Group communication is widely used by most of the emerging network applications like telecommunication,video conferencing,simulation applications,distributed and other interactive systems.Secured group communication p...Group communication is widely used by most of the emerging network applications like telecommunication,video conferencing,simulation applications,distributed and other interactive systems.Secured group communication plays a vital role in case of providing the integrity,authenticity,confidentiality,and availability of the message delivered among the group members with respect to communicate securely between the inter group or else within the group.In secure group communications,the time cost associated with the key updating in the proceedings of the member join and departure is an important aspect of the quality of service,particularly in the large groups with highly active membership.Hence,the paper is aimed to achieve better cost and time efficiency through an improved DC multicast routing protocol which is used to expose the path between the nodes participating in the group communication.During this process,each node constructs an adaptive Ptolemy decision tree for the purpose of generating the contributory key.Each of the node is comprised of three keys which will be exchanged between the nodes for considering the group key for the purpose of secure and cost-efficient group communication.The rekeying process is performed when a member leaves or adds into the group.The performance metrics of novel approach is measured depending on the important factors such as computational and communicational cost,rekeying process and formation of the group.It is concluded from the study that the technique has reduced the computational and communicational cost of the secure group communication when compared to the other existing methods.展开更多
Network security protocols such as IPsec have been used for many years to ensure robust end-to-end communication and are important in the context of SDN. Despite the widespread installation of IPsec to date, per-packe...Network security protocols such as IPsec have been used for many years to ensure robust end-to-end communication and are important in the context of SDN. Despite the widespread installation of IPsec to date, per-packet protection offered by the protocol is not very compatible with OpenFlow and tlow-like behavior. OpenFlow architecture cannot aggregate IPsee-ESP flows in transport mode or tunnel mode because layer-3 information is encrypted and therefore unreadable. In this paper, we propose using the Security Parameter Index (SPI) of IPsec within the OpenFlow architecture to identify and direct IPsec flows. This enables IPsec to conform to the packet-based behavior of OpenFlow architecture. In addition, by distinguishing between IPsec flows, the architecture is particularly suited to secure group communication.展开更多
Several muhicast key management schemes such as those proposed by Wallner et al and Wong et al are based on a multilevel, logical hierarchy (or tree) of key-encrypting keys. When used in conjunction with a reliahle ...Several muhicast key management schemes such as those proposed by Wallner et al and Wong et al are based on a multilevel, logical hierarchy (or tree) of key-encrypting keys. When used in conjunction with a reliahle muhicast infrastructure, this approach results in a highly efficient key update mechanism in which the number of muhicast messages transmitted upon a membership update is proportional to the depth of the tree, which is logarithmic to the size of the secure muhicast group. But this is based on the hypothesis that the tree is maintained in a balanced manner. This paper proposes a scalable rekeying scheme---link-tree structure for implementing secure group communication. Theoretical calculation and experimentation show that this scheme has better performance than the tree structure and the star structure, and at the same time still keep the link-tree structure balanced.展开更多
BACKGROUND Data from the World Health Organization’s International Agency for Research on Cancer reported that China had the highest prevalence of cancer and cancer deaths in 2022.Liver and pancreatic cancers account...BACKGROUND Data from the World Health Organization’s International Agency for Research on Cancer reported that China had the highest prevalence of cancer and cancer deaths in 2022.Liver and pancreatic cancers accounted for the highest number of new cases.Real-world data(RWD)is now widely preferred to traditional clinical trials in various fields of medicine and healthcare,as the traditional research approach often involves highly selected populations and interventions and controls that are strictly regulated.Additionally,research results from the RWD match global reality better than those from traditional clinical trials.AIM To analyze the cost disparity between surgical treatments for liver and pancreatic cancer under various factors.METHODS This study analyzed RWD 1137 cases within the HB1 group(patients who underwent pancreatectomy,hepatectomy,and/or shunt surgery)in 2023.It distinguished different expenditure categories,including medical,nursing,technical,management,drug,and consumable