Search Results (1,478)

Background: Stroke survivors and their family caregivers face substantial burdens resulting from a complex interplay of clinical, functional, and psychosocial factors. Community-based resources and social networking are critical for alleviating caregiver burden and improving outcomes for both caregivers and stroke survivors. Objectives: To assess the Saudi population’s readiness to use social platforms for stroke survivors’ recovery and caregiver support. Methods: A cross-sectional descriptive design was employed between March and June 2025 to collect data from community-dwelling individuals using sociodemographic and Technology Readiness Index (TRI) questionnaires. Results: A convenience sample of 576 participants was enrolled in this study. Overall, the participants showed a high level of technology readiness, with a total TRI mean score of M = 3.65, SD = 0.86. Optimism had the highest mean score, followed by innovativeness, insecurity, and discomfort. Significant differences in technology readiness were identified based on age, educational level, employment status, familiarity with modern technology, and healthcare provider status. Conclusions: This study demonstrates a high level of technological readiness across the Saudi population, indicating strong potential for integrating social connection platforms into stroke recovery and caregiver support. These findings align with Saudi Arabia’s Vision 2030 goals for digital transformation in the healthcare sector. Future research should focus on conducting feasibility studies to better understand the desirable features of e-health services and digital solutions within the Saudi community. Full article

As Industry 5.0 emerges as a human-centric evolution of industrial systems, this study investigates the effectiveness of training interventions in companies aimed at supporting the transition to Industry 5.0, emphasizing human-centric and resilient skill development. Drawing from multiple case studies involving engineers and operators, the research applies both meta-analysis and meta-regression to assess the added value of experiential learning approaches such as Teaching and Learning Factories. In addition, a novel methodology combining quantitative analyses with qualitative interpretation of emerging competences is presented. Principal Component Analysis and classification frameworks are employed to identify and organize key competence clusters along technological, organizational, and social dimensions. Special attention is given to the emergence of human-centered competences such as decision empowerment, which are shown to complement traditional operational capabilities. The findings confirm that experiential training interventions enhance both self-efficacy and adaptive operational readiness, while the use of fusion techniques enables the generalization of results across heterogeneous corporate settings. This work contributes to ongoing discourse on Industry 5.0 readiness by linking training design to strategic company incentives and highlights the role of structured evaluation in informing future policy and implementation pathways. Full article

In the current era of rapid technological change, where artificial intelligence and quantum computing are reshaping knowledge, quantum literacy in high schools is becoming increasingly relevant. An understanding of quantum science is now important for fostering future readiness to prepare students for the future, as it directly affects research, technology and innovation. Introducing quantum computing through educational tools and interactive platforms in schools will make quantum science accessible, equipping students with the necessary skills to understand and participate in future developments. This work investigates the necessity of quantum literacy among secondary education students, as well as their perceptions and understanding of basic concepts of quantum physics. Prior to data collection, students participated in two 90 min educational presentations that introduced fundamental principles of quantum physics through quantum computing and its applications, with an emphasis on cryptography and key distribution. Then, through the application of a specially designed questionnaire, data were collected from 78 students of different kind of schools and background and analyzed quantitatively and qualitatively. The results showed positive trends in students’ responses regarding their familiarity with quantum literacy and their understanding of fundamental principles such as superposition and entanglement. In addition, the analysis highlighted students’ interest in quantum computing and technology and its potential applications. This study highlights the need to integrate quantum literacy into the secondary education curriculum in order to foster scientific thinking and prepare students for the challenges of the quantum era. The educational intervention with the two presentations seemed to contribute positively to the development of students’ quantum literacy. Full article

The purpose of this narrative review is to critically appraise recent advances in sports injury rehabilitation—primarily focusing on biopsychosocial (BPS) approaches alongside emerging technological innovations—and identify current gaps and future directions. A literature search was conducted in PubMed, Scopus, and Web of Science for the years 2018–2024. Eligible records were English-language, human studies comprising systematic reviews, clinical trials, and translational investigations on wearable sensors, artificial intelligence (AI), virtual reality (VR), regenerative therapies (platelet-rich plasma [PRP], bone marrow aspirate concentrate [BMAC], stem cells, and prolotherapy), and BPS rehabilitation models; single-patient case reports, editorials, and non-scholarly sources were excluded. The synthesis yielded four themes: (1) BPS implementation remains underutilised owing to a lack of validated tools, variable provider readiness, and system-level barriers; (2) wearables and AI can enhance real-time monitoring and risk stratification but are limited by data heterogeneity, non-standardised pipelines, and sparse external validation; (3) VR/gamification improves engagement and task-specific practice, but evidence is dominated by pilot or laboratory studies with scarce longitudinal follow-up data; and (4) regenerative interventions show mechanistic promise, but conclusions are constrained by methodological variability and regulatory hurdles. Conclusions: BPS perspectives and emerging technologies have genuine potential to improve outcomes, but translation to practice hinges on (1) pragmatic or hybrid effectiveness–implementation trials, (2) standardisation of data and intervention protocols (including core outcome sets and effect-size reporting), and (3) integration of psychological and social assessment into routine pathways supported by provider training and interoperable digital capture. Full article

