The Congenital Cardiology Cloud - optimizing long-term care by connecting ambulatory and hospital medical attendance via telemedicine.

BACKGROUND: Patients with complex congenital heart disease frequently undergo a life-long ambulatory therapy with the need for repeated hospital interventions. To optimize this manifold interplay, we designed and implemented a tele-medical service, the Congenital Cardiology Cloud (CCC). This study aims to analyse the requirements for its implementation through the comprehensive assessment of design, installation and impact on patient´s care. METHODS: CCC's development comprised the analysis of historically raised admission and discharge management and the definition of technical and organizational requirements. Elaboration of procedural flow charts, description of data formats and technical processes as well as distribution of patient structure formed part of this process. RESULTS: Analysis of existing workflows uncovered a need for the rebuilding of admission and discharge process and decision making for further treatment. The CCC reduces conference-meetings in general and repetitive meetings up to less than a third. Real-time dispatch of discharge documents guarantees an instantaneous access to patient-related data. Comparative analyses show a more complex patient group to be involved in tele-medical services. CONCLUSIONS: The CCC enables the sharing of complex clinical information by overcoming sectoral barriers and improves mutual patient advice. Implementation of a tele-medical network requires willingness, perseverance and professional engagement. Future application analysis and possible introduction of refinancing concepts will show its long-term feasibility.

InjectMeAI-Software Module of an Autonomous Injection Humanoid.

The recent pandemic outbreak proved social distancing effective in helping curb the spread of SARS-CoV-2 variants along with the wearing of masks and hand gloves in hospitals and assisted living environments. Health delivery personnel having undergone training regarding the handling of patients suffering from Corona infection have been stretched. Administering injections involves unavoidable person to person contact. In this circumstance, the spread of bodily fluids and consequently the Coronavirus become eminent, leading to an upsurge of infection rates among nurses and doctors. This makes enforced home office practices and telepresence through humanoid robots a viable alternative. In providing assistance to further reduce contact with patients during vaccinations, a software module has been designed, developed, and implemented on a Pepper robot that estimates the pose of a patient, identifies an injection spot, and raises an arm to deliver the vaccine dose on a bare shoulder. Implementation was done using the QiSDK in an android integrated development environment with a custom Python wrapper. Tests carried out yielded positive results in under 60 s with an 80% success rate, and exposed some ambient lighting discrepancies. These discrepancies can be solved in the near future, paving a new way for humans to get vaccinated.

Modeling and Fault Detection of Brushless Direct Current Motor by Deep Learning Sensor Data Fusion.

Only with new sensor concepts in a network, which go far beyond what the current state-of-the-art can offer, can current and future requirements for flexibility, safety, and security be met. The combination of data from many sensors allows a richer representation of the observed phenomenon, e.g., system degradation, which can facilitate analysis and decision-making processes. This work addresses the topic of predictive maintenance by exploiting sensor data fusion and artificial intelligence-based analysis. With a dataset such as vibration and sound from sensors, we focus on studying paradigms that orchestrate the most optimal combination of sensors with deep learning sensor fusion algorithms to enable predictive maintenance. In our experimental setup, we used raw data obtained from two sensors, a microphone, and an accelerometer installed on a brushless direct current (BLDC) motor. The data from each sensor were processed individually and, in a second step, merged to create a solid base for analysis. To diagnose BLDC motor faults, this work proposes to use data-level sensor fusion with deep learning methods such as deep convolutional neural networks (DCNNs) for their ability to automatically extract relevant information from the input data, the long short-term memory method (LSTM), and convolutional long short-term memory (CNN-LSTM), a combination of the two previous methods. The results show that in our setup, sound signals outperform vibrations when used individually for training. However, without any feature selection/extraction step, the accuracy of the models improves with data fusion and reaches 98.8%, 93.5%, and 73.6% for the DCNN, CNN-LSTM, and LSTM methods, respectively, 98.8% being a performance that, according to our reading, has never been reached in the analysis of the faults of a BLDC motor without first going through the extraction of the characteristics and their fusion by traditional methods. These results show that it is possible to work with raw data from multiple sensors and achieve good results using deep learning methods without spending time and resources on selecting appropriate features to extract and methods to use for feature extraction and data fusion.

A Low-Power RRAM Memory Block for Embedded, Multi-Level Weight and Bias Storage in Artificial Neural Networks.

Pattern recognition as a computing task is very well suited for machine learning algorithms utilizing artificial neural networks (ANNs). Computing systems using ANNs usually require some sort of data storage to store the weights and bias values for the processing elements of the individual neurons. This paper introduces a memory block using resistive memory cells (RRAM) to realize this weight and bias storage in an embedded and distributed way while also offering programming and multi-level ability. By implementing power gating, overall power consumption is decreased significantly without data loss by taking advantage of the non-volatility of the RRAM technology. Due to the versatility of the peripheral circuitry, the presented memory concept can be adapted to different applications and RRAM technologies.

Adaptation Strategies for Personalized Gait Neuroprosthetics.

Personalization of gait neuroprosthetics is paramount to ensure their efficacy for users, who experience severe limitations in mobility without an assistive device. Our goal is to develop assistive devices that collaborate with and are tailored to their users, while allowing them to use as much of their existing capabilities as possible. Currently, personalization of devices is challenging, and technological advances are required to achieve this goal. Therefore, this paper presents an overview of challenges and research directions regarding an interface with the peripheral nervous system, an interface with the central nervous system, and the requirements of interface computing architectures. The interface should be modular and adaptable, such that it can provide assistance where it is needed. Novel data processing technology should be developed to allow for real-time processing while accounting for signal variations in the human. Personalized biomechanical models and simulation techniques should be developed to predict assisted walking motions and interactions between the user and the device. Furthermore, the advantages of interfacing with both the brain and the spinal cord or the periphery should be further explored. Technological advances of interface computing architecture should focus on learning on the chip to achieve further personalization. Furthermore, energy consumption should be low to allow for longer use of the neuroprosthesis. In-memory processing combined with resistive random access memory is a promising technology for both. This paper discusses the aforementioned aspects to highlight new directions for future research in gait neuroprosthetics.