Search Results (424)

Pedestrian safety in developing countries faces critical challenges from rapid urbanization and infrastructure deficiencies. This study investigates how visual context influences pedestrian crossing preferences through a controlled stated preference experiment in multiple Ecuadorian cities. A sample of 875 participants was randomly assigned to view either non-compliant (mid-block crossing) or compliant (signalized crosswalk) imagery before evaluating six hypothetical scenarios involving three crossing alternatives. Multinomial logit models reveal that waiting time, traveling with a minor, and walking distance are primary determinants of choice. Visual context showed systematic associations with choice patterns: compliant imagery was associated with increased preference for safer alternatives (50.5% versus 43.8% prediction accuracy) and larger safety-related parameter magnitudes. Principal Component Analysis identified two latent perception constructs, safety/security and bridge-specific convenience, providing behavioral interpretation of choice patterns. Substantial spatial heterogeneity emerged across cities (χ² = 124.10 and 84.74, p < 0.001), with larger urban centers showing stronger responsiveness to formal infrastructure cues. The findings demonstrate that visual stimuli systematically alter choice distributions and attribute sensitivities through normative activation and perceptual recalibration. This research contributes methodologically by establishing visual framing effects in stated preference frameworks and provides actionable insights for pedestrian infrastructure design, emphasizing alignment of objective safety improvements with perceived risk and contextual behavioral cues. Full article

Background/Objectives: This study aimed to describe changes in physical performance and nutritional status among frail adults at risk of falls receiving muscle-targeted oral nutritional supplementation (MT-ONS) as part of routine clinical care. Methods: A prospective, open-label, single-centre, uncontrolled, descriptive study was conducted in a real-world clinical setting. Patients ≥ 70 years attending an outpatient fall clinic were consecutively recruited and assessed at baseline and after at least 90 days of MT-ONS (100% whey protein enriched with leucine and vitamin D), provided as part of a comprehensive care plan including exercise recommendations, medication review, and home adaptation advice. Sociodemographic, physical performance [Short Physical Performance Battery (SPPB)], nutritional status [Mini Nutritional Assessment-Short Form, (MNA^®-SF)], walking ability [Functional Ambulation Categories (FACs)], number of falls, muscle strength (dynamometry), body composition (Tanita), health-related quality-of-life (SF-12), functional capacity (Barthel Index), and adherence data were collected. Statistics analyses were descriptive and exploratory. Results: Twenty-six participants were assessed (58% women, age: 82.1 ± 5.4 years). Mean SPPB score increased from 7.3 (±3.6) to 8.0 (±4.0) (p = 0.3). At baseline, 35% were malnourished, 42% at risk of malnutrition, and 23% well-nourished. After ≥90 days of MT-ONS, 4% were malnourished, 54% at risk, and 42% well-nourished. The number of falls decreased from 1.2 falls/month (±0.9) to 0.2 falls/month (±0.3, p < 0.0001). Favourable changes in physical performance were positively correlated with improvements in nutritional status (p = 0.03). Adherence was high (92%), largely attributed to pleasant taste (71%) and smell (58%) and positive health perceptions (58%). Conclusions: In routine clinical practice, frail adults at risk of falls who received MT-ONS, 100% whey protein enriched with leucine and vitamin D for ≥90 days, as part of a comprehensive care plan improved their physical performance and nutritional status and reduced the number of falls. These findings should be interpreted as preliminary. Full article

To address the limitations of conventional social force models in simulating high-density pedestrian crowds, this study proposes an enhanced model that incorporates visual perception constraints, group-type labeling, and collective avoidance mechanisms. Pedestrian trajectories were extracted from a bidirectional commercial street scenario using OpenCV, with YOLOv8 and DeepSORT employed for multiple object tracking. Analysis of pedestrian grouping patterns revealed that 52% of pedestrians walked in pairs, with distinct avoidance behaviors observed. The improved model integrates three key mechanisms: a restricted 120° forward visual field, group-type classification based on social relationships, and an exponentially formulated inter-group repulsive force. Simulation results in MATLAB R2023b demonstrate that the proposed model outperforms conventional approaches in multiple aspects: speed distribution (error < 8%); spatial density overlap (>85%); trajectory similarity (reduction of 32% in Dynamic Time Warping distance); and avoidance behavior accuracy (82% simulated vs. 85% measured). This model serves as a quantitative simulation tool and decision-making basis for the planning of pedestrian spaces, crowd organization management, and the optimization of emergency evacuation schemes in high-density pedestrian areas such as commercial streets and subway stations. Consequently, it contributes to enhancing pedestrian mobility efficiency and public safety, thereby supporting the development of a sustainable urban slow transportation system. Full article

