Continuous patient monitoring with a patient centric agent : A block architecture
- Uddin, Ashraf, Stranieri, Andrew, Gondal, Iqbal, Balasubramanian, Venki
- Authors: Uddin, Ashraf , Stranieri, Andrew , Gondal, Iqbal , Balasubramanian, Venki
- Date: 2018
- Type: Text , Journal article
- Relation: IEEE Access Vol. 6, no. (2018), p. 32700-32726
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- Description: The Internet of Things (IoT) has facilitated services without human intervention for a wide range of applications, including continuous remote patient monitoring (RPM). However, the complexity of RPM architectures, the size of data sets generated and limited power capacity of devices make RPM challenging. In this paper, we propose a tier-based End to End architecture for continuous patient monitoring that has a patient centric agent (PCA) as its center piece. The PCA manages a blockchain component to preserve privacy when data streaming from body area sensors needs to be stored securely. The PCA based architecture includes a lightweight communication protocol to enforce security of data through different segments of a continuous, real time patient monitoring architecture. The architecture includes the insertion of data into a personal blockchain to facilitate data sharing amongst healthcare professionals and integration into electronic health records while ensuring privacy is maintained. The blockchain is customized for RPM with modifications that include having the PCA select a Miner to reduce computational effort, enabling the PCA to manage multiple blockchains for the same patient, and the modification of each block with a prefix tree to minimize energy consumption and incorporate secure transaction payments. Simulation results demonstrate that security and privacy can be enhanced in RPM with the PCA based End to End architecture.
- Authors: Uddin, Ashraf , Stranieri, Andrew , Gondal, Iqbal , Balasubramanian, Venki
- Date: 2018
- Type: Text , Journal article
- Relation: IEEE Access Vol. 6, no. (2018), p. 32700-32726
- Full Text:
- Reviewed:
- Description: The Internet of Things (IoT) has facilitated services without human intervention for a wide range of applications, including continuous remote patient monitoring (RPM). However, the complexity of RPM architectures, the size of data sets generated and limited power capacity of devices make RPM challenging. In this paper, we propose a tier-based End to End architecture for continuous patient monitoring that has a patient centric agent (PCA) as its center piece. The PCA manages a blockchain component to preserve privacy when data streaming from body area sensors needs to be stored securely. The PCA based architecture includes a lightweight communication protocol to enforce security of data through different segments of a continuous, real time patient monitoring architecture. The architecture includes the insertion of data into a personal blockchain to facilitate data sharing amongst healthcare professionals and integration into electronic health records while ensuring privacy is maintained. The blockchain is customized for RPM with modifications that include having the PCA select a Miner to reduce computational effort, enabling the PCA to manage multiple blockchains for the same patient, and the modification of each block with a prefix tree to minimize energy consumption and incorporate secure transaction payments. Simulation results demonstrate that security and privacy can be enhanced in RPM with the PCA based End to End architecture.
A count data model for heart rate variability forecasting and premature ventricular contraction detection
- Allami, Ragheed, Stranieri, Andrew, Balasubramanian, Venki, Jelinek, Herbert
- Authors: Allami, Ragheed , Stranieri, Andrew , Balasubramanian, Venki , Jelinek, Herbert
- Date: 2017
- Type: Text , Journal article
- Relation: Signal Image and Video Processing Vol. 11, no. 8 (2017), p. 1427-1435
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- Description: Heart rate variability (HRV) measures including the standard deviation of inter-beat variations (SDNN) require at least 5 min of ECG recordings to accurately measure HRV. In this paper, we predict, using counts data derived from a 3-min ECG recording, the 5-min SDNN and also detect premature ventricular contraction (PVC) beats with a high degree of accuracy. The approach uses counts data combined with a Poisson-generated function that requires minimal computational resources and is well suited to remote patient monitoring with wearable sensors that have limited power, storage and processing capacity. The ease of use and accuracy of the algorithm provide opportunity for accurate assessment of HRV and reduce the time taken to review patients in real time. The PVC beat detection is implemented using the same count data model together with knowledge-based rules derived from clinical knowledge.
