Metaverse beyond the hype: Multidisciplinary perspectives on emerging challenges, opportunities, and agenda for research, practice and policy

From static web to metaverse: reinventing medical education in the post-pandemic era

The World Wide Web and the advancement of computer technology in the 1960s and 1990s respectively set the ground for a substantial and simultaneous change in many facets of our life, including medicine, health care, and medical education. The traditional didactic approach has shifted towards more dynamic and interactive methods, leveraging technologies such as simulation tools, virtual reality, and online platforms. At the forefront is the remarkable evolution that has revolutionized how medical knowledge is accessed, disseminated, and integrated into pedagogical practices. The COVID-19 pandemic also led to rapid and large-scale adoption of e-learning and digital resources in medical education because of widespread lockdowns, social distancing measures, and the closure of medical schools and healthcare training programs. This review paper examines the evolution of medical education from the Flexnerian era to the modern digital age, closely examining the influence of the evolving WWW and its shift from Education 1.0 to Education 4.0. This evolution has been further accentuated by the transition from the static landscapes of Web 2D to the immersive realms of Web 3D, especially considering the growing notion of the metaverse. The application of the metaverse is an interconnected, virtual shared space that includes virtual reality (VR), augmented reality (AR), and mixed reality (MR) to create a fertile ground for simulation-based training, collaborative learning, and experiential skill acquisition for competency development. This review includes the multifaceted applications of the metaverse in medical education, outlining both its benefits and challenges. Through insightful case studies and examples, it highlights the innovative potential of the metaverse as a platform for immersive learning experiences. Moreover, the review addresses the role of emerging technologies in shaping the post-pandemic future of medical education, ultimately culminating in a series of recommendations tailored for medical institutions aiming to successfully capitalize on revolutionary changes.

The Impact of Computer Games on the Social Skills of Elementary School Students: A Comprehensive Analysis

Objective: The present study aimed to explore the influence of digital games on the social skills of male students in elementary schools, focusing on the impact of different games on various social behaviors. Methods: The study employed a causal-comparative design, utilising cluster random sampling to select participants. The sample consisted of 192 male students in the fourth through sixth grades, divided into players and nonplayers. Data were collected using the Social Support Scale Matson (1983) and a researcher-made questionnaire for computer games. The validity and reliability of the instruments were established through Cronbach's alpha coefficient, item correlation with dimensions, and correlation of dimensions with the total score and content validity. Results: The results indicated significant differences between player and nonplayer students in nonsocial behaviors, seeking superiority, and relationships with peers. Aggression and seeking superiority were higher in fifth-grade students than fourth- and sixth-grade students. Fifth- and sixth-grade students scored higher than fourth graders in these areas. The study found that Clash of Clans promoted appropriate social behaviors and peer relationships, while Fortnite had a significant positive effect on peer relationships. Mortal Kombat had a negative and significant effect on aggression and nonsocial behaviors compared to other games. Regression analysis revealed that playing time and type of play were significant predictors of social skills, with playing time being a more effective predictor than the type of play. Conclusion: The study concluded that digital games can significantly influence the social skills of male students in elementary schools. Specifically, Clash of Clans and Fortnite were found to have positive effects on social behaviors and peer relationships, while Mortal Kombat had negative effects. The findings suggest that the time spent playing games is a more critical factor in predicting social skills than the type of game played.

The hidden concept and the beauty of multiple "R" in the framework of waste strategies development reflecting to circular economy principles

There are numerous unresolved research questions, along with ongoing debates, regarding how to achieve a circular economy and at what level. The forthcoming circular economy standard (ISO 59000 framework, ISO59010) as a result from the ISO/TC 323, from the International Organization for Standardization (ISO) aims to offer global implementation pathways using a unified technical language. The most challenging aspect of circularity, whether viewed scientifically, technically, and/or legislatively, is how to enhance prosperity while reducing reliance on primary materials and energy to achieve climate neutrality by 2050, thereby aiding the EU in achieving a successful and equitable transition towards a sustainable future. Strategies in the framework of waste management and circular economy are essential and needed to reduce the impact of several processes on the environment through product, processes, and corporate policies using green applicable sustainable resources and environmental management systems. In addition, "measuring something that is not there" is very complex and not fully comprehensible, not clear and not tangible from organizations, researchers, policy makers and citizens. The willingness and ability of individuals or organizations to take actions towards a low-carbon society involves grappling with various perspectives, such as social norms and economic viability. Circular economy is considered a tool in combating climate change and implementing climate mitigation (as well as adaptation) measures. Moreover, to date, there has been no common scientific or technical language for the application of the circular economy concept. This paper highlights the multitude of "Rs" beyond the well-known (3Rs) Reduce-Reuse-Recycle pattern, which can be applied in various contexts to assist SMEs (Small and Medium Enterprises), organizations and even citizens successfully adopt circular economy principles. Is also explores how these "Rs" can be utilized to measure intangible aspects (something that is not there). The results indicate that more than 55Rs exist which directly involved in the circular economy framework, also considering waste management strategies. The findings of this study reveal the existence of over 100 "Rs" beyond the well-known principles of "reduce, reuse, recycle," each playing a distinct role in the development of strategies aimed at addressing waste management issues and advancing circularity towards a low-carbon society. Furthermore, the results could be useful for any policy makers, consultants, engineers, practitioners, urban planners, academics etc., in order to develop, apply, monitor, measure and improve any strategy such as circular economy strategy, waste prevention, zero waste, reuse, reduce, energy recovery etc., in the framework of circular economy principles, solid waste management and beyond.

The Impact of Media Violence, Narcissism and Sex on Reactive and Proactive Aggression in Adolescents: A One-Year Follow-Up Study

While the impact of violent media on aggression is well established, less is known about how individual differences influence this relationship over time. This longitudinal study addresses that gap by examining whether narcissism and sex moderated the effect of violent media consumption and reactive and proactive aggression one year later. A sample of 2,284 adolescents from Cyprus (Mage = 16, SDage = 0.89, 49.5% female) participated in this study. Hierarchical regressions, controlling for baseline levels of aggression and age, revealed distinct patterns: violent media and sex predicted reactive aggression, but narcissism did not. In contrast, violent media, sex, and narcissism all predicted proactive aggression. Notably, sex moderated the link between violent media and reactive aggression, with females showing a steeper increase than males. Both sex and narcissism moderated the violent media-proactive aggression association, with males being affected regardless of narcissism, while only highly narcissistic females showed an increase in proactive aggression. These findings show the importance of considering individual differences, such as sex and narcissism, to better understand how violent media influences different functions of aggression.

Distributed Medical Data Storage Mechanism Based on Proof of Retrievability and Vector Commitment for Metaverse Services

The metaverse is a unified, persistent, and shared multi-user virtual environment with a fully immersive, hyper-temporal, and diverse interconnected network. When combined with healthcare, it can effectively improve medical services and has great potential for development in realizing medical training, enhanced teaching, and remote surgical treatment. The metaverse provides immersive services for users through massive and multimodal data, and its data scale and data growth rate are bound to show exponential growth. Blockchain-based distributed storage is a fundamental way to keep the metaverse running continuously; however, many blockchains, such as Ethereum and Filecoin, suffer from low transaction throughput and high latency, which seriously affect the efficiency of distributed storage services and make it difficult to apply them to the metaverse environment. To this end, this paper first proposes a network architecture for distributed storage systems based on proof of retrievability to address the problem of centralized decision making and single point of access in centralized storage. The secure data storage of the metaverse health system is ensured. Secondly, we designed two data transmission protocols through vector commitment and encoding functions to achieve the transfer of time cost from the critical path to storage nodes and improve the efficiency of data verification between nodes as well as the scalability of the metaverse health system. Finally, this paper also conducts security analysis and performance analysis of the proposed scheme, and the results show that our scheme is secure and efficient.

