How 5G wireless (and concomitant technologies) will revolutionize healthcare?

The need to have equitable access to quality healthcare is enshrined in the United Nations (UN) Sustainable Development Goals (SDGs), which defines the developmental agenda of the UN for the next 15 years. In particular, the third SDG focuses on the need to “ensure healthy lives and promote well-being for all at all ages”. In this paper, we build the case that 5G wireless technology, along with concomitant emerging technologies (such as IoT, big data, artificial intelligence and machine learning), will transform global healthcare systems in the near future. Our optimism around 5G-enabled healthcare stems from a confluence of significant technical pushes that are already at play: apart from the availability of high-throughput low-latency wireless connectivity, other significant factors include the democratization of computing through cloud computing; the democratization of Artificial Intelligence (AI) and cognitive computing (e.g., IBM Watson); and the commoditization of data through crowdsourcing and digital exhaust. These technologies together can finally crack a dysfunctional healthcare system that has largely been impervious to technological innovations. We highlight the persistent deficiencies of the current healthcare system and then demonstrate how the 5G-enabled healthcare revolution can fix these deficiencies. We also highlight open technical research challenges, and potential pitfalls, that may hinder the development of such a 5G-enabled health revolution

FIT A Fog Computing Device for Speech TeleTreatments

There is an increasing demand for smart fogcomputing gateways as the size of cloud data is growing. This paper presents a Fog computing interface (FIT) for processing clinical speech data. FIT builds upon our previous work on EchoWear, a wearable technology that validated the use of smartwatches for collecting clinical speech data from patients with Parkinson's disease (PD). The fog interface is a low-power embedded system that acts as a smart interface between the smartwatch and the cloud. It collects, stores, and processes the speech data before sending speech features to secure cloud storage. We developed and validated a working prototype of FIT that enabled remote processing of clinical speech data to get speech clinical features such as loudness, short-time energy, zero-crossing rate, and spectral centroid. We used speech data from six patients with PD in their homes for validating FIT. Our results showed the efficacy of FIT as a Fog interface to translate the clinical speech processing chain (CLIP) from a cloud-based backend to a fog-based smart gateway.Comment: 3 pages, 5 figures, 1 table, 2nd IEEE International Conference on Smart Computing SMARTCOMP 2016, Missouri, USA, 201

Technology and Caregiving: Emerging Interventions and Directions for Research.

An array of technology-based interventions has increasingly become available to support family caregivers, primarily focusing on health and well-being, social isolation, financial, and psychological support. More recently the emergence of new technologies such as mobile and cloud, robotics, connected sensors, virtual/augmented/mixed reality, voice, and the evermore ubiquitous tools supported by advanced data analytics, coupled with the integration of multiple technologies through platform solutions, have opened a new era of technology-enabled interventions that can empower and support family caregivers. This paper proposes a conceptual framework for identifying and addressing the challenges that may need to be overcome to effectively apply technology-enabled solutions for family caregivers. The paper identifies a number of challenges that either moderate or mediate the full use of technologies for the benefit of caregivers. The challenges include issues related to equity, inclusion, and access; ethical concerns related to privacy and security; political and regulatory factors affecting interoperability and lack of standards; inclusive/human-centric design and issues; and inherent economic and distribution channel difficulties. The paper concludes with a summary of research questions and issues that form a framework for global research priorities

RFID Localisation For Internet Of Things Smart Homes: A Survey

The Internet of Things (IoT) enables numerous business opportunities in fields as diverse as e-health, smart cities, smart homes, among many others. The IoT incorporates multiple long-range, short-range, and personal area wireless networks and technologies into the designs of IoT applications. Localisation in indoor positioning systems plays an important role in the IoT. Location Based IoT applications range from tracking objects and people in real-time, assets management, agriculture, assisted monitoring technologies for healthcare, and smart homes, to name a few. Radio Frequency based systems for indoor positioning such as Radio Frequency Identification (RFID) is a key enabler technology for the IoT due to its costeffective, high readability rates, automatic identification and, importantly, its energy efficiency characteristic. This paper reviews the state-of-the-art RFID technologies in IoT Smart Homes applications. It presents several comparable studies of RFID based projects in smart homes and discusses the applications, techniques, algorithms, and challenges of adopting RFID technologies in IoT smart home systems.Comment: 18 pages, 2 figures, 3 table

Fog Computing in Medical Internet-of-Things: Architecture, Implementation, and Applications

In the era when the market segment of Internet of Things (IoT) tops the chart in various business reports, it is apparently envisioned that the field of medicine expects to gain a large benefit from the explosion of wearables and internet-connected sensors that surround us to acquire and communicate unprecedented data on symptoms, medication, food intake, and daily-life activities impacting one's health and wellness. However, IoT-driven healthcare would have to overcome many barriers, such as: 1) There is an increasing demand for data storage on cloud servers where the analysis of the medical big data becomes increasingly complex, 2) The data, when communicated, are vulnerable to security and privacy issues, 3) The communication of the continuously collected data is not only costly but also energy hungry, 4) Operating and maintaining the sensors directly from the cloud servers are non-trial tasks. This book chapter defined Fog Computing in the context of medical IoT. Conceptually, Fog Computing is a service-oriented intermediate layer in IoT, providing the interfaces between the sensors and cloud servers for facilitating connectivity, data transfer, and queryable local database. The centerpiece of Fog computing is a low-power, intelligent, wireless, embedded computing node that carries out signal conditioning and data analytics on raw data collected from wearables or other medical sensors and offers efficient means to serve telehealth interventions. We implemented and tested an fog computing system using the Intel Edison and Raspberry Pi that allows acquisition, computing, storage and communication of the various medical data such as pathological speech data of individuals with speech disorders, Phonocardiogram (PCG) signal for heart rate estimation, and Electrocardiogram (ECG)-based Q, R, S detection.Comment: 29 pages, 30 figures, 5 tables. Keywords: Big Data, Body Area Network, Body Sensor Network, Edge Computing, Fog Computing, Medical Cyberphysical Systems, Medical Internet-of-Things, Telecare, Tele-treatment, Wearable Devices, Chapter in Handbook of Large-Scale Distributed Computing in Smart Healthcare (2017), Springe

