On the Deployment of Healthcare Applications over Fog Computing Infrastructure

Fog computing is considered as the most promising enhancement of the traditional cloud computing paradigm in order to handle potential issues introduced by the emerging Interned of Things (IoT) framework at the network edge. The heterogeneous nature, the extensive distribution and the hefty number of deployed IoT nodes will disrupt existing functional models, creating confusion. However, IoT will facilitate the rise of new applications, with automated healthcare monitoring platforms being amongst them. This paper presents the pillars of design for such applications, along with the evaluation of a working prototype that collects ECG traces from a tailor-made device and utilizes the patient's smartphone as a Fog gateway for securely sharing them to other authorized entities. This prototype will allow patients to share information to their physicians, monitor their health status independently and notify the authorities rapidly in emergency situations. Historical data will also be available for further analysis, towards identifying patterns that may improve medical diagnoses in the foreseeable future

Design and evaluation of a person-centric heart monitoring system over fog computing infrastructure

Heart disease and stroke are becoming the leading cause of death worldwide. Electrocardiography monitoring devices (ECG) are the only tool that helps physicians diagnose cardiac abnormalities. Although the design of ECGs has followed closely the electronics miniaturization evolution over the years, existing wearable ECG have limited accuracy and rely on external resources to analyze the signal and evaluate heart activity. In this paper, we work towards empowering the wearable device with processing capabilities to locally analyze the signal and identify abnormal behavior. The ability to differentiate between normal and abnormal heart activity significantly reduces (a) the need to store the signals, (b) the data transmitted to the cloud and (c) the overall power consumption. Based on this concept, the HEART platform is presented that combines wearable embedded devices, mobile edge devices, and cloud services to provide on-the-spot, reliable, accurate and instant monitoring of the heart. The performance of the system is evaluated concerning the accuracy of detecting abnormal events and the power consumption of the wearable device. Results indicate that a very high percentage of success can be achieved in terms of event detection ratio and the device being operative up to a several days without the need for a recharge

Low-Power Wireless Wearable ECG Monitoring Chestbelt Based on Ferroelectric Microprocessor

Since cadiovascular disease (CVD) posts a heavy threat to people's health, long-term electrocardiogram (ECG) monitoring is of great value for the improvement of treatment. To realize remote long-term ECG monitoring, a low-power wireless wearable ECG monitoring device is proposed in this paper. The ECG monitoring device, abbreviated as ECGM, is designed based on ferroelectric microprocessor which provides ultra-low power consumption and contains four parts-MCU, BLE, Sensors and Power. The MCU part means circuit of MSP430FR2433, the core of ECGM. The BLE part is the CC2640R2F module applied for wireless transmission of the collected bio-signal data. And the sensors part includes several sensors like BMD101 used for monitoring bio-signals and motion of the wearer, while the Power part consists of battery circuit, charging circuit and 3.3V/1.8V/4.4V power supply circuit. The ECGM first collects ECG signals from the fabric electrodes adhered to wearers' chest, preprocesses the signals to eliminate the injected noise, and then transmit the output data to wearers' hand-held mobile phones through Bluetooth low energy (BLE). The wearers are enabled to acquire ECGs and other physiological parameters on their phones as well as some corresponding suggestions. The novelty of the system lies in the combination of low-power ECG sensor chip with ferroelectric microprocessor, thus achieving ultra-low power consumption and high signal quality

The Applications of the Internet of things in the Medical Field

The Internet of Things (IoT) paradigm promises to make “things” include a more generic set of entities such as smart devices, sensors, human beings, and any other IoT objects to be accessible at anytime and anywhere. IoT varies widely in its applications, and one of its most beneficial uses is in the medical field. However, the large attack surface and vulnerabilities of IoT systems needs to be secured and protected. Security is a requirement for IoT systems in the medical field where the Health Insurance Portability and Accountability Act (HIPAA) applies. This work investigates various applications of IoT in healthcare and focuses on the security aspects of the two internet of medical things (IoMT) devices: the LifeWatch Mobile Cardiac Telemetry 3 Lead (MCT3L), and the remote patient monitoring system of the telehealth provider Vivify Health, as well as their implementations

