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Search Results (1,933)

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20 pages, 7131 KiB  
Article
Developing a Health Support System to Promote Care for the Elderly
by Marcell Szántó, Lehel Dénes-Fazakas, Erick Noboa, Levente Kovács, Döníz Borsos, György Eigner and Éva-H. Dulf
Sensors 2025, 25(2), 455; https://doi.org/10.3390/s25020455 - 14 Jan 2025
Abstract
In light of the demographic shift towards an aging population, there is an increasing prevalence of dementia among the elderly. The negative impact on mental health is preventing individuals from taking proper care of themselves. For individuals requiring hospital care, those receiving home [...] Read more.
In light of the demographic shift towards an aging population, there is an increasing prevalence of dementia among the elderly. The negative impact on mental health is preventing individuals from taking proper care of themselves. For individuals requiring hospital care, those receiving home care, or as a precaution for a specific individual, it is advantageous to utilize monitoring equipment to track their biological parameters on an ongoing basis. This equipment can minimize the risk of serious accidents or severe health hazards. The objective of the present research project is to design an armband with an accurate location tracking system. This is of particular importance for individuals with dementia and Alzheimer’s disease, who frequently leave their homes and are unable to find their way back. The proposed armband also includes a fingerprint identification system that allows only authorized personnel to use it. Furthermore, in hospitals and healthcare facilities the biometric identification system can be used to trace periodic medical or nursing visits. This process improves the reliability and transparency of healthcare. The test results indicate that the armband functions in accordance with the desired design specifications, with performance evaluation of the main features including fall detection, where a hit rate of 100% was obtained, a fingerprint recognition test demonstrating accuracy from 88% to 100% on high-quality samples, and a GPS tracking test determining position with a difference of between 1.8 and 2.1 m. The proposed solution may be of benefit to healthcare professionals, supported housing providers, elderly people as target users, or their family members. Full article
(This article belongs to the Special Issue Applications of Body Worn Sensors and Wearables)
14 pages, 3900 KiB  
Article
Dual-Mode Textile Sensor Based on PEDOT:PSS/SWCNTs Composites for Pressure–Temperature Detection
by Ying Wang, Qingchao Zhang and Zhidong Zhang
Micromachines 2025, 16(1), 92; https://doi.org/10.3390/mi16010092 - 14 Jan 2025
Abstract
As an innovative branch of electronics, intelligent electronic textiles (e-textiles) have broad prospects in applications such as e-skin, human–computer interaction, and smart homes. However, it is still a challenge to distinguish multiple stimuli in the same e-textile. Herein, we propose a dual-parameter smart [...] Read more.
As an innovative branch of electronics, intelligent electronic textiles (e-textiles) have broad prospects in applications such as e-skin, human–computer interaction, and smart homes. However, it is still a challenge to distinguish multiple stimuli in the same e-textile. Herein, we propose a dual-parameter smart e-textile that can detect human pulse and body temperature in real time, with high performance and no signal interference. The doping of SWCNTs in PEDOT:PSS improves the electrical conductivity and Seebeck coefficient of the prepared composites, which results in excellent pressure and temperature-sensing properties of the PEDOT:PSS/SWCNTs/CS@PET-textile (PSCP) sensor. The dual-mode sensor has high sensitivity (32.4 kPa−1), fast response time (~21 ms), and excellent durability (>2000 times) in pressure detection. Concurrently, this sensor maintains a high Seebeck coefficient of 25 μV/K in the 0–120 K temperature range with a tremendous linear relationship. Based on impressive dual-mode sensing characteristics and independent temperature-difference- and pressure-sensing mechanisms, smart e-textile sensors realize the real-time simultaneous monitoring of weak pulse signals and human body temperature, showing great potential in medical healthcare. In addition, the potential energy is excited by the temperature gradient between the human skin and the environment, which provides a novel idea for wearable self-powered devices. Full article
(This article belongs to the Special Issue Flexible and Wearable Sensors, 3rd Edition)
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<p>(<b>a</b>) Schematic of the preparation process of the PSCP sensor and the structure of the materials; (<b>b</b>) Initial textile; (<b>c</b>) CS@PET textile; (<b>d</b>) PEDOT:PSS/SWCNTs/CS@PET e−textile; (<b>e</b>) The physical drawing of the PSCP sensor; (<b>f</b>) Schematic structure of a dual-mode sensor for pressure and temperature.</p>
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<p>(<b>a</b>) XRD images of initial textile and conductive textile; (<b>b</b>) The side view of the conductive textile; (<b>c</b>) EDS mapping images of C.O.S. elements; (<b>d</b>) SEM image of the initial textile surface; (<b>e</b>) SEM image of the PEDOT:PSS/SWCNTs textile surface without chitosan; (<b>f</b>) SEM image of the PEDOT:PSS/SWCNTs/CS@PET textile surface.</p>
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<p>(<b>a</b>) The stress distribution of e−textiles inside the sensor under different pressures; (<b>b</b>) The sensitivity of the sensor; (<b>c</b>) The current response of the sensor is in the range of 0−40 kPa; (<b>d</b>) The voltage scanning results of the sensor in the range of −0.1 V−0.1 V; (<b>e</b>) The minimum pressure response of the sensor; (<b>f</b>) The response time and recovery time of the sensor to pressure; (<b>g</b>) The response current of the sensor over 2000 compression–release cycles. (I<sub>0</sub>: Initial current when no pressure is applied).</p>
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<p>(<b>a</b>) Thermoelectric effect diagram of dual−mode sensor; (<b>b</b>) The Seebeck coefficient of PEDOT:PSS and SWCNTs after different proportions of impregnation; (<b>c</b>) I–V curves at different temperatures; (<b>d</b>) The thermal voltage generated by the dual-mode sensor at different temperatures; (<b>e</b>) The minimum detection limit of temperature difference; (<b>f</b>) Temperature response time; (<b>g</b>) Cyclic testing of temperature response.</p>
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<p>(<b>a</b>) I−V curves at different pressures and temperatures; (<b>b</b>) Seebeck coefficient under different pressures; (<b>c</b>) Pressure sensitivity at various temperature differences; (<b>d</b>) The sensing mechanism of pressure and temperature; (<b>e</b>) Multiple pressure tests at a temperature difference of 50 K; (<b>f</b>) Multiple temperature tests at 25 kPa. (I<sub>0</sub>: Initial current when no pressure is applied).</p>
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<p>(<b>a</b>) A schematic diagram of the sensor measuring on the skin surface; (<b>b</b>) Pulse signal monitoring diagram; (<b>c</b>) Body temperature signal monitoring diagram; (<b>d</b>–<b>f</b>) Pulse signals in the wrist, elbow, and neck; (<b>g</b>–<b>i</b>) Temperature signals on the wrist, elbow, and neck. (I<sub>0</sub>: Initial current when no pressure is applied).</p>
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13 pages, 1770 KiB  
Article
Exploring Musical Feedback for Gait Retraining: A Novel Approach to Orthopedic Rehabilitation
by Luisa Cedin, Christopher Knowlton and Markus A. Wimmer
Healthcare 2025, 13(2), 144; https://doi.org/10.3390/healthcare13020144 - 14 Jan 2025
Viewed by 187
Abstract
Background/Objectives: Gait retraining is widely used in orthopedic rehabilitation to address abnormal movement patterns. However, retaining walking modifications can be challenging without guidance from physical therapists. Real-time auditory biofeedback can help patients learn and maintain gait alterations. This study piloted the feasibility of [...] Read more.
