The Internet of Medical Things (IoMT) and Telemedicine Frameworks and Applications Rajiv Pandey Amity University, Lucknow, India Amrit Gupta MRH, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India Agnivesh Pandey D.A-V. College, Chhatrapati Shahu Ji Maharaj University, Kanpur, India A volume in the Advances in Medical Technologies and Clinical Practice (AMTCP) Book Series Published in the United States of America by IGI Global Medical Information Science Reference (an imprint of IGI Global) 701 E. Chocolate Avenue Hershey PA, USA 17033 Tel: 717-533-8845 Fax: 717-533-8661 E-mail: [email protected] Web site: http://www.igi-global.com Copyright © 2023 by IGI Global. All rights reserved. No part of this publication may be reproduced, stored or distributed in any form or by any means, electronic or mechanical, including photocopying, without written permission from the publisher. Product or company names used in this set are for identification purposes only. Inclusion of the names of the products or companies does not indicate a claim of ownership by IGI Global of the trademark or registered trademark. Library of Congress Cataloging-in-Publication Data Names: Pandey, Rajiv, 1966- editor. | Gupta, Amrit, 1963- editor. | Pandey, Agnivesh, 1975- editor. Title: The internet of medical things (IoMT) and telemedicine frameworks and applications / Rajiv Pandey, Amrit Gupta, Agnivesh Pandey, editors. Description: Hershey, PA : Medical Information Science Reference (an imprint of IGI Global), [2022] | Includes bibliographical references and index. | Summary: “This book focuses on the role of artificial intelligence along with Internet of Medical Things ( IoMT) and Telemedicine, studying the advantages that can be drawn by the integration of these technologies and introducing evolving methodologies to develop frameworks for the integration of IoMT and Telemedicine”-- Provided by publisher. Identifiers: LCCN 2022000737 (print) | LCCN 2022000738 (ebook) | ISBN 9781668435335 (hardcover) | ISBN 9781668435342 (ebook) Subjects: MESH: Artificial Intelligence | Internet of Things | Medical Informatics Applications | Telemedicine Classification: LCC R859.7.A78 (print) | LCC R859.7.A78 (ebook) | NLM W 26.55.A7 | DDC 610.285--dc23/eng/20220131 LC record available at https://lccn.loc.gov/2022000737 LC ebook record available at https://lccn.loc.gov/2022000738 This book is published in the IGI Global book series Advances in Medical Technologies and Clinical Practice (AMTCP) (ISSN: 2327-9354; eISSN: 2327-9370) British Cataloguing in Publication Data A Cataloguing in Publication record for this book is available from the British Library. All work contributed to this book is new, previously-unpublished material. The views expressed in this book are those of the authors, but not necessarily of the publisher. For electronic access to this publication, please contact: [email protected]. 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Titles in this Series For a list of additional titles in this series, please visit: http://www.igi-global.com/book-series/advances-medical-technolo- gies-clinical-practice/73682 Machine Learning and AI Techniques in Interactive Medical Imag Analysis Lipismita Panigrahi (OP Jindal University, India) Sandeep Biswal (OP Jindal University, India) Akash Kumar Bhoi (Sikkim Manipal Institute of Technology (SMIT), India) Akhtar Kalam (Victoria University, Australia) and Paolo Barsocchi (Institute of Information Science and Technologies, Italy) Medical Information Science Reference • © 2023 • 315pp • H/C (ISBN: 9781668446713) • US $380.00 Exploring the Convergence of Computer and Medical Science Through Cloud Healthcare Ricardo Queirós (ESMAD, Polytechnic Institute of Porto, Portugal) Bruno Cunha (PORTIC, Portugal) and Xavier Fonseca (PORTIC, Portugal) Medical Information Science Reference • © 2023 • 300pp • H/C (ISBN: 9781668452608) • US $435.00 AI-Enabled