Since the 1970s, the application of microprocessor in industrial machinery and the development of computer systems have transformed the manufacturing landscape. The rapid integration and automation of production systems have outpaced the development of suitable human design criteria, creating a deepening gap where human factor was seen as an important source of errors and disruptions. Today the situation seems different: the scientific and public debate about the concept of Industry 4.0 has raised the awareness about the central role humans have to play in manufacturing systems, to the design of which they must be considered from the very beginning. The future of industrial systems, as represented by Industry 4.0, will rely on the convergence of several research fields such as Intelligent Manufacturing Systems (IMS), Cyber-Physical Systems (CPS), Internet of things (IoT), but also socio-technical fields such as social approaches within technical systems. This article deals with different Human dimensions associated with CPS and IoT and focuses on their conceptual evolution of automatization to improve the sociability of such automated production systems and consequently puts again the human in the loop. Hereby, our aim is to take stock of current research trends, and to show the importance of integrating human operators as a part of a socio-technical system based autonomous and intelligent products or resources. As results, different models of sociability as way to integrate human into the broad sense and/or the development of future automated production systems, were identified from the literature and analysed.

This paper is an attempt to forecast the potential application of Digital Twin in an industrial environment by adopting scenario analysis as part of technology monitoring. In recent years Digital Twin has become one of the most emerging topics in both the tech industry and academia. This field is the latest addition to industry 4.0. It has paved a great growth opportunity in the fields of Healthcare, manufacturing, and smart city areas. The Digital twin can be defined as mirroring the physical entities into a virtual environment where the status, health, and control of these entities can be monitored and controlled. It is a field where Artificial intelligence and the Internet of Things play a major role in the handshake between the two environments. In this paper we have done a thorough analysis to find out the possible future outcome of this technology in the manufacturing industry from the perspective of our fictious company. These scenarios expose various challenges and opportunities our organization may face in our future endeavour.

This paper presents an overview of the smart electro-clothing systems (SeCSs) targeted at health monitoring, sports benefits, fitness tracking, and social activities. Technical features of the available SeCSs, covering both textile and electronic components, are thoroughly discussed and their applications in the industry and research purposes have been highlighted. In addition, it also presents the developments in the associated areas of wearable sensor systems and textile-based dry sensors. As it became evident during the literature research, such a review on SeCSs covering all relevant issues has not been presented before. This paper will be particularly helpful for new generation researchers investigating the design, development, function and comforts of the sensor integrated clothing materials.

Vehicle-to-Vehicle (V2V) communication plays a pivotal role in modern intelligent transportation systems, enabling seamless information exchange among vehicles to enhance road safety, traffic efficiency, and overall driving experience. However, the secure transmission of sensitive data between vehicles remains a critical concern due to potential security threats and vulnerabilities. This research paper focuses on investigating the security protocols employed in Vehicle-to-Vehicle communication systems. A comprehensive review and analysis of relevant literature and research papers is conducted to gather information on existing V2V communication security protocols and techniques. The analysis encompasses key areas, including authentication mechanisms, encryption algorithms, key management protocols, and intrusion detection systems specifically applicable to V2V communication networks. Within the context of real-world V2V environments, this study delves into the challenges and limitations associated with implementing these protocols. Moreover, to foster a deeper understanding, the paper investigates present communication protocols in the field of Internet of Things (IoT) that are tailored for V2V. Various parameters, such as band-width consumption, energy consumption, latency, and message size, are considered during the evaluation of these protocols to gauge their effectiveness. The research outcomes aim to provide a comprehensive understanding of the strengths and weaknesses of the current V2V communication security protocols. Furthermore, based on the findings, this paper will propose improvements and recommendations to enhance the security measures of the V2V communication protocol. Ultimately, this research will contribute to the development of more secure and reliable V2V communication systems, propelling the advancement of intelligent transportation technology.

In order to achieve its carbon peak and neutrality targets, a high proportion of distributed power sources are connected to the distribution network in China, which greatly increases the risk of distribution network operation. Aiming at the above problems, this paper proposes an active distribution network risk planning model based on multi-source data from carbon capture and power internet of things, and conducts exceeding testing of distribution network based on the stochastic load flow algorithm with semi-invariant and level expansion, calculates the semi-invariant of each order of node state vectors and branch current vectors, and then utilizes the Gram-Charlier level expansion to obtain the exceeding probability density function and probability distribution function of the node voltages and line powers of the distribution network. The probability density function and probability distribution function of the exceeding are obtained using the Gram-Charlier series expansion. Combined with multi-source data, the active distribution network with integrated energy system considering carbon capture is modeled. According to the risk scenario of the distribution network, the nonconvex constraints in the model are simplified by the second-order cone relaxation, and the optimal planning scheme of the distribution network is solved by combining the gurobi solver with the risk index as the first-level objective and the economic benefit as the second-level objective. The simulation results of a coupled network consisting of a 39-node distribution network and an 11-node transportation network verify the effectiveness of the proposed model.

Data security in the Internet of things (IoT) is often implemented by means of encryption, which can be burdensome for some entities. We propose in this paper a solution based on routing, by which data are forwarded only to entities that are intended to receive them. An IoT network can be seen as a partial order of equivalence classes of entities, and each entity can be labeled according to the position of its equivalence class in the partial order. The partial order can be constructed according to requirements of secrecy (or confidentiality), integrity and conflicts. Routing tables among entities can be compiled by using the labels. The method is demonstrated in this paper for Software defined networking (SDN) routers and controllers. We propose a centralized IoT architecture with a cloud structure using SDN as networking infrastructure, where storage entities (i.e. cloud servers) are associated with application entities. A small ‘hospital’ example is shown for illustration. Procedures for network reconfigurations are discussed. We also demonstrate the method for the normal case where different partial orders coexist among a set of entities. The method proposed does not impose an overhead on the normal functioning of an SDN network, since it requires calculations only when the network must be reconfigured, because of administrative intervention or policies.

In the realm of the Internet of Things (IoT), a network of sensors and actuators collaborates to fulfill specific tasks. As the demand for IoT networks continues to rise, it becomes crucial to ensure the stability of this technology and adapt it for further expansion. Through an analysis of related works including Feedback-based Optimized Fuzzy Scheduling Approach (FOFSA) algorithm, Adaptive Task Allocation Technique (ATAT) and Osmosis Load Balancing algorithm (OLB), we identify their limitations in achieving optimal energy efficiency and fast decision-making. To address these limitations, this research introduces a novel approach to enhance the processing time and energy efficiency of IoT networks. The proposed approach achieves this by efficiently allocating IoT data resources in the Mist layer during the early stages. We apply the approach to our proposed system known as the Mist-based Fuzzy Healthcare System (MFHS) that demonstrates promising potential to overcome the existing challenges and pave the way for efficient Industrial Internet of Healthcare Things (IIoHT) of the future.

Despite the proliferation of Blockchain Metaverse projects, the inclusion of physically disabled individuals in the Metaverse remains distant, with limited standards and regulations in place. However, the article proposes a concept of the Metaverse that leverages emerging technologies, such as Virtual and Augmented Reality, and the Internet of Things, to enable greater engagement of disabled creatives. This approach aims to enhance inclusiveness in the Metaverse landscape. Based on the findings, the paper concludes that the active involvement of physically disabled individuals in the design and development of Metaverse platforms is crucial for promoting inclusivity. The proposed framework for accessibility and inclusiveness in Virtual, Augmented, and Mixed realities of decentralised Metaverses provides a basis for the meaningful participation of disabled creatives. The article emphasises the importance of addressing the mechanisms for art production by individuals with disabilities in the emerging Metaverse landscape. Additionally, it highlights the need for further research and collaboration to establish standards and regulations that facilitate the inclusion of physically disabled individuals in Metaverse projects.

Background:As cyber-physical systems (CPS) continue to grow, it is progressively crucial to address the challenges of data protection using artificial intelligence (AI). Objective:The goal of this research is to provide an up-to-date overview of the security and privacy issues of CPS that incorporate AI techniques. Method:To achieve this, the author conducted a systematic literature review, focusing on 35 relevant articles. Results:The data collected from these studies was then categorized into three main areas: 1) different security and privacy issues, 2) application areas and vulnerabilities, and 3) the AI techniques used to address security and privacy concerns. The literature review highlights that intrusion detection and cyberattacks are the most commonly studied areas in CPS, while Machine Learnning (ML)-based attacks and vessel trajectory are less explored. The review identifies various CPS applications such as water treatment, energy, healthcare, and transportation that address security and privacy concerns. However, a relatively small proportion of studies focused on the manufacturing domain. The review also notes that while supervised machine learning algorithms under the classification category are commonly used to address data protection issues, there are comparatively fewer studies that have implemented automation processes using robots and deep learning. Limitations:The articles related to blockchain-based research were not included in this review to focus solely on AI techniques. Conclusion:The results of this analysis indicate that there is a significant need for innovative AI/ML techniques to protect intelligent systems and networks from ML-based security threats.

The unstable international economic situation is reflected in the supply chain stress, lack or increased cost of some raw materials, fuel or semi-finished products is forcing organizations to perform new optimization initiatives in the utilization of their equipment and assets pointed to obtain the maximum value from them, while maintaining and even improving the quality of their products. The achievement of these objectives involves the reduction or minimization of equipment downtime to maintain the advantage over their competitors and ensure the organization's competitiveness. The intelligent maintenance system (IMS) provides adequate support for decision-making related to equipment maintenance, since poor maintenance results in unplanned stoppages, with the consequent additional cost and increased customer dissatisfaction, and an over-maintenance can result in an additional labor cost, time and the replacement of parts that are in good conditions. The utilization of new tools and technologies introduced by Industry 4.0 offers multiple opportunities for enhancement through communication and computerized data processing, aiming to improve the maintainability of a hydrogen compressor using neural networks based on attention mechanisms combined with linear regression.

To ensure the security of spatial-temporal Top-k query in two-tiered wireless sensor networks, many schemes have been proposed in the literature in the past decade. However, most of them only consider the scenario where sensor nodes are static, and cannot achieve the security goal for spatial-temporal Top-k query in mobile sensor networks, because the mobility of the sensor nodes will affect the spatial-temporal relationships of the sensory data items generated by the sensor nodes. Although we have proposed some schemes for two-tiered mobile wireless sensor networks (TMWSNs) in our previous work, there is still large room to improve their performances. In this paper, we proposed a novel scheme named STQ-TMWSN for secure fine-grained spatial-temporal Top-k query in TMWSNs based on the virtual-grid construction and the size-order encryption binding. Theoretic analysis shows that STQ-TMWSN can achieve low computation complexity and high security performance. Simulation results indicate that STQ-TMWSN brings much lower communication cost than the state-of-the-art schemes on securing Top-k query in TMWSNs.

The skyrocketing growth in the number of Internet of Things (IoT) devices will certainly pose a huge traffic demand for fifth-generation (5G) wireless networks and beyond. In-band full-duplex (IBFD), which is theoretically expected to double the spectral efficiency of a half-duplex (HD) wireless channel and to connect more devices, has been considered as a promising technology to accelerate the development of IoT. To exploit the full potential of IBFD, the key challenge is how to handle network interference (including self-interference, co-channel interference and multiuser interference) more effectively. In this paper, we propose a simple yet efficient user grouping method, where a base station (BS) serves strong downlink users and weak uplink users and vice versa in different frequency bands, mitigating severe network interference. We aim to maximize a minimum rate among all users subject to bandwidth and power constraints, which is formulated as a highly nonconvex optimization problem. By leveraging inner approximation framework, we develop a very efficient iterative algorithm to solve this problem, which guarantees at least a local optimal solution. Numerical results are provided to show not only the benefit of using full-duplex raido at BS, but also the advantage of the proposed user grouping method.

Internet of Things (IoT) provides a huge business value for customers, organizations, and governments due to the developments of so many applications in different sectors like energy and healthcare. Nevertheless, as a new emerging technology, IoT faces several security concerns that are more challenging than conventional Internet because of its limited resources as well as its complex ecosystem. Toward this end, we first highlight IoT security challenges and briefly discuss its security goals like confidentiality and integrity. Second, we discuss the most common attacks against IoT, along with their violated security goals. We also review the existing frameworks of security and privacy guidelines for IoT and illustrate their shortcomings. Third, we propose a novel framework for securing IoT objects, the key objective of which is to assign different Security Level Certificates (SLCs) for IoT objects based on their hardware capabilities and protection measures. Objects with SLCs, therefore, will be able to communicate with each other or with the Internet in a secure manner. The proposed framework is composed of five main phases. In phase 1, we classify IoT assets into four components: (i) physical objects, (ii) protocols, (iii) data at rest, and (iv) software, which includes operating systems, middlewares, and applications. We also classify IoT objects into five categories based on their hardware capabilities. In phase 2, we propose security and privacy guidelines for previously mentioned IoT assets, along with their protection measures. In phase 3, we classify protection measures into five SLCs, and then we assign different SLCs for IoT objects. In phase 4: we develop a communication plan between objects based on their SLCs. In phase 5, we propose a four-step method to seamlessly integrate our objects with legacy objects ( objects are not developed according to our framework). Fourth, the feasibility and application of this framework are illustrated using smart homes as a case study. Finally, we investigate how our framework would lessen several attacks and threats against IoT like routing attacks and physical damage. We also provide qualitative arguments to show that this framework could be utilized to solve some of IoT security challenges such as tight resource constrains. Moreover, we discuss the shortcomings of our suggested framework.

The radio operation in wireless sensor networks (WSN) in the Internet of Things (IoT) applications are the most common source for power consumption. However, recognizing and controlling the factors affecting radio operation can be valuable for managing the node power consumption. ContikiMAC is a low-power Radio Duty-Cycle protocol in Contiki OS used in WakeUp mode, which is a clear channel assessment (CCA) to check radio status periodically. The time spent to check the radio is of utmost importance for monitoring power consumption. It can lead to false WakeUp or idle listening in Radio Duty-Cycles and ContikiMAC. This paper presents a detailed analysis of radio WakeUp time factors of ContikiMAC. Then, we propose lightweight CCA (LW-CCA) as an extension to ContikiMAC to reduce the percentage of Radio Duty-Cycles in false WakeUps and idle listenings by using dynamic received signal strength indicators (RSSI) status check time. The simulation results in the Cooja simulator show that LW-CCA reduces about 8% energy consumption in nodes while maintaining up to 99% of the packet delivery rate (PDR).

