When the Internet and other interconnected networks are used in a health system, it is referred to as “e-Health.” In this paper, we examined research studies from 2017–2020 to explore the utilization of intelligent techniques in health and its evolution over time, particularly the integration of Internet of Things (IoT) devices and cloud computing. E-Health is defined as “the ability to seek, find, understand and appraise health information derived from electronic sources and acquired knowledge to properly solve or treat health problems. As a repository for health information as well as e-Health analysis, the Internet has the potential to protect consumers from harm and empower them to participate fully in informed health-related decision-making. Most importantly, high levels of e-Health integration mitigate the risk of encountering unreliable information on the Internet. Various research perspectives related to security and privacy within IoT-cloud-based e-Health systems are examined, with an emphasis on the opportunities, benefits and challenges of the implementation such systems. The combination of IoT-based e-Health systems integrated with intelligent systems such as cloud computing that provide smart objectives and applications is a promising future trend.

The large and interconnected nature of the Internet of Things (IoT) presents unique security challenges, even as it revolutionizes various sectors. With numerous devices, often limited in resources, traditional perimeter-based security methods struggle to keep pace. The “never trust, always verify” principle of zero trust security offers a viable solution. Zero trust security is a concept that has become increasingly popular, using key exchange techniques to ensure secure and authenticated communication within the network, especially in managing risks in critical infrastructure. Authentication is a process to identify an entity, a prerequisite for authorization, and essential for granting access control. It fundamentally relies on trust management and various methods to generate and manage cryptographic keys for authentication. The aim of this study is to enhance zero trust security in the context of the Internet of Things by investigating authentication methods and discussing several potential solutions for successful implementation. This study also presents the performance evaluation criteria for authentication in IoT and introduces advanced approaches for different scenarios, including lightweight cryptography, mutual authentication, and blockchain technology. Finally, we address challenges related to implementation and future directions for research.

Blockchain technology has recently attracted tremendous interest due to its potential to revolutionize the industry by achieving decentralization while increasing the number of data sources, transparency, reliability, auditability, and trustworthiness. However, one of the major barriers to the widespread adoption of blockchain applications is the lack of mutual consensus and management across blockchains. Cross-blockchain consensus refers to one blockchain network reaching a consensus with another blockchain network to provide the ability to interact and share data. In this paper, we propose a secure management scheme with symmetric cross-blockchain communication and certificateless signature primitives, in which two heterogeneous blockchains are linked by a relay chain to simultaneously deliver cross-blockchain transaction security, achieve compatibility among various blockchains, and ensure the consistency of data exchanged, in practice. Additionally, our evaluation and security analysis shows the practicability and security of our proposed management scheme and demonstrates that a common test platform based on Ethereum can achieve acceptable computation costs.

Utilization of the Internet of Things (IoT) technology is virtually ubiquitous across various life disciplines. When the IoT is integrated into e-health system to enable more real-time on-demand services, it brings significant convenience to the physicians and patients. However, the risk of encountering unreliable information and potential security threat is promptly raised at the same time. Therefore, in this research, we establish a secure IoT and cloud computing-enabled e-health management system in which a distinctive authentication scheme is adopted. The proposed system ensures all major security requirements, such as confidentiality, entity anonymity, repudiation tracking, data integrity, and innate resistance to man-in-the-middle, location spoofing, and replay attacks. Moreover, our system can effectively be executed on low-powered processing units and simultaneously guarantees greater security than historically available alternatives.

The large and interconnected nature of the Internet of Things (IoT) presents unique security challenges, even as it revolutionizes various sectors. With numerous devices, often limited in resources, traditional perimeter-based security methods struggle to keep pace. The "never trust, always verify" principle of zero trust security offers a viable solution. Zero trust security is a concept which has become increasingly popular, using key exchange techniques to ensure secure and authenticated communication within the network, especially in managing risks in critical infrastructure. Authentication is a process to identify an entity, a prerequisite for authorization, and essential for granting access control. It fundamentally relies on trust management and various methods to generate and manage cryptographic keys for authentication. The aim of this study is to enhance zero trust security in the context of the Internet of Things by investigating authentication methods and discussing several potential solutions for successful implementation. This study also presents the performance evaluation criteria for authentication in IoT and introduces advanced approaches for different scenarios, including lightweight cryptography, mutual authentication, and blockchain technology. Finally, we address challenges related to implementation and future directions for research.