The integration of Internet of Things (IoT) devices in healthcare has enhanced medical efficiency but poses challenges such as data privacy risks and internal abuse. Traditional IoT data access frameworks suffer from centralization, limited scalability, and static permission controls. To address these issues, we propose MedAccessX, a blockchain-based access control framework combining attribute-based access control (ABAC) and role-based access control (RBAC). MedAccessX utilizes four types of smart contracts: a user management contract (UMC) for managing user operations, a medical data management contract (MDMC) for handling data, a policy contract (PC) for managing access rights, and an access control contract (ACC) for enforcing permissions and facilitating data sharing. Our evaluation, conducted on a private Ethereum blockchain network with multiple nodes, assesses security, deployment cost, gas consumption, throughput, and response time. Comparative analysis demonstrates that MedAccessX achieves lower deployment costs and higher throughput, outperforming existing solutions.

The widespread adoption of deep neural networks (DNNs) in speech recognition has introduced significant security vulnerabilities, particularly from backdoor attacks. These attacks allow adversaries to manipulate system behavior through hidden triggers while maintaining normal operation on clean inputs. To address this challenge, we propose a novel defense framework that combines speech enhancement with neural architecture optimization. Our approach consists of three key steps. First, we use a ComplexMTASS-based enhancement network to isolate and remove backdoor triggers by leveraging their unique spectral characteristics. Second, we apply an adaptive fine-pruning algorithm to selectively deactivate malicious neurons while preserving the model’s linguistic capabilities. Finally, we fine-tune the pruned model using clean data to restore and enhance recognition accuracy. Experiments on the AISHELL dataset demonstrate the effectiveness of our method against advanced steganographic attacks, such as PBSM and VSVC. The results show a significant reduction in attack success rate to below 1.5%, while maintaining 99.4% accuracy on clean inputs. This represents a notable improvement over existing defenses, particularly under varying trigger intensities and poisoning rates.