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TitleAmbient Assisted Living: Italian Forum 2016
Author
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Table of Contents
                            Preface
Organization Committee
	General Chair
	Honorary Chairs
	Scientific Committee
	Organizing Committee
Contents
Care Models and Algorithms
1 The Mo.Di.Pro Experimental Project at the Galliera Hospital: I.C.T., Robots and Care of the Environment for the Rehabilitation of Patients Before Discharge
	Abstract
	1 Introduction
		1.1 Objectives
	2 Materials and Methods
		2.1 Accommodation Design
			2.1.1 Bedroom
			2.1.2 Bathroom
			2.1.3 Corridor
			2.1.4 Living Area
			2.1.5 Gym
		2.2 Monitoring of Parameters
		2.3 Ethics: Informed Consent
	3 Results and Discussion
		3.1 Experimentation with Telepresence Robots
			3.1.1 Specific Procedures
	4 Conclusion
	Acknowledgements
	References
2 Theoretical Model for Remote Heartbeat Detection Using Radiofrequency Waves
	Abstract
	1 Introduction
	2 The Electromagnetic Multilayer Model
		2.1 Multilayer Model Implementation
			2.1.1 Scenario (a): Heart-Layer Movement
			2.1.2 Scenario (b): Chest-Layer Movement
	3 Validation of the Model
	4 Conclusions
	References
3 A Wearable System for Stress Detection Through Physiological Data Analysis
	Abstract
	1 Introduction
		1.1 Physiological Signals and Stress Concept
			1.1.1 Electrodermal Activity
			1.1.2 Electro Cardiac Activity
		1.2 The Aim of the Study
	2 Materials and Methods
		2.1 Instrumentation
		2.2 Participants
		2.3 Experimental Protocol
			2.3.1 Tests for Stress Induction
			2.3.2 Psychometric Instruments
		2.4 Data Analysis
			2.4.1 Galvanic Skin Response (GSR)
			2.4.2 Electro Cardiac Activity
			2.4.3 Data Processing and Statistical Analysis
	3 Results and Discussion
		3.1 Physiological Parameters Assessment
		3.2 Psychometric Instruments Evaluation
		3.3 Correlation Between Physiological Parameters and Psychometric Instruments
		3.4 Data Classification
	4 Conclusion
	Acknowledgments
	References
4 Complete Specifications of ICT Services in an AAL Environment
	Abstract
	1 Introduction
	2 Position of the Problem
	3 Design Approach
		3.1 Cookbook
		3.2 Diary
		3.3 Pantry
		3.4 Appliances
	4 A Case Study—The Example of a Shopping List Service
	5 Technical Implementation
	6 Future Work
	7 Conclusions
	Acknowledgments
	References
5 Design of a Community-Supported CapAble Microwave System for People with Intellectual and Physical Disabilities
	Abstract
	1 Introduction
	2 Cooking Appliances State of Art: Development and Use of a Microwave
		2.1 Microwave Usability Analysis
	3 Research Methodology for a Community-Designed Device
		3.1 Quality Function Deployment Method for a User Centred Design Approach
		3.2 Designing with the “Persona” Model
		3.3 Preferences from the Users
	4 The CapAble Microwave
		4.1 System Architecture of the CapAble Microwave
	5 Conclusion
	References
6 Work of the Home and Social Relationships as a Guide to Domestic Care for the Elderly
	Abstract
	1 A Home that Changes Along with a Changing Body
	2 The Problem of Social Isolation in Elderly Populations
	3 Technology and Human Technologies for Elderly Care
		3.1 TRIL Building Bridges (BB) System
		3.2 An Option Often Overlooked and Underrated: Inter-generational Living
	4 Conclusions—Rediscovering the Home
	Acknowledgements
	References
7 The Design Contribution for Ambient Assisted Living
	Abstract
	1 From Design for All to Design for AAL
	2 Generating Principles
	3 The Specific Contributions: Product Design Skills
		3.1 User Centred Design (UCD) and Interaction Design (ID)
			3.1.1 Interaction Design
		3.2 Technological Implementation Design: Smart Design
		3.3 Morphology and Design: The Role of Shape
	4 Specific Contributions: The ALL Intervention Levels
		4.1 Objects and Smart Aids
			4.1.1 Intelligent Objects
			4.1.2 Intelligent Aids
			4.1.3 Intelligent Prostheses
		4.2 Residential Spaces and Intelligent Environments
		4.3 Movement and Mobility
			4.3.1 Personal Mobility Design (Movement)
			4.3.2 Domestic and In-Out Mobility Design (Micro-mobility)
				Integrated Aids
				Integrated Modules Aid
			4.3.3 Urban Mobility Design
8 Adaptive Interface for Smart Home: A New Design Approach
