Artificial intelligence in neurology: opportunities, challenges, and policy implications

Abstract

Neurological conditions are the leading cause of disability and mortality combined, demanding innovative, scalable, and sustainable solutions. Brain health has become a global priority with adoption of the World Health Organization’s Intersectoral Global Action Plan in 2022. Simultaneously, rapid advancements in artificial intelligence (AI) are revolutionizing neurological research and practice. This scoping review of 66 original articles explores the value of AI in neurology and brain health, systematizing the landscape for emergent clinical opportunities and future trends across the care trajectory: prevention, risk stratification, early detection, diagnosis, management, and rehabilitation. AI’s potential to advance personalized precision neurology and global brain health directives hinges on resolving core challenges across four pillars—models, data, feasibility/equity, and regulation/innovation—through concerted pursuit of targeted recommendations. Paramount actions include swift, ethical, equity-focused integration of novel technologies into clinical workflows, mitigating data-related issues, counteracting digital inequity gaps, and establishing robust governance frameworks balancing safety and innovation.

Artificial intelligence in neurology: opportunities, challenges, and policy implications

Abstract

Neurological conditions are the leading cause of disability and mortality combined, demanding innovative, scalable, and sustainable solutions. Brain health has become a global priority with adoption of the World Health Organization’s Intersectoral Global Action Plan in 2022. Simultaneously, rapid advancements in artificial intelligence (AI) are revolutionizing neurological research and practice. This scoping review of 66 original articles explores the value of AI in neurology and brain health, systematizing the landscape for emergent clinical opportunities and future trends across the care trajectory: prevention, risk stratification, early detection, diagnosis, management, and rehabilitation. AI’s potential to advance personalized precision neurology and global brain health directives hinges on resolving core challenges across four pillars—models, data, feasibility/equity, and regulation/innovation—through concerted pursuit of targeted recommendations. Paramount actions include swift, ethical, equity-focused integration of novel technologies into clinical workflows, mitigating data-related issues, counteracting digital inequity gaps, and establishing robust governance frameworks balancing safety and innovation.

Urban expansion in Greater Irbid Municipality, Jordan: the spatial patterns and the driving factors

Abstract

Urban expansion within Greater Irbid Municipality (GIM) witnessed an extraordinary rise, expanding approximately ninefold between 1967 and 2020. Recent trends revealed a shift in urban growth towards southern and eastern regions. These dynamics carry critical implications for urban planners and environmental managers, urging a comprehensive understanding of the driving factors behind this expansion to anticipate future challenges. Employing logistic regression (LR) and geographically weighted logistic regression (GWLR) analyses using remote sensing data and GIS, spatially variant coefficients for driving factors emerged, illuminating the evolving landscape of urban development drivers within GIM. Yarmouk University historically promoted urban expansion, but recent proximity to Yarmouk University and JUST University, coupled with higher existing building percentages, inhibited further urbanization. The analysis also revealed that elevation and slope had negligible impacts on urban expansion. These findings underline the evolving dynamics of urban development drivers within the study region. The local perspective depicted significant spatial disparities in coefficients, highlighting variations in magnitude and direction. GWLR emerged as a more robust methodology, effectively capturing regional variations and enhancing model reliability. These findings hold immense value for informing current and future urban planning practices in Greater Irbid Municipality. Proactively addressing identified challenges and understanding the intricate dynamics of urban expansion can assist Irbid in shaping a sustainable and resilient future, avoiding potential pitfalls in its urban development endeavors.

How Can Governments Be Motivated to Stably and Ethically Govern a Country? Lessons Learned from China

Abstract

A country that includes “People’s Republic” in its name nominally belongs to its people, but because states cannot spontaneously self-govern, governance must be implemented by government agents who are capable of resisting the temptation to abuse their power. It is therefore necessary to find ways to limit selfish behavior by government officials and reduce the gap between the rich rulers and their partners and the ordinary people to a tolerable degree, thereby allowing the governors to provide social stability and to stimulate both social and economic development. China’s experience demonstrates the crucial importance for successful institutional change based on a neutral policymaker that is capable of limiting the government’s power to decide who will benefit from policy changes, as was done by China’s successful State Commission for Restructuring the Economic Systems from 1982 to 1997. At the same time, it is crucial to strengthen crutiny of government workers and improve supervision of government departments and officials. Lessons learned from the 1982 to 1997 period will help us to restore social equity and promote economic development without sacrificing the needs of the people, thereby allowing them to improve their welfare through their own efforts.

