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Search Results (1,546)

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Keywords = digital assistance

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23 pages, 1029 KiB  
Article
Lattice-Based Certificateless Proxy Re-Signature for IoT: A Computation-and-Storage Optimized Post-Quantum Scheme
by Zhanzhen Wei, Gongjian Lan, Hong Zhao, Zhaobin Li and Zheng Ju
Sensors 2025, 25(15), 4848; https://doi.org/10.3390/s25154848 (registering DOI) - 6 Aug 2025
Abstract
Proxy re-signature enables transitive authentication of digital identities across different domains and has significant application value in areas such as digital rights management, cross-domain certificate validation, and distributed system access control. However, most existing proxy re-signature schemes, which are predominantly based on traditional [...] Read more.
Proxy re-signature enables transitive authentication of digital identities across different domains and has significant application value in areas such as digital rights management, cross-domain certificate validation, and distributed system access control. However, most existing proxy re-signature schemes, which are predominantly based on traditional public-key cryptosystems, face security vulnerabilities and certificate management bottlenecks. While identity-based schemes alleviate some issues, they introduce key escrow concerns. Certificateless schemes effectively resolve both certificate management and key escrow problems but remain vulnerable to quantum computing threats. To address these limitations, this paper constructs an efficient post-quantum certificateless proxy re-signature scheme based on algebraic lattices. Building upon algebraic lattice theory and leveraging the Dilithium algorithm, our scheme innovatively employs a lattice basis reduction-assisted parameter selection strategy to mitigate the potential algebraic attack vectors inherent in the NTRU lattice structure. This ensures the security and integrity of multi-party communication in quantum-threat environments. Furthermore, the scheme significantly reduces computational overhead and optimizes signature storage complexity through structured compression techniques, facilitating deployment on resource-constrained devices like Internet of Things (IoT) terminals. We formally prove the unforgeability of the scheme under the adaptive chosen-message attack model, with its security reducible to the hardness of the corresponding underlying lattice problems. Full article
(This article belongs to the Special Issue IoT Network Security (Second Edition))
24 pages, 1684 KiB  
Article
Beyond Assistance: Embracing AI as a Collaborative Co-Agent in Education
by Rena Katsenou, Konstantinos Kotsidis, Agnes Papadopoulou, Panagiotis Anastasiadis and Ioannis Deliyannis
Educ. Sci. 2025, 15(8), 1006; https://doi.org/10.3390/educsci15081006 - 6 Aug 2025
Abstract
The integration of artificial intelligence (AI) in education offers novel opportunities to enhance critical thinking while also posing challenges to independent cognitive development. In particular, Human-Centered Artificial Intelligence (HCAI) in education aims to enhance human experience by providing a supportive and collaborative learning [...] Read more.
The integration of artificial intelligence (AI) in education offers novel opportunities to enhance critical thinking while also posing challenges to independent cognitive development. In particular, Human-Centered Artificial Intelligence (HCAI) in education aims to enhance human experience by providing a supportive and collaborative learning environment. Rather than replacing the educator, HCAI serves as a tool that empowers both students and teachers, fostering critical thinking and autonomy in learning. This study investigates the potential for AI to become a collaborative partner that assists learning and enriches academic engagement. The research was conducted during the 2024–2025 winter semester within the Pedagogical and Teaching Sufficiency Program offered by the Audio and Visual Arts Department, Ionian University, Corfu, Greece. The research employs a hybrid ethnographic methodology that blends digital interactions—where students use AI tools to create artistic representations—with physical classroom engagement. Data was collected through student projects, reflective journals, and questionnaires, revealing that structured dialog with AI not only facilitates deeper critical inquiry and analytical reasoning but also induces a state of flow, characterized by intense focus and heightened creativity. The findings highlight a dialectic between individual agency and collaborative co-agency, demonstrating that while automated AI responses may diminish active cognitive engagement, meaningful interactions can transform AI into an intellectual partner that enriches the learning experience. These insights suggest promising directions for future pedagogical strategies that balance digital innovation with traditional teaching methods, ultimately enhancing the overall quality of education. Furthermore, the study underscores the importance of integrating reflective practices and adaptive frameworks to support evolving student needs, ensuring a sustainable model. Full article
(This article belongs to the Special Issue Unleashing the Potential of E-learning in Higher Education)
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22 pages, 970 KiB  
Article
From Perception to Practice: Artificial Intelligence as a Pathway to Enhancing Digital Literacy in Higher Education Teaching
by Zhili Zuo, Yilun Luo, Shiyu Yan and Lisheng Jiang
Systems 2025, 13(8), 664; https://doi.org/10.3390/systems13080664 - 6 Aug 2025
Abstract
In the context of increasing Artificial Intelligence integration in higher education, understanding the factors influencing university teachers’ adoption of AI tools is critical for effective implementation. This study adopts a perception–intention–behavior framework to explores the roles of perceived usefulness, perceived ease of use, [...] Read more.
