Search Results (1,274)

The aim of this study was to evaluate the relationship between visual functions and road traffic accidents (RTAs) by meta-analysis of observational studies. The analysis included all drivers of motor vehicles, regardless of age, and those using private or public transport. Self-reported visual outcomes were excluded. The risk of RTA in patients with reduced visual acuity was observed in commercial drivers in cross-sectional studies (PR 1.54, 95% CI 1.26–1.88), but not in private drivers in cohort (RR 1.04, 95% CI 0.74–1.46) or case–control studies (OR 1.04, 95% CI 0.78–1.40). A non-statistically significant association between colour vision defects and RTA was observed in cross-sectional studies (PR 1.50, 95% CI 0.91–2.45). No evidence was found for an increased risk of accidents in people with reduced stereopsis. In older adults with abnormal contrast sensitivity, a weak risk of RTA was observed in cohort studies. Evidence from low-quality cross-sectional studies suggests an increased risk of RTAs among commercial drivers with reduced visual acuity. The few case–control and cohort studies identified did not show an association between accident occurrence and visual function. Attention needs to be paid to this issue to facilitate the conduct of high-quality research that can support the development of road safety policies. Full article

Background: Artificial intelligence (AI) is being increasingly promoted as a means to enhance diagnostic accuracy, to streamline workflows, and to improve overall care quality in primary care. However, empirical evidence on how primary care physicians (PCPs) perceive, engage with, and emotionally respond to AI technologies in everyday clinical settings remains limited. Concerns persist regarding AI’s usability, transparency, and potential impact on professional identity, workload, and the physician–patient relationship. Methods: This qualitative study investigated the lived experiences and perceptions of 28 PCPs practicing in diverse outpatient settings across Germany. Participants were purposively sampled to ensure variation in age, practice characteristics, and digital proficiency. Data were collected through in-depth, semi-structured interviews, which were audio-recorded, transcribed verbatim, and subjected to rigorous thematic analysis employing Mayring’s qualitative content analysis framework. Results: Participants demonstrated a fundamentally ambivalent stance toward AI integration in primary care. Perceived advantages included enhanced diagnostic support, relief from administrative burdens, and facilitation of preventive care. Conversely, physicians reported concerns about workflow disruption due to excessive system prompts, lack of algorithmic transparency, increased cognitive and emotional strain, and perceived threats to clinical autonomy and accountability. The implications for the physician–patient relationship were seen as double-edged: while some believed AI could foster trust through transparent use, others feared depersonalization of care. Crucial prerequisites for successful implementation included transparent and explainable systems, structured training opportunities, clinician involvement in design processes, and seamless integration into clinical routines. Conclusions: Primary care physicians’ engagement with AI is marked by cautious optimism, shaped by both perceived utility and significant concerns. Effective and ethically sound implementation requires co-design approaches that embed clinical expertise, ensure algorithmic transparency, and align AI applications with the realities of primary care workflows. Moreover, foundational AI literacy should be incorporated into undergraduate health professional curricula to equip future clinicians with the competencies necessary for responsible and confident use. These strategies are essential to safeguard professional integrity, support clinician well-being, and maintain the humanistic core of primary care. Full article

In October 2024, a DANA (Isolated Depression at High Levels) triggered torrential rains across the Valencian Community, causing 227 deaths, severe infrastructure damage, and economic losses estimated at €17.8 billion. In this context of crisis, startups, despite having fewer resources and less experience than large corporations, played a significant role in crisis communication, shaping public perception and operational continuity. This study explores the communication strategies adopted by startups during and after the disaster, focusing on their activity on Instagram, TikTok, and Facebook between October 2024 and January 2025. Using a mixed-methods approach, we conducted a quantitative analysis of digital discourse through the Fanpage Karma tool, assessing metrics such as engagement, reach, and posting frequency. Sentiment analysis was performed using GPT-4, an advanced natural language processing model, and in-depth interviews with startup representatives provided qualitative insights into reputational impacts. The findings reveal that startups which aligned their discourse with the social context, prioritizing transparency and emotional proximity, enhanced their visibility and credibility. These results underscore how effective crisis communication not only mitigates reputational risk but also strengthens the local entrepreneurial ecosystem through trust-building and social responsibility. Full article

