A policy enforcement framework for Internet of Things applications in the smart health

Access Control for IoT: A Survey of Existing Research, Dynamic Policies and Future Directions

Internet of Things (IoT) provides a wide range of services in domestic and industrial environments. Access control plays a crucial role in granting access rights to users and devices when an IoT device is connected to a network. However, many challenges exist in designing and implementing an ideal access control solution for the IoT due to the characteristics of the IoT including but not limited to the variety of the IoT devices, the resource constraints on the IoT devices, and the heterogeneous nature of the IoT. This paper conducts a comprehensive survey on access control in the IoT, including access control requirements, authorization architecture, access control models, access control policies, access control research challenges, and future directions. It identifies and summarizes key access control requirements in the IoT. The paper further evaluates the existing access control models to fulfill the access control requirements. Access control decisions are governed by access control policies. The existing approaches on dynamic policies' specification are reviewed. The challenges faced by the existing solutions for policies' specification are highlighted. Finally, the paper presents the research challenges and future directions of access control in the IoT. Due to the variety of IoT applications, there is no one-size-fits-all solution for access control in the IoT. Despite the challenges encountered in designing and implementing the access control in the IoT, it is desired to have an access control solution to meet all the identified requirements to secure the IoT.

A Two-Echelon Responsive Health Analytic Model for Triggering Care Plan Revision in Geriatric Care Management

Due to the increasing ageing population, how can caregivers effectively provide long-term care services to meet the older adults’ needs with finite resources is emerging. In addressing this issue, nursing homes are striving to adopt smart health with the internet of things and artificial intelligence to improve the efficiency and sustainability of healthcare. This study proposed a two-echelon responsive health analytic model (EHAM) to deliver appropriate healthcare services in nursing homes under the Internet of Medical Things environment. A novel care plan revision index is developed using a dual fuzzy logic approach for multidimensional health assessments, followed by care plan modification using case-based reasoning. The findings reveal that EHAM can generate patient-centred long-term care solutions of high quality to maximise the satisfaction of nursing home residents and their families. Ultimately, sustainable healthcare services can be within the communities.

Home quarantine patient monitoring in the era of COVID-19 disease

Patients’ remote monitoring becomes even more crucial due to the spreading of the COVID-19 disease. Hospitals cannot accommodate all the patients who need to be taken care. Hence, tele-medicine or, as also named, tele-health, remains the only means available to keep the situation under control. In particular, it is important to monitor the patients who are subject to the home quarantine period. The reason is twofold: (i) their live status and symptoms must be controlled; (ii) they must not leave the permitted area during the quarantine period. To this end, the paper defines a set of rules and processes based on the Internet of Things (IoT) paradigm, which enable the integration of different devices, in order to monitor the required parameters related to the patient and notify life-threatening situations to the connected health-care structure. The conceived IoT network is developed by means of Node-RED, which is a flow-based programming tool targeted to the IoT. Particular attention is also paid to security and privacy requirements, since sensitive data related to the patients must be kept safe. The proposed solution is preliminary assessed by means of a test-bed.

The Social Acceptance of Smart Health Services in Japan

In recent years, smart health (s-Health) services have gained momentum worldwide. The s-Health services obtain personal information and aim to provide efficient health and medical services based on these data. In Japan, active efforts to implement these services have increased, but there is a lack of social acceptance. This study examined social acceptance concerning various factors such as trust in the city government, perceived benefits, perceived necessity, perceived risk, and concern about interventions for individuals. An online survey was conducted, and Japanese participants (N = 720) were presented with a vignette depicting a typical s-Health service overview. The results of structural equation modeling showed that trust was positively related to perceived benefit and necessity and negatively related to perceived risk and concern about interventions for individuals. Perceived benefit and trust were positively related to social acceptance, and perceived risk was negatively related to acceptance. The model obtained in this study can help implement s-Health services in public. Empirical studies that contribute to improving public health by investigating the social acceptance of s-Health services should be conducted in the future.

