Chapter 11

Research Perspectives on Applications

of Internet-of-Things Technology
in Healthcare WIBSN (Wearable
and Implantable Body Sensor Network)

R. Dhaya, R. Kanthavel and Fahad Algarni

Abstract Dealing, managing clinical operations and tracing e-health importance of

hospitalized patients have been the research oriented one. The advancement in
knowledge sensors, microelectronics and coordinated circuit, system on-chip
structure and low power wireless communications presented the advancement of
scaled down and independent sensor hubs which can be sent to build up a proactive
Body Sensor Network (BSN). The fast headway in ultra-low power RF (Radio
Frequency) innovation encourages intrusive and non-obtrusive gadgets to deliver
the biological information to a remote station. Moreover, the adoption of Internet of
Things (IoT) may fetch remarkable alterations in the functioning efficacy to clinical
centers. In addition, the Internet of Things (IoT) has control over the functioning
process with minimized time to deliver improved care for mankind. The vital tasks
to be focused are security and privacy in healthcare WIBSN, wearable and
implantable imaging system, applications of Bio-implantable systems, wearable and
implanted technology in health care applications and challenges of future directions
in healthcare. By applying the Internet of Things (IoT) technology in healthcare
applications must also look after the cost effectiveness, reliability, and safety. In this
context, it is apparent to grasp that the study of applicability of Internet of Things
(IoT) on e-health care sector is indeed a need of present time. Particularly, the
characteristic of attached wearable’s and their uprightness with Internet of Things

R. Dhaya (&)
Department of Computer Science, King Khalid University,
Sarat Abida Campus, Abha, Kingdom of Saudi Arabia
e-mail: dhayavel2005@gmail.com
R. Kanthavel
Department of Computer Engineering, King Khalid University,
Abha, Kingdom of Saudi Arabia
e-mail: kanthavel2005@gmail.com
F. Algarni
Department of Computing and Information Technology,
University of Bisha, Bisha, Kingdom of Saudi Arabia
e-mail: fahad.a.algarni@gmail.com

© Springer Nature Switzerland AG 2020 279

S.-L. Peng et al. (eds.), Principles of Internet of Things (IoT)
Ecosystem: Insight Paradigm, Intelligent Systems Reference Library 174,
https://doi.org/10.1007/978-3-030-33596-0_11
280 R. Dhaya et al.

(IoT) empowered technologies is unquestionably the greatest significant substance

of learning. In summary, this chapter adds the following things namely Learning
and evaluation of IoT supported parameters such as hardware and cloud platforms
to determine the suitability for e-health care services, Analysis of existing IoT based
wearable’s solutions for e-healthcare Identification of encounters related with IoT
aware e-health care domain, Analysis of integration of WIBST and IoT attained
from this arduous study. The challenges and benefits of IoT based applications for
healthcare have also been outlined later in the Chapter.

Keywords IoT Healthcare
Wearable and implantable body sensor network

Radio frequency

11.1 Introduction

The Internet of Things (IoT) has extended its opportunities in medicine to the con-
ventional medical devices that can gather precious supplementary data, provide fur-
ther understanding into indications and developments, permit inaccessible care by
means of offering patients mechanism over their breathes and management [1]. For
many recent years, Micro-electro-mechanical systems (MEMS) expertise has been a
boon for the edifice of a low-powered and small-sized sensor knobs to create a wireless
sensor network (WSN) which do not need infrastructure or need very little infras-
tructure for surveillance purpose. On the other hand, WBASN plays a significant role
to permit healthcare observing process that might be completed remotely as one of the
most distinguished request areas of WBASN which comprises two types of sensors
namely invasive and non-invasive categories for observing and determining huma-
noid biological strictures. These devices can be used with an intention not to intrude
the individual’s commotion but could platter the biological strictures at the time of
human action like for the blood pressure, heartbeat or temperature and during daily
routine works. Due to its tiny size and flexibility, these sensors carry out mainly three
tasks in the form of sensing, processing, and communication which are responsible to
sense the data to processing purpose before sending that to the communication task in
the form of processing. WBASNs could also render help to the injured people as a
significant impact on the medical field. Consequently, the Internet of Things
(IoT) technology is seemingly being applied in the healthcare industry successfully
since healthcare services are expensive and the number of chronic diseases is on
ascending mode. The main applications of IoT in the field of intelligent medicine carry
the perception and conception of material management, digitization of medical
information and processes. Medical diagnostic may go through a Technology that can
change the procedure of medical appraisal from a clinic to the patient’s home without
hospitalization by a novel pattern, recognized as the Internet of Things (IoT). The
healthcare data like blood pressure, oxygen and blood sugar levels, weight, and ECGs
from the IoT Based body sensor networks from the patients remotely are stored in the
cloud which could be united with a physician or an external consultant no matter of
11 Research Perspectives on Applications of Internet-of-Things … 281

their place, time, or device [2]. This kind of Real-time surveillance can spare lives on
medicinal crisis like heart disappointment, diabetes, asthma assaults, and so forth by
methods for a brilliant therapeutic gadget associated with application to exchange
gathered data to a doctor. IoT can adjust understanding consideration progression with
the guide of cutting edge social insurance offices to empower interoperability,
machine-to-machine correspondence, data trade, and medicinal services administra-
tion conveyance compelling. Bluetooth, Wi-Fi, Z-wave, ZigBee, and other present
day conventions have been the communication protocol choices in healthcare per-
sonnel by reducing unwanted visits, utilizing and better quality resources to speed up
decision-making with no errors. Thus, IoT creates timely alerts on emergency care and
routine follow-ups for the patients through tracking, and monitoring, which allows
hands-on treatments accurately to improve absolute patient concern outcomes
instantly. The advancements of IoT in healthcare is exciting owing to its various scope
of use in mainly reducing crisis time, trailing patients, staff, and inventory, intensify
drug management and guarantee of critical hardware. This Chapter incorporates
preliminary studies as its first section which elaborates the relevant literature survey in
healthcare WSBN applications using IoT technologies and the rest of the sections
focus on the IoT supported parameters such as hardware and cloud platforms to
determine the suitability for e-health care services followed by analysis of existing IoT
based wearable’s solutions for e-healthcare and finally identification of encounters
related with IoT aware e-health care domain along with IoT in cloud platform for
e-healthcare have been discussed.

11.2 Preliminary Studies

The relevant researches in healthcare WIBSN (wearable and implantable body

sensor network) using IOTS have been surveyed in various streams of applications.
Anu Rathee et al. [3] examined the various conceptions related to the wireless
sensor wearable devices in health care with an overall perspective of the entire
ecosystem of the IoT. Ashraf Darwish and Aboul Ella Hassanien [4] delivered
numerous examples of state of the art expertise composed with the strategy delib-
erations like unobtrusiveness, scalability, power competence, safety, numerous
profits and downsides of the structures. While contributing important profits, the
domain of wearable and implantable body sensor networks quiet looks at main
challenges and vulnerable investigation difficulties which are examined beside with
resolutions. Sana Ullah, Henry Higgin, M. Arif Siddiqui1, and Kyung Sup Kwak
presented in-body and on-body communication networks on the procedures of
wireless communication amid implanted medical devices with exterior observing
apparatus on Body sensor network in healthcare applications. S. N. Mohamed Hamdi,
Noureddine Boudriga, Habtamu Abie [5] introduced a lightweight identity based
encryption protocol suitable for body smart sensor systems along with the experi-
mented results. Sanaz Rahim iMoosavia Tuan, NguyenGiaaAmir Mohammad,
Rahmania bethiopia Nigussie SeppoVirtanena [6] presented an well-organized
282 R. Dhaya et al.

