scholarly journals Human centered AI design for clinical monitoring and data management

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
H S Adnan ◽  
S Matthews ◽  
M Hackl ◽  
P P Das ◽  
M Manaswini ◽  
...  

Abstract Background In clinical settings, significant resources are spent on data collection and monitoring patients' health parameters to improve decision-making and provide better care. With increased digitization, the healthcare sector is shifting towards implementing digital technologies for data management and in administration. New technologies offer better treatment opportunities and streamline clinical workflow, but the complexity can cause ineffectiveness, frustration, and errors. To address this, we believe digital solutions alone are not sufficient. Therefore, we take a human-centred design approach for AI development, and apply systems engineering methods to identify system leverage points. We demonstrate how automation enables monitoring clinical parameters, using existing non-intrusive sensor technology, resulting in more resources toward patient care. Furthermore, we provide a framework on digitization of clinical data for integration with data management. Methods Activities of Daily Living (ADLs) are essential parameters, necessary for evaluating patients in mental health wards. Ideally logging the parameters should take place at hourly intervals; however, time constraints and lack of resources restrict the nursing staff to consolidating the overall impression during the day, relying on what they recall. Using design methods, sensors (e.g. infrared, proximity, pressure) are used to automate the acquisition of data for machine learning that correspond to the ADLs, considering privacy and other medical requirements. Results We present a concept of a room with sensors that can be deployed in clinical settings. Sensor data log ADLs, and provide machine learning data. A theoretical framework demonstrates how collected data can be used in electronic/medical health records. Conclusions Data acquisition of the ADLs with automation enable variable specificity and sensitivity on-demand. It further facilitates interoperability and provides data for machine learning. Key messages Our research demonstrates automated data acquisition techniques for clinical monitoring. Human centered AI design approach enables on-demand analysis of ADLs for mental health treatment.

2020 ◽  
Author(s):  
Nalika Ulapane ◽  
Karthick Thiyagarajan ◽  
sarath kodagoda

<div>Classification has become a vital task in modern machine learning and Artificial Intelligence applications, including smart sensing. Numerous machine learning techniques are available to perform classification. Similarly, numerous practices, such as feature selection (i.e., selection of a subset of descriptor variables that optimally describe the output), are available to improve classifier performance. In this paper, we consider the case of a given supervised learning classification task that has to be performed making use of continuous-valued features. It is assumed that an optimal subset of features has already been selected. Therefore, no further feature reduction, or feature addition, is to be carried out. Then, we attempt to improve the classification performance by passing the given feature set through a transformation that produces a new feature set which we have named the “Binary Spectrum”. Via a case study example done on some Pulsed Eddy Current sensor data captured from an infrastructure monitoring task, we demonstrate how the classification accuracy of a Support Vector Machine (SVM) classifier increases through the use of this Binary Spectrum feature, indicating the feature transformation’s potential for broader usage.</div><div><br></div>


2020 ◽  
Author(s):  
Arfan Ahmed ◽  
Nashva ALi ◽  
Sarah Aziz ◽  
Alaa A Abd-Alrazaq ◽  
Asmaa Hassan ◽  
...  

BACKGROUND Anxiety and depression rates are at an all-time high along with other mental health disorders. Smartphone-based mental health chatbots or conversational agents can aid psychiatrists and replace some of the costly human based interaction and represent a unique opportunity to expand the availability and quality of mental health services and treatment. Regular up-to-date reviews will allow medics and individuals to recommend or use anxiety and depression related smartphone based chatbots with greater confidence. OBJECTIVE Assess the quality and characteristics of chatbots for anxiety and depression available on Android and iOS systems. METHODS A search was performed in the App Store and Google Play Store following the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) protocol to identify existing chatbots for anxiety and depression. Eligibility of the chatbots was assessed by two individuals based on predefined eligibility criteria. Meta-data of the included chatbots and their characteristics were extracted from their description and upon installation by 2 reviewers. Finally, chatbots quality information was assessed by following the mHONcode principles. RESULTS Although around 1000 anxiety and depression related chatbots exist, only a few (n=11) contained actual chatbots that could provide the user a real substitute for a human-human based interaction, even with today's Artificial Intelligence advancements, only one of these chatbots had voice as an input/output modality. Of the selected apps that contained chatbots all were clearly built with a therapeutic human substitute goal in mind. The majority had high user ratings and downloads highlighting the popularity of such chatbots and their promising future within the realm of anxiety and depression. CONCLUSIONS Anxiety and depression chatbot apps have the potential to increase the capacity of mental health self-care providing much needed assistance to professionals. In the current covid-19 pandemic, chatbots can also serve as a conversational companion with the potential of combating loneliness, especially in lockdowns where there is a lack of social interaction. Due to the ubiquitous nature of chatbots users can access them on-demand at the touch of a screen on ones’ smartphone. Self-care interventions are known to be effective and exist in various forms and some can be made available as chatbot features, such as assessment, mood tracking, medicine tracking, or simply providing conversation in times of loneliness.


