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Proceedings Wireless Health ... [electronic resource]. Wireless Health (Conference)最新文献

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Model-based wireless health system design tool 基于模型的无线卫生系统设计工具
Sunit Verma, J. Milazzo, Yu-Fei Xie, P. Bagade, Ayan Banerjee, S. Gupta
Well-being and fitness are major focuses pushing the need for a simple and effective method to monitor health. Researchers have pointed out safety, lifetime, and reliability as the key requirements of medical devices. Mismatch between requirements of wearable medical sensor and smart phone and their implementation is one of the major causes of failure. We demonstrate a Wireless Health System (WHS) design tool, which abstracts detail between model and implementation and generates sensor and smart phone code.
健康和健身是推动人们需要一种简单有效的健康监测方法的主要焦点。研究人员指出,安全性、寿命和可靠性是医疗器械的关键要求。可穿戴医疗传感器与智能手机的需求与实现不匹配是导致其失败的主要原因之一。我们演示了一个无线健康系统(WHS)设计工具,它抽象了模型和实现之间的细节,并生成了传感器和智能手机代码。
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引用次数: 3
Aiding diagnosis of normal pressure hydrocephalus with enhanced gait feature separability 步态特征可分性增强对正常压力性脑积水的诊断
Shanshan Chen, Adam T. Barth, J. T. Barth, B. Bennett, Maite Brandt-Pearce, D. Broshek, Jason R. Freeman, Hillary Samples, J. Lach
Normal Pressure Hydrocephalus (NPH) is a neurological condition that challenges differential diagnosis, as the symptoms -- cognitive and gait impairment and urinary incontinence -- are similar to those of many aging disorders, including Alzheimer's disease and other forms of dementia. Since NPH is caused by abnormal accumulation of cerebrospinal fluid (CSF) around the brain, a high volume lumbar puncture (HVLP) to remove excess fluid is used as the stimulus for a suspected NPH patient, and a diagnosis is made based on the observed cognitive and functional response. Gait features have long been used as functional indicators in the pre- and post-HVLP assessment. However, these assessments are limited to visual observation in the clinic. Therefore, only simple gait features such as walking speed (based on time to walk 10m) and average stride length/time (based on the number of steps to walk 10m) are used. However, these features provide limited separability in the NPH diagnosis. This paper presents methods for enhanced diagnostic separability using additional gait features extracted from an inertial body sensor network (BSN), including stride time variability, double support time, and stability. A pilot study on six HVLP patients -- four of whom were ultimately diagnosed with NPH -- revealed that gait stability assessed by Lyapunov exponent provides better separability and can enhance the differential diagnosis. In addition, these results suggest that additional testing can be performed continuously outside of the clinic to account for patients' variable HVLP response times.
常压脑积水(NPH)是一种神经系统疾病,很难进行鉴别诊断,因为其症状——认知和步态障碍以及尿失禁——与许多衰老疾病(包括阿尔茨海默病和其他形式的痴呆症)相似。由于NPH是由脑周围脑脊液(CSF)异常积聚引起的,因此对疑似NPH患者采用大容量腰椎穿刺(HVLP)去除多余的液体作为刺激,并根据观察到的认知和功能反应进行诊断。步态特征一直被用作hvlp前后评估的功能指标。然而,这些评估仅限于临床的目视观察。因此,只使用简单的步态特征,如步行速度(基于步行10m的时间)和平均步幅/时间(基于步行10m的步数)。然而,这些特征在NPH诊断中提供了有限的可分离性。本文提出了利用从惯性体传感器网络(BSN)中提取的额外步态特征(包括步幅时间变异性、双支撑时间和稳定性)增强诊断可分离性的方法。一项针对6名HVLP患者(其中4人最终被诊断为NPH)的初步研究显示,Lyapunov指数评估的步态稳定性提供了更好的可分离性,可以增强鉴别诊断。此外,这些结果表明,可以在诊所之外连续进行额外的测试,以解释患者可变的HVLP反应时间。
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引用次数: 6
WANDA: an end-to-end remote health monitoring and analytics system for heart failure patients 万达:针对心力衰竭患者的端到端远程健康监测和分析系统
M. Lan, Lauren Samy, N. Alshurafa, Myung-kyung Suh, Hassan Ghasemzadeh, Aurelia Macabasco-O'Connell, M. Sarrafzadeh
Recent advances in wireless sensors, mobile technologies, and cloud computing have made continuous remote monitoring of patients possible. In this paper, we introduce the design and implementation of WANDA, an end-to-end remote health monitoring and analytics system designed for heart failure patients. The system consists of a smartphone-based data collection gateway, an Internet-scale data storage and search system, and a backend analytics engine for diagnostic and prognostic purposes. The system supports the collection of data from a wide range of sensory devices that measure patients' vital signs as well as self-reported questionnaires. The main objective of the analytics engine is to predict future events by examining physiological readings of the patients. We demonstrate the efficiency of the proposed analytics engine using the data gathered from a pilot study of 18 heart failure patients. In particular, our results show that the advanced analytic algorithms used in our system are capable of predicting the worsening of patients' heart failure symptoms with up to 74% accuracy while improving the sensitivity performance by more than 45% compared to the commonly used thresholding algorithm based on daily weight change. Moreover, the accuracy attained by our system is only 9% lower than the theoretical upper bound. The proposed framework is currently deployed in a large ongoing heart failure study that targets 1500 congestive heart failure patients.
