People with diabetes who are admitted to hospital are at risk of adverse in-hospital outcomes due to glycaemic dysregulation. Both the prevalence of diabetes and adverse outcomes are higher in rural and regional hospitals where infrastructure is more limited. Digital solutions may facilitate diabetes assessment on admission, so timely care coordination can be provided by inpatient diabetes teams. The aim of this systematic review was to identify and characterise the digital technologies and clinical decision support tools used to triage people with diabetes in the inpatient setting. Six electronic databases were searched for studies published between January 2014 and August 2024 on the use of digital technology or decision support tools to triage adult inpatients with diabetes during a hospital stay. Narrative synthesis was used to report results. The review followed PRISMA guidelines and was registered on PROSPERO (CRD 42021257655). Nine studies met the inclusion criteria. Three developed or improved systems for referrals to an in-hospital diabetes team. The remaining six reported on efforts to improve information to support referral and included risk prediction for iatrogenic hypoglycaemia, persistent adverse glycaemia and in-hospital mortality among Intensive Care Unit patients with diabetes, and perioperative glycaemic management. Digital technologies and clinical decision support tools can improve inpatient triage of people with diabetes. A two-tiered approach consisting of a simple admission risk screen tool followed by dynamic electronic health record surveillance focussed on immediate iatrogenic hypoglycaemia risk for ongoing prioritisation would balance sensitivity at admission with dynamic inpatient risk monitoring.

The purpose of this study is to explore and analyse the business strategy of Ayam Geprek Qita in the context of digitalisation to increase sales and customer loyalty. The research method used was a qualitative approach, a case study, and a purposive sampling technique. Data were collected using triangulation techniques (observation, in-depth interviews, and documentation) and analysis of the Miles and Huberman interactive model. Research results show that consumers prioritise direct interactions, making a friendly service-based approach and product quality key factors in building loyalty. Word of mouth has proven more effective than Facebook, while WhatsApp serves as a simple yet relevant communication medium to support sales transactions. Therefore, integrating a relational approach with the use of simple digital technology is a contextual and sustainable strategy for micro-businesses.

Given the global demographic shifts and rapid digitalization, digital engagement has emerged as a critical determinant of healthy aging. While previous research has linked digital engagement to cognitive outcomes, the underlying mechanisms remain underexplored among Chinese older adults. This study aimed to analyze the relationships between digital engagement and cognitive function among older adults in China through a moderated mediation model guided by the technological reserve hypothesis, with digital health literacy (DHL) and social support as mediators and living arrangements as a moderator. We conducted a cross-sectional questionnaire survey using stratified multistage sampling from June to November 2024, including 8123 participants aged 55 years and older. Digital engagement, defined as older adults' use of contemporary digital technologies to support routine daily activities, autonomy, independence, and social inclusion, was assessed using a multidimensional questionnaire. The Chinese eHealth Literacy Scale, the 3-item short version of the Perceived Social Support Scale, and the Mini-Cog test were used to assess DHL, social support, and cognitive function. Guided by a directed acyclic graph based on the technological reserve hypothesis, mediation and moderated mediation analyses were performed using the PROCESS macro in SPSS (IBM Corp) with 5000 bootstrap resamples. Digital engagement was positively associated with cognitive function among older adults (β=0.241, 95% CI 0.216-0.265). This association was partially mediated by DHL (β=0.059, 95% CI 0.049-0.069) and social support (β=0.012, 95% CI 0.008-0.016), with the combined indirect effects accounting for 29.5% of the total effect (β=0.071, 95% CI 0.061-0.082). Additionally, living arrangements significantly moderated the associations between digital engagement and cognitive function (β=0.109, 95% CI 0.052-0.166), digital engagement and DHL (β=0.063, 95% CI 0.014-0.112), and digital engagement and social support (β=0.151, 95% CI 0.089-0.212). These effects were stronger among older adults living alone. This study contributes to the understanding of cognitive aging in the digital environment from the perspective of the technological reserve hypothesis and digital engagement. Digital engagement influenced cognitive function via DHL and social support, and these associations of digital engagement with cognitive function, DHL, and social support were stronger among older adults living alone. Digital health interventions and public health policies should target both DHL and social support among older populations and prioritize older adults living alone.

