Search Results (702)

Background: Mobile health applications have emerged as a novel tool to support secondary prevention after myocardial infarction (MI) or percutaneous coronary intervention (PCI). However, the impact of app-based interventions on clinically meaningful outcomes such as hospital readmissions remains uncertain. Objective: To systematically evaluate the effectiveness of smartphone app-based interventions in reducing unplanned hospital readmissions among post-MI/PCI patients. Methods: A systematic search of PubMed was conducted for randomized controlled trials published between January 2020 and April 2025. Eligible studies evaluated smartphone apps designed for secondary cardiovascular prevention and reported on unplanned hospital readmissions. Risk ratios (RRs) and 95% confidence intervals (CIs) were pooled using a random-effects model. Subgroup analyses were performed based on follow-up duration and user adherence. Results: Four trials encompassing 827 patients met inclusion criteria. App-based interventions were associated with a significant reduction in unplanned hospital readmissions compared to standard care (RR 0.45; 95% CI: 0.23–0.89; p = 0.0219). Greater benefits were observed in studies with longer follow-up durations and higher adherence rates. Improvements in patient-reported outcomes, including health-related quality of life, were also documented. Heterogeneity was moderate. Major adverse cardiovascular events (MACEs) were reported in only two studies and were not analyzed due to inconsistent definitions and low event rates. Conclusions: Smartphone applications for post-MI/PCI care are associated with reduced unplanned hospital readmissions and improved patient-reported outcomes. These tools may play a meaningful role in future cardiovascular care models, especially when sustained engagement and personalized features are prioritized. Full article

Background: Smartphones offer a promising tool for monitoring refractive error, especially in underserved areas where there is a shortage of eye-care professionals. We propose a novel method for measuring spherical over-refraction using smartphones. Methods: Specific levels of myopia using positive spherical trial lenses, ranging from 0.00 D to 1.50 D in 0.25 D increments, were induced in 30 young participants (22 ± 5 years). A comparison was conducted between the induced over-refraction and the measurements obtained using a non-commercial mobile application based on the face–device distance measurement using the front camera while the subject was performing a resolution task. Results: Calibrated mobile app over-refraction results showed that 89.5% of the estimates had an error ≤ 0.25 D, and no errors exceeding 0.50 D. Bland–Altman analysis revealed no significant bias between app and clinical over-refraction, with a mean difference of 0.00 D ± 0.44 D (p = 0.981), indicating high accuracy and precision of the method. Conclusions: The methodology used shows high accuracy and precision in the measurement of the spherical over-refraction with only the use of a smartphone, allowing self-monitorization of potential myopia progression. Full article

Unbalanced accelerations occurring during tram travel have a significant impact on passenger comfort and safety, as well as on the rate of wear and tear on infrastructure and rolling stock. Ideally, these dynamic forces should be monitored continuously in real-time; however, traditional systems require high-precision accelerometers and proprietary software—investments often beyond the reach of municipally funded tram operators. To this end, as part of the research project “Accelerometer Measurements in Rail Passenger Transport Vehicles”, pilot measurement campaigns were conducted in Poland on tram lines in Gdańsk, Toruń, Bydgoszcz, and Olsztyn. Off-the-shelf smartphones equipped with MEMS accelerometers and GPS modules, running the Physics Toolbox Sensor Suite Pro app, were used. Although the research employs widely known methods, this paper addresses part of the gap in affordable real-time monitoring by demonstrating that, in the future, equipment equipped solely with consumer-grade MEMS accelerometers can deliver sufficiently accurate data in applications where high precision is not critical. This paper presents an analysis of a subset of results from the Gdańsk tram network. Lateral (x) and vertical (z) accelerations were recorded at three fixed points inside two tram models (Pesa 128NG Jazz Duo and Düwag N8C), while longitudinal accelerations were deliberately omitted at this stage due to their strong dependence on driver behavior. Raw data were exported as CSV files, processed and analyzed in R version 4.2.2, and then mapped spatially using ArcGIS cartograms. Vehicle speed was calculated both via the haversine formula—accounting for Earth’s curvature—and via a Cartesian approximation. Over the ~7 km route, both methods yielded virtually identical results, validating the simpler approach for short distances. Acceleration histograms approximated Gaussian distributions, with most values between 0.05 and 0.15 m/s², and extreme values approaching 1 m/s². The results demonstrate that low-cost mobile devices, after future calibration against certified accelerometers, can provide sufficiently rich data for ride-comfort assessment and show promise for cost-effective condition monitoring of both track and rolling stock. Future work will focus on optimizing the app’s data collection pipeline, refining standard-based analysis algorithms, and validating smartphone measurements against benchmark sensors. Full article

