cloud based health monitoring system

In short, public cloud services are efficient and reliable, but they still encompass potential vulnerabilities because they are called publicly open for all. (1) Application Design and Implementation. 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. In this study, a mobile application is the most important and one of the new developments modeled to retrieve the real-time information from medical devices attached to measure the patient cardioinformation. 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. This solution, System Center 2012, has been a commonly used designed platform for visualization, supporting three hypervisors: Microsoft Hyper-V, VMware ESX/ESXi, and Citrix XenServer, and provides virtual machines on demands from users (e.g., company partners) [6], and is efficient in its services like supporting various applications (i.e., software and hardware), as well as monitoring, updating, and distributing among system entities. The authors declare that there is no conflict of interests regarding the publication of this paper. <>>> Here the cloud acts as a virtual server and stores the patient information in third party server which causes serious threats to security and privacy. Figure 1 Block diagram of Cloud based Smart Health care monitoring and alert system Arduino UNO: Figure 2 Arduino Uno Board Arduino is an open source tool for making computers that can sense and control more of the physical world than your desktop computer. Furthermore, some ECG devices are designed with built-in memory that has limited space to store medical information of patient’s rhythms and should transfer to external devices through the USB port. In cloud computing environment, the platform-as-a-service (PaaS) layer used three main modules, such as “container scaling manager or tomcat container, workflow engine as service platform, and Aneka application platform,” to manage the processing of hosted software and to fulfill the demands/requests from users. The sensing technology, employed in hospitals, is not very old (i.e., ECG or EKG) but has been changed as the passage of time corresponding to the technology enhancements and medical system requirements. As the current medical system designed is also mainly focused to employ a potential security solution against the adversaries or unauthorized individuals that might reside inside the medical center boundary or intercepting from outside network. Overall, cloud computing designed for accessing, monitoring, and storing of arrhythmia patients’ information is simulated in a desktop of a computer system, with system specifications of (1) Intel® Core™ i7-4790 CPU at a 3.60 GHz processor, (2) 8.00 GB installed memory, (3) 64-bit operating system, Windows 10, ×64-based processor, (4) Realtek PCIe GBE Family Controller, Ethernet, (5) 1000/1000 (Mbps) link speed, (6) IPv6, and others. Chat engine facility, in Figure 5, is also a part of proposed system design which was employed to provide group chat service (or text communication) among the medical advisors appointed or working in the medical center. 323, Webb Center, Tahlequah, OK 74464, USA. Those algorithms were efficient in managing of alarms and other indications acquired from cloud users and from configured system entities. As a consequence, to gain the high efficiency, scalability, and security, with the overall minimal consumption of cost, most of the information technology- (IT-) based systems, such as educational, industrial, transportation, and medical systems, are now connected and communicating through cloud computing platform which minimizes the difficulties and complexities of end-user workloads, without purchasing of any expensive software or hardware. 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. Moreover, the study will be updated with the newly used technology in the arena of information technology called the Internet of things (IoT), which provides automated communication services over the Internet access and will be helpful for the development of new advanced medical systems. Health Monitoring System. We will be providing unlimited waivers of publication charges for accepted research articles as well as case reports and case series related to COVID-19. Health monitoring systems (HMS) are based on new generation transducers, such as multifunctional optic fibers embedded in the elements, linked together in a tight network. Usually, in telemonitoring systems, the carried information is saved into two storage modes: real-time mode, which stored information in real-time manners as its monitoring from ECG devices and in store-and-forward mode, where the carried (monitoring) information is latterly stored, after the specific session, and used for health analysis purposes [21]. An IoT-cloud Based Wearable ECG Monitoring System for Smart, 27. Real-time mode is more reliable, as the MMS (e.g., patient abnormal heartbeat rates) is transmitted, stored, and analyzed in minimal time, or without any time delay. Eventually, this study proposed and modeled a sensor-based wireless network scenario to capture the ECG waveforms of patients that might be moving out of their medical ward, without connectivity with ECG devices, through the wireless ECG belt, embedded ECG sensor, fixed over the patient body. A new cloud-based fine-grained health information acce ss control framework [14] was introduced which addressed the security challenges and the cloud reciprocity Therefore, the cloud computing platform is one of the best solutions in the current age to fight against the issues. Usually, the medical sensor devices are embedded or placed on specific parts of the patient where the medical rates (or information) are required to measure, and the observed information is further transmitted wirelessly, monitored, and stored at the designated controller site (or computer machine) where the authorized persons (or authorized medical advisor) are situated for information analyzing and diagnosis purposes [12]. At the end, in Section 4, overall work study is concluded and future work is described. Similarly, there is also a new trend of communication, also called ambient intelligence (AMI), based on ubiquitous communication platform, a cloud computing environment that provided interaction between the end-users and various electronic or/and sensor devices over wireless sensor networks, a context-ware design which fulfill users’ demands based upon their technological requirements [27]. �M2n��V�j) For an effective monitoring system cloud uses BSN to monitor the patient health conditions. As analyzed from above, considerable changes have been accounted in medical systems due to the gained and deployed wireless sensor technologies. In a private computing environment, an orchestrator is a solution, supported by data center, in order to manage the workflows, make interactions between employed management tools, and provide automated facilities for the users to build, implement, and monitor the resources in their own ways. The platform provides real-time insights into enterprise systems and applications. (2) A developer entity is designated for building the virtual environment by virtual machine (VM) concept and also authorized to provide approving process of the VM. In Holter monitoring system, rhythms through ECG device were measured and stored in the locally located system then transmitted back after a specified session, and classification on observed medical information was performed offline, which was one of the important limitations of Holter monitoring system [21]. 