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Search Results (196)

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Keywords = ethical sustainability reporting

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22 pages, 478 KB  
Article
Scrap the Food Waste: An Investigation of the Effect of Sociodemographic Factors and Digital Activism on Food Waste Prevention Behavior
by Maria Piochi, Riccardo Migliavada, Maria Giovanna Onorati, Franco Fassio and Luisa Torri
Foods 2026, 15(3), 456; https://doi.org/10.3390/foods15030456 - 28 Jan 2026
Viewed by 118
Abstract
Food waste is a persistent global concern, requiring behavioral and systemic responses from consumers. The current study investigated the effect of sociodemographic factors and digital activism on food waste prevention behavior. Data from 390 respondents living in Italy (65% females, from 18 to [...] Read more.
Food waste is a persistent global concern, requiring behavioral and systemic responses from consumers. The current study investigated the effect of sociodemographic factors and digital activism on food waste prevention behavior. Data from 390 respondents living in Italy (65% females, from 18 to 75 years old, grouped into four generations) were collected through an online survey covering these sections: sociodemographic variables, digital activism, knowledge, attitudes, and food waste behaviors. A Food Waste Prevention Index (FWPI) was computed to assess self-reported adherence to waste-reducing practices, and differences across three groups identified through tertiles were tested. Women displayed higher levels of digital activism; Gen Z was the most engaged generation in seeking information about food, while interest in food issues declined with age. Gender, geographical area, and dietary orientation significantly influenced food waste prevention, with women, rural residents, and individuals adopting flexitarian or vegetarian diets tending towards more virtuous behavior (higher FWPI). According to digital activism, less virtuous waste behavior (lower FWPI) was associated with a lower social media and apps usage frequency. Furthermore, higher FWPI individuals self-reported stronger sensitivity to sustainability-related topics such as circular economy, short food chains, and ethical or environmental motivations for vegetarianism. Overall, awareness and digital activism may synergistically foster more responsible food consumption, and targeted communication and digital tools can effectively support household food waste reduction strategies. Full article
(This article belongs to the Section Food Security and Sustainability)
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18 pages, 587 KB  
Article
Bridging the Engagement–Regulation Gap: A Longitudinal Evaluation of AI-Enhanced Learning Attitudes in Social Work Education
by Duen-Huang Huang and Yu-Cheng Wang
Information 2026, 17(1), 107; https://doi.org/10.3390/info17010107 - 21 Jan 2026
Viewed by 112
Abstract
The rapid adoption of generative artificial intelligence (AI) in higher education has intensified a pedagogical dilemma: while AI tools can increase immediate classroom engagement, they do not necessarily foster the self-regulated learning (SRL) capacities required for ethical and reflective professional practice, particularly in [...] Read more.
The rapid adoption of generative artificial intelligence (AI) in higher education has intensified a pedagogical dilemma: while AI tools can increase immediate classroom engagement, they do not necessarily foster the self-regulated learning (SRL) capacities required for ethical and reflective professional practice, particularly in human-service fields. In this two-time-point, pre-post cohort-level (repeated cross-sectional) evaluation, we examined a six-week AI-integrated curriculum incorporating explicit SRL scaffolding among social work undergraduates at a Taiwanese university (pre-test N = 37; post-test N = 35). Because the surveys were administered anonymously and individual responses could not be linked across time, pre-post comparisons were conducted at the cohort level using independent samples. The participating students completed the AI-Enhanced Learning Attitude Scale (AILAS); this is a 30-item instrument grounded in the Technology Acceptance Model, Attitude Theory and SRL frameworks, assessing six dimensions of AI-related learning attitudes. Prior pilot evidence suggested an engagement regulation gap, characterized by relatively