2021 ◽  
pp. 158-166
Author(s):  
Noah Balestra ◽  
Gaurav Sharma ◽  
Linda M. Riek ◽  
Ania Busza

<b><i>Background:</i></b> Prior studies suggest that participation in rehabilitation exercises improves motor function poststroke; however, studies on optimal exercise dose and timing have been limited by the technical challenge of quantifying exercise activities over multiple days. <b><i>Objectives:</i></b> The objectives of this study were to assess the feasibility of using body-worn sensors to track rehabilitation exercises in the inpatient setting and investigate which recording parameters and data analysis strategies are sufficient for accurately identifying and counting exercise repetitions. <b><i>Methods:</i></b> MC10 BioStampRC® sensors were used to measure accelerometer and gyroscope data from upper extremities of healthy controls (<i>n</i> = 13) and individuals with upper extremity weakness due to recent stroke (<i>n</i> = 13) while the subjects performed 3 preselected arm exercises. Sensor data were then labeled by exercise type and this labeled data set was used to train a machine learning classification algorithm for identifying exercise type. The machine learning algorithm and a peak-finding algorithm were used to count exercise repetitions in non-labeled data sets. <b><i>Results:</i></b> We achieved a repetition counting accuracy of 95.6% overall, and 95.0% in patients with upper extremity weakness due to stroke when using both accelerometer and gyroscope data. Accuracy was decreased when using fewer sensors or using accelerometer data alone. <b><i>Conclusions:</i></b> Our exploratory study suggests that body-worn sensor systems are technically feasible, well tolerated in subjects with recent stroke, and may ultimately be useful for developing a system to measure total exercise “dose” in poststroke patients during clinical rehabilitation or clinical trials.


2020 ◽  
Vol 25 (4) ◽  
pp. 1-21
Author(s):  
Urbi Chatterjee ◽  
Soumi Chatterjee ◽  
Debdeep Mukhopadhyay ◽  
Rajat Subhra Chakraborty
Keyword(s):  

Sensors ◽  
2021 ◽  
Vol 21 (3) ◽  
pp. 776
Author(s):  
Xiaohui Tao ◽  
Thanveer Basha Shaik ◽  
Niall Higgins ◽  
Raj Gururajan ◽  
Xujuan Zhou

Remote Patient Monitoring (RPM) has gained great popularity with an aim to measure vital signs and gain patient related information in clinics. RPM can be achieved with noninvasive digital technology without hindering a patient’s daily activities and can enhance the efficiency of healthcare delivery in acute clinical settings. In this study, an RPM system was built using radio frequency identification (RFID) technology for early detection of suicidal behaviour in a hospital-based mental health facility. A range of machine learning models such as Linear Regression, Decision Tree, Random Forest, and XGBoost were investigated to help determine the optimum fixed positions of RFID reader–antennas in a simulated hospital ward. Empirical experiments showed that Decision Tree had the best performance compared to Random Forest and XGBoost models. An Ensemble Learning model was also developed, took advantage of these machine learning models based on their individual performance. The research set a path to analyse dynamic moving RFID tags and builds an RPM system to help retrieve patient vital signs such as heart rate, pulse rate, respiration rate and subtle motions to make this research state-of-the-art in terms of managing acute suicidal and self-harm behaviour in a mental health ward.


Author(s):  
Leonardo J. Gutierrez ◽  
Kashif Rabbani ◽  
Oluwashina Joseph Ajayi ◽  
Samson Kahsay Gebresilassie ◽  
Joseph Rafferty ◽  
...  

The increase of mental illness cases around the world can be described as an urgent and serious global health threat. Around 500 million people suffer from mental disorders, among which depression, schizophrenia, and dementia are the most prevalent. Revolutionary technological paradigms such as the Internet of Things (IoT) provide us with new capabilities to detect, assess, and care for patients early. This paper comprehensively survey works done at the intersection between IoT and mental health disorders. We evaluate multiple computational platforms, methods and devices, as well as study results and potential open issues for the effective use of IoT systems in mental health. We particularly elaborate on relevant open challenges in the use of existing IoT solutions for mental health care, which can be relevant given the potential impairments in some mental health patients such as data acquisition issues, lack of self-organization of devices and service level agreement, and security, privacy and consent issues, among others. We aim at opening the conversation for future research in this rather emerging area by outlining possible new paths based on the results and conclusions of this work.


2021 ◽  
Vol 5 (3) ◽  
pp. 1-30
Author(s):  
Gonçalo Jesus ◽  
António Casimiro ◽  
Anabela Oliveira

Sensor platforms used in environmental monitoring applications are often subject to harsh environmental conditions while monitoring complex phenomena. Therefore, designing dependable monitoring systems is challenging given the external disturbances affecting sensor measurements. Even the apparently simple task of outlier detection in sensor data becomes a hard problem, amplified by the difficulty in distinguishing true data errors due to sensor faults from deviations due to natural phenomenon, which look like data errors. Existing solutions for runtime outlier detection typically assume that the physical processes can be accurately modeled, or that outliers consist in large deviations that are easily detected and filtered by appropriate thresholds. Other solutions assume that it is possible to deploy multiple sensors providing redundant data to support voting-based techniques. In this article, we propose a new methodology for dependable runtime detection of outliers in environmental monitoring systems, aiming to increase data quality by treating them. We propose the use of machine learning techniques to model each sensor behavior, exploiting the existence of correlated data provided by other related sensors. Using these models, along with knowledge of processed past measurements, it is possible to obtain accurate estimations of the observed environment parameters and build failure detectors that use these estimations. When a failure is detected, these estimations also allow one to correct the erroneous measurements and hence improve the overall data quality. Our methodology not only allows one to distinguish truly abnormal measurements from deviations due to complex natural phenomena, but also allows the quantification of each measurement quality, which is relevant from a dependability perspective. We apply the methodology to real datasets from a complex aquatic monitoring system, measuring temperature and salinity parameters, through which we illustrate the process for building the machine learning prediction models using a technique based on Artificial Neural Networks, denoted ANNODE ( ANN Outlier Detection ). From this application, we also observe the effectiveness of our ANNODE approach for accurate outlier detection in harsh environments. Then we validate these positive results by comparing ANNODE with state-of-the-art solutions for outlier detection. The results show that ANNODE improves existing solutions regarding accuracy of outlier detection.


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