Internet of things in health: Requirements, issues, and gaps

Background and objectives: The Internet of Things (IoT) paradigm has been extensively applied to several sectors in the last years, ranging from industry to smart cities. In the health domain, IoT makes possible new scenarios of healthcare delivery as well as collecting and processing health data in real time from sensors in order to make informed decisions. However, this domain is complex and presents several tech- nological challenges. Despite the extensive literature about this topic, the application of IoT in healthcare scarcely covers requirements of this sector. Methods: A literature review from January 2010 to February 2021 was performed resulting in 12,108 articles. After filtering by title, abstract, and content, 86 were eligible and examined according to three requirement themes: data lifecycle; trust, security, and privacy; and human-related issues. Results: The analysis of the reviewed literature shows that most approaches consider IoT application in healthcare merely as in any other domain (industry, smart cities…), with no regard of the specific requirements of this domain. Conclusions: Future effort s in this matter should be aligned with the specific requirements and needs of the health domain, so that exploiting the capabilities of the IoT paradigm may represent a meaningful step forward in the application of this technology in healthcare.Consejería de Conocimiento, Investigación y Universidad, Junta de Andalucía P18-TPJ - 307

INTEGRATION OF INTERNET OF THINGS AND HEALTH RECOMMENDER SYSTEMS

The Internet of Things (IoT) has become a part of our lives and has provided many enhancements to day-to-day living. In this project, IoT in healthcare is reviewed. IoT-based healthcare is utilized in remote health monitoring, observing chronic diseases, individual fitness programs, helping the elderly, and many other healthcare fields. There are three main architectures of smart IoT healthcare: Three-Layer Architecture, Service-Oriented Based Architecture (SoA), and The Middleware-Based IoT Architecture. Depending on the required services, different IoT architecture are being used. In addition, IoT healthcare services, IoT healthcare service enablers, IoT healthcare applications, and IoT healthcare services focusing on Smartwatch are presented in this research. Along with IoT in smart healthcare, Health Recommender Systems integration with IoT is important. Main Recommender Systems including Content-based filtering, Collaborative-based filtering, Knowledge-based filtering, and Hybrid filtering with machine learning algorithms are described for the Health Recommender Systems. In this study, a framework is presented for the IoT-based Health Recommender Systems. Also, a case is investigated on how different algorithms can be used for Recommender Systems and their accuracy levels are presented. Such a framework can help with the health issues, for example, risk of going to see the doctor during pandemic, taking quick actions in any health emergencies, affordability of healthcare services, and enhancing the personal lifestyle using recommendations in non-critical conditions. The proposed framework can necessitate further development of IoT-based Health Recommender Systems so that people can mitigate their medical emergencies and live a healthy life

Ambient assisted living framework for elderly care using Internet of medical things, smart sensors, and GRU deep learning techniques

Due to the increase in the global aging population and its associated age-related challenges, various cognitive, physical, and social problems can arise in older adults, such as reduced walking speed, mobility, falls, fatigue, difficulties in performing daily activities, memory-related and social isolation issues. In turn, there is a need for continuous supervision, intervention, assistance, and care for elderly people for active and healthy aging. This research proposes an ambient assisted living system with the Internet of Medical Things that leverages deep learning techniques to monitor and evaluate the elderly activities and vital signs for clinical decision support. The novelty of the proposed approach is that bidirectional Gated Recurrent Unit, and Gated Recurrent Unit deep learning techniques with mutual information-based feature selection technique is applied to select robust features to identify the target activities and abnormalities. Experiments were conducted on two datasets (the recorded Ambient Assisted Living data and MHealth benchmark data) with bidirectional Gated Recurrent Unit, and Gated Recurrent Unit deep learning techniques and compared with other state of art techniques. Different evaluation metrics were used to assess the performance, findings reveal that bidirectional Gated Recurrent Unit deep learning techniques outperform other state of art approaches with an accuracy of 98.14% for Ambient Assisted Living data, and 99.26% for MHealth data using the proposed approach

