AiCarePWP: Deep learning-based novel research for Freezing of Gait forecasting in Parkinson.

BACKGROUND AND OBJECTIVES: Episodes of Freezing of Gait (FoG) are among the most debilitating motor symptoms of Parkinson's Disease (PD), leading to falls and significantly impacting patients' quality of life. Accurate assessment of FoG by neurologists provides crucial insights into patients' conditions and disease symptoms. This proposed strategy involves utilizing a Weighted Fuzzy Logic Controller, Kalman Filter, and Kaiser-Meyer-Olkin test to detect the gait parameters while walking, resting, and standing phases. Parameters such as neuromodulation format, intensity, duration, frequency, and velocity are computed to pre-empt freezing episodes, thus aiding their prevention. METHOD: The AiCarePWP is a wearable electronics device designed to identify instances when a patient is on the brink of experiencing a freezing episode and subsequently deliver a brief electrical impulse to the patient's shank muscles to stimulate movement. The AiCarePWP wearable device aims to identify impending freezing episodes in PD patients and deliver brief electrical impulses to stimulate movement. The study validates this innovative approach using plantar insoles with a 3D accelerometer and electrical stimulator, analysing data from the inertial measuring unit and plantar-pressure foot data to detect and predict FoG. RESULTS: Using a Convolutional Neural Network-based model, the study evaluated 47 gait features for their ability to differentiate resting, standing, and walking conditions. Variable selection was based on sensitivity, specificity, and overall accuracy, followed by Principal Component Analysis and Varimax rotation to extract and interpret factors. Factors with eigenvalues exceeding 1.0 were retained, and 37 features were retained. CONCLUSION: This study validates CNN's effectiveness in detecting FoG during various activities. It introduces a novel cueing method using electrical stimulation, which improves gait function and reduces FoG incidence in PD patients. Trustworthy wearable devices, based on Artificial Intelligence of Things (AIoT) and Artificial Intelligence of Medical Things (AIoMT), have been developed to support such interventions.

The G Protein Estrogen Receptor (GPER) is involved in the resistance to the CDK4/6 inhibitor palbociclib in breast cancer.

BACKGROUND: The cyclin D1-cyclin dependent kinases (CDK)4/6 inhibitor palbociclib in combination with endocrine therapy shows remarkable efficacy in the management of estrogen receptor (ER)-positive and HER2-negative advanced breast cancer (BC). Nevertheless, resistance to palbociclib frequently arises, highlighting the need to identify new targets toward more comprehensive therapeutic strategies in BC patients. METHODS: BC cell lines resistant to palbociclib were generated and used as a model system. Gene silencing techniques and overexpression experiments, real-time PCR, immunoblotting and chromatin immunoprecipitation studies as well as cell viability, colony and 3D spheroid formation assays served to evaluate the involvement of the G protein-coupled estrogen receptor (GPER) in the resistance to palbociclib in BC cells. Molecular docking simulations were also performed to investigate the potential interaction of palbociclib with GPER. Furthermore, BC cells co-cultured with cancer-associated fibroblasts (CAFs) isolated from mammary carcinoma, were used to investigate whether GPER signaling may contribute to functional cell interactions within the tumor microenvironment toward palbociclib resistance. Finally, by bioinformatics analyses and k-means clustering on clinical and expression data of large cohorts of BC patients, the clinical significance of novel mediators of palbociclib resistance was explored. RESULTS: Dissecting the molecular events that characterize ER-positive BC cells resistant to palbociclib, the down-regulation of ERα along with the up-regulation of GPER were found. To evaluate the molecular events involved in the up-regulation of GPER, we determined that the epidermal growth factor receptor (EGFR) interacts with the promoter region of GPER and stimulates its expression toward BC cells resistance to palbociclib treatment. Adding further cues to these data, we ascertained that palbociclib does induce pro-inflammatory transcriptional events via GPER signaling in CAFs. Of note, by performing co-culture assays we demonstrated that GPER contributes to the reduced sensitivity to palbociclib also facilitating the functional interaction between BC cells and main components of the tumor microenvironment named CAFs. CONCLUSIONS: Overall, our results provide novel insights on the molecular events through which GPER may contribute to palbociclib resistance in BC cells. Additional investigations are warranted in order to assess whether targeting the GPER-mediated interactions between BC cells and CAFs may be useful in more comprehensive therapeutic approaches of BC resistant to palbociclib.