strong learning process engagement but weaker learning planning and learning habits. Accordingly, the curriculum incorporated weekly goal-setting activities, structured reflection tasks, peer accountability mechanisms, explicit instructor modeling of SRL strategies and simple progress tracking tools. The conducted psychometric analyses demonstrated excellent internal consistency for the total scale at the post-test stage (Cronbach’s α = 0.95). The independent-samples t-tests indicated that, at the post-test stage, the cohorts reported higher mean scores across most dimensions, with the largest cohort-level differences in Learning Habits (Cohen’s d = 0.75, p = 0.003) and Learning Process (Cohen’s d = 0.79, p = 0.002). After Bonferroni adjustment, improvements in the Learning Desire, Learning Habits and Learning Process dimensions and the Overall Attitude scores remained statistically robust. In contrast, the Learning Planning dimension demonstrated only marginal improvement (d = 0.46, p = 0.064), suggesting that higher-order planning skills may require longer or more sustained instructional support. No statistically significant gender differences were identified at the post-test stage. Taken together, the findings presented in this study offer preliminary, design-consistent evidence that SRL-oriented pedagogical scaffolding, rather than AI technology itself, may help narrow the engagement regulation gap, while the consolidation of autonomous planning capacities remains an ongoing instructional challenge. Full article
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19 pages, 2077 KB  
Article
Evaluating Natural Language Processing and Named Entity Recognition for Bioarchaeological Data Reuse
by Alphaeus Lien-Talks
Heritage 2026, 9(1), 35; https://doi.org/10.3390/heritage9010035 - 19 Jan 2026
Viewed by 215
Abstract
Bioarchaeology continues to generate growing volumes of data from finite and often destructively sampled resources, making data reusability critical according to FAIR principles (Findable, Accessible, Interoperable, Reusable) and CARE (Collective Benefit, Authority to Control, Responsibility and Ethics). However, much valuable information remains trapped [...] Read more.
Bioarchaeology continues to generate growing volumes of data from finite and often destructively sampled resources, making data reusability critical according to FAIR principles (Findable, Accessible, Interoperable, Reusable) and CARE (Collective Benefit, Authority to Control, Responsibility and Ethics). However, much valuable information remains trapped in grey literature, particularly PDF-based reports, limiting discoverability and machine processing. This paper explores Natural Language Processing (NLP) and Named Entity Recognition (NER) techniques to improve access to osteoarchaeological and palaeopathological data in grey literature. The research developed and evaluated the Osteoarchaeological and Palaeopathological Entity Search (OPES), a lightweight prototype system designed to extract relevant terms from PDF documents within the Archaeology Data Service archive. Unlike transformer-based Large Language Models, OPES employs interpretable, computationally efficient, and sustainable NLP methods. A structured user evaluation (n = 83) involving students (42), experts (26), and the general public (15) assessed five success criteria: usefulness, time-saving ability, accessibility, reliability, and likelihood of reuse. Results demonstrate that while limitations remain in reliability and expert engagement, NLP and NER show clear potential to increase FAIRness of osteoarcheological datasets. The study emphasises the continued need for robust evaluation methodologies in heritage AI applications as new technologies emerge. Full article
(This article belongs to the Special Issue AI and the Future of Cultural Heritage)
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28 pages, 2594 KB  
Review
From Algorithm to Medicine: AI in the Discovery and Development of New Drugs
by Ana Beatriz Lopes, Célia Fortuna Rodrigues and Francisco A. M. Silva
AI 2026, 7(1), 26; https://doi.org/10.3390/ai7010026 - 14 Jan 2026
Viewed by 657
Abstract
The discovery and development of new drugs is a lengthy, complex, and costly process, often requiring 10–20 years to progress from initial concept to market approval, with clinical trials representing the most resource-intensive stage. In recent years, Artificial Intelligence (AI) has emerged as [...] Read more.
