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This paper makes four scientific contributions to the field of fall detection in the elderly to contribute to their assisted living in the future of internet of things (IoT)-based pervasive living environments, such as smart homes. First, it presents and discusses a comprehensive comparative study, where 19 different machine learning methods were used to develop fall detection systems, to deduce the optimal machine learning method for the development of such systems. This study was conducted on two different datasets, and the results show that out of all the machine learning methods, the k-NN classifier is best suited for the development of fall detection systems in terms of performance accuracy. Second, it presents a framework that overcomes the limitations of binary classifier-based fall detection systems by being able to detect falls and fall-like motions. Third, to increase the trust and reliance on fall detection systems, it introduces a novel methodology based on the usage of k-folds cross-validation and the AdaBoost algorithm that improves the performance accuracy of the k-NN classifier-based fall detection system to the extent that it outperforms all similar works in this field. This approach achieved performance accuracies of 99.87% and 99.66%, respectively, when evaluated on the two datasets. Finally, the proposed approach is also highly accurate in detecting the activity of standing up from a lying position to infer whether a fall was followed by a long lie, which can cause minor to major health-related concerns. The above contributions address multiple research challenges in the field of fall detection, that we identified after conducting a comprehensive review of related works, which is also presented in this paper.

This work makes multiple scientific contributions to the field of Indoor Localization for Ambient Assisted Living in Smart Homes. First, it presents a Big-Data driven methodology that studies the multimodal components of user interactions and analyzes the data from Bluetooth Low Energy (BLE) beacons and BLE scanners to detect a user’s indoor location in a specific ‘activity-based zone’ during Activities of Daily Living. Second, it introduces a context independent approach that can interpret the accelerometer and gyroscope data from diverse behavioral patterns to detect the ‘zone-based’ indoor location of a user in any Internet of Things (IoT)-based environment. These two approaches achieved performance accuracies of 81.36% and 81.13%, respectively, when tested on a dataset. Third, it presents a methodology to detect the spatial coordinates of a user’s indoor position that outperforms all similar works in this field, as per the associated root mean squared error—one of the performance evaluation metrics in ISO/IEC18305:2016—an international standard for testing Localization and Tracking Systems. Finally, it presents a comprehensive comparative study that includes Random Forest, Artificial Neural Network, Decision Tree, Support Vector Machine, k-NN, Gradient Boosted Trees, Deep Learning, and Linear Regression, to address the challenge of identifying the optimal machine learning approach for Indoor Localization.

This framework for human behavior monitoring aims to take a holistic approach to study, track, monitor, and analyze human behavior during activities of daily living (ADLs). The framework consists of two novel functionalities. First, it can perform the semantic analysis of user interactions on the diverse contextual parameters during ADLs to identify a list of distinct behavioral patterns associated with different complex activities. Second, it consists of an intelligent decision-making algorithm that can analyze these behavioral patterns and their relationships with the dynamic contextual and spatial features of the environment to detect any anomalies in user behavior that could constitute an emergency. These functionalities of this interdisciplinary framework were developed by integrating the latest advancements and technologies in human–computer interaction, machine learning, Internet of Things, pattern recognition, and ubiquitous computing. The framework was evaluated on a dataset of ADLs, and the performance accuracies of these two functionalities were found to be 76.71% and 83.87%, respectively. The presented and discussed results uphold the relevance and immense potential of this framework to contribute towards improving the quality of life and assisted living of the aging population in the future of Internet of Things (IoT)-based ubiquitous living environments, e.g., smart homes.

A system for automatically determining the contour of the left ventricle (LV) and its bounded area, from transesophageal echocardiographic (TEE) images is presented. It uses knowledge of both heart anatomy and echocardiographic imaging to guide the selection of image processing methodologies for thresholding, edge detection, and contour following and the center-based boundary-finding technique to extract the contour of the LV region. To speed up the processing a rectangular region of interest from a TEE picture is first isolated and then reduced to a coarse version, one-ninth original size. All processing steps, except the final contour edge extraction, are performed on this reduced image. New methods developed for automatic threshold selection, region segmentation, noise removal, and region center determination are described.

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