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Search Results (1,478)

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Keywords = health-enabling technology

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53 pages, 876 KiB  
Review
Optical Sensor-Based Approaches in Obesity Detection: A Literature Review of Gait Analysis, Pose Estimation, and Human Voxel Modeling
by Sabrine Dhaouadi, Mohamed Moncef Ben Khelifa, Ala Balti and Pascale Duché
Sensors 2025, 25(15), 4612; https://doi.org/10.3390/s25154612 (registering DOI) - 25 Jul 2025
Abstract
Optical sensor technologies are reshaping obesity detection by enabling non-invasive, dynamic analysis of biomechanical and morphological biomarkers. This review synthesizes recent advances in three key areas: optical gait analysis, vision-based pose estimation, and depth-sensing voxel modeling. Gait analysis leverages optical sensor arrays and [...] Read more.
Optical sensor technologies are reshaping obesity detection by enabling non-invasive, dynamic analysis of biomechanical and morphological biomarkers. This review synthesizes recent advances in three key areas: optical gait analysis, vision-based pose estimation, and depth-sensing voxel modeling. Gait analysis leverages optical sensor arrays and video systems to identify obesity-specific deviations, such as reduced stride length and asymmetric movement patterns. Pose estimation algorithms—including markerless frameworks like OpenPose and MediaPipe—track kinematic patterns indicative of postural imbalance and altered locomotor control. Human voxel modeling reconstructs 3D body composition metrics, such as waist–hip ratio, through infrared-depth sensing, offering precise, contactless anthropometry. Despite their potential, challenges persist in sensor robustness under uncontrolled environments, algorithmic biases in diverse populations, and scalability for widespread deployment in existing health workflows. Emerging solutions such as federated learning and edge computing aim to address these limitations by enabling multimodal data harmonization and portable, real-time analytics. Future priorities involve standardizing validation protocols to ensure reproducibility, optimizing cost-efficacy for scalable deployment, and integrating optical systems with wearable technologies for holistic health monitoring. By shifting obesity diagnostics from static metrics to dynamic, multidimensional profiling, optical sensing paves the way for scalable public health interventions and personalized care strategies. Full article
16 pages, 993 KiB  
Review
The Application of Digital Twin Technology in the Development of Intelligent Aquaculture: Status and Opportunities
by Jianlei Chen, Yong Xu, Hao Li, Xinguo Zhao, Yang Su, Chunhao Qi, Keming Qu and Zhengguo Cui
Fishes 2025, 10(8), 363; https://doi.org/10.3390/fishes10080363 - 25 Jul 2025
Abstract
Aquaculture is vital for global food security but faces challenges like disease, water quality control, and resource optimization. Digital twin technology, a real-time virtual replica of physical aquaculture systems, emerges as a transformative solution. By integrating sensors and data analytics, it enables monitoring [...] Read more.
Aquaculture is vital for global food security but faces challenges like disease, water quality control, and resource optimization. Digital twin technology, a real-time virtual replica of physical aquaculture systems, emerges as a transformative solution. By integrating sensors and data analytics, it enables monitoring and optimization of water quality, feed efficiency, fish health, and operations. This review explores the current adoption status of digital twins in aquaculture, highlighting applications in real-time monitoring and system optimization. It addresses key implementation challenges, including data integration and scalability, and identifies emerging opportunities for advancing sustainable, intelligent aquaculture practices. Full article
(This article belongs to the Special Issue Application of Artificial Intelligence in Aquaculture)
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51 pages, 5654 KiB  
Review
Exploring the Role of Digital Twin and Industrial Metaverse Technologies in Enhancing Occupational Health and Safety in Manufacturing
by Arslan Zahid, Aniello Ferraro, Antonella Petrillo and Fabio De Felice
Appl. Sci. 2025, 15(15), 8268; https://doi.org/10.3390/app15158268 - 25 Jul 2025
Abstract
The evolution of Industry 4.0 and the emerging paradigm of Industry 5.0 have introduced disruptive technologies that are reshaping modern manufacturing environments. Among these, Digital Twin (DT) and Industrial Metaverse (IM) technologies are increasingly recognized for their potential to enhance Occupational Health and [...] Read more.
