Search Results (77)

Background/objectives: The nutrition care process (NCP) is an evidence-based practice framework used in Medical Nutrition Therapy for the prevention, treatment, and management of non-communicable chronic health conditions. This review aimed to explore available artificial intelligence (AI)-integrated technologies across the NCP in dietetic primary care, their uses, and their impacts on the NCP and patient outcomes. Method: Six databases were searched: MEDLINE, Embase, PsycINFO, Scopus, IEEE, and ACM digital library. Eligible studies were published between January 2007 and August 2024 and included human adult studies, AI-integrated technologies in the dietetic primary care setting, and patient-related outcomes. Extracted details focused on participant characteristics, dietitian involvement, and the type of AI system and its application in the NCP. Results: Ninety-seven studies were included. Three different AI systems (image or audio recognition, chatbots, and recommendation systems) were found. These were implemented in web-based or smartphone applications, wearable sensor systems, smart utensils, and software. Most AI-integrated technologies could be incorporated into one or more NCP stages. Seventy-nine studies reported user- or patient-related outcomes, with mixed findings, but all highlighted efficiencies of using AI. Higher patient engagement was observed with Chatbots. Seventeen studies raised concerns encompassing ethics and patient safety. Conclusions: AI systems show promise as a clinical support tool across most stages of the NCP. Whilst they have varying degrees of accuracy, AI demonstrates potential in improving efficiency, supporting personalised nutrition, and enhancing chronic disease management outcomes. Integrating AI education into dietetic training and professional development will be essential to ensure safe and effective use in practice. Full article

Decimals are of great significance in the primary mathematics curriculum due to their application and use in everyday life. The purpose of this study was to investigate the effectiveness of certain dynamic digital representations in developing students’ knowledge of decimal fractions. Task-based interviews were used with six Year 4 (9–10 years old) students that incorporated four different dynamic digital representations of decimals. Data collected via video–audio recordings were used to detect shifts in students’ attention while using the digital representations. Attention shifts were analysed using microgenetic methods to determine conceptual changes over time. Findings uncovered specific features of the digital representations that generated productive cognitive confusion that prompted changes in students’ understanding of decimal fractions. The unique affordances of each digital tool offered students opportunities to dynamically explore decimal concepts, and the digital tools could be used to enrich the teaching of decimals within the primary mathematics classroom. Full article

Early intervention is pivotal for optimizing neurodevelopmental outcomes in children with language delay, where increased language stimulation can optimize therapeutic outcomes. Extending speech–language therapy from clinical settings to the home is a promising strategy; however, practical barriers and a lack of scalable, customizable home-based models limit the implementation of this approach. The integration of AI-powered digital interactive tools could bridge this gap. This pilot feasibility study adopted a single-arm pre–post (before–after) design within a two-phase, mixed-methods framework to evaluate a generative AI-powered interactive platform supporting home-based language therapy in children with either idiopathic language delay or autism spectrum disorder (ASD)-related language impairment: two conditions known to involve heterogeneous developmental profiles. The participants received clinical language assessments and engaged in home-based training using AI-enhanced tablet software, and 2000 audio recordings were collected and analyzed to assess pre- and postintervention language abilities. A total of 22 children aged 2–12 years were recruited, with 19 completing both phases. Based on 6-week cumulative usage, participants were stratified with respect to hours of AI usage into Groups A (≤5 h, n = 5), B (5 < h ≤ 10, n = 5), C (10 < h ≤ 15, n = 4), and D (>15 h, n = 5). A threshold effect was observed: only Group D showed significant gains between baseline and postintervention, with total words (58→110, p = 0.043), characters (98→192, p = 0.043), type–token ratio (0.59→0.78, p = 0.043), nouns (34→56, p = 0.043), verbs (12→34, p = 0.043), and mean length of utterance (1.83→3.24, p = 0.043) all improving. No significant changes were found in Groups A to C. These findings indicate the positive impact of extended use on the development of language. Generative AI-powered digital interactive tools, when they are integrated into home-based language therapy programs, can significantly improve language outcomes in children who have language delay and ASD. This approach offers a scalable, cost-effective extension of clinical care to the home, demonstrating the potential to enhance therapy accessibility and long-term outcomes. Full article

This paper presents the design and implementation of a modular cloud-based architecture that enables generative music capabilities in Digital Audio Workstations through a MIDI microservices backend and a user-friendly VST plugin frontend. The system comprises a generative harmony engine deployed as a standalone service, a microservice layer that orchestrates communication and exposes an API, and a VST plugin that interacts with the backend to retrieve harmonic sequences and MIDI data. Among the microservices is a dedicated component that converts textual chord sequences into MIDI files. The VST plugin allows the user to drag and drop the generated chord progressions directly into a DAW’s MIDI track timeline. This architecture prioritizes modularity, cloud scalability, and seamless integration into existing music production workflows, while abstracting away technical complexity from end users. The proposed system demonstrates how microservice-based design and cross-platform plugin development can be effectively combined to support generative music workflows, offering both researchers and practitioners a replicable and extensible framework. Full article

