An evaluation of an appointment scheduling system in an ophthalmology clinic

Appointment scheduling systems are often not appropriate based on the patient population’s needs and the nature of the medical specialty. Timeliness, access, and efficiency are compromised if a health system’s scheduling model is not well-suited for its environment. These compromises can be detrimental to the health of patients, the workload burden on providers, and the financial viability of health systems. An outpatient ophthalmology clinic was evaluated and proved to have a scheduling model that was causing a number of concerns. Accounting for the nature of the medical specialty, the variation in appointment lengths, and the needs of patients, a hybrid scheduling model with carve-out access accompanied by an electronic health record timing data is more appropriate for the outpatient ophthalmology clinic

Recent Developments in Smart Healthcare

Medicine is undergoing a sector-wide transformation thanks to the advances in computing and networking technologies. Healthcare is changing from reactive and hospital-centered to preventive and personalized, from disease focused to well-being centered. In essence, the healthcare systems, as well as fundamental medicine research, are becoming smarter. We anticipate significant improvements in areas ranging from molecular genomics and proteomics to decision support for healthcare professionals through big data analytics, to support behavior changes through technology-enabled self-management, and social and motivational support. Furthermore, with smart technologies, healthcare delivery could also be made more efficient, higher quality, and lower cost. In this special issue, we received a total 45 submissions and accepted 19 outstanding papers that roughly span across several interesting topics on smart healthcare, including public health, health information technology (Health IT), and smart medicine

Integrating Blockchain and Fog Computing Technologies for Efficient Privacy-preserving Systems

This PhD dissertation concludes a three-year long research journey on the integration of Fog Computing and Blockchain technologies. The main aim of such integration is to address the challenges of each of these technologies, by integrating it with the other. Blockchain technology (BC) is a distributed ledger technology in the form of a distributed transactional database, secured by cryptography, and governed by a consensus mechanism. It was initially proposed for decentralized cryptocurrency applications with practically proven high robustness. Fog Computing (FC) is a geographically distributed computing architecture, in which various heterogeneous devices at the edge of network are ubiquitously connected to collaboratively provide elastic computation services. FC provides enhanced services closer to end-users in terms of time, energy, and network load. The integration of FC with BC can result in more efficient services, in terms of latency and privacy, mostly required by Internet of Things systems

A patient agent controlled customized blockchain based framework for internet of things

Although Blockchain implementations have emerged as revolutionary technologies for various industrial applications including cryptocurrencies, they have not been widely deployed to store data streaming from sensors to remote servers in architectures known as Internet of Things. New Blockchain for the Internet of Things models promise secure solutions for eHealth, smart cities, and other applications. These models pave the way for continuous monitoring of patient’s physiological signs with wearable sensors to augment traditional medical practice without recourse to storing data with a trusted authority. However, existing Blockchain algorithms cannot accommodate the huge volumes, security, and privacy requirements of health data. In this thesis, our first contribution is an End-to-End secure eHealth architecture that introduces an intelligent Patient Centric Agent. The Patient Centric Agent executing on dedicated hardware manages the storage and access of streams of sensors generated health data, into a customized Blockchain and other less secure repositories. As IoT devices cannot host Blockchain technology due to their limited memory, power, and computational resources, the Patient Centric Agent coordinates and communicates with a private customized Blockchain on behalf of the wearable devices. While the adoption of a Patient Centric Agent offers solutions for addressing continuous monitoring of patients’ health, dealing with storage, data privacy and network security issues, the architecture is vulnerable to Denial of Services(DoS) and single point of failure attacks. To address this issue, we advance a second contribution; a decentralised eHealth system in which the Patient Centric Agent is replicated at three levels: Sensing Layer, NEAR Processing Layer and FAR Processing Layer. The functionalities of the Patient Centric Agent are customized to manage the tasks of the three levels. Simulations confirm protection of the architecture against DoS attacks. Few patients require all their health data to be stored in Blockchain repositories but instead need to select an appropriate storage medium for each chunk of data by matching their personal needs and preferences with features of candidate storage mediums. Motivated by this context, we advance third contribution; a recommendation model for health data storage that can accommodate patient preferences and make storage decisions rapidly, in real-time, even with streamed data. The mapping between health data features and characteristics of each repository is learned using machine learning. The Blockchain’s capacity to make transactions and store records without central oversight enables its application for IoT networks outside health such as underwater IoT networks where the unattended nature of the nodes threatens their security and privacy. However, underwater IoT differs from ground IoT as acoustics signals are the communication media leading to high propagation delays, high error rates exacerbated by turbulent water currents. Our fourth contribution is a customized Blockchain leveraged framework with the model of Patient-Centric Agent renamed as Smart Agent for securely monitoring underwater IoT. Finally, the smart Agent has been investigated in developing an IoT smart home or cities monitoring framework. The key algorithms underpinning to each contribution have been implemented and analysed using simulators.Doctor of Philosoph

