For technical or medical applications, the knowledge of the exact kinematics of the human hand is key to utilizing its capability to handle and manipulate objects and to communicate with other humans or machines. The optimal relationship between the number of measurement parameters, measurement accuracy as well as complexity, usability and cost of the measuring systems is hard to find. Biomechanic assumptions, the concepts of a biomechatronic system and the mechatronic design process as well as commercially available components are used to develop a sensorized glove. The proposed wearable can measure 14 of 15 angular values of a simplified hand model introduced in this paper. Additionally, five contact pressure values at the fingertips and inertial data of the whole hand with a degree of freedom of six are gathered. Due to the modular design and a hand size examination based on anthropometric parameters, the concept of the wearable is applicable for a large variety of hand sizes and adaptable to different use cases. Validations show a combined root-mean-square error of 0.99° to 2.38° for the measurement of all joint angles at one finger, surpassing the human perception threshold and the current state of the art in science and technology for comparable systems.

Diseases such as diabetes are known to reduce blood circulation in the capillaries and arterioles; however, there are no devices that can easily measure this on a daily basis. In this study, we developed a tool for measuring finger photoplethysmograms using green-light and near-infrared LEDs. We then conducted photoplethysmography on 25 diabetic inpatients/outpatients as well as 21 adult males and females who had not been diagnosed or treated for diabetes, hypertension, or cardiovascular disease (as a control group). In the diabetic patients, the inverse full width at half maximum velocity plethysmogram (1/FWHMVPG) tended to be smaller compared to the control group, and the delay in the green light a-wave peak relative to the near-infrared light a-wave peak in the acceleration plethysmogram was significantly increased. The results suggest that peripheral hemodynamics could be easily estimated at home using a photoplethysmography device mounted on a ring-wearable device.

Repeated single-point measurements of thoracic bioimpedance at single (low)-frequency are strongly related to fluid changes during hemodialysis. Extension to semi-continuous measurements may provide longitudinal details in the time pattern of the bioimpedance signal, and multifrequency measurements may add in-depth information on the distribution between intra- and extracellular fluid. This study aims to investigate the feasibility of semi-continuous multifrequency thoracic bioimpedance measurements by a wearable device in hemodialysis patients. Therefore, thoracic bioimpedance was recorded semi-continuously (i.e. every ten minutes) at nine frequencies (8 – 160 kHz) in 68 patients during two consecutive hemodialysis sessions, complemented by a single-point measurement at home in-between both sessions. On average, the resistance signals increased during both hemodialysis sessions and decreased during the interdialytic interval. The increase during dialysis was larger at 8 kHz (∆ 32.6 Ω during session 1 and ∆ 10 Ω during session 2) compared to 160 kHz (∆ 29.5 Ω during session 1 and ∆ 5.1 Ω during session 2). Whereas the resistance at 8 kHz showed a linear time pattern, the evolution of the resistance at 160 kHz was significantly different [p < 0.0001]. Measuring bioimpedance semi-continuously and with a multifrequency current is a major step forward in the understanding of fluid dynamics in hemodialysis patients. This study paves the road towards remote fluid monitoring.

Heart rate variability (HRV) is a measurement of the fluctuation of time between each heartbeat and reflects the function of the autonomic nervous system. HRV is an important indicator for both physical and mental status and for broad-scope diseases. In this review, we discuss how wearable devices can be used to monitor HRV, and we compare the HRV monitoring function among different devices. In addition, we have reviewed the recent progress in HRV tracking with wearable devices and its value in health monitoring and disease diagnosis. Although many challenges remain, we believe HRV tracking with wearable devices is a promising tool that can be used to improve personal health.

Wearable exoskeleton solutions for upper limb rehabilitation or assistance, particularly for the hand area, have become increasingly attractive to researchers, proving to be effective over time in treating hand movement impairments following various neurological diseases. In the present work, the development of a wearable exoskeleton-type device for active hand rehabilitation has been addressed, based on fluid actuators made of elastomeric material and on myoelectric control by capturing myoelectric signals from the forearm area. The flexion movement of the fingers (phalanges) is actively assisted by pneumatic actuation of the built-in actuators and the extension movement is assisted by a depressurization control of the actuator. The device has been designed to be as easy to use as possible, light in weight, and to provide a high degree of comfort when used by the patient for rehabilitation training or daily life activities (ADL), which can be performed in the comfort of one's own home.

As cardiovascular diseases continue to be a leading cause of mortality, recent-ly, wearable devices for monitoring cardiac activity have gained much interest among medical community. This paper introduces an innovative ECG monitoring system based on a single – lead ECG machine enhanced with machine learning methods. The system only processes and analyses the ECG data, but also predict potential heart disease at an early stage. The wearable device was built on the ADS1298 and a microcontroller STM32L151xD. A server module based on REST API architecture style was designed to fa-cilitate interaction with web-based segment of the system. The module is responsible for receiving data in real time from microcontroller and their deliver to web – based segment. Algorithms for analyzing ECG signals have been developed, including band filter artifact removal, K-means clustering for signal segmentation, and PQRST analysis. Machine leaning methods as Isolation Forest have been employed for ECG anomaly detection. Moreover, a comparative analysis with various machine learning methods, including lo-gistic regression, random forest, SVM, XGBoost, decision forest and, CNNs was conducted to predict cardiovascular diseases. Convoluted Neural Networks (CNN) showed an accu-racy of 0.926, proving high effectiveness in ECG data process.

In this paper we provide some important and significant observations on invo-regular rings appeared in Ann. Univ. Mariae Curie-Sklodowska Sect. A Mathematica (2018). In addition we exhibit that strongly invo-regular rings, invo-regular rings and quasi invo-regular rings all coincide with the well known and well characterized tripotent rings and all these rings further coincide with the well known unit regular rings.

This paper presents an on-device semi-supervised human activity detection system that can learn and predict human activity patterns in real time. The proposed semi-supervised learning (SSL) framework uses sparsely labelled user activity events acquired from Inertial Measurement Unit (IMU) sensors installed as wearable device. The objective is to learn classification of multiple classes of human activities in real-time. The proposed cluster-based learning model in this approach is trained with data from the same target user, thus preserving data privacy while providing personalized activity detection services. Two different cluster labelling strategies, namely, population-based, and distance-based, are employed to achieve the desired classification performance. A comparative study of these strategies has been presented in terms of classifiability and classification accuracies. The proposed system is shown to be computationally efficient, which is relevant in the context of limited computing resources on typical wearable devices. The trade-off between classification accuracy and computation complexity is analyzed for different algorithmic hyper-parameters and other system parameters. Extensive experimentation and simulation study have been conducted on a multi-user human activity data from the public do-main in order to validate the proposed learning paradigm.

STRAS (Single access Transluminal Robotic Assistant for Surgeons) is a flexible robotic system based on the Anubis® platform of Karl Storz for application to intra-luminal surgical procedures. It consists of three cable-driven systems, one endoscope serving as guide and two inserted instruments. The flexible and bendable instruments have three degrees of freedom and can be teleoperated by a single user via two specially designed master interfaces. In this research, a pair of specific sensor gloves, which ergonomically fit to the master handles of the system was designed and the forces applied by one expert and one novice user during system-specific task execution in a simulator task (4-step-pick-and-drop) were compared. The results show that user expertise is not only reflected by shorter task execution times but also, more importantly, by specific differences in handgrip force profiles for specific sensor locations on anatomically relevant parts of the fingers and hand controlling the surgical instruments of the robotic master/slave system.

Remote patient monitoring systems are helpful since they can provide timely and effective healthcare facilities. Such online telemedicine are usually achieved with the help of sophisticated and advanced wearable sensor technologies. The modern type of wearable connected devices enables the monitoring of vital sign parameters such as: heart rate variability (HRV) also known as electrocardiogram (ECG), blood pressure (BLP), Respiratory rate and body temperature. The ubiquitous problem of wearable devices is power demand for signal transmission, such devices require frequent battery charge which causes serious limitations to the continuous monitoring of vital data. To overcome this, the current study provides a primary report for collecting kinetic energy from human daily activities for monitoring Human vital signs, the harvested energy is used to sustain the battery autonomy of wearable devices, which enables longer monitoring time of vital data. A thorough review of available commercial ECG devices is first provided, and different methods evaluated in other literature to improve the monitoring time of wearable IOT devices. Besides, a novel type of Stress or exercise ECG monitoring device based on Microcontroller PIC18F4550 and Wi-Fi device ESP8266 is proposed in this study, which is cost effective and enables real time monitoring of heart rate on cloud during normal daily activities. In order to achieve both portability and maximum power, the harvester has smallest structure and low friction. Neodymium magnets are chosen for their highest magnetic force. Due to nonlinear magnetic force interaction of the magnets, the nonlinear part of the dynamic equation has inverse quadratic form. Electromechanical damping is considered in this study and the quadratic non linearity is approximated using MacLaurin expansion, which enables to find the law of motion for general case of studies using classical methods for dynamic equations and find the suitable parameters for the harvester. The oscillations are enabled by applying an initial force and there is loss of energy due to the electromechanical damping. A typical numerical application is computed with Matlab software and ODE45 solver is used to verify the accuracy of the method.

The COVID-19 pandemic resulted in government restrictions that altered the lifestyle of people worldwide. Studying the impact of these restrictions on exercise behaviors will improve our understanding of environmental factors that influence individuals’ PA. We conducted a retrospective analysis using an index of government pandemic stringency developed by Oxford and a wearable device for runners to compare strictness of lockdowns and exercise habits, using digitally-logged PA data from more than 7,000 runners on a global scale. Additionally, time-of-day of PA globally and levels of PA in 14 countries are compared between the pre-pandemic year of 2019 and the first pandemic year of 2020. We found that during the pandemic the time-of-day that people exercised experienced a major shift, with significantly more activities logged during standard working hours on workdays (p<0.001) and fewer during the same time frame on weekends (p<0.001). Of the countries examined, Italy and Spain had among the most strict lockdowns and suffered the largest decreases in activity counts, whereas France experienced a minimal decrease in activity counts despite enacting a similarly strict lockdown. This study suggests that there are several factors affecting PA, including government policy, workplace policy, and cultural norms.

In this article some important observations have been reported on recent works related to weakly tripotent rings and locally invo-regular rings. Our findings give additional results as well as correct some recent results on weakly tripotent rings and locally invo-regular rings appeared in Rendiconti Sem. Mat. Univ. Pol. Torino (2021) and Azerbaijan Journal of Mathematics (2021) respectively. In addition we exhibit that if the Jacobson radical J(A) of a ring is strongly involution t-clean then the characteristic of J(A) need not be four. This finding improves an important result appeared in Eur. J. Pure Appl. Math (2022).

In this note we consolidate and give a brief description of several recently published results in ring theory having disproof. These results have been published during 2016 to 2021 in the so called non-predatory reputed mathematical journals indexed in the well known database like Scopus. We have considered results on rings in which each element is a sum of two idempotents appeared in Canad. Math. Bull. (2016), weakly tripotent rings appeared in Bull. Korean Math. Soc. (2018) and Rendiconti Sem. Mat. Univ. Pol. Torino (2021), involution t-clean rings appeared in Eur. J. Pure Appl. Math (2022) and strongly 2-nil clean rings with units of order two appeared in Eur. J. Pure Appl. Math (2023).

The study reports about a case of a lung cancer patient with increasing difficulties in falling asleep and frequent periods of wakefulness. Severe dyspnea related to pneumonitis caused as a side effect of immunotherapy worsened the situation. Eventually, fear of falling asleep developed, including panic attacks and anxiety of choking, which was shown to lead to nights of complete wakefulness. The patient did not only sleep poorly; he did not sleep at all at night for several days, as evidenced by the notes he made during the night. Polygraphy showed no evidence of sleep-disordered breathing, but frequent periods of wakefulness and reduced basal saturation around 90% during sleep due to lung changes such as extensive functional failure of the left upper lobe with position-dependent shunts. The authors hypothesized that the symptoms described were causally related to a drop in oxygen saturation in the patient's blood. Therefore, they pursued the goal of finding a measurement technique that is as inexpensive as possible and that the patient can operate without outside assistance and great effort. So the patient started using a low-cost wearable device that allows simultaneous measurements of blood oxygen content, pulse rate and movement intensity. It consists of a finger ring with pulse oximetry sensor and a wristband with the control unit containing a vibration motor. The described device reliably warned of disturbances in oxygen concentration in the blood during the night with its vibration alarm. By use of that device during the whole night at home, the events of reduced oxygen saturation and the anxiety symptoms were reduced. Sleep disturbances with sudden awakenings did not occur when using the device. The patient benefited from the security gained in this way and slept much more peacefully, and he could spend nights without waking up again. In conclusion, wearable oximeters with vibration alarm can be recommended for patients’ home care in lung cancer patients.

