The Internet of Things(IoT)is growing rapidly and impacting almost every aspect of our lives,fromwearables and healthcare to security,traffic management,and fleet management systems.This has generated massive volumes ...The Internet of Things(IoT)is growing rapidly and impacting almost every aspect of our lives,fromwearables and healthcare to security,traffic management,and fleet management systems.This has generated massive volumes of data and security,and data privacy risks are increasing with the advancement of technology and network connections.Traditional access control solutions are inadequate for establishing access control in IoT systems to provide data protection owing to their vulnerability to single-point OF failure.Additionally,conventional privacy preservation methods have high latency costs and overhead for resource-constrained devices.Previous machine learning approaches were also unable to detect denial-of-service(DoS)attacks.This study introduced a novel decentralized and secure framework for blockchain integration.To avoid single-point OF failure,an accredited access control scheme is incorporated,combining blockchain with local peers to record each transaction and verify the signature to access.Blockchain-based attribute-based cryptography is implemented to protect data storage privacy by generating threshold parameters,managing keys,and revoking users on the blockchain.An innovative contract-based DOS attack mitigation method is also incorporated to effectively validate devices with intelligent contracts as trusted or untrusted,preventing the server from becoming overwhelmed.The proposed framework effectively controls access,safeguards data privacy,and reduces the risk of cyberattacks.The results depict that the suggested framework outperforms the results in terms of accuracy,precision,sensitivity,recall,and F-measure at 96.9%,98.43%,98.8%,98.43%,and 98.4%,respectively.展开更多
Today, the advent of quantum computers and algorithms is calling into question the semantic security of symmetrical and asymmetrical cryptosystems. The security of objects connected to the network, which must provide ...Today, the advent of quantum computers and algorithms is calling into question the semantic security of symmetrical and asymmetrical cryptosystems. The security of objects connected to the network, which must provide a security service and protect the privacy of users by providing protection against attacks such as identity theft, denial of service, eavesdropping and unauthorised access to personal and sensitive data. It is therefore necessary to find a robust method of using the key that is effective in protecting and preventing data tampering. In this paper, we design and implement a security and data protection method using a key generated on the basis of electromagnetic wave propagation theories. Modelling and implementation of a data security and protection method using a key generated on the basis of electromagnetic wave propagation theories.展开更多
The Internet of Things (IoT) represents a revolutionary paradigm, enabling a vast array of devices to be ubiquitously interconnected via the Internet, thereby facilitating remote control and management of these device...The Internet of Things (IoT) represents a revolutionary paradigm, enabling a vast array of devices to be ubiquitously interconnected via the Internet, thereby facilitating remote control and management of these devices. This pervasive integration into daily life brings significant convenience but also raises substantial concerns regarding the security of personal data collected and stored online. As the number of connected devices grows, the urgency to address privacy and security issues becomes paramount. IoT systems are particularly susceptible to threats that could compromise consumer privacy and security, affecting their practical deployment. Recent research efforts have focused on enhancing the security of IoT devices, including the exploration of blockchain technologies to mitigate these concerns. This paper aims to elucidate the security and privacy challenges inherent in IoT systems by examining vulnerabilities at each layer of the IoT protocol stack. It identifies key security requirements and reviews existing solutions designed to protect IoT systems from a layered perspective, thereby providing a comprehensive overview of the current landscape of IoT security and highlighting the critical need for robust security measures as the adoption of IoT continues to expand.展开更多
In an era where digital technology is paramount, higher education institutions like the University of Zambia (UNZA) are employing advanced computer networks to enhance their operational capacity and offer cutting-edge...In an era where digital technology is paramount, higher education institutions like the University of Zambia (UNZA) are employing advanced computer networks to enhance their operational capacity and offer cutting-edge services to their academic fraternity. Spanning across the Great East Road campus, UNZA has established one of the most extensive computer networks in Zambia, serving a burgeoning community of over 20,000 active users through a Metropolitan Area Network (MAN). However, as the digital landscape continues to evolve, it is besieged with burgeoning challenges that threaten the very fabric of network integrity—cyber security threats and the imperatives of maintaining high Quality of Service (QoS). In an effort to mitigate these threats and ensure network efficiency, the development of a mobile application to monitor temperatures in the server room was imperative. According to L. Wei, X. Zeng, and T. Shen, the use of wireless sensory networks to monitor the temperature of train switchgear contact points represents a cost-effective solution. The system is based on wireless communication technology and is detailed in their paper, “A wireless solution for train switchgear contact temperature monitoring and alarming system based on wireless communication technology”, published in the International Journal of Communications, Network and System Sciences, vol. 8, no. 4, pp. 79-87, 2015 [1]. Therefore, in this study, a mobile application technology was explored for monitoring of temperatures in the server room in order to aid Cisco device performance. Additionally, this paper also explores the hardening of Cisco device security and QoS which are the cornerstones of this study.展开更多
Platforms facilitate information exchange,streamline resources,and reduce production and management costs for companies.However,some viral information may invade and steal company resources,or lead to information leak...Platforms facilitate information exchange,streamline resources,and reduce production and management costs for companies.However,some viral information may invade and steal company resources,or lead to information leakage.For this reason,this paper discusses the standards for cybersecurity protection,examines the current state of cybersecurity management and the risks faced by cloud platforms,expands the time and space for training on cloud platforms,and provides recommendations for measuring the level of cybersecurity protection within cloud platforms in order to build a solid foundation for them.展开更多
The Kingdom of Saudi Arabia(KSA)has achieved significant milestones in cybersecurity.KSA has maintained solid regulatorymechanisms to prevent,trace,and punish offenders to protect the interests of both individual user...The Kingdom of Saudi Arabia(KSA)has achieved significant milestones in cybersecurity.KSA has maintained solid regulatorymechanisms to prevent,trace,and punish offenders to protect the interests of both individual users and organizations from the online threats of data poaching and pilferage.The widespread usage of Information Technology(IT)and IT Enable Services(ITES)reinforces securitymeasures.The constantly evolving cyber threats are a topic that is generating a lot of discussion.In this league,the present article enlists a broad perspective on how cybercrime is developing in KSA at present and also takes a look at some of the most significant attacks that have taken place in the region.The existing legislative framework and measures in the KSA are geared toward deterring criminal activity online.Different competency models have been devised to address the necessary cybercrime competencies in this context.The research specialists in this domain can benefit more by developing a master competency level for achieving optimum security.To address this research query,the present assessment uses the Fuzzy Decision-Making Trial and Evaluation Laboratory(Fuzzy-DMTAEL),Fuzzy Analytic Hierarchy Process(F.AHP),and Fuzzy TOPSIS methodology to achieve segment-wise competency development in cyber security policy.The similarities and differences between the three methods are also discussed.This cybersecurity analysis determined that the National Cyber Security Centre got the highest priority.The study concludes by perusing the challenges that still need to be examined and resolved in effectuating more credible and efficacious online security mechanisms to offer amoreempowered ITES-driven economy for SaudiArabia.Moreover,cybersecurity specialists and policymakers need to collate their efforts to protect the country’s digital assets in the era of overt and covert cyber warfare.展开更多
