Search Results (8,038)

Hemodynamic monitoring is fundamental in the management of critically ill patients with acute circulatory failure. The invasiveness of conventional devices, however, often limits their applicability in the emergency department (ED). Recent advances have introduced non-invasive modalities (including echocardiography, bioreactance, and plethysmography) that extend the use of hemodynamic assessment beyond the intensive care unit. Among various available techniques, bedside ultrasound (Point-of-Care Ultrasound, POCUS) emerges as a particularly versatile tool for rapid and comprehensive assessment of cardiac function and volume status. When integrated with continuous technologies such as bioreactance or pulse contour analysis, it allows for the adoption of more dynamic and personalized fluid management strategies. Currently, a multimodal and patient-centered approach represents the most effective paradigm for non-invasive hemodynamic evaluation in the emergency setting. This strategy enhances diagnostic accuracy and enables timely interventions guided by pathophysiological principles. Despite the inherent limitations of each technique, their integration provides emergency physicians with real-time information, with potential benefits on clinical outcomes and resource utilization. This review aims to outline the pathophysiological rationale for adopting non-invasive monitoring in the ED and to critically evaluate the advantages and limitations of each technique, providing emergency physicians with a concise framework to guide clinical practice. Full article

Digital transformation has fundamentally altered how individuals manage their finances. The expansion of financial technologies and the digitalization of banking services underscore the need for digital financial literacy, defined as the ability to safely use financial applications and make informed decisions within virtual environments. This study examined the perceptions of financial application use across age groups and their corresponding level of digital financial literacy. This exploratory study used a convenience sample of 41 semi-structured interviews conducted in 2025. The data were analyzed using content analysis and descriptive statistics. The findings indicated that most participants prioritized digital apps over traditional channels and expressed confidence in their use, although concerns about data security remained. Participants identified key advantages, including convenience, efficiency, and centralized access, yet few used apps for financial planning. Most respondents demonstrated an intermediate level of digital knowledge, with limited proficiency in executing complex financial tasks. Perceptions revealed both optimism and apprehension: while participants valued the practicality of digital tools, they also recognized risks such as fraud, exclusion of vulnerable groups, and technological dependence. The limited and non-representative sample limits generalization, suggesting the need for broader surveys. Enhanced public policies promoting digital financial education in Brazil are recommended. Full article

In recent years, the demand for both high accuracy and real-time performance in 3D object detection has increased alongside the advancement of autonomous driving technology. While multimodal methods that integrate LiDAR and camera data have demonstrated high accuracy, these methods often have high computational costs and latency. To address these issues, we propose an efficient 3D object detection network that integrates three key components: a DepthWise Lightweight Encoder (DWLE) module for efficient feature extraction, an Efficient LiDAR Image Fusion (ELIF) module that combines channel attention with cross-modal feature interaction, and a Mixture of CNN and Point Transformer (MCPT) module for capturing rich spatial contextual information. Experimental results on the KITTI dataset demonstrate that our proposed method outperforms existing approaches by achieving approximately 0.6% higher 3D mAP, 7.6% faster inference speed, and 17.0% fewer parameters. These results highlight the effectiveness of our approach in balancing accuracy, speed, and model size, making it a promising solution for real-time applications in autonomous driving. Full article

Photocatalytic membrane reactors (PMRs), which combine photocatalysis with membrane separation, represent a pivotal technology for sustainable water treatment and resource recovery. Although extensive research has documented various configurations of photocatalytic-membrane hybrid processes and their potential in water treatment applications, a comprehensive analysis of the interrelationships among reactor architectures, intrinsic physicochemical mechanisms, and overall process efficiency remains inadequately explored. This knowledge gap hinders the rational design of highly efficient and stable reactor systems—a shortcoming that this review seeks to remedy. Here, we critically examine the connections between reactor configurations, design principles, and cutting-edge applications to outline future research directions. We analyze the evolution of reactor architectures, relevant reaction kinetics, and key operational parameters that inform rational design, linking these fundamentals to recent advances in solar-driven hydrogen production, CO₂ conversion, and industrial scaling. Our analysis reveals a significant disconnect between the mechanistic understanding of reactor operation and the system-level performance required for innovative applications. This gap between theory and practice is particularly evident in efforts to translate laboratory success into robust and economically feasible industrial-scale operations. We believe that PMRs will realize their transformative potential in sustainable energy and environmental applications in future. Full article

