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At-home rehabilitation for post-stroke patients presents significant challenges, as continuous, personalized care is often limited outside clinical settings. Additionally, the absence of comprehensive solutions addressing diverse rehabilitation needs in home environments complicates recovery efforts. Here, we introduce a smart home platform that integrates wearable sensors, ambient monitoring, and large language model (LLM)-powered assistance to provide seamless health monitoring and intelligent support. The system leverages machine learning enabled plantar pressure arrays for motor recovery assessment (94% classification accuracy), a wearable eye-tracking module for cognitive evaluation, and ambient sensors for precise smart home control (100% operational success, <1 s latency). Additionally, the LLM-powered agent, Auto-Care, offers real-time interventions, such as health reminders and environmental adjustments, enhancing user satisfaction by 29%. This work establishes a fully integrated platform for long-term, personalized rehabilitation, offering new possibilities for managing chronic conditions and supporting aging populations., Comment: 5 figures, 35 references

Wearable silent speech systems hold significant potential for restoring communication in patients with speech impairments. However, seamless, coherent speech remains elusive, and clinical efficacy is still unproven. Here, we present an AI-driven intelligent throat (IT) system that integrates throat muscle vibrations and carotid pulse signal sensors with large language model (LLM) processing to enable fluent, emotionally expressive communication. The system utilizes ultrasensitive textile strain sensors to capture high-quality signals from the neck area and supports token-level processing for real-time, continuous speech decoding, enabling seamless, delay-free communication. In tests with five stroke patients with dysarthria, IT's LLM agents intelligently corrected token errors and enriched sentence-level emotional and logical coherence, achieving low error rates (4.2% word error rate, 2.9% sentence error rate) and a 55% increase in user satisfaction. This work establishes a portable, intuitive communication platform for patients with dysarthria with the potential to be applied broadly across different neurological conditions and in multi-language support systems., Comment: 5 figures, 45 references

Ankle exoskeletons have garnered considerable interest for their potential to enhance mobility and reduce fall risks, particularly among the aging population. The efficacy of these devices relies on accurate real-time prediction of the user's intended movements through sensor-based inputs. This paper presents a novel motion prediction framework that integrates three Inertial Measurement Units (IMUs) and eight surface Electromyography (sEMG) sensors to capture both kinematic and muscular activity data. A comprehensive set of activities, representative of everyday movements in barrier-free environments, was recorded for the purpose. Our findings reveal that Convolutional Neural Networks (CNNs) slightly outperform Long Short-Term Memory (LSTM) networks on a dataset of five motion tasks, achieving classification accuracies of $96.5 \pm 0.8 \%$ and $87.5 \pm 2.9 \%$, respectively. Furthermore, we demonstrate the system's proficiency in transfer learning, enabling accurate motion classification for new subjects using just ten samples per class for finetuning. The robustness of the model is demonstrated by its resilience to sensor failures resulting in absent signals, maintaining reliable performance in real-world scenarios. These results underscore the potential of deep learning algorithms to enhance the functionality and safety of ankle exoskeletons, ultimately improving their usability in daily life.

Memristive associative learning has gained significant attention for its ability to mimic fundamental biological learning mechanisms while maintaining system simplicity. In this work, we introduce a high-order memristive associative learning framework with a biologically realistic structure. By utilizing memristors as synaptic modules and their state information to bridge different orders of associative learning, our design effectively establishes associations between multiple stimuli and replicates the transient nature of high-order associative learning. In Pavlov's classical conditioning experiments, our design achieves a 230% improvement in learning efficiency compared to previous works, with memristor power consumption in the synaptic modules remaining below 11 {\mu}W. In large-scale image recognition tasks, we utilize a 20*20 memristor array to represent images, enabling the system to recognize and label test images with semantic information at 100% accuracy. This scalability across different tasks highlights the framework's potential for a wide range of applications, offering enhanced learning efficiency for current memristor-based neuromorphic systems., Comment: 5 pages, 7 figures

This paper explores the nuanced landscape of generative AI (genAI), particularly focusing on neural network-based models like Large Language Models (LLMs). While genAI garners both optimistic enthusiasm and sceptical criticism, this work seeks to provide a balanced examination of its capabilities, limitations, and the profound impact it may have on societal functions and personal interactions. The first section demystifies language-based genAI through detailed discussions on how LLMs learn, their computational needs, distinguishing features from supporting technologies, and the inherent limitations in their accuracy and reliability. Real-world examples illustrate the practical applications and implications of these technologies. The latter part of the paper adopts a systems perspective, evaluating how the integration of LLMs with existing technologies can enhance productivity and address emerging concerns. It highlights the need for significant investment to understand the implications of recent advancements, advocating for a well-informed dialogue to ethically and responsibly integrate genAI into diverse sectors. The paper concludes with prospective developments and recommendations, emphasizing a forward-looking approach to harnessing genAI`s potential while mitigating its risks.

