Real-time human ambulation, activity, and physiological monitoring:taxonomy of issues, techniques, applications, challenges and limitations

Automated methods of real-time, unobtrusive, human ambulation, activity, and wellness monitoring and data analysis using various algorithmic techniques have been subjects of intense research. The general aim is to devise effective means of addressing the demands of assisted living, rehabilitation, and clinical observation and assessment through sensor-based monitoring. The research studies have resulted in a large amount of literature. This paper presents a holistic articulation of the research studies and offers comprehensive insights along four main axes: distribution of existing studies; monitoring device framework and sensor types; data collection, processing and analysis; and applications, limitations and challenges. The aim is to present a systematic and most complete study of literature in the area in order to identify research gaps and prioritize future research directions

Integrated care for older multimorbid heart failure patients:protocol for the ESCAPE randomized trial and cohort study

ESCAPE Evaluation of a patient-centred biopsychosocial blended collaborative care pathway for the treatment of multimorbid elderly patients. Therapeutic Area Healthcare interventions for the management of older patients with multiple morbidities. Aims Multi-morbidity treatment is an increasing challenge for healthcare systems in ageing societies. This comprehensive cohort study with embedded randomized controlled trial tests an integrated biopsychosocial care model for multimorbid elderly patients. Hypothesis A holistic, patient-centred pro-active 9-month intervention based on the blended collaborative care (BCC) approach and enhanced by information and communication technologies can improve health-related quality of life (HRQoL) and disease outcomes as compared with usual care at 9 months. Methods Across six European countries, ESCAPE is recruiting patients with heart failure, mental distress/disorder plus ≥2 medical co-morbidities into an observational cohort study. Within the cohort study, 300 patients will be included in a randomized controlled assessor-blinded two-arm parallel group interventional clinical trial (RCT). In the intervention, trained care managers (CMs) regularly support patients and informal carers in managing their multiple health problems. Supervised by a clinical specialist team, CMs remotely support patients in implementing the treatment plan—customized to the patients' individual needs and preferences—into their daily lives and liaise with patients' healthcare providers. An eHealth platform with an integrated patient registry guides the intervention and helps to empower patients and informal carers. HRQoL measured with the EQ-5D-5L as primary endpoint, and secondary outcomes, that is, medical and patient-reported outcomes, healthcare costs, cost-effectiveness, and informal carer burden, will be assessed at 9 and ≥18 months. Conclusions If proven effective, the ESCAPE BCC intervention can be implemented in routine care for older patients with multiple morbidities across the participating countries and beyond

Unraveling the choice of the north Atlantic subpolar gyre index

International audienceThe north Atlantic subpolar gyre (SPG) has been widely implicated as the source of large-scale changes in the subpolar marine environment. However, inconsistencies between indices of SPG-strength have raised questions about the active role SPG-strength and size play in determining water properties in the eastern subpolar North Atlantic (ENA). Here, by analyzing various SPG indices derived from observations and a global coupled model, we show that the choice of the SPG index dictates the interpretation of SPG strength-salinity relationship in the ENA. Variability in geostrophic currents derived from observed hydrography and model based Lagrangian trajectories reveal zonal shifts of advective pathways in the enA and meridional shifts in the western intergyre region. Such shifts in advective pathways are manifestations of variability in the size and strength of the SPG, and they impact salinity by modulating the proportion of subpolar and subtropical waters reaching the enA. SpG indices based on subsurface density and principal component analysis of sea surface height variability capture these shifts in advective pathways, and are therefore best suited to describe SPG-salinity relationship in the enA. our results establish the dynamical constraints on the choice of the SpG index and emphasize that SPG indices should be cautiously interpreted

Sensor Data Acquisition and Processing Parameters for Human Activity Classification

It is known that parameter selection for data sampling frequency and segmentation techniques (including different methods and window sizes) has an impact on the classification accuracy. For Ambient Assisted Living (AAL), no clear information to select these parameters exists, hence a wide variety and inconsistency across today’s literature is observed. This paper presents the empirical investigation of different data sampling rates, segmentation techniques and segmentation window sizes and their effect on the accuracy of Activity of Daily Living (ADL) event classification and computational load for two different accelerometer sensor datasets. The study is conducted using an ANalysis Of VAriance (ANOVA) based on 32 different window sizes, three different segmentation algorithm (with and without overlap, totaling in six different parameters) and six sampling frequencies for nine common classification algorithms. The classification accuracy is based on a feature vector consisting of Root Mean Square (RMS), Mean, Signal Magnitude Area (SMA), Signal Vector Magnitude (here SMV), Energy, Entropy, FFTPeak, Standard Deviation (STD). The results are presented alongside recommendations for the parameter selection on the basis of the best performing parameter combinations that are identified by means of the corresponding Pareto curve