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Mindfulness training in medical education as a means to improve resilience,empathy,and mental health in the medical profession
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作者 Edison Iglesias de Oliveira Vidal Luiz Fernando Alvarenga Ribeiro +1 位作者 Marco Antonio de Carvalho-Filho Fernanda Bono Fukushima 《World Journal of Psychiatry》 SCIE 2024年第4期489-493,共5页
The high rates of depression,burnout,and increased risk of suicide among medical students,residents,and physicians in comparison with other careers signal a mental health crisis within our profession.We contend that t... The high rates of depression,burnout,and increased risk of suicide among medical students,residents,and physicians in comparison with other careers signal a mental health crisis within our profession.We contend that this crisis coupled with the inadequate acquisition of interpersonal skills during medical education results from the interaction between a challenging environment and the mental capital of individuals.Additionally,we posit that mindfulness-based practices are instrumental for the development of major components of mental capital,such as resilience,flexibility of mind,and learning skills,while also serving as a pathway to enhance empathy,compassion,self-awareness,conflict resolution,and relational abilities.Importantly,the evidence base supporting the effectiveness of mindfulness-based interventions has been increasing over the years,and a growing number of medical schools have already integrated mindfulness into their curricula.While we acknowledge that mindfulness is not a panacea for all educational and mental health problems in this field,we argue that there is currently an unprecedented opportunity to gather momentum,spread and study mindfulness-based programs in medical schools around the world as a way to address some longstanding shortcomings of the medical profession and the health and educational systems upon which it is rooted. 展开更多
关键词 MINDFULNESS medical education Mental capital Mental health medical students RESILIENCE
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Investigation on the Knowledge, Attitude and Practice of Oral Health among Medical College and University Undergraduate
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作者 Xiuying Guan Dongming Li +4 位作者 Deping Zou Xin Yu Shuyin Pan Zheng Yang Jianzhong Huang 《Health》 2024年第7期602-614,共13页
Objectives: This study aims to investigate the status of knowledge, attitude and practice (KAP) of oral health among medical undergraduate students, and provide reference for implementing oral health interventions. Me... Objectives: This study aims to investigate the status of knowledge, attitude and practice (KAP) of oral health among medical undergraduate students, and provide reference for implementing oral health interventions. Methods: A total of 528 undergraduate students enrolled in Fuzhou Medical College from February 2023 to September 2023 were selected as the research subjects. Their oral health KAP were investigated, and the oral health behavior habits of different types of medical students were compared, and possible influencing factors were analyzed. Results: The total awareness rate of oral health knowledge among medical students is 77.0%, with an average score of 3.85 ± 1.16 points. The overall positive rate of oral health attitudes among medical students is 80.0%, with an average score of 3.19 ± 0.72 points. The total qualified rate of oral health behavior is 65.9%, with an average score of 4.61 ± 1.23 points. The scores of oral health knowledge, attitudes, and behaviors among medical students are related to gender, major, smoking status, and oral health status. The frequency of brushing teeth in the female group was higher than that in the male group, while the habit of brushing teeth before bedtime and the frequency of timely replacement of toothbrushes when deformed were lower, with statistical significance (p 0.05). The frequency of timely replacement of toothbrushes varies among medical students from different majors, and the difference is statistically significant (p 0.05). People who have a habit of eating hot and cold food have a higher frequency of brushing their teeth every day, and the difference is statistically significant (p 0.05). Non smokers have a better habit of brushing their teeth before bedtime and a higher frequency of timely replacement when their toothbrush deforms, with a statistically significant difference (p 0.05). The frequency of using fluoride toothpaste or medicated toothpaste, having a habit of unilateral chewing, and timely replacement of toothbrushes when deformed in patients with existing oral problems is higher than that of those without oral problems, and the difference is statistically significant (p 0.05). Conclusion: The knowledge, attitude, and behavior of oral health among medical students in this school are above average. Students with different genders, dietary and smoking habits, and oral health status have different oral health behavioral habits. It is recommended to include oral health education in mandatory courses for various medical majors. 展开更多
关键词 medical Students Oral health Knowledge Attitude Practice Correlation Analysis
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Ethics of Human Resources Management in the Cameroonian Health System, Medical Nomadism and the Ineffectiveness of the Fight against High Blood Pressure