This paper examines how 360-degree panoramic tours can enhance heritage promotion, accessibility, and engagement, illustrated through two case studies: the Understory Art and Nature Trail in Northcliffe and the Subiaco Hotel in Perth, Western Australia. The Understory Art Trail was deployed in Google Street View to deliver an interactive, virtual walkthrough of outdoor art installations. This made the site accessible to a geographically diverse global audience, including those unable to visit in person. In contrast, the Subiaco Hotel tour was created with 3DVista. It integrated multimedia features such as historical photographs, architectural drawings, and narrative audio, offering users a layered exploration of built heritage. The two studies were designed so that frameworks like Technology Acceptance Model (TAM) could be applied to them to evaluate visitor experience. However, this paper focuses on the workflow for providing 360-degree panoramic tours, the integration of AR, low-cost digital twins, and the testing of interactive web platforms. Google Street View demonstrates ease of use through familiar navigation, while 3DVista reflects usefulness through its richer interpretive features. By analyzing workflows and digital strategies on both platforms, the study evaluates their effectiveness in increasing online visitor engagement, supporting heritage tourism, and communicating cultural significance. Challenges related to technical limitations, geolocation accuracy, audience targeting, and resource constraints are critically discussed. The findings demonstrate that context-sensitive applications of 360-degree tours are valuable for visibility, education, and long-term preservation. The paper concludes with targeted recommendations to guide future heritage projects in leveraging immersive digital technologies to expand audience engagement and support sustainable heritage management. Full article

The rapid response of emergency vehicles is crucial but often hindered because sirens lose effectiveness in modern traffic due to soundproofing, noise, and distractions. Automatic in-vehicle detection can help, but existing solutions struggle with efficiency, interpretability, and embedded suitability. This paper presents a hardware-constrained Simulink implementation of a yelp siren detector designed for embedded operation. Building on a MATLAB-based proof-of-concept validated in an idealized floating-point setting, the present system reflects practical implementation realities. Key features include the use of a realistically modeled digital-to-analog converter (DAC), filter designs restricted to standard E-series component values, interrupt service routine (ISR)-driven processing, and fixed-point data type handling that mirror microcontroller execution. For benchmarking, the dataset used in the earlier proof-of-concept to tune system parameters was also employed to train three representative machine learning classifiers (k-nearest neighbors, support vector machine, and neural network), serving as reference classifiers. To assess generalization, 200 test signals were synthesized with AudioLDM using real siren and road noise recordings as inputs. On this test set, the proposed system outperformed the reference classifiers and, when compared with state-of-the-art methods reported in the literature, achieved competitive accuracy while preserving low complexity. Full article

Background: COVID-19 has limited pregnant and postpartum women’s access to mental health services, leading to the introduction of online interventions. Objectives: This study aims to compare the effectiveness of telepsychotherapy (i.e., psychotherapy provided through digital technology supporting real-time interactivity in the audio or audiovisual modality) with the one yielded by face-to-face interventions in treating perinatal depression and anxiety and to assess the therapist’s perceived alliance in both interventions. Methods: We collected anamnestic information and obstetrical risk factors for 61 women. We evaluated the effectiveness of face-to-face (N = 31) vs. telepsychotherapy (N = 30) interventions on depressive and anxiety symptoms at baseline (T0) and the end of treatment (T1) using the Edinburgh Postnatal Depression Scale (EPDS) and the State-Trait Anxiety Inventory (STAI-Y 1 and 2). We assessed the degree of alliance perceived by therapists with the Working Alliance Inventory (WAI-T). Results: Both groups showed significant decreases in depressive (EPDS face-to-face: T0 12.65 ± 5.81, T1 5.77 ± 4.63, p < 0.001; EPDS remote: T0 11.93 ± 5.24, T1 5.70 ± 4.46, p < 0.001; effect size: 0.002) and state anxiety (STAI-Y 1 face-to-face: T0 51.19 ± 13.73, T1 40.23 ± 12.86, p < 0.001; STAI-Y 1 remote: T0 51.10 ± 11.29, T1 38.00 ± 10.90, p < 0.001; effect size: 0.007//STAI-Y 2 face-to-face: T0 43.13 ± 12.11, T1 41.03 ± 13.06, p = 0.302; STAI-Y 2 remote: T0 44.20 ± 8.70, T1 39.30 ± 9.58, p = 0.003; effect size: <0.001) symptoms by the end of treatment. Women treated remotely also experienced a significant reduction in trait anxiety at T1 (p = 0.003). We found no significant differences in either symptomatology (EPDS; STAI-Y) between the two interventions at baseline or in the therapist-perceived alliance. Conclusions: Synchronous telepsychotherapy for perinatal depression and anxiety showed comparable treatment response to face-to-face interventions, with both modalities associated with significant symptom reduction and the establishment of a working alliance. These findings support the potential of telepsychotherapy as a valuable alternative when in-person services are not accessible, especially during emergency contexts. Full article

