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The vision transformer (ViT) is a state-of-the-art architecture for image recognition tasks that plays an important role in digital health applications. Medical images account for 90% of the data in digital medicine applications. This article discusses the core foundations of the ViT architecture and its digital health applications. These applications include image segmentation, classification, detection, prediction, reconstruction, synthesis, and telehealth such as report generation and security. This article also presents a roadmap for implementing the ViT in digital health systems and discusses its limitations and challenges.

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Advancements in digital communications that permit remote patient visits and condition monitoring can be attributed to a revolution in digital healthcare systems. Continuous authentication based on contextual information offers a number of advantages over traditional authentication, including the ability to estimate the likelihood that the users are who they claim to be on an ongoing basis over the course of an entire session, making it a much more effective security measure for proactively regulating authorized access to sensitive data. Current authentication models that rely on machine learning have their shortcomings, such as the difficulty in enrolling new users to the system or model training sensitivity to imbalanced datasets. To address these issues, we propose using ECG signals, which are easily accessible in digital healthcare systems, for authentication through an Ensemble Siamese Network (ESN) that can handle small changes in ECG signals. Adding preprocessing for feature extraction to this model can result in superior results. We trained this model on ECG-ID and PTB benchmark datasets, achieving 93.6% and 96.8% accuracy and 1.76% and 1.69% equal error rates, respectively. The combination of data availability, simplicity, and robustness makes it an ideal choice for smart healthcare and telehealth.

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Telemedicina , Humanos , Benchmarking , Comunicación , Aprendizaje Automático , Electrocardiografía

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Personal authentication security is an essential area of research in privacy and cybersecurity. For individual verification, fingerprint and facial recognition have proved particularly useful. However, such technologies have flaws such as fingerprint fabrication and external impediments. Different AI-based technologies have been proposed to overcome forging or impersonating authentication concerns. Electrocardiogram (ECG)-based user authentication has recently attracted considerable curiosity from researchers. The Electrocardiogram is among the most reliable advanced techniques for authentication since, unlike other biometrics, it confirms that the individual is real and alive. This study utilizes a user authentication system based on electrocardiography (ECG) signals using deep learning algorithms. The ECG data are collected from users to create a unique biometric profile for each individual. The proposed methodology utilizes Convolutional Neural Networks (CNNs) and Long Short-Term Memory (LSTM) to analyze the ECG data. The CNNs are trained to extract features from the ECG data, while the LSTM networks are used to model the temporal dependencies in the data. The evaluation of the performance of the proposed system is conducted through experiments. It demonstrates that it effectively identifies users based on their ECG data, achieving high accuracy rates. The suggested techniques obtained an overall accuracy of 98.34% for CNN and 99.69% for LSTM using the Physikalisch-Technische Bundesanstalt (PTB) database. Overall, the proposed system offers a secure and convenient method for user authentication using ECG data and deep learning algorithms. The approach has the potential to provide a secure and convenient method for user authentication in various applications.

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Lingual ultrasound imaging is essential in linguistic research and speech recognition. It has been used widely in different applications as visual feedback to enhance language learning for non-native speakers, study speech-related disorders and remediation, articulation research and analysis, swallowing study, tongue 3D modelling, and silent speech interface. This article provides a comparative analysis and review based on quantitative and qualitative criteria of the two main streams of tongue contour segmentation from ultrasound images. The first stream utilizes traditional computer vision and image processing algorithms for tongue segmentation. The second stream uses machine and deep learning algorithms for tongue segmentation. The results show that tongue tracking using machine learning-based techniques is superior to traditional techniques, considering the performance and algorithm generalization ability. Meanwhile, traditional techniques are helpful for implementing interactive image segmentation to extract valuable features during training and postprocessing. We recommend using a hybrid approach to combine machine learning and traditional techniques to implement a real-time tongue segmentation tool.

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Telehealth systems have evolved into more prevalent services that can serve people in remote locations and at their homes via smart devices and 5G systems. Protecting the privacy and security of users is crucial in such online systems. Although there are many protocols to provide security through strong authentication systems, sophisticated IoT attacks are becoming more prevalent. Using machine learning to handle biometric information or physical layer features is key to addressing authentication problems for human and IoT devices, respectively. This tutorial discusses machine learning applications to propose robust authentication protocols. Since machine learning methods are trained based on hidden concepts in biometric and physical layer data, these dynamic authentication models can be more reliable than traditional methods. The main advantage of these methods is that the behavioral traits of humans and devices are tough to counterfeit. Furthermore, machine learning facilitates continuous and context-aware authentication.

Asunto(s)

Seguridad Computacional , Telemedicina , Biometría/métodos , Humanos , Aprendizaje Automático , Privacidad , Telemedicina/métodos

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Securing telehealth IoT infrastructure is essential to provide high-level medical care and prevent cyberattacks. A vulnerable stage in IoT telehealth is while the patient is being transported to a healthcare facility, the transporter could be an ambulance or an air ambulance. In this paper, we propose a multifactor authentication scheme to secure the system when the patient is in transit to the healthcare facility. We apply this scheme to an ambulance, using physical unclonable functions (PUFs) embedded in the ambulance to facilitate authentication and secure key exchange. We validated the security of the proposed scheme using formal and informal security analysis. The analysis supports our claim that the proposed scheme protects against many types of attacks.

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In this study, we present an IoT-based robot for wrist rehabilitation with a new protocol for determining the state of injured muscles as well as providing dynamic model parameters. In this model, the torque produced by the robot and the torque provided by the patient are determined and updated taking into consideration the constraints of fatigue. Indeed, in the proposed control architecture based on the EMG signal extraction, a fuzzy classifier was designed and implemented to estimate muscle fatigue. Based on this estimation, the patient's torque is updated during the rehabilitation session. The first step of this protocol consists of calculating the subject-related parameters. This concerns axis offset, inertial parameters, passive stiffness, and passive damping. The second step is to determine the remaining component of the wrist model, including the interaction torque. The subject must perform the desired movements providing the torque necessary to move the robot in the desired direction. In this case, the robot applies a resistive torque to calculate the torque produced by the patient. After that, the protocol considers the patient and the robot as active and all exercises are performed accordingly. The developed robotics-based solution, including the proposed protocol, was tested on three subjects and showed promising results.

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The rapid evolution of Internet of Things (IoT) applications, such as e-health and the smart ecosystem, has resulted in the emergence of numerous security flaws. Therefore, security protocols must be implemented among IoT network nodes to resist the majority of the emerging threats. As a result, IoT devices must adopt cryptographic algorithms such as public-key encryption and decryption. The cryptographic algorithms are computationally more complicated to be efficiently implemented on IoT devices due to their limited computing resources. The core operation of most cryptographic algorithms is the finite field multiplication operation, and concise implementation of this operation will have a significant impact on the cryptographic algorithm's entire implementation. As a result, this paper mainly concentrates on developing a compact and efficient word-based serial-in/serial-out finite field multiplier suitable for usage in IoT devices with limited resources. The proposed multiplier structure is simple to implement in VLSI technology due to its modularity and regularity. The suggested structure is derived from a formal and systematic technique for mapping regular iterative algorithms onto processor arrays. The proposed methodology allows for control of the processor array workload and the workload of each processing element. Managing processor word size allows for control of system latency, area, and consumed energy. The ASIC experimental results indicate that the proposed processor structure reduces area and energy consumption by factors reaching up to 97.7% and 99.2%, respectively.

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This article addresses the problem of detecting misleading information related to COVID-19. We propose a misleading-information detection model that relies on the World Health Organization, UNICEF, and the United Nations as sources of information, as well as epidemiological material collected from a range of fact-checking websites. Obtaining data from reliable sources should assure their validity. We use this collected ground-truth data to build a detection system that uses machine learning to identify misleading information. Ten machine learning algorithms, with seven feature extraction techniques, are used to construct a voting ensemble machine learning classifier. We perform 5-fold cross-validation to check the validity of the collected data and report the evaluation of twelve performance metrics. The evaluation results indicate the quality and validity of the collected ground-truth data and their effectiveness in constructing models to detect misleading information.