1,115 research outputs found

    ICU data management - A permissioned blockchain approach

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    Since its origin in finance, blockchain have been revolutionizing data storage and sharing in many other sensitive areas. Being the focus of Permissioned Blockchains around privacy, confidentiality, immutability, interoperability and reliability, it fits perfectly within the data requisites of healthcare. Even more, with the surge of new iterations of more recent implementations based on smart-contracts/chaincode that has its focus on increasing efficiency and usability and ease of implementation. Intensive Medicine an area with such high data complexity and throughput, and high incidence of medical error and patient injury. As such, it's imperative the continuous research and implementation of new technologies that can make pertinent knowledge available through reliable and accurate data, thus providing appropriate problem-solving skills to physicians. This paper presents a solution, as part of the Intelligence Decision Support Systems for Intensive Medicine (ICDS4IM) project, which objective is to increase accuracy, confidentiality and value to data from vital sensors and monitors by assuring its immutability and controlled oversee.The work has been supported by FCT – Fundação para a Ciência e Tecnologia within the Projects Scope: DSAIPA/DS/0084/2018

    DiLeNA: Distributed Ledger Network Analyzer

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    This paper describes the Distributed Ledger Network Analyzer (DiLeNA), a new software tool for the analysis of the transactions network recorded in Distributed Ledger Technologies (DLTs). The set of transactions in a DLT forms a complex network. Studying its characteristics and peculiarities is of paramount importance, in order to understand how users interact in the distributed ledger system. The tool design and implementation is introduced and some results are provided. In particular, the Bitcoin and Ethereum blockchains, i.e. the most famous and used DLTs at the time of writing, have been analyzed and compared.Comment: Proceeding of the 3rd Workshop on Cryptocurrencies and Blockchains for Distributed Systems (CryBlock 2020

    Adoption of precision medicine: limitations and considerations

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    Research is ongoing all over the world for identifying the barriers and finding effective solutions to accelerate the projection of Precision Medicine (PM) in the healthcare industry. Yet there has not been a valid and practical model to tackle the several challenges that have slowed down the widespread of this clinical practice. This study aimed to highlight the major limitations and considerations for implementing Precision Medicine. The two theories Diffusion of Innovation and Socio-Technical are employed to discuss the success indicators of PM adoption. Throughout the theoretical assessment, two key theoretical gaps are identified and related findings are discussed.FCT – Fundação para a Ciência e Tecnologia within the Projects Scope: DSAIPA/DS/0084/201

    Privacy in characterizing and recruiting patients for IoHT-aided digital clinical trials

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    Nowadays there is a tremendous amount of smart and connected devices that produce data. The so-called IoT is so pervasive that its devices (in particular the ones that we take with us during all the day - wearables, smartphones...) often provide some insights on our lives to third parties. People habitually exchange some of their private data in order to obtain services, discounts and advantages. Sharing personal data is commonly accepted in contexts like social networks but individuals suddenly become more than concerned if a third party is interested in accessing personal health data. The healthcare systems worldwide, however, begun to take advantage of the data produced by eHealth solutions. It is clear that while on one hand the technology proved to be a great ally in the modern medicine and can lead to notable benefits, on the other hand these processes pose serious threats to our privacy. The process of testing, validating and putting on the market a new drug or medical treatment is called clinical trial. These trials are deeply impacted by the technological advancements and greatly benefit from the use of eHealth solutions. The clinical research institutes are the entities in charge of leading the trials and need to access as much health data of the patients as possible. However, at any phase of a clinical trial, the personal information of the participants should be preserved and maintained private as long as possible. During this thesis, we will introduce an architecture that protects the privacy of personal data during the first phases of digital clinical trials (namely the characterization phase and the recruiting phase), allowing potential participants to freely join trials without disclosing their personal health information without a proper reward and/or prior agreement. We will illustrate what is the trusted environment that is the most used approach in eHealth and, later, we will dig into the untrusted environment where the concept of privacy is more challenging to protect while maintaining usability of data. Our architecture maintains the individuals in full control over the flow of their personal health data. Moreover, the architecture allows the clinical research institutes to characterize the population of potentiant users without direct access to their personal data. We validated our architecture with a proof of concept that includes all the involved entities from the low level hardware up to the end application. We designed and realized the hardware capable of sensing, processing and transmitting personal health data in a privacy preserving fashion that requires little to none maintenance

    Blockchain facilitates a resilient supply chain in steel manufacturing under covid-19

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    Towards a European Health Research and Innovation Cloud (HRIC)

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    The European Union (EU) initiative on the Digital Transformation of Health and Care (Digicare) aims to provide the conditions necessary for building a secure, flexible, and decentralized digital health infrastructure. Creating a European Health Research and Innovation Cloud (HRIC) within this environment should enable data sharing and analysis for health research across the EU, in compliance with data protection legislation while preserving the full trust of the participants. Such a HRIC should learn from and build on existing data infrastructures, integrate best practices, and focus on the concrete needs of the community in terms of technologies, governance, management, regulation, and ethics requirements. Here, we describe the vision and expected benefits of digital data sharing in health research activities and present a roadmap that fosters the opportunities while answering the challenges of implementing a HRIC. For this, we put forward five specific recommendations and action points to ensure that a European HRIC: i) is built on established standards and guidelines, providing cloud technologies through an open and decentralized infrastructure; ii) is developed and certified to the highest standards of interoperability and data security that can be trusted by all stakeholders; iii) is supported by a robust ethical and legal framework that is compliant with the EU General Data Protection Regulation (GDPR); iv) establishes a proper environment for the training of new generations of data and medical scientists; and v) stimulates research and innovation in transnational collaborations through public and private initiatives and partnerships funded by the EU through Horizon 2020 and Horizon Europe
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