Performance evaluation of cooperation strategies for m-health services and applications

Health telematics are becoming a major improvement for patients’ lives, especially for disabled, elderly, and chronically ill people. Information and communication technologies have rapidly grown along with the mobile Internet concept of anywhere and anytime connection. In this context, Mobile Health (m-Health) proposes healthcare services delivering, overcoming geographical, temporal and even organizational barriers. Pervasive and m-Health services aim to respond several emerging problems in health services, including the increasing number of chronic diseases related to lifestyle, high costs in existing national health services, the need to empower patients and families to self-care and manage their own healthcare, and the need to provide direct access to health services, regardless the time and place. Mobile Health (m- Health) systems include the use of mobile devices and applications that interact with patients and caretakers. However, mobile devices have several constraints (such as, processor, energy, and storage resource limitations), affecting the quality of service and user experience. Architectures based on mobile devices and wireless communications presents several challenged issues and constraints, such as, battery and storage capacity, broadcast constraints, interferences, disconnections, noises, limited bandwidths, and network delays. In this sense, cooperation-based approaches are presented as a solution to solve such limitations, focusing on increasing network connectivity, communication rates, and reliability. Cooperation is an important research topic that has been growing in recent years. With the advent of wireless networks, several recent studies present cooperation mechanisms and algorithms as a solution to improve wireless networks performance. In the absence of a stable network infrastructure, mobile nodes cooperate with each other performing all networking functionalities. For example, it can support intermediate nodes forwarding packets between two distant nodes. This Thesis proposes a novel cooperation strategy for m-Health services and applications. This reputation-based scheme uses a Web-service to handle all the nodes reputation and networking permissions. Its main goal is to provide Internet services to mobile devices without network connectivity through cooperation with neighbor devices. Therefore resolving the above mentioned network problems and resulting in a major improvement for m-Health network architectures performances. A performance evaluation of this proposal through a real network scenario demonstrating and validating this cooperative scheme using a real m-Health application is presented. A cryptography solution for m-Health applications under cooperative environments, called DE4MHA, is also proposed and evaluated using the same real network scenario and the same m-Health application. Finally, this work proposes, a generalized cooperative application framework, called MobiCoop, that extends the incentive-based cooperative scheme for m-Health applications for all mobile applications. Its performance evaluation is also presented through a real network scenario demonstrating and validating MobiCoop using different mobile applications

Toward Open and Programmable Wireless Network Edge

Increasingly, the last hop connecting users to their enterprise and home networks is wireless. Wireless is becoming ubiquitous not only in homes and enterprises but in public venues such as coffee shops, hospitals, and airports. However, most of the publicly and privately available wireless networks are proprietary and closed in operation. Also, there is little effort from industries to move forward on a path to greater openness for the requirement of innovation. Therefore, we believe it is the domain of university researchers to enable innovation through openness. In this thesis work, we introduce and defines the importance of open framework in addressing the complexity of the wireless network. The Software Defined Network (SDN) framework has emerged as a popular solution for the data center network. However, the promise of the SDN framework is to make the network open, flexible and programmable. In order to deliver on the promise, SDN must work for all users and across all networks, both wired and wireless. Therefore, we proposed to create new modules and APIs to extend the standard SDN framework all the way to the end-devices (i.e., mobile devices, APs). Thus, we want to provide an extensible and programmable abstraction of the wireless network as part of the current SDN-based solution. In this thesis work, we design and develop a framework, weSDN (wireless extension of SDN), that extends the SDN control capability all the way to the end devices to support client-network interaction capabilities and new services. weSDN enables the control-plane of wireless networks to be extended to mobile devices and allows for top-level decisions to be made from an SDN controller with knowledge of the network as a whole, rather than device centric configurations. In addition, weSDN easily obtains user application information, as well as the ability to monitor and control application flows dynamically. Based on the weSDN framework, we demonstrate new services such as application-aware traffic management, WLAN virtualization, and security management

