Search Results (46)

This project aimed to develop personal protective equipment (PPE) that provides full biological protection for the general public without the need for extensive training to use the equipment. With the proposal to develop a device guided by a smartphone monitoring application (to guide the user on the replacement of perishable components, ensuring their safety and biological protection in potentially contaminated places), the embedded electronics of this equipment were built, as well as their control system, including a smartphone app. Thus, a device was successfully developed to monitor and assist individuals in using an advanced PPE device. Full article

Background/Objectives: Identifying the factors influencing compliance is essential to improve the effectiveness of interventions. However, no study has examined factors that influence the longitudinal patterns of obesity intervention compliance. We aim to identify the longitudinal trajectories of parental and child compliance using group-based trajectory modeling (GBTM) and assess the influencing factors. Methods: The Diet, ExerCIse, and CarDiovascular hEalth Children (DECIDE-Children) was a 9-month app-assisted obesity prevention intervention targeted 8–10-year-old children. Altogether, 684 child–parent pairs from the intervention group were included. Parents were required to use the mobile app to learn health knowledge, monitor children’s diet and exercise behaviors, manage children’s weight, and received the assessment results. Parental compliance was assessed as the monthly usage times and duration of the mobile app. For child compliance, we used data recorded by parents in the “behavior monitoring” module. We employed group-based trajectory modeling (GBTM) to identify distinct trajectories of parental and child compliance and examined their associations with childhood obesity outcomes. Univariate and multivariate logistic regressions were performed to identify the influencing factors associated with the identified compliance groups. Results: Distinct trajectory groups of parental and child compliance were identified. The compliance trajectories of parents and children are related to the extent of changes in the child’s obesity-related outcomes (waist circumference, waist-to-hip ratio, and body fat percentage. p < 0.05). A majority of parents were classified into the “relatively low compliance” group. Parents in this group was associated with having a daughter (OR: 1.95, 95% CI: 1.17, 3.31) and the father having a higher education level (OR: 1.65, 95% CI: 1.05, 2.60). For children, 20.2% were assigned to the “decreasing compliance” group. Children in this group were more likely to have a younger mother (OR: 1.05, 95% CI: 1.01, 1.10) and parents with poorer compliance (OR: 2.36, 95% CI: 1.16, 5.47). Conclusions: Both student and parental compliance were shown to influence the effectiveness of childhood obesity interventions, highlighting the need to prioritize the assessment and promotion of compliance in such interventions. Child sex, paternal educational level, and maternal age were identified as significant factors associated with compliance, while the level of family involvement was found to play a pivotal role in fostering healthy behaviors in children. These findings suggest that future intervention strategies should place greater emphasis on engaging families and providing targeted supervision and support for populations at risk of lower compliance in order to enhance intervention outcomes. Full article

Evidence is increasing for digital health programs targeting the secondary prevention of stroke. We aimed to determine the feasibility of the novel Care Assistant and support Program for people after Stroke (CAPS) or transient ischaemic attack (TIA) by combining person-centred goal setting and risk-factor monitoring through a web-based clinician portal, SMS messages, a mobile application (app), and a wearable device. We conducted a 12-week mixed-methods, open-label feasibility study. Participants (6 months–3 years after stroke or TIA, access to the internet via a smartphone/tablet) were recruited via the Australian Stroke Clinical Registry. Participants set one or two secondary prevention goals with a researcher and provided access and training in technology use. Feasibility outcomes included recruitment, retention, usability, acceptability, and satisfaction. Secondary outcomes included goal attainment, health outcomes, and program costs. Following 600 invitations, 58 responded, 34/36 (94%) eligible participants commenced the program (one withdrawal; 97% retention), and 10 were interviewed. Participants (27% female, 33% TIA) generally rated the usability of the mobile application as ‘Good’ to ‘Excellent’ (System Usability Scale). Most (94%) agreed the program helped with engagement in health self-monitoring. Overall, 52 goals were set, predominantly regarding exercise (21/52), which were the most frequently achieved (9/21). At 12 weeks, participants reported significant improvements (p < 0.05) in self-efficacy (Cohen’s d = 0.40), cardiovascular health (d = 0.71), and the mental health domain of the PROMIS GH (d = 0.63). CAPS was acceptable, with good retention and engagement of participants. Evaluation of this program in a randomised controlled trial is warranted. Full article