Three-dimensional imaging technologies are increasingly used in breast reconstructive and plastic surgery due to their potential for efficient and accurate preoperative assessment and planning. This study systematically evaluates the accuracy and consistency of six commercially available 3D scanning applications (apps)—Structure Sensor, 3D Scanner App, Heges, Polycam, SureScan, and Kiri—in reconstructing the female torso. To avoid variability introduced by human subjects, a silicone breast mannequin model was scanned, with fiducial markers placed at known anatomical landmarks. Manual distance measurements were obtained using calipers by two independent evaluators and compared to digital measurements extracted from 3D reconstructions in Blender software. Each scan was repeated six times per application to ensure reliability. SureScan demonstrated the lowest mean error (2.9 mm), followed by Structure Sensor (3.0 mm), Heges (3.6 mm), 3D Scanner App (4.4 mm), Kiri (5.0 mm), and Polycam (21.4 mm), which showed the highest error and variability. Even the app using an external depth sensor (Structure Sensor) showed no statistically significant accuracy advantage over those using only the iPad’s built-in camera (except for Polycam), underscoring that software is the primary driver of performance, not hardware (alone). This work provides practical insights for selecting mobile 3D scanning tools in clinical workflows and highlights key limitations, such as scaling errors and alignment artifacts. Future work should include patient-based validation and explore deep learning to enhance reconstruction quality. Ultimately, this study lays the foundation for more accessible and cost-effective 3D imaging in surgical practice, showing that smartphone-based tools can produce clinically useful scans. Full article

Background: The longitudinal RisCoin study investigated risk factors for COVID-19 vaccination failure among healthcare workers (HCWs) and patients with inflammatory bowel disease (IBD) at a University Hospital in Germany. Since the hospital served as the study sponsor and employer of the HCW, we implemented a custom mobile application. We aimed to evaluate the implementation, adherence, benefits, and limitations of this study’s app. Methods: The app allowed secure data collection through questionnaires, disseminated serological results, and managed bidirectional communication. Access was double-pseudonymized and irreversibly anonymized six months after enrollment. Download frequency, login events, and questionnaire submissions between October 2021 and December 2022 were analyzed. Multivariable logistic regression identified factors associated with app adherence. Results: Of the 3979 participants with app access, 3622 (91%) used the app; out of these, 1016 (28%) were “adherent users” (≥12 submitted questionnaires). App adherence significantly increased with age. Among HCW, adherent users were more likely to be non-smokers (p < 0.001), working as administrators or nursing staff vs. physicians (p < 0.001), vaccinated against influenza (p < 0.001), and had not travelled abroad in the past year (p < 0.001). IBD patients exposed to SARS-CoV-2 (p = 0.0133) and those with adverse events following the second COVID-19 vaccination (p = 0.0171) were more likely adherent app users. Despite technical issues causing dropout or non-adherence, the app served as a secure solution for cohort management and longitudinal data collection. Discussion: App-based cohort management enabled continuous data acquisition and individualized care while providing flexibility and anonymity for the study team and participants. App usability, technical issues, and cohort characteristics need to be thoroughly considered prior to implementation to optimize usage and adherence in clinical research. Full article

