Search Results (843)

Adhesive capsulitis is a painful and progressive condition marked by significant limitations in shoulder mobility, particularly affecting external rotation. Although magnetic resonance imaging is regarded as the reference standard for assessing intra-articular structures, its high cost and limited availability present challenges in routine clinical use. In contrast, musculoskeletal ultrasound has emerged as an accessible, real-time, and cost-effective imaging modality for both the diagnosis and treatment guidance of adhesive capsulitis. This narrative review compiles and illustrates current evidence regarding the role of ultrasound, encompassing static B-mode imaging, dynamic motion analysis, contrast-enhanced techniques, and sonoelastography. Key sonographic features—such as thickening of the coracohumeral ligament, fibrosis in the axillary recess, and abnormal tendon kinematics—have been consistently associated with adhesive capsulitis and demonstrate favorable diagnostic performance. Advanced methods like contrast-enhanced ultrasound and elastography provide additional functional insights (enabling evaluation of capsular stiffness and vascular changes) which may aid in disease staging and prediction of treatment response. Despite these advantages, the clinical utility of ultrasound remains subject to operator expertise and technical variability. Limited visualization of intra-articular structures and the absence of standardized scanning protocols continue to pose challenges. Nevertheless, ongoing advances in its technology and utility standardization hold promise for the broader application of ultrasound in clinical practice. With continued research and validation, ultrasound is positioned to play an increasingly central role in the comprehensive assessment and management of adhesive capsulitis. Full article

The incorporation of digital health into the medical curricula is becoming more important to better prepare doctors in the future. Digital health comprises a wide range of tools such as electronic health records, health information technology, telemedicine, telehealth, mobile health applications, wearable devices, artificial intelligence, and virtual reality. The present study aimed to explore the medical and biomedical students’ perspectives on the integration of digital health in medical curricula. A cross-sectional study was conducted on the medical and biomedical undergraduate students at the College of Medicine and Health Sciences at Sultan Qaboos University. Data was collected using a self-administered questionnaire. The response rate was 37%. The majority of respondents were in the MD (Doctor of Medicine) program (84.4%), while 29 students (15.6%) were from the BMS (Biomedical Sciences) program. A total of 55.38% agreed that they were familiar with the term ‘e-Health’. Additionally, 143 individuals (76.88%) reported being aware of the definition of e-Health. Specifically, 69 individuals (37.10%) utilize e-Health technologies every other week, 20 individuals (10.75%) reported using them daily, while 44 individuals (23.66%) indicated that they never used such technologies. Despite having several benefits, challenges exist in integrating digital health into the medical curriculum. There is a need to overcome the lack of infrastructure, existing educational materials, and digital health topics. In conclusion, embedding digital health into medical curricula is certainly beneficial for creating a digitally competent healthcare workforce that could help in better data storage, help in diagnosis, aid in patient consultation from a distance, and advise on medications, thereby leading to improved patient care which is a key public health priority. Full article

The present paper investigates the application of convolutional neural networks (CNNs) for the classification of diabetic foot ulcers, using VGG16, VGG19 and MobileNetV2 architectures. The primary objective is to develop and compare deep learning models capable of accurately identifying ulcerated regions in clinical images of diabetic feet, thereby aiding in the prevention and effective treatment of foot ulcers. A comprehensive study was conducted using an annotated dataset of medical images, evaluating the performance of the models in terms of accuracy, precision, recall and F1-score. VGG19 achieved the highest accuracy at 97%, demonstrating superior ability to focus activations on relevant lesion areas in complex images. MobileNetV2, while slightly less accurate, excelled in computational efficiency, making it a suitable choice for mobile devices and environments with hardware constraints. The study also highlights the limitations of each architecture, such as increased risk of overfitting in deeper models and the lower capability of MobileNetV2 to capture fine clinical details. These findings suggest that CNNs hold significant potential in computer-aided clinical diagnosis, particularly in the early and precise detection of diabetic foot ulcers, where timely intervention is crucial to prevent amputations. Full article

