endobj Figure 3 illustrates the proposed study design and its main components. 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. 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. Therefore, caregivers or family members of a patient can access the information of his/her patient via cellular phone through a medical application installed. <> Health Monitoring System. This research is a new secured sight towards medical information access and gives directions for future developments in the medical systems. Personalized Health Monitoring System Using IOT and Cloud – IJCST, 26. 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. ECG is costless and an efficient noninvasive too, for diagnoses of rhythmic diseases and the continuous monitoring of the normal heart activities, in case of irregular activities or waveform intervals, changing measure in amplitude, normal time intervals, and certainly changing in heart patterns (or rhythms shapes) . Implementing the position estimation algorithms, such as more advances with the uses of frequency difference of arrival (FDOA) and time difference of arrival (TDFA) , that compute more accuracy compared with existing and are adequate in computations both for indoor and outdoor location estimations [27, 30]. In the medical ward, each patient resided in is accommodated with an ECG device attached to measure the continuous electrical signals or events of patients’ arrhythmias, through attached leads. 2018, Article ID 3202787, 15 pages, 2018. https://doi.org/10.1155/2018/3202787, 1Department of Computer and Information Security, Sejong University, 209 Neungdong-ro, Gwangjin-gu, Seoul 05006, Republic of Korea, 2Division of Convergence Computer & Media, Mokwon University, Deajeon, Republic of Korea, 3Advanced Image and Information Technology, School of Electronics & Information Engineering, Chonbuk National University, 664-14 1Ga, Deokjin-Dong, Jeonju 561-756, Republic of Korea, 4Department of Mathematics and Computer Science, Northeastern State University, 611 N. Grand Ave No. Note that you can also use Cloud Monitoring custom metrics. Aneka is an innovated technology based on Microsoft.NET platform, an application development platform (for distributive applications) which provides run-time development scenarios and application programmable interfaces to develop customized applications, on either private or public cloud computing platform . 2017-0-00756, development of interoperability and management technology of IoT system with heterogeneous ID mechanism) and the Faculty Research Fund of Sejong University in year the 2017. 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. 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. Holter is a patient-worn unit where patients are situated, and ECG devices are connected with them and provided GPS (global positioning system) information which would be helpful in cases of emergency. Research Article Real-Time Cloud-Based Health Tracking and Monitoring System in Designed Boundary for Cardiology Patients Aamir Shahzad ,1 Yang Sun Lee,2 Malrey Lee,3 Young-Gab Kim ,1 and Naixue Xiong 4 1Department of Computer and Information Security, Sejong University, 209 Neungdong-ro, Gwangjin-gu, Seoul 05006, Republic of Korea 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. 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. The cloud consists of layers, primarily the back end and the front end. Further, with the advents of cloud computing technology, medical systems are now more efficient and scalable in processing, such as storage and access, the medical information with minimal development costs. Therefore, the cloud computing platform is one of the best solutions in the current age to fight against the issues. 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. For an effective monitoring system cloud uses BSN to monitor the patient health conditions. 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. 1. used for monitoring the health status of the user. x��=ْ�Ƒ��?�c���p� 3 0 obj So, using this facility, the medical advisors are allowed to view the current medical status of their designated patients continuously, even though they are also allowed to send feedback, for example, for health treatments, through the use of cellular application chat box, via the Internet. GSM/GPRS networks are utilized for MMS, and further, the patient’s monitored information is transmitted to the MMS center to the server via TCP/IPs. The authors declare that there is no conflict of interests regarding the publication of this paper. 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]. The other electronic devices, such as laptops and tablets, can also be used to visualize the medical information, in real-time manners, prior to register via the cloud. 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. Copyright © 2018 Aamir Shahzad et al. To make a new extension as a part in healthcare systems or telemonitoring systems, the technology called cloud computing is required in which cardiology patients will be undertaken and monitored through the RIFD-based medical tags that are considered to be implanted in patients’ bodies (i.e., over their hearts) and real-time information, for example, heart normal and abnormal rates, will be captured, monitored, analyzed, stored, and viewed by the authorized medical advisors and also will be viewed by the family member of the patient under security authorization rules. It means that few patients are designated for one doctor and 2-3 persons from the medical staff; the cellular application provides detailed real-time information of these patients only, which would be viewed on cellular device and the detailed report viewed in the table includes overall information about the existing and current medical information of patients. 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. 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. Figure 1 illustrates the typical structure of cloud computing for healthcare systems. As explained above, private cloud has a special meaning for several information technology (IT) applications and services, including telemonitoring systems. Google Cloud's operations suite pricing applies, which means there is no charge for metrics on the fully managed version of Cloud Run. In the real-time mode, patients’ abnormal heartbeats rates are measured, to make be efficient, in order to measure the accurate heart rates. Therefore, upon user requests, container scaling manager scales the number of containers to process the user queries toward workflow engine that controls the overall processing and jobs assigned to the medical software workflow and further processes them to PaaS middleware called Aneka. 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. Despite the challenges, the technology for monitoring cloud-based apps is quickly maturing, and a number of providers (such as Aternity and New Relic) offer comprehensive monitoring. In last decades, a number of researches have been conducted for the development of advance context-aware medical applications, by a combination of computer networks, cellular networks (e.g., 2G, GRPS, and 3G), and wireless sensor networks. 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. Mainly, each type of application or software is hosted and can retrieve through the web-based service, where the end-users can simply request and get the desired information, such as ECG/medical information uploaded/downloaded, medical information analyses, and current and existing reports, according to their queries and demands without the knowledge of application of the underlying complexities and difficulties that might be present in the development or in hosting of any application in cloud computing platform. 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. With those systems, several benefits will be achieved and with these benefits, the patients should able to track and monitor the risky situations during emergency. as Zigbee or low-power Bluetooth, which it uses to transfer sensor data to the concentrator. A cloud-structural health monitoring method based on smartphone was proposed, and a structural health monitoring system Orion-CC, which integrates functions of data acquisition, data analysis and data upload, was developed on smartphone to perform structural health monitoring without any other professional devices. 