Artificial Intelligence and Automation in Hospital Administrative Systems: A Scoping Review

Background: Hospital administrative processes including billing, scheduling, and medical records management—are critical to health system performance but are often characterized by inefficiencies, high operational costs, and workforce burden. Artificial intelligence (AI) and automation technologies, including robotic process automation (RPA) and natural language processing (NLP), have emerged as potential solutions to streamline these processes and enhance productivity.

Objective: This scoping review aimed to synthesize existing evidence on the use of AI and automation in hospital administrative functions, focusing on efficiency gains, cost savings, implementation barriers, and ethical and regulatory considerations.

Methods: A scoping search of peer-reviewed literature was conducted across major electronic databases including PubMed, Scopus, Web of Science, and Google Scholar. Studies published between 2015 and 2025 that examined AI-based or automation-driven interventions in hospital administrative settings were included. Eligible studies addressed applications in billing, scheduling, records management, hospital information systems, or workflow optimization. Data was extracted and synthesized narratively due to heterogeneity in study designs and outcome measures.

Results: The review identified substantial evidence that AI and automation improve administrative efficiency through reduction of processing time, minimization of manual errors, and optimization of resource allocation. RPA demonstrated significant benefits in billing and claims processing, while NLP enhanced documentation accuracy and records retrieval. Several studies reported measurable cost savings and productivity improvements following implementation. However, common barriers included integration challenges with legacy systems, limited interoperability, data quality concerns, staff resistance, insufficient training, high upfront costs, and uncertain short-term return on investment. Regulatory and governance challenges, particularly data protection compliance and algorithm transparency were also frequently highlighted.

Conclusion: AI and automation technologies show considerable promise in transforming hospital administrative processes by improving efficiency and reducing operational costs. Nevertheless, successful implementation requires strong governance frameworks, workforce capacity building, financial planning, and ethical oversight. Future research should focus on longitudinal cost-effectiveness evaluations and context-specific implementation strategies, particularly in resource-limited health systems.

Phytomining as an Emerging Metal Recovery Route: A Critical Review of Plant Uptake Mechanisms, Processing Strategies, And Industrial Constraints (2020–2025)

Phytomining has re-emerged as a promising strategy for the sustainable recovery of valuable and critical metals from soils, mine tailings, and industrial residues, while simultaneously contributing to environmental remediation. This critical review synthesizes advances published between 2020 and 2025, focusing on the biological, agronomic, and metallurgical foundations that govern phytomining performance and scalability. Recent progress in hyperaccumulator selection, soil amendments, plant–microbe interactions, and biomass processing has expanded the range of target metals beyond nickel to include gold, platinum-group metals, rare-earth elements, and scandium. However, field-scale deployment remains constrained by trade-offs between biomass productivity and metal concentration, as well as by the efficiency and cost of downstream ash processing and metal recovery. By integrating reported case studies, techno-economic assessments, and environmental indicators, this review positions phytomining within circular economy and nature-based remediation frameworks. Key knowledge gaps have been identified in process integration, quantitative performance metrics, and long-term sustainability, providing a roadmap for transitioning phytomining from experimental trials to industrially relevant applications.

Factors Influencing English Teachers’ Use of Generative Ai for Teaching Speaking Activities at a Language Center in Ca Mau

Despite the potential of Generative AI (GenAI) to reduce Foreign Language Anxiety (FLA) in speaking instruction, its implementation in resource-constrained settings like a language center in Ca Mau province, Vietnam, remains underexplored. This study investigates the paradox of “digital native” instructors who possess high digital literacy but face infrastructural and pedagogical barriers in the Mekong Delta region of Vietnam. Employing an explanatory sequential mixed-methods design, quantitative data were collected from 58 EFL teachers via surveys, followed by semi-structured interviews. Utilizing the SAMR model as a diagnostic framework, the findings revealed the existence of a Substitution Plateau. Although teachers frequently used GenAI for administrative tasks (Substitution level, M = 3.91), its application for transformative, real-time voice interactions was notably limited (Redefinition level, M = 1.96). Stepwise multiple regression and thematic analyses demonstrated that infrastructural barriers (beta = -.52) and ethical concerns regarding “synthetic fluency” significantly inhibited advanced GenAI adoption, outweighing the positive influence of teachers’ TPACK competence. The study concludes that in peripheral educational settings, the primary limiting factor is not technological illiteracy, but rather a contextually driven “safety-first” pedagogical strategy. These findings challenge the universality of tech-integration models and provide localized implications for AI adoption in the Global South.

