BACKGROUND: The incentive spirometer is a basic and common medical device from which electronic health care data cannot be directly collected. As a result, despite numerous studies investigating clinical use, there remains little consensus on optimal device use and sparse evidence supporting its intended benefits such as prevention of postoperative respiratory complications.
OBJECTIVE: The aim of the study is to develop and test an add-on hardware device for data capture of the incentive spirometer.
METHODS: An add-on device was designed, built, and tested using reflective optical sensors to identify the real-time location of the volume piston and flow bobbin of a common incentive spirometer. Investigators manually tested sensor level accuracies and triggering range calibrations using a digital flowmeter. A valid breath classification algorithm was created and tested to determine valid from invalid breath attempts. To assess real-time use, a video game was developed using the incentive spirometer and add-on device as a controller using the Apple iPad.
RESULTS: In user testing, sensor locations were captured at an accuracy of 99% (SD 1.4%) for volume and 100% accuracy for flow. Median and average volumes were within 7.5% (SD 6%) of target volume sensor levels, and maximum sensor triggering values seldom exceeded intended sensor levels, showing a good correlation to placement on 2 similar but distinct incentive spirometer designs. The breath classification algorithm displayed a 100% sensitivity and a 99% specificity on user testing, and the device operated as a video game controller in real time without noticeable interference or delay.
CONCLUSIONS: An effective and reusable add-on device for the incentive spirometer was created to allow the collection of previously inaccessible incentive spirometer data and demonstrate Internet-of-Things use on a common hospital device. This design showed high sensor accuracies and the ability to use data in real-time applications, showing promise in the ability to capture currently inaccessible clinical data. Further use of this device could facilitate improved research into the incentive spirometer to improve adoption, incentivize adherence, and investigate the clinical effectiveness to help guide clinical care.

Studies analyzing indoor thermal environments comprising temperature and humidity may be insufficient when obtaining data from sensors, which may be susceptible to inaccurate or failed information from internal and external factors. Therefore, this study proposes an intelligent climate monitoring using a supervised learning method for virtual hygrothermal measurement in enclosed buildings used to predict temperature and relative humidity when a sensor failure is detected. The methodology comprises the data collection from a wireless sensor network, the building of the learning model for predicting the dynamics of environmental variables, and the implementation of a sensor failure detection model. We use an artificial hydrocarbon network as the learning model for their simplicity and effectiveness under uncertain and noisy data. The experiments use data acquired in two settings: (1) a laboratory office and (2) a museum storage room. The first scenario has multiple workstations, and the staff turns on or off the air conditioning depending on the feeling of comfort, generating an uncontrolled environment for the variables of interest. The second scenario has controlled temperature and humidity to ensure the conservation conditions of the museum pieces. Both scenarios used 12 sensors that acquired data for one month, providing an average of 58,300 values for each variable. Results of the proposed methodology provide 95% of accuracy in terms of sensor failure detection and identification, and less than 0.22% of tolerance variability in temperature and humidity after sensor accommodation in both scenarios.

The emergence of remote health monitoring and increased at-home care emphasizes the importance of patient adherence outside the clinical setting. This is particularly pertinent in the treatment of Attention Deficit Hyperactivity Disorder (ADHD) in pediatric patients, as the population inherently has difficulty remembering and initiating treatment tasks. Neurostimulation is an emerging treatment modality for pediatric ADHD and requires strict adherence to a treatment regimen to be followed in an at-home setting. Thus, to achieve the desired therapeutic effect, careful attention must be paid to design features that can passively promote and effectively monitor therapeutic adherence. This work describes instrumentation designed to support a clinical trial protocol that tests whether choice of color, or color itself, can statistically significantly increase adherence rates in pediatric ADHD patients in an extraclinical environment. This is made possible through the development and application of an internet-of-things approach in a remote adherence monitoring technology that can be implemented in forthcoming neurostimulation devices for pediatric patient use. This instrumentation requires minimal input from the user, is durable and resistant to physical damage, and provides accurate adherence data to parents and physicians, increasing assurance that neurostimulation devices are effective for at-home care.

