Clinical reasoning is a core competency in standardized residency training for general practitioners, yet conventional case-based instruction is often constrained by limited clinical exposure, inconsistent case complexity, and insufficient opportunities for repeated decision-making practice. This study explores the application of computer-simulation-based clinical case training to improve clinical reasoning among general practice residents from a digital health communication perspective. A digital simulation environment was designed to present interactive clinical cases integrating patient history, symptoms, examination findings, laboratory results, and dynamic clinical feedback. Residents were required to collect information, identify clinical problems, formulate differential diagnoses, select appropriate examinations, and develop management plans through sequential decision-making processes. The digital platform also supported real-time feedback, standardized communication pathways, and repeated case-based learning, enabling trainees to review their reasoning processes and identify decision-making errors. The effectiveness of the training approach was evaluated by comparing clinical reasoning performance, diagnostic accuracy, decision-making efficiency, and learner engagement before and after the intervention. The findings indicate that computer-simulation-based clinical case training can provide a structured, interactive, and repeatable learning environment that supports the development of diagnostic and clinical decision-making abilities. From the perspective of digital health communication, the approach also facilitates more effective information exchange, feedback delivery, and interaction between learners and simulated clinical scenarios. This study suggests that computer-simulation-based training may serve as a valuable supplementary strategy for enhancing clinical reasoning and digital competency in standardized general practice residency training.
Due to the development of new media technologies, global dissemination of actual examples of intangible cultural heritage (ICH) has become easier and faster. Due to its diverse traditional arts and cultural practices, China presents a case showing how ICH is being preserved and disseminated via new technologies such as social media, virtual reality, and artificial intelligence. However, concerns of authenticity, commercialization, and elasticity, especially regarding access, are valid and persist. This study aimed to: (1) identify and critically analyze digital media strategies used in the global dissemination of ICH in China, (2) explore how digital media shapes audience reception and engagement with ICH across cultures, and (3) examine theoretical frameworks and methodologies used in existing literature. This research paper used a systematic literature review to collect information from Web of Science, Google Scholar and JSTOR. Twelve articles were included following the PRISMA guidelines, and a thematic analysis was conducted. Social media and other digital tools, such as VR, helped to improve the level of interaction and involvement of the audience. Nevertheless, cultural, sample, and algorithm biases were identified as risks. It emerged that both AI and holographic technologies are efficient tools for expanding the dissemination horizons internationally, and grounded theory and bibliometric analysis were identified as efficient approaches for creating dissemination frameworks. Digital media strategies offer promising solutions for ICH dissemination but require culturally sensitive approaches to protect authenticity and equitable access.
Museums hold a unique status in the cultural industry, playing the roles of both heritage repository and educational institutions and service providers to the community. Although the functions of internal organizational communication in museums are complex and numerous, the scholarly focus on internal organizational communication processes in museums is exceptionally small in comparison with the amount of literature devoted to the interaction with the external audience. This systematic literature review explores the research situation of organizational communication in museums, especially focusing on the public administration systems and management activities. In this review, 20 peer-reviewed articles and research reports (2015-2024) were analyzed using the PRISMA framework. The results indicate chronic communication failures that are marked with interdepartmental silos, lack of strategic-implementation, and poor leadership communication. The critical analysis reveals the structural, cultural, and political aspects of these challenges, as well as the disruptive quality of digital technologies and COVID-19 pandemic on the practices of museum communication. The study provides recommendations on investment in communication infrastructure, professional growth, governance reforms to improve organizational performance in museums.
