A self-management system for preventing hyperglycemia through blood glucose level prediction and nudge-based food amount reduction.

In recent years, the number of diabetic patients has been increasing rapidly all over the world. Diabetes cannot be completely cured once it develops, so it is important to prevent diabetes before it develops. To prevent the onset of diabetes, it is necessary to avoid prolonged hyperglycemia after meals. In this paper, we propose a self-management system to help users prevent diabetes. The system monitors blood glucose levels in real time, calculates foods to be reduced taking into account the user's preferences, and presents them to the user as soon as the system predicts that the planned diet will cause high blood glucose. We designed and conducted two experiments to show the effectiveness of the proposed system. Experiment 1 was to construct and evaluate a model for predicting blood glucose levels two hours later. Experiment 2 was to evaluate the degree of satisfaction with the food and recommendations, and the acceptability of the recommendations by participants who actually used the proposed system. The results of Experiment 1 showed that the constructed model was able to predict blood glucose levels with an RMSE of 7.66 and MAE of 4.66. As a result of Experiment 2, we found the recommended intake was more acceptable if it reflected the user's preferences.

Movement recognition via channel-activation-wise sEMG attention.

CONTEXT: Surface electromyography (sEMG) signals contain rich information recorded from muscle movements and therefore reflect the user's intention. sEMG has seen dominant applications in rehabilitation, clinical diagnosis as well as human engineering, etc. However, current feature extraction methods for sEMG signals have been seriously limited by their stochasticity, transiency, and non-stationarity. OBJECTIVE: Our objective is to combat the difficulties induced by the aforementioned downsides of sEMG and thereby extract representative features for various downstream movement recognition. METHOD: We propose a novel 3-axis view of sEMG features composed of temporal, spatial, and channel-wise summary. We leverage the state-of-the-art architecture Transformer to enforce efficient parallel search and to get rid of limitations imposed by previous work in gesture classification. The transformer model is designed on top of an attention-based module, which allows for the extraction of global contextual relevance among channels and the use of this relevance for sEMG recognition. RESULTS: We compared the proposed method against existing methods on two Ninapro datasets consisting of data from both healthy people and amputees. Experimental results show the proposed method attains the state-of-the-art (SOTA) accuracy on both datasets. We further show that the proposed method enjoys strong generalization ability: a new SOTA is achieved by pretraining the model on a different dataset followed by fine-tuning it on the target dataset.

Development of Machine Learning-Based Web System for Estimating Pleural Effusion Using Multi-Frequency Bioelectrical Impedance Analyses.

BACKGROUND: Transthoracic impedance values have not been widely used to measure extravascular pulmonary water content due to accuracy and complexity concerns. Our aim was to develop a foundational model for a novel system aiming to non-invasively estimate the intrathoracic condition of heart failure patients. METHODS: We employed multi-frequency bioelectrical impedance analysis to simultaneously measure multiple frequencies, collecting electrical, physical, and hematological data from 63 hospitalized heart failure patients and 82 healthy volunteers. Measurements were taken upon admission and after treatment, and longitudinal analysis was conducted. RESULTS: Using a light gradient boosting machine, and a decision tree-based machine learning method, we developed an intrathoracic estimation model based on electrical measurements and clinical findings. Out of the 286 features collected, the model utilized 16 features. Notably, the developed model demonstrated high accuracy in discriminating patients with pleural effusion, achieving an area under the receiver characteristic curves (AUC) of 0.905 (95% CI: 0.870-0.940, p < 0.0001) in the cross-validation test. The accuracy significantly outperformed the conventional frequency-based method with an AUC of 0.740 (95% CI: 0.688-0.792, and p < 0.0001). CONCLUSIONS: Our findings indicate the potential of machine learning and transthoracic impedance measurements for estimating pleural effusion. By incorporating noninvasive and easily obtainable clinical and laboratory findings, this approach offers an effective means of assessing intrathoracic conditions.

Stress Estimation Using Biometric and Activity Indicators to Improve QoL of the Elderly.