Integrating Targeting, Branding, And Advertising Through Instagram: A Case Study of Marketing Strategy at Rumah Cantik Cila

This study examines Instagram as a central platform in the marketing strategy of DRW Skincare at Rumah Cantik Cila. In the digital era, social media has evolved beyond communication functions to become an integrated marketing instrument encompassing targeting, branding, advertising, and social media management. Employing a qualitative descriptive case study approach, this research investigates how Instagram’s features and account management practices are utilized to enhance brand awareness, expand market reach, and maintain customer engagement. Data were collected through interviews, observation, and documentation involving the business owner and a social media specialist. The findings indicate that Instagram plays a pivotal role in supporting marketing performance through professional account management and the strategic use of features such as feeds, stories, reels, live streaming, and paid advertising. These tools enable Rumah Cantik Cila to access both local and international audiences while fostering interactive relationships with customers. The study also reveals that Instagram functions as a central hub integrating social media management, diverse promotional features, and wide market reach, which collectively support the implementation of targeting, branding, and advertising strategies in a cohesive framework. Overall, Instagram contributes not only to increased sales but also to sustained brand loyalty through consistent and strategic engagement. This study highlights Instagram’s significance as an effective digital marketing platform for small businesses in the beauty industry, offering practical insights for enterprises seeking to optimize social media–based marketing strategies.

Factors Influencing Low Utilization of Postnatal Care at Six Days Among Mothers in Rural Zambia: A Case of Siavonga District Hospital

Postnatal care (PNC) is a critical intervention for reducing maternal and neonatal morbidity and mortality, yet its utilization remains low in many rural African settings. This study assessed factors influencing low attendance of postnatal mothers at six days at Siavonga District Hospital, Zambia. A cross-sectional study design was employed involving 384 postnatal women selected from Maternal and Child Health (MCH) registers. Data were collected using structured questionnaires and analysed using SPSS version 24. Descriptive statistics and Pearson’s chi-square tests were used to determine associations between socio-demographic variables and PNC attendance.

Only 14.2% of mothers attended postnatal services at six days, indicating critically low utilization. Significant factors associated with non-attendance included maternal age, parity, education level, distance to the health facility, and knowledge of PNC services. Social and cultural practices such as postpartum seclusion, negative perceptions of health workers, long waiting times, and limited partner support were also identified as key barriers.

The findings highlight the need for community-based awareness programs, improved quality of care at facilities, and strengthened male involvement strategies. Enhancing early postnatal follow-up services could substantially improve maternal and newborn health outcomes in rural Zambia.

Digital Advertising and Customer Purchase Decisions in the Hospitality Industry: Evidence from Hyatt Hotels in Indonesia

Digital advertising has become a critical strategic tool for hospitality firms seeking to influence customer behavior and enhance competitiveness in increasingly digitalized markets. This study aims to examine the effects of multiple digital advertising channels—namely e-mail marketing, mobile marketing, social media marketing, search engine marketing, affiliate marketing, and website marketing—on customer purchase decisions at different stages of the decision-making process in the hospitality industry. A quantitative research design was employed using a survey method, with 170 customers who had stayed at Hyatt Hotels in Indonesia within the past 6–12 months selected through purposive sampling. Data were collected using structured questionnaires and analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM). The results of the measurement model assessment confirm that all constructs demonstrate satisfactory validity and reliability. The findings indicate that digital advertising channels exert differentiated effects across the customer decision journey. E-mail marketing, social media marketing, and search engine marketing significantly influence the information search stage, while mobile marketing and search engine marketing affect the evaluation of alternatives. Notably, affiliate marketing exhibits a significant positive effect across all stages, including the final purchase decision, highlighting its critical role in driving conversion. Conversely, website marketing does not show a significant impact at any stage of the purchase decision process. These findings underscore the importance of aligning digital advertising strategies with specific stages of customer decision-making. The study provides managerial implications for hospitality firms to adopt an integrated, channel-specific digital advertising strategy to enhance customer engagement and improve purchase conversion in competitive hospitality markets.

Nutritional Retention and Sensory Properties of Novel Tropical Vegetable Juice Formulations Prepared via Non-Thermal Processing

The development of functional beverages derived from tropical vegetables offers growing potential within the global health-focused food sector. This study formulated and evaluated three non-thermally processed Tropical Vegetable Juice Formulations (TVJF) using Ipomoea aquatica (kangkung) as the primary raw material. The objectives were to compare nutrient retention between juice and raw leaves, assess consumer sensory acceptance across different formulations, and evaluate commercialisation potential. Proximate and mineral analyses were conducted on TVJF-K and compared with raw vegetable samples using standard AOAC methods, while sensory evaluation of three formulations (TVJF-1, TVJF-2, and TVJF-3) employed a 5-point hedonic scale assessing colour, aroma, texture/stability, flavour, and overall acceptance among 30 untrained panelists. Results indicated that the juice retained approximately 80–95% of key minerals, particularly calcium, magnesium, iron, and copper, demonstrating effective preservation through non-thermal cold extraction. Sensory analysis revealed no significant differences (p > 0.05) in colour, aroma, flavour, or overall acceptance among formulations, although texture/stability differed significantly (p = 0.02). All formulations achieved mean scores above 3.0, indicating favourable consumer acceptance. These findings demonstrate that simple non-thermal processing can maintain both nutritional integrity and sensory quality in tropical vegetable juices, highlighting strong potential for industrial application, product diversification, and expansion within the regional functional beverage market.

