e-Health for Rural Areas in Developing Countries: Lessons from the Sebokeng Experience

We report the experience gained in an e-Health project in the Gauteng province, in South Africa. A Proof-of-Concept of the project has been already installed in 3 clinics in the Sebokeng township. The project is now going to be applied to 300 clinics in the whole province. This extension of the Proof-of-Concept can however give rise to security aws because of the inclusion of rural areas with unreliable Internet connection. We address this problem and propose a safe solution

Impact of Mobile and Wireless Technology on Healthcare Delivery services

Modern healthcare delivery services embrace the use of leading edge technologies and new scientific discoveries to enable better cures for diseases and better means to enable early detection of most life-threatening diseases. The healthcare industry is finding itself in a state of turbulence and flux. The major innovations lie with the use of information technologies and particularly, the adoption of mobile and wireless applications in healthcare delivery [1]. Wireless devices are becoming increasingly popular across the healthcare field, enabling caregivers to review patient records and test results, enter diagnosis information during patient visits and consult drug formularies, all without the need for a wired network connection [2]. A pioneering medical-grade, wireless infrastructure supports complete mobility throughout the full continuum of healthcare delivery. It facilitates the accurate collection and the immediate dissemination of patient information to physicians and other healthcare care professionals at the time of clinical decision-making, thereby ensuring timely, safe, and effective patient care. This paper investigates the wireless technologies that can be used for medical applications, and the effectiveness of such wireless solutions in a healthcare environment. It discusses challenges encountered; and concludes by providing recommendations on policies and standards for the use of such technologies within hospitals

Integrated, reliable and cloud-based personal health record: a scoping review.

Personal Health Records (PHR) emerge as an alternative to integrate patient’s health information to give a global view of patients' status. However, integration is not a trivial feature when dealing with a variety electronic health systems from healthcare centers. Access to PHR sensitive information must comply with privacy policies defined by the patient. Architecture PHR design should be in accordance to these, and take advantage of nowadays technology. Cloud computing is a current technology that provides scalability, ubiquity, and elasticity features. This paper presents a scoping review related to PHR systems that achieve three characteristics: integrated, reliable and cloud-based. We found 101 articles that addressed thosecharacteristics. We identified four main research topics: proposal/developed systems, PHR recommendations for development, system integration and standards, and security and privacy. Integration is tackled with HL7 CDA standard. Information reliability is based in ABE security-privacy mechanism. Cloud-based technology access is achieved via SOA.CONACYT - Consejo Nacional de Ciencia y TecnologíaPROCIENCI

Supporting the clinical trial recruitment process through the grid

Patient recruitment for clinical trials and studies is a large-scale task. To test a given drug for example, it is desirable that as large a pool of suitable candidates is used as possible to support reliable assessment of often moderate effects of the drugs. To make such a recruitment campaign successful, it is necessary to efficiently target the petitioning of these potential subjects. Because of the necessarily large numbers involved in such campaigns, this is a problem that naturally lends itself to the paradigm of Grid technology. However the accumulation and linkage of data sets across clinical domain boundaries poses challenges due to the sensitivity of the data involved that are atypical of other Grid domains. This includes handling the privacy and integrity of data, and importantly the process by which data can be collected and used, and ensuring for example that patient involvement and consent is dealt with appropriately throughout the clinical trials process. This paper describes a Grid infrastructure developed as part of the MRC funded VOTES project (Virtual Organisations for Trials and Epidemiological Studies) at the National e-Science Centre in Glasgow that supports these processes and the different security requirements specific to this domain