Visual information shapes spatial perception and body representation in human augmentation. However, the perceptual consequences of viewpoint-height changes produced by sensor–display geometry are not well understood. To address this gap, we developed an interface that maps a waist-mounted stereo fisheye camera to an eye-level viewpoint on a head-mounted display in real time. Geometric and timing calibration kept latency low enough to preserve a sense of agency and enable stable untethered walking. In a within-subject study comparing head- and waist-level viewpoints, participants approached adjustable gaps, rated passability confidence (1–7), and attempted passage when confident. We also recorded walking speed and assessed post-task body representation using a questionnaire. High gaps were judged passable and low gaps were not, irrespective of viewpoint. At the middle gap, confidence decreased with a head-level viewpoint and increased with a waist-level viewpoint, and walking speed decreased when a waist-level viewpoint was combined with a chest-height gap, consistent with added caution near the decision boundary. Body image reports most often indicated a lowered head position relative to the torso, consistent with visually driven rescaling rather than morphological change. These findings show that a waist-mounted interface for mobile viewpoint-height transformation can reliably shift spatial perception. Full article

In urban design, public open spaces (POS) are essential for enhancing health and well-being across the lifetime. High-quality public open spaces facilitate the maintenance of optimal physical and mental health in older individuals by encouraging activities like physical exercise and social engagement. Preserving the physical and mental well-being of elderly individuals is a fundamental concern for aging policy. Nevertheless, urbanization presents considerable problems with the provision of public open spaces for activities aimed at the elderly. South Korea has more significant issues than other nations globally. This study, based on data from 477 valid questionnaires collected in and around Tapgol Park in Jung-gu, Seoul, employed a decision tree approach to identify key factors and paths that influence overall satisfaction. The goal was to identify decision paths that improve satisfaction while ensuring interpretability, thereby providing a scientific basis for urban space design and renovation. The results show that: (1) The decision tree of this study presents a hierarchical logic of quietness first, then accessibility and cleanliness, and finally price and vitality, which is consistent with the high frequency of use of Tapgol Park by the elderly and the diverse facilities in the surrounding area. (2) The key to improving the management and satisfaction of Tapgol Park in Seoul is the quietness of the site. (3) When the park is not quiet, users are most sensitive to bottom-line factors, such as commercial supply, evacuation safety, transportation accessibility, price perception, barrier-free, and anti-slips. (4) When the park is quiet, basic comfort factors such as smooth walking, all-day opening, sunlight, and no odor constitute the minimum condition set for entering the comfort zone. (5) Water experience, waterfront accessibility, proximity to cultural resources, and moderate business and community-oriented leisure facilities are key plus points. Methodologically, this study is among the first to apply a decision tree approach to low-income elderly using a small public open space in a historic city center, clarifying the nonlinear and hierarchical relationships among environmental factors within these low-income elderly groups. This provides empirical support and reference for the aging-friendly urban space in world heritage cities and other historical and cultural cities. Full article

Against the dual backdrop of rapid population aging and legacy neighborhood renewal, morphologically planning-locked legacy neighborhoods in high-density cities face persistent imbalances in outdoor activity spaces that undermine aging-in-place participation and health equity. This study advances a Spatial Pathology framework. Using nine representative communities in Longtan Subdistrict, Dongcheng District, Beijing, we develop a GIS-assisted spatial audit, a systematic behavioral observation protocol with temporal-intensity metrics, and a validated perception instrument. These tools form a closed evidentiary loop with explicit indicator definitions, formulas, and decision thresholds, alongside a reproducible analytic and visualization pipeline. Tri-dimensional baselines revealed substantial inter-community disparities: Spatial Quality Index (SQI) ranged from 43.3 to 77.0; activity intensity varied from 1.5 to 15.7 persons/100 m²·hour; and overall satisfaction scores spanned 3.88–4.49. It quantifies and identifies three core paradoxes in outdoor activity spaces within this context: (1) the Functional Failure Paradox with FFI exceeding +0.5 and ELR surpassing 60% in dormant communities; (2) the Value Misalignment Paradox where Facilities & Equipment showed the strongest satisfaction impact (β = 0.344) yet the largest unmet-need gap (VQGI > +8); (3) the Practice–Perception Decoupling Paradox evidenced by a negative correlation (r = −0.38) between usage intensity and satisfaction. These paradoxes reveal the spatial roots of planning-locked legacy neighborhoods—compound mechanisms of planning inertia, decision–demand information gaps, and elderly adaptability masking environmental deficits. We translate the diagnosis into typology-specific prescriptions—reactivating dormant spaces via “route–node–plane” continuity and proximal micro-spaces; decongesting peak periods through elastic zoning and equipment redistribution; and precision calibration of facilities and walking loops—implemented through co-creation and light-touch stewardship. This provides evidence-based, precision-targeted intervention pathways for micro-renewal of aging neighborhoods, supporting localized implementation of UN Sustainable Development Goals (SDG 11 Sustainable Cities; SDG 10 Reduced Inequalities). This methodological framework is transferable to other high-density aging cities, offering theoretical scaffolding and empirical reference for multi-source geographic data-driven urban spatial analysis and equity-oriented age-friendly retrofitting. Full article