Deepfake audio refers to speech that has been synthetically generated or altered through advanced neural network techniques, often with a degree of realism sufficient to convincingly imitate genuine human voices. As these manipulations become increasingly indistinguishable from authentic recordings, they present significant threats to security, undermine media integrity, and challenge the reliability of digital authentication systems. In this study, a robust detection framework is proposed, which leverages the power of self-supervised learning (SSL) and attention-based modeling to identify deepfake audio samples. Specifically, audio features are extracted from input speech using two powerful pretrained SSL models: HuBERT-Large and WavLM-Large. These distinctive features are then integrated through an Attentional Multi-Feature Fusion (AMFF) mechanism. The fused features are subsequently classified using a NeXt-Time Delay Neural Network (NeXt-TDNN) model enhanced with Efficient Channel Attention (ECA), enabling improved temporal and channel-wise feature discrimination. Experimental results show that the proposed method achieves a 0.42% EER and 0.01 min-tDCF on ASVspoof 2019 LA, a 1.01% EER on ASVspoof 2019 PA, and a pooled 6.56% EER on the cross-channel ASVspoof 2021 LA evaluation, thus highlighting its effectiveness for real-world deepfake detection scenarios. Furthermore, on the ASVspoof 5 dataset, the method achieved a 7.23% EER, outperforming strong baselines and demonstrating strong generalization ability. Moreover, the macro-averaged F1-score of 96.01% and balanced accuracy of 99.06% were obtained on the ASVspoof 2019 LA dataset, while the proposed method achieved a macro-averaged F1-score of 98.70% and balanced accuracy of 98.90% on the ASVspoof 2019 PA dataset. On the highly challenging ASVspoof 5 dataset, which includes crowdsourced, non-studio-quality audio, and novel adversarial attacks, the proposed method achieves macro-averaged metrics exceeding 92%, with a precision of 92.07%, a recall of 92.63%, an F1-measure of 92.35%, and a balanced accuracy of 92.63%. Full article

There are still relatively few applications that serve the function of a traditional tactile map, allowing visually impaired individuals to explore a digital map by sliding their fingers across it. Moreover, existing technological solutions either lack a spatial learning mode or provide only limited functionality, focusing primarily on navigating to a selected destination. To address these gaps, the authors have proposed an original concept for an indoor mobile application that enables map exploration by sliding a finger across the smartphone screen, using audio spatial descriptions as the primary medium for conveying information. The spatial descriptions are hierarchical and contextual, focusing on anchoring them in space and indicating their extent of influence. The basis for data management and analysis is GIS technology. The application is designed to support spatial orientation during user interaction with the digital map. The research emphasis was on creating an effective cartographic communication message, utilizing voice-based delivery of spatial information stored in a virtual building model (within a database) and tags placed in real-world buildings. Techniques such as Text-to-Speech, TalkBack, QRCode technologies were employed to achieve this. Preliminary tests conducted with both blind and sighted people demonstrated the usefulness of the proposed concept. The proposed solution supporting people with disabilities can also be useful and attractive to all users of navigation applications and may affect the development of such applications. Full article

Using individualized approaches leads to longer-term pro-health behavior change. Both technological delivery methods and values-centered Acceptance and Commitment Therapy (ACT) are useful frameworks for personalized interventions. This investigation sought to explore the effects that valuing had on health using an internet-delivered audio and writing group-level intervention. Specifically, we replicated the use of domain-specific outcomes and idiographic motivational statements sent via text message while additionally employing individualized intervention delivery components, objectives, and statistical methods. While this intervention did not generate significant improvement in health behaviors relative to a control in a sample of 107 college student participants, it has implications for future digital health intervention design and implementation as well as the further development of theoretically consistent valuing research methods. 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

