US20100081889A1 - Systems and methods for monitoring and evaluating individual performance - Google Patents

Systems and methods for monitoring and evaluating individual performance Download PDF

Info

Publication number
US20100081889A1
US20100081889A1 US12/571,081 US57108109A US2010081889A1 US 20100081889 A1 US20100081889 A1 US 20100081889A1 US 57108109 A US57108109 A US 57108109A US 2010081889 A1 US2010081889 A1 US 2010081889A1
Authority
US
United States
Prior art keywords
data
subject
subjective
cognitive
cognitive effectiveness
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US12/571,081
Inventor
J. Hunter Downs, III
Traci H. Downs
J. Patrick Stautzenberger
Erin Nishimura
Jason Akagi
Brendan F. P. O'Donnell
Fahrettin Olcay Cirit
Evan D. Rapoport
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
ARCHINOETICS LLC
Original Assignee
ARCHINOETICS LLC
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by ARCHINOETICS LLC filed Critical ARCHINOETICS LLC
Priority to US12/571,081 priority Critical patent/US20100081889A1/en
Publication of US20100081889A1 publication Critical patent/US20100081889A1/en
Abandoned legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/16Devices for psychotechnics; Testing reaction times ; Devices for evaluating the psychological state
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4806Sleep evaluation
    • A61B5/4809Sleep detection, i.e. determining whether a subject is asleep or not
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7232Signal processing specially adapted for physiological signals or for diagnostic purposes involving compression of the physiological signal, e.g. to extend the signal recording period
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/50ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders

Definitions

  • the present invention relates generally to the remote monitoring of individual performance with distributed systems and evaluating the monitored performance.
  • these and other references propose systems for measuring the sleep and wake states of an individual, performing analysis of this measured data and presenting the results to a user.
  • these approaches lack the capability to adapt sufficiently to variations between individual users, fail to present data to users in a fully comprehensive manner, and suffer from inefficient data collection and analysis techniques.
  • a method of monitoring individual performance includes measuring a objective data parameter corresponding to a first aspect of a subject, collecting a subjective data parameter corresponding to a second aspect of the subject by way of a user interface, and determining a cognitive effectiveness level of the subject based at least on the objective and subjective data parameters.
  • the determined cognitive effectiveness level can be one of a past, current or future cognitive effectiveness level. Also, the cognitive effectiveness level can be determined with a cognitive effectiveness determination algorithm.
  • the objective data parameter can be any of multiple types of parameters.
  • the objective data parameter can be representative of the subject's physical motion, such as an actigraph data parameter, while in another embodiment the objective data parameter can be a parameter representative of a blood oxygen level of the subject.
  • the objective data parameter can be a near infrared spectroscopy (NIRS) signal parameter.
  • NIRS near infrared spectroscopy
  • the subjective data parameter can be any of multiple types of parameters.
  • the subjective data parameter can be a data parameter representative of a subject's manual indication of a subjective mental state, such as a wake state and the like.
  • the subjective data parameter can be a response to a test input by the subject.
  • the cognitive effectiveness level of the subject can be determined based on at least the objective data parameter, and the determined cognitive effectiveness level can be adjusted based upon the collected subjective data parameter.
  • the subjective data parameter can correspond to a wake state and the boundary of the wake state can be adjusted based upon the collected subjective data parameter and a new cognitive effectiveness level can be determined therefrom.
  • the cognitive effectiveness level of the subject can be determined by inputting the objective and subjective data parameters into a cognitive effectiveness determination algorithm.
  • the method can further include collecting an individual characteristic data parameter corresponding to a third aspect of the subject and determining the cognitive effectiveness level of the subject based at least on the objective, subjective and individual characteristic data parameters.
  • the individual characteristic data parameter can be a gender of the subject, a racial origin of the subject, a genetic characteristic of the subject and the like.
  • the cognitive effectiveness level can be determined with a cognitive effectiveness determination algorithm and the cognitive effectiveness determination algorithm can be adapted to the traits of the subject.
  • the adaptation can include altering a population-level based cognitive effectiveness determination algorithm into a subject-based cognitive effectiveness determination algorithm.
  • FIG. 1 is a block diagram depicting an exemplary embodiment of a performance monitoring system.
  • FIG. 2 is a block diagram depicting an exemplary embodiment of a portable monitoring device.
  • FIGS. 3A-B are exemplary graphs of cardiac and respiratory cycles, respectively, derived from data collected by an exemplary embodiment of the portable monitoring device.
  • FIGS. 3C-D are exemplary graphs of spectral data derived from cardiac cycle data collected by an exemplary embodiment of the portable monitoring device.
  • FIG. 4 is a functional block diagram depicting another exemplary embodiment of a performance monitoring system.
  • FIG. 5 is a flow diagram depicting an exemplary method of determining a cognitive effectiveness level.
  • FIG. 6 is a flow diagram depicting an exemplary method of providing behavioral guidance.
  • FIG. 1 is a block diagram depicting an exemplary embodiment of performance monitoring system 100 .
  • Performance monitoring system 100 is a distributed system capable of monitoring the performance of one or more individual subjects at different physical locations.
  • System 100 preferably includes a central network 102 in communication with one or more local computing devices 104 - 1 through 104 -N, preferably by way of a public or private communication path 103 , such as the internet. It should be noted that N can be any number desired.
  • Local computing devices 104 - 1 through 104 -N are in communication with a portable monitoring device 105 - 1 through 105 -N by way of a communication path 106 - 1 through 106 -N, respectively, as depicted here.
  • Each communication path 106 is preferably a wireless communication path, although wired communication can be used as well.
  • Each portable monitoring device 105 is preferably physically coupled to an individual subject 107 to be monitored.
  • Each of communication paths 103 and 106 can be bidirectional to allow for data transfer between each of the devices within system 100 .
  • a single local computing device 104 can also communicate with multiple portable monitoring devices 105 if desired.
  • system 100 operates to monitor cognitive effectiveness of the various subjects 107 - 1 through 107 -N.
  • portable monitoring device 105 - 1 can collect data from corresponding subject 107 - 1 and communicate that data to the corresponding local computing device 104 - 1 by way of communication path 106 - 1 .
  • Local computing device 104 - 1 can then assemble the data reported from portable monitoring device 105 - 1 , process and format the assembled data and communicate the resulting data to central network 102 by way of communication path 103 .
  • Central network 102 can then further analyze the data and output a cognitive effectiveness level for subject 107 - 1 back to local computing device 104 - 1 or any other desired location.
  • portable monitoring device 105 is preferably configured to collect one or more data parameters that correspond to one or more physiological aspects of subject 107 .
  • This data parameter, or set of data parameters is preferably capable of being used to determine (or predict) a past, present or future cognitive effectiveness level.
  • the collected data parameter can be any data parameter usable to determine cognitive effectiveness including, but not limited to, activity data, sleep/wake data, event data, objective data, and subjective data (e.g., data generated from direct user input).
  • these data parameters can be representative of the subject's sleep/wake state at a given moment in time, i.e., whether the subject is awake or asleep at a given moment in time. These data parameters can be classified as being objectively or subjectively derived. These data parameters can then be used to determine a cognitive effectiveness level, which is an estimated quantification of the relative amount of cognitive ability, such as decision-making ability, which subject 107 can expect to have at a given moment in time—before, during or after collection of the data parameter.
  • FIG. 2 is a block diagram depicting an exemplary embodiment of portable monitoring device 105 .
  • portable monitoring device 105 can include a sensor 120 configured to collect data and a communication port 122 configured to communicate the collected data to another device, preferably local computing device 104 .
  • Portable monitoring device 105 can also include a data processing unit 124 , a bus 125 , a memory 126 , a power supply 127 , a subjective data input port 128 , and/or a display 129 .
  • Portable monitoring device 105 can collect data of any desired physiological aspect in any desired manner. For instance, in one exemplary embodiment, portable monitoring device 105 can collect physiological data representative of the motion level of subject 107 with sensor 120 configured as an actigraph. The collected motion level data can then be correlated to a current sleep/wake state of subject 107 with an appropriate algorithmic technique, such as the Cole-Kripke algorithm (described in “Automatic Sleep/Wake Identification from Wrist Actigraphy” published in Sleep, vol. 15, pp. 461-469 (1992)) and other algorithms, not limited to those based on the number of zero-crossings detected by the actigraph. Subsequently, the sleep/wake state can be used to determine a cognitive effectiveness level of subject 107 using an appropriate algorithmic technique, such as the techniques described in the Hursh or Balkin references above.
  • an appropriate algorithmic technique such as the techniques described in the Hursh or Balkin references above.
  • portable monitoring device 105 can collect other physiological data representative of physiological aspects of subject 107 including, but not limited to biometric data such as heart rate, breathing rate, blood pressure, skin temperature, galvanic skin response, blood oxygenation level, brain and/or nervous system electrical activity level and the like.
  • sensor 120 is configured as an infrared sensor, such as a near infrared spectroscopy (NIRS) sensor.
  • NIRS sensor 120 can collect physiological data, such as blood oxygenation levels, breath rate, heart rate and other data that can then be used to determine a cognitive effectiveness level.
  • NIRS near infrared spectroscopy
  • Portable monitoring device 105 is preferably configured to be wearable on subject 107 , although device 105 can also be placed in proximity with subject 107 without making actual physical contact, if desired.
  • Portable monitoring device 105 can also be implantable if desired.
  • portable monitoring device 105 can be worn around the wrist, ankle, neck, or head, or worn on any other part of the body as desired.
  • portable monitoring device 105 is preferably configured to communicate with local computing device 104 by way of communication port 122 .
  • This communication can occur in real-time as data is collected, at predetermined intervals, as a result of prompting by local computing device 104 , any combination thereof or otherwise.
  • Communication port 122 can be configured to communicate externally in any desired manner.
  • port 122 is configured to communicate wirelessly using IEEE 802.11, Bluetooth, ZigBee, any mobile communication standard (e.g., WCDMA, GSM etc.), infrared communication and the like.
  • port 122 is configured as a wired port, such as a universal serial bus (USB) port, an IEEE 1394 FireWire port, and the like.
  • USB universal serial bus
  • portable monitoring device 105 can include subjective data input port 128 and display 129 .
  • Subjective data input port 128 can be any device used to input data including, but not limited to, a button, switch, rollerball, trackball, wheel/button combination, touchscreen, touchpanel, keyboard, any combination thereof and the like.
  • display 129 can be any type of display including, but not limited to a cathode ray tube (CRT), liquid crystal display (LCD), light emitting device (LED), any combination thereof and the like.
  • port 128 and display 129 can be combined such as in a touchscreen display.
  • the configuration for port 128 and display 129 preferably takes into account weight, size and space in the actual implementation.
  • port 128 and display 129 can be used to enter subjective data.
  • the subjective data can indicate subject 107 's current mental state, including a sleep/wake state, subject 107 's self-appraised cognitive effectiveness level, answers input by subject 107 to cognitive effectiveness tests, such as tests of reaction time, comprehension and/or memory, as well as other types of subjective data that will be appreciated by one of ordinary skill in the art.
  • Local computing device 104 is configured to communicate with portable monitoring device 105 and preferably includes a processing unit and a user interface.
  • Local computing device 104 is preferably a personal desktop or notebook computer, but can also be a handheld computing device such as a personal digital assistant (PDA), a personal email device (e.g., a BLACKBERRY), a mobile phone, any combination thereof and the like.
  • Local computing device 104 preferably receives data collected by portable monitoring device 105 and processes it into a desired format. This processing can include data conditioning, data filtering, encryption, and/or compression.
  • Local computing device 104 can be configured to send the formatted data to central network 102 .
  • Central network 102 preferably includes a processing unit configured to process the formatted data from local computing device 104 into a cognitive effectiveness level.
  • a data analyst can manually monitor and process data received at central network 102 , or all data monitoring and processing can be performed automatically. Once the data has been processed into the desired format, the data can be sent back to subject 107 for assessment or can be sent to a third party (embodiments involving a third party will be discussed in more detail below).
  • central network 102 local computing device 104 and portable monitoring device 105 can be organized in any manner desired.
  • the bulk of data processing can be performed at central network 102 if desired, with local computing device 104 acting as an intermediary to transfer data from portable monitoring device 105 to central network 102 .
  • the bulk of data processing can be performed on either portable monitoring device 105 or local computing device 104 , with communication with central network 102 for the purpose of data processing avoided altogether.
  • raw actigraphy data can be collected in the form of a zero-crossing count. This information can then be stored in memory on portable monitoring device 105 , where it can be time-stamped and transmitted at a predetermined interval.
  • Local computing device 104 can then receive the data, compile it into tabular format, store a back-up copy of the raw data, compress the data, condition the data, encrypt the data, and transmit the modified actigraphy data along with any other data, such as subjective data and other data entered into local computing device 104 (such as travel information, event start time, event end time, individual-specific pieces of data such as age, sex or location, and the like) to central network 102 where this data is input to the cognitive effectiveness determination algorithm (such as the algorithm described in the Hursh or Balkin references, which are incorporated above).
  • the cognitive effectiveness determination algorithm such as the algorithm described in the Hursh or Balkin references, which are incorporated above.
  • subject 107 can evaluate the cognitive effectiveness data through a user interface located on local computing device 104 , or through display 129 located on portable monitoring device 105 .
  • a software tool can be used to facilitate presentation of the cognitive effectiveness data to subject 107 .
  • One exemplary tool is the Fatigue Analysis Software Tool/Fatigue Avoidance Scheduling Tool (FAST), described in published U.S. Patent Application no. 2003/0018242, entitled “Interface for a System and Method for Evaluating Task Effectiveness Based on Sleep Pattern,” which is fully incorporated by reference herein.
