Interfacial modulation strategy using poly(3,4-ethylenedioxythiophene)-poly(4-styrenesulfonate) (PEDOT:PSS) and ultrathin two-dimensional metal-organic framework nanosheets for wearable supercapacitors: Solution engineering.

Two-dimensional metal-organic frameworks (2D MOFs) hold great promise as electrochemically active materials. However, their application in MOF nanocomposite electrodes in solution engineering is limited by structural self-stacking and imperfect conductive pathways. In this study, we used meso-tetra(4-carboxyphenyl) porphine (TCPP) with off-domain π-bonds to reconstitute Zn-TCPP (ZMOF) and poly(3,4-ethylenedioxythiophene) polystyrene sulfonate (PEDOT:PSS) through an interfacial modulation strategy involving electrostatic coupling and hydrogen bonding, creating a conductive composite with a nanosheet structure. The negatively charged PSS and ZMOF formed a three-dimensional interconnected conductive network with excellent interfaces. The positively charged PEDOT, fine tuned with the lamellar structure, established strong π-π stacking interactions between the porphyrin and thiophene rings. ZMOF also induced changes in the PEDOT chain structure, weakening PSS entanglement and enhancing charge-transport properties. The specific capacitance of the prepared supercapacitor was as high as 967.8 F g-1. Flexible supercapacitors produced on a large scale using dispensing printing technology exhibited an energy density of 1.85 µWh cm-2 and a power density of 7.08 µW cm-2. This interfacial modulation strategy also exhibited excellent wearable properties, with 96 % capacitance retention at a 180° bending angle and stable cycling performance. This study presented a significant advancement in the functionalization of 2D materials, highlighting their potential for device-grade capacitive architectures.

Microcirculatory Dysfunction in Patients With Diabetes Mellitus Detected by a Distributed System of Wearable Laser Doppler Flowmetry Analysers.

The paper is devoted to the study of perfusion and amplitude-frequency spectra of laser Doppler flowmetry (LDF) signals in patients with diabetes mellitus (DM) in different skin areas of the upper and lower extremities using a distributed system of wearable LDF analysers. LDF measurements were performed in the areas of the fingers, toes, wrists and shins. The mean perfusion values, the amplitudes of blood flow oscillations in endothelial, neurogenic, myogenic, respiratory and cardiac frequency ranges, and the values of nutritive blood flow were analysed. The results revealed a decrease in tissue perfusion and nutritive blood flow in the lower extremities and an increase in these parameters in the upper extremities in patients with DM. A decrease in the amplitudes of endothelial and neurogenic oscillations was observed. The obtained results confirm the possibility of using wearable LDF analysers to detect differences in the blood flow regulation in normal and pathological conditions.

Your preoperative rehabilitation assistant: A study protocol for the impact of a telemedicine-supported preoperative home rehabilitation program on the prognosis of patients undergoing thoracoscopic surgery.

Background: Reduced cardiorespiratory fitness levels are associated with increased short-term complications after surgery, and potentially exert long-lasting effects on the postoperative lives, work and educational pursuits of patients. Currently, research suggests that lifestyle interventions, such as preoperative physical exercise undertaken by patients themselves, may improve patients' cardiopulmonary fitness and reduce post-operative complications. This study aims to investigate the effectiveness and feasibility of a remote medical supervision model for prehabilitation exercise in patients undergoing thoracoscopic lung tumour resection surgery. Methods/Design: All enrolled patients will participate in a 4-week pre-operative exercise intervention to improve their cardiorespiratory fitness. During this period, patients will wear wearable devices and exercise at home based on exercise prescriptions. The exercise prescription comprises aerobic exercise (three times a week or more), muscle strengthening exercise (twice a week or more), and respiratory muscle exercise (once a day). The primary aim is to investigate whether baseline VO2max could be improved following a 4-week preoperative exercise program. Secondary objectives include changes in forced expiratory volume in 1 s and forced vital capacity, degree of acceptance of the technology, quality of life, handgrip strength, postoperative complication rate and length of hospital stay. Discussion: This study aims to evaluate the influence of preoperative prehabilitation exercises in a telemedicine active supervision mode in patients undergoing thoracoscopic lung tumour resection. As such, results of this trial might have some impact on future implementations of group- and home-based prehabilitation exercises in lung cancers. Trial registration: This study was approved by the Medical Ethics Committee of Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology (approval number: TJ-IRB20220564) with registration at ClinicalTrials.gov (identifier: NCT05608759).

