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Remote health monitoring for elderly through interactive television
Spinsante Susanna,Gambi Ennio
BioMedical Engineering OnLine , 2012, DOI: 10.1186/1475-925x-11-54
Abstract: Background Providing remote health monitoring to specific groups of patients represents an issue of great relevance for the national health systems, because of the costs related to moving health operators, the time spent to reach remote sites, and the high number of people needing health assistance. At the same time, some assistance activities, like those related to chronical diseases, may be satisfied through a remote interaction with the patient, without a direct medical examination. Methods Moving from this considerations, our paper proposes a system architecture for the provisioning of remote health assistance to older adults, based on a blind management of a network of wireless medical devices, and an interactive TV Set Top Box for accessing health related data. The selection of TV as the interface between the user and the system is specifically targeted to older adults. Due to the private nature of the information exchanged, a certified procedure is implemented for data delivery, through the use of non conditional smart cards. All these functions may be accomplished through a proper design of the system management, and a suitable interactive application. Results The interactive application acting as the interface between the user and the system on the TV monitor has been evaluated able to help readability and clear understanding of the contents and functions proposed. Thanks to the limited amount of data to transfer, even a Set Top Box equipped with a traditional PSTN modem may be used to support the proposed service at a basic level; more advanced features, like audio/video connection, may be activated if the Set Top Box enables a broadband connection (e.g. ADSL). Conclusions The proposed layered architecture for a remote health monitoring system can be tailored to address a wide range of needs, according with each patient’s conditions and capabilities. The system exploits the potentialities offered by Digital Television receivers, a friendly MHP interface, and the familiar remote control, to make the service effective and easy to use also for elderly people.
An Optimized Dynamic Scene Change Detection Algorithm for H.264/AVC Encoded Video Sequences
Giorgio Rascioni,Susanna Spinsante,Ennio Gambi
International Journal of Digital Multimedia Broadcasting , 2010, DOI: 10.1155/2010/864123
Abstract: Scene change detection plays an important role in a number of video applications, including video indexing, semantic features extraction, and, in general, pre- and post-processing operations. This paper deals with the design and performance evaluation of a dynamic scene change detector optimized for H.264/AVC encoded video sequences. The detector is based on a dynamic threshold that adaptively tracks different features of the video sequence, to increase the whole scheme accuracy in correctly locating true scene changes. The solution has been tested on suitable video sequences resembling real-world videos thanks to a number of different motion features, and has provided good performance without requiring an increase in decoder complexity. This is a valuable issue, considering the possible application of the proposed algorithm in post-processing operations, such as error concealment for video decoding in typical error prone video transmission environments, such as wireless networks. 1. Introduction Scene change detection is an issue easy to solve for humans, but it becomes really complicated when it has to be performed automatically by a device, which usually requires complex algorithms and computations, involving a huge amount of operations. The process of scene change detection becomes more and more complex when other constraints and specific limitations, due to the peculiar environment of application, may be present. A scene in a movie, and, in general, in a video sequence, can be defined as a succession of individual shots semantically related, where a shot is intended as an uninterrupted segment of the video sequence, with static frames or continuous camera motion. In the field of video processing, scene change detection can be applied either in preprocessing and postprocessing operations, according to the purposes that the detection phase has to achieve, and with different features and performance. As an example, in H.264/AVC video coding applications, scene change detection can be used in preprocessing as a decisional algorithm, in order to force Intraframe encoding (I) instead of temporal prediction (P), when a scene change occurs, and to confirm predicted or bi-predicted (B) coding for the remaining frames. As discussed in [1], a dynamic threshold model for real time scene change detection among consecutive frames may serve as a criterion for the selection of the compression method, as well as for the temporal prediction; it may also help to optimize rate control mechanisms at the encoder. In lossy video transmission environments, the effects of
Binary De Bruijn sequences for DS-CDMA systems: analysis and results
Spinsante Susanna,Andrenacci Stefano,Gambi Ennio
EURASIP Journal on Wireless Communications and Networking , 2011,
Abstract: Code division multiple access (CDMA) using direct sequence (DS) spread spectrum modulation provides multiple access capability essentially thanks to the adoption of proper sequences as spreading codes. The ability of a DS-CDMA receiver to detect the desired signal relies to a great extent on the auto-correlation properties of the spreading code associated to each user; on the other hand, multi-user interference rejection depends on the cross-correlation properties of all the spreading codes in the considered set. As a consequence, the analysis of new families of spreading codes to be adopted in DS-CDMA is of great interest. This article provides results about the evaluation of specific full-length binary sequences, the De Bruijn ones, when applied as spreading codes in DS-CDMA schemes, and compares their performance to other families of spreading codes commonly used, such as m-sequences, Gold, OVSF, and Kasami sequences. While the latter sets of sequences have been specifically designed for application in multi-user communication contexts, De Bruijn sequences come from combinatorial mathematics, and have been applied in completely different scenarios. Considering the similarity of De Bruijn sequences to random sequences, we investigate the performance resulting by applying them as spreading codes. The results herein presented suggest that binary De Bruijn sequences, when properly selected, may compete with more consolidated options, and encourage further investigation activities, specifically focused on the generation of longer sequences, and the definition of correlation-based selection criteria.