Currently, the most important challenge in any assessment of state-of-the-art sensor technology and its reliability is to achieve road traffic safety targets. The research reported in this paper is focused on the design of a procedure for evaluating the reliability of Internet-of-Things (IoT) sensors and the use of a Cyber-Physical System (CPS) for the implementation of that evaluation procedure to gauge reliability. An important requirement for the generation of real critical situations under safety conditions is the capability of managing a co-simulation environment, in which both real and virtual data sensory information can be processed. An IoT case study that consists of a LiDAR-based collaborative map is then proposed, in which both real and virtual computing nodes with their corresponding sensors exchange information. Specifically, the sensor chosen for this study is a Ibeo Lux 4-layer LiDAR sensor with IoT added capabilities. Implementation is through an artificial-intelligence-based modeling library for sensor data-prediction error, at a local level, and a self-learning-based decision-making model supported on a Q-learning method, at a global level. Its aim is to determine the best model behavior and to trigger the updating procedure, if required. Finally, an experimental evaluation of this framework is also performed using simulated and real data

The patient's satisfaction level concerning hospitalization has certain particularities, related to the geographical area, medical/non-medical assistance, the age, incomes, morbidity and mortality of the population. The objective of this study is to emphasize the degree of patients' satisfaction, depending on the specialty of the hospitalization department: surgical, medical, oncological, psychiatry, and to evidence the factors influencing the reliability and accuracy of patients' answers, such as: the patient's health condition upon admission, the duration of the admission, the level of physical pain and the emotional state. Patients and methods: The research was conducted between April and December 2021 on patients hospitalized in two public hospitals from the north-west of Romania, both of them being independent Legal Entities: the Municipal Clinical Hospital of Oradea (MCHO) and the County Clinical Emergency Hospital of Oradea (CCEHO). Results: The lowest score of PSS recorded in these two analyzed public hospitals from the north-western of Romania was appointed for the Pharmaceutical availability of patients medical treatment (2.24), attitude of the staff (2.56) and the quality of nursing care offered (2.58). Conclusions: The hospital management’s focus has been set to improve the communication skills among medical staff, to evidence their compassion, politeness, and to ensure the availability of essential drugs.

The technical capabilities of modern Industry 4.0 and Industry 5.0 are rather vast and growing exponentially daily. The present-day Industrial Internet of Things (IIoT) combines manifold underlying technologies that require real-time interconnections and communications among heterogeneous devices. Smart cities are established with sophisticated designs and control for seamless Machine-to-Machine (M2M) communication to optimize resources, costs, performances, and energy distribution. All the sensory devices within a building interact to maintain a sustainable climate for residents and intuitively optimize the energy distribution to optimize energy production. However, it encompasses quite a few challenges for devices that lack compatible and interoperable designs. Conventional solutions are restricted to limited domains or rely on engineers to design and deploy translators for each pair of ontologies. This is a costly process in terms of engineering efforts and computational resources. The issue persists that a new device with a different ontology must be integrated into an existing IoT network. We propose a self-learning model that can determine the taxonomy of devices given their ontology meta-data and structural information. The model finds matches between two distinct ontologies using the Natural Language Processing (NLP) approach for learning linguistic contexts. Then, by visualizing the ontology network as a knowledge graph, it is possible to learn the structure of the meta-data and understand the device's message formulation. Finally, it can align entities of both ontology graphs similar in context and structure. Furthermore, the model performs dynamic M2M translation without requiring extra engineering or hardware efforts.

Deep Learning (DL) and Machine Learning (ML) are widely used in many fields, but rarely used in Frequency Estimation (FE) and Slope Estimation (SE) of signals. Frequency and slope estimation for Frequency-Modulated (FM) and single-tone sinusoidal signals are essential in various applications, such as wireless communications, sonar, and radar measurements. In this work, artificial neural network (ANN) and convolutional neural network (CNN) are used in frequency and slope estimation for FM signals under Additive White Gaussian Noise (AWGN) and Additive Symmetric alpha Stable Noise (SαSN). SαS distributions are impulsive noise disturbances found in many communication environments like marine systems; their distribution lacks a closed-form Probability Density Function (PDF), except for specific cases, and infinite second-order statistic, hence Geometric SNR (GSNR) is used in this work to determine the impulsiveness of noise in a mixture of Gaussian and SαS noise processes. ANN is a machine learning classifier, designed with few layers for reducing FE and SE complexity while getting higher accuracy as compared with classical techniques. CNN is a deep learning classifier, designed with many layers for FE and SE, and proved to be more accurate than ANN when dealing with big data and finding optimal features. Simulation results show that SαS noise can be much more harmful for FE and SE of FM signals than Gaussian noise. DL and ML can significantly reduce FE complexity, memory cost, and power consumption, which is important in many systems such as some Internet of Things (IoT) sensor applications. After training DCNN for frequency and slope estimation of LFM signals, the performance of DCNN (in terms of accuracy) can give acceptable results at very low signal-to-noise ratios where TFD fails, giving more than 20dB difference in the GSNR working range.

In a dynamic and rapidly changing world, customers’ often conflicting demands plus fluid economic requirements, often driven by geo-politics, have continued to evolve, out-striping the capability of existing production systems. With its inherent shortcomings, the traditional factory has proven to be incapable of addressing these modern-day manufacturing challenges. Recent advancements in Industry 4.0 have catalyzed the development of new manufacturing paradigms (or smart factory visions) under different monikers (e.g., Smart factory, Intelligent factory, Digital factory, Cloud-based factory etc.) would help fix these challenges. Due to a lack of consensus on a general nomenclature for these manufacturing paradigms, the term Future Factory (or Factory of the Future) is here used as a collective euphemism, without prejudice. The Future Factory constitutes a creative convergence of multiple technologies, techniques and capabilities that represent a significant change in current production capabilities, models, and practices. It is a data-driven manufacturing approach and system that harnesses intelligence from multiple information streams i.e., assets (including people), processes, and subsystems to help create new forms of production efficiency and flexibility. Serving both as a review monograph and reference companion, this paper details the meanings, characteristics, and technological underpinnings of the Future Factory. It also elucidates on the architectural models that guide the structured deployment of these modern factories with particular emphasis on three advanced communication technologies capable of speeding up advancements in the field. It not only highlights the relevance of communication between assets but also lays out mechanisms to achieve these interactions using the Administration shell. Finally, the paper also discusses the key enabling technologies that are typically embedded into bare bone factories to help improve their visibility, resilience, intelligence, and capacity, in addition to how these technologies are being deployed and to what effect. At the onset of the study, we were interested in developing a monograph which would serve as a comprehensive but concise review of general principles, fundamental concepts, major characteristics, key building blocks and implementation guidelines for the Future Factory within the overall context of the manufacturing ecosystem, in the age of Industry 4.0. Our hope is that this paper would enrich the extant literature on advanced manufacturing, help shape policy and research, and provide insights on how some of the identified pathways can be diffused into industry.

Specific climate adaptation and resilience measures can be efficiently designed and implemented at the regional and local level. Climate and environmental databases are of critical importance to achieving sustainability goals (SDGs) and for the efficient planning and implementation of suitable mitigation measures: Available databases can serve municipalities as a vital starting points to determine requirements, prioritize resources and allocate investments under consideration of commonly tight budget restrictions. High-quality geo, climate and environmental data are now available – data from remote sensing, i.e. Copernicus services will be of crucial importance. Forward-looking approaches exist to using such data to derive forecasts for urban planning process optimization for municipal administrations. On municipal level, however, the existing data have so far only been used to a limited extent, since there are no practical tools for urban planning that can be used to merge and meaningfully combine remote sensing data with local data and to further process and apply in municipal planning processes. Therefore, our project CoKLIMAx aims at the development of new digital products, advanced urban services and procedures, such as the development of practice-oriented technical tools that acquire various remote sensing and in-situ data sets for validation and further processing.

The radio activity in Wireless Sensor Networks (WSN) and Internet of Things (IoT) applications are the most common reason for power consumption. However, recognizing and controlling the factors affecting radio activity can be valuable for managing node power. ContikiMAC is a low-power Radio Duty-Cycle protocol in Contiki OS that uses Clear Channel Assessments (CCA) to check radio status periodically. The time taken to check the radio in receive mode WakeUp, is one of the most important reasons for power consumption which in most the cases can lead to negative WakeUp in Radio Duty-Cycles and ContikiMAC especially. Here, we present a detailed analysis of idle listening time factors on the ContikiMAC. Then, we propose Light Weight CCA(LW-CCA) as an extension to ContikiMAC to reduce power consumption by reducing the radio check time in receive mode WakeUp’s, while maintaining up to 99% the Packet Delivery Rate (PDR). The simulation results show that the proposed method reduces significantly energy consumption in nodes compared to ContikiMAC and thus it helps maintain a high network performance.

The article presents a method of generating Key Performance Indicators related to electric motor energy efficiency on the basis of Big Data gathered and processed in frequency converter. The authors proved that using the proposed solution it is possible to specify the relation between the control mode of an electric drive and the control quality-energy consumption ratio in the start-up phase as well as in the steady operation with various mechanical loads. The tests were carried out on a stand equipped with two electric motors (one driving, the other used to apply the load by adjusting the parameters of the built-in brake). The measurements were made in two load cases, for motor control modes available in industrially applied frequency converters (scalar V/f, vector Voltage Flux Control without encoder, vector Voltage Flux Control with encoder, vector Current Flux Control and Vector Current Flux Control with torque control). During the experiments values of current intensities (active and output), the actual frequency value, IxT utilization factor, relative torque and the current rotational speed were measured and processed. Based on the data the level of the energy efficiency was determined for various control modes.

The 21^st century has witnessed precipitous changes spanning from the way of life to the technologies that emerged. We have entered a nascent paradigm shift (industry 4.0) where science fictions have become science facts, and technology fusion is the main driver. Thus, ensuring that any advancement in technology reach and benefit all is the ideal opportunity for everyone. In this study, disruptive technologies of industry 4.0 was explored and quantified in terms of the number of their appearances in published literature. The study aimed at identifying industry 4.0 key technologies which have been ill-defined by previous researchers and to enumerate the required skills of industry 4.0. Comprehensive literature survey covering the field of engineering, production, and management was done from multidisciplinary databases: Google scholar, ScienceDirect, Scopus, Sage, Taylor & Francis and Emerald insight. Results of the electronic survey showed that 35 disruptive technologies were quantified and 13 key technologies: Internet of things, Big data, 3D printing, Cloud computing, Autonomous robots, Virtual and Augmented reality, Cyber physical system, Artificial intelligence, Smart sensors, Simulation, Nanotechnology, Drones and Biotechnology were identified. Both technical and personal skills to be imparted into the human workforce for industry 4.0 were reported. The study identified the need to investigate the capability and the readiness of developing countries in adapting industry 4.0 in terms of the changes in the education systems and industrial manufacturing settings. The study proposes the need to address integration of industry 4.0 concepts into the current education system.

A smart city is a futuristic approach that evolves with new technologies. It can start as a simple community and evolve into future cities. In most developing countries, where the population growth is faster, and where the organization and the urbanization are slower, there is a serious need for a framework for progressive change towards sustainable cities. This article discusses the level of intelligence of smart city components and proposes indicators as well as a methodology for measuring intelligence based on the objectives to be achieved as well as a certain number of technical requirements and some cognitive processes implemented.

Swift and diligent resilience response is mandatory in sustainable geo-distributed ecosystems. The real-time geo-spatial resilience requires agility in millions of parallel and distributed data processing tasks on data acquired from regional condition monitoring(RCM) systems. These tasks include expiditous resolution of complex sustainability conflict sets, promptly anomalies characterization in chaos sets, and resilience response uniqueness. This work is an archetype of a paragon geo-resilience support system(GRSS) for regional sustainability using a novel melioration in DADO production machine. The proposed expert system capitalized the synergic strengths of RETE, TREAT, LEAPS and GATOR networks was designed and implemented as a synthetic DADO machine(SDM). The generic architecture of DADO machine was improved in this work by enrichment in rule set conditions and solution set for regional scale resilience rule set conditions. The condition left-hand side(LHS) X equal to the solution set 2X for right-hand side (RHS) was the goal achieved by working memory(WM) optimization and conflict resolution strategy(CRS) in alpha and beta networks rules. A round-trip time of 80.2 seconds for first event response set using 1492 segment size and sequence number 360,000 with maximum packets at a single geospatial structure was 21 packets/sec was a noticeable landmark in this work. LEAPS and Concurrent-read algorithm for GATOR cluster networks in the proposed synthetic DADO machine architecture was the overall implementation that enabled urban scale resilient system practically possible on physical SHM deployment.

Introduction: Due to the spread of SARS CoV-2 virus responsible for COVID-19 disease, there is an urgent need to analyse COVID-19 epidemic perception in Poland. This study aims to investigate social perception of coronavirus in the Internet media during the epidemic. It is a signal report highlighting the main issues in public perception and medical commutation in real time. Methods: We study the perception of COVID-19 epidemic in Polish society using quantitative analysis of its digital footprints on the Internet on platforms: Google, Twitter, YouTube, Wikipedia and electronic media represented by Event Registry, from January 2020 to 29.04.2020 (before and after official introduction to Poland on 04.03.20). We present trend analysis with a support of natural language processing techniques. Results: We identified seven temporal major clusters of interest on the topic COVID-19: 1) Chinese, 2) Italian, 3) Waiting, 4) Mitigations, 5) Social distancing and Lockdown, 6) Anti-crisis shield, 7) Restrictions releasing. There was an exponential increase of interest when the Polish government “declared war against disease” around 11/12.03.20 with a massive mitigation program. Later on, there was a decay in interest with additional phases related to social distancing and an anti-crisis legislation act with local peaks. We have found that declarations of mitigation strategies by the Polish prime minister or the minister of health gathered the highest attention of Internet users. So enacted or in force events do not affect interest to such extent. Traditional news agencies were ahead of social media (mainly Twitter) in dissemination of information. We have observed very weak or even negative correlations between a colloquial searching term 'antiviral mask' in Google, encyclopaedic definition in Wikipedia “SARS-CoV-2” as well official incidence series, implying different mechanisms governing the search for knowledge, panic related behaviour and actual risk of acquiring infection. Conclusions: Traditional and social media do not only reflect reality, but also create it. Risk perception in Poland is unrelated to actual physical risk of acquiring COVID-19. As traditional media are ahead of social media in time, we advise to choose traditional news media for a quick dissemination of information, however for a greater impact, social media should be used. Otherwise public information campaigns might have less impact on society than expected.

