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Providing and managing e-health data from heterogeneous and ubiquitous e-health service providers in a content distribution network (CDN) for providing e-health services is a challenging task. A content distribution network is normally utilized to cache e-health media contents such as real-time medical images and videos. Efficient management, storage, and caching of distributed e-health data in a CDN or in a cloud computing environment of mobile patients facilitate that doctors, health care professionals, and other e-health service providers have immediate access to e-health information for efficient decision making as well as better treatment. Caching is one of the key methods in distributed computing environments to improve the performance of data retrieval. To find which item in the cache can be evicted and replaced, cache replacement algorithms are used. Many caching approaches are proposed, but the SACCS—Scalable Asynchronous Cache Consistency Scheme—has proved to be more scalable than the others. In this work, we propose a new cache replacement algorithm—Profit SACCS—that is based on the rule-based least profit value. It replaces the least recently used strategy that SACCS uses. A comparison with different cache replacement strategies is also presented

Innovative Mobile E-Healthcare Systems: A New Rule-Based Cache Replacement Strategy Using Least Profit Values