The evolution of Industry 4.0 and the emerging paradigm of Industry 5.0 have introduced disruptive technologies that are reshaping modern manufacturing environments. Among these, Digital Twin (DT) and Industrial Metaverse (IM) technologies are increasingly recognized for their potential to enhance Occupational Health and Safety (OHS). However, a comprehensive understanding of how these technologies integrate to support OHS in manufacturing remains limited. This study systematically explores the transformative role of DT and IM in creating immersive, intelligent, and human-centric safety ecosystems. Following the PRISMA guidelines, a Systematic Literature Review (SLR) of 75 peer-reviewed studies from the SCOPUS and Web of Science databases was conducted. The review identifies key enabling technologies such as Virtual Reality (VR), Augmented Reality (AR), Extended Reality (XR), Internet of Things (IoT), Artificial Intelligence (AI), Cyber-Physical Systems (CPS), and Collaborative Robots (COBOTS), and highlights their applications in real-time monitoring, immersive safety training, and predictive hazard mitigation. A conceptual framework is proposed, illustrating a synergistic digital ecosystem that integrates predictive analytics, real-time monitoring, and immersive training to enhance the OHS. The findings highlight both the transformative benefits and the key adoption challenges of these technologies, including technical complexities, data security, privacy, ethical concerns, and organizational resistance. This study provides a foundational framework for future research and practical implementation in Industry 5.0. Full article
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14 pages, 4483 KiB  
Article
A Modified Sample Preparation Protocol for High-Efficiency Lab-on-a-Disk-Based Separation and Single-Image Quantification of Soil-Transmitted Helminth Parasite Eggs in Stool
by Mina Wahba, Heaven D. Chitemo, Vyacheslav R. Misko, Doris Kinabo, Matthieu Briet, Jo Vicca, Bruno Levecke, Humphrey D. Mazigo and Wim De Malsche
Micromachines 2025, 16(8), 847; https://doi.org/10.3390/mi16080847 - 24 Jul 2025
Abstract
Soil-transmitted helminths (STHs) present a significant global health challenge, particularly in tropical and subtropical regions. The current diagnostic standard involves the microscopic examination of a stool smear but it lacks sensitivity to detect infections of low intensity. Innovative solutions like lab-on-a-disk (LoD) technologies [...] Read more.
Soil-transmitted helminths (STHs) present a significant global health challenge, particularly in tropical and subtropical regions. The current diagnostic standard involves the microscopic examination of a stool smear but it lacks sensitivity to detect infections of low intensity. Innovative solutions like lab-on-a-disk (LoD) technologies are emerging, showing promise in detecting low-intensity infections. Field tests conducted using our SIMPAQ (single-image parasite quantification) LoD device have demonstrated its potential as a diagnostic tool, especially for such low-intensity infections. Nevertheless, the device’s efficiency has been limited by significant egg loss during sample preparation, low capture efficiency of eggs within the Field of View (FOV), and the presence of larger fecal debris that obstructs effective egg trapping and imaging. In this study, we conducted a set of laboratory experiments using model polystyrene particles and purified STH eggs to improve the sample preparation protocol. These experiments include the entire SIMPAQ procedure starting from sample preparation, infusing it into the LoD device, centrifugation, delivering the (model) eggs to the FOV, capturing an image, and analyzing it. We analyzed egg losses at each step of the procedure following the “standard” protocol, then elaborated and tested alternative, more efficient procedures. The resulting modified protocol significantly minimized particle and egg loss and reduced the amount of debris in the disk, thus enabling effective egg capture and clear images in the FOV, increasing the reliability of the diagnostic results. Full article
(This article belongs to the Section B:Biology and Biomedicine)
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23 pages, 3376 KiB  
Article
Physicochemical and Instrumental Flavor Analysis of Plant-Based Drinks with Plant Powder Additions
by Joanna Kolniak-Ostek, Agnieszka Kita, Davide Giacalone, Laura Vázquez-Araújo, Luis Noguera-Artiaga, Jessica Brzezowska and Anna Michalska-Ciechanowska
Foods 2025, 14(15), 2593; https://doi.org/10.3390/foods14152593 - 24 Jul 2025
Abstract
This study explored the use of fruit- and herb-based powders as fortifying agents in soy- and oat-based beverages. Developed using a New Product Development approach, the powders were derived from underutilized plants rich in bioactives but with limited sensory appeal. Formulations included powders [...] Read more.
