A feasibility study for the provision of electronic healthcare tools and services in areas of Greece, Cyprus and Italy

Background: Through this paper, we present the initial steps for the creation of an integrated platform for the provision of a series of eHealth tools and services to both citizens and travelers in isolated areas of thesoutheast Mediterranean, and on board ships travelling across it. The platform was created through an INTERREG IIIB ARCHIMED project called INTERMED. Methods: The support of primary healthcare, home care and the continuous education of physicians are the three major issues that the proposed platform is trying to facilitate. The proposed system is based on state-of-the-art telemedicine systems and is able to provide the following healthcare services: i) Telecollaboration and teleconsultation services between remotely located healthcare providers, ii) telemedicine services in emergencies, iii) home telecare services for "at risk" citizens such as the elderly and patients with chronic diseases, and iv) eLearning services for the continuous training through seminars of both healthcare personnel (physicians, nurses etc) and persons supporting "at risk" citizens. These systems support data transmission over simple phone lines, internet connections, integrated services digital network/digital subscriber lines, satellite links, mobile networks (GPRS/3G), and wireless local area networks. The data corresponds, among others, to voice, vital biosignals, still medical images, video, and data used by eLearning applications. The proposed platform comprises several systems, each supporting different services. These were integrated using a common data storage and exchange scheme in order to achieve system interoperability in terms of software, language and national characteristics. Results: The platform has been installed and evaluated in different rural and urban sites in Greece, Cyprus and Italy. The evaluation was mainly related to technical issues and user satisfaction. The selected sites are, among others, rural health centers, ambulances, homes of "at-risk" citizens, and a ferry. Conclusions: The results proved the functionality and utilization of the platform in various rural places in Greece, Cyprus and Italy. However, further actions are needed to enable the local healthcare systems and the different population groups to be familiarized with, and use in their everyday lives, mature technological solutions for the provision of healthcare services

Fog-enabled Edge Learning for Cognitive Content-Centric Networking in 5G

By caching content at network edges close to the users, the content-centric networking (CCN) has been considered to enforce efficient content retrieval and distribution in the fifth generation (5G) networks. Due to the volume, velocity, and variety of data generated by various 5G users, an urgent and strategic issue is how to elevate the cognitive ability of the CCN to realize context-awareness, timely response, and traffic offloading for 5G applications. In this article, we envision that the fundamental work of designing a cognitive CCN (C-CCN) for the upcoming 5G is exploiting the fog computing to associatively learn and control the states of edge devices (such as phones, vehicles, and base stations) and in-network resources (computing, networking, and caching). Moreover, we propose a fog-enabled edge learning (FEL) framework for C-CCN in 5G, which can aggregate the idle computing resources of the neighbouring edge devices into virtual fogs to afford the heavy delay-sensitive learning tasks. By leveraging artificial intelligence (AI) to jointly processing sensed environmental data, dealing with the massive content statistics, and enforcing the mobility control at network edges, the FEL makes it possible for mobile users to cognitively share their data over the C-CCN in 5G. To validate the feasibility of proposed framework, we design two FEL-advanced cognitive services for C-CCN in 5G: 1) personalized network acceleration, 2) enhanced mobility management. Simultaneously, we present the simulations to show the FEL's efficiency on serving for the mobile users' delay-sensitive content retrieval and distribution in 5G.Comment: Submitted to IEEE Communications Magzine, under review, Feb. 09, 201

3G networks in emergency telemedicine - An in-depth evaluation & analysis

The evolution of telecommunications technologies in connection with the robustness and the fidelity these new systems provide, have opened up many new horizons as regards the provision of healthcare and the quality of service from the side of the experts to that of the patients. The purpose of this paper is to evaluate the third generation telecommunications systems that are only recently being deployed in Europe, as well as argue on why a transition from 2G and 2.5G to 3G telecommunications systems could prove to be crucial, especially in relation to emergency telemedicine. The experimental results of the use of these systems are analyzed, the implementation of a tele-consultation unit is presented and their exploitation capabilities are explored

Wireless body sensor networks for health-monitoring applications

This is an author-created, un-copyedited version of an article accepted for publication in Physiological Measurement. The publisher is not responsible for any errors or omissions in this version of the manuscript or any version derived from it. The Version of Record is available online at http://dx.doi.org/10.1088/0967-3334/29/11/R01

M-health review: joining up healthcare in a wireless world

In recent years, there has been a huge increase in the use of information and communication technologies (ICT) to deliver health and social care. This trend is bound to continue as providers (whether public or private) strive to deliver better care to more people under conditions of severe budgetary constraint

A low-power opportunistic communication protocol for wearable applications

© 2015 IEEE.Recent trends in wearable applications demand flexible architectures being able to monitor people while they move in free-living environments. Current solutions use either store-download-offline processing or simple communication schemes with real-time streaming of sensor data. This limits the applicability of wearable applications to controlled environments (e.g, clinics, homes, or laboratories), because they need to maintain connectivity with the base station throughout the monitoring process. In this paper, we present the design and implementation of an opportunistic communication framework that simplifies the general use of wearable devices in free-living environments. It relies on a low-power data collection protocol that allows the end user to opportunistically, yet seamlessly manage the transmission of sensor data. We validate the feasibility of the framework by demonstrating its use for swimming, where the normal wireless communication is constantly interfered by the environment