Usability and Security in Medication. Administration Applications

The traditional process of filling the medicine trays and dispensing the medicines to the patients in the hospitals is manually done by reading the printed paper medicinechart. This process can be very strenuous and error-prone, given the number of sub-tasksinvolved in the entire workflow and the dynamic nature of the work environment.Therefore, efforts are being made to digitalise the medication dispensation process byintroducing a mobile application called Smart Dosing application. The introduction ofthe Smart Dosing application into hospital workflow raises security concerns and callsfor security requirement analysis. This thesis is written as a part of the smart medication management project at EmbeddedSystems Laboratory, A˚bo Akademi University. The project aims at digitising the medicine dispensation process by integrating information from various health systems, and making them available through the Smart Dosing application. This application is intended to be used on a tablet computer which will be incorporated on the medicine tray. The smart medication management system include the medicine tray, the tablet device, and the medicine cups with the cup holders. Introducing the Smart Dosing application should not interfere with the existing process carried out by the nurses, and it should result in minimum modifications to the tray design and the workflow. The re-designing of the tray would include integrating the device running the application into the tray in a manner that the users find it convenient and make less errors while using it. The main objective of this thesis is to enhance the security of the hospital medicine dispensation process by ensuring the security of the Smart Dosing application at various levels. The methods used for writing this thesis was to analyse how the tray design, and the application user interface design can help prevent errors and what secure technology choices have to be made before starting the development of the next prototype of the Smart Dosing application. The thesis first understands the context of the use of the application, the end-users and their needs, and the errors made in everyday medication dispensation workflow by continuous discussions with the nursing researchers. The thesis then gains insight to the vulnerabilities, threats and risks of using mobile application in hospital medication dispensation process. The resulting list of security requirements was made by analysing the previously built prototype of the Smart Dosing application, continuous interactive discussions with the nursing researchers, and an exhaustive state-of-the-art study on security risks of using mobile applications in hospital context. The thesis also uses Octave Allegro method to make the readers understand the likelihood and impact of threats, and what steps should be taken to prevent or fix them. The security requirements obtained, as a result, are a starting point for the developers of the next iteration of the prototype for the Smart Dosing application.Siirretty Doriast

Integration of Smart Wearable Devices and Cloud Computing in the Kenyan Public Health Care System

The utilization of smart wearable devices and cloud computing in the Kenyan public health care system will facilitate real-time patient monitoring and management. The shortage of certified healthcare professionals and the limited access to quality specialized care for individuals in remote settings has prompted the adoption of wearable devices and cloud computing strategies in Kenya. However, there lacks a clear framework design of integrating the technologies in the public health sector. This article evaluates the current status of healthcare systems in Kenya. It also investigates the existing mobile health and cloud computing services in the country while evaluating the main legal concerns inherent to the utilization of the technologies. The document further outlines a framework design for a mobile application named GB Health. The application incorporates cloud computing and smart wearable devices in the Kenyan public health care system. The design will enhance workflow and patient outcomes in the sector. Keywords: Smart wearable devices, cloud computing, GB Health DOI: 10.7176/IKM/11-4-04 Publication date:June 30th 2021

Electronic document authenticity verification of diploma and transcript using smart contract on Ethereum blockchain

Ethereum is one of the oldest examples of blockchain technology provides a system that converts centralized storage to distributed and records transactions by way of decentralized and not by a centralized system and can be verified by each node, therefore it is suitable for storing fingerprints from official diploma documents and transcripts that are published. Smart contract is needed for making contract transactions to Ethereum with programming code, so contracts such as diplomas and transcripts uploaded on the Ethereum blockchain can distribute and produce diploma validation and the authenticity of transcripts with transaction hash, consensus, and comply with ERC-721 token standardization. The results showed that a sample of 5 electronic documents in pdf format with a transaction speed of 1 second on each file that were published and secured with Ethereum blockchain technology can be easily verified for authenticity, the system proposed and developed by us takes in consideration invalid and failure cases by giving the necessary feedback to the user

"No Going Back?" The final report of the Effective Records Management Project

The overall objective of the Effective Records Management project was the provision of ‘protocols and tools for the effective management of information in the digital order, with particular attention to information held in a document-based form’ . The project developed a demonstrator system which addressed the full range of issues involved in the management of a ‘testbed’ of digital records in the form of documents, from their creation through distribution and use to their final disposal or permanent retention. The testbed selected was the records of a subset of the university’s committees and was used to develop ideas and to assess how well they worked in practice. This project report indicates that the ERM project provides an investment in the future, opportunities for better information use or re-use, identification of legal risks and identification of good practice whether you be an administrator, a computing scientist, an archivist, a librarian or an information services manager

"No Going Back?" The final report of the Effective Records Management Project

The overall objective of the Effective Records Management project was the provision of ‘protocols and tools for the effective management of information in the digital order, with particular attention to information held in a document-based form’ . The project developed a demonstrator system which addressed the full range of issues involved in the management of a ‘testbed’ of digital records in the form of documents, from their creation through distribution and use to their final disposal or permanent retention. The testbed selected was the records of a subset of the university’s committees and was used to develop ideas and to assess how well they worked in practice. This project report indicates that the ERM project provides an investment in the future, opportunities for better information use or re-use, identification of legal risks and identification of good practice whether you be an administrator, a computing scientist, an archivist, a librarian or an information services manager