Background: To determine vitamin D supplementation frequency among infants, factors that influence adherence, and reasons for discontinuation of initiated vitamin D. Methods: This cross-sectional study was conducted using a questionnaire administered to the mothers via a face-to-face interview on 560 infants aged from 1 to 24 months admitted to outpatient clinics from June to December 2017. Results: A total of 351 infants were administered vitamin D, and the rate of supplementation in the first year of life was 83%, while it was only 28% between 13 and 24 months. The rate of vitamin D supplementation was higher among infants who were exclusively formula-fed (p<.05). When the data were analyzed using logistic regression analysis, only visit family physicians seems to be a statistically significant independent variable in increasing supplementation (p<.05). Compared with family refusal, the rate of discontinuation of vitamin D by the healthcare providers was higher after the first year of life (p<.05). The rates of vitamin D discontinuation by healthcare providers, especially by nurses who considered the duration of supplementation adequate, were statistically significantly higher when compared with the fontanel closure and other reasons (p<0.05). Conclusions: The rate of vitamin D supplementation was higher among families who visited family physicians, which suggests the importance of well-baby visits. Since vitamin D supplementation was less common among exclusively breastfed infants, mothers should be educated. Healthcare professionals need further education about the importance of vitamin D supplementation and indications for discontinuation.

Health literacy is an indicator of a society’s ability to make better health judgement for themselves and the people around them. This study investigates the prevalence of health literacy among Malaysian adults and provides an overall picture of the current health literacy state of the society. The study also highlights socio-demographics markers of communities with limited health literacy which may warrant future intervention. A population based self-administered survey using the Health Literacy Survey Malaysian Questionnaire18 (HLS-M-Q18) instrument was conducted as part of the National Health Morbidity Survey 2019 in Malaysia. The nationwide survey utilized two-staged stratified random sampling method. A sample of 9478 individuals aged 18 and above participated in the study. The health literacy score was divided into three levels; limited, sufficient and excellent. Findings showed that majority Malaysian population has sufficient health literacy level, albeit leaning towards the lower end of the category with an average score of 35.5. The limited health literacy groups are associated with respondents with older age, lower education level and lower household income. Overall health literacy state for Malaysia is categorized at a lower sufficient level. Health literacy improvements should focus on communities with limited health literacy level.

Background: Disability and caste are two different forms of oppression, however Dalits and people with disabilities commonly face similar types of marginalities. Dalit women with disabilities may experience double discrimination because of the intersectionality of disability and caste. This study examines whether the disability and caste identity of women together affects and compounds the utilization of maternal healthcare services. Methods: A cross-sectional survey was conducted using a semi-structured questionnaire among a total of 354 Dalit and non-Dalit women, with and without a disability aged between 15 – 49 years. Maternal healthcare service utilization was assessed by Ante-Natal Care (ANC), health facility (HF) delivery, and Post-Natal Care (PNC) during the last pregnancy. Logistic regression was performed to detect the predictors of service utilization and identify whether disability and caste were associated with service utilization. First, disability and caste were fitted separately in models. Secondly, the intersectionality of disability and caste was tested by the inclusion of disability*caste interaction term. Finally, the confounding effect of socio-demographic factors was investigated. Results: Out of surveyed women, 73% had 4+ ANC visits, 65% had HF delivery and 29% had a PNC visit during their last pregnancy. Women with a disability had lower odds of HF delivery (OR 0.50, CI 0.30 – 0.84) and PNC (OR 0.47, CI 0.25 – 0.88) than women without a disability. Adjustment for women’s age and household wealth explained associations in HF delivery by women with disabilities. There was no association between caste and service utilization. Disability overrode caste and there was no other evidence of effect modification by women’s caste status in the utilization. However, a weak interaction effect in the utilization of ANC services was found in the caste group by their education (OR 0.19, 95% CI 0.05 – 0.74). Conclusions: Disabled women – whether Dalit or non-Dalit - had lower rates of utilizing all maternal healthcare services than non-disabled women. However, Dalit women with disabilities were more likely to receive PNC than non-Dalit women with disabilities. Increasing equity in maternal healthcare service utilization requires that traditional approaches to service development and program intervention to be re-examined and more nuanced interventions considered to ensure improved access and outcome among all vulnerable groups.

While it is not new that Nigeria is challenged by a huge infrastructure deficit, the COVID-19 pandemic has exposed the country’s comatose healthcare system. Given the country’s dwindling revenue, massive debt profile and the inability of the public-sector to efficiently manage public facilities in the country, this paper examines how the public-private partnership model of infrastructure procurement can be deployed as a solution for Nigeria’s healthcare crisis. In addition to the above, this paper takes a look at how a partnership with the private sector can aid Nigeria’s quest towards achieving healthcare-related Sustainable Development Goals. The paper also considers two healthcare-based projects as case studies to serve as lessons for future projects in the country. Among others, the paper recommends a holistic long-term solution for the country’s healthcare needs.

Implications of the novel usage adoption of the internet of things in various sectors of works and life are researched and documented at pace. This is related to the overall high rate at which new technologies are adopted in modern society. Healthcare is a vital aspect of everyday activities and as such overlaps with the increasingly important role played by use of the internet and associated technologies. The purpose of this review article is to draw attention to the potential social, ethical, legal and professional limitations to using IoT in the context of healthcare. The social and ethical aspects in particular, focus on IoT usage in care of the elderly with relevant case studies as reference.

With an increasing demand for quality of care and lower costs, hospitals are looking for industry-based methods to improve efficiency in their processes. This study aims to reduce waste in a public hospital in Mexico by improving the medical supply process for the operating room. To this end, a lean healthcare (LH) implementation following the DMAIC approach (Define-Measure-Analyze-Improve-Control) is carried out. We analyze the value stream of the supply process, including main surgical procedures and their related medical supplies, and identify different causes of inefficiency, which are evaluated and controlled through different tools, including a value stream map, Kanban, and the 5S program. As a result, five types of waste were reduced. Over-processing requests were reduced by 15.3%, defective identification numbers were reduced by 46.5%, redundant processing was improved by 94.8%, near 2.8% of the unnecessary inventory was reduced, and transportation waste was reduced by up to 16.7%. Finally, the lead-time for the main supplies was reduced by 33 days. This work demonstrates that LH and DMAIC are effective in reducing waste and are highly conducive to improving sustainability in healthcare processes. Moreover, it provides practical insights for practitioners regarding the implementation of LH in public hospitals in developing countries.

The burnout syndrome, which affects so many healthcare workers, has recently awakened wide interest due to the severe repercussions related to its appearance. Even though job factors are determinant to its development, not all individuals exposed to the same work conditions show burnout, which demonstrates the importance of individual variables such as personality. The purpose of this study was to determine personality characteristics of a sample of nursing professionals based on the Big Five model, and then, having determined the personality profiles, analyze the differences in burnout and engagement based on those profiles. The sample was made up of 1236 nurses. An ad hoc questionnaire was prepared to collect the sociodemographic data, and the Brief Burnout Questionnaire, the Utrecht Work Engagement Scale and the Big Five Inventory-10 were used. The results showed that the existence of burnout in this group of workers, is associated negatively with extraversion, agreeableness, conscientiousness and openness to experience, and positively with the neuroticism personality trait. These personality factors showed the opposite pattern with regard to engagement. Three different personality profiles were also found in nursing personnel, in which professionals who had a profile marked by strong neuroticism and low scores on the rest of the personality traits where those who were most affected by burnout.

Blockchain technology enables a decentralized and distributed environment with no need for a central authority. Transactions are simultaneously secure and trustworthy due to the use of cryptographic principles. In recent years, blockchain technology has become very trendy and penetrated different domains, mostly due to the popularity of cryptocurrencies. One field where blockchain technology has tremendous potential is healthcare, due to the need for a more patient-centric approach to healthcare systems and to connect disparate systems and increase the accuracy of electronic healthcare records (EHRs). In this systematic review, an analysis of state-of-the-art blockchain research in the field of healthcare is conducted. The aim is to reveal the potential applications of the technology and to highlight the challenges and possible directions of blockchain research in healthcare. First, background information is discussed, followed by a description of the exact methodology used in this paper. Next, an analysis of the results is given, which includes a bibliometric overview, an analysis of gathered data and its properties, and the results of a literature quality assessment. Lastly, there is a discussion of the results from the analysis. The findings indicate that blockchain technology research in healthcare is increasing and it is mostly used for data sharing, managing health records and access control. Other scenarios are very rare. Most research is aimed at presenting novel structural designs in the form of frameworks, architectures or models. Findings also show that technical details about the used blockchain elements are not given in most of the analyzed publications and that most research does not present any prototype implementation or implementation details. Often even with a prototype implementation, no details about blockchain elements are given.

The MQTT IoT connection technology is widely used, becoming the primary means for IoT devices to communicate with servers amid the vigorous development of IoT technology. On the OneNET cloud platform, MQTT protocol connection and data communication, message sending, and subscription are established, one-to-many message transmission is solved, and the reverse control from server to device is realized in big data environment. This technology can provide fast and secure messaging services for remote devices with a small code capacity and limited bandwidth. Experiments indicated that the communication mode has low cost, small bandwidth, and slight delay, which meets the requirements of device data acquisition and control in a large area and has broad application prospects and reference significance in the field of mobile applications.

As urbanization continues to accelerate, the concept of smart buildings has transitioned from a futuristic vision to an integral component of modern cities. These buildings, often seen as the building blocks of smart cities, are increasingly relying on cutting-edge technologies like 5G and cloud computing to reach unprecedented levels of energy efficiency, sustainability, and occupant comfort. This paper offers a comprehensive exploration into the marriage of smart building technologies with 5G and cloud computing. It scrutinizes the individual and combined impacts of these technologies, presents various case studies showcasing real-world applications, and anticipates future trends. Moreover, it delves into technical challenges, policy implications, and offers concrete recommendations for stakeholders.

The Internet of Things (IoT) is experiencing exponential growth, revolutionizing various industries with its ability to connect devices and enable advanced applications. In the realm of energy production, IoT offers significant potential for optimizing processes and improving efficiency. This study presents a comprehensive monitoring and energy management strategy for the University of Cuenca's microgrid photovoltaic (PV) system, utilizing IoT and ThingSpeak as key technologies. The proposed strategy leverages intelligent environments and utilizes ThingSpeak as a robust platform for data presentation and analysis. By integrating IoT devices and sensors, real-time monitoring of PV system parameters such as solar radiation and temperature is achieved. The collected data is then analyzed using advanced algorithms and visualized through ThingSpeak, enabling effective energy management and decision-making. The developed monitoring system was rigorously tested in a laboratory microgrid setting, where the PV system is interconnected with other generation and storage systems, as well as the electrical grid. Through the seamless integration of these components, the monitoring system provides enhanced visibility and control over the microgrid's energy production. The results demonstrate the successful implementation of the monitoring system, showcasing its ability to improve the supervision, automation, and analysis of daily energy production. By leveraging IoT technologies and ThingSpeak, stakeholders can access real-time data, analyze performance trends, and optimize energy resources.

The growth in the Internet of Things (IoT) devices in the healthcare sector enables the new era of the Internet of Medical Things (IoMT). However, IoT devices are susceptible to diverse cybersecurity attacks and threats that lead to negative consequences. Cyberattacks can harm not just the IoMT devices being used but also human life. Currently, several security solutions are proposed to enhance the security of the IoMT, which uses machine learning (ML) and blockchain. ML can be used to develop detection and classification methods to identify cyberattacks targeting IoMT devices in the healthcare sector. In addition, blockchain technology enables a decentralized approach to the healthcare system and eliminates some disadvantages of a centralized system, such as a single point of failure. This paper proposes a resilient security framework integrating a Tri-layered Neural Network (TNN) and blockchain technology in the healthcare domain. The TNN detects anomalies in data measured by medical sensors to find fraudulent data. Therefore, cyberattacks are detected and discarded from the IoMT system before data is processed at the fog layer. In addition, a blockchain network is used in the fog layer to ensure that the data is not altered, boosting the integrity and privacy of the medical data. The experimental results show that the TNN and blockchain models produce the expected result. Furthermore, the accuracy of the TNN model reached 99.99% on the F1-score accuracy metric.

With the rapid development of the Internet of Things (IoT), there are dramatic increasing number of devices in the network, which causes the challenge that only using infrastructure such as based station cannot provide service with all devices with high quality. Therefore, due to their flexibility and economy, unmanned aerial vehicles (UAV) are widely used to increase the performance of IoT networks. UAVs can not only provide communication services for IoT devices in the absence of a network, but they can also perform video surveillance, cargo transportation, pesticide spraying, and other specialized tasks. However, due to the complexity of the scenario and the need for real-time decision making, it is challenging to schedule UAVs in the network using traditional optimization methods, and growing attention has focused on using AI to optimize UAVs in the network. In this paper, we focus on the AI-enabled UAV optimization method in IoT networks and give a comprehensive scope on what and how to use AI-enabled methods to increase the performance of UAV-assisted IoT networks. Moreover, a brief analysis of the challenges of using AI methods in IoT networks and some potential research directions are given.

The COVID-19 is an exponentially growing disease that has intentioned nations to use technologies to detect the coronavirus infection. Several nations are working greatly to fight against COVID-19. Many nations have been using a range of devices to combat the pandemic, seeking information about growth, monitoring as well as the leaking the confidential information of the residents. This research aims to assist infected people online using the Internet of Things (IoT) and Blockchain technologies through smart devices. IoT-based healthcare devices gather useful information, provide additional insight through symptoms and behaviors, allow remote monitoring, and simply give people better self - determination and healthcare. Blockchain allows the secure transfer of patient health information, regulates the medical distribution network. A four-layer architecture is proposed using IoT and Blockchain to detect and prevent individuals to be COVID 19. This research provides a framework for patients with COVID-19 infectious disease and recognizes health issues and diagnoses online. Smart devices such as smartphones can install any mobile apps such as Aarogya Setu, Tawakkalna, and so on. These applications can track COVID-19 patients properly. The installation of mobile apps on smart devices focuses to reduce the time and cost and increase the performance of the infectious patient's condition. A four-layer architecture is proposed using IoT and Blockchain technologies. Many research works focus on investigating, analyzing, and highlighting the affected individuals through guiding the COVID-19 infection. Eventually, various mobile apps are recognized and addressed in this paper.

