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Search Results (1,809)

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39 pages, 701 KB  
Review
Presence Assessment in Virtual Reality: A Systematic Literature Review
by Fernando Ojeda de Ocampo, Gustavo Hernández-Melgarejo, Antonio Ramírez-Treviño and Rita Q. Fuentes-Aguilar
Appl. Sci. 2026, 16(6), 3102; https://doi.org/10.3390/app16063102 - 23 Mar 2026
Abstract
A critical aspect of virtual reality is the extent to which the user forgets their real surroundings and becomes completely engaged within the virtual environment. Diverse factors affect this user perception, which are grouped into two main concepts: immersion and presence. Although the [...] Read more.
A critical aspect of virtual reality is the extent to which the user forgets their real surroundings and becomes completely engaged within the virtual environment. Diverse factors affect this user perception, which are grouped into two main concepts: immersion and presence. Although the study of presence is extensive, researchers have not reached a consensus on a protocol with specific instruments and stages to evaluate it. This leads to a wide variety of results with different assessment methods, experimental setups, stimuli implemented, and applications. Therefore, this article aims to provide an analysis of the state-of-the-art methods for assessing presence in VR systems during the last few years. This study seeks to determine and improve the understanding of current techniques used for presence assessment, human data collected, data analysis methods, and the technologies and virtual environments implemented. In addition, four opportunities are discussed to provide researchers guidelines that can lead to enhanced presence assessments and personalized VR experiences. Full article
(This article belongs to the Special Issue Recent Advances and Application of Virtual Reality)
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30 pages, 4202 KB  
Article
Study on Post-Use Evaluation and Optimization Strategies for the Cultural Tourism Landscape of Xidajie Street in Baoding from the Perspective of Immersive Experience
by Ke Ni, Ji Feng, Chenyu Wang, Yanwei Zhou and Heng Wang
Buildings 2026, 16(6), 1259; https://doi.org/10.3390/buildings16061259 - 23 Mar 2026
Abstract
In the context of immersive technologies deeply integrated into the cultural tourism industry, immersive cultural tourism has become an important means of heritage revitalization. Immersive experience is both a crucial consumer element and a key indicator for evaluating the attractiveness of cultural tourism [...] Read more.
In the context of immersive technologies deeply integrated into the cultural tourism industry, immersive cultural tourism has become an important means of heritage revitalization. Immersive experience is both a crucial consumer element and a key indicator for evaluating the attractiveness of cultural tourism landscapes. This study evaluates the post-use experience of the cultural tourism landscape of Xidajie Street in Baoding from the perspective of tourist immersion. Through a literature review, investigation of typical immersive districts, and expert interviews, we extract immersive cultural tourism landscape evaluation criteria based on a depth model of immersion, focusing on three dimensions: narrative, enclosure, and interaction. Subjective perception data from tourists is then collected through a survey, and IPA (Importance–Performance Analysis) is employed to identify the strengths and weaknesses of Xidajie’s cultural tourism landscape. The results show that Xidajie excels in spatial environment shaping and historical preservation, but has room for improvement in cultural narrative extension, contextual immersion, and interactive experiences. Therefore, strategies are proposed to enhance the cultural IP, establish a complete narrative structure, create authentic enveloping environments, and enrich interactive games to build a high-quality online and offline immersive cultural tourism landscape. This aims to promote the renewal of Xidajie and the dynamic transmission of Baoding’s local culture. Full article
(This article belongs to the Special Issue Advanced Study on Urban Environment by Big Data Analytics)
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14 pages, 1535 KB  
Article
Artificial Intelligence, Algorithmic Ethics, and Digital Inequality: A Bibliometric Mapping in the Digital Media Era
by Soledad Zabala, José Javier Galán Hernández, Jesús Cáceres-Tello, Eloy López-Meneses and María Belén Morales Cevallos
Appl. Sci. 2026, 16(6), 3056; https://doi.org/10.3390/app16063056 - 22 Mar 2026
Abstract
The accelerated expansion of advanced technologies—particularly artificial intelligence, intelligent systems, and interactive digital environments—is influencing contemporary media ecosystems and contributing to changes in educational practices. This study provides a systematic and descriptive bibliometric mapping of recent scientific production on artificial intelligence in education, [...] Read more.