ASCP-IoMT: AI-Enabled Lightweight Secure Communication Protocol for Internet of Medical Things

The Internet of Medical Things (IoMT) is a unification of smart healthcare devices, tools, and software, which connect various patients and other users to the healthcare information system through the networking technology. It further reduces unnecessary hospital visits and the burden on healthcare systems by connecting the patients to their healthcare experts (i.e., doctors) and allows secure transmission of healthcare data over an insecure channel (e.g., the Internet). Since Artificial Intelligence (AI) has a great impact on the performance and usability of an information system, it is important to include its modules in a healthcare information system, which will be very helpful for the prediction of some phenomena, such as chances of getting a heart attack and possibility of a tumor, from the collected and analysed healthcare data. To mitigate these issues, in this paper, a new AI-enabled lightweight, secure communication scheme for an IoMT environment has been designed and named as ASCP-IoMT, in short. The security analysis of ASCP-IoMT is performed in different ways, such as an informal way and a formal way (through the random oracle model). ASCP-IoMT performs better than other similar schemes and provides superior security with extra functionality features as compared those for the existing state of art solutions. A practical implementation of ASCP-IoMT is also performed in order to measure its impact on various network performance parameters. The end to end delay values of ASCP-IoMT are 0.01587, 0.07440 and 0.17097 seconds and the throughput values of ASCP-IoMT are 5.05, 10.88 and 16.41 bits per second (bps) under the different considered cases, respectively. For AI-based Big data analytics phase, the values of computation time (seconds) for decision tree, support vector machine (SVM), and logistic regression are measured as 0.19, 0.23, and 0.27, respectively. Moreover, the different values of accuracy for decision tree, SVM and logistic regression are 84.24%, 87.57%, and 85.20%, respectively. From these values, it is clear that decision tree method requires less time than the other considered techniques, whereas accuracy is high in case of SVM

SS-FD: Internet of medical things based patient health monitoring system

Internet of Medical Things (IoMT) consists of connected devices used to collect patient health information in a real-time environment. The IoMT device effectively handles medical issues by using health wearable and medical-grade wearables. Although IoMT can process the collected data, it has few pitfalls, such as interoperability of data, standardization issues, and computation complexity while detecting disease. By considering these issues, in this work, IoMT is utilized in the field of the remote patient monitoring system. Initially, the IoMT devices are placed on the human body and collect their health information continuously. The gathered details are processed using a salp swarm optimized fuzzy deep neural network (SS-FD). This system supports the patient health monitoring process with minimum low-cost consumption. The SS-FD classifier processes the obtained data; primary and emergency data is classified according to the fuzzy rule. This process improves the remote patient health data analysis and reduces the difficulties involved in the patient health analysis. Then the efficiency of the system is evaluated using experimental result

Is healthcare ready for a digital future?

While digital transformation is widespread in industry, health-care has only started to follow a similar path in the last few years, with COVID-19 leading to rapid acceleration. With the rise of the Internet of Medical Things, integrated care networks and connected healthcare, new opportunities emerge

Digital Companion for Elders in Tracking Health and Intelligent Recommendation Support using Deep Learning

Ambient assisted living (AAL) facilitates the daily routines of elderly people, particularly those who have clinical difficulties or physical limitations. The latest technologies like distributed compuring,internet of things (IoT) and machine learning pave the ground for the creation of an effective automated tracker which aids elder citizens to live independently. The suggested system is attempted to design a wearable that monitors the blood glucose level through sweat. To achieve high accuracy, the proposed system uses ambient sensing and deep learning based techniques. It places a strong emphasis on calculating the health index by taking into account numerous disease-related characteristics or vitals such as heart rate, blood pressure, SpO2, blood glucose level, respiration rate, sweat rate, uric acid, and temperature. From the wearable device designed the vital signs are gathered, further environmental sensors and camera fixed around the person continually monitors the behavioral pattern along with physiological signals. This ensures the improved accuracy of health state prediction from its conventional models in place. The key advantage of this device is that it may be held and operated anyplace without interrupting their day-to-day tasks because the device is to be cheap, reliable and speedy

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