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Technology optimization for patient safety: a blockchain-based anesthesia record system architecture 促进患者安全的技术优化:基于区块链的麻醉记录系统架构
Pub Date : 2023-07-13 DOI: 10.3389/fbloc.2023.1116124
Roberto Orofino Giambastiani, Rodrigo Sáenz, Guido Lahitte, Juan-Carlos Umaran
Patient safety is acknowledged as a primary aim of anesthesiology. Anesthesia records constitute the main document of the intraoperative course of anesthesia administration. In this paper, we postulate that anesthesia record systems should be based on an integral tamper-proof design and provide specific technology characteristics to ensure data immutability, accessibility and transparency. Issues and limitations regarding current anesthesia record technologies are reviewed. We introduce a novel anesthesia record system designed for patient safety optimization which integrates dedicated hardware, blockchain technology and decentralized storage solutions. We propose an oracle network in which anesthesiologists run independent Sybil-resistant nodes which broadcast biosensor time series to decentralized storage systems and generate proofs of existence on public blockchains. Records are biometrically signed and incorporate information on the temporo-spatial relation between the anesthetized patient and the professional in charge through a unique personal-transponder wearable device. Compatibility for data science and machine learning implementation are discussed. Finally, we evaluate future impact and technological potential.
患者安全是麻醉学的首要目标。麻醉记录是术中麻醉过程的主要文件。在本文中,我们假设麻醉记录系统应基于整体防篡改设计,并提供特定的技术特征,以确保数据的不变性、可访问性和透明度。本文回顾了当前麻醉记录技术存在的问题和局限性。我们介绍了一种为优化患者安全而设计的新型麻醉记录系统,该系统集成了专用硬件、区块链技术和去中心化存储解决方案。我们提出了一个甲骨文网络,在该网络中,麻醉医师运行独立的抗假冒伪劣节点,将生物传感器时间序列广播到分散存储系统,并在公共区块链上生成存在证明。记录经生物特征签名,并通过独特的个人应答器可穿戴设备纳入麻醉患者与专业负责人之间的时空关系信息。我们还讨论了数据科学和机器学习实施的兼容性。最后,我们对未来的影响和技术潜力进行了评估。
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引用次数: 0
Analysis and Application of Verifiable Computation Techniques in Blockchain Systems for the Energy Sector 可验证计算技术在能源区块链系统中的分析与应用
Pub Date : 2021-09-21 DOI: 10.3389/fbloc.2021.725322
Andreas Zeiselmair, Bernd Steinkopf, Ulrich Gallersdörfer, A. Bogensperger, F. Matthes
The energy system is becoming increasingly decentralized. This development requires integrating and coordinating a rising number of actors and small units in a complex system. Blockchain could provide a base infrastructure for new tools and platforms that address these tasks in various aspects—ranging from dispatch optimization or dynamic load adaption to (local) market mechanisms. Many of these applications are currently in development and subject to research projects. In decentralized energy markets especially, the optimized allocation of energy products demands complex computation. Combining these with distributed ledger technologies leads to bottlenecks and challenges regarding privacy requirements and performance due to limited storage and computational resources. Verifiable computation techniques promise a solution to these issues. This paper presents an overview of verifiable computation technologies, including trusted oracles, zkSNARKs, and multi-party computation. We further analyze their application in blockchain environments with a focus on energy-related applications. Applied to a distinct optimization problem of renewable energy certificates, we have evaluated these solution approaches and finally demonstrate an implementation of a Simplex-Optimization using zkSNARKs as a case study. We conclude with an assessment of the applicability of the described verifiable computation techniques and address limitations for large-scale deployment, followed by an outlook on current development trends.
能源系统正变得越来越分散。这种发展需要在一个复杂的系统中整合和协调越来越多的参与者和小单位。区块链可以为新工具和平台提供基础设施,这些工具和平台可以在各个方面解决这些任务——从调度优化或动态负载适应到(本地)市场机制。其中许多应用程序目前正在开发中,并受到研究项目的影响。特别是在分散的能源市场中,能源产品的优化配置需要复杂的计算。由于存储和计算资源有限,将这些与分布式账本技术相结合会导致隐私要求和性能方面的瓶颈和挑战。可验证计算技术有望解决这些问题。本文概述了可验证计算技术,包括可信预言机、zksnark和多方计算。我们进一步分析了它们在区块链环境中的应用,重点是与能源相关的应用。应用于可再生能源证书的一个独特的优化问题,我们评估了这些解决方案的方法,并最后演示了一个简单优化的实现,使用zkSNARKs作为案例研究。最后,我们评估了所描述的可验证计算技术的适用性,并解决了大规模部署的局限性,然后展望了当前的发展趋势。
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引用次数: 4
From Clinical Trials to Highly Trustable Clinical Trials: Blockchain in Clinical Trials, a Game Changer for Improving Transparency? 从临床试验到高度可信的临床试验:临床试验中的区块链,提高透明度的游戏规则改变者?
