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1.
PLoS One ; 19(5): e0303143, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38768124

RESUMO

In response to increasingly complex social emergencies, this study realizes the optimization of logistics information flow and resource allocation by constructing the Emergency logistics information Traceability model (ELITM-CBT) based on alliance blockchain technology. Using the decentralized, data immutable and transparent characteristics of alliance blockchain technology, this research breaks through the limitations of traditional emergency logistics models and improves the accuracy and efficiency of information management. Combined with the hybrid genetic simulated Annealing algorithm (HGASA), the improved model shows significant advantages in emergency logistics scenarios, especially in terms of total transportation time, total cost, and fairness of resource allocation. The simulation results verify the high efficiency of the model in terms of timeliness of emergency response and accuracy of resource allocation, and provide innovative theoretical support and practical scheme for the field of emergency logistics. Future research will explore more efficient consensus mechanisms, and combine big data and artificial intelligence technology to further improve the performance and adaptability of emergency logistics systems.


Assuntos
Algoritmos , Blockchain , Alocação de Recursos , Emergências , Modelos Teóricos , Humanos
2.
PLoS One ; 19(5): e0302513, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38718032

RESUMO

Recent advances in aerial robotics and wireless transceivers have generated an enormous interest in networks constituted by multiple compact unmanned aerial vehicles (UAVs). UAV adhoc networks, i.e., aerial networks with dynamic topology and no centralized control, are found suitable for a unique set of applications, yet their operation is vulnerable to cyberattacks. In many applications, such as IoT networks or emergency failover networks, UAVs augment and provide support to the sensor nodes or mobile nodes in the ground network in data acquisition and also improve the overall network performance. In this situation, ensuring the security of the adhoc UAV network and the integrity of data is paramount to accomplishing network mission objectives. In this paper, we propose a novel approach to secure UAV adhoc networks, referred to as the blockchain-assisted security framework (BCSF). We demonstrate that the proposed system provides security without sacrificing the performance of the network through blockchain technology adopted to the priority of the message to be communicated over the adhoc UAV network. Theoretical analysis for computing average latency is performed based on queuing theory models followed by an evaluation of the proposed BCSF approach through simulations that establish the superior performance of the proposed methodology in terms of transaction delay, data secrecy, data recovery, and energy efficiency.


Assuntos
Blockchain , Redes de Comunicação de Computadores , Segurança Computacional , Dispositivos Aéreos não Tripulados , Tecnologia sem Fio , Algoritmos
3.
BMC Med Imaging ; 24(1): 105, 2024 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-38730390

RESUMO

Categorizing Artificial Intelligence of Medical Things (AIoMT) devices within the realm of standard Internet of Things (IoT) and Internet of Medical Things (IoMT) devices, particularly at the server and computational layers, poses a formidable challenge. In this paper, we present a novel methodology for categorizing AIoMT devices through the application of decentralized processing, referred to as "Federated Learning" (FL). Our approach involves deploying a system on standard IoT devices and labeled IoMT devices for training purposes and attribute extraction. Through this process, we extract and map the interconnected attributes from a global federated cum aggression server. The aim of this terminology is to extract interdependent devices via federated learning, ensuring data privacy and adherence to operational policies. Consequently, a global training dataset repository is coordinated to establish a centralized indexing and synchronization knowledge repository. The categorization process employs generic labels for devices transmitting medical data through regular communication channels. We evaluate our proposed methodology across a variety of IoT, IoMT, and AIoMT devices, demonstrating effective classification and labeling. Our technique yields a reliable categorization index for facilitating efficient access and optimization of medical devices within global servers.


