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Medical Supply Manufacturing usingAnalysis

Report from Cloud Computing

Abhishek Kumar Singh

1

, Deeraj Pannam

2

, Chirag Pattanaik

3 Students of Department of Computer Science Engineering

SRM Institute of Science and Technology – Ramapuram Campus, Chennai, Tamil Nadu, India

Dr. K. Raja

Professor and HOD of Department Computer Science Engineering

SRM Institute of Science and Technology – Ramapuram Campus, Chennai, Tamil Nadu, India

Abstract- Medical supply management has become a complex problem worldwide due to increased dependency all of a sudden. Manufacturing in conventional factory site yields problems such as shortage of equipment, transportation and mismanagement in delivery. Smart-manufacturing standards limited mostly to automobile and hardware sectors. This research explores cloud-based manufacturing for medical equipment, for faster and less complex inter-connection between factory and customer. The proposal of this research is to auto implement the manufacturing in its high demand and reduce it when lower in demand, which directly leads to control in unused medical supply wastes. Healthcare analytics is vital to the continued survival of any company working in this broad and indispensable field. By showing plot of diabetic retinopathy over a geographical area, it can be ensured via web-based application to trigger manufacturing in those particular area of demand. Hospitals in turn are large, dynamic organizations that rely on coordination and teamwork of several agencies in order to operate smoothly. By using Cloud computing we have advantages like using parallel processing capability which has less chances of data redundancy and accurate data processing, Availability to fault tolerance ensure that computational power is always available which in turn provides reliability and scalability.

Keywords –Smart Manufacturing, Factory site, Parallel Processing, Auto Implement and Medical Supplies.

I.INTRODUCTION

Due to an exponential growing dependency over medicine and medical equipment’s, there is dire need of high performing, highly customizable and scalable production capability in the factories. This should be deliverable in shorter time and should solve the bottleneck problem of supply shortages in larger population.[1] Hence by this paper we emphasize on transforming medical supply generation with cloud computing and web technologies. These steps can help achieve Industry 4.0 [2] that can improvise the way miniatous and sustainability is achieved for manufacturing processes, computing systems, products and logistics via cloud and virtualization. The intention of this research is to Manufacture the medical supplies based on the analyzed report, which reduces the medical waste and also reduces carbon dioxide emission through manufacturing the medical supplies and increasing the essential and necessary medical supplies before the demand for that product has a greater impact on both the financial and economic community [11]. We will make use of Edge computing to gather all medical data and real time data to connect on to cloud based application, which significantly work end to end with machines and clients.[12]

The information gathered from medical institutes and hospitals are directly connected through the cloud, so the information has more reliability than collected from the three parity vendors or data set. The facts are being analyzed in actual time by the use of cloud compound and the gathered document from the cloud components is used withinside the selection making area for production of the vital product only.[15]

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1.1. Highly Customized Platform

The companies that have moved to cloud for manufacturing needs, understand it only the use case of SaaS solutions.[16] The provide them with automated driving functions managed by technologies for auditing, forecasting and managing. But for technology to be highly customized Cloud manufacturing in IaaS model must be implemented. This will allow mass customization, thereby enabling the companies to select, configure and scale the equipment required for the time.

1.2. Virtualized Equipment for better Utility

Virtualization is the way to manage everything — process, design, features, of product being manufactured at factories. It allows to decouple physical or the manufacturing resources, and as a result, it would be easier to migrate workloads to another option during the process. The digital twin modeling further helps in real time management of various feature of the medical equipment and detect manufacturing ambiguity when arises. This has led to entire paradigm shift of manufacturing industries towards more service-oriented process — where each service is highly customized according to the needs.[18] The virtualization of a intelligent products has allowed shifting processes capabilities from the smart IOT devices chipped on product carriers to the cloud Iaas, and dynamically adjust and optimize control as per view of entire globe, as well as capabilities of managing it locally when there is unexpected event.

1.3. Data Wrangling and Scrutinize

The data gathered from the hospitals is not enough for our analysis to provide us with higher precision and accuracy of manufacturing reports. So, we also make use of real time updated public dataset like WHO dataset and Google public datasets for our analysis, all this data is connected with our cloud storage for both real time and existing data in our databases.

