Search Results (15)

Battery power is crucial for wearable devices as it ensures continuous operation, which is critical for real-time health monitoring and emergency alerts. One solution for long-lasting monitoring is energy harvesting systems. Ensuring a consistent energy supply from variable sources for reliable device performance is a major challenge. Additionally, integrating energy harvesting components without compromising the wearability, comfort, and esthetic design of healthcare devices presents a significant bottleneck. Here, we show that with a meticulous design using small and highly efficient photovoltaic (PV) panels, compact thermoelectric (TEG) modules, and two ultra-low-power BQ25504 DC-DC boost converters, the battery life can increase from 9.31 h to over 18 h. The parallel connection of boost converters at two points of the output allows both energy sources to individually achieve maximum power point tracking (MPPT) during battery charging. We found that under specific conditions such as facing the sun for more than two hours, the device became self-powered. Our results demonstrate the long-term and stable performance of the sensor node with an efficiency of 96%. Given the high-power density of solar cells outdoors, a combination of PV and TEG energy can harvest energy quickly and sufficiently from sunlight and body heat. The small form factor of the harvesting system and the environmental conditions of particular occupations such as the oil and gas industry make it suitable for health monitoring wearables worn on the head, face, or wrist region, targeting outdoor workers. Full article

Wireless body area networks (WBANs) have emerged as a promising solution for addressing challenges faced by elderly individuals, limited medical facilities, and various chronic medical conditions. WBANs consist of wearable sensing and computing devices interconnected through wireless communication channels, enabling the collection and transmission of vital physiological data. However, the energy constraints of the battery-powered sensor nodes in WBANs pose a significant challenge to ensuring long-term operational efficiency. Two-hop routing protocols have been suggested to extend the stability period and maximize the network’s lifetime. These protocols select appropriate parent nodes or forwarders with a maximum of two hops to relay data from sensor nodes to the sink. While numerous energy-efficient routing solutions have been proposed for WBANs, reliability has often been overlooked. Our paper introduces an energy-efficient routing protocol called a Hybrid Clustering Approach for Extending WBAN Lifetime (HCEL) to address these limitations. HCEL leverages a utility function to select parent nodes based on residual energy (RE), proximity to the sink node, and the received signal strength indicator (RSSI). The parent node selection process also incorporates an energy threshold value and a constrained number of serving nodes. The main goal is to extend the overall lifetime of all nodes within the network. Through extensive simulations, the study shows that HCEL outperforms both Stable Increased Throughput Multihop Protocol for Link Efficiency (SIMPLE) and Energy-Efficient Reliable Routing Scheme (ERRS) protocols in several key performance metrics. The specific findings of our article highlight the superior performance of HCEL in terms of increased network stability, extended network lifetime, reduced energy consumption, improved data throughput, minimized delays, and improved link reliability. Full article

Wireless Body Area Networks (WBANs) are an emerging industrial technology for monitoring physiological data. These networks employ medical wearable and implanted biomedical sensors aimed at improving quality of life by providing body-oriented services through a variety of industrial sensing gadgets. The sensors collect vital data from the body and forward this information to other nodes for further services using short-range wireless communication technology. In this paper, we provide a multi-aspect review of recent advancements made in this field pertaining to cross-domain security, privacy, and trust issues. The aim is to present an overall review of WBAN research and projects based on applications, devices, and communication architecture. We examine current issues and challenges with WBAN communications and technologies, with the aim of providing insights for a future vision of remote healthcare systems. We specifically address the potential and shortcomings of various Wireless Body Area Network (WBAN) architectures and communication schemes that are proposed to maintain security, privacy, and trust within digital healthcare systems. Although current solutions and schemes aim to provide some level of security, several serious challenges remain that need to be understood and addressed. Our aim is to suggest future research directions for establishing best practices in protecting healthcare data. This includes monitoring, access control, key management, and trust management. The distinguishing feature of this survey is the combination of our review with a critical perspective on the future of WBANs. Full article

IoMT sensor nodes, Internet of Things (IoT) wearable medical equipment, healthcare facilities, patients, and insurance firms are all increasingly being included in IoMT systems. Therefore, it is difficult to create a blockchain design for such systems, since scalability is among the most important aspects of blockchain technology. This realization prompted us to comprehensively analyze blockchain-based IoMT solutions developed in English between 2017 and 2022. This review incorporates the theoretical underpinnings of a large body of work published in highly regarded academic journals over the past decade, to standardize evaluation methods and fully capture the rapidly developing blockchain space. This study categorizes blockchain-enabled applications across various industries such as information management, privacy, healthcare, business, and supply chains according to a structured, systematic evaluation, and thematic content analysis of the literature that is already identified. The gaps in the literature on the topic have also been highlighted, with a special focus on the restrictions posed by blockchain technology and the knock-on effects that such restrictions have in other fields. Based on these results, several open research questions and potential avenues for further investigation that are likely to be useful to academics and professionals alike are pinpointed. Full article