Wireless Sensor Networks (WSN) are the core of Internet of Things and require cryptographic protection due to the increase number of attacks. Cryptographic methods for WSN should be fast and consume low power as these networks consist of battery-powered devices and constrained microcontrollers. NTRU, the fastest and secure public key cryptosystem, uses high degree polynomials, and is susceptible to the lattice basis reduction attack (LBRA). CPKC, proposed by NTRU authors, works on integers modulo $q$ and is easily attackable by LBRA since it uses small numbers for the sake of the correct decryption. Herein, RCPKC, a random congruential public key cryptosystem working on integers modulo $q$ is proposed, such that the norm of a two-dimensional vector formed by its private key is greater than $\sqrt{q}$. RCPKC works similar to NTRU, and it is a secure version of insecure CPKC. RCPKC specifies a range from which the random numbers shall be selected, and it provides correct decryption for valid users and incorrect decryption for an attacker using LBRA by Gaussian lattice reduction. Because of its resistance to LBRA, RCPKC is more secure. Simultaneously, due to the use of big numbers instead of high degree polynomials, RCPKC is about 24 (7) times faster in encryption (decryption) than NTRU. Also, RCPKC is more three times faster than the most effective known NTRU variant, BQTRU. Compared to NTRU, RCPKC reduces energy consumption at least seven times that allows increasing life-time of unattended WSN more than seven times.

The cannabis plant has been known for millennia for its properties such as textile fiber, food, recreational and medicinal use. Since the origin of its domestication in Asia, cannabis has been transported to the rest of the continents by merchants, nomads, settlers, and slaves, who have also carried with them valuable knowledge about its uses. Its medical use was one of the major contributions of this plant in the various civilizations through which it passed. This article aims to understand its origins, dissemination, and medical use over the years to the present day.

A two element Multiple Input Multiple Output UWB (Ultra-wide band) antenna is presented in this paper. The antenna is backed by the FR-4 substrate with a thickness of 1.6 mm and dielectric constant of 4.3 covering an area of 52.8 × 29 mm2. The proposed MIMO antenna consists of two single UWB antennas and a stub placed between the two antennas to reduce the mutual coupling. The proposed antenna achieves the voltage standing wave ratio (VSWR) of less than 2 and more than 86% radiation efficiency over the whole band of interest. Performance of the antenna is examined using both simulation and experiment. The design exhibits good performance characteristics in terms of bandwidth, gain, efficiency, return loss and VSWR. The proposed antenna is analyzed using the CST Microwave Studio software. The prototype model of the antenna is fabricated, tested, and measured to validate the simulation return loss results. There is acceptable agreement between the measured and simulated results.

Federated learning (FL) has become a burgeoning and attractive research area, which provides a collaborative training scheme for distributed data sources with privacy concerns. Most existing FL studies focus on taking unimodal data, such as images and text, as the model input and resolving the heterogeneity challenge, i.e., the non-identically distributed (non-IID) challenge caused by data distribution imbalance related to data labels and data amount. In real-world applications, data are usually described by multiple modalities. However, to the best of our knowledge, only a handful of studies have been proposed to improve the system performance by utilizing multimodal data. In this survey paper, we identify the significance of this emerging research topic – multimodal federated learning (MFL) and perform a literature review on the state-of-art MFL methods. Furthermore, we categorize multi-modal federated learning into congruent and incongruent multimodal federated learning based on whether all clients possess the same modal combinations. We investigate the feasible application tasks and related benchmarks for MFL. Lastly, we summarize the promising directions and fundamental challenges in this field for future research.

Multiple Gateways (GWs) provide network connectivity to Internet of Things (IoT) sensors in a Wide Area Network (WAN). The End Nodes (ENs) can connect to any GW by discovering and acquiring its periodic beacons. This provides GW diversity and hence improves coverage. If the GWs are within vicinity to each other, and they keep sending periodic beacons to be discovered, the result is interference and collisions. In this study, the impact of such intra-network interference is analyzed to determine the maximum number of GWs that can co-exist within a given urban neighborhood. The paper shows the relationship between beacon collisions and the resulting packet loss rates in a given urban environment. The expected collision rates are calculated for the Medium Access Control (MAC) layer. The eventual packet loss rates are calculated with the MAC and Physical (PHY) layers combined. For this purpose, a new co-channel interference model is presented. The model calculates the average Carrier to Interference ratio (C/I) averaged across all the colliding events. It takes into account the partial overlap durations and the relative power of each colliding signal. The model shows that a collision does not always cause a packet loss. Packet losses occur if there is a collision and if the C/I is below a threshold. The performance evaluation is presented using a combination of analytical and simulation methods. The analytical methods provide the theoretical foundation, and have been used to validate the simulation results. Furthermore, the system models are developed from experimental data obtained from measurements with real hardware. Numerical results are provided with a low bit rate Gaussian Frequency Shift Keying (GFSK) modulation at the PHY layer, which is derived from the IEEE 802.15.4 standard specification. This paper provides guidance on selecting the right GFSK modulation parameters for such low bit-rate and narrow bandwidth IoT applications. The analysis and simulation results show that larger beacon intervals help in reducing beacon loss rates, at the cost of larger beacon acquisition latency. On the flip side, the gateway discovery latency reduces with increasing GW density thanks to abundance of beacons.

As technologies such as eco-friendly ships, electric propulsion vessels, and multi-fuel propulsion systems advance, the scope of IoT applications in maritime field is expanding, resulting in increased complexity in control factors. The gradual progression towards Maritime Autonomous Surface Ships (MASS) is further driving the evolution of ship-based IoT applications. These advancements underscore the necessity for a platform capable of ensuring reliable connectivity between ships and onshore, while also being adaptable for deployment and operation to meet the demands of service availability. The limitations of the existing single cloud architecture become evident in this context. In response to these emerging challenges, this paper presents a cloud-based horizontal data platform structure anchored in the architecture of a Multi-Region Fog Cloud. This approach is tailored to fulfill the crucial requirement of maintaining robust and seamless connectivity for vessels navigating globally. Leveraging the capabilities of the Fog Cloud, the platform enhances service responsiveness by facilitating localized data collection and distribution, complemented by efficient data caching from the Cloud Center, serving users within the same geographical region. We outline a strategic framework for enhancing and executing key ship services within the proposed architecture. These services encompass data sharing between ships to elevate collision avoidance, disseminating weather data for optimized route planning, and constructing an operator training simulator (OTS) environment through the integration of digital twin technology. After, we implement an architecture using the AWS Cloud and gauges latency and Packet Loss Rate (PLR) through connections to Seoul, California, and Frankfurt regions. The test results reveal that latency in different regions is about 2-5 times higher than that in the same region for the payload. Furthermore, packet loss occurred at roughly 2-3 Hz packet generation rate (PGR) in different regions, whereas in the same region, it commenced at approximately 10-20 Hz PGR.

In this ‘New Normal' post-COVID-19 modern world, people's health is becoming increasingly important to track. An advanced technology that uses sensory instruments to track and record critical parameters and communicates with others is the need of the time. It's difficult to keep track of all of the medical parameters and post-operative data of people with non-communicable diseases like diabetes and heart disease on a continuous basis. The system discussed here to be designed for patients who are confined to their homes, particularly when going out and being exposed to the outer world is prohibited. This paper proposed a groundbreaking health management system based on the Internet of Things (IoT) for accessing patient medical parameters in both local and remote areas. When a person's wellbeing becomes urgent, this initiative seeks to send an emergency alert to family members or loved ones. A cloud server records data from the patient's temperature sensor and pulse sensor; the data is analyzed using support vector machine algorithms to identify irregular conditions, and an emergency message is sent to the rest of the family via a mobile application, as well as a warning message to the nearest hospital.

The Internet-of-Things (IoT) enables enterprises to obtain profits from data but triggers data protection questions and new types of cyber risk. Cyber risk regulations for the IoT however do not exist. The IoT risk is not included in the cyber security assessment standards, hence, often not visible to cyber security experts. This is concerning, because companies integrating IoT devices and services need to perform a self-assessment of its IoT cyber security posture. The outcome of such self-assessment needs to define a current and target state, prior to creating a transformation roadmap outlining tasks to achieve the stated target state. In this article, a comparative empirical analysis is performed of multiple cyber risk assessment approaches, to define a high-level potential target state for company integrating IoT devices and/or services. Defining a high-level potential target state represent is followed by a high-level transformation roadmap, describing how company can achieve their target state, based on their current state. The transformation roadmap is used to adapt IoT risk impact assessment with a Goal-Oriented Approach and the Internet of Things Micro Mart model.

System-of-systems (SoS) evolution is a complex and unpredictable process. Although various principles to facilitate collaborative SoS evolution have been proposed, there is a lack of experimental data validating their effectiveness. To address these issues, we present an Agent-Based Model (ABM) for SoS evolution in the Internet of Vehicles (IoV) , serving as a quantitative analysis tool for SoS research. By integrating multiple complex and rational behaviors of individuals, we aim to simulate real-world scenarios as accurately as possible. To simulate the SoS evolution process, our model employs multiple agents with autonomous interactions and incorporates external environmental variables. Furthermore, we propose three evaluation metrics: evolutionary time, degree of variation, and evolutionary cost, to assess the performance of SoS evolution. Our study demonstrates that enhanced information transparency significantly improves the evolutionary performance of distributed SoS. Conversely, the adoption of uniform standards only brings limited performance enhancement to distributed SoSs. Although our proposed model has limitations, it stands out from other approaches that utilize Agent-Based Modeling to analyze SoS theories. Our model focuses on realistic problem contexts and simulates realistic interaction behaviors. This study enhances the comprehension of SoS evolution processes and provides valuable insights for the formulation of effective evolutionary strategies.

This paper pioneers a novel exploration of environmental impacts in livestock farming, with a focus on pig farming's intersection with climate change and sustainability. It emphasizes the transformative potential of data-driven Artificial Intelligence (AI) methodologies, specifically the Internet of Things (IoT) and multimodal data analysis, in promoting equitable and sustainable food systems. The study observes five pigs, aged 86 to 108 days, using a tripartite sensor that records heart rate, respiration rate, and accelerometer data. The unique experimental design alternates between periods of isolation during feeding and subsequent pairing, enabling the investigation of stress-induced changes. Key inquiries include discerning patterns in heart rate data during isolation versus paired settings, fluctuations in respiration rates, and behavioral shifts induced by isolation or pairing. The study also explores potential detection of gait abnormalities, correlations between pigs' age and their gait or activity patterns, and the evolution of pigs' walking abilities with age. The paper scrutinizes accelerometer data to detect activity changes when pigs are paired, potentially indicating increased stress or aggression. It also examines the adaptation of pigs to alternating isolation and pairing over time, and how their heart rate, respiration rate, and activity data reflect this process. The study considers other significant variables, such as time of day and isolation duration, affecting the pigs' physiological parameters. Sensor data is further utilized to identify behavioral patterns during periods of feeding, isolation, or pairing. In conclusion, this study harnesses IoT and multimodal data analysis in a groundbreaking approach to pig welfare research. It underscores the compelling potential of technology to inform about overall pig welfare, particularly stress levels and gait quality, and the power of data-driven insights in fostering equitable, healthy, and environmentally conscious livestock production systems.

Very well into the dawn of the fourth industrial revolution (industry 4.0), we hardly distinguish between what is artificial and what is natural (e.g. man-made virus and natural virus). Thus, the level of discombobulation among people, companies or countries is indeed unprecedented. The fact that industry 4.0 is explosively disrupting or retrofitting each and every industrial sector, makes industry 4.0 the famous buzzword amongst researchers today. However, the insight of industry 4.0 disruption in the industrial sectors remains ill-defined in both academic and non-academic literature. The present study aimed at identifying industry 4.0 neologisms, understanding the industry 4.0 disruption and illustrating the disruptive technologies convergence in the major industrial sectors. A total of 99 neologisms of industry 4.0 were identified. Industry 4.0 disruption in Education industry (Education 4.0), Energy industry (Energy 4.0), Agriculture industry (Agriculture 4.0), Healthcare industry (Healthcare 4.0), and Logistics industry (Logistics 4.0) are described. The convergence of 12 disruptive technologies including 3D printing, Artificial intelligence, Augmented reality, Big Data, Blockchain, Cloud computing, Drones, Internet of things, Nanotechnology, Robotics, Simulation and Synthetic biology in agriculture, healthcare and logistics industries are illustrated.

In this research, we are attempting to review the relationship between users' models of using internet and bonding social capitals in Iran. The theoretical framework of the research are based on theoretical approaches of Dearnly and Feder, Velleman, Katz in the field of internet and models of using it and views of Putnam, Woolcock regarding social capital. The method used in this research is a qualitative – quantitative mixed method and the sampling method which has been used in the qualitative method is the purposive sampling method (theoretical sampling) and in the quantitative method, a combination of clustering, systematic and stratified sampling method in proportion with age and gender has been used. The statistical population of all persons who are 15 years old and more in Kerman city has been estimated to be 515114 persons in 2019 and the research sample has been estimated to be about 400 persons. Research results indicate that the rate of citizens' usage of internet in Kerman city is very low (less than 5 hours per week). Other results of the research indicate that regarding the model based on information associated with news, mostly filtered and unpermitted news sites such as VOA, BBC and other networks have been used. Research data regarding social identity is indicative of formation of identity evolutions in the contemporary society of Iran. The results of the path model test of the research indicate that news and economic information based models have about (0.11) direct and positive impact and ethnic identity has a direct and positive impact (0.189) and group identity has about (-0.131) impact and entertainment based model has about (0.130) impact on social capital. The results of variables' indirect impacts have also been expressed in the research

Background: medical devices are designed, tested and placed on the market in a highly regulated environment. Wearable sensors are crucial components of various medical devices: design and validation of wearable sensors, if managed according to international standards, can foster innovation while respecting regulatory requirements. Material and methods: the purpose of this paper is to take into consideration the upcoming EU Medical Device Regulation 2017/245 and the current and future IEC and ISO standards that set methods for design and validation of medical devices, with a focus on wearable sensors. Risk classification according to the regulation is described. The international standards IEC 62304, IEC 60601, ISO 14971 and ISO 13485 are reviewed to define regulatory restrictions during design, pre-clinical validation and clinical validation of devices that include wearable sensors as crucial components. Results: current and future regulatory restrictions are described, and an integrated method for design planning, validation and clinical testing is described Discussion: application of this method to design wearable sensors should be evaluated in the future in order to assess its potentially positive impact to fostering innovation and to the time-to-market of the device.