While previous studies have explored the use of digital technologies in cultural heritage site reconstruction, limited attention has been given to systems that simultaneously support cultural restoration and psychological healing. This study investigates how multimodal, deep learning–assisted digital technologies can aid displaced populations by enabling both digital reconstruction and trauma relief within virtual environments. A demonstrative virtual reconstruction workflow was developed using the Great Mosque of Aleppo in Damascus as a case study. High-precision three-dimensional models were generated using Neural Radiance Fields, while Stable Diffusion was applied for texture style transfer and localized structural refinement. To enhance immersion, Vector Quantized Variational Autoencoder–based audio reconstruction was used to embed personalized ambient soundscapes into the virtual space. To evaluate the system’s effectiveness, interviews, tests, and surveys were conducted with 20 refugees aged 18–50 years, using the Impact of Event Scale-Revised and the System Usability Scale as assessment tools. The results showed that the proposed approach improved the quality of digital heritage reconstruction and contributed to psychological well-being, offering a novel framework for integrating cultural memory and emotional support in post-disaster contexts. This research provides theoretical and practical insights for future efforts in combining cultural preservation and psychosocial recovery. Full article

Micro-Electro-Mechanical Systems (MEMS) loudspeakers are attracting growing interest as alternatives to conventional miniature transducers for in-ear audio applications. However, their practical deployment is often hindered by pronounced resonances in their frequency response, caused by the mechanical and acoustic characteristics of the device structure. To mitigate these limitations, we present a model-based digital signal equalization approach that leverages a circuit equivalent model of the considered MEMS loudspeaker. The method relies on constructing an inverse circuital model based on the nullor, which is implemented in the discrete-time domain using Wave Digital Filters (WDFs). This inverse system is employed to pre-process the input voltage signal, effectively compensating for the transducer frequency response. The experimental results demonstrate that the proposed method significantly flattens the Sound Pressure Level (SPL) over the 100 Hz-10 kHz frequency range, with a maximum deviation from the target flat frequency response of below 5 dB. Full article

Conveyor belts are critical in various industries, particularly in the barrier eddy current separator systems used in recycling processes. However, hidden issues, such as belt misalignment, excessive heat that can lead to fire hazards, and the presence of sharp or irregularly shaped materials, reduce operational efficiency and pose serious threats to the health and safety of personnel on the production floor. This study presents an intelligent monitoring and protection system for barrier eddy current separator conveyor belts designed to safeguard machinery and human workers simultaneously. In this system, a thermal camera continuously monitors the surface temperature of the conveyor belt, especially in the area above the magnetic drum—where unwanted ferromagnetic materials can lead to abnormal heating and potential fire risks. The system detects temperature anomalies in this critical zone. The early detection of these risks triggers audio–visual alerts and IoT-based warning messages that are sent to technicians, which is vital in preventing fire-related injuries and minimizing emergency response time. Simultaneously, a machine vision module autonomously detects and corrects belt misalignment, eliminating the need for manual intervention and reducing the risk of worker exposure to moving mechanical parts. Additionally, a line-scan camera integrated with the YOLOv11 AI model analyses the shape of materials on the conveyor belt, distinguishing between rounded and sharp-edged objects. This system enhances the accuracy of material separation and reduces the likelihood of injuries caused by the impact or ejection of sharp fragments during maintenance or handling. The YOLOv11n-seg model implemented in this system achieved a segmentation mask precision of 84.8 percent and a recall of 84.5 percent in industry evaluations. Based on this high segmentation accuracy and consistent detection of sharp particles, the system is expected to substantially reduce the frequency of sharp object collisions with the BECS conveyor belt, thereby minimizing mechanical wear and potential safety hazards. By integrating these intelligent capabilities into a compact, cost-effective solution suitable for real-world recycling environments, the proposed system contributes significantly to improving workplace safety and equipment longevity. This project demonstrates how digital transformation and artificial intelligence can play a pivotal role in advancing occupational health and safety in modern industrial production. Full article

Hypoxic–Ischemic Encephalopathy (HIE) occurs in patients who experience a decreased flow of blood and oxygen to the brain, with the optimal window for effective treatment being within the first six hours of life. This puts a significant demand on medical professionals to accurately and effectively grade the severity of the HIE present, which is a time-consuming and challenging task. This paper proposes a novel workflow for background EEG grading, implementing a blend of Digital Signal Processing (DSP) and Machine-Learning (ML) techniques. First, the EEG signal is transformed into an amplitude and frequency modulated audio spectrogram, which enhances its relevant signal properties. The difference between EEG Grades 1 and 2 is enhanced. A convolutional neural network is then designed as a regressor to map the input image into an EEG grade, by utilizing an optimized rounding module to leverage the monotonic relationship among the grades. Using a nested cross-validation approach, an accuracy of 89.97% was achieved, in particular improving the AUC of the most challenging grades, Grade 1 and Grade 2, to 0.98 and 0.96. The results of this study show that the proposed representation and workflow increase the potential for background grading of EEG signals, increasing the accuracy of grading background patterns that are most relevant for therapeutic intervention, across large windows of time. Full article