REISCH: incorporating lightweight and reliable algorithms into healthcare applications of WSNs

Healthcare institutions require advanced technology to collect patients' data accurately and continuously. The tradition technologies still suffer from two problems: performance and security efficiency. The existing research has serious drawbacks when using public-key mechanisms such as digital signature algorithms. In this paper, we propose Reliable and Efficient Integrity Scheme for Data Collection in HWSN (REISCH) to alleviate these problems by using secure and lightweight signature algorithms. The results of the performance analysis indicate that our scheme provides high efficiency in data integration between sensors and server (saves more than 24% of alive sensors compared to traditional algorithms). Additionally, we use Automated Validation of Internet Security Protocols and Applications (AVISPA) to validate the security procedures in our scheme. Security analysis results confirm that REISCH is safe against some well-known attacks

Electronic Medical Record Adoption in New Zealand Primary Care Physician Offices

Describes EMR adoption in New Zealand's primary healthcare system, including how government investment was secured and data protection laws, unique patient identifiers, and standards and certification were established, with lessons for the United States

FLBP: A Federated Learning-enabled and Blockchain-supported Privacy-Preserving of Electronic Patient Records for the Internet of Medical Things

The evolution of the computing paradigms and the Internet of Medical Things (IoMT) have transfigured the healthcare sector with an alarming rise of privacy issues in healthcare records. The rapid growth of medical data leads to privacy and security concerns to protect the confidentiality and integrity of the data in the feature-loaded infrastructure and applications. Moreover, the sharing of medical records of a patient among hospitals rises security and interoperability issues. This article, therefore, proposes a Federated Learning-and-Blockchain-enabled framework to protect electronic medical records from unauthorized access using a deep learning technique called Artificial Neural Network (ANN) for a collaborative IoMT-Fog-Cloud environment. ANN is used to identify insiders and intruders. An Elliptical Curve Digital Signature (ECDS) algorithm is adopted to devise a secured Blockchain-based validation method. To process the anti-malicious propagation method, a Blockchain-based Health Record Sharing (BHRS) is implemented. In addition, an FL approach is integrated into Blockchain for scalable applications to form a global model without the need of sharing and storing the raw data in the Cloud. The proposed model is evident from the simulations that it improves the operational cost and communication (latency) overhead with a percentage of 85.2% and 62.76%, respectively. The results showcase the utility and efficacy of the proposed model

Advancing Healthcare Security: A Cutting-Edge Zero-Trust Blockchain Solution for Protecting Electronic Health Records

The effective management of electronic health records (EHRs) is vital in healthcare. However, traditional systems often need help handling data inconsistently, providing limited access, and coordinating poorly across facilities. This study aims to tackle these issues using blockchain technology to improve EHR systems' data security, privacy, and interoperability. By thoroughly analyzing blockchain's applications in healthcare, we propose an innovative solution that leverages blockchain's decentralized and immutable nature, combined with advanced encryption techniques such as the Advanced Encryption Standard and Zero Knowledge Proof Protocol, to fortify EHR systems. Our research demonstrates that blockchain can effectively overcome significant EHR challenges, including fragmented data and interoperability problems, by facilitating secure and transparent data exchange, leading to enhanced coordination, care quality, and cost-efficiency across healthcare facilities. This study offers practical guidelines for implementing blockchain technology in healthcare, emphasizing a balanced approach to interoperability, privacy, and security. It represents a significant advancement over traditional EHR systems, boosting security and affording patients greater control over their health records. Doi: 10.28991/HIJ-2023-04-03-012 Full Text: PD

Performance assessment of security mechanisms for cooperative mobile health applications

Mobile health (m-Health) applications aim to deliver healthcare services through mobile applications regardless of time and place. An mHealth application makes use of wireless communications to sustain its health services and often providing a patient-doctor interaction. Therefore, m-Health applications present several challenging issues and constraints, such as, mobile devices battery and storage capacity, broadcast constraints, interferences, disconnections, noises, limited bandwidths, network delays, and of most importance, privacy and security concerns. In a typical m-Health system, information transmitted through wireless channels may contain sensitive information such as patient’s clinic history, patient’s personal diseases information (e.g. infectious disease as HIV - human immunodeficiency virus). Carrying such type of information presents many issues related to its privacy and protection. In this work, a cryptographic solution for m-Health applications under a cooperative environment is proposed in order to approach two common drawbacks in mobile health systems: the data privacy and protection. Two different approaches were proposed: i) DE4MHA that aims to guarantee the best confidentiality, integrity, and authenticity of mhealth systems users data and ii) eC4MHA that also focuses on assuring and guarantying the m-Health application data confidentiality, integrity, and authenticity, although with a different paradigm. While DE4MHA considers a peer-to-peer node message forward, with encryption/decryption tasks on each node, eC4MHA focuses on simply encrypting data at the requester node and decrypting it when it reaches the Web service. It relays information through cooperative mobile nodes, giving them the only strictly required information, in order to be able to forward a request, until it reaches the Web service responsible to manage the request, and possibly answer to that same request. In this sense, the referred solutions aim any mobile health application with cooperation mechanism embedded. For test purposes a specific mobile health application, namely SapoFit, was used. Cryptographic mechanisms were created and integrated in SapoFit application with built in cooperation mechanisms. A performance evaluation of both approaches in a real scenario with different mobile devices is performed and presented in this work. A comparison with the performance evaluations of both solutions is also presented.Fundação para a Ciência e a Tecnologia (FCT)European Community Fund FEDER through COMPETE – Programa Operacional Factores de Competitividad

The E-Sign Act: The Means to Effectively Facilitate the Growth and Development of E-Commerce

In this new world of electronic communications and digital information technology, e-commerce is not only forcing companies to redefine the means of conducting their business, but it is also changing the basic legal infrastructure. There is currently an enormous amount of activity underway by the states to clarify the law regarding the conduct of e-commerce transactions. Though the various state legislative initiatives, including the Uniform Electronic Transactions Act, show an agreement among the states to develop a legal infrastructure that will support the use of security procedures with the public policy goal of further facilitating the growth and development of e-commerce, there is little agreement among the states on how to attain such a goal. Unlike the current state electronic signature legislation, the E-Sign Act provides three key components, uniformity, flexibility, and predictability, and will prove to be the means to successfully facilitate the growth and development of e-commerce