The next-generation "Industrial Internet of Things" (IIoT) will support "Machine-to-Machine" (M2M) communications for smart Cyber-Physical-Systems and Industry 4.0, and require guaranteed cyber-security. This paper explores hardware-enforced cyber-security for critical infrastructures. It examines a Quantum-Safe "Software-Defined Deterministic IIoT" (SDD-IIoT), with a new forwarding-plane (sub-layer-3a) for deterministic M2M traffic flows. A "Software-Defined-Networking" (SDN) control-plane controls many "SDD Wide Area Networks" (SDD-WANs), realized with FPGAs. The SDN control-plane provides an "Admission-Control/Access-Control" system for network-bandwidth, using collaborating Artificial Intelligence (AI) rule-based "Zero Trust Architectures" (ZTAs). Hardware-enforced access-control eliminates all congestion, BufferBloat, and DoS/DDoS attacks in the forwarding-plane, reduces buffer-sizes by 100,000+ times, and supports ultra-reliable and uItra-low-latency communications in the SDD-WANs. The SDD-WANs can: (i) Encrypt/Authenticate M2M flows using Quantum-Safe ciphers, to withstand attacks by Quantum Computers; (ii) Implement "Guaranteed Intrusion Detection Systems" in FPGAs, to detect cyber-attacks embedded within billions of IIoT packets/second; (iii) Provide guaranteed immunity to external cyber-attacks against critical infrastructure, and exceptionally-strong immunity to internal cyber-attacks; (iv) Save $US100s of billions annually by exploiting FPGAs; and (v) Enable "Quantum Key Distribution" (QKD) Networks by providing a programmable forwarding-plane with "authenticated classical channels" and full-immunity to DoS/DDoS attacks. Extensive experimental results for an SDD-WAN over the European Union are reported.

Despite the increasing role of machine learning in various fields, very few works considered artificial intelligence for frequency estimation (FE). This work presents a comprehensive analysis of deep-learning (DL) approach for frequency estimation of single-tones. It is shown that DL network with two layers having a few nodes can estimate frequency more accurately than well-known classical techniques. The study is comprehensive, filling gaps of existing works, where it analyzes error under different signal-to-noise ratios, numbers of nodes, and numbers of input samples; also, under missing SNR information. It is found that DL-based FE is not significantly affected by SNR bias or number of nodes. DL-based approach can work properly using minimal number of input nodes N at which classical methods fail. It is possible for DL to use as little as two layers with two or three nodes each, with complexity of O{N} versus O{Nlog2 (N)} for DFT-based FE, noting that less N is required for DL. Hence, DL can significantly reduce FE complexity, memory, cost, and power consumption, making DL-based FE attractive for resource-limited systems like some IoT sensor applications. Also, reduced complexity opens the door for hardware-efficient implementation using short word-length (SWL) or time-efficient software-defined radio (SDR) communications.

Traffic shaping is a critical task in software-defined -IoT networks (SDN-IoTs) to efficiently manage network resources and ensure Quality of Service (QoS) for end-users. However, traditional traffic shaping approaches based on queuing theory or static policies may not be effective due to the dynamic and unpredictable nature of network traffic. In this paper, we propose a novel approach that leverages Graph Neural Networks (GNNs) and Multi-arm Bandit algorithms to dynamically optimize traffic shaping policies based on real-time network traffic patterns. Specifically, our approach uses a GNN model to learn and predict network traffic patterns and a Multi-arm Bandit algorithm to optimize traffic shaping policies based on these predictions. We evaluate the proposed approach on three different datasets, including a simulated corporate network (KDD Cup 1999), a collection of network traffic traces (CAIDA), and a simulated network environment with both normal and malicious traffic (NSL-KDD). The results demonstrate that our approach outperforms other state-of-the-art traffic shaping methods, achieving higher throughput, lower packet loss, and lower delay, while effectively detecting anomalous traffic patterns. The proposed approach offers a promising solution to traffic shaping in SDNs, enabling efficient resource management and QoS assurance

Transportation, environmental conditions, quality of human life within smart cities, and system infrastructure have all needed practical and dependable smart solutions as urbanization has accelerated in recent years. In addition, the emerging Internet of Things (IoT) provides access to a plethora of cutting-edge, all-encompassing apps for smart cities, all of which contribute significantly to lowering energy consumption and other negative environmental impacts. For smart cities to meet the challenge of using less energy, the authors of this research article suggest planning and implementing an integrated power and heat architecture that puts renewable energy infrastructure and energy-storage infrastructure at the top of the list. To address these issues, we describe a smart proposed NEOSRD architecture that uses a distributed smart area domain to optimize renewable demand energy in a smart city across a wide area network. The energy requirements of desalination procedures are negligible when compared to the total local energy consumption and transportation, a feat accomplished by the proposed NEOSRD system. Here, the computational model shows how the established system is a valuable response to our problems and a cost-effective strategy for creating smarter structural elements that cut down on overall smart cities' energy costs.

Respiratory viral infections (RVI) are common reasons for healthcare consultations. The inpatient management of RVI consumes significant resources. From 2009-2014, we assessed the costs of RVI management in 4776 hospitalized chil-dren aged 0-18 years participating in a quality improvement program, where all ILI patients underwent virologic testing at the National Reference Centre followed by de-tailed recording of their clinical course. The direct (medical or non-medical) and indirect costs of inpatient management outside the ICU (“non-ICU”) versus management requiring ICU-care (“ICU”) added up to 2,767.14€ (non-ICU) vs. 29,941.71€ (ICU) for Influenza, 2,713.14€ (non-ICU) vs. 16,951.06€ (ICU) for RSV infections, and 2,767.33€ (non-ICU) vs. 14,394.02€ (ICU) for human rhinovirus (hRV) infections, respectively. Non-ICU inpatient costs were similar for all 8 RVI studied: Influenza, RSV, hRV, ade-novirus (hAdV), metapneumovirus (hMPV), parainfluenzavirus (hPIV), bocavirus (hBoV) and seasonal coronavirus (hCoV) infections. ICU-costs for Influenza however, ex-ceeded all other RVI. At the time of the study, Influenza was the only RVI with antivi-ral treatment options available for children, but only 9.8% of Influenza patients (non-ICU) and 1.5% of ICU-patients with Influenza received antivirals; only 2.9% were vac-cinated. Future studies should investigate the economic impact of treatment and pre-vention of Influenza-, COVID-19-, and RSV post vaccine introduction.

There are complex ethical dilemmas inherent in medicine teaching, particularly in clinical prac-tice involving actual patients. Questions must be raised on fulfilling medical students' training needs while still respecting patients' fundamental rights to autonomy and privacy. We aimed to assess patients' perspectives regarding medical students' involvement in their medical care. An observational, cross-sectional study was developed, and an interview-like questionnaire was ap-plied randomly to patients waiting for a consult/admitted to three distinct departments: General Surgery, Obstetrics/Gynaecology, and Infectious Diseases. Of the 77% interviewed patients who reported previous experiences with medical students, only 59% stated that they were asked for consent for their participation and 28% that students had adequately introduced themselves. Pa-tients from Gynaecology/Obstetrics were the ones who reported lower rates of these practices and were also the ones who were most bothered by students' presence, stating that they would refuse students' participation in the future. Male patients received more explanations than female pa-tients regarding the same matters. 35% of patients stated they would feel more comfortable without the medical students' presence. The study shows a need to pay closer attention to ful-filling patients' fundamental rights.

Background: This study was conducted to investigate medical students' lifestyle habits, including sleep quality, eating and drinking pattern, physical activity, and social status. Method: This research project is part two of a multi-institutional cross-sectional observational study conducted among medical students from six medical colleges in Saudi Arabia between September and December 2019. Results: 675 medical students were enrolled electively into the lifestyle study. About half of this number were male students, and the majority aged 18-24 years. Most students (87.6%) slept between 4-8 hours a day, and over 44% were dissatisfied with their sleep. Only 28.1% had three meals a day; about 40% of them usually or always skipped breakfast. While 44% usually or always eat fast food, 44.7% drink 2 liters of water per day. Moreover, male students were significantly consuming fast foods than females, p<0.001. The majority (63.3%) revealed they usually or always drink black coffee daily. Females were significantly more inclined to regular coffee consumption than males, p<0.001. Only 4.3% exercising for 30 minutes or more daily. The majority (65%) of the students were introverted; they had few close friends. Yet, 81% were somewhat satisfied or satisfied with their social life. Male students were predicted to be significantly more satisfied with their social life than females, p=0.001. Only 4.6% smoked cigarettes daily. Whereas 7.1% smoke e-cigarette daily. In contrast, only 0.3% use shisha (hookah) daily. Male medical students were substantially more predicted to be inclined to e-cigarette use than females (p <0.001. The top five leisure activities of a medical student are surfing social media (75.9%), watching movies (61.3%), hanging out with friends (58.1%), spent time with their family (55.4%), and browsing the internet (53.6%). Female medical students were significantly more inclined to surfing social media than male medical students, p=0.022; also, watching movies was preferred for females compared to males, p=0.006. Conclusion: This study revealed that the majority of medical students in Saudi Arabia exhibited healthy lifestyles to some extent, and these health-promoting behaviors differed based on gender, especially concerning physical activity and eating patterns. The findings of this study provide relevant information for future actions that will be geared towards effectively decreasing the occurrence of chronic illnesses and improving future doctor’s well-being.

Chronic kidney disease (CKD) is a progressive condition that affects more than 10% of the world's population. Monitoring urine albumin and creatinine ratio (µACR) has become the gold standard for nephropathy diagnosis and control. The objective of the present study was to develop a simple, accurate, sensitive, and rapid point-of-care test (PoCT) device - MYμALBUMIN that community healthcare professionals can use in resource-limited facilities and by patients in their own homes for screening the risk and monitoring the progress of CKD. Albumin and creatinine concentrations in urine samples were determined using spectrophotometric dye (tetrabromophenol blue)-binding and colorimetric Jaffe’assay, respectively. Urine samples were diluted with distilled water (1:80) and mixed separately with albumin and creatinine reaction mixture. The creatinine reaction was incubated at room temperature (25oC) for 30 minutes before analysis. Optical density (OD) was measured at the wavelengths of 625 nm (albumin) and 515 nm (creatinine). All calibration curves (2-60 mg/L and 0.25-2 mg/dL for albumin and creatinine) yielded linear relationships with correlation coefficients (r2) of &gt; 0.999. Good accuracy (%DMV &lt; + 2.88%) and precision (%CV &lt; 3.0%) were observed from both the intra- or interday assays for the determination of albumin and creatinine by MYµALBUMIN. The limit of quantification (LOQ) of albumin and creatinine in urine samples determined by MYµALBUMIN and laboratory spectrophotometer were 2 mg/L and 0.1 mg/dL, respectively, using 37.5 μL urine samples. The device was well applied with clinical samples from 13 CKD patients. The median (range) of %DMV of the central (hospital) laboratory method (immune-based assay) was 3.18 (-10.11 to 14.12)%, with a high correlation coefficient (r2 &gt;0.99). In conclusion, MYμALBUMIN showed satisfactory test performance in terms of accuracy, reproducibility, sensitivity, and specificity. The device would have significant economic benefits besides obviously improving clinical decision-making processes.

Continuum robots play the role of end-effector in various surgical robots and endoscopic devices. The robots may be categorized as rigid or soft continuum robots (SCRs). While the SCRs have proven advantages such as safety and compliance, more research and development are required to enhance their capability for specific medical scenarios. This research aims at designing a soft robot considering concepts of geometric and kinematic similarities. The chosen application is a semi-invasive medical application known as Transesophageal Echocardiography (TEE), but the methodology can be implemented in other similar applications. Since established rigid carrier construction make use of principles we find as well embodied in vertebral spines, the paragon for soft robot solution can be the phylogenetic precursor of the spine, the Chorda dorsalis. The feasibility of fabrication of a soft endoscopic device derived from that paragon within a robotics laboratory was shown empirically by producing a three-segment pneumatic SCR. The kinematic model was proposed based on the method of transformation matrices, and an algorithm based on a self-organizing map (SOM) was proposed and applied to realize kinematic similarity. The simulation results indicate that the algorithm acting as an open-loop controller forces the soft robot tip to follow the desired path which in this case is the path of the rigid probe. It is concluded that the solution provides a soft robot that can surrogate and succeed the traditional rigid counterpart owing to size, workspace, and kinematics.

The Internet of Vehicles (IoV) is an emerging field that has attracted significant attention due to its potential to transform transportation and mobility. IoV enables the development of new services and applications that can improve transportation systems' efficiency, safety, and sustainability. However, ensuring secure and trustworthy communication among the different components of an IoV system is a critical challenge that needs to be addressed. This paper proposes a blockchain-enabled communication framework for secure and trustworthy IoV applications. The proposed framework leverages the security and decentralization features of blockchain technology to provide secure communication channels for different components of the IoV system, including vehicles, infrastructure, and service providers. The proposed framework provides an identity management system to authenticate and authorize users and devices, thereby preventing unauthorized access and data breaches. To evaluate the effectiveness of the proposed framework, we conducted experiments using a real-world IoV scenario, and the results demonstrate that the proposed framework can provide secure and trustworthy communication for IoV applications. The proposed blockchain-enabled communication framework offers a promising approach to address the security and trust challenges in IoV communication systems.

As a novel concept in technology and communication world, “Internet of Things (IoT)” has been emerged. In such modern technology, the capability to transmit data through data communication networks (such as Internet or Intranet) is provided for each organism (e.g. human being, animals, things, and so forth). Due to the limited hardware and communication operational capability as well as small dimensions, IoT undergoes quite a few challenges. Such inherent challenges not only cause fundamental restrictions in the efficiency of aggregation, transmission, and communication between nodes; but they also degrade routing performance. To cope with the reduced availability time and unstable communications among nodes, data aggregation and transmission approaches in such networks are designed more intelligently. In this paper, a distributed method is proposed to set child balance among nodes. In this method, the height of the network graph is increased through restricting the degree; and network congestion is reduced as a result. Besides, a dynamic data aggregation approach -named as LA-RPL- is proposed for RPL networks. More specifically, each node is equipped with learning automata in order to perform data aggregation and transmissions. Simulation results demonstrate that the proposed approach outperforms previously suggested based approaches in terms of energy consumption, network control overhead, and packet loss rate.

