Search Results (288)

Background/Objectives: Mild traumatic brain injury (mTBI) is the most common subtype of traumatic brain injury, where patients experience a multitude of symptoms from headaches to memory loss and mood changes. Consequently, there are known poor prognostic factors for mTBI that can impede recovery and alter management courses. This narrative review aims to synthesize and provide a critical assessment of the current diagnostic criteria, management, and prognostic factors for mTBI to inform practice guidelines. Methods: This study adopts a patient-centered approach, focusing on treating presenting symptoms and referring patients to specialists for abnormal exam findings as needed. These findings are based on a narrative review of existing literature and the medical opinions of experts in neurology, physical medicine and rehabilitation, and pain medicine. The evidence supports that there are patient-related, injury-related, and contextual psychosocial factors that further complicate the long-term prognosis and management of mTBI. Conclusions: mTBI is defined by a set of diagnostic criteria: post-traumatic amnesia (PTA) lasting no longer than 24 h, loss of consciousness (LOC) not exceeding 30 min when present, and a Glasgow Coma Scale (GCS) score between 13 and 15. Current treatment options include prescribed rest followed by a gradual return to physical activity, medication management for symptoms with cognitive behavioral therapy, or vestibular physical therapy. Notably, several of these diagnostic criteria overlap with known poor prognostic indicators. These prognostic factors can be grouped into three categories: injury-related factors (LOC, positive imaging findings, history of prior concussions, and high symptom burden); patient-related factors (demographic characteristics and psychiatric history); and contextual psychosocial factors. Full article

In recent years, autonomous underwater vehicles (AUVs) have been increasingly employed for target surveillance and tracking. However, the limited performance and information-processing capability of a single AUV make it difficult to achieve high-precision tracking in practice. To address these challenges, this paper proposes an online-to-offline multi-agent reinforcement learning (MARL) framework that employs offline training on historical data to obtain the expert policy. Then, the optimal policy is generated by online fine-tuning technology, which enhances the training efficiency of reinforcement learning in new scenarios. To expand the surveillance range of AUV swarms, a distributed cooperative strategy based on area information entropy (AIE) is introduced. To reduce energy consumption in complex marine environments containing obstacles and vortices, ocean current and energy consumption models are introduced, together with an energy-efficiency optimization strategy. Furthermore, a long short-term memory (LSTM) network is integrated into the offline-to-online MARL framework to predict time-varying environmental states, thereby improving tracking accuracy and energy efficiency. Experimental results show that the proposed scheme is superior to the baseline schemes in terms of energy consumption, task success rate, and distance between AUVs. In addition, various performance indicators of the extended AUV swarm are also superior to the baseline schemes, demonstrating that the proposed scheme has excellent performance and scalability. Full article

Objectives: This longitudinal single-case series evaluated an AI-based routine-learning system as assistive technology (AT) for elite Boccia athletes with severe Cerebral Palsy (CP). The study aimed to provide an innovative outcome measurement approach for individualized monitoring by integrating performance scores and longitudinal kinematic variability indicators. Methods: Three national-level players performed 694 throws over eight weeks. To ensure technical credibility, trials were rated through a consensus-based assessment by a panel of two experts, serving as ground truth for AI modeling. The system utilized a Bidirectional Long Short-Term Memory (Bi-LSTM) architecture to extract 29 kinematic features and perform regression-based scoring, providing real-time augmented feedback. Results: High-baseline tasks maintained stable scores (7–9), while intermediate tasks showed significant score increases, reflecting motor learning transitions. The model achieved a Mean Squared Error of 1.14 and a Mean Absolute Error of 1.13, demonstrating high alignment with expert standards. Training demonstrated stable convergence, with loss reducing from 7.45 to 1.19. Notably, for the most severely impaired athlete, the AI system detected a 4.69% reduction in kinematic variability despite stagnant performance scores. This provides empirical evidence of movement stabilization within the cognitive stage that traditional observation might overlook. Conclusions: The Bi-LSTM system enabled accurate tracking of performance and motor variability, revealing distinct learning curves based on task difficulty. These findings demonstrate the feasibility of AI-enabled motion analysis as an AT for outcome measurement, supporting data-driven coaching where conventional evaluation is constrained by the rarity and severity of disabilities. Full article

