Across European countries, the SHAPES Project is piloting AI-based technologies that could improve healthcare delivery for older people over 60 years old. This article aims to present a study developed inside the SHAPES Project to find a theoretical framework focused on AI-assisted technology in healthcare for older people living in the home, to assess the SHAPES AI-based technologies using the ALTAI tool, and to derive ethical recommendations regarding AI-based technologies for ageing and healthcare. The study has highlighted concerns and reservations about AI-based technologies, namely dealing with living at home, mobility, accessibility, data exchange procedures in cross-board cases, interoperability, and security. A list of recommendations is built not only for the healthcare sector, but also for other pilot studies.

The aging population, combined with the scarcity of healthcare resources, presents significant challenges for our society. The use of artificial intelligence (AI) and robotics offers a potential solution to these challenges. However, such technologies also raise ethical and cybersecurity concerns related to the preservation of privacy, autonomy, and human contact. In this case study, we examine these ethical challenges and the opportunities brought by AI and robotics in the care of old individuals at home. This article aims to describe the current fragmented state of legislation related to the development and use of AI-based services and robotics and to reflect on their ethics and cybersecurity. The findings indicate that, guided by ethical principles, we can leverage the best aspects of technology while ensuring that old people can maintain a dignified and valued life at home. The careful handling of ethical issues should be viewed as a competitive advantage and opportunity, rather than a burden.

The purpose of this paper is to present a preliminary analysis of the cybersecurity market demand in the nursing and health sector. Currently, the market demand study is ongoing under the Digital Europe Programme CyberSecPro project, which strengthens the role of higher education institutions as a provider of practical and working life skills. The project promotes reliable digital transformation in critical sectors, such as healthcare. The rapid development of e-health emphasizes the central position of cybersecurity in healthcare organizations that are increasingly the targets of cyber-attacks. This descriptive literature review explores what a nurse needs to know about cybersecurity. Our results show that awareness of cyber risks is weak in the healthcare sector. Understanding cyber risks and recognizing the effects of one's own activities increases the cybersecurity of the entire organization, therefore cybersecurity training for nurses should be increased. Our study suggested that nurses’ most important cyber skills are their own cyber-safe way of operations, identifying cyber threats related to equipment, identifying the effects of cyber disruptions, and acting in a cyber disruption situation. Future nurse training programs should be updated to include these skills. Additionally, the teaching of nurses must be developed so that it meets these competence needs.

Healthcare strives to ensure overall physical, mental, and emotional well-being for individuals while managing limited resources efficiently. Digital technologies can offer cost reduction, improved user experience, and expanded capacity. In addition, modern automation technologies, which were implemented in industrial control systems or industrial automation control systems, are essential for ensuring the availability of societies’ critical cyber-physical systems (CPSs) and the services they provide, such as healthcare. This narrative literature review produces information that can be applied when planning and implementing an interdisciplinary biomedical and health informatics (BMHI) master’s education focused on the challenges of digitalization in the health sector. The review results that virtual human twins (VHTs) are revolutionizing healthcare by addressing people’s complex medical problems with real-time monitoring and precision care while digital twin (DT) technology can make the hospital’s operational processes resilient and efficient. Thus, future BMHI education must address these technologies with a multidisciplinary approach, including computer science, information science, engineering, basic sciences, health sciences, socio-behavioral sciences, and ethical, legal, and policy aspects. Collected and cumulative data is essential for cognitive DTs. A prerequisite for this data is information sharing between different CPSs. Better information sharing and the development of scalable cognitive DTs and VHTs, the provision of critical services, quality, and cost-effectiveness, as well as health, safety, and resilience, will improve. Similarities between peoples’ health information exchange and information needed for ensuring the resilience of CPSs exist. Since humans are in many ways more complex than CPSs, security engineers have a lot to learn from VHTs in maintaining the resilience of CPSs. Cross-sectoral research and cooperation with different disciplines are essential for the progress of both human health and the resilience of CPSs. Along with interdisciplinary research cooperation, educational cooperation should also be intensified.

Combining business continuity management (BCM) and systematic cyber threat intelligence (CTI) can improve cyber situational awareness to support decision-making through the phases of the resilience cycle (plan, absorb, recover, adapt) to ensure the continuity of organizational operations when encountered by cyber disruptions. End-user needs, human factors, high ethical standards, and social impacts can best be adapted when professionals from different fields work together with end-users to refine and co-develop selected tools into a platform. A resilience assessment that combines BCM and CTI enables 1) quick or detailed assessment of the investigated industry and its critical processes, 2) measurement of performance goals based on information received from end users, where artificial intelligence-based self-learning approaches can be used for functional descriptions, 3) information on the sensitivity of the investigated industry and vulnerability and 4) resilience and BCM throughout the entire resilience cycle. A new Horizon Europe project DYNAMO (Dynamic Resilience Assessment Method including a combined Business Continuity Management and Cyber Threat Intelligence solution for Critical Sectors) works towards combining BCM and CTI to generate a situational picture for decision support. Having this in mind, certain cybersecurity and BCM tools will be developed, refined, and integrated into the DYNAMO platform to provide decision support and awareness to chief information security officers, cybersecurity practitioners, and other stakeholders. This paper reports a case study that explores how combining CTI and BCM can help in the case of a cyber-attack. The research material consists of the news articles by the largest newspaper in Finland, Helsingin Sanomat (HS) of how the cyber attack against the therapy center Vastaamo progressed during the first week after the attack. The results show that cyber threat intelligence when flexibly integrated into the BCM approach could create better conditions for improved organizational foresight to react to unpredictable cyber threats to ensure business continuity.

Recently, researchers in the field of wireless sensor networks have resorted to energy harvesting techniques that allows energy to be harvested from the ambient environment to power sensor nodes. Using such Energy harvesting techniques together with proper routing protocols, an Energy Neutral state can be achieved so that sensor nodes can run perpetually. In this paper, we propose an Energy Neutral LEACH routing protocol which is an extension to the traditional LEACH protocol. The goal of the proposed protocol is to use Gateway node in each cluster so as to reduce the data transmission ranges of cluster head nodes. Simulation results show that the proposed routing protocol achieves a higher throughput and ensure the energy neutral status of the entire network.