Search Results (229)

Internet of Things (IoT) technology in healthcare has enabled innovative services that enhance patient monitoring, diagnostics and medical data management. However, securing sensitive health data while maintaining system efficiency of resource-constrained IoT devices remains a critical challenge. This work presents a comprehensive end-to-end IoT security framework for healthcare environments, addressing encryption at two key levels: lightweight encryption at the edge for resource-constrained devices and robust end-to-end encryption when transmitting data to the cloud via MQTT cloud brokers. The proposed system leverages multi-broker MQTT architecture to optimize resource utilization and enhance message reliability. At the edge, lightweight cryptographic techniques ensure low-latency encryption before transmitting data via a secure MQTT broker hosted within the hospital infrastructure. To safeguard data as it moves beyond the hospital to the cloud, stronger end-to-end encryption are applied to ensure end-to-end security, such as AES-256 and TLS 1.3, to ensure confidentiality and resilience over untrusted networks. A proof-of-concept Python 3.10 -based MQTT implementation is developed using open-source technologies. Security and performance evaluations demonstrate the feasibility of the multi-layer encryption approach, effectively balancing computational overhead with data protection. Security and performance evaluations demonstrate that our novel HECS4MQTT (Health Edge Cloud Security for MQTT) framework achieves a unique balance between efficiency and security. Unlike existing solutions that either impose high computational overhead at the edge or rely solely on transport-layer protection, HECS4MQTT introduces a layered encryption strategy that decouples edge and cloud security requirements. This design minimizes processing delays on constrained devices while maintaining strong cryptographic protection when data crosses trust boundaries. The framework also introduces a lightweight bridge component for re-encryption and integrity enforcement, thereby reducing broker compromise risk and supporting compliance with healthcare security regulations. Our HECS4MQTT framework offers a scalable, adaptable, and trust-separated security model, ensuring enhanced confidentiality, integrity, and availability of healthcare data while remaining suitable for deployment in real-world, latency-sensitive, and resource-limited medical environments. Full article

A persistent challenge in digital asset management is the lack of standardized models for integrating health assessment—such as the Asset Health Index (AHI)—into Digital Twins, limiting their extended implementation beyond individual projects. Asset managers in the energy sector face challenges of digitalization such as digital environment selection, employed digital modules (absence of an architecture guide) and their interconnection, sources of data, and how to automate the assessment and provide the results in a friendly decision support system. Thus, for energy systems, the integration of Asset Assessment in virtual replicas by Digital Twins is a complete way of asset management by enabling real-time monitoring, predictive maintenance, and lifecycle optimization. Another challenge in this context is how to compound in a structured assessment of asset condition, where the Asset Health Index (AHI) plays a critical role by consolidating heterogeneous data into a single, actionable indicator easy to interpret as a level of risk. This paper tries to serve as a guide against these digital and structured assessments to integrate AHI methodologies into Digital Twins for energy converters. First, the proposed AHI methodology is introduced, and after a structured data model specifically designed, orientated to a basic and economic cloud implementation architecture. This model has been developed fulfilling standardized practices of asset digitalization as the Reference Architecture Model for Industry 4.0 (RAMI 4.0), organizing asset-related information into interoperable domains including physical hierarchy, operational monitoring, reliability assessment, and risk-based decision-making. A Unified Modeling Language (UML) class diagram formalizes the data model for cloud Digital Twin implementation, which is deployed on Microsoft Azure Architecture using native Internet of Things (IoT) and analytics services to enable automated and real-time AHI calculation. This design and development has been realized from a scalable point of view and for future integration of Machine-Learning improvements. The proposed approach is validated through a case study involving three high-capacity converters in distinct operating environments, showing the model’s effective assistance in anticipating failures, optimizing maintenance strategies, and improving asset resilience. In the case study, AHI-based monitoring reduced unplanned failures by 43% and improved maintenance planning accuracy by over 30%. Full article