In the context of increasing Artificial Intelligence integration in higher education, understanding the factors influencing university teachers’ adoption of AI tools is critical for effective implementation. This study adopts a perception–intention–behavior framework to explores the roles of perceived usefulness, perceived ease of use, perceived trust, perceived substitution crisis, and perceived risk in shaping teachers’ behavioral intention and actual usage of AI tools. It also investigates the moderating effects of peer influence and organizational support on these relationships. Using a comprehensive survey instrument, data was collected from 487 university teachers across four major regions in China. The results reveal that perceived usefulness and perceived ease of use are strong predictors of behavioral intention, with perceived ease of use also significantly influencing perceived usefulness. Perceived trust serves as a key mediator, enhancing the relationship between perceived usefulness, perceived ease of use, and behavioral intention. While perceived substitution crisis negatively influenced perceived trust, it showed no significant direct effect on behavioral intention, suggesting a complex relationship between job displacement concerns and AI adoption. In contrast, perceived risk was found to negatively impact behavioral intention, though it was mitigated by perceived ease of use. Peer influence significantly moderated the relationship between perceived trust and behavioral intention, highlighting the importance of peer influence in AI adoption, while organizational support amplified the effect of perceived ease of use on behavioral intention. These findings inform practical strategies such as co-developing user-centered AI tools, enhancing institutional trust through transparent governance, leveraging peer support, providing structured training and technical assistance, and advancing policy-level initiatives to guide digital transformation in universities. Full article
(This article belongs to the Section Artificial Intelligence and Digital Systems Engineering)
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12 pages, 1076 KiB  
Article
Rapid Identification of the SNP Mutation in the ABCD4 Gene and Its Association with Multi-Vertebrae Phenotypes in Ujimqin Sheep Using TaqMan-MGB Technology
by Yue Zhang, Min Zhang, Hong Su, Jun Liu, Feifei Zhao, Yifan Zhao, Xiunan Li, Yanyan Yang, Guifang Cao and Yong Zhang
Animals 2025, 15(15), 2284; https://doi.org/10.3390/ani15152284 - 5 Aug 2025
Abstract
Ujimqin sheep, known for its distinctive multi-vertebrae phenotypes (T13L7, T14L6, and T14L7) and economic value, has garnered significant attention. However, conventional phenotypic detection methods suffer from low efficiency and high costs. In this study, based on a key SNP locus (ABCD4 gene, [...] Read more.
