Search Results (167)

This study aims to assess hand function recovery in stroke patients during the mid-to-late Brunnstrom stages and to encourage active participation in rehabilitation exercises. To this end, a deep residual network (ResNet) integrated with Focal Loss is employed for gesture recognition, achieving a Macro F1 score of 91.0% and a validation accuracy of 90.9%. Leveraging the millimetre-level precision of Leap Motion 2 hand tracking, a mapping relationship for hand skeletal joint points was established, and a static assessment gesture data set containing 502,401 frames was collected through analysis of the FMA scale. The system implements an immersive augmented reality interaction through the Unity development platform; C# algorithms were designed for real-time motion range quantification. Finally, the paper designs a rehabilitation system framework tailored for home and community environments, including system module workflows, assessment modules, and game logic. Experimental results demonstrate the technical feasibility and high accuracy of the automated system for assessment and rehabilitation training. The system is designed to support stroke patients in home and community settings, with the potential to enhance rehabilitation motivation, interactivity, and self-efficacy. This work presents an integrated research framework encompassing hand modelling and deep learning-based recognition. It offers the possibility of feasible and economical solutions for stroke survivors, laying the foundation for future clinical applications. Full article

A low-power IPv6 mesh standard, Thread, is gaining traction in smart-home, building-automation, and industrial IoT deployments. It extends mesh connectivity with the help of Router-Eligible End Devices (REEDs), which can be promoted to, or demoted from, the router status. Promotion and demotion hinge on two tunable parameters, the router upgrade and the router downgrade thresholds. Yet the OpenThread reference stack ships with fixed values (16/23) for these thresholds. This paper presents a systematic study of how these thresholds shape router-election dynamics across diverse traffic loads and network topologies. Leveraging an extended OpenThread Network Simulator, a sweep through both router upgrade and router downgrade thresholds with different gaps was performed. Results reveal that the default settings may over-provision routing capacity and may result in increased frame retransmissions, wasting airtime and reducing energy efficiency. Full article

Stroke is a leading cause of death and long-term disability worldwide, with ischemic stroke accounting for approximately 62.4% of all cases. This condition often results in persistent motor dysfunction, significantly reducing patients’ productivity. The effectiveness of rehabilitation therapy is crucial for post-stroke motor recovery. However, limited access to rehabilitation services particularly in low- and middle-income countries remains a major barrier due to a shortage of experienced professionals. This challenge also affects home-based rehabilitation, an alternative to conventional therapy, which primarily relies on standard evaluation methods that are heavily dependent on expert interpretation. Electromyography (EMG) offers an objective and alternative approach to assessing muscle activity during stroke therapy in home environments. Recent advancements in deep learning (DL) have opened new avenues for automating the classification of EMG data, enabling differentiation between post-stroke patients and healthy individuals. This study introduces a novel methodology for transforming EMG signals into time–frequency representation (TFR) spectrograms, which serve as input for a convolutional neural network (CNN) model. The proposed Tri-CCNN model achieved the highest classification accuracy of 93.33%, outperforming both the Shallow CNN and the classic LeNet-5 architecture. Furthermore, an in-depth analysis of spectrogram amplitude distributions revealed distinct patterns in stroke patients, demonstrating the method’s potential for objective stroke assessment. These findings suggest that the proposed approach could serve as an effective tool for enhancing stroke classification and rehabilitation procedures, with significant implications for automating rehabilitation monitoring in home-based rehabilitation (HBR) settings. Full article