  • FAST Fatigue Analysis Software Tool/Fatigue Avoidance Scheduling Tool
  • NIRS sensor 120 is configured to measure the oxy- and deoxy-hemoglobin concentrations in subject 107 's blood with NIRS. From this NIRS signal, other physiological signals can be obtained or derived.
  • the dominant measured NIRS signals can include signal oscillations from each heart and respiratory cycle. These signal oscillations can cause rises and drops in the NIRS signal, corresponding to each heart beat and breath taken by the subject. These signal oscillations are overlaid on the raw NIRS signal and can be extracted using filtering.
  • the heartbeat signal, extracted through a band-pass filter, is depicted in the exemplary graph of FIG.
  • FIG. 3A The respiratory signal, extracted through a low-pass filter from the same data, is depicted in the exemplary graph of FIG. 3B , with the same time window as in FIG. 3A .
  • the signals of FIGS. 3A-B can be used to determine the heart and respiratory rates, respectively, of subject 107 . This processing can occur in any desired processing unit within system 100 .
  • the heartbeat signal can be used to derive a heart rate variability (HRV) signal.
  • HRV heart rate variability
  • the HRV signal is derived through a peak detection algorithm and outlier removal based on an estimated change in heart rate between consecutive beats.
  • the HRV signal is then spectrally analyzed using a fast fourier transform (FFT).
  • FFT fast fourier transform
  • FIGS. 3C-D are exemplary graphs depicting spectral data from the HRV signal derived from heart rate data. This spectral data shows expected changes due to sleep onset and arousal.
  • FIG. 3C depicts an expected increase in the high frequency variance (HFV) of the HRV signal due to the onset of sleep.
  • FIG. 3D depicts the expected peak in the low frequency variance (LFV) due to an arousal from sleep.
  • Respiratory rate can be derived from the NIRS signal as well and can be used to reveal indicators of sleep onset and arousals, if desired.
  • system 100 can be configured to collect subjective data as well, and determine cognitive effectiveness based on both the collected objective and subjective data.
  • objective data collected by sensor 120 is processed and correlated to a sleep/wake state of subject 107 using a sleep/wake state determination algorithm, and then processed to determine a cognitive effectiveness level using a cognitive effectiveness determination algorithm.
  • Portable monitoring device 105 can be configured to allow subject 107 to manually input an indication that subject 107 is awake through subjective data input port 128 .
  • Subject 107 can be prompted to enter subjective input by device 105 or subject 107 can enter subjective input voluntarily.
  • This subjective data can be used to verify the sleep/wake state that was determined based on the objective data. If a discrepancy exists, the bounds for the sleep/wake state can be modified accordingly to yield a more accurate cognitive effectiveness prediction.
  • System 100 can also be configured to collect subjective data relating to the cognizant state of subject 107 at a given point in time. This data can be collected through a cognitive effectiveness test that evaluates subject 107 's ability to perform tasks of varying degrees of difficulty. Examples can include tests of subject 107 's reaction time, ability to comprehend relatively complex information, short term memory, long term memory and the like. These tests can be administered through the local computing device 104 , through the portable monitoring device 105 , or through other devices. The results of the test or tests can be reported to system 100 and used verify the accuracy of subject 107 's current predicted cognitive effectiveness level or the test results can be used to directly predict subject 107 's cognitive effectiveness level at a past, current or future point in time.
  • a cognitive effectiveness test that evaluates subject 107 's ability to perform tasks of varying degrees of difficulty. Examples can include tests of subject 107 's reaction time, ability to comprehend relatively complex information, short term memory, long term memory and the like. These tests can be administered through the local computing device 104 ,
  • correlation can be performed with the objective data to adjust the sleep/wake determination algorithm to attempt to eliminate future discrepancies. For instance, if the sleep/wake determination algorithm incorrectly predicts a sleep state based on certain objective data characteristics, the algorithm can be modified, or tuned, to more accurately predict sleep/wake states in the future.
  • system 100 can be configured to dynamically adapt to the characteristics of each individual subject 107 . Preferably, this is an iterative process that continues over time, in order to continually adapt the algorithm to the characteristics of the individual subject 107 .
  • system 100 can be configured to implement an adaptive algorithm by first measuring activity with actigraph sensor 120 and determining a corresponding sleep/wake state based on the Cole-Kripke algorithm. Sleep scores are assigned to epochs of uniform time period based on the collected objective actigraph data. Subjective data, when available, can be used to modify the bounds for sleep and wake periods. The subjective data can be stored and used to individually optimize the Cole-Kripke algorithm parameters and weights for a given subject 107 .
  • FIG. 4 is a functional block diagram depicting an exemplary embodiment of system 100 configured for algorithmic adaptation.
  • system 100 includes a processing unit 401 , which can be located anywhere throughout system 100 (if implemented in portable monitoring device 105 , processing unit 401 would be equivalent to processing unit 124 ).
  • processing unit 401 includes a cognitive effectiveness prediction unit 409 that is configured to use a customizable population-level model for predicting a cognitive effectiveness level 408 .
  • objective physiological data 402 , subjective data 404 , and/or individual characteristic data 406 are each collected and input into processing unit 401 , for use by cognitive effectiveness prediction unit 409 .
  • Objective physiological data 402 can be any data relating to the measurable aspects of the body of subject 107 , such as motion/activity data, heart rate, breathing rate, blood pressure, skin temperature, galvanic skin response, blood oxygenation level, brain and/or nervous system electrical activity level and the like. This data 402 is preferably obtained by sensor 120 within portable monitoring device 105 .
  • Subjective data 404 can be any data that is based on a subjective assessment of subject 107 .
  • Subjective data 404 is typically input by subject 107 , but can also be input by another individual possessing information on the state of subject 107 .
  • Subjective data 404 can be data confirming whether subject 107 is currently asleep or awake, data confirming whether subject 107 was asleep or awake at a past point in time, data representative of when subject 107 plans to sleep or wake in the future, data representative of a current or past cognitive effectiveness level of subject 107 , data representative of a current or past feeling of exhaustion, feedback data representative of subject 107 's evaluation of a previously output cognitive effectiveness level 408 and the like.
  • This data 404 is preferably obtained by subjective input into subjective data input port 128 in portable monitoring device 105 or subjective input into local computing device 104 .
  • Individual characteristic data 406 can be any data that is representative of a broad individual characteristic. Examples can include race, gender, pharmacological data, heritage, genetic traits and the like. This data 406 is preferably obtained by input into subjective data input port 128 in portable monitoring device 105 , input into local computing device 104 by subject 104 or input into central network 102 by another party with knowledge of the individual characteristics of subject 107 freely disclosed by subject 107 .
  • Cognitive effectiveness prediction unit 409 is preferably configured to predict a cognitive effectiveness level 408 based on any or all of the input data 402 - 406 and, also, adapt itself to improve the accuracy of predictions based on any or all of the input data 402 - 406 .
  • feedback provided by subject 107 on the accuracy of a current cognitive effectiveness level 408 can be input as subjective data 404 and used by cognitive effectiveness prediction unit 409 to rescale or individually customize the population-level model appropriately to bring further predictions in-line with subject 107 's self-assessment.
  • the population-level model (or algorithm) can be customized, adapted, or individualized into a relatively more subject-based model to improve the accuracy of predictions for a given subject 107 . In doing so, the model is no longer optimized to produce accurate predictions for any member of a given population, but is instead optimized for a subset, or even an individual, within the population.
  • adjustments to the population-level model as well as data 402 - 406 can be shared with central network 102 and used to correlate changes to the population-level model with specific input data 402 - 406 to improve the accuracy of the population-level model for other individuals. For instance, based on adjustments made for male and female subjects 107 , the population-level model can be customized to take into account the gender of a new subject 107 using system 100 for the first time.
  • cognitive effectiveness prediction unit 408 is configured to use a boosted decision tree technique to adapt the population-level model to a subject-based model for a given subject 107 .
  • FIG. 5 is a flow diagram depicting one exemplary method 500 where cognitive effectiveness prediction unit 408 uses a boosted decision tree technique.
  • objective data 402 (and/or optionally individual characteristic data 406 ) is collected for subject 107 .
  • subjective data 404 is collected with regard to subject 107 .
  • subjective data 404 includes self-assessed cognitive effectiveness levels entered by subject 107 .
  • a decision tree is generated that predicts the self-assessed cognitive effectiveness levels included in subjective data 404 based on objective data 402 and/or the output of a population-level model.
  • new cognitive effectiveness levels are output from the boosted decision tree based on newly acquired objective data 402 (and/or optionally individual characteristic data 406 ).
  • new subjective data 404 is entered with regard to subject 107 , preferably including subject 107 's self-assessed cognitive effectiveness levels.
  • discrepancies between subject 107 's self-assessed cognitive effectiveness levels and the predicted cognitive effectiveness level output by the decision tree are identified and a higher weight is assigned to those instances.
  • a new decision tree is generated to predict the reweighted data.
  • this new tree is combined with previous trees by weighted voting with the weighting based on the overall prediction error of each tree.
  • the accuracy of the combination is evaluated and if further modifications are necessary, the method reverts to 512 . If not, the method proceeds to 520 and waits for new types of objective data 402 (or individual data 406 ) to be acquired or changes in the base level population model, in which case the method reverts to 506 .
  • system 100 can be configured to provide behavioral guidance to subject 107 based on the predicted cognitive effectiveness level.
  • the behavioral guidance can be provided in real-time and can inform subject 107 as to the effect current and/or future behavior will have on subject 107 's cognitive effectiveness level.
  • portable monitoring device 105 can include display 129 .
  • Portable monitoring device 105 can generate a behavioral guidance message with processing unit 124 (or receive a behavioral guidance message by way of communication port 122 ) and present the message to subject 107 on display 129 .
  • a behavioral guidance message can be generated at pre-determined intervals during certain times of the day, can be generated as a result of prompting by subject 107 , can be generated as a result of variations in data collected by sensor 120 , or in any other desired manner.
  • the conditions under which a behavioral guidance message should be generated are stored in system 100 as a set of behavioral guidance parameters.
  • the behavioral guidance parameters can include time parameters, date parameters, predicted cognitive effectiveness level parameters, objective data parameters, subjective data parameters, individual characteristic data parameters, interval parameters (i.e., how often should a behavioral guidance message be generated and is this interval fixed or variable dependent on the time of day, date, severity of collected objective or subjective data, etc.) and the like.
  • a behavioral guidance message informs the user as to what consequences sleep time will have on cognitive effectiveness for the next day. For instance, if a set of behavioral guidance parameters are used that specify that should system 100 detect that subject 107 is still awake past a predetermined time of day, for instance, 10 o'clock p.m., system 100 can be configured to generate a behavioral guidance message and display it on portable monitoring device 105 .
  • the behavioral guidance message can contain information such as an average cognitive effectiveness level for a specific event or time period in the future subject 107 can expect to achieve if subject 107 goes to sleep within 30 minutes (e.g., 90% of maximum), 60 minutes (e.g., 85% of maximum) and 90 minutes (e.g., 80% of maximum) from the current time, and wakes at a normal time the following day. In such an instance, subject 107 preferably sees a quantified representation of the consequences of continuing to remain awake, through the ever-decreasing predicted cognitive effectiveness levels. Updated behavioral guidance messages can be continually generated at predetermined intervals until system 100 detects that subject 107 has gone to sleep.
  • FIG. 6 is a flow diagram depicting an exemplary embodiment of a method 600 of providing behavioral guidance, which can be performed with system 100 .
  • one or more behavioral guidance parameters are set.
  • system 100 monitors the current conditions, which can include collected data (e.g., objective data 402 , subjective data 404 , and/or individual characteristic data 406 ) as well as generally known data (e.g., time, day, etc.).
  • system 100 interprets the monitored conditions in light of the behavioral guidance parameters and, at 608 , determines whether the monitored conditions are such that a behavioral guidance message should be generated. If not, then system 100 proceeds to 610 to determine if new behavioral guidance parameters are to be set.
  • system 100 proceeds back to 602 and if not, system 100 proceeds back to 604 . If a behavioral guidance message should be generated, then system 100 can proceed from 608 to 612 where the behavioral guidance message is generated. After which, system 100 can proceed to 610 to determine if new behavioral guidance parameters are to be set.