	Abstract
	1 Introduction
	2 Research Background
	3 The Design Approach
	4 The Proposed Adaptive System
		4.1 Database
		4.2 Application Core
		4.3 User Interface
	5 Conclusion
	Acknowledgements
	References
Enabling Technologies and Assistive Solutions
9 Unobtrusive Technology for In-Home Monitoring: Preliminary Results on Fall Detection
	Abstract
	1 Introduction
	2 Materials and Methods
		2.1 System Overview
		2.2 Algorithmic Framework for Fall Detection
		2.3 Experimental Setup
	3 Results and Discussion
	4 Conclusion
	Acknowledgements
	References
10 A Neural Network Approach to Human Posture Classification and Fall Detection Using RGB-D Camera
	Abstract
	1 Introduction
	2 Related Work
	3 System Overview
		3.1 Dataset
		3.2 NN Architecture
		3.3 Training, Validation and Testing Sets
	4 Real-Time Tests
		4.1 Experimental Setup
			4.1.1 Sit and Lie on a Sofa
			4.1.2 Falling Tests
	5 Results
	6 Fall Detector Application
	7 Conclusion and Future Work
	Acknowledgements
	References
11 A Tilt Compensated Haptic Cane for Obstacle Detection
	Abstract
	1 Introduction
	2 The Haptic Cane Architecture
	3 The Detection/Stimulation Paradigm
	4 Results and Conclusions
	References
12 Improved Solution to Monitor People with Dementia and Support Care Providers
	Abstract
	1 Introduction
	2 Related Works
	3 System Architecture and Functionalities
		3.1 Data Acquisition
		3.2 Data Processing
		3.3 Notification Management
		3.4 System Configuration
		3.5 Remote Storage
	4 Preliminary Tests and Discussion
	5 Conclusion
	References
13 Open Source Technologies as a Support for Community Care
	Abstract
	1 Introduction
	2 The Need for Holistic Care Management
	3 Overview of Software for the Community-Care
	4 Identification of Common Use Cases
	5 A Case Study on an Open-Source Platform
	6 Functional Evaluation of the Tested Open Source Platform
	7 Conclusion
	References
14 Implementation of a Solution for the Remote Monitoring of Subjects Affected of Metabolic Diseases: The Metabolink Project
	Abstract
	1 Introduction
	2 Materials and Methods
		2.1 Overall View
	3 Results and Discussion
	4 Conclusion
	Acknowledgments
	References
15 MuSA: A Smart Wearable Sensor for Active Assisted Living
	Abstract
	1 Introduction
	2 The HELICOPTER Project
	3 The MuSA Wearable Sensor
		3.1 Physical Activity Estimation
		3.2 User Identification and Localization
	4 Preliminary Results
	5 Conclusions
	Acknowledgements
	References
16 How to Help Elderly in Indoor Evacuation Wayfinding: Design and Test of a Not-Invasive Solution for Reducing Fire Egress Time in Building Heritage Scenarios
	Abstract
	1 Introduction
	2 Materials and Methods
		2.1 Rules for Wayfinding System Definition on Behavioral Bases
		2.2 Evacuation Drills
			2.2.1 Individual’s Evacuation
			2.2.2 Collective Drill
	3 Results
		3.1 Wayfinding System Definition on Behavioral Bases
		3.2 Evacuation Drills Results
			3.2.1 Individual’s Evacuation Results
			3.2.2 Collective Drill Results
	4 Conclusion
	Acknowledgements
	References
17 The A.I.zeta Framework: An Ontological Approach for AAL Systems Control
	Abstract
	1 Introduction
	2 An Ontological Inference Approach to Control an AAL System
	3 The A.I.zeta Framework
	4 Interface Between AAL System DB and A.I.zeta
	5 Reconfigurable Mapping Through the Interface
	6 Interface Between A.I.zeta and OWL-Based Ontology
	7 Ontology Inference Based Design Approach
	8 The Time Model
	9 Results
	10 Conclusions
	Acknowledgements
	References
18 Human Indoor Localization for AAL Applications: An RSSI Based Approach
	Abstract
	1 Introduction
	2 Experimental Setup
	3 Experimental Tests
	4 Indoor Localization Algorithms
		4.1 Min-Max
		4.2 Trilateration
		4.3 Maximum Likelihood
	5 Experimental Results
	6 Conclusions
	Acknowledgements
	References
19 User Indoor Localisation System Enhances Activity Recognition: A Proof of Concept
	Abstract
	1 Introduction
		1.1 Related Works
			1.1.1 External Sensors
			1.1.2 Wearable Sensors
		1.2 Objective
	2 Materials and Methods
		2.1 Phase I: Experimental Protocol Definition
			2.1.1 Instrumentation
		2.2 Phase II: Experimental Setting and Data Acquisition
		2.3 Phase III: Feature Extraction
		2.4 Phase IV: Feature Classification
		2.5 Phase V: Evaluation