verification and validation architecture for a secure IoT based health care. Their
projected architecture trusts on the certificate-based DTLS handshake protocol as it is
the key IP safety resolution for IoT which authenticates and authorizes architecture.
Nathalie Marcela Cerón Hurtado, Mohammad Hossein Zarifi, Mojgan Daneshmand,
Jordi Aguiló Ll [7] presented a flexible wearable cum implantable bio-compatible
sensor using wireless passive detection scheme as a dynamics to an implanted
abdominal mesh. Yangzhe Liao, Mark S. Leeson, Matthew D. Higgins, Chenyao Bai
[8] proposed an analytical cum accurate in-to-out (I2O) human body path loss
(PL) model at 2.45 GHz based on a 3D heterogeneous human body prototypical
below security restraints. Revathi Pulichintha Harshitha, Prashanthi Narramneni and
Raghavee [9] talked about the troublesome linked to the usage of wearable and
implantable sensors for distributed mobile computing. Nadeen R. Rishani, Hadeel
Elayan, Raed M. Shubair, and Asimina Kiourti [10] surveyed the current state of art in
the area of wireless sensors for medical applications to specifically focus on pre-
senting the recent advancements in wearable, epidermal and implantable technolo-
gies. Furthermore, they addressed the challenges that exist in the various Open
Systems Interconnection (OSI) layers to depict the future research areas concerning
the utilization of wireless sensors in health care applications. Though lots of survey
papers undergone here are about IoT in healthcare applications using wearable body
area sensor network in a detailed manner but those need further attention and
requirement in analyzing the same. The next section presents about the parameters
related with IoT that is suitable for E-Healthcare services.

11.3 Learning and Evaluation of IoT Supported

Parameters Such as Hardware and Cloud Platforms
to Determine the Suitability for E-Health Care
Services

The study of Internet of Things (IoT) is to provide seamless and pervasive support
to e-health care which has a list of five checks to be performed.
Firstly, a thorough review of the nine different resource constraints through less
amount of memory, processor speed, capacity, bus width, and size hardware plat-
forms have been carried away in order to perform comparison on operating voltage,
clock speed (MHz), bus size (bits), system memory, flash memory, Electrically
Erasable Programmable Read-Only Memory (EEPROM), communication sup-
ported, development environments, programming language, and Input/output (I/O)
connectivity. Primarily, two types of processor families have been sought for the
purpose such as, RISC (Reduced Instruction Set Computer) e.g., Arduino Mega
2560, Arduino Yun, Beagle Bone Black, Kinetics K 53, MSP 430, Marvel 88 MZ
100, Raspberry Pi 3, and Kinetics K 53; CISC (Complex Instruction Set Computer)
e.g., Intel Galileo Gen 2, and Intel Edison.
Secondly, various communication technologies have been compared based on
their standards, frequency band, data rate transmission range, energy consumption,
11 Research Perspectives on Applications of Internet-of-Things … 283

and cost for application towards e- health applications [11]. It has also been focused
to facilitate Internet of Things (IoT) formulated resources be it hardware, wear-
able’s, or cloud [12]. Main priority has been given to Wi-Fi, LR-WPAN (Low-Rate
Wireless Personal Area Networks), Bluetooth Low Energy (BLTE), NFC (Near
Field Communication), Mobile Communication (2G, 3G, 4G), WBAN (Wireless
Body Area Network) and nano-scale communication [13].
Thirdly, the existing IoT cloud platforms have been investigated based on real time
access, data visualization, data capture, data analytic, cloud service type and cost. In
this context, a cloud can be viewed as a service to deliver the on demand computing
properties from efficacies to data cores on a wage as go base or free. Basically, IoT
cloud stands are meant to provide numerous solutions for developers to build and
deploy powerful IoT applications (e.g., medical, hospital, and emergency services),
utensils for system producers to rapidly incorporate newly linked facilities to the
yields and perform actions between machines social networks, and much more [14].
Fourthly, different wearable’s e-health solutions have been tracked down in this
work to study about usability of sensors, applicability among several genres of
population, and detecting parameter (e.g., baby monitor, women e-health, elderly,
cardiac, fitness etc.).
Finally, after gathering of required amount of information on hardware platform,
communication technologies, cloud solutions, and wearable’s, the rest of its task is
to analyses the data to seek valuable answers about few tasks such as,
• The hardware platform which is suitable for the development of Internet of
Things (IoT) based e-healthcare products.
• The network technologies that pave crucial role in Internet of Things
(IoT) supported e-healthcare communications.
• The percentages of owner-ships among e-health care based Internet of Things
(IoT) cloud platforms where cost and analytics tools are heavily involved.
• The dissemination percentages of Wi-Fi, Cloud, APP, and BLE (Bluetooth Low
Energy) in Internet of Things (IoT) based wearable’s.
• The usage pattern of wearable sensors.
• The deployment percentage of area specific Internet of Things (IoT) based
wearables.
Hence, it is much needed task to analyze the existing wearable solutions for
Healthcare using IoT which follows in the next section.

11.4 Analysis of Existing IoT Based Wearable’s Solutions

for E-Healthcare

The IoT has opened among people of predictions in medicine when identified with the
internet; customary medical utensils can amass significant supporting data in order to
give further appreciation into signs and movement. The following are some examples
of IoT in social protection that develop the remedial measure to accomplish.
284 R. Dhaya et al.

11.4.1 Cancer Treatment

The patients who rehearsed the knowledge checking structure to surely understand
as CYCORE with experienced less extreme indications identified with both the
malicious growth and its treatment of patients who continued with normal week
after week doctor visits. The examination shows the potential advantages of
practicality innovation with regards to improve patient interact with doctors, and
checking of patients’ circumstances, such that origins insignificant obstruction with
their day by day lives. Technology makes the relationship with therapeutic expert
that significantly important and puts more in control.

11.4.2 Smart Continuous Glucose Monitoring

(CGM) and Insulin Pens

• Diabetes partakes ended up being a ready pulverized for the progression of

splendid maneuvers as a situation that impacts around one out of ten adults and
one that needs perpetual checking and association of treatment. A Continuous
Glucose Monitor (CGM) is a contraption that urges diabetics to continually
screen the blood glucose levels for a couple of days on end by enchanting
readings at typical between time. Adroit CGMs like Ever sense and Freestyle
Libre send data on blood glucose levels to an application on iPhone, Android or
Apple Watch, empowering the wearer to successfully check their information
and recognize designs [15]. The FreeStyle LibreLink application furthermore
mulls over remote checking by means of watchmen, which could consolidate
the gatekeepers of diabetic youths or the relatives of old patients.

11.4.3 Ever Sense Diabetes

Another powerful tool accurate now enlightening the lives of diabetes patients is the
savvy insulin pen. Savvy insulin pens or pen tops like InPen and Esysta can
naturally record the time; sum and kind of insulin infused in a portion and suggest
the right category of insulin infusion at the perfect time [16]. This utensils interface
with a cell phone application that can store long haul information in helping out
diabetes patients figure their insulin portion, and even enable patients to record their
suppers and glucose levels in order to perceive how their nourishment and insulin
admission are influencing their glucose.

11.4.4 Closed-Loop (Automated) Insulin Delivery

A standout amongst the most intriguing zones in IoT medication is the open-source
activity OpenAPS, which represents Open Artificial Pancreas System. OpenAPS is
11 Research Perspectives on Applications of Internet-of-Things … 285

a sort of computerized insulin conveyance framework, which contrasts from a CGM

in assessing the measure of glucose in a patient’s circulation system. It additionally
conveys insulin in shutting the circle [17]. Utilizing the information feed from the
CGM and a Raspberry Pi PC, their own product finishes the circle and ceaselessly
adjusts the measure of insulin Dana’s siphon conveys. Robotizing insulin con-
veyance offers various advantages that can change the lives of diabetics. By
observing a person’s blood glucose levels and consequently modifying the measure
of insulin conveyed into their framework, the APS keeps blood glucose inside a
protected range in anticipating extraordinary highs and lows (hyperglycaemia high
glucose and hypoglycemia low glucose). The programmed conveyance of insulin
additionally enables diabetics to stay asleep from sundown to sunset without the
threat of their glucose dropping. Despite the fact that OpenAPS isn’t an “out of the
crate” arrangement and expects individuals to be eager to assemble their very own
framework. It is pulling in a developing network of diabetics for utilizing its free
and open-source innovation to hack their insulin conveyance.

