Sensing of Vital Signs and Transmission Using Wireless Networks

Author(s):  
Yousef Jasemian

People living with chronic medical conditions, or with conditions requiring short term monitoring, need regular and individualized care to maintain their normal lifestyles. Mobile healthcare is a solution for providing patients’ mobility while their health is being monitored. Existing studies show that mobile healthcare can bring significant economic savings, improve the quality of care, and consequently the patient’s quality of life. However, despite all progresses in advanced information and telecommunication technologies, there are still very few functioning commercial wireless mobile monitoring devices present on the market, which most work off-line, are not proper for m-health services and there are still many issues to be dealt with. This chapter deals with a comprehensive investigation of feasibility of wireless and cellular telecommunication technologies and services in a real-time m-health system. The chapter bases its investigation, results, discussion and argumentation on an already developed remote patient monitoring system by the author. The implemented m-health system has been evaluated and validated by a number of well defined tests and experiments. The designed and implemented system fulfils the requirements. The suggested system is reliable, functions with a clinically acceptable performance, and transfers medical data with a reasonable quality, even though the system was tested under totally uncontrolled circumstances during the patients’ daily activities. Both the patients and the involved healthcare personnel expressed their confidence in using it. It is concluded that the system is applicable in clinical setup, and might be generalized in clinical practice. Finally, the chapter suggests improvement approaches for more reliable, more secure, more user-friendly and higher performance of an m-health system in future.

2011 ◽  
pp. 717-743 ◽  
Author(s):  
Yousef Jasemian

People living with chronic medical conditions, or with conditions requiring short term monitoring, need regular and individualized care to maintain their normal lifestyles. Mobile healthcare is a solution for providing patients’ mobility while their health is being monitored. Existing studies show that mobile healthcare can bring significant economic savings, improve the quality of care, and consequently the patient’s quality of life. However, despite all progresses in advanced information and telecommunication technologies, there are still very few functioning commercial wireless mobile monitoring devices present on the market, which most work off-line, are not proper for m-health services and there are still many issues to be dealt with. This chapter deals with a comprehensive investigation of feasibility of wireless and cellular telecommunication technologies and services in a real-time m-health system. The chapter bases its investigation, results, discussion and argumentation on an already developed remote patient monitoring system by the author. The implemented m-health system has been evaluated and validated by a number of well defined tests and experiments. The designed and implemented system fulfils the requirements. The suggested system is reliable, functions with a clinically acceptable performance, and transfers medical data with a reasonable quality, even though the system was tested under totally uncontrolled circumstances during the patients’ daily activities. Both the patients and the involved healthcare personnel expressed their confidence in using it. It is concluded that the system is applicable in clinical setup, and might be generalized in clinical practice. Finally, the chapter suggests improvement approaches for more reliable, more secure, more user-friendly and higher performance of an m-health system in future.


2021 ◽  
Author(s):  
Sara Schukraft ◽  
Assim Boukhayma ◽  
Stéphane Cook ◽  
Antonino Caizzone

BACKGROUND Wearable devices can provide user-friendly, accurate, and continuous blood pressure (BP) monitoring to assess patients’ vital signs and achieve remote patient management. Remote BP monitoring can substantially improve BP control. The newest cuffless BP monitoring devices have emerged in patient care using photoplethysmography. OBJECTIVE The Senbiosys trial aims to compare BP measurements of a new device capturing a photoplethysmography signal on the finger versus invasive measurements performed in patients with an arterial catheter in the intensive care unit (ICU) or referred for a coronarography at the Hospital of Fribourg. METHODS The Senbiosys study is a single-center, single-arm, prospective trial. The study population consists of adult patients undergoing coronarography or patients in the ICU with an arterial catheter in place. This study will enroll 35 adult patients, including 25 patients addressed for a coronarography and 10 patients in the ICU. The primary outcome is the assessment of mean bias (95% CI) for systolic BP, diastolic BP, and mean BP between noninvasive and invasive BP measurements. Secondary outcomes include a reliability index (Qualification Index) for BP epochs and count of qualified epochs. RESULTS Patient recruitment started in June 2021. Results are expected to be published by December 2021. CONCLUSIONS The findings of the Senbiosys trial are expected to improve remote BP monitoring. The diagnosis and treatment of hypertension should benefit from these advancements. CLINICALTRIAL ClinicalTrials.gov NCT04379986; https://clinicaltrials.gov/ct2/show/NCT04379986 INTERNATIONAL REGISTERED REPORT PRR1-10.2196/30051


2017 ◽  
pp. 1183-1215
Author(s):  
Lea Skorin-Kapov ◽  
Ognjen Dobrijevic ◽  
Domagoj Piplica

The applicability of advanced mobile technologies in the m-Health domain has led to a number of studies and (limited) commercial products supporting delivery of health services to remote users. A key issue regarding successful delivery and acceptance of such services is meeting their Quality of Service (QoS) and Quality of Experience (QoE) requirements, focusing on technical aspects and end user perceived quality, respectively. In this paper, the authors address the topic of evaluating QoE for non-emergency remote patient monitoring services. They identify relevant QoE influence factors and metrics, and present the results of a QoE evaluation study, whereby they focus on usability aspects. The study involves 26 users testing a prototype version of the Ericsson Mobile Health service, which is based on a smartphone application and measurement of vital signs via medical sensors. The results show a strong correlation between QoE and: perceived effectiveness of the mobile interface (regarding both adequacy of smartphone screen size and smartphone application navigational support), perceived ease of conducting a blood pressure measurement task, and user motivation for service usage.


