Acoustic signals are important markers to monitor physiological and pathological conditions, e.g., heart and respiratory sounds. The employment of traditional devices, such as stethoscopes, has been progressively superseded by new miniaturized devices, usually identified as microelectromechanical systems (MEMS). These tools are able to better detect the vibrational content of acoustic signals in order to provide a more reliable description of their features (e.g., amplitude, frequency bandwidth). Starting from the description of the structure and working principles of MEMS, we provide a review of their emerging applications in the healthcare field, discussing the advantages and limitations of each framework. Finally, we deliver a discussion on the lessons learned from the literature, and the open questions and challenges in the field that the scientific community must address in the near future.

The RE.S.I.STO project targets visitors of Pisa medieval city, with the goal of providing high-quality digital contents accessible with smart devices. We describe the design, implementation and the test phases of the RE.S.I.STO application, whose goal is to automatically detect the proximity between visitors and artworks. Proximity is detected with a set of algorithms based on the analysis of Bluetooth Low Energy beacons. We detail our experimental campaigns which reproduce several museum layouts of increasing complexity at two pilot sites, and we compute the performance of the implemented algorithms to detect the nearby artworks. In particular, we test our solution in a wide open space located in our research institute and by performing a real deployment at the Camposanto Monumentale located in Pisa (Italy). The obtained performance varies in the range of 40% to perfect accuracy, according to the complexity of the considered museum layouts. We also describe a set of stress and stability tests aimed at verifying the robustness of the application during the data collection process. Our results show that the mobile application is able to reduce the beacon loss rate, with an average value of 77% of collected beacons.

The ageing population has become an increasing phenomenon world-wide, leading to a growing need for specialised help. Improving the quality of life of older people can lower the risk of depression and social isolation, but it requires a multi-dimensional approach through continuous monitoring and training of the main health domains (e.g., cognitive, motor, nutritional and behavioural). To this end, the use of mobile and e-health services tailored to the user’s needs can help stabilise their health conditions, in terms of physical, mental, and social capabilities. In this context, the INTESA project proposes a set of personalised monitoring and rehabilitation services for older people, based on mobile and wearable technologies ready to be used either at home or in residential long-term care facilities. We evaluated the proposed solution by deploying a suite of services in a nursing home and defining customised protocols to involve both guests (primary users) and nursing care personnel (secondary users). In this paper, we present the extended results obtained after the one-year period of experimentation in terms of technical reliability of the system, Quality of Experience, and user acceptance for both the user categories.

A cruise ship is a concentrate of technologies aimed at providing passengers with the best leisure experience. As tourism in the cruise sector increases, ship owners turned their attention towards novel Internet of things solutions able, from one hand, to provide passengers with personalized and comfortable new services and, from the other hand, to enable energy saving behaviors and a smart management of the vessel equipment. This paper introduces the E-Cabin system, a software architecture that leverages sensor networks and reasoning techniques and allows a customized cabin indoor comfort. The E-Cabin architecture is scalable and easily extendible; sensor networks can be added or removed, rules can be added to/changed in the reasoner software, and new services can be supported based on the analysis of the collected data, without altering the system architecture. The system also allows the ship manager to monitor each cabin status though a simple and intuitive dashboard, thus providing useful insights enabling a smart scheduling of maintenance activities, energy saving, and security issues detection. This work delves into the E-Cabin’s system architecture and provides some usability tests to measure the dashboard’s efficacy.

The COVID-19 outbreak has increased the incidence of tracheal lesions in patients who underwent invasive mechanical ventilation. We measured the pressure exerted by the cuff on the walls of a test bench mimicking the laryngotracheal tract. The test bench was designed to acquire the pressure exerted by endotracheal tube cuffs inflated inside an artificial model of a human trachea. The experimental protocol consisted of measuring pressure values before and after applying a maneuver on two types of endotracheal tubes placed in two mock-ups resembling two different sized tracheal tracts. Increasing pressure values were used to inflate the cuff and the pressures were recorded in two different body positions. The recorded pressure increased proportionally to the input pressure. Moreover, the pressure values measured when using the non-armored (NA) tube were usually higher than those recorded when using the armored (A) tube. A periodic check of the cuff pressure upon changing the body position and/or when performing maneuvers on the tube appears to be necessary to prevent a pressure increase on the tracheal wall. In addition, in our model, the cuff of the A tube gave a more stable output pressure on the tracheal wall than that of the NA tube.