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作者 Jean Ndibi Abanda Anicet Onana Akoa +2 位作者 Désiré Tchoffo Ulrich Dama Pierre Yassa Yoniene 《Health》 2024年第1期9-21,共13页
Context/objectives: The fight against Chronic Non-Communicable Diseases (NCDs) is a long-term undertaking, which requires available, motivated and well-managed human resources (HR). The administrative management of sk... Context/objectives: The fight against Chronic Non-Communicable Diseases (NCDs) is a long-term undertaking, which requires available, motivated and well-managed human resources (HR). The administrative management of skills on both qualitative and quantitative levels is one of the essential functions of a health system. To better implement policies of fight against High Blood Pressure (HBP) and other chronic diseases, it is important to establish strategies to retain health personnel. This loyalty requires favorable working conditions and consideration of the contribution-reward couple. Good working conditions are likely to reduce the phenomenon of medical nomadism;conversely, poor HR management can contribute to their exodus towards exotic “green pastures”, thus leading to an additional crisis in the Cameroonian health system. The fight against HBP is a complex, multifaceted and multifactorial reality that requires appropriate management model for all types of resources mainly HR. The main objective of this research is to show the impact of poor management of human resources in Cameroon health system on medical nomadism and the ineffectiveness of the fight against High Blood Pressure. Method: A cross-sectional descriptive survey among five hundred (500) health facilities in the center region of Cameroon has been conducted. A stratified probabilistic technique has been used, and the number of health facilities to be surveyed has been determined using the “sample size estimation table” of Depelteau. The physical questionnaires have been printed and then distributed to data collectors. After data collection, the latter were grouped during processing in Excel sheets. The Chi-square test was used for data with a qualitative value and that of Kolmogorov-Sminorf for data with a quantitative value to assess the normality and reliability of data. The Crochach’s Alpha reliability test allowed us to have a summary of the means and variances and then to search for intragroup correlations between variables. Descriptive analysis was possible with the XLSTAT 2016 software. Results: 43.60% of Health Facilities (HF) managers were unqualified. 82.20% of HF managers have staff in a situation of professional insecurity. They are mainly contractual (49.00), decision-making agents (24.40%), casual agents (08.80). The proportion of unstable personnel is average of 22.00% and very unstable, 12.00%. 展开更多
关键词 ETHICS Human Resources Management Cameroonian health System medical Nomadism Ineffectiveness High Blood Pressure
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Implementation of an international medical student pen-pal club:survey outcomes of perceptions in cultural competency and global health
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作者 Max J.Goodman Jennifer Livschitz +1 位作者 Ji Won Kim Megan L.Schultz 《Global Health Journal》 2024年第1期11-15,共5页
Background:Pen-pal clubs(PPC)are used worldwide for students to learn about different cultures and other skillsets without the need for travel.Many medical students are interested in global health opportunities abroad... Background:Pen-pal clubs(PPC)are used worldwide for students to learn about different cultures and other skillsets without the need for travel.Many medical students are interested in global health opportunities abroad but costs,scheduling,and other barriers allow few to participate in such experiences.It is important that medical students have nuanced global medical perspectives and can contribute to the global medical community.Objective:The purpose of this study is to demonstrate that an international medical student PPC improves medical students'perspectives of cultural competency and global health engagement.Methods:In 2021,a novel medical student PPC was established that began between an American and Japanese medical school.Following a shareholders meeting,it was decided that the number of medical schools involved globally be expanded through previous institutional affiliations and online presences.In total,the club connected 50 American medical students and 52 medical students from 17 high-and middle-income countries.The primary form of communication was online;pen-pals were encouraged to communicate monthly using provided topics,although frequency and way of communication was their discretion.In February 2022,American PPC members were emailed a qualitative survey to assess the PPC's impact.Results:The survey was completed by 42%of American PPC members,95%of which were 22-26 years.Participants were preclinical medical students,60%whom were female and the majority either white(47%)or Asian(43%).Overall,the PPC positively influenced American medical students'perception of global medicine,medical education,and their cultural competency after joining the PPC compared to prior(P=0.004).Conclusion:PPCs encourage medical students to think from a global perspective and foster open-mindedness within varying social and cultural contexts.Having a global communication platform for students during medical school education may be an additional way to train aspiring global leaders. 展开更多