The rapid proliferation of Internet of Things (IoT) devices has increased the attack surface for cyber threats. Traditional intrusion detection systems often struggle to keep pace with novel or evolving threats. This study proposes an end-to-end generative AI-based intrusion detection and response pipeline designed for automated threat mitigation in smart home IoT environments. It leverages a Variational Autoencoder (VAE) trained on benign traffic to flag anomalies, a fine-tuned Bidirectional Encoder Representations from Transformers (BERT) model to classify anomalies into five attack categories (C&C, DDoS, Okiru, PortScan, and benign), and Grok3—a large language model—to generate tailored countermeasure recommendations. Using the Aposemat IoT-23 dataset, the VAE model achieves a recall of 0.999 and a precision of 0.961 for anomaly detection. The BERT model achieves an overall accuracy of 99.90% with per-class F1 scores exceeding 0.99. End-to-end prototype simulation involving 10,000 network traffic samples demonstrate a 98% accuracy in identifying cyber attacks and generating countermeasures to mitigate them. The pipeline integrates generative models for improved detection and automated security policy formulation in IoT settings, enhancing detection and enabling quicker and actionable security responses to mitigate cyber threats targeting smart home environments. Full article

Internet of Things (IoT) devices are increasingly deployed in homes and enterprises, yet they face a rising rate of cyberattacks. High-quality Cyber Threat Intelligence (CTI) is essential for data-driven, deep learning (DL)-based cybersecurity, as structured intelligence enables faster, automated detection. However, many CTI platforms still use unstructured or non-standard formats, hindering integration with ML systems.This study compares CTI from one commercial platform (AlienVault OTX) and public vulnerability databases (NVD’s CVE and CPE) in the IoT/smart home context. We assess their adherence to the Structured Threat Information Expression (STIX) v2.1 standard and the quality and coverage of their intelligence. Using 6.2K IoT-related CTI objects, we conducted syntactic and semantic analyses. Results showed that OTX achieved full STIX compliance. Based on our coverage metric, OTX demonstrated high intelligence completeness, whereas the NVD sources showed partial contextual coverage. IoT threats exhibited an upward trend, with Network as the dominant attack vector and Gain Access as the most common objective. The limited use of STIX-standardized vocabulary reduced machine readability, constraining data-driven applications. Our findings inform the design and selection of CTI feeds for intelligent intrusion detection and automated defense systems. Full article

This paper presents the design, development, and testing of a smart home automation system that integrates a Siemens LOGO! programmable logic controller (PLC) with an ESP32 microcontroller to enable dual-mode control—manual and voice-activated. The system automates essential home functions such as lighting, irrigation, gate control, and ventilation. Through the use of the fauxmoESP library, the ESP32 communicates with Amazon Alexa, converting voice commands into GPIO signals interpreted by the PLC. Manual control is retained via pushbuttons, ensuring operational redundancy in case of network or hardware failure. The system architecture includes optocouplers and relays to ensure voltage compatibility and device protection between the 3.3 V microcontroller and the 12–24 V PLC inputs. Functional tests revealed a 100% success rate in manual operations and over 95% in voice-controlled actions, with notable differences in response times. A cost breakdown and risk analysis are also included to assess feasibility and sustainability. This prototype highlights a practical, low-cost solution for residential automation, with scalability potential for broader smart home applications and educational or industrial implementations. Full article

A common problem in the development of Internet-of-Things (IoT) and cyber–physical system (CPS) applications is the complexity of these domains, due to their hybrid and distributed nature at multiple layers (hardware, network, communication, frameworks, etc.). This complexity often leads to implementation errors, some of which result in undesired states of the application and/or the system. The current work focuses on low-code development of behavior verification processes for IoT and CPS applications, in order to raise productivity, minimize risks (due to errors) and enable access to a wider range of end-users to create and verify applications for state-of-the-art domains, such as smart home and smart industry. Model-Driven Development (MDD) approaches are employed for the implementation of a Domain-Specific Language (DSL) that enables the evaluation of IoT and CPS applications, among others. The proposed methodology automates the development of behavior verification processes, allowing domain experts to focus on the real problem, instead of struggling with technical and technological breaches. Through comparative scenario-based analysis and 43 detailed use cases, we illustrate how the proposed methodology automates the development of behavior verification processes, allowing end-users to focus on the verification definition, instead of technical and technological intricacies. Full article