Background/Objectives: Gait retraining is widely used in orthopedic rehabilitation to address abnormal movement patterns. However, retaining walking modifications can be challenging without guidance from physical therapists. Real-time auditory biofeedback can help patients learn and maintain gait alterations. This study piloted the feasibility of the musification of feedback to medialize the center of pressure (COP). Methods: To provide musical feedback, COP and plantar pressure were captured in real time at 100 Hz from a wireless 16-sensor pressure insole. Twenty healthy subjects (29 ± 5 years old, 75.9 ± 10.5 Kg, 1.73 ± 0.07 m) were recruited to walk using this system and were further analyzed via marker-based motion capture. A lowpass filter muffled a pre-selected music playlist when the real-time center of pressure exceeded a predetermined lateral threshold. The only instruction participants received was to adjust their walking to avoid the muffling of the music. Results: All participants significantly medialized their COP (−9.38% ± 4.37, range −2.3% to −19%), guided solely by musical feedback. Participants were still able to reproduce this new walking pattern when the musical feedback was removed. Importantly, no significant changes in cadence or walking speed were observed. The results from a survey showed that subjects enjoyed using the system and suggested that they would adopt such a system for rehabilitation. Conclusions: This study highlights the potential of musical feedback for orthopedic rehabilitation. In the future, a portable system will allow patients to train at home, while clinicians could track their progress remotely through cloud-enabled telemetric health data monitoring. Full article
(This article belongs to the Special Issue 2nd Edition of the Expanding Scope of Music in Healthcare)
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<p>Flow chart of the study design with descriptions of data collected in each condition. COP: center of pressure.</p>
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<p>Representation of insoles’ geometry, sensors’ locations, medial (blue-colored sensors) and lateral (red-colored sensors) boundaries, and IMU positioning. Adapted from the manufacturer’s user guide (Insole3–Moticon, OpenGo, Munich, Germany).</p>
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<p>Musical feedback design.</p>
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<p>Gait line at the baseline (measured at warmup) and training with musical feedback. Shaded regions represent +/−1 SD.</p>
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<p>Mean plantar pressure throughout the stance phase at (<b>a</b>) the baseline and (<b>b</b>) training with musical feedback for one participant. Figure generated via a MOTICON OpenGo report.</p>
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14 pages, 6284 KiB  
Article
A New Self-Made 16-Channel Capacitive Electrocardiography System: An Investigation and Validation for Non-Contact Electrodes
by Jinru Yang, Tianjun Wang, Haipo Cui and Limin Sun
Sensors 2025, 25(2), 445; https://doi.org/10.3390/s25020445 - 14 Jan 2025
Viewed by 204
Abstract
Generally, the electrocardiography (ECG) system plays an important role in preventing and diagnosing heart diseases. To further improve the amenity and convenience of using an ECG system, we built a customized capacitive electrocardiography (cECG) system with one wet electrode, sixteen non-contact electrodes, two [...] Read more.
Generally, the electrocardiography (ECG) system plays an important role in preventing and diagnosing heart diseases. To further improve the amenity and convenience of using an ECG system, we built a customized capacitive electrocardiography (cECG) system with one wet electrode, sixteen non-contact electrodes, two ADS1299 chips, and one STM32F303-based microcontroller unit (MCU). This new cECG system could acquire, save, and display the ECG data in real time. The bias feedback as a critical technique was routed to the left hand with the wet Ag/AgCl electrode, which could greatly suppress the power line noise. After all artifacts were removed, the ECG signals could be discerned clearly. We demonstrated that the ECG signals acquired with the capacitive electrodes were similar to those with the wet electrode. Thus, we successfully provide a new configuration for cECG monitoring at home or in a clinical setting. Full article
(This article belongs to the Section Biomedical Sensors)
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<p>The architecture of the ECG acquisition system.</p>
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<p>The equivalent circuit models of an Ag/AgCl electrode (<b>a</b>) and a non-contact electrode (<b>b</b>).</p>
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<p>The design of the non-contact electrode: (<b>a</b>) the schematic circuit diagram, (<b>b</b>) the electrical model, and (<b>c</b>) the actual non-contact electrode.</p>
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<p>The customized cECG system.</p>
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<p>The acquisition software of the cECG system:(<b>a</b>) the architecture of data acquisition software, and (<b>b</b>) the GUI.</p>
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<p>The distribution of multiple capacitive electrode locations: (<b>a</b>) the design and (<b>b</b>) the experiment.</p>
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<p>The spectra with different signals input.</p>
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<p>Comparison of cECG measurements with the bias feedback technique and without the bias feedback technique in the time domain (<b>a</b>) and in the frequency domain (<b>b</b>).</p>
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<p>The power line artifacts were removed before and after applying two notch filters (50 Hz and 100 Hz). The comparisons are presented in the time domain (<b>a</b>) and the frequency domain (<b>b</b>).</p>
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<p>Artifact removal with MNF: (<b>a</b>) 16-channel data before the MNF algorithm; (<b>b</b>) independent components separated by the MNF algorithm (the red-marked components were identified as artifact components); and (<b>c</b>) the reconstructed 16-channel data.</p>
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<p>The comparison of wet and non-contact electrodes with the configuration of a 16-channel array: (<b>a</b>) the butterfly measured from the 16-channel wet electrode array; (<b>b</b>) the butterfly measured from the 16-channel non-contact electrode array; (<b>c</b>) the chest potentiostat at the P, Q, R, S, and T waves with the wet electrode array; and (<b>d</b>) the chest potentiostat at the P, Q, R, S, and T waves with the non-contact electrode array.</p>
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21 pages, 4058 KiB  
Article
Passive Monitoring of Parkinson Tremor in Daily Life: A Prototypical Network Approach
by Luc J. W. Evers, Yordan P. Raykov, Tom M. Heskes, Jesse H. Krijthe, Bastiaan R. Bloem and Max A. Little
Sensors 2025, 25(2), 366; https://doi.org/10.3390/s25020366 - 9 Jan 2025
Viewed by 281
Abstract
Objective and continuous monitoring of Parkinson’s disease (PD) tremor in free-living conditions could benefit both individual patient care and clinical trials, by overcoming the snapshot nature of clinical assessments. To enable robust detection of tremor in the context of limited amounts of labeled [...] Read more.