Ujimqin sheep, known for its distinctive multi-vertebrae phenotypes (T13L7, T14L6, and T14L7) and economic value, has garnered significant attention. However, conventional phenotypic detection methods suffer from low efficiency and high costs. In this study, based on a key SNP locus (ABCD4 gene, Chr7:89393414, C > T) identified through a genome-wide association study (GWAS), a TaqMan-MGB (minor groove binder) genotyping system was developed. the objective was to establish a high-throughput and efficient molecular marker-assisted selection (MAS) tool. Specific primers and dual fluorescent probes were designed to optimize the reaction system. Standard plasmids were adopted to validate genotyping accuracy. A total of 152 Ujimqin sheep were subjected to TaqMan-MGB genotyping, digital radiography (DR) imaging, and Sanger sequencing. the results showed complete concordance between TaqMan-MGB and Sanger sequencing, with an overall agreement rate of 83.6% with DR imaging. For individuals with T/T genotypes (127/139), the detection accuracy reached 91.4%. This method demonstrated high specificity, simplicity, and cost-efficiency, significantly reducing the time and financial burden associated with traditional imaging-based approaches. the findings indicate that the TaqMan-MGB technique can accurately identify the T/T genotype at the SNP site and its strong association with the multi-vertebrae phenotypes, offering an effective and reliable tool for molecular breeding of Ujimqin sheep. Full article
(This article belongs to the Section Animal Genetics and Genomics)
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17 pages, 1256 KiB  
Systematic Review
Integrating Artificial Intelligence into Orthodontic Education: A Systematic Review and Meta-Analysis of Clinical Teaching Application
by Carlos M. Ardila, Eliana Pineda-Vélez and Anny Marcela Vivares Builes
J. Clin. Med. 2025, 14(15), 5487; https://doi.org/10.3390/jcm14155487 - 4 Aug 2025
Abstract
Background/Objectives: Artificial intelligence (AI) is rapidly emerging as a transformative force in healthcare education, including orthodontics. This systematic review and meta-analysis aimed to evaluate the integration of AI into orthodontic training programs, focusing on its effectiveness in improving diagnostic accuracy, learner engagement, [...] Read more.
Background/Objectives: Artificial intelligence (AI) is rapidly emerging as a transformative force in healthcare education, including orthodontics. This systematic review and meta-analysis aimed to evaluate the integration of AI into orthodontic training programs, focusing on its effectiveness in improving diagnostic accuracy, learner engagement, and the perceived quality of AI-generated educational content. Materials and Methods: A comprehensive literature search was conducted across PubMed, Scopus, Web of Science, and Embase through May 2025. Eligible studies involved AI-assisted educational interventions in orthodontics. A mixed-methods approach was applied, combining meta-analysis and narrative synthesis based on data availability and consistency. Results: Seven studies involving 1101 participants—including orthodontic students, clinicians, faculty, and program directors—were included. AI tools ranged from cephalometric landmarking platforms to ChatGPT-based learning modules. A fixed-effects meta-analysis using two studies yielded a pooled Global Quality Scale (GQS) score of 3.69 (95% CI: 3.58–3.80), indicating moderate perceived quality of AI-generated content (I2 = 64.5%). Due to methodological heterogeneity and limited statistical reporting in most studies, a narrative synthesis was used to summarize additional outcomes. AI tools enhanced diagnostic skills, learner autonomy, and perceived satisfaction, particularly among students and junior faculty. However, barriers such as limited curricular integration, lack of training, and faculty skepticism were recurrent. Conclusions: AI technologies, especially ChatGPT and digital cephalometry tools, show promise in orthodontic education. While learners demonstrate high acceptance, full integration is hindered by institutional and perceptual challenges. Strategic curricular reforms and targeted faculty development are needed to optimize AI adoption in clinical training. Full article
(This article belongs to the Special Issue Orthodontics: State of the Art and Perspectives)
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25 pages, 5488 KiB  
Article
Biased by Design? Evaluating Bias and Behavioral Diversity in LLM Annotation of Real-World and Synthetic Hotel Reviews
by Maria C. Voutsa, Nicolas Tsapatsoulis and Constantinos Djouvas
AI 2025, 6(8), 178; https://doi.org/10.3390/ai6080178 - 4 Aug 2025
Abstract
As large language models (LLMs) gain traction among researchers and practitioners, particularly in digital marketing for tasks such as customer feedback analysis and automated communication, concerns remain about the reliability and consistency of their outputs. This study investigates annotation bias in LLMs by [...] Read more.