Wi-Fi Enabled Healthcare

Focusing on its recent proliferation in hospital systems, Wi-Fi Enabled Healthcare explains how Wi-Fi is transforming clinical work flows and infusing new life into the types of mobile devices being implemented in hospitals. Drawing on first-hand experiences from one of the largest healthcare systems in the United States, it covers the key areas associated with wireless network design, security, and support. Reporting on cutting-edge developments and emerging standards in Wi-Fi technologies, the book explores security implications for each device type. It covers real-time location services and emerging trends in cloud-based wireless architecture. It also outlines several options and design consideration for employee wireless coverage, voice over wireless (including smart phones), mobile medical devices, and wireless guest services. This book presents authoritative insight into the challenges that exist in adding Wi-Fi within a healthcare setting. It explores several solutions in each space along with design considerations and pros and cons. It also supplies an in-depth look at voice over wireless, mobile medical devices, and wireless guest services. The authors provide readers with the technical knowhow required to ensure their systems provide the reliable, end-to-end communications necessary to surmount today’s challenges and capitalize on new opportunities. The shared experience and lessons learned provide essential guidance for large and small healthcare organizations in the United States and around the world. This book is an ideal reference for network design engineers and high-level hospital executives that are thinking about adding or improving upon Wi-Fi in their hospitals or hospital systems

Privacy-Preserving by Design: Indoor Positioning System Using Wi-Fi Passive TDOA

Indoor localization systems have become increasingly important in a wide range of applications, including industry, security, logistics, and emergency services. However, the growing demand for accurate localization has heightened concerns over privacy, as many localization systems rely on active signals that can be misused by an adversary to track users' movements or manipulate their measurements. This paper presents PassiFi, a novel passive Wi-Fi time-based indoor localization system that effectively balances accuracy and privacy. PassiFi uses a passive WiFi Time Difference of Arrival (TDoA) approach that ensures users' privacy and safeguards the integrity of their measurement data while still achieving high accuracy. The system adopts a fingerprinting approach to address multi-path and non-line-of-sight problems and utilizes deep neural networks to learn the complex relationship between TDoA and location. Evaluation in a real-world testbed demonstrates PassiFi's exceptional performance, surpassing traditional multilateration by 128%, achieving sub-meter accuracy on par with state-of-the-art active measurement systems, all while preserving privacy

A patient agent controlled customized blockchain based framework for internet of things

Although Blockchain implementations have emerged as revolutionary technologies for various industrial applications including cryptocurrencies, they have not been widely deployed to store data streaming from sensors to remote servers in architectures known as Internet of Things. New Blockchain for the Internet of Things models promise secure solutions for eHealth, smart cities, and other applications. These models pave the way for continuous monitoring of patient’s physiological signs with wearable sensors to augment traditional medical practice without recourse to storing data with a trusted authority. However, existing Blockchain algorithms cannot accommodate the huge volumes, security, and privacy requirements of health data. In this thesis, our first contribution is an End-to-End secure eHealth architecture that introduces an intelligent Patient Centric Agent. The Patient Centric Agent executing on dedicated hardware manages the storage and access of streams of sensors generated health data, into a customized Blockchain and other less secure repositories. As IoT devices cannot host Blockchain technology due to their limited memory, power, and computational resources, the Patient Centric Agent coordinates and communicates with a private customized Blockchain on behalf of the wearable devices. While the adoption of a Patient Centric Agent offers solutions for addressing continuous monitoring of patients’ health, dealing with storage, data privacy and network security issues, the architecture is vulnerable to Denial of Services(DoS) and single point of failure attacks. To address this issue, we advance a second contribution; a decentralised eHealth system in which the Patient Centric Agent is replicated at three levels: Sensing Layer, NEAR Processing Layer and FAR Processing Layer. The functionalities of the Patient Centric Agent are customized to manage the tasks of the three levels. Simulations confirm protection of the architecture against DoS attacks. Few patients require all their health data to be stored in Blockchain repositories but instead need to select an appropriate storage medium for each chunk of data by matching their personal needs and preferences with features of candidate storage mediums. Motivated by this context, we advance third contribution; a recommendation model for health data storage that can accommodate patient preferences and make storage decisions rapidly, in real-time, even with streamed data. The mapping between health data features and characteristics of each repository is learned using machine learning. The Blockchain’s capacity to make transactions and store records without central oversight enables its application for IoT networks outside health such as underwater IoT networks where the unattended nature of the nodes threatens their security and privacy. However, underwater IoT differs from ground IoT as acoustics signals are the communication media leading to high propagation delays, high error rates exacerbated by turbulent water currents. Our fourth contribution is a customized Blockchain leveraged framework with the model of Patient-Centric Agent renamed as Smart Agent for securely monitoring underwater IoT. Finally, the smart Agent has been investigated in developing an IoT smart home or cities monitoring framework. The key algorithms underpinning to each contribution have been implemented and analysed using simulators.Doctor of Philosoph