Solar insecticidal lamps(SIL) can effectively control pests and reduce the use of pesticides. Combining SIL and Internet of Things(IoT) has formed a new type of agricultural IoT,known as SIL-IoT, which can improve the...Solar insecticidal lamps(SIL) can effectively control pests and reduce the use of pesticides. Combining SIL and Internet of Things(IoT) has formed a new type of agricultural IoT,known as SIL-IoT, which can improve the effectiveness of migratory phototropic pest control. However, since the SIL is connected to the Internet, it is vulnerable to various security issues.These issues can lead to serious consequences, such as tampering with the parameters of SIL, illegally starting and stopping SIL,etc. In this paper, we describe the overall security requirements of SIL-IoT and present an extensive survey of security and privacy solutions for SIL-IoT. We investigate the background and logical architecture of SIL-IoT, discuss SIL-IoT security scenarios, and analyze potential attacks. Starting from the security requirements of SIL-IoT we divide them into six categories, namely privacy, authentication, confidentiality, access control, availability,and integrity. Next, we describe the SIL-IoT privacy and security solutions, as well as the blockchain-based solutions. Based on the current survey, we finally discuss the challenges and future research directions of SIL-IoT.展开更多
The safety and longevity of key blast furnace(BF)equipment determine the stable and low-carbon production of iron.This pa-per presents an analysis of the heat transfer characteristics of these components and the uneve...The safety and longevity of key blast furnace(BF)equipment determine the stable and low-carbon production of iron.This pa-per presents an analysis of the heat transfer characteristics of these components and the uneven distribution of cooling water in parallel pipes based on hydrodynamic principles,discusses the feasible methods for the improvement of BF cooling intensity,and reviews the pre-paration process,performance,and damage characteristics of three key equipment pieces:coolers,tuyeres,and hearth refractories.Fur-thermoere,to attain better control of these critical components under high-temperature working conditions,we propose the application of optimized technologies,such as BF operation and maintenance technology,self-repair technology,and full-lifecycle management techno-logy.Finally,we propose further researches on safety assessments and predictions for key BF equipment under new operating conditions.展开更多
Decentralized finance(DeFi)is a general term for a series of financial products and services.It is based on blockchain technology and has attracted people’s attention because of its open,transparent,and intermediary ...Decentralized finance(DeFi)is a general term for a series of financial products and services.It is based on blockchain technology and has attracted people’s attention because of its open,transparent,and intermediary free.Among them,the DeFi ecosystem based on Ethereum-based blockchains attracts the most attention.However,the current decentralized financial system built on the Ethereum architecture has been exposed to many smart contract vulnerabilities during the last few years.Herein,we believe it is time to improve the understanding of the prevailing Ethereum-based DeFi ecosystem security issues.To that end,we investigate the Ethereum-based DeFi security issues:1)inherited from the real-world financial system,which can be solved by macro-control;2)induced by the problems of blockchain architecture,which require a better blockchain platform;3)caused by DeFi invented applications,which should be focused on during the project development.Based on that,we further discuss the current solutions and potential directions ofDeFi security.According to our research,we could provide a comprehensive vision to the research community for the improvement of Ethereum-basedDeFi ecosystem security.展开更多
Nowadays, devices are connected across all areas, from intelligent buildings and smart cities to Industry 4.0 andsmart healthcare. With the exponential growth of Internet of Things usage in our world, IoT security is ...Nowadays, devices are connected across all areas, from intelligent buildings and smart cities to Industry 4.0 andsmart healthcare. With the exponential growth of Internet of Things usage in our world, IoT security is still thebiggest challenge for its deployment. The main goal of IoT security is to ensure the accessibility of services providedby an IoT environment, protect privacy, and confidentiality, and guarantee the safety of IoT users, infrastructures,data, and devices. Authentication, as the first line of defense against security threats, becomes the priority ofeveryone. It can either grant or deny users access to resources according to their legitimacy. As a result, studyingand researching authentication issues within IoT is extremely important. As a result, studying and researchingauthentication issues within IoT is extremely important. This article presents a comparative study of recent researchin IoT security;it provides an analysis of recent authentication protocols from2019 to 2023 that cover several areaswithin IoT (such as smart cities, healthcare, and industry). This survey sought to provide an IoT security researchsummary, the biggest susceptibilities, and attacks, the appropriate technologies, and the most used simulators. Itillustrates that the resistance of protocols against attacks, and their computational and communication cost arelinked directly to the cryptography technique used to build it. Furthermore, it discusses the gaps in recent schemesand provides some future research directions.展开更多
The Internet of Things(IoT)is a smart networking infrastructure of physical devices,i.e.,things,that are embedded with sensors,actuators,software,and other technologies,to connect and share data with the respective se...The Internet of Things(IoT)is a smart networking infrastructure of physical devices,i.e.,things,that are embedded with sensors,actuators,software,and other technologies,to connect and share data with the respective server module.Although IoTs are cornerstones in different application domains,the device’s authenticity,i.e.,of server(s)and ordinary devices,is the most crucial issue and must be resolved on a priority basis.Therefore,various field-proven methodologies were presented to streamline the verification process of the communicating devices;however,location-aware authentication has not been reported as per our knowledge,which is a crucial metric,especially in scenarios where devices are mobile.This paper presents a lightweight and location-aware device-to-server authentication technique where the device’s membership with the nearest server is subjected to its location information along with other measures.Initially,Media Access Control(MAC)address and Advance Encryption Scheme(AES)along with a secret shared key,i.e.,λ_(i) of 128 bits,have been utilized by Trusted Authority(TA)to generate MaskIDs,which are used instead of the original ID,for every device,i.e.,server and member,and are shared in the offline phase.Secondly,TA shares a list of authentic devices,i.e.,server S_(j) and members C_(i),with every device in the IoT for the onward verification process,which is required to be executed before the initialization of the actual communication process.Additionally,every device should be located such that it lies within the coverage area of a server,and this location information is used in the authentication process.A thorough analytical analysis was carried out to check the susceptibility of the proposed and existing authentication approaches against well-known intruder attacks,i.e.,man-in-the-middle,masquerading,device,and server impersonations,etc.,especially in the IoT domain.Moreover,proposed authentication and existing state-of-the-art approaches have been simulated in the real environment of IoT to verify their performance,particularly in terms of various evaluation metrics,i.e.,processing,communication,and storage overheads.These results have verified the superiority of the proposed scheme against existing state-of-the-art approaches,preferably in terms of communication,storage,and processing costs.展开更多