The discovery and development of new drugs is a lengthy, complex, and costly process, often requiring 10–20 years to progress from initial concept to market approval, with clinical trials representing the most resource-intensive stage. In recent years, Artificial Intelligence (AI) has emerged as a transformative technology capable of reshaping the entire pharmaceutical research and development (R&D) pipeline. The purpose of this narrative review is to examine the role of AI in drug discovery and development, highlighting its contributions, challenges, and future implications for pharmaceutical sciences and global public health. A comprehensive review of the scientific literature was conducted, focusing on published studies, reviews, and reports addressing the application of AI across the stages of drug discovery, preclinical development, clinical trials, and post-marketing surveillance. Key themes were identified, including AI-driven target identification, molecular screening, de novo drug design, predictive toxicity modelling, and clinical monitoring. The reviewed evidence indicates that AI has significantly accelerated drug discovery and development by reducing timeframes, costs, and failure rates. AI-based approaches have enhanced the efficiency of target identification, optimized lead compound selection, improved safety predictions, and supported adaptive clinical trial designs. Collectively, these advances position AI as a catalyst for innovation, particularly in promoting accessible, efficient, and sustainable healthcare solutions. However, substantial challenges remain, including reliance on high-quality and representative biomedical data, limited algorithmic transparency, high implementation costs, regulatory uncertainty, and ethical and legal concerns related to data privacy, bias, and equitable access. In conclusion, AI represents a paradigm shift in pharmaceutical research and drug development, offering unprecedented opportunities to improve efficiency and innovation. Addressing its technical, ethical, and regulatory limitations will be essential to fully realize its potential as a sustainable and globally impactful tool for therapeutic innovation. Full article
(This article belongs to the Special Issue Transforming Biomedical Innovation with Artificial Intelligence)
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15 pages, 251 KB  
Article
Ethical Decision-Making and Clinical Ethics Support in Italian Neonatal Intensive Care Units: Results from a National Survey
by Clara Todini, Barbara Corsano, Simona Giardina, Simone S. Masilla, Costanza Raimondi, Pietro Refolo, Dario Sacchini and Antonio G. Spagnolo
Healthcare 2026, 14(2), 181; https://doi.org/10.3390/healthcare14020181 - 11 Jan 2026
Viewed by 321
Abstract
Background/Objectives: Neonatal Intensive Care Units (NICUs) constitute a highly complex clinical environment characterized by patient fragility and frequent ethically sensitive decisions. To date, systematic studies investigating how Italian NICUs address these challenges and what forms of ethics support are effectively available are lacking. [...] Read more.
Background/Objectives: Neonatal Intensive Care Units (NICUs) constitute a highly complex clinical environment characterized by patient fragility and frequent ethically sensitive decisions. To date, systematic studies investigating how Italian NICUs address these challenges and what forms of ethics support are effectively available are lacking. The aim of this study is therefore to assess how ethical issues are managed in Italian NICUs, with particular attention to the availability, use, and perceived usefulness of clinical ethics support in everyday practice. Methods: A 25-item questionnaire was developed by adapting an existing tool for investigating clinical ethics activities to the neonatal context. Following expert review by the GIBCE (Gruppo Interdisciplinare di Bioetica Clinica e Consulenza Etica in ambito sanitario), the final instrument covered four areas (general data, experience with ethical dilemmas, tools and procedures, opinions and training needs). A manual web search identified all Italian NICUs and their clinical directors, who were asked to disseminate the survey among staff. Participation was voluntary and anonymous. Data collection was conducted via Google Forms and analyzed through qualitative thematic analysis. Results: A total of 217 questionnaires were collected. The most frequent ethical dilemmas concern quality of life with anticipated multiple or severe disabilities (72.4%) and decisions to withdraw or withhold life-sustaining treatments (64.5%). Major challenges include fear of medico-legal repercussions (57.6%) and communication divergences between physicians and nurses (49.8%). More than half of respondents (52.1%) reported no formal training in clinical ethics, and 68.7% had never developed a Shared Care Plan (Shared Document for healthcare ethics planning) as defined by the Italian Law 219/2017. Conclusions: Findings highlight marked fragmentation in ethical practices across Italian NICUs. On this basis, establishing structured and accessible CEC services could help promote consistency, reinforce shared ethical standards, and support transparent and equitable decision-making in critical neonatal care. Full article
31 pages, 475 KB  
Article
The Application of Artificial Intelligence (AI) in the Implementation of ESG-Oriented Sustainable Development Strategies in the Banking Sector: A Case Study
by Przemysław Pluskota, Kamila Słupińska, Agata Wawrzyniak and Barbara Wąsikowska
Sustainability 2026, 18(2), 732; https://doi.org/10.3390/su18020732 - 10 Jan 2026
Viewed by 1038
Abstract
This paper presents a theoretical and empirical analysis of how banks apply artificial intelligence (AI) in digital and mobile banking to implement and communicate ESG (Environmental, Social, and Governance) strategies, with particular emphasis on environmental dimensions of sustainable finance. The study adopts a [...] Read more.