As large language models (LLMs) gain traction among researchers and practitioners, particularly in digital marketing for tasks such as customer feedback analysis and automated communication, concerns remain about the reliability and consistency of their outputs. This study investigates annotation bias in LLMs by comparing human and AI-generated annotation labels across sentiment, topic, and aspect dimensions in hotel booking reviews. Using the HRAST dataset, which includes 23,114 real user-generated review sentences and a synthetically generated corpus of 2000 LLM-authored sentences, we evaluate inter-annotator agreement between a human expert and three LLMs (ChatGPT-3.5, ChatGPT-4, and ChatGPT-4-mini) as a proxy for assessing annotation bias. Our findings show high agreement among LLMs, especially on synthetic data, but only moderate to fair alignment with human annotations, particularly in sentiment and aspect-based sentiment analysis. LLMs display a pronounced neutrality bias, often defaulting to neutral sentiment in ambiguous cases. Moreover, annotation behavior varies notably with task design, as manual, one-to-one prompting produces higher agreement with human labels than automated batch processing. The study identifies three distinct AI biases—repetition bias, behavioral bias, and neutrality bias—that shape annotation outcomes. These findings highlight how dataset complexity and annotation mode influence LLM behavior, offering important theoretical, methodological, and practical implications for AI-assisted annotation and synthetic content generation. Full article
(This article belongs to the Special Issue AI Bias in the Media and Beyond)
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26 pages, 758 KiB  
Article
Writing Is Coding for Sustainable Futures: Reimagining Poetic Expression Through Human–AI Dialogues in Environmental Storytelling and Digital Cultural Heritage
by Hao-Chiang Koong Lin, Ruei-Shan Lu and Tao-Hua Wang
Sustainability 2025, 17(15), 7020; https://doi.org/10.3390/su17157020 - 1 Aug 2025
Viewed by 355
Abstract
In the era of generative artificial intelligence, writing has evolved into a programmable practice capable of generating sustainable narratives and preserving cultural heritage through poetic prompts. This study proposes “Writing Is Coding ” as a paradigm for sustainability education, exploring how students engage [...] Read more.
In the era of generative artificial intelligence, writing has evolved into a programmable practice capable of generating sustainable narratives and preserving cultural heritage through poetic prompts. This study proposes “Writing Is Coding ” as a paradigm for sustainability education, exploring how students engage with AI-mediated multimodal creation to address environmental challenges. Using grounded theory methodology with 57 twelfth-grade students from technology-integrated high schools, we analyzed their experiences creating environmental stories and digital cultural artifacts using MidJourney, Kling, and Sora. Data collection involved classroom observations, semi-structured interviews, and reflective journals, analyzed through systematic coding procedures (κ = 0.82). Five central themes emerged: writing as algorithmic design for sustainability (89.5%), emotional scaffolding for environmental awareness (78.9%), aesthetics of imperfection in cultural preservation (71.9%), collaborative dynamics in sustainable creativity (84.2%), and pedagogical value of prompt literacy (91.2%). Findings indicate that AI deepens environmental consciousness and reframes writing as a computational process for addressing global issues. This research contributes a theoretical framework integrating expressive writing with algorithmic thinking in AI-assisted sustainability education, aligned with SDGs 4, 11, and 13. Full article
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34 pages, 434 KiB  
Article
Mobile Banking Adoption: A Multi-Factorial Study on Social Influence, Compatibility, Digital Self-Efficacy, and Perceived Cost Among Generation Z Consumers in the United States
by Santosh Reddy Addula
J. Theor. Appl. Electron. Commer. Res. 2025, 20(3), 192; https://doi.org/10.3390/jtaer20030192 - 1 Aug 2025
Viewed by 306
Abstract
The introduction of mobile banking is essential in today’s financial sector, where technological innovation plays a critical role. To remain competitive in the current market, businesses must analyze client attitudes and perspectives, as these influence long-term demand and overall profitability. While previous studies [...] Read more.
