Unobtrusive Health Monitoring in Private Spaces: The Smart Vehicle

Unobtrusive in-vehicle health monitoring has the potential to use the driving time to perform regular medical check-ups. This work intends to provide a guide to currently proposed sensor systems for in-vehicle monitoring and to answer, in particular, the questions: (1) Which sensors are suitable for in-vehicle data collection? (2) Where should the sensors be placed? (3) Which biosignals or vital signs can be monitored in the vehicle? (4) Which purposes can be supported with the health data? We reviewed retrospective literature systematically and summarized the up-to-date research on leveraging sensor technology for unobtrusive in-vehicle health monitoring. PubMed, IEEE Xplore, and Scopus delivered 959 articles. We firstly screened titles and abstracts for relevance. Thereafter, we assessed the entire articles. Finally, 46 papers were included and analyzed. A guide is provided to the currently proposed sensor systems. Through this guide, potential sensor information can be derived from the biomedical data needed for respective purposes. The suggested locations for the corresponding sensors are also linked. Fifteen types of sensors were found. Driver-centered locations, such as steering wheel, car seat, and windscreen, are frequently used for mounting unobtrusive sensors, through which some typical biosignals like heart rate and respiration rate are measured. To date, most research focuses on sensor technology development, and most application-driven research aims at driving safety. Health-oriented research on the medical use of sensor-derived physiological parameters is still of interest

Techniques, Circuits and Devices for Noncontact Sensing through Wireless Coupling

