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Continuous, non-invasive assessment of agitation in dementia using inertial body sensors 使用惯性体传感器对痴呆患者躁动进行连续、无创评估
Azziza Bankole, M. Anderson, Aubrey Knight, Kyunghui Oh, T. Smith-Jackson, M. Hanson, Adam T. Barth, J. Lach
Agitated behavior is one of the most frequent reasons that patients with dementia are placed in long-term care settings. These behaviors are indicators of distress and are associated with increased risk of injury to the patients and their caregivers. This study aims to explore the ability of a custom inertial wireless body sensor network (BSN) to objectively detect and quantify agitation, validating against currently accepted subjective clinical measures -- the Cohen-Mansfield Agitation Inventory (CMAI) and the Aggressive Behavior Scale (ABS) -- within the nursing home setting. The ultimate goal is to enable continuous, real-time monitoring of physical agitation in any location over an extended period. Continuous, longitudinal assessment facilitates timely response to agitation events in order to minimize patient distress and risk for injury, to more appropriately titrate pharmacotherapy, and to enable staff (or caregivers) to successfully intervene. Six patients identified as being at high risk for agitated behaviors were enrolled in this pilot study. Patients underwent a series of the above validated tests of memory and agitation. The BSN nodes were applied at three sites on body for three hours while behaviors were annotated simultaneously. This process was subsequently repeated twice for each enrolled subject. The BSN data was then processed using Teager energy analysis, which an earlier study suggested was a promising method for extracting jerky and repetitive movements from inertial data. Results based on construct validity testing for agitation (CMAI) and aggression (ABS) were promising and suggest that additional study with larger sample sizes is warranted.
激动行为是痴呆症患者被安置在长期护理机构的最常见原因之一。这些行为是痛苦的标志,与患者及其护理人员受伤的风险增加有关。本研究旨在探索自定义惯性无线身体传感器网络(BSN)在客观检测和量化躁动方面的能力,并针对目前公认的主观临床测量方法——科恩-曼斯菲尔德躁动量表(CMAI)和攻击行为量表(ABS)——在养老院环境中进行验证。最终的目标是在一段较长的时间内对任何位置的物理搅拌进行连续、实时的监测。持续的纵向评估有助于及时对激动事件作出反应,以尽量减少患者的痛苦和受伤风险,更适当地滴定药物治疗,并使工作人员(或护理人员)能够成功地进行干预。六名被确定为具有激动行为高风险的患者参加了这项初步研究。患者接受了一系列以上有效的记忆和躁动测试。BSN节点在身体3个部位应用3小时,同时对行为进行标注。该过程随后对每个入组受试者重复两次。然后使用Teager能量分析对BSN数据进行处理,这是一种很有前途的方法,可以从惯性数据中提取出突然和重复的运动。基于构念效度测试的躁动(CMAI)和攻击(ABS)的结果是有希望的,并表明有必要进行更大样本量的额外研究。
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引用次数: 26
Energy-efficient long term physiological monitoring 节能长效生理监测
Ayan Banerjee, S. Nabar, S. Gupta, R. Poovendran
Recently, several wireless body sensor-based systems have been proposed for continuous, long-term physiological monitoring. A major challenge in such systems is that a large amount of data is collected, and transmission of this data incurs significant energy consumption at the sensor. In this work, we demonstrate a data reporting method that significantly reduces energy consumption while maintaining a high diagnostic accuracy of the reported physiological signal. This is achieved by using a generative model of the physiological signal of interest at the sensor, and suppressing data transmission when sensed data matches the model. In this demonstration, we implement the proposed technique for electrocardiogram (ECG) signal and illustrate its performance in terms of energy savings and accuracy of reported data.
