Remote Healthcare Monitoring Research Articles

In-Bed Monitoring: A Systematic Review of the Evaluation of In-Bed Movements Through Bed Sensors

The growing popularity of smart beds and devices for remote healthcare monitoring is based on advances in artificial intelligence (AI) applications. This systematic review aims to evaluate and synthesize the growing literature on the use of machine learning (ML) techniques to characterize patient in-bed movements and bedsore development. This review is conducted according to the principles of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and is registered in the International Prospective Register of Systematic Reviews (PROSPERO CRD42022314329). The search was performed through nine scientific databases. The review included 78 articles, including 142 ML models. The applied ML models revealed significant heterogeneity in the various methodologies used to identify and classify patient behaviors and postures. The assortment of ML models encompassed artificial neural networks, deep learning architectures, and multimodal sensor integration approaches. This review shows that the models for analyzing and interpreting in-bed movements perform well in experimental settings. Large-scale real-life studies are lacking in diverse patient populations.

Retraction Note: ECG signal processing and KNN classifier-based abnormality detection by VH-doctor for remote cardiac healthcare monitoring

Retraction Note: ECG signal processing and KNN classifier-based abnormality detection by VH-doctor for remote cardiac healthcare monitoring

Leveraging Technology to Support Aging in Place: Opportunities, Challenges and Recommendations.

The aging population presents pressing societal challenges, emphasizing the importance of aging in the right place to support older individuals' quality of life. Technology can play a crucial role in facilitating aging in place by enabling multiple factors such as remote healthcare monitoring, social connectivity and access to essential services. However, several challenges must be addressed to ensure widespread adoption and effective usage of technology among older adults. From integrating digital literacy into the United Nations' Sustainable Development Goals (United Nations n.d.) to promoting co-creation and fostering intergenerational dialogue, multiple solutions can be envisioned. This commentary emphasizes these opportunities, discusses these issues and provides a set of recommendations.

Enhanced heart disease prediction in remote healthcare monitoring using IoT-enabled cloud-based XGBoost and Bi-LSTM

The advancement of medical technology has brought about a significant transformation in remote healthcare monitoring, which is crucial for providing customized care and ongoing observation. This is especially important when it comes to controlling long-term illnesses like high blood pressure, which raises the risk of heart disease considerably, especially in older people. This methodology achieves greater accuracy by combining regular medical monitoring and Electronic Clinical Data (ECD) from complete medical records with physical data from patients' routine medical monitoring. This innovative technique enhances the area of cardiac disease prediction. A technique that uses cutting-edge machine learning models and IoT technology to meet this demand. In particular, we use the powerful Extreme Gradient Boosting (XGBoost) algorithm to effectively examine big datasets and extract important characteristics to improve prediction accuracy. The deep learning model Bidirectional Long Short-Term Memory (Bi-LSTM) is used to further enhance prediction skills to extract complex temporal patterns from patient data. It outperformed naive Bayes, decision trees, and random forests with our approach, achieving a greater prediction accuracy of 99.4 %. With the combination of Internet of Things technologies and sophisticated machine learning models, this paper offers a novel approach to remote healthcare monitoring.

Integrity and Privacy Assurance Framework for Remote Healthcare Monitoring Based on IoT

Remote healthcare monitoring (RHM) has become a pivotal component of modern healthcare, offering a crucial lifeline to numerous patients. Ensuring the integrity and privacy of the data generated and transmitted by IoT devices is of paramount importance. The integration of blockchain technology and smart contracts has emerged as a pioneering solution to fortify the security of internet of things (IoT) data transmissions within the realm of healthcare monitoring. In today’s healthcare landscape, the IoT plays a pivotal role in remotely monitoring and managing patients’ well-being. Furthermore, blockchain’s decentralized and immutable ledger ensures that all IoT data transactions are securely recorded, timestamped, and resistant to unauthorized modifications. This heightened level of data security is critical in healthcare, where the integrity and privacy of patient information are nonnegotiable. This research endeavors to harness the power of blockchain and smart contracts to establish a robust and tamper-proof framework for healthcare IoT data. Employing smart contracts, which are self-executing agreements programmed with predefined rules, enables us to automate and validate data transactions within the IoT ecosystem. These contracts execute automatically when specific conditions are met, eliminating the need for manual intervention and oversight. This automation not only streamlines the process of data processing but also enhances its accuracy and reliability by reducing the risk of human error. Additionally, smart contracts provide a transparent and tamper-proof mechanism for verifying the validity of transactions, thereby mitigating the risk of fraudulent activities. By leveraging smart contracts, organizations can ensure the integrity and efficiency of data transactions within the IoT ecosystem, leading to improved trust, transparency, and security. Our experiments demonstrate the application of a blockchain approach to secure transmissions in IoT for RHM, as will be illustrated in the paper. This showcases the practical applicability of blockchain technology in real-world scenarios.