Objective and continuous monitoring of Parkinson’s disease (PD) tremor in free-living conditions could benefit both individual patient care and clinical trials, by overcoming the snapshot nature of clinical assessments. To enable robust detection of tremor in the context of limited amounts of labeled training data, we propose to use prototypical networks, which can embed domain expertise about the heterogeneous tremor and non-tremor sub-classes. We evaluated our approach using data from the Parkinson@Home Validation study, including 8 PD patients with tremor, 16 PD patients without tremor, and 24 age-matched controls. We used wrist accelerometer data and synchronous expert video annotations for the presence of tremor, captured during unscripted daily life activities in and around the participants’ own homes. Based on leave-one-subject-out cross-validation, we demonstrate the ability of prototypical networks to capture free-living tremor episodes. Specifically, we demonstrate that prototypical networks can be used to enforce robust performance across domain-informed sub-classes, including different tremor phenotypes and daily life activities. Full article
(This article belongs to the Special Issue Sensing Signals for Biomedical Monitoring)
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<p>An illustration of the two-layer prototype model. Each input <math display="inline"><semantics> <msub> <mi mathvariant="bold">x</mi> <mi>n</mi> </msub> </semantics></math> is first reduced to <math display="inline"><semantics> <msup> <mi mathvariant="script">R</mi> <mi>M</mi> </msup> </semantics></math> by the layer <math display="inline"><semantics> <msup> <mi>φ</mi> <mrow> <mo>(</mo> <mn>1</mn> <mo>)</mo> </mrow> </msup> </semantics></math> (Equation (<a href="#FD2-sensors-25-00366" class="html-disp-formula">2</a>)) and then to a class probability via layer <math display="inline"><semantics> <msup> <mi>φ</mi> <mrow> <mo>(</mo> <mn>2</mn> <mo>)</mo> </mrow> </msup> </semantics></math> (Equation (<a href="#FD3-sensors-25-00366" class="html-disp-formula">3</a>)), summarized in the shaded boxes.</p>
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<p>Schematic overview of the video annotation protocol for the presence and severity of tremor used in the Parkinson@Home Validation study.</p>
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<p>Spectrograms of the <span class="html-italic">x</span>-axis of the accelerometer data collected during the unscripted activities of the 8 PD patients with tremor (each panel represents one patient). Higher brightness denotes higher spectral power in the corresponding frequency bins. Welch’s method is used to average over periods of 20 s (2 s windows with 50% overlap).</p>
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<p>Visualization of the annotated prototypical examples for the different tremor sub-classes. The top panels display the spectrograms of all data from the prototypical examples from each tremor sub-class. Higher brightness denotes higher spectral power in the corresponding frequency bins. Welch’s method is used to average over periods of 20 s (2 s windows with 50% overlap). The middle panels display the corresponding raw accelerometer data (blue: x-axis, red: y-axis, yellow: z-axis). The bottom panel zooms in on stationary segments from the prototypical examples of each tremor sub-class. The tremor sub-classes are denoted as follows: (<b>a</b>) wrist and/or fingers flexion–extension, while the arm is supported; (<b>b</b>) wrist and/or fingers flexion–extension, while the arm is free; (<b>c</b>) elbow flexion–extension, while the arm is supported; (<b>d</b>) elbow flexion–extension, while the arm is free; (<b>e</b>) tremor during gait (<b>f</b>) pronation–supination of the lower arm, while the arm is supported; and (<b>g</b>) pronation–supination of the lower arm, while the arm is free.</p>
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<p>Learning curves of the prototype models and baseline models, showing the models’ performance with increasing duration of training data. The lines indicate the average AUROC across folds, evaluated using leave-one-subject-out cross-validation across the 8 PD patients with annotated tremor episodes. As we extend the duration of training data (i.e., as we move from the left to the right on the plot), we add new training data to the existing training data sample, to reduce the effect of random sampling when comparing different training data durations.</p>
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<p>Correlation (Pearson R) between the individual sensitivity of the two-layer prototype model and the rest tremor severity of the most affected arm (same side as the device), according to the MDS-UPDRS item 3.17 (sum of measurements in the on and off states). 80% CI: 80% confidence interval.</p>
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<p>Agreement between the true tremor duration (according to the video annotations) and predicted tremor duration (according to the two-layer prototype model), with the red line indicating perfect agreement. ICC: intra-class correlation, 80% CI: 80% confidence interval.</p>
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11 pages, 1100 KiB  
Article
Clinical Whole-Body Gait Characterization Using a Single RGB-D Sensor
by Lukas Boborzi, Johannes Bertram, Roman Schniepp, Julian Decker and Max Wuehr
Sensors 2025, 25(2), 333; https://doi.org/10.3390/s25020333 - 8 Jan 2025
Viewed by 336
Abstract
Instrumented gait analysis is widely used in clinical settings for the early detection of neurological disorders, monitoring disease progression, and evaluating fall risk. However, the gold-standard marker-based 3D motion analysis is limited by high time and personnel demands. Advances in computer vision now [...] Read more.
Instrumented gait analysis is widely used in clinical settings for the early detection of neurological disorders, monitoring disease progression, and evaluating fall risk. However, the gold-standard marker-based 3D motion analysis is limited by high time and personnel demands. Advances in computer vision now enable markerless whole-body tracking with high accuracy. Here, we present vGait, a comprehensive 3D gait assessment method using a single RGB-D sensor and state-of-the-art pose-tracking algorithms. vGait was validated in healthy participants during frontal- and sagittal-perspective walking. Performance was comparable across perspectives, with vGait achieving high accuracy in detecting initial and final foot contacts (F1 scores > 95%) and reliably quantifying spatiotemporal gait parameters (e.g., stride time, stride length) and whole-body coordination metrics (e.g., arm swing and knee angle ROM) at different levels of granularity (mean, step-to-step variability, side asymmetry). The flexibility, accuracy, and minimal resource requirements of vGait make it a valuable tool for clinical and non-clinical applications, including outpatient clinics, medical practices, nursing homes, and community settings. By enabling efficient and scalable gait assessment, vGait has the potential to enhance diagnostic and therapeutic workflows and improve access to clinical mobility monitoring. Full article
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<p>Experimental setup. (<b>A</b>) Participants walked along a marked figure-eight path with a diagonal length of 5.1 m, allowing for both frontal-perspective and sagittal-perspective walking. (<b>B</b>) A total of 17 displayed keypoints were analyzed to calculate spatiotemporal gait cycle parameters.</p>
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<p>Definition of spatial gait characteristics. (<b>A</b>) Stride length is the distance between two successive heel contacts of the same foot, while stride width is the perpendicular distance from one heel contact to the line connecting two successive heel contacts of the opposite foot (i.e., the line of progression). The FPA is the angular deviation between the foot midline and the line of progression. (<b>B</b>) Arm swing ROM is the maximal angular displacement of the line connecting the shoulder and wrist in the walking direction within a gait cycle. (<b>C</b>) Knee ROM is defined as the angular difference between the maximum extension and flexion of the knee during the gait cycle. Exemplary knee joint angle curves (mean ± SD) are shown from vGait (red line) and the ground truth (gray line). Abbreviations: FPA, foot progression angle; ROM, range of motion.</p>
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<p>Histograms illustrating the temporal agreement (t<sub>gold standard</sub>–t<sub>vGait</sub>) of initial and final foot contacts identified by vGait compared to the gold standard during (<b>A</b>) frontal-perspective walking and (<b>B</b>) sagittal-perspective walking.</p>
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17 pages, 9721 KiB  
Article
Locally Adapted Coral Species Withstand a 2-Week Hypoxic Event
by Noelle Lucey, Carolina César-Ávila, Alaina Eckert, Paul Veintimilla and Rachel Collin
Oceans 2025, 6(1), 5; https://doi.org/10.3390/oceans6010005 - 8 Jan 2025
Viewed by 644
Abstract
One approach to improve long-term coral restoration success utilizes naturally stress-tolerant corals from the wild. While the focus has primarily been on thermal stress, low oxygen is a growing threat to coral reefs and restoration efforts should also consider hypoxia tolerance. Here we [...] Read more.
One approach to improve long-term coral restoration success utilizes naturally stress-tolerant corals from the wild. While the focus has primarily been on thermal stress, low oxygen is a growing threat to coral reefs and restoration efforts should also consider hypoxia tolerance. Here we determine if Siderastrea siderea and Agaricia tenuifolia populations from a reef with a historical record of low oxygen exhibit evidence of local adaptation to hypoxic events, compared to populations from a reference reef. We employed a laboratory-based reciprocal transplant experiment mimicking a severe 14-night hypoxic event and monitored bleaching responses, photo-physiology, metabolic rates, and survival of all four populations during, and for two weeks following the event. In both species, we found the populations from the hypoxic reef either fully persisted or recovered within 3 days of the event. In contrast, the conspecific naïve populations from the well-oxygenated reference reef experienced bleaching and death. This showcases the vulnerability of naïve corals exposed to low oxygen but also suggests that corals from the hypoxic reef locally adapted to survive severe episodic hypoxia. Other reefs with past episodic low oxygen may also be home to corals with adaptation signatures to hypoxia and may be useful for restoration efforts. Full article
(This article belongs to the Special Issue Feature Papers of Oceans 2024)
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<p>Reef sites in Bahía Almirante, Panama, and study species. Five colonies of both <span class="html-italic">A. tenuifolia</span> and <span class="html-italic">S. siderea</span> were collected from the historically deoxygenated reef on the south side of Cayo Roldan (red circle), and from a reference reef on the north side of Hospital Point (blue star). Sites are approximately 15 km apart.</p>
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<p>Hypoxic events manifest as a sequence of consecutive extreme low oxygen conditions occurring at night. (<b>A</b>) A two-month window between 2020–2023 highlighting that the minimum oxygen at Roldan Reef was 0.3 mg L<sup>−1</sup> (red), while the minimum on the reference reef, Hospital Point, was 1.0 mg L<sup>−1</sup> (blue). (<b>B</b>) A three-week window highlighting the pattern of low O<sub>2</sub> conditions, which reoccurs consecutively for multiple nights at a time. We define these multi-night low O<sub>2</sub> periods as a single hypoxic event. (<b>C</b>) In the laboratory we mimicked an in situ 14 night hypoxic event: red points show measured O<sub>2</sub> in all five of the hypoxic treatment tanks during the experiment and blue points show O<sub>2</sub> in the 5 control tanks. Tank conditions during the one-week laboratory acclimation period prior to low O<sub>2</sub> exposure, and the 2-week post-exposure period are also shown.</p>
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<p>(<b>A</b>–<b>C</b>) Experimental set-up and design. Five colonies of each species were collected from a hypoxic (<b>A</b>) and a reference (<b>B</b>) site to determine local hypoxia adaptation potential. These colonies were all fragmented to produce 20 replicate fragments of a given genotype. Replicate colony fragments of each species were distributed into both control and hypoxic experimental treatments to attain 5 tank replicates per treatment (<b>C</b>). In the hypoxic treatment, corals were exposed to diel cycling where the O<sub>2</sub> was lowered to 0.3 mg L<sup>−1</sup> for 6 h at night, and reoxygenated during the day, for 14 nights. All tanks were then fully oxygenated for an additional two weeks to assess recovery potential. Two coral fragments from each tank were destructively sampled at each time point to assess metabolic rate changes through time. (<b>D</b>) Experimental timeline, showing the one-week acclimation period post-fragmentation, exposure period, and recovery phase with associated time points indicating when measurements were made.</p>