Wearable smart devices have become ubiquitous in modern society, extensively researched for their health monitoring capabilities and convenience features. However, the "wearability" of these devices remains a relatively understudied area, particularly in terms of design informed by clinical trials. While wearable devices hold significant potential to enhance daily life, it is crucial to understand and validate design factors influencing their comfort, usability, and integration into everyday routines. This review aimed to evaluate the “wearability” of smart devices through a mixed-methods scoping review of the literature. By analyzing studies on comfort, usability, and daily integration, it sought to identify design improvements and research gaps to enhance user experience and system design. From 130 publications (1998-2024), 19 were included. The review revealed that most findings were qualitative, lacking the quantitative studies needed for validated design criteria. While qualitative data provides rich insights, the absence of quantitative research limits a comprehensive understanding of design issues in the field. This underscores the need for future studies to use quantitative methodologies to better assess and validate design guidance, improving wearability.

Docking the tail of lambs is a standard husbandry procedure and is achieved through several techniques including clamps, hot or cold knives and latex rings, the last of which is the most popular. All tail docking methods cause acute pain which can be reduced by application of local anesthetic, however precise anatomical injection for optimal efficacy requires considerable skill. This pen trial evaluated the ability of local anesthetic delivered with a dual function ring applicator / injector to alleviate acute tail docking pain. Thirty ewe lambs were assigned to one of three treatment groups (n = 10 per group): ring plus local anesthetic (Ring LA), ring only (Ring) and sham handled control (Sham). Lambs were videoed and behavior categorized every 5 minutes for the first hour and every 10 min for the subsequent 2 hours after treatment. There was a significant effect (p &lt; 0.001) of treatment on total active pain related behaviors in the first hour, with Ring lambs showing higher counts compared to Ring LA or Sham. Ring lambs also displayed a significantly higher count of combined abnormal postures (p &lt; 0.001) than Ring LA or Sham lambs. Delivery of 1.5ml of 2% lignocaine via the dual action device abolished abnormal behaviors and signs of pain in Ring LA lambs. However, lambs in the Ring LA group spent less time attempting to suckle compared to Ring and Sham lambs, suggesting that some residual discomfort remained.

The improvement of health and social care needs the introduction of shared solution at transnational level. The SI4CARE (Social Innovation for Integrated Health Care) project is a transnational initiative within the Adriatic-Ionian regions aiming to develop strategies to improve the current status of health and social care. The Municipality of Miglierina, a small rural town in Calabria, which is a member the project, is developing a pilot action related to the use of wearable device for monitoring people affected by dementia with the project partner Ra.Gi.. Ra.Gi. is a non-profit organization dedicated to assisting people with dementia in day care centers and so-called dementia-friendly communities. The pilot is based on the use of smart wearable devices to monitor these patients during their daily lifetime. This paper focuses on the design and implementation of the system discussing the proposed application, the strengths and weaknesses. Finally, the possibility of extending the experiment to the other Adriatic-Ionian region is presented.

A well-known result of Posner’s second theorem states that if the commutator of each element in a prime ring and its image under a nonzero derivation is central, then the ring is commutative. In the present paper, we extend this bluestocking theorem to an arbitrary ring with involution involving prime ideals. Further, apart from proving several other interesting and exciting results, we establish *-version of Vukman’s theorem [48, Theorem 1]. Precisely, we describe the structure of quotient ring A/L, where A is an arbitrary ring and L is a prime ideal of A. Further, by taking advantage of the *-version of Vukman’s theorem, we show that if a 2-trosion free semiprime ring A with involution admits a nonzero *-centralizing derivation, then A contains a nonzero central ideal. This result is in a spirit of the classical result due to Bell and Martindale [19, Theorem 3]. As the applications, we extends and unify several classical theorems proved in [6],[25,[42], and [48] . Finally, we conclude our paper with a direction for further research.

In this communication the concept of functional materials is understood such as real modified substrates for nanomedicine applications. Functional and modified substrates focused on microcapsules and devices for new nanomedicine diagnosis and treatments. Cases of different materials are shown to support the functionality strategy, as in particular chemicals, pharmacophores, and controlled nano-chemistry for the design of nanoplatforms. Recent studies have reported hybrid inorganic/organic compositions for biocompatible, biodegradable, and support materials added to particular physical properties such as conductive, semiconductive, and high electromagnetic fields from the near field within the nanoscale to far-field applications and new nano-pharmacophores and nanomedicine therapeutics. New approaches are shown from the nano-scale to the micro- and higher sizes of substrates for improved therapeutic strategies. Micro-capsules for biosensing and drug delivery applications were developed. In addition, we report recent and novel research centered on implantable, portable, and wearable devices applied to future treatments.

This paper introduces $\mathbb{NS}_4$, a novel number system that extends traditional binary arithmetic by incorporating algorithmic mappings for addition, carry-over, and multiplication operations. We establish a mathematical framework demonstrating that $\mathbb{NS}_4$ forms a commutative ring, thereby extending beyond conventional number systems like complex numbers. The proposed system offers efficient representation and manipulation of numerical structures, with potential applications in computational mathematics and digital logic design.

We study the synchronous dynamics of three diffusively coupled erbium-doped fiber lasers (EDLFs) in the unidirectional ring configuration without external pump modulation. The dynamical behavior of the system is analyzed using time series, Fourier spectra, Poincaré sections, bifurcation diagrams, and Lyapunov exponents for different values of the coupling strength. For weak coupling, we observe a well-known route to chaos from a stable equilibrium through a Hopf bifurcation and a series of torus bifurcations as the coupling strength is increased. An interesting result is found for large values of the coupling strength, where the phase locking is close to zero. This allows a significant increase in the peak energy of the EDFLs pulses, i.e., above the coupling strength the lasers switch to a Q-switching mode with large-amplitude short pulses. This result allows us to propose a new method for increasing the laser pulse energy based on the control of the bistability by the rotating wave in the array of three unidirectionally ring-coupled EDFLs as a function of the coupling strength. In our system, we were able to increase the peak laser power by almost 20 times more than a continuous single EDFL.

Digital Evidence is considered as an important type of evidence in many legal cases. Many legislations have dedicated laws to the collection, handling and admissibility of digital evidence. New technologies and new devices are rapidly being developed, which creates new sources of digital evidence. This presents a challenge to law enforcement agencies and digital investigators to stay up to date with the rapid development in the digital field. This paper discusses a relatively new source of digital evidence which is the evidence extracted from Wearable devices. A Fitbit fitness tracker is one of the most common wearable devices used by many people today. This paper presents a case study whereby data extracted from a Fitbit was used as a digital evidence. The admissibility and the challenges of using Wearables as digital evidence is also discussed.

This paper presents the development of an analytical model of Microelectromechanical Systems (MEMS) internal vibrating ring gyroscope. The internal ring structure consists of eight semicircular beams that are attached to the externally placed anchors. The research work analyses the vibrating ring gyroscope inplane displacement behavior and the resulting elliptical vibrational modes. The elliptical vibrational modes appear as pairs with the same resonance frequency due to the symmetric structure of the design. The analysis commences by conceptualizing the ring as a geometric structure with a circular shape, possessing specific dimensions such as thickness, height, and radius. We construct a linear model that characterizes the vibrational dynamics of the internal vibrating ring. The analysis develops a comprehensive mathematical formulation for the radial and tangential displacements in local polar coordinates, considering the inextensional displacement of the ring structure. By utilizing the derived motion equations, we highlight the underlying relationships driving the vibrational characteristics of the MEMS vibrating ring gyroscope. These dynamic vibrational relationships are essential in enabling the vibrating ring gyroscope's future utilization in accurate navigation and motion sensing technologies.

This paper describes developing and analyzing an analytical model of Microelectromechanical Systems (MEMS) internal vibrating ring gyroscope. The internal ring structure consists of eight semicircular beams attached to the externally placed anchors. The paper analyses the vibrating ring gyroscope inplane displacement behavior and the resulting elliptical vibrational modes. The elliptical vibrational modes appear as pairs with the same resonance frequency due to the symmetric nature of the design. The analysis commences by conceptualizing the ring as a geometric structure with a circular shape, possessing specific dimensions such as thickness, height, and radius. We construct a linear model that characterizes the vibrational dynamics of the internal vibrating ring. The analysis encompasses comprehensive mathematical formulations for the radial and tangential displacements in local polar coordinates, considering the inextensional displacement of the ring structure. By utilizing the derived equations, we highlight the underlying relationships driving the vibrational characteristics of the MEMS vibrating ring gyroscope. These dynamic vibrational relationships are essential in enabling the vibrating ring gyroscope's future utilization in accurate navigation and motion sensing technologies.

Surface defect detection based on machine vision and convolutional neural networks (CNNs) is an important and necessary process that enables rubber ring manufacturers to improve production quality and efficiency. However, such automatic detection always consumes substantial computer resources to guarantee detection accuracy. To solve this problem, in this paper, we present a CNNs optimization algorithm based on the Ghost module. First, we replace the convolutional layer with the Ghost module in CNNs so that feature maps can be generated using cheaper linear operations. Second, we use an optimization method to obtain the best replacement of the Ghost module to achieve a balance between computer resource consumption and detection accuracy. Finally, we use an image preprocessing method that includes inverting colors. We integrated this algorithm into YOLOv5, which we trained on a dataset with 122 images of rubber ring surface defects. Compared with the original network, the network size decreased by 30.5% and the computational cost decreased by 23.1% whereas average precision only decreased by 1.8%. Additionally, the network's training time decreased by 16.1% as a result of preprocessing. These results show that the proposed approach greatly helped practical rubber ring surface defect detection.

This research focuses on deriving the equation of motion for fermions on a ring. The paper proposes an alternative equation for fermions on the ring, incorporating a self-rotation angle denoted as $\Delta$, and explores its relationship with the original equation.

Superconducting split ring resonator arrays allow to overcome two main limitations affecting metallic metamaterial resonating in the Terahertz (THz) range: Ohmic losses and tunability of their optical response. In this work, we design and experimentally realize direct and complementary square arrays of superconducting YBa2Cu3O7 (YBCO) split ring resonators working in the THz spectral range. The main purpose of this paper is to show how the metamaterial resonances can be tuned by temperature (T) when crossing the superconducting transition temperature Tc of YBCO. The tuning property can be quantified by describing the THz transmittance of the patterned YBCO films vs. T through a model of coupled resonators. This model allows us to estimate the THz resonances of split-ring arrays and their interaction, showing how the kinetic inductance Lk in the superconducting state is the main parameter affecting the metamaterial properties.

In this note we introduce the notion of polynions and discuss their mathematical relevance. We note that the well-known mathematical structures like quaternions, octonions and sedenions etc. are special cases of polynions.

Rehabilitation from musculoskeletal injuries focuses on reestablishing and monitoring muscle activation patterns to accurately produce force. The aim of this study is to explore the use of a novel low-powered wearable distributed Simultaneous Musculoskeletal Assessment with Real-Time Ultrasound (SMART-US) device to predict force during an isometric squat task. Participants (N=5) performed maximum isometric squats under two medical imaging techniques; clinical musculoskeletal motion mode (m-mode) ultrasound on the dominant vastus lateralis and SMART-US sensors placed on the rectus femoris, vastus lateralis, medial hamstring, and vastus medialis. Ultrasound features were extracted, and a linear ridge regression model was used to predict ground reaction force. The performance of ultrasound features to predict measured force was tested using either the Clinical M-mode, SMART-US sensors on the vastus lateralis (SMART-US: VL), rectus femoris (SMART-US: RF), medial hamstring (SMART-US: MH), and vastus medialis (SMART-US: VMO) or utilized all four SMART-US sensors (Distributed SMART-US). Model training showed that the Clinical M-mode and the Distributed SMART-US model were both significantly different from the SMART-US: VL, SMART-US: MH, SMART-US:RF, and SMART-US:VMO models (p<0.05). Model validation showed that the Distributed SMART-US model had an R² of 0.80 ±0.04 and was significantly different from SMART-US: VL but not from the Clinical M-mode model. In conclusion, a novel wearable distributed SMART-US system can predict ground reaction force using machine learning, demonstrating the feasibility of wearable ultrasound imaging for ground reaction force estimation.