A Healthcare System Employing Lightweight CNN for Disease Prediction with Artificial Intelligence

Introduction/Background This research introduces the EO-optimized Lightweight Automatic Modulation Classification Network (EO-LWAMCNet) model, employing AI and sensor data for forecasting chronic illnesses within the Internet of Things framework. A transformative tool in remote healthcare monitoring, it exemplifies AI's potential to revolutionize patient experiences and outcomes. This study unveils a novel Healthcare System integrating a Lightweight Convolutional Neural Network (CNN) for swift disease prediction through Artificial Intelligence. Leveraging the efficiency of lightweight CNN, the model holds promise for revolutionizing early diagnosis and enhancing overall patient care. By merging advanced AI techniques, this healthcare model holds the potential for revolutionizing early diagnosis and improving overall patient care. Materials and Methods The Lightweight Convolutional Neural Network (CNN) is implemented to analyze sensor data in real-time within an Internet of Things (IoT) framework. The methodology also involves the integration of the EO-LWAMCNet model into a cloud-based IoT ecosystem, demonstrating its potential for reshaping remote healthcare monitoring and expanding access to high-quality care beyond conventional medical settings. Results Utilizing the Chronic Liver Disease (CLD) and Brain Disease (BD) datasets, the algorithm achieved remarkable accuracy rates of 94.8% and 95%, respectively, showcasing the robustness of the model as a reliable clinical tool. Discussion These outcomes affirm the model's reliability as a robust clinical tool, particularly crucial for diseases benefiting from early detection. The potential transformative impact on healthcare is emphasized through the model's integration into a cloud-based IoT ecosystem, suggesting a paradigm shift in remote healthcare monitoring beyond traditional medical confines. Conclusion Our proposed model presents a cutting-edge solution with remarkable accuracy in forecasting chronic illnesses. The potential revolutionization of remote healthcare through the model's integration into a cloud-based IoT ecosystem underscores its innovative impact on enhancing patient experiences and healthcare outcomes.

Hot‐spot aware multicost‐based energy‐efficient routing protocol for WBANs

SummaryWireless body area networks (WBANs) are becoming widely considered in remote healthcare monitoring applications. However, WBAN nodes have limited resources; therefore, effective and reliable routing protocols are pivotal research challenges. Furthermore, balancing the traffic load among sensor nodes is also highly required to increase network stability. In recent years, many interesting routing solutions have been proposed for WBANs; however, the significant feature in terms of stability and energy in these solutions has not been sufficiently addressed. Therefore, in this context, the Hot‐Sspot Aaware Multicost‐based Energy‐efficient Routing (H‐SAMER) protocol is proposed in this paper. The suggested protocol used multieffective cost function for next‐hop node selection based on the data type, where the patient's data are categorized into three classes: normal data, on‐demand data, and emergency data. Furthermore, the H‐SAMER protocol adds awareness to the transmission of control packets by adding the cost value to the RREQ packets. Thus, the simulation scenario shows that the H‐SAMER saves energy 8.57%, 88%, 98%, 97%, and 100% greater than E‐HARP, EH‐RCP, CO‐LAEEBA, EECBSR, and ELR‐W, respectively. Moreover, the first node death of the proposed H‐SAMER is delayed to round number 7500, which proves H‐SAMER to be a stable and reliable effective solution for WBANs.

Feature engineering and deep learning-based approach for event detection in Medical Internet of Things (MIoT)

