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Currently, many critical care indices are repetitively assessed and recorded by overburdened nurses, e.g. physical function or facial pain expressions of nonverbal patients. In addition, many essential information on patients and their environment are not captured at all, or are captured in a non-granular manner, e.g. sleep disturbance factors such as bright light, loud background noise, or excessive visitations. In this pilot study, we examined the feasibility of using pervasive sensing technology and artificial intelligence for autonomous and granular monitoring of critically ill patients and their environment in the Intensive Care Unit (ICU). As an exemplar prevalent condition, we also characterized delirious and non-delirious patients and their environment. We used wearable sensors, light and sound sensors, and a high-resolution camera to collected data on patients and their environment. We analyzed collected data using deep learning and statistical analysis. Our system performed face detection, face recognition, facial action unit detection, head pose detection, facial expression recognition, posture recognition, actigraphy analysis, sound pressure and light level detection, and visitation frequency detection. We were able to detect patient's face (Mean average precision (mAP)=0.94), recognize patient's face (mAP=0.80), and their postures (F1=0.94). We also found that all facial expressions, 11 activity features, visitation frequency during the day, visitation frequency during the night, light levels, and sound pressure levels during the night were significantly different between delirious and non-delirious patients (p-value<0.05). In summary, we showed that granular and autonomous monitoring of critically ill patients and their environment is feasible and can be used for characterizing critical care conditions and related environment factors.
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FaceSense: Sensing Face Touch with an Ear-worn System
Face touch is an unconscious human habit. Frequent touching of sensitive/mucosal facial zones (eyes, nose, and mouth) increases health risks by passing pathogens into the body and spreading diseases. Furthermore, accurate monitoring of face touch is critical for behavioral intervention. Existing monitoring systems only capture objects approaching the face, rather than detecting actual touches. As such, these systems are prone to false positives upon hand or object movement in proximity to one's face (e.g., picking up a phone). We present FaceSense, an ear-worn system capable of identifying actual touches and differentiating them between sensitive/mucosal areas from other facial areas. Following a multimodal approach, FaceSense integrates low-resolution thermal images and physiological signals. Thermal sensors sense the thermal infrared signal emitted by an approaching hand, while physiological sensors monitor impedance changes caused by skin deformation during a touch. Processed thermal and physiological signals are fed into a deep learning model (TouchNet) to detect touches and identify the facial zone of the touch. We fabricated prototypes using off-the-shelf hardware and conducted experiments with 14 participants while they perform various daily activities (e.g., drinking, talking). Results show a macro-F1-score of 83.4% for touch detection with leave-one-user-out cross-validation and a macro-F1-score of 90.1% for touch zone identification with a personalized model.
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- PAR ID:
- 10303235
- Date Published:
- Journal Name:
- Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies
- Volume:
- 5
- Issue:
- 3
- ISSN:
- 2474-9567
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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- Free Publicly Accessible Full Text
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Accepted Manuscript1.0
- Journal Article:
- https://doi.org/10.1145/3478129