最近,一些基于无线身体传感器的系统被提出用于连续、长期的生理监测。这种系统的一个主要挑战是要收集大量的数据,而这些数据的传输会在传感器上产生大量的能量消耗。在这项工作中,我们展示了一种数据报告方法,该方法显着降低了能量消耗,同时保持了报告的生理信号的高诊断准确性。这是通过使用传感器感兴趣的生理信号的生成模型来实现的,当感测数据与模型匹配时,抑制数据传输。在本演示中,我们实现了所提出的心电图(ECG)信号技术,并说明了其在节能和报告数据准确性方面的性能。
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引用次数: 1
Photoplethysmograph (PPG) derived heart rate (HR) acquisition using an Android smart phone Photoplethysmograph (PPG)衍生心率(HR)采集使用Android智能手机
M. Gregoski, A. Vertegel, F. Treiber
Smart phone OEM camera technology enables PPG measurement of HR. HR readings acquired by a Motorola Droid#8482; using a self-developed Android HR application were compared to HR readings acquired by an electrocardiograph (ECG) and Nonin 9560BT pulse oximeter during three 5 min. periods (rest, reading aloud, video game). Subjects were 14, 20--58 year olds. Across all conditions, and device pairings correlations (rs≥.99). Bland-Altman plots revealed that 95% of the data points (differences between devices) fell within the limits of agreement when the Droid was compared to ECG. Lack of electrode patches or sensor telemetric straps and general ease of use make it advantageous for use in monitoring adherence to m-Health delivered health promotion and wellness programs (e.g., anxiety reduction, meditation, yoga, tai chi, etc.).
智能手机OEM相机技术使人力资源的PPG测量。由摩托罗拉Droid#8482获得的人力资源读数;使用自主开发的Android HR应用程序与心电图仪(ECG)和Nonin 9560BT脉搏血氧仪在3个5分钟时间段(休息、大声朗读、视频游戏)获得的HR读数进行比较。受试者年龄分别为14岁、20岁至58岁。在所有条件下,与器械配对的相关性(rs≥0.99)。Bland-Altman图显示,当Droid与ECG进行比较时,95%的数据点(设备之间的差异)都在一致的范围内。由于不需要电极贴片或传感器遥测带,而且总体上很容易使用,因此有利于监测“移动健康”提供的健康促进和保健方案(例如,减少焦虑、冥想、瑜伽、太极等)的遵守情况。
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引用次数: 23
Empath: a continuous remote emotional health monitoring system for depressive illness 移情:抑郁症的持续远程情绪健康监测系统
Robert F. Dickerson, Eugenia I. Gorlin, J. Stankovic
Depression is a major health issue affecting over 21 million American adults that often goes untreated, and even when undergoing treatment it is hard to monitor the effectiveness of the treatment. To address these issues, we have created a real-time depression monitoring system for the home. This system runs 24/7 and can potentially detect the early signs of a depression episode, as well track progress managing a depressive illness. A cohesive set of integrated wireless sensors, a touch screen station, mobile device, and associated software deliver the above capabilities. The data collected are multi-modal, spanning a number of different behavioral domains including sleep, weight, activities of daily living, and speech prosody. The reports generated by this aggregated data across multiple behavioral domains are aimed to provide caregivers with more accurate and thorough information about the client's current functioning, thus helping in their diagnostic assessment and therapeutic treatment planning as well for patients in the management and tracking of their symptoms. We present data of a case study showing the value of the system, deployed over a period of two weeks in a home during a depressive episode. Larger scale studies are planned for the future.