Musculoskeletal disorders are common among older adults, affecting mobility and quality of life. Effective rehabilitation is essential, but the implementation of programs faces challenges. Traditional methods often necessitate in-person assessments, which can be difficult for older adults with mobility limitations. Telerehabilitation offers a solution, bringing therapy closer to patients. However, the accurate remote monitoring of health and performance remains a challenge. This study addresses this gap by developing and validating the System for Tracking and Evaluating Performance (STEP). STEP is a hardware-software system that automates physical performance tests, eliminating the need for constant expert supervision. The system focuses on three standard tests: the Six-Minute Walking Test (6MWT), the Ten-Meter Walking Test (10MWT), and the 30-s Sit-to-Stand Test (30STS). Validation compared results from the STEP app with in-person assessments by physicians for patients undergoing rehabilitation after knee or hip arthroplasty. The study found strong positive correlations between the app’s results and the physicians’ assessments for all tests. These findings demonstrate the STEP system’s potential as a reliable tool for remote physical performance assessment. Further research is needed to explore its integration into clinical practice and cost-effectiveness in reducing the need for operator assistance in monitoring patients with physical limitations. Full article

The Fruit Harvest Helper, a mobile application developed by Northwest Nazarene University’s (NNU) Robotics Vision Lab, aims to assist farmers in estimating fruit yield for apple orchards. Currently, farmers manually estimate the fruit yield for an orchard, which is a laborious task. The Fruit Harvest Helper seeks to simplify their process by detecting apples on images of apple trees. Once the number of apples is detected, a correlation can then be applied to this value to obtain a usable yield estimate for an apple tree. While prior research efforts at NNU concentrated on developing an iOS app for blossom detection, this current research aims to adapt that smart farming application for apple detection across multiple platforms, iOS and Android. Borrowing ideas from the former iOS app, the new application was designed with an intuitive user interface that is easy for farmers to use, allowing for quick image selection and processing. Unlike before, the adapted app uses a color ratio-based image-segmentation algorithm written in C++ to detect apples. This algorithm detects apples within apple tree images that farmers select for processing by using OpenCV functions and C++ code. The results of testing the algorithm on a dataset of images indicate an 8.52% Mean Absolute Percentage Error (MAPE) and a Pearson correlation coefficient of 0.6 between detected and actual apples on the trees. These findings were obtained by evaluating the images from both the east and west sides of the trees, which was the best method to reduce the error of this algorithm. The algorithm’s processing time was tested for Android and iOS, yielding an average performance of 1.16 s on Android and 0.14 s on iOS. Although the Fruit Harvest Helper shows promise, there are many opportunities for improvement. These opportunities include exploring alternative machine-learning approaches for apple detection, conducting real-world testing without any human assistance, and expanding the app to detect various types of fruit. The Fruit Harvest Helper mobile application is among the many mobile applications contributing to precision agriculture. The app is nearing readiness for farmers to use for the purpose of yield monitoring and farm management within Pink Lady apple orchards. Full article

Skiing technique and performance improvements are crucial for athletes and enthusiasts alike. This study presents SnowMotion, a digital human motion training assistance platform that addresses the key challenges of reliability, real-time analysis, usability, and cost in current motion monitoring techniques for skiing. SnowMotion utilizes wearable sensors fixed at five key positions on the skier’s body to achieve high-precision kinematic data monitoring. The monitored data are processed and analyzed in real time through the SnowMotion app, generating a panoramic digital human image and reproducing the skiing motion. Validation tests demonstrated high motion capture accuracy (cc > 0.95) and reliability compared to the Vicon system, with a mean error of 5.033 and a root-mean-square error of less than 12.50 for typical skiing movements. SnowMotion provides new ideas for technical advancement and training innovation in alpine skiing, enabling coaches and athletes to analyze movement details, identify deficiencies, and develop targeted training plans. The system is expected to contribute to popularization, training, and competition in alpine skiing, injecting new vitality into this challenging sport. Full article