The accelerated expansion of advanced technologies—particularly artificial intelligence, intelligent systems, and interactive digital environments—is influencing contemporary media ecosystems and contributing to changes in educational practices. This study provides a systematic and descriptive bibliometric mapping of recent scientific production on artificial intelligence in education, algorithmic ethics, and digital inequality. A total of 229 Scopus-indexed documents published between 2021 and 2026 were analyzed using Biblioshiny and VOSviewer to examine publication patterns, influential authors and sources, and the conceptual structure of the field. Results indicate a marked increase in research output since 2024, with an annual growth rate of 47.58%, an average of 8.68 citations per document, and an international co-authorship rate of 24.45%. These indicators reflect an expanding and increasingly collaborative research landscape, accompanied by a diversification of thematic priorities within the field. The analysis identifies five thematic clusters: (1) the technical foundations of AI and digital transformation; (2) intelligent and immersive learning environments; (3) personalized and adaptive learning systems; (4) AI literacy and pedagogical integration; and (5) ethical considerations, including algorithmic bias and educational robotics. The findings highlight the need for explicit justification of database selection, strengthened critical AI literacy, and context-sensitive strategies that address disparities in access, skills, and institutional capacity. Overall, this study offers a coherent overview of a research area that is currently expanding and undergoing conceptual reorganization, providing evidence-informed insights for future research, policy development, and the design of equitable AI-driven educational technologies. Full article
(This article belongs to the Special Issue Advanced Technologies Applied in Digital Media Era)
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35 pages, 6804 KB  
Article
Comparing Learning Outcomes of Indigenous and Non-Indigenous Students Using a VR360 and Virtual Drone System for Thao Indigenous Culture and Environmental Education
by Wernhuar Tarng, Bin-Yu Lee and Tsu-Jen Ding
Electronics 2026, 15(6), 1315; https://doi.org/10.3390/electronics15061315 - 21 Mar 2026
Abstract
Indigenous cultures in Taiwan embody rich ecological knowledge and strong environmental conservation values. However, elementary and secondary education often provides limited exposure to these cultures due to geographic constraints and insufficient instructional resources, relying primarily on textbooks and teacher-centered teaching methods. Such approaches [...] Read more.
Indigenous cultures in Taiwan embody rich ecological knowledge and strong environmental conservation values. However, elementary and secondary education often provides limited exposure to these cultures due to geographic constraints and insufficient instructional resources, relying primarily on textbooks and teacher-centered teaching methods. Such approaches restrict experiential learning, which may diminish students’ motivation and depth of understanding. However, 360-degree virtual reality (VR360) enables immersive simulations of authentic environments, increasing the accessibility of cultural and ecological education through smartphones and low-cost Google Cardboard. In addition, drone technology enhances learning by offering multiple perspectives for environmental exploration and data collection. This study examines the effectiveness of integrating a VR360 and virtual drone system into instruction focused on the ecological context of Sun Moon Lake and Thao Indigenous culture. Learning outcomes for Indigenous and non-Indigenous students were compared in terms of learning effectiveness, motivation, cognitive load, and technology acceptance. Ecological and cultural materials were collected through field investigations and drone photography, enabling students to explore landscapes from a first-person perspective and engage with Thao cultural practices and their relationship with local ecology. The findings indicate that the proposed VR-based system significantly enhances learning experiences and demonstrates strong potential for cultural and ecological education, offering valuable guidance for the design of future immersive instructional strategies and learning materials related to Indigenous cultures. Full article
(This article belongs to the Special Issue Advances in AI-Augmented E-Learning for Smart Cities)
98 pages, 9889 KB  
Systematic Review
Rethinking Education on Critical Infrastructure Resilience and Risk Management: Insights from a Systematic Review
by Francesca Maria Ugliotti, Michele Zucco and Muhammad Daud
Sustainability 2026, 18(6), 3067; https://doi.org/10.3390/su18063067 - 20 Mar 2026
Abstract
The growing complexity and interdependence of critical infrastructures (CIs), increasingly exposed to natural and technological hazards, call for educational approaches to enhance resilience and risk management. This study examines trends, patterns, and challenges in integrating digital and immersive technologies into education and training [...] Read more.
