A Review of Physical Human Activity Recognition Chain Using Sensors

In the era of Internet of Medical Things (IoMT), healthcare monitoring has gained a vital role nowadays. Moreover, improving lifestyle, encouraging healthy behaviours, and decreasing the chronic diseases are urgently required. However, tracking and monitoring critical cases/conditions of elderly and patients is a great challenge. Healthcare services for those people are crucial in order to achieve high safety consideration. Physical human activity recognition using wearable devices is used to monitor and recognize human activities for elderly and patient. The main aim of this review study is to highlight the human activity recognition chain, which includes, sensing technologies, preprocessing and segmentation, feature extractions methods, and classification techniques. Challenges and future trends are also highlighted.

Heart failure patients monitoring using IoT-based remote monitoring system

Intelligent health monitoring systems are becoming more important and popular as technology advances. Nowadays, online services are replacing physical infrastructure in several domains including medical services as well. The COVID-19 pandemic has also changed the way medical services are delivered. Intelligent appliances, smart homes, and smart medical systems are some of the emerging concepts. The Internet of Things (IoT) has changed the way communication occurs alongside data collection sources aided by smart sensors. It also has deployed artificial intelligence (AI) methods for better decision-making provided by efficient data collection, storage, retrieval, and data management. This research employs health monitoring systems for heart patients using IoT and AI-based solutions. Activities of heart patients are monitored and reported using the IoT system. For heart disease prediction, an ensemble model ET-CNN is presented which provides an accuracy score of 0.9524. The investigative data related to this system is very encouraging in real-time reporting and classifying heart patients with great accuracy

Internet of Medical Things Privacy and Security: Challenges, Solutions, and Future Trends from a New Perspective

The Internet of Medical Things (IoMT), an application of the Internet of Things (IoT) in the medical domain, allows data to be transmitted across communication networks. In particular, IoMT can help improve the quality of life of citizens and older people by monitoring and managing the body’s vital signs, including blood pressure, temperature, heart rate, and others. Since IoMT has become the main platform for information exchange and making high-level decisions, it is necessary to guarantee its reliability and security. The growth of IoMT in recent decades has attracted the interest of many experts. This study provides an in-depth analysis of IoT and IoMT by focusing on security concerns from different points of view, making this comprehensive survey unique compared to other existing studies. A total of 187 articles from 2010 to 2022 are collected and categorized according to the type of applications, year of publications, variety of applications, and other novel perspectives. We compare the current studies based on the above criteria and provide a comprehensive analysis to pave the way for researchers working in this area. In addition, we highlight the trends and future work. We have found that blockchain, as a key technology, has solved many problems of security, authentication, and maintenance of IoT systems due to the decentralized nature of the blockchain. In the current study, this technology is examined from the application fields’ points of view, especially in the health sector, due to its additional importance compared to other fields

Smartphone as an Edge for Context-Aware Real-Time Processing for Personal e-Health

The medical domain is facing an ongoing challenge of how patients can share their health information and timeline with healthcare providers. This involves secure sharing, diverse data types, and formats reported by healthcare-related devices. A multilayer framework can address these challenges in the context of the Internet of Medical Things (IoMT). This framework utilizes smartphone sensors, external services, and medical devices that measure vital signs and communicate such real-time data with smartphones. The smartphone serves as an “edge device” to visualize, analyze, store, and report context- aware data to the cloud layer. Focusing on medical device connectivity, mobile security, data collection, and interoperability for frictionless data processing allows for building context-aware personal medical records (PMRs). These PMRs are then securely transmitted through a communication protocol, Message Queuing Telemetry Transport (MQTT), to be then utilized by authorized medical staff and healthcare institutions. MQTT is a lightweight, intuitive, and easy-to-use messaging protocol suitable for IoMT systems. Consequently, these PMRs are to be further processed in a cloud computing platform, Amazon Web Services (AWS). Through AWS and its services, architecting a customized data pipeline from the mobile user to the cloud allows displaying of useful analytics to healthcare stakeholders, secure storage, and SMS notifications. Our results demonstrate that this framework preserves the patient’s health-related timeline and shares this information with professionals. Through a serverless Business intelligence interactive dashboard generated from AWS QuickSight, further querying and data filtering techniques are applied to the PMRs which identify key metrics and trends

Ensuring patient safety in IoMT: a systematic literature review of behavior-based intrusion detection systems

Integrating Internet of Medical Things (IoMT) devices into healthcare has enhanced patient care, enabling real-time data exchange and remote monitoring, yet it also presents substantial security risks. Addressing these risks requires robust Intrusion Detection Systems (IDS). While existing studies target this topic, a systematic literature review focused on the current state and advancements in Behavior-based Intrusion Detection Systems for IoMT environments is necessary. This systematic literature review analyzes 81 studies from the past five years, answering three key research questions: (1) What are the Behavior-based IDS currently used in healthcare? (2) How do the detected attacks impact patient safety? (3) Do these IDS include prevention measures? The findings indicate that nearly 84% of the reviewed studies utilize Artificial Intelligence (AI) techniques for threat detection. However, significant challenges persist, such as the scarcity of IoMT-specific datasets, limited focus on patient safety, and the absence of comprehensive prevention and mitigation strategies. This review highlights the need for more robust, patient-centric security solutions. In particular, developing IoMTspecific datasets and enhancing defensive mechanisms are essential to meet the unique security requirements of IoMT environments.This publication and other research outcomes are supported by the predoctoral program AGAUR-FI ajuts (2024 FI-1 00643) Joan Oró, and the Chair of Cybersecurity called CARISMATICA which are backed by the Secretariat of Universities and Research of the Department of Research and Universities of the Generalitat of Catalonia, as well as the European Social Plus Fund and the funds from the Recovery, Transformation, and Resilience, financed by the European Union (Next Generation), under the auspices of the INCIBE.Postprint (author's final draft

Distributed network and service architecture for future digital healthcare

According to World Health Organization (WHO), the worldwide prevalence of chronic diseases increases fast and new threats, such as Covid-19 pandemic, continue to emerge, while the aging population continues decaying the dependency ratio. These challenges will cause a huge pressure on the efficacy and cost-efficiency of healthcare systems worldwide. Thanks to the emerging technologies, such as novel medical imaging and monitoring instrumentation, and Internet of Medical Things (IoMT), more accurate and versatile patient data than ever is available for medical use. To transform the technology advancements into better outcome and improved efficiency of healthcare, seamless interoperation of the underlying key technologies needs to be ensured. Novel IoT and communication technologies, edge computing and virtualization have a major role in this transformation. In this article, we explore the combined use of these technologies for managing complex tasks of connecting patients, personnel, hospital systems, electronic health records and medical instrumentation. We summarize our joint effort of four recent scientific articles that together demonstrate the potential of the edge-cloud continuum as the base approach for providing efficient and secure distributed e-health and e-welfare services. Finally, we provide an outlook for future research needs