Alcuni abstract di articoli che trattano argomenti relativi all'eHealth

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Optimization of A Smart IOT Gateway

In recent years, the Internet of Things (IOT) has attracted many attentions. It allows a number of objects that have been embedded with wired or wireless communication interfaces to automatically communicate and interact with each other. The IOT is a system, combination of embedded controllers, sensors, software’s and network. After internet and mobile communication, IOT is regarded as the third wave of information because of its huge market prospects. The development of IOT can support a variety of applications including Intelligent Art, Intelligent Logistics, Intelligent Medicine & Healthcare, Intelligent Transportation, Intelligent Power, Smart Life etc. IOT Gateway plays an important role in IOT applications since it bridges between wireless sensor networks with traditional communication networks or internet. This paper includes an IOT Gateway system based on Zigbee and Wi-Fi protocols according to the presented data transmission between wireless sensor networks and mobile communication networks, typical IOT application scenarios and requirements from telecom operators, protocol conversion of different sensor network protocols, and control functionalities for sensor networks, and an implementation of prototyping system and system validation is given

Development of Wi-Fi based home energy monitoring system for green internet of things

Green Internet of things (IoT) has been heralded as the “next big thing” waiting to be realized in energy-efficient ubiquitous computing. Green IoT revolves around increased machine-to-machine communications and encompasses energy-efficient wireless embedded sensors and actuators that assist in monitoring and controlling home appliances. Energy efficiency in home applications can be achieved by better monitoring of the specific energy consumption by the appliances. There are many wireless standards that can be adopted for the design of such embedded devices in IoT. These communication technologies cater to different requirements and are classified as the short-range and long-range ones. To select the best communication method, this paper surveys various IoT communication technologies and discusses the advantages and disadvantages to develop an energy monitoring system. An IoT device based on the Wi-Fi technology system is developed and tested for usage in the home energy monitoring environment. The performance of this system is then evaluated by the measurement of power consumption metrics. In the efficient deep-sleep mode, the system saves up to 0.3 W per cycle with an average power dissipation of less than 0.1 W/s. Index Terms Energy efficiency, energy monitoring, Internet of things

New Product Development Processes for IOT-Enabled Home Use Medical Devices: A Systematic Review

Background: In the new forefront of healthcare at patients’ homes, medical devices developed to use at home setting by lay users are essential. The adoption of home-use medical devices will benefit both patients and public healthcare services in terms of quality of life, enhanced outcomes, and reduced cost of care. Home use medical devices associated with Internet-Of-Things (IOT) technology assists patients in performing self-care as well as providing health information remotely to health care professionals. However, adopting technology requires understanding the nature of the medical device and medical device development (MDD). Existing studies concerning the new product development (NPD) processes or design processes were systematically reviewed to explore knowledge and expertise to provide a framework for IOT engineers or designers to adopt IOT technology to home use medical devices. Objective: This study aimed to review the published literature to explore the current studies in the field of the NPD process, design process, design methodology, and outcome of the device affecting user acceptance. Methods: A systematic review following PRISMA guidelines of the English language literature from four electronic databases and academic search engines published from 2007 to 2018 was conducted. The papers were screened and assessed following predefined inclusive and exclusive criteria. The results were analyzed according to the research questions. Results: The findings revealed state-of-the-art in the NPD process and design process (n=4), the design methodology (n=23), and the resultant outcomes of empirical or clinical research in the validation stage (n=14) of medical device development (MDD). The findings also delineated existing studies in NPD, design process, and design methodologies aimed to ensure that medical devices would be effective and safe. Human factor engineering (HFE), cognitive method, ethnographic, and other methodologies were proposed to understand users, uses and context of use. Barriers, constraints, and multidisciplinary communication were addressed. Tools, processes, and methodologies were proposed to overcome the barriers. Conclusion: As home-use medical device development (MDD) and the adoption of IOT technology is now at a crossroads. This study addresses the necessity for future academic studies related to IOT adoption to MDD, including unique risks, multidisciplinary problems, emerging from IOT technology. Finally, future studies aimed at fabricating the NPD process or design process for IOT home-use medical devices to gain user acceptance were outlined

Mobile Phone Voice, Short Message System, Internet and Social Media Uses among Hard-to-Reach Children in Kampala, Uganda

