Industry 4.0 Technologies in Maternal Health Care: Bibliometric Analysis and Research Agenda.

BACKGROUND: Industry 4.0 (I4.0) technologies have improved operations in health care facilities by optimizing processes, leading to efficient systems and tools to assist health care personnel and patients. OBJECTIVE: This study investigates the current implementation and impact of I4.0 technologies within maternal health care, explicitly focusing on transforming care processes, treatment methods, and automated pregnancy monitoring. Additionally, it conducts a thematic landscape mapping, offering a nuanced understanding of this emerging field. Building on this analysis, a future research agenda is proposed, highlighting critical areas for future investigations. METHODS: A bibliometric analysis of publications retrieved from the Scopus database was conducted to examine how the research into I4.0 technologies in maternal health care evolved from 1985 to 2022. A search strategy was used to screen the eligible publications using the abstract and full-text reading. The most productive and influential journals; authors', institutions', and countries' influence on maternal health care; and current trends and thematic evolution were computed using the Bibliometrix R package (R Core Team). RESULTS: A total of 1003 unique papers in English were retrieved using the search string, and 136 papers were retained after the inclusion and exclusion criteria were implemented, covering 37 years from 1985 to 2022. The annual growth rate of publications was 9.53%, with 88.9% (n=121) of the publications observed in 2016-2022. In the thematic analysis, 4 clusters were identified-artificial neural networks, data mining, machine learning, and the Internet of Things. Artificial intelligence, deep learning, risk prediction, digital health, telemedicine, wearable devices, mobile health care, and cloud computing remained the dominant research themes in 2016-2022. CONCLUSIONS: This bibliometric analysis reviews the state of the art in the evolution and structure of I4.0 technologies in maternal health care and how they may be used to optimize the operational processes. A conceptual framework with 4 performance factors-risk prediction, hospital care, health record management, and self-care-is suggested for process improvement. a research agenda is also proposed for governance, adoption, infrastructure, privacy, and security.

Longitudinal Coadaptation of Older Adults With Wearables and Voice-Activated Virtual Assistants: Scoping Review.

BACKGROUND: The integration of smart technologies, including wearables and voice-activated devices, is increasingly recognized for enhancing the independence and well-being of older adults. However, the long-term dynamics of their use and the coadaptation process with older adults remain poorly understood. This scoping review explores how interactions between older adults and smart technologies evolve over time to improve both user experience and technology utility. OBJECTIVE: This review synthesizes existing research on the coadaptation between older adults and smart technologies, focusing on longitudinal changes in use patterns, the effectiveness of technological adaptations, and the implications for future technology development and deployment to improve user experiences. METHODS: Following the Joanna Briggs Institute Reviewer's Manual and PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines, this scoping review examined peer-reviewed papers from databases including Ovid MEDLINE, Ovid Embase, PEDro, Ovid PsycINFO, and EBSCO CINAHL from the year 2000 to August 28, 2023, and included forward and backward searches. The search was updated on March 1, 2024. Empirical studies were included if they involved (1) individuals aged 55 years or older living independently and (2) focused on interactions and adaptations between older adults and wearables and voice-activated virtual assistants in interventions for a minimum period of 8 weeks. Data extraction was informed by the selection and optimization with compensation framework and the sex- and gender-based analysis plus theoretical framework and used a directed content analysis approach. RESULTS: The search yielded 16,143 papers. Following title and abstract screening and a full-text review, 5 papers met the inclusion criteria. Study populations were mostly female participants and aged 73-83 years from the United States and engaged with voice-activated virtual assistants accessed through smart speakers and wearables. Users frequently used simple commands related to music and weather, integrating devices into daily routines. However, communication barriers often led to frustration due to devices' inability to recognize cues or provide personalized responses. The findings suggest that while older adults can integrate smart technologies into their lives, a lack of customization and user-friendly interfaces hinder long-term adoption and satisfaction. The studies highlight the need for technology to be further developed so they can better meet this demographic's evolving needs and call for research addressing small sample sizes and limited diversity. CONCLUSIONS: Our findings highlight a critical need for continued research into the dynamic and reciprocal relationship between smart technologies and older adults over time. Future studies should focus on more diverse populations and extend monitoring periods to provide deeper insights into the coadaptation process. Insights gained from this review are vital for informing the development of more intuitive, user-centric smart technology solutions to better support the aging population in maintaining independence and enhancing their quality of life. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/51129.

