Validation of mDurance, A Wearable Surface Electromyography System for Muscle Activity Assessment.

The mDurance® system is an innovative digital tool that combines wearable surface electromyography (sEMG), mobile computing and cloud analysis to streamline and automatize the assessment of muscle activity. The tool is particularly devised to support clinicians and sport professionals in their daily routines, as an assessment tool in the prevention, monitoring rehabilitation and training field. This study aimed at determining the validity of the mDurance system for measuring muscle activity by comparing sEMG output with a reference sEMG system, the Delsys® system. Fifteen participants were tested during isokinetic knee extensions at three different speeds (60, 180, and 300 deg/s), for two muscles (rectus femoris [RF] and vastus lateralis [VL]) and two different electrodes locations (proximal and distal placement). The maximum voluntary isometric contraction was carried out for the normalization of the signal, followed by dynamic isokinetic knee extensions for each speed. The sEMG output for both systems was obtained from the raw sEMG signal following mDurance's processing and filtering. Mean, median, first quartile, third quartile and 90th percentile was calculated from the sEMG amplitude signals for each system. The results show an almost perfect ICC relationship for the VL (ICC > 0.81) and substantial to almost perfect for the RF (ICC > 0.762) for all variables and speeds. The Bland-Altman plots revealed heteroscedasticity of error for mean, quartile 3 and 90th percentile (60 and 300 deg/s) for RF and at mean and 90th percentile for VL (300 deg/s). In conclusion, the results indicate that the mDurance® sEMG system is a valid tool to measure muscle activity during dynamic contractions over a range of speeds. This innovative system provides more time for clinicians (e.g., interpretation patients' pathologies) and sport trainers (e.g., advising athletes), thanks to automatic processing and filtering of the raw sEMG signal and generation of muscle activity reports in real-time.

Empirical Model of Radio Wave Propagation in the Presence of Vegetation inside Greenhouses Using Regularized Regressions.

Spain is Europe's leading exporter of tomatoes harvested in greenhouses. The production of tomatoes should be kept and increased, supported by precision agriculture to meet food and commercial demand. The wireless sensor network (WSN) has demonstrated to be a tool to provide farmers with useful information on the state of their plantations due to its practical deployment. However, in order to measure its deployment within a crop, it is necessary to know the communication coverage of the nodes that make up the network. The multipath propagation of radio waves between the transceivers of the WSN nodes inside a greenhouse is degraded and attenuated by the intricate complex of stems, branches, leaf twigs, and fruits, all randomly oriented, that block the line of sight, consequently generating a signal power loss as the distance increases. Although the COST235 (European Cooperation in Science and Technology - COST), ITU-R (International Telecommunications Union-Radiocommunication Sector), FITU-R (Fitted ITU-R), and Weisbberger models provide an explanation of the radio wave propagation in the presence of vegetation in the 2.4 GHz ICM band, some significant discrepancies were found when they are applied to field tests with tomato greenhouses. In this paper, a novel method is proposed for determining an empirical model of radio wave attenuation for vegetation in the 2.4 GHz band, which includes the vegetation height as a parameter in addition to the distance between transceivers of WNS nodes. The empirical attenuation model was obtained applying regularized regressions with a multiparametric equation using experimental signal RSSI measurements achieved by our own RSSI measurement system for our field tests in four plantations. The evaluation parameters gave 0.948 for R2, 0.946 for R2 Adj considering 5th grade polynomial (20 parameters), and 0.942 for R2, and 0.940 for R2 Adj when a reduction of parameters was applied using the cross validation (15 parameters). These results verify the rationality and reliability of the empirical model. Finally, the model was validated considering experimental data from other plantations, reaching similar results to our proposed model.

CoVidAffect, real-time monitoring of mood variations following the COVID-19 outbreak in Spain.

The COVID-19 outbreak and the ensuing confinement measures are expected to bear a significant psychological impact on the affected populations. To date, all available studies designed to investigate the psychological effects of this unprecedented global crisis are based on cross-sectional surveys that do not capture emotional variations over time. Here, we present the data from CoVidAffect, a nationwide citizen science project aimed to provide longitudinal data of mood changes following the COVID-19 outbreak in the spanish territory. Spain is among the most affected countries by the pandemic, with one of the most restrictive and prolonged lockdowns worldwide. The project also collected a baseline of demographic and socioeconomic data. These data can be further analyzed to quantify emotional responses to specific measures and policies, and to understand the effect of context variables on psychological resilience. Importantly, to our knowledge this is the first dataset that offers the opportunity to study the behavior of emotion dynamics in a prolonged lockdown situation.

