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  • Breast Skin Temperature Evaluation in Lactating and Non-lactating Women by Thermography: An Exploratory Study
    Publication . Gouveia, Ana; Pires, Luís Carlos Carvalho; Garcia, Nuno; Barbosa, Ana; Jesus, Ana; Pombo, Nuno; Soares, Marta; Oliveira, J. Martinez de
    During pregnancy and lactation, woman breasts feel changes like blood flow increasement, associated with a higher breast temperature. We performed an exploratory study of the breast skin temperature of lactating and non-lactating women based on thermography, with a qualitative analysis of the temperature patterns and a quantitative evaluation of the differences. Frontal breast thermograms of four non-lactating young women and four women with well-established lactation were acquired and analyzed. Qualitative analysis of the images obtained show some evidence of the existence of a characteristic skin temperature pattern for lactating women. Quantitative differences between thermograms were also noticed, especially when considering dispersion metrics: lactating women present higher breast skin temperature gradients and amplitudes. Results obtained, especially based on central tendency metrics, should be interpreted with caution because some of the acquisition conditions for non-lactating women may lead to some bias on the results. Further investigation will be performed to quantify breast skin temperature gradient and be able to classify images based in the breast skin temperature pattern.
  • Towards an accurate sleep apnea detection based on ECG signal: The quintessential of a wise feature selection
    Publication . Pinho, André; Pombo, Nuno; Silva, Bruno M.C.; Bousson, K.; Garcia, Nuno M.
    A wise feature selection from minute-to-minute Electrocardiogram (ECG) signal is a challenging task for many reasons, but mostly because of the promise of the accurate detection of clinical disorders, such as the sleep apnea. In this study, the ECG signal was modeled in order to obtain the Heart Rate Variability (HRV) and the ECG-Derived Respiration (EDR). Selected features techniques were used for benchmark with different classifiers such as Artificial Neural Networks (ANN) and Support Vector Machine(SVM), among others. The results evidence that the best accuracy was 82.12%, with a sensitivity and specificity of 88.41% and 72.29%, respectively. In addition, experiments revealed that a wise feature selection may improve the system accuracy. Therefore, the proposed model revealed to be reliable and simpler alternative to classical solutions for the sleep apnea detection, for example the ones based on the Polysomnography.
  • Implementing Mobile Games into Care Services - Service Models for Finnish and Chinese Elderly Care
    Publication . Merilampi, Sari; Koivisto, Antti; Leino, Mirka; Pombo, Nuno; Felizardo, Virginie; Lu, Jue; Poberznik, Anja; Virkki, Johanna
    The purpose of this paper was to create service models for cognitively stimulating mobile games and incorporate them into Finnish and Chinese elderly care. The implementation involved the use of two different mobile games as part of the everyday lives of older adults in care homes in Finland (3 months) and China (6 months). Although a large number of publications examine serious games in elderly care, there are rather few publications related to the practical implementation within the elderly care processes. In general, rehabilitation orientated games should incorporate entertainment (motivation) and relevant therapeutic content (rehabilitation) in order to be effective. Regardless of the game design, successful implementation of the games in elderly care is paramount to benefit the end user. In this paper, two mobile games were investigated as a case study. To investigate the therapeutic content of the games, the game outcomes (game scores and time stamps) were automatically recorded to facilitate analysis of the participant’s progress during the trial. To investigate motivation, user feedback was collected through observation of the game trials and by interviewing the nursing staff and the participants (test group). The gaming service implementation was designed in collaboration with the nursing staff and researchers, according to an experimentation-driven approach, in which the service model ideas were tested by the professionals before piloting. In both countries, the players and the nursing staff found the games showed potential as self-managed rehabilitation tools. Other significant effects of gameplay were enhanced recreation and self-managed activity level. Despite cultural differences, the gaming experience was amazingly similar and improvements in game scores were also observed during the trial in both countries. The biggest difference between the pilots was the implementation process, which led to the development of two different service models that are reported in this paper. In Finland, the games were embedded into the care practices and the nursing staff were responsible for the piloting. In China, the games were independent of the care process and an external service provider (the researcher) managed the piloting. The findings imply that service design in different cultures should be carefully considered when implementing new digital services.