抑郁症是影响2100多万美国成年人的主要健康问题,这些成年人经常得不到治疗,即使接受治疗,也很难监测治疗的效果。为了解决这些问题,我们为家庭创建了一个实时抑郁监测系统。该系统全天候运行,可以发现抑郁症发作的早期迹象,并跟踪治疗抑郁症的进展。一组内聚的集成无线传感器、触摸屏站、移动设备和相关软件提供上述功能。收集的数据是多模式的,跨越了许多不同的行为领域,包括睡眠、体重、日常生活活动和语言韵律。由这些跨多个行为领域的汇总数据生成的报告旨在为护理人员提供有关客户当前功能的更准确和全面的信息,从而帮助他们进行诊断评估和治疗治疗计划,以及帮助患者管理和跟踪其症状。我们提出了一个案例研究的数据,显示了该系统的价值,在一个抑郁发作的家庭中部署了两周的时间。未来还计划进行更大规模的研究。
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引用次数: 113
Enabling longitudinal assessment of ankle-foot orthosis efficacy for children with cerebral palsy 对脑瘫患儿踝足矫形器疗效进行纵向评价
Shanshan Chen, Christopher L. Cunningham, B. Bennett, J. Lach
Ankle-foot orthoses (AFOs) are often prescribed to individuals with walking disabilities, including children with cerebral palsy. Despite the widespread use of AFOs, their efficacy is not well evaluated because the quantitative assessment of gait improvement from AFOs is currently limited to short-term, in-clinic observation. To better understand how AFOs perform in aiding individuals with walking disabilities and to further enhance their efficacy, longitudinal, continuous, non-invasive measurement is necessary. Ankle joint angle is a key parameter impacted by the AFO and is central to assessing AFO efficacy. With a wireless inertial body sensor network (BSN) mounted on -- or even embedded in -- the AFOs, the ankle joint angle can be extracted and then used to derive other gait parameters such as the range of ankle angle and the percentage of time in dorsi-/plantar-flexion mode. The methodology of extracting ankle joint angle and related gait parameters for assessing AFO efficacy is detailed in this paper. In order to obtain accurate spatial information, techniques for compensating integration drift, mounting error and multi-plane motion are also presented. The BSN results are validated against the industrial standard optical motion capture system on four children with cerebral palsy. An ankle angle RMSE of 2.41 degrees was achieved, demonstrating the potential of using BSNs for longitudinal assessment of AFO efficacy.
踝足矫形器(AFOs)通常用于有行走障碍的人,包括脑瘫儿童。尽管afo广泛使用,但其疗效尚未得到很好的评估,因为目前对afo步态改善的定量评估仅限于短期的临床观察。为了更好地了解afo在帮助行走障碍者方面的表现,并进一步提高其疗效,有必要进行纵向、连续、非侵入性的测量。踝关节角度是AFO影响的关键参数,也是评估AFO疗效的核心。通过安装在afo上甚至嵌入afo中的无线惯性身体传感器网络(BSN),可以提取踝关节角度,然后用于导出其他步态参数,如踝关节角度范围和背/跖屈模式的时间百分比。本文详细介绍了用于评估AFO效能的踝关节角度提取及相关步态参数的方法。为了获得精确的空间信息,还提出了积分漂移、安装误差和多平面运动补偿技术。BSN结果与工业标准光学运动捕捉系统在四名脑瘫儿童身上进行了验证。踝关节角度RMSE为2.41度,证明了使用BSNs纵向评估AFO疗效的潜力。
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引用次数: 19
Resource-efficient and reliable long term wireless monitoring of the photoplethysmographic signal 资源高效和可靠的光容积脉搏信号的长期无线监测
S. Nabar, Ayan Banerjee, S. Gupta, R. Poovendran
Wearable photoplethysmogram (PPG) sensors are extensively used for remote monitoring of blood oxygen level and flow rate in numerous pervasive healthcare applications with diverse quality of service requirements. These sensors operate under severe resource constraints and communicate over an adverse wireless channel with human body-induced path loss and mobility-caused fading. In this paper, we take a generative model-based data collection approach towards achieving energy-efficient and reliable PPG monitoring. We develop two models that can generate synthetic PPG signals given a set of input parameters. These generative models are then used to design and implement a resource-efficient, reliable data reporting method for wireless PPG sensors. We investigate the performance of our method under realistic wireless channel error models and provide methods to improve accuracy at a marginal energy cost. We implement the proposed technique using existing sensor platforms and evaluate its performance on two datasets: the MIMIC database and data collected using commercial wearable sensors. Results for wearable sensor-based data show bandwidth and communication energy savings of 300:1, while maintaining a diagnostic accuracy above 94%.
