Gloria Acosta-Vargas

Artificial intelligence (AI)-enabled unmanned aerial vehicles (UAVs) are rapidly emerging as transformative technologies for sustainable healthcare logistics, particularly in remote and infrastructure-constrained regions. Despite growing implementation, the environmental, social, and governance (ESG) implications of these systems remain insufficiently synthesized in the literature. This study conducts a PRISMA-ScR-guided Systematic Review of 37 peer-reviewed studies selected from 333 records across six major scientific databases (2015–2026). The analysis reveals a sharp acceleration of research after 2021, with over 80% of publications produced between 2021 and 2024, indicating increasing global interest in AI-supported autonomous medical logistics. Evidence demonstrates that AI-enabled drones can substantially reduce delivery times; expand access to blood, vaccines, and essential medicines; and enhance emergency response capacity in rural and disaster-affected environments. From a sustainability perspective, AI-driven route optimization and autonomous navigation may reduce transport-related emissions, supporting climate-responsive healthcare supply chains. However, large-scale deployment remains constrained by regulatory fragmentation, cybersecurity risks, operational limitations, and challenges with social acceptance. This review proposes an ESG-oriented framework linking technological innovation, ethical governance, and equitable healthcare access while identifying key research gaps in lifecycle sustainability assessment, cost-effectiveness modeling, and real-world implementation aligned with the Sustainable Development Goals (SDGs).

Background: Several studies have shown that pulmonary telerehabilitation (PTR) improves respiratory capacity. However, there is little evidence of its effectiveness in youth with post-COVID-19 conditions (PCC). This study analyzed the effects of a PTR program on young adults with PCC. Methods: Sixteen youths were randomly assigned to a control group (CG) or an experimental group (EG), with eight participants each. The EG participated in a PTR program that included twelve remote, asynchronous four-week sessions with diaphragmatic breathing and aerobic exercises. Vital signs (SpO₂, HR, RR, BP), physical capacity (sit-to-stand test), cardiorespiratory capacity (6-Minute Walk Test), and perceived exertion (Borg scale) were assessed in both groups. Results: Statistical analyses showed a significant decrease in RR and HR (p < 0.012) and an increase in SpO₂ (p < 0.042), physical (p < 0.012), and respiratory (p < 0.028) capacity. Perceived effort decreased significantly in both groups (CG: p < 0.006; EG: p < 0.001) only for physical but not for cardiorespiratory capacity (p < 0.106). There were no statistical changes registered in BP (p > 0.05). Conclusions: The PTR program, which includes respiratory and aerobic exercises, is feasible and effective in improving physical and cardiorespiratory capacity in young people with PCC, as well as reducing HR, RR, and dyspnea.

This article focuses on the Accessible Platform for Respiratory Therapies (PAR), designed according to the iPlus methodology with the application of usability and accessibility criteria, following the guidelines of WCAG 2.1. PAR aims to improve the quality of life for individuals with lung diseases by providing therapeutic education to patients in respiratory recovery. This approach aligns with Sustainable Development Goals 3, 4, and 10 and follows a user-centered design, facilitating access to treatments and techniques to enhance pulmonary function. Additionally, the platform promotes the education and training of professionals in respiratory therapies, reducing disparities in access to healthcare. Sustainability is strengthened by integrating telemedicine technologies, improving efficiency, and reducing costs. Implementing Web Content Accessibility Guidelines (WCAG) 2.1 ensures accessibility and usability for all individuals, including those with disabilities. The combination of WCAG 2.1 and the CSUQ questionnaire not only ensures accessibility but also contributes to sustainability and overall improvement of the user experience, even for individuals with cognitive disabilities.

The digital transformation of healthcare platforms has ushered in a new era of accessibility, making health information and services widely available. This comprehensive scoping review delves into the accessibility landscape of health platforms by analyzing 29 carefully selected research articles. These studies employ automated tools and manual evaluations to evaluate platform accessibility comprehensively. This study revealed that (52%) of these articles are based on automated methods, while 34% combine automated and manual approaches. Most studies show compliance with the latest versions of the Web Content Accessibility Guidelines (WCAG), with a significant focus (70%) on compliance with level A. This study reveals recurring issues within the perceivable operable, understandable, and robust categories, underscoring the pressing need for strict the accessibility testing of health platforms. This study demonstrates substantial agreement between raters, reinforced by a Cohen’s kappa coefficient of 0.613, indicating their reliability in classifying the articles. Future efforts should persist in refining accessibility standards, advocating for compliance with the WCAG, exploring innovative methods to assess the accessibility of healthcare platforms, and conducting user-centered research. This review highlights the paramount importance of ensuring equitable access to health information and services for people, regardless of their abilities or conditions, which resonates significantly with the issue of sustainability in healthcare and its socioeconomic and environmental implications.

The objective of this study was to analyze the effects of a pulmonary telerehabilitation (TR) program in young adults with post-COVID-19 syndrome. The information of sixteen students' medical files were analyzed and allocated to one of two groups (control=CG/experimental=EG). Twelve TR sessions were performed distantly and asynchronously at the EG patients' homes during 4-weeks. The program included diaphragmatic pattern breathing and aerobic exercises. The parameters: i) vital signs (oxygen saturation "SpO2", heart rate "HR", respiratory rate "RR" and blood pressure "BP"; ii) physical capacity “Sit-to-stand test”; iii) cardiorespiratory capacity “6-Minute Walk Test”; and iv) perceived effort "Borg scale" were assessed in both groups. The statistical analyses showed a significant decrease of RR and HR (p < 0.012) accompanied by a significant increase in SpO2 (p < 0.042), physical (p < 0.012) and respiratory (p < 0.028) capacity. The perceived effort decreased significantly in both groups (CG: p < 0.006; EG p < 0.001) only for physical but not for cardiorespiratory capacity (p < 0.106). There were no statistical changes registered in BP (p > 0.05). The current study suggests that a TR program that involves breathing and aerobics exercises is feasible and effective in treating post-COVID-19 syndrome in young patients.