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  • Open Access

    ARTICLE

    Securing Mobile Cloud-Based Electronic Health Records: A Blockchain-Powered Cryptographic Solution with Enhanced Privacy and Efficiency

    Umer Nauman1, Yuhong Zhang2, Zhihui Li3, Tong Zhen1,3,*

    Journal of Intelligent Medicine and Healthcare, Vol.2, pp. 15-34, 2024, DOI:10.32604/jimh.2024.048784

    Abstract The convergence of handheld devices and cloud-based computing has transformed how Electronic Health Records (EHRs) are stored in mobile cloud paradigms, offering benefits such as affordability, adaptability, and portability. However, it also introduces challenges regarding network security and data confidentiality, as it aims to exchange EHRs among mobile users while maintaining high levels of security. This study proposes an innovative blockchain-based solution to these issues and presents secure cloud storage for healthcare data. To provide enhanced cryptography, the proposed method combines an enhanced Blowfish encryption method with a new key generation technique called Elephant Herding Optimization with Resistance-Based Training (EHO-RBT).… More >

  • Open Access

    ARTICLE

    Ensuring Information Security in Electronic Health Record System Using Cryptography and Cuckoo Search Algorithm

    Arkan Kh Shakr Sabonchi1,*, Zainab Hashim Obaid2

    Journal of Information Hiding and Privacy Protection, Vol.5, pp. 1-18, 2023, DOI:10.32604/jihpp.2023.041972

    Abstract In the contemporary era, the abundant availability of health information through internet and mobile technology raises concerns. Safeguarding and maintaining the confidentiality of patients’ medical data becomes paramount when sharing such information with authorized healthcare providers. Although electronic patient records and the internet have facilitated the exchange of medical information among healthcare providers, concerns persist regarding the security of the data. The security of Electronic Health Record Systems (EHRS) can be improved by employing the Cuckoo Search Algorithm (CS), the SHA-256 algorithm, and the Elliptic Curve Cryptography (ECC), as proposed in this study. The suggested approach involves using CS to… More >

  • Open Access

    ARTICLE

    Using Pharmacokinetic Modeling and Electronic Health Record Data to Predict Clinical and Safety Outcomes after Methylprednisolone Exposure during Cardiopulmonary Bypass in Neonates

    Henry P. Foote1, Huali Wu2, Stephen J. Balevic1,2, Elizabeth J. Thompson1,2, Kevin D. Hill1,2, Eric M. Graham3, Christoph P. Hornik1,2, Karan R. Kumar1,2,*

    Congenital Heart Disease, Vol.18, No.3, pp. 295-313, 2023, DOI:10.32604/chd.2023.026262

    Abstract Background: Infants undergoing cardiac surgery with cardiopulmonary bypass (CPB) frequently receive intra-operative methylprednisolone (MP) to suppress CPB-related inflammation; however, the optimal dosing strategy and efficacy of MP remain unclear. Methods: We retrospectively analyzed all infants under 90 days-old who received intra-operative MP for cardiac surgery with CPB from 2014–2017 at our institution. We combined real-world dosing data from the electronic health record (EHR) and two previously developed population pharmacokinetic/pharmacodynamic models to simulate peak concentration (Cmax) and area under the concentration-time curve for 24 h (AUC24) for MP and the inflammatory cytokines interleukin-6 (IL-6) and interleukin-10 (IL-10). We evaluated the relationships… More > Graphic Abstract

    Using Pharmacokinetic Modeling and Electronic Health Record Data to Predict Clinical and Safety Outcomes after Methylprednisolone Exposure during Cardiopulmonary Bypass in Neonates

  • Open Access

    ARTICLE

    Deletion and Recovery Scheme of Electronic Health Records Based on Medical Certificate Blockchain

    Baowei Wang1,2,*, Neng Wang1, Yuxiao Zhang1, Zenghui Xu1, Junhao Zhang1

    CMC-Computers, Materials & Continua, Vol.76, No.1, pp. 849-859, 2023, DOI:10.32604/cmc.2023.039749

    Abstract 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… More >

  • Open Access

    ARTICLE

    Machine-Learning-Enabled Obesity Level Prediction Through Electronic Health Records

    Saeed Ali Alsareii1, Muhammad Awais2,*, Abdulrahman Manaa Alamri1, Mansour Yousef AlAsmari1, Muhammad Irfan3, Mohsin Raza2, Umer Manzoor4

    Computer Systems Science and Engineering, Vol.46, No.3, pp. 3715-3728, 2023, DOI:10.32604/csse.2023.035687

    Abstract Obesity is a critical health condition that severely affects an individual’s quality of life and well-being. The occurrence of obesity is strongly associated with extreme health conditions, such as cardiac diseases, diabetes, hypertension, and some types of cancer. Therefore, it is vital to avoid obesity and or reverse its occurrence. Incorporating healthy food habits and an active lifestyle can help to prevent obesity. In this regard, artificial intelligence (AI) can play an important role in estimating health conditions and detecting obesity and its types. This study aims to see obesity levels in adults by implementing AI-enabled machine learning on a… More >

  • Open Access

    ARTICLE

    An Efficient Ensemble Model for Various Scale Medical Data

    Heba A. Elzeheiry*, Sherief Barakat, Amira Rezk

    CMC-Computers, Materials & Continua, Vol.73, No.1, pp. 1283-1305, 2022, DOI:10.32604/cmc.2022.027345

    Abstract Electronic Health Records (EHRs) are the digital form of patients’ medical reports or records. EHRs facilitate advanced analytics and aid in better decision-making for clinical data. Medical data are very complicated and using one classification algorithm to reach good results is difficult. For this reason, we use a combination of classification techniques to reach an efficient and accurate classification model. This model combination is called the Ensemble model. We need to predict new medical data with a high accuracy value in a small processing time. We propose a new ensemble model MDRL which is efficient with different datasets. The MDRL… More >

  • Open Access

    ARTICLE

    A Secure Encrypted Classified Electronic Healthcare Data for Public Cloud Environment

    Kirupa Shankar Komathi Maathavan1,*, Santhi Venkatraman2

    Intelligent Automation & Soft Computing, Vol.32, No.2, pp. 765-779, 2022, DOI:10.32604/iasc.2022.022276

    Abstract The major operation of the blood bank supply chain is to estimate the demand, perform inventory management and distribute adequate blood for the needs. The proliferation of big data in the blood bank supply chain and data management needs an intelligent, automated system to classify the essential data so that the requests can be handled easily with less human intervention. Big data in the blood bank domain refers to the collection, organization, and analysis of large volumes of data to obtain useful information. For this purpose, in this research work we have employed machine learning techniques to find a better… More >

  • Open Access

    ARTICLE

    HealthyBlockchain for Global Patients

    Shada A. Alsalamah1,2,3,*, Hessah A. Alsalamah1,4, Thamer Nouh5, Sara A. Alsalamah6

    CMC-Computers, Materials & Continua, Vol.68, No.2, pp. 2431-2449, 2021, DOI:10.32604/cmc.2021.016618

    Abstract An emerging healthcare delivery model is enabling a new era of clinical care based on well-informed decision-making processes. Current healthcare information systems (HISs) fall short of adopting this model due to a conflict between information security needed to implement the new model and those already enforced locally to support traditional care models. Meanwhile, in recent times, the healthcare sector has shown a substantial interest in the potential of using blockchain technology for providing quality care to patients. No blockchain solution proposed so far has fully addressed emerging cross-organization information-sharing needs in healthcare. In this paper, we aim to study the… More >

  • Open Access

    ARTICLE

    Hyperledger Fabric Blockchain: Secure and Efficient Solution for Electronic Health Records

    Mueen Uddin1,*, M. S. Memon2, Irfana Memon2, Imtiaz Ali2, Jamshed Memon3, Maha Abdelhaq4, Raed Alsaqour5

    CMC-Computers, Materials & Continua, Vol.68, No.2, pp. 2377-2397, 2021, DOI:10.32604/cmc.2021.015354

    Abstract Background: Electronic Health Record (EHR) systems are used as an efficient and effective technique for sharing patient’s health records among different hospitals and various other key stakeholders of the healthcare industry to achieve better diagnosis and treatment of patients globally. However, the existing EHR systems mostly lack in providing appropriate security, entrusted access control and handling privacy and secrecy issues and challenges in current hospital infrastructures. Objective: To solve this delicate problem, we propose a Blockchain-enabled Hyperledger Fabric Architecture for different EHR systems. Methodology: In our EHR blockchain system, Peer nodes from various organizations (stakeholders) create a ledger network, where… More >

  • Open Access

    ARTICLE

    A Secure Signcryption Scheme for Electronic Health Records Sharing in Blockchain

    Xizi Peng1, Jinquan Zhang1,*, Shibin Zhang1, Wunan Wan1, Hao Chen1, Jinyue Xia2

    Computer Systems Science and Engineering, Vol.37, No.2, pp. 265-281, 2021, DOI:10.32604/csse.2021.014557

    Abstract In the existing Electronic Health Records (EHRs), the medical information of patients is completely controlled by various medical institutions. As such, patients have no dominant power over their own EHRs. These personal data are not only inconvenient to access and share, but are also prone to cause privacy disclosure. The blockchain technology provides a new development direction in the medical field. Blockchain-based EHRs are characterized by decentralization, openness and non-tampering of records, which enable patients to better manage their own EHRs. In order to better protect the privacy of patients, only designated receivers can access EHRs, and receivers can authenticate… More >

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