Assuntos
Inteligência Artificial , Blockchain , Internet das Coisas , Humanos
4.
PLoS One ; 19(5): e0302325, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38781187

RESUMO

In recent years, blockchain technology has developed rapidly and has been widely used in medical, financial, energy and other fields. However, in the process of practical application, each blockchain is a small independent ecosystem, with all transactions and operations limited to the chain, resulting in a large number of mutually heterogeneous to independent blockchains. It presents challenges for cross-chain interactions, cross-organization data sharing, and cross-blockchain expansion, and hinders the wider application of blockchain technology. In addition, the traditional digital signature method based on elliptic curve cipher faces the threat of being cracked by quantum computing attacks. To solve the aforementioned problems, this paper proposed a blockchain smart contract technique based on quantum computing attack resistance(BSCTQCAT). The technique first introduces the digital signature of the lattice cipher into the blockchain to resist the quantum search algorithm attack. Then, based on the smart contract authentication scheme, the nodes on multiple heterogeneous chains are organized into an identity agent layer P2P network, through which transactions on the chain will establish a credible identity management and message authentication mechanism between different chains, solving the current problem that each chain is difficult to communicate with each other. In this paper, the performance of the algorithm is evaluated by simulating the Bitcoin transaction scenario and analyzing the experimental data.


Assuntos
Algoritmos , Blockchain , Segurança Computacional , Teoria Quântica
5.
Sci Rep ; 14(1): 11746, 2024 05 23.
Artigo em Inglês | MEDLINE | ID: mdl-38778050

RESUMO

With the rapid development of modern medical technology and the dramatic increase in the amount of medical data, traditional centralized medical information management is facing many challenges. In recent years blockchain, which is a peer-to-peer distributed database, has been increasingly accepted and adopted by different industries and use cases. Key areas of healthcare blockchain applications include electronic medical record (EMR) management, medical device supply chain management, remote condition monitoring, insurance claims and personal health data (PHD) management, among others. Even so, there are a number of challenges in applying blockchain concepts to healthcare and its data, including interoperability, data security privacy, scalability, TPS and so on. While these challenges may hinder the development of blockchain in healthcare scenarios, they can be improved with existing technologies In this paper, we propose a blockchain-based healthcare operations management framework that is combined with the Interplanetary File System (IPFS) for managing EMRs, protects data privacy through a distributed approach while ensuring that this medical ledger is tamper-proof. Doctors act as full nodes, patients can participate in network maintenance either as light nodes or as full nodes, and the hospital acts as the endpoint database of data, i.e., the IPFS node, which saves the arithmetic power of nodes and allows the data stored in the hospitals and departments to be shared with the other organizations that have uploaded the data. Therefore, the integration of blockchain and zero-knowledge proof proposed in this paper helps to protect data privacy and is efficient, better scalable, and more throughput.


Assuntos
Blockchain , Segurança Computacional , Confidencialidade , Registros Eletrônicos de Saúde , Humanos , Privacidade
6.
J Am Med Inform Assoc ; 31(6): 1423-1435, 2024 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-38726710

RESUMO

OBJECTIVE: Blockchain has emerged as a potential data-sharing structure in healthcare because of its decentralization, immutability, and traceability. However, its use in the biomedical domain is yet to be investigated comprehensively, especially from the aspects of implementation and evaluation, by existing blockchain literature reviews. To address this, our review assesses blockchain applications implemented in practice and evaluated with quantitative metrics. MATERIALS AND METHODS: This systematic review adapts the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework to review biomedical blockchain papers published by August 2023 from 3 databases. Blockchain application, implementation, and evaluation metrics were collected and summarized. RESULTS: Following screening, 11 articles were included in this review. Articles spanned a range of biomedical applications including COVID-19 medical data sharing, decentralized internet of things (IoT) data storage, clinical trial management, biomedical certificate storage, electronic health record (EHR) data sharing, and distributed predictive model generation. Only one article demonstrated blockchain deployment at a medical facility. DISCUSSION: Ethereum was the most common blockchain platform. All but one implementation was developed with private network permissions. Also, 8 articles contained storage speed metrics and 6 contained query speed metrics. However, inconsistencies in presented metrics and the small number of articles included limit technological comparisons with each other. CONCLUSION: While blockchain demonstrates feasibility for adoption in healthcare, it is not as popular as currently existing technologies for biomedical data management. Addressing implementation and evaluation factors will better showcase blockchain's practical benefits, enabling blockchain to have a significant impact on the health sector.


Assuntos
Blockchain , Humanos , Disseminação de Informação , COVID-19
7.
Sci Rep ; 14(1): 10167, 2024 05 03.
Artigo em Inglês | MEDLINE | ID: mdl-38702327

RESUMO

The application of blockchain technology holds significant potential for improving efficiency, resilience, and transparency within the Fisheries Supply Chain (FSC). This study addresses the critical barriers hindering the adoption of blockchain technology (BT) in the Chinese FSC, recognizing the unique challenges posed by its intricacies. Through a comprehensive literature review, fourteen Critical Barrier Factors (CBFs) were identified, and a grey Delphi method was employed to distill this set. Five pivotal CBFs emerged, including "Regulatory Compliance," "Cost of Implementation," and "Complex Supply Chain Network". A subsequent grey Decision-Making Trial and Evaluation Laboratory (DEMATEL) analysis revealed the causal relationships among these factors, categorizing them into effect and cause groups. "Regulatory Compliance," "Cost of Implementation," and "Complex Supply Chain Network" were identified as primary influencing factors demanding attention for effective BT integration in the FSC. The findings serve as a valuable resource for FSC stakeholders, assisting in prioritizing efforts to address these barriers. The discerned causal relationships provide guidance for managers in optimizing resource allocation. Ultimately, this research advocates for the adoption of blockchain technology in the fisheries supply chain to enhance overall performance and operational efficiency.


Assuntos
Blockchain , Pesqueiros , Pesqueiros/economia , China , Animais , Conservação dos Recursos Naturais/métodos , Humanos
8.
Front Public Health ; 12: 1358184, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38605878

RESUMO

The rapid development of the Hospital Information System has significantly enhanced the convenience of medical research and the management of medical information. However, the internal misuse and privacy leakage of medical big data are critical issues that need to be addressed in the process of medical research and information management. Access control serves as a method to prevent data misuse and privacy leakage. Nevertheless, traditional access control methods, limited by their single usage scenario and susceptibility to single point failures, fail to adapt to the polymorphic, real-time, and sensitive characteristics of medical big data scenarios. This paper proposes a smart contracts and risk-based access control model (SCR-BAC). This model integrates smart contracts with traditional risk-based access control and deploys risk-based access control policies in the form of smart contracts into the blockchain, thereby ensuring the protection of medical data. The model categorizes risk into historical and current risk, quantifies the historical risk based on the time decay factor and the doctor's historical behavior, and updates the doctor's composite risk value in real time. The access control policy, based on the comprehensive risk, is deployed into the blockchain in the form of a smart contract. The distributed nature of the blockchain is utilized to automatically enforce access control, thereby resolving the issue of single point failures. Simulation experiments demonstrate that the access control model proposed in this paper effectively curbs the access behavior of malicious doctors to a certain extent and imposes a limiting effect on the internal abuse and privacy leakage of medical big data.


Assuntos
Pesquisa Biomédica , Blockchain , Big Data , Simulação por Computador , Comportamentos Relacionados com a Saúde
9.
PLoS One ; 19(4): e0301371, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38557695

RESUMO

To secure sensitive medical records in the healthcare clouds, this paper proposes an End-to-End Encryption (E2EE) to enhance a patient-centric blockchain-based system for electronic health record (EHR) management. The suggested system with a focus on the patient enables individuals to oversee their medical records within various involved parties by authorizing or withdrawing permission for access to their records. Utilizing the inter-planetary file system (IPFS) for record storage is chosen due to its decentralized nature and its ability to guarantee the unchangeability of records. Then an E2EE enhancement maintains the medical data integrity using dual level-Hybrid encryption: symmetric Advanced Encryption Standard (AES) and asymmetric Elliptic Curve Cryptography (ECC) cryptographic techniques. The proposed system is implemented using the Ethereum blockchain system for EHR data sharing and integration utilizing a web-based interface for the patient and all users to initiate the EHR sharing transactions over the IPFS cloud. The proposed system performance is evaluated in a working system prototype. For different file sizes between 512 KB to 100 MB, the performance metrics used to evaluate the proposed system were the time consumed for generating key, encryption, and decryption. The results demonstrate the proposed system's superiority over other cutting-edge systems and its practical ability to share secure health data in cloud environments.