A Review of AIoT-based Human Activity Recognition: From Application to Technique.

This scoping review paper redefines the Artificial Intelligence-based Internet of Things (AIoT) driven Human Activity Recognition (HAR) field by systematically extrapolating from various application domains to deduce potential techniques and algorithms. We distill a general model with adaptive learning and optimization mechanisms by conducting a detailed analysis of human activity types and utilizing contact or non-contact devices. It presents various system integration mathematical paradigms driven by multimodal data fusion, covering predictions of complex behaviors and redefining valuable methods, devices, and systems for HAR. Additionally, this paper establishes benchmarks for behavior recognition across different application requirements, from simple localized actions to group activities. It summarizes open research directions, including data diversity and volume, computational limitations, interoperability, real-time recognition, data security, and privacy concerns. Finally, we aim to serve as a comprehensive and foundational resource for researchers delving into the complex and burgeoning realm of AIoT-enhanced HAR, providing insights and guidance for future innovations and developments.

Rate splitting with semantics as a generalized multi-access framework for intelligent reflecting surfaces.

The rapid advancement of modern communication technologies necessitates the development of generalized multi-access frameworks and the continuous implementation of rate splitting, augmented with semantic awareness. This trend, coupled with the mounting pressure on wireless services, underscores the need for intelligent approaches to radio signal propagation. In response to these challenges, intelligent reflecting surfaces (IRS) have garnered significant attention for their ability to control data transmission systems in a goal-oriented and dynamic manner. This innovation is largely attributed to equitable resource allocation and the dynamic enhancement of network performance. However, the integration of rate-splitting multi-access (RSMA) architecture with semantic considerations imposes stringent requirements on IRS platforms to ensure seamless connectivity and broad coverage for a diverse user base without interference. Semantic communications hinge on a knowledge base-a centralized repository of integrated information related to the transmitted data-which becomes critically important in multi-antenna scenarios. This article proposes a novel set of design strategies for RSMA-IRS systems, enabled by reconfigurable intelligent surface synergizing with semantic communication principles. An experimental analysis is presented, demonstrating the effectiveness of these design guidelines in the context of Beyond 5G/6G communication systems. The RSMA-IRS model, infused with semantic communication, offers a promising solution for future wireless networks. Performance evaluations of the proposed approach reveal that, despite an increase in the number of users, the delay in the RSMA-IRS framework incorporating semantics is 2.94% less than that of a RSMA-IRS system without semantic integration.

Wearable Systems for Unveiling Collective Intelligence in Clinical Settings.

Nowadays, there is an ever-growing interest in assessing the collective intelligence (CI) of a team in a wide range of scenarios, thanks to its potential in enhancing teamwork and group performance. Recently, special attention has been devoted on the clinical setting, where breakdowns in teamwork, leadership, and communication can lead to adverse events, compromising patient safety. So far, researchers have mostly relied on surveys to study human behavior and group dynamics; however, this method is ineffective. In contrast, a promising solution to monitor behavioral and individual features that are reflective of CI is represented by wearable technologies. To date, the field of CI assessment still appears unstructured; therefore, the aim of this narrative review is to provide a detailed overview of the main group and individual parameters that can be monitored to evaluate CI in clinical settings, together with the wearables either already used to assess them or that have the potential to be applied in this scenario. The working principles, advantages, and disadvantages of each device are introduced in order to try to bring order in this field and provide a guide for future CI investigations in medical contexts.

Survival prediction of heart failure patients using motion-based analysis method.

BACKGROUND AND OBJECTIVE: Survival prediction of heart failure patients is critical to improve the prognostic management of the cardiovascular disease. The existing survival prediction methods focus on the clinical information while lacking the cardiac motion information. we propose a motion-based analysis method to predict the survival risk of heart failure patients for aiding clinical diagnosis and treatment. METHODS: We propose a motion-based analysis method for survival prediction of heart failure patients. First, our method proposes the hierarchical spatial-temporal structure to capture the myocardial border. It promotes the model discrimination on border features. Second, our method explores the dense optical flow structure to capture motion fields. It improves the tracking capability on cardiac images. The cardiac motion information is obtained by fusing boundary information and motion fields of cardiac images. Finally, our method proposes the multi-modality deep-cox structure to predict the survival risk of heart failure patients. It improves the survival probability of heart failure patients. RESULTS: The motion-based analysis method is confirmed to be able to improve the survival prediction of heart failure patients. The precision, recall, F1-score, and C-index are 0.8519, 0.8333, 0.8425, and 0.8478, respectively, which is superior to other state-of-the-art methods. CONCLUSIONS: The experimental results show that the proposed model can effectively predict survival risk of heart failure patients. It facilitates the application of robust clinical treatment strategies.