This paper proposes a solution for the development of microclimate monitoring for Low Voltage / High Voltage switchgear using the PRTG Internet of Things (IoT) platform. This IoT-based real time monitoring system can enable predictive maintenance to reduce the risk of electrical station malfunctions due to unfavorable environmental conditions. The combination of humidity and dust can lead to unplanned electrical discharges along the isolators inside a low or medium voltage electric table. If no predictive measures are taken, the situation may deteriorate and lead to significant damage inside and outside the switchgear cell. Thus, the mentioned situation can lead to unprogrammed maintenance interventions that can conduct to the change of the entire affected switchgear cell. Using a low-cost and efficient system, the climate conditions inside and outside the switchgear is monitored and transmitted remotely to a monitoring center. From the results obtained using a 365-day time interval, we can conclude that the proposed system is integrated successfully in the switchgear maintaining process, having as result the reducing of maintenance costs.

This article presents a systematic mapping study dedicated to conduct a literature review on machine learning and IoT applied in the identification of diseases through heart sounds. This research was conducted between January 2010 and July 2021, considering IEEE Xplore, PubMed Central, ACM Digital Library, JMIR- Journal of Medical Internet Research, Springer Library, and Science Direct. The initial search resulted in 4,372 papers, and after applying the inclusion and exclusion criteria, 58 papers were selected for full reading to answer the research questions. The main results are: of the 58 articles selected, 46 (79.31%) mention heart rate observation methods with wearable sensors and digital stethoscopes, and 34 (58.62%) mention care with machine learning algorithms. The analysis of the studies based on the bibliometric network generated by the VOSviewer showed in 13 studies (22.41%) a trend related to the use of intelligent services in the prediction of diagnoses related to cardiovascular disorders.

In recent years, due to their frequent use and widespread use, IoT (Internet of Things) devices have become an attractive target for hackers. As a result of their limited network resources and complex operating systems, they are vulnerable to attacks. Using a honeypot can, therefore, be a very effective way of detecting malicious requests and capturing samples of exploits. The purpose of this article is to introduce honeypots, the rise of IoT devices, and how they can be exploited by attackers. Various honeypot ecosystems will be investigated further for capturing and analyzing information from attacks against these IoT devices. As well as how to leverage proactive strategies in terms of IoT security, it will provide insights on the attack vectors present in most IoT systems, along with understanding attack patterns.

Increased smart devices in various industries is creating numerous sensors in each of the equipment prompting the need for methods and models for sensor data. Current research proposes a systematic approach to analyze the data generated from sensors attached to industrial equipment. The methodology involves data cleaning, preprocessing, basics statistics, outlier, and anomaly detection. Present study presents the prediction of RUL by using various Machine Learning models like Regression, Polynomial Regression, Random Forest, Decision Tree, XG Boost. Hyper Parameter Optimization is performed to find the optimal parameters for each variable. In each of the model for RUL prediction RMSE, MAE are compared. Outcome of the RUL prediction should be useful for decision maker to drive the business decision; hence Binary classification is performed, and business case analysis is performed. Business case analysis includes the cost of maintenance and cost of non-maintaining a particular asset. Current research is aimed at integrating the machine intelligence and business intelligence so that the industrial operations optimized both in resource and profit.

Currently, the COVID‐19 has directly affected the millions of humans lives. The symptoms of the disease involving fever, malaise, chest infection, and breathing difficulties, were identified, and its existence is continuously becoming restructured. The World Health Organization (WHO) had mentioned the wide diagnostics test besides COVID-19 that would also assist medical facilities to recognize infectious diseases as well as currently focusing efficiently on preventing and afterward defeating this viral disease. The infection is usually transmitted among human beings in direct contact, greatest through the liquid bubbles generated through cough, sneeze, or speaking. This paper reviews the COVID 19 pandemic, its history, current updates, contact tracing applications, and use of emerging technologies like the Internet of Things (IoT) and Blockchain for stopping the spreading and provide service online to the patient from a distance.

Radio Frequency Identification (RFID) devices use radio waves to relay identifying information to an electronic reader using low-cost RFID Tag. RFID is expected to replace the conventional bar-code identification system due to its advantage like real-time recognition of a considerable number of objects. However, in RFID systems an attacker can get the tag that may lead to various security threats, and the limited computation power of RFID tags can cause delay. Lightweight authentication protocols proposed using cryptographic algorithms (one-way hash function, symmetric key encryption/decryption, and exclusive-OR) in order to cope with these problems. One such lightweight cryptographic protocol has been presented by Gope and Hwang using RFID systems. However, it analyzed in this article that their protocol is infeasible and vulnerable to Collision Attack, Denial-of-service (DoS), and Stolen verifier Attacks. A realistic, lightweight authentication protocol has been presented in this article to ensure protection against the mentioned attacks for IoT based RFID system. The proposed protocol has been formally analyzed using BAN logic and ProVerif as well as also analyzed informally using security requirement. The results show that the proposed protocol outperforms the existing protocols not only in security enhancements but also in terms of computation and communication complexity. Furthermore, the proposed protocol has also been analyzed for storage complexity.

Blockchain (BC) in the Internet of Things (IoT) is a novel technology that acts with decentralized, distributed, public and real-time ledger to store transactions among IoT nodes. A blockchain is a series of blocks, each block is linked to its previous blocks. Every block has the cryptographic hash code, previous block hash, and its data. The transactions in BC are the basic units that are used to transfer data between IoT nodes. The IoT nodes are different kind of physical but smart devices with embedded sensors, actuators, programs and able to communicate with other IoT nodes. The role of BC in IoT is to provide a procedure to process secured records of data through IoT nodes. BC is a secured technology that can be used publicly and openly. IoT requires this kind of technology to allow secure communication among IoT nodes in heterogeneous environment. The transactions in BC could be traced and explored through anyone who are authenticated to communicate within the IoT. The BC in IoT may help to improve the communication security. In this paper, I explored this approach, its opportunities and challenges.

The unpredictable increase in electrical demand affects the quality of theenergy throughout the network. A solution to the problem is the increase of distributedgeneration units which burn fossil fuels.While this is an immediate solution to theproblem the ecosystem gets affected by the emission of CO2.A promising solutionis the integration of Distributed Renewable Energy Sources (DRES) to the conventionalelectrical system, thus, introducing the concept of smart microgrids (SMG) that requirea safe, reliable and technically planned two-way communication system. This documentpresents a heuristic based on planning capable of providing a bidirectional communicationnear optimal route map, following the structure of an hybrid Fiber-Wireless (FiWi) with thepurpose of obtaining information of electrical parameters that help us to manage the useof energy by integrating conventional electrical system to SMG. A FiWi network is basedon the integration of wireless access and optical networks. This integration increases thecoverage and reliability at a lower cost. The optimization model is based on clusteringtechniques, through the construction of balanced conglomerates. The method is used forthe development of the clusters along with the Nearest-Neighbor Spanning Tree Algorithm(N-NST). Additionally, Optimal Delay Balancing (ODB) model will be used to minimizethe end to end delay of each grouping. In addition, the heuristic observes real designparameters such as: capacity and coverage. Using the Dijkstra algorithm, the routes arebuilt following the minimum shorter path. Therefore, this paper presents a heuristic able to plan the deployment of smart meters (SMs) through a tree-like hierarchical topology for theintegration of SMG at the lowest cost.

Aquaculture is growing ever more important due to the decrease in natural marine resources and increase inworldwide demand. To avoid losses due to aging and abnormalweather, it is important to predict seawater temperature in order to maintain a more stable supply, particularly for high value added products, such as pearls and scallops. The increase in species extinction is a prominent societal issue. Furthermore, in order to maintain a stable quality of farmed fishery, water temperature should be measured daily and farming methods altered according to seasonal stresses. In this paper, we propose an algorithm to estimate seawater temperature in marine aquaculture by combining seawater temperature data and actual weather data.

Interdisciplinary conferences play a vital role in advancing explainable Artificial Intelligence (AI) within increasingly intersecting healthcare and computational biology arenas. Challenges result-ing from algorithmic bias and the necessity for domain-specific Explainable AI (XAI) techniques underscore the increasing significance of transparent and interpretable AI systems used in patient care. Collaborative efforts between clinicians, data scientists, and various stakeholders are nec-essary to innovate solutions tailored to healthcare needs. Specialized conferences may foster these interdisciplinary interactions, providing platforms for knowledge exchange, networking, and collaborative partnerships. The legal, ethical, and societal dimensions of medical AI advocate for an integrative approach that aligns technological advancements with patient-centered care val-ues. The role of specialized conferences is therefore essential for shaping future directions in ex-plainable AI and computational biology that contribute to improved patient outcomes and healthcare innovations.

The COVID-19 pandemic had a significant impact on the mental health of individuals globally, and primary healthcare (PHC) nurses play a critical role in providing mental healthcare services. However, limited research has explored the experiences of PHC nurses in providing mental healthcare services during the COVID-19 pandemic. This study explored the experiences of PHC nurses in providing mental healthcare services during the pandemic in Durban, South Africa. The aim was to identify the challenges faced by healthcare providers and the potential for innovative approaches to improve access to care. A qualitative, exploratory design guided the study, and data were collected through in-depth interviews with twelve PHC nurses purposively selected. Thematic analysis was used to analyse the data. Findings from interviews with primary healthcare nurses reveal that the pandemic exacerbated existing challenges, including medication adherence issues, fear and uncertainty among patients, vaccine hesitancy, decreased clinic visits, and the mental and emotional toll on both patients and healthcare workers. PHC nurses adapted their services by increasing outreach efforts, prioritising patient care, and utilising technology and non-governmental organisations’ (NGO) support. Challenges included reduced patient visits, complexities in healthcare provision, and lack of adequate support. Positive changes observed include increased mental health awareness among healthcare professionals and younger generations. Recommendations include implementing outreach and awareness campaigns, providing accurate information about COVID-19 and vaccinations, and promoting cultural sensitivity in mental healthcare provision.

Objectives: To analyse and detail surgical process improvement activities that achieve the highest economic impact. Methods: Over 4 years, a team of technicians and healthcare professionals implemented a set of Lean surgical process improvement projects at Vall d’Hebron University Hospital (VHUH), Barcelona, Spain. These projects now form part of the daily routine in the surgical process. The economic impact on the hospital's surgical activity budget was analysed. Results: Process improvements have led to annual operational savings of over € 8.5 million. These improvements include better patient flow, better management of information between healthcare professionals, and improved logistic circuits. Conclusions: The current cultural shift towards process management in large hospitals implies shifting towards results-based healthcare, patient-perceived value (VBHC) and value-added payment. A Lean project implementation process requires long-term stability. The reason a considerable number of projects fail to complete process improvement projects is the difficulty involved in establishing the project and improving management routines. Few studies in the literature have investigated the economic impact of implementing Lean management a posteriori, and even fewer have examined actual cases. In this real case study, changes to surgical block management were initiated from zero. After being carefully thought through and designed, changes were carried out and subsequently analysed.

Solid waste management is challenging in many countries, especially developing economies. The impacts of the pandemic continue to be felt and have indicated secondary impacts on waste management. This work draws on data on household solid waste (HSW), healthcare waste (HCW), and recyclables collected in the Rio de Janeiro municipality, analyzed from January 2018 to December 2022. As expected, the collection of HCW in Rio de Janeiro municipality experienced a noticeable increase in 2020 and 2021, with an average of 46.9 tons and 54.3 tons collected, respectively. Notably, 2021 saw a significant 30% increase compared to 2019 (p-value<0.001). No significant difference was observed in recyclables collected from 2018 to 2021. The average recyclable amount was 3,638 and 3,747 tons per month in 2020 and 2021. In contrast, the monthly amount was equal to 4,819.5 tons in 2022, representing an increase higher than 32% compared to previous years (p-value<0.05). Our findings can be used to adapt and improve waste systems to cope with similar emergency scenarios in the future, serving as a template for municipalities with similar challenges.

Background Healthcare workers (HCWs) have suffered considerable morbidity and mortality during the COVID-19 pandemic. Few data on COVID-19 vaccine effectiveness (VE) are available from middle-income countries in Europe. We evaluated primary series COVID-19 VE against laboratory-confirmed COVID-19 among HCWs in Georgia. Methods HCWs in six hospitals in Georgia were invited to enroll in a prospective cohort study conducted during March 19–December 5, 2021. Participants completed weekly symptom questionnaires. Symptomatic HCWs were tested by RT-PCR and/or rapid antigen test (RAT), and participants were routinely tested for SARS-CoV-2 by RT-PCR or RAT, regardless of symptoms. Serology was collected at enrolment, and quarterly thereafter, and tested by electrochemiluminescence immunoassay for SARS-CoV-2 antibodies. We defined primary series vaccination as two doses of COVID-19 vaccine received ≥14 days before symptom onset. We estimated VE as (1-hazard ratio)*100 using a Cox proportional hazards model with vaccination status as a time-varying covariate. Estimates were adjusted by potential confounders that changed the VE estimate by more than 5%, according to the change-in-estimate approach. Results Overall, 1561/3849 (41%) eligible HCWs enrolled and were included in the analysis. The median age was 40 (IQR: 30-53), 1318 (84%) were female, and 1003 (64%) had laboratory evidence of prior SARS-Cov-2 infection. At enrolment, 1300 (83%) were unvaccinated; By study end, 1082 (62%) had completed a primary vaccine series (69% BNT162b2 (Pfizer-BioNTech); 22% BBIBP-CorV (Sinopharm); 9% other). During the study period, 191(12%) participants had a new PCR- or RAT-confirmed symptomatic SARS-CoV-2 infection. VEa gainst PCR- or RAT- confirmed symptomatic SARS-CoV-2 infection was 58 (95%CI: 41; 70) for all primary series vaccinations, 68% (95%CI: 51; 79) for BNT162b2, and 40% (95%CI: 1; 64) for BBIBP-CorV vaccines. Among previously infected HCWs, VE was 58% (95%CI: 11; 80). VE against medically attended COVID-19 was 52% (95%CI: 28; 68), and VE against hospitalization was 69% (95% CI: 36; 85). During the period of predominant Delta variant circulation (July-December 2021), VE against symptomatic COVID-19 was 52% (95%CI: 30; 66). Conclusions Primary series vaccination with BNT162b2 and BBIBP-CorV was effective at preventing COVID-19 among HCWs, most of whom had previous infection, during a period of mainly Delta circulation. Our results support the utility of COVID-19 primary vaccine series, and the importance of increasing coverage, even among previously infected individuals.

