A Novel Smart Healthcare Design, Simulation, and Implementation Using Healthcare 4.0 Processes

Smart Contracts and Shared Platforms in Sustainable Health Care: Systematic Review

BACKGROUND

The benefits of smart contracts (SCs) for sustainable health care are a relatively recent topic that has gathered attention given its relationship with trust and the advantages of decentralization, immutability, and traceability introduced in health care. Nevertheless, more studies need to explore the role of SCs in this sector based on the frameworks propounded in the literature that reflect business logic that has been customized, automatized, and prioritized, as well as system trust. This study addressed this lacuna.

OBJECTIVE

This study aimed to provide a comprehensive understanding of SCs in health care based on reviewing the frameworks propounded in the literature.

METHODS

A structured literature review was performed based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) principles. One database-Web of Science (WoS)-was selected to avoid bias generated by database differences and data wrangling. A quantitative assessment of the studies based on machine learning and data reduction methodologies was complemented with a qualitative, in-depth, detailed review of the frameworks propounded in the literature.

RESULTS

A total of 70 studies, which constituted 18.7% (70/374) of the studies on this subject, met the selection criteria and were analyzed. A multiple correspondence analysis-with 74.44% of the inertia-produced 3 factors describing the advances in the topic. Two of them referred to the leading roles of SCs: (1) health care process enhancement and (2) assurance of patients' privacy protection. The first role included 6 themes, and the second one included 3 themes. The third factor encompassed the technical features that improve system efficiency. The in-depth review of these 3 factors and the identification of stakeholders allowed us to characterize the system trust in health care SCs. We assessed the risk of coverage bias, and good percentages of overlap were obtained-66% (49/74) of PubMed articles were also in WoS, and 88.3% (181/205) of WoS articles also appeared in Scopus.

CONCLUSIONS

This comprehensive review allows us to understand the relevance of SCs and the potentiality of their use in patient-centric health care that considers more than technical aspects. It also provides insights for further research based on specific stakeholders, locations, and behaviors.

Enhancing user experience in the digital service environment: A comprehensive study on the design and evaluation of internet-based healthcare products

RATIONALE

In the era of burgeoning digital technology, healthcare is a challenging transformative change towards virtual and digital platforms. Internet-based healthcare services are emerging as a popular trend within the medical area. User experience (UX) is paramount for the healthcare service, as it significantly influences experience satisfaction and fosters user viscosity. Gaining a profound understanding of users' demands and crafting services that align with their expectations is essential.

METHODS

Consequently, exploring an effective design approach for the digital healthcare service that prioritizes UX along with utilizing a comprehensive evaluation methodology to handle UX data, is of profound importance. This study introduces a design methodology for Internet-based healthcare products grounded in the UX and mental (UX-M) model. Aiming to refine the Internet-based healthcare product design by integrating insights from the experience data, it employs the Delphi-ANP and the fuzzy comprehensive evaluation to determine evaluation indexes and conduct experiential assessments.

RESULTS

The UX evaluation results of existing schemes are compared with the proposed design scheme of the intelligent guidance and internet hospital. The findings indicate that the UX evaluation of Internet-based medical services with the proposed method outperforms the existing schemes.

CONCLUSIONS

On the one hand, UX research of Internet-based healthcare products can significantly enhance service satisfaction for patients utilizing online medical treatments. On the other hand, the analysis of experience-based evaluation empowers designers to refine and improve UX design of Internet-based medical services. Such research endeavors are critical for enhancing the overall quality of service offerings and elevating user satisfaction in the digital healthcare landscape.

A review of biopolymer-based hydrogels and IoT integration for enhanced diabetes diagnosis, management, and treatment

The prevalence of diabetes has been increasing globally, necessitating innovative approaches beyond conventional blood sugar monitoring and insulin control. Diabetes is associated with complex health complications, including cardiovascular diseases. Continuous Glucose Monitoring (CGM) devices, though automated, have limitations such as irreversibility and interference with bodily fluids. Hydrogel technologies provide non-invasive alternatives to traditional methods, addressing the limitations of current approaches. This review explores hydrogels as macromolecular biopolymeric materials capable of absorbing and retaining a substantial amount of water within their structure. Due to their high-water absorption properties, these macromolecules are utilized as coating materials for wound care and diabetes management. The study emphasizes the need for early diagnosis and monitoring, especially during the COVID-19 pandemic, where heightened attention to diabetic patients is crucial. Additionally, the article examines the role of the Internet of Things (IoT) and machine learning-based systems in enhancing diabetes management effectiveness. By leveraging these technologies, there is potential to revolutionize diabetes care, providing more personalized and proactive solutions. This review explores cutting-edge hydrogel-based systems as a promising avenue for diabetes diagnosis, management, and treatment, highlighting key biopolymers and technological integrations.

