An intelligent medical care solution for elderly people with long term health condition based on wireless sensors network technology

Older Adults are facing serious difficulties, on a regular basis, to manage their own daily life activities. To live independently and have a good quality of life is quite a challenge, since the majorly of them have long term health condition diseases. Health services providers across EU, informal and formal carer plays major roles in providing the necessary services and support. Diseases on this society are one of the leading causes of death, from which thousands of people die every year. Many of the non-communicable diseases can be prevented by tackling associated risk factors. The cost of treatment of such diseases in the EU is estimated to be over 70% of the Health Service budget. Treatment includes home-care, medication, consultation and many other relevant services. However, these services are still not adequate, due to the lack of implemented technology that enable the older adults to manage their daily life activities independently, taking medications, receive the necessary health services on time, which, in many cases leads to loss of lives and waste of NHS resources. Daily life activities management and telehealth remote monitoring system is one of the potential innovative approaches, to improve the older adult’s quality of life, help live independently, improve NHS services, sustain its economic growth and improve social development. It is a rapidly developing concept where daily life activities, health condition, medical information is transferred through interactive data, and audiovisual media and shared between services provider, informal and formal carer. This paper presents the initial outcomes of the ongoing research program that is planned to develop an Integrated Assisted Living Technology (ALT) multi-functional case driven wireless ad-hoc management system of the daily life activities of older adults using smart sensors and actuators, 3d-video, audio, radio frequency identification and wireless technology, combined with secure cloud and semantic data engineering

Fall prevention intervention technologies: A conceptual framework and survey of the state of the art

In recent years, an ever increasing range of technology-based applications have been developed with the goal of assisting in the delivery of more effective and efficient fall prevention interventions. Whilst there have been a number of studies that have surveyed technologies for a particular sub-domain of fall prevention, there is no existing research which surveys the full spectrum of falls prevention interventions and characterises the range of technologies that have augmented this landscape. This study presents a conceptual framework and survey of the state of the art of technology-based fall prevention systems which is derived from a systematic template analysis of studies presented in contemporary research literature. The framework proposes four broad categories of fall prevention intervention system: Pre-fall prevention; Post-fall prevention; Fall injury prevention; Cross-fall prevention. Other categories include, Application type, Technology deployment platform, Information sources, Deployment environment, User interface type, and Collaborative function. After presenting the conceptual framework, a detailed survey of the state of the art is presented as a function of the proposed framework. A number of research challenges emerge as a result of surveying the research literature, which include a need for: new systems that focus on overcoming extrinsic falls risk factors; systems that support the environmental risk assessment process; systems that enable patients and practitioners to develop more collaborative relationships and engage in shared decision making during falls risk assessment and prevention activities. In response to these challenges, recommendations and future research directions are proposed to overcome each respective challenge.The Royal Society, grant Ref: RG13082

