Socially assistive robotics: robot exercise trainer for older adults

Physical activities have tremendous benefit to older adults. A report from the World Health Organization has mentioned that lack of physical activity contributed to around 3.2 million premature deaths annually worldwide. Research also shows that regular exercise helps the older adults by improving their physical fitness, immune system, sleep and stress levels, not to mention the countless health problems it reduces such as diabetes, cardiovascular disease, dementia, obesity, joint pains, etc. The research reported in this paper is introducing a Socially Assistive Robot (SAR) that will engage, coach, assess and motivate the older adults in physical exercises that are recommended by the National Health Services (NHS) in the UK. With the rise in the population of older adults, which is expected to triple by 2050, this SAR will aim to improve the quality of life for a significant proportion of the population. To assess the proposed robot exercise trainer, user’s observational evaluation with 17 participants is conducted. Participants are generally happy with the proposed platform as a mean of encouraging them to do regular exercise correctly

User-centric anomaly detection in activities of daily living

The current system for providing care to older adults is not sustainable due to its excessive cost. It places an unbearable financial burden on the government and families and pressure on the workforce due to the demand for human carers. Studies have also shown that older adults prefer to be looked after in their homes rather than in a care facility. An automated system of monitoring can provide much-needed support at a lower cost and give peace of mind to relatives. The focus of the research reported in this thesis is to investigate the concept of abnormality detection in activities of daily living. More precisely, this work is aimed at proposing a dynamic approach for anomaly detection capable of adapting to changes in human behaviour. Abnormalities in daily activities can be an early indication of health decline. Therefore, early detection can inform the families of the need for intervention. Anomalies are often detected by modelling the existing activity data representing the usual behavioural routine of an individual to serve as a baseline model. Subsequent activities deviating from the baseline are then classified as outliers or anomalies. However, existing approaches suffer from a high rate of false prediction due to the static nature and the inability of the approaches to adapt to the changing human behaviour. The contributions of the research are reported in four main categories. First, a novel ensemble approach termed "Consensus Novelty Detection Ensemble" is proposed. The outlying activities are predicted by computing their normality score using the internal and external consensus vote and the estimated weights of the models in the ensemble. Activities with a score exceeding a threshold estimated using a statistical method based on data distribution are predicted as outliers and vice versa. Secondly, a similarity measure approach for identifying the likely sources of the ADL anomalies is proposed. While the models can detect anomalous activities, they are unable to identify the source (cause) of the anomaly. Identifying the anomaly source allows for the development of an adaptive system. The approach is based on a pairwise distance measurement of the features extracted from the activity data. Two approaches for performing the similarity measures are presented, namely, One vs One Similarity Measure (OOSM) and One vs All Similarity Measure (OASM). Features of the data with a higher dissimilarity rate are predicted as the source. To make the proposed model adaptive to the changes in human behaviour, a novel adaptive approach is proposed based on the concept of forgetting factors. This allows the model to forget (discard) outdated activity data and adapt to the current behavioural patterns by incorporating newly verified data. The data verification can be performed by incorporating human feedback into the system. Two forgetting factor approaches are proposed namely; Forgetting Factor based on Data Ageing (FFDD) and Forgetting Factor based on Data Dissimilarity (FFDA). The data ageing forgetting factor discard old behavioural routine based on the age of the activity data, while in the data dissimilarity approach, this is achieved by measuring the similarity of the activity data. Lastly, the means of utilising an assistive robot as a communication intermediary is explored for incorporating human feedback into the learning process using hand gestures as a communication modality. Experimental data used for the gesture recognition model is collected using a wearable sensor and a 2D camera. The feasibility of utilising the robotic platform as an exercise coach to encourage physical activity and promote a healthy lifestyle is explored. To this end, an exercise training solution is developed for the robotic platform to coach, motivate and assess the older adults in the recommended physical activities

A framework for anomaly detection in activities of daily living using an assistive robot

This paper presents an overview of an ongoing research to incorporate an assistive robotic platform towards improved detection of anomalies in daily living activities of older adults. This involves learning human daily behavioural routine and detecting deviation from the known routine which can constitute an abnormality. Current approaches suffer from high rate of false alarms, therefore, lead to dissatisfaction by clients and carers. This may be connected to behavioural changes of human activities due to seasonal or other physical factors. To address this, a framework for anomaly detection is proposed which incorporates an assistive robotic platform as an intermediary. Instances classified as anomalous will first be confirmed from the monitored individual through the intermediary. The proposed framework has the potential of mitigating the false alarm rate generated by current approaches

A consensus novelty detection ensemble approach for anomaly detection in activities of daily living

