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Search Results (768)

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29 pages, 2673 KiB  
Review
Integrating Large Language Models into Digital Manufacturing: A Systematic Review and Research Agenda
by Chourouk Ouerghemmi and Myriam Ertz
Computers 2025, 14(8), 318; https://doi.org/10.3390/computers14080318 - 7 Aug 2025
Abstract
Industries 4.0 and 5.0 are based on technological advances, notably large language models (LLMs), which are making a significant contribution to the transition to smart factories. Although considerable research has explored this phenomenon, the literature remains fragmented and lacks an integrative framework that [...] Read more.
Industries 4.0 and 5.0 are based on technological advances, notably large language models (LLMs), which are making a significant contribution to the transition to smart factories. Although considerable research has explored this phenomenon, the literature remains fragmented and lacks an integrative framework that highlights the multifaceted implications of using LLMs in the context of digital manufacturing. To address this limitation, we conducted a systematic literature review, analyzing 53 papers selected according to predefined inclusion and exclusion criteria. Our descriptive and thematic analyses, respectively, mapped new trends and identified emerging themes, classified into three axes: (1) manufacturing process optimization, (2) data structuring and innovation, and (3) human–machine interaction and ethical challenges. Our results revealed that LLMs can enhance operational performance and foster innovation while redistributing human roles. Our research offers an in-depth understanding of the implications of LLMs. Finally, we propose a future research agenda to guide future studies. Full article
(This article belongs to the Special Issue AI in Complex Engineering Systems)
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33 pages, 3000 KiB  
Article
The Impact of Regional Policies on Chinese Business Growth: A Bibliometric Approach
by Ling Yao and Lakner Zoltan Karoly
Economies 2025, 13(8), 229; https://doi.org/10.3390/economies13080229 - 7 Aug 2025
Abstract
In the context of both domestic and international economic landscapes, regional policy has emerged as an increasingly influential factor shaping the developmental trajectories of Chinese enterprises. Despite its growing significance, the extant literature lacks a comprehensive and systematically visualized synthesis that encapsulates the [...] Read more.
In the context of both domestic and international economic landscapes, regional policy has emerged as an increasingly influential factor shaping the developmental trajectories of Chinese enterprises. Despite its growing significance, the extant literature lacks a comprehensive and systematically visualized synthesis that encapsulates the scope and trends of research in this domain. This study addresses this critical gap by conducting an integrative bibliometric and qualitative review of the academic output related to regional policy and Chinese firm growth. Drawing on a final dataset comprising 3428 validated academic publications—selected from an initial pool of 3604 records retrieved from the Web of Science Core Collection between 1991 and 2022, the research employs a two-stage methodological framework. In the first phase, advanced bibliometric tools, and software applications, including RStudio, Bibliometrix, VOSviewer, and CitNetExplorer, are utilized to implement techniques such as keyword co-occurrence analysis, thematic clustering, and the tracing of thematic evolution over time. These methods facilitate rigorous data cleansing, breakpoint identification, and the visualization of intellectual structures and emerging research patterns. In the second phase, a targeted qualitative review is conducted to evaluate the influence of regional policies on Chinese firms across three critical stages of business development: start-up, expansion, and maturity. The findings reveal that regional policy interventions generally exert a positive influence on firm performance throughout all stages of development. Notably, a significant concentration of citation activity occurred prior to 2017; however, post-2017, the volume of scholarly publications, journal-level impact (as measured by h-index), and author-level influence experienced a marked increase. Among the 3428 analyzed publications, a substantial portion—2259 articles—originated from Chinese academic institutions, highlighting the strong domestic research interest in the subject. Furthermore, since 2015, there has been a discernible shift in keyword co-occurrence trends, with increasing scholarly attention directed towards sustainable development issues, particularly those related to carbon dioxide emissions and green innovation, reflecting evolving policy priorities and environmental imperatives. Full article
(This article belongs to the Special Issue Regional Economic Development: Policies, Strategies and Prospects)
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20 pages, 741 KiB  
Review
Exploring Design Thinking Methodologies: A Comprehensive Analysis of the Literature, Outstanding Practices, and Their Linkage to Sustainable Development Goals
by Matilde Martínez Casanovas
Sustainability 2025, 17(15), 7142; https://doi.org/10.3390/su17157142 - 6 Aug 2025
Abstract
Design Thinking (DT) has emerged as a relevant methodology for addressing global challenges aligned with the United Nations Sustainable Development Goals (SDGs). This study presents a systematic literature review, conducted following PRISMA 2020 guidelines, which analyzes 42 peer-reviewed publications from 2013 to 2023. [...] Read more.
