Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Journals

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Article Types

Countries / Regions

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Search Results (757)

Search Parameters:
Keywords = trust in institutions

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
25 pages, 1035 KB  
Article
Cultivating Continued Control: Post-Separation Abuse and Entrapped Legal Consciousness
by Einav Perry, Gil Rothschild Elyassi and Arianne Renan Barzilay
Laws 2025, 14(5), 76; https://doi.org/10.3390/laws14050076 (registering DOI) - 11 Oct 2025
Abstract
Scholars have long shown that post-separation abuse continues through legal channels and that legal institutions often reinforce existing social relations. Nevertheless, little is known about how abused mothers’ legal experiences shape their understanding of legality and how this dynamic may function to perpetuate [...] Read more.
Scholars have long shown that post-separation abuse continues through legal channels and that legal institutions often reinforce existing social relations. Nevertheless, little is known about how abused mothers’ legal experiences shape their understanding of legality and how this dynamic may function to perpetuate coercive control. Drawing on in-depth interviews with 32 Israeli mothers co-parenting with abusive ex-partners, this study offers a phenomenological account of how post-separation abused mothers experience family law proceedings, based on a feminist imperative to bring their voices to center stage. The analysis reveals a dialectical legal consciousness comprising three interconnected orientations—characterized by internal contradictions and tensions that paradoxically serve to maintain rather than disrupt existing power relations: Institutional Trust and Disillusionment in the law’s protective promise, Institutional Asymmetry as experienced from the abused mothers’ perspective, and Recognizing Entrapment—the realization that legal processes reproduce the very dynamics they sought to escape. Abused mothers thus describe a paradoxical relationship with the law of both needing and distrusting a system that mandates continued contact with their abusers. Caught in a second-order abusive relationship, they feel compelled to comply with processes they perceive as harmful. We term this Entrapped Legal Consciousness—a form of legal subjectivity shaped by institutional norms that reconfigure resistance and reinscribe coercive control. This study offers empirical and theoretical insight into how legality may become a mechanism for cultivating continued control. Full article
Show Figures

Figure 1

36 pages, 1805 KB  
Article
Expert Credibility Factors and Their Impact on Digital Innovation and Sustainability Adoption in China’s Social Media Ecosystem
by Shasha Li and Chao Gao
Sustainability 2025, 17(20), 9017; https://doi.org/10.3390/su17209017 (registering DOI) - 11 Oct 2025
Abstract
The successful implementation of digital transformation initiatives depends critically on public trust in experts guiding these processes. In today’s digital media environment, expert trust faces significant challenges, potentially hindering sustainable innovation adoption. This study investigates how expert credibility dimensions and information characteristics shape [...] Read more.
The successful implementation of digital transformation initiatives depends critically on public trust in experts guiding these processes. In today’s digital media environment, expert trust faces significant challenges, potentially hindering sustainable innovation adoption. This study investigates how expert credibility dimensions and information characteristics shape trust in digital transformation experts among Chinese social media users. We employed a mixed-methods approach combining a survey of 850 Chinese social media users, a quasi-experiment testing a digital expert verification feature, and secondary data analysis. The study measured multiple dimensions of expert trust while examining relationships with expert cognition factors and media usage variables through regression, mediation, and structural equation modeling. Expert trust in digital transformation exists at moderate levels (M = 6.82/10), with higher trust in digital innovation research (M = 7.12) than specific sustainability recommendations (M = 6.59). Expert authenticity emerged as the strongest predictor of trust (β = 0.27), followed by professional competence (β = 0.21). A “digital exposure paradox” emerged whereby higher volumes of expert information negatively predicted trust (β = −0.18), while information quality positively predicted trust (β = 0.25). The digital verification feature causally enhanced trust (DID = 0.57), with institutional sources strengthening trust while user-generated content diminished it. The findings reveal that digital transformation expert trust involves multi-dimensional evaluations beyond traditional credibility assessments. The “digital exposure paradox” suggests that prioritizing information quality over quantity, demonstrating expert authenticity, and implementing verification mechanisms can enhance trust and accelerate sustainable digital transformation adoption. Full article
(This article belongs to the Special Issue Digital Transformation and Innovation for a Sustainable Future)
15 pages, 1374 KB  
Article
Stylometric Analysis of Sustainable Central Bank Communications: Revealing Authorial Signatures in Monetary Policy Statements
by Hakan Emekci and İbrahim Özkan
Sustainability 2025, 17(20), 8979; https://doi.org/10.3390/su17208979 - 10 Oct 2025
Abstract
Sustainable economic development requires transparent and consistent institutional communication from monetary authorities to maintain long-term financial stability and public trust. This study investigates the latent authorial structure and stylistic heterogeneity of central bank communications by applying stylometric analysis and unsupervised machine learning to [...] Read more.
Sustainable economic development requires transparent and consistent institutional communication from monetary authorities to maintain long-term financial stability and public trust. This study investigates the latent authorial structure and stylistic heterogeneity of central bank communications by applying stylometric analysis and unsupervised machine learning to official announcements of the Central Bank of the Republic of Turkey (CBRT). Using a dataset of 557 press releases from 2006 to 2017, we extract a range of linguistic features at both sentence and document levels—including sentence length, punctuation density, word length, and type–token ratios. These features are reduced using Principal Component Analysis (PCA) and clustered via Hierarchical Clustering on Principal Components (HCPC), revealing three distinct authorial groups within the CBRT’s communications. The robustness of these clusters is validated using multidimensional scaling (MDS) on character-level and word-level n-gram distances. The analysis finds consistent stylistic differences between clusters, with implications for authorship attribution, tone variation, and communication strategy. Notably, sentiment analysis indicates that one authorial cluster tends to exhibit more negative tonal features, suggesting potential bias or divergence in internal communication style. These findings challenge the conventional assumption of institutional homogeneity and highlight the presence of distinct communicative voices within the central bank. Furthermore, the results suggest that stylistic variation—though often subtle—may convey unintended policy signals to markets, especially in contexts where linguistic shifts are closely scrutinized. This research contributes to the emerging intersection of natural language processing, monetary economics, and institutional transparency. It demonstrates the efficacy of stylometric techniques in revealing the hidden structure of policy discourse and suggests that linguistic analytics can offer valuable insights into the internal dynamics, credibility, and effectiveness of monetary authorities. These findings contribute to sustainable financial governance by demonstrating how AI-driven analysis can enhance institutional transparency, promote consistent policy communication, and support long-term economic stability—key pillars of sustainable development. Full article
(This article belongs to the Special Issue Public Policy and Economic Analysis in Sustainability Transitions)
Show Figures

