Vital Sign Monitoring in Car Seats Based on Electrocardiography, Ballistocardiography and Seismocardiography: A Review

Continuous Estimation of Blood Pressure by Utilizing Seismocardiogram Signal Features in Relation to Electrocardiogram

There is an ongoing search for a reliable and continuous method of noninvasive blood pressure (BP) tracking. In this study, we investigate the feasibility of utilizing seismocardiogram (SCG) signals, i.e., chest motion caused by cardiac activity, for this purpose. This research is novel in examining the temporal relationship between the SCG-measured isovolumic moment and the electrocardiogram (PEPIM). Additionally, we compare these results with the traditionally measured pre-ejection period with the aortic opening marked as an endpoint (PEPAO). The accuracy of the BP estimation was evaluated beat to beat against invasively measured arterial BP. Data were collected on separate days as eighteen sets from nine subjects undergoing a medical procedure with anesthesia. Results for PEPIM showed a correlation of 0.67 ± 0.18 (p < 0.001), 0.66 ± 0.17 (p < 0.001), and 0.67 ± 0.17 (p < 0.001) when compared to systolic BP, diastolic BP, and mean arterial pressure (MAP), respectively. Corresponding results for PEPAO were equal to 0.61 ± 0.22 (p < 0.001), 0.61 ± 0.21 (p < 0.001), and 0.62 ± 0.22 (p < 0.001). Values of PEPIM were used to estimate MAP using two first-degree models, the linear regression model (achieved RMSE of 11.7 ± 4.0 mmHg) and extended model with HR (RMSE of 10.8 ± 4.2 mmHg), and two corresponding second-degree models (RMSE of 10.8 ± 3.7 mmHg and RMSE of 8.5 ± 3.4 mmHg for second-degree polynomial and second-degree extended, respectively). In the intrasubject testing of the second-degree model extended with HR based on PEPIM values, the mean error of MAP estimation in three follow-up measurements was in the range of 7.5 to 10.5 mmHg, without recalibration. This study demonstrates the method's potential for further research, particularly given that both proximal and distal pulses are measured in close proximity to the heart and cardiac output. This positioning may enhance the method's capacity to more accurately reflect central blood pressure compared to peripheral measurements.

Multichannel ballistocardiography: A comparative analysis of heartbeat detection across different body locations

The paper presents a validation of novel multichannel ballistocardiography (BCG) measuring system, enabling heartbeat detection from information about movements during myocardial contraction and dilatation of arteries due to blood expulsion. The proposed methology includes novel sensory system and signal processing procedure based on Wavelet transform and Hilbert transform. Because there are no existing recommendations for BCG sensor placement, the study focuses on investigation of BCG signal quality measured from eight different locations within the subject's body. The analysis of BCG signals is primarily based on heart rate (HR) calculation, for which a J-wave detection based on decision-making processes was used. Evaluation of the proposed system was made by comparing with electrocardiography (ECG) as a gold standard, when the averaged signal from all sensors reached HR detection sensitivity higher than 95% and two sensors showed a significant difference from ECG measurement.

A Review of Patient Bed Sensors for Monitoring of Vital Signs

The analysis of biomedical signals is a very challenging task. This review paper is focused on the presentation of various methods where biomedical data, in particular vital signs, could be monitored using sensors mounted to beds. The presented methods to monitor vital signs include those combined with optical fibers, camera systems, pressure sensors, or other sensors, which may provide more efficient patient bed monitoring results. This work also covers the aspects of interference occurrence in the above-mentioned signals and sleep quality monitoring, which play a very important role in the analysis of biomedical signals and the choice of appropriate signal-processing methods. The provided information will help various researchers to understand the importance of vital sign monitoring and will be a thorough and up-to-date summary of these methods. It will also be a foundation for further enhancement of these methods.