Wearable Biosensor Technology (WBT) has emerged as a transformative tool in the educational system over the past decade. This systematic review encompasses a comprehensive analysis of WBT utilization in educational settings over a 10-year span (2012-2022), highlighting both the evolution of this field and its integration to address challenges in education by integrating technology to solve specific educational challenges, such as enhancing student engagement, monitoring stress and cognitive load, improving learning experiences, and providing real-time feedback for both students and educators. By exploring these aspects, the review sheds light on the potential implications of WBT for the future of learning. A rigorous and systematic search of major academic databases, including Google Scholar and Scopus, was conducted in accordance with PRISMA guidelines. Relevant studies were selected based on predefined inclusion and exclusion criteria. The articles selected were assessed for methodological quality and bias using established tools. The process of data extraction and synthesis followed a structured framework. Key findings include the shift from theoretical exploration to practical implementation with the EEG being the predominant measurement, aiming to explore mental states, physiological constructs, and teaching effectiveness. Wearable biosensors are significantly impacting the educational field, serving as an important resource for educators and a tool for students. Their application has the potential to transform and optimize academic practices through sensors that capture biometric data, enabling the implementation of metrics and models to understand the development and performance of students and professors in an academic environment, as well as to gain insights into the learning process.

In this research, we developed a wearable temperature-sensing element by dip dyeing threads in poly (3, 4-ethylenedioxythiophene) polystyrene sulfonate (PEDOT:PSS) (p-type conducting polymer) solution. The PEDOT:PSS was used to dye the textile and it exhibited negative temperature coefficient characteristics in which the resistance decreases as the temperature increases. The fabricated temperature-detection thread achieved a sensitivity of 167.1 W/°C with 99.8% linearity in the temperature range of -50 to 80 °C. We anticipate that temperature sensors that apply our technology will be made as stitch- or textile-type for wearable devices, and they will be widely adopted for different applications such as in fitness, leisure, healthcare, medical treatment, infotainment, industry, and military applications, among others.

In this article we present the design and development of T-Shirt prototypes that embed novel textile sensors for the capture of cardio and respiratory signals. The sensors are connected through textile interconnects to either an embedded custom designed data acquisition and transmission unit or to snap fastener terminals for connection to external monitoring devices. Prototypes with diverse approaches of integration are presented. The performance of the wearable systems is addressed in terms of signal-to-noise ratio amplitude and signal interference caused by baseline wander and motion artifacts, through laboratorial tests with subjects in standing and walking conditions. Performance tests were also conducted in Hospital environment using a T-Shirt prototype connected to a commercial 3-channel Holter monitoring device. The textile sensors and interconnects were realized with the assistance of an industrial 6-needle digital embroidery tool and their resistance to wear addressed with normalized tests of laundering and abrasion. The main aspects of the system´s design leading to major improvements and failure factors are discussed. Pathways and methods for the overall system´s optimization are highlighted.

Background and Objectives: Wilson disease (WD) is a disorder of copper metabolism caused by genetic muta-tions in the ATP7B gene which lead to the accumulation of copper in the body. The aim of the present study is to investigate the severity of WD in patients in Romania. Materials and Methods: This study was conducted us-ing an online questionnaire consisting of 32 questions in a group of patients suffering from Wilson disease. Results: The study included 67 people aged 7 to 56 with WD. The most common symptoms of the participants were hepatic and neurological in 22 cases (32.8%). The most common neurological symptom in the assessed cases was muscle stiffness (49.5%), followed by tremor (45%), and speech disorders (40.5%). The Kay-ser-Fleischer ring was present in 50.7% of the participants. The most commonly used drug treatment in the participants was D-penicillamine (77.61%). Conclusions: The severity of WD is based on many aspects, the most important being early diagnosis and access to treatment throughout the year. The prognosis is favorable with early diagnosis and treatment, but it is crucial to diagnose individuals before they develop major symp-toms. Therefore, advances in WD screening can lead to an earlier diagnosis and better results.

Cytokinesis, as the last stage of the cell division cycle, is a tightly controlled process amongst all eukaryotes, and defective division can lead to severe cellular consequences, and is implicated in serious human diseases and conditions such as cancer. Both mammalian cells and the fission yeast Schizosaccharomyces pombe use binary fission to divide into two equal sized daughter cells. In S. pombe such cytokinetic division is driven by the assembly of an actin-myosin contractile ring (ACR) at the cell equator between the two cell tips. The ACR is composed of a complex network of membrane scaffold proteins, actin filaments, myosin motors, and other cytokinesis regulators. Contraction of the ACR leads to the formation of a cleavage furrow which is severed leading to the final cell separation during the last stage of cytokinesis, abscission. This review describes recent findings defining the three phases to establish cytokinesis in S. pombe: ACR assembly, ACR constriction, and its coordination with septation. Collectively, we provide an overview of current understanding of the mechanisms regulating the ACR-mediated cytokinesis in S. pombe.

This paper presents the design, modelling, and comparative analysis of two internal MEMS vibrating ring gyroscopes for harsh environmental conditions. The proposed designs investigate the symmetric structure of the vibrating ring gyroscopes that operate at the identical shape of wine glass mode resonance frequencies for both driving and sensing purposes. This approach improves the gyroscope’s sensitivity and precision in rotational motion. The analysis starts with the investigation of the dynamic behaviour of the vibrating ring gyroscope with the detailed derivation of motion equations. A comprehensive evaluation of the design geometry, meshing technology, and simulation results presented on two internal vibrating ring gyroscopes. The two designs are distinguished by their support spring configurations and internal ring structures. Design I comprises eight semicircular support springs and Design II comprises with sixteen semicircular support springs. These designs were modelled and analyzed using finite element analysis (FEA) in Ansys software. The paper further evaluates static and dynamic performance, emphasizing mode matching and temperature stability. The results reveal that Design II, with additional support springs, offers better mode matching, higher resonance frequencies, and better thermal stability compared to Design I. Additionally, electrostatic, modal, and harmonic analyses highlight the gyroscope's behaviour under varying DC voltages and environmental conditions. Furthermore, the study investigates the impact of temperature fluctuations on performance, demonstrating the robustness of the designs within a temperature range of -100°C to 100°C. These research findings suggest that the internal vibrating ring gyroscopes are highly suitable for harsh conditions such as high-temperature applications and space applications.

Background and Purpose: This pilot randomized controlled trial evaluated the effects of 12 sessions of patient-specific adaptive dynamic cycling (PSADC) versus non-adaptive cycling (NA) on motor function and mobility in individuals with Parkinson’s disease (PD), using IMU sensors for objective assessment. Methods: Twenty-three participants with PD (13 in the PSADC group and 10 in the NA group) completed the study over a 4-week period. Motor function was measured using the Kinesia™ sensors and the MDS-UPDRS Motor III, while mobility was assessed with the TUG test using OPAL IMU sensors. Results: The PSADC group showed significant improvements in MDS-UPDRS Motor III scores (t = 5.165, p &lt; 0.001) and dopamine-sensitive symptoms (t = 4.629, p = 0.001), whereas the NA group did not improve. Both groups showed non-significant improvements in TUG time. IMU sensors provided continuous, quantitative, and unbiased measurements of motor function and mobility, offering a more accurate tracking of improvements over time. Conclusion: PSADC demonstrated enhanced treatment effects on PD motor function compared to NA, while also reducing variability in individual responses. The integration of IMU sensors was essential for precise monitoring, supporting the feasibility of a data-driven, individualized exercise approach to optimize treatment outcomes for individuals with PD.

Abstract: Flexible pressure sensors are electronic devices that can be attached to various irregular surfaces to measure the pressure. It is widely used in wearable devices and for health detection. In this study, a general carbon nanotubes/polydimethylsiloxane (CNTs/PDMS) sponge electrode was fabricated as the elementary component of the compressible system. The sensitivity of the flexible pressure sensor is improved by optimizing the preparation process of the conductive sponge and surface modification of the CNTs, and the highest sensitivity reached 71.831 kPa-1(0~2 kPa). The flexible pressure sensor can be used to detect subtle pressure quickly and accurately so that it can be used as wearable sensor to measure the radial artery wave of a human body, which has potential applications in health care and other fields.

Previous studies have reported that clinical walk tests could not predict development of frailty. With advancements in wearable technology, it may be possible to predict the development of frailty using loading asymmetry parameters during clinical walk test. This prospective cohort study aimed to test the hypothesis that increased limb loading asymmetry predicts frailty risk in community-living older adults. Sixty-two independently ambulant community-living adults aged ≥ 65 years were recruited, and forty-seven subjects completed the one-year follow-up after baseline. Loading asymmetry index of net and regional (forefoot, midfoot, and rearfoot) plantar forces were collected using force sensing insoles (100 Hz) during a 10-m walk test with their maximum speed. Development of frailty was defined if the participant progressed from baseline at least one grading group of frailty at follow-up period using the Kihon Checklist. Fourteen subjects developed frailty at follow-up period. Increased risk of frailty was associated with each 1% increase in loading asymmetry of net impulse (Odds ratio 1.153, 95% CI 1.001 to 1.329). Loading asymmetry of net impulse significantly correlated with asymmetry of peak force in midfoot force. These results indicate the feasibility of measuring plantar forces of gait during clinical walking tests, and underscore the potential of using load asymmetry as a tool to augment frailty risk assessment in community-dwelling older adults.

Candida albicans is an opportunistic fungus that becomes pathogenic and problematic under certain biological conditions. C.albicans may cause painful and uncomfortable symptoms, as well as deaths in immunocompromised patients. Therefore, early detection of c.albicans is essential. However, conventional detection methods are costly, slow and inaccessible to women in remote or developing areas. To address these concerns, we have developed a wearable and discrete naked-eye detectable, colorimetric platform for c.albicans detection. With some modification, this platform is designed to be directly adhered to existing feminine hygiene pads. Our platform is rapid, inexpensive, user-friendly, disposable and only requires three steps: i) addition of vaginal fluid onto sample pads; ii) addition of gold nanoparticle gel and running buffer, and iii) naked eye detection. Our platform is underpinned by selective thiolated aptamer-based recognition of 1,3-β-D glucan molecules- a hallmark of c.albicans cell walls. In the absence of c.albicans, wearable sample pads turn bright pink. In the presence of c. albicans, the wearable pads turn dark blue due to significant nanoparticle target-induced aggregation. We demonstrate naked eye colorimetric detection of 4.4 ×106 c.albicans cells per ml. We believe that this proof-of-concept platform has the potential to have a significant impact on women’s health, globally.

Research into improving the functionality and capacities of wearable technology has surged as a result of its fast progress. The functioning of wearable technology is largely dependent on antenna design, which provides wireless connectivity and communication. This study of the literature searches many online sources for pertinent research on the various antenna designs for wearable technology. The findings verified that the materials vary based on the design being employed. An analysis was conducted on the gain, frequency, materials, and sizes. The review excels at synthesizing research and literature despite its restricted resources.

Analyzing horse behavior is crucial for assessing training quality, particularly in accurately identifying actions like standing, walking, and running. Research has been conducted both domestically and internationally in this regard; however, challenges persist, including reliance on single sensors, poor real-time performance, and low identification accuracy. In view of these challenges, this study investigated real-time identification of horse behavior based on wearable devices. The system, centered around a microcontroller and utilizing a 4G network as a carrier, employs multi-axis IMU sensors as input sources to perceive horse posture. The study proposed a behavior classification method based on analysis of acceleration thresholds. The method consists primarily of two sequential stages: first, the resultant acceleration interval counting method, which employs a nonlinear segmentation approach for initial behavior classification; and second, the statistical analysis of variance parameters between segments, which when coupled with multi-level threshold processing, achieves a refined classification. Experimental results indicated that the interval counting method alone achieved an accuracy of 87.55%, while for the variance analysis method alone the accuracy was 90.87%. The proposed method, comprising the two stages, reached a classification accuracy of 91.57%, underpinning its usefulness in supporting future equine research.

Ischemia, the inadequate blood flow, can arise from pre-existing or traumatic events, remain an undetectable issue, and impact the body's ability to provide oxygen to necessary limbs, organs, muscles, or tissue. New technology involving wearable ultrasonic devices allows medical professionals to gain real-time insight into the cardiovascular system of their patients. A non-invasive, postage-stamp-sized ultrasonic sensor can be attached to a patient, allowing for continuous monitoring of the patient’s blood pressure outside of the hospital. After reviewing 16 papers on ultrasonic sensors, this paper intends to review the current use of wearable ultrasonic sensors and the advantages and limitations of the technology used to obtain accurate blood pressure readings. This review will bring attention to the evolving and expanding world of wearable ultrasonic sensors for medical applications.

