Fall detection in older adults with mobile IoT devices and machine learning in the cloud and on the edge

GMDCSA-24: A dataset for human fall detection in videos

The population of older adults (elders) is increasing at a breakneck pace worldwide. This surge presents a significant challenge in providing adequate care for elders due to the scarcity of human caregivers. Unintentional falls of humans are critical health issues, especially for elders. Detecting falls and providing assistance as early as possible is of utmost importance. Researchers worldwide have shown interest in designing a system to detect falls promptly especially by remote monitoring, enabling the timely provision of medical help. The dataset 'GMDCSA-24' has been created to support the researchers on this topic to develop models to detect falls and other activities. This dataset was generated in three different natural home setups, where Falls and Activities of Daily Living were performed by four subjects (actors). To bring the versatility, the recordings were done at different times and lighting conditions: during the day when there is ample light and at night when there is low light in addition, the subjects wear different sets of clothes in the dataset. The actions were captured using the low-cost 0.92 Megapixel webcam. The low-resolution video clips make it suitable for use in real-time systems with fewer resources without any compression or processing of the clips. Users can also use this dataset to check the robustness and generalizability of a system for false positives since many ADL clips involve complex activities that may be falsely detected as falls. These complex activities include sleeping, picking up an object from the ground, doing push-ups, etc. The dataset contains 81 falls and 79 ADL video clips performed by four subjects.

Exploring factors affecting the acceptance of fall detection technology among older adults and their families: a content analysis

BACKGROUND

This study conducted in-depth interviews to explore the factors that influence the adoption of fall detection technology among older adults and their families, providing a valuable evaluation framework for healthcare providers in the field of fall detection, with the ultimate goal of assisting older adults immediately and effectively when falls occur.

METHODS

The method employed a qualitative approach, utilizing semi-structured interviews with 30 older adults and 29 families, focusing on their perspectives and expectations of fall detection technology. Purposive sampling ensured representation from older adults with conditions such as Parkinson's, dementia, and stroke.

RESULTS

The results reveal key considerations influencing the adoption of fall-detection devices, including health factors, reliance on human care, personal comfort, awareness of market alternatives, attitude towards technology, financial concerns, and expectations for fall detection technology.

CONCLUSIONS

This study identifies seven key factors influencing the adoption of fall detection technology among older adults and their families. The conclusion highlights the need to address these factors to encourage adoption, advocating for user-centered, safe, and affordable technology. This research provides valuable insights for the development of fall detection technology, aiming to enhance the safety of older adults and reduce the caregiving burden.

Comparison of professional and everyday wearable technology at different body positions in terms of recording gait perturbations

Falls are a significant health problem in older people, so preventing them is essential. Since falls are often a consequence of improper reaction to gait disturbances, such as slips and trips, their detection is gaining attention in research. However there are no studies to date that investigated perturbation detection, using everyday wearable devices like hearing aids or smartphones at different body positions. Sixty-six study participants were perturbed on a split-belt treadmill while recording data with hearing aids, smartphones, and professional inertial measurement units (IMUs) at various positions (left/right ear, jacket pocket, shoulder bag, pants pocket, left/right foot, left/right wrist, lumbar, sternum). The data were visually inspected and median maximum cross-correlations were calculated for whole trials and different perturbation conditions. The results show that the hearing aids and IMUs perform equally in measuring acceleration data (correlation coefficient of 0.93 for the left hearing aid and 0.99 for the right hearing aid), which emphasizes the potential of utilizing sensors in hearing aids for head acceleration measurements. Additionally, the data implicate that measurement with a single hearing aid is sufficient and a second hearing aid provides no added value. Furthermore, the acceleration patterns were similar for the ear position, the jacket pocket position, and the lumbar (correlation coefficient of about 0.8) or sternal position (correlation coefficient of about 0.9). The correlations were found to be more or less independent of the type of perturbation. Data obtained from everyday wearable devices appears to represent the movements of the human body during perturbations similar to that of professional devices. The results suggest that IMUs in hearing aids and smartphones, placed at the trunk, could be well suited for an automatic detection of gait perturbations.

Tag-free indoor fall detection using transformer network encoder and data fusion

This work presents a radio frequency identification (RFID)-based technique to detect falls in the elderly. The proposed RFID-based approach offers a practical and efficient alternative to wearables, which can be uncomfortable to wear and may negatively impact user experience. The system utilises strategically positioned passive ultra-high frequency (UHF) tag array, enabling unobtrusive monitoring of elderly individuals. This contactless solution queries battery-less tag and processes the received signal strength indicator (RSSI) and phase data. Leveraging the powerful data-fitting capabilities of a transformer model to take raw RSSI and phase data as input with minimal preprocessing, combined with data fusion, it significantly improves activity recognition and fall detection accuracy, achieving an average rate exceeding 96.5 % . This performance surpasses existing methods such as convolutional neural network (CNN), recurrent neural network (RNN), and long short-term memory (LSTM), demonstrating its reliability and potential for practical implementation. Additionally, the system maintains good accuracy beyond a 3-m range using minimal battery-less UHF tags and a single antenna, enhancing its practicality and cost-effectiveness.

Edge Computing Transformers for Fall Detection in Older Adults

The global trend of increasing life expectancy introduces new challenges with far-reaching implications. Among these, the risk of falls among older adults is particularly significant, affecting individual health and the quality of life, and placing an additional burden on healthcare systems. Existing fall detection systems often have limitations, including delays due to continuous server communication, high false-positive rates, low adoption rates due to wearability and comfort issues, and high costs. In response to these challenges, this work presents a reliable, wearable, and cost-effective fall detection system. The proposed system consists of a fit-for-purpose device, with an embedded algorithm and an Inertial Measurement Unit (IMU), enabling real-time fall detection. The algorithm combines a Threshold-Based Algorithm (TBA) and a neural network with low number of parameters based on a Transformer architecture. This system demonstrates notable performance with 95.29% accuracy, 93.68% specificity, and 96.66% sensitivity, while only using a 0.38% of the trainable parameters used by the other approach.

Fall detection based on dynamic key points incorporating preposed attention

Accidental falls pose a significant threat to the elderly population, and accurate fall detection from surveillance videos can significantly reduce the negative impact of falls. Although most fall detection algorithms based on video deep learning focus on training and detecting human posture or key points in pictures or videos, we have found that the human pose-based model and key points-based model can complement each other to improve fall detection accuracy. In this paper, we propose a preposed attention capture mechanism for images that will be fed into the training network, and a fall detection model based on this mechanism. We accomplish this by fusing the human dynamic key point information with the original human posture image. We first propose the concept of dynamic key points to account for incomplete pose key point information in the fall state. We then introduce an attention expectation that predicates the original attention mechanism of the depth model by automatically labeling dynamic key points. Finally, the depth model trained with human dynamic key points is used to correct the detection errors of the depth model with raw human pose images. Our experiments on the Fall Detection Dataset and the UP-Fall Detection Dataset demonstrate that our proposed fall detection algorithm can effectively improve the accuracy of fall detection and provide better support for elderly care.

Skeleton-Based Fall Detection with Multiple Inertial Sensors Using Spatial-Temporal Graph Convolutional Networks

The application of wearable devices for fall detection has been the focus of much research over the past few years. One of the most common problems in established fall detection systems is the large number of false positives in the recognition schemes. In this paper, to make full use of the dependence between human joints and improve the accuracy and reliability of fall detection, a fall-recognition method based on the skeleton and spatial-temporal graph convolutional networks (ST-GCN) was proposed, using the human motion data of body joints acquired by inertial measurement units (IMUs). Firstly, the motion data of five inertial sensors were extracted from the UP-Fall dataset and a human skeleton model for fall detection was established through the natural connection relationship of body joints; after that, the ST-GCN-based fall-detection model was established to extract the motion features of human falls and the activities of daily living (ADLs) at the spatial and temporal scales for fall detection; then, the influence of two hyperparameters and window size on the algorithm performance was discussed; finally, the recognition results of ST-GCN were also compared with those of MLP, CNN, RNN, LSTM, TCN, TST, and MiniRocket. The experimental results showed that the ST-GCN fall-detection model outperformed the other seven algorithms in terms of accuracy, precision, recall, and F₁-score. This study provides a new method for IMU-based fall detection, which has the reference significance for improving the accuracy and robustness of fall detection.

Determinants of intention with remote health management service among urban older adults: A Unified Theory of Acceptance and Use of Technology perspective

Background

Although older adults health management systems have been shown to have a significant impact on health levels, there remains the problem of low use rate, frequency of use, and acceptance by the older adults. This study aims to explore the significant factors which serve as determinants of behavioral intention to use the technology, which in turn promotes actual use.

Methods

This study took a total of 402 urban older adults over 60 years to explore the impact of the use behavior toward remote health management (RHM) through an online questionnaire. Based on the Unified Theory of Acceptance and Use of Technology (UTAUT), the author adds four dimensions: perceived risk, perceived value, perceived interactivity and individual innovation, constructed an extended structural equation model of acceptance and use of technology, and analyzed the variable path relationship.

Results

In this study, the factor loading is between 0.61 and 0.98; the overall Cronbach's Alpha coefficients are >0.7; The composite reliability ranges from 0.59 to 0.91; the average variance extraction ranges from 0.51 to 0.85, which shows the good reliability, validity, and discriminant validity of the constructed model. The influencing factors of the behavioral intention of the older adults to accept the health management system are: effort expectation, social influences, perceived value, performance expectation, perceived interactivity and perceived risk. Effort expectation has a significant positive impact on performance expectation. Individual innovation positively impacts performance expectation and perceived interactivity. Perceived interactivity and behavioral intention have a significant positive effect on the use behavior of the older adults, while the facilitating conditions have little effect on the use behavior.

Conclusions

This paper constructs and verifies the extended model based on UTAUT, fully explores the potential factors affecting the use intention of the older adult users. According to the research findings, some suggestions are proposed from the aspects of effort expectation, performance expectation, perceived interaction and perceived value to improve the use intention and user experience of Internet-based health management services in older adults.

A Non-Contact Fall Detection Method for Bathroom Application Based on MEMS Infrared Sensors

The ratio of the elderly to the total population around the world is larger than 10%, and about 30% of the elderly are injured by falls each year. Accidental falls, especially bathroom falls, account for a large proportion. Therefore, fall events detection of the elderly is of great importance. In this article, a non-contact fall detector based on a Micro-electromechanical Systems Pyroelectric Infrared (MEMS PIR) sensor and a thermopile IR array sensor is designed to detect bathroom falls. Besides, image processing algorithms with a low pass filter and double boundary scans are put forward in detail. Then, the statistical features of the area, center, duration and temperature are extracted. Finally, a 3-layer BP neural network is adopted to identify the fall events. Taking into account the key factors of ambient temperature, objective, illumination, fall speed, fall state, fall area and fall scene, 640 tests were performed in total, and 5-fold cross validation is adopted. Experimental results demonstrate that the averages of the precision, recall, detection accuracy and F₁-Score are measured to be 94.45%, 90.94%, 92.81% and 92.66%, respectively, which indicates that the novel detection method is feasible. Thereby, this IOT detector can be extensively used for household bathroom fall detection and is low-cost and privacy-security guaranteed.