Driver Attention Assessment Using Physiological Measures from EEG, ECG, and EDA Signals

In this paper, we consider the evaluation of the mental attention state of individuals driving in a simulated environment. We tested a pool of subjects while driving on a highway and trying to overcome various obstacles placed along the course in both manual and autonomous driving scenarios. Most systems described in the literature use cameras to evaluate features such as blink rate and gaze direction. In this study, we instead analyse the subjects' Electrodermal activity (EDA) Skin Potential Response (SPR), their Electrocardiogram (ECG), and their Electroencephalogram (EEG). From these signals we extract a number of physiological measures, including eye blink rate and beta frequency band power from EEG, heart rate from ECG, and SPR features, then investigate their capability to assess the mental state and engagement level of the test subjects. In particular, and as confirmed by statistical tests, the signals reveal that in the manual scenario the subjects experienced a more challenged mental state and paid higher attention to driving tasks compared to the autonomous scenario. A different experiment in which subjects drove in three different setups, i.e., a manual driving scenario and two autonomous driving scenarios characterized by different vehicle settings, confirmed that manual driving is more mentally demanding than autonomous driving. Therefore, we can conclude that the proposed approach is an appropriate way to monitor driver attention.

Few-Shot User-Adaptable Radar-Based Breath Signal Sensing

Vital signs estimation provides valuable information about an individual's overall health status. Gathering such information usually requires wearable devices or privacy-invasive settings. In this work, we propose a radar-based user-adaptable solution for respiratory signal prediction while sitting at an office desk. Such an approach leads to a contact-free, privacy-friendly, and easily adaptable system with little reference training data. Data from 24 subjects are preprocessed to extract respiration information using a 60 GHz frequency-modulated continuous wave radar. With few training examples, episodic optimization-based learning allows for generalization to new individuals. Episodically, a convolutional variational autoencoder learns how to map the processed radar data to a reference signal, generating a constrained latent space to the central respiration frequency. Moreover, autocorrelation over recorded radar data time assesses the information corruption due to subject motions. The model learning procedure and breathing prediction are adjusted by exploiting the motion corruption level. Thanks to the episodic acquired knowledge, the model requires an adaptation time of less than one and two seconds for one to five training examples, respectively. The suggested approach represents a novel, quickly adaptable, non-contact alternative for office settings with little user motion.

Investigating Cardiorespiratory Interaction Using Ballistocardiography and Seismocardiography-A Narrative Review

Ballistocardiography (BCG) and seismocardiography (SCG) are non-invasive techniques used to record the micromovements induced by cardiovascular activity at the body's center of mass and on the chest, respectively. Since their inception, their potential for evaluating cardiovascular health has been studied. However, both BCG and SCG are impacted by respiration, leading to a periodic modulation of these signals. As a result, data processing algorithms have been developed to exclude the respiratory signals, or recording protocols have been designed to limit the respiratory bias. Reviewing the present status of the literature reveals an increasing interest in applying these techniques to extract respiratory information, as well as cardiac information. The possibility of simultaneous monitoring of respiratory and cardiovascular signals via BCG or SCG enables the monitoring of vital signs during activities that require considerable mental concentration, in extreme environments, or during sleep, where data acquisition must occur without introducing recording bias due to irritating monitoring equipment. This work aims to provide a theoretical and practical overview of cardiopulmonary interaction based on BCG and SCG signals. It covers the recent improvements in extracting respiratory signals, computing markers of the cardiorespiratory interaction with practical applications, and investigating sleep breathing disorders, as well as a comparison of different sensors used for these applications. According to the results of this review, recent studies have mainly concentrated on a few domains, especially sleep studies and heart rate variability computation. Even in those instances, the study population is not always large or diversified. Furthermore, BCG and SCG are prone to movement artifacts and are relatively subject dependent. However, the growing tendency toward artificial intelligence may help achieve a more accurate and efficient diagnosis. These encouraging results bring hope that, in the near future, such compact, lightweight BCG and SCG devices will offer a good proxy for the gold standard methods for assessing cardiorespiratory function, with the added benefit of being able to perform measurements in real-world situations, outside of the clinic, and thus decrease costs and time.

Digital Stereotypes in HMI-The Influence of Feature Quantity Distribution in Deep Learning Models Training

This paper proposes a concept of Digital Stereotypes, observed during research on quantitative overrepresentation of one class over others, and its impact on the results of the training of Deep Learning models. The real-life observed data classes are rarely of the same size, and the intuition of presenting multiple examples of one class and then showing a few counterexamples may be very misleading in multimodal classification. Deep Learning models, when taught with overrepresentation, may produce incorrect inferring results, similar to stereotypes. The generic idea of stereotypes seems to be helpful for categorisation from the training point of view, but it has a negative influence on the inferring result. Authors evaluate a large dataset in various scenarios: overrepresentation of one or two classes, underrepresentation of some classes, and same-size (trimmed) classes. The presented research can be applied to any multiclassification applications, but it may be especially important in AI, where the classification, uncertainty and building new knowledge overlap. This paper presents specific 'decreases in accuracy' observed within multiclassification of unleveled datasets. The 'decreases in accuracy', named by the authors 'stereotypes', can also bring an inspiring insight into other fields and applications, not only multimodal sentiment analysis.

A Novel Low-Latency and Energy-Efficient Task Scheduling Framework for Internet of Medical Things in an Edge Fog Cloud System

In healthcare, there are rapid emergency response systems that necessitate real-time actions where speed and efficiency are critical; this may suffer as a result of cloud latency because of the delay caused by the cloud. Therefore, fog computing is utilized in real-time healthcare applications. There are still limitations in response time, latency, and energy consumption. Thus, a proper fog computing architecture and good task scheduling algorithms should be developed to minimize these limitations. In this study, an Energy-Efficient Internet of Medical Things to Fog Interoperability of Task Scheduling (EEIoMT) framework is proposed. This framework schedules tasks in an efficient way by ensuring that critical tasks are executed in the shortest possible time within their deadline while balancing energy consumption when processing other tasks. In our architecture, Electrocardiogram (ECG) sensors are used to monitor heart health at home in a smart city. ECG sensors send the sensed data continuously to the ESP32 microcontroller through Bluetooth (BLE) for analysis. ESP32 is also linked to the fog scheduler via Wi-Fi to send the results data of the analysis (tasks). The appropriate fog node is carefully selected to execute the task by giving each node a special weight, which is formulated on the basis of the expected amount of energy consumed and latency in executing this task and choosing the node with the lowest weight. Simulations were performed in iFogSim2. The simulation outcomes show that the suggested framework has a superior performance in reducing the usage of energy, latency, and network utilization when weighed against CHTM, LBS, and FNPA models.

Digital Optical Ballistocardiographic System for Activity, Heart Rate, and Breath Rate Determination during Sleep

In this work, we present a ballistocardiographic (BCG) system for the determination of heart and breath rates and activity of a user lying in bed. Our primary goal was to simplify the analog and digital processing usually required in these kinds of systems while retaining high performance. A novel sensing approach is proposed consisting of a white LED facing a digital light detector. This detector provides precise measurements of the variations of the light intensity of the incident light due to the vibrations of the bed produced by the subject's breathing, heartbeat, or activity. Four small springs, acting as a bandpass filter, connect the boards where the LED and the detector are mounted. Owing to the mechanical bandpass filtering caused by the compressed springs, the proposed system generates a BCG signal that reflects the main frequencies of the heartbeat, breathing, and movement of the lying subject. Without requiring any analog signal processing, this device continuously transmits the measurements to a microcontroller through a two-wire communication protocol, where they are processed to provide an estimation of the parameters of interest in configurable time intervals. The final information of interest is wirelessly sent to the user's smartphone by means of a Bluetooth connection. For evaluation purposes, the proposed system has been compared with typical BCG systems showing excellent performance for different subject positions. Moreover, applied postprocessing methods have shown good behavior for information separation from a single-channel signal. Therefore, the determination of the heart rate, breathing rate, and activity of the patient is achieved through a highly simplified signal processing without any need for analog signal conditioning.