This paper presents a theoretical and empirical analysis of how banks apply artificial intelligence (AI) in digital and mobile banking to implement and communicate ESG (Environmental, Social, and Governance) strategies, with particular emphasis on environmental dimensions of sustainable finance. The study adopts a mixed methodological approach combining desk research, encompassing a synthesis of academic studies, industry reports, and European regulatory frameworks on AI and ESG, and case study analysis of selected banks implementing AI-based sustainability solutions. The findings reveal that AI supports ESG strategy implementation primarily through green investment recommendations, carbon footprint analytics, automated sustainability reporting, and ethical communication with clients. AI-driven tools enhance the operational efficiency, transparency, and customer engagement of financial institutions while simultaneously fostering low-carbon financial behaviors. However, the study also highlights ethical and governance challenges related to algorithmic transparency, data bias, and responsible AI oversight. The paper contributes to the growing body of literature on AI-driven digital transformation and sustainable finance by identifying research gaps and outlining future directions for exploring the role of AI in accelerating the transition of the banking sector. Full article
(This article belongs to the Special Issue Advances in Economic Development and Business Management)
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34 pages, 1481 KB  
Article
Claiming Food Ethics as a Pillar of Food Security
by Ioana Mihaela Balan, Teodor Ioan Trasca, Nicoleta Mateoc-Sirb, Bogdan Petru Radoi, Ciprian Ioan Rujescu, Monica Ocnean, Flaviu Bob, Liviu Athos Tamas, Adrian Daniel Gencia and Alexandru Jadaneant
Foods 2026, 15(2), 255; https://doi.org/10.3390/foods15020255 - 10 Jan 2026
Viewed by 328
Abstract
This article explores the integration of food ethics as a proposed fifth and emerging pillar of food security, complementing the four dimensions established by the FAO 1996 framework (availability, accessibility, utilization, and stability). Using Romania as a case study, the research combines descriptive [...] Read more.
This article explores the integration of food ethics as a proposed fifth and emerging pillar of food security, complementing the four dimensions established by the FAO 1996 framework (availability, accessibility, utilization, and stability). Using Romania as a case study, the research combines descriptive statistical analysis, legislative review, and conceptual interpretation to examine how moral responsibility, social equity, and food citizenship shape sustainable food systems. Quantitative data from Eurostat (2020–2022) reveal that Romania generates over 3.4 million tons of food waste annually, with households accounting for more than half of the total. This wasted abundance coexists with persistent food insecurity, affecting 14.7% of the population who cannot afford a protein-based meal even once every second day. Given the short time series (n = 3), including the entire data that was reported to date and the exclusive use of secondary data, the statistical results are interpreted descriptively and, where applicable, exploratorily. In this context, the findings demonstrate that food waste is not merely an issue of economic inefficiency, but rather a profound ethical and social imbalance. This research argues for the conceptual recognition of an ethical pillar within the food security framework linking moral awareness, responsible consumption, and equitable access to food. By advancing food ethics as a normative and societal foundation of sustainable food systems, this article offers a framework relevant for policy design, civic engagement, and collective responsibility, reframing food security beyond a purely technical objective. Full article
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43 pages, 10782 KB  
Article
Nested Learning in Higher Education: Integrating Generative AI, Neuroimaging, and Multimodal Deep Learning for a Sustainable and Innovative Ecosystem
by Rubén Juárez, Antonio Hernández-Fernández, Claudia Barros Camargo and David Molero
Sustainability 2026, 18(2), 656; https://doi.org/10.3390/su18020656 - 8 Jan 2026
Viewed by 351
Abstract
Industry 5.0 challenges higher education to adopt human-centred and sustainable uses of artificial intelligence, yet many current deployments still treat generative AI as a stand-alone tool, neurophysiological sensing as largely laboratory-bound, and governance as an external add-on rather than a design constraint. This [...] Read more.