It is essential to estimate the stress state of the elderly to improve their QoL. Stress states change every day and hour, depending on the activities performed and the duration/intensity. However, most existing studies estimate stress states using only biometric information or specific activities (e.g., sleep duration, exercise duration/amount, etc.) as explanatory variables and do not consider all daily living activities. It is necessary to link various daily living activities and biometric information in order to estimate the stress state more accurately. Specifically, we construct a stress estimation model using machine learning with the answers to a stress status questionnaire obtained every morning and evening as the ground truth and the biometric data during each of the performed activities and the new proposed indicator including biological and activity perspectives as the features. We used the following methods: Baseline Method 1, in which the RRI variance and Lorenz plot area for 4 h after waking and 24 h before the questionnaire were used as features; Baseline Method 2, in which sleep time was added as a feature to Baseline Method 1; the proposed method, in which the Lorenz plot area per activity and total time per activity were added. We compared the results with the proposed method, which added the new indicators as the features. The results of the evaluation experiments using the one-month data collected from five elderly households showed that the proposed method had an average estimation accuracy of 59%, 7% better than Baseline Method 1 (52%) and 4% better than Baseline Method 2 (55%).

PATROL: Participatory Activity Tracking and Risk Assessment for Anonymous Elderly Monitoring.

There has been a subsequent increase in the number of elderly people living alone, with contribution from advancement in medicine and technology. However, hospitals and nursing homes are crowded, expensive, and uncomfortable, while personal caretakers are expensive and few in number. Home monitoring technologies are therefore on the rise. In this study, we propose an anonymous elderly monitoring system to track potential risks in everyday activities such as sleep, medication, shower, and food intake using a smartphone application. We design and implement an activity visualization and notification strategy method to identify risks easily and quickly. For evaluation, we added risky situations in an activity dataset from a real-life experiment with the elderly and conducted a user study using the proposed method and two other methods varying in visualization and notification techniques. With our proposed method, 75.2% of the risks were successfully identified, while 68.5% and 65.8% were identified with other methods. The average time taken to respond to notification was 176.46 min with the proposed method, compared to 201.42 and 176.9 min with other methods. Moreover, the interface analyzing and reporting time was also lower (28 s) in the proposed method compared to 38 and 54 s in other methods.

Estimating Congestion in a Fixed-Route Bus by Using BLE Signals.

Information on congestion of buses, which are one of the major public transportation modes, can be very useful in light of the current COVID-19 pandemic. Because it is unrealistic to manually monitor the number of riders on all buses in operation, a system that can automatically monitor congestion is necessary. The main goal of this paper's work is to automatically estimate the congestion level on a bus route with acceptable performance. For practical operation, it is necessary to design a system that does not infringe on the privacy of passengers and ensures the safety of passengers and the installation sites. In this paper, we propose a congestion estimation system that protects passengers' privacy and reduces the installation cost by using Bluetooth low-energy (BLE) signals as sensing data. The proposed system consists of (1) a sensing mechanism that acquires BLE signals emitted from passengers' mobile terminals in the bus and (2) a mechanism that estimates the degree of congestion in the bus from the data obtained by the sensing mechanism. To evaluate the effectiveness of the proposed system, we conducted a data collection experiment on an actual bus route in cooperation with Nara Kotsu Co., Ltd. The results showed that the proposed system could estimate the number of passengers with a mean absolute error of 2.49 passengers (error rate of 38.8%).

SALON: Simplified Sensing System for Activity of Daily Living in Ordinary Home.

As aging populations continue to grow, primarily in developed countries, there are increasing demands for the system that monitors the activities of elderly people while continuing to allow them to pursue their individual, healthy, and independent lifestyles. Therefore, it is required to develop the activity of daily living (ADL) sensing systems that are based on high-performance sensors and information technologies. However, most of the systems that have been proposed to date have only been investigated and/or evaluated in experimental environments. When considering the spread of such systems to typical homes inhabited by elderly people, it is clear that such sensing systems will need to meet the following five requirements: (1) be inexpensive; (2) provide robustness; (3) protect privacy; (4) be maintenance-free; and, (5) work with a simple user interface. In this paper, we propose a novel senior-friendly ADL sensing system that can fulfill these requirements. More specifically, we achieve an easy collection of ADL data from elderly people while using a proposed system that consists of a small number of inexpensive energy harvesting sensors and simple annotation buttons, without the need for privacy-invasive cameras or microphones. In order to evaluate the practicality of our proposed system, we installed it in ten typical homes with elderly residents and collected the ADL data over a two-month period. We then visualized the collected data and performed activity recognition using a long short-term memory (LSTM) model. From the collected results, we confirmed that our proposed system, which is inexpensive and non-invasive, can correctly collect resident ADL data and could recognize activities from the collected data with a high recall rate of 72.3% on average. This result shows a high potential of our proposed system for application to services for elderly people.

