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Personalised wearable cardiac sensor services for pervasive self-care

The aim of the thesis is to design a web services architecture that shall support the automatic determination of a personalised sensor-system, which is embedded in smart garments, and which shall be used in self-care in order to allow a profane user to record himself a personal electrocardiogram (ECG), at anytime and anywhere. The main challenge consists in the intelligent and dynamic orchestration of context-aware business services that supply the user with an optimal personalised solution, while mastering the system's complexity: context dependent user and system interactions, knowledge extraction from subject-specific vital signs, services reconfiguration automation. The solution to this challenge is to create an Ambient Intelligence which goes beyond Ubiquitous Computing and is capable to replace an expert by proposing an Intelligent Assistance to any citizen. We propose a methodology expressed in terms of Data and Model driven Service Oriented Architecture (DM-SOA), which provides a framework for the production of context-aware intelligent business services. This architecture supports the automation of sophisticated and personalised expert activities, which apply professional knowledge to process an individual case. The proposed solution is based on a new dynamic business process modelling approach and in its implementation via automatically reconfigurable services. It consists in setting-up an intelligent environment based on a business process ontology of context-aware concepts and on related context handling rules for services orchestration. A core-ontology has been designed to support the automation of expert activities related to decision-making. The soundness of the method and of the underlying decision-making techniques has been demonstrated in the cardiology domain for selecting the most adequate subject-specific sensor-system, characterised by its ability to yield for an ECG signal of similar diagnostic content than a standard 12-lead ECG. We propose the design of a new three modalities sensor-system prototype as a response to the need of sensor-systems used on demand in self-care situations and ensuring diagnostic quality signals recordings. This prototype has been tested on a set of healthy volunteers presenting various characteristics in age, sex and morphology. In this context, Ambient Intelligence is demonstrated as an ensemble of professional quality services ready to use by profane users. These services are accessible pervasively, trough the objects people work with / wear on / use each day, and provide an appropriate guidance to the non-competent users. Such an Ambient Intelligence approach strongly supports the vision of an Information Society which corresponds to the long-term goal of the EU Information Society Technologies Research Programme that aims to ease knowledge access. The future healthcare will benefit from this approach and will significantly improve patient care.

Identiferoai:union.ndltd.org:CCSD/oai:tel.archives-ouvertes.fr:tel-00708340
Date20 December 2011
CreatorsKrupaviciute, Asta
PublisherINSA de Lyon
Source SetsCCSD theses-EN-ligne, France
LanguageEnglish
Detected LanguageEnglish
TypePhD thesis

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