Based on a literature review, the present article aims to present ecotourism as a transformative factor in the economic, social, cultural, and environmental contexts, revealing key elements for the sustainable development of ecotourism. To ensure that this objective is met, the review combines the insights of classical authors and many recent authors who have best addressed the subject. The review carefully selected consensual and contradictory arguments, reflecting on the relevance of each group, particularly in aspects such as the influence of emotional experience on behaviour and satisfaction, strategy and competitive advantage, cooperation and sustainability, and the influence of resilience on ecotourism. The impact of each perspective was presented without ignoring the major constraints that ecotourism faces in its search for a position in the tourism industry. This led the study to accept the fact that the active participation of the community is indispensable in the formula for the success of ecotourism. Some statistical data were consulted and analysed, which enabled the study to determine the quantitative impact of ecotourism on economic, social, and environmental life. In terms of benefits to communities, the review clarifies the fact that ecotourism serves as an instrument that mobilizes not only the additional value of products and services traded in the process, but also the return on investments and job creation. The combination of visiting activities with the involvement of tour guides contributes to maximizing profits in the destinations, thus supporting solid economic, social, and environmental development for the benefit of both ecotourism promoters and local communities. However, the analysis makes it clear that the economic, social, and environmental benefit depends on the degree of involvement of the local population. In terms of usability, for other studies, this review can contribute to the understanding and positioning of ecotourism in the search for a balance between satisfying socioeconomic and environmental interests. Additionally, it can serve as an aid to policy makers in their decisions related to ecotourism. Full article

Background: Mobility limitation is a pivotal but under-documented dimension of disability in Saudi Arabia. Leveraging the 2017 National Disability Survey, this cross-sectional study provides a population-wide profile of mobility-related physical difficulty. Objectives: Five research aims were pursued: (1) estimate national prevalence and severity by sex; (2) map regional differentials; (3) examine educational and marital correlates; (4) characterize cause, duration, and familial context among those with multiple limitations; and (5) describe patterns of assistive-aid and social-service use. Methods: Publicly available aggregate data covering 20,408,362 Saudi citizens were cleaned and analyzed across 14 mobility indicators and three baseline files. Prevalence ratios and χ² tests assessed associations. Results: Overall, 1,445,723 Saudis (7.1%) reported at least one functional difficulty; 833,136 (4.1%) had mobility difficulty, of whom 305,867 (36.7%) had mobility-only impairment. Severity was chiefly mild (35% of cases), with moderate (16%) and severe (7%) forms forming a descending pyramid. Prevalence varied more than threefold across the thirteen regions, peaking in Aseer (9.4%) and bottoming in Najran (2.9%). Mobility difficulty clustered among adults with no schooling (36.1%) and widowed status (18.5%), with sharper female disadvantage in both domains (p < 0.001). Among those with additional limitations, chronic disease dominated etiology (56.3%), and 90.1% had lived with disability for ≥25 years; women were overrepresented in the longest-duration band. Aid utilization was led by crutches (47.7%), personal assistance (25.3%), and wheelchairs (22.6%), while 83.8% accessed Ministry rehabilitation services, yet fewer than 4% used home or daycare support. Conclusions: These findings highlight sizeable, regionally concentrated, and gender-patterned mobility burdens, underscoring the need for education-sensitive prevention, chronic-care management, investment in advanced assistive technology, and distributed community services to achieve Vision 2030 inclusion goals. Full article

The presence of antibiotic resistance in commensal bacteria may be an influential factor in the persistence of resistance in pathogens. This is especially critical for Escherichia coli that consumers may be exposed to through the consumption of uncooked meat. In this study, E. coli isolates previously recovered from poultry in the US between 2001 and 2012 were whole-genome sequenced to identify their antibiotic resistance genes and mobile genetic elements. The genomes of 98 E. coli isolates from poultry carcass rinsates and 2 isolates from poultry diagnostic samples with multidrug resistance or potential extended-spectrum β-lactam (ESBL)-producing phenotypes as well as the genetic variabilities among the E. coli were assessed. All E. coli isolates were positive for at least one antibiotic resistance gene and plasmid replicon, with 37 resistance genes and 27 plasmid replicons detected among the isolates. While no ESBL genes were detected, bla_CMY-2 was the most common β-lactamase gene, and bla_TEM and bla_CARB-2 were also identified. Most isolates (95%) harbored at least one intact phage, and as many as seven intact phages were identified in one isolate. These results show the occurrence of antibiotic resistance genes and mobile genetic elements in these 100 poultry-associated E. coli isolates, which may be responsible for the resistance phenotypes exhibited by the isolates. This retrospective study also enables comparisons of resistance genes and mobile genetic elements from more recent E. coli isolates associated with poultry to aid in understanding the trends of both antibiotic resistance phenotypes and genotypes in the poultry setting over time. Full article

