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Search Results (182)

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Keywords = mobile screen technologies

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22 pages, 2016 KB  
Review
Human-Centred Design (HCD) in Enhancing Dementia Care Through Assistive Technologies: A Scoping Review
by Fanke Peng, Kate Little and Lin Liu
Digital 2025, 5(4), 51; https://doi.org/10.3390/digital5040051 - 2 Oct 2025
Abstract
Background: Dementia is a progressive neurodegenerative condition that impairs cognitive functions such as memory, language comprehension, and problem-solving. Assistive technologies can provide vital support at various stages of dementia, significantly improving the quality of life by aiding daily activities and care. However, for [...] Read more.
Background: Dementia is a progressive neurodegenerative condition that impairs cognitive functions such as memory, language comprehension, and problem-solving. Assistive technologies can provide vital support at various stages of dementia, significantly improving the quality of life by aiding daily activities and care. However, for these technologies to be effective and widely adopted, a human-centred design (HCD) approach is of consequence for both their development and evaluation. Objectives: This scoping review aims to explore how HCD principles have been applied in the design of assistive technologies for people with dementia and to identify the extent and nature of their involvement in the design process. Eligibility Criteria: Studies published between 2017 and 2025 were included if they applied HCD methods in the design of assistive technologies for individuals at any stage of dementia. Priority was given to studies that directly involved people with dementia in the design or evaluation process. Sources of Evidence: A systematic search was conducted across five databases: Web of Science, JSTOR, Scopus, and ProQuest. Charting Methods: Articles were screened in two stages: title/abstract screening (n = 350) and full-text review (n = 89). Data from eligible studies (n = 49) were extracted and thematically analysed to identify design approaches, types of technologies, and user involvement. Results: The 49 included studies covered a variety of assistive technologies, such as robotic systems, augmented and virtual reality tools, mobile applications, and Internet of Things (IoT) devices. A wide range of HCD approaches were employed, with varying degrees of user involvement. Conclusions: HCD plays a critical role in enhancing the development and effectiveness of assistive technologies for dementia care. The review underscores the importance of involving people with dementia and their carers in the design process to ensure that solutions are practical, meaningful, and capable of improving quality of life. However, several key gaps remain. There is no standardised HCD framework for healthcare, stakeholder involvement is often inconsistent, and evidence on real-world impact is limited. Addressing these gaps is crucial to advancing the field and delivering scalable, sustainable innovations. Full article
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18 pages, 2442 KB  
Article
Rapid Screening of 20 Pesticide Residues in Tea by Thermal-Assisted Plasma Ionization–Time-of-Flight Mass Spectrometry
by Jiangsheng Mao, Weiqing Zhang, Chao Zhu, Wenjun Zhang, Mengmeng Yan, Hongxia Du, Hongwei Qin and Hui Li
Foods 2025, 14(19), 3310; https://doi.org/10.3390/foods14193310 - 24 Sep 2025
Viewed by 67
Abstract
To achieve rapid screening and semi-quantitative analysis of pesticide residues in mobile laboratories and on-site tea testing, a novel method based on thermal-assisted plasma ionization–time-of-flight mass spectrometry (TAPI-TOF/MS) has been developed for the detection of 20 pesticide residues, including insecticides and fungicides, in [...] Read more.