Figure 1

20 pages, 1956 KB  
Review
Interoperability as a Catalyst for Digital Health and Therapeutics: A Scoping Review of Emerging Technologies and Standards (2015–2025)
by Kola Adegoke, Abimbola Adegoke, Deborah Dawodu, Akorede Adekoya, Ayoola Bayowa, Temitope Kayode and Mallika Singh
Int. J. Environ. Res. Public Health 2025, 22(10), 1535; https://doi.org/10.3390/ijerph22101535 - 8 Oct 2025
Viewed by 269
Abstract
Background: Interoperability is fundamental for advancing digital health and digital therapeutics, particularly with the integration of technologies such as artificial intelligence (AI), blockchain, and federated learning. Low- and middle-income countries (LMICs), where digital infrastructure remains fragmented, face specific challenges in implementing standardized and [...] Read more.
Background: Interoperability is fundamental for advancing digital health and digital therapeutics, particularly with the integration of technologies such as artificial intelligence (AI), blockchain, and federated learning. Low- and middle-income countries (LMICs), where digital infrastructure remains fragmented, face specific challenges in implementing standardized and scalable systems. Methods: This scoping review was conducted using the Arksey and O’Malley framework, refined by Levac et al., and the Joanna Briggs Institute guidelines. Five databases (PubMed, Scopus, IEEE Xplore, ACM Digital Library, and Google Scholar) were searched for peer-reviewed English language studies published between 2015 and 2025. We identified 255 potentially eligible articles and selected a 10% random sample (n = 26) using Stata 18 by StataCorp LLC, College Station, TX, USA, for in-depth data charting and thematic synthesis. Results: The selected studies spanned over 15 countries and addressed priority technologies, including mobile health (mHealth), the use of Health Level Seven (HL7)’s Fast Healthcare Interoperability Resources (FHIR) for data exchange, and blockchain. Interoperability enablers include standards (e.g., HL7 FHIR), data governance frameworks, and policy interventions. Low- and Middle-Income Countries (LMICs) face common issues related to digital capacity shortages, legacy systems, and governance fragmentation. Five thematic areas were identified: (1) policy and governance; (2) standards-based integration; (3) infrastructure and platforms; (4) emerging technologies; and (5) LMIC implementation issues. Conclusions: Emerging digital health technologies increasingly rely on interoperability standards to scale their operation. Although global standards such as FHIR and the Trusted Exchange Framework and Common Agreement (TEFCA) are gaining momentum, LMICs require dedicated governance, infrastructure, and capacity investments to make equitable use feasible. Future initiatives can benefit from using science- and equity-informed frameworks. Full article
Show Figures

Figure 1

20 pages, 601 KB  
Article
In the Face of Disinformation: To Publish or Not to Publish in the Vaza Jato Case
by Renan Araújo and Célia Belim
Journal. Media 2025, 6(4), 167; https://doi.org/10.3390/journalmedia6040167 - 3 Oct 2025
Viewed by 398
Abstract
This article analyses journalistic decisions in the face of disinformation, focusing on the case of Vaza Jato in Brazil. Drawing on a mixed-methods approach—combining critical discourse analysis of online articles with semi-structured interviews with two editors—the study explores how two ideologically contrasting newspapers [...] Read more.
This article analyses journalistic decisions in the face of disinformation, focusing on the case of Vaza Jato in Brazil. Drawing on a mixed-methods approach—combining critical discourse analysis of online articles with semi-structured interviews with two editors—the study explores how two ideologically contrasting newspapers (Folha de S.Paulo and Gazeta do Povo) framed and justified their editorial positions regarding the publication of hacked content. The findings reveal distinct narrative strategies, degrees of epistemological openness, and levels of institutional trust in the judiciary and political actors. The results also show how editorial decisions are shaped by broader concerns about professional legitimacy, audience trust, and the ambiguous boundary between journalism and disinformation. This article contributes to research on disinformation, editorial ethics, and media trust, proposing an analytical framework applicable to other high-risk communication contexts. Full article
(This article belongs to the Special Issue Social Media in Disinformation Studies)
Show Figures

