A Novel Web-Based Depth Video Rewind Approach toward Fall Preventive Interventions in Hospitals

Falls in the hospital rooms are considered a huge burden on healthcare costs. They can lead to injuries, extended length of stay, and increase in cost for both the patients and the hospital. It can also lead to emotional trauma for the patients and their families [1]. Having Microsoft Kinects installed in the hospital rooms to capture and process every movement in the room, we deployed our previously developed fall-detection system to detect naturally occurring falls, generate a real-time fall alarm and broadcast it to hospital nurses for immediate intervention. These systems also store a processed and reduced version of the 3D depth videos on a central file storage to provide information to the dedicated nursing team for post-fall quality improvement process. The compression technique that helps reducing video size by omitting non-movement frames from it also makes it almost impossible for the hospital staff to find the event that led to a fall alarm. There was a need to visualize fall events and the video contents accordingly. In this paper, we describe a web-application with a handy user interface to easily search among terabytes of depth videos to facilitate the finding and reviewing of the chain of events that lead to a patient fall. We will also discuss the improvements in the new version of the application which reduced the size of transferred videos by converting them to MP4 videos and makes the application platform free. This improvements in speed and compatibility on different browsers, caused more user satisfaction and more frequent use of the web-application

A Novel Web-Based Depth Video Rewind Approach toward Fall Preventive Interventions in Hospitals

Falls in the hospital rooms are considered a huge burden on healthcare costs. They can lead to injuries, extended length of stay, and increase in cost for both the patients and the hospital. It can also lead to emotional trauma for the patients and their families [1]. Having Microsoft Kinects installed in the hospital rooms to capture and process every movement in the room, we deployed our previously developed fall-detection system to detect naturally occurring falls, generate a real-time fall alarm and broadcast it to hospital nurses for immediate intervention. These systems also store a processed and reduced version of the 3D depth videos on a central file storage to provide information to the dedicated nursing team for post-fall quality improvement process. The compression technique that helps reducing video size by omitting non-movement frames from it also makes it almost impossible for the hospital staff to find the event that led to a fall alarm. There was a need to visualize fall events and the video contents accordingly. In this paper, we describe a web-application with a handy user interface to easily search among terabytes of depth videos to facilitate the finding and reviewing of the chain of events that lead to a patient fall. We will also discuss the improvements in the new version of the application which reduced the size of transferred videos by converting them to MP4 videos and makes the application platform free. This improvements in speed and compatibility on different browsers, caused more user satisfaction and more frequent use of the web-application

Data-driven methods for analyzing ballistocardiograms in longitudinal cardiovascular monitoring

Cardiovascular disease (CVD) is the leading cause of death in the US; about 48% of American adults have one or more types of CVD. The importance of continuous monitoring of the older population, for early detection of changes in health conditions, has been shown in the literature, as the key to a successful clinical intervention. We have been investigating environmentally-embedded in-home networks of non-invasive sensing modalities. This dissertation concentrates on the signal processing techniques required for the robust extraction of morphological features from the ballistocardiographs (BCG), and machine learning approaches to utilize these features in non-invasive monitoring of cardiovascular conditions. At first, enhancements in the time domain detection of the cardiac cycle are addressed due to its importance in the estimation of heart rate variability (HRV) and sleep stages. The proposed enhancements in the energy-based algorithm for BCG beat detection have shown at least 50% improvement in the root mean square error (RMSE) of the beat to beat heart rate estimations compared to the reference estimations from the electrocardiogram (ECG) R to R intervals. These results are still subject to some errors, primarily due to the contamination of noise and motion artifacts caused by floor vibration, unconstrained subject movements, or even the respiratory activities. Aging, diseases, breathing, and sleep disorders can also affect the quality of estimation as they slightly modify the morphology of the BCG waveform.Includes bibliographical reference

Personalized data analytics for internet-of-things-based health monitoring

The Internet-of-Things (IoT) has great potential to fundamentally alter the delivery of modern healthcare, enabling healthcare solutions outside the limits of conventional clinical settings. It can offer ubiquitous monitoring to at-risk population groups and allow diagnostic care, preventive care, and early intervention in everyday life. These services can have profound impacts on many aspects of health and well-being. However, this field is still at an infancy stage, and the use of IoT-based systems in real-world healthcare applications introduces new challenges. Healthcare applications necessitate satisfactory quality attributes such as reliability and accuracy due to their mission-critical nature, while at the same time, IoT-based systems mostly operate over constrained shared sensing, communication, and computing resources. There is a need to investigate this synergy between the IoT technologies and healthcare applications from a user-centered perspective. Such a study should examine the role and requirements of IoT-based systems in real-world health monitoring applications. Moreover, conventional computing architecture and data analytic approaches introduced for IoT systems are insufficient when used to target health and well-being purposes, as they are unable to overcome the limitations of IoT systems while fulfilling the needs of healthcare applications. This thesis aims to address these issues by proposing an intelligent use of data and computing resources in IoT-based systems, which can lead to a high-level performance and satisfy the stringent requirements. For this purpose, this thesis first delves into the state-of-the-art IoT-enabled healthcare systems proposed for in-home and in-hospital monitoring. The findings are analyzed and categorized into different domains from a user-centered perspective. The selection of home-based applications is focused on the monitoring of the elderly who require more remote care and support compared to other groups of people. In contrast, the hospital-based applications include the role of existing IoT in patient monitoring and hospital management systems. Then, the objectives and requirements of each domain are investigated and discussed. This thesis proposes personalized data analytic approaches to fulfill the requirements and meet the objectives of IoT-based healthcare systems. In this regard, a new computing architecture is introduced, using computing resources in different layers of IoT to provide a high level of availability and accuracy for healthcare services. This architecture allows the hierarchical partitioning of machine learning algorithms in these systems and enables an adaptive system behavior with respect to the user's condition. In addition, personalized data fusion and modeling techniques are presented, exploiting multivariate and longitudinal data in IoT systems to improve the quality attributes of healthcare applications. First, a real-time missing data resilient decision-making technique is proposed for health monitoring systems. The technique tailors various data resources in IoT systems to accurately estimate health decisions despite missing data in the monitoring. Second, a personalized model is presented, enabling variations and event detection in long-term monitoring systems. The model evaluates the sleep quality of users according to their own historical data. Finally, the performance of the computing architecture and the techniques are evaluated in this thesis using two case studies. The first case study consists of real-time arrhythmia detection in electrocardiography signals collected from patients suffering from cardiovascular diseases. The second case study is continuous maternal health monitoring during pregnancy and postpartum. It includes a real human subject trial carried out with twenty pregnant women for seven months