Autonomous Transportation in Emergency Healthcare Services, Challenges and Future Work

In pandemics like Covid-19, the use of autonomy and machine learning technologies are of high importance. Internet of things (IoT) enabled autonomous transportation system (ATS) envisions a fundamental change in the traditional transportation system. It aims to provide intelligent and automated transport of passengers, goods, and services with minimal human interference. While ATS targets broad spectrum of transportation (Cars, trains, planes etc.), the focus of this paper will be limited to the use of vehicles and road infrastructure to support healthcare and related services. In this paper, we offer an IoT based ATS framework for emergency healthcare services using Autonomous Vehicles (AVs) and deep reinforcement learning (DRL). The DRL enables the framework to identify emergency situation smartly and helps AVs to take faster decision in providing emergency health aid and transportation services to patients. Using ATS and DRL for healthcare mobility services will also contribute towards minimizing energy consumption and environmental pollution. This paper also discusses current challenges and future works in using ATS for healthcare services

Advancing Chronic Respiratory Disease Care with Real-Time Vital Sign Prediction

Cardiovascular and chronic respiratory diseases, being pervasive in nature, pose formidable challenges to the overall well-being of the global populace. With an alarming annual mortality rate of approximately 19 million individuals across the globe, these diseases have emerged as significant public health concerns warranting immediate attention and comprehensive understanding. The mitigation of this elevated mortality rate can be achieved through the application of cutting-edge technological innovations within the realm of medical science, which possess the capacity to enable the perpetual surveillance of various physiological indicators, including but not limited to blood pressure, cholesterol levels, and blood glucose concentrations. The forward-thinking implications of these pivotal physiological or vital sign parameters not only facilitate prompt intervention from medical professionals and carers, but also empower patients to effectively navigate their health status through the receipt of pertinent periodic notifications and guidance from healthcare practitioners. In this research endeavour, we present a novel framework that leverages the power of machine learning algorithms to forecast and categorise forthcoming values of pertinent physiological indicators in the context of cardiovascular and chronic respiratory ailments. Drawing upon prognostications of prospective values, the envisaged framework possesses the capacity to effectively categorise the health condition of individuals, thereby alerting both caretakers and medical professionals. In the present study, a machine-learning-driven prediction and classification framework has been employed, wherein a genuine dataset comprising vital signs has been utilised. In order to anticipate the forthcoming 1-3 minutes of vital sign values, a series of regression techniques, namely linear regression and polynomial regression of degrees 2, 3, and 4, have been subjected to rigorous examination and evaluation. In the realm of caregiving, a concise 60-second prognostication is employed to enable the expeditious provision of emergency medical aid. Additionally, a more comprehensive 3-minute prognostication of vital signs is utilised for the same purpose. The patient's overall health is evaluated based on the anticipated vital signs values through the utilisation of three machine learning classifiers, namely Support Vector Machine (SVM), Decision Tree and Random Forest. The findings of our study indicate that the implementation of a Decision Tree algorithm exhibits a high level of accuracy in accurately categorising a patient's health status by leveraging anomalous values of vital signs. This approach demonstrates its potential in facilitating prompt and effective medical interventions, thereby enhancing the overall quality of care provided to patients

IoMT amid COVID-19 pandemic: Application, architecture, technology, and security

In many countries, the Internet of Medical Things (IoMT) has been deployed in tandem with other strategies to curb the spread of COVID-19, improve the safety of front-line personnel, increase efficacy by lessening the severity of the disease on human lives, and decrease mortality rates. Significant inroads have been achieved in terms of applications and technology, as well as security which have also been magnified through the rapid and widespread adoption of IoMT across the globe. A number of on-going researches show the adoption of secure IoMT applications is possible by incorporating security measures with the technology. Furthermore, the development of new IoMT technologies merge with Artificial Intelligence, Big Data and Blockchain offers more viable solutions. Hence, this paper highlights the IoMT architecture, applications, technologies, and security developments that have been made with respect to IoMT in combating COVID-19. Additionally, this paper provides useful insights into specific IoMT architecture models, emerging IoMT applications, IoMT security measurements, and technology direction that apply to many IoMT systems within the medical environment to combat COVID-19

Privacy-preserving data analytics in cloud computing

The evolution of digital content and rapid expansion of data sources has raised the need for streamlined monitoring, collection, storage and analysis of massive, heterogeneous data to extract useful knowledge and support decision-making mechanisms. In this context, cloud computing o↵ers extensive, cost-e↵ective and on demand computing resources that improve the quality of services for users and also help service providers (enterprises, governments and individuals). Service providers can avoid the expense of acquiring and maintaining IT resources while migrating data and remotely managing processes including aggregation, monitoring and analysis in cloud servers. However, privacy and security concerns of cloud computing services, especially in storing sensitive data (e.g. personal, healthcare and financial) are major challenges to the adoption of these services. To overcome such barriers, several privacy-preserving techniques have been developed to protect outsourced data in the cloud. Cryptography is a well-known mechanism that can ensure data confidentiality in the cloud. Traditional cryptography techniques have the ability to protect the data through encryption in cloud servers and data owners can retrieve and decrypt data for their processing purposes. However, in this case, cloud users can use the cloud resources for data storage but they cannot take full advantage of cloud-based processing services. This raises the need to develop advanced cryptosystems that can protect data privacy, both while in storage and in processing in the cloud. Homomorphic Encryption (HE) has gained attention recently because it can preserve the privacy of data while it is stored and processed in the cloud servers and data owners can retrieve and decrypt their processed data to their own secure side. Therefore, HE o↵ers an end-to-end security mechanism that is a preferable feature in cloud-based applications. In this thesis, we developed innovative privacy-preserving cloud-based models based on HE cryptosystems. This allowed us to build secure and advanced analytic models in various fields. We began by designing and implementing a secure analytic cloud-based model based on a lightweight HE cryptosystem. We used a private resident cloud entity, called ”privacy manager”, as an intermediate communication server between data owners and public cloud servers. The privacy manager handles analytical tasks that cannot be accomplished by the lightweight HE cryptosystem. This model is convenient for several application domains that require real-time responses. Data owners delegate their processing tasks to the privacy manager, which then helps to automate analysis tasks without the need to interact with data owners. We then developed a comprehensive, secure analytical model based on a Fully Homomorphic Encryption (FHE), that has more computational capability than the lightweight HE. Although FHE can automate analysis tasks and avoid the use of the privacy manager entity, it also leads to massive computational overhead. To overcome this issue, we took the advantage of the massive cloud resources by designing a MapReduce model that massively parallelises HE analytical tasks. Our parallelisation approach significantly speeds up the performance of analysis computations based on FHE. We then considered distributed analytic models where the data is generated from distributed heterogeneous sources such as healthcare and industrial sensors that are attached to people or installed in a distributed-based manner. We developed a secure distributed analytic model by re-designing several analytic algorithms (centroid-based and distribution-based clustering) to adapt them into a secure distributed-based models based on FHE. Our distributed analytic model was developed not only for distributed-based applications, but also it eliminates FHE overhead obstacle by achieving high efficiency in FHE computations. Furthermore, the distributed approach is scalable across three factors: analysis accuracy, execution time and the amount of resources used. This scalability feature enables users to consider the requirements of their analysis tasks based on these factors (e.g. users may have limited resources or time constrains to accomplish their analysis tasks). Finally, we designed and implemented two privacy-preserving real-time cloud-based applications to demonstrate the capabilities of HE cryptosystems, in terms of both efficiency and computational capabilities for applications that require timely and reliable delivery of services. First, we developed a secure cloud-based billing model for a sensor-enabled smart grid infrastructure by using lightweight HE. This model handled billing analysis tasks for individual users in a secure manner without the need to interact with any trusted parties. Second, we built a real-time secure health surveillance model for smarter health communities in the cloud. We developed a secure change detection model based on an exponential smoothing technique to predict future changes in health vital signs based on FHE. Moreover, we built an innovative technique to parallelise FHE computations which significantly reduces computational overhead

Real-Time Secure Health Surveillance for Smarter Health Communities

© 1979-2012 IEEE. Pervasive healthcare services with smart decision making capability and ubiquitous communication technologies can forge future smart communities. Real-Time health surveillance for early detection of life-Threatening diseases through advanced sensing and communication technology can provide better treatment, reduce medical expenses and save lives of community residents (i.e., patients). However, the assurance of data privacy is the prime concern for such smart health technologies. This research aims to describe a privacy-preserving cloud-based system for real-Time health surveillance through change detection of multiple vital health signs of smart community members. Vital signs data generated from IoT-enabled wearable devices are processed in real-Time in a cloud environment. This article focuses on the development of a predictive model for the smart community considering the sensitivity of data processing in a third-party environment (e.g., cloud computing). We developed a vital sign change detection system using Holt's linear trend method (to enable prediction of data with trends) where fully homomorphic encryption is adapted to perform computations on an encrypted domain that can ensure data privacy. Moreover, to reduce the overhead of the fully homomorphic encryption method over large medical data we introduced a parallel approach for encrypted computations using a MapReduce algorithm of Apache Hadoop. We demonstrated the proposed model by evaluating some case studies for different vital signs of patients. The accuracy and efficiency of the implementation demonstrate the effectiveness of the proposed model for building a smart community