The rise of Internet hospitals has significant issues associated with data security and governance in managing sensitive patient data. This paper discusses an alliance blockchain (i.e., a private blockchain) model for governance innovation in internet hospitals with an improved encryption methodology. We compare our proposed model, improved Rivest-Shamir-Adleman (RSA) encryption, integrated into the blockchain framework. Improved RSA achieves impressive improvements in all key metrics by increasing the throughput by 24.7% and lowering the latency by 19.8% compared to the base model. Thus, the improved model is more optimized for processing transactions related to healthcare data. Memory usage was also reduced by 14.3%. While encryption time remained pretty close, the decryption time remarkably improved by 97.5%. IoT sensors are one of the foundations for Internet hospitals that produce consistent patient data streams, such as physiological and environmental metrics. The proposed alliance blockchain model enables the secure and efficient real-time management of this sensor data. These results demonstrate the capability of alliance blockchain and cryptographic upgrades in creating safe and efficient governance frameworks for Internet hospitals.
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Sensors (Basel)
December 2024
Department of Artificial Intelligence and Data Science, National University of Computer and Emerging Sciences, Islamabad 44000, Pakistan.
The rise of Internet hospitals has significant issues associated with data security and governance in managing sensitive patient data. This paper discusses an alliance blockchain (i.e.
View Article and Find Full Text PDFCancers (Basel)
December 2024
Department of General, Visceral and Transplantation Surgery, University of Heidelberg, 69120 Heidelberg, Germany.
Despite the significant advancements of liver surgery in the last few decades, the survival rate of patients with liver and pancreatic cancers has improved by only 10% in 30 years. Precision medicine offers a patient-centered approach, which, when combined with machine learning, could enhance decision making and treatment outcomes in surgical management of ihCC. This study aims to develop a decision support model to optimize treatment strategies for patients with ihCC, a prevalent primary liver cancer.
View Article and Find Full Text PDFJ Med Internet Res
January 2025
Institute of Medical Teaching and Medical Education Research, University Hospital Würzburg, Würzburg, Germany.
Background: Objective structured clinical examinations (OSCEs) are a widely recognized and accepted method to assess clinical competencies but are often resource-intensive.
Objective: This study aimed to evaluate the feasibility and effectiveness of a virtual reality (VR)-based station (VRS) compared with a traditional physical station (PHS) in an already established curricular OSCE.
Methods: Fifth-year medical students participated in an OSCE consisting of 10 stations.
J Med Internet Res
January 2025
Department of Psychiatry, Yongin Severance Hospital, Yongin, Republic of Korea.
Background: The COVID-19 pandemic has accelerated the digitalization of modern society, extending digital transformation to daily life and psychological evaluation and treatment. However, the development of competencies and literacy in handling digital technology has not kept pace, resulting in a significant disparity among individuals. Existing measurements of digital literacy were developed before widespread information and communications technology device adoption, mainly focusing on one's perceptions of their proficiency and the utility of device operation.
View Article and Find Full Text PDFMedicine (Baltimore)
January 2025
Department of Geriatric Cardiology Nursing, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan Province, China.
Background: The internet + nursing service is an important initiative for implementing the strategy of healthy China and actively responding to the aging of the population. However, the current literature on residents' awareness and willingness to participate is insufficient and presents large variations and limitations. Therefore, this study aims to systematically evaluate the awareness and willingness of Chinese residents to participate in internet + nursing service to comprehensively understand the level of awareness and acceptance of this emerging service model among Chinese residents and to provide strong support for relevant policy formulation and service optimization.
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