The widespread proliferation of sensor nodes in the era of Internet of Things (IoT) coupled with increasing usage of wireless spectrums especially the ISM band makes it difficult to deploy real-life IoT. Currently, the cognitive radio technology enables sensor nodes communicate with each other through the licensed spectrum bands as well as the free ISM bands. Cognitive radio networks (CRSNs) are considered as a promising solution to the problem of spectrum under utilization and artificial radio spectrum scarcity. The paradigm of dynamic spectrum access allows secondary users (SUs) to utilize wireless spectrum resources which belong to primary users (PUs) with minimal interference to PUs. Due to the dynamic spectrum availability and quality, routing for SUs in multi-hop CRSNs is a challenge. In this paper, we introduce novel routing metrics that estimate both the future spectrum availability and the average transmission time with the consideration of both the global statistical spectrum usage and local instant spectrum resources. In our novel routing metrics, one retransmission is allowed and considered to reduce the probability of rerouting upon PU's arrival. Then, we propose two routing algorithms for multi-hop CRSNs. Finally, we conduct simulations, whose results show that our proposed algorithms lead to a significant performance improvement over the reference algorithm.

This article describes the use of the PI ProcessBook software tool for visualization and indirect monitoring of occupancy of SHC rooms from the measured operational and technical quantities for monitoring of daily living activities for support of independent life of elderly persons. The proposed method for data processing (predicting the CO₂ course using neural networks from the measured temperature indoor T_i (°C), temperature outdoor T_o (°C) and the relative humidity indoor rHi (%)) was implemented, verified and compared in MATLAB SW tool and IBM SPSS SW tool with IoT platform connectivity. Within the proposed method, the Stationary Wavelet Transform de noising algorithm was used to remove the noise of the resulting predicted course. In order to verify the method, two long-term experiments were performed, (specifically from February 8 to February 15, 2015, from June 8 to June 15, 2015) and two short-term experiments (from February 8, 2015 and from June 8, 2015). For the best results of the trained ANN BRM within the prediction of CO₂, the correlation coefficient R for the proposed method was up to 90%. The verification of the proposed method confirmed the possibility to use the presence of persons of the monitored SHC premises for rooms ADL monitoring.

One of the challenges of deploying Wireless Sensor Networks (WSN) at large scale is to operate for prolonged periods of time relying on the limited amounts of energy stored in its nodes. Generally, data communication is the main factor of draining energy. Consequently, reducing the amount of transmitted data by the nodes is of great interest. At the same time, reducing data to be transmitted should not decrease the quality of the deduced information. Solving this problematic is what we call in this article "Ensuring the Quality of Information Service (QoIS)". This document provides a state-of-the-art for the QoIS regarding WSNs. At first, we give a quick overview of the Internet of Things (IoT) paradigm and the WSN technologies in order to understand how data is gathered and used in these networks. Also, we introduce a novel concept: QoIS, in contrast with classic QoS. Then, it is expected a summary of criteria that asses the QoIS in WSNs plus some techniques to improve it. In this article, we will focus on data management techniques. These techniques can improve raw data, information and/or knowledge quality in energy-constrained WSNs. Finally, we give some conclusions and a glimpse about our future work.

The Internet-of-Things (IoT) triggers new types of cyber risks. Therefore, the integration of new IoT devices and services requires a self-assessment of IoT cyber security posture. By security posture this article refers to the cybersecurity strength of an organisation to predict, prevent and respond to cyberthreats. At present, there is a gap in the state-of-the-art, because there are no self-assessment methods for quantifying IoT cyber risk posture. To address this gap, an empirical analysis is performed of 12 cyber risk assessment approaches. The results and the main findings from the analysis is presented as the current and a target risk state for IoT systems, followed by conclusions and recommendations on a transformation roadmap, describing how IoT systems can achieve the target state with a new goal-oriented dependency model. By target state, we refer to the cyber security target that matches the generic security requirements of an organisation. The research paper studies and adapts four alternatives for IoT risk assessment and identifies the goal-oriented dependency modelling as a dominant approach among the risk assessment models studied. The new goal-oriented dependency model in this article enables the assessment of uncontrollable risk states in complex IoT systems and can be used for a quantitative self-assessment of IoT cyber risk posture.

In Thailand, the topic of medical ethics and laws related to medical professions has been one part of the national competency assessment criteria. The objective of this article was to design legal issues into the medical curriculum and to share experiences of creative legal study. Legal contents were inserted into 10 subjects and taught for year 1 to year 6 medical students. Students were divided into multi-groups or received individual tasks and then, shared their knowledge and idea for solving legal problems. The results showed they could interpret and create novel ideas for legal and ethical reconstruction, including the topic of the principle of laws, criminal laws, civil and commercial laws, public health laws, organ donation/transplantation, end of life decisions, and legal liability for the medical profession. Finally, the creative legal study can be used as a novel approach to support creativity among medical students.

Background: During anatomy (topographic) chair, we prepared an anatomic piece of an older female pelvis (unknown causa mortis). Here, we present an anatomic piece prepared by medical students that helped us to better understand hypertrophic bladder pathophysiology. Methods: A traditional corpse dissection guided by an assistant professor. Results: Corpse dissection enhanced our personal experience during the medical course. It also helped us to better visualize how big a hypertrophic urinary bladder can become as the etiologic cause is not taken care. Conclusions: Despite virtual and 3D anatomy lessons, we believe corpse dissection must remain as a teaching strategy that can help to build a new generation of surgeons as well as honor the History of Medicine.

The objective of this study was to identify the key elements used by prehospital emergency physicians (EP) to decide whether or not to attempt advanced life support (ALS) in asystolic out-of-hospital cardiac arrest (OHCA). From 01.01.2009 to 01.01.2017, all adult victims of asystolic OHCA in Geneva, Switzerland, were retrospectively included. Patients with signs of "obvious death" or with a Do-Not-Attempt-Resuscitation order were excluded. Patients were categorized as having received ALS if this was mentioned in the medical record, or, failing that, if at least one dose of adrenaline had been administered during cardio-pulmonary resuscitation (CPR). Prognostic factors known at the time of EP's decision were included in a multivariable logistic regression model. 784 patients were included. Factors favourably influencing the decision to provide ALS were witnessed OHCA (OR=2.14, 95%CI1.43–3.20) and bystander CPR (OR=4.10, 95%CI2.28–7.39). Traumatic aetiology (OR=0.04, 95%CI0.02–0.08), age >80 years (OR=0.14, 95%CI0.09–0.24) and a Charlson comorbidity index greater than 5 (OR=0.12, 95%CI0.06–0.27) were the factors most strongly associated with the decision not to attempt ALS. Factors influencing the EP’s decision to attempt ALS in asystolic OHCA are the relatively young age of the patients, few comorbidities, presumed medical aetiology, witnessed OHCA and bystander CPR.

Background: Citicoline, a medical food, lacks proven efficacy for ischemic stroke and has uncertainties around its harms. The continued prescription should be reevaluated given the more robust, high-quality Evidence against that medical food. This essay is based on a recent Cochrane review and uses only one all-cause mortality as the primary outcome. Therefore, the essay should be considered as something other than an updated Cochrane review but like a reflection based on Evidence-based Medicine and Philosophy of Science analysis. Question Research: Why citicoline (a medical food) should not be prescribed to treat people with acute ischemic stroke: The certainty of the Evidence.? Objective: Demonstrate from evidence-based medicine and philosophy of science perspective that citicoline should not be prescribed for acute ischemic stroke due to lack of efficacy and harm uncertainties. Search publications: We searched in PubMed and Cochrane Library from 2020 until 30 October 2023. We, furthermore, used engineering machines Bing and Google Scholar to detect additional papers. Additionally, we also reviewed reference lists of the retrieved publications and review articles and searched the websites of the U.S. Food and Drug Administration (FDA) and European Medicines Agency (EMA). Selection criteria: We included systematic reviews, meta-analyses, randomized clinical trials, clinical guidelines focused on acute ischemic stroke and comparing citicoline versus placebo or no intervention. We excluded narrative reviews, observational studies and ongoing trials. Data collection and analysis: We identified only new randomized clinical trials and assessed the risk of bias in seven domains. The other eight trials were already included in the mentioned Cochrane review. The systematic reviews with or without meta-analyses were assessed using McMaster University guidelines. We estimated risk ratios (RRs) for that outcome. We measured statistical heterogeneity using the I² statistic. We conducted our analyses using the fixed effect model. We did not use the GRADE approach due to what is shown in a Cochrane review published in 2020 by Martí-Carvajal et al. We used the RevMan 5.4 software from Cochrane Collaboration to conduct the forest plot. We used a Trial Sequential Analysis with Copenhagen Trial Unit Software. We estimated a Bayes factor from the relative risk and 95% confidence interval. Results: We identified only one new RCT (N = 99) reported mortality data and three clinical guidelines. We conducted a new meta-analysis with nine trials (N = 4461) having a high risk of bias and showing little to no difference in mortality between citicoline and placebo (17.1% vs 18.4%; RR 0.94, 95% CI 0.82 to 1.06; I2 = 0%). The Bayes factor was 0.7, indicating weak Evidence for the null over the alternative hypothesis. Trial sequential analysis suggested sufficiency of Evidence for mortality. No guidelines recommend citicoline. Conclusions: This essay reassessed citicoline for acute ischemic stroke after the 2020 Cochrane review. Adding a new RCT further supported the lack of mortality benefit with citicoline. The overall evidence quality could be better. Analyses using evidence-based medicine and philosophy of science approaches do not support prescribing citicoline due to a lack of efficacy substantiation and potential harms.

Unexpected preoperative surgery cancellations are one of the important problems in daily anesthesia practice. It's an even bigger problem if these cancellations happen in the operating room. Our aim was to draw attention to this issue and reveal the reasons. This prospective, cross-sectional study aimed to assess the prevalence and causes of elective surgery cancellations once patients are in the operating room. The study sample consisted of 7482 adult patients scheduled for elective surgeries and taken to the operating room. Sixty-seven patients whose surgeries were canceled were grouped into Group 1, while the remaining 7415 whose surgeries were completed were in Group 2. Patients were divided into two groups based on whether their surgeries were completed or canceled. Factors such as age, American Society of Anesthesiologists physical status, and surgical department were analyzed. Metrics involved comparisons between the two groups regarding age, American Society of Anesthesiologists physical status classification, surgical department, and timing of the surgery. The prevalence of elective surgery cancellations after patients were in the operating room was 0.9%. Group 1 was significantly older than Group 2 (p&lt;0.001). The proportion of patients classified as American Society of Anesthesiologists physical status III was higher in Group 1 (p&lt;0.001). The department with the highest cancellation rate was ophthalmology(2.5%), followed by general surgery(2.1%), urology(1.5%), and ear, nose, and throat(1.4%). Approximately 59.7% of cancellations were deemed potentially avoidable. The study suggests that many of these cancellations are potentially avoidable, underscoring the need for optimized surgical scheduling and patient assessment protocols.

Ceruminous gland tumours are rare injuries of the external auditory canal (EAC). This tumor, even if considered a slow-growing carcinoma, has high rate of perineural invasion and metastasis. For this reason, it must be promptly diagnosed, then it must be treated with aggressive surgery combined with postoperative radiation. The present case report is about a case of an adenoid cystic carcinoma arising the external auditory canal of 46 years old female patient, who complained hypoacusis and pain. The profile of medical liability is substantiated on the delayed diagnosis when the lately observed tumor progression by the invasion of both surrounding bone and vascular structures.

Background: The progression of periodontal diseases at national Portuguese level and its public awareness are of great interest, mainly due to the high burden of periodontitis. Objectives: To evaluate the prevalence progression of periodontal diseases in Portugal and correspondent public awareness, between 2004 and 2017, by using data from the Global Burden of Disease (GBD), Directorate-General of Health (DGH) and Google® Trends (GT). Methods: For the period 2004-2017, Portuguese national data of periodontal diseases prevalence were searched in the Institute for Health Metrics and Evaluation of GBD and DGH and for public awareness, GT comparison tool between Portuguese words for “Periodontitis”, “Gingivitis”, “Gums” and “Periodontal disease” trends was used. Results: For the period 2004-2017, the overall prevalence of periodontitis slightly increased from 11.3% to 11.7%. During that period the GT search term “Gums” (“Gengivas”) was the most relevant. It increased steadily over time while the search term “Periodontal disease” (“Doença periodontal”) decreased, being these search trends significantly correlated (

Smart Internet of Vehicles (IoVs) combined with Artificial Intelligence (AI) will contribute to vehicle decision-making in the Intelligent Transportation System (ITS). Multi-Vehicle Pursuit games (MVP), a multi-vehicle cooperative ability to capture mobile targets, is becoming a hot research topic gradually. Although there are some achievements in the field of MVP in the open space environment, the urban area brings complicated road structures and restricted moving spaces as challenges to the resolution of MVP games. We define an Observation-constrained MVP (OMVP) problem in this paper and propose a Transformer-based Time and Team Reinforcement Learning scheme (T3OMVP) to address the problem. First, a new multi-vehicle pursuit model is constructed based on decentralized partially observed Markov decision processes (Dec-POMDP) to instantiate this problem. Second, by introducing and modifying the transformer-based observation sequence, QMIX is redefined to adapt to the complicated road structure, restricted moving spaces and constrained observations, so as to control vehicles to pursue the target combining the vehicle’s observations. Third, a multi-intersection urban environment is built to verify the proposed scheme. Extensive experimental results demonstrate that the proposed T3OMVP scheme achieves significant improvements relative to state-of-the-art QMIX approaches by 9.66%~106.25%. Code is available at https://github.com/pipihaiziguai/T3OMVP.

Continuous and emerging advances in Information and Communication Technology (ICT) have enabled IoT-to-Cloud applications to be induced by data pipelines coupled with Edge Intelligence-based architectures. Advanced vehicular networks greatly benefit from these architectures due to the implicit functionalities that are focused on realizing the Internet-of-Vehicle (IoV) vision. However, IoV is susceptible to attacks, where adversaries can easily exploit existing vulnerabilities. Several attacks may succeed due to inadequate or weaker authentication techniques. Hence, there is a timely need for hardening the authentication process through cutting-edge access control mechanisms. This paper proposes a Blockchain-based Multi-Factor authentication model that uses an embedded Digital Signature (MFBC_eDS) for vehicular clouds and Cloud-enabled IoV. Our proposed MFBC_eDS model consists of a scheme that integrates the Security Assertion Mark-up Language (SAML) to the Single Sign-On (SSO) capabilities for a connected Edge-to Cloud ecosystem. MFBC_eDS draws an essential comparison with the baseline authentication scheme suggested by Karla and Sood. Based on the foundations of Karla and Sood’s scheme, an embedded Probabilistic Polynomial-Time Algorithm (ePPTA) and an additional Hash function for the Pi generated during Karla and Sood’s authentication are proposed and discussed. The preliminary analysis of the proposition shows that the approach is more suitable to counter major adversarial attacks in an IoV-centered environment based on Dolev-Yao adversarial model while satisfying aspects of the CIA triad.