Design Thinking (DT) has emerged as a relevant methodology for addressing global challenges aligned with the United Nations Sustainable Development Goals (SDGs). This study presents a systematic literature review, conducted following PRISMA 2020 guidelines, which analyzes 42 peer-reviewed publications from 2013 to 2023. Through inductive content analysis, 10 core DT principles—such as empathy, iteration, user-centeredness, and systems thinking—I identified and thematically mapped to specific SDGs, including goals related to health, education, innovation, and climate action. The study also presents five real-world cases from diverse sectors such as technology, healthcare, and urban planning, illustrating how DT has been applied to address practical challenges aligned with the SDGs. However, the review identifies persistent gaps in the field: the lack of standardized evaluation frameworks, limited integration across SDG domains, and weak adaptation of ethical and contextual considerations, particularly in vulnerable communities. As a response, this paper recommends the adoption of structured impact assessment tools (e.g., Cities2030, Responsible Design Thinking), integration of design justice principles, and the development of participatory, iterative ecosystems for innovation. By offering both conceptual synthesis and applied insights, this article positions Design Thinking as a strategic and systemic approach for driving sustainable transformation aligned with the 2030 Agenda. Full article
(This article belongs to the Section Sustainable Education and Approaches)
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31 pages, 18795 KiB  
Review
Timber Architecture for Sustainable Futures: A Critical Review of Design and Research Challenges in the Era of Environmental and Social Transition
by Agnieszka Starzyk, Nuno D. Cortiços, Carlos C. Duarte and Przemysław Łacek
Buildings 2025, 15(15), 2774; https://doi.org/10.3390/buildings15152774 - 6 Aug 2025
Abstract
This article provides a critical review of the current design and research challenges in contemporary timber architecture. Conducted from the perspective of a designer-researcher, the review focuses on the role of wood as a material at the intersection of environmental performance, cultural meaning, [...] Read more.
This article provides a critical review of the current design and research challenges in contemporary timber architecture. Conducted from the perspective of a designer-researcher, the review focuses on the role of wood as a material at the intersection of environmental performance, cultural meaning, and spatial practice. The study adopts a conceptual, problem-oriented approach, eschewing the conventional systematic aggregation of existing data. The objective of this study is to identify, interpret and categorise the key issues that are shaping the evolving discourse on timber architecture. The analysis is based on peer-reviewed literature published between 2020 and 2025, sourced from the Scopus and Web of Science Core Collection databases. Fifteen thematic challenges have been identified and classified according to their recognition level in academic and design contexts. The subjects under discussion include well-established topics, such as life cycle assessment and carbon storage, as well as less commonly explored areas, such as symbolic durability, social acceptance, traceability, and the upcycling of low-grade wood. The review under consideration places significant emphasis on the importance of integrating technical, cultural, and perceptual dimensions when evaluating timber architecture. The article proposes an interpretive framework combining design thinking and transdisciplinary insights. This framework aims to bridge disciplinary gaps and provide a coherent structure for understanding the complexity of timber-related challenges. The framework under discussion here encourages a broader understanding of wood as not only a sustainable building material but also a vehicle for systemic transformation in architectural culture and practice. The study’s insights may support designers, educators, and policymakers in identifying strategic priorities for the development of future-proof timber-based design practices. Full article
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26 pages, 2126 KiB  
Systematic Review
Interlinking Urban Sustainability, Circular Economy and Complexity: A Systematic Literature Review
by Walter Antonio Abujder Ochoa, Angela Gabriela Torrico Arce, Alfredo Iarozinski Neto, Mayara Regina Munaro, Oriana Palma Calabokis and Vladimir A. Ballesteros-Ballesteros
Sustainability 2025, 17(15), 7118; https://doi.org/10.3390/su17157118 - 6 Aug 2025
Abstract
Urban sustainability challenges demand integrated frameworks capable of addressing the dynamic, non-linear nature of cities. This study explores how the principles of the circular economy and complexity theory intersect to support systemic transformation in sustainable urban planning. Through a systematic literature review of [...] Read more.