Medical Internet of Things (MIoT) is becoming increasingly mainstream as their applications continue to grow. These applications include remote healthcare monitoring, drug storage, alarm systems, and medical wearable devices. Remote patient monitoring, especially using wearable devices, has improved the health and protection of numerous people, while avoiding unnecessary hospital visits. Ideally, healthcare monitoring systems should accurately and timely detect if the patient is entering a critical condition, and alert the concerned doctor accordingly. However, in practice, there are two kinds of alarms raised by such systems, namely, events and anomalies. Events are non-erroneous data that do not conform to the expected values, indicating abnormality in the patient’s condition. On the other hand, anomalies are erroneous data that may result from faulty sensors, electromagnetic interference, malicious attacks, or hardware tampering. These anomalies lead to false alarms which affect the decision making process and may cause danger to the patient’s life. Traditionally, wearable MIoTs, measuring different vitals, frequently communicate with the patient’s phone, or a local processing unit (LPU), in order to analyze and process the collected data. However, the increase in processing capabilities of IoT devices has made on-device event detection possible. This adds an extra layer of defense while avoiding unnecessary communication with LPU. In this paper, a healthcare monitoring system is proposed which compromises of two layers - (1) an online lightweight approach, based on multivariate long-short term memory (LSTM) autoencoder, embedded in each MIoT, that is able to detect data abnormality and alarms the LPU, (2) a correlation technique, at the LPU, that differentiates between anomalies and events, and alerts the patient’s doctor only in case of an event. Since a single sensor reading does not provide enough clinical insight to detect the full length of an event, a feature engineering approach is implemented to extract interpretable statistical, dynamic and physiological features that provide the clinical insight needed. The proposed approach is simulated using Medical Information Mart for Intensive Care (MIMIC) dataset for various vital signs, such as heart rate, systolic and diastolic blood pressure. It is compared with four benchmarks, where the results show the robustness of the model in differentiating between anomalies and events, with event detection sensitivity and specificity above 93%.

Efficient IOT based COVID patient healthcare control system using arduino with mobile app

Healthcare monitoring frameworks emerged as one of the most essential frameworks and innovations established over the last decade. As a result of failing to provide adequate clinical attention to patients at the appropriate time, many people are facing the possibility of an untimely death. Ultimately, the goal was to develop an IoT-based integrated healthcare monitoring framework that could be relied upon by healthcare professionals to screen their patients, whether they were in the hospital or at home, to ensure that they were being well-cared for. Sensors, an information acquisition unit, a microcontroller (e.g., Arduino), and a product modification were used to construct a mobile phone-based remote healthcare monitoring framework that may provide continuous web-based data about a patient's physiological states (i.e., JAVA). The framework checks, displays, and stores the patient's temperature, heart rate, and EEG data before sending it out on the specialist's portable device with the application. In this way, an IoT-based patient monitoring framework may effectively monitor a patient's health state and save their life on time.

Machine Learning and IoT harnessing for Remote Healthcare Monitoring: A State-of -the Art Review

Machine Learning and IoT harnessing for Remote Healthcare Monitoring: A State-of -the Art Review

IOT and AI Implementations on Remote Healthcare Monitoring System

Abstract: "IoT and AI Implementations on Remote Healthcare Monitoring System using Raspberry Pi 3" seeks to revolutionize healthcare by integrating cutting-edge technologies into a cohesive system for remote patient monitoring. Leveraging the power of Raspberry Pi 3, Internet of Things (IoT) devices will be employed to collect real-time health data from patients in diverse locations. This data will then undergo sophisticated analysis through Artificial Intelligence (AI) algorithms, enhancing the system's ability to identify anomalies, trends, and potential health risks with a high degree of accuracy. The Raspberry Pi 3 serves as a versatile and cost-effective hub, managing the connectivity and processing requirements of the IoT devices. The system aims to provide continuous and proactive healthcare support by enabling remote monitoring of vital signs and timely interventions based on AI- driven insights. The outcomes of this project not only contribute to the advancement of healthcare technology but also address the growing need for scalable and accessible healthcare solutions in a rapidly evolving digital landscape.

VLSI Implementation of Chest X-Ray Image Segmentation Using Hybrid Clustering

Medical image segmentation plays a crucial role in various clinical applications, facilitating accurate diagnosis and treatment planning. In communication systems, particularly telemedicine and remote healthcare monitoring, real-time processing and transmission of medical images are essential for timely diagnosis and intervention. Leveraging VLSI technology for implementing Kmeans offers a promising solution to address the computational demands of image segmentation while meeting the stringent requirements of communication systems. Existing systems often rely on software-based implementations such as threshold segmentation, leading to significant computational overhead and latency, particularly in resource-constrained environments. Moreover, these implementations struggle to achieve real-time performance, hindering their practical utility in communication systems for healthcare. So, this work proposed VLSI-based approach aims to overcome these challenges by offloading the computational burden from the software to hardware, enabling parallel processing and efficient utilization of resources. By exploiting the inherent parallelism of the K-means algorithm and optimizing hardware architecture, our design ensures high throughput and low latency, making it suitable for real-time medical image segmentation in communication systems.

A Secure Blockchain-Enabled Remote Healthcare Monitoring System for Home Isolation

This article presents a secure framework for remote healthcare monitoring in the context of home isolation, thereby addressing the concerns related to untrustworthy client connections to a hospital information system (HIS) within a secure network. Our proposed solution leverages a public blockchain network as a secure distributed database to buffer and transmit patient vital signs. The framework integrates an algorithm for the secure gathering and transmission of vital signs to the Ethereum network. Additionally, we introduce a publish/subscribe paradigm, thus enhancing security using the TLS channel to connect to the blockchain network. An analysis of the maintenance cost of the distributed database underscores the cost-effectiveness of our approach. In conclusion, our framework provides a highly secure and economical solution for remote healthcare monitoring in home isolation scenarios.

An efficient and secure wearable sensor based remote healthcare monitoring system using adaptive dilated transformer Bi‐LSTM with gated recurrent unit

AbstractInnovative research works in the healthcare sector keep on advancing every day. As the “Internet of Things (IoT)” keeps on evolving, the application of IoT in the medical field is prominent these days. Utilizing IoT devices, alert messages can be sent directly to medical professionals in case of an emergency. So, monitoring the health condition of an individual using IoT technology has become a popular and beneficial method in today's contemporary medical field. With the help of mobile IoT medical equipment, the technology of smart Healthcare Monitoring System (HMS) is proliferating. By utilizing deep learning and IoT technology, the medical diagnosis system has evolved from direct face‐to‐face visits to the hospital to remote telemedicine method. Most of the data generated by the IoT wearable sensors are highly correlated and may consist of outliers. The extraction of the essential attributes from these data is a complicated task. So, “deep learning and machine learning” techniques are adapted to determine the most relevant and appropriate feature required for efficient diagnosis from the unstructured data produced by the IoT devices and thus help in minimizing the redundancy of unnecessary data. Fusing deep learning methods with healthcare IoT made only the essential details to be available for diagnosis. Therefore, a deep learning‐oriented IoT‐based HMS is executed in this work. With the support of several wearable healthcare devices, the required data are acquired. The encryption of the data acquired from standard sources using Optimal Key‐based Advanced Encryption Standard (OK‐AES) is carried out next to assure the security of the sensitive medical data. The keys for AES encryption are optimally chosen with the aid of the Enhanced Heap‐Based Optimizer Algorithm (EHBOA). The encrypted data is transferred to the “cloud platform” for data storage. Once there is a need for the data, then the encrypted data is initially downloaded from the cloud platform. Then using the same AES scheme, the decryption of the data to attain the original data is carried out. From the retrieved data, the extraction of the crucial attributes is carried out. The extracted features are chosen in an optimized manner and are concatenated with the tuned weights to form the weighted feature matrix. This formulated weighted feature matrix is provided as input to the “Adaptive Dilated Transformer Bidirectional Long Short‐Term Memory (Bi‐LSTM) with Gated Recurrent Unit (GRU) (ADTBi‐LSTM‐GRU) model.” The variables in the ADTBG are optimized using the EHBOA for providing an accurate classification outcome. The classified disease outcome is obtained from the deployed ADTBi‐LSTM‐GRU model. Simulations are done to verify the efficiency and reliability of the implemented deep learning and IoT‐based HMS.

Circuit Design, Realization, and Test of a Bluetooth Low Energy Wireless Sensor With On-Board Computation for Remote Healthcare Monitoring

Circuit Design, Realization, and Test of a Bluetooth Low Energy Wireless Sensor With On-Board Computation for Remote Healthcare Monitoring

Design of flexible wearable sensing systems

The aging population and the increasing prevalence of chronic diseases in the elderly have brought a significant economic burden to families and society. The non-invasive wearable sensing system can continuously and real-time monitor important physiological signs of the human body and evaluate health status. In addition, it can provide efficient and convenient information feedback, thereby reducing the health risks caused by chronic diseases in the elderly. A wearable system for detecting physiological and behavioral signals was developed in this study. We explored the design of flexible wearable sensing technology and its application in sensing systems. The wearable system included smart hats, smart clothes, smart gloves, and smart insoles, achieving long-term continuous monitoring of physiological and motion signals. The performance of the system was verified, and the new sensing system was compared with commercial equipment. The evaluation results demonstrated that the proposed system presented a comparable performance with the existing system. In summary, the proposed flexible sensor system provides an accurate, detachable, expandable, user-friendly and comfortable solution for physiological and motion signal monitoring. It is expected to be used in remote healthcare monitoring and provide personalized information monitoring, disease prediction, and diagnosis for doctors/patients.

A Hybrid Upper‐Arm‐Geared Exoskeleton with Anatomical Digital Twin for Tangible Metaverse Feedback and Communication

AbstractThe pandemic coincided with rapid advancements in virtual reality (VR) and mixed reality (MR) in healthcare. The idea of virtually replicating the real world and its associated experiences has garnered significant attention under the newly coined term “metaverse.” The metaverse serves as a communication platform that integrates physical and virtual experiences. However, the lack of physical interaction between users and virtual environments remains an obstacle. This study introduces a hybrid upper‐arm‐geared exoskeleton system that combines an anatomical digital‐twin model with tangible VR torque feedback and an MR remote healthcare monitoring in a musculoskeletal interface device format. The device employs a dual epicyclic geared motor actuator capable of exerting torque feedback. It derived torque profiles that simulate physical interactions with hysteretic damping in the virtual environment. An anatomical digital twin model is also incorporated into the fabricated device in an MR format and assessed the device's performance using electromyogram and thermographic sensors. In addition, it evaluated haptic fidelity and versatility as an immersive metaverse wearable and performed support vector machine‐based analysis for motion feature classification. It believes this approach has the potential to be highly beneficial for providing tangible metaverse feedback and communication combined with a human‐informed digital‐twin model for remote healthcare monitoring in the postpandemic era.

Securing healthcare data in industrial cyber-physical systems using combining deep learning and blockchain technology

Industrial cyber–physical systems (ICPS) are emerging platforms for various industrial applications. For instance, remote healthcare monitoring, real-time healthcare data generation, and many other applications have been integrated into the ICPS platform. These healthcare applications encompass workflow tasks, such as processing within hospitals, laboratory tests, and insurance companies for patient payments, which necessitate a sequential flow. The external wireless, fog, and cloud services within ICPS face security issues that impact end-users’ healthcare applications. Blockchain technology offers an optimal solution for ICPS-enabled applications. However, blockchain technology for the ICPS platform is still vulnerable to cyberattacks, while microservices are essential for executing applications. This paper introduces the novel “Pattern-Proof Malware Validation” (PoPMV) algorithm designed for blockchain in ICPS. It exploits a deep learning model (LSTM) with reinforcement learning techniques to receive feedback and rewards in real-time. The primary objective is to mitigate security vulnerabilities, enhance processing speed, identify both familiar and unfamiliar attacks, and optimize the functionality of ICPS. Simulations demonstrate the superiority of the proposed approach compared to current blockchain frameworks, showcasing dynamic allocation of microservices and improved security with comprehensive attack detection by 30%.

Exploring the patient experience of remote hypertension management in Scotland during COVID-19: a qualitative study

ObjectivesThe aim of this study was to understand how patients experienced hypertension management, with or without blood pressure (BP) telemonitoring, during the COVID-19 pandemic.Design, methods, participants and settingThis qualitative study...

Adaptive Autonomous Protocol for Secured Remote Healthcare Using Fully Homomorphic Encryption (AutoPro-RHC).

The outreach of healthcare services is a challenge to remote areas with affected populations. Fortunately, remote health monitoring (RHM) has improved the hospital service quality and has proved its sustainable growth. However, the absence of security may breach the health insurance portability and accountability act (HIPAA), which has an exclusive set of rules for the privacy of medical data. Therefore, the goal of this work is to design and implement the adaptive Autonomous Protocol (AutoPro) on the patient's remote healthcare (RHC) monitoring data for the hospital using fully homomorphic encryption (FHE). The aim is to perform adaptive autonomous FHE computations on recent RHM data for providing health status reporting and maintaining the confidentiality of every patient. The autonomous protocol works independently within the group of prime hospital servers without the dependency on the third-party system. The adaptiveness of the protocol modes is based on the patient's affected level of slight, medium, and severe cases. Related applications are given as glucose monitoring for diabetes, digital blood pressure for stroke, pulse oximeter for COVID-19, electrocardiogram (ECG) for cardiac arrest, etc. The design for this work consists of an autonomous protocol, hospital servers combining multiple prime/local hospitals, and an algorithm based on fast fully homomorphic encryption over the torus (TFHE) library with a ring-variant by the Gentry, Sahai, and Waters (GSW) scheme. The concrete-ML model used within this work is trained using an open heart disease dataset from the UCI machine learning repository. Preprocessing is performed to recover the lost and incomplete data in the dataset. The concrete-ML model is evaluated both on the workstation and cloud server. Also, the FHE protocol is implemented on the AWS cloud network with performance details. The advantages entail providing confidentiality to the patient's data/report while saving the travel and waiting time for the hospital services. The patient's data will be completely confidential and can receive emergency services immediately. The FHE results show that the highest accuracy is achieved by support vector classification (SVC) of 88% and linear regression (LR) of 86% with the area under curve (AUC) of 91% and 90%, respectively. Ultimately, the FHE-based protocol presents a novel system that is successfully demonstrated on the cloud network.