Research on wearable solutions for individuals with autism spectrum disorder (ASD) has been conducted to detect stress. However, studies on stress detection for an individual with ASD have been limited, especially on how it should design for individuals with ASD. Wearable solutions may be a tool for parents and caregivers for emotional monitoring for individuals with ASD who have a high risk of experiencing very stressful. However, wearable solutions for individuals with ASD may differ from those without ASD. Individuals with ASD have sensory sensitiveness; therefore, they do not tolerate any accessory type or discomfort to use. We used the Scopus, PubMed, WoS, and IEEE-Xplore databases to answer different research questions related to wearable solutions for individuals with ASD, physiological parameters, and algorithms of artificial intelligence used for stress detection studies found from 2013 to 2023. Our review found 34 articles; not all the studies considered individuals with ASD or were out of the scope.

Wearable and mobile technology has advanced in leaps and bounds in the last decade with technological advances creating a role from enhancing healthy living to monitoring and treating disease. However, the discussion about the ethical use of such commercial technology in the community, especially in minors, is lacking behind. In this paper, we first summarize the major ethical concerns that arise from the usage of commercially available wearable technology in children, with a focus on smart watches, highlighting issues around the consent process, mitigation of risk and potential confidentiality and privacy issues, as well as the potential for therapeutic misconceptions when used without medical advice. Then through a relevant thought experiment we move on to outline some further ethical concerns that are connected to the use of wearables by minors, to wit the issue of informed consent in the case of minors, forcing them to live in the spotlight, and compromising their right to an open future. We conclude with the view that mitigating potential pitfalls and enhancing the benefits of wearable technology especially for minors requires brave and comprehensive moral debates.

The parallel connection of multiple flexible rings in raceways can significantly improve the electrical conductivity of rolling conductive devices. Multiple flexible rings are generally separated by idlers to form ring-idler rolling pairs. In the present work, alumina (Al2O3), polytetrafluoroethylene (PTFE), polyether ether ketone (PEEK), and polyimide (PI) were used as idler materials. Rolling tests for four types of ring-idler contact pairs were carried out in the air at a rotating speed of 10 rpm and a current of 60 A. It was noticed that the voltage drop was the lowest when Al2O3 was incorporated as the idler material. The energy spectrum analysis indicated material transfer between the organic idlers and the flexible ring. Especially on the flexible ring surface, the transferred organic thin film covered the gold-plated layer of the flexible ring and affected the electrical contact of the flexible ring. The transfer of Al2O3 was not obvious, and the mass fraction of Au on the flexible ring surface after the rolling test was 93.1%. The above results could help in selecting the best idler material for high-power conductive rotary joints.

Cytokinesis, as the last stage of the cell division cycle, is a tightly controlled process amongst all eukaryotes, and defective division can lead to severe cellular consequences, and is implicated in serious human diseases and conditions such as cancer. Both mammalian cells and the fission yeast Schizosaccharomyces pombe use binary fission to divide into two equal sized daughter cells. Similar to mammalian cells, in S. pombe such cytokinetic division is driven by the assembly of an actin-myosin contractile ring (ACR) at the cell equator between the two cell tips. The ACR is composed of a complex network of membrane scaffold proteins, actin filaments, myosin motors, and other cytokinesis regulators. Contraction of the ACR leads to the formation of a cleavage furrow which is severed by the endosomal sorting complex required for transport (ESCRT) proteins leading to the final cell separation during the last stage of cytokinesis, abscission. This review describes recent findings defining the three phases to establish cytokinesis in S. pombe: ACR assembly, ACR constriction, and its coordination with septation. Collectively, we provide an overview of current understanding of the mechanisms regulating the ACR-mediated cytokinesis in S. pombe with a potential role of ESCRT proteins in this process.

A rapid synthesis of chiral sulfoxide-functionalized meta-terphenyl derivatives by a 2,5-[C4+C2] ring transformation reaction of pyrylium salts with in-situ generated enantio-merically pure .alpha.-sulfinylacetaldehydes is described. This synthetic method demonstrates for the first time the use of .alpha.-sulfinylacetaldehydes in a reaction sequence initiated by nu-cleophilic attack of pyrylium salts by .alpha.-sulfinylcarbanions to generate chiral aromatic systems. The method presented shows broad applicability starting with various methyl sulfoxides and a number of functionalized pyrylium salts, furnishing meta-terphenyls with complex substitution patterns from readily accessible starting compounds.

Recent advances in embedded antenna and sensor technologies for 5G communications have galvanized a response toward the investigation of their electromagnetic (EM) performance for urban context and civil engineering applications. This article quantitatively investigates the effects of material loading on an evolved antecedent-based design of a hexagonal-stubbed Complementary Split-Ring Resonator (CSRR)-loaded antenna through simulation and experimentation. The optimized antenna design is first conceptualized within a simulation environment to achieve EM resonance at 3.50 GHz before delving into the analysis of operational performance characteristics. As a proof-of-concept, a physical antenna prototype is fabricated on a printed circuit board for the in-situ evaluation of S11 parameter plot. Subsequently, a simulation-based parametric study is conducted on antenna prototypes embedded into Ordinary Portland Cement pastes with varying weight percentages of iron(III) oxide. Simulation-derived and experimental results are mutually verified, achieving a systemic downward shift in resonant frequency and corresponding variations in impedance matching induced by changes in the loading reactance. Finally, an inversion modeling procedure is employed using perturbation theory to extrapolate the relative permittivity of the dielectric embedding materials. Our proposed analysis contributes to optimizing concrete-embedded 5G antenna sensor designs and establishes a foundational framework for estimating unknown EM parameters of cement-based composites.

Background: Redo mitral valve surgery is the standard of care for failed mitral bioprostheses or recurrence of mitral regurgitation after repair. Nonetheless, catheterbased valve-in-valve (ViV) or valve-in-ring (ViR)-procedures increasingly become viable alternatives in high risk subpopula-tions. Despite reported good initial results, only little is known about longer-term outcomes. The present series report long-term outcomes of transcatheter mitral ViV- and ViR-procedures. Methods: All consecutive patients (n=54) undergoing transcatheter mitral ViV- or ViR-procedures for failed bioprostheses or recurring regurgitation after mitral repair were retrospectively en-rolled in the time period between 2011 and 2021. The mean age was 76.5 ± 6.5 years, and 30 (55.6%) of the patients were male. The procedures were done using a commercially available balloon-expandable transcatheter heart valve. Clinical and echocardiographic follow-up data were obtained out of the hospital’s database and analyzed. Follow-up reached up to 9.9 years with a total of 164.3 patient-years. Results: A total 25 patients received a ViV- and 29 patients a ViR-procedure. Both groups were at high surgical risk with an STS-PROM of 5.9 ± 3.7 % in ViV- and 8.7 ± 9.0% in ViR-patients, respectively (p<0.01). The procedures itself were mainly unevent-ful with no intraoperative deaths and a low conversion rate (n=2/54; 3.7%). VARC-2 procedural success was low (ViV 20.0% and ViR 10.3%; p=0.45), which was either driven by high rates of transvalvular pressure gradients “>5mmHg” (ViV 92.0% and ViR 27.6%; p<0.01) or residual regurgitation “>trace” (ViV 28.0% and ViR 82.7%; p<0.01). ICU-stay was prolonged in both groups (ViV 3.8 ± 6.8 days and ViR 4.3 ± 6.3 days; p=0.96) with acceptable hospital stay (ViV 9.9 ± 5.9 days and ViR 13.5 ± 8.0 days; p=0.13). Despite 30-days mortality was acceptable (ViV 4.0% and ViR 6.9%; p=1.00), the mean posthospital survival time was disappointingly low (ViV 3.9 ± 2.6 years and ViR 2.3 ± 2.7 years; p<0.01). Overall survival I the entire group was 33.3%.Cardiac reasons for death were frequent in both groups (ViV 38.5% and ViR 52.2%). Cox-regression analysis identified ViR-procedures as a predictor of mortality (HR 2.36, CI 1.19 - 4.67, p=0.01). Conclusions: Despite acceptable immediate outcomes in this high-risk subpopulation, long-terms results are discouraging. Transvalvular pressure gradients as well as residual regurgitations remained drawbacks in this real-world population. The indication for catheterbased mitral ViV- or ViR-procedures thoughtfully must be made in consideration of conventional redo-surgery or conservative treatment.

Understanding user challenges with light dosimeters is crucial for designing more acceptable devices and advancing light exposure research. We systematically evaluated the usability and acceptability of the lido (light dosimeter) by 29 participants who wore the dosimeter near the corneal plane of the eye for 5 days. Common reasons for not wearing the dosimeter included exercise, recharging, wet environments, public settings, and discomfort. Despite these issues, participants adhered to using the dosimeter, with high compliance (89% of recording time). Our findings reveal a significant discrepancy between mean melanopic Equivalent Daylight Illuminance (300 lxmEDI) and median values (51 lxmEDI). This discrepancy indicates that, for most of the time, participants experienced significantly lower light levels. Specifically, participants were exposed to light levels above 250 lxmEDI for only 14% of their wearing time. This highlights the need for increased exposure to recommended light levels. In the evening, participants' light exposure was below the recommended 10 lxmEDI for 58% of the wear time, which is in line with the guidelines for reducing light exposure before sleep. This study highlights the critical need for strategies to enhance daily light exposure, aligning better with circadian health recommendations.

The proliferation of wearable technology enables the generation of vast amounts of sensor data, offering significant opportunities for advancements in health monitoring, activity recognition, and personalized medicine. However, the complexity and volume of this data present substantial challenges in data modeling and analysis, which have been tamed with approaches spanning time series modeling to deep learning techniques. The latest frontier in this domain is the adoption of Large Language Models (LLMs), such as GPT-4 and Llama, for data analysis, modeling, understanding, and generation of human behavior through the lens of wearable sensor data. This survey explores current trends and challenges in applying LLMs for sensor-based human activity recognition and behavior modeling. We discuss the nature of wearable sensors data, the capabilities and limitations of LLMs to model them and their integration with traditional machine learning techniques. We also identify key challenges, including data quality, computational requirements, interpretability, and privacy concerns. By examining case studies and successful applications, we highlight the potential of LLMs in enhancing the analysis and interpretation of wearable sensors data. Finally, we propose future directions for research, emphasizing the need for improved preprocessing techniques, more efficient and scalable models, and interdisciplinary collaboration. This survey aims to provide a comprehensive overview of the intersection between wearable sensors data and LLMs, offering insights into the current state and future prospects of this emerging field.

This article uses machine learning analysis of wearable sensor data to explore the topic of driver differentiation. The study focuses on using detailed analyzes of data collected from wearable sensors to identify patterns that differentiate skilled drivers from inexperienced ones. On a predetermined driving route, participants experienced a variety of driving conditions, including parking, navigating cities, driving on highways and driving through residential neighborhoods. The gathered data was analyzed using machine learning techniques, yielding a classification accuracy of 94% overall. The results highlight important differences in sensor data between inexperienced and experienced drivers, providing insight into possible uses for improving safety protocols, driver education, and personalized feedback systems. The article fosters improvements in traffic safety and driver education by offering insightful information on the link between driver behavior analysis and machine learning.

Accurate and reliable measurement of real-world walking activity is clinically relevant, particularly for people with mobility difficulties. Insights on walking can help understand mobility function, disease progression, and fall risks. People living in long-term residential care environments have heterogeneous and often pathological walking patterns, making it difficult for conventional algorithms paired with wearable sensors to detect their walking activity. We designed two walking bout detection algorithms for people living in long-term residential care. Both algorithms used thresholds on the magnitude of acceleration from a 3-axis accelerometer on the lower back to classify data as “walking” or “non-walking”. One algorithm had generic thresholds, while the other used personalized thresholds. To validate and evaluate the algorithms, we compared the classifications of walking/non-walking from our algorithms to the real-time research assistant annotated labels and the classification from an algorithm validated on a healthy population. Both the generic and personalized algorithms had acceptable accuracy (0.83 and 0.82 respectively). The personalized algorithm showed the highest specificity (0.84) of all tested algorithms, meaning it was the best suited to determine input data for gait characteristic extraction. The developed algorithms were almost 60% quicker than the previously developed algorithms, suggesting they are adaptable for real-time processing.

This paper provides an overview of flexible and wearable respiration sensors with emphasis on their significance in healthcare applications. The paper classifies these sensors based on their operating frequency distinguishing between high-frequency sensors which operate above 10 MHz and low-frequency sensors. The operating principles of breathing sensors as well as the materials and fabrication techniques employed in their design are addressed. The research highlights the need for robust and flexible materials to enable the development of reliable and comfortable sensors. Finally, the paper presents potential research directions and proposes research challenges in the field of flexible and wearable respiration sensors. Thus, identifying emerging trends and gaps in knowledge, it encourages further advancements and innovation in the rapidly evolving domain of flexible and wearable sensors.