Industry 5.0 challenges higher education to adopt human-centred and sustainable uses of artificial intelligence, yet many current deployments still treat generative AI as a stand-alone tool, neurophysiological sensing as largely laboratory-bound, and governance as an external add-on rather than a design constraint. This article introduces Nested Learning as a neuro-adaptive ecosystem design in which generative-AI agents, IoT infrastructures and multimodal deep learning orchestrate instructional support while preserving student agency and a “pedagogy of hope”. We report an exploratory two-phase mixed-methods study as an initial empirical illustration. First, a neuro-experimental calibration with 18 undergraduate students used mobile EEG while they interacted with ChatGPT in problem-solving tasks structured as challenge–support–reflection micro-cycles. Second, a field implementation at a university in Madrid involved 380 participants (300 students and 80 lecturers), embedding the Nested Learning ecosystem into regular courses. Data sources included EEG (P300) signals, interaction logs, self-report measures of engagement, self-regulated learning and cognitive safety (with strong internal consistency; α/ω0.82), and open-ended responses capturing emotional experience and ethical concerns. In Phase 1, P300 dynamics aligned with key instructional micro-events, providing feasibility evidence that low-cost neuro-adaptive pipelines can be sensitive to pedagogical flow in ecologically relevant tasks. In Phase 2, participants reported high levels of perceived nested support and cognitive safety, and observed associations between perceived Nested Learning, perceived neuro-adaptive adjustments, engagement and self-regulation were moderate to strong (r=0.410.63, p<0.001). Qualitative data converged on themes of clarity, adaptive support and non-punitive error culture, alongside recurring concerns about privacy and cognitive sovereignty. We argue that, under robust ethical, data-protection and sustainability-by-design constraints, Nested Learning can strengthen academic resilience, learner autonomy and human-centred uses of AI in higher education. Full article
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28 pages, 2746 KB  
Systematic Review
A Review of the Transition from Industry 4.0 to Industry 5.0: Unlocking the Potential of TinyML in Industrial IoT Systems
by Margarita Terziyska, Iliana Ilieva, Zhelyazko Terziyski and Nikolay Komitov
Sci 2026, 8(1), 10; https://doi.org/10.3390/sci8010010 - 7 Jan 2026
Viewed by 555
Abstract
The integration of artificial intelligence into the Industrial Internet of Things (IIoT), supported by edge computing architectures, marks a new paradigm of intelligent automation. Tiny Machine Learning (TinyML) is emerging as a key technology that enables the deployment of machine learning models on [...] Read more.
The integration of artificial intelligence into the Industrial Internet of Things (IIoT), supported by edge computing architectures, marks a new paradigm of intelligent automation. Tiny Machine Learning (TinyML) is emerging as a key technology that enables the deployment of machine learning models on ultra-low-power devices. This study presents a systematic review of 110 peer-reviewed publications (2020–2025) identified from Scopus, Web of Science, and IEEE Xplore following the PRISMA protocol. Bibliometric and thematic analyses were conducted using Biblioshiny and VOSviewer to identify major trends, architectural approaches, and industrial applications of TinyML. The results reveal four principal research clusters: edge intelligence and energy efficiency, federated and explainable learning, human-centric systems, and sustainable resource management. Importantly, the surveyed industrial implementations report measurable gains—typically reducing inference latency to the millisecond range, lowering on-device energy cost to the sub-milliwatt regime, and sustaining high task accuracy, thereby substantiating the practical feasibility of TinyML in real IIoT settings. The analysis indicates a conceptual shift from engineering- and energy-focused studies toward cognitive, ethical, and security-oriented perspectives aligned with the principles of Industry 5.0. TinyML is positioned as a catalyst for the transition from automation to cognitive autonomy and as a technological foundation for building energy-efficient, ethical, and sustainable industrial ecosystems. Full article
(This article belongs to the Section Computer Sciences, Mathematics and AI)
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28 pages, 863 KB  
Article
Integrating Artificial Intelligence (AI) in Primary Health Care (PHC) Systems: A Framework-Guided Comparative Qualitative Study
by Farzaneh Yousefi, Reza Dehnavieh, Maude Laberge, AliAkbar Haghdoost, Maxime Sasseville, Somayeh Noori Hekmat, Mohammad Mehdi Ghaemi and Mohsen Nadali
Healthcare 2026, 14(2), 145; https://doi.org/10.3390/healthcare14020145 - 7 Jan 2026
Viewed by 329
Abstract
Background/Objectives: The integration of artificial intelligence (AI) into primary health care (PHC) holds significant potential to enhance efficiency, equity, and clinical decision-making. However, its implementation remains uneven across contexts. This study aimed to identify the systemic, contextual, and governance-related determinants influencing AI [...] Read more.
