The Internet of Things in Geriatric Healthcare.

There is a significant increase in the geriatric population across the globe. With the increase in the number of geriatric people and their associated health issues, the need for larger healthcare resources is inevitable. Because of this, healthcare service-providing industries are facing a severe challenge. However, technological advancement in recent years has enabled researchers to develop intelligent devices to deal with the scarcity of healthcare resources. In this regard, the Internet of things (IoT) technology has been a boon for healthcare services industries. It not only allows the monitoring of the health parameters of geriatric patients from a remote location but also lets them live an independent life in a cost-efficient way. The current paper provides up-to-date comprehensive knowledge of IoT-based technologies for geriatric healthcare applications. The study also discusses the current trends, issues, challenges, and future scope of research in the area of geriatric healthcare using IoT technology. Information provided in this paper will be helpful to develop futuristic solutions and provide efficient cost-effective healthcare services to the needy.

Dataset for EEG signals used to detect the effect of coffee consumption on the activation of SSVEP signal.

A set of electroencephalogram (EEG) data was obtained in the National Institute of Technology, Rourkela, India, from six individuals in the presence of seven photic stimuli of different frequencies (range: 3 Hz-30 Hz). The EEG data were recorded prior to, and post-consumption of caffeinated coffee for detecting the influence of coffee consumption on the initiation of steady-state visual evoked potential (SSVEP) signals in different regions of the brain. The data supports the article: "Data mining-based approach to study the effect of consumption of caffeinated coffee on the generation of steady-state visual evoked potential signals" [1]. The obtained dataset can also be used to have more insight into the brain response during the post-consumption of coffee using different feature extraction, classification, and SSVEP signal detection techniques.

Data mining based approach to study the effect of consumption of caffeinated coffee on the generation of the steady-state visual evoked potential signals.

The steady-state visual evoked potentials (SSVEP), are elicited at the parieto-occipital region of the cortex when a light source (3.5-75 Hz), flickering at a constant frequency, stimulates the retinal cells. In the last few decades, researchers have reported that caffeine enhances the vigilance and the executive control of visual attention. However, no study has investigated the effect of caffeinated coffee on the SSVEP response, which is used for controlling the brain-computer interface (BCI) devices for rehabilitative applications. The current work proposes a data mining-based approach to gain insight into the alterations in the SSVEP signals after the consumption of caffeinated coffee. Recurrence quantification analysis (RQA) of the electroencephalogram (EEG) signals was employed for this purpose. The EEG signals were acquired at seven frequencies of photic stimuli. The stimuli frequencies were chosen such that they were distributed throughout the EEG frequency bands. The prominent SSVEP signals were identified using the Canonical Correlation Analysis (CCA) method. Several statistical features were extracted from the recurrence plot of the SSVEP signals. Statistical analyses using the t-test and decision tree-based methods helped to select the most relevant features, which were then classified using Automated Neural Network (ANN). The relevant features could be classified with a maximum accuracy of 97%. This supports our hypothesis that the consumption of caffeinated coffee can alter the SSVEP response. In conclusion, utmost care should be taken in selecting the features for designing BCI devices.

Reckoning respiratory signals to affectively decipher mental state.

Recognizing mental states from physiological signal is a concern not only for medical diagnostics, but also for cognitive science, behavioral studies as well as brain machine interfaces. This study employs an unique approach of solely utilizing the respiration signals in order to decipher mental states. A public dataset, Affective Pacman, is considered for this study, where the various physiological signals are acquired during normal and frustrated mental states. An efficient way to remove the non-linear baseline drifts in the signal is implemented to extract the respiratory features in most effective way. Another major adversity is the presence of class imbalance, which is effectively rectified using Synthetic Minority Oversampling TEchnique (SMOTE). Application of SMOTE algorithm to resolve class imbalance problem, not only increased the classification accuracy, but also reduced the classifier bias towards the majority class, which in turn exceedingly enhanced the classifier sensitivity. The multilayer perceptron classifier performed best with SMOTE generated feature set, with classification accuracy (CA), true positive rate (TPR) and true negative rate (TNR) of 97.9%, 92.6% and 99.3% respectively. The current approach is found to perform better compared to relevant literature.