Considering the great growth of IoT networks and the need for highly reliable networks and also considering the manufacturing divides of IoT equipment which are highly limited by their memory, processing power and battery; we need a highly efficient routing for guaranteeing our network's high life span. So, this paper has suggested an efficient energy routing method based on the overlapping clustering method which is inspired from the Grey theory. The Overlap clustering method means that some Things collect data that must be sent to two or more Fog nodes for processing. In the suggested method the best node is selected as the cluster head based on factors such as remaining energy, distance, link expiration time, signal power for receiving data from things by the Fog nodes. In the next step the Fog node's data are sent in a hierarchical method using a symmetrical tree of processed data to the server. Thus, the main issue here is making using a proper routing method for data sending to the Cloud that doesn't just focus on energy, but also considers other factors such as delay and network life span. The simulation results show that the HR-IoT reduces the average end to end delay more than 17.2% and 23.1%, decreases the response time more than 20.1% and 25.78% and increase packet delivery rate more than 23.1% and 28.78% and lifetime more than 25.1% and 28.78% compared to EECRP and ERGID approaches.

In European thought, the relationship among the fields of psychology, education, and health is both complex and obscured. Foucault’s acclaimed work, The Order of Things, offers a framework to evaluate their interconnection by identifying three distinct periods of European thought since the 16th century with respect to the ordering of phenomena—Renaissance, Classical and Modern. Theoretically dense and often difficult to decipher, the book’s categorization of language, value and being has been understandably underused, yet it provides deep insights into what have come to be known as psychology, education and health and remains invaluable in understanding the origin, limits and consequences of these fields. How Foucault’s analysis can be interpreted concerning the development of these areas as to each of the three periods of European thought is investigated. An approach based on narrative research appraises the analysis offered in the book. The results, presented for the first time in table form, compare these three periods, demonstrating a continuing practical value to Foucault’s insights. With the aid of the framework revealed by these tables, the boundaries and relationship of psychology, education and health become clear and their limitations—plus potential solutions to them—can be identified to mitigate anticipated negative consequences.

.Abstract: Indonesia, one of the Asia Pacific LMICs, has suffered from a chronic medical workforce shortage. However, there are limited published studies describing the approaches implemented by the Indonesian government regarding the recruitment and retention of the medical workforce. This case study aimed to understand the current practices for recruitment and retention of the medical workforce in Indonesian rural and remote provinces. We conducted a case study of the Maluku Province of Indonesia with document analysis and key informant interviews with officials responsible for medical workforce recruitment and retention. We used the WHO’s guidelines as an analytical matrix to examine the recruitment and retention practices under four domains, i) educational, ii) regulatory, iii) financial, and iv) professional and personal development, and classified them into University/Medical School level and Government/Non-government level. Our findings suggest that Indonesia has implemented most of the WHO-recommended medical workforce recruitment and retention strategies. However, implementation is still problematic; hence, the aim of establishing an adequate, sustainable medical workforce has not been reached. Nationwide government intervention in educational aspects is important to magnify the impact of the regional medical school initiatives. Relevant programs must be re-evaluated and re-enforced concerning significance, comprehensiveness and effectiveness for sustainable rural and remote medical workforce.

Short-range Internet of Things (IoT) sensor nodes operating at 2.4 GHz need to provide ubiquitous wireless sensor networks (WSNs) with energy-efficient, wide-range output power (POUT) and fully integrated on a single chip for wireless body area networks (WBANs) and wireless personal area networks (WPANs) using low-power Bluetooth (BLE) and Zigbee standards. The proposed fully integrated transmitter (TX) utilizes a digitally controllable current-mode class-D (CMCD) power amplifier (PA) with a second harmonic distortion (HD2) suppression to reduce VCO pulling in an integrated system while meeting harmonic limit regulations. The CMCD PA is divided into 7-bit slices that can be reconfigured between differential and single-ended topologies. Duty cycle distortion compensation is performed for HD2 suppression, and an HD2 rejection filter and a modified C-L-C low-pass filter (LPF) reduce HD2 further. Implemented in a 28 nm CMOS process, the TX achieves a wide POUT range of from 12.1 to -31 dBm and provides a maximum efficiency of 39.8% while consuming 41.1 mW at 12.1 dBm POUT. The calibrated HD2 level is -82.2 dBc at 9.93 dBm POUT, resulting in a transmitter figure of merit (TX_FoM) of -97.52 dB. Higher order harmonic levels remain below -41.2 dBm even at 12.1 dBm POUT, meeting regulatory requirements.

Considering the spectrum shortage problem of IoT devices, we introduce a collaborative spectrum sensing (CSS) framework in this paper to identify available spectrum resources, so that IoT devices can access it and meanwhile avoid causing harmful interference to the normal communication of the primary user (PU). However, in the process of the PU’s signal detection in IoT devices, the issue about the stopping time and decision cost arises. To this end, we propose a distributed cognitive IoT model, which includes two IoT devices independently using sequential decision rules to detect the PU. On this basis, we define the stopping time and cost function for IoT devices, and formulate an average cost optimization problem in CSS. To solve this problem, we further regard the optimal stopping time problem as a finite horizon problem, and solve the threshold of the optimal decision rule by dynamic programming. At last, numerical simulation results demonstrate the correctness of our proposal in terms of the global false alarm and miss detection probability, and it always achieves minimal average cost under various cost of each observation taken and thresholds.

The vehicular ad hoc network (VANET) when augmented with internet is called internet of vehicles (IoV). In the IoV, vehicles have on board units (OBUs), use communication technologies and customized software to communicate with infrastructure around them. The vehicles can have permanent connectivity and global network awareness based on cloud computing. IoV technologies are still being assessed to ensure that the network is protected from attacks, supports a dynamic vehicular mobility scenarios and meets the low latency communication requirements between the vehicles and the surrounding infrastructure. To meet these strict Quality of Service (QoS) demands, Unmanned Aerial Vehicles (UAVs) play a vital role in IoV ecosystems. An UAV can serve as a mobile roadside unit (mRSU) to transmit data between vehicles, stationery RSUs and other UAVs. The UAVs have better line of sight (LOS) connections which result in better channel states and lower path loss than fixed RSUs. Although the inclusion of UAVs in vehicular networks has improved the system performance by providing better resource management and routing solutions, the traditional optimization techniques with their limitations are often not applicable. Therefore, in recent years, research community is integrating Artificial Intelligence (AI) and Machine Learning (ML) into UAV based IoV ecosystem to better manage resource allocation, routing and mobility management issues to optimize the overall network performance. In this survey paper we review the existing research done in AI/ML based UAV-IoV networks and communications with focus on resource management and routing from year 2019 to 2023. We have studied different AI techniques, their training attributes and architectures in various research works. The limitations of AI-based approaches in terms of required computational resources, availability of real world data and AI models’ complexity for the UAV-IoV environment are also discussed. Finally, the future directions for UAV-IoV research opportunities that can leverage the full potential of AI are presented.

Over the past few years, we have experienced great technological advancements in the information and communication field, which has significantly contributed to reshaping the Intelligent Transportation System (ITS) concept. Evolving from the platform of a collection of sensors aiming to collect data, the data exchanged paradigm among vehicles is shifted from the local network to the cloud. With the introduction of cloud and edge computing along with ubiquitous 5G mobile network, it is expected to see the role of Artificial Intelligence (AI) in data processing and smart decision imminent. So as to fully understand the future automobile scenario in this verge of industrial revolution 4.0, it is necessary first of all to get a clear understanding of the cutting-edge technologies that going to take place in the automotive ecosystem so that the cyber-physical impact on transportation system can be measured. CIoV, which is abbreviated from Cognitive Internet of Vehicle, is one of the recently proposed architectures of the technological evolution in transportation, and it has amassed great attention. It introduces cloud-based artificial intelligence and machine learning into transportation system. What are the future expectations of CIoV? To fully contemplate this architecture’s future potentials, and milestones set to achieve, it is crucial to understand all the technologies that leaned into it. Also, the security issues to meet the security requirements of its practical implementation. Aiming to that, this paper presents the evolution of CIoV along with the layer abstractions to outline the distinctive functional parts of the proposed architecture. It also gives an investigation of the prime security and privacy issues associated with technological evolution to take measures.

Internet of things security will be a big challenge for the enterprises working behind the build-up of the internet of things, and it’s application. With IoT, another buzzword is blockchain-based cryptocurrency bitcoin. Blockchain technology has proven itself as one of the most secured existing technology. In this paper, we have discussed the significant challenges that will come up in identity management due to the heterogeneity of devices. We have proposed a solution for privacy preservation using secure identity management and possible communication methodology by using public key-based cryptography used in the blockchain. We have taken the ecosystem of smart home management and smart health management. At last, we have concluded with the discussion of futuristic applications of blockchain in other applications of the internet of things.

Technological advancements and innovations have profoundly changed the lives of people giving rise to smart environments, cities, and societies. As homes are the building block of cities and societies, smart homes are critical to establishing smart living and are expected to play a key role in enabling smart cities and societies. The current academic literature and commercial advancements on smart homes have mainly focused on developing and providing smart functions for homes to provide security management and facilitate the residents in their various activities such as ambiance management. Homes are much more than physical structures, buildings, appliances, operational machines, and systems. Homes are composed of families and are inherently complex phenomena underlined by humans and their relationships with each other, subject to individual, intragroup, intergroup, and intercommunity goals. There is a clear need to understand, define, consolidate existing research, and actualize the overarching roles of smart homes, the roles of smart homes that would serve the needs of future smart cities and societies. This paper introduces our data-driven parameter discovery methodology and uses it to provide, for the first time, an extensive, rather fairly comprehensive, analysis of the families and homes landscape seen through the eyes of academics and the public using over a hundred thousand research papers and nearly a million tweets. We develop a methodology using deep learning, natural language processing (NLP), and big data analytics methods and apply it to automatically discover parameters that capture a comprehensive knowledge and design space of smart families and homes comprising social, political, economic, environmental, and other dimensions. The 66 discovered parameters and the knowledge space comprising 100s of dimensions are explained by reviewing and referencing over 300 articles from the academic literature and tweets. The knowledge and parameters discovered in this paper can be used to develop a holistic understanding of matters related to families and homes facilitating the development of better, community-specific, policies, technologies, solutions, and industries for families and homes, leading to strengthening families and homes, and in turn, empowering sustainable societies across the globe.

Skilled academic/medical writing is critical to research communication. The fundamental sections of a scholarly manuscript are introduction, methods, results and discussion. The introduction of a medical manuscript is aimed at briefing readers on the clinical extent and public health context of the research problem. It must justify the essentialness of the research to the scientific community and reveal any underlying research novelty. Skillfully conceived, designed and performed research protocols that are unskillfully presented can lose scientific credibility and impact. Without research communication skills authors would not be able to display the usefulness of their research for the scientific community. Generally, research communication or medical writing training/skills is underrepresented in curricular systems of medical schools globally. This can challenge publication quality and quantity of early-career authors/researchers. The author presents the academic experience he accumulated through peer review and supervision of vast manuscripts and theses. This article aimed at presenting a comprehensive roadmap for academic writing of the introduction and at identifying its common pitfalls.

Background: Gender stereotypes and biases can influence perceptions of competence and suitability for certain medical specialties. Empathy is an important component of an optimal doctor-patient relationship. The scope of our study is to verify the correlation between “empathetic" behavioral style with attention and sensibility to the gender differences of patients of the medical students. Methods: An online survey was conducted using the Jefferson Scale for Empathy (JSE), to measure empathy in the context of health professions education and patient care; and the Nijmegen Gender Awareness in Medicine Scale (N-GAMS), which measures attitudes and assumptions about gender. A total of 234 students (52.1% M; mean age: 22.68±2.48) from Medicine and Surgery at the University of Salerno (Italy) participated, of whom n° 175 were third-year students and n° 59 were fifth-year students. Results: The JSE score shows that male students have higher scores (77.29±12.38) than females (75.91±10.39). Conversely, female students have higher perspective-taking (JSE Factor 1: Male= 51.26±11.84; Female= 52.72±11.88). In addition, third-year students are much more empathetic than their fifth-year colleagues (JSE Score: 3°ys= 77.35±11.46; 5°ys= 74.49±11.33). With reference to the GS, we found that male students have greater sensitivity than their female colleagues (GS: Male= 2.67±0.68; Female= 2.37±0.48); conversely, they have higher scores of gender stereotype towards patients (GRIP: Male= 2±0.88; Female= 1.59±0.61) and doctors (GRID: Male= 1.88±0.89; Female= 1.64±0.63). Also, the third-year students compared to their fifth-year colleagues are characterized by greater gender sensitivity (GS: 3°ys= 2.57±0.62; 5°ys= 2.42±0.57), less bias with respect to patients (GRIP: 3°ys= 1.77±0.79; 5°ys= 1.90±0.78) but, on the other hand, show more stereotypes and prejudices towards doctors (GRID: 3°ys= 1.77±0.81; 5°ys= 1.75±0.74). Conclusions: Humanistic attitudes, including empathy, should be instilled, and evaluated among trainees as an essential part of their postgraduate medical education.

Violence against paramedics is widely recognized as a serious, but underreported, problem. While injurious physical attacks on paramedics are generally reported, non-physical violence is less likely to be documented. Verbal abuse can be very distressing, particularly if the harassment targets personal or cultural identities, such as race, ethnicity, gender, or sexual orientation. Leveraging a novel, point-of-event reporting process, our objective was to estimate the prevalence of harassment on identity grounds against paramedics in a single paramedic service in Ontario, Canada, and assess its potentially differential impact on emotional distress. In an analysis of 502 reports filed between February 1, 2021, through February 28, 2022, two paramedic-supervisors independently coded the free-text narrative descriptions of violent encounters for themes suggestive of sexism, racism, and homophobia. We achieved high interrater agreement across the dimensions (k=0.73-0.83), and after resolving discrepant cases, we found that 1 in 4 violent reports documented abuse on at least one of the identity grounds. In these cases, paramedics were 60% more likely to indicate being emotionally distressed than for other forms of violence. Our findings offer unique insight into the type of vitriol paramedics experience in the course of their work and its potential for psychological harm.