The introduction of Internet-connected technologies to the classroom has the potential to revolutionize STEM education by allowing students to perform experiments in complex models that are unattainable in traditional teaching laboratories. By connecting laboratory equipment to the cloud, we introduce students to experimentation in pluripotent stem cell (PSC)-derived cortical organoids in two different settings: using microscopy to monitor organoid growth in an introductory tissue culture course and using high-density (HD) multielectrode arrays (MEAs) to perform neuronal stimulation and recording in an advanced neuroscience mathematics course. We demonstrate that this approach develops interest in stem cell and neuroscience in the students of both courses. All together, we propose cloud technologies as an effective and scalable approach for complex project-based university training.

In today\'s world, merging sensor-based security systems with contemporary principles has become crucial. As we witness the ever-growing number of interconnected devices in the Internet of Things (IoT), it is imperative to have robust and trustworthy security measures in place. In this paper, we examine the idea of virtualizing the communication infrastructure for smart farming in the context of IoT. Our approach utilizes a metaverse-based framework that mimics natural processes such as mycelium network growth communication with a security-concept-based srtificial immune system (AIS) and transaction models of a multi-agent system (MAS). The mycelium, a bridge that transfers nutrients from one plant to another, is an underground network (IoT below ground) that can interconnect multiple plants. Our objective is to study and simulate the mycelium\'s behavior, which serves as an underground IoT, and we anticipate that the simulation results, supported by diverse aspects, can be a reference for future IoT network development. A proof of concept is presented, demonstrating the capabilities of such a virtualized network for dedicated sensor communication and easy reconfiguration for various needs.

BACKGROUND: e-Health has played a crucial role during the COVID-19 pandemic in primary health care. e-Health is the cost-effective and secure use of Information and Communication Technologies (ICTs) to support health and health-related fields. Various stakeholders worldwide use ICTs, including individuals, non-profit organizations, health practitioners, and governments. As a result of the COVID-19 pandemic, ICT has improved the quality of healthcare, the exchange of information, training of healthcare professionals and patients, and facilitated the relationship between patients and healthcare providers. This study systematically reviews the literature on ICT-based automatic and remote monitoring methods, as well as different ICT techniques used in the care of COVID-19-infected patients.
OBJECTIVE: The purpose of this systematic literature review is to identify the e-Health methods, associated ICTs, method implementation strategies, information collection techniques, advantages, and disadvantages of remote and automatic patient monitoring and care in COVID-19 pandemic.
METHODS: The search included primary studies that were published between January 2020 and June 2022 in scientific and electronic databases, such as EBSCOhost, Scopus, ACM, Nature, SpringerLink, IEEE Xplore, MEDLINE, Google Scholar, JMIR, Web of Science, Science Direct, and PubMed. In this review, the findings from the included publications are presented and elaborated according to the identified research questions. Evidence-based systematic reviews and meta-analyses were conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. Additionally, we improved the review process using the Rayyan tool and the Scale for the Assessment of Narrative Review Articles (SANRA). Among the eligibility criteria were methodological rigor, conceptual clarity, and useful implementation of ICTs in e-Health for remote and automatic monitoring of COVID-19 patients.
RESULTS: Our initial search identified 664 potential studies; 102 were assessed for eligibility in the pre-final stage and 65 articles were used in the final review with the inclusion and exclusion criteria. The review identified the following eHealth methods-Telemedicine, Mobile Health (mHealth), and Telehealth. The associated ICTs are Wearable Body Sensors, Artificial Intelligence (AI) algorithms, Internet-of-Things, or Internet-of-Medical-Things (IoT or IoMT), Biometric Monitoring Technologies (BioMeTs), and Bluetooth-enabled (BLE) home health monitoring devices. Spatial or positional data, personal and individual health, and wellness data, including vital signs, symptoms, biomedical images and signals, and lifestyle data are examples of information that is managed by ICTs. Different AI and IoT methods have opened new possibilities for automatic and remote patient monitoring with associated advantages and weaknesses. Our findings were represented in a structured manner using a semantic knowledge graph (e.g., ontology model).
CONCLUSIONS: Various e-Health methods, related remote monitoring technologies, different approaches, information categories, the adoption of ICT tools for an automatic remote patient monitoring (RPM), advantages and limitations of RMTs in the COVID-19 case are discussed in this review. The use of e-Health during the COVID-19 pandemic illustrates the constraints and possibilities of using ICTs. ICTs are not merely an external tool to achieve definite remote and automatic health monitoring goals; instead, they are embedded in contexts. Therefore, the importance of the mutual design process between ICT and society during the global health crisis has been observed from a social informatics perspective. A global health crisis can be observed as an information crisis (e.g., insufficient information, unreliable information, and inaccessible information); however, this review shows the influence of ICTs on COVID-19 patients\' health monitoring and related information collection techniques.