The cardiac dipole has been shown to propagate to the ears, now a common site for consumer wearable electronics, enabling the recording of electrocardiogram (ECG) signals. However, in-ear ECG recordings often suffer from significant noise due to their small amplitude and the presence of other physiological signals, such as electroencephalogram (EEG), which complicates the extraction of cardiovascular features. This study addresses this issue by developing a denoising convolutional autoencoder (DCAE) to enhance ECG information from in-ear recordings, producing cleaner ECG outputs. The model is evaluated using a dataset of in-ear ECGs and corresponding clean Lead I ECGs from 45 healthy participants. The results demonstrate a substantial improvement in signal-to-noise ratio (SNR), with a median increase of 5.9 dB. Additionally, the model significantly improved heart rate estimation accuracy, reducing the mean absolute error by almost 70% and increasing R-peak detection precision to a median value of 90%. We also trained and validated the model using a synthetic dataset, generated from real ECG signals, including abnormal cardiac morphologies, corrupted by pink noise. The results obtained show effective removal of noise sources with clinically plausible waveform reconstruction ability., Comment: 7 pages, 9 figures

In wearable smart systems, continuous monitoring and accurate classification of different sleep-related conditions are critical for enhancing sleep quality and preventing sleep-related chronic conditions. However, the requirements for device-skin coupling quality in electrophysiological sleep monitoring systems hinder the comfort and reliability of night wearing. Here, we report a washable, skin-compatible smart garment sleep monitoring system that captures local skin strain signals under weak device-skin coupling conditions without positioning or skin preparation requirements. A printed textile-based strain sensor array responds to strain from 0.1% to 10% with a gauge factor as high as 100 and shows independence to extrinsic motion artefacts via strain-isolating printed pattern design. Through reversible starching treatment, ink penetration depth during direct printing on garments is controlled to achieve batch-to-batch performance variation < 10%. Coupled with deep learning, explainable artificial intelligence (XAI), and transfer learning data processing, the smart garment is capable of classifying six sleep states with an accuracy of 98.6%, maintaining excellent explainability (classification with low bias) and generalization (95% accuracy on new users with few-shot learning less than 15 samples per class) in practical applications, paving the way for next-generation daily sleep healthcare management., Comment: 20 pages, 5 figures, 1 table

The Son Of X-Shooter (SOXS) is a single object spectrograph, built by an international consortium for the 3.58-m ESO New Technology Telescope at the La Silla Observatory [1]. It offers a simultaneous spectral coverage over 350-2000 nm, with two separate spectrographs. In this paper we present the status of the Near InfraRed (NIR) cryogenic echelle cross-dispersed spectrograph [1], in the range 0.80-2.00 {\mu}m with 15 orders, equipped with an 2k x 2k Hawaii H2RG IR array from Teledyne, working at 40K, that is currently assembled and tested on the SOXS instrument, in the premises of INAF in Padova. We describe the different tests and results of the cryo, vacuum, opto-mechanics and detector subsystems that finally will be part of the PAE by ESO., Comment: 8 Pages, 7 Figures, Astronomical Telescopes and Instrumentation, SPIE Proceedings 2024

Fundus diseases are major causes of visual impairment and blindness worldwide, especially in underdeveloped regions, where the shortage of ophthalmologists hinders timely diagnosis. AI-assisted fundus image analysis has several advantages, such as high accuracy, reduced workload, and improved accessibility, but it requires a large amount of expert-annotated data to build reliable models. To address this dilemma, we propose a general self-supervised machine learning framework that can handle diverse fundus diseases from unlabeled fundus images. Our method's AUC surpasses existing supervised approaches by 15.7%, and even exceeds performance of a single human expert. Furthermore, our model adapts well to various datasets from different regions, races, and heterogeneous image sources or qualities from multiple cameras or devices. Our method offers a label-free general framework to diagnose fundus diseases, which could potentially benefit telehealth programs for early screening of people at risk of vision loss.

