scholarly journals Anesthesia Immutable Registry of Real-time Vital Signs and Waveforms using Blockchain

2021 ◽  
Author(s):  
Alejandro Figar Gutierrez ◽  
Jorge Anibal Martinez Garbino ◽  
Valeria Burgos ◽  
Taimoore Rajah ◽  
Marcelo Risk ◽  
...  
Keyword(s):  
Diffusion Of Innovation ◽  
Vital Signs ◽  
Database Systems ◽  
Operating Theatre ◽  
Medical Monitoring ◽  
Proof Of Concept ◽  
Monitoring Equipment ◽  
Blockchain Technology ◽  
Adoption And Implementation ◽  
Information Management Systems

Healthcare has become one of the most important emerging application areas of blockchain technology.[1] Although the use of a cryptographic ledger within Anesthesia Information Management Systems (AIMS) remains uncertain. The need for a truly immutable anesthesia record is yet to be established, given that the current AIMS database systems have reliable audit capabilities. Adoption of AIMS has followed Roger's 1962 formulation of the theory of diffusion of innovation. Between 2018 and 2020, adoption was expected to be the 84% of U.S. academic anesthesiology departments.[2] Larger anesthesiology groups with large caseloads, urban settings, and government affiliated or academic institutions are more likely to adopt and implement AIMS solutions, due to the substantial amount of financial resources and dedicated staff to support both the implementation and maintenance that are required. As health care dollars become more scarce, this is the most frequently cited constraint in the adoption and implementation of AIMS.[3] We propose the use of a blockchain database for saving all incoming data from multiparametric monitors at the operating theatre. We present a proof of concept of the use of this technology for electronic anesthesia records even in the absence of an AIMS at site. In this paper we shall discuss its plausibility as well as its feasibility. The Electronic medical records (EMR) in AIMS might contain errors and artifacts that may (or may not) have to be dealt with. Making them immutable is a scary concept. The use of the blockchain for saving raw data directly from medical monitoring equipment and devices in the operating theatre has to be further investigated.

Implementing Internet of Things in a Remote Patient Medical Monitoring System

2018 ◽  
Vol 6 (8) ◽  
pp. 159 ◽  
Author(s):  
Ifeoma V. Ngonadi
Keyword(s):  
Internet Of Things ◽  
Monitoring System ◽  
Medical Records ◽  
Research Work ◽  
Healthcare Delivery ◽  
Vital Signs ◽  
Personal Digital Assistant ◽  
Computer Applications ◽  
Medical Monitoring ◽  
Remote Patient

The Internet of Things (IoT) is a system of interrelated computing devices, mechanical and digital machines, objects, animals or people that are provided with unique identifiers and the ability to transfer data over a network without requiring human-to-human or human-to-computer interaction. Remote patient monitoring enables the monitoring of patients’ vital signs outside the conventional clinical settings which may increase access to care and decrease healthcare delivery costs. This paper focuses on implementing internet of things in a remote patient medical monitoring system. This was achieved by writing two computer applications in java in which one simulates a mobile phone called the Intelligent Personal Digital Assistant (IPDA) which uses a data structure that includes age, smoking habits and alcohol intake to simulate readings for blood pressure, pulse rate and mean arterial pressure continuously every twenty five which it sends to the server. The second java application protects the patients’ medical records as they travel through the networks by employing a symmetric key encryption algorithm which encrypts the patients’ medical records as they are generated and can only be decrypted in the server only by authorized personnel. The result of this research work is the implementation of internet of things in a remote patient medical monitoring system where patients’ vital signs are generated and transferred to the server continuously without human intervention.

scholarly journals Third Party Certification of Agri-Food Supply Chain Using Smart Contracts and Blockchain Tokens

Sensors ◽  
2021 ◽  
Vol 21 (16) ◽  
pp. 5307
Author(s):  
Ricardo Borges dos Santos ◽  
Nunzio Marco Torrisi ◽  
Rodrigo Palucci Pantoni
Keyword(s):  
Supply Chain ◽  
Mobile Application ◽  
Consumer Behaviour ◽  
Economic Incentives ◽  
Third Party ◽  
Smart Contracts ◽  
Proof Of Concept ◽  
Socially Responsible ◽  
The Public ◽  
Blockchain Technology

Every consumer’s buying decision at the supermarket influences food brands to make first party claims of sustainability and socially responsible farming methods on their agro-product labels. Fine wines are often subject to counterfeit along the supply chain to the consumer. This paper presents a method for efficient unrestricted publicity to third party certification (TPC) of plant agricultural products, starting at harvest, using smart contracts and blockchain tokens. The method is capable of providing economic incentives to the actors along the supply chain. A proof-of-concept using a modified Ethereum IGR token set of smart contracts using the ERC-1155 standard NFTs was deployed on the Rinkeby test net and evaluated. The main findings include (a) allowing immediate access to TPC by the public for any desired authority by using token smart contracts. (b) Food safety can be enhanced through TPC visible to consumers through mobile application and blockchain technology, thus reducing counterfeiting and green washing. (c) The framework is structured and maintained because participants obtain economical incentives thus leveraging it´s practical usage. In summary, this implementation of TPC broadcasting through tokens can improve transparency and sustainable conscientious consumer behaviour, thus enabling a more trustworthy supply chain transparency.