East Midlands Research into Ageing Network (EMRAN) Discussion Paper Series

Academic geriatric medicine in Leicester . There has never been a better time to consider joining us. We have recently appointed a Professor in Geriatric Medicine, alongside Tom Robinson in stroke and Victoria Haunton, who has just joined as a Senior Lecturer in Geriatric Medicine. We have fantastic opportunities to support students in their academic pursuits through a well-established intercalated BSc programme, and routes on through such as ACF posts, and a successful track-record in delivering higher degrees leading to ACL post. We collaborate strongly with Health Sciences, including academic primary care. See below for more detail on our existing academic set-up. Leicester Academy for the Study of Ageing We are also collaborating on a grander scale, through a joint academic venture focusing on ageing, the ‘Leicester Academy for the Study of Ageing’ (LASA), which involves the local health service providers (acute and community), De Montfort University; University of Leicester; Leicester City Council; Leicestershire County Council and Leicester Age UK. Professors Jayne Brown and Simon Conroy jointly Chair LASA and have recently been joined by two further Chairs, Professors Kay de Vries and Bertha Ochieng. Karen Harrison Dening has also recently been appointed an Honorary Chair. LASA aims to improve outcomes for older people and those that care for them that takes a person-centred, whole system perspective. Our research will take a global perspective, but will seek to maximise benefits for the people of Leicester, Leicestershire and Rutland, including building capacity. We are undertaking applied, translational, interdisciplinary research, focused on older people, which will deliver research outcomes that address domains from: physical/medical; functional ability, cognitive/psychological; social or environmental factors. LASA also seeks to support commissioners and providers alike for advice on how to improve care for older people, whether by research, education or service delivery. Examples of recent research projects include: ‘Local History Café’ project specifically undertaking an evaluation on loneliness and social isolation; ‘Better Visits’ project focused on improving visiting for family members of people with dementia resident in care homes; and a study on health issues for older LGBT people in Leicester. Clinical Geriatric Medicine in Leicester We have developed a service which recognises the complexity of managing frail older people at the interface (acute care, emergency care and links with community services). There are presently 17 consultant geriatricians supported by existing multidisciplinary teams, including the largest complement of Advance Nurse Practitioners in the country. Together we deliver Comprehensive Geriatric Assessment to frail older people with urgent care needs in acute and community settings. The acute and emergency frailty units – Leicester Royal Infirmary This development aims at delivering Comprehensive Geriatric Assessment to frail older people in the acute setting. Patients are screened for frailty in the Emergency Department and then undergo a multidisciplinary assessment including a consultant geriatrician, before being triaged to the most appropriate setting. This might include admission to in-patient care in the acute or community setting, intermediate care (residential or home based), or occasionally other specialist care (e.g. cardiorespiratory). Our new emergency department is the county’s first frail friendly build and includes fantastic facilities aimed at promoting early recovering and reducing the risk of hospital associated harms. There is also a daily liaison service jointly run with the psychogeriatricians (FOPAL); we have been examining geriatric outreach to oncology and surgery as part of an NIHR funded study. We are home to the Acute Frailty Network, and those interested in service developments at the national scale would be welcome to get involved. Orthogeriatrics There are now dedicated hip fracture wards and joint care with anaesthetists, orthopaedic surgeons and geriatricians. There are also consultants in metabolic bone disease that run clinics. Community work Community work will consist of reviewing patients in clinic who have been triaged to return to the community setting following an acute assessment described above. Additionally, primary care colleagues refer to outpatients for sub-acute reviews. You will work closely with local GPs with support from consultants to deliver post-acute, subacute, intermediate and rehabilitation care services. Stroke Medicine 24/7 thrombolysis and TIA services. The latter is considered one of the best in the UK and along with the high standard of vascular surgery locally means one of the best performances regarding carotid intervention

SHPIA 2.0: An Easily Scalable, Low-Cost, Multi-purpose Smart Home Platform for Intelligent Applications

Sensors, electronic devices, and smart systems have invaded the market and our daily lives. As a result, their utility in smart home contexts to improve the quality of life, especially for the elderly and people with special needs, is getting stronger and stronger. Therefore, many systems based on smart applications and intelligent devices have been developed, for example, to monitor people’s environmental contexts, help in daily-life activities, and analyze their health status. However, most existing solutions have drawbacks related to accessibility and usability. They tend to be expensive and lack generality and interoperability. These solutions are not easily scalable and are typically designed for specific constrained scenarios. This paper tackles such drawbacks by presenting SHPIA 2.0, an easily scalable, low-cost, multi-purpose smart home platform for intelligent applications. It leverages low-cost Bluetooth Low Energy (BLE) devices featuring both BLE connected and BLE broadcast modes, to transform common objects of daily life into smart objects. Moreover, SHPIA 2.0 allows the col- lection and automatic labeling of different data types to provide indoor monitoring and assistance. Specifically, SHPIA 2.0 is designed to be adaptable to different home-based application scenarios, including human activity recognition, coaching systems, and occupancy detection and counting. The SHPIA platform is open source and freely available to the scientific community, fostering collaboration and innovation

Future bathroom: A study of user-centred design principles affecting usability, safety and satisfaction in bathrooms for people living with disabilities

Research and development work relating to assistive technology 2010-11 (Department of Health) Presented to Parliament pursuant to Section 22 of the Chronically Sick and Disabled Persons Act 197