Predictive health behavior modeling using multimodal feature correlations via Medical Internet-of-Things devices.

Due to the advent of IoT (Internet of Things) based devices that help to monitor different human behavioral aspects. These aspects include sleeping patterns, activity patterns, heart rate variability (HRV) patterns, location-based moving patterns, blood oxygen levels, etc. A correlative study of these patterns can be used to find linkages of behavioral patterns with human health conditions. To perform this task, a wide variety of models is proposed by researchers, but most of them vary in terms of used parameters, which limits their accuracy of analysis. Moreover, most of these models are highly complex and have lower parameter flexibility, thus, cannot be scaled for real-time use cases. To overcome these issues, this paper proposes design of a behavior modeling method that assists in future health predictions via multimodal feature correlations using medical IoT devices via deep transfer learning analysis. The proposed model initially collects large-scale sensor data about the subjects, and correlates them with the existing medical conditions. This correlation is done via extraction of multidomain feature sets that assist in spectral analysis, entropy evaluations, scaling estimation, and window-based analysis. These multidomain feature sets are selected by a Firefly Optimizer (FFO) and are used to train a Recurrent Neural Network (RNN) Model, that assists in prediction of different diseases. These predictions are used to train a recommendation engine that uses Apriori and Fuzzy C Means (FCM) for suggesting corrective behavioral measures for a healthier lifestyle under real-time conditions. Due to these operations, the proposed model is able to improve behavior prediction accuracy by 16.4%, precision of prediction by 8.3%, AUC (area under the curve) of prediction by 9.5%, and accuracy of corrective behavior recommendation by 3.9% when compared with existing methods under similar evaluation conditions.

An efficient secure and energy resilient trust-based system for detection and mitigation of sybil attack detection (SAN).

In the modern digital market flooded by nearly endless cyber-security hazards, sophisticated IDS (intrusion detection systems) can become invaluable in defending against intricate security threats. Sybil-Free Metric-based routing protocol for low power and lossy network (RPL) Trustworthiness Scheme (SF-MRTS) captures the nature of the biggest threat to the routing protocol for low-power and lossy networks under the RPL module, known as the Sybil attack. Sybil attacks build a significant security challenge for RPL networks where an attacker can distort at least two hop paths and disrupt network processes. Using such a new way of calculating node reliability, we introduce a cutting-edge approach, evaluating parameters beyond routing metrics like energy conservation and actuality. SF-MRTS works precisely towards achieving a trusted network by introducing such trust metrics on secure paths. Therefore, this may be considered more likely to withstand the attacks because of these security improvements. The simulation function of SF-MRTS clearly shows its concordance with the security risk management features, which are also necessary for the network's performance and stability maintenance. These mechanisms are based on the principles of game theory, and they allocate attractions to the nodes that cooperate while imposing penalties on the nodes that do not. This will be the way to avoid damage to the network, and it will lead to collaboration between the nodes. SF-MRTS is a security technology for emerging industrial Internet of Things (IoT) network attacks. It effectively guaranteed reliability and improved the networks' resilience in different scenarios.

Improved temporal IoT device identification using robust statistical features.

