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The rapidly expanding Internet of Medical Things (IoMT) landscape fosters enormous opportunities for personalized healthcare, yet it also exposes patients and healthcare systems to diverse security threats. Heterogeneous IoMT devices present challenges that need comprehensive risk assessment due to their varying functionality, protocols, and vulnerabilities. Hence, to achieve the goal of having risk-free IoMT devices, the authors used a hybrid approach using fuzzy logic and the Fuzzy Analytical Hierarchy Process (FAHP) to evaluate risks, providing effective and useful results for developers and researchers. The presented approach specifies qualitative descriptors such as the frequency of occurrence, consequence severity, weight factor, and risk level. A case study with risk events in three different IoMT devices was carried out to illustrate the proposed method. We performed a Bluetooth Low Energy (BLE) attack on an oximeter, smartwatch, and smart peak flow meter to discover their vulnerabilities. Using the FAHP method, we calculated fuzzy weights and risk levels, which helped us to prioritize criteria and alternatives in decision-making. Smartwatches were found to have a risk level of 8.57 for injection attacks, which is of extreme importance and needs immediate attention. Conversely, jamming attacks registered the lowest risk level of 1, with 9 being the maximum risk level and 1 the minimum. Based on this risk assessment, appropriate security measures can be implemented to address the severity of potential threats. The findings will assist healthcare industry decision-makers in evaluating the relative importance of risk factors, aiding informed decisions through weight comparison.

Electronic Health Records (EHR) are the healthcare sector’s core digital strategy meant to improve the quality of care provided to patients. Despite the benefits afforded by this digital transformation initiative, adoption among healthcare organizations has been slower than desired. The sheer volume and sensitive nature of patient records compel these organizations to exercise a healthy amount of caution in implementing EHR. Cyberattacks have also increased the risks associated with non-optimal EHR implementations. An influx of high-profile data breaches has plagued the sector during the COVID-19 pandemic, which put the spotlight on EHR cybersecurity. One objective of this research project is to aid the acceleration of EHR adoption. Another objective is to ensure the robustness of the system to resist malicious attacks. For the former, a systematic review was used to unearth all the possible causes why the adoption of EHR has been anemic. In this paper, sixty-five existing proposed EHR solutions were analyzed and it was found that there are fourteen major challenges that need to be addressed to reduce friction and risk for health organizations. These were privacy, security, confidentiality, interoperability, access control, scalability, authentication, accessibility, availability, data storage, data ownership, data validity, data integrity, and ease of use. We propose EHRChain, a new framework that tackles all the listed challenges simultaneously to address the first objective while also being designed to achieve the second objective. It is enabled by dual-blockchains based on Hyperledger Sawtooth to allow patient data decentralization via a consortium blockchain and IPFS for distributed data storage.

Supervisory Control and Data Acquisition (SCADA) systems are essential for reliable communication and control of smart grids. However, in the cyber-physical realm, it becomes highly vulnerable to cyber-attacks like False Data Injection (FDI) into the measurement signal which can circumvent the conventional detection methods and interfere with the normal operation of grids, which in turn could potentially lead to huge financial losses and can have a large impact on public safety. It is imperative to have an accurate state estimation of power consumption for further operational decision-making.This work presents novel forecasting-aided anomaly detection using an CNN-LSTM based auto-encoder sequence to sequence architecture to combat against false data injection attacks. We further present an adaptive optimal threshold based on the consumption patterns to identify abnormal behaviour. Evaluation is performed on real-time energy demand consumption data collected from the Australian Energy Market Operator. An extensive experiment shows that the proposed model outperforms other benchmark algorithms in not only improving the data injection attack (95.43%) but also significantly reducing the false positive rate.

