EmerLoc: Location-based services for emergency medical incidents

Traffic Accident Spatial Simulation Modeling for Planning of Road Emergency Services

The appropriate locations of road emergency stations (RESs) can help to decrease the impact of traffic accidents that cause around 50 million injuries per year worldwide. In this research, the appropriateness of existing RESs in the Khuzestan province, Iran, was assessed using an integrated fuzzy analytical hierarchy process (FAHP) and geographic information system (GIS) approach. The data used in this research were collected from different sources, including the department of roads, the department of health, the statistics organization, forensics, police centers, the surveying and geological department, remotely-sensed and global positioning system (GPS) data of accident high crash zones. On the basis of previous studies and the requirements of the Ministry of Health and Medical Education, as well as the department of roads of Iran for the location of RESs, nine criteria and 19 sub-criteria were adopted, including population, safety, environmental indicators, compatible area in RES, incompatible area in RES, type of road, accident high crash zones, traffic level and performance radius. The FAHP yielded the criteria weights and the ideal locations for establishing RESs using GIS analysis and aggregation functions. The resulting map matched the known road accident and high crash zones very well. The results indicated that the current RES stations are not distributed appropriately along the major roads of the Khuzestan province, and a re-arrangement is suggested. The finding of the present study can help decision-makers and authorities to achieve sustainable road safety in the case study area.

Enhancing improved heuristic drift elimination for step-and-heading based pedestrian dead-reckoning systems

Location based services can improve the quality of patient care and increase the efficiency of the healthcare systems. Among the different technologies that provide indoor positioning, inertial sensors based pedestrian dead-reckoning (PDR) is one of the more cost-effective solutions, but its performance is limited by drift problems. Regarding the heading drift, some heuristics make use of the building's dominant directions in order to reduce this problem. In this paper, we enhance the method known as improved heuristic drift elimination (iHDE) to be implemented in a Step-and-Heading (SHS) based PDR system, that allows to place the inertial sensors in almost any location of the user's body. Particularly, wrist-worn sensors will be used. Tests on synthetically generated and real data show that the iHDE method can be used in a SHS-based PDR without losing its heading drift reduction capability.

Indoor location-aware medical systems for smart homecare and telehealth monitoring: state-of-the-art

This paper presents a comprehensive literature review of current progress in the application of state-of-the-art indoor positioning systems for telecare and telehealth monitoring. This review is the first in the literature that provides a comprehensive discussion on how existing wireless indoor positioning systems can benefit the development of home-based care systems. More specifically, this review provides an in-depth comparative study of how both system users and medical practitioners can get benefit from indoor positioning technologies; e.g. for real-time monitoring of patients suffering chronic cardiovascular conditions, general monitoring of activities of daily living (ADLs), fall detection systems for the elderly as well as indoor navigation systems for those suffering from visual impairments. Furthermore, it also details various aspects worth considering when choosing a certain technology for a specific healthcare application; e.g. the spatial precision demanded by the application, trade-offs between unobtrusiveness and complexity, and issues surrounding compliance and adherence with the use of wearable tags. Beyond the current state-of-the-art, this review also rigorously discusses several research opportunities and the challenges associated with each.

A new framework architecture for next generation e-Health services

The challenge for fast and low-cost deployment of ubiquitous personalized e-Health services has prompted us to propose a new framework architecture for such services. We have studied the operational features and the environment of e-Health services and we led to a framework structure that extends the ETSI/Parlay architecture, which is used for the deployment of standardized services over the next generation IP networks. We expanded the ETSI/Parlay architecture with new service capability features as well as sensor, profiling and security mechanisms. The proposed framework assists the seamless integration, within the e-Health service structure, of diverse facilities provided by both the underlying communication and computing infrastructure as well as the patient's bio and context sensor networks. Finally, we demonstrate the deployment of a tele-monitoring service in smart home environment based on the proposed framework architecture.