Smartwatch measurement of blood oxygen saturation for predicting acute mountain sickness: Diagnostic accuracy and reliability.

Objective: This study aims to assess the accuracy and stability of smartwatches in predicting acute mountain sickness (AMS). Methods: In locations exceeding an altitude of 2500 m, a cohort of 42 subjects had their Lake Louise AMS self-assessment score, blood oxygen saturation (SpO2), heart rate, and perfusion index measured using smartwatches, with the data seamlessly conveyed to the Huawei Cloud. Results: A significant decrease in SpO2 was observed in individuals positive for AMS compared to those negative (p < 0.05), with the mild AMS group exhibiting significantly lower SpO2 levels than the non-AMS group (p < 0.05). Furthermore, SpO2 emerged as a significant, independent predictor of AMS [ß=-0.086, p < 0.01, OR (95% CI) = 0.92 (0.87-0.97)], indicating that each unit increase in SpO2 decreases the probability of AMS occurrence by 8.6%. Conclusion: The Huawei smartwatches have demonstrated efficacy in diagnosing and foretelling AMS at elevations exceeding 4000 m, showcasing significant reliability and high precision in SpO2 measurement.

Wearable Devices Based on Bioimpedance Test in Heart-Failure: Design Issues.

Heart-failure (HF) is a severe medical condition. Physicians need new tools to monitor the health status of their HF patients outside the hospital or medical supervision areas, to better know the evolution of their patients' main biomarker values, necessary to evaluate their health status. Bioimpedance (BI) represents a good technology for sensing physiological variables and processes on the human body. BI is a non-expensive and non-invasive technique for sensing a wide variety of physiological parameters, easy to be implemented on biomedical portable systems, also called "wearable devices". In this systematic review, we address the most important specifications of wearable devices based on BI used in HF real-time monitoring and how they must be designed and implemented from a practical and medical point of view. The following areas will be analyzed: the main applications of BI in heart failure, the sensing technique and impedance specifications to be met, the electrode selection, portability of wearable devices: size and weight (and comfort), the communication requests and the power consumption (autonomy). The different approaches followed by biomedical engineering and clinical teams at bibliography will be described and summarized in the paper, together with results derived from the projects and the main challenges found today.

Wearable Devices Based on Bioimpedance Test in Heart Failure: Clinical Relevance: Systematic Review.

Background: Heart failure (HF) represents a frequent cause of hospital admission, with fluid overload directly contributing to decompensations. Bioimpedance (BI), a physical parameter linked to tissue hydration status, holds promise in monitoring congestion and improving prognosis. This systematic review aimed to assess the clinical relevance of BI-based wearable devices for HF fluid monitoring. Methods: A systematic review of the published literature was conducted in five medical databases (PubMed, Scopus, Cochrane, Web of Science, and Embase) for studies assessing wearable BI-measuring devices on HF patients following PRISMA recommendations on February 4th, 2024. The risk of bias was evaluated using the ROBINS tool. Results: The review included 10 articles with 535 participants (mean age 66.7 ± 8.9 years, males 70.4%). Three articles identified significant BI value differences between HF patients and controls or congestive vs non-congestive HF patients. Four articles focused on the devices' ability to predict HF worsening-related events, revealing an overall sensitivity of 70.0 (95% CI 68.8-71.1) and specificity of 89.1 (95% CI 88.3-89.9). One article assessed prognosis, showing that R80kHz decrease was related to all-cause-mortality with a hazard ratio (HR) of 5.51 (95% CI 1.55-23.32; p = 0.02) and the composite all-cause-mortality and HF admission with a HR of 4.96 (95% CI 1.82-14.37; p = 0.01). Conclusions: BI-measuring wearable devices exhibit efficacy in detecting fluid overload and hold promise for HF monitoring. However, further studies and technological improvements are required to optimize their impact on prognosis compared to standard care before they can be routinely implemented in clinical practice. PROSPERO Registration: The search protocol was registered at PROSPERO (CRD42024509914).

