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  • Open Access

    REVIEW

    Is the Barthel index a valid tool for patient selection before urological surgery? A systematic review

    Andrea Panunzio1, Rossella Orlando1, Federico Greco2,3, Giovanni Mazzucato4, Floriana Luigina Rizzo1, Serena Domenica D’Elia1, Antonio Benito Porcaro5, Alessandro Antonelli5, Alessandro Tafuri1,6,*

    Canadian Journal of Urology, Vol.32, No.5, pp. 375-384, 2025, DOI:10.32604/cju.2025.066140 - 30 October 2025

    Abstract Background: The Barthel Index (BI) measures the level of patient independence in activities of daily living. This review aims to summarize current evidence on the use of the BI in urology, highlighting its potential as a tool for assessing patients prior to surgery. Materials and methods: A comprehensive search of PubMed, Scopus, and Web of Science databases was conducted for studies evaluating the BI in patients undergoing urologic surgery, following Systematic Review and Meta-analyses (PRISMA) guidelines. The BI was investigated both as a descriptor of baseline or postoperative health status and a prognostic indicator. A qualitative… More >

  • Open Access

    REVIEW

    Federated Learning in Convergence ICT: A Systematic Review on Recent Advancements, Challenges, and Future Directions

    Imran Ahmed1,#, Misbah Ahmad2,3,#, Gwanggil Jeon4,5,*

    CMC-Computers, Materials & Continua, Vol.85, No.3, pp. 4237-4273, 2025, DOI:10.32604/cmc.2025.068319 - 23 October 2025

    Abstract The rapid convergence of Information and Communication Technologies (ICT), driven by advancements in 5G/6G networks, cloud computing, Artificial Intelligence (AI), and the Internet of Things (IoT), is reshaping modern digital ecosystems. As massive, distributed data streams are generated across edge devices and network layers, there is a growing need for intelligent, privacy-preserving AI solutions that can operate efficiently at the network edge. Federated Learning (FL) enables decentralized model training without transferring sensitive data, addressing key challenges around privacy, bandwidth, and latency. Despite its benefits in enhancing efficiency, real-time analytics, and regulatory compliance, FL adoption faces… More >

  • Open Access

    REVIEW

    RNA Expression Signatures in Glioblastoma: A Systematic Review of Tumour Biology and Therapeutic Targets

    Amber Hassan1, Badr Hafiz2, Taghreed Alsinani3, Rakan Bokhari4, Dahlia Mirdad5, Awab Tayyib5, Alaa Alkhotani6, Ahmad Fallata7, Iman Mirza8, Eyad Faizo9,10, Saleh Baeesa2, Huda Alghefari11, Maher Kurdi11,*

    Oncology Research, Vol.33, No.11, pp. 3293-3325, 2025, DOI:10.32604/or.2025.070031 - 22 October 2025

    Abstract Background: Glioblastoma (GBM) remains the most aggressive primary brain tumour in adults, marked by pronounced cellular heterogeneity, diffuse infiltration, and resistance to conventional treatment. In recent years, transcriptomic profiling has provided valuable insights into the molecular mechanisms that govern the progression of glioblastoma. This systematic review aims to synthesise the current literature on dysregulated gene expression in GBM, focusing on gene signatures associated with stemness, immune modulation, extracellular matrix remodelling, metabolic adaptation, and therapeutic resistance. Methods: We conducted a systematic search of PubMed, The Cancer Genome Atlas (TCGA), Chinese Glioma Genome Atlas (CGGA), and the GlioVis… More >

  • Open Access

    REVIEW

    Static Analysis Techniques for Secure Software: A Systematic Review

    Brian Mweu1,*, John Ndia2

    Journal of Cyber Security, Vol.7, pp. 417-437, 2025, DOI:10.32604/jcs.2025.071765 - 10 October 2025

    Abstract Static analysis methods are crucial in developing secure software, as they allow for the early identification of vulnerabilities before the software is executed. This systematic review follows Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines to assess static analysis techniques for software security enhancement. We systematically searched IEEE Xplore, Association for Computing Machinery (ACM) Digital Library, SpringerLink, and ScienceDirect for journal articles published between 2017 and 2025. The review examines hybrid analyses and machine learning integration to enhance vulnerability detection accuracy. Static analysis tools enable early fault detection but face persistent challenges. More >

  • Open Access

    REVIEW

    The Role of Mindfulness in Foreign Language Anxiety: A Systematic Review of Correlational and Intervention Studies

    Hui Yang1, Yijie Li2,*

    International Journal of Mental Health Promotion, Vol.27, No.9, pp. 1279-1300, 2025, DOI:10.32604/ijmhp.2025.068399 - 30 September 2025

    Abstract Background: Foreign Language Anxiety (FLA) represents a substantial affective barrier that undermines cognitive performance, motivation, and retention in language learners. Emerging evidence highlights mindfulness-based interventions as promising strategies for enhancing emotional regulation and reducing anxiety across educational contexts. This review synthesizes current research on mindfulness as a psychological intervention, aims to evaluate its efficacy in alleviating FLA, and discusses its broader implications for health-focused educational policy and practice. Methods: Following PRISMA guidelines, we systematically reviewed studies examining the relationships between mindfulness and FLA. Our search of four major databases (November 2023) initially identified 346 articles… More >

  • Open Access

    REVIEW

    Security and Privacy in Permissioned Blockchain Interoperability: A Systematic Review