A Hybrid Generic Framework for Heart Problem Diagnosis Based on a Machine Learning Paradigm.

The early, valid prediction of heart problems would minimize life threats and save lives, while lack of prediction and false diagnosis can be fatal. Addressing a single dataset alone to build a machine learning model for the identification of heart problems is not practical because each country and hospital has its own data schema, structure, and quality. On this basis, a generic framework has been built for heart problem diagnosis. This framework is a hybrid framework that employs multiple machine learning and deep learning techniques and votes for the best outcome based on a novel voting technique with the intention to remove bias from the model. The framework contains two consequent layers. The first layer contains simultaneous machine learning models running over a given dataset. The second layer consolidates the outputs of the first layer and classifies them as a second classification layer based on novel voting techniques. Prior to the classification process, the framework selects the top features using a proposed feature selection framework. It starts by filtering the columns using multiple feature selection methods and considers the top common features selected. Results from the proposed framework, with 95.6% accuracy, show its superiority over the single machine learning model, classical stacking technique, and traditional voting technique. The main contribution of this work is to demonstrate how the prediction probabilities of multiple models can be exploited for the purpose of creating another layer for final output; this step neutralizes any model bias. Another experimental contribution is proving the complete pipeline's ability to be retrained and used for other datasets collected using different measurements and with different distributions.

Swarm Intelligence in Internet of Medical Things: A Review.

Continuous advancements of technologies such as machine-to-machine interactions and big data analysis have led to the internet of things (IoT) making information sharing and smart decision-making possible using everyday devices. On the other hand, swarm intelligence (SI) algorithms seek to establish constructive interaction among agents regardless of their intelligence level. In SI algorithms, multiple individuals run simultaneously and possibly in a cooperative manner to address complex nonlinear problems. In this paper, the application of SI algorithms in IoT is investigated with a special focus on the internet of medical things (IoMT). The role of wearable devices in IoMT is briefly reviewed. Existing works on applications of SI in addressing IoMT problems are discussed. Possible problems include disease prediction, data encryption, missing values prediction, resource allocation, network routing, and hardware failure management. Finally, research perspectives and future trends are outlined.

A TinyML Deep Learning Approach for Indoor Tracking of Assets.

Positioning systems have gained paramount importance for many different productive sector; however, traditional systems such as Global Positioning System (GPS) have failed to offer accurate and scalable solutions for indoor positioning requirements. Nowadays, alternative solutions such as fingerprinting allow the recognition of the characteristic signature of a location based on RF signal acquisition. In this work, a machine learning (ML) approach has been considered in order to classify the RSSI information acquired by multiple scanning stations from TAG broadcasting messages. TinyML has been considered for this project, as it is a rapidly growing technological paradigm that aims to assist the design and implementation of ML mechanisms in resource-constrained embedded devices. Hence, this paper presents the design, implementation, and deployment of embedded devices capable of communicating and sending information to a central system that determines the location of objects in a defined environment. A neural network (deep learning) is trained and deployed on the edge, allowing the multiple external error factors that affect the accuracy of traditional position estimation algorithms to be considered. Edge Impulse is selected as the main platform for data standardization, pre-processing, model training, evaluation, and deployment. The final deployed system is capable of classifying real data from the installed TAGs, achieving a classification accuracy of 88%, which can be increased to 94% when a post-processing stage is implemented.

At the Confluence of Artificial Intelligence and Edge Computing in IoT-Based Applications: A Review and New Perspectives.

