368 research outputs found

    On revisiting vital signs IoT sensors for COVID-19 and long COVID-19 monitoring: a condensed updated review and future directions

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    Background: Although the world has been facing the COVID-19 pandemic for over a year, we understand that there are still some challenges in using Internet of Things (IoT) devices as allies in this fight. Among the main difficulties, we can mention the selection of appropriate devices and the correct measurement and subsequent analysis of previously obtained vital signs.  Methods: In this context, we present a condensed compilation of IoT devices to monitor the vital signs often used to monitor COVID-19. We focus on easy-to-use devices currently available on the market to the general user. Also, the presented analysis is helpful for long COVID-19 monitoring, which is particularly useful to governments and hospitals to analyze eventual sequels on those citizens who tested positive beforehand. Results: The review resulted in 148 heterogeneous devices offering different capabilities. Our first contribution resides in detailing several aspects of each IoT device, indicating which are the most suitable for particular use-case situations. Moreover, our article introduces some challenges and insights into assembling a smart city composed of IoT devices. Conclusion: Here, technological trends such as Serverless computing, homomorphic cryptography, Federated Learning, Elixir programming language, Web Assembly, and vertical elasticity are discussed towards enabling vital sign-driven data capturing and processing. Although there are several IoT devices for health monitoring, there is still work to standardize data formats and APIs for data extraction

    Mobile Personal Healthcare System for Non-Invasive, Pervasive and Continuous Blood Pressure Monitoring: A Feasibility Study

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    Background: Smartphone-based blood pressure (BP) monitor using photoplethysmogram (PPG) technology has emerged as a promising approach to empower users with self-monitoring for effective diagnosis and control ofhypertension (HT). Objective: This study aimed to develop a mobile personal healthcare system for non-invasive, pervasive, and continuous estimation of BP level and variability to be user-friendly to elderly. Methods: The proposed approach was integrated by a self-designed cuffless, calibration-free, wireless and wearable PPG-only sensor, and a native purposely-designed smartphone application using multilayer perceptron machine learning techniques from raw signals. We performed a pilot study with three elder adults (mean age 61.3 ± 1.5 years; 66% women) to test usability and accuracy of the smartphone-based BP monitor. Results: The employed artificial neural network (ANN) model performed with high accuracy in terms of predicting the reference BP values of our validation sample (n=150). On average, our approach predicted BP measures with accuracy \u3e90% and correlations \u3e0.90 (P \u3c .0001). Bland-Altman plots showed that most of the errors for BP prediction were less than 10 mmHg. Conclusions: With further development and validation, the proposed system could provide a cost-effective strategy to improve the quality and coverage of healthcare, particularly in rural zones, areas lacking physicians, and solitary elderly populations

    A Wearable System for Real-Time Continuous Monitoring of Physical Activity

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    Over the last decades, wearable systems have gained interest for monitoring of physiological variables, promoting health, and improving exercise adherence in different populations ranging from elite athletes to patients. In this paper, we present a wearable system for the continuous real-time monitoring of respiratory frequency (fR), heart rate (HR), and movement cadence during physical activity. The system has been experimentally tested in the laboratory (by simulating the breathing pattern with a mechanical ventilator) and by collecting data from one healthy volunteer. Results show the feasibility of the proposed device for real-time continuous monitoring of fR, HR, and movement cadence both in resting condition and during activity. Finally, different synchronization techniques have been investigated to enable simultaneous data collection from different wearable modules.Ministerio de Economía y Competitivida

    Smartphone App for Heart Rate Monitoring and Its Impact on Education Toward Industry 4.0

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     This paper presents the development of Smartphone app for monitoring the heart rate, which used as a tool for life-based learning. The app featured life-based experiments for undergraduates' students through do-it-by-your-self activities. This app was developed with Firebase to create a heart rate monitoring system interface as well as a framework for life-based experiments. Also, this app had video features as learning resources. We used an experimental method to evaluate the proposed system of learning. The subjects were 30 undergraduate students who were separated into two groups. Based on our survey, student learning outcomes increased by 35% compared to conventional experiments.