Telemedicine has been increasingly considered an effective strategy to support patients with several diagnosis and therapies, avoiding the on-site visit and drastically reducing the risks to share infections. In the recent years, a number of different technologies have been developed and applied to clinical studies, with the aim to investigate new ways for increase the early diagnoses and monitor the clinical evolution of the most predictable diseases directly from the patients’ home. Telemedicine refers to all those technological interfaces used to remotely perform clinical procedures. Telemedicine applications could be useful in several medical fields, such as preventive medicine, home patient care, education for healthcare professionals and patients, research, public health, and health management. On the other hand, the synergy of these different technologies has a significant impact on the clinical risks analysis, particularly useful in frail patients. Although Telemedicine shows to have important advantages, undoubtedly important issues still remain. The present work aims to shed light on the main advantages and disadvantages related to of each application’s features, which may serve as a useful tool for researchers.

Healthcare workers have atypical working schedule and are exposed to experienced stress that led to poor sleep health and frequent mental complaints, particularly since the Covid-19 crisis. We conducted a cross-sectional study to determine the prevalence of poor sleep hygiene and mental complaints and their associations among healthcare workers. Usual sleep-wake timings were ex-plored during workdays and free days and used to compute sleep duration, sleep efficiency and social jetlag. Insomnia, sleepiness, anxiety and depressive symptoms, and fatigue were calculated using validated scales. A total of 1,562 participants were included (80.5% of women and mean age of 40.0). Among them, 25.9% slept less than 6 hours, 24.3% had a poor sleep efficiency, and 11.5% reported a social jetlag. A total of 33.9% of participants reported insomnia, 45.1% reported EDS, 13.1% reported fatigue, 16.5% reported depression and 35.7% reported anxiety. After ad-justment, sleep duration and sleep efficiency were associated with mental complaints. Social jetlag was associated with significant insomnia but not with anxiety or depression symptoms. Healthcare workers have a high prevalence of poor sleep hygiene and mental complaints. The promotion of sleep health through behavioral sleep strategies should be encouraged to ensure good health for these professionals.

This comprehensive review examines the critical issue of antimicrobial resistance (AMR), a growing global concern with profound societal implications. This article presents an overview of the causes of AMR, including the misuse and overuse of antibiotics in healthcare, agriculture, and veterinary practices. Various conventional and advanced detection methodologies have been explored, highlighting the importance of the accurate and timely identification of resistant strains. The challenges associated with tackling AMR, encompassing scientific, economic, and regulatory aspects have been discussed in depth. In addition, this article sheds light on the far-reaching societal implications of AMR, including increased healthcare costs, treatment complexities, and potential disruptions to healthcare systems. This emphasizes the urgency of adopting proactive strategies to combat AMR and underscores the need for global cooperation, policy interventions and public awareness campaigns. By unraveling the multifaceted dimensions of AMR, this review aims to enhance our understanding, stimulate further research, and promote concerted efforts to mitigate the threat of antimicrobial resistance.

The need for systemic healthcare policies to systematically eliminate NTDs globally and in India has been stressed for more than two decades. Yet, the present policies and the research on them do not meet the need. We present an ontological framework, a research roadmap, and a policy brief to address the gap. The ontology clearly, concisely, and comprehensively represents the combinations of diseases, the objectives regarding the diseases, the entities to address them, the outcomes sought, and the potential policy instruments to invoke. The paper explicates the state-of-the-policies and state-of-the-research on policies to eliminate NTDs in India. It highlights the significant gaps in both. Last, it presents a set of systemic policies congruent with the ontology to systematically address the gaps. The recommendations are aligned with the present research, policies, practices, and recommendations in India and of WHO, UN agencies, and other similar bodies. The approach can be generalized to provide roadmaps for other countries facing a similar challenge and for other diseases of similar complexity. The roadmaps, with continuous feedback and learning, can help navigate the challenge efficiently and effectively.

Introduction Prostate Cancer (PCa) exhibits one of the widest racial and socioeconomic disparities. PCa disparities have also been widely linked to location as living in more deprived regions was associated with lower healthcare access and worse outcomes. This study aims to examine PCa survival across various US counties in function of different socioeconomic profiles and discuss the role of potential intermediary factors. Methods The SEER database linked to county-level SES was utilized. Five-year PCa-specific survival using the Kaplan Meier method was performed for 5 racial/ethnic categories in function of SES quintiles. Multilevel Cox proportional hazards regression was performed to assess the relationship between county-level SES and PCa survival. Multivariate regression analysis was performed to examine the role of healthcare utilization and severity. Results 279,000 PCa records were extracted, 5-year PCa-specific survival was 94%. Overall, living in counties with worst poverty/income quintile and highest proportions of foreign-born/language-isolated increased PCa mortality by 23% each. No association was observed with county-level High-School education, while Bachelor’s-level education decreased mortality risk by 23%. Associations varied considerably upon racial/ethnic stratification. Multilevel analyses showed varying contributions of individual and area-level factors to survival within minorities. The relationship between SES and PCa survival appeared to be influenced by healthcare utilization and disease stage/grade. Discussion Racial/ethnic categories responded differently under similar county-level SES and individual-level factors to the point where disparities reversed in Hispanics. The inclusion of Healthcare utilization and severity factors may provide partial early support for their role as intermediaries. Healthcare access (insurance) might not necessarily be associated with better PCa survival, through performing biopsy and or/surgery. County-level education plays an important role in PCa decision-making as it might elucidate discussions of other non-invasive management options. Conclusion Findings of this study demonstrate that interventions need to be tailored according to each group's needs. This potentially informs the focus of public health efforts in terms of planning and prioritizing. This study could also direct further research delving into pathways between area-level characteristics with PCa survival.

Innovation development in healthcare has paved the path towards the improvement in system efficiency, patient care and cost-effective healthcare services, increasing the overall efficiency of the healthcare system in a significant manner. Electronic medical record system has fostered interoperability and collaboration in healthcare departments by enabling different systems to exchange and use patient data. This trend has been accelerated dominantly by the pandemic, leading to increased use of telemedicine, referring specifically to the use of electronic communication to provide healthcare services remotely. Moreover, an increased prevalence towards the use of artificial intelligence and machine learning in healthcare has contributed effectively towards the rigorous and informed analysis of large amounts of data as well as to identify patterns or trends that may be useful for improving care delivery or identifying potential issues. A unified electronic medical record System that will generate competitive opportunities and success prospects with reference to enhanced interoperability in US healthcare departments, can contribute towards the improvement in the quality and efficiency of care by making it easier for healthcare providers to access and share patient information as well as reducing the risk of errors in effective patient care.

An artificial intelligence (AI)-based conversational large language model (LLM) was launched in November 2022 namely, “ChatGPT”. Despite the wide array of potential applications of LLMs in healthcare education, research and practice, several valid concerns were raised. The current systematic review aimed to investigate the possible utility of ChatGPT and to highlight its limitations in healthcare education, research and practice. Using the PRIMSA guidelines, a systematic search was conducted to retrieve English records in PubMed/MEDLINE and Google Scholar under the term “ChatGPT”. Eligibility criteria included the published research or preprints of any type that discussed ChatGPT in the context of healthcare education, research and practice. A total of 280 records were identified, and following full screening, a total of 60 records were eligible for inclusion. Benefits/applications of ChatGPT were cited in 51/60 (85.0%) records with the most common being the utility in scientific writing followed by benefits in healthcare research (efficient analysis of massive datasets, code generation and rapid concise literature reviews besides utility in drug discovery and development). Benefits in healthcare practice included cost saving, documentation, personalized medicine and improved health literacy. Concerns/possible risks of ChatGPT use were expressed in 58/60 (96.7%) records with the most common being the ethical issues including the risk of bias, plagiarism, copyright issues, transparency issues, legal issues, lack of originality, incorrect responses, limited knowledge, and inaccurate citations. Despite the promising applications of ChatGPT which can result in paradigm shifts in healthcare education, research and practice, the embrace of this application should be done with extreme caution. Specific applications of ChatGPT in health education include the promising utility in personalized learning tools and shift towards more focus on critical thinking and problem-based learning. In healthcare practice, ChatGPT can be valuable for streamlining the workflow and refining personalized medicine. Saving time for the focus on experimental design and enhancing research equity and versatility are the benefits in scientific research. Regarding authorship in scientific articles, as it currently stands, ChatGPT does not qualify to be listed as an author unless the ICJME/COPE guidelines are revised and amended. An initiative involving all stakeholders involved in healthcare education, research and practice is urgently needed to set a code of ethics and conduct on the responsible practices involving ChatGPT among other LLMs.

Over the years, researchers have been developing different ventilation strategies as a potential solution for controlling infectious airborne transmissions in healthcare facilities. The effects of ventilation systems on airflow characteristics have been extensively discussed among researchers since SARS-CoV-2 outbreak in 2019. Based on a bibliometric study of 154 publications from 1970 to 2021 retrieved from the Web of Science (WoS) database, this paper examines the research landscape on the effects of ventilation strategies on airflow analysis in healthcare facilities. Results show that China is the most productive country due to its significant contributions to the top prolific authors and funding agencies, which have promoted the research development of the topic. Several research hotspots were identified through keyword co-occurrence analysis. Cluster 1 highlights the ventilation studies involving ventilation layouts and ventilation rates in healthcare facilities. Cluster 2 underlines the computational analysis of ventilation performance for reducing the exposure risk of occupants, which promotes the development of infection control measures. Cluster 3 strengthens the knowledge of the emission and dispersion characteristics of respiratory droplets in healthcare facilities. Overall, this paper highlights the future direction of the current research field other than identifying strategic collaborators and suitable publication outlets for interested researchers.

Patients satisfaction with fast and high-quality services is the most important in the healthcare settings and specially in outpatient departments and private clinics. High quality services on health sector are indicated by continuous quality improvement (CQI). CQI is a progressive incremental process focused on safety of all participants, outcomes, systematic process, regulated and improved working environment at the later than earlier stages. Among the various suggested strategies, we adopted the patents feedback to improve the quality of services our clinic. All of the patient visited hospital were sent a massage on mobile and requested to provide their feedback on our services. Roughly around 5% of all visitors responded and filled up questionnaire. Majority of them were satisfied with the services in various department. However, they provided us some suggestions to identify the further gaps and improve the services in improving patients experience at our clinic. We considered their feedback, identified problems, redesigned the policies and implemented. After implementation of new strategies, we preliminary again evaluated the patients’ feedback on our services. Patients feedback explores that optimized methods of services for the has considerably increased the patients’ satisfaction. Taken together, our this shows that patients’ feedback is very important factor to improve patients’ experience at outpatient clinics using continuous quality improvement tools. For that reason, this study would serve as reference for public health stack holders, administrators and researchers.

Background: Fluoride toothpaste (FT) has recently been included in the World Health Organization’s (WHO) Model List of Essential Medicines. Whereas it is essential for preventing dental caries, its current affordability around the globe remains unclear. This study aimed to analyse the affordability of FT in as many as possible countries worldwide. Methods: A standardized protocol was developed to collect country-specific information about the characteristics of the cheapest FT at a common point of purchase. 82 members of the WHO Global Oral Health Network of Chief Dental Officers (CDOs), directors of WHO Collaborative Centres and other oral health experts collected data using mobile phone technology. The Fluoride Toothpaste Affordability Ratio (FTAR) was calculated as the price associated with the recommended annual consumption of FT, relative to the daily wage of the lowest-paid unskilled government worker (FTAR >1 = unaffordable spending on fluoride toothpaste). The daily expenditure per capita of the poorest 15% of the income distrubition was used as the main proxy of the daily wage, using World Bank data. Alternatively, we used the daily minimum wage as a proxy of the daily wage. Stratified descriptive statistics were undertaken with respect to different World Bank Income Groups and WHO Regions. Results: There are significant discrepancies in the affordability of FT across 78 countries. FT was strongly affordable in high-income countries, relatively affordable in upper middle-income countries, and strongly unaffordable in lower middle-income and low-income countries. The affordability of FT across WHO Regions was dependent upon the economic mix of WHO Regions’ member states. Conclusion: FT is still unaffordable for many people, particularly in low-resource settings. Health policy members should develop better strategies to address and improve the universal affordability of FTs, for the incidence of dental caries to be reduced at a global level.

The need for miniaturized shear force sensors is expanding, particularly for biomedical applications. Examples include measuring interfacial shear stresses between a human and an external device (e.g., footwear or a prosthesis). However, there are considerable challenges in designing a shear sensor for these applications due to the need for a small package, low power requirements, and resistance to interference from motion artifact and electromagnetic fields. This paper presents the design, fabrication, and characterization sensor that measures two-axis shear force by detecting displacement between a color panel and a red, green, and blue light-sensing photodiode. The sensor response to applied displacements and forces was characterized under benchtop testing conditions. We also present the design of a prototype wireless version of the sensor for integration into footwear. The sensor exhibited strong agreement with gold standard measurements for two axis shear displacements (R2>0.99, RMSE≤5.0 µm) and forces (R2>0.99, RMSE≤0.94 N). This performance, along with the sensor’s scalability, miniaturized form, and low power requirements make it well-suited a variety of biomedical applications.

