Mobile Personal Health Application for Empowering Diabetic Patients

In this paper we present the functional features of a mobile Personal Health Application that aims to empower Type 1 and Type 2 diabetic patients by facilitating self-management of their disease. The application supports the collection of observations of daily living i.e. vital signs, diet, quality and quantity of sleep, physical parameters such as weight, mental parameters such as self-assessment of quality of life, level of mood and stress, and physical activity related information. The application can operate in stand-alone mode as a consumer health app running in smartphones and tablets. However, the full range of its functionality is available when integrated with a server-based patient empowerment framework that further facilitates diabetes management with the active involvement of healthcare professionals, the exploitation of inclusive knowledge from clinical guidelines, and the incorporation of comprehensive information material

PATHOS: Pervasive at Home Sleep Monitoring

Sleeping disorders affect a large percentage of the population, and many of them go undiagnosed each year because the method of diagnosis is to stay overnight at a sleep center. Because pervasive technologies have become so prevalent and affordable, sleep monitoring is no longer confined to a permanent installation, and can therefore be brought directly into the user home. We present a unique solution to the problem of home sleep monitoring that has the possibility to take the place of and expand on the data from a sleep center. PATHOS focuses not only on analyzing patterns during the night, but also on collecting data about the subject lifestyle that is relevant and important to the diagnosis of his/her sleep. PATHOS means “evoking emotion.” Here, we mean Pathos will help us to keep healthy: both mentally and physically. Our solution uses existing technology to keep down cost and is completely wireless in order to provide portability and be easily to customize. The daytime collection also utilizes existing technology and offers a wide range of input methods to suit any type of person. We also include an in-depth look at the hardware we used to implement and the software providing user interaction. Our system is not only a viable alternative to a sleep center, it also provides functions that a static, short-term solution cannot provide, allowing for a more accurate diagnosis and treatment

Wearable Computing for Health and Fitness: Exploring the Relationship between Data and Human Behaviour

Health and fitness wearable technology has recently advanced, making it easier for an individual to monitor their behaviours. Previously self generated data interacts with the user to motivate positive behaviour change, but issues arise when relating this to long term mention of wearable devices. Previous studies within this area are discussed. We also consider a new approach where data is used to support instead of motivate, through monitoring and logging to encourage reflection. Based on issues highlighted, we then make recommendations on the direction in which future work could be most beneficial

Data S1: Data

We present the evaluation of two well-known, low-cost consumer-grade EEG devices: the Emotiv EPOC and the Neurosky MindWave. Problems with using the consumer-grade EEG devices (BCI illiteracy, poor technical characteristics, and adverse EEG artefacts) are discussed. The experimental evaluation of the devices, performed with 10 subjects asked to perform concentration/relaxation and blinking recognition tasks, is given. The results of statistical analysis show that both devices exhibit high variability and non-normality of attention and meditation data, which makes each of them difficult to use as an input to control tasks. BCI illiteracy may be a significant problem, as well as setting up of the proper environment of the experiment. The results of blinking recognition show that using the Neurosky device means recognition accuracy is less than 50%, while the Emotiv device has achieved a recognition accuracy of more than 75%; for tasks that require concentration and relaxation of subjects, the Emotiv EPOC device has performed better (as measured by the recognition accuracy) by ∼9%. Therefore, the Emotiv EPOC device may be more suitable for control tasks using the attention/meditation level or eye blinking than the Neurosky MindWave device

