Privacy-aware relationship semantics–based XACML access control model for electronic health records in hybrid cloud

State-of-the-art progress in cloud computing encouraged the healthcare organizations to outsource the management of electronic health records to cloud service providers using hybrid cloud. A hybrid cloud is an infrastructure consisting of a private cloud (managed by the organization) and a public cloud (managed by the cloud service provider). The use of hybrid cloud enables electronic health records to be exchanged between medical institutions and supports multipurpose usage of electronic health records. Along with the benefits, cloud-based electronic health records also raise the problems of security and privacy specifically in terms of electronic health records access. A comprehensive and exploratory analysis of privacy-preserving solutions revealed that most current systems do not support fine-grained access control or consider additional factors such as privacy preservation and relationship semantics. In this article, we investigated the need of a privacy-aware fine-grained access control model for the hybrid cloud. We propose a privacy-aware relationship semantics–based XACML access control model that performs hybrid relationship and attribute-based access control using extensible access control markup language. The proposed approach supports fine-grained relation-based access control with state-of-the-art privacy mechanism named Anatomy for enhanced multipurpose electronic health records usage. The proposed (privacy-aware relationship semantics–based XACML access control model) model provides and maintains an efficient privacy versus utility trade-off. We formally verify the proposed model (privacy-aware relationship semantics–based XACML access control model) and implemented to check its effectiveness in terms of privacy-aware electronic health records access and multipurpose utilization. Experimental results show that in the proposed (privacy-aware relationship semantics–based XACML access control model) model, access policies based on relationships and electronic health records anonymization can perform well in terms of access policy response time and space storage

Towards the performance investigation of automatic melanoma diagnosis applications

Melanoma is a type of skin cancer, one of the fatal diseases that appear as an abnormal growth of skin cells and the lesion part often looks like a mole on the skin. Early detection of melanoma from skin lesion by means of screening is an important step towards a reduction in mortality. For this purpose, numerous automatic melanoma diagnosis models based on image processing and machine learning techniques are available for computer-based applications (CBA) and smartphone-based applications (SBA). Since, the smartphones are available as most accessible and easiest methods with built-in camera option, SBA are preferred over CBA. In this paper, we explored the available literature and highlighted the challenges of SBA in terms of execution time due to the limited computing power of smartphones. To resolve this issue of storage of the smartphones, we proposed to develop an SBA that can seamlessly process the image data on the cloud instead of local hardware of the smartphone. Therefore, we designed a study to build a machine learning model of melanoma diagnosis to measure the time taken in preprocessing, segmentation, feature extraction, and classification on the cloud and compared the results with the processing time on the smartphone's local machine. The results showed there is a significant difference of p value < 0.001 on the average processing time taken on both environments. As the processing on the cloud is more efficient. The findings of the proposed research will be helpful for the developers to decide the processing platform while developing smartphone applications for automatic melanoma diagnosis