Search Results (2,137)

Background and Objectives: Depression is a leading cause of disability globally, with treatment challenges including limited access, stigma, and poor adherence. Gamification, which applies game elements such as points, levels, and storytelling into non-game contexts, offers a promising strategy to enhance engagement and augment traditional treatments. Our research is the first study designed to explore the implementation of gamification within the Malaysian context. The objective was to explore the feasibility of implementation of gamification as an adjunctive treatment for adults with depression. Materials and Methods: Focus group discussions were held with five mental health professionals and ten patients diagnosed with moderate depression. The qualitative component assessed perceptions of gamified interventions, while quantitative measures evaluated participants’ depressive and anxiety symptomatology. Results: Three key themes were identified: (1) understanding of gamification as a treatment option, (2) factors influencing its acceptance, and (3) characteristics of a practical and feasible intervention. Clinicians saw potential in gamification to boost motivation, support psychoeducation, and encourage self-paced learning, but they expressed concerns about possible addiction, stigma, and the complexity of gameplay for some patients. Patients spoke of gaming as a source of comfort, escapism, and social connection. Acceptance was shaped by engaging storylines, intuitive design, balanced difficulty, therapist guidance, and clear safety measures. Both groups agreed that gamification should be used in conjunction with standard treatments, be culturally sensitive, and be presented as a meaningful therapeutic approach rather than merely as entertainment. Conclusions: Gamification emerges as an acceptable and feasible supplementary approach for managing depression in Malaysia. Its success depends on culturally sensitive design, robust clinical oversight, and seamless integration with existing care pathways. Future studies should investigate long-term outcomes and establish guidelines for the safe and effective implementation of this approach. We recommend targeted investment into culturally adapted gamified tools, including training, policy development, and collaboration with key stakeholders to realistically implement gamification as a mental health intervention in Malaysia. Full article

One of the fundamental goals of contemporary mobility is to optimize transport processes in urban areas. The solution in this area seems to be the implementation of the idea of sustainable transport systems based on the Smart City concept. The article presents a case study—an assessment of the possibilities of changing mobility habits based on the idea of sustainable urban transport, taking into account the criterion of energy consumption of individual means of transport. The analyses are based on a comparison of selected means of transport occurring in the urban environment according to several key parameters for the optimization and efficiency of transport processes, i.e., cost, time, travel comfort, and impact on the natural environment, while simultaneously linking them to the criterion of energy consumption of individual means of transport. The analyzed parameters currently constitute the most important group of challenges in the area of shaping and planning optimal and sustainable urban transport. The presented research was used to indicate the connections between various areas of optimization of the transport process and the energy efficiency of individual modes of transport. Analyses have shown that the least time-consuming process of urban mobility is associated with the highest level of CO₂ emissions and, at the same time, the highest level of energy efficiency. However, combining public transport with other means of transport can meet most of the transport expectations of city residents, also in terms of energy optimization. The research results presented in the article can contribute to the creation of a strategy for the development of the transport network based on the postulates of increasing the optimization and efficiency of individual means of transport in urban areas. At the same time, recognizing the criterion of energy intensity of means of transport as leading in the development of sustainable urban mobility. Thus, confirming the important role of existing transport systems in the process of shaping and planning sustainable urban mobility in accordance with the idea of Smart City. Full article

