The coronavirus pandemic led to an unprecedented crisis affecting all aspects of the concurrent reality. Its consequences vary from political and societal to technical and economic. These side effects provided fertile ground for a noticeable cyber-crime increase targeting critical infrastructures and, more specifically, the health sector; the domain suffering the most during the pandemic. This paper aims to assess the cybersecurity culture readiness of hospitals’ workforce during the COVID-19 crisis. Towards that end, a cybersecurity awareness webinar was held in December 2020 targeting Greek Healthcare Institutions. Concepts of cybersecurity policies, standards, best practices, and solutions were addressed. Its effectiveness was evaluated via a two-step procedure. Firstly, an anonymous questionnaire was distributed at the end of the webinar and voluntarily answered by attendees to assess the comprehension level of the presented cybersecurity aspects. Secondly, a post-evaluation phishing campaign was conducted approximately four months after the webinar, addressing non-medical employees. The main goal was to identify security awareness weaknesses and assist in drafting targeted assessment campaigns specifically tailored to the health domain needs. This paper analyses in detail the results of the aforementioned approaches while also outlining the lessons learned along with the future scientific routes deriving from this research.
Electronic health records (EHR) are patient-level information, e.g., laboratory tests and questionnaires, stored in electronic format. Compared to physical records, the EHR alternative allows patients to access their data easily and helps staff with management procedural tasks such as information sharing across different organizations. Moreover, this type of data is commonly used by researchers for predictive and classification purposes, employing statistical and machine learning methods. However, missingness is a phenomenon that is observed very frequently for such measurements. Even though this missingness is often significant, it is usually treated poorly with either case deletion or simple methods, resulting in suboptimal and/or inaccurate predictive results. This happens because the simple methods, e.g., k-nearest neighbors (kNN) and mean/mode imputation, fail in most cases to incorporate the complex relationships that define these medical datasets. To address these limitations, in this paper we test and improve state-of-the-art missing data imputation models and practices. We propose a new missing value imputation method based on denoising autoencoders (DAE) with kNN for the pre-imputation task. We optimize the training methodology by re-applying kNN to the missing data every N epochs using a different value for the variable k each time to yield more accurate results. We also revise a state-of-the-art missing data imputation approach based on a generative adversarial network (GAN). Using this as a baseline, we introduce improvements regarding both the architecture and the training procedure. These models are compared with the ones usually employed within clinical research studies for both the task of imputation and post-imputation prediction. Results show that our proposed deep learning approaches outperform the standard baselines, yielding better imputation and predictive results.
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