Search Results (663)

This study aims to characterize short-wave infrared (SWIR) reflectance spectra at cranial (at the scalp overlying the frontal cortex and the temporal bone window) and extracranial (biceps and triceps) sites in patients with multiple sclerosis (MS) and age-/sex-matched controls. We sought to identify the diagnostic accuracy of wavelength-specific patterns in distinguishing MS from normal controls and spectral markers associated with disability (e.g., Expanded Disability Status Scale scores). To achieve these objectives, we employed a multi-site SWIR spectroscopy acquisition protocol that included measurements from traditional cranial locations as well as extracranial reference sites. Advanced spectral analysis techniques, including wavelength-dependent absorption modeling and machine learning-based classification, were applied to differentiate MS-related hemodynamic changes from normal physiological variability. Classification models achieved perfect performance (accuracy = 1.00), and cortical site regression models showed strong predictive power (EDSS: R²_CV = 0.980; FSS: R²_CV = 0.939). Variable Importance in Projection (VIP) analysis highlighted key wavelengths as potential spectral biomarkers. This approach allowed us to explore novel biomarkers of neural and systemic impairment in MS, paving the way for potential clinical applications of SWIR spectroscopy in disease monitoring and management. In conclusion, spectral analysis revealed distinct wavelength-specific patterns collected from cranial and extracranial sites reflecting biochemical and structural differences between patients with MS and normal subjects. These differences are driven by underlying physiological changes, including myelin integrity, neuronal density, oxidative stress, and water content fluctuations in the brain or muscles. This study shows that portable spectral devices may contribute to bedside individuation and monitoring of neural diseases, offering a cost-effective alternative to repeated imaging. Full article

Radio Frequency Identification (RFID) technology is widely applied in various scenarios, including logistics tracking, supply chain management, and target monitoring. In these contexts, the malicious cloning of legitimate tag information can lead to sensitive data leakage and disrupt the normal acquisition of tag information by readers, thereby threatening personal privacy and corporate security and incurring significant economic losses. Although some efforts have been made to detect cloning attacks, the presence of missing tags in RFID systems can obscure cloned ones, resulting in a significant reduction in identification efficiency and accuracy. To address these problems, we propose the block-based cloned tag identification (BCTI) protocol for identifying cloning attacks in the presence of missing tags. First, we introduce a block indicator to sort all tags systematically and design a block mechanism that enables tags to respond repeatedly within a block with minimal time overhead. Then, we design a superposition strategy to further reduce the number of verification times, thereby decreasing the execution overhead. Through an in-depth analysis of potential tag response patterns, we develop a precise method to identify cloning attacks and mitigate interference from missing tags in probabilistic cloning attack scenarios. Moreover, we perform parameter optimization of the BCTI protocol and validate its performance across diverse operational scenarios. Extensive simulation results demonstrate that the BCTI protocol meets the required identification reliability threshold and achieves an average improvement of $24.01\%$ in identification efficiency compared to state-of-the-art solutions. Full article

(1) Medical training is changing, especially for surgeons. Virtual reality simulation is an excellent way to train surgeons safely. Studies show that surgeons who train with simulation have demonstrated improved technical skills in fundamental surgical procedures. The purpose of this study is to determine the overall impact of virtual reality training on laparoscopic cholecystectomy performance and to explore whether specific training protocols or the addition of feedback confer any advantages for future surgeons. (2) MEDLINE (PubMed), Embase (Ovid SP), Web of Science, Google Scholar, and Scopus were searched for the literature related to virtual reality training, immersive simulation, laparoscopic surgical skills training, and medical education. Study quality was assessed using the Cochrane Risk of Bias Tool and NIH Quality Assessment Tool. (3) A total of 55 full-text articles were reviewed. Meta-analysis showed that virtual reality training is an effective method for learning cholecystectomy surgical skills. (4) Conclusions: Performance, measured by objective structured assessments and time to task completion, is improved with virtual reality training compared with no additional training. Positive effects of simulation training were evident in global rating scores and operative time. Continuous feedback on movement parameters during laparoscopic cholecystectomy skills training impacts skills acquisition and long-term retention. Full article

