u-Healthcare 吳世琳長庚大學資訊工程學系 Thank you President Po

u-Healthcare 吳世琳長庚大學資訊工程學系 Thank you President Po
On behave of college of Engineering I would like to welcome Prof. Lee, Prof. Kahol to our university I am Chung-chih Lin, from the department of Computer Science and Information Engineering Today I will give you a talk on our current research related to human-machine interaction within the College of Engineering. 吳世琳長庚大學資訊工程學系

4E Strategies for Healthy Aging
Early detection Early prediction good Early warning Early Action Health Promotion & Enhancement In order to provide healthy aging for the elders. we need to push the black curve to the red curve by taking the 4E strategy, which means “early detection, early prediction, early warning and early action”. With the 4E strategy, we can not only detect and analyze the long term health data of the elders, but also send a warning message when the system detects an abnormal health condition. This consequently encourages the elders to pursue actions such as taking exercise prescriptions or diet suggestions. poor Disease age new born elderly 2018/11/8 Copyright © HSNL, Chang Gung University. 2

“Biomarker” for Health Aging
Normal aging Disease & Disability (dementia, Apnea, Diabetes…) Health Condition (disorder or disease) Body Functions and Structures Cognitive Functions Activities Participation indices Environmental Factors Personal Factors Case management, behavioral therapy, integrated care, exercise, High-tech environment, intelligent residential buildings 2018/11/8 Copyright © HSNL, Chang Gung University. 3

Ubiquitous Healthcare Network
Interactive media, Information and Communication service Elderly Person Interface Information Sharing U-Health Cloud Interaction Networking To develop the 4E strategies, it is necessary to investigate into human-machine interaction. The word “human”,by our definition, refers to “elderly people”, and “machine” refers to electronic devices including sensors, actuators, stimulators, and communicational devices. The word“Interaction”refers to networking, interface and information sharing (including data warehouse, data mining and decision making) to support health promotion and enhancement Sensor Actuator Stimulator Human Communication Device Machine Intelligent Healthcare IoT Interaction 2018/11/8 Copyright © HSNL, Chang Gung University. 4

Copyright © HSNL, Chang Gung University.
Everything is Smart Smart X On body Off body Smart Cloth/Jacket Space / Facilities Smart Living room Smart TV Smart Sofa.. Smart Kitchen Smart Refrigerator Smart Tableware.. Smart Hat Smart Bedroom Smart Bed Smart Carpet.. Smart Belt Smart Gymnasium Smart Treadmill Smart Stationary bike Smart Punching bags.. Smart Pant Smart Rest room Smart Toilet Smart Mirror Smart Washbowl.. Smart Shoe Smart Insole Smart Sock… 2018/11/8 Copyright © HSNL, Chang Gung University. 5

Health Abnormality Alert Healthy Aging Assessment / Health Promotion
Functions of CGU Smart Cloth CGU Smart Cloth makes it possible to provide modularized / functional signals (includes cardiac function, pulmonary function, sweat function and activity function) monitoring for health promotion, healthy aging assessment , health abnormality alert, and emergency handling. normal abnormal emergency Health Abnormality Alert Healthy Aging Assessment / Health Promotion Emergency handling 這頁主要有兩個重點，第一個重點是用很簡短的一段話來界定CGU smart cloth產品的定位；第二個重點是要做的 CGU smart cloth與 Lifeshirt有什麼不同，其不同點在於 Healthy Promotion, Healthy Aging及 Abnormal Alert三個特色。首先，對於一般正常人可得到其生理訊號的變化並進行安全的監護，以做為Healthy Promotion的訊息。接著，對於沒有生病的老年人來說，針對其生理狀態(肌肉骨骼的衰弱)的轉變提供訊息，使其即使老化也能維持在健康的狀態(Healthy Aging)。另外，對於第三個特色，有些潛在危險的老人或病人(如曾發病過或有家族病史者)，希望透過智慧衣隨時監控特定疾病的危險因子，當危險因子達到閾值時、發病之前或當下，可透過smart cloth偵測並通知本人、家屬及醫療單位 2018/11/8 Copyright © HSNL, Chang Gung University. 7