Accuracy and role of consumer facing wearable technology for continuous monitoring during endoscopic procedures.

Background: Consumer facing wearable devices capture significant amounts of biometric data. The primary aim of this study is to determine the accuracy of consumer-facing wearable technology for continuous monitoring compared to standard anesthesia monitoring during endoscopic procedures. Secondary aims were to assess patient and provider perceptions of these devices in clinical settings. Methods: Patients undergoing endoscopy with anesthesia support from June 2021 to June 2022 were provided a smartwatch (Apple Watch Series 7, Apple Inc., Cupertino, CA) and accessories including continuous ECG monitor and pulse oximeter (Qardio Inc., San Francisco, CA) for the duration of their procedure. Vital sign data from the wearable devices was compared to in-room anesthesia monitors. Concordance with anesthesia monitoring was assessed with interclass correlation coefficients (ICC). Surveys were then distributed to patients and clinicians to assess patient and provider preferences regarding the use of the wearable devices during procedures. Results: 292 unique procedures were enrolled with a median anesthesia duration of 34 min (IQR 25-47). High fidelity readings were successfully recorded with wearable devices for heart rate in 279 (95.5%) cases, oxygen in 203 (69.5%), and respiratory rate in 154 (52.7%). ICCs for watch and accessories were 0.54 (95% CI 0.46-0.62) for tachycardia, 0.03 (95% CI 0-0.14) for bradycardia, and 0.33 (0.22-0.43) for oxygen desaturation. Patients generally felt the devices were more accurate (56.3% vs. 20.0% agree, p < 0.001) and more permissible (53.9% vs. 33.3% agree, p < 0.001) to wear during a procedure than providers. Conclusion: Smartwatches perform poorly for continuous data collection compared to gold standard anesthesia monitoring. Refinement in software development is required if these devices are to be used for continuous, intensive vital sign monitoring.

Self-Adhesive Electronic Skin with Bio-Inspired 3D Architecture for Mechanical Stimuli Monitoring and Human-Machine Interactions.

Recent development of wearable devices is revolutionizing the way of artificial electronic skins (E-skin), physiological health monitoring and human-machine interactions (HMI). However, challenge remains to fit flexible electronic devices to the human skin with conformal deformation and identifiable electrical feedback according to the mechanical stimuli. Herein, an adhesive E-skin is developed that can firmly attach on the human skin for mechanical stimuli perception. The laser-induced adhesive layer serves as the essential component to ensure the conformal attachment of E-skin on curved surface, which ensures the accurate conversion from mechanical deformation to precise electrical readouts. Especially, the 3D architecture facilitates the non-overlapping outputs that bi-directional joint bending and distinguishes strain/pressure. The optimized E-skin with bio-inspired micro-cilia exhibited significantly improved sensing performances with sensitivity of 0.652 kPa-1 in 0-4 kPa and gauge factor of 8.13 for strain (0-15%) with robustness. Furthermore, the adhesive E-skin can distinguish inward/outward joint bending in non-overlapping behaviors, allowing the establishment of ternary system to expand communication capacity for logic outputs such as effective Morse code and intelligent control. It expects that the adhesive E-skin can serve as a functional bridge between human and electrical terminals for applications from daily mechanical monitoring to efficient HMI.

Mechanoluminescent/Electric Dual-Mode Sensors Enabled by Trace Carbon Nanotubes.