DGFormer: a physics-guided station level weather forecasting model with dynamic spatial-temporal graph neural network

Abstract

In recent years, there has been an increased interest in understanding and predicting the weather using weather station data with Spatial-Temporal Graph Neural Networks (STGNN). However, it has large prediction errors as a result of the inherent non-linearities and the influence of dynamic spatio-temporal auto-correlation. Using a continuously-varying graph topology chronologically, while embedding domain knowledge to enforce validity, can effectively resolve the issue, but the implementation of such concept constitutes an interdisciplinary challenge for researchers. A Dynamic Graph Former (DGFormer) model is proposed to address this challenge. It combines a topology learner through a deep generative layer with domain knowledge enhancement inserted into the STGNN structure, where the derived physics-guided method allows for an efficient integration with the earth system. For capture of the optimal topology, we merge a node-embedding-based similarity metric learning and the superposition principle as physical assistants into the dynamic graph module. We evaluate our model with a real-world weather dataset on short-term (12 hours) and medium-range (360 hours) prediction tasks. DGFormer achieves outstanding performance with obvious improvements by up to 34.84% at short-term prediction and by up to 23.25% at medium-range prediction compared with the state-of-the-art methods. We also conducted detailed analyses for cities in three regions and visualized the dynamic graph, revealing the characteristics, advantages, and graph visualization of our model.

DGFormer: a physics-guided station level weather forecasting model with dynamic spatial-temporal graph neural network

Abstract

In recent years, there has been an increased interest in understanding and predicting the weather using weather station data with Spatial-Temporal Graph Neural Networks (STGNN). However, it has large prediction errors as a result of the inherent non-linearities and the influence of dynamic spatio-temporal auto-correlation. Using a continuously-varying graph topology chronologically, while embedding domain knowledge to enforce validity, can effectively resolve the issue, but the implementation of such concept constitutes an interdisciplinary challenge for researchers. A Dynamic Graph Former (DGFormer) model is proposed to address this challenge. It combines a topology learner through a deep generative layer with domain knowledge enhancement inserted into the STGNN structure, where the derived physics-guided method allows for an efficient integration with the earth system. For capture of the optimal topology, we merge a node-embedding-based similarity metric learning and the superposition principle as physical assistants into the dynamic graph module. We evaluate our model with a real-world weather dataset on short-term (12 hours) and medium-range (360 hours) prediction tasks. DGFormer achieves outstanding performance with obvious improvements by up to 34.84% at short-term prediction and by up to 23.25% at medium-range prediction compared with the state-of-the-art methods. We also conducted detailed analyses for cities in three regions and visualized the dynamic graph, revealing the characteristics, advantages, and graph visualization of our model.

Uncertainty-based analysis of water balance components: a semi-arid groundwater-dependent and data-scarce area, Iran

Abstract

In regions where gauging is lacking or limited, the development of a methodology for water balance assessment is a key challenge. Water balance assessment is a significant task in managing the sustainable use of water resources. This study aims to improve the accuracy of water balance components including actual evapotranspiration and groundwater recharge rate in the Hashtgerd study area, Iran. Groundwater extraction volumes are determined based on two-period data collection; while precipitation, evapotranspiration, and groundwater storage change are calculated from annual datasets. To address the data-scarce problem, as an additional measure of actual evapotranspiration, satellite measurements are used to improve recharge rate accuracy. To understand the impact of satellite data uncertainties on water resources studies, each estimated water balance component is compared to observation data, and the uncertainty of these components is quantified using statistical methods, variability, and standard error. The results show that the Hashtgerd aquifer receives 199 MCM from the main drains which is a major part of the water inflow. The extraction of wells is one of the most significant outflow components of the aquifer (i.e., 284 MCM); while water loss by evaporation is estimated to be 207 MCM of the outflow. The finding shows that satellite-based evapotranspiration can reduce recharge uncertainty which can improve the resolution of groundwater balance. This study supports that the aquifer is under severe environmental pressure. One of those concerns is that groundwater levels decreased by 0.92 m per year between 2000 and 2019.