The Internet of Things (IoT) is becoming more prevalent in our daily lives. A recent industry report projected the global IoT market to be worth more than USD 4 trillion by 2032. To cope with the ever-increasing IoT devices in use, identifying and securing IoT devices has become highly crucial for network administrators. In that regard, network traffic classification offers a promising solution by precisely identifying IoT devices to enhance network visibility, allowing better network security. Currently, most IoT device identification solutions revolve around machine learning, outperforming prior solutions like port and behavioural-based. Although performant, these solutions often experience performance degradation over time due to statistical changes in the data. As a result, they require frequent retraining, which is computationally expensive. Therefore, this article aims to improve the model performance through a robust alternative feature set. The improved feature set leverages payload lengths to model the unique characteristics of IoT devices and remains stable over time. Besides that, this article utilizes the proposed feature set with Random Forest and OneVSRest to optimize the learning process, particularly concerning the easier addition of new IoT devices. On the other hand, this article introduces weekly dataset segmentation to ensure fair evaluation over different time frames. Evaluation on two datasets, a public dataset, IoT Traffic Traces, and a self-collected dataset, IoT-FSCIT, show that the proposed feature set maintained above 80% accuracy throughout all weeks on the IoT Traffic Traces dataset, outperforming selected benchmark studies while improving accuracy over time by +10.13% on the IoT-FSCIT dataset.

Data Collection and Management of mHealth, Wearables, and Internet of Things in Digital Behavioral Health Interventions With the Awesome Data Acquisition Method (ADAM): Development of a Novel Informatics Architecture.

Unlabelled: The integration of health and activity data from various wearable devices into research studies presents technical and operational challenges. The Awesome Data Acquisition Method (ADAM) is a versatile, web-based system that was designed for integrating data from various sources and managing a large-scale multiphase research study. As a data collecting system, ADAM allows real-time data collection from wearable devices through the device's application programmable interface and the mobile app's adaptive real-time questionnaires. As a clinical trial management system, ADAM integrates clinical trial management processes and efficiently supports recruitment, screening, randomization, data tracking, data reporting, and data analysis during the entire research study process. We used a behavioral weight-loss intervention study (SMARTER trial) as a test case to evaluate the ADAM system. SMARTER was a randomized controlled trial that screened 1741 participants and enrolled 502 adults. As a result, the ADAM system was efficiently and successfully deployed to organize and manage the SMARTER trial. Moreover, with its versatile integration capability, the ADAM system made the necessary switch to fully remote assessments and tracking that are performed seamlessly and promptly when the COVID-19 pandemic ceased in-person contact. The remote-native features afforded by the ADAM system minimized the effects of the COVID-19 lockdown on the SMARTER trial. The success of SMARTER proved the comprehensiveness and efficiency of the ADAM system. Moreover, ADAM was designed to be generalizable and scalable to fit other studies with minimal editing, redevelopment, and customization. The ADAM system can benefit various behavioral interventions and different populations.

Wearable Sensor Node for Safety Improvement in Workplaces: Technology Assessment in a Simulated Environment.

Personal protective equipment (PPE) has been universally recognized for its role in protecting workers from injuries and illnesses. Smart PPE integrates Internet of Things (IoT) technologies to enable continuous monitoring of workers and their surrounding environment, preventing undesirable events, facilitating rapid emergency response, and informing rescuers of potential hazards. This work presents a smart PPE system with a sensor node architecture designed to monitor workers and their surroundings. The sensor node is equipped with various sensors and communication capabilities, enabling the monitoring of specific gases (VOC, CO2, CO, O2), particulate matter (PM), temperature, humidity, positional information, audio signals, and body gestures. The system utilizes artificial intelligence algorithms to recognize patterns in worker activity that could lead to risky situations. Gas tests were conducted in a special chamber, positioning capabilities were tested indoors and outdoors, and the remaining sensors were tested in a simulated laboratory environment. This paper presents the sensor node architecture and the results of tests on target risky scenarios. The sensor node performed well in all situations, correctly signaling all cases that could lead to risky situations.

Deep Learning System for User Identification Using Sensors on Doorknobs.

