Victoria Ramos

Smart health: A context-aware health paradigm within smart cities

The new era of mobile health ushered in by the wide adoption of ubiquitous computing and mobile communications has brought opportunities for governments and companies to rethink their concept of healthcare. Simultaneously, the worldwide urbanization process represents a formidable challenge and attracts attention toward cities that are expected to gather higher populations and provide citizens with services in an efficient and human manner. These two trends have led to the appearance of mobile health and smart cities. In this article we introduce the new concept of smart health, which is the context-aware complement of mobile health within smart cities. We provide an overview of the main fields of knowledge that are involved in the process of building this new concept. Additionally, we discuss the main challenges and opportunities that s-Health would imply and provide a common ground for further research.

Evaluation of electromagnetic dosimetry of wireless systems in complex indoor scenarios with human body interaction

The authors wish to acknowledge the financial support of project FASTER, funded by the Consejeria de Industria, Gobierno de Navarra.

Assessment of human body influence on exposure measurements of electric field in indoor enclosures.

Personal exposure meters (PEMs) used for measuring exposure to electromagnetic fields (EMF) are typically used in epidemiological studies. As is well known, these measurement devices cause a perturbation of real EMF exposure levels due to the presence of the human body in the immediate proximity. This paper aims to model the alteration caused by the body shadow effect (BSE) in motion conditions and in indoor enclosures at the Wi-Fi frequency of 2.4 GHz. For this purpose, simulation techniques based on ray-tracing have been carried out, and their results have been verified experimentally. A good agreement exists between simulation and experimental results in terms of electric field (E-field) levels, and taking into account the cumulative distribution function (CDF) of the spatial distribution of amplitude. The Kolmogorov-Smirnov (KS) test provides a P-value greater than 0.05, in fact close to 1. It has been found that the influence of the presence of the human body can be characterized as an angle of shadow that depends on the dimensions of the indoor enclosure. The CDFs show that the E-field levels in indoor conditions follow a lognormal distribution in the absence of the human body and under the influence of BSE. In conclusion, the perturbation caused by BSE in PEMs readings cannot be compensated for by correction factors. Although the mean value is well adjusted, BSE causes changes in CDF that would require improvements in measurement protocols and in the design of measuring devices to subsequently avoid systematic errors.

Patient safety and electromagnetic protection: a review.

A systematic literature review was carried out to study patient security and possible harmful effects, immunity and interferences on medical devices, and effectiveness and transmission problems in healthcare and hospital environments due to electromagnetic interferences. The objective was to determine already-reported cases of patient security, immunity of medical devices, and transmission/reception failure in order to evaluate safety and security of patients. Literature published in the last 10 years has been reviewed by searching in bibliographic databases, journals, and proceedings of conferences. Search strategies developed in electronic databases identified a total of 820 references, with 50 finally being included. The study reveals the existence of numerous publications on interferences in medical devices due to radiofrequency fields. However, literature on effectiveness, transmission problems and measurements of electromagnetic fields is limited. From the studies collected, it can be concluded that several cases of serious interferences in medical instruments have been reported. Measures of electromagnetic fields in healthcare environments have been also reported, concluding that special protective measures should be taken against electromagnetic interferences by incoming radio waves.

Evaluation of Electromagnetic Interference and Exposure Assessment from s-Health Solutions Based on Wi-Fi Devices

In the last decade the number of wireless devices operating at the frequency band of 2.4 GHz has increased in several settings, such as healthcare, occupational, and household. In this work, the emissions from Wi-Fi transceivers applicable to context aware scenarios are analyzed in terms of potential interference and assessment on exposure guideline compliance. Near field measurement results as well as deterministic simulation results on realistic indoor environments are presented, providing insight on the interaction between the Wi-Fi transceiver and implantable/body area network devices as well as other transceivers operating within an indoor environment, exhibiting topological and morphological complexity. By following approaches (near field estimation/deterministic estimation), colocated body situations as well as large indoor emissions can be determined. The results show in general compliance with exposure levels and the impact of overall network deployment, which can be optimized in order to reduce overall interference levels while maximizing system performance.