Given its advantages in low latency, fast response, context-aware services, mobility, and privacy preservation, edge computing has emerged as the key support for intelligent applications and 5G/6G Internet of things (IoT) networks. This technology extends the cloud by providing intermediate services at the edge of the network and improving the quality of service for latency-sensitive applications. Many AI-based solutions with machine learning, deep learning, and swarm intelligence have exhibited the high potential to perform intelligent cognitive sensing, intelligent network management, big data analytics, and security enhancement for edge-based smart applications. Despite its many benefits, there are still concerns about the required capabilities of intelligent edge computing to deal with the computational complexity of machine learning techniques for big IoT data analytics. Resource constraints of edge computing, distributed computing, efficient orchestration, and synchronization of resources are all factors that require attention for quality of service improvement and cost-effective development of edge-based smart applications. In this context, this paper aims to explore the confluence of AI and edge in many application domains in order to leverage the potential of the existing research around these factors and identify new perspectives. The confluence of edge computing and AI improves the quality of user experience in emergency situations, such as in the Internet of vehicles, where critical inaccuracies or delays can lead to damage and accidents. These are the same factors that most studies have used to evaluate the success of an edge-based application. In this review, we first provide an in-depth analysis of the state of the art of AI in edge-based applications with a focus on eight application areas: smart agriculture, smart environment, smart grid, smart healthcare, smart industry, smart education, smart transportation, and security and privacy. Then, we present a qualitative comparison that emphasizes the main objective of the confluence, the roles and the use of artificial intelligence at the network edge, and the key enabling technologies for edge analytics. Then, open challenges, future research directions, and perspectives are identified and discussed. Finally, some conclusions are drawn.

Low-Cost and Confidential ECG Acquisition Framework Using Compressed Sensing and Chaotic Systems for Wireless Body Area Network.

Recent years have witnessed an increasing popularity of wireless body area network (WBAN), with which continuous collection of physiological signals can be conveniently performed for healthcare monitoring. Energy consumption is a critical issue because it directly affects the duration of the equipped sensors. In this article, we propose a low-cost and confidential electrocardiogram (ECG) acquisition approach for WBAN. The compressed sensing (CS) is employed for low-cost signal acquisition, and its cryptographic features are exploited for promoting the framework's confidentiality. In particular, the RIPless measurement matrix is used to give CS the resistance against plaintext attack, while the first-order Σ∆ quantizer is employed to embed the cryptographic diffusion feature into the whole system. Two chaotic systems are employed for generating the required secret elements for the acquisition and encryption. Experiment results well demonstrate the signal reconstruction and security performance of the proposed framework.

A novel multimodal fusion framework for early diagnosis and accurate classification of COVID-19 patients using X-ray images and speech signal processing techniques.

BACKGROUND AND OBJECTIVE: COVID-19 outbreak has become one of the most challenging problems for human being. It is a communicable disease caused by a new coronavirus strain, which infected over 375 million people already and caused almost 6 million deaths. This paper aims to develop and design a framework for early diagnosis and fast classification of COVID-19 symptoms using multimodal Deep Learning techniques. METHODS: we collected chest X-ray and cough sample data from open source datasets, Cohen and datasets and local hospitals. The features are extracted from the chest X-ray images are extracted from chest X-ray datasets. We also used cough audio datasets from Coswara project and local hospitals. The publicly available Coughvid DetectNow and Virufy datasets are used to evaluate COVID-19 detection based on speech sounds, respiratory, and cough. The collected audio data comprises slow and fast breathing, shallow and deep coughing, spoken digits, and phonation of sustained vowels. Gender, geographical location, age, preexisting medical conditions, and current health status (COVID-19 and Non-COVID-19) are recorded. RESULTS: The proposed framework uses the selection algorithm of the pre-trained network to determine the best fusion model characterized by the pre-trained chest X-ray and cough models. Third, deep chest X-ray fusion by discriminant correlation analysis is used to fuse discriminatory features from the two models. The proposed framework achieved recognition accuracy, specificity, and sensitivity of 98.91%, 96.25%, and 97.69%, respectively. With the fusion method we obtained 94.99% accuracy. CONCLUSION: This paper examines the effectiveness of well-known ML architectures on a joint collection of chest-X-rays and cough samples for early classification of COVID-19. It shows that existing methods can effectively used for diagnosis and suggesting that the fusion learning paradigm could be a crucial asset in diagnosing future unknown illnesses. The proposed framework supports health informatics basis on early diagnosis, clinical decision support, and accurate prediction.

A Novel Multi-Stage Residual Feature Fusion Network for Detection of COVID-19 in Chest X-Ray Images.

