Medical data processing and analysis for remote health and activities monitoring

Recent developments in sensor technology, wearable computing, Internet of Things (IoT), and wireless communication have given rise to research in ubiquitous healthcare and remote monitoring of human\u2019s health and activities. Health monitoring systems involve processing and analysis of data retrieved from smartphones, smart watches, smart bracelets, as well as various sensors and wearable devices. Such systems enable continuous monitoring of patients psychological and health conditions by sensing and transmitting measurements such as heart rate, electrocardiogram, body temperature, respiratory rate, chest sounds, or blood pressure. Pervasive healthcare, as a relevant application domain in this context, aims at revolutionizing the delivery of medical services through a medical assistive environment and facilitates the independent living of patients. In this chapter, we discuss (1) data collection, fusion, ownership and privacy issues; (2) models, technologies and solutions for medical data processing and analysis; (3) big medical data analytics for remote health monitoring; (4) research challenges and opportunities in medical data analytics; (5) examples of case studies and practical solutions

Design and evaluation of a person-centric heart monitoring system over fog computing infrastructure

Heart disease and stroke are becoming the leading cause of death worldwide. Electrocardiography monitoring devices (ECG) are the only tool that helps physicians diagnose cardiac abnormalities. Although the design of ECGs has followed closely the electronics miniaturization evolution over the years, existing wearable ECG have limited accuracy and rely on external resources to analyze the signal and evaluate heart activity. In this paper, we work towards empowering the wearable device with processing capabilities to locally analyze the signal and identify abnormal behavior. The ability to differentiate between normal and abnormal heart activity significantly reduces (a) the need to store the signals, (b) the data transmitted to the cloud and (c) the overall power consumption. Based on this concept, the HEART platform is presented that combines wearable embedded devices, mobile edge devices, and cloud services to provide on-the-spot, reliable, accurate and instant monitoring of the heart. The performance of the system is evaluated concerning the accuracy of detecting abnormal events and the power consumption of the wearable device. Results indicate that a very high percentage of success can be achieved in terms of event detection ratio and the device being operative up to a several days without the need for a recharge

EFFICIENT AND SECURE ALGORITHMS FOR MOBILE CROWDSENSING THROUGH PERSONAL SMART DEVICES.

The success of the modern pervasive sensing strategies, such as the Social Sensing, strongly depends on the diffusion of smart mobile devices. Smartwatches, smart- phones, and tablets are devices capable of capturing and analyzing data about the user’s context, and can be exploited to infer high-level knowledge about the user himself, and/or the surrounding environment. In this sense, one of the most relevant applications of the Social Sensing paradigm concerns distributed Human Activity Recognition (HAR) in scenarios ranging from health care to urban mobility management, ambient intelligence, and assisted living. Even though some simple HAR techniques can be directly implemented on mo- bile devices, in some cases, such as when complex activities need to be analyzed timely, users’ smart devices should be able to operate as part of a more complex architecture, paving the way to the definition of new distributed computing paradigms. The general idea behind these approaches is to move early analysis to- wards the edge of the network, while relying on other intermediate (fog) or remote (cloud) devices for computations of increasing complexity. This logic represents the main core of the fog computing paradigm, and this thesis investigates its adoption in distributed sensing frameworks. Specifically, the conducted analysis focused on the design of a novel distributed HAR framework in which the heavy computation from the sensing layer is moved to intermediate devices and then to the cloud. Smart personal devices are used as processing units in order to guarantee real-time recognition, whereas the cloud is responsible for maintaining an overall, consistent view of the whole activity set. As compared to traditional cloud-based solutions, this choice allows to overcome processing and storage limitations of wearable devices while also reducing the overall bandwidth consumption. Then, the fog-based architecture allowed the design and definition of a novel HAR technique that combines three machine learning algorithms, namely k-means clustering, Support Vector Machines (SVMs), and Hidden Markov Models (HMMs), to recognize complex activities modeled as sequences of simple micro- activities. The capability to distribute the computation over the different entities in the network, allowing the use of complex HAR algorithms, is definitely one of the most significant advantages provided by the fog architecture. However, because both of its intrinsic nature and high degree of modularity, the fog-based system is particularly prone to cyber security attacks that can be performed against every element of the infrastructure. This aspect plays a main role with respect to social sensing since the users’ private data must be preserved from malicious purposes. Security issues are generally addressed by introducing cryptographic mechanisms that improve the system defenses against cyber attackers while, at the same time, causing an increase of the computational overhead for devices with limited resources. With the goal to find a trade-off between security and computation cost, the de- sign and definition of a secure lightweight protocol for social-based applications are discussed and then integrated into the distributed framework. The protocol covers all tasks commonly required by a general fog-based crowdsensing application, making it applicable not only in a distributed HAR scenario, discussed as a case study, but also in other application contexts. Experimental analysis aims to assess the performance of the solutions described so far. After highlighting the benefits the distributed HAR framework might bring in smart environments, an evaluation in terms of both recognition accuracy and complexity of data exchanged between network devices is conducted. Then, the effectiveness of the secure protocol is demonstrated by showing the low impact it causes on the total computational overhead. Moreover, a comparison with other state-of-art protocols is made to prove its effectiveness in terms of the provided security mechanisms