Traditional Chinese villages, which have long supported villagers’ comfort level of daily activities, are increasingly affected by global climate change and rural reconstruction, prompting growing research interest in their outdoor microclimate design. This systematic review aims to synthesize and evaluate the outdoor microclimate spatial design mechanism studies in traditional Chinese villages noted for their uniqueness and complexity. Following the PRISMA method, this study was carried out on November 27, 2024, by retrieving studies from the Scopus and CNKI databases and applying predefined inclusion and exclusion criteria; 42 empirical studies were systematically reviewed. It identifies current research trends, summarizes concepts, frameworks, indicators, and methodologies with a focus on the design mechanisms considering scales, contexts, and user groups, and outlines directions for future research. The findings reveal a growing number of publications, with case studies predominantly concentrated on three concepts: physical microclimates, human comfort, and behavioral responses, characterized as distributed in south-east areas. Based on these concepts and their correlations, this study proposes a classification framework based on multiple scales, contexts, and user groups. Within this framework, the study found that relative humidity and PET (physiological equivalent temperature) emerge as the most commonly used indicators, while field measurements, simulations, surveys, and observations are identified as the primary methods. The review further reveals that unique outdoor spatial design characteristics shape physical microclimates, human comfort, and behavior indicators influenced by contexts and users from the macro to the micro scale. Future research should advance existing studies by enriching the current contextual framework and explore more microclimatic factors. This review offers a comprehensive overview and actionable insights for outdoor microclimate design, policymaking, and the promotion of climate adaptation and villagers’ public health in different traditional rural settings. Full article

History tools facilitate iterative analysis data by allowing users to view, retrieve, and revisit visualization states. However, traditional history tools are constrained by screen space limitations, which restrict the user’s ability to fully understand historical states and make it challenging to provide an intuitive preview of these states. Most immersive history tools, in contrast, operate independently of screen space and fail to consider their integration. This paper proposes HybridFilm, an innovative mixed-reality history tool that seamlessly integrates screen space and immersive reality. First, it expands the user’s understanding of historical states through a multi-source spatial fusion approach. Second, it proposes a “focus + context”-based multi-source spatial historical data visualization and interaction scheme. Furthermore, we assessed the usability and utility of HybridFilm through experimental evaluation. In comparison to traditional history tools, HybridFilm offers a more intuitive and immersive experience while maintaining a comparable level of interaction comfort and fluency. Full article

While personal thermal comfort is critical for well-being and productivity, it is often overlooked by traditional building management systems that rely on uniform settings. Modern data-driven approaches often fail to capture the complex interactions between various data streams. This pilot study introduces a high-accuracy, interpretable framework for thermal comfort classification, designed to identify the most significant predictors from a comprehensive suite of environmental, physiological, and anthropometric data in a controlled group of young adults. Initially, an XGBoost model using the full 24-feature dataset achieved the best performance at 91% accuracy. However, after using SHAP analysis to identify and select the most influential features, the performance of our ensemble models improved significantly; notably, a Random Forest model’s accuracy rose from 90% to 94%. Our analysis confirmed that for this homogeneous cohort, environmental parameters—specifically temperature, humidity, and CO₂—were the dominant predictors of thermal comfort. The primary strength of this methodology lies in its ability to create a transparent pipeline that objectively identifies the most critical comfort drivers for a given population, forming a crucial evidence base for model design. The analysis also revealed that the predictive value of heart rate variability (HRV) diminished when richer physiological data, such as diastolic blood pressure, were included. For final validation, the optimized Random Forest model, using only the top 10 features, was tested on a hold-out set of 100 samples, achieving a final accuracy of 95% and an F1-score of 0.939, with all misclassifications occurring only between adjacent comfort levels. These findings establish a validated methodology for creating effective, context-aware comfort models that can be embedded into intelligent building management systems. Such adaptive systems enable a shift from static climate control to dynamic, user-centric environments, laying the critical groundwork for future personalized systems while enhancing occupant well-being and offering significant energy savings. Full article

This study explores the potential of craft-based activities in the context of special education, focusing on a papier mâché sculpting workshop implemented at the Special Kindergarten of Komotini, Greece, as part of the Horizon Europe Craeft project. The initiative aimed to assess how such creative activities could enhance the learning experience of children with intellectual and motor impairments, foster socialization, and develop fine motor skills. With reference to literature in art therapy, craft education, and inclusive pedagogy, the study applied a mixed-methods approach combining observation, visual analysis, and a survey. The findings indicate that, despite varied levels of participation based on individual needs, all students engaged meaningfully with the materials and activities. School professionals observed increased student engagement, emotional comfort, and communication, while also identifying the activity as well adapted and replicable in similar contexts. The results highlight the value of crafts in special education, not only as a sensory and cognitive stimulus but also as a means of fostering inclusion and self-expression. The study concludes with a call for further research into the role of tactile materials and hand gestures in relation to specific impairments. Full article