This paper introduces VERA (Vision Expert Real Analysis), a privacy-supporting cyber-physical framework designed for real-time data collection and visual analysis in healthcare environments. VERA limits exposure to identifiable RGB content by ensuring that annotators interact only with non-identifiable edge-based representations, while original images remain encrypted at rest using AES-CFB, with integrity verification performed before in-memory decryption. The system integrates edge-based obfuscation, secure annotation, in-memory decryption, and dynamic data augmentation to train YOLO-based person detection models without compromising patient privacy. Experimental results on a curated COCO subset show that VERA enables effective person detection, improving mean Average Precision (mAP) from an intentionally minimal baseline of 0.61 percent to 99.94 percent after full training and augmentation. This baseline is used solely to illustrate the contribution of the secure data preparation pipeline and is not intended to represent a fully optimized YOLO configuration. The results demonstrate that privacy-supportive workflows can maintain strong model performance while aligning with data protection practices common in regulated environments. Although this work focuses on person detection as a foundational stage, the VERA architecture is designed to support future extensions toward privacy-preserving Human Activity Recognition (HAR) tasks in clinical and assisted-living settings. Full article

Rapid energy planning in cities needs decision-support tools that can change based on the supply of renewable resources and the needs of stakeholders. This paper introduces an innovative adaptive decision-support framework that integrates Long Short-Term Memory (LSTM)-based short-term renewable energy forecasting with an interval-valued Pythagorean fuzzy Best-Worst Method–TOPSIS (IVPF-BWM–TOPSIS). This enables forecast-driven and temporally adaptive prioritisation of urban energy technologies, as opposed to static expert-based evaluation. Using criteria based on forecasted technical feasibility and scalability, the five green energy options that are looked at are rooftop solar, wind energy, smart grids, solar-integrated electric vehicle infrastructure, and battery energy storage. The best score is for rooftop solar (RDC = 0.65), followed by solar-integrated EV infrastructure (RDC = 0.566), and finally smart grids (RDC = 0.55). Wind energy gets the lowest score because it will not be very useful in cities. Sensitivity analysis (±20% weight change) and 15 scenario-based stress tests show that the framework is strong and does not change the order of the ranks. The results show that the proposed mixed AI and fuzzy method can be used to make plans for renewable energy in smart cities that are both based on data and can be used by many people. Full article

In this study, we design a deep learning-based intelligent recognition method capable of accurately distinguishing abnormal chicken vocalizations among complex sound signals. Our proposed framework is based on the wavelet scattering transform (WST) and a Long Short-Term Memory (LSTM) network, and uses preprocessed chicken vocalizations processed through a denoising scheme, adopting an audio image generation model (AIGM) based on rectified STFT (Short-Term Fourier Transform). We have used a public chicken language dataset that consists of a total of segments for each of the two categories (Healthy or Sick), totaling 4000 five-second audio clips from actual farming environments, which are labeled by veterinary experts. The proposed method achieves promising performance, outperforming state-of-the-art methods for detecting poultry respiratory diseases and enabling poultry personnel to accurately assess the health and well-being of the chickens. Full article

This study proposes a video-based approach for quantitatively evaluating upper-limb joint abnormalities in individuals with brain lesions during resistance exercises. While the Fugl–Meyer Assessment (FMA) is a reliable clinical tool, its use is limited by the need for expert involvement and repeated assessments. To address this issue, skeletal joint data were extracted from RGB exercise videos using OpenPose, and joint abnormalities were identified by learning normal movement patterns from non-disabled participants. A total of 26 non-disabled individuals and 12 individuals with brain lesions performed chest press, shoulder press, and arm curl exercises. Joint movement patterns were analyzed using correlation analysis and a long short-term memory (LSTM) autoencoder. Only joints relevant to each exercise were evaluated, and joint-level results were integrated to compute arm-level abnormality rates. The correlation-based abnormality rate showed a significant negative correlation with FMA scores (r = −0.7789, p = 2.83 × 10⁻³), while the LSTM autoencoder-based abnormality rate exhibited a stronger correlation(r = −0.8454, p = 5.33 × 10⁻⁴). In addition, affected-side classification accuracy reached 78.0% and 83.3% for correlation analysis and the LSTM autoencoder, respectively. These results indicate that the proposed method is consistent with clinical assessments and can serve as a non-invasive, cost-effective tool for video-based rehabilitation evaluation. Full article

