Strategic and Blockchain-based Market Decisions for Cloud Computing

The cloud computing market has been in the center of attention for years where cloud providers strive to survive by either competition or cooperation. Some cloud providers choose to compete in the market that is dominated by few large providers and try to maximize their profit without sacrificing the service quality which leads to higher user ratings. Many research proposals tried to contribute to the cloud market competition. However, the majority of these proposals focus only on pricing mechanisms, neglecting thus the cloud service quality and users satisfaction. Meanwhile, cloud providers intend to form cloud federations to enhance their services quality and revenues. Nevertheless, traditional centralized cloud federations have strict challenges that might hinder the members' motivation to participate in, such as formation of stable coalitions with long-term commitments, participants' trustworthiness, shared revenue, and security of the managed data and services. For a stable and trustworthy federation, it is vital to avoid blind-trust on the claimed SLA guarantees from the members and monitor the quality of service considering the various characteristics of cloud services. This thesis aims to tackle the issues of cloud computing market from the two perspectives of competition and cooperation by: 1) modeling and solving the conflicting situation of revenue, user ratings and service quality, to improve the providers position in the market and increase the future users' demand; 2) proposing a user-centric game theoretical framework to allow the new and smaller cloud providers to have a share in the market and increase users satisfaction through providing high quality and added-value services; 3) motivating the cloud providers to adopt a coopetition behavior through a novel, fully distributed blockchain-based federation's structure that enables them to trade their computing resources through smart contracts; 4) introducing a new role of oracle as a verifier agent to monitor the quality of service and report to the smart contract agents deployed on the blockchain while optimizing the cost of using oracles; and 5) developing a Bayesian bandit learning oracles reliability mechanism to select the oracles smartly and optimize the cost and reliability of utilized oracles. All of the contributions are validated by simulations and implementations using real-world data

A Comparative Study of Agile Components, Aspect-Oriented and Mashup Software development methods

This paper compares Agile Methods, Component-Based Software Engineering (CBSE), Aspect-Oriented Software Development (AOSD) and Mashups as the four most advanced software development methods. These different approaches depend almost totally on their application domain but their usability can be equally applied across domains. The purpose of this comparative analysis is to give a succinct and clear review of these four methodologies. Their definitions, characteristics, advantages and disadvantages are considered and a conceptual mind-map is generated that sets out a foundation to assist in the formulation and design of a possible new integrated software development approach. This includes supportive techniques to benefit from the examined methods' potential advantages for cross-fertilization. It is a basis upon which new thinking may be initiated and further research stimulated in the software engineering subject field

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat