Protection and efficient management of big health data in cloud environment

University of Technology Sydney. Faculty of Engineering and Information Technology.Healthcare data has become a great concern in the academic world and in industry. The deployment of electronic health records (EHRs) and healthcare-related services on cloud platforms will reduce the cost and complexity of handling and integrating medical records while improving efficiency and accuracy. To make effective use of advanced features such as high availability, reliability, and scalability of Cloud services, EHRs have to be stored in the clouds. By exposing EHRs in an outsourced environment, however, a number of serious issues related to data security and privacy, distribution and processing such as the loss of the controllability, different data formats and sizes, the leakage of sensitive information in processing, sensitive-delay requirements has been naturally raised. Many attempts have been made to address the above concerns, but most of the attempts tackled only some aspects of the problem. Encryption mechanisms can resolve the data security and privacy requirements but introduce intensive computing overheads as well as complexity in key distribution. Data is not guaranteed being protected when it is moved from one cloud to another because clouds may not use equivalent protection schemes. Sensitive data is being processed at only private clouds without sufficient resources. Consequently, Cloud computing has not been widely adopted by healthcare providers and users. Protecting and managing health data efficiently in many aspects is still an open question for current research. In this dissertation, we investigate data security and efficient management of big health data in cloud environments. Regarding data security, we establish an active data protection framework to protect data; we investigate a new approach for data mobility; we propose trusted evaluation for cloud resources in processing sensitive data. For efficient management, we investigate novel schemes and models in both Cloud computing and Fog computing for data distribution and data processing to handle the rapid growth of data, higher security on demand, and delay requirements. The novelty of this work lies in the novel data mobility management model for data protection, the efficient distribution scheme for a large-scale of EHRs, and the trust-based scheme in security and processing. The contributions of this thesis can be summarized according to data security and efficient data management. On data security, we propose a data mobility management model to protect data when it is stored and moved in clouds. We suggest a trust-based scheduling scheme for big data processing with MapReduce to fulfil both privacy and performance issues in a cloud environment. • The data mobility management introduces a new location data structure into an active data framework, a Location Registration Database (LRD), protocols for establishing a clone supervisor and a Mobility Service (MS) to handle security and privacy requirements effectively. The model proposes a novel security approach for data mobility and leads to the introduction of a new Data Mobility as a Service (DMaaS) in the Cloud. • The Trust-based scheduling scheme investigates a novel composite trust metric and a real-time trust evaluation for cloud resources to provide the highest trust execution on sensitive data. The proposed scheme introduces a new approach for big data processing to meet with high security requirements. On the efficient data management, we propose a novel Hash-Based File Clustering (HBFC) scheme and data replication management model to distribute, store and retrieve EHRs efficiently. We propose a data protection model and a task scheduling scheme which is Region-based for Fog and Cloud to address security and local performance issues. • The HBFC scheme innovatively utilizes hash functions to cluster files in defined clusters such that data can be stored and retrieved quickly while maintaining the workload balance efficiently. The scheme introduces a new clustering mechanism in managing a large-scale of EHRs to deliver healthcare services effectively in the cloud environment. • The trust-based scheduling model uses the proposed trust metric for task scheduling with MapReduce. It not only provides maximum trust execution but also increases resource utilization significantly. The model suggests a new trust-oriented scheduling mechanism between tasks and resources with MapReduce. • We introduce a novel concept “Region” in Fog computing to handle the data security and local performance issues effectively. The proposed model provides a novel Fog-based Region approach to handle security and local performance requirements. We implement and evaluate our proposed models and schemes intensively based on both real infrastructures and simulators. The outcomes demonstrate the feasibility and the efficiency of our research in this thesis. By proposing innovative concepts, metrics, algorithms, models, and services, the significant contributions of this thesis enable both healthcare providers and users to adopt cloud services widely, and allow significant improvements in providing better healthcare services

A methodology of healthcare quality measurement: a case study

In this paper we present a comprehensive model for quality assessment taking into account structure, process and outcome dimensions introduced in the Donabedian framework. To test our hypothesis a case study based on the Italian healthcare services is reported focusing on the analysis of the hospital bed management and on the phenomenon of both active and passive patient mobility

Business Case and Technology Analysis for 5G Low Latency Applications

A large number of new consumer and industrial applications are likely to change the classic operator's business models and provide a wide range of new markets to enter. This article analyses the most relevant 5G use cases that require ultra-low latency, from both technical and business perspectives. Low latency services pose challenging requirements to the network, and to fulfill them operators need to invest in costly changes in their network. In this sense, it is not clear whether such investments are going to be amortized with these new business models. In light of this, specific applications and requirements are described and the potential market benefits for operators are analysed. Conclusions show that operators have clear opportunities to add value and position themselves strongly with the increasing number of services to be provided by 5G.Comment: 18 pages, 5 figure

Drivers for wireless handheld technology: views from Queensland nurses

[Abstract]: The use of wireless hand held devices is becoming popular in healthcare due to its flexibility and mobility. In the nursing domain, the use of handheld devices, a specific component of wireles technology appears to be beneficial for data collection and other information management functions nurses may undertake. Studies in nursing literature have indicated that handheld devices deliver advantages and benefits at the point of care. In this study a set of 30 interviews with Queensland Nursing Staff in one district health centre was conducted over a period of three months to establish the drivers for the introduction of wireless technology among nurses. The outcome of these interviews is developed into a preliminary model and reported in this paper

Modeling IoT-aware Business Processes - A State of the Art Report

This research report presents an analysis of the state of the art of modeling Internet of Things (IoT)-aware business processes. IOT links the physical world to the digital world. Traditionally, we would find information about events and processes in the physical world in the digital world entered by humans and humans using this information to control the physical world. In the IoT paradigm, the physical world is equipped with sensors and actuators to create a direct link with the digital world. Business processes are used to coordinate a complex environment including multiple actors for a common goal, typically in the context of administrative work. In the past few years, we have seen research efforts on the possibilities to model IoT- aware business processes, extending process coordination to real world entities directly. This set of research efforts is relatively small when compared to the overall research effort into the IoT and much of the work is still in the early research stage. To create a basis for a bridge between IoT and BPM, the goal of this report is to collect and analyze the state of the art of existing frameworks for modeling IoT-aware business processes.Comment: 42 page

A call to action : providing better footwear and foot orthoses for people with rheumatoid arthritis

Rheumatoid arthritis is a chronic, disabling condition in which the body’s immune system attacks the joints. As the disease progresses, feet become more damaged and deformed. Research produced for this report shows widespread dissatisfaction with all types of therapeutic footwear, and patients have raised concerns around poor fit, appearance, weight of shoe and comfort. Nine out of ten rheumatoid arthritis patients complain of foot pain Seven out of ten having difficulty walking Eighty per cent report problems with their footwear. High street and therapeutic footwear designers and manufacturers do not fully embrace the therapeutic needs of the patient. These factors have an impact on patient quality of life and well-being. The report makes a series of observations and recommendations for the current service, which has been failing for the past two decades to provide accessible podiatric and orthotic services at a time of growing demand from an ageing population

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

ILR Faculty Research in Progress, 2016-2017

The production of scholarly research continues to be one of the primary missions of the ILR School. During a typical academic year, ILR faculty members published or had accepted for publication over 25 books, edited volumes, and monographs, 170 articles and chapters in edited volumes, numerous book reviews. In addition, a large number of manuscripts were submitted for publication, presented at professional association meetings, or circulated in working paper form. Our faculty's research continues to find its way into the very best industrial relations, social science and statistics journals.ResearchinProgress_2016_17.pdf: 38 downloads, before Oct. 1, 2020