Scalability prevents public blockchains from being widely adopted for Internet of Things (IoT) applications such as supply chain management. Several existing solutions focus on increasing the transaction count, but none of them address scalability challenges introduced by resource-constrained IoT device integration with these blockchains, especially for the purpose of supply chain ownership management. Thus, this paper solves the issue by proposing a scalable public blockchain-based protocol for the interoperable ownership transfer of tagged goods, suitable for use with resource-constrained IoT devices such as widely used Radio Frequency Identification (RFID) tags. The use of a public blockchain is crucial for the proposed solution as it is essential to enable transparent ownership data transfer, guarantee data integrity, and provide on-chain data required for the protocol. A decentralized web application developed using the Ethereum blockchain and an InterPlanetary File System is used to prove the validity of the proposed lightweight protocol. A detailed security analysis is conducted to verify that the proposed lightweight protocol is secure from key disclosure, replay, man-in-the-middle, de-synchronization, and tracking attacks. The proposed scalable protocol is proven to support secure data transfer among resource-constrained RFID tags while being cost-effective at the same time.
Diabetes Mellitus is a disease due to reduced insulin sensitivity and secretion in the body which associated with obesity and hypertension. This study aimed to determine the influence of family support and self-motivation towards dietary compliance and glycaemic control among Type 2 Diabetes Mellitus (T2DM) outpatients. This cross-sectional study involved 35 subjects selected from Universiti Kebangsaan Malaysia Medical Centre (UKMMC) in Cheras and Ampangan Health Clinic in Seremban. Anthropometric measurements and fasting blood glucose have been obtained. Face-to-face interview session was done to obtain socio-demographic and diet intake. Further, dietary compliance, social support and self-motivation were assessed using Summary Diabetes Self Care Activities (SDSCA), Diabetes Social Support Questionnaire Family version (DSSQ-Fa) and Treatment Self-Regulation Questionnaire (TSRQ), respectively. Only 8.6% of subjects complied with dietary counselling. Fasting blood glucose for both men (7.93 ± 1.99 mmol/L) and women (8.77 ± 3.08 mmol/L) were higher than normal range. Self-motivation (r = 0.358, p < 0.05) and family support (r = 0.460, p < 0.01) significantly correlated with dietary compliance. Self-motivation and family support are important factors which can increase compliance towards dietary counseling. Further investigation should be carried out to determine factors that may influence dietary compliance and family support towards achieving desirable glycaemic control among T2DM patients.
Study site: Klinik Warga UKMMC, Pusat Perubatan Universiti Kebangsaan Malaysia (PPUKM), Kuala Lumpur; Klinik Kesihatan Ampangan, Seremban, Negeri Sembilan, Malaysia