Wrist-based Phonocardiogram Diagnosis Leveraging Machine Learning

With the tremendous growth of technology and the fast pace of life, the need for instant information has become an everyday necessity, more so in emergency cases when every minute counts towards saving lives. mHealth has been the adopted approach for quick diagnosis using mobile devices. However, it has been challenging due to the required high quality of data, high computation load, and high-power consumption. The aim of this research is to diagnose the heart condition based on phonocardiogram (PCG) analysis using Machine Learning techniques assuming limited processing power, in order to be encapsulated later in a mobile device. The diagnosis of PCG is performed using two techniques; 1. parametric estimation with multivariate classification, particularly discriminant function. Which will be explored at length using different number of descriptive features. The feature extraction will be performed using Wavelet Transform (Filter Bank). 2. Artificial Neural Networks, and specifically Pattern Recognition. This will also use decomposed version of PCG using Wavelet Transform (Filter Bank). The results showed 97.33% successful diagnosis using the first technique using PCG with a 19 dB Signal-to-Noise-Ratio. When the signal was decomposed into four sub-bands using a Filter Bank of the second order. Each sub-band was described using two features; the signal’s mean and covariance. Additionally, different Filter Bank orders and number of features are explored and compared. Using the second technique the diagnosis resulted in a 100% successful classification with 83.3% trust level. The results are assessed, and new improvements are recommended and discussed as part of future work.Teknologian valtavan kehittymisen ja nopean elämänrytmin myötä välittömästi saatu tieto on noussut jokapäiväiseksi välttämättömyydeksi, erityisesti hätätapauksissa, joissa jokainen säästetty minuutti on tärkeää ihmishenkien pelastamiseksi. Mobiiliterveys, eli mHealth, on yleisesti valjastettu käyttöön nopeaksi diagnoosimenetelmäksi mobiililaitteiden avulla. Käyttö on kuitenkin ollut haastavaa korkean datan laatuvaatimuksen ja suurten tiedonkäsittelyvaatimuksien, nopean laskentatehon ja sekä suuren virrankulutuksen vuoksi. Tämän tutkimuksen tavoitteena oli diagnosoida sydänsairauksia fonokardiogrammianalyysin (PCG) perusteella käyttämällä koneoppimistekniikoita niin, että käytettävä laskentateho rajoitetaan vastaamaan mobiililaitteiden kapasiteettia. PCG-diagnoosi tehtiin käyttäen kahta tekniikkaa 1. Parametrinen estimointi käyttäen moniulotteista luokitusta, erityisesti signaalien erotteluanalyysin avulla. Tätä asiaa tutkittiin syvällisesti käyttäen erilaisia tilastotieteellisesti kuvailevia piirteitä. Piirteiden irrotus suoritettiin käyttäen Wavelet-muunnosta ja suodatinpankkia. 2. Keinotekoisia neuroverkkoja ja erityisesti hahmontunnistusta. Tässä menetelmässä käytetään myös PCG-signaalin hajoitusta ja Wavelet-muunnos -suodatinpankkia. Tulokset osoittivat, että PCG 19dB:n signaali-kohina-suhteella voi johtaa 97,33% onnistuneeseen diagnoosiin käytettäessä ensimmäistä tekniikkaa. Signaalin hajottaminen neljään alikaistaan suoritettiin käyttämällä toisen asteen suodatinpankkia. Jokainen alikaista kuvattiin käyttäen kahta piirrettä: signaalin keskiarvoa ja kovarianssia, näin saatiin yhteensä kahdeksan ominaisuutta kuvaamaan noin yhden minuutin näytettä PCG-signaalista. Lisäksi tutkittiin ja verrattiin eriasteisia suodattimia ja piirteitä. Toista tekniikkaa käyttäen diagnoosi johti 100% onnistuneeseen luokitteluun 83,3% luotettavuustasolla. Tuloksia käsitellään ja pohditaan, sekä tehdään niistä johtopäätöksiä. Lopuksi ehdotetaan ja suositellaan käytettyihin menetelmiin uusia parannuksia jatkotutkimuskohteiksi.fi=vertaisarvioitu|en=peerReviewed