- Authors: Allami, Ragheed , Stranieri, Andrew , Balasubramanian, Venki , Jelinek, Herbert
- Date: 2017
- Type: Text , Journal article
- Relation: Signal Image and Video Processing Vol. 11, no. 8 (2017), p. 1427-1435
- Full Text:
- Reviewed:
- Description: Heart rate variability (HRV) measures including the standard deviation of inter-beat variations (SDNN) require at least 5 min of ECG recordings to accurately measure HRV. In this paper, we predict, using counts data derived from a 3-min ECG recording, the 5-min SDNN and also detect premature ventricular contraction (PVC) beats with a high degree of accuracy. The approach uses counts data combined with a Poisson-generated function that requires minimal computational resources and is well suited to remote patient monitoring with wearable sensors that have limited power, storage and processing capacity. The ease of use and accuracy of the algorithm provide opportunity for accurate assessment of HRV and reduce the time taken to review patients in real time. The PVC beat detection is implemented using the same count data model together with knowledge-based rules derived from clinical knowledge.
Rapid health data repository allocation using predictive machine learning
- Uddin, Ashraf, Stranieri, Andrew, Gondal, Iqbal, Balasubramanian, Venki
- Authors: Uddin, Ashraf , Stranieri, Andrew , Gondal, Iqbal , Balasubramanian, Venki
- Date: 2020
- Type: Text , Journal article
- Relation: Health Informatics Journal Vol. 26, no. 4 (2020), p. 3009-3036
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- Description: Health-related data is stored in a number of repositories that are managed and controlled by different entities. For instance, Electronic Health Records are usually administered by governments. Electronic Medical Records are typically controlled by health care providers, whereas Personal Health Records are managed directly by patients. Recently, Blockchain-based health record systems largely regulated by technology have emerged as another type of repository. Repositories for storing health data differ from one another based on cost, level of security and quality of performance. Not only has the type of repositories increased in recent years, but the quantum of health data to be stored has increased. For instance, the advent of wearable sensors that capture physiological signs has resulted in an exponential growth in digital health data. The increase in the types of repository and amount of data has driven a need for intelligent processes to select appropriate repositories as data is collected. However, the storage allocation decision is complex and nuanced. The challenges are exacerbated when health data are continuously streamed, as is the case with wearable sensors. Although patients are not always solely responsible for determining which repository should be used, they typically have some input into this decision. Patients can be expected to have idiosyncratic preferences regarding storage decisions depending on their unique contexts. In this paper, we propose a predictive model for the storage of health data that can meet patient needs and make storage decisions rapidly, in real-time, even with data streaming from wearable sensors. The model is built with a machine learning classifier that learns the mapping between characteristics of health data and features of storage repositories from a training set generated synthetically from correlations evident from small samples of experts. Results from the evaluation demonstrate the viability of the machine learning technique used. © The Author(s) 2020.
- Authors: Uddin, Ashraf , Stranieri, Andrew , Gondal, Iqbal , Balasubramanian, Venki
- Date: 2020
- Type: Text , Journal article
- Relation: Health Informatics Journal Vol. 26, no. 4 (2020), p. 3009-3036
- Full Text:
- Reviewed:
- Description: Health-related data is stored in a number of repositories that are managed and controlled by different entities. For instance, Electronic Health Records are usually administered by governments. Electronic Medical Records are typically controlled by health care providers, whereas Personal Health Records are managed directly by patients. Recently, Blockchain-based health record systems largely regulated by technology have emerged as another type of repository. Repositories for storing health data differ from one another based on cost, level of security and quality of performance. Not only has the type of repositories increased in recent years, but the quantum of health data to be stored has increased. For instance, the advent of wearable sensors that capture physiological signs has resulted in an exponential growth in digital health data. The increase in the types of repository and amount of data has driven a need for intelligent processes to select appropriate repositories as data is collected. However, the storage allocation decision is complex and nuanced. The challenges are exacerbated when health data are continuously streamed, as is the case with wearable sensors. Although patients are not always solely responsible for determining which repository should be used, they typically have some input into this decision. Patients can be expected to have idiosyncratic preferences regarding storage decisions depending on their unique contexts. In this paper, we propose a predictive model for the storage of health data that can meet patient needs and make storage decisions rapidly, in real-time, even with data streaming from wearable sensors. The model is built with a machine learning classifier that learns the mapping between characteristics of health data and features of storage repositories from a training set generated synthetically from correlations evident from small samples of experts. Results from the evaluation demonstrate the viability of the machine learning technique used. © The Author(s) 2020.
Blockchain leveraged decentralized IoT eHealth framework
- Uddin, Ashraf, Stranieri, Andrew, Gondal, Iqbal, Balasubramanian, Venki
- Authors: Uddin, Ashraf , Stranieri, Andrew , Gondal, Iqbal , Balasubramanian, Venki
- Date: 2020
- Type: Text , Journal article
- Relation: Internet of Things Vol. 9, no. March 2020 p. 100159
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- Description: Blockchain technologies recently emerging for eHealth, can facilitate a secure, decentral- ized and patient-driven, record management system. However, Blockchain technologies cannot accommodate the storage of data generated from IoT devices in remote patient management (RPM) settings as this application requires a fast consensus mechanism, care- ful management of keys and enhanced protocols for privacy. In this paper, we propose a Blockchain leveraged decentralized eHealth architecture which comprises three layers: (1) The Sensing layer –Body Area Sensor Networks include medical sensors typically on or in a patient body transmitting data to a smartphone. (2) The NEAR processing layer –Edge Networks consist of devices at one hop from data sensing IoT devices. (3) The FAR pro- cessing layer –Core Networks comprise Cloud or other high computing servers). A Patient Agent (PA) software replicated on the three layers processes medical data to ensure reli- able, secure and private communication. The PA executes a lightweight Blockchain consen- sus mechanism and utilizes a Blockchain leveraged task-offloading algorithm to ensure pa- tient’s privacy while outsourcing tasks. Performance analysis of the decentralized eHealth architecture has been conducted to demonstrate the feasibility of the system in the pro- cessing and storage of RPM data.
- Authors: Uddin, Ashraf , Stranieri, Andrew , Gondal, Iqbal , Balasubramanian, Venki
- Date: 2020
- Type: Text , Journal article
- Relation: Internet of Things Vol. 9, no. March 2020 p. 100159
- Full Text:
- Reviewed:
- Description: Blockchain technologies recently emerging for eHealth, can facilitate a secure, decentral- ized and patient-driven, record management system. However, Blockchain technologies cannot accommodate the storage of data generated from IoT devices in remote patient management (RPM) settings as this application requires a fast consensus mechanism, care- ful management of keys and enhanced protocols for privacy. In this paper, we propose a Blockchain leveraged decentralized eHealth architecture which comprises three layers: (1) The Sensing layer –Body Area Sensor Networks include medical sensors typically on or in a patient body transmitting data to a smartphone. (2) The NEAR processing layer –Edge Networks consist of devices at one hop from data sensing IoT devices. (3) The FAR pro- cessing layer –Core Networks comprise Cloud or other high computing servers). A Patient Agent (PA) software replicated on the three layers processes medical data to ensure reli- able, secure and private communication. The PA executes a lightweight Blockchain consen- sus mechanism and utilizes a Blockchain leveraged task-offloading algorithm to ensure pa- tient’s privacy while outsourcing tasks. Performance analysis of the decentralized eHealth architecture has been conducted to demonstrate the feasibility of the system in the pro- cessing and storage of RPM data.
Emerging point of care devices and artificial intelligence : prospects and challenges for public health
- Stranieri, Andrew, Venkatraman, Sitalakshmi, Minicz, John, Zarnegar, Armita, Firmin, Sally, Balasubramanian, Venki, Jelinek, Herbert
- Authors: Stranieri, Andrew , Venkatraman, Sitalakshmi , Minicz, John , Zarnegar, Armita , Firmin, Sally , Balasubramanian, Venki , Jelinek, Herbert
- Date: 2022
- Type: Text , Journal article
- Relation: Smart Health Vol. 24, no. (2022), p.
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- Description: Risk assessments for numerous conditions can now be performed cost-effectively and accurately using emerging point of care devices coupled with machine learning algorithms. In this article, the case is advanced that point of care testing in combination with risk assessments generated with artificial intelligence algorithms, applied to the universal screening of the general public for multiple conditions at one session, represents a new kind of in-expensive screening that can lead to the early detection of disease and other public health benefits. A case study of a diabetes screening clinic in a rural area of Australia is presented to illustrate its benefits. Universal, poly-aetiological screening is shown to meet the ten World Health Organisation criteria for screening programmes. © Elsevier Inc.
- Authors: Stranieri, Andrew , Venkatraman, Sitalakshmi , Minicz, John , Zarnegar, Armita , Firmin, Sally , Balasubramanian, Venki , Jelinek, Herbert
- Date: 2022
- Type: Text , Journal article
- Relation: Smart Health Vol. 24, no. (2022), p.
- Full Text:
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- Description: Risk assessments for numerous conditions can now be performed cost-effectively and accurately using emerging point of care devices coupled with machine learning algorithms. In this article, the case is advanced that point of care testing in combination with risk assessments generated with artificial intelligence algorithms, applied to the universal screening of the general public for multiple conditions at one session, represents a new kind of in-expensive screening that can lead to the early detection of disease and other public health benefits. A case study of a diabetes screening clinic in a rural area of Australia is presented to illustrate its benefits. Universal, poly-aetiological screening is shown to meet the ten World Health Organisation criteria for screening programmes. © Elsevier Inc.
A lightweight blockchain based framework for underwater ioT
- Uddin, Md, Stranieri, Andrew, Gondal, Iqbal, Balasubramanian, Venki
- Authors: Uddin, Md , Stranieri, Andrew , Gondal, Iqbal , Balasubramanian, Venki
- Date: 2019
- Type: Text , Journal article
- Relation: Electronics (Switzerland) Vol. 8, no. 12 (2019), p.
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- Description: The Internet of Things (IoT) has facilitated services without human intervention for a wide range of applications, including underwater monitoring, where sensors are located at various depths, and data must be transmitted to surface base stations for storage and processing. Ensuring that data transmitted across hierarchical sensor networks are kept secure and private without high computational cost remains a challenge. In this paper, we propose a multilevel sensor monitoring architecture. Our proposal includes a layer-based architecture consisting of Fog and Cloud elements to process and store and process the Internet of Underwater Things (IoUT) data securely with customized Blockchain technology. The secure routing of IoUT data through the hierarchical topology ensures the legitimacy of data sources. A security and performance analysis was performed to show that the architecture can collect data from IoUT devices in the monitoring region efficiently and securely. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.
- Authors: Uddin, Md , Stranieri, Andrew , Gondal, Iqbal , Balasubramanian, Venki
- Date: 2019
- Type: Text , Journal article
- Relation: Electronics (Switzerland) Vol. 8, no. 12 (2019), p.
- Full Text:
- Reviewed:
- Description: The Internet of Things (IoT) has facilitated services without human intervention for a wide range of applications, including underwater monitoring, where sensors are located at various depths, and data must be transmitted to surface base stations for storage and processing. Ensuring that data transmitted across hierarchical sensor networks are kept secure and private without high computational cost remains a challenge. In this paper, we propose a multilevel sensor monitoring architecture. Our proposal includes a layer-based architecture consisting of Fog and Cloud elements to process and store and process the Internet of Underwater Things (IoUT) data securely with customized Blockchain technology. The secure routing of IoUT data through the hierarchical topology ensures the legitimacy of data sources. A security and performance analysis was performed to show that the architecture can collect data from IoUT devices in the monitoring region efficiently and securely. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.
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