Urban sustainability challenges demand integrated frameworks capable of addressing the dynamic, non-linear nature of cities. This study explores how the principles of the circular economy and complexity theory intersect to support systemic transformation in sustainable urban planning. Through a systematic literature review of 71 peer-reviewed articles published between 2015 and 2025, we analyze conceptual, methodological, and practical articulations across multiple thematic axes, including circular governance, urban metabolism, regenerative design, adaptive planning, digital integration, and environmental justice. Bibliometric and content analyses were conducted using Scopus metadata, VOSviewer for thematic clustering, and the StArt software (Version 3.4) to structure article selection. The findings reveal that circular economy provides practical tools for resource efficiency and regeneration, while complexity theory offers an adaptive framework to navigate uncertainty, emergent behaviors, and feedback dynamics. The synthesis suggests that their integration enables a more holistic and resilient approach to urban transformation. However, gaps remain in social inclusivity, long-term assessment, and the operationalization of complexity-informed planning. This study contributes to advancing a transdisciplinary agenda for circular and adaptive urban futures, offering insights for scholars, planners, and policymakers aiming to reconfigure cities within planetary boundaries. Full article
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24 pages, 330 KiB  
Review
Collaboration Between Endocrinologists and Dentists in the Care of Patients with Acromegaly—A Narrative Review
by Beata Wiśniewska, Kosma Piekarski, Sandra Spychała, Ewelina Golusińska-Kardach, Maria Stelmachowska-Banaś and Marzena Wyganowska
J. Clin. Med. 2025, 14(15), 5511; https://doi.org/10.3390/jcm14155511 - 5 Aug 2025
Abstract
Acromegaly is caused by an excessive secretion of growth hormone and the secondary elevation of IGF-1 levels, leading to progressive changes in multiple body systems, including the craniofacial region and oral cavity. Dental manifestations such as mandibular overgrowth, macroglossia, malocclusion, periodontal disease, and [...] Read more.
Acromegaly is caused by an excessive secretion of growth hormone and the secondary elevation of IGF-1 levels, leading to progressive changes in multiple body systems, including the craniofacial region and oral cavity. Dental manifestations such as mandibular overgrowth, macroglossia, malocclusion, periodontal disease, and prosthetic difficulties represent not only a clinical component of the disease but also a significant therapeutic and diagnostic challenge. The aim of this review is to present the current state of knowledge on the relationship between acromegaly and oral health and to analyze the role of interdisciplinary collaboration between endocrinologists and dentists in patient care. For this narrative review, a literature search was conducted in the PubMed, Scopus, and Web of Science databases covering the period from 2000 to 2025. Sixty-two peer-reviewed publications meeting the methodological and thematic criteria were included in the analysis, including original studies, meta-analyses, systematic reviews, and case reports. The results indicate significant correlations between disease activity and the severity of periodontal and microbiological changes, while effective endocrine treatment only results in the partial regression of morphological changes. Particular attention was given to the role of the dentist in recognizing the early symptoms of the disease, planning prosthetic and surgical treatment, and monitoring therapy-related complications. Interdisciplinary collaboration models, including integrated clinics and co-managed care, were also described as optimal systemic solutions for improving treatment quality. The conclusion drawn from the analysis are as follows: there is a need for the permanent integration of dentistry into the standard of interdisciplinary care for patients with acromegaly, in both diagnostic and therapeutic dimensions. Increasing awareness among dentists and developing integrated collaboration models may reduce the time to diagnosis, improve patients’ quality of life, and enable the more effective management of craniofacial complications in the course of this rare disease. Full article
(This article belongs to the Section Endocrinology & Metabolism)
22 pages, 1254 KiB  
Systematic Review
How Do the Psychological Functions of Eating Disorder Behaviours Compare with Self-Harm? A Systematic Qualitative Evidence Synthesis
by Faye Ambler, Andrew J. Hill, Thomas A. Willis, Benjamin Gregory, Samia Mujahid, Daniel Romeu and Cathy Brennan
Healthcare 2025, 13(15), 1914; https://doi.org/10.3390/healthcare13151914 - 5 Aug 2025
Abstract
Background: Eating disorders (EDs) and self-harm (SH) are both associated with distress, poor psychosocial functioning, and increased risk of mortality. Much of the literature discusses the complex interplay between SH and ED behaviours where co-occurrence is common. The onset of both is typically [...] Read more.