Future of networking is the future of Big Data, The

2019 Summer.Includes bibliographical references.Scientific domains such as Climate Science, High Energy Particle Physics (HEP), Genomics, Biology, and many others are increasingly moving towards data-oriented workflows where each of these communities generates, stores and uses massive datasets that reach into terabytes and petabytes, and projected soon to reach exabytes. These communities are also increasingly moving towards a global collaborative model where scientists routinely exchange a significant amount of data. The sheer volume of data and associated complexities associated with maintaining, transferring, and using them, continue to push the limits of the current technologies in multiple dimensions - storage, analysis, networking, and security. This thesis tackles the networking aspect of big-data science. Networking is the glue that binds all the components of modern scientific workflows, and these communities are becoming increasingly dependent on high-speed, highly reliable networks. The network, as the common layer across big-science communities, provides an ideal place for implementing common services. Big-science applications also need to work closely with the network to ensure optimal usage of resources, intelligent routing of requests, and data. Finally, as more communities move towards data-intensive, connected workflows - adopting a service model where the network provides some of the common services reduces not only application complexity but also the necessity of duplicate implementations. Named Data Networking (NDN) is a new network architecture whose service model aligns better with the needs of these data-oriented applications. NDN's name based paradigm makes it easier to provide intelligent features at the network layer rather than at the application layer. This thesis shows that NDN can push several standard features to the network. This work is the first attempt to apply NDN in the context of large scientific data; in the process, this thesis touches upon scientific data naming, name discovery, real-world deployment of NDN for scientific data, feasibility studies, and the designs of in-network protocols for big-data science

Cybersecurity and the Digital Health: An Investigation on the State of the Art and the Position of the Actors

Cybercrime is increasingly exposing the health domain to growing risk. The push towards a strong connection of citizens to health services, through digitalization, has undisputed advantages. Digital health allows remote care, the use of medical devices with a high mechatronic and IT content with strong automation, and a large interconnection of hospital networks with an increasingly effective exchange of data. However, all this requires a great cybersecurity commitment—a commitment that must start with scholars in research and then reach the stakeholders. New devices and technological solutions are increasingly breaking into healthcare, and are able to change the processes of interaction in the health domain. This requires cybersecurity to become a vital part of patient safety through changes in human behaviour, technology, and processes, as part of a complete solution. All professionals involved in cybersecurity in the health domain were invited to contribute with their experiences. This book contains contributions from various experts and different fields. Aspects of cybersecurity in healthcare relating to technological advance and emerging risks were addressed. The new boundaries of this field and the impact of COVID-19 on some sectors, such as mhealth, have also been addressed. We dedicate the book to all those with different roles involved in cybersecurity in the health domain

Digital innovation in Multiple Sclerosis Management

Due to innovation in technology, a new type of patient has been created, the e-patient, characterized by the use of electronic communication tools and commitment to participate in their own care. The extent to which the world of digital health has changed during the COVID-19 pandemic has been widely recognized. Remote medicine has become part of the new normal for patients and clinicians, introducing innovative care delivery models that are likely to endure even if the pendulum swings back to some degree in a post-COVID age. The development of digital applications and remote communication technologies for patients with multiple sclerosis has increased rapidly in recent years. For patients, eHealth apps have been shown to improve outcomes and increase access to care, disease information, and support. For HCPs, eHealth technology may facilitate the assessment of clinical disability, analysis of lab and imaging data, and remote monitoring of patient symptoms, adverse events, and outcomes. It may allow time optimization and more timely intervention than is possible with scheduled face-to-face visits. The way we measure the impact of MS on daily life has remained relatively unchanged for decades, and is heavily reliant on clinic visits that may only occur once or twice each year.These benefits are important because multiple sclerosis requires ongoing monitoring, assessment, and management.The aim of this Special Issue is to cover the state of knowledge and expertise in the field of eHealth technology applied to multiple sclerosis, from clinical evaluation to patient education

P5 eHealth: An Agenda for the Health Technologies of the Future

This open access volume focuses on the development of a P5 eHealth, or better, a methodological resource for developing the health technologies of the future, based on patients’ personal characteristics and needs as the fundamental guidelines for design. It provides practical guidelines and evidence based examples on how to design, implement, use and elevate new technologies for healthcare to support the management of incurable, chronic conditions. The volume further discusses the criticalities of eHealth, why it is difficult to employ eHealth from an organizational point of view or why patients do not always accept the technology, and how eHealth interventions can be improved in the future. By dealing with the state-of-the-art in eHealth technologies, this volume is of great interest to researchers in the field of physical and mental healthcare, psychologists, stakeholders and policymakers as well as technology developers working in the healthcare sector