In this paper,we explore a cooperative decode-and-forward(DF)relay network comprised of a source,a relay,and a destination in the presence of an eavesdropper.To improve physical-layer security of the relay system,we p...In this paper,we explore a cooperative decode-and-forward(DF)relay network comprised of a source,a relay,and a destination in the presence of an eavesdropper.To improve physical-layer security of the relay system,we propose a jamming aided decodeand-forward relay(JDFR)scheme combining the use of artificial noise and DF relaying which requires two stages to transmit a packet.Specifically,in stage one,the source sends confidential message to the relay while the destination acts as a friendly jammer and transmits artificial noise to confound the eavesdropper.In stage two,the relay forwards its re-encoded message to the destination while the source emits artificial noise to confuse the eavesdropper.In addition,we analyze the security-reliability tradeoff(SRT)performance of the proposed JDFR scheme,where security and reliability are evaluated by deriving intercept probability(IP)and outage probability(OP),respectively.For the purpose of comparison,SRT of the traditional decode-and-forward relay(TDFR)scheme is also analyzed.Numerical results show that the SRT performance of the proposed JDFR scheme is better than that of the TDFR scheme.Also,it is shown that for the JDFR scheme,a better SRT performance can be obtained by the optimal power allocation(OPA)between the friendly jammer and user.展开更多
In order to enhance the accuracy of Air Traffic Control(ATC)cybersecurity attack detection,in this paper,a new clustering detection method is designed for air traffic control network security attacks.The feature set f...In order to enhance the accuracy of Air Traffic Control(ATC)cybersecurity attack detection,in this paper,a new clustering detection method is designed for air traffic control network security attacks.The feature set for ATC cybersecurity attacks is constructed by setting the feature states,adding recursive features,and determining the feature criticality.The expected information gain and entropy of the feature data are computed to determine the information gain of the feature data and reduce the interference of similar feature data.An autoencoder is introduced into the AI(artificial intelligence)algorithm to encode and decode the characteristics of ATC network security attack behavior to reduce the dimensionality of the ATC network security attack behavior data.Based on the above processing,an unsupervised learning algorithm for clustering detection of ATC network security attacks is designed.First,determine the distance between the clustering clusters of ATC network security attack behavior characteristics,calculate the clustering threshold,and construct the initial clustering center.Then,the new average value of all feature objects in each cluster is recalculated as the new cluster center.Second,it traverses all objects in a cluster of ATC network security attack behavior feature data.Finally,the cluster detection of ATC network security attack behavior is completed by the computation of objective functions.The experiment took three groups of experimental attack behavior data sets as the test object,and took the detection rate,false detection rate and recall rate as the test indicators,and selected three similar methods for comparative test.The experimental results show that the detection rate of this method is about 98%,the false positive rate is below 1%,and the recall rate is above 97%.Research shows that this method can improve the detection performance of security attacks in air traffic control network.展开更多
Internet of Health Things(IoHT)is a subset of Internet of Things(IoT)technology that includes interconnected medical devices and sensors used in medical and healthcare information systems.However,IoHT is susceptible t...Internet of Health Things(IoHT)is a subset of Internet of Things(IoT)technology that includes interconnected medical devices and sensors used in medical and healthcare information systems.However,IoHT is susceptible to cybersecurity threats due to its reliance on low-power biomedical devices and the use of open wireless channels for communication.In this article,we intend to address this shortcoming,and as a result,we propose a new scheme called,the certificateless anonymous authentication(CAA)scheme.The proposed scheme is based on hyperelliptic curve cryptography(HECC),an enhanced variant of elliptic curve cryptography(ECC)that employs a smaller key size of 80 bits as compared to 160 bits.The proposed scheme is secure against various attacks in both formal and informal security analyses.The formal study makes use of the Real-or-Random(ROR)model.A thorough comparative study of the proposed scheme is conducted for the security and efficiency of the proposed scheme with the relevant existing schemes.The results demonstrate that the proposed scheme not only ensures high security for health-related data but also increases efficiency.The proposed scheme’s computation cost is 2.88 ms,and the communication cost is 1440 bits,which shows its better efficiency compared to its counterpart schemes.展开更多
The mobility and connective capabilities of unmanned aerial vehicles(UAVs)are becoming more and more important in defense,commercial,and research domains.However,their open communication makes UAVs susceptible toundes...The mobility and connective capabilities of unmanned aerial vehicles(UAVs)are becoming more and more important in defense,commercial,and research domains.However,their open communication makes UAVs susceptible toundesirablepassive attacks suchas eavesdroppingor jamming.Recently,the inefficiencyof traditional cryptography-based techniques has led to the addition of Physical Layer Security(PLS).This study focuses on the advanced PLS method for passive eavesdropping in UAV-aided vehicular environments,proposing a solution to complement the conventional cryptography approach.Initially,we present a performance analysis of first-order secrecy metrics in 6G-enabled UAV systems,namely hybrid outage probability(HOP)and secrecy outage probability(SOP)over 2×2 Nakagami-m channels.Later,we propose a novel technique for mitigating passive eavesdropping,which considers first-order secrecy metrics as an optimization problem and determines their lower and upper bounds.Finally,we conduct an analysis of bounded HOP and SOP using the interactive Nakagami-m channel,considering the multiple-input-multiple-output configuration of the UAV system.The findings indicate that 2×2 Nakagami-mis a suitable fadingmodel under constant velocity for trustworthy receivers and eavesdroppers.The results indicate that UAV mobility has some influence on an eavesdropper’s intrusion during line-of-sight-enabled communication and can play an important role in improving security against passive eavesdroppers.展开更多