Effectiveness of immersive technologies in oral health promotion and education: A systematic review

OBJECTIVE

To evaluate the effectiveness of immersive technologies in oral health promotion and education.

METHODS

An extensive literature review was conducted using the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) method. This study was systematically performed in six electronic databases (PubMed, Google Scholar, Web of Science, Cochrane, Scopus, and EBSCO). The risk of bias was assessed with the Cochrane tools using RoB 2.0 and ROBINS-I.

RESULTS

PICOS criteria were formulated for study inclusion. The bibliographical search identified 10,074 articles, which were filtered subsequently. Finally, the most pertinent nine articles were included and scrutinized for data synthesis and analysis. This includes five randomized controlled trials and four non-randomized controlled trials in different countries that focused on children (33.3%), adolescents (11.1%), and adults (55.6%). The interventions used virtual reality (VR) and augmented reality (AR) to promote knowledge and attitudes towards oral care, improve toothbrushing performance, and smoking cessation, and reduce anxiety levels in oral health education.

CONCLUSION

This systematic review demonstrates that immersive technologies, including VR and AR, significantly enhance oral health knowledge, attitudes, and self-efficacy, leading to improved health outcomes.

CLINICAL SIGNIFICANCE

Immersive technologies such as VR and AR have the potential to provide innovative and effective methods for enhancing oral health promotion and education, while promoting positive health behaviours, which are crucial for improving overall oral health outcomes.

Comparing counseling outcome for college students: Metaverse and in-person approaches

ABSTRACTObjective This study compared metaverse counseling with in-person counseling, using in-person counseling as a comparison group. To achieve this, we assessed whether metaverse counseling, a novel treatment approach, is comparable to traditional in-person counseling. Method: A total of 60 participants voluntarily participated in the study. Among the participants, 28 preferred in-person counseling, whereas 32 selected metaverse counseling as their preferred treatment option. Results and Conclusion: The findings indicated no statistically significant differences in the psychological symptom change patterns between the two counseling modalities. Both metaverse and in-person counseling demonstrated a common pattern of reduced symptom levels from pre-to post-session (Metaverse counseling Cohen's d = 1.04, In-person counseling Cohen's d = .62), which remained stable from post-session to follow-up regardless of the chosen counseling modality. Furthermore, the study revealed that the metaverse counseling group exhibited a higher level of working alliances than the in-person counseling group. Additionally, there was a slight tendency toward higher levels of counseling satisfaction in the metaverse counseling group than in the in-person counseling group. The results of this study support the use of synchronous metaverse programs to treat college students. The implications and limitations of this study are discussed. (195 words).

Analyzing the Behavior Towards the Use of Interactive Digital Whiteboards for Educational Purposes: A Proposal Based on the Model of Goal-Directed Behavior and the Theory of Planned Behavior

Information and communication technologies have revolutionized the educational landscape, transforming teaching and learning processes across the globe, and this is the case for interactive digital whiteboards. In particular, this paper focuses on providing a research model to analyze the behavior towards the use of interactive digital whiteboards (IDWs) by teachers in the educational context, highlighting their impact on the intention to use IDWS. The proposed structural equation model is based on the model of goal-directed behavior and the theory of planned behavior, and it is formed by six constructs: (1) attitude, (2) subjective norms, (3) desire, (4) perceived behavioral control, (5) intentions, and (6) behavior. The methodology was adapted to two possible scenarios: (1) positive and (2) negative. The findings show that both theoretical frameworks offer a valid context to explain the motivations that drive the use of IDWs, although there are no significant differences between the two scenarios. Thus, the present article contributes to the existing body of knowledge and provides insights for educators, policymakers, and researchers to leverage the acceptance of IDWs in education. However, some limitations were identified, such as the absence of the point of view of students regarding the use of IDWs, among others.

Modelling the effects of perceived system quality and personal innovativeness on the intention to use metaverse: a structural equation modelling approach

The metaverse, an interactive and immersive 3D virtual environment, has recently become popular and is widely used in several fields, including education. However, the successful use of metaverse relies on the extent to which users intend to adopt and use it. Close examination of this critical issue reveals a lack of research that examines the effects of certain factors on users' intentions toward using metaverses. Thus, this study extends the technology acceptance model by integrating two constructs-perceived system quality and students' personal innovativeness. Using a survey to collect data, 164 responses were received from students at the University of Ha'il in Saudi Arabia. Two steps in structural equation modelling (SEM) using the AMOS software were applied to analyse the data and test the research hypotheses. The results revealed that perceived system quality had a significant effect on students' intentions to use metaverses through perceived ease of use. Furthermore, personal innovativeness had a significant effect on students' intentions through the perceived usefulness of the metaverse. In addition, perceived usefulness affected students' intentions to use a metaverse. Surprisingly, perceived ease of use had an insignificant effect on students' intentions to use the metaverse. Although the proposed model and its findings contribute to the technology acceptance model (TAM) literature, the study's practical value is significant because it can help educational policymakers and authorities to understand the effect of each factor and plan future strategies. Additionally, the findings of this study can assist practitioners, designers, and developers in designing and promoting the utilisation of metaverses.

Visual perspective and body ownership modulate vicarious pain and touch: A systematic review

We conducted a systematic review investigating the influence of visual perspective and body ownership (BO) on vicarious brain resonance and vicarious sensations during the observation of pain and touch. Indeed, the way in which brain reactivity and the phenomenological experience can be modulated by blurring the bodily boundaries of self-other distinction is still unclear. We screened Scopus and WebOfScience, and identified 31 articles, published from 2000 to 2022. Results show that assuming an egocentric perspective enhances vicarious resonance and vicarious sensations. Studies on synaesthetes suggest that vicarious conscious experiences are associated with an increased tendency to embody fake body parts, even in the absence of congruent multisensory stimulation. Moreover, immersive virtual reality studies show that the type of embodied virtual body can affect high-order sensations such as appropriateness, unpleasantness, and erogeneity, associated with the touched body part and the toucher's social identity. We conclude that perspective plays a key role in the resonance with others' pain and touch, and full-BO over virtual avatars allows investigation of complex aspects of pain and touch perception which would not be possible in reality.

Virtual worlds, real opportunities: A review of marketing in the metaverse

Metaverse, as an emerging phenomenon, presents businesses with new opportunities to create user-centered, interactive, and fully immersive products and services that transcend the boundaries of physical and digital reality. However, there is a lack of understanding among academics and business leaders regarding what the metaverse is and how it can transform the marketing landscape. By conducting a systematic literature review of 39 articles using 5W1H framework, the study enhances the comprehension of marketing in metaverse from both conceptual and managerial perspectives. The study delves into the intricacies of the metaverse, examining its components, such as 3D virtual world, avatars, interoperability, and persistency, while exploring its opportunities and challenges. Specifically, it highlights the evolution of the 4P's of marketing and their applications across diverse industries, ranging from tourism and education to retailing and beyond. The review provides a comprehensive understanding of the state-of-the-art literature. The findings of this study can guide future research on the potential of metaverse and aid managers in developing effective marketing strategies related to marketing in metaverse.

