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  1. Fulltext The Effect of Dataset Imbalance on the Performance of SCADA Intrusion Detection Systems
    Balla A, Habaebi MH, Elsheikh EAA, Islam MR, Suliman FM
    Sensors (Basel), 2023 Jan 09;23(2).
    PMID: 36679553 DOI: 10.3390/s23020758
    Integrating IoT devices in SCADA systems has provided efficient and improved data collection and transmission technologies. This enhancement comes with significant security challenges, exposing traditionally isolated systems to the public internet. Effective and highly reliable security devices, such as intrusion detection system (IDSs) and intrusion prevention systems (IPS), are critical. Countless studies used deep learning algorithms to design an efficient IDS; however, the fundamental issue of imbalanced datasets was not fully addressed. In our research, we examined the impact of data imbalance on developing an effective SCADA-based IDS. To investigate the impact of various data balancing techniques, we chose two unbalanced datasets, the Morris power dataset, and CICIDS2017 dataset, including random sampling, one-sided selection (OSS), near-miss, SMOTE, and ADASYN. For binary classification, convolutional neural networks were coupled with long short-term memory (CNN-LSTM). The system's effectiveness was determined by the confusion matrix, which includes evaluation metrics, such as accuracy, precision, detection rate, and F1-score. Four experiments on the two datasets demonstrate the impact of the data imbalance. This research aims to help security researchers in understanding imbalanced datasets and their impact on DL SCADA-IDS.
  2. The ChoCO-W prospective observational global study: Does COVID-19 increase gangrenous cholecystitis?
    De Simone B, Abu-Zidan FM, Chouillard E, Di Saverio S, Sartelli M, Podda M, et al.
    World J Emerg Surg, 2022 Dec 16;17(1):61.
    PMID: 36527038 DOI: 10.1186/s13017-022-00466-4
    BACKGROUND: The incidence of the highly morbid and potentially lethal gangrenous cholecystitis was reportedly increased during the COVID-19 pandemic. The aim of the ChoCO-W study was to compare the clinical findings and outcomes of acute cholecystitis in patients who had COVID-19 disease with those who did not.

    METHODS: Data were prospectively collected over 6 months (October 1, 2020, to April 30, 2021) with 1-month follow-up. In October 2020, Delta variant of SARS CoV-2 was isolated for the first time. Demographic and clinical data were analyzed and reported according to the STROBE guidelines. Baseline characteristics and clinical outcomes of patients who had COVID-19 were compared with those who did not.

    RESULTS: A total of 2893 patients, from 42 countries, 218 centers, involved, with a median age of 61.3 (SD: 17.39) years were prospectively enrolled in this study; 1481 (51%) patients were males. One hundred and eighty (6.9%) patients were COVID-19 positive, while 2412 (93.1%) were negative. Concomitant preexisting diseases including cardiovascular diseases (p 

  3. Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago
    Perrone G, Giuffrida M, Abu-Zidan F, Kruger VF, Livrini M, Petracca GL, et al.
    World J Emerg Surg, 2024 Apr 16;19(1):14.
    PMID: 38627831 DOI: 10.1186/s13017-024-00543-w
    BACKGROUND: Literature suggests colonic resection and primary anastomosis (RPA) instead of Hartmann's procedure (HP) for the treatment of left-sided colonic emergencies. We aim to evaluate the surgical options globally used to treat patients with acute left-sided colonic emergencies and the factors that leading to the choice of treatment, comparing HP and RPA.

    METHODS: This is a prospective, international, multicenter, observational study registered on ClinicalTrials.gov. A total 1215 patients with left-sided colonic emergencies who required surgery were included from 204 centers during the period of March 1, 2020, to May 31, 2020. with a 1-year follow-up.

    RESULTS: 564 patients (43.1%) were females. The mean age was 65.9 ± 15.6 years. HP was performed in 697 (57.3%) patients and RPA in 384 (31.6%) cases. Complicated acute diverticulitis was the most common cause of left-sided colonic emergencies (40.2%), followed by colorectal malignancy (36.6%). Severe complications (Clavien-Dindo ≥ 3b) were higher in the HP group (P 

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