Arthritis and arthrosis are prevalent joint diseases that cause pain and disability, and their early diagnosis is crucial for preventing irreversible damage. Conventional diagnostic methods such as X-ray, ultrasound, and MRI have limitations in early detection, prompting interest in alternative techniques. This work presents the design and clinical evaluation of a prototype device for non-invasive early diagnosis of arthritis (inflammatory joint disease) and arthrosis (osteoarthritis) using infrared thermography and deep neural networks. The portable prototype integrates a Raspberry Pi 4 microcomputer, an infrared thermal camera, and a touchscreen interface, all housed in a 3D-printed PLA enclosure. A custom Flask-based application enables two operational modes: (1) thermal image acquisition for training data collection, and (2) automated diagnosis using a pre-trained ResNet50 deep learning model. A clinical study was conducted at a university clinic in a temperature-controlled environment with 100 subjects (70% with arthritic conditions and 30% healthy). Thermal images of both hands (four images per hand) were captured for each participant, and all patients provided informed consent. The ResNet50 model was trained to classify three classes (healthy, arthritis, and arthrosis) from these images. Results show that the system can effectively distinguish healthy individuals from those with joint pathologies, achieving an overall test accuracy of approximately 64%. The model identified healthy hands with high confidence (100% sensitivity for the healthy class), but it struggled to differentiate between arthritis and arthrosis, often misclassifying one as the other. The prototype’s multiclass ROC (Receiver Operating Characteristic) analysis further showed excellent discrimination between healthy vs. diseased groups (AUC, Area Under the Curve ~1.00), but lower performance between arthrosis and arthritis classes (AUC ~0.60–0.68). Despite these challenges, the device demonstrates the feasibility of AI-assisted thermographic screening: it is completely non-invasive, radiation-free, and low-cost, providing results in real-time. In the discussion, we compare this thermography-based approach with conventional diagnostic modalities and highlight its advantages, such as early detection of physiological changes, portability, and patient comfort. While not intended to replace established methods, this technology can serve as an early warning and triage tool in clinical settings. In conclusion, the proposed prototype represents an innovative application of infrared thermography and deep learning for joint disease screening. With further improvements in classification accuracy and broader validation, such systems could significantly augment current clinical practice by enabling rapid and non-invasive early diagnosis of arthritis and arthrosis. Full article

The recent growth of generative artificial intelligence (AI) has brought new possibilities and revolutionary applications in many fields. It has also, however, created important ethical and security issues, especially with the abusive use of deepfakes, which are artificial media that can propagate very realistic but false information. This paper provides an extensive bibliometric, statistical, and trend analysis of deepfake research in the age of generative AI. Utilizing the Web of Science (WoS) database for the years 2014–2024, the research identifies key authors, influential publications, collaboration networks, and leading institutions. Biblioshiny (Bibliometrix R package, University of Naples Federico II, Naples, Italy) and VOSviewer (version 1.6.20, Centre for Science and Technology Studies, Leiden University, Leiden, The Netherlands) are utilized in the research for mapping the science production, theme development, and geographical distribution. The cutoff point of ten keyword frequencies by occurrence was applied to the data for relevance. This study aims to provide a comprehensive snapshot of the research status, identify gaps in the knowledge, and direct upcoming studies in the creation, detection, and mitigation of deepfakes. The study is intended to help researchers, developers, and policymakers understand the trajectory and impact of deepfake technology, supporting innovation and governance strategies. The findings highlight a strong average annual growth rate of 61.94% in publications between 2014 and 2024, with China, the United States, and India as leading contributors, IEEE Access among the most influential sources, and three dominant clusters emerging around disinformation, generative models, and detection methods. Full article