Conceptualizing Patient as an Organization With the Adoption of Digital Health

The concept of viewing a patient as an organization within the context of digital healthcare is an innovative and evolving concept. Traditionally, the patient-doctor relationship has been centered around the individual patient and their interactions with healthcare providers. However, with the advent of technology and digital healthcare solutions, the dynamics of this relationship are changing. Digital healthcare platforms and technologies enable patients to have more control and active participation in managing their health and healthcare processes. This shift empowers patients to take on a more proactive role, similar to how an organization functions with various stakeholders, goals, and strategies. The prevalence of mobile phones and wearables is regarded as an important factor in the acceptance of digital health.

Objective

This study aimed to identify the factors affecting adoption intention using the TAM (Technology Acceptance Model), HB (Health Belief model), and the UTAUT (Unified Theory of Acceptance and Use of Technology). The argument is made that the adoption of the technology enables patients to create resources (ie, data), transforming patients from mere consumers to producers as well.

Results

PLS analysis showed that health beliefs and perceived ease of use had positive effects on the perceived usefulness of digital healthcare, and system capabilities positively impacted perceived ease of use. Furthermore, perceived service, the customer's willingness to change and reference group influence significantly impacted adoption intention (b > 0.1, t > 1.96, P < .05). However, privacy protection and data security, online healthcare resources, and user guidance were not positively associated with perceived usefulness.

Conclusions

Perceived usefulness, the customer's willingness to change, and the influence of the reference group are decisive variables affecting adoption intention among the general population, whereas privacy protection and data security are indecisive variables. Online resources and user guides do not support adoption intentions.

Voice assistants' influence on loneliness in older adults: a systematic review

Purpose: This review aims to examine how the use of voice assistants influences loneliness in older adults.

Materials and methods: This study follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Databases such as CINAHL, APA PsycINFO, MEDLINE, PubMed, Web of Science, ScienceDirect, Scopus, SciELO, Google Scholar, and IEEE Xplore were used. We implemented search strategies in English to locate studies published between January 2010 and January 2023, including those examining the impact of voice assistant usage on loneliness in older adults. Descriptive information was examined, assessing its quality with the Mixed Methods Appraisal Tool.

Results: A total of 499 studies were yielded from the initial search, with 13 included in the final analysis. Positive outcomes in reducing loneliness were reported in 84.6% of these studies. There was a prevalence of quasi-experimental studies, alongside heterogeneous measurement instruments, scarce use of standardized tests, and small samples predominantly consisting of women. Commercial voice assistants were the most commonly utilized.

Conclusions: Voice assistants show potential in mitigating feelings of loneliness in older adults. Adequate training and adaptation to specific needs seem essential to maximize their effectiveness. In particular, voice assistants available in the consumer market hold significant potential in this area. Further research is necessary to comprehend their impact, encompassing potential risks and ethical considerations.

Current opportunities and challenges of immersive virtual reality for psychological research and application

Immersive virtual reality (iVR), that is, digital stereoscopic 360° scenarios usually presented in head-mounted displays, has gained much popularity in medical, educational, and consumer contexts in the last years. Recently, psychological research started to utilize the theoretical and methodological advantages of iVR. Furthermore, understanding cognitive, emotional, and behavioral processes in iVR similar to real-life is a genuinely psychological, currently understudied topic. This article briefly reviews the current application of iVR in psychological research and related disciplines. The review presents empirical evidence for opportunities and strengths (e.g., realism, experimental control, effectiveness of therapeutic and educational interventions) as well as challenges and weaknesses (e.g., differences in experiencing presence, interacting with VR content including avatars, i.e., graphical representation of a person). The main part discusses areas requiring additional basic research, such as cognitive processes, socio-emotional processes during social interactions in iVR, and possible societal implications (e.g., fraud, VR-addiction). For both research and application, iVR offers a contemporary extension of the psychological toolkit, offering new avenues to investigate and enhance core phenomena of psychology such as cognition, affect, motivation, and behavior. Still, it is crucial to exercise caution in its application as excessive and careless use of iVR can pose risks to individuals' mental and physical well-being.

EGCN++: A New Fusion Strategy for Ensemble Learning in Skeleton-Based Rehabilitation Exercise Assessment

Skeleton-based exercise assessment focuses on evaluating the correctness or quality of an exercise performed by a subject. Skeleton data provide two groups of features (i.e., position and orientation), which existing methods have not fully harnessed. We previously proposed an ensemble-based graph convolutional network (EGCN) that considers both position and orientation features to construct a model-based approach. Integrating these types of features achieved better performance than available methods. However, EGCN lacked a fusion strategy across the data, feature, decision, and model levels. In this paper, we present an advanced framework, EGCN++, for rehabilitation exercise assessment. Based on EGCN, a new fusion strategy called MLE-PO is proposed for EGCN++; this technique considers fusion at the data and model levels. We conduct extensive cross-validation experiments and investigate the consistency between machine and human evaluations on three datasets: UI-PRMD, KIMORE, and EHE. Results demonstrate that MLE-PO outperforms other EGCN ensemble strategies and representative baselines. Furthermore, the MLE-PO's model evaluation scores are more quantitatively consistent with clinical evaluations than other ensemble strategies.

Safety risk assessment of reservoir dam structure: an empirical study in China

Reservoir dam structure is critical to protect public life and property and has always been attention worldwide. However, a systematic approach to assessing the safety risks of reservoir dam structure (RDS) is still required. This study presents a holistic framework for evaluating the safety risk of RDS and develops an evaluation index system. A risk assessment model is constructed based on the cloud and Dempster-Shafer (D-S) evidence theories. The model's validity is confirmed through an empirical analysis of the XY reservoir project. This study offers theoretical insights and practical solutions for managers to facilitate decision-making and supports the advancement of industry standards.

Online communities come with real-world consequences for individuals and societies

Online communities have become a central part of the internet. Understanding what motivates users to join these communities, and how they affect them and others, spans various psychological domains, including organizational psychology, political and social psychology, and clinical and health psychology. We focus on online communities that are exemplary for three domains: work, hate, and addictions. We review the risks that emerge from these online communities but also recognize the opportunities that work and behavioral addiction communities present for groups and individuals. With the continued evolution of online spheres, online communities are likely to have an increasingly significant role in all spheres of life, ranging from personal to professional and from individual to societal. Psychological research provides critical insights into understanding the formation of online communities, and the implications for individuals and society. To counteract risks, it needs to identify opportunities for prevention and support.

Users' willingness to adopt metaverse drawing on flow theory: An empirical study using PLS-SEM and FsQCA

As a rapidly developing information technology in recent years, the metaverse has significantly transformed how we live, learn, and work. In order to accelerate the use of metaverse technology and promote users' acceptance of the metaverse, this study constructs an integrated model based on flow theory and use and satisfaction theory, to further explore the factors affecting users' acceptance of the metaverse. A total of 265 valid questionnaires were obtained through a situational questionnaire survey. Considering the limitations of a single analysis technique, we use two methods to analyze the data. Among them, the symmetric PLS-SEM method is mainly used to analyze the effects of single variables, while the asymmetric fsQCA method is used to analyze the combined effects of variables. The PLS-SEM results manifest that flow experience, perceived risk, and personal innovation directly influence users' acceptance of the metaverse, while perceived cost has no effect. Simultaneously, interactivity, presence, and social presence indirectly affect users' acceptance of the metaverse, while informativeness and enjoyment have no indirect effect. Significantly, fsQCA unveiled five configurations resulting in a high user acceptance of the metaverse, as well as six configurations leading to a negative acceptance. The complementary findings from PLS-SEM and fsQCA offer valuable insights for both theoretical understanding and practical implementation.