Robots are increasingly emerging as effective platforms to overcome a wide range of challenges in agriculture. Beyond functioning as standalone systems, agricultural robots are proving valuable as collaborative platforms, capable of supporting and integrating with humans and other technologies and agricultural activities. In this study, we designed and implemented an automated system embedded in a ground-based robotic platform to support spraying drone operations. The system consists of a robotic platform that carries the spraying drone along with all necessary support devices, including a water tank, chemical reservoirs, a mixer, generators for drone battery charging, and a top landing pad. The system is controlled with a mobile app that calculates the total amount of water and chemicals required and sends commands to the platform to prepare the application mixture. The input information in the app includes the field area, application rate, and up to three chemical dosages simultaneously. Additionally, the platform allows the drone to take off from and land on it, enhancing both safety and operability. A set of pumps was used to deliver water and chemicals as specified in the mobile app. To automate pump control, we used Arduino technology, including both the microcontroller and a programming environment for coding and designing the mobile app. To validate the system’s effectiveness, we individually measured the amount of water and chemical delivered to the mixer tank and compared it with conventional manual methods for calculating chemical quantities and preparation time. The system demonstrated consistent results, achieving high precision and accuracy in delivering the correct amount. This study advances the field of agricultural robotics by highlighting the role of collaborative platforms. Particularly, the system presents a valuable and low-cost solution for small farms and experimental research. Full article

This study addresses a critical gap in understanding how mobile banking applications contribute to sustainable development by introducing a novel text mining framework to analyze sustainability dimensions through user-generated content. We analyzed 120,000 reviews from six major Turkish mobile banking applications using an ownership-sensitive analytical approach that integrates structural topic modeling with four sustainability dimensions (environmental, social, governance, and economic). Our analysis reveals significant institutional differences in sustainability approaches: government-owned banks demonstrate substantially stronger overall sustainability orientation (23.43% vs. 11.83% coverage) with pronounced emphasis on social sustainability (+181.7% growth) and economic development (+104.2% growth), while private banks prioritize innovation-focused sustainability. The temporal analysis (2022–2025) shows accelerating sustainability emphasis across all institutions, with distinct evolution patterns by ownership type. Institution-specific sustainability profiles emerge clearly, with each government bank demonstrating distinctive focus areas aligned with historical missions: cultural heritage preservation, agricultural sector support, and small business development. Mapping to Sustainable Development Goals reveals that government banks prioritize development-focused goals (SDGs 1, 8, and 10), while private banks emphasize innovation-focused goals (SDGs 9 and 17). This research makes three key contributions: demonstrating user-generated content as an effective lens for authentic sustainability assessment, establishing ownership-sensitive evaluation frameworks for digital banking sustainability, and providing empirical evidence for contextualized rather than universal sustainability strategies. The findings offer strategic implications for financial institutions, policymakers, and app developers seeking to enhance sustainable digital banking transformation. Full article

In Korea, the Public Health Center Mobile Healthcare Project was implemented in 2016. This project utilizes Information and Communication Technology (ICT) and big data to establish a health-related service foundation and a healthcare service operation system. Equipment and methods: This study recruited 1261 adolescents (660 males (13.40 ± 1.14 years, 156.12 ± 10.59 cm) and 601 females (13.51 ± 1.23 years, 154.45 ± 7.48 cm)) from 22 public health centers nationwide. Smart bands were provided, and the ‘Future Health’ application (APP) was installed on personal smartphones to assess body composition, physical fitness, and physical activity. Results: A paired sample t-test revealed height, 20 m shuttle run, grip strength, and long jump scores significantly differed after 24 weeks in males. Females exhibited significant height, 20 m shuttle run, grip strength, sit-ups, and long jump differences. Moderate physical activity (MPA, p < 0.001), vigorous physical activity (VPA, p < 0.001), and moderate-to-vigorous physical activity (MVPA, p < 0.001) were significantly different after 24 weeks in adolescents. These results establish that an ICT-based health promotion service can provide adolescent students with individual information from a centralized organization to monitor health behaviors and receive feedback regardless of location in South Korea. Full article

Rapid visual screening has been used worldwide as the first approach to evaluate the seismic vulnerability of civil structures in a specific area, in order to prioritize buildings based on the need for upgrading or retrofitting. In this work, a novel mobile application tool for the rapid visual screening of reinforced concrete buildings is presented and discussed. The herein suggested “SeismicV” tool performs a pre-seismic visual screening based on the Japanese guidelines for the seismic evaluation of existing RC buildings. A preliminary seismic vulnerability assessment of a complex modern building situated in the capital of Brazil, Brasilia, was carried out using this mobile app. The data were collected from in situ and based on some data from plants and documents. The SeismicV tool consists of an effective, user-friendly, and straightforward mobile application. Since the methodology is based on a performance score that is compared to the seismic demand, this application design allows for the knowledge of intermediate indices at each step of the evaluation, including dominant variables such as structural irregularity, building age, ground index, and usage index. Although the application was conceived and applied to heritage buildings in the early stages, it can be employed for other complex structures. The findings highlight that utilizing SeismicV to assess the seismic vulnerability of complex buildings through the rapid visual screening method offers significant benefits, including faster evaluations, increased accuracy, and improved accessibility for field assessments. Full article

Platform support for mobile collaboration among multiple smart devices has been an active research issues in the computing community. Using platform-level collaboration functionalities, a mobile device can share its resources, I/O events, and even apps easily with other devices, which enables developing a new kind of application that runs across multiple devices. In this work, we further extend the collaboration functionalities in mobile platforms by developing a novel platform service, remote intent service (RIS),which enables a running application in a device to outsource the execution of a specific task to another application in a remote device. Using the remote intent service, for example, we can view an attached document to an email, using a document viewer application in a remote device that has a larger screen, or conveniently browse an audio file that exists on another mobile device and play it locally. We implemented the remote intent service to the Android platform and measured the latency for executing such tasks in a remote device. The experimental results confirm that the remote intent service, for sending the intent plus retrieving the result, incurs an additional delay of less than 250 ms in total, and thus, it is practical. Full article

Technology-based strategies for the prevention and management of suicidal behavior are widely referenced for identifying vulnerable groups and for supporting clinical reasoning, decision-making, and appropriate referrals. In this study, we estimated the interface and content validity evidence of an interactive mobile application developed for managing suicidal behavior. This methodological study employed psychometric parameters to evaluate the content and interface of the mobile application, following five action phases: analysis, design, development, implementation, and evaluation. A total of 27 healthcare professionals participated, selected by convenience sampling, all working within the Psychosocial Care Network across different regions of Brazil. Data were collected using an electronic form, the Delphi technique for evaluation rounds, and a Likert scale to achieve consensus. The validity analysis was based on a Content Validity Index (CVI) equal to or greater than 0.80. The results showed that GerenciaVida, a technology developed for healthcare workers—regardless of their level of care or professional category—can be used to screen for suicide risk in the general population and indicate preventive alternatives. The app demonstrated satisfactory indicators of content validity (0.974) and interface validity (0.963), reflecting clarity (0.925), objectivity (1.00), adequacy (0.925), coherence (0.962), accuracy (0.962), and clinical relevance (1.00). The development path of this mobile application provided scientific, technological, and operational support, establishing it as an innovative care tool. It consolidates valid evidence that supports the identification, risk classification, and prevention of suicidal behavior in various healthcare contexts. Full article

This paper presents the design, development, and pilot deployment of Vitalia, an AR-gamified application targeting the formation of healthy habits in primary education children. Developed within the EU DUSE project, Vitalia integrates physical activity, nutritional education, and immersive storytelling into a gamified framework to promote sustained behavioral change. Grounded in evidence-based behavior change models and co-designed with health, nutrition, and physical activity experts, the system envisions high daily engagement rates and measurable knowledge improvements. The concept positions Vitalia as a scalable model for child-centric, ethically responsible digital health interventions, with the potential to be integrated into school curricula and public health strategies. Full article

