A medical center in the smart cities of the future needs data security and confidentiality to treat patients accurately. One mechanism for sending medical data is to send information to other medical centers without preserving confidentiality. This method is not impressive because in treating people, the privacy of medical information is a principle. In the proposed framework, the opinion of experts from other medical centers for the treatment of patients is received and consider the best therapy. The proposed method has two layers. In the first layer, data transmission uses blockchain. In the second layer, blocks related to patients' records analyze by machine learning methods. Patient records place in a block of the blockchain. Block of patient sends to other medical centers. Each treatment center can recommend the proposed type of treatment and blockchain attachment and send it to all nodes and treatment centers. Each medical center receiving data of the patients, then predicts the treatment using data mining methods. Sending medical data between medical centers with blockchain and maintaining confidentiality is one of the innovations of this article. The proposed method is a binary version of the HHO algorithm for feature selection. Another innovation of this research is the use of majority voting learning in diagnosing the type of disease in medical centers. Implementation of the proposed system shows that the blockchain preserves data confidentiality of about 100%. The reliability and reliability of the proposed framework are much higher than the centralized method. The result shows that the accuracy, sensitivity, and precision of the proposed method for diagnosing heart disease are 92.75%, 92.15%, and 95.69%, respectively. The proposed method has a lower error in diagnosing heart disease from ANN, SVM, DT, RF, AdaBoost, and BN.
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http://dx.doi.org/10.1007/s11042-022-12164-z | DOI Listing |
Clin Chem Lab Med
January 2025
SKML, Nijmegen, The Netherlands.
The EN ISO 15189:2022 standard, titled "Medical laboratories - Requirements for quality and competence," is a significant update to the regulations for medical laboratories. The revised standard was published on December 6, 2022, replacing both EN ISO 15189:2012 and EN ISO 22870:2016. Key objectives of the revision include: 1.
View Article and Find Full Text PDFAm J Hosp Palliat Care
January 2025
Graduate School of Medicine, Mie University, Tsu, Japan.
Background: Delirium is a condition characterized by an acute and transient disturbance in attention, cognition, and consciousness. It is increasingly prevalent at the end of life in patients with cancer. While non-pharmacological nursing interventions are essential for delirium prevention, their effectiveness in terminally ill patients with cancer remains unclear.
View Article and Find Full Text PDFJ Neurosurg
January 2025
1Department of Neurosurgery, Inselspital, Bern University Hospital, University Bern, Switzerland.
Objective: The effectiveness and optimal stimulation site of deep brain stimulation (DBS) for central poststroke pain (CPSP) remain elusive. The objective of this retrospective international multicenter study was to assess clinical as well as neuroimaging-based predictors of long-term outcomes after DBS for CPSP.
Methods: The authors analyzed patient-based clinical and neuroimaging data of previously published and unpublished cohorts from 6 international DBS centers.
Diagnosis (Berl)
January 2025
Department of Laboratory Medicine, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Objectives: To examine factors impacting diagnostic evaluation of suspected deep vein thrombosis (DVT) by analyzing the test ordering patterns and provider decision-making within a universal health coverage system in Hungary.
Methods: We analyzed test orders for suspected DVT between 2007 and 2020, and the financial framework influencing diagnostic practices. An anonymous survey was also conducted among Emergency Department physicians to explore factors influencing diagnostic decision-making.
J Med Internet Res
January 2025
Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital of Central South University, Changsha, China.
Background: Acute kidney injury (AKI) is a common complication in hospitalized older patients, associated with increased morbidity, mortality, and health care costs. Major adverse kidney events within 30 days (MAKE30), a composite of death, new renal replacement therapy, or persistent renal dysfunction, has been recommended as a patient-centered endpoint for clinical trials involving AKI.
Objective: This study aimed to develop and validate a machine learning-based model to predict MAKE30 in hospitalized older patients with AKI.
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