Multimodal learning analytics (MMLA) has become a prominent approach for capturing the complexity of learning by integrating diverse data sources such as video, audio, physiological signals, and digital interactions. This comprehensive review synthesises findings from 177 peer-reviewed studies to examine the foundations, methodologies, tools, and applications of MMLA in education. It provides a detailed analysis of data collection modalities, feature extraction pipelines, modelling techniques—including machine learning, deep learning, and fusion strategies—and software frameworks used across various educational settings. Applications are categorised by pedagogical goals, including engagement monitoring, collaborative learning, simulation-based environments, and inclusive education. The review identifies key challenges, such as data synchronisation, model interpretability, ethical concerns, and scalability barriers. It concludes by outlining future research directions, with emphasis on real-world deployment, longitudinal studies, explainable artificial intelligence, emerging modalities, and cross-cultural validation. This work aims to consolidate current knowledge, address gaps in practice, and offer practical guidance for researchers and practitioners advancing multimodal approaches in education.

Machine learning, a subfield of artificial intelligence, emphasizes the creation of algorithms capable of learning from data and generating predictions. However, in actuarial science, the interpretability of these models often presents challenges, raising concerns about their accuracy and reliability. Explainable artificial intelligence (XAI) has emerged to address these issues by facilitating the development of accurate and comprehensible models. This paper conducts a comparative analysis of various XAI approaches for tackling distinct data-driven insurance problems. The machine learning methods are evaluated based on their accuracy, employing the mean absolute error for regression problems and the accuracy metric for classification problems. Moreover, the interpretability of these methods is assessed through quantitative and qualitative measures of the explanations offered by each explainability technique. The findings reveal that the performance of different XAI methods varies depending on the particular insurance problem at hand. Our research underscores the significance of considering accuracy and interpretability when selecting a machine-learning approach for resolving data-driven insurance challenges. By developing accurate and comprehensible models, we can enhance the transparency and trustworthiness of the predictions generated by these models.

Most hospital assessment systems are based on the study of objective statistical variables as well as patient opinions on their experiences with respect to the services offered by each hospital. Nevertheless, studies have indicated that most of these assessment systems fail to detect patient emotions when they are assessing their stays in a hospital. This information is vital to understanding most of the patient reviews, which are very complex and convey several emotions per review. Therefore, this study aimed to address the problem of detecting multiple emotions from patient reviews. First, a large set of patient opinions was collected from a website that allowed patients to publish their experiences when visiting hospitals. Second, each opinion was labeled with the corresponding conveyed emotions. Third, a deep learning architecture based on a bidirectional gated recurrent unit with a multichannel convolutional neural network layer was proposed to detect multiple emotions from these reviews. Finally, the hyperparameters of this architecture were fine-tuned and different pretrained word embedding models were configured to test its performance. The results confirmed that our proposed method outperformed other deep learning and machine learning-based algorithms and achieved an average accuracy of 95.82%. Furthermore, the experiments show that clinical-domain word embedding slightly outperforms other general-domain word embeddings, although general-domain embeddings are larger in terms of dimensions. The combination of the gated recurrent unit and the multichannel convolutional neural network is able to exploit both semantic and syntactic characteristics of patient opinions. The findings of this study identify research gaps related to areas such as opinion-based hospital recommendations, thereby providing future research directions.

The process to assess a hospital performance usually needs the interaction of a lot of experts and patients and is very costly and time-consuming. Nevertheless, the availability of patient opinions on the Internet offers a great opportunity to develop systems that evaluate hospitals based on user feedback. The content of these opinions is very challenging, including information about the hospital services but also stories about their own patients, their families, and personal feelings or beliefs before or after leaving a hospital. Therefore, the task of recommending hospitals according to the quality of their services becomes really complicated. This study describes an application for ranking hospitals based on the user preferences about the different offered services as well as the opinions about them. First, it semiautomatically classifies all predefined hospital aspects, calculates the sentiment orientation, and represents their associated polarity by intuitionistic fuzzy sets. Second, by means of the user preferences towards the different aspects, an aggregation operator, and a multicriteria decision-making algorithm, all hospitals are ranked. To assess this methodology, a large set of reviews about hospitals have been collected. Further, considering all patient ratings about the different hospitals, an algorithm for ranking them is proposed, which develops baselines for comparison. In addition, an interval-valued Pythagorean fuzzy approach has been also implemented to compare the obtained results. These results confirm the soundness of the proposal.