11.4.5 Connected Inhalers

Asthma is a condition that influences the lives of countless individuals over the
world. Keen innovation is starting to give them expanded knowledge into and
command over their side effects and treatment, on account of associated inhalers.
The greatest maker of shrewd inhaler innovation is Propeller Health. As opposed to
delivering whole inhalers, Propeller has prepared a sensor that links to an inhaler or
Bluetooth spirometer. It relates up to an application and helps people with asthma
and COPD (Chronic Obstructive Pulmonary Disease, which incorporates emphy-
sema and endless bronchitis) comprehend what may cause their side effects to track
employments of salvage medicine [18]. One of the advantages of utilizing an
associated inhaler is improved adherence. At the end of the day, drug is taken all the
more reliably and all the more regularly. The Propeller sensor produces stretches an
account of inhaler utilizes that can be imparted to a patient’s specialist.

11.4.6 Ingestible Sensors

Proteus Digital Health and its ingestible sensors are another instance of how sharp
medicine can screen adherence. The gathering has made pills that separate in the
stomach and produce a little banner that is snatched by a sensor worn on the body.
The data is then exchanged to a PDA application in confirming that the patient has
acknowledged their solution as composed. Proteus has so far trialed the structure
with pills for treating uncontrolled hypertension and Type 2 Diabetes, and
antipsychotic medication [19]. Also as with related inhalers, ingestible sensors can
pursue and improve how typically patients take their medicine, similarly as
286 R. Dhaya et al.

empowering them to have an undeniably instructed talk with their specialist about
treatment. While taking pills with a sensor that may seem, by all accounts, to be
prominent, the structure is great in regarding patients and they can stop sharing a
couple of sorts of information or quit the program completely, at whatever point.

11.4.7 Linked Contact Lenses

Medicinal rude contact focal points are a decided use of the IoTs in a human
services circumstance. While the idea has a lot of potential up until this point, the
science has not generally figured out how to satisfy desires. The other therapeutic
applications for savvy contact focal points may demonstrate progressively fruitful.
Verily is as yet chipping away at two savvy focal point programs with Alcon, which
plan to treat presbyopia and waterfall medical procedure recuperation. Swiss
organization Sensimed has additionally built up a noninvasive savvy contact point
of convergence or focal point called Triggerfish, which normally enlists the vari-
eties in eye measurements that can quick glaucoma [20].

11.4.8 Depression Monitoring Tool

To investigate the utilization of an Apple Watch application for checking and

evaluating patients is done with Major Depressive Disorder (MDD) [21]. The
analysis found an exceptionally abnormal state of consistence with the application,
which members utilized day by day to screen their disposition and discernment
[22]. The application’s every day evaluations were additionally found to relate with
additional top to bottom and target perception tests and patient-detailed results in
appearing psychological tests conveyed by means of an application can even now
be forceful and dependable. While the analysis is just an exploratory model which
has shown the potential for wearable tech to be utilized to evaluate the impacts of
gloom progressively. Like other brilliant medicinal gadgets that assemble infor-
mation, the Apple Watch application could likewise give patients and human ser-
vices professionals more knowledge into their condition and empower
progressively educated discussions about consideration.

11.4.9 Clotting Testing

Bluetooth -enabled clotting system that enables patients to check how rapidly their
blood coagulation. This tool is a type of utensil for aggressive to coagulated patients
with self-testing appeared to enable patients to remain inside their restorative range
and lower the danger of stroke or dying [23]. This device additionally enables
11 Research Perspectives on Applications of Internet-of-Things … 287

patients to add remarks to their outcomes, reminds them to test, and banners the
outcomes in connection to the objective range.

11.4.10 Research Equipment and Parkinson’s Disease

Usually Parkinson’s disease side effects are observed by a doctor at a facility

through physical effusive tests. In addition, patients are urged to maintain a peri-
odical in control to give a more wide familiarity into signs after some time. The
Apple incorporated alternative ‘Development Disorder API’ which permits Apple
Watches to monitor Parkinson’s disease side effects [24]. This Apple API proposes
to make that procedure programmed and ceaseless. An application on an related
iPhone can display the information in a diagram, spring every day and hourly
analyses, just as moment by-minute indication modification.

11.4.11 Asthma Monitoring System

It shakes to tell the individual exhausting it of a looming asthma attack and can
likewise send an instant message to an assigned ability in the meantime. Different
high points of the devices incorporate inhaler identification, the gadget can rec-
ognize and follow inhaler usage, if the patient cannot recall whether they’ve utilized
one and voice to record belongings like variations, sentiments and practices. It
additionally has a calculation modernization that understands what ordinary is for
the wearer after some time, enabling it to all the more likely comprehend when
something has changed. It works related to an application and online interface,
assisting asthma patients with setting prescription updates, see information from the
gadget, and help them to remember their treatment plan.
The next section elaborates the vital things that involve in creating awareness in
healthcare domain using IoT.

11.5 Identification of Encounters Related with IoT Aware

E-Health Care Domain

The important explanations on the IoT based e-healthcare are given as follows.
• Raspberry Pi 3 and Beagle Bone Black devices are the hardware phases where
scalable applications and e-healthcare based researches might be accomplished.
Intel, Arduin, and Kinetics modules are in processing speed and memory limit
than the stated ones.
• Blue Tooth Low Energy (BTLE) and Wireless Body Area Network (WBAN)
correspondence technologies seem to necessitate the IoT intrusion into the
288 R. Dhaya et al.

healthcare through their low energy efficiency, cost, and high band width and
information transmission rate. However these are short range correspondence
especially great when to deploy for wearable’s. In the event that information must
be transmitted to remote places or far off areas, then mobile correspondence (e.g.,
2G, 3G, and 4G) and LR-WPAN ought to be used (i.e., remote health observing
etc.) [25]. Wi-Fi is a wireless technology for short range that has ability of energy
utilization and information rate only in between of Blue Tooth Low Energy
(BTLE), Wireless Body Area Network (WBAN) and mobile correspondences.
Hence, restriction based applications (e.g., denture X-beam, post exercise ECG,
EMG, child movement checking etc.) might be developed utilizing Wi-Fi. Nano
scale correspondence may also be used for diagnosing purposes for in vitro
circumstances (e.g., Camera capsule, Lab-on-Chip serum testing etc.)
• Axeda, Exosute, Neosoft, E-health Saas, Cleadata etc. cloud stages are made in
such design that they are perfect for dealing with healthcare services. Others are
likewise capable to hold the IoT healthcare however does need more capabilities
to persuade urgent applications. Thing Worx, Ployly, and Thing Speak are best
for the development phase before genuine deployment offend item due to free of
expense. Carriots, Connecterra, Aekessa etc. IoT mists would be chosen for
structure applications where real-time automated response and activation are
required (e.g., advising relatives about the sudden fall of an elderly, sudden rise
of body temperature of a child etc.)
• Accelerometer, ECG, pressure, Body temperature, step check sensors are the
currently being for the most part deployed sensors in the surveyed wearables.
SPO2, Doppler probe, movement sensor, and pulse sensor are among the other
most encouraging technologies that are increasing subsequent prevalence to
measure vitals of human body.
• A matter of concern that is found in the investigation is the expense of the
wearable’s [26]. Around 41% of these are sold in the range of 51–200 $ per unit
which is very high to manage the cost of in poor people and low income
countries, for example, India, Bangladesh and other pieces of Asia and Africa.
• At the same time, great trends are being observed that elderly checking, children
care, women health and regular life style management related items are steadily
up coming into the Internet of Things (IoT) market for benefit of human society
converting the mindset towards a smarter world.
Though the awareness of E-healthcare domain studies by facing a lots of chal-
lenges to overcome are anal zed in the following section.

