A Survey of the Security Challenges and Requirements for IoT Operating Systems

The Internet of Things (IoT) is becoming an integral part of our modern lives as we converge towards a world surrounded by ubiquitous connectivity. The inherent complexity presented by the vast IoT ecosystem ends up in an insufficient understanding of individual system components and their interactions, leading to numerous security challenges. In order to create a secure IoT platform from the ground up, there is a need for a unifying operating system (OS) that can act as a cornerstone regulating the development of stable and secure solutions. In this paper, we present a classification of the security challenges stemming from the manifold aspects of IoT development. We also specify security requirements to direct the secure development of an unifying IoT OS to resolve many of those ensuing challenges. Survey of several modern IoT OSs confirm that while the developers of the OSs have taken many alternative approaches to implement security, we are far from engineering an adequately secure and unified architecture. More broadly, the study presented in this paper can help address the growing need for a secure and unified platform to base IoT development on and assure the safe, secure, and reliable operation of IoT in critical domains.Comment: 13 pages, 2 figure

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Achievable Rate of NOMA-Based Cooperative Spectrum-Sharing CRN over Nakagami-m Channels

Efficient data dissemination is a key challenge for IoT applications. In this paper, we present an ergodic achievable rate analysis of the non-orthogonal multiple access (NOMA)-based cooperative transmission scheme in spectrum-sharing cognitive radio networks (CRNs). The transmission scheme consists of two phases, where the NOMA transmission strategy is employed at the secondary transmitter (ST) in the second phase to serve the primary receiver (PR) and secondary receivers (SRs). This cooperative spectrum-sharing transmission is favourable when the ST-PR link is strong and the ST faces a spectrum scarcity issue. To evaluate the performance of the network over Nakagami-m channels, ergodic achievable rates at PR and SRs are derived in closed forms, which can be used for any integer or non-integer value of fading index m. Finally, we compare the results of the analytical expressions with simulated results for validation

Achievable Rate of NOMA-Based Cooperative Spectrum-Sharing CRN over Nakagami-<i>m</i> Channels

Efficient data dissemination is a key challenge for IoT applications. In this paper, we present an ergodic achievable rate analysis of the non-orthogonal multiple access (NOMA)-based cooperative transmission scheme in spectrum-sharing cognitive radio networks (CRNs). The transmission scheme consists of two phases, where the NOMA transmission strategy is employed at the secondary transmitter (ST) in the second phase to serve the primary receiver (PR) and secondary receivers (SRs). This cooperative spectrum-sharing transmission is favourable when the ST-PR link is strong and the ST faces a spectrum scarcity issue. To evaluate the performance of the network over Nakagami-m channels, ergodic achievable rates at PR and SRs are derived in closed forms, which can be used for any integer or non-integer value of fading index m. Finally, we compare the results of the analytical expressions with simulated results for validation

Abdominal gunshot wounds-a comparative assessment of severity measures.

Abstract BACKGROUND: Penetrating abdominal trauma is a common feature of trauma treated in low- and middle-income countries (LMICs). The penetrating abdominal trauma index (PATI) and the injury severity score (ISS) are severity-measures most often used to gauge injury severity. It remains unclear which measure better accounts for the severity of sustained injuries. This study compares the predictive ability of both injury severity measures in patients presenting to an LMIC in South Asia. METHODS: All isolated gunshot wounds to the abdomen presenting to a university hospital between 2011 and 2012 were included. ISS and PATI were calculated for each case. Primary outcome measures included all-cause mortality and complications. Multivariable analysis adjusting for age, sex, referral status, hypotension, tachycardia, and injury severity measures was performed. The area under the receiver operating characteristic (AUROC) curve were further calculated to compare the respective abilities of ISS and PATI at predicting death and complications. RESULTS: A total of 70 patients were included. The average age on presentation was 34.5 y (±11.4) within a predominantly male (n = 68, 97.1%) cohort. Most gunshot wounds were intentionally inflicted (n = 67, 95.7%). The crude rates of death and complications were 34.3% and 15.7%, respectively. The median ISS was 14 (interquartile range: 11-21), and the median PATI was 16 (interquartile range: 9-26). AUROC analysis revealed that ISS was comparable with PATI at predicting mortality (AUROC [95% confidence interval]: 0.952 [0.902-1.00] versus 0.934 [0.860-1.00]) and complications (AUROC [95% confidence interval]: 0.868 [0.778-0.959] versus 0.895 [0.815-0.975]). CONCLUSIONS: The predictive ability of ISS and PATI severity measures was found to be comparable. The results suggest that both measures can be used to risk-stratify patients with isolated abdominal gunshot wounds in an LMIC

Efficacy of RNA polymerase II inhibitors in targeting dormant leukaemia cells

Background Dormant cells are characterised by low RNA synthesis. In contrast, cancer cells can be addicted to high RNA synthesis, including synthesis of survival molecules. We hypothesised that dormant cancer cells, already low in RNA, might be sensitive to apoptosis induced by RNA Polymerase II (RP2) inhibitors that further reduce RNA synthesis. Methods We cultured leukaemia cells continuously in vitro in the presence of an mTOR inhibitor to model dormancy. Apoptosis, damage, RNA content and reducing capacity were evaluated. We treated dormancy-enriched cells for 48 hours with the nucleoside analogues ara-C, 5-azacytidine and clofarabine, the topoisomerase targeting agents daunorubicin, etoposide and irinotecan and three multikinase inhibitors with activity against RP2 - flavopiridol, roscovitine and TG02, and we measured growth inhibition and apoptosis. We describe use of the parameter 2 × IC50 to measure residual cell targeting. RNA synthesis was measured with 5-ethynyl uridine. Drug-induced apoptosis was measured flow cytometrically in primary cells from patients with acute myeloid leukaemia using a CD34/CD71/annexinV gating strategy to identify dormant apoptotic cells. Results Culture of the KG1a cell line continuously in the presence of an mTOR inhibitor induced features of dormancy including low RNA content, low metabolism and low basal ROS formation in the absence of a DNA damage response or apoptosis. All agents were more effective against the unmanipulated than the dormancy-enriched cells, emphasising the chemoresistant nature of dormant cells. However, the percentage of cell reduction by RP2 inhibitors at 2 × IC50 was significantly greater than that of other agents. RP2 inhibitors strongly inhibited RNA synthesis compared with other drugs. We also showed that RP2 inhibitors induce apoptosis in proliferating and dormancy-enriched KG1a cells and in the CD71neg CD34pos subset of primary acute myeloid leukaemia cells. Conclusion We suggest that RP2 inhibitors may be a useful class of agent for targeting dormant leukaemia cells