and influence-aware, called Influence-Graph News Recommender (IGNiteR). It is a content-based deep recommendation model that jointly exploits all the data facets that may impact adoption decisions, namely semantics, diffusion-related features pertaining to local and global influence among users, temporal attractiveness, and timeliness, as well as dynamic user preferences. To represent the news, a multi-level attention-based encoder is used to reveal the different interests of users. This news encoder relies on a CNN for the news content and on an attentive
This paper introduces a novel benchmark dataset designed to evaluate the capabilities of Vision Language Models (VLMs) on tasks that combine visual reasoning with subject-specific background knowledge in the German language. In contrast to widely used English-language benchmarks that often rely on artificially difficult or decontextualized problems, this dataset draws from real middle school curricula across nine domains including mathematics, history, biology, and religion. The benchmark includes over 2,000 open-ended questions grounded in 486 images, ensuring that models must integrate visual interpretation with factual reasoning rather than rely on superficial textual cues. We evaluate thirteen state-of-the-art open-weight VLMs across multiple dimensions, including domain-specific accuracy and performance on adversarial crafted questions. Our findings reveal that even the strongest models achieve less than 45% overall accuracy, with particularly poor performance in music, mathematics, and adversarial settings. Furthermore, the results indicate significant discrepancies between success on popular benchmarks and real-world multimodal understanding. We conclude that middle school-l
The increasing popularity of social media promotes the proliferation of fake news, which has caused significant negative societal effects. Therefore, fake news detection on social media has recently become an emerging research area of great concern. With the development of multimedia technology, fake news attempts to utilize multimedia content with images or videos to attract and mislead consumers for rapid dissemination, which makes visual content an important part of fake news. Despite the importance of visual content, our understanding of the role of visual content in fake news detection is still limited. This chapter presents a comprehensive review of the visual content in fake news, including the basic concepts, effective visual features, representative detection methods and challenging issues of multimedia fake news detection. This chapter can help readers to understand the role of visual content in fake news detection, and effectively utilize visual content to assist in detecting multimedia fake news.
For patients experiencing cancer, nurse navigation can ease the burden of complex care by enhancing coordination of health services and patient outcomes. However, in under-resourced areas, trained nurse navigators may be limited or non-existent. In the United States, artificial intelligence (AI)-enabled digital health tools are increasingly available and may help address gaps in care coordination; however, most are not designed to specifically support nursing. This perspective piece discusses a human-centered AI framework that integrates empathic and agentic approaches grounded in the American Nurses Association's code of ethics to support nurses in the United States in cancer care navigation. The framework could augment, not replace, human empathy and agency while improving nurse workflow, patient-clinician relationships, and care coordination services in under-resourced areas.
Using a systematic review and meta-analysis, this study investigates the impact of the COVID-19 pandemic on job burnout among nurses. We review healthcare articles following the PRISMA 2020 guidelines and identify the main aspects and factors of burnout among nurses during the pandemic. Using the Maslach Burnout questionnaire, we searched PubMed, ScienceDirect, and Google Scholar, three open-access databases, for relevant sources measuring emotional burnout, personal failure, and nurse depersonalization. Two reviewers extract and screen data from the sources and evaluate the risk of bias. The analysis reveals that 2.75% of nurses experienced job burnout during the pandemic, with a 95% confidence interval and rates varying from 1.87% to 7.75%. These findings emphasize the need for interventions to address the pandemic's effect on job burnout among nurses and enhance their well-being and healthcare quality. We recommend considering individual, organizational, and contextual factors influencing healthcare workers' burnout. Future research should focus on identifying effective interventions to lower burnout in nurses and other healthcare professionals during pandemics and high-stress s
The nurse scheduling problem is a critical optimization challenge in healthcare management. It aims to balance staffing demands, nurse satisfaction, and patient care quality. Corresponding to the constraints inherent in this scheduling problem, we detail the mathematical formulation step-by-step. We then utilize a quantum-inspired technique, the simulated annealing algorithm, and a quadratic unconstrained binary optimization model to optimize workload and increase nurse preferences. Numerical experiments are implemented to show the capacity of our proposed techniques. Our findings indicate a promising direction for future research, with potential applications extending beyond nurse scheduling to other complex optimization problems.