Mammography is the main method for early detection of breast cancer, which is still a major global health concern. However, inter-reader variability and the inherent difficulty of interpreting subtle radiographic features frequently limit the accuracy of diagnosis. A thorough assessment of deep convolutional neural networks (CNNs) for automated mammogram classification is presented in this work, along with the introduction of two innovative multi-view integration techniques: Dual-Branch Ensemble (DBE) and Merged Dual-View (MDV). By setting aside two datasets for out-of-sample testing, we evaluate the generalizability of the model using six different mammography datasets that represent various populations and imaging systems. We compare a number of cutting-edge architectures on both individual and combined datasets, including ResNet, DenseNet, EfficientNet, MobileNet, Vision Transformers, and VGG19. Both MDV and DBE strategies improve classification performance, according to experimental results. VGG19 and DenseNet both obtained high ROC AUC scores of 0.9051 and 0.7960 under the MDV approach. DenseNet demonstrated strong performance in the DBE setting, achieving a ROC AUC of 0.8033, while ResNet50 recorded a ROC AUC of 0.8042. These enhancements demonstrate how beneficial multi-view fusion is for boosting model robustness. The impact of domain shift is further highlighted by generalization tests, which emphasize the need for diverse datasets in training. These results offer practical advice for improving CNN architectures and integration tactics, which will aid in the creation of trustworthy, broadly applicable AI-assisted breast cancer screening tools. Full article

The formation of acidic goaf water in abandoned coal mines poses significant environmental threats, especially in karst regions where the risk of groundwater contamination is heightened. This study investigates the geochemical processes responsible for the generation of acidic water through batch and column leaching experiments using coal mine surrounding rocks (CMSR) from Yangquan, China. The coal-bearing strata, primarily composed of sandstone, mudstone, shale, and limestone, contain high concentrations of pyrite (up to 12.26 wt%), which oxidizes to produce sulfuric acid, leading to a drastic reduction in pH (approximately 2.5) and the mobilization of toxic elements. The CMSR samples exhibit elevated levels of arsenic (11.0 mg/kg to 18.1 mg/kg), lead (69.5 mg/kg to 113.5 mg/kg), and cadmium (0.6 mg/kg to 2.6 mg/kg), all of which exceed natural crustal averages and present significant contamination risks. The fluorine content varies widely (106.1 mg/kg to 1885 mg/kg), with the highest concentrations found in sandstone. Sequential extraction analyses indicate that over 80% of fluorine is bound in residual phases, which limits its immediate release but poses long-term leaching hazards. The leaching experiments reveal a three-stage release mechanism: first, the initial oxidation of sulfides rapidly lowers the pH (to between 2.35 and 2.80), dissolving heavy metals and fluorides; second, slower weathering of aluminosilicates and adsorption by iron and aluminum hydroxides reduce the concentrations of dissolved elements; and third, concentrations stabilize as adsorption and slow silicate weathering regulate the long-term release of contaminants. The resulting acidic goaf water contains extremely high levels of metals (with aluminum at 191.4 mg/L and iron at 412.0 mg/L), which severely threaten groundwater, particularly in karst areas where rapid cross-layer contamination can occur. These findings provide crucial insights into the processes that drive the acidity of goaf water and the release of contaminants, which can aid in the development of effective mitigation strategies for abandoned mines. Targeted management is essential to safeguard water resources and ecological health in regions affected by mining activities. Full article