The adaptation of the Internet of Medical Things (IoMT) has provided efficient and timely services and has transformed the healthcare industry to a great extent. Monitoring patients remotely and managing hospital records and data have become effortless with the advent of IoMT. However, security and privacy have become a significant concern with the growing number of threats in the cyber world, primarily for personal and sensitive user data. In terms of IoMT devices, risks appearing from them cannot easily fit into an existing risk assessment framework, and while research has been done on this topic, little attention has been paid to the methodologies used for the risk assessment of heterogeneous IoMT devices. This paper elucidates IoT, its applications with reference to in-demand sectors, and risks in terms of their types. By the same token, IoMT and its application area and architecture are explained. We have also discussed the common attacks on IoMT. Existing papers on IoT, IoMT, risk assessment, and frameworks are reviewed. Finally, the paper analyzes the available risk assessment frameworks such as NIST, ISO 27001, TARA, and the IEEE213-2019 (P2413) standard and highlights the need for new approaches to address the heterogeneity of the risks. In our study, we have decided to follow the functions of the NIST and ISO 270001 frameworks. The complete framework is anticipated to deliver a risk-free approach for the risk assessment of heterogeneous IoMT devices benefiting its users.

COVID-19, regarded as the deadliest virus of the 21st century, has claimed the lives of millions of people around the globe in less than two years. Since the virus initially affects the lungs of patients, X-ray imaging of the chest is helpful for effective diagnosis. Any method for automatic, reliable, and accurate screening of COVID-19 infection would be beneficial for rapid detection and reducing medical or healthcare professional exposure to the virus. In the past, Convolutional Neural Networks (CNNs) proved to be quite successful in the classification of medical images. In this study, an automatic deep learning classification method for detecting COVID-19 from chest X-ray images is suggested using a CNN. A dataset consisting of 3616 COVID-19 chest X-ray images and 10,192 healthy chest X-ray images was used. The original data were then augmented to increase the data sample to 26,000 COVID-19 and 26,000 healthy X-ray images. The dataset was enhanced using histogram equalization, spectrum, grays, cyan and normalized with NCLAHE before being applied to CNN models. Initially using the dataset, the symptoms of COVID-19 were detected by employing eleven existing CNN models; VGG16, VGG19, MobileNetV2, InceptionV3, NFNet, ResNet50, ResNet101, DenseNet, EfficientNetB7, AlexNet, and GoogLeNet. From the models, MobileNetV2 was selected for further modification to obtain a higher accuracy of COVID-19 detection. Performance evaluation of the models was demonstrated using a confusion matrix. It was observed that the modified MobileNetV2 model proposed in the study gave the highest accuracy of 98% in classifying COVID-19 and healthy chest X-rays among all the implemented CNN models. The second-best performance was achieved from the pre-trained MobileNetV2 with an accuracy of 97%, followed by VGG19 and ResNet101 with 95% accuracy for both the models. The study compares the compilation time of the models. The proposed model required the least compilation time with 2 h, 50 min and 21 s. Finally, the Wilcoxon signed-rank test was performed to test the statistical significance. The results suggest that the proposed method can efficiently identify the symptoms of infection from chest X-ray images better than existing methods.

If Diabetic Retinopathy (DR) patients do not receive quick diagnosis and treatment, they may lose vision. DR, an eye disorder caused by high blood glucose, is becoming more prevalent worldwide. Once early warning signs are detected, the severity of the disease must be validated before choosing the best treatment. In this research, a deep learning network is used to automatically detect and classify DR fundus images depending on severity using AlexNet and Resnet101-based feature extraction. Interconnected layers helps to identify the critical features or characteristics; in addition, Ant Colony systems also help choose the characteristics. Passing these chosen attributes through SVM with multiple kernels yielded the final classification model with promising accuracy. The experiment based on 750 features proves that the proposed approach has achieved an accuracy of 93%.

Named Entity Recognition (NER) plays a significant role in enhancing the performance of all types of domain specific applications in Natural Language Processing (NLP). According to the type of application, the goal of NER is to identify target entities based on the context of other existing entities in a sentence. Numerous architectures have demonstrated good performance for high-resource languages such as English and Chinese NER. However, currently existing NER models for Bengali could not achieve reliable accuracy due to morphological richness of Bengali and limited availability of resources. This work integrates both Data and Model Centric AI concepts to achieve a state-of-the-art performance. A unique dataset was created for this study demonstrating the impact of a good quality dataset on accuracy. We proposed a method for developing a high quality NER dataset for any language. We have used our dataset to evaluate the performance of various Deep Learning models. A hybrid model performed with the exact match F1 score of 87.50%, partial match F1 score of 92.31%, and micro F1 score of 98.32%. Our proposed model reduces the need for feature engineering and utilizes minimal resources.