Multimodal Wearable Intelligence for Dementia Care in Healthcare 4.0: A Survey

As a new revolution of Ubiquitous Computing and Internet of Things, multimodal wearable intelligence technique is rapidly becoming a new research topic in both academic and industrial fields. Owning to the rapid spread of wearable and mobile devices, this technique is evolving healthcare from traditional hub-based systems to more personalised healthcare systems. This trend is well-aligned with recent Healthcare 4.0 which is a continuous process of transforming the entire healthcare value chain to be preventive, precise, predictive and personalised, with significant benefits to elder care. But empowering the utility of multimodal wearable intelligence technique for elderly care like people with dementia is significantly challenging considering many issues, such as shortage of cost-effective wearable sensors, heterogeneity of wearable devices connected, high demand for interoperability, etc. Focusing on these challenges, this paper gives a systematic review of advanced multimodal wearable intelligence technologies for dementia care in Healthcare 4.0. One framework is proposed for reviewing the current research of wearable intelligence, and key enabling technologies, major applications, and successful case studies in dementia care, and finally points out future research trends and challenges in Healthcare 4.0

Digital inclusion - the vision, the challenges and the way forward

This paper considers the vision and aspiration of digital inclusion, and then examines the current reality. It looks beyond the rhetoric to provide an analysis of the status quo, a consideration of some facilitators and challenges to progress and some suggestions for moving forward with renewed energy and commitment. The far-reaching benefits of digital inclusion and the crucial role it plays in enabling full participation in our digital society are considered. At the heart of the vision of universal digital inclusion is the deceptively simple goal to ensure that everyone is able to access and experience the wide-ranging benefits and transformational opportunities and impacts it offers. The reality is a long way from the vision: inequality of access still exists despite many national campaigns and initiatives to reduce it. The benefits and beneficiaries of a digital society are not just the individual but all stakeholders in the wider society. Research evidence has shown that the critical success factors for successful digital participation are (i) appropriate design and (ii) readily available and on-going ICT (Information and Communication Technology) support in the community. Challenges and proven solutions are presented. The proposition of community hubs in local venues to provide user-centred ICT support and learning for older and disabled people is presented. While the challenges to achieve digital inclusion are very considerable, the knowledge of how to achieve it and the technologies which enable it already exist. Harnessing of political will is necessary to make digital inclusion a reality rather than a vision. With the cooperation and commitment of all stakeholders actualisation of the vision of a digitally inclusive society, while challenging, can be achieved and will yield opportunities and rewards that eclipse the cost of implementation

Intelligent Transport Solutions for Social Inclusion (ITSSI):Project Report

This report details the results and recommendations of the project “Intelligent Transport Solutions for Social Inclusion” (ITSSI). The project explored the opportunities of intelligent technologies, Information and Communication Technologies (ICT) and data for community transport services in Brighton and Hove, focussing on older, socially isolated users and social inclusion.    Data collection, analysis and sharing around the multiple aspects of community transport are of increasing importance for evidencing its benefits (economic, social, health, etc) to commissioners, providers and end users. Against the backdrop of the growing importance of data in most aspects of our societies, including local authorities and community transport, many end users of community transport do not have digital/online skills and/or access – making this an especially interesting and challenging area for digital transformation.  The project was explored through five work packages (WP): WP1 focussed on existing community transport services and resources, WP2 engaged with community transport data, WP3 reviewed and analysed intelligent transport for social inclusion from around the globe, WP4 explored case studies of social isolation and WP5 delivered the event ‘Intelligent technologies for community-based transport solutions’.  ITSSI was interdisciplinary in terms of the academic team, but also in terms of stakeholders, including the local authority, Clinical Commissioning Group, the third sector, as well as the digital and transport industries. The 2016-2017 project was commissioned by Brighton and Hove City Council as one of the projects funded by the regional board “South East Area Transport Solutions” (S.E.A.T.S.) that in turn is funded through the Department for Transport’s UK wide “Total Transport Pilot Fund”.  Results of the project are of interest for policy, industry, and research locally, nationally and internationally with the report outlining implications and further work for areas including policy, transport, mobility, smart and inclusive cities, health, data, digital and innovation