Machine learning-based fundus image diagnosis technologies trigger worldwide interest owing to their benefits such as reducing medical resource power and providing objective evaluation results. However, current methods are commonly based on supervised methods, bringing in a heavy workload to biomedical staff and hence suffering in expanding effective databases. To address this issue, in this article, we established a label-free method, name 'SSVT',which can automatically analyze un-labeled fundus images and generate high evaluation accuracy of 97.0% of four main eye diseases based on six public datasets and two datasets collected by Beijing Tongren Hospital. The promising results showcased the effectiveness of the proposed unsupervised learning method, and the strong application potential in biomedical resource shortage regions to improve global eye health., Comment: ISBI 2024

Automatic methods for generating and gathering linguistic data have proven effective for fine-tuning Language Models (LMs) in languages less resourced than English. Still, while there has been emphasis on data quantity, less attention has been given to its quality. In this work, we investigate the impact of human intervention on machine-generated data when fine-tuning dialogical models. In particular, we study (1) whether post-edited dialogues exhibit higher perceived quality compared to the originals that were automatically generated; (2) whether fine-tuning with post-edited dialogues results in noticeable differences in the generated outputs; and (3) whether post-edited dialogues influence the outcomes when considering the parameter size of the LMs. To this end we created HED-IT, a large-scale dataset where machine-generated dialogues are paired with the version post-edited by humans. Using both the edited and unedited portions of HED-IT, we fine-tuned three different sizes of an LM. Results from both human and automatic evaluation show that the different quality of training data is clearly perceived and it has an impact also on the models trained on such data. Additionally, our findings indicate that larger models are less sensitive to data quality, whereas this has a crucial impact on smaller models. These results enhance our comprehension of the impact of human intervention on training data in the development of high-quality LMs.

Memristive neuromorphic systems are designed to emulate human perception and cognition, where the memristor states represent essential historical information to perform both low-level and high-level tasks. However, current systems face challenges with the separation of state modulation and acquisition, leading to undesired time delays that impact real-time performance. To overcome this issue, we introduce a dual-function circuit that concurrently modulates and acquires memristor state information. This is achieved through two key features: 1) a feedback operational amplifier (op-amp) based circuit that ensures precise voltage application on the memristor while converting the passing current into a voltage signal; 2) a division calculation circuit that acquires state information from the modulation voltage and the converted voltage, improving stability by leveraging the intrinsic threshold characteristics of memristors. This circuit has been evaluated in a memristor-based nociceptor and a memristor crossbar, demonstrating exceptional performance. For instance, it achieves mean absolute acquisition errors below 1 {\Omega} during the modulation process in the nociceptor application. These results demonstrate that the proposed circuit can operate at different scales, holding the potential to enhance a wide range of neuromorphic applications., Comment: 5 pages, 8 figures

Work is fundamental to societal prosperity and mental health, providing financial security, identity, purpose, and social integration. The emergence of generative artificial intelligence (AI) has catalysed debate on job displacement. Some argue that many new jobs and industries will emerge to offset the displacement, while others foresee a widespread decoupling of economic productivity from human input threatening jobs on an unprecedented scale. This study explores the conditions under which both may be true and examines the potential for a self-reinforcing cycle of recessionary pressures that would necessitate sustained government intervention to maintain job security and economic stability. A system dynamics model was developed to undertake ex ante analysis of the effect of AI-capital deepening on labour underutilisation and demand in the economy. Results indicate that even a moderate increase in the AI-capital-to-labour ratio could increase labour underutilisation to double its current level, decrease per capita disposable income by 26% (95% interval, 20.6% - 31.8%), and decrease the consumption index by 21% (95% interval, 13.6% - 28.3%) by mid-2050. To prevent a reduction in per capita disposable income due to the estimated increase in underutilization, at least a 10.8-fold increase in the new job creation rate would be necessary. Results demonstrate the feasibility of an AI-capital- to-labour ratio threshold beyond which even high rates of new job creation cannot prevent declines in consumption. The precise threshold will vary across economies, emphasizing the urgent need for empirical research tailored to specific contexts. This study underscores the need for governments, civic organisations, and business to work together to ensure a smooth transition to an AI- dominated economy to safeguard the Mental Wealth of nations., Comment: 10 pages, 5 figures, 1 table, an Appendix

