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The mobile phone as a platform for assisting the independent living ...

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lighting strips and p<strong>as</strong>sive infra-red light switches can <strong>as</strong>sist and reduce <strong>the</strong> likelihood ofa fall or disorientation around <strong>the</strong> house at night.An area that receives an incre<strong>as</strong>ing amount of interest is tele-monitoring or personalhealth monitoring is b<strong>as</strong>ed on <strong>the</strong> idea that persons can monitor <strong>the</strong>mselves in <strong>the</strong>irhome using medical devices. Health care monitoring at home enables continuousme<strong>as</strong>uring of physiological parameters. It is possible to embed sensors in different placesor objects at home (e.g. in <strong>the</strong> furniture, electrical appliances), or to make <strong>the</strong>m wearableby integrating <strong>the</strong>m into clothing "Smart Shirt" or small apparel items such <strong>as</strong> watchesand jewellery. By combining <strong>the</strong>se wearable sensors with me<strong>as</strong>urement devicesembedded in home surroundings, advanced health monitoring may be achieved.Recording of physiological and psychological variables in real-life conditions could beespecially useful in management of chronic disorders or health problems; e.g. <strong>for</strong> highblood pressure, diabetes, anorexia nervosa, chronic pain, or severe obesity. Telemonitoringcould also be used to provide feedback about someone’s health in <strong>the</strong> <strong>for</strong>mof behavioural feedback in order to prevent dise<strong>as</strong>es.Obviously tele-monitoring h<strong>as</strong> many advantages <strong>for</strong> both, <strong>the</strong> patient and <strong>the</strong> medicalinstitutions. <strong>The</strong> patient can stay at home and does not have <strong>the</strong> inconvenience,<strong>as</strong>sociated with a visit of <strong>the</strong> doctor or in <strong>the</strong> hospital, and <strong>the</strong> medical institution savestime because <strong>the</strong>re is no need <strong>for</strong> spending time with routine work and in <strong>the</strong> hospitalenormous costs <strong>for</strong> <strong>the</strong> bed and <strong>the</strong> care of <strong>the</strong> medical staff can be saved. In severaltele-monitoring applications <strong>the</strong> data are not directly transmitted to <strong>the</strong> medicalinstitutions but to a kind of ‘call centre’, which per<strong>for</strong>ms a first data evaluation.2.5 Related projectsSeveral projects have introduced smart home technologies <strong>for</strong> aging people in <strong>the</strong> UnitedStates, Europe and Asia. <strong>The</strong> SmartBo project [50] in Sweden, <strong>for</strong> example, includes atwo-room ground floor demonstration apartment containing technology <strong>for</strong> elders withmobility impairments and cognitive disabilities, such <strong>as</strong> dementia and developmentaldisability. Devices and sensors control lighting, windows, doors, locks, water outlets,electrical power, stove, <strong>as</strong> well <strong>as</strong> visual and tactile signalling devices, speech syn<strong>the</strong>sizers,and Braille displays.<strong>The</strong> PROSAFE project [51] in France examines devices and sensors that identifyabnormal behaviour that can be interpreted <strong>as</strong> an accident and collect representative dataon patients' nocturnal and daily activity. <strong>The</strong> experimental room h<strong>as</strong> been designed toaccommodate patients with Alzheimer’s dise<strong>as</strong>e. It is equipped with a set of infraredmotion sensors connected to ei<strong>the</strong>r a wireless or wired network.10

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