To achieve rapid screening and semi-quantitative analysis of pesticide residues in mobile laboratories and on-site tea testing, a novel method based on thermal-assisted plasma ionization–time-of-flight mass spectrometry (TAPI-TOF/MS) has been developed for the detection of 20 pesticide residues, including insecticides and fungicides, in tea. This method eliminates the need for liquid chromatography, or column connections. Instead, it utilizes the high temperature of the sample inlet and stage to fully volatilize and inject the sample. By integrating TAPI-TOF/MS with an automated pesticide residue pretreatment instrument, the entire sample extraction process can be performed automatically. The analysis time for each sample has been reduced to 1.5 min, allowing for the processing of 60 samples per batch. An accurate mass spectrometry database has been established for screening and confirmation purposes. The software automatically matches the mass spectrometry database by analyzing the measured ion mass deviation, ion abundance ratio, and the relative contribution weight of each ion, generating a qualitative score ranging from 0 to 100. The lowest concentration yielding a qualitative score of ≥75 was defined as the screening limit, which ranged from 0.10 to 5.00 mg/kg for the 20 pesticides. Within their respective linear ranges, the method demonstrated good linearity with correlation coefficients (R2) ranging from 0.983 to 0.999. The average recovery rates (n = 5) of the target pesticides ranged from 70.6% to 117.0% at the set standard concentrations, with relative standard deviations (RSD) ranging from 1.7% to 13.1%. Using this method, 15 tea samples purchased from the Rizhao market in China were analyzed. Ten samples were found to contain residues of metalaxyl or pyraclostrobin, yielding a detection rate of 66.7%. This technology provides technical support for the rapid detection and quality control of multiple pesticide residues in tea, meeting the requirements for high-throughput and on-site analysis. Full article
(This article belongs to the Section Food Quality and Safety)
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13 pages, 371 KB  
Article
Pokémon GO, Went, Gone…—Physical Activity Level, Health Behaviours, and Mental Well-Being of Game Users: A Cross-Sectional Study
by Michał Giller, Tomasz Kowal, Wirginia Likus and Anna Brzęk
Healthcare 2025, 13(18), 2334; https://doi.org/10.3390/healthcare13182334 - 17 Sep 2025
Viewed by 369
Abstract
Background/Objectives: Pokémon GO has had a substantial global impact, emerging as one of the most prominent smartphone game releases of the 21st century. Beyond its entertainment value, this game has the potential to encourage physical activity alongside recreational engagement. Consequently, it may facilitate [...] Read more.
Background/Objectives: Pokémon GO has had a substantial global impact, emerging as one of the most prominent smartphone game releases of the 21st century. Beyond its entertainment value, this game has the potential to encourage physical activity alongside recreational engagement. Consequently, it may facilitate the integration of augmented reality into daily routines within the context of advancing mobile device technology. This study aimed to assess the impact of Pokémon GO on users’ physical activity levels, as well as to identify other implicit health outcomes and potential risks. Methods: A cross-sectional study was conducted using the International Physical Activity Questionnaire (IPAQ-long form) and a custom-designed survey (including demographic characteristics) administered to a cohort of 243 Pokémon GO players (112 females and 131 males, mean age 27 ± 7 years). Results: According to IPAQ-long form data, 68% of Pokémon GO users demonstrated high physical activity levels, 29% moderate, and 2.5% insufficient activity. More than 80% of participants reported increased walking distances, and 39% indicated that playing the game had improved their overall mood, while 13% reported enhanced social interactions. However, some findings are concerning, with 27% of respondents admitting to sacrificing sleep, 20% considering themselves addicted, and more than half exceeding the World Health Organization (WHO) screen time guidelines based solely on the time spent playing Pokémon GO. Conclusions: Pokémon GO has a positive impact on users’ physical activity levels, particularly in terms of low-intensity physical activities such as walking. This observational study suggests that the application may be associated with a healthy lifestyle and enhanced interpersonal contact. Prudent and safe usage is advised, as the game has the potential to be addictive and may pose risks when misused. Full article
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37 pages, 626 KB  
Systematic Review
Early Detection and Intervention of Developmental Dyscalculia Using Serious Game-Based Digital Tools: A Systematic Review
by Josep Hornos-Arias, Sergi Grau and Josep M. Serra-Grabulosa
Information 2025, 16(9), 787; https://doi.org/10.3390/info16090787 - 10 Sep 2025
Viewed by 635
Abstract
Developmental dyscalculia is a neurobiologically based learning disorder that impairs numerical processing and calculation abilities. Numerous studies underscore the critical importance of early detection to enable effective intervention, highlighting the need for individualized, structured, and adaptive approaches. Digital tools, particularly those based on [...] Read more.