costs.Additionally,it assessed the contribution of each expenditure category to total hospital costs and performed cross-group comparisons using the non-parametric Kruskal–Wallis test.This study used the Steel–Dwass test for post-hoc multiple comparisons and the Spearman correlation coefficient to examine the relationships between variables.RESULTS The study found that in HB11 and HB13,the total hospitalization costs were significantly higher for pancreaticoduodenectomy than for pancreatectomy and hepatectomy.Although no significant difference was observed in the length of hospital stay between patients who underwent pancreaticoduodenectomy and pancreatectomy,both were significantly longer than those who underwent liver resection.In HB15,no significant difference was observed in the total cost of hospitalization between pancreaticoduodenectomy and pancreatectomy;however,both were significantly higher than those in hepatectomy.Additionally,the length of hospital stay was significantly longer for patients who underwent pancreaticoduodenectomy than for those who underwent pancreatectomy or liver resection.CONCLUSION China Healthcare Security Diagnosis Related Groups payment system positively impacts liver and pancreatic cancer surgeries by improving medical quality and controlling costs.Further research could refine this grouping system and ensure continuous effectiveness and sustainability.展开更多
BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hosp...BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hospitalization costs and structure,and explored the impact of China Healthcare Security Diagnosis Related Groups(CHS-DRG)management on patient costs.It aimed to provide medical institutions with ways to reduce costs,optimize cost structures,reduce patient burden,and improve service efficiency.AIM To study the CHS-DRG payment system’s impact on breast cancer surgery costs.METHODS Using the CHS-DRG(version 1.1)grouping criteria,4073 patients,who underwent the radical resection of breast malignant tumors from January to December 2023,were included in the JA29 group;1028 patients were part of the CHS-DRG payment system,unlike the rest.Through an independent sample t-test,the length of hospital stay as well as total hospitalization,medicine and consumables,medical,nursing,medical technology,and management expenses were compared.Pearson’s correlation coefficient was used to test the cost correlation.RESULTS In terms of hospitalization expenses,patients in the CHS-DRG payment group had lower medical,nursing,and management expenses than those in the diagnosis-related group(DRG)non-payment group.For patients in the DRG payment group,the factors affecting the total hospitalization cost,in descending order of relevance,were medicine and consumable costs,consumable costs,medicine costs,medical costs,medical technology costs,management costs,nursing costs,and length of hospital stay.For patients in the DRG nonpayment group,the factors affecting the total hospitalization expenses in descending order of relevance were medicines and consumable expenses,consumable expenses,medical technology expenses,the cost of medicines,medical expenses,nursing expenses,length of hospital stay,and management expenses.CONCLUSION The CHS-DRG system can help control and reduce unnecessary medical expenses by controlling medicine costs,medical consumable costs,and the length of hospital stay while ensuring medical safety.展开更多
By introducing XOR operation and one-way function chains to group key management schemes based on the keys tree, a new group key management scheme based on the keys tree, XOR operation and one-way function chains is p...By introducing XOR operation and one-way function chains to group key management schemes based on the keys tree, a new group key management scheme based on the keys tree, XOR operation and one-way function chains is proposed. Initialization, member adding and member evicting operations are introduced. The new scheme is compared with three other group key management schemes which are based on the keys tree: SKDC, LKH, and OFF. As far as transmission, computation and storage costs are concerned, the performance of the new group key management scheme is the best. The security problem of the new scheme is analyzed. This new scheme provides backward and forward security, i.e.. newly admitted group members cannot read previous multicast messages and evicted members cannot read future multicast messages, even with collusion by many arbitrarily evicted members.展开更多
Time efficiency of key establishment and update is one of the major problems contributory key managements strive to address.To achieve better time efficiency in key establishment,we propose a Location-based Huffman(L-...Time efficiency of key establishment and update is one of the major problems contributory key managements strive to address.To achieve better time efficiency in key establishment,we propose a Location-based Huffman(L-Huffman) scheme.First,users are separated into several small groups to minimize communication cost when they are distributed over large networks.Second,both user's computation difference and message transmission delay are taken into consideration when Huffman coding is employed to forming the optimal key tree.Third,the combined weights in Huffman tree are located in a higher place of the key tree to reduce the variance of the average key generation time and minimize the longest key generation time.Simulations demonstrate that L-Huffman has much better performance in wide area networks and is a little better in local area network than Huffman scheme.展开更多
