To compare the trajectories of motor and cognitive decline in older adults who progress to dementia with the trajectories of those who do not. To evaluate the added value of measuring motor and cognitive decline longitudinally versus cross‐sectionally for predicting dementia.

This paper presents the development and real-time testing of an automated expert diagnostic telehealth system for the diagnosis of 2 respiratory diseases, asthma and Chronic Obstructive Pulmonary Disease (COPD). The system utilizes Android, Java, MATLAB, and PHP technologies and consists of a spirometer, mobile application, and expert diagnostic system. To evaluate the effectiveness of the system, a prospective study was carried out in 3 remote primary healthcare institutions, and one hospital in Bosnia and Herzegovina healthcare system. During 6 months, 780 patients were assessed and diagnosed with an accuracy of 97.32%. The presented approach is simple to use and offers specialized consultations for patients in remote, rural, and isolated communities, as well as old and less physically mobile patients. While improving the quality of care delivered to patients, it was also found to be very beneficial in terms of healthcare.

Vertex-frequency analysis of graph signals is a challenging topic for research and applications. Counterparts of the short-time Fourier transform, the wavelet transform, and the Rihaczek distribution have recently been introduced to the graph-signal analysis. In this letter, we have extended the energy distributions to a general reduced interference distributions class. It can improve the vertex-frequency representation of a graph signal while preserving the marginal properties. This class is related to the spectrogram of graph signals as well. Efficiency of the proposed representations is illustrated in examples.

Objective. In this paper, we introduce a novel hybrid brain–computer interface (BCI) system that measures electrical brain activity as well as cerebral blood velocity using electroencephalography (EEG) and functional transcranial Doppler ultrasound (fTCD) respectively in response to flickering mental rotation (MR) and flickering word generation (WG) cognitive tasks as well as a fixation cross that represents the baseline. This work extends our previous approach, in which we showed that motor imagery induces simultaneous changes in EEG and fTCD to enable task discrimination; and hence, provides a design approach for a hybrid BCI. Here, we show that instead of using motor imagery, the proposed visual stimulation technique enables the design of an EEG-fTCD based BCI with higher accuracy. Approach. Features based on the power spectrum of EEG and fTCD signals were calculated. Mutual information and support vector machines were used for feature selection and classification purposes. Main results. EEG-fTCD combination outperformed EEG by 4.05% accuracy for MR versus baseline problem and by 5.81% accuracy for WG versus baseline problem. An average accuracy of 92.38% was achieved for MR versus WG problem using the hybrid combination. Average transmission rates of 4.39, 3.92, and 5.60 bits min−1 were obtained for MR versus baseline, WG versus baseline, and MR versus WG problems respectively. Significance. In terms of accuracy, the current visual presentation outperforms the motor imagery visual presentation we designed before for the EEG-fTCD system by 10% accuracy for task versus task problem. Moreover, the proposed system outperforms the state of the art hybrid EEG-fNIRS BCIs in terms of accuracy and/or information transfer rate. Even though there are still limitations of the proposed system, such promising results show that the proposed hybrid system is a feasible candidate for real-time BCIs.

Objective. In this paper, we introduce a novel hybrid brain–computer interface (BCI) system that measures electrical brain activity as well as cerebral blood velocity using electroencephalography (EEG) and functional transcranial Doppler ultrasound (fTCD) respectively in response to flickering mental rotation (MR) and flickering word generation (WG) cognitive tasks as well as a fixation cross that represents the baseline. This work extends our previous approach, in which we showed that motor imagery induces simultaneous changes in EEG and fTCD to enable task discrimination; and hence, provides a design approach for a hybrid BCI. Here, we show that instead of using motor imagery, the proposed visual stimulation technique enables the design of an EEG-fTCD based BCI with higher accuracy. Approach. Features based on the power spectrum of EEG and fTCD signals were calculated. Mutual information and support vector machines were used for feature selection and classification purposes. Main results. EEG-fTCD combination outperformed EEG by 4.05% accuracy for MR versus baseline problem and by 5.81% accuracy for WG versus baseline problem. An average accuracy of 92.38% was achieved for MR versus WG problem using the hybrid combination. Average transmission rates of 4.39, 3.92, and 5.60 bits min−1 were obtained for MR versus baseline, WG versus baseline, and MR versus WG problems respectively. Significance. In terms of accuracy, the current visual presentation outperforms the motor imagery visual presentation we designed before for the EEG-fTCD system by 10% accuracy for task versus task problem. Moreover, the proposed system outperforms the state of the art hybrid EEG-fNIRS BCIs in terms of accuracy and/or information transfer rate. Even though there are still limitations of the proposed system, such promising results show that the proposed hybrid system is a feasible candidate for real-time BCIs.

A wide variety of sensors have been developed in the biomedical engineering community for telemedicine and personalized healthcare applications. However, they usually focus on sensor connectivity and embedded signal processing, at the expense of the sensing part. This observation lead to the development and exhaustive evaluation of a new ECGbased cardiorespiratory IoT sensor. In order to improve the robustness of our IoT-based sensor, we discuss in detail the influence of electrodes placement and nature. Performance assessment of our sensor resulted in a best-case sensitivity of 99.95% and a precision of 99.89% for an abdominal positioning of wet electrodes, while a sensitivity of 99.47% and a precision of 99.31% were observed using a commercialgrade dry electrodes belt. Consequently, we prove that our sensor is fit for the comfortable medical-grade monitoring of the cardiorespiratory activity in order to provide insights of patients health in a telemedicine context.

The Internet of Medical Things (IoMT) designates the interconnection of communication-enabled medical-grade devices and their integration to wider-scale health networks in order to improve patients’ health. However, because of the critical nature of health-related systems, the IoMT still faces numerous challenges, more particularly in terms of reliability, safety, and security. In this paper, we present a comprehensive literature review of recent contributions focused on improving the IoMT through the use of formal methodologies provided by the cyber-physical systems community. We describe the practical application of the democratization of medical devices for both patients and health-care providers. We also identify unexplored research directions and potential trends to solve uncharted research problems.