Gait analysis can convey important information about one's physical and cognitive condition. Wearable inertial sensor systems can be used to continuously and unobtrusively assess gait during everyday activities in uncontrolled environments. An important step in the development of such systems is the processing and analysis of the sensor data. This paper presents a symbol-based method used to detect the phases of gait and convey important dynamic information from accelerometer signals. The addition of expert knowledge substitutes the need for supervised learning techniques, rendering the system easy to interpret and easy to improve incrementally. The proposed method is compared to an approach based on peak detection. A new symbol-based symmetry index is created and compared to a traditional temporal symmetry index and a symmetry measure based on cross correlation. The symbol-based symmetry index exemplifies how the proposed method can extract more information from the acceleration signal than previous approaches.
9 April 2020 in Journal of Medical Internet Research
Background: Information on how behavior change strategies have been used to design digital interventions (DIs) to improve blood pressure (BP) control or medication adherence (MA) for patients with hypertension is currently limited. Objective: Hypertension is a major modifiable risk factor for cardiovascular diseases and can be controlled with appropriate medication. Many interventions that target MA to improve BP are increasingly using modern digital technologies. This systematic review was conducted to discover how DIs have been designed to improve MA and BP control among patients with hypertension in the recent 10 years. Results were mapped into a matrix of change objectives using the Intervention Mapping framework to guide future development of technologies to improve MA and BP control. Methods: We included all the studies regarding DI development to improve MA or BP control for patients with hypertension published in PubMed from 2008 to 2018. All the DI components were mapped into a matrix of change objectives using the Intervention Mapping technique by eliciting the key determinant factors (from patient and health care team and system levels) and targeted patient behaviors. Results: The analysis included 54 eligible studies. The determinants were considered at two levels: patient and health care team and system. The most commonly described determinants at the patient level were lack of education, lack of self-awareness, lack of self-efficacy, and forgetfulness. Clinical inertia and an inadequate health workforce were the most commonly targeted determinants at the health care team and system level. Taking medication, interactive patient-provider communication, self-measurement, and lifestyle management were the most cited patient behaviors at both levels. Most of the DIs did not include support from peers or family members, despite its reported effectiveness and the rate of social media penetration. Conclusions: This review highlights the need to design a multifaceted DI that can be personalized according to patient behavior(s) that need to be changed to overcome the key determinant(s) of low adherence to medication or uncontrolled BP among patients with hypertension, considering different levels including patient and healthcare team and system involvement.
Symbolization of time-series has successfully been used to extract temporal patterns from experimental data. Segmentation is an unavoidable step of the symbolization process, and it may be characterized on two domains: the amplitude and the temporal domain. These two groups of methods present advantages and disadvantages each. Can their performance be estimated a priori based on signal characteristics? This paper evaluates the performance of SAX, Persist and ACA on 47 different time-series, based on signal periodicity. Results show that SAX tends to perform best on random signals whereas ACA may outperform the other methods on highly periodic signals. However, results do not support that a most adequate method may be determined a priory.
1 January 2013 in Communications in Computer and Information Science
In this paper we present a novel method for remote breathing detection based on ultra-wide-band (UWB) radar. This is a method that does not require any wearable sensors, making it more comfortable and convenient for users. Furthermore, because of the wall penetrating characteristics of the transmitted signal, our system is useful in emergency situations such as monitoring people who may be trapped under earthquake rubble. For our investigation we used a Novelda UWB radar that provides high processing speed and low power consumption. In this paper we present two new convolution-based methods to extract breathing rate information from the received radar signal. This method was tested on several people who were monitored while laying down on a bed. The subject's position and breathing rate were calculated. Experimental results including 20 different subjects are provided, showing that this is a viable method for monitoring breathing rate using a low-power UWB radar.