Spectral detection technology offers non-destructive, in situ, and high-speed capabilities, making it widely applicable for detecting biological and chemical samples and quantifying their concentrations. Water resources, essential to life on Earth, are widely distributed across the planet. The application of spectral technology to underwater environments is useful for wide-area water resource monitoring. Although spectral detection technology is well-established, its underwater application presents challenges, including waterproof housing design, power supply, and data transmission, which limit widespread application of underwater spectral detection. Furthermore, underwater spectral detection necessitates the development of compatible computational methods for sample classification or regression analysis. Focusing on underwater spectral detection, this work involved the construction of a suitable hardware system. A compact spectrometer and LEDs (400 nm–800 nm) were employed as the detection and light source modules, respectively, resulting in a compact system architecture. Extensive tests confirmed that the miniaturized design-maintained system performance. Further, this study addressed the estimation of total phosphorus (TP) concentration in water using spectral data. Samples with varying TP concentrations were prepared and calibrated against standard detection instruments. Subsequently, classification algorithms applied to the acquired spectral data enabled the in situ underwater determination of TP concentration in these samples. This work demonstrates the feasibility of underwater spectral detection for future in situ, high-speed monitoring of aquatic biochemical indicators. In the future, after adding UV LED light source, more water quality parameter information can be obtained. Full article

Internet of Vehicles (IoV) serves as the data support for intelligent transportation systems, and the information security of the IoV is of paramount importance. In view of the problems of centralized processing, easy information leakage, and weak anti-interference ability in traditional vehicle networking systems, this paper proposes a blockchain architecture suitable for IoV forensics scenario. By leveraging the decentralized, distributed storage and tamper-proof capabilities of blockchain, it solves the privacy protection and data security issues of the system. Considering the threat of quantum computing to the encryption technology in traditional blockchain, this paper integrates lattice cryptography and ring signatures into digital signature technology, achieving privacy protection and traceability of the signer’s identity. To enhance the efficiency of lattice-based cryptographic algorithms, the DualRing technology is introduced, which reduces the computational time and storage consumption of ring signatures. Theoretical analysis has proved the correctness, anonymity, unlinkability, and traceability of the proposed scheme, which is applicable to the IoV forensics system. Simulation comparisons demonstrated that the proposed scheme significantly improves computational efficiency and reduces storage overhead. When the number of ring members is 256, the signature and verification times require only 65.76 ms and 21.46 ms, respectively. Full article

Advancements in electroencephalography (EEG) technology and feature extraction methods have paved the way for wearable, non-invasive systems that enable continuous sleep monitoring outside clinical environments. This study presents the development and evaluation of an EEG-based acquisition system for sleep staging, which can be adapted for wearable applications. The system utilizes a custom experimental setup with the ADS1299EEG-FE-PDK evaluation board to acquire EEG signals from the forehead and in-ear regions under various conditions, including visual and auditory stimuli. Afterward, the acquired signals were processed to extract a wide range of features in time, frequency, and non-linear domains, selected based on their physiological relevance to sleep stages and disorders. The feature set was reduced using the Minimum Redundancy Maximum Relevance (mRMR) algorithm and Principal Component Analysis (PCA), resulting in a compact and informative subset of principal components. Experiments were conducted on the Bitbrain Open Access Sleep (BOAS) dataset to validate the selected features and assess their robustness across subjects. The feature set extracted from a single EEG frontal derivation (F4-F3) was then used to train and test a two-step deep learning model that combines Long Short-Term Memory (LSTM) and dense layers for 5-class sleep stage classification, utilizing attention and augmentation mechanisms to mitigate the natural imbalance of the feature set. The results—overall accuracies of 93.5% and 94.7% using the reduced feature sets (94% and 98% cumulative explained variance, respectively) and 97.9% using the complete feature set—demonstrate the feasibility of obtaining a reliable classification using a single EEG derivation, mainly for unobtrusive, home-based sleep monitoring systems. Full article