Heart rate (HR) and respiratory rate (RR) are two vital parameters of the body medically used for diagnosing short/long term illness. Out-of-the-body, non-contact HR/RR measurement remains a challenge due to imprecise readings. “Invisible” wearables integrated into day-to-day garments has the potential to produce precise readings with comfortable user experience. Sleep studies and patient monitoring benefit from “Invisibles” due to longer wearability without significant discomfort. This paper suggests a novel method to reduce the footprint of sleep monitoring devices. We use a single silver-coated nylon fabric band integrated into a substrate of standard cotton/nylon garment as a resistive elastomer sensor to measure air and blood volume change across the chest. We introduce a novel event-based architecture to process data at the edge device and describe two algorithms to calculate real-time HR/RR on ARM Cortex-M3 and Cortex-M4F microcontrollers. RR estimations show a sensitivity of 99.03% and a precision of 99.03% for identifying individual respiratory peaks. The two algorithms used for HR calculation show a mean absolute error of 0.81±0.97 and 0.86±0.61 beats/minute compared to a gold standard ECG-based HR. The event-based algorithm converts the respiratory/pulse waveform into instantaneous events, therefore, reducing the data size by 40-140 times and requires 33% less power to process and transfer data. Further, we show that events hold enough information to reconstruct the original waveform, retaining pulse, and respiratory activity. We suggest fabric sensors and event-based algorithms would drastically reduce the device footprint and increase the performance for HR/RR estimations during sleep studies providing better user experience.

The technological development of piezoelectric materials is crucial for developing wearable and flexible electromechanical devices. There are many inorganic materials with piezoelectric effects, such as piezoelectric ceramics, aluminum nitride, and zinc oxide. They all have very high piezoelectric coefficients and large piezoelectric response ranges. The characteristics of high hardness and low tenacity make inorganic piezoelectric materials unsuitable for flexible devices that require frequent bending. Polyvinylidene fluoride (PVDF) and its derivatives are the most popular materials used in flexible electromechanical devices in recent years and have high flexibility, high sensitivity, high ductility, and a certain piezoelectric coefficient. Owing to increasing the piezoelectric coefficient of PVDF, researchers are committed to optimizing PVDF materials and enhancing their polarity by a series of means to further improve their mechanical–electrical conversion efficiency. This paper reviews the latest PVDF-related optimization materials, related processing and polarization methods, and the applications of these materials such as those in wearable functional devices, chemical sensors, biosensors, and flexible actuator devices for flexible micro-electromechanical devices. We also discuss the challenges of wearable devices based on flexible piezoelectric polymer, consider where further practical applications could be.

This paper focuses on optimal sensor positioning for monitoring activities of daily living and investigates different combinations of features and models on different sensor positions, i.e., the side of the waist, front of the waist, chest, thigh, head, upper arm, wrist, and ankle. Sixteen features are extracted and the feature importance is measured by using the Relief-F feature selection algorithm. Eight classification algorithms are evaluated on a dataset collected from young subjects and that collected from elderly subjects, with two different experimental settings. To deal with different sampling rates, signals with a high data rate are down-sampled and a transformation matrix is used for aligning signals to the same coordinate system. The thigh, chest, side of the waist, and front of the waist are the best four sensor positions for the first dataset (young subjects), with average accuracy values being greater than 95%. The best model obtained from the first dataset for the side of the waist is validated on the second dataset (elderly subjects). The most appropriate number of features for each sensor position is reported. The results provide a reference for building activity recognition models for different sensor positions, as well as for data acquired from different hardware platforms and subject groups.

Buckling defect will appear on the outer surface of the deformed ring during constrained ring rolling (CRR) of aluminum alloy thin wall conical ring with inner high ribs (AATWCRIHR), if the geometrical dimension of the ribs doesn't match the wall thickness. To avoid the buckling defect, a quantitative method for characterizing the degree of the buckling defect is proposed using the area of buckling profile. Then an orthogonal experimental scheme was designed taking the width of the middle rib, thickness of wall, and height of the middle rib as design variables and defining the area of buckling profile as optimization objective. Subsequently, a quadratic polynomial response surface model was established by combining the optimization algorithm with the finite element method (FEM), and the geometrical dimension of the middle ribs of the deformed AATWCRIHR is optimized. Also the optimal parameter combination to minimize the area of buckling profile is obtained and verified using FE simulation. Results show that the AATWCRIHR after optimization doesn’t generate the buckling defect during constrained ring rolling, and it is proved that the quantitative buckling defect representation method and the optimization design method based on the response surface model and the finite element simulation results are feasible for the constrained ring rolling process of the AATWCRIHR.

For a left module RM over non-commutative ring R, the notion for the class of nilpotent elements (nilR(M)) was first introduced and studied by SSevviiri and Groenewald . Moreover, Armendariz and semicommutative modules are generalizations of reduced modules and nilR(M)=0 in the case of reduced modules. Thus, the nilpotent class plays a vital role in these modules. Motivated by this, we present the concept of nil-Armendariz modules as a generalization of reduced modules and a refinement of Armendariz modules, focusing on the class of nilpotent elements. Further, we demonstrate that the quotient module M/N is nil-Armendariz if and only if N is within the nilpotent class of RM. Additionally, we establish that the matrix module Mn(M) is nil-Armendariz over Mn(R) and explore conditions under which nilpotent classes form submodules. Finally, we prove that nil-Armendariz modules remain closed under localization.

The present study aimed to date the death of Korean red pine (Pinus densiflora Siebold &amp; Zucc.) at Sogwang-ri, where is famous for the Korean red pine forests in Korea, using a dendrochronological method, and to investigate the effect of climatic factors on the death and growth decline of the pine trees. For the study, 51 Korean red pines were selected from three stands (Jungmi-gol A, Jungmi-gol B, and Neonam-gol) in the study area, and for the ring-width measurement the increment cores were extracted from the selected trees. The stand chronologies for the Jungmi-gol and Neonam-gol were established using the mean values of individual time series of the living trees from each site, and the chronologies were further used for cross-dating with individual time series of the dead trees to date their death. The abrupt growth reduction was also investigated based on the consecutive ring-width growth decline trend to know the vitality during the living. Results revealed that the red pines at Jungmi-gol A were dead in 2020, at Jungmi-gol B in 2012 or 2013, and at Neonam-gol in 2019. So, it was verified that the death of the red pines at the study sites occurred from high to low elevations. In the analysis of the role of climate in the annual ring growth, the trees at Jungmi-gol A and B located on the southwest slope showed more ring-width growth when precipitation in April, July, and August were increasing, at Neoman-gol located on the north slope when precipitation only in July was increasing. Although the correlations of the ring-width growths at the sites with temperature and precipitation were somehow different from each other, Drought Stress Index (DSI) from May to September at all sites were all negative. Therefore, water stress caused by increased temperature and decreased precipitation is the most significant climatic parameter for the death or growth decline of the pine trees in the study area.

Ring necked-pheasant (Phasianus colchicus) is bird of order Galliformes. Ring necked-pheasant is also known as gallinaceous bird and game bird. It looks like chicken bird. It is national bird of South Dakota. It is mostly found in wild areas but in Pakistan it exists as Domestic bird. It has high proteins and low fat in its meat. The present study was conducted to check the effect of ascorbic acid on sperm Motility, sperm cytoplasmic membrane integrity, sperm livability and acrosome integrity of Ring-necked pheasant at different concentrations of ascorbic acid (0mM, 1mM, 2mM, 3mM and 4mM) were used. Semen was collected by abdominal massage technique. Motility of sperm was greater than 70%.Then it was processed further. The cryopreservation of semen was checked at various stages like Post Dilution, Post Cooling, Post Equilibration and Post Thawing. Semen was cooled from post-dilution stage (37⁰ C) to post-cooling (20⁰C).Then it further cooled gradually to get post-equilibration stage (4⁰ C) within 24 hours. After that 10% glycerol was added to the sample. Then it was transferred to liquid nitrogen (LN₂) cylinder for 24 hours. After thawing stage sample was removed from LN₂ cylinders and placed in water bath for 4 hours to achieve post-thawing. Then performed sperm quality assays at each stage of cryopreservation. Sperm motility was assessed by Neubauer Chamber Hemocytometer. Plasma Membrane Integrity was checked by using Hypo Osmotic Swelling Test with the help to 2% Eosin. Sperm livability was assessed by Lake’s glutamate solution and sperm Acrosome Integrity was checked by dual staining technique by using Formal citrate solution and Giemsa stain. The better results were seen at 3mM treatment of ascorbic acid. Sperm motility percentage was significantly different (P < 0.05) on 3mM treatment on all the stages of cryopreservation rather than other treatments. Plasma membrane integrity assay also showed good results at same concentration (P < 0.05) on all the stages of cryopreservation rather than other treatments. At the sperm livability stage 3mM treatment showed significantly difference (P < 0.05) on all the stages of cryopreservation rather than other treatments. The sperm acrosome integrity showed highest percentage on 3mM treatment (P < 0.05) on all stages of cryopreservation rather than other treatments. Effect of ascorbic acid on all the quality parameters (sperm motility, plasma membrane integrity, livability and acrosome integrity) was showed significant difference (P < 0.05) at 3mM treatment of ascorbic acid as compare to control as well as remaining treatments. It was seen that by increasing the concentration of ascorbic acid from 3mM concentration to onward it shows negative results on its cryopreservation. Now this cryopreserved semen can be transfer from one place to another place to obtain good varieties as well as better genetic characteristics of this species.

Use of local anesthesia at the time of ring castration and tail docking can improve lamb welfare. However, few local anesthetics are registered for sheep, and data on their duration of effect is limited. Three studies were conducted to evaluate the efficacy of procaine (P), lidocaine (L) and bupivacaine (B) in terms of observed alleviation of behavioral responses to castration and/or tail docking in 10-min blocks in the first 60 min post treatment. In each study, comparisons were made between two groups of lambs castrated and/or tail docked with rubber rings and either receiving the agent using the NUMNUTS® instrument (N) or receiving no anesthetic agent (RR). Acute pain behavior was lower in NL (n = 28) than RRL (n = 15) males in the first 10 min post procedure (P &lt; 0.05); lower in NB (n = 16) than RRB (n = 16) males in periods 10-20 min (0.05 &lt; P &lt; 0.01), 20-30 min (P &lt; 0.05) and 40-50 min (0.05 &lt; P &lt; 0.01); lower in NB (n = 16) than RRB (n = 16) females between 20 and 40 min post-procedure (0.05 &lt; P &lt; 0.01); lower in NP (n = 8) than RRP (n = 7) males in period 10-20 min (0.05 &lt; P &lt; 0.01), and lower in NP (n = 9) than RRP (n = 9) females in periods 0-10 min (0.05 &lt; P &lt; 0.01), and 10-40 min (P &lt; 0.05). Analgesic benefits were modest, and the effects of procaine appear to last longer than lidocaine, while bupivacaine is slower to take effect than either procaine or lidocaine but may provide longer lasting analgesia. The duration of action of local anesthetics is short in sheep, and detailed behavioral evaluations are required in the first hour post procedure to establish efficacy.

Floral meristems are dynamic systems that generate floral organ primordia at their flanks and, in most species, terminate while giving rise to the gynoecium primordia. However, we find species with floral meristems that generate additional ring meristems repeatedly throughout angiosperm history. Ring meristems produce only stamen primordia, resulting in polystemous flowers (having stamen numbers more than double that of petals or sepals), and act independently of the floral meristem activity. Most of our knowledge on floral meristem regulation is derived from molecular genetic studies of Arabidopsis thaliana, a species with a fixed number of floral organs and as such of only limited value to understand ring meristem function, regulation, and ecological value. This review provides an overview of the main molecular players regulating floral meristem activity in A. thaliana, and summarizes our knowledge of ring primordia morphology and occurrence in dicots. Our work provides a first step towards understanding the significance and molecular genetics of ring meristem regulation and evolution.

A facile solid-phase synthetic method for incorporating the imidazoline ring motif, a surrogate for a trans peptide bond, into bioactive peptides is reported. The example described is the synthesis of an imidazoline peptidomimetic analog of an insect pyrokinin neuropeptide via a cyclization reaction of an iminium salt generated from the preceding amino acid and 2,4-diaminopropanoic acid (Dap).

This article discusses the issue of hardened steel machining. Many components in the engineering industry use hardening as the final heat treatment. These components usually occupy a significant position in a given assembly unit. They guarantee the correct operation of the entire technical equipment in total cooperation with other components. The quality of these components depends on the integrity of their surface. The production of these parts is usually carried out by traditional technological procedures. An example of such a technology is clearly grinding. However, this article discusses the application of other finishing technologies using tool material made of cubic boron nitride (CBN). The technology used is finishing turning with subsequent tumbling technology. The subject of the evaluation is the integrity of the surface. In this part of the experiments, there are mainly individual parameters of surface roughness. Compared components are bearing rings, in this case the inner surface of the housing ring.