The introduction of mobile banking is essential in today’s financial sector, where technological innovation plays a critical role. To remain competitive in the current market, businesses must analyze client attitudes and perspectives, as these influence long-term demand and overall profitability. While previous studies have explored general adoption behaviors, limited research has examined how individual factors such as social influence, lifestyle compatibility, financial technology self-efficacy, and perceived usage cost affect mobile banking adoption among specific generational cohorts. This study addresses that gap by offering insights into these variables, contributing to the growing literature on mobile banking adoption, and presenting actionable recommendations for financial institutions targeting younger market segments. Using a structured questionnaire survey, data were collected from both users and non-users of mobile banking among the Gen Z population in the United States. The regression model significantly predicts mobile banking adoption, with an intercept of 0.548 (p < 0.001). Among the independent variables, perceived cost of usage has the strongest positive effect on adoption (B=0.857, β=0.722, p < 0.001), suggesting that adoption increases when mobile banking is perceived as more affordable. Social influence also has a significant positive impact (B=0.642, β=0.643, p < 0.001), indicating that peer influence is a central driver of adoption decisions. However, self-efficacy shows a significant negative relationship (B=0.343, β=0.339, p < 0.001), and lifestyle compatibility was found to be statistically insignificant (p=0.615). These findings suggest that reducing perceived costs, through lower fees, data bundling, or clearer communication about affordability, can directly enhance adoption among Gen Z consumers. Furthermore, leveraging peer influence via referral rewards, Partnerships with influencers, and in-app social features can increase user adoption. Since digital self-efficacy presents a barrier for some, banks should prioritize simplifying user interfaces and offering guided assistance, such as tutorials or chat-based support. Future research may employ longitudinal designs or analyze real-life transaction data for a more objective understanding of behavior. Additional variables like trust, perceived risk, and regulatory policies, not included in this study, should be integrated into future models to offer a more comprehensive analysis. Full article
13 pages, 733 KiB  
Proceeding Paper
AI-Based Assistant for SORA: Approach, Interaction Logic, and Perspectives for Cybersecurity Integration
by Anton Puliyski and Vladimir Serbezov
Eng. Proc. 2025, 100(1), 65; https://doi.org/10.3390/engproc2025100065 - 1 Aug 2025
Viewed by 151
Abstract
This article presents the design, development, and evaluation of an AI-based assistant tailored to support users in the application of the Specific Operations Risk Assessment (SORA) methodology for unmanned aircraft systems. Built on a customized language model, the assistant was trained using system-level [...] Read more.
This article presents the design, development, and evaluation of an AI-based assistant tailored to support users in the application of the Specific Operations Risk Assessment (SORA) methodology for unmanned aircraft systems. Built on a customized language model, the assistant was trained using system-level instructions with the goal of translating complex regulatory concepts into clear and actionable guidance. The approach combines structured definitions, contextualized examples, constrained response behavior, and references to authoritative sources such as JARUS and EASA. Rather than substituting expert or regulatory roles, the assistant provides process-oriented support, helping users understand and complete the various stages of risk assessment. The model’s effectiveness is illustrated through practical interaction scenarios, demonstrating its value across educational, operational, and advisory use cases, and its potential to contribute to the digital transformation of safety and compliance processes in the drone ecosystem. Full article
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23 pages, 3850 KiB  
Review
Speckle-Correlation Holographic Imaging: Advances, Techniques, and Current Challenges
by Vinu R. V., Ziyang Chen and Jixiong Pu
Photonics 2025, 12(8), 776; https://doi.org/10.3390/photonics12080776 - 31 Jul 2025
Viewed by 283
Abstract
The imaging modalities of correlation-assisted techniques utilize the inherent information present in the spatial correlation of random intensity patterns for the successful reconstruction of object information. However, most correlation approaches focus only on the reconstruction of amplitude information, as it is a direct [...] Read more.