Abstract

Systems, devices and methods for monitoring and evaluating cognitive effectiveness are provided. In one exemplary embodiment, a system of r monitoring cognitive effectiveness can include a central network communicatively couple with a local computing device, which can in turn be communicatively coupled with a portable monitoring device. The portable monitoring device can be located in proximity with a subject and configured to collect data from the subject usable in determining a cognitive effectiveness level. Adaptive methods for determining cognitive performance are also provided.

Description

    CROSS-REFERENCE TO RELATED APPLICATIONS
  • This is a continuation of U.S. patent application Ser. No. 11/424,742, filed Jun. 6, 2006, assigned to the assignee of the present application, and incorporated herein by reference.
  • FIELD OF THE INVENTION
  • The present invention relates generally to the remote monitoring of individual performance with distributed systems and evaluating the monitored performance.
  • BACKGROUND
  • Recently, societal trends have indicated that a sizable portion of the population have been and will continue to suffer from sleep deprivation. Although much research has been performed on the causes of and potential remedies for sleep deprivation, research into the effects of sleep deprivation on the cognitive performance of an individual has been relatively more limited.
  • Much of the research into the effect of sleep loss on cognitive effectiveness has been directed towards algorithmic techniques for correlating sleep and wake states with cognitive effectiveness levels. U.S. Pat. No. 6,241,686 (hereinafter “Balkin”) entitled “System and Method for Predicting Human Cognitive Performance Using Data from an Actigraph” and U.S. Pat. No. 6,579,233 (hereinafter “Hursh”) entitled “System and Method for Evaluating Task Effectiveness Based on Sleep Pattern” each propose algorithmic techniques for correlating sleep loss with cognitive effectiveness and making past or future predictions of cognitive performance based, generally, on measured sleep and wake states and are fully incorporated by reference herein.
  • In addition to the algorithmic techniques, these and other references propose systems for measuring the sleep and wake states of an individual, performing analysis of this measured data and presenting the results to a user. However, these approaches lack the capability to adapt sufficiently to variations between individual users, fail to present data to users in a fully comprehensive manner, and suffer from inefficient data collection and analysis techniques.
  • Accordingly, improved devices, systems and methods for monitoring and evaluating individual performance are needed.
  • SUMMARY
  • Improved devices, systems and methods for monitoring and evaluating individual performance and the like, are provided in this section by the way of exemplary embodiments. These embodiments are examples only and are not intended to limit the invention.
  • In one exemplary embodiment, a method of monitoring individual performance is provided that includes measuring a objective data parameter corresponding to a first aspect of a subject, collecting a subjective data parameter corresponding to a second aspect of the subject by way of a user interface, and determining a cognitive effectiveness level of the subject based at least on the objective and subjective data parameters.
  • The determined cognitive effectiveness level can be one of a past, current or future cognitive effectiveness level. Also, the cognitive effectiveness level can be determined with a cognitive effectiveness determination algorithm.
  • The objective data parameter can be any of multiple types of parameters. In one embodiment the objective data parameter can be representative of the subject's physical motion, such as an actigraph data parameter, while in another embodiment the objective data parameter can be a parameter representative of a blood oxygen level of the subject. In yet another exemplary embodiment, the objective data parameter can be a near infrared spectroscopy (NIRS) signal parameter.
  • The subjective data parameter can be any of multiple types of parameters. In one embodiment, the subjective data parameter can be a data parameter representative of a subject's manual indication of a subjective mental state, such as a wake state and the like. In another exemplary embodiment, the subjective data parameter can be a response to a test input by the subject.
  • In another exemplary embodiment, the cognitive effectiveness level of the subject can be determined based on at least the objective data parameter, and the determined cognitive effectiveness level can be adjusted based upon the collected subjective data parameter. For instance, the subjective data parameter can correspond to a wake state and the boundary of the wake state can be adjusted based upon the collected subjective data parameter and a new cognitive effectiveness level can be determined therefrom.
  • In another exemplary embodiment, the cognitive effectiveness level of the subject can be determined by inputting the objective and subjective data parameters into a cognitive effectiveness determination algorithm.
  • In another exemplary embodiment, the method can further include collecting an individual characteristic data parameter corresponding to a third aspect of the subject and determining the cognitive effectiveness level of the subject based at least on the objective, subjective and individual characteristic data parameters. The individual characteristic data parameter can be a gender of the subject, a racial origin of the subject, a genetic characteristic of the subject and the like.
  • In another exemplary embodiment, the cognitive effectiveness level can be determined with a cognitive effectiveness determination algorithm and the cognitive effectiveness determination algorithm can be adapted to the traits of the subject. The adaptation can include altering a population-level based cognitive effectiveness determination algorithm into a subject-based cognitive effectiveness determination algorithm.
  • Other devices, systems, methods, features and advantages of the invention will be or will become apparent to one with skill in the art upon examination of the following figures and detailed description. It is intended that all such additional systems, methods, features and advantages be included within this description, be within the scope of the invention, and be protected by the accompanying claims. It is also intended that the invention is not limited to require the details of the example embodiments.
  • BRIEF DESCRIPTION OF SEVERAL VIEWS OF THE DRAWINGS
  • The details of the invention, both as to its structure and operation, maybe gleaned in part by study of the accompanying figures, in which like reference numerals refer to like parts. The components in the figures are not necessarily to scale, emphasis instead being placed upon illustrating the principles of the invention. Moreover, all illustrations are intended to convey concepts, where relative sizes, shapes and other detailed attributes may be illustrated schematically rather than literally or precisely.
  • FIG. 1 is a block diagram depicting an exemplary embodiment of a performance monitoring system.
  • FIG. 2 is a block diagram depicting an exemplary embodiment of a portable monitoring device.
  • FIGS. 3A-B are exemplary graphs of cardiac and respiratory cycles, respectively, derived from data collected by an exemplary embodiment of the portable monitoring device.
  • FIGS. 3C-D are exemplary graphs of spectral data derived from cardiac cycle data collected by an exemplary embodiment of the portable monitoring device.
  • FIG. 4 is a functional block diagram depicting another exemplary embodiment of a performance monitoring system.
  • FIG. 5 is a flow diagram depicting an exemplary method of determining a cognitive effectiveness level.
  • FIG. 6 is a flow diagram depicting an exemplary method of providing behavioral guidance.
  • DETAILED DESCRIPTION
  • Provided herein are improved systems and methods for monitoring and evaluating individual performance including, but not limited to, individual cognitive performance. FIG. 1 is a block diagram depicting an exemplary embodiment of performance monitoring system 100. Performance monitoring system 100 is a distributed system capable of monitoring the performance of one or more individual subjects at different physical locations. System 100 preferably includes a central network 102 in communication with one or more local computing devices 104-1 through 104-N, preferably by way of a public or private communication path 103, such as the internet. It should be noted that N can be any number desired. Local computing devices 104-1 through 104-N are in communication with a portable monitoring device 105-1 through 105-N by way of a communication path 106-1 through 106-N, respectively, as depicted here. Each communication path 106 is preferably a wireless communication path, although wired communication can be used as well. Each portable monitoring device 105 is preferably physically coupled to an individual subject 107 to be monitored. Each of communication paths 103 and 106 can be bidirectional to allow for data transfer between each of the devices within system 100. Furthermore, a single local computing device 104 can also communicate with multiple portable monitoring devices 105 if desired.
  • In one exemplary embodiment, system 100 operates to monitor cognitive effectiveness of the various subjects 107-1 through 107-N. For instance, portable monitoring device 105-1 can collect data from corresponding subject 107-1 and communicate that data to the corresponding local computing device 104-1 by way of communication path 106-1. Local computing device 104-1 can then assemble the data reported from portable monitoring device 105-1, process and format the assembled data and communicate the resulting data to central network 102 by way of communication path 103. Central network 102 can then further analyze the data and output a cognitive effectiveness level for subject 107-1 back to local computing device 104-1 or any other desired location.
  • In the embodiment depicted here, portable monitoring device 105 is preferably configured to collect one or more data parameters that correspond to one or more physiological aspects of subject 107. This data parameter, or set of data parameters, is preferably capable of being used to determine (or predict) a past, present or future cognitive effectiveness level. The collected data parameter can be any data parameter usable to determine cognitive effectiveness including, but not limited to, activity data, sleep/wake data, event data, objective data, and subjective data (e.g., data generated from direct user input).
  • In one exemplary embodiment, these data parameters can be representative of the subject's sleep/wake state at a given moment in time, i.e., whether the subject is awake or asleep at a given moment in time. These data parameters can be classified as being objectively or subjectively derived. These data parameters can then be used to determine a cognitive effectiveness level, which is an estimated quantification of the relative amount of cognitive ability, such as decision-making ability, which subject 107 can expect to have at a given moment in time—before, during or after collection of the data parameter.
  • FIG. 2 is a block diagram depicting an exemplary embodiment of portable monitoring device 105. In this embodiment, portable monitoring device 105 can include a sensor 120 configured to collect data and a communication port 122 configured to communicate the collected data to another device, preferably local computing device 104. Portable monitoring device 105 can also include a data processing unit 124, a bus 125, a memory 126, a power supply 127, a subjective data input port 128, and/or a display 129.
