Wearable Technologies and AI at the Far Edge for Chronic Heart Failure Prevention and Management: A Systematic Review and Prospects

Smart wearable devices enable personalized at-home healthcare by unobtrusively collecting patient health data and facilitating the development of intelligent platforms to support patient care and management. The accurate analysis of data obtained from wearable devices is crucial for interpreting and contextualizing health data and facilitating the reliable diagnosis and management of critical and chronic diseases. The combination of edge computing and artificial intelligence has provided real-time, time-critical, and privacy-preserving data analysis solutions. However, based on the envisioned service, evaluating the additive value of edge intelligence to the overall architecture is essential before implementation. This article aims to comprehensively analyze the current state of the art on smart health infrastructures implementing wearable and AI technologies at the far edge to support patients with chronic heart failure (CHF). In particular, we highlight the contribution of edge intelligence in supporting the integration of wearable devices into IoT-aware technology infrastructures that provide services for patient diagnosis and management. We also offer an in-depth analysis of open challenges and provide potential solutions to facilitate the integration of wearable devices with edge AI solutions to provide innovative technological infrastructures and interactive services for patients and doctors

Privacy - Preserving Data Exchange and Aggregation in Healthcare

Medical data are often scattered among multiple clinics, hospitals, insurance companies, pharmacies, and research institutions that store and process personal healthcare information. The use of information and communication technologies for health (eHealth) provides us with the means to share healthcare data between authorized parties in an efficient manner. In this thesis, we address some of the challenges of implementing eHealth in practice: to achieve interoperability between data sources, and to ensure privacy for patients. Achieving both of these guarantees is our goal but they seem conflictual, hence the challenge. Once interoperability is achieved and a patientâs data are shared, it becomes evenmore difficult to ensure the patientâs privacy i.e., to provide to a patient control over his data and to guarantee the data anonymity in medical research. We address the aforementioned challenges by studying requirements from medical and legal perspectives, and by developing algorithms and frameworks to support privacy-preserving dynamic data-sharing, exchange, and aggregation from multiple data sources. In the first part of the thesis, we address certain privacy challenges. We present a framework based on the blockchain technology for ensuring traceability and accountability when sharing, exchanging, and aggregating medical data. Our framework ensures privacy, security, availability, and fine-grained access control over highly sensitive patient-data. We also analyze the potential of applying blockchain technology in different eHealth settings: primary care, medical-data research, and connected health. Our second contribution is a framework for privacy-preserving data aggregation: an algorithm for constructing the anonymized database and a protocol that improves the utility of the anonymized database as the database grows. In the second part of the thesis, we focus on achieving interoperability. We design an interface specification that defines communication protocols andmessages supporting integration of a new software tool in clinical practice. Then, we develop a multi-agent system (MAS) for the dynamic aggregation of the data collected and generated by this software tool for the purpose of clinical research. This MAS takes into account the objectives of the research study, the availability of data, and could employ our proposed algorithm for privacy-preserving data aggregation. The negotiation protocol in the framework of theMAS achieves a precise definition of database characteristics, such as schema, content, and privacy parameters, therefore increasing the efficiency of data collection for medical research and ensuring the privacy of patients

Authentication and authorisation in entrusted unions

This paper reports on the status of a project whose aim is to implement and demonstrate in a real-life environment an integrated eAuthentication and eAuthorisation framework to enable trusted collaborations and delivery of services across different organisational/governmental jurisdictions. This aim will be achieved by designing a framework with assurance of claims, trust indicators, policy enforcement mechanisms and processing under encryption to address the security and confidentiality requirements of large distributed infrastructures. The framework supports collaborative secure distributed storage, secure data processing and management in both the cloud and offline scenarios and is intended to be deployed and tested in two pilot studies in two different domains, viz, Bio-security incident management and Ambient Assisted Living (eHealth). Interim results in terms of security requirements, privacy preserving authentication, and authorisation are reported