Evolución de la medición ambulatoria para la detección de enfermedades cardiacas

Since the appearance of the Holter monitor, it was conceived as a continuation of the electrocardiogram which serves to detect cardiac diseases, many signs of progress have been made of these devices, which go hand in hand with technology, mainly in elements microcontrollers and micro sensors, such as the transmission of data in real time. With this has been minimized the shortcomings to provide greater comfort and better results of the analysis. This article contains an analysis of these ambulatory measuring devices from the beginning to the current research, analyzing the use of this element for the detection of cardiac diseases, pros and cons of this kind of devices by emphasizing great change that has been generated in recent years with the technological progress.Desde la aparición del monitor Holter concebido como una continuación del electrocardiograma que sirve para detectar enfermedades cardiacas, se han presentado avances de estos dispositivos los cuales van de la mano con la tecnología, principalmente en elementos microcontroladores y microsensores, como la transmisión de datos en tiempo real, con esto han sido minimizadas las falencias para brindar mayor comodidad y mejores resultados de análisis. El presente artículo contiene un análisis de estos dispositivos de medición ambulatoria desde sus inicios hasta las investigaciones actuales, analizando el uso de este elemento para la detección de enfermedades cardiacas, pros y contra de esta clase de dispositivos y del gran cambio que se ha generado en los últimos años con el progreso tecnológico

Statistical Review of Health Monitoring Models for Real-Time Hospital Scenarios

Health Monitoring System Models (HMSMs) need speed, efficiency, and security to work. Cascading components ensure data collection, storage, communication, retrieval, and privacy in these models. Researchers propose many methods to design such models, varying in scalability, multidomain efficiency, flexibility, usage and deployment, computational complexity, cost of deployment, security level, feature usability, and other performance metrics. Thus, HMSM designers struggle to find the best models for their application-specific deployments. They must test and validate different models, which increases design time and cost, affecting deployment feasibility. This article discusses secure HMSMs' application-specific advantages, feature-specific limitations, context-specific nuances, and deployment-specific future research scopes to reduce model selection ambiguity. The models based on the Internet of Things (IoT), Machine Learning Models (MLMs), Blockchain Models, Hashing Methods, Encryption Methods, Distributed Computing Configurations, and Bioinspired Models have better Quality of Service (QoS) and security than their counterparts. Researchers can find application-specific models. This article compares the above models in deployment cost, attack mitigation performance, scalability, computational complexity, and monitoring applicability. This comparative analysis helps readers choose HMSMs for context-specific application deployments. This article also devises performance measuring metrics called Health Monitoring Model Metrics (HM3) to compare the performance of various models based on accuracy, precision, delay, scalability, computational complexity, energy consumption, and security

A Context-Responsive LSTM based IoT Enabled E- Healthcare Monitoring System for Arrhythmia Detection

Detecting Arrhythmia, a life-threatening cardiac condition, in real-time is crucial for timely intervention and improved healthcare outcomes. Traditional manual methods for Arrhythmia detection using Electrocardiogram (ECG) signals are error-prone and resource-intensive. To address these limitations, this paper presents an automated system based on the Context Responsive Long Short-Term Memory (CR-LSTM) model for real-time Arrhythmia classification. The system leverages IoT technology to continuously monitor vital signs and effectively combines contextual information with temporal sensor data to accurately discern different types of Arrhythmias. The CR-LSTM model achieves an impressive accuracy of 99.72% in multiclass classification of Arrhythmias, making it a promising solution for dynamic healthcare settings and proactive personalized care

An Adaptive Cognitive Sensor Node for ECG Monitoring in the Internet of Medical Things

The Internet of Medical Things (IoMT) paradigm is becoming mainstream in multiple clinical trials and healthcare procedures. Cardiovascular diseases monitoring, usually involving electrocardiogram (ECG) traces analysis, is one of the most promising and high-impact applications. Nevertheless, to fully exploit the potential of IoMT in this domain, some steps forward are needed. First, the edge-computing paradigm must be added to the picture. A certain level of near-sensor processing has to be enabled, to improve the scalability, portability, reliability and responsiveness of the IoMT nodes. Second, novel, increasingly accurate data analysis algorithms, such as those based on artificial intelligence and Deep Learning, must be exploited. To reach these objectives, designers, and programmers of IoMT nodes, have to face challenging optimization tasks, in order to execute fairly complex computing tasks on low-power wearable and portable processing systems, with tight power and battery lifetime budgets. In this work, we explore the implementation of a cognitive data analysis algorithm, based on a convolutional neural network trained to classify ECG waveforms, on a resource-constrained microcontroller-based computing platform. To minimize power consumption, we add an adaptivity layer that dynamically manages the hardware and software configuration of the device to adapt it at runtime to the required operating mode. Our experimental results show that adapting the node setup to the workload at runtime can save up to 50% power consumption. Our optimized and quantized neural network reaches an accuracy value higher than 97% for arrhythmia disorders detection on MIT-BIH Arrhythmia dataset