Internet of Things: Architecture and Services for Healthcare

Internet of Things (IoT) is a recent prominent collaboration of various technologies that enables spatially distributed devices (“things”) to sense, communicate and share information, thus generating a variety of applications and services in Healthcare. IoT is implemented in multiple domains like Smart city, energy and smart grid, Smart home, weather forecasting, Agriculture, Market and Transportation, Manufacturing and testing industries, Healthcare and many more. IoT serves the purpose of making tasks more efficient and productive and at the same time ensuring quality and reliability. IoT technologies provide an enabling framework for inter-connecting devices, systems, and services that go beyond Machine-to-Machine scenarios within today’s internet infrastructure. Healthcare industry is among the fastest fields to embrace IoT for numerous health services. IoT technologies will enable doctors / physicians / caretakers to be in touch with patients all the time. Various physiological parameters and markers can be monitored on a real-time basis for early detection of serious health symptoms that could endanger the life of patients. Diagnosis of diseases can be more accurate and in time for early treatment which will significantly improve recovery time. Diagnostic medical devices, sensors, and imaging devices that are integrated within the network for building an efficient and real-time system. The market for IoT in the healthcare sector is expected to grow rapidly in terms of connecting hospitals with patients for remote monitoring, emergency care services and remote surgery through augmented virtual reality. This thesis explores advances in IoT- based technologies in the healthcare environment. The thesis presents an architecture that defines a possible reference platform for seamless inter-connectivity between devices and software systems to enable new services. The architecture has multiple layers each of which performs specific functions to enable the realization of novel healthcare services. The thesis provides a comprehensive comparison between different Short range communication technologies, Mobile communication and Low Power Wide Area (LPWA) technologies. Based upon different scenarios of IoT healthcare services implementation, data computation capabilities provided by various cloud computing models and edge computing models are also discussed. The thesis provides a survey on various healthcare services that are implemented inside (and outside) hospital premises, e.g., remote health monitoring, Ambient Assisted Living among others. The impact of two prominent key technologies: Network Functions Virtualization (NFV) and Software Defined Networks (SDN) has been discussed and showed the benefits of implementing control and management function-especially at the edge network- utilizing SDN/NFV. This provides a flexible approach for deployment of healthcare services in close proximity to computing resources and improves communication control. IoT acknowledges a reliable and secure data exchange in real-time and oriented to improve Quality of Life (QoL). Internet of Things (IoT) serves the purpose of the advance concatenation of devices, systems, and services that go beyond the Machine-to-Machine scenario within today’s internet infrastructure with extended benefits

Devising and evaluating wearable technology for social dynamics monitoring

The importance of studying social interactions has been proven useful in several fields. In the workplace, studies have found that allowing mixing among different groups could improve team coordination and productivity. Architectural studies have analysed how physical spaces can potentially increase unplanned interactions. Other areas such as epidemiology have also benefited from tracking face-to-face contacts to study the spread of disease. Although technology has progressed significantly, the automated and accurate measurement of human interactions with mobile devices is still lagging. The main shortcomings have to do with accuracy of the captured data and with the communication modalities considered. Additionally, non-verbal behaviours during social interactions (e.g. body posture, orientation and interaction distance) have been often neglected, with a few exceptions, even if traditional sociology has highlighted their importance. In this dissertation we address these challenges by developing two wearable research platforms to monitor different dimensions of social interactions. First, we study the extent to which Bluetooth Low Energy could detect proximity in indoor environments. We analyse all the relevant protocol parameters and measure their impact on power consumption, on custom as well as on commercial devices. We assess its accuracy with a 4-week long deployment illustrating its sustainability for social dynamics studies. With the contacts and mobility data collected during the deployment we study the relationship between social contacts and space design, focusing on a modern architectural concept, Activity-Based Working (ABW). We uncover several patterns and we show how they could be the result of the correct adoption of ABW principles. However, we also discover that the employees might not have fully embraced the ABW concepts entirely, leading to mismatches between principles and actual space usage. Given the importance of studying non-verbal behaviour during social contact we then devise a novel wearable device that, by exploiting near-infrared signals, is able to capture accurate information about distance and angle of interaction between people. We show how we design the device to be robust to ambient light changes and short occlusions by leveraging inertial measurement units. With extensive testing we evaluate its accuracy and robustness. We then explore its potential to study creative processes by deploying it to capture non-verbal cues during a creative task. We show how data about the relative orientation between people and their interpersonal distance could be used to predict the role they have during the interaction and the status of the task. The platforms developed and the insights drawn in this dissertation provide evidence to support the use of wearable technologies to monitor social interactions at an unprecedented level