Pneumonia is the leading cause of hospitalization in pediatric patients. Disease severity greatly influences pneumonia progression and adverse health outcomes such as hospital readmission. Hospital readmissions have become a measure of healthcare quality to reduce excess expenditures. The aim of this study was to examine 30-day all-cause readmission rates and evaluate the association between pneumonia severity and readmission among pediatric pneumonia hospitalizations. Using 2018 Nationwide Readmissions Database (NRD), we conducted a cross-sectional study of pediatric hospitalizations for pneumonia. Pneumonia severity was defined by the presence of respiratory failure, sepsis, mechanical ventilation, dependence on long-term supplemental oxygen, and/or respiratory intubation. Outcomes of interest were 30-day all-cause readmission, length of stay, and cost. The rate of 30-day readmission for the total sample was 5.9%, 4.7% for non-severe pneumonia, and 8.7% for severe pneumonia (p&lt;0.01). Among those who were readmitted, hospitalizations for severe pneumonia had a longer length of stay (6.5 vs. 5.4 days, p&lt;0.01) and higher daily cost ($3,246 vs. $2,679, p&lt;0.01) than admissions for non-severe pneumonia. Factors associated with 30-day readmission were pneumonia severity, immunosuppressive conditions, length of stay, and hospital case volume. To reduce potentially preventable readmissions, clinical interventions to improve the disease course and hospital system interventions are necessary.

In personalized healthcare, an ecosystem for the manipulation of reliable and safe private data should be orchestrated. This paper describes a first approach for the generation of fake electrocardiograms (ECGs) based on Generative Adversarial Networks (GANs) with the objective of anonymizing users’ information for privacy issues. This is intended to create valuable data that can be used both, in educational and research areas, while avoiding the risk of a sensitive data leakage. As GANs are mainly exploited on images and video frames, we are proposing general raw data processing after transformation into an image, so it can be managed through a GAN, then decoded back to the original data domain. The feasibility of our transformation and processing hypothesis is primarily demonstrated. Next, from the proposed procedure, main drawbacks for each step in the procedure are addressed for the particular case of ECGs. Hence, a novel research pathway on health data anonymization using GANs is opened and further straightforward developments are expected.

COVID-19 has been a major issue in most countries throughout the world with 213 countries being affected till date due to the disease. The pandemic has raised concerns over the healthcare facilities available in various countries and question the government decisions made during this period of outbreak. Despite having the best healthcare facilities several countries across Europe and America have found it difficult to contain the disease outbreak questioning the available solutions to contain an area. This paper focuses on presenting information on solutions available to control outbreaks in order to prevent another pandemic occurring in the future. The paper also highlights the strategies and plans implemented by various governments who have been successful in combatting the disease with minimum damage. By using available resources such as technology, scientific innovation and digitalized healthcare this paper focuses on providing solutions which are already available to be utilized in the right manner.

This paper deals with the service performance analysis and improvement using discrete event simulation has been used. The simulation of the heath care has been done by arena master development 14-version software. The performance measurement for this study are patients output, service rate, service efficiency and it is directly related to waiting time of patients in each service station, work in progress, resource utilization.Simulation model was building for Bahir Dar clinic and then, prepared the proposed model for the system. Based on the simulation model run result, the output of the existing healthcare service system is low due to presence of bottlenecks on the service system. Moreover, the station with the largest queue and high resource utilization are identified as a bottleneck. The bottlenecks, which have identified are reduced by using reassigning the existing resources and add new resources and merging the similar services, which has under low resource utilization (nurses). Finally, the researchers have proposed a developed model from different scenarios. Moreover, the best scenario is developed by combining scenario 2 and 3. And then, service efficiency of the healthcare has increased by 9.86 percent, the work in progress (WIP) are reduced by 3 patients from the system and the service capacity of the system is increased 34 to 40 patients per day due to the reduction of bottleneck stations.

It is not new in medical history to propose a global concern to be classified as a disease. Defining a concern into disease allows to assign ethical responsibilities to develop powerful and effective interventions. It also allow to appropriate distribute the resources uniformly economically and morally. In 2003, World Health Organization report stated that 30-50 % of patients do not take their medications as prescribed associated with morbidity, mortality and health cost. It was considered a global concern, however, irrespective of decades of researches conducted on medication adherence, we are still unable to state that medication adherence issues are being resolved. In this review, we have described few apprehensions in current understandings of medication adherence that have limited its research. We have also proposed medication adherence as disorder and provided its’ definition and classification

Background: Healthcare attention is sometimes considered purely technical, but communication has proven to be closely related to clinical results and patient satisfaction. Therefore, evaluation of communication in the scope of healthcare is a priority. The purpose of this study was to validate and adapt, if necessary, the Spanish version of the Communication Styles Inventory (CSI) in a sample of nursing professionals. (2) Methods: The sample was made up of 2313 nursing professionals selected at random from various medical centers in Spain, and is therefore a sample actively employed at the time data were acquired. We started out from the Communication Style Inventory, a questionnaire for evaluating the predominance of certain individual communication behaviors on six scales (expressiveness, preciseness, verbal aggressiveness, questioningness, emotionality and impression manipulativeness). (3) Results: Confirmatory Factor Analysis of the model proposed showed god fit indices. The reliability of the model shown by the Cronbach’s alpha of α=.81 was adequate, and so was single-level and aggregate consistency. Finally, in the analysis of variance by type of contract, configural, metric and scalar invariance was acceptable, but not strict invariance. (4) Conclusions: This instrument progresses in measuring non-technical attributes, such as communication styles, in nursing personnel.

In hospitals and smart nursing homes, ambient-intelligent care rooms are equipped with many sensors. They can monitor environmental and body parameters, and detect wearable devices of patients and nurses. Hence, they continuously produce data streams. This offers the opportunity to collect, integrate and interpret this data in a context-aware manner, with a focus on reactivity and autonomy. However, doing this in real-time on huge data streams is a challenging task. In this context, cascading reasoning is an emerging research approach that exploits the trade-off between reasoning complexity and data velocity by constructing a processing hierarchy of reasoners. Therefore, a cascading reasoning framework is proposed in this paper. A generic architecture is presented allowing to create a pipeline of reasoning components hosted locally, in the edge of the network, and in the cloud. The architecture is implemented on a pervasive health use case, where medically diagnosed patients are constantly monitored, and alarming situations can be detected and reacted upon in a context-aware manner. A performance evaluation shows that the total system latency is mostly lower than 5 seconds, allowing for responsive intervention by a nurse in alarming situations. Using the evaluation results, the benefits of cascading reasoning for healthcare are analyzed.

In service economy, scholars and practitioners focus on the development and the appliance of innovative services. The importance of service innovation is rising in many sectors and among different organizations. Several disciplines (e.g. marketing, management, operations research, etc.) focus on this innovation, a concept widely used, but with different definitions. In this paper, service innovation has been analyzed according to SD Logic and a service ecosystem perspective. Literature still call for a deeper understanding of how new or renewed resources’ combination affect the shaping of service ecosystems. To contribute to fill this gap, the study explores the practices that different actors, internal and external to a healthcare service ecosystem, enact to co-create value in novel ways that is service innovation. The paper is structured as follows. In the next section, the main academic contributions on service research have been reviewed, focusing on healthcare service innovation. Follows, the research method and the discussion of research findings. Finally, theoretical and managerial implications have been detailed and an agenda for future research suggested. The paper offers interesting insights to develop new or renewed practices that foster the reshaping and maintaining of a healthcare service ecosystem. Some recommendations are included to support managers in the development of service innovation strategies.

The growing shift toward Internet of Things (IoT)-based solutions expands the attack surface of systems by connecting an extensive network of heterogeneous devices and technologies. The heterogeneity of IoT devices and the scale of the network often make conventional security measures impractical. Therefore, recent research efforts have focused on machine learning (ML)-based device-agnostic IoT security solutions. However, most proposed solutions have focused solely on detecting malicious traffic in IoT networks. While this is important, further information about the attack is needed to provide a comprehensive defense before, during, and after the incident. To address this gap, we proposed an anomaly-based intrusion detection model that detects malicious traffic and identifies the attack category and subcategory with high accuracy, recall, precision, and F1-score. The proposed intrusion detection model is an ensemble model that integrates multiple ML models to produce more robust and reliable detections. For evaluation, we performed three sets of experiments: (1) a binary classification to detect malicious traffic; (2) a multi-class classification to detect the attack category; and (3) a multi-class classification to detect the attack subcategory. In the experiments, our model achieved an accuracy, recall, precision, and F1-score of 100% for the binary detection; a precision, recall, and F1-score of 99% and an accuracy of 100% for the multi-class category classification; and an accuracy, recall, precision, and F1-score of 88% for the multi-class subcategory classification. These results suggest that the proposed model can reliably detect anomalies in IoT devices.

: In the realm of data management, data preservation stands as a critical undertaking aimed at preserving and upholding the integrity of data. Regardless of whether it concerns personal or enterprise data, the detrimental effects of malicious alterations implemented by attackers cannot be overlooked. Particularly in conventional industrial control environments, the prevalent practice involves the transmission of data from sensors to databases for storage purposes. However, it is essential to recognize that this process exposes the data to various vulnerabilities. Thus, to ensure the long-term security and reliability of the data, it becomes imperative to implement robust data preservation strategies within these industrial control systems. However, the reliance of these databases on physical hard disks introduces inherent vulnerabilities, including the potential for data loss due to disk damage or targeted malicious attacks. Consequently, it becomes imperative to prioritize the implementation of robust data preservation measures. These measures are crucial in mitigating the risk of disruptions and protecting critical data from compromise. By establishing effective data backup systems, employing advanced security protocols, and implementing proactive monitoring mechanisms, organizations can bolster their data preservation capabilities and safeguard against potential threats to data integrity and availability. As a result, many enterprises opt to store their data with third-party providers to ensure data integrity. However, this approach carries inherent risks. If the third-party service experiences an attack or if the data is tampered with, it becomes challenging to verify the integrity of the data. To address these concerns and ensure data preservation within the context of the Internet of Things (IoT), a growing number of individuals are integrating IoT with Distributed Ledger Technology (DLT). By leveraging DLT, the integrity of data can be ensured, reducing reliance on centralized third-party storage and enhancing security in the IoT ecosystem. In this article, IOTA is the DLT, which employs Directed Acyclic Graph (DAG) to store transaction information. Compared to Ethereum or other blockchain technologies, IOTA offers notable advantages in terms of transaction verification speed, making it highly suitable for real-time IoT environments. However, the conventional transmission path from sensors to IOTA nodes entails a complex route, involving multiple hardware devices before reaching the intended destination. This complexity poses challenges in ensuring data integrity during transmission and introduces vulnerabilities such as man-in-the-middle attacks or SQL injection attacks. To address these issues, we propose a method to streamline the transmission path between sensors and IOTA, specifically tailored for industrial fields with numerous IoT devices. Our approach involves preprocessing the data stored on the server using our method before uploading, ensuring data confidentiality, and leveraging IOTA to guarantee data integrity. To achieve the shortest path between IoT and DLT nodes, it becomes necessary to establish IOTA nodes on lower-level devices, such as Raspberry Pi or IoT controllers. By simplifying the transmission path, we can reduce the potential for tampering and enhance overall data security. Implementing our proposed method enables the assurance of data confidentiality and integrity during both transmission and storage on the server, strengthening the trustworthiness of the IoT, and IOTA integration.

Technological advances in the last decades have led to the realization of the concept of a smart environment. A significant part of this development is decentralized ledger technology and its variant, a blockchain. The blockchain database is immutable, open to all stakeholders, secure by architecture and robust. Applying a blockchain in water supply sanitary control creates opportunities for optimization, higher quality of service, cost reduction, better sanitary standards and public control. Physical, chemical, and biological water supply contamination is a great source of public health hazards. Implementation of a blockchain for water supply IoT, from the source point to the consumption point, enables effective response to changing environments, possible cross-contamination, stormwater management or disaster and emergency action. The chapter encompasses all fundamental elements and principles of water collection, distribution and consumption, with a focus on the health hazards and sanitary requirements for potable water. The chapter listed the main contaminants, methods of their registration and elimination, and requirements for drinking water in accordance with WHO, EU Drinking Water Directive and EPA standards. Blockchain technology solutions are described for smart water supply, including smart supply management, smart contracts, tokenization, smart compliance systems, and, most importantly, effective utilization of distributed ledger technologies for sanitary monitoring of water sources, water treatment, and water distribution systems.

The growing of Brain-Computer Interface (BCI) applications is closely related to the increasing accessibility of Electroencephalography (EEG) hardware (EEG headsets), which are noninvasive, portable, wireless and often with open software. However, there is a limited number of BCI software platforms tailored to help inexperienced programmers in the development of BCI applications. Only few of them integrate BCI applications with IoT devices and services. To address these challenges, a model for visual node-based programming has been designed utilizing BrainFlow library within the Node-RED platform, which can be applied to more than 20 biosensors. New Nodes for Node-RED Library within OpenBCI Category (openBCI toolkit for Node-RED) have been developed for design of EEG-Based Brain-Machine Interface and Integration in IoT. The proposed toolkit have been implemented and validated through a case study for controlling a robotic arm by OpenBCI headset. The results from the pilot experiment demonstrated that through concentration levels classified by BrainFlow performance metrics, the control of a TinkerKit Braccio robot arm is possible.

Optical wireless communication is a promising emerging technology that addresses the limitations of radio-frequency-based wireless technologies. This study presents a novel hybrid modulation for optical camera communication (OCC); it integrates two waveforms transmitted from a single transmitter light-emitting diode (LED) and received by two rolling-shutter camera devices. Then, a smart camera with a high-resolution image sensor captures the high-frequency signal, and a low-resolution image sensor from a smartphone camera captures the low-frequency signal. Through this hybrid scheme, two data streams are transmitted from a single LED lamp; this reduces the cost of the indoor OCC device compared to one that transmits two signals from two different LEDs. In proposed scheme, rolling-shutter orthogonal frequency-division multiplexing is used for the high-frequency signals, and M-ary frequency-shift keying is used for the low-frequency signals in the time domain. This proposed scheme is compatible with smart phone camera and USB camera. By controlling the OCC parameters, the hybrid scheme can be implemented with high performance for a communication distance of 10 m.

Abstract: The Internet of Things (IoT) has witnessed rapid and widespread adoption across various domains, including transportation, healthcare, education, agriculture, urban planning, smart homes, and more. Despite its transformative potential, this pervasive deployment of IoT devices has introduced new challenges, particularly concerning security and privacy threats such as unauthorized data access and device breaches. The excessive usage of these technological devices, coupled with the absence of robust security and privacy systems for user data, calls for a comprehensive approach to address these issues. In this study, we propose a novel framework designed to analyze, audit, test, and detect potential vulnerabilities within IoT environments and applications. The central components of the proposed framework include a machine learning algorithm for data classification and attack detection, along with the integration of Blockchain technology to enhance security measures. Specifically, the framework performs an in-depth analysis of user data to identify potential security or privacy vulnerabilities. Additionally, it conducts rigorous testing of smart services and automated data-collecting devices. To evaluate the effectiveness of our classification algorithm, we conducted a comprehensive implementation on a real-world IoT dataset. The results showcased the efficiency and accuracy of our approach in detecting and mitigating potential threats. Furthermore, based on our research findings, we provide valuable recommendations for enhancing security and privacy in IoT ecosystems. We also highlight emerging trends in the security and privacy domains, which can serve as valuable insights for researchers and practitioners. In conclusion, our proposed framework offers a robust and proactive approach to address the security and privacy challenges, such as unauthorized data access and device breaches posed by the widespread adoption of IoT devices. By combining machine learning algorithms and Blockchain technology, we contribute to safeguarding user data and fostering a secure environment for IoT applications. This study lays the groundwork for further advancements in the realm of IoT security and privacy, ensuring a safer and more resilient IoT landscape for the future.

This study focuses on the recently emerged Internet of Vehicles (IoV) concept to provide an integrated agricultural vehicle/machinery tracking system through two leading low power wide area network (LPWAN) technologies, namely LoRa and NB-IoT. The main aim is to investigate the theoretical coverage limits by considering the urban, suburban, and rural environments. Two vehicle tracking units (VTUs) have been designed for LoRa and NB-IoT connectivity technologies that can be used as reference hardware in coverage analysis. On this basis, the closed-form explicit analytical expressions of the maximum transmission range have been derived using the Hata path loss model. Besides, the computer simulation results have been validated via the maps from XIRIO online radio planning tool. In light of the obtained findings, several evaluations have been made to enhance the LPWAN-based agricultural vehicle tracking feasibility in smart farms.

The experiment was carried out during October 2022 to January 2023 at Mae Hea Agricultural Research, Demonstration and Training Center, Faculty of Agriculture, Chiang Mai University, Chiang Mai Province, Thailand; latitude: 18° 44′ 36″ North, Longitude: 98° 57′ 50″ East, and an al-titude 304 msl. Evaporative greenhouse, 9.6 x 40 square meters, with 8 planting troughs was prepared, Sensors and Internet of Things (IoT) system were installed to monitor continuously vital parameters, collect data, and send timely alerts to facilitate problem resolution. The data were displayed via IoT platform dashboard. An average air temperature, light intensity, media moisture and CO2 concentration in the greenhouse during 4 months was 21.1 ◦C, 12,948 Lux, 2 kPa and 495 ppm, respectively. The average maximum temperature in the evaporative greenhouse was 29.6 ◦C, which 4.2 ◦C lower than outside; 33.8 ◦C. Root-zone cooling of the strawberry planting was de-signed as factorial 3x4 in completely randomized design (CRD). Factor A was the short-day strawberry cultivars: 1) “Pharachatan 88” 2) “Pharachatan 80” and 3) “Akihime”. Factor B was the root-zone cooling treatments: 1) normal water dripping (NWD) 2) cold water dripping (CWD) 3) cold water dripping + cold water piping (CWD+CWP) and 4) normal water dripping + cold water piping (NWD+CWP). The results revealed that there was an interaction between the two factors on canopy width, leave width, crown diameter, number of flowers, fruit qualities and fruit color, whereas plant height, leaves length, SPAD and number of inflorescences were not affected by the interaction between the two factors. Four months after the experiment, the root-zone cooling treatments had no effect on chlorophyll contents, whereas “Pharachatan 80” had lower chlorophyll content than others. The CWD+CWP treatment could reduce 2 °C of root-zone temperature and leading to promote vegetative and reproductive growth in strawberry plants. Anyhow, without the root-zone cooling treatment, “Akihime”and “Pharachatan 88” still could produce flowers and yield, but “Pharachatan 80” could not. Furthermore, “Akihime” seemed appreciable in flowering, TSS and yield as compared to others.

The increase and diversity of low-cost Air Quality (AQ) sensors, as well as their flexibility and low power consumption, offers us the opportunity to integrate them into a broad AQ wireless sensor networks with the aim of enabling real-time monitoring and higher spatial sampling density of pollution in all parts of the cities. Considering that the vast majority of the population lives in these cities and the increase in respiratory/allergic problems in a large part of the population, it is of great interest to offer services and applications to improve their quality of life. In the ECO4RUPA project we focus on this kind of service, proposing an inclusive and intelligent routing ecosystem carried out by using a network of low-cost AQ sensors with the support of 5G communications along with official AQ monitoring stations, assisted with artificial intelligence to improve the AQ monitoring data and by spatial interpolation techniques to enhance its spatial resolution. The goal of this service is to calculate healthy walking and/or cycling routes according to the particular citizen’s profile and needs. We provide and analyse the results of the proposed route planner under different scenarios (different time tables, congestion road traffic and routes) and different user’s profiles, with special interest on citizens with asthma and pregnant women, since both require special needs. In summary, our approach can lead to an approximately average reduction in pollution exposure of 17.82%, while experiencing an approximately average increase in distance travelled of 9.8 %.

According to the wide variety of internet of things (IoT) devices within smart environments, many challenges face conventional digital forensic investigation (DFI) in smart environments. Challenges in this environment include heterogeneity, distribution, and massive amounts of data, which exceed digital forensic (DF) investigators’ human capabilities to deal with all of these challenges within a short period of time. Furthermore, it significantly slows down or even incapacitates the conventional DFI process. With the increasing frequency of digital crimes, better and more sophisticated DFI procedures are desperately needed, particularly in such environments. Since machine learning (ML) techniques might be a viable option in certain situations, this paper presents the integration of ML into DF. It also explores the potential further use of ML techniques in DF in smart environments to reduce the hard work of human beings, as well what to expect from future ML applications to the conventional DFI process.

Ocean wave energy is a significantly well-liked renewable energy source. The Internet of Things (IoT) offers a great opportunity for development of the ocean wave energy research. The IoT technology significantly enhanced the performance of the ocean wave energy converter (WEC). The data obtained from IoT devices reduce the risk of using WEC. However, Integrating IoT devices with the WEC is a daunting task because controlling the WEC needs real-time data. This paper investigated the performance of WEC and estimate the lifetime of the modules. IoT devices integrated with various sensors determine different parameters and conditions of the ocean. The IoT platform is used for wireless voltmeters, wireless AC current meters, wireless voltage detection, wireless resistance sensors, wireless temperature sensor, wireless accelerometer, wireless pressure meters, and wireless water level sensors to determine the real-time condition of the ocean wave. These devices are also proven to be reliable and accurate.

The Internet of Things (IoT) technology and devices constitute an exciting field in computer science that is rapidly emerging worldwide. IoT devices function by connecting real-world objects to the internet, resulting in a higher number of interconnected devices than ever witnessed in history. Through internet connectivity, these devices can be utilized in various ways, such as monitoring and tracking. Their prevalence is increasing exponentially, coinciding with advancements in wireless networking technologies. The internet’s enhanced connectivity has played a vital role in fostering the proliferation of IoT devices. Presently, almost any everyday object can be network-connected. The demand for automation and efficiency has also been a contributing factor to the advancements in this technology. This paper aims to review the emergence of IoT devices, analyze their common applications, and explore the future prospects in this promising field of computer science. The examined applications encompass healthcare, agriculture, and smart cities. Although IoT technology exhibits similar deployment trends, this paper will explore different fields to discern the subtle nuances that exist among them. IoT technology can be applied to nearly any domain, and each use case has unique requirements. To comprehend the future of IoT, it is essential to comprehend the driving forces behind its advancements in various industries. By gaining a better understanding of the emergence of IoT devices, readers will develop insights into the factors that have propelled their growth and the conditions that led to technological advancements. Moreover, a comprehensive understanding of the prevalent methodologies will enable readers to distinguish between current practices and future methods. Given the rapid rate at which IoT technology is advancing, this paper aims to provide researchers with an understanding of the factors that have brought us to this point and the ongoing efforts to shape the future of IoT.

The Internet of Things (IoT) generates a large volume of data whenever devices are interconnected and exchange data across a network. As a result, there is a range of services with varying needs, for example, capacity requirements, data quality, and latency demands. These services operate on fog computing devices, which are limited in power and bandwidth compared to the cloud. The main challenge is deciding where to implement services on the fog, the cloud, or the hybrid. This paper proposes an efficient allocation technique that pushes processing closer to the network's fog side. It investigates which devices and services may best allocate while preserving resource usage in the IoT architecture. It also examines the importance of allocating services to devices and optimizing resource use in fog computing. In IoT settings, there is a wide range of services and devices; thus, it is critical to effectively assign the services to the devices. We propose Priority-based Service allocation (PSA) and Sort-based Service Allocation (SSA) techniques, which are used to enable an optimum order to employ devices to perform the various services. The experimental results indicate that our proposed technique minimize the data communication over the network by 82% by allocating most of the services locally in fog. We have maximized the number of distributed services to fog devices by 90% while minimizing the wastage of fog resources.

Recently, with the rapid advancement of technology, Internet of Things (IoT‏‏‏‏) security has become more efficient and more complex, especially for resource-limited devices such as embedded devices, wireless sensors and radio frequency identification tags (RFID). Lightweight block ciphers (LBCs) provide security for these technologies to protect them against adversaries, but the need for low power consumption in LBCs is one of the most important challenges for IoT‏ technologies. Furthermore, these LBCs are subject to multiple attacks and side channel attacks (SCAs) are among the mentioned threats to these cryptosystems. A type of SCA is correlation power analysis (CPA) in which the attacker tries to reach the key using the relationship between the power consumption of the chip during the algorithm running, data processing, and operations. In this article, a CPA attack is designed to discover master key of the Midori-64 block cipher. According to the proposed method, an attack is done to the first round S-boxes to get half of the key bits. Then, the second round S-boxes were attacked to other half of key bits just use 300 plain text samples. Finally, the most important physical attacks performed on the Midori, are compared to our proposed CPA attack.

Internet of Things includes all connected objects from small embedded systems with low computational power and storage capacities to efficient ones, as well as moving objects like drones and autonomous vehicles. The concept of Internet of Everything expands upon this idea by adding people, data and processing. The adoption of such systems is exploding and becoming ever more significant, bringing with it questions related to the security and the privacy of these objects. A natural solution to data integrity, confidentiality and single point of failure vulnerability is the use of blockchains. Blockchains can be used as an immutable data layer for storing information, avoiding single point of failure vulnerability via decentralization and providing strong security and cryptographic tools for IoE. However, the adoption of blockchain technology in such heterogeneous systems, containing light devices, presents several challenges and practical issues that need to be overcome. Indeed, most of the solutions proposed to adapt blockchains to devices with low resources confront difficulty in maintaining decentralization or security. The most interesting are probably the Layer 2 solutions which build offchain systems strongly connected to the blockchain. Among these, zk-rollup is a promising new generation of Layer 2/off-chain schemes which can remove the last obstacles to blockchain adoption in IoT, or more generally, in IoE. Despite their promises illustrated by recent systems proposed by startups and private companies, very few scientific publications explaining or applying this barely-known technology have been published, especially for non-financial systems. In this context, the objective of our paper is to fill this gap for IoE systems in two steps. We first propose a synthetic review of recent proposals to improve scalability including onchain (consensus, blockchain organization, ...) and offchain (sidechain, rollups) solutions and we demonstrate that zk-rollups are the most promising ones. In a second step, we focus on IoE by describing several interesting features (scalability, dynamicity, data management, ...) that are illustrated with various general IoE use cases.

In videos, the human's actions are of three-dimensional (3D) signals. These videos investigate the spatiotemporal knowledge of human behavior. The promising ability is investigated using 3D convolution neural networks (CNNs). The 3D CNNs have not yet achieved high output for their well-established two-dimensional (2D) equivalents in still photographs. Board 3D Convolutional Memory and Spatiotemporal fusion face training difficulty preventing 3D CNN from accomplishing remarkable evaluation. In this paper, we implement Hybrid Deep Learning Architecture that combines STIP and 3D CNN features to enhance the performance of 3D videos effectively. After implementation, the more detailed and deeper charting for training in each circle of space-time fusion. The training model further enhances the results after handling complicated evaluations of models. The video classification model is used in this implemented model. Intelligent 3D Network Protocol for Multimedia Data Classification using Deep Learning is introduced to further understand space-time association in human endeavors. In the implementation of the result, the well-known dataset, i.e., UCF101 to, evaluates the performance of the proposed hybrid technique. The results beat the proposed hybrid technique that substantially beats the initial 3D CNNs. The results are compared with state-of-the-art frameworks from literature for action recognition on UCF101 with an accuracy of 95%.