无线传感器、移动技术和云计算的最新进展使持续远程监测患者成为可能。本文介绍了为心力衰竭患者设计的端到端远程健康监测与分析系统WANDA的设计与实现。该系统包括一个基于智能手机的数据收集网关、一个互联网规模的数据存储和搜索系统,以及一个用于诊断和预测目的的后端分析引擎。该系统支持从各种测量患者生命体征的传感设备以及自我报告的问卷中收集数据。分析引擎的主要目标是通过检查患者的生理读数来预测未来的事件。我们使用从18名心力衰竭患者的试点研究中收集的数据来证明所提出的分析引擎的效率。特别是,我们的研究结果表明,我们系统中使用的先进分析算法能够预测患者心力衰竭症状的恶化,准确率高达74%,同时与常用的基于每日体重变化的阈值算法相比,灵敏度性能提高了45%以上。此外,我们的系统所获得的精度仅比理论上限低9%。提出的框架目前在一项针对1500名充血性心力衰竭患者的大型正在进行的心力衰竭研究中部署。
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引用次数: 65
Energy expenditure estimation using wearable sensors: a new methodology for activity-specific models 使用可穿戴传感器估算能量消耗:一种针对特定活动模型的新方法
M. Altini, J. Penders, O. Amft
Accurate estimation of Energy Expenditure (EE) in ambulatory settings is a key element in determining the causal relation between aspects of human behavior related to physical activity and health. We present a new methodology for activity-specific EE algorithms. The proposed methodology models activity clusters using specific parameters that capture differences in EE within a cluster, and combines these models with Metabolic Equivalents (METs) derived from the compendium of physical activities. We designed a protocol consisting of a wide set of sedentary, household, lifestyle and gym activities, and developed a new activity-specific EE algorithm applying the proposed methodology. The algorithm uses accelerometer (ACC) and heart rate (HR) data acquired by a single monitoring device, together with anthropometric variables, to predict EE. Our model recognizes six clusters of activities independent of the subject in 52.6 hours of recordings from 19 participants. Increases in EE estimation accuracy ranged from 18 to 31% compared to state of the art single and multi-sensor activity-specific methods.
在动态环境中准确估计能量消耗(EE)是确定与身体活动和健康有关的人类行为方面之间因果关系的关键因素。我们提出了一种针对特定活动的EE算法的新方法。所提出的方法使用特定参数对活动集群进行建模,这些参数捕获集群内EE的差异,并将这些模型与来自身体活动纲要的代谢当量(METs)相结合。我们设计了一个包含一系列广泛的久坐、家庭、生活方式和健身房活动的协议,并应用所提出的方法开发了一个新的特定于活动的EE算法。该算法使用单个监测设备获得的加速度计(ACC)和心率(HR)数据,以及人体测量变量来预测EE。我们的模型从19名参与者的52.6小时录音中识别出6组独立于主题的活动。与最先进的单传感器和多传感器特定活动方法相比,EE估计精度提高了18%到31%。
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引用次数: 51
CitiSense: improving geospatial environmental assessment of air quality using a wireless personal exposure monitoring system CitiSense:利用无线个人暴露监测系统改善空气质量的地理空间环境评估
Nima Nikzad, Nakul Verma, Celal Ziftci, Elizabeth S. Bales, Nichole Quick, P. Zappi, K. Patrick, S. Dasgupta, Ingolf Krüger, T. Simunic, W. Griswold
Environmental exposures are a critical component in the development of chronic conditions such as asthma and cancer. Yet, medical and public health practitioners typically must depend on sparse regional measurements of the environment that provide macro-scale summaries. Recent projects have begun to measure an individual's exposure to these factors, often utilizing body-worn sensors and mobile phones to visualize the data. Such data, collected from many individuals and analyzed across an entire geographic region, holds the potential to revolutionize the practice of public health. We present CitiSense, a participatory air quality sensing system that bridges the gap between personal sensing and regional measurement to provide micro-level detail at a regional scale. In a user study of 16 commuters using CitiSense, measurements were found to vary significantly from those provided by official regional pollution monitoring stations. Moreover, applying geostatistical kriging techniques to our data allows CitiSense to infer a regional map that contains considerably greater detail than official regional summaries. These results suggest that the cumulative impact of many individuals using personal sensing devices may have an important role to play in the future of environmental measurement for public health.
