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Background: Developing effective and generalizable predictive models is critical for disease prediction and clinical decision-making, often requiring diverse samples to mitigate population bias and address algorithmic fairness. However, a major challenge is to retrieve learning models across multiple institutions without bringing in local biases and inequity, while preserving individual patients' privacy at each site., Objective: This study aims to understand the issues of bias and fairness in the machine learning process used in the predictive health care domain. We proposed a software architecture that integrates federated learning and blockchain to improve fairness, while maintaining acceptable prediction accuracy and minimizing overhead costs., Methods: We improved existing federated learning platforms by integrating blockchain through an iterative design approach. We used the design science research method, which involves 2 design cycles (federated learning for bias mitigation and decentralized architecture). The design involves a bias-mitigation process within the blockchain-empowered federated learning framework based on a novel architecture. Under this architecture, multiple medical institutions can jointly train predictive models using their privacy-protected data effectively and efficiently and ultimately achieve fairness in decision-making in the health care domain., Results: We designed and implemented our solution using the Aplos smart contract, microservices, Rahasak blockchain, and Apache Cassandra-based distributed storage. By conducting 20,000 local model training iterations and 1000 federated model training iterations across 5 simulated medical centers as peers in the Rahasak blockchain network, we demonstrated how our solution with an improved fairness mechanism can enhance the accuracy of predictive diagnosis., Conclusions: Our study identified the technical challenges of prediction biases faced by existing predictive models in the health care domain. To overcome these challenges, we presented an innovative design solution using federated learning and blockchain, along with the adoption of a unique distributed architecture for a fairness-aware system. We have illustrated how this design can address privacy, security, prediction accuracy, and scalability challenges, ultimately improving fairness and equity in the predictive health care domain., (©Xueping Liang, Juan Zhao, Yan Chen, Eranga Bandara, Sachin Shetty. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 30.10.2023.)

IoT security is one of the prominent issues that has gained significant attention among the researchers in recent times. The recent advancements in IoT introduces various critical security issues and increases the risk of privacy leakage of IoT data. Implementation of Blockchain can be a potential solution for the security issues in IoT. This review deeply investigates the security threats and issues in IoT which deteriorates the effectiveness of IoT systems. This paper presents a perceptible description of the security threats, Blockchain based solutions, security characteristics and challenges introduced during the integration of Blockchain with IoT. An analysis of different consensus protocols, existing security techniques and evaluation parameters are discussed in brief. In addition, the paper also outlines the open issues and highlights possible research opportunities which can be beneficial for future research. [ABSTRACT FROM AUTHOR]

Blockchain-based decentralized infrastructure has been adapted in various industries to handle the sensitive data in a privacy-preserving manner without trusting third parties. However, integrating state-of-the-art blockchain platforms with the scalable, enterprise-level applications result in several challenges. Current blockchain platforms do not support high transaction throughput, lack high scalability, and cannot provide real-time transaction processing and back-pressure operation handling in high transaction throughput applications (e.g Big data, IoT). In this paper, we propose a novel permissioned blockchain platform "Rahasak" for highly scalable, enterprise applications. Rahasak blockchain adopts the Apache Kafka-based consensus on top of a "Validate-Execute-Group" blockchain architecture to handle real-time transaction execution on the blockchain. The architecture is equipped with a functional programming and actor-based smart contract platform that enables concurrent execution of transactions in the blockchain. Rahasak supports high transaction throughput, high scalability, concurrent transaction execution, data analytics features. With Rahasak, we make blockchain more scalable, secure, structured and meaningful for further data analytics. [ABSTRACT FROM AUTHOR]