Search Results (754)

Generative Artificial Intelligence (GenAI) in cardiac surgery refers to the integration of advanced computational models, such as Large Language Models (LLMs), to automate and enhance clinical decision-making, preoperative risk assessment, and surgical education. In the context of surgical training, it functions as a personalized pedagogical tool that supports various learning activities, ranging from information acquisition and clinical inquiry to procedural practice, while requiring rigorous human oversight to ensure patient safety and clinical accuracy. (1) Background: Generative Artificial Intelligence (GenAI) is increasingly integrated into health professions education, offering new opportunities for learning; however, its specific application and pedagogical mapping in high-stakes fields such as cardiac surgery remain underexplored. This systematic review investigates how GenAI is utilized in cardiac surgery and surgical education, aligning these uses with Laurillard’s six learning types. (2) Methods: Following the PRISMA 2020 guidelines, we searched the Web of Science Core Collection for studies on GenAI in cardiac surgery, resulting in 42 studies that met the inclusion criteria. Study quality was appraised using the Medical Education Research Study Quality Instrument (MERSQI). (3) Results: GenAI applications most frequently supported clinical inquiry (93.8%) and practice (68.8%), demonstrating expanding efficiency across commercial and open-source models (including ChatGPT-4o, Gemini AI, and emerging reasoning architectures such as DeepSeek) for knowledge acquisition and medical production. While it significantly improves individualized learning and preoperative assessment workflows, its practical role in Discussion and Collaboration remains heavily underutilized, highlighting a distinct shift toward individualized solo professional workflows. (4) Conclusions: GenAI provides a transformative and scalable approach to cardiac surgical training by offering personalized and accessible knowledge retrieval. However, clinical educators and governance bodies must deliberately balance these immediate productivity benefits with long-term concerns regarding structural “hallucinations,” data verifiability, and the preservation of collaborative competencies within modern multidisciplinary Heart Teams. Full article

Cyber-physical systems (CPSs) based on the Internet of Things (IoT) form the backbone of modern smart infrastructures, including smart cities, healthcare monitoring, industrial automation, and intelligent transportation. However, connecting many resource-limited IoT devices makes them more vulnerable to cyber threats, particularly quantum attacks. This review comprehensively examines quantum-secure communication (QSC) frameworks for IoT-enabled CPS, focusing on Quantum Key Distribution (QKD), post-quantum cryptographic (PQC) algorithms, and hybrid quantum–classical security models suitable for constrained devices. A PRISMA-guided search of the Scopus and Google Scholar database was conducted in January 2026 using three keyword groups related to hybrid security, artificial intelligence, and cyber-physical systems. Based on the evaluation, 6008 publications have been identified between 2001 and 2026. The first-round screening was performed for 4948 articles, after excluding duplicates. During the screening stage, 348 articles were selected for abstract scrutiny, 115 records were excluded due to no direct focus on CPS/IoT applications, 52 studies were excluded because these papers relied on traditional security models, 25 studies were excluded due to insufficient relevance to the review objectives, and 15 additional non-English studies were removed. Following the screening stage, 141 studies were selected for full-text eligibility. Out of those, 86 studies were removed due to a lack of specific evaluation metrics or not being published in a peer-reviewed venue. Furthermore, the publications are classified as QKD-based secure CPS and QSC for industrial IoT, AI-Assisted Secure Communication for CPS Networks, and hybrid PQC-QKD models for CPS/IoT devices. This article investigates recent advancements in secure data transmission, verified protocols, and AI-driven anomaly detection customized to CPS/IoT environments. In addition, operational hurdles, interaction with open innovations, real-time deployment, and secure edge-cloud integration are highlighted. By analyzing recent developments and identifying research gaps, this review provides a structured roadmap for designing secure, scalable, and quantum-safe IoT-based CPS frameworks capable of withstanding next-generation cyber threats. This systematic review was performed and reported according to the PRISMA 2020 guidelines. Full article