Traffic classification remains a critical challenge in the Internet of Things (IoT), particularly for enhancing security and ensuring Quality of Service (QoS). Although deep learning methods have shown strong performance in traffic classification, learning diverse and complementary representations across heterogeneous network traffic patterns remains difficult. To address this issue, this study proposes a novel Mixture of Experts (MoE) architecture for multiclass traffic classification in IoT environments. The proposed model integrates five specialized expert networks, each targeting a distinct feature category in network traffic. Specifically, it employs a Dense Neural Network for general features, a Convolutional Neural Network (CNN) for spatial patterns, a Gated Recurrent Unit (GRU)-based model for statistical variations, a Convolutional Autoencoder (CAE) for frequency-domain representations, and a Long Short-Term Memory (LSTM) for temporal dependencies. A dynamic gating mechanism, coupled with an Attention-based Learnable Fusion (ALF) module, adaptively aggregates the experts’ outputs to produce the final classification decision. The proposed ALF-MoE model was evaluated on three public benchmark datasets, such as ISCX VPN-nonVPN, Unicauca, and UNSW-IoTraffic, achieving accuracies of 98.43%, 98.96%, and 97.93%, respectively. These results confirm its effectiveness and reliability across diverse scenarios. It also outperforms baseline methods in terms of its accuracy and the F1-score. Full article

Chronic respiratory diseases, the third leading cause of mortality on a global scale, can be diagnosed at an early stage through non-invasive auscultation. However, effective manual differentiation of lung sounds (LSs) requires not only sharp auditory skills but also significant clinical experience. With technological advancements, artificial intelligence (AI) has demonstrated the capability to distinguish LSs with accuracy comparable to or surpassing that of human experts. This study broadly compares the methods used in AI-based LSs classification. Firstly, respiratory cycles—consisting of inhalation and exhalation parts in LSs of different lengths depending on individual variability, obtained and labelled under expert guidance—were automatically detected using a series of signal processing procedures and a database was obtained in this way. This database of common LSs was then classified using various time-frequency representations such as spectrograms, scalograms, Mel-spectrograms and gammatonegrams for comparison. The utilisation of proven, convolutional neural network (CNN)-based pre-trained models through the application of transfer learning facilitated the comparison, thereby enabling the acquisition of the features to be employed in the classification process. The performances of CNN, CNN and Long Short-Term Memory (LSTM) hybrid architecture and support vector machine methods were compared in the classification process. When the spectral structure of gammatonegrams, which capture the spectral structure of signals in the low-frequency range with high fidelity and their noise-resistant structures, is combined with a CNN architecture, the best classification accuracy of 97.3% ± 1.9 is obtained. Full article

Unsafe behaviors at construction sites often originate from cognitive failures such as lapses in memory and attention. This study proposes a novel, hybrid framework to systematically identify and predict the key contributors of cognitive failures among construction workers. First, a detailed literature review was conducted to identify 30 candidate factors related to cognitive failures and unsafe behaviors at construction sites. Thereafter, 10 construction safety experts ranked these factors to prioritize the most influential variables. A questionnaire was then developed and field surveys were conducted across various construction sites. A total of 500 valid responses were collected from construction workers involved in residential, highway, and dam projects in Pakistan. The collected data was first analyzed using conventional statistical analysis techniques like correlation analysis followed by multiple linear and binary logistic regression to estimate factor effects on cognitive failure outcomes. Thereafter, machine-learning models (including support vector machine, random forest, and gradient boosting) were implemented to enable a more robust prediction of cognitive failures. The findings consistently identified fatigue and stress as the strongest predictors of cognitive failures. These results extend unsafe behavior frameworks by highlighting the significant factors influencing cognitive failures. Moreover, the findings also imply the importance of targeted interventions, including fatigue management, structured training, and evidence-based stress reduction, to improve safety conditions at construction sites. Full article