Background/Objectives: With the rising prevalence of chronic diseases and an aging population, the incidence of stroke is continuously increasing, which leads to higher medical costs. Stroke carries a high risk of recurrence, necessitating ongoing self-care and lifestyle changes, for which education is crucial. The aim of this study is to identify the ICT utilization education needs, mobile health literacy, and self-care education needs of stroke patients and confirm the differences in mobile health literacy and self-care education needs according to ICT utilization to establish a basis for self-care intervention. Methods: The study included 100 stroke patients diagnosed at three general hospitals or higher in City C, hospitalized or visiting neurology and neurosurgery outpatient clinics. A survey was conducted from 7 July 2023 to 30 May 2024. The survey cites computers, the Internet, live broadcasting technology, recorded broadcasting technology, and telephony as examples of ICTs. The gathered data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA, and the Pearson correlation coefficient. Results: The final analysis included 100 people, with 64 participants being men and an average age of 57.75 ± 12.30 years. Self-care education needs showed no significant differences based on general or disease-related characteristics. Many patients could use smart devices but experienced difficulties in searching for information. The main reasons for using smart devices included acquiring disease-related information and accessing resources without time limitations. The use of ICT services that provide disease-related information was low, 70% of participants were willing to use them in the future. Additionally, they preferred doctor-led education sessions once a month, lasting no longer than 30 min each. Mobile health literacy was significantly higher among those willing to use ICT services. Conclusions: Mobile health literacy was significantly higher in the group willing to use ICT services than in the group unwilling. Self-care education needs were both highly important and necessary in the group willing to utilize ICT, but no statistically significant difference was found. Full article

Data generated by Internet of Things devices enable the design of new business models and services, improving user experience and satisfaction. This data also serve as an essential information source for many fields, including disaster management, bio-surveillance, smart cities, and smart health. However, personal data are also collected in this context, introducing new challenges concerning data privacy protection, such as profiling, localization and tracking, linkage, and identification. This dilemma is further complicated by the “privacy paradox”, where users compromise privacy for service convenience. Hence, this paper reviews the literature on data privacy in the IoT, particularly emphasizing Personal Data Store (PDS)-based approaches as a promising class of user-centric solutions. PDS represents a user-centric approach to decentralizing data management, enhancing privacy by granting individuals control over their data. Addressing privacy solutions involves a triad of user privacy awareness, technology support, and ways to regulate data processing. Our discussion aims to advance the understanding of IoT privacy issues while emphasizing the potential of PDS to balance privacy protection and service delivery. Full article

The increasing demand for clean and reliable water resources, coupled with the growing threat of water pollution, has made real-time water quality (WQ) monitoring and assessment a critical priority in many urban areas. Urban environments encounter substantial challenges in maintaining WQ, driven by factors such as rapid population growth, industrial expansion, and the impacts of climate change. Effective real-time WQ monitoring is essential for safeguarding public health, promoting environmental sustainability, and ensuring adherence to regulatory standards. The rapid advancement of Internet of Things (IoT) sensor technologies and smartphone applications presents an opportunity to develop integrated platforms for real-time WQ assessment. Advances in the IoT provide a transformative solution for WQ monitoring, revolutionizing the way we assess and manage our water resources. Moreover, recent developments in Location-Based Services (LBSs) and Global Navigation Satellite Systems (GNSSs) have significantly enhanced the accessibility and accuracy of location information. With the proliferation of GNSS services, such as GPS, GLONASS, Galileo, and BeiDou, users now have access to a diverse range of location data that are more precise and reliable than ever before. These advancements have made it easier to integrate location information into various applications, from urban planning and disaster management to environmental monitoring and transportation. The availability of multi-GNSS support allows for improved satellite coverage and reduces the potential for signal loss in urban environments or densely built environments. To harness this potential and to enable the seamless integration of the IoT and LBSs for sustainable WQ monitoring, a systematic literature review was conducted to determine past trends and future opportunities. This research aimed to review the limitations of traditional monitoring systems while fostering an understanding of the positioning capabilities of LBSs in environmental monitoring for sustainable urban development. The review highlights both the advancements and challenges in using the IoT and LBSs for real-time WQ monitoring, offering critical insights into the current state of the technology and its potential for future development. There is a pressing need for an integrated, real-time WQ monitoring system that is cost-effective and accessible. Such a system should leverage IoT sensor networks and LBSs to provide continuous monitoring, immediate feedback, and spatially dynamic insights, empowering stakeholders to address WQ issues collaboratively and efficiently. Full article