11.6 Identification of Challenges Associated with IoT

Aware E-Health Care Domain

Whereas IoT health accompanies the guarantees and dreams of consistent network
over the physically inaccessible areas where patients, centers and medical clinics
could participate, arrange and coordinate the human services forms. There are a few
11 Research Perspectives on Applications of Internet-of-Things … 289

research difficulties that IoT health needs to defeat before it could turn into a
standard platform [15]. However concentrating the results of IoT in brilliant e-social
insurance a few difficulties have been recognized as beneath.
• Regulation: IoT based e-health services arrangements are still in early phase of
improvement and current arrangements do not adjust to explicit principle and
guidelines. This raises interoperability issues that need to take care of by sci-
entists by teaming up e.g., unique team in IoT e-wellbeing.
• Quality of Service (QoS): By way of e-health services, administrations require
thorough unwavering quality and viability of the framework. It ought to be
captured that no postponement, association or information misfortune to be
happened by improving the nature of administration. If there should be an
occurrence of framework disappointment, excess administrations ought to
instantly be benefited by the patient.
• Environmental Features: Undeniable IoT e-health care services will need
minimal effort bio medical sensors that are easily implantable into human body.
Theses sensors might be utilizing rare earth metal or any kind of dangerous
elements. This indeed has essential yet unfavorable effects on environment.
Government and regulatory bodies e.g., WHO (World Health Organization)
ought to prepare a guideline to provide way of assembling of sensors, usage
pattern, and transfer practices [27].
• Information management: Information management encounters for IoT health
is like folks confronted by IoT in additional areas. Though, the health infor-
mation originates from medical sensors devoted to people. The humanoid frame
is a lively structure that vicissitudes its state constantly. Henceforth, as under-
stood in IoT health presentations, there will be a consistent transition of infor-
mation originating from edge sensors by means of mist registering nodes. The
cost of sensors and figuring is declining and henceforth, it has turned out to be
less expensive to gather the gigantic data in a short time span. In other presence,
IoT wellbeing needs to deal with the intricacy of the data as far as their
assortment, volume and speed. There are many data positions relying upon the
social insurance end client applications. For instance, ECG data could be
imparted in XML plan, while recognizing skin ailments using camera-based IoT
gadget need to deal with picture positions. The data configuration support for
edge PCs is subject to the makers and their objective clients. Despite edge data
position, the data model on the cloud in like manner shifts and in this way,
requests regulation. The difficulties of data volume and speed are more con-
nected with the abilities of fog hub equipment to get, procedure, store and
convey the high-loyalty, high-goals data starting from restorative gadgets that
could be with patients or in crisis centers or offices. Accordingly, there will be a
need of fog executives who could supervise the data movement between the fogs
and conveyed figuring.
• Scalability: To manufacture a littler size of IoT, sensors on versatile gadgets for
data gathering and secure focal servers for preparing clients’ solicitations are
utilized to guarantee all clients that can legitimately get to restorative
290 R. Dhaya et al.

administrations by methods for compact gadgets, for instance, advanced mobile

phones. This office can be scaled up to the whole facility with the objective that
patients in the crisis center which can utilize medicinal administrations check
updates and wellbeing status seeing by their advanced mobile phones. This
wellbeing model can be scaled up to the whole city, if there are sensors and
reception apparatus in the city to gather data, astute tremendous data counts.
Advantages of flexibility to an adroit city level can incorporate improvement in
effectiveness, saving quality time for delaying and building direct relationship
and trust between restorative staff and patients.
• Interoperability, standardization and regulatory relationships: When all is
said in done, IoT has brought worries up in the territory of organization. All
makers, specialist organizations, and end clients look for standards for oper-
ability both inside and between the spaces focused by IoT applications. The
organization unpredictability lies in the manner that IoT expects to catch a wide
scope of controls that are, when all is said in done, directed by various
administrative issues. By virtue of IoT wellbeing, the multifaceted nature even
increments because of the serious guidelines commanded by medicinal rules.
• Interfaces and human-issues engineering: Exceptional key issues in IoT
wellbeing is the interface of the front-end advancements sensors, cell phones,
tablets, PCs, and different sorts of associations. At the point when IoT medicinal
gadgets are structured and given to the patients who have no involvement of
using front line instruments, it turns out to be exceptionally imperative that
end-clients would most likely self-train themselves with these gadgets. When all
is said in done, end-clients have constrained information about the remote
systems administration, sensor altering and different activities of the gadget. In
addition, when the gadgets will go in remote situations, setting up the wellbeing
frameworks ought to be immediate and self-overseeing. For instance, older
people will be one of the biggest partners of IoT wellbeing. Subsequently,
gadget interfaces should be client (quiet) amicable and to require least inclusion
of specialists [28]. One of the fruitful practices in human-factors building is a
participatory structure, in which partners or end-clients of IoT wellbeing gadgets
could turn into a bit of the plan group to give constant input of their preferences,
abhorrence’s, and comforts.
• Security and confidentiality: Each unmistakable IoT gadget conceivably will
endure a conceivable peril that could be misused to either outraged the
end-clients or imperil the security of them. Moreover, this can prompt making
threats to individual security. Security and insurance of IoT wellbeing ranges the
entire lifecycle of the framework starting from particular age to execution and
organization. Be that as it may, securing IoT wellbeing biological system is an
advanced and testing errand. In order to push IoT wellbeing, these difficulties
must be overwhelmed by embracing a complete multi-layer technique. In
addition to the awareness and challenges faced in IoT based healthcare WBSN
domain, there have been a high demand of advanced applications as explained
below.
11 Research Perspectives on Applications of Internet-of-Things … 291

11.7 Advanced IoT Applications in Healthcare

Some of the advanced IoT Applications in healthcare [29] are listed in Fig. 11.1:
• Following real-time position: Uses of IoT in medicinal services administrations
are making it useful for experts/specialists to pursue the gadgets used by patients
for treating them using continuous area administrations. Medicinal contraptions
and mechanical get together like wheelchairs, scales, nebulizers, defibrillators,
monitoring gadgets, or siphons can be fixed with sensors and put adequately
with IoT. Beside ongoing area administrations, there are furthermore other IoT
devices that help with watching nature as well.
• Watching hand tidiness: Watching hand tidiness has advanced toward getting
to be reality with the continuous usages of IoT in medicinal services adminis-
trations. IoT contraptions at present can recognize the tidiness dimension of any
restorative administrations worker or social insurance laborer. A progressing
outline presented that one out of every 20 patients gets a sickness owing to
nonattendance of proper hand tidiness in open crisis facilities. There are various
patients who make certifiable disorders out of such restorative center infections
and in the long astounding. New usages of IoT in human services administra-
tions have made it easy to harden every one of the information of a social
protection authority.
• Remote health monitoring: One of the basic employments of IoT in human
services is checking wellbeing in remote regions. If the social insurance
workplaces are not nonsensically settled in the remote zones, the all-inclusive
community living in these locales can be given satisfactory help through IoT.
People are losing lives every day because of the inadequacy of lucky and fast

Fig. 11.1 Advanced IoT

Applications in Healthcare
292 R. Dhaya et al.

remedial help. Uses of IoT in social insurance have made it practical to fit

contraptions with sensors that alert the able pros if there ought to be an event of
any modification in the condition of a patient. With the help of remote
observing, there can be a huge abatement in the length of medicinal facility stays
and moreover in the re-confirmation rates. This kind of headway by IoT is a gift
to mankind, particularly for developed people.
• Improving patient involvement: IoT applications in social insurance have
helped in improving the experience of patients. It has now ended up being
straightforward for the patients to control the temperature and lightning of their
live with the help of the predictable relationship among them and gadgets.
Similarly, by and by it isn’t any all the more debilitating for the patients to stay
for long in the facility bed as late IoT applications in social insurance have made
it straightforward for them to talk with their friends and family. They can in like
manner team up with medicinal attenders or attendants through radio or tele-
phone for any need. Such IoT applications moreover give basic access to tol-
erant information by the restorative staff from the cloud by helpful staff.
• Increasing management of drugs: Doctor supported remedy is a champion
among the most jump forward improvements of IoT in social insurance. It seems,
by all accounts, to be very Sci-fi, yet there are little sensors in the pills that are
grain assessed and can send signs to outside devices. This ensures genuine usage
and estimation of drugs. Advantageous mobile phone applications in like manner
help patients get to the information and track their own execution.
• Serving long-lasting disease management: Most recent IoT applications in
social insurance have influenced immense accomplishments concerning to
treating the patients with steady conditions. Today, a single device can never
oblige the treatment needs of the 21st century yet it is the blend of wearable
development, flexible system, and front line examination that new IoT appli-
cations in medicinal services have brought into limit. Contraptions like Fit-piece
have helped in redoing the human services and have given stimulating results.
These days, IoT has the rich forthcoming to accomplish every individual
all-around at a lone time. More state-of-the-art IoT applications in human services
are changing the section and the market will continue advancing with the persis-
tently improving advancement yet how far it will take the world is one of the simple
to invalidate centers for everyone. The Wireless Implantable Body Sensor Network
is explained in the next section.

