Search Results (915)

Chemiresistive breath humidity sensors (CRBHSs) have emerged as a promising technology for non-invasive health monitoring, offering high sensitivity, a simple device architecture, strong miniaturization potential, and low power consumption. This review summarizes recent progress in CRBHSs from three core perspectives: sensing mechanisms, material systems, and device applications. First, we outline the fundamental sensing principles, emphasizing the Grotthuss proton-hopping mechanism and the resistance modulation associated with water adsorption/desorption. Next, we discuss structural engineering strategies for zero-dimensional (0D), one-dimensional (1D), two-dimensional (2D), and three-dimensional (3D) sensing materials, highlighting how dimensional design can balance water uptake, charge transport, mechanical compliance, and wearability. Finally, we review representative applications ranging from healthcare diagnostics and respiratory monitoring to emotion- and behavior-related assessment. Overall, this review integrates the mechanism–material–application relationship to provide a cohesive understanding of CRBHSs; identifies key challenges such as environmental stability and anti-interference performance; and outlines future directions, including performance optimization, flexible/wearable integration, and intelligent sensor systems. Full article

Smart devices and multimodal biosignal systems, including electroencephalography (EEG/MEG), ECG-derived heart rate variability (HRV), and electromyography (EMG), increasingly supported by artificial intelligence (AI), are being explored to improve the assessment and longitudinal monitoring of mental health conditions. Despite rapid growth, the available evidence remains heterogeneous, and clinical translation is limited by variability in acquisition protocols, analytical pipelines, and validation quality. This systematic review synthesizes current applications, signal-processing approaches, and methodological limitations of biosignal-based smart systems for mental health monitoring. Methods: A PRISMA 2020-guided systematic review was conducted across PubMed/MEDLINE, Scopus, the Web of Science Core Collection, IEEE Xplore, and the ACM Digital Library for studies published between 2013 and 2026. Eligible records reported human applications of wearable/smart devices or multimodal biosignals (e.g., EEG/MEG, ECG/HRV, EMG, EDA/GSR, and sleep/activity) for the detection, monitoring, or management of mental health outcomes. The reviewed literature after predefined inclusion/exclusion criteria clustered into six themes: depression detection and monitoring (37%), stress/anxiety management (18%), post-traumatic stress disorder (PTSD)/trauma (5%), technological innovations for monitoring (25%), brain-state-dependent stimulation/interventions (3%), and socioeconomic context (7%). Across modalities, common analytical pipelines included artifact suppression, feature extraction (time/frequency/nonlinear indices such as entropy and complexity), and machine learning/deep learning models (e.g., SVM, random forests, CNNs, and transformers) for classification or prediction. However, 67% of studies involved sample sizes below 100 participants, limited ecological validity, and lacked external validation; heterogeneity in protocols and outcomes constrained comparability. Conclusions: Overall, multimodal systems demonstrate strong potential to augment conventional mental health assessment, particularly via wearable cardiac metrics and passive sensing approaches, but current evidence is dominated by proof-of-concept studies. Future work should prioritize standardized reporting, rigorous validation in diverse real-world cohorts, transparent model evaluations, and ethics-by-design principles (privacy, fairness, and clinical governance) to support translation into practice. Full article