To suppress the spread of COVID-19, accurate diagnosis at an early stage is crucial, chest screening with radiography imaging plays an important role in addition to the real-time reverse transcriptase polymerase chain reaction (RT-PCR) swab test. Due to the limited data, existing models suffer from incapable feature extraction and poor network convergence and optimization. Accordingly, a multi-stage residual network, MSRCovXNet, is proposed for effective detection of COVID-19 from chest x-ray (CXR) images. As a shallow yet effective classifier with the ResNet-18 as the feature extractor, MSRCovXNet is optimized by fusing two proposed feature enhancement modules (FEM), i.e., low-level and high-level feature maps (LLFMs and HLFMs), which contain respectively more local information and rich semantic information, respectively. For effective fusion of these two features, a single-stage FEM (MSFEM) and a multi-stage FEM (MSFEM) are proposed to enhance the semantic feature representation of the LLFMs and the local feature representation of the HLFMs, respectively. Without ensembling other deep learning models, our MSRCovXNet has a precision of 98.9% and a recall of 94% in detection of COVID-19, which outperforms several state-of-the-art models. When evaluated on the COVIDGR dataset, an average accuracy of 82.2% is achieved, leading other methods by at least 1.2%.

Origami-Inspired Structure with Pneumatic-Induced Variable Stiffness for Multi-DOF Force-Sensing.

With the emerging need for human-machine interactions, multi-modal sensory interaction is gradually pursued rather than satisfying common perception forms (visual or auditory), so developing flexible, adaptive, and stiffness-variable force-sensing devices is the key to further promoting human-machine fusion. However, current sensor sensitivity is fixed and nonadjustable after fabrication, limiting further development. To solve this problem, we propose an origami-inspired structure to achieve multiple degrees of freedom (DoFs) motions with variable stiffness for force-sensing, which combines the ductility and flexibility of origami structures. In combination with the pneumatic actuation, the structure can achieve and adapt the compression, pitch, roll, diagonal, and array motions (five motion modes), which significantly increase the force adaptability and sensing diversity. To achieve closed-loop control and avoid excessive gas injection, the ultra-flexible microfiber sensor is designed and seamlessly embedded with an approximately linear sensitivity of ∼0.35 Ω/kPa at a relative pressure of 0-100 kPa, and an exponential sensitivity at a relative pressure of 100-350 kPa, which can render this device capable of working under various conditions. The final calibration experiment demonstrates that the pre-pressure value can affect the sensor's sensitivity. With the increasing pre-pressure of 65-95 kPa, the average sensitivity curve shifts rightwards around 9 N intervals, which highly increases the force-sensing capability towards the range of 0-2 N. When the pre-pressure is at the relatively extreme air pressure of 100 kPa, the force sensitivity value is around 11.6 Ω/N. Therefore, our proposed design (which has a low fabrication cost, high integration level, and a suitable sensing range) shows great potential for applications in flexible force-sensing development.

Adaptive Multi-Modal Fusion Framework for Activity Monitoring of People With Mobility Disability.

The development of activity recognition based on multi-modal data makes it possible to reduce human intervention in the process of monitoring. This paper proposes an efficient and cost-effective multi-modal sensing framework for activity monitoring, it can automatically identify human activities based on multi-modal data, and provide help to patients with moderate disabilities. The multi-modal sensing framework for activity monitoring relies on parallel processing of videos and inertial data. A new supervised adaptive multi-modal fusion method (AMFM) is used to process multi-modal human activity data. Spatio-temporal graph convolution network with adaptive loss function (ALSTGCN) is proposed to extract skeleton sequence features, and long short-term memory fully convolutional network (LSTM-FCN) module with adaptive loss function is adapted to extract inertial data features. An adaptive learning method is proposed at the decision level to learn the contribution of the two modalities to the classification results. The effectiveness of the algorithm is demonstrated on two public multi-modal datasets (UTD-MHAD and C-MHAD) and a new multi-modal dataset H-MHAD collected from our laboratory. The results show that the performance of the AMFM approach on three datasets is better than the performance of the video or the inertial-based single-modality model. The class-balanced cross-entropy loss function further improves the model performance based on the H-MHAD dataset. The accuracy of action recognition is 91.18%, and the recall rate of falling activity is 100%. The results illustrate that using multiple heterogeneous sensors to realize automatic process monitoring is a feasible alternative to the manual response.