The data set file is uploaded to Google cloud spanner and Big Query for analysis of our data,[20] which supports us directly to use simple query language to filter the data by using library files in the cloud and the environment supports us to process itself for automation of the process. The modified data set is to be very effective to use. The paper is standardized in the following order: firstly, in section 2, the literature review of various research papers is presented that has over the time helped to give more deeper insights to develop smart manufacturing. Secondly, in section 3, the framework of using two level web-based system for a smart manufacturing is presented. The section 4, shows the various components which can be used to carry out the goal. Architecture diagram is presented in section 5. Analysis report of disease — diabetic retinopathy in our case, to understand the manufacturing demands geographically, is presented in section 6. Finally, section 7 presents the limitations, conclusion and provides a governess for future researches

II.LITERATURESURVEY

Deep study of the IOT requirements and overheads was crucial in determining the best priority approach. Evolving and evolving technologies in IOT and cloud environments can greatly affect the overall system architecture.[1] The New Information and communication technology (New IT) and enterprise system technology (ES) enabled requirements gives clear indication of using tools like RFID, Green WSN etc. for the IoT. Industry 4.0's environment is evolving and its requirements were studied to put forward a more futuristic approach to the manufacturing paradigm. The concepts like the Internet of things are converging swiftly into things like the Internet of service.[2]

Understanding the cyber physical system is as important as putting the concept of IOT altogether. Studies mentioned the evolving stage of CPS and development of 5-layer architecture that resulted in reduction of complexities in the earlier proposed models.[3]

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A digital twin is a virtual model created to address the physical entity and simulate its characteristics. Now when the actual processes are carried out, the changes are done beforehand into the digital twin model and thereafter mimicked into the real time process. This overall helped us to achieve the CPS goal [5]. The shopfloor method gives the structural overlay that can be successfully integrated into manufacturing. The three-layer structure of processes involves the use of edge based, fog based and cloud-based systems. Each layer has specified work load and functionality divided. This was proposed as the way to remove complexity of working in just two layers. [6]

Various dependencies related to different needs should also be considered before going into CPS model. For example, the SME needs for cloud would be different from big firms, thus the model needs to be cheaper and readily available. Our proposed model does that by involving third party tools dependency.

The SME- oriented manufacturing service platform, can utilize the tools based on their needs and scaling and upgrades can be done in real time [7]. With the world integrating all the devices over IOT, there is also a lot of carbon footprint that comes in the way. Hot green information and communication technologies, paves way for more futuristic and energy efficient technology.[8] The effective use of sensors between different levels of the manufacturing processes can help reduce a lot of computation and ultimately energy needs.[9]

The Big data analysis and wrangling are prominent concepts in the virtual manufacturing models. The whole idea of predictive manufacturing methods was to reduce the manufacturing glitches by studying previous data available to us. [10] Analysis can help not only in providing requirement figures for scaling up or down the processes but also to help reduce the problems in manufacturing.[4] For example, our approach clearly needs to study the diseases data in order to know the rate of growing number of patients of diabetic retinopathy. But on the other hand, the manufacturing of medical apparatus requires stringent analysis before putting into production. Big data can be handled by various tools mentioned in this paper.

Lastly, all the survey information was matched to know the correlation between then-and-now situation. Our capability to put forward a more dynamic plug-and-play approach was the outcome of various studies done towards smart-manufacturing approaches over the time.[11]

III.PROPOSEDSYSTEM

The proposed research is a cloud-based service for medical manufacturing supplies, in which all the applicability products and services are using various cloud-based systems and services like RESTful Web Service and products are to be address by this problems and edge computing. By employing a two-layer service mechanism, the manufacturing services are often inbuilt the shape of pluggable application module [6].

Technicians can easily deploy selected PAMs from the cloud to target edge units, as well as run and maintain the plugged PAMs remotely from the cloud network using Web-based GUIs for promoting intelligent manufacturing operations on target production equipment, using the proposed System.

The objective features of this research’s proposed systems are improved manufacturing-network visibility and details. In the proposed system, the use case driven flexible aggregation of all the brick and quick to responsive (Valid Data) manufacturing data: In the Manufacturing segment the technological development entails more precise and detailed scenario understanding for business decision-makers and customers, allowing them to measure the effect of disturbances on existing demand and supply chain capabilities. Multisource, multiscale, and multivariate data are also dealt with by the proposed scheme.