Deep learning for EEG-based Motor Imagery classification: Accuracy-cost trade-off.

Electroencephalography (EEG) datasets are often small and high dimensional, owing to cumbersome recording processes. In these conditions, powerful machine learning techniques are essential to deal with the large amount of information and overcome the curse of dimensionality. Artificial Neural Networks (ANNs) have achieved promising performance in EEG-based Brain-Computer Interface (BCI) applications, but they involve computationally intensive training algorithms and hyperparameter optimization methods. Thus, an awareness of the quality-cost trade-off, although usually overlooked, is highly beneficial. In this paper, we apply a hyperparameter optimization procedure based on Genetic Algorithms to Convolutional Neural Networks (CNNs), Feed-Forward Neural Networks (FFNNs), and Recurrent Neural Networks (RNNs), all of them purposely shallow. We compare their relative quality and energy-time cost, but we also analyze the variability in the structural complexity of networks of the same type with similar accuracies. The experimental results show that the optimization procedure improves accuracy in all models, and that CNN models with only one hidden convolutional layer can equal or slightly outperform a 6-layer Deep Belief Network. FFNN and RNN were not able to reach the same quality, although the cost was significantly lower. The results also highlight the fact that size within the same type of network is not necessarily correlated with accuracy, as smaller models can and do match, or even surpass, bigger ones in performance. In this regard, overfitting is likely a contributing factor since deep learning approaches struggle with limited training examples.

Smartphone-Based Platform for Affect Monitoring through Flexibly Managed Experience Sampling Methods.

The identification of daily life events that trigger significant changes on our affective state has become a fundamental task in emotional research. To achieve it, the affective states must be assessed in real-time, along with situational information that could contextualize the affective data acquired. However, the objective monitoring of the affective states and the context is still in an early stage. Mobile technologies can help to achieve this task providing immediate and objective data of the users' context and facilitating the assessment of their affective states. Previous works have developed mobile apps for monitoring affective states and context, but they use a fixed methodology which does not allow for making changes based on the progress of the study. This work presents a multimodal platform which leverages the potential of the smartphone sensors and the Experience Sampling Methods (ESM) to provide a continuous monitoring of the affective states and the context in an ubiquitous way. The platform integrates several elements aimed to expedite the real-time management of the ESM questionnaires. In order to show the potential of the platform, and evaluate its usability and its suitability for real-time assessment of affective states, a pilot study has been conducted. The results demonstrate an excellent usability level and a good acceptance from the users and the specialists that conducted the study, and lead to some suggestions for improving the data quality of mobile context-aware ESM-based systems.

Path Loss Determination Using Linear and Cubic Regression Inside a Classic Tomato Greenhouse.

The production of tomatoes in greenhouses, in addition to its relevance in nutrition and health, is an activity of the agroindustry with high economic importance in Spain, the first exporter in Europe of this vegetable. The technological updating with precision agriculture, implemented in order to ensure adequate production, leads to a deployment planning of wireless sensors with limited coverage by the attenuation of radio waves in the presence of vegetation. The well-known propagation models FSPL (Free-Space Path Loss), two-ray, COST235, Weissberger, ITU-R (International Telecommunications Union-Radiocommunication Sector), FITU-R (Fitted ITU-R), offer values with an error percentage higher than 30% in the 2.4 GHz band in relation to those measured in field tests. As a substantial improvement, we have developed optimized propagation models, with an error estimate of less than 9% in the worst-case scenario for the later benefit of farmers, consumers and the economic chain in the production of tomatoes.

A Power-Performance Perspective to Multiobjective Electroencephalogram Feature Selection on Heterogeneous Parallel Platforms.

This article provides an insight on the power-performance issues related with the CPU-GPU (Central Processing Unit-Graphics Processing Unit) parallel implementations of problems that frequently appear in the context of applications on bioinformatics and biomedical engineering. More specifically, we analyze the power-performance behavior of an evolutionary parallel multiobjective electroencephalogram feature selection procedure that evolves subpopulations of solutions with time-demanding fitness evaluation. The procedure has been implemented in OpenMP to dynamically distribute either subpopulations or individuals among devices, and uses OpenCL to evaluate the fitness of the individuals. The development of parallel codes usually implies to maximize the code efficiency, thus optimizing the achieved speedups. To follow the same trend, this article extends and provides a more complete analysis of our previous works about the power-performance characteristics in heterogeneous CPU-GPU platforms considering different operation frequencies and evolutionary parameters, such as distribution of individuals, etc. This way, different experimental configurations of the proposed procedure have been evaluated and compared with respect to a master-worker approach, not only in runtime but also considering energy consumption. The experimental results show that lower operating frequencies does not necessarily mean lower energy consumptions since energy is the product of power and time. Thus, we have observed that parallel processing not only reduces the runtime, but also the energy consumed by the application despite a higher instantaneous power. Particularly, the workload distribution among both CPU and GPU cores provides the best runtime and very low energy consumption compared with the values achieved by the same alternatives executed by only CPU threads.

