Wearable devices and IoT applications for symptom detection, infection tracking, and diffusion containment of the COVID-19 pandemic: a survey

Until a safe and effective vaccine to fight the SARS-CoV-2 virus is developed and available for the global population, preventive measures, such as wearable tracking and monitoring systems supported by Internet of Things (IoT) infrastructures, are valuable tools for containing the pandemic. In this review paper we analyze innovative wearable systems for limiting the virus spread, early detection of the first symptoms of the coronavirus disease COVID-19 infection, and remote monitoring of the health conditions of infected patients during the quarantine. The attention is focused on systems allowing quick user screening through ready-to-use hardware and software components. Such sensor-based systems monitor the principal vital signs, detect symptoms related to COVID-19 early, and alert patients and medical staff. Novel wearable devices for complying with social distancing rules and limiting interpersonal contagion (such as smart masks) are investigated and analyzed. In addition, an overview of implantable devices for monitoring the effects of COVID-19 on the cardiovascular system is presented. Then we report an overview of tracing strategies and technologies for containing the COVID-19 pandemic based on IoT technologies, wearable devices, and cloud computing. In detail, we demonstrate the potential of radio frequency based signal technology, including Bluetooth Low Energy (BLE), Wi-Fi, and radio frequency identification (RFID), often combined with Apps and cloud technology. Finally, critical analysis and comparisons of the different discussed solutions are presented, highlighting their potential and providing new insights for developing innovative tools for facing future pandemics

1-D broadside-radiating leaky-wave antenna based on a numerically synthesized impedance surface

A newly-developed deterministic numerical technique for the automated design of metasurface antennas is applied here for the first time to the design of a 1-D printed Leaky-Wave Antenna (LWA) for broadside radiation. The surface impedance synthesis process does not require any a priori knowledge on the impedance pattern, and starts from a mask constraint on the desired far-field and practical bounds on the unit cell impedance values. The designed reactance surface for broadside radiation exhibits a non conventional patterning; this highlights the merit of using an automated design process for a design well known to be challenging for analytical methods. The antenna is physically implemented with an array of metal strips with varying gap widths and simulation results show very good agreement with the predicted performance

Beam scanning by liquid-crystal biasing in a modified SIW structure

A fixed-frequency beam-scanning 1D antenna based on Liquid Crystals (LCs) is designed for application in 2D scanning with lateral alignment. The 2D array environment imposes full decoupling of adjacent 1D antennas, which often conflicts with the LC requirement of DC biasing: the proposed design accommodates both. The LC medium is placed inside a Substrate Integrated Waveguide (SIW) modified to work as a Groove Gap Waveguide, with radiating slots etched on the upper broad wall, that radiates as a Leaky-Wave Antenna (LWA). This allows effective application of the DC bias voltage needed for tuning the LCs. At the same time, the RF field remains laterally confined, enabling the possibility to lay several antennas in parallel and achieve 2D beam scanning. The design is validated by simulation employing the actual properties of a commercial LC medium

Smart Sensors for Healthcare and Medical Applications

This book focuses on new sensing technologies, measurement techniques, and their applications in medicine and healthcare. Specifically, the book briefly describes the potential of smart sensors in the aforementioned applications, collecting 24 articles selected and published in the Special Issue “Smart Sensors for Healthcare and Medical Applications”. We proposed this topic, being aware of the pivotal role that smart sensors can play in the improvement of healthcare services in both acute and chronic conditions as well as in prevention for a healthy life and active aging. The articles selected in this book cover a variety of topics related to the design, validation, and application of smart sensors to healthcare

Ecosystemic Evolution Feeded by Smart Systems

Information Society is advancing along a route of ecosystemic evolution. ICT and Internet advancements, together with the progression of the systemic approach for enhancement and application of Smart Systems, are grounding such an evolution. The needed approach is therefore expected to evolve by increasingly fitting into the basic requirements of a significant general enhancement of human and social well-being, within all spheres of life (public, private, professional). This implies enhancing and exploiting the net-living virtual space, to make it a virtuous beneficial integration of the real-life space. Meanwhile, contextual evolution of smart cities is aiming at strongly empowering that ecosystemic approach by enhancing and diffusing net-living benefits over our own lived territory, while also incisively targeting a new stable socio-economic local development, according to social, ecological, and economic sustainability requirements. This territorial focus matches with a new glocal vision, which enables a more effective diffusion of benefits in terms of well-being, thus moderating the current global vision primarily fed by a global-scale market development view. Basic technological advancements have thus to be pursued at the system-level. They include system architecting for virtualization of functions, data integration and sharing, flexible basic service composition, and end-service personalization viability, for the operation and interoperation of smart systems, supporting effective net-living advancements in all application fields. Increasing and basically mandatory importance must also be increasingly reserved for human–technical and social–technical factors, as well as to the associated need of empowering the cross-disciplinary approach for related research and innovation. The prospected eco-systemic impact also implies a social pro-active participation, as well as coping with possible negative effects of net-living in terms of social exclusion and isolation, which require incisive actions for a conformal socio-cultural development. In this concern, speed, continuity, and expected long-term duration of innovation processes, pushed by basic technological advancements, make ecosystemic requirements stricter. This evolution requires also a new approach, targeting development of the needed basic and vocational education for net-living, which is to be considered as an engine for the development of the related ‘new living know-how’, as well as of the conformal ‘new making know-how’

Towards reliable communication in low-power wireless body area networks

Es wird zunehmend die Ansicht vertreten, dass tragbare Computer und Sensoren neue Anwendungen in den Bereichen Gesundheitswesen, personalisierte Fitness oder erweiterte Realität ermöglichen werden. Die am Körper getragenen Geräte sind dabei mithilfe eines Wireless Body Area Network (WBAN) verbunden, d.h. es wird drahtlose Kommunikation statt eines drahtgebundenen Kanals eingesetzt. Der drahtlose Kanal ist jedoch typischerweise ein eher instabiles Kommunikationsmedium und die Einsatzbedingungen von WBANs sind besonders schwierig: Einerseits wird die Kanalqualität stark von den physischen Bewegungen der Person beeinflusst, andererseits werden WBANs häufig in lizenzfreien Funkbändern eingesetzt und sind daher Störungen von anderen drahtlosen Geräten ausgesetzt. Oft benötigen WBAN Anwendungen aber eine zuverlässige Datenübertragung. Das erste Ziel dieser Arbeit ist es, ein besseres Verständnis dafür zu schaffen, wie sich die spezifischen Einsatzbedingungen von WBANs auf die intra-WBAN Kommunikation auswirken. So wird zum Beispiel analysiert, welchen Einfluss die Platzierung der Geräte auf der Oberfläche des menschlichen Körpers und die Mobilität des Benutzers haben. Es wird nachgewiesen, dass während regelmäßiger Aktivitäten wie Laufen die empfangene Signalstärke stark schwankt, gleichzeitig aber Signalstärke-Spitzen oft einem regulären Muster folgen. Außerdem wird gezeigt, dass in urbanen Umgebungen die Effekte von 2.4 GHz Radio Frequency (RF) Interferenz im Vergleich zu den Auswirkungen von fading (Schwankungen der empfangenen Signalstärke) eher gering sind. Allerdings führt RF Interferenz dazu, dass häufiger Bündelfehler auftreten, d.h. Fehler zeitlich korrelieren. Dies kann insbesondere in Anwendungen, die eine geringe Übertragungslatenz benötigen, problematisch sein. Der zweite Teil dieser Arbeit beschäftigt sich mit der Analyse von Verfahren, die potentiell die Zuverlässigkeit der Kommunikation in WBANs erhöhen, ohne dass wesentlich mehr Energie verbraucht wird. Zunächst wird der Trade-off zwischen Übertragungslatenz und der Zuverlässigkeit der Kommunikation analysiert. Diese Analyse basiert auf einem neuen Paket-Scheduling Algorithmus, der einen Beschleunigungssensor nutzt, um die WBAN Kommunikation auf die physischen Bewegungen der Person abzustimmen. Die Analyse zeigt, dass unzuverlässige Kommunikationsverbindungen oft zuverlässig werden, wenn Pakete während vorhergesagter Signalstärke-Spitzen gesendet werden. Ferner wird analysiert, inwiefern die Robustheit gegen 2.4 GHz RF Interferenz verbessert werden kann. Dazu werden zwei Verfahren betrachtet: Ein bereits existierendes Verfahren, das periodisch einen Wechsel der Übertragungsfrequenz durchführt (channel hopping) und ein neues Verfahren, das durch RF Interferenz entstandene Bitfehler reparieren kann, indem der Inhalt mehrerer fehlerhafter Pakete kombiniert wird (packet combining). Eine Schlussfolgerung ist, dass Frequenzdiversität zwar das Auftreten von Bündelfehlern reduzieren kann, dass jedoch die statische Auswahl eines Kanals am oberen Ende des 2.4 GHz Bandes häufig schon eine akzeptable Abhilfe gegen RF Interferenz darstellt.There is a growing belief that wearable computers and sensors will enable new applications in areas such as healthcare, personal fitness or augmented reality. The devices are attached to a person and connected through a Wireless Body Area Network (WBAN), which replaces the wires of traditional monitoring systems by wireless communication. This comes, however, at the cost of turning a reliable communication channel into an unreliable one. The wireless channel is typically a rather unstable medium for communication and the conditions under which WBANs have to operate are particularly harsh: not only is the channel strongly influenced by the movements of the person, but WBANs also often operate in unlicensed frequency bands and may therefore be exposed to a significant amount of interference from other wireless devices. Yet, many envisioned WBAN applications require reliable data transmission. The goals of this thesis are twofold: first, we aim at establishing a better understanding of how the specific WBAN operating conditions, such as node placement on the human body surface and user mobility, impact intra-WBAN communication. We show that during periodic activities like walking the received signal strength on an on-body communication link fluctuates strongly, but signal strength peaks often follow a regular pattern. Furthermore, we find that in comparison to the effects of fading 2.4 GHz Radio Frequency (RF) interference causes relatively little packet loss - however, urban 2.4 GHz RF noise is bursty (correlated in time), which may be problematic for applications with low latency bounds. The second goal of this thesis is to analyze how communication reliability in WBANs can be improved without sacrificing a significant amount of additional energy. To this end, we first explore the trade-off between communication latency and communication reliability. This analysis is based on a novel packet scheduling algorithm, which makes use of an accelerometer to couple WBAN communication with the movement patterns of the user. The analysis shows that unreliable links can often be made reliable if packets are transmitted at predicted signal strength peaks. In addition, we analyze to what extent two mechanisms can improve robustness against 2.4 GHz RF interference when adopted in a WBAN context: we analyze the benefits of channel hopping, and we examine how the packet retransmission process can be made more efficient by using a novel packet combining algorithm that allows to repair packets corrupted by RF interference. One of the conclusions is that while frequency agility may decrease "burstiness" of errors the static selection of a channel at the upper end of the 2.4 GHz band often already represents a good remedy against RF interference