Le tecnologie per la misurazione di grandezze fisiche senza contatto sono diventate sempre più centrali in vari settori, che vanno dal monitoraggio industriale alle applicazioni sanitarie. In questo contesto, la tesi si concentra sullo sviluppo e l'implementazione di tecniche innovative, circuiti elettronici e dispositivi per la rilevazione senza contatto. L’analisi presentata all'interno di questa tesi considera lo scenario del rilevamento senza contatto a distanza nel campo elettromagnetico lontano (far-field) e al rilevamento senza contatto di prossimità, sfruttando le interazioni elettromagnetiche in campo vicino (near field). Nell’ambito del rilevamento senza contatto a distanza, la tesi indaga l'uso delle onde elettromagnetiche per il monitoraggio non invasivo del livello di solidi granulari all’interno di silos. Questo sistema, sviluppato impiegando un sensore radar commerciale a onda continua modulata in frequenza, dimostra il potenziale di questa tecnologia nel monitoraggio non invasivo e senza contatto in contesti agricoli e industriali. Considerando invece lo scenario del rilevamento senza contatto di prossimità, la tesi fornisce un'analisi dell'interrogazione senza contatto di sensori passivi e ne presenta diversi approcci e applicazioni. Vengono affrontate le problematiche delle misurazioni senza contatto, proponendo alcune soluzioni per migliorarne l'affidabilità e l'accuratezza, permettendo in particolare di renderle indipendenti dalla distanza di interrogazione. In particolare, la tesi presenta un sistema per la misurazione senza contatto della frequenza di risonanza di risonatori MEMS piezoelettrici. La tecnica proposta sfrutta l'accoppiamento magnetico tra un’unità di interrogazione ed un’unità sensore ed è applicata in modo innovativo per la rilevazione della temperatura, sfruttando le proprietà dei risonatori a disco in nitruro di alluminio (AlN) su silicio sottile piezoelettrico (TPoS) ed una tecnica di interrogazione senza contatto a tempo commutato. Inoltre, la tesi presenta un’etichetta flessibile per la misurazione della temperatura corporea, che combina il rilevamento a contatto della temperatura con una lettura senza contatto dell’unità sensore sfruttandone l'accoppiamento magnetico con un unità di interrogazione. L’etichetta flessibile, che costituisce l'unità sensore, è composta da una bobina induttiva che consente l'accoppiamento magnetico, un condensatore ceramico utilizzato come elemento sensibile alla temperatura, sfruttandone il coefficiente di temperatura della capacità, ed un induttore aggiuntivo utilizzato per rendere la frequenza di risonanza del circuito risonante RLC indipendente dalla flessione dell’etichetta. In modo analogo, le tecniche di interrogazione proposte sono state applicate ad un nuovo metodo per l'interrogazione senza contatto di un sensore induttivo, utilizzato per rilevare target conduttivi. Il sistema proposto presenta una bobina avvolta collegata con un condensatore per formare un circuito LC risonante, la cui frequenza di risonanza cambia quando un target conduttivo viene introdotto nel campo magnetico generato dalla bobina stessa. Attraverso una bobina di interrogazione esterna, accoppiata elettromagneticamente al sensore induttivo, è possibile interrogare senza contatto il sensore induttivo, permettendo quindi la rilevazione a distanza di target conduttivi. Infine, lo studio esposto in questa tesi introduce una tecnica avanzata per l'interrogazione senza contatto di sensori resistivi passivi, sfruttando risonatori a cristallo di quarzo come dispositivo risonante e basandosi sulla stima del fattore di qualità del circuito che costituisce l’unità sensore. Il metodo proposto supera i limiti delle tecniche basate su misure di ampiezza, legati in particolare all'influenza della distanza di interrogazioneNoncontact sensing technologies have become increasingly central in a variety of fields, ranging from industrial monitoring to healthcare applications. In this context, the thesis focuses on the development and implementation of innovative techniques, electronic circuits, and devices for contactless sensing via wireless coupling, responding to the growing interest in noncontact measurement methods. The themes treated in this thesis regard both the scenario of distant noncontact sensing in the electromagnetic far field, and proximate wireless sensing, leveraging on near-field electromagnetic interactions. Each domain is distinctly characterized by its specific technologies, applications, and methodologies, reflecting their operational ranges and fundamental principles. In the domain of distant wireless sensing, the thesis investigates the use of electromagnetic waves for unobtrusive level monitoring of granular solids in silos. This system, developed employing a commercial frequency-modulated continuous-wave radar sensor, demonstrates the potential of this technology in unobtrusive monitoring in agricultural and industrial environments. Considering the proximate wireless sensing domain, the thesis provides an analysis of noncontact interrogation of passive sensors and it presents different approaches and applications. It addresses the challenges and offers solutions for enhancing the reliability and accuracy of contactless measurements, which can be advantageously independent of the interrogation distance. This can path the way to the development of low-cost, disposable and sustainable devices for healthcare and industrial applications. In particular, the thesis presents a system for the noncontact measurement of the resonant frequency of piezoelectric MEMS resonators. The technique exploits magnetic coupling between interrogation and sensor units, and it is innovatively applied for temperature sensing exploiting a thin-film piezoelectric on silicon (TPoS) aluminium nitride (AlN) disk resonators and a contactless interrogation time-gated technique. Furthermore, the thesis presents a flexible patch for body temperature measurement, combining contact sensing with contactless readout, and exploiting magnetic coupling between interrogation and sensor units. The flexible patch, forming the sensor unit, is composed of an inductive coil for magnetic coupling, a ceramic capacitor used as the temperature sensing element exploiting its temperature coefficient of capacitance and an additional inductor to make the resonant frequency of the resulting resonant RLC circuit independent from the bending of the patch. Similarly, interrogation techniques have been applied to a novel method for contactless interrogation of an inductive sensor used for detecting conductive targets. The system features a solenoidal coil connected with a capacitor to form a resonating LC circuit, whose resonant frequency changes when a conductive target is introduced in the generated magnetic field. An external interrogation coil electromagnetically coupled to the inductive sensor enables the wireless measurement for conductive target detection. Lastly, the study introduces an advanced technique for the contactless interrogation of passive resistive sensors. The novel approach exploits the resonant frequency stability and the high quality factor of a quartz crystal resonator, used as a resonant element, with a series-connected resistor acting as the sensing element. This method overcomes the limitations of amplitude measurements techniques typically affected by the interrogation distance

Automatic Information Exchange in the Early Rescue Chain Using the International Standard Accident Number (ISAN)