Our research presents a wearable Silent Speech Interface (SSI) technology that excels in device comfort, time-energy efficiency, and speech decoding accuracy for real-world use. We developed a biocompatible, durable textile choker with an embedded graphene-based strain sensor, capable of accurately detecting subtle throat movements. This sensor, surpassing other strain sensors in sensitivity by 420%, simplifies signal processing compared to traditional voice recognition methods. Our system uses a computationally efficient neural network, specifically a one-dimensional convolutional neural network with residual structures, to decode speech signals. This network is energy and time-efficient, reducing computational load by 90% while achieving 95.25% accuracy for a 20-word lexicon and swiftly adapting to new users and words with minimal samples. This innovation demonstrates a practical, sensitive, and precise wearable SSI suitable for daily communication applications., Comment: 5 figures in the article; 11 figures and 4 tables in supplementary information

Generative Artificial Intelligence (AI) stands as a transformative force that presents a paradox; it offers unprecedented opportunities for productivity growth while potentially posing significant threats to economic stability and societal wellbeing. Many consider generative AI as akin to previous technological advancements, using historical precedent to argue that fears of widespread job displacement are unfounded, while others contend that generative AI`s unique capacity to undertake non-routine cognitive tasks sets it apart from other forms of automation capital and presents a threat to the quality and availability of work that underpin stable societies. This paper explores the conditions under which both may be true. We posit the existence of an AI-capital-to-labour ratio threshold beyond which a self-reinforcing cycle of recessionary pressures could be triggered, exacerbating social disparities, reducing social cohesion, heightening tensions, and requiring sustained government intervention to maintain stability. To prevent this, the paper underscores the urgent need for proactive policy responses, making recommendations to reduce these risks through robust regulatory frameworks and a new social contract characterised by progressive social and economic policies. This approach aims to ensure a sustainable, inclusive, and resilient economic future where human contribution to the economy is retained and integrated with generative AI to enhance the Mental Wealth of nations., Comment: 7 pages, 3 figures

Efficient operation of intelligent machines in the real world requires methods that allow them to understand and predict the uncertainties presented by the unstructured environments with good accuracy, scalability and generalization, similar to humans. Current methods rely on pretrained networks instead of continuously learning from the dynamic signal properties of working environments and suffer inherent limitations, such as data-hungry procedures, and limited generalization capabilities. Herein, we present a memristor-based differential neuromorphic computing, perceptual signal processing and learning method for intelligent machines. The main features of environmental information such as amplification (>720%) and adaptation (<50%) of mechanical stimuli encoded in memristors, are extracted to obtain human-like processing in unstructured environments. The developed method takes advantage of the intrinsic multi-state property of memristors and exhibits good scalability and generalization, as confirmed by validation in two different application scenarios: object grasping and autonomous driving. In the former, a robot hand experimentally realizes safe and stable grasping through fast learning (in ~1 ms) the unknown object features (e.g., sharp corner and smooth surface) with a single memristor. In the latter, the decision-making information of 10 unstructured environments in autonomous driving (e.g., overtaking cars, pedestrians) is accurately (94%) extracted with a 40*25 memristor array. By mimicking the intrinsic nature of human low-level perception mechanisms, the electronic memristive neuromorphic circuit-based method, presented here shows the potential for adapting to diverse sensing technologies and helping intelligent machines generate smart high-level decisions in the real world., Comment: 16 pages, 5 figures

A human body digital twin (DT) is a virtual representation of an individual's physiological state, created using real-time data from sensors and medical test devices, with the purpose of simulating, predicting, and optimizing health outcomes through advanced analytics and simulations. The human body DT has the potential to revolutionize healthcare and wellness, but its responsible and effective implementation requires consideration of various factors. This article presents a comprehensive overview of the current status and future prospects of the human body DT and proposes a five-level roadmap for its development. The roadmap covers the development of various components, such as wearable devices, data collection, data analysis, and decision-making systems. The article also highlights the necessary support, security, cost, and ethical considerations that must be addressed in order to ensure responsible and effective implementation of the human body DT. The proposed roadmap provides a framework for guiding future development and offers a unique perspective on the future of the human body DT, facilitating new interdisciplinary research and innovative solutions in this rapidly evolving field., Comment: 3 figures, 2 boxes