Group key exchange protocols are basic protocols to provide privacy and integrity in secure group communication. This paper discusses the security of one type of group key exchange protocols and defines the kind of pr...Group key exchange protocols are basic protocols to provide privacy and integrity in secure group communication. This paper discusses the security of one type of group key exchange protocols and defines the kind of protocols as broadcaster group protocols. It points out two attacks on this kind of protocols. The first attack can be avoided by using fresh values in each action during one session of the group protocol. The second attack should be related with concrete application. It also proposes a dynamic key agreement protocol as an example of solutions at the last part of the paper.展开更多
A conference key establishment protocol allows a group of conferees to agree on a secret key shared among them for secure group communication.This paper proposes a three-level conference key establishment protocol bas...A conference key establishment protocol allows a group of conferees to agree on a secret key shared among them for secure group communication.This paper proposes a three-level conference key establishment protocol based on the Universal Mobile Telecommunications System (UMTS) framework to establish a group-level key,home location register (HLR) level keys,and visitor location register (VLR) level keys simultaneously for a group of conferees.The group-level key is used to secure the communications for all conferees,the HLR-level key is for those within the same HLR domain,and the VLR-level key is for those within the same VLR domain.The group-level key can be used for securing inter-domain group-oriented applications such as commercial remote conferencing systems.The HLRand VLR-level keys can be used for securing intra-domain subgroup applications (e.g.,location-based or context-aware services) and dynamic key updating.Since our proposed protocol exploits existing UMTS security functions and the exclusive-or operation,it is compatible with UMTS architecture.This means that it is fast and easy to implement on the existing UMTS architecture.Furthermore,the proposed protocol has low computational complexities and can provide cost effectiveness,load-amortization,scalability,user authentication,key establishment,key confirmation,key updating,and lawful interception.展开更多
文摘Group communication is widely used by most of the emerging network applications like telecommunication,video conferencing,simulation applications,distributed and other interactive systems.Secured group communication plays a vital role in case of providing the integrity,authenticity,confidentiality,and availability of the message delivered among the group members with respect to communicate securely between the inter group or else within the group.In secure group communications,the time cost associated with the key updating in the proceedings of the member join and departure is an important aspect of the quality of service,particularly in the large groups with highly active membership.Hence,the paper is aimed to achieve better cost and time efficiency through an improved DC multicast routing protocol which is used to expose the path between the nodes participating in the group communication.During this process,each node constructs an adaptive Ptolemy decision tree for the purpose of generating the contributory key.Each of the node is comprised of three keys which will be exchanged between the nodes for considering the group key for the purpose of secure and cost-efficient group communication.The rekeying process is performed when a member leaves or adds into the group.The performance metrics of novel approach is measured depending on the important factors such as computational and communicational cost,rekeying process and formation of the group.It is concluded from the study that the technique has reduced the computational and communicational cost of the secure group communication when compared to the other existing methods.
文摘Network security protocols such as IPsec have been used for many years to ensure robust end-to-end communication and are important in the context of SDN. Despite the widespread installation of IPsec to date, per-packet protection offered by the protocol is not very compatible with OpenFlow and tlow-like behavior. OpenFlow architecture cannot aggregate IPsee-ESP flows in transport mode or tunnel mode because layer-3 information is encrypted and therefore unreadable. In this paper, we propose using the Security Parameter Index (SPI) of IPsec within the OpenFlow architecture to identify and direct IPsec flows. This enables IPsec to conform to the packet-based behavior of OpenFlow architecture. In addition, by distinguishing between IPsec flows, the architecture is particularly suited to secure group communication.