环境暴露是哮喘和癌症等慢性疾病发展的关键因素。然而,医疗和公共卫生从业人员通常必须依靠对环境的稀疏区域测量来提供宏观尺度的总结。最近的项目已经开始测量个人对这些因素的暴露程度,通常使用穿戴式传感器和移动电话来可视化数据。从许多个人收集并在整个地理区域内进行分析的此类数据具有彻底改变公共卫生实践的潜力。我们介绍了一个参与式空气质量传感系统CitiSense,它弥合了个人感知和区域测量之间的差距,提供了区域尺度上的微观细节。在对使用CitiSense的16名通勤者的用户研究中,发现测量结果与官方区域污染监测站提供的数据有很大差异。此外,将地理统计克里格技术应用于我们的数据,使CitiSense能够推断出比官方区域摘要更详细的区域地图。这些结果表明,使用个人传感装置的许多个人的累积影响可能在未来的公共卫生环境测量中发挥重要作用。
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引用次数: 95
Power constrained sensor sample selection for improved form factor and lifetime in localized BANs 功率受限的传感器样本选择,以改善局域化ban的外形因素和寿命
V. Goudar, M. Potkonjak
Wearable sensing systems are paving the way for significant advances in diagnosis, preventative healthcare and tele-healthcare, by facilitating a variety of wireless health applications for medical signal and diagnostic monitoring and assessment. However, the considerable spatial and temporal sampling for multiple sensed modalities that enable these applications, also makes them power hungry, requiring large, heavy power supplies, and leading to a tradeoff between usability and lifetime. We propose a sampling algorithm to overcome this trade-off by capitalizing on the spatio-temporal redundancy inherent to Body Area Networks owing to their localized nature, as well as, assessing sample relevance based on its contribution to the predicted diagnostic(s). Our approach improves energy-efficiency and raises contextual sample quality, by tackling sample selection simultaneously in the spatial and temporal domains, yielding improved diagnostic accuracy under power-constraints. We present our algorithm in the context of diagnostics gleaned from a foot plantar pressure measurement platform and illustrate its efficacy based on real datasets collected by the platform.
可穿戴传感系统通过促进各种用于医疗信号和诊断监测和评估的无线健康应用,正在为诊断、预防性保健和远程保健方面的重大进展铺平道路。然而,用于实现这些应用的多感测模式的大量空间和时间采样也使它们耗电,需要大而重的电源,并导致可用性和使用寿命之间的权衡。我们提出了一种采样算法来克服这种权衡,通过利用身体区域网络固有的时空冗余,以及基于其对预测诊断的贡献来评估样本相关性。我们的方法通过在空间和时间域中同时处理样本选择,提高了能源效率并提高了上下文样本质量,从而在功率限制下提高了诊断准确性。我们在足底压力测量平台收集的诊断数据的背景下提出了我们的算法,并基于该平台收集的真实数据集说明了其有效性。
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引用次数: 10
Facilitating medication adherence and eliminating therapeutic inertia using wireless technology: proof of concept findings with uncontrolled hypertensives and kidney transplant recipients 使用无线技术促进药物依从性和消除治疗惰性:对不受控制的高血压和肾移植受者的概念证明
J. McGillicuddy, M. Gregoski, B. Brunner-Jackson, Ana K. Weiland, Sachin K Patel, Rebecca A. Rock, Eveline M. Treiber, Lydia K. Davidson, F. Treiber
Effective and efficient management of chronic illness remains a significant clinical problem. To improve chronic illness management, two obstacles that must be overcome are patient non-adherence to medication regimens and provider therapeutic inertia (failure to respond in timely manner to clinical data). Using an iterative approach, behavioral theory was used to develop a mobile health (mHealth) medication and blood pressure self-management system that was patient and provider centered. Electronic medication trays provided reminder signals and smart phone text messages reminded patients to measure blood pressures using a Bluetooth-enabled monitor. Patients received mobile phone-delivered personalized motivational and reinforcement messages based upon adherence levels to these regimens. Two 3-month proof of concept randomized control trials were conducted with 2 patient groups; 1) Hispanics with uncontrolled essential hypertension (n=6), and 2) patients with hypertension after kidney transplantation. (n=6). Hispanic patients who received the mHealth intervention all exhibited significant improvements in both medication adherence and reductions in resting and 24-hour blood pressures during the trial and at 3-month follow-up, as compared to the control group. The still ongoing kidney transplant trial has shown that recipients randomized to the mHealth intervention have demonstrated significant improvements in medication adherence and reduced blood pressure two months into the trial. Following completion of both studies, patient and provider focus groups will allow further iterative refinement of the mHealth system and a feasibility trial of larger scale and longer duration.
