An m-health application for cerebral stroke detection and monitoring using cloud services

[EN] Over 25 million people suffered from cerebral strokes in a span of 23 years. Many systems are being developed to monitor and improve the life of patients that suffer from different diseases. However, solutions for cerebral strokes are hard to find. Moreover, due to their widespread utilization, smartphones have presented themselves as the most appropriate devices for many e-health systems. In this paper, we propose a cerebral stroke detection solution that employs the cloud to store and analyze data in order to provide statistics to public institutions. Moreover, the prototype of the application is presented. The three most important symptoms of cerebral strokes were considered to develop the tasks that are conducted. Thus, the first task detects smiles, the second task employs voice recognition to determine if a sentence is repeated correctly and, the third task determines if the arms can be raised. Several tests were performed in order to verify the application. Results show its ability to determine whether users have the symptoms of cerebral stroke or not.This work has been partially supported by the pre-doctoral student grant "Ayudas para contratos predoctorales de Formacion del Profesorado Universitario FPU (Convocatoria 2014)" by the "Ministerio de Educacion, Cultura y Deporte", with reference: FPU14/02953.García-García, L.; Tomás Gironés, J.; Parra-Boronat, L.; Lloret, J. (2019). An m-health application for cerebral stroke detection and monitoring using cloud services. International Journal of Information Management. 45:319-327. https://doi.org/10.1016/j.ijinfomgt.2018.06.004S3193274

Close2U: An App for Monitoring Cancer Patients with Enriched Information from Interaction Patterns

The management of cancer patients'' symptoms in doctor consultations is a cornerstone in clinical care, this process being fundamental for the follow-up of the evolution of these. This article presents an application that allows collecting periodically and systematically the data of cancer patients and their visualization by the medical team. In this article, we made the analysis, design, implementation, and final evaluation by analyzing the correlation of this data collection with interaction patterns to determine how the user information can be enriched with information from the interaction patterns. We have followed an agile methodology based on the iterative and incremental development of successive prototypes with increased fidelity, where the requirements and solutions have evolved over time according to the need and assessments made. The comprehensive analysis of the patient''s condition allowed us to perform a first analysis of the correlation of the states of patients concerning mood, sleeping quality, and pain with the interaction patterns. A future goal of this project is to optimize the process of data collection and the analysis of information. Another future goal is to reduce the time dedicated to reporting the evolution of symptoms in face-to-face consultations and to help professionals in analyzing the patient''s evolution even in the period that has not been attended in person

A smart sleep apnea detection service

Over the last decades, sleep apnea has become one of the most prevalent healthcare problems. Diagnosis and treatment monitoring are key elements when it comes to addressing this public health crisis. A problem for diagnosis and treatment monitoring is a chronic lack of specialized lab facilities which results in long waiting times or the absence of such services. This can delay appropriate treatment which might prolong living with sleep apnea and thereby leading to health issues due to poor sleep. We address this problem with a smart sleep apnea detection service based on Heart Rate Variably (HRV) analysis. The service incorporates Internet of Medical Things (IoMT), mobile technology (MT), and advanced Artificial Intelligence (AI). The measured signals are relayed by a smart phone into a cloud server via IoMT protocols. Once the data is stored in the cloud server, a deep learning (DL) algorithm is used to detect sleep apnea events. Detecting these events can trigger a warning message which is sent to care givers. The smart sleep apnea detection service is beneficial for patients who find it difficult to access specialized lab facilities for diagnosis or treatment monitoring. Furthermore, the system prolongs the observation period, which can improve the diagnosis accuracy. The resource requirements for the proposed service are lower when compared to clinical facilities, this might lead to significant cost savings for healthcare providers