Low-Noise and Cost-Effective Active Electrodes for Dry Contact ECG Applications

Introduction. Active ECG electrodes for daily usable wearable electronics (glasses, headphones) enable making long-term cardiovascular disease diagnostics available to many people.Problem Statement. The methods of ECG recording become more accessible over the years. However, on the way to their general use, even in cases where only reliable registration of the R-wave of the ECG is important, there are certain difficulties associated with the need to apply special electrodes (eg, silver chloride ones) to certain parts of the body through wet pads and to perform specific actions. The problem is solved by using dry electrodes built into the usual devices. However, in this case, a low amplitude of the useful signal and a high contact resistance (for example, on the surface of the head) do not allow recording an ECG by conventional means.Purpose. The purpose of this research is to develop easy-to-use body ECG electrodes that may be built into everyday appliances.Materials and Methods. Active electrodes based on flexible conductive materials and high-quality operational amplifiers have been described. The main parameters of the electronic circuit have been obtained by model and experimental research. The parameters have been compared with the corresponding characteristics of commercial samples.Results. Prototype active ECG electrodes have been developed, created, and studied. The obtained results have shown that the dependence of the input reactance on the frequency plays an important role in terms of the final signal quality. For a low-amplitude ECG signal, the prototype has shown a signal-to-noise ratio that is higher by 4.7 dB than that for high-quality commercial electrodes.Conclusions. The designed electrodes may be used in body devices, on the body parts with a low amplitude of the useful signal and a high resistance of skin-electrode contact.

Driver Cardiovascular Disease Detection Using Seismocardiogram

This article deals with the treatment and application of cardiac biosignals, an excited accelerometer, and a gyroscope in the prevention of accidents on the road. Previously conducted studies say that the seismocardiogram is a measure of cardiac microvibration signals that allows for detecting rhythms, heart valve opening and closing disorders, and monitoring of patients' breathing. This article refers to the seismocardiogram hypothesis that the measurements of a seismocardiogram could be used to identify drivers' heart problems before they reach a critical condition and safely stop the vehicle by informing the relevant departments in a nonclinical manner. The proposed system works without an electrocardiogram, which helps to detect heart rhythms more easily. The estimation of the heart rate (HR) is calculated through automatically detected aortic valve opening (AO) peaks. The system is composed of two micro-electromechanical systems (MEMSs) to evaluate physiological parameters and eliminate the effects of external interference on the entire system. The few digital filtering methods are discussed and benchmarked to increase seismocardiogram efficiency. As a result, the fourth adaptive filter obtains the estimated HR = 65 beats per min (bmp) in a still noisy signal (SNR = −11.32 dB). In contrast with the low processing benefit (3.39 dB), 27 AO peaks were detected with a 917.56-ms peak interval mean over 1.11 s, and the calculated root mean square error (RMSE) was 0.1942 m/s2 when the adaptive filter order is 50 and the adaptation step is equal to 0.933.

Validation Study of a Contactless Monitoring Device for Vital Signs During Sleep and Sleep Architecture in Adults With Sleep-Disordered Breathing

Background and Objective Few clinical studies have investigated the accuracy of non-contact monitoring devices for vital signs during sleep and sleep architecture in adults with sleep-disordered breathing (SDB). The purpose of this study was to assess the accuracy of a contactless monitoring device for 1) heart rate, respiratory rate, and body temperature during sleep and 2) sleep architecture in adults with SDB.Methods Thirty-five consecutive adults, who visited a tertiary university hospital due to suspected SDB, underwent a complete physical examination and standard (level 1) polysomnography plus body temperature measurement with a contactless monitoring device (HoneyCube System).Results A total of 30 subjects (mean age = 46.43 ± 12.9 years; male: female = 22: 8) were finally included, and five subjects were excluded due to inadequate data in this study. The intraclass correlation coefficient values of heart rate, respiratory rate, and body temperature measured using the contactless monitoring device were 0.91 (95% confidence interval [CI]: 0.892, 0.928), 0.937 (95% CI: 0.919, 0.954), and 0.918 (95% CI: 0.895, 0.941), respectively. The mean kappa value for sleep architecture was 0.562 (95% CI: 0.529, 0.596).Conclusions The contactless monitoring device showed good (almost perfect) agreement in terms of heart rate, respiratory rate, and body temperature and moderate agreement in sleep architecture with contact measurements. These results suggest that the HoneyCube System is a good candidate device for sleep monitoring at home and in multiple accommodations.