The growing complexity and interdependence of critical infrastructures (CIs), increasingly exposed to natural and technological hazards, call for educational approaches to enhance resilience and risk management. This study examines trends, patterns, and challenges in integrating digital and immersive technologies into education and training for stakeholders in critical infrastructure management. A systematic review of peer-reviewed literature was conducted using Scopus as the primary source, covering the last decade and analyzing the corpus across six dimensions: technological approach, pedagogical model, hazard typology, infrastructure domain, stakeholder category, and implementation phase. Following the PRISMA framework, 5635 records were identified and screened through a multistage process combining rule-based filtering and manual review, resulting in 105 papers meeting the inclusion criteria. The analysis reveals a shift from classroom instruction and physical drills toward immersive, simulation-based, and data-informed learning ecosystems that strengthen situational awareness, procedural accuracy, and decision-making under stress. However, the review identifies persistent gaps in evaluation metrics, cross-sector frameworks, and collaborative learning environments that limit adoption. The findings underscore that digital and immersive technologies can reconfigure education and training frameworks, enabling the formation of Resilient Operators endowed with adaptive cognition, continuous learning capacities, and responsiveness to natural hazard-induced technological risks. Full article
(This article belongs to the Special Issue Sustainable Disaster Risk Management and Urban Resilience)
33 pages, 4469 KB  
Review
Eye Movements in Architecture and Environmental Design: A Review of Methods, Applications, and Future Directions
by Jinge Luo, Lingjiang Liu, Dale Abo and Xiaofei Wang
Buildings 2026, 16(6), 1231; https://doi.org/10.3390/buildings16061231 - 20 Mar 2026
Abstract
Eye movement research has emerged as a powerful tool in architectural and environmental design, offering insights into how people visually engage with built and natural surroundings. Eye tracking technology enables the study of visual attention, user engagement, and navigation patterns, thereby informing user-centered [...] Read more.
Eye movement research has emerged as a powerful tool in architectural and environmental design, offering insights into how people visually engage with built and natural surroundings. Eye tracking technology enables the study of visual attention, user engagement, and navigation patterns, thereby informing user-centered design. This paper reviews a wide and vast body of research that demonstrates eye tracking’s capacity to inform architectural and environmental design decisions by providing objective, data-driven insights into human perception and interaction with the built world. Key methodologies are discussed, including desktop, mobile, and VR-based systems, as well as recent advances in software analytics and artificial intelligence. Beyond summarizing the existing literature, this review critically evaluates methodological approaches, identifies key challenges, and outlines future research directions. The key findings indicate increased integration of immersive technologies, diversification of analytical paradigms, and expanded application in sustainable and user-centered design. However, methodological heterogeneity, limited ecological validation, and insufficient integration with design optimization frameworks remain significant limitations. This review provides a structured foundation for advancing interdisciplinary research and enhancing evidence-based architectural design. The paper concludes by outlining a forward-looking research agenda for creating more responsive, intuitive, and human-centered environments. Full article
(This article belongs to the Section Architectural Design, Urban Science, and Real Estate)
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14 pages, 1032 KB  
Article
Enhancing Medical Education Through Personalized Learning with zSpace Technology: A Case Study on the Respiratory System
by Boyana Ivanova, Kamelia Shoylekova and Valentina Voinohovska
Educ. Sci. 2026, 16(3), 476; https://doi.org/10.3390/educsci16030476 - 19 Mar 2026
Abstract
The integration of immersive educational technologies into medical education has attracted growing attention owing to their potential to improve the learning of complex anatomical structures and specialized terminology. This study investigates the use of zSpace technology as an interactive, learner-centered instructional tool for [...] Read more.
The integration of immersive educational technologies into medical education has attracted growing attention owing to their potential to improve the learning of complex anatomical structures and specialized terminology. This study investigates the use of zSpace technology as an interactive, learner-centered instructional tool for teaching the human respiratory system to undergraduate students in Nursing, Midwifery, and Physician Assistant programs. A structured pedagogical framework combined prior theoretical instruction in anatomy and Latin medical terminology with a zSpace-based practical learning activity was used. After the workshop, the students completed a survey evaluating perceived learning effectiveness, student engagement, and the quality of three-dimensional (3D) visualization. Data from 34 participants were analyzed using descriptive statistics and reliability analysis. The results indicated high levels of student satisfaction regarding the clarity, anatomical detail, and educational value of the immersive 3D models, along with higher levels of engagement compared with traditional methods. Despite challenges related to technical infrastructure, lecturer readiness, and students’ digital competencies, the findings support the pedagogical relevance of immersive 3D technologies in medical education. Overall, the findings suggest that students perceive zSpace technology as supporting anatomical understanding and enhancing engagement within the studied context. Full article
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22 pages, 5817 KB  
Article
Experiencing a Serious Game for the Norman Castle of Aci Castello: A Pilot Project
by Roberto Rizza, Paolino Trapani, Myriam Vaccaro, Dario Allegra, Eleonora Pappalardo, Anna Maria Gueli and Filippo Stanco
Heritage 2026, 9(3), 117; https://doi.org/10.3390/heritage9030117 - 17 Mar 2026
Viewed by 131
Abstract
Cultural heritage, in all its tangible and intangible expressions, is undergoing a process of renewal driven by the integration of digital technologies and participatory approaches. This study presents a pilot project developed within the SAMOTHRACE Fundation, focused on the design of a Serious [...] Read more.
Cultural heritage, in all its tangible and intangible expressions, is undergoing a process of renewal driven by the integration of digital technologies and participatory approaches. This study presents a pilot project developed within the SAMOTHRACE Fundation, focused on the design of a Serious Game dedicated to the Norman Castle of Aci Castello in Sicily. The project explores how game-based learning and interactive storytelling can enhance visitor engagement, accessibility, and understanding of small-scale heritage sites that are often excluded from major cultural circuits. Using Unity and Blender, the prototype combines historical research, 3D reconstruction, and narrative interaction to transform the castle into an immersive educational environment. This initial phase also served as the basis for an academic thesis, laying the methodological groundwork for future expansion and evaluation. The results of this pilot provide preliminary quantitative evidence that serious games can support cultural communication strategies, foster emotional engagement, and stimulate curiosity toward minor heritage sites, while remaining compatible with the constraints of modest institutions. Ultimately, the project illustrates how even modest institutions can leverage digital innovation to revitalize their heritage assets, promote inclusive participation, and explore new models of interactive archaeology and community-centered cultural engagement. Full article
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15 pages, 747 KB  
Article
Operationalizing the Industrial Metaverse: Strategies, Challenges, and Opportunities for the Sustainable Factory of the Future
by Brian Vejrum Waehrens, Ulrich Berger, Bjoern Christian Dueholm, Astrid Heidemann Lassen and Ole Madsen
Sustainability 2026, 18(6), 2941; https://doi.org/10.3390/su18062941 - 17 Mar 2026
Viewed by 128
Abstract
The Industrial Metaverse (IM) integrates digital twins, IoT, AI, and immersive technologies to create interconnected, data-driven production environments. While its potential for enhancing efficiency and collaboration is widely acknowledged, its operationalization, particularly in alignment with sustainability goals, remains underexplored. This paper investigates how [...] Read more.