11.8 So Far on WIBST (Wireless Implantable Body

Sensor Network)

Body sensor network frameworks can help individuals by giving social insurance
executives, for example, medicinal checking, memory upgrade, control of home
machines, medicinal information access, and correspondence in predicament
11 Research Perspectives on Applications of Internet-of-Things … 293

circumstances Continuous observing with wearable and implantable body sensor

networks will increment initial location of crisis circumstances and illnesses in
danger patients. Furthermore it gives an extensive scope of human facilities
administrations for individuals with different degrees of intellectual and physical
inabilities. Specialists in different interdisciplinary fields, for example, registering,
building, and prescription fields are cooperating to guarantee that the wide
apparition of wearable and implantable body sensor networks (WIBSNs) for bril-
liant human services, as showed in Fig. 11.2, can be satisfied.
The significance of coordinating extensive gauge of Wireless communication
technologies, for example, 3G, Wi-Fi, and Wi-MAX, with tele-medicine has just
been inclined to by certain scientists(1). The scope of wearable and implantable
biomedical utensils will increment fundamentally in the following years, because of
the upgrades in Micro Electro Mechanical Systems (MEMS) innovation, Wireless
Communications, and computerized hardware, accomplished as of late. These
advances have permitted the improvement of ease, low power, multi-useful sensor
centers that are little in size and can impart over short separations, small sensor
hubs, which comprise of detecting, information handling. Sensor networks in this
manner speak to a critical improvement contrasted with customary sensors.
The following section focus on the wearable Healthcare applications using IoT
in a detailed manner.

Medicine

Science WISBN Engineering

technology

Fig. 11.2 Interdisciplinary for the future of WIBSN

294 R. Dhaya et al.

11.9 IOT Based E Healthcare Domain

Medical care and healthcare intend one of the enchanting applications domains for
the IoT. Also, different correspondence innovations have been looked at dependent
on the device models, recurrence band, information rate transmission run, vitality
utilization, and cost for application towards e-wellbeing applications. In this pur-
suit, it has been engaged to encourage Internet of Things (IoT) detailed assets be it
equipment, wearable’s, or cloud. Figure 11.3 analyses the IoT based e healthcare
domain. Fundamental need is given to Wi-Fi, LR-WPAN (Low-Rate Wireless
Personal Area Networks), Bluetooth Low Energy (BLTE), NFC (Near Field
Communication), Mobile Communication (2G, 3G, 4G), WBAN (Wireless Body
Area Network), and Nano scale correspondence [30]. Essentially, Internet of Things
(IoT) cloud stages are intended to give various answers for designers to fabricate
and convey ground-breaking Internet of Things (IoT) applications (e.g., therapeutic,
clinic, and crisis administrations), devices for gadget makers to rapidly consolidate
recently associated administrations to the items and perform activities between
machines (gadgets/things) and informal communities, and substantially more.

11.10 IOT Based Wearable Solutions for E-Healthcare

Wearable innovation has jumped on like rapidly spreading fire. Individuals don’t
appear to grow sufficient of what their astute wristband combined with their Health
application can do. Likewise, it is simply profitable to become all the more out-
standing. An examination overview expresses that over 75% of plaintiffs feel that
wearable medicinal services monitoring gadgets should wind up inescapable with
the objective that it propels them to lead more advantageous lives [31].
Wearable gadgets can be characterized as innovation injected gadgets that could
be damaged on the humanoid physique. They might be canny wristbands, wrist-
watches, shoes, shirts, tops, pieces of jewelry, headbands, eyeglasses, and so on.

Fig. 11.3 IOT Based E

Healthcare Domain
11 Research Perspectives on Applications of Internet-of-Things … 295

These splendid gadgets cover certain kind of devices that assistance in social
occasion/meeting unrefined data and handing-off it into a record or programming.
Over this product, we can assemble encounters and investigate our wellbeing.
The bit of learning or examination that is acquired is commonly receptive. The
bits of information can alarm the individual exhausting the astute gadget or a
specialist who might then have the capacity to take restorative movement. All the
while, nutritionists can see the data and guidance a superior eating regimen plan, in
view of development level and aliments. Basically, web of things in medicinal
services is unwinding various difficulties. IoT affected various enterprises, and the
innovation left its engraving wherever it went. Organizations that have neglected to
incorporate IoT gadgets into their procedures hazard being deserted. One of the
advantages of IoT in human services is that it considers customized consideration
from restorative experts [32] gets the customized consideration from therapeutic
experts. With IoT gadgets furthermore help in calculating calories, check beat
levels, help patients to remember their arrangements, and so on. Figure 11.4 shows
the Personalized attention from medical professionals in below points.
Location-Dependent Real-Time Amenities
Over IoT, medicinal services experts can pursue the patient’s location. This is
mainly helpful once a harmed individual is pending in for a pressing restorative
help. Likewise, inside the center therapeutic mechanical gathering, for instance,
defibrillators, scales, wheelchairs, other monitoring gadgets, and so forth can be
labeled with IoT sensors to find them effectively. IoT gadgets assistance progres-
sively ecological monitoring additionally, for instance, testing room temperature.

Ȉ ’ƒ”–‹ —Žƒ”Ž›˜ƒŽ—ƒ„Ž‡™Š‡
Location-dependent real-time ƒŠƒ”‡†‹†‹˜‹†—ƒŽ‹•
facilities ‘‹‰‹ˆ‘”ƒ‡ƒ”‡•–
”‡•–‘”ƒ–‹˜‡Š‡Ž’

Ȉ ‡ ƒ—•‡‘ˆ–Š‡‹” ‘•‹•–‡–ƒ••‘ ‹ƒ–‹‘

„‡–™‡‡‰ƒ†‰‡–•ǡ’ƒ–‹‡–• ƒ ‘–”‘Ž–Š‡
Increase patient involvement: ”‘‘ ƒŽƒ†Ž‹‰Š–‹‰ǡ•’‡ƒ™‹–Š–Š‡‹”
‘’ƒ‹‘•ǡƒ†ˆƒ‹Ž›„›˜‹†‡‘ ƒŽŽ‹‰ǡ
ƒ† ƒŽŽ—”–—”‡–Š”‘—‰Š”ƒ†‹‘

Ȉ ‡ ƒ—•‡‘ˆ–Š‡‹” ‘•‹•–‡–ƒ••‘ ‹ƒ–‹‘

„‡–™‡‡‰ƒ†‰‡–•ǡ’ƒ–‹‡–• ƒ ‘–”‘Ž
Hygiene acquiescence –Š‡”‘‘ ƒŽƒ†Ž‹‰Š–‹‰ǡ•’‡ƒ™‹–Š
–Š‡‹” ‘’ƒ‹‘•ǡƒ†ˆƒ‹Ž›„›˜‹†‡‘
ƒŽŽ‹‰ǡƒ† ƒŽŽ—”–—”‡–Š”‘—‰Š”ƒ†‹‘