Developmental dyscalculia is a neurobiologically based learning disorder that impairs numerical processing and calculation abilities. Numerous studies underscore the critical importance of early detection to enable effective intervention, highlighting the need for individualized, structured, and adaptive approaches. Digital tools, particularly those based on serious games, appear to offer a promising level of personalization. This systematic review aims to evaluate the relevance of serious game-based digital solutions as tools for the detection and remediation of developmental dyscalculia in children aged 5 to 12 years. To provide readers with a comprehensive understanding of this field, the selected solutions were analyzed and classified according to the technologies employed (including emerging ones), their thematic focus, the mathematical abilities targeted, the configuration of experimental trials, and the outcomes reported. A systematic search was conducted across Scopus, Web of Knowledge, PubMed, Eric, PsycInfo, and IEEEXplore for studies published between 2000 and March 2025, yielding 7799 records. Additional studies were identified through reference screening. A total of 21 studies met the eligibility criteria. All procedures were registered in PROSPERO and conducted in accordance with PRISMA guidelines for systematic reviews. The methodological analysis of the included studies emphasized the importance of employing both control and experimental groups with adequate sample sizes to ensure robust evaluation. In terms of remediation, the findings highlight the value of pre- and post-intervention assessments and the implementation of individualized training sessions, ideally not exceeding 20 min in duration. The review revealed a greater prevalence of remediation-focused serious games compared to screening tools, with a growing trend toward the use of mobile technologies. However, the substantial methodological limitations observed across studies must be addressed to enable the rigorous evaluation of the potential of SGs to detect and support the improvement of difficulties associated with developmental dyscalculia. Moreover, despite the recognized importance of personalization and adaptability in effective interventions, relatively few studies incorporated machine learning algorithms to enable the development of fully adaptive systems. Full article
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27 pages, 1902 KB  
Article
Few-Shot Breast Cancer Diagnosis Using a Siamese Neural Network Framework and Triplet-Based Loss
by Tea Marasović and Vladan Papić
Algorithms 2025, 18(9), 567; https://doi.org/10.3390/a18090567 - 8 Sep 2025
Viewed by 423
Abstract
Breast cancer is one of the leading causes of death among women of all ages and backgrounds globally. In recent years, the growing deficit of expert radiologists—particularly in underdeveloped countries—alongside a surge in the number of images for analysis, has negatively affected the [...] Read more.
Breast cancer is one of the leading causes of death among women of all ages and backgrounds globally. In recent years, the growing deficit of expert radiologists—particularly in underdeveloped countries—alongside a surge in the number of images for analysis, has negatively affected the ability to secure timely and precise diagnostic results in breast cancer screening. AI technologies offer powerful tools that allow for the effective diagnosis and survival forecasting, reducing the dependency on human cognitive input. Towards this aim, this research introduces a deep meta-learning framework for swift analysis of mammography images—combining a Siamese network model with a triplet-based loss function—to facilitate automatic screening (recognition) of potentially suspicious breast cancer cases. Three pre-trained deep CNN architectures, namely GoogLeNet, ResNet50, and MobileNetV3, are fine-tuned and scrutinized for their effectiveness in transforming input mammograms to a suitable embedding space. The proposed framework undergoes a comprehensive evaluation through a rigorous series of experiments, utilizing two different, publicly accessible, and widely used datasets of digital X-ray mammograms: INbreast and CBIS-DDSM. The experimental results demonstrate the framework’s strong performance in differentiating between tumorous and normal images, even with a very limited number of training samples, on both datasets. Full article
(This article belongs to the Special Issue Machine Learning for Pattern Recognition (3rd Edition))
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22 pages, 1556 KB  
Review
Quantum Cardiovascular Medicine: From Hype to Hope—A Critical Review of Real-World Applications
by Marek Tomala and Maciej Kłaczyński
J. Clin. Med. 2025, 14(17), 6029; https://doi.org/10.3390/jcm14176029 - 26 Aug 2025
Viewed by 835
Abstract
Context: As quantum technologies advance with innovations in cardiovascular medicine, it can be challenging to distinguish genuine clinical progress from mere ideas. There will also be difficult transitions involved in moving technology from proof of concept demonstrated in the lab. This transition is [...] Read more.