The Industrial Metaverse (IM) integrates digital twins, IoT, AI, and immersive technologies to create interconnected, data-driven production environments. While its potential for enhancing efficiency and collaboration is widely acknowledged, its operationalization, particularly in alignment with sustainability goals, remains underexplored. This paper investigates how manufacturing firms transition from isolated pilots to strategic adoption of IM technologies, using a Digital Maturity Model as an analytical lens. Drawing on two industrial case studies, a university-based smart production lab, and expert roundtable discussions, we identify key barriers such as interoperability, governance, and skills gaps, alongside opportunities for circular material flows and resource optimization. Based on these insights, we propose three pathways for implementation: (1) digital maturity and Infrastructure Readiness, (2) organizational transformation for metaverse-enabled workflows, and (3) strategic value realization through sustainable business models. The study contributes a roadmap for managers and policymakers seeking to leverage the IM as a catalyst for resilience, circularity, and long-term competitiveness in smart manufacturing ecosystems. Full article
(This article belongs to the Section Sustainable Management)
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37 pages, 2981 KB  
Article
Signs, Shapes, and Spaces: A CAMIL-Informed Qualitative Study of Metaverse Geometry Learning for Deaf and Hard-of-Hearing Students
by Ai Peng Chong, Kung-Teck Wong, Kong Liang Soon Vestly and Kuppusamy Suresh Kumar
Soc. Sci. 2026, 15(3), 191; https://doi.org/10.3390/socsci15030191 - 16 Mar 2026
Viewed by 232
Abstract
Deaf and Hard-of-Hearing (DHH) students face persistent barriers in geometry education due to instructional approaches that inadequately support visual communication and embodied learning. This study examined DHH students’ experiences with GeoMETriA, a metaverse-based geometry learning platform integrating sign language instruction, three-dimensional visualization, and [...] Read more.
Deaf and Hard-of-Hearing (DHH) students face persistent barriers in geometry education due to instructional approaches that inadequately support visual communication and embodied learning. This study examined DHH students’ experiences with GeoMETriA, a metaverse-based geometry learning platform integrating sign language instruction, three-dimensional visualization, and avatar-mediated interaction. Guided by the Cognitive Affective Model of Immersive Learning (CAMIL), a multi-phase qualitative design was employed, including pre-workshop interviews with four special education teachers and post-workshop focus group discussions with seven DHH secondary students following a four-session learning workshop. The findings indicate that gamified activities and peer collaboration enhanced interest and sustained engagement, while avatar customization supported embodiment and a sense of presence. Students described progression from initial uncertainty to greater confidence through practice and scaffolded support. However, cognitive and usability challenges emerged, particularly concerning sign language video pacing, navigation complexity, and limited instructional scaffolding. The study contributes theoretically by extending CAMIL-informed interpretations to sign-supported metaverse learning, empirically by documenting how engagement, embodiment, and self-efficacy develop during immersive geometry learning, and practically by offering design implications including adjustable sign language delivery, structured scaffolding, and culturally responsive avatar options. These findings suggest that metaverse-based platforms hold promise for supporting DHH learners when accessibility and learner-centered principles are embedded as foundational design considerations. Full article
(This article belongs to the Special Issue Belt and Road Together Special Education 2025)
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27 pages, 7416 KB  
Article
Activating Embodied Memory Through a Fusion of Clay and Augmented Reality
by Svetlana Atlavina
Arts 2026, 15(3), 55; https://doi.org/10.3390/arts15030055 - 16 Mar 2026
Viewed by 149
Abstract
The ACE-funded project Clay and Augmented Reality (CAR) explored how the combination of tactile and digital media might activate embodied memory, foster art expression, and stimulate new forms of creative learning. The project investigated memory recollection by integrating clay sculpting with [...] Read more.
The ACE-funded project Clay and Augmented Reality (CAR) explored how the combination of tactile and digital media might activate embodied memory, foster art expression, and stimulate new forms of creative learning. The project investigated memory recollection by integrating clay sculpting with immersive Augmented Reality (AR), focusing on psychoanalysis and participatory art research. The created multisensory environment was a significant element in reconnection with early-life experiences. Six workshops engaged over 40 participants in memory-mapping through AR interfaces and tactile activities. Extensive theoretical and methodological research focuses on theories of Freud, Polanyi, Ettinger, and art practice of Hepworth, integrating embodied making with experimental technologies, including 3D scanning, ARvid/HoloLens experiences, and qualitative feedback analysis. The outcome is a hybrid repository of over 120 memory-informed artefacts titled My Mother and I, presented on the sketchfab platform. The collection showcases intergenerational memory, imprints of intangible and visual storytelling. During the research, the significance of slowness, play, and relational presence was underlined as conditions for memory activation. It concludes that memory lives in gesture, spatial perception and given care, and that hybrid arts-based methods offer new epistemologies of healing, creativity and pedagogical inquiry. CAR presents a model for participatory research that bridges physical and digital realms in deeply human ways. Full article
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15 pages, 610 KB  
Article
A Virtual Knockout: Comparing Affective and Anxiety Responses to VR Boxing and Conventional Cardio
by Daniel R. Greene, Jonathan J. Ruiz-Ramie, Andrew Craig-Jones and Mervin Jijika
Psychol. Int. 2026, 8(1), 20; https://doi.org/10.3390/psycholint8010020 - 15 Mar 2026
Viewed by 135
Abstract
Advances in technology have reduced opportunities for daily physical activity; however, emerging technologies may also create novel pathways for promoting exercise engagement. Purpose: This study compares affective responses before, immediately after, and 20 min following traditional moderate-intensity cardiovascular exercise on a treadmill (MICE) [...] Read more.