  • Internet of Things Architectures, Technologies, Applications, Challenges, and Future Directions for Enhanced Living Environments and Healthcare Systems: A Review
    Publication . Marques, Gonçalo; Pitarma, R.; Garcia, Nuno M.; Pombo, Nuno
    Internet of Things (IoT) is an evolution of the Internet and has been gaining increased attention from researchers in both academic and industrial environments. Successive technological enhancements make the development of intelligent systems with a high capacity for communication and data collection possible, providing several opportunities for numerous IoT applications, particularly healthcare systems. Despite all the advantages, there are still several open issues that represent the main challenges for IoT, e.g., accessibility, portability, interoperability, information security, and privacy. IoT provides important characteristics to healthcare systems, such as availability, mobility, and scalability, that o er an architectural basis for numerous high technological healthcare applications, such as real-time patient monitoring, environmental and indoor quality monitoring, and ubiquitous and pervasive information access that benefits health professionals and patients. The constant scientific innovations make it possible to develop IoT devices through countless services for sensing, data fusing, and logging capabilities that lead to several advancements for enhanced living environments (ELEs). This paper reviews the current state of the art on IoT architectures for ELEs and healthcare systems, with a focus on the technologies, applications, challenges, opportunities, open-source platforms, and operating systems. Furthermore, this document synthesizes the existing body of knowledge and identifies common threads and gaps that open up new significant and challenging future research directions.
  • Approach for the Development of a Framework for the Identification of Activities of Daily Living Using Sensors in Mobile Devices
    Publication . Pires, Ivan; Garcia, Nuno M.; Pombo, Nuno; Flórez-Revuelta, Francisco; Spinsante, Susanna
    Sensors available on mobile devices allow the automatic identification of Activities of Daily Living (ADL). This paper describes an approach for the creation of a framework for the identification of ADL, taking into account several concepts, including data acquisition, data processing, data fusion, and pattern recognition. These concepts can be mapped onto different modules of the framework. The proposed framework should perform the identification of ADL without Internet connection, performing these tasks locally on the mobile device, taking in account the hardware and software limitations of these devices. The main purpose of this paper is to present a new approach for the creation of a framework for the recognition of ADL, analyzing the allowed sensors available in the mobile devices, and the existing methods available in the literature.
  • Teaching in conditions of difficult knowledge transfer due to the state of emergency caused by the pandemic
    Publication . Mravik, Miloš; Šarac, Marko; Veinovic, Mladen; Pombo, Nuno
    Introduction/purpose: This paper presents the transformation of the current, classical approach to teaching. Online platforms enable students with and without disabilities to follow classes without hindrance during the lecture period. After the lecture, they are allowed to view video and presentation materials. The main advantage of this way of teaching is the possibility of attending classes from any location and from any device; it is only important to be connected to the Internet. Methods: Full integration with the already existing Faculty Information System has been performed. The paper describes a new approach to teaching and illustrates the expected benefits of online teaching. The platforms used in this integration are Microsoft Azure, Microsoft Office 365 Admin, Microsoft Teams, Microsoft Stream and Microsoft SharePoint. Results: The result of the test of work with students showed that by introducing a system for online teaching, we directly affect the improvement and quality of teaching. Conclusion: Considering all the results, it can be concluded that the transition to the online way of teaching allows end listeners a comprehensive transfer of knowledge as well as re-listening to the same. This model can be used for an unlimited number of users in all Institutions, regardless of whether the field of activity of these Institutions is of educational origin.
  • Identification of activities of daily living through data fusion on motion and magnetic sensors embedded on mobile devices
    Publication . Pires, Ivan; Garcia, Nuno M.; Pombo, Nuno; Flórez-Revuelta, Francisco; Spinsante, Susanna; Teixeira, Maria Cristina Canavarro
    Several types of sensors have been available in off‐the‐shelf mobile devices, including motion, magnetic, vision, acoustic, and location sensors. This paper focuses on the fusion of the data acquired from motion and magnetic sensors, i.e., accelerometer, gyroscope and magnetometer sensors, for the recognition of Activities of Daily Living (ADL). Based on pattern recognition techniques, the system developed in this study includes data acquisition, data processing, data fusion, and classification methods like Artificial Neural Networks (ANN). Multiple settings of the ANN were implemented and evaluated in which the best accuracy obtained, with Deep Neural Networks (DNN), was 89.51%. This novel approach applies L2 regularization and normalization techniques on the sensors’ data proved it suitability and reliability for the ADL recognition.
  • Improving Activity Recognition Accuracy in Ambient-Assisted Living Systems by Automated Feature Engineering
    Publication . Zdravevski, Eftim; Lameski, Petre; Trajkovik, Vladimir; Kulakov, Andrea; Chorbev, Ivan; Goleva, Rossitza; Pombo, Nuno; Garcia, Nuno M.