Background: Systemic lupus erythematosus (SLE) is a highly heterogeneous autoimmune disease characterized by aberrant Th17/Treg balance and autoantibody production. While glucocorticoids remain the cornerstone of treatment, their long-term adverse effects necessitate the development of steroid-sparing agents. The basic leucine zipper transcription factor ATF-like (BATF) serves as an essential pioneer factor for Th17 differentiation, yet its precise therapeutic potential in SLE remains underexplored. This study aims to validate the BATF/RORgt/IL-17 axis as a critical therapeutic target in SLE through integrative bioinformatics analysis of human cohorts and in vivo experimental validation using a combined regimen of Traditional Chinese Medicine (Langchuangding, LCD) and Prednisone. Methods: Transcriptomic profiles of peripheral blood mononuclear cells (PBMCs) from 61 SLE patients and 20 healthy controls (HC) were retrieved from the Gene Expression Omnibus (GEO: GSE50772). Differentially expressed genes (DEGs) and immune pathway signatures were analyzed. For in vivo validation, 40 female MRL/lpr mice (SLE model) and 10 normal Kunming mice were randomly divided into five groups. Over a 10-week intervention, body weight and organ indices were monitored. The mRNA and protein expression levels of BATF, RORgt (Rorc), and IL-17 in renal tissues were quantified using qPCR and ELISA. Serum autoantibodies (ANA, anti-dsDNA, anti-Sm-DNA) were also measured. Results: Bioinformatics analysis revealed significant upregulation of BCL6 and IL10 in SLE PBMCs, alongside a global interferon signature, establishing a pronounced systemic inflammatory state. In MRL/lpr mice, the Model group exhibited severe splenomegaly, elevated autoantibodies, and robust overexpression of renal BATF, RORgt, and IL-17. The Combined therapy (LCD + Prednisone) demonstrated superior efficacy, significantly attenuating body weight loss, normalizing spleen indices, and drastically suppressing the BATF/RORgt/IL-17 cascade at both transcriptional and translational levels (p < 0.001 vs. Model). Serum ANA, anti-dsDNA, and anti-Sm-DNA levels were also maximally reduced in the Combined group. Conclusion: The BATF/RORgt/IL-17 axis is a pivotal pathogenic driver in SLE, bridging epigenetic chromatin remodeling with downstream Th17-mediated autoimmunity. The synergistic application of LCD and Prednisone effectively dismantles this axis, offering a promising steroid-sparing, individualized therapeutic strategy for SLE management.
Millions of people worldwide live with opioid use disorder (OUD). Family members of people living with OUD may decide to provide or deny emotional support, and these choices have important implications for the well-being of individuals with OUD. This study investigated the impact of family emotional support, or lack thereof, on people’ s ability to reduce their drug use and pursue sobriety. This study uses systematic review, a method that allows for the systematic collection of articles about a particular topic, even when they have diverse disciplinary backgrounds and methodologies. Eighteen studies about the impact of emotional support from family members on drug use reduction were identified from MEDLINE and Sociology Abstracts primarily, as well as Directory of Open Access Journals, ProQuest Social Sciences, and Toxicology Abstracts. These articles were then synthesized into four outcome categories: treatment adherence and retention, sobriety and abstinence, treatment seeking, and recovery. Across the studies, family emotional support was generally beneficial for reducing drug use, although people living with OUD sometimes grappled with complex feelings of guilt or pressure in their supportive interactions with family members. Strengths, limitations, and future directions for studies about family emotional support in the context of OUD are discussed.
Since 1949, the PRC has used cinema as a key instrument for shaping national identity and communicating state narratives. It tracks the changing forms of how filmmakers imagined a national ideology through structures, aesthetics, cinematography, and technology from 2001 to 2023 in the cinema. This research examines how cinema operates as a mode of ideological interpretation by analyzing how it activates certain spectator subjectivity and national discourses through the lens of Baudry's Cinematic Apparatus Theory and Althusser's Ideological State Apparatus (ISA) Theory. Conducted as a systematic literature review (SLR) of 23 peer-reviewed articles coupled with contextual analysis of representative films that usher in some of the film industry's most significant ideological transformations, this study has various objectives. The preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was used to inform the SLR. The contextual analysis investigates those films against the backdrop of a wider socio-political context, including the ideologies that they convey and the impact of state policies, censorship structures and the influence of international film history upon their ideology. It explores film making techniques such as mise-en-scene, editing, visual symbolism, soundscape and digital effects and develops explicit and implicit ideological structures. The results suggest the ideological complexity and dynamism of the Chinese cinema, its changing nature from overt and didactic to rhizomatic and commercially embedded. The study extends Chinese cinema research beyond ideology, highlighting cultural negotiation and socio-political reflection across two periods.
This research studies the impact of privacy worries on customers who use social commerce on TikTok while highlighting their behavior toward digital trust and social media involvement. The understanding of privacy behaviors becomes vital as TikTok continues expanding because it helps to build user trust and maintain interaction. Researcher applied PRISMA-ScR methodology to review 15 peer-reviewed articles and industry reports in order to complete their investigation. The study identified consumer trust as well as social media engagement together with privacy risk perceptions as its essential findings. The review evidence shows that privacy issues function as a major component that influences both user trust development and TikTok social commerce involvement. The strategies used for trust-building together with intergenerational differences significantly shape how users behave in the platform. This study offers actionable insights for platform developers, marketers, and policymakers, stressing the importance of transparent data management and ethical marketing practices. It also outlines future research directions, including mixed-method and cross-cultural studies, to deepen understanding of the interplay between privacy and trust. The findings support the development of a sustainable and ethical social commerce environment.
The role of teachers' digital leadership and personality traits in enhancing student academic performance is increasingly recognized, particularly in creative fields like visual communication education. This study aims to explore how teachers' digital leadership influences student outcomes and how personality traits contribute to a conducive learning environment. A systematic literature review (SLR) was conducted, analyzing 12 peer-reviewed studies published between 2015 and 2023. These 12 studies were selected based on their relevance, credibility, and alignment with the research objectives, as well as the inclusion criteria of focusing on digital leadership, personality traits, and student performance. The findings reveal that effective digital leadership improves student engagement, creativity, and digital literacy, while openness, extraversion, and emotional stability positively impact classroom dynamics and student motivation. The study recommends professional development programs for digital leadership and emotional resilience training for teachers. The findings have implications for curriculum design and teacher training. However, the study is limited by its reliance on secondary data and the evolving nature of educational technology. Future research should explore empirical case studies and interdisciplinary approaches.
This study explores how Dream of the Red Mansions (Honglou Meng) is perceived by the young audience in the smart media age; especially how the fragmented information format influences the audience's comprehension and engagement. Fragmented information formats refer to shortened and decontextualized content, such as memes, short videos, and social media snippets, designed for quick consumption but may oversimplify complex narratives. The COM-B model is used to assess three factors influencing behavior: Capability (e.g., the servants' limited education and autonomy), Opportunity (e.g., societal and hierarchical constraints), and Motivation (e.g., deeply ingrained Confucian values). The study utilizes a systematic literature review (SLR) methodology in synthesizing scholarly findings to provide a multi-dimensional perspective. However, results demonstrate that digital platforms facilitate greater access, yet the novel's complex narrative and cultural themes are oversimplified, hindering comprehension. Audiences are fragmented through the media formats, but the narrative is lost. In the context of the COM-B model, it emphasizes that the behavior of female servants is based on a lack of capacities and limited opportunities. It was due to deeply ingrained cultural motivations rooted in Confucian values, reinforcing ethical conformity. The study emphasizes that the adaptations must be balanced digital adaptations, which represent cultural complexity yet appeal to their contemporary audience. It also argues for the use of educational strategies and interactive designs that enhance the reader's appreciation of literature without diminishing the cultural and ethical richness of the novel.
The emergence of deep learning (DL) and augmented reality (AR) have revolutionized the landscape of communication and media industries. A detailed connection between AR-based object tracking and digital communication together with user experience remains absent throughout academic research. The research aims to fill this literature gap by performing a systematic literature review (SLR) that studies the confluence of AR object-tracking systems and communication technologies. The main purpose focuses on evaluating how AR elevates user connection alongside perceptual abilities and media interface experiences in light of emerging trends and tracking roadmaps in AR-based applications. The review design incorporates structured SLR methodology which selects studies from main databases through precise search terms. The review performed thematic analysis to extract major themes from previous study findings and gaps. AR object tracking proved to be a major digital communication advancement that improves user interactions on social networks and marketing channels together with brand promo activities. Changes in self-perception together with identity transformation emerge as major psychological results from AR interactions. The study shows why AR technology is crucial for creating immersive responses through interactive communication which will shape future developments of AR solutions in digital media platforms along with marketing and communication strategies.
Social media trends have emerged as a powerful influence on adolescent behaviour, particularly through mechanisms of imitation and peer validation. This study conducted a meta-analysis of 11 peer-reviewed empirical studies published between 2015 and 2024 to quantitatively assess the impact of social media trends, such as viral challenges, influencer content, and meme-driven behaviours, on imitation behaviour among adolescents aged 12-18. Standardised mean differences (SMD) were calculated using Hedges' g, with results showing a large and statistically significant pooled effect size under the random-effects model (SMD = 1.08, 95% CI: 0.76 to 1.40, p < 0.0001). Substantial heterogeneity was observed (I-2 = 92.57%), indicating variability across study designs, platforms, and populations. Egger's test showed no evidence of publication bias (p = 0.4681). The findings are interpreted using Social Cognitive Theory, the Digital Social Influence Model, and Social Comparison Theory, which collectively explain how adolescents internalise and imitate behaviours they observe and perceive as socially rewarded online. This study highlights the urgency of implementing digital literacy programs and parental guidance strategies to help adolescents critically evaluate social media content. Recommendations for educators, policymakers, and researchers are provided to support healthier digital engagement and reduce exposure to potentially harmful imitative behaviour.
