Biblio

Trust is an important topic in medical human-robot interaction, since patients may be more fragile than other groups of people. This paper investigates the issue of users' trust when interacting with a rehabilitation robot. In the study, we investigate participants' heart rate and perception of safety in a scenario when their arm is led by the rehabilitation robot in two types of exercises at three different velocities. The participants' heart rate are measured during each exercise and the participants are asked how safe they feel after each exercise. The results showed that velocity and type of exercise has no significant influence on the participants' heart rate, but they do have significant influence on how safe they feel. We found that increasing velocity and longer exercises negatively influence participants' perception of safety.

Typical techniques for tracking vital signs require body contact and most of these techniques are intrusive in nature. Body-contact methods might irritate the patient's skin and he/she might feel uncomfortable while sensors are touching his/her body. In this study, we present a new wireless (non-contact) method for monitoring human vital signs (breathing and heartbeat). We have demonstrated for the first time1 that vitals signs can be measured wirelessly through visible light signal reflected from a human subject, also referred to as visible light sensing (VLS). In this method, the breathing and heartbeat rates are measured without any body-contact device, using only a simple photodetector and a light source (e.g., LED). The light signal reflected from human subject is modulated by the physical motions during breathing and heartbeats. Signal processing tools such as filtering and Fourier transform are used to convert these small variations in the received light signal power to vitals data.We implemented the VLS-based non-contact vital signs monitoring system by using an off-the-shelf light source, a photodetector and a signal acquisition and processing unit. We observed more than 94% of accuracy as compared to a contact-based FDA (The Food and Drug Administration) approved devices. Additional evaluations are planned to assess the performance of the developed vitals monitoring system, e.g., different subjects, environments, etc. Non-contact vitals monitoring system can be used in various areas and scenarios such as medical facilities, residential homes, security and human-computer-interaction (HCI) applications.

Care of chronic cardiac patients requires information interchange between patients' homes, clinical environments, and the electronic health record. Standards are emerging to support clinical information collection, exchange and management and to overcome information fragmentation and actors delocalization. Heterogeneity of information sources at patients' homes calls for open solutions to collect and accommodate multidomain information, including environmental data. Based on the experience gained in a European Research Program, this paper presents an integrated and open approach for clinical data interchange in cardiac telemonitoring applications. This interchange is supported by the use of standards following the indications provided by the national authorities of the countries involved. Taking into account the requirements provided by the medical staff involved in the project, the authors designed and implemented a prototypal middleware, based on a service-oriented architecture approach, to give a structured and robust tool to congestive heart failure patients for their personalized telemonitoring. The middleware is represented by a health record management service, whose interface is compliant to the healthcare services specification project Retrieve, Locate and Update Service standard (Level 0), which allows communication between the agents involved through the exchange of Clinical Document Architecture Release 2 documents. Three performance tests were carried out and showed that the prototype completely fulfilled all requirements indicated by the medical staff; however, certain aspects, such as authentication, security and scalability, should be deeply analyzed within a future engineering phase.