Background/Objectives: The integration of artificial intelligence (AI) into primary health care (PHC) holds significant potential to enhance efficiency, equity, and clinical decision-making. However, its implementation remains uneven across contexts. This study aimed to identify the systemic, contextual, and governance-related determinants influencing AI readiness in PHC, comparing two distinct health systems, Quebec (Canada) and Iran. Methods: A qualitative, comparative design was employed. Data were collected through semi-structured interviews and focus group discussions with key informants in both settings. A framework-guided content analysis was conducted based on the four Primary Care Evaluation Tool (PCET): stewardship, financing, resource generation, and service delivery. The analysis explored shared context-specific challenges and requirements for AI implementation in PHC. Results: Analysis revealed that AI readiness is shaped more by systemic coherence rather than technological availability alone. Across both contexts, governance- and financing-related challenges were reported by the majority of participants, alongside limited data interoperability. In Quebec, challenges were more commonly articulated around operational and ethical concerns, including workflow integration, transparency, and professional trust. In contrast, participants in Iran emphasized foundational deficiencies in governance stability, financing mechanisms, and digital infrastructure as primary barriers. Across both settings, adaptive governance, sustainable investment, data standardization, and workforce capacity-building consistently emerged as key requirements for AI integration in PHC. Conclusions: AI readiness in PHC is a multidimensional process, in which implementation priorities must align with system maturity. This comparative analysis underscores that while high-resource systems must prioritize ethical integration and workflow alignment, middle-resource settings require foundational investments in governance and infrastructure. This reinforces that AI readiness is a context-dependent and phased process rather than a one-size-fits-all endeavor. Full article
(This article belongs to the Special Issue Artificial Intelligence in Health Services Research and Organizations)
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23 pages, 3739 KB  
Article
Generative Artificial Intelligence for Sustainable Digital Transformation in Agro-Environmental Higher Education in Ecuador
by Juan Fernando Guamán-Tabango and Alexandra Elizabeth Jácome-Ortega
Sustainability 2026, 18(2), 587; https://doi.org/10.3390/su18020587 - 7 Jan 2026
Viewed by 290
Abstract
This study analyses the integration of Generative Artificial Intelligence (GenAI) in agro-environmental higher education in Ecuador, focusing on its contribution to sustainable digital transformation aligned with Sustainable Development Goals (SDGs) 4 and 9. The research was conducted at the Faculty of Agricultural and [...] Read more.
This study analyses the integration of Generative Artificial Intelligence (GenAI) in agro-environmental higher education in Ecuador, focusing on its contribution to sustainable digital transformation aligned with Sustainable Development Goals (SDGs) 4 and 9. The research was conducted at the Faculty of Agricultural and Environmental Engineering (FICAYA) of Universidad Técnica del Norte (UTN) using a quantitative, cross-sectional, and analytical design. A validated digital survey grounded in established technology-acceptance frameworks—the Technology Acceptance Model (TAM) and the Unified Theory of Acceptance and Use of Technology (UTAUT) was administered to 94% of the student population, showing satisfactory internal consistency (Cronbach’s α = 0.87). Data was analysed using descriptive statistics and multivariate techniques, including Principal Component Analysis (PCA) and k-means clustering. The results obtained in Microsoft Forms® indicate that ChatGPT-5 is the most widely used GenAI tool (54.2%), followed by Gemini (11.9%). Students reported perceived improvements in academic performance (62.5%), conceptual understanding (74.6%), and task efficiency (69.1%). PCA explained 67% of the total variance, identifying three latent dimensions: effectiveness and satisfaction, institutional access and support, and ethical concerns versus operational benefits. Furthermore, k-means clustering (k = 2) segmented users into two distinct profiles Integrators, characterised by frequent use and positive perceptions, and Cautious Users, exhibiting lower usage and greater ethical or technical concerns. Overall, the findings highlight GenAI as a catalyst for sustainable education and underline the need for institutional and ethical frameworks to support its responsible integration in Latin American universities. Full article
(This article belongs to the Section Sustainable Education and Approaches)
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22 pages, 632 KB  
Review
“Your Digital Doctor Will Now See You”: A Narrative Review of VR and AI Technology in Chronic Illness Management
by Albert Łukasik, Milena Celebudzka and Arkadiusz Gut
Healthcare 2026, 14(2), 143; https://doi.org/10.3390/healthcare14020143 - 6 Jan 2026
Viewed by 462
Abstract
This narrative review examines how immersive virtual and mixed-reality (VR/MR) technologies, combined with AI-driven virtual agents, can support the prevention and long-term management of chronic illness. Chronic diseases represent a significant global health burden, and conventional care models often struggle to sustain patient [...] Read more.