Advancements and Challenges in IoT Simulators: A Comprehensive Review

The Internet of Things (IoT) has emerged as an important concept, bridging the physical and digital worlds through interconnected devices. Although the idea of interconnected devices predates the term "Internet of Things", which was coined in 1999 by Kevin Ashton, the vision of a seamlessly integrated world of devices has been accelerated by advancements in wireless technologies, cost-effective computing, and the ubiquity of mobile devices. This study aims to provide an in-depth review of existing and emerging IoT simulators focusing on their capabilities and real-world applications, and discuss the current challenges and future trends in the IoT simulation area. Despite substantial research in the IoT simulation domain, many studies have a narrow focus, leaving a gap in comprehensive reviews that consider broader IoT development metrics, such as device mobility, energy models, Software-Defined Networking (SDN), and scalability. Notably, there is a lack of literature examining IoT simulators' capabilities in supporting renewable energy sources and their integration with Vehicular Ad-hoc Network (VANET) simulations. Our review seeks to address this gap, evaluating the ability of IoT simulators to simulate complex, large-scale IoT scenarios and meet specific developmental requirements, as well as examining the current challenges and future trends in the field of IoT simulation. Our systematic analysis has identified several significant gaps in the current literature. A primary concern is the lack of a generic simulator capable of effectively simulating various scenarios across different domains within the IoT environment. As a result, a comprehensive and versatile simulator is required to simulate the diverse scenarios occurring in IoT applications. Additionally, there is a notable gap in simulators that address specific security concerns, particularly battery depletion attacks, which are increasingly relevant in IoT systems. Furthermore, there is a need for further investigation and study regarding the integration of IoT simulators with traffic simulation for VANET environments. In addition, it is noteworthy that renewable energy sources are underrepresented in IoT simulations, despite an increasing global emphasis on environmental sustainability. As a result of these identified gaps, it is imperative to develop more advanced and adaptable IoT simulation tools that are designed to meet the multifaceted challenges and opportunities of the IoT domain.

A cognitive deep learning approach for medical image processing

In ophthalmic diagnostics, achieving precise segmentation of retinal blood vessels is a critical yet challenging task, primarily due to the complex nature of retinal images. The intricacies of these images often hinder the accuracy and efficiency of segmentation processes. To overcome these challenges, we introduce the cognitive DL retinal blood vessel segmentation (CoDLRBVS), a novel hybrid model that synergistically combines the deep learning capabilities of the U-Net architecture with a suite of advanced image processing techniques. This model uniquely integrates a preprocessing phase using a matched filter (MF) for feature enhancement and a post-processing phase employing morphological techniques (MT) for refining the segmentation output. Also, the model incorporates multi-scale line detection and scale space methods to enhance its segmentation capabilities. Hence, CoDLRBVS leverages the strengths of these combined approaches within the cognitive computing framework, endowing the system with human-like adaptability and reasoning. This strategic integration enables the model to emphasize blood vessels, accurately segment effectively, and proficiently detect vessels of varying sizes. CoDLRBVS achieves a notable mean accuracy of 96.7%, precision of 96.9%, sensitivity of 99.3%, and specificity of 80.4% across all of the studied datasets, including DRIVE, STARE, HRF, retinal blood vessel and Chase-DB1. CoDLRBVS has been compared with different models, and the resulting metrics surpass the compared models and establish a new benchmark in retinal vessel segmentation. The success of CoDLRBVS underscores its significant potential in advancing medical image processing, particularly in the realm of retinal blood vessel segmentation.

Internet of Medical Things and Healthcare 4.0: Trends, Requirements, Challenges, and Research Directions

Healthcare 4.0 is a recent e-health paradigm associated with the concept of Industry 4.0. It provides approaches to achieving precision medicine that delivers healthcare services based on the patient's characteristics. Moreover, Healthcare 4.0 enables telemedicine, including telesurgery, early predictions, and diagnosis of diseases. This represents an important paradigm for modern societies, especially with the current situation of pandemics. The release of the fifth-generation cellular system (5G), the current advances in wearable device manufacturing, and the recent technologies, e.g., artificial intelligence (AI), edge computing, and the Internet of Things (IoT), are the main drivers of evolutions of Healthcare 4.0 systems. To this end, this work considers introducing recent advances, trends, and requirements of the Internet of Medical Things (IoMT) and Healthcare 4.0 systems. The ultimate requirements of such networks in the era of 5G and next-generation networks are discussed. Moreover, the design challenges and current research directions of these networks. The key enabling technologies of such systems, including AI and distributed edge computing, are discussed.

An Approach to Binary Classification of Alzheimer's Disease Using LSTM

In this study, we use LSTM (Long-Short-Term-Memory) networks to evaluate Magnetic Resonance Imaging (MRI) data to overcome the shortcomings of conventional Alzheimer's disease (AD) detection techniques. Our method offers greater reliability and accuracy in predicting the possibility of AD, in contrast to cognitive testing and brain structure analyses. We used an MRI dataset that we downloaded from the Kaggle source to train our LSTM network. Utilizing the temporal memory characteristics of LSTMs, the network was created to efficiently capture and evaluate the sequential patterns inherent in MRI scans. Our model scored a remarkable AUC of 0.97 and an accuracy of 98.62%. During the training process, we used Stratified Shuffle-Split Cross Validation to make sure that our findings were reliable and generalizable. Our study adds significantly to the body of knowledge by demonstrating the potential of LSTM networks in the specific field of AD prediction and extending the variety of methods investigated for image classification in AD research. We have also designed a user-friendly Web-based application to help with the accessibility of our developed model, bridging the gap between research and actual deployment.

Survey on Sensors and Smart Devices for IoT Enabled Intelligent Healthcare System

The Internet of Things (IoT) in the healthcare system is rapidly changing from the conventional hospital and concentrated specialist behavior to a distributed, patient-centric approach. With the advancement of new techniques, a patient needs sophisticated healthcare requirements. IoT-enabled intelligent health monitoring system with sensors and devices is a patient analysis technique to monitor the patient 24 h a day. IoT is swapping the architecture and has improved the application of different complex systems. Healthcare devices are one of the most remarkable applications of the IoT. Many patient monitoring techniques are available in the IoT platform. This review presents an IoT-enabled intelligent health monitoring system by analyzing the papers reported between 2016 and 2023. This survey also discusses the concept of big data in IoT networks and the IoT computing technology known as edge computing. This review concentrated on sensors and smart devices used in intelligent IoT based health monitoring systems with merits and demerits. This survey gives a brief study based on sensors and smart devices used in IoT smart healthcare systems.

Development of an Evidence-Based Conceptual Model of the Health Care Sector Under Digital Transformation: Integrative Review

BACKGROUND

Digital transformation is currently one of the most influential developments. It is fundamentally changing consumers' expectations and behaviors, challenging traditional firms, and disrupting numerous markets. Recent discussions in the health care sector tend to assess the influence of technological implications but neglect other factors needed for a holistic view on the digital transformation. This calls for a reevaluation of the current state of digital transformation in health care. Consequently, there is a need for a holistic view on the complex interdependencies of digital transformation in the health care sector.

OBJECTIVE

This study aimed to examine the effects of digital transformation on the health care sector. This is accomplished by providing a conceptual model of the health care sector under digital transformation.

METHODS

First, the most essential stakeholders in the health care sector were identified by a scoping review and grounded theory approach. Second, the effects on these stakeholders were assessed. PubMed, Web of Science, and Dimensions were searched for relevant studies. On the basis of an integrative review and grounded theory methodology, the relevant academic literature was systematized and quantitatively and qualitatively analyzed to evaluate the impact on the value creation of, and the relationships among, the stakeholders. Third, the findings were synthesized into a conceptual model of the health care sector under digital transformation.

