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Publications

Elaborating the Actimetric Profile of Fall Sensitive Patients for Early Detection of Fall Incidents

Authors: Kabalan Chaccour

Abstract: Growth is the normal change of the human body and getting old is inevitable to human race. As a result, elderly people are subject to many forms of diseases and dangers among which falls are considered very serious in terms of quality of life and socio-economic costs. But falls can be manageable. Health practitioners, scientists and researchers currently combine efforts to develop systems capable of detecting and predicting falls. In the context of fall prediction, the goal of this thesis is to elaborate the actimetric profile of fall sensitive patients to alert them from a potential fall. It mainly consists of developing a system capable of monitoring gait and balance parameters during their daily activities with minimum intrusiveness. These are usually assessed in clinical settings using high-cost tools. In our first contribution, we proposed a generic classification of fall-related systems based on their sensors deployment. These are classified as Wearable, Non-Wearable and Fusion Systems. Based on the generic classification, we proposed the WMFL v1.0 platform in our second contribution. WMFL fuses a Foot Wear Force Sensing device with an Ambient system using IR-sensing floor tiles. The platform can be deployed at homes or in clinics. It ensures an indoor-outdoor protection. In a third contribution, we proposed an early fall detection approach to determine the risk of falling by analyzing the displacement of the Center of Pressure projecting the amount of sway of the Center of Mass on the foot plantar surface. The method uses the spatio-temporal sliding window to alert the patient of a potential fall.

BedSense: A Bed-Mounted Sensor Node System for Sleep Activities Monitoring and Nocturnal Falls Detection

Authors: Ali Ibrahim, Kabalan Chaccour, Amir Hajjam El Hassani, Mohamed Hajjam, Emmanuel Andrès

Abstract: The increasing elderly population is affecting the socioeconomic balance in developed countries. Falls in general and particularly nocturnal falls are major key role players in healthcare costs. In this article, we propose a novel real-time sensor node system, nonwearable, and mounted on the contour of the bed mattress to continuously monitor sleep activities and detect nocturnal falls. The proposed system consists of eight-node sensors, each consisting of an inertial measurement unit (IMU), a microcontroller unit (MCU), and a serial network interface. The sensor nodes communicate on a single bus with a remote monitoring station. The system utilizes bed vibrations from accelerometers generated by body movements to detect and categorize sleep activities as well as identify fall events. The system generates real-time results and provides information about sleeping postures. The efficacy and robustness of the system were assessed by measuring key performance metrics, including sensitivity, accuracy, precision, and F1-score. Experiments conducted on 25 volunteers showed results exceeding 90% for all four metrics.

Compensating Trigger Jitter and Time Interval error measurement for digital sampling oscilloscopes with hardware design on FPGA

Authors: Bilal Moussa, Kabalan Chaccour, Rachid Bouyekhf, Abdallah Abdallah, Mohamad Mroué

Abstract: This paper presents the creation and realization of a precision time base (PTB) for mitigating jitter and measuring time interval error (TIE) in digital sampling oscilloscopes (DSO), achieved through the utilization of a field programmable gate array (FPGA). Our proposed method focuses on mitigating jitter through PTB, which involves the sampling of two reference channels having a phase shift of approximately 90∘ (at quadrature) for an accurate timebase correction. Through extensive experimentation and analysis, we were able to achieve a reduction in root mean square (RMS) jitter, minimizing it to around 260 fs. This outcome demonstrates the effectiveness of our approach in enhancing the accuracy and reliability of DSO measurements. Expanding on the application of our previously proposed technique, we demonstrate that the same sampling error correction approach can be utilized for TIE measurement. By sampling a large amount of data at either the rising or falling edge of a sinusoidal signal, TIE can be accurately evaluated. This extension enhances the versatility of our FPGA-based implementation by enabling comprehensive TIE analysis alongside PTB compensation in DSOs.

A Novel Enhancement Approach Following MVMD and NMF Separation of Complex Snoring Signals

