Chronic patient remote monitoring through the application of big data and internet of things

Insights from home parenteral nutrition infusion data

OBJECTIVE

Patients with chronic intestinal failure use home parenteral nutrition infusion support. Non-compliance of home parenteral nutrition treatment is well documented, especially if clinical resources are remote. Objective delivery data from Infusion Pump reports have the potential to support treatment progress and planning. The aim of this study was to report the efficacy and accuracy of the Eitan Insights digital health platform for home parenteral nutrition use (a platform providing data-driven insights from the pump-recorded data).

METHODS

A prospective, single-center observational study of 20 patients treated with home parenteral nutrition ≥3 d/wk was conducted over 2022. The patients recorded the pre- and postinfusion home parenteral nutrition bag weight, duration of infusion, and alarms. We compared manual records to the pump data. Repeated measures analysis of variance was used for statistical analysis.

RESULTS

A total of 45 data sets were collected, with no adverse events noted. In multiple comparisons between patient factors and descriptive statistics, there was no significant difference between manually recorded and pump-recorded data for volume infused (mean values of manual versus pump were 1707 ± 362 mL and 1708 ± 405 mL; P = 0.939) and infusion duration (mean values of manual versus pump iwere 9h 43 min ± 2.48 SD versus 9h 45 min ± 2.41 SD; P = 0.858).

CONCLUSION

The data collected by the digital platform accurately reflect patients' infusion data. This connected device has the potential to allow clinicians to be more informed and assess treatment trends and proactive resource planning through the Infusion Pump data insights.

The Enterprise's Willingness to Use Remote Monitoring Technology Under the Background of Green Operation and Service-Oriented Manufacturing

The current development of remote monitoring technology (RMT) has become increasingly mature. The key to implementing this technology lies in the user's willingness to use it. In order to study the influencing factors of using RMT in green operation and service-oriented manufacturing enterprises, based on organizational behavior, this exploration discusses the reasons that affect the introduction of new technologies into enterprises from the perspectives of perceived risk, conformity and technology acceptance. Moreover, a series of data is obtained through the questionnaire and the results are obtained by analyzing the data. Suggestions to improve the use of RMT in enterprises are put forward. The results show that technology itself, external environment and organizational characteristics can all affect the decision-making of enterprises on new technology.

A fog-assisted information model based on priority queue and clinical decision support systems

OBJECTIVES

Telehealth monitoring applications are latency-sensitive. The current fog-based telehealth monitoring models are mainly focused on the role of the fog computing in improving response time and latency. In this paper, we have introduced a new service called "priority queue" in fog layer, which is programmed to prioritize the events sent by different sources in different environments to assist the cloud layer with reducing response time and latency.

MATERIAL AND METHODS

We analyzed the performance of the proposed model in a fog-enabled cloud environment with the IFogSim toolkit. To provide a comparison of cloud and fog computing environments, three parameters namely response time, latency, and network usage were used. We used the Pima Indian diabetes dataset to evaluate the model.

RESULT

The fog layer proved to be very effective in improving the response time while handling emergencies using priority queues. The proposed model reduces response time by 25.8%, latency by 36.18%, bandwidth by 28.17%, and network usage time by 41.4% as compared to the cloud.

CONCLUSION

By combining priority queues, and fog computing in this study, the network usage, latency time, bandwidth, and response time were significantly reduced as compared to cloud computing.

Detection and Application of Wearable Devices Based on Internet of Things in Human Physical Health

In order to improve the detection function of wearable intelligent devices in the Internet of things and facilitate people to control a variety of information such as heart rate, exercise state, blood oxygen saturation, and so on, the scientific detection of human physical health based on wearable devices based on Internet of things technology is proposed. Through the combination of software- and hardware-related functional modules, the real-time detection of human physical health information can be effectively realized. Firstly, the detection principle of optical capacitance product pulse wave signal and the waveform characteristics of pulse wave are introduced, and then the application scenarios and advantages of wearable devices are further introduced; then, the convolutional neural network for pulse wave signal denoising and the basic principle of self-encoder are introduced; finally, the regression prediction method and support vector machine method for pulse wave signal feature extraction are introduced in detail. The pulse wave based on optical capacitance product is removed to improve the waveform quality of pulse wave signal. Firstly, the system software development environment is briefly described. Then, the software design of watch terminal master device based on MSP432 and belt terminal slave device based on MSP430 are described in detail, and the detailed program implementation flow of each key technology in the system is given. In addition, the fall detection algorithm based on threshold discrimination is studied, and the program implementation of the algorithm is also described in detail. Finally, the system is tested. The results show that normal state mainly include normal walking, jogging, and fast sitting, and the accuracy rate is 97%, 95%, and 93%, respectively. For fall state, the experimenter needs to simulate various possible fall states, and the accuracy rate is 95%, 93%, and 95%, respectively, which verifies the detection accuracy of the algorithm. The system can automatically turn on the satellite positioning function when the user’s physical sign parameters are abnormal or the user’s current fall dangerous situation occurs, and send the current position information and alarm content information through the GSM module, so that the dangerous situation can be found and handled at the first time.

Smart Home Technology Solutions for Cardiovascular Diseases: A Systematic Review

Cardiovascular diseases (CVD) are the leading cause of mortality globally. Despite improvement in therapies, people with CVD lack support for monitoring and managing their condition at home and out of hospital settings. Smart Home Technologies have potential to monitor health status and support people with CVD in their homes. We explored the Smart Home Technologies available for CVD monitoring and management in people with CVD and acceptance of the available technologies to end-users. We systematically searched four databases, namely Medline, Web of Science, Embase, and IEEE, from 1990 to 2020 (search date 18 March 2020). “Smart-Home” was defined as a system using integrated sensor technologies. We included studies using sensors, such as wearable and non-wearable devices, to capture vital signs relevant to CVD at home settings and to transfer the data using communication systems, including the gateway. We categorised the articles for parameters monitored, communication systems and data sharing, end-user applications, regulations, and user acceptance. The initial search yielded 2462 articles, and the elimination of duplicates resulted in 1760 articles. Of the 36 articles eligible for full-text screening, we selected five Smart Home Technology studies for CVD management with sensor devices connected to a gateway and having a web-based user interface. We observed that the participants of all the studies were people with heart failure. A total of three main categories—Smart Home Technology for CVD management, user acceptance, and the role of regulatory agencies—were developed and discussed. There is an imperative need to monitor CVD patients’ vital parameters regularly. However, limited Smart Home Technology is available to address CVD patients’ needs and monitor health risks. Our review suggests the need to develop and test Smart Home Technology for people with CVD. Our findings provide insights and guidelines into critical issues, including Smart Home Technology for CVD management, user acceptance, and regulatory agency’s role to be followed when designing, developing, and deploying Smart Home Technology for CVD.