Search Results (494)

Background: Electronic health records (EHR) have long held promise for sharing information efficiently, but this remains challenging. This quality improvement initiative sought to improve the accurate documentation of anthracycline and radiation therapy exposures in pediatric oncology patients who were treated at different institutions through a quality improvement methodology and EHR tools. Methods: A custom-built EHR smartform was previously created. Modifications were made to the smartform, and quality improvement methods were utilized to improve receipt of radiation summaries from other institutions and documentation of chemotherapeutic doses. Results: Three months after interventions, including clinician education and smartform updates, accurate anthracycline documentation improved from ≤60% to 100%. At 12 months post-intervention, accurate anthracycline documentation remained > 90%. Documentation of radiation therapy improved similarly at 3 months post-intervention, with sustained improvement to 81% at 12 months post-intervention. Conclusions: Accurate documentation of radiation and chemotherapeutic exposures for pediatric oncology patients improved with education and changes to an EHR smartform. A central data location with quality assurance tools to ensure accuracy is one solution enabling accurate tracking of exposures and care plans for children with chronic illnesses. Full article

The rapid growth of mobile payment systems has positioned Near Field Communication (NFC) as a core enabling technology. However, conventional NFC protocols primarily emphasize transmission efficiency rather than robust authentication and privacy protection, which exposes users to threats such as eavesdropping, replay, and tracking attacks. In this study, a lightweight and privacy-preserving authentication protocol is proposed for NFC-based mobile payment services. The protocol integrates anonymous authentication, replay resistance, and tracking protection while maintaining low computational overhead suitable for resource-constrained devices. A secure offline session key generation mechanism is incorporated to enhance transaction reliability without increasing system complexity. Formal security verification using the Scyther tool (version 1.1.3) confirms resistance against major attack vectors, including impersonation, man-in-the-middle, and replay attacks. Comparative performance analysis further demonstrates that the proposed scheme achieves superior efficiency and stronger security guarantees compared with existing approaches. These results indicate that the protocol provides a practical and scalable solution for secure and privacy-aware NFC mobile payment environments. Full article

Generative Artificial Intelligence (GenAI) is rapidly reshaping public-sector operations, yet its adoption in developing countries remains poorly understood. Existing research focuses largely on traditional AI in developed contexts, leaving unanswered questions about how GenAI interacts with institutional, organizational, and governance constraints in resource-limited settings. This study examines the organizational factors shaping GenAI adoption in Vietnamese local government using 25 semi-structured interviews analyzed through the Technology–Organization–Environment (TOE) framework. Findings reveal three central dynamics: (1) the emergence of informal, voluntary, and bottom-up experimentation with GenAI among civil servants; (2) significant institutional capacity constraints—including absent strategies, limited budgets, weak integration, and inadequate training—that prevent formal adoption; and (3) an “AI accountability vacuum” characterized by data security concerns, regulatory ambiguity, and unclear responsibility for AI-generated errors. Together, these factors create a state of governance paralysis in which GenAI is simultaneously encouraged and discouraged. The study contributes to theory by extending the TOE framework with an environment-specific construct—the AI accountability vacuum—and by reframing resistance as a rational response to structural gaps rather than technophobia. Practical implications highlight the need for capacity-building, regulatory guidance, accountable governance structures, and leadership-driven institutional support to enable safe and effective GenAI adoption in developing-country public sectors. Full article

This study synthesizes empirical evidence on AI-supported skill assessment systems in higher vocational education through a systematic review and meta-analysis. Despite growing interest in generative AI within higher education, empirical research on AI-enabled assessment remains fragmented and methodologically uneven, particularly in vocational contexts. Following PRISMA 2020 guidelines, 27 peer-reviewed empirical studies published between 2010 and 2024 were identified from major international and Chinese databases and included in the analysis. Using a random-effects model, the meta-analysis indicates a moderate positive association between AI-supported assessment systems and skill-related learning outcomes (Hedges’ g = 0.72), alongside substantial heterogeneity across study designs, outcome measures, and implementation contexts. Subgroup analyses suggest variation across regional and institutional settings, which should be interpreted cautiously given small sample sizes and diverse methodological approaches. Based on the synthesized evidence, the study proposes a conceptual AI-supported skill assessment framework that distinguishes empirically grounded components from forward-looking extensions related to generative AI. Rather than offering prescriptive solutions, the framework provides an evidence-informed baseline to support future research, system design, and responsible integration of generative AI in higher education assessment. Overall, the findings highlight both the potential and the current empirical limitations of AI-enabled assessment, underscoring the need for more robust, theory-informed, and transparent studies as generative AI applications continue to evolve. Full article