The Applications of Metaheuristics for Human Activity Recognition and Fall Detection Using Wearable Sensors: A Comprehensive Analysis

In this paper, we study the applications of metaheuristics (MH) optimization algorithms in human activity recognition (HAR) and fall detection based on sensor data. It is known that MH algorithms have been utilized in complex engineering and optimization problems, including feature selection (FS). Thus, in this regard, this paper used nine MH algorithms as FS methods to boost the classification accuracy of the HAR and fall detection applications. The applied MH were the Aquila optimizer (AO), arithmetic optimization algorithm (AOA), marine predators algorithm (MPA), artificial bee colony (ABC) algorithm, genetic algorithm (GA), slime mold algorithm (SMA), grey wolf optimizer (GWO), whale optimization algorithm (WOA), and particle swarm optimization algorithm (PSO). First, we applied efficient prepossessing and segmentation methods to reveal the motion patterns and reduce the time complexities. Second, we developed a light feature extraction technique using advanced deep learning approaches. The developed model was ResRNN and was composed of several building blocks from deep learning networks including convolution neural networks (CNN), residual networks, and bidirectional recurrent neural networks (BiRNN). Third, we applied the mentioned MH algorithms to select the optimal features and boost classification accuracy. Finally, the support vector machine and random forest classifiers were employed to classify each activity in the case of multi-classification and to detect fall and non-fall actions in the case of binary classification. We used seven different and complex datasets for the multi-classification case: the PAMMP2, Sis-Fall, UniMiB SHAR, OPPORTUNITY, WISDM, UCI-HAR, and KU-HAR datasets. In addition, we used the Sis-Fall dataset for the binary classification (fall detection). We compared the results of the nine MH optimization methods using different performance indicators. We concluded that MH optimization algorithms had promising performance in HAR and fall detection applications.

Recent Advancements in Emerging Technologies for Healthcare Management Systems: A Survey

In recent times, the growth of the Internet of Things (IoT), artificial intelligence (AI), and Blockchain technologies have quickly gained pace as a new study niche in numerous collegiate and industrial sectors, notably in the healthcare sector. Recent advancements in healthcare delivery have given many patients access to advanced personalized healthcare, which has improved their well-being. The subsequent phase in healthcare is to seamlessly consolidate these emerging technologies such as IoT-assisted wearable sensor devices, AI, and Blockchain collectively. Surprisingly, owing to the rapid use of smart wearable sensors, IoT and AI-enabled technology are shifting healthcare from a conventional hub-based system to a more personalized healthcare management system (HMS). However, implementing smart sensors, advanced IoT, AI, and Blockchain technologies synchronously in HMS remains a significant challenge. Prominent and reoccurring issues such as scarcity of cost-effective and accurate smart medical sensors, unstandardized IoT system architectures, heterogeneity of connected wearable devices, the multidimensionality of data generated, and high demand for interoperability are vivid problems affecting the advancement of HMS. Hence, this survey paper presents a detailed evaluation of the application of these emerging technologies (Smart Sensor, IoT, AI, Blockchain) in HMS to better understand the progress thus far. Specifically, current studies and findings on the deployment of these emerging technologies in healthcare are investigated, as well as key enabling factors, noteworthy use cases, and successful deployments. This survey also examined essential issues that are frequently encountered by IoT-assisted wearable sensor systems, AI, and Blockchain, as well as the critical concerns that must be addressed to enhance the application of these emerging technologies in the HMS.

Fall Detection for Shipboard Seafarers Based on Optimized BlazePose and LSTM

Aiming to avoid personal injury caused by the failure of timely medical assistance following a fall by seafarer members working on ships, research on the detection of seafarer's falls and timely warnings to safety officers can reduce the loss and severe consequences of falls to seafarers. To improve the detection accuracy and real-time performance of the seafarer fall detection algorithm, a seafarer fall detection algorithm based on BlazePose-LSTM is proposed. This algorithm can automatically extract the human body key point information from the video image obtained by the vision sensor, analyze its internal data correlation characteristics, and realize the process from RGB camera image processing to seafarer fall detection. This fall detection algorithm extracts the human body key point information through the optimized BlazePose human body key point information extraction network. In this section, a new method for human bounding-box acquisition is proposed. In this study, a head detector based on the Vitruvian theory was used to replace the pre-trained SSD body detector in the BlazePose preheating module. Simultaneously, an offset vector is proposed to update the bounding box obtained. This method can reduce the frequency of repeated use of the head detection module. The algorithm then uses the long short-term memory neural network to detect seafarer falls. After extracting fall and related behavior data from the URFall public data set and FDD public data set to enrich the self-made data set, the experimental results show that the algorithm can achieve 100% accuracy and 98.5% specificity for the seafarer's falling behavior, indicating that the algorithm has reasonable practicability and strong generalization ability. The detection frame rate can reach 29 fps on a CPU, which can meet the effect of real-time detection. The proposed method can be deployed on common vision sensors.