Recognizing the growing interests and benefits of technology-assisted interactive telerehabilitation in various populations, the aim of this review is to systematically review the effects of interactive telerehabilitation with remote monitoring and guidance for improving balance and gait performance in older adults and individuals with neurological conditions. The study protocol for this systematic review was registered with the international prospective register of systematic reviews (PROSPERO) with the unique identifier CRD42024509646. Studies written in English published from January 2014 to February 2024 in Web of Science, Pubmed, Scopus, and Google Scholar were examined. Of the 247 identified, 17 were selected after initial and eligibility screening, and their methodological quality was assessed with the National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-sectional Studies. All 17 studies demonstrated balance and gait performance improvement in older adults and in individuals with stroke, Parkinson’s disease, and multiple sclerosis following 4 or more weeks of interactive telerehabilitation via virtual reality, smartphone or tablet apps, or videoconferencing. The findings of this systematic review can inform the future design and implementation of interactive telerehabilitation technology and improve balance and gait training exercise regimens for older adults and individuals with neurological conditions. Full article

Breastfeeding is widely recognized as the gold standard for infant nutrition, benefitting infants’ gastrointestinal tracts. Stool analysis helps in understanding pediatric gastrointestinal health, but the effectiveness of automated fecal consistency evaluation by parents of breastfeeding infants has not been investigated. Photographs of one-month-old infants’ feces on diapers were taken via a smartphone app and independently categorized by Artificial Intelligence (AI), parents, and researchers. The accuracy of the evaluations of the AI and the parents was assessed and compared. The factors contributing to assessment bias and app user characteristics were also explored. A total of 98 mother–infant pairs contributed 905 fecal images, 94.0% of which were identified as loose feces. AI and standard scores agreed in 95.8% of cases, demonstrating good agreement (intraclass correlation coefficient (ICC) = 0.782, Kendall’s coefficient of concordance W (Kendall’s W) = 0.840, Kendall’s tau = 0.690), whereas only 66.9% of parental scores agreed with standard scores, demonstrating low agreement (ICC = 0.070, Kendall’s W = 0.523, Kendall’s tau = 0.058). The more often a mother had one or more of the following characteristics, unemployment, education level of junior college or below, cesarean section, and risk for postpartum depression (PPD), the more her appraisal tended to be inaccurate (p < 0.05). Each point increase in the Edinburgh Postnatal Depression Scale (EPDS) score increased the deviation by 0.023 points (p < 0.05), which was significant only in employed or cesarean section mothers (p < 0.05). An AI-based stool evaluation service has the potential to assist mothers in assessing infant stool consistency by providing an accurate, automated, and objective assessment, thereby helping to monitor and ensure the well-being of infants. Full article

Cancer, a pervasive global health challenge, necessitates chemotherapy or radiotherapy treatments for many prevalent forms. However, traditional follow-up approaches encounter limitations, exacerbated by the recent COVID-19 pandemic. Consequently, telemonitoring has emerged as a promising solution, although its clinical implementation lacks comprehensive evidence. This report depicts the methodology of a randomized trial which aims to investigate whether leveraging a smartphone app called Contigo for disease monitoring enhances self-reported quality of life among patients with various solid cancers compared to standard care. Secondary objectives encompass evaluating the app’s impact on depressive symptoms and assessing adherence to in-person appointments. Randomization will be performed independently using an allocation sequence that will be kept concealed from clinical investigators. Contigo offers two primary functions: monitoring cancer patients’ progress and providing educational content to assist patients in managing common clinical situations related to their disease. The study will assess outcomes such as quality of life changes and depressive symptom development using validated scales, and adherence to in-person appointments. Specific scales include the EuroQol Group’s EQ-5D questionnaire and the Patient Health Questionnaire (PHQ-9). We hypothesize that the use of Contigo will assist and empower patients receiving cancer treatment, which will translate to better quality of life scores and a reduced incidence of depressive symptoms. All analyses will be undertaken with the intention-to-treat principle by a statistician unaware of treatment allocation. This trial is registered in ClinicalTrials under the registration number NCT06086990. Full article