Multisource data: Data is gathered from a multitude of sources, including the Internet of Things (IoT) and the control systems., as well as Cyber-Physical Systems, Enterprise Information Systems (EIS), and all kinds of various other manufacturing properties (e.g., machines, production lines, inventories, etc).

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collection processes or the target instruments to which this data is referred between relation of making the decisions that must be taken

IV.DIFFERENTCLOUDUSAGE

This research uses various computing felids to leverage most to achieve its best performance for medical supplies manufacturing.

4.1. Cloud Computing Usage

The cloud layer being the responsibility for keeping most of multilayers in the web applications connected to each other. All the services like data analysis, recording and billing could be done in various ways in which cloud services provides and could be shared by various users.[19]

This makes the model easily become “plug-and-play”. Cloud layer being the responsibility for enormous data analysis and capacity. Within the handle of manufacturing exercises and undertakings collaboration, a huge volume of information is produced. With effective computing purpose like modifying required number of nodes for processing and storage capabilities, cloud layer gets and forms enormous data uploaded by web application from the edge layer. In order to extricate extra value from data, data handling models are established.

4.2. Edge Computing Usage

The Edge layer is data gathering layer, where data of machines are recorded and kept at the site. This data which is gathered can be used to interact with the web application, also installed at the site location, and in return communicate to the cloud. Edge allows faster data driven communications as not all the processing signals are needed to be communicated with the cloud.

A lot of data driven processes can be done with the already stored commands at Edge devices. Edge connection and computing devices communicate with the fog gateway via a single-hop low-latency link in the fog layer.

The fog gateway connects the inner fog nodes with the edge layer. The key role of the inner fog node is to process data collected from the edge layer (data filtering, compression, recording, encryption, and so on) as well as service requests.

When an inner fog node receives a task request from the fog management node, it may either complete the task locally or transfer the data to multiple fog nodes for processing.

V.USEDMETHODSANDCOMPONENTS

To auto implement the manufacturing of medical supplies we use cloud components like Big Query, Data Pipelines, Pub Sub and Cloud Composer in Google cloud platform.

5.1. Big Query

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In Google Cloud, we will leverage Trifecta’s Cloud Data prep, the native Google Cloud data planning tool. It encourages the employees to work quickly and redeem us with precious time in preparing data for analytics. This is really useful for the data visualization for the findings of the analyzed study. The datasets in cloud storage will provide up-to-date data from Big Que

FHIR store to Big Query natively. This streaming can only be set up when you build an FHIR shop.

5.2. Dataflow Pipeline and Pub Sub

First In the cloud computation processing, an info

pipeline, which is a form of programmed that manages information via a chain of connected processing steps.[19] Data through which it is transferred in Pipeline is an internet provider that helps

information from numerous computing and garage offerings in addition to on

at described intervals. This creates us to speak and switch scientific datasets among distinct systems or distinct sectors for this research.

The Pub Sub component in the google cloud platform is a functional service for the true time communication service that allows us to communicate between the different components in the transfer process in google

enables one to take a advantage of google cloud Pub/Sub’s flexibility to decouple applications and components hosted on the Google Cloud Platform or anywhere on the Internet.

5.3. Cloud Composer

Cloud Composer is a professionally controlled

cover cloud and on-premises data centers.[20] A workflow in data analytics is a collection of tasks for ingesting, transforming, evaluating, or using data. DAG is used to construct workf

Figure 1: Big Query

In Google Cloud, we will leverage Trifecta’s Cloud Data prep, the native Google Cloud data planning tool. It the employees to work quickly and redeem us with precious time in preparing data for analytics. This is really useful for the data visualization for the findings of the analyzed study. The datasets in cloud storage will date data from Big Query via the Google Cloud Healthcare API, which allows streaming from the FHIR store to Big Query natively. This streaming can only be set up when you build an FHIR shop.

First In the cloud computation processing, an information or certain amount of the data is transformed in the pipeline, which is a form of programmed that manages information via a chain of connected processing steps.[19] Data through which it is transferred in Pipeline is an internet provider that helps us to effectively control and switch information from numerous computing and garage offerings in addition to on-web website online information assets at described intervals. This creates us to speak and switch scientific datasets among distinct systems or

The Pub Sub component in the google cloud platform is a functional service for the true time communication service that allows us to communicate between the different components in the transfer process in google

enables one to take a advantage of google cloud Pub/Sub’s flexibility to decouple applications and components hosted on the Google Cloud Platform or anywhere on the Internet.