关键词 Pen-pals medical student Global health Cultural competency
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Associative Tasks Computing Offloading Scheme in Internet of Medical Things with Deep Reinforcement Learning
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作者 Jiang Fan Qin Junwei +1 位作者 Liu Lei Tian Hui 《China Communications》 SCIE CSCD 2024年第4期38-52,共15页
The Internet of Medical Things(Io MT) is regarded as a critical technology for intelligent healthcare in the foreseeable 6G era. Nevertheless, due to the limited computing power capability of edge devices and task-rel... The Internet of Medical Things(Io MT) is regarded as a critical technology for intelligent healthcare in the foreseeable 6G era. Nevertheless, due to the limited computing power capability of edge devices and task-related coupling relationships, Io MT faces unprecedented challenges. Considering the associative connections among tasks, this paper proposes a computing offloading policy for multiple-user devices(UDs) considering device-to-device(D2D) communication and a multi-access edge computing(MEC)technique under the scenario of Io MT. Specifically,to minimize the total delay and energy consumption concerning the requirement of Io MT, we first analyze and model the detailed local execution, MEC execution, D2D execution, and associated tasks offloading exchange model. Consequently, the associated tasks’ offloading scheme of multi-UDs is formulated as a mixed-integer nonconvex optimization problem. Considering the advantages of deep reinforcement learning(DRL) in processing tasks related to coupling relationships, a Double DQN based associative tasks computing offloading(DDATO) algorithm is then proposed to obtain the optimal solution, which can make the best offloading decision under the condition that tasks of UDs are associative. Furthermore, to reduce the complexity of the DDATO algorithm, the cacheaided procedure is intentionally introduced before the data training process. This avoids redundant offloading and computing procedures concerning tasks that previously have already been cached by other UDs. In addition, we use a dynamic ε-greedy strategy in the action selection section of the algorithm, thus preventing the algorithm from falling into a locally optimal solution. Simulation results demonstrate that compared with other existing methods for associative task models concerning different structures in the Io MT network, the proposed algorithm can lower the total cost more effectively and efficiently while also providing a tradeoff between delay and energy consumption tolerance. 展开更多
关键词 associative tasks cache-aided procedure double deep Q-network internet of medical Things(IoMT) multi-access edge computing(MEC)
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Securing the Internet of Health Things with Certificateless Anonymous Authentication Scheme
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作者 Nisreen Innab 《Computers, Materials & Continua》 SCIE EI 2024年第8期2237-2258,共22页
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
关键词 internet of things internet of health things security authentication hyperelliptic curve cryptography
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COVID-19 Downgraded Already Impaired Mental Health of Medical Undergraduates during the Pandemic Years
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作者 Rodrigo Corrêa Falcão Rodrigues Alves Rodolffo da Silva Fossa +6 位作者 Vinicius de Calasans Timaco José Mariano Soares de Moraes Emilio Magalhães Martins Will Rinaldo Henrique Aguilar da Silva Luiz Antonio Vane Joaquim Edson Vieira Matheus Fachini Vane 《Journal of Biosciences and Medicines》 CAS 2023年第5期166-180,共15页
Background: Measures to contain the COVID-19 transmission reached teaching routines of universities worldwide with possible mental health consequences for anxiety. This study assessed prevalence and risk factors for s... Background: Measures to contain the COVID-19 transmission reached teaching routines of universities worldwide with possible mental health consequences for anxiety. This study assessed prevalence and risk factors for stress, depression, and anxiety (SDA) in medical students during quarantine by COVID-19. Methods: A cross-sectional observational study of medical students by means of the DASS-21 questionnaire. Risk factors for SDA were assessed based on epidemiologic questions related to COVID-19. Receiver Operating Characteristics (ROC) curves were calculated for each predictor, as well as sensitivity and specificity. Results: This survey reached 1009 responses. A prevalence of 77.5% for some SDA disorder was found, 63% being severe. Previous diagnosis of psychiatric disorder was a factor of risk for anxiety (OR 2.78 CI95% 1.44 - 14.25, p = 0.044), as well as for depression (OR 3.37 CI95% 1.98 - 6.02, p Conclusion: Psychiatric conditions as well as chronic illnesses were risk factors for high prevalence of anxiety, depression and stress during the COVID-19 pandemic among medical students. 展开更多
关键词 Mental health COVID-19 STUDENTS medical Surveys and Questionnaires
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Image Color Rendering Based on Hinge-Cross-Entropy GAN in Internet of Medical Things
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作者 Hong’an Li Min Zhang +3 位作者 Dufeng Chen Jing Zhang Meng Yang Zhanli Li 《Computer Modeling in Engineering & Sciences》 SCIE EI 2023年第4期779-794,共16页
Computer-aided diagnosis based on image color rendering promotes medical image analysis and doctor-patient communication by highlighting important information of medical diagnosis.To overcome the limitations of the co... Computer-aided diagnosis based on image color rendering promotes medical image analysis and doctor-patient communication by highlighting important information of medical diagnosis.To overcome the limitations of the color rendering method based on deep learning,such as poor model stability,poor rendering quality,fuzzy boundaries and crossed color boundaries,we propose a novel hinge-cross-entropy generative adversarial network(HCEGAN).The self-attention mechanism was added and improved to focus on the important information of the image.And the hinge-cross-entropy loss function was used to stabilize the training process of GAN models.In this study,we implement the HCEGAN model for image color rendering based on DIV2K and COCO datasets,and evaluate the results using SSIM and PSNR.The experimental results show that the proposed HCEGAN automatically re-renders images,significantly improves the quality of color rendering and greatly improves the stability of prior GAN models. 展开更多
关键词 internet of medical Things medical image analysis image color rendering loss function self-attention generative adversarial networks
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Efficient Certificateless Authenticated Key Agreement for Blockchain-Enabled Internet of Medical Things
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作者 Chaoyang Li Yanbu Guo +4 位作者 Mianxiong Dong Gang Xu Xiu-Bo Chen Jian Li Kaoru Ota 《Computers, Materials & Continua》 SCIE EI 2023年第4期2043-2059,共17页
Internet of Medical Things(IoMT)plays an essential role in collecting and managing personal medical data.In recent years,blockchain technology has put power in traditional IoMT systems for data sharing between differe... Internet of Medical Things(IoMT)plays an essential role in collecting and managing personal medical data.In recent years,blockchain technology has put power in traditional IoMT systems for data sharing between different medical institutions and improved the utilization of medical data.However,some problems in the information transfer process between wireless medical devices and mobile medical apps,such as information leakage and privacy disclosure.This paper first designs a cross-device key agreement model for blockchain-enabled IoMT.This model can establish a key agreement mechanism for secure medical data sharing.Meanwhile,a certificateless authenticated key agreement(KA)protocol has been proposed to strengthen the information transfer security in the cross-device key agreement model.The proposed KA protocol only requires one exchange of messages between the two parties,which can improve the protocol execution efficiency.Then,any unauthorized tampering of the transmitted signed message sent by the sender can be detected by the receiver,so this can guarantee the success of the establishment of a session key between the strange entities.The blockchain ledger can ensure that the medical data cannot be tampered with,and the certificateless mechanism can weaken the key escrow problem.Moreover,the security proof and performance analysis are given,which show that the proposed model and KA protocol are more secure and efficient than other schemes in similar literature. 展开更多
关键词 CERTIFICATELESS key agreement authentication blockchain internet of medical things
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Deletion and Recovery Scheme of Electronic Health Records Based onMedical Certificate Blockchain
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作者 Baowei Wang Neng Wang +2 位作者 Yuxiao Zhang Zenghui Xu Junhao Zhang 《Computers, Materials & Continua》 SCIE EI 2023年第7期849-859,共11页
The trusted sharing of Electronic Health Records(EHRs)can realize the efficient use of medical data resources.Generally speaking,EHRs are widely used in blockchain-based medical data platforms.EHRs are valuable privat... The trusted sharing of Electronic Health Records(EHRs)can realize the efficient use of medical data resources.Generally speaking,EHRs are widely used in blockchain-based medical data platforms.EHRs are valuable private assets of patients,and the ownership belongs to patients.While recent research has shown that patients can freely and effectively delete the EHRs stored in hospitals,it does not address the challenge of record sharing when patients revisit doctors.In order to solve this problem,this paper proposes a deletion and recovery scheme of EHRs based on Medical Certificate Blockchain.This paper uses cross-chain technology to connect the Medical Certificate Blockchain and the Hospital Blockchain to real-ize the recovery of deleted EHRs.At the same time,this paper uses the Medical Certificate Blockchain and the InterPlanetary File System(IPFS)to store Personal Health Records,which are generated by patients visiting different medical institutions.In addition,this paper also combines digital watermarking technology to ensure the authenticity of the restored electronic medical records.Under the combined effect of blockchain technology and digital watermarking,our proposal will not be affected by any other rights throughout the process.System analysis and security analysis illustrate the completeness and feasibility of the scheme. 展开更多