As a part of sustainable transportation, robotaxis have been rapidly developing around the world because of their advantages in energy saving, improving road safety, and enhancing environmental sustainability, thereby providing consumers with sustainable transportation services. In China, as the number of pilot cities increases, more people are using robotaxi services. This study investigates the factors that affect consumer satisfaction and behavioral intentions after using a robotaxi, aiming to provide data to guide market strategy decisions. To do this, the value-based adoption model was extended and modified by including the technology readiness variable to examine satisfaction, intention to reuse, and electronic word-of-mouth (e-WOM) intentions. Using 425 valid responses, structural equation modeling (SEM) and multi-group analysis were carried out with AMOS 26.0. The results indicate that perceived usefulness, enjoyment, optimism, and innovativeness positively influence service satisfaction, whereas perceived risk and discomfort have negative effects. Consumer satisfaction positively affects both intention to reuse and e-WOM intention. Additionally, uncertainty avoidance shows a moderating effect between satisfaction and intention to reuse. Full article

Modern technologies, tools, and services are rapidly penetrating life, requiring a radical shift in traditional education and the rapid implementation of interdisciplinary STEM (science, technology, engineering, and mathematics) learning approaches. Hence, numerous studies have been initiated to explore key aspects of modern STEM methods and existing opportunities for their evaluation, personalization, and optimization. The article presents results from qualitative research conducted through semi-structured interviews with schoolteachers who have experience in implementing innovative STEM methods in their educational practice. The focus of the study is on the qualitative analysis of modern methods and good practices applied in teaching STEM subjects in Bulgaria. The formulated research questions address the readiness to apply STEM educational methods in Bulgarian schools, focusing on prerequisites such as institutional support, availability of technology infrastructure and resources, and teachers’ competencies. Additionally, these research questions aim to explore teachers’ views on modern teaching methods and approaches currently utilized in STEM education, as well as their perceived effectiveness, engagement, and applicability. The key themes and insights that emerged from the interviews also shed light on the state-of-the-art of STEM education in Bulgarian schools and the current use of teaching methods and techniques for STEM education. The findings revealed that teachers miss time in the curriculum dedicated to STEM lessons and need more integrated learning resources and additional qualifications to apply STEM methods effectively. The interpretation of results analyzes the significance of the findings and their implications for teaching practices and policies in STEM education. Full article

In cemented endoprosthetics, closed prepacked mixing systems represent the most advanced generation of cementing technology. (1) Background: The purpose of the present study is to evaluate four approved prepacked systems—Palacos^® R+G pro, SmartMix™ Cemvac GHV, Optipac^® Refobacin and Cemex^® System Genta—with a focus on practical handling and intraoperative hygiene. (2) Method: The systems were evaluated according to established standard test methods for bone cements (ISO 5833), including dough time, setting time, additional mechanical tests and the level of system closure. (3) Results: The results show that all systems are safe to use and meet the general requirements, but there are relevant differences in terms of intraoperative hygiene. The Palacos R+G pro system shows significantly shorter doughing and setting times, which helps to minimize wound exposure during surgery and thus significantly reduces the overall operating time and the risk of bacterial contamination. Two of the systems cannot be classified as completely closed “pre-packaged systems.” In two cases, the system must be temporarily opened before mixing to insert the mixing element, which may result in a temporary but clinically relevant impairment of sterility and a corresponding potential risk of contamination. (4) Conclusion: From a hygienic point of view, systems that remain completely closed throughout the entire preparation process can offer advantages in terms of infection prevention. This was the case for all systems tested. Short handling times, reduced exposure of the surgical site and a shorter overall duration of the procedure could further improve intraoperative safety and reduce the risk of contamination. In terms of intraoperative hygiene, the Palacos R+G pro system achieved the best results compared to the three other systems tested due to its rapid readiness for use and comparatively short setting time (according to ISO 5833). Cemex System Genta performed worst in this respect due to its late doughing time and setting time. Full article