RESULTS

A total of 2505 records were identified from the database search; of these, 140 (5.59%) were included and analyzed. The results revealed that providers of medical treatments, patients, governing institutions, and payers are the most essential stakeholders in the health care sector. As for the individual stakeholders, patients are experiencing a technology-enabled growth of influence in the sector. Providers are becoming increasingly dependent on intermediaries for essential parts of the value creation and patient interaction. Payers are expected to try to increase their influence on intermediaries to exploit the enormous amounts of data while seeing their business models be challenged by emerging technologies. Governing institutions regulating the health care sector are increasingly facing challenges from new entrants in the sector. Intermediaries increasingly interconnect all these stakeholders, which in turn drives new ways of value creation. These collaborative efforts have led to the establishment of a virtually integrated health care ecosystem.

CONCLUSIONS

The conceptual model provides a novel and evidence-based perspective on the interrelations among actors in the health care sector, indicating that individual stakeholders need to recognize their role in the system. The model can be the basis of further evaluations of strategic actions of actors and their effects on other actors or the health care ecosystem itself.

Ferroelectret nanogenerators for the development of bioengineering systems

Bioengineering devices and systems will become a practical and versatile technology in society when sustainability issues, primarily pertaining to their efficiency, sustainability, and human-machine interaction, are fully addressed. It has become evident that technological paths should not rely on a single operation mechanism but instead on holistic methodologies that integrate different phenomena and approaches with complementary advantages. As an intriguing invention, the ferroelectret nanogenerator (FENG) has emerged with promising potential in various fields of bioengineering. Utilizing the changes in the engineered macro-scale electric dipoles to create displacement current (and vice versa), FENGs have been demonstrated to be a compelling strategy for bidirectional conversion of energy between the electrical and mechanical domains. Here we provide a comprehensive overview of the latest advancements in integrating FENGs in bioengineering systems, focusing on the applications with the most potential and the underlying current constraints.

Blockchain and COVID-19 pandemic: applications and challenges

The year 2020 has witnessed the emergence of coronavirus (COVID-19) that has rapidly spread and adversely affected the global economy, health, and human lives. The COVID-19 pandemic has exposed the limitations of existing healthcare systems regarding their inadequacy to timely and efficiently handle public health emergencies. A large portion of today's healthcare systems are centralized and fall short in providing necessary information security and privacy, data immutability, transparency, and traceability features to detect fraud related to COVID-19 vaccination certification, and anti-body testing. Blockchain technology can assist in combating the COVID-19 pandemic by ensuring safe and reliable medical supplies, accurate identification of virus hot spots, and establishing data provenance to verify the genuineness of personal protective equipment. This paper discusses the potential blockchain applications for the COVID-19 pandemic. It presents the high-level design of three blockchain-based systems to enable governments and medical professionals to efficiently handle health emergencies caused by COVID-19. It discusses the important ongoing blockchain-based research projects, use cases, and case studies to demonstrate the adoption of blockchain technology for COVID-19. Finally, it identifies and discusses future research challenges, along with their key causes and guidelines.

Blockchain-enabled cross-chain collaboration model for elderly health information from a whole process perspective

Due to people having less children and the aging population, the demand for elderly health services is increasing, which leads to an increase in demand for elderly health information. However, there is a gap between elderly medical health information and elderly care information due to different storage institutions and storage methods, which makes it difficult for the medical service industry and the elderly service industry to fully grasp and utilize the health information of the elderly. Therefore, it is difficult to provide whole process services that combine elderly medical health and elderly care. To solve the problem of the poor collaborative utilization of elderly healthcare information, this paper, based on blockchain cross-chain technology and the literature and field research, studies the specific contexts that are needed to realize elderly health information collaboration. Based on the system theory viewpoint, the component-based modular design concept is used to identify the attributes and types of current health information of the elderly from health information related to the five modules of prevention, detection, diagnosis, treatment, and rehabilitation in the process of elderly healthcare. This paper explores the structure, elements, and interactions between the medical health information chains and the elderly care information chains. We build a blockchain-enabled cross-chain collaboration model of elderly health information from the perspective of the whole process with the help of the underlying logic of virtual chain, and to realize the applicability and flexibility of cross-chain collaboration for health information for the elderly in the whole process. The research results show that the proposed cross-chain collaboration model can realize the cross-chain collaboration of health information for the elderly with easy implementation, high throughput, and strong privacy protection.

Critical Success Factors for Successful Implementation of Healthcare 4.0: A Literature Review and Future Research Agenda

The digitization of healthcare services is a major shift in the manner in which healthcare services are offered and managed in the modern era. The COVID-19 pandemic has speeded up the use of digital technologies in the healthcare sector. Healthcare 4.0 (H4.0) is much more than the adoption of digital tools, however; going beyond that, it is the digital transformation of healthcare. The successful implementation of H 4.0 presents a challenge as social and technical factors must be considered. This study, through a systematic literature review, expounds ten critical success factors for the successful implementation of H 4.0. Bibliometric analysis of existing articles is also carried out to understand the development of knowledge in this domain. H 4.0 is rapidly gaining prominence, and a comprehensive review of critical success factors in this area has yet to be conducted. Conducting such a review makes a valuable contribution to the body of knowledge in healthcare operations management. Furthermore, this study will also help healthcare practitioners and policymakers to develop strategies to manage the ten critical success factors while implementing H 4.0.

Case studies about smart contracts in healthcare

The Internet of Things (IoT) such as devices and sensors are a fast growth reality which our bureaucratical and archaic institutional system is not yet ready to embrace its functionalities. In the health system, many developments are made, and smart devices are the key to preventing, studying, investigating, and solving a lot of diseases and improving our health system. But along with this, innovation is necessary for the hospitals, for example, to have a proper system that provides storage of health data information and respects the General Data Protection Regulation (GDPR) with the use of smart contracts that secure the integrity and disclosure of the patient's data, since the majority of hospitals still use paper, physical records to store data. In this study, we will briefly analyse and explain three different suggested methods to deal with the challenges that Internet of Medical Things (IoMT) encounters. We will not choose which one is the best because of the different features and the countries they are proposed but will emphasize the benefits and challenges which one has.

A Machine-Learning-Blockchain-Based Authentication Using Smart Contracts for an IoHT System

Nowadays, finding genetic components and determining the likelihood that treatment would be helpful for patients are the key issues in the medical field. Medical data storage in a centralized system is complex. Data storage, on the other hand, has recently been distributed electronically in a cloud-based system, allowing access to the data at any time through a cloud server or blockchain-based ledger system. The blockchain is essential to managing safe and decentralized transactions in cryptography systems such as bitcoin and Ethereum. The blockchain stores information in different blocks, each of which has a set capacity. Data processing and storage are more effective and better for data management when blockchain and machine learning are integrated. Therefore, we have proposed a machine-learning-blockchain-based smart-contract system that improves security, reduces consumption, and can be trusted for real-time medical applications. The accuracy and computation performance of the IoHT system are safely improved by our system.

Blockchain technology applications in the health domain: a multivocal literature review

Blockchain technology has been changing the nature of several businesses, from supply chain management to electronic record management systems and copyright management to healthcare applications. It provides a resilient and secure platform for modifications due to its distributed and shared nature and cryptographic functions. Each new technology, however, comes with its challenges alongside its opportunities. Previously, we performed a systematic literature review (SLR) to explore how blockchain technology potentially benefits health domain applications. The previous SLR included 27 formal literature papers from 2016 to 2020. Noticing that blockchain technology is rapidly growing, we extended the previous SLR with a multivocal literature review (MLR) approach to present the state of the art in this study. We focused on understanding to what degree blockchain could answer the challenges inherited in the health domain and whether blockchain technology may bring new challenges to health applications. The MLR consists of 78 sources of formal literature and 23 sources of gray literature from 2016 to 2021. As a result of this study, we specified 17 health domain challenges that can be categorized into four groups: (i) meeting regulatory requirements and public health surveillance, (ii) ensuring security and privacy, (iii) ensuring interoperability, and (iv) preventing waste of resources. The analysis shows that blockchain makes significant contributions to the solutions of these challenges. However, 10 new pitfalls come with adopting the technology in the health domain: the inability to delete sensitive data once it is added to a chain, limited ability to keep large-scale data in a blockchain, and performance issues. The data we extracted during the MLR is available in a publicly accessible online repository.

Internet of Medical Things (IoMT)-Based Smart Healthcare System: Trends and Progress

Internet of Medical Thing (IoMT) is the most emerging era of the Internet of Thing (IoT), which is exponentially gaining researchers' attention with every passing day because of its wide applicability in Smart Healthcare systems (SHS). Because of the current pandemic situation, it is highly risky for an individual to visit the doctor for every small problem. Hence, using IoMT devices, we can easily monitor our day-to-day health records, and thereby initial precautions can be taken on our own. IoMT is playing a crucial role within the healthcare industry to increase the accuracy, reliability, and productivity of electronic devices. This research work provides an overview of IoMT with emphasis on various enabling techniques used in smart healthcare systems (SHS), such as radio frequency identification (RFID), artificial intelligence (AI), and blockchain. We are providing a comparative analysis of various IoMT architectures proposed by several researchers. Also, we have defined various health domains of IoMT, including the analysis of different sensors with their application environment, merits, and demerits. In addition, we have figured out key protocol design challenges, which are to be considered during the implementation of an IoMT network-based smart healthcare system. Considering these challenges, we prepared a comparative study for different data collection techniques that can be used to maintain the accuracy of collected data. In addition, this research work also provides a comprehensive study for maintaining the energy efficiency of an AI-based IoMT framework based on various parameters, such as the amount of energy consumed, packet delivery ratio, battery lifetime, quality of service, power drain, network throughput, delay, and transmission rate. Finally, we have provided different correlation equations for finding the accuracy and efficiency within the IoMT-based healthcare system using artificial intelligence. We have compared different data collection algorithms graphically based on their accuracy and error rate. Similarly, different energy efficiency algorithms are also graphically compared based on their energy consumption and packet loss percentage. We have analyzed our references used in this study, which are graphically represented based on their distribution of publication year and publication avenue.

A Machine Learning Based Discharge Prediction of Cardiovascular Diseases Patients in Intensive Care Units

This paper targets a major challenge of how to effectively allocate medical resources in intensive care units (ICUs). We trained multiple regression models using the Medical Information Mart for Intensive Care III (MIMIC III) database recorded in the period between 2001 and 2012. The training and validation dataset included pneumonia, sepsis, congestive heart failure, hypotension, chest pain, coronary artery disease, fever, respiratory failure, acute coronary syndrome, shortness of breath, seizure and transient ischemic attack, and aortic stenosis patients’ recorded data. Then we tested the models on the unseen data of patients diagnosed with coronary artery disease, congestive heart failure or acute coronary syndrome. We included the admission characteristics, clinical prescriptions, physiological measurements, and discharge characteristics of those patients. We assessed the models’ performance using mean residuals and running times as metrics. We ran multiple experiments to study the data partition’s impact on the learning phase. The total running time of our best-evaluated model is 123,450.9 mS. The best model gives an average accuracy of 98%, highlighting the location of discharge, initial diagnosis, location of admission, drug therapy, length of stay and internal transfers as the most influencing patterns to decide a patient’s readiness for discharge.

Industry 4.0 and Enabling Technologies: Integration Framework and Challenges

Industry 4.0 has revolutionized the traditional production line toward smart factories in a sustainable environment. It represents an intelligent manufacturing network, where machines and products interact without human control. Recently, there have been studies on Industry 4.0 and integrating enabling technologies, and this article aims to summarize a few of the pathbreaking studies and guide future research in this field. This paper reviews 112 journal publications related to Blockchain from 2017 to 2021 in the Science Citation Index (SCI) and Social Science Citation Index (SSCI) database. The selected papers are grouped into ten categories. This overview indicates that research of integrating Industry 4.0 enabling technologies needs to focus on developing better privacy and security mechanisms and a design framework for integrating the 5G network system into the platform.

A Flexible, Wearable, and Wireless Biosensor Patch with Internet of Medical Things Applications

Monitoring the vital signs and physiological responses of the human body in daily activities is particularly useful for the early diagnosis and prevention of cardiovascular diseases. Here, we proposed a wireless and flexible biosensor patch for continuous and longitudinal monitoring of different physiological signals, including body temperature, blood pressure (BP), and electrocardiography. Moreover, these modalities for tracking body movement and GPS locations for emergency rescue have been included in biosensor devices. We optimized the flexible patch design with high mechanical stretchability and compatibility that can provide reliable and long-term attachment to the curved skin surface. Regarding smart healthcare applications, this research presents an Internet of Things-connected healthcare platform consisting of a smartphone application, website service, database server, and mobile gateway. The IoT platform has the potential to reduce the demand for medical resources and enhance the quality of healthcare services. To further address the advances in non-invasive continuous BP monitoring, an optimized deep learning architecture with one-channel electrocardiogram signals is introduced. The performance of the BP estimation model was verified using an independent dataset; this experimental result satisfied the Association for the Advancement of Medical Instrumentation, and the British Hypertension Society standards for BP monitoring devices. The experimental results demonstrated the practical application of the wireless and flexible biosensor patch for continuous physiological signal monitoring with Internet of Medical Things-connected healthcare applications.

Hybrid Blockchain Platforms for the Internet of Things (IoT): A Systematic Literature Review

In recent years, research into blockchain technology and the Internet of Things (IoT) has grown rapidly due to an increase in media coverage. Many different blockchain applications and platforms have been developed for different purposes, such as food safety monitoring, cryptocurrency exchange, and secure medical data sharing. However, blockchain platforms cannot store all the generated data. Therefore, they are supported with data warehouses, which in turn is called a hybrid blockchain platform. While several systems have been developed based on this idea, a current state-of-the-art systematic overview on the use of hybrid blockchain platforms is lacking. Therefore, a systematic literature review (SLR) study has been carried out by us to investigate the motivations for adopting them, the domains at which they were used, the adopted technologies that made this integration effective, and, finally, the challenges and possible solutions. This study shows that security, transparency, and efficiency are the top three motivations for adopting these platforms. The energy, agriculture, health, construction, manufacturing, and supply chain domains are the top domains. The most adopted technologies are cloud computing, fog computing, telecommunications, and edge computing. While there are several benefits of using hybrid blockchains, there are also several challenges reported in this study.

Soft Transducer for Patient's Vitals Telemonitoring with Deep Learning-Based Personalized Anomaly Detection

This work addresses the design, development and implementation of a 4.0-based wearable soft transducer for patient-centered vitals telemonitoring. In particular, first, the soft transducer measures hypertension-related vitals (heart rate, oxygen saturation and systolic/diastolic pressure) and sends the data to a remote database (which can be easily consulted both by the patient and the physician). In addition to this, a dedicated deep learning algorithm, based on a Long-Short-Term-Memory Autoencoder, was designed, implemented and tested for providing an alert when the patient’s vitals exceed certain thresholds, which are automatically personalized for the specific patient. Furthermore, a mobile application (EcO2u) was developed to manage the entire data flow and facilitate the data fruition; this application also implements an innovative face-detection algorithm that ensures the identity of the patient. The robustness of the proposed soft transducer was validated experimentally on five individuals, who used the system for 30 days. The experimental results demonstrated an accuracy in anomaly detection greater than 93%, with a true positive rate of more than 94%.

Appositeness of Optimized and Reliable Machine Learning for Healthcare: A Survey

Machine Learning (ML) has been categorized as a branch of Artificial Intelligence (AI) under the Computer Science domain wherein programmable machines imitate human learning behavior with the help of statistical methods and data. The Healthcare industry is one of the largest and busiest sectors in the world, functioning with an extensive amount of manual moderation at every stage. Most of the clinical documents concerning patient care are hand-written by experts, selective reports are machine-generated. This process elevates the chances of misdiagnosis thereby, imposing a risk to a patient's life. Recent technological adoptions for automating manual operations have witnessed extensive use of ML in its applications. The paper surveys the applicability of ML approaches in automating medical systems. The paper discusses most of the optimized statistical ML frameworks that encourage better service delivery in clinical aspects. The universal adoption of various Deep Learning (DL) and ML techniques as the underlying systems for a variety of wellness applications, is delineated by challenges and elevated by myriads of security. This work tries to recognize a variety of vulnerabilities occurring in medical procurement, admitting the concerns over its predictive performance from a privacy point of view. Finally providing possible risk delimiting facts and directions for active challenges in the future.