With the expansion of the Internet-of-Things (IoT), the use of gas sensors in the field of wearable technology, smart devices, and smart homes has increased manifold. These gas sensors have two key applications─one is the detection of gases present in the environment and the other is the detection of Volatile Organic Compounds (VOCs) that are found in the breath. In this review, we focus systematically on the advancements in the field of various spectroscopic methods such as mass spectrometry-based analysis and point-of-care approach to detect VOCs and gases for environmental monitoring and disease diagnosis. Additionally, we highlight the development of smart sensors that work on the principle of electrochemical detection and provide examples of the same through an extensive literature review. At the end of this review, we highlight various challenges and future perspectives.

The introduction of internet-connected technologies to the classroom has the potential to revolutionize STEM education by allowing students to perform experiments in complex models that are unattainable in traditional teaching laboratories. By connecting laboratory equipment to the cloud, we introduce students to experimentation in pluripotent stem cell-derived cortical organoids in two different settings: Using microscopy to monitor organoid growth in an introductory tissue culture course, and using high density multielectrode arrays to perform neuronal stimulation and recording in an advanced neuroscience mathematics course. We demonstrate that this approach develops interest in stem cell and neuroscience in the students of both courses. All together, we propose cloud technologies as an effective and scalable approach for complex project-based university training.

In recent years, there have been concentrations on the Digital Twin from researchers and companies due to its advancement in IT, communication systems, Cloud Computing, Internet-of-Things (IoT), and Blockchain. The main concept of the DT is to provide a comprehensive tangible, and operational explanation of any element, asset, or system. However, it is an extremely dynamic taxonomy developing in complication during the life cycle that produces an enormous quantity of the engendered data and information from them. Likewise, with the development of the Blockchain, the digital twins have the potential to redefine and could be a key strategy to support the IoT-based digital twin\'s applications for transferring data and value onto the Internet with full transparency besides promising accessibility, trusted traceability, and immutability of transactions. Therefore, the integration of digital twins with the IoT and blockchain technologies has the potential to revolutionize various industries by providing enhanced security, transparency, and data integrity. Thus, this work presents a survey on the innovative theme of digital twins with the integration of Blockchain for various applications. Also, provides challenges and future research directions on this subject. In addition, in this paper, we propose a concept and architecture for integrating digital twins with IoT-based blockchain archives, which allows for real-time monitoring and control of physical assets and processes in a secure and decentralized manner. We also discuss the challenges and limitations of this integration, including issues related to data privacy, scalability, and interoperability. Finally, we provide insights into the future scope of this technology and discuss potential research directions for further improving the integration of digital twins with IoT-based blockchain archives. Overall, this paper provides a comprehensive overview of the potential benefits and challenges of integrating digital twins with IoT-based blockchain and lays the foundation for future research in this area.

Water is a vital source for life and natural environments. This is the reason why water sources should be constantly monitored in order to detect any pollutants that might jeopardize the quality of water. This paper presents a low-cost internet-of-things system that is capable of measuring and reporting the quality of different water sources. It comprises the following components: Arduino UNO board, Bluetooth module BT04, temperature sensor DS18B20, pH sensor-SEN0161, TDS sensor-SEN0244, turbidity sensor-SKU SEN0189. The system will be controlled and managed from a mobile application, which will monitor the actual status of water sources. We propose to monitor and evaluate the quality of water from five different water sources in a rural settlement. The results show that most of the water sources we have monitored are proper for consumption, with a single exception where the TDS values are not within proper limits, as they outperform the maximum accepted value of 500 ppm.