关键词 Electronic health records cross-chain medical certificate blockchain data deletion and recovery
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Machine Learning-Enabled Communication Approach for the Internet of Medical Things
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作者 Rahim Khan Abdullah Ghani +3 位作者 Samia Allaoua Chelloug Mohammed Amin Aamir Saeed Jason Teo 《Computers, Materials & Continua》 SCIE EI 2023年第8期1569-1584,共16页
The Internet ofMedical Things(IoMT)is mainly concernedwith the efficient utilisation of wearable devices in the healthcare domain to manage various processes automatically,whereas machine learning approaches enable th... The Internet ofMedical Things(IoMT)is mainly concernedwith the efficient utilisation of wearable devices in the healthcare domain to manage various processes automatically,whereas machine learning approaches enable these smart systems to make informed decisions.Generally,broadcasting is used for the transmission of frames,whereas congestion,energy efficiency,and excessive load are among the common issues associated with existing approaches.In this paper,a machine learning-enabled shortest path identification scheme is presented to ensure reliable transmission of frames,especially with the minimum possible communication overheads in the IoMT network.For this purpose,the proposed scheme utilises a well-known technique,i.e.,Kruskal’s algorithm,to find an optimal path from source to destination wearable devices.Additionally,other evaluation metrics are used to find a reliable and shortest possible communication path between the two interested parties.Apart from that,every device is bound to hold a supplementary path,preferably a second optimised path,for situations where the current communication path is no longer available,either due to device failure or heavy traffic.Furthermore,the machine learning approach helps enable these devices to update their routing tables simultaneously,and an optimal path could be replaced if a better one is available.The proposed mechanism has been tested using a smart environment developed for the healthcare domain using IoMT networks.Simulation results show that the proposed machine learning-oriented approach performs better than existing approaches where the proposed scheme has achieved the minimum possible ratios,i.e.,17%and 23%,in terms of end to end delay and packet losses,respectively.Moreover,the proposed scheme has achieved an approximately 21%improvement in the average throughput compared to the existing schemes. 展开更多
关键词 Machine learning internet of medical Things healthcare load balancing COMMUNICATION
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Optimized Identification with Severity Factors of Gastric Cancer for Internet of Medical Things
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作者 Kamalrulnizam Bin Abu Bakar Fatima Tul Zuhra +1 位作者 Babangida Isyaku Fuad A.Ghaleb 《Computers, Materials & Continua》 SCIE EI 2023年第4期785-798,共14页
The Internet of Medical Things (IoMT) emerges with the visionof the Wireless Body Sensor Network (WBSN) to improve the health monitoringsystems and has an enormous impact on the healthcare system forrecognizing the le... The Internet of Medical Things (IoMT) emerges with the visionof the Wireless Body Sensor Network (WBSN) to improve the health monitoringsystems and has an enormous impact on the healthcare system forrecognizing the levels of risk/severity factors (premature diagnosis, treatment,and supervision of chronic disease i.e., cancer) via wearable/electronic healthsensor i.e., wireless endoscopic capsule. However, AI-assisted endoscopy playsa very significant role in the detection of gastric cancer. Convolutional NeuralNetwork (CNN) has been widely used to diagnose gastric cancer based onvarious feature extraction models, consequently, limiting the identificationand categorization performance in terms of cancerous stages and gradesassociated with each type of gastric cancer. This paper proposed an optimizedAI-based approach to diagnose and assess the risk factor of gastric cancerbased on its type, stage, and grade in the endoscopic images for smarthealthcare applications. The proposed method is categorized into five phasessuch as image pre-processing, Four-Dimensional (4D) image conversion,image segmentation, K-Nearest Neighbour (K-NN) classification, and multigradingand staging of image intensities. Moreover, the performance of theproposed method has experimented on two different datasets consisting ofcolor and black and white endoscopic images. The simulation results verifiedthat the proposed approach is capable of perceiving gastric cancer with 88.09%sensitivity, 95.77% specificity, and 96.55% overall accuracy respectively. 展开更多
关键词 Artificial intelligence internet of things internet of medical things wireless body sensor network wireless endoscopic capsule gastric cancer
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Determinants of internet addiction among medical students in Casablanca: a cross-sectional study
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作者 Boubacar Traore Yassine Aguilo +1 位作者 Samira Hassoune Samira Nani 《Global Health Journal》 2023年第2期101-109,共9页