Internet of Things Adoption for Saudi Healthcare Services

Background: Recent studies in information systems have predicted that applications of the Internet of Things (IoT) innovations will revolutionise various sectors including healthcare. Besides the issues and opportunities of IoT based innovations, existing studies have shown limitations to advance the adoption of IoT-understanding and relevant interventions to benefit researchers and healthcare practitioners. Method: In this context, a systematic literature review study was conducted to re-position a qualitative, phenomenological investigation that could offer useful insights into the factors affecting IoT-adoption in a developing country’s healthcare service. In addition to it, five participants who worked in hospitals and clinics in Jazan, Saudi Arabia, took part in the semi-structured interviews developed based on the diffusion of innovation theory. Results: The study explored the relevant literature and evaluated how the outcome is used to identify the key delivers of IoT in healthcare. Conclusions: According to the findings, the capacity of the Saudi healthcare sector to accept and implement a new IT with IoT technologies is increasing and its integrations remains a debated issue

Resource Management in Multi-Access Edge Computing (MEC)

This PhD thesis investigates the effective ways of managing the resources of a Multi-Access Edge Computing Platform (MEC) in 5th Generation Mobile Communication (5G) networks. The main characteristics of MEC include distributed nature, proximity to users, and high availability. Based on these key features, solutions have been proposed for effective resource management. In this research, two aspects of resource management in MEC have been addressed. They are the computational resource and the caching resource which corresponds to the services provided by the MEC. MEC is a new 5G enabling technology proposed to reduce latency by bringing cloud computing capability closer to end-user Internet of Things (IoT) and mobile devices. MEC would support latency-critical user applications such as driverless cars and e-health. These applications will depend on resources and services provided by the MEC. However, MEC has limited computational and storage resources compared to the cloud. Therefore, it is important to ensure a reliable MEC network communication during resource provisioning by eradicating the chances of deadlock. Deadlock may occur due to a huge number of devices contending for a limited amount of resources if adequate measures are not put in place. It is crucial to eradicate deadlock while scheduling and provisioning resources on MEC to achieve a highly reliable and readily available system to support latency-critical applications. In this research, a deadlock avoidance resource provisioning algorithm has been proposed for industrial IoT devices using MEC platforms to ensure higher reliability of network interactions. The proposed scheme incorporates Banker’s resource-request algorithm using Software Defined Networking (SDN) to reduce communication overhead. Simulation and experimental results have shown that system deadlock can be prevented by applying the proposed algorithm which ultimately leads to a more reliable network interaction between mobile stations and MEC platforms. Additionally, this research explores the use of MEC as a caching platform as it is proclaimed as a key technology for reducing service processing delays in 5G networks. Caching on MEC decreases service latency and improve data content access by allowing direct content delivery through the edge without fetching data from the remote server. Caching on MEC is also deemed as an effective approach that guarantees more reachability due to proximity to endusers. In this regard, a novel hybrid content caching algorithm has been proposed for MEC platforms to increase their caching efficiency. The proposed algorithm is a unification of a modified Belady’s algorithm and a distributed cooperative caching algorithm to improve data access while reducing latency. A polynomial fit algorithm with Lagrange interpolation is employed to predict future request references for Belady’s algorithm. Experimental results show that the proposed algorithm obtains 4% more cache hits due to its selective caching approach when compared with case study algorithms. Results also show that the use of a cooperative algorithm can improve the total cache hits up to 80%. Furthermore, this thesis has also explored another predictive caching scheme to further improve caching efficiency. The motivation was to investigate another predictive caching approach as an improvement to the formal. A Predictive Collaborative Replacement (PCR) caching framework has been proposed as a result which consists of three schemes. Each of the schemes addresses a particular problem. The proactive predictive scheme has been proposed to address the problem of continuous change in cache popularity trends. The collaborative scheme addresses the problem of cache redundancy in the collaborative space. Finally, the replacement scheme is a solution to evict cold cache blocks and increase hit ratio. Simulation experiment has shown that the replacement scheme achieves 3% more cache hits than existing replacement algorithms such as Least Recently Used, Multi Queue and Frequency-based replacement. PCR algorithm has been tested using a real dataset (MovieLens20M dataset) and compared with an existing contemporary predictive algorithm. Results show that PCR performs better with a 25% increase in hit ratio and a 10% CPU utilization overhead