This study explored the use of fruit- and herb-based powders as fortifying agents in soy- and oat-based beverages. Developed using a New Product Development approach, the powders were derived from underutilized plants rich in bioactives but with limited sensory appeal. Formulations included powders from both widely available fruits, such as apple and pear, chosen for their accessibility and economic relevance, and less commonly consumed fruits, such as Japanese quince, rosehip, and rhubarb, which are often discarded due to sour or astringent flavors. Processing these into powders helped mask undesirable sensory traits and enabled incorporation into beverage matrices. Physicochemical analyses confirmed their technological suitability, while high polyphenol content indicated potential health benefits. Importantly, no process contaminants (furfural, 5-hydroxymethyl-L-furfural, and acrylamide) were detected, supporting the powders’ safety for food use. The integrated application of an electronic tongue and nose enabled objective profiling of taste and aroma. The electronic tongue distinguished taste profiles across formulations, revealing matrix-dependent effects and interactions, particularly with trehalose, that influenced sweetness and bitterness. The electronic nose provided consistent aroma differentiation. Overall, the results highlight the potential of these underutilized plant powders as multifunctional ingredients in plant-based beverage development. They support product innovation aligned with consumer expectations for natural, health-promoting foods. Future work will include sensory validation with consumer panels. Full article
(This article belongs to the Section Nutraceuticals, Functional Foods, and Novel Foods)
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38 pages, 2573 KiB  
Article
Assessing Blockchain Health Devices: A Multi-Framework Method for Integrating Usability and User Acceptance
by Polina Bobrova and Paolo Perego
Computers 2025, 14(8), 300; https://doi.org/10.3390/computers14080300 - 23 Jul 2025
Viewed by 33
Abstract
Integrating blockchain into healthcare devices offers the potential for improved data control but faces significant usability and acceptance challenges. This study addresses this gap by evaluating CipherPal, an improved blockchain-enabled Smart Fidget Toy prototype, using a multi-framework approach to understand the interplay between [...] Read more.
Integrating blockchain into healthcare devices offers the potential for improved data control but faces significant usability and acceptance challenges. This study addresses this gap by evaluating CipherPal, an improved blockchain-enabled Smart Fidget Toy prototype, using a multi-framework approach to understand the interplay between technology, design, and user experience. We synthesized insights from three complementary frameworks: an expert review assessing adherence to Web3 Design Guidelines, a User Acceptance Toolkit assessment with professionals based on UTAUT2, and an extended three-day user testing study. The findings revealed that users valued CipherPal’s satisfying tactile interaction and perceived benefits for well-being, such as stress relief. However, significant usability barriers emerged, primarily related to challenging device–application connectivity and data synchronization. The multi-framework approach proved valuable in revealing these core tensions. While the device was conceptually accepted, the blockchain integration added significant interaction friction that overshadowed its potential benefits during the study. This research underscores the critical need for user-centered design in health-related blockchain applications, emphasizing that seamless usability and abstracting technical complexity are paramount for adoption. Full article
(This article belongs to the Special Issue When Blockchain Meets IoT: Challenges and Potentials)
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13 pages, 2317 KiB  
Article
Non-Invasive Blood Cortisol Estimation from Sweat Analysis by Kinetic Modeling of Cortisol Transport Dynamics
by Xiaoyu Yin, Sophie Adelaars, Elisabetta Peri, Eduard Pelssers, Jaap den Toonder, Arthur Bouwman, Daan van de Kerkhof and Massimo Mischi
Sensors 2025, 25(15), 4551; https://doi.org/10.3390/s25154551 - 23 Jul 2025
Viewed by 153
Abstract
We present a novel method to estimate blood cortisol concentration from sweat cortisol measurements, incorporating a kinetic model to simulate cortisol transport dynamics. Cortisol dysregulation is observed in conditions like Cushing’s syndrome, characterized by excessive cortisol production, and stress-related disorders, which can lead [...] Read more.
