A scalable framework for healthcare monitoring application using the Internet of Medical Things

Internet of Things (IoT) is finding application in many areas, particularly in health care where an IoT can be effectively used in the form of an Internet of Medical Things (IoMT) to monitor the patients remotely. The quality of life of the patients and health care outcomes can be improved with the deployment of an IoMT because health care professionals can monitor conditions; access the electronic medical records and communicates with each other. This remote monitoring and consultations might reduce the traditional stressful and costly exercise of frequent hospitalization. Also, the rising costs of health care in many developed countries have influenced the introduction of the Healthcare Monitoring Application (HMA) to their existing health care practices. To materialize the HMA concepts for successful deployment for civilian and commercial use with ease, application developers can benefit from a generic, scalable framework that provides significant components for building an HMA. In this chapter, a generic maintainable HMA is advanced by amalgamating the advantages of event-driven and the layered architecture. The proposed framework is used to establish an HMA with an end-to-end Assistive Care Loop Framework (ACLF) to provide a real-time alarm and assistance to monitor pregnant women. © 2020 John Wiley & Sons, Ltd

A novel dynamic software-defined networking approach to neutralize traffic burst

Software-defined networks (SDN) has a holistic view of the network. It is highly suitable for handling dynamic loads in the traditional network with a minimal update in the network infrastructure. However, the standard SDN architecture control plane has been designed for single or multiple distributed SDN controllers facing severe bottleneck issues. Our initial research created a reference model for the traditional network, using the standard SDN (referred to as SDN hereafter) in a network simulator called NetSim. Based on the network traffic, the reference models consisted of light, modest and heavy networks depending on the number of connected IoT devices. Furthermore, a priority scheduling and congestion control algorithm is proposed in the standard SDN, named extended SDN (eSDN), which minimises congestion and performs better than the standard SDN. However, the enhancement was suitable only for the small-scale network because, in a large-scale network, the eSDN does not support dynamic SDN controller mapping. Often, the same SDN controller gets overloaded, leading to a single point of failure. Our literature review shows that most proposed solutions are based on static SDN controller deployment without considering flow fluctuations and traffic bursts that lead to a lack of load balancing among the SDN controllers in real-time, eventually increasing the network latency. Therefore, to maintain the Quality of Service (QoS) in the network, it becomes imperative for the static SDN controller to neutralise the on-the-fly traffic burst. Thus, our novel dynamic controller mapping algorithm with multiple-controller placement in the SDN is critical to solving the identified issues. In dSDN, the SDN controllers are mapped dynamically with the load fluctuation. If any SDN controller reaches its maximum threshold, the rest of the traffic will be diverted to another controller, significantly reducing delay and enhancing the overall performance. Our technique considers the latency and load fluctuation in the network and manages the situations where static mapping is ineffective in dealing with the dynamic flow variation. © 2023 by the authors

Missing health data pattern matching technique for continuous remote patient monitoring

Remote patient monitoring (RPM) has been gaining popularity recently. However, health data acquisition is a significant challenge associated with patient monitoring. In continuous RPM, health data acquisition may miss health data during transmission. Missing data compromises the quality and reliability of patient risk assessment. Several studies suggested techniques for analyzing missing data; however, many are unsuitable for RPM. These techniques neglect the variability of missing data and provide biased results with imputation. Therefore, a holistic approach must consider the correlation and variability of the various vitals and avoid biased imputation. This paper proposes a coherent computation pattern-matching technique to identify and predict missing data patterns. The performance of the proposed approach is evaluated using data collected from a field trial. Results show that the technique can effectively identify and predict missing patterns. © 2023, The Author(s)

Blockchain leveraged task migration in body area sensor networks

Blockchain technologies emerging for healthcare support secure health data sharing with greater interoperability among different heterogeneous systems. However, the collection and storage of data generated from Body Area Sensor Net-works(BASN) for migration to high processing power computing services requires an efficient BASN architecture. We present a decentralized BASN architecture that involves devices at three levels; 1) Body Area Sensor Network-medical sensors typically on or in patient's body transmitting data to a Smartphone, 2) Fog/Edge, and 3) Cloud. We propose that a Patient Agent(PA) replicated on the Smartphone, Fog and Cloud servers processes medical data and execute a task offloading algorithm by leveraging a Blockchain. Performance analysis is conducted to demonstrate the feasibility of the proposed Blockchain leveraged, distributed Patient Agent controlled BASN. © 2019 IEEE.E

Performance evaluation of the dependable properties of a body area wireless sensor network

Body Area Wireless Sensor Networks (BAWSNs) are self-organizing networks capable of monitoring health intrinsic data of a patient. BAWSNs extended with a health care application can be used to perform medical assessments by remotely monitoring patients. The accuracy of medical assessments fundamentally depends on the correctness of the data received from the BAWSN. However, data errors may arise at the sensor or during transmission across the wireless sensor network. Therefore, it is imperative to measure the health intrinsic data of a patient precisely. The formulated measurable properties in our work precisely measure the performance of the BAWSN in a remote Healthcare Monitoring Application (HMA). In this paper, we collated various performances using the measurable properties in our real-time test-bed and presented a comprehensive evaluation of these properties in a BAWSN

A biometric based authentication and encryption Framework for Sensor Health Data in Cloud

