=Paper=
{{Paper
|id=Vol-2544/paper2
|storemode=property
|title=IoT Based Smart Health Care
|pdfUrl=https://ceur-ws.org/Vol-2544/paper2.pdf
|volume=Vol-2544
|authors=Rashbir Singh
|dblpUrl=https://dblp.org/rec/conf/irehi/Singh18
}}
==IoT Based Smart Health Care==
IoT based smart health care Rashbir Singh1 1Department of Information Technology, Amity University Uttar Pradesh, Noida, India, rashbits@gmail.com Keywords: Internet of Things, Arduino, Micro- day to day objects like beds and clothing. This Controller, Android, Ultrasonic sensor, EEG, ECG, EMG, research work proposes a model for smart Temperature Sensor, Capnography, Antimony electrode healthcare system for personal, hospital and sensor, Piezoelectric sensor. general use which is easy to operate and implement and can be utilized both by urban Abstract and rural area people. The motive of this research work is to convert a regular bed into a This paper proposes a model for smart smart self-managing health bed and a smart healthcare and real-time management healthcare clothing system to monitor your body technology can be utilized both by hospitals, and help one with a better understanding of ambulance and even at normal day to day one's own body. The proposed solution will activity tracker and require no technical or provide health support and will reduce one's medical knowledge to start with. As per the expenses over health and help hospitals with a survey, about 40% of worlds total deaths due to better understanding of patients data which is any disease can be prevented if an earlier collected daily 24X7. This can potentially diagnosis is made. People tend to avoid health reduce initial delay due to various tests the and health care practices now either it is due to doctor has to perform on patient before the busy schedule or lack of money. So, the operating on the patient hence the patient can be research work focuses on incorporating admitted for treatment which less to no delay technology into people life without disturbing and doctors can start operating as soon as their daily routine and does not require septate possible and can also be used as a daily body time to use. This technology is powered by IoT checker which can be used to create your health and uses many biosensors to give real-time database and informing the nearest hospital and solutions, prescribe medication, earlier detection relatives in case of an emergency. As there are of diseases, give a better understanding of still rural areas in India which do not have patients current health and past health and access to hospital, about 80% of Indian significantly reduces medical expenses and by population still do not have proper access to having more information about patient health health-related facilities and healthcare treatment doctors can operate and treat the patient with a so this proposal can help them to a great extent better approach. This technology works when to manage health at their homes in a cost- the user sleeps and learn when the user performs effective manner and utilize it when so ever they day to day task with the help of machine feel. It can be used as a smart hospital beds, learning. smart house beds or even smart ambulance bed with a health monitoring clothes which can save 1 Introduction many life with technologies like EEG (electroencephalogram), ECG Due to the increase in diseases, there is a drastic (electrocardiogram), EKG (Electrocardiogram), increase in demand for health care and health Temperature sensor, skin quality sensor care support facilities. Health is wealth and pressure sensor and many other biomedical people nowadays are ready to spend an sensors powered by the advance technology of enormous amount of money without even IoT(Internet of Things), hence connecting a giving a second thought but the need is not to regular bed to the internet and detect several spend in millions but to develop smart solutions health related issues and reducing overall cost of to health-related problems. This can be achieved with the help of the combination of IoT with our Copyright © 2019 for this paper by its authors. Use permitted under Creative Commons License Attribution 4.0 International (CC BY 4.0) IREHI 2018 : 2nd IEEE International Rural and Elderly Health Informatics Conference health and time of treatment of health which can compared to fourteenth in 2000 all around the make health treatments approachable for all. world. Lower respiratory diseases and infections 2 Literature Survey continued to be the most deadly contagious condition, creating three million losses around The literature survey is consist of the analysis of the world in the year 2016 alone. The death rate deaths due to delayed diseases detection and due to diarrhoeal conditions reduced over nearly multiple reasons regarding death in humans. one million between the year 2000 and 2016 but Of the fifty-seven million deaths worldwide still managed to affect two million lives in the in the year 2016, more than half (54%) were due year2016. Likewise, the deaths due to to the top ten reasons. Ischaemic heart disease tuberculosis declined around the same time still and