Background: Despite their high prevalence and potential for significant morbidity, hemorrhoidal symptoms remain underreported and undertreated. Misconceptions and stigma may delay care-seeking behaviors and negatively influence patient outcomes. Methods: We conducted a cross-sectional, questionnaire-based study in Romania to assess public awareness, attitudes, and barriers related to hemorrhoidal disease. The survey included 185 participants and evaluated variables such as symptom severity, understanding of the condition, perceived stigma, and willingness to consult a physician. Results: Only 30.8% of participants had sought medical advice for hemorrhoidal symptoms. Younger age (p < 0.001), male sex (p = 0.013), and lower levels of perceived severity were significantly associated with reluctance to seek medical care. The most frequently reported barriers were embarrassment and fear of invasive diagnostic procedures. Colonoscopy and digital rectal examination were identified as major deterrents by 39.5% and 38.9% of respondents, respectively. Educational level influenced both the perceived understanding of the disease (p = 0.001) and comfort in discussing anal symptoms (p = 0.002). Gender preference for physicians was significantly associated with respondent sex (p = 0.007) but not with education or age. Conclusions: Hemorrhoidal disease remains a stigmatized and underestimated condition. Public health efforts should prioritize educational interventions, destigmatization campaigns, and improved physician–patient communication to facilitate earlier diagnosis and better disease management. Full article

Public open spaces have recently attracted significant attention in the national development programs aimed at improving urban livability and quality of life in Saudi Arabia. While many studies have examined the design quality of public open spaces in the country, a contextualized evaluation index that takes into account users’ preferences and the nation’s social context is still lacking. This gap calls for additional field studies to better understand users’ needs and their interactions with the current urban design practices of public open spaces. This study provides deeper insights into the design quality of public open spaces in Saudi Arabia. The study first identified 16 attributes of design quality of public open spaces, and then assessed a case study, Alrabie Park in Al-Khobar city, based on field observation and a survey of users’ satisfaction levels in relation to these quality attributes The findings revealed that the average of users’ satisfaction was 3.76 out of 5.0, indicating a neutral to satisfied response. Key strengths were noted in accessibility and users’ comfort, while areas needing improvement included environmental quality and amenities and services. The study recommends the development of a national evaluation index for public open spaces to create inclusive, safe, and vibrant environments that reflect Saudi Arabia’s urban and socio-cultural context. It also emphasizes the importance of community engagement in this regard to ensure that the design of public spaces aligns well with the users’ needs and helps to create sustainable urban spaces in the city. Full article

This study explores the application of Eye-Tracking technology for the ergonomic evaluation of assistive device usability. Sixty-four participants evaluated six jar-opening devices in a two-phase study. First, the participants’ gaze was recorded while they viewed six rendered pictures of assistive devices, each shown in two different versions: with and without rubber in the grip area. Second, the participants physically interacted with the devices in a hands-on usability task. In both phases, participants rated the devices according to six usability affordances: robustness, comfort, easiness to grip, lid slippery, effort level, and easiness to use. Eye-Tracking metrics (fixation duration, number of fixations, and visit duration) correlated with the on-screen ratings, which aligned with ratings after using the physical devices. High ratings in comfort and effort level correlated with more visual attention to the grip area, where the rubber acted as key signifier. Heatmaps revealed the grip area as important for comfort and easiness to use and the lid area for robustness and slipperiness. These findings demonstrate the potential of Eye Tracking in usability studies, providing valuable insights for the ergonomic evaluation of assistive devices. Moreover, they highlight the suitability of Eye Tracking for early-stage design evaluation, offering objective metrics to guide design decisions and improve user experience. Full article