WaistonBelt X: A Belt-Type Wearable Device with Sensing and Intervention Toward Health Behavior Change.

Changing behavior related to improper lifestyle habits has attracted attention as a solution to prevent lifestyle diseases, such as diabetes, heart disease, arteriosclerosis, and stroke. To drive health behavior changes, wearable devices are needed, and they must not only provide accurate sensing and visualization functions but also effective intervention functions. In this paper, we propose a health support system, WaistonBelt X, that consists of a belt-type wearable device with sensing and intervention functions and a smartphone application. WaistonBelt X can automatically measure a waistline with a magnetometer that detects the movements of a blade installed in the buckle, and monitor the basic activities of daily living with inertial sensors. Furthermore, WaistonBelt X intervenes with the user to correct lifestyle habits by using a built-in vibrator. Through evaluation experiments, we confirmed that our proposed device achieves measurement of the circumference on the belt position (mean absolute error of 0.93 cm) and basic activity recognition (F1 score of 0.95) with high accuracy. In addition, we confirmed that the intervention via belt vibration effectively improves the sitting posture of the user.

EmoTour: Estimating Emotion and Satisfaction of Users Based on Behavioral Cues and Audiovisual Data.

With the spread of smart devices, people may obtain a variety of information on their surrounding environment thanks to sensing technologies. To design more context-aware systems, psychological user context (e.g., emotional status) is a substantial factor for providing useful information in an appropriate timing. As a typical use case that has a high demand for context awareness but is not tackled widely yet, we focus on the tourism domain. In this study, we aim to estimate the emotional status and satisfaction level of tourists during sightseeing by using unconscious and natural tourist actions. As tourist actions, behavioral cues (eye and head/body movement) and audiovisual data (facial/vocal expressions) were collected during sightseeing using an eye-gaze tracker, physical-activity sensors, and a smartphone. Then, we derived high-level features, e.g., head tilt and footsteps, from behavioral cues. We also used existing databases of emotionally rich interactions to train emotion-recognition models and apply them in a cross-corpus fashion to generate emotional-state prediction for the audiovisual data. Finally, the features from several modalities are fused to estimate the emotion of tourists during sightseeing. To evaluate our system, we conducted experiments with 22 tourists in two different touristic areas located in Germany and Japan. As a result, we confirmed the feasibility of estimating both the emotional status and satisfaction level of tourists. In addition, we found that effective features used for emotion and satisfaction estimation are different among tourists with different cultural backgrounds.

SS-mPMG and SS-GA: tools for finding pathways and dynamic simulation of metabolic networks.

Metabolomics analysis tools can provide quantitative information on the concentration of metabolites in an organism. In this paper, we propose the minimum pathway model generator tool for simulating the dynamics of metabolite concentrations (SS-mPMG) and a tool for parameter estimation by genetic algorithm (SS-GA). SS-mPMG can extract a subsystem of the metabolic network from the genome-scale pathway maps to reduce the complexity of the simulation model and automatically construct a dynamic simulator to evaluate the experimentally observed behavior of metabolites. Using this tool, we show that stochastic simulation can reproduce experimentally observed dynamics of amino acid biosynthesis in Arabidopsis thaliana. In this simulation, SS-mPMG extracts the metabolic network subsystem from published databases. The parameters needed for the simulation are determined using a genetic algorithm to fit the simulation results to the experimental data. We expect that SS-mPMG and SS-GA will help researchers to create relevant metabolic networks and carry out simulations of metabolic reactions derived from metabolomics data.