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

“I Don’t Want to Become a Number’’: Examining Different Stakeholder Perspectives on a Video-Based Monitoring System for Senior Care with Inherent Privacy Protection (by Design)

Active and Assisted Living (AAL) technologies aim to enhance the quality of life of older adults and promote successful aging. While video-based AAL solutions offer rich capabilities for better healthcare management in older age, they pose significant privacy risks. To mitigate the risks, we developed a video-based monitoring system that incorporates different privacy-preserving filters. We deployed the system in one assistive technology center and conducted a qualitative study with older adults and other stakeholders involved in care provision. Our study demonstrates diverse users’ perceptions and experiences with video-monitoring technology and offers valuable insights for the system’s further development. The findings unpack the privacy-versus-safety trade-off inherent in video-based technologies and discuss how the privacy-preserving mechanisms within the system mitigate privacy-related concerns. The study also identifies varying stakeholder perspectives towards the system in general and highlights potential avenues for developing video-based monitoring technologies in the AAL context.This work was funded by the European Union’s Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie grant agreement No 861091 for the visuAAL project. This publication is based upon work from COST Action GoodBrother—Network on Privacy-Aware Audio- and Video-Based Applications for Active and Assisted Living (CA19121), supported by COST (European Cooperation in Science and Technology)

Fall Prediction and Prevention Systems: Recent Trends, Challenges, and Future Research Directions.

Fall prediction is a multifaceted problem that involves complex interactions between physiological, behavioral, and environmental factors. Existing fall detection and prediction systems mainly focus on physiological factors such as gait, vision, and cognition, and do not address the multifactorial nature of falls. In addition, these systems lack efficient user interfaces and feedback for preventing future falls. Recent advances in internet of things (IoT) and mobile technologies offer ample opportunities for integrating contextual information about patient behavior and environment along with physiological health data for predicting falls. This article reviews the state-of-the-art in fall detection and prediction systems. It also describes the challenges, limitations, and future directions in the design and implementation of effective fall prediction and prevention systems

Implementation of MD5 Framework for Privacy-Preserving Support for Mobile Healthcare

The improvement of science and technology has made life so easy and fast that smartphones and other touch-screen minicomputers have become the most trusted personal storage and communication devices for individuals. Comparable to the rich enhancement in wireless body sensor networks, it is valuable to the development of medical treatment to be exceptionally adaptable and become very flexible by means of smartphones through 2G and 3G system bearers. This has made treatment simple even to the common individual in the general public with less payable cash. In this paper, we introduce privacy-preserving support for mobile healthcare using message digest where we have used an MD5 algorithm instead of AES, which can certainly achieve an efficient way and minimizes the memory consumed and the large amount of PHI data of the medical user (patient) is reduced to a fixed amount of size compared to AES which in parallel increases the speed of the data to be sent to TA without any delay which in-turn. This study implements a secure and privacy-preserving opportunistic computing framework (SPOC) for mobile-health care emergency. Utilizing smartphones and SPOC, assets like computing power and energy can be gathered to reliably to take care of intensive personal health information (PHI) of the medicinal client when he/she is in critical situation with minimal privacy disclosure. With these, the healthcare authorities can treat the patients (restorative clients) remotely, where the patients live at home or at different spots they run. This sort of a treatment can be done under mHealth (Mobile-Healthcare). In malice of the fact that in them-medicinal services administration, there are numerous security and information protection issues to be succeed. The main aim of this paper is to bring medical health to patients in remote locations by providing the basic triage of an emergency to increase the patient’s body acceptance until they can reach a proper medical facility, in addition to providing emergency care in minimal payable cash

Designing the Health-related Internet of Things: Ethical Principles and Guidelines

The conjunction of wireless computing, ubiquitous Internet access, and the miniaturisation of sensors have opened the door for technological applications that can monitor health and well-being outside of formal healthcare systems. The health-related Internet of Things (H-IoT) increasingly plays a key role in health management by providing real-time tele-monitoring of patients, testing of treatments, actuation of medical devices, and fitness and well-being monitoring. Given its numerous applications and proposed benefits, adoption by medical and social care institutions and consumers may be rapid. However, a host of ethical concerns are also raised that must be addressed. The inherent sensitivity of health-related data being generated and latent risks of Internet-enabled devices pose serious challenges. Users, already in a vulnerable position as patients, face a seemingly impossible task to retain control over their data due to the scale, scope and complexity of systems that create, aggregate, and analyse personal health data. In response, the H-IoT must be designed to be technologically robust and scientifically reliable, while also remaining ethically responsible, trustworthy, and respectful of user rights and interests. To assist developers of the H-IoT, this paper describes nine principles and nine guidelines for ethical design of H-IoT devices and data protocols

A survey of recommender systems for energy efficiency in buildings: Principles, challenges and prospects

Recommender systems have significantly developed in recent years in parallel with the witnessed advancements in both internet of things (IoT) and artificial intelligence (AI) technologies. Accordingly, as a consequence of IoT and AI, multiple forms of data are incorporated in these systems, e.g. social, implicit, local and personal information, which can help in improving recommender systems' performance and widen their applicability to traverse different disciplines. On the other side, energy efficiency in the building sector is becoming a hot research topic, in which recommender systems play a major role by promoting energy saving behavior and reducing carbon emissions. However, the deployment of the recommendation frameworks in buildings still needs more investigations to identify the current challenges and issues, where their solutions are the keys to enable the pervasiveness of research findings, and therefore, ensure a large-scale adoption of this technology. Accordingly, this paper presents, to the best of the authors' knowledge, the first timely and comprehensive reference for energy-efficiency recommendation systems through (i) surveying existing recommender systems for energy saving in buildings; (ii) discussing their evolution; (iii) providing an original taxonomy of these systems based on specified criteria, including the nature of the recommender engine, its objective, computing platforms, evaluation metrics and incentive measures; and (iv) conducting an in-depth, critical analysis to identify their limitations and unsolved issues. The derived challenges and areas of future implementation could effectively guide the energy research community to improve the energy-efficiency in buildings and reduce the cost of developed recommender systems-based solutions.Comment: 35 pages, 11 figures, 1 tabl