A Novel Approach to the Identification of Compromised Pulmonary Systems in Smokers by Exploiting Tidal Breathing Patterns.

Smoking causes unalterable physiological abnormalities in the pulmonary system. This is emerging as a serious threat worldwide. Unlike spirometry, tidal breathing does not require subjects to undergo forceful breathing maneuvers and is progressing as a new direction towards pulmonary health assessment. The aim of the paper is to evaluate whether tidal breathing signatures can indicate deteriorating adult lung condition in an otherwise healthy person. If successful, such a system can be used as a pre-screening tool for all people before some of them need to undergo a thorough clinical checkup. This work presents a novel systematic approach to identify compromised pulmonary systems in smokers from acquired tidal breathing patterns. Tidal breathing patterns are acquired during restful breathing of adult participants. Thereafter, physiological attributes are extracted from the acquired tidal breathing signals. Finally, a unique classification approach of locally weighted learning with ridge regression (LWL-ridge) is implemented, which handles the subjective variations in tidal breathing data without performing feature normalization. The LWL-ridge classifier recognized compromised pulmonary systems in smokers with an average classification accuracy of 86.17% along with a sensitivity of 80% and a specificity of 92%. The implemented approach outperformed other variants of LWL as well as other standard classifiers and generated comparable results when applied on an external cohort. This end-to-end automated system is suitable for pre-screening people routinely for early detection of lung ailments as a preventive measure in an infrastructure-agnostic way.

The Ultrasonic Directional Tidal Breathing Pattern Sensor: Equitable Design Realization Based on Phase Information.

Pulmonary ailments are conventionally diagnosed by spirometry. The complex forceful breathing maneuver as well as the extreme cost of spirometry renders it unsuitable in many situations. This work is aimed to facilitate an emerging direction of tidal breathing-based pulmonary evaluation by designing a novel, equitable, precise and portable device for acquisition and analysis of directional tidal breathing patterns, in real time. The proposed system primarily uses an in-house designed blow pipe, 40-kHz air-coupled ultrasound transreceivers, and a radio frequency (RF) phase-gain integrated circuit (IC). Moreover, in order to achieve high sensitivity in a cost-effective design philosophy, we have exploited the phase measurement technique, instead of selecting the contemporary time-of-flight (TOF) measurement; since application of the TOF principle in tidal breathing assessments requires sub-micro to nanosecond time resolution. This approach, which depends on accurate phase measurement, contributed to enhanced sensitivity using a simple electronics design. The developed system has been calibrated using a standard 3-L calibration syringe. The parameters of this system are validated against a standard spirometer, with maximum percentage error below 16%. Further, the extracted respiratory parameters related to tidal breathing have been found to be comparable with relevant prior works. The error in detecting respiration rate only is 3.9% compared to manual evaluation. These encouraging insights reveal the definite potential of our tidal breathing pattern (TBP) prototype for measuring tidal breathing parameters in order to extend the reach of affordable healthcare in rural regions and developing areas.

Bypassing the Natural Visual-Motor Pathway to Execute Complex Movement Related Tasks Using Interval Type-2 Fuzzy Sets.

In visual-motor coordination, the human brain processes visual stimuli representative of complex motion-related tasks at the occipital lobe to generate the necessary neuronal signals for the parietal and pre-frontal lobes, which in turn generates movement related plans to excite the motor cortex to execute the actual tasks. The paper introduces a novel approach to provide rehabilitative support to patients suffering from neurological damage in their pre-frontal, parietal and/or motor cortex regions. An attempt to bypass the natural visual-motor pathway is undertaken using interval type-2 fuzzy sets to generate the approximate EEG response of the damaged pre-frontal/parietal/motor cortex from the occipital EEG signals. The approximate EEG response is used to trigger a pre-trained joint coordinate generator to obtain the desired joint coordinates of the link end-points of a robot imitating the human subject. The robot arm is here employed as a rehabilitative aid in order to move each link end-points to the desired locations in the reference coordinate system by appropriately activating its links using the well-known inverse kinematics approach. The mean-square positional errors obtained for each link end-points is found within acceptable limits for all experimental subjects including subjects with partial parietal damage, indicating a possible impact of the proposed approach in rehabilitative robotics. Subjective variation in EEG features over different sessions of experimental trials is modeled here using interval type-2 fuzzy sets for its inherent power to handle uncertainty. Experiments undertaken confirm that interval type-2 fuzzy realization outperforms its classical type-1 counterpart and back-propagation neural approaches in all experimental cases, considering link positional error as a metric. The proposed research offers a new opening for the development of possible rehabilitative aids for people with partial impairment in visual-motor coordination.