This paper examines how artificial intelligence can support sustainability assessment in cultural industries, using national film industries as a test case. The Film Industry Sustainability Index (FISI) is introduced as a composite indicator covering cultural diversity, economic resilience, and Sustainable Development Goal (SDG) alignment for 42 national economies from 2005 to 2023. Knowledge-Enhanced Mamba (KE-Mamba), a selective state-space forecasting model, is then proposed to combine annual panel indicators with country-level film-industry knowledge graph (KG) embeddings and large language model (LLM)-derived screenplay-oriented narrative proxies from film synopses. To reduce factual errors in title-level narrative scoring, the LLM is anchored to verified United Nations Educational, Scientific and Cultural Organization (UNESCO) records and the European Audiovisual Observatory’s LUMIERE film-admissions database using rank-one model editing (ROME). On the 2020–2023 held-out test period, KE-Mamba achieves a composite FISI mean absolute error (MAE) of 0.0389, a mean absolute percentage error (MAPE) of 5.61%, and an $R^2$ of 0.934, outperforming autoregressive integrated moving average (ARIMA), tree-based, long short-term memory (LSTM), and base Mamba baselines. Additional robustness checks using a pre-pandemic split, two-way fixed-effects panel regression, alternative FISI weighting schemes, KG embedding ablations, and human validation of LLM narrative scores support the reliability of the proposed framework. Policy simulations are interpreted as model-based projected associations rather than causal estimates. The results show that knowledge-enhanced sequence models can provide transparent forecasting support for sustainable cultural-industry policy. Full article

Complex networks have become a fundamental paradigm for modeling real-world systems. Synchronization of such networks, particularly under hyperchaotic dynamics, presents a significant control challenge due to the high-dimensional state space and multiple positive Lyapunov exponents. This paper addresses the driver node selection problem in a 4D Hyperchaotic Lorenz complex network, formulating it as a constrained binary optimization task. We evaluate a pool of advanced metaheuristics, including the quantum genetic algorithm (QGA), seahorse optimizer (SHO), and artificial bee colony (ABC), across multiple network experiments conducted over 30 independent runs to guarantee statistical validity. The performance of these solvers is rigorously benchmarked against traditional topological heuristics, a random selection baseline comprising 600 feasible configurations, and verified through Wilcoxon statistical testing. Furthermore, addressing computational sustainability, we introduce a “Green-Artificial Intelligence” architecture based on dual-tier structured query language memoization (SQL-memoization) and provide a detailed runtime comparison evaluating its efficiency. The empirical results indicate that swarm-intelligence methods such as ABC and SHO exhibit robust competitive performance in minimizing synchronization errors while the Green-AI framework consistently and drastically reduces the computation of the repetitive simulations. Full article

Generative artificial intelligence (AI) is increasingly present in medical education, yet its indiscriminate use risks impairing the acquisition of foundational clinical competencies, including clinical reasoning, hypothesis generation, and patient-centered communication, through processes of never-skilling, mis-skilling, and deskilling. This paper presents M3RGE-AI (Responsible, Reliable, and Reflexive use of Generative AI in Medical Education), a conceptual framework for the purposeful integration of AI as a cognitive scaffold in medical training. Drawing on established learning theories, zone of proximal development, deliberate practice, and peer learning, the framework assigns progressively expanding AI functions across training stages, prioritizes Socratic over directive interactions, requires transparent and verifiable sourcing of AI-generated content, and incorporates peer moderation and AI-off assessment checkpoints to mitigate over-reliance. The framework is operationalized through alternating AI-on and AI-off cycles, governance processes, and educator training protocols. Applied within these constraints, AI can shorten feedback loops and broaden clinical exposure while preserving independent reasoning and authentic patient communication. M3RGE-AI offers a theoretically grounded and institutionally implementable model for integrating generative AI into medical curricula without sacrificing the essential human competencies that underpin safe clinical practice. Full article

Background/Objectives: Artificial intelligence reshapes clinical practice, and its effect on the clinician–patient relationship requires reconsideration of the frameworks that have shaped modern medical ethics. When clinicians delegate expertise to algorithms they cannot verify, it becomes unclear who bears clinical responsibility. Methods: This article applies a theoretically grounded normative approach to explore the ethical conditions under which artificial intelligence can be integrated into clinical practice without compromising the moral foundations of medicine. The analysis is primarily based on Pellegrino and Thomasma’s concept of the internal morality of medicine and the clinician’s act of profession. It further draws on Kantian ethics of human dignity, Levinasian relational ethics, virtue ethics, and Vallor’s concept of technomoral wisdom. Results: AI systems do not satisfy the conditions under which moral responsibility can be ascribed to them. Clinical moral agency lies in the capacity to bear three distinct responsibilities—epistemic, relational, and phronetic—none of which can be fulfilled by AI. The implementation of AI in healthcare, therefore, must occur strictly under the condition of Meaningful Human Control, rather than as a technical function of human oversight over algorithmic outputs. To ensure that MHC can function as an effective and ethically grounded safeguard, we propose five normative requirements: primacy of clinical judgement, prohibition of forced automation, traceability and explainability, transparency towards patients, and retaining clinical authority. Dialogue between clinicians and patients should remain the foundation of clinical decision-making. The proposed normative requirements aim to preserve the internal morality of medicine in a form that harmoniously combines both technological progress and established medical ethics. Full article