Background: Swallowing is a complex biomechanical process, and its impairment (dysphagia) poses major health risks for older adults. Current diagnostic methods such as videofluoroscopic swallowing (VFSS) and fiberoptic endoscopic evaluation of swallowing (FEES) are effective but invasive, resource-intensive, and unsuitable for continuous monitoring. This study proposes a novel end-to-end RGB–D framework for automated swallowing event localization in continuous video streams. Methods: The framework enhances the AdaTAD backbone through three key innovations: (i) finding the optimal strategy to integrate depth information to capture subtle neck movements, (ii) examining the best adapter design for efficient temporal feature adaptation, and (iii) introducing a Kolmogorov–Arnold Network (KAN) decoder that leverages Chebyshev polynomials for non-linear temporal modeling. Evaluation on a proprietary swallowing dataset comprising 641 clips and 3153 annotated events demonstrated the effectiveness of the proposed framework. We analysed and compared the modification strategy across designs of adapters, decoders, input channel combinations, regression methods, and patch embedding techniques. Results: The optimized configuration (VideoMAE + GRNConvNeXtAdapter + KAN + RGD + boundary regression + sinusoidal embedding) achieved an average mAP of 83.25%, significantly surpassing the baseline I3D + RGB + MLP model (61.55%). Ablation studies further confirmed that each architectural component contributed incrementally to the overall improvement. Conclusions: These results establish the feasibility of accurate, non-invasive, and automated swallowing event localization using depth-augmented video. The proposed framework paves the way for practical dysphagia screening and long-term monitoring in clinical and home-care environments. Full article

Obstructive sleep apnea–hypopnea syndrome (OSAHS) is a prevalent sleep disorder strongly linked to increased cardiovascular and metabolic risk. While prior studies have explored snore-based analysis for OSAHS, they have largely focused on either detection or classification in isolation. Here, we present a two-stage framework that integrates precise snoring event detection with deep learning-based classification. In the first stage, we develop an Adaptive Multi-Feature Fusion Endpoint Detection algorithm (AMFF-ED), which leverages short-time energy, spectral entropy, zero-crossing rate, and spectral centroid to accurately isolate snore segments following spectral subtraction noise reduction. Through adaptive statistical thresholding, joint decision-making, and post-processing, our method achieves a segmentation accuracy of 96.4%. Building upon this, we construct a balanced dataset comprising 6830 normal and 6814 OSAHS-related snore samples, which are transformed into Mel spectrograms and input into ERBG-Net—a hybrid deep neural network combining ECA-enhanced ResNet18 with bidirectional GRUs. This architecture captures both spectral patterns and temporal dynamics of snoring sounds. The experimental results demonstrate a classification accuracy of 95.84% and an F1 score of 94.82% on the test set, highlighting the model’s robust performance and its potential as a foundation for automated, at-home OSAHS screening. Full article

With the exponential growth of Internet of Things (IoT) and wearable devices for home automation and industrial applications, vast volumes of data are continuously generated, requiring efficient data collection methods. IoT devices, being resource-constrained and typically battery-dependent, require lightweight protocols that optimize resource usage and energy consumption. Among such IoT devices, this article focuses on Bluetooth-based beacons due to their low latency and the advantage of not requiring pairing for communications. Specifically, to tackle the limitations of beacons in terms of bandwidth and transmission frequency, this article proposes a protocol that modifies beacon frames to include up to three parameters per frame and that allows for making use of configurable beaconing intervals based on the specific requirements of the communications scenario. Moreover, the use of the proposed protocol leads to increased data rates for beaconing transmissions, providing a low latency and a flexible configuration that permits adjusting different parameters. The proposed solution enables end-to-end interoperability in Opportunistic Edge Computing (OEC) networks by integrating a lightweight bridge module to transparently manage BLE advertisement segments. To demonstrate the performance of the devised opportunistic protocol, it is evaluated across multiple scenarios (i.e., in a short-distance reference scenario, inside a home with diverse obstacles, inside a building, outdoors and in an industrial scenario), showing its flexibility and ability to collect substantial data volumes from heterogeneous IoT devices. Full article

Background/Objectives: Out-of-hospital cardiac arrest (OHCA) remains a major public health challenge, with survival rates significantly dependent on early defibrillation. In Bialystok, Poland, the bystander usage rate of automated external defibrillators (AEDs) is extremely low, and the current distribution of public-access AEDs may not support optimal response times. The aim of this study was to identify an effective AED placement strategy using spatial analysis. Methods: We retrospectively analyzed 49,649 emergency dispatch records from 2018 to 2019, identifying 787 patients with OHCA within Bialystok’s city limits. After excluding ineligible records, 766 cases were geolocated and subjected to cluster analysis using the K-means algorithm. The goal was to determine optimal AED locations based on the geographic distribution of OHCA cases in both public and residential settings. Results: AEDs were used in only 0.51% of all cases of OHCA. Most cardiac arrests occurred in private homes (80.05% of cases). Cluster analysis identified 18 to 36 optimal AED locations, revealing significant mismatches with the current AED network. Notably, grocery store chain “PSS Spolem” emerged as an ideal AED deployment partner due to alignment with identified high-incidence clusters. Conclusions: The current AED distribution in Bialystok is inadequate for an effective response to OHCA. Geographic cluster analysis can significantly improve placement strategies. Priority should be given to residential areas and commonly accessed sites. Enhanced public education, a national AED registry, and improved accessibility are essential for increasing AED use and survival rates. Full article

Background: Artificial intelligence (AI) and machine learning (ML) have been reshaping maternal, fetal, neonatal, and reproductive healthcare by enhancing risk prediction, diagnostic accuracy, and operational efficiency across the perinatal continuum. However, no comprehensive synthesis has yet been published. Objective: To conduct a scoping review of reviews of AI/ML applications spanning reproductive, prenatal, postpartum, neonatal, and early child-development care. Methods: We searched PubMed, Embase, the Cochrane Library, Web of Science, and Scopus through April 2025. Two reviewers independently screened records, extracted data, and assessed methodological quality using AMSTAR 2 for systematic reviews, ROBIS for bias assessment, SANRA for narrative reviews, and JBI guidance for scoping reviews. Results: Thirty-nine reviews met our inclusion criteria. In preconception and fertility treatment, convolutional neural network-based platforms can identify viable embryos and key sperm parameters with over 90 percent accuracy, and machine-learning models can personalize follicle-stimulating hormone regimens to boost mature oocyte yield while reducing overall medication use. Digital sexual-health chatbots have enhanced patient education, pre-exposure prophylaxis adherence, and safer sexual behaviors, although data-privacy safeguards and bias mitigation remain priorities. During pregnancy, advanced deep-learning models can segment fetal anatomy on ultrasound images with more than 90 percent overlap compared to expert annotations and can detect anomalies with sensitivity exceeding 93 percent. Predictive biometric tools can estimate gestational age within one week with accuracy and fetal weight within approximately 190 g. In the postpartum period, AI-driven decision-support systems and conversational agents can facilitate early screening for depression and can guide follow-up care. Wearable sensors enable remote monitoring of maternal blood pressure and heart rate to support timely clinical intervention. Within neonatal care, the Heart Rate Observation (HeRO) system has reduced mortality among very low-birth-weight infants by roughly 20 percent, and additional AI models can predict neonatal sepsis, retinopathy of prematurity, and necrotizing enterocolitis with area-under-the-curve values above 0.80. From an operational standpoint, automated ultrasound workflows deliver biometric measurements at about 14 milliseconds per frame, and dynamic scheduling in IVF laboratories lowers staff workload and per-cycle costs. Home-monitoring platforms for pregnant women are associated with 7–11 percent reductions in maternal mortality and preeclampsia incidence. Despite these advances, most evidence derives from retrospective, single-center studies with limited external validation. Low-resource settings, especially in Sub-Saharan Africa, remain under-represented, and few AI solutions are fully embedded in electronic health records. Conclusions: AI holds transformative promise for perinatal care but will require prospective multicenter validation, equity-centered design, robust governance, transparent fairness audits, and seamless electronic health record integration to translate these innovations into routine practice and improve maternal and neonatal outcomes. Full article