可穿戴式光容积脉搏图(PPG)传感器广泛用于远程监测血氧水平和血流速率,在许多具有不同服务质量要求的普及医疗保健应用中。这些传感器在严重的资源限制下工作,并且通过不利的无线信道进行通信,该信道具有人体引起的路径损耗和移动引起的衰落。在本文中,我们采用基于生成模型的数据收集方法来实现节能和可靠的PPG监测。我们开发了两个模型,可以在给定一组输入参数的情况下产生合成的PPG信号。然后,这些生成模型用于设计和实现一种资源高效、可靠的无线PPG传感器数据报告方法。我们研究了我们的方法在实际无线信道误差模型下的性能,并提供了以边际能量成本提高精度的方法。我们使用现有的传感器平台实现了所提出的技术,并在两个数据集上评估了其性能:MIMIC数据库和使用商用可穿戴传感器收集的数据。基于可穿戴传感器的数据结果显示,带宽和通信能耗节省了300:1,同时诊断准确率保持在94%以上。
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引用次数: 19
Wireless monitoring of post-operative respiratory complications 术后呼吸并发症的无线监测
A. Bates, D. Arvind, J. Mann
Respiratory complications may occur in post-operative patients but are often difficult to detect due to the lack of a well-tolerated and reliable monitoring method. We have developed a wireless accelerometer-based device that measures chest wall rotations due to breathing and has been shown to provide an accurate measure of respiratory rate in a clinical setting, when validated against rates obtained from nasal pressure. This paper describes a method for detecting instances of respiratory problems due to physical airway obstruction and central nervous system (CNS) respiratory depression using a combination of nasal pressure and chest wall rotation signals in gynaecological patients during the first night after surgery. Waxing and waning of breath amplitude and irregularity of breath length are found to be useful indicators. A clinical study involving 19 post-operative patients shows that the proposed method is able to detect and distinguish between both forms of respiratory complications.
术后患者可能出现呼吸系统并发症,但由于缺乏耐受性良好和可靠的监测方法,往往难以发现。我们已经开发了一种基于无线加速度计的设备,该设备可以测量呼吸引起的胸壁旋转,并已被证明在临床环境中提供准确的呼吸速率测量,当与从鼻压力获得的速率进行验证时。本文介绍了一种方法,用于检测呼吸问题的情况下,由于物理气道阻塞和中枢神经系统(CNS)呼吸抑制使用鼻压和胸壁旋转信号的组合在手术后的第一个晚上妇科患者。呼吸振幅的起伏和呼吸长度的不规则性是有用的指标。一项涉及19例术后患者的临床研究表明,所提出的方法能够检测和区分两种形式的呼吸系统并发症。
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引用次数: 3
Context guided and personalized activity classification system 情境引导和个性化的活动分类系统
James Y. Xu, Yuwen Sun, Zhao Wang, W. Kaiser, G. Pottie
Continued rapid progress in the development of embedded motion sensing enables wearable devices that provide fundamental advances in the capability to monitor and classify human motion, detect movement disorders, and estimate energy expenditure. With this progress, it is becoming possible to provide, for the first time, evaluation of outcomes of rehabilitation interventions and direct guidance for advancement of subject health, wellness, and safety. The progress in motion classification relies on both the performance of new sensor fusion methods that provide inference, and the energy efficiency of energy-constrained monitoring sensors. As will be described here, both of these objectives require advances in the capability of detecting and classifying the location and environmental context. Context directly enables both enhanced motion classification accuracy and speed through reduction in search space, and reduced energy demand through context-aware optimization of sensor sampling and operation schedules. There have been attempts to introduce context awareness into activity monitoring with limited success, due to the ambiguity in the definition of context, and the lack of a system architecture that enables the adaptation of signal processing and sensor fusion algorithms specific to the task of personalized activity monitoring. In this paper we present a novel end-to-end system that provides context guided personalized activity classification. With a refined concept of context, the system introduces interface models that feature a context classification committee, the concept of context specific activity classification, the ability to manage sensors given context, and the ability to operate in real time through web services. We also present an implementation that demonstrates accurate context classification, accurate activity classification using context specific models with improved accuracy and speed, and extended operating life through sensor energy management.