In today’s Industrial IoT (IIoT) environment, where different systems interact with the physical world, the state proposed by the Industry 4.0 standards can lead to escalating vulnerabilities, especially when these systems receive data streams from multiple intermediaries, requiring multilevel security approaches, in addition to link encryption. At the same time taking into account the heterogeneity of the systems included in the IIoT ecosystem and the non-institutionalized interoperability in terms of hardware and software, serious issues arise as to how to secure these systems. In this framework, given that the protection of industrial equipment is a requirement inextricably linked to technological developments and the use of the IoT, it is important to identify the major vulnerabilities, the associated risks and threats and to suggest the most appropriate countermeasures. In this context, this study provides a description of the attacks against IIoT systems, as well as a thorough analysis of the solutions against these attacks, as they have been proposed in the most recent literature.

Biosensors are essential tools which have been traditionally used to monitor environmental pollution, detect the presence of toxic elements and biohazardous bacteria or virus in organic matter and biomolecules for clinical diagnostics. In the last couple of decades, the scientific community has witnessed their widespread application in the fields of military, health care, industrial process control, environmental monitoring, food-quality control, and microbiology. Biosensor technology has greatly evolved from the in vitro studies based on the biosensing ability of organic beings to the highly sophisticated world of nanofabrication enabled miniaturized biosensors. The incorporation of nanotechnology in the vast field of biosensing has led to the development of novel sensors and sensing mechanisms, as well as an increase in the sensitivity and performance of the existing biosensors. Additionally, the nanoscale dimension further assists the development of sensors for rapid and simple detection in vivo as well as the ability to probe single-biomolecules and obtain critical information for their detection and analysis. However, the major drawbacks of this include, but are not limited to potential toxicities associated with the unavoidable release of nanoparticles into the environment, miniaturization induced unreliability, lack of automation, and difficulty of integrating the nanostructured-based biosensors as well as unreliable transduction signals from these devices. Although the field of biosensors is vast, we intend to explore various nanotechnology enabled biosensors as part of this review article and provide a brief description of their fundamental working principles and potential applications.

Research has shown the multitude of applications that IoT, cloud computing and forecast technologies present in every sector. In agriculture, one application is the monitoring of factors that influence crop development to assist in making crop management decisions. Research on the application of such technologies in agriculture has been mainly conducted at small experimental sites or under controlled conditions. This research has provided relevant insights and guidelines for the use of different types of sensors, application of a multitude of algorithms to forecast relevant parameters as well as architectural approaches of IoT platforms. However, research on the implementation of IoT platforms at the commercial scale is needed to identify platform requirements to properly function under such conditions. This article evaluates an IoT platform (IRRISENS) based on fully replicable microservices used to sense soil, crop and atmosphere parameters, interact with third party cloud services, planning and scheduling irrigation as well as control of irrigation water control devices. The proposed IoT platform was evaluated during one growing season at four commercial scale farms on two different broadacre irrigated crops with very different water management requirements (rice and cotton). Five main requirements for IoT platforms to be used in agriculture at commercial scale were identified from implementing IRRISENS in rice and cotton production: scalability, flexibility, heterogeneity, robustness to failure and security. The platform addressed all these requirements. The results showed that the microservice approach followed in the platform is robust against both intermittent and critical failures in the field that could occur in any of the monitored sites. Further, processing or storage overload caused for any reason at one farm did not affect the performance of the platform regarding the other monitored farms. This paper also discusses how the microservice approach can address the data heterogeneity issue when crops with different management requirements are monitored. Since there are no shared microservices among farms, the IoT platform proposed here also provides data isolation maintaining data confidentiality for each user, which is relevant in a commercial farm scenario.

Sleep postures monitoring systems in the hospital aim at transforming sensing signals into quantitative data to characterize the sleep behaviors of the patient. However, a home-care sleep posture monitoring system needs to be user friendly. In this paper, we present iSleePost - a user-friendly home-care intelligent sleep posture monitoring system. We address the labor-intensive labeling issue of traditional machine learning approaches in the training phase. Our proposed mobile health (mHealth) system leverages the communications and computation capabilities of mobile phones for provisioning a continuous sleep posture monitoring service. Our experiments show that iSleePost can achieve 90 percent accuracy in recognizing sleep postures. More importantly, iSleePost demonstrates that an easily-wear wrist sensor can accurately quantify sleep postures.

With the development of IoT technology, various information resources, such as social resources and physical resources, are deeply integrated for different comprehensive applications. Social networking, car networking, medical services, video surveillance and other forms of IoT information Service model gradually change people's daily life. Facing the vast amounts of IoT information data, IoT search technology is used to quickly find accurate information to meet real-time search needs of users. However, IoT search requires to use a large number of user privacy Information, such as personal health information, location information, social relations information, to provide personalized services. User privacy information will meet security problems if an effective access control mechanism is missing during the IoT search process. Access control mechanism can effectively monitor the access activities of resources, and ensure authorized users to access information resources under legitimate conditions. This survey examines the growing literature on access control for IoT search. Problems and challenges of access control mechanism are analyzed to facilitate the adoption of access control solutions in real-life settings. This paper aims to provides theoretical, methodological and technical guidance for IoT search access control mechanism in large-scale dynamic heterogeneous environment. Based on the literature study, we also analyzed future development direction of access control in the age of IoT.

The increased deployment of IoT devices in specific areas results in an interference among them and the quality of communications can be severely degraded. To deal with this interference issue, the IEEE 802.11ax standard has been established in hyper-densely wireless networking systems. The 802.11ax adopts a new candidate technology that is called multiple network allocation vector in order to mitigate the interference problem. In this paper, we point out potential problem in multiple network allocation vector which can cause delays to the communication among IoT devices in hyper-dense wireless networks. Furthermore, this paper introduces an adaptive beam alignment algorithm for interference issue resolution. In addition, we analyze potential delays of communications among IoT devices under interference conditions. Lastly, we simulate our proposed algorithm in densely deployed environment and show that the interference issue can be mitigated and the IEEE 802.11ax-based IoT devices can utilize the air interface more fairly compared to conventional IEEE 802.11 distributed coordination function.

A The agri-food sector is in full renovation, continuously demanding new systems that allow farmers to facilitate their work. Efficient agricultural practices are essential for increasing farm profitability. Efficient agricultural practices can be increased by understanding and managing water neeeds. However, real-time monitoring of water needs is currently slow, and irrigation decisions are based on previous data or physical evidence. Furthermore, the prices of automatic systems for collecting data from several sources (soil and climate) are expensive and the autonomy is very low. Emerging Internet of Things (IoT) technologies such as wireless sensor networks can be used to collect vast amounts of data recorded via apps. By means of an LPWAN communication the farmer can know in real time the state of his crops thanks to a large number of sensors connected wirelessly and distributed across his farm. This paper presents a low consumption solution based on LoRaWAN technology. The wireless sensor node, called BoX, exhibits very low power since it has been optimized both in terms of hardware and software. The result is a higher degree of autonomy than commercial motes. That will allow the farmer to have all the information necessary to achieve an efficient management of his crops with full autonomy.

The Android-based IoT platform just like the existing Android provides an environment that makes it easy to utilize Google's infrastructure services including development tools and APIs through which it helps to control the sensors of IoT devices. Applications running on the Android-based IoT platform are often UI free and are used without the user’s consent to registered permissions. It is difficult to respond to the misuse of permissions as well as to check them when they are registered indiscriminately while updating applications. This paper analyzes the versions of before and after an application the update running on the Android-based IoT platform and the collected permission lists. It aims to identify the same permissions before and after the update, and deleted and newly added permissions after the update were identified, and thereby respond to security threats that can arise from the permissions that is not needed for IoT devices to perform certain functions.

Remote patient monitoring systems are helpful since they can provide timely and effective healthcare facilities. Such online telemedicine are usually achieved with the help of sophisticated and advanced wearable sensor technologies. The modern type of wearable connected devices enables the monitoring of vital sign parameters such as: heart rate variability (HRV) also known as electrocardiogram (ECG), blood pressure (BLP), Respiratory rate and body temperature. The ubiquitous problem of wearable devices is power demand for signal transmission, such devices require frequent battery charge which causes serious limitations to the continuous monitoring of vital data. To overcome this, the current study provides a primary report for collecting kinetic energy from human daily activities for monitoring Human vital signs, the harvested energy is used to sustain the battery autonomy of wearable devices, which enables longer monitoring time of vital data. A thorough review of available commercial ECG devices is first provided, and different methods evaluated in other literature to improve the monitoring time of wearable IOT devices. Besides, a novel type of Stress or exercise ECG monitoring device based on Microcontroller PIC18F4550 and Wi-Fi device ESP8266 is proposed in this study, which is cost effective and enables real time monitoring of heart rate on cloud during normal daily activities. In order to achieve both portability and maximum power, the harvester has smallest structure and low friction. Neodymium magnets are chosen for their highest magnetic force. Due to nonlinear magnetic force interaction of the magnets, the nonlinear part of the dynamic equation has inverse quadratic form. Electromechanical damping is considered in this study and the quadratic non linearity is approximated using MacLaurin expansion, which enables to find the law of motion for general case of studies using classical methods for dynamic equations and find the suitable parameters for the harvester. The oscillations are enabled by applying an initial force and there is loss of energy due to the electromechanical damping. A typical numerical application is computed with Matlab software and ODE45 solver is used to verify the accuracy of the method.

Populations with healthcare needs often reside in post-conflict settings where basic services needed to maintain good health may be non-existent or hard to access. Therefore, there is a need for better identification and reallocation of resources as part of the post-conflict health rehabilitation effort. This study applies an asset-based approach to explore the more optimal design of health services and to identify the resource constraints for basic health service delivery to the most vulnerable communities in eastern Congo. We implemented the asset mapping in two phases. Firstly, we combined a qualitative survey with community walks to identify the assets already present in the communities. Secondly, we conducted group discussions to map out assets that are the core of Asset-Based Community Development (ABCD) practice. We finally documented all assets in a Community Asset Spreadsheet. Overall, 209 assets were identified as available and potentially valuable resources for the communities in eastern Congo. Among them, 60 were local associations, 24 were land and physical environment, 43 were local institutions, 46 were individuals, 32 to economy and exchange, and only 6 were related to culture, history, and stories. Drawing upon the findings from the qualitative survey, community walks, and group discussions, we conclude that an important number of resources were in place for basic health service delivery. By activating the existing and potential resources, the most vulnerable populations in eastern Congo might have the required resources for basic health service delivery. Our findings support the use of an asset-mapping research method as appropriate to identify existing and potential resources for basic health services in a post-conflict setting.

In areas like commercial and policy decisions—it's important to know how different treatments affect things and how well they work. However, treatments affect things on average—but now—with fancy computer methods and big sets of data, interest lies in figuring out how treatments might work differently for different people. For instance, let's say instead of just looking at what works for most people, researchers want to know which treatment is best for each person. This would help doctors to decide the right treatment for each patient. This idea isn't just for healthcare—it can help in other areas too, like deciding how to govern employees or making government policies. There are some ways people have been trying to do this already, but they struggle when there are lots of different factors to consider. New computer methods, though, are good at handling lots of factors, but they need a ton of data to work well. Therefore, this study looks at three computer methods that are—Virtual Twin Random Forest (VTRF), Causal Forest (CF), and Causal Net (CN) using real-world data about encouraging people to do manual labour. One problem this study is trying to solve is something called the "winner's curse", where a treatment might seem better than it really is because of how it's predicted by the computer. We are also testing some ideas to see if we can fix this problem and make the predictions more accurate.

Background Praziquantel is the commonly used conventional treatment recommended for schistosomiasis in the mainstream healthcare system. Although Praziquantel may be free in healthcare facilities, many individuals may resort to the use of traditional medicine. This study aimed to assess perceptions of participants on the availability of Praziquantel and to ascertain whether individuals infected with schistosomiasis used concurrently African traditional medicines with this treatment. Methods A cross–sectional descriptive study, using face-to-face interviews, was conducted from January to April 2023 among healthcare workers (HCWs) and patients. A review of medical chart records of patients was further carried out to triangulate the information from interviews. Ddescriptive statistics including frequency and percentage were used; categorical data were represented as tables. Chi-squared tests were performed for the association between continuous variables. A p value ≤ 0.05 was estimated as statistically significant. Results Most of HCWs (114/124; 91.9%) reported that Praziquantel was available in healthcare facilities. Majority of HCWs (76/124; 61.3%) did not know whether patients seen by them used concurrently traditional medicine and Praziquantel for schistosomiasis. There was no significant relationship between the availability of Praziquantel and the concurrent use of TM by patients for schistosomiasis (X2 = 3.042, p = 0.551). Patients seen by THPs (8/20, 40%) did not use Praziquantel for schistosomiasis. Those patients (8/15, 53.3%) who crossed from TM to the mainstream healthcare system did not disclose their use of TM to HCWs. Their main reason was that concurrent use of TM and Praziquantel could destroy organs or make Praziquantel not to work properly. None of the medical chart records analysed documented the concurrent use of TM and Praziquantel. Conclusion Most of HCWs were not aware of the concurrent use of TM and Praziquantel by patients for the treatment of schistosomiasis. Patients seen by THPs relied solely on TM for schistosomiasis. Although patients indicated crossing from TM to the mainstream healthcare system, there was no evidence of documented use of TM in medical chart records of patients. Further studies are needed to contribute to the knowledge of medicinal plants used by THPs for schistosomiasis.