The Effects of Calcidiol and Betaglucan as Feed Additives on the Performance and Physiological Parameters of Laying Hens

This study aimed to evaluate the effect of adding a combination of calcidiol and betaglucan to feed on the production performance of laying hens aged 0–21 days, immune organ morphometry, and blood hematology of laying hens aged 12 weeks. The study used 500 Day-Old Chicks (DOC) of the Hy-Line Brown strain, divided into two treatments. The data obtained were analyzed using the Independent T-Test and descriptively for variables related to body weight uniformity and mortality. Treatment T0 = basal feed (control), T1 = basal feed supplemented with calcidiol 5.000 IU/kg and betaglucan 40mg/kg in the feed. The results showed that the addition of a combination of calcidiol and betaglucan had a significant effect (P < 0.01) on increasing feed efficiency in group T1 during the third week, resulting in a 21.51% improvement in feed conversion and bone marrow density at 12 weeks of age. The treatment did not have a significant effect (P > 0.05) on spleen and bursa morphometry, blood hematology, IgG, and IgM levels. Descriptively, the addition of Calcidiol-Betaglucan had a better effect on body weight uniformity, which was 3.84% higher than the control, and total mortality, which was 0.49% lower in T1 than in T0. The conclusion of this study is that the addition of the combination of calcidiol and betaglucan has potential as a functional feed additive to support early growth efficiency and immune system readiness in laying hens.

Digital Transformation and the Future of Public Value

This study examines technological readiness as a mediator in the relationship between digital transformation and public value, filling an important gap in the literature about causal pathways in developing countries. Combining theories of digital transformation, technological readiness, and public value, the research involved 200 digital service users in Malang City. Bootstrap mediation analysis showed that digital transformation significantly affects public value (β=0.4146, p<0.001), with technological readiness mediating 35.51% of the total effect (ACME=0.1497), while the direct effect remained notable (ADE=0.2650). Results indicate partial mediation, implying that digital transformation adds value through two pathways. The study proposes a dual-pathway model that highlights the importance of investing in both digital infrastructure and user literacy, guiding comprehensive digital policies and broadening understanding of digital transformation in Indonesia’s context, characterized by high technological readiness heterogeneity.

Combined Drying Technologies for Preserving the Quality of Backyard Averroha Carambola L. in Veracruz, Mexico

Star fruit (Averrhoa carambola L.) is cultivated in Asian and Latin American countries and has high nutritional value due to its content of bioactive compounds, polyphenols, vitamins A and C, minerals, and antioxidant activity. However, its high water content makes it highly perishable, limiting its preservation and commercialization; therefore, it is necessary to develop technological alternatives that extend its shelf life without affecting its organoleptic and nutritional quality. The objective of this study was to evaluate combined power ultrasound-assisted drying technologies for obtaining star fruit flakes as a preservation alternative, analyzing their effect on physicochemical, functional, and sensory attributes. Fruit from the Postgraduate College, Veracruz Campus, was used, and osmotic dehydration (OD) curves were performed at 50 and 60 °Brix, using ultrasound (US) as a pretreatment to convective drying (CS). Drying kinetics were performed at 50 and 60 °C, and total phenolic compounds, antioxidant activity (DPPH and ABTS), oxalic acid, color (ΔE), moisture, total solids, water activity (aw), and texture in the center and periphery were evaluated, in addition to sensory analysis. The DO treatments assisted with ultrasound reached equilibrium in less time. The 60°Brix-CUS-60 °C treatment showed lower final moisture content, while the 60°Brix-CUS-50 °C treatment reached an aw of approximately 0.47, favoring microbiological stability. The 60 °Brix DO treatment with ultrasound and 60 °C surface drying showed lower moisture content and higher total solids content. The 60 °Brix DO treatment without ultrasound and 50 °C surface drying preserved phenols better, reducing oxalic acid by >50% and showing improvements in antioxidant activity. High sensory acceptability was obtained. It is concluded that the DO-US-SC combination is effective in preserving carambola with adequate quality and acceptance.