Door access control systems are important to protect the security and integrity of physical spaces. Accuracy and speed are important factors that govern their performance. In this paper, we investigate a novel approach to identify users by measuring patterns of their interactions with a doorknob via an embedded accelerometer and gyroscope and by applying deep-learning-based algorithms to these measurements. Our identification results obtained from 47 users show an accuracy of 90.2%. When the sex of the user is used as an input feature, the accuracy is 89.8% in the case of male individuals and 97.0% in the case of female individuals. We study how the accuracy is affected by the sample duration, finding that is its possible to identify users using a sample of 0.5 s with an accuracy of 68.5%. Our results demonstrate the feasibility of using patterns of motor activity to provide access control, thus extending with it the set of alternatives to be considered for behavioral biometrics.

Low-Cost, Low-Power Edge Computing System for Structural Health Monitoring in an IoT Framework.

A complete low-power, low-cost and wireless solution for bridge structural health monitoring is presented. This work includes monitoring nodes with modular hardware design and low power consumption based on a control and resource management board called CoreBoard, and a specific board for sensorization called SensorBoard is presented. The firmware is presented as a design of FreeRTOS parallelised tasks that carry out the management of the hardware resources and implement the Random Decrement Technique to minimize the amount of data to be transmitted over the NB-IoT network in a secure way. The presented solution is validated through the characterization of its energy consumption, which guarantees an autonomy higher than 10 years with a daily 8 min monitoring periodicity, and two deployments in a pilot laboratory structure and the Eduardo Torroja bridge in Posadas (Córdoba, Spain). The results are compared with two different calibrated commercial systems, obtaining an error lower than 1.72% in modal analysis frequencies. The architecture and the results obtained place the presented design as a new solution in the state of the art and, thanks to its autonomy, low cost and the graphical device management interface presented, allow its deployment and integration in the current IoT paradigm.

A Compact Wearable Textile Antenna for NB-IoT and ISM Band Patient Tracking Applications.

This paper proposes a novel multi-band textile monopole antenna for patient tracking applications. The designed antenna has compact footprints (0.13λ02) and works in the narrow band-internet of things (NB-IoT) 1.8 GHz, radio frequency identification (RFID), and industrial, scientific, and medical (ISM) 2.45 GHz and 5.8 GHz bands. The impedance bandwidths and gain of the antenna at 1.8 GHz, 2.45 GHz, and 5.8 GHz are 310 MHz, 960 MHz, and 1140 MHz; 3.7 dBi, 5.3 dBi, and 9.6 dBi, respectively. Also, the antenna's behavior is checked on different body parts of the human body in various bending scenarios. As per the evaluated link budget, the designed antenna can easily communicate up to 100 m of distance. The specific absorption rate values of the designed antenna are also within acceptable limits as per the (FCC/ICNIRP) standards at the reported frequency bands. Unlike traditional rigid antennas, the proposed textile antenna is non-intrusive, enhancing user safety and comfort. The denim material makes it comfortable for extended wear, reducing the risk of skin irritation. It can also withstand regular wear and tear, including stretching and bending. The presented denim-based antenna can be seamlessly integrated into clothing and accessories, making it less obtrusive and more aesthetically pleasing.

The role of blockchain to secure internet of medical things.

This study explores integrating blockchain technology into the Internet of Medical Things (IoMT) to address security and privacy challenges. Blockchain's transparency, confidentiality, and decentralization offer significant potential benefits in the healthcare domain. The research examines various blockchain components, layers, and protocols, highlighting their role in IoMT. It also explores IoMT applications, security challenges, and methods for integrating blockchain to enhance security. Blockchain integration can be vital in securing and managing this data while preserving patient privacy. It also opens up new possibilities in healthcare, medical research, and data management. The results provide a practical approach to handling a large amount of data from IoMT devices. This strategy makes effective use of data resource fragmentation and encryption techniques. It is essential to have well-defined standards and norms, especially in the healthcare sector, where upholding safety and protecting the confidentiality of information are critical. These results illustrate that it is essential to follow standards like HIPAA, and blockchain technology can help ensure these criteria are met. Furthermore, the study explores the potential benefits of blockchain technology for enhancing inter-system communication in the healthcare industry while maintaining patient privacy protection. The results highlight the effectiveness of blockchain's consistency and cryptographic techniques in combining identity management and healthcare data protection, protecting patient privacy and data integrity. Blockchain is an unchangeable distributed ledger system. In short, the paper provides important insights into how blockchain technology may transform the healthcare industry by effectively addressing significant challenges and generating legal, safe, and interoperable solutions. Researchers, doctors, and graduate students are the audience for our paper.