Context: As quantum technologies advance with innovations in cardiovascular medicine, it can be challenging to distinguish genuine clinical progress from mere ideas. There will also be difficult transitions involved in moving technology from proof of concept demonstrated in the lab. This transition is complicated by the excitement and hype that comes with any new technology. Aim: This work aims to assess what quantum technologies are available in cardiovascular medicine for real-world use, to identify which applications are closer to clinically relevant translation, and to differentiate realistic advances from advanced-not-yet realities. Methods: A narrative review was conducted using PubMed, EMBASE, Scopus, Web of Science, IEEE Xplore, and arXiv. While real-world use of technologies was prioritized, we included all theoretical literature, regardless of date of publication. Search terms were a combination of the vocabulary of quantum technologies and the vocabulary of cardiovascular medicine. Peer-reviewed publications included primary research, reviews, theoretical works, and conference proceedings. Two reviewers independently screened all citations, and any disagreements were resolved through consensus discussion. Results: We identified three core application areas: (1) quantum sensing, such as cardiac magnetometry, where there is potential for SQUID magnetocardiography to be used for detecting cardiomyopathy; (2) quantum computing for cardiovascular risk prediction, and (3) next-generation quantum sensors for mobile cardiac imaging. Conclusions: Quantum technology in cardiovascular medicine represents modest promise in select applications, most notably, magnetocardiography. To go from “hype to hope”, clinical trials will be required to identify application domains where quantum technologies outweigh the challenges of implementation in clinical practice. Full article
(This article belongs to the Section Cardiology)
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12 pages, 452 KB  
Proceeding Paper
Integrating Serious Games in Primary Education: A Comprehensive Analysis
by Argyro Sachinidou, Ioannis Antoniadis and George F. Fragulis
Eng. Proc. 2025, 107(1), 22; https://doi.org/10.3390/engproc2025107022 - 26 Aug 2025
Viewed by 992
Abstract
The significant development of technology has greatly influenced crucial sectors of society, including health, economy, public health, and business. Technological tools have become essential in daily life, impacting the educational process across all age groups. Previous research has demonstrated the pervasive integration of [...] Read more.
The significant development of technology has greatly influenced crucial sectors of society, including health, economy, public health, and business. Technological tools have become essential in daily life, impacting the educational process across all age groups. Previous research has demonstrated the pervasive integration of technology into everyday activities, emphasizing the compelling attraction that screens and mobile devices provide, particularly among younger generations. However, earlier studies have often overlooked the detailed impact and practical applications of these technologies within the educational sector, particularly through computer games. This study employs a comprehensive analysis of scientific articles available on the internet, examining global research on the use of computer games in education. The research methods include a systematic review of publications, focusing on primary education while also considering other educational levels to provide a holistic view. The analytical approach highlights the practices employed during the implementation of educational computer games and their effects on the learning process. The major findings reveal that educational computer games have become a highly popular pedagogical method, effectively capturing the interest of both students and educators. The study underscores the growing demand for these educational tools and the promise of continuous improvements and additions to this type of teaching. The results suggest that integrating computer games into education not only enhances engagement but also signifies a progressive shift in teaching methodologies, paving the way for innovative educational practices. Full article
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11 pages, 260 KB  
Article
Participatory Development of Digital Innovations for Health Promotion Among Older Adults: Qualitative Insights on Individual, Contextual, and Technical Factors
by Katja A. Rießenberger, Karina Povse and Florian Fischer
Int. J. Environ. Res. Public Health 2025, 22(8), 1311; https://doi.org/10.3390/ijerph22081311 - 21 Aug 2025
Viewed by 1203
Abstract
Location-based games offer innovative approaches for health promotion among older adults, but their effectiveness depends on understanding complex contextual factors beyond technological design. In our study, we aimed to adapt a location-based game in the form of a smartphone application which originally targeted [...] Read more.