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<p>(<b>A</b>) In the interpretation of a reaction norm, each line represents a response from one genotype (i.e., population) when tested in different environments (i.e., treatments). When lines are perfectly horizontal and overlapping, there is no effect of the environment (E) or genotype (G), i.e., no plasticity or adaptation (1); when the lines are not horizontal but still overlapping, there is an environmental effect but not a genotype effect (2). When the lines are horizontal but not overlapping, there is a genotype effect that is not influenced by the environment (3). If lines are not horizontal but are parallel, there is an effect of environment and genotype, but no genotype X environment interaction (4). If lines intersect, there is a genotype X environment interaction indicating local adaptation (5) [<a href="#B36-oceans-06-00005" class="html-bibr">36</a>]. (<b>B</b>) A contextual interpretation of reaction norms as they pertain to this study’s experimental results. Solid lines indicate trait responses measured at the end of the experimental event and dashed reaction norms indicate the responses 3 days later. Any significant changes between the solid and dashed reaction norm lines of the same color indicate recovery potential in that trait (bottom plot). (<b>C</b>) Coral responses to the lab-replicated hypoxic event included bleaching and mortality (1), recovery (2), and no change/stress resistance (3).</p>
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<p>Stress responses accrued in both species as the hypoxic event persisted, but the hypoxic population tolerated more stress than the reference population. (<b>A</b>–<b>E</b>) Top row shows the measured responses of <span class="html-italic">A. tenuifolia</span> colonies collected from both a reference and hypoxic site (paired plots) and exposed to 14 nights of severe low oxygen in the laboratory (grey shaded area) followed by 14 days of full reoxygenation in non-shaded area, i.e., recovery period. (<b>F</b>–<b>J</b>) Bottom row shows the same responses in <span class="html-italic">S. siderea</span>. In both species, we counted the number of fragments that bleached at each timepoint (left plots), the photosynthetic capacity, symbiont cell density, metabolic rate, and mortality (right plots). Responses in the control treatment are shown in blue and the hypoxic treatment in red (mean ± S.E.). Stars show significant differences between treatments at each timepoint, for each species and population; <span class="html-italic">p</span> &lt; 0.001 ***, 0.01 **, 0.05 *, 0.1 <sup>•</sup>.</p>
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<p>Populations of <span class="html-italic">A. tenuifolia</span> and <span class="html-italic">S. siderea</span> from hypoxic reefs show strong signs of local adaptation to hypoxic events compared to populations from the reference reef. Top row shows reaction norms for <span class="html-italic">A. tenuifolia</span> (<b>A</b>–<b>E</b>) and bottom row shows them for <span class="html-italic">S. siderea</span> (<b>F</b>–<b>J</b>). Points and error bars on each plot indicate the mean and S.E. Responses from the reference populations are shown in blue, while responses from the hypoxic populations are in red. The number of bleached fragments, photosynthetic capacity, symbiont cell density, metabolic rate, and mortality are shown from left to right. Solid lines show responses directly after the 14-night hypoxic event, while dashed lines show responses 3 days post-event when conditions were reoxygenated. Statistically significant terms in the ‘treatment X population + date’ models for each trait are indicated above each plot, with the number of asterisks next to each term identifying the significance: <span class="html-italic">p</span> = 0.001 ***, 0.01 **, 0.05 *. Colored labeling on lines aids in the interpretation of population responses and highlights significant effects for each trait, i.e., resistance or negatively impacted (see <a href="#oceans-06-00005-f004" class="html-fig">Figure 4</a>). A significant effect of ‘date’ is indicated only in (<b>G</b>), which shows a recovery response with contrasting dashed and solid red lines. Unlabeled reaction norms have no corresponding significant effects.</p>
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8 pages, 2712 KiB  
Proceeding Paper
CareTaker.ai—A Smart Health-Monitoring and Caretaker-Assistant System for Elder Healthcare
by Ankur Gupta, Sahil Sawhney and Suhaib Ahmed
Eng. Proc. 2024, 78(1), 7; https://doi.org/10.3390/engproc2024078007 - 8 Jan 2025
Viewed by 172
Abstract
There are several systems for patient care, including elderly healthcare, which rely on sensor data acquisition and analysis. These sensors are typical vital-monitoring sensors and are coupled with Artificial Intelligence (AI) models to quickly analyze emergency situations or even predict them. These systems [...] Read more.
There are several systems for patient care, including elderly healthcare, which rely on sensor data acquisition and analysis. These sensors are typical vital-monitoring sensors and are coupled with Artificial Intelligence (AI) models to quickly analyze emergency situations or even predict them. These systems are deployed in hospitals and require expensive monitoring and analysis equipment. Eldercare specifically encompasses monitoring, smart analysis, and even the emotional aspects of care. Existing systems do not provide a portable, easy-to-use system for at-home eldercare. Further, existing systems do not address advanced analysis capabilities around mood/sentiment/mental state/mental disorder analysis or the analysis of issues around sleep disorders, apnea, etc., based on sound capture and analysis. Also, existing systems disregard the emotional needs of elderly patients, which are a critical aspect of patient wellbeing. A low-cost and effective solution is therefore required for extended use in eldercare. In this paper, the CareTaker.ai system is proposed to address the shortcomings of the existing systems and build a comprehensive caretaker assistant using sensors, audio, video, and AI. It consists of smart bed sheets, pillow covers with embedded sensors, and a processing unit with GPUs, conversational AI, and generative AI capabilities, with associated functional modules. Compared to existing systems, the proposed system has advanced monitoring and analysis capabilities with potential for low-cost mass manufacturing and a widespread commercial application. Full article
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<p>Overview of caretaker system.</p>
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<p>Block diagram representing the components and modules of the proposed eldercare system.</p>
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<p>Illustration of movement alert in the caretaker system.</p>
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<p>Different sleep stages detected from EEG signals.</p>
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<p>Comparison of different AI models.</p>
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24 pages, 378 KiB  
Article
Do Expectations of Risk Prevention Play a Role in the Adoption of Smart Home Technology? Findings from a Swiss Survey
by Raphael Iten, Joël Wagner and Angela Zeier Röschmann
Safety 2025, 11(1), 3; https://doi.org/10.3390/safety11010003 - 7 Jan 2025
Viewed by 557
Abstract
Smart homes offer promising opportunities for risk prevention in private households, especially concerning safety and health. For instance, they can reduce safety risks by detecting water leakages quickly and support health by monitoring air quality. Current research on smart home technology predominantly focuses [...] Read more.
