The Promise of Health Information Technology: Ensuring that Florida's Children Benefit

Substantial policy interest in supporting the adoption of Health Information Technology (HIT) by the public and private sectors over the last 5 -- 7 years, was spurred in particular by the release of multiple Institute of Medicine reports documenting the widespread occurrence of medical errors and poor quality of care (Institute of Medicine, 1999 & 2001). However, efforts to focus on issues unique to children's health have been left out of many of initiatives. The purpose of this report is to identify strategies that can be taken by public and private entities to promote the use of HIT among providers who serve children in Florida

HIL: designing an exokernel for the data center

We propose a new Exokernel-like layer to allow mutually untrusting physically deployed services to efficiently share the resources of a data center. We believe that such a layer offers not only efficiency gains, but may also enable new economic models, new applications, and new security-sensitive uses. A prototype (currently in active use) demonstrates that the proposed layer is viable, and can support a variety of existing provisioning tools and use cases.Partial support for this work was provided by the MassTech Collaborative Research Matching Grant Program, National Science Foundation awards 1347525 and 1149232 as well as the several commercial partners of the Massachusetts Open Cloud who may be found at http://www.massopencloud.or

Where can teens find health information? A survey of web portals designed for teen health information seekers

The Web is an important source for health information for most teens with access to the Web (Gray et al, 2005a; Kaiser, 2001). While teens are likely to turn to the Web for health information, research has indicated that their skills in locating, evaluating and using health information are weak (Hansen et al, 2003; Skinner et al, 2003, Gray et al, 2005b). This behaviour suggests that the targeted approach to finding health information that is offered by web portals would be useful to teens. A web portal is the entry point for information on the Web. It is the front end, and often the filter, that users must pass through in order to link to actual content. Unlike general search engines such as Google, content that is linked to a portal has usually been pre-selected and even created by the organization that hosts the portal, assuring some level of quality control. The underlying architecture of the portal is structured and thus offers an organized approach to exploring a specific health topic. This paper reports on an environmental scan of the Web, the purpose of which was to identify and describe portals to general health information, in English and French, designed specifically for teens. It answers two key questions. First of all, what portals exist? And secondly, what are their characteristics? The portals were analyzed through the lens of four attributes: Usability, interactivity, reliability and findability. Usability is a term that incorporates concepts of navigation, layout and design, clarity of concept and purpose, underlying architecture, in-site assistance and, for web content with text, readability. Interactivity relates to the type of interactions and level of engagement required by the user to access health information on a portal. Interaction can come in the form of a game, a quiz, a creative experience, or a communication tool such as an instant messaging board, a forum or blog. Reliability reflects the traditional values of accuracy, currency, credibility and bias, and in the web-based world, durabililty. Findability is simply the ease with which a portal can be discovered by a searcher using the search engine that is most commonly associated with the Web by young people - Google - and using terms related to teen health. Findability is an important consideration since the majority of teens begin their search for health information using search engines (CIBER, 2008; Hansen et al, 2003). The content linked to by the portals was not evaluated, nor was the portals’ efficacy as a health intervention. Teens looking for health information on the Web in English have a wide range of choices available but French-language portals are much rarer and harder to find. A majority of the portals found and reviewed originated from hospitals, associations specializing in a particular disease, and governmental agencies, suggesting that portals for teens on health related topics are generally reliable. However, only a handful of the portals reviewed were easy to find, suggesting that valuable resources for teens remain buried in the Web

A multidimensional examination of performances of HSR (High-Speed Rail) systems

This paper deals with a multidimensional examination of the infrastructural, technical/technological, operational, economic, social, and environmental performances of high-speed rail (HSR) systems, including their overview, analysis of some real-life cases, and limited (analytical) modeling. The infrastructural performances reflect design and geometrical characteristics of the HSR lines and stations. The technical/technological performances relate to the characteristics of rolling stock, i.e., high-speed trains, and supportive facilities and equipment, i.e., the power supply, signaling, and traffic control and management system(s). The operational performances include the capacity and productivity of HSR lines and rolling stock, and quality of services. The economic performances refer to the HSR systems’ costs, revenues, and their relationship. The social performances relate to the impacts of HSR systems on the society such as congestion, noise, and safety, and their externalities, and the effects in terms of contribution to the local and global/country socialeconomic development. Finally, the environmental performances of the HSR systems reflect their energy consumption and related emissions of green house gases, land use, and corresponding externalities.</p

