Javier Ramos-López

Time-Space Sampling and Mobile Device Calibration for WiFi Indoor Location Systems

Indoor location systems based on IEEE 802.11b (WiFi) mobile devices often rely on the received signal strength indicator to estimate the user position. Two key characteristics of these systems have not yet been fully analyzed, namely, the temporal and spatial sampling process required to adequately describe the distribution of the electromagnetic field in indoor scenarios; and the device calibration, necessary for supporting different mobile devices within the same system. By using a previously proposed nonparametric methodology for system comparison, we first analyzed the time-space sampling requirements for WiFi indoor location systems in terms of conventional sampling theory and system performance. We also proposed and benchmarked three new algorithms for device calibration, with increasing levels of complexity and performance. We conclude that feasible time and space sampling rates can be used, and that calibration algorithms make possible the handling of previously unknown mobile devices in the system.

Modeling and Optimizing IEEE 802.11 DCF for Long-Distance Links

Most rural areas in developing countries are isolated due to the lack of appropriate low-cost communication technologies. Previous experiences have shown that IEEE 802.11 can be used for the deployment of large static mesh networks with only minor changes to the MAC layer that enable WiFi transceivers to work properly even for very long distances (up to 100 km in point to point links, and almost 40 km in point to multipoint setups). However, the impact of distance on performance of such long links has not been deeply analyzed. In addition, previous analytical models of IEEE 802.11 DCF cannot be applied because they implicitly assume that the propagation time can be neglected. This paper formally studies the impact of the distance on the behavior of IEEE 802.11 DCF and presents an analytical model of IEEE 802.11 DCF that accounts for distances correctly. The model is validated with simulations and within a controlled experimental framework, based on wireless channel emulation. Finally, we propose adjustments for ACKTimeout, CTSTimeout, SlotTime, and CWmin parameters that improve significantly the performance of DCF over long distances.

Nonparametric Model Comparison and Uncertainty Evaluation for Signal Strength Indoor Location

Indoor location (IL) using received signal strength (RSS) is receiving much attention, mainly due to its ease of use in deployed IEEE 802.11b (Wi-Fi) wireless networks. Fingerprinting is the most widely used technique. It consists of estimating position by comparison of a set of RSS measurements, made by the mobile device, with a database of RSS measurements whose locations are known. However, the most convenient data structure to be used and the actual performance of the proposed fingerprinting algorithms are still controversial. In addition, the statistical distribution of indoor RSS is not easy to characterize. Therefore, we propose here the use of nonparametric statistical procedures for diagnosis of the fingerprinting model, specifically: 1) A nonparametric statistical test, based on paired bootstrap resampling, for comparison of different fingerprinting models and 2) new accuracy measurements (the uncertainty area and its bias) which take into account the complex nature of the fingerprinting output. The bootstrap comparison test and the accuracy measurements are used for RSS-IL in our Wi-Fi network, showing relevant information relating to the different fingerprinting schemes that can be used.

Spectral analysis of intracardiac electrograms during induced and spontaneous ventricular fibrillation in humans

AIMS Very limited data are available on the differences between spontaneous and induced episodes of ventricular fibrillation (VF) in humans. The aim of the study was to compare the spectral characteristics of the electrical signal recorded by an implantable cardioverter defibrillator (ICD) during both types of episodes. METHODS AND RESULTS Thirteen ICD patients with at least one spontaneous and one induced VF recorded by the device were included in the study. A spectral representation was obtained for the first 3 s of the intracardiac unipolar electrogram during VF. The dominant frequency (f(d)), the peak power at f(d), an organization index (OI), a bandwidth measurement, and an estimate of the correlation with a sinusoidal wave (leakage) were estimated for each episode. The f(d) was higher in induced episodes (4.75 +/- 0.57 vs. 3.95 +/- 0.59 Hz for the spontaneous episodes, P = 0.002), as well as the degree of organization assessed by the OI, bandwidth, and leakage parameters. CONCLUSION Clinical and induced VF episodes in humans have different spectral characteristics. Changes in the electrophysiological substrate or in the location of the arrhythmia wavefront at onset could play a role to explain the observed differences.

Ontology for Heart Rate Turbulence Domain From The Conceptual Model of SNOMED-CT

Electronic health record (EHR) automates the clinician workflow, allowing evidence-based decision support and quality management. We aimed to start a framework for domain standardization of cardiovascular risk stratification into the EHR, including risk indices whose calculation involves ECG signal processing. We propose the use of biomedical ontologies completely based on the conceptual model of SNOMED-CT, which allows us to implement our domain in the EHR. In this setting, the present study focused on the heart rate turbulence (HRT) domain, according to its concise guidelines and clear procedures for parameter calculations. We used 289 concepts from SNOMED-CT, and generated 19 local extensions (new concepts) for the HRT specific concepts not present in the current version of SNOMED-CT. New concepts included averaged and individual ventricular premature complex tachograms, initial sinus acceleration for turbulence onset, or sinusal oscillation for turbulence slope. Two representative use studies were implemented: first, a prototype was inserted in the hospital information system for supporting HRT recordings and their simple follow up by medical societies; second, an advanced support for a prospective scientific research, involving standard and emergent signal processing algorithms in the HRT indices, was generated and then tested in an example database of 27 Holter patients. Concepts of the proposed HRT ontology are publicly available through a terminology server, hence their use in any information system will be straightforward due to the interoperability provided by SNOMED-CT.