    SAGA: Smart gateway for adaptive environments

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    The development of adaptive environments has the main objective of providing well-being to an individual, improving the environmental conditions of indoor environments and facilitating/automating any activity. In order to implement such systems, the use of devices capable of intercommunication and acquisition of environment-related parameters around the user is essential. Using wireless sensor networks, it is possible to monitor the various quality indices of indoor environments that can be used to develop strategies to improve quality of life of the users in personalized way. In this dissertation, a system based on a wireless sensor network that analyses and improves the environmental quality of indoor spaces, as well as evaluating the health status of an individual is presented. The system acquires and acts upon air quality and illumination quality-related parameters, as well as physiological data of a user, using sensor nodes and actuators distributed throughout the environment. Several wireless communication protocols have been implemented to enable intercommunication between the several elements present in the sensor network, such as actuators, sensor nodes and a coordinating / gateway node. Several warning mechanisms have been configured to alert the user to the presence of factors that may endanger their health, namely the presence of pollutants and thermal conditions that may trigger respiratory distress. In order to provide real-time system control including additional warning mechanisms, data analysis, a dedicated web application has been developed for this system. The user can control the environment according with his own needs and preferences through profiles configuration. The whole process of system development, hardware, software, experimental tests and contributions are included in this dissertation.A criação de ambientes adaptativos tem o principal objetivo de providenciar o bem-estar a um indivíduo, melhorar as condições do ambiente em seu redor e de facilitar/automatizar qualquer atividade. De forma a implementar tais sistemas, a utilização de dispositivos com capacidade de intercomunicação e de recolha de parâmetros relacionados com o ambiente em redor do utilizador é essencial. Com a utilização de redes de sensores sem fios, é possível monitorizar os diversos índices de qualidade de um ambiente interior e dessa forma melhorar a qualidade de vida. Nesta dissertação será apresentado um sistema baseado numa rede de sensores sem fios que permite analisar e melhorar a qualidade ambiental de espaços interiores e avaliar o estado de saúde de um indivíduo. O sistema adquire e atua sobre parâmetros relacionados com a qualidade do ar e qualidade de iluminação, assim como dados fisiológicos de um utilizador, através da utilização de nós de sensores e atuadores distribuídos pelo ambiente. Foram implementados diversos protocolos de comunicação sem fios para possibilitar a intercomunicação com outros elementos da rede, nomeadamente o nó coordenador/gateway. Foram configurados diversos mecanismos de alerta de forma a avisar o utilizador para a presença de fatores que possam colocar em risco a sua saúde, nomeadamente a presença de poluentes e condições térmicas que possam desencadear desconforto respiratório. De forma a proporcionar uma análise de dados em tempo real, controlo do sistema e dispor de mecanismos de alerta adicionais, foi desenvolvida uma aplicação Web dedicada a este sistema. Através desta, o utilizador poderá tornar o ambiente adaptável às suas características e de acordo com as suas preferências, através da configuração de perfis. Todo o processo de desenvolvimento do sistema, hardware, software, testes experimentais e contribuições serão incluídos nesta dissertação

    The role of electrocardiography in occupational medicine, from einthoven’s invention to the digital era of wearable devices

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    Clinical-instrumental investigations, such as electrocardiography (ECG), represent a corollary of a procedures that, nowadays, is called upon as part of the principles of precision medicine. However when carrying out the professional routine examinations, most tend to ignore how a “simple” instrument can offer indispensable support in clinical practice, even in occupational medicine. The advent of the digital age, made of silicon and printed circuit boards, has allowed the miniaturization of the electronic components of these electro-medical devices. Finally, the adoption of patient wearables in medicine has been rapidly expanding worldwide for a number of years. This has been driven mainly by consumers’ demand to monitor their own health. With the ongoing research and development of new features capable of assessing and transmitting real-time biometric data, the impact of wearables on cardiovascular management has become inevitable. Despite the potential offered by this technology, as evident from the scientific literature, the application of these devices in the field of health and safety in the workplace is still limited. This may also be due to the lack of targeted scientific research. While offering great potential, it is very important to consider and evaluate ethical aspects related to the use of these smart devices, such as the management of the collected data relating to the physiological parameters and the location of the worker. This technology is to be considered as being aimed at monitoring the subject’s physiological parameters, and not at the diagnosis of any pathological condition, which should always be on charge of the medical specialist We conducted a review of the evolution of the role that electrophysiology plays as part of occupational health and safety management and on its possible future use, thanks to ongoing technological innovation

    Physiological sensor.