Security and Privacy in the Internet of Things

The Internet of Things (IoT) is an emerging paradigm that seamlessly integrates electronic devices with sensing and computing capability into the Internet to achieve intelligent processing and optimized controlling. In a connected world built through IoT, where interconnected devices are extending to every facet of our lives, including our homes, offices, utility infrastructures and even our bodies, we are able to do things in a way that we never before imagined. However, as IoT redefines the possibilities in environment, society and economy, creating tremendous benefits, significant security and privacy concerns arise such as personal information confidentiality, and secure communication and computation. Theoretically, when everything is connected, everything is at risk. The ubiquity of connected things gives adversaries more attack vectors and more possibilities, and thus more catastrophic consequences by cybercrimes. Therefore, it is very critical to move fast to address these rising security and privacy concerns in IoT systems before severe disasters happen. In this dissertation, we mainly address the challenges in two domains: (1) how to protect IoT devices against cyberattacks; (2) how to protect sensitive data during storage, dissemination and utilization for IoT applications. In the first part, we present how to leverage anonymous communication techniques, particularly Tor, to protect the security of IoT devices. We first propose two schemes to enhance the security of smart home by integrating Tor hidden services into IoT gateway for users with performance preference. Then, we propose a multipath-routing based architecture for Tor hidden services to enhance its resistance against traffic analysis attacks, and thus improving the protection for smart home users who desire very strong security but care less about performance. In the second part of this dissertation, we explore the solutions to protect the data for IoT applications. First, we present a reliable, searchable and privacy-preserving e-healthcare system, which takes advantage of emerging cloud storage and IoT infrastructure and enables healthcare service providers (HSPs) to realize remote patient monitoring in a secure and regulatory compliant manner. Then, we turn our attention to the data analysis in IoT applications, which is one of the core components of IoT applications. We propose a cloud-assisted, privacy-preserving machine learning classification scheme over encrypted data for IoT devices. Our scheme is based on a three-party model coupled with a two-stage decryption Paillier-based cryptosystem, which allows a cloud server to interact with machine learning service providers (MLSPs) and conduct computation intensive classification on behalf of the resourced-constrained IoT devices in a privacy-preserving manner. Finally, we explore the problem of privacy-preserving targeted broadcast in IoT, and propose two multi-cloud-based outsourced-ABE (attribute-based encryption) schemes. They enable the receivers to partially outsource the computationally expensive decryption operations to the clouds, while preventing attributes from being disclosed

Mobile Edge Computing

This is an open access book. It offers comprehensive, self-contained knowledge on Mobile Edge Computing (MEC), which is a very promising technology for achieving intelligence in the next-generation wireless communications and computing networks. The book starts with the basic concepts, key techniques and network architectures of MEC. Then, we present the wide applications of MEC, including edge caching, 6G networks, Internet of Vehicles, and UAVs. In the last part, we present new opportunities when MEC meets blockchain, Artificial Intelligence, and distributed machine learning (e.g., federated learning). We also identify the emerging applications of MEC in pandemic, industrial Internet of Things and disaster management. The book allows an easy cross-reference owing to the broad coverage on both the principle and applications of MEC. The book is written for people interested in communications and computer networks at all levels. The primary audience includes senior undergraduates, postgraduates, educators, scientists, researchers, developers, engineers, innovators and research strategists