Specification and Needs of the Clinical Testbeds

This deliverable describes the three clinical testbed demonstrator sites of the 6WINIT Project. These sites provide a means of validating the technical 6WINIT solutions and of the potential benefits of using wireless IPv6 services. In this deliverable each site has provided a description of the healthcare setting, the clinical challenges to be addressed and the clinical applications that will be used to profile 6WINIT. The deliverable also includes an initial outline view of the technical strategy for implementing the 6WINIT solutions and considers any relevant networking and security issues

Description and Experience of the Clinical Testbeds

This deliverable describes the up-to-date technical environment at three clinical testbed demonstrator sites of the 6WINIT Project, including the adapted clinical applications, project components and network transition technologies in use at these sites after 18 months of the Project. It also provides an interim description of early experiences with deployment and usage of these applications, components and technologies, and their clinical service impact

Clinical foundations and information architecture for the implementation of a federated health record service

Clinical care increasingly requires healthcare professionals to access patient record information that may be distributed across multiple sites, held in a variety of paper and electronic formats, and represented as mixtures of narrative, structured, coded and multi-media entries. A longitudinal person-centred electronic health record (EHR) is a much-anticipated solution to this problem, but its realisation is proving to be a long and complex journey. This Thesis explores the history and evolution of clinical information systems, and establishes a set of clinical and ethico-legal requirements for a generic EHR server. A federation approach (FHR) to harmonising distributed heterogeneous electronic clinical databases is advocated as the basis for meeting these requirements. A set of information models and middleware services, needed to implement a Federated Health Record server, are then described, thereby supporting access by clinical applications to a distributed set of feeder systems holding patient record information. The overall information architecture thus defined provides a generic means of combining such feeder system data to create a virtual electronic health record. Active collaboration in a wide range of clinical contexts, across the whole of Europe, has been central to the evolution of the approach taken. A federated health record server based on this architecture has been implemented by the author and colleagues and deployed in a live clinical environment in the Department of Cardiovascular Medicine at the Whittington Hospital in North London. This implementation experience has fed back into the conceptual development of the approach and has provided "proof-of-concept" verification of its completeness and practical utility. This research has benefited from collaboration with a wide range of healthcare sites, informatics organisations and industry across Europe though several EU Health Telematics projects: GEHR, Synapses, EHCR-SupA, SynEx, Medicate and 6WINIT. The information models published here have been placed in the public domain and have substantially contributed to two generations of CEN health informatics standards, including CEN TC/251 ENV 13606

Internet of Things Applications - From Research and Innovation to Market Deployment

The book aims to provide a broad overview of various topics of Internet of Things from the research, innovation and development priorities to enabling technologies, nanoelectronics, cyber physical systems, architecture, interoperability and industrial applications. It is intended to be a standalone book in a series that covers the Internet of Things activities of the IERC – Internet of Things European Research Cluster from technology to international cooperation and the global "state of play".The book builds on the ideas put forward by the European research Cluster on the Internet of Things Strategic Research Agenda and presents global views and state of the art results on the challenges facing the research, development and deployment of IoT at the global level. Internet of Things is creating a revolutionary new paradigm, with opportunities in every industry from Health Care, Pharmaceuticals, Food and Beverage, Agriculture, Computer, Electronics Telecommunications, Automotive, Aeronautics, Transportation Energy and Retail to apply the massive potential of the IoT to achieving real-world solutions. The beneficiaries will include as well semiconductor companies, device and product companies, infrastructure software companies, application software companies, consulting companies, telecommunication and cloud service providers. IoT will create new revenues annually for these stakeholders, and potentially create substantial market share shakeups due to increased technology competition. The IoT will fuel technology innovation by creating the means for machines to communicate many different types of information with one another while contributing in the increased value of information created by the number of interconnections among things and the transformation of the processed information into knowledge shared into the Internet of Everything. The success of IoT depends strongly on enabling technology development, market acceptance and standardization, which provides interoperability, compatibility, reliability, and effective operations on a global scale. The connected devices are part of ecosystems connecting people, processes, data, and things which are communicating in the cloud using the increased storage and computing power and pushing for standardization of communication and metadata. In this context security, privacy, safety, trust have to be address by the product manufacturers through the life cycle of their products from design to the support processes. The IoT developments address the whole IoT spectrum - from devices at the edge to cloud and datacentres on the backend and everything in between, through ecosystems are created by industry, research and application stakeholders that enable real-world use cases to accelerate the Internet of Things and establish open interoperability standards and common architectures for IoT solutions. Enabling technologies such as nanoelectronics, sensors/actuators, cyber-physical systems, intelligent device management, smart gateways, telematics, smart network infrastructure, cloud computing and software technologies will create new products, new services, new interfaces by creating smart environments and smart spaces with applications ranging from Smart Cities, smart transport, buildings, energy, grid, to smart health and life. Technical topics discussed in the book include: • Introduction• Internet of Things Strategic Research and Innovation Agenda• Internet of Things in the industrial context: Time for deployment.• Integration of heterogeneous smart objects, applications and services• Evolution from device to semantic and business interoperability• Software define and virtualization of network resources• Innovation through interoperability and standardisation when everything is connected anytime at anyplace• Dynamic context-aware scalable and trust-based IoT Security, Privacy framework• Federated Cloud service management and the Internet of Things• Internet of Things Application