Accurate segmentation of densely stacked and weakly textured objects remains a core challenge in robotic depalletizing for industrial applications. To address this, we propose MaskNet, an instance segmentation network tailored for RGB-D input, designed to enhance recognition performance under occlusion and low-texture conditions. Built upon a Vision Transformer backbone, MaskNet adopts a dual-branch architecture for RGB and depth modalities and integrates multi-modal features using an attention-based fusion module. Further, spatial and channel attention mechanisms are employed to refine feature representation and improve instance-level discrimination. The segmentation outputs are used in conjunction with regional depth to optimize the grasping sequence. Experimental evaluations on camshaft depalletizing tasks demonstrate that MaskNet achieves a precision of 0.980, a recall of 0.971, and an F1-score of 0.975, outperforming a YOLO11-based baseline. In an actual scenario, with a self-designed flexible magnetic gripper, the system maintains a maximum grasping error of 9.85 mm and a 98% task success rate across multiple camshaft types. These results validate the effectiveness of MaskNet in enabling fine-grained perception for robotic manipulation in cluttered, real-world scenarios. Full article

An accurate extrinsic calibration between LiDAR and cameras is essential for effective sensor fusion, directly impacting the perception capabilities of autonomous driving systems. Although prior calibration approaches using planar and point features have yielded some success, they suffer from inherent limitations. Specifically, methods that rely on fitting planar contours using depth-discontinuous points are prone to systematic errors, which hinder the precise extraction of the 3D positions of feature points. This, in turn, compromises the accuracy and robustness of the calibration. To overcome these challenges, this paper introduces a novel 3D calibration plate incorporating the gradient depth, localization markers, and corner features. At the point cloud level, the gradient depth enables the accurate estimation of the 3D coordinates of feature points. At the image level, corner features and localization markers facilitate the rapid and precise acquisition of 2D pixel coordinates, with minimal interference from environmental noise. This method establishes a rigorous and systematic framework to enhance the accuracy of LiDAR–camera extrinsic calibrations. In a simulated environment, experimental results demonstrate that the proposed algorithm achieves a rotation error below 0.002 radians and a translation error below 0.005 m. Full article

COVID-19 vaccine hesitancy in Pakistan is a barrier to optimal vaccine uptake and has been situated within a context of hesitancy towards other vaccines. A mixed-methods study was conducted during the initial COVID-19 vaccine roll-out in 2021 in four union councils in Peshawar, consisting of a cross-sectional survey, eight focus group discussions (FGDs) with community members and eight in-depth interviews with healthcare workers (HCWs) to assess perceptions toward vaccines. Multivariable logistic regression was used to assess factors associated with COVID-19 vaccine hesitancy. Of 400 survey participants, 57.3% were vaccine acceptant and 42.8% vaccine hesitant. Just over half (56.8%) perceived COVID-19 vaccines to be safe. Most (88%) reported trust in HCWs to provide accurate vaccine information. FGDs revealed that women received less information about the vaccine compared to men and cultural restrictions were barriers even for those willing to be vaccinated. Correlates of vaccine acceptance included male sex (aOR 2.25; 95% CI 1.29–3.91), age 50 years or greater (aOR 1.74; 95% CI 1.19–6.31), social network support (e.g., vaccine acceptance among an individual’s social network) in receiving COVID-19 vaccines (aOR 2.38; 95% CI 1.45–3.89), community concern about COVID-19 spread (aOR 2.84; 95% CI 1.73–4.66), and trust in HCWs to provide vaccine information (aOR 3.47; 95% CI 1.62–7.42). Future vaccine promotion should prioritize engaging community leaders, sharing transparent information, combatting misinformation and rumors, and implementing household-based interventions especially targeting the importance of vaccination among women and young people to increase uptake. Full article