Estimation of electromagnetic dosimetric values from non-ionizing radiofrequency fields in an indoor commercial airplane environment.

Abstract In this article, the impact of topology as well as morphology of a complex indoor environment such as a commercial aircraft in the estimation of dosimetric assessment is presented. By means of an in-house developed deterministic 3D ray-launching code, estimation of electric field amplitude as a function of position for the complete volume of a commercial passenger airplane is obtained. Estimation of electromagnetic field exposure in this environment is challenging, due to the complexity and size of the scenario, as well as to the large metallic content, giving rise to strong multipath components. By performing the calculation with a deterministic technique, the complete scenario can be considered with an optimized balance between accuracy and computational cost. The proposed method can aid in the assessment of electromagnetic dosimetry in the future deployment of embarked wireless systems in commercial aircraft.

Analysis of estimation of electromagnetic dosimetric values from non-ionizing radiofrequency fields in conventional road vehicle environments

Abstract A high number of wireless technologies can be found operating in vehicular environments with the aim of offering different services. The dosimetric evaluation of this kind of scenarios must be performed in order to assess their compatibility with current exposure limits. In this work, a dosimetric evaluation inside a conventional car is performed, with the aid of an in-house 3D Ray Launching computational code, which has been compared with measurement results of wireless sensor networks located inside the vehicle. These results can aid in an adequate assessment of human exposure to non-ionizing radiofrequency fields, taking into account the impact of the morphology and the topology of the vehicle for current as well as for future exposure limits.

Estimation of radiofrequency power leakage from microwave ovens for dosimetric assessment at nonionizing radiation exposure levels.

The electromagnetic field leakage levels of nonionizing radiation from a microwave oven have been estimated within a complex indoor scenario. By employing a hybrid simulation technique, based on coupling full wave simulation with an in-house developed deterministic 3D ray launching code, estimations of the observed electric field values can be obtained for the complete indoor scenario. The microwave oven can be modeled as a time- and frequency-dependent radiating source, in which leakage, basically from the microwave oven door, is propagated along the complete indoor scenario interacting with all of the elements present in it. This method can be of aid in order to assess the impact of such devices on expected exposure levels, allowing adequate minimization strategies such as optimal location to be applied.

Assessment of polarization dependence of body shadow effect on dosimetry measurements in 2.4 GHz band

Personal exposure meters (PEMs) are portable measuring devices of electromagnetic field levels. Extreme proximity of the wearer causes an underestimation in logged data, known as body shadow effect (BSE), which undermines the reliability of exposure measurements. This paper analyzes the influence of horizontal polarization of the radiation source on PEM measurements in four multipath environments and under dynamic conditions, at a frequency band of 2.4 GHz. By comparing experimental measurements and simulated results, the PEM wearer is modeled theoretically as a shadow angle whose value is determined in terms of maximum P-value and minimum root mean square error. This angle is 9° for horizontal polarization, and tripled, 26°, for vertical polarization. Therefore, polarization of the radiation source is a dependence factor for exposure assessment, since in horizontal polarization, the BSE corresponds to a lower loss than in vertical polarization. In addition, the validity of using correction factors in order to mitigate errors induced by the BSE is questioned, since correction factors do not reflect all the properties of fading components of unperturbed exposure. Bioelectromagnetics.

Implementing context aware scenarios to enable smart health in complex urban environments

The availability of context aware scenarios is a compulsory requirement in order achieve efficient Smart Health services. In this work, the deployment large scale wireless sensor networks to enable interactive scenarios in order to provide Health services will be analyzed by means of deterministic 3D ray launching techniques in order to consider topo-morphological impact in services to be provided in a complex dense urban environment.