The clinical application of mobile technology to disaster medicine

Mobile health care technology (mHealth) has the potential to improve communication and clinical information management in disasters. This study reviews the literature on health care and computing published in the past five years to determine the types and efficacy of mobile applications available to disaster medicine, along with lessons learned. Five types of applications are identified: (1) disaster scene management; (2) remote monitoring of casualties; (3) medical image transmission (teleradiology); (4) decision support applications; and (5) field hospital information technology (IT) systems. Most projects have not yet reached the deployment stage, but evaluation exercises show that mHealth should allow faster processing and transport of patients, improved accuracy of triage and better monitoring of unattended patients at a disaster scene. Deployments of teleradiology and field hospital IT systems to disaster zones suggest that mHealth can improve resource allocation and patient care. The key problems include suitability of equipment for use in disaster zones and providing sufficient training to ensure staff familiarity with complex equipment. Future research should focus on providing unbiased observations of the use of mHealth in disaster medicine.

ITOHealth: a multimodal middleware-oriented integrated architecture for discovering medical entities

Emergency healthcare is one of the emerging application domains for information services, which requires highly multimodal information services. The time of consuming pre-hospital emergency process is critical. Therefore, the minimization of required time for providing primary care and consultation to patients is one of the crucial factors when trying to improve the healthcare delivery in emergency situations. In this sense, dynamic location of medical entities is a complex process that needs time and it can be critical when a person requires medical attention. This work presents a multimodal location-based system for locating and assigning medical entities called ITOHealth. ITOHealth provides a multimodal middleware-oriented integrated architecture using a service-oriented architecture in order to provide information of medical entities in mobile devices and web browsers with enriched interfaces providing multimodality support. ITOHealth's multimodality is based on the use of Microsoft Agent Characters, the integration of natural language voice to the characters, and multi-language and multi-characters support providing an advantage for users with visual impairments.

ADVANCED CLASSIFICATION AND RULES-BASED EVALUATION OF MOTION, VISUAL AND BIOSIGNAL DATA FOR PATIENT FALL INCIDENT DETECTION

The monitoring of human physiological data, in both normal and abnormal situations of activity, is interesting for the purpose of emergency event detection, especially in the case of elderly people living on their own. Several techniques have been proposed for identifying such distress situations using either motion, audio or video data from the monitored subject and the surrounding environment. This paper aims to present an integrated patient fall detection system that may be used for patient activity recognition and emergency treatment. Visual data captured from the user's environment, using overhead cameras among with motion and physiological data collected from the subject's body are utilized. Appropriate tracking techniques are applied to the aforementioned visual perceptual component enabling the trajectory tracking of the subjects, while acceleration data from the sensors can indicate a fall incident. Trajectory information and subject's visual location can verify fall and indicate an emergency event, whereas the interpretation of biosignals like electrocardiogram (ECG) and blood oxygen saturation (SPO2) can indicate the severity of the incident with the help of rules-based evaluation. The paper includes also the assessment of several classifiers and meta-classifiers in terms of accuracy in detecting falls and a user based evaluation.

Effects of Adaptivity and Other External Variables on Mobile Service Adoption

User Interfaces act as the interaction layer between human and computer and have an important role in system adoption. According to technology acceptance model, acceptance of a system is explained as a function of perceived usefulness and perceived ease of use. Since there are several external variables that have an impact on those variables, the content and interface design of every single application should be addressed specifically to enhance users’ intention to use the system. Adding adaptive features into systems may be one of the approaches to address this phenomenon. This paper identifies external variables including adaptive behavior impacting acceptance of a mobile reservation system through implementation of two prototypes.

Innovations in health care services: the CAALYX system

PURPOSE

This paper describes proposed health care services innovations, provided by a system called CAALYX (Complete Ambient Assisted Living eXperiment). CAALYX aimed to provide healthcare innovation by extending the state-of-the-art in tele-healthcare, by focusing on increasing the confidence of elderly people living autonomously, by building on the knowledge base of the most common disorders and respective characteristic vital sign changes for this age group.

METHODS

A review of the state-of-the-art on health care services was carried out. Then, extensive research was conducted on the particular needs of the elderly in relation to home health services that, if offered to them, could improve their day life by giving them greater confidence and autonomy. To achieve this, we addressed issues associated with the gathering of clinical data and interpretation of these data, as well as possibilities of automatically triggering appropriate clinical measures. Considering this initial work we started the identification of initiatives, ongoing works and technologies that could be used for the development of the system. After that, the implementation of CAALYX was done.