Background: Eating disorders (EDs) and self-harm (SH) are both associated with distress, poor psychosocial functioning, and increased risk of mortality. Much of the literature discusses the complex interplay between SH and ED behaviours where co-occurrence is common. The onset of both is typically seen during teenage years into early adulthood. A better understanding of the functions of these behaviours is needed to guide effective prevention and treatment, particularly during the crucial developmental years. An earlier review has explored the functions of self-harm, but an equivalent review for eating disorder behaviours does not appear to have been completed. Objectives: This evidence synthesis had two objectives. First, to identify and synthesise published first-hand accounts of the reasons why people engage in eating disorder behaviours with the view to develop a broad theoretical framework of functions. Second, to draw comparisons between the functions of eating disorder behaviours and self-harm. Methods: A qualitative evidence synthesis reporting first-hand accounts of the reasons for engaging in eating disorder behaviours. A ‘best fit’ framework synthesis, using the a priori framework from the review of self-harm functions, was undertaken with thematic analysis to categorise responses. Results: Following a systematic search and rigorous screening process, 144 studies were included in the final review. The most commonly reported functions of eating disorder behaviours were distress management (affect regulation) and interpersonal influence. This review identified significant overlap in functions between self-harm and eating disorder behaviours. Gender identity, responding to food insecurity, to delay growing up and responding to weight, shape, and body ideals were identified as functions more salient to eating disorder behaviours. Similarly, some self-harm functions were not identified in the eating disorder literature. These were experimenting, averting suicide, personal language, and exploring/maintaining boundaries. Conclusions: This evidence synthesis identified a prominent overlap between psychological functions of eating disorder behaviours and self-harm, specifically in relation to distress management (affect regulation). Despite clear overlap in certain areas, some functions were found to be distinct to each behaviour. The implications for delivering and adapting targeted interventions are discussed. Full article
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25 pages, 2042 KiB  
Article
Primary School Teachers’ Needs for AI-Supported STEM Education
by Cizem Bas and Askin Kiraz
Sustainability 2025, 17(15), 7044; https://doi.org/10.3390/su17157044 - 3 Aug 2025
Viewed by 200
Abstract
In the globalizing world, raising individuals equipped with 21st-century skills is very important for the economic development of countries. Educational practices that support 21st-century skills are also gaining importance. In this context, STEM education, an interdisciplinary educational practice that develops 21st-century skills, emerges. [...] Read more.
In the globalizing world, raising individuals equipped with 21st-century skills is very important for the economic development of countries. Educational practices that support 21st-century skills are also gaining importance. In this context, STEM education, an interdisciplinary educational practice that develops 21st-century skills, emerges. STEM education aims to contribute to sustainable development by training individuals equipped with 21st-century skills and competencies. In a globalizing world, countries must set sustainable development goals to gain a foothold in the global market. In today’s world, where artificial intelligence also shows itself in every area of human life, it is possible to discuss the importance of artificial intelligence-supported STEM education. This study aims to reveal the educational needs of primary school teachers regarding artificial intelligence-supported STEM education. The study was conducted according to the phenomenological design, and the data were collected using a semi-structured interview form and literature review techniques. The thematic analysis method was used in the analysis of the data. According to the research results obtained from the findings of the study, teachers need training on 21st-century skills, interdisciplinary thinking, technology integration into courses, and artificial intelligence practices in courses to develop their knowledge and skills in the context of artificial intelligence-supported STEM education. Full article
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23 pages, 1211 KiB  
Review
Dealuminated Metakaolin in Supplementary Cementitious Material and Alkali-Activated Systems: A Review
by Mostafa Elsebaei, Maria Mavroulidou, Amany Micheal, Maria Astrid Centeno, Rabee Shamass and Ottavia Rispoli
Appl. Sci. 2025, 15(15), 8599; https://doi.org/10.3390/app15158599 - 2 Aug 2025
Viewed by 192
Abstract
This paper presents a comprehensive review of dealuminated metakaolin (DK), a hazardous industrial by-product generated by the aluminium sulphate (alum) industry and evaluates its potential as a component in cementitious systems for the partial or full replacement of Portland cement (PC). Positioned within the [...] Read more.
