Advanced Internet of Things for Personalised Healthcare System: A Survey

As a new revolution of the Internet, Internet of Things (IoT) is rapidly gaining ground as a new research topic in many academic and industrial disciplines, especially in healthcare. Remarkably, due to the rapid proliferation of wearable devices and smartphone, the Internet of Things enabled technology is evolving healthcare from conventional hub based system to more personalised healthcare system (PHS). However, empowering the utility of advanced IoT technology in PHS is still significantly challenging in the area considering many issues, like shortage of cost-effective and accurate smart medical sensors, unstandardized IoT system architectures, heterogeneity of connected wearable devices, multi-dimensionality of data generated and high demand for interoperability. In an effect to understand advance of IoT technologies in PHS, this paper will give a systematic review on advanced IoT enabled PHS. It will review the current research of IoT enabled PHS, and key enabling technologies, major IoT enabled applications and successful case studies in healthcare, and finally point out future research trends and challenges

PRESENT AND FUTURE PERVASIVE HEALTHCARE METHODOLOGIES: INTELLIGENT BODY DEVICES, PROCESSING AND MODELING TO SEARCH FOR NEW CARDIOVASCULAR AND PHYSIOLOGICAL BIOMARKERS

The motivation behind this work comes from the area of pervasive computing technologies for healthcare and wearable healthcare IT systems, an emerging field of research that brings in revolutionary paradigms for computing models in the 21st century. The aim of this thesis is focused on emerging personal health technologies and pattern recognition strategies for early diagnosis and personalized treatment and rehabilitation for individuals with cardiovascular and neurophysiological diseases. Attention was paid to the development of an intelligent system for the automatic classification of cardiac valve disease for screening purposes. Promising results were reported with the possibility to implement a new screening strategy for the diagnosis of cardiac valve disease in developing countries. A novel assistive architecture for the elderly able to non-invasively assess muscle fatigue by surface electromyography using wireless platform during exercise with an ergonomic platform was presented. Finally a wearable chest belt for ECG monitoring to investigate the psycho-physiological effects of the autonomic system and a wearable technology for monitoring of knee kinematics and recognition of ambulatory activities were characterized to evaluate the reliability for clinical purposes of collected data. The potential impact in the clinical arena of this research would be extremely important, since promising data show how such emerging personal technologies and methodologies are effective in several scenarios to early screening and discovery of novel diagnostic and prognostic biomarkers

Recognition of patterns in multichannel recorded data using artificial neural networks and fuzzy rule based systems: application to daily life motor activities

A large number of people with a movement problem forms a relevant social and medical problem in all countries. The rapidly growing number of elderly people. who inevitably experience increasing limitations in their functioning as they grow older. is a cause of major international concern. Only in the European Community. 10% of the population is suffering from more or less severe motor problems. Awareness of disability costs and demographic developments have directed the poHcy of goverrunents to quality of life problems. More than in the past, research devoted to diseases of the neuro·musculoskeletal system is supported. This regards diagnosis. surgical and non-surgical treatment, rehabilitation and prevention. In all of these areas biomechanics is essential for the assessment of the mechanical functioning of healthy subjects and patients. Movement analysis is one of the most important parts of biomechanlcal research. Since the end of the 19th century there have been attempts to assess movement in an objective and quantitative manner (Muybridge, 1887; Marey, 1894; Braune & Fischer, 1895). During the past 20 yearsJ regular technological developments like microelectronics and fast computational tools have made this goal easier to achieve. Nowadays, in the field of Biomechanical Engineering more and more sophisticated systems for movement analysis(MA) have been developed. Significant results have been obtained, in several fields such as Rehabilitation, Ergonomics, Sport, Biomechanics and orthopedics. However, in rehabilitation, MA has received limited clinical acceptance, at least in Europe. In 1989, the European Conununity approved a project on Computer Aided Movement Analysis in a Rehabilitation Context (CAMARC). In general tenus, the purpose of the project was to render procedures and instruments for MA useful for patients and clinical doctors through suitable refmements of both instrumentation and software. In other terms, the overall objective of the CAMARC project was the transfer of the ever-improving bioengineering methodology and techniques for MA to the clinical environment. An important cause of the gap between the labora tory and the clinic could be the fact that stance and movement analysis procedures are generally aimed at the understanding of mechanisms at a rather basic levelJ whereas many clinical questions require an overall assessment of motor behavior in terms of skills instead of functions

A Review of Physical Human Activity Recognition Chain Using Sensors

In the era of Internet of Medical Things (IoMT), healthcare monitoring has gained a vital role nowadays. Moreover, improving lifestyle, encouraging healthy behaviours, and decreasing the chronic diseases are urgently required. However, tracking and monitoring critical cases/conditions of elderly and patients is a great challenge. Healthcare services for those people are crucial in order to achieve high safety consideration. Physical human activity recognition using wearable devices is used to monitor and recognize human activities for elderly and patient. The main aim of this review study is to highlight the human activity recognition chain, which includes, sensing technologies, preprocessing and segmentation, feature extractions methods, and classification techniques. Challenges and future trends are also highlighted.