Smart homes offer promising opportunities for risk prevention in private households, especially concerning safety and health. For instance, they can reduce safety risks by detecting water leakages quickly and support health by monitoring air quality. Current research on smart home technology predominantly focuses on usability, performance expectations, and cyber risks, overlooking the potential importance of risk prevention benefits to prospective users. We address this gap by utilizing data from a recent survey to construct a structural equation model. Our overarching hypothesis is that prevention benefits and comfort considerations positively influence adoption. The results confirm the relevance of comfort, as suggested by previous research. In addition, the results reveal significant prevention benefits in safety and health, which are positively related to technology expectations and the intention to adopt smart homes. Furthermore, newly included variables such as technology affinity and active aging lifestyle emerge as indicators of potential smart home users, extending the knowledge of user characteristics beyond traditional sociodemographic indicators. The findings contribute to filling a gap in the current risk and technology literature and are also relevant for smart home device manufacturers and risk and insurance practitioners looking to evolve their business models. Full article
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<p>Illustration of the complete structural model, including all measures.</p>
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<p>Model results, including coefficients’ signs and significance levels. Note: see <a href="#safety-11-00003-t006" class="html-table">Table 6</a>. * <span class="html-italic">p</span> &lt; 0.05, ** <span class="html-italic">p</span> &lt; 0.01, *** <span class="html-italic">p</span> &lt; 0.001.</p>
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18 pages, 4002 KiB  
Article
MultiSenseX: A Sustainable Solution for Multi-Human Activity Recognition and Localization in Smart Environments
by Hamada Rizk, Ahmed Elmogy, Mohamed Rihan and Hirozumi Yamaguchi
AI 2025, 6(1), 6; https://doi.org/10.3390/ai6010006 - 6 Jan 2025
Viewed by 553
Abstract
WiFi-based human sensing has emerged as a transformative technology for advancing sustainable living environments and promoting well-being by enabling non-intrusive and device-free monitoring of human behaviors. This offers significant potential in applications such as smart homes and sustainable urban spaces and healthcare systems [...] Read more.
WiFi-based human sensing has emerged as a transformative technology for advancing sustainable living environments and promoting well-being by enabling non-intrusive and device-free monitoring of human behaviors. This offers significant potential in applications such as smart homes and sustainable urban spaces and healthcare systems that enhance well-being and patient monitoring. However, current research predominantly addresses single-user scenarios, limiting its applicability in multi-user environments. In this work, we introduce “MultiSenseX”, a cutting-edge system leveraging a multi-label, multi-view Transformer-based architecture to achieve simultaneous localization and activity recognition in multi-occupant settings. By employing advanced preprocessing techniques and utilizing the Transformer’s self-attention mechanism, MultiSenseX effectively learns complex patterns of human activity and location from Channel State Information (CSI) data. This approach transcends traditional sequential methods, enabling accurate and real-time analysis in dynamic, multi-user contexts. Our empirical evaluation demonstrates MultiSenseX’s superior performance in both localization and activity recognition tasks, achieving remarkable accuracy and scalability. By enhancing multi-user sensing technologies, MultiSenseX supports the development of intelligent, efficient, and sustainable communities, contributing to SDG 11 (Sustainable Cities and Communities) and SDG 3 (Good Health and Well-being) through safer, smarter, and more inclusive urban living solutions. Full article
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<p>t-SNE visualization of CSI samples when classifying the activities of one person in an environment occupied by that person only.</p>
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<p>t-SNE visualization of CSI samples when classifying the activities of one person in an environment occupied by other persons.</p>
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<p><span class="html-italic">MultiSenseX</span> system architecture.</p>
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<p>Network architecture.</p>
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<p>Example showing the participants practicing different activities [<a href="#B28-ai-06-00006" class="html-bibr">28</a>]. User 1: Rotation. User 2: Jumping. User 3: Waving. User 4: Lying Down. User 5: Picking Up.</p>
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<p>Classroom environment [<a href="#B28-ai-06-00006" class="html-bibr">28</a>].</p>
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<p>Meeting environment [<a href="#B28-ai-06-00006" class="html-bibr">28</a>].</p>
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<p>Empty environment [<a href="#B28-ai-06-00006" class="html-bibr">28</a>].</p>
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<p>Comparative analysis of localization and activity recognition performance for the different systems in the Classroom.</p>
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<p>Comparative analysis of localization and activity recognition performance for the different systems in the Meeting Room.</p>
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<p>Comparative analysis of localization and activity recognition performance for the different systems in the Empty Room.</p>
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<p>Localization performance of <span class="html-italic">MultiSenseX</span> in different frequency settings.</p>
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<p>Activity recognition performance of <span class="html-italic">MultiSenseX</span> in different frequency settings.</p>
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<p>The effect of cell size on the performance of <span class="html-italic">MultiSenseX</span>.</p>
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<p>The effect of changing the number of users on the performance of <span class="html-italic">MultiSenseX</span>.</p>
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15 pages, 1932 KiB  
Article
Two Minutes to Midnight: The 2024 Iranian Missile Attack on Israel as a Live Media Event
by Gal Yavetz and Vlad Vasiliu
Journal. Media 2025, 6(1), 2; https://doi.org/10.3390/journalmedia6010002 - 31 Dec 2024
Viewed by 482
Abstract
This study examines the psychological and social impacts of the April 2024 Iranian combined attack on Israel—a new, globally unprecedented experience for civilians. Aware of incoming missiles and drones, Israelis followed real-time television coverage, including countdowns and visual simulations, which allowed them to [...] Read more.