Real-time big data processing for anomaly detection : a survey

The advent of connected devices and omnipresence of Internet have paved way for intruders to attack networks, which leads to cyber-attack, financial loss, information theft in healthcare, and cyber war. Hence, network security analytics has become an important area of concern and has gained intensive attention among researchers, off late, specifically in the domain of anomaly detection in network, which is considered crucial for network security. However, preliminary investigations have revealed that the existing approaches to detect anomalies in network are not effective enough, particularly to detect them in real time. The reason for the inefficacy of current approaches is mainly due the amassment of massive volumes of data though the connected devices. Therefore, it is crucial to propose a framework that effectively handles real time big data processing and detect anomalies in networks. In this regard, this paper attempts to address the issue of detecting anomalies in real time. Respectively, this paper has surveyed the state-of-the-art real-time big data processing technologies related to anomaly detection and the vital characteristics of associated machine learning algorithms. This paper begins with the explanation of essential contexts and taxonomy of real-time big data processing, anomalous detection, and machine learning algorithms, followed by the review of big data processing technologies. Finally, the identified research challenges of real-time big data processing in anomaly detection are discussed. © 2018 Elsevier Lt

Evaluating the factors that influence cloud technology adoption�comparative case analysis of health and non-health sectors: A systematic review

Cloud technology has brought great benefits to the health industry, including enabling improvement in the quality of services. The objective of this review study is to investigate the reported factors affecting the adoption of cloud in the health sector by comparing studies in the health and non-health sectors. This article is a systematized review of studies conducted in 2018. From 541 articles, 47 final articles were selected and classified into two categories: health and non-health studies; conclusions were drawn from the two sectors by comparing their effective factors. Based on the results of this review, the factors were categorized as technological, organizational, environmental, and individual. The results of this review study could be a beneficial guide to the health empirical research on cloud adoption. Individual domains have not been examined in health sector studies. Since the process of adoption of new technologies in organizations is time-consuming, due to the lack of managerial knowledge about the efficient factors, recognition of these factors by decision-makers while planning for cloud adoption becomes of great importance. The findings of this review study aim to help health decision-makers by increasing their awareness of the cloud and of the factors that impact decisions at both the organizational and individual levels. © The Author(s) 2019

Clinical Applications of Electrical Impedance Tomography in Stroke and Traumatic Brain Injury

Electrical Impedance Tomography (EIT) is a medical imaging technology which uses voltage measurements on the boundaries to reconstruct internal conductivity changes. When applied to imaging brain function, EIT is challenged by the unique geometry of the head and the high variability in the conductivities of brain tissue. Stroke and Trau-matic Brain Injury (TBI) are two of the leading causes of death and long-term disability worldwide. It has been suggested that EIT, which is already in clinical use primarily as a means of assessing lung function, could be used as a pre-hospital diagnostic tool for stroke and TBI, and for bedside monitoring for brain injury patients. The main aim of this PhD thesis is to bring the application of EIT in brain injury closer to regular clinical use. Chapter 1 introduces the concepts of EIT, stroke and TBI, and provides a comprehensive review of clinically relevant neuroimaging techniques and the current state of brain EIT. Chapter 2 presents the results of a series of lab experiments designed to investigate the characteristics and mechanisms of drift in measured boundary voltages, which is the key technical barrier to brain monitoring with EIT. Ex-periments were conducted on lab phantoms, vegetable skin, and healthy human subjects. Chapter 3 describes a feasibility study of monitoring for brain injury with EIT over several hours, using noise recorded on real healthy volunteers. This study also compares the performance of different electrode types. Chapter 4 presents a clinical pilot study performed on acute stroke patients. Multi-frequency (MF) EIT data were record-ed on patients and healthy controls to create the first of its kind clinical EIT dataset to be used as a resource for future research for the EIT community. Finally, the ability to identify stroke patients is demonstrated on the clinical EIT dataset

Architecture and communication protocol to monitor and control water quality and irrigation in agricultural environments

[ES] La introducción de soluciones tecnológicas en la agricultura permite reducir el uso de recursos y aumentar la producción de los cultivos. Además, la calidad del agua de regadío se puede monitorizar para asegurar la seguridad de los productos para el consumo humano. Sin embargo, la localización remota de la mayoría de los campos presenta un problema para proveer de cobertura inalámbrica a los nodos sensores y actuadores desplegados en los campos y los canales de agua para regadío. El trabajo presentado en esta tesis aborda el problema de habilitar la comunicación inalámbrica entre los dispositivos electrónicos desplegados para la monitorización de la calidad del agua y el campo a través de un protocolo de comunicación y arquitectura heterogéneos. La primera parte de esta tesis introduce los sistemas de agricultura de precisión (PA) y la importancia de la monitorización de la calidad del agua y el campo. Asimismo, las tecnologías que permiten la comunicación inalámbrica en sistemas PA y el uso de soluciones alternativas como el internet de las cosas bajo tierra (IoUT) y los vehículos aéreos no tripulados (UAV) se introducen también. Después, se realiza un análisis en profundidad del estado del arte respecto a los sensores para la monitorización del agua, el campo y las condiciones meteorológicas, así como sobre las tecnologías inalámbricas más empleadas en PA. Además, las tendencias actuales y los desafíos de los sistemas de internet de las cosas (IoT) para regadío, incluyendo las soluciones alternativas introducidas anteriormente, han sido abordados en detalle. A continuación, se presenta la arquitectura propuesta para el sistema, la cual incluye las áreas de interés para las actividades monitorización que incluye las áreas de los canales y el campo. A su vez, la descripción y los algoritmos de operación de los nodos sensores contemplados para cada área son proporcionados. El siguiente capítulo detalla el protocolo de comunicación heterogéneo propuesto, incluyendo los mensajes y alertas del sistema. Adicionalmente, se presenta una nueva topología de árbol para redes híbridas LoRa/WiFi multisalto. Las funcionalidades específicas adicionales concebidas para la arquitectura propuesta están descritas en el siguiente capítulo. Éstas incluyen algoritmos de agregación de datos para la topología propuesta, un esquema de las amenazas de seguridad para los sistemas PA, algoritmos de ahorro de energía y tolerancia a fallos, comunicación bajo tierra para IoUT y el uso de drones para adquisición de datos. Después, los resultados de las simulaciones para las soluciones propuestas anteriormente son presentados. Finalmente, se tratan las pruebas realizadas en entornos reales para el protocolo heterogéneo presentado, las diferentes estrategias de despliegue de los nodos empleados, el consumo energético y la función de cuantificación de fruta. Estas pruebas demuestran la validez de la arquitectura y protocolo de comunicación heterogéneos que se han propuesto.[CA] La introducció de solucions tecnològiques en l'agricultura permet reduir l'ús de recursos i augmentar la producció dels cultius. A més, la qualitat de l'aigua de regadiu es pot monitoritzar per assegurar la qualitat dels productes per al consum humà. No obstant això, la localització remota de la majoria dels camps presenta un problema per a proveir de cobertura sense fils als nodes sensors i actuadors desplegats als camps i els canals d'aigua per a regadiu. El treball presentat en aquesta tesi tracta el problema d'habilitar la comunicació sense fils entre els dispositius electrònics desplegats per a la monitorització de la qualitat de l'aigua i el camp a través d'un protocol de comunicació i arquitectura heterogenis. La primera part d'aquesta tesi introdueix els sistemes d'agricultura de precisió (PA) i la importància de la monitorització de la qualitat de l'aigua i el camp. Així mateix, també s'introdueixen les tecnologies que permeten la comunicació sense fils en sistemes PA i l'ús de solucions alternatives com l'Internet de les coses sota terra (IoUT) i els vehicles aeris no tripulats (UAV). Després, es realitza una anàlisi en profunditat de l'estat de l'art respecte als sensors per a la monitorització de l'aigua, el camp i les condicions meteorològiques, així com sobre les tecnologies sense fils més emprades en PA. S'aborden les tendències actuals i els reptes dels sistemes d'internet de les coses (IoT) per a regadiu, incloent les solucions alternatives introduïdes anteriorment. A continuació, es presenta l'arquitectura proposada per al sistema, on s'inclouen les àrees d'interès per a les activitats monitorització en els canals i el camp. Finalment, es proporciona la descripció i els algoritmes d'operació dels nodes sensors contemplats per a cada àrea. El següent capítol detalla el protocol de comunicació heterogeni proposat, així como el disseny del missatges i alertes que el sistema proposa. A més, es presenta una nova topologia d'arbre per a xarxes híbrides Lora/WiFi multi-salt. Les funcionalitats específiques addicionals concebudes per l'arquitectura proposada estan descrites en el següent capítol. Aquestes inclouen algoritmes d'agregació de dades per a la topologia proposta, un esquema de les alertes de seguretat per als sistemes PA, algoritmes d'estalvi d'energia i tolerància a fallades, comunicació per a IoUT i l'ús de drons per a adquisició de dades. Després, es presenten els resultats de les simulacions per a les solucions proposades. Finalment, es duen a terme les proves en entorns reals per al protocol heterogeni dissenyat. A més s'expliquen les diferents estratègies de desplegament dels nodes empleats, el consum energètic, així com, la funció de quantificació de fruita. Els resultats d'aquetes proves demostren la validesa de l'arquitectura i protocol de comunicació heterogenis propost en aquesta tesi.[EN] The introduction of technological solutions in agriculture allows reducing the use of resources and increasing the production of the crops. Furthermore, the quality of the water for irrigation can be monitored to ensure the safety of the produce for human consumption. However, the remote location of most fields presents a problem for providing wireless coverage to the sensing nodes and actuators deployed on the fields and the irrigation water canals. The work presented in this thesis addresses the problem of enabling wireless communication among the electronic devices deployed for water quality and field monitoring through a heterogeneous communication protocol and architecture. The first part of the dissertation introduces Precision Agriculture (PA) systems and the importance of water quality and field monitoring. In addition, the technologies that enable wireless communication in PA systems and the use of alternative solutions such as Internet of Underground Things (IoUT) and Unmanned Aerial Vehicles (UAV) are introduced as well. Then, an in-depth analysis on the state of the art regarding the sensors for water, field and meteorology monitoring and the most utilized wireless technologies in PA is performed. Furthermore, the current trends and challenges for Internet of Things (IoT) irrigation systems, including the alternate solutions previously introduced, have been discussed in detail. Then, the architecture for the proposed system is presented, which includes the areas of interest for the monitoring activities comprised of the canal and field areas. Moreover, the description and operation algorithms of the sensor nodes contemplated for each area is provided. The next chapter details the proposed heterogeneous communication protocol including the messages and alerts of the system. Additionally, a new tree topology for hybrid LoRa/WiFi multi-hop networks is presented. The specific additional functionalities intended for the proposed architecture are described in the following chapter. It includes data aggregation algorithms for the proposed topology, an overview on the security threats of PA systems, energy-saving and fault-tolerance algorithms, underground communication for IoUT, and the use of drones for data acquisition. Then, the simulation results for the solutions previously proposed are presented. Finally, the tests performed in real environments for the presented heterogeneous protocol, the different deployment strategies for the utilized nodes, the energy consumption, and a functionality for fruit quantification are discussed. These tests demonstrate the validity of the proposed heterogeneous architecture and communication protocol.García García, L. (2021). Architecture and communication protocol to monitor and control water quality and irrigation in agricultural environments [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/17422