Sentinel fall presenting to the emergency department (SeFallED) - protocol of a complex study including long-term observation of functional trajectories after a fall, exploration of specific fall risk factors, and patients' views on falls prevention

BACKGROUND

Falls are a leading cause for emergency department (ED) visits in older adults. As a fall is associated with a high risk of functional decline and further falls and many falls do not receive medical attention, the ED is ideal to initiate secondary prevention, an opportunity generally not taken. Data on trajectories to identify patients, who would profit the most form early intervention and to examine the impact of a fall event, are lacking. To tailor interventions to the individual's needs and preferences, and to address the whole scope of fall risks, we developed this longitudinal study using an extensive assessment battery including dynamic balance and aerobic fitness, but also sensor-based data. Additionally, participative research will contribute valuable qualitative data, and machine learning will be used to identify trips, slips, and falls in sensor data during daily life.

METHODS

This is a mixed-methods study consisting of four parts: (1) an observational prospective study, (2) a randomized controlled trial (RCT) to explore whether a diagnostic to measure reactive dynamic balance influences fall risk, (3) machine learning approaches and (4) a qualitative study to explore patients' and their caregivers' views. We will target a sample size of 450 adults of 60 years and older, who presented to the ED of the Klinikum Oldenburg after a fall and are not hospitalized. The participants will be followed up over 24 months (within four weeks after the ED, after 6, 12 and 24 months). We will assess functional abilities, fall risk factors, participation, quality of life, falls incidence, and physical activity using validated instruments, including sensor-data. Additionally, two thirds of the patients will undergo intensive testing in the gait laboratory and 72 participants will partake in focus group interviews.

DISCUSSION

The results of the SeFallED study will be used to identify risk factors with high predictive value for functional outcome after a sentinel fall. This will help to (1) establish a protocol adapted to the situation in the ED to identify patients at risk and (2) to initiate an appropriate care pathway, which will be developed based on the results of this study.

TRIAL REGISTRATION

DRKS (Deutsches Register für klinische Studien, DRKS00025949 ). Prospectively registered on 4^th November, 2021.

Bedtime Monitoring for Fall Detection and Prevention in Older Adults

Life expectancy has increased, so the number of people in need of intensive care and attention is also growing. Falls are a major problem for older adult health, mainly because of the consequences they entail. Falls are indeed the second leading cause of unintentional death in the world. The impact on privacy, the cost, low performance, or the need to wear uncomfortable devices are the main causes for the lack of widespread solutions for fall detection and prevention. This work present a solution focused on bedtime that addresses all these causes. Bed exit is one of the most critical moments, especially when the person suffers from a cognitive impairment or has mobility problems. For this reason, this work proposes a system that monitors the position in bed in order to identify risk situations as soon as possible. This system is also combined with an automatic fall detection system. Both systems work together, in real time, offering a comprehensive solution to automatic fall detection and prevention, which is low cost and guarantees user privacy. The proposed system was experimentally validated with young adults. Results show that falls can be detected, in real time, with an accuracy of 93.51%, sensitivity of 92.04% and specificity of 95.45%. Furthermore, risk situations, such as transiting from lying on the bed to sitting on the bed side, are recognized with a 96.60% accuracy, and those where the user exits the bed are recognized with a 100% accuracy.

