A Novel Low-Cost Sensor Prototype for Nocturia Monitoring in Older People

Indexación: Scopus.This work was supported in part by CORFO - CENS 16CTTS-66390 through the National Center on Health Information Systems, in part by the National Commission for Scientific and Technological Research (CONICYT) through the program STIC-AMSUD 17STIC-03: ‘‘e-MONITOR âĂŞ Chronic Disease: Ambient Assisted Living and vital teleMONOTORing for e-health,’’ FONDEF ID16I10449 ‘‘Sistema inteligente para la gestión y análisis de la dotación de camas en la red asistencial del sector público,’’ and MEC80170097 ‘‘Red de colaboración científica entre universidades nacionales e internacionales para la estructuración del doctorado y magister en informática médica en la Universidad de Valparaíso.’’ The work of V. H. C. de Albuquerque was supported by the Brazilian National Council for Research and Development (CNPq) under Grant #304315/2017-6.Nocturia is frequently defined as the necessity to get out of bed at least one time during the night to urinate, with each of these episodes being preceded and continued by sleep. Several studies suggest that an increase of nocturia is seen with the onset of age, occurring in around 70% of adults over the age of 70. Its appearance is associated with detrimental quality of life for those who present nocturia, since it leads to daytime sleepiness, cognitive dysfunction, among others. Currently, a voiding diary is necessary for nocturia assessment; these are prone to bias due to their inherent subjectivity. In this paper, we present the design of a low-cost device that automatically detects micturition events. The device obtained 73% in sensibility and 81% in specificity; these results show that systems such as the proposed one can be a valuable tool for the medical team when evaluating nocturia. © 2013 IEEE.https://ieeexplore.ieee.org/document/845445

Telemonitoring ADL platform based on non-intrusive and privacy-friendly sensors for the care of the elderly in smart homes

International audienceDuring the last years, several sensor-based monitoring systems have been developed to detect in real time frequent problems in older people, such as falls and nocturia. Some devices can also measure different variables of the environment (e.g. temperature, pollution, etc.) to generate alarms and thus help the user's welfare. All these devices generate numerous sensitive data related to the health and behavior of user/patients. The presence of some of these sensors in homes can mean a vulnerability of the user’s privacy. In this article we propose a telemonitoring ADL platform based on non-intrusive sensors for the care of the elderly, restricted by a user-centered protocol that guarantees their privacy and facilitates their acceptance by the user

Prediction of nocturia in live alone elderly using unobtrusive in-home sensors

iCity Lab; SHINESeniors; National Research Foundation (NRF) Singapore under the Land and Livability National Innovation Challenge (L2NIC

A Smart Framework for Predicting the Onset of Nocturnal Enuresis (PrONE) in Children and Young People

Bed wetting during normal sleep in children and young people has a significant impact on the child and their parents. The condition is known as nocturnal enuresis and its underlying cause has been subject to different explanatory factors that include, neurological, urological, sleep, genetic and psychosocial influences. Several clinical and technological interventions for managing nocturnal enuresis exist that include the clinician’s opinions, pharmacology interventions, and alarm systems. However, most have failed to produce any convincing results; clinical information is often subjective and often inaccurate, the use of desmopression and tricyclic antidepressants only report between 20% and 40% success, and alarms only a 50% success fate. This paper posits an alternative research idea concerned with the early detection of impending involuntary bladder release. The proposed framework is a measurement and prediction system that processes moisture and bladder volume data from sensors fitted into undergarments that are used by patients suffering with nocturnal enuresis. The proposed framework represents a level of sophistication and accuracy in nocturnal enuresis treatment not previously considered

Risk Exposure to Particles – including Legionella pneumophila – emitted during Showering with Water-Saving Showers

The increase in legionellosis incidence in the general population in recent years calls for a better characterization of the sources of infection, such as showering. Water-efficient shower systems that use water atomization technology may emit slightly more inhalable bacteria-sized particles than traditional systems, which may increase the risk of users inhaling contaminants associated with these water droplets. To evaluate the risk, the number and mass of inhalable water droplets emitted by twelve showerheads—eight using water-atomization technology and four using continuous-flow technology— were monitored in a shower stall. The water-atomizing showers tested not only had lower flow rates, but also larger spray angles, less nozzles, and larger nozzle diameters than those of the continuous-flow showerheads. A difference in the behavior of inhalable water droplets between the two technologies was observed, both unobstructed or in the presence of a mannequin. The evaporation of inhalable water droplets emitted by the water-atomization showers favored a homogenous distribution in the shower stall. In the presence of the mannequin, the number and mass of inhalable droplets increased for the continuous-flow showerheads and decreased for the water-atomization showerheads. The water-atomization showerheads emitted less inhalable water mass than the continuous-flow showerheads did per unit of time; however, they generally emitted a slightly higher number of inhalable droplets—only one model performed as well as the continuous-flow showerheads in this regard. To specifically assess the aerosolisation rate of bacteria, in particular of the opportunistic water pathogen Legionella pneumophila, during showering controlled experiments were run with one atomization showerhead and one continuous-flow, first inside a glove box, second inside a shower stall. The bioaerosols were sampled with a Coriolis® air sampler and the total number of viable (cultivable and noncultivable) bacteria was determined by flow cytometry and culture. We found that the rate of viable and cultivable Legionella aerosolized from the water jet was similar between the two showerheads: the viable fraction represents 0.02% of the overall bacteria present in water, while the cultivable fraction corresponds to only 0.0005%. The two showerhead models emitted a similar ratio of airborne Legionella viable and cultivable per volume of water used. Similar results were obtained with naturally contaminated hoses tested in shower stall. Therefore, the risk of exposure to Legionella is not expected to increase significantly with the new generation of water-efficient showerheads