The Meaningful Use of Cloud Computing in Healthcare

This dissertation focuses on the meaning of cloud computing for healthcare and its meaningful use in the healthcare industry. If used in a meaningful way, cloud computing is argued to be able to provide major benefits to the healthcare industry. Surprisingly, the benefits promised by using cloud computing often do not hold in practice, and the deployment of cloud computing services in healthcare organizations could lead to countereffects for healthcare. Although existing research studies cover a wide range of domains in healthcare, they often do not explain the way in which cloud computing could support healthcare in a systematic manner. In reply to that insufficiency in the research, this dissertation aims to investigate the phenomenon of cloud computing in healthcare organizations and to answer the following overarching research question: How can cloud computing support healthcare organizations in a meaningful way (i.e., meaningful use)? This dissertation conducted four research studies by employing established explorative research methods. The dissertation begins with a study (study 1) that investigates the basic properties of cloud computing services and their specific meanings for the healthcare industry, and suggests concrete directions for studies related to the meaningful use of cloud computing in healthcare. Study 2 focuses on the identification of industry-specific factors for the adoption of cloud computing services in healthcare, and studies 3 and 4 on an investigation of the way in which cloud computing supports collaborative activities in healthcare, respectively. Both focuses belong to research directions suggested by study 1. By addressing the overarching research question, this dissertation could deepen our understanding of the use of information technology (IT) artefacts that advances information systems theories, not only regarding cloud computing itself but also in terms of more general health IT levels