To study the spatial accessibility of healthcare services in cities on the Tibetan Plateau, this paper proposes an improved 3SFCA method in the main urban area of Xining City. The improved 3SFCA method incorporates both selection weights from the Huff model and the M2SFCA approach to addressing suboptimal allocation of supply resources. Results show that the accessibility of healthcare for the main urban area of Xining City decreases in a circle to four axes, with good accessibility in the east and center but poor accessibility in the north. And there is a positive spatial relationship between population and accessibility. Besides, this paper proposes a framework for studying the spatial accessibility of healthcare on the Tibetan Plateau.

Background: The COVID-19 pandemic has affected Madagascar, Cameroon, and the Central African Republic (CAR), with each experiencing multiple waves by mid-2022. This study aimed to evaluate immunity against SARS-CoV-2 strains Wuhan (W) and BA.2 (BA.2) among healthcare workers (HCWs) in these countries, focusing on vaccination and natural infection effects. Methods: HCWs' serum samples were analyzed for neutralizing antibodies (nAbs) against W and BA.2 variants, with statistical analyses comparing responses between countries and vaccination statuses. Results: Madagascar showed significantly higher nAb titers against both strains compared to CAR and Cameroon. Vaccination notably increased nAb levels against W by 2.6-fold in CAR and 1.8-fold in Madagascar, and against BA.2 by 1.6-fold in Madagascar and 1.5-fold in CAR. However, in Cameroon, there was no significant difference in nAb levels between vaccinated and unvaccinated groups. Conclusion: The study highlights the complex relationship between natural and vaccine-induced immunity, emphasizing the importance of assessing immunity in regions with varied epidemic experiences and low vaccination rates.

Fall detection systems play a crucial role in addressing the significant health concern of elderly falls, a leading cause of health deterioration and mortality. As the aging population grows and life expectancy increases, the development of accessible tools becomes vital for predicting and preventing falls, offering a practical and widely applicable solution in contrast to costly and expertise-dependent assessment tools. In contrast, due to the formidable challenges encountered, a comprehensive investigation into the comparative performance of standard ML models within this field still needs to be explored. This paper proposes a standard pipeline for pre-processing, training, and evaluating ML models for fall detection on the SisFall dataset. We conducted extensive experiments to evaluate the performance of various ML models for fall detection. The results validate the efficiency of the deep model in identifying the time windows in which a fall occurred. Among the deep models, the architecture, including a combination of convolutional neural networks and fully connected layers, outperforms the others by macro-averaged Precision, macro-averaged Recall, and macro-averaged F1-Score of 87.03\%, 86.83\%, and 86.93\%, respectively.

The coronavirus (COVID-19) pandemic limitations may negatively affect children and youth in terms of health behaviors, and it might be especially challenging for children who are diagnosed with neurodevelopmental disorders such as children and youth diagnosed with Autism Spectrum Disorder (ASD). The present study assessed alterations in physical activity, screen time, and sleep duration of ASD children and the prevalence of meeting the 24-hour movement guidelines during the COVID-19 outbreak. Forty-six Arab Israeli mothers of children with ASD were surveyed by an online cross-sectional survey. As reported by the mothers, the results show a significant decrease in physical activity, a significant increase in screen time, and a significant increase in sleep duration during the COVID-19 pandemic. Moreover, the proportion of the sample who gained the physical activity and screen time recommendations lessened while the percentage of children who met the sleep duration guidelines increased. The prevalence of ASD children who achieved the overall 24-hour movement guidelines was very small during the COVID-19 outbreak. The outcomes extend the body of knowledge regarding the negative effects of the COVID-19 pandemic on children diagnosed with neurodevelopmental disorders and highlight the need for instant healthcare and interventions and programs for children with ASD.

In the present study, we aimed to assess the prevalence and the relationships between alexithymia, burnout and hopelessness in a large sample of healthcare workers (HCWs) during the third wave of Covid-19 in Italy. Alexithymia was evaluated by the Italian version of the 20-item Toronto Alexithymia Scale (TAS-20), hopelessness was measured using the Beck Hopelessness Scale (BHS) and irritability (IRR), depression (DEP) and anxiety (ANX) were evaluated with the Italian version of Irritability‚ Depression‚ Anxiety Scale (IDA). This cross-sectional study recruited a sample of 1445 HCWs from a large urban healthcare facility in Italy from 1 June—31 May 2021. Comparison between individuals positive (n=214, 14.8%) or not for alexithymia (n=1231, 85.2%) controlling for age, gender and working seniority revealed that positive subjects showed higher scores on BHS, MBI, IRR, DEP and ANX than not positive ones (p<0.001). In the linear regression model, higher working seniority and higher MBI, DEP, ANX and TAS-20 scores were associated with higher hopelessness. In conclusion, increased hopelessness was associated with higher burnout and alexithymia. Comprehensive strategies should be implemented to support HCWs mental health and mitigate the negative consequences of alexithymia, burnout, and hopelessness

University students, particularly those in the healthcare disciplines, constitute a category of particular interest in regard to COVID-19 vaccines and the attitudes to vaccination, as their future professional role will enable them to inform and educate citizens regarding vaccination. The objectives of the study were to investigate the vaccination coverage with a COVID-19 vaccine among students from different degree programs at the Medical universities in Bulgaria behaviors and attitudes toward vaccination with a COVID-19 vaccine. A prospective cross-sectional study in the period September 2021- March 2022 was conducted. Information on demographics, university program, year of study, general attitudes and behavior towards vaccines and attitudes and personal experience with COVID-19 and COVID-19 vaccines were collected. The chi-square test was used to test for associations and binominal logistic regression was used to identify possible predictors for vaccination. A total of 3050 students with a median age of 22 years, predominantly female took part in the study. Three-thirds of the students (73.5%) have been vaccinated against COVID-19. The main reasons for vaccine hesitancy in both group of students were the fear of side effects and the doubts about the safety of the vaccines although non-vaccinated students significantly more frequently express those fears. Respondents who considered to have: a) limited access to sufficient information to inform COVID-19 vaccine uptake; b) lack of public awareness and education campaigns about effectiveness and safety of COVID-19 vaccines; c) insufficient information about COVID-19 vaccines during the University education; and d) had a positive COVID-19 diagnosis were less likely to be vaccinated. Students who have not completed the mandatory immunization cycle according to country schedule were also less likely to have completed COVID-19 vaccination. The students showed an overall positive attitude towards the COVID-19 vaccines. Promoting informational campaigns that emphasize the vaccine's safety will be more effective to further increase the vaccination coverage with COVID-19 vaccines.

Background: Fungi are ubiquitous microorganisms that are easily dispersed through the air. In healthcare environments, indoor air can favor the spread of healthcare-associated fungal infections, compromising mainly immunocompromised hospitalized individuals. Thus, this study aimed to evaluate the indoor air contamination in healthcare environments, investigating mainly the presence of potentially pathogenic yeasts. Methods: Indoor air samples were collected from twelve healthcare environments (hospital and medical clinics). After the growth, isolation, and purification of the yeast colonies, the isolates were identified by polymerase chain reaction using species-specific primers for yeasts of the genus Candida and sequencing of D1/D2 domains of the large ribosomal subunit (LSU rRNA). Results: Fourteen yeast species were identified, including emerging pathogens. Species of clinical importance such as Candida parapsilosis, Candida orthopsilosis, Candida glabrata, Rhodotorula mucilaginosa, and Trichosporon mucoides were present. C. Parapsilosis was the most prevalent species, followed by Rodothorula mucilaginosa. Conclusions: The present study shows that potentially fungal pathogens were present in air samples from healthcare environments, proving the role of indoor air in spreading infections. Thus, monitoring air quality in healthcare environments is a fundamental approach in developing infection control measures, especially those related to invasive fungal infections.

High-fidelity patient simulation (HFPS) is widely used in professional training to enhance students’ competence in clinical management. Problem-solving (PS) and clinical reasoning (CR) skills are essential to developing students in professional competence in safe and effective care. These two skills should be initiated at the early training. However, little is known about the effects of HFPS on developing PS and CR skills in first year undergraduate students. Therefore, this pre- and post-experimental study aimed to investigate the effects of HFPS on development of PS and CR skills in first-year nursing students. The students were required to go through four sessions, preparation, pre-briefing and orientation, simulation role-playing, and debriefing, for the HFPS. The study utilized the Problem-Solving Inventory (PSI) and the Nurses Clinical Reasoning Scale (NCRS) to measure problem-solving and clinical reasoning abilities before and after HFPS. Bivariate analysis, one-sample t-test, and independent t-test were performed to evaluate the performance of the PS and CR skills at the two study periods. One hundred eighty-nine students were recruited, with a mean age of 20.56 years, and 73% were female students. The analytic results showed that the PSI, particularly in domains of Problem-Solving Confidence (PSC) (p&lt;0.001) and overall PS (p&lt;0.001), and the CR (p&lt;0.001) had significant improvement after HFPS. The study concluded that HFPS is an effective innovative method to significantly improve students’ problem-solving and clinical reasoning abilities. Nurse educators play an important role in providing explicit learning instructions in a simulation guideline that directs and guides students to learn at each stage of HFPS. Students should take more initiative and engage in their learning through HFPS to enhance their competence in knowledge and higher intellectual skills for personal and professional developments.

The aim of this study was to investigate the work engagement and burnout in healthcare professionals in a private health unit in Greece. A cross-sectional study was conducted with a sample of 151 professionals (doctors, nurses, administrative staff and professionals of other specialties). The questionnaire included demographic and work-related information and the Utrecht Work Engagement Scale and Maslach Burnout Inventory. Analysis was performed by SPSS v.26. With regard to the work engagement, the participants presented a medium score in absorption and a medium to high score in vigor and dedication. In addition, they presented low score in depersonalization, a medium score in emotional exhaustion and a high score in personal accomplishment. Those who had a working contract for an indefinite period had higher score in all the dimensions of burnout. Vigor, dedication and absorption were negatively correlated with emotional exhaustion and depersonalization and positively with personal accomplishment. Healthcare professionals in private health sector in Greece present moderate work engagement and experience moderate levels of burnout. Work engagement is associated with burnout and plays an important role in its prevention. There are some significant differences in work engagement and burnout based on several demographic and work-related characteristics.

Background: The diagnosis of phenylketonuria (PKU) in an infant is a devastating and overwhelming event for their parents. Providing appropriate information and support is paramount, especially at the beginning of a child’s life. Investigating if parents are receiving the right support is important for their continued care. Methodology: An online survey was distributed to explore parents’ perceptions of current support and information provided by their healthcare provider and to rate sources of other support (n=169 participants). Results: Dietitians received the highest (85%) rate of “very helpful” support. Overall, parents found Facebook to be helpful for support, but had mixed reactions when asked if healthcare professionals (HCPs) should provide advice as part of the groups. When rating the most effective learning methods, the top three were: 1:1 sessions (n=109, 70%), picture books (n=73, 50%) and written handouts (n=70, 46%). Conclusion: Most parents were happy with the support and information they received from their dietitian, but required more support from other HCPs. Facebook groups provide parents with the social support that HCPs and their family may be unable to offer, suggesting a place for social media in future PKU care.

Access to healthcare services is an essential component of promoting public health and sustainable development. Our aim was to assess socio-demographic correlates of barriers to access healthcare services among children in Albania, a post-communist country in Europe. An online survey was conducted in September 2022, including a nationwide representative sample of 7831 schoolchildren (≈54% girls) pertinent to grades 6-9 from all regions of Albania. A structured and anonymous questionnaire was administered to all children inquiring about a range of potential barriers to access healthcare services. Overall, about 42% of the children reported that they had barriers to access healthcare services. There were no gender differences, but significant: ethnic differences (51% among Roma/Egyptian children vs. 42% among the general sample of the children); urban/rural differences (46% rural vs. 39% urban); and socioeconomic differences (52% among children with a lower maternal education vs. 31% among children with a higher maternal education; 66% among children from poor families vs. 35% among children with a higher family income). In transitional Albania, children residing in rural areas, children from Roma and/or Egyptian communities and especially those pertinent to low socioeconomic families report considerably more barriers to access healthcare services, which is a cause of concern.

Vaccination attitudes among healthcare workers (HCWs) is a vital factor for measuring their level of vaccination uptake and intention to recommend vaccinations to their patients. To our knowledge, no study has been conducted in South Africa to assess hesitancy to influenza vaccines among HCWs. We used questionnaire adapted from Betsch and colleagues to conduct an online and face-to-face cross-sectional study among HCWs at the start of COVID-19 vaccine roll-out prior to the flu season. Main outcome was influenza vaccine hesitancy. We used multivariate logistic regression to assess predictors of influenza vaccine hesitancy. Of 401 participants, 64.5% were women, 49.2% nurses, and 12.5% physicians. A total of 54.9% were willing to accept vaccination, 20.4% were undecided, and 24.7% intended to refuse. Older participants above 17-25 years and physicians were likely to receive the vaccine. Key predictors of vaccine acceptance were confidence in the effectiveness, consideration of benefits and risks, and willingness to be vaccinated to protect others. Influenza vaccine hesitancy was highest in those who did not trust that influenza vaccines are safe. For future flu seasons, tailored education programs targeting younger HCWs and more information about the composition of flu vaccines would be vital to improve vaccine uptake.

Objectives: As institutions modified medical practices to mitigate the spread of the SARS-CoV-2 virus, providers were forced to modify care through the implementation of telemedicine. The objective of this article is to review the current practices of otolaryngology during the COVID-19 pandemic and the limitations of telemedicine in current practice. Methods: A thorough review of the PubMed and MEDLINE databases was performed for publications between 2020 and 2021. Studies discussing telemedicine in otolaryngology during COVID-19 pandemic were selected. Results: As worldwide cases of COVID-19 continue to oscillate, we must continue to be vigilant in our clinical practice, implementing safe techniques to mitigate the spread of the SARS-CoV-2 virus through the continual use of telemedicine in all specialties of otolaryngology. Trends of increased patient acceptance of the use of telemedicine have been seen across subspecialities, including otolaryngology. Conclusion: Currently there are challenges associated with the implementation of telemedicine in the field of otolaryngology that rely heavily on adjunct physical examination, imaging studies, and specialty procedures. However, telemedicine has tremendous potential and can be adapted to include in the otolaryngologist’s toolbelt during public health emergencies such as the COVID-19 pandemic.