Thus far, emergency calls are answered by human operators who interview the calling person in order to obtain all relevant information. In the near future-based on the Internet of (Medical) Things (IoT, IoMT)-accidents, emergencies, or adverse health events will be reported automatically by smart homes, smart vehicles, or smart wearables, without any human in the loop. Several parties are involved in this communication: the alerting system, the rescue service (responding system), and the emergency department in the hospital (curing system). In many countries, these parties use isolated information and communication technology (ICT) systems. Previously, the International Standard Accident Number (ISAN) has been proposed to securely link the data in these systems. In this work, we propose an ISAN-based communication platform that allows semantically interoperable information exchange. Our aims are threefold: (i) to enable data exchange between the isolated systems, (ii) to avoid data misinterpretation, and (iii) to integrate additional data sources. The suggested platform is composed of an alerting, responding, and curing system manager, a workflow manager, and a communication manager. First, the ICT systems of all parties in the early rescue chain register with their according system manager, which tracks the keep-alive. In case of emergency, the alerting system sends an ISAN to the platform. The responsible rescue services and hospitals are determined and interconnected for platform-based communication. Next to the conceptual design of the platform, we evaluate a proof-of-concept implementation according to (1) the registration, (2) channel establishment, (3) data encryption, (4) event alert, and (5) information exchange. Our concept meets the requirements for scalability, error handling, and information security. In the future, it will be used to implement a virtual accident registry

Proposing an International Standard Accident Number for Interconnecting Information and Communication Technology Systems of the Rescue Chain

Background  The rapid dissemination of smart devices within the internet of things (IoT) is developing toward automatic emergency alerts which are transmitted from machine to machine without human interaction. However, apart from individual projects concentrating on single types of accidents, there is no general methodology of connecting the standalone information and communication technology (ICT) systems involved in an accident: systems for alerting (e.g., smart home/car/wearable), systems in the responding stage (e.g., ambulance), and in the curing stage (e.g., hospital). Objectives  We define the International Standard Accident Number (ISAN) as a unique token for interconnecting these ICT systems and to provide embedded data describing the circumstances of an accident (time, position, and identifier of the alerting system). Materials and methods  Based on the characteristics of processes and ICT systems in emergency care, we derive technological, syntactic, and semantic requirements for the ISAN, and we analyze existing standards to be incorporated in the ISAN specification. Results  We choose a set of formats for describing the embedded data and give rules for their combination to generate an ISAN. It is a compact alphanumeric representation that is generated easily by the alerting system. We demonstrate generation, conversion, analysis, and visualization via representational state transfer (REST) services. Although ISAN targets machine-to-machine communication, we give examples of graphical user interfaces. Conclusion  Created either locally by the alerting IoT system or remotely using our RESTful service, the ISAN is a simple and flexible token that enables technological, syntactic, and semantic interoperability between all ICT systems in emergency care

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

Localino T-shirt: The Real-time Indoor Localization in Ambient Assisted Living Applications

In the last decade, smart textiles have become very popular as a concept and have found use in many applications, such as military, electronics, automotive, and medical ones. In the medical area, smart textiles research is focused more on biomonitoring, telemedicine, rehabilitation, sport medicine or home healthcare systems. In this research, the development and localization accuracy measurements of a smart T-shirt are presented, which will be used by elderly people for indoor localization in ambient assisted living applications. The proposed smart T-shirt and the work presented is considered to be applicable in cases of elderly, toddlers or even adults in indoor environments where their continuous real-time localization is critical. This smart T-shirt integrates a localization sensor, namely the Localino sensor, together with a solar panel for energy harvesting when the user is moving outdoors, as well as a battery/power bank that is both connected to the solar panel and the Localino sensor for charging and power supply respectively. Moreover, a mock-up house was deployed, where the Localino platform anchors were deployed at strategic points within the house area. Localino sensor nodes were installed in all the house rooms, from which we obtained the localization accuracy measurements. Furthermore, the localization accuracy was also measured for a selected number of mobile user scenarios, in order to assess the platform accuracy in both static and mobile user cases. Details about the implementation of the T-shirt, the selection and integration of the electronics parts, and the mock-up house, as well as about the localization accuracy measurements results are presented in the paper