Virtual Reality (VR) has increasingly been integrated into sports journalism to facilitate immersive storytelling and enhance audience engagement. Despite its growing adoption, a systematic synthesis of its communicative effectiveness remains scarce within communication research. This study addresses this gap through a meta-analysis of 22 peer-reviewed studies published from 2016 to 2024, following PRISMA guidelines. Effect sizes were extracted and analyzed using fixed-effects and random-effects models. The findings indicate a significant positive overall effect of VR on audience engagement and content-related outcomes in sports journalism. Nevertheless, substantial heterogeneity was observed across the included studies, indicating that the communicative impact of VR is contingent upon specific research contexts and implementation conditions. This research provides empirical support for VR's potential to enhance digital sports news experiences, while also highlighting the importance of accessibility, ethical considerations, and sustained audience engagement. The findings establish a foundation for advancing VR journalism practices and suggest that future research should prioritize long-term evaluations and the standardization of reporting metrics.
This study investigates the role of social media in promoting green travel and urban greenways, focusing on user-generated content (UGC), interactive features, peer influence, and challenges to sustained engagement. Using a systematic literature review (SLR) approach, 35 peer-reviewed studies published between 2010 and 2023 were analyzed to explore how social media facilitates public participation in sustainability initiatives. The findings reveal that UGC personalizes environmental issues, making them more relatable and actionable, while interactive features like likes, comments, and shares enhance engagement by providing validation and fostering a sense of community. Peer influence, particularly from friends and influencers, further motivates individuals to adopt sustainable practices. However, challenges such as greenwashing, performative activism, and eco-anxiety were identified as barriers to sustained engagement. Greenwashing diminishes trust in environmental content, performative activism highlights superficial engagement, and eco-anxiety reduces users ' motivation to act. These limitations underscore the need for improved transparency, gamification strategies, and community-building tools to enhance social media's role in promoting sustainability. Verified content, local collaboration features, and solution-focused messaging were recommended to bridge the gap between digital awareness and real-world action. This study concludes that social media has significant potential to foster green practices, but its effectiveness depends on addressing credibility issues and leveraging its interactive and community-building capabilities. These insights provide valuable implications for policymakers, environmental organizations, and platform designers seeking to optimize public engagement in sustainability efforts.
The digital media, YouTube, Instagram, and TikTok have greatly changed the process of broadcasting by increasing cross-cultural interaction between broadcasting hosts and other people around the world through real-time interaction and communication. This has led to the emergence of new cultural exchanges, yet it is also a challenge to safeguard the originality of local cultures as globalization increases. The research question is to understand how digital media promotes crosscultural interaction in television broadcasting, to analyze the host-audience interaction in social media in the context of different cultures, and to examine the theoretical framework and methodology used to attend to these interactions. Qualitative Systematic Literature Review (SLR) was employed; this entails gathering of peer-reviewed articles in large databases such as JSTOR, WOS, and ResearchGate. The research based on thematic analysis in the selection of studies had rigid and important inclusion and exclusion criteria, and the analysis of information was organized according to thematic analysis and key patterns and insights related to the research objectives. The results emphasize that digital platforms also contribute to cross-cultural interaction, as they provide an opportunity to participate in real-time communication and build an emotional bond between the host and the audience. Nevertheless, issues such as cultural adjustment and the homogenization of content were also revealed, and AI technologies proved to be significant in improving the host-audience communication. The paper will emphasize the importance of cultural adaptation to the broadcast industry and propose that future studies may contribute to the process of AI and digital literacy integration as tools in creating content and cross-cultural interaction on the global level.
Racial prejudice during the selection of jurors continues to impair the impartiality and fairness of the legal system, with far-reaching effects on judicial decisions as well as public confidence. Though legal reforms like Batson v. Kentucky have sought to de-emphasize explicit discrimination, unconscious racial prejudices remain, frequently unalleviated by conventional legal systems. This research examines how intercultural communication approaches based on communication theories of framing theory, narrative persuasion, and critical discourse analysis can help address systemic racial differences in jury formation proceedings. Through redefining the problem from a legal perspective to a communication-oriented research inquiry, this research addresses how juror decision-making is shaped by cultural stories, cognitive biases, and mediation representation of race and justice. Following a qualitative approach, the current research utilizes a Systematic Literature Review (SLR) that adheres to the PRISMA guidelines. The 50 identified studies yielded eight that qualified and were included based on inclusion criteria and analyzed via thematic analysis. The results identify three main themes: (1) the persistent persistence of racial discrimination in jury formation throughout jurisdictions; (2) the contribution of intercultural communication to providing culturally competent juridical atmospheres; and (3) the effect of structural reforms, which include intercultural training and diverse compositions of juries, to induce fairness. Moreover, this research compares global outlook, examining jury selection procedures and communicationoriented interventions within Europe, South America, and Asia. The implications support institutional incorporation of intercultural communication tactics towards countering racial bias and increasing the legitimacy of legal decision-making world-wide.