Figure 1

17 pages, 2223 KB  
Article
Dynamic Evolution Analysis of Incentive Strategies and Symmetry Enhancement in the Personal-Data Valorization Industry Chain
by Jun Ma, Junhao Yu and Yingying Cheng
Symmetry 2025, 17(10), 1639; https://doi.org/10.3390/sym17101639 - 3 Oct 2025
Viewed by 236
Abstract
The value of personal data can only be unlocked through efficient circulation. This study explores a multi-party collaborative mechanism for personal-data trading, aiming to improve data quality and market vitality via incentive-compatible institutional design, thereby supporting the high-quality development of the digital economy. [...] Read more.
The value of personal data can only be unlocked through efficient circulation. This study explores a multi-party collaborative mechanism for personal-data trading, aiming to improve data quality and market vitality via incentive-compatible institutional design, thereby supporting the high-quality development of the digital economy. Symmetry enhancement refers to the use of strategies and mechanisms to narrow the information gap among data controllers, operators, and demanders, enabling all parties to facilitate personal-data transactions on relatively equal footing. Drawing on evolutionary-game theory, we construct a tripartite dynamic-game model that incorporates data controllers, data operators, and data demanders. We analyze how initial willingness, payoff structures, breach costs, and risk factors (e.g., data leakage) shape each party’s strategic choices (cooperate vs. defect) and their evolutionary trajectories, in search of stable equilibrium conditions and core incentive mechanisms for a healthy market. We find that (1) the initial willingness to cooperate among participants is the foundation of a virtuous cycle; (2) the net revenue of data products significantly influences operators’ and demanders’ propensity to cooperate; and (3) the severity of breach penalties and the potential losses from data leakage jointly affect the strategies of all three parties, serving as key levers for maintaining market trust and compliance. Accordingly, we recommend strengthening contract enforcement and trust-building; refining the legal and regulatory framework for data rights confirmation, circulation, trading, and security; and promoting stable supply–demand cooperation and market education to enhance awareness of data value and compliance, thereby stimulating individuals’ willingness to authorize the use of their data and maximizing its value. Full article
Show Figures

Figure 1

30 pages, 1584 KB  
Article
Building Trust and Cybersecurity Awareness in Saudi Arabia: Key Drivers of AI-Powered Smart Home Device Adoption
by Mohammad Mulayh Alshammari and Yaser Hasan Al-Mamary
Systems 2025, 13(10), 863; https://doi.org/10.3390/systems13100863 - 30 Sep 2025
Viewed by 252
Abstract
Smart home technologies are increasingly powered by artificial intelligence (AI), offering convenience, energy efficiency, and security, but also raising serious concerns around privacy and cybersecurity. This study seeks to explore the factors that affect the adoption of AI-powered smart home devices by extending [...] Read more.
Smart home technologies are increasingly powered by artificial intelligence (AI), offering convenience, energy efficiency, and security, but also raising serious concerns around privacy and cybersecurity. This study seeks to explore the factors that affect the adoption of AI-powered smart home devices by extending the Trust in Technology Model (TTM) to incorporate cybersecurity awareness. The objective is to better understand how users’ trust in technology, institutions, and specific devices, combined with their cybersecurity awareness, influences adoption behavior. A quantitative research design was used, and Structural Equation Modeling (SEM) was employed to examine the assumed relationships among the variables. The results confirm that propensity to trust, in general, technology significantly enhances institution-based trust, which in turn positively influences trust in specific technologies. Trust in specific technologies and cybersecurity awareness were both found to strongly increase users’ intention to adopt AI-powered smart home devices. Moreover, users’ intentions showed the strongest effect on deep structure use, highlighting that positive behavioral intention is a key driver of actual, advanced utilization of these technologies. These results highlight the importance of trust-building and awareness initiatives for fostering wider adoption. This research extends the current literature on technology adoption and provides a framework that can help explain the user’s adoption of AI-powered smart home devices. Its originality lies in integrating cybersecurity awareness into the TTM, offering both theoretical contributions and practical implications for policymakers, developers, and marketers. Full article
(This article belongs to the Section Artificial Intelligence and Digital Systems Engineering)
Show Figures