Nitrogen (N) availability often limits primary productivity in terrestrial ecosystems, and arbuscular mycorrhizal fungi (AMF) can enhance plant N acquisition. This study investigated the interactive effects of N fertilization and AMF inoculation on N uptake, plant performance and phenolic acid content in Hyssopus officinalis L., with the aim of promoting sustainable N management in H. officinalis cultivation. A factorial randomized complete block design was employed to evaluate four AMF inoculation strategies (no inoculation, root inoculation, soil inoculation and combined root–soil inoculation) across three N application rates (0, 0.5 and 1,1 g N pot⁻¹ (7 L)) in a controlled greenhouse environment. Combined root and soil AMF inoculation alongside moderate N fertilization (0.5 mg N pot⁻¹) optimized N use efficiency, maximizing plant biomass and bioactive compound production. Compared to non-inoculated controls, this treatment combination increased N uptake by 30%, phosphorus uptake by 24% and potassium uptake by 22%. AMF colonization increased chlorophyll content and total phenolic compounds under moderate N supply. However, excessive N application (1 g N pot⁻¹) reduced AMF effectiveness and secondary metabolite accumulation. Notably, AMF inoculation without N fertilization yielded the highest levels of anthocyanin and salicylic acid, indicating differential N-dependent regulation of specific biosynthetic pathways. The interaction between AMF and N demonstrated that moderate N fertilization (0.5 g N pot⁻¹) combined with dual inoculation strategies can reduce total N input requirements by 50%, while maintaining optimal plant performance. These findings provide practical insights for developing N-efficient cultivation protocols in medicinal plant production systems, contributing to sustainable agricultural practices that minimize environmental N losses. Full article

The classification of Unexploded Ordnance (UXO) from magnetometer data is a critical but challenging task, frequently hindered by the data scarcity required for training robust machine learning models. To address this, we leverage a high-fidelity digital twin to generate a comprehensive dataset of magnetometer signals from both UXO and non-UXO objects, incorporating complex remanent magnetization effects. In this study, we design and evaluate a custom Convolutional Neural Network (CNN) for UXO classification and compare it against classical machine learning baseline, including Random Forest and kNN. Our CNN model achieves a balanced accuracy of 84.65%, significantly outperforming traditional models that exhibit performance collapse under slight distortions such as additive noise, drift, and time-wrapping. Additionally, we present a compact two-block CNN variant that retains competitive accuracy while reducing the number of learnable parameters by approximately 33%, making it suitable for real-time onboard classification in underwater vehicle missions. Through extensive ablation studies, we confirm that architectural components, such as residual skip connections and element-wise batch normalization, are crucial for achieving model stability and performance. The results also highlight the practical implications of underwater vehicles for survey design, emphasizing the need to mitigate signal drift and maintain constant survey speeds. This work not only provides a robust deep learning model for UXO classification, but also offers actionable suggestions for improving both model deployment and data acquisition protocols in the field. Full article

Given the importance of turbidity as a key indicator of water quality, this study investigates the use of a convolutional neural network (CNN) to classify water samples into five turbidity-based categories. These classes were defined using ranges inspired by Mexican environmental regulations and generated from 33 laboratory-prepared mixtures with varying concentrations of suspended clay particles. Red, green, and blue (RGB) images of each sample were captured under controlled optical conditions, and turbidity was measured using a calibrated turbidimeter. A transfer learning (TL) approach was applied using EfficientNet-B0, a deep yet computationally efficient CNN architecture. The model achieved an average accuracy of 99% across ten independent training runs, with minimal misclassifications. The use of a lightweight deep learning model, combined with a standardized image acquisition protocol, represents a novel and scalable alternative for rapid, low-cost water quality assessment in future environmental monitoring systems. Full article

Background/Objective: Functional near-infrared spectroscopy (fNIRS) is a non-invasive neuroimaging technique with growing relevance in psychiatry. Its ability to measure cortical hemodynamics positions it as a potential tool for monitoring neurofunctional changes related to treatment. However, the specific features and level of consistency of its use in clinical psychiatric settings remain unclear. A scoping review was conducted under PRISMA-ScR guidelines to systematically map how fNIRS has been used in monitoring treatment response among individuals with psychiatric disorders. Methods: Forty-seven studies published between 2009 and 2025 were included based on predefined eligibility criteria. Data was extracted on publication trends, research design, sample characteristics, fNIRS paradigms, signal acquisition, preprocessing methods, and integration of clinical outcomes. Reported limitations and conflicts of interest were also analyzed. Results: The number of publications increased sharply after 2020, predominantly from Asia. Most studies used experimental designs, with 31.9% employing randomized controlled trials. Adults were the primary focus (93.6%), with verbal fluency tasks and DLPFC-targeted paradigms most common. Over half of the studies used high-density (>32-channel) systems. However, only 44.7% reported motion correction procedures, and 53.2% did not report activation direction. Clinical outcome linkage was explicitly stated in only 12.8% of studies. Conclusions: Despite growing clinical interest, with fNIRS showing promise as a non-invasive neuroimaging tool for monitoring psychiatric treatment response, the current evidence base is limited by methodological variability and inconsistent outcome integration. There is a rising need for the adoption of standardized protocols for both design and reporting. Future research should also include longitudinal studies and multimodal approaches to enhance validity and clinical relevance. Full article

