Ambient-aware continuous care through semantic context dissemination

Background: The ultimate ambient-intelligent care room contains numerous sensors and devices to monitor the patient, sense and adjust the environment and support the staff. This sensor-based approach results in a large amount of data, which can be processed by current and future applications, e. g., task management and alerting systems. Today, nurses are responsible for coordinating all these applications and supplied information, which reduces the added value and slows down the adoption rate. The aim of the presented research is the design of a pervasive and scalable framework that is able to optimize continuous care processes by intelligently reasoning on the large amount of heterogeneous care data. Methods: The developed Ontology-based Care Platform (OCarePlatform) consists of modular components that perform a specific reasoning task. Consequently, they can easily be replicated and distributed. Complex reasoning is achieved by combining the results of different components. To ensure that the components only receive information, which is of interest to them at that time, they are able to dynamically generate and register filter rules with a Semantic Communication Bus (SCB). This SCB semantically filters all the heterogeneous care data according to the registered rules by using a continuous care ontology. The SCB can be distributed and a cache can be employed to ensure scalability. Results: A prototype implementation is presented consisting of a new-generation nurse call system supported by a localization and a home automation component. The amount of data that is filtered and the performance of the SCB are evaluated by testing the prototype in a living lab. The delay introduced by processing the filter rules is negligible when 10 or fewer rules are registered. Conclusions: The OCarePlatform allows disseminating relevant care data for the different applications and additionally supports composing complex applications from a set of smaller independent components. This way, the platform significantly reduces the amount of information that needs to be processed by the nurses. The delay resulting from processing the filter rules is linear in the amount of rules. Distributed deployment of the SCB and using a cache allows further improvement of these performance results

Towards a Holistic Approach to Designing Theory-based Mobile Health Interventions

Increasing evidence has shown that theory-based health behavior change interventions are more effective than non-theory-based ones. However, only a few segments of relevant studies were theory-based, especially the studies conducted by non-psychology researchers. On the other hand, many mobile health interventions, even those based on the behavioral theories, may still fail in the absence of a user-centered design process. The gap between behavioral theories and user-centered design increases the difficulty of designing and implementing mobile health interventions. To bridge this gap, we propose a holistic approach to designing theory-based mobile health interventions built on the existing theories and frameworks of three categories: (1) behavioral theories (e.g., the Social Cognitive Theory, the Theory of Planned Behavior, and the Health Action Process Approach), (2) the technological models and frameworks (e.g., the Behavior Change Techniques, the Persuasive System Design and Behavior Change Support System, and the Just-in-Time Adaptive Interventions), and (3) the user-centered systematic approaches (e.g., the CeHRes Roadmap, the Wendel's Approach, and the IDEAS Model). This holistic approach provides researchers a lens to see the whole picture for developing mobile health interventions

An Empirical Study Comparing Unobtrusive Physiological Sensors for Stress Detection in Computer Work.

Several unobtrusive sensors have been tested in studies to capture physiological reactions to stress in workplace settings. Lab studies tend to focus on assessing sensors during a specific computer task, while in situ studies tend to offer a generalized view of sensors' efficacy for workplace stress monitoring, without discriminating different tasks. Given the variation in workplace computer activities, this study investigates the efficacy of unobtrusive sensors for stress measurement across a variety of tasks. We present a comparison of five physiological measurements obtained in a lab experiment, where participants completed six different computer tasks, while we measured their stress levels using a chest-band (ECG, respiration), a wristband (PPG and EDA), and an emerging thermal imaging method (perinasal perspiration). We found that thermal imaging can detect increased stress for most participants across all tasks, while wrist and chest sensors were less generalizable across tasks and participants. We summarize the costs and benefits of each sensor stream, and show how some computer use scenarios present usability and reliability challenges for stress monitoring with certain physiological sensors. We provide recommendations for researchers and system builders for measuring stress with physiological sensors during workplace computer use

Thing Theory: Connecting Humans to Smart Healthcare

Healthcare providers will enter location-aware smart environments with the expectation that their devices will integrate, their location will be incorporated, and the environment that they are within will specifically respond to their needs, as well as to the needs of their patients. Cooperation and coordination in complex environments requires people to have access to appropriate contextually sensitive information, some of which must be shared between them. To plan and design effective location-aware smart environments for healthcare, tools are required for integrating and responding to human needs and anticipating human intents and desires. A location-aware healthcare smart environment is another layer within this already highly heterogeneous system of communication. Each component in a location-aware smart environment network can generate data and send messages that must be processed, understood and responded to in some manner. In a healthcare environment, well placed software agents can help manage critical messages shared between sensors, low level software agents and the people who act on this information, improving care for patients and outcomes for providers. The authors’ propose a framework based on the agency of both humans and environmental components: Thing Theory, a logic-based agent framework that evolves discussion on how to connect humans to a healthcare environment designed to function for their benefit

AnonPri: A Secure Anonymous Private Authentication Protocol for RFID Systems

Privacy preservation in RFID systems is a very important issue in modern day world. Privacy activists have been worried about the invasion of user privacy while using various RFID systems and services. Hence, significant efforts have been made to design RFID systems that preserve users\u27 privacy. Majority of the privacy preserving protocols for RFID systems require the reader to search all tags in the system in order to identify a single RFID tag which not efficient for large scale systems. In order to achieve high-speed authentication in large-scale RFID systems, researchers propose tree-based approaches, in which any pair of tags share a number of key components. Another technique is to perform group-based authentication that improves the tradeoff between scalability and privacy by dividing the tags into a number of groups. This novel authentication scheme ensures privacy of the tags. However, the level of privacy provided by the scheme decreases as more and more tags are compromised. To address this issue, in this paper, we propose a group based anonymous private authentication protocol (AnonPri) that provides higher level of privacy than the above mentioned group based scheme and achieves better efficiency (in terms of providing privacy) than the approaches that prompt the reader to perform an exhaustive search. Our protocol guarantees that the adversary cannot link the tag responses even if she can learn the identifier of the tags. Our evaluation results demonstrates that the level of privacy provided by AnonPri is higher than that of the group based authentication technique

AnonPri: A Secure Anonymous Private Authentication Protocol for RFID Systems

Privacy preservation in RFID systems is a very important issue in modern day world. Privacy activists have been worried about the invasion of user privacy while using various RFID systems and services. Hence, significant efforts have been made to design RFID systems that preserve users\u27 privacy. Majority of the privacy preserving protocols for RFID systems require the reader to search all tags in the system in order to identify a single RFID tag which not efficient for large scale systems. In order to achieve high-speed authentication in large-scale RFID systems, researchers propose tree-based approaches, in which any pair of tags share a number of key components. Another technique is to perform group-based authentication that improves the tradeoff between scalability and privacy by dividing the tags into a number of groups. This novel authentication scheme ensures privacy of the tags. However, the level of privacy provided by the scheme decreases as more and more tags are compromised. To address this issue, in this paper, we propose a group based anonymous private authentication protocol (AnonPri) that provides higher level of privacy than the above mentioned group based scheme and achieves better efficiency (in terms of providing privacy) than the approaches that prompt the reader to perform an exhaustive search. Our protocol guarantees that the adversary cannot link the tag responses even if she can learn the identifier of the tags. Our evaluation results demonstrates that the level of privacy provided by AnonPri is higher than that of the group based authentication technique

How a Diverse Research Ecosystem Has Generated New Rehabilitation Technologies: Review of NIDILRR’s Rehabilitation Engineering Research Centers

Over 50 million United States citizens (1 in 6 people in the US) have a developmental, acquired, or degenerative disability. The average US citizen can expect to live 20% of his or her life with a disability. Rehabilitation technologies play a major role in improving the quality of life for people with a disability, yet widespread and highly challenging needs remain. Within the US, a major effort aimed at the creation and evaluation of rehabilitation technology has been the Rehabilitation Engineering Research Centers (RERCs) sponsored by the National Institute on Disability, Independent Living, and Rehabilitation Research. As envisioned at their conception by a panel of the National Academy of Science in 1970, these centers were intended to take a “total approach to rehabilitation”, combining medicine, engineering, and related science, to improve the quality of life of individuals with a disability. Here, we review the scope, achievements, and ongoing projects of an unbiased sample of 19 currently active or recently terminated RERCs. Specifically, for each center, we briefly explain the needs it targets, summarize key historical advances, identify emerging innovations, and consider future directions. Our assessment from this review is that the RERC program indeed involves a multidisciplinary approach, with 36 professional fields involved, although 70% of research and development staff are in engineering fields, 23% in clinical fields, and only 7% in basic science fields; significantly, 11% of the professional staff have a disability related to their research. We observe that the RERC program has substantially diversified the scope of its work since the 1970’s, addressing more types of disabilities using more technologies, and, in particular, often now focusing on information technologies. RERC work also now often views users as integrated into an interdependent society through technologies that both people with and without disabilities co-use (such as the internet, wireless communication, and architecture). In addition, RERC research has evolved to view users as able at improving outcomes through learning, exercise, and plasticity (rather than being static), which can be optimally timed. We provide examples of rehabilitation technology innovation produced by the RERCs that illustrate this increasingly diversifying scope and evolving perspective. We conclude by discussing growth opportunities and possible future directions of the RERC program