Figure 1

14 pages, 283 KB  
Article
Veterinarians’ Perspectives on the Antimicrobial Resistance (AMR) Dashboard: A Survey of Needs and Preferences to Inform Development
by Abraham Joseph Pellissery, Thomas Denagamage, Maura Pedersen and Subhashinie Kariyawasam
Vet. Sci. 2025, 12(10), 940; https://doi.org/10.3390/vetsci12100940 - 28 Sep 2025
Viewed by 425
Abstract
Antimicrobial resistance (AMR) poses a significant global threat to human and animal health, necessitating robust surveillance and stewardship tools. While existing systems address aspects of veterinary AMR, a comprehensive, user-centric dashboard for U.S. veterinarians remains a critical unmet need. This study aimed to [...] Read more.
Antimicrobial resistance (AMR) poses a significant global threat to human and animal health, necessitating robust surveillance and stewardship tools. While existing systems address aspects of veterinary AMR, a comprehensive, user-centric dashboard for U.S. veterinarians remains a critical unmet need. This study aimed to identify U.S. veterinarians’ preferences and perceived needs for such a dashboard, to help guide its design and development. A cross-sectional survey was conducted between January and March 2024, targeting U.S. veterinarians through professional channels. The survey instrument captured demographics, experiences with existing tools, preferences for data types and visualizations, desired technical specifications, and open-ended feedback. Of the 677 respondents, a near-unanimous consensus (over 75%) emerged on the importance of functionalities like antimicrobial stewardship education, off-label use guidance, surveillance data, and empirical treatment support. Over 70% expressed comfort sharing aggregated geographic and de-identified animal data. A strong preference was observed for making the dashboard accessible by veterinary colleges (78.87%), diagnostic laboratories (72.61%), and federal agencies (USDA: 71.47%, CDC: 66.67%, FDA: 62.11%), indicating a desire for a collaborative, authoritative system. The findings provide a robust foundation for developing a U.S. veterinary AMR dashboard. Future phases should adopt an iterative, user-centered design, incorporating qualitative research with diverse stakeholders and piloting a prototype with preferred institutional partners. This approach will ensure a trusted, sustainable tool that effectively translates surveillance data into actionable insights for improved animal and public health. Full article
Show Figures

Figure 1

21 pages, 854 KB  
Article
Reframing Citizen Participation: Turning Barriers into Guiding Enablers
by Paivi Abernethy, Katriina Soini, Joy Ommer, Janne Artell, Titta Tapiola and Antonio Parodi
Sustainability 2025, 17(19), 8720; https://doi.org/10.3390/su17198720 - 28 Sep 2025
Viewed by 341
Abstract
Citizen science is increasingly recognized as a potential catalyst for sustainability transitions, climate action, and behavioral change by fostering collaboration between scientists and the public. While it offers benefits such as mutual learning, awareness raising, and improved outcomes, sustaining long-term diverse engagement remains [...] Read more.
Citizen science is increasingly recognized as a potential catalyst for sustainability transitions, climate action, and behavioral change by fostering collaboration between scientists and the public. While it offers benefits such as mutual learning, awareness raising, and improved outcomes, sustaining long-term diverse engagement remains a challenge. Research to date has largely emphasized data outcomes and initial participation, often overlooking the relational, social, and practical dimensions crucial for continued involvement. A disconnect persists between researchers’ data-driven goals and participants’ personal motivations, compounded by insufficient training and institutional support for engagement. This paper presents a novel framework for enhancing citizen engagement, drawing on a state-of-the-art literature review and focus group insights from the H2020 I-CHANGE project. It identifies enablers for and barriers to participation, reframing the latter as opportunities for support. The findings are organized into four themes: (1) call for participation, focusing on intrinsic motivation and local relevance; (2) project design, highlighting inclusive tools and communication; (3) a collaborative process, emphasizing trust, clarity, and support; and (4) participation benefits, including meaning, recognition, and social connection. This study underscores the need to build trust, foster relationality, and align expectations. It proposes practical engagement criteria and calls for deeper exploration of the relational foundations of citizen science. Full article
(This article belongs to the Section Economic and Business Aspects of Sustainability)
Show Figures

