2025
Authors
Reza, S; Ferreira, MC; Machado, JJM; Tavares, JMRS;
Publication
EXPERT SYSTEMS
Abstract
An autonomous vehicle can sense its environment and operate without human involvement. Its adequate management in an intelligent transportation system could significantly reduce traffic congestion and overall travel time in a network. Adaptive traffic signal controller (ATSC) based on multi-agent systems using state-action-reward-state-action (SARSA (lambda)) are well-known state-of-the-art models to manage autonomous vehicles within urban areas. However, this study found inefficient weights updating mechanisms of the conventional SARSA (lambda) models. Therefore, it proposes a Gaussian function to regulate the eligibility trace vector's decay mechanism effectively. On the other hand, an efficient understanding of the state of the traffic environment is crucial for an agent to take optimal actions. The conventional models feed the state values to the agents through the MinMax normalization technique, which sometimes shows less efficiency and robustness. So, this study suggests the MaxAbs scaled state values instead of MinMax to address the problem. Furthermore, the combination of the A-star routing algorithm and proposed model demonstrated a good increase in performance relatively to the conventional SARSA (lambda)-based routing algorithms. The proposed model and the baselines were implemented in a microscopic traffic simulation environment using the SUMO package over a complex real-world-like 21-intersections network to evaluate their performance. The results showed a reduction of the vehicle's average total waiting time and total stops by a mean value of 59.9% and 17.55% compared to the considered baselines. Also, the A-star combined with the proposed controller outperformed the conventional approaches by increasing the vehicle's average trip speed by 3.4%.
2025
Authors
Martins, AR; Ferreira, MC; Fernandes, CS;
Publication
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
Abstract
Purpose:To synthesizethe availableevidenceaboutthe use of HealthInformationTechnology(HIT)to supportpatientsduringhemodialysis.Methods:TheJoannaBriggsInstitute's methodologicalguidelinesfor scopingreviewsandthe PRISMA-ScRchecklistwereemployed.BibliographicsearchesacrossMEDLINE (R), CINAHL (R), PsychologyandBehavioralSciencesCollection,Scopus,MedicLatina,and Cochraneyielded932 records.Results:Eighteenstudiespublishedbetween2003and2023wereincluded.Theyexploreda rangeof HITs,includingvirtualreality,exergames,websites,and mobileapplications,all specificallydevelopedfor use duringthe intradialyticperiod.Conclusion:Thisstudyhighlightsthe HITsdevelopedfor use duringhemodialysistreatment,supportingphysicalexercise,diseasemanagement,and enhancementof self-efficacyand self-care.
2025
Authors
Botelho, TC; Duarte, SP; Ferreira, MC; Ferreira, S; Lobo, A;
Publication
EUROPEAN TRANSPORT RESEARCH REVIEW
Abstract
The evolution of transport technologies, marked by integrating connectivity and automation, has led to innovative approaches such as truck platooning. This concept involves linking multiple trucks through automated driving and vehicle-to-vehicle communication, promising to revolutionize the freight industry by enhancing efficiency and reducing operational costs. This systematic review explores the current state of truck platooning testing literature, focusing on simulator and on-road tests. The objective is to identify key scenarios and requirements for successfully developing and implementing the truck platooning concept. Following the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA) guidelines, we searched the Web of Science and Scopus databases, leading to the inclusion of thirty pertinent articles encompassing simulation-based, on-road, and mixed-environment experiments. In addition to the type of testing environment, these articles were assorted into three groups corresponding to their main thematic scope, human-centered, technology-centered, and energy efficiency studies, each providing unique insights into core themes for the development of truck platooning. The results reveal a commonly preferred platoon formation consisting of three trucks maintaining a constant speed of 80 km/h and a stable distance of 10 m between them. Simulator-based studies have predominantly concentrated on human factors, examining driver behavior and interaction within the platooning framework. In contrast, on-road trials have yielded tangible data, offering a more technology-driven perspective and contributing practical insights to the field. While the literature on truck platooning has grown considerably, this review recognizes some limitations in the existing literature and suggests paths for future research. Overall, this systematic review provides valuable insights to the ongoing development of robust and effective truck platooning systems.
