Biblio

Remote patient monitoring is a system that focuses on patients care and attention with the advent of the Internet of Things (IoT). The technology makes it easier to track distance, but also to diagnose and provide critical attention and service on demand so that billions of people are safer and more safe. Skincare monitoring is one of the growing fields of medical care which requires IoT monitoring, because there is an increasing number of patients, but cures are restricted to the number of available dermatologists. The IoT-based skin monitoring system produces and store volumes of private medical data at the cloud from which the skin experts can access it at remote locations. Such large-scale data are highly vulnerable and otherwise have catastrophic results for privacy and security mechanisms. Medical organizations currently do not concentrate much on maintaining safety and privacy, which are of major importance in the field. This paper provides an IoT based skin surveillance system based on a blockchain data protection and safety mechanism. A secure data transmission mechanism for IoT devices used in a distributed architecture is proposed. Privacy is assured through a unique key to identify each user when he registers. The principle of blockchain also addresses security issues through the generation of hash functions on every transaction variable. We use blockchain consortiums that meet our criteria in a decentralized environment for controlled access. The solutions proposed allow IoT based skin surveillance systems to privately and securely store and share medical data over the network without disturbance.

Preserving medical data is of utmost importance to stake holders. There are not many laws in India about preservation, usability of patient records. When data is transmitted across the globe there are chances of data getting tampered intentionally or accidentally. Tampered data loses its authenticity for diagnostic purpose, research and various other reasons. This paper proposes an authenticity based ECDSA algorithm by signature verification to identify the tampering of medical image files and alerts by the rules of authenticity. The algorithm can be used by researchers, doctors or any other educated person in order to maintain the authenticity of the record. Presently it is applied on medical related image files like DICOM. However, it can support any other medical related image files and still preserve the authenticity.

This research provides security and safety extensions to a blockchain based solution whose target is e-health. The Advanced Blockchain platform is extended with intelligent monitoring for security and machine learning for detecting patient treatment medication safety issues. For the reasons of stringent HIPAA, HITECH, EU-GDPR and other regional regulations dictating security, safety and privacy requirements, the e-Health blockchains have to cover mandatory disclosure of violations or enforcements of policies during transaction flows involving healthcare. Our service solution further provides the benefits of resolving the abnormal flows of a medical treatment process, providing accountability of the service providers, enabling a trust health information environment for institutions to handle medication safely, giving patients a better safety guarantee, and enabling the authorities to supervise the security and safety of e-Health blockchains. The capabilities can be generalized to support a uniform smart solution across industry in a variety of blockchain applications.

In recent years, there is fast growth in the high throughput DNA sequencing technology, and also there is a reduction in the cost of genome-sequencing, that has led to a advances in the genetic industries. However, the reduction in cost and time required for DNA sequencing there is still an issue of managing such large amount of data. Also, the security and transmission of such huge amount of DNA sequence data is still an issue. The idea is to provide a secure storage platform for future generation bioinformatics systems for both researchers and healthcare user. Secure data sharing strategies, that can permit the healthcare providers along with their secured substances for verifying the accuracy of data, are crucial for ensuring proper medical services. In this paper, it has been surveyed about the applications of blockchain technology for securing healthcare data, where the recorded information is encrypted so that it becomes difficult to penetrate or being removed, as the primary goals of block-chaining technology is to make data immutable.

E- Health systems, specifically, Telecare Medical Information Systems (TMIS), are deployed in order to provide patients with specific diseases with healthcare services that are usually based on remote monitoring. Therefore, making an efficient, convenient and secure connection between users and medical servers over insecure channels within medical services is a rather major issue. In this context, because of the biometrics' characteristics, many biometrics-based three factor user authentication schemes have been proposed in the literature to secure user/server communication within medical services. In this paper, we make a brief study of the most interesting proposals. Then, we propose a new three-factor authentication and key agreement scheme for TMIS. Our scheme tends not only to fix the security drawbacks of some studied related work, but also, offers additional significant features while minimizing resource consumption. In addition, we perform a formal verification using the widely accepted formal security verification tool AVISPA to demonstrate that our proposed scheme is secure. Also, our comparative performance analysis reveals that our proposed scheme provides a lower resource consumption compared to other related work's proposals.