Location-based games offer innovative approaches for health promotion among older adults, but their effectiveness depends on understanding complex contextual factors beyond technological design. In our study, we aimed to adapt a location-based game in the form of a smartphone application which originally targeted younger people. We employed ethnographic observations in a field test under real-world conditions for identifying the needs and preferences of older adults in this regard. Field notes of one co-creative workshop were analyzed using thematic analysis. Four key contextual factor categories emerged that significantly influenced user engagement: (1) temporal/spatial factors including weather conditions, topography, and traffic safety that impacted screen visibility and cognitive function; (2) virtual-physical orientation challenges requiring high cognitive load to transfer abstract digital maps to real environments; (3) individual factors such as technical competence, mobility levels, and prior accessibility experiences that shaped usage patterns; and (4) social dynamics that provided motivation and peer support while potentially creating exclusionary practices. Successful digital health innovations for older adults require a socio-technical systems approach that addresses environmental conditions, reduces cognitive transfer demands between virtual and physical navigation, leverages social elements while preventing exclusion, and accounts for heterogeneity among older adults as contextually interactive factors rather than merely individual differences. Full article
(This article belongs to the Special Issue Digital Innovations for Health Promotion)
21 pages, 310 KB  
Article
Exploring the Beliefs of Latine Mothers and Fathers from Diverse Backgrounds About the Role of Mobile Devices in Their Parenting Experiences
by Wendy Ochoa
Behav. Sci. 2025, 15(8), 1139; https://doi.org/10.3390/bs15081139 - 21 Aug 2025
Viewed by 403
Abstract
This study examined how a socioeconomically and linguistically diverse sample of Latine mothers (n = 20) and fathers (n = 20) of children under age five perceive the role of mobile screen technologies in their parenting experiences, using semi-structured interviews. The [...] Read more.
This study examined how a socioeconomically and linguistically diverse sample of Latine mothers (n = 20) and fathers (n = 20) of children under age five perceive the role of mobile screen technologies in their parenting experiences, using semi-structured interviews. The results show seven key themes that capture how parents believed these devices had both supported and hindered their parenting. These themes were organized into three overarching functions that reflect how mobile screen technologies were viewed and used by Latine mothers and fathers from socioeconomically and linguistically diverse backgrounds: (1) enabling access to parenting resources (i.e., access to information and social support), (2) shaping parent–child interactions (i.e., facilitating teaching, promoting bonding, and disrupting interactions), and (3) influencing emotional regulation and wellbeing (i.e., aiding or complicating behavior management and contributing to parental stress and relief). While these functions were largely consistent across participants, notable differences emerged by gender, language, and income—most prominently in relation to the parents’ levels of formal schooling. Full article
15 pages, 1327 KB  
Article
Tentative Identification of Chemical Constituents in Liuwei Dihuang Pills Based on UPLC-Orbitrap-MS
by Lanxiang Yang, Min Tao, Rongping Tao, Mingzhu Cao and Rui Wang
Metabolites 2025, 15(8), 561; https://doi.org/10.3390/metabo15080561 - 21 Aug 2025
Viewed by 827
Abstract
Background: Liuwei Dihuang Pills, a classic traditional Chinese medicine formula, has been widely used in clinical practice for its multiple pharmacological effects. However, the systematic characterization and identification of its chemical constituents, especially the aqueous decoction, remain insufficient, which hinders in-depth research on [...] Read more.