The integration of optoelectronic devices, such as transistors and photodetectors (PDs), into wearables and textiles is of great interest for applications such as healthcare and physiological monitoring. These require flexible/wearable systems adaptable to body motions, thus materials conformable to non-planar surfaces, and able to maintain performance under mechanical distortions. Here, we prepare fibre PDs combining rolled graphene layers and photoactive perovskites. Conductive fibres ($\sim$500$\Omega$/cm) are made by rolling single layer graphene (SLG) around silica fibres, followed by deposition of a dielectric layer (Al$_{2}$O$_{3}$ and parylene C), another rolled SLG as channel, and perovskite as photoactive component. The resulting gate-tunable PDs have response time$\sim$5ms, with an external responsivity$\sim$22kA/W at 488nm for 1V bias. The external responsivity is two orders of magnitude higher and the response time one order of magnitude faster than state-of-the-art wearable fibre based PDs. Under bending at 4mm radius, up to$\sim$80\% photocurrent is maintained. Washability tests show$\sim$72\% of initial photocurrent after 30 cycles, promising for wearable applications.

Providing dialogue agents with a profile representation can improve their consistency and coherence, leading to better conversations. However, current profile-based dialogue datasets for training such agents contain either explicit profile representations that are simple and dialogue-specific, or implicit representations that are difficult to collect. In this work, we propose a unified framework in which we bring together both standard and more sophisticated profile representations by creating a new resource where each dialogue is aligned with all possible speaker representations such as communication style, biographies, and personality. This framework allows to test several baselines built using generative language models with several profile configurations. The automatic evaluation shows that profile-based models have better generalisation capabilities than models trained on dialogues only, both in-domain and cross-domain settings. These results are consistent for fine-tuned models and instruction-based LLMs. Additionally, human evaluation demonstrates a clear preference for generations consistent with both profile and context. Finally, to account for possible privacy concerns, all experiments are done under two configurations: inter-character and intra-character. In the former, the LM stores the information about the character in its internal representation, while in the latter, the LM does not retain any personal information but uses it only at inference time.

Photonic integrated circuits (PICs) are key in advancing quantum technologies for secure communications. They offer inherent stability, low losses and compactness compared to standard fiber-based and free-space systems. Our reasearch demonstrates PIC's effectivness in enhancing quantum communications, implementing a three-state BB84 protocol with decoy-state method. We employ an integrated receiver and superconducting nanowire single photon detectors (SNSPDs) to achieve technological advancements. One of the most notable results is the extraction of a secret key over a record-breaking 45 dB channel attenuation. Our results demonstrate a remarkable 220% boost in key rate compared to our prototype fiber-based receiver over a 10 dB channel attenuation. This improvement in the secret key rate (SKR) signifies the potential of integrated photonics to advance the field of quantum communication.

Materials following Murray's law are of significant interest due to their unique porous structure and optimal mass transfer ability. However, it is challenging to construct such biomimetic hierarchical channels with perfectly cylindrical pores in synthetic systems following the existing theory. Achieving superior mass transport capacity revealed by Murray's law in nanostructured materials has thus far remained out of reach. We propose a Universal Murray's law applicable to a wide range of hierarchical structures, shapes and generalised transfer processes. We experimentally demonstrate optimal flow of various fluids in hierarchically planar and tubular graphene aerogel structures to validate the proposed law. By adjusting the macroscopic pores in such aerogel-based gas sensors, we also show a significantly improved sensor response dynamic. Our work provides a solid framework for designing synthetic Murray materials with arbitrarily shaped channels for superior mass transfer capabilities, with future implications in catalysis, sensing and energy applications., Comment: 19 pages, 4 figures

Formaldehyde, a known human carcinogen, is a common indoor air pollutant. However, its real-time and selective recognition from interfering gases remains challenging, especially for low-power sensors suffering from noise and baseline drift. We report a fully 3D-printed quantum dot/graphene-based aerogel sensor for highly sensitive and real-time recognition of formaldehyde at room temperature. By optimising the morphology and doping of the printed structures, we achieve a record-high response of 15.23 percent for 1 parts-per-million formaldehyde and an ultralow detection limit of 8.02 parts-per-billion consuming only 130 uW power. Based on measured dynamic response snapshots, we also develop an intelligent computational algorithm for robust and accurate detection in real time despite simulated substantial noise and baseline drift, hitherto unachievable for room-temperature sensors. Our framework in combining materials engineering, structural design and computational algorithm to capture dynamic response offers unprecedented real-time identification capabilities of formaldehyde and other volatile organic compounds at room temperature., Comment: Main manuscript: 21 pages, 5 figure. Supplementary: 21 pages. 13 Figures, 2 table