Pub Date : 2019-12-10 DOI: 10.3389/fbloc.2019.00023
M. Benchoufi, Doug Altman, P. Ravaud
Quality of clinical research is undermined by severe misconducts, errors, frauds, which are detrimental to the trust it should arouse. In this perspective article, we show how Blockchain may trace and control processes of Clinical Trials preventing from the above issues or at least discourage them since they would become traceable and opposable. Then, we propose a short and doable program where, amidst the complex stream of events that a Clinical Trials consist of, we select sensitive and misconduct-prone steps that could dramatically benefit from Blockchain, through either simple core features as traceability and incorruptibility of its data registration, or through more refined automation tools called Smart Contracts.
临床研究的质量受到严重的不当行为、错误和欺诈行为的影响,这不利于它本应引起的信任。在这篇透视文章中,我们展示了区块链如何跟踪和控制临床试验的过程,以防止上述问题,或者至少阻止它们,因为它们将变得可追踪和对立。然后,我们提出了一个简短而可行的计划,在临床试验所包含的复杂事件流中,我们选择敏感和容易发生不当行为的步骤,这些步骤可以通过简单的核心功能(如数据注册的可追溯性和不可破坏性)或通过更精确的自动化工具(称为智能合约)从区块链中获益。
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引用次数: 18
Blockchain, Wikis, and the Ideal Science Machine: With an Example From Genomics 区块链、维基和理想的科学机器:以基因组学为例
Pub Date : 2019-12-06 DOI: 10.3389/fbloc.2019.00025
D. Koepsell
Until now we have lacked a technology that could well capture the processes of science in a way that preserves every step, and creates a full audit trail. Combining wiki technologies and blockchain provides us with a new opportunity: to create a “science machine” that folds all processes together, from instrument to publication, and enabling science to proceed as never before with greater transparency, accountability, and reproducibility. Here I discuss the theory and method that might be combined to create such a science machine with special reference to the nature of genomic science.
到目前为止,我们还缺乏一种技术,可以很好地捕捉科学的过程,以一种保留每一步的方式,并创建一个完整的审计跟踪。wiki技术和区块链的结合为我们提供了一个新的机会:创建一个“科学机器”,将从仪器到出版的所有过程折叠在一起,使科学以前所未有的方式进行,具有更高的透明度,问责制和可重复性。在这里,我讨论了可能结合起来创建这样一个科学机器的理论和方法,特别参考了基因组科学的本质。
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引用次数: 0
Blockchain Technology as Economic Infrastructure: Revisiting the Electronic Markets Hypothesis 区块链技术作为经济基础设施:重新审视电子市场假说
Pub Date : 2019-12-04 DOI: 10.3389/fbloc.2019.00022
C. Berg, S. Davidson, J. Potts
In the late 1980s and early 1990s the electronic markets hypothesis offered a prediction about effect of information technology on industrial organisation, and many business writers forecast significant changes to the shape and nature of the firm. However, these changes did not come to pass. This paper provides an economic analysis of why, using the transaction cost economic framework of Ronald Coase and Oliver Williamson. Non-hierarchical corporate organisation struggled against contracting problems in the presence of possible opportunistic behaviour. Technologies of trust offer an institutional mechanism that acts on the margin of trust, suppressing opportunism. The paper concludes that blockchain technology provides an economic infrastructure for the coordination of economic activity and the possible realisation of the electronic markets hypothesis.
