Samuel Acheme^*, Glory Nosawaru Edegbe

Journal of Cyber Security, Vol.8, pp. 1-31, 2026, DOI:10.32604/jcs.2026.073923 - 07 January 2026

Abstract Federated learning (FL) enables collaborative model training across decentralized datasets, thus maintaining the privacy of training data. However, FL remains vulnerable to malicious actors, posing significant risks in privacy-sensitive domains like healthcare. Previous machine learning trust frameworks, while promising, often rely on resource-intensive blockchain ledgers, introducing computational overhead and metadata leakage risks. To address these limitations, this study presents a novel Decentralized Identity (DID) framework for mutual authentication that establishes verifiable trust among participants in FL without dependence on centralized authorities or high-cost blockchain ledgers. The proposed system leverages Decentralized Identifiers (DIDs) and Verifiable Credentials… More >

Himadri Nath Saha¹, Dipanwita Chakraborty Bhattacharya^2,*, Sancharita Dutta³, Arnab Bera³, Srutorshi Basuray⁴, Satyasaran Changdar⁵, Saptarshi Banerjee⁶, Jon Turdiev⁷

CMC-Computers, Materials & Continua, Vol.86, No.2, pp. 1-56, 2026, DOI:10.32604/cmc.2025.070507 - 09 December 2025

Abstract The emergence of Medical Large Language Models has significantly transformed healthcare. Medical Large Language Models (Med-LLMs) serve as transformative tools that enhance clinical practice through applications in decision support, documentation, and diagnostics. This evaluation examines the performance of leading Med-LLMs, including GPT-4Med, Med-PaLM, MEDITRON, PubMedGPT, and MedAlpaca, across diverse medical datasets. It provides graphical comparisons of their effectiveness in distinct healthcare domains. The study introduces a domain-specific categorization system that aligns these models with optimal applications in clinical decision-making, documentation, drug discovery, research, patient interaction, and public health. The paper addresses deployment challenges of Medical-LLMs, More >

Chia-Hui Hou^*

International Journal of Mental Health Promotion, Vol.27, No.12, pp. 2007-2022, 2025, DOI:10.32604/ijmhp.2025.073748 - 31 December 2025

Abstract Objectives: With the rapid aging of populations worldwide, the long-term care (LTC) industry has become a critical arena for both social welfare and entrepreneurial development, particularly among women who play a leading role in caregiving enterprises. However, female LTC entrepreneurs often face emotional strain and limited social resources that affect their professional well-being. This study investigates the effects of psychological resilience and social capital on the well-being of female entrepreneurs in the long-term care (LTC) industry and examines the mediating role of entrepreneurial competence. Methods: A mixed-methods design was employed. Quantitative data were collected from 73… More >

Charles H. Schlaepfer¹, Zubin Shetty¹, Vignesh T. Packiam¹, Chad R. Tracy¹, Elizabeth B. Takacs¹, Ruslan Korets², Ryan L. Steinberg^1,*

Canadian Journal of Urology, Vol.32, No.6, pp. 643-649, 2025, DOI:10.32604/cju.2025.064818 - 30 December 2025

Abstract Introduction: Point-of-care ultrasound (POCUS) is a valuable tool for clinicians, but little data exists regarding the perceptions of ideal POCUS utilization, as compared to actual use, amongst urologists. We aim to assess how perceptions align or diverge with actual practice. Methods: An institutional review board (IRB)-approved survey was developed and disseminated by email to 6 of 8 American Urologic Association Sections, program directors via the Society of Academic Urologists, and to 2 residency programs. The primary outcome was to assess differences in current and perceived optimal use. Data was collected via the University of Iowa… More >

Xin Guo^*

Journal of Psychology in Africa, Vol.35, No.6, pp. 825-832, 2025, DOI:10.32604/jpa.2025.069822 - 30 December 2025

Abstract Core Self-Evaluations are linked to career success, yet the person-environment factor mechanisms underlying this relationship remain unclear. This meta-analysis (N = 135,809) synthesized the evidence on whether person task performance and LMX environment mediate the effects of CSE on career success both objective (salary) and subjective (job satisfaction) indicators. This study employed meta-analytic structural equation modeling (MASEM) to test direct and indirect pathways. Results integrating tournament theory and LMX theory show that CSE positively relates to task performance and LMX, both of which in turn relate to salary and job satisfaction. A significant sequential mediation More >

