A new distributed MIKEY mode to secure e-health applications.

Securing e-health applications in the context of Internet of Things (IoT) is challenging. Indeed, resources scarcity in such environment hinders the implementation of existing standard based protocols. Among these protocols, MIKEY (Multimedia Internet KEYing) aims at establishing security credentials between two communicating entities. However, the existing MIKEY modes fail to meet IoT specificities. In particular, the pre-shared key mode is energy efficient, but suffers from severe scalability issues. On the other hand, asymmetric modes such as the public key mode are scalable, but are highly resource consuming. To address this issue, we combine two previously proposed approaches to introduce a new hybrid MIKEY mode. Indeed, relying on a cooperative approach, a set of third parties is used to discharge the constrained nodes from heavy computational operations. Doing so, the pre-shared mode is used in the constrained part of the network, while the public key mode is used in the unconstrained part of the network. Preliminary results show that our proposed mode is energy preserving whereas its security properties are kept safe.

Supporting the case for “progressive universalism” in health visiting: Scottish mothers and health visitors’ perspectives on targeting and rationing health visiting services, with a focus on the Lothian Child Concern Model.

Aims. To explore parents and professionals’ experience of family assessment in health visiting (public health nursing), with a focus on the Lothian Child Concern Model (LCCM). Background. Health visitors (HVs) currently assess families as requiring core, additional or intensive support, and offer support at a corresponding level. The majority of families are assessed as core and receive no pro-active support beyond the early days. Previous assessment tools, consisting of checklists, have been criticised as being ineffective in identifying a range of health needs and unacceptable to parents and HVs. The LCCM model was developed and introduced in the study area to promote a partnership approach with parents and assess strengths as well as difficulties in parents’ capacity to care for their child. Methods. Qualitative methods were used. Ten mothers and twelve HVs took part in individual semi-structured interviews. Results. Most mothers were aware of the assessment process but some felt that they were not involved in the decision making process. Explaining the assessment process to parents is problematic and not all HVs do so. The assessment process was stressful for some mothers. HVs find the model useful for structuring and documenting the assessment process. Many believe that most families benefit from some support, using public health approaches. Families are often assessed as core because there are insufficient resources to support all those who meet the criteria of the additional category, and managers assess caseloads in terms of families with child protection concerns. Conclusions. The study findings support the concept of “progressive universalism” which provides a continuum of intensity of support to families, depending on need. Mothers would like better partnership working with HVs. Relevance to clinical practice. The study endorses proposed policy changes to re-establish the public health role of HVs and to lower the threshold for families to qualify for support.