Background/Objectives: Older adults often face nutrition challenges due to mobility issues, chronic conditions, and limited access to adequate nutrition. Digital and technology-based interventions, including those with nutrition education, nutrition counseling and Medically Tailored Meals [MTMs], can help address these barriers. However, the extent and characteristics of such programs in the United States remain unclear. This scoping review aimed to map the existing evidence on digital and technology-based (“digi-tech”) nutrition interventions for older adults in the United States, with particular attention to the presence, characteristics, and gaps related to MTMs. Methods: This scoping review followed the PRISMA-ScR framework to map existing evidence on technology-enabled nutrition care interventions for older adults aged ≥ 60 years in the United States. Systematic searches were conducted across multiple databases, yielding 18,177 records. Following title and abstract screening, full-text review, and eligibility assessment, 16 intervention studies were included. Study designs comprised randomized controlled trials, quasi-experimental and non-randomized studies, mixed-methods feasibility studies, pilot studies, and one retrospective longitudinal cohort study. Data were extracted on study design, population characteristics, intervention components, technology modalities, outcomes, feasibility, acceptability, and reported barriers. Results: Interventions varied in duration [8 weeks to ≥12 months] and content. Foci ranged from remote nutrition education and mobile app-based tracking to multicomponent interventions integrating exercise, nutrition counseling, health literacy, and meal delivery. Telehealth was the most commonly used technology modality, followed by mobile health applications, wearable devices, and online educational platforms. Most interventions reported high feasibility and acceptability, with improvements in diet quality, adherence to healthy eating patterns, clinical measures such as HbA1c and blood pressure, and functional performance. Common implementation barriers included declining technology use over time, digi-tech literacy, and access to devices or the internet. Notably, no studies evaluated a digi-tech-based MTMs intervention exclusively for older adults in the U.S. Conclusions: Digital and technology-based nutrition interventions show promise for improving dietary and health outcomes in older adults, but there is insufficient empirical evidence. Future research might develop and evaluate hybrid digi-tech intervention models that leverage the potential of digi-tech tools while addressing barriers to technology adoption among older adults. Full article

Automatic sleep staging technology based on wearable photoplethysmography can provide a non-invasive and continuous solution for large-scale sleep health monitoring. This study accordingly developed a novel cross-scale dynamically coupled extended long short-term memory network (SleepXLSTM) to realize automatic sleep staging based on heart rate signals collected by wearable devices. SleepXLSTM models the relationship between heart rate fluctuations and sleep stage labels by correlating physiological features with clinical semantics using a knowledge graph neural network. Furthermore, an excitation–inhibition dual-effect regulator is applied in an improved multiplicative long short-term memory network along with memory mixing in a scalar long short-term memory network to extract and strengthen the key heart rate timing features while filtering out noise produced by motion artifacts, thereby facilitating subsequent high-precision sleep staging. The benefits and functions of this comprehensive heart rate feature extraction were demonstrated using sleep staging prediction and ablation experiments. The proposed model exhibited a superior accuracy of 91.25% and Cohen’s kappa coefficient of 0.876 compared to an extant state-of-the-art neural network sleep staging model with an accuracy of 69.80% and kappa coefficient of 0.040. On the ISRUC-Sleep dataset, the model achieved an accuracy of 87.51% and F1 score of 0.8760. The dynamic coupling strategy employed by SleepXLSTM for automatic sleep staging using the heterogeneous temporal representation of heart rate data can promote the development of smart wearable devices to provide early warning of sleep disorders and realize cost-effective technical support for sleep health management. Full article

Thermoelectric generators (TEGs) based on single-walled carbon nanotubes (SWCNTs) offer a promising approach for powering sensors in wearable systems. However, achieving high performance remains challenging because the high thermal conductivity of SWCNTs limits the temperature gradient within the device. We previously developed flexible SWCNT-TEGs with enhanced heat dissipation by dip-coating SWCNTs onto mesh sheets; however, their performance in real wearable environments had not been evaluated. In this study, we demonstrate the practical operation of these SWCNT-TEGs under conditions such as fingertip contact and cap-based wear. The output voltage increased proportionally with the number of fingers touching the device, and a stable voltage of 6.1 mV was obtained when the TEG was mounted on a cap and worn outdoors at 7 °C. These findings highlight the promising potential of flexible SWCNT-TEGs as power sources for next-generation wearable technologies, including human–computer interaction and health monitoring. Full article

Non-communicable diseases (NCDs) impose an overwhelming burden on global health systems. Prevailing healthcare for NCDs remains largely hospital-centered, episodic, and reactive, rendering them poorly suited to address the long-term, heterogeneous, and multifactorial nature of NCDs. Rapid advances in digital technologies, artificial intelligence (AI), and precision medicine have catalyzed the development of an integrative framework for digital-intelligent precision health management, characterized by the functional integration of data, models, and decision support. It is best understood as an integrated health management framework operating across three interdependent dimensions. First, it is grounded in multidimensional health-related phenotyping, enabled by continuous digital sensing, wearable and ambient devices, and multi-omics profiling, which together allow for comprehensive, longitudinal characterization of individual health states in real-world settings. Second, it leverages intelligent risk warning and early diagnosis, whereby multimodal data are fused using advanced machine learning algorithms to generate dynamic risk prediction, detect early pathological deviations, and refine disease stratification beyond conventional static models. Third, it culminates in health management under intelligent decision-making, integrating digital twins and AI health agents to support personalized intervention planning, virtual simulation, adaptive optimization, and closed-loop management across the disease continuum. Framed in this way, digital-intelligent precision health management enables a fundamental shift from passive care towards proactive, anticipatory, and individual-centered health management. This Perspectives article synthesizes recent literature from the past three years, critically examines translational and ethical challenges, and outlines future directions for embedding this framework within population health and healthcare systems. Full article

Physiological monitoring has become an inherently interdisciplinary field, merging advances in engineering, chemistry, biology, medicine, and data analytics to create sensors that continuously track the vital signals of the body. These developments are enabling more personalized and preventive healthcare, as wearable (bio)sensors and intelligent algorithms can detect subtle physiological changes in real-time. In the Special Issue ‘Advances in (Bio)Sensors for Physiological Monitoring’, researchers from diverse domains contributed 18 papers showcasing cutting-edge sensor technologies and applications for health and performance monitoring. In this review, we summarize these contributions by grouping them into logical themes based on their focus: (1) cardiovascular and autonomic monitoring, (2) glucose and metabolic monitoring, (3) wearable sensors for movement and musculoskeletal health, (4) neurophysiological monitoring and brain–computer interfaces, and (5) innovations in sensor technology and methods. This thematic organization highlights the breadth of the research, spanning from fundamental sensor hardware to data-driven analytics, and underscores how modern (bio)sensors are breaking traditional boundaries in healthcare. Full article

Reliable and low-latency seizure detection from electroencephalography (EEG) is critical for continuous clinical monitoring and emerging wearable health technologies. Spiking neural networks (SNNs) provide an event-driven computational paradigm that is well suited to real-time signal processing, yet achieving competitive seizure detection performance with constrained model complexity remains challenging. This work introduces a hybrid spike encoding scheme that combines Delta–Sigma (change-based) and stochastic rate representations, together with two spiking architectures designed for real-time EEG analysis: a compact feed-forward HybridSNN and a convolution-enhanced ConvSNN incorporating depthwise-separable convolutions and temporal self-attention. The architectures are intentionally designed to operate on short EEG segments and to balance detection performance with computational practicality for continuous inference. Experiments on the CHB–MIT dataset show that the HybridSNN attains 91.8% accuracy with an F1-score of 0.834 for seizure detection, while the ConvSNN further improves detection performance to 94.7% accuracy and an F1-score of 0.893. Event-level evaluation on continuous EEG recordings yields false-alarm rates of 0.82 and 0.62 per day for the HybridSNN and ConvSNN, respectively. Both models exhibit inference latencies of approximately 1.2 ms per 0.5 s window on standard CPU hardware, supporting continuous real-time operation. These results demonstrate that hybrid spike encoding enables spiking architectures with controlled complexity to achieve seizure detection performance comparable to larger deep learning models reported in the literature, while maintaining low latency and suitability for real-time clinical and wearable EEG monitoring. Full article