An Adaptive Classification Model for Predicting Epileptic Seizures Using Cloud Computing Service Architecture

Data science techniques have increasing importance in medical data analysis, including detecting and predicting the probability of contracting a disease. A large amount of medical data is generated close to the patients in the form of a stream, such as data from sensors and medical devices. The distribution of these kinds of data may change from time to time; adaptive Machine Learning (ML) consists of a continuous training process responding to the distribution’s change. Adaptive ML models require high computational resources, which can be provided by cloud computing. In this work, a classification model is proposed to utilize the advantages of cloud computing, edge computing, and adaptive ML. It aims to precisely and efficiently classify EEG signal data, thereby detecting the seizures of epileptic patients using Adaptive Random Forest (ARF). It includes a global adaptive classifier in the cloud master node and a local light classifier in each edge node. In this model, the delayed labels consider missing values, and the Model-based imputation method is used to handle them in the global classifier. Implementing the proposed model on a real huge dataset (CHB-MIT) showed an accurate performance. It has a 0.998 True Negative Rate, a 0.785 True Positive Rate, and a 0.0017 False Positive Rate, which overcomes much of the research in the state-of-the-art.

A Survey of IoT-Based Fall Detection for Aiding Elderly Care: Sensors, Methods, Challenges and Future Trends

Remote monitoring of a fall condition or activities and daily life (ADL) of elderly patients has become one of the essential purposes for modern telemedicine. Internet of Things (IoT) and artificial intelligence (AI) techniques, including machine and deep learning models, have been recently applied in the medical field to automate the diagnosis procedures of abnormal and diseased cases. They also have many other applications, including the real-time identification of fall accidents in elderly patients. The goal of this article is to review recent research whose focus is to develop AI algorithms and methods of fall detection systems (FDS) in the IoT environment. In addition, the usability of different sensor types, such as gyroscopes and accelerometers in smartwatches, is described and discussed with the current limitations and challenges for realizing successful FDSs. The availability problem of public fall datasets for evaluating the proposed detection algorithms are also addressed in this study. Finally, this article is concluded by proposing advanced techniques such as lightweight deep models as one of the solutions and prospects of futuristic smart IoT-enabled systems for accurate fall detection in the elderly.

Internet of things in healthcare for patient safety: an empirical study

Introduction

This study evaluates the impact of an Internet of Things (IoT) intervention in a hospital unit and provides empirical evidence on the effects of smart technologies on patient safety (patient falls and hand hygiene compliance rate) and staff experiences.

Method

We have conducted a post-intervention analysis of hand hygiene (HH) compliance rate, and a pre-and post-intervention interrupted time-series (ITS) analysis of the patient falls rates. Lastly, we investigated staff experiences by conducting semi-structured open-ended interviews based on Roger’s Diffusion of Innovation Theory.

Results

The results showed that (i) there was no statistically significant change in the mean patient fall rates. ITS analysis revealed non-significant incremental changes in mean patient falls (− 0.14 falls/quarter/1000 patient-days). (ii) HH compliance rates were observed to increase in the first year then decrease in the second year for all staff types and room types. (iii) qualitative interviews with the nurses reported improvement in direct patient care time, and a reduced number of patient falls.

Conclusion

This study provides empirical evidence of some positive changes in the outcome variables of interest and the interviews with the staff of that unit reported similar results as well. Notably, our observations identified behavioral and environmental issues as being particularly important for ensuring success during an IoT innovation implementation within a hospital setting.

The Role of Big Data in Aging and Older People’s Health Research: A Systematic Review and Ecological Framework

Big data has been prominent in studying aging and older people’s health. It has promoted modeling and analyses in biological and geriatric research (like cellular senescence), developed health management platforms, and supported decision-making in public healthcare and social security. However, current studies are still limited within a single subject, rather than flourished as interdisciplinary research in the context of big data. The research perspectives have not changed, nor has big data brought itself out of the role as a modeling tool. When embedding big data as a data product, analysis tool, and resolution service into different spatial, temporal, and organizational scales of aging processes, it would present as a connection, integration, and interaction simultaneously in conducting interdisciplinary research. Therefore, this paper attempts to propose an ecological framework for big data based on aging and older people’s health research. Following the scoping process of PRISMA, 35 studies were reviewed to validate our ecological framework. Although restricted by issues like digital divides and privacy security, we encourage researchers to capture various elements and their interactions in the human-environment system from a macro and dynamic perspective rather than simply pursuing accuracy.