Figure 1

15 pages, 422 KB  
Article
Health Perceptions and Trust in Healthcare After COVID-19: An Exploratory Cross-Sectional Survey from Romania
by Réka Bodea, Alexandra Maria Buboacă, Lorand Iozsef Ferencz, Zoltán Ábrám and Toader Septimiu Voidăzan
Int. J. Environ. Res. Public Health 2025, 22(10), 1496; https://doi.org/10.3390/ijerph22101496 - 27 Sep 2025
Viewed by 238
Abstract
Background: This study is particularly relevant to the Romanian context, where relatively few empirical investigations have examined post-pandemic health perceptions and levels of trust in public institutions. The purpose of this study is to investigate the long-term impact of the COVID-19 pandemic on [...] Read more.
Background: This study is particularly relevant to the Romanian context, where relatively few empirical investigations have examined post-pandemic health perceptions and levels of trust in public institutions. The purpose of this study is to investigate the long-term impact of the COVID-19 pandemic on health perceptions and trust in the healthcare system by examining key socioeconomic and epidemiological factors. Methods: A cross-sectional online survey was conducted among Romanian adults (N = 423), between March and April 2025. Demographic data, lifestyle habits, mental health, and access to healthcare were assessed. Statistical analyses included both bivariate (chi-square test) and multivariable logistic regression models to identify independent associations. Results: 31.9% of participants reported increased stress and anxiety during the pandemic. Decreased trust in the healthcare system (75.6%) and a perceived reduction in life expectancy (74.3%) were also noted as a consequence of the COVID-19 pandemic. Perceived life expectancy decline was linked to lower education and inconsistent healthcare behavior. Conclusion: In our sample, the perception of decreased life expectancy reflects not only epidemiological realities but also emotional and social responses to crises. Individuals’ trust, behavior, and shared vision of the future have also been challenged during the COVID-19 pandemic. Full article
Show Figures

Figure 1

23 pages, 350 KB  
Article
Cybersecurity Regulations and Software Resilience: Strengthening Awareness and Societal Stability
by Roland Kelemen, Joseph Squillace, Ádám Medvácz, Justice Cappella, Boris Bucko and Martin Mazuch
Soc. Sci. 2025, 14(10), 578; https://doi.org/10.3390/socsci14100578 - 26 Sep 2025
Viewed by 448
Abstract
The societal effects of cybersecurity are widely discussed, but it remains less clear how software security regulations specifically contribute to building a resilient society, particularly in relation to Sustainable Development Goals 5 (Gender Equality), 10 (Reduced Inequalities), and 16 (Peace, Justice and Strong [...] Read more.
The societal effects of cybersecurity are widely discussed, but it remains less clear how software security regulations specifically contribute to building a resilient society, particularly in relation to Sustainable Development Goals 5 (Gender Equality), 10 (Reduced Inequalities), and 16 (Peace, Justice and Strong Institutions). This study investigates this connection by examining key EU and U.S. strategies through comparative legal analysis, software development (SDLC) case studies, and a normative–sociological lens. Our findings reveal that major regulations—such as the EU’s Cyber Resilience Act and the U.S. SBOM rules—are not merely reactive, but proactively embed resilience as a fundamental mode of operation. This approach structurally reallocates digital risks from users to manufacturers, reframing software security from a matter of compliance to one of social fairness and institutional trust. We conclude that integrating ‘resilience by design’ into technology rules is more than a technical fix; it is a mechanism that makes digital access fairer and better protects vulnerable populations, enabling technology and society to advance cohesively. Full article
(This article belongs to the Special Issue Creating Resilient Societies in a Changing World)
Show Figures