The convergence of the Internet of Things (IoT), edge computing, and artificial intelligence (AI) is reshaping cyber defense in distributed cyber–physical environments. IoT-edge systems expose heterogeneous, resource-constrained, and intermittently connected devices to threats that unfold close to sensing and control processes, making purely signature-based or rule-based defenses increasingly insufficient. This article presents a structured review of AI for cybersecurity in IoT-edge systems from a systems-oriented perspective. Rather than surveying AI for IoT security in general, it organizes the literature around four practical lenses: AI methods, datasets and benchmarks, evaluation practice, and deployment constraints. The review reconstructs a workspace-verifiable corpus of 96 references, emphasizes literature published between January 2023 and April 2026 while retaining foundational benchmark papers, and uses a conservative 26-paper empirical subset for paper-level gap coding. Because this subset was purposively sampled and the original retrieval logs were not preserved, coded counts are interpreted as recoverable reporting signals and comparability indicators rather than field-level prevalence estimates. The revised synthesis further stratifies the coded evidence by task, model family, dataset, application scenario, metric type, and deployment signal, and translates deployment feasibility into a minimum reporting checklist and edge-hardware decision matrix. Within this evidence boundary, recent work remains dominated by intrusion and anomaly detection, with continued use of traditional machine learning, deep learning, federated learning, explainable AI, and graph-based approaches. However, experimentation remains concentrated around a small set of public benchmarks, while latency, memory, energy, communication overhead, operational robustness, and reproducibility are reported inconsistently. The field is therefore constrained less by classifier novelty than by benchmark concentration, weak deployment reporting, limited response-and-mitigation analysis, undercoverage of authentication, access-control, and trust-management tasks, and limited reproducible edge-aware evaluation. Full article

Studies explaining the variation in educational outcomes across countries, when based on “black box” models that provide high accuracy but struggle to present the decision-making mechanism transparently, carry the risk of producing limited interpretations for policy discussions. This study examines the system-level relational patterns through which the subcomponents of the Heritage Foundation Index of Economic Freedom distinguish country-average low–medium–high PISA performance profiles in mathematics, reading, and science, and interprets these patterns using machine learning and explainable artificial intelligence (XAI). The analysis draws on approximately twenty years of nominal country-year records covering 76 countries. The study design proceeds through a classification approach, treating country performance as low–medium–high profiles; thus, model outputs are presented on an interpretable reference plane for cross-country comparisons. The findings indicate that the models demonstrate consistent generalization ability in distinguishing performance profiles and that the XAI layer produces explanations that make the model’s reasoning visible in a verifiable manner. The explanation results indicate that components representing institutional trust (such as government integrity and property rights) produce strong, recurring signals alongside higher performance profiles in all three areas; while components such as public expenditure and tax burden can emerge as balancing/suppressing signals in some scenarios. Rather than offering causal policy implications, these findings transparently reveal the structural areas that stand out in distinguishing performance profiles in cross-country comparisons, thus providing an explainable, replicable evidence base for comparative analysis and further research. Full article

Expanding ESG disclosure mandates under the Corporate Sustainability Reporting Directive (CSRD) and the International Sustainability Standards Board (ISSB) have driven rising demand for artificial intelligence (AI) and data analytics capable of supporting sustainability reporting and verification at scale. Nevertheless, the scholarly literature remains dispersed across discrete disciplinary fields—natural language processing, machine learning, auditing, and regulatory compliance—with limited integrative synthesis. To address this gap, the present study conducts a PRISMA 2020-compliant systematic review of 45 peer-reviewed articles indexed in Scopus and published between 2020 and 2025. The methodology combines bibliometric mapping through VOSviewer with qualitative thematic content analysis. Findings document a rapidly expanding field exhibiting a compound annual growth rate of 91.9%. Four principal thematic dimensions emerge: (i) NLP and text mining for ESG disclosure analysis; (ii) machine learning for ESG scoring and corporate performance; (iii) AI-enabled ESG assurance, auditing, and governance; and (iv) regulatory frameworks and the digital transformation of sustainability reporting. The evidence indicates that AI is progressively reshaping ESG disclosure from a largely narrative and self-reported practice into a data-driven, independently verifiable transparency system. These developments carry substantive implications for regulators, corporate practitioners, assurance providers, and investors seeking to strengthen the reliability and comparability of sustainability disclosures. Full article