‡‘–‡‘‹–‘”‹‰Š‡Ž’•‹‰‹˜‹‰•ƒ–‹•ˆƒ –‘”›
Š‡ƒŽ–Š ƒ”‡–‘’ƒ–‹‡–•ǡ‡Ž‹‹ƒ–‡• ‘•–•ƒ†‹–’”‡˜‡–•
Remote Monitoring ‹•†‹ƒ‰‘•‹•ƒ†‡‡”‰‡ › Ž‹‹ ”‡ƒ†‹••‹‘

Fig. 11.4 Personalized attention from medical professionals

296 R. Dhaya et al.

Increase Patient Participation

IoT gadgets support in purifying the patient contribution. Because of their con-
sistent association between gadgets, patients can regulate the room calm and
lighting, speak with their companions and family by methods for video calling, and
call nurture through radio. IoT also contemplates simple contact tolerant data from
the cloud by therapeutic staff gave they are put away there in any case.
Hygiene Assent For crisis or emergency centers, counteracting contamination is
basic. Additionally, given that countless out and contaminated patients walk around
consistently, how do crisis centers seek after demanding cleanliness. Practicing
hand cleanliness is a standout amongst the best strategies for forestalling contam-
inations. Hand cleanliness monitoring frameworks aid in background and recog-
nizing a level of neatness among human services and restorative staff. The least
complex limit of hand cleanliness IoT gadgets is to signal at whatever point
medicinal staff approaches in closeness of a patient bed without washing their
hands. The correspondence between these hand cleanliness monitoring frameworks
is progressively, henceforth there would not be some mistakes.
Remote Monitoring
Remote monitoring of wellbeing is an indispensable usage of IoT. Enduring
observing supports in stretching satisfactory human services to patients.
Extensively, various persons kick the bucket as they don’t get opportune restorative
consideration. IoT gadgets can relate multifaceted estimations and investigate them
which helps in giving better medicinal consideration and care to patients in distant
territories as a general rule places where authorities can not physically go [33].
Monitoring in like manner dispenses with expenses and it anticipates misdiag-
nosis and crisis facility readmission is leeway for senior natives. Besides, as IoT
gadgets and wearable’s are easy to utilize, where patients can approach their step by
step routine missing much inconvenience. IoT in human services is required to
assist the extent of research. IoT gadgets streamline work forms through legitimate
examination. IoT gives cutting edge customized game plans and finding to patients
dependent on their signs. Applications can be utilized to remind patients to take
their drug. They moreover help and increment medicinal consistence.
Hazards of IoT in Healthcare
Regardless of the way that IoT and wearable’s are viewed as a safe house for the human
services business. There are various difficulties that organizations should report. The
principal and perchance the utmost genuine of difficulties is assurance. As by far most of
the records is actuality enthused to the cloud, it would not yield extended for secluded
and delicate documents to decrease into the incorrect indicators [34].
IoT gadgets and wearable’s work by talking with different gadgets. If this cor-
respondence isn’t verify which can lead and cause data spillage. Industry bench-
marks should be pursued while making a wellbeing application.
The following thing is to associate the WBSN gadgets among hubs in cloud
where bunches of challenges as security and protection that must be allowed
foremost significance which is clarified as pursues.
11 Research Perspectives on Applications of Internet-of-Things … 297

11.11 IOT in Cloud Platform for E-Healthcare

A patient possibly will need the facilities of different healthcare sources like
medical clinics/facilities, doctors, dentists, optometrists, radiologists, cardiologists,
drug specialists, insurance, etc. A wide range of electronic organisms could be used,
for example, modalities like MRI machines, etc., data systems like emergency
clinic, radiology, lab, etc. and disparate conventions and messaging groups, used by
the devices and Information Systems. In what way we efficiently and professionally
offer complete and combined electronic health/medical/patient histories in the
existence of such desperateness. Figure 11.5 defines the Collaboration amongst IoT
and Healthcare Services.
The field of e-health is extended by telemedicine for lengthy expanse patient
attention done by Metropolitan Area Network or Wide Area Network with inde-
pendently wearable or mobile IoT expedients for home-based or in mobile checking
of vigorous information [35]. Telemedicine and IoT require fresh compeers of
communiqué resolutions, arrangements for the service layer and interoperability
guidelines.
The procedure of Cloud has become practically universal in normal life.
Numerous everyday actions of finale employers and facilities related to those
actions are aided from anywhere in the Cloud ended the network, open or private,
Internet or intranet. The efficiency of healthcare facilities can be importantly
enhanced if e-health facilities are deployed in Clouds. While there are rewards,
opportunities and many Cloud related challenges which are aggravated by the
absence of Cloud connected norms at different stratums of Cloud organization and
amenities [36].
Protection and security are progressively dynamic disquiets also. The secure
dispensation of personal information in the Cloud signifies a giant experiment.
Reception of protection augmenting tools to assistance such actions will be con-
tingent upon the survival of unchanging methods for taking care of personal
information and on methodological guidelines which could assistance to confirm
compliance with legal and monitoring structures or frames.

Fig. 11.5 Collaboration

amongst IoT and Healthcare
Services
298 R. Dhaya et al.

The difficult part in E-healthcare applications is that on the integration of

wearable devices and IoT which more technical issues to be sorted out are illus-
trated as follows.

11.12 Analysis of Integration of WIBST and IoT Attained

from This Arduous Study

Wearable And Implantable Body Sensor Network is a mingling of remarkably

low-power and wireless hubs of a sensor that are basically used to administrate the
human body functionalists and the earth around the patient. Since WIBSN hubs are
utilized to gather touchy (life-basic) data and may work in unfriendly situations, in
like manner, they require exacting security instruments to counteract pernicious
collaboration with the framework [37]. And so as to maintain a strategic distance
from mistakes severe systems to execute security conventions are made accessible.

11.12.1 Security Requirements

Security is the utmost imperious features of several systems. In broad way, security
is a perception related to protection measurements. Currently, the communication in
sensor network solicitations healthcare are frequently addressed in wireless mode
[38]. In this section, some of the key security requirements in IoT based healthcare
system using WIBSN have been described.
• Data confidentiality: Like Wireless Sensor Network, data security is supposed
to be the greatest authoritative problem in WIBSN. It is mandatory to safeguard
the data from coverage. WIBSN should not to discharge patient’s imperative
information to external or neighboring frameworks. In IoT-based human
administrations application, the sensor centers assemble and propel fragile data
to a coordinator. An adversary can listen stealthily on the correspondence, and
can get essential information. This listening stealthily may make outrageous
mischief the patient since the adversary can use the got data for some unlawful
purposes.
• Data consistency: Retaining data arranged does not defend it from external
changes. The aim of the opponent can just alter the data by including a couple of
parts or by controlling the data inside a group. This balanced data can be sent to
the facilitator. Non-appearance of unwavering quality instrument is a portion of
the time amazingly risky especially if there ought to be an event of life-essential
(when emergency data is changed). Terrible condition may likewise prompt
extreme information misfortunes.
11 Research Perspectives on Applications of Internet-of-Things … 299

• Data novelty: The enemy may from time to time get data in travel and replay
them later using old key in progressively prepared to perplex the organizer. Data
freshness surmises that data is new and no one can replay the old message.
• Authentication: It is a defender amid the peak basic necessities in any IoT
based medicinal services structure using WIBSN, which can successfully deal
with the mirroring ambushes. In WIBSN based human administrations structure,
all the sensor centers send their data to a facilitator. By then the coordinator
sends discontinuous updates of the patient to a server. In this particular cir-
cumstance, it is significantly fundamental to ensure both the character of the
facilitator and the server [13]. Authentication primarily helps in keeping up the
individuality of every particular client.
• Privacy: An increasingly attractive property of the anonymity is the unrecog-
nized one, which guarantees that the enemy can neither perceive who the patient
can recognize whether two discourses begin from same cloud calm [14]. Along
these lines, mystery covers the wellspring of a bundle in the midst of remote
correspondence. It is an administration that can engage mystery.
• Harmless Localization: Most WIBSN applications require precise estimation
of the patient region. Nonattendance of systems which are keen empowers an
adversary to send in right reports about the patient region by declaring false
banner qualities. Presently, with a particular true objective to ensure a safe
IoT-based human administrations structure using BSN [39], it is essential that
the system should speak to all the previously mentioned security requirements.
Further at last it can contradict diverse security threats and strikes like data
modification, emulate, spying, replaying, etc. Table 11.1 explains the Security
Requirements of IoT and WISBN.