From E-Commerce to the Metaverse: A Neuroscientific Analysis of Digital Consumer Behavior

The growing interest in consumer behavior in the digital environment is leading scholars and companies to focus on consumer behavior and choices on digital platforms, such as the metaverse. On this immersive digital shopping platform, consumer neuroscience provides an optimal opportunity to explore consumers' emotions and cognitions. In this study, neuroscience techniques (EEG, SC, BVP) were used to compare emotional and cognitive aspects of shopping between metaverse and traditional e-commerce platforms. Participants were asked to purchase the same product once on a metaverse platform (Second Life, SL) and once via an e-commerce website (EC). After each task, questionnaires were administered to measure perceived enjoyment, informativeness, ease of use, cognitive effort, and flow. Statistical analyses were conducted to examine differences between SL and EC at the neurophysiological and self-report levels, as well as between different stages of the purchase process. The results show that SL elicits greater cognitive engagement than EC, but it is also more mentally demanding, with a higher workload and more memorization, and fails to elicit a strong positive emotional response, leading to a poorer shopping experience. These findings provide insights not only for digital-related consumer research but also for companies to improve their metaverse shopping experience. Before investing in the platform or creating a digital retail space, companies should thoroughly analyze it, focusing on how to enhance users' cognition and emotions, ultimately promoting a better consumer experience. Despite its limitations, this pilot study sheds light on the emotional and cognitive aspects of metaverse shopping and suggests potential for further research with a consumer neuroscience approach in the metaverse field.

Enhancing learning motivation and academic achievement in nursing students through metaverse-based learning: A randomized controlled study

AIM

Generation Z students do not get much benefit from traditional distance education methods. Instead, they need new platforms and methods that will motivate them and increase their success.

METHODS

A randomized controlled study was performed on 42 students. The experimental group students were presented with metaverse, and the control group students were taught the distance education course.

RESULTS

In this study, in the students' Instructional Materials Motivation Survey, the mean scores of both the experimental and control groups exhibited no significant difference before the intervention. Regarding the effect of metaverse-based learning on students' Instructional Materials Motivation Survey, the mean score of the control group was 82.55 ± 13.18, and the mean score of the experimental group was 96.52 ± 9.54 and there was a significant difference between groups after the intervention. When the academic achievement levels of the groups were examined, it was determined that the experimental group scored 76.57 ± 13.33 and the control group received 64.40 ± 16.42 points. It was determined there was a significant difference between the groups in terms of learning motivation and academic achievement.

CONCLUSION

The study results show that the participants accepted the important role of metaverse as an effective learning method compared to traditional distance education methods. It is recommended to expand the use of metaverse in various fields of nursing education.

Exploring the nexus of smart technologies and sustainable ecotourism: A systematic review

Sustainable smart ecotourism, utilizing smart technologies like smartphones, artificial intelligence (AI), and the Internet of Things (IoT), aims to minimize harm to natural and cultural ecosystems, promoting education and environmental conservation. This review aims to examine the concept of sustainable smart ecotourism, analyzing existing literature to gain insights into the significance, components, challenges, and contributions to sustainable development on a global scale. A systematic review was conducted to evaluate sustainable smart ecotourism using PRISMA guidelines. The review focused on scholarly, peer-reviewed studies from developing countries, using databases like ScienceDirect, Jstor, Taylor & Francis, and IEEE. The study used Joanna Briggs Institute and Cochrane Risk of Bias tools to assess study quality. Thematic analysis techniques were used to extract and synthesize data, identifying patterns and trends relevant to smart ecotourism sustainability. Dual analyst verification ensured data integrity and reliability. After conducting a thorough quality evaluation using the Joanna Briggs Institute Checklist and Cochrane Risk of Bias Tool, we identified 29 studies of exceptional quality from an original pool of 9583 records. The use of thematic analysis sheds light on the diverse and important role of the IoT in promoting sustainable ecotourism. This study uncovered both the obstacles and possibilities associated with this technology. The findings provide important insights into the worldwide implementation of smart ecotourism techniques and highlight the significant impact of technology in promoting sustainable tourism models. Smart ecotourism involves multiple stakeholders to enhance environmental impact. Key characteristics include dynamic interactions, co-creation of value, sustainable development, resource sharing, and innovation services. Technology like IoT is crucial for sustainable tourism management. Collaboration with governments, local stakeholders, and organizations is recommended for sustainable policies. As a result of this study, sustainable ecotourism policies result from a collaborative effort between local communities, government agencies, and practitioners in the industry. Smart technologies, including AR/VR and AI, have the potential to enhance operational efficiency while reducing environmental concerns. Ecotourism, partnerships, and education are key to successful implementation and capacity building.

Acceptability of virtual reality to screen for dementia in older adults

BACKGROUND

Early detection of dementia and cognitive decline is crucial for effective interventions and overall wellbeing. Although virtual reality (VR) tools offer potential advantages to traditional dementia screening tools, there is a lack of knowledge regarding older adults' acceptance of VR tools, as well as the predictors and features influencing their adoption. This study aims to (i) explore older adults' perceptions of the acceptability and usefulness of VR diagnostic tools for dementia, and (ii) identify demographic predictors of adoption and features of VR applications that contribute to future adoption among older adults.

METHODS

A cross-sectional study was conducted involving community-dwelling older adults who completed online questionnaires covering demographics, medical history, technology acceptance, previous usage, and perceived usefulness and barriers to VR adoption. Multiple linear regression was employed to assess relationships between sociodemographic factors, prior technology use, perceived ease, usefulness, and intention to adopt VR-based diagnostic tools.

RESULTS

Older adults (N = 77, Mage = 73.74, SD = 6.4) were predominantly female and born in English-speaking countries. Perceived usefulness of VR applications and educational attainment emerged as significant predictors of the likelihood to use VR applications for dementia screening. Generally, older adults showed acceptance of VR applications for healthcare and dementia screening. Fully immersive applications were preferred, and older adults were mostly willing to share electronic information from screening with their healthcare providers.

CONCLUSIONS

The field of research on VR applications in healthcare is expanding. Understanding the demographic characteristics of populations that stand to benefit from healthcare innovations is critical for promoting adoption of digital health technologies and mitigating its barriers to access.

Simulation-based team training for healthcare professionals in pediatric departments: study protocol for a nonrandomized controlled trial

BACKGROUND

Healthcare systems worldwide face challenges related to patient safety, quality of care, and interprofessional collaboration. Simulation-based team training has emerged as a promising approach to address some of these challenges by providing healthcare professionals with a controlled and safe environment to enhance their teamwork and communication skills. The purpose of this study protocol is to describe an intervention using simulation-based team training in pediatric departments.