Vital Sign Monitoring Using FMCW Radar in Various Sleeping Scenarios

Remote monitoring of vital signs for studying sleep is a user-friendly alternative to monitoring with sensors attached to the skin. For instance, remote monitoring can allow unconstrained movement during sleep, whereas detectors requiring a physical contact may detach and interrupt the measurement and affect sleep itself. This study evaluates the performance of a cost-effective frequency modulated continuous wave (FMCW) radar in remote monitoring of heart rate and respiration in scenarios resembling a set of normal and abnormal physiological conditions during sleep. We evaluate the vital signs of ten subjects in different lying positions during various tasks. Specifically, we aim for a broad range of both heart and respiration rates to replicate various real-life scenarios and to test the robustness of the selected vital sign extraction methods consisting of fast Fourier transform based cepstral and autocorrelation analyses. As compared to the reference signals obtained using Embla titanium, a certified medical device, we achieved an overall relative mean absolute error of 3.6% (86% correlation) and 9.1% (91% correlation) for the heart rate and respiration rate, respectively. Our results promote radar-based clinical monitoring by showing that the proposed radar technology and signal processing methods accurately capture even such alarming vital signs as minimal respiration. Furthermore, we show that common parameters for heart rate variability can also be accurately extracted from the radar signal, enabling further sleep analyses.publishedVersionPeer reviewe

Application of Wireless Sensor Networks to Healthcare Promotion

Born on military applications, wireless sensor networks(WSNs) application grew on the promise of environment sensing and data processing capability at low cost. These networks can hold hundreds or even thousands of smart sensing nodes with processing and sensing capabilities and even integrated power through a dedicated battery. This paper surveys on the application of wireless sensor networks to healthcare promotion, namely with the use of biosensor technology applied to body sensor networks. On a wireless body sensor network, a person wears biosensors to gather data, while doing their daily activities. Currently, engineers and medical staff are cooperating on findingnew ways to properly gather meaningful data on-site and achieve a convenient way to process these data for research and on-site medical decision. New challenges that such approach brings are also considered. Moreover, it is shown that wireless sensor networks provide the technology to built wireless sensing and create a convenient infrastructure for multiple data gathering in healthcare applications. Together with real successful examples, we demonstrate the great usefulness of wireless sensor networks in healthcare promotion. The paper concludes with some guidelines for future work