The purpose of the General Data Protection Regulation (GDPR) is to provide improved privacy protection. If an app controls personal data from users, it needs to be compliant with GDPR. However, GDPR lists general rules rather than exact step-by-step guidelines about how to develop an app that fulfills the requirements. Therefore, there may exist GDPR compliance violations in existing apps, which would pose severe privacy threats to app users. In this paper, we take mobile health applications (mHealth apps) as a peephole to examine the status quo of GDPR compliance in Android apps. We first propose an automated system, named HPDROID, to bridge the semantic gap between the general rules of GDPR and the app implementations by identifying the data practices declared in the app privacy policy and the data relevant behaviors in the app code. Then, based on HPDROID, we detect three kinds of GDPR compliance violations, including the incompleteness of privacy policy, the inconsistency of data collections, and the insecurity of data transmission. We perform an empirical evaluation of 796 mHealth apps. The results reveal that 189 (23.7%) of them do not provide complete privacy policies. Moreover, 59 apps collect sensitive data through different measures, but 46 (77.9%) of them contain at least one inconsistent collection behavior. Even worse, among the 59 apps, only 8 apps try to ensure the transmission security of collected data. However, all of them contain at least one encryption or SSL misuse. Our work exposes severe privacy issues to raise awareness of privacy protection for app users and developers.

With the development of big data and machine learning techniques, medical data sharing for the use of disease diagnosis has received considerable attention. Blockchain, as an emerging technology, has been widely used to resolve the efficiency and security issues in medical data sharing. However, the existing studies on blockchain-based medical data sharing have rarely concerned about the reasonable incentive mechanism. In this paper, we propose a cooperation model where medical data is shared via blockchain. We derive the topological relationships among the participants consisting of data owners, miners and third parties, and gradually develop the computational process of Shapley value revenue distribution. Specifically, we explore the revenue distribution under different consensuses of blockchain. Finally, we demonstrate the incentive effect and rationality of the proposed solution by analyzing the revenue distribution.

The cost and complexity of conducting multi-site clinical trials have significantly increased over time, with site monitoring, data management, and Institutional Review Board (IRB) amendments being key drivers. Trial sponsors, such as pharmaceutical companies, are also increasingly outsourcing trial management to multiple organizations. Enforcing compliance with standard operating procedures, such as preserving data privacy for human subject protection, is crucial for upholding the integrity of a study and its findings. Current efforts to ensure quality of data collected at multiple sites and by multiple organizations lack a secure, trusted, and efficient framework for fragmented data capture. To address this challenge, we propose a novel data management infrastructure based on a permissioned blockchain with private channels, smart contracts, and distributed ledgers. We use an example multi-organizational clinical trial to design and implement a blockchain network: generate activity-specific private channels to segregate data flow for confidentiality, write channel-specific smart contracts to enforce regulatory guidelines, monitor the immutable transaction log to detect protocol breach, and auto-generate audit trail. Through comprehensive experimental study, we demonstrate that our system handles high-throughput transactions, exhibits low-latency, and constitutes a trusted, scalable solution.

The objective of the work is to provide security to the medical images by embedding medical data (EPR-Electronic Patient Record) along with the image to reduce the bandwidth during communication. Reversible watermarking and Digital Signature itself will provide high security. This application mainly used in tele-surgery (Medical Expert to Medical Expert Communication). Only the authorized medical experts can explore the patients' image because of Kerberos. The proposed work is mainly to restrict the unauthorized access to get the patients'data. So medical image authentication may be achieved without biometric recognition such as finger prints and eye stamps etc. The EPR itself contains the patients' entire history, so after the extraction process Medical expert can able to identify the patient and also the disease information. In future we can embed the EPR inside the medical image after it got encrypted to achieve more security. To increase the authentication, Medical Expert biometric information can be embedded inside the image in the future. Experiments were conducted using more than 500 (512 × 512) image archives in various modalities from the NIH (National Institute of Health) and Aycan sample digital images downloaded from the internet and tests are conducted. Almost in all images with greater than 15000 bits embedding size and got PSNR of 60.4 dB to 78.9 dB with low distortion in received image because of compression, not because of watermarking and average NPCR (Number of Pixels Change Rate) is 98.9 %.

Health Information Technology Systems (HITS) are increasingly used to improve the quality of patient care while reducing costs. These systems have been developed in response to the changing models of care to an ongoing relationship between patient and care team, supported by the use of technology due to the increased instance of chronic disease. However, the use of HITS may increase the risk to patient safety and security. While standards can be used to address and manage these risks, significant communication problems exist between experts working in different departments. These departments operate in silos often leading to communication breakdowns. For example, risk management stakeholders who are not clinicians may struggle to understand, define and manage risks associated with these systems when talking to medical professionals as they do not understand medical terminology or the associated care processes. In order to overcome this communication problem, we propose the use of the “Three Amigos” approach together with the use of the SIMPLE tool that has been developed to assist patients in understanding medical terms. This paper examines how the “Three Amigos” approach and the SIMPLE tool can be used to improve estimation of severity of risk by non-clinical risk management stakeholders and provides a practical example of their use in a ten step risk management process.

The battlefield environment differs from the natural environment in terms of irregular communications and the possibility of destroying communication and medical units by enemy forces. Information that can be collected in a war environment by soldiers is important information and must reach top-level commanders in time for timely decisions making. Also, ambulance staff in the battlefield need to enter the data of injured soldiers after the first aid, so that the information is available for the field hospital staff to prepare the needs for incoming injured soldiers.In this research, we propose two transaction techniques to handle these issues and use different concurrency control protocols, depending on the nature of the transaction and not a one concurrency control protocol for all types of transactions. Message transaction technique is used to collect valuable data from the battlefield by soldiers and allows top-level commanders to view it according to their permissions by logging into the system, to help them make timely decisions. In addition, use the capabilities of DBMS tools to organize data and generate reports, as well as for future analysis. Medical service unit transactional workflow technique is used to provides medical information to the medical authorities about the injured soldiers and their status, which helps them to prepare the required needs before the wounded soldiers arrive at the hospitals. Both techniques handle the disconnection problem during transaction processing.In our approach, the transaction consists of four phases, reading, editing, validation, and writing phases, and its processing is based on the optimistic concurrency control protocol, and the rules of actionability that describe how a transaction behaves if a value-change is occurred on one or more of its attributes during its processing time by other transactions.

The global Electronic Health Record (EHR) market is growing dramatically and expected to reach \$39.7 billions by 2022. To safe-guard security and privacy of EHR, access control is an essential mechanism for managing EHR data. This paper proposes a hybrid architecture to facilitate access control of EHR data by using both blockchain and edge node. Within the architecture, a blockchain-based controller manages identity and access control policies and serves as a tamper-proof log of access events. In addition, off-chain edge nodes store the EHR data and apply policies specified in Abbreviated Language For Authorization (ALFA) to enforce attribute-based access control on EHR data in collaboration with the blockchain-based access control logs. We evaluate the proposed hybrid architecture by utilizing Hyperledger Composer Fabric blockchain to measure the performance of executing smart contracts and ACL policies in terms of transaction processing time and response time against unauthorized data retrieval.

The performance of the trust evaluation strategy depends on the accuracy and rationality of the trust evaluation weight system. Trust is a difficult to accurate measurement and quantitative cognition in the heart, the trust of the traditional evaluation method has a strong subjectivity and fuzziness and uncertainty. This paper uses the AHP method to determine the trust evaluation index weight, and combined with grey system theory to build trust gray evaluation model. The use of gray assessment based on the whitening weight function in the evaluation process reduces the impact of the problem that the evaluation result of the trust evaluation is not easy to accurately quantify when the decision fuzzy and the operating mechanism are uncertain.