System architecture of CGU Smart Cloth
Body sensor network requires vital sign monitoring sensors, motion detectors to transmit vital sign and motion readings to medical practitioners or care givers. Conductive textile is a fabric which can conduct electricity. Conductive textiles can be made with metal strands woven into the construction of the textile. Expanding module - thin-film solar energy pad Cardiac function sensors Conductive textile matrix (mother board) Sweat function sensor Pulmonary function sensor Multi-function box Processor Battery Communication Storage CGU Smart Cloth Balance function sensor Body sensor network and conductive textile 2018/11/8 Copyright © HSNL, Chang Gung University. 8

System architecture of CGU Smart Cloth
Concept of conductive textile matrix and button-like sensor / path nodes Sensor Button types Path button Sensor button CGU Smart Cloth Multi- Function box Signal path 2018/11/8 Copyright © HSNL, Chang Gung University. 9

CGU Smart Cloth Key Technologies
Intelligent Body Sensor Technologies Wearable Power Technologies Wireless Communication Technologies Conductive Textile / fiber Technologies Cloud Information Technologies Body Sensor Tech. Power Communication Textile / fiber Information Medicine CGU Smart cloth 2018/11/8 Copyright © HSNL, Chang Gung University. 10

Healthy Aging Assessment
CGU smart cloth – Cardiopulmonary sensor Health Promotion Displaying cardiac functions Evaluation of autonomic nervous functions Healthy Aging Assessment Health Abnormality Alert Health Promotion Cardio-pulmonary Function Healthy Aging Assessment Early reminding for premature ventricular contraction Long-term evaluation of autonomic nervous functions Early reminding for sleep apnea Cardiopulmonary Functions: Heart rate Heart rate variability (HRV) Cardiac arrhythmia ST-segment deviation Respiration rate Health Abnormality Alert Early alert based on HRV and frequency of non-sustained ventricular tachycardia Early alert based on HRV and ST-segment deviation

Healthy Aging Assessment
CGU smart cloth – Myo-kinematic sensor Health Promotion Displaying physical activity (PA-) related myo-functions Evaluation of peripheral vascular functions Healthy Aging Assessment Long-term evaluation of myo-dysfunctions Early reminding for muscle fatigue Early reminding for vascular stiffness Healthy Aging Assessment Health Abnormality Alert Health Promotion Myo-kinematic Function Health Abnormality Alert Early alert based on low PA and PA-induced fatigue, indicating frailty and cardiovascular problems. Early alert based on poor vascular oxygenation supply and recovery, possibly due to cardiovascular problems. Myo-kinematic Functions: PA-related muscle activation PA-related muscle metabolism Peripheral vascular functions

Healthy Aging Assessment Health Abnormality Alert
CGU smart cloth – Gait/Balance/Posture Function Health Promotion Reminding for good walking posture Daily step counts & walking hours (suggestion for enough walking daily) Health Abnormality Alert Health Promotion Healthy Aging Assessment Early reminding for postural instability – an early syndromes of Parkinson’s Disease Body balance index assessment Healthy Aging Assessment Gait, Balance, Posture Function Functions: Gait Analysis Balancing Index Human posture index Object tilting angles Health Abnormality Alert Alert for sitting up of patient after surgery during recovering period Alert for human fall

CGU smart cloth - Sweat Function
Health Promotion Reminding for water supply Evaluation for pH value of Sweat (suggestion for food selection) Healthy Aging Assessment Health Abnormality Alert Health Promotion Healthy Aging Assessment Early reminding for menopause Long-term evaluation for response of automatic nervous system (ex: PD) Long-term evaluation for response of Endocrine system (ex: Hyperthyroidism、diabetic disease) Sweat Function Sweat Functions: Sweat rate pH of sweat GSR/SSR Health Abnormality Alert Early Alert for hyperthermia & fever

