Human Activity Recognition and Fall Detection Using Unobtrusive Technologies

As the population ages, health issues like injurious falls demand more attention. Wearable devices can be used to detect falls. However, despite their commercial success, most wearable devices are obtrusive, and patients generally do not like or may forget to wear them. In this thesis, a monitoring system consisting of two 24×32 thermal array sensors and a millimetre-wave (mmWave) radar sensor was developed to unobtrusively detect locations and recognise human activities such as sitting, standing, walking, lying, and falling. Data were collected by observing healthy young volunteers simulate ten different scenarios. The optimal installation position of the sensors was initially unknown. Therefore, the sensors were mounted on a side wall, a corner, and on the ceiling of the experimental room to allow performance comparison between these sensor placements. Every thermal frame was converted into an image and a set of features was manually extracted or convolutional neural networks (CNNs) were used to automatically extract features. Applying a CNN model on the infrared stereo dataset to recognise five activities (falling plus lying on the floor, lying in bed, sitting on chair, sitting in bed, standing plus walking), overall average accuracy and F1-score were 97.6%, and 0.935, respectively. The scores for detecting falling plus lying on the floor from the remaining activities were 97.9%, and 0.945, respectively. When using radar technology, the generated point clouds were converted into an occupancy grid and a CNN model was used to automatically extract features, or a set of features was manually extracted. Applying several classifiers on the manually extracted features to detect falling plus lying on the floor from the remaining activities, Random Forest (RF) classifier achieved the best results in overhead position (an accuracy of 92.2%, a recall of 0.881, a precision of 0.805, and an F1-score of 0.841). Additionally, the CNN model achieved the best results (an accuracy of 92.3%, a recall of 0.891, a precision of 0.801, and an F1-score of 0.844), in overhead position and slightly outperformed the RF method. Data fusion was performed at a feature level, combining both infrared and radar technologies, however the benefit was not significant. The proposed system was cost, processing time, and space efficient. The system with further development can be utilised as a real-time fall detection system in aged care facilities or at homes of older people

Gait Velocity Estimation using time interleaved between Consecutive Passive IR Sensor Activations

Gait velocity has been consistently shown to be an important indicator and predictor of health status, especially in older adults. It is often assessed clinically, but the assessments occur infrequently and do not allow optimal detection of key health changes when they occur. In this paper, we show that the time gap between activations of a pair of Passive Infrared (PIR) motion sensors installed in the consecutively visited room pair carry rich latent information about a person's gait velocity. We name this time gap transition time and show that despite a six second refractory period of the PIR sensors, transition time can be used to obtain an accurate representation of gait velocity. Using a Support Vector Regression (SVR) approach to model the relationship between transition time and gait velocity, we show that gait velocity can be estimated with an average error less than 2.5 cm/sec. This is demonstrated with data collected over a 5 year period from 74 older adults monitored in their own homes. This method is simple and cost effective and has advantages over competing approaches such as: obtaining 20 to 100x more gait velocity measurements per day and offering the fusion of location-specific information with time stamped gait estimates. These advantages allow stable estimates of gait parameters (maximum or average speed, variability) at shorter time scales than current approaches. This also provides a pervasive in-home method for context-aware gait velocity sensing that allows for monitoring of gait trajectories in space and time

Recreation Embedded State Tuning for Optimal Readiness and Effectiveness (RESTORE)

Physiological self-regulation training is a behavioral medicine intervention that has demonstrated capability to improve psychophysiological coping responses to stressful experiences and to foster optimal behavioral and cognitive performance. Once developed, these psychophysiological skills require regular practice for maintenance. A concomitant benefit of these physiologically monitored practice sessions is the opportunity to track crew psychophysiological responses to the challenges of the practice task in order to detect shifts in adaptability that may foretell performance degradation. Long-duration missions will include crew recreation periods that will afford physiological self-regulation training opportunities. However, to promote adherence to the regimen, the practice experience that occupies their recreation time must be perceived by the crew as engaging and entertaining throughout repeated reinforcement sessions on long-duration missions. NASA biocybernetic technologies and publications have developed a closed-loop concept that involves adjusting or modulating (cybernetic, for governing) a person's task environment based upon a comparison of that person's physiological responses (bio-) with a training or performance criterion. This approach affords the opportunity to deliver physiological self-regulation training in an entertaining and motivating fashion and can also be employed to create a conditioned association between effective performance state and task execution behaviors, while enabling tracking of individuals psychophysiological status over time in the context of an interactive task challenge. This paper describes the aerospace spin-off technologies in this training application area as well as the current spin-back application of the technologies to long-duration missions - the Recreation Embedded State Tuning for Optimal Readiness and Effectiveness (RESTORE) concept. The RESTORE technology is designed to provide a physiological self-regulation training countermeasure for maintaining and reinforcing cognitive readiness, resilience under psychological stress, and effective mood states in long-duration crews. The technology consists of a system for delivering physiological self-regulation training and for tracking crew central and autonomic nervous system function; the system interface is designed to be experienced as engaging and entertaining throughout repeated training sessions on long-duration missions. Consequently, this self-management technology has threefold capability for recreation, behavioral health problem prophylaxis and remediation, and psychophysiological assay. The RESTORE concept aims to reduce the risk of future manned exploration missions by enhancing the capability of individual crewmembers to self-regulate cognitive states through recreation-embedded training protocols to effectively deal with the psychological toll of long-duration space flight