The growth of the blue economy in Indonesia is inseparable from the role of coastal communities, especially fishermen's cooperatives, which are the main forum in the management of fisheries businesses and the distribution of marine products. However, financial management practices in fishermen's cooperatives still face various challenges, such as low financial literacy of management, weak transparency of records, and limited access to formal capital institutions. This study aims to evaluate the financial management practices of coastal fisher cooperatives and examine their contribution in supporting blue economic growth. The research method uses a mixed approach, with the collection of quantitative data from the financial statements of fisher cooperatives and qualitative data through in-depth interviews with administrators and members. A total of 12 fishermen's cooperatives in the coastal areas of Central Java and South Sulawesi were selected purposively with the 2020–2023 observation period. The results of the study show that cooperatives that have a neater financial recording system, a savings and loan mechanism run well, and are able to access revolving funds from the government and Islamic financial institutions have succeeded in increasing working capital, expanding environmentally friendly fishing and aquaculture businesses, and contributing to marine resource conservation. In contrast, cooperatives with traditional financial management and dependence on member dues often experience limited liquidity, internal conflicts, and difficulty adapting to blue economy programs that demand efficiency and sustainability. These findings confirm that strengthening financial management practices through financial literacy education, the use of digital accounting technology, and regulatory support can strengthen the role of fishermen's cooperatives as key actors in supporting an inclusive and sustainable blue economy.

This study investigates the mediating roles of intrinsic and extrinsic motivation in the relationship between digital technology use and mathematics achievement during the learning process. The research was conducted using a relational survey model and involved 420 fifth-grade students selected through convenience sampling. Data was collected using two instruments: the Digital Technology Use in Mathematics Learning Process Scale and the Mathematics Course Motivation Scale. Two separate mediation models were tested using the bootstrap method to analyze the mediating effects of intrinsic and extrinsic motivation. The findings indicated that the use of digital technology in mathematics education significantly and positively influenced both intrinsic (β = .21, p < .001) and extrinsic motivation (β = .10, p < .05). Furthermore, intrinsic motivation was found to significantly and positively predict mathematics achievement (β = .16, p < .001), whereas extrinsic motivation had a significant negative effect on achievement (β = –.30, p < .001). Path analysis results suggested that both intrinsic and extrinsic motivation acted as indirect mediators in the relationship between digital technology use and mathematics achievement. This means that the impact of digital technology on achievement occurs indirectly through motivational processes. While digital technology enhances students' intrinsic motivation and positively contributes to their mathematics achievement, extrinsic motivation may have a negative impact. Based on these findings, it is recommended that strategies supporting intrinsic motivation be prioritized in digital learning environments. Additionally, the use of extrinsic rewards should be approached with caution and moderation.

The present study examines gaps in training and the use of digital technologies in university teaching practice, with the aim of identifying the level of mastery of essential technological competencies for academic performance. A quantitative approach was adopted, using a non-experimental, descriptive, cross-sectional design, through the administration of a questionnaire to a sample of faculty members from the Pontificia Universidad Católica Madre y Maestra (PUCMM). The sample was predominantly female and showed a diverse disciplinary distribution, with a predominance of faculty from the fields of Law and Education. The analysis included dimensions related to computer use, basic computer literacy, operating system management, learning of specific software, educational use of social networks, device protection, and digital information management.

The purpose of this study was to understand teachers-analysts’ perceptions, experiences, and coping strategies during the implementation of the Cundinamarca Relational Education System (SERC), as well as its impact on pedagogical practice and student retention. The research was conducted under the interpretive paradigm, using a qualitative descriptive–interpretive approach and a multiple case study design across five educational institutions in the department of Cundinamarca, Colombia, between 2021 and 2023. Participants included teachers-analysts and school administrators, selected based on their experience with the model and contextual diversity. Data was collected through semi-structured interviews, focus groups, and document analysis, and were analyzed using thematic analysis and methodological triangulation. The findings revealed that the implementation of the SERC fostered processes of personal and professional transformation among teachers by challenging their pedagogical beliefs and promoting dialogical, collaborative, and care-centered practices. Pedagogical relationality emerged as a central category that articulates trust, accompaniment, and meaning-making in classroom interactions. However, the implementation of the model was conditioned by institutional, organizational, and material factors, which posed significant challenges to its sustainability. In response to these constraints, teachers developed resilient strategies such as co-teaching, peer support networks, horizontal mentoring, and the adaptive use of digital technologies. As a key contribution, this study proposes the Relational Ecosystem of Teacher Learning (ERAD) as an analytical and practical framework aimed at strengthening situated professional development, teacher well-being, and the sustainability of relational pedagogical innovations in diverse educational contexts. This proposal highlights the relevance of relational approaches for educational innovation processes that prioritize human connection, professional agency, and contextual responsiveness.

Today's The increasing demand for a secure and transparent voting system has highlighted the limitations of traditional election methods, such as impersonation, duplicate voting, and high administrative effort. To address these challenges, this project introduces an Online Voting System with Face Recognition, developed as a web and mobile-based platform. The system verifies voter identity through live facial recognition integrated with Aadhaar and Election Commission records, ensuring that only eligible and genuine voters are allowed to participate in the voting process. After successful verification, voters can cast their vote through a simple and fair interface where all candidates and symbols are displayed according to Election Commission guidelines. The system enforces the one voter–one vote rule by blocking repeat access and securing all voting data using encryption and strict validation controls. This solution aims to improve election security, reduce fraud, and make voting more accessible, efficient, and trustworthy through the use of modern digital technologies.

This article analyzes, through a theoretical literature review, the contributions of Digital Education and Corporate Education to training in the field of Administration. It discusses continuing education, supervised internships, the integration of Digital Information and Communication Technologies (DICT), and the reorganization of learning environments in response to historical weaknesses in the field. The studies indicate that the use of digital technologies and corporate education practices can strengthen organizational learning and competency development when aligned with intentional pedagogical projects and institutional policies. It is concluded that Digital Education plays an important role in renewing Administration education by integrating formative, organizational, and social dimensions.

The use of digital media and information technology in learning has become a fundamental necessity in this modern era. Digital media, such as instructional videos, interactive presentations, and online platforms, have been proven to improve students' understanding, motivation, and interest in learning by providing more interactive and engaging learning. In the context of Islamic Religious Education (PAI), the use of digital media not only strengthens Islamic knowledge but also helps shape students' character and religious attitudes. However, the implementation of this technology still faces challenges such as limited infrastructure, teacher skills, and dependence on the internet. Information technology-based learning also has a significant impact on students' learning interests. With this approach, students are encouraged to learn independently, think critically, and be more active in the learning process. However, most teachers still tend to use conventional methods with textbooks as the primary medium, which can lead to boredom and low student interest in learning. Therefore, the integration of information technology in learning must continue to be encouraged to improve the quality of education and develop a generation that is adaptive to current developments.

The need for the adoption of digital technology is becoming increasingly important for the improvement of the efficiency of operations and employee productivity in the real estate sector. This study explores the effect of the availability of digital technology, employee knowledge of digitalization, and the use of technology on employee productivity in the real estate sector in North-Central Nigeria. It further explores the mediation role of technological drivers and technological barriers, and the moderating role of employees’ working knowledge of the effect of the use and availability of technology on employee productivity. A quantitative research design and methodology were used for this study, and data were collected through structured questionnaires among some real estate businesses’ employees in the states included in North-Central Nigeria, namely Abuja, Benue, Kogi, Kwara, Nasarawa, Niger, and Plateau States. Through partial least squares structural equation model analysis (PLS-SEM), the proposed hypotheses were rigorously tested in this study. Results showed that both the use of available digital technology and employees' know-how of digitalization significantly impact the use of technology and employee productivity positively and negatively, respectively. Technological drivers served as positive mediators, but technological barriers negatively mediate the impact of available technology on employee productivity. Employee working knowledge positively moderated the positiveness of technological use on employee productivity for improved real estate industry performance and recommends formal employee continuous education and technological infrastructure in the industry for increased employee productivity and other beneficial values offered by adequate technological use within the industry. Received: 01 December 2025 / Accepted: 31 December 2025 / Published: January 2026

