Search Results (298)

Introduction/Objective: Post-bariatric surgery patients require long-term, coordinated care to address complex nutritional, physiological, and behavioral challenges. Personalized smart nutrition, combining individualized dietary strategies with targeted monitoring, has emerged as a valuable direction for optimizing recovery and long-term outcomes. This article examines how traditional medical protocols can be enhanced by digital solutions in a multidisciplinary framework. Methods: The study analyzes current clinical practices, including personalized meal planning, physical rehabilitation, biochemical marker monitoring, and psychological counseling, as applied in post-bariatric care. These established approaches are then analyzed in relation to the NutriMonitCare system, a digital health system developed and tested in a laboratory environment. Used here as an illustrative example, the NutriMonitCare system demonstrates the potential of digital tools to support clinicians through real-time monitoring of dietary intake, activity levels, and physiological parameters. Results: Findings emphasize that medical protocols remain the cornerstone of post-surgical management, while digital tools may provide added value by enhancing data availability, supporting individualized decision making, and reinforcing patient adherence. Systems like the NutriMonitCare system could be integrated into interdisciplinary care models to refine nutrition-focused interventions and improve communication across care teams. However, their clinical utility remains theoretical at this stage and requires further validation. Conclusions: In conclusion, the integration of digital health tools with conventional post-operative care has the potential to advance personalized smart nutrition. Future research should focus on clinical evaluation, real-world testing, and ethical implementation of such technologies into established medical workflows to ensure both efficacy and patient safety. Full article

Total Knee Arthroplasty (TKA) is a well-established surgical intervention for the management of end-stage knee osteoarthritis. While the procedure is generally successful, postoperative rehabilitation remains a key determinant of long-term functional outcomes. Traditional rehabilitation protocols, particularly those requiring in-person clinical visits, often encounter limitations in accessibility, patient adherence, and personalization. In response, emerging sensor technologies have introduced innovative solutions to support and enhance recovery following TKA. This review provides a thematically organized synthesis of the current landscape and future directions of sensor-assisted rehabilitation in TKA. It examines four main categories of technologies: wearable sensors (e.g., IMUs, accelerometers, gyroscopes), smart implants, pressure-sensing systems, and mobile health (mHealth) platforms such as ReHub^® and BPMpathway. Evidence from recent randomized controlled trials and systematic reviews demonstrates their effectiveness in tracking mobility, monitoring range of motion (ROM), detecting gait anomalies, and delivering real-time feedback to both patients and clinicians. Despite these advances, several challenges persist, including measurement accuracy in unsupervised environments, the complexity of clinical data integration, and digital literacy gaps among older adults. Nevertheless, the integration of artificial intelligence (AI), predictive analytics, and remote rehabilitation tools is driving a shift toward more adaptive and individualized care models. This paper concludes that sensor-enhanced rehabilitation is no longer a future aspiration but an active transition toward a smarter, more accessible, and patient-centered paradigm in recovery after TKA. Full article

This paper looks at and describes the potential of using artificial intelligence in smart environments. Various environments such as houses and residential and commercial buildings are becoming smarter through the use of various technologies, i.e., various sensors, smart devices and elements based on artificial intelligence. These technologies are used, for example, to achieve different levels of security in environments, for personalized comfort and control and for ambient assisted living. We investigated the deep learning approach, and, in this paper, describe its use in this context. Accordingly, we developed four deep learning models, which we describe. These are models for hand gesture recognition, emotion recognition, face recognition and gait recognition. These models are intended for use in smart environments for various tasks. In order to present the possible applications of the models, in this paper, a house is used as an example of a smart environment. The models were developed using the TensorFlow platform together with Keras. Four different datasets were used to train and validate the models. The results are promising and are presented in this paper. Full article

As the demand for energy-efficient homes continues to rise, the importance of advanced mechanical ventilation systems in maintaining indoor air quality (IAQ) has become increasingly evident. However, challenges related to energy balance, IAQ, and occupant thermal comfort persist. This review examines the performance of mechanical ventilation systems in regulating indoor climate, improving air quality, and minimising energy consumption. The findings indicate that demand-controlled ventilation (DCV) can enhance energy efficiency by up to 88% while maintaining CO₂ concentrations below 1000 ppm during 76% of the occupancy period. Heat recovery systems achieve efficiencies of nearly 90%, leading to a reduction in heating energy consumption by approximately 19%. Studies also show that employing mechanical rather than natural ventilation in schools lowers CO₂ levels by 20–30%. Nevertheless, occupant misuse or poorly designed systems can result in CO₂ concentrations exceeding 1600 ppm in residential environments. Hybrid ventilation systems have demonstrated improved thermal comfort, with predicted mean vote (PMV) values ranging from –0.41 to 0.37 when radiant heating is utilized. Despite ongoing technological advancements, issues such as system durability, user acceptance, and adaptability across climate zones remain. Smart, personalized ventilation strategies supported by modern control algorithms and continuous monitoring are essential for the development of resilient and health-promoting buildings. Future research should prioritize the integration of renewable energy sources and adaptive ventilation controls to further optimise system performance. Full article