METHODS

Using a parallel-group, non-randomized controlled trial design, a simulation-based team training intervention will be implemented across four pediatric departments in Denmark. Another four pediatric departments will serve as controls. The intervention implies that healthcare professionals engage in simulation-based team training at a higher quantity and frequency than they did previously. Development of the intervention occurred from April 2022 to April 2023. Implementation of the intervention occurs from April 2023 to April 2024. Evaluation of the intervention is planned from April 2024 to April 2025. All simulation activity both before and during the intervention will be registered, making it possible to compare outcomes across time periods (before versus after) and across groups (intervention versus control). To evaluate the effects of the intervention, we will conduct four analyses. Analysis 1 investigates if simulation-based team training is related to sick leave among healthcare professionals. Analysis 2 explores if the simulation intervention has an impact on patient safety culture. Analysis 3 examines if simulation-based team training is associated with the treatment of critically ill newborns. Finally, Analysis 4 conducts a cost-benefit analysis, highlighting the potential return on investment.

DISCUSSION

The implemented simulation-based team training intervention can be defined as a complex intervention. Following the Medical Research Council framework and guidelines, the intervention in this project encompasses feasibility assessment, planning of intervention, implementation of intervention, and rigorous data analysis. Furthermore, the project emphasizes practical considerations such as stakeholder collaboration, facilitator training, and equipment management.

TRIAL REGISTRATION

Registered as a clinical trial on clinicaltrials.gov, with the identifier NCT06064045.

Understanding the knowledge structure and the value creation process of the metaverse

The metaverse is a digital space that empowers users to interact socially, using new and specific technologies, to generate value and co-create experiences. This paper provides a framework for organising the themes discussed in pioneering literature. An adaptation of the PRISMA process was used to explain the methodology applied. The results showed that more than 84 % of studies on the metaverse have been published since 2020. Technologies such as augmented reality and artificial intelligence are positioned as the basic themes, and decision-making and human-machine interface are emerging themes. This paper constitutes an original contribution as it also presents the highlights and structure of the main themes on metaverse. Additionally, it develops an analytical framework for understanding the metaverse value creation. Therefore, this paper represents a starting point for a reflection on the applications of the metaverse that can contribute to the achievement of productive and valuable progress in various fields of research.

Adoption of Augmented Reality in Educational Programs for Nurses in Intensive Care Units of Tertiary Academic Hospitals: Mixed Methods Study

BACKGROUND

In the wake of challenges brought by the COVID-19 pandemic to conventional medical education, the demand for innovative teaching methods has surged. Nurse training, with its focus on hands-on practice and self-directed learning, encountered significant hurdles with conventional approaches. Augmented reality (AR) offers a potential solution to addressing this issue.

OBJECTIVE

The aim of this study was to develop, introduce, and evaluate an AR-based educational program designed for nurses, focusing on its potential to facilitate hands-on practice and self-directed learning.

METHODS

An AR-based educational program for nursing was developed anchored by the Kern six-step framework. First, we identified challenges in conventional teaching methods through interviews and literature reviews. Interviews highlighted the need for hands-on practice and on-site self-directed learning with feedback from a remote site. The training goals of the platform were established by expert trainers and researchers, focusing on the utilization of a ventilator and extracorporeal membrane oxygenation system. Intensive care nurses were enrolled to evaluate AR education. We then assessed usability and acceptability of the AR training using the System Usability Scale and Technology Acceptance Model with intensive care nurses who agreed to test the new platform. Additionally, selected participants provided deeper insights through semistructured interviews.

RESULTS

This study highlights feasibility and key considerations for implementing an AR-based educational program for intensive care unit nurses, focusing on training objectives of the platform. Implemented over 2 months using Microsoft Dynamics 365 Guides and HoloLens 2, 28 participants were trained. Feedback gathered through interviews with the trainers and trainees indicated a positive reception. In particular, the trainees mentioned finding AR particularly useful for hands-on learning, appreciating its realism and the ability for repetitive practice. However, some challenges such as difficulty in adapting to the new technology were expressed. Overall, AR exhibits potential as a supplementary tool in nurse education.

CONCLUSIONS

To our knowledge, this is the first study to substitute conventional methods with AR in this specific area of critical care nursing. These results indicate the multiple principal factors to take into consideration when adopting AR education in hospitals. AR is effective in promoting self-directed learning and hands-on practice, with participants displaying active engagement and enhanced skill acquisition.

TRIAL REGISTRATION

ClinicalTrials.gov NCT05629663; https://clinicaltrials.gov/study/NCT05629663.

Unlocking future learning: Exploring higher education students' intention to adopt meta-education

Despite the potential of meta-education to transform higher education, there remains a scarcity of research investigating students' adoption intentions. This study aimed to identify factors influencing students' intentions to adopt meta-education using an extended Decomposed Theory of Planned Behavior model (DTPB). Data was collected via an online survey of 596 higher education students from Jordan who were purposefully selected. Structural equation modeling using partial least squares analysis revealed attitude, social influence, and perceived behavioral control as key antecedents of adoption intention. Furthermore, newly added variables including perceived enjoyment, herd behavior, student autonomy, and student innovativeness showed efficiency in explaining variance in attitude, social influence, and perceived behavioral control. Overall, the extended model provided meaningful insights on factors driving students' willingness to adopt meta-education. The study contributes to theory by extending the decomposed TPB model in the context of emerging educational technologies. It also provides practical implications for policymakers and educators aiming to encourage meta-education adoption.

Tourism marketing in the metaverse: A systematic literature review, building blocks, and future research directions

The aim of this research is to investigate tourist marketing within the embryonic context of the metaverse in order to comprehend the building blocks and the primary technologies employed in the sector. A systematic literature review (SLR) was conducted on 386 articles, with an overall qualitative approach that included 86 references, all of which dealt with the topic of the metaverse and had direct or potential implications for the tourism sector (hotels, restaurants, means of transport, leisure activities and destination itself). The articles are taken from: Science Direct, Taylor & Francis, Emerald, Springer and Google Scholar. The SLR was carried out according to the PRISMA search protocol. The results indicate the technologies that have been most thoroughly studied at the confluence of marketing, tourism, and the metaverse (AI, virtual reality, augmented reality, mixed reality, blockchain, tokens (NFTs) and digital twins). Moreover, they establish the foundational components of tourism marketing in the metaverse for the first time (tourism products, the metaverse as a distribution and branding channel for tourism and, tourist customer as protagonist). Finally, the study exposes research gaps and recommends future directions for exploration (monetization of products in the metaverse, promotion and marketing strategies in the metaverse, new profiles for marketing professionals, policy development that regulates commercial activity in the metaverse).

Factors affecting metaverse adoption in education: A systematic review, adoption framework, and future research agenda

The Metaverse, underpinned by its technical infrastructure, heavily relies on user engagement and behavior for successful integration into educational settings. Understanding its driving factors is essential for such a platform to transition from theory to practice, especially in educational settings. However, these factors remain elusive due to inconsistencies in infrastructure and environments. Therefore, this systematic review aims to fill this void by presenting an integrative view on Metaverse adoption in education. This is achieved via three primary dimensions: establishing a taxonomy of the factors influencing Metaverse adoption in education, proposing a framework for Metaverse adoption, and suggesting future research trajectories in this domain. The review systematically classifies the influential factors into four distinct categories: psychological and motivational factors, quality factors, social factors, and inhibiting factors. The proposed framework provides a structured approach for future studies investigating the Metaverse adoption in educational settings. The proposed framework also emphasizes that educational institutions should not only consider the technical prerequisites but also the social, psychological, and motivational aspects of the Metaverse. The study also pinpoints several critical research agendas to enhance our understanding of Metaverse adoption in education. The insights from this review are invaluable for educational institutions, policymakers, developers, and researchers, significantly enriching the emerging field of Metaverse adoption.

