In the present technological era, healthcare providers generate huge amounts of clinical data on a daily basis. Generated clinical data is stored digitally in the form of Electronic Health Record (EHR) as a central data repository of hospitals. Data contained in EHR is not only used for the patients’ primary care but also for various secondary purposes such as clinical research, automated disease surveillance and clinical audits for quality enhancement. Using EHR data for secondary purposes without consent or in some cases even with consent creates privacy issues. Secondly, EHR data is also made accessible to various stakeholders including different government agencies at various geographical sites through wired or wireless networks. Sharing of EHR across multiple agencies makes it vulnerable to cyber attacks and also makes it difficult to implement strict privacy laws as in some cases data is shared with organization that is governed by specific regional law. Privacy of an individual could be severely affected when their sensitive private information contained in EHR is leaked or exposed to the public. Data leaks can cause financial losses or an individual may encounter social boycott if their medical condition is exposed in public. To protect patients personal data from such threats, there exists different privacy regulations such as General Data Protection Regulation (GDPR), Health Insurance Portability and Accountability Act (HIPAA) and My Health Record (MHR). However, continually evolving state-of-the-art techniques in Machine Learning (ML), Data Analytics (DA) and hacking are making it even more difficult to completely protect an individual’s / patient’s privacy. In this article, we have systematically examined various secondary uses of EHR with the aim to highlight how these secondary uses affect patients’ privacy. Secondly, we have critically analyzed GDPR & HIPAA regulations and highlighted their possible areas of improvement, considering escalating use of technology and different secondary uses of EHR.

Mental illness is a common disease that at its extremes leads to personal and societal suffering. A complicated multi-factorial disease, mental illness is influenced by a number of socioeconomic and clinical factors, including individual risk factors. Traditionally, approaches relying on personal interviews and filling out questionnaires have been employed to diagnose mental illness; however, these manual procedures have been found to be frequently prone to errors and unable to reliably identify individuals with mental illness. Fortunately, people with mental illnesses frequently express their ailments on social media, making it possible to more precisely identify mental disease by harvesting their social media posts. This study offers a thorough analysis of how to identify mental illnesses (more specifically, depression) from users’ social media data. Along with the explanation of data acquisition, preprocessing, feature extraction, and classification techniques, the most recent published literature is presented to give the readers a thorough understanding of the subject. Since, in the recent past, the majority of the relevant scientific community has focused on using machine learning (ML) and deep learning (DL) models to identify mental illness, so the review also focuses on these techniques and along with their detail, their critical analysis is presented. More than 100 DL, ML, and natural language processing (NLP) based models developed for mental illness in the recent past have been reviewed, and their technical contributions and strengths are discussed. There exist multiple review studies, however, discussing extensive recent literature along with the complete road map on how to design a mental illness detection system using social media data and ML and DL classification methods is limited. The review also includes detail on how a dataset may be acquired from social media platforms, how it is preprocessed, and features are extracted from it to employ for mental illness detection. Hence, we anticipate that this review will help readers learn more and give them a comprehensive road map for identifying mental illnesses using users’ social media data.

The present research is an effort to enhance the performance of voice processing systems, in our case the speaker identification system (SIS) by addressing the variability caused by the dialectical variations of a language. We present an effective solution to reduce dialect-related variability from voice processing systems. The proposed method minimizes the system’s complexity by reducing search space during the testing process of speaker identification. The speaker is searched from the set of speakers of the identified dialect instead of all the speakers present in system training. The study is conducted on the Pashto language, and the voice data samples are collected from native Pashto speakers of specific regions of Pakistan and Afghanistan where Pashto is spoken with different dialectal variations. The task of speaker identification is achieved with the help of a novel hierarchical framework that works in two steps. In the first step, the speaker’s dialect is identified. For automated dialect identification, the spectral and prosodic features have been used in conjunction with Gaussian mixture model (GMM). In the second step, the speaker is identified using a multilayer perceptron (MLP)-based speaker identification system, which gets aggregated input from the first step, i.e., dialect identification along with prosodic and spectral features. The robustness of the proposed SIS is compared with traditional state-of-the-art methods in the literature. The results show that the proposed framework is better in terms of average speaker recognition accuracy (84.5% identification accuracy) and consumes 39% less time for the identification of speaker.