The growing demand for reliable and secure vehicle-to-vehicle (V2V) communication in next-generation intelligent transportation systems has accelerated the adoption of reconfigurable intelligent surfaces (RIS) as a means of enhancing link quality, spectral efficiency, and physical layer security. In this paper, we investigate the problem of secrecy rate maximization in a cooperative dual-RIS-aided V2V communication network, where two cascaded RISs are deployed to collaboratively assist with secure data transmission between mobile vehicular nodes in the presence of eavesdroppers. To address the inherent complexity of time-varying wireless channels, we propose a novel evolutionary transformer-gated recurrent unit (Evo-Transformer-GRU) framework that jointly learns temporal channel patterns and optimizes the RIS reflection coefficients, beam-forming vectors, and cooperative communication strategies. Our model integrates the sequence modeling strength of GRUs with the global attention mechanism of transformer encoders, enabling the efficient representation of time-series channel behavior and long-range dependencies. To further enhance convergence and secrecy performance, we incorporate an improved gray wolf optimizer (IGWO) to adaptively regulate the model’s hyper-parameters and fine-tune the RIS phase shifts, resulting in a more stable and optimized learning process. Extensive simulations demonstrate the superiority of the proposed framework compared to existing baselines, such as transformer, bidirectional encoder representations from transformers (BERT), deep reinforcement learning (DRL), long short-term memory (LSTM), and GRU models. Specifically, our method achieves an up to 32.6% improvement in average secrecy rate and a 28.4% lower convergence time under varying channel conditions and eavesdropper locations. In addition to secrecy rate improvements, the proposed model achieved a root mean square error (RMSE) of 0.05, coefficient of determination ($R^2$) score of 0.96, and mean absolute percentage error (MAPE) of just 0.73%, outperforming all baseline methods in prediction accuracy and robustness. Furthermore, Evo-Transformer-GRU demonstrated rapid convergence within 100 epochs, the lowest variance across multiple runs. Full article

Objective: The classification of skin cancer is very helpful in its early diagnosis and treatment, considering the complexity involved in differentiating AK from BCC and SK. These conditions are generally not easily detectable due to their comparable clinical presentations. Method: This paper presents a new approach to hyperspectral imaging for enhancing the visualization of skin lesions called the Spectrum-Aided Vision Enhancer (SAVE), which has the ability to convert any RGB image into a narrow-band image (NBI) by combining hyperspectral imaging (HSI) to increase the contrast of the area of the cancerous lesions when compared with the normal tissue, thereby increasing the accuracy of classification. The current study investigates the use of ten different machine learning algorithms for the purpose of classification of AK, BCC, and SK, including convolutional neural network (CNN), random forest (RF), you only look once (YOLO) version 8, support vector machine (SVM), ResNet50, MobileNetV2, Logistic Regression, SVM with stochastic gradient descent (SGD) Classifier, SVM with logarithmic (LOG) Classifier and SVM- Polynomial Classifier, in assessing the capability of the system to differentiate AK from BCC and SK with heightened accuracy. Results: The results demonstrated that SAVE enhanced classification performance and increased its accuracy, sensitivity, and specificity compared to a traditional RGB imaging approach. Conclusions: This advanced method offers dermatologists a tool for early and accurate diagnosis, reducing the likelihood of misclassification and improving patient outcomes. Full article

Navigational aids play a vital role in enhancing the mobility and independence of blind and visually impaired (VI) individuals. However, existing solutions often present challenges related to discomfort, complexity, and limited ability to provide detailed environmental awareness. To address these limitations, we introduce SnapStick, an innovative assistive technology designed to improve spatial perception and navigation. SnapStick integrates a Bluetooth-enabled smart cane, bone-conduction headphones, and a smartphone application powered by the Florence-2 Vision Language Model (VLM) to deliver real-time object recognition, text reading, bus route detection, and detailed scene descriptions. To assess the system’s effectiveness and user experience, eleven blind participants evaluated SnapStick, and usability was measured using the System Usability Scale (SUS). In addition to the 94% accuracy, the device received an SUS score of 84.7%, indicating high user satisfaction, ease of use, and comfort. Participants reported that SnapStick significantly improved their ability to navigate, recognize objects, identify text, and detect landmarks with greater confidence. The system’s ability to provide accurate and accessible auditory feedback proved essential for real-world applications, making it a practical and user-friendly solution. These findings highlight SnapStick’s potential to serve as an effective assistive device for blind individuals, enhancing autonomy, safety, and navigation capabilities in daily life. Future work will explore further refinements to optimize user experience and adaptability across different environments. Full article

