A Unified Platform for At-Home Post-Stroke Rehabilitation Enabled by Wearable Technologies and Artificial Intelligence

At-home rehabilitation for post-stroke patients presents significant challenges, as continuous, personalized care is often limited outside clinical settings. Additionally, the absence of comprehensive solutions addressing diverse rehabilitation needs in home environments complicates recovery efforts. Here, we introduce a smart home platform that integrates wearable sensors, ambient monitoring, and large language model (LLM)-powered assistance to provide seamless health monitoring and intelligent support. The system leverages machine learning enabled plantar pressure arrays for motor recovery assessment (94% classification accuracy), a wearable eye-tracking module for cognitive evaluation, and ambient sensors for precise smart home control (100% operational success, <1 s latency). Additionally, the LLM-powered agent, Auto-Care, offers real-time interventions, such as health reminders and environmental adjustments, enhancing user satisfaction by 29%. This work establishes a fully integrated platform for long-term, personalized rehabilitation, offering new possibilities for managing chronic conditions and supporting aging populations.

Wearable intelligent throat enables natural speech in stroke patients with dysarthria

Wearable silent speech systems hold significant potential for restoring communication in patients with speech impairments. However, seamless, coherent speech remains elusive, and clinical efficacy is still unproven. Here, we present an AI-driven intelligent throat (IT) system that integrates throat muscle vibrations and carotid pulse signal sensors with large language model (LLM) processing to enable fluent, emotionally expressive communication. The system utilizes ultrasensitive textile strain sensors to capture high-quality signals from the neck area and supports token-level processing for real-time, continuous speech decoding, enabling seamless, delay-free communication. In tests with five stroke patients with dysarthria, IT's LLM agents intelligently corrected token errors and enriched sentence-level emotional and logical coherence, achieving low error rates (4.2% word error rate, 2.9% sentence error rate) and a 55% increase in user satisfaction. This work establishes a portable, intuitive communication platform for patients with dysarthria with the potential to be applied broadly across different neurological conditions and in multi-language support systems.

High-Order Associative Learning Based on Memristive Circuits for Efficient Learning

Memristive associative learning has gained significant attention for its ability to mimic fundamental biological learning mechanisms while maintaining system simplicity. In this work, we introduce a high-order memristive associative learning framework with a biologically realistic structure. By utilizing memristors as synaptic modules and their state information to bridge different orders of associative learning, our design effectively establishes associations between multiple stimuli and replicates the transient nature of high-order associative learning. In Pavlov's classical conditioning experiments, our design achieves a 230% improvement in learning efficiency compared to previous works, with memristor power consumption in the synaptic modules remaining below 11 {\mu}W. In large-scale image recognition tasks, we utilize a 20*20 memristor array to represent images, enabling the system to recognize and label test images with semantic information at 100% accuracy. This scalability across different tasks highlights the framework's potential for a wide range of applications, offering enhanced learning efficiency for current memristor-based neuromorphic systems.

GEM: A GEneral Memristive transistor model

Neuromorphic devices, with their distinct advantages in energy efficiency and parallel processing, are pivotal in advancing artificial intelligence applications. Among these devices, memristive transistors have attracted significant attention due to their superior symmetry, stability, and retention characteristics compared to two-terminal memristors. However, the lack of a robust model that accurately captures their complex electrical behavior has hindered further exploration of their potential. In this work, we present the GEneral Memristive transistor model (GEM), a comprehensive voltage-controlled model that addresses this gap. The GEM model incorporates a state-dependent update function, a voltage-controlled moving window function, and a nonlinear current output function, enabling precise representation of the electrical characteristics of memristive transistors. In experiments, the GEM model not only demonstrates a 300% improvement in modeling the memory behavior but also accurately captures the inherent nonlinearities and physical limits of these devices. This advancement significantly enhances the realistic simulation of memristive transistors, thereby facilitating further exploration and application development.

Deep Learning-Based Longitudinal Prediction of Childhood Myopia Progression Using Fundus Image Sequences and Baseline Refraction Data

Childhood myopia constitutes a significant global health concern. It exhibits an escalating prevalence and has the potential to evolve into severe, irreversible conditions that detrimentally impact familial well-being and create substantial economic costs. Contemporary research underscores the importance of precisely predicting myopia progression to enable timely and effective interventions, thereby averting severe visual impairment in children. Such predictions predominantly rely on subjective clinical assessments, which are inherently biased and resource-intensive, thus hindering their widespread application. In this study, we introduce a novel, high-accuracy method for quantitatively predicting the myopic trajectory and myopia risk in children using only fundus images and baseline refraction data. This approach was validated through a six-year longitudinal study of 3,408 children in Henan, utilizing 16,211 fundus images and corresponding refractive data. Our method based on deep learning demonstrated predictive accuracy with an error margin of 0.311D per year and AUC scores of 0.944 and 0.995 for forecasting the risks of developing myopia and high myopia, respectively. These findings confirm the utility of our model in supporting early intervention strategies and in significantly reducing healthcare costs, particularly by obviating the need for additional metadata and repeated consultations. Furthermore, our method was designed to rely only on fundus images and refractive error data, without the need for meta data or multiple inquiries from doctors, strongly reducing the associated medical costs and facilitating large-scale screening. Our model can even provide good predictions based on only a single time measurement. Consequently, the proposed method is an important means to reduce medical inequities caused by economic disparities.