基金Sponsored by the National Natural Science Foundation of China (Grant No.60203012) and Shanghai Rising-Star Program in Science and Technology (Grant No.02QD14027).
文摘Several muhicast key management schemes such as those proposed by Wallner et al and Wong et al are based on a multilevel, logical hierarchy (or tree) of key-encrypting keys. When used in conjunction with a reliahle muhicast infrastructure, this approach results in a highly efficient key update mechanism in which the number of muhicast messages transmitted upon a membership update is proportional to the depth of the tree, which is logarithmic to the size of the secure muhicast group. But this is based on the hypothesis that the tree is maintained in a balanced manner. This paper proposes a scalable rekeying scheme---link-tree structure for implementing secure group communication. Theoretical calculation and experimentation show that this scheme has better performance than the tree structure and the star structure, and at the same time still keep the link-tree structure balanced.
基金Research Center for Capital Health Management and Policy,No.2024JD09.
文摘BACKGROUND Data from the World Health Organization’s International Agency for Research on Cancer reported that China had the highest prevalence of cancer and cancer deaths in 2022.Liver and pancreatic cancers accounted for the highest number of new cases.Real-world data(RWD)is now widely preferred to traditional clinical trials in various fields of medicine and healthcare,as the traditional research approach often involves highly selected populations and interventions and controls that are strictly regulated.Additionally,research results from the RWD match global reality better than those from traditional clinical trials.AIM To analyze the cost disparity between surgical treatments for liver and pancreatic cancer under various factors.METHODS This study analyzed RWD 1137 cases within the HB1 group(patients who underwent pancreatectomy,hepatectomy,and/or shunt surgery)in 2023.It distinguished different expenditure categories,including medical,nursing,technical,management,drug,and consumable costs.Additionally,it assessed the contribution of each expenditure category to total hospital costs and performed cross-group comparisons using the non-parametric Kruskal–Wallis test.This study used the Steel–Dwass test for post-hoc multiple comparisons and the Spearman correlation coefficient to examine the relationships between variables.RESULTS The study found that in HB11 and HB13,the total hospitalization costs were significantly higher for pancreaticoduodenectomy than for pancreatectomy and hepatectomy.Although no significant difference was observed in the length of hospital stay between patients who underwent pancreaticoduodenectomy and pancreatectomy,both were significantly longer than those who underwent liver resection.In HB15,no significant difference was observed in the total cost of hospitalization between pancreaticoduodenectomy and pancreatectomy;however,both were significantly higher than those in hepatectomy.Additionally,the length of hospital stay was significantly longer for patients who underwent pancreaticoduodenectomy than for those who underwent pancreatectomy or liver resection.CONCLUSION China Healthcare Security Diagnosis Related Groups payment system positively impacts liver and pancreatic cancer surgeries by improving medical quality and controlling costs.Further research could refine this grouping system and ensure continuous effectiveness and sustainability.
基金Research Center for Capital Health Management and Policy,No.2024JD09.
文摘BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hospitalization costs and structure,and explored the impact of China Healthcare Security Diagnosis Related Groups(CHS-DRG)management on patient costs.It aimed to provide medical institutions with ways to reduce costs,optimize cost structures,reduce patient burden,and improve service efficiency.AIM To study the CHS-DRG payment system’s impact on breast cancer surgery costs.METHODS Using the CHS-DRG(version 1.1)grouping criteria,4073 patients,who underwent the radical resection of breast malignant tumors from January to December 2023,were included in the JA29 group;1028 patients were part of the CHS-DRG payment system,unlike the rest.Through an independent sample t-test,the length of hospital stay as well as total hospitalization,medicine and consumables,medical,nursing,medical technology,and management expenses were compared.Pearson’s correlation coefficient was used to test the cost correlation.RESULTS In terms of hospitalization expenses,patients in the CHS-DRG payment group had lower medical,nursing,and management expenses than those in the diagnosis-related group(DRG)non-payment group.For patients in the DRG payment group,the factors affecting the total hospitalization cost,in descending order of relevance,were medicine and consumable costs,consumable costs,medicine costs,medical costs,medical technology costs,management costs,nursing costs,and length of hospital stay.For patients in the DRG nonpayment group,the factors affecting the total hospitalization expenses in descending order of relevance were medicines and consumable expenses,consumable expenses,medical technology expenses,the cost of medicines,medical expenses,nursing expenses,length of hospital stay,and management expenses.CONCLUSION The CHS-DRG system can help control and reduce unnecessary medical expenses by controlling medicine costs,medical consumable costs,and the length of hospital stay while ensuring medical safety.