We present a novel method to estimate blood cortisol concentration from sweat cortisol measurements, incorporating a kinetic model to simulate cortisol transport dynamics. Cortisol dysregulation is observed in conditions like Cushing’s syndrome, characterized by excessive cortisol production, and stress-related disorders, which can lead to metabolic disturbances, anxiety, and impaired overall health. Sweat-sensing technology offers a non-invasive and continuous alternative to blood sampling. However, the limited research exploring the sweat–blood cortisol relationship in patients shows a moderate correlation (R<0.6), hindering its clinical application for long-term monitoring. In this paper, we propose a novel kinetic model describing cortisol transport from blood to sweat. The model was validated using data from 44 patients before and after cardiac surgery. A high Pearson correlation coefficient of 0.95 (95% CI: 0.92–0.97) was observed between our model’s estimated and experimental blood cortisol concentrations. Moreover, the method enables personalized estimation of physiological parameters, accurately reflecting patients’ status under varying clinical conditions. The method paves the way for the clinical application of long-term, non-invasive monitoring of cortisol using sweat-sensing technology. Enabling the personalized estimation of physiological parameters could potentially support clinical decision-making, helping doctors diagnose and monitor patients with health conditions involving cortisol dysregulation. Full article
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33 pages, 2648 KiB  
Review
Microfluidic Sensors for Micropollutant Detection in Environmental Matrices: Recent Advances and Prospects
by Mohamed A. A. Abdelhamid, Mi-Ran Ki, Hyo Jik Yoon and Seung Pil Pack
Biosensors 2025, 15(8), 474; https://doi.org/10.3390/bios15080474 - 22 Jul 2025
Viewed by 72
Abstract
The widespread and persistent occurrence of micropollutants—such as pesticides, pharmaceuticals, heavy metals, personal care products, microplastics, and per- and polyfluoroalkyl substances (PFAS)—has emerged as a critical environmental and public health concern, necessitating the development of highly sensitive, selective, and field-deployable detection technologies. Microfluidic [...] Read more.
The widespread and persistent occurrence of micropollutants—such as pesticides, pharmaceuticals, heavy metals, personal care products, microplastics, and per- and polyfluoroalkyl substances (PFAS)—has emerged as a critical environmental and public health concern, necessitating the development of highly sensitive, selective, and field-deployable detection technologies. Microfluidic sensors, including biosensors, have gained prominence as versatile and transformative tools for real-time environmental monitoring, enabling precise and rapid detection of trace-level contaminants in complex environmental matrices. Their miniaturized design, low reagent consumption, and compatibility with portable and smartphone-assisted platforms make them particularly suited for on-site applications. Recent breakthroughs in nanomaterials, synthetic recognition elements (e.g., aptamers and molecularly imprinted polymers), and enzyme-free detection strategies have significantly enhanced the performance of these biosensors in terms of sensitivity, specificity, and multiplexing capabilities. Moreover, the integration of artificial intelligence (AI) and machine learning algorithms into microfluidic platforms has opened new frontiers in data analysis, enabling automated signal processing, anomaly detection, and adaptive calibration for improved diagnostic accuracy and reliability. This review presents a comprehensive overview of cutting-edge microfluidic sensor technologies for micropollutant detection, emphasizing fabrication strategies, sensing mechanisms, and their application across diverse pollutant categories. We also address current challenges, such as device robustness, scalability, and potential signal interference, while highlighting emerging solutions including biodegradable substrates, modular integration, and AI-driven interpretive frameworks. Collectively, these innovations underscore the potential of microfluidic sensors to redefine environmental diagnostics and advance sustainable pollution monitoring and management strategies. Full article
(This article belongs to the Special Issue Biosensors Based on Microfluidic Devices—2nd Edition)
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9 pages, 430 KiB  
Article
An Algorithm for the Integration of Data from Surgical Robots and Operation Room Management Systems
by Paola Picozzi, Umberto Nocco, Chiara Labate, Greta Puleo and Veronica Cimolin
Electronics 2025, 14(15), 2926; https://doi.org/10.3390/electronics14152926 - 22 Jul 2025
Viewed by 67
Abstract
This study presents an algorithm developed by the Clinical Engineering department to automatically match surgical events recorded by robotic systems with corresponding entries in the hospital’s OR management software. At ASST Grande Ospedale Metropolitano Niguarda, robotic procedures were previously identified manually by surgical [...] Read more.