Advances in technology have reduced opportunities for daily physical activity; however, emerging technologies may also create novel pathways for promoting exercise engagement. Purpose: This study compares affective responses before, immediately after, and 20 min following traditional moderate-intensity cardiovascular exercise on a treadmill (MICE) and virtual reality boxing (VRB). Methods: Twenty adults (N = 20) completed two counterbalanced 30 min exercise sessions consisting of a standardized warm-up, a 20 min exercise bout, and a cool-down performed during either MICE or VRB. Affective states, including energy, tiredness, tension, calmness, and state anxiety, were assessed before exercise, immediately after exercise, and 20 min post-exercise in each condition. Results: Energy increased, and tiredness decreased immediately following exercise in both conditions; however, energy remained elevated, and tiredness remained lower 20 min after VRB only. Calmness decreased immediately following exercise but returned to baseline after 20 min in both conditions. Tension increased immediately following VRB but returned to baseline after 20 min, whereas no changes were observed following MICE. State anxiety decreased 20 min after VRB (p = 0.027) but did not change following MICE. Conclusion: Both modalities acutely improved affect; however, VRB produced stronger and more sustained psychological benefits, suggesting immersive exercise may promote exercise adherence better. Full article
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26 pages, 9210 KB  
Article
The Application of VR Technology in Production Process Planning as a Support for Sustainable Development
by Szymon Pawlak and Agnieszka Fornalczyk
Sustainability 2026, 18(6), 2834; https://doi.org/10.3390/su18062834 - 13 Mar 2026
Viewed by 126
Abstract
Modern manufacturing enterprises strive to increase process efficiency while simultaneously reducing resource consumption and improving the working conditions of operators. In this context, the importance of digital tools supporting the design and analysis of production processes is growing, such as computer simulations and [...] Read more.
Modern manufacturing enterprises strive to increase process efficiency while simultaneously reducing resource consumption and improving the working conditions of operators. In this context, the importance of digital tools supporting the design and analysis of production processes is growing, such as computer simulations and virtual reality (VR) technologies, which enable the evaluation of designed solutions even before their implementation. The article presents the possibilities of using VR technology in the analysis and optimization of a production process based on a case study. The applied methodology included defining evaluation indicators, developing a simulation model in the FlexSim environment, verifying the functioning of the process using computer simulation and immersive VR, and then introducing improvements followed by a re-analysis of the process. The evaluation included indicators of process efficiency, operator utilization, transport distances, electricity consumption, and qualitative observations concerning ergonomics and work organization. The applied approach made it possible to increase process efficiency, improve operator utilization, and reduce transport distances while simultaneously improving work organization. The results confirm the validity of using simulation supported by immersive techniques as a tool for supporting the design and optimization of production processes and for identifying problems that are difficult to detect using classical simulation methods. Full article
(This article belongs to the Special Issue Recent Advances in Modern Technologies for Sustainable Manufacturing)
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29 pages, 1808 KB  
Review
Strawberry Propagation: Progress on Propagation Methods, Environmental Regulation, and Disease Management Strategies over the Past 20 Years
by YoungHun Lee, HyunSik Yeoung, Bruno Mezzetti and YoungRog Yeoung
Horticulturae 2026, 12(3), 351; https://doi.org/10.3390/horticulturae12030351 - 13 Mar 2026
Viewed by 202
Abstract
Strawberry (Fragaria × ananassa Duch.) propagation has evolved significantly over the past 20 years, transitioning from traditional field nursery systems to advanced, controlled, environment production. This review synthesizes recent advances in propagation methods, environmental regulation, and disease management strategies. Traditional field systems [...] Read more.