嵌入式运动传感技术的持续快速发展使可穿戴设备在监测和分类人体运动、检测运动障碍和估计能量消耗方面提供了根本性的进步。随着这一进展,首次有可能对康复干预的结果进行评估,并为促进受试者的健康、健康和安全提供直接指导。运动分类的进展既依赖于提供推理的新型传感器融合方法的性能,也依赖于能量约束监测传感器的能量效率。正如将在这里描述的,这两个目标都需要在探测和分类地点和环境背景的能力方面取得进展。上下文直接通过减少搜索空间来提高运动分类的准确性和速度,并通过传感器采样和操作时间表的上下文感知优化来减少能源需求。由于上下文定义的模糊性,以及缺乏能够适应个性化活动监测任务的信号处理和传感器融合算法的系统架构,已经有人尝试将上下文感知引入活动监测,但收效甚微。在本文中,我们提出了一个新的端到端系统,提供上下文指导的个性化活动分类。通过改进上下文概念,系统引入了接口模型,这些模型具有上下文分类委员会、特定于上下文的活动分类概念、管理给定上下文的传感器的能力以及通过web服务进行实时操作的能力。我们还提出了一个实现,该实现演示了准确的上下文分类,使用特定于上下文的模型进行准确的活动分类,提高了准确性和速度,并通过传感器能量管理延长了操作寿命。
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引用次数: 16
LEGSys: wireless gait evaluation system using wearable sensors LEGSys:使用可穿戴传感器的无线步态评估系统
Bor-rong Chen
Measurement of gait parameters typically takes place in dedicated laboratory environments, which require space commitment, and expensive equipments such as multi-camera motion capture systems and force plates. Despite the high cost, a laboratory-bound approach limits the number of strides each person can take and the length of time the measurements last. To enable detailed measurement of gait in unconstrained environments, we are developing LEGSys#8482; (Locomotion Evaluation and Gait System), a portable gait evaluation system based on wearable motion sensors. LEGSys#8482; supports up to five small 9-degree-of-freedom (9DOF) inertial sensors to capture details of leg movements. The key advantages of this system include the capability of being used outside of gait laboratory, over ample walking distance and long duration of time, with different footwear conditions, and on different walking surfaces.
步态参数的测量通常在专用的实验室环境中进行,这需要空间的保证,以及昂贵的设备,如多摄像头运动捕捉系统和测力板。尽管成本很高,但实验室限制的方法限制了每个人可以采取的步幅数量和测量持续的时间。为了能够在不受约束的环境中详细测量步态,我们正在开发LEGSys#8482;(运动评估和步态系统),一种基于可穿戴运动传感器的便携式步态评估系统。LEGSys # 8482;支持多达5个小型9自由度(9DOF)惯性传感器来捕捉腿部运动的细节。该系统的主要优点包括能够在步态实验室之外使用,具有足够的步行距离和长时间,具有不同的鞋类条件和不同的行走表面。
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引用次数: 8
mobileSpiro: portable open-interface spirometry for Android mobileSpiro: Android便携式开放接口肺活量计
Siddharth Gupta, Peter Chang, Nonso Anyigbo, A. Sabharwal
Respiratory diseases such as asthma are becoming more prevalent among both children and adults. Patients increasingly feel the need to monitor themselves and aid their diagnosis with more frequent measurements without the need to visit a clinic. Spirometry and its accurate interpretation are necessary in addressing this issue, and smartphones and other mobile platforms can economically increase access to these valuable measurements. We will demonstrate mobile-Spiro, a multi-configuration Android-based portable spirometer which allows for self-patient monitoring of respiratory conditions. In particular, mobileSpiro takes real-time measurements of lung capacity and assists in monitoring for potential disorders. Additionally, the results of each spirometric maneuver are transmitted to a remote server. As an open-source, open-interface spirometer, the system encourages innovation at a vastly decreased cost of deployment.
哮喘等呼吸系统疾病在儿童和成人中越来越普遍。患者越来越感到有必要监测自己,并通过更频繁的测量来帮助他们的诊断,而不需要去诊所。肺活量测定及其准确解释对于解决这一问题是必要的,智能手机和其他移动平台可以经济地增加获得这些有价值的测量的机会。我们将演示mobile-Spiro,这是一种基于android的多配置便携式肺活量计,允许患者自行监测呼吸状况。特别是,mobileSpiro可以实时测量肺活量,并协助监测潜在的疾病。此外,将每个肺活量测定操作的结果传输到远程服务器。作为一个开源、开放接口的肺活量计,该系统鼓励创新,大大降低了部署成本。
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引用次数: 4
期刊
Proceedings Wireless Health ... [electronic resource]. Wireless Health (Conference)
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