Smart Homes Redefined

The concept of a smart home has evolved significantly, with technologies now focusing on health monitoring. The integration of advanced sensors and devices into our living spaces promises not only convenience but also proactive health management. 

While sensors placed throughout the home can detect air and water contaminants, allergens, and pollutants, high-resolution cameras and microphones and other non-contact measurement devices could allow health monitoring and remote consultations with healthcare professionals. 

Smart mirrors in bathrooms should transcend mere reflective surfaces. Enhanced with advanced computer vision capabilities, they could assess skin conditions, identify changes in appearance, and offer personalized health and beauty recommendations. They could also analyze the eyes for early signs of various health conditions, extending far beyond mere glaucoma and cataract detection. The eyes can unveil valuable information about cholesterol levels, liver conditions, and diabetes. Eye monitoring technology is a testament to the saying, "The eye is the window to the soul," extending its truth to health monitoring.

Ambient sensors equipped with radar technology in living rooms and bedrooms can continuously monitor vital signs like pulse rates. This non-intrusive monitoring could provide a seamless health tracking experience for residents.

Recent advancements include the use of mmWave radar sensors for continuous monitoring of human activity. Recently built system, utilizing an NVIDIA Jetson Nano board for real-time processing and a Texas Instruments Millimeter-Wave Radar Sensor, offers a non-intrusive and privacy-respecting way to monitor activities like sitting, walking, standing, and even detecting falls. This radar technology poses a challenge due to the high-dimensional point cloud data it generates. The PointNet neural network is developed to process this data efficiently, preserving spatial relationships and offering accurate activity classification. 

The traditional method of measuring SpO2 involves contact sensors, which can be inconvenient for prolonged use. New techniques for contactless SpO2 measurement using different light wavelengths in video images are being developed. This approach promises a more comfortable and accessible way to monitor oxygen saturation levels, especially crucial in the wake of health crises like COVID-19.

The COVID-19 pandemic has underscored the importance of non-intrusive health monitoring, especially for elderly individuals. The development of a Multi-scaled Long Short Term Memory (Ms-LSTM) model, as part of a smart toilet system, represents a significant step in this direction. This model enables effective home-based health diagnostics through urine analysis, leveraging the IoT-Fog-Cloud paradigm. It's a particularly vital tool for early detection of potential viral infections, including COVID-19, in the elderly. The Ms-LSTM model integrates a four-layered architecture including data acquisition, fog layer (processing and analyzing the data locally) , cloud (for deeper analysis) and interface layer. The proposed system offers a non-invasive, efficient method for early disease detection and preventive health. 

The integration of health monitoring technologies into smart homes is transforming how we approach personal health. From environmental sensors to advanced radar and neural networks, these innovations promise a future where health management is seamlessly woven into our daily lives. As technology continues to advance, we can expect even more sophisticated health monitoring solutions to emerge, making proactive health care a tangible reality in the comfort of our homes.  

REFERENCES

Alhazmi AK, Alanazi MA, Alshehry AH, Alshahry SM, Jaszek J, Djukic C, Brown A, Jackson K, Chodavarapu VP. Intelligent Millimeter-Wave System for Human Activity Monitoring for Telemedicine. Sensors (Basel). 2024 Jan 2;24(1):268. doi: 10.3390/s24010268. PMID: 38203130.

Sasaki S, Sugita N, Terai T, Yoshizawa M. Non-Contact Measurement of Blood Oxygen Saturation Using Facial Video Without Reference Values. IEEE J Transl Eng Health Med. 2023 Sep 25;12:76-83. doi: 10.1109/JTEHM.2023.3318643. PMID: 38088997; PMCID: PMC10712673.

Kumar D, Sood SK, Rawat KS. Empowering elderly care with intelligent IoT-Driven smart toilets for home-based infectious health monitoring. Artif Intell Med. 2023 Oct;144:102666. doi: 10.1016/j.artmed.2023.102666. Epub 2023 Sep 20. PMID: 37783534.

