The Role Of Blockchain In Marseille’s Energy Market: Transparency And Profitability – Pruning of fuzzy neural networks applied to the construction of expert systems to assist in the diagnosis of cryotherapy and immunotherapy treatment
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The Role Of Blockchain In Marseille’s Energy Market: Transparency And Profitability
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Department of Paraclinical Sciences, Faculty of Medical Sciences, University of the West Indies, St. Augustine, Trinidad and Tobago
Received: March 21, 2019 / Revised: April 27, 2019 / Accepted: May 4, 2019 / Published: May 8, 2019
Blockchain technology has enormous scope to revamp the healthcare system in many ways as it improves the quality of healthcare by sharing data among all participants, selective privacy and ensuring data security. This article explores the basics of blockchain, its applications, quality of experience, and advantages in disease surveillance over other widely used real-time and machine learning techniques. The other real-time surveillance systems lack scalability, security and interoperability, making blockchain an option for surveillance. Blockchain offers the ability to improve global health security and can also ensure the anonymity of patient data, thus aiding health research. Recent epidemics of re-emerging infections such as Ebola and Zika have raised many health security concerns, leading to the strengthening of surveillance systems. We also discuss how blockchains can help identify threats early and report them to health authorities for early preventive measures. As the Global Health Security Agenda addresses global public health threats (both infectious and NCDs); strengthen workforce and systems; detect and respond quickly and effectively to disease threats; and elevate global health security as a priority. Blockchain has enormous potential to disrupt many current practices in traditional disease surveillance and healthcare research.
In recent years, blockchain technology has gained significant attention in several diverse areas and domains, including healthcare, as it offers a distributed and more secure database that can operate effectively without the need for a centralized administrator. Apart from that, blockchain has also gained a lot of attention and interest as an effective platform to improve both the authenticity and transparency of healthcare data in institutions and hospitals, from maintaining permissions in electronic health records (EHR) to streamlining processing. of patients. claims [1]. According to Angraal et al., the highlight of the blockchain environment is that once there is digital validation, the network itself validates the transaction, secures the transaction history and allows assets to be transferred directly between the parties [2]. This article aims to discuss (1) the basic concepts of blockchain technology and its role in healthcare and disease surveillance, and (2) its application to improve global health security.
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A blockchain is a distributed (decentralized) system that performs the dual function of recording and storing transaction records. In this blockchain, data is located on a network of personal computers called “nodes” without any central control, as shown below (Figure 1).
All transactions or changes to data are recorded with real-time updates across the network. So the same information is stored in each “node”. This information is permanent; It cannot be deleted or modified [3]. Blockchain technology provides transparency, autonomy, and has the potential to improve the quality of healthcare as data is shared among all participants [4]. It is a system for creating a distributed, secure and immutable transaction database where cryptographic algorithms are used to validate the transaction. This cryptographic proof is used in place of the “trusted third party” mechanism for two willing parties to approve an online transaction protected by a digital signature [2]. Centralized health systems have many disadvantages, such as information dispersion, data insecurity, cost, slowness, lack of transparency, and inefficiency. However, decentralizing healthcare through blockchain integration will improve interoperability, immutability, tighter security, transparency, cost reduction, and faster care delivery.
There are two main types of blockchains: (1) permissionless blockchains where all parties can see all records, and (2) permissioned blockchains where privacy is maintained, i.e. only selected parties can see selected information and can also be anonymous and presented [5]. Permissioned blockchains are best suited for the healthcare space. Of the various available applications of blockchain technology, Bitcoin is the most popular example that uses this technology for cryptocurrencies [6]. Other areas or industries where this technology is used are banking payments, money transfers, leasing, car sales, cybersecurity, voting, education, insurance, forecasting, etc.
A recent article published in Harvard Business Review highlights various uses and applications of Blockchain technology, from validating works of art to verifying voting records [7]. Many organizations have started leveraging this technology for identity verification, commercial/business agreements, and supply chain management.
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Based on the research available in this area, the advantages and limitations of blockchain technology are shown below (Table 1)
Blockchain technology, which has gained widespread popularity among businesses and other sectors, has also begun to receive significant attention in the healthcare management space. Technological innovation has been applied to hospital and healthcare activities, such as medical records, insurance billing, and disease surveillance. Its application in the management of electronic medical records is notable, where vast information can be processed effectively [4]. Peterson et al. [8] argue that blockchains can solve all healthcare data sharing problems and can revolutionize the interoperability of medical databases. This unique feature of increased interoperability can revolutionize health databases and help improve access to medical records, image files, scan reports, prescription databases and surveillance systems globally. Additionally, there may be built-in authentication controls that reduce the risk of data theft [9].
The latest JM defined surveillance as “the systematic and continuous collection, compilation and analysis of data and the timely dissemination of information to those who need to know it so that action can be taken” [10]. All national health systems carry out surveillance for both infectious diseases and chronic non-communicable diseases and, depending on national priorities, the diseases under surveillance may be different, as nations must comply with the reporting of infections listed in the WHO International Health Regulations. Effective disease surveillance and response systems are needed to control infectious diseases and prevent the spread of epidemics [11]. If someone contracts hepatitis A, for example, it is important to alert the CDC and local health departments and for these agencies to share data to identify the contaminant. By ensuring a reliable and active laboratory-based surveillance program that provides early warning of future epidemic transmission, we can have good disease control and effective prevention strategies [12], which further helps policy adoption. of adequate vaccinations.

Microbes have no borders, and any infectious disease threat anywhere in the world can be a threat everywhere in this globalized and interconnected world, as a pathogen can travel around the world to major cities in as little as 36 hours [ 13]. The current challenge is population growth, which has not only brought people closer to each other, but also animals, thus increasing the chances of disease transmission between animals and humans. Due to climate change, it is easy for disease vectors such as mosquitoes to cover more territories and transmit various vector-borne diseases to previously safe areas, thus compromising health security. The concept of “One Health” with a multi-sectoral approach is very promising to address these health security challenges. Infectious disease surveillance is a continuous, complex and inefficient process, as it involves a large number of independent agencies that must report to a centralized national information system. What’s more, it is still
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