scholarly journals Improvements in Medical System Safety Analytics for Authentic Measure of Vital Signs Using Fault-Tolerant Design Approach

2021 ◽  
Vol 3 ◽  
Author(s):  
Prasadraju Lakkamraju ◽  
Madhu Anumukonda ◽  
Shubhajit Roy Chowdhury

The study presents a novel design method that improves system availability using fault-tolerant features in a non-invasive medical diagnostic system. This approach addresses the effective detection of functional faults, improves the uninterruptible system operating period with reduced false alarms, and provides an authentic measure of vital cardiac signs using diverse multimodal sensing elements like the photoplethysmogram (PPG) and the ECG. Most systems rely on a 1oo1 (one-out-of-one) design method, which inherently limits accuracy in existing practice. In this proposed approach, the quality of segregated authentic vital sign measured values could tremendously benefit the performance of resourceful nursing with negligible alarm fatigue and predict illness more accurately. The system builds upon the selected 2oo2 (two-out-of-two) safety-related design architecture and is evaluated with implemented functions like the fault detection and identification logic, the correlation coefficient-based safety function, and the fault-tolerant safe degradation switching mechanism for accurate measurements. The system was tested on 50 adults of various age groups. The analyzed captured data showed highly accurate vital sign data in this fault-tolerant approach with reduced false alarms. The proposed design method evaluated safety-related mechanisms along with a combination of the same and diverse sensors in a medical monitoring device, showing more reliable functioning of the system and authentic data for better nursing. This design approach showed a 45–55% increased improvement in system availability, thus allowing for accurate and uninterruptable tracking of vital signs for better nursing during critical times in the ICU.

Sensors ◽  
2021 ◽  
Vol 21 (7) ◽  
pp. 2412
Author(s):  
Sungwon Yoo ◽  
Shahzad Ahmed ◽  
Sun Kang ◽  
Duhyun Hwang ◽  
Jungjun Lee ◽  
...  

The ongoing intense development of short-range radar systems and their improved capability of measuring small movements make these systems reliable solutions for the extraction of human vital signs in a contactless fashion. The continuous contactless monitoring of vital signs can be considered in a wide range of applications, such as remote healthcare solutions and context-aware smart sensor development. Currently, the provision of radar-recorded datasets of human vital signs is still an open issue. In this paper, we present a new frequency-modulated continuous wave (FMCW) radar-recorded vital sign dataset for 50 children aged less than 13 years. A clinically approved vital sign monitoring sensor was also deployed as a reference, and data from both sensors were time-synchronized. With the presented dataset, a new child age-group classification system based on GoogLeNet is proposed to develop a child safety sensor for smart vehicles. The radar-recorded vital signs of children are divided into several age groups, and the GoogLeNet framework is trained to predict the age of unknown human test subjects.


Author(s):  
Ifeoma V. Ngonadi

The Internet of Things (IoT) is a system of interrelated computing devices, mechanical and digital machines, objects, animals or people that are provided with unique identifiers and the ability to transfer data over a network without requiring human-to-human or human-to-computer interaction. Remote patient monitoring enables the monitoring of patients’ vital signs outside the conventional clinical settings which may increase access to care and decrease healthcare delivery costs. This paper focuses on implementing internet of things in a remote patient medical monitoring system. This was achieved by writing two computer applications in java in which one simulates a mobile phone called the Intelligent Personal Digital Assistant (IPDA) which uses a data structure that includes age, smoking habits and alcohol intake to simulate readings for blood pressure, pulse rate and mean arterial pressure continuously every twenty five which it sends to the server. The second java application protects the patients’ medical records as they travel through the networks by employing a symmetric key encryption algorithm which encrypts the patients’ medical records as they are generated and can only be decrypted in the server only by authorized personnel. The result of this research work is the implementation of internet of things in a remote patient medical monitoring system where patients’ vital signs are generated and transferred to the server continuously without human intervention.


Author(s):  
Dinesh D Dhadekar ◽  
S E Talole

In this article, position and attitude tracking control of the quadrotor subject to complex nonlinearities, input couplings, aerodynamic uncertainties, and external disturbances coupled with faults in multiple motors is investigated. A robustified nonlinear dynamic inversion (NDI)-based fault-tolerant control (FTC) scheme is proposed for the purpose. The proposed scheme is not only robust against aforementioned nonlinearities, disturbances, and uncertainties but also tolerant to unexpected occurrence of faults in multiple motors. The proposed scheme employs uncertainty and disturbance estimator (UDE) technique to robustify the NDI-based controller by providing estimate of the lumped disturbance, thereby enabling rejection of the same. In addition, the UDE also plays the role of fault detection and identification module. The effectiveness and benefits of the proposed design are confirmed through 6-DOF simulations and experimentation on a 3-DOF Hover platform.


Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 285
Author(s):  
Chuchart Pintavirooj ◽  
Tanapon Keatsamarn ◽  
Treesukon Treebupachatsakul

Telemedicine has become an increasingly important part of the modern healthcare infrastructure, especially in the present situation with the COVID-19 pandemics. Many cloud platforms have been used intensively for Telemedicine. The most popular ones include PubNub, Amazon Web Service, Google Cloud Platform and Microsoft Azure. One of the crucial challenges of telemedicine is the real-time application monitoring for the vital sign. The commercial platform is, by far, not suitable for real-time applications. The alternative is to design a web-based application exploiting Web Socket. This research paper concerns the real-time six-parameter vital-sign monitoring using a web-based application. The six vital-sign parameters are electrocardiogram, temperature, plethysmogram, percent saturation oxygen, blood pressure and heart rate. The six vital-sign parameters were encoded in a web server site and sent to a client site upon logging on. The encoded parameters were then decoded into six vital sign signals. Our proposed multi-parameter vital-sign telemedicine system using Web Socket has successfully remotely monitored the six-parameter vital signs on 4G mobile network with a latency of less than 5 milliseconds.


Author(s):  
Jian Gong ◽  
Xinyu Zhang ◽  
Kaixin Lin ◽  
Ju Ren ◽  
Yaoxue Zhang ◽  
...  

Radio frequency (RF) sensors such as radar are instrumental for continuous, contactless sensing of vital signs, especially heart rate (HR) and respiration rate (RR). However, decades of related research mainly focused on static subjects, because the motion artifacts from other body parts may easily overwhelm the weak reflections from vital signs. This paper marks a first step in enabling RF vital sign sensing under ambulant daily living conditions. Our solution is inspired by existing physiological research that revealed the correlation between vital signs and body movement. Specifically, we propose to combine direct RF sensing for static instances and indirect vital sign prediction based on movement power estimation. We design customized machine learning models to capture the sophisticated correlation between RF signal pattern, movement power, and vital signs. We further design an instant calibration and adaptive training scheme to enable cross-subjects generalization, without any explicit data labeling from unknown subjects. We prototype and evaluate the framework using a commodity radar sensor. Under a variety of moving conditions, our solution demonstrates an average estimation error of 5.57 bpm for HR and 3.32 bpm for RR across multiple subjects, which largely outperforms state-of-the-art systems.


Author(s):  
G D Gosain ◽  
R Sharma ◽  
Tae-wan Kim

In the modern era of design governed by economics and efficiency, the preliminary design of a semi-submersible is critically important because in an evolutionary design environment new designs evolve from the basic preliminary designs and the basic dimensions and configurations affect almost all the parameters related to the economics and efficiency (e.g. hydrodynamic response, stability, deck load and structural steel weight of the structure, etc.). The present paper is focused on exploring an optimum design method that aims not only at optimum motion characteristics but also optimum stability, manufacturing and operational efficiency. Our proposed method determines the most preferable optimum principal dimensions of a semi-submersible that satisfies the desired requirements for motion performance and stability at the preliminary stage of design. Our proposed design approach interlinks the mathematical design model with the global optimization techniques and this paper presents the preliminary design approach, the mathematical model of optimization. Finally, a real world design example of a semi-submersible is presented to show the applicability and efficiency of the proposed design optimization model at the preliminary stage of design.


2017 ◽  
Vol 35 (1) ◽  
pp. 18-27 ◽  
Author(s):  
Jacinta A Lucke ◽  
Jelle de Gelder ◽  
Fleur Clarijs ◽  
Christian Heringhaus ◽  
Anton J M de Craen ◽  
...  

ObjectiveThe aim of this study was to develop models that predict hospital admission to ED of patients younger and older than 70 and compare their performance.MethodsPrediction models were derived in a retrospective observational study of all patients≥18 years old visiting the ED of a university hospital during the first 6 months of 2012. Patients were stratified into two age groups (<70 years old and ≥70 years old). Multivariable logistic regression analysis was used to identify predictors of hospital admission among factors available immediately after patient arrival to the ED. Validation of the prediction models was performed on patients presenting to the ED during the second half of the year 2012.Results10 807 patients were included in the derivation and 10 480 in the validation cohorts. The strongest independent predictors of hospital admission among the 8728 patients <70 years old were age, sex, triage category, mode of arrival, performance of blood tests, chief complaint, ED revisit, type of specialist, phlebotomised blood sample and all vital signs. The area under the curve (AUC) of the validation cohort for those <70 years old was 0.86 (95% CI 0.85 to 0.87). Among the 2079 patients ≥70 years, the same factors were predictive, except for gender, type of specialist and heart rate; the AUC was 0.77 (95% CI 0.75 to 0.79). The prediction models could identify a group of 10% of patients with the highest risk in whom hospital admission was predicted at ED triage, with a positive predictive value (PPV) of 71% (95% CI 68% to 74%) in younger patients and PPV of 87% (95% CI 81% to 92%) in older patients.ConclusionDemographic and clinical factors readily available early in the ED visit can be useful in identifying patients who are likely to be admitted to the hospital. While the model for the younger patients had a higher AUC, the model for older patients had a higher PPV in identifying the patients at highest risk for admission. Of note, heart rate was not a useful predictor in the older patients.


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