endobj ƒC�Ү%�"~������nz,}��Q'�B7�pXl ude�Y5/���nw\}������}�V�/^��w7�\������kw=�v����ŋիח�W�>�x#VB��}|�D�J��Xɶ.J�2Uіz����ru�����'��BU�_V����o�;��)aF�ޯW��o�Mf3z�e� L:����r���+.���_�ʋ�t�u����M� Research Article Real-Time Cloud-Based Health Tracking and Monitoring System in Designed Boundary for Cardiology Patients Aamir Shahzad ,1 Yang Sun Lee,2 Malrey Lee,3 Young-Gab Kim ,1 and Naixue Xiong 4 1Department of Computer and Information Security, Sejong University, 209 Neungdong-ro, Gwangjin-gu, Seoul 05006, Republic of Korea This is also considered significant to inform the caregiver in case of an emergency or an indication for patient services, for that they are responsible (like patients’ medicine intake schedule, eating, and others, while he/she is not near to the patient, or outside the patient room or medical ward. In detail, we entered 200 arrhythmia patients in the designed database and were also able to manage their medical information and the corresponding reports upon individual requests (by patients, medical term, and medical advisors). These enhancements made are accounted as tremendous changes in medical systems and in reducing of critical sudden conditions of patients during an emergency and in reducing the effects of diseases, as the diseases are diagnosed and handled before going to be critical. Whereas, several controllers were designated and were able to view the overall information while connected to wide area network (WAN), to manage the number of patients in emergency units. As explained, overall information carried from each patient connected with ECG device is transmitted to a local station located as a part of a medical ward to store and monitor the information in real-time manners through the medical application or virtual machine, running from a cloud server, which means that carried information is directly stored in the cloud server via local system and monitoring is also performed in real time to avoid the critical cases to happen. Implementing the position estimation algorithms, such as more advances with the uses of frequency difference of arrival (FDOA) and time difference of arrival (TDFA) [, In communication service, the text and voice messages were allowed to transfer over the designed cloud platform, through the employment of various wireless sensor devices, to fulfill the desired, overall communication goals, together with the microcontrollers as well as routing schemes and queuing managing algorithms are acquired for implementation [, http://middle-east.emc.com/collateral/emc-perspective/h7349-hc-private-cloud-ep.pdf, http://www.davidchappell.com/writing/white_papers/The_Microsoft_Private_Cloud_v1.0--Chappell.pdf, C. Doukas and I. Maglogiannis, “Bringing IoT and cloud computing towards pervasive healthcare,” in. In case an organization wants to keep its resources well and secured in its data center, away from the others or from external entities, the best solution that has been provided by cloud technology is private cloud computing by using the concepts of visualization . To resolve the issues of security, the private cloud computing is a significant and trusted solution for medical information exchanges, with the satisfactions of information confidentiality and authorized access; moreover, medical organizations can also leverage their other important resources [2–5]. The design of miTag was deemed highly scalable and extensive that can be used with a variant of communication systems, that is, GPS, and able to sense the patient status such as blood pressure rate, body temperature, and ECG signals. Mainly, each type of application or software is hosted and can retrieve through the web-based service, where the end-users can simply request and get the desired information, such as ECG/medical information uploaded/downloaded, medical information analyses, and current and existing reports, according to their queries and demands without the knowledge of application of the underlying complexities and difficulties that might be present in the development or in hosting of any application in cloud computing platform. For that, depending upon the demands, a new system is required that not only provides healthcare services inside the hospitals or healthcare centers but also provides efficient healthcare facility to remotely located patients. Furthermore, it’s cloud based and secure. However, the proposed design inelasticity would be extendable with new sensors, if required. In early future work, this study will be extended with the new developments of hybrid cloud computing, where the main goal is to provide the medical services to the remotely located patients and the concept to measure the medical information continuously. Especially, in the situation to fight against cardiology or arrhythmia that will always happen suddenly—if it happened—therefore, a possibility to monitor it is through remote networked portable ECG telemonitoring system [17–20]. Further, the observed continuous activities of the heart, or QRS complex, are transmitted to the local unit resided in the medical ward, which means that this networked local unit is just a computer system which captures, records, and monitors the real-time rhythms of the patient illustrated in Figure 7, up to 10 patients in a medical ward, through the medical application running from the cloud server. From: Encyclopedia of Physical Science and Technology (Third Edition), 2003. Typical cloud computing structure for healthcare systems. Therefore, caregivers or family members of a patient can access the information of his/her patient via cellular phone through a medical application installed. Therefore, real-time medical information could be accessed through wireless sensor configuration, and patient will be located anywhere in the boundary of the medical center or in coverage of wireless sensor network. A new cloud-based fine-grained health information acce ss control framework  was introduced which addressed the security challenges and the cloud reciprocity In this system, five sensors are used to capture the data from hospital environment named