Ubiquitous Electronic Medical Record (EMR) for Developing Countries

Around the globe, Healthcare Information Technology (HIT) has been evolved either by governments or healthcare providers. The utilization of these technologies has resulted in the improvement of healthcare services all over the world. This evolution has been characterized by availability, reliability, serviceability to patients, and has been enhanced with increased cost and time efficiency. As such, new systems and terms have been established. Electronic Medical Record (EMR), which can also be used interchangeably with Electronic Health Record (EHR) is considered to be the main transformation in healthcare information technologies. EMR has been aimed to reduce and eliminate existing paper based approaches. Many countries have adopted the use of EMR systems all over the world. However, these systems differ from country to country even though they serve the same purpose. The differentiation of implementing the EMR system often leads to incompatibility, which complicates cooperation between healthcare providers, and also compromises the efficient use and analysis of data that can be gathered from different locations or systems. This thesis highlights and addresses the implementation of EMR on cloud-based systems to enable improvements in HIT. In particular, the scope of this research focuses on the use of EMR or EHR in Saudi Arabia, and establishes clinical information transaction standards that can be easily adopted by the different EMR application architectures available. Furthermore, the implementation of a cloud-based system is proposed for standard EMR to be used by both public and private healthcare providers in Saudi Arabia. The advantage that cloud technologies facilitate is the availability of data regardless of the patient, clinician, or physician’s location. Similarly, these technologies enable a linkage and utilization of the Health Information Exchange (HIE) by healthcare researchers and providers to invest in data through online and offline cooperation. Support for the standardization of the EMR system on cloud-based technology will minimize or at best prevent human’s errors, repetition or duplication of records, and reduce cost of operation and time

Towards a heterogeneous mist, fog, and cloud based framework for the Internet of Healthcare Things

Rapid developments in the fields of information and communication technology and microelectronics allowed seamless interconnection among various devices letting them to communicate with each other. This technological integration opened up new possibilities in many disciplines including healthcare and well-being. With the aim of reducing healthcare costs and providing improved and reliable services, several healthcare frameworks based on Internet of Healthcare Things (IoHT) have been developed. However, due to the critical and heterogeneous nature of healthcare data, maintaining high quality of service (QoS) -in terms of faster responsiveness and data-specific complex analytics -has always been the main challenge in designing such systems. Addressing these issues, this paper proposes a five-layered heterogeneous mist, fog, and cloud based IoHT framework capable of efficiently handling and routing (near-)real-time as well as offline/batch mode data. Also, by employing software defined networking and link adaptation based load balancing, the framework ensures optimal resource allocation and efficient resource utilization. The results, obtained by simulating the framework, indicate that the designed network via its various components can achieve high QoS, with reduced end-to-end latency and packet drop rate, which is essential for developing next generation e-healthcare systems

Electronic medical records concepts and data management

Healthcare information (Clinical Data) is associated with every individual, young or old, rich or poor, belonging to any country. Clinical data is very extensive. Everyday some new diseases and new symptoms are being seen and the human race is struggling to find cures. There are many diseases whose diagnosis, symptoms, and possible treatment are known but unfortunately that rare knowledge is not available to every individual in the world. This initiates all the vision behind presenting a paper on EMR/ EHR and its Data Management. The thesis reviews the concept of EMR/ EHR thus explaining its concepts, importance, market need etc. Thesis will also explain privacy and security related to clinical data in electronic format which is a very important as any electronic data is prone to hacks and data loss. To manage and utilize such amount of data, there is need of extensive data management and so the thesis explains the concepts of Datawarehouse, its importance, ETL, Schemas etc. As part of explaining these concepts a mini EMR/EHR Datawarehouse is designed which explains various subject areas possible in any EMR Datawarehouse. Last but not the least, the thesis comments on the Future of EMR/ EHR and the World Vision on this revolutionary change

Scientific Workflows for Metabolic Flux Analysis

Metabolic engineering is a highly interdisciplinary research domain that interfaces biology, mathematics, computer science, and engineering. Metabolic flux analysis with carbon tracer experiments (13 C-MFA) is a particularly challenging metabolic engineering application that consists of several tightly interwoven building blocks such as modeling, simulation, and experimental design. While several general-purpose workflow solutions have emerged in recent years to support the realization of complex scientific applications, the transferability of these approaches are only partially applicable to 13C-MFA workflows. While problems in other research fields (e.g., bioinformatics) are primarily centered around scientific data processing, 13C-MFA workflows have more in common with business workflows. For instance, many bioinformatics workflows are designed to identify, compare, and annotate genomic sequences by "pipelining" them through standard tools like BLAST. Typically, the next workflow task in the pipeline can be automatically determined by the outcome of the previous step. Five computational challenges have been identified in the endeavor of conducting 13 C-MFA studies: organization of heterogeneous data, standardization of processes and the unification of tools and data, interactive workflow steering, distributed computing, and service orientation. The outcome of this thesis is a scientific workflow framework (SWF) that is custom-tailored for the specific requirements of 13 C-MFA applications. The proposed approach – namely, designing the SWF as a collection of loosely-coupled modules that are glued together with web services – alleviates the realization of 13C-MFA workflows by offering several features. By design, existing tools are integrated into the SWF using web service interfaces and foreign programming language bindings (e.g., Java or Python). Although the attributes "easy-to-use" and "general-purpose" are rarely associated with distributed computing software, the presented use cases show that the proposed Hadoop MapReduce framework eases the deployment of computationally demanding simulations on cloud and cluster computing resources. An important building block for allowing interactive researcher-driven workflows is the ability to track all data that is needed to understand and reproduce a workflow. The standardization of 13 C-MFA studies using a folder structure template and the corresponding services and web interfaces improves the exchange of information for a group of researchers. Finally, several auxiliary tools are developed in the course of this work to complement the SWF modules, i.e., ranging from simple helper scripts to visualization or data conversion programs. This solution distinguishes itself from other scientific workflow approaches by offering a system of loosely-coupled components that are flexibly arranged to match the typical requirements in the metabolic engineering domain. Being a modern and service-oriented software framework, new applications are easily composed by reusing existing components