Objective:This study aimed to estimate the prevalence and determinants of Internet addiction among medical students at the Faculty of Medicine and Pharmacy of Casablanca,Morocco.Methods:This was a cross-sectional stud... Objective:This study aimed to estimate the prevalence and determinants of Internet addiction among medical students at the Faculty of Medicine and Pharmacy of Casablanca,Morocco.Methods:This was a cross-sectional study conducted among students at the Faculty of Medicine and Pharmacy in Casablanca between October and March 2020.An online questionnaire was administered to students to collect data and internet addiction was assessed by the Young questionnaire.A score threshold≥50 was adopted to define addiction.Univariate and multivariate logistic regression analyses were used to identify factors associated with internet addiction.Results:Out of a total of 4093 FMPC students enrolled in the 2020-2021 academic year,506 agreed to participate in this study,including 303 females and 203 males.The mean addiction score assessed on the Young scale was(49.08±16.11).The prevalence of Internet addiction was 44.5%(225/506,95% CI:40% to 49%).Multiple regression analysis showed that being older than 20 years(OR=0.17,95% CI:0.40 to 0.64),being female(OR=1.70,95% CI:1.04 to 2.78),being in the dissertation year(6th year)(OR=5.17,95% CI:2.23 to 11.44),having a history of psychiatric consultation(OR=2.64,95% CI:1.34 to 5.21),having divorced parents(OR=2.64,95% CI:1.05 to 5.87),use of sleeping medication(OR=2.9,95% CI:1.05 to 3.70),sleep disorders(OR=2.06,95% CI:1.25 to 3.79),sleep deprivation(OR=2.26,95% CI:1.39 to 3.65),excessive daytime sleepiness(OR=5.39,95% CI:2.19 to 13.24),anxiety disorders(OR=1.47,95% CI:1.18 to 2.30),duration of internet connection(>4 h)(OR=11.43,95% CI:4.85 to 27.66),and having frequent conflicts with parents(OR=2.37,95% CI:1.49 to 3.79)and friends(OR=0.26,95% CI:0.11 to 0.65)were independently associated with internet addiction.Conclusion:The prevalence of Internet addiction among medical students in Casablanca remains high.Targeted action on the determinants would be of great value in prevention. 展开更多
关键词 internet addiction disorder medical students Associated factors Cross-sectional study Morocco
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Encryption with User Authentication Model for Internet of Medical Things Environment
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作者 K.S.Riya R.Surendran +1 位作者 Carlos Andrés Tavera Romero M.Sadish Sendil 《Intelligent Automation & Soft Computing》 SCIE 2023年第1期507-520,共14页
Internet of Medical Things(IoMT)enabled e-healthcare has the potential to greately improve conventional healthcare services significantly.However,security and privacy become major issues of IoMT because of the restric... Internet of Medical Things(IoMT)enabled e-healthcare has the potential to greately improve conventional healthcare services significantly.However,security and privacy become major issues of IoMT because of the restricted processing abilities,storage,and energy constraints of the sensors.Therefore,it leads to infeasibility of developing traditional cryptographic solutions to the IoMT sensors.In order to ensure security on sensitive medical data,effective encryption and authentication techniques need to be designed to assure security of the patients and healthcare service providers.In this view,this study designs an effective metaheuristic optimization based encryption with user authentication(EMOE-UA)technique for IoMT environment.This work proposes an EMOE-UA technique aims to accomplish mutual authentication for addressing the security issues and reducing the computational complexity.Moreover,the EMOE-UA technique employs optimal multikey homomorphic encryption(OMKHE)technique to encrypt the IoMT data.Furthermore,the improved social spider optimization algorithm(ISSOA)was employed for the optimal multikey generation of the MKHE technique.The experimental result analysis of the EMOE-UA technique takes place using benchmark data and the results are examined under various aspects.The simulation results reported the considerably better performance of the EMOE-UA technique over the existing techniques. 展开更多
关键词 User authentication SECURITY PRIVACY internet of medical things homomorphic encryption optimal key generation
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Deep Forest-Based Fall Detection in Internet of Medical Things Environment
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作者 Mohamed Esmail Karar Omar Reyad Hazem Ibrahim Shehata 《Computer Systems Science & Engineering》 SCIE EI 2023年第6期2377-2389,共13页
This article introduces a new medical internet of things(IoT)framework for intelligent fall detection system of senior people based on our proposed deep forest model.The cascade multi-layer structure of deep forest cl... This article introduces a new medical internet of things(IoT)framework for intelligent fall detection system of senior people based on our proposed deep forest model.The cascade multi-layer structure of deep forest classifier allows to generate new features at each level with minimal hyperparameters compared to deep neural networks.Moreover,the optimal number of the deep forest layers is automatically estimated based on the early stopping criteria of validation accuracy value at each generated layer.The suggested forest classifier was successfully tested and evaluated using a public SmartFall dataset,which is acquired from three-axis accelerometer in a smartwatch.It includes 92781 training samples and 91025 testing samples with two labeled classes,namely non-fall and fall.Classification results of our deep forest classifier demonstrated a superior performance with the best accuracy score of 98.0%compared to three machine learning models,i.e.,K-nearest neighbors,decision trees and traditional random forest,and two deep learning models,which are dense neural networks and convolutional neural networks.By considering security and privacy aspects in the future work,our proposed medical IoT framework for fall detection of old people is valid for real-time healthcare application deployment. 展开更多