Table 11.1 Security Requirements of IoT and WISBN

Security Characteristics
Requirements
Data – It is mandatory to safeguard the data from coverage. WIBSN should not
confidentiality to discharge patient’s imperative information to external or
neighbouring frameworks. I
Data consistency – Retaining data arranged does not defend it from external changes
Data novelty – Data freshness surmises that data is new and no one can replay the old
message
Authentication – It is a defender amid the peak basic necessities in any IoT based
medicinal services structure using WIBSN, which can successfully deal
with the mirroring ambushes. In WIBSN based human administrations
structure, all the sensor centers send their data to a facilitator
Privacy – An increasingly attractive property of the anonymity is the unrecognized
one, which guarantees that the enemy can neither perceive who the
patient can recognize whether two discourses begin from same cloud
calm
Harmless – Applications require precise estimation of the patient region.
Localization – To ensure a safe IoT-based human administrations structure using BSN,
it is essential that the system should speak to all the previously
mentioned security requirements
300 R. Dhaya et al.

11.12.2 Practical Challenges in IoT and WISBN

Some of the practical challenges are represented below in Fig. 11.6 and describes
below.
• Memory space: A novel WIBSN ought to deliberate the limited memory space
of biosensors very, which possibly impacts the cryptography intention with
computational unpredictability and keys system.
• Computational competence: On account of the constrained memory and the
necessity of low vitality utilization of biosensor with limited computational
ability and lightweight calculation.
• Energy ingestion: It is an imperative issue for biosensor hubs, which should be
negligible, since biosensor hubs are fueled by exceptionally little batteries with
lower utilization to work for an extensive stretch of time. Accordingly, any
security system for BSNs ought to be planned cautiously.
• Minutest delay: An important strategy standard in the WIBSN security con-
trivance is competent to minimize delays in order to observe with WIBSN
requirements.
• Communication overhead: Through the cause of the restricted data transmis-
sion accessible in a WIBSN, low communication overhead is prerequisite. For
illustration, secure WIBSN setup must be done in less than 1 s and the most
extreme suitable time for ECG (electrocardiogram) transmission is 200 ms [40].
Crisis circumstances in a WIBSN that requires the ability for quick restorative
response without debilitating security. Cryptographic calculations utilized by
these hubs must be straightforward so as to bring down calculations intricacy. In

Fig. 11.6 Practical

challenges in IoT and WISBN
11 Research Perspectives on Applications of Internet-of-Things … 301

addition, if the message confirmation or encryption (decoding) components are

not rather quick, a foe may dispatch a DoS assault to debilitate the assets of
lawful biosensor hubs and make them less fit for completing their planned
capacities. Yet, most normally utilized cryptographic systems are in-feasible in
BSNs, for instance open key cryptosystems.
Because of the elusive standard for the WISBN biosensors gather and the
communicate highlight of the remote channel biosensors use to convey, WIBSNs
possibly face a ton of security dangers. These dangers get from two sources: outside
assaults and inner assaults. Outer foes can listen stealthily on all traffic inside a
WIBSN, If outside enemies are fruitful, they not exclusively can attack a client’s
Sensitive micro data yet additionally can stifle real data or supplement a fake
biosensor hub into the WIBSN.As pursues, the distinctive methods for dangers in a
WIBSN have been illustrated below in Fig. 11.7 and explains in well manner.
• Interception (Eavesdropping): The problematic issue in WIBSN is to abstain
from being listened in wherever by mysterious stabbings or attacks. On the off
chance that an aggressor can pick up the sensitive micro data transmitted in a
WIBSN, it is probably going to be utilized malevolently.
• Communication Interruption: Communication interruption consequences are
the crushing of a part of a remote terminal or a component of WIBSN. It affects
the season of a battery sent in each WIBSN to live, which likewise decrease the
communication rate. It can result in a Dos assault. Under the condition of a
client’s crisis, these dangers are probably going to execute one’s life at the very
least

Fig. 11.7 The distinctive methods for dangers in a WIBSN

302 R. Dhaya et al.

• Interfering with Sensitive Micro data: This happens when an unapproved

substance embeds, changes, or erases Sensitive Micro information transmitted
by hubs in a WIBSN. This is an assault on uprightness and can result in a Dos
assault or man in the center assault. For instance if the human services infor-
mation of a client is adjusted, doctor may influence a wrong finding and end to
up with a mistake decision, which will breathe life into a genuine mischief of
clients in a WIBSN and emergency clinic or clients will endure a gigantic
misfortune.
• Illegal Network Access: This risk happens when an aggressor accesses every
hub in a WIBSN by taking on the appearance of a genuine remote client or a real
biosensor. This can result in port checking and being assaulted by a malware.
• Refutation: This danger happens when a sender or collector denies the way that
it have transmitted or gotten sensitive micro data in a WIBSN individually. In
electronic therapeutic, this danger must be expelled for a sheltered treatment in a
WIBSN.
The summary and conclusion is explained in the following section.

11.13 Summary and Conclusion

This chapter presented some research perspective on applications of IoT in Body

Area Sensor Network. The aim of this chapter has been fulfilled by means of
attaining four objectives. At first, learning and evaluation of IoT supported
parameters such as hardware and cloud platforms have been studied to find the
suitability for e-health care services. Secondly, analysis of existing IoT based
wearable’s solutions for e-healthcare has been done. Thirdly, identification of
encounters related has been analyzed with IoT aware e-health care domain. Finally
integration of WIBST and IOT has been attained from this arduous study. In all, the
proposed wearable sensor nodules or nodes could be attached to different positions
of the humanoid body to measure physical signals like the temperature, pressure,
pulse rate, ECG. Furthermore, it also detects fall condition using the accelerometer
sensor node by providing an emergency notification. In the later portions of the
chapter accommodates the IoT in cloud platform for e-healthcare, practical chal-
lenges and the security challenges cum thread of IoT and Body Area Sensor
Network. From the analyses of all it is inferred that the goodness such as instan-
taneous recording and observing, end-to-end connectivity and affordability, data
collection, tracking and alerts and remote medical assistance have been now well
improved. Some challenges must be met out like Data security and privacy, inte-
grating multiple devices and protocols and cost-effectiveness to meet about the
applications IoT in healthcare, for example sinking emergency chamber interval
time, Following patients, staff, and catalog, Augmenting drug controlling, and
Guaranteeing obtainability of dangerous hardware.
11 Research Perspectives on Applications of Internet-of-Things … 303

