Background:Healthcare-associated infections continue to pose a significant threat to patient safety,and hand hygiene practices remain an effective preventive measure.Despite global campaigns,nurse compliance often rem...Background:Healthcare-associated infections continue to pose a significant threat to patient safety,and hand hygiene practices remain an effective preventive measure.Despite global campaigns,nurse compliance often remains substandard.Previous research has focused on technical and environmental factors;however,the influence of internal psychological aspects,such as self-leadership,has been rarely studied,particularly in Indonesia.Increasing compliance depends not only on external interventions but also on empowering nurses’motivation and self-regulation.Objective:This study aims to determine the relationship between self-leadership and hand hygiene compliance among inpatient nurses.Materials and Methods:A quantitative correlational design with a total sample of 88 nurses was used.Self-leadership was measured using the Abbreviated Self-Leadership Questionnaire,and compliance was assessed through direct observation based on the World Health Organization“5 Moments for Hand Hygiene”guidelines.Data analysis was conducted descriptively and using the Chi-square test.Results:The results showed that 54.5%of nurses had high self-leadership,but only 29.5%were compliant with hand hygiene procedures.The Chi-square test showed a significant relationship between self-leadership and compliance(c2=7.453;P=0.006).Conclusion:Higher self-leadership correlates with better compliance;however,low overall compliance indicates an intention-behaviour gap.Therefore,integrating self-leadership training with organisational support is necessary to strengthen the patient safety culture.展开更多
The rapid evolution of virtual reality(VR)and augmented reality(AR)technologies has significantly transformed human-computer interaction,with applications spanning entertainment,education,healthcare,industry,and remot...The rapid evolution of virtual reality(VR)and augmented reality(AR)technologies has significantly transformed human-computer interaction,with applications spanning entertainment,education,healthcare,industry,and remote collaboration.A central challenge in these immersive systems lies in enabling intuitive,efficient,and natural interactions.Hand gesture recognition offers a compelling solution by leveraging the expressiveness of human hands to facilitate seamless control without relying on traditional input devices such as controllers or keyboards,which can limit immersion.However,achieving robust gesture recognition requires overcoming challenges related to accurate hand tracking,complex environmental conditions,and minimizing system latency.This study proposes an artificial intelligence(AI)-driven framework for recognizing both static and dynamic hand gestures in VR and AR environments using skeleton-based tracking compliant with the OpenXR standard.Our approach employs a lightweight neural network architecture capable of real-time classification within approximately 1.3mswhilemaintaining average accuracy of 95%.We also introduce a novel dataset generation method to support training robust models and demonstrate consistent classification of diverse gestures across widespread commercial VR devices.This work represents one of the first studies to implement and validate dynamic hand gesture recognition in real time using standardized VR hardware,laying the groundwork for more immersive,accessible,and user-friendly interaction systems.By advancing AI-driven gesture interfaces,this research has the potential to broaden the adoption of VR and AR across diverse domains and enhance the overall user experience.展开更多
As Thailand and China mark the 50th anniversary of their diplomatic ties this year,most headlines will naturally focus on trade deals,railways,and strategic partnerships.But tucked behind the golden spires of Bangkok...As Thailand and China mark the 50th anniversary of their diplomatic ties this year,most headlines will naturally focus on trade deals,railways,and strategic partnerships.But tucked behind the golden spires of Bangkok’s Wat Po temple lies a quieter,gentler form of diplomacy—one that happens through kneading hands,respectful bows,and an ancient art passed down across generations.At the Wat Po Thai Traditional Medical School,headmaster Serat Tangtrongchitr sees Thai massage not only as a healing craft,but as a cultural bridge—one that connects people across borders,languages,and belief systems.“We don’t just teach massage,”Serat said,his voice calm but assured.“We teach a way of life.And when people from other cultures learn this with us—Chinese students included—they come to understand not just the techniques,but the heart of Thai culture.”展开更多
The field of vision-based human hand three-dimensional(3D)shape and pose estimation has attracted significant attention recently owing to its key role in various applications,such as natural human computer interaction...The field of vision-based human hand three-dimensional(3D)shape and pose estimation has attracted significant attention recently owing to its key role in various applications,such as natural human computer interactions.With the availability of large-scale annotated hand datasets and the rapid developments of deep neural networks(DNNs),numerous DNN-based data-driven methods have been proposed for accurate and rapid hand shape and pose estimation.Nonetheless,the existence of complicated hand articulation,depth and scale ambiguities,occlusions,and finger similarity remain challenging.In this study,we present a comprehensive survey of state-of-the-art 3D hand shape and pose estimation approaches using RGB-D cameras.Related RGB-D cameras,hand datasets,and a performance analysis are also discussed to provide a holistic view of recent achievements.We also discuss the research potential of this rapidly growing field.展开更多
Motor function changes in the unaffected hand of stroke patients with hemiplegia. These changes are often ignored by clinicians owing to the extent of motor disability of the affected hand. Finger tapping frequency an...Motor function changes in the unaffected hand of stroke patients with hemiplegia. These changes are often ignored by clinicians owing to the extent of motor disability of the affected hand. Finger tapping frequency and Lind-mark hand function score showed that the motor function of unaffected hands in stroke patients was poorer than that of a healthy control hand. After 2 weeks of rehabilitation treatment, motor function of the unaffected hand of stroke patients was obviously improved. Therefore, attention should also be paid to motor function in the unaffected hand of stroke patients with hemiplegia during rehabilitation.展开更多