Within the framework of the European Union’s Horizon 2020 research and innovation program, one of the main goals of the Labyrinth project was to develop and test the Conflict Management services of a U-space-based Unmanned Traffic Management (UTM) system. The U-space concept of operations (ConOps) provides a high-level description of the architecture, requirements and functionalities of these systems, but the implementer has a certain degree of freedom in aspects like the techniques used or some policies and procedures. The current document describes some of those implementation decisions. The prototype included part of the services defined by the ConOps, namely e-identification, Tracking, Geo-awareness, Drone Aeronautical Information Management, Geo-fence Provision, Operation Plan Preparation/Optimization, Operation Plan Processing, Strategic Conflict Resolution, Tactical Conflict Resolution, Emergency Management, Monitoring, Traffic Information and Legal Recording. Moreover, a Web app interface was developed for the operator/pilot. The system was tested in simulations and real visual line of sight (VLOS) and beyond VLOS (BVLOS) flights, with both vertical take-off and landing (VTOL) and fixed-wing platforms, while assisting final users interested in incorporating drones to support their tasks. The development and testing of the environment provided lessons at different levels: functionalities, compatibility, procedures, information, usability, ground control station (GCS) integration and aircrew roles. Full article

Virtual fences for livestock facilitated by a GPS shock collar (GPS-SC) and phone app were introduced to the UK in cattle herd trials in 2020. Technology which uses aversive shocks to control livestock movement on farms and in other settings poses a significant risk to livestock welfare. There are currently no welfare protocols in place in the UK to ensure the ethical use of GPS-SCs. The objective of this study was to understand how GPS-SCs were being used in practice in the UK and gather data to assist researchers and policymakers in the future research and development of a welfare protocol for the UK. We studied how the technology performs in terms of welfare challenges and opportunities, covering extensive livestock production, conservation settings, “rewilding”, and regenerative farming practices, where the technology is currently being applied. Semistructured interviews were conducted with key stakeholders. In-depth interviews (n = 8) supported the previous literature that the use of GPS-SCs in restricted grazing settings poses a risk to animal welfare. This is due to the wavering virtual fence boundary line (which is affected by satellite movements), a lack of visual markers, and, in some “rewilding” and conservation settings, livestock keepers, which require training and support to enable optimal welfare in practice and prevent misuse of the technology. Results also indicated that there are opportunities for enhancing livestock welfare with GPS-SCs in very extensive farm settings, where targeted care can be facilitated by using the data to monitor and track livestock using GPS-SCs, and which can also prevent cattle injury or fatality through virtual pastures designed to protect livestock from hazards such as roads or bogs. Future research is needed to focus on minimising shocks in the training period and to better understand the value of visual electric fences in the training process. Full article

In this work, an assistance system based on the Artificial Intelligence of Things (AIoT) framework was designed and implemented to provide convenience for visually impaired people. This system aims to be low-cost and multi-functional with object detection, obstacle distance measurement, and text recognition achieved by wearable smart glasses, heart rate detection, fall detection, body temperature measurement, and humidity-temperature monitoring offered by an intelligent walking stick. The total hardware cost is approximately $66.8, as diverse low-cost sensors and modules are embedded. Meanwhile, a voice assistant is adopted, which helps to convey detection results to users. As for the performance evaluation, the accuracies of object detection and text recognition in the wearable smart glasses experiments are 92.16% and 99.91%, respectively, and the maximum deviation rate compared to the mobile app on obstacle distance measurement is 6.32%. In addition, the intelligent walking stick experiments indicate that the maximum deviation rates compared to the commercial devices on heart rate detection, body temperature measurement, and humidity-temperature monitoring are 3.52%, 0.19%, and 3.13%, respectively, and the fall detection accuracy is 87.33%. Such results demonstrate that the proposed assistance system yields reliable performances similar to commercial devices and is impressive when considering the total cost as a primary concern. Consequently, it satisfies the fundamental requirements of daily life, benefiting the safety and well-being of visually impaired people. Full article

