BackgroundExoskeleton technology has potential benefits for wheelchair users’ health and mobility. However, there are practical barriers to their everyday use as a mobility device. To further understand potential exoskeleton use, and facilitate the development of new technologies, a study was undertaken to explore perspectives of wheelchair users and healthcare professionals on reasons for use of exoskeleton technology, and the importance of a variety of device characteristics.MethodsAn online survey with quantitative and qualitative components was conducted with wheelchair users and healthcare professionals working directly with individuals with mobility impairments. Respondents rated whether they would use or recommend an exoskeleton for four potential reasons. Seventeen design features were rated and compared in terms of their importance. An exploratory factor analysis was conducted to categorize the 17 design features into meaningful groupings. Content analysis was used to identify themes for the open ended questions regarding reasons for use of an exoskeleton.Results481 survey responses were analyzed, 354 from wheelchair users and 127 from healthcare professionals. The most highly rated reason for potential use or recommendation of an exoskeleton was health benefits. Of the design features, 4 had a median rating of very important: minimization of falls risk, comfort, putting on/taking off the device, and purchase cost. Factor analysis identified two main categories of design features: Functional Activities and Technology Characteristics. Qualitative findings indicated that health and physical benefits, use for activity and access reasons, and psychosocial benefits were important considerations in whether to use or recommend an exoskeleton.ConclusionsThis study emphasizes the importance of developing future exoskeletons that are comfortable, affordable, minimize fall risk, and enable functional activities. Findings from this study can be utilized to inform the priorities for future development of this technology.Electronic supplementary materialThe online version of this article (doi:10.1186/1743-0003-11-169) contains supplementary material, which is available to authorized users.

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This study captures the opinions and perspectives of two stakeholder groups for an exoskeleton-wheelchair hybrid device. It also emphasizes the importance of fall-protection, hand-use capabilities and enabling functional activities. Findings from this study can be utilized to provide insight for the refinement of the COMBO concept, as well as to guide more general mobility device research and development.

Urban habitats provide wildlife with predictable, easily accessible and abundant food sources in the form of human food waste. Urban eastern gray squirrels ( Sciurus carolinensis ) are commonly observed feeding in trash bins, but we lack data regarding the type, quantity and seasonal changes in food waste usage. We observed five trash bins on an urban university campus during four different observation periods. We recorded the time squirrels spent on and inside trash bins and type of retrieved food items. We also recorded ambient temperature, human presence and trash bin filling. Moreover, we determined changes in squirrel population density in a natural and three anthropogenic habitats during the same periods. Trash bins were fuller when human presence was higher. The higher human presence, the more squirrels went on and inside the bin, but there was no effect on number of retrieved food items. Trash bin usage by squirrels decreased when ambient temperature and bin filling increased. Most food items were retrieved during the coldest observation period, a period of high human presence, and the majority of retrieved food items were starchy foods (e.g., bread, French fries). The relationship between the number of squirrels observed along transects and a measure of urbanization, the normalized difference built-up index, was negative in periods with high ambient temperatures and positive in periods with low ambient temperatures, indicating winter may be less challenging in urban areas, likely facilitated by the availability of anthropogenic food sources, allowing a higher level of activity throughout winter. Supplementary Information The online version contains supplementary material available at 10.1007/s42991-022-00326-3.