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The use of wearable devices has increased substantially in recent years. This, together with the rise of telemedicine, has led to the use of these types of devices in the healthcare field. In this work, we carried out a detailed study on the use of these devices (regarding the general trends); we analyzed the research works and devices marketed in the last 10 years. This analysis extracted relevant information on the general trend of use, as well as more specific aspects, such as the use of sensors, communication technologies, and diseases. A comparison was made between the commercial and research aspects linked to wearables in the healthcare field, and upcoming trends were analyzed.

Nowadays, the study of the gait by analyzing the distribution of plantar pressure is a well-established technique. The use of intelligent insoles allows real-time monitoring of the user. Thus, collecting and analyzing information is a more accurate process than consultations in so-called gait laboratories. Most of the previous published studies consider the composition and operation of these insoles based on resistive sensors. However, the use of capacitive sensors could provide better results, in terms of linear behavior under the pressure exerted. This behavior depends on the properties of the dielectric used. In this work, the design and implementation of an intelligent plantar insole composed of capacitive sensors is proposed. The dielectric used is a polydimethylsiloxane (PDMS)-based composition. The sensorized plantar insole developed achieves its purpose as a tool for collecting pressure in different areas of the sole of the foot. The fundamentals and details of the composition, manufacture, and implementation of the insole and the system used to collect data, as well as the data samples, are shown. Finally, a comparison of the behavior of both insoles, resistive and capacitive sensor-equipped, is made. The prototype presented lays the foundation for the development of a tool to support the diagnosis of gait abnormalities. Junta de Andalucía US-1263715

Diagnosis aid systems that use image analysis are currently very useful due to the large workload of health professionals involved in making diagnoses. In recent years, Convolutional Neural Networks (CNNs) have been used to help in these tasks. For this reason, multiple studies that analyze the detection precision for several diseases have been developed. However, many of these works distinguish between only two classes: healthy and with a specific disease. Based on this premise, in this work, we try to answer the questions: When training an image classification system with only two classes (healthy and sick), does this system extract the specific features of this disease, or does it only obtain the features that differentiate it from a healthy patient? Trying to answer these questions, we analyze the particular case of COVID-19 detection. Many works that classify this disease using X-ray images have been published, some of them use two classes (with and without COVID-19), while others include more classes (pneumonia, SARS, influenza, etc.). In this work, we carry out several classification studies with two classes, using test images that do not belong to those classes, in order to try to answer the previous questions. The first studies indicate problems in these two-class systems when using a third class as a test, being classified inconsistently. Deeper studies show that deep learning systems trained with two classes do not correctly extract the characteristics of pathologies, but rather differentiate the classes based on the physical characteristics of the images. After the discussion, we conclude that these two-class trained deep learning systems are not valid if there are other diseases that cause similar symptoms.

Falls are one of the leading causes of permanent injury and/or disability among the elderly. When these people live alone, it is convenient that a caregiver or family member visits them periodically. However, these visits do not prevent falls when the elderly person is alone. Furthermore, in exceptional circumstances, such as a pandemic, we must avoid unnecessary mobility. This is why remote monitoring systems are currently on the rise, and several commercial solutions can be found. However, current solutions use devices attached to the waist or wrist, causing discomfort in the people who wear them. The users also tend to forget to wear the devices carried in these positions. Therefore, in order to prevent these problems, the main objective of this work is designing and recollecting a new dataset about falls, falling risks and activities of daily living using an ankle-placed device obtaining a good balance between the different activity types. This dataset will be a useful tool for researchers who want to integrate the fall detector in the footwear. Thus, in this work we design the fall-detection device, study the suitable activities to be collected, collect the dataset from 21 users performing the studied activities and evaluate the quality of the collected dataset. As an additional and secondary study, we implement a simple Deep Learning classifier based on this data to prove the system’s feasibility. Ministerio de Ciencia, Innovación y Universidades PID2019-105556GB-C33/AEI/10.13039/501100011033

The spread of the SARS-CoV-2 virus has made the COVID-19 disease a worldwide epidemic. The most common tests to identify COVID-19 are invasive, time consuming and limited in resources. Imaging is a non-invasive technique to identify if individuals have symptoms of disease in their lungs. However, the diagnosis by this method needs to be made by a specialist doctor, which limits the mass diagnosis of the population. Image processing tools to support diagnosis reduce the load by ruling out negative cases. Advanced artificial intelligence techniques such as Deep Learning have shown high effectiveness in identifying patterns such as those that can be found in diseased tissue. This study analyzes the effectiveness of a VGG16-based Deep Learning model for the identification of pneumonia and COVID-19 using torso radiographs. Results show a high sensitivity in the identification of COVID-19, around 100%, and with a high degree of specificity, which indicates that it can be used as a screening test. AUCs on ROC curves are greater than 0.9 for all classes considered.

Abnormal foot postures can be measured during the march by plantar pressures in both dynamic and static conditions. These detections may prevent possible injuries to the lower limbs like fractures, ankle sprain or plantar fasciitis. This information can be obtained by an embedded instrumented insole with pressure sensors and a low-power microcontroller. However, these sensors are placed in sparse locations inside the insole, so it is not easy to correlate manually its values with the gait type, that is why a machine learning system is needed. In this work, we analyse the feasibility of integrating a machine learning classifier inside a low-power embedded system in order to obtain information from the user&rsquo, s gait in real-time and prevent future injuries. Moreover, we analyse the execution times, the power consumption and the model effectiveness. The machine learning classifier is trained using an acquired dataset of 3000+ steps from 6 different users. Results prove that this system provides an accuracy over 99% and the power consumption tests obtains a battery autonomy over 25 days.