Background: Digital self-efficacy is a crucial determinant of healthcare professionals’ ability to adapt to technological innovations. Understanding its predictors among nurses and nursing students is essential for workforce readiness. Objectives: To assess the level of digital self-efficacy and examine demographic, educational, and experiential factors associated with inadequate self-efficacy. Methods: This cross-sectional study involved 1081 Italian nurses and nursing students. The Digitech-S scale was used to measure digital self-efficacy, with ≥70/100 indicating adequacy. Logistic regression was performed to identify predictors of inadequate self-efficacy. Results: Only 47.1% of participants demonstrated adequate self-efficacy. Females had twice the odds of inadequate self-efficacy compared to males (OR = 2.038, p < 0.001). Nurses with bachelor’s degrees had 2.5 times higher odds than students (OR = 2.450, p < 0.001), while post-graduate education showed no effect. Early technology adoption before age 14 reduced the odds (OR = 0.675, p = 0.027). Each additional year of work experience decreased the odds by 4% (OR = 0.955, p < 0.001). Conclusions: Gender disparities persist in digital self-efficacy, and unexpectedly, students outperformed bachelor-level nurses. Findings highlight educational gaps and the importance of early exposure to technology. Tailored interventions are needed to strengthen digital readiness, which may improve care quality and healthcare system efficiency in the digital era. Full article

Process simulation plays a crucial role in modern manufacturing, enhancing efficiency, decision making, and system optimization. However, its adoption varies across industries and regions, influenced by factors such as technological readiness, organizational culture, and workforce expertise. This study explores the application of process simulation in the Saudi manufacturing industry, investigating the extent of its use, key success stories, documented benefits, and barriers to adoption. Using a qualitative approach, semi-structured interviews were conducted with industry leaders and engineers to capture real-world insights into how simulation is implemented and perceived. Findings reveal that while simulation has led to measurable improvements in productivity, cost efficiency, and operational decision making, challenges such as technical constraints, resistance to change, and a shortage of skilled professionals hinder wider adoption. These insights not only reflect the current state of simulation in Saudi manufacturing but also suggest broader implications for industries in other regions facing similar challenges. Understanding the key drivers and barriers to simulation adoption can help shape policies, training programs, and investment strategies to maximize benefits of simulation in manufacturing globally. Full article

The integration of composite materials into commercial aviation has transformed the industry by providing superior performance benefits, including enhanced fuel efficiency, reduced emissions, and improved structural integrity. With a significant shift towards aircraft featuring high contents of composite materials, the focus has also turned to the challenges associated with the end-of-life management of these materials. Unlike metals, composites are notoriously difficult to recycle due to the strong bonding between fibres and resin, creating significant environmental and economic challenges. The methodology employed—consisting of an extensive literature review that prioritises a holistic approach—aims to provide an overview of the status of composite recyclability in aviation. With this, the report investigates the durability of composites under operational conditions, the associated environmental factors, and their impact on the recycling potential. The dismantling processes for decommissioned aircraft are analysed to identify strategies that preserve material integrity for effective recycling. Established recycling methods are critically evaluated alongside innovative approaches. The study highlights the limitations of current techniques in terms of costs, energy consumption, and material degradation while exploring emerging technologies that aim to overcome these barriers. It is concluded that currently available techniques do not possess the industrial maturity required to handle the amount of composite materials being employed in aviation. Moreover, there is a clear discontinuity between the developments in the usage of composites and their end-of-life recycling, which can cause serious environmental and economic challenges in future years. By combining information regarding composite usage and aircraft retirements, assessing the environmental and economic implications of composite recycling as well as available techniques, and proposing pathways for improvement, this research underscores the importance of adopting sustainable practices in aviation. The findings aim to contribute to the development of a circular economy within the aerospace sector, ensuring the long-term viability and environmental responsibility of future composite-intensive aircraft designs. This is performed by calling for a multi-stakeholder strategy to drive recycling readiness and facilitate the evolution towards a circular economy in aviation, leading to more sustainable design, production, and dismantlement of aircraft in the future. Full article

End-stage chronic kidney disease remains a global challenge, with dialysis and transplantation offering only partial or limited solutions. Recent advances in bioengineering have introduced modular strategies that aim to restore kidney function not by replicating the entire organ, but by rebuilding it one segment at a time. Platforms such as kidney organoids, implantable bioartificial kidneys, 3D-bioprinted tissues, and decellularized scaffolds each target specific nephron functions, from filtration to endocrine signaling. This Perspective examines how these technologies can be integrated into interoperable systems that reflect the nephron’s native structure and functional complexity. We assess translational readiness across key benchmarks, including vascular integration, hormonal responsiveness, immune compatibility, and implantability, and discuss the ethical, regulatory, and design considerations that will shape their clinical future. Collectively, these modular strategies offer a pathway toward more personalized, scalable, and physiologically relevant approaches to kidney replacement. Full article