stroke are the world’s greatest top reason is among one of the top ten reasons for the death behind the death, considering as a combined of two million. As of now HIV/AIDS is no fifteen million deaths in the year 2016. These longer reason of deaths and is not in the world’s conditions have persisted to be the major cause list of top ten agents of death, causing deaths of of death all around the world in the last fifteen one million humans in the year 2016 as related years. The chronic obstructive pulmonary to 1.5 million in the year 2000. disease took nearly three million lives in the year 2016, while lung carcinoma (along with trachea and bronchus cancers) caused two million deaths. Diabetes alone took two million humans lives in the year 2016, up from less than one million in the year 2000. Losses due to dementias have been doubled in the year between 2000 and 2016, and hence is the fifth leading cause of deaths in the year 2016 Figure 1. Top 10 Causes of deaths in year 2016 around the world [1] Road injuries took almost 1.4 million humans may incorporate shortness of breath, pain in the lives in the year 2016 and from that nearly jaw or neck area, or even fatigue. three-quarters i.e 74% of what remained men Some illnesses or conditions could or could and boys. Figure 1. shows the top 10 Causes of not be analyzed because their symptoms and deaths in the year 2016 around the world. signs may be similar to that of other medical Similarly, Late determination of diseases conditions. For example, failure in the detection remains one of the usual medical failures. It of chronic obstructive pulmonary disease might occur if the doctor fails in the diagnoses (COPD) in the first exhibition of symptoms of a patient correctly and it takes a prolonged could result in quicker progression. This duration of time than exacted for a reliable condition has indications that evolve with time diagnosis to be made. When a Late into some serious conditions. Signs such as a determination of diseases occurs, the valuable cough, chest pain and shortness of breath may medication time is wasted. In some be similar to symptoms of other conditions, and circumstances, this can create added difficulties in some cases, may lead to a delayed diagnosis. for the patient, prolonged healing period, with There are many other types of ailments that can additional medical debts and even can result in lead to an unwanted condition or progression if loss of life. not properly detected in a timely manner. [2] The late determination of diseases can happen The leading causes of death in the world are 450 400 350 Deaths 300 observed Number of deaths 250 200 150 Potentially preventable 100 deaths 50 0 Heart Cancer Respiration Brain Injury Causes of deaths Figure 2. Potentially Preventable Deaths from the Five Leading Causes of Death[4] due to several reasons. Doctor negligence, cancer, chronic lower respiratory diseases, heart complicated medical history, incomplete patient disease, stroke. Together they accounted for information or simply due to testing errors all sixty-three percent of all deaths in the year 2010 can contribute to a late determination of alone. According to the report, in CDC ’s diseases. journal, Morbidity, and Mortality, analyzed The failure to determine the cause of disease premature deaths from each cause for each state immediately, and thus treat immediately, heart from the year 2008 to the year 2010. disease may lead to serious outcomes such as The study suggests that: cardiac arrest. Both men and women can undergo chest pains leading up to or directly at Thirty-four percent of premature deaths the point of a heart attack. However, other caused due to heart diseases, prolonging symptoms may indicate a heart attack. These about 92,000 lives Twenty-one percent of premature deaths generates rate data of the heartbeat. This device caused due to cancer, prolonging about is being used for the cardiovascular health 84,500 lives analysis by the medical assistant and trained Thirty-nine percent of premature deaths doctors. due to the condition of chronic lower Electrodes of an ECG Sensor consist of respiratory diseases, prolonging about three pins which are connected by a thirty 29,000 lives inches ling cable which makes It easy for ECG Thirty-three percent of premature deaths sensor to connect and communicate with the caused due to stroke, prolonging about microcontroller placed at the waist, pocket or 17,000 lives different location on the body. In addition to Thirty-nine percent of premature deaths this, the cable is a plug-in male sound plug occurred due to the unintentional injuries which makes the cable to easy to remove or in the body, prolonging about 37,000 connect it into the amplification board. The lives[4] sensor assembled on an arm pulse and a leg pulse. All of every sensory electrode of the ECG 3 Proposed System has methods to be assembled on the body. This research work uses the AD8232 The proposed system consists of the following module which has nine connections from the IC modules. The description of each module is that are being used to solder wires, pins and given below. other connectors as well. The pins are namely - GND, LO+, OUTPUT, LO-, 3.3V, SDN which 3.1 EEG (electroencephalogram) sensor provides required pins for operating and monitoring with the microcontroller board. It An electroencephalogram (EEG) is a used to also provides three pins namely as - RA which discover inconveniences related to an electric is for the Right Arm, LA which is for the Left movement of the brain. Arm, and RL which is for the Right Leg and An EEG tracks and insights, mind wave fashion. pins to attach and use for custom sensors. Little metallic plates(electrodes) with small Moreover, there is an LED indicator light that electric wires are placed above the head of the will pulsate as according to the rhythm of a user, the amplifier amplifies the electromagnetic heartbeat. brain waves and captures and plot a real-time graph of the electric movements inside the 3.3 EMG (Electromyography) sensor brain. The graph is shown which show us the events and impacts happened inside the brain. A The EMG sensor which measures the muscle persons day to day activity and his interest activation on to the concept of electric potential creates an electric brainwaves into a and is called as electromyography (EMG) and is recognizable pattern. Through an EEG, traditionally been used in the field of research in therapeutic specialists can scan and anticipate the medical profession and for the diagnosis of the seizures and different issues and can give the neuromuscular dysfunctions. Though, with the recommendation changes in lifestyle/medication development of ever smaller and smaller yet to help the person. powerful integrated circuits and microcontrollers, making it possible for the 3.2 ECG (electrocardiogram) sensor EMG circuits and sensors to find their way into the field of Prosthetics, Robotics, and other An ECG Sensors with electrodes attaches right control systems. above to the chest area in order to detect every This research work uses Myoware Muscle produced heartbeat. The electrodes of ECG sensor (AT-04-001), which is suitable for sensor then convert every produced version of producing raw electric EMG signal which is heartbeat into a raw electric signal. ECG Analog output signal and can be analyzed with Sensors are very less in weight and slim while the microcontroller based application, the having the capability to accurately measures Myoware Muscle sensor which is designed for a continuous heartbeat produced by the heart and reliable EMG output and has low power consumption. It operates with the single power Calibrated directly in degree Celsius supply ranging from +2.9V to +5.7V with (Centigrade) protection for polarity reversal and provides an Rated for range between −55˚ to +150˚C additional feature with this sensor which is that Suitable for applications which requires the user can easily adjust the sensitivity gain of remote access the electrodes. These sensors are suitable for the Is lower in cost due to wafer-level purpose of the wearable device and are the trimming compact ones, hence it is easy to handle and Operates in voltes between the range of measure the muscle activation signal. 4Vs to 30Vs Self-heating factor is low 3.4 Antimony electrode sensor ±1/4˚C of typical nonlinearity Antimony electrodes are medically useful as The LM35 can be attached easily in the same because they are low in cost and have a simple way as that of other integrated circuit based construction as there is no glass part to break. temperature sensors. It can be placed or There is only a resistance which is of few established on a surface and its temperature hundred ohms between an antimony pH range will be around 0.01˚C of the surface electrode and the reference electrode so if the temperature. voltage is generated it would be easy to record it This assumes that the ambient air temperature with the simple low-impedance recorder which around it is just about the same as that if surface is connected to the microcontroller. temperature and if the air temperature is much Antimony is a unique metal with the lower or higher than that of the surface characteristic of a direct relationship between temperature then the actual temperature of the pH and its measured potential. The voltage or LM35 would be at a mean temperature between electric potential difference developed between the surface temperature and that of the air that in antimony and a copper or copper sulfate temperature. reference electrode which varies between approximately ranging from 0.1 volts to as high 3.6 Capnography as 0.7 volts due to variations in the pH. Waveform capnography represents the amount 3.5 Temperature Sensor of carbon dioxide (CO2) in exhaled air, which assesses ventilation. It consists of a number and A temperature sensor IC can operate over the a graph. The number is capnometry, which is nominal IC temperature range of -55°C to the partial pressure of CO2 detected at the end +150°C. This sensor is consists of a material of exhalation. This is end-tidal CO2 (ETCO2) that performs the operation according to which is normally 35-45 mm Hg. The temperature to vary the resistance. This change capnograph is the waveform that