A blockchain technology based trust system for cloud manufacturing.

Cloud manufacturing (CM) is a new networked manufacturing model that delivers various on-demand manufacturing capabilities to the consumers from the providers. In this model, the provider and consumer never meet each other, thus "trust" is the major enabler for starting a collaboration. In another word, a user must be sure that the requested capability will not be provided with malicious results, and the provider should ensure that the payment will be made on time. In this paper, a novel Blockchain Technology (BCT)-based trust system called "Blocktrust" is proposed to address the trust problem of the CM. First, the CM framework that contains the digital firm, capability pool, and digital certificate issuing units is developed, and then, the private blocktrust peer-to-peer network is proposed and implemented based on Hyperledger fabric. Finlay, the feasibility of the blocktrust is examined under different testing scenarios. The reason for using a private network instead of the public is placing restrictions on who is allowed to participate in the network and also enjoying a network with fast transaction speed. Experiments show that the proposed blocktrust embedded CM is credible and practical.

Establish an Organ Donation Trust System Centered on the Public and the Families of the Donors / 中国医学伦理学

Public trust is the foundation for supporting the sustainable development of various social donation systems. However, the construction of trust system is continuous, long-term, and easily lost and difficult to defend. This study explored the multi-object and multi-dimensional trust demands of the public, donors and their families in interpersonal, system, social and supervision aspects. It was proposed that participating institutions and practitioners should take the multidimensional claims as an action-oriented, break the crisis of trust by building two major support systems centered on the public and donors’ families, and jointly safeguard the sustainable and high-quality development of organ donation.

The Economic Burden of Dementia: Evidence from a Survey of Households of People with Dementia and Their Caregivers.

Although a cognitive impairment such as dementia causes serious economic problems among older people, its impact on economic activities is unclear. This study investigated the actual conditions of economic activities and the current status of the financial support systems among people with dementia and caregivers. One hundred and five dyads participated in the survey. Each dyad consisted of an older person with Alzheimer's disease and their caregiver. The Mini-Mental State Examination (MMSE) and Functional Assessment Staging (FAST) were used to evaluate the cognitive functions of people with dementia. The caregivers were asked questions concerning the financial status of the household and their utilization of the financial support systems available to people with dementia. Average monthly care costs significantly increased according to the severity of dementia, while household income and spending incurred no significant changes. People with dementia experienced financial problems (including a large amount of erroneously purchased, unnecessary shopping), even though their assets were informally managed by their caregivers. Financial support systems such as adult guardianship and civil trust systems were rarely known and used. We proposed the propagation of the adult guardianship and civil trust systems and the development of contract guidelines for elderly customers including people with dementia.

Analysis of Present Situation and Causes of the Doctor-patient Trust in Villager Autonomy Environment / 中国医学伦理学

Through field observation and in -depth interviews of H County , analyzed about the present multidi-mensional situation between patient and physician .This paper discussed villager autonomy environment barriers and village village system build trust between patient and physician′s interpersonal trust between patient and physician′s unique features , further improve the village of doctor -patient trust countermeasures and suggestions: strengthen the village doctor training;To strengthen the village doctor in performance appraisal of public welfare goal , consoli-date the village-level emotional trust between patient and physician; Establish differential income compensation mechanism , arouse the enthusiasm of the village doctor service , and improve the level of village -level doctor-pa-tient trust .