Street view imagery has become a vital tool for assessing urban street greenery, with the Green View Index (GVI) serving as the predominant metric. However, while GVI effectively quantifies overall greenery, it fails to capture the nuanced, human-scale experience of urban greenery. This study introduces the Front-Facing Green View Index (FFGVI), a metric designed to reflect the perspective of pedestrians traversing urban streets. The FFGVI computation involves three key steps: (1) calculating azimuths for road points, (2) retrieving front-facing street view images, and (3) applying semantic segmentation to identify green pixels in street view imagery. Building on this, this study proposes the Street Canyon Green View Index (SCGVI), a novel approach for identifying boulevards that evoke perceptions of comfort, spaciousness, and aesthetic quality akin to room-like streetscapes. Applying these indices to a case study in Nanjing, China, this study shows that (1) FFGVI exhibited a strong correlation with GVI (R = 0.88), whereas the association between SCGVI and GVI was marginally weaker (R = 0.78). GVI tends to overestimate perceived greenery due to the influence of lateral views dominated by side-facing vegetation; (2) FFGVI provides a more human-centered perspective, mitigating biases introduced by sampling point locations and obstructions such as large vehicles; and (3) SCGVI effectively identifies prominent boulevards that contribute to a positive urban experience. These findings suggest that FFGVI and SCGVI are valuable metrics for informing urban planning, enhancing urban tourism, and supporting greening strategies at the street level. Full article

The production of thermal energy in buildings using internal greenhouses makes it possible to obtain substantial gains in energy consumption and, at the same time, contribute to improving occupants’ thermal comfort (TC) levels. This article proposes a study on the producing and transporting of renewable thermal energy in a circular auditorium equipped with an enveloping semi-circular greenhouse. The numerical study is based on software that simulates the building geometry and the building thermal response (BTR) numerical model and assesses the TC level and indoor air quality (IAQ) provided to occupants in spaces ventilated by the proposed system. The building considered in this study is a circular auditorium constructed from three semi-circular auditoriums supplied with internal semi-circular greenhouses. Each of the semi-circular auditoriums faces south, northeast, and northwest, respectively. The semi-circular auditoriums are occupied by 80 people each: the one facing south throughout the day, while the one facing northeast is only occupied in the morning, and the one facing northwest is only occupied in the afternoon. The south-facing semi-circular greenhouse is used by itself to heat all three semi-circular auditoriums. The other two semi-circular greenhouses are only used to heat the interior space of the greenhouse. It was considered that the building is located in a Mediterranean-type climate and subject to the typical characteristics of clear winter days. The results allow us to verify that the proposed heating system, in which the heat provided to the occupied spaces is generated only in the semi-circular greenhouse facing south, can guarantee acceptable TC conditions for the occupants throughout the occupancy cycle. Full article

This study assessed the baseline indoor environmental quality (IEQ) of secondary school classrooms in Tanzania by measuring temperature, relative humidity, noise, lighting, and indoor air quality. Objective measurements were conducted using calibrated sensors in 14 classrooms across five schools, with data collected during occupied school hours and additional noise measurements during unoccupied periods. All classrooms are naturally ventilated through operable windows and doors. The findings reveal a pattern of cumulative IEQ deficiencies: classroom temperatures frequently exceeded the recommended 20–24 °C range, reaching means as high as 30.4 °C, while relative humidity varied widely, with levels occasionally surpassing 65%. Noise levels consistently exceeded the World Health Organization (WHO)’s recommended 35 dBA threshold, with significant differences observed between occupied and unoccupied periods (p = 0.02). Light distribution was uneven, with significantly higher lux levels near windows than at classroom centers (p < 0.001), and artificial lighting was generally insufficient due to infrastructure limitations. Although CO₂ concentrations remained below the 1000 ppm threshold, indicating adequate ventilation, particulate matter levels were often elevated, with PM2.5 reaching up to 58.80 µg/m³ and PM10 up to 96.90 µg/m³, exceeding health-based guidelines. Together, these findings suggest that students are exposed to multiple environmental stressors that may impair health, comfort, and academic performance. This study provides a critical baseline for future research and context-specific interventions aimed at improving learning environments in Tanzanian schools and similar settings in East Africa. Full article