Design, implementation and validation of a novel open framework for agile development of mobile health applications.

The delivery of healthcare services has experienced tremendous changes during the last years. Mobile health or mHealth is a key engine of advance in the forefront of this revolution. Although there exists a growing development of mobile health applications, there is a lack of tools specifically devised for their implementation. This work presents mHealthDroid, an open source Android implementation of a mHealth Framework designed to facilitate the rapid and easy development of mHealth and biomedical apps. The framework is particularly planned to leverage the potential of mobile devices such as smartphones or tablets, wearable sensors and portable biomedical systems. These devices are increasingly used for the monitoring and delivery of personal health care and wellbeing. The framework implements several functionalities to support resource and communication abstraction, biomedical data acquisition, health knowledge extraction, persistent data storage, adaptive visualization, system management and value-added services such as intelligent alerts, recommendations and guidelines. An exemplary application is also presented along this work to demonstrate the potential of mHealthDroid. This app is used to investigate on the analysis of human behavior, which is considered to be one of the most prominent areas in mHealth. An accurate activity recognition model is developed and successfully validated in both offline and online conditions.

mDurance: A Novel Mobile Health System to Support Trunk Endurance Assessment.

Low back pain is the most prevalent musculoskeletal condition. This disorder constitutes one of the most common causes of disability worldwide, and as a result, it has a severe socioeconomic impact. Endurance tests are normally considered in low back pain rehabilitation practice to assess the muscle status. However, traditional procedures to evaluate these tests suffer from practical limitations, which potentially lead to inaccurate diagnoses. The use of digital technologies is considered here to facilitate the task of the expert and to increase the reliability and interpretability of the endurance tests. This work presents mDurance, a novel mobile health system aimed at supporting specialists in the functional assessment of trunk endurance by using wearable and mobile devices. The system employs a wearable inertial sensor to track the patient trunk posture, while portable electromyography sensors are used to seamlessly measure the electrical activity produced by the trunk muscles. The information registered by the sensors is processed and managed by a mobile application that facilitates the expert's normal routine, while reducing the impact of human errors and expediting the analysis of the test results. In order to show the potential of the mDurance system, a case study has been conducted. The results of this study prove the reliability of mDurance and further demonstrate that practitioners are certainly interested in the regular use of a system of this nature.

PhysioDroid: combining wearable health sensors and mobile devices for a ubiquitous, continuous, and personal monitoring.

Technological advances on the development of mobile devices, medical sensors, and wireless communication systems support a new generation of unobtrusive, portable, and ubiquitous health monitoring systems for continuous patient assessment and more personalized health care. There exist a growing number of mobile apps in the health domain; however, little contribution has been specifically provided, so far, to operate this kind of apps with wearable physiological sensors. The PhysioDroid, presented in this paper, provides a personalized means to remotely monitor and evaluate users' conditions. The PhysioDroid system provides ubiquitous and continuous vital signs analysis, such as electrocardiogram, heart rate, respiration rate, skin temperature, and body motion, intended to help empower patients and improve clinical understanding. The PhysioDroid is composed of a wearable monitoring device and an Android app providing gathering, storage, and processing features for the physiological sensor data. The versatility of the developed app allows its use for both average users and specialists, and the reduced cost of the PhysioDroid puts it at the reach of most people. Two exemplary use cases for health assessment and sports training are presented to illustrate the capabilities of the PhysioDroid. Next technical steps include generalization to other mobile platforms and health monitoring devices.

Dealing with the effects of sensor displacement in wearable activity recognition.

Most wearable activity recognition systems assume a predefined sensor deployment that remains unchanged during runtime. However, this assumption does not reflect real-life conditions. During the normal use of such systems, users may place the sensors in a position different from the predefined sensor placement. Also, sensors may move from their original location to a different one, due to a loose attachment. Activity recognition systems trained on activity patterns characteristic of a given sensor deployment may likely fail due to sensor displacements. In this work, we innovatively explore the effects of sensor displacement induced by both the intentional misplacement of sensors and self-placement by the user. The effects of sensor displacement are analyzed for standard activity recognition techniques, as well as for an alternate robust sensor fusion method proposed in a previous work. While classical recognition models show little tolerance to sensor displacement, the proposed method is proven to have notable capabilities to assimilate the changes introduced in the sensor position due to self-placement and provides considerable improvements for large misplacements.