Background: Liuwei Dihuang Pills, a classic traditional Chinese medicine formula, has been widely used in clinical practice for its multiple pharmacological effects. However, the systematic characterization and identification of its chemical constituents, especially the aqueous decoction, remain insufficient, which hinders in-depth research on its pharmacodynamic material basis. Thus, there is an urgent need for a comprehensive analysis of its chemical components using advanced analytical techniques. Methods: After screening chromatographic columns, the ACQUITY UPLC™ HSS T3 column (100 mm × 2.1 mm, 1.8 μm) was selected. The column temperature was set to 40 °C, and the mobile phase consisted of 0.1% formic acid in water (A) and 0.1% formic acid in acetonitrile (B). A gradient elution program was adopted, and the separation was completed within 20 min. Ultra-high performance liquid chromatography–Orbitrap mass spectrometry (UPLC-Orbitrap-MS) combined with a self-established information database was used for the analysis. Results: A total of 80 compounds were tentatively identified, including 13 monoterpenoids, 6 phenolic acids, 16 iridoids, 11 flavonoids, 25 triterpenoids, and 9 other types. Triterpenoids are mainly derived from Poria cocos and Alisma orientale; iridoids are mainly from Rehmannia glutinosa; monoterpenoids are mainly from Moutan Cortex; and flavonoids are mainly from Dioscorea opposita. Among them, monoterpenoids, iridoids, and triterpenoids are important pharmacodynamic components. The cleavage pathways of typical compounds (such as pachymic acid, catalpol, oxidized paeoniflorin, and puerarin) are clear, and their mass spectral fragment characteristics are consistent with the literature reports. Conclusions: Through UPLC-Orbitrap-MS technology and systematic optimization of conditions, this study significantly improved the coverage of chemical component identification in Liuwei Dihuang Pills, providing a comprehensive reference for the research on its pharmacodynamic substances. However, challenges remain in the identification of trace components and isomers. In the future, analytical methods will be further improved by combining technologies such as ion mobility mass spectrometry or multi-dimensional liquid chromatography. Full article
(This article belongs to the Special Issue Analysis of Specialized Metabolites in Natural Products)
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24 pages, 2716 KB  
Article
Interactive Indoor Audio-Map as a Digital Equivalent of the Tactile Map
by Dariusz Gotlib, Krzysztof Lipka and Hubert Świech
Appl. Sci. 2025, 15(16), 8975; https://doi.org/10.3390/app15168975 - 14 Aug 2025
Viewed by 450
Abstract
There are still relatively few applications that serve the function of a traditional tactile map, allowing visually impaired individuals to explore a digital map by sliding their fingers across it. Moreover, existing technological solutions either lack a spatial learning mode or provide only [...] Read more.
There are still relatively few applications that serve the function of a traditional tactile map, allowing visually impaired individuals to explore a digital map by sliding their fingers across it. Moreover, existing technological solutions either lack a spatial learning mode or provide only limited functionality, focusing primarily on navigating to a selected destination. To address these gaps, the authors have proposed an original concept for an indoor mobile application that enables map exploration by sliding a finger across the smartphone screen, using audio spatial descriptions as the primary medium for conveying information. The spatial descriptions are hierarchical and contextual, focusing on anchoring them in space and indicating their extent of influence. The basis for data management and analysis is GIS technology. The application is designed to support spatial orientation during user interaction with the digital map. The research emphasis was on creating an effective cartographic communication message, utilizing voice-based delivery of spatial information stored in a virtual building model (within a database) and tags placed in real-world buildings. Techniques such as Text-to-Speech, TalkBack, QRCode technologies were employed to achieve this. Preliminary tests conducted with both blind and sighted people demonstrated the usefulness of the proposed concept. The proposed solution supporting people with disabilities can also be useful and attractive to all users of navigation applications and may affect the development of such applications. Full article
(This article belongs to the Section Earth Sciences)
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32 pages, 1280 KB  
Review
Effectiveness of Technology-Based Interventions in Promoting Lung Cancer Screening Uptake and Decision-Making Among Patients
by Safa Elkefi, Nelson Gaillard and Rongyi Wu
Int. J. Environ. Res. Public Health 2025, 22(8), 1250; https://doi.org/10.3390/ijerph22081250 - 9 Aug 2025
Viewed by 819
Abstract
This study reviews how technology-based interventions have been designed and implemented to promote lung cancer screening (LCS), support shared decision-making, and enhance patient engagement. A systematic search of six databases in February 2025 identified 28 eligible studies published between 2014 and 2025. Most [...] Read more.