Recent developments in sensors, wireless communications, and data processing technologies are the main drivers for adopting the Internet of Things (IoT) in healthcare systems. IoT-based healthcare systems can enhance the quality of life significantly and help prevent the occurrence of health problems and epidemics. Deploying IoT-based healthcare on a massive scale raises several issues and challenges. One of the main challenges is the management of the end-to-end network connections of the IoT-based healthcare system. This paper presents a comprehensive survey of smart network management protocols that improve IoT-based healthcare efficiency, ensuring real-time monitoring, secure data transmission, and effective device management. Moreover, a reference architecture has been proposed for the network management of IoT-based smart healthcare systems to ensure the sustainability of service delivery to patients and caregivers. The architecture avoids health-related risks and anomalies by incorporating proper network management techniques and operational requirements pertaining to smart healthcare systems. This paper also discusses architectural implementation insights supported by new technologies such as software-defined networking (SDN) and deep learning (DL). Finally, this paper explores emerging paradigms to advance next-generation network management protocols for future smart healthcare systems. Full article

The mainstream adoption of Internet of Things (IoT) devices for health and lifestyle tracking has revolutionized health monitoring systems. Sixth-generation (6G) cellular networks enable IoT healthcare services to reduce the pressures on already resource-constrained facilities, leveraging enhanced ultra-reliable low-latency communication (eURLLC) to make sure critical health data are transmitted with minimal delay. Any delay or information loss can result in serious consequences, making spectrum availability a crucial bottleneck. This study systematically identifies challenges in optimizing spectrum utilization in healthcare IoT (H-IoT) networks, focusing on issues such as dynamic spectrum allocation, interference management, and prioritization of critical medical devices. To address these challenges, the paper highlights emerging solutions, including artificial intelligence-based spectrum management, edge computing integration, and advanced network architectures such as massive multiple-input multiple-output (mMIMO) and terahertz (THz) communication. We identify gaps in the existing methodologies and provide potential research directions to enhance the efficiency and reliability of eURLLC in healthcare environments. These findings offer a roadmap for future advancements in H-IoT systems and form the basis of our recommendations, emphasizing the importance of tailored solutions for spectrum management in the 6G era. Full article

The aim of this study is to address the issues identified in previous reviews and meta-analyses regarding the progress of patient experience literature and to highlight the most important concepts specifically related to digital health technologies. To do so, we have carried out a comprehensive analysis of the literature on patient experience in the category of health science services databases over the past decade and identified the tools related to digital health technologies within these studies. This is a bibliometric study based on data obtained from the Web of Science and Scopus between the years 2014 to and 2024 by using 11 search terms. In this review, a total of 21,392 publications from patient experience literature over the last decade were analyzed. Keywords were grouped by showing their co-occurrence using bibliometric and scientific mapping analyzing methods. The development of digitalization and digital tools has contributed to the advancement of theory in the field of digital health, eHealth, electronic health records, health information technology, the internet, mhealth, mobile applications, mobile health, patient portals, smartphones, social media, telemonitoring, web, artificial intelligence, machine learning, virtual reality, telehealth, telemedicine, telerehabilitation, and virtual care. These developments have provided sustainable digital health benefits in the development of patient experience theories. The findings of this study emphasize that digital health tools cover a wide area of research, and the application of information and communication technologies goes beyond the field of medicine and covers the broad field of healthcare. Full article

In the realm of electronic health (eHealth) services powered by the Internet of Things (IoT), vast quantities of medical images and visualized electronic health records collected by IoT devices must be transmitted daily. Given the sensitive nature of medical information, ensuring the security of transmitted health data is paramount. To address this critical concern, this paper introduces a novel data hiding algorithm tailored for Absolute Moment Block Truncation Coding (AMBTC) in medical images, named HPDH-MI (High Payload Data Hiding for Medical Images). The proposed method embeds secret data into the AMBTC compression code inconspicuously to avoid detection by malicious users. It achieves this by first classifying AMBTC compressed blocks into four categories—flat, smooth, complex I, and complex II—using three predetermined thresholds. A 1-bit indicator, based on the proposed grouping strategy, facilitates efficient and effective block classification. A data embedding strategy is applied to each block type, focusing on block texture and taking into account the symmetric features of the pixels within the block. This approach achieves a balance between data hiding capacity, image quality, and embedding efficiency. Experimental evaluations highlight the superior performance of HPDH-MI. When tested on medical images from the Osirix database, the method achieves an average image quality of 31.22 dB, a payload capacity of 225,911 bits, and an embedding efficiency of 41.78%. These results demonstrate that the HPDH-MI method not only significantly increases the payload for concealing secret data in AMBTC compressed medical images but also maintains high image quality and embedding efficiency. This makes it a promising solution for secure data transmission in telemedicine, addressing the challenges of limited bandwidth while enhancing steganographic capabilities in eHealth applications. Full article