	3 Results and Discussion
	4 Conclusions
	Acknowledgements
	References
20 An Innovative Speech-Based Interface to Control AAL and IoT Solutions to Help People with Speech and Motor Disability
	Abstract
	1 Introduction
		1.1 The CloudCAST Project and Environmental Control
	2 Materials and Methods
		2.1 A Single Multi-standard Access Point
			2.1.1 Basic Automation Functions Available in the Prototype
		2.2 Implementing the Prototype
		2.3 Integrating IoT Devices and Low Cost ICT Solution
	3 Results and Discussion
		3.1 A Completely Hands-Free Home Control Interface
		3.2 The CloudCAST Based Solution
	4 Conclusion
	Acknowledgements
	References
21 Fall Risk Evaluation by Electromyography Solutions
	Abstract
	1 Introduction
	2 Materials and Methods
		2.1 Hardware Architecture
		2.2 Software Architecture
	3 Results
	4 Conclusion
	Acknowledgements
	References
22 Semantic Knowledge Management and Integration Services for AAL
	Abstract
	1 Introduction
	2 The Vision
	3 The Integration Services
		3.1 Supporting the Signaling Capabilities Through the Information Dispatching Service
			3.1.1 The Architectural Model
			3.1.2 The Subscription Protocol
			3.1.3 Cancelling Subscriptions
		3.2 The Data Persistence Through the Semantic Repository
	4 The Conducted Experiments
	5 Conclusion
	Acknowledgements
	References
Experiments, Evaluation and Lessons Learnt
23 ASTRO: Autism Support Therapy by RObot Interaction
	Abstract
	1 Introduction
	2 Materials and Methods
	3 Technology
	4 Results
	Acknowledgments
	References
24 MARIO Project: A Multicenter Survey About Companion Robot Acceptability in Caregivers of Patients with Dementia
	Abstract
	1 Introduction
	2 Materials and Methods
	3 Results
		3.1 Acceptability and Functionality of Caring Service Robot
		3.2 Support Devices and Impact of Caring Service Robot
		3.3 Effects of Sex and Age of the Caregivers
		3.4 Effects of Educational Level and Caregiving Types of the Caregivers
	4 Discussion
	5 Conclusion
	Acknowledgements
	Appendix 1: Mario Questionnaire on the Use of Companion Robotics
	References
25 Enhancing the Interactive Services of a Telepresence Robot for AAL: Developments and a Psycho-physiological Assessment
	Abstract
	1 Motivation and Context
		1.1 The GIRAFFPLUS Telecare System
		1.2 User Needs from Fielded Deployment
	2 Technological Improvements of the Robotic Platform
		2.1 @Home Services
		2.2 Multimodal Communication Module
			2.2.1 Robot Actions
			2.2.2 Gesture e Speech Recognition
	3 User Evaluation and HRI Experiments
		3.1 Method
			3.1.1 Participants
			3.1.2 Materials and Instruments
			3.1.3 Experimental Procedure
			3.1.4 Signal Processing
			3.1.5 Statistical Analysis
		3.2 Results
			3.2.1 Psychological Self-report Measures
			3.2.2 Results on Physiological Correlates
				Psychophysiological correlates of usability
				Psychophysiological correlates of affective status
	4 Discussions
	Acknowledgements
	References
26 Evaluating SpeakyAcutattile: A System Based on Spoken Language for Ambient Assisted Living
	Abstract
	1 Introduction
	2 The SpeakyAcutattile Platform
	3 Method
		3.1 Participants
		3.2 Materials and Metrics
			3.2.1 Ad Hoc Questionnaire on Task Satisfaction
			3.2.2 Subjective Assessment of Speech System Interfaces (SASSI)
			3.2.3 Performance Metrics
		3.3 Experimental Procedure
		3.4 Statistical Analysis
	4 Results and Discussion
		4.1 Overall Satisfaction
		4.2 Single Module Satisfaction
	5 Conclusions
	Acknowledgements
	References
27 Quantify Yourself: Are Older Adults Ready?
	Abstract
	1 Introduction
	2 Related Work
	3 Interview Study of Health Tracking in Older Adults
	4 Results
		4.1 Two Types of Indicators: Health and Wellness
		4.2 Measurement and Tracking: Two Different Sub-phases
		4.3 Tools for Measuring and Tracking: Artefacts and Mind
		4.4 Sharing: Of Artefacts, Not of Tracked Data
		4.5 Perception of Active Involvement During Measurement and Tracking
		4.6 Barriers to Tracking
	5 Conclusion
	Acknowledgements
	References
28 Telemedicine for Dementia-Affected Patients: The AAL-ACCESS Project Experience
	Abstract
	1 Introduction
	2 Materials and Methods
	3 Clinical Aspects
	4 Results
	5 Discussion
	Acknowledgements
	Further Reading
                        
