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Apostolos P. Traganitis, Ph.D Institute of Computer Science

Proactive Health management and maintenance of well being: A case for wearable computing and sensor technology. Apostolos P. Traganitis, Ph.D Institute of Computer Science Foundation of Research and Technology-Hellas ICS - FORTH. ICS-FORTH Personnel. Researchers 19

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Apostolos P. Traganitis, Ph.D Institute of Computer Science

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  1. Proactive Health management and maintenance of well being:A case for wearable computing and sensor technology Apostolos P. Traganitis, Ph.D Institute of Computer Science Foundation of Research and Technology-Hellas ICS - FORTH

  2. ICS-FORTH Personnel • Researchers 19 • University Faculty 18 • Technical Personnel 99 • Administrative & Auxiliary Personnel 10 • Graduate Research Assistants 73 • Trainees (Undergraduates) 34 • Total 253

  3. Research and Development Laboratories Center for Medical Informatics and Health Telematics Applications Computer Vision and Robotics Laboratory Human-Computer Interaction Laboratory Center for Universal Access and Assistive Technologies Information Systems Laboratory Center for Cultural Informatics Computer Architecture and VLSI Systems Laboratory Telecommunications and Networks Laboratory Distributed Systems Laboratory FORTHnet Research and Development Department of Internet Domain Names Administration for [.gr] Department of Education and Training Department of Systems and Networks Administration

  4. Main Research and Development Areas • Information Systems • Cultural Informatics • Computer Architectures and VLSI Design • Computer Vision and Robotics • Medical Informatics and Health Telematics • Telecommunications and Networks • Human-Computer Interaction • Universal Access and Assistive Technologies (including speech technologies) • GRID Computing and Large-scale Computing • Embedded Systems – The disappearing computer • Web Systems and Technologies • Bio-Informatics

  5. Selected outcomes • FORTHnet S.A. • The HYGEIAnet integrated Health Telematics network of Crete • The multi-sensor robotic platforms TALOS and LEFKOS • The robotic wheelchair ODIGOS • The single-chip ATM switch ATLAS I • The Unified User Interface Development (U2ID) environment • The AVANTI Internet browser supporting universal access • The POLEMON National Monuments Record system • The MAISTOR structural documentation system for buildings • The ARXON document classification system • The THETIS environmental and geographical information and visualization system

  6. Membership in ERCIMCoordination of HIT Working Group ERCIM is a consortium of leading research institutions from 15 European countries,committed to the advancement of information technology and applied mathematics ERCIM is emerging as a de facto network of excellence and “distributed think tank” contributing to the formation of research policies at the European and international levels

  7. Center for Medical Informatics and Health Telematics Applications (CMI/HTA)

  8. Project Acronym Programme Funding Agency Duration Budget for CMI/HTA IHIS EPET GSRT 1/1/1995 – 31/12/1997 75.000 EURO STIRIKSI PENED GSRT 1/1/1995 – 31/3/1998 25.000 EURO Crete – Telematics Applications ΙNTERREG II Ministry of Economy 1/1/1998 – 31/12/2000 4.500.000 EURO DNASequence PENED GSRT 1/12/99 –31/5/2001 15.000 EURO IntelCoronary PENED GSRT 1/12/99 –31/5/2001 50.000 EURO BreastCancer PENED GSRT 1/12/99 –31/5/2001 50.000 EURO CMI/HTA projects (1996 – 2000) - National

  9. Project Acronym Programme Funding Agency Duration Budget for CMI/HTA STAR Telematics DG XIII 1/6/1995 – 30/6/1997 208.000 EURO FAPSY ESPRIT DG III 1/1/96 – 30/6/97 180.000 EURO KESO ESPRIT DG III 1/1/96 – 31/12/98 106.000 EURO HECTOR Telematics DG XIII 1/1/1996 – 30/6/1999 564.000 EURO ET-ASSIST Telematics DG XIII 1/4/1996 –31/3/1999 750.000 EURO TEN-TELEMED TEN-TELECOM DG XIII 1/1/1998 - 30/6/1999 200.000 EURO ΤΕΜΕΤΕΝ RISI II DG XVI 1/3/1997 - 30/10/1999 1.500.000 ECU INTERCARE Telematics DG XIII 1/5/1998 - 30/4/2000 488.374 EURO ATTRACT Telematics DG XIII 1/5/1998 –30/4/2000 260.649 EURO HEALTHNET LEONARDO DG XIII 23/12/1997 – 22/12/2000 36.267 EURO RETRANSPLANT Telematics DG XIII 1/9/1998 -31/8/2001 140.000 EURO PICNIC IST DG XIII 1/1/2000- 31/12/2002 1.058.988 EURO JUST IST DG XIII 1/1/2000- 31/12/2002 812.000 EURO IRAIA IST DG XIII 1/3/2000- 28/2/2002 256.000 EURO CMI/HTA projects (1996-2000) - European

  10. The Healthcare Environment is Changing • Changing population demographics • Containment of costs • Human resource limitations • Increasing citizen expectations (accessibility, quality of care etc) • Population mobility and continuity of care • Distant monitoring of health status • Home care Technology is taking on a leading role

  11. Community focused care A move towards ‘community’ focused care, where health and social care is provided within the citizens own home or local environment can enable: • shorter hospital stays for the citizen, releasing hospital resources earlier, • individual citizens to recuperate within the comfort of their own homes, • citizens with medium and high risk chronic conditions for more independent living, • older citizens to remain independent in their own homes longer.

  12. Enabling Technologies There are a number of novel enabling technologies that, when integrated together, will provide an innovative proposition for future health care services in the context of ‘well being’ monitoring. These include: • Sensor technologies (environmental, biomedical, activity and location based) • Wireless communications. • Mobile application service gateways (providing location awareness and other application services to citizen and care provider) • Intelligent software agent technologies • Embedded Systems – The disappearing computer

  13. Proposed contribution of ICS-FORTH Within the proposed project ICS - FORTH can operate as a technology provider partner, with interest in developing wearable systems in the fields of health care and emergency services; that is systems, for example, for • Health_emergency_personnel @work • Medical_personnel@work • Firefighters@work • Diabetics@work • Cardiac_patients@work • High_blood_pressure_patients@work • etc

  14. Health_emergency_personnel @ Work Vest and Equipment Back Front Handheld(Pocket PC) μP Headset (HUD, Camera, Voice) ECG Examination Camera Stethoscope Blood Pressure Spirometer Otoscope Ophthalmoscope Digital Wireless Comm Batteries

  15. ICS-FORTH’s areas of competence ICS - FORTH is interested in developing or adapting already developed • sensor technologies (environmental, biomedical, activity and location based) • Voice recognition and synthesis technologies • Personal Area Networks, and • software or/and hardware platforms (embedded systems) To build wearable systems for health workers and patients (OR for any other area of applications)

  16. ICS-FORTH’s relevant experience (projects) • 2WEAR "A Runtime for Adaptive and Extensible Wireless Wearables“ 1/1/2001 - 31/12/2003 • IS4ALL Information Society for All" 1/10/2000 - 30/9/2003 • ATTRACT: Applications in Telemedicine Taking Rapid Advantage of Cable Television Network Evolution. (TELEMATICS, DGXIII, 1998-2000) • HECTOR: Health Emergency Management and Coordination Through Telematic Operational Resources. (TELEMATICS, DGXIII, 1996-1998) • Fi COM Fiber computing IST-2000- 25247 (as consultants to ISD S.A) • Contactless Card and RFid reader development (Industrial funding)

  17. Potential Industrial Partners • FORTHnet S.A.: The First and largest Internet Provider in Greece • FORTHmed S.A.: a FORTH start-up company in the Health sector • Integrated System Development (ISD) S.A. an ST subsidiary design house (one of the partners in the FiCOM project)

  18. 2WEAR The 2WEAR project is aiming to explore the vision of a distributed wearable computer that will adapt itself to its changing configuration and surrounding environment. The system will allow hardware devices and software components to be detected and incorporated into the wearable without having to reset or restart applications. It will also enable the dynamic adaptation of the functional and interactive components of applications, based on the availability or proximity of devices, the context of use, the task at hand, etc. Towards this goal we set the following objectives: • implement a runtime kernel for this architecture, • build prototype wearable devices where the runtime will be installed, and • design an architecture for adaptive and extensible wireless wearable systems, • develop a futuristic application environment that will be used for assessing and demonstrating the capabilities of the system. The main difference between 2WEAR and current research efforts lies in its focus on seamless and dynamic device composition (via a ultra local wireless interconnect) and adaptation of applications. Other work focuses more on how mobile units can communicate with stationary ‘external’ back-end systems and applications

  19. ATTRACT The main objective of ATTRACT Project was to take advantage of emerging Cable Television network infrastructures to demonstrate how European health-care providers can offer cost-effective care to patients at home The main outcomes of ICS-FORTH’s involvement in this project are the design, development and implementation of a modular and configurable Home Care Platform that supports different health and social care domains, and the results of the clinical pilots to evaluate the platform and the service. In addition, of importance are, the R&D issues that must be addressed in order to transform and extend the aforementioned platform for the support of personal health management services.

  20. Home care: application fields • Hypertension • Diabetes • Asthma • Cardiac patients • Psychiatric patients • Post-surgery follow-up • Elderly patients • Patients with disabilities

  21. home care platform architecture

  22. Devices currently integrated Remotely Controlled Camera Stethoscope(custom-made) Electronic Scale Cardiograph Hand-held Spirometer Home Care health record segment All devices in the Home Care project transmit medical data in real-time and are remotely controlled by the Doctor’s site.

  23. HECTOR The HECTOR project aims to build an integrated system based on existing technology and incorporating multimedia and telecommunication new capabilities focused to improve coordination and management in health emergencies, and to verify that innovative telematics technology is effectively and realistically able to improve the performance of the healthcare organizations devoted to urgency and emergency situations, and thus improving citizen's attention and professional's work.

  24. PAST NOW Fi COM

  25. 35m Circuit Board Five IC Stack (Mech. Assembly) IC Thinned to 60mm Three Staced Test Chips. High Density Flip Chip 3-D Plastic Packaging Flex Assembly (Top) Die Image (Right) Diode on polysilicon silicon fiber after release Fibre Integration

  26. Fabrication of circuits on fibers Metal Interconnect Flexible support Flexible structure for device fabrication Single Inverter Cell to be Implemented into the Ring oscillator Section of Ring oscillator implemented with flexible approach

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