Assuntos
Blockchain , Humanos , Registros Eletrônicos de Saúde , Atenção à Saúde , Assistência Centrada no Paciente , Segurança Computacional
10.
PLoS One ; 19(4): e0302052, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38603725

RESUMO

The future of communication systems is undergoing a transformative shift towards intelligence, efficiency, and flexibility. Presently, the amalgamation of blockchain technology and the sixth-generation mobile communication network (6G) has garnered significant attention, as their fusion is poised to profoundly impact the digital economy and society at large. However, the convergence of blockchain and 6G networks poses challenges pertaining to security and performance. In this article, we propose an approach based on the design of secure mechanisms and performance optimization to delve into the key issues surrounding the integration of blockchain and 6G networks from both security and performance perspectives. Specifically, we first introduce the application scenarios of 6G networks and blockchain's empowerment of them to highlight the necessity of combining blockchain technology with 6G. Subsequently, in order to ensure the security of communication and data transmission between blockchain and 6G networks, we have investigated the design requirements for security mechanisms. Furthermore, we discuss the efficient realization of the amalgamation between blockchain and 6G networks by proposing a solution based on Directed Acyclic Graph (DAG) for blockchain's asynchronous consensus protocol, alongside optimization strategies for storage and communication to meet the desired characteristics and requirements of 6G networks. Lastly, we provide valuable research directions that serve as references and guidance for the future development of the integration between blockchain and 6G networks.


Assuntos
Blockchain , Consenso , Inteligência , Tecnologia , Segurança Computacional
11.
PLoS One ; 19(4): e0297978, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38662680

RESUMO

In view of the rapid development and application of blockchain technology, this paper considers a secondary supply chain system consisting of a single upstream supplier and a downstream e-tailer that implements blockchain technology and a traditional e-tailer that does not implement blockchain technology. We establish the demand function of two channels based on consumers' sensitivity to the blockchain and use the Stackelberg game model to compare and analyse the e-tailers' profits from the two channels. For the basic properties, interestingly, we find that there exists a critical threshold on the cost sensitivity to effort that helps each e-tailer decide whether to implement effort. If the cost sensitivity to effort is high, the two-sided e-tailers will reduce their effort as much as possible to obtain greater profits. Conversely, if the cost sensitivity to effort is low, they will increase their effort to obtain more benefits. We also discuss the role of blockchain technology in competition between e-tailers and analyse the impact of the product brand effect brought by the traceability characteristic of blockchain on the competition between e-tailers. To check the robustness of the core results and to investigate different forms of supply chain configurations, this paper further develops the analysis of the supplier entering agency agreements with two-sided e-tailers. Under this scenario, the supplier sells their products directly to consumers through two-sided e-platforms and shares revenue with e-tailers as platform agency fees. These core ideas remain valid in the extended model.


Assuntos
Blockchain , Teoria dos Jogos , Humanos , Modelos Teóricos
12.
BMC Med Inform Decis Mak ; 24(1): 109, 2024 Apr 25.
Artigo em Inglês | MEDLINE | ID: mdl-38664792

RESUMO

BACKGROUND: A blockchain can be described as a distributed ledger database where, under a consensus mechanism, data are permanently stored in records, called blocks, linked together with cryptography. Each block contains a cryptographic hash function of the previous block, a timestamp, and transaction data, which are permanently stored in thousands of nodes and never altered. This provides a potential real-world application for generating a permanent, decentralized record of scientific data, taking advantage of blockchain features such as timestamping and immutability. IMPLEMENTATION: Here, we propose INNBC DApp, a Web3 decentralized application providing a simple front-end user interface connected with a smart contract for recording scientific data on a modern, proof-of-stake (POS) blockchain such as BNB Smart Chain. Unlike previously proposed blockchain tools that only store a hash of the data on-chain, here the data are stored fully on-chain within the transaction itself as "transaction input data", with a true decentralized storage solution. In addition to plain text, the DApp can record various types of files, such as documents, images, audio, and video, by using Base64 encoding. In this study, we describe how to use the DApp and perform real-world transactions storing different kinds of data from previously published research articles, describing the advantages and limitations of using such a technology, analyzing the cost in terms of transaction fees, and discussing possible use cases. RESULTS: We have been able to store several different types of data on the BNB Smart Chain: raw text, documents, images, audio, and video. Notably, we stored several complete research articles at a reasonable cost. We found a limit of 95KB for each single file upload. Considering that Base64 encoding increases file size by approximately 33%, this provides us with a theoretical limit of 126KB. We successfully overcome this limitation by splitting larger files into smaller chunks and uploading them as multi-volume archives. Additionally, we propose AES encryption to protect sensitive data. Accordingly, we show that it is possible to include enough data to be useful for storing and sharing scientific documents and images on the blockchain at a reasonable cost for the users. CONCLUSION: INNBC DApp represents a real use case for blockchain technology in decentralizing biomedical data storage and sharing, providing us with features such as immutability, timestamp, and identity that can be used to ensure permanent availability of the data and to provide proof-of-existence as well as to protect authorship, a freely available decentralized science (DeSci) tool aiming to help bring mass adoption of blockchain technology among the scientific community.