Passive UHF RFID-based real-time intravenous fluid level sensor.

Ultra high frequency (UHF) passive radio frequency identification (RFID) tag-based sensors are proposed for intravenous (IV) fluid level monitoring in medical Internet of Things (IoT) applications. Two versions of the sensor are proposed: a binary sensor (i.e., full vs. empty state sensing) and a real-time (i.e., continuous level) sensor. The operating principle is demonstrated using full-wave electromagnetic simulation at 910 MHz and validated with experimental results. Generalized Additive Model (GAM) and random forest algorithms are employed for each interrogation dataset. Real-time sensing is accomplished with small deviations across the models. A minimum of 72% and a maximum of 97% of cases are within a 20% error for the GAM model and 62% to 98% for the random forest model. The proposed sensor is battery-free, lightweight, low-cost, and highly reliable. The read range of the proposed sensor is 4.6 m.

Real-time IoT-powered AI system for monitoring and forecasting of air pollution in industrial environment.

Air pollution in industrial environments, particularly in the chrome plating process, poses significant health risks to workers due to high concentrations of hazardous pollutants. Exposure to substances like hexavalent chromium, volatile organic compounds (VOCs), and particulate matter can lead to severe health issues, including respiratory problems and lung cancer. Continuous monitoring and timely intervention are crucial to mitigate these risks. Traditional air quality monitoring methods often lack real-time data analysis and predictive capabilities, limiting their effectiveness in addressing pollution hazards proactively. This paper introduces a real-time air pollution monitoring and forecasting system specifically designed for the chrome plating industry. The system, supported by Internet of Things (IoT) sensors and AI approaches, detects a wide range of air pollutants, including NH3, CO, NO2, CH4, CO2, SO2, O3, PM2.5, and PM10, and provides real-time data on pollutant concentration levels. Data collected by the sensors are processed using LSTM, Random Forest, and Linear Regression models to predict pollution levels. The LSTM model achieved a coefficient of variation (R²) of 99 % and a mean absolute percentage error (MAE) of 0.33 for temperature and humidity forecasting. For PM2.5, the Random Forest model outperformed others, achieving an R² of 84 % and an MAE of 10.11. The system activates factory exhaust fans to circulate air when high pollution levels are predicted to occur in the next hours, allowing for proactive measures to improve air quality before issues arise. This innovative approach demonstrates significant advancements in industrial environmental monitoring, enabling dynamic responses to pollution and improving air quality in industrial settings.

Microfluidics in smart food safety.

The evolution of food safety practices is crucial in addressing the challenges posed by a growing global population and increasingly complex food supply chains. Traditional methods are often labor-intensive, time-consuming, and susceptible to human error. This chapter explores the transformative potential of integrating microfluidics into smart food safety protocols. Microfluidics, involving the manipulation of small fluid volumes within microscale channels, offers a sophisticated platform for developing miniaturized devices capable of complex tasks. Combined with sensors, actuators, big data analytics, artificial intelligence, and the Internet of Things, smart microfluidic systems enable real-time data acquisition, analysis, and decision-making. These systems enhance control, automation, and adaptability, making them ideal for detecting contaminants, pathogens, and chemical residues in food products. The chapter covers the fundamentals of microfluidics, its integration with smart technologies, and its applications in food safety, addressing the challenges and future directions in this field.

A Cooperative Intrusion Detection System for the Internet of Things Using Convolutional Neural Networks and Black Hole Optimization.