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. In case an organization wants to keep its resources well and secured in its data center, away from the others or from external entities, the best solution that has been provided by cloud technology is private cloud computing by using the concepts of visualization . EMC Corporation, “The private cloud for healthcare enables coordinated patient care,” 2010, L. Heilig and S. Voss, “A scientometric analysis of cloud computing literature,”, K. Gai and S. Li, “Towards cloud computing: a literature review on cloud computing and its development trends,” in. 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. Therefore, shorter access for few days or based on patient treatment session, authorized access will be provided to patient’s caregivers, such as patient family member(s), that might be with the patient to support additional services, such buying of medicine, providing meals to the patient, and other important services which the patient needs. Authorized medical advisor analyzes the received information, generates the corresponding feedback, and is authorized to send MMS back to the server to keep connected with the patient for the prospective information. While the patient is outside of his/her medical ward, a belt is fixed over the specific part of the patient body that has embedded ECG sensor, having a unique entity, communicating with the cloud server through the various access points (APs). Here, Controlling and processing is For private cloud computing, virtual machine manager (VMM) is a building block and the main management tool for managing the organizational data center. Furthermore, the children and old people, who might have to suffer from cognitive and chronic illness (and other physical disorders), can also be attained in order to reduce the effects of their diseases, with safer, happier, and more independent lives [19, 21, 24]. 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 Implementing the position estimation algorithms, such as more advances with the uses of frequency difference of arrival (FDOA) and time difference of arrival (TDFA) [, In communication service, the text and voice messages were allowed to transfer over the designed cloud platform, through the employment of various wireless sensor devices, to fulfill the desired, overall communication goals, together with the microcontrollers as well as routing schemes and queuing managing algorithms are acquired for implementation [, http://middle-east.emc.com/collateral/emc-perspective/h7349-hc-private-cloud-ep.pdf, http://www.davidchappell.com/writing/white_papers/The_Microsoft_Private_Cloud_v1.0--Chappell.pdf, C. Doukas and I. Maglogiannis, “Bringing IoT and cloud computing towards pervasive healthcare,” in. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Through employing and deploying of public cloud computing technology for healthcare, the overall processing of healthcare systems is much efficient and easy to manage. 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. 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]. In short, public cloud services are efficient and reliable, but they still encompass potential vulnerabilities because they are called publicly open for all. 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 . 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 Some of … A deemed medical center is designed to accommodate 500 patients’ based on the available space or number of built medical units. The sensor devices and their utilization have prominent placed, in order of patient’s medical treatments, in hospitals or/and healthcare centers. Sign up here as a reviewer to help fast-track new submissions. The service manager is an integrated, self-service portal and an automated management, as a part of private cloud computing, a platform for various services provided. 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 … 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. Eucalyptus, called “Elastic Utility Computing Architecture for Linking Your Programs to Useful Systems,” mainly deploys for private and hybrid cloud computing services and is an open software used to implement infrastructure as a service (IaaS), network as a service, and storage as a service, and these services are made available for end-users by consolidating with other existing infrastructures in cloud computing environment [6, 7]. While required, patient information is delivered via MMS (multimedia messaging service) through GPRS (general packet radio service)/GSM (global system for mobile communication) networks. Things like accident reports, training records, hazards and inspections. (i)In telemonitoring service, the required information was gathered according to the situation and from users or patients, in premises of deployed wireless network, through the connectivity of various sensors, such as medical sensors and biometric sensor devices [27, 28]. Therefore, by using of the master-worker scenario, Aneka manages the upcoming communication between the IaaS that runs Aneka master service and Aneka workers, installed in VM at PaaS. These parameters are sent to a remote Internet location so that user can view these details from anywhere in the world. 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) , 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. Therefore, in the proposed study, a private cloud computing platform, using Microsoft.Net platform and System Center 2012, is considered and deployed as an efficient and cheaper way to access and measure the continuous real-time medical status or information of patients that are located in premises of hospital, such as inside the medical ward and outside the medical wards or in specified boundary of a hospital deemed in our study cases. 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. A total of six virtual machines were deployed in private cloud system, four were installed to carry and manage the medical information coming from the medical wards (i.e., four medical wards), and the remaining virtual machines such as cloud VM number 05 and cloud VM number 06 were deployed for patient registration and administration purposes and for monitoring the medical information from ECG belt, while patients are in outward monitoring mode, through API installed in VM number 06 in private cloud. For accessing and monitoring the medical information of heart patients residing in the hospital premises, private computing platform is built up by employing of System Center 2012. The backend database application will be hosted on a cloud platform e.g. 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. Vital … The telemonitoring systems have been playing very important roles in reducing the effects of sudden critical diseases (i.e., arrhythmia causes) and give future trends for pervasive healthcare systems. Among other, the main goal of this study is to get measurements from the connected ECG devices and to generate corresponding reports, within the private cloud-computing environment, which means that overall medical system access is only limited and accessible within the medical center frontier. This paper presents a secure IoT-based health monitoring system that shortens the distance between a patient and the relevant medical organization. (2) Direct and Offline System. 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. 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 . This system mainly encompasses few paradigms that provide the private cloud computing values for a new system development with the specified workloads and designated to the platform entities: (1) An administer entity is designated for building the cloud and perform updating process for applications that were deployed by IT experts. 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, 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. At the end, in Section 4, overall work study is concluded and future work is described. 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