A Proposed Access Control-Based Privacy Preservation Model to Share Healthcare Data in Cloud

Healthcare data in cloud computing facilitates the treatment of patients efficiently by sharing information about personal health data between the healthcare providers for medical consultation. Furthermore, retaining the confidentiality of data and patients' identity is a another challenging task. This paper presents the concept of an access control-based (AC) privacy preservation model for the mutual authentication of users and data owners in the proposed digital system. The proposed model offers a high-security guarantee and high efficiency. The proposed digital system consists of four different entities, user, data owner, cloud server, and key generation center (KGC). This approach makes the system more robust and highly secure, which has been verified with multiple scenarios. Besides, the proposed model consisted of the setup phase, key generation phase, encryption phase, validation phase, access control phase, and data sharing phase. The setup phases are run by the data owner, which takes input as a security parameter and generates the system master key and security parameter. Then, in the key generation phase, the private key is generated by KGC and is stored in the cloud server. After that, the generated private key is encrypted. Then, the session key is generated by KGC and granted to the user and cloud server for storing, and then, the results are verified in the validation phase using validation messages. Finally, the data is shared with the user and decrypted at the user-end. The proposed model outperforms other methods with a maximal genuine data rate of 0.91

Isolated saccular aneurysm of the external jugular vein

Venous aneurysm of the head and neck is a rare clinical entity due to its asymptomatic nature and tendency of clinicians to report only surgical results. Whereas the primary aneurysm of internal jugular vein (IJV) in children is being increasingly recognized, secondary aneurysms of veins of the head and neck in adults, notably the external jugular vein (EJV) aneurysm remains only in anecdotal case reports. We present the case of a 63-year-old previously healthy woman who presented with a gradually progressive right lateral neck swelling over the last 18 months. Following the evaluation, she was diagnosed as a case of isolated spontaneous right-sided EJV aneurysm and was managed by surgical excision of the aneurysm

Survey of Telemedicine by Pediatric Nephrologists During the COVID-19 Pandemic

Introduction: The slow increase in use of telemedicine began to expand rapidly, along with reimbursement changes, during the coronavirus disease-2019 (COVID-19) pandemic. Standardized protocols for these services are lacking but are needed for effective and equitable health care. In this study, we queried pediatric nephrologists and their patients about their telemedicine experiences during the pandemic. Methods: Surveys that were in compliance with the Health Insurance Portability and Accountability Act were deployed online to patients and physicians. Results: We collected survey responses from 400 patients and 197 pediatric nephrologists. Patients reported positive experiences with telemedicine visits as it was logistically easier than in-person visits. Patients also felt that the quality of their visits were equivalent to what they would receive in person. Physicians used a wide variety of online systems to conduct synchronous telemedicine with Zoom (23%), EPIC (9%), Doxy.me (7%), services not specified (37%), or a mix of local or smaller services (24%). Most physicians\u27 concerns were related to technological issues and the ability to procure physical exams and/or laboratory results. Conclusions: There is a paucity of published trials on telemedicine services in pediatric nephrology. Virtual care was feasible and acceptable for patients, caregivers, and providers during the COVID-19 pandemic