Document Text Contents
Page 1

Lecture Notes in Electrical Engineering 426

Filippo Cavallo
Vincenzo Marletta
Andrea Monteriù
Pietro Siciliano
Editors

Ambient
Assisted
Living
Italian Forum 2016

Page 2

Lecture Notes in Electrical Engineering

Volume 426

Board of Series editors

Leopoldo Angrisani, Napoli, Italy
Marco Arteaga, Coyoacán, México
Samarjit Chakraborty, München, Germany
Jiming Chen, Hangzhou, P.R. China
Tan Kay Chen, Singapore, Singapore
Rüdiger Dillmann, Karlsruhe, Germany
Haibin Duan, Beijing, China
Gianluigi Ferrari, Parma, Italy
Manuel Ferre, Madrid, Spain
Sandra Hirche, München, Germany
Faryar Jabbari, Irvine, USA
Janusz Kacprzyk, Warsaw, Poland
Alaa Khamis, New Cairo City, Egypt
Torsten Kroeger, Stanford, USA
Tan Cher Ming, Singapore, Singapore
Wolfgang Minker, Ulm, Germany
Pradeep Misra, Dayton, USA
Sebastian Möller, Berlin, Germany
Subhas Mukhopadyay, Palmerston, New Zealand
Cun-Zheng Ning, Tempe, USA
Toyoaki Nishida, Sakyo-ku, Japan
Bijaya Ketan Panigrahi, New Delhi, India
Federica Pascucci, Roma, Italy
Tariq Samad, Minneapolis, USA
Gan Woon Seng, Nanyang Avenue, Singapore
Germano Veiga, Porto, Portugal
Haitao Wu, Beijing, China
Junjie James Zhang, Charlotte, USA

Page 203

assessed by the Cumulative Illness Rating Scale (CIRS) [11]; (5) nutritional status
according to the Mini Nutritional Assessment (MNA) [12]; (6) the risk of devel-
oping pressure sores assessed by the Exton Smith Scale (ESS) [13]; (7) the number
of drugs taken by patients at admission; (8) co-habitation status, i.e. alone, in family
or in institution; (9) Evaluation of quality of life using the Quality of Life
Enjoyment and Satisfaction Questionnaire (Q-LES-Q) [14]. The satisfaction were
measured though the use of the General Satisfaction Questionnaire (GSQ) [15] at
the end of the study.

3 Results and Discussion

The involved subjects predominantly male (53%) with a mean age of 70 years old,
almost completely autonomous in the basal activity (mean = 5 ADL) and instru-
mental activity (IADL = 7) of daily life. The average level of education was
5 years. They had a good nutritional status (MNA = 27), lived autonomously at
their home and showed a mean co morbidity score of 4 with a mean
Multidimensional Prognostic Index of 0.3. No statistically significant differences
are present between cohorts at baseline and after 2 months.

After experimental period, from a subjective point of view patients in cohort 1
have appreciated the possibilities offered by the system and felt them more secure,
showing an improvement (even if not significatively) of 1.4% on the MPI.

In addition we have observed a trend with a slight improvement in Q-LES-Q and
in the General Satisfaction Questionnaire in patients of cohort 1 versus cohort 2.
Cohort 1 have shown an improvement of 3.89% on the Q-LES-Q score and 3.77%
on the GSQ score. Unfortunately the results were not significant different from a
statistical point of view for the extremely small sample size but the trend are
promising. The drop-out after one month of experimentation was 50%.

