Diabetes is the leading cause of severe health complications and one of the top 10 causes of death worldwide. To date, diabetes has no cure, and therefore, it is necessary to take precautionary measures to avoid its occurrence. The main aim of this systematic review is to identify the majority of the risk factors for the incidence/prevalence of type 2 diabetes mellitus on one hand, and to give a critical analysis of the cohort/cross-sectional studies which examine the impact of the association of risk factors on diabetes. Consequently, we provide insights on risk factors whose interactions are major players in developing diabetes. We conclude with recommendations to allied health professionals, individuals and government institutions to support better diagnosis and prognosis of the disease.

Over the last decade, blockchain technology has emerged to provide solutions to the complexity and privacy challenges of using distributed databases. It reduces cost for customers by eliminating intermediaries and builds trust in peer-to-peer communications. Over this time, the concept of blockchain has shifted greatly due to its potential in business growth for enterprises and the rapidly evolving applications in a collaborative smart-city ecosystem, healthcare, and governance. Many platforms, with different architectures and consensus protocols, have been introduced. Consequently, it becomes challenging for an application developer to choose the right platform. Furthermore, blockchain has misaligned with the goals for an efficient green collaborative digital ecosystem. Therefore, it becomes critical to address this gap and to build new frameworks to align blockchain with those goals. In this paper, we discuss the evolution of blockchain architecture and consensus protocols, bringing a retrospective analysis and discussing the rationale of the evolution of the various architectures and protocols, as well as capturing the assumptions conducive to their development and contributions to building collaborative applications. We introduce a classification of those architectures helping developers to choose a suitable platform for applications and providing insights for future research directions in the field to build new frameworks.

There is a large proliferation of complex data-driven artificial intelligence (AI) applications in many aspects of our daily lives, but their implementation in healthcare is still limited. This scoping review takes a theoretical approach to examine the barriers and facilitators based on empirical data from existing implementations. We searched the major databases of relevant scientific publications for articles related to AI in clinical settings, published between 2015 and 2021. Based on the theoretical constructs of the Consolidated Framework for Implementation Research (CFIR), we used a deductive, followed by an inductive, approach to extract facilitators and barriers. After screening 2784 studies, 19 studies were included in this review. Most of the cited facilitators were related to engagement with and management of the implementation process, while the most cited barriers dealt with the intervention’s generalizability and interoperability with existing systems, as well as the inner settings’ data quality and availability. We noted per-study imbalances related to the reporting of the theoretic domains. Our findings suggest a greater need for implementation science expertise in AI implementation projects, to improve both the implementation process and the quality of scientific reporting.

Synthetic datasets are gradually emerging as solutions for data sharing. Multiple synthetic data generators have been introduced in the last decade fueled by advancement in machine learning and by the increased demand for fast and inclusive data sharing, yet their utility is not well understood. Prior research tried to compare the utility of synthetic data generators using different evaluation metrics. These metrics have been found to generate conflicting conclusions making direct comparison of synthetic data generators very difficult. This paper identifies four criteria (or dimensions) for masked data evaluation by classifying available utility metrics into different categories based on the measure they attempt to preserve: attribute fidelity, bivariate fidelity, population fidelity, and application fidelity. A representative metric from each category is chosen based on popularity and consistency, and the four metrics are used to compare the overall utility of four recent data synthesizers across 19 datasets of different sizes and feature counts. The paper also examines correlations between the selected metrics in an attempt to streamline synthetic data utility.

Background: Over the last century, disruptive incidents in the fields of clinical and biomedical research have yielded a tremendous change in health data management systems. This is due to a number of breakthroughs in the medical field and the need for big data analytics and the Internet of Things (IoT) to be incorporated in a real-time smart health information management system. In addition, the requirements of patient care have evolved over time, allowing for more accurate prognoses and diagnoses. In this paper, we discuss the temporal evolution of health data management systems and capture the requirements that led to the development of a given system over a certain period of time. Consequently, we provide insights into those systems and give suggestions and research directions on how they can be improved for a better health care system. Objective: This study aimed to show that there is a need for a secure and efficient health data management system that will allow physicians and patients to update decentralized medical records and to analyze the medical data for supporting more precise diagnoses, prognoses, and public insights. Limitations of existing health data management systems were analyzed. Methods: To study the evolution and requirements of health data management systems over the years, a search was conducted to obtain research articles and information on medical lawsuits, health regulations, and acts. These materials were obtained from the Institute of Electrical and Electronics Engineers, the Association for Computing Machinery, Elsevier, MEDLINE, PubMed, Scopus, and Web of Science databases. Results: Health data management systems have undergone a disruptive transformation over the years from paper to computer, web, cloud, IoT, big data analytics, and finally to blockchain. The requirements of a health data management system revealed from the evolving definitions of medical records and their management are (1) medical record data, (2) real-time data access, (3) patient participation, (4) data sharing, (5) data security, (6) patient identity privacy, and (7) public insights. This paper reviewed health data management systems based on these 7 requirements across studies conducted over the years. To our knowledge, this is the first analysis of the temporal evolution of health data management systems giving insights into the system requirements for better health care. Conclusions: There is a need for a comprehensive real-time health data management system that allows physicians, patients, and external users to input their medical and lifestyle data into the system. The incorporation of big data analytics will aid in better prognosis or diagnosis of the diseases and the prediction of diseases. The prediction results will help in the development of an effective prevention plan.