Figure 1

9 pages, 228 KB  
Proceeding Paper
AI and Digital Tools: Transforming Mediation and Leadership in Higher Education (HEIs)
by Margarita Aimilia Gkanatsiou, Sotiria Triantari, Georgios Tzartzas, Stavros Gkanatsios and George F. Fragulis
Eng. Proc. 2025, 107(1), 104; https://doi.org/10.3390/engproc2025107104 - 24 Sep 2025
Viewed by 341
Abstract
As HEIs face increasing hybrid environment and communication demands, digital tools and AI can offer timely solutions (for more inclusive and more effective mediation. By applying Media Richness and Social Presence theories, we study how platforms like Zoom and AI-powered chatbots can replicate [...] Read more.
As HEIs face increasing hybrid environment and communication demands, digital tools and AI can offer timely solutions (for more inclusive and more effective mediation. By applying Media Richness and Social Presence theories, we study how platforms like Zoom and AI-powered chatbots can replicate attributes similar to trust and empathy in virtual contexts. Case studies from pioneering institutions show that hybrid mediation models that blend traditional and digital approaches can enhance engagement as well as fairness. Despite possible disadvantages such as fatigue and ethics, emotionally intelligent AI and immersive technology are pointing toward a more adaptable, empathetic leadership paradigm. Full article
26 pages, 3649 KB  
Article
SeruNet-MS: A Two-Stage Interpretable Framework for Multiple Sclerosis Risk Prediction with SHAP-Based Explainability
by Serra Aksoy, Pinar Demircioglu and Ismail Bogrekci
Neurol. Int. 2025, 17(9), 151; https://doi.org/10.3390/neurolint17090151 - 22 Sep 2025
Viewed by 322
Abstract
Background/Objectives: Multiple sclerosis (MS) is a chronic demyelinating disease where early identification of patients at risk of conversion from clinically isolated syndrome (CIS) to clinically definite MS remains a critical unmet clinical need. Existing machine learning approaches often lack interpretability, limiting clinical trust [...] Read more.
Background/Objectives: Multiple sclerosis (MS) is a chronic demyelinating disease where early identification of patients at risk of conversion from clinically isolated syndrome (CIS) to clinically definite MS remains a critical unmet clinical need. Existing machine learning approaches often lack interpretability, limiting clinical trust and adoption. The objective of this research was to develop a novel two-stage machine learning framework with comprehensive explainability to predict CIS-to-MS conversion while addressing demographic bias and interpretability limitations. Methods: A cohort of 177 CIS patients from the National Institute of Neurology and Neurosurgery in Mexico City was analyzed using SeruNet-MS, a two-stage framework that separates demographic baseline risk from clinical risk modification. Stage 1 applied logistic regression to demographic features, while Stage 2 incorporated 25 clinical and symptom features, including MRI lesions, cerebrospinal fluid biomarkers, electrophysiological tests, and symptom characteristics. Patient-level interpretability was achieved through SHAP (SHapley Additive exPlanations) analysis, providing transparent attribution of each factor’s contribution to risk assessment. Results: The two-stage model achieved a ROC-AUC of 0.909, accuracy of 0.806, precision of 0.842, and recall of 0.800, outperforming baseline machine learning methods. Cross-validation confirmed stable performance (0.838 ± 0.095 AUC) with appropriate generalization. SHAP analysis identified periventricular lesions, oligoclonal bands, and symptom complexity as the strongest predictors, with clinical examples illustrating transparent patient-specific risk communication. Conclusions: The two-stage approach effectively mitigates demographic bias by separating non-modifiable factors from actionable clinical findings. SHAP explanations provide clinicians with clear, individualized insights into prediction drivers, enhancing trust and supporting decision making. This framework demonstrates that high predictive performance can be achieved without sacrificing interpretability, representing a significant step forward for explainable AI in MS risk stratification and real-world clinical adoption. Full article
(This article belongs to the Section Movement Disorders and Neurodegenerative Diseases)
Show Figures

