Behavioural pattern identification and prediction in intelligent environments

In this paper, the application of soft computing techniques in prediction of an occupant's behaviour in an inhabited intelligent environment is addressed. In this research, daily activities of elderly people who live in their own homes suffering from dementia are studied. Occupancy sensors are used to extract the movement patterns of the occupant. The occupancy data is then converted into temporal sequences of activities which are eventually used to predict the occupant behaviour. To build the prediction model, different dynamic recurrent neural networks are investigated. Recurrent neural networks have shown a great ability in finding the temporal relationships of input patterns. The experimental results show that non-linear autoregressive network with exogenous inputs model correctly extracts the long term prediction patterns of the occupant and outperformed the Elman network. The results presented here are validated using data generated from a simulator and real environments

Identification and prediction of abnormal behaviour activities of daily living in intelligent environments

The aim of this research is to investigate efficient mining of useful information from a sensor network forming an Ambient Intelligence (AmI) environment. In this thesis, we investigate methods for supporting independent living of the elderly (and specifically patients who are suffering from dementia) by means of equipping their home with a simple sensor network to monitor their behaviour and identify their Activities of Daily Living (ADL). Dementia is considered to be one of the most important causes of disability in the elderly. Mostpatients would prefer to use non-intrusive technology to help them tomaintain their independence. Such monitoring and prediction would allow the caregiver to see any trend in the behaviour of the elderly person and to be informed of any abnormal behaviour

A Passive Monitoring System in Assisted Living Facilities: 12-Month Comparative Study

The GE QuietCare® passive monitoring system uses advanced motion sensor technology that learns the daily living patterns of senior community residents and sends alerts when certain out-of-the-ordinary events occur. This study compared falls, hospitalizations, care level changes, and resident attrition between two similar assisted living facilities where one facility adopted the QuietCare® monitoring system and the other did not over a 12-month period. Average falls per week were significantly lower in the QuietCare® facility than the control facility. There was also a trend toward fewer weekly hospitalizations in the QuietCare® facility. There was higher resident retention at the QuietCare® facility. This study provides evidence of direct benefits to both the resident and the facility for the use of QuietCare®. There was a significant reduction in the number of falls, as well as a general facility performance improvement measured by care level consistency and higher resident retention rates

Angina: contemporary diagnosis and management

No abstract available

Central monitoring system for ambient assisted living

Smart homes for aged care enable the elderly to stay in their own homes longer. By means of various types of ambient and wearable sensors information is gathered on people living in smart homes for aged care. This information is then processed to determine the activities of daily living (ADL) and provide vital information to carers. Many examples of smart homes for aged care can be found in literature, however, little or no evidence can be found with respect to interoperability of various sensors and devices along with associated functions. One key element with respect to interoperability is the central monitoring system in a smart home. This thesis analyses and presents key functions and requirements of a central monitoring system. The outcomes of this thesis may benefit developers of smart homes for aged care

Umsetzung von Lungenkrebs-Screening

Two large-scale and sufficiently powered randomized-controlled trials and several smaller European trials have provided evidence on the effectiveness and feasibility of screening for lung cancer by means of low-dose computed tomography (LDCT) for a high-risk population. These findings support the implementation and upscaling of lung cancer screening to nationwide programs in Germany and the rest of Europe. At the same time, lung cancer screening efficiency can still be improved by further personalization and risk stratification, to maintain or improve the benefits while substantially reducing harms and costs (such as CT examinations needed, false-positive results and subsequent follow-up procedures). This review discusses the most pressing issues, such as the further development of adequate recruitment methods, risk-based eligibility and screening intervals, improved nodule detection and management, integrated smoking cessation programs, and a unified approach of the early detection of smoking-related diseases. The 4-IN-THE-LUNG-RUN (acronym for: Towards INdividually tailored INvitations, screening INtervals and INtegrated co-morbidity reducing strategies in lung cancer screening) is the first European multi-centred implementation trial on volume CT lung cancer screening amongst 24,000 high-risk subjects, across five countries. Germany is one of the participating countries, represented by the Deutsche Krebsforschungszentrum and the Universitätsklinikum (Ruhrlandklinik) Essen. The trial is expected to provide answers to the remaining issues, so that a high-quality screening program can be made accessible to those who might benefit most from lung cancer screening while keeping individual and societal harms at a minimum.</p

Trend analysis for human activities recognition

Smart environments equipped with appropriate sensory devices are used to measure people's activities. These activities represent Activities of Daily Living (ADL) or Activities of Daily Working (ADW). Measuring progressive changes in activities is a subject of research interest. A number of medical conditions and their treatments are associated with progressive changes such as reduced movement over time. The aim of this research is to determine means of inspecting trends in the ADL/ADW to identify progressive changes and predict behavioural abnormalities. The ADL/ADW pattern will change over time and this is a consequence of the individual's condition. Identifying evolving behavioural patterns will help to predict the trend in the ADL/ADW behavioural pattern before any abnormalities are identifed. The data provided for this investigation are from real environments home and office). Additionally, a simulator is developed to generate simulated data for ADLs. To answer the research question identifed in this research, the initial investigation was conducted and a novel Human Behaviour Momentum Indicator (HBMI) is proposed. The HBMI is introduced to identify changes based on activities recorded from a single sensor. To show the effectiveness of the proposed approach, results are compared with Relative Strength Index (RSI). The results show that trends in ADL or ADW can be detected and the direction of the activity's trend is predicted. To represent a holistic report based on a multiple sensors/activities representing progressive changes in the participant's behaviour, a novel Human Behaviour Indicator (HBI) is also proposed. The proposed HBI indicator is constructed as a composite indicator, which will compute progressive changes in behaviour based on the events that are performed during the entire day. The percentage of changes between events is used to compare events and measure the progressive changes. The proposed technique identifies the user's daily behaviour and distinguishes between normal and abnormal behavioural patterns of the ADLs or ADWs. Analysis of the data indicates that the HBI could clearly differentiate between the normal and the abnormal behaviour and give a warning status with a confidence level. Identifying trends in ADLs or ADWs using trend analysis techniques are investigated to interpret the behavioural changes in a suitable format to be understood by the carers or supervisors

A multi-disciplinary commentary on preclinical research to investigate vascular contributions to dementia

Although dementia research has been dominated by Alzheimer's disease (AD), most dementia in older people is now recognised to be due to mixed pathologies, usually combining vascular and AD brain pathology. Vascular cognitive impairment (VCI), which encompasses vascular dementia (VaD) is the second most common type of dementia. Models of VCI have been delayed by limited understanding of the underlying aetiology and pathogenesis. This review by a multidisciplinary, diverse (in terms of sex, geography and career stage), cross-institute team provides a perspective on limitations to current VCI models and recommendations for improving translation and reproducibility. We discuss reproducibility, clinical features of VCI and corresponding assessments in models, human pathology, bioinformatics approaches, and data sharing. We offer recommendations for future research, particularly focusing on small vessel disease as a main underpinning disorder