IoTCrawler: Challenges and Solutions for Searching the Internet of Things

Due to the rapid development of the Internet of Things (IoT) and consequently, the availability of more and more IoT data sources, mechanisms for searching and integrating IoT data sources become essential to leverage all relevant data for improving processes and services. This paper presents the IoT search framework IoTCrawler. The IoTCrawler framework is not only another IoT framework, it is a system of systems which connects existing solutions to offer interoperability and to overcome data fragmentation. In addition to its domain-independent design, IoTCrawler features a layered approach, offering solutions for crawling, indexing and searching IoT data sources, while ensuring privacy and security, adaptivity and reliability. The concept is proven by addressing a list of requirements defined for searching the IoT and an extensive evaluation. In addition, real world use cases showcase the applicability of the framework and provide examples of how it can be instantiated for new scenarios.

The Role of the Internet of Things in Healthcare: Future Trends and Challenges

BACKGROUND AND OBJECTIVE

With the recent advances in the Internet of Things (IoT), the field has become more and more developed in healthcare. The Internet of things will help physicians and hospital staff perform their duties comfortably and intelligently. With the latest advanced technologies, most of the challenges of using IoT have been resolved, and this technology can be a great revolution and has many benefits in the future of digital. Healthcare is one of the most useful areas for IoT use. The most important application of IoT is to monitor and make quick decisions in critical situations. Thanks to this technology-based treatment approach, there is an unprecedented opportunity to better the quality and productivity of treatments and better the patient's well-being and better government funding.

METHODS

In this paper, we provide a comprehensive overview of the primary uses of IoT in healthcare. We used the Systematic Literature Review (SLR) method to analyze and comparison articles published in this field between 2015 and March 2020.

RESULTS

A comprehensive taxonomy is presented based on the contents of the articles under study. In this article, a brief overview of selected articles based on research questions is given and highlights the most critical challenges and case studies for the future use of IoT in healthcare.

CONCLUSIONS

According to a detailed study of the 89 articles and a glimpse into about 208 articles, challenges and future trends in healthcare have been identified.

Applications of Artificial Intelligence and Big Data Analytics in m-Health: A Healthcare System Perspective

Mobile health (m-health) is the term of monitoring the health using mobile phones and patient monitoring devices etc. It has been often deemed as the substantial breakthrough in technology in this modern era. Recently, artificial intelligence (AI) and big data analytics have been applied within the m-health for providing an effective healthcare system. Various types of data such as electronic health records (EHRs), medical images, and complicated text which are diversified, poorly interpreted, and extensively unorganized have been used in the modern medical research. This is an important reason for the cause of various unorganized and unstructured datasets due to emergence of mobile applications along with the healthcare systems. In this paper, a systematic review is carried out on application of AI and the big data analytics to improve the m-health system. Various AI-based algorithms and frameworks of big data with respect to the source of data, techniques used, and the area of application are also discussed. This paper explores the applications of AI and big data analytics for providing insights to the users and enabling them to plan, using the resources especially for the specific challenges in m-health, and proposes a model based on the AI and big data analytics for m-health. Findings of this paper will guide the development of techniques using the combination of AI and the big data as source for handling m-health data more effectively.

Towards an Architecture to Guarantee Both Data Privacy and Utility in the First Phases of Digital Clinical Trials

In the era of the Internet of Things (IoT), drug developers can potentially access a wealth of real-world, participant-generated data that enable better insights and streamlined clinical trial processes. Protection of confidential data is of primary interest when it comes to health data, as medical condition influences daily, professional, and social life. Current approaches in digital trials entail that private user data are provisioned to the trial investigator that is considered a trusted party. The aim of this paper is to present the technical requirements and the research challenges to secure the flow and control of personal data and to protect the interests of all the involved parties during the first phases of a clinical trial, namely the characterization of the potential patients and their possible recruitment. The proposed architecture will let the individuals keep their data private during these phases while providing a useful sketch of their data to the investigator. Proof-of-concept implementations are evaluated in terms of performances achieved in real-world environments.