This study analyzes the use of a lightweight image-based deep learning model to classify dairy cows into low-, medium-, and high-milk-yield categories by automatically detecting the udder region of the cow. The implemented model was based on the YOLOv11 architecture, which enables efficient object detection and classification with real-time performance. The model is trained on a public dataset of cow images labeled with 305-day milk yield records. Thresholds were established to define the three yield classes, and a balanced subset of labeled images was selected for training, validation, and testing purposes. To assess the robustness and consistency of the proposed approach, the model was trained 30 times following the same experimental protocol. The system achieves precision, recall, and mean Average Precision (mAP@50) of 0.408 ± 0.044, 0.739 ± 0.095, and 0.492 ± 0.031, respectively, across all classes. The highest precision (0.445 ± 0.055), recall (0.766 ± 0.107), and mAP@50 (0.558 ± 0.036) were observed in the low-yield class. Qualitative analysis revealed that misclassifications mainly occurred near class boundaries, emphasizing the importance of consistent image acquisition conditions. The resulting model was deployed in a mobile application designed to support field-level assessment by non-specialist users. These findings demonstrate the practical feasibility of applying vision-based models to support decision-making in dairy production systems, particularly in settings where traditional data collection methods are unavailable or impractical. Full article

Food quality and safety are essential for ensuring public health, preventing foodborne illness, reducing food waste, maintaining consumer confidence, and supporting regulatory compliance and international trade. This has led to the emergence of many research works that focus on automating and streamlining the assessment of food quality. Electronic noses have become of paramount importance in this context. We analyze the current state of research in the development of electronic noses for food quality and safety. We examined research papers published in three different scientific databases in the last decade, leading to a comprehensive review of the field. Our review found that most of the efforts use portable, low-cost electronic noses, coupled with pattern recognition algorithms, for evaluating the quality levels in certain well-defined food classes, reaching accuracies exceeding 90% in most cases. Despite these encouraging results, key challenges remain, particularly in diversifying the sensor response across complex substances, improving odor differentiation, compensating for sensor drift, and ensuring real-world reliability. These limitations indicate that a complete device mimicking the flexibility and selectivity of the human olfactory system is not yet available. To address these gaps, our review recommends solutions such as the adoption of adaptive machine learning models to reduce calibration needs and enhance drift resilience and the implementation of standardized protocols for data acquisition and model validation. We introduce benchmark comparisons and a future roadmap for electronic noses that demonstrate their potential to evolve from controlled studies to scalable industrial applications. In doing so, this review aims not only to assess the state of the field but also to support its transition toward more robust, interpretable, and field-ready electronic nose technologies. Full article

Steel wire ropes used in transport and aerospace applications are critical components whose failure can lead to significant safety, operational, and environmental consequences. Current diagnostic practices based on magnetic rope testing (MRT) often suffer from signal misalignment and subjective interpretation, particularly under varying operational conditions or in polymer-impregnated ropes with delayed damage indicators. This study explores the application of the Dynamic Time Warping (DTW) algorithm to enhance the reliability of MRT diagnostics. The research involved analyzing long-term MRT recordings of wire ropes used in mining operations, including different scanning resolutions and signal acquisition methods. A mathematical formulation of DTW is provided along with its implementation code in R and Python. The DTW algorithm was applied to synchronize diagnostic signals with their baseline recordings, as recommended by ISO 4309:2017 and EN 12927:2019 standards. Results show that DTW enables robust alignment of time series with slowly varying spectra, thereby improving the comparability and interpretation of MRT data. This approach reduces the risk of unnecessary rope discard and increases the effectiveness of degradation monitoring. The findings suggest that integrating DTW into existing diagnostic protocols can contribute to safer operation, lower maintenance costs, and reduced environmental impact. Full article