This study examines the psychological and social impacts of the April 2024 Iranian combined attack on Israel—a new, globally unprecedented experience for civilians. Aware of incoming missiles and drones, Israelis followed real-time television coverage, including countdowns and visual simulations, which allowed them to anticipate the impacts of potential strikes on their homes and communities. The attack and its coverage blurred the boundaries between crisis and media spectacle, creating a rare convergence of immediate personal threat with real-time media framing. This paper explores how this unique format influenced public anxiety, news consumption, and crisis perception. The results reveal the profound psychological effects of this real-time threat monitoring, raising important questions about the media’s impact on framing crises such as live events and the corresponding effects on public mental health. Full article
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<p>Changes in daily behavior due to the crisis.</p>
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<p>Public perception of information from the media.</p>
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<p>Distribution of anxiety levels during the attack.</p>
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<p>Primary real-time information sources.</p>
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<p>Time dedicated to news consumption during the attack.</p>
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<p>Mediating role of anxiety level and consumption in the relationship between feeling informed and news following. Note: * <span class="html-italic">p</span> &lt; 0.05, *** <span class="html-italic">p</span> &lt; 0.001.</p>
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21 pages, 10689 KiB  
Article
Human Occupancy Monitoring and Positioning with Speed-Responsive Adaptive Sliding Window Using an Infrared Thermal Array Sensor
by Yukai Lin and Qiangfu Zhao
Sensors 2025, 25(1), 129; https://doi.org/10.3390/s25010129 - 28 Dec 2024
Viewed by 483
Abstract
In the current era of advanced IoT technology, human occupancy monitoring and positioning technology is widely used in various scenarios. For example, it can optimize passenger flow in public transportation systems, enhance safety in large shopping malls, and adjust smart home devices based [...] Read more.
In the current era of advanced IoT technology, human occupancy monitoring and positioning technology is widely used in various scenarios. For example, it can optimize passenger flow in public transportation systems, enhance safety in large shopping malls, and adjust smart home devices based on the location and number of occupants for energy savings. Additionally, in homes requiring special care, it can provide timely assistance. However, this technology faces limitations such as privacy concerns, environmental factors, and costs. Traditional cameras may not effectively address these issues, but infrared thermal sensors can offer similar applications while overcoming these challenges. Infrared thermal sensors detect the infrared heat emitted by the human body, protecting privacy and functioning effectively day and night with low power consumption, making them ideal for continuous monitoring scenarios like security systems or elderly care. In this study, we propose a system using the AMG8833, an 8 × 8 Infrared Thermal Array Sensor. The sensor data are processed through interpolation, adaptive thresholding, and blob detection, and the merged human heat signatures are separated. To enhance stability in human position estimation, a dynamic sliding window adjusts its size based on movement speed, effectively handling environmental changes and uncertainties. Full article
(This article belongs to the Special Issue Indoor Positioning Technologies for Internet-of-Things)
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<p>Original heatmap from AMG8833.</p>
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<p>Different interpolation methods applied to original heatmaps.</p>
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<p>(<b>A</b>) 4-connectivity. (<b>B</b>) 8-connectivity.</p>
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<p>Connected component labeling results.</p>
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<p>Thermal merger due to close proximity.</p>
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<p>(<b>A</b>) Binary Image. (<b>B</b>) Topographic Image.</p>
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<p>(<b>A</b>) Detection Error. (<b>B</b>) Correct Detection.</p>
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<p>Sliding window size adjustment based on movement speed.</p>
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<p>Test environment.</p>
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<p>Hardware configuration.</p>
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<p>Pin diagram.</p>
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<p>One individual.</p>
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<p>Two individuals.</p>
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<p>Three individuals.</p>
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<p>Dark environment.</p>
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<p>Watershed algorithm applied.</p>
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16 pages, 4051 KiB  
Article
Characterizing Radon Among Public Buildings and Small/Medium-Sized Businesses in a Canadian Province
by Lily X. Yang, Tracy L. Kirkham, Laura Boksman, Anne-Marie Nicol and Paul A. Demers
Atmosphere 2025, 16(1), 21; https://doi.org/10.3390/atmos16010021 - 28 Dec 2024
Viewed by 401
Abstract
Radon is a naturally occurring radioactive gas that causes lung cancer. It has been measured extensively in homes and mines but research in other workplaces has been limited. The present study examined 453 workplaces in Ontario, Canada, to characterize radon levels. Radon monitors [...] Read more.
Radon is a naturally occurring radioactive gas that causes lung cancer. It has been measured extensively in homes and mines but research in other workplaces has been limited. The present study examined 453 workplaces in Ontario, Canada, to characterize radon levels. Radon monitors (n = 687) were placed in occupied ground floor and basement workplace locations for a minimum of three months. The radon measurements ranged from <4 to 566 Bq/m3, with a median of 26 Bq/m3, arithmetic mean of 40.2 Bq/m3, and geometric mean of 26.9 Bq/m3. Using the Health Canada and Ontario labor guideline of 200 Bq/m3, 2.5% of participating workplaces had at least one measurement above this level; 7.2% were above the World Health Organization guideline. Workplaces were also asked to fill out questionnaires to identify possible determinants of exposure. Radon levels varied significantly based on municipality and background radon zone, highlighting the importance of geography in influencing radon levels. Radon levels also varied significantly based on window-opening behavior, business access type, the presence of an elevator, air conditioning, additions to the building, and cracks and/or gaps in the foundation/wall and around drains, indicating building characteristics with some influence on air circulation may impact overall radon levels. Full article
(This article belongs to the Special Issue Environmental Radon Measurement and Radiation Exposure Assessment)
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<p>This is a series of images to depict radon monitor placement. (<b>a</b>) A radon monitor before placement in a Tyvek bag. (<b>b</b>) A radon monitor being placed inside of a Tyvek bag. (<b>c</b>) A radon monitor placed on top of a shelf next to an interior wall. (<b>d</b>) Another radon monitor placed on a desk.</p>
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<p>A map of radon potential in Ontario from Radon Environmental (16). These estimates are based on geological, aerial, water, and indoor air analyses. The map provides three levels of radon risk: guarded, moderate, and high. These were renamed as low, medium, and high for easier interpretation.</p>
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<p>Map of Ontario health unit boundaries with exposure levels of the ten municipalities. The size of the dot for each region is relative to the number of participating workplaces. The geometric mean (GM) of all workplace monitors in each municipality is represented by the color of the dot.</p>
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<p>Geometric means in workplaces compared to the residential homes for each municipality. Residential home measurements were obtained from the 2024 Cross-Canada Survey of Radon from the Evict Radon team. Rho = 0.8085144, <span class="html-italic">p</span> = 0.004635. Please note: residential home geometric means were obtained from the census division level rather than the municipality level [<a href="#B18-atmosphere-16-00021" class="html-bibr">18</a>].</p>
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<p>Spaghetti plot of radon exposures (Bq/m<sup>3</sup>) in workplaces (n = 32) with monitors located in both the basement and the ground floor. Workplace samples are categorized by their radon risk zone, where red = high-radon-risk zone, yellow = medium-radon-risk zone, and green = low-radon-risk zone.</p>
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13 pages, 1930 KiB  
Article
Explainable Machine Learning-Based Approach to Identify People at Risk of Diabetes Using Physical Activity Monitoring
by Simon Lebech Cichosz, Clara Bender and Ole Hejlesen
BioMedInformatics 2025, 5(1), 1; https://doi.org/10.3390/biomedinformatics5010001 - 24 Dec 2024
Viewed by 487
Abstract
Objective: This study aimed to investigate the utilization of patterns derived from physical activity monitoring (PAM) for the identification of individuals at risk of type 2 diabetes mellitus (T2DM) through an at-home screening approach employing machine learning techniques. Methods: Data from the 2011–2014 [...] Read more.