This study presents an algorithm developed by the Clinical Engineering department to automatically match surgical events recorded by robotic systems with corresponding entries in the hospital’s OR management software. At ASST Grande Ospedale Metropolitano Niguarda, robotic procedures were previously identified manually by surgical staff within the operating room management system, often leading to frequent inconsistencies and data quality issues. Two heterogeneous datasets—robot logs and hospital procedure records—were aligned using common features such as date, duration, and operating room, despite the absence of a unique identifier. The matching algorithm enables accurate identification of robotic procedures within the hospital system and facilitates integration of clinical and technical data into a unified framework. This integrated approach supports more effective data utilization for clinical engineering activities, operational monitoring, and Health Technology Assessment (HTA) analyses. The work provides a practical solution to a real-world data integration challenge and lays the foundation for future developments, including the application of machine learning to enhance matching precision. Full article
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11 pages, 2547 KiB  
Article
Simultaneous Remote Non-Invasive Blood Glucose and Lactate Measurements by Mid-Infrared Passive Spectroscopic Imaging
by Ruka Kobashi, Daichi Anabuki, Hibiki Yano, Yuto Mukaihara, Akira Nishiyama, Kenji Wada, Akiko Nishimura and Ichiro Ishimaru
Sensors 2025, 25(15), 4537; https://doi.org/10.3390/s25154537 - 22 Jul 2025
Viewed by 144
Abstract
Mid-infrared passive spectroscopic imaging is a novel non-invasive and remote sensing method based on Planck’s law. It enables the acquisition of component-specific information from the human body by measuring naturally emitted thermal radiation in the mid-infrared region. Unlike active methods that require an [...] Read more.
Mid-infrared passive spectroscopic imaging is a novel non-invasive and remote sensing method based on Planck’s law. It enables the acquisition of component-specific information from the human body by measuring naturally emitted thermal radiation in the mid-infrared region. Unlike active methods that require an external light source, our passive approach harnesses the body’s own emission, thereby enabling safe, long-term monitoring. In this study, we successfully demonstrated the simultaneous, non-invasive measurements of blood glucose and lactate levels of the human body using this method. The measurements, conducted over approximately 80 min, provided emittance data derived from mid-infrared passive spectroscopy that showed a temporal correlation with values obtained using conventional blood collection sensors. Furthermore, to evaluate localized metabolic changes, we performed k-means clustering analysis of the spectral data obtained from the upper arm. This enabled visualization of time-dependent lactate responses with spatial resolution. These results demonstrate the feasibility of multi-component monitoring without physical contact or biological sampling. The proposed technique holds promise for translation to medical diagnostics, continuous health monitoring, and sports medicine, in addition to facilitating the development of next-generation healthcare technologies. Full article
(This article belongs to the Special Issue Feature Papers in Sensing and Imaging 2025)
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35 pages, 2590 KiB  
Review
Advanced Chemometric Techniques for Environmental Pollution Monitoring and Assessment: A Review
by Shaikh Manirul Haque, Yunusa Umar and Abuzar Kabir
Chemosensors 2025, 13(7), 268; https://doi.org/10.3390/chemosensors13070268 - 21 Jul 2025
Viewed by 196
Abstract
Chemometrics has emerged as a powerful approach for deciphering complex environmental systems, enabling the identification of pollution sources through the integration of faunal community structures with physicochemical parameters and in situ analytical data. Leveraging advanced technologies—including satellite imaging, drone surveillance, sensor networks, and [...] Read more.
Chemometrics has emerged as a powerful approach for deciphering complex environmental systems, enabling the identification of pollution sources through the integration of faunal community structures with physicochemical parameters and in situ analytical data. Leveraging advanced technologies—including satellite imaging, drone surveillance, sensor networks, and Internet of Things platforms—chemometric methods facilitate real-time and longitudinal monitoring of both pristine and anthropogenically influenced ecosystems. This review provides a critical and comprehensive overview of the foundational principles underpinning chemometric applications in environmental science. Emphasis is placed on identifying pollution sources, their ecological distribution, and potential impacts on human health. Furthermore, the study highlights the role of chemometrics in interpreting multidimensional datasets, thereby enhancing the accuracy and efficiency of modern environmental monitoring systems across diverse geographic and industrial contexts. A comparative analysis of analytical techniques, target analytes, application domains, and the strengths and limitations of selected in situ and remote sensing-based chemometric approaches is also presented. Full article
(This article belongs to the Special Issue Chemometrics Tools Used in Chemical Detection and Analysis)
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17 pages, 3477 KiB  
Article
Development of Polydopamine–Chitosan-Modified Electrochemical Immunosensor for Sensitive Detection of 7,12-Dimethylbenzo[a]anthracene in Seawater
by Huili Hao, Chengjun Qiu, Wei Qu, Yuan Zhuang, Zizi Zhao, Haozheng Liu, Wenhao Wang, Jiahua Su and Wei Tao
Chemosensors 2025, 13(7), 263; https://doi.org/10.3390/chemosensors13070263 - 20 Jul 2025
Viewed by 182
Abstract
7,12-Dimethylbenzo[a]anthracene (DMBA-7,12), a highly toxic and environmentally persistent polycyclic aromatic hydrocarbon (PAH), poses significant threats to marine biodiversity and human health due to its bioaccumulation through the food chain. Conventional chromatographic methods, while achieving comparable detection limits, are hindered by the need for [...] Read more.
