Performance Evaluation of Healthcare Monitoring System over Heterogeneous Wireless Networks

Sabato Manfredi

Faculty of Engineering, University of Naples Federico II, Napoli, Italy.

DOI: 10.4236/etsn.2012.13005                

Abstract

The wide diffusion of healthcare monitoring systems allows continuous patient to be remotely monitored and diagnosed by doctors. The problem of congestion, namely due to the uncontrolled increase of traffic with respect to the network capacity, is one of the most common phenomena affecting the reliability of transmission of information in any network. The aim of the paper is to build a realistic simulation environment for healthcare system including some of the main vital signs model, wireless sensor and mesh network protocols implementation. The simulator environment is an efficient mean to analyze and evaluate in a realistic scenario the healthcare system performance in terms of reliability and efficiency.

Keywords

Modeling, Simulation and Management of Health-Care Systems; Applications of Information and Communication Technologies to Health-Care Management; E-Health; Remote Health Monitoring; Telemedicine; Chronic Disease Management

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Report Industrial Wireless Technology for the 21st Century. Report, Technology Foresight 2004; TF-2004-1.
[2]	Hung, K. Zhang Y., Implementation of a WAP-Based Telemedicine System for Patient Monitoring, IEEE Trans. Information Technology in Biomedicine, vol. 7, no. 2, 2003, 101-107. doi:10.1109/TITB.2003.811870
[3]	Jovanov E., et al. Stress Monitoring Using a Distributed Wireless Intelligent Sensor System., IEEE Eng. Medicine and Biology Magazine, vol. 22, 3,2003.
[4]	Jovanov, E. Milenkovic, A, Otto, C. De Groen, P A wireless body area network of intelligent motion sensors for computer assisted physical rehabilitation, Journal of NeuroEngineering and Rehabilitation, Vol. 2, No. 1, 2005. doi:10.1186/1743-0003-2-6
[5]	Gao, T. et al. Vital Signs Monitoring and Patient Tracking over a Wireless Network, IEEE Proc. 27th Ann. Int'l Conf. Eng. In Medicine and Biology Soc.2005.
[6]	Kafeza, et al. Alerts in Mobile Healthcare Applications: Requirements and Pilot Study, IEEE Trans. Information Technology in Biomedicine, vol. 8, no. 2, 2004. doi:10.1109/TITB.2004.828888
[7]	Varshney, U. Wireless Networks for Enhanced Monitoring of Patients, Int'l J. Healthcare Technology and Management, vol. 6, 2005, 489-499. doi:10.1504/IJHTM.2005.007009
[8]	Poli C., Pietrabissa A., Ferriero D.G., Grigioni M. An optimization framework for hospital assets tracking with sensor networks, GNB2012, ISBN: 978 88 555 3182-5, 2012
[9]	O'Donovan, T., O'Donoghue, J., Sreenan, C., O'Reilly, P., Sammon, D. O'Connor, K. A Context Aware Wireless Body Area Network (BAN), In proceedings of the Pervasive Health Conference, 2009.
[10]	Yazdandoost, K. et al. Channel Model for Body Area Network (BAN). IEEE P802.15-08-0780-06-0006, 2009;
[11]	Zhang ,Y., Gulliver, T.A. Quality of service for ad hoc on-demand distance vector routing, in IEEE International Conference on Wireless And Mobile Computing, vol. 3, 2005.
[12]	Age Data. U.S. Census Bureau Statistics. Available: http://www.census.gov/population/www/socdemo/
[13]	L. Gatzoulis and I. Iakovidis,Wearable and portable eHealth systems, IEEE Eng. Med. Biol. Mag., vol. 26, no. 5, pp. 51?56, 2007. doi:10.1109/EMB.2007.901787
[14]	Price CP, St John A, Hicks JM, eds. Point-of-Care Testing, 2nd ed. Washington, DC, AACC Press, 2004.
[15]	Tudos AJ, Besselink GAJ, Schasfoort RBM. Trends in miniaturized total analysis systems for point-of-care testing in clinical chemistry. Lab Chip,1,83?95, 2001. doi:10.1039/b106958f
[16]	S. Rhee, B.-H.Yang, and H. H. Asada, Artifact-resistant power-efficient design of finger-ring plethysmographic sensors, IEEE Trans. Biomed. Eng., vol. 48, no. 5, pp. 795?805, 2001. doi:10.1109/10.930904
[17]	S. Guillen, M. T. Arredondo, V. Traver, J. M. Garcia, and C. Fernandez, Multimedia telehomecare system using standard TV set, IEEE Trans. Biomed. Eng., vol. 9, no. 12, pp. 1431?1437, Dec. 2002. doi:10.1109/TBME.2002.805457