Background: Therapeutic exercises have gained great prominence due to the benefits shown in the treatment of knee osteoarthritis (OA). However, to date, there is no evidence on the effects of an exercise program combined with balance and gait training with visual feedback. Objective: To evaluate the therapeutic effect of an intervention program combining lower-limb muscle strengthening, balance training, and gait exercises with visual feedback on the chronic pain, functional, and biomechanical aspects of older women with and without OA knee. Methods: Clinical trials study with stratified allocation based on disease status (two-arm, triple-blind—assessor, interventionist, and data manager, parallel-group). In total, 40 older women were recruited: 20 in the OA knee group (OAG, n = 20) and 20 in the control group (CG, n = 20). The intervention included a muscular resistance training program in the lower limbs, and reactive and proactive balance and gait training associated with visual feedback. Both groups received the same intervention. The primary outcomes were pain measured by the Visual Analogue Scale and the questionnaires Western Ontario and McMaster Universities Osteoarthritis Index and Lequesne Algofunctional Index. The secondary outcomes were the six-minute walk test, the Falls Risk Awareness Questionnaire, the Timed Up and Go Test, plantar load distribution during gait, and patients’ acceptability. Results: The intervention was effective in improving pain and increasing functionality in older women with OA knee, as measured pre- and post-intervention, compared to the control, with a moderate to high effect size. Body balance increased in older women with OA, as indicated by perceptions of fall risk and walk-test pre- and post-intervention. During gait, a reduction in plantar load (midfoot and rearfoot areas) was observed pre- and post-intervention in OAG compared to the CG. Both groups showed excellent acceptability, suitability, and feasibility of the intervention program. Conclusions: The intervention protocol was effective over 2 consecutive months in reducing pain and increasing knee functionality, balance, walking distance, and perception of falls in older women with OA of the knee compared with women without the condition. During gait, when visual feedback was combined with the intervention protocol, it promoted a better distribution of plantar load over the midfoot and the medial and lateral rearfoot regions in older women with knee OA. Clinical Trial: ReBEC (RBR-5w67pz4). Ethics Committee approval (number: 4.091.004). Full article

Background: Although there is a considerable body of research evidence on active school travel (AST), the number of children walking to school has decreased over the years in Australia, as well as around the world. Different factors influence AST; the most cited in Melbourne is traffic safety perception. Traffic safety perception is influenced by built environment elements, and improving the built environment can enhance parental perception of traffic safety. Studies have shown that lateral separation from traffic and the provision of a buffer improve the perception of traffic safety, and this has to be explored for children walking to school based on the existing ground situation on a typical street near a school in Melbourne. Based on this background, a pilot study was carried out before the main study to test the reliability and validity of the survey questionnaire. Methods: The survey instrument was developed based on perceptions and/or AST studies, and included safety and probability aspects of the perception construct to elicit responses on perception. The perception of traffic safety was to be rated based on the streetscape videos embedded in the survey. The reliability was tested using Cronbach’s alpha and validity was explored through exploratory factor analysis. The study also checked the feasibility of the recruitment method and whether there would be an observable outcome from the study. The participants were recruited online through community Facebook groups. Results: The survey instrument had excellent reliability (α = 0.945) and was valid. The recruitment method through a Facebook community group was apt for recruiting participants. The preliminary analysis of the pilot data revealed a difference in perception ratings based on the streetscape element intervention. Conclusions: The survey instrument can be used for similar AST research, as it proved to be reliable and valid. Full article