Figure 1

26 pages, 1270 KB  
Article
Cultural Integration for Sustainable Supply Chain Management in Emerging Markets: Framework Development and Empirical Validation Using Public Data
by Tsai Hsin Jiang and Yung Chia Chang
Sustainability 2025, 17(18), 8363; https://doi.org/10.3390/su17188363 - 18 Sep 2025
Viewed by 588
Abstract
This study develops and empirically validates a framework integrating cultural factors into sustainable supply chain management (SSCM) for emerging economies. We introduce the Cultural Affinity Index (CAI), a multi-dimensional construct quantifying cultural compatibility between supply chain partners based on language compatibility, regional trust, [...] Read more.
This study develops and empirically validates a framework integrating cultural factors into sustainable supply chain management (SSCM) for emerging economies. We introduce the Cultural Affinity Index (CAI), a multi-dimensional construct quantifying cultural compatibility between supply chain partners based on language compatibility, regional trust, trade networks, and historical trade patterns. Using publicly available data from UN COMTRADE, the World Bank, and Hofstede Insights, we analyze 850 supplier–manufacturer dyads across five Southeast Asian countries (2019–2023). Through Monte Carlo simulation with empirically calibrated parameters, we demonstrate that high cultural affinity (CAI > 0.7) shows positive associations with economic performance (+18.0%), environmental compliance (+12%), and social sustainability (+32%) compared to baseline scenarios. We test both linear and interaction models, finding that language compatibility and regional trust exhibit synergistic effects (β = 0.15, p < 0.01). Multi-objective optimization reveals Pareto-optimal solutions achieving simultaneous improvements across all triple bottom line dimensions. Sensitivity analysis confirms robustness across varying cultural weights (±20%) and institutional contexts. The framework’s effectiveness varies by institutional quality, with stronger associations in weaker institutional environments (correlation = −0.92). While focused on manufacturing, we discuss adaptations for service sectors. This research provides both theoretical contributions to the SSCM literature and practical tools for organizations managing culturally diverse supply chains in emerging markets. Full article
(This article belongs to the Section Economic and Business Aspects of Sustainability)
Show Figures

Figure 1

32 pages, 3609 KB  
Article
BPMN-Based Design of Multi-Agent Systems: Personalized Language Learning Workflow Automation with RAG-Enhanced Knowledge Access
by Hedi Tebourbi, Sana Nouzri, Yazan Mualla, Meryem El Fatimi, Amro Najjar, Abdeljalil Abbas-Turki and Mahjoub Dridi
Information 2025, 16(9), 809; https://doi.org/10.3390/info16090809 - 17 Sep 2025
Viewed by 656
Abstract
The intersection of Artificial Intelligence (AI) and education is revolutionizing learning and teaching in this digital era, with Generative AI and large language models (LLMs) providing even greater possibilities for the future. The digital transformation of language education demands innovative approaches that combine [...] Read more.
The intersection of Artificial Intelligence (AI) and education is revolutionizing learning and teaching in this digital era, with Generative AI and large language models (LLMs) providing even greater possibilities for the future. The digital transformation of language education demands innovative approaches that combine pedagogical rigor with explainable AI (XAI) principles, particularly for low-resource languages. This paper presents a novel methodology that integrates Business Process Model and Notation (BPMN) with Multi-Agent Systems (MAS) to create transparent, workflow-driven language tutors. Our approach uniquely embeds XAI through three mechanisms: (1) BPMN’s visual formalism that makes agent decision-making auditable, (2) Retrieval-Augmented Generation (RAG) with verifiable knowledge provenance from textbooks of the National Institute of Languages of Luxembourg, and (3) human-in-the-loop validation of both content and pedagogical sequencing. To ensure realism in learner interaction, we integrate speech-to-text and text-to-speech technologies, creating an immersive, human-like learning environment. The system simulates intelligent tutoring through agents’ collaboration and dynamic adaptation to learner progress. We demonstrate this framework through a Luxembourgish language learning platform where specialized agents (Conversational, Reading, Listening, QA, and Grammar) operate within BPMN-modeled workflows. The system achieves high response faithfulness (0.82) and relevance (0.85) according to RAGA metrics, while speech integration using Whisper STT and Coqui TTS enables immersive practice. Evaluation with learners showed 85.8% satisfaction with contextual responses and 71.4% engagement rates, confirming the effectiveness of our process-driven approach. This work advances AI-powered language education by showing how formal process modeling can create pedagogically coherent and explainable tutoring systems. The architecture’s modularity supports extension to other low-resource languages while maintaining the transparency critical for educational trust. Future work will expand curriculum coverage and develop teacher-facing dashboards to further improve explainability. Full article
(This article belongs to the Section Information Applications)
Show Figures

Figure 1

Back to TopTop