This study reviews how technology-based interventions have been designed and implemented to promote lung cancer screening (LCS), support shared decision-making, and enhance patient engagement. A systematic search of six databases in February 2025 identified 28 eligible studies published between 2014 and 2025. Most interventions were home-based and self-guided, including videos, websites, mobile apps, telehealth, and patient portal messages. Common features included risk calculators, multimedia content, simplified navigation, and integration with electronic medical records. These tools aim to raise awareness, improve informed decision-making, and support smoking cessation. While 82% of studies reported positive effects on knowledge and decision-making confidence, only some showed an increased screening uptake. Key barriers included limited internet access, low digital literacy, provider time constraints, fear or anxiety, and concerns about radiation or cost. Despite these challenges, digital tools show promise in advancing LCS promotion. Their effectiveness, however, depends on thoughtful design, integration into clinical workflows, and equitable access. Future work should address structural and contextual challenges to scale digital health solutions and reduce disparities in screening participation. This review identifies both the potential and limitations of current interventions and offers guidance for enhancing impact through targeted, accessible, and user-informed approaches. Full article
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18 pages, 822 KB  
Systematic Review
Virtual Care Perceptions and Experiences of Older Adults During COVID-19 in Canada: A Systematic Review
by Donna Gao, Angela Xu and Lixia Yang
Healthcare 2025, 13(15), 1937; https://doi.org/10.3390/healthcare13151937 - 7 Aug 2025
Viewed by 617
Abstract
Background/Objectives: Older adults (65+) are the fastest growing age group in Canada, comprising 18.8% of the country’s population. During the COVID-19 pandemic, use of virtual care, including telehealth and tele-medicine, increased dramatically among older adults in Canada who often face higher health [...] Read more.
Background/Objectives: Older adults (65+) are the fastest growing age group in Canada, comprising 18.8% of the country’s population. During the COVID-19 pandemic, use of virtual care, including telehealth and tele-medicine, increased dramatically among older adults in Canada who often face higher health risks, mobility limitations, and many barriers to accessing healthcare. Despite the rapid expansion in virtual care, no systematic review has focused specifically on virtual care among older adults in Canada. This review aims to explore the factors influencing virtual care adoption and the experiences of older Canadians during the pandemic through a systematic review. Methods: Conducted in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines, the review involved a comprehensive search of PubMed, Scopus, ESCBOHost, and Web of Science on 2 May 2025, yielding 281 unique citations. After screening and applying eligibility criteria, 15 studies employing quantitative, qualitative, or mixed-methods designs, with sample sizes ranging from 15 to 2,282,798, were included and appraised using the Mixed Methods Appraisal Tool (MMAT). Results: The review identified three domains of factors and the ways in which each factor shapes older adults’ virtual care experiences: (1) personal factors influencing virtual care use and demand (e.g., age, education, language, income, immigration status, community sizes), (2) resource factors impacting virtual care adoption (e.g., technology access, support), and (3) varying virtual care experiences among older adults (e.g., in assessment and communication efficacy, privacy, care quality, convenience, safety, and costs). Conclusions: This review highlights the complexities of virtual care engagement among older adults and underscores the need for inclusive, tailored strategies to improve the accessibility and effectiveness of virtual care delivery in both pandemic and post-pandemic contexts. Full article
(This article belongs to the Special Issue Aging and Older Adults’ Healthcare)
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14 pages, 529 KB  
Article
Nomophobia Levels in Turkish High School Students: Variations by Gender, Physical Activity, Grade Level and Smartphone Use
by Piyami Çakto, İlyas Görgüt, Amayra Tannoubi, Michael Agyei, Medina Srem-Sai, John Elvis Hagan, Oğuzhan Yüksel and Orhan Demir
Youth 2025, 5(3), 78; https://doi.org/10.3390/youth5030078 - 1 Aug 2025
Viewed by 881
Abstract
The rapidly changing dynamics of the digital age reshape the addiction relationship that high school students establish with technology. While smartphones remove boundaries in terms of communication and access to information, their usage triggers a source of anxiety and nomophobia. The increase in [...] Read more.