Smart workplaces: a system proposal for stress management

Over the past last decades of contemporary society, workplaces have become the primary source of many health issues, leading to mental problems such as stress, depression, and anxiety. Among the others, environmental aspects have shown to be the causes of stress, illness, and lack of productivity. With the arrival of new technologies, especially in the smart workplaces field, most studies have focused on investigating the building energy efficiency models and human thermal comfort. However, little has been applied to occupants’ stress recognition and well-being overall. Due to this fact, this present study aims to propose a stress management solution for an interactive design system that allows the adapting of comfortable environmental conditions according to the user preferences by measuring in real-time the environmental and biological characteristics, thereby helping to prevent stress, as well as to enable users to cope stress when being stressed. The secondary objective will focus on evaluating one part of the system: the mobile application. The proposed system uses several usability methods to identify users’ needs, behavior, and expectations from the user-centered design approach. Applied methods, such as User Research, Card Sorting, and Expert Review, allowed us to evaluate the design system according to Heuristics Analysis, resulting in improved usability of interfaces and experience. The study presents the research results, the design interface, and usability tests. According to the User Research results, temperature and noise are the most common environmental stressors among the users causing stress and uncomfortable conditions to work in, and the preference for physical activities over the digital solutions for coping with stress. Additionally, the System Usability Scale (SUS) results identified that the system’s usability was measured as “excellent” and “acceptable” with a final score of 88 points out of the 100. It is expected that these conclusions can contribute to future investigations in the smart workplaces study field and their interaction with the people placed there.Nas últimas décadas da sociedade contemporânea, o local de trabalho tem se tornado principal fonte de muitos problemas de saúde mental, como o stress, depressão e ansiedade. Os aspetos ambientais têm se revelado como as causas de stress, doenças, falta de produtividade, entre outros. Atualmente, com a chegada de novas tecnologias, principalmente na área de locais de trabalho inteligentes, a maioria dos estudos tem se concentrado na investigação de modelos de eficiência energética de edifícios e conforto térmico humano. No entanto, pouco foi aplicado ao reconhecimento do stress dos ocupantes e ao bem-estar geral das pessoas. Diante disso, o objetivo principal é propor um sistema de design de gestão do stress para um sistema de design interativo que permita adaptar as condições ambientais de acordo com as preferências de utilizador, medindo em tempo real as características ambientais e biológicas, auxiliando assim na prevenção de stress, bem como ajuda os utilizadores a lidar com o stress quando estão sob o mesmo. O segundo objetivo é desenhar e avaliar uma parte do projeto — o protótipo da aplicação móvel através da realização de testes de usabilidade. O sistema proposto resulta da abordagem de design centrado no utilizador, utilizando diversos métodos de usabilidade para identificar as necessidades, comportamentos e as expectativas dos utilizadores. Métodos aplicados, como Pesquisa de Usuário, Card Sorting e Revisão de Especialistas, permitiram avaliar o sistema de design de acordo com a análise heurística, resultando numa melhoria na usabilidade das interfaces e experiência. O estudo apresenta os resultados da pesquisa, a interface do design e os testes de usabilidade. De acordo com os resultados de User Research, a temperatura e o ruído são os stressores ambientais mais comuns entre os utilizadores, causando stresse e condições menos favoráveis para trabalhar, igualmente existe uma preferência por atividades físicas sobre as soluções digitais na gestão do stresse. Adicionalmente, os resultados de System Usability Scale (SUS) identificaram a usabilidade do sistema de design como “excelente” e “aceitável” com pontuação final de 88 pontos em 100. É esperado que essas conclusões possam contribuir para futuras investigações no campo de estudo dos smart workplaces e sua interação com os utilizadores