References

1. Gubbi, J., Buyya, R., Marusic, S., Palaniswami, M.: Internet of things (IoT): A vision,
architectural elements, and future directions. Future Gener. Comput. Syst. 29(7), 1645–1660
(2013)
2. Somatic data blood glucose collection transmission device for internet of Things, Google
Patents, 2013. CN Patent 202,838,653. http://www.google.com/patents/CN202838653U?cl=
en
3. Rathee, A., Poongodi, T., Yadav, M., Balusamy, B.: Internet of things in healthcare wearable
and implantable body sensor network. In: Soft Computing in Wireless Sensor Networks,
pp. 126–148. Taylor and Francis (2018)
4. Darwish, A., Hassanien, A.E.: Wearable and implantable wireless sensor network solutions
for healthcare monitoring. Sensors (Basel). 12(9), 12375–12376 (2011)
5. Hamdi, M., Boudriga, N.: Secure wearable and implantable body sensor networks in
hazardous environments. In: Proceedings of the International Conference on Data
Communication Networking and Optical Communication Systems, pp. 85–92 (2010)
6. Moosavi, S.R., Gia, T.N., Rahmani, A.M., Nigussie, E., Virtanen, S., Isoaho, J., Tenhunen,
H.: SEA: a secure and efficient authentication and authorization architecture for IoT based
healthcare using smart gateways. Procedia Comput. Sci. 52, 452–459 (2015)
7. Hurtado, N.M.C., Zarifi, M.H., Daneshmand, M., Llobet, J.A.: Flexible micro displacement
sensor for wearable/ implantable biomedical applications. IEEE Sens. J. 17(12), 3873–3883
(2017)
8. Liao, Y., Leeson, M.S., Higgins, M.D., Bai, C.: Analysis of in-to-out wireless body area
network systems: towards QoS -aware health internet of things applications. Electron. 5(38)
(2016). https://doi.org/10.3390/electronics5030038
9. Harshitha, S.R.P., Narramneni, P., Raghavee, N.S.: Body sensor using internet of things
(IOT). ARPN J. Eng. Appl. Sci. 13(8), 2916–2922 (2018)
10. Rishani, N.R., Elayan, H., Shubair, R.M., Kiourti, A.: Wearable, epidermal and implantable
sensors for medical applications. arXiv:1810.00321v1 [eess.SP] (2018)
11. Samie, F., Bauer, L., Henkel, J.: An approximate compressor for wearable biomedical
healthcare monitoring systems. In: Proceedings of the 10th International Conference on
Hardware/Software Co-design and System Synthesis, pp. 133–142. IEEE Press (2015)
12. Chang, V., Kuo, Y.-H., Ramachandran, M.: Cloud computing adoption framework: a security
framework for business clouds. Future Gener. Comput. Syst. 57, 24–41 (2016)
13. Jansen, W., Grance, T., et al.: Guidelines on Security and Privacy in Public Cloud Computing,
pp. 10–16. NIST Special Publication (2011)
14. Suo, H., Wan, J., Zou, C., Liu, J.: Security in the internet of things: a review. In: International
Conference on Computer Science and Electronics Engineering (ICCSEE). IEEE, pp. 648–651
(2012)
15. Istepanian, R., Hu, S., Philip, N., Sungoor, A.: The potential of internet of mhealth things
m-iot for non-invasive glucose level sensing. In: 2011 Annual International Conference of the
IEEE Engineering in Medicine and Biology Society (EMBC), pp. 5264–5266 (2011)
16. https://www.rxlist.com/ryzodeg-drug.html
17. Provenzano, V., Guastamacchia, E., Brancato, D.: Closing the loop with OpenAPS in people
with type 1 diabetes—experience from Italy. Diabetes 67(1) (2018). https://doi.org/10.2337/
db18-993-P
18. https://www.asthma.org.uk/connectedasthma
19. Latuszynski, D.K., Schoch, P., Qadir, M.T., Cunha, B.A.: Roteus penneri urosepsis in a
patient with diabetes mellitus. Heart Lung 27(2), 146–148 (1998)
20. https://www.sensimed.ch/sensimed-triggerfish
21. Culpepper, Larry, Culpepper, Larry, Muskin, Philip R., Stahl, Stephen M.: Major depressive
disorder: understanding the significance of residual symptoms and balancing efficacy with
tolerability. Am. J. Med. 128(9), S1–S15 (2015)
304 R. Dhaya et al.

22. Lee, S.I., Park, E., Huang, A., Mortazavi, B., Garst, J.H., Jahanforouz, N., Espinal, M., Siero,
T., Pollack, S., Afridi, M.: Objectively quantifying walking ability in degenerative spinal
disorder patients using sensor equipped smart shoes. Med. Eng. Phys. 38(5), 442–449 (2016)
23. Yao, J., Feng, B., Zhang, Z., Li, C., Zhang, W., Guo, Z., Zhao, H., Zhou, L.: Blood
coagulation testing smartphone platform using quartz crystal microbalance dissipation
method. Sensors (Basel) 18(9), 1–12 (2018)
24. https://www.apple.com/healthcare/apple-watch
25. Fanucci, L., Saponara, S., Bacchillone, T., Donati, M., Barba, P., Sánchez-Tato, I., Carmona,
C.: Sensing devices and sensor signal processing for remote monitoring of vital signs in chf
patients. IEEE Trans. Instrum. Meas. 62(3), p553–p569 (2013)
26. Constant, N., Douglas-Prawl, O., Johnson, S., Mankodiya, K.: Pulse-glasses: an unobtrusive,
wearable hr monitor with internet-of-things functionality. In: 2015 IEEE 12th International
Conference on Wearable and Implantable Body Sensor Networks (BSN). IEEE, pp. 1–5
(2015)
27. Pharow, P., Blobel, B.: Mobile health requires mobile security: challenges, solutions, and
standardization, Stud. Health Technol. Inform. 136 (2008)
28. Li, Y., Chen, X., Tian, J., Zhang, X., Wang, K., Yang, J.: Automatic recognition of sign
language sub-words based on portable accelerometer and EMG sensors. In: International
Conference on Multimodal Interfaces and the Workshop on Machine Learning for
Multimodal Interaction, pp. 17–21. ACM (2010)
29. Ng, W., Lau, H.-L.: Effective approaches for watermarking XML data. In: International
Conference on Database Systems for Advanced Application, pp. 68–80. Springer, Berlin
(2005)
30. Vilamovska, A.-M., Hatziandreu, E., Schindler, H.R., van Oranje-Nassau, C., de Vries, H,
Krapels, J.: Study on the requirements and options for RFID application in healthcare (2009)
31. Kalantarian, H., Motamed, B., Alshurafa, N., Sarrafzadeh, M.: A wearable sensor system for
medication adherence prediction. Artif. Intell. Med. 69, 43–52 (2016)
32. Kumar, P., Verma, J., Prasad, S.: Hand data glove: a wearable real-time device for
human-computer interaction. Int. J. Adv. Sci. Technol. 41–52 (2012)
33. Jara, A.J., Zamora-Izquierdo, M.A., Skarmeta, A.F.: Interconnection framework for mhealth
and remote monitoring based on the internet of things. IEEE J. Sel. Areas Commun. 31(9),
47–65 (2013)
34. Sokol, M.C., McGuigan, K.A., Verbrugge, R.R., Epstein, R.S.: Impact of medication
adherence on hospitalization risk and healthcare cost. Med. Care 43(6), 521–530 (2005)
35. Granados, J., Rahmani, A.-M., Nikander, P., Liljeberg, P., Tenhunen, H.: Web enabled
intelligent gateways for ehealth internet-of-things. Internet of Things, User-Centric IoT,
pp. 248–254. Springer, Berlin (2014)
36. Tamura, T., Kawarada, A., Nambu, M., Tsukada, A., Sasaki, K., Yamakoshi, K.-I.:
E-healthcare at an experimental welfare techno house in Japan. The Open Med. Inform. J. 1
(1), 1–7 (2007)
37. Pirouzan Group. Available at http://pirouzansystem.com/
38. Roman, R., Zhou, J., Lopez, J.: On the features and challenges of security and privacy in
distributed internet of things. Comput. Netw. 57(10), 2266–2279 (2013)
39. Hossain, M.S.: Cloud-supported cyber–physical localization framework for patients moni-
toring. IEEE Syst. J. 11(1), 118–127 (2015)
40. Bortolotti, D., Mangia, M., Bartolini, A., Rovatti, R., Setti, G., Benini, L.: An ultra-low power
dual-mode ecg monitor for healthcare and wellness. In: 2015 Design, Automation & Test in
Europe Conference & Exhibition (DATE). IEEE, pp. 1611–1616 (2015)
41. Dubey, H., Monteiro, A., Mahler, L., Akbar, U., Sun, Y., Yang, Q., Mankodiya, K.: FogCare:
fog-assisted internet of things for smart telemedicine. Future Gener. Comput. Syst.
arXiv:1701.08680v1 [cs.DC]