Eye-CU: Sleep Pose Classification for Healthcare using Multimodal Multiview Data

Manual analysis of body poses of bed-ridden patients requires staff to continuously track and record patient poses. Two limitations in the dissemination of pose-related therapies are scarce human resources and unreliable automated systems. This work addresses these issues by introducing a new method and a new system for robust automated classification of sleep poses in an Intensive Care Unit (ICU) environment. The new method, coupled-constrained Least-Squares (cc-LS), uses multimodal and multiview (MM) data and finds the set of modality trust values that minimizes the difference between expected and estimated labels. The new system, Eye-CU, is an affordable multi-sensor modular system for unobtrusive data collection and analysis in healthcare. Experimental results indicate that the performance of cc-LS matches the performance of existing methods in ideal scenarios. This method outperforms the latest techniques in challenging scenarios by 13% for those with poor illumination and by 70% for those with both poor illumination and occlusions. Results also show that a reduced Eye-CU configuration can classify poses without pressure information with only a slight drop in its performance.Comment: Ten-page manuscript including references and ten figure

Healthcare Event and Activity Logging.

The health of patients in the intensive care unit (ICU) can change frequently and inexplicably. Crucial events and activities responsible for these changes often go unnoticed. This paper introduces healthcare event and action logging (HEAL) which automatically and unobtrusively monitors and reports on events and activities that occur in a medical ICU room. HEAL uses a multimodal distributed camera network to monitor and identify ICU activities and estimate sanitation-event qualifiers. At the core is a novel approach to infer person roles based on semantic interactions, a critical requirement in many healthcare settings where individuals' identities must not be identified. The proposed approach for activity representation identifies contextual aspects basis and estimates aspect weights for proper action representation and reconstruction. The flexibility of the proposed algorithms enables the identification of people roles by associating them with inferred interactions and detected activities. A fully working prototype system is developed, tested in a mock ICU room and then deployed in two ICU rooms at a community hospital, thus offering unique capabilities for data gathering and analytics. The proposed method achieves a role identification accuracy of 84% and a backtracking role identification of 79% for obscured roles using interaction and appearance features on real ICU data. Detailed experimental results are provided in the context of four event-sanitation qualifiers: clean, transmission, contamination, and unclean

Multimodal Analytics for Healthcare

The ailing healthcare system demands effective autonomous solutions to improve service and provide individualize care, while reducing the burden on the scarce healthcare workforce. Most of these solutions require a multidisciplinary approach that combines healthcare with computational abilities. The work presented in this thesis introduces a multimodal multiview network along with methods and solutions that leverage inexpensive visual sensors and computers to monitor healthcare. One of the most prominent outcomes of this work includes enabling the medical analysis of ICU conditions such as sleep disorders, decubitus ulcerations, and hospital acquired infections, which are preventable and negatively affect patients' health population. The problems tackled include patient pose classification, pose motion analysis and summarization, role representation and identification, and activity and event logging in natural hospital settings. These problems are addressed via a non-intrusive non-disruptive multimodal multiview sensor network (Medical Internet-of-Things). The multimodal data is combined with coupled-optimization to estimate source weights and accurately classify patient poses. Pose patterns such as pose transitions are represented using deep convolutional features and pose duration is modelled via segments. The proposed techniques serve to differentiate between poses and pseudo-poses (transitory poses) and create effective motion summaries. The role representation is tackled using novel appearance and semantic interaction maps to assign generic labels to individuals (doctor, nurse, visitor, etc) without using identifiable information (e.g., facetracking or badges), which is prohibited in healthcare applications. Finally, activity and event analysis is tackled using a new contextual aspect frames where aspect bases and weights are learned and then used to reconstruct activities. The objective of this thesis is to enable the development, evaluation, and optimization of individualized therapies, standards-of-care, room infrastructural designs, and clinical workflows and procedures

Electrocardiogram Monitoring Wearable Devices and Artificial-Intelligence-Enabled Diagnostic Capabilities: A Review

