No abstract

Constraints imposed due to the cameo of the novel corona virus has abruptly changed the operative mode of medical sciences. Most of the hospitals have migrated towards the telemedicine mode of services for the non-invasive and non-emergency patients during the COVID-19 time. The advent of telemedicine services has remotely rendered health services to different types of patients from their isolates. Here, the patients’ medical data has to be transmitted to different physicians/doctors in a safe manner. Such data are to be secured with a view to restore its privacy clause. Cardio vascular diseases (CVDs) are a kind of cardiac disease related to blockage of arteries and veins. Cardiac patients are more susceptible to the COVID-19 attacks. They are advised to be treated though cardiac telemedicine services. This paper presents an intelligent and secured transmission of clinical cardiac reports of the patients through recurrence relation based session key. Such reports were made through the following confusion matrix operations. The beauty of this technique is that confusion matrices are transferred to specified number of cardiologists with additional secret shares encapsulation. The case of robustness checking, transparency and cryptographic engineering has been tested under different set of inputs. The total cryptographic time observed here was noted as ms, 3 ms , ms, ms, ms, and 660.16 ms, which is acceptable when compared with other classical techniques. The estimation of correlation coefficient in proposed variables has been recorded as − . Different types of result and its analysis proves the efficiency of the proposed technique. It will provide more security in medical data transmission, especially in the needy hours of COVID-19 pandemic.

A second wave of COVID-19 has immensely affected the entire community. In the face of COVID-19 second wave scenario, geriatric patients with allied morbidities are most vulnerable under the COVID-19 threats. They suffer a lot from different mental complications. In this manuscript, secured telepsychiatry for geriatric patients (TGP) services are being highlighted with patients’ data security. In most of the telepsychiatry systems, patients’ data are under intruders’ attacks that lead to different malpractices. The secret key that is used in telepsychiatry system should be robust and non-deciphered by the intruders during the public network transmission. More importantly, secured telepsychiatry services are the best option to serve the geriatric patients with patients’ confidentiality. Thus, the COVID-19 attacks on such geriatric patients can be curtailed with efficacy.

The abuse of non dependence producing substances has been rarely reported. However, this can be a significant social problem and it may complicate psychiatric disorders like the anxiety states. We are reporting here, a case of the prolonged abuse of multiple gastrointestinal antibiotics like metronidazole, mebendazole and albendazole. The patient had fortunately not developed any overt toxicity from the overuse of these drugs. He was diagnosed with the generalized anxiety disorder with the anankastic personality disorder. He responded favourably to paroxetine and is being maintained on psychotherapy. As far as we know, this is probably the first report of this kind of abuse from India.

Current pandemic has immensely disrupted the entire world in the field of medical science. The novel corona virus has not only brought physical sufferings but also huge psychiatric complications on the patients. Treating the psychiatric issues from remote locations can be best done through telepsychiatry. Patients can virtually consult with psychiatrists from their quarantines. However, during this COVID-19 era of excessive digital transactions, patients’ data security mechanism is a challenging issue to prevent from intruding. Efficient cryptographic algorithms are used depending on the transmission key. This paper deals with the episode of transmission key origination with the help of salp swarm algorithm and neural perceptron. Threshold cryptography provides the generation of the partial shares of the E-prescriptions, which can be restructured on the threshold set of shares. The property of lossless theory has been implemented on the proposed set of telepsychiatry shares. A mask matrix has been proposed to diffuse the E-prescription shares into the specified group of users. The transmission key validation has been carried out in this paper based on myriad statistical tests. Chi Square test, has been observed under 5% level of significance. Thus, there exists no similarity between the bit patterns of the transmission key. A correlation coefficient between the average encryption and decryption time and the functional time has been estimated as 0.92076 and 0.72340, respectively. Also, it confirms the data resistance against the opponents in terms of different mathematical and statistical methods.