A review on utilizing machine learning technology in the fields of electronic emergency triage and patient priority systems in telemedicine: Coherent taxonomy, motivations, open research challenges and recommendations for intelligent future work

BACKGROUND

With the remarkable increasing in the numbers of patients, the triaging and prioritizing patients into multi-emergency level is required to accommodate all the patients, save more lives, and manage the medical resources effectively. Triaging and prioritizing patients becomes particularly challenging especially for the patients who are far from hospital and use telemedicine system. To this end, the researchers exploiting the useful tool of machine learning to address this challenge. Hence, carrying out an intensive investigation and in-depth study in the field of using machine learning in E-triage and patient priority are essential and required.

OBJECTIVES

This research aims to (1) provide a literature review and an in-depth study on the roles of machine learning in the fields of electronic emergency triage (E-triage) and prioritize patients for fast healthcare services in telemedicine applications. (2) highlight the effectiveness of machine learning methods in terms of algorithms, medical input data, output results, and machine learning goals in remote healthcare telemedicine systems. (3) present the relationship between machine learning goals and the electronic triage processes specifically on the: triage levels, medical features for input, outcome results as outputs, and the relevant diseases. (4), the outcomes of our analyses are subjected to organize and propose a cross-over taxonomy between machine learning algorithms and telemedicine structure. (5) present lists of motivations, open research challenges and recommendations for future intelligent work for both academic and industrial sectors in telemedicine and remote healthcare applications.

METHODS

An intensive research is carried out by reviewing all articles related to the field of E-triage and remote priority systems that utilise machine learning algorithms and sensors. We have searched all related keywords to investigate the databases of Science Direct, IEEE Xplore, Web of Science, PubMed, and Medline for the articles, which have been published from January 2012 up to date.

RESULTS

A new crossover matching between machine learning methods and telemedicine taxonomy is proposed. The crossover-taxonomy is developed in this study to identify the relationship between machine learning algorithm and the equivalent telemedicine categories whereas the machine learning algorithm has been utilized. The impact of utilizing machine learning is composed in proposing the telemedicine architecture based on synchronous (real-time/ online) and asynchronous (store-and-forward / offline) structure. In addition to that, list of machine learning algorithms, list of the performance metrics, list of inputs data and outputs results are presented. Moreover, open research challenges, the benefits of utilizing machine learning and the recommendations for new research opportunities that need to be addressed for the synergistic integration of multidisciplinary works are organized and presented accordingly.

DISCUSSION

The state-of-the-art studies on the E-triage and priority systems that utilise machine learning algorithms in telemedicine architecture are discussed. This approach allows the researchers to understand the modernisation of healthcare systems and the efficient use of artificial intelligence and machine learning. In particular, the growing worldwide population and various chronic diseases such as heart chronic diseases, blood pressure and diabetes, require smart health monitoring systems in E-triage and priority systems, in which machine learning algorithms could be greatly beneficial.

CONCLUSIONS

Although research directions on E-triage and priority systems that use machine learning algorithms in telemedicine vary, they are equally essential and should be considered. Hence, we provide a comprehensive review to emphasise the advantages of the existing research in multidisciplinary works of artificial intelligence, machine learning and healthcare services.

Development of an Anomaly Alert System Triggered by Unusual Behaviors at Home

In many countries, the number of elderly people has grown due to the increase in the life expectancy of the population, many of whom currently live alone and are prone to having accidents that they cannot report, especially if they are immobilized. For this reason, we have developed a non-intrusive IoT device, which, through multiple integrated sensors, collects information on habitual user behavior patterns and uses it to generate unusual behavior rules. These rules are used by our SecurHome system to send alert messages to the dependent person’s family members or caregivers if their behavior changes abruptly over the course of their daily life. This document describes in detail the design and development of the SecurHome system.