有效和高效的慢性疾病管理仍然是一个重要的临床问题。为了改善慢性病管理,必须克服两个障碍:患者不遵守药物治疗方案和提供者治疗惰性(未能及时对临床数据作出反应)。使用迭代方法,行为理论用于开发以患者和提供者为中心的移动医疗(mHealth)药物和血压自我管理系统。电子药物托盘提供提醒信号,智能手机短信提醒患者使用蓝牙监视器测量血压。患者会收到手机发送的个性化激励和强化信息,这些信息基于对这些方案的坚持程度。两组患者进行了两个为期3个月的概念验证随机对照试验;1)西班牙裔原发性高血压未控制患者(n=6); 2)肾移植后高血压患者。(n = 6)。与对照组相比,接受移动健康干预的西班牙裔患者在试验期间和3个月随访期间均表现出药物依从性的显著改善,静息血压和24小时血压均有所降低。仍在进行的肾移植试验表明,随机接受移动健康干预的受者在试验进行两个月后,在药物依从性和血压降低方面表现出显著改善。在完成这两项研究后,患者和提供者焦点小组将允许进一步迭代改进移动医疗系统,并进行更大规模和更长时间的可行性试验。
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引用次数: 20
Confined intra-arm communication for medical applications 医用受限臂内通信
T. Thai, G. DeJean, Ran Gilad-Bachrach
Personal area networks are enablers for many new medical applications. In this work, we present an implementation of such a network through a guided wave on body communication channel. This method allows the creation of high bandwidth communication channels which are confined to the body and improve on previous technologies in terms of privacy and resilience to interference and bandwidth. The technology proposed can also be used for other applications such as tracking infections and especially Nosocomial infections. Nosocomial infections (hospital-acquired infections) are believed to be linked to the death of around 100,000 patients each year in the U.S. only. The technology proposed here allows the detection of a handshake between people and interaction with other objects, thus registering them for analysis of the root cause of an infection.
个人区域网络是许多新的医疗应用的推动者。在这项工作中,我们提出了一种通过导波体内通信信道实现这种网络的方法。这种方法允许创建局限于身体的高带宽通信通道,并在隐私和对干扰和带宽的弹性方面改进了以前的技术。该技术还可用于其他应用,如跟踪感染,特别是医院感染。医院感染(医院获得性感染)据信仅在美国每年就与大约10万名患者的死亡有关。这里提出的技术允许检测人与人之间的握手和与其他物体的互动,从而记录它们以分析感染的根本原因。
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引用次数: 1
A methodology for developing quality of information metrics for body sensor design 一种用于人体传感器设计的信息质量度量方法
Italo Armenti, Philip Asare, J. Su, J. Lach
Body sensors networks (BSNs) are emerging technologies that are enabling long-term, continuous, remote monitoring of physiologic and biokinematic information for various medical applications. Because of the varying computational, storage, and communication capabilities of different components in the BSN, system designers must make design choices that trade off information quality with resource consumption and system battery lifetime. Given these trade-offs, there is the possibility that the information presented to the health practitioner at the end point may deviate from what was originally sensed. In some cases, these deviations may cause a practitioner to make a different decision from what would have been made given the original data. Engineers working on such systems typically resort to traditional measures of data quality like RMSE; however, these metrics have been shown in many cases to not correlate well with the notions of information quality for the particular application. Objective metrics of information distortion and its effects on decision making are therefore necessary to help BSN designers make more informed trade-offs between design constraints and information quality and to help practitioners understand the kind of information being produced by BSNs, on which they have to base decisions. In this paper, we present a general methodology for developing such metrics for various BSN applications, illustrate how this methodology can be applied to a real application through a case study, and discuss issues with developing such metrics.
