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Register a new userWearable proximity sensors for monitoring a mass casualty incident exercise: a feasibility study
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Over the past several decades, naturally occurring and man-made mass casualty incidents (MCI) have increased in frequency and number, worldwide. To test the impact of such event on medical resources, simulations can provide a safe, controlled setting while replicating the chaotic environment typical of an actual disaster. A standardised method to collect and analyse data from mass casualty exercises is needed, in order to assess preparedness and performance of the healthcare staff involved. We report on the use of wearable proximity sensors to measure proximity events during a MCI simulation. We investigated the interactions between medical staff and patients, to evaluate the time dedicated by the medical staff with respect to the severity of the injury of the victims depending on the roles. We estimated the presence of the patients in the different spaces of the field hospital, in order to study the patients flow. Data were obtained and collected through the deployment of wearable proximity sensors during a mass casualty incident functional exercise. The scenario included two areas: the accident site and the Advanced Medical Post (AMP), and the exercise lasted 3 hours. A total of 238 participants simulating medical staff and victims were involved. Each participant wore a proximity sensor and 30 fixed devices were placed in the field hospital. The contact networks show a heterogeneous distribution of the cumulative time spent in proximity by participants. We obtained contact matrices based on cumulative time spent in proximity between victims and the rescuers. Our results showed that the time spent in proximity by the healthcare teams with the victims is related to the severity of the patients injury. The analysis of patients flow showed that the presence of patients in the rooms of the hospital is consistent with triage code and diagnosis, and no obvious bottlenecks were found.
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Measuring close proximity interactions between individuals can provide key information on social contacts in human communities. With the present study, we report the quantitative assessment of contact patterns in a village in rural Malawi, based on proximity sensors technology that allows for high-resolution measurements of social contacts. The system provided information on community structure of the village, on social relationships and social assortment between individuals, and on daily contacts activity within the village. Our findings revealed that the social network presented communities that were highly correlated with household membership, thus confirming the importance of family ties within the village. Contacts within households occur mainly between adults and children, and adults and adolescents. This result suggests that the principal role of adults within the family is the care for the youngest. Most of the inter-household interactions occurred among caregivers and among adolescents. We studied the tendency of participants to interact with individuals with whom they shared similar attributes (i.e., assortativity). Age and gender assortativity were observed in inter-household network, showing that individuals not belonging to the same family group prefer to interact with people with whom they share similar age and gender. Age disassortativity is observed in intra-household networks. Family members congregate in the early morning, during lunch time and dinner time. In contrast, individuals not belonging to the same household displayed a growing contact activity from the morning, reaching a maximum in the afternoon. The data collection infrastructure used in this study seems to be very effective to capture the dynamics of contacts by collecting high resolution temporal data and to give access to the level of information needed to understand the social context of the village.
Obesity and being over-weight add to the risk of some major life threatening diseases. According to W.H.O., a considerable population suffers from these disease whereas poor nutrition plays an important role in this context. Traditional food activity monitoring systems like Food Diaries allow manual record keeping of eating activities over time, and conduct nutrition analysis. However, these systems are prone to the problems of manual record keeping and biased-reporting. Therefore, recently, the research community has focused on designing automatic food monitoring systems since the last decade which consist of one or multiple wearable sensors. These systems aim at providing different macro and micro activity detections like chewing, swallowing, eating episodes, and food types as well as estimations like food mass and eating duration. Researchers have emphasized on high detection accuracy, low estimation errors, un-intrusive nature, low cost and real life implementation while designing these systems, however a comprehensive automatic food monitoring system has yet not been developed. Moreover, according to the best of our knowledge, there is no comprehensive survey in this field that delineates the automatic food monitoring paradigm, covers a handful number of research studies, analyses these studies against food intake monitoring tasks using various parameters, enlists the limitations and sets up future directions. In this research work, we delineate the automatic food intake monitoring paradigm and present a survey of research studies. With special focus on studies with wearable sensors, we analyze these studies against food activity monitoring tasks. We provide brief comparison of these studies along with shortcomings based upon experimentation results conducted under these studies. We setup future directions at the end to facilitate the researchers working in this domain.
Since stress contributes to a broad range of mental and physical health problems, the objective assessment of stress is essential for behavioral and physiological studies. Although several studies have evaluated stress levels in controlled settings, objective stress assessment in everyday settings is still largely under-explored due to challenges arising from confounding contextual factors and limited adherence for self-reports. In this paper, we explore the objective prediction of stress levels in everyday settings based on heart rate (HR) and heart rate variability (HRV) captured via low-cost and easy-to-wear photoplethysmography (PPG) sensors that are widely available on newer smart wearable devices. We present a layered system architecture for personalized stress monitoring that supports a tunable collection of data samples for labeling, and present a method for selecting informative samples from the stream of real-time data for labeling. We captured the stress levels of fourteen volunteers through self-reported questionnaires over periods of between 1-3 months, and explored binary stress detection based on HR and HRV using Machine Learning Methods. We observe promising preliminary results given that the dataset is collected in the challenging environments of everyday settings. The binary stress detector is fairly accurate and can detect stressful vs non-stressful samples with a macro-F1 score of up to %76. Our study lays the groundwork for more sophisticated labeling strategies that generate context-aware, personalized models that will empower health professionals to provide personalized interventions.
We are able to unify various disparate claims and results in the literature, that stand in the way of a unified description and understanding of human conflict. First, we provide a reconciliation of the numerically different exponent values for fatality distributions across entire wars and within single wars. Second, we explain how ignoring the details of how conflict datasets are compiled, can generate falsely negative evaluations from power-law distribution fitting. Third, we explain how a generative theory of human conflict is able to provide a quantitative explanation of how most observed casualty distributions follow approximate power-laws and how and why they deviate from it. In particular, it provides a unified mechanistic interpretation of the origin of these power-law deviations in terms of dynamical processes within the conflict. Combined, our findings strengthen the notion that a unified framework can be used to understand and quantitatively describe human conflict.
Nosocomial infections place a substantial burden on health care systems and represent a major issue in current public health, requiring notable efforts for its prevention. Understanding the dynamics of infection transmission in a hospital setting is essential for tailoring interventions and predicting the spread among individuals. Mathematical models need to be informed with accurate data on contacts among individuals. We used wearable active Radio-Frequency Identification Devices to detect face-to-face contacts among individuals with a spatial resolution of about 1.5 meters, and a time resolution of 20 seconds. The study was conducted in a general pediatrics hospital ward, during a one-week period, and included 119 participants. Nearly 16,000 contacts were recorded during the study, with a median of approximately 20 contacts per participants per day. Overall, 25% of the contacts involved a ward assistant, 23% a nurse, 22% a patient, 22% a caregiver, and 8% a physician. The majority of contacts were of brief duration, but long and frequent contacts especially between patients and caregivers were also found. In the setting under study, caregivers do not represent a significant potential for infection spread to a large number of individuals, as their interactions mainly involve the corresponding patient. Nurses would deserve priority in prevention strategies due to their central role in the potential propagation paths of infections. Our study shows the feasibility of accurate and reproducible measures of the pattern of contacts in a hospital setting. The results are particularly useful for the study of the spread of respiratory infections, for monitoring critical patterns, and for setting up tailored prevention strategies. Proximity-sensing technology should be considered as a valuable tool for measuring such patterns and evaluating nosocomial prevention strategies in specific settings.
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