Assistive multi-sensor framework for prevention and monitoring of pressure ulcers

Pressure ulcers (PU) are injuries to the skin and soft tissues due to prolonged pressure and have a significant impact on the quality of a patient’s life. The common risk factors of PU are pressure, shearing forces, friction, moisture, temperature, and immobility. The use of low-tech and high-tech devices is effective in distributing the high pressure exerted on the patient’s body. However, patients can still develop PU because these devices do not provide any real-time information about the risk factors of PU development. With the help of sensors, smart beds are effective to monitor and prevent the development of PU but the prevalence of PU around the globe is still high due to the aging population. In this thesis, a multi-sensor framework is developed and tested to aid in the monitoring and prevention of PU. The proposed system is able to measure, process, and store real-time information about the numerous risk factors of PU. In addition, the framework does not need to be attached to the patient’s body in order to provide extra comfort. Different experiments are conducted to test the reliability and effectiveness of the proposed system. Experimental results indicate that the system is capable to provide the rate of repositioning, temperature, and pressure distribution

Recent Developments in Smart Healthcare

Medicine is undergoing a sector-wide transformation thanks to the advances in computing and networking technologies. Healthcare is changing from reactive and hospital-centered to preventive and personalized, from disease focused to well-being centered. In essence, the healthcare systems, as well as fundamental medicine research, are becoming smarter. We anticipate significant improvements in areas ranging from molecular genomics and proteomics to decision support for healthcare professionals through big data analytics, to support behavior changes through technology-enabled self-management, and social and motivational support. Furthermore, with smart technologies, healthcare delivery could also be made more efficient, higher quality, and lower cost. In this special issue, we received a total 45 submissions and accepted 19 outstanding papers that roughly span across several interesting topics on smart healthcare, including public health, health information technology (Health IT), and smart medicine

Innovative Technologies and Services for Smart Cities

A smart city is a modern technology-driven urban area which uses sensing devices, information, and communication technology connected to the internet of things (IoTs) for the optimum and efficient utilization of infrastructures and services with the goal of improving the living conditions of citizens. Increasing populations, lower budgets, limited resources, and compatibility of the upgraded technologies are some of the few problems affecting the implementation of smart cities. Hence, there is continuous advancement regarding technologies for the implementation of smart cities. The aim of this Special Issue is to report on the design and development of integrated/smart sensors, a universal interfacing platform, along with the IoT framework, extending it to next-generation communication networks for monitoring parameters of interest with the goal of achieving smart cities. The proposed universal interfacing platform with the IoT framework will solve many challenging issues and significantly boost the growth of IoT-related applications, not just in the environmental monitoring domain but in the other key areas, such as smart home, assistive technology for the elderly care, smart city with smart waste management, smart E-metering, smart water supply, intelligent traffic control, smart grid, remote healthcare applications, etc., signifying benefits for all countries

Wearable and Nearable Biosensors and Systems for Healthcare

Biosensors and systems in the form of wearables and “nearables” (i.e., everyday sensorized objects with transmitting capabilities such as smartphones) are rapidly evolving for use in healthcare. Unlike conventional approaches, these technologies can enable seamless or on-demand physiological monitoring, anytime and anywhere. Such monitoring can help transform healthcare from the current reactive, one-size-fits-all, hospital-centered approach into a future proactive, personalized, decentralized structure. Wearable and nearable biosensors and systems have been made possible through integrated innovations in sensor design, electronics, data transmission, power management, and signal processing. Although much progress has been made in this field, many open challenges for the scientific community remain, especially for those applications requiring high accuracy. This book contains the 12 papers that constituted a recent Special Issue of Sensors sharing the same title. The aim of the initiative was to provide a collection of state-of-the-art investigations on wearables and nearables, in order to stimulate technological advances and the use of the technology to benefit healthcare. The topics covered by the book offer both depth and breadth pertaining to wearable and nearable technology. They include new biosensors and data transmission techniques, studies on accelerometers, signal processing, and cardiovascular monitoring, clinical applications, and validation of commercial devices