Mechanoluminescence (ML)-based sensors are emerging as promising wearable devices, attracting attention for their self-powered visualization of mechanical stimuli. However, challenges such as weak brightness, high activation threshold, and intermittent signal output have hindered their development. Here, a mechanoluminescent/electric dual-mode strain sensor is presented that offers enhanced ML sensing and reliable electrical sensing simultaneously. The strain sensor is fabricated via an optimized dip-coating method, featuring a sandwich structure with a single-walled carbon nanotube (SWNT) interlayer and two polydimethylsiloxane (PDMS)/ZnS:Cu luminescence layers. The integral mechanical reinforcement framework provided by the SWNT interlayer improves the ML intensity of the SWNT/PDMS/ZnS:Cu composite film. Compared to conventional nanoparticle fillers, the ML intensity is enhanced nearly tenfold with a trace amount of SWNT (only 0.01 wt.%). In addition, the excellent electrical conductivity of SWNT forms a conductive network, ensuring continuous and stable electrical sensing. These strain sensors enable comprehensive and precise monitoring of human behavior through both electrical (relative resistance change) and optical (ML intensity) methods, paving the way for the development of advanced visual sensing and smart wearable electronics in the future.

Reversibly Compressible Silanated Cellulose Nanofibril Aerogel for Triboelectric Taekwondo Scoring Sensors.

The integration of bio-based materials into triboelectric nanogenerators (TENGs) for energy harvesting from human body motions has sparked considerable research attention. Here, a silanated cellulose nanofibril (SCNF) aerogel is reported for structurally reliable TENGs and reversely compressible Taekwondo scoring sensors under repeated impacts. The preparation of the aerogel involves silanizing cellulose nanofibers (CNFs) with vinyltrimethoxysilane (VTMS), following by freeze-drying and post-heating treatment. The SCNF aerogel with crosslinked physico-chemical bonding and highly porous network is found to exhibit superior mechanical strength and reversible compressibility as well as enhanced water repellency and electron-donating ability. The TENG having a tribo-positive SCNF layer exhibits exceptional triboelectric performances, generating a voltage of 270 V, current of 11 µA, and power density of 401.1 mW m-2 under an applied force of 8 N at a frequency of 5 Hz. With its inherent merits in material composition, structural configuration, and device sensitivity, the SCNF TENG demonstrates the capability to seamlessly integrate into a Taekwondo protection gear, serving as an efficient self-powered sensor for monitoring hitting scores. This study highlights the significant potential of a facilely fabricated SCNF aerogel for the development of high-performance, bio-friendly, and cost-effective Bio-TENGs, enabling their application as self-powered wearable devices and sports engineering sensors.

Exploring Pyrazine-Based Organic Redox Couples for Enhanced Thermoelectric Performance in Wearable Energy Harvesters.

Thermoelectric generators (TEGs) based on thermogalvanic cells can convert low-temperature waste heat into electricity. Organic redox couples are well-suited for wearable devices due to their nontoxicity and the potential to enhance the ionic Seebeck coefficient through functional-group modifications.  Pyrazine-based organic redox couples with different functional groups is comparatively analyzed through cyclic voltammetry under varying temperatures. The results reveal substantial differences in entropy changes with temperature and highlight 2,5-pyrazinedicarboxylic acid dihydrate (PDCA) as the optimal candidate. How the functional groups of the pyrazine compounds impact the ionic Seebeck coefficient is examined, by calculating the electrostatic potential based on density functional theory. To evaluate the thermoelectric properties, PDCA is integrated in different concentrations into a double-network hydrogel comprising poly(vinyl alcohol) and polyacrylamide. The resulting champion device exhibits an impressive ionic Seebeck coefficient (Si) of 2.99 mV K-1, with ionic and thermal conductivities of ≈67.6 µS cm-1 and ≈0.49 W m-1 K-1, respectively. Finally, a TEG is constructed by connecting 36 pieces of 20 × 10-3 m PDCA-soaked hydrogel in series. It achieves a maximum power output of ≈0.28 µW under a temperature gradient of 28.3 °C and can power a small light-emitting diode. These findings highlight the significant potential of TEGs for wearable devices.