As global economies accelerate their digital transformation, artificial intelligence (AI) technologies have become a key driver of innovation and economic growth, especially in the electronic commerce sector. This study examines the impact of AI applications in marketing and sales on e-commerce performance across European economies, using official data from Eurostat. Our methodology includes factor analysis to identify underlying data structures, linear regression to explore causal relationships, generalized linear model (GLM) multivariate analysis to assess the combined effect of multiple factors, and cluster analysis to categorize countries based on their level of digitalization. Our results demonstrate a strong correlation between AI use and e-commerce performance, revealing two distinct clusters with unique characteristics. The findings reveal a positive association between the use of AI and firms’ engagement in e-commerce activities, although the influence on turnover appears more limited. This suggests that while AI facilitates entry into the digital marketplace, financial performance depends on a broader set of factors, including technological infrastructure, market readiness, and strategic alignment. These insights provide a solid basis for developing policies and strategies that support digital transformation and technological innovation in Europe, helping to build competitive and sustainable economies. Full article

Water is an essential resource for life and is also a necessary resource for the sustainable economic competitiveness of any country. In recent decades, climate change, economic development, and rising population have led to water scarcity in certain regions. In response, new technologies and water management techniques have been researched and developed, which are now incorporated into the concept of smart cities. These innovations, called smart water systems, aim to enhance water management by monitoring consumption, quality, reservoir levels, leaks, and asset conditions, and optimizing water processes to maximize water system resilience. The first systems were based on smart meters and have advanced to so-called digital twins for water systems. This review aims to present a comprehensive review of smart water system developments, the geographic distribution of the works, their technological readiness level, and their implementation challenges. Full article

Food safety management has evolved with the Hazard Analysis and Critical Control Point (HACCP) system serving as a global benchmark. However, conventional HACCP does not explicitly address environmental sustainability, leading to challenges such as excessive water use, chemical discharge, and energy inefficiency. Green HACCP extends traditional HACCP by integrating Environmental Respect Practices (ERPs) to fill this critical gap between food safety and sustainability. This study is presented as a conceptual paper based on a structured literature review combined with illustrative industry applications. It analyzes the principles, implementation challenges, and economic viability of Green HACCP, contrasting it with conventional systems. Evidence from recent reports and industry examples shows measurable benefits: water consumption reductions of 20–25%, energy savings of 10–15%, and improved compliance readiness through digital monitoring technologies. It explores how digital technologies—IoT for real-time monitoring, AI for predictive optimization, and blockchain for traceability—enhance efficiency and sustainability. By aligning HACCP with sustainability goals and the United Nations Sustainable Development Goals (SDGs), this paper provides academic contributions including a clarified conceptual framework, quantified advantages, and policy recommendations to support the integration of Green HACCP into global food safety systems. Industry applications from dairy, seafood, and bakery sectors illustrate practical benefits, including waste reduction and improved compliance. This study concludes with policy recommendations to integrate Green HACCP into global food safety frameworks, supporting broader sustainability goals. Overall, Green HACCP demonstrates a cost-effective, scalable, and environmentally responsible model for future food production. Full article

(1) Background: Mobile populations living in disadvantaged circumstances often face disrupted continuity of care due to incomplete or inaccessible health records. This feasibility study explored the perceived usefulness of Electronic Personal Health Records (EPHRs) in enhancing access to and continuity of care for mobile populations across Denmark, Ghana, Kenya, and The Netherlands. (2) Methods: A qualitative study using ninety semi-structured interviews, with multi-level stakeholders ranging from policymakers to mobile individuals, recruited through purposive and convenience sampling. Interview guides and analysis were informed by the Technology Acceptance Model (TAM), and analysis by the Unified Theory of Acceptance and Use of Technology (UTAUT). (3) Results: Stakeholders highlighted the value of improved medical data sharing and ownership and considered EPHRs promising for enhancing care continuity and efficiency. Key concerns included limited digital and health literacy, and data security and privacy, underscoring the need for education and safeguards against inappropriate data sharing. Due to differences in digital readiness and privacy guidelines, a one-size-fits-all EPHR is unlikely to succeed. (4) Conclusions: EPHRs are considered valuable tools to enhance care continuity and increase patient ownership, but they face technical, structural, and social challenges, including data security and varying levels of digital (health) literacy. Successful implementation requires context-sensitive, co-created solutions supported by strong policy frameworks. Full article