Methods for acquisition and integration of personal wellness parameters

Wellness indicates the state or condition of being in good physical and mental health. Stress is a common state of emotional strain that plays a crucial role in the everyday quality of life. Nowadays, there is a growing individual awareness of the importance of a proper lifestyle and a generalized trend to become an active part in monitoring, preserving, and improving personal wellness for both physical and emotional aspects. The majority studies in this field relies on the evaluation of the changes of sensed parameters passing from rest to “maximal” stress. However, the vast majority of people usually experiences stressing circumstances in everyday life. This led us to investigate the impact of mild cognitive activation which can be somehow comparable to usual situations that everyone can face in daily life. Several signals and data can be useful to characterize the state of a person, but not all of them are equally important. So it is crucial to analyse the mutual relevance of the different pieces of information. In this work we focus on a subset of well-established psychophysical descriptors and we identified a set of devices enabling the measurement of these parameters . The design of the experimental setup and the selection of sensing devices were driven by qualitative criteria such as intrusiveness, reliability, and ease of use. These are deemed crucial for implementing effective (self-)monitoring strategies. A reference dataset, named “Mild Cognitive Activation” (MCA), was collected. The last aim of the project was the definition of a quantitative model for data integration providing a concise description of the wellness status of a person. This process was based on unsupervised learning paradigms. Data from MCA were integrated with data from the “Stress Recognition in Automobile Drivers” dataset . This allowed a cross validation of the integration methodology

Cybersecurity and the Digital Health: An Investigation on the State of the Art and the Position of the Actors

Cybercrime is increasingly exposing the health domain to growing risk. The push towards a strong connection of citizens to health services, through digitalization, has undisputed advantages. Digital health allows remote care, the use of medical devices with a high mechatronic and IT content with strong automation, and a large interconnection of hospital networks with an increasingly effective exchange of data. However, all this requires a great cybersecurity commitment—a commitment that must start with scholars in research and then reach the stakeholders. New devices and technological solutions are increasingly breaking into healthcare, and are able to change the processes of interaction in the health domain. This requires cybersecurity to become a vital part of patient safety through changes in human behaviour, technology, and processes, as part of a complete solution. All professionals involved in cybersecurity in the health domain were invited to contribute with their experiences. This book contains contributions from various experts and different fields. Aspects of cybersecurity in healthcare relating to technological advance and emerging risks were addressed. The new boundaries of this field and the impact of COVID-19 on some sectors, such as mhealth, have also been addressed. We dedicate the book to all those with different roles involved in cybersecurity in the health domain