Small datasets are common in many fields due to factors such as limited data collection opportunities or privacy concerns. These datasets often contain high-dimensional features, yet present significant challenges of dimensionality, wherein the sparsity of data in high-dimensional spaces makes it difficult to extract meaningful information and less accurate predictive models are produced. In this regard, feature extraction algorithms are important in addressing these challenges by reducing dimensionality while retaining essential information. These algorithms can be classified into supervised, unsupervised, and semi-supervised methods and categorized as linear or nonlinear. To overview this critical issue, this review focuses on unsupervised feature extraction algorithms (UFEAs) due to their ability to handle high-dimensional data without relying on labelled information. From this review, eight representative UFEAs were selected: principal component analysis, classical multidimensional scaling, Kernel PCA, isometric mapping, locally linear embedding, Laplacian Eigenmaps, independent component analysis and Autoencoders. The theoretical background of these algorithms has been presented, discussing their conceptual viewpoints, such as whether they are linear or nonlinear, manifold-based, probabilistic density function-based, or neural network-based. After classifying these algorithms using these taxonomies, we thoroughly and systematically reviewed each algorithm from the perspective of their working mechanisms, providing a detailed algorithmic explanation for each UFEA. We also explored how these mechanisms contribute to an effective reduction in dimensionality, particularly in small datasets with high dimensionality. Furthermore, we compared these algorithms in terms of transformation approach, goals, parameters, and computational complexity. Finally, we evaluated each algorithm against state-of-the-art research using various datasets to assess their accuracy, highlighting which algorithm is most appropriate for specific scenarios. Overall, this review provides insights into the strengths and weaknesses of various UFEAs, offering guidance on selecting appropriate algorithms for small high-dimensional datasets.

The privacy and security of patients’ health records have been an ongoing issue, and researchers are in a race against technology to design a system that can help stop the compromising of patient data. Many researchers have proposed solutions; however, most solutions have not incorporated potential parameters that can ensure private and secure personal health records management, which is the focus of this study. To design and develop a solution, this research thoroughly investigated existing solutions and identified potential key contexts. These include IOTA Tangle, Distributed Ledger Technology (DLT), IPFS protocols, Application Programming Interface (API), Proxy Re-encryption (PRE), and access control, which are analysed and integrated to secure patient medical records, and Internet of Things (IoT) medical devices, to develop a patient-based access management system that gives patients full control of their health records. This research developed four prototype applications to demonstrate the proposed solution: the web appointment application, the patient application, the doctor application, and the remote medical IoT device application. The results indicate that the proposed framework can improve healthcare services by providing immutable, secure, scalable, trusted, self-managed, and traceable patient health records while giving patients full control of their own medical records.

The complex feature characteristics and low contrast of cancer lesions, a high degree of inter-class resemblance between malignant and benign lesions, and the presence of various artifacts including hairs make automated melanoma recognition in dermoscopy images quite challenging. To date, various computer-aided solutions have been proposed to identify and classify skin cancer. In this paper, a deep learning model with a shallow architecture is proposed to classify the lesions into benign and malignant. To achieve effective training while limiting overfitting problems due to limited training data, image preprocessing and data augmentation processes are introduced. After this, the ‘box blur’ down-scaling method is employed, which adds efficiency to our study by reducing the overall training time and space complexity significantly. Our proposed shallow convolutional neural network (SCNN_12) model is trained and evaluated on the Kaggle skin cancer data ISIC archive which was augmented to 16485 images by implementing different augmentation techniques. The model was able to achieve an accuracy of 98.87% with optimizer Adam and a learning rate of 0.001. In this regard, parameter and hyper-parameters of the model are determined by performing ablation studies. To assert no occurrence of overfitting, experiments are carried out exploring k-fold cross-validation and different dataset split ratios. Furthermore, to affirm the robustness the model is evaluated on noisy data to examine the performance when the image quality gets corrupted.This research corroborates that effective training for medical image analysis, addressing training time and space complexity, is possible even with a lightweighted network using a limited amount of training data.