Cloud Composer is a professionally controlled workflow orchestration of this service lets you create workflows that premises data centers.[20] A workflow in data analytics is a collection of tasks for ingesting, transforming, evaluating, or using data. DAG is used to construct workflows in Airflow (Directed Acyclic Graphs). In Google Cloud, we will leverage Trifecta’s Cloud Data prep, the native Google Cloud data planning tool. It

the employees to work quickly and redeem us with precious time in preparing data for analytics. This is really useful for the data visualization for the findings of the analyzed study. The datasets in cloud storage will ry via the Google Cloud Healthcare API, which allows streaming from the FHIR store to Big Query natively. This streaming can only be set up when you build an FHIR shop.

rmation or certain amount of the data is transformed in the pipeline, which is a form of programmed that manages information via a chain of connected processing steps.[19] us to effectively control and switch web website online information assets at described intervals. This creates us to speak and switch scientific datasets among distinct systems or even to

The Pub Sub component in the google cloud platform is a functional service for the true time communication service that allows us to communicate between the different components in the transfer process in google cloud. This enables one to take a advantage of google cloud Pub/Sub’s flexibility to decouple applications and components

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Cloud Composer, It is part of Google Cloud Platform (GCP), integrates with resources including Big Query, Dataflow, Dataproc, Datastore, Cloud Storage, Pub/Sub, and Cloud ML Engine, allowing users to orchestrate end to-end workloads in the cloud for review and report creation on necessary or requested medical supplies.

To Cloud computing, as one of the most important enablers for manufacturing, has turned conventional manufacturing models into computing

interoperable, smart, adaptable, and distributed. In addition, cloud computing is being implemented with IIOT and the CPS to be addressing the problems of vast data collection, service provi

management

Figure 2: Cloud Composer

Cloud Composer, It is part of Google Cloud Platform (GCP), integrates with resources including Big Query, Dataflow, Dataproc, Datastore, Cloud Storage, Pub/Sub, and Cloud ML Engine, allowing users to orchestrate end

oads in the cloud for review and report creation on necessary or requested medical supplies.

VI.ARCHITECTUREMODEL

Cloud computing, as one of the most important enablers for manufacturing, has turned conventional manufacturing models into computing and service-oriented manufacturing models which are becoming more interoperable, smart, adaptable, and distributed. In addition, cloud computing is being implemented with IIOT and the CPS to be addressing the problems of vast data collection, service provisioning, security and knowledge Cloud Composer, It is part of Google Cloud Platform (GCP), integrates with resources including Big Query, Dataflow, Dataproc, Datastore, Cloud Storage, Pub/Sub, and Cloud ML Engine, allowing users to orchestrate

end-oads in the cloud for review and report creation on necessary or requested medical supplies.

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Figure 3: Architecture Diagram

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To This research has analyzed and generated a report based on the medical information provided by a third dataset from Kaggle and google cloud public dataset.

Figure 4: Top 15 States in Unites States

These are the top 15 states in the United States of America (USA) where people are affected by permanent blindness due to the cause of Diabetic Retinopathy.

7.1. Analysis of Diseases Causing Blindness

This study applied diabetic retinopathy

on a range of criteria and to produce an overview study for the diabetic retinopathy medical supply manufacturing.

Figure 5: Analysis of all diseases causing blindness The Blindness Caused by the diabetic retinopathy is around 8

VII.THEREPORTOFANALYSIS

This research has analyzed and generated a report based on the medical information provided by a third dataset from Kaggle and google cloud public dataset.

Figure 4: Top 15 States in Unites States of America

These are the top 15 states in the United States of America (USA) where people are affected by permanent blindness due to the cause of Diabetic Retinopathy.

7.1. Analysis of Diseases Causing Blindness

This study applied diabetic retinopathy as a subjective disorder to assess the number of affected patients depending on a range of criteria and to produce an overview study for the diabetic retinopathy medical supply manufacturing.

Figure 5: Analysis of all diseases causing blindness

ndness Caused by the diabetic retinopathy is around 8-9% of all the causes leading to permanent blindness. This research has analyzed and generated a report based on the medical information provided by a third-party

These are the top 15 states in the United States of America (USA) where people are affected by permanent blindness

as a subjective disorder to assess the number of affected patients depending on a range of criteria and to produce an overview study for the diabetic retinopathy medical supply manufacturing.