This narrative review examines how immersive virtual and mixed-reality (VR/MR) technologies, combined with AI-driven virtual agents, can support the prevention and long-term management of chronic illness. Chronic diseases represent a significant global health burden, and conventional care models often struggle to sustain patient engagement, motivation, and adherence over time. To address this gap, we conducted a narrative review of reviews and meta-analyses. We selected empirical studies published between 2020 and 2025, identified through searches in PubMed, Web of Science, and Google Scholar. The aim was to capture the state of the art in the integrated use of VR/MR and AI in chronic illness care, and to identify key opportunities, challenges, and considerations relevant to clinical practice. The reviewed evidence indicates that VR/MR interventions consistently enhance engagement, motivation, symptom coping, and emotional well-being, particularly in rehabilitation, pain management, and psychoeducation. At the same time, AI-driven conversational agents and virtual therapists add adaptive feedback, personalization, real-time monitoring, and continuity of care between clinical visits. However, persistent challenges are also reported, including technical limitations such as latency and system dependence, ethical concerns related to data privacy and algorithmic bias, as well as psychosocial risks such as emotional overattachment or discomfort arising from avatar design. Overall, the findings suggest that the most significant clinical value emerges when VR/MR and AI are deployed together rather than in isolation. When implemented with patient-centered design, clinician oversight, and transparent governance, these technologies can meaningfully support more engaging, personalized, and sustainable chronic illness management. Full article
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39 pages, 609 KB  
Article
Unveiling ESG Controversy Risks: A Multi-Criteria Evaluation of Whistleblowing Performance in European Financial Institutions
by George Sklavos, Georgia Zournatzidou and Nikolaos Sariannidis
Risks 2026, 14(1), 10; https://doi.org/10.3390/risks14010010 - 4 Jan 2026
Viewed by 304
Abstract
Financial institutions face increased reputational, regulatory, and ethical risks as the frequency and complexity of Environmental, Social, and Governance (ESG) controversies increase. Whistleblowing mechanisms are essential in the context of institutional resilience and the mitigation of internal governance failures. This study quantifies the [...] Read more.
Financial institutions face increased reputational, regulatory, and ethical risks as the frequency and complexity of Environmental, Social, and Governance (ESG) controversies increase. Whistleblowing mechanisms are essential in the context of institutional resilience and the mitigation of internal governance failures. This study quantifies the exposure of 364 European financial institutions to a variety of ESG controversies to assess the effectiveness of whistleblowing during the fiscal year 2024. A whistleblowing performance index that captures the relative influence of ESG-related risk factors—such as corruption allegations, environmental violations, and executive misconduct—is constructed using a hybrid Multi-Criteria Decision-Making (MCDM) framework that is based on Entropy Weighting and the Technique for Order Preference by Similarity to Ideal Solution (TOPSIS). The results emphasize that the perceived efficacy of whistleblower systems is substantially influenced by the frequency of media-reported controversies and the presence of robust anti-bribery policies. The study provides a data-driven, replicable paradigm for assessing internal governance capabilities in the face of ESG risk pressure. Our findings offer actionable insights for regulators, compliance officers, and ESG analysts who are interested in evaluating and enhancing ethical accountability systems within the financial sector by connecting the domains of financial risk management, corporate ethics, and sustainability governance. Full article
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20 pages, 2763 KB  
Systematic Review
Sustainability Reporting: A Machine Learning Meta-Regression Analysis
by Hanvedes Daovisan
Technologies 2026, 14(1), 21; https://doi.org/10.3390/technologies14010021 - 29 Dec 2025
Viewed by 411
Abstract
The quality of sustainability reporting (SR) has come to be widely regarded as a factor of considerable importance in influencing organisational performance. However, empirical evidence in relation to SR has been characterised by fragmentation across industrial sectors. The purpose of this study was [...] Read more.