This paper proposes a distributed deep learning framework for privacy-preserving medical data training. In order to avoid patients' data leakage in medical platforms, the hidden layers in the deep learning framework are separated and where the first layer is kept in platform and others layers are kept in a centralized server. Whereas keeping the original patients' data in local platforms maintain their privacy, utilizing the server for subsequent layers improves learning performance by using all data from each platform during training.

As an inevitable trend of information development of hospitals, Internet hospitals provide a series of convenient online services for patients such as registration, consultation, queuing, payment and medicine pick-up. However, hospitals have to face huge challenges, and deploy an Internet medical care-oriented service security open platform to ensure the security of personal privacy data and avoid malicious attacks from the Internet, so as to prevent illegal stealing of medical data. The service security open platform provides visualized control for the unified and standardized connection process and data access process.

We present a novel, and use case agnostic method of identifying and circumventing private data exposure across distributed and high-dimensional data repositories. Examples of distributed high-dimensional data repositories include medical research and treatment data, where oftentimes more than 300 describing attributes appear. As such, providing strong guarantees of data anonymity in these repositories is a hard constraint in adhering to privacy legislation. Yet, when applied to distributed high-dimensional data, existing anonymisation algorithms incur high levels of information loss and do not guarantee privacy defeating the purpose of anonymisation. In this paper, we address this issue by using Bayesian networks to handle data transformation for anonymisation. By evaluating every attribute combination to determine the privacy exposure risk, the conditional probability linking attribute pairs is computed. Pairs with a high conditional probability expose the risk of deanonymisation similar to quasi-identifiers and can be separated instead of deleted, as in previous algorithms. Attribute separation removes the risk of privacy exposure, and deletion avoidance results in a significant reduction in information loss. In other words, assimilating the conditional probability of outliers directly in the adjacency matrix in a greedy fashion is quick and thwarts de-anonymisation. Since identifying every privacy violating attribute combination is a W[2]-complete problem, we optimise the procedure with a multigrid solver method by evaluating the conditional probabilities between attribute pairs, and aggregating state space explosion of attribute pairs through manifold learning. Finally, incremental processing of new data is achieved through inexpensive, continuous (delta) learning.

IoT-based services are widely increasing due to their advantages such as economy, automation, and comfort. Smart cities are among major applications of IoT-based systems. However, security and privacy threats are vital issues challenging the utilization of such services. Connectivity nature, variety of data technology, and volume of data maintained through these systems make their security analysis a difficult process. Threat modeling is one the best practices for security analysis, especially for complex systems. This paper proposes a threat extraction method for IoT-based systems. We elaborate on a smart city scenario with three services including lighting, car parking, and waste management. Investigating on these services, firstly, we identify thirty-two distinct threat types. Secondly, we distinguish threat root causes by associating a threat to constituent parts of the IoT-based system. In this way, threat instances can be extracted using the proposed derivation rules. Finally, we evaluate our method on a smart car parking scenario as well as on an E-Health system and identify more than 50 threat instances in each cases to show that the method can be easily generalized for other IoT-based systems whose constituent parts are known.

The article focuses on Personal Data Cyber Security Systems. These systems are the critical components for Health Information Management Systems of Public Health enterprises. The purpose of this article is to inform and provide the reader with Personal Data Cyber Security Legislation and Regulation in Public Health Sector and enlighten him with the Information Systems that were designed and implemented for Personal Data Cyber Security in Public Health.

The integration of Internet-of-Things and pervasive computing in medical devices have made the modern healthcare system “smart.” Today, the function of the healthcare system is not limited to treat the patients only. With the help of implantable medical devices and wearables, Smart Healthcare System (SHS) can continuously monitor different vital signs of a patient and automatically detect and prevent critical medical conditions. However, these increasing functionalities of SHS raise several security concerns and attackers can exploit the SHS in numerous ways: they can impede normal function of the SHS, inject false data to change vital signs, and tamper a medical device to change the outcome of a medical emergency. In this paper, we propose HealthGuard, a novel machine learning-based security framework to detect malicious activities in a SHS. HealthGuard observes the vital signs of different connected devices of a SHS and correlates the vitals to understand the changes in body functions of the patient to distinguish benign and malicious activities. HealthGuard utilizes four different machine learning-based detection techniques (Artificial Neural Network, Decision Tree, Random Forest, k-Nearest Neighbor) to detect malicious activities in a SHS. We trained HealthGuard with data collected for eight different smart medical devices for twelve benign events including seven normal user activities and five disease-affected events. Furthermore, we evaluated the performance of HealthGuard against three different malicious threats. Our extensive evaluation shows that HealthGuard is an effective security framework for SHS with an accuracy of 91 % and an F1 score of 90 %.

