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To meet the 2050 targets about climate change and decarbonization, accomplishing thermal comfort, Internet of Things (IoT) ecosystems are key enabling technologies to move the Built Environment (BE) towards Smart Built Environment (SBE). The first contributions of this paper conceptualise SBE from its dynamic and adaptative perspectives, considering the human habitat, and enunciate SBE as a multidimensional approach through six ways of inhabiting: defensive, projective, scientific, thermodynamic, subjective, and complex. From these premises, to analyse the performance indicators that characterise these multidisciplinary ways of inhabiting, an IoT-driven methodology is proposed: to deploy a sensor infrastructure to acquire experimental measurements; analyse data to convert them into context-aware information; and make knowledge-based decisions. Thus, this work tackles the inefficiency and high energy consumption of public buildings with the challenge of balancing energy efficiency and user comfort in dynamic scenarios. As current systems lack real-time adaptability, this work integrates an IoT-driven approach to enhance energy management and reduce discrepancies between measured temperatures and normative thresholds. Following the energy efficiency directives, the obtained results contribute to the following: understanding the complexity of the SBE by analysing its thermal performance, quantifying the potential of energy saving, and estimating its economic impact. The derived conclusions show that IoT-driven solutions allow the generation of real-data-based models on which to enhance SBE knowledge, by increasing energy efficiency and guaranteeing user comfort while minimising environmental effects and economic impact.

Compatibility of DiamondTemp (DT) radiofrequency (RF) catheter with the Rhythmia mapping system has not been manufacturer-reported nor its tracking accuracy reported. Consecutive patients undergoing macroreentrant atrial tachycardia ablation guided by Rhythmia and ablated using DT were prospectively enrolled. Following catheter configuration, ablation lines were performed and remapped to measure the RF tag to effective-ablation-line-center (RFT-ALC) distance. Among 20 consecutive patients (54 maps), 40 ablation lines were evaluated. Overall, the RFT-ALC distance was 3.88 ± 2.95 mm, and the operator assessment of accuracy was high. No complications occurred. The use of DT catheter guided by the Rhythmia mapping system is feasible and accurate.

Marine environments are delicate ecosystems which directly influence local climates, flora, fauna, and human activities. Their monitorization plays a key role in their preservation, which is most commonly done through the use of environmental sensing buoy networks. These devices transmit data by means of satellite communications or close-range base stations, which present several limitations and elevated infrastructure costs. Unmanned Aerial Vehicles (UAV) are another alternative for remote environmental monitoring which provide new types of data and ease of use. These aircraft are mainly used in video capture related applications, in its various light spectrums, and do not provide the same data as sensing buoys, nor can they be used for such extended periods of time. The aim of this research is to provide a flexible, easy to deploy and cost-effective Wireless Sensor Network (WSN) for monitoring marine environments. This proposal uses a UAV as a mobile data collector, low-power long-range communications and sensing buoys as part of a single WSN. A complete description of the design, development, and implementation of the various parts of this system is presented, as well as its validation in a real-world scenario.

Household appliances, climate control machines, vehicles, elevators, cash counting machines, etc., are complex machines with key contributions to the smart city. Those devices have limited memory and processing power, but they are not just actuators; they embed tens of sensors and actuators managed by several microcontrollers and microprocessors communicated by control buses. On the other hand, predictive maintenance and the capability of identifying failures to avoid greater damage of machines is becoming a topic of great relevance in Industry 4.0, and the large amount of data to be processed is a concern. This article proposes a layered methodology to enable complex machines with automatic fault detection or predictive maintenance. It presents a layered structure to perform the collection, filtering and extraction of indicators, along with their processing. The aim is to reduce the amount of data to work with, and to optimize them by generating indicators that concentrate the information provided by data. To test its applicability, a prototype of a cash counting machine has been used. With this prototype, different failure cases have been simulated by introducing defective elements. After the extraction of the indicators, using the Kullback–Liebler divergence, it has been possible to visualize the differences between the data associated with normal and failure operation. Subsequently, using a neural network, good results have been obtained, being able to correctly classify the failure in 90% of the cases. The result of this application demonstrates the proper functioning of the proposed approach in complex machines.

The kitchen environment is one of the scenarios in the home where users can benefit from Ambient Assisted Living (AAL) applications. Moreover, it is the place where old people suffer from most domestic injuries. This paper presents a novel design, implementation and assessment of a Smart Kitchen which provides Ambient Assisted Living services; a smart environment that increases elderly and disabled people’s autonomy in their kitchen-related activities through context and user awareness, appropriate user interaction and artificial intelligence. It is based on a modular architecture which integrates a wide variety of home technology (household appliances, sensors, user interfaces, etc.) and associated communication standards and media (power line, radio frequency, infrared and cabled). Its software architecture is based on the Open Services Gateway initiative (OSGi), which allows building a complex system composed of small modules, each one providing the specific functionalities required, and can be easily scaled to meet our needs. The system has been evaluated by a large number of real users (63) and carers (31) in two living labs in Spain and UK. Results show a large potential of system functionalities combined with good usability and physical, sensory and cognitive accessibility.