A framework for multimodal wireless sensor networks

Wireless Sensor Networks are a widely used solution for monitoring oriented applications (e.g., water quality on watersheds, pollution monitoring in cities). These kinds of applications are characterized by the necessity of two data-reporting modes: time-driven and event-driven. The former is used mainly for continually supervising an area and the latter for event detection and tracking. By switching between both modes, a WSN can improve its energy-efficiency and event reporting latency, compared to single data-reporting schemes. We refer to those WSNs, where both data-reporting modes are required simultaneously, as MultiModal Wireless Sensor Networks (M2WSNs). M2WSNs arise as a solution for the trade-off between energy savings and event reporting latency in those monitoring-oriented applications where regular and emergency reporting are required simultaneously. The multimodality in these M2WSNs allows sensor nodes to perform data-reporting in two possible schemes, time-driven and event-driven, according to the circumstances, providing higher energy savings and better reporting results when compared to traditional schemes. Traditionally, sophisticated power-aware wake-up schemes have been employed to achieve energy efficiency in WSNs, such as low-duty cycling protocols using a single radio architecture. These protocols achieve good results regarding energy savings, but they suffer from idle-listening and overhearing issues, that make them not reliable for most ultra-low-power demanding applications, especially, those deployed in hostile and unattended environments. Currently, Wake-up Radio Receivers based protocols, under a dual-radio architecture and always-on operation, are emerging as a solution to overcome these issues, promising higher energy consumption reduction and reliability in terms of latency and packet-delivery-ratio compared to classic wake-up protocols. By combining different transceivers and reporting protocols regarding energy efficiency and reliability, multimodality in M2WSNs is achieved. This dissertation proposes a conceptual framework for M2WSNs that integrates the goodness of both data-reporting schemes and the Wake-up Radio paradigm--data periodicity, responsiveness, and energy-efficiency--, that might be suitable for monitoring oriented applications with low bandwidth requirements, that operates under normal circumstances and emergencies. The framework follows a layered approach, where each layer aims to fulfill specific tasks based on its information, the functions provided by its adjacent layers, and the information resulted from the cross-layer interactions.Doctor en IngenieríaDoctoradohttps://orcid.org/0000-0003-1346-6451https://scholar.google.com.co/citations?user=0I4kXQUAAAAJ&hl=enhttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=000001365

Studies on Spinal Fusion from Computational Modelling to ‘Smart’ Implants

Low back pain, the worldwide leading cause of disability, is commonly treated with lumbar interbody fusion surgery to address degeneration, instability, deformity, and trauma of the spine. Following fusion surgery, nearly 20% experience complications requiring reoperation while 1 in 3 do not experience a meaningful improvement in pain. Implant subsidence and pseudarthrosis in particular present a multifaceted challenge in the management of a patient’s painful symptoms. Given the diversity of fusion approaches, materials, and instrumentation, further inputs are required across the treatment spectrum to prevent and manage complications. This thesis comprises biomechanical studies on lumbar spinal fusion that provide new insights into spinal fusion surgery from preoperative planning to postoperative monitoring. A computational model, using the finite element method, is developed to quantify the biomechanical impact of temporal ossification on the spine, examining how the fusion mass stiffness affects loads on the implant and subsequent subsidence risk, while bony growth into the endplates affects load-distribution among the surrounding spinal structures. The computational modelling approach is extended to provide biomechanical inputs to surgical decisions regarding posterior fixation. Where a patient is not clinically pre-disposed to subsidence or pseudarthrosis, the results suggest unilateral fixation is a more economical choice than bilateral fixation to stabilise the joint. While finite element modelling can inform pre-surgical planning, effective postoperative monitoring currently remains a clinical challenge. Periodic radiological follow-up to assess bony fusion is subjective and unreliable. This thesis describes the development of a ‘smart’ interbody cage capable of taking direct measurements from the implant for monitoring fusion progression and complication risk. Biomechanical testing of the ‘smart’ implant demonstrated its ability to distinguish between graft and endplate stiffness states. The device is prepared for wireless actualisation by investigating sensor optimisation and telemetry. The results show that near-field communication is a feasible approach for wireless power and data transfer in this setting, notwithstanding further architectural optimisation required, while a combination of strain and pressure sensors will be more mechanically and clinically informative. Further work in computational modelling of the spine and ‘smart’ implants will enable personalised healthcare for low back pain, and the results presented in this thesis are a step in this direction