Background/Objectives: Childhood cancer, although relatively rare, has a profound impact on the quality of life of affected children and their families. Technological advances have facilitated the development of mobile applications (apps) aimed at enhancing symptom monitoring and improving communication with healthcare teams. This systematic review aimed to analyse the effect of mobile applications on the health of children with cancer, with a specific focus on health-related quality of life (HRQoL). Methods: A systematic review was conducted in accordance with PRISMA 2020 guidelines. Searches were performed in PubMed (Medline), CINAHL, Cochrane and Scopus databases using MeSH terms such as Smartphone, Mobile Applications, Child Health, Neoplasms, and Digital Health, with no date restrictions, and including studies published in English, Spanish or Portuguese. We included original research studies that examined the use of mobile apps in paediatric oncology patients. The search was completed in January 2025. Results: Of the 324 records initially identified, 14 studies (mainly pilot studies, early-phase clinical trials, and observational designs) met the inclusion criteria. Interventions commonly focused on symptom tracking (pain, nausea, fatigue), promoting treatment adherence, and delivering educational content. Several studies reported high user acceptance and a potential positive impact on HRQoL, particularly when gamification strategies were incorporated to sustain children’s engagement. Conclusions: Despite the preliminary nature and small sample sizes of most studies, mobile applications appear to be effective in supporting symptom management, communication, and health education in paediatric oncology. Their use may contribute to improvements in HRQoL. Further high-quality research involving younger children and diverse socio-cultural contexts is required to confirm their effectiveness. Full article

As data becomes a core driver of modern business innovation, mobile applications increasingly collect and process users’ personal information, posing significant challenges to the effectiveness of informed consent and the legitimacy of user authorization. Existing research on privacy informed consent mechanisms has predominantly focused on privacy policy texts and normative legal discussions, often overlooking a critical touchpoint—the launch-time privacy pop-up window. Moreover, empirical investigations from the user’s perspective remain limited. To address these issues, this study employs a two-stage approach combining compliance audit and grounded theory. The preliminary audit of 21 mobile apps assesses the compliance of privacy pop-ups, and the formal study uses thematic analysis of interviews with 19 participants to construct a dual-path explanatory framework. Key findings reveal that: (1) while the reviewed apps partially safeguarded users’ right to be informed, compliance deficiencies still persist; (2) trust and privacy fatigue emerge as dual motivations driving user consent. Trust plays a critical role in amplifying the impact of positive messages within privacy pop-ups by enhancing the consistency among users’ cognition, affect, and behavior, thereby reducing resistance to privacy consent and improving the effectiveness of the current informed consent framework. Conversely, privacy fatigue increases the inconsistency among these factors, undermining consent effectiveness and exacerbating the challenges associated with informed consent. This study offers a user-centered framework to explain the dynamics of informed consent in mobile privacy pop-ups and provides actionable insights for regulators, developers, and privacy advocates seeking to enhance transparency and user autonomy. Full article

While data-driven digital technologies (e.g., mobile applications) have brought convenience to users, they have also raised data privacy concerns. Regulators have taken various actions that ensure user data privacy to balance the protection and exploitation of personal data. However, the effect of privacy regulatory protection in preparing mobile users for data sharing remains unclear. This research develops and empirically tests an integrative model of how mobile users adjust their intention to share personal data in response to privacy regulatory protection. The results indicate that privacy regulatory protection can increase users’ intention to share personal data through enhancing psychological ownership of data (i.e., entitlement effect) and decreasing privacy concerns (i.e., reassurance effect). Moreover, the entitlement effect can be attenuated as app control over data increases, while the reassurance effect can be accentuated as users’ privacy efficacy increases. This research provides new insights into the role of privacy regulatory protection in promoting user data sharing by highlighting the psychological mechanisms underlying users’ responses to such regulations. It provides implications for digital platforms seeking to balance the challenges of user data protection with the benefits of data-driven marketing. Full article