Smart assistive technologies such as sensor-based footwear and walking aids offer promising opportunities for gait rehabilitation through real-time feedback and patient-centered monitoring. While biofeedback applications show great potential, current research rarely explores integrated closed-loop systems with device- and modality-specific feedback. In this work, we present a modular sensor-based system combining a smart foot orthosis and an instrumented forearm crutch to deliver real-time vibrotactile biofeedback. The system integrates plantar pressure and motion sensing, vibrotactile feedback, and wireless communication via a smartphone application. We conducted a user study with eight participants to validate the system’s feasibility for mobile gait detection and app usability, and to evaluate different vibrotactile feedback types across the orthosis and forearm crutch. The results indicate that pattern-based vibrotactile feedback was rated as more useful and suitable for regular use than simple vibration alerts. Moreover, participants reported clear perceptual differences between feedback delivered via the orthosis and the forearm crutch, indicating device-dependent feedback perception. The findings highlight the relevance of feedback strategy design beyond hardware implementation and inform the development of user-centered haptic biofeedback systems. Full article

Background/Objectives: Long COVID (LC) is characterized by persistent symptoms such as fatigue, pain, and reduced quality of life, often lasting months after acute infection. Exercise-based interventions have shown promise, but evidence for non-aerobic programs remains limited. This study aimed to evaluate the effects of a 12-week motor control exercise program on body composition and fatigue in women with LC and to explore associations with physical activity and psychosocial factors. Methods: An exploratory pre–post non-controlled intervention study was conducted in 17 women with LC symptoms persisting for over one year. Participants completed 24 individualized sessions of a non-aerobic therapeutic exercise program focused on trunk stabilization. Outcomes included body composition (bioimpedance analysis), fatigue (Modified Fatigue Impact Scale), health-related quality of life (EQ-5D-5L), physical activity (IPAQ), and kinesiophobia (TSK-11). Paired t-tests, effect sizes, correlations, and regression models were applied. Results: The intervention significantly reduced total body fat (37.09% to 35.41%, p < 0.001) and trunk fat (35.82% to 33.82%, p < 0.001), with large effect sizes. Physical and psychosocial fatigue improved markedly (MFIS physical: 29.71 to 21.06, p < 0.001; psychosocial: 6.00 to 4.29, p = 0.001), while cognitive fatigue showed non-significant change. Pain/discomfort scores decreased substantially (2.86 to 1.79, p < 0.001). Vigorous activity and walking time increased, and sedentary time decreased. No significant changes were observed in muscle mass or kinesiophobia. Conclusions: A structured, non-aerobic exercise program can effectively reduce body fat, alleviate fatigue, and improve pain perception in women with LC, supporting its role in rehabilitation. Multimodal strategies may be required to address cognitive symptoms and fear of movement. Full article

This study evaluates the spatial equity of community parks in Al-Khobar City, Saudi Arabia, by examining their proximity, availability, distribution, accessibility, and user satisfaction. Ensuring equitable access to public open spaces is vital for promoting urban liveability and achieving the sustainability objectives of Saudi Vision 2030. A mixed-methods approach integrating Geographic Information System (GIS)-based spatial analysis with a structured user survey was applied. GIS was used to map park locations, calculate per capita green space, and assess accessibility within a 500 m walking radius, while survey data from 300 respondents captured user satisfaction and perceptions of community park dimensions and indicators. The results reveal pronounced spatial disparities across neighbourhoods, with more than twenty areas lacking any park access and several others falling below the 5 m² per capita standard. In contrast, centrally located neighbourhoods demonstrate adequate provision and higher satisfaction levels. These findings indicate a fragmented and inequitable park distribution that limits community well-being and social inclusion. The study concludes that integrating GIS-based evidence with community feedback can inform data-driven planning policies and promote equitable, accessible, and sustainable community parks. The proposed framework offers a replicable model for assessing urban green space equity in other Saudi and Middle Eastern cities. Full article

The urban street environment strongly influences pedestrian satisfaction, with visual perception elements playing a pivotal role. Historic districts serve not only as carriers of urban culture but also as key tourism resources, where spatial quality directly shapes visitor experience and city image. This study takes the Shenyang Fangcheng historic district as a case, combining field surveys and questionnaires to gather pedestrian satisfaction data, while applying semantic segmentation of street imagery to quantify visual elements. Using correlation analysis and multiple regression models, the research systematically reveals relationships and mechanisms linking visual elements with pedestrian satisfaction. Results show that an increase in landmark buildings and landscape features enhances legibility and attractiveness; optimizing spatial configuration improves openness and walking comfort; and reducing vehicle presence strengthens perceived safety and overall experiential quality. By integrating subjective perceptions with objective visual indicators, this study offers empirical evidence and methodological innovation to support enhancement of walkability and promote human-centered street design in historic districts. Full article