身体传感器网络(BSNs)是一种新兴技术,它能够长期、连续、远程监测各种医疗应用中的生理和生物动力学信息。由于BSN中不同组件的计算、存储和通信能力不同,系统设计人员必须在信息质量与资源消耗和系统电池寿命之间进行权衡。考虑到这些权衡,有可能的信息呈现给医疗从业者在终点可能偏离什么是最初的感觉。在某些情况下,这些偏差可能会导致从业者做出与原始数据不同的决策。开发此类系统的工程师通常会使用RMSE等传统的数据质量度量方法;然而,在许多情况下,这些指标与特定应用程序的信息质量概念并没有很好地关联。因此,有必要对信息失真及其对决策的影响进行客观度量,以帮助BSN设计者在设计约束和信息质量之间做出更明智的权衡,并帮助从业者了解BSN产生的信息类型,他们必须根据这些信息做出决策。在本文中,我们提出了为各种BSN应用程序开发此类指标的一般方法,通过案例研究说明了如何将此方法应用于实际应用程序,并讨论了开发此类指标的问题。
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引用次数: 4
Impact of Sensor Misplacement on Dynamic Time Warping Based Human Activity Recognition using Wearable Computers. 传感器错位对基于动态时间翘曲的可穿戴计算机人体活动识别的影响。
Nimish Kale, Jaeseong Lee, Reza Lotfian, Roozbeh Jafari

Daily living activity monitoring is important for early detection of the onset of many diseases and for improving quality of life especially in elderly. A wireless wearable network of inertial sensor nodes can be used to observe daily motions. Continuous stream of data generated by these sensor networks can be used to recognize the movements of interest. Dynamic Time Warping (DTW) is a widely used signal processing method for time-series pattern matching because of its robustness to variations in time and speed as opposed to other template matching methods. Despite this flexibility, for the application of activity recognition, DTW can only find the similarity between the template of a movement and the incoming samples, when the location and orientation of the sensor remains unchanged. Due to this restriction, small sensor misplacements can lead to a decrease in the classification accuracy. In this work, we adopt DTW distance as a feature for real-time detection of human daily activities like sit to stand in the presence of sensor misplacement. To measure this performance of DTW, we need to create a large number of sensor configurations while the sensors are rotated or misplaced. Creating a large number of closely spaced sensors is impractical. To address this problem, we use the marker based optical motion capture system and generate simulated inertial sensor data for different locations and orientations on the body. We study the performance of the DTW under these conditions to determine the worst-case sensor location variations that the algorithm can accommodate.

日常生活活动监测对于早期发现许多疾病的发病和改善生活质量,特别是老年人的生活质量非常重要。惯性传感器节点的无线可穿戴网络可用于观察日常运动。这些传感器网络产生的连续数据流可用于识别感兴趣的运动。相对于其他模板匹配方法,动态时间翘曲(DTW)具有对时间和速度变化的鲁棒性,是一种广泛应用于时间序列模式匹配的信号处理方法。尽管具有这种灵活性,但对于活动识别的应用,DTW只能在传感器的位置和方向保持不变的情况下找到运动模板与传入样本之间的相似性。由于这种限制,小的传感器错位会导致分类精度下降。在这项工作中,我们采用DTW距离作为实时检测人类日常活动的特征,例如在传感器错位的情况下坐到站。为了测量DTW的这种性能,我们需要在传感器旋转或错位时创建大量的传感器配置。制造大量紧密间隔的传感器是不切实际的。为了解决这个问题,我们使用基于标记的光学运动捕捉系统,并生成模拟惯性传感器数据,用于身体的不同位置和方向。我们研究了DTW在这些条件下的性能,以确定算法可以容纳的最坏情况下传感器位置变化。
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引用次数: 39
期刊
Proceedings Wireless Health ... [electronic resource]. Wireless Health (Conference)
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