Assuntos
Blockchain , Humanos , Armazenamento e Recuperação da Informação/métodos , Segurança Computacional/normas
13.
PLoS One ; 19(3): e0297484, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38547076

RESUMO

The application of blockchain can effectively improve the efficiency of fresh agricultural product circulation and consumer trust, but it can also increase investment costs. In this context, this paper introduces parameters such as blockchain unit variable cost, the level of blockchain technology investment, and consumer channel preference in two dual-channel supply chain systems dominated by fresh agricultural product manufacturers: online direct sales and distribution. It compares and analyzes pricing and channel selection strategies in both cases of not using and using blockchain. The research shows that when blockchain is used, manufacturer profits are higher in the direct sales model than in the distribution model. Traditional retailers' profits are lower in the direct sales model than in the distribution model. Total supply chain profits are higher in the direct sales model than in the distribution model, and they exhibit an inverted "U" shape as the level of blockchain investment increases. In the online direct sales model, if the blockchain technology unit variable cost is within a certain threshold range, manufacturer profits, traditional retailer profits, and total supply chain profits are all higher than when blockchain technology is not used. In the online distribution model, when the blockchain variable cost and blockchain usage level meet certain conditions, manufacturers, traditional retailers, and online distributors all have higher profits when using blockchain technology than when not using it. This study provides theoretical guidance for the practical application of blockchain technology in dual-channel fresh agricultural product supply chains.


Assuntos
Blockchain , Modelos Econômicos , Custos e Análise de Custo , Comércio , Comportamento do Consumidor
14.
Math Biosci Eng ; 21(3): 4165-4186, 2024 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-38549323

RESUMO

In recent years, the extensive use of facial recognition technology has raised concerns about data privacy and security for various applications, such as improving security and streamlining attendance systems and smartphone access. In this study, a blockchain-based decentralized facial recognition system (DFRS) that has been designed to overcome the complexities of technology. The DFRS takes a trailblazing approach, focusing on finding a critical balance between the benefits of facial recognition and the protection of individuals' private rights in an era of increasing monitoring. First, the facial traits are segmented into separate clusters which are maintained by the specialized node that maintains the data privacy and security. After that, the data obfuscation is done by using generative adversarial networks. To ensure the security and authenticity of the data, the facial data is encoded and stored in the blockchain. The proposed system achieves significant results on the CelebA dataset, which shows the effectiveness of the proposed approach. The proposed model has demonstrated enhanced efficacy over existing methods, attaining 99.80% accuracy on the dataset. The study's results emphasize the system's efficacy, especially in biometrics and privacy-focused applications, demonstrating outstanding precision and efficiency during its implementation. This research provides a complete and novel solution for secure facial recognition and data security for privacy protection.


Assuntos
Blockchain , Aprendizado Profundo , Reconhecimento Facial , Humanos , Privacidade , Fenótipo
15.
PLoS One ; 19(3): e0299324, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38512865