Smart Healthcare solutions in China and Europe, an international business perspective

The thesis is part of the Marie Curie Fellowship project addressing health related challenges with IoT solutions. The author tries to address the challenge for the implementation of telehealth solutions by finding out the demand of the telehealth solution in selected European economies and in China (chapter 1), analyzing the emerging business models for telehealth solution ecosystems in China (chapter 2), how to integrate telehealth solutions with institutional stakeholders (chapter 3) and why are elderly users willing to use telehealth solutions in China. Chapter 1 and chapter 2 form the theoretical background for empirical work in chapter 3 and chapter 4. The thesis addressed four research questions, namely “Which societal and social-economics unmet needs that Internet of Healthcare Things can help to resolve?”, “What are the business model innovation for tech companies in China for the smart health industry?”, “What are the facilitators and hurdles for implementing telehealth solutions”, “Are elderly users willing to use telehealth solutions in China?”. Both qualitative study and quantitative analysis has been made based on data collected by in depth interviews with stakeholders, focus group study work with urban and rural residents in China. The digital platform framework was used in chapter 2 as the theoretical framework where as the stakeholder power mapping framework was used in chapter 3. The discretion choice experiment was used in chapter 4 to design questionnaire study while ordered logit regression was used to analyze the data. Telehealth solutions have great potential to fill in the gap for lack of community healthcare and ensuring health continuity between home care setting, community healthcare and hospitals. There is strong demand for such solutions if they can prove the medical value in managing chronic disease by raising health awareness and lowering health risks by changing the patients’ lifestyle. Analyzing how to realize the value for preventive healthcare by proving the health-economic value of digital health solutions (telehealth solutions) is the focus of research. There remain hurdles to build trust for telehealth solutions and the use of AI in healthcare. Next step of research can also be extended to addressing such challenges by analyzing how to improve the transparency of algorithms by disclosing the data source, and how the algorithms were built. Further research can be done on data interoperability between the EHR systems and telehealth solutions. The medical value of telehealth solutions can improve if doctors could interpret data collected from telehealth solutions; furthermore, if doctors could make diagnosis and provide treatment, adjust healthcare management plans based on such data, telehealth solutions then can be included in insurance packages, making them more accessible

Tracking Human Behavioural Consistency by Analysing Periodicity of Household Water Consumption

People are living longer than ever due to advances in healthcare, and this has prompted many healthcare providers to look towards remote patient care as a means to meet the needs of the future. It is now a priority to enable people to reside in their own homes rather than in overburdened facilities whenever possible. The increasing maturity of IoT technologies and the falling costs of connected sensors has made the deployment of remote healthcare at scale an increasingly attractive prospect. In this work we demonstrate that we can measure the consistency and regularity of the behaviour of a household using sensor readings generated from interaction with the home environment. We show that we can track changes in this behaviour regularity longitudinally and detect changes that may be related to significant life events or trends that may be medically significant. We achieve this using periodicity analysis on water usage readings sampled from the main household water meter every 15 minutes for over 8 months. We utilise an IoT Application Enablement Platform in conjunction with low cost LoRa-enabled sensors and a Low Power Wide Area Network in order to validate a data collection methodology that could be deployed at large scale in future. We envision the statistical methods described here being applied to data streams from the homes of elderly and at-risk groups, both as a means of early illness detection and for monitoring the well-being of those with known illnesses.Comment: 2019 2nd International Conference on Sensors, Signal and Image Processin

Internet of Things (IoT): Cybersecurity Risks in Healthcare

The rapid growth and investment in the Internet of Things (IoT) has significantly impacted how individuals and industries operate. The Internet of Things (IoT) refers to a network of physical, technology-embedded objects that communicate, detect, and interact with their external environment or internal state (Hung, 2017). According to Tankovska (2020), IoT devices are estimated to reach 21.5 billion units by 2025. This technological boom is leading various industrial sectors to notice a quick increase in cybersecurity risks and threats. One industrial sector has been particularly vulnerable to numerous cyber threats across the globe: healthcare. Oliver Noble (2020), a data encryption specialist at NordLocker, suggests that cybercriminals target healthcare institutions because they store an overwhelming amount of patient information that is private, personal, and unchangeable. Healthcare organizations have a difficult time securing their cybersecurity infrastructure and the reasons for this will be further discussed in this paper

Internet of Things (IoT) enabled assistive care services: Designing for value and trust

The rising elderly demographic, often with long-term conditions, represents a significant challenge globally in terms of planning for the efficient use of increasingly expensive and constrained health care resources. The internet of things (IoT) emerged as a disruptive and transformative new technology that could potentially stimulate development of new innovative assisted living health and care services. In this paper, we argue that as the human agency and relationship intrinsically associated with care get transferred to the material agency of smart technology, value and trust should be a vital consideration for designing such services.Drawing on interdisciplinary perspectives from the literature on services innovation, design science and trust in relation to healthcare technologies, we present a conceptual framework that articulates various levels of trust among the concerned stakeholders in the service ecosystem and suggests value-sensitive design considerations, anchored on the principles of trust, for future IoT-enabled assistive care services