scholarly journals DDNB—Doubly Decentralized Network Blockchain Architecture for Application Services

2020 ◽  
Vol 10 (15) ◽  
pp. 5212
Author(s):  
Youhwan Seol ◽  
Jaehong Ahn ◽  
Sehyun Park ◽  
Mookeun Ji ◽  
Heungseok Chae ◽  
...  
Keyword(s):  
Processing Speed ◽  
Prototype System ◽  
Proof Of Concept ◽  
Service Platform ◽  
Blockchain Technology ◽  
Platform Architecture ◽  
Application Service ◽  
Verification Process ◽  
Application Developers

Decentralization and immutability characteristics of blockchain technology has attracted numerous blockchain-based systems and applications to be proposed. However, technical shortcomings such as low transaction speed, complexity, scalability, and vulnerability to certain attacks have been identified, making it challenging to use the technology on general consumer applications and services. To address the problem, we propose a new application service platform architecture called DDNB (Doubly Decentralized Network Blockchain). DDNB divides the system into multiple layers in order to take advantage of permissioned blockchain for its processing speed and security, while allowing permissionless open use of the system to application developers. To allow any node to freely participate in application services, DDNB adopts a novel periodic node self-verification process and query chaining mechanism to authenticate newly joining nodes and validate transactions effectively and efficiently. The proposed architecture is evaluated in terms of its processing speed and security on a real proof-of-concept prototype system.

Implementation of computer-assisted therapy for substance misuse: a qualitative study of Breaking Free Online using Roger's diffusion of innovation theory

2014 ◽  
Vol 14 (4) ◽  
pp. 207-218 ◽  
Author(s):  
Sarah Elison ◽  
Jonathan Ward ◽  
Glyn Davies ◽  
Mark Moody
Keyword(s):  
Diffusion Of Innovation ◽  
Social System ◽  
Substance Misuse ◽  
Social Care ◽  
Computer Assisted ◽  
Innovation Theory ◽  
Diffusion Of Innovation Theory ◽  
Content Type ◽  
Adoption And Implementation ◽  
The Social

Purpose – The purpose of this paper is to explore the adoption and implementation of computer-assisted therapy (CAT) using Breaking Free Online (BFO) in a social care and health charity working with people affected by drugs and alcohol dependence, Crime Reduction Initiatives (CRI). Design/methodology/approach – Semi-structured interviews were conducted with service managers, practitioners, peer mentors and service users. Data were thematically analysed and themes conceptualised using Roger's Diffusion of Innovation Theory (Rogers, 1995, 2002, 2004). Findings – A number of perceived barriers to adoption of BFO throughout CRI were identified within the social system, including a lack of IT resources and skills. However, there were numerous perceived benefits of adoption of BFO throughout CRI, including broadening access to effective interventions to support recovery from substance dependence, and promoting digital inclusion. Along with the solutions that were found to the identified barriers to implementation, intentions around longer-term continuation of adoption of the programme were reported, with this process being supported through changes to both the social system and the individuals within it. Research limitations/implications – The introduction of innovations such as BFO within large organisations like CRI can be perceived as being disruptive, even when individuals within the organisation recognise its benefits. For successful adoption and implementation of such innovations, changes in the social system are required, at organisational and individual levels. Practical implications – The learning points from this study may be relevant to the substance misuse sector, and more widely to criminal justice, health and social care organisations. Originality/value – This study is the first of its kind to use a qualitative approach to examine processes of implementation of CAT for substance misuse within a large treatment and recovery organisation.

scholarly journals Blockchain protocols in clinical trials: Transparency and traceability of consent

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 66 ◽  
Author(s):  
Mehdi Benchoufi ◽  
Raphael Porcher ◽  
Philippe Ravaud
Keyword(s):  
Clinical Trial ◽  
Research Field ◽  
Point Of View ◽  
Complex Data ◽  
Proof Of Concept ◽  
Chronological Order ◽  
Blockchain Technology ◽  
Smart Contract ◽  
The Right ◽  
Core Functionality