As research on triboelectric nanogenerators (TENGs) continues to advance, their applications are becoming increasingly diverse and sophisticated. This paper aims to provide future researchers with a concise yet comprehensive understanding of the four fundamental operational principles of TENGs, enabling them to fully appreciate the unique characteristics and application scenarios of each mode. In doing so, researchers can make informed and well-grounded choices in selecting the most suitable operational mode for exploration and innovation, tailored to their specific fields and requirements. Furthermore, this paper aligns closely with the current research frontiers and development trends of TENGs by systematically reviewing the literature and analyzing recent developments in the field from three key perspectives: the expansion of application domains, innovations in structural design, and optimizations in material properties. Through this multidimensional framework, it not only highlights the broad potential and practical prospects of TENGs but also uncovers the latest advancements and future directions in technological breakthroughs and performance enhancement. Full article

The massive volumes of data and the intensification of digital transformation are reshaping recruitment practices within organizations, particularly for specialized information technology (IT) profiles. However, existing studies have often remained conceptual, focused on developed economies, or limited to a narrow set of factors, thereby leaving important gaps in emerging contexts. Moreover, there are few studies that critically assess how Data Mining is impacting the IT recruitment process, and none that assess this in the context of Morocco. This study employs an extensive literature review to explore the role of Data Mining in facilitating the recruitment of top IT candidates, focusing on its ability to improve selection quality, reduce costs, and optimize decision-making procedures. The study provides empirical evidence from the Moroccan aeronautical and digital services sectors, an underexplored context where IT talent scarcity and rapid technological change pose critical challenges. Primary data comes from a survey of 200 IT recruitment professionals operating in these sectors in Morocco, allowing an assessment of the impact of Data Mining on IT talent acquisition initiatives. The findings reveal that a range of capabilities resulting from the application of Data Mining significantly and positively influences the success of IT recruitment processes. The novelty of the article lies in integrating six key determinants of algorithmic recruitment into a unified framework and demonstrating their empirical significance through binary logistic regression. The focus on the Moroccan context adds value to the international discussion and extends the literature on HR analytics beyond its conventional geographical and theoretical boundaries. The article thus contributes to the emerging literature on the role of digital technologies in IT recruitment that will be of interest to industry practitioners and other researchers in this field. Full article

Breast cancer (BC) is the most frequently diagnosed malignancy in women. Currently, BC is treated with a holistic and multidisciplinary approach from diagnostic, surgical, radio-oncological, and medical perspectives, and advances including in early detection and treatment methods have led to improved outcomes for patients in recent years. Yet, BC remains the second most common cause of cancer-related deaths among women and there is an array of gaps to achieve optimal care. To close gaps in cancer care, here we describe a collaborative Request For Proposals (RFP) framework supporting independent initiatives for metastatic breast cancer (MBC) patients and aiming at improving their quality of care. We set up a collaborative framework between Pfizer and Sharing Progress in Cancer Care (SPCC). Our model is based on an RFP system in which Pfizer and SPCC worked together ensuring the independence of the funded projects. We developed a three-step life cycle RFP. The collaborating framework of the project was based on an RFP with a USD 1.5 million available budget for funding independent grants made available from Pfizer and managed in terms of awareness, selection, and monitoring by SPCC. Our three-step model could be applicable and scalable to quality improvement (QI) initiatives that are devoted to tackling obstacles to reaching optimal care. Through this model, seven projects from five different European countries were supported. These projects covered a range of issues related to the experience of patients with MBC: investigator communication, information, and shared decision-making (SDM) practices across Europe; development, delivery, and evaluation of a scalable online educational program for nurses; assessment of disparities among different minority patient groups; development of solutions to improve compliance or adherence to therapy; an information technology (IT) solution to improve quality of life (QoL) of patients with MBC and an initiative to increase awareness and visibility of MBC patients. Overall, an average of 171 healthcare professionals (HCPs) per project and approximately 228,675 patients per project were impacted. We set up and describe a partnership model among different stakeholders within the healthcare ecosystem―academia, non-profit organizations, oncologists, and pharmaceutical companies―aiming at supporting independent projects to close gaps in the care of patients with MBC. By removing barriers at different layers, these projects contributed to the achievement of optimal care for patients with MBC. Full article