Background: Puffy hand syndrome (PHS) is a rare complication primarily associated with intravenous drug use (IVDU), characterized by chronic swelling and fibrosis of the hands due to lymphatic damage. Concurrent pulmo...Background: Puffy hand syndrome (PHS) is a rare complication primarily associated with intravenous drug use (IVDU), characterized by chronic swelling and fibrosis of the hands due to lymphatic damage. Concurrent pulmonary complications, such as pneumonia and pneumothorax, significantly contribute to increased morbidity in this population. Case Presentation: We report the case of a 28-year-old female who injects drugs, and presents with fever, bilateral hand edema, and respiratory symptoms. Clinical evaluation revealed erythema and edema of both hands, elevated inflammatory markers, and a left lower lobe infiltration that progressed to pneumothorax. A diagnosis of PHS and left lower lobe pneumonia complicated by pneumothorax was established. Management and Outcomes: The patient was treated with broad-spectrum antibiotics, including ceftriaxone, levofloxacin, dexamethasone, and oxygen supplementation, as well as antipyretics. She demonstrated partial clinical improvement and was referred to another hospital’s thoracic surgery department for specialized care. Conclusions: This case underscores the importance of early recognition and multidisciplinary management of rare but serious complications in IVDU patients. Further research is necessary to elucidate the interplay between lymphatic dysfunction and pulmonary pathophysiology in this demographic.展开更多
Objectives: To propose the improvements measures by analysing the influencing factors of hand hygiene (HH) compliance by observing the behaviour of health care workers (HCWs). Method: The observational study was condu...Objectives: To propose the improvements measures by analysing the influencing factors of hand hygiene (HH) compliance by observing the behaviour of health care workers (HCWs). Method: The observational study was conducted at a public tertiary hospital in Zhejiang, China, from September 2018 to March 2021. A total of 58 HH observers were trained to conduct a direct observation on the HH behaviors of personnel in the hospital amongst the health care workers. We have observed over 9000 hand hygiene opportunities. The collected data were classified according to time factors, department parameters, and profession conduct of the observed. Hand hygiene (HH) compliance rates were calculated for each category, and a chi-square test was used to analyze differences of the HH compliance rates. Furthermore, binary logistic regression was used for multivariate analysis in each of the hand hygiene moments. Results: The HH compliance rates of HCWs were statistically different before and after the Corona Virus Disease 2019 (COVID-19) pandemic, in the morning and the afternoon, this was observed per parameters stated into objectives on weekdays vs non weekdays. And we found that HH compliance rates drop off a cliff from weekdays to non-weekdays. Conclusions: COVID-19, departments, professions, and weekdays were all factors that influence HH compliance amongst HCWs. However, the influencing factors were not all present in every HH behavior, and had different intensities of influence on HH compliance amongst the HCWs. These findings provide some reference for us to propose improvement measures.展开更多
Background:Muscular strength is a powerful marker of current health status and robust predictor of age-related disease and disability.Handgrip strength(HGS)using isometric dynamometry is a convenient,feasible,and wide...Background:Muscular strength is a powerful marker of current health status and robust predictor of age-related disease and disability.Handgrip strength(HGS)using isometric dynamometry is a convenient,feasible,and widely used method of assessing muscular strength among people of all ages.While adult HGS norms have been published for many countries,no study has yet synthesized available data to produce international norms.The objective of this study was to generate international sex-and age-specific norms for absolute and body size-normalized HGS across the adult lifespan.Methods:Systematic searches were conducted in 6 databases/web search engines(MEDLINE,SPORTDiscus,Embase,Web of Science,CINAHL,and Google Scholar)up to December 1,2023.We included full-text peer-reviewed observational studies that reported normative HGS data for adults aged ≥20 years by sex and age.Pseudo data were generated using Monte Carlo simulation following harmonization for methodo-logical variation.Population-weighted Generalized Additive Models for Location,Scale,and Shape were used to develop sex-and age-specific norms for absolute HGS(kg)and HGS normalized by height(Ht,m)squared(i.e.,HGS/Ht^(2)in kg/m^(2)).Norms were tabulated as percentile values(5th to 95th)and visualized as smoothed percentile curves.Results:We included data from 100 unique observational studies representing 2,405,863 adults(51.9%female)aged 20 to 100+years from 69 countries and regions tested from the year 2000 onward.On average,absolute and normalized HGS values negligibly improved throughout early adulthood,peaked from age 3039 years(at 49.7 kg(males)and 29.7 kg(females)for absolute HGS or 16.3 kg/m^(2)(males)and 11.3 kg/m^(2)(females)for HGS/Ht^(2)),and declined afterwards.The age-related decline in HGS accelerated from middle to late adulthood and was slightly larger for males than for females during middle adulthood.Conclusion:This study provides the world’s largest and most geographically comprehensive international norms for adult HGS by sex and age.These norms have utility for global peer-comparisons,health screening,and surveillance.展开更多
Objective:While albumin and the weight-standardized hand grip strength(HGS/W)serve as valuable prognostic indicators for cancer patients,their correlation with the prognosis in frail cancer patients remains inadequate...Objective:While albumin and the weight-standardized hand grip strength(HGS/W)serve as valuable prognostic indicators for cancer patients,their correlation with the prognosis in frail cancer patients remains inadequately explored.This study aimed to investigate the prognostic importance of the albumin level and HGS/W in cancer patients with frailty and to further investigate their combined prognostic value.Moreover,this comprehensive evaluation aimed to facilitate timely intervention and treatment for frail patients.Methods:The research enrolled 5,794 cancer patients identified with frailty from a multicenter research database.The diagnosis of frailty was based on the FRAIL scale.An Albumin-HGS/W score was constructed by combining the albumin and HGS/W values.Cox proportional hazard regression was utilized to examine the association between the albumin level and HGS/W and patient outcomes.Results:Among these patients,2,543 were females and 3,251 were males,with a median age of 60.0 years.Optimal stratification based on patient survival revealed the ideal threshold for HGS/W to be 0.48 for males and 0.39 for females,and for albumin to be 38 for both sexes.The fully adjusted model revealed that higher Albumin-HGS/W scores were correlated with a poorer patient prognosis.Notably,an Albumin-HGS/W score of 2 was associated with a higher risk of mortality compared with a score of 0 in the total population(HR:1.813,95%CI:1.580-2.080,P<0.001).Conclusions:Low albumin or HGS/W values are associated with low survival in cancer patients with frailty.Elevated Albumin-HGS/W scores were linked to decreased survival rates in cancer patients with frailty.展开更多