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7.2. Analysis of Diabetic Retinopathy by Age

The analysis study shows us that from 2019 to 2025, the 40

The growing prevalence of the diabetes in this age group can be blamed for the robust segmental development. Employed adults in the 40-49 age range lead a sedentary lifestyle and eat an unhealthy diet. As a result, people in the 40-49 age group are with higher rate of assuring to develop diabetes, which accelerates segmental development.

7.3. Analysis of All Diseases Causing Blindness

This analysis study shows us the clear visual by geographical plot comparing each state with each other in Figure7.

Figure 7: Analysis of all disease

7.2. Analysis of Diabetic Retinopathy by Age

The analysis study shows us that from 2019 to 2025, the 40-49 age group is predicted to rise at a rate

The growing prevalence of the diabetes in this age group can be blamed for the robust segmental development. 49 age range lead a sedentary lifestyle and eat an unhealthy diet. As a result, people in the group are with higher rate of assuring to develop diabetes, which accelerates segmental development.

Figure 6: Analysis by Age Group

7.3. Analysis of All Diseases Causing Blindness

This analysis study shows us the clear visual by geographical plot in the United States of America (USA), comparing each state with each other in Figure7.

Figure 7: Analysis of all disease-causing blindness.

49 age group is predicted to rise at a rate of 7.2 percent. The growing prevalence of the diabetes in this age group can be blamed for the robust segmental development. 49 age range lead a sedentary lifestyle and eat an unhealthy diet. As a result, people in the group are with higher rate of assuring to develop diabetes, which accelerates segmental development.

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7.4. Performance Metrics

This analysis study show in this research is an example of analysis for diabetic

metrics in this paper is only shown for the diabetic retinopathy where the data is limited, this research uses batch data collected from google cloud platform open data for healthcare and Kaggle dataset for diabetic retinopath 1. Performance metrics for Analysis of all diseases causing blindness (figure 5)

Figure 8: Performance metrics for Analysis of all diseases causing blindness 2. Performance metrics for Analysis of all diabetic retinopathy by age (figure 6)

Figure 9: Performance metrics for Analysis of all diabetic retinopathy by age

3. Performance metrics for Analysis of all diseases causing diabetic retinopathy by state wise (figure 7)

Figure 10: Performance metrics for diabetic retinopathy by state wise

The performance metrics may differ with other due to google cloud service location, latency and local govern rules. This analysis study show in this research is an example of analysis for diabetic retinopathy. The performance metrics in this paper is only shown for the diabetic retinopathy where the data is limited, this research uses batch data collected from google cloud platform open data for healthcare and Kaggle dataset for diabetic retinopath 1. Performance metrics for Analysis of all diseases causing blindness (figure 5)

Figure 8: Performance metrics for Analysis of all diseases causing blindness 2. Performance metrics for Analysis of all diabetic retinopathy by age (figure 6)

9: Performance metrics for Analysis of all diabetic retinopathy by age

3. Performance metrics for Analysis of all diseases causing diabetic retinopathy by state wise (figure 7)

Figure 10: Performance metrics for diabetic retinopathy by state wise

performance metrics may differ with other due to google cloud service location, latency and local govern rules. retinopathy. The performance metrics in this paper is only shown for the diabetic retinopathy where the data is limited, this research uses batch data collected from google cloud platform open data for healthcare and Kaggle dataset for diabetic retinopathy.

3. Performance metrics for Analysis of all diseases causing diabetic retinopathy by state wise (figure 7)

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Adopting service-oriented model make the system less complex. Web based applications can work as plug and play path between factory processes and customers. Scaling factors of manufacturing hence can be made via an application and other cloud deployed tools. Approach to increase manufacturing of the Diabetic retinopathy medical supplies found from the analyzed data which is been used in this research. Edge computing keep the volume of data submitted to the cloud to a minimum and the likelihood of service downtime by using computing, networking and storage capabilities in near-end nodes, ensuring the robustness for smart manufacturing systems. Edge computing, cloud computing, and web apps all work together to help smart manufacturing systems fulfil their needs.