The Role of Time for the Competitiveness of SMEs in the Service Sector

This paper aims to highlight the analysis of the integrated role of time and knowledge factors for the SME competitiveness in the service sector, in the perspective of an intersystemic co-evolution. Particularly, it refers to hotels. The analysis is developed from a conceptual base emphasizing time value in its subjective (i.e. socio-cultural) perspective, in the recursive setting of firm knowledge, here synthesized within the time-knowledge binomial, and cal-led co-evolutionary time. The appropriateness of this analysis is motivated by the observation of the evolutionary dynamics emerging in this sector. The paper combines theory and practice thanks to the case study of the Sextantio “albergo diffuso”, a hotel appreciated throughout the world for its innovative business.Time, knowledge, Systemness, Co-evolution, Competitive Advantage, hotel SME

Wearable-based assessment of heart rate response to physical stressors in patients after open-heart surgery with frailty

Due to frailty, cardiac rehabilitation in older patients after open-heart surgery must be carefully tailored, thus calling for informative and convenient tools to assess the effectiveness of exercise training programs. The study investigates whether heart rate (HR) response to daily physical stressors can provide useful information when parameters are estimated using a wearable device. The study included 100 patients after open-heart surgery with frailty who were assigned to intervention and control groups. Both groups attended inpatient cardiac rehabilitation however only the patients of the intervention group performed exercises at home according to the tailored exercise training program. While performing maximal veloergometry test and submaximal tests, i.e., walking, stair-climbing, and stand up and go, HR response parameters were derived from a wearable-based electrocardiogram. All submaximal tests showed moderate to high correlation ( r = 0.59–0.72) with veloergometry for HR recovery and HR reserve parameters. While the effect of inpatient rehabilitation was only reflected by HR response to veloergometry, parameter trends over the entire exercise training program were also well followed during stair-climbing and walking. Based on study findings, HR response to walking should be considered for assessing the effectiveness of home-based exercise training programs in patients with frailty

Behavioral Health and Performance Element: Tools and Technologies

This slide presentation reviews the research into the Behavioral Health and Performance (BHP) of the Human Research Program. The program element goal is to identify, characterize and prevent or reduce behavioral health and performance risks associated with space travel, exploration, and return to terrestrial life. To accomplish this goal the program focuses on applied research that is designed to yield deliverables that reduce risk. There are several different elements that are of particular interest: Behavioral Medicine, Sleep, and team composition, and team work. In order to assure success for NASA missions the Human Research Program develops and validate the standards for each of the areas of interest. There is discussion of the impact on BHP while astronauts are on Long Duration Missions. The effort in this research is to create tools to meet the BHP concerns, these prospective tools are reviewed

A critical analysis of an IoT—aware AAL system for elderly monitoring

Abstract A growing number of elderly people (65+ years old) are affected by particular conditions, such as Mild Cognitive Impairment (MCI) and frailty, which are characterized by a gradual cognitive and physical decline. Early symptoms may spread across years and often they are noticed only at late stages, when the outcomes remain irrevocable and require costly intervention plans. Therefore, the clinical utility of early detecting these conditions is of substantial importance in order to avoid hospitalization and lessen the socio-economic costs of caring, while it may also significantly improve elderly people's quality of life. This work deals with a critical performance analysis of an Internet of Things aware Ambient Assisted Living (AAL) system for elderly monitoring. The analysis is focused on three main system components: (i) the City-wide data capturing layer, (ii) the Cloud-based centralized data management repository, and (iii) the risk analysis and prediction module. Each module can provide different operating modes, therefore the critical analysis aims at defining which are the best solutions according to context's needs. The proposed system architecture is used by the H2020 City4Age project to support geriatricians for the early detection of MCI and frailty conditions

Information Communication Technology (ICT) for Credit Unions and Cooperatives

A credit union is a cooperative financial institution that is owned and controlled by its members and operated for the purpose of promoting thrift, providing credit at reasonable rates, and providing other financial services to its members

Unveiling the Biometric Potential of Finger-Based ECG Signals

The ECG signal has been shown to contain relevant information for human identification. Even though results validate the potential of these signals, data acquisition methods and apparatus explored so far compromise user acceptability, requiring the acquisition of ECG at the chest. In this paper, we propose a finger-based ECG biometric system, that uses signals collected at the fingers, through a minimally intrusive 1-lead ECG setup recurring to Ag/AgCl electrodes without gel as interface with the skin. The collected signal is significantly more noisy than the ECG acquired at the chest, motivating the application of feature extraction and signal processing techniques to the problem. Time domain ECG signal processing is performed, which comprises the usual steps of filtering, peak detection, heartbeat waveform segmentation, and amplitude normalization, plus an additional step of time normalization. Through a simple minimum distance criterion between the test patterns and the enrollment database, results have revealed this to be a promising technique for biometric applications

Healthcare in continuum for an ageing population: national self monitoring or remote offshore monitoring for Australia?

Australia is a country, similar to other developed nations, confronting an ageing population with complex demographics. Ensuring continued healthcare for the ageing, while providing sufficient support for the already aged population requiring assistance, is at the forefront of the national agenda. Varied initiatives are with foci to leverage the advantages of lCTs leading to e-Health provisioning and assisted technologies. While these initiatives increasingly put budgetary constraints on local and federal governments, there is also a case for offshore resourcing of non-critical health services, to support, streamline and enhance the continuum of care, as the nation faces acute shortages of medical practitioners and nurses. However, privacy and confidentiality concerns in this context are a significant issue in Australia. In this paper, we take the position that if the National and state electronic health records system initiatives, are fully implemented, offshore resourcing can be a feasible complementary option resulting in a win-win situation of cutting costs and enabling the continuum of healthcare.<br /