To examine which prosthetic factors, including design, materials, and cleansability, may influence the onset of peri-implant diseases. The Spanish Society of Periodontology (SEPA) convened a group of experienced periodontists, prosthodontists, and laboratory technicians to develop clinical recommendations based on expert consensus. Emerging evidence highlights the importance of prosthetic design, implant positioning, and material selection in mitigating biological complications. Notably, access for self-performed oral hygiene is a significant predictor of peri-implant health, and designs that facilitate cleaning and prosthetic configurations that minimize plaque accumulation are favored. Additionally, the use of less porous materials, such as zirconia, has been shown to improve soft tissue integration and plaque control. Other critical considerations include minimizing prosthetic manipulation and ensuring optimal implant-abutment connections to prevent bone loss. This review presents clinical recommendations on prosthetic design, material selection, and implant placement in order to reduce the risk of peri-implant diseases. Future research should focus on refining these strategies and evaluating the long-term effectiveness of digital manufacturing techniques in improving prosthetic accuracy and reducing the incidence of disease. Peri-implant diseases, including peri-implantitis, are major concerns in implant dentistry, often linked to suboptimal prosthetic designs and maintenance. This review underscores the importance of prosthetic design in preventing such diseases. Clinicians should prioritize prosthetic configurations that enhance accessibility for self-performed oral hygiene. Furthermore, proper implant positioning in a 3D prosthetically driven position is essential for preventing peri-implant complications. Additionally, the choice of materials, such as ceramic-based and zirconia prostheses, can influence plaque accumulation and soft tissue health. Regular follow-ups and patient education on maintaining good oral hygiene are critical for the prevention of peri-implant diseases. Finally, the increasing use of digital technologies in implant placement and prosthesis manufacturing offers the potential for improving accuracy and minimizing prosthetic misfits, which may further reduce the risk of disease. Future research is needed to explore the impact of digital tools on peri-implant health and to refine best practices in prosthetic design and material selection.

Financial management is a crucial aspect of the sustainability of Micro, Small, and Medium Enterprises (MSMEs), including coffee farmers in Mekarsari Village. Observations indicating the limited use of digital technology and reliance on manual, memory-based record-keeping formed the basis for this community service activity. The program provided assistance and training in using the Accounting Nekola App as a tool to prepare simple financial statements. The activities included raising awareness about the importance of financial reporting, technical training on transaction input, and monitoring the improvement of farmers’ understanding in recording transactions consistently. This community service activity demonstrates that the digitalization of financial statements can enhance the financial literacy of coffee farmers as a strategic step to support business sustainability and competitiveness.

Acceptance and use of digital health technologies among physiotherapists in Germany: a web-based cross-sectional survey.

This article examines how Society 5.0, a human-centred model that uses advanced technologies to solve social problems is reshaping the way information is created, shared, and used. Society 5.0 applies tools such as artificial intelligence-based healthcare diagnostics, big data analytics for public health and education planning, and internet of things-enabled systems used in smart farming and smart cities to improve the quality of life. The article discusses both the opportunities and challenges related to these technologies. On the positive side, digital systems can expand access to timely and relevant information. However, Society 5.0 also raises concerns such as misinformation, privacy risks, data misuse, and the digital divide. The study highlights the evolving roles of librarians, researchers, journalists, and other information professionals in guiding society towards the responsible and fair use of digital technologies. It emphasises the need for open access, strong digital literacy, ethical frameworks, and cross-sector collaboration to ensure that technological progress benefits everyone, including underserved and remote communities.

Differentiated learning recognizes that each student is unique and requires flexible learning strategies to achieve their full potential. This study explains how teachers implement product differentiation strategies in social studies learning through economic activities in fourth grade. Teachers use product differentiation strategies to provide students with opportunities to tailor learning products to their interests, learning styles, and learning profiles. The study used descriptive qualitative methods with data collection techniques such as observation of learning activities, interviews with teachers and students, and document analysis. The results showed that the implementation of product differentiation learning provided space for students to express their understanding through selected tasks, namely summary tables, posters, or stories about production, distribution, and consumption activities. This learning received a good enthusiastic response from students, as seen from the products created by the students. However, in implementing the product differentiation strategy, teachers experienced limitations in projector and computer facilities, requiring teachers to facilitate product differentiation without the use of digital technology. Students were directed to manually create tables, posters, or simple stories about the concepts of production, consumption, and distribution. This condition shows that limited resources are not a barrier for teachers to implement the product differentiation strategy.

Virtual care is increasingly used to improve access to primary care. However, the roles of primary care nurses (ie, nurse practitioners [NPs], registered nurses [RNs], licensed practical nurses [LPNs]) in virtual care delivery are not clearly defined. A better understanding of these roles can improve their integration and optimization in virtual primary care delivery and the availability and quality of virtual primary care. The purpose of this scoping review was to identify and map the international literature on nurses' roles in virtual care delivery in primary care. Following the Joanna Briggs Institute methodology, we searched academic databases for published literature and webpages for gray literature sources. We included studies that described the roles of nurses (NPs, RNs, LPNs) in providing virtual primary care. We excluded studies that focused on nurses' use of digital technologies without nurse-patient interaction. After screening potential sources, we included 34 sources from countries such as the United Kingdom, Canada, the United States, Australia, and Sweden. Most were specific to RNs (n = 12) or did not specify a regulatory designation (n = 12). Primary care nurse roles in virtual care were mostly related to care coordination, chronic disease management, and triage and assessment using various modalities (eg, telephone and video). Many factors influenced nurses' roles in virtual care, such as patient/nurse experiences, training/support, access to resources/equipment, and ethical/privacy concerns. Nurses are well-positioned to provide virtual care based on their diverse roles across primary care settings; however, their roles could be better optimized to improve primary care access and quality.

Religious education plays a strategic role in instilling the value of Belief in One God as the embodiment of the first principle of Pancasila. However, the development of digital technology poses new challenges to the process of internalising religious values, especially among children. This study aims to analyse the role of the family, community, and educational institutions in implementing the value of Belief in One God in the digital era. This study uses a qualitative descriptive approach with data collection techniques through observation, interviews, and documentation. Data analysis was conducted using the Miles and Huberman interactive model, including data reduction, data presentation, and conclusion drawing. The results of the study show that: (1) children's participation in religious educational institutions is still ongoing, but has undergone changes due to the increasing use of digital technology; (2) the role of society and parents in guiding children against the influence of social media greatly determines children's religious behaviour patterns; (3) the level of formal education of parents is not always directly proportional to the quality of religious education in the family, because busy work schedules often reduce the intensity of interaction with children. Therefore, it is necessary to revitalise religious education based on Pancasila values through collaboration between families, schools, and communities. The implementation of the value of Belief in One God needs to be realised not only through ritual activities but also through role modelling, positive habits, and the use of educational technology relevant to the character of the digital generation. The instilling of these values is an important foundation in shaping the character of Pancasila students who are faithful, devoted to God Almighty, and have noble character.

The use of digital technology in the banking sector has changed the way people conduct transactions. Digital banking has now become the primary choice for banks to provide practical and fast services. Bank Negara Indonesia (BNI) is actively developing digital services to improve service quality. However, digital services also pose risks that can affect the security and stability of the banking system. This study focuses on identifying the risks in the use of digital banking and the risk management practices implemented by BNI. The research uses a descriptive qualitative approach with techniques of interviews, observation, and document review. The findings show that BNI's risk management is effective, although customer awareness of digital security needs to be improved.

AimSkin cancer incidence in Australia is among the highest in the world, particularly for outdoor workers, and requires, clear and relevant health promotion resources. Government and non-government organisations across Australia play a key role in providing information and advice on how skin cancer awareness and sun protection advice should be promoted to at-risk population groups like outdoor workers. This study reviewed online resources developed by key organisations around recommended methods for communicating skin cancer awareness and sun protection messages to outdoor workers/outdoor workplaces.MethodsA rapid desktop review was undertaken in April 2021, focusing on publicly available online resources developed by federal government, state governments and cancer councils and available on websites in Australia. Resources included were selected if they addressed skin cancer, skin cancer prevention, sun safety or sun protection for outdoor workplaces and/or outdoor workers. Selected resources were re-reviewed in November 2024 to compare for changes.ResultsTwenty-five resources were included in this review. Most (19/25) provided advice about how to communicate skin cancer awareness/sun protection messages to outdoor workers, while some did not (4/25). Use of digital technology to reach outdoor workers with sun-safe messages was mentioned in 12/25 resources. These resources mainly encouraged the use of the SunSmart Ultraviolet (UV) mobile application (8/25), specific sun-safety websites (3/25) and/or participation in an online course (2/25). Resources also mentioned non-digital ways of communicating information to outdoor workers.ConclusionDigital technology is increasingly being used to communicate skin cancer prevention-related messages to outdoor workers, but non-digital ways are still more common. Increasing awareness about the effectiveness of digital health interventions in skin cancer prevention via online resources is essential for future-proofing sun-safety uptake in contemporary outdoor workplaces.