Hand function impairment after stroke has become a key and difficult issue in clinical rehabilitation due to complex neural innervation and a long recovery cycle.Biofeedback technology combined with occupational thera...Hand function impairment after stroke has become a key and difficult issue in clinical rehabilitation due to complex neural innervation and a long recovery cycle.Biofeedback technology combined with occupational therapy can make up for the limitations of single therapy and provide a new solution for hand function rehabilitation after stroke.This paper systematically sorts out the theoretical basis and clinical research progress of biofeedback technology combined with occupational therapy in hand function rehabilitation after stroke,and looks forward to the future development direction,aiming to provide reference for clinical rehabilitation practice and scientific research.展开更多
Recent years have witnessed unprecedented development in humanoid robotics,with dexterous hand grasping emerging as a focal research area across industrial and academic sectors.To track the state-of-the-art dexterous ...Recent years have witnessed unprecedented development in humanoid robotics,with dexterous hand grasping emerging as a focal research area across industrial and academic sectors.To track the state-of-the-art dexterous hand grasp,a review of dexterous hand grasp based on bibliometric analysis is executed.The related studies on dexterous hand grasp are collected from the Web of Science for analysis,where the publication details and cooperation situations from the perspectives of country,institute,etc.are discussed.The keywords cluster is adopted to find the hot research topic of dexterous hand grasp.The development trend of dexterous hand grasp is explored based on the top 25 keywords with the strongest citation bursts.The review findings indicate that precision control via multimodal fusion,autonomous task understanding and intelligent decision,and in-hand dexterous manipulation are top three hotspots in future.展开更多
Objective To assess health equity in the Yangtze River region to improve understanding of the correlation between hand, foot, and mouth disease(HFMD) and socioeconomic factors.Methods From 2014–2016, data on HFMD inc...Objective To assess health equity in the Yangtze River region to improve understanding of the correlation between hand, foot, and mouth disease(HFMD) and socioeconomic factors.Methods From 2014–2016, data on HFMD incidence, population statistics, economic indicators, and meteorology from 26 cities along the Yangtze River were analyzed. A multi-city random-effects metaanalysis was performed to study the relationship between temperature and HFMD transmission, and health equity was assessed with respect to socio-economic impact.Results Over the study period, 919,458 HFMD cases were reported, with Shanghai(162,303) having the highest incidence and Tongling(5,513) having the lowest. Males were more commonly affected(male-to-female ratio, 1.49:1). The exposure-response relationship had an M-shaped curve, with two HFMD peaks occurring at 4 ℃ and 26 ℃. The relative risk had two peaks at 1.30 ℃(1.834, 95% CI:1.204–2.794) and 31.4 ℃(1.143, 95% CI: 0.901–1.451), forming an M shape, with the first peak higher than the second. The most significant impact of temperature on HFMD was observed between –2 ℃ and18.1 ℃. The concentration index(0.2463) indicated moderate concentration differences, whereas the Theil index(0.0418) showed low inequality in distribution.Conclusion The incidence of HFMD varied across cities, particularly with changes in temperature.Economically prosperous areas showed higher risks, indicating disparities. Targeted interventions in these areas are crucial for mitigating the risk of HFMD.展开更多
IntuiGrasp is a novel three-fingered dexterous hand that pioneers bio-inspired demonstrations with intuitive priors(BDIP)to bridge the gap between human tactile intuition and robotic execution.Unlike conven-tional pro...IntuiGrasp is a novel three-fingered dexterous hand that pioneers bio-inspired demonstrations with intuitive priors(BDIP)to bridge the gap between human tactile intuition and robotic execution.Unlike conven-tional programming,BDIP leverages human's innate priors(e.g.,“A pack of tissues requires gentle grasps,cups demand firm contact”)by enabling real-time transfer of gesture and force policies during physical demon-stration.When a human demonstrator wears IntuiGrasp,driven rings provide real-time haptic feedback on contact stress and slip,while inte-grated tactile sensors translate these human policies into image data,offering valuable data for imitation learning.In this study,human teachers use IntuiGrasp to demonstrate how to grasp three types of objects:a cup,a crumpled tissue pack,and a thin playing card.IntuiGrasp translates the policies for grasping these objects into image information that describes tactile sensations in real time.展开更多
To address the rising global agricultural labor costs,there is an urgent need for robots to accomplish some complex agronomic tasks and break through the limitations of traditional machinery.Thus,robots are considered...To address the rising global agricultural labor costs,there is an urgent need for robots to accomplish some complex agronomic tasks and break through the limitations of traditional machinery.Thus,robots are considered an essential support for the future smart agriculture.Given that agronomic targets,such as plants and animals,are living organisms with diverse growth patterns and physical characteristics,effective hand–eye coordination is crucial for robots to interact with these targets proficiently.This paper reviews the developments in hand–eye coordination technology for agricultural robots,focusing on its configuration,principles,and applications in target detection and manipulation,based on a review of research literature and technical specifications of commercial products.Furthermore,the ongoing challenges in hand–eye coordination for robotic operations in complex agronomic tasks are analyzed and summarized,and the potential trends for overcoming these challenges are predicted.Finally,this review aims to deepen understanding of agricultural robots’capabilities and inspire ongoing innovation to further their agricultural applications.展开更多
The stiffness information of the grasped object at the initial contact stage can be effectively used to adjust the grasping force of the prosthetic hand,thereby preventing damage to the object.However,the object’s de...The stiffness information of the grasped object at the initial contact stage can be effectively used to adjust the grasping force of the prosthetic hand,thereby preventing damage to the object.However,the object’s deformation and contact force are often minimal during the initial stage and not easily obtained directly.Additionally,stiffness estimation methods for prosthetic hands often require contact sensors,which can easily lead to poor contact issues.To address the above issues,this paper proposes the model-based stiffness estimation of grasped objects for underactuated prosthetic hands without force sensors.First,the kinematic model is linearized at the contact points to achieve the estimation of the linkage angles in the underactuated prosthetic hand.Secondly,the motor parameters are estimated using the Kalman filter method,and the grasping force is obtained from the dynamic model of the underactuated prosthetic hand.Finally,the contact model of the prosthetic hand grasping an object is established,and an online stiffness estimation method based on the contact model for the grasped object is proposed using the iterative reweighted least squares method.Experimental results show that this method can estimate the stiffness of grasped objects within 250 ms without contact sensors.展开更多