在20世纪80年代末和90年代初,电子市场假说预测了信息技术对产业组织的影响,许多商业作家预测了企业形态和性质的重大变化。然而,这些变化并没有发生。本文运用罗纳德·科斯和奥利弗·威廉姆森的交易成本经济学框架对其原因进行了经济学分析。在可能存在机会主义行为的情况下,无等级制度的企业组织难以解决合同问题。信任技术提供了一种作用于信任边际、抑制机会主义的制度机制。本文的结论是,区块链技术为经济活动的协调和电子市场假设的可能实现提供了经济基础设施。
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引用次数: 29
Blockchain for Environmental Governance: Can Smart Contracts Reinforce Payments for Ecosystem Services in Namibia? 区块链环境治理:智能合约能否加强纳米比亚生态系统服务的支付?
Pub Date : 2019-11-21 DOI: 10.3389/fbloc.2019.00021
Daniel Oberhauser
The Global South harbors some of the planet’s most precious natural resources and is hence key in addressing the pressing environmental challenges of the Anthropocene. Here, payments for ecosystem services (PES) have recently gained importance as a means of environmental governance, increasingly complementing conventional command-and-control approaches. For instance, climate change is now mitigated through carbon offset payments and biodiversity loss is addressed through wildlife conservation performance payments. However, such payment schemes in the Global South face numerous challenges as identified by a large body of literature. This paper investigates if blockchain technology can help address some of the challenges by reinforcing PES programs with tamper-proof blockchain smart contracts. To this end, the paper presents a proof-of-concept of a blockchain-based wildlife conservation performance payments scheme in Namibia: the habitat integrity of an elephant corridor is assessed by remote sensing algorithms, which in turn trigger fictitious blockchain smart contract payments to surrounding communities. The application allows to practically discuss the potential of blockchain technology regarding three key aspects of PES: (i) effectiveness (conditionality) of environmental monitoring (ii) efficiency and transaction costs, as well as (iii) equity and benefit distribution. The case presented here is an example for linking the digital Blockchain sphere to practical challenges of natural resource management in the physical world. As such, it illustrates some potentials of the technology, but also shows how Blockchain technology is unlikely to provide transformative solutions in geographies with complex environmental governance.
全球南方拥有地球上一些最宝贵的自然资源,因此是应对人类世紧迫环境挑战的关键。在这里,生态系统服务支付(PES)作为一种环境治理手段最近变得越来越重要,越来越多地补充了传统的命令和控制方法。例如,现在通过碳补偿支付缓解气候变化,通过野生动物保护绩效支付解决生物多样性丧失问题。然而,正如大量文献所指出的那样,全球南方的这种支付计划面临着许多挑战。本文研究了区块链技术是否可以通过使用防篡改区块链智能合约来加强PES程序来帮助解决一些挑战。为此,本文提出了纳米比亚基于区块链的野生动物保护绩效支付方案的概念验证:通过遥感算法评估大象走廊的栖息地完整性,进而触发虚拟的区块链智能合约支付给周围社区。该应用程序允许在PES的三个关键方面实际讨论区块链技术的潜力:(i)环境监测的有效性(条制性);(ii)效率和交易成本;以及(iii)公平和利益分配。这里介绍的案例是将数字区块链领域与物理世界中自然资源管理的实际挑战联系起来的一个例子。因此,它说明了该技术的一些潜力,但也表明区块链技术不太可能在环境治理复杂的地区提供变革性解决方案。
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引用次数: 16
A Review on Blockchain Technology and Blockchain Projects Fostering Open Science 区块链技术与区块链项目促进开放科学发展综述
Pub Date : 2019-11-19 DOI: 10.3389/fbloc.2019.00016
S. Leible, Steffen Schlager, M. Schubotz, Bela Gipp
Many sectors, like finance, medicine, manufacturing, and education, use blockchain applications to profit from the unique bundle of characteristics of this technology. Blockchain technology (BT) promises benefits in trustability, collaboration, organization, identification, credibility, and transparency. In this paper, we conduct an analysis in which we show how open science can benefit from this technology and its properties. For this, we determined the requirements of an open science ecosystem and compared them with the characteristics of BT to prove that the technology suits as an infrastructure. We also review literature and promising blockchain-based projects for open science to describe the current research situation. To this end, we examine the projects in particular for their relevance and contribution to open science and categorize them afterwards according to their primary purpose. Several of them already provide functionalities that can have a positive impact on current research workflows. So, BT offers promising possibilities for its use in science, but why is it then not used on a large-scale in that area? To answer this question, we point out various shortcomings, challenges, unanswered questions, and research potentials that we found in the literature and identified during our analysis. These topics shall serve as starting points for future research to foster the BT for open science and beyond, especially in the long-term.
许多行业,如金融、医药、制造业和教育,都使用区块链应用程序从这项技术的独特特征中获利。区块链技术(BT)承诺在信任、协作、组织、识别、可信度和透明度方面带来好处。在本文中,我们进行了一项分析,其中我们展示了开放科学如何从这项技术及其特性中受益。为此,我们确定了开放科学生态系统的要求,并将其与BT的特征进行了比较,以证明该技术适合作为基础设施。我们还回顾了开放科学的文献和有前途的基于区块链的项目,以描述当前的研究情况。为此,我们特别研究了这些项目的相关性和对开放科学的贡献,并根据它们的主要目的对它们进行了分类。其中一些已经提供了可以对当前研究工作流程产生积极影响的功能。因此,BT为其在科学领域的应用提供了有希望的可能性,但为什么它没有在该领域大规模使用?为了回答这个问题,我们指出了我们在文献中发现并在分析过程中确定的各种缺点、挑战、未解决的问题和研究潜力。这些主题应作为未来研究的起点,以促进开放科学及其他领域的BT,特别是从长远来看。
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引用次数: 78
The Middleman Is Dead, Long Live the Middleman: The “Trust Factor” and the Psycho-Social Implications of Blockchain 中间商已死,中间商万岁:“信任因素”与b区块链的心理社会影响
Pub Date : 2019-11-15 DOI: 10.3389/fbloc.2019.00020
A. Gaggioli, Shayan Eskandari, P. Cipresso, E. Lozza
Blockchain is widely regarded as a breakthrough innovation that may have a profound impact on the economy and society, of a magnitude comparable to the effects of the introduction of the Internet itself. In essence, a blockchain is a decentralized peer-to-peer network with no central authority figure, which adds information to the distributed database by collectively validating the accuracy of data. Since each node of the network participates in the review and confirmation of the new information before being accepted, the need for a trustworthy intermediary is eliminated. However, as trust plays an essential role in affecting decisions when transacting with one another, it is important to understand which implications the decentralized nature of blockchain may have on individuals' sense of trust. In this contribution, we argue that the adoption of blockchain is not only a technological, but foremostly a psychological challenge, which crucially depends on the possibility of creating a trust management approach that matches the underlying distributed communication system. We first describe the decentralization technologies and possibilities they hold for the near future. Next, we discuss the psycho-social implications of the introduction of decentralized processes of trust, examining some potential scenarios, and outline a research agenda.
b区块链被广泛认为是一项突破性的创新,可能对经济和社会产生深远的影响,其影响程度可与引入互联网本身的影响相媲美。从本质上讲,区块链是一个分散的点对点网络,没有中央权威人物,它通过集体验证数据的准确性来向分布式数据库添加信息。由于网络的每个节点在接受新信息之前都参与了对新信息的审查和确认,因此消除了对可信中介的需求。然而,由于信任在相互交易时影响决策方面起着至关重要的作用,因此了解区块链的去中心化性质可能对个人信任感产生的影响是很重要的。在这篇文章中,我们认为区块链的采用不仅是一项技术挑战,而且首先是一项心理挑战,这关键取决于创建与底层分布式通信系统相匹配的信任管理方法的可能性。我们首先描述了去中心化技术以及它们在不久的将来所拥有的可能性。接下来,我们讨论了引入分散信任过程的心理社会影响,检查了一些潜在的情况,并概述了研究议程。
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引用次数: 11
A Framework Proposal for Blockchain-Based Scientific Publishing Using Shared Governance 使用共享治理的基于区块链的科学出版框架提案
Pub Date : 2019-11-15 DOI: 10.3389/fbloc.2019.00019
Timothy Mackey, Neal Shah, Ken Miyachi, James Short, K. Clauson
Scientific research activity is reaching a staggering growth rate, introducing new and compounding existing challenges regarding the quality of peer-review, rise of predatory journals, and larger issues involving academic integrity and fraud stemming from the increased pressure to publish. Blockchain, a distributed ledger technology, is well-suited to address some of the challenges specific to scientific publishing. Companies including ARTiFACTS, Pluto, Orvium, and ScienceMatters-EUREKA, along with academic researchers, are exploring blockchain-based solutions to facilitate research data provenance and workflows, optimize the peer-review process, introduce better incentives, and even create new research journals and platforms utilizing blockchain. Building upon a review of these efforts, we propose a governance framework for scientific publishing based on a consortium blockchain model to create a more efficient means of navigating the publishing process. At the center of this framework is a model that adopts shared governance and validated inclusion via a Democratic Autonomous Organization (DAO). A DAO is an entity wherein the organizational rules are implemented and executed via smart contracts. The DAO will be comprised of participants of validated individuals and organizations who are publishers, editors, peer-reviewers, and citizen scientists to manage and oversee the framework. The framework also maps specifically to the publication workflow of submitting, handling, peer-review, and final editorial decision-making for scientific manuscripts. The goal of this framework is to increase transparency of scientific publishing, create a “pedigree” of a manuscript’s research life cycle, and democratize the publication process while maintaining the accepted workflow common to scientific publishing by journals.