  • Portable monitoring device 105 can collect data of any desired physiological aspect in any desired manner. For instance, in one exemplary embodiment, portable monitoring device 105 can collect physiological data representative of the motion level of subject 107 with sensor 120 configured as an actigraph. The collected motion level data can then be correlated to a current sleep/wake state of subject 107 with an appropriate algorithmic technique, such as the Cole-Kripke algorithm (described in “Automatic Sleep/Wake Identification from Wrist Actigraphy” published in Sleep, vol. 15, pp. 461-469 (1992)) and other algorithms, not limited to those based on the number of zero-crossings detected by the actigraph. Subsequently, the sleep/wake state can be used to determine a cognitive effectiveness level of subject 107 using an appropriate algorithmic technique, such as the techniques described in the Hursh or Balkin references above.
  • In another exemplary embodiment, portable monitoring device 105 can collect other physiological data representative of physiological aspects of subject 107 including, but not limited to biometric data such as heart rate, breathing rate, blood pressure, skin temperature, galvanic skin response, blood oxygenation level, brain and/or nervous system electrical activity level and the like. In one exemplary embodiment, sensor 120 is configured as an infrared sensor, such as a near infrared spectroscopy (NIRS) sensor. In this embodiment, NIRS sensor 120 can collect physiological data, such as blood oxygenation levels, breath rate, heart rate and other data that can then be used to determine a cognitive effectiveness level. An embodiment that implements NIRS sensor 120 will be described in more detail below.
  • Portable monitoring device 105 is preferably configured to be wearable on subject 107, although device 105 can also be placed in proximity with subject 107 without making actual physical contact, if desired. Portable monitoring device 105 can also be implantable if desired. When configured to be wearable, portable monitoring device 105 can be worn around the wrist, ankle, neck, or head, or worn on any other part of the body as desired.
  • As mentioned above, portable monitoring device 105 is preferably configured to communicate with local computing device 104 by way of communication port 122. This communication can occur in real-time as data is collected, at predetermined intervals, as a result of prompting by local computing device 104, any combination thereof or otherwise. Communication port 122 can be configured to communicate externally in any desired manner. In one exemplary embodiment, port 122 is configured to communicate wirelessly using IEEE 802.11, Bluetooth, ZigBee, any mobile communication standard (e.g., WCDMA, GSM etc.), infrared communication and the like. In another exemplary embodiment, port 122 is configured as a wired port, such as a universal serial bus (USB) port, an IEEE 1394 FireWire port, and the like.
  • As mentioned above, portable monitoring device 105 can include subjective data input port 128 and display 129. Subjective data input port 128 can be any device used to input data including, but not limited to, a button, switch, rollerball, trackball, wheel/button combination, touchscreen, touchpanel, keyboard, any combination thereof and the like. Furthermore, display 129 can be any type of display including, but not limited to a cathode ray tube (CRT), liquid crystal display (LCD), light emitting device (LED), any combination thereof and the like. Also, port 128 and display 129 can be combined such as in a touchscreen display. Of course, one of skill in the art will appreciate that certain configurations are preferable given the preferred configuration of device 105 as being portable. Thus, the configuration for port 128 and display 129 preferably takes into account weight, size and space in the actual implementation.
  • As will be described in more detail below, port 128 and display 129 can be used to enter subjective data. The subjective data can indicate subject 107's current mental state, including a sleep/wake state, subject 107's self-appraised cognitive effectiveness level, answers input by subject 107 to cognitive effectiveness tests, such as tests of reaction time, comprehension and/or memory, as well as other types of subjective data that will be appreciated by one of ordinary skill in the art.
  • Local computing device 104 is configured to communicate with portable monitoring device 105 and preferably includes a processing unit and a user interface. Local computing device 104 is preferably a personal desktop or notebook computer, but can also be a handheld computing device such as a personal digital assistant (PDA), a personal email device (e.g., a BLACKBERRY), a mobile phone, any combination thereof and the like. Local computing device 104 preferably receives data collected by portable monitoring device 105 and processes it into a desired format. This processing can include data conditioning, data filtering, encryption, and/or compression. Local computing device 104 can be configured to send the formatted data to central network 102.
  • Central network 102 preferably includes a processing unit configured to process the formatted data from local computing device 104 into a cognitive effectiveness level. A data analyst can manually monitor and process data received at central network 102, or all data monitoring and processing can be performed automatically. Once the data has been processed into the desired format, the data can be sent back to subject 107 for assessment or can be sent to a third party (embodiments involving a third party will be discussed in more detail below).
  • It should be noted that the division of data processing between central network 102, local computing device 104 and portable monitoring device 105 can be organized in any manner desired. For instance, the bulk of data processing can be performed at central network 102 if desired, with local computing device 104 acting as an intermediary to transfer data from portable monitoring device 105 to central network 102. Alternatively, the bulk of data processing can be performed on either portable monitoring device 105 or local computing device 104, with communication with central network 102 for the purpose of data processing avoided altogether.
  • For instance, in one exemplary embodiment, raw actigraphy data can be collected in the form of a zero-crossing count. This information can then be stored in memory on portable monitoring device 105, where it can be time-stamped and transmitted at a predetermined interval. Local computing device 104 can then receive the data, compile it into tabular format, store a back-up copy of the raw data, compress the data, condition the data, encrypt the data, and transmit the modified actigraphy data along with any other data, such as subjective data and other data entered into local computing device 104 (such as travel information, event start time, event end time, individual-specific pieces of data such as age, sex or location, and the like) to central network 102 where this data is input to the cognitive effectiveness determination algorithm (such as the algorithm described in the Hursh or Balkin references, which are incorporated above).
  • Similarly, the evaluation or assessment of the cognitive effectiveness level can be performed in any manner desired. In one exemplary embodiment, subject 107 can evaluate the cognitive effectiveness data through a user interface located on local computing device 104, or through display 129 located on portable monitoring device 105. A software tool can be used to facilitate presentation of the cognitive effectiveness data to subject 107. One exemplary tool is the Fatigue Analysis Software Tool/Fatigue Avoidance Scheduling Tool (FAST), described in published U.S. Patent Application no. 2003/0018242, entitled “Interface for a System and Method for Evaluating Task Effectiveness Based on Sleep Pattern,” which is fully incorporated by reference herein.
  • As mentioned above, portable monitoring device 105 can be configured to monitor physiological aspects of subject 107 with an NIRS sensor 120. In one exemplary embodiment, NIRS sensor 120 is configured to measure the oxy- and deoxy-hemoglobin concentrations in subject 107's blood with NIRS. From this NIRS signal, other physiological signals can be obtained or derived. For instance, the dominant measured NIRS signals can include signal oscillations from each heart and respiratory cycle. These signal oscillations can cause rises and drops in the NIRS signal, corresponding to each heart beat and breath taken by the subject. These signal oscillations are overlaid on the raw NIRS signal and can be extracted using filtering. The heartbeat signal, extracted through a band-pass filter, is depicted in the exemplary graph of FIG. 3A. The respiratory signal, extracted through a low-pass filter from the same data, is depicted in the exemplary graph of FIG. 3B, with the same time window as in FIG. 3A. The signals of FIGS. 3A-B can be used to determine the heart and respiratory rates, respectively, of subject 107. This processing can occur in any desired processing unit within system 100.
  • The heartbeat signal can be used to derive a heart rate variability (HRV) signal. In one exemplary embodiment, the HRV signal is derived through a peak detection algorithm and outlier removal based on an estimated change in heart rate between consecutive beats. The HRV signal is then spectrally analyzed using a fast fourier transform (FFT). Spectral analysis of the HRV signal has been shown to reveal indicators of sleep onset and fatigue levels, after the removal of motion artifacts from the received optical signal, preferably through artifact removal algorithms.
  • FIGS. 3C-D are exemplary graphs depicting spectral data from the HRV signal derived from heart rate data. This spectral data shows expected changes due to sleep onset and arousal. FIG. 3C depicts an expected increase in the high frequency variance (HFV) of the HRV signal due to the onset of sleep. FIG. 3D depicts the expected peak in the low frequency variance (LFV) due to an arousal from sleep. Respiratory rate can be derived from the NIRS signal as well and can be used to reveal indicators of sleep onset and arousals, if desired.
  • In addition to collecting objective data representing a physiological aspect of subject 107, system 100 can be configured to collect subjective data as well, and determine cognitive effectiveness based on both the collected objective and subjective data. In one exemplary embodiment, objective data collected by sensor 120 is processed and correlated to a sleep/wake state of subject 107 using a sleep/wake state determination algorithm, and then processed to determine a cognitive effectiveness level using a cognitive effectiveness determination algorithm. Portable monitoring device 105 can be configured to allow subject 107 to manually input an indication that subject 107 is awake through subjective data input port 128. Subject 107 can be prompted to enter subjective input by device 105 or subject 107 can enter subjective input voluntarily. This subjective data can be used to verify the sleep/wake state that was determined based on the objective data. If a discrepancy exists, the bounds for the sleep/wake state can be modified accordingly to yield a more accurate cognitive effectiveness prediction.
  • System 100 can also be configured to collect subjective data relating to the cognizant state of subject 107 at a given point in time. This data can be collected through a cognitive effectiveness test that evaluates subject 107's ability to perform tasks of varying degrees of difficulty. Examples can include tests of subject 107's reaction time, ability to comprehend relatively complex information, short term memory, long term memory and the like. These tests can be administered through the local computing device 104, through the portable monitoring device 105, or through other devices. The results of the test or tests can be reported to system 100 and used verify the accuracy of subject 107's current predicted cognitive effectiveness level or the test results can be used to directly predict subject 107's cognitive effectiveness level at a past, current or future point in time.