Maintaining security in communication networks has long been a major concern. This issue has become increasingly crucial due to the emergence of new communication architectures like the Internet of Things (IoT) and the advancement and complexity of infiltration techniques. For usage in networks based on the Internet of Things, previous intrusion detection systems (IDSs), which often use a centralized design to identify threats, are now ineffective. For the resolution of these issues, this study presents a novel and cooperative approach to IoT intrusion detection that may be useful in resolving certain current security issues. The suggested approach chooses the most important attributes that best describe the communication between objects by using Black Hole Optimization (BHO). Additionally, a novel method for describing the network's matrix-based communication properties is put forward. The inputs of the suggested intrusion detection model consist of these two feature sets. The suggested technique splits the network into a number of subnets using the software-defined network (SDN). Monitoring of each subnet is done by a controller node, which uses a parallel combination of convolutional neural networks (PCNN) to determine the presence of security threats in the traffic passing through its subnet. The proposed method also uses the majority voting approach for the cooperation of controller nodes in order to more accurately detect attacks. The findings demonstrate that, in comparison to the prior approaches, the suggested cooperative strategy can detect assaults in the NSLKDD and NSW-NB15 datasets with an accuracy of 99.89 and 97.72 percent, respectively. This is a minimum 0.6 percent improvement.

A Review of Recent Hardware and Software Advances in GPU-Accelerated Edge-Computing Single-Board Computers (SBCs) for Computer Vision.

Computer Vision (CV) has become increasingly important for Single-Board Computers (SBCs) due to their widespread deployment in addressing real-world problems. Specifically, in the context of smart cities, there is an emerging trend of developing end-to-end video analytics solutions designed to address urban challenges such as traffic management, disaster response, and waste management. However, deploying CV solutions on SBCs presents several pressing challenges (e.g., limited computation power, inefficient energy management, and real-time processing needs) hindering their use at scale. Graphical Processing Units (GPUs) and software-level developments have emerged recently in addressing these challenges to enable the elevated performance of SBCs; however, it is still an active area of research. There is a gap in the literature for a comprehensive review of such recent and rapidly evolving advancements on both software and hardware fronts. The presented review provides a detailed overview of the existing GPU-accelerated edge-computing SBCs and software advancements including algorithm optimization techniques, packages, development frameworks, and hardware deployment specific packages. This review provides a subjective comparative analysis based on critical factors to help applied Artificial Intelligence (AI) researchers in demonstrating the existing state of the art and selecting the best suited combinations for their specific use-case. At the end, the paper also discusses potential limitations of the existing SBCs and highlights the future research directions in this domain.

A Multi-Sensing IoT System for MiC Module Monitoring during Logistics and Operation Phases.

Modular integrated construction (MiC) is now widely adopted by industry and governments. However, its fragile and delicate logistics are still a concern for impeding project performance. MiC logistic operations involve rigorous multimode transportation, loading-unloading, and stacking during storage. Such processes may induce latent and intrinsic damage to the module. This damage causes safety hazards during assembly and deteriorates the module's structural health during the building use phase. Also, additional inspection and repairs before assembly cause uncertainties and can delay the whole supply chain. Therefore, continuous monitoring of the module's structural response during MiC logistics and the building use phase is vital. An IoT-based multi-sensing system is developed, integrating an accelerometer, gyroscope, and strain sensors to measure the module's structural response. The compact, portable, wireless sensing devices are designed to be easily installed on modules during the logistics and building use phases. The system is tested and calibrated to ensure its accuracy and efficiency. Then, a detailed field experiment is demonstrated to assess the damage, safety, and structural health during MiC logistic operations. The demonstrated damage assessment methods highlight the application for decision-makers to identify the module's structural condition before it arrives on site and proactively avoid any supply chain disruption. The developed sensing system is directly helpful for the industry in monitoring MiC logistics and module structural health during the use phase. The system enables the researchers to investigate and improve logistic strategies and module design by accessing detailed insights into the dynamics of MiC logistic operations.

Unraveling the Chicken Meat Volatilome with Nanostructured Sensors: Impact of Live and Dehydrated Insect Larvae Feeding.