We review recent work on narrowband orthogonally polarized optical RF single sideband generators as well as dual-channel equalization, both based on high-Q integrated ring resonators. The devices operate in the optical telecommunications C-band and enable RF operation over a range of either fixed or thermally tuneable frequencies. They operate via TE/TM mode birefringence in the resonator. We achieve a very large dynamic tuning range of over 55 dB for both the optical carrier-to-sideband ratio and the dual-channel RF equalization for both the fixed and tunable devices.

We studied the effect of the structure parameters of engine annular cooling fan with outer ring on the aerodynamic performance by means of experiments and model simulation in fluent^®. Firstly, based on the experiment, a computational model is developed to calculate and analyze the aerodynamic performance of the tested annular fan. The model is validated by comparing the test results with the calculated data. Besides, the aerodynamic performance differences between two types of fans (common fan without outer ring and annular fan with outer ring) are discussed. Based on the computational model, the relation between aerodynamic performance and the outer ring structure parameters are investigated. The results show that the relative parameter on the axial direction has great influence on the aerodynamic performance; while the effect of radial relative parameter is minor. In addition, the outer ring with arc chamfer structure in the downstream side can improve its static pressure efficiency effectively.

In this paper we study the normal bases for Galois ring extension ${{R}} / {Z}_{p^r}$ where ${R}$ = ${GR}$(p^r, n). We present a criterion on normal basis for ${{R}} / {Z}_{p^r}$ and reduce this problem to one of finite field extension $\overline{R} / \overline{Z}_{p^r}=F_{q} / F_{p} (q=p^n)$ by Theorem 1. We determine all optimal normal bases for Galois ring extension.

This paper extends the application of the ROTASE model for the formation of spiral arms of disc galaxies, questions and confusions from readers about this model are addressed. The optical trail effect behind the spiral arm rotation is the natural consequence of the model. The morphologies of ring-galaxies are classified into four categories: type I: single ring; type II: 8-shaped double ring; type III: 8-shaped double ring wrapped by a larger outer ring; type IV: single ring without spiral and bar. All four types of ring galaxies can be described by the ROTASE model. The ROTASE model predicts that the false impression of spiral arm rotating ahead of the galactic bar in the galaxy MCG+00-04-051 will change with time, it will look like a normal galaxy with about 30° to 40° bar rotation in the future and the galactic bar ends will look like rotating ahead of the spiral arms with further 10 ° to 15 °bar rotation. The formation of one arm galaxies is due to X-matter at one side of supermassive black hole is much stronger than other side. More evidence is found to support the explanation of the formation and the evolution of the Hoag’s object. The possible evolution of spiral pattern of galaxies is illustrated by UGC 6093. The winding of the Milky Way could be tighter in the future based on the ROTASE model.

Background: While exercise is known to promote sleep quality, the specific effects of different types of exercise interventions on the sleep quality of college students remain inadequately researched. Methods: Initially, the sleep quality of 182 college students was evaluated using the Pittsburgh Sleep Quality Index (PSQI). Subsequently, 23 volunteers underwent an 8-week exercise intervention. They were randomly assigned to either the aerobic or resistance exercise group to analyze and compare the effects of aerobic and resistance exercises on college students' sleep quality. Sleep quality and exercise safety were monitored using Huawei Band 6 smart wearable devices. Results: The prospective survey highlighted sleep quality challenges among college students, evidenced by elevated PSQI scores. Aerobic exercise and resistance training improved sleep quality and parameters. In the aerobic exercise group, sleep duration increased, with improved blood oxygen saturation and reduced wakefulness. Resistance training increased deep sleep duration and REM sleep. Conclusion: Through smart wearable devices like the Huawei Band, monitoring of both exercise and sleep revealed the beneficial effects of aerobic exercise and resistance training on improving sleep quality among college students. Aerobic exercise increased sleep duration, blood oxygen saturation, and reduced waking frequency, while resistance training significantly increased deep sleep and REM sleep duration.

In the modern world, stress has become a pervasive concern that affects individuals' physical and mental well-being. To address this issue, many wearable devices have emerged as potential tools for stress detection and management, by measuring heart rate, heart rate variability (HRV), and various matrices related to it. This literature review aims to provide a comprehensive analysis of existing research on HRV tracking and Biofeedback using smartwatches and finger monitor/sensor pairing with reliable 3rd party mobile apps like Elite HRV, Welltory, and HRV4Training specifically designed for stress detection and management. we apply various algorithms and methodologies employed for HRV analysis and stress detection is discussed, including time-domain, frequency-domain, and non-linear analysis techniques. Prominent smartwatches, such as Apple Watch, Garmin, Fitbit, Polar, and Samsung Galaxy Watch, are evaluated based on their HRV measurement accuracy, data quality, sensor technology, and integration with stress management features. We describe the efficacy of smartwatches in providing real-time stress feedback, personalized stress management interventions, and promoting overall well-being. To assist researchers, doctors, and developers use smartwatch technology to address stress and promote holistic well-being, we discuss the data's advantages and limitations, future developments, and the significance of user-centered design and personalized interventions. Keywords: smartwatch; stress; wearable device; heart rate variability; comparative analysis

The aim of the work was to carry out an ergonomic assessment of the workload when working with a chainsaw during motor-manual tree processing. Wearable technology was used, namely Garmin, Biostrap and Whoop devices, which are generally available. The dependence of the heart rate (HR) on physical workload was examined to calculate Heart Rate Index. The case study was done with one worker, three variations of chainsaw devices cutting the poplar wood. It was proved that the use of a heavier work tool, MS 500i /90 cm 9,3 kg, significantly contributes both to the creation of a non-physiological working position and to an increase in the energy required to perform work, which was represented by an increase in heart rate. With a lighter work tool and a shorter cutting blade, both a decrease in heart rate and a reduction in the working time were performed in a non-physiological position. The results can be used in common practice for workers´ self-assessment to increase safety and health protection at work or work productivity not only in motor-manual processing in forestry related professions.

Programmable Object Interfaces are increasingly intriguing researchers because of their broader applications, especially in the medical field. In Wireless Body Area Network (WBAN), for example, the patients’ health can be monitored using clinical nano sensors. Exchanging such sensitive data requires a high level of security and protection against attacks. To that end, the literature is rich with security schemes that include the advanced encryption standard, secure hashing algorithm, and digital signatures that aim to secure the data exchange. However, such schemes elevate the time complexity rendering the data transmission slower. Cognitive Radio technology with a medical body area network system involves communication links between WBAN gateways, server and nano sensors rendering the entire system vulnerable to security attacks. In this paper, a novel DNA-based encryption technique is proposed to secure medical data sharing between sensing devices and central repositories. It has less computational time throughout authentication, encryption, and decryption. Our analysis of experimental attack scenarios shows that our technique is better than its counterparts.

Wearable thermoelectric generators (w-TEGs) convert thermal energy into electrical energy to realize self-powering of intelligent electronic devices, thus reducing the burden of battery replacement and charging, and improving the usage time and efficiency of electronic devices. Through finite element simulation, this study successfully designed high-performance thermoelectric generator and made it into wearable thermoelectric module by adopting “rigid device - flexible connection” method. It was found that higher convective heat transfer coefficient on cold-end leads to larger effective temperature difference and better power generation performance of device in typical wearable scenario. Meanwhile, at same convective heat transfer coefficient on the cold-end, longer TE leg length leads to larger temperature difference established at both ends of device, larger device output power and open-circuit voltage. However, when the convective heat transfer coefficient increases to a certain level, optimization effect of increasing TE leg length on device power generation performance will gradually diminish. For devices with fixed temperature difference between two ends, longer TE leg length leads to higher resistance of TEG, resulting in lower device output power but slight increase in open-circuit voltage. Finally, sixteen 16×4×2 mm2 TEGs (L=1.38 mm, W=0.6 mm) and two modules were fabricated and tested. At hot end temperature Th=33 ℃ and cold end temperature Tc=30 ℃, the actual maximum output power Pout of TEG is about 0.2 mW, and the actual maximum output power Pout of TEG module is about 1.602 mW, which is highly consistent with the simulated value. This work brings great convenience to research and development of wearable thermoelectric modules and provides new, environmentally friendly and efficient power solution for wearable devices.

Purpose: To construct a hidden Markov model (HMM) for vigilance assessment to improve the real-time performance and accuracy of current vigilance measurement. Methods: ECG signal was collected by sensors, while the noise and baseline drift was eliminated from the original ECG signal. 10 volunteers were randomly selected. Their heart rate variability (HRV) were measured and trained parameters of the modified Hidden Markov model for vigilance assessment. Then, these data were collected to optimize using the Baum-Welch algorithm and obtained the state transition probability matrix A ̂ and the observation probability matrix B ̂. Finally, the data of three volunteers with different transition patterns of mental state were selected randomly and used the Viterbi algorithm to find the optimal state, which compared with the actual state. Results: The constructed vigilance assessment model had a high accuracy rate the accuracy rate of data prediction for these three volunteers exceeded 80%. Conclusion: The Hidden Markov model for vigilance assessment can accurately predict the vigilance level and indicate broad application prospects.

Objective: The aim of this study was to provide a new machine learning method to determine temporal events and inner-cycle parameters (e.g., cycle, poles and skis contact and swing time) in cross-country roller ski skating on the field, using a single deported inertial measurement unit (IMU). Methods: The developed method is based on long short-term memory neural networks to detect poles and skis initial and final contact with the ground during the cyclic movements. Eleven athletes skied four laps of 2.5 km at low and high intensity using skis with two different rolling coefficients. They were equipped with IMUs attached to the upper back, lower back and to the sternum. Data from force insoles and force poles were used as reference system. Results: The IMU placed on the upper back provided the best results, as the LSTM network was able to determine the temporal events with an accuracy ranging from 49 to 55 ms and the corresponding inner-cycles parameters were calculated with a precision of 63 to 68 ms. The method detected 95% of the events for the poles and 87% of the events for the skis. Conclusion: The proposed LSTM method provides a promising tool for assessing temporal events and inner-cycle phases in roller ski skating showing the potential of using a deported IMU to estimate different spatio-temporal parameters of human locomotion.

The booming wearable market and recent advances in material science has led to the rapid development of the various wearable sensors, actuators, and devices that can be worn, embedded in fabric or accessories, or tattoos directly onto the skin. Wearable actuators, a subcategory of wearable technology, have attracted enormous interest from researchers in various disciplines and many wearable actuators and devices have been developed in the past few decades to assist and improve people's everyday lives. In this paper, we review the actuation mechanisms, structures, applications, and limitations of recently developed wearable actuators including pneumatic and hydraulic actuators, shape memory alloys and polymers, thermal and hygroscopic materials, dielectric elastomers, ionic and conducting polymers, piezoelectric actuators, electromagnetic actuators, liquid crystal elastomers, etc. Examples of the recent applications such as wearable soft robots, haptic devices, and personal thermal regulation textiles are highlighted. Finally, we point out the current bottleneck and suggest the prospective future research directions for wearable actuators.

Despite recent scientific advancements, there is a gap in the use of technology to measure signals, behaviors, and processes of adaptation physiology of farm animals. Sensors present exciting opportunities for sustained, real-time, non-intrusive measurement of farm animal behavioral, mental, and physiological parameters with the integration of nanotechnology and instrumentation. This paper critically reviews the sensing technology and sensor data-based models used to explore biological systems such as animal behavior, energy metabolism, epidemiology, immunity, health, and animal reproduction. The use of sensor technology to assess physiological parameters can provide tremendous benefits and tools to overcome and minimize production losses while making positive contributions to animal welfare. Of course, sensor technology is not free from challenges; these devices are at times highly sensitive and prone to damage from dirt, dust, sunlight, colour, fur, feathers, and environmental forces. Rural farmers unfamiliar with the technologies must be convinced and taught to use sensor-based technologies in farming and livestock management. While there is no doubt that demand will grow for non-invasive sensor-based technologies that require minimum contact with animals and can provide remote access to data, their true success lies in the acceptance of these technologies by the livestock industry.