Window size impact in human activity recognition.

Signal segmentation is a crucial stage in the activity recognition process; however, this has been rarely and vaguely characterized so far. Windowing approaches are normally used for segmentation, but no clear consensus exists on which window size should be preferably employed. In fact, most designs normally rely on figures used in previous works, but with no strict studies that support them. Intuitively, decreasing the window size allows for a faster activity detection, as well as reduced resources and energy needs. On the contrary, large data windows are normally considered for the recognition of complex activities. In this work, we present an extensive study to fairly characterize the windowing procedure, to determine its impact within the activity recognition process and to help clarify some of the habitual assumptions made during the recognition system design. To that end, some of the most widely used activity recognition procedures are evaluated for a wide range of window sizes and activities. From the evaluation, the interval 1-2 s proves to provide the best trade-off between recognition speed and accuracy. The study, specifically intended for on-body activity recognition systems, further provides designers with a set of guidelines devised to facilitate the system definition and configuration according to the particular application requirements and target activities.

Ambient assisted living devices interoperability based on OSGi and the X73 standard.

The need for interoperability among devices is an issue of vital importance in current telemedicine systems. Although a completely standardized system is an ideal solution, most commercially available devices include their own software and communication protocols, which cause serious problems and hinder the application of a standard. Patients' telemonitoring at home requires a wide variety of biometric and ambient sensors and devices that usually present a set of very specific features and characteristics. The present article introduces a system based on the Open Services Gateway Initiative architecture, which offers plug-and-play connectivity of ambient assisted living devices. Using a data model inspired by the X73 standard, we describe a set of bundles that reduces the interoperability problem and allows the data stored in the platform to be independent from the connected devices.

On the use of sensor fusion to reduce the impact of rotational and additive noise in human activity recognition.

The main objective of fusion mechanisms is to increase the individual reliability of the systems through the use of the collectivity knowledge. Moreover, fusion models are also intended to guarantee a certain level of robustness. This is particularly required for problems such as human activity recognition where runtime changes in the sensor setup seriously disturb the reliability of the initial deployed systems. For commonly used recognition systems based on inertial sensors, these changes are primarily characterized as sensor rotations, displacements or faults related to the batteries or calibration. In this work we show the robustness capabilities of a sensor-weighted fusion model when dealing with such disturbances under different circumstances. Using the proposed method, up to 60% outperformance is obtained when a minority of the sensors are artificially rotated or degraded, independent of the level of disturbance (noise) imposed. These robustness capabilities also apply for any number of sensors affected by a low to moderate noise level. The presented fusion mechanism compensates the poor performance that otherwise would be obtained when just a single sensor is considered.

Detection of (in)activity periods in human body motion using inertial sensors: a comparative study.

Determination of (in)activity periods when monitoring human body motion is a mandatory preprocessing step in all human inertial navigation and position analysis applications. Distinction of (in)activity needs to be established in order to allow the system to recompute the calibration parameters of the inertial sensors as well as the Zero Velocity Updates (ZUPT) of inertial navigation. The periodical recomputation of these parameters allows the application to maintain a constant degree of precision. This work presents a comparative study among different well known inertial magnitude-based detectors and proposes a new approach by applying spectrum-based detectors and memory-based detectors. A robust statistical comparison is carried out by the use of an accelerometer and angular rate signal synthesizer that mimics the output of accelerometers and gyroscopes when subjects are performing basic activities of daily life. Theoretical results are verified by testing the algorithms over signals gathered using an Inertial Measurement Unit (IMU). Detection accuracy rates of up to 97% are achieved.

Activity in vitro of twelve antibiotics against clinical isolates of extended-spectrum beta-lactamase producing Escherichia coli.

Twelve beta-lactam and non-beta-lactam antibiotics were evaluated against 115 clinical isolates of extended-spectrum beta-lactamase-producing (ESBLs) Escherichia coli using a broth microdilution test in accordance with the CLSI guidelines. Susceptibility was 100% with imipenem, ertapenem and amikacin, 95.7% with piperacillin-tazobactam, 91.3% with cefoxitin, 87% with tobramycin, 81.7% with amoxicillin-clavulanate, 80% with cefepime, 67.8% with ceftazidime, 27.8% with ciprofloxacin, 27% with levofloxacin and 13% with ceftriaxone. Ertapenem was the antibiotic with the lowest minimum inhibitory concentrations (MICs) for all isolates. There were no clinically relevant differences in the activity of the antibiotics in the presence of CTX-M-9 or SHV enzymes.