Background/Objectives: Swimming requires precise motor control, sustained attention, and optimal cognitive–motor integration, making it an ideal model for investigating neural efficiency—the phenomenon whereby expert performers achieve optimal outcomes with reduced neural resource expenditure, operationalized as lower activation, sparser connectivity, and enhanced functional integration. This systematic review examined cognitive performance and neural adaptations in swimming athletes, investigating neuroimaging and behavioral outcomes distinguishing swimmers from non-athletes across performance levels. Methods: Following PRISMA 2020 guidelines, seven databases were searched (1999–2024) for studies examining cognitive/neural outcomes in swimmers using neuroimaging or validated assessments. A total of 24 studies (neuroimaging: n = 9; behavioral: n = 15) met the inclusion criteria. Risk of bias assessment used adapted Cochrane RoB2 and Newcastle–Ottawa Scale criteria. Results: Neuroimaging modalities included EEG (n = 4), fMRI (n = 2), TMS (n = 1), and ERP (n = 2). Key associations identified included the following: (1) Neural Efficiency: elite swimmers showed sparser upper beta connectivity (35% fewer connections, d = 0.76, p = 0.040) and enhanced alpha rhythm intensity (p ≤ 0.01); (2) Cognitive Performance: superior attention, working memory, and executive control correlated with expertise (d = 0.69–1.31), with thalamo-sensorimotor functional connectivity explaining 41% of world ranking variance (r² = 0.41, p < 0.001); (3) Attention: external focus strategies improved performance in intermediate swimmers but showed inconsistent effects in experts; (4) Mental Fatigue: impaired performance in young adult swimmers (1.2% decrement, d = 0.13) but not master swimmers (p = 0.49); (5) Genetics: COMT Val158Met polymorphism associated with performance differences (p = 0.026). Effect sizes ranged from small to large, with Cohen’s d = 0.13–1.31. Conclusions: Swimming expertise is associated with specific neural and cognitive characteristics, including efficient brain connectivity and enhanced cognitive control. However, cross-sectional designs (88% of studies) and small samples (median n = 36; all studies underpowered) preclude causal inference. The lack of spatially quantitative synthesis and visualization of neuroimaging findings represents a methodological limitation of this review and the field. The findings suggest potential applications for talent identification, training optimization, and mental health promotion through swimming but require longitudinal validation and development of standardized swimmer brain atlases before definitive recommendations. Full article

In complex decision-making scenarios, such as smart city renewable energy project selection, decision-makers must contend with multi-dimensional uncertainty, conflicting expert opinions, and evolving temporal dynamics. This study introduces a novel Fractional q-Rung Orthopair Fuzzy Tensor (Fq-ROFT)-based group decision-making methodology that integrates the flexibility of q-rung orthopair fuzzy sets with tensorial representation and fractional-order dynamics. The proposed framework allows for the modeling of positive and negative membership degrees in a multi-dimensional, time-dependent structure while capturing memory effects inherent in expert evaluations. A detailed case study involving six renewable energy alternatives and six criteria demonstrates the method’s ability to aggregate expert opinions, compute fractional dynamic scores, and provide robust, reliable rankings. Comparative analysis with existing approaches, including classical q-ROFSs, intuitionistic fuzzy sets, and weighted sum methods, highlights the superior discriminative power, consistency, and dynamic sensitivity of the Fq-ROFT approach. Sensitivity analysis confirms the robustness of the top-ranked alternatives under variations in expert weights and fractional orders and membership perturbations. The study concludes by discussing the advantages, limitations, and future research directions of the proposed methodology, establishing Fq-ROFT as a powerful tool for dynamic, high-dimensional, and uncertain group decision-making applications. Full article