SMCP: a Secure Mobile Crowdsensing Protocol for fog-based applications

The possibility of performing complex data analysis through sets of cooperating personal smart devices has recently encouraged the definition of new distributed computing paradigms. The general idea behind these approaches is to move early analysis towards the edge of the network, while relying on other intermediate (fog) or remote (cloud) devices for computations of increasing complexity. Unfortunately, because both of their distributed nature and high degree of modularity, edge-fog-cloud computing systems are particularly prone to cyber security attacks that can be performed against every element of the infrastructure. In order to address this issue, in this paper we present SMCP, a Secure Mobile Crowdsensing Protocol for fog-based applications that exploit lightweight encryption techniques that are particularly suited for low-power mobile edge devices. In order to assess the performance of the proposed security mechanisms, we consider as case study a distributed human activity recognition scenario in which machine learning algorithms are performed by users’ personal smart devices at the edge and fog layers. The functionalities provided by SMCP have been directly compared with two state-of-the-art security protocols. Results show that our approach allows to achieve a higher degree of security while maintaining a low computational cost

An IoT based Virtual Coaching System (VSC) for Assisting Activities of Daily Life

Nowadays aging of the population is becoming one of the main concerns of theworld. It is estimated that the number of people aged over 65 will increase from 461million to 2 billion in 2050. This substantial increment in the elderly population willhave significant consequences in the social and health care system. Therefore, in thecontext of Ambient Intelligence (AmI), the Ambient Assisted Living (AAL) has beenemerging as a new research area to address problems related to the aging of the population. AAL technologies based on embedded devices have demonstrated to be effectivein alleviating the social- and health-care issues related to the continuous growing of theaverage age of the population. Many smart applications, devices and systems have beendeveloped to monitor the health status of elderly, substitute them in the accomplishment of activities of the daily life (especially in presence of some impairment or disability),alert their caregivers in case of necessity and help them in recognizing risky situations.Such assistive technologies basically rely on the communication and interaction be-tween body sensors, smart environments and smart devices. However, in such contextless effort has been spent in designing smart solutions for empowering and supportingthe self-efficacy of people with neurodegenerative diseases and elderly in general. Thisthesis fills in the gap by presenting a low-cost, non intrusive, and ubiquitous VirtualCoaching System (VCS) to support people in the acquisition of new behaviors (e.g.,taking pills, drinking water, finding the right key, avoiding motor blocks) necessary tocope with needs derived from a change in their health status and a degradation of theircognitive capabilities as they age. VCS is based on the concept of extended mind intro-duced by Clark and Chalmers in 1998. They proposed the idea that objects within theenvironment function as a part of the mind. In my revisiting of the concept of extendedmind, the VCS is composed of a set of smart objects that exploit the Internet of Things(IoT) technology and machine learning-based algorithms, in order to identify the needsof the users and react accordingly. In particular, the system exploits smart tags to trans-form objects commonly used by people (e.g., pillbox, bottle of water, keys) into smartobjects, it monitors their usage according to their needs, and it incrementally guidesthem in the acquisition of new behaviors related to their needs. To implement VCS, thisthesis explores different research directions and challenges. First of all, it addresses thedefinition of a ubiquitous, non-invasive and low-cost indoor monitoring architecture byexploiting the IoT paradigm. Secondly, it deals with the necessity of developing solu-tions for implementing coaching actions and consequently monitoring human activitiesby analyzing the interaction between people and smart objects. Finally, it focuses on the design of low-cost localization systems for indoor environment, since knowing theposition of a person provides VCS with essential information to acquire information onperformed activities and to prevent risky situations. In the end, the outcomes of theseresearch directions have been integrated into a healthcare application scenario to imple-ment a wearable system that prevents freezing of gait in people affected by Parkinson\u2019sDisease

Internet of robotic things : converging sensing/actuating, hypoconnectivity, artificial intelligence and IoT Platforms

The Internet of Things (IoT) concept is evolving rapidly and influencing newdevelopments in various application domains, such as the Internet of MobileThings (IoMT), Autonomous Internet of Things (A-IoT), Autonomous Systemof Things (ASoT), Internet of Autonomous Things (IoAT), Internetof Things Clouds (IoT-C) and the Internet of Robotic Things (IoRT) etc.that are progressing/advancing by using IoT technology. The IoT influencerepresents new development and deployment challenges in different areassuch as seamless platform integration, context based cognitive network integration,new mobile sensor/actuator network paradigms, things identification(addressing, naming in IoT) and dynamic things discoverability and manyothers. The IoRT represents new convergence challenges and their need to be addressed, in one side the programmability and the communication ofmultiple heterogeneous mobile/autonomous/robotic things for cooperating,their coordination, configuration, exchange of information, security, safetyand protection. Developments in IoT heterogeneous parallel processing/communication and dynamic systems based on parallelism and concurrencyrequire new ideas for integrating the intelligent “devices”, collaborativerobots (COBOTS), into IoT applications. Dynamic maintainability, selfhealing,self-repair of resources, changing resource state, (re-) configurationand context based IoT systems for service implementation and integrationwith IoT network service composition are of paramount importance whennew “cognitive devices” are becoming active participants in IoT applications.This chapter aims to be an overview of the IoRT concept, technologies,architectures and applications and to provide a comprehensive coverage offuture challenges, developments and applications