Applications Based on Service-Oriented Architecture (SOA) in the Field of Home Healthcare

System interoperability and data linkage in the era of health information management: A bibliometric analysis

Background: Across the world, health data generation is growing exponentially. The continuous rise of new and diversified technology to obtain and handle health data places health information management and governance under pressure. Lack of data linkage and interoperability between systems undermines best efforts to optimise integrated health information technology solutions. Objective: This research aimed to provide a bibliometric overview of the role of interoperability and linkage in health data management and governance. Method: Data were acquired by entering selected search queries into Google Scholar, PubMed, and Web of Science databases and bibliometric data obtained were then imported to Endnote and checked for duplicates. The refined data were exported to Excel, where several levels of filtration were applied to obtain the final sample. These sample data were analysed using Microsoft Excel (Microsoft Corporation, Washington, USA), WORDSTAT (Provalis Research, Montreal, Canada) and VOSviewer software (Leiden University, Leiden, Netherlands). Results: The literature sample was retrieved from 3799 unique results and consisted of 63 articles, present in 45 different publications, both evaluated by two specific in-house global impact rankings. Through VOSviewer, three main clusters were identified: (i) e-health information stakeholder needs; (ii) e-health information quality assessment; and (iii) e-health information technological governance trends. A residual correlation between interoperability and linkage studies in the sample was also found. Conclusion: Assessing stakeholders' needs is crucial for establishing an efficient and effective health information system. Further and diversified research is needed to assess the integrated placement of interoperability and linkage in health information management and governance. Implications: This research has provided valuable managerial and theoretical contributions to optimise system interoperability and data linkage within health information research and information technology solutions.

Optimized continuous homecare provisioning through distributed data-driven semantic services and cross-organizational workflows

BACKGROUND

In healthcare, an increasing collaboration can be noticed between different caregivers, especially considering the shift to homecare. To provide optimal patient care, efficient coordination of data and workflows between these different stakeholders is required. To achieve this, data should be exposed in a machine-interpretable, reusable manner. In addition, there is a need for smart, dynamic, personalized and performant services provided on top of this data. Flexible workflows should be defined that realize their desired functionality, adhere to use case specific quality constraints and improve coordination across stakeholders. User interfaces should allow configuring all of this in an easy, user-friendly way.

METHODS

A distributed, generic, cascading reasoning reference architecture can solve the presented challenges. It can be instantiated with existing tools built upon Semantic Web technologies that provide data-driven semantic services and constructing cross-organizational workflows. These tools include RMLStreamer to generate Linked Data, DIVIDE to adaptively manage contextually relevant local queries, Streaming MASSIF to deploy reusable services, AMADEUS to compose semantic workflows, and RMLEditor and Matey to configure rules to generate Linked Data.

RESULTS

A use case demonstrator is built on a scenario that focuses on personalized smart monitoring and cross-organizational treatment planning. The performance and usability of the demonstrator's implementation is evaluated. The former shows that the monitoring pipeline efficiently processes a stream of 14 observations per second: RMLStreamer maps JSON observations to RDF in 13.5 ms, a C-SPARQL query to generate fever alarms is executed on a window of 5 s in 26.4 ms, and Streaming MASSIF generates a smart notification for fever alarms based on severity and urgency in 1539.5 ms. DIVIDE derives the C-SPARQL queries in 7249.5 ms, while AMADEUS constructs a colon cancer treatment plan and performs conflict detection with it in 190.8 ms and 1335.7 ms, respectively.

CONCLUSIONS

Existing tools built upon Semantic Web technologies can be leveraged to optimize continuous care provisioning. The evaluation of the building blocks on a realistic homecare monitoring use case demonstrates their applicability, usability and good performance. Further extending the available user interfaces for some tools is required to increase their adoption.

A Framework for Service-Oriented Architecture (SOA)-Based IoT Application Development

In the last decades, the increasing complexity of industrial information technology has led to the emergence of new trends in manufacturing. Factories are using multiple Internet of Things (IoT) platforms to harvest sensor information to improve production. Such a transformation contributes to efficiency growth and reduced production costs. To deal with the heterogeneity of the services within an IoT system, Service-Oriented Architecture (SOA) is referred to in the literature as being advantageous for the design and development of software to support IoT-based production processes. The aim of SOA-based design is to provide the leverage to use and reuse loosely coupled IoT services at the middleware layer to minimise system integration problems. We propose a system architecture that follows the SOA architectural pattern and enables developers and business process designers to dynamically add, query or use instances of existing modular software in the IoT context. Furthermore, an analysis of utilization of modular software that presents some challenges and limitations of this approach is also in the scope of this work.

Comparison of the Mental Burden on Nursing Care Providers With and Without Mat-Type Sleep State Sensors at a Nursing Home in Tokyo, Japan: Quasi-Experimental Study

Background

Increasing need for nursing care has led to the increased burden on formal caregivers, with those in nursing homes having to deal with exhausting labor. Although research activities on the use of internet of things devices to support nursing care for older adults exist, there is limited evidence on the effectiveness of these interventions among formal caregivers in nursing homes.

Objective

This study aims to investigate whether mat-type sleep state sensors for supporting nursing care can reduce the mental burden of formal caregivers in a nursing home.

Methods

This was a quasi-experimental study at a nursing home in Tokyo, Japan. The study participants were formal caregivers who cared for residents in private rooms on the fourth and fifth floors of the nursing home. In the intervention group, formal caregivers took care of residents who used sleep state sensors on the fourth floor of the nursing home. The sleep state sensors were mat types and designed to detect body motion such as the frequency of toss and turning and to measure heartbeat and respiration. One sensor was placed on a bed in a private room. When body motion is detected, the information is instantly displayed on a monitor at a staff station. In addition, the mental condition of the formal caregivers was measured using a validated self-reported outcome measure—the Profile of Mood States (POMS), Short-Form, 2nd edition. Formal caregivers in both groups received the POMS at baseline, midpoint (week 4), and endpoint (week 8) to identify changes in these domains. The primary outcome was the difference in total mood disturbance (TMD) of the POMS at baseline and week 8.

Results

Of the 22 eligible formal caregivers, 12 (intervention group) utilized sleep state sensors for 8 weeks. The remaining 10 formal caregivers (control group) provided nursing care as usual. As for the primary outcome of the difference between TMD at baseline and week 8, TMD in the intervention group improved by –3.67 versus 4.70 in the control group, resulting in a mean difference of –8.37 (95% CI –32.02 to 15.29; P=.48) in favor of the intervention.

Conclusions

The present 8-week study showed that sleep state sensing for elderly residents might not be associated with reduced mental burdens on formal caregivers in nursing homes.

Secure Telemedicine System Design for COVID-19 Patients Treatment Using Service Oriented Architecture

The coronavirus pandemic, also known as the COVID-19 pandemic, is an ongoing virus. It was first identified on December 2019 in Wuhan, China, and later spread to 192 countries. As of now, 251,266,207 people have been affected, and 5,070,244 deaths are reported. Due to the growing number of COVID-19 patients, the demand for COVID wards is increasing. Telemedicine applications are increasing drastically because of convenient treatment options. The healthcare sector is rapidly adopting telemedicine applications for the treatment of COVID-19 patients. Most telemedicine applications are developed for heterogeneous environments and due to their diverse nature, data transmission between similar and dissimilar telemedicine applications is a difficult task. In this paper, we propose a Tele-COVID system architecture design along with its security aspects to provide the treatment for COVID-19 patients from distance. Tele-COVID secure system architecture is designed to resolve the problem of data interchange between two different telemedicine applications, interoperability, and vendor lock-in. Tele-COVID is a web-based and Android telemedicine application that provides suitable treatment to COVID-19 patients. With the help of Tele-COVID, the treatment of patients at a distance is possible without the need for them to visit hospitals; in case of emergency, necessary services can also be provided. The application is tested on COVID-19 patients in the county hospital and shows the initial results.

Security and Privacy in Cloud-Based E-Health System

Cloud based healthcare computing have changed the face of healthcare in many ways. The main advantages of cloud computing in healthcare are scalability of the required service and the provision to upscale or downsize the data storge, collaborating Artificial Intelligence (AI) and machine learning. The current paper examined various research studies to explore the utilization of intelligent techniques in health systems and mainly focused into the security and privacy issues in the current technologies. Despite the various benefits related to cloud-computing applications for healthcare, there are different types of management, technology handling, security measures, and legal issues to be considered and addressed. The key focus of this paper is to address the increased demand for cloud computing and its definition, technologies widely used in healthcare, their problems and possibilities, and the way protection mechanisms are organized and prepared when the company chooses to implement the latest evolving service model. In this paper, we focused on a thorough review of current and existing literature on different approaches and mechanisms used in e-Health to deal with security and privacy issues. Some of these approaches have strengths and weaknesses. After selecting original articles, the literature review was carried out, and we identified several models adopted in their solutions. We arrived at the reviewed articles after comparing the models used.