Closed-Loop Recycling of Wearable Electronic Textiles.

Wearable electronic textiles (e-textiles) are transforming personalized healthcare through innovative applications. However, integrating electronics into textiles for e-textile manufacturing exacerbates the rapidly growing issues of electronic waste (e-waste) and textile recycling due to the complicated recycling and disposal processes needed for mixed materials, including textile fibers, electronic materials, and components. Here, first closed-loop recycling for wearable e-textiles is reported by incorporating the thermal-pyrolysis of graphene-based e-textiles to convert them into graphene-like electrically conductive recycled powders. A scalable pad-dry coating technique is then used to reproduce graphene-based wearable e-textiles and demonstrate their potential healthcare applications as wearable electrodes for capturing electrocardiogram (ECG) signals and temperature sensors. Additionally, recycled graphene-based textile supercapacitor highlights their potential as sustainable energy storage devices, maintaining notable durability and retaining ≈94% capacitance after 1000 cycles with an areal capacitance of 4.92 mF cm⁻2. Such sustainable closed-loop recycling of e-textiles showcases the potential for their repurposing into multifunctional applications, promoting a circular approach that potentially prevents negative environmental impact and reduces landfill disposal.

The Role of Wearable Devices in Chronic Disease Monitoring and Patient Care: A Comprehensive Review.

Wearable health devices are becoming vital in chronic disease management because they offer real-time monitoring and personalized care. This review explores their effectiveness and challenges across medical fields, including cardiology, respiratory health, neurology, endocrinology, orthopedics, oncology, and mental health. A thorough literature search identified studies focusing on wearable devices' impact on patient outcomes. In cardiology, wearables have proven effective for monitoring hypertension, detecting arrhythmias, and aiding cardiac rehabilitation. In respiratory health, these devices enhance asthma management and continuous monitoring of critical parameters. Neurological applications include seizure detection and Parkinson's disease management, with wearables showing promising results in improving patient outcomes. In endocrinology, wearable technology advances thyroid dysfunction monitoring, fertility tracking, and diabetes management. Orthopedic applications include improved postsurgical recovery and rehabilitation, while wearables help in early complication detection in oncology. Mental health benefits include anxiety detection, post-traumatic stress disorder management, and stress reduction through wearable biofeedback. In conclusion, wearable health devices offer transformative potential for managing chronic illnesses by enhancing real-time monitoring and patient engagement. Despite significant improvements in adherence and outcomes, challenges with data accuracy and privacy persist. However, with ongoing innovation and collaboration, we can all be part of the solution to maximize the benefits of wearable technologies in healthcare.

[Acceptance and intention to use of a physiological sensor shirt in health field in older patients]. / Aceptación e intención de uso de una camiseta con sensores fisiológicos en el ámbito de la salud en pacientes mayores.

OBJECTIVES: To assess the acceptance and intention to use physiological sensor shirt among older patients in healthcare, as well as to identify the factors that encourage a positive attitude towards its adoption. METHODS: Cross-sectional study using questionnaires addressed to patients between 60 and 85years of age, administered via face-to-face interviews to determine intention to use a shirt with physiological sensors. The extended version of the Technology Acceptance Model (TAM) questionnaire was used in conjunction with administration of the quality of life and perceived stress scales. RESULTS: Forty-eight patients participated in the study, 54.2% were male with a mean age of 70.5years. The mean scores for attitude towards use and intention to use were 3.9 (SD: 0.8) and 3.3 (SD: 0.8), respectively, out of a maximum of 5. The willingness to use the device was positive in 72.9% of patients The patients intending to use wearable technology (n=35) scored significantly higher than those unwilling to wear the shirt (n=13) on perceived ubiquity (P=.031), perceived ease of use (P=.002), and perceived utility (P=.007). CONCLUSIONS: In a sample of independent older adults from the healthcare sector, a high willingness to use a shirt with physiological sensors was found. Through the TAM questionnaire, ubiquity, perceived ease of use, and perceived usefulness were identified as key factors predisposing its adoption.