The emergence of low-cost edge devices has enabled the integration of automatic speech recognition (ASR) into IoT environments, creating new opportunities for real-time language assessment. However, achieving reliable performance on resource-constrained hardware remains a significant challenge, especially on the Artificial Internet of Things (AIoT). This study presents an AIoT-based framework for automated English-speaking assessment that integrates architecture and system design, ASR benchmarking, and reliability analysis on edge devices. The proposed AIoT-oriented architecture incorporates a lightweight scoring framework capable of analyzing pronunciation, fluency, prosody, and CEFR-aligned speaking proficiency within an automated assessment system. Seven open-source ASR models—four Whisper variants (tiny, base, small, and medium) and three Vosk models—were systematically benchmarked in terms of recognition accuracy, inference latency, and computational efficiency. Experimental results indicate that Whisper-medium deployed on the Raspberry Pi 5 achieved the strongest overall performance, reducing inference latency by 42–48% compared with the Raspberry Pi 4 and attaining the lowest Word Error Rate (WER) of 6.8%. In contrast, smaller models such as Whisper-tiny, with a WER of 26.7%, exhibited two- to threefold higher scoring variability, demonstrating how recognition errors propagate into automated assessment reliability. System-level testing revealed that the Raspberry Pi 5 can sustain near real-time processing with approximately 58% CPU utilization and around 1.2 GB of memory, whereas the Raspberry Pi 4 frequently approaches practical operational limits under comparable workloads. Validation using real learner speech data (approximately 100 sessions) confirmed that the proposed system delivers accurate, portable, and privacy-preserving speaking assessment using low-power edge hardware. Overall, this work introduces a practical AIoT-based assessment framework, provides a comprehensive benchmark of open-source ASR models on edge platforms, and offers empirical insights into the trade-offs among recognition accuracy, inference latency, and scoring stability in edge-based ASR deployments. Full article

Education 4.0 and digital learning have led to a technology-driven transformation in educational methodologies and the roles of teachers, primarily at Higher Education Institutions (HEIs). From an educational standpoint, the extant literature on Education 4.0 highlights its technological features and benefits; however, there is a lack of studies that assess its impact on students’ learning outcomes. Seemingly, Education 4.0 features are taken for granted, as if the technology in itself were enough to guarantee students’ learning, self-efficacy, and engagement. Seeking to address this lack, this study describes the implications of tailoring Education 4.0 tenets and digital learning in an engineering curriculum. Four case studies conducted in the last four years with 119 students are presented, in which technologies such as digital twins, a Modular Production System (MPS), low-cost robotics, 3D printing, generative AI, machine learning, and mobile learning were integrated. With these case studies, an educational methodology with active learning, hands-on activities, and continuous teacher support was designed and deployed to foster cognitive and affective learning outcomes. A mixed-methods study was conducted, utilizing students’ grades, surveys, and semi-structured interviews to assess the approach’s impact. The outcomes suggest that including Education 4.0 tenets and digital learning can enhance discipline-based skills, creativity, self-efficacy, collaboration, and self-directed learning. These results were obtained not only via the technological features but also through the incorporation of reflective teaching that provided several educational resources and oriented the methodology for students’ learning and engagement. The results of this study can help complement the concept of Education 4.0, helping to find a student-centered approach and conceiving a balance between technology, teaching practices, and cognitive and affective learning outcomes. Full article

Using 2024 Eurobarometer survey data from 26,415 workers in 27 EU countries, this study examines how digital skills and employer transparency shape workers’ attitudes toward and perception of artificial intelligence (AI). Drawing on information systems and behavioral theories, regression analyses reveal that digital skills strongly predict augmentation-dominant attitude. Workers with higher digital skills view AI as complementary rather than threatening, with an augmentation attitude mediating 56% of the skills–perception relationship. Adjacently, employer transparency attenuates the translation of replacement attitude into a negative perception of AI in the workplace. Organizations and policymakers should prioritize digital upskilling and ensure workplace AI transparency requirements to foster a positive attitude and perception, recognizing that skills development and organizational communication are equally vital for the successful integration of AI in the workplace. Full article

The rapid proliferation of misinformation on social media underscores the urgent need for scalable digital-literacy instruction. This study presents the design and evaluation of a Generative AI-enhanced serious game system that integrates Large Language Models (LLMs) to drive adaptive non-player characters (NPCs). Unlike traditional scripted interactions, the system employs role-based prompt engineering to align real-time AI dialogue with the Currency, Relevance, Authority, Accuracy, and Purpose (CRAAP) framework, enabling dynamic scaffolding and authentic misinformation scenarios. A mixed-method experiment with 60 undergraduate students compared this AI-driven approach to traditional instruction using a 40-item digital-literacy pre/post test, the Intrinsic Motivation Inventory (IMI), and open-ended reflections. Results indicated that while both groups improved significantly, the game-based group achieved larger gains in credibility-evaluation performance and reported higher perceived competence, interest, and effort. Qualitative analysis highlighted the HCI trade-off between the high pedagogical value of adaptive AI guidance and technical constraints such as system latency. The findings demonstrate that Generative AI can be effectively operationalized as a dynamic interface layer in serious games to strengthen critical reasoning. This study provides practical guidelines for architecting AI-NPC interactions and advances the theoretical understanding of AI-supported educational informatics. Full article