7,12-Dimethylbenzo[a]anthracene (DMBA-7,12), a highly toxic and environmentally persistent polycyclic aromatic hydrocarbon (PAH), poses significant threats to marine biodiversity and human health due to its bioaccumulation through the food chain. Conventional chromatographic methods, while achieving comparable detection limits, are hindered by the need for expensive instrumentation and prolonged analysis times, rendering them unsuitable for rapid on-site monitoring of DMBA-7,12 in marine environments. Therefore, the development of novel, efficient detection techniques is imperative. In this study, we have successfully developed an electrochemical immunosensor based on a polydopamine (PDA)–chitosan (CTs) composite interface to overcome existing technical limitations. PDA provides a robust scaffold for antibody immobilization due to its strong adhesive properties, while CTs enhances signal amplification and biocompatibility. The synergistic integration of these materials combines the high efficiency of electrochemical detection with the specificity of antigen–antibody recognition, enabling precise qualitative and quantitative analysis of the target analyte through monitoring changes in the electrochemical properties at the electrode surface. By systematically optimizing key experimental parameters, including buffer pH, probe concentration, and antibody loading, we have constructed the first electrochemical immunosensor for detecting DMBA-7,12 in seawater. The sensor achieved a detection limit as low as 0.42 ng/mL. In spiked seawater samples, the recovery rates ranged from 95.53% to 99.44%, with relative standard deviations (RSDs) ≤ 4.6%, demonstrating excellent accuracy and reliability. This innovative approach offers a cost-effective and efficient solution for the in situ rapid monitoring of trace carcinogens in marine environments, potentially advancing the field of marine pollutant detection technologies. Full article
(This article belongs to the Section Electrochemical Devices and Sensors)
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31 pages, 4668 KiB  
Article
BLE Signal Processing and Machine Learning for Indoor Behavior Classification
by Yi-Shiun Lee, Yong-Yi Fanjiang, Chi-Huang Hung and Yung-Shiang Huang
Sensors 2025, 25(14), 4496; https://doi.org/10.3390/s25144496 - 19 Jul 2025
Viewed by 180
Abstract
Smart home technology enhances the quality of life, particularly with respect to in-home care and health monitoring. While video-based methods provide accurate behavior analysis, privacy concerns drive interest in non-visual alternatives. This study proposes a Bluetooth Low Energy (BLE)-enabled indoor positioning and behavior [...] Read more.
Smart home technology enhances the quality of life, particularly with respect to in-home care and health monitoring. While video-based methods provide accurate behavior analysis, privacy concerns drive interest in non-visual alternatives. This study proposes a Bluetooth Low Energy (BLE)-enabled indoor positioning and behavior recognition system, integrating machine learning techniques to support sustainable and privacy-preserving health monitoring. Key optimizations include: (1) a vertically mounted Data Collection Unit (DCU) for improved height positioning, (2) synchronized data collection to reduce discrepancies, (3) Kalman filtering to smooth RSSI signals, and (4) AI-based RSSI analysis for enhanced behavior recognition. Experiments in a real home environment used a smart wristband to assess BLE signal variations across different activities (standing, sitting, lying down). The results show that the proposed system reliably tracks user locations and identifies behavior patterns. This research supports elderly care, remote health monitoring, and non-invasive behavior analysis, providing a privacy-preserving solution for smart healthcare applications. Full article
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25 pages, 1283 KiB  
Systematic Review
Reinforcement Learning and Its Clinical Applications Within Healthcare: A Systematic Review of Precision Medicine and Dynamic Treatment Regimes
by Timothy C. Frommeyer, Michael M. Gilbert, Reid M. Fursmidt, Youngjun Park, John Paul Khouzam, Garrett V. Brittain, Daniel P. Frommeyer, Ean S. Bett and Trevor J. Bihl
Healthcare 2025, 13(14), 1752; https://doi.org/10.3390/healthcare13141752 - 19 Jul 2025
Viewed by 188
Abstract
Background/Objectives: Reinforcement learning (RL), a subset of machine learning, has emerged as a promising tool for supporting precision medicine and dynamic treatment regimes by enabling adaptive, data-driven clinical decision making. Despite its potential, challenges such as interpretability, reward definition, data limitations, and [...] Read more.