Advances in Video Coding for Broadcast Applications
Susanna Spinsante,Ennio Gambi,Lorenzo Ciccarelli,Andrea Lorenzo Vitali
International Journal of Digital Multimedia Broadcasting , 2009, DOI: 10.1155/2009/368326
Technological Approaches to Remote Monitoring of Elderly People in Cardiology: A Usability Perspective
Susanna Spinsante,Roberto Antonicelli,Ilaria Mazzanti,Ennio Gambi
International Journal of Telemedicine and Applications , 2012, DOI: 10.1155/2012/104561
Technological Approaches to Remote Monitoring of Elderly People in Cardiology: A Usability Perspective
Susanna Spinsante,Roberto Antonicelli,Ilaria Mazzanti,Ennio Gambi
International Journal of Telemedicine and Applications , 2012, DOI: 10.1155/2012/104561
Abstract: Moving from the experience gained in home telemonitoring of elderly patients with Congestive Heart Failure, that confirmed a reduction of the rehospitalization rate and an improved monitoring of drugs assumption by the patients, this paper extends the evaluation of technological approaches for remote health monitoring of older adults. Focus of the evaluation is on telemedicine effectiveness and usability, either from a patient’s or a medical operator’s perspective. The evaluation has been performed by testing three remote health platforms designed according to different technological approaches, in a realistic scenario involving older adults and medical operators (doctors and nurses). The aim of the testing activity was not to benchmark a specific solution with respect to the others, but to evaluate the main positive and negative issues related to the system and service design philosophy each solution was built upon. Though preliminary, the results discussed in the paper can be used as a set of guidelines in the selection of proper technological equipments for services targeted to elderly users, from a usability perspective. These results need to be complemented with more focused discussions of the ethical, medical, and legal aspects of the use of technology in remote healthcare. 1. Introduction The impact of ICT (Information and Communication Technology) on the healthcare sector is a double-face phenomenon. On one hand, many effective and significant advances are continuously taking place, especially in the field of medical treatments, and devices designed for their delivery. Also the management of medical data and patients’ records is experiencing a kind of digital revolution; thanks to the widespread introduction of the electronic health record to gradually replace traditionally heterogeneous, and often partially hand-processed, data management services. On the other hand, however, although appropriate technology is available, a very limited spreading of remote health monitoring solutions is evidenced, especially among those users that could really benefit from it, such as elderly people or physically disabled people. Since several years, research studies and projections show that most of the developed countries are experiencing a demographic shift [1]; as an example, the life expectancy for males and females in Europe has increased from 45.7 and 49.6 to 75.0 and 79.9 years, respectively, in less than a century. Looking at long-term projections, the process of ageing is set to increase at an even faster pace; moreover, there is a growing concern
Kinect as a Tool for Gait Analysis: Validation of a Real-Time Joint Extraction Algorithm Working in Side View
Enea Cippitelli,Samuele Gasparrini,Susanna Spinsante,Ennio Gambi
Sensors , 2015, DOI: 10.3390/s150101417
Abstract: The Microsoft Kinect sensor has gained attention as a tool for gait analysis for several years. Despite the many advantages the sensor provides, however, the lack of a native capability to extract joints from the side view of a human body still limits the adoption of the device to a number of relevant applications. This paper presents an algorithm to locate and estimate the trajectories of up to six joints extracted from the side depth view of a human body captured by the Kinect device. The algorithm is then applied to extract data that can be exploited to provide an objective score for the “Get Up and Go Test”, which is typically adopted for gait analysis