Wool powder assisted colorimetric sensing yarn with high sensitivity for NH3 monitoring.

Colorimetric sensors have applications in gas monitoring due to their simple and quick detection through visible color changes. However, it remains challenging to prepare colorimetric sensors with high sensitivity. Herein, this work fabricated a biomass-based colorimetric sensing yarn with high sensitivity using anthocyanins as the colorimetric dye and wool powder as an effective ammonia (NH3) adsorbent. The sensitivity of the prepared yarns was evaluated for detection limit and response time. Surprisingly, the addition of 3% wool powder greatly improved the sensitivity of the prepared yarns, with a reduction of both detection limit and responsive time from 100 ppm to 20 ppm, and 2 min to 20 s, respectively when exposed in 150 ppm NH3. The prepared yarns also showed good selectivity and reusability. An example of the practical use of colorimetric yarns was presented. This work provides a facile strategy for fabricating wearable devices for toxic gas monitoring with visual output.

Flexible epidermal wearable sensor for Athlete's sweat biomarkers monitoring.

Wearable sweat sensors hold great promise for the monitoring of athletic sweat biomarkers that are reflective of physical status and the inimitable feature of wearable sensors to conduct dynamic sweat analysis in situ. However, the preparative methods of wearable patches for monitoring athlete's biomarkers are often complicated. Here, we demonstrate the first example of "sports lab-on-skin" as a fully integrated epidermal sweat sensor through simple laser engraving and laser cutting methods, which enables on-body and wirelessly measuring sweat Na+, sweat K+, sweat lactate, and initial sweat rate for physical status assessment. We test the performance of the "sports lab-on-skin" in both physically trained and un-trained groups under the same exercise intensity. We also validate the influence of different scenarios (water intake, breakfast, and exercise intensity) on dehydration time, sweat K+ level, sweat lactate level, and initial sweat rate.

Public engagement with consumer sleep technology for obstructive sleep apnea screening: implications for equity, access, and practice.

STUDY OBJECTIVES: To characterize public practices and perspectives on the use of consumer sleep technology (CST) and evaluate perspectives on using CST as a screening tool for obstructive sleep apnea (OSA). METHODS: We designed a survey instrument incorporating content from validated instruments (STOP-BANG and the Epworth Sleepiness Scale) and hypothesis-generated questions. Survey development involved multidisciplinary collaboration among three board-certified sleep medicine experts, researchers, and consumers. The survey was disseminated across a national sample of adults living in the United States via an online platform. RESULTS: Among 897 respondents, the mean (SD) age was 47.5 (16.9) years; 73.1% were female, 81.8% were White, and 505 respondents (56.3%) reported having tracked sleep using CS. Factors associated with decreased odds of CST use included household income <$30,000 (OR 0.47, 95% CI 0.28-0.79; p=0.004), Medicaid insurance (OR 0.43, 95% CI 0.26-0.69; p=0.001), Medicare insurance (OR 0.59, 95% CI 0.41-0.84; p=0.004), and lack of a primary care physician (OR 0.55, 95% CI 0.33-0.91; p=0.021). Most respondents (91.1%) agreed or strongly agreed that screening for OSA would be a useful feature of CST, but respondents reporting an education of high school diploma or less (OR 0.48, 95% CI 0.29-0.79; p=0.004) were less likely to agree with this statement. CONCLUSIONS: Attitudes toward and use of CST differed based on demographic and socioeconomic factors. Further study is needed to understand and address barriers to CST adoption and to characterize implications for equitable access to care for sleep disorders.

Enhancement or suppression: a double-edged sword? Differential association of digital literacy with subjective health of older adult-evidence from China.