The imaging modalities of correlation-assisted techniques utilize the inherent information present in the spatial correlation of random intensity patterns for the successful reconstruction of object information. However, most correlation approaches focus only on the reconstruction of amplitude information, as it is a direct byproduct of the correlation, disregarding the phase information. Complex-field reconstruction requires additional experimental or computational schemes, alongside conventional correlation geometry. The resurgence of holography in recent times, with advanced digital techniques and the adoption of the full-field imaging potential of holography in correlation with imaging techniques, has paved the way for the development of various state-of-the-art approaches to correlation optics. This review article provides an in-depth discussion of the recent developments in speckle-correlation-assisted techniques by focusing on various quantitative imaging scenarios. Furthermore, the recent progress and application of correlation-assisted holographic imaging techniques are reviewed, along with its potential challenges. Full article
(This article belongs to the Special Issue Recent Progress in Holography and Its Future Prospects)
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34 pages, 1156 KiB  
Systematic Review
Mathematical Modelling and Optimization Methods in Geomechanically Informed Blast Design: A Systematic Literature Review
by Fabian Leon, Luis Rojas, Alvaro Peña, Paola Moraga, Pedro Robles, Blanca Gana and Jose García
Mathematics 2025, 13(15), 2456; https://doi.org/10.3390/math13152456 - 30 Jul 2025
Viewed by 258
Abstract
Background: Rock–blast design is a canonical inverse problem that joins elastodynamic partial differential equations (PDEs), fracture mechanics, and stochastic heterogeneity. Objective: Guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol, a systematic review of mathematical methods for geomechanically informed [...] Read more.
Background: Rock–blast design is a canonical inverse problem that joins elastodynamic partial differential equations (PDEs), fracture mechanics, and stochastic heterogeneity. Objective: Guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol, a systematic review of mathematical methods for geomechanically informed blast modelling and optimisation is provided. Methods: A Scopus–Web of Science search (2000–2025) retrieved 2415 records; semantic filtering and expert screening reduced the corpus to 97 studies. Topic modelling with Bidirectional Encoder Representations from Transformers Topic (BERTOPIC) and bibliometrics organised them into (i) finite-element and finite–discrete element simulations, including arbitrary Lagrangian–Eulerian (ALE) formulations; (ii) geomechanics-enhanced empirical laws; and (iii) machine-learning surrogates and multi-objective optimisers. Results: High-fidelity simulations delimit blast-induced damage with ≤0.2 m mean absolute error; extensions of the Kuznetsov–Ram equation cut median-size mean absolute percentage error (MAPE) from 27% to 15%; Gaussian-process and ensemble learners reach a coefficient of determination (R2>0.95) while providing closed-form uncertainty; Pareto optimisers lower peak particle velocity (PPV) by up to 48% without productivity loss. Synthesis: Four themes emerge—surrogate-assisted PDE-constrained optimisation, probabilistic domain adaptation, Bayesian model fusion for digital-twin updating, and entropy-based energy metrics. Conclusions: Persisting challenges in scalable uncertainty quantification, coupled discrete–continuous fracture solvers, and rigorous fusion of physics-informed and data-driven models position blast design as a fertile test bed for advances in applied mathematics, numerical analysis, and machine-learning theory. Full article
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15 pages, 5904 KiB  
Study Protocol
Protocol for the Digital, Individualized, and Collaborative Treatment of Type 2 Diabetes in General Practice Based on Decision Aid (DICTA)—A Randomized Controlled Trial
by Sofie Frigaard Kristoffersen, Jeanette Reffstrup Christensen, Louise Munk Ramo Jeremiassen, Lea Bolette Kylkjær, Nanna Reffstrup Christensen, Sally Wullf Jørgensen, Jette Kolding Kristensen, Sonja Wehberg, Ilan Esra Raymond, Dorte E. Jarbøl, Jesper Bo Nielsen, Jens Søndergaard, Michael Hecht Olsen, Jens Steen Nielsen and Carl J. Brandt
Nutrients 2025, 17(15), 2494; https://doi.org/10.3390/nu17152494 - 30 Jul 2025
Viewed by 221
Abstract
Background: Despite significant advancements in diabetes care, many individuals with type 2 diabetes (T2D) do not receive optimal care and treatment. Digital interventions promoting behavioral changes have shown promising long-term results in supporting healthier lifestyles but are not implemented in most healthcare [...] Read more.