Advances in new Communication and Information innovations has led to a new paradigm known as Internet of Things (IoT). Healthcare environment uses IoT technologies for Patients care which can be used in various medical applications. Patient information is encrypted consistently to maintain the access of therapeutic records by authoritative entities. Healthcare Internet of Things (HIoT) facilitate the access of Patient files immediately in emergency situations. In the proposed system, the Patient directly provides the Key to the Doctor in normal care access. In Emergency care, a Patient shares an Attribute based Key with a set of Emergency Supporting Representatives (ESRs) and access permission to the Doctor for utilizing Emergency key from ESR. The Doctor decrypts the medical records by using Attribute based key and Emergency key to save the Patient's life. The proposed model Secure Information Retrieval using Lightweight Cryptography (SIRLC) reduces the secret key generation time and cipher text size. The performance evaluation indicates that SIRLC is a better option to utilize in Healthcare IoT than Lightweight Break-glass Access Control(LiBAC) with enhanced security and reduced computational complexity.

Emergency medical services universally get regarded as the essential part of the health care delivery system [1]. A relationship exists between the emergency patient death rate and factors such as the failure to access a patient's critical data and the time it takes to arrive at hospitals. Nearly thirty million Americans do not live within an hour of trauma care, so this poor access to trauma centers links to higher pre-hospital death rates in more than half of the United States [2]. So, we need to address the problem. In a patient care-cycle, loads of medical data items are born in different healthcare settings using a disparate system of records during patient visits. The ability for medical care providers to access a patient's complete picture of emergency-relevant medical data is critical and can significantly reduce the annual mortality rate. Today, the problem exists with a continuous recording system of the patient data between healthcare providers. In this paper, we've introduced a combination of secure file transfer methods/tools and blockchain technology as a solution to record patient Emergency relevant medical data as patient walk through from one clinic/medical facility to another, creating a continuous footprint of patient as a secure and scalable data source. So, ambulance crews can access and use it to provide high quality pre-hospital care. All concerns of medical record sharing and accessing like authentication, privacy, security, scalability and audibility, confidentiality has been considered in this approach.

Integrated Clinical Environment (ICE) is a standardized framework for achieving device interoperability in medical cyber-physical systems. The ICE utilizes high-level supervisory apps and a low-level communication middleware to coordinate medical devices. The need to design complex ICE systems that are both safe and effective has presented numerous challenges, including interoperability, context-aware intelligence, security and privacy. In this paper, we present a data flow analysis framework for the ICE systems. The framework performs the combination of static and dynamic analysis for the sensitive data and operations in the ICE systems. Our experiments demonstrate that the data flow analysis framework can record how the medical devices transmit sensitive data and perform misuse detection by tracing the runtime context of the sensitive operations.

Future that IoT has to enhance the productivity on healthcare applications.

Future that IoT has to enhance the productivity on healthcare applications.

Recently, the home healthcare system has emerged as one of the most useful technology for e-healthcare. Contrary to classical recording methods of patient's medical data, which are, based on paper documents, nowadays all this sensitive data can be managed and forwarded through digital systems. These make possible for both patients and healthcare workers to access medical data or receive remote medical treatment using wireless interfaces whenever and wherever. However, simplifying access to these sensitive and private data can directly put patient's health and life in danger. In this paper, we propose a secure and lightweight biometric-based remote patient authentication scheme using elliptic curve encryption through which two mobile healthcare system communication parties could authenticate each other in public mobile healthcare environments. The security and performance analysis demonstrate that our proposal achieves better security than other concurrent schemes, with lower storage, communication and computation costs.