The proliferation of Internet of Things (IoT) swarms—comprising billions of low-end interconnected embedded devices—has transformed industrial automation, smart homes, and agriculture. However, these swarms are highly susceptible to firmware anomalies that can propagate across nodes, posing serious security threats. To address this, we propose a novel Remote Attestation (RA) framework for real-time firmware verification, leveraging Relational Graph Neural Networks (RGNNs) to model the graph-like structure of IoT swarms and capture complex inter-node dependencies. Unlike conventional Graph Neural Networks (GNNs), RGNNs incorporate edge types (e.g., Prompt, Sensor Data, Processed Signal), enabling finer-grained detection of propagation dynamics. The proposed method uses runtime Static Random Access Memory (SRAM) data to detect malicious firmware and its effects without requiring access to firmware binaries. Experimental results demonstrate that the framework achieves 99.94% accuracy and a 99.85% anomaly detection rate in a 4-node swarm (Swarm-1), and 100.00% accuracy with complete anomaly detection in a 6-node swarm (Swarm-2). Moreover, the method proves resilient against noise, dropped responses, and trace replay attacks, offering a robust and scalable solution for securing IoT swarms. Full article

The growing global demand for energy has resulted in a demand for innovative strategies for residential energy management. This study explores a novel framework—MELISSA (Modern Energy LLM-IoE Smart Solution for Automation)—that integrates Internet of Things (IoT) sensor networks with Large Language Models (LLMs) to optimize household energy consumption through intelligent automation and personalized interactions. The system combines real-time monitoring, machine learning algorithms for behavioral analysis, and natural language processing to deliver personalized, actionable recommendations through a conversational interface. A 12-month randomized controlled trial was conducted with 100 households, which were stratified across four socioeconomic quintiles in metropolitan areas. The experimental design included the continuous collection of IoT data. Baseline energy consumption was measured and compared with post-intervention usage to assess system impact. Statistical analyses included k-means clustering, multiple linear regression, and paired t-tests. The system achieved its intended goal, with a statistically significant reduction of 5.66% in energy consumption (95% CI: 5.21–6.11%, $p<0.001$) relative to baseline, alongside high user satisfaction (mean = 7.81, SD = 1.24). Clustering analysis ($k=4$, silhouette = 0.68) revealed four distinct energy-consumption profiles. Multiple regression analysis ($R^2=0.68$, $p<0.001$) identified household size, ambient temperature, and frequency of user engagement as the principal determinants of consumption. This research advances the theoretical understanding of human–AI interaction in energy management and provides robust empirical evidence of the effectiveness of LLM-mediated behavioral interventions. The findings underscore the potential of conversational AI applications in smart homes and have practical implications for optimization of residential energy use. Full article

The quantitative assessment of Parkinson’s disease (PD) is critical for guiding diagnosis, treatment, and rehabilitation. Conventional clinical evaluations—heavily dependent on manual rating scales such as the Unified Parkinson’s Disease Rating Scale (UPDRS)—are time-consuming and prone to inter-rater variability. In this study, we propose a fully automated UPDRS gait-scoring framework. Our method combines (a) surface electromyography (EMG) signals and (b) inertial measurement unit (IMU) data into a single deep learning model. Our end-to-end network comprises three specialized branches—a diagnosis head, an evaluation head, and a balance head—whose outputs are integrated via a customized fusion-detection module to emulate the multidimensional assessments performed by clinicians. We validated our system on 21 PD patients and healthy controls performing a simple walking task while wearing a four-channel EMG array on the lower limbs and 2 shank-mounted IMUs. It achieved a mean classification accuracy of 92.8% across UPDRS levels 0–2. This approach requires minimal subject effort and sensor setup, significantly cutting clinician workload associated with traditional UPDRS evaluations while improving objectivity. The results demonstrate the potential of wearable sensor-driven deep learning methods to deliver rapid, reliable PD gait assessment in both clinical and home settings. Full article