Clinical trial consent for protocols and their revisions should be transparent for patients and traceable for stakeholders. Our goal is to implement a process allowing the collection of patients’ informed consent, which is bound to protocol revisions, storing and tracking the consent in a secure, unfalsifiable and publicly verifiable way, and enabling the sharing of this information in real time. For that, we will built a consent workflow using a rising technology called Blockchain. This is a distributed technology that brings a built-in layer of transparency and traceability. Additionally, it removes the need for third parties, and gives participative control to the peer-to-peer users. From a more general and prospective point of view, we believe Blockchain technology brings a paradigmatical shift to the entire clinical research field. We designed a Proof-of-Concept protocol consisting of time-stamping each step of the patient’s consent collection using Blockchain; thus archiving and historicising the consent through cryptographic validation in a securely unfalsifiable and transparent way. For each revision of the protocol, consent was sought again. We obtained a single document, in a standard open format, that accounted for the whole consent collection process: timestamped consent status with regards to each version of the protocol. This document cannot be corrupted, and can be checked on any dedicated public website. It should be considered as a robust proof of data. In the future, we think that the complex data flow of a clinical trial can be tracked using Blockchain. Moreover, a blockchain core functionality, named Smart Contract, can help prevent clinical trial events not to happen in the right chronological order: including patients before they consented or analysing case report forms data before freezing the database. This will help reaching reliability, security, and transparency, and could be a consistent step towards reproducibility.

Low-power radio telemetry: the potential for remote patient monitoring

1996 ◽  
Vol 2 (4) ◽  
pp. 185-191 ◽  
Author(s):  
W G Scanlon ◽  
N E Evans ◽  
G C Crumley ◽  
Z M Mccreesh
Keyword(s):  
Patient Monitoring ◽  
Radio Telemetry ◽  
Vital Signs ◽  
Clinical Results ◽  
Full Duplex ◽  
Remote Patient Monitoring ◽  
Monitoring Equipment ◽  
Future Developments ◽  
Remote Patient

Radio-based signalling devices will play an important role in future generations of remote patient monitoring equipment, both at home and in hospital. Ultimately, it will be possible to sample vital signs from patients, whatever their location and without them necessarily being aware that a measurement is being taken. This paper reviews current methods for the transmission by radio of physiological parameters over ranges of 0.3, 3 and 30 m, and describes the radiofrequency hardware required and the carrier frequencies commonly used. Future developments, including full duplex systems and the use of more advanced modulation schemes, are described. The paper concludes with a case study of a human temperature telemeter built to indicate ovulation. Clinical results clearly show the advantage to be had in adopting radio biotelemetry in this instance.

CYBERSECURITY ARCHITECTURE FOR THE INTERNET OF MEDICAL THINGS AND CONNECTED DEVICES USING BLOCKCHAIN

2021 ◽  
pp. 2150013
Author(s):  
Muhammad Elsayeh ◽  
Kadry Ali Ezzat ◽  
Hany El-Nashar ◽  
Lamia Nabil Omran
Keyword(s):  
Healthcare Providers ◽  
Vital Signs ◽  
Third Party ◽  
Security And Privacy ◽  
The Internet ◽  
Security Architecture ◽  
Healthcare Organizations ◽  
Blockchain Technology ◽  
Huge Data ◽  
Internet Of Medical Things

The internet of medical things (IoMT) has a great role in improving the health around the world. IoMT is having a great impact in our life in which the clinical data of the patient is observed and checked and then can be transferred to the third party for using in the future such as the cloud. IoMT is a huge data system with a continuous developing rate, which implies that we should keep a lot of data secure. We propose a combined security architecture that fuses the standard architecture and new blockchain technology. Blockchain is a temper digital ledger which gives peer-to-peer communication and provides communication between non-trust individuals. Using standard in-depth strategy and blockchain, we are able to develop a method to collect vital signs data from IoMT and connected devices and use blockchain to store and retrieve the collected data in a secure and decentralized fashion within a closed system, suitable for healthcare providers such as private clinics, hospitals, and healthcare organizations were sharing data with each other is required. Right now initially examine the innovation behind Blockchain then propose IoMT-based security architecture utilizing Blockchain to guarantee the security of information transmission between associated nodes. Experimental analysis shows that the proposed scheme presents a non-significant overhead; yet it brings major advantages to meet the standard security and privacy requirements in IoMT.

Blockchain Integration Into Supply Chain Operations

2021 ◽  
pp. 329-350
Author(s):  
Yigit Sever ◽  
Pelin Angin
Keyword(s):  
Supply Chain ◽  
Supply Chains ◽  
Global Supply Chains ◽  
Central Authority ◽  
Proof Of Concept ◽  
Pilot Studies ◽  
Blockchain Technology ◽  
History Of ◽  
Trusted Data

Following the globalization initiated by containerization of logistics, supply chains might be due another revolution by the integration of the disruptive blockchain technology that addresses the current issues with the management of complex global supply chains. Blockchains are distributed digital ledgers that require no central authority to operate while offering a tamper-proof and transparent history of each transaction from the very beginning. Distributed nature of these ledgers ensure that every participant of the supply chain has access to trusted data. The industry has already begun experimenting with blockchain integration into their operations. For the majority of the organizations, however, these experiments stay in proof-of-concept stages or small pilot studies. In this chapter, the authors discuss the supply chain characteristics that make blockchain integration favorable, lay the groundwork for how blockchain can be used for supply chain operations and how it has been used so far.

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