Self-reconfigurable Multifunctional Memristive Nociceptor for Intelligent Robotics

Artificial nociceptors, mimicking human-like stimuli perception, are of significance for intelligent robotics to work in hazardous and dynamic scenarios. One of the most essential characteristics of the human nociceptor is its self-adjustable attribute, which indicates that the threshold of determination of a potentially hazardous stimulus relies on environmental knowledge. This critical attribute has been currently omitted, but it is highly desired for artificial nociceptors. Inspired by these shortcomings, this article presents, for the first time, a Self-Directed Channel (SDC) memristor-based self-reconfigurable nociceptor, capable of perceiving hazardous pressure stimuli under different temperatures and demonstrates key features of tactile nociceptors, including 'threshold,' 'no-adaptation,' and 'sensitization.' The maximum amplification of hazardous external stimuli is 1000%, and its response characteristics dynamically adapt to current temperature conditions by automatically altering the generated modulation schemes for the memristor. The maximum difference ratio of the response of memristors at different temperatures is 500%, and this adaptability closely mimics the functions of biological tactile nociceptors, resulting in accurate danger perception in various conditions. Beyond temperature adaptation, this memristor-based nociceptor has the potential to integrate different sensory modalities by applying various sensors, thereby achieving human-like perception capabilities in real-world environments.

Real-Time State Modulation and Acquisition Circuit in Neuromorphic Memristive Systems

Memristive neuromorphic systems are designed to emulate human perception and cognition, where the memristor states represent essential historical information to perform both low-level and high-level tasks. However, current systems face challenges with the separation of state modulation and acquisition, leading to undesired time delays that impact real-time performance. To overcome this issue, we introduce a dual-function circuit that concurrently modulates and acquires memristor state information. This is achieved through two key features: 1) a feedback operational amplifier (op-amp) based circuit that ensures precise voltage application on the memristor while converting the passing current into a voltage signal; 2) a division calculation circuit that acquires state information from the modulation voltage and the converted voltage, improving stability by leveraging the intrinsic threshold characteristics of memristors. This circuit has been evaluated in a memristor-based nociceptor and a memristor crossbar, demonstrating exceptional performance. For instance, it achieves mean absolute acquisition errors below 1 {\Omega} during the modulation process in the nociceptor application. These results demonstrate that the proposed circuit can operate at different scales, holding the potential to enhance a wide range of neuromorphic applications.

Diagnosis of Multiple Fundus Disorders Amidst a Scarcity of Medical Experts Via Self-supervised Machine Learning

Fundus diseases are major causes of visual impairment and blindness worldwide, especially in underdeveloped regions, where the shortage of ophthalmologists hinders timely diagnosis. AI-assisted fundus image analysis has several advantages, such as high accuracy, reduced workload, and improved accessibility, but it requires a large amount of expert-annotated data to build reliable models. To address this dilemma, we propose a general self-supervised machine learning framework that can handle diverse fundus diseases from unlabeled fundus images. Our method's AUC surpasses existing supervised approaches by 15.7%, and even exceeds performance of a single human expert. Furthermore, our model adapts well to various datasets from different regions, races, and heterogeneous image sources or qualities from multiple cameras or devices. Our method offers a label-free general framework to diagnose fundus diseases, which could potentially benefit telehealth programs for early screening of people at risk of vision loss.

SSVT: Self-Supervised Vision Transformer For Eye Disease Diagnosis Based On Fundus Images

Machine learning-based fundus image diagnosis technologies trigger worldwide interest owing to their benefits such as reducing medical resource power and providing objective evaluation results. However, current methods are commonly based on supervised methods, bringing in a heavy workload to biomedical staff and hence suffering in expanding effective databases. To address this issue, in this article, we established a label-free method, name 'SSVT',which can automatically analyze un-labeled fundus images and generate high evaluation accuracy of 97.0% of four main eye diseases based on six public datasets and two datasets collected by Beijing Tongren Hospital. The promising results showcased the effectiveness of the proposed unsupervised learning method, and the strong application potential in biomedical resource shortage regions to improve global eye health.

Local stochastic computing using memristor-enabled stochastic logics

Stochastic computing offers a probabilistic approach to address challenges posed by problems with uncertainty and noise in various fields, particularly machine learning. The realization of stochastic computing, however, faces the limitation of developing reliable stochastic logics. Here, we present stochastic logics development using memristors. Specifically, we integrate memristors into logic circuits to design the stochastic logics, wherein the inherent stochasticity in memristor switching is harnessed to enable stochastic number encoding and processing with well-regulated probabilities and correlations. As a practical application of the stochastic logics, we design a compact stochastic Roberts cross operator for edge detection. Remarkably, the operator demonstrates exceptional contour and texture extractions, even in the presence of 50% noise, and owning to the probabilistic nature and compact design, the operator can consume 95% less computational costs required by conventional binary computing. The results underscore the great potential of our stochastic computing approach as a lightweight local solution to machine learning challenges in autonomous driving, virtual reality, medical diagnosis, industrial automation, and beyond.