Gaia-X, a European initiative, aims to create a digital sovereignty framework for service ecosystems in the future Internet. Its applicability to the health domain was explored in the Gaia-X-Med project, which aimed to establish a common dataspace for various medical use cases based on Gaia-X principles. This paper presents a trust- and consent-based approach to the secure authentication and digital contract negotiation central to this endeavor and discusses the challenges that arose during the adoption of the Gaia-X framework, particularly relating to the strict requirements of the European healthcare domain with regards to privacy and consent regulations. By exploring the practical implications of Gaia-X in the healthcare context, this paper aims to contribute to the ongoing discussions surrounding the digital sovereignty of both citizens and corporations, as well as its realization via future Internet technologies. Full article

According to the current situation of deep aging globally, how to provide low-cost and high-quality medical services has become a problem that the whole society needs to consider. To address these challenges, we propose an e-healthcare management system leveraging the integration of the Internet of Things (IoT) and blockchain technologies. Our system aims to provide comprehensive, reliable, and secure one-stop services for patients. Specifically, we introduce a blockchain-based searchable encryption scheme for decentralized storage and real-time updates of electronic health records (EHRs). This approach ensures secure and efficient data traceability across medical equipment, drug supply chains, patient health monitoring, and medical big data management. By improving information processing capabilities, our system aspires to advance the digital transformation of e-healthcare services. Full article

The integration of the Internet of Things (IoT) and Distributed Computing Systems (DCS) is transforming business models across industries. IoT devices allow immediate monitoring of equipment and processes, mitigating lost time and enhancing efficiency. In this case, manufacturing companies use IoT sensors to monitor machinery, predict failures, and schedule maintenance. Also, automation via IoT reduces manual intervention, resulting in boosted productivity in smart factories and automated supply chains. IoT devices generate this vast amount of data, which businesses analyze to gain insights into customer behavior, operational inefficiencies, and market trends. In turn, Distributed Computing Systems process this data, providing actionable insights and enabling advanced analytics and machine learning for future trend predictions. While, IoT facilitates personalized products and services by collecting data on customer preferences and usage patterns, enhancing satisfaction and loyalty, IoT devices support new customer interactions, like wearable health devices, and enable subscription-based and pay-per-use models in transportation and utilities. Conversely, real-time monitoring enhances security, as distributed systems quickly respond to threats, ensuring operational safety. It also aids regulatory compliance by providing accurate operational data. In this way, this study, through a Bibliometric Literature Review (LRSB) of 91 screened pieces of literature, aims at ascertaining to what extent the aforementioned capacities, overall, enhance business models, in terms of efficiency and effectiveness. The study concludes that those systems altogether leverage businesses, promoting competitive edge, continuous innovation, and adaptability to market dynamics. In particular, overall, the integration of both IoT and Distributed Systems in business models augments its numerous advantages: it develops smart infrastructures e.g., smart grids; edge computing that allows data processing closer to the data source e.g., autonomous vehicles; predictive analytics, by helping businesses anticipate issues e.g., to foresee equipment failures; personalized services e.g., through e-commerce platforms of personalized recommendations to users; enhanced security, while reducing the risk of centralized attacks e.g., blockchain technology, in how IoT and Distributed Computing Systems altogether impact business models. Future research avenues are suggested. Full article

Background/Objectives: An Android platform-based customised app and web-linked system was developed to aid in implementing selected nutrition interventions by community health workers (CHWs) in a community-based cluster randomised trial (c-RCT) in rural Bangladesh. Methods: Here, we describe the architecture of the intervention delivery system, and explore feasibility of employing mHealth as CHWs’ job aid, employing a mixed-method study design covering 17 visits per mother-child dyad. We analysed CHWs’ real-time visit information from monitoring and documentation data, and CHWs’ qualitative interviews to explore the advantages and barriers of using mHealth as a job aid. Results: Intervention coverage was high across the arms (>90%), except around the narrow perinatal period (51%) due to mothers’ cultural practice of moving to their parents’ homes and/or hospitals for childbirth. CHWs mentioned technical and functional advantages of the job aid including device portability, easy navigability of content, pictorial demonstration that improved communication, easy information entry, and automated daily scheduling of tasks. Technical challenges included charging tablets, especially in power cut-prone areas, deteriorated battery capacity over continuous device usage, unstable internet network in unsupportive weather conditions, and device safety. Nevertheless, onsite supervision and monitoring by expert supervisors remained important to ensure intervention quality. Conclusions: With appropriate training and supervision, CHWs utilised the tablet-based app proficiently, attaining high coverage of long-term visits. mHealth was thus useful for designing, planning, scheduling, and delivering nutrition interventions through CHWs, and for monitoring and supervision by supervisors. Therefore, this application and job aid can be adopted or replicated into the currently developing national health systems platform for improving coverage and quality of preventive maternal and child nutrition services. In addition, continuous supportive supervision by skilled supervisors must be accompanied to ensure CHWs’ task quality. Finally, future studies should rigorously assess undesirable health and environmental effects of mHealth before and after mainstreaming, effective interventions addressing device-induced health hazards should be designed and scaled up, and effective e-waste management must be ensured. Full article

Edge computing promising a vision of processing data close to its generation point, reducing latency and bandwidth usage compared with traditional cloud computing architectures, has attracted significant attention lately. The integration of edge computing in modern systems takes advantage of Internet of Things (IoT) devices and can potentially improve the systems’ performance, scalability, privacy, and security with applications in different domains. In the healthcare domain, modern IoT devices can nowadays be used to gather vital parameters and information that can be fed to edge Artificial Intelligence (AI) techniques able to offer precious insights and support to healthcare professionals. However, issues regarding data privacy and security, AI optimization, and computational offloading at the edge pose challenges to the adoption of edge AI. This paper aims to explore the current state of the art of edge AI in healthcare by using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology and analyzing more than 70 Web of Science articles. We have defined the relevant research questions, clear inclusion and exclusion criteria, and classified the research works in three main directions: privacy and security, AI-based optimization methods, and edge offloading techniques. The findings highlight the many advantages of integrating edge computing in a wide range of healthcare use cases requiring data privacy and security, near real-time decision-making, and efficient communication links, with the potential to transform future healthcare services and eHealth applications. However, further research is needed to enforce new security-preserving methods and for better orchestrating and coordinating the load in distributed and decentralized scenarios. Full article

Many older adults are increasingly embracing digital technology in the Republic of Korea. This study investigated the relationship between the digital skills of Korean older adults and their perceived health status and digital technology application for health promotion. This mixed-method study comprised a community survey of 434 older adults aged ≥65 in two cities in South Korea, followed by focus group interviews. Five types of digital skills, ‘operational internet skills’, ‘information navigation skills’, ‘social skills’, ‘creative skills’, and ‘mobile skills’, were measured using the LSE digital skill measurement instrument. Multivariable analysis identified the influence of digital skills on health-related outcomes. Among them, ‘social skills’ associated positively with self-rated health (β 0.37, 95%CI 0.08, 0.65). ‘Information navigation skills’ contributed positively to the use of digital technology and the internet for a healthy lifestyle in terms of improving eating habits (β 0.43, 95%CI 0.09, 0.77), accessing healthcare (β 0.53, 95%CI 0.21, 0.85), and accessing long-term care services (β 0.45, 95%CI 0.11, 0.79). Thematic analysis revealed that the study participants use Korean language-based resources such as Naver and Kakao Talk for social connection to promote a healthy lifestyle. This study concludes that encouraging initial and sustained use of the internet and enhancing digital skills among Korean older adults can promote active and healthy aging. Full article