Authors: Mariam Al Mawla, Kabalan Chaccour, Hoda Fares

Abstract: Snoring is a prominent characteristic of sleep-disordered breathing, and its detection is critical for determining the severity of the upper airway obstruction and improving daily quality of life. Home snoring analysis is a highly invasive method, but it becomes challenging when a sleeping partner also snores, leading to distorted evaluations in such environments. In this article, we tackle the problem of complex snore signal separation of multiple snorers. This article introduces two audio-based methods that efficiently extract an individual's snoring signal, allowing for the analysis of sleep-breathing disorders in a normal sleeping environment without isolating individuals. In the first method, Principal Component Analysis (PCA) identifies the source components from the finite number of modes generated by the decomposition of the snoring mixture using Multivariate Variational Mode Decomposition (MVMD). The second method applies Blind Source Separation (BSS) based on Non-Negative Matrix Factorization (NMF) to separate the single-channel snoring mixture. Furthermore, the decomposed signals are tuned using the iterative enhancement algorithm to adequately match the source snoring signals. These methods were evaluated by simulating various real-time snoring recordings of 7 subjects (2 men, 2 women, and 3 children). The correlation coefficient between the source and its separated signal was computed to assess the separation results, exhibiting good performance of the methods used. The enhancement approach also demonstrated its efficiency by increasing the correlation over to 80% in both methods. The experimental results show that the proposed algorithms are effective and practical for separating mixed snoring signals.

Bed-Fall Detection and Prediction: A Generic Classification and Review of Bed-Fall Related Systems

Authors: Ali Ibrahim, Kabalan Chaccour, Amir Hajjam El Hassani, Emmanuel Andrès

Abstract: Along with the rapid growth of the elderly population, the hospital quality and the safety of patients have become one of the priority concerns in the past few decades. The majority of injuries in the elderly result from bed -falls since the bed is a major part in his daily life. A single fall can cause severe physical and emotional injuries. Therefore, bed-falls have become a very active area of research in order to minimize their serious consequences. Mainly, there are two research tracks: bed-fall detection and bed-fall prediction. Both of them handle the fall issues with several sensing techniques and analysis models. In fact, there is a lack of reviews on bed-fall related technologies. Therefore, a generic classification of bed-fall related technologies including fall detection and prediction systems based on their sensor apparatus is proposed in this paper. Data processing techniques have been also highlighted. The objective of this work is to provide researchers in this field a good standpoint regarding bed-fall related systems.

From Fall Detection to Fall Prevention: A Generic Classification of Fall-Related Systems

Authors: Kabalan Chaccour, Rony Darazi, Amir Hajjam El Hassani, Emmanuel Andrès

Abstract: Falls are a major health problem for the frail community dwelling old people. For more than two decades, falls have been extensively investigated by medical institutions to mitigate their impact (e.g., lack of independence and fear of falling) and minimize their consequences (e.g., cost of hospitalization and so on). However, the problem of elderly falling does not only concern health-professionals but has also drawn the interest of the scientific community. In fact, falls have been the object of many research studies and the purpose of many commercial products from academia and industry. These studies have tackled the problem using fall detection approaches exhausting a variety of sensing methods. Lately, researcher has shifted their efforts to fall prevention where falls might be spotted before they even happen. Despite their restriction to clinical studies, early fall prediction systems have started to emerge. At the same time, current reviews in this field lack a common ground classification. In this context, the main contribution of this paper is to give a comprehensive overview on elderly falls and to propose a generic classification of fall-related systems based on their sensor deployment. An extensive research scheme from fall detection to fall prevention systems have also been conducted based on this common ground classification. Data processing techniques in both fall detection and fall prevention tracks are also highlighted. The objective of this paper is to deliver medical technologists in the field of public health a good position regarding fall-related systems.

Minimizing Sampling Jitter by the Design and Implementation of a Phase-Trigger DSO on FPGA

Authors: Bilal Moussa, Kabalan Chaccour, Rachid Bouyekhf, Abdallah Abdallah

Abstract: Digital Sampling Oscilloscopes (DSOs) serve as crucial instruments for characterizing high-speed data signals. However, they encounter measurement uncertainties arising from various sources such as jitter and time distortions. To enhance sampling accuracy, this paper introduces a phase trigger sampling approach aimed at mitigating sampling jitter in DSOs through a clock phase shifting technique. We have developed and implemented a phase-trigger DSO utilizing FPGA technology, wherein a clock phase shifter chip replaces the conventional Phase Locked Loop (PLL) for generating sampling frequencies, addressing random jitter induced by phase fluctuations. Our proposed technique demonstrates a significant enhancement in measurement accuracy, with improvements around 50% observed depending on data rate and pattern length.

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Enhanced Classification of Snoring Sounds Using Stacked Classifier Models of Machine Learning with SVM-KNN and Deep Learning with RNN-LSTM

Authors: Georges El Khoury, Kabalan Chaccour, Georges Badr, Amir Hajjam El Hassani

Abstract: Sleep disorders caused by snoring are a common problem that negatively affect the individual’s daily quality of life. For instance, poor sleep caused by snoring will induce important physical and mental issues. Given the fact that finding common criteria for all snoring sounds is very tough, this study aims to propose two models for snoring classification using AI-based learning methods. The first model is a Machine Learning (ML)-based built by stacking two classifiers namely, the SVM and KNN, that will learn the features extracted by applying the MFCC as a feature extraction technique. The second model is a Deep Learning (DL)-based where RNN and LSTM classifiers are stacked and where three feature extraction techniques (i.e. MFCC, STFT, ZCR) are applied. An online dataset consisting of .wav audio signals is used to implement the two models. Results show that the first and second models have achieved high accuracy scores of 98.5% and 80.8% respectively.