Fatima H, Imran MA, Taha A, Mohjazi L. Internet of Mirrors for Connected Healthcare and Beauty: A Prospective Vision. arXiv preprint arXiv:2311.14734. 2023 Nov 21.

The Rapid Expansion of DTC Healthcare

Preventive care is recognized as the most effective strategy for health care cost reduction. Screening for early signs of heart disease, cancer, maintenance of diabetes and allergies and prevention of infectious diseases can be done without a supervising physician. Direct-to-consumer (DTC) laboratory testing allows individuals to order tests directly from a laboratory without going through their healthcare provider, and often at lower cost. The number of companies providing direct-to-consumer diagnostic testing is rapidly growing, along with the range of health information provided by these tests. Ancestry (genealogy) testing is an example. And so are new devices for cardiac monitoring. 

Experts anticipate a near-term explosion in the DTC marketplace. DTC healthcare already was a US$700 billion industry in 2020, including over-the-counter drugs. The Mark Cuban Cost Plus Drug Company, PBC (MCCPDC) is nearing one million customers. An analysis of 2011-1019 records from Rock Health Digital Database, showed that 252 (21%) of 1214 digital health companies pursued a direct-to-consumer strategy. The pandemic has accelerated this growth. According to research by Deloitte, the number of people using virtual healthcare rose from 15% to 19% from 2019 to early 2020, then jumped to 28% in April 2020. On average, 80% were likely to have another virtual visit, even post COVID-19 and said they will use this type of care again. Latest data showed that consumers’ appetite for virtual health and digital health tools continued to steadily increased, although there was significant variation in physician adoption. 

Human touch remains central to care delivery. In the 2022 Deloitte Survey of US Health Care Consumers, 70% of respondents who had a virtual visit in 2022 (vs. 67% in 2020) thought that the quality of virtual care was as good as in person, but only 73% (vs. 82% in 2020) thought they were able to connect with the clinician the same way they would in-person. Integration of data from patients' wearables and their self-reported outcomes into health records also experienced a setback. 

The global market for Direct-to-Consumer (DTC) testing was predicted to grow from $1.4 billion in 2020 to $2.6 billion by 2025. There were cautionary cases of uBiome and Theranos, there are quackery labs, but as the industry matures and moves toward utilization of clear clinical metrics, and as the capabilities of technology advance, DTC testing will me more and more impactful. There are DTC companies that offer the tests and biometric screenings that a physician would typically order as part of a routine annual physical, such as a complete blood count, comprehensive metabolic panel, urinalysis, and cardiovascular and diabetes risk assessment. Ultalabs, JasonHealth, discounted labs, drsays and privatemdlabs all allow to self-order laboratory tests and Quest and Labcorps locations. 

No more uncomfortable questions for a blood test prescription. No doctor visit needed to gettest results - they will be emailed instead. Consumers pay up front and know exactly what they are paying for. Unfortunately, the same cannot be said for many other healthcare services.

Genetic counseling for patients who are pursuing genetic testing in the absence of a medical indication, referred to as elective genomic testing (EGT), is becoming relatively common. More people are using technology to monitor their health, measure fitness, and order prescription refills. Before COVID-19, there was a slight decline in people who were willing to share their health data—but during the pandemic, new data showed that people are more comfortable sharing data during a crisis

REFERENCES

Cohen AB, Mathews SC, Dorsey ER, Bates DW, Safavi K. Direct-to-consumer digital health. The Lancet Digital Health. 2020 Apr 1;2(4):e163-5.

Stoffel M, Greene DN, Beal SG, Foley P, Killeen AA, Shafi H, Terrazas E. Direct-to-Consumer Testing for Routine Purposes. Clinical Chemistry. 2022 Sep;68(9):1121-7.

2022 Global health care sector outlook | Deloitte

deloitte-nl-healthcare-consumer-centered-future-of-health.pdf

https://www.beckershospitalreview.com/lab/lab-test-market-shifting-from-provider-driven-to-consumer-driven.html

M-health, or who will take care of me?

What is the real way to reform Health? asks Eric Wahlgren from DailyFinance, and answers 'Wireless Technology'. The coming convergence of wireless communications, social networking and medicine will transform health care agrees The Economist.

