Cloud-based genomics pipelines for ophthalmology: Reviewed from research to clinical practice

Aim: To familiarize clinicians with clinical genomics, and to describe the potential of cloud computing for enabling the future routine use of genomics in eye hospital settings. Design: Review article exploring the potential for cloud-based genomic pipelines in eye hospitals. Methods: Narrative review of the literature relevant to clinical genomics and cloud computing, using PubMed and Google Scholar. A broad overview of these fields is provided, followed by key examples of their integration. Results: Cloud computing could benefit clinical genomics due to scalability of resources, potentially lower costs, and ease of data sharing between multiple institutions. Challenges include complex pricing of services, costs from mistakes or experimentation, data security, and privacy concerns. Conclusions and future perspectives: Clinical genomics is likely to become more routinely used in clinical practice. Currently this is delivered in highly specialist centers. In the future, cloud computing could enable delivery of clinical genomics services in non-specialist hospital settings, in a fast, cost-effective way, whilst enhancing collaboration between clinical and research teams

THE AMERICAN CORRECTIONAL HEALTHCARE SYSTEM IS AILING: TECHNOLOGY INNOVATION AS A PRESCRIPTION FOR PENAL SYSTEM HEALTHCARE DELIVERY

The U.S. corrections industry has a history of poor inmate healthcare delivery, with penal-system reform advocates and other stakeholders highlighting these failures. Inmates receiving poor medical and psychiatric care behind jail walls experience greater difficulty becoming self-sufficient, and this situation contributes to the nation’s recidivism problem. Caring for inmates is often a neglected proposition and because of this, the U.S. courts impose legal requirements that inmates receive healthcare. Access to quality healthcare specialists for inmates led the penal system to investigate and implement use of telehealth during the 1990s. This thesis investigates how the evolving field of telehealth and emerging technologies may contribute to improved inmate healthcare in the future. A myriad of factors discussed in the thesis pose as challenges to implementing innovations that could improve penal system healthcare. For all the challenges confronting corrections administrators and criminal reform advocates, the corrections system is at a crossroads, as there is potential to modernize jail facilities and use technology to improve the safety and healthcare of inmates, corrections officers and those who render care. Investing in technology infrastructure that supports emerging technologies could also facilitate simpler integration of future innovations that address suicide, mental illness and other medical health maladies that would otherwise go unaddressed.Civilian, Dallas Fire-Rescue DepartmentApproved for public release. Distribution is unlimited

Addressing data accuracy and information integrity in mHealth using ML

The aim of the study was finding a way in which Machine Learning can be applied in mHealth Solutions to detect inaccurate data that can potentially harm patients. The result was an algorithm that classified accurate and inaccurate data

The application of legislative frameworks for the management of medical records in Limpopo Province, South Africa

Medical records management needs to be governed using a legal framework to avoid records being lost, modified, altered, misfiled and/or damaged, since that may result in a struggle to locate them and wasting time. Medical records management, like any other field, has to be guided by a sound legislative framework. The application of legislation in the management of medical records can help safeguard privacy and confidentiality and curb the loss, modification, alteration, damage and misfiling of records. The study sought to assess the extent to which public hospitals in the Limpopo Province, South Africa apply legislation in the management of medical records. Quantitative data were collected using questionnaires completed by records management staff members in the hospitals of Limpopo. This study applied a quantitative research methodology and a survey research design. The study revealed that legal prescripts were not appropriately followed in the healthcare institutions due to a lack of fundamental resources. The study recommended, among other things, the provision of adequate resources and the appointment of suitably qualified records managers and staff or the development of staff capacity to ensure that appropriate legal frameworks are implemented adequately.Information Scienc

Sdhcare: Secured Distributed Healthcare System

In the healthcare sector, the move towards Electronic Health Records (EHR) systems has been accelerating in parallel with the increased adoption of IoT and smart devices. This is driven by the anticipated advantages for patients and healthcare providers. The integration of EHR and IoT makes it highly heterogeneous in terms of devices, network standards, platforms, types of data, connectivity, etc. Additionally, it introduces security, patient and data privacy, and trust challenges. To address such challenges, this thesis proposes an architecture that combines biometric-based blockchain technology with the EHR system. More specifically, this thesis describes a mechanism that uses a patient’s fingerprint for recovery of patient’s access control on their EHRs securely without compromising their privacy and identity. A secure distributed healthcare system (SDHCARE) is proposed to uniquely identify patients, enable them to control access to, and ensure recoverable access to their EHRs that are exchanged and synchronized between distributed healthcare providers. The system takes into account the security and privacy requirements of Health Insurance Portability and Accountability Act (HIPAA) compliance, and it overcomes the challenges of using secret keys as a patient’s identity to control access to EHRs. The system used distributed architecture with two layers being local to each healthcare provider that is a member of SDHCARE, and two layers shared across all members of SDCHARE system. SDHCARE system was prototyped and implemented in order to validate its functional requirements, security requirements, and to evaluate its performance. The results indicated successful fulfillment of design requirements without significant overhead on the performance as required by healthcare environment