Background/Objectives: Mobile healthcare units (MHUs) comprise flexible, ambulatory healthcare teams that deliver community care services, particularly in underserved or remote areas. In Greece, MHUs were pivotal in epidemiological surveillance during the COVID-19 pandemic and are now evolving into a sustainable and integrated service for much-needed community-based healthcare. To support this expanded role, targeted, competency-based training is essential; however, this can pose challenges, especially in coordinating synchronous learning across geographically dispersed teams and in ensuring engagement using an online format. Methods: A nationwide, online training program was developed to improve the knowledge of the personnel members of the Hellenic National Public Health Organization’s MHUs. This program was structured focusing on four core themes: (i) prevention–health promotion; (ii) provision of care; (iii) social welfare and solidarity initiatives; and (iv) digital health skill enhancement. The program was implemented by the University of Crete’s Center for Training and Lifelong Learning from 16 January to 24 February 2025. A multidisciplinary team of 64 experts delivered 250 h of live and on-demand educational content, including health screenings, vaccination protocols, biomarker monitoring, chronic disease management, treatment adherence, organ donation awareness, counseling on social violence, and eHealth applications. Knowledge acquisition was assessed through a pre- and post-training multiple-choice test related to the core themes. Trainees’ and trainers’ qualitative feedback was evaluated using a 0–10 numerical rating scale (Likert-type). Results: A total of 873 MHU members participated in the study, including both healthcare professionals and administrative staff. The attendance rate was consistently above 90% on a daily basis. The average assessment score increased from 52.8% (pre-training) to 69.8% (post-training), indicating 17% knowledge acquisition. The paired t-test analysis demonstrated that this improvement was statistically significant (t = −8.52, p < 0.001), confirming the program’s effectiveness in enhancing knowledge. As part of the evaluation of qualitative feedback, the program was positively evaluated, with 75–80% of trainees rating key components such as content, structure, and trainer effectiveness as “Very Good” or “Excellent.” In addition, using a 0–10 scale, trainers rated the program relative to organization (9.4/10), content (8.8), and trainee engagement (8.9), confirming the program’s strength and scalability in primary care education. Conclusions: This initiative highlights the effectiveness of a structured, online training program in enhancing MHU knowledge, ensuring standardized, high-quality education that supports current primary healthcare needs. Future studies evaluating whether the increase in knowledge acquisition may also result in an improvement in the personnel’s competencies, and clinical practice will further contribute to assessing whether additional training programs may be helpful. Full article

Introduction: Huntington’s disease (HD) disrupts cortico-striato-thalamocortical circuits decades before clinical onset. Electroencephalography (EEG) offers millisecond temporal resolution, low cost, and broad accessibility, yet its mechanistic and biomarker potential in HD remains underexplored. We conducted a mechanistic review to synthesize half a century of EEG findings, identify reproducible electrophysiological signatures, and outline translational next steps. Methods: Two independent reviewers searched PubMed, Scopus, Google Scholar, ResearchGate, and the Cochrane Library (January 1970–April 2025) using the terms “EEG” OR “electroencephalography” AND “Huntington’s disease”. Clinical trials published in English that reported raw EEG (not ERP-only) in human HD gene carriers were eligible. Abstract/title screening, full-text appraisal, and cross-reference mining yielded 22 studies (~700 HD recordings, ~600 controls). We extracted sample characteristics, acquisition protocols, spectral/connectivity metrics, and neuroclinical correlations. Results: Across diverse platforms, a consistent spectral trajectory emerged: (i) presymptomatic carriers show a focal 7–9 Hz (low-alpha) power loss that scales with CAG repeat length; (ii) early-manifest patients exhibit widespread alpha attenuation, delta–theta excess, and a flattened anterior-posterior gradient; (iii) advanced disease is characterized by global slow-wave dominance and low-voltage tracings. Source-resolved studies reveal early alpha hypocoherence and progressive delta/high-beta hypersynchrony, microstate shifts (A/B ↑, C/D ↓), and rising omega complexity. These electrophysiological changes correlate with motor burden, cognitive slowing, sleep fragmentation, and neurovascular uncoupling, and achieve 80–90% diagnostic accuracy in shallow machine-learning pipelines. Conclusions: EEG offers a coherent, stage-sensitive window on HD pathophysiology—from early thalamocortical disinhibition to late network fragmentation—and fulfills key biomarker criteria. Translation now depends on large, longitudinal, multi-center cohorts with harmonized high-density protocols, rigorous artifact control, and linkage to clinical milestones. Such infrastructure will enable the qualification of alpha-band restoration, delta-band hypersynchrony, and neurovascular coupling as pharmacodynamic readouts, fostering precision monitoring and network-targeted therapy in Huntington’s disease. Full article

Mine ventilation systems are critical for ensuring operational safety, yet air leakage remains a pervasive challenge, leading to energy inefficiency and heightened safety risks. Traditional tracer gas methods, while effective in simple networks, exhibit significant errors in complex multi-entry systems due to static empirical parameters and environmental interference. This study proposes an integrated methodology that combines multi-path airflow analysis with dynamic longitudinal dispersion coefficient correction to enhance the accuracy of air leakage detection. Utilizing sulfur hexafluoride (SF6) as the tracer gas, a phased release protocol with temporal isolation was implemented across five strategic points in a coal mine ventilation network. High-precision detectors (Bruel & Kiaer 1302) and the MIVENA system enabled synchronized data acquisition and 3D network modeling. Theoretical models were dynamically calibrated using field-measured airflow velocities and dispersion coefficients. The results revealed three deviation patterns between simulated and measured tracer peaks: Class A deviation showed 98.5% alignment in single-path scenarios, Class B deviation highlighted localized velocity anomalies from Venturi effects, and Class C deviation identified recirculation vortices due to abrupt cross-sectional changes. Simulation accuracy improved from 70% to over 95% after introducing wind speed and dispersion adjustment coefficients, resolving concealed leakage pathways between critical nodes and key nodes. The study demonstrates that the dynamic correction of dispersion coefficients and multi-path decomposition effectively mitigates errors caused by turbulence and geometric irregularities. This approach provides a robust framework for optimizing ventilation systems, reducing invalid airflow losses, and advancing intelligent ventilation management through real-time monitoring integration. Full article

Brain–Computer Interfaces (BCIs) enable direct communication between the brain and external devices by decoding motor intentions from EEG signals. However, the existing multi-class classification methods for motor imagery EEG (MI-EEG) signals are hindered by low signal quality and limited accuracy, restricting their practical application. This study focuses on rehabilitation training scenarios, aiming to capture the motor intentions of patients with partial or complete motor impairments (such as stroke survivors) and provide feedforward control commands for exoskeletons. This study developed an EEG acquisition protocol specifically for use with lower-limb rehabilitation motor imagery (MI). It systematically explored preprocessing techniques, feature extraction strategies, and multi-classification algorithms for multi-task MI-EEG signals. A novel 3D EEG convolutional neural network (3D EEG-CNN) that integrates time/frequency features is proposed. Evaluations on a self-collected dataset demonstrated that the proposed model achieved a peak classification accuracy of 66.32%, substantially outperforming conventional approaches and demonstrating notable progress in the multi-class classification of lower-limb motor imagery tasks. Full article

Platinum-induced ototoxicity constitutes a significant adverse effect in pediatric oncology, frequently resulting in permanent hearing impairment with profound implications for quality of life, language acquisition, and scholastic performance. This comprehensive review critically evaluates contemporary ototoxicity monitoring practices across various pediatric oncology settings, analyzes current guideline recommendations, and formulates strategies for implementing standardized surveillance protocols. Through examination of recent literature—encompassing retrospective cohort investigations, international consensus recommendations, and functional outcome assessments—we present an integrated analysis of challenges and opportunities in managing chemotherapy-associated hearing loss among childhood cancer survivors. Our findings demonstrate marked heterogeneity in monitoring methodologies, substantial implementation obstacles, and considerable impact on survivors’ functional status across multiple domains. Particularly concerning is the persistent absence of an evidence-based consensus regarding the appropriate duration of audiological surveillance for this vulnerable population. We propose a structured framework for comprehensive ototoxicity management emphasizing prompt detection, standardized assessment techniques, and integrated long-term follow-up care to minimize the developmental consequences of platinum-induced hearing impairment. This approach addresses critical gaps in current practice while acknowledging resource limitations across diverse healthcare environments. Full article