Future coexistence with great apes will require major changes to policy and practice

The great apes-bonobos, chimpanzees, gorillas and orangutans-are critically threatened by human activities. We have destroyed their habitats, hunted them and transmitted fatal diseases to them. Yet we also conduct research on them, try to protect them and live alongside them. They are endangered, and time is running out. Here we outline what must be done to ensure that future generations continue to share this planet with great apes. We urge dialogue with those who live with great apes and interact with them often. We advocate conservation plans that acknowledge the realities of climate change, economic drivers and population growth. We encourage researchers to use technology to minimize risks to great apes. Our proposals will require substantial investment, and we identify ways to generate these funds. We conclude with a discussion of how field researchers might alter their work to protect our closest living relatives more effectively.

Internet Addiction Management: A Comprehensive Review of Clinical Interventions and Modalities

Internet addiction is a pervasive and complex issue that has gained increasing attention in the digital age. This comprehensive review provides an in-depth exploration of clinical interventions and modalities for managing internet addiction. It begins by examining the diagnostic criteria and assessment tools used to identify internet addiction, highlighting the diverse subtypes and varying degrees of severity. Subsequently, the review delves into various clinical interventions, including psychotherapeutic approaches like cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and mindfulness-based interventions. Pharmacological interventions, technology-based tools, and integrative approaches are also thoroughly analyzed. The review also outlines various treatment settings and modalities such as inpatient treatment centers, outpatient clinics, telehealth, support groups, and prevention programs for schools and communities. Furthermore, it discusses the efficacy and challenges associated with managing internet addiction, emphasizing the need for effective interventions, relapse prevention, ethical considerations, and addressing stigma and access barriers. In conclusion, the review offers practical implications for clinical practice. It emphasizes future research's importance in refining diagnostic criteria, exploring emerging technologies, and adapting interventions to an ever-evolving digital landscape. This comprehensive review is a valuable resource for clinicians, researchers, and policymakers seeking to understand and address the complexities of internet addiction.

Efficacy of virtual reality-based training programs and games on the improvement of cognitive disorders in patients: a systematic review and meta-analysis

INTRODUCTION

Cognitive impairments present challenges for patients, impacting memory, attention, and problem-solving abilities. Virtual reality (VR) offers innovative ways to enhance cognitive function and well-being. This study explores the effects of VR-based training programs and games on improving cognitive disorders.

METHODS

PubMed, Scopus, and Web of Science were systematically searched until May 20, 2023. Two researchers selected and extracted data based on inclusion and exclusion criteria, resolving disagreements through consultation with two other authors. Inclusion criteria required studies of individuals with any cognitive disorder engaged in at least one VR-based training session, reporting cognitive impairment data via scales like the MMSE. Only English-published RCTs were considered, while exclusion criteria included materials not primarily focused on the intersection of VR and cognitive disorders. The risk of bias in the included studies was assessed using the MMAT tool. Publication bias was assessed using funnel plots and Egger's test. The collected data were utilized to calculate the standardized mean differences (Hedges's g) between the treatment and control groups. The heterogeneity variance was estimated using the Q test and I2 statistic. The analysis was conducted using Stata version 17.0.

RESULTS

Ten studies were included in the analysis out of a total of 3,157 retrieved articles. VR had a statistically significant improvement in cognitive impairments among patients (Hedges's g = 0.42, 95% CI: 0.15, 0.68; p_value = 0.05). games (Hedges's g = 0.61, 95% CI: 0.30, 0.39; p_value = 0.20) had a more significant impact on cognitive impairment improvement compared to cognitive training programs (Hedges's g = 0.29, 95% CI: -0.11, 0.69; p_value = 0.24). The type of VR intervention was a significant moderator of the heterogeneity between studies.

CONCLUSION

VR-based interventions have demonstrated promise in enhancing cognitive function and addressing cognitive impairment, highlighting their potential as valuable tools in improving care for individuals with cognitive disorders. The findings underscore the relevance of incorporating virtual reality into therapeutic approaches for cognitive disorders.

Exploring the Impact of Security Technologies on Mental Health: A Comprehensive Review

This comprehensive review explores the intricate relationship between security technologies and mental health. Security technologies, including physical security, cybersecurity, and surveillance measures, are integral components of our modern world, designed to protect individuals, organizations, and society from various threats. While they are vital in enhancing safety, they also have profound implications for mental well-being. The review delves into the positive impacts of security technologies, including their capacity to enhance personal safety, reduce anxiety and fear, and instill a sense of security. However, it also reveals the negative consequences, such as privacy invasion, surveillance-related stress, paranoia, and ethical concerns, which can erode mental health. User perception and trust are central to understanding how individuals experience security technologies. The review emphasizes the importance of ethical guidelines, user education, and technological advancements in mitigating negative impacts. By embracing an ethical-by-design approach, empowering users, and promoting public awareness, a balanced equilibrium between security and mental health can be achieved. The conclusion highlights the significance of ongoing research and interdisciplinary collaboration to navigate this intricate relationship effectively. By prioritizing ethical considerations and fostering a dialogue that values security and individual well-being, we can ensure a safer and more mentally healthy future in our technologically interconnected world.

An architecture for collaboration in systems biology at the age of the Metaverse

As the current state of the Metaverse is largely driven by corporate interests, which may not align with scientific goals and values, academia should play a more active role in its development. Here, we present the challenges and solutions for building a Metaverse that supports systems biology research and collaboration. Our solution consists of two components: Kosmogora, a server ensuring biological data access, traceability, and integrity in the context of a highly collaborative environment such as a metaverse; and ECellDive, a virtual reality application to explore, interact, and build upon the data managed by Kosmogora. We illustrate the synergy between the two components by visualizing a metabolic network and its flux balance analysis. We also argue that the Metaverse of systems biology will foster closer communication and cooperation between experimentalists and modelers in the field.

Fluid teams in the metaverse: exploring the (un)familiar

The metaverse is a new and evolving environment for fluid teams and their coordination in organizations. Fluid teams may have no prior familiarity with each other or working together. Yet fluid teams are known to benefit from a degree of familiarity-knowledge about teams, members, and working together-in team coordination and performance. The metaverse is unfamiliar territory that promises fluidity in contexts-seamless traversal between physical and virtual worlds. This fluidity in contexts has implications for familiarity in interaction, identity, and potentially time. We explore the opportunities and challenges that the metaverse presents in terms of (un)familiarity. Improved understandings of (un)familiarity may pave the way for new forms of fluid team experiences and uses.

Factors influencing college teachers' adoption of live online teaching: a conditional process model of technology acceptance, user satisfaction and privacy concerns

Purpose

In recent times, live online teaching has emerged as a prominent trend in online education. However, teachers are confronted with the challenge of not only acquainting themselves with the associated technologies but also effectively integrating them into their teaching practices. This dual challenge exerts pressure on teachers to adopt live online teaching. This study aims to explore the factors and mechanisms influencing teachers' attitudes and continuance intention toward live online teaching. It covers both intrinsic and extrinsic motivations, as well as both enabling and inhibiting factors, thus providing valuable suggestions for encouraging teachers to engage in live online teaching actively.

Method

This study proposed a conceptual model based on the Technology Acceptance Model, Uses and Gratifications Theory, and Communication Privacy Management Theory. A simple random sampling method was employed to recruit participants from a university in eastern China. With 224 college teachers participating in the study, various analyses, including descriptive analysis, regression analysis, and simple slope analysis, were conducted to explore the factors and mechanisms influencing college teachers' adoption of live online teaching.