Blind and visually impaired (BVI) people face significant challenges in perception, navigation, and safety during travel. Existing infrastructure (e.g., blind lanes) and traditional aids (e.g., walking sticks, basic audio feedback) provide limited flexibility and interactivity for complex environments. To solve this problem, we propose a real-time travel assistance system based on deep learning. The hardware comprises an NVIDIA Jetson Nano controller, an Intel D435i depth camera for environmental sensing, and SG90 servo motors for feedback. To address embedded device computational constraints, we developed a lightweight object detection and segmentation algorithm. Key innovations include a multi-scale attention feature extraction backbone, a dual-stream fusion module incorporating the Mamba architecture, and adaptive context-aware detection/segmentation heads. This design ensures high computational efficiency and real-time performance. The system workflow is as follows: (1) the D435i captures real-time environmental data; (2) the processor analyzes this data, converting obstacle distances and path deviations into electrical signals; (3) servo motors deliver vibratory feedback for guidance and alerts. Preliminary tests confirm that the system can effectively detect obstacles and correct path deviations in real time, suggesting its potential to assist BVI users. However, as this is a work in progress, comprehensive field trials with BVI participants are required to fully validate its efficacy. Full article

Assessing a city’s level of smartness according to global indices is a relatively new area of investigation. It is useful in encouraging a rethinking of urban digital strategies, although the different approaches to global smart city rankings have been subject to criticism. This paper highlights the methodological features of constructing the Smart City Index (SCI) from the IMD (International Institute for Management Development) based on residents’ assessments, their satisfaction with electronic services, and their perception of the priority of urban infrastructure areas. The Central European cities of the Visegrad region (Prague/Czech Republic, Budapest/Hungary, Bratislava/Slovakia, Warsaw and Krakow/Poland) were chosen as the basis for an in-depth analysis. The architectonics, i.e., the internal system of constructing and calculating city rankings by SCI, is analyzed. A comparative analysis of the technology indicators (e-services) in five cities of the Visegrad region, presented in the SCI, showed the smart features of each city. The progressive and regressive trends in the dynamics of smartness in the cities in the Visegrad region were identified in five urban spheres indicated in the Index: Government, Activity, Health and Safety, Mobility, and Opportunities. This also made it possible to identify certain methodological gaps in the SCI in establishing interdependencies between the data on the residents’ perception of the priority of areas of life in a particular city and the residents’ level of satisfaction with electronic services. In particular, the structural indicators “Affordable housing” and “Green spaces” are not supported by e-services. This research aims to bridge this methodological gap by proposing a model for evaluating the e-service according to the degree of coverage of different spheres of life in the city. The application of the project, as well as cross-sectoral and systemic approaches, made it possible to develop basic models for assessing the value of e-services. These models can be implemented by municipalities to assess and monitor e-services, as well as to select IT projects and elaborate strategies for smart sustainable city development. Full article

Urbanization poses mental health risks for urban dwellers, whereas natural environments offer mental health benefits by providing restorative experiences through visual stimuli. While urban waterfront spaces are recognized for their mental restorative potential, the specific environmental features and individual visual behaviors that drive these benefits remain inadequately understood. Grounded in restorative environments theory, this study investigates how these factors jointly influence restoration. Employing a controlled laboratory experiment, subjects viewed real-life images of nine representative spatial locations from the waterfront space of Guangzhou Long Bund. Data collected during the multimodal experiments included subjective scales data (SRRS), physiological measurement data (SCR; LF/HF), and eye-tracking data. Key findings revealed the following: (1) The element visibility rate and visual characteristics of plant and building elements significantly influence restorative benefits. (2) Spatial configuration attributes (degree of enclosure, spatial hierarchy, and depth perception) regulate restorative benefits. (3) Visual behavior patterns (attributes of fixation points, fixation duration, and moderate dispersion of fixations) are significantly associated with restoration benefits. These findings advance the understanding of the mechanisms linking environmental stimuli, visual behavior, and psychological restorative benefits. They translate into evidence-based design principles for urban waterfront spaces. This study provides a refined perspective and empirical foundation for enhancing the restorative benefits of urban waterfront spaces through design. Full article