文摘By introducing XOR operation and one-way function chains to group key management schemes based on the keys tree, a new group key management scheme based on the keys tree, XOR operation and one-way function chains is proposed. Initialization, member adding and member evicting operations are introduced. The new scheme is compared with three other group key management schemes which are based on the keys tree: SKDC, LKH, and OFF. As far as transmission, computation and storage costs are concerned, the performance of the new group key management scheme is the best. The security problem of the new scheme is analyzed. This new scheme provides backward and forward security, i.e.. newly admitted group members cannot read previous multicast messages and evicted members cannot read future multicast messages, even with collusion by many arbitrarily evicted members.
基金Supported by National Basic Research and Development Program of China (2007CB307102)
文摘Time efficiency of key establishment and update is one of the major problems contributory key managements strive to address.To achieve better time efficiency in key establishment,we propose a Location-based Huffman(L-Huffman) scheme.First,users are separated into several small groups to minimize communication cost when they are distributed over large networks.Second,both user's computation difference and message transmission delay are taken into consideration when Huffman coding is employed to forming the optimal key tree.Third,the combined weights in Huffman tree are located in a higher place of the key tree to reduce the variance of the average key generation time and minimize the longest key generation time.Simulations demonstrate that L-Huffman has much better performance in wide area networks and is a little better in local area network than Huffman scheme.
基金Supported by the National Natural Science Foun-dation of China (90104005 ,60473023) the National High Tech-nology Research and Development Programof China (863 Program)(2002AA41051)
文摘Group key exchange protocols are basic protocols to provide privacy and integrity in secure group communication. This paper discusses the security of one type of group key exchange protocols and defines the kind of protocols as broadcaster group protocols. It points out two attacks on this kind of protocols. The first attack can be avoided by using fresh values in each action during one session of the group protocol. The second attack should be related with concrete application. It also proposes a dynamic key agreement protocol as an example of solutions at the last part of the paper.
基金supported by Chang Gung University (No.UARPD390111)the Chang Gung Memorial Hospital (No.CMRPD390031)the National Science Council (No.98-2410-H-182-007-MY2)
文摘A conference key establishment protocol allows a group of conferees to agree on a secret key shared among them for secure group communication.This paper proposes a three-level conference key establishment protocol based on the Universal Mobile Telecommunications System (UMTS) framework to establish a group-level key,home location register (HLR) level keys,and visitor location register (VLR) level keys simultaneously for a group of conferees.The group-level key is used to secure the communications for all conferees,the HLR-level key is for those within the same HLR domain,and the VLR-level key is for those within the same VLR domain.The group-level key can be used for securing inter-domain group-oriented applications such as commercial remote conferencing systems.The HLRand VLR-level keys can be used for securing intra-domain subgroup applications (e.g.,location-based or context-aware services) and dynamic key updating.Since our proposed protocol exploits existing UMTS security functions and the exclusive-or operation,it is compatible with UMTS architecture.This means that it is fast and easy to implement on the existing UMTS architecture.Furthermore,the proposed protocol has low computational complexities and can provide cost effectiveness,load-amortization,scalability,user authentication,key establishment,key confirmation,key updating,and lawful interception.