heart beat sensor, body temperature sensor, room temperature sensor, CO sensor, and CO2 sensor. As the information is measured from ECG device which is directly attached to the patient, and the measured information further assessed (or classified), with the classification algorithm, resulted in the abnormal heart rates, then at the same time, this information is transmitted to the server in the form of MMS, with the embedded information of Holter-GPS. It's an open-source physical computing platform based on a simple micro- Each time information is transmitting, in real time manners; store in the form of table’s records that will further retrieve based on the queries will be requested or required by the medical individuals. Therefore, the signs, such as √ and X, are used to show that the ECG information was received and the security test was verified or not. Through several discussions made in a group, the chat would be useful to fight against the critical diseases and to make the patient’s health with more care. At the end, in Section 4, overall work study is concluded and future work is described. Therefore, through the cellular medical application, the detailed access is provided; the access might be limited according to the designated patients. The front-end layers are the ones you use and interact with. At both sides, in either MMS sent from the patient or sent from the medical advisor, the communication always carried in real-time senses. In case of emergency, ECG-measured information is observed and simultaneously transmitted through cellular transmission, satellite transmission, and other computer wired/wireless networks to the control center or server, where the observed information will further be assessed for diagnosis and storage purposes [19, 20]. Generally, IOT has widely interconnect the advanced medical resources and supply smart and effective healthcare services to the people. In the medical ward, each patient resided in is accommodated with an ECG device attached to measure the continuous electrical signals or events of patients’ arrhythmias, through attached leads. Like in other IT sectors, there has been tremendous progress accounted in medical sectors (and in telemonitoring systems) that changes the human life protection against several chronic diseases, and the patient’s medical information can be accessed wirelessly via Wi-Fi and cellular systems. Clever solutions for a safer workplace. An integrated self-service web portal is also provided, which allows the users to make a request directed towards the designed private cloud, to deploy, configure, and manage the created VMs (e.g., a total of six virtual machines in our study cases) and other required cloud services. The private cloud-based environment is designed, for patient health monitoring called bounded telemonitoring system, to acquire the real-time medical information of patients that resided in the boundary, inside medical wards and … Note that you can also use Cloud Monitoring custom metrics. 2 0 obj A. Stankovic, A. Terzis, and M. Welsh, “Wireless sensor networks for healthcare,”, R. D. Caytiles and S. Park, “A study of the design of wireless medical sensor network based u-Healthcare system,”, T. Gao, C. Pesto, L. Selavo et al., “Wireless medical sensor networks in emergency response: implementation and pilot results,” in, N. Fernando, S. W. Loke, and W. Rahayu, “Mobile cloud computing: a survey,”, C. Wen, M.-F. Yeh, K.-C. Chang, and R.-G. Lee, “Real-time ECG telemonitoring system design with mobile phone platform,”, W. Yao, C.-H. Chu, and Z. Li, “The use of RFID in healthcare: benefits and barriers,” in, H. Al Nahas and J. S. Deogun, “Radio frequency identification applications in smart hospitals,” in, M. Mayer, N. Görtz, and J. Kaitovic, “RFID tag acquisition via compressed sensing,” in, C. D. Kidd, R. Orr, G. D. Abowd et al., “The aware home: a living laboratory for ubiquitous computing research,” in, E. A. Fry and L. A. Lenert, “MASCAL: RFID tracking of patients, staff and equipment to enhance hospital response to mass casualty events,”, D. I. Tapia, R. S. Alonso, Ó. García, F. de la Prieta, and B. Pérez-Lancho, “Cloud-IO: cloud computing platform for the fast deployment of services over wireless sensor networks,” in, D. I. Tapia, R. S. Alonso, J. F. De Paz, C. Zato, and F. de la Prieta, “A telemonitoring system for healthcare using heterogeneous wireless sensor networks,”, K. Dongkyun, J. Ha, and K. You, “Adaptive extended Kalman filter based geolocation using TDOA/FDOA,”, H. Liu, H. Darabi, P. Banerjee, and J. Liu, “Survey of wireless indoor positioning techniques and systems,”. Automated medical analytic tools, such as electrocardiogram analyzers, are also available for medical information analyses in real-time manners and are accounted as a part of the telemonitoring system . The other electronic devices, such as laptops and tablets, can also be used to visualize the medical information, in real-time manners, prior to register via the cloud. In the offline system, the medical running application is designed with efficiency to receive the upcoming medical information from each patient and store it into a local memory that configures as a part of application software. Moreover, it is a generic infrastructure that manages the processing of distributive applications and is a consolidation platform to work with other existing infrastructures (e.g., “Amazon EC2” as part of cloud computing . Therefore, during that time, measuring the rhythms of the patient will be required to avoid the critical cases of arrhythmia while they are out of their medical wards. But in the current study based on some requirements, specifically due to the security issues, communication is limited to the local private body area networks (PHBAN), a network which retrieves the information from the patient through employing of medical noninvasive equipment or noninvasive devices attached with the patients; in our case, we use the ECG devices and also ECG belt with wireless sensor (ECGBWS) according to the scenarios, such as inward monitoring (IWM) and outward monitoring. Nowadays, various medical sensors have been used in hospitals in order to keep the physiological and physical status of patients, patient health information is tracked in real-time manners and diagnosis, and corresponding treatments are applied. Employers use SafetyBase health and safety software to connect all the workers in their health and safety system. A cloud-structural health monitoring method based on smartphone was proposed, and a structural health monitoring system Orion-CC, which integrates functions of data acquisition, data analysis and data upload, was developed on smartphone to perform structural health monitoring without any other professional devices. With those systems, several benefits will be achieved and with these benefits, the patients should able to track and monitor the risky situations during emergency. Cloud Computing Based Systems for Healthcare VladimirStantchev, 1 RicardoColomo-Palacios, 2 andMichaelNiedermayer 3 1 SRHHochschuleBerlin,Ernst-Reuter-Platz10,10587Berl´ın,Germany For example, a new process is defined that has to manage a private computing environment, and before processing, permission criteria have to be fulfilled and should be possible with the support of service management. The cloud consists of layers, primarily the back end and the front end. Fig. A cloud-structural health monitoring method based on smartphone was proposed, and a structural health monitoring system Orion-CC, which integrates functions of data acquisition, data analysis and data upload, was developed on smartphone to Aggregated data is further relayed to a HCO for long term storage using Internet connec-tivity on the concentrator, typically via a smartphone’s WiFi or In Figure 8, wireless sensor network is designed to carry the transmission of medical information from patients, located outside of their medical wards, through ECG sensor belt. Authorized medical advisor analyzes the received information, generates the corresponding feedback, and is authorized to send MMS back to the server to keep connected with the patient for the prospective information. In this study, permanent caregivers are the individuals, medical advisors, and medical staff, which are the main entities attached to patients’ care while they are in the medical center for the short and long medical treatments. Database tool, called MySQL, is employed to deploy and to keep the records of each patient medical information by means of identifier that makes a distinction between each patient’s captured information in his/her identity. Aamir Shahzad, Yang Sun Lee, Malrey Lee, Young-Gab Kim, Naixue Xiong, "Real-Time Cloud-Based Health Tracking and Monitoring System in Designed Boundary for Cardiology Patients", Journal of Sensors, vol. To do this, an algorithm is deployed that made the classifications, on measurements, of heart rates which would be significant in finding the abnormal heart rates, and based on the measured rates, the corresponding medical advisor would be concerned through MMS, in real-time manners. <>>> Components of a remote patient monitoring system that is based on an IoT-Cloud architecture. (2) Direct and Offline System. endobj As explained above, private cloud has a special meaning for several information technology (IT) applications and services, including telemonitoring systems. Therefore, the cloud computing platform is one of the best solutions in the current age to fight against the issues. As the technological demands are increasing, the medical systems have been updated with the new advanced technologies (i.e., smart medical systems); however, there are still several challenges, such as to carry the remotely located information and the remote connectivity issues, mainly present in the healthcare systems. In our case, the external entities such as the patient’s friends or family members are allowed to monitor their patients, residing in the hospital, the medical status, and other indications that will be given from the hospital management, through a secure login to the private cloud system. endobj (1) Application Design and Implementation. OpenEye Web Service's real-time health monitoring functions keep you abreast of critical issues and potential problems with your video system including pending hard drive failure, changes in recording retention, network outages, and camera failure or … A total of 50 experiments were performed to measure the results, such as ECG signals or information received and stored at the cloud server and security computations, while experiment number 00 is not mentioned in Table 1 but was performed to test the overall cloud system configuration in order to avoid the transmission errors. Here, Controlling and processing is To do this, wireless sensor network has modeled in which a number of sensors are configured in hospital premises that are sufficient to access and monitor the patients’ medical information, through employing of ECG belt and also their positions, in the boundary of the hospital. At the same time, the proposed system design is also efficient to store the medical information in case of system disconnectivity, system connection failure, or other network or system internal issues; so if these cases might happen, then the offline system would be functional. In server end, GIS (geographic information system) software is installed that is used to locate the patients in emergency cases; as the delivered MMS was packed with GPS information, therefore, this information is further used to locate the patient’s location (i.e., Holter location). In the proposed Cloud-IO design, three important services, telemonitoring, location identification, and communication service, were taken into account, which modeled in the way to be consolidated with each other and should be functional over the cloud computing environment. Upon the requirements, which commonly specified by health organizations and the health center (or hospital) in our case, building a private healthcare system also mainly targets the security obstacles as its main goal. The idea to deploy a private cloud platform, for the healthcare system, is significant in ways to reduce the cost and usage of the scalable network and the available resources [6, 8, 16]. In Table 1, the performance results are measured, in which ECG information was accessed and stored in cloud storage (i.e., in MySQL database tool), in case of inward monitoring and outward monitoring modes. Further, the system’s security requirements are fulfilled through the implementation of AES algorithm, which resulted in protection of overall communication in the designed private cloud computing environment. As the retrieving of medical information has great value and requires to be secured during transmission over the Internet, therefore several medical organizations have not been attaining upon the public cloud platforms, due to the security issues and to gain the high-security level during information exchanges. Moreover, the study provided an immense platform of knowledge against the causes of arrhythmia and about the arrhythmia chat engine in which medical advisors can share their ideas and suggestions that will be remarkable to fight against the enormous condemnatory heart diseases. Some of … As the enhancements are made in telecommunication sectors, the telemedicine systems are discovered and as the passage of time, these systems have also been updated with the new technologies (i.e., telemonitoring systems) which are significant in case of disease diagnosis and patient medication and remote monitoring of patients and treatments; by this way, the patients can be monitored from the places (e.g., medical centers and homes) where they are situated, over the cellular platform. The offline system scenario is significant in case to handle the future system failures or disconnectivity issues; also, the analysis will be performed in cases of cloud server connectivity issues. For inward monitoring, in case of rhythmic patient’s health information measurement and monitoring, the wired network is much better as all the patients (i.e., 10 patients) reside in one medical ward and there are only 10 main LAN cable networks to carry the real-time medical information of each patient in. The telemonitoring systems have been playing very important roles in reducing the effects of sudden critical diseases (i.e., arrhythmia causes) and give future trends for pervasive healthcare systems. In this study, the database is one of the important modules which keeps a record of information that are retrieved from patients through the ECG device connectivity. In most common cases, medical hardware is an equipment in different rooms within one building block or in another block, in case the medical center is surrounded by many blocks, such as blocks A, B, and C. Therefore, the movements of patients are always carried out during their medical tests, heart operations, and heart surgery and in cases of recovery corresponding with required exercises and also in cases of open-air relaxation and spending of good time of gossip with family members and friends. Review articles are excluded from this waiver policy. Upon logging on to the cloud, the application is installed in a cellular device and the ECG information will be viewed only in real-time manners. 323, Webb Center, Tahlequah, OK 74464, USA. 2018, Article ID 3202787, 15 pages, 2018. https://doi.org/10.1155/2018/3202787, 1Department of Computer and Information Security, Sejong University, 209 Neungdong-ro, Gwangjin-gu, Seoul 05006, Republic of Korea, 2Division of Convergence Computer & Media, Mokwon University, Deajeon, Republic of Korea, 3Advanced Image and Information Technology, School of Electronics & Information Engineering, Chonbuk National University, 664-14 1Ga, Deokjin-Dong, Jeonju 561-756, Republic of Korea, 4Department of Mathematics and Computer Science, Northeastern State University, 611 N. Grand Ave No. The transducer devices are mainly used with medical sensors that detect the electric, genetic, and other signals, with the initialization of physiological signals combined with signal processing algorithms that predict the future status or behaviors of patient’s health. The difference between the public and private computing is very little; for example, large scaling of Internet services and applications are mainly managed through employing of public cloud and the virtualization technology is utilized through private cloud computing; but at the same time, they have some very common characteristics, such as pool of resources, independent access, resource elasticity and management, and resource metering . <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> In this study, based on the medical organizational specifications and requirements for communication, including the security requirements, private cloud computing environment is designed and modeled where the medical information of heart patients who underregistered or resided in the hospital, inside of the medical ward and outside of the medical ward in the premises of the hospital, is accessed and monitored in real-time manners. <> x��=ْ�Ƒ��?�c���p� EMC Corporation, “The private cloud for healthcare enables coordinated patient care,” 2010, L. Heilig and S. Voss, “A scientometric analysis of cloud computing literature,”, K. Gai and S. Li, “Towards cloud computing: a literature review on cloud computing and its development trends,” in. Alongside with this, the cost is also a big issue, raising while updating the existing systems with the new developments. In Real-Time Monitoring System, to reduce the time lag in between actual requirement and service treatment and to make an effective healthcare system using IoT and cloud platform by using raspberry pi and various health monitoring sensors. In the second phase of the proposed study, outward monitoring (OWM) is modeled to monitor the medical status of rhythm patients, while they are out from their medical wards where they most of time resided for medical treatments and also for other purposes. Netdata.cloud monitors slowdowns and vulnerabilities within IT infrastructure. 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