Efficient textile recycling depends on accurate identification of fibre types and compositions to support high-value material recovery and automated sorting. Existing commercial systems based on near-infrared (NIR) spectroscopy offer robust performance, but their model architectures and development methods are proprietary, and they often struggle to detect materials when carbon-black (graphite-based) dyes suppress the spectral signatures. This paper presents a hyperspectral imaging approach for textile fibre identification, combined with an artificial intelligence model capable of detecting cotton, polyester, elastane, and regions affected by carbon-black dye. Sixty-five textile samples were laboratory-verified to determine constituent materials and compositions, with 52 used in model development and testing. A semi-automatic algorithm detected textile boundaries and sampled 100 spectral patches per image. For materials exhibiting two distinct spectral signatures, typically due to carbon-black dye regions, 100 samples were collected for each signature, producing a database of 6500 spectra. A convolutional neural network model was trained using these signatures to predict fibre composition and identify any regions with carbon-black dye. The system achieved mean absolute errors below 2.1% for cotton, polyester, and elastane. A spatial clustering step groups pixels with similar spectra prior to detection, enabling region-wise material identification and allowing the model to classify clusters likely affected by carbon-black dye. This approach demonstrates high precision in fibre identification and reliable detection of carbon-black regions, highlighting its suitability for real-world textile analysis workflows. Full article

Permanent magnet synchronous motors (PMSMs) suffer performance degradation under parameter uncertainties and external load disturbances, reducing the effectiveness of conventional proportional-integral and field-oriented control (FOC) schemes. This paper presents an artificial intelligence (AI) enhanced hybrid controller that combines finite-control-set model predictive control (FCS-MPC) and active disturbance rejection control (ADRC). The FCS-MPC optimizes inverter switching states by minimizing a cost function through predicted current trajectories. Additionally, the ADRC employs an extended state observer to estimate and compensate for aggregated disturbances. A lightweight radial basis function neural network is utilized, whose centers and widths are initialized offline based on k-means clustering on representative data, while its output weights are updated online via a Lyapunov-based adaptive law. This network dynamically adjusts the MPC cost function weights and ADRC observer bandwidth according to real-time operating conditions, while enabling online identification of key motor parameters. MATLAB/Simulink R2024a simulations under step load torque conditions verify that the proposed method achieves a speed deviation within 3% of the rated value, an over 90% reduction in torque ripple compared to FOC, and a settling time of less than 5 ms. Although it incurs a moderate computational cost, the proposed controller exhibits improved tracking accuracy and enhanced robustness under simulated conditions. Consequently, the AI-enhanced MPC-ADRC strategy shows strong potential for high-performance applications, subject to future experimental validation. Full article

Mathematical problem transformation is a teaching-and-learning strategy that extends conceptual understanding and problem-solving ability by expressing the same concept across diverse situations. It has recently attracted attention in artificial intelligence as a tool for data augmentation, difficulty control, and model evaluation. However, existing approaches struggle to jointly represent and control how core mathematical elements—such as operational structure, quantitative relations, and conditions—are preserved or modified. This limitation is particularly evident in natural-language problems, where intertwined components make it difficult to perform targeted partial transformations or verify structural validity. To address these challenges, we propose the Symbolic Math Problem Representation Framework (SyMPRep), which represents the relationships among sentences, conditions, questions, quantities, units, and operations in a symbolic structure. It classifies free-form instructions into predefined categories and decomposes problems into constituent elements, enabling transformation over an explicit abstraction structure. This allows problem transformation to be treated as a controllable, traceable, and recoverable structural operation rather than surface rewriting. Experiments on GSM8K and Math500 show that SyMPRep achieves stable alignment and recoverability, and confirm that the main challenge lies in structural control rather than surface fluency. Ablation results highlight the importance of symbolic schema and show that different metrics capture distinct aspects of transformation quality. In downstream applications, answer-invariant transformations yield modest improvements on easier problems, while human evaluation indicates that the generated problems are coherent and suitable for educational use. These findings suggest that SyMPRep serves as a representation-driven interface for controllable structural transformation. Full article

In electrical systems, it is important to comply with regulations that guarantee the safety and proper functioning of the installation; to validate that this is complied with, it is necessary to have certifications that are carried out by inspectors who make a visual review of the electrical installations. This article presents a multi-agent artificial intelligence system based on multimodal Generation Augmented by Recovery (RAG) that verifies compliance with electrical standards. The system is made up of agents specialized in visual perception, automatic retrieval of the applicable standards and the drafting of a technical opinion; this is done based on image processing contrasted with the NOM and NEC standards mainly in conjunction with some complementary standards such as NMX. The validity of the functionality of the system was tested in real environments where 103 inspections were carried out, achieving a reduction in the time used for inspections, which dropped from the usual 18.4 h to only 7.3 min, the time required for the inspection using the system, which represents an improvement of 99.3% in time efficiency. On the other hand, consistency among inspectors (kappa Cohen) increased from 0.68 to 0.94, thus demonstrating that there is a high standardization in opinions. These results show that the integration of large-scale language models (LLMs) and multi-agent architectures not only improved the productivity of inspection processes but also gives greater certainty to a good assessment of the physical conditions in electrical installations. Full article

Against the backdrop of the rapid development of generative artificial intelligence (GenAI), exploring preschool teachers’ willingness to adopt technology is critical for advancing their educational applications. However, this area remains underexplored. To address this gap, this study draws on the Unified Theory of Acceptance and Use of Technology (UTAUT) to develop a research model incorporating performance expectancy, effort expectancy, social influence, facilitating conditions, perceived risks, and tech-savviness. Using a sequential mixed-methods design, we recruited 434 teachers to participate in a GenAI teaching-application workshop, collected 399 valid questionnaires for structural equation modeling, and conducted 15 in-depth interviews. Quantitative results indicate that performance expectancy, social influence, and tech-savviness are positively associated with preschool teachers’ intention to use GenAI, while perceived risk is negatively associated; effort expectancy and facilitating conditions show no significant association. Due to methodological limitations including high inter-construct correlations and potential common method bias, these findings should be viewed as exploratory rather than conclusive. Qualitative interviews support these relationships and provide further explanatory insights. The mixed-methods results offer preliminary hypotheses regarding GenAI adoption among preschool teachers, and future confirmatory research is needed to verify their generalizability, especially in collectivist cultural contexts. Full article

Artificial intelligence (AI) systems increasingly depend on complex, multi-stage supply chains that incorporate pre-trained models, third-party datasets, open-source libraries, and automated training pipelines. This dependency creates a rapidly expanding attack surface in which model poisoning, dependency compromise, and provenance manipulation can undermine system integrity long before deployment. Existing AI governance frameworks—including the NIST AI Risk Management Framework and NIST’s Secure Software Development Framework—acknowledge supply chain risks but do not define a verifiable model provenance structure or cryptographically durable integrity guarantees. Simultaneously, the transition to post-quantum cryptography (PQC) introduces new requirements for long-lived AI artifacts: classical digital signatures used to verify model lineage, dataset integrity, and pipeline attestation will become vulnerable to quantum-enabled forgery within the expected operational lifetime of many AI systems. This paper synthesizes evidence from policy, standards, and benchmark sources to characterize the emerging AI supply chain threat landscape and identify cryptographic dependencies that the PQC transition disrupts. We propose a formal Model Bill of Materials with PQC-safe extensions (MBOM-PQC), a unified signing and attestation pipeline integrating ML-DSA and hybrid signature modes, and a five-level Supply Chain Assurance Maturity Model (SCAMM) supporting repeatable organizational evaluation. Together, these contributions aim to provide a structured foundation for AI supply chain integrity, supporting verifiable model lineage, authenticity, and trustworthiness through the PQC transition and beyond. The framework is presented as a design-science contribution comprising three integrated artifacts and is extended with operational guidance for continuous-learning pipelines (§6.5), a formal scoring methodology for organizational assessment (§7.3.5), and a hardware-root-of-trust migration cost matrix (§8.3.6). Full article