IX.FUTUREENHANCEMENTS

Although clustering process needs more room for servers and hardware to establish and it needs monitoring and maintenance, which is hard. But this can be dealt with more powerful in-house devices. Data gathered and provided by a various of manufacturing resources, which may be geographically dispersed, is exploding. This data is been sent over the internet to the server, where it is processed. The rising velocity and volume of data necessitates a large amount of bandwidth, which is very costly. Hence Big data approach is becoming more vital than before. The constant emergence of new attack mechanisms, similar as denial of service (DoS) attacks, arising from all communication networks is another challenge.

REFERENCES

[1] Li Da Xu, Wu He, “Internet of Things in Industries: A survey”, IEEE, 10(4), 2014

[2] Yongkui Liu, Xun Xu, “Industry 4.0 and Cloud Manufacturing: A Comparative Analysis”, JMSE, 139(3), 2017

[3] J. Lee, B. Bagheri, “A Cyber-Physical Systems architecture for Industry 4.0-based manufacturing systems”, Elsevier, Vol-3 (p 18-23), 2014 [4] Qingllin Qi, F. Tao, “Digital Twin and Big Data Towards Smart Manufacturing and Industry 4.0: 360 Degree Comparison”, IEEE, Vol-6 (p

3585 – 3593), 2018

[5] Qingllin Qi, F. Tao, “IIHub: An Industrial Internet-of-Things Hub Towards Smart Manufacturing Based on Cyber-Physical System”, IEEE, 14(5), 2017

[6] Q. Qi, F. Tao, “A Smart Manufacturing Service System Based on Edge Computing, Fog Computing, and Cloud Computing”, IEEE, Vol-7, 2019

[7] Biqing H., C. Li, C Yin, “Cloud manufacturing service platform for small- and medium-sized enterprises”, SpringerLink, 65, 2013, pp. 1261– 1272

[8] C. Zhu, victor c, m. Leung, “Green Internet of Things for Smart World”, IEEE, 3, 2015, pp. 2151 – 2162

[9] L. Wang, M. Torngren, M. Onori, “Current status and advancement of cyber-physical systems in manufacturing”, Elsevier, 37, 2015, pp. 517-527

[10] J. Lee, Lapira, H. Kao, “Predictive Manufacturing System – Trends of Next-Generation Production Systems”, 11th IFAC proceedings, 46(7), 2013, pp. 150-156

[11] D. Wu, J. Terpenny, W. Gentzsch, “Economic Benefit Analysis of Cloud-Based Design, Engineering Analysis, and Manufacturing”, JMSE, 137(4), 2015

[12] H. P. Breivold and K. Sandström, ‘‘Internet of Things for industrial automation—Challenges and technical solutions,’’ in Proc. IEEE Int. Conf. Data Sci. Data Intensive Syst. (DSDIS), Dec. 2015, pp. 532–539

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[14] F. Tao, Y. Cheng, J. Cheng, and M. Zhang, ‘‘Theories and technologies for cyber-physical fusion in digital twin shop-floor,’’ Comput. Integr. Manuf. Syst., vol. 23, no. 8, 2017, pp. 1603–1611

[15] B. Buckholtz, I. Ragai, and L. Wang, ‘‘Cloud manufacturing: Current trends and future implementations,’’ J. Manuf. Sci. Eng., vol. 137, no. 4, 2015, pp. 040902

[16] F. Tao, L. Zhang, V. C. Venkatesh, Y. Luo, and Y. Cheng, ‘‘Cloud manufacturing: A computing and service-oriented manufacturing model,’’ Proc. Inst. Mech. Eng., B, J. Eng. Manuf., vol. 225, no. 10, 2011, pp. 1969–1976

[17] D.Wu, D.W.Rosen, L.Wang, D.Schaefer, Cloud-based design and manufacturing:a new paradigm in digital manufacturing and design innovation, Computer-AidedDes.59(1–14), 2014

[18] F. Tao, Q. Qi, A. Liu, and A. Kusiak, ‘‘Data-driven smart manufacturing,’’ J. Manuf. Syst., vol. 48, Jul. 2018, pp. 157–169

[19] S. Moreno, P. Garraghan, P. Townend, "An Approach for Characterizing Workloads in Google Cloud to Derive Realistic Resource Utilization Models," IEEE Seventh International Symposium on Service-Oriented System Engineering, USA, 2013, pp. 49-60

References

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