A new approach to creating an ensemble of novelty detection algorithms is proposed in this paper. The novelty detection process identifies new or unknown data by detecting if a test data differs significantly from the data available during training. It is applicable for anomaly detection in a situation where there is sufficiently large training data representing the normal class and little or no training data for the anomalous (abnormal) class. Abnormality in Activities of Daily Living (ADL) is identified as any significant deviation from an individual’s usual behavioural routine. Novelty detection is relevant to ADL anomaly detection since abnormalities in ADL are rare and data representing the anomalous cases are not readily available. The proposed Consensus Novelty Detection Ensemble approach is based on the concept of internal and external consensus. The internal consensus is an internal voting scheme within each model in the ensemble while the external consensus is an external voting scheme among the ensemble models. The weight of each model is estimated based on its performance and a score, called “Normality Score”. Computed score is used in classifying the data as abnormal (anomalous) based on certain threshold crossing, normal otherwise. Experimental evaluation is conducted to detect abnormalities in ADL data obtained from CASAS repository as well as experimental dataset collected for this research. The obtained results show that the proposed approach is able to identify anomalous instances. The proposed approach offers more flexibility compared with the existing approaches by allowing the Normality Score threshold to be adjusted without retraining the models

Weights initialisation of liquid state machines

Spiking Neural Networks (SNNs) emerged as a promising solution in the field of Artificial Neural Networks (ANNs), attracting the attention of researchers due to their ability to mimic the human brain and process complex information with remarkable speed and accuracy. This research aimed to optimise the training process of Liquid State Machines (LSMs), a recurrent architecture of SNNs, by identifying the most effective weight range to be assigned in SNN to achieve the least difference between desired and actual output. The experimental results showed that by using spike metrics and a range of weights, the desired output and the actual output of spiking neurons could be effectively optimised, leading to improved performance of SNNs. The results were tested and confirmed using three different weight initialisation approaches, with the best results obtained using the Barabasi-Albert random graph method

Long Short Term Memory Based Model for Abnormal Behavior Prediction in Elderly Persons

Smart home refers to the independency and comfort that are ensured by remote monitoring and assistive services. Assisting an elderly person requires identifying and accurately predicting his/her normal and abnormal behaviors. Abnormal behaviors observed during the completion of activities of daily living are a good indicator that the person is more likely to have health and behavioral problems that need intervention and assistance. In this paper, we propose a method, based on long short-term memory recurrent neural networks (LSTM), to automatically predicting an elderly person’s abnormal behaviors. Our method allows to model the temporal information expressed in the long sequences collected over time. Our study aims to evaluate the performance of LSTM on identifying and predicting elderly persons abnormal behaviors in smart homes. We experimentally demonstrated, through extensive experiments using a dataset, the suitability and performance of the proposed method in predicting abnormal behaviors with high accuracy. We also demonstrated the superiority of the proposed method compared to the existing state-of-the-art methods

Application of deep learning in detecting neurological disorders from magnetic resonance images: a survey on the detection of Alzheimer’s disease, Parkinson's disease and schizophrenia

Neuroimaging, in particular magnetic resonance imaging (MRI), has been playing an important role in understanding brain functionalities and its disorders during the last couple of decades. These cutting-edge MRI scans, supported by high-performance computational tools and novel ML techniques, have opened up possibilities to unprecedentedly identify neurological disorders. However, similarities in disease phenotypes make it very difficult to detect such disorders accurately from the acquired neuroimaging data. This article critically examines and compares performances of the existing deep learning (DL)-based methods to detect neurological disorders—focusing on Alzheimer’s disease, Parkinson’s disease and schizophrenia—from MRI data acquired using different modalities including functional and structural MRI. The comparative performance analysis of various DL architectures across different disorders and imaging modalities suggests that the Convolutional Neural Network outperforms other methods in detecting neurological disorders. Towards the end, a number of current research challenges are indicated and some possible future research directions are provided

Prognostic model to predict postoperative acute kidney injury in patients undergoing major gastrointestinal surgery based on a national prospective observational cohort study.

Background: Acute illness, existing co-morbidities and surgical stress response can all contribute to postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery. The aim of this study was prospectively to develop a pragmatic prognostic model to stratify patients according to risk of developing AKI after major gastrointestinal surgery. Methods: This prospective multicentre cohort study included consecutive adults undergoing elective or emergency gastrointestinal resection, liver resection or stoma reversal in 2-week blocks over a continuous 3-month period. The primary outcome was the rate of AKI within 7 days of surgery. Bootstrap stability was used to select clinically plausible risk factors into the model. Internal model validation was carried out by bootstrap validation. Results: A total of 4544 patients were included across 173 centres in the UK and Ireland. The overall rate of AKI was 14·2 per cent (646 of 4544) and the 30-day mortality rate was 1·8 per cent (84 of 4544). Stage 1 AKI was significantly associated with 30-day mortality (unadjusted odds ratio 7·61, 95 per cent c.i. 4·49 to 12·90; P < 0·001), with increasing odds of death with each AKI stage. Six variables were selected for inclusion in the prognostic model: age, sex, ASA grade, preoperative estimated glomerular filtration rate, planned open surgery and preoperative use of either an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker. Internal validation demonstrated good model discrimination (c-statistic 0·65). Discussion: Following major gastrointestinal surgery, AKI occurred in one in seven patients. This preoperative prognostic model identified patients at high risk of postoperative AKI. Validation in an independent data set is required to ensure generalizability

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe