Abstract
People are living longer, promoting new challenges in healthcare. Many older adults prefer to age in their own homes rather than in healthcare institutions. Portugal has seen a similar trend, and public and private home care solutions have been developed. However, age-related pathologies can affect an elderly person's ability to perform daily tasks independently. Ambient Assisted Living (AAL) is a domain that uses information and communication technologies to improve the quality of life of older adults. AI-based fall detection systems have been integrated into AAL studies, and posture estimation tools are important for monitoring patients. In this study, the OpenCV and the YOLOv7 machine learning framework are used to develop a fall detection system based on posture analysis. To protect patient privacy, the use of a thermal camera is proposed to prevent facial recognition. The developed system was applied and validated in the real scenario.

Abstract
This systematic literature review investigates the factors influencing cloud computing adoption within both educational and organizational settings. By synthesizing a comprehensive body of research, this study finds and analyzes the determinants that shape the decision-making process about cloud technology adoption. Security, cost-effectiveness, scalability, interoperability, and regulatory compliance are examined across educational institutions and organizational contexts. Additionally, socio-economic, political, and technological factors specific to each context are explored to provide a nuanced understanding of the challenges and opportunities associated with cloud computing adoption. The review reveals commonalities and differences in adoption drivers and barriers between education and organizational environments, offering insights into tailored strategies for effective implementation. This research contributes to the existing literature by shedding light on the multifaceted nature of cloud adoption and offering valuable guidance for educators, organizational leaders, policymakers, and technology providers looking to use cloud computing to enhance operations and services.

Abstract
The increasing relevance of remote sensing and artificial intelligence (AI) for archaeological research and cultural heritage management is undeniable. However, there is a critical gap in this field. Many studies conclude with identifying hundreds or even thousands of potential sites, but very few follow through with crucial fieldwork validation to confirm their existence. This research addresses this gap by proposing and implementing a fieldwork validation pipeline. In northern Portugal's Alto Minho region, we employed this pipeline to verify 237 potential burial mounds identified by an AI-powered algorithm. Fieldwork provided valuable information on the optimal conditions for burial mounds and the specific factors that led the algorithm to err. Based on these insights, we implemented two key improvements to the algorithm. First, we incorporated a slope map derived from LiDAR-generated terrain models to eliminate potential burial mound inferences in areas with high slopes. Second, we trained a Vision Transformer model using digital orthophotos of both confirmed burial mounds and previously identified False Positives. This further refines the algorithm's ability to distinguish genuine sites. The improved algorithm was then tested in two areas: the original Alto Minho validation region and the Barbanza region in Spain, where the location of burial mounds was well established through prior field work.

Abstract
This communication explores an optical extreme learning architecture to unravel the impact of using a nonlinear optical media as an activation layer. Our analysis encloses the evaluation of multiple parameters, with special emphasis on the efficiency of the training process, the dimensionality of the output space, and computing performance across tasks associated with the classification in low-dimensionality input feature spaces. The results enclosed provide evidence of the importance of the nonlinear media as a building block of an optical extreme learning machine, effectively increasing the size of the output space, the accuracy, and the generalization performances. These findings may constitute a step to support future research on the field, specifically targeting the development of robust general-purpose all-optical hardware to a full-stack integration with optical sensing devices toward edge computing solutions.

Abstract
TPS621 Background: Breast cancer treatments often pose challenges in balancing efficacy with quality of life. The CINDERELLA Project pioneers an artificial intelligence (AI)-driven approach (CINDERELLA APP) for shared decision-making process, aiming to harmonise locoregional therapeutic interventions with breast cancer patients' expectations about aesthetic outcomes. The CINDERELLA clinical trial aims to establish a new standard in patient-centred care by bridging the gap between clinical treatment options and patient expectations through innovative technology. The trial focuses on evaluating the effectiveness of the CINDERELLA APP in improving patient satisfaction regarding locoregional treatment aesthetic outcomes, aligning patient expectations with real-world results, and assessing its impact on overall quality of life and psychological well-being. Methods: Trial design and statistical methods: This international multicentric interventional randomised controlled open-label clinical trial will recruit and randomise patients into two groups: one receiving standard treatment information and the other using the AI-powered CINDERELLA APP. The primary objective is to assess the levels of agreement among patients' expectations regarding the aesthetic outcome before and 12 months after locoregional treatment. The trial will also evaluate the aesthetic outcome level of agreement between the AI evaluation tool and self-evaluation. The impact of the intervention on aligning expectations with outcomes will be evaluated using the Wilcoxon signed-rank test. The improvement in classification of aesthetic results post-intervention will be measured by calculating the Weighted Cohen's kappa. Outcomes across different groups will be compared using statistical tests and bootstrap methods. CANKADO functions as the base system, allowing doctors to supervise APP content for patients and handle data gathering, while upholding principles of privacy, data security, and ethical AI practices. Intervention planned: Using the CINDERELLA APP, the patient will have access to supervised medical information approved by breast cancer experts, and the AI system will match patient's information to pictures showing the potential aesthetic outcome (spectrum of good-poor) according to different locoregional approach. Major eligibility criteria: Non-metastatic breast cancer patients eligible for either breast-conserving surgery or mastectomy with immediate reconstruction. Current enrollment: Recruitment is currently open at six study sites. The recruitment started on 8 August 2023, aiming to enroll at least 515 patients/arm. As of January 26, 2024, clinical study sites have successfully randomised 177 patients. Clinical trial information: NCT05196269 .

Abstract
With the objective of developing new methods to acquire diagnostic information, the reconstruction of the broadband absorption coefficient spectra (mu a[lambda]) of healthy and chromophobe renal cell carcinoma kidney tissues was performed. By performing a weighted sum of the absorption spectra of proteins, DNA, oxygenated, and deoxygenated hemoglobin, lipids, water, melanin, and lipofuscin, it was possible to obtain a good match of the experimental mu a(lambda) of both kidney conditions. The weights used in those reconstructions were estimated using the least squares method, and assuming a total water content of 77% in both kidney tissues, it was possible to calculate the concentrations of the other tissue components. It has been shown that with the development of cancer, the concentrations of proteins, DNA, oxygenated hemoglobin, lipids, and lipofuscin increase, and the concentration of melanin decreases. Future studies based on minimally invasive spectral measurements will allow cancer diagnosis using the proposed approach.