To address the high incidence of work-related musculoskeletal disorders (WMSDs) at manual edge-banding workstations in furniture factories, and in an effort to tackle the existing research challenges of poor cumulative risk quantification and inconsistent evaluations, this paper proposes a three-stage system for continuous, automated, non-invasive WMSD risk monitoring. First, MediaPipe 0.10.11 is used to extract 33 key joint coordinates, compute seven types of joint angles, and resolve missing joint data, ensuring biomechanical data integrity for subsequent analysis. Second, joint angles are converted into graded parameters via RULA, REBA, and OWAS criteria, enabling automatic calculation of posture risk scores and grades. Third, an Adaptive Pooling Convolutional Neural Network (CNN) and Long Short-Term Memory Network (LSTM) dual-branch hybrid model based on the Efficient Channel Attention (ECA) mechanism is built, which takes nine-dimensional features as the input to predict expert-rated fatigue states. For validation, 32 experienced female workers performed manual edge-banding tasks, with smartphones capturing videos of the eight work steps to ensure authentic and representative data. The results show the following findings: (1) system ratings strongly correlate with expert evaluations, verifying its validity for posture risk assessment; (2) the hybrid model successfully captures the complex mapping of expert-derived fatigue patterns, outperforming standalone CNN and LSTM models in fatigue prediction—by integrating CNN-based spatial feature extraction and LSTM-based temporal analysis—and accurately maps fatigue indexes while generating intervention recommendations. This study addresses the limitations of traditional manual evaluations (e.g., subjectivity, poor temporal resolution, and inability to capture cumulative risk), providing an engineered solution for WMSD prevention at these workstations and serving as a technical reference for occupational health management in labor-intensive industries. Full article

Modern smart cities face increasing pressure to invest in sustainable and reliable energy systems while navigating uncertainties arising from fluctuating market conditions, evolving technology landscapes, and diverse expert opinions. Traditional multi-criteria decision-making (MCDM) approaches often fail to fully represent these uncertainties as they typically rely on crisp inputs, lack temporal memory, and do not explicitly account for stochastic variability. To address these limitations, this study introduces a novel Stochastic Fractional Fuzzy Tensor (SFFT)-based Group Decision-Making framework. The proposed approach integrates three dimensions of uncertainty within a unified mathematical structure: fuzzy representation of subjective expert assessments, fractional temporal operators (Caputo derivative, $\alpha =0.85$) to model the influence of historical evaluations, and stochastic diffusion terms ($\sigma =0.05$) to capture real-world volatility. A complete decision algorithm is developed and applied to a realistic smart city renewable energy selection problem involving six alternatives and six criteria evaluated by three experts. The SFFT-based evaluation identified Geothermal Energy as the optimal choice with a score of 0.798, followed by Offshore Wind (0.722) and Waste-to-Hydrogen (0.713). Comparative evaluation against benchmark MCDM methods—TOPSIS (Technique for Order Preference by Similarity to Ideal Solution), VIKOR (VIšekriterijumsko KOmpromisno Rangiranje), and WSM (Weighted Sum Model)—demonstrates that the SFFT approach yields more robust and stable rankings, particularly under uncertainty and model perturbations. Extensive sensitivity analysis confirms high resilience of the top-ranked alternative, with Geothermal retaining the first position in 82.4% of 5000 Monte Carlo simulations under simultaneous variations in weights, memory parameter ($\alpha \in [0.25,0.95]$), and noise intensity ($\sigma \in [0.01,0.10]$). This research provides a realistic, mathematically grounded, and decision-maker-friendly tool for strategic planning in uncertain, dynamic urban environments, with strong potential for deployment in wider engineering, management, and policy applications. Full article

This paper explores what heritage conservation might become when it listens differently—when it opens itself to relational, situated, and community-led practices of care. Beginning with the provocation “Museums? I don’t think this is for us. Museums are far too clever for us,” voiced in the context of an ecomuseum, I interrogate the assumptions that underpin conventional heritage conservation: expert authority, linear temporality, and the desire to stabilize. Drawing on new materialism theories, I question the disciplinary logics that produce heritage as a human centred practice that look at objects as static and conservation as a neutral act. In contrast, I present ecomuseums not as policy model but as conceptual disruption—territories of care that emerge from entanglements of memory and place, becoming, therefore, an active force that are engaged in sustainable practices. In thinking with ecomuseum practices, I consider how conservation would look if shifted from colonial to liberative practices, from control to attention, from fixity to fluidity. I explore conservation as a field of relations—affective and unfinished. Finally, I offer a call for heritage practitioners to reimagine conservation not as the act of keeping things the same, but as an ongoing negotiation with change in a pluriversal world. Full article