Travel Mode Identification with Smartphone Sensors

Personal trips in a modern urban society typically involve multiple travel modes. Recognizing a traveller\u27s transportation mode is not only critical to personal context-awareness in related applications, but also essential to urban traffic operations, transportation planning, and facility design. While the state of the art in travel mode recognition mainly relies on large-scale infrastructure-based fixed sensors or on individuals\u27 GPS devices, the emergence of the smartphone provides a promising alternative with its ever-growing computing, networking, and sensing powers. In this thesis, we propose new algorithms for travel mode identification using smartphone sensors. The prototype system is built upon the latest Android and iOS platforms with multimodality sensors. It takes smartphone sensor data as the input, and aims to identify six travel modes: walking, jogging, bicycling, driving a car, riding a bus, taking a subway. The methods and algorithms presented in our work are guided by two key design principles. First, careful consideration of smartphones\u27 limited computing resources and batteries should be taken. Second, careful balancing of the following dimensions (i) user-adaptability, (ii) energy efficiency, and (iii) computation speed. There are three key challenges in travel mode identification with smartphone sensors, stemming from the three steps in a typical mobile mining procedure. They are (C1) data capturing and preprocessing, (C2) feature engineering, and (C3) model training and adaptation. This thesis is our response to the challenges above. To address the first challenge (C1), in Chapter 4 we develop a smartphone app that collects a multitude of smartphone sensor measurement data, and showcase a comprehensive set of de-noising techniques. To tackle challenge (C2), in Chapter 5 we design feature extraction methods that carefully balance prediction accuracy, computation time, and battery consumption. And to answer challenge (C3), in Chapters 6,7 and 8 we design different learning models to accommodate different situations in model training. A hierarchical model with dynamic sensor selection is designed to address the energy consumption issue. We propose a personalized model that adapts to each traveller\u27s specific travel behavior using limited labeled data. We also propose an online model for the purpose of addressing the model updating problem with large scaled data. In addressing the challenges and proposing solutions, this thesis provides an comprehensive study and gives a systematic solution for travel mode detection with smartphone sensors

Assessing Visual Attention Using Eye Tracking Sensors in Intelligent Cognitive Therapies Based on Serious Games

This study examines the use of eye tracking sensors as a means to identify children's behavior in attention-enhancement therapies. For this purpose, a set of data collected from 32 children with different attention skills is analyzed during their interaction with a set of puzzle games. The authors of this study hypothesize that participants with better performance may have quantifiably different eye-movement patterns from users with poorer results. The use of eye trackers outside the research community may help to extend their potential with available intelligent therapies, bringing state-of-the-art technologies to users. The use of gaze data constitutes a new information source in intelligent therapies that may help to build new approaches that are fully-customized to final users' needs. This may be achieved by implementing machine learning algorithms for classification. The initial study of the dataset has proven a 0.88 (±0.11) classification accuracy with a random forest classifier, using cross-validation and hierarchical tree-based feature selection. Further approaches need to be examined in order to establish more detailed attention behaviors and patterns among children with and without attention problems

Quantifying Quality of Life

Describes technological methods and tools for objective and quantitative assessment of QoL Appraises technology-enabled methods for incorporating QoL measurements in medicine Highlights the success factors for adoption and scaling of technology-enabled methods This open access book presents the rise of technology-enabled methods and tools for objective, quantitative assessment of Quality of Life (QoL), while following the WHOQOL model. It is an in-depth resource describing and examining state-of-the-art, minimally obtrusive, ubiquitous technologies. Highlighting the required factors for adoption and scaling of technology-enabled methods and tools for QoL assessment, it also describes how these technologies can be leveraged for behavior change, disease prevention, health management and long-term QoL enhancement in populations at large. Quantifying Quality of Life: Incorporating Daily Life into Medicine fills a gap in the field of QoL by providing assessment methods, techniques and tools. These assessments differ from the current methods that are now mostly infrequent, subjective, qualitative, memory-based, context-poor and sparse. Therefore, it is an ideal resource for physicians, physicians in training, software and hardware developers, computer scientists, data scientists, behavioural scientists, entrepreneurs, healthcare leaders and administrators who are seeking an up-to-date resource on this subject