shows how of resistance is sensed by the circuit and it much CO2 is present at each phase of the calculates temperature. When the voltage respiratory cycle, and it normally has a increases when the temperature also rises. We rectangular shape. Capnography also measures can see this operation by using a diode. and displays respiratory rate. Changes in This research work is using LM35 as the respiratory rate and tidal volume are displayed body temperature monitoring sensor which will immediately as changes in the waveform and be connected to the microcontroller. The LM35 ETCO2. temperature sensors series are precise In people with healthy lungs, the brain integrated-circuit temperature sensors, whose responds to changes in CO2 levels in the voltage output is linearly proportional to that of bloodstream to control ventilation. We assess Celsius temperature. The LM35 temperature this by observing chest rise and fall, assessing sensor operates between the range of -55˚C to respiratory effort, counting respiratory rate, and +120˚C. The following are the features of LM35 listening to breathing sounds. ETCO2 adds an Temperature Sensor: objective measurement to those findings. The patient’s respiratory rate should increase as CO2 operations that are transverse effective, rises, and decrease as CO2 falls. transducer effect, and shear effect. In this research work, we used the If a patient has slow or shallow respirations, and piezoelectric sensor to detect where the user is a high ETCO2 reading, this tells us that applying more body weight to give a better Figure 3. Proposed Model Architecture ventilation is not effectively eliminating CO2 understanding on ones applied body weight (hypercarbia) and that the brain is not pressure while doing daily tasks like walking, responding appropriately to CO2 changes. This sitting and sleeping and detect the pattern and may be caused by an overdose, head injury, or suggest remedies to improve the one's sense of seizure by measuring the end-tidal CO2 Figure 4(a). Front View (ETCO2, the level of carbon dioxide released at the end of applied body weight pressure. expiration) through a sealed mask, EMS Moreover to use piezoelectric sensor while technicians can receive an "early warning" of a sleeping which can be placed inside the bed to patients worsening condition. detect ones overnight movement while sleeping, With accurate and instantaneous CO2 posture and body weight distribution. Which measurements required for Capnography, the will be used to adjust the bed temperature COZIR high-speed wide range CO2 sensor required according to what is suggested by the seemed like the perfect solution to the problem. doctors. So, as to maximize the health benefits. All the above technologies will be combined 3.7 Piezoelectric sensor into a common processing unit of a microcontroller which will be continuously The piezoelectric effect is used by the capturing all the outputs from different sensors piezoelectric sensor. This sensor measures the and storing it on the database while connecting change in force, temperature, acceleration, over an MQTT client. While remedies will be pressure, and strain and is hence used in provided in real time with different means like conversion into an electrical charge. The using oxygen tanks, heating elements, air piezoelectric sensor shows three main conditions, air purifies and massage pads. So, it Figure 4(b). Back View can not only collect data of one's body while the Antimony electrode sensor person is sleeping, sitting, walking and carrying Temperature Sensor out day to day activities but also it will provide Capnography the real-time solution to the abnormality in a Piezoelectric sensor human body. This research work propose a wearable smart clothing which can be used by Various components of the proposed model user to detect ones heart health (EKG), brain monitor different parts of human body and the health (EEG), muscles condition (EMG), sweat output from different components when quality and its PH (Antimony electrode sensor), analyzed in combination provides a detailed Respiration (Capnography) and his body weight information about the human user like: distribution and centre of gravity shift (piezoelectric) which will be placed in both Ones sleep pattern clothing and bed. Ones body natural centre of gravity The bed will be equipped with heating Variation of body temperature with time elements to control the temperature of the bed Ones lungs capacity only in the area where the user is sleeping which will be sensed with the help of piezoelectric. A small oxygen tank will be placed over the headrest area if user CO2 exhaled during respiration is detected to be abnormal in order to provide the required amount of oxygen supply, while the user behaving choices either to use oxygen tanks, air purifier or both. If stress is detected with the help of EEG then various remedies like playing meditation sound like alpha music will be taken with the help of speakers attached to the bed. Small massaging motors inside the bed will help is muscle relief. The wearable clothing with the heating element will help in managing healthy body