Cross-cultural communication in influencer marketing is essential in influencing audience interaction and trust in international e-commerce campaigns. This research investigates how Silver Fox KOLs, aged 50 and older, modify their communication strategies in Western, Asian, and Middle Eastern markets to maximize consumer interaction and persuasion. Applying a Systematic Literature Review (SLR) according to the PRISMA guidelines, the research examines current studies on storytelling methods, linguistic adaptation, and cultural symbolism in influencer marketing. The results indicate that Western consumers are receptive to direct, personal narratives and humor, whereas Asian consumers are more attuned to collective, tradition-based stories, and Middle Eastern consumers are receptive to religious and ethical storytelling styles. In addition, mechanisms for building trust differ geographically, with Western consumers appreciating transparency, Asian consumers preferring hierarchical credibility, and Middle Eastern consumers preferring cultural and family integrity. The research identifies the need for localization over standardization, where high-context cultures prefer culturally adapted messaging and low-context cultures like direct, universal communication. The study offers great insights for brands that seek to use Silver Fox KOLs in cross-border marketing strategies. Future studies need to investigate AI-powered influencer marketing, the role of new digital platforms, and evolving consumer attitudes towards older influencers in international e-commerce. The research provides real-world implications for companies looking to maximize age-inclusive influencer marketing campaigns in online commerce.
This article presents a systematic review of scholarly literature on artificial intelligence (AI) in Journalism published between 2020 and 2024. The objective of the study is to critically examine academic production from this period. Specifically, it aims to identify prevailing research trends, dominant analytical approaches, and persistent gaps in the field. This review responds to the need to systematize a prolific yet fragmented body of work. Such fragmentation reflects a lack of theoretical integration that hinders a consolidated understanding of the phenomenon. The review follows PRISMA guidelines to conduct a structured search across major academic databases (Web of Science and Scopus), applying well-defined inclusion and exclusion criteria. The analysis reveals a predominance of descriptive and exploratory studies. In contrast, empirical and longitudinal investigations remain limited. Notable gaps are also identified regarding the impact of AI on editorial transparency and audience trust. By providing a PRISMA-based mapping of the field and identifying key blind spots such as editorial transparency, audience trust, and the lack of longitudinal evidence-this review contributes to a more critical and systematic understanding of the impact of artificial intelligence on Journalism. The findings of this systematic review contribute to clarifying the current state of knowledge on the application of artificial intelligence in Journalism and offer guidance for future research agendas and critical reflection within both academic and professional communities. The findings contribute to clarifying the current state of knowledge on AI in Journalism and offer guidance for future research and critical reflection within academic and professional communities. These findings also provide practical guidance for policymakers and newsrooms facing ethical, organizational, and technological challenges.
This paper explores the central role of communication in informing the education policy with a particular interest in how different stakeholders of the education sector, that is, governments, educators, students, and the society in general use competitive framing to alter the population opinion and how they shape the processes of making of policies. The study examines how these actors are using the process of narrative construction in order to integrate educational issues with their interests which is done through a systematic literature review (SLR). The findings emphasize the fact that communication is not just a medium through which policy is passed, but it is dynamic in nature where policy is constructed through discourse. Specific focus is given to such values as equity and efficiency which tend to emerge in such framings, particularly, in those of social mediabased public discourse. Social media sites enhance the power of the stakeholders to influence the mainstream discourses, hence, controlling the policy debates trend. The study sheds light on ways in which discourse framing can be used in policy communication to provide guidance to policy makers on how they can become aware of competing interests. In the end, this piece of work enhances our comprehension of the impact of strategic communication on the policy debate in education and it also emphasized the importance of inclusive and balanced discourse in the policy making process.
This study explores the representation of historical figures in the early prose of A. Kekilbayev from the perspective of media discourse and historical reconstruction. It examines how literary narrative functions as a communicative medium that reshapes and transmits historical knowledge through specific discursive strategies. By analyzing narrative structure, characterization, and symbolic expression, the paper reveals that Kekilbayev’s portrayal of historical figures is not a direct reflection of historical reality, but a mediated construction shaped by cultural memory, ideological context, and communicative intention. His works integrate elements of national identity and folklore, transforming historical figures into carriers of collective values and cultural meaning. Through this lens, literature is understood as a form of cultural communication that bridges past and present, enabling the reinterpretation of history in a modern context. This study thus highlights the dynamic interaction between media discourse and historical representation, contributing to interdisciplinary research in literature and communication studies.
