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  • Open Access

    ARTICLE

    A Blockchain-Based Access Management System for Enhanced Patient Privacy and Secure Telehealth and Telemedicine Data

    Ayoub Ghani1,*, Ahmed Zinedine1, Mohammed El Mohajir2

    Intelligent Automation & Soft Computing, Vol.40, pp. 75-98, 2025, DOI:10.32604/iasc.2025.060143 - 23 January 2025

    Abstract The Internet of Things (IoT) advances allow healthcare providers to distantly gather and immediately analyze patient health data for diagnostic purposes via connected health devices. In a COVID-19-like pandemic, connected devices can mitigate virus spread and make essential information, such as respiratory patterns, available to healthcare professionals. However, these devices generate vast amounts of data, rendering them susceptible to privacy breaches, and data leaks. Blockchain technology is a robust solution to address these issues in telemedicine systems. This paper proposes a blockchain-based access management solution to enhance patient privacy and secure telehealth and telemedicine data.… More >

  • Open Access

    ARTICLE

    Insight to urology patients’ preferences regarding telemedicine

    Elizabeth Ellis1, Lauren Gochenaur1, Helena Temkin-Greener2, Jean Joseph1, Divya Ajay1

    Canadian Journal of Urology, Vol.30, No.1, pp. 11438-11444, 2023

    Abstract Introduction: Due to COVID-19, telemedicine has become a common method of healthcare delivery. Our goal was to evaluate urology patients’ satisfaction with telemedicine, examine patient preferences, and identify opportunities for improvement in readiness, access, and quality of care.
    Materials and methods: A total of 285 adult urology patients who completed at least one telemedicine visit from September to December 2020 were eligible. A paper survey was disseminated by postal mail with an option to complete electronically. Those who returned completed surveys received a $15 gift card.
    Results: Seventy-six subjects completed the survey (response rate of 27%). The most… More >

  • Open Access

    ARTICLE

    Real-Time Remote-Mentored Echocardiography in Management of Newborns with Critical Congenital Heart Defects

    Håvard Bjerkeseth Solvin1,2,5,*, Simone Goa Diab1,4, Ole Jakob Elle2,3, Henrik Holmstrøm1,4, Henrik Brun2,4,*

    Congenital Heart Disease, Vol.18, No.5, pp. 551-559, 2023, DOI:10.32604/chd.2023.031537 - 10 November 2023

    Abstract Background: The management of suspected critical congenital heart defects (CCHD) relies on timely echocardiographic diagnosis. The availability of experienced echocardiographers is limited or even non-existent in many hospitals with obstetric units. This study evaluates remote-mentored echocardiography performed by physicians without experience in imaging of congenital heart defects (CHD). Methods: The setup included a pediatric cardiologist in a separate room, guiding a physician without experience in echocardiographic imaging of CHD in the examination of a symptomatic newborn. This remote-mentoring pair was blinded to the diagnosis of the newborn and presented with a simplified patient history. The echocardiographic… More > Graphic Abstract

    Real-Time Remote-Mentored Echocardiography in Management of Newborns with Critical Congenital Heart Defects

  • Open Access

    ARTICLE

    Intelligent Networked Control of Vasoactive Drug Infusion for Patients with Uncertain Sensitivity

    Mohamed Esmail Karar1,2,*, Amged Sayed A. Mahmoud2,3

    Computer Systems Science and Engineering, Vol.47, No.1, pp. 721-739, 2023, DOI:10.32604/csse.2023.039235 - 26 May 2023

    Abstract Abnormal high blood pressure or hypertension is still the leading risk factor for death and disability worldwide. This paper presents a new intelligent networked control of medical drug infusion system to regulate the mean arterial blood pressure for hypertensive patients with different health status conditions. The infusion of vasoactive drugs to patients endures various issues, such as variation of sensitivity and noise, which require effective and powerful systems to ensure robustness and good performance. The developed intelligent networked system is composed of a hybrid control scheme of interval type-2 fuzzy (IT2F) logic and teaching-learning-based optimization… More >

  • Open Access

    ARTICLE

    Men prefer pre-vasectomy consultation by telephone: a survey of vasectomized men

    Happy Tahirih Kampire1, Jonathan Cloutier1,2,3, Michel Dallaire2, Simon Plourde2, Michel Labrecque1,2,4

    Canadian Journal of Urology, Vol.29, No.5, pp. 11307-11311, 2022

    Abstract Introduction: Due to the COVID-19 pandemic teleconsultation was allowed as an insured service in the province of Quebec, Canada. We assessed the preferences of vasectomized patients for a pre-vasectomy consultation conducted in-person or by telephone.
    Materials and methods: In September 2021, we sought the participation of 214 men who had their pre-vasectomy consultation over the phone to complete an anonymous three-item survey on their preferred modality for pre-vasectomy consultation. They completed their questionnaire in the waiting room of the vasectomy clinic just after the surgical procedure. We calculated the proportion and 95% confidence interval [CI] of patients… More >