temperature which is required for the body to function properly and will maximize physical and mental output. As being powered with technology of Amount of oxygen absorption capability IoT(Internet of Things) it will not only be providing remedies in physical world in real time but also the data collected will be user specific and will be used by doctors for better understanding of patients health as the data is collected everyday and stored it can be used in early disease detecting like cancer, high or low blood pressure, distress, respiratory diseases, low Na+ ions level in body fluid, fever, etc. 4 Methodology In this research work main seven components are being used i.e. EEG EKG EMG Quality of ones sweat Acidity and basicity of fluids Mental health Stress and hypertension Doctors cannot gain much information with the short-term test to know all the physical and mental health issues before operating on the patient. But the model proposed by this research work can help doctors with a better understanding of patients health and his medical background and can provide the best suitable treatment to the patient. Hence resulting in elongation on one's life and disease free healthy life. This proposed model can even reduce medical expenses by using a machine learning model based on the K-NN algorithm to suggest user with best remedies for small health-related issues like cold, headache, cough etc and can judge the acuteness of the fever which can help Figure 4(c). Left View the user to know the severity of the disease. The model is based on a single controller and multiple sensor methods where several sensors are connected to a single microcontroller and are dependent on the microcontroller to supply sensors with power, process the output from sensors use decision tree to provide real time solutions and collect and upload the received data onto the database. The microcontroller is powered by 5Vs supply and various other sensors are connected to the different I/O pins of the micro controller and ground of each sensor is connected to the common microcontroller ground. As being so low in power consumption it requires a low input electric supply. And can be attached to various objects as desired by the user. In this model the IoT based mechanism is attached to two day to day objects making them smart i.e. Wearable clothing (thin and comfortable vest and pants) Beds (Room beds, ambulance beds or hospital beds) Figure 4(d). Right View A wearable smart full body cloth will be having different components placed at various locations Bodies immunity and resistance to in order to monitor different parts. diseases Figure 4 shows the wearable smart health Cardiovascular health management clothing which is displaying where Muscular health will different sensors be placed and their significance in those positions. Figure 4 shows provide the detailed information about persons four views from different angles i.e. muscles and pressure applied to carry out day to day activities. Figure 4(a) shows depiction of All the above sensors and temperature placement of sensors and heating management system is fully controlled with the element from front. help of an android application and data received Figure 4(b) shows depiction of is with the help of the microcontroller. The placement of sensors and heating heating pad will connect to the ground for the element from back. ground wire and digital input pin of the microcontroller so the functionality can be Figure 4(c) shows depiction of controlled over android application on can be placement of sensors and heating automated with a click. Following the similar element from left.Figure 4(d) shows mechanism, all the sensors ground will be depiction of placement of sensors and connected to the common ground of the heating element from right. microcontroller and for the sensors. ECG is consist of three electrode RA (Right Figure 4(a) shows green straight line above arm), LA (Left arm) and RL (Right leg) chest and stomach area and above arm are that microcontroller 3.3V -will be used as a power is showing the placement of insulated Teflon supply for the ECG module, whereas L0+ and wire or heating pad to heat the coating when the L0- pin is connected to microcontroller digital temperature detected is too low. The pin and output of ECG module will be temperature sensor along with CO2 can be seen connected to the analog. For EEG this research around the sky blue portion of the neck is. work uses neurosky mindwave with two Whereas two black dot/spheres can be seen electrodes and connect the ground of EEG with on the forehead area and ear lobe area. These the ground of microcontroller while using are EEG sensors which are two small electrodes digital pins as transmission and receiving pins. connected to the brain region to detect brains And the piezoelectric material is used to judge different alpha, beta, gamma, theta and delta the amount of pressure according to the brain waves generated and amplify them to electricity generated when the piezoelectric record users brain activities. material in under pressure. EMG sensors are A blue colour object can be seen around the plages above main muscles groups like bicep, area above where there is the heart, it is an ECG tricep, shoulder, chest, abdomen, thighs, calves sensor to monitor cardiovascular health. Then etc. white spears can be seen in figure 4(a), All the collected data is then transmitted over figure4(b), figure 4(c) and figure 4(d) which are MQTT broker where the microcontroller act as an MQTT publisher, publishing the data to the MQTT broker and MQTT receiver is android application and online cloud database. 