Bladder monitoring, including urinary incontinence management and bladder urinary volume monitoring, is a vital part of urological care. Urinary incontinence is a common medical condition affecting the quality of life of more than 420 million people worldwide, and bladder urinary volume is an important indicator to evaluate the function and health of the bladder. Previous studies on non-invasive techniques for urinary incontinence management technology, bladder activity and bladder urine volume monitoring have been conducted. This scoping review outlines the prevalence of bladder monitoring with a focus on recent developments in smart incontinence care wearable devices and the latest technologies for non-invasive bladder urine volume monitoring using ultrasound, optical and electrical bioimpedance techniques. The results found are promising and their application will improve the well-being of the population suffering from neurogenic dysfunction of the bladder and the management of urinary incontinence. The latest research advances in bladder urinary volume monitoring and urinary incontinence management have significantly improved existing market products and solutions and will enable the development of more effective future solutions.
1 February 2002 in Journal of Clinical Monitoring and Computing
The extraction of relevant features from the photoplethysmography signal for estimating certain physiological parameters is a challenging task. Various feature extraction methods have been proposed in the literature. In this study, we present a novel fiducial point extraction algorithm to detect c and d points from the acceleration photoplethysmogram (APG), namely “CnD”. The algorithm allows for the application of various pre-processing techniques, such as filtering, smoothing, and removing baseline drift; the possibility of calculating first, second, and third photoplethysmography derivatives; and the implementation of algorithms for detecting and highlighting APG fiducial points. An evaluation of the CnD indicated a high level of accuracy in the algorithm’s ability to identify fiducial points. Out of 438 APG fiducial c and d points, the algorithm accurately identified 434 points, resulting in an accuracy rate of 99%. This level of accuracy was consistent across all the test cases, with low error rates. These findings indicate that the algorithm has a high potential for use in practical applications as a reliable method for detecting fiducial points. Thereby, it provides a valuable new resource for researchers and healthcare professionals working in the analysis of photoplethysmography signals.
The ubiquity of sensors in smart-homes facilitates the support of independent living for older adults and enables cognitive assessment. Notably, there has been a growing interest in utilizing movement traces for identifying signs of cognitive impairment in recent years. In this study, we introduce an innovative approach to identify abnormal indoor movement patterns that may signal cognitive decline. This is achieved through the non-intrusive integration of smart-home sensors, including passive infrared sensors and sensors embedded in everyday objects. The methodology involves visualizing user locomotion traces and discerning interactions with objects on a floor plan representation of the smart-home, and employing different image descriptor features designed for image analysis tasks and synthetic minority oversampling techniques to enhance the methodology. This approach distinguishes itself by its flexibility in effortlessly incorporating additional features through sensor data. A comprehensive analysis, conducted with a substantial dataset obtained from a real smart-home, involving 99 seniors, including those with cognitive diseases, reveals the effectiveness of the proposed functional prototype of the system architecture. The results validate the system’s efficacy in accurately discerning the cognitive status of seniors, achieving a macro-averaged F1-score of 72.22% for the two targeted categories: cognitively healthy and people with dementia. Furthermore, through experimental comparison, our system demonstrates superior performance compared with state-of-the-art methods.