    Alsoudi Dua1, Tan Fong Ang1, Chin Soon Ku2,*, Okmi Mohammed1,3, Yu Luo4, Jiahui Chen4, Uzair Aslam Bhatti5, Lip Yee Por1,*

    CMC-Computers, Materials & Continua, Vol.85, No.2, pp. 2579-2624, 2025, DOI:10.32604/cmc.2025.070413 - 23 September 2025

    Abstract Blockchain interoperability enables seamless communication and asset transfer across isolated permissioned blockchain systems, but it introduces significant security and privacy vulnerabilities. This review aims to systematically assess the security and privacy landscape of interoperability protocols for permissioned blockchains, identifying key properties, attack vectors, and countermeasures. Using PRISMA 2020 guidelines, we analysed 56 peer-reviewed studies published between 2020 and 2025, retrieved from Scopus, ScienceDirect, Web of Science, and IEEE Xplore. The review focused on interoperability protocols for permissioned blockchains with security and privacy analyses, including only English-language journal articles and conference proceedings. Risk of bias in… More >

  • Open Access

    REVIEW

    A Systematic Review of YOLO-Based Object Detection in Medical Imaging: Advances, Challenges, and Future Directions

    Zhenhui Cai, Kaiqing Zhou*, Zhouhua Liao

    CMC-Computers, Materials & Continua, Vol.85, No.2, pp. 2255-2303, 2025, DOI:10.32604/cmc.2025.067994 - 23 September 2025

    Abstract The YOLO (You Only Look Once) series, a leading single-stage object detection framework, has gained significant prominence in medical-image analysis due to its real-time efficiency and robust performance. Recent iterations of YOLO have further enhanced its accuracy and reliability in critical clinical tasks such as tumor detection, lesion segmentation, and microscopic image analysis, thereby accelerating the development of clinical decision support systems. This paper systematically reviews advances in YOLO-based medical object detection from 2018 to 2024. It compares YOLO’s performance with other models (e.g., Faster R-CNN, RetinaNet) in medical contexts, summarizes standard evaluation metrics (e.g.,… More >

  • Open Access

    REVIEW

    A Data-Driven Systematic Review of the Metaverse in Transportation: Current Research, Computational Modeling, and Future Trends

    Cecilia Castro1, Victor Leiva2,*, Franco Basso2,3

    CMES-Computer Modeling in Engineering & Sciences, Vol.144, No.2, pp. 1481-1543, 2025, DOI:10.32604/cmes.2025.067992 - 31 August 2025

    Abstract Metaverse technologies are increasingly promoted as game-changers in transport planning, connected-autonomous mobility, and immersive traveler services. However, the field lacks a systematic review of what has been achieved, where critical technical gaps remain, and where future deployments should be integrated. Using a transparent protocol-driven screening process, we reviewed 1589 records and retained 101 peer-reviewed journal and conference articles (2021–2025) that explicitly frame their contributions within a transport-oriented metaverse. Our review reveals a predominantly exploratory evidence base. Among the 101 studies reviewed, 17 (16.8%) apply fuzzy multi-criteria decision-making, 36 (35.6%) feature digital-twin visualizations or simulation-based testbeds,… More > Graphic Abstract

    A Data-Driven Systematic Review of the Metaverse in Transportation: Current Research, Computational Modeling, and Future Trends

  • Open Access

    REVIEW

    Unraveling the Functional Diversity of MYB Transcription Factors in Plants: A Systematic Review of Recent Advances

    Imene Tatar Caliskan1,2, George Dzorgbenya Ametefe3, Aziz Caliskan4, Su-Ee Lau1,5, Yvonne Jing Mei Liew6, Nur Kusaira Khairul Ikram5, Boon Chin Tan1,*

    Phyton-International Journal of Experimental Botany, Vol.94, No.8, pp. 2229-2254, 2025, DOI:10.32604/phyton.2025.067225 - 29 August 2025

    Abstract Myeloblastosis (MYB) transcription factors (TFs) are evolutionarily conserved regulatory proteins that are crucial for plant growth, development, secondary metabolism, and stress adaptation. Recent studies have highlighted their crucial role in coordinating growth–defense trade-offs through transcriptional regulation of key biosynthetic and stress-response genes. Despite extensive functional characterization in model plants such as Arabidopsis thaliana, systematically evaluating the broader functional landscape of MYB TFs across diverse species and contexts remains necessary. This systematic review integrates results from 24 peer-reviewed studies sourced from Scopus and Web of Science, focusing on the functional diversity of MYB TFs, particularly in relation… More >

  • Open Access

    REVIEW

    Efficacy of Immune Checkpoint Inhibitors in the Treatment for Head and Neck Cancer Patients: A Systematic Review and Network Meta-Analysis

    Jiao Li1,2, Nurhayu Ab Rahman1,3, Suharni Mohamad1, Guang Yang4, Caixia Zhao2,*

    Oncology Research, Vol.33, No.9, pp. 2263-2278, 2025, DOI:10.32604/or.2025.065911 - 28 August 2025

    Abstract Objectives: Checkpoint inhibitors have significantly improved outcomes in a number of malignancies. To determine the most effective course of treatment for head and neck squamous cell carcinoma (HNSCC), this systematic review evaluated the efficacy of several therapeutic approaches based on immune checkpoint inhibitors (ICIs). Methods: A comprehensive evaluation of the literature was conducted, looking at randomized controlled trials (RCTs) that were published in Embase, PubMed, and the Cochrane Central Register of Controlled Trials since database establishment. The risk of bias of the enrolled studies was analyzed using The Review Manager (RevMan) 5.4. Using network meta-analyses… More >

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