Strawberry (Fragaria × ananassa Duch.) propagation has evolved significantly over the past 20 years, transitioning from traditional field nursery systems to advanced, controlled, environment production. This review synthesizes recent advances in propagation methods, environmental regulation, and disease management strategies. Traditional field systems face mounting challenges from soilborne pathogens (Neopestalotiopsis species, Phytophthora cactorum, Verticillium dahliae) and regulatory restrictions on methyl bromide fumigation. Plug plant technology offers 80–95% disease reduction and 3–7-week production cycles versus 12–16-weeks traditional cycles, although at higher unit costs. Advanced tray plant systems developed in the Netherlands enable 10–11 months cold storage and programmed year-round production schedules. Elevated bench propagation systems have emerged as dominant commercial technology in East Asian regions, particularly Korea and Japan, where disease pressure necessitated alternatives to conventional nurseries. Micropropagation via temporary immersion bioreactors achieves 50–100% higher multiplication rates, while ensuring virus-free status. Environmental control research reveals complex photoperiod–temperature-chilling interactions regulating dormancy and flowering. Emerging technologies include F1 hybrid seed propagation and AI-driven automation, achieving 15–25% energy efficiency gains. Despite progress, challenges remain in cost optimization, climate adaptation, and region-specific protocols. This review provides a comparative framework for nursery system selection under evolving climatic and regulatory constraints, identifying critical knowledge gaps and future research priorities for sustainable strawberry propagation. Full article
(This article belongs to the Section Propagation and Seeds)
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17 pages, 508 KB  
Review
Dental Anxiety in Pediatric Patients: Contemporary Assessment and Multimodal Management Strategies
by Roxana Alexandra Cristea, Ioana Scrobota, Mihail Pantor, Liliana Sachelarie and Gabriela Ciavoi
Children 2026, 13(3), 397; https://doi.org/10.3390/children13030397 - 12 Mar 2026
Viewed by 145
Abstract
Background: Dental anxiety remains a prevalent and persistent challenge in pediatric dentistry, significantly affecting children’s cooperation, treatment outcomes, and long-term oral health behaviors. Despite advances in minimally invasive care, anxiety continues to act as a barrier to effective clinical management. This narrative review [...] Read more.
Background: Dental anxiety remains a prevalent and persistent challenge in pediatric dentistry, significantly affecting children’s cooperation, treatment outcomes, and long-term oral health behaviors. Despite advances in minimally invasive care, anxiety continues to act as a barrier to effective clinical management. This narrative review aims to synthesize current evidence on validated assessment tools for pediatric dental anxiety and to examine contemporary non-pharmacological management strategies applicable in routine clinical practice. Methods: A structured literature search was conducted in major electronic databases to identify relevant studies, systematic reviews, and clinical guidelines addressing dental anxiety assessment and behavioral management in children. Particular emphasis was placed on validated anxiety scales, communication strategies, environmental adaptations, and emerging digital interventions such as immersive distraction technologies. Results: Multiple validated instruments are available to assess pediatric dental anxiety; however, their applicability varies by age, cognitive development, and clinical context. Non-pharmacological approaches including tell–show–do, modeling, parental guidance, audiovisual distraction, and virtual reality-based techniques demonstrate consistent effectiveness in reducing anxiety and improving behavioral cooperation. Recent trends emphasize multimodal, patient-centered strategies integrating communication, environmental modification, and digital tools. Conclusions: Structured anxiety assessment combined with contemporary multimodal management strategies can enhance clinical efficiency, improve child cooperation, and promote positive dental experiences. The integration of emerging digital technologies represents a promising advancement in pediatric anxiety management and supports a more individualized approach to care. Furthermore, a structured multimodal clinical framework is proposed to facilitate chairside decision-making and practical implementation. Full article
(This article belongs to the Special Issue Recent Advances in Pediatric Dentistry: Techniques and Treatments)
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