The Yellow River Delta(YRD), a critical economic zone along China's eastern coast, also functions as a vital ecological reserve in the lower Yellow River. Amidst rapid industrialization and urbanization, the regio...The Yellow River Delta(YRD), a critical economic zone along China's eastern coast, also functions as a vital ecological reserve in the lower Yellow River. Amidst rapid industrialization and urbanization, the region has witnessed significant land use/cover changes(LUCC), impacting ecosystem services(ES) and ecological security patterns(ESP). Investigating LUCC's effects on ES and ESP in the YRD is crucial for ecological security and sustainable development. This study utilized the PLUS model to simulate 2030 land use scenarios, including natural development(NDS), economic development(EDS), and ecological protection scenarios(EPS). Subsequently, the InVEST model and circuit theory were applied to assess ES and ESP under varying LUCC scenarios from 2010 to 2030. Findings indicate:(1) Notable LUCC from 2010 to 2030, marked by decreasing cropland and increasing construction land and water bodies.(2) From 2010 to 2020, improvements were observed in carbon storage,water yield, soil retention, and habitat quality, whereas 2020–2030 saw increases in water yield and soil retention but declines in habitat quality and carbon storage. Among the scenarios, EPS showed superior performance in all four ES.(3) Between 2010 and 2030, ecological sources, corridors, and pinchpoints expanded, displaying significant spatial heterogeneity. The EPS scenario yielded the most substantial increases in ecological sources,corridors, and pinchpoints, totaling 582.89 km^(2), 645.03 km^(2),and 64.43 km^(2), respectively. This study highlights the importance of EPS, offering insightful scientific guidance for the YRD's sustainable development.展开更多
A new era of data access and management has begun with the use of cloud computing in the healthcare industry.Despite the efficiency and scalability that the cloud provides, the security of private patient data is stil...A new era of data access and management has begun with the use of cloud computing in the healthcare industry.Despite the efficiency and scalability that the cloud provides, the security of private patient data is still a majorconcern. Encryption, network security, and adherence to data protection laws are key to ensuring the confidentialityand integrity of healthcare data in the cloud. The computational overhead of encryption technologies could leadto delays in data access and processing rates. To address these challenges, we introduced the Enhanced ParallelMulti-Key Encryption Algorithm (EPM-KEA), aiming to bolster healthcare data security and facilitate the securestorage of critical patient records in the cloud. The data was gathered from two categories Authorization forHospital Admission (AIH) and Authorization for High Complexity Operations.We use Z-score normalization forpreprocessing. The primary goal of implementing encryption techniques is to secure and store massive amountsof data on the cloud. It is feasible that cloud storage alternatives for protecting healthcare data will become morewidely available if security issues can be successfully fixed. As a result of our analysis using specific parametersincluding Execution time (42%), Encryption time (45%), Decryption time (40%), Security level (97%), and Energyconsumption (53%), the system demonstrated favorable performance when compared to the traditional method.This suggests that by addressing these security concerns, there is the potential for broader accessibility to cloudstorage solutions for safeguarding healthcare data.展开更多
BACKGROUND Data from the World Health Organization’s International Agency for Research on Cancer reported that China had the highest prevalence of cancer and cancer deaths in 2022.Liver and pancreatic cancers account...BACKGROUND Data from the World Health Organization’s International Agency for Research on Cancer reported that China had the highest prevalence of cancer and cancer deaths in 2022.Liver and pancreatic cancers accounted for the highest number of new cases.Real-world data(RWD)is now widely preferred to traditional clinical trials in various fields of medicine and healthcare,as the traditional research approach often involves highly selected populations and interventions and controls that are strictly regulated.Additionally,research results from the RWD match global reality better than those from traditional clinical trials.AIM To analyze the cost disparity between surgical treatments for liver and pancreatic cancer under various factors.METHODS This study analyzed RWD 1137 cases within the HB1 group(patients who underwent pancreatectomy,hepatectomy,and/or shunt surgery)in 2023.It distinguished different expenditure categories,including medical,nursing,technical,management,drug,and consumable costs.Additionally,it assessed the contribution of each expenditure category to total hospital costs and performed cross-group comparisons using the non-parametric Kruskal–Wallis test.This study used the Steel–Dwass test for post-hoc multiple comparisons and the Spearman correlation coefficient to examine the relationships between variables.RESULTS The study found that in HB11 and HB13,the total hospitalization costs were significantly higher for pancreaticoduodenectomy than for pancreatectomy and hepatectomy.Although no significant difference was observed in the length of hospital stay between patients who underwent pancreaticoduodenectomy and pancreatectomy,both were significantly longer than those who underwent liver resection.In HB15,no significant difference was observed in the total cost of hospitalization between pancreaticoduodenectomy and pancreatectomy;however,both were significantly higher than those in hepatectomy.Additionally,the length of hospital stay was significantly longer for patients who underwent pancreaticoduodenectomy than for those who underwent pancreatectomy or liver resection.CONCLUSION China Healthcare Security Diagnosis Related Groups payment system positively impacts liver and pancreatic cancer surgeries by improving medical quality and controlling costs.Further research could refine this grouping system and ensure continuous effectiveness and sustainability.展开更多
BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hosp...BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hospitalization costs and structure,and explored the impact of China Healthcare Security Diagnosis Related Groups(CHS-DRG)management on patient costs.It aimed to provide medical institutions with ways to reduce costs,optimize cost structures,reduce patient burden,and improve service efficiency.AIM To study the CHS-DRG payment system’s impact on breast cancer surgery costs.METHODS Using the CHS-DRG(version 1.1)grouping criteria,4073 patients,who underwent the radical resection of breast malignant tumors from January to December 2023,were included in the JA29 group;1028 patients were part of the CHS-DRG payment system,unlike the rest.Through an independent sample t-test,the length of hospital stay as well as total hospitalization,medicine and consumables,medical,nursing,medical technology,and management expenses were compared.Pearson’s correlation coefficient was used to test the cost correlation.RESULTS In terms of hospitalization expenses,patients in the CHS-DRG payment group had lower medical,nursing,and management expenses than those in the diagnosis-related group(DRG)non-payment group.For patients in the DRG payment group,the factors affecting the total hospitalization cost,in descending order of relevance,were medicine and consumable costs,consumable costs,medicine costs,medical costs,medical technology costs,management costs,nursing costs,and length of hospital stay.For patients in the DRG nonpayment group,the factors affecting the total hospitalization expenses in descending order of relevance were medicines and consumable expenses,consumable expenses,medical technology expenses,the cost of medicines,medical expenses,nursing expenses,length of hospital stay,and management expenses.CONCLUSION The CHS-DRG system can help control and reduce unnecessary medical expenses by controlling medicine costs,medical consumable costs,and the length of hospital stay while ensuring medical safety.展开更多
A symbol level secure precoding scheme based on band-region constraint of the eavesdropper’s receiving signal is proposed to enhance the energy efficiency of cell-free multiple-input multiple-output(MIMO)networks in ...A symbol level secure precoding scheme based on band-region constraint of the eavesdropper’s receiving signal is proposed to enhance the energy efficiency of cell-free multiple-input multiple-output(MIMO)networks in the presence of an eavesdropper while guaranteeing the quality of service(QoS)of user and the security of system.Moreover,to lighten its high computational complexity,original problem is divided into several cascade sub-problems firstly,and then those sub-problems are handled by combining Lagrangian dual function and improved Hooke-Jeeves method together.Comparative ex-periment with other secure symbol-level precoding schemes demonstrate that proposed scheme can achieve the lower power consumption with almost same symbol error rate and QoS of user.展开更多
文摘The Internet of Things(IoT)is growing rapidly and impacting almost every aspect of our lives,fromwearables and healthcare to security,traffic management,and fleet management systems.This has generated massive volumes of data and security,and data privacy risks are increasing with the advancement of technology and network connections.Traditional access control solutions are inadequate for establishing access control in IoT systems to provide data protection owing to their vulnerability to single-point OF failure.Additionally,conventional privacy preservation methods have high latency costs and overhead for resource-constrained devices.Previous machine learning approaches were also unable to detect denial-of-service(DoS)attacks.This study introduced a novel decentralized and secure framework for blockchain integration.To avoid single-point OF failure,an accredited access control scheme is incorporated,combining blockchain with local peers to record each transaction and verify the signature to access.Blockchain-based attribute-based cryptography is implemented to protect data storage privacy by generating threshold parameters,managing keys,and revoking users on the blockchain.An innovative contract-based DOS attack mitigation method is also incorporated to effectively validate devices with intelligent contracts as trusted or untrusted,preventing the server from becoming overwhelmed.The proposed framework effectively controls access,safeguards data privacy,and reduces the risk of cyberattacks.The results depict that the suggested framework outperforms the results in terms of accuracy,precision,sensitivity,recall,and F-measure at 96.9%,98.43%,98.8%,98.43%,and 98.4%,respectively.
文摘Today, the advent of quantum computers and algorithms is calling into question the semantic security of symmetrical and asymmetrical cryptosystems. The security of objects connected to the network, which must provide a security service and protect the privacy of users by providing protection against attacks such as identity theft, denial of service, eavesdropping and unauthorised access to personal and sensitive data. It is therefore necessary to find a robust method of using the key that is effective in protecting and preventing data tampering. In this paper, we design and implement a security and data protection method using a key generated on the basis of electromagnetic wave propagation theories. Modelling and implementation of a data security and protection method using a key generated on the basis of electromagnetic wave propagation theories.
文摘The Internet of Things (IoT) represents a revolutionary paradigm, enabling a vast array of devices to be ubiquitously interconnected via the Internet, thereby facilitating remote control and management of these devices. This pervasive integration into daily life brings significant convenience but also raises substantial concerns regarding the security of personal data collected and stored online. As the number of connected devices grows, the urgency to address privacy and security issues becomes paramount. IoT systems are particularly susceptible to threats that could compromise consumer privacy and security, affecting their practical deployment. Recent research efforts have focused on enhancing the security of IoT devices, including the exploration of blockchain technologies to mitigate these concerns. This paper aims to elucidate the security and privacy challenges inherent in IoT systems by examining vulnerabilities at each layer of the IoT protocol stack. It identifies key security requirements and reviews existing solutions designed to protect IoT systems from a layered perspective, thereby providing a comprehensive overview of the current landscape of IoT security and highlighting the critical need for robust security measures as the adoption of IoT continues to expand.
文摘In an era where digital technology is paramount, higher education institutions like the University of Zambia (UNZA) are employing advanced computer networks to enhance their operational capacity and offer cutting-edge services to their academic fraternity. Spanning across the Great East Road campus, UNZA has established one of the most extensive computer networks in Zambia, serving a burgeoning community of over 20,000 active users through a Metropolitan Area Network (MAN). However, as the digital landscape continues to evolve, it is besieged with burgeoning challenges that threaten the very fabric of network integrity—cyber security threats and the imperatives of maintaining high Quality of Service (QoS). In an effort to mitigate these threats and ensure network efficiency, the development of a mobile application to monitor temperatures in the server room was imperative. According to L. Wei, X. Zeng, and T. Shen, the use of wireless sensory networks to monitor the temperature of train switchgear contact points represents a cost-effective solution. The system is based on wireless communication technology and is detailed in their paper, “A wireless solution for train switchgear contact temperature monitoring and alarming system based on wireless communication technology”, published in the International Journal of Communications, Network and System Sciences, vol. 8, no. 4, pp. 79-87, 2015 [1]. Therefore, in this study, a mobile application technology was explored for monitoring of temperatures in the server room in order to aid Cisco device performance. Additionally, this paper also explores the hardening of Cisco device security and QoS which are the cornerstones of this study.
文摘Platforms facilitate information exchange,streamline resources,and reduce production and management costs for companies.However,some viral information may invade and steal company resources,or lead to information leakage.For this reason,this paper discusses the standards for cybersecurity protection,examines the current state of cybersecurity management and the risks faced by cloud platforms,expands the time and space for training on cloud platforms,and provides recommendations for measuring the level of cybersecurity protection within cloud platforms in order to build a solid foundation for them.
文摘The Kingdom of Saudi Arabia(KSA)has achieved significant milestones in cybersecurity.KSA has maintained solid regulatorymechanisms to prevent,trace,and punish offenders to protect the interests of both individual users and organizations from the online threats of data poaching and pilferage.The widespread usage of Information Technology(IT)and IT Enable Services(ITES)reinforces securitymeasures.The constantly evolving cyber threats are a topic that is generating a lot of discussion.In this league,the present article enlists a broad perspective on how cybercrime is developing in KSA at present and also takes a look at some of the most significant attacks that have taken place in the region.The existing legislative framework and measures in the KSA are geared toward deterring criminal activity online.Different competency models have been devised to address the necessary cybercrime competencies in this context.The research specialists in this domain can benefit more by developing a master competency level for achieving optimum security.To address this research query,the present assessment uses the Fuzzy Decision-Making Trial and Evaluation Laboratory(Fuzzy-DMTAEL),Fuzzy Analytic Hierarchy Process(F.AHP),and Fuzzy TOPSIS methodology to achieve segment-wise competency development in cyber security policy.The similarities and differences between the three methods are also discussed.This cybersecurity analysis determined that the National Cyber Security Centre got the highest priority.The study concludes by perusing the challenges that still need to be examined and resolved in effectuating more credible and efficacious online security mechanisms to offer amoreempowered ITES-driven economy for SaudiArabia.Moreover,cybersecurity specialists and policymakers need to collate their efforts to protect the country’s digital assets in the era of overt and covert cyber warfare.
基金supported in part by the National Natural Science Foundation of China (62072248, 62072247)the Jiangsu Agriculture Science and Technology Innovation Fund (CX(21)3060)。
文摘Solar insecticidal lamps(SIL) can effectively control pests and reduce the use of pesticides. Combining SIL and Internet of Things(IoT) has formed a new type of agricultural IoT,known as SIL-IoT, which can improve the effectiveness of migratory phototropic pest control. However, since the SIL is connected to the Internet, it is vulnerable to various security issues.These issues can lead to serious consequences, such as tampering with the parameters of SIL, illegally starting and stopping SIL,etc. In this paper, we describe the overall security requirements of SIL-IoT and present an extensive survey of security and privacy solutions for SIL-IoT. We investigate the background and logical architecture of SIL-IoT, discuss SIL-IoT security scenarios, and analyze potential attacks. Starting from the security requirements of SIL-IoT we divide them into six categories, namely privacy, authentication, confidentiality, access control, availability,and integrity. Next, we describe the SIL-IoT privacy and security solutions, as well as the blockchain-based solutions. Based on the current survey, we finally discuss the challenges and future research directions of SIL-IoT.
基金supported by the National Natural Science Foundation of China(No.52174296)the Key Laboratory of Metallurgical Industry Safety&Risk Prevention and Control,Ministry of Emergency Management,China.
文摘The safety and longevity of key blast furnace(BF)equipment determine the stable and low-carbon production of iron.This pa-per presents an analysis of the heat transfer characteristics of these components and the uneven distribution of cooling water in parallel pipes based on hydrodynamic principles,discusses the feasible methods for the improvement of BF cooling intensity,and reviews the pre-paration process,performance,and damage characteristics of three key equipment pieces:coolers,tuyeres,and hearth refractories.Fur-thermoere,to attain better control of these critical components under high-temperature working conditions,we propose the application of optimized technologies,such as BF operation and maintenance technology,self-repair technology,and full-lifecycle management techno-logy.Finally,we propose further researches on safety assessments and predictions for key BF equipment under new operating conditions.
基金supported by the Key-Area Research and Development Program of Guangdong Province 2020B0101090003CCF-NSFOCUS Kunpeng Scientific Research Fund (CCFNSFOCUS 2021010)+4 种基金Innovation Fund Program of the Engineering Research Center for Integration and Application of Digital Learning Technology of Ministry of Education under Grant No.1221027National Natural Science Foundation of China (Grant Nos.61902083,62172115,61976064)Guangdong Higher Education Innovation Group 2020KCXTD007 and Guangzhou Higher Education Innovation Group (No.202032854)Guangzhou Fundamental Research Plan of“Municipal-School”Jointly Funded Projects (No.202102010445)Guangdong Province Science and Technology Planning Project (No.2020A1414010370).
文摘Decentralized finance(DeFi)is a general term for a series of financial products and services.It is based on blockchain technology and has attracted people’s attention because of its open,transparent,and intermediary free.Among them,the DeFi ecosystem based on Ethereum-based blockchains attracts the most attention.However,the current decentralized financial system built on the Ethereum architecture has been exposed to many smart contract vulnerabilities during the last few years.Herein,we believe it is time to improve the understanding of the prevailing Ethereum-based DeFi ecosystem security issues.To that end,we investigate the Ethereum-based DeFi security issues:1)inherited from the real-world financial system,which can be solved by macro-control;2)induced by the problems of blockchain architecture,which require a better blockchain platform;3)caused by DeFi invented applications,which should be focused on during the project development.Based on that,we further discuss the current solutions and potential directions ofDeFi security.According to our research,we could provide a comprehensive vision to the research community for the improvement of Ethereum-basedDeFi ecosystem security.
文摘Nowadays, devices are connected across all areas, from intelligent buildings and smart cities to Industry 4.0 andsmart healthcare. With the exponential growth of Internet of Things usage in our world, IoT security is still thebiggest challenge for its deployment. The main goal of IoT security is to ensure the accessibility of services providedby an IoT environment, protect privacy, and confidentiality, and guarantee the safety of IoT users, infrastructures,data, and devices. Authentication, as the first line of defense against security threats, becomes the priority ofeveryone. It can either grant or deny users access to resources according to their legitimacy. As a result, studyingand researching authentication issues within IoT is extremely important. As a result, studying and researchingauthentication issues within IoT is extremely important. This article presents a comparative study of recent researchin IoT security;it provides an analysis of recent authentication protocols from2019 to 2023 that cover several areaswithin IoT (such as smart cities, healthcare, and industry). This survey sought to provide an IoT security researchsummary, the biggest susceptibilities, and attacks, the appropriate technologies, and the most used simulators. Itillustrates that the resistance of protocols against attacks, and their computational and communication cost arelinked directly to the cryptography technique used to build it. Furthermore, it discusses the gaps in recent schemesand provides some future research directions.
文摘The Internet of Things(IoT)is a smart networking infrastructure of physical devices,i.e.,things,that are embedded with sensors,actuators,software,and other technologies,to connect and share data with the respective server module.Although IoTs are cornerstones in different application domains,the device’s authenticity,i.e.,of server(s)and ordinary devices,is the most crucial issue and must be resolved on a priority basis.Therefore,various field-proven methodologies were presented to streamline the verification process of the communicating devices;however,location-aware authentication has not been reported as per our knowledge,which is a crucial metric,especially in scenarios where devices are mobile.This paper presents a lightweight and location-aware device-to-server authentication technique where the device’s membership with the nearest server is subjected to its location information along with other measures.Initially,Media Access Control(MAC)address and Advance Encryption Scheme(AES)along with a secret shared key,i.e.,λ_(i) of 128 bits,have been utilized by Trusted Authority(TA)to generate MaskIDs,which are used instead of the original ID,for every device,i.e.,server and member,and are shared in the offline phase.Secondly,TA shares a list of authentic devices,i.e.,server S_(j) and members C_(i),with every device in the IoT for the onward verification process,which is required to be executed before the initialization of the actual communication process.Additionally,every device should be located such that it lies within the coverage area of a server,and this location information is used in the authentication process.A thorough analytical analysis was carried out to check the susceptibility of the proposed and existing authentication approaches against well-known intruder attacks,i.e.,man-in-the-middle,masquerading,device,and server impersonations,etc.,especially in the IoT domain.Moreover,proposed authentication and existing state-of-the-art approaches have been simulated in the real environment of IoT to verify their performance,particularly in terms of various evaluation metrics,i.e.,processing,communication,and storage overheads.These results have verified the superiority of the proposed scheme against existing state-of-the-art approaches,preferably in terms of communication,storage,and processing costs.