The rapid integration of AI into IoT systems has outpaced the ability to explain and audit automated decisions, resulting in a serious transparency gap. We address this challenge by proposing a blockchain-based framework to create immutable audit trails of AI-driven IoT decisions. In our approach, each AI inference comprising key inputs, model ID, and output is logged to a permissioned blockchain ledger, ensuring that every decision is traceable and auditable. IoT devices and edge gateways submit cryptographically signed decision records via smart contracts, resulting in an immutable, timestamped log that is tamper-resistant. This decentralized approach guarantees non-repudiation and data integrity while balancing transparency with privacy (e.g., hashing personal data on-chain) to meet data protection norms. Our design aligns with emerging regulations, such as the EU AI Act’s logging mandate and GDPR’s transparency requirements. We demonstrate the framework’s applicability in two domains: healthcare IoT (logging diagnostic AI alerts for accountability) and industrial IoT (tracking autonomous control actions), showing its generalizability to high-stakes environments. Our contributions include the following: (1) a novel architecture for AI decision provenance in IoT, (2) a blockchain-based design to securely record AI decision-making processes, and (3) a simulation informed performance assessment based on projected metrics (throughput, latency, and storage) to assess the approach’s feasibility. By providing a reliable immutable audit trail for AI in IoT, our framework enhances transparency and trust in autonomous systems and offers a much-needed mechanism for auditable AI under increasing regulatory scrutiny. Full article

Depression affects millions of people worldwide and remains a significant challenge in mental health care. Despite advances in pharmacological and psychotherapeutic treatments, there is a critical need for accessible and engaging tools that help individuals manage their mental health in real time. This paper presents a novel gamified, AI-driven system embedded within Internet of Things (IoT)-enabled environments to address this gap. The proposed platform combines micro-games, adaptive surveys, sensor data, and AI analytics to support personalized and context-aware depression monitoring and self-regulation. Unlike traditional static models, this system continuously tracks behavioral, cognitive, and environmental patterns. This data is then used to deliver timely, tailored interventions. One of its key strengths is a research-ready design that enables real-time simulation, algorithm testing, and hypothesis exploration without relying on large-scale human trials. This makes it easier to study cognitive and emotional trends and improve AI models efficiently. The system is grounded in metacognitive principles. It promotes user engagement and self-awareness through interactive feedback and reflection. Gamification improves the user experience without compromising clinical relevance. We present a unified framework, robust evaluation methods, and insights into scalable mental health solutions. Combining AI, IoT, and gamification, this platform offers a promising new approach for smart, responsive, and data-driven mental health support in modern living environments. Full article

In the context of sustainable architecture, buildings are no longer isolated entities but are integral components of a broader built environment that shapes and responds to human life. As part of this evolving architectural landscape, immersive digital cultural heritage spaces—such as virtual museums—are emerging as dynamic environments that contribute not only to cultural preservation but also to human well-being. This study examines how multisensory spatial design in virtual heritage environments can meet the physical, psychological, and emotional needs of users, aligning with the principles of smart, responsive architecture. A total of 325 participants experienced three immersive VR scenarios integrating different sensory inputs: visual–auditory, visual–auditory–tactile, and visual–auditory–olfactory. Through factor analyses, a three-dimensional model of user experience was identified, encompassing immersion, cultural engagement, and personalization. Structural equation modeling revealed that informational clarity significantly enhanced immersion (β = 0.617, p < 0.001), while emotional resonance was central to personalization (β = 0.571, p < 0.001). Moreover, ANOVA results indicated significant experiential differences among sensory conditions (F = 4.324, p = 0.014), with the visual–auditory modality receiving the highest user ratings. These findings demonstrate how digital cultural spaces—when designed with human sensory systems in mind—can foster emotionally rich, informative, and sustainable environments. By extending the role of architecture into the digital domain, this study offers insight into how technology, when guided by human-centered design, can create smart environments that support both ecological responsibility and enhanced human experience. Full article

The identification of vital signs is becoming increasingly important in various applications, including healthcare monitoring, security, smart homes, and locating entrapped persons after disastrous events, most of which are achieved using continuous-wave radars and ultra-wideband systems. Operating frequency and transmission power are important factors to consider when conducting earthquake search and rescue (SAR) operations in urban regions. Poor communication infrastructure can also impede SAR operations. This study proposes a method for vital sign detection using an integrated sensing and communication (ISAC) system where a unified orthogonal frequency division multiplexing (OFDM) signal was adopted, and it is capable of sensing life signs and carrying out communication simultaneously. An ISAC demonstration system based on software-defined radios (SDRs) was initiated to detect respiratory and heartbeat rates while maintaining communication capability in a typical office environment. The specially designed OFDM signals were transmitted, reflected from a human subject, received, and processed to estimate the micro-Doppler effect induced by the breathing and heartbeat of the human in the environment. According to the results, vital signs, including respiration and heartbeat rates, have been accurately detected by post-processing the reflected OFDM signals with a 1 MHz bandwidth, confirmed with conventional contact-based detection approaches. The potential of dual-function capability of OFDM signals for sensing purposes has been verified. The principle and method developed can be applied in wider ISAC systems for search and rescue purposes while maintaining communication links. Full article

Personalized travel experiences have become a growing priority for tourists, while the built environment increasingly shapes tourists’ behavior. However, limited research has integrated behavioral drivers with algorithmic travel route optimization, particularly in the context of Generation Z tourists. To address this gap, this study proposes a hybrid framework that combines behavioral modeling with enhanced algorithmic techniques to generate customized travel itineraries for Generation Z. A behavioral influencing factors model is first constructed based on the Theory of Planned Behavior (TPB) and Social Influence Theory (SIT), identifying media influence (MI), subjective norms (SNs), and perceived built environment (PBE) as potential determinants of travel behavioral intention (BI). A Structural Equation Model (SEM) is then applied to empirically validate the hypothesized relationships. Results reveal that all three factors have a significant and positive impact on BI (p < 0.05). Building on this behavioral mechanism, an interest-based Ant Colony Optimization (ACO) algorithm is implemented by incorporating point-of-interest (POI) preferences and distance matrices to improve personalized route generation. Comparative analysis using social media keyword data demonstrates that the proposed method outperforms conventional travel route planning approaches in terms of route relevance and overall path satisfaction. This study offers a novel integration of psychological theory and computational optimization, providing both theoretical insights and practical implications for urban tourism planning and the development of smart tourism services. Full article

Cartilage tissue engineering (CTE) is an advancing field focused on developing biomimetic scaffolds to overcome cartilage’s inherently limited self-repair capacity. Smart hydrogels (SHs) have gained prominence among the various scaffold materials due to their ability to modulate cellular behavior through tunable mechanical and biochemical properties. These hydrogels respond dynamically to external stimuli, offering precise control over biological processes and facilitating targeted tissue regeneration. Recent advances in fabrication technologies have enabled the design of SHs with sophisticated architecture, improved mechanical strength, and enhanced biointegration. Key features such as injectability, controlled biodegradability, and stimulus-dependent release of biomolecules make them particularly suitable for regenerative applications. The incorporation of nanoparticles further improves mechanical performance and delivery capability. In addition, shape memory and self-healing properties contribute to the scaffolds’ resilience and adaptability in dynamic physiological environments. An emerging innovation in this area is integrating artificial intelligence (AI) and omics-based approaches that enable high-resolution profiling of cellular responses to engineered hydrogels. These data-driven tools support the rational design and optimization of hydrogel systems and allow the development of more effective and personalized scaffolds. The convergence of smart hydrogel technologies with omics insights represents a transformative step in regenerative medicine and offers promising strategies for restoring cartilage function. Full article

Smart classrooms leverage intelligent and mobile technologies to create highly interactive, student-centered environments conducive to personalized learning. However, measuring students’ personalized learning experiences in these technologically advanced spaces remains a challenge. This study addresses the gap by developing and validating a Smart Classroom Environment–Personalized Learning Scale (SCE-PL). Drawing on a comprehensive literature review, content-expert feedback, and iterative item refinement, an initial pool of 48 items was reduced to 39 and subsequently to 34 following item-level analyses. Two datasets were collected from Chinese middle-school students across three provinces, capturing diverse socio-economic contexts and grade levels (7th, 8th, and 9th). EFA on the first dataset (n = 424) revealed a nine-factor structure collectively explaining 78.12% of the total variance. Confirmatory factor analysis (CFA) on the second dataset (n = 584) verified an excellent model fit. Internal consistency indices (Cronbach’s α > 0.87, composite reliability > 0.75) and strong convergent and discriminant validity evidence (based on AVE and inter-factor correlations) further support the scale’s psychometric soundness. The SCE-PL thus offers researchers, policymakers, and practitioners a robust, theory-driven instrument for assessing personalized learning experiences in smart classroom environments, paving the way for data-informed pedagogy, optimized learning spaces, and enhanced technological integration. Full article