Workforce transformation is one of the most pressing challenges in the AI-driven construction industry, as traditional skilled labour roles are rapidly evolving into more interdisciplinary, digitally enabled positions. This study aims to investigate how AI is fundamentally reshaping skill requirements within the construction sector, to analyse stakeholder perceptions and adaptive responses to workforce transformation, and to explore strategies for optimizing construction workforce development to facilitate the critical transition from traditional “skilled workers” to contemporary “smart talent.” It employs phenomenological qualitative research methodology to conduct in-depth interviews with 20 stakeholders in Chongqing, and uses NVivo 14 to conduct thematic analysis of the data. The findings indicate that AI has penetrated all areas of the construction process and is transforming jobs to more likely be digitalized, collaborative, and multi-faceted. However, significant cognitive disparities and varying adaptive capacities among different stakeholder groups have created structural imbalances within the workforce development ecosystem. Based on these key findings, a four-pillar talent development strategy is proposed, encompassing institutional support, educational reform, enterprise engagement, and group development, while stressing the necessity for systemic-orchestrated coordination to reimagine a smart talent ecosystem. This study advances theoretical understanding of digital transformation within construction labour markets, while offering real pathways and institutional contexts for developing regions that desire to pursue workforce transformation and sustainable industrial development in the AI era. Full article

As industrial automation evolves towards human-centric, adaptable solutions, collaborative robots must overcome challenges in unstructured, dynamic environments. This paper extends our previous work on developing a digital shadow for industrial robots by introducing a comprehensive framework that bridges the gap between physical systems and their virtual counterparts. The proposed framework advances toward a fully functional digital twin by integrating real-time perception and intuitive human–robot interaction capabilities. The framework is applied to a hospital test lab scenario, where a YuMi robot automates the sorting of microscope slides. The system incorporates a RealSense D435i depth camera for environment perception, Isaac Sim for virtual environment synchronization, and a locally hosted large language model (Mistral 7B) for interpreting user voice commands. These components work together to achieve bi-directional synchronization between the physical and digital environments. The framework was evaluated through 20 test runs under varying conditions. A validation study measured the performance of the perception module, simulation, and language interface, with a 60% overall success rate. Additionally, synchronization accuracy between the simulated and physical robot joint movements reached 98.11%, demonstrating strong alignment between the digital and physical systems. By combining local LLM processing, real-time vision, and robot simulation, the approach enables untrained users to interact with collaborative robots in dynamic settings. The results highlight its potential for improving flexibility and usability in industrial automation. Full article

There is a lack of studies comparing PE teachers’ reflections on the role of sport in different regions. Using Kirk’s conceptualization of the role of sport, this qualitative comparative study aimed to explore and compare fifth-grade physical education (PE) teachers’ perceptions and experiences related to PE teaching in Finland and in the Kurdistan region of Iraq (KRI). In-depth interviews were conducted with eight Finnish and six KRI teachers, and the data were analyzed using the NVivo qualitative analysis program. The results showed that the Finnish teachers’ reflections were classified into four themes: joy and competence rather than sport, sport and curriculum, the status of sport in society and prerequisites for physical activities and sport. The KRI teachers’ reflections were also classified into four themes: sport as an aim in PE, the teacher as a model and leader of the sport, sport raising one’s status and PE being not only about sport. The role of sport in PE was recognized by teachers from both regions, although from different perspectives. The Finnish teachers made a clear distinction between PE and sport. The KRI teachers perceived PE and sport almost as one, in the belief that PE primarily teaches pupils about sport and that sport itself is a central goal. Both groups of teachers aimed to enhance their pupils’ well-being and encourage a physically active lifestyle through PE. The KRI teachers believed that engaging students in sports would promote these aims, whereas Finnish teachers saw sport as just one of many components needed to achieve these objectives. The Finnish teachers emphasized the national PE curriculum guiding their work, while the KRI teachers had no standardized PE curriculum in primary school. This comparative study highlights the importance of implementing a well-structured PE curriculum in primary schools in the KRI. Further studies should examine how the implementation of such a curriculum will affect KRI teachers’ teaching and the role of sport in PE. Full article

