Distributed Internet voting architecture: A thin client approach to Internet voting

2021 ◽  
pp. 026839622097898
Author(s):  
Jim E Helm

Principles required for secure electronic voting using the Internet are known and published. Although the Internet voting functionalities and technologies are well-defined, none of the existing state-sponsored Internet voting approaches in use incorporate a total Internet-based system approach that includes voter registration, the voting process, and vote counting. The distributed Internet voting architecture concept discussed in this article uses a novel thin client approach to Internet voting. The architecture uses existing technologies and knowledge to create a viable whole system approach to Internet voting. This article describes various aspects and processes necessary to support an integrated approach. The application programming interface software for many of the critical functions was developed in Python and functionality tested. A virtual network, including a cloud-based functionality, was created and used to evaluate the various conceptual aspects of the proposed architecture. This included the concepts associated with programming and accessing smart cards, capturing and saving fingerprint data, structuring virtual private networks using tunneling and Internet Protocol Security, encrypting ballots using asymmetric encryption, using symmetric encryption for secret cookies, thin client interaction, and creating hash functions to be used within a blockchain structure in a Merkle tree architecture. The systems’ primary user targets are individuals remotely located from their home voting precincts and senior citizens who have limited mobility and mostly reside in assisted living facilities. The research supports the contention that a cybersecure Internet voting system that significantly reduces the opportunity for mail-in voter fraud, helps to ensure privacy for the voter, including nonrepudiation, nonattribution, receipt freeness, and vote acknowledgment can be created using existing technology.

2018 ◽  
pp. 161-187
Author(s):  
Fulvio Corno ◽  
Luigi De Russis ◽  
Alberto Monge Roffarello

Research activities on healthcare support systems mainly focus on people in their own homes or nurses and doctors in hospitals. A limited amount of research aims at supporting caregivers that work with people with disabilities in assisted living facilities (ALFs). This chapter explores and applies the Internet of Things to the ALF context. In particular, it presents the design, the implementation, and the experimental evaluation of Care4Me, a system supporting the daily activities of assistants. The requirements for designing and implementing Care4Me derive from a literature analysis and from a user study. The solution combines wearable and mobile technologies. With this healthcare support system, caregivers can be automatically alerted of potentially hazardous situations. Furthermore, inhabitants can require assistance instantly and from any point of the facility. The system was evaluated in two ways. The authors performed a functional test with a group of professional caregivers, and deployed the system in an ALF in Italy, collecting the opinions of caregivers and inhabitants.


Author(s):  
Fulvio Corno ◽  
Luigi De Russis ◽  
Alberto Monge Roffarello

Research activities on healthcare support systems mainly focus on people in their own homes or nurses and doctors in hospitals. A limited amount of research aims at supporting caregivers that work with people with disabilities in assisted living facilities (ALFs). This chapter explores and applies the Internet of Things to the ALF context. In particular, it presents the design, the implementation, and the experimental evaluation of Care4Me, a system supporting the daily activities of assistants. The requirements for designing and implementing Care4Me derive from a literature analysis and from a user study. The solution combines wearable and mobile technologies. With this healthcare support system, caregivers can be automatically alerted of potentially hazardous situations. Furthermore, inhabitants can require assistance instantly and from any point of the facility. The system was evaluated in two ways. The authors performed a functional test with a group of professional caregivers, and deployed the system in an ALF in Italy, collecting the opinions of caregivers and inhabitants.


Author(s):  
David Wendell Moller

Inattentive care and lack of compassion exacerbated the Whites’ suffering, leading to unconscionable indignity for both in the nursing home. Ken and Virble White were a part of the ongoing fabric of our society, that portion which includes the working poor. We know that individuals like them are subject to worse health outcomes. They possess inadequate resources to make the health system work in their favor or even on balance with the rest of the population. Their medical decision-making takes place in a context of inadequate patient–physician communication, low health literacy, lack of access to social services, and other factors that undermine optimal care. These factors are present in different ways throughout the life experience of disempowered patients every day in clinics, hospitals, and assisted-living facilities throughout the nation.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 935-935
Author(s):  
Kim Attanasi ◽  
Victoria Raveis

Abstract [Objective] Almost 8% of the U.S. population, 65 and older, reside in long term care facilities with limited delivery of essential dental care to prevent and manage oral health disease. By 2050, this population is expected to increase by 1.6 billion. Multiple bi-directional connections exist between oral disease and overall health. [Methods] Faculty from the Dental Hygiene Department, New York University College of Dentistry conducted an extensive outreach effort and randomly selected assisted living facilities. Facilities were offered the opportunity to receive at no-cost, a dental hygiene-led, educational, preventive oral health program delivered virtually to their residents as a community service. Incentives discussed. [Results] Twenty-one facilities were contacted, 17 (94.4%) had no oral healthcare program; one had an oral health component. In 13 (72%), the concierge functioned as gatekeeper, unwilling to transfer calls or deliver messages. In five (28%), calls were directed to the activity coordinator. Feasibility concerns and uncertainty about oral health service necessity and resident safety were voiced. Two facilities mentioned familiarity with dental hygiene professionals. Strategic changes in outreach resulted in successfully engaging with facility administrators. Strategies included identifying directors with familiarity or experience with dental hygiene profession, establishing a portfolio and utilizing technology that facilitate incorporating COVID-19 protocols. [Conclusions] Efforts to initiate a dental hygiene-led virtual oral health program encountered gatekeeper challenges. Although facility activity coordinators acknowledged benefits for their population, they were not final decision-makers. It was necessary to implement strategies that facilitated discussing the virtual oral hygiene program directly with the facility’s executive leadership.


2021 ◽  
pp. 101471
Author(s):  
Mario Tagliabue ◽  
Anna Lisa Ridolfo ◽  
Paolo Pina ◽  
Giuseppe Rizzolo ◽  
Sonia Belbusti ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 238-238
Author(s):  
Hiroko Kiyoshi-Teo ◽  
Claire McKinley-Yoder ◽  
Erin Lemon ◽  
Olivia Ochoa

Abstract Older adults in residential care settings are four times more likely than those not living in care facilities to experience falls. Yet, fall prevention efforts at long-term care settings are under-resourced, under-regulated, and under-studied. To address this gap, we developed and studied the impact of a specialty clinical, Fall Prevention Care Management (FPCM), for nursing students to decrease older adults’ fall risks. We enrolled assisted living residents that facility liaison identified as being high fall risk (fall rates or fall risk were not tracked at the study sites) and MOCA ≥15, in 2 assisted living facilities in Northwest USA. Participants received weekly, 1-hour, individual, semi-structured, Motivational Interviewing-based care management visits by same students over 6 visits. Changes in fall risks were measured by the CDC STEADI assessment (unsteadiness & worry), Falls Self-Efficacy Scale International-Short (FESI-S), and Falls Behavioral Scale (FAB). Twenty-five residents completed the study. Students addressed the following (multiple responses possible): emotional needs (n=23), improved motivation to prevent falls (n=21), and individualized education/coaching (i.e., exercise, mobility aids) (n=10-17). FESI-S score improved from 16.0 to 14.4 (p=.001; decreased fear. FAB score improved from 2.94 to 3.10 (p=.05; more frequent fall prevention behaviors). Frequency of those who felt steady while standing or walking increased (24% to 40%, p=.07) and those who did not worry about falling increased (20% to 36%, p=.08). FPCM clinical offered valuable opportunity to address unmet care needs of older adults to reduce fall risks.


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