2014 ◽  
Vol 6 (4) ◽  
pp. 59-89 ◽  
Author(s):  
Lea Skorin-Kapov ◽  
Ognjen Dobrijevic ◽  
Domagoj Piplica

The applicability of advanced mobile technologies in the m-Health domain has led to a number of studies and (limited) commercial products supporting delivery of health services to remote users. A key issue regarding successful delivery and acceptance of such services is meeting their Quality of Service (QoS) and Quality of Experience (QoE) requirements, focusing on technical aspects and end user perceived quality, respectively. In this paper, the authors address the topic of evaluating QoE for non-emergency remote patient monitoring services. They identify relevant QoE influence factors and metrics, and present the results of a QoE evaluation study, whereby they focus on usability aspects. The study involves 26 users testing a prototype version of the Ericsson Mobile Health service, which is based on a smartphone application and measurement of vital signs via medical sensors. The results show a strong correlation between QoE and: perceived effectiveness of the mobile interface (regarding both adequacy of smartphone screen size and smartphone application navigational support), perceived ease of conducting a blood pressure measurement task, and user motivation for service usage.


Author(s):  
Nabila Samouni ◽  
Abdelillah Jilbab ◽  
Ahmed Hammouch

: Recently the Wireless Body Area Network (WBAN) technology has appeared as a subcategory of wireless sensor network (WSN) to improve the quality of life. For such medical system, the improving of reliability becomes very critical research issue because the patient requires continuous monitoring via network. On the other hand, a special attention must be given to the energy consumption because the WBAN nodes must be able to operate for long duration without being recharged or replaced. In this Paper, we have carried out survey of various existing mechanisms, recent techniques and protocols used for reliable communication and energy efficiency under low delay constraints in remote patient monitoring system. This survey depicts that the existing solutions can be further modified to devise more reliable solutions.


2021 ◽  
Author(s):  
Crystal Lim

BACKGROUND Pediatric obesity is a critical public health issue in the US. There is a significant need to augment care in multidisciplinary pediatric obesity clinics with innovative evidence-based technology to improve weight status and health outcomes for children needing specialty pediatric obesity treatment. OBJECTIVE This manuscript describes the design and methods of an open trial pilot study to examine a remote patient monitoring system (RPMS) for children, 8 to 17 years of age, receiving treatment in a multidisciplinary pediatric obesity clinic. METHODS Participants will include 45 youth with obesity and their parents. Families will receive standard care in the clinic and the RPMS for three months. The RPMS consists of a tablet, weight scale, and pedometer. The system provides daily educational content and encourages daily use of the pedometer and weekly weigh-ins. Children and parents will complete baseline, post-treatment (Month 3), and follow-up assessments (Month 6). The main aim of the study is to examine feasibility and satisfaction with the RPMS, as well as assess initial effectiveness. RESULTS We hypothesize high feasibility and satisfaction, with rates over 75% and that after the treatment children will exhibit improved weight status, blood pressure, glucose, A1c, dietary intake, physical activity, health-related quality of life, and self-efficacy compared to pre-treatment and parents will report improved child health-related quality of life and home-food environment. These gains are expected to persist at follow-up. CONCLUSIONS This study is novel in that it is the first to design, implement, and examine a RPMS in a pediatric obesity clinic. If the RPMS is feasible, effective, and easily accessible for diverse and underserved families it may prove to be a practical, acceptable, and cost-effective weight management treatment for youth seeking treatment for severe obesity, which has important implications for the future of pediatric obesity treatments. CLINICALTRIAL Clinicaltrials.gov Identifier: NCT04029597


Author(s):  
P.Venu Gopala Rao ◽  
Eslavath Raja ◽  
Ramakrishna Gandi ◽  
G. Ravi Kumar

IoT (Internet of Things) has become most significant area of research to design an efficient data enabled services with the help of sensors. In this paper, a low-cost system design for e-healthcare service to process the sensitive health data is presented. Vital signs of the human body are measured from the patient location and shared with a registered medical professional for consultation. Temperature and heart rate are the major signals obtained from a patient for the initial build of the system. Data is sent to a cloud server where processing and analysis is provided for the medical professional to analyze. Secure transmission and dissemination of data through the cloud server is provided with an authentication system and the patient could be able to track his data through a smart phone on connecting to the cloud server. A prototype of the system along with its design parameters has been discussed.


Author(s):  
Ifeoma V. Ngonadi

The Internet of Things (IoT) is a system of interrelated computing devices, mechanical and digital machines, objects, animals or people that are provided with unique identifiers and the ability to transfer data over a network without requiring human-to-human or human-to-computer interaction. Remote patient monitoring enables the monitoring of patients’ vital signs outside the conventional clinical settings which may increase access to care and decrease healthcare delivery costs. This paper focuses on implementing internet of things in a remote patient medical monitoring system. This was achieved by writing two computer applications in java in which one simulates a mobile phone called the Intelligent Personal Digital Assistant (IPDA) which uses a data structure that includes age, smoking habits and alcohol intake to simulate readings for blood pressure, pulse rate and mean arterial pressure continuously every twenty five which it sends to the server. The second java application protects the patients’ medical records as they travel through the networks by employing a symmetric key encryption algorithm which encrypts the patients’ medical records as they are generated and can only be decrypted in the server only by authorized personnel. The result of this research work is the implementation of internet of things in a remote patient medical monitoring system where patients’ vital signs are generated and transferred to the server continuously without human intervention.


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