Vibrotactile feedback for conveying object shape information as perceived by artificial sensing of robotic arm.

This work is a preliminary study towards developing an alternative communication channel for conveying shape information to aid in recognition of items when tactile perception is hindered. Tactile data, acquired during object exploration by sensor fitted robot arm, are processed to recognize four basic geometric shapes. Patterns representing each shape, classified from tactile data, are generated using micro-controller-driven vibration motors which vibrotactually stimulate users to convey the particular shape information. These motors are attached on the subject's arm and their psychological (verbal) responses are recorded to assess the competence of the system to convey shape information to the user in form of vibrotactile stimulations. Object shapes are classified from tactile data with an average accuracy of 95.21 %. Three successive sessions of shape recognition from vibrotactile pattern depicted learning of the stimulus from subjects' psychological response which increased from 75 to 95 %. This observation substantiates the learning of vibrotactile stimulation in user over the sessions which in turn increase the system efficacy. The tactile sensing module and vibrotactile pattern generating module are integrated to complete the system whose operation is analysed in real-time. Thus, the work demonstrates a successful implementation of the complete schema of artificial tactile sensing system for object-shape recognition through vibrotactile stimulations.

Texture- and deformability-based surface recognition by tactile image analysis.

Deformability and texture are two unique object characteristics which are essential for appropriate surface recognition by tactile exploration. Tactile sensation is required to be incorporated in artificial arms for rehabilitative and other human-computer interface applications to achieve efficient and human-like manoeuvring. To accomplish the same, surface recognition by tactile data analysis is one of the prerequisites. The aim of this work is to develop effective technique for identification of various surfaces based on deformability and texture by analysing tactile images which are obtained during dynamic exploration of the item by artificial arms whose gripper is fitted with tactile sensors. Tactile data have been acquired, while human beings as well as a robot hand fitted with tactile sensors explored the objects. The tactile images are pre-processed, and relevant features are extracted from the tactile images. These features are provided as input to the variants of support vector machine (SVM), linear discriminant analysis and k-nearest neighbour (kNN) for classification. Based on deformability, six household surfaces are recognized from their corresponding tactile images. Moreover, based on texture five surfaces of daily use are classified. The method adopted in the former two cases has also been applied for deformability- and texture-based recognition of four biomembranes, i.e. membranes prepared from biomaterials which can be used for various applications such as drug delivery and implants. Linear SVM performed best for recognizing surface deformability with an accuracy of 83 % in 82.60 ms, whereas kNN classifier recognizes surfaces of daily use having different textures with an accuracy of 89 % in 54.25 ms and SVM with radial basis function kernel recognizes biomembranes with an accuracy of 78 % in 53.35 ms. The classifiers are observed to generalize well on the unseen test datasets with very high performance to achieve efficient material recognition based on its deformability and texture.

Object-shape recognition and 3D reconstruction from tactile sensor images.

This article presents a novel approach of edged and edgeless object-shape recognition and 3D reconstruction from gradient-based analysis of tactile images. We recognize an object's shape by visualizing a surface topology in our mind while grasping the object in our palm and also taking help from our past experience of exploring similar kind of objects. The proposed hybrid recognition strategy works in similar way in two stages. In the first stage, conventional object-shape recognition using linear support vector machine classifier is performed where regional descriptors features have been extracted from the tactile image. A 3D shape reconstruction is also performed depending upon the edged or edgeless objects classified from the tactile images. In the second stage, the hybrid recognition scheme utilizes the feature set comprising both the previously obtained regional descriptors features and some gradient-related information from the reconstructed object-shape image for the final recognition in corresponding four classes of objects viz. planar, one-edged object, two-edged object and cylindrical objects. The hybrid strategy achieves 97.62 % classification accuracy, while the conventional recognition scheme reaches only to 92.60 %. Moreover, the proposed algorithm has been proved to be less noise prone and more statistically robust.