Healthy Aging Assessment Copyright © HSNL, Chang Gung University.
CGU smart cloth – Pulse function Healthy Aging Abnormal Alert Healthy Promotion Healthy Promotion 脈象提供生活、飲食等建議 Healthy Aging Assessment 脈象監控四肢冰冷末梢循環系統 Pulse Function Abnormal Alert 中醫痰濕體質 : 疲倦、代謝能力差、關節痠痛、腸胃不適、高血壓、糖尿病 Pulse Functions: 血壓心跳心率變異度(HRV) 脈象分析脈位脈數脈形脈勢 Pulse Sensors: 壓電感測器電容式微音器應變器 2018/11/8 Copyright © HSNL, Chang Gung University.

心跳即時偵測智慧衣

Cloud Data Center for Smart Clothes
2018/11/8 Copyright © HSNL, Chang Gung University. 17

應用於急性心肌梗塞的緊急救援系統 Design and Implement an Emergency Rescue system for Acute Myocardial Infarction
Thank you President Po On behave of college of Engineering I would like to welcome Prof. Lee, Prof. Kahol to our university I am Chung-chih Lin, from the department of Computer Science and Information Engineering Today I will give you a talk on our current research related to human-machine interaction within the College of Engineering.

動機心血管疾病為當前國人的重要疾病之一，其盛行率和致死率都逐年升高，根據衛生署公布101年國人十大死因，心臟疾病僅次於癌症。而這種心因性疾病從發生到死亡只有短短幾分鐘，救護車往往因交通堵塞無法立即到達搶救。中央修訂公布「緊急醫療救護法」規定，公共場所應該設置「自動體外心臟電擊去顫器(AED)」。雖然在公共場所皆有AED配置圖，在緊急的狀況民眾無法快速取得資訊，需耗費時間尋找AED。 2018/11/8 Copyright © HSNL, Chang Gung University. 21

最短路徑計算- Dijkstra Dijkstra以起點為基礎計算逐步往相鄰節點擴張計算，應用節點放鬆(edge relaxation) 的方式，產生一個到達新節點的最短路徑，直到由起始節點到所有節點的路徑成本皆為最短路徑成本為止。 5 3 B C 5 2 A 2 1 F 3 1 2 D E 1 2018/11/8 Copyright © HSNL, Chang Gung University. 28

最短路徑計算-Travelling Salesman Problem

最短路徑計算- Network Voronoi Diagram
Network Voronoi Diagram (NVD) is a special Voronoi diagram constructed on road networks involving a set of nodes and links rather than Euclidean plane. In NVD, the partitions are a set of road segments termed network Voronoi polygon (NVP) instead of Voronoi polygon. 無法根據patient位置做最佳化 Voronoi Diagram Network Voronoi Diagram 2018/11/8 Copyright © HSNL, Chang Gung University. 32

Screen Shot of the Navigation System

結論本研究所設計的緊急救援系統希望可以在心肌梗塞發生的時候提升生存率，當發生緊急狀況時透過手機3G/4G行動網路發出緊急通知給醫療中心，同時也將緊急訊息透過GCM等方式傳遞，讓周遭的人知道緊急狀況的發生，並產生導航地圖指示他們攜帶鄰近的AED前往急救現場協助。如果沒有此系統的幫助當緊急狀況發生時往往沒有辦法快速取得AED去幫助，有了緊急救援系統的幫助可以縮短發病時求救的時間與快速取得AED，未來如果可以搭配室內定位等技術可以將此系統發揮得更加全面。 2018/11/8 Copyright © HSNL, Chang Gung University. 47

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u-Healthcare 吳世琳長庚大學資訊工程學系 Thank you President Po

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