Ambient-aware continuous care through semantic context dissemination

Background: The ultimate ambient-intelligent care room contains numerous sensors and devices to monitor the patient, sense and adjust the environment and support the staff. This sensor-based approach results in a large amount of data, which can be processed by current and future applications, e. g., task management and alerting systems. Today, nurses are responsible for coordinating all these applications and supplied information, which reduces the added value and slows down the adoption rate. The aim of the presented research is the design of a pervasive and scalable framework that is able to optimize continuous care processes by intelligently reasoning on the large amount of heterogeneous care data. Methods: The developed Ontology-based Care Platform (OCarePlatform) consists of modular components that perform a specific reasoning task. Consequently, they can easily be replicated and distributed. Complex reasoning is achieved by combining the results of different components. To ensure that the components only receive information, which is of interest to them at that time, they are able to dynamically generate and register filter rules with a Semantic Communication Bus (SCB). This SCB semantically filters all the heterogeneous care data according to the registered rules by using a continuous care ontology. The SCB can be distributed and a cache can be employed to ensure scalability. Results: A prototype implementation is presented consisting of a new-generation nurse call system supported by a localization and a home automation component. The amount of data that is filtered and the performance of the SCB are evaluated by testing the prototype in a living lab. The delay introduced by processing the filter rules is negligible when 10 or fewer rules are registered. Conclusions: The OCarePlatform allows disseminating relevant care data for the different applications and additionally supports composing complex applications from a set of smaller independent components. This way, the platform significantly reduces the amount of information that needs to be processed by the nurses. The delay resulting from processing the filter rules is linear in the amount of rules. Distributed deployment of the SCB and using a cache allows further improvement of these performance results

Service Tailoring: Towards Personalized homecare Systems

Health monitoring and healthcare provisioning for the elderly at home have received increasingly attention. Since each elderly person is unique, with a unique lifestyle, living environment and health condition, personalization is an essential feature of homecare software services. Service tailoring, which is creating a new service to meet individual requirements may be achieved in a cost-effective and time-efficient manner if new services can be configured and composed from already existing services. In this paper, we propose an effective service tailoring process and architecture to personalize homecare services according to the individual care-receiver’s needs. In addition, we present a scenario to highlight the need for service tailoring and to demonstrate the feasibility of the proposed approach

Impact of Mobile and Wireless Technology on Healthcare Delivery services

Modern healthcare delivery services embrace the use of leading edge technologies and new scientific discoveries to enable better cures for diseases and better means to enable early detection of most life-threatening diseases. The healthcare industry is finding itself in a state of turbulence and flux. The major innovations lie with the use of information technologies and particularly, the adoption of mobile and wireless applications in healthcare delivery [1]. Wireless devices are becoming increasingly popular across the healthcare field, enabling caregivers to review patient records and test results, enter diagnosis information during patient visits and consult drug formularies, all without the need for a wired network connection [2]. A pioneering medical-grade, wireless infrastructure supports complete mobility throughout the full continuum of healthcare delivery. It facilitates the accurate collection and the immediate dissemination of patient information to physicians and other healthcare care professionals at the time of clinical decision-making, thereby ensuring timely, safe, and effective patient care. This paper investigates the wireless technologies that can be used for medical applications, and the effectiveness of such wireless solutions in a healthcare environment. It discusses challenges encountered; and concludes by providing recommendations on policies and standards for the use of such technologies within hospitals

Flexibility Support for Homecare Applications Based on Models and Multi-Agent Technology

In developed countries, public health systems are under pressure due to the increasing percentage of population over 65. In this context, homecare based on ambient intelligence technology seems to be a suitable solution to allow elderly people to continue to enjoy the comforts of home and help optimize medical resources. Thus, current technological developments make it possible to build complex homecare applications that demand, among others, flexibility mechanisms for being able to evolve as context does (adaptability), as well as avoiding service disruptions in the case of node failure (availability). The solution proposed in this paper copes with these flexibility requirements through the whole life-cycle of the target applications: from design phase to runtime. The proposed domain modeling approach allows medical staff to design customized applications, taking into account the adaptability needs. It also guides software developers during system implementation. The application execution is managed by a multi-agent based middleware, making it possible to meet adaptation requirements, assuring at the same time the availability of the system even for stateful applications.This work was financed in part by the University of the Basque Country (UPV/EHU) under project UFI 11/28, by the Regional Government of the Basque Country under Project IT719-13, and by the MCYT&FEDER under project DPI 2012-37806-C02-01

An Advanced Home ElderCare Service

With the increase of welfare cost all over the developed world, there is a need to resort to new technologies that could help reduce this enormous cost and provide some quality eldercare services. This paper presents a middleware-level solution that integrates monitoring and emergency detection solutions with networking solutions. The proposed system enables efficient integration between a variety of sensors and actuators deployed at home for emergency detection and provides a framework for creating and managing rescue teams willing to assist elders in case of emergency situations. A prototype of the proposed system was designed and implemented. Results were obtained from both computer simulations and a real-network testbed. These results show that the proposed system can help overcome some of the current problems and help reduce the enormous cost of eldercare service

Applications of cooperative WSN in homecare systems

Cooperation plays the crucial role in shared space of the homecare processes. It is a rather hard task to ensure effective cooperation in home care environment. This is due to variability of schedules, tasks and mobility of both patients and carers. In this paper, we discuss sensor network technology that can facilitate and improve home care cooperation scenarios. We present methodology, recommendations and applications for incorporating a WSN based solution in various areas of Homecare. We argue that even the most difficult areas of cooperation between patients and their carers such as: information retrieval, information dissemination, scheduling, coordination of short and long-term treatment can be supported by WSN based solutions. Finally, we discuss sensor network design approaches for incorporating smart communication devices and sensors to support health care workers and their patients in their daily activities. The network of smart sensors can help to maintain awareness of the activities of all stakeholders and the need to integrate communication and computer technology with the requirements of effective aged care infrastructure. © 2008 IEEE

Enabling pervasive computing with smart phones

The authors discuss their experience with a number of mobile telephony projects carried out in the context of the European Union Information Society Technologies research program, which aims to develop mobile information services. They identify areas where use of smart phones can enable pervasive computing and offer practical advice in terms of lessons learned. To this end, they first look at the mobile telephone as * the end point of a mobile information service,* the control device for ubiquitous systems management and configuration,* the networking hub for personal and body area networks, and* identification tokens.They conclude with a discussion of business and practical issues that play a significant role in deploying research systems in realistic situations