The Telecare Medical Information System (TMIS) is a technology used in Wireless Body Area Networks (WBAN) that is used efficiently for remote healthcare services. TMIS services can be provided as cloud computing services for storage and processing purposes. TMIS uses wearable sensors to collect patient data and transmit it to the controller node over a public channel. The data is then obtained from the controller node by the medical server and stored in the database for analysis. However, an attacker can attempt to launch attacks on data transferred across an unsecured channel. Several schemes have therefore been proposed to provide mutual authentication however, there are security and performance problems. Therefore, the research aims to design two secure and efficient inter-BAN authentication protocols for WBAN: protocol-I (P-I) for emergency authentication and protocol-II (P-II) for periodic authentication. To analyze the proposed protocols, we conduct an informal security analysis, implement Burrows-Abadi-Needham (BAN) logic analysis, validate the proposed protocols using the Automated Validation of Internet Security Protocols and Applications (AVISPA) simulation tool, and conduct a performance analysis. Consequently, we show that the proposed protocols meet all the security requirements in this research, achieve mutual authentication, prevent passive and active attacks, and have suitable performance for WBAN. Full article

Telecare medical information system (TMIS) is a technology used in a wireless body area network (WBAN), which has a crucial role in healthcare services. TMIS uses wearable devices with sensors to collect patients’ data and transmit the data to the controller node via a public channel. Then, the medical server obtains the data from the controller node and stores it in the database to be analyzed. Unfortunately, an attacker can try to perform attacks via a public channel. Thus, establishing a secure mutual authentication protocol is essential for secure data transfer. Several authentication schemes have been presented to achieve mutual authentication, but there are performance limitations and security problems. Therefore, this study aimed to propose two secure and efficient WBAN authentication protocols between sensors and a mobile device/controller: authentication protocol-I for emergency medical reports and authentication protocol-II for periodic medical reports. To analyze the proposed authentication protocols, we conducted an informal security analysis, implemented BAN logic analysis, validated our proposed authentication protocol using the AVISPA simulation tool, and conducted a performance analysis. Consequently, we showed that our proposed protocols satisfy all security requirements in this study, attain mutual authentication, resist active and passive attacks, and have suitable computation and communication costs for a WBAN. Full article

The indoor navigation method shows great application prospects that is based on a wearable foot-mounted inertial measurement unit and a zero-velocity update principle. Traditional navigation methods mainly support two-dimensional stable motion modes such as walking; special tasks such as rescue and disaster relief, medical search and rescue, in addition to normal walking, are usually accompanied by running, going upstairs, going downstairs and other motion modes, which will greatly affect the dynamic performance of the traditional zero-velocity update algorithm. Based on a wearable multi-node inertial sensor network, this paper presents a method of multi-motion modes recognition for indoor pedestrians based on gait segmentation and a long short-term memory artificial neural network, which improves the accuracy of multi-motion modes recognition. In view of the short effective interval of zero-velocity updates in motion modes with fast speeds such as running, different zero-velocity update detection algorithms and integrated navigation methods based on change of waist/foot headings are designed. The experimental results show that the overall recognition rate of the proposed method is 96.77%, and the navigation error is 1.26% of the total distance of the proposed method, which has good application prospects. Full article

Internet of things (IoT) technology provides practical solutions for a wide range of applications, including but not limited to, smart homes, smart cities, intelligent grid, intelligent transportation, and healthcare. Security and privacy issues in IoT are considered significant challenges that prohibit its utilization in most of these applications, especially relative to healthcare applications. Cryptographic protocols should be applied at the different layers of IoT framework, especially edge devices, to solve all security concerns. Finite-field arithmetic, particularly field multiplication and squaring, represents the core of most cryptographic protocols and their implementation primarily affects protocol performance. In this paper, we present a compact and combined two-dimensional word-based serial-in/serial-out systolic processor for field multiplication and squaring over GF($2^m$). The proposed structure features design flexibility to manage hardware utilization, execution time, and consumed energy. Application Specific Integrated Circuit (ASIC) Implementation results of the proposed word-serial design and the competitive ones at different embedded word-sizes show that the proposed structure realizes considerable saving in the area and consumed energy, up to 93.7% and 98.2%, respectively. The obtained results enable the implementation of restricted cryptographic primitives in resource-constrained IoT edge devices such as wearable and implantable medical devices, smart cards, and wireless sensor nodes. Full article

The internet of things (IoT) comprises various sensor nodes for monitoring physiological signals, for instance, electrocardiogram (ECG), electroencephalogram (EEG), blood pressure, and temperature, etc., with various emerging technologies such as Wi-Fi, Bluetooth and cellular networks. The IoT for medical healthcare applications forms the internet of medical things (IoMT), which comprises multiple resource-restricted wearable devices for health monitoring due to heterogeneous technological trends. The main challenge for IoMT is the energy drain and battery charge consumption in the tiny sensor devices. The non-linear behavior of the battery uses less charge; additionally, an idle time is introduced for optimizing the charge and battery lifetime, and hence the efficient recovery mechanism. The contribution of this paper is three-fold. First, a novel adaptive battery-aware algorithm (ABA) is proposed, which utilizes the charges up to its maximum limit and recovers those charges that remain unused. The proposed ABA adopts this recovery effect for enhancing energy efficiency, battery lifetime and throughput. Secondly, we propose a novel framework for IoMT based pervasive healthcare. Thirdly, we test and implement the proposed ABA and framework in a hardware platform for energy efficiency and longer battery lifetime in the IoMT. Furthermore, the transition of states is modeled by the deterministic mealy finite state machine. The Convex optimization tool in MATLAB is adopted and the proposed ABA is compared with other conventional methods such as battery recovery lifetime enhancement (BRLE). Finally, the proposed ABA enhances the energy efficiency, battery lifetime, and reliability for intelligent pervasive healthcare. Full article

The emergence of biomedical sensor devices, wireless communication, and innovation in other technologies for healthcare applications result in the evolution of a new area of research that is termed as Wireless Body Area Networks (WBANs). WBAN originates from Wireless Sensor Networks (WSNs), which are used for implementing many healthcare systems integrated with networks and wireless devices to ensure remote healthcare monitoring. WBAN is a network of wearable devices implanted in or on the human body. The main aim of WBAN is to collect the human vital signs/physiological data (like ECG, body temperature, EMG, glucose level, etc.) round-the-clock from patients that demand secure, optimal and efficient routing techniques. The efficient, secure, and reliable designing of routing protocol is a difficult task in WBAN due to its diverse characteristic and restraints, such as energy consumption and temperature-rise of implanted sensors. The two significant constraints, overheating of nodes and energy efficiency must be taken into account while designing a reliable blockchain-enabled WBAN routing protocol. The purpose of this study is to achieve stability and efficiency in the routing of WBAN through managing temperature and energy limitations. Moreover, the blockchain provides security, transparency, and lightweight solution for the interoperability of physiological data with other medical personnel in the healthcare ecosystem. In this research work, the blockchain-based Adaptive Thermal-/Energy-Aware Routing (ATEAR) protocol for WBAN is proposed. Temperature rise, energy consumption, and throughput are the evaluation metrics considered to analyze the performance of ATEAR for data transmission. In contrast, transaction throughput, latency, and resource utilization are used to investigate the outcome of the blockchain system. Hyperledger Caliper, a benchmarking tool, is used to evaluate the performance of the blockchain system in terms of CPU utilization, memory, and memory utilization. The results show that by preserving residual energy and avoiding overheated nodes as forwarders, high throughput is achieved with the ultimate increase of the network lifetime. Castalia, a simulation tool, is used to evaluate the performance of the proposed protocol, and its comparison is made with Multipath Ring Routing Protocol (MRRP), thermal-aware routing algorithm (TARA), and Shortest-Hop (SHR). Evaluation results illustrate that the proposed protocol performs significantly better in balancing of temperature (to avoid damaging heat effect on the body tissues) and energy consumption (to prevent the replacement of battery and to increase the embedded sensor node life) with efficient data transmission achieving a high throughput value. Full article

The latest advances in the different Industry 4.0 technologies have enabled the automation and optimization of complex tasks of production processes thanks to their ability to monitor and track the state of physical elements like machinery, environmental sensors/actuators or industrial operators. This paper focuses on the latter and presents the design and evaluation of a system for monitoring industrial workers that provides a near real-time decentralized response system aimed at reacting and tracing events that affect operator personal safety and health. Such a monitoring system is based on the information collected from sensors encapsulated in IoT wearables that are used to measure both personal and environmental data. The communications architecture relies on LoRaWAN, an LPWAN (Low-Power Wide-Area Network) technology that offers good reliability in harsh communications environments and that provides relatively long distance communications with low-energy consumption. Specifically, each wearable sends the collected information (e.g., heart rate, altitude, external temperature, gas concentration, location) from the sensors to the nearest LoRaWAN gateway, which is transmitted to a pool of nodes where information is stored in a distributed manner. Such a decentralized system allows for providing information redundancy and guarantees its availability as long as there is an operative node. In addition, the proposed system is able to store and to process the collected data through smart contracts in a blockchain, which eliminate the need for a central backend and ensure the traceability and immutability of such data in order to share them with third parties (e.g., insurance companies or medical services). Full article

The introduction of medical Internet of Things (IoT) for biomedical applications has brought about the era of proactive healthcare. Such advanced medical supervision lies on the foundation of a network of energy-constrained wearable or implantable sensors (or things). These miniaturized battery-powered biosensor nodes are placed in, on, or around the human body to measure vital signals to be reported to the sink. This network configuration deployed on a human body is known as the Wireless Body Area Network (WBAN). Strategies are required to restrict energy expenditure of the nodes without degrading performance of WBAN to make medical IoT a green (energy-efficient) and effective paradigm. Direct communication from a node to sink in WBAN may often lead to rapid energy depletion of nodes as well as growing thermal effects on the human body. Hence, multi-hop communication from sources to sink in WBAN is often preferred instead of direct communication with high transmission power. Existing research focuses on designing multi-hop protocols addressing the issues in WBAN routing. However, the ideal conditions for multi-hop routing in preference to single-hop direct delivery is rarely investigated. Accordingly, in this paper an optimal transmission policy for WBAN is developed using Markov Decision Process (MDP) subject to various input conditions such as battery level, event occurrence, packet transmission rate and link quality. Thereafter, a multi-hop routing protocol is designed where routing decisions are made following a pre-computed strategy. The algorithm is simulated, and performance is compared with existing multi-hop protocol for WBAN to demonstrate the viability of the proposed scheme. Full article

The advancement of Wireless Body Area Networks (WBAN) have led to significant progress in medical and health care systems. However, such networks still suffer from major security and privacy threats, especially for the data collected in medical or health care applications. Lack of security and existence of anonymous communication in WBAN brings about the operation failure of these networks. Recently, Li et al. proposed a lightweight protocol for wearable sensors in wireless body area networks. In their paper, the authors claimed that the protocol may provide anonymous mutual authentication and resist against various types of attacks. This study shows that such a protocol is still vulnerable to three types of attacks, i.e., the offline identity guessing attack, the sensor node impersonation attack and the hub node spoofing attack. We then present a secure scheme that addresses these problems, and retains similar efficiency in wireless sensors nodes and mobile phones. Full article

Falls are the primary cause of accidents among the elderly and frequently cause fatal and non-fatal injuries associated with a large amount of medical costs. Fall detection using wearable wireless sensor nodes has the potential of improving elderly telecare. This investigation proposes a ZigBee-based location-aware fall detection system for elderly telecare that provides an unobstructed communication between the elderly and caregivers when falls happen. The system is based on ZigBee-based sensor networks, and the sensor node consists of a motherboard with a tri-axial accelerometer and a ZigBee module. A wireless sensor node worn on the waist continuously detects fall events and starts an indoor positioning engine as soon as a fall happens. In the fall detection scheme, this study proposes a three-phase threshold-based fall detection algorithm to detect critical and normal falls. The fall alarm can be canceled by pressing and holding the emergency fall button only when a normal fall is detected. On the other hand, there are three phases in the indoor positioning engine: path loss survey phase, Received Signal Strength Indicator (RSSI) collection phase and location calculation phase. Finally, the location of the faller will be calculated by a k-nearest neighbor algorithm with weighted RSSI. The experimental results demonstrate that the fall detection algorithm achieves 95.63% sensitivity, 73.5% specificity, 88.62% accuracy and 88.6% precision. Furthermore, the average error distance for indoor positioning is 1.15 ± 0.54 m. The proposed system successfully delivers critical information to remote telecare providers who can then immediately help a fallen person. Full article

Long term continuous monitoring of electrocardiogram (ECG) in a free living environment provides valuable information for prevention on the heart attack and other high risk diseases. This paper presents the design of a real-time wearable ECG monitoring system with associated cardiac arrhythmia classification algorithms. One of the striking advantages is that ECG analog front-end and on-node digital processing are designed to remove most of the noise and bias. In addition, the wearable sensor node is able to monitor the patient’s ECG and motion signal in an unobstructive way. To realize the real-time medical analysis, the ECG is digitalized and transmitted to a smart phone via Bluetooth. On the smart phone, the ECG waveform is visualized and a novel layered hidden Markov model is seamlessly integrated to classify multiple cardiac arrhythmias in real time. Experimental results demonstrate that the clean and reliable ECG waveform can be captured in multiple stressed conditions and the real-time classification on cardiac arrhythmia is competent to other workbenches. Full article