Worldwide, population aging and unhealthy lifestyles have increased the incidence of high-risk health conditions such as cardiovascular diseases, sleep apnea, and other conditions. Recently, to facilitate early identification and diagnosis, efforts have been made in the research and development of new wearable devices to make them smaller, more comfortable, more accurate, and increasingly compatible with artificial intelligence technologies. These efforts can pave the way to the longer and continuous health monitoring of different biosignals, including the real-time detection of diseases, thus providing more timely and accurate predictions of health events that can drastically improve the healthcare management of patients. Most recent reviews focus on a specific category of disease, the use of artificial intelligence in 12-lead electrocardiograms, or on wearable technology. However, we present recent advances in the use of electrocardiogram signals acquired with wearable devices or from publicly available databases and the analysis of such signals with artificial intelligence methods to detect and predict diseases. As expected, most of the available research focuses on heart diseases, sleep apnea, and other emerging areas, such as mental stress. From a methodological point of view, although traditional statistical methods and machine learning are still widely used, we observe an increasing use of more advanced deep learning methods, specifically architectures that can handle the complexity of biosignal data. These deep learning methods typically include convolutional and recurrent neural networks. Moreover, when proposing new artificial intelligence methods, we observe that the prevalent choice is to use publicly available databases rather than collecting new data

A Novel Two Stream Decision Level Fusion of Vision and Inertial Sensors Data for Automatic Multimodal Human Activity Recognition System

This paper presents a novel multimodal human activity recognition system. It uses a two-stream decision level fusion of vision and inertial sensors. In the first stream, raw RGB frames are passed to a part affinity field-based pose estimation network to detect the keypoints of the user. These keypoints are then pre-processed and inputted in a sliding window fashion to a specially designed convolutional neural network for the spatial feature extraction followed by regularized LSTMs to calculate the temporal features. The outputs of LSTM networks are then inputted to fully connected layers for classification. In the second stream, data obtained from inertial sensors are pre-processed and inputted to regularized LSTMs for the feature extraction followed by fully connected layers for the classification. At this stage, the SoftMax scores of two streams are then fused using the decision level fusion which gives the final prediction. Extensive experiments are conducted to evaluate the performance. Four multimodal standard benchmark datasets (UP-Fall detection, UTD-MHAD, Berkeley-MHAD, and C-MHAD) are used for experimentations. The accuracies obtained by the proposed system are 96.9 %, 97.6 %, 98.7 %, and 95.9 % respectively on the UP-Fall Detection, UTDMHAD, Berkeley-MHAD, and C-MHAD datasets. These results are far superior than the current state-of-the-art methods

A Review of Physical Human Activity Recognition Chain Using Sensors

In the era of Internet of Medical Things (IoMT), healthcare monitoring has gained a vital role nowadays. Moreover, improving lifestyle, encouraging healthy behaviours, and decreasing the chronic diseases are urgently required. However, tracking and monitoring critical cases/conditions of elderly and patients is a great challenge. Healthcare services for those people are crucial in order to achieve high safety consideration. Physical human activity recognition using wearable devices is used to monitor and recognize human activities for elderly and patient. The main aim of this review study is to highlight the human activity recognition chain, which includes, sensing technologies, preprocessing and segmentation, feature extractions methods, and classification techniques. Challenges and future trends are also highlighted.

Physiological synchrony in brain and body as a measure of attentional engagement

Attentional engagement – the emotional, cognitive and behavioral connection with information to which the attention is focused – is important in all settings where humans process information. Measures of attentional engagement could be helpful to, for instance, support teachers in online classrooms, or individuals working together in teams. This thesis aims to use physiological synchrony, the similarity in neurophysiological responses across individuals, as an implicit measure of attentional engagement. The research is divided into two parts: the first investigates how different attentional modulations affect physiological synchrony in brains and bodies, the second explores the feasibility of using physiological synchrony as a tool to monitor attention in real-life settings.In Part I, the effect of different manipulations of attention on physiological synchrony in brain and body is explored. We find that physiological synchrony does not only reflect attentional engagement when measured in the electroencephalogram (EEG), but also when measured in electrodermal activity (EDA) or heart rate. Moreover, we find that physiological synchrony can reflect both sensory and top-down variations in attention, where top-down focus of attention is best reflected by synchrony in EEG, and where emotionally salient events attracting attention are best reflected by EDA and heart rate. Part II transitions into the practical applications of physiological synchrony in real-life contexts. Wearables are employed to measure physiological synchrony in EDA and heart rate, demonstrating comparable accuracy to high-end lab-grade equipment. The research also incorporates machine learning techniques, showing that physiological synchrony can be combined with novel unsupervised learning algorithms. Finally, measurements in classrooms reveal that physiological synchrony can be successfully monitored in real-life settings.While the findings are promising, the thesis acknowledges limitations in terms of sufficient data that are required for robust monitoring of attentional engagement and in terms of limited variance in attention explained by physiological synchrony. To advance the field, future work should focus on the applied, methodological and ethical questions that remain unanswered