Jules White

Bio: Jules White is an academic researcher from Vanderbilt University. The author has contributed to research in topics: Mobile computing & Software. The author has an hindex of 33, co-authored 169 publications receiving 4176 citations. Previous affiliations of Jules White include Virginia Tech & Ohio State University.

FHIRChain: Applying Blockchain to Securely and Scalably Share Clinical Data.

Abstract: Secure and scalable data sharing is essential for collaborative clinical decision making. Conventional clinical data efforts are often siloed, however, which creates barriers to efficient information exchange and impedes effective treatment decision made for patients. This paper provides four contributions to the study of applying blockchain technology to clinical data sharing in the context of technical requirements defined in the "Shared Nationwide Interoperability Roadmap" from the Office of the National Coordinator for Health Information Technology (ONC). First, we analyze the ONC requirements and their implications for blockchain-based systems. Second, we present FHIRChain, which is a blockchain-based architecture designed to meet ONC requirements by encapsulating the HL7 Fast Healthcare Interoperability Resources (FHIR) standard for shared clinical data. Third, we demonstrate a FHIRChain-based decentralized app using digital health identities to authenticate participants in a case study of collaborative decision making for remote cancer care. Fourth, we highlight key lessons learned from our case study.

WreckWatch: Automatic Traffic Accident Detection and Notification with Smartphones

Abstract: Traffic accidents are one of the leading causes of fatalities in the US. An important indicator of survival rates after an accident is the time between the accident and when emergency medical personnel are dispatched to the scene. Eliminating the time between when an accident occurs and when first responders are dispatched to the scene decreases mortality rates by 6%. One approach to eliminating the delay between accident occurrence and first responder dispatch is to use in-vehicle automatic accident detection and notification systems, which sense when traffic accidents occur and immediately notify emergency personnel. These in-vehicle systems, however, are not available in all cars and are expensive to retrofit for older vehicles. This paper describes how smartphones, such as the iPhone and Google Android platforms, can automatically detect traffic accidents using accelerometers and acoustic data, immediately notify a central emergency dispatch server after an accident, and provide situational awareness through photographs, GPS coordinates, VOIP communication channels, and accident data recording. This paper provides the following contributions to the study of detecting traffic accidents via smartphones: (1) we present a formal model for accident detection that combines sensors and context data, (2) we show how smartphone sensors, network connections, and web services can be used to provide situational awareness to first responders, and (3) we provide empirical results demonstrating the efficacy of different approaches employed by smartphone accident detection systems to prevent false positives.

Blockchain Technology Use Cases in Healthcare

Abstract: Blockchain technology alleviates the reliance on a centralized authority to certify information integrity and ownership, as well as mediate transactions and exchange of digital assets, while enabling secure and pseudoanonymous transactions along with agreements directly between interacting parties. It possesses key properties, such as immutability, decentralization, and transparency, which potentially address pressing issues in healthcare, such as incomplete records at point of care and difficult access to patients’ own health information. An efficient and effective healthcare system requires interoperability, which allows software apps and technology platforms to communicate securely and seamlessly, exchange data, and use the exchanged data across health organizations and app vendors. Unfortunately, healthcare today suffers from siloed and fragmented data, delayed communications, and disparate workflow tools caused by the lack of interoperability. Blockchain offers the opportunity to enable access to longitudinal, complete, and tamper-aware medical records that are stored in fragmented systems in a secure and pseudoanonymous fashion. This chapter focuses on the applicability of Blockchain technology in healthcare by (1) identifying potential Blockchain use cases in healthcare, (2) providing a case study that implements Blockchain technology, and (3) evaluating design considerations when applying this technology in healthcare.

Using Smartphones to Detect Car Accidents and Provide Situational Awareness to Emergency Responders

Abstract: Accident detection systems help reduce fatalities stemming from car accidents by decreasing the response time of emergency responders. Smartphones and their onboard sensors (such as GPS receivers and accelerometers) are promising platforms for constructing such systems. This paper provides three contributions to the study of using smartphone-based accident detection systems. First, we describe solutions to key issues associated with detecting traffic accidents, such as preventing false positives by utilizing mobile context information and polling onboard sensors to detect large accelerations. Second, we present the architecture of our prototype smartphone-based accident detection system and empirically analyze its ability to resist false positives as well as its capabilities for accident reconstruction. Third, we discuss how smartphone-based accident detection can reduce overall traffic congestion and increase the preparedness of emergency responders.