Wearable sensor technologies applied for post-stroke rehabilitation

Stroke is a common cerebrovascular disease that is recognized as one of the leading causes of death and ongoing disability around the globe. Stroke can lead to losses of various body functions depending on the affected area of the brain and leave significant impacts to the victim’s daily life. Post-stroke rehabilitation plays an important role in improving the life quality of stroke survivors. Properly designed rehabilitation training programs can not only prevent further functional deterioration, but also helps patients gradually regain their body functionalities. However, the delivery of rehabilitation service can be a complex and labour intensive task. In conventional rehabilitation systems, the chart-based ordinal scales are considered the dominant tools for impairment assessment and the administration of the scales primarily relies on the doctor’s manual observation. Measuring instruments such as strain gauge and force platforms can sometimes be used to collect quantitative evidence for some of the body functions such as grip strength and balance. However, the evaluation of the patients’ impairment level using ordinal scales still depend on the human interpretation of the data which can be both subjective and inefficient. The preferred scale and evaluation standard also vary among institutions across different regions which make the comparison of data difficult and sometimes unreliable. Furthermore, the intensive manual supervision and support required in rehabilitation training session limits the accessibility of the service as the regular visit to qualified hospital can be onerous for many patients and the associated cost can impose an enormous financial burden on both the government and the households. The situation can be even more challenging in developing countries due to higher growing rate of stroke population and more limited medical resources. The works presented in this thesis are focused on exploring the possibilities of integrating wearable sensor and pattern recognition techniques to improve the efficiency and the effectiveness of post-stroke rehabilitation by addressing the abovementioned issues. The study was initiated by a comprehensive literature review on the latest motion tracking technologies and non-visual based Inertia Measurement Unit (IMU) had been selected as the most suitable candidate for motion sensing in unsupervised training environment due to its low-cost and easy-to-operate characteristics. Following the design and construction of the 6-axis IMU based Body Area Network (BAN), a series of stroke patient motion data collection experiments had been conducted in conjunction with the Jiaxing 2nd Hospital Rehabilitation Centre in Zhejiang province, China. The collected motion samples were then investigated using various signal processing algorithms and pattern recognition techniques to achieve the three major objectives: automatic impairment level classification for reducing human effort involved in regular clinical assessment, single-index based limb mobility evaluation for providing objective evidence to support unified body function assessment standards, and training motion classification for enabling home or community based rehabilitation training with reduced supervision. At last, the study has been further expanded by incorporating surface Electromyography (sEMG) signal sampled during rehabilitation exercises as an alternative input to enhance accurate impairment level classification. The outcome of the investigations demonstrate that the wearable technology can play an important role within a tele-rehabilitation system by providing objective, accurate and often realtime indications of the recovery process as well as the assistance for training management

New platform for intelligent context-based distributed information fusion

Tesis por compendio de publicaciones[ES]Durante las últimas décadas, las redes de sensores se han vuelto cada vez más importantes y hoy en día están presentes en prácticamente todos los sectores de nuestra sociedad. Su gran capacidad para adquirir datos y actuar sobre el entorno, puede facilitar la construcción de sistemas sensibles al contexto, que permitan un análisis detallado y flexible de los procesos que ocurren y los servicios que se pueden proporcionar a los usuarios. Esta tesis doctoral se presenta en el formato de “Compendio de Artículos”, de tal forma que las principales características de la arquitectura multi-agente distribuida propuesta para facilitar la interconexión de redes de sensores se presentan en tres artículos bien diferenciados. Se ha planteado una arquitectura modular y ligera para dispositivos limitados computacionalmente, diseñando un mecanismo de comunicación flexible que permite la interacción entre diferentes agentes embebidos, desplegados en dispositivos de tamaño reducido. Se propone un nuevo modelo de agente embebido, como mecanismo de extensión para la plataforma PANGEA. Además, se diseña un nuevo modelo de organización virtual de agentes especializada en la fusión de información. De esta forma, los agentes inteligentes tienen en cuenta las características de las organizaciones existentes en el entorno a la hora de proporcionar servicios. El modelo de fusión de información presenta una arquitectura claramente diferenciada en 4 niveles, siendo capaz de obtener la información proporcionada por las redes de sensores (capas inferiores) para ser integrada con organizaciones virtuales de agentes (capas superiores). El filtrado de señales, minería de datos, sistemas de razonamiento basados en casos y otras técnicas de Inteligencia Artificial han sido aplicadas para la consecución exitosa de esta investigación. Una de las principales innovaciones que pretendo con mi estudio, es investigar acerca de nuevos mecanismos que permitan la adición dinámica de redes de sensores combinando diferentes tecnologías con el propósito final de exponer un conjunto de servicios de usuario de forma distribuida. En este sentido, se propondrá una arquitectura multiagente basada en organizaciones virtuales que gestione de forma autónoma la infraestructura subyacente constituida por el hardware y los diferentes sensores