Quantifying Quality of Life

Describes technological methods and tools for objective and quantitative assessment of QoL Appraises technology-enabled methods for incorporating QoL measurements in medicine Highlights the success factors for adoption and scaling of technology-enabled methods This open access book presents the rise of technology-enabled methods and tools for objective, quantitative assessment of Quality of Life (QoL), while following the WHOQOL model. It is an in-depth resource describing and examining state-of-the-art, minimally obtrusive, ubiquitous technologies. Highlighting the required factors for adoption and scaling of technology-enabled methods and tools for QoL assessment, it also describes how these technologies can be leveraged for behavior change, disease prevention, health management and long-term QoL enhancement in populations at large. Quantifying Quality of Life: Incorporating Daily Life into Medicine fills a gap in the field of QoL by providing assessment methods, techniques and tools. These assessments differ from the current methods that are now mostly infrequent, subjective, qualitative, memory-based, context-poor and sparse. Therefore, it is an ideal resource for physicians, physicians in training, software and hardware developers, computer scientists, data scientists, behavioural scientists, entrepreneurs, healthcare leaders and administrators who are seeking an up-to-date resource on this subject

Wearable Sensors in the Evaluation of Gait and Balance in Neurological Disorders

The aging population and the increased prevalence of neurological diseases have raised the issue of gait and balance disorders as a major public concern worldwide. Indeed, gait and balance disorders are responsible for a high healthcare and economic burden on society, thus, requiring new solutions to prevent harmful consequences. Recently, wearable sensors have provided new challenges and opportunities to address this issue through innovative diagnostic and therapeutic strategies. Accordingly, the book “Wearable Sensors in the Evaluation of Gait and Balance in Neurological Disorders” collects the most up-to-date information about the objective evaluation of gait and balance disorders, by means of wearable biosensors, in patients with various types of neurological diseases, including Parkinson’s disease, multiple sclerosis, stroke, traumatic brain injury, and cerebellar ataxia. By adopting wearable technologies, the sixteen original research articles and reviews included in this book offer an updated overview of the most recent approaches for the objective evaluation of gait and balance disorders

Quantifying Quality of Life

Describes technological methods and tools for objective and quantitative assessment of QoL Appraises technology-enabled methods for incorporating QoL measurements in medicine Highlights the success factors for adoption and scaling of technology-enabled methods This open access book presents the rise of technology-enabled methods and tools for objective, quantitative assessment of Quality of Life (QoL), while following the WHOQOL model. It is an in-depth resource describing and examining state-of-the-art, minimally obtrusive, ubiquitous technologies. Highlighting the required factors for adoption and scaling of technology-enabled methods and tools for QoL assessment, it also describes how these technologies can be leveraged for behavior change, disease prevention, health management and long-term QoL enhancement in populations at large. Quantifying Quality of Life: Incorporating Daily Life into Medicine fills a gap in the field of QoL by providing assessment methods, techniques and tools. These assessments differ from the current methods that are now mostly infrequent, subjective, qualitative, memory-based, context-poor and sparse. Therefore, it is an ideal resource for physicians, physicians in training, software and hardware developers, computer scientists, data scientists, behavioural scientists, entrepreneurs, healthcare leaders and administrators who are seeking an up-to-date resource on this subject