Background: Scar contractions caused by hand burns seriously impact both the function and appearance of the hand.Consequently,post-burn hand reconstruction is a primary focus of secondary reconstructive surgery perfor...Background: Scar contractions caused by hand burns seriously impact both the function and appearance of the hand.Consequently,post-burn hand reconstruction is a primary focus of secondary reconstructive surgery performed within the first 10 years after a burn injury.This study aimed to identify developmental trends and research hotspots in post-burn hand reconstruction,providing insights and recommendations for researchers.Methods: Bibliometric and visualization analyses were conducted using Cite Space v6.4.R1(64-bit) and VOS viewer.The Web of Science Core Collection served as the data source.A total of 136 articles between 1997 and2025 were included based on the following keywords: “postburn hand reconstruction” or “postburn hand” or“scar contraction hand deformity.”Results: The field of post-burn hand reconstruction is advancing,as indicated by the overall and annual increase in publications.The United States leads in number of published papers.However,major institutions show low centrality,indicating weak collaboration between countries and regions,with research still dominated by singlecenter studies.The top three most prolific authors were Paul P M van Zuijlen,Fatih Uyghur,and Ersin Uyghur.The keywords “double Z-plasty” and the cluster “flap” not only have high emergence intensity but also appear frequently in recent studies,marking them as current research hotspots.Conclusion: The lack of long-term research and consensus limits further advancements in post-burn hand reconstruction.To address this,multi-center and multi-disciplinary collaborations should be encouraged.Additionally,integrating basic medical research with biomedical engineering could enhance the management and outcomes of post-burn hand reconstruction.展开更多
Due to self-occlusion and high degree of freedom,estimating 3D hand pose from a single RGB image is a great challenging problem.Graph convolutional networks(GCNs)use graphs to describe the physical connection relation...Due to self-occlusion and high degree of freedom,estimating 3D hand pose from a single RGB image is a great challenging problem.Graph convolutional networks(GCNs)use graphs to describe the physical connection relationships between hand joints and improve the accuracy of 3D hand pose regression.However,GCNs cannot effectively describe the relationships between non-adjacent hand joints.Recently,hypergraph convolutional networks(HGCNs)have received much attention as they can describe multi-dimensional relationships between nodes through hyperedges;therefore,this paper proposes a framework for 3D hand pose estimation based on HGCN,which can better extract correlated relationships between adjacent and non-adjacent hand joints.To overcome the shortcomings of predefined hypergraph structures,a kind of dynamic hypergraph convolutional network is proposed,in which hyperedges are constructed dynamically based on hand joint feature similarity.To better explore the local semantic relationships between nodes,a kind of semantic dynamic hypergraph convolution is proposed.The proposed method is evaluated on publicly available benchmark datasets.Qualitative and quantitative experimental results both show that the proposed HGCN and improved methods for 3D hand pose estimation are better than GCN,and achieve state-of-the-art performance compared with existing methods.展开更多
With the rapid progress of the artificial intelligence(AI)technology and mobile internet,3D hand pose estimation has become critical to various intelligent application areas,e.g.,human-computer interaction.To avoid th...With the rapid progress of the artificial intelligence(AI)technology and mobile internet,3D hand pose estimation has become critical to various intelligent application areas,e.g.,human-computer interaction.To avoid the low accuracy of single-modal estimation and the high complexity of traditional multi-modal 3D estimation,this paper proposes a novel multi-modal multi-view(MMV)3D hand pose estimation system,which introduces a registration before translation(RT)-translation before registration(TR)jointed conditional generative adversarial network(cGAN)to train a multi-modal registration network,and then employs the multi-modal feature fusion to achieve high-quality estimation,with low hardware and software costs both in data acquisition and processing.Experimental results demonstrate that the MMV system is effective and feasible in various scenarios.It is promising for the MMV system to be used in broad intelligent application areas.展开更多
Objective:To estimate the willingness to pay(WTP)of Ho Chi Minh City residents for the hand,foot,and mouth disease(HFMD)vaccine and its associated factors using the contingent valuation method.Methods:This cross-secti...Objective:To estimate the willingness to pay(WTP)of Ho Chi Minh City residents for the hand,foot,and mouth disease(HFMD)vaccine and its associated factors using the contingent valuation method.Methods:This cross-sectional study was conducted in 2024,involved face-to-face interviews with 423 participants in Ho Chi Minh City.The participants were divided into two groups:parents of children under six and individuals without young children.WTP for the HFMD vaccine was assessed using the Krinsky and Robb procedure and the double-bound dichotomous choice technique.A probit regression model was used to analyze factors influencing WTP.Results:The participants had a mean age of(34.0±10.3)years,and the majority of them were female,resided in urban areas,and held a university degree.54.6%had children under six years of age,and 63.8%had never heard of the EV71 vaccine.The mean WTP for two doses of the HFMD vaccine was VND 1240000(USD 51.66).Parents of children under six years old had a mean WTP of USD 49.16,while individuals without young children had a mean WTP of USD 56.25.Significant factors that were positively associated with WTP included vaccine price,younger age,higher income,and greater knowledge about vaccines.Conclusions:The study indicates a relatively high willingness to pay for HFMD vaccination in Ho Chi Minh City,suggesting strong potential for vaccine implementation.It is recommended that the government disseminate vaccine-related information to enhance public awareness and understanding.展开更多
This clinical study aimed to explore the therapeutic effect of recombinant human interferonα2b nebulization inhalation in the treatment of hand,foot,and mouth disease in children.Sixty-six patients were selected as t...This clinical study aimed to explore the therapeutic effect of recombinant human interferonα2b nebulization inhalation in the treatment of hand,foot,and mouth disease in children.Sixty-six patients were selected as the research subjects by the random sampling method and divided into a control group and an observation group.The patients in the control group were treated with ribavirin injection and oral lysine-inositol-vitamin B12 solution,while the patients in the observation group received the treatment of the control group combined with recombinant human interferonα2b nebulization inhalation.The clinical effects of the two groups were compared to determine the clinical efficacy of the two treatment plans.The total effective rates of treatment were 78.79%in the control group and 90.91%in the observation group.The research confirmed that the clinical effect of recombinant human interferonα2b nebulization inhalation in the treatment of hand,foot,and mouth disease in children is remarkable.It can significantly improve the symptoms of children with hand,foot,and mouth disease and is suitable for clinical application and promotion.展开更多
文摘Background:Healthcare-associated infections continue to pose a significant threat to patient safety,and hand hygiene practices remain an effective preventive measure.Despite global campaigns,nurse compliance often remains substandard.Previous research has focused on technical and environmental factors;however,the influence of internal psychological aspects,such as self-leadership,has been rarely studied,particularly in Indonesia.Increasing compliance depends not only on external interventions but also on empowering nurses’motivation and self-regulation.Objective:This study aims to determine the relationship between self-leadership and hand hygiene compliance among inpatient nurses.Materials and Methods:A quantitative correlational design with a total sample of 88 nurses was used.Self-leadership was measured using the Abbreviated Self-Leadership Questionnaire,and compliance was assessed through direct observation based on the World Health Organization“5 Moments for Hand Hygiene”guidelines.Data analysis was conducted descriptively and using the Chi-square test.Results:The results showed that 54.5%of nurses had high self-leadership,but only 29.5%were compliant with hand hygiene procedures.The Chi-square test showed a significant relationship between self-leadership and compliance(c2=7.453;P=0.006).Conclusion:Higher self-leadership correlates with better compliance;however,low overall compliance indicates an intention-behaviour gap.Therefore,integrating self-leadership training with organisational support is necessary to strengthen the patient safety culture.
基金supported by research fund from Chosun University,2024.
文摘The rapid evolution of virtual reality(VR)and augmented reality(AR)technologies has significantly transformed human-computer interaction,with applications spanning entertainment,education,healthcare,industry,and remote collaboration.A central challenge in these immersive systems lies in enabling intuitive,efficient,and natural interactions.Hand gesture recognition offers a compelling solution by leveraging the expressiveness of human hands to facilitate seamless control without relying on traditional input devices such as controllers or keyboards,which can limit immersion.However,achieving robust gesture recognition requires overcoming challenges related to accurate hand tracking,complex environmental conditions,and minimizing system latency.This study proposes an artificial intelligence(AI)-driven framework for recognizing both static and dynamic hand gestures in VR and AR environments using skeleton-based tracking compliant with the OpenXR standard.Our approach employs a lightweight neural network architecture capable of real-time classification within approximately 1.3mswhilemaintaining average accuracy of 95%.We also introduce a novel dataset generation method to support training robust models and demonstrate consistent classification of diverse gestures across widespread commercial VR devices.This work represents one of the first studies to implement and validate dynamic hand gesture recognition in real time using standardized VR hardware,laying the groundwork for more immersive,accessible,and user-friendly interaction systems.By advancing AI-driven gesture interfaces,this research has the potential to broaden the adoption of VR and AR across diverse domains and enhance the overall user experience.
文摘As Thailand and China mark the 50th anniversary of their diplomatic ties this year,most headlines will naturally focus on trade deals,railways,and strategic partnerships.But tucked behind the golden spires of Bangkok’s Wat Po temple lies a quieter,gentler form of diplomacy—one that happens through kneading hands,respectful bows,and an ancient art passed down across generations.At the Wat Po Thai Traditional Medical School,headmaster Serat Tangtrongchitr sees Thai massage not only as a healing craft,but as a cultural bridge—one that connects people across borders,languages,and belief systems.“We don’t just teach massage,”Serat said,his voice calm but assured.“We teach a way of life.And when people from other cultures learn this with us—Chinese students included—they come to understand not just the techniques,but the heart of Thai culture.”
基金the National Key R&D Program of China(2018YFB1004600)the National Natural Science Foundation of China(61502187,61876211)the National Science Foundation Grant CNS(1951952).
文摘The field of vision-based human hand three-dimensional(3D)shape and pose estimation has attracted significant attention recently owing to its key role in various applications,such as natural human computer interactions.With the availability of large-scale annotated hand datasets and the rapid developments of deep neural networks(DNNs),numerous DNN-based data-driven methods have been proposed for accurate and rapid hand shape and pose estimation.Nonetheless,the existence of complicated hand articulation,depth and scale ambiguities,occlusions,and finger similarity remain challenging.In this study,we present a comprehensive survey of state-of-the-art 3D hand shape and pose estimation approaches using RGB-D cameras.Related RGB-D cameras,hand datasets,and a performance analysis are also discussed to provide a holistic view of recent achievements.We also discuss the research potential of this rapidly growing field.
文摘Motor function changes in the unaffected hand of stroke patients with hemiplegia. These changes are often ignored by clinicians owing to the extent of motor disability of the affected hand. Finger tapping frequency and Lind-mark hand function score showed that the motor function of unaffected hands in stroke patients was poorer than that of a healthy control hand. After 2 weeks of rehabilitation treatment, motor function of the unaffected hand of stroke patients was obviously improved. Therefore, attention should also be paid to motor function in the unaffected hand of stroke patients with hemiplegia during rehabilitation.