Wearable devices and fitness trackers have gained popularity in healthcare and telemedicine as tools to reduce hospitalization costs, improve personalized health management, and monitor patients in remote areas. Smartwatches, particularly, offer continuous monitoring capabilities through step counting, heart rate tracking, and activity monitoring. However, despite being recognized as an emerging technology, the adoption of smartwatches in patient monitoring systems is still at an early stage, with limited studies delving beyond their feasibility. Developing healthcare applications for smartwatches faces challenges such as short battery life, wearable comfort, patient compliance, termination of non-native applications, user interaction difficulties, small touch screens, personalized sensor configuration, and connectivity with other devices. This paper presents a case study on designing an Android smartwatch application for remote monitoring of geriatric patients. It highlights obstacles encountered during app development and offers insights into design decisions and implementation details. The aim is to assist programmers in developing more efficient healthcare applications for wearable systems. Full article

In the current era of ubiquitous computing and mobile technology, almost all human beings use various self-monitoring applications. Mobile applications could be the best health assistant for safety and adopting a healthy lifestyle. Therefore, persuasive designing is a compulsory element for designing such apps. A popular model for persuasive design named the Persuasive System Design (PSD) model is a generalized model for whole persuasive technologies. Any type of persuasive application could be designed using this model. Designing any special type of application using the PSD model could be difficult because of its generalized behavior which fails to provide moral support for users of health applications. There is a strong need to propose a customized and improved persuasive system design model for each category to overcome the issue. This study evaluates the PSD model and finds persuasive gaps in users of the Mobile Health Monitoring application, developed by following the PSD model. Furthermore, this study finds that users misunderstand health-related problems when using such apps. A misunderstanding of this nature can have serious consequences for the user’s life in some cases. Full article

Smartphone-assisted fluorescence and colorimetric methods for the on-site detection of Hg²⁺ and Cl⁻ were established based on the oxidase-like activity of the Au–Hg alloy on the surface of Au/Cu/Ti₃C₂ NSs. The Au nanoparticles (NPs) were constructed via in-situ growth on the surface of Cu/Ti₃C₂ NSs and characterized by different characterization techniques. After the addition of Hg²⁺, the formation of Hg–Au alloys could promote the oxidization of o-phenylenediamine (OPD) to generate a new fluorescence emission peak of 2,3-diaminopenazine (ADP) at 570 nm. Therefore, a turn-on fluorescence method for the detection of Hg²⁺ was established. As the addition of Cl⁻ can influence the fluorescence of ADP, the fluorescence intensity was constantly quenched to achieve the continuous quantitative detection of Cl⁻. Therefore, a turn-off fluorescence method for the detection of Cl⁻ was established. This method had good linear ranges for the detection of Hg²⁺ and Cl⁻ in 8.0–200.0 nM and 5.0–350.0 µM, with a detection limit of 0.8 nM and 27 nM, respectively. Depending on the color change with the detection of Hg²⁺ and Cl⁻, a convenient on-site colorimetric method for an analysis of Hg²⁺ and Cl⁻ was achieved by using digital images combined with smartphones (color recognizers). The digital picture sensor could analyze RGB values in concentrations of Hg²⁺ or Cl⁻ via a smartphone app. In summary, the proposed Au/Cu/Ti₃C₂ NSs-based method provided a novel and more comprehensive application for environmental monitoring. Full article