RESUMO

Software Development based on Scrum Agile in a distributed development environment plays a pivotal role in the contemporary software industry by facilitating software development across geographic boundaries. However, in the past different frameworks utilized to address the challenges like communication and collaboration in scrum agile distributed software development (SADSD) were notably inadequate in transparency, security, traceability, geographically dispersed location work agreements, geographically dispersed teamwork effectiveness, and trust. These deficiencies frequently resulted in delays in software development and deployment, customer dissatisfaction, canceled agreements, project failures, and disputes over payments between customers and development teams. To address these challenges of SADSD, this paper proposes a new framework called ChainAgile, which leverages blockchain technology. ChainAgile employs a private Ethereum blockchain to facilitate the execution of smart contracts. These smart contracts cover a range of functions, including acceptance testing, secure payments, requirement verification, task prioritization, sprint backlog, user story design and development and payments with the automated distribution of payments via digital wallets to development teams. Moreover, in the ChainAgile framework, smart contracts also play a pivotal role in automatically imposing penalties on customers for making late payments or for no payments and penalties on developers for completing the tasks that exceed their deadlines. Furthermore, ChainAgile effectively addresses the scalability limitations intrinsic in blockchain technology by incorporating the Interplanetary File System (IPFS) is used for storage solutions as an off-chain mechanism. The experimental results conclusively show that this innovative approach substantially improves transparency, traceability, coordination, communication, security, and trust for both customers and developers engaged in scrum agile distributed software development (SADSD).


Assuntos
Blockchain , Comunicação , Dissidências e Disputas , Emoções , Software
16.
PLoS One ; 19(3): e0300288, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38457442

RESUMO

With the collision between the green and low-carbon economy and the accelerating digital economy, how to realize the effect of "1+1>2" has gradually become an important topic for contributing to the high-quality development of regions and enterprises. Entrepreneurship in the digital age continues to exhibit new characteristics, and its impact on green development is also more closely related. This article focuses on the context of the low-carbon strategy, incorporating the digitalization level, entrepreneurship, and green development into the same framework. It then takes 2011-2021 Chinese provincial panel data and enterprise panel data as samples to conduct research. The results indicate the following: (1) The digitalization level has a significant positive promoting effect on the green development of regions and enterprises, and blockchain technology has the strongest promoting effect on the green development of enterprises. (2) The digitalization level drives the green development of regions and enterprises through three channels: entrepreneurs' innovative spirit, entrepreneurs' entrepreneurial spirit and entrepreneurs' contract spirit. Entrepreneurship is the intermediary bridge for the digitalization level to promote green development. (3) Environmental regulations partially serve as "accelerators" of the impact of green development. The findings of this article will provide empirical support for evaluating the impact of digitalization on green development and offer useful insights for better stimulating and cultivating entrepreneurship in the new era to empower comprehensive green development.


Assuntos
Blockchain , Carbono , Empreendedorismo , Tecnologia , China
17.
Int J Med Inform ; 186: 105415, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38520907

RESUMO

INTRODUCTION: Health records serve not only as a database of a patient's health history and treatment process but also as a crucial tool for doctors to diagnose and treat patients. However, the storage and sharing of these records are sensitive issues as they involve maintaining patient privacy and ensuring data transparency, security, and interoperability between different parties. Challenges to achieving these goals in the current surgical process can impact the allocation of medical resources and surgical outcomes. METHODS: This article proposes a healthcare 5.0 framework for medical surgery that deploys a secure and distributed network using Blockchain to demonstrate transactions between different parties in the orthopedic surgery process. The proposed network uses the Hyperledger Composer platform for deployment, and a patient-doctor-supplier orthopedic surgery network is designed and implemented to enable the safe sharing of medical records. RESULTS: A benchmarking tool was implemented for analyzing different scenarios of applying blockchain technology to orthopedic surgery. The application of blockchain technology to orthopedic surgery presents a promising solution for data sharing and supply chain management in the field. The integration of blockchain with cloud storage and hybrid encryption ensures secure and efficient storage of Electronic Health Record (EHR) and Personal Health Record (PHR) data. By leveraging the tamper-proof nature of blockchain and addressing concerns regarding centralized data storage, this scenario demonstrates enhanced security, improved access efficiency, and privacy protection in medical data sharing. CONCLUSIONS: The article demonstrates the feasibility of using an IoT-based blockchain network in orthopedic surgery, which can reduce medical errors and improve data interoperability among different parties. This unique application of blockchain enables secure sharing of medical records, ensuring transparency, security, and interoperability. The network design may also be applicable to other surgeries and medical applications in the future.