  • Open Access

    ARTICLE

    Energy-efficient and Secure Wireless Communication for Telemedicine in IoT

    Shital Joshi1, S. Manimurugan2,3, Ahamed Aljuhani2,*, Umar Albalawi2, Amer Aljaedi2

    Computer Systems Science and Engineering, Vol.43, No.3, pp. 1111-1130, 2022, DOI:10.32604/csse.2022.024802 - 09 May 2022

    Abstract The Internet of Things (IoT) represents a radical shifting paradigm for technological innovations as it can play critical roles in cyberspace applications in various sectors, such as security, monitoring, medical, and environmental sectors, and also in control and industrial applications. The IoT in E-medicine unleashed the design space for new technologies to give instant treatment to patients while also monitoring and tracking health conditions. This research presents a system-level architecture approach for IoT energy efficiency and security. The proposed architecture includes functional components that provide privacy management and system security. Components in the security function… More >

  • Open Access

    ARTICLE

    Robust Reversible Audio Watermarking Scheme for Telemedicine and Privacy Protection

    Xiaorui Zhang1,2,*, Xun Sun1, Xingming Sun1, Wei Sun3, Sunil Kumar Jha4

    CMC-Computers, Materials & Continua, Vol.71, No.2, pp. 3035-3050, 2022, DOI:10.32604/cmc.2022.022304 - 07 December 2021

    Abstract The leakage of medical audio data in telemedicine seriously violates the privacy of patients. In order to avoid the leakage of patient information in telemedicine, a two-stage reversible robust audio watermarking algorithm is proposed to protect medical audio data. The scheme decomposes the medical audio into two independent embedding domains, embeds the robust watermark and the reversible watermark into the two domains respectively. In order to ensure the audio quality, the Hurst exponent is used to find a suitable position for watermark embedding. Due to the independence of the two embedding domains, the embedding of… More >

  • Open Access

    ARTICLE

    Developing Secure Healthcare Video Consultations for Corona Virus (COVID-19) Pandemic

    Mohammed A. AlZain1,*, Jehad F. Al-Amri1, Ahmed I. Sallam2, Emad Sami Jaha3, Sultan S. Alshamrani1, Hala S. El-Sayed4, Osama S. Faragallah1

    Intelligent Automation & Soft Computing, Vol.31, No.3, pp. 1627-1640, 2022, DOI:10.32604/iasc.2022.020137 - 09 October 2021

    Abstract Many health networks became increasingly interactive in implementing a consulting approach to telemedicine before the COVID-19 pandemic. To mitigate patient trafficking and reduce the virus exposure in health centers, several GPs, physicians and people in the video were consulted during the pandemic at the start. Video and smartphone consultations will allow well-insulated and high-risk medical practitioners to maintain their patient care security. Video appointments include diabetes, obesity, hypertension, stroke, mental health, chemotherapy and chronic pain. Many urgent diseases, including an emergency triage for the eye, may also be used for online consultations and triages. The… More >

  • Open Access

    ARTICLE

    Artifacts Reduction Using Multi-Scale Feature Attention Network in Compressed Medical Images

    Seonjae Kim, Dongsan Jun*

    CMC-Computers, Materials & Continua, Vol.70, No.2, pp. 3267-3279, 2022, DOI:10.32604/cmc.2022.020651 - 27 September 2021

    Abstract Medical image compression is one of the essential technologies to facilitate real-time medical data transmission in remote healthcare applications. In general, image compression can introduce undesired coding artifacts, such as blocking artifacts and ringing effects. In this paper, we proposed a Multi-Scale Feature Attention Network (MSFAN) with two essential parts, which are multi-scale feature extraction layers and feature attention layers to efficiently remove coding artifacts of compressed medical images. Multi-scale feature extraction layers have four Feature Extraction (FE) blocks. Each FE block consists of five convolution layers and one CA block for weighted skip connection. More >

  • Open Access

    ARTICLE

    Secure Watermarking Scheme for Color DICOM Images in Telemedicine Applications

    Kamred Udham Singh1, Hatem Salem Abu-Hamatta2, Abhishek Kumar3, Achintya Singhal4, Mamoon Rashid5,*, A. K. Bashir6

    CMC-Computers, Materials & Continua, Vol.70, No.2, pp. 2525-2542, 2022, DOI:10.32604/cmc.2022.019302 - 27 September 2021

    Abstract Teleradiology plays a vital role in the medical field, which permits transmitting medical and imaging data over a communication network. It ensures data reliability and provides convenient communication for clinical interpretation and diagnostic purposes. The transmission of this medical data over a network raises the problems of legal, ethical issues, privacy, and copyright authenticity. The copyright protection of medical images is a significant issue in the medical field. Watermarking schemes are used to address these issues. A gray-level or binary image is used as a watermark frequently in color image watermarking schemes. In this paper,… More >

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