Introduction: Research shows that many youth groups in Uganda own mobile phones. However, the extent to which youth who live in the slums of Kampala own and uses mobile phones has not been sufficiently explored. With the expansion of mobile technology, mobile health has emerged as a potential cost-effective tool that can allow this youth access health-related data and information. AIM: This study sought to determine the prevalence of mobile phone ownership and uses, document changes from the previous sampling event, and assess the association between mobile phone uses and psychosocial factors in this high-risk population. Methods: A convenience sample (n=1134) was obtained in 2014 from urban youth living on the streets, 12-18 years of age, and who were participating in a Uganda Youth Development Link drop-in center for disadvantaged street youth. Mobile phone use variables consisted of talking/texting, internet use for browsing, and social media. Statistical analyses were performed to determine the likelihood of owning a mobile phone and uses, and its association with youth risk factors. Results: Mobile phone ownership, internet use and social media utilization were 49.1%, 25.5%, and 23.4%, respectively. Compared to the previous study, little change occurred in mobile phone ownership but internet uses for searching and social media increased by double digit percentages. Daily talking and texting was significantly more prevalent in children who reported having STDs (p\u3c0.0001) and trading sex for money (p=0.001), among others, and significantly associated with having STDs (aOR 1.75, 95% CI 1.32-2.32), being drunk (aOR 3.16, 95% CI 2.26-4.42), trading sex for money (aOR 1.97, 95% CI 1.39-2.80), and feeling sad (aOR 1.70, 95% CI 1.25-2.30). Similar results were obtained with internet for searching and social media uses but with less significant associations. Discussion: Based on that about a half of the children own a mobile phone and that a substantial number of them use it daily for talking or texting, the next step would be to design m-Health programs that would take advantage of mobile phone voice and texting capabilities specifically to inform on potential interventions for behavioral change and mental health

Why is it difficult to implement e-health initiatives? A qualitative study

<b>Background</b> The use of information and communication technologies in healthcare is seen as essential for high quality and cost-effective healthcare. However, implementation of e-health initiatives has often been problematic, with many failing to demonstrate predicted benefits. This study aimed to explore and understand the experiences of implementers - the senior managers and other staff charged with implementing e-health initiatives and their assessment of factors which promote or inhibit the successful implementation, embedding, and integration of e-health initiatives.<p></p> <b>Methods</b> We used a case study methodology, using semi-structured interviews with implementers for data collection. Case studies were selected to provide a range of healthcare contexts (primary, secondary, community care), e-health initiatives, and degrees of normalization. The initiatives studied were Picture Archiving and Communication System (PACS) in secondary care, a Community Nurse Information System (CNIS) in community care, and Choose and Book (C&B) across the primary-secondary care interface. Implementers were selected to provide a range of seniority, including chief executive officers, middle managers, and staff with 'on the ground' experience. Interview data were analyzed using a framework derived from Normalization Process Theory (NPT).<p></p> <b>Results</b> Twenty-three interviews were completed across the three case studies. There were wide differences in experiences of implementation and embedding across these case studies; these differences were well explained by collective action components of NPT. New technology was most likely to 'normalize' where implementers perceived that it had a positive impact on interactions between professionals and patients and between different professional groups, and fit well with the organisational goals and skill sets of existing staff. However, where implementers perceived problems in one or more of these areas, they also perceived a lower level of normalization.<p></p> <b>Conclusions</b> Implementers had rich understandings of barriers and facilitators to successful implementation of e-health initiatives, and their views should continue to be sought in future research. NPT can be used to explain observed variations in implementation processes, and may be useful in drawing planners' attention to potential problems with a view to addressing them during implementation planning

The Exacerbating Role of Technological and Connectivity Challenges on Older Detroiters’ Health in a Pandemic

The COVID-19 pandemic hit communities of color hard. The City of Detroit was particularly vulnerable to COVID-19 due to racial, socioeconomic, and environmental health factors. To analyze the exacerbating role of technology and connectivity challenges on older Detroiters\u27 health in a pandemic, we first examined Detroit’s demographics. This analysis involved looking at the continued evolution of the City\u27s population toward older adults, as well as the impact of COVID-19 and the healthcare services on Detroit’s elder population. Next, we examined Detroit’s internet access challenges, including the presence of digital exclusion among older adults in Detroit, the impact of COVID-19 on digital inclusivity, the requirements for telehealth services and how they limit access to older adults, COVID-19 funding for telehealth services and internet connectivity, and finally the impact of access to devices and digital literacy in Detroit. Finally, we address how Detroit, the State of Michigan, and the Federal government can bridge the digital gap. This recommendation included examining the current steps taken by The Center for Urban Responses to Environmental Stressors (CURES), and what programs are needed next, including follow-up, connecting with community partners, the potential benefits of funding announcements by federal and state programs aimed at addressing connectivity gaps, and community-based connectivity solutions and their real-world impact

Portable Fog Gateways for Resilient Sensors Data Aggregation in Internet-less Environment

Fog computing is gaining attention due to the potential of aggregating and processing time-sensitive data at the nearby intelligent gateways. It reduces the latency of sensors data aggregation and response time therefore, improve real-time action which is beneficial in environmental monitoring and early warning systems. However, deploying edge computing in Internet-less environment seems unpractical and the mobility of gateways is less focused in current literature. In this paper, we present a practical design of a portable gateways scheme for sensors data aggregation and processing in Internet-less environment. The proposed gateways can locate their geographical locations which can be automatically converted into location names at the central gateway. The proposed portable Fog Gateways are developed by using open-source hardware and integrated with Cloud database for data storage. Data processing techniques such as data parsing and Reverse Geocoding are conducted for reliable data transmission by using GSM/GPRS technology and geographical location name detection respectively. Finally, a case study has been conducted to evaluate the feasibility of our proposed Fog Gateways scheme in real-time application