Incorporating insect meals into poultry diets has emerged as a sustainable alternative to conventional feed sources, offering nutritional, welfare benefits, and environmental advantages. This study aims to monitor and compare volatile compounds emitted from raw poultry carcasses and subsequently from cooked chicken pieces from animals fed with different diets, including the utilization of insect-based feed ingredients. Alongside the use of traditional analytical techniques, like solid-phase microextraction combined with gas chromatography-mass spectrometry (SPME-GC-MS), to explore the changes in VOC emissions, we investigate the potential of S3+ technology. This small device, which uses an array of six metal oxide semiconductor gas sensors (MOXs), can differentiate poultry products based on their volatile profiles. By testing MOX sensors in this context, we can develop a portable, cheap, rapid, non-invasive, and non-destructive method for assessing food quality and safety. Indeed, understanding changes in volatile compounds is crucial to assessing control measures in poultry production along the entire supply chain, from the field to the fork. Linear discriminant analysis (LDA) was applied using MOX sensor readings as predictor variables and different gas classes as target variables, successfully discriminating the various samples based on their total volatile profiles. By optimizing feed composition and monitoring volatile compounds, poultry producers can enhance both the sustainability and safety of poultry production systems, contributing to a more efficient and environmentally friendly poultry industry.

Architectures for Industrial AIoT Applications.

Industry 4.0 introduced new concepts, technologies, and paradigms, such as Cyber Physical Systems (CPSs), Industrial Internet of Things (IIoT) and, more recently, Artificial Intelligence of Things (AIoT). These paradigms ease the creation of complex systems by integrating heterogeneous devices. As a result, the structure of the production systems is changing completely. In this scenario, the adoption of reference architectures based on standards may guide designers and developers to create complex AIoT applications. This article surveys the main reference architectures available for industrial AIoT applications, analyzing their key characteristics, objectives, and benefits; it also presents some use cases that may help designers create new applications. The main goal of this review is to help engineers identify the alternative that best suits every application. The authors conclude that existing reference architectures are a necessary tool for standardizing AIoT applications, since they may guide developers in the process of developing new applications. However, the use of reference architectures in real AIoT industrial applications is still incipient, so more development effort is needed in order for it to be widely adopted.

A Narrowband IoT Personal Sensor for Long-Term Heart Rate Monitoring and Atrial Fibrillation Detection.

Long-term patient monitoring is required for detection of episodes of atrial fibrillation, one of the most widespread cardiac pathologies. Today, the most used non-invasive technique is Holter electrocardiographic (ECG) monitoring, which can often prove ineffective because of the short duration of recordings (e.g., one day). Other techniques such as photo-plethysmography are adopted by smartwatches for much longer duration monitoring, but this has the disadvantage of offering only intermittent measurements. This study proposes an Internet of Things (IoT) sensor that can provide a very long period of continuous monitoring. The sensor consists of an ECG-integrated Analog Front End (MAX30003), a microcontroller (STM32F401RE), and an IoT narrowband module (STEVAL-STMODLTE). The instantaneous heart rate is extracted from the ECG recording in real time. At intervals of two minutes, the sequence of inter-beat intervals is transmitted to an IoT cloud platform (ThingSpeak). Settled atrial fibrillation event recognition software runs on the cloud and generates alerts when it recognizes such arrhythmia. Performances of the proposed sensor were evaluated by generating analog ECG signals from a public dataset of ECG signals with atrial fibrillation episodes, the MIT-BIH Atrial Fibrillation Database, each recording lasting approximately 10 h. Software implementing the Lorentz algorithm, one of the best detectors of atrial fibrillation, was implemented on the cloud platform. The accuracy, sensitivity, and specificity in recognizing atrial fibrillation episodes of the proposed system was calculated by comparison with a cardiologist's reference data. Across all patients, the proposed method achieved an accuracy of 0.88, a sensitivity 0.71, and a specificity 0.99. The results obtained suggest that the developed system can continuously record and transmit heart rhythms effectively and efficiently and, in addition, offers considerable performance in recognizing atrial fibrillation episodes in real time.