Uncertainty-based analysis of water balance components: a semi-arid groundwater-dependent and data-scarce area, Iran

Abstract

In regions where gauging is lacking or limited, the development of a methodology for water balance assessment is a key challenge. Water balance assessment is a significant task in managing the sustainable use of water resources. This study aims to improve the accuracy of water balance components including actual evapotranspiration and groundwater recharge rate in the Hashtgerd study area, Iran. Groundwater extraction volumes are determined based on two-period data collection; while precipitation, evapotranspiration, and groundwater storage change are calculated from annual datasets. To address the data-scarce problem, as an additional measure of actual evapotranspiration, satellite measurements are used to improve recharge rate accuracy. To understand the impact of satellite data uncertainties on water resources studies, each estimated water balance component is compared to observation data, and the uncertainty of these components is quantified using statistical methods, variability, and standard error. The results show that the Hashtgerd aquifer receives 199 MCM from the main drains which is a major part of the water inflow. The extraction of wells is one of the most significant outflow components of the aquifer (i.e., 284 MCM); while water loss by evaporation is estimated to be 207 MCM of the outflow. The finding shows that satellite-based evapotranspiration can reduce recharge uncertainty which can improve the resolution of groundwater balance. This study supports that the aquifer is under severe environmental pressure. One of those concerns is that groundwater levels decreased by 0.92 m per year between 2000 and 2019.

Impact of climate change and land cover dynamics on nitrate transport to surface waters

Abstract

The study investigated the impact of climate and land cover change on water quality. The novel contribution of the study was to investigate the individual and combined impacts of climate and land cover change on water quality with high spatial and temporal resolution in a basin in Turkey. The global circulation model MPI-ESM-MR was dynamically downscaled to 10-km resolution under the RCP8.5 emission scenario. The Soil and Water Assessment Tool (SWAT) was used to model stream flow and nitrate loads. The land cover model outputs that were produced by the Land Change Modeler (LCM) were used for these simulation studies. Results revealed that decreasing precipitation intensity driven by climate change could significantly reduce nitrate transport to surface waters. In the 2075–2100 period, nitrate-nitrogen (NO3-N) loads transported to surface water decreased by more than 75%. Furthermore, the transition predominantly from forestry to pastoral farming systems increased loads by about 6%. The study results indicated that fine-resolution land use and climate data lead to better model performance. Environmental managers can also benefit greatly from the LCM-based forecast of land use changes and the SWAT model’s attribution of changes in water quality to land use changes.

Graphical abstract

The power of protest in the media: examining portrayals of climate activism in UK news

Abstract

Over the last several years, the United Kingdom has seen a wave of environmental movements demanding action on the climate crisis. While aligned in their goals, the groups undertaking this activism often diverge on the question of tactics. One such divergence occurred in January 2023, when Extinction Rebellion (XR) declared “We Quit”, ending actions that were disruptive to the general public. Peer groups Just Stop Oil and Animal Rising continued disruptive actions, viewing them as the best way to gain media coverage for their causes. Despite the urgency of addressing climate change and the growing prominence of direct action in British life, little research has examined how the news media covers and reacts to different climate actions. News media plays a vital role in influencing the public’s perception of the climate crisis and “appropriate” responses. We assembled a unique dataset of British news coverage of climate actions over a 7 month period, covering both before and after XR’s “We Quit” statement. Our results reveal that conservative publications cover climate actions more unfavorably and more inaccurately than other publications. Legal actions are generally covered more favorably than illegal ones in both conservative and non-conservative outlets and receive more coverage. Actions that target industry attract more coverage than those that target other actors, while actions that target the public are covered more favorably than those that do not. These results contribute to the scholarly debates surrounding the interaction between social movements and news media, especially on how different strategies potentially influence the extent and affective nature of coverage. They have implications for strategies adopted by climate advocates, depending on whether their goal is merely to draw attention to an issue or if it is to generate positive coverage.