Use of remote healthcare monitoring application (HMA) can not only enable healthcare seeker to live a normal life while receiving treatment but also prevent critical healthcare situation through early intervention. For this to happen, the HMA have to provide continuous monitoring through sensors attached to the patient's body or in close proximity to the patient. Owing to elasticity nature of the cloud, recently, the implementation of HMA in cloud is of intense research. Although, cloud-based implementation provides scalability for implementation, the health data of patient is super-sensitive and requires high level of privacy and security for cloud-based shared storage. In addition, protection of real-time arrival of large volume of sensor data from continuous monitoring of patient poses bigger challenge. In this work, we propose a self-protective security framework for our cloud-based HMA. Our framework enable the sensor data in the cloud from (1) unauthorized access and (2) self-protect the data in case of breached access using biometrics. The framework is detailed in the paper using mathematical formulation and algorithms. © 2014 IEEE

Blockchain leveraged decentralized IoT eHealth framework

Blockchain technologies recently emerging for eHealth, can facilitate a secure, decentral- ized and patient-driven, record management system. However, Blockchain technologies cannot accommodate the storage of data generated from IoT devices in remote patient management (RPM) settings as this application requires a fast consensus mechanism, care- ful management of keys and enhanced protocols for privacy. In this paper, we propose a Blockchain leveraged decentralized eHealth architecture which comprises three layers: (1) The Sensing layer –Body Area Sensor Networks include medical sensors typically on or in a patient body transmitting data to a smartphone. (2) The NEAR processing layer –Edge Networks consist of devices at one hop from data sensing IoT devices. (3) The FAR pro- cessing layer –Core Networks comprise Cloud or other high computing servers). A Patient Agent (PA) software replicated on the three layers processes medical data to ensure reli- able, secure and private communication. The PA executes a lightweight Blockchain consen- sus mechanism and utilizes a Blockchain leveraged task-offloading algorithm to ensure pa- tient’s privacy while outsourcing tasks. Performance analysis of the decentralized eHealth architecture has been conducted to demonstrate the feasibility of the system in the pro- cessing and storage of RPM data

Rapid health data repository allocation using predictive machine learning

Health-related data is stored in a number of repositories that are managed and controlled by different entities. For instance, Electronic Health Records are usually administered by governments. Electronic Medical Records are typically controlled by health care providers, whereas Personal Health Records are managed directly by patients. Recently, Blockchain-based health record systems largely regulated by technology have emerged as another type of repository. Repositories for storing health data differ from one another based on cost, level of security and quality of performance. Not only has the type of repositories increased in recent years, but the quantum of health data to be stored has increased. For instance, the advent of wearable sensors that capture physiological signs has resulted in an exponential growth in digital health data. The increase in the types of repository and amount of data has driven a need for intelligent processes to select appropriate repositories as data is collected. However, the storage allocation decision is complex and nuanced. The challenges are exacerbated when health data are continuously streamed, as is the case with wearable sensors. Although patients are not always solely responsible for determining which repository should be used, they typically have some input into this decision. Patients can be expected to have idiosyncratic preferences regarding storage decisions depending on their unique contexts. In this paper, we propose a predictive model for the storage of health data that can meet patient needs and make storage decisions rapidly, in real-time, even with data streaming from wearable sensors. The model is built with a machine learning classifier that learns the mapping between characteristics of health data and features of storage repositories from a training set generated synthetically from correlations evident from small samples of experts. Results from the evaluation demonstrate the viability of the machine learning technique used. © The Author(s) 2020

A scalable cloud Platform for Active healthcare monitoring applications

Continuous, remote monitoring of patients using wearable sensors can facilitate early detection of many conditions and can help to manage the growing healthcare crisis worldwide. A remote patient monitoring application consists of many emerging services such as wireless wearable sensor configuration, patient registration and authentication, collaborative consultation of doctors, storage and maintenance of electronic health record. The provision of these services requires the development and maintenance of a remote healthcare monitoring application (HMA) that includes a body area wireless sensor network (BASWN) and Health Applications (HA) to detect specific health issues. In addition, the deployment of HMAs for different hospitals is not easily scalable owing to the heterogeneous nature of hardware and software involved. Cloud computing overcomes this aspect by allowing simple and easy maintenance of ICT infrastructure. In this work, we report a real-time-like cloud based architecture known as Assistive Patient monitoring cloud Platform for Active healthcare applications (AppA) using a delegate pattern. The built AppA is highly scalable and capable of spawning new instances based on monitoring requirements from the health care providers, and are aligned with scalable economic models. © 2014 IEEE

Smart sensing-enabled decision support system for water scheduling in orange orchard

The scarcity of water resources throughout the world demands its optimum utilization in various sectors. Smart Sensing-enabled irrigation management systems are the ideal solutions to ensure the optimum utilization of water resources in the agriculture sector. This paper presents a wireless sensor network-enabled Decision Support System (DSS) for developing a need-based irrigation schedule for the orange orchard. For efficient monitoring of various in-field parameters, our proposed approach uses the latest smart sensing technology such as soil moisture, leaf-wetness, temperature and humidity. The proposed smart sensing-enabled test-bed was deployed in the orange orchard of our institute for approximately one year and successfully adjusted its irrigation schedule according to the needs and demands of the plants. Moreover, a modified Longest Common SubSequence (LCSS) mechanism is integrated with the proposed DSS for distinguishing multi-valued noise from the abrupt changing scenarios. To resolve the concurrent communication problem of two or more wasp-mote sensor boards with a common receiver, an enhanced RTS/CTS handshake mechanism is presented. Our proposed DSS compares the most recently refined data with pre-defined threshold values for efficient water management in the orchard. Irrigation activity is scheduled if water deficit criterion is met and the farmer is informed accordingly. Both the experimental and simulation results show that the proposed scheme performs better in comparison to the existing schemes. © 2001-2012 IEEE