IEEE Access Special Section Editorial: Advanced Information Sensing and Learning Technologies for Data-Centric Smart Health Applications

Smart health is bringing vast and promising possibilities on the road to comprehensive health management. Smart health applications are strongly data-centric and, thus, empowered by two key factors: information sensing and information learning. In a smart health system, it is crucial to effectively sense individuals’ health information and intelligently learn from its high-level health insights. These two factors are also closely coupled. For example, to enhance the signal quality, a sensing array requires advanced information learning techniques to fuse the information, and to enrich medical insights in mobile health monitoring, we need to combine “multimodal signal processing and machine learning techniques” and “nonintrusive multimodality sensing methods.” In new smart health application exploration, challenges arise in both information sensing and learning, especially their areas of interaction

Behavioural modelling for ambient assisted living

Tese de doutoramento - MAP-i (University of Minho, Aveiro, and Porto)A mudança incomum na rotina diária ao nível da mobilidade de um idoso em sua casa, pode ser um sinal ou sintoma precoce para a possibilidade de vir a desenvolver um problema de saúde. O recurso a diferentes sensores pode ser um meio para complementar os sistemas de cuidados de saúde tradicionais, de forma a obter uma visão mais detalhada da mobilidade diária do individuo em sua casa, enquanto realiza as suas tarefas diárias. Acreditamos, que os dados recolhidos a partir de sensores de baixo custo, como sensores de presença e ocupação, podem ser utilizados para fornecer evidências sobre os hábitos diários de mobilidade dos idosos que vivem sozinhos em casa e detetar desta forma mudanças nas suas rotinas. Neste trabalho, validamos esta hipótese, desenvolvendo um sistema que aprende automaticamente as transições diárias entre divisões da habitação e hábitos de estadia em cada uma dessas divisões em cada momento do dia e consequentemente gera alarmes sempre que os desvios são detetados. Apresentamos neste trabalho um algoritmo que processa os fluxos de dados dos diferentes sensores e identifica características que descrevem a rotina diária de mobilidade de um idoso que vive sozinho em casa. Para isso foi definido um conjunto de dimensões baseadas nos dados extraídos dos sensores, como parte do nosso Behaviour Monitoring System (BMS). Fomos capazes de detetar com um atraso mínimo os comportamentos incomuns e ao mesmo tempo, durações de confirmação da deteção elevadas, de tal modo suficientes para um conjunto comum de situações anormais. Apresentamos e avaliamos o BMS com dados sintetizados, produzidos por um gerador de dados desenvolvido para este efeito e projetado para simular diferentes perfis de mobilidade de indivíduos em casa, e também com dados reais obtidos de trabalhos de investigação anteriores. Os resultados indicam que o BMS deteta várias mudanças de mobilidade que podem ser sintomas para problemas de saúde comuns. O sistema proposto é uma abordagem útil para a aprendizagem dos hábitos de mobilidade em ambientes domésticos, com potencial para detetar alterações comportamentais que ocorrem devido a problemas de saúde, e assim encorajar a monitorização dos comportamentos e dos cuidados de saúde dos idosos.Unusual changes in the regular daily mobility routine of an elderly at home can be an indicator or early symptoms for developing a health problem. Sensor technology can be utilised to complement the traditional healthcare systems to gain a more detailed view of the daily mobility of a person at home when performing everyday tasks. We hypothesise that data collected from low-cost sensors such as presence and occupancy sensors can be analysed to provide insights on the daily mobility habits of the elderly living alone at home and to detect routine changes. We validate this hypothesis by designing a system that automatically learns the daily room-to-room transitions and stays habits in each room at each time of the day and generates alarm notifications when deviations are detected. We present an algorithm to process the sensor data streams and compute features that describe the daily mobility routine of an elderly living alone at home. This was done by defining a set of sensor-driven dimensions extracted from the sensor data as part of our Behaviour Monitoring System (BMS). We are able to achieve low detection delay with confirmation time that is high enough to convey the detection of a set of common abnormal situations. We illustrate and evaluate BMS with synthetic data, generated by a developed data generator that was designed to mimic different users’ mobility profiles at home, and also with real-life dataset collected from prior research work. Results indicate BMS detects several mobility changes that can be symptoms of common health problems. The proposed system is a useful approach for learning the mobility habits at home environments, with the potential to detect behaviour changes that occur due to health problems, and therefore, motivating progress toward behaviour monitoring and elder’s care

Distributed Computing and Monitoring Technologies for Older Patients

This book summarizes various approaches for the automatic detection of health threats to older patients at home living alone. The text begins by briefly describing those who would most benefit from healthcare supervision. The book then summarizes possible scenarios for monitoring an older patient at home, deriving the common functional requirements for monitoring technology. Next, the work identifies the state of the art of technological monitoring approaches that are practically applicable to geriatric patients. A survey is presented on a range of such interdisciplinary fields as smart homes, telemonitoring, ambient intelligence, ambient assisted living, gerontechnology, and aging-in-place technology. The book discusses relevant experimental studies, highlighting the application of sensor fusion, signal processing and machine learning techniques. Finally, the text discusses future challenges, offering a number of suggestions for further research directions

Mapping and Ablation Catheter for Overactive Bladder Condition

This team worked in collaboration with an outside sponsor, and designed a method to address various diseases that currently do not have sufficient treatments. An extensive perfusion system was created to mimic in vivo conditions to further test the team’s method of treatment. The team created a conceptual prototype and specific computer aided models to be used for development. The team filed for patent with the outside sponsor in order to move forward with official development of the treatment