Objective: This study aimed to investigate the utilization of patterns derived from physical activity monitoring (PAM) for the identification of individuals at risk of type 2 diabetes mellitus (T2DM) through an at-home screening approach employing machine learning techniques. Methods: Data from the 2011–2014 National Health and Nutrition Examination Survey (NHANES) were scrutinized, focusing on the PAM component. The primary objective involved the identification of diabetes, characterized by an HbA1c ≥ 6.5% (48 mmol/mol), while the secondary objective included individuals with prediabetes, defined by an HbA1c ≥ 5.7% (39 mmol/mol). Features derived from PAM, along with age, were utilized as inputs for an XGBoost classification model. SHapley Additive exPlanations (SHAP) was employed to enhance the interpretability of the models. Results: The study included 7532 subjects with both PAM and HbA1c data. The model, which solely included PAM features, had a test dataset ROC-AUC of 0.74 (95% CI = 0.72–0.76). When integrating the PAM features with age, the model’s ROC-AUC increased to 0.79 (95% CI = 0.78–0.80) in the test dataset. When addressing the secondary target of prediabetes, the XGBoost model exhibited a test dataset ROC-AUC of 0.80 [95% CI; 0.79–0.81]. Conclusions: The objective quantification of physical activity through PAM yields valuable information that can be employed in the identification of individuals with undiagnosed diabetes and prediabetes. Full article
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<p>An overview of the modeling approach employed in this study. Data were sourced from multiple years of NHANES (2011–2014), focusing on cases where PAM measurements were available. The machine learning workflow begins with splitting the dataset into a training set (Train) and a test set (Test). Features are extracted from the PAM data, and the binary outcome is determined based on HbA1c levels. The training set is used to develop the model by minimizing prediction error. The model’s performance in predicting diabetes risk is evaluated on the test set, considering metrics such as predictive accuracy, uncertainty estimates, interpretability, and the identification of at-risk characteristics.</p>
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<p>Boxplot for normalized features grouped by undiagnosed diabetes class.</p>
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<p>Several key plots are displayed: the upper right plot presents the receiver operating characteristic (ROC) curve for the test dataset, while the upper left plot illustrates the normalized predicted probabilities for controls and individuals with unknown diabetes. The lower right plot shows HbA1c levels as a function of individuals predicted to be at risk, and the lower left plot depicts the relative risks (RRs) for the test dataset in relation to the % individuals predicted to be at risk.</p>
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<p>Bar plot of the mean absolute SHAP values, illustrating the features most important for model prediction.</p>
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20 pages, 6815 KiB  
Article
Development of a Virtual Reality-Based Environment for Telerehabilitation
by Florin Covaciu, Calin Vaida, Bogdan Gherman, Adrian Pisla, Paul Tucan and Doina Pisla
Appl. Sci. 2024, 14(24), 12022; https://doi.org/10.3390/app142412022 - 22 Dec 2024
Viewed by 626
Abstract
The paper presents an innovative virtual reality (VR)-based environment for personalized telerehabilitation programs. This environment integrates a parallel robotic structure designed for the lower limb rehabilitation of patients with neuromotor disabilities and a virtual patient. The robotic structure is controlled via a user [...] Read more.
The paper presents an innovative virtual reality (VR)-based environment for personalized telerehabilitation programs. This environment integrates a parallel robotic structure designed for the lower limb rehabilitation of patients with neuromotor disabilities and a virtual patient. The robotic structure is controlled via a user interface (UI) that communicates with the VR environment via the TCP/IP protocol. The robotic structure can also be operated using two controllers that communicate with a VR headset via the Bluetooth protocol. Through these two controllers, the therapist demonstrates to the patient various exercises that the robotic system can perform. With the right-hand controller, the therapist guides exercises for the hip and knee, while the left-hand controller manages ankle exercises. The therapist remotely designs a rehabilitation plan for patients at home, defining exercises, interacting with the rehabilitation robot in real-time via the VR headset and the two controllers, and initiating therapy sessions. The user interface allows monitoring of patient progress through video feedback, electromyography (EMG) sensors, and session recording. Full article
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<p>General architecture of the system.</p>
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<p>Parallel robotic system for lower limb rehabilitation: (<b>a</b>) kinematic scheme; (<b>b</b>) experimental model.</p>
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<p>The interconnections between components.</p>
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<p>UML deployment diagram.</p>
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<p>UML use case diagram.</p>
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<p>UML activity diagram.</p>
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<p>UML class diagram.</p>
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<p>User interface: Exercises.</p>
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<p>User interface: Video monitoring &amp; Robot control.</p>
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<p>User interface: Session history.</p>
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<p>Devices used in the control of the robotic system: (<b>a</b>) VR headset; (<b>b</b>) controllers.</p>
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<p>Rehabilitation exercises in the virtual environment using the LegUp robot. (<b>a</b>,<b>b</b>) Hip Abduction; (<b>c</b>,<b>d</b>) Hip Flexion; (<b>e</b>,<b>f</b>) Knee Flexion; (<b>g</b>,<b>h</b>) Ankle Dorsiflexion; (<b>i</b>,<b>j</b>) Ankle Inversion.</p>
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<p>Rehabilitation exercises in the virtual environment using the LegUp robot. (<b>a</b>,<b>b</b>) Hip Abduction; (<b>c</b>,<b>d</b>) Hip Flexion; (<b>e</b>,<b>f</b>) Knee Flexion; (<b>g</b>,<b>h</b>) Ankle Dorsiflexion; (<b>i</b>,<b>j</b>) Ankle Inversion.</p>
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<p>Remote control through the user interface with integrated video streaming and monitoring.</p>
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