The quality of sustainability reporting (SR) has come to be widely regarded as a factor of considerable importance in influencing organisational performance. However, empirical evidence in relation to SR has been characterised by fragmentation across industrial sectors. The purpose of this study was to synthesise the relationship between SR and organisational performance across the manufacturing, finance, energy and utilities, services, and ICT sectors. Our systematic review, performed using the PRISMA 2020 framework and machine learning meta-regression, was conducted on 372 studies retrieved from the Scopus database between 1 January 2020 and 1 November 2025. Our pooled correlation showed that the SR effect was positively associated with outcome performance (r = 0.231, 95% CI [0.184, 0.279]) and yielded a standardised mean difference (g = 0.426, 95% CI [0.341, 0.512]). The meta-regression showed that assurance quality (β = 0.156, p < 0.001), the regulatory regime (β = 0.142, p < 0.001), and reporting standard alignment (β = 0.118, p = 0.003) are significant moderating factors. The predictive robustness was confirmed through cross-validation (R2 = 0.55; RMSE = 0.056), while feature stability was substantiated by a mean SHAP variance of less than 0.012. Transparency, comparability, and decision usefulness in SR were found to be enhanced by institutional mechanisms—particularly those providing credible assurance within mandatory regulatory frameworks. Full article
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25 pages, 437 KB  
Review
Artificial Intelligence in Routine IVF Practice
by Grzegorz Mrugacz, Aleksandra Mospinek, Małgorzata Jagielska, Dariusz Miszczak, Anna Matosek, Magdalena Ducher-Hanaka, Paweł Gustaw, Klaudia Januszewska, Aleksandra Grzegorczyk and Svetlana Pekar
Biology 2026, 15(1), 42; https://doi.org/10.3390/biology15010042 - 26 Dec 2025
Viewed by 765
Abstract
Background: Artificial Intelligence (AI) has emerged as a transformative tool in in vitro fertilization (IVF) as it has done in other sectors. In IVF, AI offers advancements in embryo selection, treatment personalization, and outcome prediction. It does so by leveraging deep learning [...] Read more.
Background: Artificial Intelligence (AI) has emerged as a transformative tool in in vitro fertilization (IVF) as it has done in other sectors. In IVF, AI offers advancements in embryo selection, treatment personalization, and outcome prediction. It does so by leveraging deep learning and computer vision, as well as AI-driven platforms such as ERICA, iDAScore, and IVY where the goal is to address the limitations of traditional embryo assessment. Key amongst them are the issues of subjectivity, labor intensity, and limited predictive power. Despite rapid technological progress, the integration of AI into routine IVF practice faces key challenges. These are issues related to clinical validation, ethical dilemmas, and workflow adaptation. Rationale/Objectives: This review synthesizes current evidence to evaluate the role of AI in IVF, focusing on six critical dimensions: (1) the evolution of AI from traditional embryology to algorithmic assessment, (2) clinical validation and regulatory considerations, (3) limitations and ethical challenges, (4) pathways for clinical integration, (5) real-world applications and outcomes, and (6) future directions and policy recommendations. The objective is to provide a comprehensive roadmap for the responsible adoption of AI in reproductive medicine. Outcomes: AI demonstrates significant potential to improve the precision and efficiency of IVF. Studies report that AI models can achieve 10 to 25% higher accuracy in predicting embryo viability and implantation potential compared to traditional morphological assessment by embryologists. This enhanced predictive power supports more consistent embryo ranking, facilitates elective single-embryo transfer (eSET) strategies, and is associated with 30 to 50% reductions in embryologist workload per embryo cohort. Early adopters report promising trends. However, large-scale randomized controlled trials have yet to conclusively demonstrate a statistically significant increase in live birth rates per transfer compared to expert embryologist selection. The most immediate and evidenced value of AI lies in hybrid decision-making models. This is where it augments embryologists by providing data-driven, objective support, thereby standardizing workflows and reducing subjectivity. Wider Implications: The sustainable integration of AI into IVF banks on three key aspects: robust evidence generation, interdisciplinary collaboration, and global standardization. To foster these, policymakers ought to establish regulatory frameworks for transparency and bias mitigation. On their part, clinicians need training to interpret AI outputs critically. Ethically, safeguarding patient trust and equity is non-negotiable. Future innovations, mainly AI-enhanced genomics and real-time monitoring, could further personalize care. However, their success depends on addressing current limitations. By balancing innovation with ethical vigilance, AI holds the potential to revolutionize IVF while upholding the highest standards of patient care. Full article
(This article belongs to the Section Medical Biology)
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