Multiple-Criteria Decision-Making Approaches for Healthcare Management Sandeep Kautish (Lord Buddha Education Foundation, Nepal) and Gaurav Dhiman (Government Bikram College of Commerce, India & Lebanese American University, Lebanon) Medical Information Science Reference • © 2022 • 274pp • H/C (ISBN: 9781668444054) • US $420.00 Leveraging AI Technologies for Preventing and Detecting Sudden Cardiac Arrest and Death Pradeep Nijalingappa (Bapuji Institute of Engineering and Technology, Davangere, India) Sandeep Kautish (Lord Buddha Education Foundation, Nepal) Mangesh M. Ghonge (Sandip Institute of Technology and Research Centre, India) and Renjith V. Ravi (MEA Engineering College, India) Medical Information Science Reference • © 2022 • 263pp • H/C (ISBN: 9781799884439) • US $435.00 Smart Healthcare for Sustainable Urban Development Rosy Madaan (Manav Rachna International Institute of Research and Studies, India) Komal Kumar Bhatia (J.C. Bose University of Science and Technology, YMCA, India) Supriya P. Panda (Manav Rachna International Insti- tute of Research and Studies, Faridabad, India) Vishal Jain (Sharda University, India) and Payal Gulati (J.C. Bose University of Science and Technology, YMCA, India) Medical Information Science Reference • © 2022 • 269pp • H/C (ISBN: 9781668425084) • US $325.00 Advancement, Opportunities, and Practices in Telehealth Technology S.N. Kumar (Amal Jyothi College of Engineering, India) Sundaravaradhan Suresh (KPR Institute of Engineering and Technology, India) Padmanabhan Vivekananth (ISBAT University, Uganda) and Sherin Zafar (Jamia Ham- dard, India) Medical Information Science Reference • © 2022 • 342pp • H/C (ISBN: 9781668452318) • US $380.00 701 East Chocolate Avenue, Hershey, PA 17033, USA Tel: 717-533-8845 x100 • Fax: 717-533-8661 E-Mail: [email protected] • www.igi-global.com Table of Contents Preface..................................................................................................................................................xv Acknowledgment..............................................................................................................................xviii Chapter 1 IoTandHealthcare:StudyofConceptualFrameworkandApplications................................................1 Sunil Kr Pandey, Institute of Technology and Science, Mohan Nagar, Ghaziabad, India Shweta Pandey, Independent Researcher, India Chapter 2 IoTinE-Health,AssistedLiving,andE-Wellness................................................................................17 Mohammad Abdul Azim, Asian University for Women, Chittogram, Bangladesh Ethel Merry, Asian University for Women, Chittogram, Bangladesh Jigmey Gyalmo, Asian University for Women, Chittogram, Bangladesh Zulfikar Alom, Asian University for Women, Chittogram, Bangladesh Chapter 3 TowardsBuildingInternet-of-Things-InclusiveHealthcareforNeglectedTropicalDiseases.............39 Mohammad Tariq Banday, University of Kashmir, India Lubna Bhat, University of Kashmir, India Chapter 4 PrenatalHealthcareFrameworkUsingIoMTDataAnalytics..............................................................76 Rajiv Pandey, Amity University, Lucknow, India Agnivesh Pandey, D.A-V. College, Chhatrapati Shahu Ji Maharaj University, Kanpur, India Pratibha Maurya, Amity University, Lucknow, India Guru Dev Singh, Amity University, Lucknow, India Chapter 5 VirtualReality,Robotics,andArtificialIntelligence:TechnologicalInterventionsinStroke Rehabilitation......................................................................................................................................105 Aditya Kanade, Indian Institute of Technology, Madras, India Mansi Sharma, Indian Institute of Technology, Madras, India Muniyandi Manivannan, Indian Institute of Technology, Madras, India Chapter 6 ImplementationofAITechniquesforBioremediationandWastewaterTreatment............................124 Hina Bansal, Amity University, Noida, India Shambhawi Jha, Amity University, Noida, India Chapter 7 ExplainableLearningMachinesforSecuringtheIoMTNetworks....................................................135 Izhar Ahmed Khan, Nanjing University of Aeronautics and Astronautics, China Dechang Pi, Nanjing University of Aeronautics and Astronautics, China Chapter 8 HeartDiseasePredictionUsingMLAlgorithm.................................................................................155 Atharva Deshmukh, Terna Engineering College, India Amit Kumar Tyagi, Vellore Institute of Technology, India Sangita Krishnaram Toppo, Terna Engineering College, India Chapter 9 ApplicationsofMachineLearninginHealthcare...............................................................................177 Garima Mathur, University Institute of Technology RGPV, Bhopal, India Anjana Pandey, University Institute of Technology RGPV, Bhopal, India Sachin Goyal, University Institute of Technology RGPV, Bhopal, India Chapter 10 AIandMachineLearning:SupervisedLearningTechniquesBasedonIoMT..................................196 Manisha Verma, Department of Computer Science and Engineering, Hindustan College of Science and Technology, Farah, India Chapter 11 DHM2-TSFrameworkforEvaluationofTele-HealthPlatformsandSolutions:AMultiUser- CenteredPerspective...........................................................................................................................207 Uma Nambiar, Digital Health India Association, India Ayushi Tandon, Mahindra University, Hyderabad, India Avinash Kumar Gupta, Universal College of Medical Sciences, Nepal Madhava Sai Sivapuram, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Chinna-Avutapalli, India Vijayasimha Ajarananda, Audicor Cardiometrics Pvt. Ltd., India Chapter 12 SuicidalAnalysisonSocialNetworksUsingMachineLearning.......................................................230 Kanojia Sindhuben Babulal, Central University of Jharkhand, India Bashu Kumar Nayak, Central University of Jharkhand, India Chapter 13 ApplicationsofDistributedLedger(Blockchain)TechnologyinE-Healthcare.................................248 Atharva Deshmukh, Terna Engineering College, India Amit Kumar Tyagi, Vellore Institute of Technology, Chennai, India Harshadi Hansora, Terna Engineering College, India Sanjana Chelat Menon, PSG Institute of Technology and Applied Research, India Chapter 14 ALowCost,PowerEfficient,SocialDistancingNotificationEmbeddedSystemBasedon IntelligentWirelessSensorNetwork...................................................................................................262 Chiang Liang Kok, Newcastle Australia Institute of Higher Education, Singapore Chapter 15 Li-Ion-BasedDCUPSforRemoteApplication..................................................................................276 Chiang Liang Kok, Newcastle Australia Institute of Higher Education, Singapore Yansen Setyadi, Newcastle Australia Institute of Higher Education, Singapore Compilation of References...............................................................................................................290 About the Contributors....................................................................................................................333 Index...................................................................................................................................................338 Detailed Table of Contents Preface..................................................................................................................................................xv Acknowledgment..............................................................................................................................xviii Chapter 1 IoTandHealthcare:StudyofConceptualFrameworkandApplications................................................1 Sunil Kr Pandey, Institute of Technology and Science, Mohan Nagar, Ghaziabad, India Shweta Pandey, Independent Researcher, India Internetofthings(IoT)definesanetworkofvirtualrealityobjects,software,andothertechnologies forthepurposeofconnectingandexchangingdatawithotherdevicesandapplicationsontheinternet. The‘object’mayrefertoaconnectedmedicaldevice,abiochiptransponder(thinklivestock),asolar panel,aconnectedmotorwithsensorsthatnotifythedriverofanumberofpotentialproblems(fuel,tire pressure,necessaryadjustments,andmore),oranyobject,sensory,competenttocollectandtransferdata overthenetwork.TheuseofIoTtechnologyisextensive,asitisflexibleinalmostanytechnologythat canproviderelevantinformationonitsperformance,andevenenvironmentalconditionsthatneedto bemonitoredandremotelycontrolled.OtherusesincludetheintegrationofIoTtechnologyinhospital beds,providedwithsmartbeds,equippedwithspecialsensorstodetectvitalsigns,bloodpressure, oximeter,andbodytemperature,amongothers.Thischapterattemptstoexploreandunderstandashow IoTisusedinthehealthcaresector. Chapter 2 IoTinE-Health,AssistedLiving,andE-Wellness................................................................................17 Mohammad Abdul Azim, Asian University for Women, Chittogram, Bangladesh Ethel Merry, Asian University for Women, Chittogram, Bangladesh Jigmey Gyalmo, Asian University for Women, Chittogram, Bangladesh Zulfikar Alom, Asian University for Women, Chittogram, Bangladesh Consideringtheimmenseassistanceoftheinternetofthings(IoT)inseveralindustries,includingthe healthcareIoT(H-IoT)andinternetofmedicalthings(IoMT),ithasperformedbetternotonlyinthe hardwarebutintheunderlyingsoftwarecategoriesaswell.WhiletheuseofIoTintheparadigmof healthcareissalient,expectationsonimprovementsontheinfrastructureareafewoftheincidentsthat oughttobeaddressed.Appreciatingandacknowledgingtheabove,inthischapter,theauthorsintroduced agenericconceptofH-IoT,developedanappreciationrelating42recentlypublishedarticlesfromthe timeperiodof2017-2021(relatingCOVID-19),critiqued,andalsoprovidedthefuturedirectionsof H-IoT/IoMTintheperspectiveofCOVID-19pandemic. Chapter 3 TowardsBuildingInternet-of-Things-InclusiveHealthcareforNeglectedTropicalDiseases.............39 Mohammad Tariq Banday, University of Kashmir, India Lubna Bhat, University of Kashmir, India Thisworkpresentsacomprehensivereviewofe-healthandd-healthsystemsandtheindividualcomponents usedineach.Itpresentsinformationandcommunicationtechnologiestodetect,control,andmanage NTDs,highlightingtheirfeaturesandfunctionalities.Thechapterhighlightssomebiosensorsexplicitly developedtodiagnoseNTDs,pavingthewayforaninternetofthings-inclusivee-healthsystemforNTDs. Thischapterproposesaninternetofthings-inclusivee-healthmodelforNTDsofferingspecialservices toNTD-affectedpeoplebesidesotherfundamentale-healthservicesforasmartermedicalenvironment forpatients.Themodelshallbeusefultoimplementaninternetofthings-inclusivee-healthsystem includingapplicationsandmobileApps.Thee-healthsystem,includingappandtheapplication,shall beusefultoNTD-affectedpeople,volunteers,attendants,doctors,andresearchers.Itshallalsobenefit governments,policymakers,socialactivists,andotherstakeholderstobuildane-healthvision,action plan,andmonitoringframework. Chapter 4 PrenatalHealthcareFrameworkUsingIoMTDataAnalytics..............................................................76 Rajiv Pandey, Amity University, Lucknow, India Agnivesh Pandey, D.A-V. College, Chhatrapati Shahu Ji Maharaj University, Kanpur, India Pratibha Maurya, Amity University, Lucknow, India Guru Dev Singh, Amity University, Lucknow, India Inrecentyears,ashospitalsutilizetheinternetofmedicalthings(IoMT)formedicalapplications,edge computinghasplayedanimportantroleindistanthealthcaresystems.Humanlifehasgottensmarter intheeraofpervasivecomputing,thankstothenewestbreakthroughsinIoMT,wearablesensors,and communicationtechnologiestogivesmarthealthcareservices.IoMTcancompletelytransformthe healthcarebusiness.IoMTusessoftwareandinformationandcommunicationtechnology(ICT)to connectwearablesensors,patients,healthcareprofessionals,andcarers.Patientsaregivenextensive supportiveinformationtohelpthemgetthroughtheirrecoveries.Inthischapter,theauthorsaimto proposeanIoMT-basedhealthcareframeworkcalledprenatalhealthcaresystemofremotemotherand fetalsurveillancethroughIoMT.ThedatacollectedthroughtheIoMTdeviceswillbetransmittedto serverandwillbeanalyzedthroughAI/MLmodule.Onthesignalofanyabnormality,thecentralsystem willalarmattendingdoctorsabouttheindividualmotherandfetustotakenecessaryaction. Chapter 5 VirtualReality,Robotics,andArtificialIntelligence:TechnologicalInterventionsinStroke Rehabilitation......................................................................................................................................105 Aditya Kanade, Indian Institute of Technology, Madras, India Mansi Sharma, Indian Institute of Technology, Madras, India Muniyandi Manivannan, Indian Institute of Technology, Madras, India Strokeisaleadingcauseofdeathinhumans.IntheUS,someonehasastrokeevery40seconds.More thanhalfofthestroke-affectedpatientsovertheageof65havereducedmobility.Theprevalenceof strokeinoursocietyisincreasing;however,sincestrokecomeswithalotofpost-hospitalizationcare, alotofinfrastructureislackingtocatertothedemandsoftheincreasingpopulationofpatients.Inthis chapter,theauthorslookatthreetechnologicalinterventionsintheformofmachinelearning,virtual reality,androbotics.Theylookathowtheresearchisevolvinginthesefieldsandpushingforeasier andmorereliablewaysforrehabilitation.Theyalsohighlightmethodsthatshowpromiseintheareaof home-basedrehabilitation. Chapter 6 ImplementationofAITechniquesforBioremediationandWastewaterTreatment............................124 Hina Bansal, Amity University, Noida, India Shambhawi Jha, Amity University, Noida, India Twoenvironmentalproblemsthataffecthumansocietyarepollutionandimproperrubbishmanagement. Thiscanhappenasaresultofcommonhouseholdandcommercialactivities,anditcouldhaveanimpact oneveryenvironmentontheworld.Fromeffluentrunofftothedisposalofindustrialwasteandoilspills, humanactivityhasasignificantlong-termimpactonriversandoceans.Wasteandtoxinscanspread fordecadesoncetheyenternaturalcycles,causinglong-termdamage.Inordertotreatpollutedmedia, bioremediationmodifiestheenvironmenttopromotethegrowthandbreakdownofthetargetpollutants bymicroorganisms.Artificialintelligencetechnologyhastakenonanewsparkleinthecurrentdayby enteringthebioremediationandwastewatertreatmentfields.Itenablesthecomputertoprogrammeand carryoutparticulartasksusingwelldevelopedandimplementedmathematicalmethods.Thechapter discussesAItechniqueslikeartificialneuralnetwork,fuzzylogics,andgeneticalgorithmsusedfor bioremediationandwastewatertreatment. Chapter 7 ExplainableLearningMachinesforSecuringtheIoMTNetworks....................................................135 Izhar Ahmed Khan, Nanjing University of Aeronautics and Astronautics, China Dechang Pi, Nanjing University of Aeronautics and Astronautics, China Thenecessitytoimprovemodernmedicalnetworkssuchasinternetofmedicalthings(IoMT)tomonitor patientsandtheirhealthconditionhasraisedduetotheeffectsofpopulationageing,increasingnumber ofpatients,deficiencyoftreatmentfacilities,andspreadofwidespreaddiseases.However,resisting cyber-attacksisachallengingconcernforresearchers.Thischapterproposesanexplainablelearning machines-basedsecurityframeworkfordetectingcyber-attacksagainstIoMTnetworksinreal-time.The proposedmodelisbasedonthephenomenonofextremelearningmachinestodetectmultiplekindsof cyber-spaceattackscarriedagainstIoMTsystems.Theauthorsalsoexplainthedetectiondecisionsto expandtrustmanagementintheemployedmachinelearningalgorithmandfacilitatesecurityprofessionals tocomprehendtheundiscovereddataevidenceandcausalinference.Experimentsshowtheeffectiveness oftheproposedapproachsignifyingitsutilityasaworkablesecurityframeworkincontemporarynetworks ofIoMT-basedhealthcaresystems.