2025
Authors
Cunha, A; Campos, MJ; Ferreira, MC; Fernandes, CS;
Publication
TEACHING AND LEARNING IN NURSING
Abstract
Background: During their training, nurses must develop interprofessional collaboration skills, which are essential in clinical settings. Aim: This study aims to describe the development and testing stages of a virtual escape room, named Lock-down Treatment, to enhance interprofessional collaboration. Methods: The User-Centered Design methodology was used, involving users from requirement gathering to iterative prototyping. Requirements were established through interviews with 6 healthcare professionals, and a prototype was developed and tested for final assessment. Results: The results identified key areas for improvement, particularly in terms of timing and support during the game and demonstrated the effectiveness of the escape room in promoting interdisciplinary collaboration. This study proves that tools like escape rooms can significantly enrich nursing education. Conclusion: It is essential to integrate innovative methods into interprofessional training, making it more engaging and interactive. However, it is crucial that such tools are meticulously planned and validated to ensure their suitability through a rigorous validation process. Future research should evaluate the 'Lockdown Treatment' to assess its long-term effectiveness and applicability in clinical practice and patient outcomes. (c) 2025 The Authors. Published by Elsevier Inc. on behalf of Organization for Associate Degree Nursing. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
2025
Authors
Cerqueira, F; Ferreira, MC; Campos, MJ; Fernandes, CS;
Publication
COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE
Abstract
Background: The study aims to present and explain the development stages of a mobile app designed to improve health literacy for self-management of oncological diseases. Through the integration of gamification, the app aims to enhance patient engagement and education in an interactive manner. Methods: The methodology of Design Science in Information Systems and Software Engineering was employed, which included stages of needs identification, requirements definition, prototyping, and iterative validation of the developed artifact. A total of 132 participants, consisting of patients and healthcare professionals, were involved in the development of the PocketOnco application. The subsequent implementation of the App, PocketOnco, involved usability testing, System Usability Scale assessment, and the collection of qualitative feedback. Results: The usability testing analysis revealed excellent acceptance of PocketOnco, with the gamified elements such as quizzes and reward systems being particularly appreciated for their ability to consistently engage and motivate users. Conclusion: The various stages in the development of this resource ensure the quality of its purpose. The application proved to be a viable and attractive solution for both patients and healthcare professionals, suggesting a promising path for future digital interventions in the field of oncology.
2025
Authors
Amarelo, A; da Mota, MCC; Amarelo, BLP; Ferreira, MC; Fernandes, CS;
Publication
PAIN MANAGEMENT NURSING
Abstract
Objective: The aim of this systematic review and meta-analysis is to systematically collect, evaluate, and critically synthesize research findings on the effects of physical exercise on chemotherapy-induced peripheral neuropathy (CIPN). Method: The Joanna Briggs Institute (JBI) methodology for systematic reviews was adopted for this study. We searched the Medline (R), CINAHL, SportDiscus, and Scopus databases to identify relevant articles published from inception to March 2024. This review was reported in accordance with the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results: Twelve studies met the inclusion criteria, totaling 928 participants. Interventions ranged from aerobic and resistance exercises to balance and strength training. A range of physical exercise interventions was explored, including brisk walking, endurance training, weight exercises, and resistance bands, as well as combined programs of aerobics, resistance, and balance training, all tailored to improve symptoms and quality of life in patients with chemotherapy-induced peripheral neuropathy. The meta-analysis focused on five studies that used the FACT/GOG-Ntx scale indicated a standardized mean difference of 0.50 (95% CI: 0.26, 0.74), favoring exercise, reflecting significant improvements in neuropathy symptoms. The heterogeneity among the studies was low (I 2 = 2%), suggesting consistency in the beneficial effects of exercise. Conclusions: From the results analyzed, the descriptive analysis of the 12 included studies shows promising outcomes not only related to individuals' perceptions of CIPN severity but also in terms of physical functioning, balance, ADL (Activities of Daily Living) performance, pain, and quality of life. The findings support the integration of structured exercise programs into oncological treatment plans. (c) 2024 The Authors. Published by Elsevier Inc. on behalf of American Society for Pain Management Nursing. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
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