Background/Objectives: Reinforcement learning (RL), a subset of machine learning, has emerged as a promising tool for supporting precision medicine and dynamic treatment regimes by enabling adaptive, data-driven clinical decision making. Despite its potential, challenges such as interpretability, reward definition, data limitations, and clinician adoption remain. This review aims to evaluate the recent advancements in RL in precision medicine and dynamic treatment regimes, highlight clinical fields of application, and propose practical frameworks for future integration into medical practice. Methods: A systematic review was conducted following PRISMA guidelines across PubMed, MEDLINE, and Web of Science databases, focusing on studies from January 2014 to December 2024. Articles were included based on their relevance to RL applications in precision medicine and dynamic treatment regime within healthcare. Data extraction captured study characteristics, algorithms used, specialty area, and outcomes. Results: Forty-six studies met the inclusion criteria. RL applications were concentrated in endocrinology, critical care, oncology, and behavioral health, with a focus on dynamic and personalized treatment planning. Hybrid and value-based RL methods were the most utilized. Since 2020, there has been a sharp increase in RL research in healthcare, driven by advances in computational power, digital health technologies, and increased use of wearable devices. Conclusions: RL offers a powerful opportunity to augment clinical decision making by enabling dynamic and individualized patient care. Addressing key barriers related to transparency, data availability, and alignment with clinical workflows will be critical to translating RL into everyday medical practice. Full article
(This article belongs to the Special Issue Artificial Intelligence in Healthcare: Opportunities and Challenges)
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33 pages, 2299 KiB  
Review
Edge Intelligence in Urban Landscapes: Reviewing TinyML Applications for Connected and Sustainable Smart Cities
by Athanasios Trigkas, Dimitrios Piromalis and Panagiotis Papageorgas
Electronics 2025, 14(14), 2890; https://doi.org/10.3390/electronics14142890 - 19 Jul 2025
Viewed by 244
Abstract
Tiny Machine Learning (TinyML) extends edge AI capabilities to resource-constrained devices, offering a promising solution for real-time, low-power intelligence in smart cities. This review systematically analyzes 66 peer-reviewed studies from 2019 to 2024, covering applications across urban mobility, environmental monitoring, public safety, waste [...] Read more.
Tiny Machine Learning (TinyML) extends edge AI capabilities to resource-constrained devices, offering a promising solution for real-time, low-power intelligence in smart cities. This review systematically analyzes 66 peer-reviewed studies from 2019 to 2024, covering applications across urban mobility, environmental monitoring, public safety, waste management, and infrastructure health. We examine hardware platforms and machine learning models, with particular attention to power-efficient deployment and data privacy. We review the approaches employed in published studies for deploying machine learning models on resource-constrained hardware, emphasizing the most commonly used communication technologies—while noting the limited uptake of low-power options such as Low Power Wide Area Networks (LPWANs). We also discuss hardware–software co-design strategies that enable sustainable operation. Furthermore, we evaluate the alignment of these deployments with the United Nations Sustainable Development Goals (SDGs), highlighting both their contributions and existing gaps in current practices. This review identifies recurring technical patterns, methodological challenges, and underexplored opportunities, particularly in the areas of hardware provisioning, usage of inherent privacy benefits in relevant applications, communication technologies, and dataset practices, offering a roadmap for future TinyML research and deployment in smart urban systems. Among the 66 studies examined, 29 focused on mobility and transportation, 17 on public safety, 10 on environmental sensing, 6 on waste management, and 4 on infrastructure monitoring. TinyML was deployed on constrained microcontrollers in 32 studies, while 36 used optimized models for resource-limited environments. Energy harvesting, primarily solar, was featured in 6 studies, and low-power communication networks were used in 5. Public datasets were used in 27 studies, custom datasets in 24, and the remainder relied on hybrid or simulated data. Only one study explicitly referenced SDGs, and 13 studies considered privacy in their system design. Full article
(This article belongs to the Special Issue New Advances in Embedded Software and Applications)
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