Framework to Evaluate Emerging Systems Designed to Health Field

In recent years, several information and communication technology systems have emerged as tools to improve sleep quality. Research reveals that poor sleep quality may produce irritability and deficits in performance, concentration, and learning ability in the short term, and is associated with chronic disease in the long term. ICT proposals range from the old Polysomnography (PSG) to innovative systems, such as wearable devices, smartphone applications, and suites of sensors embedded in the users’ environment. Since these technological developments concern a health issue, they have raised important questions regarding their reliability and the level of rigor of the evaluations to which they are submitted. We found that some of the emerging systems that we studied, do not meet the requirements that health science demands to be accepted as clinical tools. The rationale behind this apparent weakness is explained with arguments from the field of evaluations for health interventions and evaluation of technological developments. We propose a framework to evaluate this kind of systems through appropriate scientific methods that provide valuable information to the research. These methods must be performed while designs mature and the feasibility of rigorous evaluations became appropriate

Abstracts of the Second Urban Sound Symposium

Following the successful first Urban Sound Symposium held at Ghent University in 2019, the second edition in 2021 had to face the challenges of the pandemic. The symposium turned this challenge into an opportunity for giving easier access to practitioners and experts from around the globe who are confronted with urban sound in their professional activities. It was organized simultaneously in Ghent, Montreal, Nantes, Zurich, London and Berlin by researchers at Ghent University, Mc Gill University, Université Gustave Eiffel, EMPA, University College London and TU Berlin. The online event created opportunities for interaction between participants at poster-booths, virtual coffee tables, and included social activities

Early detection of health changes in the elderly using in-home multi-sensor data streams

The rapid aging of the population worldwide requires increased attention from health care providers and the entire society. For the elderly to live independently, many health issues related to old age, such as frailty and risk of falling, need increased attention and monitoring. When monitoring daily routines for older adults, it is desirable to detect the early signs of health changes before serious health events, such as hospitalizations, happen, so that timely and adequate preventive care may be provided. By deploying multi-sensor systems in homes of the elderly, we can track trajectories of daily behaviors in a feature space defined using the sensor data. In this work, we investigate a methodology for learning data distribution from streaming data and tracking the evolution of the behavior trajectories over long periods (years) using high dimensional streaming clustering and provide very early indicators of changes in health. If we assume that habitual behaviors correspond to clusters in feature space and diseases produce a change in behavior, albeit not highly specific, tracking trajectory deviations can provide hints of early illness. Retrospectively, we visualize the streaming clustering results and track how the behavior clusters evolve in feature space with the help of two dimension-reduction algorithms, Principal Component Analysis (PCA) and t-distributed Stochastic Neighbor Embedding (t-SNE). Moreover, our tracking algorithm in the original high dimensional feature space generates early health warning alerts if a negative trend is detected in the behavior trajectory. We validated our algorithm on synthetic data, real-world data and tested it on a pilot dataset of four TigerPlace residents monitored with a collection of motion, bed, and depth sensors over ten years. We used the TigerPlace electronic health records (EHR) to understand the residents' behavior patterns and to evaluate and explain the health warnings generated by our algorithm. The results obtained on the TigerPlace dataset show that most of the warnings produced by our algorithm can be linked to health events documented in the EHR, providing strong support for a prospective deployment of the approach.Includes bibliographical references

Sensing and Signal Processing in Smart Healthcare

In the last decade, we have witnessed the rapid development of electronic technologies that are transforming our daily lives. Such technologies are often integrated with various sensors that facilitate the collection of human motion and physiological data and are equipped with wireless communication modules such as Bluetooth, radio frequency identification, and near-field communication. In smart healthcare applications, designing ergonomic and intuitive human–computer interfaces is crucial because a system that is not easy to use will create a huge obstacle to adoption and may significantly reduce the efficacy of the solution. Signal and data processing is another important consideration in smart healthcare applications because it must ensure high accuracy with a high level of confidence in order for the applications to be useful for clinicians in making diagnosis and treatment decisions. This Special Issue is a collection of 10 articles selected from a total of 26 contributions. These contributions span the areas of signal processing and smart healthcare systems mostly contributed by authors from Europe, including Italy, Spain, France, Portugal, Romania, Sweden, and Netherlands. Authors from China, Korea, Taiwan, Indonesia, and Ecuador are also included

How do you sleep? Using off the shelf wrist wearables to estimate sleep quality, sleepiness level, chronotype and sleep regularity indicators

This piece of research is situated in the domain of multi-modal analytics. New commercial off the shelf wearables, such as smartwatches or wristbands, are becoming popular and increasingly used for fitness and wellness in a new trend known as the quantified-self movement. The sensors included in these devices (e.g. accelerometer, heart rate) in conjunction with data analytics algorithms are used to provide information such as steps walked, calories consumed, etc. The main goal of this piece of research is to check if new wearable technologies could be used to estimate sleep indicators in an automatic way. The available medical literature proposes several sleep-related features and methods to calculate them involving direct user observation, interviews or specific medical instrumentation. Off the shelf wearable vendors also provide some sleep indicators, such as the sleep duration, the number of awakes or the time to fall asleep. Taking as a reference the results and methods described in the medical literature and the data available in commercial off the shelf wearables, we propose new sleep indicators offering a greater interpretative value: sleep quality, sleepiness level, chronotype. The results obtained after initial experiments demonstrate the feasibility of this approach to be applied in real contexts. Eventually, we plan to apply these solutions to support educational scenarios related to self-regulated learning and teaching support.Agencia Estatal de Investigación | Ref. TIN2016-80515-RXunta de Galicia | Ref. GRC2013-006Universidade de Vig

Recent Developments in Smart Healthcare

Medicine is undergoing a sector-wide transformation thanks to the advances in computing and networking technologies. Healthcare is changing from reactive and hospital-centered to preventive and personalized, from disease focused to well-being centered. In essence, the healthcare systems, as well as fundamental medicine research, are becoming smarter. We anticipate significant improvements in areas ranging from molecular genomics and proteomics to decision support for healthcare professionals through big data analytics, to support behavior changes through technology-enabled self-management, and social and motivational support. Furthermore, with smart technologies, healthcare delivery could also be made more efficient, higher quality, and lower cost. In this special issue, we received a total 45 submissions and accepted 19 outstanding papers that roughly span across several interesting topics on smart healthcare, including public health, health information technology (Health IT), and smart medicine