The rapidly changing dynamics of the digital age reshape the addiction relationship that high school students establish with technology. While smartphones remove boundaries in terms of communication and access to information, their usage triggers a source of anxiety and nomophobia. The increase in students’ anxiety levels because of their over-reliance on mobile phone use leads to significant behavioral changes in their mental health, academic performance, social interactions and financial dependency. This study examined the nomophobia levels of high school students according to selected socio-demographic indicators. Using the relational screening model, the multistage sampling technique was used to select a sample of 884 participants: 388 from Science High School and 496 from Anatolian High School (459 female, 425 male, Mage = 16.45 ± 1.14 year). Independent sample test and One-way ANOVA were applied. Depending on the homogeneity assumption of the data, Welch values were considered, and Tukey tests were applied as a second-level test from post hoc analyses. Comprehensive analyses of nomophobia levels revealed that young individuals’ attitudes towards digital technology differ significantly according to their demographic and behavioral characteristics. Variables such as gender, physical activity participation, grade level and duration of smartphone use are among the main factors affecting nomophobia levels. Female individuals and students who do not participate in physical activity exhibit higher nomophobia scores. Full article
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17 pages, 460 KB  
Article
Efficient Multi-Layer Credential Revocation Scheme for 6G Using Dynamic RSA Accumulators and Blockchain
by Guangchao Wang, Yanlong Zou, Jizhe Zhou, Houxiao Cui and Ying Ju
Electronics 2025, 14(15), 3066; https://doi.org/10.3390/electronics14153066 - 31 Jul 2025
Viewed by 459
Abstract
As a new generation of mobile communication networks, 6G security faces many new security challenges. Vehicle to Everything (V2X) will be an important part of 6G. In V2X, connected and automated vehicles (CAVs) need to frequently share data with other vehicles and infrastructures. [...] Read more.
As a new generation of mobile communication networks, 6G security faces many new security challenges. Vehicle to Everything (V2X) will be an important part of 6G. In V2X, connected and automated vehicles (CAVs) need to frequently share data with other vehicles and infrastructures. Therefore, identity revocation technology in the authentication is an important way to secure CAVs and other 6G scenario applications. This paper proposes an efficient credential revocation scheme with a four-layer architecture. First, a rapid pre-filtration layer is constructed based on the cuckoo filter, responsible for the initial screening of credentials. Secondly, a directed routing layer and the precision judgement layer are designed based on the consistency hash and the dynamic RSA accumulator. By proposing the dynamic expansion of the RSA accumulator and load-balancing algorithm, a smaller and more stable revocation delay can be achieved when many users and terminal devices access 6G. Finally, a trusted storage layer is built based on the blockchain, and the key revocation parameters are uploaded to the blockchain to achieve a tamper-proof revocation mechanism and trusted data traceability. Based on this architecture, this paper also proposes a detailed identity credential revocation and verification process. Compared to existing solutions, this paper’s solution has a combined average improvement of 59.14% in the performance of the latency of the cancellation of the inspection, and the system has excellent load balancing, with a standard deviation of only 11.62, and the maximum deviation is controlled within the range of ±4%. Full article
(This article belongs to the Special Issue Connected and Autonomous Vehicles in Mixed Traffic Systems)
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