Background: Despite significant advancements in diabetes care, many individuals with type 2 diabetes (T2D) do not receive optimal care and treatment. Digital interventions promoting behavioral changes have shown promising long-term results in supporting healthier lifestyles but are not implemented in most healthcare offerings, maybe due to lack of general practice support and collaboration. This study evaluates the efficacy of the Digital, Individualized, and Collaborative Treatment of T2D in General Practice Based on Decision Aid (DICTA), a randomized controlled trial integrating a patient-centered smartphone application for lifestyle support in conjunction with a clinical decision support (CDS) tool to assist general practitioners (GPs) in optimizing antidiabetic treatment. Methods: The present randomized controlled trial aims to recruit 400 individuals with T2D from approximately 70 GP clinics (GPCs) in Denmark. The GPCs will be cluster-randomized in a 2:3 ratio to intervention or control groups. The intervention group will receive one year of individualized eHealth lifestyle coaching via a smartphone application, guided by patient-reported outcomes (PROs). Alongside this, the GPCs will have access to the CDS tool to optimize pharmacological decision-making through electronic health records. The control group will receive usual care for one year, followed by the same intervention in the second year. Results: The primary outcome is the one-year change in estimated ten-year cardiovascular risk, assessed by SCORE2-Diabetes calculated from age, smoking status, systolic blood pressure, total and high-density lipoprotein cholesterol, age at diabetes diagnosis, HbA1c, and eGFR. Conclusions: If effective, DICTA could offer a scalable, digital-first approach for improving T2D management in primary care by combining patient-centered lifestyle coaching with real-time pharmacological clinical decision support. Full article
(This article belongs to the Section Nutrition and Diabetes)
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27 pages, 2966 KiB  
Article
Identifying Weekly Student Engagement Patterns in E-Learning via K-Means Clustering and Label-Based Validation
by Nisreen Alzahrani, Maram Meccawy, Halima Samra and Hassan A. El-Sabagh
Electronics 2025, 14(15), 3018; https://doi.org/10.3390/electronics14153018 - 29 Jul 2025
Viewed by 238
Abstract
While prior work has explored learner behavior using learning management systems (LMS) data, few studies provide week-level clustering validated against external engagement labels. To understand and assist students in online learning platforms and environments, this study presents a week-level engagement profiling framework for [...] Read more.
While prior work has explored learner behavior using learning management systems (LMS) data, few studies provide week-level clustering validated against external engagement labels. To understand and assist students in online learning platforms and environments, this study presents a week-level engagement profiling framework for e-learning environments, utilizing K-means clustering and label-based validation. Leveraging log data from 127 students over a 13-week course, 44 activity-based features were engineered to classify student engagement into high, moderate, and low levels. The optimal number of clusters (k = 3) was identified using the elbow method and assessed through internal metrics, including a silhouette score of 0.493 and R2 of 0.80. External validation confirmed strong alignment with pre-labeled engagement levels based on activity frequency and weighting. The clustering approach successfully revealed distinct behavioral patterns across engagement tiers, enabling a nuanced understanding of student interaction dynamics over time. Regression analysis further demonstrated a significant association between engagement levels and academic performance, underscoring the model’s potential as an early warning system for identifying at-risk learners. These findings suggest that clustering based on LMS behavior offers a scalable, data-driven strategy for improving learner support, personalizing instruction, and enhancing retention and academic outcomes in digital education settings such as MOOCs. Full article
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50 pages, 8673 KiB  
Article
Challenges of Integrating Assistive Technologies and Robots with Embodied Intelligence in the Homes of Older People Living with Frailty
by Abdel-Karim Al-Tamimi, Lantana Hewitt, David Cameron, Maher Salem and Armaghan Moemeni
Appl. Sci. 2025, 15(15), 8415; https://doi.org/10.3390/app15158415 - 29 Jul 2025
Viewed by 235
Abstract
The rapid increase in the global population of older adults presents a significant challenge, but also a unique opportunity to leverage technological advancements for promoting independent living and well-being. This study introduces the CIREI framework, which is a comprehensive model designed to enhance [...] Read more.