Agricultural marketing increasingly integrates Agriculture 4.0 technologies—Blockchain, AI/ML, IoT, and recommendation systems—yet systematic evaluations of computational maturity and deployment readiness remain limited. This Systematic Literature Review (SLR) examined 99 peer-reviewed studies (2019–2025) from Scopus, Web of Science, and IEEE Xplore following PRISMA protocols to assess algorithmic performance, evaluation methods, and Technology Readiness Levels (TRLs) for agricultural marketing applications. Hybrid recommendation systems dominate current research (28.3%), achieving accuracies of 80–92%, while blockchain implementations (15.2%) show fast transaction times (<2 s) but limited real-world adoption. Machine learning models using Random Forest, Gradient Boosting, and CNNs reach 85–95% predictive accuracy, and IoT systems report >95% data transmission reliability. However, 77.8% of technologies remain at validation stages (TRL ≤ 5), and only 3% demonstrate operational deployment beyond one year. The findings reveal an “efficiency paradox”: strong technical performance (75–97/100) contrasts with weak economic validation (≤20% include cost–benefit analysis). Most studies overlook temporal, geographic, and economic generalization, prioritizing computational metrics over implementation viability. This review highlights the persistent validation–deployment gap in digital agriculture, urging a shift toward multi-tier evaluation frameworks that include contextual, adoption, and impact validation under real deployment conditions. Full article

The Immersive Decentralized Digital space (IDDs), derived from blockchain technology and Massively Multiplayer Online Games (MMOGs), enables real-time multisensory interactions that support social connection under metaverse concepts. Although recognized as a technology with significant potential for educational innovation, IDDs remain underutilized in health professions education. Health profession students are often unaware of how IDDs’ features can be applied to their learning through in- or after-classroom activities. This study employs a quantitative research design to evaluate students’ perceptions of next-generation digital learning without any prior exposure to IDDs. An electronic survey was developed to examine four dimensions of learning facilitation: “Remote Learning” for capturing past experiences with digital competence during the COVID-19 era; “Digital Evolution,” reflecting preferences in utilizing digital spaces; “Interactive Communication” and “Knowledge Application” for applicability of IDDs in the health professions education. Statistical analyses revealed no significant differences in perceptions based on gender or major on all factors. Nevertheless, significant differences emerged based on nationality in “Digital Evolution”, “Interactive Communication”, and “Knowledge Application”, highlighting the influence of cultural and educational backgrounds on receptiveness to virtual learning environments. By recognizing the discrepancies and addressing barriers to digital inclusion, IDDs hold strong potential to enhance health professional learning experiences and educational outcomes. Full article

The Wua-Lai silvercraft community in Chiang Mai is experiencing a widening disconnect with younger visitors, raising concerns about the erosion of intangible cultural heritage. This study evaluates “Silver Craft Journey,” a location-based augmented reality (LBAR) system designed to revitalize cultural engagement and enhance cultural-heritage experience through context-aware, gamified exploration. A quasi-experimental field study with 254 participants across three age groups examined the system’s impact on cultural-heritage experience, knowledge acquisition, and real-world engagement. Results demonstrate substantial knowledge gains, with a mean increase of 7.74 points (SD = 4.37) and a large effect size (Cohen’s d = 1.77), supporting the effectiveness of LBAR in supporting tangible and intangible heritage understanding. Behavioral log data reveal clear age-related engagement patterns: older participants (41–51) showed declining mission completion rates and reduced interaction times at later points of interest, which may reflect increased cognitive and physical demands during extended AR navigation under real-world conditions. These findings underscore the potential of location-based AR to enhance cultural-heritage experience in real-world settings while highlighting the importance of age-adaptive interaction and route-design strategies. The study contributes a replicable model for integrating digital tourism, embodied AR experience, and community-based heritage preservation. Full article