Mirza Murad Baig¹, Muhammad Rehan Faheem^2,*, Lal Khan^3,*, Hannan Adeel², Syed Asim Ali Shah⁴

CMES-Computer Modeling in Engineering & Sciences, Vol.145, No.3, pp. 2895-2935, 2025, DOI:10.32604/cmes.2025.073172 - 23 December 2025

Abstract With growing urban areas, the climate continues to change as a result of growing populations, and hence, the demand for better emergency response systems has become more important than ever. Human Behaviour Classification (HBC) systems have started to play a vital role by analysing data from different sources to detect signs of emergencies. These systems are being used in many critical areas like healthcare, public safety, and disaster management to improve response time and to prepare ahead of time. But detecting human behaviour in such stressful conditions is not simple; it often comes with noisy… More > Graphic Abstract

Dakshnamoorthy Manivannan^*

Computer Systems Science and Engineering, Vol.49, pp. 533-555, 2025, DOI:10.32604/csse.2025.072267 - 08 December 2025

Abstract Attribute-based Encryption (ABE) enhances the confidentiality of Electronic Health Records (EHR) (also known as Personal Health Records (PHR)) by binding access rights not to individual identities, but to user attribute sets such as roles, specialties, or certifications. This data-centric cryptographic paradigm enables highly fine-grained, policy-driven access control, minimizing the need for identity management and supporting scalable multi-user scenarios. This paper presents a comprehensive and critical survey of ABE schemes developed specifically for EHR/PHR systems over the past decade. It explores the evolution of these schemes, analyzing their design principles, strengths, limitations, and the level of More >

Shun Maki^1,*, Satoshi Nakano¹, Taiki Haga², Takehiro Niitsu¹, Ikuya Ueta¹

Congenital Heart Disease, Vol.20, No.5, pp. 547-558, 2025, DOI:10.32604/chd.2025.072277 - 30 November 2025

Abstract Background: Considering the limited evidence for acute postoperative nutritional therapy for congenital heart disease (CHD), this study evaluated the effects of achieving enteral nutrition (EN) targets in the acute postoperative phase on clinical outcomes in infants after congenital heart surgery. Methods: This retrospective cohort study, conducted in a multivalent pediatric intensive care unit (PICU), enrolled infants aged ≤6 months following congenital heart surgery between April 2021 and March 2023. Based on the American Society for Parenteral and Enteral Nutrition guidelines, the EN target was defined as two-thirds of the resting energy expenditure with a protein intake… More >

Su Li¹, Nooreen Noordin², Dan Wang^3,*

International Journal of Mental Health Promotion, Vol.27, No.11, pp. 1797-1812, 2025, DOI:10.32604/ijmhp.2025.072301 - 28 November 2025

Abstract Background: Communication barriers are a critical yet underexplored determinant of psychological well-being in oncology care, particularly among rural Chinese patients treated in urban hospitals. This study examined how Mandarin proficiency influences emotional distress and identified implications for mental health promotion. Methods: A sequential mixed-methods design was adopted. Quantitative data were collected from 180 rural cancer patients using the Putonghua Proficiency Test (PSC), the Hospital Anxiety and Depression Scale (HADS), and the Distress Thermometer (DT). Multiple linear regressions estimated covariate-adjusted associations between Mandarin proficiency and distress outcomes, controlling for demographic and clinical factors. Semi-structured interviews with 20… More >

Istvan Berkes^1,*, Bettina Piko^2,*

International Journal of Mental Health Promotion, Vol.27, No.11, pp. 1627-1643, 2025, DOI:10.32604/ijmhp.2025.071931 - 28 November 2025

Abstract Objectives: Parentification, a role reversal where children assume age-inappropriate duties in the family, is a significant childhood adversity often linked to disrupted developmental trajectories and poor mental health outcomes. Yet the complexity of parentification, influenced by various contextual factors, obscures a comprehensive understanding of its psychological consequences and its mental health aspects. The paper aims to map up-to-date research, synthesize key findings, and identify critical knowledge gaps. Methods: To that end, a systematic search was performed in Scopus, PsycINFO, PubMed, and EBSCO databases, and data was extracted and reviewed by two reviewers. The search yielded 29… More >