Intelligent XML Tag Classification Techniques for XML Encryption Improvement

Flexibility, friendliness, and adaptability have been key components to use XML to exchange information across different networks providing the needed common syntax for various messaging systems. However excess usage of XML as a communication medium shed the light on security standards used to protect exchanged messages achieving data confidentiality and privacy. This research presents a novel approach to secure XML messages being used in various systems with efficiency providing high security measures and high performance. system model is based on two major modules, the first to classify XML messages and define which parts of the messages to be secured assigning an importance level for each tag presented in XML message and then using XML encryption standard proposed earlier by W3C [3] to perform a partial encryption on selected parts defined in classification stage. As a result, study aims to improve both the performance of XML encryption process and bulk message handling to achieve data cleansing efficiently

Phishing website detection using intelligent data mining techniques. Design and development of an intelligent association classification mining fuzzy based scheme for phishing website detection with an emphasis on E-banking.

Phishing techniques have not only grown in number, but also in sophistication. Phishers might have a lot of approaches and tactics to conduct a well-designed phishing attack. The targets of the phishing attacks, which are mainly on-line banking consumers and payment service providers, are facing substantial financial loss and lack of trust in Internet-based services. In order to overcome these, there is an urgent need to find solutions to combat phishing attacks. Detecting phishing website is a complex task which requires significant expert knowledge and experience. So far, various solutions have been proposed and developed to address these problems. Most of these approaches are not able to make a decision dynamically on whether the site is in fact phished, giving rise to a large number of false positives. This is mainly due to limitation of the previously proposed approaches, for example depending only on fixed black and white listing database, missing of human intelligence and experts, poor scalability and their timeliness. In this research we investigated and developed the application of an intelligent fuzzy-based classification system for e-banking phishing website detection. The main aim of the proposed system is to provide protection to users from phishers deception tricks, giving them the ability to detect the legitimacy of the websites. The proposed intelligent phishing detection system employed Fuzzy Logic (FL) model with association classification mining algorithms. The approach combined the capabilities of fuzzy reasoning in measuring imprecise and dynamic phishing features, with the capability to classify the phishing fuzzy rules. Different phishing experiments which cover all phishing attacks, motivations and deception behaviour techniques have been conducted to cover all phishing concerns. A layered fuzzy structure has been constructed for all gathered and extracted phishing website features and patterns. These have been divided into 6 criteria and distributed to 3 layers, based on their attack type. To reduce human knowledge intervention, Different classification and association algorithms have been implemented to generate fuzzy phishing rules automatically, to be integrated inside the fuzzy inference engine for the final phishing detection. Experimental results demonstrated that the ability of the learning approach to identify all relevant fuzzy rules from the training data set. A comparative study and analysis showed that the proposed learning approach has a higher degree of predictive and detective capability than existing models. Experiments also showed significance of some important phishing criteria like URL & Domain Identity, Security & Encryption to the final phishing detection rate. Finally, our proposed intelligent phishing website detection system was developed, tested and validated by incorporating the scheme as a web based plug-ins phishing toolbar. The results obtained are promising and showed that our intelligent fuzzy based classification detection system can provide an effective help for real-time phishing website detection. The toolbar successfully recognized and detected approximately 92% of the phishing websites selected from our test data set, avoiding many miss-classified websites and false phishing alarms

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

Phishing website detection using intelligent data mining techniques : design and development of an intelligent association classification mining fuzzy based scheme for phishing website detection with an emphasis on e-banking

Phishing techniques have not only grown in number, but also in sophistication. Phishers might have a lot of approaches and tactics to conduct a well-designed phishing attack. The targets of the phishing attacks, which are mainly on-line banking consumers and payment service providers, are facing substantial financial loss and lack of trust in Internet-based services. In order to overcome these, there is an urgent need to find solutions to combat phishing attacks. Detecting phishing website is a complex task which requires significant expert knowledge and experience. So far, various solutions have been proposed and developed to address these problems. Most of these approaches are not able to make a decision dynamically on whether the site is in fact phished, giving rise to a large number of false positives. This is mainly due to limitation of the previously proposed approaches, for example depending only on fixed black and white listing database, missing of human intelligence and experts, poor scalability and their timeliness. In this research we investigated and developed the application of an intelligent fuzzy-based classification system for e-banking phishing website detection. The main aim of the proposed system is to provide protection to users from phishers deception tricks, giving them the ability to detect the legitimacy of the websites. The proposed intelligent phishing detection system employed Fuzzy Logic (FL) model with association classification mining algorithms. The approach combined the capabilities of fuzzy reasoning in measuring imprecise and dynamic phishing features, with the capability to classify the phishing fuzzy rules. Different phishing experiments which cover all phishing attacks, motivations and deception behaviour techniques have been conducted to cover all phishing concerns. A layered fuzzy structure has been constructed for all gathered and extracted phishing website features and patterns. These have been divided into 6 criteria and distributed to 3 layers, based on their attack type. To reduce human knowledge intervention, Different classification and association algorithms have been implemented to generate fuzzy phishing rules automatically, to be integrated inside the fuzzy inference engine for the final phishing detection. Experimental results demonstrated that the ability of the learning approach to identify all relevant fuzzy rules from the training data set. A comparative study and analysis showed that the proposed learning approach has a higher degree of predictive and detective capability than existing models. Experiments also showed significance of some important phishing criteria like URL & Domain Identity, Security & Encryption to the final phishing detection rate. Finally, our proposed intelligent phishing website detection system was developed, tested and validated by incorporating the scheme as a web based plug-ins phishing toolbar. The results obtained are promising and showed that our intelligent fuzzy based classification detection system can provide an effective help for real-time phishing website detection. The toolbar successfully recognized and detected approximately 92% of the phishing websites selected from our test data set, avoiding many miss-classified websites and false phishing alarms.EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

Background: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research