Antifragile and Resilient Geographical Information System Service Delivery in Fog Computing.

The demand for cloud computing has drastically increased recently, but this paradigm has several issues due to its inherent complications, such as non-reliability, latency, lesser mobility support, and location-aware services. Fog computing can resolve these issues to some extent, yet it is still in its infancy. Despite several existing works, these works lack fault-tolerant fog computing, which necessitates further research. Fault tolerance enables the performing and provisioning of services despite failures and maintains anti-fragility and resiliency. Fog computing is highly diverse in terms of failures as compared to cloud computing and requires wide research and investigation. From this perspective, this study primarily focuses on the provision of uninterrupted services through fog computing. A framework has been designed to provide uninterrupted services while maintaining resiliency. The geographical information system (GIS) services have been deployed as a test bed which requires high computation, requires intensive resources in terms of CPU and memory, and requires low latency. Keeping different types of failures at different levels and their impacts on service failure and greater response time in mind, the framework was made anti-fragile and resilient at different levels. Experimental results indicate that during service interruption, the user state remains unaffected.

Time, timing, talking and training: findings from an exploratory action research study to improve quality of end of life care for minority ethnic kidney patients.

Background. With an ageing and increasingly diverse population at risk from rising levels of obesity, diabetes and cardiovascular disease, including kidney complications, there is a need to provide quality care at all stages in the care pathway including at the end of life and to all patients. Aim. This study purposively explored South Asian patients' experiences of kidney end of life care to understand how services can be delivered in a way that meets diverse patient needs. Methods. Within an action research design 14 focus groups (45 care providers) of kidney care providers discussed the recruitment and analysis of individual interviews with 16 South Asian kidney patients (eight men, eight women). Emergent themes from the focus groups were analysed thematically. The research took place at four UK centres providing kidney care to diverse populations: West London, Luton, Leicester and Bradford. Results. Key themes related to time and the timing of discussions about end of life care and the factors that place limitations on patients and providers in talking about end of life care. Lack of time and confidence of nurses in areas of kidney care, individual attitudes and workforce composition influence whether and how patients have access to end of life care through kidney services. Conclusion. Training, team work and time to discuss overarching issues (including timing and communication about end of life) with colleagues could support service providers to facilitate access and delivery of end of life care to this group of patients.