This study emphasizes the necessity of introducing a blockchain-based joint logistics system to strengthen the competency of medical supply chain management (SCM) and tries to develop a healthcare supply chain management (HSCM) competency measurement item through an analytic hierarchy process. The variables needed for using blockchain-based joint logistics are the performance expectations, effort expectations, promotion conditions, and social impact of the UTAUT model, and the HSCM competency results in increased reliability and transparency, enhanced SCM, and enhanced scalability. Word cloud results, analyzing the most important considerations to realize work efficiency among medical industry-related agencies, mentioned numerous words, including sudden situations, delivery, technology trust, information sharing, effectiveness, urgency, etc. This might imply the need to establish a system that can respond immediately to emergency situations during holidays. It could also suggest the importance of real-time information sharing to increase the efficiency of inventory management. Therefore, there is a need of a business model that can increase the visibility of real-time medical SCM through big data analysis. By analyzing the importance of securing reliability based on the blockchain technology in the establishment of a supply chain network for HSCM competency, we reveal that joint logistics can be achieved and synergistic effects can be created by implementing the integrated database to secure HSCM competency. Strengthening partnerships, such as joint logistics, will eventually lead to HSCM competency. In particular, HSCM should seek ways to upgrade its competitive capabilities through big data analysis based on the establishment of a joint logistics system.

Background: Simulation plays a crucial role in health studies, as it helps medical students apply their theoretical knowledge in real-life situations. Moulage is one of the techniques that helps in making simulation more realistic or high-fidelity. It uses special effects to emulate wounds for a better understanding of what the wound is like visually. Still, moulage is expensive, time-consuming, resource-intensive, and requires the training of staff, which is why we need to find low-cost substitutes for moulage materials. Method: When searching the database “PubMed” for the terms “Low-cost and Medical moulage”, we retrieved 222 studies, out of which when excluding results not related to low-cost, we obtained 62 studies, from which when removing studies that do not contain information regarding moulage, we found two papers, after referring to citations and cited articles of those papers, we ended up with six studies. Based on the selected articles and additional articles sourced from their reference list, a total of 11 studies were included in the review. Results: We understand that moulage is a technique that helps make simulations come alive, but the resources required to use it are at times, expensive, which is why we need to find methods to do low-cost moulage, and many studies address that it can be as simple as using homemade ingredients. Students from a previous study have talked about their opinions regarding the realistic component of moulage and whether if it is any different from other moulages. Most of the students agreed that the moulage ranked well in face and content validity. However, further innovations must be introduced in the field to be widely spread and lead to newer opportunities. Conclusion: Although the research done under moulage is limited, it is accepted that moulage is helpful for simulation-based studies and that low-cost moulage can help make medical studies a better experience for students studying it. Students have a favorable opinion on the realistic aspect of the low-cost moulage applied to them. Newer methods can be introduced to moulage, and it can be implemented in low-income countries.

Machine learning has become an increasingly ubiquitous technology, as big data continues to inform and influence everyday life and decision-making. Currently in healthcare, as well as in most other industries, the two most prevalent machine learning paradigms are supervised learning and transfer learning. Both practices rely on large-scale, manually annotated datasets to train increasingly complex models. However, the requirement of data to be manually labeled leaves an excess of unused, unlabeled data available in both public and private data repositories. Self-supervised learning (SSL) is a growing area of machine learning that has the ability to take advantage of unlabeled data. Contrary to other machine learning paradigms, SSL algorithms create artificial supervisory signals from unlabeled data and pretrain algorithms on these signals. The aim of this review is two-fold: firstly, we provide a formal definition of SSL, divide SSL algorithms into their four unique subsets, and review the state-of-the-art published in each of those subsets between the years of 2014-2020. Second, this work surveys recent SSL algorithms published in healthcare, in order to provide medical experts with a clearer picture of how they can integrate SSL into their research, with the objective of leveraging unlabeled data.

Medical Trust-Network is one of the most promising fields of study in network science. Establishment of trust within medical entities ensures better treatment and increases better medical facilities. The word ‘Trust’ signifies a very important behavioral aspect between any human entities, especially among doctors and patients. To represent such relationships Trust Network Models are built to express the interactions between human entities within such networks. Though the idea of a Trust-Network has traditionally been one of the major areas of research, yet the concept of a medical trust network model is relatively a new domain. In this paper, we introduce an overall multilayered Trust Network to represent the entire healthcare architecture. More specifically our model is based on an evolutionary graph system with a discrete relationship between the three most important entities of any healthcare system, namely – Doctors, Departments, and Hospitals. Observations indicate that based on our model, the medical healthcare system is a multilayered model unlike a feed-forward model as indicated by previous studies.

In recent years, more and more health data are being generated. These data come not only from professional health systems, but also from wearable devices. All these data combined form ‘big data’ that can be utilized to optimize treatments for each unique patient (‘precision medicine’). To achieve this precision medicine, it is necessary that hospitals, academia and industry work together to bridge the ‘valley of death’ of translational medicine. However, hospitals and academia often have problems with sharing their data, even though the patient is actually the owner of his/her own health data, and the sharing of data is associated with increased citation rate. Academic hospitals usually invest a lot of time in setting up clinical trials and collecting data, and want to be the first ones to publish papers on this data. The idea that society benefits the most if the patient’s data are shared as soon as possible so that other researchers can work with it, has not taken root yet. There are some publicly available datasets, but these are usually only shared after studies are finished and/or publications have been written based on the data, which means a severe delay of months or even years before others can use the data for analysis. One solution is to incentivize the hospitals to share their data with (other) academic institutes and the industry. Here we discuss several aspects of data sharing in the medical domain: publisher requirements, data ownership, support for data sharing, data sharing initiatives and how the use of federated data might be a solution. We also discuss some potential future developments around data sharing.

Turbidity stands as a crucial indicator for assessing water quality, and while turbidity sensors exist their high cost prohibit their extensive use. In this paper, we introduce an innovative turbidity sensor, and it is the first low-cost turbidity sensor which is designed specifically for long-term stormwater in-field monitoring. Its low cost ($23.50 USD), enables the implementation of high spatial resolution monitoring schemes. The sensor design is available under open hardware and open-source licences, and the 3D-printed sensor housing is free to modify based on different monitoring purposes and ambient conditions. The sensor was tested both in the laboratory and in the field. The laboratory results show a strong linear relationship (R2 > 0.99) between the sensor readings and the commercial hand-held turbidimeter (Thermo Scientific AQ4500) results of the solution. In the field, the low-cost sensor measurements were statistically significantly correlated (p < 0.01) to a standard high-cost commercial turbidity sensor (GreenSpan TS-1000). Biofouling and drifting issues were also analysed after the sensors were deployed in the field for more than 6 months, showing both biofouling and drift occur during monitoring. Nonetheless, in terms of maintenance requirements, the low-cost sensor exhibited similar needs compared to the Green-Span sensor.

A substantial spike in the need for quality healthcare has resulted from people being more cognizant of health issues. With blockchain, healthcare providers may safely share patient information electronically, which is especially important given the sensitive nature of the data contained inside them. However, flaws in the current blockchain design have surfaced since the dawn of quantum computing systems. The study proposes a novel quantum inspired blockchain system (Qchain) and constructs a unique entangled quantum medical record (EQMR)system with an emphasis on privacy and security. This Qchain relies on entangled states to connect its blocks. Automated production of the chronology indicator reduces storage capacity requirements by connecting entangled BloQ (blocks with quantum properties) with controlled activities. One qubit is used to store the hash value of each block. A lot of information regarding quantum internet is included in the protocol for the entangled quantum medical record (EQMR). EQMR can be accessed in Medical Internet of Things (M-IoT) systems may be kept private and secure, and their where-abouts can be monitored in the event of an emergency. The protocol also uses quantum authentication in place of more conventional methods like encryption and digital signatures. Mathematical research shows that the quantum converged blockchain (QCB) is highly safe against attacks such as the External attack, Intercept-Measure-Repeat attack, and Entanglement-Measure attack. The reliability and auditability evaluations of the entangled BloQ, as well as the quantum circuit design for computing the hash value, are presented. There's also a comparison between the suggested approach and several other quantum blockchain designs.

The paper concerns with the identification of current communication technologies and software functionalities from the field of digitalization and Industry 4.0, from the point of view of benefits and applicability for the machine manufacturer. In order to identify the relevant technologies and functionalities, both a descriptive and statistical literature research was carried out. As a result, both the currently most widespread technologies and eleven IT functionalities relevant to mechanical engineers were identified and described in terms of their application and implementation. In addition, a knowledge gap in the area of industry transfer in the field of Industry 4.0 / Digitalization was identified

In an agricultural system, finding suitable watering, pesticide, and soil content to provide the right nutrients for the right plant is a mystery so far. Plants cannot speak and cannot ask which food they require. These problems can be addressed by applying intelligent (fuzzy logic) controllers to IoT devices in order to enhance communication between crops, ground mobile robots, aerial robots, and the entire farm system. The application of fuzzy logic in agriculture is a promising technology that can be used to optimize crop yields and reduce water usage. It was developed based on language and the air properties in the agricultural fields were formulated. The entire system was simulated in the MATLAB/SIMULINK environment with Cisco Packet Tracer integration. The inputs for the system were soil moisture sensors, temperature sensors, humidity sensors, and outputs were pump flow, valve opening, water level, and moisture in sounding. The obtained results were the output of opening valve, moisture in sound, pump flow rate, outflows, water level, and ADH values, which are 10.00000013 rad/sec, 34.72%, 4.494%, 0.025 m^3/sec, 73.31 cm^3, and 750 values respectively. The outflow rate increase indicates that the water is released from the tanks, and the control signal fluctuates, indicating that the valve is opening.

Sustainable agriculture has become increasingly important in Tunisia due to the drought that has been affecting the country's climate in recent years. This has become a major threat to the economy, making it necessary to explore alternative methods of agriculture that are more sustainable. Moreover, smart hydroponic cultivation based on renewable energies has become increasingly widespread, promoting the quality and efficiency of agricultural production despite weather parameters variations and global warming. This work aims to create a sustainable agriculture system in Tunisia through the design and implementation of a smart photovoltaic (PV) hydroponic greenhouse. The greenhouse will utilize advanced technology to optimize plant growth and reduce water usage, while also incorporating solar panels to generate renewable energy. The end goal is to create a self-sufficient and eco-friendly agricultural system that can provide fresh produce to local communities year-round. In this work, we are interested to the automation of the hydroponic greenhouse (HG)’s thermal conditioning system based on an asynchronous motor pump and powered by a PV generator. In the first stage, we analyzed the mathematical modeling of a stand-alone PV-HG system that consists of a PV generator, a three-phase inverter, an asynchronous motor pump, and a hydroponic system. After that, we developed a Field Oriented Control based on proportional integral (PI) regulators to adjust the rotation speed of the asynchronous motor pump, which aimed to provide the cooling and heating needs of the plant. The simulation results demonstrated the effectiveness of the proposed system . Additionally, we designed and implemented a smart system based on the internet of things (IoT) to enable remote control of internal and external parameters of the HG. This intelligent solution utilizes sensors, microcontrollers, and other devices and ensures the monitoring and the maintaining of the ideal growing conditions for our plants, guaranteeing that they receive the proper amount of temperature, humidity, and lighting. This type of system can be an invaluable tool for maximizing yields and achieving optimal results. With the right approach and attention to detail, we can create a sustainable and efficient growing environment that will help our plants flourish year-round.

Consumer IoT (CIoT) manufacturers seek customer feedback to enhance their products and services, creating a smart ecosystem like a smart home. Due to security and privacy concerns, Blockchain-based federated learning (BCFL) ecosystems can let CIoT manufacturers update their Machine Learning (ML) model using end-user data. FL uses privacy-preserving ML techniques to forecast customers' needs and consumption habits, and blockchain replaces the centralised aggregator to safeguard the ecosystem. However, Blockchain technology (BCT) struggles with scalability and quick ledger expansion. In BCFL, local model generation and secure aggregation are other issues. This research contributes a novel architecture emphasising Gateway Peer (GWP) in blockchain network to resolve scalability, ledger optimisation and secure model transmission issues. In the architecture we replace the centralised aggregator by the blockchain network, while GWP restricts the number of local transactions to execute in BCN. Considering the security and privacy of FL processes, we have added differential privacy and advanced normalisation techniques to ML processes. The approaches strengthen end-users' cyber security and encourage the adoption of technological innovation standards by service providers. The proposed approach has been tested extensively using a well-respected Stanford Cars dataset. We experimentally demonstrate that the proposed architecture makes the network scalable and optimises the ledger significantly. In addition, the normalisation technique outperforms batch normalisation when features are under DP protection.

The Internet of Things (IoT) is still a relatively new field of research, and its potential for use in the healthcare and medical sectors is enormous. In the last five years, IoT has been a go-to option for various applications such as using sensors for different features, machine-to-machine communication, etc., but precisely, in the medical sector, it is still lagging far behind compared to other sectors. Hence, this study emphasizes the IoT applications in medical fields, Medical IoT sensors and devices, IoT platforms for data visualization, and artificial intelligence in medical applica-tions. A systematic review considering PRISMA guidelines on research articles as well as the websites on IoMT sensors and devices have been carried out. A total of 986 articles after the year 2001 have been initially selected, and by applying the inclusion-exclusion criterion, a total of 597 articles have been identified. From these, 23 studies have been finally selected for this systematic review. This review analyzes different sensor monitoring circuits in detail, considering an Inten-sive Care Unit (ICU) scenario, device applications, and the data management system, including IoT platforms for the patients. Lastly, detailed discussion and challenges have been outlined, and possible prospects have been presented.