Abstract
The VR2Care project aims to create age-friendly virtual environments fostering interactive technologies for promoting physical activity, rehabilitation, and social interaction. Smart living environments have intelligent interfaces in a single or multi-user context. The VR2Care ecosystem combines virtual reality technologies for supervised exercise with natural interaction techniques, enhancing social virtualization with gamification aspects in the practice of physical activity in a metaverse context. This paper presents the infrastructure and the high-level functional architecture of the VR2Care ecosystem which provides the necessary tools to construct the communication bridges to bring together people sharing common interests, objectives, or ambitions.

Abstract
The use of 3D animations in medical education is becoming increasingly popular. Indeed, animations are an efficient way to present complex information, reducing time spent reading textbooks. Thus, in the educational contexts, animations can help students learn more efficiently, retain and better understand information. In addition to improving the learning experience, medical education is a highly important and necessary endeavor, as it can directly affect the lives of patients. These videos can be useful in emergency care instructions and provide information about how to administer CPR to a patient or help in forensic reconstructions; a doctor might explain a medical term to a patient in a friendly way, and they can also help patients understand complex procedures. We find it important to understand if students and schools, when challenged, take a role in their community preparedness for major health problems. Projects led by schools are addressed within educational scenarios focused on STEM education and developed under a relevant public health issue through their continuous engagement in open schooling approach. By implementing an educational scenario with a focus on 3D animation, and thus potentiate the use of this technology, we intend to help raise awareness on the public health theme. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Abstract
The relevance of the tourism industry to the overall sustainability of rural territories grows along with the demand for rural tourism destinations. Likewise, as the digital transition of rural tour operators takes place, their marketing initiatives also evolve towards a digital nature, which is why it is crucial to comprehend how the overall calibre of these activities might affect the perception of rural places, while also motivating tourists' travel intentions and, as a result, promoting the general sustainability of the destination. Thus, in this paper, we propose a novel conceptual model based on Delone and McLean's representative model of Information Systems Success Model, on Tan and Wu's arguments on tourism destinations' image relationship with tourists' visit intentions, and also on Verma's tourism destination brand equity concept. To validate the proposed model, an online focus group was developed involving several specialists whose opinions and perspectives corroborated the potential adequacy of the proposed artefact and, consequently, assumed its contribution and value. From this validation process, it was possible to highlight that digital marketing initiatives' overall quality influences both rural destinations' image and tourists' intention to visit these territories, that a positive image will trigger tourists' visit behaviour, and that these behaviours represent a valuable asset to rural destinations' global sustainability.

Abstract
Water scarcity is becoming an issue of more significant concern with a major impact on global sustainability. For it, new measures and approaches are urgently needed. Digital technologies and tools can play an essential role in improving the effectiveness and efficiency of current water management approaches. Therefore, a solution is proposed and validated, given the limited presence of models or technological architectures in the literature to support intelligent water management systems for domestic use. It is based on a layered architecture, fully designed to meet the needs of households and to do so through the adoption of technologies such as the Internet of Things and cloud computing. By developing a prototype and using it as a use case for testing purposes, we have concluded the positive impact of using such a solution. Considering this is a first contribution to overcome the problem, some issues will be addressed in a future work, namely, data and device security and energy and traffic optimisation issues, among several others.

Abstract
The growing use of technology and social media has resulted in the emergence of digital influencers, a new profession capable of changing the mentalities and behaviours of those who follow them. This study arises to better understand the potential impact digital influencers might have on the Portuguese population's purchase behaviour and patterns, and for this purpose, seven hypotheses were formulated. An online questionnaire was conducted to respond to these theoretical assumptions and collected data from 175 respondents. A total of 129 valid answers were considered. It was possible to conclude that purchase intention does not necessarily translate into a purchase action. It was also concluded that the relationship between social network use and the purchase of products/services recommended by influencers is only statistically significant for Instagram. Furthermore, the individuals' generation is not statistically significant / linked with purchasing a product/service recommended by influencers. Yet further, a small percentage of respondents have also identified themselves as impulsive shoppers and perceived Instagram as their favourite social network. With the results of this study, it is also possible to state that the influencer's opinion was classified as the last factor considered in the purchase decision process. Additionally, there is a weak negative association between purchasing a product/service recommended by influencers with sponsorship disclosure and remunerated partnership, which decreases credibility and discourages purchasing, in Portugal, a feminine culture which dislikes materialism.

Abstract
The present study aimed to evaluate whether a 14-day period of balneotherapy influences the inflammatory status, health-related quality of life (QoL) and quality of sleep, underlying overall health state, and clinically relevant benefits of patients with musculoskeletal diseases (MD). The health-related QoL was evaluated using the following instruments: 5Q-5D-5L, EQ-VAS, EUROHIS-QOL, B-IPQ, and HAQ-DI. The quality of sleep was evaluated by a BaSIQS instrument. Circulating levels of IL-6 and C-reactive protein (CRP) were measured by ELISA and chemiluminescent microparticle immunoassay, respectively. The smartband, Xiaomi MI Band 4, was used for real-time sensing of physical activity and sleep quality. MD patients improved the health-related QoL measured by 5Q-5D-5L (p < 0.001), EQ-VAS (p < 0.001), EUROHIS-QOL (p = 0.017), B-IPQ (p < 0.001), and HAQ-DI (p = 0.019) after balneotherapy; the sleep quality was also improved (BaSIQS, p = 0.019). Serum concentrations of IL-6 were markedly decreased after the 14-day balneotherapy (p < 0.001). No statistically significant differences were observed regarding the physical activity and sleep quality data recorded by the smartband. Balneotherapy may be an effective alternative treatment in managing the health status of MD patients, with a decrease in inflammatory states, along with positive effects on pain reduction, patient's functionality, QoL, quality of sleep, and disability perception status.