A contribution to unobtrusive video-based measurement of respiratory signals

Due to the growing popularity of video-based methods for physiological signal measurement, and taking into account the technological advancements of these type of devices, this work proposes a series of new novel methods to obtain the respiratory signal from a distance, based on video analysis. This thesis aims to improve the state of the art video methods for respiratory measurement, more specifically, by presenting methods that can be used to obtain respiratory variability or perform respiratory rhythm measurements. Moreover, this thesis also aims to present a new implementation of a time-frequency signal processing technique, to improve its computational efficiency when applied to the respiratory signals. In this document a first approach to video-based methods for respiratory signal measurement is performed, to assert the feasibility of using a consumer-grade camera, not only to measure the mean respiratory rate or frequency, but to assert if this hardware could be used to acquire the raw respiratory signal and the respiratory rhythm as well. In this regard a new video-based method was introduced that measures the respiratory signal of a subject at a distance, with the aid of a custom pattern placed on the thorax of the subject. Given the results from the first video-based method, a more broad approach was taken by comparing three different types of video hardware, with the aim to characterise if they could be used for respiratory signal acquisition and respiratory variability measurements. The comparative analysis was performed in terms of instantaneous frequency, as it allowed to characterise the methods in terms of respiratory variability and to compare them in the same terms with the reference method. Subsequently, and due to the previous obtained results, a new method was proposed using a stereo depth camera with the aim to tackle the limitations of the previous study. The proposed method uses an hybrid architecture were the synchronized infrared frame and depth point-cloud from the same camera are acquired. The infrared frame is used to detect the movements of the subject inside the scene, and to recompute on demand a region of interest to obtain the respiratory signal from the depth point-cloud. Furthermore, in this study an opportunistic approach is taken in order to process all the obtained data, as it is also the aim of this study to verify if using a more realistic approach to respiratory signal analysis in real-life conditions, would influence the respiratory rhythm measurement. Even though the depth camera method proved reliable in terms of respiratory rhythm measurement, the opportunistic approach relied on visual inspection of the obtained respiratory signal to properly define each piece. For this reason, a quality indicator had to be proposed that could objectively identify whenever a respiratory signal contained errors. Furthermore, from the idea to characterise the movements of a subject, and by changing the measuring point from a frontal to a lateral perspective to avoid most of the occlusions, a new method based on obtaining the movement of the thoraco-abdominal region using dense optical flow was proposed. This method makes us of the phase of the optical flow to obtain the respiratory signal of the subject, while using the modulus to compute a quality index. Finally, regarding the different signal processing methods used in this thesis to obtain the instantaneous frequency, there were none that could perform in real-time, making the analysis of the respiratory variability not possible in real-life systems where the signals have to be processed in a sample by sample basis. For this reason, as a final chapter a new implementation of the synchrosqueezing transform for time-frequency analysis in real-time is proposed, with the aim to provide a new tool for non-contact methods to obtain the variability of the respiratory signal in real-time.A causa de la creixent popularitat en la mesura de senyals fisiològics amb mètodes de vídeo, i tenint en compte els avenços tecnològics d'aquests dispositius, aquesta tesi proposa una sèrie de nous mètodes per tal d'obtenir la respiració a distància mitjançant l'anàlisi de vídeo. Aquesta tesi té com a objectiu millorar l'estat de l'art referent a la mesura de senyal respiratòria mitjançant els mètodes que en ella es descriuen, així com presentar mètodes que puguin ser usats per obtenir la variabilitat o el ritme respiratori. A més, aquesta tesi té com a objectiu presentar una nova implementació d'un mètode de processat de senyal temps-freqüencial, per tal de millorar-ne l'eficiència computacional quant s’aplica a senyals respiratoris. En aquest document, es realitza una primera aproximació a la mesura de senyal respiratòria mitjançant mètodes de vídeo per tal de verificar si és factible utilitzar una càmera de consum, no només per mesurar el senyal respiratori, sinó verificar si aquest tipus de hardware també pot ser emprat per obtenir el ritme respiratori. En aquest sentit, es presenta en aquest document un nou mètode d'adquisició de senyal respiratòria a distància basat en vídeo, el qual fa ús d'un patró ubicat al tòrax del subjecte per tal d'obtenir-ne la respiració. Un cop obtinguts els resultats del primers resultats, s'han analitzat tres tipus diferents de càmeres, amb la finalitat de caracteritzar-ne la viabilitat d'obtenir el senyal respiratori i la seva variabilitat. L'estudi comparatiu s'ha realitzat en termes de freqüència instantània, donat que permet caracteritzar els mètodes en termes de variabilitat respiratòria i comparar-los, en les mateixes condicions, amb el mètode de referencia. A continuació, s'ha presentat un nou mètode basat en una càmera de profunditat estèreo amb la finalitat de millorar i corregir les limitacions anteriors. El nou mètode proposat es basa en una arquitectura hibrida la qual utilitza els canals de vídeo infraroig i de profunditat de forma sincronitzada. El canal infraroig s'utilitza per detectar els moviments del subjecte dins l'escena i calcular, sota demanda, una regió d'interès que s'utilitza posteriorment en el canal de profunditat per extreure el senyal respiratori. A més a més, en aquest estudi s'ha utilitzat una aproximació oportunista en el processat del senyal respiratori, donat que també és un dels objectius d'aquest estudi, verificar si el fet d'utilitzar una aproximació més realista en l'adquisició de senyal, pot influir en la mesura del ritme respiratori. Tot i que el mètode anterior es mostra fiable en termes de mesura del ritme respiratori, la selecció oportunista del senyal necessita d’inspecció visual per tal de definir correctament cada fragment. Per aquest motiu, era necessari definir un índex de qualitat el qual permetés identificar de forma objectiva cada tram de senyal, així com detectar si el senyal conté errors. Partint de la idea de caracteritzar el moviment del subjecte de l'estudi anterior, i modificant el punt de mesura frontal cap a un de lateral per tal d'evitar oclusions, es proposa un nou mètode basat en l'obtenció del moviment toràcic-abdominal a partir del flux òptic del senyal de vídeo. Aquest mètode recupera el senyal respiratori del subjecte a partir de la fase del flux òptic, tot calculant un índex de qualitat a partir del mòdul. Finalment, i tenint en compte els diferents mètodes de processat utilitzats en aquesta tesi per tal de obtenir la freqüència instantània, es pot apreciar que cap d'ells és capaç de funcionar en temps real, fent inviable l'anàlisi de la variabilitat respiratòria en sistemes reals amb processat mostra a mostra. Per aquest motiu, en el capítol final d'aquesta tesi, s'ha proposat una nova implementació de la transformació "synchrosqueezing" per tal de realitzar l’anàlisi temporal-freqüencial en temps real, i proveir d'una nova eina per tal d'obtenir la variabilitat respiratòria en temps real, amb mètodes sense contacte