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 >

Hyein Jeong¹, Soobin Jang², Bo-Hyoung Jang¹, Chunhoo Cheon¹, Taek Gyu Kim³, Chan Ho Ju³, Hwimun Kim⁴, Su Yong Shin⁵, Kyeong Han Kim^6,*, Seong-Gyu Ko^1,*

International Journal of Mental Health Promotion, Vol.27, No.11, pp. 1695-1708, 2025, DOI:10.32604/ijmhp.2025.071014 - 28 November 2025

Abstract Objectives: This study aimed to evaluate the clinical effectiveness, durability, and acceptability of a Korean medicine-based online mental health self-care program for mothers. Methods: This non-randomized comparative study evaluated the clinical effectiveness, durability, and acceptability of a Korean medicine-based online mental health self-care program for mothers. Group 1 (regular version) included 120 participants who attended one live session per week for 5 weeks, while Group 2 (shortened version) included 30 participants who completed five recorded sessions within 1 week. A total of 112 participants (93.3%) in Group 1 and all 30 participants (100%) in Group 2… More >

Hari Mohan Rai^1,#, Chandra Mukherjee^2,#, Joon Yoo¹, Hanaa A. Abdallah³, Saurabh Agarwal^4,*, Wooguil Pak^4,*

CMC-Computers, Materials & Continua, Vol.85, No.3, pp. 5723-5745, 2025, DOI:10.32604/cmc.2025.070391 - 23 October 2025

Abstract A hybrid Compressed Sensing and Primal-Dual Wavelet (CSP-PDW) technique is proposed for the compression and reconstruction of ECG signals. The compression and reconstruction algorithms are implemented using four key concepts: Sparsifying Basis, Restricted Isometry Principle, Gaussian Random Matrix, and Convex Minimization. In addition to the conventional compression sensing reconstruction approach, wavelet-based processing is employed to enhance reconstruction efficiency. A mathematical model of the proposed algorithm is derived analytically to obtain the essential parameters of compression sensing, including the sparsifying basis, measurement matrix size, and number of iterations required for reconstructing the original signal and determining More >

Sanaa Lakrouni^*, Slimane Bah, Marouane Sebgui

CMC-Computers, Materials & Continua, Vol.85, No.3, pp. 5555-5569, 2025, DOI:10.32604/cmc.2025.067654 - 23 October 2025

Abstract Federated Learning (FL) has recently emerged as a promising paradigm that enables medical institutions to collaboratively train robust models without centralizing sensitive patient information. Data collected from different institutions represent distinct source domains. Consequently, discrepancies in feature distributions can significantly hinder a model’s generalization to unseen domains. While domain generalization (DG) methods have been proposed to address this challenge, many may compromise data privacy in FL by requiring clients to transmit their local feature representations to the server. Furthermore, existing adversarial training methods, commonly used to align marginal feature distributions, fail to ensure the consistency… More >

Marwa Ahmim¹, Nour Ouafi¹, Insaf Ullah^2,*, Ahmed Ahmim³, Djalel Chefrour³, Reham Almukhlifi⁴

CMC-Computers, Materials & Continua, Vol.85, No.3, pp. 5093-5116, 2025, DOI:10.32604/cmc.2025.067641 - 23 October 2025

Abstract The Internet of Healthcare Things (IoHT) marks a significant breakthrough in modern medicine by enabling a new era of healthcare services. IoHT supports real-time, continuous, and personalized monitoring of patients’ health conditions. However, the security of sensitive data exchanged within IoHT remains a major concern, as the widespread connectivity and wireless nature of these systems expose them to various vulnerabilities. Potential threats include unauthorized access, device compromise, data breaches, and data alteration, all of which may compromise the confidentiality and integrity of patient information. In this paper, we provide an in-depth security analysis of LAP-IoHT,… More >

Zhijun Liu^*, Junlong Zhang

Journal of Psychology in Africa, Vol.35, No.5, pp. 575-586, 2025, DOI:10.32604/jpa.2025.067476 - 24 October 2025

Abstract This study examined the relationships among social support, career decision-making self-efficacy, goal orientation, and career adaptability, highlighting the bridging roles of career decision-making self-efficacy and goal orientation. A total of 1433 Chinese university students (female = 70.7%; urban = 55.3%, mean age = 19.73 years, SD = 1.60 years) completed validated measures of career adaptability, social support, career decision-making self-efficacy, and goal orientation. Network analysis revealed that social support was associated with higher career adaptability indirectly through career decision-making self-efficacy and goal orientation, which function as key bridging mechanisms. Moreover, urban college students demonstrated greater More >

Yunbo Shen, Jie Wu, Xianglian Yu^*

Journal of Psychology in Africa, Vol.35, No.5, pp. 565-573, 2025, DOI:10.32604/jpa.2025.067055 - 24 October 2025

Abstract This study investigated the mediating roles of career values and learning engagement in the relationship between psychological capital and employability among university students. Data were collected from 5434 students across three Chinese universities (male = 1930; female = 3504; M = 23.84 years, SD = 2.55). Regression analyses indicated that psychological capital significantly predicted higher employability. Both career values and learning engagement independently and jointly mediated this relationship, thereby strengthening the overall effect. Psychological capital not only directly enhanced students’ employability but also exerted indirect effects through career values and learning engagement. These findings align with More >

Traci N. Adams^1,#,*, Haley Belt^1,#, E. Whitney Pollio², Leah Cohen¹, Roma M. Mehta¹, Hetal J. Patel¹, Rosechelle M. Ruggiero¹, Carol S. North³

International Journal of Mental Health Promotion, Vol.27, No.9, pp. 1369-1382, 2025, DOI:10.32604/ijmhp.2025.066495 - 30 September 2025

Abstract Background: While quantitative research has determined that emotional distress and psychiatric illness among frontline healthcare workers increased with the COVID-19 pandemic, detailed qualitative data describing their personal experiences are needed in order to make appropriate plans to address provider mental health in future pandemics. This study aims to further explore the psychological effects of the pandemic on COVID-19 ICU clinicians and administrators through focus groups. Methods: Two separate 2-h focus groups of physicians were conducted, one with frontline faculty clinicians and another with administrators. Qualitative data analysis was conducted. Results: In September and November 2023, volunteer… More >