Accurate medical image segmentation is paramount for precise diagnosis and treatment in modern healthcare. This research presents a comprehensive study on the efficacy of Particle Swarm Optimization (PSO) combined with Histogram Equalization (HE) preprocessing for medical image segmentation, focusing on Lung CT-Scan and Chest X-ray datasets. Best Cost values reveal the PSO algorithm’s performance, with HE preprocessing demonstrating significant stabilization and enhanced convergence, particularly in complex Lung CT-Scan images. Evaluation metrics, including Accuracy, Precision, Recall, F-Score, Specificity, Dice, and Jaccard, show substantial improvements with HE preprocessing, emphasizing its impact on segmentation accuracy. Comparative analyses against alternative methods, such as Otsu, Watershed, and K-means, confirm the competitiveness of the PSO-HE approach, especially in Chest X-ray images. The study also underscores the positive influence of preprocessing on image clarity and precision. These findings highlight the promise of the PSO-HE approach in advancing the accuracy and reliability of medical image segmentation, paving the way for further research and method integration to enhance this critical healthcare application.

Image registration (IR) is a process that deforms images to align them with respect to a reference space, making it easier for medical practitioners to examine various medical images in a standardized reference frame, such as having the same rotation and scale. This document introduces image registration using a simple numeric example. It provides a definition of image registration along with a space-oriented symbolic representation. This review covers various aspects of image transformations, including affine, deformable, invertible, and bidirectional transformations, as well as medical image registration algorithms such as Voxelmorph, Demons, SyN, Iterative Closest Point, and SynthMorph. It also explores atlas-based registration and multistage image registration techniques, including coarse-fine and pyramid approaches. Furthermore, this survey paper discusses medical image registration taxonomies, datasets, evaluation measures, such as correlation-based metrics, segmentation-based metrics, processing time, and model size. It also explores applications in image-guided surgery, motion tracking, and tumor diagnosis. Finally, the document addresses future research directions, including the further development of transformers.

Background: With new challenges to the health system, many new competencies within the scope of teaching public health need to be addressed in medical schools’ curricula such as disaster risk management and health system science. The aims of this study were to identify the needs of public health competencies for medical doctors in Thailand and to assess the level of integration for technical collaboration in teaching public health. Method: A total of 17 out of 21 Thai medical schools participated in the national survey. Qualitative inquiries applied focus group interviews of community representatives from ten sample villages and in-depth interviews of representatives from stakeholder organizations particularly employers. The list of public health competencies framework recommended by WHO-SEARO was applied. Quantitative analysis applied descriptive analysis using STATA 15 and qualitative findings were validated by interrelating the meaning of themes from Word Clouds created in NVivo12. Data integration applied a mixed-method Quan-qual approach. Results: 17 medical schools returned the questionnaires (80.95 % yield). The most common regionally-defined public health competencies (in over 70% of schools) were shown to be: Biostatistics, Community Medicine, Epidemiology, Family Medicine, Medical Ethics and Professional Laws, Preventive Medicine, Health Promotion, Holistic Care, and Research. The curriculum in only one medical school lacked Health Economics, whilst Disaster Management was lacking in two other schools. Discipline-based subjects were found to be more prevalent than interdisciplinary competencies. A variety of methods were being applied for teaching public health. The majority of the schools applied lecture as the main teaching method and multiple-choice questions as the main assessment method. Thai communities expect the doctors to get in touch with the community more often, lead the primary health care team through training the health professionals and community health volunteers, and educate the community for better health. Conclusion: Human resource is the main challenge in addressing interdisciplinary competencies. It is necessary to establish a collaborating mechanism among the big and small medical schools and the faculties of public health to improve the teaching of public health to undergraduate students in medical schools. There is also a need to strengthen the health system science and leadership so that future MDs can lead health service delivery according to the needs of their employers such as the Ministry of Public Health and the Rural Doctors Association. The findings of this study may help to identify a national framework of public health core competencies for medical schools and create a common platform for interdisciplinary collaborations.

Background The workload of nurses in the intensive care unit (ICU) can affect the quality of nursing services. Aim This study aimed to determine the relationship between the nursing activity score and missed care in patients hospitalized in the ICU in Zanjan, Iran. Methods This observational and prospective study was conducted from April 3 to September 18 in 2021. In this study, the tools used included a patient and nurses' profile questionnaire, Nursing Activity Score (NAS). Missed care was observed in the 301 patients for whom the NAS was calculated. Analysis of variance (ANOVA) was used to investigate the differences in mean levels of missed care. Logistic regression models were used to assess the association between factors and missed nursing care. Results Results show that the Medical ICU's mean NAS was 76.31 (95% CI: -13.06 -14.89). In 9 dimensions of care, the extent of missed care was 40.7%. In the care dimensions of assessment, hand hygiene, and infection control, the mean NAS had a statistically significant increase at higher levels of missed care (P<.5). Furthermore, work experience was identified as a protective factor for missed care (OR =.59, 95% CI: .37–.94, χ2= =4.97, p =.026). Conclusion The study revealed a high incidence of missed care. The study revealed that the mean workload was high in certain dimensions of care such as assessment, hand hygiene, and infection control. The increase in workload for nurses results in lost care. Nonetheless, the utilization of experienced nurses can help mitigate this problem. However, utilizing experienced nurses can help reduce this problem.

The rapid progress in artificial intelligence, machine learning, and natural language processing has led to the emergence of increasingly sophisticated large language models (LLMs) enabling their use in healthcare. The study assesses the performance of two LLMs: the GPT-3.5 and GPT-4 models in passing the medical examination for access to medical specialist training in Spain MIR. Our objectives included gauging the model's overall performance, analyzing discrepancies across different medical specialties, discerning between theoretical and practical questions, estimating error proportions, and assessing the hypothetical severity of errors committed by a physician. We studied the 2022 Spanish MIR examination after excluding those questions requiring image evaluations or having acknowledged errors. The remaining 182 questions were presented to the LLM ChatGPT4 and GPT-3.5 in Spanish and English. Logistic regression models analyzed the relationships between question length and question sequence d performance. GPT-4 outperformed GPT -3.5, scoring 86.81% in Spanish (p<0.001). English translations had a slightly enhanced performance. Among medical specialties, GPT-4 achieved a 100% correct response rate in several areas, with specialties like Pharmacology, ICU, and Infectious Diseases showing lower performance. The error analysis revealed that while a 13.2% error rate existed, gravest categories like "error requiring intervention to sustain life" and "error resulting in death" had a 0% rate. Conclusions: GPT-4 performs robustly on the Spanish MIR examination, varying its capability to discriminate knoweldge across specialties. While the model's high success rate is commendable, understanding the error severity is critical, especially when considering AI's potential role in real-world medical practice and its implication on patient safety.

Patients living with cancer often experience serious adverse events due to their condition or its treatments. Those events may lead to a critical care unit admission or even result in death. One of the most important but challenging part of care is to build a caring plan according to the patient’s wishes, meeting his goals and values. Advance directives (ADs) allow everyone to give their preferences in advance regarding life sustaining treatments, continuation, and withdrawal or withholding of treatments in case one is not able to speak his mind anymore. While the absence of ADs is associated with a greater probability of receiving unwanted intensive care around the end of his life, their existence correlates with the respect of the patient’s desires and his greater satisfaction. Although progress has been made to promote ADs’ completion, they are still scarcely used among cancer patients in many countries. Several limitations to their acceptation and use can be detected. Efforts should be made to provide tailored solutions for the identified hindrances. This narrative review aims to depict the situation of ADs in the oncology context, and to highlight the future areas of improvement.

Not a lot is known about either death or the dying process. Politicians and many in the medical profession in the UK tend to shy away from interfering with it by not allowing euthanasia as an end of life option for the patient. This is the first paper in a series of two, comparing the situation in human medicine and veterinary medicine, in which euthanasia is well practiced for relieving suffering at the end of an animal’s life. This first part takes the form of a literature review including best practice around end of life care, its deficiencies and the need for assisted dying. Veterinary surgeons are well trained in the ethics of euthanasia and put it to good use in the best interest of their animal patients. In countries which have legalized physician assisted suicide for the terminally ill reporting indicates that it works well, without increases in involuntary euthanasia and most importantly without intimidation of the vulnerable. However, there is still an ever increasing tendency to overuse sedation and opioids at the end of life, which merits further investigation. With advances in medical science able to significantly prolong the dying process, patient autonomy demands a review of the law in the UK.

This article assumes that collaborators who adopt a positive-sum, prosocial perspective can build trust-based relationships, which is equivalent to collaborative ability (CA). To improve a collaborator’s CA, we anticipated that content based upon a model of positive-sum collaboration, founded upon ancestral behaviours presented as social norms, might alter a zero-sum, proself, collaborator’s perspective. However, we also postulated that learner’s willingness to engage in positive-sum content may rely on pre-existing prosociality. Intervention participant’s prosociality was assessed via self-assessment of their emotional intelligence (EQ), quality of life (QoL), and goal orientation (GO). Learner’s engagement in online content was assessed by the three stage reached: examine website front matter; examine website content; learn website content. Tukey’s multiple comparison showed a statistically significant difference between stages one and three, in the mean of respondent’s self-assessed QoL. This suggests that participants who wished to learn content had, on average, higher quality of life, and potentially therefore greater prosociality. In general, these findings support a claim that any intervention designed to increase individual prosociality may need to consider the target population’s reticence to engage.

This study delves into the dynamic field of medical education research, emphasizing the integration of research training within medical curricula. It seeks to understand the impact of such integration on the competencies of future medical professionals. The primary aim is to systematically categorize and analyze the current trends and future directions in medical education research. This involves assessing the influence of research training on medical students' skills and the methodologies used in such research. Methods: The research employs an extensive bibliographic literature review across multiple databases. It classifies studies into categories like experiential or case studies, editorials, and original research articles. This classification is based on criteria such as geographical location, research objectives, theoretical frameworks, and methodologies. Results: Findings reveal a diverse landscape in medical education research, with a significant emphasis on research training. The research showcases varying methodologies and approaches used globally, highlighting the thematic focus and geographical distribution of these studies. Conclusion: Medical education research is a globally expansive and evolving field. It underscores the importance of continuous investigation, particularly focusing on integrating research elements at curricular levels and exploring innovative educational strategies. The study also points out potential gaps in research, especially in underrepresented regions, indicating directions for future research efforts.

ABSTRACT:This paper presents arguments for why it is important to include disability in the undergraduate medical curriculum. I, the first author am currently involved with my doctoral thesis proposal titled "Proposing clinician competency guidelines for the inclusion of disability in the undergraduate medical curriculum of South Africa. An exploratory study.” As part of my research, I conducted a literature search and developed arguments to strengthen the reasons why the research I propose in my thesis is necessary. It is important that I position myself in this research. I am a South African, Caucasian, female medical doctor, with an interest in physical rehabilitation medicine and I am a person with a physical disability. Although this research study will be conducted in South Africa, I am hopeful that the findings will be transferable to medical schools across the world.

The Medi-test system we developed was motivated by the large number of resources available for the medical domain, as well as the number of tests needed in this field (during and after the medical school) for evaluation, promotion, certification, etc. Generating questions to support learning and user interactivity has been an interesting and dynamic topic in NLP since the availability of e-book curricula and e-learning platforms. Current e-learning platforms offer increased support for student evaluation, with an emphasis in exploiting automation in both test generation and evaluation. In this context, our system is able to evaluate a student’s academic performance for the medical domain. Using as input medical reference texts and supported by a specially designed medical ontology, Medi-test generates different types of questionnaires for Romanian language. The evaluation includes 4 types of questions (multiple-choice, fill in the blanks, true/false and match), can have customizable length and difficulty and can be automatically graded. A recent extension of our system also allows for the generation of tests which include images. We evaluated our system with a local testing team, but also with a set of medicine students, and user satisfaction questionnaires showed that the system can be used to enhance learning.

We aimed to assess the prevalence, content structure and psychological comorbidity of PIU in Russian adolescents. In addition, the design of our research provided an opportunity to compare demographic and psychological patterns of different forms of PIU: generalised (PIUgen) and specific – problematic video game use (PUgame) as well as problematic social media use (PUsocial). Methods: This is a one-stage cross-sectional observational study of school sampling in three major Siberian cities. A total of 4514 schoolchildren aged 12-18 (mean age 14.52±1.52 years) were surveyed. Chen Internet Addiction Scale, Game Addiction Scale for Adolescents”, and The Social Media Disorder Scale were used to identify PIU and its types. Results: The prevalence of PIUgen among adolescents in Central Siberia was 7.2%; the prevalence of PUgame was 10.4%; the prevalence of PUsocial was 8.0%. The results of structural equation modelling, as well as the correlation analysis data, suggest two possible patterns of psychosocial problems with PIU – the first one characteristic of both PIUgen and PUsocial, the second one, significantly different, – of PUgame. Conclusions: Urban adolescents in Central Siberia do not differ significantly from their Asian and European peers. Our findings support the concept of rejecting the term “generalised PIU” as a single psychological construct.

Alzheimer's disease (AD) is a progressive and evolving neurodegenerative disease with an insidious onset that can lead to memory loss and cognitive impairment. There is no effective treatment for this disease. However, early diagnosis plays an important role in treatment planning to slow down its progression, as treatment has the greatest impact in the early stages of the disease. Neurological images obtained through different imaging techniques provide powerful information and help diagnose the disease. With the wide application of deep learning techniques in disease diagnosis, especially the prominence of Convolutional Neural Networks (CNNs) in computer vision and image processing, more and more studies are proposing the use of this algorithm for the diagnosis of AD. In this paper, we first systematically introduce the impact of AD on people, detailing the biomarkers, early clinical symptoms, and risk factors of this disease. Secondly, it goes on to detail the development of CNNs, their form, and methods to help diagnose AD. It is proposed that CNNs can help diagnose AD by analyzing medical imaging data, particularly structural brain scans such as magnetic resonance imaging (MRI) and functional scans such as positron emission tomography (PET). Finally, it is concluded that CNNs are of great importance for the diagnosis of AD and that they are likely to play an increasingly important role in the early detection of the disease, the understanding of disease mechanisms, and ultimately, in the development of effective AD therapies and interventions. CNNs are playing an increasingly important role in the Their potential impact on healthcare emphasizes the importance of continued research and innovation in neural networks and medical imaging.