Smart healthcare IoT applications based on fog computing: architecture, applications and challenges

The history of human development has proven that medical and healthcare applications for humanity always are the main driving force behind the development of science and technology. The advent of Cloud technology for the first time allows providing systems infrastructure as a service, platform as a service and software as a service. Cloud technology has dominated healthcare information systems for decades now. However, one limitation of cloud-based applications is the high service response time. In some emergency scenarios, the control and monitoring of patient status, decision-making with related resources are limited such as hospital, ambulance, doctor, medical conditions in seconds and has a direct impact on the life of patients. To solve these challenges, optimal computing technologies have been proposed such as cloud computing, edge computing, and fog computing technologies. In this article, we make a comparison between computing technologies. Then, we present a common architectural framework based on fog computing for Internet of Health Things (Fog-IoHT) applications. Besides, we also indicate possible applications and challenges in integrating fog computing into IoT Healthcare applications. The analysis results indicated that there is huge potential for IoHT applications based on fog computing. We hope, this study will be an important guide for the future development of fog-based Healthcare IoT applications.

Intelligent Recommendations of Startup Projects in Smart Cities and Smart Health Using Social Media Mining

The paper presents a recommendation model for developing new smart city and smart health projects. The objective is to provide recommendations to citizens about smart city and smart health startups to improve entrepreneurship and leadership. These recommendations may lead to the country's advancement and the improvement of national income and reduce unemployment. This work focuses on designing and implementing an approach for processing and analyzing tweets inclosing data related to smart city and smart health startups and providing recommended projects as well as their required skills and competencies. This approach is based on tweets mining through a machine learning method, the Word2Vec algorithm, combined with a recommendation technique conducted via an ontology-based method. This approach allows discovering the relevant startup projects in the context of smart cities and makes links to the needed skills and competencies of users. A system was implemented to validate this approach. The attained performance metrics related to precision, recall, and F-measure are, respectively, 95%, 66%, and 79%, showing that the results are very encouraging.

Internet of things-based smart wearable system to monitor sports person health

BACKGROUND

The modern Internet of Things (IoT) makes small devices that can sense, process, interact, connect devices, and other sensors ready to understand the environment. IoT technologies and intelligent health apps have multiplied. The main challenges in the sports environment are playing without injuries and healthily.

OBJECTIVE

In this paper the Internet of Things-based Smart Wearable System (IoT-SWS) is introduced for monitoring sports person activity to improve sports person health and performance in a healthy way.

METHOD

Wearable systems are commonly used to capture individual sports details on a real-time basis. Collecting data from wearable devices and IoT technologies can help organizations learn how to optimize in-game strategies, identify opponents' vulnerabilities, and make smarter draft choices and trading decisions for a sportsperson.

RESULTS

The experimental result shows that IoT-SWS achieve the highest accuracy of 98.22% and efficient in predicting the sports person's health to improve sports person performance reliably.

The role of blockchain technology in telehealth and telemedicine

OBJECTIVE

Telehealth and telemedicine systems aim to deliver remote healthcare services to mitigate the spread of COVID-9. Also, they can help to manage scarce healthcare resources to control the massive burden of COVID-19 patients in hospitals. However, a large portion of today's telehealth and telemedicine systems are centralized and fall short of providing necessary information security and privacy, operational transparency, health records immutability, and traceability to detect frauds related to patients' insurance claims and physician credentials.

METHODS

The current study has explored the potential opportunities and adaptability challenges for blockchain technology in telehealth and telemedicine sector. It has explored the key role that blockchain technology can play to provide necessary information security and privacy, operational transparency, health records immutability, and traceability to detect frauds related to patients' insurance claims and physician credentials.

RESULTS

Blockchain technology can improve telehealth and telemedicine services by offering remote healthcare services in a manner that is decentralized, tamper-proof, transparent, traceable, reliable, trustful, and secure. It enables health professionals to accurately identify frauds related to physician educational credentials and medical testing kits commonly used for home-based diagnosis.

CONCLUSIONS

Wide deployment of blockchain in telehealth and telemedicine technology is still in its infancy. Several challenges and research problems need to be resolved to enable the widespread adoption of blockchain technology in telehealth and telemedicine systems.