This paper presents a comprehensive review of dealuminated metakaolin (DK), a hazardous industrial by-product generated by the aluminium sulphate (alum) industry and evaluates its potential as a component in cementitious systems for the partial or full replacement of Portland cement (PC). Positioned within the context of waste valorisation in concrete, the review aims to establish a critical understanding of DK formation, properties, and reactivity, particularly its pozzolanic potential, to assess its suitability for use as a supplementary cementitious material (SCM), or as a precursor in alkali-activated cement (AAC) systems for concrete. A systematic methodology is used to extract and synthesise relevant data from existing literature concerning DK and its potential applications in cement and concrete. The collected information is organised into thematic sections exploring key aspects of DK, beginning with its formation from kaolinite ores, followed by studies on its pozzolanic reactivity. Applications of DK are then reviewed, focusing on its integration into SCMs and alkali-activated cement (AAC) systems. The review consolidates existing knowledge related to DK, identifying scientific gaps and practical challenges that limit its broader adoption for cement and concrete applications, and outlines future research directions to provide a solid foundation for future studies. Overall, this review highlights the potential of DK as a low-carbon, circular-economy material and promotes its integration into efforts to enhance the sustainability of construction practices. The findings aim to support researchers’ and industry stakeholders’ strategies to reduce cement clinker content and mitigate the environmental footprint of concrete in a circular-economy context. Full article
(This article belongs to the Special Issue Applications of Waste Materials and By-Products in Concrete)
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14 pages, 854 KiB  
Systematic Review
The Critical Impact and Socio-Ethical Implications of AI on Content Generation Practices in Media Organizations
by Sevasti Lamprou, Paraskevi (Evi) Dekoulou and George Kalliris
Societies 2025, 15(8), 214; https://doi.org/10.3390/soc15080214 - 1 Aug 2025
Viewed by 281
Abstract
This systematic literature review explores the socio-ethical implications of Artificial Intelligence (AI) in contemporary media content generation. Drawing from 44 peer-reviewed sources, policy documents, and industry reports, the study synthesizes findings across three core domains: bias detection, storytelling transformation, and ethical governance frameworks. [...] Read more.
This systematic literature review explores the socio-ethical implications of Artificial Intelligence (AI) in contemporary media content generation. Drawing from 44 peer-reviewed sources, policy documents, and industry reports, the study synthesizes findings across three core domains: bias detection, storytelling transformation, and ethical governance frameworks. Through thematic coding and structured analysis, the review identifies recurring tensions between automation and authenticity, efficiency and editorial integrity, and innovation and institutional oversight. It introduces the Human–AI Co-Creation Continuum as a conceptual model for understanding hybrid narrative production and proposes practical recommendations for ethical AI adoption in journalism. The review concludes with a future research agenda emphasizing empirical studies, cross-cultural governance models, and audience perceptions of AI-generated content. This aligns with prior studies on algorithmic journalism. Full article
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49 pages, 5495 KiB  
Review
A Map of the Research About Lighting Systems in the 1995–2024 Time Frame
by Gaetanino Paolone, Andrea Piazza, Francesco Pilotti, Romolo Paesani, Jacopo Camplone and Paolino Di Felice
Computers 2025, 14(8), 313; https://doi.org/10.3390/computers14080313 - 1 Aug 2025
Viewed by 187
Abstract
Lighting Systems (LSs) are a key component of modern cities. Across the years, thousands of articles have been published on this topic; nevertheless, a map of the state of the art of the extant literature is lacking. The present review reports on an [...] Read more.
Lighting Systems (LSs) are a key component of modern cities. Across the years, thousands of articles have been published on this topic; nevertheless, a map of the state of the art of the extant literature is lacking. The present review reports on an analysis of the network of the co-occurrences of the authors’ keywords from 12,148 Scopus-indexed articles on LSs published between 1995 and 2024. This review addresses the following research questions: (RQ1) What are the major topics explored by scholars in connection with LSs within the 1995–2024 time frame? (RQ2) How do they group together? The investigation leveraged VOSviewer, an open-source software largely used for performing bibliometric analyses. The number of thematic clusters returned by VOSviewer was determined by the value of the minimum number of occurrences needed for the authors’ keywords to be admitted into the business analysis. If such a number is not properly chosen, the consequence is a set of clusters that do not represent meaningful patterns of the input dataset. In the present study, to overcome this issue, the threshold value balanced the score of four independent clustering validity indices against the authors’ judgment of a meaningful partition of the input dataset. In addition, our review delved into the impact that the use/non-use of a thesaurus of the authors’ keywords had on the number and composition of the thematic clusters returned by VOSviewer and, ultimately, on how this choice affected the correctness of the interpretation of the clusters. The study adhered to a well-known protocol, whose implementation is reported in detail. Thus, the workflow is transparent and replicable. Full article
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17 pages, 957 KiB  
Review
Unheard and Unseen: A Systematic Literature Review of Emotional Abuse Among Indian Adolescents
by Afreen Waseem and Naila Firdous
Adolescents 2025, 5(3), 41; https://doi.org/10.3390/adolescents5030041 - 1 Aug 2025
Viewed by 169
Abstract
Background: Emotional abuse is both prevalent and underrecognized particularly in culturally complex settings like India. Adolescents, being in a critical developmental phase, are especially vulnerable to the long-lasting psychological effects of emotional abuse. This qualitative literature review aims to synthesize findings from primary [...] Read more.
