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    3D HEALTHY TOWN

    IT PROJECT

    ID:# 1026

    BY:Doha Mahmoud Hamdan, Email: [email protected]

    Dua'a Mahmoud Saleh, Email: [email protected]

    Baraa Hourani, Email: [email protected]

    Sally Odeh Abu Sneineh, Email: [email protected]

    SUPERVISOR:Eng. Ghada Al-Mashaqbeh

    Email: [email protected]

    Z A Y E D U N I V E R S I T Y C O M P E T I T I O N I N I T

    H A S H E M I T E U N I V E R S I T Y

    Z A R Q A , J O R D A N

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    Table of Contents

    Project Profile .. 1

    Table of Contents ........ 2

    1. Introduction ....... 3

    2. Related Work ..... 3

    3. Healthy Town Design ........ 4

    4. Healthy Town Implementation 6

    4.1 Reception Building . 8

    4.2 Clinic Building 9

    4.3 Nutrition Building ... 10

    4.4 Fitness Building ...... 12

    4.5 Weight Management ... 13

    4.6 Spiritual Health ... 14

    4.7 Healthy Exercises Reminder ... 15

    5. Healthy Town Application UML Diagram ....... 176. Used Technologies ......... 19

    7. Conclusions and Future Work . 19

    8. References ...... 19

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    1. Introduction

    Recent advances in the fields of software and hardware lead to new trends in utilizingtechnologies in daily life applications. Moreover, such advances have affected the nature of

    current jobs, entertainment, etc. Nowadays, we spend most of our time in front of the screen of

    our laptops, PDAs, smart phones, etc. however, all this staff may have negative effects on our

    health because of either wrong body state while using them, or the feeling of that there is no time

    to organize a healthy nutrition program or a good healthy exercises. Also, many times we forget

    ourselves in front of the computer without moving anything except our eyes (on the screen) and

    our fingers (on the keyboard). All these attitudes are the top enemy to the health on both the short

    and long terms [1].

    The new trends and usage of electronic devices, communication systems, and softwareapplications to support health services are covered under the term E-Health. E-health is defined as

    the use of advanced telecommunications such as the Internet, portable and other sophisticated

    devices, advanced networks and new design approaches aiming to support healthcare delivery and

    education [2]. This project, namely, the 3D Healthy Town application, is intended to support e-

    health software field. Particularly, the developed application is an interactive e-health system

    where it supports both physical and spiritual health in a very simple, yet accurate and efficient,

    approach. It is designed as a complete 3D town using high graphic design skills. It helps the user

    in many health care related areas including: clinical services, fitness, nutrition, diet organizer,

    music therapy, and an exercises reminder for computer users health care. Such services in

    practice require the co-presence of two or more parties and a communication area between them

    to allow real time interaction to get the full benefits. Moreover, people need correct medical and

    nutrition related advices to help them in preparing good plans (while keeping tracking of the

    progress of these plans) to get closer to their objective which is a healthier way of life. Our

    application supports all these requirements virtually which simulates the behavior of being in an

    advanced healthy/sport club.

    The rest of this report is organized as follows: In Section 2 a review of similar applications

    and related work is given while defining the main additions and facilities supported by our

    project. Section 3 explores the design and basic modules of the 3D Healthy Town software thenthe implementation is discussed in details in Section 4. Section 5 exhibits the UML diagram of the

    application code. The used technologies to implement this project are listed in Section 6. Finally,

    the report is concluded and future work directions are highlighted in Section 7.

    2. Related Work

    The related work to the field of e-health software applications can be divided into many

    categories according to their main objectives. However, we are mainly interested in the following

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    categories: Diets organizations, healthy exercises, online clinical applications, and music therapy.

    In the following paragraphs we review the main applications (and more specifically those ones

    which have common objectives with our project) related to each category.

    The WhatHealth BMI Calc [3] is a simple software to compute the body mass index (BMI)

    and to check whether the user is in an over/under weight state. The Food and Exercise Diary

    software [4] provides diet diary to remind the user what he should eat today, how much of his day

    time he should spend exercising and what kind of exercises he/she must perform. According to a

    previous knowledge about the user information (entered by the user) the application displays a

    report for the user from time to time. This report includes numeric values, charts & calendar to

    show the user whether he/she is improving (How much the user is close to his Goal).

    In the second category we have the Face Fitness Virtual Trainer application [5] where manyuseful exercises for the face (to get younger appearance) are exhibited as videos for the user. The

    Akelys Musculation [6] shows the user many useful exercises for the body performed by a virtual

    3D character.

    Within the third category there is the 3D Professional Clinic [7] which is a

    sophisticated educational tool designed specifically for use by doctors in communicating

    with patients in the clinical setting. Containing more than 100 distinct pieces of interactive media

    accessed via a simple and easy to navigate menu structure. However, this application is for

    doctors usage to show their patients what causes them pains, the nature of diseases, etc. so, it is

    rather for educational purposes not for daily usage.

    For the Music Therapy many websites provide suitable music for relaxation, mode

    enhancing, and the benefits of exercising with music, e.g. [8, 9]. However, we have not found a

    windows application for such purpose.

    As we can see, there separate applications for each of those purposes. However, the user

    needs all this staff to be integrated in one application to support ease-of-reach idea and avoid get

    condensed with too many application. Our 3D Healthy Town comes to provide this requirement

    to support the idea of a complete healthy town toward promoting the way of life. In the next twosections the design and implementation of this town are explored.

    3. Healthy Town Design

    The idea of the application was inspired from the advanced health and sport centers. For this

    purpose we follow a very similar design in our application to make it closer to the user behavior

    and easier to use, i.e. no special tutorial is needed to navigate through it. The town contains many

    buildings connected with each other. Each building is used to support certain objective.

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    The objectives of the Clinic Building is to exhibit valuable information about the most

    faced diseases nowadays and which exercises, if any, to perform in order to reduce the pain, i.e.physical therapy if possible. Our focus was toward physical problems caused by bad habits in our

    daily life. Till now we have implemented the back pains only where this building provides the

    following:

    Back pain review: a video explains back pain problem. Back pain causes: a collection of pictures to show some bad daily habits that cause back

    pain and some devices to avoid them.

    Back pain physical therapy: 3D simple exercises that are useful for the patient to reduceback pain.

    As a future work we will add more body related and physical problems to this building.

    The Fitness Building contains the following:

    Gym: a 3D character that performs some exercises useful to lose weight. There is a timerwith calculator to calculate how many calorie the user has burned during the exercisingperiod.

    Exercises Reminder: A reminder for the computer user. Simply, it is a 3D talking parrotwhich will acquire on your screen very hour to remind you of performing some useful

    exercises for the eyes, nick, shoulders, and back. This reminder is very useful for thosepeople who spend long time in front of the computer.

    Music therapy, part of spiritual health, is a growing field of health care which use music.The Music Therapy Building contains collection of music pieces which help for some diseases

    such as Stress Release, Weight Loss, Dementia Anxiety, Transition, Cancer, and Aids.

    Finally, the Nutrition Building contains many rooms to:

    provide useful information about healthy food to eat, diet plans where a collection of diet plans for adults , child , teens and over weighted

    people,

    and a calorie calculator which enables the user to enter he/she has eaten and our softwarecalculates how many calories in his/her meal and how many he needs per day according tothe information he/she filled in the data base.

    This building helps the user to organize his/her daily meals based on the amount of calories

    found in them in order to be healthy. The implementation of these buildings, and so the wholetown, is discussed in the next section.

    4. Healthy Town Implementation

    The Healthy Town software is a 3D town contains a number of buildings each of them is

    specialized in a certain category of most common health related issues. It provides some advice

    for a healthier life with respect to both nutrition and daily physical habits. The design of the

    complete town is shown in Figure 2 below.

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    Figure 2: 3D Healthy Town Design.

    Figure 3 shows the startup window of the application. An extensive tour inside the whole

    town is provided as a video on the URL given in [10]. Also, the setup file of the application will

    be available upon to request.

    Figure 3: 3D Healthy Town Startup Window.

    The software starts with a demo video that helps the user to understand the software and

    guide him through the town. Besides, there are some pop up messages, i.e. help messages, that

    appear when the user points at certain buttons or objects in the software. When the user presses

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    the Enter Town button shown on the main interface, Figure 3, the town map appears which is

    shown in Figure 4. This map links the user to all buildings within the town. To enter any building

    the user just has to click on the building name.

    Figure 4: Healthy Town map

    Healthy Town project has been implemented as a windows presentation foundation (WPF)

    [18] software where 3D graphics are defined using XAML language. During the project work thetasks were divided into design and development. Developers and designers were

    working separately. While developers were collecting accurate nutrition data, building SQL data

    bases using Microsoft SQL Server 2008 [20] to combine the data and program the full project and

    nutrition equations background in C#.Net [19], designers were designing graphic interfaces using

    ZAM3D [24] for 3D object, Microsoft Expression Blend [23] for 2D windows and Photoshop

    [25] for photos and pictures. Finally, the XAML codes which are generated from ZAM3D

    and Expression blend had been added to the Main C#.Net Project. And then the Objects have

    been connected to act as buttons to other windows.

    The following subsections explore each building within the town thoroughly starting withthe reception building.

    4.1 Reception Building

    Reception is the first part of the town where the user will enter every time he/she opens the

    Healthy Town software, its main interface is shown in Figure 5(a). It is connected with the

    Customers Data data base through the Reception table, which is shown in Figure 5(b). This

    table is used to receive the information and so to create new profiles for new users. Also, it is used

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    keep in touch with inmates while they are following their plans to track their evolution and

    progress to achieve their goals. The required information to be filled by the user include: Age,

    gender, weight, and height which are the needed information to measure basic health status of theuser in Healthy Town according to the World Health Organization recommendations [11].

    (a) (b)

    Figure 5:(a) Reception building main window, (b) User information form.

    4.2 Clinic Building

    The objectives of this building is to provide medical support that helps in understanding,

    alleviating, and healing from some common diseases. Mainly, we are interested in body physical

    problems experienced by muscles and the skeleton system. In other words, we are concerned by

    problems caused by bad daily habits such as pains of shoulders, neck, back, etc. Figure 6 shows

    the main interface of this window.

    Figure 6: Clinic building main interface.

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    Till now in our clinic we have dealt with the back pain since it is one of the most common

    problems that many people is suffering from. Also, since computers play major role in causing

    such pains, i.e. of course by setting incorrectly in front of them. As a future work, we will extendthis building to support deal with more physical problems and diseases.

    We are interested in increasing the level of awareness about this problem by adding a video

    that discusses the causes, in addition to many exercises which the patients need to reduce the

    effect of this problem on his/her body. The back pain causes we discussed, which are shown in

    Figure 7(a), include: slouching in chairs, being overweight, twisting movement, bending, sleeping

    on sagging mattresses, lifting incorrectly, and standing badly. For the back pain exercises the

    application show the user the following: Arms by side of body 1-2, arms assisting1-2, arms

    straight, and hands across chest exercise, see Figure 7(b) for a sample. The used videos are taken

    from the websites found at [29, 30].

    (a) (b)

    Figure 7:(a) Back pain causes, (b) Back pain exercises.

    4.3 Nutrition Building

    The main goal for the nutrition building is to help the user to control his/her weight by

    choosing a suitable diet plan and tracking the needed calories on per day basis. A snapshot of this

    building is shown in Figure 8. Our application offers the following:

    Diet plans: 1,000-Calorie Diet Plan, 1200 Calorie Low Carb Diet Meal Plan, 1,330-Calorie Diet, Low-Calorie Vegetarian Diet Plan, diet plans for child and teens, and

    Planning meals (diet food). Those plans are dully referenced and cited in the application

    software. A sample of the interface used to exhibit those plans is shown in Figure 9.

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    Figure 8: 3D Nutrition building.

    Calories computation in daily eaten meals using Harris-Benedict equations [12] and thedata food calories list [13]. The following equations were used:

    For men calorie = 66+(13.7*weight)+(5*high)-(6.8*age).

    For woman =655+(9.6*weight)+(1.8*high)-(4.7*age).

    A snapshot of this calculator is shown in Figure 10.

    .

    Figure 9: Diet plans.

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    Figure 10: Calories calculator.

    4.4 Fitness Building

    This building contains a professional 3D gym, where a snapshot of it is exhibited in Figure

    11, to perform a group of both training and aerobic exercises. These exercises are very useful inhandling obesity and increasing fitness. They are performed in front of the user (as a demo) using

    a 3D animated character. Also, there is a timer to track how long the user has been training to

    compute how calories have been burned during this period. The burned calories amount is

    computed using the following equation [14]:

    Calories burned by exercise=((METs*3.5* weight ( kg))/ 200) * duration(minute).

    Figure 11: 3D gym.

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    Gym exercises, as shown in Figure 12, include:

    Aerobics exercises: Curl Up, V-Up, Hip Raise, Seated Calf Raise, Close Incline Press Up,Legs Straight, Kneeling Rollout, and Seated Russian Oblique Twist, MET value equals6.83.

    Weightlifting exercises: Medium Upright Row, Standing Bent over Reverse Fly, ChestPress, and Seated Triceps Extension ,MET value equals 3 [15].

    Figure 12: Gym exercises.

    4.5 Weight Management

    The weight management frame is an important part of the Healthy Town. It determines the

    user situation whether he/she is currently over weighted, severely under weight, or between these

    two cases. This is done by computing the user BMI according to the following equation [16]:

    Where the result determines which category the user belongs to based on the categories shown in

    the following table:

    Grade BMI range Comments

    40 Severely overweight

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    This application helps over-weighted people to set a realistic intermediate goal, estimate

    their calories needs, calculate their daily calorie intake and determine how many of their calories

    should be derived from fat. The number of calories needed to maintain body weight (Daily calorieintake) is determined according to the following table [16]:

    0.30 [17]

    The interface of this utility is shown in the following figure where the current user state issummarized.

    Figure 13: Weight management utility.

    4.6 Spiritual Health

    Music therapy, as a part of spiritual health, is a growing field of health care which use music

    as a cure. For example, it helps cancer patients, pain management, ward off depression, promote

    movement, calm patients, ease muscle tension, etc. Healthy Town provides exciting collection of

    music therapy samples:

    Stress Release: Transformational piano composition to help pain, insomnia, addictions,cardiovascular illnesses, and anxiety.

    Active males Weight in pounds * 15

    Active females Weight in pounds * 12

    Inactive males Weight in pounds * 13

    Inactive females Weight in pounds * 10

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    Weight Loss: Transformational piano composition to help overweight, anorexia, bulimia,depression and low self-esteem.

    Dementia Anxiety: Transformational piano composition to help soothe anxiety and stressin Alzheimers and dementia patients. Supportive music for stress release tool to

    encourage emotional expression.

    Transition: Transformational piano composition to help provide comfort for end of lifepatients. Many people feel fear or anxiety as they approach death for fear of the unknown.

    This special music for death and dying can be used in hospice care, palliative care and for

    the lay person.

    Cancer: Transformational piano composition to help release pain and anger. Powerful,angry, chaotic and unrelenting energy gives way to nurturing, loving and liberating

    energy. The resolution may be experienced in the listener, physically or emotionally.

    Aids: Piano composition expresses infection and fear musically then transforms intostrength and confidence. The resolution may be experienced in the listener, physically or

    emotionally.

    The music used in the application is taken from [27, 28].

    Figure 14: Music therapy room.

    4.7 Healthy Exercises Reminder

    Are you sitting in front of the computer for too long time?? You probably spend many hours

    sitting in front of your PC. The problem is not in that, the problem occurs when sitting for long

    time without move since this has implications on your health as well as your productivity. Also,

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    sitting in an incorrect way or position ends up with back pain, neck pain, knee pains, and a

    tingling of the hands and fingers. This could easily turn into Carpal Tunnel Syndrome on the long

    term. Sometimes, this pain becomes so severe and painful that surgery is the only option. It is bestavoided by good practices.

    Here in our Healthy Town, we have implemented a simple solution for protection among

    such problems. This solution is reminder that reminds the computer user to perform some

    exercises. The reminder is a 3D talking parrot, depicted in Figure 15, which gives instruction for

    some exercises while the user is sitting for a long time working on his PC.

    Figure 15: 3D parrot.

    Healthy Town Software include a timer to track the user while he/she is using the PC, to

    keep reminding to do certain practices from time to time, and to make sure that he is sitting in a

    right position. Those exercises are divided into three categories. The first category contains

    exercises to be done when the user has just opened his PC, the second category contains exercises

    that should be done every 30 minutes, and the last category contains exercises that to be

    performed every 60 minutes. The following paragraphs list those exercises. Those exercises aregiven to the user as spoken messages by the parrot to the user.

    Exercises every time the user power up his PC:

    Be sure whether the user is squaring his shoulders to the desk. Whether he is positioning his monitor so that he can look directly at it without having to

    turn his body or crane his neck.

    The top of his monitor should be level with his eyes. Place your wrists slightly lower than your elbows. Position your knees so that they are slightly higher than your hips and your feet are flat on

    the floor.

    Exercises every 30 minutes the user spends on his PC:

    Develop a good sitting posture for better circulation and muscle tone. Shift your focus from the computer screen and scan around other subjects in the room,

    such as a window, clock, desk, or door.

    Exercises every hour:

    Focus on your abdominal and gluteus muscles. Contract, hold and release these muscle groups repeatedly to maintain muscle tone. Stretch your arms, legs, torso, neck and shoulders.

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    5. Healthy Town Application UML Diagram

    if the first visit information

    else

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    The nutriution building

    Clinic Gym

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    6. Used Technologies

    The following technologies and software were used to carry out this project: Visual Studio .Net 2010 Framework 4 C#.Net [19]: VS.Net 4 is the framework used to

    build Healthy Town Software using WPF platform [18].

    Microsoft SQL Server [20]: Linq-to-SQL data base is used to query SQL server databaseof the users data.

    Microsoft Agent [21]: Msagent used to support the software with more interaction withthe user, in Healthy-Town software Peedy Parrot character has been used.

    Microsoft Expression Blend [23]: Used to animate the 3d Objects and programming withXAML language.

    Lernout & Hauspie TruVoice American English TTS (Text-To-Speech) Engine [22]. ZAM 3D [24]: Used to design and generated XAML code for 3Dobjects. Photoshop [25]: Used to design 2D Backgrounds for the program. Camtasia studio [26]: Used to make videos.

    7. Conclusions and Future Work

    The Healthy Town application is a user friendly, simple, and easy to use e-health software.

    It helps users with limited time and those with computer-based jobs to take care of their health.

    Also, it can be used as educational software in which medical information and training exercises

    are exhibited.

    Healthy Town Software is still in its infancy. It can be expanded to include a kids yard

    which can be designed to be attractive and ambiguous, and also contain interactive characters

    whose aim are to act like a friend, playing and interesting them using healthy games, so that they

    will be able to effect kids opinions and encourage the children to have a more healthier life by

    eating healthier food and change their way in life to make it far away from illness.

    Spiritual health part can become wider to include some topics that people are really

    interested in just like Yoga; Design your goals, Time management, How to be creative and many

    other topics. This part can also include examples from the History for people who had really greatachievements Extraordinary Men. Also, the clinic building, as stated previously, can be

    extended to support more physical problems care and healing.

    8. References

    [1] http://www.squidoo.com/pc-pain

    [2] (2004). In E-Health: Current Statue and Future Trends . Asmsterdam's The Netherland : IOS Press.

    [3] http://www.whathealth.com/bmicalc/

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    [4] http://www.weightlosssoftware.com/

    [5] http://www.downloadatoz.com/home-education_directory/the-face-fitness-virtual-trainer/

    [6] http://www.akelys.com/

    [7] http://www.dl4all.com/software/313002-3d-clinic-professional-v10.html

    [8] http://www.fortunebaby-download.com/pregnancy-relaxation-music/

    [9] http://www.livestrong.com

    [10] http://www.youtube.com/watch?v=BrMz8w7mKR8

    [11] WHO, http://www.who.int/en/

    [12] J. Arthur Harris and Francis G. Benedict, "A biometric study of basal metabolism in man" Published

    by the Carnegie Institution of Washington, Washington 1919. NOTE: The equations are on page 190.

    [13] http://www.weightlossforall.com/food-calories-list.htm

    [14] Ainsworth BE et al., Compendium of physical activities: classification of energy costs of human

    physical activities. Med Sci Sports Exerc. 1993 Jan;25(1):71-80.

    [15] http://riskfactor.cancer.gov/tools/atus-met/atus-met_table3.csv[16] S. E. Byrom, Pocket guide to nutrition and dietetics. London: CHURCHILL LIVINGSTONE. 2002.

    [17] http://www.umm.edu/heart/caloric.htmm

    [18] http://msdn.microsoft.com/en-us/library/ms754130.aspx

    [19] http://www.microsoft.com/visualstudio/en-us/products/2010-editions

    [20] http://www.microsoft.com/sqlserver/2008/en/us/default.aspx

    [21] http://www.msagentring.org/setup.aspx

    [22] Lernout & Hauspie TruVoice American English TTS (Text-To-Speech) Engine

    http://www.msagentring.org/setup.aspx

    [23] http://www.microsoft.com/expression/

    [24] http://www.erain.com/products/zam3d/DefaultPDC.asp

    [25] www.photoshop.com

    [26] www.techsmith.com/camtasia/

    [27] http://www.soundfeelings.com/products/alternative_medicine/music_therapy/sound_therapy.htm

    [28] http://www.enterthefreudianslip.com/use_of_music_in_therapy.htm

    [29] http://www.gymbods.com/fitness-exercise-samples

    [30] http://www.spineuniverse.com/conditions/back-pain/low-back-pain/low-back-pain-animation

    Final Note: All medical information used in the application is fully cited and referenced inside the application

    itself, some of these references are mentioned here in the report.