On the performance of kernel methods for skin color segmentation

Human skin detection in color images is a key preprocessing stage in many image processing applications. Though kernel-based methods have been recently pointed out as advantageous for this setting, there is still few evidence on their actual superiority. Specifically, binary Support Vector Classifier (two-class SVM) and one-class Novelty Detection (SVND) have been only tested in some example images or in limited databases. We hypothesize that comparative performance evaluation on a representative application-oriented database will allow us to determine whether proposed kernel methods exhibit significant better performance than conventional skin segmentation methods. Two image databases were acquired for a webcam-based face recognition application, under controlled and uncontrolled lighting and background conditions. Three different chromaticity spaces (YCbCr, , and normalized RGB) were used to compare kernel methods (two-class SVM, SVND) with conventional algorithms (Gaussian Mixture Models and Neural Networks). Our results show that two-class SVM outperforms conventional classifiers and also one-class SVM (SVND) detectors, specially for uncontrolled lighting conditions, with an acceptably low complexity.

Cardiovascular risk assessment in prediabetic patients in a hypertensive population: The role of cystatin C

BACKGROUND The aim of our study was to determine whether prediabetes increases cardiovascular (CV) risk compared to the non-prediabetic patients in our hypertensive population. Once this was achieved, the objective was to identify relevant CV prognostic features among prediabetic individuals. METHODS We included hypertensive 1652 patients. The primary outcome was a composite of incident CV events: cardiovascular death, stroke, heart failure and myocardial infarction. We performed a Cox proportional hazard regression to assess the CV risk of prediabetic patients compared to non-prediabetic and to produce a survival model in the prediabetic cohort. RESULTS The risk of developing a CV event was higher in the prediabetic cohort than in the non-prediabetic cohort, with a hazard ratio (HR) = 1.61, 95% CI 1.01-2.54, p = 0.04. Our Cox proportional hazard model selected age (HR = 1.04, 95% CI 1.02-1.07, p < 0.001) and cystatin C (HR = 2.4, 95% CI 1.26-4.22, p = 0.01) as the most relevant prognostic features in our prediabetic patients. CONCLUSIONS Prediabetes was associated with an increased risk of CV events, when compared with the non-prediabetic patients. Age and cystatin C were found as significant risk factors for CV events in the prediabetic cohort.

A Multidisciplinary Problem Based Learning Experience for Telecommunications Students

The Telecommunications Engineering degree contains the study and understanding of a wide range of knowledge areas, like signal theory and communications, computer networks, and radio propagation. This diversity makes it hard for students to integrate different concepts, which is essential to tackle real and practical problems that involve different subjects. As a response to this need of integration, a group of professors at Rey Juan Carlos University carried out an educational project based on Problem Based Learning PBL, called the Wireles4x4 Project. In this project, groups of students build a complete system to autonomously drive a radio controlled car, involving different technologies such as wireless communications, positioning systems, power management, and system integration. The results show that the participating students improve not only their specific knowledge on the involved issues, but also their capability of integrating different subjects of the degree and the skills for autonomous learning.

On the Use of Decision Trees Based on Diagnosis and Drug Codes for Analyzing Chronic Patients

Diabetes mellitus (DM) and essential hypertension (EH) are chronic diseases more prevalent every year, both independently and jointly. To gain insights about the particularities of these chronic conditions, we study the use of decision trees as a tool for selecting discriminative features and making predictive analyses of the health status of this kind of chronic patients. We considered gender, age, ICD9 codes for diagnosis and ATC codes for drugs associated with the diabetic and/or hypertensive population linked to the University Hospital of Fuenlabrada (Madrid, Spain) during 2012. Results show a relationship among DM/EH and diseases/drugs related to the respiratory system, mental disorders, or the musculoskeletal system. We conclude that drugs are quite informative, collecting information about the disease when the diagnosis code is not registered. Regarding predictive analyses, when discriminating patients with EH-DM and just one of these chronic conditions, better accuracy is obtained for EH (85.4%) versus DM (80.1%).

An Interoperable System toward Cardiac Risk Stratification from ECG Monitoring

Many indices have been proposed for cardiovascular risk stratification from electrocardiogram signal processing, still with limited use in clinical practice. We created a system integrating the clinical definition of cardiac risk subdomains from ECGs and the use of diverse signal processing techniques. Three subdomains were defined from the joint analysis of the technical and clinical viewpoints. One subdomain was devoted to demographic and clinical data. The other two subdomains were intended to obtain widely defined risk indices from ECG monitoring: a simple-domain (heart rate turbulence (HRT)), and a complex-domain (heart rate variability (HRV)). Data provided by the three subdomains allowed for the generation of alerts with different intensity and nature, as well as for the grouping and scrutinization of patients according to the established processing and risk-thresholding criteria. The implemented system was tested by connecting data from real-world in-hospital electronic health records and ECG monitoring by considering standards for syntactic (HL7 messages) and semantic interoperability (archetypes based on CEN/ISO EN13606 and SNOMED-CT). The system was able to provide risk indices and to generate alerts in the health records to support decision-making. Overall, the system allows for the agile interaction of research and clinical practice in the Holter-ECG-based cardiac risk domain.