[18]	C. Lau, R. S. Churchill, J. Kim, F. A. I. Matsen, and Y. Kim, Asynchronous web-based patient-centered home telemedicine system, IEEE Trans. Biomed. Eng., vol. 49, no. 12, pp. 1452?1462, Dec. 2002. doi:10.1109/TBME.2002.805456
[19]	Zigbee Alliance. (2009, Jun. 15). Available: www.zigbee.org
[20]	Bluetooth. (2009, Jun. 15). Available: www.bluetooth.com
[21]	IEEE 802.15 WPAN Task Group 6. (2009, Jun. 15). [Online]. Available: http://www.ieee802.org/15/pub/TG6.html
[22]	A. Woo and D. C. Culler, A transmission control scheme for media access in sensor network, in Proc. ACM Mobicom, July 2004.
[23]	C. Y. Wan, S. B. Eisenman, and A. T. Campbell, CODA: Congestion detection and avoidance in sensor networks, in Proc. ACM Sensys?03,
[24]	S.M. ElRakabawy, C. Lindemann, A Practical Adaptive Pacing Scheme for TCP in Multihop Wireless Networks, IEEE/ACM Transactions on Networking, 2011. doi:10.1109/TNET.2010.2095038
[25]	J. Zhao, L. Wang, S. Li, X. Liu, Z. Yuan, Z. Gao, A Survey of Congestion Control Mechanisms in Wireless Sensor Networks, Sixth International Conference on Intelligent Information Hiding and Multimedia Signal Processing, 2010. doi:10.1109/IIHMSP.2010.182
[26]	C.T. Ee and R. Bajcsy, Congestion control and fairness for many-to-one routing in sensor networks,? in Proc. ACM Sensys?04, Nov. 2004.
[27]	B. Hull, K. Jamieson, and H. Balakrishnan, Mitigating congestion in wireless sensor networks,? in Proc. ACM Sensys?04, Nov. 2004.
[28]	P. Levis, N. Patel, D. Culler, and S. Shanker, Trickle: A self regulating algorithm for code propagation and maintenance in wireless sensor networks, in Proc. 1st Symposium Networked Systems Design Implementation, Mar. 2004.
[29]	S.H. Low, D.E. Lapsley, Optimization Flow Control I, IEEE/ACM Transaction on Networking, 7, 861?874, 1999. doi:10.1109/90.811451
[30]	F.P. Kelly, A.K. Maulloo, D.K.H. Tan, Rate control in communication networks: shadow prices, proportional fairness, and stability, Journal of the Operational Research Society 49, 237?252, 1998.
[31]	S. Low, F. Paganini, J.C. Doyle, Internet Congestion Control, IEEE Control Systems Magazine 22.
[32]	J. Mo, J. Walrand, Fair end-to-end window-based congestion control, IEEE/ACM Transaction on Networking 8, 5, 556?567, 2000. doi:10.1109/90.879343
[33]	S. Manfredi, Reliable and energy-efficient cooperative routing algorithm for wireless monitoring systems, IET Wireless Sensor Systems, 2, 2, 128-135, 2012. doi:10.1049/iet-wss.2011.0103
[34]	S. Manfredi, A Cooperative Routing Algorithm to Increase QoS in Wireless E-Healthcare Systems, E-Healthcare Systems and Wireless Communications: Current and Future Challenges , IGI Global, 2012
[35]	I.F. Akyildiz, W. Su, Y. Sankarasubramaniam, E. Cayirci, Wireless sensor networks: a survey, Computer Networks Volume 38, Issue 4, 15 March 2002, Pages 393-422. doi:10.1016/S1389-1286(01)00302-4
[36]	F. H.Wilhelm, M. C. Pfaltz, and P. Grossman, Continuous electronic data capture of physiology, behavior and experience in real life: Towards ecological momentary assessment of emotion, Interacting Computers, vol. 18, no. 2, pp. 171?186, Mar. 2006. doi:10.1016/j.intcom.2005.07.001
[37]	A. Matsubara and S. Tanaka, Unconstrained and noninvasive measurement of heartbeat and respiration for drivers using a strain gauge, in Proc. 41st SICE Ann. Conf., Aug. 5?7, 2002, vol. 2, pp. 1067-1068. doi:10.1109/SICE.2002.1195323
[38]	C. T. Huang, C. L. Shen, C. F. Tang, and S. H. Chang, A wearable yarn-based piezo-resistive sensor,, Sensors and Actuators A: Physical, vol. 141, no. 2, pp. 396?403, Feb. 2008. doi:10.1016/j.sna.2007.10.069
[39]	M. Patel and J. Wang, Applications, Challenges, and Prospective in emerging Body Area Networking Technologies, IEEE Wireless Communications, February 2010. doi:10.1109/MWC.2010.5416354
[40]	McSharry PE, Clifford GD, Tarassenko L, Smith L. A dynamical model for generating synthetic electrocardiogram signals., IEEE Transactions on Biomedical Engineering 50, 3, 289-294; March 2003. doi:10.1109/TBME.2003.808805
[41]	Ohlin M., Henriksson D. Anton Cervin A., TrueTime 1.5 ? Reference Manual, Department of Automatic Control, Lund University, 2007.