Results

The study revealed the following key findings: (a) perceived easy of use had a positive impact on perceived usefulness and user satisfaction; (b) perceived usefulness had a positive effect on user satisfaction; (c) both perceived usefulness and user satisfaction positively influenced teachers' adoption of live online teaching; (d) perceived easy of use did not directly affect teachers' adoption of live online teaching; (e) privacy concerns exhibited a moderated effect on the relationship between perceived easy of use and perceived usefulness, as well as the relationship between perceived easy of use and user satisfaction.

Conclusion

The study reveals a conditional process model elucidating teachers' adoption of live online learning. The model incorporates perceived ease of use as a predictor, perceived usefulness and user satisfaction as two mediators, and private concerns as a moderator. The findings suggest that stakeholders should collaborate closely to enhance the design and development of the live online teaching platforms. Additionally, efforts should be made to support and improve teachers' information literacy, fostering their enthusiasm and facilitating their professional development in live online teaching practice.

Being in Virtual Reality and Its Influence on Brain Health-An Overview of Benefits, Limitations and Prospects

BACKGROUND

Dynamic technological development and its enormous impact on modern societies are posing new challenges for 21st-century neuroscience. A special place is occupied by technologies based on virtual reality (VR). VR tools have already played a significant role in both basic and clinical neuroscience due to their high accuracy, sensitivity and specificity and, above all, high ecological value.

OBJECTIVE

Being in a digital world affects the functioning of the body as a whole and its individual systems. The data obtained so far, both from experimental and modeling studies, as well as (clinical) observations, indicate their great and promising potential, but apart from the benefits, there are also losses and negative consequences for users.

METHODS

This review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) framework across electronic databases (such as Web of Science Core Collection; PubMed; and Scopus, Taylor & Francis Online and Wiley Online Library) to identify beneficial effects and applications, as well as adverse impacts, especially on brain health in human neuroscience.

RESULTS

More than half of these articles were published within the last five years and represent state-of-the-art approaches and results (e.g., 54.7% in Web of Sciences and 63.4% in PubMed), with review papers accounting for approximately 16%. The results show that in addition to proposed novel devices and systems, various methods or procedures for testing, validation and standardization are presented (about 1% of articles). Also included are virtual developers and experts, (bio)(neuro)informatics specialists, neuroscientists and medical professionals.

CONCLUSIONS

VR environments allow for expanding the field of research on perception and cognitive and motor imagery, both in healthy and patient populations. In this context, research on neuroplasticity phenomena, including mirror neuron networks and the effects of applied virtual (mirror) tasks and training, is of interest in virtual prevention and neurogeriatrics, especially in neurotherapy and neurorehabilitation in basic/clinical and digital neuroscience.

Who Is Invited to the Metaverse? Analyzing Media Coverage of an Emerging Virtual World

As a new technology awaiting widespread immersive usage, public awareness and understanding of the metaverse is likely significantly shaped by its coverage in the media. This study explored how the metaverse is framed in U.S. news media coverage, including who the media targets as metaverse users, and reflects on how this could shape public attitudes and engagement with the metaverse. Specifically, this study asked: which people and institutions are included and excluded from media coverage of the metaverse? To answer this question, a systematic content analysis of 526 U.S. news articles was conducted, drawing from three media databases. Findings reveal that the media frames the metaverse as a corporate space for those with buying power: investors, technology experts, and consumers. Users without buying power and users from marginalized groups were rarely considered in media coverage. Despite this, most coverage of the metaverse was descriptive, with only 11 percent of articles critiquing this space. These findings raise broad questions about commodification, exclusion, and inequality in the metaverse.

Repercussions of environmental policy stringency on carbon, energy and non-energy productivity in highly emerging economies: perspective of green growth

Emerging economies have prioritized the enhancement of carbon and energy productivity to uphold environmental integrity. Consequently, the policymakers introduced the environmental policy stringency measure to control emission activities. Accordingly, this study explores the environmental stringency policy's impact on carbon, energy, and non-energy productivity over the period of 1995-2020. This study addresses the impact of environmental policy stringency on quality of life (exposure to environmental risk). Regardless of variation, growing economies have higher carbon productivity. It is worth noting that energy productivity compared to carbon is higher. Based on the findings derived from the CS-ARDL model, it can be concluded that environmental stringency policies significantly positively impact carbon productivity in emerging countries. Economies that implement stringent environmental rules have the potential to enhance both energy and non-energy productivity to a greater extent. Meanwhile, the environmental policy effectively reduces environmental risk exposure and increases the quality of life. Environmental technology is inefficient in promoting emerging economies' environmental productivity. Similarly, trade promotes carbon activities and may involve comparative advantage race, pollution heaven hypothesis possible to exist. This study provides empirical evidence supporting the notion that investing in human capital is crucial in enhancing productivity. The findings suggest a more comprehensive and integrated approach to environmental policy in rising economies. This all-encompassing strategy is considered crucial for making significant gains in carbon productivity and simultaneously promoting sustainable green growth.

Uncovering novel therapeutic targets in glucose, nucleotides and lipids metabolism during cancer and neurological diseases

BACKGROUND

Cell metabolism functions without a stop in normal and pathological cells. Different metabolic changes occur in the disease. Cell metabolism influences biochemical and metabolic processes, signaling pathways, and gene regulation. Knowledge regarding disease metabolism is limited.

OBJECTIVE

The review examines the cell metabolism of glucose, nucleotides, and lipids during homeostatic and pathological conditions of neurotoxicity, neuroimmunological disease, Parkinson's disease, thymoma in myasthenia gravis, and colorectal cancer.

METHODS

Data collection includes electronic databases, the National Center for Biotechnology Information, and Google Scholar, with several inclusion criteria: cell metabolism, glucose metabolism, nucleotide metabolism, and lipid metabolism in health and disease patients suffering from neurotoxicity, neuroinflammation, Parkinson's disease, thymoma in myasthenia gravis. The initial number of collected and analyzed papers is 250. The final analysis included 150 studies out of 94 selected papers. After the selection process, 62.67% remains useful.

RESULTS AND CONCLUSION

A literature search shows that signaling molecules are involved in metabolic changes in cells. Differences between cancer and neuroimmunological diseases are present in the result section. Our finding enables insight into novel therapeutic targets and the development of scientific approaches for cancer and neurological disease onset, outcome, progression, and treatment, highlighting the importance of metabolic dysregulation. Current understanding, emerging research technologies and potential therapeutic interventions in metabolic programming is disucussed and highlighted.

Searching for the Metaverse: Neuroscience of Physical and Digital Communities

What distinguishes real-world communities from their online counterparts? Social and cognitive neuroscience research on social networks and collective intentionality will be used in the article to answer this question. Physical communities are born in places. And places engage "we-mode" neurobiological and cognitive processes as behavioral synchrony, shared attention, deliberate attunement, interbrain synchronization, and so on, which create coherent social networks of very different individuals who are supported by a "wisdom of crowd." Digital technologies remove physical boundaries, giving people more freedom to choose their activities and groups. At the same time, however, the lack of physical co-presence of community members significantly reduces their possibility of activating "we-mode" cognitive processes and social motivation. Because of this, unlike physical communities that allow interaction between people from varied origins and stories, digital communities are always made up of people who have the same interests and knowledge (communities of practice). This new situation disrupts the "wisdom of crowd," making the community more radical and less accurate (polarization effect), allowing influential users to wield disproportionate influence over the group's beliefs, and producing inequalities in the distribution of social capital. However, a new emergent technology-the Metaverse-has the potential to reverse this trend. Several studies have revealed that virtual and augmented reality-the major technologies underlying the Metaverse-can engage the same neurobiological and cognitive "we-mode" processes as real-world environments. If the many flaws in this technology are fixed, it might encourage people to engage in more meaningful and constructive interactions in online communities.