Assuntos
Blockchain , Humanos , Registros Eletrônicos de Saúde , Atenção à Saúde , Confidencialidade , Armazenamento e Recuperação da Informação , Segurança Computacional
18.
Sensors (Basel) ; 24(5)2024 Feb 29.
Artigo em Inglês | MEDLINE | ID: mdl-38475119

RESUMO

Ensuring the security and usability of electronic health records (EHRs) is important in health information exchange (HIE) systems that handle healthcare records. This study addressed the need to balance privacy preserving and data usability in blockchain-based HIE systems. We propose a searchable blockchain-based HIE system that enhances privacy preserving while improving data usability. The proposed methodology includes users collecting healthcare information (HI) from various Internet of Medical Things (IoMT) devices and compiling this information into EHR blocks for sharing on a blockchain network. This approach allows participants to search and utilize specific health data within the blockchain effectively. The results demonstrate that the proposed system mitigates the issues of traditional HIE systems by providing secure and user-friendly access to EHRs. The proposed searchable blockchain-based HIE system resolves the trade-off dilemma in HIE by achieving a balance between security and the data usability of EHRs.


Assuntos
Blockchain , Sistemas de Informação em Saúde , Humanos , Privacidade , Registros Eletrônicos de Saúde , Atenção à Saúde , Segurança Computacional
19.
J Med Syst ; 48(1): 33, 2024 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-38526807

RESUMO

In today's data-driven world, the exponential growth of digital information poses significant challenges in data management. In recent years, the adoption of cloud-based Electronic Health Records (EHR) sharing schemes has yielded numerous advantages like improved accessibility, availability, and enhanced interoperability. However, the centralized nature of cloud storage presents challenges in terms of information storage, privacy protection, and security. Despite several approaches that have been presented to ensure secure deduplication of similar EHRs, the validation of data integrity without a third-party auditor (TPA) remains a persistent task. Because involving a TPA raises concerns about the confidentiality and privacy of crucial healthcare information. To tackle this challenge, a novel cloud storage auditing technique is proposed that incorporates cross-patient block-level deduplication while upholding strong privacy protection, ensuring that EHR is not compromised. Here, we introduced blockchain technology to achieve integrity verification, thus eliminating the need for a TPA by providing a decentralized and transparent mechanism. Additionally, an index for all EHRs has been generated to facilitate block-level duplicate checks and employ a novel strategy to prevent adversaries from acquiring original information saved in the cloud storage. The security of the proposed approach is established against factorization attacks and decrypt exponent attacks. The performance evaluation demonstrates the superior efficiency of the proposed scheme in terms of file authenticator generation, challenge creation, and proof verification to other existing client-side deduplication approaches.


Assuntos
Blockchain , Registros Eletrônicos de Saúde , Humanos , Computação em Nuvem , Segurança Computacional , Privacidade
20.
PLoS One ; 19(3): e0299162, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38427656

RESUMO

In order to foster a modern economic system and facilitate high-quality economic development, it is crucial to establish a conducive business environment. Undoubtedly, the evaluation of the business environment for enterprises constitutes a prominent area of research. Nevertheless, ensuring the authenticity and security of the raw data sources provided by participating enterprises poses a challenge, thereby compromising the accuracy of the evaluation. To tackle this issue, an enterprise composite blockchain construction method for business environment is proposed in this paper, which stores the raw data of enterprises by the means of hybrid on-chain and off-chain. Initially, the enhanced hash function SHA256 is introduced to encrypt the raw data of enterprises. The encrypted data is subsequently stored in an off-chain Level DB database, which is based on non-volatile memory. This approach effectively alleviates the burden on communication and storage. Secondly, a composite storage strategy on-chain is adopted: the key values from the Level DB are stored in the DAG-based Conflux public blockchain, while the enterprise state data is stored in the consortium blockchain, so as to provide trusted evidence of business environment evaluation data. Finally, it is demonstrated through a large number of experimental comparisons that the enterprise composite blockchain construction method proposed in this paper exhibits better read and write performance, lower storage efficiency and storage overhead, and outperforms both the before-improved Level DB database and existing blockchain storage models.


Assuntos
Blockchain , Comércio , Comunicação , Bases de Dados Factuais , Desenvolvimento Econômico
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