Solitary death and new lifestyles during and after COVID-19: wearable devices and public health ethics

BACKGROUND

Solitary death (kodokushi) has recently become recognized as a social issue in Japan. The social isolation of older people leads to death without dignity. With the outbreak of COVID-19, efforts to eliminate solitary death need to be adjusted in line with changes in lifestyle and accompanying changes in social structure. Health monitoring services that utilize wearable devices may contribute to this end. Our goals are to outline how wearable devices might be used to (1) detect emergency situations involving solitary older people and swiftly connect them with medical treatment, to (2) reduce the frequency of deaths that remain undiscovered and (3) to reduce social isolation by promoting social interaction.

METHODS

Theoretical and philosophical approaches were adopted to examine ethical issues surrounding the application of wearable devices and cloud-based information processing systems to prevent solitary death in the world with/after COVID-19. MAIN BODY: (1) Technology cannot replace social connections; without social support necessary to foster understanding of the benefits of health management through wearable devices among older adults, such devices may remain unused, or not used properly. (2) Maturity of the technology; systems face the difficult task of detecting and responding to a wide range of health conditions and life-threatening events in time to avert avoidable morbidity and mortality. (3) Autonomy and personhood; promoting the voluntary use of wearable devices that are a part of larger efforts to connect isolated individuals to a community or social services might be effective. Legal force should be avoided if possible. There is some concern that landlords may require an older person to sign a contract agreeing to wear a device. The autonomy of solitary older people should be respected. (4) Governance: policies must be developed to limit access to data from wearables and the purposes for which data can be used.

CONCLUSION

If thoughtfully deployed under proper policy constraints, wearable devices offer a way to connect solitary older people to health services and could reduce cases of solitary death while respecting the personhood of the user.

CNN-Based Fall Detection Strategy with Edge Computing Scheduling in Smart Cities

The livelihood problem, especially the medical wisdom, has played an important role during the process of the building of smart cities. For the medical wisdom, the fall detection has attracted the considerable attention from the global researchers and medical institutions. It is very difficult for the traditional fall detection strategies to realize the intelligent detection with the following three reasons: (i) the data collection cannot reach the real-time level; (ii) the adopted detection methods cannot satisfy the enough stability; and (iii) the computation overhead of collection device is very high, which causes the barely satisfactory detection effect. Therefore, this paper proposes Convolutional Neural Network (CNN)-based fall detection strategy with edge computing consideration, where the global network view ability of Software-Defined Networking (SDN) is used to collect the generated data from smartphone. Meanwhile, on one hand, the edge computing is exploited to put some computation tasks at the edge server by the scheduling technique. On the other hand, CNN is equipped with both edge server and smartphone, and it is leveraged to train the related data and further give the guidance of fall detection. The experimental results show that the novel fall detection strategy has a more accurate rate, transmission delay, and stability than two cutting-edge strategies.

IR-UWB Sensor Based Fall Detection Method Using CNN Algorithm

Falls are the leading cause of fatal injuries in the elderly such as fractures, and secondary damage from falls can lead to death. As such, fall detection is a crucial topic. However, due to the trade-off relationship between privacy preservation, user convenience, and fall detection performance, it is generally difficult to develop a fall detection system that simultaneously satisfies all conditions. The main goal of this study is to build a practical fall detection framework that can effectively classify the various behavior types into "Fall" and "Activities of daily living (ADL)" while securing privacy preservation and user convenience. For this purpose, signal data containing the motion information of objects was collected using a non-contact, unobtrusive, and non-restraint impulse-radio ultra wideband (IR-UWB) radar. These data were then applied to a convolutional neural network (CNN) algorithm to create an object behavior type classifier that can classify the behavior types of objects into "Fall" and "ADL." The data were collected by actually performing various activities of daily living, including falling. The performance of the classifier yielded satisfactory results. By combining an IR-UWB and CNN algorithm, this study demonstrates the feasibility of building a practical fall detection system that exceeds a certain level of detection accuracy while also ensuring privacy preservation and user convenience.