in rehabilitation fields. Starting from the depth-data stream provided by the Microsoft Kinect sensor, the proposed algorithm relies on anthropometric models only, to locate and identify the positions of the joints. Differently from machine learning approaches, this solution avoids complex computations, which usually require significant resources. The reliability of the information about the joint position output by the algorithm is evaluated by comparison to a marker-based system. Tests show that the trajectories extracted by the proposed algorithm adhere to the reference curves better than the ones obtained from the skeleton generated by the native applications provided within the Microsoft Kinect (Microsoft Corporation, Redmond,WA, USA, 2013) and OpenNI (OpenNI organization, Tel Aviv, Israel, 2013) Software Development Kits.
Magnetic Theory and Applications in the Naples Bay (Southern Tyrrhenian Sea, Italy): Magnetic Anomaly Fields and Relationships with Morpho-Structural Lineaments  [PDF]
Gemma Aiello, Ennio Marsella
World Journal of Condensed Matter Physics (WJCMP) , 2016, DOI: 10.4236/wjcmp.2016.63020
Abstract: Magnetic theory and application to a complex volcanic area located in Southern Italy are here discussed showing the example of the Gulf of Naples, located at Southern Italy Tyrrhenian margin. A magnetic anomaly map of the Gulf of Naples has been constructed aimed at highlighting new knowledge on geophysics and volcanology of this area of the Eastern Tyrrhenian margin, characterized by a complex geophysical setting, strongly depending on sea bottom topography. The theoretical aspects of marine magnetometry and multibeam bathymetry have been discussed. Magnetic data processing included the correction of the data for the diurnal variation, the correction of the data for the offset and the leveling of the data as a function of the correction at the cross-points of the navigation lines. Multibeam and single-beam bathymetric data processing has been considered. Magnetic anomaly fields in the Naples Bay have been discussed through a detailed geological interpretation and correlated with main morpho-structural features recognized through morpho- bathymetric interpretation. Details of magnetic anomalies have been selected, represented and correlated with significant seismic profiles, recorded on the same navigation lines of magnetometry. They include the continental shelf offshore the Somma-Vesuvius volcanic complex, the outer shelf of the Gulf of Pozzuoli offshore the Phlegrean Fields volcanic complex, the relict volcanic banks of Pentapalummo, Nisida and Miseno, the Gaia volcanic bank on the Naples slope, the western slope of the Dohrn canyon, the Magnaghi canyon’s head and the magnetic anomalies among the Ischia and Procida islands.
Olavarría Gambi,Mauricio;
Acta bioethica , 2005, DOI: 10.4067/S1726-569X2005000100006
Abstract: chile presents a remarkable lessening of its poverty; indicators show that people's healthcare conditions are close to those of the developed countries. this paper analyses the healthcare conditions of people with the lowest incomes, if they have access to medical and dental care when they are sick, if this care is readily obtained or with delay or when it is already late, and if they get coverage from the healthcare protective systems
Efectividad en la gestión pública chilena
Olavarría Gambi, Mauricio;
Convergencia , 2010,
Abstract: addressing the question on what makes a public agency effective? this article identifies public agencies seen as effective by different indicators as well as types of people. later, it identifies the variables explaining effectiveness in those cases, which would be: leadership and vision, reorientation of the mission, orientation to the beneficiary, intensive use of itcs, and strategic management. given that public agencies may improve and/or worsen, the identification of those public agencies effective and ineffective should be a regular exercise. that may contribute to establish process of continuous improvement in public management, the most important government tool to implement policies seeking to improve citizen's well being.
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