Nieves Pavón-Pulido

Background: After its introduction in the ICD-10-CM in 2016, sarcopenia is a condition widely considered to be a medical disease with important consequences for the elderly. Considering its high prevalence in older adults and its detrimental effects on health, it is essential to identify its risk factors to inform targeted interventions. Methods: Taking data from wave 2 of the ELSA, using ML-based methods, this study investigates which factors are significantly associated with sarcopenia. The Minimum Redundancy Maximum Relevance algorithm has been used to allow for an optimal set of features that could predict the dependent variable. Such a feature is the input of a ML-based prediction model, trained and validated to predict the risk of developing or not developing a disease. Results: The presented methods are suitable to identify the risk of acquired sarcopenia. Age and other relevant features related with dementia and musculoskeletal conditions agree with previous knowledge about sarcopenia. The present classifier has an excellent performance since the “true positive rate” is 0.81 and the low “false positive rate” is 0.26. Conclusions: There is a high prevalence of sarcopenia in elderly people, with age and the presence of dementia and musculoskeletal conditions being strong predictors. The new proposed approach paves the path to test the prediction of the incidence of sarcopenia in older adults.

This work describes a system to help in the remote assessment of fall risk in elderly people. A portable hardware system equipped with an RGB-D sensor is used for motion capture. A set of anonymous frames, representing the process of skeleton tracking, and a collection of sequences of interesting features, obtained from body landmark evaluations through time, are stored in the Cloud for each patient. A WEB dashboard allows for tailored tests to be designed, which include the typical items within well-known fall risk evaluation tests in the literature. Such a dashboard helps therapists to evaluate each item from the analysis and observation of the sequences and the 3D representation of the body through time, and to compare the results of tests carried out in different moments, checking on the evolution of the fall risk. The software architecture that implements the system allows the information to be stored in a safe manner and preserves patients’ privacy. The paper shows the obtained results after testing an early prototype of the system, a discussion about its advantages, and the current limitations from the Human–Computer Interaction point of view, and a plan to deploy and evaluate the system from the usability perspective in the near future.

The increase in life expectancy, and the consequent growth of the elderly population, represents a major challenge to guarantee adequate health and social care. The proposed system aims to provide a tool that automates the evaluation of gait and balance, essential to prevent falls in older people. Through an RGB-D camera, it is possible to capture and digitally represent certain parameters that describe how users carry out certain human motions and poses. Such individual motions and poses are actually related to items included in many well-known gait and balance evaluation tests. According to that information, therapists, who would not need to be present during the execution of the exercises, evaluate the results of such tests and could issue a diagnosis by storing and analyzing the sequences provided by the developed system. The system was validated in a laboratory scenario, and subsequently a trial was carried out in a nursing home with six residents. Results demonstrate the usefulness of the proposed system and the ease of objectively evaluating the main items of clinical tests by using the parameters calculated from information acquired with the RGB-D sensor. In addition, it lays the future foundations for creating a Cloud-based platform for remote fall risk assessment and its integration with a mobile assistant robot, and for designing Artificial Intelligence models that can detect patterns and identify pathologies for enabling therapists to prevent falls in users under risk.

This paper describes the main results of the JUNO project, a proof of concept developed in the Region of Murcia in Spain, where a smart assistant robot with capabilities for smart navigation and natural human interaction has been developed and deployed, and it is being validated in an elderly institution with real elderly users. The robot is focused on helping people carry out cognitive stimulation exercises and other entertainment activities since it can detect and recognize people, safely navigate through the residence, and acquire information about attention while users are doing the mentioned exercises. All the information could be shared through the Cloud, if needed, and health professionals, caregivers and relatives could access such information by considering the highest standards of privacy required in these environments. Several tests have been performed to validate the system, which combines classic techniques and new Deep Learning-based methods to carry out the requested tasks, including semantic navigation, face detection and recognition, speech to text and text to speech translation, and natural language processing, working both in a local and Cloud-based environment, obtaining an economically affordable system. The paper also discusses the limitations of the platform and proposes several solutions to the detected drawbacks in this kind of complex environment, where the fragility of users should be also considered.

Crop sustainability is essential for balancing economic development and environmental care, mainly in strong and very competitive regions in the agri-food sector, such as the Region of Murcia in Spain, considered to be the orchard of Europe, despite being a semi-arid area with an important scarcity of fresh water. In this region, farmers apply efficient techniques to minimize supplies and maximize quality and productivity; however, the effects of climate change and the degradation of significant natural environments, such as, the “Mar Menor”, the most extent saltwater lagoon of Europe, threatened by resources overexploitation, lead to the search of even better irrigation management techniques to avoid certain effects which could damage the quaternary aquifer connected to such lagoon. This paper describes the Irriman Platform, a system based on Cloud Computing techniques, which includes low-cost wireless data loggers, capable of acquiring data from a wide range of agronomic sensors, and a novel software architecture for safely storing and processing such information, making crop monitoring and irrigation management easier. The proposed platform helps agronomists to optimize irrigation procedures through a usable web-based tool which allows them to elaborate irrigation plans and to evaluate their effectiveness over crops. The system has been deployed in a large number of representative crops, located along near 50,000 ha of the surface, during several phenological cycles. Results demonstrate that the system enables crop monitoring and irrigation optimization, and makes interaction between farmers and agronomists easier.

This paper describes a system for allowing a therapist to record specific motions, as a part of a rehabilitation program, mainly aimed at the elderly people, by using a Natural User Interface based on gestures. Motions are sent to an exoskeleton robot which reproduces them in the patient’s lower limbs. The proposed system is an early prototype implemented as a set of interconnected components, which run independently and remotely, under a distributed software architecture. Such prototype has been properly validated through different tests in a controlled environment. The obtained results and a discussion about benefits and drawbacks are also presented, together with preliminary ideas about future research for overcoming such drawbacks and transforming the prototype into a functional system to be tested in a real scenario with real patients.

This paper presents a system that helps farmers to irrigate crops, minimizing water consumption, while productivity is kept, when deficit irrigation techniques are applied, according to the phenological stage of such crop. Such stage is automatically inferred by using a Machine Learning-based technique, which uses single images, which can be acquired by simply using a low cost commercial camera (even the one embedded in a smartphone), as inputs. Specifically, this work compares several Machine Learning approaches, in particular, classical and deep neural networks trained with a dataset obtained from taking multiple real images from a citrus crop. Such images represent different growing stages of the citrus associated to different phenological stages. Since, according to the deficit irrigation approach, the amount of water that can be reduced without affecting the yield depends on the phenological stage of the crop, once such stage is inferred, a Decision Support System uses such information for automatically programming irrigation. The paper also remarks the main advantages of using a single camera as unique sensor in terms of low economic cost as opposed to other systems that uses more expensive and invasive sensors in the crop. In addition, as a smartphone camera could be used as sensor, the smartphone itself could be used as computing device to run the phenological stage detector in real time, and to interact with the Decision Support System by using Cloud and Edge computing technologies. Finally, a set of experiments show the main results obtained after testing different Machine Learning approaches. After comparing such approaches, the best choice is selected to be integrated as a part of the mentioned Decision Support System.