Background/Objectives: Cancer pain affects 55–95% of patients with advanced malignancy, representing a complex syndrome involving nociceptive, neuropathic and nociplastic mechanisms. Despite therapeutic advances, two-thirds of patients with metastatic cancer experience inadequate pain control. This scoping review synthesizes recent advances in cancer pain pathophysiology and management, focusing on molecular and cellular mechanisms, emerging pharmacological, interventional and technological therapies and key evidence gaps to inform future precision-based pain management strategies. Methods: Following PRISMA-ScR methodology, we searched PubMed, Embase, Scopus, and Web of Science for studies published between January 2022 and September 2025. After screening 3412 records, 278 studies were included and analyzed across different domains: biological mechanisms, pharmacological management, interventional and neuromodulatory approaches, radiotherapy developments, and digital health innovations. Results: Recent mechanistic research reveals cancer pain arises from tumor–neuron–immune crosstalk, with malignant cells secreting neurotrophic factors that promote axonal sprouting and nociceptor sensitization. Genetic polymorphisms and epigenetic modifications contribute to inter-individual pain variability. Management strategies are evolving toward multimodal precision medicine: NSAIDs and opioids remain foundational, complemented by adjuvant agents and interventional procedures including nerve blocks, intrathecal delivery, and neuromodulation (spinal cord and dorsal root ganglion stimulation). Stereotactic body radiotherapy demonstrates superior analgesic durability versus conventional approaches. Digital health innovations, such as mobile applications, remote monitoring, wearables, and AI-enabled predictive models, enable continuous assessment and personalized treatment optimization. Conclusions: Cancer pain management is transitioning toward mechanism-based precision medicine integrating biological insights, advanced interventional techniques, and digital technologies. However, implementation challenges persist, including limited randomized trials for interventional approaches, the incomplete external validation of AI tools, and digital health equity concerns. Future research must prioritize prospective controlled studies and equitable integration into routine care. Full article

The integration of flexible electronics and machine learning (ML) algorithms has become a revolutionary force driving the field of intelligent sensing, giving rise to a new generation of intelligent devices and systems. This article provides a systematic review of core technologies and practical applications of ML in flexible electronics. It focuses on analyzing the theoretical frameworks of algorithms such as the Long Short-Term Memory Network (LSTM), Convolutional Neural Network (CNN), and Reinforcement Learning (RL) in the intelligent processing of sensor signals (IPSS), multimodal feature extraction (MFE), process defect and anomaly detection (PDAD), and data compression and edge computing (DCEC). This study explores the performance advantages of these technologies in optimizing signal analysis accuracy, compensating for interference in high-noise environments, optimizing manufacturing process parameters, etc., and empirically analyzes their potential applications in wearable health monitoring systems, intelligent control of soft robots, performance optimization of self-powered devices, and intelligent perception of epidermal electronic systems. Full article

Aging involves progressive changes in sensory perception, appetite regulation, and metabolic flexibility, which together affect dietary intake, nutrient adequacy, and health-related outcomes. Meanwhile, current wearable technologies allow continuous, minimally invasive monitoring of physiological and behavioral markers relevant to metabolic health, such as physical activity, sleep, heart rate variability, glycemic patterns, and so forth. However, digital nutrition approaches have largely focused on physiological signals while underutilizing the sensory dimensions of eating—taste, smell, texture, and hedonic response—that strongly drive dietary intake and adherence. This narrative review synthesizes evidence on the following: (1) age-related sensory changes and their nutritional consequences, (2) metabolic adaptation and markers of resilience in older adults, and (3) current and emerging wearable technologies applicable to nutritional personalization. Following this, we propose an integrative framework linking subjective (implicit) sensory perception and objective (explicit) wearable-derived physiological responses into adaptive feedback loops to support personalized dietary strategies for healthy aging. In this light, we discuss practical applications, technological and methodological challenges, ethical considerations, and research priorities to validate and implement sensory–physiological integrated models. Merging together sensory science and wearable monitoring has the potential to enhance adherence, preserve nutritional status, and bolster metabolic resilience in aging populations, moving nutrition from one-size-fits-all prescriptions toward dynamic, person-centered, sensory-aware interventions. Full article

Asthma is a common chronic disease in children, contributing to significant morbidity and healthcare utilization worldwide. The integration of artificial intelligence (AI) and machine learning (ML) into pediatric asthma care is rapidly advancing, offering new opportunities for early diagnosis, risk stratification, and personalized management. AI-driven tools can analyze complex clinical, genetic, and environmental data to identify asthma phenotypes and endotypes, predict exacerbations, and support timely interventions. In pediatric populations, these technologies enable non-invasive diagnostic approaches, remote monitoring through wearable devices, and improved medication adherence via smart inhalers and digital health platforms. Despite these advances, challenges remain, including the need for pediatric-specific datasets, transparency in AI decision-making, and careful attention to data privacy and equity. The integration of AI in pediatric asthma care and into the clinical decision system can offer personalized treatment plans, reducing the burden of the disease both for patients and health professionals. This is a narrative review on the applications of AI and ML in pediatric asthma care. Full article

Various recurring medical events encourage innovative patient well-being through connected health strategies based on an elegant digital environment that prioritizes safety, comfort, and beneficial outcomes for both patients and medical staff. This narrative review article aims to investigate and highlight the potential of advanced, reliable, high-precision, and secure medical observation and intervention missions. These involve a smart digital environment integrating smart materials combined with smart digital monitoring. These medical implications concern robotic surgery and drug delivery through image-assisted implantation, as well as wearable observation and assistive tools. The former requires high-precision motion and positioning strategies, while the latter enables sensing, diagnosis, monitoring, and central task assistance. Both advocate minimally invasive or noninvasive procedures and precise supervision through autonomously controlled processes with staff participation. The article analyzes the requirements and evolution of medical interventions, robotic actuation technologies for positioning actuated and self-moving instances, monitoring of image-assisted robotic procedures using digital twins and augmented digital tools, and wearable medical detection and assistance devices. A discussion including future research perspectives and conclusions complete the article. The different themes addressed in the proposed paper, although self-sufficient, are supported by examples of the literature, allowing a deeper understanding. Full article

Chronic diseases disproportionately impact Indigenous peoples in Australia, with type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD) representing leading causes of morbidity and mortality. Despite evidence supporting community-based exercise interventions for T2DM management, no culturally adapted programs utilizing wearable technology have been co-designed specifically with Indigenous Australian communities. This study protocol aims to determine if wearable-based exercise interventions can effectively prevent CVD development and manage T2DM progression in Indigenous Australians through culturally safe, community-led approaches. The PrIDE study protocol describes a mixed-methods translational research design incorporating Indigenous and Western methodologies across three phases: (1) co-designing culturally adapted exercise programs and assessment tools, (2) implementing interventions with wearable monitoring, and (3) conducting evaluation and scale-up assessment. Sixty-four Indigenous Australian adults with T2DM will be recruited across remote, rural/regional sites to self-select into either individual or group exercise programs using the Withings ScanWatch 2. Primary outcomes include cardiovascular risk factors, physical fitness, and health self-efficacy measured using culturally adapted tools. Indigenous governance structures will ensure cultural safety and community ownership throughout. The PrIDE protocol presents a novel approach to improving health equity while advancing understanding of wearable technology integration in Indigenous healthcare, informing future larger-scale trials and policy development. Full article

The convergence of biometric and environmental sensing represents a transformative advancement in wearable technology, moving beyond single-parameter tracking towards a holistic, context-aware paradigm for health monitoring. This review comprehensively examines the landscape of multi-modal wearable devices that simultaneously capture physiological data, such as electrodermal activity (EDA), electrocardiogram (ECG), heart rate variability (HRV), and body temperature, alongside environmental exposures, including air quality, ambient temperature, and atmospheric pressure. We analyze the fundamental sensing technologies, data fusion methodologies, and the critical importance of contextualizing physiological signals within an individual’s environment to disambiguate health states. A detailed survey of existing commercial and research-grade devices highlights a growing, yet still limited, integration of these domains. As a central case study, we present an integrated prototype, which exemplifies this approach by fusing data from inertial, environmental, and physiological sensors to generate intuitive, composite indices for stress, fitness, and comfort, visualized via a polar graph. Finally, we discuss the significant challenges and future directions for this field, including clinical validation, data security, and power management, underscoring the potential of convergent sensing to revolutionize personalized, predictive healthcare. Full article