Blockchain inspired secure and reliable data exchange architecture for cyber-physical healthcare system 4.0

A cyber-physical system is considered to be a collection of strongly coupled communication systems and devices that poses numerous security trials in various industrial applications including healthcare. The security and privacy of patient data is still a big concern because healthcare data is sensitive and valuable, and it is most targeted over the internet. Moreover, from the industrial perspective, the cyber-physical system plays a crucial role in the exchange of data remotely using sensor nodes in distributed environments. In the healthcare industry, Blockchain technology offers a promising solution to resolve most securities-related issues due to its decentralized, immutability, and transparency properties. In this paper, a blockchain-inspired secure and reliable data exchange architecture is proposed in the cyber-physical healthcare industry 4.0. The proposed system uses the BigchainDB, Tendermint, Inter-Planetary-File-System (IPFS), MongoDB, and AES encryption algorithms to improve Healthcare 4.0. Furthermore, blockchain-enabled secure healthcare architecture for accessing and managing the records between Doctors and Patients is introduced. The development of a blockchain-based Electronic Healthcare Record (EHR) exchange system is purely patient-centric, which means the entire control of data is in the owner's hand which is backed by blockchain for security and privacy. Our experimental results reveal that the proposed architecture is robust to handle more security attacks and can recover the data if 2/3 of nodes are failed. The proposed model is patient-centric, and control of data is in the patient's hand to enhance security and privacy, even system administrators can't access data without user permission

Privacy-preserving efficient searchable encryption

Data storage and computation outsourcing to third-party managed data centers, in environments such as Cloud Computing, is increasingly being adopted by individuals, organizations, and governments. However, as cloud-based outsourcing models expand to society-critical data and services, the lack of effective and independent control over security and privacy conditions in such settings presents significant challenges. An interesting solution to these issues is to perform computations on encrypted data, directly in the outsourcing servers. Such an approach benefits from not requiring major data transfers and decryptions, increasing performance and scalability of operations. Searching operations, an important application case when cloud-backed repositories increase in number and size, are good examples where security, efficiency, and precision are relevant requisites. Yet existing proposals for searching encrypted data are still limited from multiple perspectives, including usability, query expressiveness, and client-side performance and scalability. This thesis focuses on the design and evaluation of mechanisms for searching encrypted data with improved efficiency, scalability, and usability. There are two particular concerns addressed in the thesis: on one hand, the thesis aims at supporting multiple media formats, especially text, images, and multimodal data (i.e. data with multiple media formats simultaneously); on the other hand the thesis addresses client-side overhead, and how it can be minimized in order to support client applications executing in both high-performance desktop devices and resource-constrained mobile devices. From the research performed to address these issues, three core contributions were developed and are presented in the thesis: (i) CloudCryptoSearch, a middleware system for storing and searching text documents with privacy guarantees, while supporting multiple modes of deployment (user device, local proxy, or computational cloud) and exploring different tradeoffs between security, usability, and performance; (ii) a novel framework for efficiently searching encrypted images based on IES-CBIR, an Image Encryption Scheme with Content-Based Image Retrieval properties that we also propose and evaluate; (iii) MIE, a Multimodal Indexable Encryption distributed middleware that allows storing, sharing, and searching encrypted multimodal data while minimizing client-side overhead and supporting both desktop and mobile devices

Blockchain and Internet of Things in smart cities and drug supply management: Open issues, opportunities, and future directions

Blockchain-based drug supply management (DSM) requires powerful security and privacy procedures for high-level authentication, interoperability, and medical record sharing. Researchers have shown a surprising interest in Internet of Things (IoT)-based smart cities in recent years. By providing a variety of intelligent applications, such as intelligent transportation, industry 4.0, and smart financing, smart cities (SC) can improve the quality of life for their residents. Blockchain technology (BCT) can allow SC to offer a higher standard of security by keeping track of transactions in an immutable, secure, decentralized, and transparent distributed ledger. The goal of this study is to systematically explore the current state of research surrounding cutting-edge technologies, particularly the deployment of BCT and the IoT in DSM and SC. In this study, the defined keywords “blockchain”, “IoT”, drug supply management”, “healthcare”, and “smart cities” as well as their variations were used to conduct a systematic search of all relevant research articles that were collected from several databases such as Science Direct, JStor, Taylor & Francis, Sage, Emerald insight, IEEE, INFORMS, MDPI, ACM, Web of Science, and Google Scholar. The final collection of papers on the use of BCT and IoT in DSM and SC is organized into three categories. The first category contains articles about the development and design of DSM and SC applications that incorporate BCT and IoT, such as new architecture, system designs, frameworks, models, and algorithms. Studies that investigated the use of BCT and IoT in the DSM and SC make up the second category of research. The third category is comprised of review articles regarding the incorporation of BCT and IoT into DSM and SC-based applications. Furthermore, this paper identifies various motives for using BCT and IoT in DSM and SC, as well as open problems and makes recommendations. The current study contributes to the existing body of knowledge by offering a complete review of potential alternatives and finding areas where further research is needed. As a consequence of this, researchers are presented with intriguing potential to further create decentralized DSM and SC apps as a result of a comprehensive discussion of the relevance of BCT and its implementation.© 2023 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).fi=vertaisarvioitu|en=peerReviewed

Health data in cloud environments

The process of provisioning healthcare involves massive healthcare data which exists in different forms on disparate data sources and in different formats. Consequently, health information systems encounter interoperability problems at many levels. Integrating these disparate systems requires the support at all levels of a very expensive infrastructures. Cloud computing dramatically reduces the expense and complexity of managing IT systems. Business customers do not need to invest in their own costly IT infrastructure, but can delegate and deploy their services effectively to Cloud vendors and service providers. It is inevitable that electronic health records (EHRs) and healthcare-related services will be deployed on cloud platforms to reduce the cost and complexity of handling and integrating medical records while improving efficiency and accuracy. The paper presents a review of EHR including definitions, EHR file formats, structures leading to the discussion of interoperability and security issues. The paper also presents challenges that have to be addressed for realizing Cloudbased healthcare systems: data protection and big health data management. Finally, the paper presents an active data model for housing and protecting EHRs in a Cloud environment

Blockchain for Healthcare Systems: Concepts, Applications, Challenges, and Future Trends

-Electronic medical records are digital documents that contain medical data pertaining to a patient\u27s medical care. Because electronic health records are regularly exchanged amongst stakeholders in healthcare, they are prone to a range of challenges such as data misuse and loss of privacy and security. These challenges may be solved by utilizing blockchain-based technologies in the healthcare area. Blockchain is a decentralized innovative technology that can completely transform, reshape, and reinvent how data is stored and processed in the healthcare sector. In this article, we offer an overview of the blockchain, its formation, its types, and how it works. We review the various applications of blockchain in the medical field and how Blockchain revolutionized the medical industry. We highlight previous scientific research on the application of blockchain to electronic health record systems (EHRs). Finally, we discuss the open research problems that limit the use of blockchain in the medical field