科学研究活动正以惊人的速度增长,在同行评议的质量、掠夺性期刊的兴起以及由于出版压力的增加而涉及学术诚信和欺诈等更大的问题上,引入了新的挑战,并加剧了现有的挑战。区块链是一种分布式账本技术,非常适合解决科学出版的一些特定挑战。包括ARTiFACTS、Pluto、Orvium和sciencemmatters - eureka在内的公司,以及学术研究人员,正在探索基于区块链的解决方案,以促进研究数据的来源和工作流程,优化同行评审过程,引入更好的激励措施,甚至利用区块链创建新的研究期刊和平台。在对这些努力进行回顾的基础上,我们提出了一个基于联盟区块链模型的科学出版治理框架,以创建一种更有效的出版流程导航方法。该框架的核心是一个通过民主自治组织(DAO)采用共享治理和验证包容的模型。DAO是一个实体,其中组织规则通过智能合约实现和执行。DAO将由经过验证的个人和组织的参与者组成,他们是出版商、编辑、同行审稿人和公民科学家,以管理和监督该框架。该框架还专门映射到科学手稿的提交、处理、同行评审和最终编辑决策的出版工作流程。该框架的目标是增加科学出版的透明度,创建手稿研究生命周期的“谱系”,并使出版过程民主化,同时保持期刊科学出版的通用工作流程。
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引用次数: 38
Blockchain Compliance by Design: Regulatory Considerations for Blockchain in Clinical Research 区块链合规性设计:临床研究中区块链的监管考虑
Pub Date : 2019-11-08 DOI: 10.3389/fbloc.2019.00018
Wendy M. Charles, Natalie Marler, Lauren Long, Sean T. Manion
As clinical research moves toward real-world data capture with increased data sharing, there is a growing need for patient-centered technologies that ensure data authenticity and promote researcher and patient access. Blockchain is one of an emerging set of distributed ledger technologies with the potential to offer both research data transparency and trust, while offering robust security measures. As blockchain-based systems are being developed for clinical research applications, these systems may be required to follow state and federal research regulations, such as ethical protections for human participants and data privacy. Blockchain developers and research organizations alike are struggling to identify and interpret these regulatory requirements. Further, regulatory agencies and policymakers have not yet provided blockchain stakeholders with clear guidelines to achieve compliance. This article provides an introduction to the clinical research and health information privacy regulations in the United States as well as data design standards and electronic signature laws. We also offer recommendations for blockchain developers, researchers, and research organizations for achieving compliant blockchain solutions in clinical research.
随着临床研究向真实世界的数据采集和数据共享方向发展,越来越需要以患者为中心的技术来确保数据的真实性,并促进研究人员和患者的访问。区块链是一组新兴的分布式账本技术之一,具有提供研究数据透明度和信任的潜力,同时提供强大的安全措施。由于基于区块链的系统正在开发用于临床研究应用,这些系统可能需要遵守州和联邦的研究法规,例如对人类参与者和数据隐私的道德保护。区块链开发人员和研究组织都在努力识别和解释这些法规需求。此外,监管机构和政策制定者尚未向bb100利益相关者提供实现合规的明确指导方针。本文介绍了美国的临床研究和健康信息隐私法规,以及数据设计标准和电子签名法律。我们还为区块链开发人员、研究人员和研究组织提供了在临床研究中实现合规区块链解决方案的建议。
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引用次数: 18
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Frontiers Blockchain
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