Real-time human ambulation, activity, and physiological monitoring:taxonomy of issues, techniques, applications, challenges and limitations

Automated methods of real-time, unobtrusive, human ambulation, activity, and wellness monitoring and data analysis using various algorithmic techniques have been subjects of intense research. The general aim is to devise effective means of addressing the demands of assisted living, rehabilitation, and clinical observation and assessment through sensor-based monitoring. The research studies have resulted in a large amount of literature. This paper presents a holistic articulation of the research studies and offers comprehensive insights along four main axes: distribution of existing studies; monitoring device framework and sensor types; data collection, processing and analysis; and applications, limitations and challenges. The aim is to present a systematic and most complete study of literature in the area in order to identify research gaps and prioritize future research directions

Transparent authentication: Utilising heart rate for user authentication

There has been exponential growth in the use of wearable technologies in the last decade with smart watches having a large share of the market. Smart watches were primarily used for health and fitness purposes but recent years have seen a rise in their deployment in other areas. Recent smart watches are fitted with sensors with enhanced functionality and capabilities. For example, some function as standalone device with the ability to create activity logs and transmit data to a secondary device. The capability has contributed to their increased usage in recent years with researchers focusing on their potential. This paper explores the ability to extract physiological data from smart watch technology to achieve user authentication. The approach is suitable not only because of the capacity for data capture but also easy connectivity with other devices - principally the Smartphone. For the purpose of this study, heart rate data is captured and extracted from 30 subjects continually over an hour. While security is the ultimate goal, usability should also be key consideration. Most bioelectrical signals like heart rate are non-stationary time-dependent signals therefore Discrete Wavelet Transform (DWT) is employed. DWT decomposes the bioelectrical signal into n level sub-bands of detail coefficients and approximation coefficients. Biorthogonal Wavelet (bior 4.4) is applied to extract features from the four levels of detail coefficents. Ten statistical features are extracted from each level of the coffecient sub-band. Classification of each sub-band levels are done using a Feedforward neural Network (FF-NN). The 1 st , 2 nd , 3 rd and 4 th levels had an Equal Error Rate (EER) of 17.20%, 18.17%, 20.93% and 21.83% respectively. To improve the EER, fusion of the four level sub-band is applied at the feature level. The proposed fusion showed an improved result over the initial result with an EER of 11.25% As a one-off authentication decision, an 11% EER is not ideal, its use on a continuous basis makes this more than feasible in practice

Precision medicine and artificial intelligence : a pilot study on deep learning for hypoglycemic events detection based on ECG

Tracking the fluctuations in blood glucose levels is important for healthy subjects and crucial diabetic patients. Tight glucose monitoring reduces the risk of hypoglycemia, which can result in a series of complications, especially in diabetic patients, such as confusion, irritability, seizure and can even be fatal in specific conditions. Hypoglycemia affects the electrophysiology of the heart. However, due to strong inter-subject heterogeneity, previous studies based on a cohort of subjects failed to deploy electrocardiogram (ECG)-based hypoglycemic detection systems reliably. The current study used personalised medicine approach and Artificial Intelligence (AI) to automatically detect nocturnal hypoglycemia using a few heartbeats of raw ECG signal recorded with non-invasive, wearable devices, in healthy individuals, monitored 24 hours for 14 consecutive days. Additionally, we present a visualisation method enabling clinicians to visualise which part of the ECG signal (e.g., T-wave, ST-interval) is significantly associated with the hypoglycemic event in each subject, overcoming the intelligibility problem of deep-learning methods. These results advance the feasibility of a real-time, non-invasive hypoglycemia alarming system using short excerpts of ECG signal

Precision medicine and artificial intelligence : a pilot study on deep learning for hypoglycemic events detection based on ECG

Tracking the fluctuations in blood glucose levels is important for healthy subjects and crucial diabetic patients. Tight glucose monitoring reduces the risk of hypoglycemia, which can result in a series of complications, especially in diabetic patients, such as confusion, irritability, seizure and can even be fatal in specific conditions. Hypoglycemia affects the electrophysiology of the heart. However, due to strong inter-subject heterogeneity, previous studies based on a cohort of subjects failed to deploy electrocardiogram (ECG)-based hypoglycemic detection systems reliably. The current study used personalised medicine approach and Artificial Intelligence (AI) to automatically detect nocturnal hypoglycemia using a few heartbeats of raw ECG signal recorded with non-invasive, wearable devices, in healthy individuals, monitored 24 hours for 14 consecutive days. Additionally, we present a visualisation method enabling clinicians to visualise which part of the ECG signal (e.g., T-wave, ST-interval) is significantly associated with the hypoglycemic event in each subject, overcoming the intelligibility problem of deep-learning methods. These results advance the feasibility of a real-time, non-invasive hypoglycemia alarming system using short excerpts of ECG signal