文摘Background: Puffy hand syndrome (PHS) is a rare complication primarily associated with intravenous drug use (IVDU), characterized by chronic swelling and fibrosis of the hands due to lymphatic damage. Concurrent pulmonary complications, such as pneumonia and pneumothorax, significantly contribute to increased morbidity in this population. Case Presentation: We report the case of a 28-year-old female who injects drugs, and presents with fever, bilateral hand edema, and respiratory symptoms. Clinical evaluation revealed erythema and edema of both hands, elevated inflammatory markers, and a left lower lobe infiltration that progressed to pneumothorax. A diagnosis of PHS and left lower lobe pneumonia complicated by pneumothorax was established. Management and Outcomes: The patient was treated with broad-spectrum antibiotics, including ceftriaxone, levofloxacin, dexamethasone, and oxygen supplementation, as well as antipyretics. She demonstrated partial clinical improvement and was referred to another hospital’s thoracic surgery department for specialized care. Conclusions: This case underscores the importance of early recognition and multidisciplinary management of rare but serious complications in IVDU patients. Further research is necessary to elucidate the interplay between lymphatic dysfunction and pulmonary pathophysiology in this demographic.
文摘Objectives: To propose the improvements measures by analysing the influencing factors of hand hygiene (HH) compliance by observing the behaviour of health care workers (HCWs). Method: The observational study was conducted at a public tertiary hospital in Zhejiang, China, from September 2018 to March 2021. A total of 58 HH observers were trained to conduct a direct observation on the HH behaviors of personnel in the hospital amongst the health care workers. We have observed over 9000 hand hygiene opportunities. The collected data were classified according to time factors, department parameters, and profession conduct of the observed. Hand hygiene (HH) compliance rates were calculated for each category, and a chi-square test was used to analyze differences of the HH compliance rates. Furthermore, binary logistic regression was used for multivariate analysis in each of the hand hygiene moments. Results: The HH compliance rates of HCWs were statistically different before and after the Corona Virus Disease 2019 (COVID-19) pandemic, in the morning and the afternoon, this was observed per parameters stated into objectives on weekdays vs non weekdays. And we found that HH compliance rates drop off a cliff from weekdays to non-weekdays. Conclusions: COVID-19, departments, professions, and weekdays were all factors that influence HH compliance amongst HCWs. However, the influencing factors were not all present in every HH behavior, and had different intensities of influence on HH compliance amongst the HCWs. These findings provide some reference for us to propose improvement measures.
基金supported by European Union's Horizon 2020 research and innovation programme under the Marie Sklodowska Curie grant agreement(No.101028929)BJFis supported by National Heart Foundation of Australia Postdoc-toral Fellowship(No.106588)+1 种基金BG is supported by Australian Government Research Training Program ScholarshipDPLis supported by Clive Kearon Award,McMaster University.Additional funding information can be found in Supplemen-tary Funding.
文摘Background:Muscular strength is a powerful marker of current health status and robust predictor of age-related disease and disability.Handgrip strength(HGS)using isometric dynamometry is a convenient,feasible,and widely used method of assessing muscular strength among people of all ages.While adult HGS norms have been published for many countries,no study has yet synthesized available data to produce international norms.The objective of this study was to generate international sex-and age-specific norms for absolute and body size-normalized HGS across the adult lifespan.Methods:Systematic searches were conducted in 6 databases/web search engines(MEDLINE,SPORTDiscus,Embase,Web of Science,CINAHL,and Google Scholar)up to December 1,2023.We included full-text peer-reviewed observational studies that reported normative HGS data for adults aged ≥20 years by sex and age.Pseudo data were generated using Monte Carlo simulation following harmonization for methodo-logical variation.Population-weighted Generalized Additive Models for Location,Scale,and Shape were used to develop sex-and age-specific norms for absolute HGS(kg)and HGS normalized by height(Ht,m)squared(i.e.,HGS/Ht^(2)in kg/m^(2)).Norms were tabulated as percentile values(5th to 95th)and visualized as smoothed percentile curves.Results:We included data from 100 unique observational studies representing 2,405,863 adults(51.9%female)aged 20 to 100+years from 69 countries and regions tested from the year 2000 onward.On average,absolute and normalized HGS values negligibly improved throughout early adulthood,peaked from age 3039 years(at 49.7 kg(males)and 29.7 kg(females)for absolute HGS or 16.3 kg/m^(2)(males)and 11.3 kg/m^(2)(females)for HGS/Ht^(2)),and declined afterwards.The age-related decline in HGS accelerated from middle to late adulthood and was slightly larger for males than for females during middle adulthood.Conclusion:This study provides the world’s largest and most geographically comprehensive international norms for adult HGS by sex and age.These norms have utility for global peer-comparisons,health screening,and surveillance.
基金supported by a Henan Province Science and Technology Research Project(No.252102311033)the National Key Research and Development Program(No.2022YFC2009600 and No.2022YFC2009601).
文摘Objective:While albumin and the weight-standardized hand grip strength(HGS/W)serve as valuable prognostic indicators for cancer patients,their correlation with the prognosis in frail cancer patients remains inadequately explored.This study aimed to investigate the prognostic importance of the albumin level and HGS/W in cancer patients with frailty and to further investigate their combined prognostic value.Moreover,this comprehensive evaluation aimed to facilitate timely intervention and treatment for frail patients.Methods:The research enrolled 5,794 cancer patients identified with frailty from a multicenter research database.The diagnosis of frailty was based on the FRAIL scale.An Albumin-HGS/W score was constructed by combining the albumin and HGS/W values.Cox proportional hazard regression was utilized to examine the association between the albumin level and HGS/W and patient outcomes.Results:Among these patients,2,543 were females and 3,251 were males,with a median age of 60.0 years.Optimal stratification based on patient survival revealed the ideal threshold for HGS/W to be 0.48 for males and 0.39 for females,and for albumin to be 38 for both sexes.The fully adjusted model revealed that higher Albumin-HGS/W scores were correlated with a poorer patient prognosis.Notably,an Albumin-HGS/W score of 2 was associated with a higher risk of mortality compared with a score of 0 in the total population(HR:1.813,95%CI:1.580-2.080,P<0.001).Conclusions:Low albumin or HGS/W values are associated with low survival in cancer patients with frailty.Elevated Albumin-HGS/W scores were linked to decreased survival rates in cancer patients with frailty.
文摘Hand function impairment after stroke has become a key and difficult issue in clinical rehabilitation due to complex neural innervation and a long recovery cycle.Biofeedback technology combined with occupational therapy can make up for the limitations of single therapy and provide a new solution for hand function rehabilitation after stroke.This paper systematically sorts out the theoretical basis and clinical research progress of biofeedback technology combined with occupational therapy in hand function rehabilitation after stroke,and looks forward to the future development direction,aiming to provide reference for clinical rehabilitation practice and scientific research.
基金Supported by the National Natural Science Foundation of China(Grant No.52405530)the Beijing Natural Science Foundation(Grant No.L243009)the Beijing Institute of Technology Research Fund Program for Young Scholars。
文摘Recent years have witnessed unprecedented development in humanoid robotics,with dexterous hand grasping emerging as a focal research area across industrial and academic sectors.To track the state-of-the-art dexterous hand grasp,a review of dexterous hand grasp based on bibliometric analysis is executed.The related studies on dexterous hand grasp are collected from the Web of Science for analysis,where the publication details and cooperation situations from the perspectives of country,institute,etc.are discussed.The keywords cluster is adopted to find the hot research topic of dexterous hand grasp.The development trend of dexterous hand grasp is explored based on the top 25 keywords with the strongest citation bursts.The review findings indicate that precision control via multimodal fusion,autonomous task understanding and intelligent decision,and in-hand dexterous manipulation are top three hotspots in future.
基金The funding of this study was of the 2021 Shandong Province Higher Education“Young Innovative Talent Introduction and Training Program”(Public Health Safety Risk Assessment and Response Innovation Team)the annual education and teaching reform and research project at the school level of Shandong Second Medical University(No.2023YBD006)+1 种基金the Public Health Standards Research and Development Project of the National Disease Control and Prevention Bureau(No.233007)the Public Health Standards Revision and Supervision Support Project of the National Disease Control and Prevention Bureau (No.242401).
文摘Objective To assess health equity in the Yangtze River region to improve understanding of the correlation between hand, foot, and mouth disease(HFMD) and socioeconomic factors.Methods From 2014–2016, data on HFMD incidence, population statistics, economic indicators, and meteorology from 26 cities along the Yangtze River were analyzed. A multi-city random-effects metaanalysis was performed to study the relationship between temperature and HFMD transmission, and health equity was assessed with respect to socio-economic impact.Results Over the study period, 919,458 HFMD cases were reported, with Shanghai(162,303) having the highest incidence and Tongling(5,513) having the lowest. Males were more commonly affected(male-to-female ratio, 1.49:1). The exposure-response relationship had an M-shaped curve, with two HFMD peaks occurring at 4 ℃ and 26 ℃. The relative risk had two peaks at 1.30 ℃(1.834, 95% CI:1.204–2.794) and 31.4 ℃(1.143, 95% CI: 0.901–1.451), forming an M shape, with the first peak higher than the second. The most significant impact of temperature on HFMD was observed between –2 ℃ and18.1 ℃. The concentration index(0.2463) indicated moderate concentration differences, whereas the Theil index(0.0418) showed low inequality in distribution.Conclusion The incidence of HFMD varied across cities, particularly with changes in temperature.Economically prosperous areas showed higher risks, indicating disparities. Targeted interventions in these areas are crucial for mitigating the risk of HFMD.
文摘IntuiGrasp is a novel three-fingered dexterous hand that pioneers bio-inspired demonstrations with intuitive priors(BDIP)to bridge the gap between human tactile intuition and robotic execution.Unlike conven-tional programming,BDIP leverages human's innate priors(e.g.,“A pack of tissues requires gentle grasps,cups demand firm contact”)by enabling real-time transfer of gesture and force policies during physical demon-stration.When a human demonstrator wears IntuiGrasp,driven rings provide real-time haptic feedback on contact stress and slip,while inte-grated tactile sensors translate these human policies into image data,offering valuable data for imitation learning.In this study,human teachers use IntuiGrasp to demonstrate how to grasp three types of objects:a cup,a crumpled tissue pack,and a thin playing card.IntuiGrasp translates the policies for grasping these objects into image information that describes tactile sensations in real time.
基金supported by the Beijing Natural Science Foundation(6252007)the Beijing Nova Program,China(20220484023)+1 种基金the BAAFS Innovation Capacity Building Project(KJCX20240502)the BAAFS International Science and Technology Cooperation Platform(2024-08).
文摘To address the rising global agricultural labor costs,there is an urgent need for robots to accomplish some complex agronomic tasks and break through the limitations of traditional machinery.Thus,robots are considered an essential support for the future smart agriculture.Given that agronomic targets,such as plants and animals,are living organisms with diverse growth patterns and physical characteristics,effective hand–eye coordination is crucial for robots to interact with these targets proficiently.This paper reviews the developments in hand–eye coordination technology for agricultural robots,focusing on its configuration,principles,and applications in target detection and manipulation,based on a review of research literature and technical specifications of commercial products.Furthermore,the ongoing challenges in hand–eye coordination for robotic operations in complex agronomic tasks are analyzed and summarized,and the potential trends for overcoming these challenges are predicted.Finally,this review aims to deepen understanding of agricultural robots’capabilities and inspire ongoing innovation to further their agricultural applications.
基金supported by the National Natural Science Foundation of China under Grant 52275297.
文摘The stiffness information of the grasped object at the initial contact stage can be effectively used to adjust the grasping force of the prosthetic hand,thereby preventing damage to the object.However,the object’s deformation and contact force are often minimal during the initial stage and not easily obtained directly.Additionally,stiffness estimation methods for prosthetic hands often require contact sensors,which can easily lead to poor contact issues.To address the above issues,this paper proposes the model-based stiffness estimation of grasped objects for underactuated prosthetic hands without force sensors.First,the kinematic model is linearized at the contact points to achieve the estimation of the linkage angles in the underactuated prosthetic hand.Secondly,the motor parameters are estimated using the Kalman filter method,and the grasping force is obtained from the dynamic model of the underactuated prosthetic hand.Finally,the contact model of the prosthetic hand grasping an object is established,and an online stiffness estimation method based on the contact model for the grasped object is proposed using the iterative reweighted least squares method.Experimental results show that this method can estimate the stiffness of grasped objects within 250 ms without contact sensors.