As a key technology in multimodal information processing, infrared and visible image fusion holds significant application value in fields such as military reconnaissance, intelligent security, and autonomous driving. To address the limitations of existing methods, this paper proposes the Hierarchical Triple-Feature Interaction Fusion Network (TFI-Fusion). Based on a hierarchical triple-stream feature interaction mechanism, the network achieves high-quality fusion through a two-stage, separate-model processing approach: In the first stage, a single model extracts low-rank components (representing global structural features) and sparse components (representing local detail features) from source images via the Low-Rank Sparse Decomposition (LSRSD) module, while capturing cross-modal shared features using the Shared Feature Extractor (SFE). In the second stage, another model performs fusion and reconstruction: it first enhances the complementarity between low-rank and sparse features through the innovatively introduced Bi-Feature Interaction (BFI) module, realizes multi-level feature fusion via the Triple-Feature Interaction (TFI) module, and finally generates fused images with rich scene representation through feature reconstruction. This separate-model design reduces memory usage and improves operational speed. Additionally, a multi-objective optimization function is designed based on the network’s characteristics. Experiments demonstrate that TFI-Fusion exhibits excellent fusion performance, effectively preserving image details and enhancing feature complementarity, thus providing reliable visual data support for downstream tasks. Full article

Vision is a critical component of daily life, and its loss significantly hinders an individual’s ability to navigate, particularly when using public transportation systems. To address this challenge, this paper introduces a novel approach for accurately identifying bus route numbers and destinations, designed to assist visually impaired individuals in navigating urban transit networks. Our system integrates object detection, image enhancement, and Optical Character Recognition (OCR) technologies to achieve reliable and precise recognition of bus information. We employ a custom-trained You Only Look Once version 8 (YOLOv8) model to isolate the front portion of buses as the region of interest (ROI), effectively eliminating irrelevant text and advertisements that often lead to errors. To further enhance accuracy, we utilize the Enhanced Super-Resolution Generative Adversarial Network (ESRGAN) to improve image resolution, significantly boosting the confidence of the OCR process. Additionally, a post-processing step involving a pre-defined list of bus routes and the Levenshtein algorithm corrects potential errors in text recognition, ensuring reliable identification of bus numbers and destinations. Tested on a dataset of 120 images featuring diverse bus routes and challenging conditions such as poor lighting, reflections, and motion blur, our system achieved an accuracy rate of 95%. This performance surpasses existing methods and demonstrates the system’s potential for real-world application. By providing a robust and adaptable solution, our work aims to enhance public transit accessibility, empowering visually impaired individuals to navigate cities with greater independence and confidence. Full article

The security of Internet of Things (IoT)–Low-Power and Lossy Networks (LLNs) is crucial for their widespread adoption in various applications. The standard routing protocol for IoT-LLNs, IPv6 Routing Protocol over Low-Power and Lossy Networks (RPL), is susceptible to insider attacks, such as the version number attack (VNA), decreased rank attack (DRA), and increased rank attack (IRA). These attacks can significantly impact network performance and resource consumption. To address these security concerns, we propose the IbiboRPLChain Solution, a secure blockchain-based authentication method for RPL nodes. The proposed solution introduces an additional blockchain layer to the RPL architecture, enabling secure authentication of communication links between the routing layer and the sensor layer. The IbiboRPLChain Solution utilises smart contracts to trigger immediate authentication upon detecting routing attacks initiated by malicious nodes in an IoT-LLN environment. The evaluation of the proposed solution demonstrates its superior performance in mitigating insider attacks and enhancing IoT-LLN security compared to existing methods. The proposed solution effectively mitigates insider attacks by employing blockchain technology to authenticate communication links between routing and sensor nodes. This prevents malicious nodes from manipulating routing information and disrupting network operations. Additionally, the solution enhances IoT-LLN security by utilising smart contracts to trigger immediate authentication upon detecting suspicious activity, ensuring prompt action against potential threats. The findings of this research have significant implications for the development and deployment of secure IoT-LLNs. Full article