基金supported in part by the National Natural Science Foundation of China under Grant 62271268,Grant 62071253,and Grant 62371252in part by the Jiangsu Provincial Key Research and Development Program under Grant BE2022800in part by the Jiangsu Provincial 333 Talent Project。
文摘In this paper,we explore a cooperative decode-and-forward(DF)relay network comprised of a source,a relay,and a destination in the presence of an eavesdropper.To improve physical-layer security of the relay system,we propose a jamming aided decodeand-forward relay(JDFR)scheme combining the use of artificial noise and DF relaying which requires two stages to transmit a packet.Specifically,in stage one,the source sends confidential message to the relay while the destination acts as a friendly jammer and transmits artificial noise to confound the eavesdropper.In stage two,the relay forwards its re-encoded message to the destination while the source emits artificial noise to confuse the eavesdropper.In addition,we analyze the security-reliability tradeoff(SRT)performance of the proposed JDFR scheme,where security and reliability are evaluated by deriving intercept probability(IP)and outage probability(OP),respectively.For the purpose of comparison,SRT of the traditional decode-and-forward relay(TDFR)scheme is also analyzed.Numerical results show that the SRT performance of the proposed JDFR scheme is better than that of the TDFR scheme.Also,it is shown that for the JDFR scheme,a better SRT performance can be obtained by the optimal power allocation(OPA)between the friendly jammer and user.
基金National Natural Science Foundation of China(U2133208,U20A20161)National Natural Science Foundation of China(No.62273244)Sichuan Science and Technology Program(No.2022YFG0180).
文摘In order to enhance the accuracy of Air Traffic Control(ATC)cybersecurity attack detection,in this paper,a new clustering detection method is designed for air traffic control network security attacks.The feature set for ATC cybersecurity attacks is constructed by setting the feature states,adding recursive features,and determining the feature criticality.The expected information gain and entropy of the feature data are computed to determine the information gain of the feature data and reduce the interference of similar feature data.An autoencoder is introduced into the AI(artificial intelligence)algorithm to encode and decode the characteristics of ATC network security attack behavior to reduce the dimensionality of the ATC network security attack behavior data.Based on the above processing,an unsupervised learning algorithm for clustering detection of ATC network security attacks is designed.First,determine the distance between the clustering clusters of ATC network security attack behavior characteristics,calculate the clustering threshold,and construct the initial clustering center.Then,the new average value of all feature objects in each cluster is recalculated as the new cluster center.Second,it traverses all objects in a cluster of ATC network security attack behavior feature data.Finally,the cluster detection of ATC network security attack behavior is completed by the computation of objective functions.The experiment took three groups of experimental attack behavior data sets as the test object,and took the detection rate,false detection rate and recall rate as the test indicators,and selected three similar methods for comparative test.The experimental results show that the detection rate of this method is about 98%,the false positive rate is below 1%,and the recall rate is above 97%.Research shows that this method can improve the detection performance of security attacks in air traffic control network.
文摘Internet of Health Things(IoHT)is a subset of Internet of Things(IoT)technology that includes interconnected medical devices and sensors used in medical and healthcare information systems.However,IoHT is susceptible to cybersecurity threats due to its reliance on low-power biomedical devices and the use of open wireless channels for communication.In this article,we intend to address this shortcoming,and as a result,we propose a new scheme called,the certificateless anonymous authentication(CAA)scheme.The proposed scheme is based on hyperelliptic curve cryptography(HECC),an enhanced variant of elliptic curve cryptography(ECC)that employs a smaller key size of 80 bits as compared to 160 bits.The proposed scheme is secure against various attacks in both formal and informal security analyses.The formal study makes use of the Real-or-Random(ROR)model.A thorough comparative study of the proposed scheme is conducted for the security and efficiency of the proposed scheme with the relevant existing schemes.The results demonstrate that the proposed scheme not only ensures high security for health-related data but also increases efficiency.The proposed scheme’s computation cost is 2.88 ms,and the communication cost is 1440 bits,which shows its better efficiency compared to its counterpart schemes.
基金funded by Taif University,Taif,Saudi Arabia,Project No.(TUDSPP-2024-139).
文摘The mobility and connective capabilities of unmanned aerial vehicles(UAVs)are becoming more and more important in defense,commercial,and research domains.However,their open communication makes UAVs susceptible toundesirablepassive attacks suchas eavesdroppingor jamming.Recently,the inefficiencyof traditional cryptography-based techniques has led to the addition of Physical Layer Security(PLS).This study focuses on the advanced PLS method for passive eavesdropping in UAV-aided vehicular environments,proposing a solution to complement the conventional cryptography approach.Initially,we present a performance analysis of first-order secrecy metrics in 6G-enabled UAV systems,namely hybrid outage probability(HOP)and secrecy outage probability(SOP)over 2×2 Nakagami-m channels.Later,we propose a novel technique for mitigating passive eavesdropping,which considers first-order secrecy metrics as an optimization problem and determines their lower and upper bounds.Finally,we conduct an analysis of bounded HOP and SOP using the interactive Nakagami-m channel,considering the multiple-input-multiple-output configuration of the UAV system.The findings indicate that 2×2 Nakagami-mis a suitable fadingmodel under constant velocity for trustworthy receivers and eavesdroppers.The results indicate that UAV mobility has some influence on an eavesdropper’s intrusion during line-of-sight-enabled communication and can play an important role in improving security against passive eavesdroppers.
