The increasing use of wearables in smart telehealth generates heterogeneous medical big data. Cloud and fog services process these data for assisting clinical procedures. IoT based ehealthcare have greatly benefited from efficient data processing. This paper proposed and evaluated use of low-resource machine learning on Fog devices kept close to the wearables for smart healthcare. In state-of-the-art telecare systems, the signal processing and machine learning modules are deployed in the cloud for processing physiological data. We developed a prototype of Fog-based unsupervised machine learning big data analysis for discovering patterns in physiological data. We employed Intel Edison and Raspberry Pi as Fog computer in proposed architecture. We performed validation studies on real-world pathological speech data from in-home monitoring of patients with Parkinson's disease (PD). Proposed architecture employed machine learning for analysis of pathological speech data obtained from smartwatches worn by the patients with PD. Results showed that proposed architecture is promising for low-resource clinical machine learning. It could be useful for other applications within wearable IoT for smart telehealth scenarios by translating machine learning approaches from the cloud backend to edge computing devices such as Fog.

Abstract. In the era when the market segment of Internet of Things (IoT) tops the chart in various business reports, it is apparently envisioned that the field of medicine expects to gain a large benefit from the explosion of wearables and internet-connected sensors that surround us to acquire and communicate unprecedented data on symptoms, medication, food intake, and daily-life activities impacting one's health and wellness. However, IoT-driven healthcare would have to overcome many barriers, such as: 1) There is an increasing demand for data storage on cloud servers where the analysis of the medical big data becomes increasingly complex; 2) The data, when communicated, are vulnerable to security and privacy issues; 3) The communication of the continuously collected data is not only costly but also energy hungry; 4) Operating and maintaining the sensors directly from the cloud servers are non-trial tasks. This book chapter defined Fog Computing in the context of medical IoT. Conceptually, Fog Computing is a serviceoriented intermediate layer in IoT, providing the interfaces between the sensors and cloud servers for facilitating connectivity, data transfer, and queryable local database. The centerpiece of Fog computing is a low-power, intelligent, wireless, embedded computing node that carries out signal conditioning and data analytics on raw data collected from wearables or other medical sensors and offers efficient means to serve telehealth interventions. We implemented and tested an fog computing system using the Intel Edison and Raspberry Pi that allows acquisition, computing, storage and communication of the various medical data such as pathological speech data of individuals with speech disorders, Phonocardiogram (PCG) signal for heart rate estimation, and Electrocardiogram (ECG)-based Q, R, S detection. The book chapter ends with experiments and results showing how fog computing could lessen the obstacles of existing cloud-driven medical IoT solutions and enhance the overall performance of the system in terms of computing intelligence, transmission, storage, configurable, and security. The case studies on various types of physiological data shows that the proposed Fog architecture could be used for signal enhancement, processing and analysis of various types of bio-signals.

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Today, wearable internet-of-things (wIoT) devices continuously flood the cloud data centers at an enormous rate. This increases a demand to deploy an edge infrastructure for computing, intelligence, and storage close to the users. The emerging paradigm of fog computing could play an important role to make wIoT more efficient and affordable. Fog computing is known as the cloud on the ground. This paper presents an end-to-end architecture that performs data conditioning and intelligent filtering for generating smart analytics from wearable data. In wIoT, wearable sensor devices serve on one end while the cloud backend offers services on the other end. We developed a prototype of smart fog gateway (a middle layer) using Intel Edison and Raspberry Pi. We discussed the role of the smart fog gateway in orchestrating the process of data conditioning, intelligent filtering, smart analytics, and selective transfer to the cloud for long-term storage and temporal variability monitoring. We benchmarked the performance of developed prototypes on real-world data from smart e-textile gloves. Results demonstrated the usability and potential of proposed architecture for converting the real-world data into useful analytics while making use of knowledge-based models. In this way, the smart fog gateway enhances the end-to-end interaction between wearables (sensor devices) and the cloud.

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