关键词 Elderly population fall detection wireless sensor networks internet of medical things deep forest
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Intelligent Intrusion Detection System for the Internet of Medical Things Based on Data-Driven Techniques
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作者 Okba Taouali Sawcen Bacha +4 位作者 Khaoula Ben Abdellafou Ahamed Aljuhani Kamel Zidi Rehab Alanazi Mohamed Faouzi Harkat 《Computer Systems Science & Engineering》 SCIE EI 2023年第11期1593-1609,共17页
Introducing IoT devices to healthcare fields has made it possible to remotely monitor patients’information and provide a proper diagnosis as needed,resulting in the Internet of Medical Things(IoMT).However,obtaining ... Introducing IoT devices to healthcare fields has made it possible to remotely monitor patients’information and provide a proper diagnosis as needed,resulting in the Internet of Medical Things(IoMT).However,obtaining good security features that ensure the integrity and confidentiality of patient’s information is a significant challenge.However,due to the computational resources being limited,an edge device may struggle to handle heavy detection tasks such as complex machine learning algorithms.Therefore,designing and developing a lightweight detection mechanism is crucial.To address the aforementioned challenges,a new lightweight IDS approach is developed to effectively combat a diverse range of cyberattacks in IoMT networks.The proposed anomaly-based IDS is divided into three steps:pre-processing,feature selection,and decision.In the pre-processing phase,data cleaning and normalization are performed.In the feature selection step,the proposed approach uses two data-driven kernel techniques:kernel principal component analysis and kernel partial least square techniques to reduce the dimension of extracted features and to ameliorate the detection results.Therefore,in decision step,in order to classify whether the traffic flow is normal or malicious the kernel extreme learning machine is used.To check the efficiency of the developed detection scheme,a modern IoMT dataset named WUSTL-EHMS-2020 is considered to evaluate and discuss the achieved results.The proposed method achieved 99.9%accuracy,99.8%specificity,100%Sensitivity,99.9 F-score. 展开更多
关键词 Machine learning data-driven technique KPCA KPLS intrusion detection IoT internet of medical Things(IoMT)
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Energy and Latency Optimization in Edge-Fog-Cloud Computing for the Internet of Medical Things
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作者 Hatem A.Alharbi Barzan A.Yosuf +1 位作者 Mohammad Aldossary Jaber Almutairi 《Computer Systems Science & Engineering》 SCIE EI 2023年第10期1299-1319,共21页
In this paper,the Internet ofMedical Things(IoMT)is identified as a promising solution,which integrates with the cloud computing environment to provide remote health monitoring solutions and improve the quality of ser... In this paper,the Internet ofMedical Things(IoMT)is identified as a promising solution,which integrates with the cloud computing environment to provide remote health monitoring solutions and improve the quality of service(QoS)in the healthcare sector.However,problems with the present architectural models such as those related to energy consumption,service latency,execution cost,and resource usage,remain a major concern for adopting IoMT applications.To address these problems,this work presents a four-tier IoMT-edge-fog-cloud architecture along with an optimization model formulated using Mixed Integer Linear Programming(MILP),with the objective of efficiently processing and placing IoMT applications in the edge-fog-cloud computing environment,while maintaining certain quality standards(e.g.,energy consumption,service latency,network utilization).A modeling environment is used to assess and validate the proposed model by considering different traffic loads and processing requirements.In comparison to the other existing models,the performance analysis of the proposed approach shows a maximum saving of 38%in energy consumption and a 73%reduction in service latency.The results also highlight that offloading the IoMT application to the edge and fog nodes compared to the cloud is highly dependent on the tradeoff between the network journey time saved vs.the extra power consumed by edge or fog resources. 展开更多
关键词 internet of medical things(IoMT) E-healthCARE edge-fog-cloud computing remote monitoring energy consumption computation offloading
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On the design of an AI-driven secure communication scheme for internet of medical things environment
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作者 Neha Garg Rajat Petwal +3 位作者 Mohammad Wazid D.P.Singh Ashok Kumar Das Joel J.P.C.Rodrigues 《Digital Communications and Networks》 SCIE CSCD 2023年第5期1080-1089,共10页