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Design and Implementation of a Data Stream Anonymization Core on FPGA

Authors: Bilal Moussa, Kabalan Chaccour, Mohamad Mroue, Rachid Bouyekhf

Abstract: Data privacy has become the center of attention to many researchers and engineers. With high speed data transmission, data privacy can be at risk. Data stream anonymization is a fairly new and effective technique that is being currently investigated. It aims to protect data from third-party attackers. A user must keep in mind that when applying anonymization on a dataset, there will be a tradeoff between data utility and the risk of data identification. I n this paper, w e propose various anonymization cores that can be used to hide the sensitive parts of the data. The hardware implementation on FPGA of these cores is also discussed. Each implementation takes into consideration the trade-off between the throughput and the power consumption in addition to the application type and specifications. The first architecture treats a simple application where two anonymization techniques are used (i.e. Perturbation and character masking). The second implementation requires more complex anonymization techniques and extends K-anonymity criteria and L-diversity for more sensitive applications where data identification is crucial. Results are compared with existing work implementations and many improvements are applied in terms of resource utilization and throughput.

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SleepPal: A Sleep Monitoring System for Body Movement and Sleep Posture Detection

Authors: Ali Ibrahim, Kabalan Chaccour, Amir Hajjam El Hassani, Emmanuel Andrès

Abstract: Sleep posture is a clinical relevant parameter for it is associated with several pathologies and affects the quality of sleep. In this paper, we propose SleepPal a sleep monitoring system for body movement and sleep posture detection. It consists of a wearable device that extracts data from a 3-axis accelerometer and transmits them to a remote monitoring station. A threshold-based algorithm is used to detect body movement and to distinguish between transitions. The proposed system will also evaluate the sleep quality index. Experiments were conducted on 10 subjects and results showed 88% of sensitivity and 82% of accuracy.

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Hardware Implementation of the Precision Time Base Technique for Digital Sampling Oscilloscopes on FPGA

Authors: Bilal Moussa, Kabalan Chaccour, Rachid Bouyekhf

Abstract: In this paper we investigate implementing a Precision Time Base (PTB) technique to improve measurement jitter performance of digital sampling oscilloscopes (DSO) on a Field Programmable Gate Array (FPGA). To achieve better measurements, two reference signals are used to correct time-base errors and minimize jitter added by the DSO itself (minimize measurement jitter). We show experimentally that using the aforementioned technique, measurement jitter can be reduced from 1.3 pico-seconds (ps) to 280 femto-seconds (fs) (depending on the data rate and the pattern length) on a high-speed DSO.

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Fall Detection Algorithm using Body Angle for Accurate Classification of Falls and ADLs

Authors: Ali Ibrahim, Kabalan Chaccour, Georges Badr, Amir Hajjam El Hassani

Abstract: Falls in elderly are an important issue for the aging populations around the world. They cause severe physical and emotional injuries and surge healthcare and hospitalization costs. Detection of falls in time help reduce the consequences of the fall by providing a faster rescue to the patient which prevents more serious injuries. The present research describes a threshold-based algorithm to distinguish between falls and Activities of Daily Living (ADL). This algorithm was implemented on a wearable device attached to the waist. Three thresholds are used in order to distinguish a fall from any other activity. Falls are simulated by 10 young volunteers under supervised conditions and ADLs are performed by 10 elderly subjects. Experimental results show that the system detects falls compared to ADL with a sensitivity and specificity of 93.3% and 100% respectively.

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Design and Development of a Force-Sensing Shoe for Gait Analysis and Monitoring

Authors: Charles Bark, Kabalan Chaccour, Rony Darazi, Amir Hajjam El Hassani, Emmanuel Andrès

Abstract: As people age, they become more fragile and exhibit changes in their gait and balance. This state of fragility increases their vulnerability to fall incidents. Gait and balance assessment is usually performed in a clinical setting primarily after a fall. However, daily monitoring has become essential in order to evaluate the quality of gait and alert the patient in case of a risky situation. In this context, many systems have been developed that allow the extraction of specific features in the purpose to detect or predict a fall during daily activities. Footwear systems have been of interest for being non-intrusive and adequate for everyday use. This paper describes the design and development of our proposed force-sensing shoe for gait analysis and monitoring. The system is validated by the extraction of the weight and the Center of Pressure (CoP) trajectory of 10 young volunteers. Results have shown that minor adjustment need to be performed to obtain accurate measurement of the weight. A final design with new features has been sent for manufacturing.