IoT Platforms and Security: An Analysis of the Leading Industrial/Commercial Solutions.

For simplifying and speeding up the development of the Internet of Things (IoT) ecosystem, there has been a proliferation of IoT platforms, built up according to different design principles, computing paradigms, technologies, and targets. This paper proposes a review of main examples populating the wide landscape of IoT platforms and their comparison based on the IoT-A reference architecture. In such a way, heterogeneous IoT platforms (both current and future) can be analyzed regardless of their low-level specifications but exclusively through the lens of those key functionalities and architectural building blocks that enable the interplay among devices, data flow, software, and stakeholders within the IoT ecosystem. Among these, security by design (i.e., the inclusion of security design principles, technology, and governance at every level) must be integrated into every tier, component, and application to minimize the risk of cyber threats and preserve the integrity of the IoT platforms, not only within individual components but also for all the components working together as a whole.

Depression Analysis and Recognition Based on Functional Near-Infrared Spectroscopy.

Depression is the result of a complex interaction of social, psychological and physiological elements. Research into the brain disorders of patients suffering from depression can help doctors to understand the pathogenesis of depression and facilitate its diagnosis and treatment. Functional near-infrared spectroscopy (fNIRS) is a non-invasive approach to the detection of brain functions and activities. In this paper, a comprehensive fNIRS-based depression-processing architecture, including the layers of source, feature and model, is first established to guide the deep modeling for fNIRS. In view of the complexity of depression, we propose a methodology in the time and frequency domains for feature extraction and deep neural networks for depression recognition combined with current research. It is found that compared to non-depression people, patients with depression have a weaker encephalic area connectivity and lower level of activation in the prefrontal lobe during brain activity. Finally, based on raw data, manual features and channel correlations, the AlexNet model shows the best performance, especially in terms of the correlation features and presents an accuracy rate of 0.90 and a precision rate of 0.91, which is higher than ResNet18 and machine-learning algorithms on other data. Therefore, the correlation of brain regions can effectively recognize depression (from cases of non-depression), making it significant for the recognition of brain functions in the clinical diagnosis and treatment of depression.

Intelligent Sensory Pen for Aiding in the Diagnosis of Parkinson's Disease from Dynamic Handwriting Analysis.

In this paper, we propose a pen device capable of detecting specific features from dynamic handwriting tests for aiding on automatic Parkinson's disease identification. The method used in this work uses machine learning to compare the raw signals from different sensors in the device coupled to a pen and extract relevant information such as tremors and hand acceleration to diagnose the patient clinically. Additionally, the datasets composed of raw signals from healthy and Parkinson's disease patients acquired here are made available to further contribute to research related to this topic.

Continuous blood pressure measurement from one-channel electrocardiogram signal using deep-learning techniques.

Continuous blood pressure (BP) measurement is crucial for reliable and timely hypertension detection. State-of-the-art continuous BP measurement methods based on pulse transit time or multiple parameters require simultaneous electrocardiogram (ECG) and photoplethysmogram (PPG) signals. Compared with PPG signals, ECG signals are easy to collect using wearable devices. This study examined a novel continuous BP estimation approach using one-channel ECG signals for unobtrusive BP monitoring. A BP model is developed based on the fusion of a residual network and long short-term memory to obtain the spatial-temporal information of ECG signals. The public multiparameter intelligent monitoring waveform database, which contains ECG, PPG, and invasive BP data of patients in intensive care units, is used to develop and verify the model. Experimental results demonstrated that the proposed approach exhibited an estimation error of 0.07 ± 7.77 mmHg for mean arterial pressure (MAP) and 0.01 ± 6.29 for diastolic BP (DBP), which comply with the Association for the Advancement of Medical Instrumentation standard. According to the British Hypertension Society standards, the results achieved grade A for MAP and DBP estimation and grade B for systolic BP (SBP) estimation. Furthermore, we verified the model with an independent dataset for arrhythmia patients. The experimental results exhibited an estimation error of -0.22 ± 5.82 mmHg, -0.57 ± 4.39 mmHg, and -0.75 ± 5.62 mmHg for SBP, MAP, and DBP measurements, respectively. These results indicate the feasibility of estimating BP by using a one-channel ECG signal, thus enabling continuous BP measurement for ubiquitous health care applications.