  • Also, correlation can be performed with the objective data to adjust the sleep/wake determination algorithm to attempt to eliminate future discrepancies. For instance, if the sleep/wake determination algorithm incorrectly predicts a sleep state based on certain objective data characteristics, the algorithm can be modified, or tuned, to more accurately predict sleep/wake states in the future. As a result, system 100 can be configured to dynamically adapt to the characteristics of each individual subject 107. Preferably, this is an iterative process that continues over time, in order to continually adapt the algorithm to the characteristics of the individual subject 107.
  • For instance, in another exemplary embodiment, system 100 can be configured to implement an adaptive algorithm by first measuring activity with actigraph sensor 120 and determining a corresponding sleep/wake state based on the Cole-Kripke algorithm. Sleep scores are assigned to epochs of uniform time period based on the collected objective actigraph data. Subjective data, when available, can be used to modify the bounds for sleep and wake periods. The subjective data can be stored and used to individually optimize the Cole-Kripke algorithm parameters and weights for a given subject 107.
  • In another exemplary embodiment, a host of physiological aspects and other individual-specific characteristics are used to adaptively improve the accuracy of the cognitive effectiveness predictions over time. FIG. 4 is a functional block diagram depicting an exemplary embodiment of system 100 configured for algorithmic adaptation. Here, system 100 includes a processing unit 401, which can be located anywhere throughout system 100 (if implemented in portable monitoring device 105, processing unit 401 would be equivalent to processing unit 124). Here, processing unit 401 includes a cognitive effectiveness prediction unit 409 that is configured to use a customizable population-level model for predicting a cognitive effectiveness level 408. In this embodiment, objective physiological data 402, subjective data 404, and/or individual characteristic data 406 are each collected and input into processing unit 401, for use by cognitive effectiveness prediction unit 409.
  • Objective physiological data 402 can be any data relating to the measurable aspects of the body of subject 107, such as motion/activity data, heart rate, breathing rate, blood pressure, skin temperature, galvanic skin response, blood oxygenation level, brain and/or nervous system electrical activity level and the like. This data 402 is preferably obtained by sensor 120 within portable monitoring device 105.
  • Subjective data 404 can be any data that is based on a subjective assessment of subject 107. Subjective data 404 is typically input by subject 107, but can also be input by another individual possessing information on the state of subject 107. Subjective data 404 can be data confirming whether subject 107 is currently asleep or awake, data confirming whether subject 107 was asleep or awake at a past point in time, data representative of when subject 107 plans to sleep or wake in the future, data representative of a current or past cognitive effectiveness level of subject 107, data representative of a current or past feeling of exhaustion, feedback data representative of subject 107's evaluation of a previously output cognitive effectiveness level 408 and the like. This data 404 is preferably obtained by subjective input into subjective data input port 128 in portable monitoring device 105 or subjective input into local computing device 104.
  • Individual characteristic data 406 can be any data that is representative of a broad individual characteristic. Examples can include race, gender, pharmacological data, heritage, genetic traits and the like. This data 406 is preferably obtained by input into subjective data input port 128 in portable monitoring device 105, input into local computing device 104 by subject 104 or input into central network 102 by another party with knowledge of the individual characteristics of subject 107 freely disclosed by subject 107.
  • Cognitive effectiveness prediction unit 409 is preferably configured to predict a cognitive effectiveness level 408 based on any or all of the input data 402-406 and, also, adapt itself to improve the accuracy of predictions based on any or all of the input data 402-406. In one exemplary embodiment, feedback provided by subject 107 on the accuracy of a current cognitive effectiveness level 408 can be input as subjective data 404 and used by cognitive effectiveness prediction unit 409 to rescale or individually customize the population-level model appropriately to bring further predictions in-line with subject 107's self-assessment. In other words, the population-level model (or algorithm) can be customized, adapted, or individualized into a relatively more subject-based model to improve the accuracy of predictions for a given subject 107. In doing so, the model is no longer optimized to produce accurate predictions for any member of a given population, but is instead optimized for a subset, or even an individual, within the population.
  • Furthermore, adjustments to the population-level model as well as data 402-406 can be shared with central network 102 and used to correlate changes to the population-level model with specific input data 402-406 to improve the accuracy of the population-level model for other individuals. For instance, based on adjustments made for male and female subjects 107, the population-level model can be customized to take into account the gender of a new subject 107 using system 100 for the first time.
  • In one exemplary embodiment, cognitive effectiveness prediction unit 408 is configured to use a boosted decision tree technique to adapt the population-level model to a subject-based model for a given subject 107. FIG. 5 is a flow diagram depicting one exemplary method 500 where cognitive effectiveness prediction unit 408 uses a boosted decision tree technique. At 502, objective data 402 (and/or optionally individual characteristic data 406) is collected for subject 107. At 504, subjective data 404 is collected with regard to subject 107. Preferably, subjective data 404 includes self-assessed cognitive effectiveness levels entered by subject 107. At 506, a decision tree is generated that predicts the self-assessed cognitive effectiveness levels included in subjective data 404 based on objective data 402 and/or the output of a population-level model.
  • At 508, new cognitive effectiveness levels are output from the boosted decision tree based on newly acquired objective data 402 (and/or optionally individual characteristic data 406). At 510, new subjective data 404 is entered with regard to subject 107, preferably including subject 107's self-assessed cognitive effectiveness levels. At 512, discrepancies between subject 107's self-assessed cognitive effectiveness levels and the predicted cognitive effectiveness level output by the decision tree are identified and a higher weight is assigned to those instances. At 514, a new decision tree is generated to predict the reweighted data. At 516, this new tree is combined with previous trees by weighted voting with the weighting based on the overall prediction error of each tree. At 518, the accuracy of the combination is evaluated and if further modifications are necessary, the method reverts to 512. If not, the method proceeds to 520 and waits for new types of objective data 402 (or individual data 406) to be acquired or changes in the base level population model, in which case the method reverts to 506.
  • In addition to providing a predicted level of cognitive effectiveness, system 100 can be configured to provide behavioral guidance to subject 107 based on the predicted cognitive effectiveness level. The behavioral guidance can be provided in real-time and can inform subject 107 as to the effect current and/or future behavior will have on subject 107's cognitive effectiveness level. As mentioned above, portable monitoring device 105 can include display 129. Portable monitoring device 105 can generate a behavioral guidance message with processing unit 124 (or receive a behavioral guidance message by way of communication port 122) and present the message to subject 107 on display 129. A behavioral guidance message can be generated at pre-determined intervals during certain times of the day, can be generated as a result of prompting by subject 107, can be generated as a result of variations in data collected by sensor 120, or in any other desired manner.
  • Preferably, the conditions under which a behavioral guidance message should be generated are stored in system 100 as a set of behavioral guidance parameters. The behavioral guidance parameters can include time parameters, date parameters, predicted cognitive effectiveness level parameters, objective data parameters, subjective data parameters, individual characteristic data parameters, interval parameters (i.e., how often should a behavioral guidance message be generated and is this interval fixed or variable dependent on the time of day, date, severity of collected objective or subjective data, etc.) and the like.
  • In one exemplary embodiment, a behavioral guidance message informs the user as to what consequences sleep time will have on cognitive effectiveness for the next day. For instance, if a set of behavioral guidance parameters are used that specify that should system 100 detect that subject 107 is still awake past a predetermined time of day, for instance, 10 o'clock p.m., system 100 can be configured to generate a behavioral guidance message and display it on portable monitoring device 105. The behavioral guidance message can contain information such as an average cognitive effectiveness level for a specific event or time period in the future subject 107 can expect to achieve if subject 107 goes to sleep within 30 minutes (e.g., 90% of maximum), 60 minutes (e.g., 85% of maximum) and 90 minutes (e.g., 80% of maximum) from the current time, and wakes at a normal time the following day. In such an instance, subject 107 preferably sees a quantified representation of the consequences of continuing to remain awake, through the ever-decreasing predicted cognitive effectiveness levels. Updated behavioral guidance messages can be continually generated at predetermined intervals until system 100 detects that subject 107 has gone to sleep.
  • FIG. 6 is a flow diagram depicting an exemplary embodiment of a method 600 of providing behavioral guidance, which can be performed with system 100. At 602, one or more behavioral guidance parameters are set. Next, at 604, system 100 monitors the current conditions, which can include collected data (e.g., objective data 402, subjective data 404, and/or individual characteristic data 406) as well as generally known data (e.g., time, day, etc.). Then, at 606, system 100 interprets the monitored conditions in light of the behavioral guidance parameters and, at 608, determines whether the monitored conditions are such that a behavioral guidance message should be generated. If not, then system 100 proceeds to 610 to determine if new behavioral guidance parameters are to be set. If so, system 100 proceeds back to 602 and if not, system 100 proceeds back to 604. If a behavioral guidance message should be generated, then system 100 can proceed from 608 to 612 where the behavioral guidance message is generated. After which, system 100 can proceed to 610 to determine if new behavioral guidance parameters are to be set.
  • While the invention is susceptible to various modifications and alternative forms, a specific example thereof has been shown in the drawings and is herein described in detail. It should be understood, however, that the invention is not to be limited to the particular form disclosed, but to the contrary, the invention is to cover all modifications, equivalents, and alternatives falling within the spirit of the disclosure.

Claims (2)

1. A method of monitoring individual performance, comprising:
measuring an objective data parameter corresponding to a first aspect of a subject;
collecting a subjective data parameter corresponding to a second aspect of the subject by way of a user interface; and
determining a cognitive effectiveness level of the subject based at least on the objective and subjective data parameters;
wherein the subjective data parameter is a data parameter representative of a subject's manual indication of a subjective mental state, the subjective mental state including a wake state.
2. A method of monitoring individual performance using an algorithm for determining cognitive effectiveness, comprising:
measuring at least one objective data parameter corresponding to at least a first aspect of a subject;
collecting at least one subjective data parameter corresponding to at least a second aspect of the subject by way of at least one user interface; and
adapting the algorithm for the subject based on at least on the objective data parameter and the at least one subjective data parameter for the subject.
US12/571,081 2006-06-16 2009-09-30 Systems and methods for monitoring and evaluating individual performance Abandoned US20100081889A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US12/571,081 US20100081889A1 (en) 2006-06-16 2009-09-30 Systems and methods for monitoring and evaluating individual performance

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US11/424,742 US7621871B2 (en) 2006-06-16 2006-06-16 Systems and methods for monitoring and evaluating individual performance
US12/571,081 US20100081889A1 (en) 2006-06-16 2009-09-30 Systems and methods for monitoring and evaluating individual performance

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US11/424,742 Continuation US7621871B2 (en) 2006-06-16 2006-06-16 Systems and methods for monitoring and evaluating individual performance

Publications (1)

Publication Number Publication Date
US20100081889A1 true US20100081889A1 (en) 2010-04-01

Family

ID=38832880

Family Applications (2)

Application Number Title Priority Date Filing Date
US11/424,742 Expired - Fee Related US7621871B2 (en) 2006-06-16 2006-06-16 Systems and methods for monitoring and evaluating individual performance
US12/571,081 Abandoned US20100081889A1 (en) 2006-06-16 2009-09-30 Systems and methods for monitoring and evaluating individual performance

Family Applications Before (1)

Application Number Title Priority Date Filing Date
US11/424,742 Expired - Fee Related US7621871B2 (en) 2006-06-16 2006-06-16 Systems and methods for monitoring and evaluating individual performance

Country Status (2)

Country Link
US (2) US7621871B2 (en)
WO (1) WO2007147083A2 (en)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110162067A1 (en) * 2009-12-17 2011-06-30 Shuart Laird H Cognitive-based loon process for computing device
US20120101346A1 (en) * 2010-10-21 2012-04-26 Scott Stephen H Method and Apparatus for Assessing or Detecting Brain Injury and Neurological Disorders
WO2015168154A1 (en) * 2014-04-28 2015-11-05 The General Hospital Corporation System and method for monitoring behavior during sleep onset
US9265458B2 (en) 2012-12-04 2016-02-23 Sync-Think, Inc. Application of smooth pursuit cognitive testing paradigms to clinical drug development
US9380976B2 (en) 2013-03-11 2016-07-05 Sync-Think, Inc. Optical neuroinformatics
US9848812B1 (en) 2013-07-19 2017-12-26 The United States Of America As Represented By The Administrator Of National Aeronautics And Space Administration Detection of mental state and reduction of artifacts using functional near infrared spectroscopy (FNIRS)

Families Citing this family (50)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070165019A1 (en) * 2005-07-12 2007-07-19 Hale Kelly S Design Of systems For Improved Human Interaction
KR100809041B1 (en) * 2006-06-20 2008-03-03 삼성전자주식회사 Apparatus for sensing sleeping comdition and method for operating the apparatus
US8646447B2 (en) * 2006-11-13 2014-02-11 Resmed Limited Systems, methods, and/or apparatuses for non-invasive monitoring of respiratory parameters in sleep disordered breathing
US8001108B2 (en) * 2007-10-24 2011-08-16 The Invention Science Fund I, Llc Returning a new content based on a person's reaction to at least two instances of previously displayed content
US8112407B2 (en) * 2007-10-24 2012-02-07 The Invention Science Fund I, Llc Selecting a second content based on a user's reaction to a first content
US8126867B2 (en) * 2007-10-24 2012-02-28 The Invention Science Fund I, Llc Returning a second content based on a user's reaction to a first content
US9513699B2 (en) 2007-10-24 2016-12-06 Invention Science Fund I, LL Method of selecting a second content based on a user's reaction to a first content
US9582805B2 (en) 2007-10-24 2017-02-28 Invention Science Fund I, Llc Returning a personalized advertisement
US20090112695A1 (en) * 2007-10-24 2009-04-30 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Physiological response based targeted advertising
US8234262B2 (en) 2007-10-24 2012-07-31 The Invention Science Fund I, Llc Method of selecting a second content based on a user's reaction to a first content of at least two instances of displayed content
US20090112697A1 (en) * 2007-10-30 2009-04-30 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Providing personalized advertising
US7945632B2 (en) 2008-11-21 2011-05-17 The Invention Science Fund I, Llc Correlating data indicating at least one subjective user state with data indicating at least one objective occurrence associated with a user
US8180830B2 (en) * 2008-11-21 2012-05-15 The Invention Science Fund I, Llc Action execution based on user modified hypothesis
US20100131334A1 (en) * 2008-11-21 2010-05-27 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Hypothesis development based on selective reported events
US7937465B2 (en) * 2008-11-21 2011-05-03 The Invention Science Fund I, Llc Correlating data indicating at least one subjective user state with data indicating at least one objective occurrence associated with a user
US8086668B2 (en) 2008-11-21 2011-12-27 The Invention Science Fund I, Llc Hypothesis based solicitation of data indicating at least one objective occurrence
US8010663B2 (en) * 2008-11-21 2011-08-30 The Invention Science Fund I, Llc Correlating data indicating subjective user states associated with multiple users with data indicating objective occurrences
US8180890B2 (en) * 2008-11-21 2012-05-15 The Invention Science Fund I, Llc Hypothesis based solicitation of data indicating at least one subjective user state
US8010662B2 (en) * 2008-11-21 2011-08-30 The Invention Science Fund I, Llc Soliciting data indicating at least one subjective user state in response to acquisition of data indicating at least one objective occurrence
US8224956B2 (en) 2008-11-21 2012-07-17 The Invention Science Fund I, Llc Hypothesis selection and presentation of one or more advisories
US8046455B2 (en) * 2008-11-21 2011-10-25 The Invention Science Fund I, Llc Correlating subjective user states with objective occurrences associated with a user
US8244858B2 (en) * 2008-11-21 2012-08-14 The Invention Science Fund I, Llc Action execution based on user modified hypothesis
US8260912B2 (en) * 2008-11-21 2012-09-04 The Invention Science Fund I, Llc Hypothesis based solicitation of data indicating at least one subjective user state
US8127002B2 (en) 2008-11-21 2012-02-28 The Invention Science Fund I, Llc Hypothesis development based on user and sensing device data
US8032628B2 (en) 2008-11-21 2011-10-04 The Invention Science Fund I, Llc Soliciting data indicating at least one objective occurrence in response to acquisition of data indicating at least one subjective user state
US8224842B2 (en) * 2008-11-21 2012-07-17 The Invention Science Fund I, Llc Hypothesis selection and presentation of one or more advisories
US8028063B2 (en) * 2008-11-21 2011-09-27 The Invention Science Fund I, Llc Soliciting data indicating at least one objective occurrence in response to acquisition of data indicating at least one subjective user state
US8260729B2 (en) * 2008-11-21 2012-09-04 The Invention Science Fund I, Llc Soliciting data indicating at least one subjective user state in response to acquisition of data indicating at least one objective occurrence
US8005948B2 (en) 2008-11-21 2011-08-23 The Invention Science Fund I, Llc Correlating subjective user states with objective occurrences associated with a user
US8239488B2 (en) 2008-11-21 2012-08-07 The Invention Science Fund I, Llc Hypothesis development based on user and sensing device data
US8103613B2 (en) * 2008-11-21 2012-01-24 The Invention Science Fund I, Llc Hypothesis based solicitation of data indicating at least one objective occurrence
US20110071873A1 (en) * 2009-09-01 2011-03-24 Edward Vaughan Method and apparatus for mitigating aviation risk by analyzing and modeling air crew fatigue
US9558520B2 (en) * 2009-12-31 2017-01-31 Hartford Fire Insurance Company System and method for geocoded insurance processing using mobile devices
US20110224564A1 (en) * 2010-03-10 2011-09-15 Sotera Wireless, Inc. Body-worn vital sign monitor
WO2011130541A2 (en) * 2010-04-14 2011-10-20 The Board Of Regents Of The University Of Texas System Measurements of fatigue level using heart rate variability data
US8428993B2 (en) * 2010-07-30 2013-04-23 The United States Of America As Represented By The Secretary Of The Air Force Method and apparatus for risk identification and mitigation in shift work fatigue
US20120065893A1 (en) * 2010-09-15 2012-03-15 Lynn Lee Method and apparatus for mitigating aviation risk by determining cognitive effectiveness from sleep history
CA2820599A1 (en) * 2010-11-24 2012-05-31 Digital Artefacts, Llc Systems and methods to assess cognitive function
AU2013308871B2 (en) 2012-08-28 2017-04-13 Delos Living Llc Systems, methods and articles for enhancing wellness associated with habitable environments
GB2513585B (en) * 2013-04-30 2015-12-16 Tommi Opas Data transfer of a heart rate and activity monitor arrangement and a method for the same
US10368798B2 (en) * 2013-06-28 2019-08-06 North Carolina State University Systems and methods for determining sleep patterns and circadian rhythms
MX2016011107A (en) 2014-02-28 2017-02-17 Delos Living Llc Systems, methods and articles for enhancing wellness associated with habitable environments.
US9900287B1 (en) * 2014-09-12 2018-02-20 Verily Life Sciences, LLC Transmitting sensitive information securely over unsecured networks without authentication
WO2016201008A1 (en) * 2015-06-08 2016-12-15 Jaques Reifman Method and system for measuring, predicting and optimizing human cognitive performance
US10354539B2 (en) 2015-06-08 2019-07-16 Biofli Technologies, Inc. Situational awareness analysis and fatigue management system
US11668481B2 (en) 2017-08-30 2023-06-06 Delos Living Llc Systems, methods and articles for assessing and/or improving health and well-being
US10747317B2 (en) 2017-10-18 2020-08-18 Biofli Technologies, Inc. Systematic bilateral situational awareness tracking apparatus and method
US11649977B2 (en) 2018-09-14 2023-05-16 Delos Living Llc Systems and methods for air remediation
WO2020176503A1 (en) 2019-02-26 2020-09-03 Delos Living Llc Method and apparatus for lighting in an office environment
WO2020198183A1 (en) 2019-03-25 2020-10-01 Delos Living Llc Systems and methods for acoustic monitoring

