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      Security and Privacy in the Medical Internet of Things: A Review

      Author(s): , , , , ,
      Publication date Created:
      Publication date (Print):
      Journal: Security and Communication Networks
      Publisher: Hindawi Limited

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          Abstract

          Medical Internet of Things, also well known as MIoT, is playing a more and more important role in improving the health, safety, and care of billions of people after its showing up. Instead of going to the hospital for help, patients’ health-related parameters can be monitored remotely, continuously, and in real time, then processed, and transferred to medical data center, such as cloud storage, which greatly increases the efficiency, convenience, and cost performance of healthcare. The amount of data handled by MIoT devices grows exponentially, which means higher exposure of sensitive data. The security and privacy of the data collected from MIoT devices, either during their transmission to a cloud or while stored in a cloud, are major unsolved concerns. This paper focuses on the security and privacy requirements related to data flow in MIoT. In addition, we make in-depth study on the existing solutions to security and privacy issues, together with the open challenges and research issues for future work.

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          An Aggregate Signature Based Trust Routing for Data Gathering in Sensor Networks

          Anfeng Liu, Jiawei Tang, Tian Xiang Wang (2018)
          An Aggregate Signature based Trust Routing (ASTR) scheme is proposed to guarantee safe data collection in WSNs. In ASTR scheme, firstly, the aggregate signature approach is used to aggregate data and keep data integrity. What is more important, a light aggregate signature based detour routing scheme is proposed to send abstract information which includes the data sending time and ID of data, nodes’ ID to the sink over different paths which can verify whether the data reaches the sink safely. In addition, the trust of a path is evaluated according to the success rate of the path. The trust of paths susceptible to frequent attack will be lowered and the path with high trust will be selected for data routing to avoid data gathering through low trust path and thereby increase the success rate of data gathering. Our comprehensive performance analysis has shown that, the ASTR scheme is able to effectively ensure an increase in success rate of data transmission by 23.23%, reduce the data amount loaded by the node by 53.59%, reduce the redundant data by 41.70%.
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            Using statistical and machine learning to help institutions detect suspicious access to electronic health records

            Aziz A Boxwala, Jihoon Kim, Janice M Grillo … (2011)
            Objective To determine whether statistical and machine-learning methods, when applied to electronic health record (EHR) access data, could help identify suspicious (ie, potentially inappropriate) access to EHRs. Methods From EHR access logs and other organizational data collected over a 2-month period, the authors extracted 26 features likely to be useful in detecting suspicious accesses. Selected events were marked as either suspicious or appropriate by privacy officers, and served as the gold standard set for model evaluation. The authors trained logistic regression (LR) and support vector machine (SVM) models on 10-fold cross-validation sets of 1291 labeled events. The authors evaluated the sensitivity of final models on an external set of 58 events that were identified as truly inappropriate and investigated independently from this study using standard operating procedures. Results The area under the receiver operating characteristic curve of the models on the whole data set of 1291 events was 0.91 for LR, and 0.95 for SVM. The sensitivity of the baseline model on this set was 0.8. When the final models were evaluated on the set of 58 investigated events, all of which were determined as truly inappropriate, the sensitivity was 0 for the baseline method, 0.76 for LR, and 0.79 for SVM. Limitations The LR and SVM models may not generalize because of interinstitutional differences in organizational structures, applications, and workflows. Nevertheless, our approach for constructing the models using statistical and machine-learning techniques can be generalized. An important limitation is the relatively small sample used for the training set due to the effort required for its construction. Conclusion The results suggest that statistical and machine-learning methods can play an important role in helping privacy officers detect suspicious accesses to EHRs.
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              Green Data Gathering under Delay Differentiated Services Constraint for Internet of Things

              Tian Ran Wang, Changqin Huang, Mingfeng Huang … (2018)
              Energy-efficient data gathering techniques play a crucial role in promoting the development of smart portable devices as well as smart sensor devices based Internet of Things (IoT). For data gathering, different applications require different delay constraints; therefore, a delay Differentiated Services based Data Routing (DSDR) scheme is creatively proposed to improve the delay differentiated services constraint that is missed from previous data gathering studies. The DSDR scheme has three advantages: first, DSDR greatly reduces transmission delay by establishing energy-efficient routing paths (E2RPs). Multiple E2RPs are established in different locations of the network to forward data, and the duty cycles of nodes on E2RPs are increased to 1, so the data is forwarded by E2RPs without the existence of sleeping delay, which greatly reduces transmission latency. Secondly, DSDR intelligently chooses transmission method according to data urgency: the direct-forwarding strategy is adopted for delay-sensitive data to ensure minimum end-to-end delay, while wait-forwarding method is adopted for delay-tolerant data to perform data fusion for reducing energy consumption. Finally, DSDR make full use of the residual energy and improve the effective energy utilization. The E2RPs are built in the region with adequate residual energy and they are periodically rotated to equalize the energy consumption of the network. A comprehensive performance analysis demonstrates that the DSDR scheme has obvious advantages in improving network performance compared to previous studies: it reduces transmission latency of delay-sensitive data by 44.31%, reduces transmission latency of delay-tolerant data by 25.65%, and improves network energy utilization by 30.61%, while also guaranteeing the network lifetime is not lower than previous studies.
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                Author and article information

                Journal
                Title: Security and Communication Networks
                Abbreviated Title: Security and Communication Networks
                Publisher: Hindawi Limited
                ISSN (Print): 1939-0114
                ISSN (Electronic): 1939-0122
                Publication date Created: 2018
                Publication date (Print): 2018
                Volume: 2018
                Issue:
                Pages: 1-9
                Article
                DOI: 10.1155/2018/5978636
                SO-VID: de459575-9ef5-4d15-bfe1-369bea59d270
                Copyright © © 2018
                License:

                http://creativecommons.org/licenses/by/4.0/

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