4 Conclusion

This study explored the application of the Metabolink system in the treatment of
diabetes elderly patients. The system was accepted by all the patients and they
learned efficaciously in a few hours to use it. Unfortunately we observed a drop-out
of about 50% in the first month mainly due to the NFC implementation and
complexity of diet module. Patients remaining in the study refers a slight
improvement in the Q-LES-Q and GSQ and they decided to continue to use it after
the end of the follow-up. The study presents several limitation: the relatively small
sample size, the short follow-up and the relatively high percentage of drop-out
determining an important bias to consider in the data extrapolation in other context.
Clearly the diabetes is a chronic disease that requires a multidisciplinary approach
to be appropriately faced. It’s clear that more work has to be done to produce a

Implementation of a Solution for the Remote Monitoring … 195

Page 204

solution more suitable to the elderly population and validated with a consistent
sample size but we think that this will be mandatory considering the demographic
change, the associated increasing health cost and sustainability of the health and
social national systems.

Acknowledgments The project Metabolink was funded by the Apulia Region through the PCP
program.

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1. Akselrod S, Gordon D, Ubel FA, Shannon DC, Berger AC (1981) Cohen RJ-power spectrum
analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control.
Science 10;213(4504):220–222.

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Autonomic function assessed by heart rate variability is normal in Alzheimer’s disease and
vascular dementia. Dement Geriatr Cogn Disord 19(2–3):140–144

3. Amadoro G, Corsetti V, Lubrano A, Melchiorri G, Bernardini S, Calissano P, Sancesario G
(2014) Cerebrospinal fluid levels of a 20–22 kDa NH2 fragment of human tau provide a novel
neuronal injury biomarker in Alzheimer’s disease and other dementias. J Alzheimers Dis.
42(1):211–226

4. Balocchi R, Cantini F, Varanini M, Raimondi G, Legramante JM, Macerata A (2006)
Revisiting the potential of time-domain indexes in short-term HRV analysis. Biomed Tech
51:190–193

5. Brennan M, Palaniswami M and Kamen P (2001) Do existing measures of poincare plot
geometry reflect nonlinear features of heart rate variability? IEEE Trans Biomed Eng
48:1342–1347

6. Coppola L, Mastrolorenzo L, Coppola A, De Biase M, Adamo G, Forte R, Fiorente F,
Orlando R, Caturano M, Cioffi A, Riccardi A (2013) QT dispersion in mild cognitive
impairment: a possible tool for predicting the risk of progression to dementia? Int J Geriatr
Psychiatry 28(6):632–639

7. Ferrazzoli D, Sancesario G (2013) Development and significance of the frailty concept in the
elderly: a possible modern view. CNS Neurol Disord Drug Targets. 12(4):529–531

8. Howes LG (2014) Cardiovascular effects of drugs used to treat Alzheimer’s disease. Drug Saf
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9. Huikuri HV, Mäkikallio TH, Peng CK, Goldberger AL, Hintze U, Moller M (2000) Fractal
correlation properties of R-R interval dynamics and mortality in patients with depressed left
ventricular function after an acute myocardial infarction-circulation.

10. Kasanuki K, Iseki E, Fujishiro H, Ando S, Sugiyama H, Kitazawa M, Chiba Y, Sato K,
Arai H (2015) Impaired heart rate variability in patients with dementia with Lewy bodies:
efficacy of electrocardiogram as a supporting diagnostic marker. Parkinsonism Relat Disord.
21(7):749–754

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drugs for dementia. BMJ 15:335(7619):557

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method to detect transient changes in vagal effects on Hearts: a pharmacological bloking
study. AM J Physiol Heart Circ Physiol 290:H2582–H2589

14. Mellingsæter MR, Wyller TB, Ranhoff AH, Bogdanovic N, Wyller VB (2015) Reduced
sympathetic response to head-up tilt in subjects with mild cognitive impairment or mild
Alzheimer’s dementia. Dement Geriatr Cogn Dis Extra 13;5(1):107–115

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(2004) Decrease in heart variability with overtraining: assessment by the Poincaré plot
analysis. Clin Physiol Funct Imaging 24:10–8

16. Peng CK, Havlin S, Stanley H, Goldberger A (1994) Quantification of scaling exponents and
crossover phenomena in nonstationary heartbeat time series. Chaos 5:82–87

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Potenza MC (2014) Linear and non-linear R-R interval variability analysis in the
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