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Intelligent Software Simulation of Water Consumption In Domestic Homes

Authors: Rita Zaher, Kabalan Chaccour, Georges Badr

Abstract: Earth is known as the "Blue Planet". 70% of the earth's surface is covered with water. It has an abundance of water, but unfortunately, only a small proportion is available to humans. This resource, which becomes increasingly limited, is essential to life and an important component for the development of agriculture, energy production, industrial activities and domestic consumption. The needs are thus in a very fast growth. Against this reality, it falls to us to preserve this resource and to make the best possible use of it. In this context, solutions started to appear allowing more efficient management of water resources. This paper provides the implementation of a software solution that aims to reduce the domestic water consumption according the basic daily activities and needs. This management is in fact a control of the consumption by predicting the tasks which are allowed to satisfy by specifying the volumetric flow used. The system will help the users with decision making according to their needs and will enable them to satisfy a large number of daily tasks without excessive water use.

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Sway Analysis and Fall Prediction Method Based on Spatio-Temporal Sliding Window Technique

Authors: Kabalan Chaccour, Hiba Al Assaad, Amir Hajjam El Hassani, ROny Darazi, Emmanuel Andrès

Abstract: As people age, they become more fragile and exhibit difficulties in maintaining their gait and balance. Their state of fragility increases their vulnerability to fall incidents. Various analysis methods were developed to detect the abnormality of human gait and balance, and estimate the risk of falling. In this paper, we present a method to estimate the falling risk and alert the patient when a fall is about to happen. The proposed method consists in monitoring and analyzing the amount of sway of the center of mass in the medial-lateral plane by computing the center of pressure displacement at the foot plantar surface. Our proposed method uses the spatio-temporal sliding window processing to generate fall alarms and estimate the falling risk. The method was validated via a two-phase experimental protocol with five young adults who performed a walk of 20 stances with simulated sways using an instrumented shoe with resistive pressure sensors. The threshold of the normal walk TH N and the risk level R L of the altered walk are determined as well as the risk of falling. The method can be applied in real-life and clinical settings with real-time processing.

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Computer Vision Guidance System for Indoor Navigation of Visually Impaired People

Authors: Kabalan Chaccour, Georges Badr

Abstract: Visually Impaired (VI) and blind people suffer from reduced mobility, as they cannot detect the terrain and their environment. They always need assistance and walking support systems in their daily life. Solutions have been proposed many decades ago and are rapidly improving nowadays due to the technology evolution and integration. A large number of assistance aids have been deployed in real life situations whereas other concepts remained as research ideas. This paper describes a new approach of an ambient navigation system that would help the visually impaired or blind person to move freely indoor (house, office, etc.) without the assistance of anyone. The system is composed of IP cameras attached to the ceiling of each room and the smart phone of the subject is used as human machine interface (HMI). Frames are sent to a computer that analyzes the environment, detects and recognizes objects. A computer vision guidance algorithm is designed to help the user reach his destination (or his personal item) with obstacle detection. The system is commanded by voice messages via a simple mobile application. Feedbacks (alerts, route) are voice messages returns by the application to the user. This system provides a reliable solution to assist those users in their indoor navigation providing them a correct route with obstacle avoidance.

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MobiCentraList: Software Keyboard with Predictive List for Mobile Device

Authors: Georges Badr, Antoine Ghorra, Kabalan Chaccour

Abstract: Software keyboards were designed to provide accessibility to mobile users as well as to people with motor disability. Text entry is henceforth made possible on portable devices such as mobile phones, tablets, pads. Despite their obvious utility, these keyboards present major drawbacks in terms of speed of acquisition and induced fatigue comparatively to conventional physical keyboards. Optimization efforts have showed efficacy by adding prediction lists and dictionaries. Other researches have considered the effect of the position of characters and the prediction list relatively to the time of acquisition and performance. Those researches were designed for computer software keyboards. In this paper, the position of the prediction list is investigated on a mobile device. The “MobiCentraList” is the mobile version of a previous computer software keyboard “Centralist” which was developed for this purpose. The position effect of the prediction list is studied and compared to natural software keyboards.