基金financially supported by the National Natural Science Foundation of China (Grant No. 41461011)。
文摘The Yellow River Delta(YRD), a critical economic zone along China's eastern coast, also functions as a vital ecological reserve in the lower Yellow River. Amidst rapid industrialization and urbanization, the region has witnessed significant land use/cover changes(LUCC), impacting ecosystem services(ES) and ecological security patterns(ESP). Investigating LUCC's effects on ES and ESP in the YRD is crucial for ecological security and sustainable development. This study utilized the PLUS model to simulate 2030 land use scenarios, including natural development(NDS), economic development(EDS), and ecological protection scenarios(EPS). Subsequently, the InVEST model and circuit theory were applied to assess ES and ESP under varying LUCC scenarios from 2010 to 2030. Findings indicate:(1) Notable LUCC from 2010 to 2030, marked by decreasing cropland and increasing construction land and water bodies.(2) From 2010 to 2020, improvements were observed in carbon storage,water yield, soil retention, and habitat quality, whereas 2020–2030 saw increases in water yield and soil retention but declines in habitat quality and carbon storage. Among the scenarios, EPS showed superior performance in all four ES.(3) Between 2010 and 2030, ecological sources, corridors, and pinchpoints expanded, displaying significant spatial heterogeneity. The EPS scenario yielded the most substantial increases in ecological sources,corridors, and pinchpoints, totaling 582.89 km^(2), 645.03 km^(2),and 64.43 km^(2), respectively. This study highlights the importance of EPS, offering insightful scientific guidance for the YRD's sustainable development.
文摘A new era of data access and management has begun with the use of cloud computing in the healthcare industry.Despite the efficiency and scalability that the cloud provides, the security of private patient data is still a majorconcern. Encryption, network security, and adherence to data protection laws are key to ensuring the confidentialityand integrity of healthcare data in the cloud. The computational overhead of encryption technologies could leadto delays in data access and processing rates. To address these challenges, we introduced the Enhanced ParallelMulti-Key Encryption Algorithm (EPM-KEA), aiming to bolster healthcare data security and facilitate the securestorage of critical patient records in the cloud. The data was gathered from two categories Authorization forHospital Admission (AIH) and Authorization for High Complexity Operations.We use Z-score normalization forpreprocessing. The primary goal of implementing encryption techniques is to secure and store massive amountsof data on the cloud. It is feasible that cloud storage alternatives for protecting healthcare data will become morewidely available if security issues can be successfully fixed. As a result of our analysis using specific parametersincluding Execution time (42%), Encryption time (45%), Decryption time (40%), Security level (97%), and Energyconsumption (53%), the system demonstrated favorable performance when compared to the traditional method.This suggests that by addressing these security concerns, there is the potential for broader accessibility to cloudstorage solutions for safeguarding healthcare data.
基金Research Center for Capital Health Management and Policy,No.2024JD09.
文摘BACKGROUND Data from the World Health Organization’s International Agency for Research on Cancer reported that China had the highest prevalence of cancer and cancer deaths in 2022.Liver and pancreatic cancers accounted for the highest number of new cases.Real-world data(RWD)is now widely preferred to traditional clinical trials in various fields of medicine and healthcare,as the traditional research approach often involves highly selected populations and interventions and controls that are strictly regulated.Additionally,research results from the RWD match global reality better than those from traditional clinical trials.AIM To analyze the cost disparity between surgical treatments for liver and pancreatic cancer under various factors.METHODS This study analyzed RWD 1137 cases within the HB1 group(patients who underwent pancreatectomy,hepatectomy,and/or shunt surgery)in 2023.It distinguished different expenditure categories,including medical,nursing,technical,management,drug,and consumable costs.Additionally,it assessed the contribution of each expenditure category to total hospital costs and performed cross-group comparisons using the non-parametric Kruskal–Wallis test.This study used the Steel–Dwass test for post-hoc multiple comparisons and the Spearman correlation coefficient to examine the relationships between variables.RESULTS The study found that in HB11 and HB13,the total hospitalization costs were significantly higher for pancreaticoduodenectomy than for pancreatectomy and hepatectomy.Although no significant difference was observed in the length of hospital stay between patients who underwent pancreaticoduodenectomy and pancreatectomy,both were significantly longer than those who underwent liver resection.In HB15,no significant difference was observed in the total cost of hospitalization between pancreaticoduodenectomy and pancreatectomy;however,both were significantly higher than those in hepatectomy.Additionally,the length of hospital stay was significantly longer for patients who underwent pancreaticoduodenectomy than for those who underwent pancreatectomy or liver resection.CONCLUSION China Healthcare Security Diagnosis Related Groups payment system positively impacts liver and pancreatic cancer surgeries by improving medical quality and controlling costs.Further research could refine this grouping system and ensure continuous effectiveness and sustainability.
基金Research Center for Capital Health Management and Policy,No.2024JD09.
文摘BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hospitalization costs and structure,and explored the impact of China Healthcare Security Diagnosis Related Groups(CHS-DRG)management on patient costs.It aimed to provide medical institutions with ways to reduce costs,optimize cost structures,reduce patient burden,and improve service efficiency.AIM To study the CHS-DRG payment system’s impact on breast cancer surgery costs.METHODS Using the CHS-DRG(version 1.1)grouping criteria,4073 patients,who underwent the radical resection of breast malignant tumors from January to December 2023,were included in the JA29 group;1028 patients were part of the CHS-DRG payment system,unlike the rest.Through an independent sample t-test,the length of hospital stay as well as total hospitalization,medicine and consumables,medical,nursing,medical technology,and management expenses were compared.Pearson’s correlation coefficient was used to test the cost correlation.RESULTS In terms of hospitalization expenses,patients in the CHS-DRG payment group had lower medical,nursing,and management expenses than those in the diagnosis-related group(DRG)non-payment group.For patients in the DRG payment group,the factors affecting the total hospitalization cost,in descending order of relevance,were medicine and consumable costs,consumable costs,medicine costs,medical costs,medical technology costs,management costs,nursing costs,and length of hospital stay.For patients in the DRG nonpayment group,the factors affecting the total hospitalization expenses in descending order of relevance were medicines and consumable expenses,consumable expenses,medical technology expenses,the cost of medicines,medical expenses,nursing expenses,length of hospital stay,and management expenses.CONCLUSION The CHS-DRG system can help control and reduce unnecessary medical expenses by controlling medicine costs,medical consumable costs,and the length of hospital stay while ensuring medical safety.
基金the National Natural Science Foundation of China(No.61976080)the Key Research Projects in Henan Province of China(No.231111212500).
文摘A symbol level secure precoding scheme based on band-region constraint of the eavesdropper’s receiving signal is proposed to enhance the energy efficiency of cell-free multiple-input multiple-output(MIMO)networks in the presence of an eavesdropper while guaranteeing the quality of service(QoS)of user and the security of system.Moreover,to lighten its high computational complexity,original problem is divided into several cascade sub-problems firstly,and then those sub-problems are handled by combining Lagrangian dual function and improved Hooke-Jeeves method together.Comparative ex-periment with other secure symbol-level precoding schemes demonstrate that proposed scheme can achieve the lower power consumption with almost same symbol error rate and QoS of user.