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    For the purpose of medical diagnosis and research, various physiological signals, such as Photoplethysmograph (PPG), Galvanic Skin Response (GSR) and Skin Temperature (SKT), are measured by different types of medical sensor equipment. However, the sensors are intrusive and the patients must endure some discomfort when encountering these types of medical sensor equipment. These bio sensors also fail to be implemented outside of lab or clinical settings. Recently the development in sensor technology and wireless communication technology have significantly improved the integration of wearable systems, so that we could find new ways to minimize the wearable circuits module, design layers of fabric for wearable system. This thesis documents the successful development of a novel, unobtrusive, low-cost, wrist-worn integrated sensors (PPG, GSR, SKT) system using wireless wearable technology capable of measuring real-time data collection, and monitoring which is important when dealing with treatment and management of many chronic illnesses, neurological disorders, and mental health issues. Examples can include: epileptic seizures, autism spectrum disorder (ASD), depression, drug addiction, and anxiety disorders

    A comparative study of physiological monitoring with a wearable opto-electronic patch sensor (OEPS) for motion reduction

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    This paper presents a comparative study in physiological monitoring between a wearable opto-electronic patch sensor (OEPS) comprising a three-axis Microelectromechanical systems (MEMs) accelerometer (3MA) and commercial devices. The study aims to effectively capture critical physiological parameters, for instance, oxygen saturation, heart rate, respiration rate and heart rate variability, as extracted from the pulsatile waveforms captured by OEPS against motion artefacts when using the commercial probe. The protocol involved 16 healthy subjects and was designed to test the features of OEPS, with emphasis on the effective reduction of motion artefacts through the utilization of a 3MA as a movement reference. The results show significant agreement between the heart rates from the reference measurements and the recovered signals. Significance of standard deviation and error of mean yield values of 2.27 and 0.65 beats per minute, respectively; and a high correlation (0.97) between the results of the commercial sensor and OEPS. T, Wilcoxon and Bland-Altman with 95% limit of agreement tests were also applied in the comparison of heart rates extracted from these sensors, yielding a mean difference (MD: 0.08). The outcome of the present work incites the prospects of OEPS on physiological monitoring during physical activities

    HRS white paper on clinical utilization of digital health technology.

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    This collaborative statement from the Digital Health Committee of the Heart Rhythm Society provides everyday clinical scenarios in which wearables may be utilized by patients for cardiovascular health and arrhythmia management. We describe herein the spectrum of wearables that are commercially available for patients, and their benefits, shortcomings and areas for technological improvement. Although wearables for rhythm diagnosis and management have not been examined in large randomized clinical trials, undoubtedly the usage of wearables has quickly escalated in clinical practice. This document is the first of a planned series in which we will update information on wearables as they are revised and released to consumers

    Pulse Signal System: Sensing, Data Acquisition and Body Area Network

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    Heart rate variability (HRV) is an important physiological signal of the human body, which can serve as a useful biomarker for the cardiovascular health status of an individual. There are many methods to measure the HRV using electrical devices, such as ECG and PPG etc. This work presents a novel HRV detection method which is based on pressure detection on the human wrist. This method has been compared with existing HRV detection methods. In this work, the proposed system for HRV detection is based on polyvinylidene difluoride (PVDF) sensor, which can measure tiny pressure on its surface. Three PVDF sensors are mounted on the wrist, and a three-channel conditioning circuit is used to amplify signals generated by the sensors. An analog-to-digital converter and Arduino microcontroller are used to sample and process the signal. Based on the obtained signals, the HRV can be processed and detected by the proposed PVDF-sensor-based system. Another contribution of this work is in designing a wireless body area network (WBAN) to transmit data acquired on the human body. This WBAN combines two different wireless network protocols, for both efficient power consumption and data rate. Bluetooth Low Energy protocol is used for transmitting data from the microcontroller to a personal device, and Wi-Fi is used to send data to other terminals. This provides the potential for remote HRV signal monitoring. A dataset consisting of two subjects was used to experimentally validate the proposed system design and signal processing method. ECG signals are acquired from subjects with wrist pulse signals for comparison as standard signal. The waveforms of ECG signals and wrist pulse signals are compared and HRV values are calculated from these two signals separately. The result shows that HRV calculated by wrist pulse has low error rate. A test of movement effect shows the sensor can resist mild motions of wrist. Some future improvements of system design and further signal processing methods are also discussed in the last chapter
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