Wearable computing is a fast evolving segment of computing that includes smart watches, head mounted wearables such as Magic Leap headsets, Microsoft Hololens, and VR goggles from various vendors. In this report, we present ideas for a smart wearable device that also doubles as a virus protection device. Instead of using the filtering approach that is predominantly used by virus protection equipments such as face masks, we propose to use a computational approach where the device maintains an awareness of the real-time virus spread and use that information to steer the wearer away from the virus. As the wearable has a head enclosing design, viral infection can only happen through the air that is inhaled by the wearer. The objective of the smart wearable is to maintain a repository for clean air and switch the operating modes between stored and fresh air modes depending on the environmental conditions. It can augment this basic operating procedure by recycling the exhaled air to maximize it operating capacity (i.e., time duration for which it could supply the wearer with safe air) and by cleaning the stored air using UVC to further reduces the chance of infection. To maintain an awareness of the virus spread in the environment, the smart wearable will rely on an edge computing framework that will be distributed to cover areas frequented by people. The smart wearable will have modular design so that it can be reconfigured to add or subtract functionality that the wearer wants for a particular situation so that the design remains relevant even after the virus threat recedes.

Sleep postures monitoring systems in the hospital aim at transforming sensing signals into quantitative data to characterize the sleep behaviors of the patient. However, a home-care sleep posture monitoring system needs to be user friendly. In this paper, we present iSleePost - a user-friendly home-care intelligent sleep posture monitoring system. We address the labor-intensive labeling issue of traditional machine learning approaches in the training phase. Our proposed mobile health (mHealth) system leverages the communications and computation capabilities of mobile phones for provisioning a continuous sleep posture monitoring service. Our experiments show that iSleePost can achieve 90 percent accuracy in recognizing sleep postures. More importantly, iSleePost demonstrates that an easily-wear wrist sensor can accurately quantify sleep postures.

Background: medical devices are designed, tested and placed on the market in a highly regulated environment. Wearable sensors are crucial components of various medical devices: design and validation of wearable sensors, if managed according to international standards, can foster innovation while respecting regulatory requirements. Material and methods: the purpose of this paper is to take into consideration the upcoming EU Medical Device Regulation 2017/245 and the current and future IEC and ISO standards that set methods for design and validation of medical devices, with a focus on wearable sensors. Risk classification according to the regulation is described. The international standards IEC 62304, IEC 60601, ISO 14971 and ISO 13485 are reviewed to define regulatory restrictions during design, pre-clinical validation and clinical validation of devices that include wearable sensors as crucial components. Results: current and future regulatory restrictions are described, and an integrated method for design planning, validation and clinical testing is described Discussion: application of this method to design wearable sensors should be evaluated in the future in order to assess its potentially positive impact to fostering innovation and to the time-to-market of the device.

: Ipomoeassin F (Ipom-F) is a plant-derived macrocyclic resin glycoside that potently inhibits cancer cell growth through blockage of Sec61-mediated protein translocation at the endoplasmic reticulum. Recently, detailed structural information on how Ipom-F binds to Sec61α was obtained using Cryo-EM, which discovered that polar interactions between asparagine-300 (N300) in Sec61α and four oxygens in Ipom-F are crucial. One of the four oxygens is from the carbonyl group at C-4 of the fatty caid chain. In contrast, our previous structure–activity relationship (SAR) studies suggest that the carbonyl group is not essential. To resolve this discrepancy, we designed and synthesized two new open-chain analogues (10 and 11). 10 without the C-4 carbonyl had a dramatic activity loss, whereas 11 with an amide functional group was even more potent than Ipom-F. These new SAR data, in conjunction with some previous SAR information, imply two functional roles of the C-4 carbonyl: 1) to form H-bonds with N300; and 2) to regulate interactions of the fatty acid chain with membrane lipids. Impacts of these dual functions on antiproliferation depend on the overall structure of an Ipom-F derivative. Moreover, 11 can serve as a lead compound for developing future amino acid/peptide-modified analogues of Ipom-F with improved therapeutic properties.

Ramsey approach to the vectors fields is introduced. Set of vectors defined on R^3, taken as the generators of the bi-colored complete graph, is introduced. Vectors are considered as the vertices of the graph. Following coloring procedure is suggested: vertices numbered i and j are linked with the red edge if their scalar product is non-negative; and they are linked with the green edge if their scalar product is negative. This procedure gives rise to the complete, bi-color graph. Graph generated by six vectors inevitably contains the monochromatic triangle: the Ramsey number Ring-like systems of generating vectors are addressed. Applications of the graphs emerging from the vector fields are discussed.

With the rapid advance in quantum computing, quantum security is now an indispensable property for any cryptographic system. In this paper, we study how to prove the security of a complex cryptographic system in the quantum random oracle model. We first give a variant of Zhandry’s compressed quantum random oracle (CStO), called compressed quantum random oracle with adaptive special points (CStOs). Then, we extend the on-line extraction technique of Don et al (EUROCRYPT’22) from CStO to CStOs. We also extend the random experiment technique of Liu and Zhandry (CRYPTO’19) for extracting the CStO query that witnesses the future adversarial output. With these preparations, a systematic security proof in the quantum random oracle model can start with a random CStO experiment (that extracts the witness for the future adversarial output) and then convert this game to one involving CStOs. Next, the on-line extraction technique for CStOs can be applied to extract the witness for any on-line commitment. With this strategy, we give a security proof of our recent compact multi-signature framework that is converted from any weakly secure linear ID scheme. We also prove the quantum security of our recent lattice realization of this linear ID scheme, by iteratively applying the weakly collapsing protocol technique of Liu and Zhandry (CRYPTO 2019). Combining these two results, we obtain the first quantum security proof for a compact multi-signature.

Alpinia oxyphylla is a traditional Chinese medicinal plant, with a medicinal history of more than 1,700 years. Ring leaf blight (RLB) disease, caused by pestalotioid species, is an important disease of A. oxyphylla, seriously affecting the yield and quality of fruits. The causal agent of RLB disease has not been systematically identified and characterized so far. In this study, thirty-six pestalotioid strains were isolated from the leaves and stems of A. oxyphylla collected from 6 cities of Hainan province, China. Based on multi-locus phylogeny (ITS, tef-1α and tub2) and morphological characteristics analyses, seventeen species belonging to three genera (Neopestalotiopsis, Pestalotiopsis and Pseudopestalotiopsis) were identified and six new species (N. baotingensis, N. oblatespora, N. olivaceous, N. oxyphylla, N. wuzhishanensis and N. yongxunensis) were described. Pathogenicity tests revealed that strains of Neopestalotiopsis species caused more severe ring leaf blight on A. oxyphylla than strains of Pestalotiopsis and Pseudopestalotiopsis under wounded inoculation conditions.

Introduction: Signet-ring cells are typically associated with mucin-secreting epithelium thus most commonly found in a gastrointestinal tract, however not exclusively. Primary signet ring cell carcinoma of the prostate is a rare and poorly differentiated, aggressive acinar adenocarcinoma variant with a grim prognosis. Clinical case: In June of 2023 a 54-year-old Caucasian male came to the hospital complaining of lower urinary tract obstructive symptoms with occasional macrohematuria, non-specific body aches, and shortness of breath. A prostate specimen obtained in transurethral resection of the prostate was sent for histopathological examination. After a series of extraprostatic diagnostic workups including fibrogastroduodenoscopy, colonoscopy computed tomography imaging, and immunohistochemical studies, the patient was diagnosed with primary prostatic signet-ring cell adenocarcinoma st. IV. Unfortunately, the patient with the disease this advanced, PE, and third-degree thrombocytopenia was not a candidate for chemotherapy and died of cardiopulmonary insufficiency later that week. Discussion: Prostatic signet-ring cell carcinoma accounts for 0.02% of all prostate adenocarcinoma cases. Due to its nature and epidemiology, a diligent extraprostatic investigation has to be carried out. The disease often presents with unremarkable clinical symptoms and variable serum prostate-specific antigen results which may contribute to its late diagnosis which together with inconsistent immunohistochemical findings and unpredictable response to hormonal treatment pose both diagnostic and therapeutic challenges that negatively affect the prognosis. Conclusion: The study highlights the importance of a multidisciplinary approach and the need for diagnostic and therapeutic consensus within the research community in search of the primary site of the disease which may positively influence the prognosis.

As an outstanding information carrier, skyrmion is increasingly widely used in devices based on complex geometries. To achieve the skyrmion-based spintronic devices, a reasonable and feasible nanotrack is essential. In this paper, we conducted a study on the current-driven skyrmion movement in a circular-ring-shaped nanotrack. Our results suggest that the asymmetry of the inside and outside boundary of the circular ring changed the stable position of the skyrmion, causing it to move like the skyrmion Hall effect when driven by currents. Moreover, the asymmetric boundaries have advantages in enhancing or weakening the skyrmion Hall effect. Additionally, we also compared the skyrmion Hall effect from the asymmetric boundary of circular ring nanotracks with that from inhomogeneous DMI. It is found that the skyrmion Hall effect caused by the circular ring is significantly greater than that caused by the inhomogeneous DMI. These results contribute to our understanding of the skyrmion dynamics in confined geometries and offer an alternative method for controlling the skyrmion Hall effect of skyrmion-based devices.

Rare study on quantitative relationship between energetic impact of debris flows on the intensity and duration of growth disturbances of tree rings was carried out, partly due to lack of feasible approaches and detailed field evidence. In this study, we firstly determine the age of a recent debris flow derived from historic landslide deposits at Qingyang mountain (QYM) on the northeastern Tibet plateau by dendrogeomorphic technique. We acquired the quantitative data of annual widths of tree rings in history and confirmed the influence of debris flow rather than other factors (e.g. climatic event and inset outbreaking) in disturbing the growth of tree rings in a specific year. Using the approach, we determined the age of the debris flow at QYM occurred in 1982, which was speculated to be triggered by high monthly precipitation of July in 1982. Subsequently, based on the boundaries of historic debris flow identified on remote sensing images before and after 1982 and depth-integrated continuum model, we reconstructed the process of 1982-debris flow and obtained the kinematic energy of debris flow impacting on the sampled trees. Based on the study, we observed that two growth disturbance patterns of tree rings influenced by the reconstructed 1982-debris flow were revealed including growth suppression and asymmetric growth. A raw logarithm relationship between duration (i.e. lasting time for the disturbed tree rings to recover the initial width) and intensity of growth disturbances (i.e. growth suppression ratio of disturbed tree rings) was obtained. We concluded that there is a negative exponential relationship between simulated kinematic energy of debris flow impacting on the disturbed trees and time to recover the initial width of corresponding tree rings.

Background: The lymph nodes staging system can predict the prognosis of gastric signet ring cell carcinoma (SRCC), but the optimal system for early and advanced SRCC remains unknown. Methods: This study retrospectively analyzed 693 SRCC patients who underwent radical resection in the Department of Gastrointestinal Surgery, Harbin Medical University Cancer Hospital. The predicted performance of three lymph node staging systems, including pN staging, lymph node metastasis rate (LNR), and log odds of positive lymph nodes (LODDS), was compared using the receiver characteristic operating curve (ROC). The kaplan⁃meier method and the log⁃rank test analyze the overall survival of patients. The Cox risk regression model identifies independent risk factors associated with patient outcomes. The nomogram was made by R studio. Results: The 693 SRCC included 165 early SRCC and 528 advanced SRCC. ROC showed that LODDS had better predictive performance than pN and LNR in predicting prognosis regardless of early or advanced SRCC. LODDS can be used to predict the prognosis of early and advanced SRCC and was an independent risk factor associated with patient outcomes (P=0.002, P<0.001). Furthermore, the nomogram constructed by LODDS and clinicopathological features had good predictive performance. Conclusion: LODDS showed a clear prognostic superiority over both pN and LNR in early and advanced SRCC.

This work presents updated reconstructions of watershed runoff to San Francisco Estuary from tree-ring data to AD 903, coupled with models relating runoff to freshwater flow to the estuary and salinity intrusion. We characterize pre-development freshwater flow and salinity conditions in the estuary over the past millennium and compare this characterization with contemporary conditions to better understand the magnitude and seasonality of changes over this time. This work shows that the instrumented flow record spans the range of runoff patterns over the past millennium (averaged over five, ten, twenty and one hundred years), and thus serves as a reasonable basis for planning-level evaluations of historical hydrologic conditions in the estuary. Over annual timescales we show that, although median freshwater flow to the estuary has not changed significantly, it has been more variable over the past century compared to pre-development flow conditions. We further show that the contemporary period is generally associated with greater spring salinity intrusion and lesser summer-fall salinity intrusion relative to the pre-development period. Thus, salinity intrusion in summer and fall months was a common occurrence under pre-development conditions and has been moderated in the contemporary period due to the operations of upstream reservoirs, which were designed to hold winter and spring runoff for release in summer and fall. This work also confirms a dramatic decadal-scale hydrologic shift in the watershed from very wet to very dry conditions during the late 19th and early 20th centuries; while not unprecedented, these shifts have been seen only a few times in the past millennium. This shift resulted in an increase in salinity intrusion in the first three decades of the 20th century, as documented through early records. Population growth and extensive watershed modification during this period exacerbated this underlying hydrologic shift. Putting this shift in the context of other anthropogenic drivers is important in understanding the historical response of the estuary and in setting salinity targets for estuarine restoration. By characterizing the long-term behavior of San Francisco Estuary, this work supports decision-making in the State of California related to flow and salinity management for restoration of the estuarine ecosystem.