Effects of diabetes and aging on posture and acceleration thresholds during lateral translations

Research objectives. One source of falls in the elderly may be an inability to sufficiently adjust to transient postural perturbations or slips. Identifying useful predictors of fall potential, as well as factors that affect the ability of an individual to detect a movement of the standing support surface may provide insight into postural stability and methods to increase stability in elders. To do this, acceleration thresholds to short, precise, lateral platform translations and the resultant psychophysical responses of adults with early Type 2 diabetes to age-matched controls and young adults were measured. Methods. Using an innovative SLIP-FALLS platform, short (1, 2, 4, 8,and 16mm) lateral perturbations were presented to 21 individuals—9 young adults, 6 neurologically intact elder adults, and 6 elders with diabetes using a two-alternative forced choice (2AFC) protocol. All subjects underwent lower-limb nerve conduction velocity determination, air conduction velocity testing, Semmes-Weinstein monofilament thresholds, the Mini Mental Status Exam, and reaction time tests to touch, tone and high acceleration, 4mm super-threshold perturbations. Results. All three groups had significantly different thresholds at all small (\u3c4mm) movement lengths, with the diabetic neuropathy group having a markedly higher acceleration threshold (P \u3c 0.001); the healthy elderly, which, in turn, had markedly higher thresholds than young adults. Patients with neuropathy had significantly higher reaction times to platform movements and touches to the plantar sole, but not for auditory tones. Both elderly groups had a significantly higher reaction time to superthreshold platform movement than did young adults. Sensory tests revealed slower nerve conduction velocities, higher air conduction velocities, and lower cognitive ability in the diabetic group. Conclusions. A marked decrease in perception of very small moves due to aging and diabetic neuropathy could well have a detrimental effect on postural control mechanisms. The higher prevalence of falls in the elderly and elderly diabetics may be due to decreased perceptual ability, slower nerve conduction velocities, and slowing reaction times compounded by larger amounts of imparted energy needed for detection of a slipping event

Harnessing Knowledge, Innovation and Competence in Engineering of Mission Critical Systems

This book explores the critical role of acquisition, application, enhancement, and management of knowledge and human competence in the context of the largely digital and data/information dominated modern world. Whilst humanity owes much of its achievements to the distinct capability to learn from observation, analyse data, gain insights, and perceive beyond original realities, the systematic treatment of knowledge as a core capability and driver of success has largely remained the forte of pedagogy. In an increasingly intertwined global community faced with existential challenges and risks, the significance of knowledge creation, innovation, and systematic understanding and treatment of human competence is likely to be humanity's greatest weapon against adversity. This book was conceived to inform the decision makers and practitioners about the best practice pertinent to many disciplines and sectors. The chapters fall into three broad categories to guide the readers to gain insight from generic fundamentals to discipline-specific case studies and of the latest practice in knowledge and competence management

Harnessing Knowledge, Innovation and Competence in Engineering of Mission Critical Systems

This book explores the critical role of acquisition, application, enhancement, and management of knowledge and human competence in the context of the largely digital and data/information dominated modern world. Whilst humanity owes much of its achievements to the distinct capability to learn from observation, analyse data, gain insights, and perceive beyond original realities, the systematic treatment of knowledge as a core capability and driver of success has largely remained the forte of pedagogy. In an increasingly intertwined global community faced with existential challenges and risks, the significance of knowledge creation, innovation, and systematic understanding and treatment of human competence is likely to be humanity's greatest weapon against adversity. This book was conceived to inform the decision makers and practitioners about the best practice pertinent to many disciplines and sectors. The chapters fall into three broad categories to guide the readers to gain insight from generic fundamentals to discipline-specific case studies and of the latest practice in knowledge and competence management

Orthogeriatrics

This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably