The implication of microbiome in lungs cancer: mechanisms and strategies of cancer growth, diagnosis and therapy.

Available evidence illustrates that microbiome is a promising target for the study of growth, diagnosis and therapy of various types of cancer. Lung cancer is a leading cause of cancer death worldwide. The relationship of microbiota and their products with diverse pathologic conditions has been getting large attention. The novel research suggests that the microbiome plays an important role in the growth and progression of lung cancer. The lung microbiome plays a crucial role in maintaining mucosal immunity and synchronizing the stability between tolerance and inflammation. Alteration in microbiome is identified as a critical player in the progression of lung cancer and negatively impacts the patient. Studies suggest that healthy microbiome is essential for effective therapy. Various clinical trials and research are focusing on enhancing the treatment efficacy by altering the microbiome. The regulation of microbiota will provide innovative and promising treatment strategies for the maintenance of host homeostasis and the prevention of lung cancer in lung cancer patients. In the current review article, we presented the latest progress about the involvement of microbiome in the growth and diagnosis of lung cancer. Furthermore, we also assessed the therapeutic status of the microbiome for the management and treatment of lung cancer.

The Banaras Convention: A Safe Reliable Technique for Axillary Dissection by Lateral exposure of Latissimus Dorsi Pedicle.

Breast cancer is rising among women in India. Most of the cases are presented at the locally advanced stage where axillary dissection is needed. In this article, we have described our approach of axillary dissection in the technically challenging high nodal burden axillas.

The Banaras Convention: A Safe and Reliable Technique for Axillary Dissection by Lateral exposure of Latissimus Dorsi Pedicle.

Breast cancer is rising among women in India. Most of the cases are presented at the locally advanced stage where axillary dissection is needed. In this article, we have described our approach of axillary dissection in the technically challenging high nodal burden axillas.

Enhanced Drug Delivery System Using Mesenchymal Stem Cells and Membrane-Coated Nanoparticles.

Mesenchymal stem cells (MSCs) have newly developed as a potential drug delivery system. MSC-based drug delivery systems (MSCs-DDS) have made significant strides in the treatment of several illnesses, as shown by a plethora of research. However, as this area of research rapidly develops, several issues with this delivery technique have emerged, most often as a result of its intrinsic limits. To increase the effectiveness and security of this system, several cutting-edge technologies are being developed concurrently. However, the advancement of MSC applicability in clinical practice is severely hampered by the absence of standardized methodologies for assessing cell safety, effectiveness, and biodistribution. In this work, the biodistribution and systemic safety of MSCs are highlighted as we assess the status of MSC-based cell therapy at this time. We also examine the underlying mechanisms of MSCs to better understand the risks of tumor initiation and propagation. Methods for MSC biodistribution are explored, as well as the pharmacokinetics and pharmacodynamics of cell therapies. We also highlight various promising technologies, such as nanotechnology, genome engineering technology, and biomimetic technology, to enhance MSC-DDS. For statistical analysis, we used analysis of variance (ANOVA), Kaplan Meier, and log-rank tests. In this work, we created a shared DDS medication distribution network using an extended enhanced optimization approach called enhanced particle swarm optimization (E-PSO). To identify the considerable untapped potential and highlight promising future research paths, we highlight the use of MSCs in gene delivery and medication, also membrane-coated MSC nanoparticles, for treatment and drug delivery.

Enhanced framework for COVID-19 prediction with computed tomography scan images using dense convolutional neural network and novel loss function.

Recent studies have shown that computed tomography (CT) scan images can characterize COVID-19 disease in patients. Several deep learning (DL) methods have been proposed for diagnosis in the literature, including convolutional neural networks (CNN). But, with inefficient patient classification models, the number of 'False Negatives' can put lives at risk. The primary objective is to improve the model so that it does not reveal 'Covid' as 'Non-Covid'. This study uses Dense-CNN to categorize patients efficiently. A novel loss function based on cross-entropy has also been used to improve the CNN algorithm's convergence. The proposed model is built and tested on a recently published large dataset. Extensive study and comparison with well-known models reveal the effectiveness of the proposed method over known methods. The proposed model achieved a prediction accuracy of 93.78%, while false-negative is only 6.5%. This approach's significant advantage is accelerating the diagnosis and treatment of COVID-19.

AES Based White Box Cryptography in Digital Signature Verification.

According to the standard paradigm, white box cryptographic primitives are used to block black box attacks and protect sensitive information. This is performed to safeguard the protected information and keys against black box assaults. An adversary in such a setting is aware of the method and can analyze many system inputs and outputs, but is blind to the specifics of how a critical instantiation primitive is implemented. This is the focus of white-box solutions, which are designed to withstand attacks that come from the execution environment. This is significant because an attacker may obtain unrestricted access to the program's execution in this environment. The purpose of this article is to assess the efficiency of white-box implementations in terms of security. Our contribution is twofold: first, we explore the practical implementations of white-box approaches, and second, we analyze the theoretical foundations upon which these implementations are built. First, a research proposal is crafted that details white-box applications of DES and AES encryption algorithms. To begin, this preparation is necessary. The research effort planned for this project also includes cryptanalysis of these techniques. Once the general cryptanalysis results have been examined, the white-box design approaches will be covered. We have decided to launch an investigation into creating a theoretical model for white box, since no prior formal definitions have been offered, and suggested implementations have not been accompanied by any assurance of security. This is due to the fact that no formal definition of "white box" has ever been provided. In this way lies the explanation for why this is the situation. We define WBC to encompass the security requirements of WBC specified over a white box cryptography technology and a security concept by studying formal models of obfuscation and shown security. This definition is the product of extensive investigation. This state-of-the-art theoretical model provides a setting in which to investigate the security of white-box implementations, leading to a wide range of positive and negative conclusions. As a result, this paper includes the results of a Digital Signature Algorithm (DSA) study which may be put to use in the real world with signature verification. Possible future applications of White Box Cryptography (WBC) research findings are discussed in light of these purposes and areas of investigation.

Fast and Secure Medical Image Encryption Based on Non Linear 4D Logistic Map and DNA Sequences (NL4DLM_DNA).

This paper proposes an innovative image cryptosystem algorithm using the properties of the block encryption, 4D logistic map and DNA systems. Multiple key sequences are generated and pixel substitution is performed by using nonlinear 4D logistic map, then encryption is performed by using DNA rules to ensure that the different blocks are encrypted securely. The results of the experiment indicate that the proposed Non Linear 4D Logistic Map and DNA (NL4DLM_DNA) sequence based algorithm gives better performance, which is analyzed on the basis of security, quality, attack resilience, diffusion and running time as compared to some previous works.

Mahamana Technique of Pancreaticogastrostomy: A Safe and Reliable Technique for a Difficult Pancreatic Stump.

Pancreatoduodenectomy is a complex surgical procedure involving three anastomoses. Anastomosis of the pancreatic stump with the gastrointestinal tract is associated with most complications described in the postoperative period. So, there have been multiple attempts to discover safe and sound steps for this particular anastomosis. Pancreaticogastrostomy involves anastomosis between the remaining pancreas and stomach. Since it was first performed, its surgical steps have been modified multiple times, but there is no gold standard method to perform it. In this paper, we describe the surgical steps of pancreaticogastrostomy in difficult pancreatic stumps in eight patients using two transpancreatic sutures, one purse string suture, and the incorporation of transpancreatic sutures in the third layer of the gastrojejunostomy anastomosis. Postoperative outcomes of this series have provided encouraging short-term results.

Investigating attention mechanisms for plant disease identification in challenging environments.

There is an increasing demand for efficient and precise plant disease detection methods that can quickly identify disease outbreaks. For this, researchers have developed various machine learning and image processing techniques. However, real-field images present challenges due to complex backgrounds, similarities between different disease symptoms, and the need to detect multiple diseases simultaneously. These obstacles hinder the development of a reliable classification model. The attention mechanisms emerge as a critical factor in enhancing the robustness of classification models by selectively focusing on relevant regions or features within infected regions in an image. This paper provides details about various types of attention mechanisms and explores the utilization of these techniques for the machine learning solutions created by researchers for image segmentation, feature extraction, object detection, and classification for efficient plant disease identification. Experiments are conducted on three models: MobileNetV2, EfficientNetV2, and ShuffleNetV2, to assess the effectiveness of attention modules. For this, Squeeze and Excitation layers, the Convolutional Block Attention Module, and transformer modules have been integrated into these models, and their performance has been evaluated using different metrics. The outcomes show that adding attention modules enhances the original models' functionality.

