Background: The IoT and big data are newer technologies that can provide substantial support for healthcare systems, helping them overcome their shortcomings. The aim of this paper was to analyze the relevant literature descriptively, thematically, and chronologically from an interdisciplinary perspective in a holistic way to identify the most prolific research entities and themes. Methods: Synthetic knowledge synthesis qualitatively and quantitatively analyzes the production of literature through a combination of descriptive bibliometrics, bibliometric mapping, and content analysis. For this analysis, the Scopus bibliometric database was used. Results: In the Scopus database, 2272 publications were found; these were published between 1985 and 10 June 2024. The first article in this field was published in 1985. Until 2012, the production of such literature was steadily increasing; after that, exponential growth began, peaking in 2023. The most productive countries were the United States, India, China, the United Kingdom, South Korea, Germany, and Italy. The content analysis resulted in eight themes (four from the perspective of computer science and four from the perspective of medicine) and 21 thematic concepts (8 from the perspective of computer science and 13 from the perspective of medicine). Conclusions: The results show that the IoT and big data have become key technologies employed in preventive healthcare. The study outcomes might represent a starting point for the further development of research that combines the multidisciplinary aspects of healthcare.

In the rapidly evolving realm of artificial intelligence (AI), black-box algorithms have exhibited outstanding performance. However, their opaque nature poses challenges in fields like medicine, where the clarity of the decision-making processes is crucial for ensuring trust. Addressing this need, the study aimed to augment these algorithms with explainable AI (XAI) features to enhance transparency. A novel approach was employed, contrasting the decision-making patterns of black-box and white-box models. Where discrepancies were noted, training data were refined to align a white-box model’s decisions closer to its black-box counterpart. Testing this methodology on three distinct medical datasets revealed consistent correlations between the adapted white-box models and their black-box analogs. Notably, integrating this strategy with established methods like local interpretable model-agnostic explanations (LIMEs) and SHapley Additive exPlanations (SHAPs) further enhanced transparency, underscoring the potential value of decision trees as a favored white-box algorithm in medicine due to its inherent explanatory capabilities. The findings highlight a promising path for the integration of the performance of black-box algorithms with the necessity for transparency in critical decision-making domains.

The first publication on the use of artificial intelligence (AI) in pediatrics dates back to 1984. Since then, research on AI in pediatrics has become much more popular, and the number of publications has largely increased. Consequently, a need for a holistic research landscape enabling researchers and other interested parties to gain insights into the use of AI in pediatrics has arisen. To fill this gap, a novel methodology, synthetic knowledge synthesis (SKS), was applied. Using SKS, we identified the most prolific countries, institutions, source titles, funding agencies, and research themes and the most frequently used AI algorithms and their applications in pediatrics. The corpus was extracted from the Scopus (Elsevier, The Netherlands) bibliographic database and analyzed using VOSViewer, version 1.6.20. Done An exponential growth in the literature was observed in the last decade. The United States, China, and Canada were the most productive countries. Deep learning was the most used machine learning algorithm and classification, and natural language processing was the most popular AI approach. Pneumonia, epilepsy, and asthma were the most targeted pediatric diagnoses, and prediction and clinical decision making were the most frequent applications.

Over the past few decades, machine learning has emerged as a valuable tool in the field of medicine, driven by the accumulation of vast amounts of medical data and the imperative to harness this data for the betterment of humanity. However, many of the prevailing machine learning algorithms in use today are characterized as black-box models, lacking transparency in their decision-making processes and are often devoid of clear visualization capabilities. The transparency of these machine learning models impedes medical experts from effectively leveraging them due to the high-stakes nature of their decisions. Consequently, the need for explainable artificial intelligence (XAI) that aims to address the demand for transparency in the decision-making mechanisms of black-box algorithms has arisen. Alternatively, employing white-box algorithms can empower medical experts by allowing them to contribute their knowledge to the decision-making process and obtain a clear and transparent output. This approach offers an opportunity to personalize machine learning models through an agile process. A novel white-box machine learning algorithm known as Data canyons was employed as a transparent and robust foundation for the proposed solution. By providing medical experts with a web framework where their expertise is transferred to a machine learning model and enabling the utilization of this process in an agile manner, a symbiotic relationship is fostered between the domains of medical expertise and machine learning. The flexibility to manipulate the output machine learning model and visually validate it, even without expertise in machine learning, establishes a crucial link between these two expert domains.

Objectives: In solving the trust issues surrounding machine learning algorithms whose reasoning cannot be understood, advancements can be made toward the integration of machine learning algorithms into mHealth applications. The aim of this paper is to provide a transparency layer to black-box machine learning algorithms and empower mHealth applications to maximize their efficiency. Methods: Using a machine learning testing framework, we present the process of knowledge transfer between a white-box model and a black-box model and the evaluation process to validate the success of the knowledge transfer. Results: The presentation layer of the final output of the base white-box model and the knowledge-infused white-box model shows clear differences in reasoning. The correlation between the base black-box model and the new knowledge-infused model is very high, indicating that the knowledge transfer was successful. Conclusion: There is a clear need for transparency in digital health and health in general. Adding solutions to the toolbox of explainable artificial intelligence is one way to gradually decrease the obscurity of black-box models.