Aims Atrial fibrillation (AF) worsens the prognosis of patients with heart failure (HF). Successful treatments are still very scarce for those with permanent AF and preserved (HFpEF) or mildly reduced (HFmrEF) ejection fraction. In this study, the long‐term benefits and safety profile of heart rate regularization through left‐bundle branch pacing (LBBP) and atrioventricular node ablation (AVNA) will be explored in comparison with pharmacological rate‐control strategy. Methods and results The PACE‐FIB trial is a multicentre, prospective, open‐label, randomized (1:1) clinical study that will take place between March 2022 and February 2027. A total of 334 patients with HFpEF/HFmrEF and permanent AF will receive either LBBP followed by AVNA (intervention arm) or optimal pharmacological treatment for heart rate control according to European guideline recommendations (control arm). All patients will be followed up for a minimum of 36 months. The primary outcome measure will be the composite of all‐cause mortality, HF hospitalization, and worsening HF at 36 months. Other secondary efficacy and safety outcome measures such as echocardiographic parameters, functional status, and treatment‐related adverse events, among others, will be analysed too. Conclusion LBBP is a promising stimulation mode that may foster the clinical benefit of heart rate regularization through AV node ablation compared with pharmacological rate control. This is the first randomized trial specifically addressing the long‐term efficacy and safety of this pace‐and‐ablate strategy in patients with HFpEF/HFmrEF and permanent AF.

Extensive unsupervised livestock farming is a habitual technique in many places around the globe. Animal release can be done for months, in large areas and with different species packing and behaving very differently. Nevertheless, the farmer’s needs are similar: where livestock is (and where has been) and how healthy they are. The geographical areas involved usually have difficult access with harsh orography and lack of communications infrastructure. This paper presents the design of a solution for extensive livestock monitoring in these areas. Our proposal is based in a wearable equipped with inertial sensors, global positioning system and wireless communications; and a Low-Power Wide Area Network infrastructure that can run with and without internet connection. Using adaptive analysis and data compression, we provide real-time monitoring and logging of cattle’s position and activities. Hardware and firmware design achieve very low energy consumption allowing months of battery life. We have thoroughly tested the devices in different laboratory setups and evaluated the system performance in real scenarios in the mountains and in the forest.

This study presents a novel system for diagnosing and evaluating soccer performance using wearable inertial sensors integrated into players’ insoles. Designed to meet the needs of professional podiatrists and sports practitioners, the system focuses on three key soccer-related movements: passing, shooting, and changes of direction (CoDs). The system leverages low-power IMU sensors, Bluetooth Low Energy (BLE) communication, and a cloud-based architecture to enable real-time data analysis and performance feedback. Data were collected from nine professional players from the SD Huesca women’s team during controlled tests, and bespoke algorithms were developed to process kinematic data for precise event detection. Results indicate high accuracy rates for detecting ball-striking events and CoDs, with improvements in algorithm performance achieved through adaptive thresholds and ensemble neural network models. Compared to existing systems, this approach significantly reduces costs and enhances practicality by minimizing the number of sensors required while ensuring real-time evaluation capabilities. However, the study is limited by a small sample size, which restricts generalizability. Future research will aim to expand the dataset, include diverse sports, and integrate additional sensors for broader applications. This system offers a valuable tool for injury prevention, player rehabilitation, and performance optimization in professional soccer, bridging technical advancements with practical applications in sports science.

The Internet of Things (IoT) concept proposes that everyday objects are globally accessible from the Internet and integrate into new services having a remarkable impact on our society. Opposite to Internet world, things usually belong to resource-challenged environments where energy, data throughput, and computing resources are scarce. Building upon existing standards in the field such as IEEE1451 and ZigBee and rooted in context semantics, this paper proposes CTP (Communication Things Protocol) as a protocol specification to allow interoperability among things with different communication standards as well as simplicity and functionality to build IoT systems. Also, this paper proposes the use of the IoT gateway as a fundamental component in IoT architectures to provide seamless connectivity and interoperability among things and connect two different worlds to build the IoT: the Things world and the Internet world. Both CTP and IoT gateway constitute a middleware content-centric architecture presented as the mechanism to achieve a balance between the intrinsic limitations of things in the physical world and what is required from them in the virtual world. Said middleware content-centric architecture is implemented within the frame of two European projects targeting smart environments and proving said CTP's objectives in real scenarios.

Background Although hippotherapy treatment has been demonstrated to have therapeutic effects on children with cerebral palsy, the samples used in research studies have been very small. In the case of hippotherapy simulators, there are no studies that either recommend or advise against their use in the treatment of children with cerebral palsy. The aim of this randomised clinical study is to analyse the therapeutic effects or the contraindications of the use of a commercial hippotherapy simulator on several important factors relating to children with cerebral palsy such as their motor development, balance control in the sitting posture, hip abduction range of motion and electromyographic activity of adductor musculature. Methods/Design The study is a randomised controlled trial. It will be carried out with a sample of 37 children with cerebral palsy divided into two treatment groups. Eligible participants will be randomly allocated to receive either (a) Treatment Group with hippotherapy simulator, maintaining sitting posture, with legs in abduction and rhythmic movement of the simulator or (b) Treatment Group maintaining sitting posture, with legs in abduction and without rhythmic movement of the simulator. Data collection and analysis: all measurements will be carried out by a specially trained blind assessor. To ensure standardization quality of the assessors, an inter-examiner agreement will be worked out at the start of the study. The trial is funded by the Department of Research, Innovation and Development of the Regional Government of Aragon (Official Bulletin of Aragon 23 July 2007), project number PM059/2007. Discussion Interest in this project is due to the following factors: Clinical originality (there are no previous studies analysing the effect of simulators on the population group of children with CP, nor any studies using as many variables as this project); Clinical impact (infantile cerebral palsy is a chronic multisystemic condition that affects not only the patient but also the patient's family and their close circle of friends); Practical benefits (the development of an effective treatment is very important for introducing this element into the rehabilitation of these children). Trial registration Current Controlled Trials ISRCTN03663478.