Quercetin ameliorates acute acrylamide induced spleen injury.

Acrylamide is used for industrial and laboratory purposes; it also is produced during cooking of carbohydrate-rich food at high temperature. We investigated the therapeutic potential of quercetin for treatment of acute acrylamide induced injury to the spleen. We used female albino rats treated with acrylamide for 10 days followed by oral administration of quercetin in three doses for 5 days. We observed significantly reduced total body weight, spleen weight, red blood cells, total proteins, superoxide dismutase, catalase, glutathione peroxidase, glutathione reductase, glucose-6-phophate dehydrogenase, reduced glutathione, concentration of serum IgG and IgM after acrylamide induced toxicity compared to controls. We also found that white blood cells, triglycerides, cholesterol and lipid oxidation were increased significantly after acrylamide induced toxicity in rats compared to controls. Histoarchitecture of spleen was affected adversely by acrylamide toxicity. Administration of quercetin ameliorated adverse effects of acrylamide in a dose-dependent manner. Quercetin appears to ameliorate acrylamide induced injury to the spleen by increasing endogenous antioxidants and improving histoarchitecture and immune function.

An Automatic-Segmentation- and Hyper-Parameter-Optimization-Based Artificial Rabbits Algorithm for Leaf Disease Classification.

In recent years, disease attacks have posed continuous threats to agriculture and caused substantial losses in the economy. Thus, early detection and classification could minimize the spread of disease and help to improve yield. Meanwhile, deep learning has emerged as the significant approach to detecting and classifying images. The classification performed using the deep learning approach mainly relies on large datasets to prevent overfitting problems. The Automatic Segmentation and Hyper Parameter Optimization Artificial Rabbits Algorithm (AS-HPOARA) is developed to overcome the above-stated issues. It aims to improve plant leaf disease classification. The Plant Village dataset is used to assess the proposed AS-HPOARA approach. Z-score normalization is performed to normalize the images using the dataset's mean and standard deviation. Three augmentation techniques are used in this work to balance the training images: rotation, scaling, and translation. Before classification, image augmentation reduces overfitting problems and improves the classification accuracy. Modified UNet employs a more significant number of fully connected layers to better represent deeply buried characteristics; it is considered for segmentation. To convert the images from one domain to another in a paired manner, the classification is performed by HPO-based ARA, where the training data get increased and the statistical bias is eliminated to improve the classification accuracy. The model complexity is minimized by tuning the hyperparameters that reduce the overfitting issue. Accuracy, precision, recall, and F1 score are utilized to analyze AS-HPOARA's performance. Compared to the existing CGAN-DenseNet121 and RAHC_GAN, the reported results show that the accuracy of AS-HPOARA for ten classes is high at 99.7%.

Ubiquitous and smart healthcare monitoring frameworks based on machine learning: A comprehensive review.

During the COVID-19 pandemic, the patient care delivery paradigm rapidly shifted to remote technological solutions. Rising rates of life expectancy of older people, and deaths due to chronic diseases (CDs) such as cancer, diabetes and respiratory disease pose many challenges to healthcare. While the feasibility of Remote Patient Monitoring (RPM) with a Smart Healthcare Monitoring (SHM) framework was somewhat questionable before the COVID-19 pandemic, it is now a proven commodity and is on its way to becoming ubiquitous. More health organizations are adopting RPM to enable CD management in the absence of individual monitoring. The current studies on SHM have reviewed the applications of IoT and/or Machine Learning (ML) in the domain, their architecture, security, privacy and other network related issues. However, no study has analyzed the AI and ubiquitous computing advances in SHM frameworks. The objective of this research is to identify and map key technical concepts in the SHM framework. In this context an interesting and meaningful classification of the research articles surveyed for this work is presented. The comprehensive and systematic review is based on the "Preferred Reporting Items for Systematic Review and Meta-Analysis" (PRISMA) approach. A total of 2540 papers were screened from leading research archives from 2016 to March 2021, and finally, 50 articles were selected for review. The major advantages, developments, distinctive architectural structure, components, technical challenges and possibilities in SHM are briefly discussed. A review of various recent cloud and fog computing based architectures, major ML implementation challenges, prospects and future trends is also presented. The survey primarily encourages the data driven predictive analytics aspects of healthcare and the development of ML models for health empowerment.

A Novel Diabetes Healthcare Disease Prediction Framework Using Machine Learning Techniques.

Diabetes is a chronic disease that continues to be a significant and global concern since it affects the entire population's health. It is a metabolic disorder that leads to high blood sugar levels and many other problems such as stroke, kidney failure, and heart and nerve problems. Several researchers have attempted to construct an accurate diabetes prediction model over the years. However, this subject still faces significant open research issues due to a lack of appropriate data sets and prediction approaches, which pushes researchers to use big data analytics and machine learning (ML)-based methods. Applying four different machine learning methods, the research tries to overcome the problems and investigate healthcare predictive analytics. The study's primary goal was to see how big data analytics and machine learning-based techniques may be used in diabetes. The examination of the results shows that the suggested ML-based framework may achieve a score of 86. Health experts and other stakeholders are working to develop categorization models that will aid in the prediction of diabetes and the formulation of preventative initiatives. The authors perform a review of the literature on machine models and suggest an intelligent framework for diabetes prediction based on their findings. Machine learning models are critically examined, and an intelligent machine learning-based architecture for diabetes prediction is proposed and evaluated by the authors. In this study, the authors utilize our framework to develop and assess decision tree (DT)-based random forest (RF) and support vector machine (SVM) learning models for diabetes prediction, which are the most widely used techniques in the literature at the time of writing. It is proposed in this study that a unique intelligent diabetes mellitus prediction framework (IDMPF) is developed using machine learning. According to the framework, it was developed after conducting a rigorous review of existing prediction models in the literature and examining their applicability to diabetes. Using the framework, the authors describe the training procedures, model assessment strategies, and issues associated with diabetes prediction, as well as solutions they provide. The findings of this study may be utilized by health professionals, stakeholders, students, and researchers who are involved in diabetes prediction research and development. The proposed work gives 83% accuracy with the minimum error rate.

Cryptography-Based Medical Signal Securing Using Improved Variation Mode Decomposition with Machine Learning Techniques.

There is no question about the value that digital signal processing brings to the area of biomedical research. DSP processors are used to sample and process the analog inputs that are received from a human organ. These inputs come from the organ itself. DSP processors, because of their multidimensional data processing nature, are the electrical components that take up the greatest space and use the most power. In this age of digital technology and electronic gizmos, portable biomedical devices represent an essential step forward in technological advancement. Electrocardiogram (ECG) units are among the most common types of biomedical equipment, and their functions are absolutely necessary to the process of saving human life. In the latter part of the 1990s, portable electrocardiogram (ECG) devices began to appear on the market, and research into their signal processing and electronics design capabilities continues today. System-on-chip (SoC) design refers to the process through which the separate computing components of a DSP unit are combined onto a single chip in order to achieve greater power and space efficiency. In the design of biomedical DSP devices, this body of research presents a number of different solutions for reducing power consumption and space requirements. Using serial or parallel data buses, which are often the region that consumes the most power, it is possible to send data between the system-on-chip (SoC) and other components. To cut down on the number of needless switching operations that take place during data transmission, a hybrid solution that makes use of the shift invert bus encoding scheme has been developed. Using a phase-encoded shift invert bus encoding approach, which embeds the two-bit indication lines into a single-bit encoded line, is one way to solve the issue of having two distinct indicator bits. This method reduces the problem. The PESHINV approach is compared to the SHINV method that already exists, and the comparison reveals that the suggested PESHINV method reduces the total power consumption of the encoding circuit by around 30 percent. The computing unit of the DSP processor is the target of further optimization efforts. Virtually, all signal processing methods need memory and multiplier circuits to function properly.

Block Cipher's Substitution Box Generation Based on Natural Randomness in Underwater Acoustics and Knight's Tour Chain.

The protection of confidential information is a global issue, and block encryption algorithms are the most reliable option for securing data. The famous information theorist, Claude Shannon, has given two desirable characteristics that should exist in a strong cipher which are substitution and permutation in their fundamental research on "Communication Theory of Secrecy Systems." block ciphers strictly follow the substitution and permutation principle in an iterative manner to generate a ciphertext. The actual strength of the block ciphers against several attacks is entirely based on its substitution characteristic, which is gained by using the substitution box (S-box). In the current literature, algebraic structure-based and chaos-based techniques are highly used for the construction of S-boxes because both these techniques have favourable features for S-box construction but also various attacks of these techniques have been identified including SAT solver, linear and differential attacks, Gröbner-based attacks, XSL attacks, interpolation attacks, XL-based attacks, finite precision effect, chaotic systems degradation, predictability, weak randomness, chaotic discontinuity, and limited control parameters. The main objective of this research is to design a novel technique for the dynamic generation of S-boxes that are safe against the cryptanalysis techniques of algebraic structure-based and chaos-based approaches. True randomness has been universally recognized as the ideal method for cipher primitives design because true random numbers are unpredictable, irreversible, and unreproducible. The biggest challenge we faced during this research was how can we generate the true random numbers and how can true random numbers utilized for strengthening the S-box construction technique. The basic concept of the proposed technique is the extraction of true random bits from underwater acoustic waves and to design a novel technique for the dynamic generation of S-boxes using the chain of knight's tour. Rather than algebraic structure- and chaos-based techniques, our proposed technique depends on inevitable high-quality randomness which exists in underwater acoustics waves. The proposed method satisfies all standard evaluation tests of S-boxes construction and true random numbers generation. Two million bits have been analyzed using the NIST randomness test suite, and the results show that underwater sound waves are an impeccable entropy source for true randomness. Additionally, our dynamically generated S-boxes have better or equal strength, over the latest published S-boxes (2020 to 2021). According to our knowledge first time, this type of research has been conducted, in which natural randomness of underwater acoustic waves has been used for the construction of block cipher's substitution box.

AI-DRIVEN Novel Approach for Liver Cancer Screening and Prediction Using Cascaded Fully Convolutional Neural Network.

In experimental analysis and computer-aided design sustain scheme, segmentation of cell liver and hepatic lesions by an automated method is a significant step for studying the biomarkers characteristics in experimental analysis and computer-aided design sustain scheme. Patient to patient, the change in lesion type is dependent on the size, imaging equipment (such as the setting dissimilarity approach), and timing of the lesion, all of which are different. With practical approaches, it is difficult to determine the stages of liver cancer based on the segmentation of lesion patterns. Based on the training accuracy rate, the present algorithm confronts a number of obstacles in some domains. The suggested work proposes a system for automatically detecting liver tumours and lesions in magnetic resonance imaging of the abdomen pictures by using 3D affine invariant and shape parameterization approaches, as well as the results of this study. This point-to-point parameterization addresses the frequent issues associated with concave surfaces by establishing a standard model level for the organ's surface throughout the modelling process. Initially, the geodesic active contour analysis approach is used to separate the liver area from the rest of the body. The proposal is as follows: It is possible to minimise the error rate during the training operations, which are carried out using Cascaded Fully Convolutional Neural Networks (CFCNs) using the input of the segmented tumour area. Liver segmentation may help to reduce the error rate during the training procedures. The stage analysis of the data sets, which are comprised of training and testing pictures, is used to get the findings and validate their validity. The accuracy attained by the Cascaded Fully Convolutional Neural Network (CFCN) for the liver tumour analysis is 94.21 percent, with a calculation time of less than 90 seconds per volume for the liver tumour analysis. The results of the trials show that the total accuracy rate of the training and testing procedure is 93.85 percent in the various volumes of 3DIRCAD datasets tested.

Clinical Text Data Categorization and Feature Extraction Using Medical-Fissure Algorithm and Neg-Seq Algorithm.

A large amount of patient information has been gathered in Electronic Health Records (EHRs) concerning their conditions. An EHR, as an unstructured text document, serves to maintain health by identifying, treating, and curing illnesses. In this research, the technical complexities in extracting the clinical text data are removed by using machine learning and natural language processing techniques, in which an unstructured clinical text data with low data quality is recognized by Halve Progression, which uses Medical-Fissure Algorithm which provides better data quality and makes diagnosis easier by using a cross-validation approach. Moreover, to enhance the accuracy in extracting and mapping clinical text data, Clinical Data Progression uses Neg-Seq Algorithm in which the redundancy in clinical text data is removed. Finally, the extracted clinical text data is stored in the cloud with a secret key to enhance security. The proposed technique improves the data quality and provides an efficient data extraction with high accuracy of 99.6%.

Machine Learning Technique to Detect and Classify Mental Illness on Social Media Using Lexicon-Based Recommender System.

The emergence of social media has allowed people to express their feelings on products, services, films, and so on. The feeling is the user's view or attitude towards any topic, object, event, or service. Overall, feelings have always influenced people's decision-making. In recent years, emotions have been analyzed intensively in natural language, but many problems still have to be watched. One of the most important problems is the lack of precise classification resources. Most of the research into feeling gradation is concerned with the issue of polarity grading, although, in many practical applications, this relatively grounded feeling measure is insufficient. Design methods are therefore essential, which can accurately classify feelings into a natural language. The principal goal of the research is to develop an overflow of grammatical rules-based classification of Indian language tweets. In this work, three main challenges are identified to classify feelings in Indian language tweets and possible methods for tackling such issues. Firstly, it has been found that the informal nature of tweets is crucial for the classification of feelings. Based on the tweets, the mental illness of the person has been classified. Therefore, to categorize Indian language tweets, a combination of grammar rules based on adjectives and negations is proposed. Secondly, people often express their feelings with slang words, abbreviations, and mixed words. A technique called field tags is used to include nongrammatical arguments such as slang words and diverse words. Thirdly, if a tweet is more complex, the morphological richness of the Indian language results in a loss of performance. The grammar rules are embedded in N-gram techniques and machine learning methods. These methods are grouped into three approaches, which functionally predict Indian language tweets with syntactic words.

Machine Learning Techniques for Human Age and Gender Identification Based on Teeth X-Ray Images.

The use of digital medical images is increasing with advanced computational power that has immensely contributed to developing more sophisticated machine learning techniques. Determination of age and gender of individuals was manually performed by forensic experts by their professional skills, which may take a few days to generate results. A fully automated system was developed that identifies the gender of humans and age based on digital images of teeth. Since teeth are a strong and unique part of the human body that exhibits least subject to risk in natural structure and remains unchanged for a longer duration, the process of identification of gender- and age-related information from human beings is systematically carried out by analyzing OPG (orthopantomogram) images. A total of 1142 digital X-ray images of teeth were obtained from dental colleges from the population of the middle-east part of Karnataka state in India. 80% of the digital images were considered for training purposes, and the remaining 20% of teeth images were for the testing cases. The proposed gender and age determination system finds its application widely in the forensic field to predict results quickly and accurately. The prediction system was carried out using Multiclass SVM (MSVM) classifier algorithm for age estimation and LIBSVM classifier for gender prediction, and 96% of accuracy was achieved from the system.

Analysis of Smart Lung Tumour Detector and Stage Classifier Using Deep Learning Techniques with Internet of Things.

The use of artificial intelligence (AI) and the Internet of Things (IoT), which is a developing technology in medical applications that assists physicians in making more informed decisions regarding patients' courses of treatment, has become increasingly widespread in recent years in the field of healthcare. On the other hand, the number of PET scans that are being performed is rising, and radiologists are getting significantly overworked as a result. As a direct result of this, a novel approach that goes by the name "computer-aided diagnostics" is now being investigated as a potential method for reducing the tremendous workloads. A Smart Lung Tumor Detector and Stage Classifier (SLD-SC) is presented in this study as a hybrid technique for PET scans. This detector can identify the stage of a lung tumour. Following the development of the modified LSTM for the detection of lung tumours, the proposed SLD-SC went on to develop a Multilayer Convolutional Neural Network (M-CNN) for the classification of the various stages of lung cancer. This network was then modelled and validated utilising standard benchmark images. The suggested SLD-SC is now being evaluated on lung cancer pictures taken from patients with the disease. We observed that our recommended method gave good results when compared to other tactics that are currently being used in the literature. These findings were outstanding in terms of the performance metrics accuracy, recall, and precision that were assessed. As can be shown by the much better outcomes that were achieved with each of the test images that were used, our proposed method excels its rivals in a variety of respects. In addition to this, it achieves an average accuracy of 97 percent in the categorization of lung tumours, which is much higher than the accuracy achieved by the other approaches.