Background: Emotional abuse is both prevalent and underrecognized particularly in culturally complex settings like India. Adolescents, being in a critical developmental phase, are especially vulnerable to the long-lasting psychological effects of emotional abuse. This qualitative literature review aims to synthesize findings from primary studies that explore the lived experiences of emotional abuse among Indian adolescents and identify emerging patterns across sociocultural contexts. Method: Electronic databases, including DOAJ, Google Scholar, ProQuest, JSTOR, Pubmed, PsycNet, and SCOPUS, were searched for peer-reviewed articles published in English up to March 2025. Inclusion criteria comprised qualitative or mixed-methods research focusing on emotional abuse among adolescents aged 12–20 in Indian contexts. The Critical Appraisal Skills Programme (CASP) was used for quality assessment. Results: Five major thematic domains were identified across the included studies: (1) Family as a primary site of emotional abuse; (2) Gendered experiences of abuse; (3) Cultural normalization and silence; (4) Psychological and emotional consequences; and (5) Coping and resilience among adolescents. These themes reflect shared experiences of emotional abuse shaped by cultural, familial, and gender-based expectations. Conclusions: This review highlights the urgent need for increased awareness and culturally sensitive interventions addressing emotional abuse in Indian adolescents. The findings suggest that parents, educators, and policymakers must recognize emotionally harmful behaviors and implement prevention-oriented strategies, particularly through non-violent communication and adolescent mental health support frameworks. Full article
(This article belongs to the Section Adolescent Health and Mental Health)
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36 pages, 5053 KiB  
Systematic Review
Prescriptive Maintenance: A Systematic Literature Review and Exploratory Meta-Synthesis
by Marko Orošnjak, Felix Saretzky and Slawomir Kedziora
Appl. Sci. 2025, 15(15), 8507; https://doi.org/10.3390/app15158507 - 31 Jul 2025
Viewed by 218
Abstract
Prescriptive Maintenance (PsM) transforms industrial asset management by enabling autonomous decisions through simultaneous failure anticipation and optimal maintenance recommendations. Yet, despite increasing research interest, the conceptual clarity, technological maturity, and practical deployment of PsM remains fragmented. Here, we conduct a comprehensive and application-oriented [...] Read more.
Prescriptive Maintenance (PsM) transforms industrial asset management by enabling autonomous decisions through simultaneous failure anticipation and optimal maintenance recommendations. Yet, despite increasing research interest, the conceptual clarity, technological maturity, and practical deployment of PsM remains fragmented. Here, we conduct a comprehensive and application-oriented Systematic Literature Review of studies published between 2013–2024. We identify key enablers—artificial intelligence and machine learning, horizontal and vertical integration, and deep reinforcement learning—that map the functional space of PsM across industrial sectors. The results from our multivariate meta-synthesis uncover three main thematic research clusters, ranging from decision-automation of technical (multi)component-level systems to strategic and organisational-support strategies. Notably, while predictive models are widely adopted, the translation of these capabilities to PsM remains limited. Primary reasons include semantic interoperability, real-time optimisation, and deployment scalability. As a response, a structured research agenda is proposed to emphasise hybrid architectures, context-aware prescription mechanisms, and alignment with Industry 5.0 principles of human-centricity, resilience, and sustainability. The review establishes a critical foundation for future advances in intelligent, explainable, and action-oriented maintenance systems. Full article
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53 pages, 1141 KiB  
Review
Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review
by Clara Lessard-Deschênes, Pierre Pariseau-Legault, Vincent Billé, Sophie Sergerie-Richard, Emilie Hudson, Benedetta Silva, Jean-Simon Drouin, Marie Désilets and Marie-Hélène Goulet
Healthcare 2025, 13(15), 1868; https://doi.org/10.3390/healthcare13151868 - 30 Jul 2025
Viewed by 447
Abstract
Background/Objectives: Perceived coercion has been associated with significant negative outcomes, including service avoidance and psychological distress. Despite growing interest, no recent comprehensive review has mapped the full range of factors influencing this experience. This scoping review aimed to synthesize and present the state [...] Read more.