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. In the disaster scenarios, several major requirements, such as scalable usage of sensors and networks, reliable and efficient transmission ways, and costless and efficient hardware devices, have to be considered in order to track the remotely located patients’ information. It provides the elementary services that are used in building and managing of clouds and makes the virtualization environment through virtual machines and concepts, in which the virtual cloud hosts, with resources (e.g., storage and cloud networking), are configured and managed through VMM, as part of private cloud computing design and its services. In short, there are many situations and medical reasons in which patients have required for moving out of their medical ward. This study is also a piece of enhancement made to track and monitor the real-time medical information, bounded in authorized area, through the modeling of private cloud computing. Those algorithms were efficient in managing of alarms and other indications acquired from cloud users and from configured system entities. Furthermore, it’s cloud based and secure. 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. The remote monitoring of patients’ health or telemonitoring systems via sensor devices and the use of wireless sensor networks play an important role in making a coordination between the patients and medical advisor and also between medical sensor devices and other parts of the telemonitoring system [11–15]. The existing works [18, 19] were also conducted on to monitor the patient’s status or conditions by means of various detection approaches such as fall detection, gesture and posture detections, and GPS-based tracking for patients and through several medical sensors and RFID tags that have been very commonly employed in telemonitoring systems [21]. Note that you can also use Cloud Monitoring custom metrics. 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. (2) Direct and Offline System. There are two main kinds of cloud monitoring tools: Built-in cloud monitoring tools offered by cloud providers. In this case, information is carried through the internet, in the presence of wired networks and TCP/IPs [21]. 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. 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. 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. This study is based on the simulation design in which inward and outward networks were modeled to carry the medical information of arrhythmia patients in real-time fashion. In both cases, the security has to be managed to avoid the inside/outside attacking issues, as the medical information is always somehow critical to protect. Telemonitoring system via cellular access [, Real-Time Cloud-Based Health Tracking and Monitoring System in Designed Boundary for Cardiology Patients, Department of Computer and Information Security, Sejong University, 209 Neungdong-ro, Gwangjin-gu, Seoul 05006, Republic of Korea, Division of Convergence Computer & Media, Mokwon University, Deajeon, Republic of Korea, Advanced Image and Information Technology, School of Electronics & Information Engineering, Chonbuk National University, 664-14 1Ga, Deokjin-Dong, Jeonju 561-756, Republic of Korea, Department of Mathematics and Computer Science, Northeastern State University, 611 N. Grand Ave No. Smaller cloud providers also frequently offer a … As concluded, the most efficient way to manage an organization’s dedicated resources, especially from the encounter of security, and keep their information internally as part of organizational regulations without enrolments of external entities (e.g., outside of the organization), is private computing platform. endobj MMS is a new technology and developed under the 3GPP (third generation partnership project), which made it possible to transmit the multimedia messages (e.g., text, audio, and video) that varied in sizes. 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 The most important ones are Cloudwatch by Amazon, Azure Monitor by Microsoft, and Stackdriver by Google. Both the HTTP and MQTT protocols are employed in the IoT cloud in order to provide visual and timely ECG data to users. To be more enhanced, the technologies called cloud computing systems are efficient and scalable solutions for existing networks and have been playing tremendous roles in healthcare systems in terms of information monitoring, acquisition, and storage. While in case of store-and-forward mode, the Holter measured and stored the patient ECG data continuously up to 48 hours and sent the monitored information to the server for storage and future analysis purposes. We are committed to sharing findings related to COVID-19 as quickly as possible. Windows Azure Cloud, Amazon Web Services or Google cloud. In a study [19], a new RFID tag called “miTag (medical information tag)” was introduced and employed during emergency cases or health disaster situations. 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. 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. Nowadays, the ECG devices are equipped with a wired and wireless connectivity; therefore, in Figure 6, to avoid the network’s issues as the retrieving of patient’s information is critical, the proposed study uses wired LAN connections and as well as wireless connections which are also beneficial in case of disconnection issues relevant to wired networks. Furthermore, however, we have introduced an application design that was based on simulation, for an instance, is efficient in case the transmission from cloud computing server is disconnected due to system maintenance reasons and also in case if an unauthorized event will occur and measure the overall cloud health computing system. A number of organizations have been employing the cloud computing platform to fulfill their organizational demands, industrial, and other requirements. 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. In our case, the main four virtual machines are created corresponding to the medical wards, meaning that there are four medical wards considered, and each encompasses only ten patients for real-time medical information monitoring, and an API was installed for accessing and monitoring of the patients, while they are outside of their medical wards in a hospital area, which may consider as virtual machines, as part of private cloud computing. Clever solutions for a safer workplace. 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. As telemonitoring systems are not the new technological solutions in the monitoring of patients’ health, several medical healthcare systems [2] have been deployed to monitor the indoor or/and remotely located patients’ health status to overcome the emergency cases and to fight against and diagnose the critical diseases before they become worst. 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 outside medical wards, of the medical center. The function of this system is to measuring some biological parameter of the patient’s body like Temperature, Heartbeat, Blood pressure , by using sensors and the sensors will sense the body temperature ,heartbeat and blood pressure of the patient and sends the values to IOT Cloud platform through WIFI-Module. In studies [31–36], developments have been made to retrieve patient’s real-time medical information or medical status, over the far distance, or remotely from everywhere, which were significant in getting of information and in monitoring, as well. 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. Holter is also responsible for patients’ ECG information, its storage, and assessment. In this paper, we propose a new method for ECG monitoring based on Internet-of-Things (IoT) techniques. Therefore, for this purpose, medical application is designed and modeled, which will be installed in the authorized cellular device, with the registration of a user name and security password from the cloud, which makes the automated connectivity with the external medical devices (such as ECG devices) through Bluetooth and Wi-Fi accesses. A company might also decide to build its own system for monitoring applications and infrastructure, perhaps incorporating it into the app development process. In inclusion, through employing of cloud computing infrastructure, a health organization is able to manage its overall organizational structure, as a solution emerges with the coherent-optimal healthcare system. Telemonitoring is not a new term, in information technology (IT), which has been employed to remotely monitor the health of patients that are located not in common places, such hospitals or medical centers. Detailed literature is conducted in Section 2, and Section 3 describes the proposed system design and modeling, including private cloud design, inward monitoring, and outward monitoring. Things like accident reports, training records, hazards and inspections. Some of … 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. stream Cloud computing leverages the power of the Internet to eliminate the need for the purchase, installation and maintenance of independent data centers and networks. Inward monitoring (IWM) has been a common development in telemonitoring systems [6, 13], which provides monitoring facility to monitor the health of those patients residing in the medical units or medical wards; generally, our study case is the same as those existing studies in the area of health monitoring of patient especially for arrhythmia patient. (iii)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 [27]. 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 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. As consequence, the upcoming ECG information will be stored and at the same time, the medical analysis will be performed locally in each medical ward, and the medical information will be stored and analyzed to fight against the potential critical medical events of arrhythmia. 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. Therefore, caregivers or family members of a patient can access the information of his/her patient via cellular phone through a medical application installed. In [8], ECG analyses were performed by hosting application (or analysis software), as software-as-a-service (SaaS) and as a web service, in public cloud computing environment. 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. While required, patient information is delivered via MMS (multimedia messaging service) through GPRS (general packet radio service)/GSM (global system for mobile communication) networks. 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. 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]. Besides this, several meaningful applications, such as “monitoring in mass-casualty disasters, vital sign monitoring in hospitals, at-home and mobile aging, assistance with motor and sensory decline, and large-scale on-field medical and behavioral studies,” relevant with healthcare systems were reviewed and major security challenges were also deemed that might be existing in wireless sensor networks (WSNs) to ensure the future privacy of medical sensitive information [22–24]. Therefore, through the cellular medical application, the detailed access is provided; the access might be limited according to the designated patients. Study results are conducted in Section 3, and discussions are made. For that, few commercial devices are available, but most of them have a number of limitations, such as network setup and configuration issues; tracking is only limited to persons unable to identify the disaster locations, a poor installation, and integration with other systems, and so on, which therefore significantly affects the overall transmission [12, 16, 25, 26]. A medical wireless sensor network is designed, in which sensors (or access points) are placed or networked in an area that covered most parts of the medical center. Components of a remote patient monitoring system that is based on an IoT-Cloud architecture. As the medical information is important, therefore, it has to be measured continuously and in real-time manners. Performance Modelling of a Cloud based Health Monitoring System Using Dynamic Control System Cloud based Health Care is the integration of cloud computing and health monitoring. 1. 25. 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