The Potential and Challenges of Virtual Reality as an Adjunctive Treatment of Depression Patients

Virtual reality (VR) is a promising supplemental or alternative approach for treating depression. Focusing on the unique affordances of VR, such as immersive therapeutic settings and uniform treatment delivery, this study explores both the current applications and future potential of VR technology in treating and assessing depression. VR provides users with an "immersive" and "presence" experience through multisensory stimulation. VR is an emerging paradigm in healthcare, particularly in psychiatric treatment, and presents compelling possibilities for its role in therapeutic interventions by facilitating realistic and controlled environments for both clinicians and patients. VR technology offers promising advancements in augmenting traditional cognitive-behavioral therapy (CBT) methods for treating depression, with applications in psychoeducation, behavioral activation, and cognitive restructuring. Various VR assessment techniques including biomarkers and machine learning have been discussed in this study. Although the field remains experimental, the immersive nature of VR holds the potential for more personalized and accurate therapeutic interventions and assessments. Further research is required for definitive conclusions.

Metaverse and oral and maxillofacial radiology: Where do they meet?

Since previous literatureregarding the application of the metaverse in educationis scarce, the present letter aimed to highlight possible applications, as a complementary tool for the classroom, in the oral and maxillofacial radiology academic experience.Thepotential risksof the metaverse are also discussed. The metaverse and its possible applications, especially related to enhanced teaching and learning, will become a hot topic in the near future, and therefore, there will be a challenging learning curve before the educator makes the most of these innovative educational tools empowered by deeply interactive virtual reality technology.

The Metaverse, Religious Practice and Wellbeing: A Narrative Review

The metaverse is touted as the next phase in the evolution of the Internet. This emerging digital ecosystem is widely conceptualized as a persistent matrix of interconnected multiuser, massively scaled online environments optimally experienced through immersive digital technologies such as virtual reality (VR). Much of the prognostication about the social implications of the metaverse center on secular activities. For example, retail, entertainment (gaming/concerts), and social networking. Little attention has been given to how the metaverse might impact religion. This narrative review explores contemporary research into online religious practice and the use of immersive digital technologies for religious purposes. This focus informs a discussion about how the metaverse, an online and immersive technology, might impact religion/religious practices. For billions worldwide, religion is an essential aspect of social identity and a cornerstone of psychological wellbeing. The emergence of the metaverse may represent a new way of connecting with an ancient source of human flourishing.

Transforming Healthcare: The Revolutionary Benefits of Cashless Healthcare Services

As cashless hospital services have grown in popularity, the healthcare sector has seen a tremendous transition. That means the payments are done in an electronic manner which is also known as e-pay. The article discusses the benefits of cashless healthcare services, which are transforming the healthcare sector by providing a streamlined, secure, and effective experience for patients and healthcare providers. Cashless healthcare facilities make use of cutting-edge technologies, including mobile applications, digital wallets, and secure internet platforms, to optimize the utilization of resources within the healthcare ecosystem and improve the overall patient experience. The incorporation of technology has led to revolutionary innovations that continue to redefine the way people access and experience health services. The advantages of cashless hospital services have transformed the healthcare sector by enhancing data security, facilitating transparent billing, and encouraging a patient-centered approach. Cashless services are a preferred method of payment for both consumers and organizations due to their convenience and accessibility. Patients can make payments using digital channels such as mobile payment applications, online payment gateways, or contactless payment cards, whether they are paying for medications, lab tests, or complicated surgeries. Cashless transactions drastically reduce administrative challenges for healthcare providers by eliminating the requirement for manual documentation, which facilitates quick electronic transactions and reduces processing times. As the billing and payment process becomes digitized and streamlined, doctors and medical personnel can focus more on treating and caring for patients. Additionally, much faster insurance claim processing and verification processes result in quicker pay-outs and minimize the financial burden on patients.

Digital Dilemmas: A Comprehensive Review of the Psychosocial and Sleep Effects of Web Streaming on the Indian Youth

The rapid growth of web streaming platforms in India has ushered in a transformative era in entertainment consumption, particularly among the youth. This comprehensive review explores the psychosocial and sleep effects of web streaming on the younger generation. Examining the impact on social interactions, mental health, academic performance, cultural identity, and sleep patterns, the study delves into the intricate dynamics shaping the lives of Indian youth in the digital age. Key findings reveal the subtle yet significant changes in face-to-face interactions, the emergence of virtual relationships, and the potential influence on stress, anxiety, and depression due to addictive binge-watching behaviours. Moreover, the review highlights the challenges to academic performance through disruptions in study habits and increased screen time. Cultural and identity influences, both in terms of representation and misrepresentation, are explored, emphasizing the need to analyze the portrayal of Indian culture in web content critically. The sleep effects of web streaming, including sleep deprivation due to late-night binge-watching and the consequences of blue light exposure on melatonin production, add a crucial dimension to the discussion. Technological solutions such as screen time limitations, parental controls, and educational programs promoting media literacy and responsible digital consumption emerge as potential coping mechanisms. In conclusion, the study provides a nuanced understanding of the complexities surrounding web streaming and its impact on the youth in India. The implications for policy and practice underscore the importance of a balanced approach to digital consumption. At the same time, a call to action emphasizes the need for collaborative efforts in promoting responsible digital habits among the youth.

The Multidomain Metaverse Cancer Care Digital Platform: Development and Usability Study

BACKGROUND

As cancer treatment methods have diversified and the importance of self-management, which lowers the dependence rate on direct hospital visits, has increased, effective cancer care education and management for health professionals and patients have become necessary. The metaverse is in the spotlight as a means of digital health that allows users to engage in cancer care education and management beyond physical constraints. However, it is difficult to find a multipurpose medical metaverse that can not only be used in the field but also complements current cancer care.

OBJECTIVE

This study aimed to develop an integrated metaverse cancer care platform, Dr. Meta, and examine its usability.

METHODS

We conducted a multicenter, cross-sectional survey between November and December 2021. A descriptive analysis was performed to examine users' experiences with Dr. Meta. In addition, a supplementary open-ended question was used to ask users for their suggestions and improvements regarding the platform.

RESULTS

Responses from 70 Korean participants (male: n=19, 27% and female: n=51, 73%) were analyzed. More than half (n=37, 54%) of the participants were satisfied with Dr. Meta; they responded that it was an interesting and immersive platform (n=50, 72%). Less than half perceived no discomfort when using Dr. Meta (n=34, 49%) and no difficulty in wearing and operating the device (n=30, 43%). Furthermore, more than half (n=50, 72%) of the participants reported that Dr. Meta would help provide non-face-to-face and noncontact services. More than half also wanted to continue using this platform in the future (n=41, 59%) and recommended it to others (n=42, 60%).

CONCLUSIONS

We developed a multidomain metaverse cancer care platform that can support both health professionals and patients in non-face-to-face cancer care. The platform was uniquely disseminated and implemented in multiple regional hospitals and showed the potential to perform successful cancer care.