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6530884B2 (en) * 1998-10-30 2003-03-11 The United States Of America As Represented By The Secretary Of The Army Method and system for predicting human cognitive performance
US20030166558A1 (en) * 2001-11-21 2003-09-04 New York University Synthetic immunogenic but non-deposit-forming polypeptides and peptides homologous to amyloid beta, prion protein, amylin, alpha-synuclein, or polyglutamine repeats for induction of an immune response thereto
US20040082862A1 (en) * 2002-07-10 2004-04-29 Britton Chance Examination and imaging of brain cognitive functions
US20050053904A1 (en) * 2003-08-13 2005-03-10 Jennifer Shephard System and method for on-site cognitive efficacy assessment
US20050177031A1 (en) * 2001-07-06 2005-08-11 Science Applications International Corporation Evaluating task effectiveness based on sleep pattern
US20050215889A1 (en) * 2004-03-29 2005-09-29 The Board of Supervisory of Louisiana State University Methods for using pet measured metabolism to determine cognitive impairment
US20050282911A1 (en) * 2003-12-05 2005-12-22 Heikki Hakkarainen Memantine for the prevention or reduction of suicidality and for treatment of major depression associated with suicidality

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4857912A (en) * 1988-07-27 1989-08-15 The United States Of America As Represented By The Secretary Of The Navy Intelligent security assessment system
US6527715B2 (en) * 1998-10-30 2003-03-04 The United States Of America As Represented By The Secretary Of The Army System and method for predicting human cognitive performance using data from an actigraph

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6530884B2 (en) * 1998-10-30 2003-03-11 The United States Of America As Represented By The Secretary Of The Army Method and system for predicting human cognitive performance
US20050177031A1 (en) * 2001-07-06 2005-08-11 Science Applications International Corporation Evaluating task effectiveness based on sleep pattern
US20030166558A1 (en) * 2001-11-21 2003-09-04 New York University Synthetic immunogenic but non-deposit-forming polypeptides and peptides homologous to amyloid beta, prion protein, amylin, alpha-synuclein, or polyglutamine repeats for induction of an immune response thereto
US20040082862A1 (en) * 2002-07-10 2004-04-29 Britton Chance Examination and imaging of brain cognitive functions
US20050053904A1 (en) * 2003-08-13 2005-03-10 Jennifer Shephard System and method for on-site cognitive efficacy assessment
US20050282911A1 (en) * 2003-12-05 2005-12-22 Heikki Hakkarainen Memantine for the prevention or reduction of suicidality and for treatment of major depression associated with suicidality
US20050215889A1 (en) * 2004-03-29 2005-09-29 The Board of Supervisory of Louisiana State University Methods for using pet measured metabolism to determine cognitive impairment

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110162067A1 (en) * 2009-12-17 2011-06-30 Shuart Laird H Cognitive-based loon process for computing device
US9672335B2 (en) 2009-12-17 2017-06-06 Laird H Shuart Cognitive-based logon process for computing device
US20120101346A1 (en) * 2010-10-21 2012-04-26 Scott Stephen H Method and Apparatus for Assessing or Detecting Brain Injury and Neurological Disorders
US8740794B2 (en) * 2010-10-21 2014-06-03 Queens' University At Kingston Method and apparatus for assessing or detecting brain injury and neurological disorders
US9265458B2 (en) 2012-12-04 2016-02-23 Sync-Think, Inc. Application of smooth pursuit cognitive testing paradigms to clinical drug development
US9380976B2 (en) 2013-03-11 2016-07-05 Sync-Think, Inc. Optical neuroinformatics
US9848812B1 (en) 2013-07-19 2017-12-26 The United States Of America As Represented By The Administrator Of National Aeronautics And Space Administration Detection of mental state and reduction of artifacts using functional near infrared spectroscopy (FNIRS)
WO2015168154A1 (en) * 2014-04-28 2015-11-05 The General Hospital Corporation System and method for monitoring behavior during sleep onset
US20170042470A1 (en) * 2014-04-28 2017-02-16 The General Hospital Corporation System and method for monitoring behavior during sleep onset
US11517255B2 (en) * 2014-04-28 2022-12-06 The General Hospital Corporation System and method for monitoring behavior during sleep onset
US11540769B2 (en) 2014-04-28 2023-01-03 The General Hospital Corporation System and method for tracking sleep dynamics using behavioral and physiological information

Also Published As

Publication number Publication date
US20070293731A1 (en) 2007-12-20
WO2007147083A2 (en) 2007-12-21
WO2007147083A9 (en) 2008-03-06
WO2007147083A3 (en) 2008-04-17
US7621871B2 (en) 2009-11-24

Similar Documents

Publication Publication Date Title
US7621871B2 (en) Systems and methods for monitoring and evaluating individual performance
JP6423487B2 (en) System for detection of convulsions and method of operation thereof
US11678838B2 (en) Automated detection of breathing disturbances
JP4204866B2 (en) Method, program, storage medium and apparatus for predicting human cognitive ability
JP4113434B2 (en) Method, program, storage medium and apparatus for predicting human cognitive ability using data from actigraph
JP4023429B2 (en) Portable biological information monitor device
Pierleoni et al. An android-based heart monitoring system for the elderly and for patients with heart disease
US11540769B2 (en) System and method for tracking sleep dynamics using behavioral and physiological information
EP3106084B1 (en) Method and apparatus for evaluating physiological aging level
JP2018524080A (en) Apparatus and method for monitoring the physiological state of a subject
JP2015042267A (en) Sleep/wakefulness state evaluation method and system
US20200205709A1 (en) Mental state indicator
US20180296112A1 (en) Methods and apparatuses for seizure monitoring
WO2019075522A1 (en) Risk indicator
KR20130015476A (en) Apparatus and method for generating health screening form
US20080246617A1 (en) Monitor apparatus, system and method
WO2019075520A1 (en) Breathing state indicator
CN115802931A (en) Detecting temperature of a user and assessing physiological symptoms of a respiratory condition
Lin et al. Applications of non‐invasive sensor devices to personalised health care
US20220359073A1 (en) Edge-intelligent Iot-based Wearable Device For Detection of Cravings in Individuals
US20220125376A1 (en) Sleep apnea syndrome determination apparatus, sleep apnea syndrome determination method, and sleep apnea syndrome determination program
Turner et al. Predicting Emotional Dysregulation
WO2019014717A1 (en) Medication monitoring system

Legal Events

Date Code Title Description
STCB Information on status: application discontinuation

Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION