The Internet of Things (IoT) has recently emerged as enabling technology for the smart gird, smart health, smart transportation, and smart environment as well as for smart cities. The major smart grid devices are smart home appliances, distributed renewable energy resources and power substations. The seven domains existing smart grid conceptual model was developed without the IoT concept in mind. As the smart grid evolved, many attempts started to introduce the IoT as enabling technology to the grid. Each device in the grid can be considered as an object. Utilizing the concept of IoT, each device can have a unique IP address that can upload its status and download control commands via the Internet. This paper proposes a conceptual model for the smart grid within the Internet of Things context. The proposed model is based on IPV6 as the backbone of the smart grid communications layer.
Diabetes is a metabolic disease that affects millions of people each year. It is associated with an increased likelihood of vital organ failures and decreased quality of life. Early detection and regular monitoring are crucial for managing diabetes. Remote patient monitoring can facilitate effective intervention and treatment paradigms using current technology. This work proposes an end-to-end remote monitoring framework for automated diabetes risk prediction and management, using personal health devices, smart wearables and smartphones. A support vector machine was developed for diabetes risk prediction using the Pima Indian Diabetes Database, after feature scaling, imputation, selection and augmentation. This work achieved the performance metrics of accuracy, sensitivity and specificity scores at 83.20%, 87.20% and 79% respectively through the tenfold stratified cross validation method, which is competitive with existing methods. Patients can use multiple healthcare devices, smartphones and smartwatches to measure vital parameters, curb the progression of diabetes and close the communication loop with medical professionals. The proposed framework enables medical professionals to make informed decisions based on the latest diabetes risk predictions and lifestyle insights while attaining unobtrusiveness, reduced cost, and vendor interoperability.
INTRODUCTIONDiabetes is a metabolic disorder that causes a lack or resistance to insulin, which is a hormone critical for the regulation of blood sugar levels. The common symptoms are polyuria, polydipsia, rapid weight loss, vision blurriness and fatigue [1]. This leads to severe complications like strokes, blindness, miscarriages and organ failures. The World Health Organization in 2014 reported that approximately 422 million people worldwide have diabetes, and estimates 1.6 million deaths directly caused by the disease [2]. Medical guidelines recommend the need for early diagnosis to identify risk-prone people and for patients to proactively self-monitor their lifestyle to mitigate risk factors [3]. Remote patient monitoring (RPM) can help prevent the staggering number of deaths caused by diabetes by means of early detection and timely warnings to the patient and medical professionals. RPM reduces the need for regular checkups, gauge continuous treatment effectiveness and allow intervention techniquesThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Atrial fibrillation (AF) is a type of cardiac arrhythmia affecting millions of people every year. This disease increases the likelihood of strokes, heart failure, and even death. While dedicated medical-grade electrocardiogram (ECG) devices can enable gold-standard analysis, these devices are expensive and require clinical settings. Recent advances in the capabilities of general-purpose smartphones and wearable technology equipped with photoplethysmography (PPG) sensors increase diagnostic accessibility for most populations. This work aims to develop a single model that can generalize AF classification across the modalities of ECG and PPG with a unified knowledge representation. This is enabled by approximating the transformation of signals obtained from low-cost wearable PPG sensors in terms of Pulse Rate Variability (PRV) to temporal Heart Rate Variability (HRV) features extracted from medical-grade ECG. This paper proposes a one-dimensional deep convolutional neural network that uses HRV-derived features for classifying 30-s heart rhythms as normal sinus rhythm or atrial fibrillation from both ECG and PPG-based sensors. The model is trained with three MIT-BIH ECG databases and is assessed on a dataset of unseen PPG signals acquired from wrist-worn wearable devices through transfer learning. The model achieved the aggregate binary classification performance measures of accuracy: 95.50%, sensitivity: 94.50%, and specificity: 96.00% across a five-fold cross-validation strategy on the ECG datasets. It also achieved 95.10% accuracy, 94.60% sensitivity, 95.20% specificity on an unseen PPG dataset. The results show considerable promise towards seamless adaptation of gold-standard ECG trained models for non-ambulatory AF detection with consumer wearable devices through HRV-based knowledge transfer.
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