Background/Objectives: Perceived coercion has been associated with significant negative outcomes, including service avoidance and psychological distress. Despite growing interest, no recent comprehensive review has mapped the full range of factors influencing this experience. This scoping review aimed to synthesize and present the state of knowledge on the factors associated with perceived coercion by adults receiving psychiatric care. Methods: Following the Joanna Briggs Institute methodology, a systematic search of five databases and grey literature was conducted for publications from 1990 to 2025 in English and French. A total of 143 sources were included and thematically analyzed. Consultation with experts and individuals with lived experience enriched the interpretation of findings. Results: Five categories of factors were identified: individual, clinical, relational, legal, and structural. Relational and legal factors were most consistently associated with perceived coercion, while individual and clinical factors showed inconsistent findings. Structural influences were underexamined but significantly shaped the experiences of the individuals receiving care. Conclusions: Perceived coercion arises from a complex dynamic of individual, relational, and systemic influences. Reducing coercion requires moving beyond individual-level factors to address structural conditions and policy frameworks. Future research should prioritize qualitative and intersectional approaches and amplify the voices of those most affected by coercive practices in psychiatric care. Full article
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30 pages, 1737 KiB  
Review
Current Perspectives on Rehabilitation Following Return of Spontaneous Circulation After Sudden Cardiac Arrest: A Narrative Review
by Kamil Salwa, Karol Kaziród-Wolski, Dorota Rębak and Janusz Sielski
Healthcare 2025, 13(15), 1865; https://doi.org/10.3390/healthcare13151865 - 30 Jul 2025
Viewed by 410
Abstract
Background/Objectives: Sudden cardiac arrest (SCA) is a major global health concern with high mortality despite advances in resuscitation techniques. Achieving return of spontaneous circulation (ROSC) represents merely the initial step in the extensive rehabilitation journey. This review highlights the critical role of structured, [...] Read more.
Background/Objectives: Sudden cardiac arrest (SCA) is a major global health concern with high mortality despite advances in resuscitation techniques. Achieving return of spontaneous circulation (ROSC) represents merely the initial step in the extensive rehabilitation journey. This review highlights the critical role of structured, multidisciplinary rehabilitation following ROSC, emphasizing the necessity of integrated physiotherapy, neurocognitive therapy, and psychosocial support to enhance quality of life and societal reintegration in survivors. Methods: This narrative review analyzed peer-reviewed literature from 2020–2025, sourced from databases such as PubMed, Scopus, Web of Science, and Google Scholar. Emphasis was on clinical trials, expert guidelines (e.g., European Resuscitation Council 2021, American Heart Association 2020), and high-impact journals, with systematic thematic analysis across rehabilitation phases. Results: The review confirms rehabilitation as essential in addressing Intensive Care Unit–acquired weakness, cognitive impairment, and post-intensive care syndrome. Early rehabilitation (0–7 days post-ROSC), focusing on parameter-guided mobilization and cognitive stimulation, significantly improves functional outcomes. Structured interdisciplinary interventions encompassing cardiopulmonary, neuromuscular, and cognitive domains effectively mitigate long-term disability, facilitating return to daily activities and employment. However, access disparities and insufficient randomized controlled trials limit evidence-based standardization. Discussion: Optimal recovery after SCA necessitates early and continuous interdisciplinary engagement, tailored to individual physiological and cognitive profiles. Persistent cognitive fatigue, executive dysfunction, and emotional instability remain significant barriers, underscoring the need for holistic and sustained rehabilitative approaches. Conclusions: Comprehensive, individualized rehabilitation following cardiac arrest is not supplementary but fundamental to meaningful recovery. Emphasizing early mobilization, neurocognitive therapy, family involvement, and structured social reintegration pathways is crucial. Addressing healthcare disparities and investing in rigorous randomized trials are imperative to achieving standardized, equitable, and outcome-oriented rehabilitation services globally. Full article
(This article belongs to the Section Critical Care)
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