Designing Efficient and Accurate Behavior-Aware Mobile Systems

The proliferation of sensors on smartphones, tablets and wearables has led to a plethora of behavior classification algorithms designed to sense various aspects of individual user\u27s behavior such as daily habits, activity, physiology, mobility, sleep, emotional and social contexts. This ability to sense and understand behaviors of mobile users will drive the next generation of mobile applications providing services based on the users\u27 behavioral patterns. In this thesis, we investigate ways in which we can enhance and utilize the understanding of user behaviors in such applications. In particular, we focus on identifying the key challenges in the following three aspects of behavior-aware applications: detection, understanding, and prediction of user behaviors; and present systems and techniques developed to address these challenges. In this thesis, we first demonstrate the utility of wristbands equipped with inertial sensors in real-time detection of health-related behaviors such as smoking and eating. Our approach detects these behaviors in a passive manner without any explicit user interaction and does not require use of any cumbersome device. Our results show that we can detect smoking with 95% accuracy, 91% precision and 81% recall in the natural environment. Second, we design a context-query engine for sensing multiple user contexts continuously, accurately and efficiently on mobile devices; the key necessity for understanding and analyzing behaviors. Our context-query engine performs information fusion of contexts for an individual user to enable optimizations like i) energy-efficient sensing, and ii) accurate context inference. Our results show that we can improve accuracy of a context classifier by up to 42% and reduce the number of classifiers required to observe the user state by 33%. Finally, we demonstrate the utility of predicting app usage behavior, in improving the freshness of mobile apps such as Facebook that present users with the latest content fetched from remote servers. We present an app prediction algorithm that utilizes user contexts to predict the app a user is likely to use and pre-fetches the data over the network for the predicted app. We show that our proposed algorithm delivers application content to the user that is on an average fresh within 3 minutes

Cognitive Hyperconnected Digital Transformation

Cognitive Hyperconnected Digital Transformation provides an overview of the current Internet of Things (IoT) landscape, ranging from research, innovation and development priorities to enabling technologies in a global context. It is intended as a standalone book in a series that covers the Internet of Things activities of the IERC-Internet of Things European Research Cluster, including both research and technological innovation, validation and deployment. The book builds on the ideas put forward by the European Research Cluster, the IoT European Platform Initiative (IoT-EPI) and the IoT European Large-Scale Pilots Programme, presenting global views and state-of-the-art results regarding the challenges facing IoT research, innovation, development and deployment in the next years. Hyperconnected environments integrating industrial/business/consumer IoT technologies and applications require new IoT open systems architectures integrated with network architecture (a knowledge-centric network for IoT), IoT system design and open, horizontal and interoperable platforms managing things that are digital, automated and connected and that function in real-time with remote access and control based on Internet-enabled tools. The IoT is bridging the physical world with the virtual world by combining augmented reality (AR), virtual reality (VR), machine learning and artificial intelligence (AI) to support the physical-digital integrations in the Internet of mobile things based on sensors/actuators, communication, analytics technologies, cyber-physical systems, software, cognitive systems and IoT platforms with multiple functionalities. These IoT systems have the potential to understand, learn, predict, adapt and operate autonomously. They can change future behaviour, while the combination of extensive parallel processing power, advanced algorithms and data sets feed the cognitive algorithms that allow the IoT systems to develop new services and propose new solutions. IoT technologies are moving into the industrial space and enhancing traditional industrial platforms with solutions that break free of device-, operating system- and protocol-dependency. Secure edge computing solutions replace local networks, web services replace software, and devices with networked programmable logic controllers (NPLCs) based on Internet protocols replace devices that use proprietary protocols. Information captured by edge devices on the factory floor is secure and accessible from any location in real time, opening the communication gateway both vertically (connecting machines across the factory and enabling the instant availability of data to stakeholders within operational silos) and horizontally (with one framework for the entire supply chain, across departments, business units, global factory locations and other markets). End-to-end security and privacy solutions in IoT space require agile, context-aware and scalable components with mechanisms that are both fluid and adaptive. The convergence of IT (information technology) and OT (operational technology) makes security and privacy by default a new important element where security is addressed at the architecture level, across applications and domains, using multi-layered distributed security measures. Blockchain is transforming industry operating models by adding trust to untrusted environments, providing distributed security mechanisms and transparent access to the information in the chain. Digital technology platforms are evolving, with IoT platforms integrating complex information systems, customer experience, analytics and intelligence to enable new capabilities and business models for digital business