Background: The emergence of an aging society and the digital age makes healthy aging a hot topic in Chinese society. This paper explores the associations between digital literacy and the subjective health of older adult individuals in PR China, offering insights that May assist policymakers and service providers in developing strategies and interventions suited to the digital era, potentially enhancing the healthy aging process for this demographic in China. Methods: This study utilized data from the China Longitudinal Aging Social Survey. Initially, demographic variables of 2086 individuals in the sample were analyzed. Subjective health differences among different populations and correlations between core variables were examined. Subsequently, multivariate linear regression and chain mediation methods were utilized to examine the relationships and potential pathways among the three dimensions of digital literacy and the subjective health of older adult individuals. Results: (1) The subjective health status of older adult individuals in China was generally favorable, with an average score of 3.406 ± 0.764. (2) There was no direct correlation observed between the frequency of digital information use and the subjective health of the older adult (b = -0.032, p > 0.1). Digital entertainment information (b = 0.294, p > 0.1) did not show a significant effect, whereas life management information (b = 0.437, p < 0.01) demonstrated a positive association. Similarly, the use of smart healthcare devices (b = 0.842, p < 0.001) indicated a positive association (3) The frequency of digital information use indirectly enhanced the subjective health of the older adult through life management digital information and the use of smart healthcare devices, but had no indirect effect through entertainment and leisure digital information. Conclusion: Digital literacy is significantly correlated with the subjective health of the older adult, especially when they acquire life management information and utilize smart healthcare devices. However, a potential negative relationship is suggested between digital entertainment information and the subjective health of older adult individuals. Therefore, digital infrastructure should have prioritized the provision of high-quality, age-friendly digital applications for the older adult. This approach could have better harnessed the potential of digitalization to enhance health and well-being in older adults.

Objective assessment of shared plate eating using a wearable camera in urban and rural households in Ghana.

Background: Shared plate eating (SPE), defined as two or more individuals eating directly from the same plate or bowl, is a common household food consumption practice in many Low- and Middle-Income Countries (LMICs). Examination of household engagement in SPE remains largely unexplored, highlighting a gap in research when interpreting dietary information obtained from these settings. The dearth of research into SPE can be attributed to the inherent limitations of traditional dietary assessment methods which constrain their usability in settings where SPE is common. Objective: In this expository narrative, we describe what SPE is when it is practiced in an LMIC such as Ghana; and also compare the frequency of SPE versus individual plate eating (IPE) by different household members in rural and urban households using a wearable camera (Automatic Ingestion Monitor version 2: AIM-2). Methods: Purposive convenience sampling was employed to recruit and enroll 30 households each from an urban and a rural community (n = 60 households) in Ghana. The AIM-2 was worn on eyeglass frames for 3 days by selected household members. The AIM-2, when worn, automatically collects images to capture food consumption in participants' environments, thus enabling passive capture of household SPE dynamics. Results: A higher percentage of SPE occasions was observed for rural (96.7%) compared to urban (36.7%) households (p < 0.001). Common SPE dynamics included only adults sharing, adults and children sharing, only children sharing, and non-household member participation in SPE. Conclusion: The wearable camera captured eating dynamics within households that would have likely been missed or altered by traditional dietary assessment methods. Obtaining reliable and accurate data is crucial for assessing dietary intake in settings where SPE is a norm.

The Intersection of Artificial Intelligence, Wearable Devices, and Sexual Medicine.

PURPOSE OF REVIEW: The aim of our review paper is to provide a comprehensive overview of the current technologies in artificial intelligence and wearable devices dedicated to sexual health. RECENT FINDINGS: Currently, AI-powered technologies are enhancing our understanding of reproductive health and sexually transmitted infections, and facilitating empathetic education and outreach to diverse populations. Additionally, innovative wearable devices are providing insights into men's erectile health, addressing ejaculatory concerns, and exploring women's orgasms in relation to pelvic floor muscles and clitoral blood flow. The field of sexual health technology is rapidly expanding, with recent innovations transforming our understanding of sexual health. As technology progresses, it is crucial to address significant ethical considerations to protect users, particularly due to the sensitive nature of the data involved.