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Artificial Intelligence in Health                                Optimized clustering in medical app detection




            Table 1. (Continued)
            Names                                                 Details
            referralMD       Aims to standardize referral network communication between primary care physicians and specialists
            RevUp            A chronic pain management tool that enables patients to access, log, and monitor their health information for improved care
                             outcomes
            Sherpaa          Enables staff physicians to provide real-time medical advice to their clients’ employees
            SmartConcierge   Helps users understand health plans and benefit packages, schedule appointments, and provides 24/7 support from registered
                             nurses
            Teladoc          Resolves medical issues between patients and physicians via phone or video consults
            Touch Surgery    Uses graphic 3-D images to give surgeon trainees an idea of what they will see during the actual procedure
            Twine            Helps clinicians provide continuous care to chronically ill patients through their devices, anytime, anywhere
            UpToDate         Helps clinicians make the best evidence-based, point-of-care decisions from the most current medical information
            YouPlus          Provides daily lifestyle coaching to make healthy living easier with science-driven exercise programs, meal recommendations, etc.
            ZocDoc           Helps patients schedule an appointment that will get them in front of a physician within 24 h

            criminals. Axelle Apvrille, a principal security researcher at   help detect these apps. Increasing the quality and safety
            Fortinet, highlighted the details of such malicious Android   of medical apps through better standards and validation
            apps during a presentation at the Virus Bulletin 2019   practices needs to be established to ensure the proper use
            conference in London. Many free diabetes management   and integration of these increasingly sophisticated tools
            apps, while seemingly helpful, require users to download   into medical practice. Understanding and quantifying the
            additional apps that are loaded with adware to function   risks associated with medical apps depends on two critical
            as advertised. Meanwhile, another type of malicious app,   factors: (i) The frequency of events that cause damage,
            posing as a diabetes advisor, tracks almost all the user   and (ii) the severity of the resulting damages. These risks
            activities, including the GPS location of the device, the IP   include potential harm such as damage to a doctor’s/
            address, and the other installed apps on the device, putting   hospital’s reputation, privacy issues, or clinical decision
            the privacy of the user at total risk. All these apps also   errors, in increasing order of severity. The decision to use
            bombard users, including vulnerable patients who rely on   any health-care app depends on whether the risk associated
            them, with persistent pop-up advertisements.       with the app is less in comparison to its benefits.
              In addition, a concerning trend involves malicious   3.3. Digital health apps during COVID-19
            apps claiming to predict users’ life expectancy within   Along with the adverse effects of the pandemic, a concurrent
            minutes based on health-related questions while secretly   “infodemic”  has  emerged,  characterized  by  widespread
            transmitting these details to remote servers, raising   misinformation circulating online about the coronavirus.
            significant privacy concerns. Such stolen medical records   Therefore, it is necessary to choose reliable apps. The Apple
            often end up for sale on dark web forums, which in turn   Corporation has adopted a cautious approach by cracking
            results in financial gain for cybercriminals. The hackers   down  on  potentially malicious  software  in  its  app store,
            create malicious health-related apps as they serve as an   allowing apps only from recognized institutions such as
            easy way to steal data, install malware, or both, affecting   governments, health organizations, or hospitals, excluding
            numerous individuals. This trend is particularly concerning   independent developers. Similarly, Google has also
            as cybercriminals increasingly target individuals using   implemented proactive measures; Google Play launched
            health-care apps, a demographic that continues to grow.   a section dedicated to COVID-19 with a curated list of
            Many  app  developers  lack  formal  medical  training  and   certified apps. 13
            do  not  involve  clinicians  in  the  development  process.
            Consequently, they may be unaware of patient safety issues   4. Methods
            arising from inappropriate content or app functionality. 21-23
                                                               The  proposed  methodology  relies  on  the  integration  of
              Moreover, the exponential growth of medical apps   machine learning techniques, specifically the ANN and
            has made it impossible to thoroughly assess each one.    the K-means clustering algorithm, to form an advanced
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            Despite this, evidence suggests that even a small number of   clustering method for the detection of medical apps. The
            medical apps can pose a risk to patient safety, underscoring   ANN, inspired by the structure and functioning of the
            the necessity of developing robust detection models to   human brain, serves as a universal classifier in the proposed


            Volume 1 Issue 4 (2024)                         21                               doi: 10.36922/aih.2585
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