文摘Background: Scar contractions caused by hand burns seriously impact both the function and appearance of the hand.Consequently,post-burn hand reconstruction is a primary focus of secondary reconstructive surgery performed within the first 10 years after a burn injury.This study aimed to identify developmental trends and research hotspots in post-burn hand reconstruction,providing insights and recommendations for researchers.Methods: Bibliometric and visualization analyses were conducted using Cite Space v6.4.R1(64-bit) and VOS viewer.The Web of Science Core Collection served as the data source.A total of 136 articles between 1997 and2025 were included based on the following keywords: “postburn hand reconstruction” or “postburn hand” or“scar contraction hand deformity.”Results: The field of post-burn hand reconstruction is advancing,as indicated by the overall and annual increase in publications.The United States leads in number of published papers.However,major institutions show low centrality,indicating weak collaboration between countries and regions,with research still dominated by singlecenter studies.The top three most prolific authors were Paul P M van Zuijlen,Fatih Uyghur,and Ersin Uyghur.The keywords “double Z-plasty” and the cluster “flap” not only have high emergence intensity but also appear frequently in recent studies,marking them as current research hotspots.Conclusion: The lack of long-term research and consensus limits further advancements in post-burn hand reconstruction.To address this,multi-center and multi-disciplinary collaborations should be encouraged.Additionally,integrating basic medical research with biomedical engineering could enhance the management and outcomes of post-burn hand reconstruction.
基金the National Key Research and Development Program of China(No.2021ZD0111902)the National Natural Science Foundation of China(Nos.62172022 and U21B2038)。
文摘Due to self-occlusion and high degree of freedom,estimating 3D hand pose from a single RGB image is a great challenging problem.Graph convolutional networks(GCNs)use graphs to describe the physical connection relationships between hand joints and improve the accuracy of 3D hand pose regression.However,GCNs cannot effectively describe the relationships between non-adjacent hand joints.Recently,hypergraph convolutional networks(HGCNs)have received much attention as they can describe multi-dimensional relationships between nodes through hyperedges;therefore,this paper proposes a framework for 3D hand pose estimation based on HGCN,which can better extract correlated relationships between adjacent and non-adjacent hand joints.To overcome the shortcomings of predefined hypergraph structures,a kind of dynamic hypergraph convolutional network is proposed,in which hyperedges are constructed dynamically based on hand joint feature similarity.To better explore the local semantic relationships between nodes,a kind of semantic dynamic hypergraph convolution is proposed.The proposed method is evaluated on publicly available benchmark datasets.Qualitative and quantitative experimental results both show that the proposed HGCN and improved methods for 3D hand pose estimation are better than GCN,and achieve state-of-the-art performance compared with existing methods.
文摘With the rapid progress of the artificial intelligence(AI)technology and mobile internet,3D hand pose estimation has become critical to various intelligent application areas,e.g.,human-computer interaction.To avoid the low accuracy of single-modal estimation and the high complexity of traditional multi-modal 3D estimation,this paper proposes a novel multi-modal multi-view(MMV)3D hand pose estimation system,which introduces a registration before translation(RT)-translation before registration(TR)jointed conditional generative adversarial network(cGAN)to train a multi-modal registration network,and then employs the multi-modal feature fusion to achieve high-quality estimation,with low hardware and software costs both in data acquisition and processing.Experimental results demonstrate that the MMV system is effective and feasible in various scenarios.It is promising for the MMV system to be used in broad intelligent application areas.
文摘Objective:To estimate the willingness to pay(WTP)of Ho Chi Minh City residents for the hand,foot,and mouth disease(HFMD)vaccine and its associated factors using the contingent valuation method.Methods:This cross-sectional study was conducted in 2024,involved face-to-face interviews with 423 participants in Ho Chi Minh City.The participants were divided into two groups:parents of children under six and individuals without young children.WTP for the HFMD vaccine was assessed using the Krinsky and Robb procedure and the double-bound dichotomous choice technique.A probit regression model was used to analyze factors influencing WTP.Results:The participants had a mean age of(34.0±10.3)years,and the majority of them were female,resided in urban areas,and held a university degree.54.6%had children under six years of age,and 63.8%had never heard of the EV71 vaccine.The mean WTP for two doses of the HFMD vaccine was VND 1240000(USD 51.66).Parents of children under six years old had a mean WTP of USD 49.16,while individuals without young children had a mean WTP of USD 56.25.Significant factors that were positively associated with WTP included vaccine price,younger age,higher income,and greater knowledge about vaccines.Conclusions:The study indicates a relatively high willingness to pay for HFMD vaccination in Ho Chi Minh City,suggesting strong potential for vaccine implementation.It is recommended that the government disseminate vaccine-related information to enhance public awareness and understanding.
文摘This clinical study aimed to explore the therapeutic effect of recombinant human interferonα2b nebulization inhalation in the treatment of hand,foot,and mouth disease in children.Sixty-six patients were selected as the research subjects by the random sampling method and divided into a control group and an observation group.The patients in the control group were treated with ribavirin injection and oral lysine-inositol-vitamin B12 solution,while the patients in the observation group received the treatment of the control group combined with recombinant human interferonα2b nebulization inhalation.The clinical effects of the two groups were compared to determine the clinical efficacy of the two treatment plans.The total effective rates of treatment were 78.79%in the control group and 90.91%in the observation group.The research confirmed that the clinical effect of recombinant human interferonα2b nebulization inhalation in the treatment of hand,foot,and mouth disease in children is remarkable.It can significantly improve the symptoms of children with hand,foot,and mouth disease and is suitable for clinical application and promotion.