Health 4.0: On the Way to Realizing the Healthcare of the Future

Health 4.0 establishes a new promising vision for the healthcare industry. It creatively integrates and employ innovative technologies such as the Internet of Health Things (IoHT), medical Cyber-Physical Systems (medical CPS), health cloud, health fog, big data analytics, machine learning, blockchain, and smart algorithms. The goal is to deliver improved, value-added and cost-effective healthcare services to patients and enhance the effectiveness and efficiency or the healthcare industry. Health 4.0 (adapted from the Industry 4.0 principles) changes the healthcare business model to enhance the interactions across the healthcare clients (the patients), stakeholders, infrastructure, and value chain. This effectively will improve the quality, flexibility, productivity, cost-effectiveness, and reliability of healthcare services in addition to increasing patients' satisfaction. However, building and utilizing healthcare applications that follow the Health 4.0 concept is a non-trivial and complex endeavor. In addition, advanced potential applications based on Health 4.0 capabilities are not yet being investigated. In this paper we define the main objectives of Health 4.0 and discuss advanced potential Health 4.0 applications. To have a clear understanding of these applications, we categorize them in 4 groups based on the primary beneficiary of these applications. Thus we have patient targeted applications, applications supporting healthcare professionals, resource management applications and high-level healthcare systems management applications. In addition, as we studied the different applications, we realized that these is a certain collection of services that these most of them need regardless of their goals or business context. Services supporting data collection and transfer, security and privacy, reliable operations are some examples. As a result we propose creating a service-oriented middleware framework to offers the common services to the applications developers and facilitate the integration of different services to build applications under the Health 4.0 umbrella.

Security Aspects for Rpl-Based Protocols: A Systematic Review in IoT

The Internet of things (IoT) is a concept that has gained traction over the last decade. IoT networks have evolved around the wireless sensor network (WSN), and the following research looks at relevant IoT concepts and the different security issues that occur specifically at the network layer. This analysis is performed using a structured literature review (SLR). This form of bibliographic review has been a trend in recent years. Its strength is the performance of a bibliometric analysis that allows studying both trends in the line of research that you want to address and the relevant authors. This SLR reviews 53 proposals between 2011 and 2020, whose contribution is to mitigate attacks in the RPL (Routing Protocol for Low-Power and Lossy Networks) protocol. The revised proposals emerged after selecting keywords and databases in which to apply the search. Initially, approximately 380 research works appeared, for which it was necessary to continue using filters to refine the proposals to be included. After reading titles and abstracts, 53 papers were finally selected. In addition to analyzing the attacks mitigated in the RPL protocol, it is intended to identify the trend by which these attacks are reduced, as a result of the review, nine attacks have been found: rank, blackhole, selective forwarding, wormhole, DODAG (Destination-Oriented Directed Acyclic Graph) version number, DAO (Destination Advertisement Object) inconsistency, DIO (DODAG Information Object) suppression, Sybil, and sinkhole. Each of the 53 proposals analyzed in this review has an associated mitigation strategy, these strategies have been categorized into four groups, based on authentication or cryptography, based on network monitoring, based on secure parent node selection and other. According to the results, the authors’ primary mitigation strategy is based on network monitoring, with 30%. This review also identifies the principal authors and countries that need the development of this line of research.

Green Communication for Tracking Heart Rate with Smartbands

The trend of using wearables for healthcare is steeply increasing nowadays, and, consequently, in the market, there are several gadgets that measure several body features. In addition, the mixed use between smartphones and wearables has motivated research like the current one. The main goal of this work is to reduce the amount of times that a certain smartband (SB) measures the heart rate (HR) in order to save energy in communications without significantly reducing the utility of the application. This work has used an SB Sony 2 for measuring heart rate, Fit API for storing data and Android for managing data. The current approach has been assessed with data from HR sensors collected for more than three months. Once all HR measures were collected, then the current approach detected hourly ranges whose heart rate were higher than normal. The hourly ranges allowed for estimating the time periods of weeks that the user could be at potential risk for measuring frequently in these (60 times per hour) ranges. Out of these ranges, the measurement frequency was lower (six times per hour). If SB measures an unusual heart rate, the app warns the user so they are aware of the risk and can act accordingly. We analyzed two cases and we conclude that energy consumption was reduced in 83.57% in communications when using training of several weeks. In addition, a prediction per day was made using data of 20 users. On average, tests obtained 63.04% of accuracy in this experimentation using the training over the data of one day for each user.

Low Cost Efficient Deliverying Video Surveillance Service to Moving Guard for Smart Home

Low-cost video surveillance systems are attractive for Smart Home applications (especially in emerging economies). Those systems use the flexibility of the Internet of Things to operate the video camera only when an intrusion is detected. We are the only ones that focus on the design of protocols based on intelligent agents to communicate the video of an intrusion in real time to the guards by wireless or mobile networks. The goal is to communicate, in real time, the video to the guards who can be moving towards the smart home. However, this communication suffers from sporadic disruptions that difficults the control and drastically reduces user satisfaction and operativity of the system. In a novel way, we have designed a generic software architecture based on design patterns that can be adapted to any hardware in a simple way. The implanted hardware is of very low economic cost; the software frameworks are free. In the experimental tests we have shown that it is possible to communicate to the moving guard, intrusion notifications (by e-mail and by instant messaging), and the first video frames in less than 20 s. In addition, we automatically recovered the frames of video lost in the disruptions in a transparent way to the user, we supported vertical handover processes and we could save energy of the smartphone's battery. However, the most important thing was that the high satisfaction of the people who have used the system.