This article analyses the complex factors contributing to rising medical expenses, focusing on the senior citizen demographic in Malaysia. With the global aging population, notably in lower and middle-income countries, the study highlights the escalating medical and health insurance costs, driven by age, income source, modern healthcare, and geographical residence. The research draws on an extensive literature review, demographic analysis, and quantitative methods to examine these determinants. It critically analyzes Malaysia’s healthcare system, which operates on a dual-tier model, and the financial burden placed on senior citizens. The findings indicate that age, source of income, and geographical residence significantly influence medical expenses, whereas modern healthcare’s impact is not statistically significant. The study calls for government intervention, insurance industry adjustments, and private sector support to mitigate the financial strain on senior citizens. Recommendations include tax relief adjustments, National Health Insurance Scheme implementation, and employment sustainability for seniors. This research provides some recommendations to policymaking, the insurance industry, and academia by providing insights into managing the healthcare needs of an aging population sustainably.

The root of the problem in this research is the fact that scientific writing with a national reputation is still low and the publication of scientific writing with a national reputation is also low, thus affecting the quality of lecturers at the University. To overcome this problem, this research developed a training management model that can improve the scientific writing skills of lecturers and familiarize lecturers to actively conduct nationally reputable scientific writing. The training management model in question is called the “National Reputable Scientific Writing Training Management” model. This type of research is development research or R&D to produce a valid, practical, and effective model, as well as all devices and research instruments related to the application of the model at the University. The results showed that: (1) the National Reputable Scientific Writing Training Management model is suitable for improving the scientific writing ability of lecturers; (2) the output of the National Reputable Scientific Writing Training Management model in the model group is significantly higher than the initial group (pre-model); (3) The average value of IP/IO from experts is 4.4 with a high category, from observers at stage I test is 4.0 with a high category, at stage II test is 4.7 with a high category and stage III test is 4.77 with a high category, so it is concluded that the National Reputable Scientific Writing Training Management model meets the criteria of effectiveness, practicality and implementation; (4) The response of university managers and respondents to the implementation of the model is quite satisfactory, both regarding the concept of the model, the application in technical implementation and their perception of the National Reputable Scientific Writing Training Management model; and (5) the National Reputable Scientific Writing Training Management model can be developed as an alternative implementation in training management at the university.

This paper discusses the concept of creating a new reality using the approaches of smart cities to develop eco-cities, in which the necessary balance between nature and progress can be maintained. The authors propose that the concept of smart cities should be used as a tool for the creation of eco-cities, and argue that the positive synergies between the two will be strongest if the smart concept acts as a tool for the creation of eco. The core elements of a smart eco-city are identified as smart sustainable use of resources, a smart sustainable healthy community, and a smart sustainable economy. The results of the article were the foundation for the development concept for Vision Bratislava 2050—the vision and strategy for the development of the capital of the Slovak Republic. The authors also discuss the challenges of transforming cities into smart eco-formats, including the need for digital resilience in the face of potential cataclysms. They suggest that this is a promising area for further research into the concept of smart eco-cities.

This paper aims to contribute with a literature review on the use of AI for cleaner production throughout industries in the consideration of AI’s advantage within the environment, economy, and society. The survey report based on the analysis of research papers from the recent literature from leading database sources such as Scopus, the Web of Science, IEEE Xplore, Science Direct, Springer Link, and Google Scholar identifies the strategic strengths of AI in optimizing the resources, minimizing the carbon footprint and eradicating wastage with the help of machined learning, neural networks and predictive analytics. AI integration presents vast aspects of environmental gains, including such enhancements as a marked reduction concerning the energy and materials consumed along with enhanced ways of handling the resulting waste. On the economic aspect, AI enhances the processes that lead to better efficiency and lower costs in the market on the other hand, on the social aspect, the application of any AI influences how people are utilized as workers/clients in the community. The following are some of the limitations towards AI adoption as proposed by the review of related literature; The best things that come with AI are yet accompanied by some disadvantages; there are implementation costs, data privacy, as well as system integration that may be a major disadvantage. The review envisages that with the continuation of the AI development in the following years, the optic is going to be the accentuation on the enhancement of the process of feeding the data in real-time mode, IoT connections, and the implementation of the proper ethical approaches toward the AI launching for all segments of the society. The conclusions provide precise suggestions to the people working in the industry to adopt the AI advancements appropriately and at the same time, encourage the lawmakers to create favorable legal environments to enable the ethical uses of AI. This review therefore calls for more targeted partnerships between the academia, industry, and government to harness the full potential of AI for sustainable industrial practices worldwide.

The rise of Internet technology has transformed consumer shopping behaviors, offering convenience and a wide range of options, making online shopping increasingly popular. In Saudi Arabia, this trend has grown significantly due to higher internet penetration, technological advancements, and shifting consumer preferences. However, building and maintaining consumer trust remains a crucial challenge. Despite the growing interest, there is limited research on the unique aspects of Saudi consumers’ online shopping behaviors. This study aims to address this gap by identifying key factors influencing these behaviors and examining their impact on purchase intentions, with a focus on the mediating role of consumer trust. This study explores factors influencing online shopping behavior and their impact on purchase intention, with a focus on consumer trust as a mediator. Using a survey of 573 respondents from Jeddah and Medina, Saudi Arabia, key factors identified through literature review include perceived usefulness, ease of use, risk perception, website quality, and social influence. The quantitative analysis revealed that customer service and return policies, information quality, perceived convenience, ease of use, usefulness, cost-saving, product variety, and social influence significantly affect consumer trust, which in turn enhances purchase intention. These findings provide valuable insights for businesses to optimize digital strategies, enhance consumer engagement, and foster long-term customer relationships, thereby boosting satisfaction and online business success.