Methods and systems for patient participatory care and monitoring are provided for applications including respiratory care, ECG monitoring, capnography, infusion pump alarm prevention/management, pressure sore prevention, incentive spirometry, consciousness monitoring during sedation, pain management and other care and monitoring modalities. A patient in-the-loop system includes an input interface for receiving data acquired from a monitoring, controlling or sensing device, a storage device for storing the data at a first location, and a processor for analyzing artifacts in the data and determining whether the patient provided a deliberate action with respect to the device as a response to a prompt or query. The processor can further initiate a variety of prompts and/or output queries stored in the storage device at a second location to the patient. The data derived from these patient-in-the-loop techniques are formatted to be received and interpreted by electronic medical record and electronic record keeping systems.

Embodiments include methods, systems, and computer program products for determining health care vital data. Aspects include receiving a health care vital measurement for a patient and health care vital data for a population. Aspects also include determining a baseline for the patient based at least in part upon the health care vital data for the population. Aspects include determining whether the patient health care vital data deviates from the baseline by more than a threshold and, applying a cognitive learning model to the patient health care vital measurement to correct for an anxiety-based impact to generate a corrected health care vital measurement responsive to a determination that the patient health care vital data deviates from the baseline by more than the threshold.

Embodiments include methods, systems, and computer program products for determining health care vital data. Aspects include receiving a health care vital measurement for a patient and health care vital data for a population. Aspects also include determining a baseline for the patient based at least in part upon the health care vital data for the population. Aspects include determining whether the patient health care vital data deviates from the baseline by more than a threshold and, applying a cognitive learning model to the patient health care vital measurement to correct for an anxiety-based impact to generate a corrected health care vital measurement responsive to a determination that the patient health care vital data deviates from the baseline by more than the threshold.

A radiation suite includes a room having a floor, a ceiling, and one or more walls, a radiation system including a gantry enclosing a radiation source and a couch, and an image projection system operable to project an image on a projection surface on at least a portion of the gantry and/or the couch, providing a calming environment for a patient to relax. The image projection system comprises a computer and one or more projectors operably controlled by the computer. The computer comprises a mapping software operable to map an image file to the projection surface. The one or more projectors are operable to project the mapped image file on the projection surface.

A method, apparatus and computer program wherein the method includes: obtaining, from a detector, a detection of at least one bio-signal of a user of an apparatus; determining a mode of operation of the apparatus when the at least one bio-signal occurred; and correlating the at least one detected bio-signal of the user with the determined mode of operation in a bio-signal profile of the user of the apparatus.

An apparatus for aiding the self-regulation of stress, including a vibrating element vibratable at varying frequencies of vibration, and heart signals or breathing signals monitoring means, and a data processing means. The data processing means includes means for calculating a stress indicator value, based on the heart signals or the breathing signals and that the data processing means includes a means of determining a mechanical vibration rhythm, based on the stress indicator value, including vibrations of one or more frequencies, which is induced in the vibratable element. The data processing means is configured, to create continuous real time feedback loop between the measured heart or breathing rate and calculated stress indicator value and the induced vibration rhythms. Attaching means are included, which can be a strap or harness, or attachments for articles of clothing, for attaching the apparatus to the usersuch that the vibrating element of the apparatus is located in the thoracic region of the user's body.

There is provided a method and apparatus for determining a baseline for one or more physiological characteristics of a subject. One or more physiological characteristics of a subject and contextual information associated with the subject is acquired. A time period in which the subject is in a baseline state is detected based on the acquired one or more physiological characteristics of the subject and the acquired contextual information associated with the subject. The baseline for the one or more physiological characteristics of the subject is determined from a value of at least one of the acquired one or more physiological characteristics in the detected time period.

An implantable device for controlling electrical conditions of body tissue. A feedback sense electrode and a compensation electrode are positioned proximal to the tissue to make electrical contact with the tissue. A feedback amplifier is referenced to ground, and takes as an input a feedback signal from the feedback sense electrode. The output of the feedback amplifier is connected to the compensation electrode. The feedback amplifier thus drives the neural tissue via the compensation electrode in a feedback arrangement which seeks to drive the feedback signal to ground, or other desired electrical value.

The present invention provides methods and apparatuses to assess vascular stiffness of a subject, and to assess diabetes or hypertension from the assessment of vascular stiffness. Example embodiments comprise determining arrival at a peripheral site of a blood pressure wave as a function of time relative to the cardiac cycle of the subject at a plurality of measurement conditions, wherein at least two of the conditions are characterized by at least one of: (a) different central transmural pressure, (b) different peripheral transmural pressure; assessing vascular stiffness from the determinations at the plurality of measurement conditions.

Techniques for effectively and accurately measuring psychological influencing factors, such as the white coat effect and mental stress, that may affect or otherwise influence biometric measurements, such as blood pressure measurements, are described. Embodiments of a measurement validation system herein may utilize a method for determining an artery location on a living subject's skin and positioning a tonometry pressure sensor on the artery location for tonometric blood pressure measurement to obtain pressure pulse data for a subject. In operation according to embodiments, measurement logic of a measurement validation system may utilize the pressure pulse data to extract blood pressure data, heart rate data, blood pressure variability data, and heart rate variability data. The foregoing data may be utilized in identifying whether the blood pressure measurement properly and accurately reflects the situation of the subject.