“Bioinformatics” 특집을 내면서

Abstract: BIOE 402. Medical Technology Assessment. 2 or 3 hours. Bioentrepreneur course. Assessment of medical technology in the context of commercialization. Objectives, competition, market share, funding, pricing, manufacturing, growth, and intellectual property; many issues unique to biomedical products. Course Information: 2 undergraduate hours. 3 graduate hours. Prerequisite(s): Junior standing or above and consent of the instructor.

An overview of AspectJ

Abstract: Aspect] is a simple and practical aspect-oriented extension to Java With just a few new constructs, AspectJ provides support for modular implementation of a range of crosscutting concerns. In AspectJ's dynamic join point model, join points are well-defined points in the execution of the program; pointcuts are collections of join points; advice are special method-like constructs that can be attached to pointcuts; and aspects are modular units of crosscutting implementation, comprising pointcuts, advice, and ordinary Java member declarations. AspectJ code is compiled into standard Java bytecode. Simple extensions to existing Java development environments make it possible to browse the crosscutting structure of aspects in the same kind of way as one browses the inheritance structure of classes. Several examples show that AspectJ is powerful, and that programs written using it are easy to understand.

Test Driven Development: By Example

Abstract: From the Book: “Clean code that works” is Ron Jeffries’ pithy phrase. The goal is clean code that works, and for a whole bunch of reasons: Clean code that works is a predictable way to develop. You know when you are finished, without having to worry about a long bug trail.Clean code that works gives you a chance to learn all the lessons that the code has to teach you. If you only ever slap together the first thing you think of, you never have time to think of a second, better, thing. Clean code that works improves the lives of users of our software.Clean code that works lets your teammates count on you, and you on them.Writing clean code that works feels good.But how do you get to clean code that works? Many forces drive you away from clean code, and even code that works. Without taking too much counsel of our fears, here’s what we do—drive development with automated tests, a style of development called “Test-Driven Development” (TDD for short). In Test-Driven Development, you: Write new code only if you first have a failing automated test.Eliminate duplication. Two simple rules, but they generate complex individual and group behavior. Some of the technical implications are:You must design organically, with running code providing feedback between decisionsYou must write your own tests, since you can’t wait twenty times a day for someone else to write a testYour development environment must provide rapid response to small changesYour designs must consist of many highly cohesive, loosely coupled components, just to make testing easy The two rules imply an order to the tasks ofprogramming: 1. Red—write a little test that doesn’t work, perhaps doesn’t even compile at first 2. Green—make the test work quickly, committing whatever sins necessary in the process 3. Refactor—eliminate all the duplication created in just getting the test to work Red/green/refactor. The TDD’s mantra. Assuming for the moment that such a style is possible, it might be possible to dramatically reduce the defect density of code and make the subject of work crystal clear to all involved. If so, writing only code demanded by failing tests also has social implications: If the defect density can be reduced enough, QA can shift from reactive to pro-active workIf the number of nasty surprises can be reduced enough, project managers can estimate accurately enough to involve real customers in daily developmentIf the topics of technical conversations can be made clear enough, programmers can work in minute-by-minute collaboration instead of daily or weekly collaborationAgain, if the defect density can be reduced enough, we can have shippable software with new functionality every day, leading to new business relationships with customers So, the concept is simple, but what’s my motivation? Why would a programmer take on the additional work of writing automated tests? Why would a programmer work in tiny little steps when their mind is capable of great soaring swoops of design? Courage. Courage Test-driven development is a way of managing fear during programming. I don’t mean fear in a bad way, pow widdle prwogwammew needs a pacifiew, but fear in the legitimate, this-is-a-hard-problem-and-I-can’t-see-the-end-from-the-beginning sense. If pain is nature’s way of saying “Stop!”, fear is nature’s way of saying “Be careful.” Being careful is good, but fear has a host of other effects: Makes you tentativeMakes you want to communicate lessMakes you shy from feedbackMakes you grumpy None of these effects are helpful when programming, especially when programming something hard. So, how can you face a difficult situation and: Instead of being tentative, begin learning concretely as quickly as possible.Instead of clamming up, communicate more clearly.Instead of avoiding feedback, search out helpful, concrete feedback.