Building the Future Internet through FIRE

The Internet as we know it today is the result of a continuous activity for improving network communications, end user services, computational processes and also information technology infrastructures. The Internet has become a critical infrastructure for the human-being by offering complex networking services and end-user applications that all together have transformed all aspects, mainly economical, of our lives. Recently, with the advent of new paradigms and the progress in wireless technology, sensor networks and information systems and also the inexorable shift towards everything connected paradigm, first as known as the Internet of Things and lately envisioning into the Internet of Everything, a data-driven society has been created. In a data-driven society, productivity, knowledge, and experience are dependent on increasingly open, dynamic, interdependent and complex Internet services. The challenge for the Internet of the Future design is to build robust enabling technologies, implement and deploy adaptive systems, to create business opportunities considering increasing uncertainties and emergent systemic behaviors where humans and machines seamlessly cooperate

Building the Future Internet through FIRE

The Internet as we know it today is the result of a continuous activity for improving network communications, end user services, computational processes and also information technology infrastructures. The Internet has become a critical infrastructure for the human-being by offering complex networking services and end-user applications that all together have transformed all aspects, mainly economical, of our lives. Recently, with the advent of new paradigms and the progress in wireless technology, sensor networks and information systems and also the inexorable shift towards everything connected paradigm, first as known as the Internet of Things and lately envisioning into the Internet of Everything, a data-driven society has been created. In a data-driven society, productivity, knowledge, and experience are dependent on increasingly open, dynamic, interdependent and complex Internet services. The challenge for the Internet of the Future design is to build robust enabling technologies, implement and deploy adaptive systems, to create business opportunities considering increasing uncertainties and emergent systemic behaviors where humans and machines seamlessly cooperate

Cooperation Strategies for Enhanced Connectivity at Home

WHILE AT HOME , USERS MAY EXPERIENCE A POOR I NTERNET SERVICE while being connected to their 802.11 Access Points (APs). The AP is just one component of the Internet Gateway (GW) that generally includes a backhaul connection (ADSL, fiber,etc..) and a router providing a LAN. The root cause of performance degradation may be poor/congested wireless channel between the user and the GW or congested/bandwidth limited backhaul connection. The latter is a serious issue for DSL users that are located far from the central office because the greater the distance the lesser the achievable physical datarate. Furthermore, the GW is one of the few devices in the home that is left always on, resulting in energy waste and electromagnetic pollution increase. This thesis proposes two strategies to enhance Internet connectivity at home by (i) creating a wireless resource sharing scheme through the federation and the coordination of neighboring GWs in order to achieve energy efficiency while avoiding congestion, (ii) exploiting different king of connectivities, i.e., the wired plus the cellular (3G/4G) connections, through the aggregation of the available bandwidth across multiple access technologies. In order to achieve the aforementioned strategies we study and develop: • A viable interference estimation technique for 802.11 BSSes that can be implemented on commodity hardware at the MAC layer, without requiring active measurements, changes in the 802.11 standard, cooperation from the wireless stations (WSs). We extend previous theoretical results on the saturation throughput in order to quantify the impact in term of throughput loss of any kind of interferer. We im- plement and extensively evaluate our estimation technique with a real testbed and with different kind of interferer, achieving always good accuracy. • Two available bandwidth estimation algorithms for 802.11 BSSes that rely only on passive measurements and that account for different kind of interferers on the ISM band. This algorithms can be implemented on commodity hardware, as they require only software modifications. The first algorithm applies to intra-GW while the second one applies to inter-GW available bandwidth estimation. Indeed, we use the first algorithm to compute the metric for assessing the Wi-Fi load of a GW and the second one to compute the metric to decide whether accept incoming WSs from neighboring GWs or not. Note that in the latter case it is assumed that one or more WSs with known traffic profile are requested to relocate from one GW to another one. We evaluate both algorithms with simulation as well as with a real test-bed for different traffic patterns, achieving high precision. • A fully distributed and decentralized inter-access point protocol for federated GWs that allows to dynamically manage the associations of the wireless stations (WSs) in the federated network in order to achieve energy efficiency and offloading con- gested GWs, i.e, we keep a minimum number of GWs ON while avoiding to create congestion and real-time throughput loss. We evaluate this protocol in a federated scenario, using both simulation and a real test-bed, achieving up to 65% of energy saving in the simulated setting. We compare the energy saving achieved by our protocol against a centralized optimal scheme, obtaining close to optimal results. • An application level solution that accelerates slow ADSL connections with the parallel use of cellular (3G/4G) connections. We study the feasibility and the potential performance of this scheme at scale using both extensive throughput measurement of the cellular network and trace driven analysis. We validate our solution by implementing a real test bed and evaluating it “in the wild, at several residential locations of a major European city. We test two applications: Video-on-Demand (VoD) and picture upload, obtaining remarkable throughput increase for both applications at all locations. Our implementation features a multipath scheduler which we compare to other scheduling policies as well as to transport level solution like MTCP, obtaining always better results

Interoperability enhancement at remote locations using thread protocol with UAVs

Indiana University-Purdue University Indianapolis (IUPUI)In 21st century, interoperability in remote locations has always been a matter of contention. Interoperability is very closely related to internet and an efficient process saves a lot of time and money. With the advent of Wireless Sensor Networks (WSN), Native Internet Protocol (NIP) is considered as one of the most pragmatic solutions in market to address interoperability challenges and is gaining more attention in research. However, challenges like reliability, security of data, power consumption, range and maintenance, and accessibility of such internet in remote locations still remain a matter of concern, creating further barriers for interoperability. This research aims at proposing a viable solution to interoperability issues at remote locations, irrespective of its network or payload size, by integrating more advanced Wireless Sensor Protocols like Thread Protocol with a proposed Over The Air (OTA) file transfer functionality, into UAVs. Furthermore, this study analyzes power consumption, reliability, latency and scope of the proposed system and their applications in health care and industries