As traffic congestion in cities becomes serious, intelligent traffic signal control has been actively studied. Deep Q-Network (DQN), a representative deep reinforcement learning algorithm, is applied to various domains from fully-observable game environment to traffic signal control. Due to the effective performance of DQN, deep reinforcement learning has improved speeds and various DQN extensions have been introduced. However, most traffic signal control researches were performed at a single intersection, and because of the use of virtual simulators, there are limitations that do not take into account variables that affect actual traffic conditions. In this paper, we propose a cooperative traffic signal control with traffic flow prediction (TFP-CTSC) for a multi-intersection. A traffic flow prediction model predicts future traffic state and considers the variables that affect actual traffic conditions. In addition, for cooperative traffic signal control in multi-intersection, each intersection is modeled as an agent, and each agent is trained to take best action by receiving traffic states from the road environment. To deal with multi-intersection efficiently, agents share their traffic information with other adjacent intersections. In the experiment, TFP-CTSC is compared with existing traffic signal control algorithms in a 4 × 4 intersection environment. We verify our traffic flow prediction and cooperative method.

With increasing electronic medical data and the development of artificial intelligence, clinical decision support systems (CDSSs) assist clinicians in diagnosis and prescription. Traditional knowledge-based CDSSs follow an accumulated medical knowledgebase and a predefined rule system, which clarifies the decision-making process; however, maintenance cost issues exist in the medical data quality control and standardization processes. Non-knowledge-based CDSSs utilize vast amounts of data and algorithms to effectively make decisions; however, the deep learning black-box problem causes unreliable results. EXplainable Artificial Intelligence (XAI)-based CDSSs provide valid rationales and explainable results. These systems ensure trustworthiness and transparency by showing the recommendation and prediction result process using explainable techniques. However, existing systems have limitations, such as the scope of data utilization and the lack of explanatory power of AI models. This study proposes a new XAI-based CDSS framework to address these issues; introduces resources, datasets, and models that can be utilized; and provides a foundation model to support decision-making in various disease domains. Finally, we propose future directions for CDSS technology and highlight societal issues that need to be addressed to emphasize the potential of CDSSs in the future.

Along with studies on artificial intelligence technology, research is also being carried out actively in the field of natural language processing to understand and process people’s language, in other words, natural language. For computers to learn on their own, the skill of understanding natural language is very important. There are a wide variety of tasks involved in the field of natural language processing, but we would like to focus on the named entity registration and relation extraction task, which is considered to be the most important in understanding sentences. We propose DeNERT-KG, a model that can extract subject, object, and relationships, to grasp the meaning inherent in a sentence. Based on the BERT language model and Deep Q-Network, the named entity recognition (NER) model for extracting subject and object is established, and a knowledge graph is applied for relation extraction. Using the DeNERT-KG model, it is possible to extract the subject, type of subject, object, type of object, and relationship from a sentence, and verify this model through experiments.

Despite the excellent generalization capabilities of large-scale language models (LLMs), their severe limitations, such as illusions, lack of domain-specific knowledge, and ambiguity in the reasoning process, challenge their direct application to clinical decision support systems (CDSSs). To address these challenges, this study proposes a synergistic joint model that integrates knowledge graphs (KGs) and LLMs to enhance domain-specific knowledge and improve explainability in CDSSs. The proposed model leverages KGs to provide structured, domain-specific insights while utilizing LLMs’ generative capabilities to dynamically extract, refine, and expand medical knowledge. This bi-directional interaction ensures that CDSS recommendations remain both clinically accurate and contextually comprehensive. Performance evaluation of the joint model for mental health etiology, stress detection, and emotion recognition tasks of the CDSS showed up to a 12.0% increase in accuracy and an 8.6% increase in F1 score when compared to the standalone LLM model, with additional significant improvements when using the model with medical domain knowledge. Thus, the reliable and up-to-date domain knowledge obtained through the joint model not only improves the task performance of the CDSS, but also provides direct evidence of how such decisions were made. These findings validate the broad applicability and effectiveness of our KG–LLM joint model, highlighting its potential in real-world clinical decision support scenarios.

(1) Background: The COVID-19 pandemic has dramatically and rapidly changed the overall picture of healthcare in the way how doctors care for their patients. Due to the significant strain on hospitals and medical facilities, the popularity of web-based medical consultation has drawn the focus of researchers during the deadly coronavirus disease (COVID-19) in the United States. Healthcare organizations are now reacting to COVID-19 by rapidly adopting new tools and innovations such as e-consultation platforms, which refer to the delivery of healthcare services digitally or remotely using digital technology to treat patients. However, patients’ utilization of different signal transmission mechanisms to seek medical advice through e-consultation websites has not been discussed during the pandemic. This paper examines the impact of different online signals (online reputation and online effort), offline signals (offline reputation) and disease risk on patients’ physician selection choice for e-consultation during the COVID-19 crisis. (2) Methods: Drawing on signaling theory, a theoretical model was developed to explore the antecedents of patients’ e-consultation choice toward a specific physician. The model was tested using 3-times panel data sets, covering 4231 physicians on Healthgrades and Vitals websites during the pandemic months of January, March and May 2020. (3) Results: The findings suggested that online reputation, online effort and disease risk were positively related to patients’ online physician selection. The disease risk has also affected patients’ e-consultation choice. A high-risk disease positively moderates the relationship between online reputation and patients’ e-consultation choice, which means market signals (online reputation) are more influential than seller signals (offline reputation and online effort). Hence, market signals strengthened the effect in the case of high-risk disease. (4) Conclusions: The findings of this study provide practical suggestions for physicians, platform developers and policymakers in online environments to improve their service quality during the crisis. This article offers a practical guide on using emerging technology to provide virtual care during the pandemic. This study also provides implications for government officials and doctors on the potentials of consolidating virtual care solutions in the near future in order to contribute to the integration of emerging technology into healthcare.