(You’ll have to work on grumpiness on your own.) Imagine programming as turning a crank to pull a bucket of water from a well. When the bucket is small, a free-spinning crank is fine. When the bucket is big and full of water, you’re going to get tired before the bucket is all the way up. You need a ratchet mechanism to enable you to rest between bouts of cranking. The heavier the bucket, the closer the teeth need to be on the ratchet. The tests in test-driven development are the teeth of the ratchet. Once you get one test working, you know it is working, now and forever. You are one step closer to having everything working than you were when the test was broken. Now get the next one working, and the next, and the next. By analogy, the tougher the programming problem, the less ground should be covered by each test. Readers of Extreme Programming Explained will notice a difference in tone between XP and TDD. TDD isn’t an absolute like Extreme Programming. XP says, “Here are things you must be able to do to be prepared to evolve further.” TDD is a little fuzzier. TDD is an awareness of the gap between decision and feedback during programming, and techniques to control that gap. “What if I do a paper design for a week, then test-drive the code? Is that TDD?” Sure, it’s TDD. You were aware of the gap between decision and feedback and you controlled the gap deliberately. That said, most people who learn TDD find their programming practice changed for good. “Test Infected” is the phrase Erich Gamma coined to describe this shift. You might find yourself writing more tests earlier, and working in smaller steps than you ever dreamed would be sensible. On the other hand, some programmers learn TDD and go back to their earlier practices, reserving TDD for special occasions when ordinary programming isn’t making progress. There are certainly programming tasks that can’t be driven solely by tests (or at least, not yet). Security software and concurrency, for example, are two topics where TDD is not sufficient to mechanically demonstrate that the goals of the software have been met. Security relies on essentially defect-free code, true, but also on human judgement about the methods used to secure the software. Subtle concurrency problems can’t be reliably duplicated by running the code. Once you are finished reading this book, you should be ready to: Start simplyWrite automated testsRefactor to add design decisions one at a time This book is organized into three sections. An example of writing typical model code using TDD. The example is one I got from Ward Cunningham years ago, and have used many times since, multi-currency arithmetic. In it you will learn to write tests before code and grow a design organically.An example of testing more complicated logic, including reflection and exceptions, by developing a framework for automated testing. This example also serves to introduce you to the xUnit architecture that is at the heart of many programmer-oriented testing tools. In the second example you will learn to work in even smaller steps than in the first example, including the kind of self-referential hooha beloved of computer scientists.Patterns for TDD. Included are patterns for the deciding what tests to write, how to write tests using xUnit, and a greatest hits selection of the design patterns and refactorings used in the examples. I wrote the examples imagining a pair programming session. If you like looking at the map before wandering around, you may want to go straight to the patterns in Section 3 and use the examples as illustrations. If you prefer just wandering around and then looking at the map to see where you’ve been, try reading the examples through and refering to the patterns when you want more detail about a technique, then using the patterns as a reference. Several reviewers have commented they got the most out of the examples when they started up a programming environment and entered the code and ran the tests as they read. A note about the examples. Both examples, multi-currency calculation and a testing framework, appear simple. There are (and I have seen) complicated, ugly, messy ways of solving the same problems. I could have chosen one of those complicated, ugly, messy solutions to give the book an air of “reality.” However, my goal, and I hope your goal, is to write clean code that works. Before teeing off on the examples as being too simple, spend 15 seconds imagining a programming world in which all code was this clear and direct, where there were no complicated solutions, only apparently complicated problems begging for careful thought. TDD is a practice that can help you lead yourself to exactly that careful thought.

Model Driven Engineering

Abstract: The Object Management Group's (OMG) Model Driven Architecture (MDA) strategy envisages a world where models play a more direct role in software production, being amenable to manipulation and transformation by machine. Model Driven Engineering (MDE) is wider in scope than MDA. MDE combines process and analysis with architecture. This article sets out a framework for model driven engineering, which can be used as a point of reference for activity in this area. It proposes an organisation of the modelling 'space' and how to locate models in that space. It discusses different kinds of mappings between models. It explains why process and architecture are tightly connected. It discusses the importance and nature of tools. It identifies the need for defining families of languages and transformations, and for developing techniques for generating/configuring tools from such definitions. It concludes with a call to align metamodelling with formal language engineering techniques.