The global shift toward sustainable transportation has gained increasing interest, promoting the use of electric vehicles (EVs) as an environmentally friendly alternative to conventional vehicles as a result of a complex interaction between economic incentives, social dynamics, and environmental imperatives. This study is based on the Extended Unified Theory of Acceptance and Use of Technology (UTAUT2) to understand the key factors influencing consumers’ intentions in the Sultanate of Oman toward adopting electric vehicles. It is based on a mixed methodology combining quantitative data from a questionnaire of 448 participants, analyzed using ordinal logistic regression, with qualitative thematic analysis of in-depth interviews with 18 EV owners. Its results reveal that performance expectations, trust in EV technology, and social influence are the strongest predictors of EV adoption intentions in Oman. These findings suggest that some issues related to charging infrastructure, access to maintenance services, and cost-benefit ratio are key considerations that influence consumers’ intention to accept and use EVs. Conversely, recreational motivation is not a statistically significant factor, which suggests that consumers focus on practical and economic motivations when deciding to adopt EVs rather than on their enjoyment of driving the vehicle. The findings of this study provide valuable insights for decision-makers and practitioners to understand public perceptions of electric vehicles, enabling them to design effective strategies to promote the adoption of these vehicles in the emerging sustainable transportation market of the future. Full article

Transparency is a key requirement for some classes of robots, exoskeletons, and assistive devices (READs), where safe and efficient human–robot interaction is crucial. Typical fields that require transparency are rehabilitation and industrial contexts. However, the definitions of transparency adopted in the literature are heterogeneous. It follows that there is a need to clarify, summarize, and assess how transparency is commonly defined and measured. Thus, the goal of this review is to systematically examine how transparency is conceptualized and evaluated across studies. To this end, we performed a structured search across three major scientific databases. After a thorough screening process, 20 out of 400 identified articles were further examined and included in this review. Despite being recognized as a desirable and essential characteristic of READs in many domains of application, our findings reveal that transparency is still inconsistently defined and evaluated, which limits comparability across studies and hinders the development of standardized evaluation frameworks. Indeed, our screening found significant heterogeneity in both terminology and evaluation methods. The majority of the studies used either a mechanical or a kinematic definition, mostly focusing on the intrinsic behavior of the device and frequently giving little attention to the device impact of the user and on the user’s perception. Furthermore, user-centered or physiological assessments could be examined further, since evaluation metrics are usually based on kinematic and robot mechanical metrics. Only a few studies have examined the underlying motor control strategies, using more in-depth methods such as muscle synergy analysis. These findings highlight the need for a shared taxonomy and a standardized framework for transparency evaluation. Such efforts would enable more reliable comparisons between studies and support the development of more effective and user-centered READs. Full article

This study aimed to explore how social media usage influenced both parent and adolescent mental health and social identity during and after the COVID-19 pandemic through the theoretical foundational lens of social comparison theory. In-depth interviews with 24 mothers of adolescent children (ages 10–19) were conducted to address the research questions. Qualitative thematic analysis of the interview transcripts revealed eight emerging themes: (1) learning and entertainment, (2) maternal fears related to content binging and cyberbullying, (3) finding connection and comfort through social media during the pandemic, (4) ongoing digital care work as lasting maternal labor, (5) iterative dialogue: platform restrictions and content curation boundaries, (6) upward and downward social comparison, (7) fear of missing out (FoMO), and (8) third-person perception (TPP). The findings show that mothers perceive social media usage as either beneficial or harmful among adolescents (their children); upward and downward social comparison via social media exhibits more dynamic mechanisms. Moreover, this study enhances our theoretical understanding by linking social media usage to social identity, social comparison, and mental health during a global health crisis. Full article