Mental fatigue during driving poses significant risks to road safety, necessitating accurate assessment methods to mitigate potential hazards. This study explores the impact of individual variability in brain networks on driving fatigue assessment, hypothesizing that subject-specific connectivity patterns play a pivotal role in understanding fatigue dynamics. By conducting a linear regression analysis of subject-specific brain networks in different frequency bands, this research aims to elucidate the relationships between frequency-specific connectivity patterns and driving fatigue. As such, an EEG sustained driving simulation experiment was carried out, estimating individuals’ brain networks using the Phase Lag Index (PLI) to capture shared connectivity patterns. The results unveiled notable variability in connectivity patterns across frequency bands, with the alpha band exhibiting heightened sensitivity to driving fatigue. Individualized connectivity analysis underscored the complexity of fatigue assessment and the potential for personalized approaches. These findings emphasize the importance of subject-specific brain networks in comprehending fatigue dynamics, while providing sensor space minimization, advocating for the development of efficient mobile sensor applications for real-time fatigue detection in driving scenarios.
Driving with fatigue is a major contributor to traffic accidents and is closely linked to central nervous system functions. To investigate the evolution of brain dynamics during simulated driving under different EEG rhythms, we conducted an experiment in which participants performed a 1 h driving task while their EEG signals were recorded. We used the complex network theory to analyze data derived from the driving stimulation and found that as fatigue deepened, small-world metrics, namely the path lengths, clustering coefficients, and measures of efficiency (global, local, nodal), showed alterations against the driving time. Additionally, a major correlation (corr = 0.98) was observed between the cluster coefficient with local efficiency in all frequency bands (theta, alpha, beta). Our findings suggest that driving fatigue can cause significant trends in brain network characteristics, such as path length (m = −103 to −93), (m = 98) for specific rhythms (beta, alpha, theta band, respectively) and their related brain functions, which could serve as objective indicators when evaluating the fatigue level and in the future, preventing driving fatigue and its consequences.
This poster presents a comprehensive assessment of the transformative potential of telehealth ecosystems, integrating Internet of Things (IoT), Internet of Medical Things (IoMT), and Artificial Intelligence (AI) technologies. The study explores their impact on healthcare delivery and markets, emphasising the need for robust cybersecurity measures and technological integration. By facilitating continuous monitoring, personalised interventions, and improved patient outcomes, the integration of advanced technologies in telehealth ecosystems has the potential to revolutionise healthcare delivery and reduce healthcare costs. However, successful implementation and maximisation of their benefits require collaborative research and adherence to ethical and regulatory standards.
Heart failure management increasingly relies on heterogeneous clinical and real-world data generated through remote monitoring technologies. However, transforming these multimodal data streams into actionable insights requires robust interoperability infrastructures. This study presents the RETENTION interoperability framework, a federated HL7 Fast Healthcare Interoperability Resources (FHIR)-based architecture designed to support multi-site heart failure monitoring across five independent clinical environments. A semantic reference model comprising 444 clinical and contextual variables was developed and aligned with FHIR R4 resources and internationally recognised terminology systems. The platform adopts a selective profiling strategy, extending only the Patient resource while standardising the remaining variables through example-driven Implementation Guide documentation. Identifiable data are retained locally within Clinical Site Backends, whereas anonymised datasets are periodically aggregated into a Global Insights Cloud to enable centralised analytics and controlled third-party interactions. The framework was deployed across six hospitals (with two Spanish hospitals sharing the same deployment), supporting 390 patients and over 130,000 patient-days of monitoring, with more than 3.6 million remote device data points harmonised without schema conflicts. The results demonstrate that large-scale semantic harmonisation and privacy-preserving aggregation can be achieved using a lightweight profiling approach, providing a scalable and reproducible interoperability model for multi-centre digital health research infrastructures.
Healthcare infrastructures face escalating cybersecurity risks caused by legacy systems, connected IoMT devices, and complex data-sharing environments. Conventional intrusion detection and SIEM systems provide limited protection against zero-day and lateral-movement attacks. This paper presents the ASKOS architecture, a federated and deception-enhanced security framework that integrates Conpot honeypots with federated machine learning and software-defined networking (SDN) to enable privacy-preserving, adaptive cyber defense. By combining deception telemetry, distributed anomaly detection, and risk-aware orchestration, ASKOS delivers an intelligent and compliant security layer that can be implemented across healthcare infrastructures.