FINDINGS

The innovation in CAALYX system considers three main areas of contribution: (i) The Roaming Monitoring System that is used to collect information on the well-being of the elderly users; (ii) The Home Monitoring System that is aimed at helping the elders independently living at home being implemented by a device (a personal computer or a set top box) that supports the connection of sensors and video cameras that may be used for monitoring and for interaction with the elder; (iii) The Central Care Service and Monitoring System that is implemented by a Caretaker System where attention and care services are provided to elders, where actors as Caretakers, Doctors and Relatives are logically linked to elders. Innovations in each of these areas are presented here.

CONCLUSIONS

The ageing European society is placing an added burden on future generations, as the 'elderly-to-working-age-people' ratio is set to steadily increase in the future. Nowadays, quality of life and fitness allows for most older persons to have an active life well into their eighties. Furthermore, many older persons prefer to live in their own house and choose their own lifestyle. The CAALYX system can have a clear impact in increasing older persons' autonomy, by ensuring that they do not need to leave their preferred environment in order to be properly monitored and taken care of.

The design and implementation of a rescue terminal with vital signs telemonitoring based on Beidou 1 navigation satellite system

This article presents the design and applications of a rescue terminal with positioning, vital signs sensing, and communicating function for special environment. The terminal provides three-dimensional positioning functionality via China's Beidou 1 Navigation Satellite (BD1) System and can collect users' vital signs with a set of wireless sensors. A controller of the terminal is in charge of processing data collected from the wireless sensors and communicating with the monitoring platform. With features such as small sizing, low power consumption, and accurate positioning, this terminal is very helpful in special circumstances such as disaster relief, dangerous outdoor sports and adventure monitoring, and antiterrorism activities.

Hospital site selection using fuzzy AHP and its derivatives

Environmental managers are commonly faced with sophisticated decisions, such as choosing the location of a new facility subject to multiple conflicting criteria. This paper considers the specific problem of creating a well-distributed network of hospitals that delivers its services to the target population with minimal time, pollution and cost. We develop a Multi-Criteria Decision Analysis process that combines Geographical Information System (GIS) analysis with the Fuzzy Analytical Hierarchy Process (FAHP), and use this process to determine the optimum site for a new hospital in the Tehran urban area. The GIS was used to calculate and classify governing criteria, while FAHP was used to evaluate the decision factors and their impacts on alternative sites. Three methods were used to estimate the total weights and priorities of the candidate sites: fuzzy extent analysis, center-of-area defuzzification, and the alpha-cut method. The three methods yield identical priorities for the five alternatives considered. Fuzzy extent analysis provides less discriminating power, but is simpler to implement and compute than the other two methods. The alpha-cut method is more complicated, but integrates the uncertainty and overall attitude of the decision-maker. The usefulness of the new hospital site is evaluated by computing an accessibility index for each pixel in the GIS, defined as the ratio of population density to travel time. With the addition of a new hospital at the optimum site, this index improved over about 6.5 percent of the geographical area.

Design of RFID based the Patient Management and Tracking System in hospital

The patient location information in managing for patient workflow will be worked efficiently within the hospital. We designed the Patient Management and Tracking System (PMTS) based on RFID with RSSI(Received Signal Strength Indication) method. This system is able to track the movement of patient in hospital, and manage the waiting-list of patients at a medical office. Therefore, we are sure that the PMTS will be useful for decreasing a duty of medical staff and increase a convenience of patients.

CAALYX: a new generation of location-based services in healthcare

Recent advances in mobile positioning systems and telecommunications are providing the technology needed for the development of location-aware tele-care applications. This paper introduces CAALYX – Complete Ambient Assisted Living Experiment, an EU-funded project that aims at increasing older people's autonomy and self-confidence by developing a wearable light device capable of measuring specific vital signs of the elderly, detecting falls and location, and communicating automatically in real-time with his/her care provider in case of an emergency, wherever the older person happens to be, at home or outside.