Personalised thermal comfort is essential for occupant wellbeing and for the development of more responsive building-control strategies, yet conventional Heating, Ventilation, and Air Conditioning (HVAC) systems rely on static setpoints and population-level comfort models that fail to capture individual physiological variability. This paper presents a two-stage personalised thermal comfort approach integrating multimodal physiological and environmental sensing with reinforcement learning-based decision-making.
Egocentric vision systems capture human behavior from visible cues, but overlook physiological indicators of autonomic states such as stress, engagement, and attention. Heart rate variability (HRV) is a widely used noninvasive marker of autonomic regulation under stress. HRV reflects small timing differences between successive heartbeats and has so far been out of reach for egocentric platforms, where motion and noise in gaze video mask exactly this fine-grained timing. We propose EgoHRV, a method that estimates HRV as well as heart rate (HR) from the gaze cameras that are already integrated into egocentric headsets. Our pipeline combines a 3D backbone with a novel low--high decomposition module that extracts the blood volume pulse (BVP) signal from gaze video. Our cross-domain pretraining aligns the frequency-domain representations of contact-based and camera-derived signals. This alignment gives EgoHRV the temporal precision to recover HRV from the subtle fluctuations in gaze video. EgoHRV achieves state-of-the-art accuracy for HR and HRV estimation from egocentric video, and its uncertainty-aware design improves downstream behavioral modeling. Integrating our HRV estimates and confidence measures into EgoExo4D's proficiency estimator raises accuracy by 17.8%. Beyond skill, continuous HRV estimation also opens egocentric systems to stress- and arousal-aware estimation tasks. Code: https://github.com/eth-siplab/EgoHRV
Continuous multimodal sensing now allows human physiology to be observed throughout daily life rather than only during occasional clinical visits. However, most health artificial intelligence systems are designed to recognize current states, estimate risks or analyse individual biomarkers. They do not directly model how physiological states change in response to real-world events, behaviours, contexts and interventions. Here we propose the Physiological World Model (PWM), an event-conditioned framework for learning these changes at the level of the whole person. We introduce the HumanState Transition Token, a structured, quality-scored unit that connects the physiological state before an event with the event or action, relevant context and intervention information, the physiological trajectory after the event, observed outcomes and data quality. We describe four capability levels, from state representation to bounded intervention planning, together with four data acquisition and validation protocols. We also propose six benchmark tasks covering HumanState representation, forecasting across multiple timescales, individualized response prediction, simulation of alternative interventions, bounded planning and reliability under distribution shift. Together, this framework provides a practical path towards personalized health management, behavioural intervention design and clinician-supervised decision support, while clearly separating prediction from causal inference and making uncertainty, safety, governance and limits of use explicit.
Derived measurements increasingly enter large language model (LLM) pipelines as direct facts despite their instance-dependent validity. We define derived-feature over-trust (DFOT) as the failure in which a downstream LLM assigns such a measurement the epistemic status of a direct fact or uses it outside its valid scope. Using physiological sensing as a case study, D1 tests acceptance of a PPG-derived rhythm contradicted by offline ECG, whereas D2 tests rejection of an offline-confirmed reliable PPG rhythm under misleading severe history. ECG supplies training supervision and offline reference construction but is never shown to the LLM. Five estimands quantify this chain: conflict over-trust rate (COTR) and context-induced error rate (CIR) characterize D1/D2; correct repair rate (CRR) measures frozen-error repair; evidence-specific repair margin (ESRM) contrasts matched and patient-disjoint shuffled evidence; and utility harm rate (UHR) measures unnecessary verification among HIGH-reliability cases used without verification at baseline. The framework does not depend on a particular reliability generator. We demonstrate it on 50,000 paired PPG-ECG records using ECG-to-PPG privileged distillation as an illustrative baseline and PPG-only inference. On a protocol-locked 187-patient test, the baseline improves four repair and specificity endpoints by 1.82-6.69 percentage points, with all paired confidence intervals excluding zero; UHR increases by 0.67 percentage points (95% CI: -0.4 to +1.7). DFOT provides a common evaluation target for stronger mitigation methods. The code is available at https://github.com/Zongheng-Guo/When-Derived-Measurements-Mislead.
We present Full-Self Diagnostics (FSD), a unified mathematical framework for recovering latent physiological states from unconstrained 9-second facial videos captured by consumer smartphones. The approach integrates five mutually reinforcing components: (1) a physics-based forward model derived from the radiative transfer equation and chromophore absorption that maps camera observables to biomarker concentrations; (2) an information-theoretic observability theory proving that multi-channel visual signals (spectral, pulse, respiratory, micro-expression, and oculomotor) contain strictly increasing mutual information with physiological state; (3) a stable, Tikhonov-regularized inverse problem with domain-uniform identifiability guarantees; (4) an operator-learning formulation that enables generalization across devices, resolutions, and populations; and (5) a supervised learning procedure, interpretable as stochastic variational inference, that continuously refines the model from paired biosensor ground truth with performance improving proportionally to one over the square root of the number of paired observations. Empirical validation on 38812 real-world paired scans across 59 subjects demonstrates practical performance. Self-collected data from the lead author (glucose range 35-550 mg/dL) yields MARD of 29.86 percent with 97.57 percent of predictions in Clarke Error Grid Zones A+B and only 0.27 percent in the dangerous Zone E. A well-managed diabetic participant achieves MARD of 17 percent in the narrower 70-180 mg/dL band. These results confirm that consumer-grade facial video encodes sufficient structured information for clinically relevant, non-invasive biomarker inference under fully unconstrained conditions, with performance scaling predictably as more paired data becomes available.
Remote photoplethysmography (rPPG) achieves low heart-rate error on uncompressed benchmarks yet is deployed over compressed video channels in telehealth, neonatal ICU, and driver fatigue applications. No prior work identifies the physical quantity determining when spatial decomposition outperforms global-projection methods under codec compression. We propose Spatial Artifact Coherence (SAC), defined as the ratio of off-diagonal to diagonal energy in the 4x4 inter-patch Green-channel covariance matrix (bandpass 0.75-2.5 Hz), and the PatchPCA algorithm family (four codec-aware rPPG algorithms). We evaluate 280 subjects across three public datasets, 11 codec degradation variants (MPEG-4, H.265, H.264, JPEG, chroma subsampling), and 13 algorithms via Wilcoxon tests (BH-FDR, q < 0.05, 904 tests). SAC explains 93.8% of between-variant variance in PCA advantage (r = +0.969), with zero overlap between codec families: non-MPEG-4 variants cluster at SAC 0.10-0.18 with 84-90% PCA win rates, while MPEG-4 variants cluster at SAC 0.48-0.59 with 61% win rate and a 5.8x reduction in mean improvement. Within subjects, 78% confirm the expected pattern (p < 10^-22, dz = 0.73). Within-variant subject-level SAC correlation is r = +0.099, confirming SAC classifies codec families rather than predicting individual outcomes. MPEG-4's effect is structural (macroblock DCT geometry, not noise amplitude), governed by source codec state, not resolution. P-Hybrid is identified as the most deployment-robust algorithm. Two necessary operating conditions for PatchPCA advantage are established: SAC < 0.30 and low-to-moderate motion, directly ruling out raw-to-MPEG-4 transcoding pipelines. SAC provides a physically grounded metric for codec-aware rPPG algorithm selection in clinical remote monitoring systems.