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Smart Carpet Using Differential Piezoresistive Pressure Sensors for Elderly Fall Detection

Authors: Kabalan Chaccour, Rony Darazi, Amir Hajjam El Hassani, Emmanuel Andrès

Abstract: Falls are events that affect almost every aging human being above the age of 65. These incidents can have major consequences on the physiological, psychological and socio-economical levels. In this paper, a simple smart carpet design is developed to detect falls using a novel sensing technique. Conventional sensing methods use either inertial measurement sensors (accelerometers, gyroscopes) or environmental sensors (infrared, force, vibration, acoustic, etc.). The proposed technique employs differential piezoresistive pressure sensors. The prototype of the system is implemented and tested using statistical methods. Experimental results show the sensitivity and the specificity of the system to be 88.8% and 94.9% respectively. The system could be deployed in home care environment as a final product. Our proposed sensing technique can be also integrated in beds to alert patients from falling during sleep.

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Novel Indoor Navigation System for Visually Impaired and Blind People

Authors: Kabalan Chaccour, Georges Badr

Abstract: Visual impairment or vision loss is the main reason for reduced mobility in humans. Visually Impaired (VI) people require continuous assistance during their movement. Researchers and scientists have put many solutions to assist those people in the activities of their daily living (ADL). The current research delivers a novel indoor navigation system for visually impaired people. The proposed solution is designed for indoor use only (house, office, companies, etc.). It provides the visually impaired person the ability to navigate without any other hardware assistance. The proposed system architecture uses a network of IP cameras installed at the ceiling of each room. A remote processing system analyzes-by computer vision algorithms-photos taken from the environment in order to inform the subject about his location and reacts accordingly to deliver the adequate assistance. A guidance algorithm helps him reach his destination using a simple interactive mobile application installed on his smart phone. The proof of concept prototype was designed with one camera on top of a wooden floor model to simulate the system. Results showed good reliability in indoor navigation and obstacles avoidance.

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Multisensor Guided Walker for Visually Impaired Elderly People

Authors: Kabalan Chaccour, Jean Eid, Rony Darazi, Amir Hajjam El Hassani, Emmanuel Andrès

Abstract: Assisted living for people with disabilities remains a current research challenge. Many systems have been developed to help disabled and frail people gain their self-sufficiency during their activities of daily living (ADL). In this article, we propose a new design concept to help visually impaired (VI) elderly patients move in their home environment. The system is made of a light-weight medical walker where sensory components and processing electronics are installed and operated. Behavioral and environmental information are collected using proper sensors mounted on walker's frame. Direction data are provided using audible notification. The system uses a hardware guiding technique based on ultrasonic and optical sensors for obstacle detection and accelerometer for fall and vibration detection. The algorithm developed for this purpose triggers an audible notification to alert the patient if there is an obstacle ahead. While many developed walkers are complex, expensive and require training to be used, our electronic walker gathers flexibility, reliability, ease of use and future expendability. Unlike other products, the electronic walker is also suitable for indoor and outdoor use. The results obtained after testing the system proved effectiveness. The use of low cost components makes our walker affordable as a final product.

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Power Generation and Cogeneration Management Algorithm with Renewable Energy Integration

Authors: Joseph Al Asmar, Raed Kouta, Kabalan Chaccour, Joseph El Assad, Salah Laghrouche, Elie Eid, Maxime Wack

Abstract: Renewable energy and cogeneration systems integration into a grid has become an important issue for the power generation management. In this work, a new algorithm is proposed to manage the power generation. This algorithm takes into account the electrical and thermal load demands and the instantaneous renewable energy generation and cogeneration integration into a grid. In addition, the conventional power generators and cogeneration systems will be selected optimally according to economic and environmental criteria, and automated through microcontrollers. The reduced cost and pollution due to the integration of renewable energy and cogeneration sources are then calculated for decision making reasons.

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SleepPal: A Novel System for Elderly Sleep Monitoring and Bed Falls Detection

Authors: Ali Ibrahim, Kabalan Chaccour, Amir Hajjam El Hassani, Emmanuel Andrès

Abstract: Long term sleep monitoring has become an important mean for healthcare professionals to investigate the correlation between nocturnal activities and sleep disorders which may induce incidents such as falling from bed. In fact, bed falls can cause several psychological and physical problems such as injuries, trauma, and fear of falling. Early detection of falls enables prompt patient rescue and preventing more severe injuries. This paper introduces SleepPal_a novel and unobtrusive sleep monitoring system for body movement, sleep posture detection, and bed fall detection. The system consists of a wearable compact device that retrieves motion data from an inertial measurement sensor and transmits it to a remote monitoring station. The identification of body movements, posture recognition, and bed falls detection was accomplished through the utilization of a machine learning algorithms. The experiments involved 15 subjects, and the results demonstrated an average accuracy of 98.7%, an average sensitivity of 98.5%, an average specificity of 98.9%, and an average precision of 98.9%.