Mobile robots can perform tasks on the move, including exploring terrain, discovering landmark features or moving a load from one place to another. This group of robots is characterized by a certain level of intelligence allowing making decisions and responding to stimuli received from the environment. As part of Industry 5.0, such mobile robots and humans are expected to co-exist and work together in a shared environment to make human work less tiring, quicker, and safer. This can only be realized when clean, dense, and economical energy sources are available. The aim of the study is to analyze the state of the art and to identify the most important directions for future developments in robotic power systems based mainly on batteries. The efficiency and performance of the battery depends on the design using different materials. Work environments and performance requirements are considered in this systematic review to classify solutions that help developers choose the best suited power system for specific application. Indirectly, the aim of the work is to generate discussion within the scientific and engineering community. A narrative review of publications from six major bibliographic databases according to preset inclusion criteria was combined with a critical analysis of current and future technologies. The main findings of the review allow answering question what is the role of modern power source technologies, artificial intelligence and ground-breaking research work in global policies related to energy saving, green policies, and sustainable development. The main opportunities and threats are discussed, and a brief feasibility analysis is carried out. Novelty of the article relates not only to the analysis of technologies, but also to approaches and their use under conditions of limited resource availability, when resource usage must be minimized. The article provides an overview of batteries, their specifications, classifications, and their advantages and disadvantages. In addition, we propose: (1) an algorithm for selecting main energy source for robot application, and (2) an algorithm for selecting electrical system power supply. Current mobile robot batteries are, in most cases, their biggest limitation. Progress in batteries development is too slow to catch up with the demand for robot autonomy and range requirements, limiting the development of mobile robots. Further intensive research and implementation work is needed to avoid years of delay in this area.

This venture targets giving a correspondence framework that can improve the legal framework execution and cooperation and furthermore make it simple to lead execution audits. This examination depicts restricted admittance to the right legitimate data just as admittance to courts and court administrations as the essential factors that limit admittance to equity. The basic target fundamental for accomplishing the point incorporates planning an online easy to understand data framework that would improve correspondence and association between legal professionals like legal advisors and disputants. The undertaking uses a subjective methodology that zeroed in on the substance investigation of essential information. Key members were court laborers like attorneys and agents, just as court clients like disputants. Pre-plan discoveries uncovered that current legitimate data frameworks – basically court sites – neglect to recognize their crowd by treating all court clients similarly comparative with the correspondence of lawful data. Likewise, the issue of admittance to equity includes the significant expense of equity also, restricted legal data that elevates admittance to equity. Post-plan discoveries from the online overview directed after the turn of events and execution of the IT curio uncovered a powerful and productive legitimate data framework. Exploration discoveries supported the advancement of an IT antiquity that records for huge shortcomings in current legal data frameworks, for example, their failure to pass on fitting legitimate data intelligently and productively. In outline, the investigation prescribes the reception of saw control to work fair and square of certainty of court clients and the differentiation between court clients to convey the right data to the right crowd.

Low Power Wide Area Networks (LPWAN) enable a growing number of Internet-of-Things (IoT) applications with large geographical coverage, low bit-rate, and long lifetime requirements. LoRa (Long Range) is a well-known LPWAN technology that uses a proprietary Chirp Spread Spectrum (CSS) physical layer, while the upper layers are defined by an open standard - LoRaWAN. In this paper, we propose a simple yet effective method to improve the Quality-of-Service (QoS) of LoRa networks by fine-tuning specific radio parameters. Through a Mixed Integer Linear Programming (MILP) problem formulation, we find optimal settings for the Spreading Factor (SF) and Carrier Frequency (CF) radio parameters, considering the network traffic specifications as a whole, to improve the Data Extraction Rate (DER) and to reduce the packet collision rate and the energy consumption in LoRa networks. The effectiveness of the optimization procedure is demonstrated by simulations, using LoRaSim for different network scales. In relation to the traditional LoRa radio parameter assignment policies, our solution leads to an average increase of 6% in DER, and a number of collisions 13 times smaller. In comparison to networks with dynamic radio parameter assignment policies, there is an increase of 5%, 2.8%, and 2% of DER, and a number of collisions 11, 7.8 and 2.5 times smaller than equal-distribution, Tiurlikova's (SoTa), and random distribution, respectively. Regarding the network energy consumption metric, the proposed optimization obtained an average consumption similar to Tiurlikova's, and 2.8 times lower than the equal-distribution and random dynamic allocation policies. Furthermore, we approach the practical aspects of how to implement and integrate the optimization mechanism proposed in LoRa, guaranteeing backward compatibility with the standard protocol.

Medical image analysis is an important branch in the field of medicine, which mainly uses image processing and analysis techniques to interpret and diagnose medical image data. Medical image data helps doctors to effectively observe and diagnose patients' body structures, tissues and lesions. Medical image analysis has been an important research area in the medical field, and it is important for disease diagnosis, treatment planning, and condition monitoring. In recent years, the rapid development of deep learning and computer vision technologies has contributed greatly to the automation, multimodal data fusion, real-time application, and accuracy improvement of medical image analysis. In addition, the development of deep learning has given rise to some new research areas in medical image analysis, such as Generative Adversarial Networks (GANs) for synthetic medical images, self-supervised learning for unsupervised feature learning, and neural network interpretability. In this paper, we will introduce some optimisation methods for medical images which are effective in improving the accuracy, efficiency and reliability of medical image analysis.

The war to technology and economic power have been the driver for industrialization in most developed countries. The first industrial revolution (industry 1.0) earned millions for textile mill owners while the second industrial revolution (industry 2.0) opened the way for tycoons and captains of industry like John D. Rockefeller, J.P. Morgan and Henry Ford. The third industrial revolution (industry 3.0) engendered technology giants like Apple and Microsoft, and made magnates of men like Steve Jobs and Bill Gates. Now, the race for the fourth industrial revolution (industry 4.0) is on and there is no option, every country whether developed or developing must participate. Many countries have positively responded to industry 4.0 by developing strategic initiatives to strengthen industry 4.0 implementation. Unlocking the country’s potential to industry 4.0 has been of interest to researchers in the recent past. However, the extent to which industry 4.0 initiatives being launched globally has never been revealed. Therefore, the present study aimed at exploring industry 4.0 initiatives through comprehensive electronic survey of literature to estimate the extend of its launching in different regions. Inferences were drawn from industry 4.0 initiatives in developed nations to be used as the recommendations for East Africa Community. Results of the survey revealed that 117 industry 4.0 initiatives have been launched in 56 countries worldwide consisting of five regions. The country’s percent of industry 4.0 initiatives as per region were: Latin America and the Caribbean (15%), North America (40%), Europe (53%), Asia and Oceania (25%), Middle East and Africa (11%). While the worldwide percent was estimated as 25%. This revealed that the big gap is existing between countries towards the race for industry 4.0.

Cellular-based machine-to-machine (M2M) communication is expected to facilitate services for the Internet of Things (IoT). However, because cellular networks are designed for human users, they have some limitations. Random access channel (RACH) congestion caused by massive access from M2M devices is one of the biggest factors hindering cellular-based M2M services because the RACH congestion causes random access (RA) throughput degradation and connection failures to the devices. In this paper, we show the possibility exploiting the capture effects, which have been known to have a positive impact on the wireless network system, on RA procedure for improving the RA performance of M2M devices. For this purpose, we analyze an RA procedure using a capture model. Through this analysis, we examine the effects of capture on RA performance and propose a Msg3 power-ramping (Msg3 PR) scheme to increase the capture probability (thereby increasing the RA success probability) even when severe RACH congestion problem occurs. The proposed analysis models are validated using simulations. The results show that the proposed scheme, with proper parameters, further improves the RA throughput and reduces the connection failure probability, by slightly increasing the energy consumption. Finally, we demonstrate the effects of coexistence with other RA-related scheme through simulation result.

Inequality of health service for different specialty categories not only occurs in different areas inequality of health service for different specialty categories in the world, but also happens in the online service platform. In the online health community (OHC), health service was often of inequality for different specialty categories, including both online views and medical consultation for offline registered service. Moreover, how the factor city-level impacts the inequality of health service in OHC is still unknown. We designed a causal inference study with data on distributions of serviced patients and online views in over 100 distinct specialty categories on one largest OHC in China. To derive the causal effect of the city-levels (two levels inducing 1 and 0) on the Gini coefficient, we matched the focus cases in cities of rich healthcare resources with the potential control cities. For the Gini coefficient of serviced patients in over 100 specialty categories, the average treatment effect of level-1 cities is 0.470, which is 0.029 higher than that of the matched group. Similarly, for the Gini coefficient of online views, the average treatment effect of Level-1 cities is 0.573, which is 0.016 higher than that of the matched group. For each of the specialty categories, we also estimated the average treatment effect the specialty category’s Gini coefficient ( ) with the balanced covariates. The results support the argument that the total Gini coefficient of all the doctors in OHC shows that the inequality of health service is still very serious. This study contributes to the development of the theoretically grounded understanding of the causal effect of city-level on the inequality of health service in an online to offline healthcare service setting.

This is the second of a series of two papers comparing the end of life issues in human and veterinary medicine. We outline the main differences between human and animal patients such as patient communication, finance and ‘conflicts of interest’ between animal, owner and veterinarian. We discuss striking similarities between human and veterinary issues such as assessing quality of life and the primary role of the attending veterinarian or doctor being the welfare and care of the patient. This paper takes the form of an ethical argument in favour of allowing euthanasia in human medicine, by providing insights into end of life issues for humans from an independent veterinary perspective. Veterinary surgeons are well trained in the ethics of euthanasia and put it to good use in the best interest of their animal patients. Doctors in the UK are limited and unwilling to put forward a case for the option of euthanasia for those patients who face a slow and agonizing death. With advances in medical science being able to significantly prolong the dying process, autonomy for the patient demands a review of the law regarding patient choice in the UK.

The landscape of medical education has witnessed significant transformations over the past decades, particularly with the advent of active teaching methodologies. However, despite these advancements, the traditional theoretical assessment methods have remained largely unchanged. This lack of evolution in assessment systems poses a challenge, as it is crucial for assessment methods to evolve in tandem with teaching approaches to ensure a comprehensive and effective learning process in medical education. This paper reviews the integration and effectiveness of open-book examinations (OBEs) in medical education, reflecting their growing significance. An integrative review of the literature was conducted, drawing from a range of relevant publications over the last decade, sourced from databases such as PubMed, Web of Science, Scopus, and ERIC. The inclusion criteria focused on full-text articles in English, with search terms including "medicine," "assessment," "open book examination," "open book exam," and "open book assessment," combined using Boolean operators. Thirteen publications were selected and critically appraised using The Critical Appraisal Skills Program checklist. The analysis identified three primary thematic categories: ' Teaching Strategy for Pandemic and Challenging Conditions,” Tool of Learning & Educational Impact” and “Operational Challenges & Future Directions”. These themes were explored to understand the role and impact of OBEs in medical education. The findings indicate that open-book examinations are a crucial component in the evolving landscape of medical education. While certain reservations remain, OBEs have shown significant potential in fostering critical thinking, argumentation skills, and lifelong learning among medical students. They reflect the ongoing evolution of knowledge in the medical field and contribute to the development of professionals’ adept at navigating and applying complex information. Further research is recommended to solidify these findings and to expand the understanding of OBEs in medical education.

Artificial intelligence-powered generative language models (GLMs), such as ChatGPT and Google Bard, have the potential to provide personalized learning, unlimited practice opportunities, and interactive engagement 24/7, with immediate feedback. However, to fully utilize GLMs, properly formulated instructions are essential. Prompt engineering is a systematic approach to effectively communicating with GLMs to achieve the desired results. Well-crafted prompts yield good responses from the GLM, while poorly constructed prompts will lead to unsatisfactory responses. Besides the challenges of prompt engineering, significant concerns are associated with using GLMs in medical education, including ensuring accuracy, mitigating bias, maintaining privacy, and avoiding excessive reliance on technology. Future directions involve developing more sophisticated prompt engineering techniques, integrating GLMs with other technologies, creating personalized learning pathways, and researching the effectiveness of GLMs in medical education.

An investigation was carried out to study the effects of television and internet on academic performance of senior secondary schools students in Rigachukun Inspectorate of Kaduna state. A well structured and designed questionnaire was adopted in eliciting information from the respondents. The respondents were sampled from schools within Kaduna state. The information obtained showed that the percentage of senior secondary school students who made use of internet for academic purpose was as much as those who could not operate a computer or even browse the internet. Good number of students applied internet mostly through phones and computer with internet access in solving their assignment. A larger percentage of students devoted their time to watching non-educative programs on television, even though it was discovered that some of them also watch educative programs. Positive impacts of television and internet are however obscuring and not glaring. Investigation carried out revealed that students in senior secondary schools need to be sensitized and oriented on how they can derive the best from internet and television. Schools should be encouraged in using television and internet as an instrument of learning and teaching.

This paper advances privacy theory through examination of online shaming, focusing in particular on persecution by internet mobs. While shaming is nothing new, the technology used for modern shaming is new and evolving, making it a revealing lens through which to analyze points of analytical friction within and between traditional conceptions of privacy. To that end, this paper first explores the narrative and structure of online shaming, identifying broad categories of shaming of vigilantism, bullying, bigotry and gossiping, which are then used throughout the paper to evaluate different angles to the privacy problems raised. Second, this paper examines shaming through three dominant debates concerning privacy - privacy’s link with dignity, the right to privacy in public places and the social dimension of privacy. Certain themes emerged from this analysis. A common feature of online shaming is public humiliation. A challenge is to differentiate between a humbling (rightly knocking someone down a peg for a social transgression) and a humiliation that is an affront to dignity (wrongly knocking someone down a peg). In addition, the privacy concern of shamed individuals is not necessarily about intrusion on seclusion or revelation of embarrassing information, but rather about the disruption in their ability to continue to participate in online spaces free from attack. The privacy interest therefore becomes more about enabling participation in social spaces, enabling connections and relationships to form, and about enabling identity-making. Public humiliation through shaming can disrupt all of these inviting closer scrutiny concerning how law can be used as an enabling rather than secluding tool.