This study investigates the effects of transportation, specifically public transit, the built environment, and sociodemographic factors on community quality of life (QOL) and individuals’ overall life satisfaction (OLS) in the United States. Using data from the 2017 National Community Livability Survey (NCLS), which includes responses from 994 adults across all 50 states, structural equation modeling (SEM) was applied to examine four latent constructs: the built environment, access to amenities, transportation quality, and support for transit funding. Additional observed variables included perceived importance of public transit, public transit need, ease of travel, and key sociodemographic indicators. Results show that the built environment and transportation quality significantly enhance community QOL but do not have a direct effect on individual OLS. In contrast, support for transit funding has a significant positive effect on individual OLS but not on community QOL. Public transit and walking access to amenities such as parks and recreation facilities, grocery stores, healthcare services, etc., improve both the built environment’s perceptions and community QOL. Interestingly, the perceived importance of public transit negatively influences community QOL, while perceived transit need negatively impacts individual OLS. Ease of travel is the only factor with a significant positive effect on both outcomes. Sociodemographic factors such as gender, age, income, health, education, and race are also found to significantly influence individual life satisfaction. These findings suggest that enhancing perceptions of the built environment, improving transportation quality—particularly public and active transit—and ensuring ease of travel can contribute to improved quality of life. Policies that integrate transportation planning with broader livability and well-being goals may offer more inclusive benefits at both the community and individual levels. Full article

In this paper, we present enabling concepts for Zero Defect Manufacturing (ZDM) based on flexible human–robot interaction. We introduce the Human–Robot Multistation System (HRMS) as a novel framework for flexible, human-initiated task allocation across multiple workstations. A HRMS is defined as one or more workstations that support human–robot collaborative task execution and integrate intelligent perception and interaction systems with coordination logic, enabling alternating or collaborative task execution. These components allow human workers to interact with the system through a gesture-based modality and to receive task assignments. An agent-based task scheduler responds to human-initiated ‘Ready’ signals to pace activities ergonomically. We built a laboratory demonstrator for an Industry 5.0 ZDM final inspection/rework use case and conducted a first pilot study (n = 5, internal participants) to evaluate system usability (SUS), perception (Godspeed), mental workload (NASA-TLX), completion times, and error rates. Results indicated technical feasibility under laboratory conditions and acceptable usability, with SUS 70.5 ± 22 (‘OK’ toward ‘Good’), overall GQS 3.2 ± 0.8, RAW NASA-TLX 37 ± 16.3, mean job throughput time 232.5 ± 46.5 s, and errors in 9/10 jobs (E1–E4). In simulation, a proximity-aware shortest-path heuristic reduced walking distance by up to 70% versus FIFO without productivity loss. We conclude that HRMS is feasible with acceptable user experience under lab constraints, while recurrent task-level failures require mitigation and larger-scale validation. Full article

This study examined residents’ perceptions, preferences, and experiences of urban green spaces in four regional units of the Region of Attica—West Athens, Central Athens, South Athens, and Piraeus—demonstrating how demographic diversity, urban morphology, and external stressors—such as extreme heat and the COVID-19 pandemic—shape green space use. The results show that, while green spaces are essential for health, well-being, and social cohesion, their distribution is uneven, which limits their availability (27.3%) and access (21.8%) to residents. Main concerns expressed by residents when visiting green spaces and open green spaces are poor maintenance (50.7%), lack of security (36.7%), and socially irresponsible behaviour (e.g., littering, vandalism) (32.8%). Extreme heat emerged as a major constraint on outdoor activities, particularly affecting women and the elderly. Household-associated outdoor areas (balconies, courtyards, and verandas) were highly valued (59.8%), highlighting the role of private green spaces in dense urban environments. Major metropolitan parks were the most visited and valued by residents for providing contact with nature (23.0%) and benefiting from stress relief (54.0%) while practicing their favourite activity, though their use was limited during heatwaves (30.3% of the residents do not visit). Most activities during and after the COVID-19 pandemic were reported unchanged, though reported increases in walking (34.3%) and park visits (28.3%) demonstrate the importance of green spaces in fostering urban resilience. However, the reported lack of engagement in gardening (48.0%), indoor plant care (41.2%) and bird/wildlife watching (58.3%) suggest missed opportunities for ecological and cultural enrichment. Overall, the study underscores the urgent need for integrated planning strategies to improve accessibility, maintenance, and equity in green space provision. By aligning with the sustainable development goals, the four regional units of the Region of Attica can transform its green infrastructure into an inclusive, resilient system that supports public health, social inclusion, and climate adaptation. Full article