5 Capability A practical implementation of EEG was taken with the help of neurosky mind wave to measure patients mental state. EEG detects different alpha, beta, theta and gamma brain waves along with users concentration and meditation level. The headgear has one electrode for frontal lobe and one electrode for Figure 5.EEG based stress management and detection an ear. As soon as the electrodes are at their with alpha music to calm the mind desired places the EEG begin sensing brain data and then that data is used to make the prediction nothing but combination of EMG and in out K-NN based classification model. piezoelectric material sensor around the body to Five classifications are being made i.e. Eyes open Eyes close Equation 1 Relaxed Equation 2 Excited Not excited 5.1 Data acquiring The training dataset is from reference [R.G. Andrzejak et all, 2001]. The dataset has five Figure 6(a). Training Dataset sections divided as dataset A discussed as Z, dataset B discussed as O, dataset C discussed as N, dataset D discussed as F and dataset E discussed as S each containing set of EEG fragments with the recording of the electromagnetic movement of a healthy person for 23.6 Sec. Dataset A and dataset B have are having data related to EEG chronicles from healthy volunteers with categorization as eye open and eyes close, individually. The second dataset characterised in reference [Dharmawan, Z., 2007] is included healthy people who volunteered and analysed under EEG to collect the data as playing particular PC computer games with a class as excited, not excited and relaxed on the basis of the various Figure 6(b). Test Dataset different values of the alpha, beta, theta and gamma. 5.2 Data extraction Ambiguous data are removed and the data is polished/refined to get more refined information for unique groups differently. The element utilized here is categorized underneath the graph. The trapezoidal rule can be used to find the area under the graph which is formed in the dataset from the first source which is in raw graphical form. On numerical examination, the trapezoidal governs (likewise alluded to as the trapezoid control or trapezium run) is a strategy for approximating the particular imperative Figure 7. Prediction made using K-NN understood as by approximating the region The equation 1 shows the differentiation with underneath the diagram of the element f(x) as a the upper bound as (b) and lowers bound as (a) trapezoid and computing its locale. The working of the trapezoidal rule can be With this, we can derive the different values for different waves. It takes after that the district of Gamma the recurrence groups (delta, theta, alpha, beta) Theta is ascertained for every EEG section. Alpha Beta 5.3 Training data and Test Data Test dataset is consist of 100 datasets which are unclassified and prediction is made for those The acquired data is then divided into two parts 100 datasets. i.e. Training Dataset 5.4 Accuracy and prediction of model Test Dataset Figure 7 shows the prediction made by the K- Training data set is used for teaching purposes NN model using 5 nearest neighbours i.e K = 5. of the system while the test dataset is used for Figure 8 shows the accuracy level which is the purpose of testing the prediction accuracy of 97.50% for the particular model and on the basis the model. Training dataset is consist of 800 of prediction a pie chart and bar is obtained as classified data as Eyes open, Eyes Close, shown in figure 9(a) and figure 9(b) showing Relaxed, excited and Not Excited. Figure 6(a) the mental state of the user during real-time shows the snap of training dataset and figure testing where 6(b) shows the snap of test dataset. Attributes Figure 8. K-NN prediction model with 97.50% accuracy Red is for Not excited Blue is for Excited Yellow is for relax Figure 9(a). Prediction Pie Chart Green is for Eyes closed Sea blue is for Eyes open 6 Conclusion and Future Scope This system is successful in provided automated health benefits at home with high accuracy and reducing the expenses on overall health care, generating data of persons mental and physical health at each moment and successful in early detecting of diseases and can save many people from injury or even deaths. It is easy to use and provide health care support even when the user is sleeping. With accuracy as high as 97.50% it Figure 9(a). Prediction Bar Graph can completely revolutionize people’s idea about healthcare and management. that were used for making prediction were Research paper only proposes wearable and [13] McNally, R. J., & Eke, M. (1996). 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