Wireless health (also called mobile health, e-health, m-health or telemedicine) will enable your body parts to make phone calls, your shoes or carpet to consult your doctor , your bed to measure your blood sugar and your phone itself to decide on whether your mental health is deteriorating - based on how quickly you answer the phone and recognize the caller.

No more lies on how much you ate or when you took your last pill. If your heart and other organs are not yet monitored by smart devices, your doctor will listen to your lungs over the phone or check how your knees are doing in 3D.

We are shifting to digital medical era starting from the relatively modest devices to keep you healthy and fit, evolving teletracking, technology, M-health sensors, Telemedicine tools and gadgets, Health 2.0 software tools, and algorithms for health data mining.

There is far more than a list of 101 things to do with a mobile phone in healthcare first compiled a year ago - including simple SMS messaging and GPS-based applications such as Medication Reminders (SMS) and Allergy Alert Service For Asthmatics (SMS and GPS), management of Chronic conditions such as Diabetes, hospital based RFID and the use of technologies such as Bluetooth and ZigBee in health and fitness monitoring.

It's time to take health care off the mainframe says Intel's Eric Dishman in his talk on
behavioral markers, vital sign monitoring and aging care delivery:

Telemedicine 2.0, part 1

by Aurametrix

The term telemedicine was coined in the 1970s by Thomas Bird. The origins of this technology date back to smoke signals in ancient times. Earliest electroni devices included STARPAHC - a van staffed by two paramedics with a variety of medical instruments including electrocardiograph and x-ray. ATS-1, the first Applied Technology Satellite was in use in 1971-1975 to provide rural health care in Alaska. Minimal television system for remote diagnosis was developed in early 70s. Applications of telemedicine in early 2000s included remote consultation and diagnosis, specialty clinical care (anesthesia, dermatology, dentistry, cardiology, psychiatry, radiology, critical care, oncology, etc), patient education, home monitoring, and continuing education.
The health care cost is rising each year, it's already 16%-17% of the GDP. Wide utilization of wireless communications can reduce the health care cost by billions of dollars on an annual basis. Here are some examples of new developments.
Cisco HealthPresence combines state-of-the-art video, audio, and medical information to create an environment similar to what most people experience when they visit their doctor or health specialist. First Cisco HealthPresence booth was installed in January 2008.

Another California company, CardioNet provides the next-generation ambulatory cardiac monitoring service with beat-to-beat, real time analysis, automatic arrhythmia detection and wireless ECG transmission.

A startup in Redwood city, CA, works on
ingestible technology: microchip-enabled medications that provide patients with valuable information to customize their therapy. Proteus’s implantable ChipSkin™ technology adds tiny active electronics to devices that use electrical energy to deliver therapy inside the body. Similar technologies are being proposed (like a medication reminder watch by a UCLA student and the MedTracker device) or developed.

If you experience unpleasant gastrointestinal symptoms, such as abdominal pain, diarrhea, bleeding, anemia or GERD, you may be tested by capsule endoscopy with PillCam® family of products from Given Imaging. Vitamin-sized capsules with miniature video cameras inside will send pictures of your GI tract to a computer for your doctor to review. For GERD diagnosis, BRAVO pH monitoring system could be most useful.
Swallowable devices such Radio pill tocan monitor players temperature . Researchers are planning larger volunteer testing events this year.

This gadget is displaying your identification card, if you need it, , but is also a Bluetooth headset device and has the features of other wireless headsets. With up to 40 hours of talk time on a full charge, the Smart Badge by Iqua is easy to carry and use, is stylish and smart. Its standby time is up to 600 hours, it vibrates to alert incoming calls silently during meetings and allows 3-way conference calls.
It also has LED lights displaying Bluetooth connection, call status, and low battery indication. With supporting cell phones, this badge also allows for voice activated dialing. For full features and specification, you may find the Pdf of the product brochure here.

To be continued.

Aurametrix is working on tools to help you evaluate your personal health risks and benefits and make the right choices.