Introduction: Nursing educators and clinical leaders face persistent challenges in engaging the next generation of nurses, often characterized by short attention spans, frequent phone use, and underdeveloped communication skills. This article describes the design and delivery of a full-day interactive teaching workshop for nursing faculty, senior clinical nurses, and nurse leaders, developed using a design-thinking approach supported by generative AI. Methods: The workshop comprised four thematic sessions: (1) Learning styles across generations, (2) Interactive teaching methods, (3) Application of interactive teaching strategies, and (4) Lesson planning and transfer. Generative AI was used during planning to create icebreakers, discussion prompts, clinical teaching scenarios, and application templates. Design decisions emphasized low-tech, low-prep strategies suitable for spontaneous clinical teaching, thereby reducing barriers to adoption. Activities included emoji-card introductions, quick generational polls, colored-paper reflections, portable whiteboard brainstorming, role plays, fishbowl discussions, gallery walks, and movement-based group exercises. Participants (N = 37) were predominantly female (95%) and represented multiple generations of X, Y, and Z. Mid- and end-of-workshop reflection prompts were embedded within Sessions 2 and 4, with participants recording their responses on colored papers, which were then compiled into a single Word document for thematic analysis. Results: Thematic analysis of 59 mid- and end-workshop reflections revealed six interconnected themes, grouped into three categories: (1) engagement and experiential learning, (2) practical applicability and generational awareness, and (3) facilitation, environment, and motivation. Participants emphasized the workshop’s lively pace and hands-on design. Experiencing strategies firsthand built confidence for application, while generational awareness encouraged reflection on adapting methods for younger learners. The facilitator’s passion, personable approach, and structured use of peer learning created a psychologically safe and motivating climate, leaving participants recharged and inspired to integrate interactive methods. Discussion: The workshop illustrates how AI-assisted, design-thinking-driven professional development can model effective strategies for next-generation learners. When paired with skilled facilitation, AI-supported planning enhances engagement, fosters reflective practice, and promotes immediate transfer of interactive strategies into diverse teaching settings. Full article

With the rapid development of the Internet, online public opinion monitoring has emerged as a crucial task in the information era. Multimodal sentiment analysis, through the integration of multiple modalities such as text, images, and audio, combined with technologies including natural language processing and computer vision, offers novel technical means for online public opinion monitoring. Nevertheless, current research still faces many challenges, such as the scarcity of high-quality datasets, limited model generalization ability, and difficulties with cross-modal feature fusion. This paper reviews the current research progress of multimodal sentiment analysis in online public opinion monitoring, including its development history, key technologies, and application scenarios. Existing problems are analyzed and future research directions are discussed. In particular, we emphasize a fusion-architecture-centric comparison under online public opinion monitoring, and discuss cross-lingual differences that affect multimodal alignment and evaluation. Full article

This study curates and structures knowledge concerning Buddhist learning resources for tourism, presenting it through a virtual tour of Wat Phra Pathom Chedi Ratchaworamahawihan in Nakhon Pathom Province. Employing a mixed-methods approach that integrates both qualitative and quantitative methodologies, the research first establishes a structured knowledge base. This involves developing a comprehensive metadata schema for cataloging the temple’s diverse resources, including both sacred sites and artifacts, to enhance their searchability and accessibility. Subsequently, this knowledge is rendered into a virtual tour, which serves as an exemplary model of a Buddhist digital learning resource for tourism. The findings reveal the extensive diversity of resources within the temple. The developed virtual tour platform allows users an immersive exploration of the site via 360-degree panoramic views. This research presents significant implications for relevant agencies, offering a scalable model for the digital dissemination of cultural heritage. It is anticipated that this initiative will expand global access to and appreciation of the temple’s cultural value, thereby fostering international interest in visitation. Such engagement is poised to stimulate the local economy and bolster Thailand’s image as a premier cultural tourism destination. Full article

Depression is a mental illness with hidden characteristics that affects human physical and mental health. In severe cases, it may lead to suicidal behavior (for example, among college students and social groups). Therefore, it has attracted widespread attention. Scholars have developed numerous models and methods for depression detection. However, most of these methods focus on a single modality and do not consider the influence of gender on depression, while the existing models have limitations such as complex structures. To solve this problem, we propose a symmetric-structured, multi-modal, multi-layer cooperative perception model for depression detection that dynamically focuses on critical features. First, the double-branch symmetric structure of the proposed model is designed to account for gender-based variations in emotional factors. Second, we introduce a stacked multi-head attention (MHA) module and an interactive cross-attention module to comprehensively extract key features while suppressing irrelevant information. A bidirectional long short-term memory network (BiLSTM) module enhances depression detection accuracy. To verify the effectiveness and feasibility of the model, we conducted a series of experiments using the proposed method on the AVEC 2014 dataset. Compared with the most advanced HMTL-IMHAFF model, our model improves the accuracy by 0.0308. The results indicate that the proposed framework demonstrates superior performance. Full article