The Internet of Medical Things(IoMT)is a collection of smart healthcare devices,hardware infrastructure,and related software applications,that facilitate the connection of healthcare information technology system via ... The Internet of Medical Things(IoMT)is a collection of smart healthcare devices,hardware infrastructure,and related software applications,that facilitate the connection of healthcare information technology system via the Internet.It is also called IoT in healthcare,facilitating secure communication of remote healthcare devices over the Internet for quick and flexible analysis of healthcare data.In other words,IoMT is an amalgam of medical devices and applications,which improves overall healthcare outcomes.However,this system is prone to securityand privacy-related attacks on healthcare data.Therefore,providing a robust security mechanism to prevent the attacks and vulnerability of IoMT is essential.To mitigate this,we proposed a new Artificial-Intelligence envisioned secure communication scheme for IoMT.The discussed network and threat models provide details of the associated network arrangement of the IoMT devices and attacks relevant to IoMT.Furthermore,we provide the security analysis of the proposed scheme to show its security against different possible attacks.Moreover,a comparative study of the proposed scheme with other similar schemes is presented.Our results show that the proposed scheme outperforms other similar schemes in terms of communication and computation costs,and security and functionality attributes.Finally,we provide a pragmatic study of the proposed scheme to observe its impact on various network performance parameters. 展开更多
关键词 internet of medical Things(IoMT) Security Authentication and key agreement Artificial Intelligence(AI) Big data analytics
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Exploration and Research on the Integrated Development of“Internet Plus Medical Treatment”
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作者 Guo Jialin Wang Shuling 《Asian Journal of Social Pharmacy》 2023年第3期252-260,共9页
Objective To analyze the development of“internet plus medical treatment”and to explore advantages.Methods The literature of“internet plus medical treatment”was systematically combed and analyzed.Results and Conclu... Objective To analyze the development of“internet plus medical treatment”and to explore advantages.Methods The literature of“internet plus medical treatment”was systematically combed and analyzed.Results and Conclusion After exploring the status quo of“internet plus hospitals”,smart pharmacy and web-assisted health management in China,we find that there are some problems in the medical service at present,such as the imperfect laws and regulations,the hidden dangers of information security and the obstacles of medical insurance payment.Therefore,we propose that the development of web-assisted medical service should be led by the government and relevant policies must be improved.Then,self-regulation should be strengthened,and industry standards should be enhanced.Three suggestions are made to improve medical insurance payment and benefit both hospitals and patients,which can provide reference for promoting the development of“internet plus medical treatment”in China. 展开更多
关键词 internet plus medical treatment medical service integrated development
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Investigation and analysis of mental health status and related influencing factors of medical staff in Karamay City who assisted Ili during the outbreak of COVID-19
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作者 Huan-Huan Shi Bin Yin +1 位作者 Zhi-Xiong Li Jing Zhou 《Psychosomatic Medicine Research》 2023年第1期30-37,共8页
Background:To investigate the mental health status and its influencing factors of medical staff in Karamay City who assisted Ili during the outbreak of COVID-19,so as to provide a reliable basis for timely and effecti... Background:To investigate the mental health status and its influencing factors of medical staff in Karamay City who assisted Ili during the outbreak of COVID-19,so as to provide a reliable basis for timely and effective psychological intervention.Methods:Applied questionnaire survey and used the“questionnaire star”platform to investigate the mental health status of medical staff assisting Ili by the General information,the PHQ-9,the GAD-7 and the SCL-90.And the relevant influencing factors were analyzed by univariate analysis and multiple linear regression analysis.Results:Factors such as whether they will support again,whether they need to provide psychological staff,and whether they have a sense of guilt for their families have a significant impact on the PHQ-9 of medical staff(p<0.05);Whether they will support again,whether they need psychological staff,and whether they feel bored and lonely during the closed loop management have a significant impact on the GAD-7 of medical staff(p<0.05);The SCL-90 was compared with the norm,and the scores of somatization,interpersonal sensitivity and terror factors of medical personnel were statistically significant(p<0.05),scores in other aspects(diet sleep)are obvious(1.63±0.72).Conclusion:During the period of COVID-19,the medical staff in Karamay City who assisted Ili had anxiety and depression,and their mental health was not optimistic,more attention and the necessary intervention should be given. 展开更多
关键词 medical staff ANXIETY DEPRESSION mental health psychological intervention COVID-19
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