The problem of fake news has gained a lot of attention as it is claimed to have had a significant impact on 2016 US Presidential Elections. Fake news is not a new problem and its spread in social networks is well-studied. Often an underlying assumption in fake news discussion is that it is written to look like real news, fooling the reader who does not check for reliability of the sources or the arguments in its content. Through a unique study of three data sets and features that capture the style and the language of articles, we show that this assumption is not true. Fake news in most cases is more similar to satire than to real news, leading us to conclude that persuasion in fake news is achieved through heuristics rather than the strength of arguments. We show overall title structure and the use of proper nouns in titles are very significant in differentiating fake from real. This leads us to conclude that fake news is targeted for audiences who are not likely to read beyond titles and is aimed at creating mental associations between entities and claims.
Automatically identifying fake news from the Internet is a challenging problem in deception detection tasks. Online news is modified constantly during its propagation, e.g., malicious users distort the original truth and make up fake news. However, the continuous evolution process would generate unprecedented fake news and cheat the original model. We present the Fake News Evolution (FNE) dataset: a new dataset tracking the fake news evolution process. Our dataset is composed of 950 paired data, each of which consists of articles representing the three significant phases of the evolution process, which are the truth, the fake news, and the evolved fake news. We observe the features during the evolution and they are the disinformation techniques, text similarity, top 10 keywords, classification accuracy, parts of speech, and sentiment properties.
The acoustic properties of a fish school have been modelled using a cloud of bubbles. Similar to how bubble clouds present a collective monopole mode, a fish school also shows a collective breathing mode in which the whole school resonates as a single body. Here, we conjecture that the underwater acoustic noise of the ocean amplified by the multiple scattering of swim bladders in the fish school might produce attractive acoustic forces that are strong enough to account for the schooling mechanism. Our model predicts the presence of attractive Bjerknes forces, as large as 30% of the fish weight for 20-metre large fish schools, and that the attractive force on every fish in the centre of the school is cancelled when the fish increase/decrease the volume/pressure of its gas bladder. To the best of our knowledge, this is the first example of a purely mechanical force that might contribute to fish being bound to or released from the school. The study may lead to new areas of research in many scientific fields beyond the nearest-neighbour interaction mechanism customarily used, and it would help in our understanding of collective processes of systems in ecology, physics, chemistry, and b
Suspicions about medical murder sometimes arise due to a surprising or unexpected series of events, such as an apparently unusual number of deaths among patients under the care of a particular nurse. But also a single disturbing event might trigger suspicion about a particular nurse, and this might then lead to investigation of events which happened when she was thought to be present. In either case, there is a statistical challenge of distinguishing event clusters that arise from criminal acts from those that arise coincidentally from other causes. We show that an apparently striking association between a nurse's presence and a high rate of deaths in a hospital ward can easily be completely spurious. In short: in a medium-care hospital ward where many patients are suffering terminal illnesses, and deaths are frequent, most deaths occur in the morning. Most nurses are on duty in the morning, too. There are less deaths in the afternoon, and even less at night; correspondingly, less nurses are on duty in the afternoon, even less during the night. Consequently, a full time nurse works the most hours when the most deaths occur. The death rate is higher when she is present than when she
During the Coronavirus 2019 (the covid-19) pandemic, schools continuously strive to provide consistent education to their students. Teachers and education policymakers are seeking ways to re-open schools, as it is necessary for community and economic development. However, in light of the pandemic, schools require customized schedules that can address the health concerns and safety of the students considering classroom sizes, air conditioning equipment, classroom systems, e.g., self-contained or compartmentalized. To solve this issue, we developed the School-Virus-Infection-Simulator (SVIS) for teachers and education policymakers. SVIS simulates the spread of infection at a school considering the students' lesson schedules, classroom volume, air circulation rates in classrooms, and infectability of the students. Thus, teachers and education policymakers can simulate how their school schedules can impact current health concerns. We then demonstrate the impact of several school schedules in self-contained and departmentalized classrooms and evaluate them in terms of the maximum number of students infected simultaneously and the percentage of face-to-face lessons. The results show that