Results of geological and geophysical investigations of the Siljan Ring impact structure (central Sweden) revealed complicated relationships between Paleozoic sedimentary succession and the Precambrian basement. Tectonic and depositional evolution caused complex geology. Studies of a new drill core from the C-C-1 well provide information necessary for the reconstruction of the geological setting in the southwestern part of Siljan Ring. The whole interval of the core section is from 32.60 to 634.90 m with almost no breaks. The sedimentary cover is 373.55 m thick in total. The sedimentary sequences are predominantly composed of wackestones, mudstones, and shales. In the lower part of the sedimentary section, limestone layers intercalate with black shales. In a result of the investigations, it has been suggested that sedimentary layers represent Late Ordovician and Silurian deposits and have disturbed stratigraphic relations. The basement section is composed of Precambrian meta-volcanic and meta-sedimentary rocks. The contact between the basement and the sedimentary cover is tectonic, not normal sedimentary, in origin. Tectonic processes caused intensive rock fracturing. Four generations of fractures were identified with analysis of fracture relations and mineralization sequence. Only two of them occur in sedimentary rocks that probably belong to the latest stages of tectonic activity. Highly fractured basement rocks in some cases contain open vugs developed along the fractures. Rock matrix is tight either in sedimentary and basement rocks and only micro-porosity space is recognized in cataclastic zones. Single evidence of bituminous filling of micro-porosity zone and partly cemented vug is established in limestone from the lower part of the sedimentary section. These findings are particularly valuable for stratigraphy refinement and tectonic setting reconstructions as well as oil and gas reservoir forecasts.

We report a 92 channel RF channelizer based on a 48.9 GHz integrated micro-comb that operates via soliton crystals, together with a passive high-Q ring resonator that acts as a periodic filter with an optical 3dB bandwidth of 121.4 MHz. We obtain an instant RF bandwidth of 8.08 GHz and 17.55 GHz achieved through temperature tuning. These results represent a major advance to achieving fully integrated photonic RF spectrum channelizers with reduced low complexity, size, and high performance for digital-compatible signal detection and broadband analog signal processing.

This exploratory study investigates the role of wearable technologies in fostering emotional connections between human brands and customers. Given the rapid growth of the wearable technology market and the increasing importance of emotional connections in marketing, this research aims to uncover the potential of these technologies in strengthening the affective bond between brands and consumers. The mixed-method approach included semi-structured in-depth interviews with 25 marketing experts and an online survey of 300 consumers. Data analysis was conducted using thematic coding and statistical tests including Pearson correlation and multiple regression. Results indicated that wearable technologies can enhance emotional connections through personalized interactions (r=0.72, p<0.001), creating a sense of proximity (β=0.65, p<0.01), and facilitating two-way communications (β=0.58, p<0.01). These findings offer new perspectives for marketing strategies and customer relationship management in the digital age, highlighting the potential of wearable technologies as a powerful tool for building and maintaining emotional bonds between human brands and their audiences. The study contributes to the growing body of literature on technology-mediated brand relationships and provides practical implications for marketers seeking to leverage wearable technologies in their brand communication strategies.

Non-invasive continuous health monitoring has become feasible with the advancement of biosensors. While monitoring certain biomarkers such as heart rate or skin temperature are now at certain maturity, monitoring molecular biomarkers is still challenging. Progress has been shown in sampling, measurement and interpretation of data towards non-invasive molecular sensors that can be integrated in daily wearable items. Towards this goal, this paper explores the potential of embroidered interdigitated transducer (IDT)-based sensors for non-invasive, continuous monitoring of human biomarkers, particularly glucose levels, in human sweat. The study employs innovative embroidery techniques to create flexible fabric-based sensors with gold-coated IDTs. In controlled experiments, we have shown the variation of glucose concentration in water can be wirelessly detected by tracking the resonant frequency of the embroidered sensors. The current sensors operate at 1.8GHz–2GHz and respond to the change of glucose concentration with a sensitivity of 0.17 MHz/(mg/dl). The embroidered IDT-based sensors with wireless sensing will be a new measurement modality for molecular wearable sensors. The establishment of a wireless sensing mechanism for embroidered IDT-based sensors will be followed by investigation of sweat for molecular detection. This will require adding functionalities for sampling and interpretation of acquired data. We envisage the embroidered IDT-based sensors offer a unique approach for seamless integration into clothing, paving the way for personalised, continuous health data capture.

This manuscript offers a concise overview of paper microfluidics, emphasizing its sustainable sensing applications in healthcare, environmental monitoring, and food safety. Researchers have developed innovative sensing platforms for detecting pathogens, pollutants, and contaminants by leveraging the paper’s unique properties, such as biodegradability and affordability. These portable, low-cost sensors facilitate rapid diagnostics and on-site analysis, making them invaluable tools for resource-limited settings. The review discusses fabrication techniques, principles, and applications of paper microfluidics, showcasing its potential to address pressing challenges and enhance human health and environmental sustainability.

The rapid growth of the global wearable technologies market is projected to reach $61.30 billion by 2030 which reflects a shift towards personalised health monitoring embedded in everyday activities. This paper explores the potential of embroidered interdigitated transducer (IDT)-based sensors for non-invasive, continuous monitoring of human biomarkers, particularly glucose levels, in human sweat. The study employs innovative embroidery techniques to create flexible fabric-based sensors with gold-coated IDTs. Experimental results demonstrate the sensor’s capability to detect water droplets and glucose concentrations, showcasing promising applications for health monitoring. The embroidered IDT-based sensors offer a unique approach for seamless integration into clothing, paving the way for personalised, continuous health data capture.

Background: The use of wearable devices has burgeoned over the past decade, including wearables for infants and young children. Typically, such devices assess a single modality, and few have undergone scientific validation. To address this gap, we developed an infant wearable platform, LittleBeats™, that integrates electrocardiogram (ECG), motion, and audio sensors on a single printed circuit board to permit daylong remote assessments of infants and caregivers in home environments. Objective: Complementing our prior reports focused on LittleBeats™ data collected among infants and children in the home context, our main objective here is to present a technical validation of each sensor modality against established laboratory protocols and gold-standard equipment. Materials and Methods: We conducted five studies, including assessments of (a) interbeat interval (IBI) data obtained from the LittleBeats™ ECG sensor versus the gold-standard BIOPAC among adults (Study 1, N=16) and infants (Study 2, N=5), (b) performance of automated activity recognition (upright vs. walk vs. glide vs. squat ) among adults using accelerometer data obtained from LittleBeats™ versus Google Pixel 1 smartphone (Study 3, N=12), and (c) performance of speech emotion recognition (SER; Study 4, N=8) and automatic speech recognition (ASR; Study 5, N =12) algorithms among adult samples using audio data from LittleBeats™ versus smartphone. Results: Results for IBI data obtained from the LittleBeats™ ECG sensor indicate acceptable mean absolute percent error (MAPE) rates for both the adults (MAPE = 5.29% to 5.97%; Study 1) and infants (MAPE =0.96% to 1.66%; Study 2) across low- and high-challenge sessions, as well as expected patterns of change in respiratory sinus arrythmia (RSA) across sessions. For activity recognition (Study 3), LittleBeats™ data showed good to excellent performance (Accuracy = 89%, F1-score=88%; Cohen’s kappa =.79), although the smartphone outperformed LittleBeats™ by less than 4%. Finally, performance on the SER applied to LittleBeats™ versus smartphone audio data (Study 4) indicated comparable performance, with a matched-pairs test indicating no significant difference in error rates (p=.26). On the ASR task (Study 5), the best performing algorithm yielded relatively low word error rates, although LittleBeats™ (4.16%) versus smartphone (2.73%) error rates are somewhat higher. Discussion: Taken together, results from these controlled laboratory studies conducted predominantly with adults indicate that the LittleBeats™ sensors yield data quality that is largely comparable to those obtained from gold-standard devices and protocols that have been used extensively in prior research. The advantages of the LittleBeats™ platform is the (a) integration of multiple sensors into one platform that was (b) designed specifically for use with infants and young children. Leveraging data from the multiple modalities and fine-tuning postprocessing steps to further increase data quality, combined with assessing data quality among infants and young children in their natural environments, will be key next steps in this research program.

Osteoarthritis (OA) poses a growing challenge for the aging population, especially in hip and knee joints, contributing significantly to disability and societal costs. Conventional clinical evaluations, typically performed in controlled settings, face difficulties in capturing the dynamic characteristics of rehabilitation and functioning in real-life scenarios. The study assessed the use of automated unsupervised evaluations in the rehabilitation process for patients after hip and knee replacements. We analyzed data from 1144 individuals who used a digital application after surgery, activity data were collected using the Garmin Vivofit 4. Several parameters such as the Peak 6-Minute Consecutive Cadence (P6MC) and Peak 1-Minute Cadence (P1M) were computed and analyzed on a daily basis. The results indicated that cadence measurements, specifically, can effectively differ among individuals with hip and knee conditions as well as the recovery process. Moreover, these metrics demonstrated a high level of responsiveness in monitoring the progress of recovery, surpassing the effectiveness of simply measuring the total number of steps taken. The study highlighted the capacity of technology-driven, patient-centered rehabilitation to improve accuracy, tailor therapy to individual patients, and increased patient involvement. This research also highlighted the significance of automated, unsupervised assessments in enhancing rehabilitation results for OA patients following hip and knee replacement, as tele-rehabilitation becomes increasingly important.

Manual handling tasks, both in daily activities and at work, require high dexterity and the ability to move objects of different shapes and sizes. However, musculoskeletal disorders that can arise due to aging, disabilities, overloading, or strenuous work can impact the natural capabilities of the hand with serious repercussions both in working and daily activities. To address this, researchers have been developing and proving the benefits of wrist exoskeleton., This paper, which is the part II of a study on wrist exoskeletons, presents and summarizes wearable wrist exoskeleton devices conceived for use in rehabilitation, assistance, and occupational fields. Exoskeletons considered within the study are those available either in a prototyping phase or on the market. They can support the human wrist by relieving pain or mitigating fatigue while allowing at least one movement. According to the requirements to be met, the majority have been designed active (80%) for higher force/torque transmission, and soft for better kinematic compliance, ergonomics, and safety (13 devices out of 24, more than 50%). Electric motors (11 devices out of 24, almost 50%) and cable transmission (9 devices out of 24, almost 40%) are the most common due to their simplicity, controllability, safety, power-to-weight ratio, and the possibility of remote actuation. As sensing technologies, position and force sensors are widely used in all devices (almost 90%). The control strategy depends mainly on the application domain: for rehabilitation, CPM (Control Passive Motion) is preferred (35% of the devices), while for assistance and occupational purposes AAN (Assistance-As-Needed) is more suitable (38% of the devices). What emerges from this analysis is that while rehabilitation and training are fields in which exoskeletons have been grown more easily and gained some user acceptance (almost 18 devices of which 4 are available on the market), relatively few devices have been designed for occupational aims (6 of which only 2 are available on the market) due to difficulties in meeting the acceptance and needs of users. In this perspective, as a result of the state-of-the-art analysis, the authors propose a conceptual idea of a portable soft wrist exoskeleton for occupational assistance.

The prevalence of chronic diseases is dramatically increasing demand for emergency healthcare. Existing systems rely on patients self-identifying symptoms, causing dangerous delays. This study develops an AI and IoT-powered “digital twin” solution to enable continuous real-time monitoring and timely prediction of diverse medical emergencies. A digital twin is a virtual representation of an individual, modeled using multidimensional physiological data from wearable sensors. Machine learning techniques analyze patterns in this data to identify anomalies and predict emergencies like heart attacks or falls. A key contribution is an optimized ensemble algorithm combining gradient boosted trees, neural networks, and other techniques to accurately detect emergency events. Evaluation on a dataset of 9158 samples shows the digital twin identifies key emergencies with over 90% recall, enabling prevention and rapid response. It allows risk stratification and personalized interventions based on early warnings, circumventing over 2 million avoidable emergency room visits annually. This study demonstrates the feasibility of an integrated, predictive, patient-centric emergency response system enabled by digital twin technology.