A Review of Heartbeat Detection Systems for Automotive Applications

Many accidents are caused by sudden changes in the physical conditions of professional drivers. Therefore, it is quite important that the driver monitoring system must not restrict or interfere with the driver’s action. Applications that can measure a driver’s heartbeat without restricting the driver’s action are currently under development. In this review, examples of heartbeat-monitoring systems are discussed. In particular, methods for measuring the heartbeat through sensing devices of a wearable-type, such as wristwatch-type, ring-type, and shirt-type devices, as well as through devices of a nonwearable type, such as steering-type, seat-type, and other types of devices, are discussed. The emergence of wearable devices such as the Apple Watch is considered a turning point in the application of driver-monitoring systems. The problems associated with current smartwatch- and smartphone-based systems are discussed, as are the barriers to their practical use in vehicles. We conclude that, for the time being, detection methods using in-vehicle devices and in-vehicle cameras are expected to remain dominant, while devices that can detect health conditions and abnormalities simply by driving as usual are expected to emerge as future applications.

Application of mechanical trigger for unobtrusive detection of respiratory disorders from body recoil micro-movements

Background and Objectives Automatic detection of breathing disorders plays an important role in the early signalization of respiratory diseases. Measuring methods can be based on electrocardiogram (ECG), sound, oximetry, or respiratory analysis. However, these approaches require devices placed on the human body or they are prone to disturbance by environmental influences. To solve these problems, we proposed a heart contraction mechanical trigger for unobtrusive detection of respiratory disorders from the mechanical measurement of cardiac contractions. We designed a novel method to calculate this mechanical trigger purely from measured mechanical signals without the use of ECG. Methods The approach is a built-on calculation of the so-called euclidean arc length from the signals. In comparison to previous researches, this system does not require any equipment attached to a person. This is achieved by locating the tensometers on the bed. Data from sensors are fused by the Cartan curvatures method to beat-to-beat vector input for the Convolutional neural network (CNN) classifier. Results In sum, 2281 disordered and 5130 normal breathing samples was collected for analysis. The experiments with use of 10-fold cross validation show that accuracy, sensitivity, and specificity reach values of 96.37%, 92.46%, and 98.11% respectively. Conclusions By the approach for detection, the system offers a novel way for a completely unobtrusive diagnosis of breathing-related health problems. The proposed solution can effectively be deployed in all clinical or home environments.

Summary of over Fifty Years with Brain-Computer Interfaces-A Review

Over the last few decades, the Brain-Computer Interfaces have been gradually making their way to the epicenter of scientific interest. Many scientists from all around the world have contributed to the state of the art in this scientific domain by developing numerous tools and methods for brain signal acquisition and processing. Such a spectacular progress would not be achievable without accompanying technological development to equip the researchers with the proper devices providing what is absolutely necessary for any kind of discovery as the core of every analysis: the data reflecting the brain activity. The common effort has resulted in pushing the whole domain to the point where the communication between a human being and the external world through BCI interfaces is no longer science fiction but nowadays reality. In this work we present the most relevant aspects of the BCIs and all the milestones that have been made over nearly 50-year history of this research domain. We mention people who were pioneers in this area as well as we highlight all the technological and methodological advances that have transformed something available and understandable by a very few into something that has a potential to be a breathtaking change for so many. Aiming to fully understand how the human brain works is a very ambitious goal and it will surely take time to succeed. However, even that fraction of what has already been determined is sufficient e.g., to allow impaired people to regain control on their lives and significantly improve its quality. The more is discovered in this domain, the more benefit for all of us this can potentially bring.