This study estimates a willingness-to-pay (WTP) space mixed logit model to evaluate user valuations of travel time, safety, and comfort attributes associated with common access modes in Bangkok, including walking, motorcycle taxis, and localized minibuses. The model accounts for preference heterogeneity by specifying random parameters for travel time. Results indicate that users—exhibiting substantial variation in preferences—place higher value on reducing motorcycle taxi travel time, particularly in time-constrained contexts such as peak-hour commuting, whereas walking is more acceptable in less pressured settings. Safety and comfort attributes—such as helmet availability, smooth pavement, and seating—significantly influence access mode choice. Notably, the WTP for helmet availability is estimated at THB 8.04 per trip, equivalent to approximately 40% of the typical fare for station access, underscoring the importance of safety provision. Women exhibit stronger preferences for motorized access modes, reflecting heightened sensitivity to environmental and social conditions. This study represents one of the first applications of WTP-space modeling for valuing informal station access transport in Southeast Asia, offering context-specific and segment-level estimates. These findings support targeted interventions—including differentiated pricing, safety regulations, and service quality enhancements—to strengthen first-/last-mile connectivity. The results provide policy-relevant evidence to advance equitable and sustainable transport, particularly in rapidly urbanizing contexts aligned with SDG 11.2. Full article

The growing urban population has made densification a key focus of urban development. It is crucial to create an urban planning strategy that understands the environmental, social, and economic effects of densification at both the district and city levels. In Switzerland, densification is a legally binding aim to foster housing and jobs within urban boundaries. The challenge is to accommodate population growth while maintaining a high quality of life. Zurich exemplifies this situation, necessitating the accommodation of approximately 25% of the anticipated increase in both the resident population and associated workplaces, as of 2016. This study examined the effects of urban densification on urban forms and microclimates in the Altstetten–Albisrieden district. It developed five densification scenarios based on current urban initiatives and assessed their impacts. Results showed that the current Building and Zoning Plan provides sufficient capacity to accommodate growth. Strategies such as densifying parcels older than fifty years and adding floors to newer buildings were found to minimally impact existing urban forms. Using the SOLWEIG model in the Urban Multi-scale Environmental Predictor (UMEP), this study simulated mean radiant temperature (Tmrt) in the selected urban areas. The results demonstrated that densification reduced daytime average temperatures by 0.60 °C and diurnal averages by 0.23 °C, but increased average nighttime temperatures by 0.38 °C. This highlights the importance of addressing warm nights. The study concludes that well-planned densification can significantly contribute to urban liveability, emphasising the need for thoughtful building design to improve outdoor thermal comfort. Full article

Urban residential design influences local microclimates and human thermal comfort. This study combines empirical microclimate data with remotely sensed data on tree canopy cover, housing lot size, surface permeability, and roof colour to examine thermal differences between three newly built and three established residential suburbs in Western Sydney, Australia. Established areas featured larger housing lots and mature street trees, while newly developed suburbs had smaller lots and limited vegetation cover. Microclimate data were collected during summer 2021 under both heatwave and non-heatwave conditions in full sun, measuring air temperature, relative humidity, wind speed, and wet-bulb globe temperature (WBGT) as an index of heat stress. Daily maximum air temperatures reached 42.7 °C in new suburbs, compared to 39.3 °C in established ones (p < 0.001). WBGT levels during heatwaves were in the “extreme caution” category in new suburbs, while remaining in the “caution” range in established ones. These findings highlight the benefits of larger green spaces, permeable surfaces, and lighter roof colours in the context of urban heat exposure. Maintaining mature trees and avoiding dark roofs can significantly reduce summer heat and improve outdoor thermal comfort across a range of conditions. Results of this work can inform bottom-up approaches to climate-responsive urban design where informed homeowners can influence development outcomes. Full article