Reliable and accurate docking remains a fundamental challenge for autonomous mobile robots (AMRs) operating in complex industrial environments with dynamic lighting, motion blur, and occlusion. This study proposes a novel multi-sensor fusion-based docking framework that significantly enhances robustness and precision by integrating YOLOv8-based AprilTag detection, depth-aided 3D localization, and LiDAR-based orientation correction. A key contribution of this work is the construction of a custom AprilTag dataset featuring real-world visual disturbances, enabling the YOLOv8 model to achieve high-accuracy detection and ID classification under challenging conditions. To ensure precise spatial localization, 2D visual tag coordinates are fused with depth data to compute 3D positions in the robot’s frame. A LiDAR group-symmetry mechanism estimates heading deviation, which is combined with visual feedback in a hybrid PID controller to correct angular errors. A finite-state machine governs the docking sequence, including detection, approach, yaw alignment, and final engagement. Simulation and experimental results demonstrate that the proposed system achieves higher docking success rates and improved pose accuracy under various challenging conditions compared to traditional vision- or LiDAR-only approaches. Full article

Climate change, the consequences of which have been more intense than ever in the last few decades, makes the need for sustainable transportation even more imperative. The promotion of public transportation and the discouragement of private car use are among the main priorities of sustainable transport planning in modern urban areas. However, the selection of the most appropriate transport project, apart from significant opportunities, is also accompanied by significant challenges, especially under the demand of compromising—often conflicting—social, environmental, and economic criteria, as well as different stakeholders’ interests. The aim of the present paper is to provide decision analysts and policy-makers with a decision-support tool for the prioritization and optimum selection of public transport projects for an urban area within the framework of sustainability. For this purpose, a comprehensive inventory of criteria for the evaluation of urban public transport systems (alternatives), along with a standardized table with the relevant performance of the most common alternatives (i.e., metro, tram, monorail, and BRT) are provided based on international literature review. A multi-criteria decision-aiding methodology based on TOPSIS (Technique for Order Preference by Similarity to Ideal Solution), allowing for the direct exclusion of an alternative not meeting certain “binding” criteria from further evaluation, thus saving time, effort and cost, taking into account different stakeholders’ interests and preferences, as well as the particularities and special characteristics of the study area, is then proposed and tested through a theoretical case study. Full article

Background/Objectives: Artificial intelligence (AI) offers opportunities to enhance healthcare accessibility for people with disabilities (PwDs). However, their application in Saudi Arabia remains limited. This study explores PwDs’ experiences with AI technologies within the Kingdom’s Vision 2030 digital health framework to inform inclusive healthcare innovation strategies. Methods: Semi-structured interviews were conducted with nine PwDs across Riyadh, Al-Jouf, and the Northern Border region between January and February 2025. Participants used various AI-enabled technologies, including smart home assistants, mobile health applications, communication aids, and automated scheduling systems. Thematic analysis following Braun and Clarke’s six-phase framework was employed to identify key themes and patterns. Results: Four major themes emerged: (1) accessibility and usability challenges, including voice recognition difficulties and interface barriers; (2) personalization and autonomy through AI-assisted daily living tasks and medication management; (3) technological barriers such as connectivity issues and maintenance gaps; and (4) psychological acceptance influenced by family support and cultural integration. Participants noted infrastructure gaps in rural areas, financial constraints, limited disability-specific design, and digital literacy barriers while expressing optimism regarding AI’s potential to enhance independence and health outcomes. Conclusions: Realizing the benefits of AI for disability healthcare in Saudi Arabia requires culturally adapted designs, improved infrastructure investment in rural regions, inclusive policymaking, and targeted digital literacy programs. These findings support inclusive healthcare innovation aligned with Saudi Vision 2030 goals and provide evidence-based recommendations for implementing AI healthcare technologies for PwDs in similar cultural contexts. Full article

The health of road tunnel linings directly impacts traffic safety and requires regular inspection. Appearance defects on tunnel linings can be measured through images scanned by cameras mounted on a car to avoid disrupting traffic. Existing tunnel lining mobile scanning methods often fail in image stitching due to the lack of corresponding feature points in the lining images, or require complex, time-consuming algorithms to eliminate stitching seams caused by the same issue. This paper proposes a mobile scanning method aided by collimated lasers, which uses lasers as corresponding points to assist with image stitching to address the problems. Additionally, the lasers serve as structured light, enabling the measurement of image projection relationships. An inspection car was developed based on this method for the experiment. To ensure operational flexibility, a single checkerboard was used to calibrate the system, including estimating the poses of lasers and cameras, and a Laplace kernel-based algorithm was developed to guarantee the calibration accuracy. Experiments show that the performance of this algorithm exceeds that of other benchmark algorithms, and the proposed method produces nearly seamless, measurable tunnel lining images, demonstrating its feasibility. Full article