The deployment of autonomous AI agents in smart environments has accelerated the need for accurate and privacy-preserving human identification. Traditional vision-based solutions, while effective in capturing spatial and contextual information, often face challenges related to high deployment costs, privacy concerns, and susceptibility to environmental variations. To address these limitations, we propose IdentiFi, a novel AI-driven human identification system that leverages WiFi-based wireless sensing and contrastive learning techniques. IdentiFi utilizes self-supervised and semi-supervised learning to extract robust, identity-specific representations from Channel State Information (CSI) data, effectively distinguishing between individuals even in dynamic, multi-occupant settings. The system’s temporal and contextual contrasting modules enhance its ability to model human motion and reduce multi-user interference, while class-aware contrastive learning minimizes the need for extensive labeled datasets. Extensive evaluations demonstrate that IdentiFi outperforms existing methods in terms of scalability, adaptability, and privacy preservation, making it highly suitable for AI agents in smart homes, healthcare facilities, security systems, and personalized services. Full article

Smart guidance systems in museums and galleries are now essential for delivering quality user experiences. Visually impaired visitors face significant barriers when navigating galleries due to existing smart guidance systems’ dependence on visual cues like QR codes, manual numbering, or static beacon positioning. These traditional methods often fail to provide adaptive navigation and meaningful content delivery tailored to their needs. In this paper, we propose a novel Mobile-AI-based Smart Docent System that seamlessly integrates real-time navigation and depth of guide services to enrich gallery experiences for visually impaired users. Our system leverages camera-based on-device processing and adaptive BLE-based localization to ensure accurate path guidance and real-time obstacle avoidance. An on-device object detection model reduces delays from large visual data processing, while BLE beacons, fixed across the gallery, dynamically update location IDs for better accuracy. The system further refines positioning by analyzing movement history and direction to minimize navigation errors. By intelligently modulating audio content based on user movement—whether passing by, approaching for more details, or leaving mid-description—the system offers personalized, context-sensitive interpretations while eliminating unnecessary audio clutter. Experimental validation conducted in an authentic gallery environment yielded empirical evidence of user satisfaction, affirming the efficacy of our methodological approach in facilitating enhanced navigational experiences for visually impaired individuals. These findings substantiate the system’s capacity to enable more autonomous, secure, and enriched cultural engagement for visually impaired individuals within complex indoor environments. Full article

The rapid growth of smart home technologies, driven by the expansion of the Internet of Things (IoT), has introduced both opportunities and challenges in automating daily routines and orchestrating device interactions. Traditional rule-based automation systems often fall short in adapting to dynamic conditions, integrating heterogeneous devices, and responding to evolving user needs. To address these limitations, this study introduces a novel smart home orchestration framework that combines generative Artificial Intelligence (AI), Retrieval-Augmented Generation (RAG), and the modular OSGi framework. The proposed system allows users to express requirements in natural language, which are then interpreted and transformed into executable service bundles by large language models (LLMs) enhanced with contextual knowledge retrieved from vector databases. These AI-generated service bundles are dynamically deployed via OSGi, enabling real-time service adaptation without system downtime. Manufacturer-provided device capabilities are seamlessly integrated into the orchestration pipeline, ensuring compatibility and extensibility. The framework was validated through multiple use-case scenarios involving dynamic device discovery, on-demand code generation, and adaptive orchestration based on user preferences. Results highlight the system’s ability to enhance automation efficiency, personalization, and resilience. This work demonstrates the feasibility and advantages of AI-driven orchestration in realising intelligent, flexible, and scalable smart home environments. Full article

Diabetic foot ulcers (DFUs) are among the most common and debilitating complications of diabetes mellitus (DM), affecting approximately 15–25% of patients and contributing to over 85% of non-traumatic amputations. DFUs impose a substantial clinical and economic burden due to high recurrence rates, prolonged wound care, and frequent hospitalizations, accounting for billions in healthcare costs worldwide. The multifactorial pathophysiology of DFUs involves peripheral neuropathy, peripheral arterial disease, chronic inflammation, and impaired tissue regeneration. Recent studies underscore the importance of immune dysregulation—specifically macrophage polarization imbalance, regulatory T cell dysfunction, and neutrophil impairment—as central mechanisms in wound chronicity. These immune disruptions sustain a pro-inflammatory environment dominated by cytokines, such as TNF-α, IL-1β, and IL-6, which impair angiogenesis and delay repair. This review provides an updated synthesis of DFU pathogenesis, emphasizing immune dysfunction and its therapeutic implications. We examine emerging strategies in immunomodulation, regenerative medicine, and AI-based wound technologies, including SGLT2 inhibitors, biologics, stem cell therapies, and smart dressing systems. These approaches hold promise for accelerating healing, reducing amputation risk, and personalizing future DFU care. Full article