The rapid increase in the global population of older adults presents a significant challenge, but also a unique opportunity to leverage technological advancements for promoting independent living and well-being. This study introduces the CIREI framework, which is a comprehensive model designed to enhance the integration of smart home and assistive technologies specifically for pre-frail older adults. Developed through a systematic literature review and innovative and comprehensive co-design activities, the CIREI framework captures the nuanced needs, preferences, and challenges faced by older adults, caregivers, and experts. Key findings from the co-design workshop highlight critical factors such as usability, privacy, and personalised learning preferences, which directly influence technology adoption. These insights informed the creation of an intelligent middleware prototype named WISE-WARE, which seamlessly integrates commercial off-the-shelf (COTS) devices to support health management and improve the quality of life for older adults. The CIREI framework’s adaptability ensures it can be extended and refined to meet the ever-changing needs of the ageing population, providing a robust foundation for future research and development in user-centred technology design. All workshop materials, including tools and methodologies, are made available to encourage the further exploration and adaptation of the CIREI framework, ensuring its relevance and effectiveness in the dynamic landscape of ageing and technology. This research contributes significantly to the discourse on ageing in place, digital inclusion, and the role of technology in empowering older adults to maintain independence. Full article
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17 pages, 1540 KiB  
Article
Evaluating a Nationally Localized AI Chatbot for Personalized Primary Care Guidance: Insights from the HomeDOCtor Deployment in Slovenia
by Matjaž Gams, Tadej Horvat, Žiga Kolar, Primož Kocuvan, Kostadin Mishev and Monika Simjanoska Misheva
Healthcare 2025, 13(15), 1843; https://doi.org/10.3390/healthcare13151843 - 29 Jul 2025
Viewed by 343
Abstract
Background/Objectives: The demand for accessible and reliable digital health services has increased significantly in recent years, particularly in regions facing physician shortages. HomeDOCtor, a conversational AI platform developed in Slovenia, addresses this need with a nationally adapted architecture that combines retrieval-augmented generation [...] Read more.
Background/Objectives: The demand for accessible and reliable digital health services has increased significantly in recent years, particularly in regions facing physician shortages. HomeDOCtor, a conversational AI platform developed in Slovenia, addresses this need with a nationally adapted architecture that combines retrieval-augmented generation (RAG) and a Redis-based vector database of curated medical guidelines. The objective of this study was to assess the performance and impact of HomeDOCtor in providing AI-powered healthcare assistance. Methods: HomeDOCtor is designed for human-centered communication and clinical relevance, supporting multilingual and multimedia citizen inputs while being available 24/7. It was tested using a set of 100 international clinical vignettes and 150 internal medicine exam questions from the University of Ljubljana to validate its clinical performance. Results: During its six-month nationwide deployment, HomeDOCtor received overwhelmingly positive user feedback with minimal criticism, and exceeded initial expectations, especially in light of widespread media narratives warning about the risks of AI. HomeDOCtor autonomously delivered localized, evidence-based guidance, including self-care instructions and referral suggestions, with average response times under three seconds. On international benchmarks, the system achieved ≥95% Top-1 diagnostic accuracy, comparable to leading medical AI platforms, and significantly outperformed stand-alone ChatGPT-4o in the national context (90.7% vs. 80.7%, p = 0.0135). Conclusions: Practically, HomeDOCtor eases the burden on healthcare professionals by providing citizens with 24/7 autonomous, personalized triage and self-care guidance for less complex medical issues, ensuring that these cases are self-managed efficiently. The system also identifies more serious cases that might otherwise be neglected, directing them to professionals for appropriate care. Theoretically, HomeDOCtor demonstrates that domain-specific, nationally adapted large language models can outperform general-purpose models. Methodologically, it offers a framework for integrating GDPR-compliant AI solutions in healthcare. These findings emphasize the value of localization in conversational AI and telemedicine solutions across diverse national contexts. Full article
(This article belongs to the Special Issue Application of Digital Services to Improve Patient-Centered Care)
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