    Ambient-assisted living (AAL) is promising to become a supplement of the current care models, providing enhanced living experience to people within context-aware homes and smart environments. Activity recognition based on sensory data in AAL systems is an important task because 1) it can be used for estimation of levels of physical activity, 2) it can lead to detecting changes of daily patterns that may indicate an emerging medical condition, or 3) it can be used for detection of accidents and emergencies. To be accepted, AAL systems must be affordable while providing reliable performance. These two factors hugely depend on optimizing the number of utilized sensors and extracting robust features from them. This paper proposes a generic feature engineering method for selecting robust features from a variety of sensors, which can be used for generating reliable classi cation models. From the originally recorded time series and some newly generated time series [i.e., magnitudes, rst derivatives, delta series, and fast Fourier transformation (FFT)-based series], a variety of time and frequency domain features are extracted. Then, using two-phase feature selection, the number of generated features is greatly reduced. Finally, different classi cation models are trained and evaluated on an independent test set. The proposed method was evaluated on ve publicly available data sets, and on all of them, it yielded better accuracy than when using hand-tailored features. The bene ts of the proposed systematic feature engineering method are quickly discovering good feature sets for any given task than manually nding ones suitable for a particular task, selecting a small feature set that outperforms manually determined features in both execution time and accuracy, and identi cation of relevant sensor types and body locations automatically. Ultimately, the proposed method could reduce the cost of AAL systems by facilitating execution of algorithms on devices with limited resources and by using as few sensors as possible.
  • Keyed User Datagram Protocol: Concepts and Operation of an Almost Reliable Connectionless Transport Protocol
    Publication . Garcia, Nuno M.; Gil, Fabio; Matos, Barbara; Yahaya, Coulibaly; Pombo, Nuno; Goleva, Rossitza
    Departing from the well-known problem of the excessive overhead and latency of connection oriented protocols, this paper describes a new almost reliable connectionless protocol that uses user datagram protocol (UDP) segment format and is UDP compatible. The problem is presented and described, the motivation, the possible areas of interest and the concept and base operation modes for the protocol named keyed UDP are presented (here called KUDP). Also, discussed are some of the possible manners in which the KUDP can be used, addressing potential problems related with current networking technologies. As UDP is a connectionless protocol, and KUDP allows for some degree of detection of loss and re-ordering of segments received out-of-sequence, we also present a proposal for a stream reconstruction algorithm. This paper ends by mentioning some of the research issues that still need to be addressed.
  • Android Library for Recognition of Activities of Daily Living: Implementation Considerations, Challenges, and Solutions
    Publication . Pires, Ivan; Teixeira, Maria Cristina Canavarro; Pombo, Nuno; Garcia, Nuno M.; Flórez-Revuelta, Francisco; Spinsante, Susanna; Goleva, Rossitza; Zdravevski, Eftim
    Background: Off-the-shelf-mobile devices have several sensors available onboard that may be used for the recognition of Activities of Daily Living (ADL) and the environments where they are performed. This research is focused on the development of Ambient Assisted Living (AAL) systems, using mobile devices for the acquisition of the different types of data related to the physical and physiological conditions of the subjects and the environments. Mobile devices with the Android Operating Systems are the least expensive and exhibit the biggest market while providing a variety of models and onboard sensors. Objective: This paper describes the implementation considerations, challenges and solutions about a framework for the recognition of ADL and the environments, provided as an Android library. The framework is a function of the number of sensors available in different mobile devices and utilizes a variety of activity recognition algorithms to provide a rapid feedback to the user. Methods: The Android library includes data fusion, data processing, features engineering and classification methods. The sensors that may be used are the accelerometer, the gyroscope, the magnetometer, the Global Positioning System (GPS) receiver and the microphone. The data processing includes the application of data cleaning methods and the extraction of features, which are used with Deep Neural Networks (DNN) for the classification of ADL and environment. Throughout this work, the limitations of the mobile devices were explored and their effects have been minimized. Results: The implementation of the Android library reported an overall accuracy between 58.02% and 89.15%, depending on the number of sensors used and the number of ADL and environments recognized. Compared with the results available in the literature, the performance of the library reported a mean improvement of 2.93%, and they do not differ at the maximum found in prior work, that based on the Student’s t-test. Conclusion: This study proves that ADL like walking, going upstairs and downstairs, running, watching TV, driving, sleeping and standing activities, and the bedroom, cooking/kitchen, gym, classroom, hall, living room, bar, library and street environments may be recognized with the sensors available in off-the-shelf mobile devices. Finally, these results may act as a preliminary research for the development of a personal digital life coach with a multi-sensor mobile device commonly used daily.