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  • Open Access

    ARTICLE

    A Blockchain-Based Hybrid Framework for Secure and Scalable Electronic Health Record Management in In-Patient Follow-Up Tracking

    Ahsan Habib Siam1, Md. Ehsanul Haque1, Fahmid Al Farid2, Anindita Sutradhar3, Jia Uddin4,*, Sarina Mansor2,*

    CMC-Computers, Materials & Continua, Vol.86, No.3, 2026, DOI:10.32604/cmc.2025.069718 - 12 January 2026

    Abstract As healthcare systems increasingly embrace digitalization, effective management of electronic health records (EHRs) has emerged as a critical priority, particularly in inpatient settings where data sensitivity and real-time access are paramount. Traditional EHR systems face significant challenges, including unauthorized access, data breaches, and inefficiencies in tracking follow-up appointments, which heighten the risk of misdiagnosis and medication errors. To address these issues, this research proposes a hybrid blockchain-based solution for securely managing EHRs, specifically designed as a framework for tracking inpatient follow-ups. By integrating QR code-enabled data access with a blockchain architecture, this innovative approach enhances… More >

  • Open Access

    ARTICLE

    A Follow-Up Study on the Clinical Effectiveness and Satisfaction of an Online Mental Health Self-Care Program for Mothers in Korea

    Hyein Jeong1, Soobin Jang2, Bo-Hyoung Jang1, Chunhoo Cheon1, Taek Gyu Kim3, Chan Ho Ju3, Hwimun Kim4, Su Yong Shin5, Kyeong Han Kim6,*, Seong-Gyu Ko1,*

    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 >

  • Open Access

    ARTICLE

    Long-Term Follow-Up of Percutaneous Stent Implantation for Residual Pulmonary Artery Stenosis in Pediatric Patients after Surgical Repair of Complicated Congenital Heart Diseases

    Yifan Li1,#, Xu Huang2,#, Bingyu Ma3, Ling Sun1, Shushui Wang1, Zhiwei Zhang1, Yumei Xie1,*

    Congenital Heart Disease, Vol.20, No.4, pp. 463-475, 2025, DOI:10.32604/chd.2025.068286 - 18 September 2025

    Abstract Objective: The aim of the present study was to investigate long-term efficacy and safety of percutaneous stent implantation for residual pulmonary artery stenosis (PAS) in pediatric patients after surgical repair of complicated congenital heart diseases (CHDs). Methods: All pediatric patients diagnosed with residual PAS after surgical repair of complicated CHDs between 1996 and 2020 were retrospectively enrolled in the study. Results: A total of 41 patients (30 males, 11 females; median age 5.0 years, median weight 17 kg) were followed-up for a median of 7.1 years. Follow-up echocardiography results demonstrated that the target vessel diameter increased from… More >

  • Open Access

    ARTICLE

    First-Line Aumolertinib in EGFR-Mutant Advanced Non-Small Cell Lung Cancer: A Multicenter Real-World Retrospective Study with a Four-Year Follow-Up

    Xi Qin1,#, Yulan Liu1,#, Lin Zhu2, Yunyan Mo1, Jing Zhang3, Zhuchun Jiang4, Dongning Huang5, Xinrong Hu6, Jingzhang Li7, Quanfang Chen8, Feng Xue1,*

    Oncology Research, Vol.33, No.9, pp. 2451-2462, 2025, DOI:10.32604/or.2025.064119 - 28 August 2025

    Abstract Background: The use of third-generation different tyrosine kinase inhibitors (TKIs) is considered the most effective option for treating advanced non-small cell lung cancer (aNSCLC) with epidermal growth factor receptor (EGFR) mutations. However, there is limited information on the efficacy and safety of aumolertinib in patients remains these cases. Methods: The clinical records of patients receiving aumolertinib as first-line therapy across four hospitals in the Guangxi Zhuang Autonomous Region from April 2020 to December 2021 were retrospectively analyzed, using progression-free survival (PFS) as the primary endpoint and overall survival (OS) representing the secondary endpoint. Adverse events… More >

  • Open Access

    CASE REPORT

    Long-term follow-up of metastatic renal myoepithelial carcinoma: case report and literature review

    Priya Dave1, Ghizlane Yaakoubi2, Justin Loloi1, Niraj Shenoy3,*, Ahmed Aboumohamed1,*

    Canadian Journal of Urology, Vol.32, No.3, pp. 167-172, 2025, DOI:10.32604/cju.2025.063279 - 27 June 2025

    Abstract Background: Primary renal myoepithelial carcinoma is an exceptionally rare malignancy with limited data on optimal treatment, particularly in metastatic settings. Case Description: In 2020, Shenoy reported a dramatic response in a case of metastatic myoepithelial carcinoma with Ewing sarcoma breakpoint region 1-POU class 5 homeobox 1 (EWSR1-POU5F1) fusion arising from the left kidney using the Ewing Sarcoma vincristine, doxorubicin, cyclophosphamide/ifosfamide, etoposide (VDC/IE) chemotherapy regimen. Ten months post-treatment, the patient showed ~90% reduced disease burden on imaging. Subsequent treatment included consolidation vincristine, cyclophosphamide/ifosfamide, etoposide (VC/IE) chemotherapy, surgical resection of the remnant tumor, and follow-up imaging. Conclusion: The More >

  • Open Access

    REVIEW

    Challenges in the Transition and Transfer of Young Adults with Congenital Heart Disease in Latin America and the Caribbean: The “Timeliness Principle”

    John J. Araujo1,2,*

    Congenital Heart Disease, Vol.20, No.1, pp. 61-75, 2025, DOI:10.32604/chd.2025.062927 - 18 March 2025

    Abstract Today, more than 90% of children who are born with congenital heart disease survive and reach adulthood, especially in developed countries. Consequently, the population of adults with congenital heart disease has increased significantly over the last few decades. In Latin America and the Caribbean countries, this same scenario is occurring at an accelerated pace. Loss to follow-up is a global problem in adults with congenital heart disease, ranging from 30–60%. In Latin America and Caribbean countries, it is estimated that less than 10% of adults with congenital heart disease are being followed. The small number More >

  • Open Access

    ARTICLE

    Long-Term Follow-Up Study on Electrophysiology Guidance for Transcatheter Closure of Perimembranous Ventricular Septal Defect in Adults

    Wenrui Li1, Nanshan Xie1, Xianzhang Zhan1, Ziyang Yang2, Hezhi Li1, Caojin Zhang1,*

    Congenital Heart Disease, Vol.19, No.5, pp. 445-455, 2024, DOI:10.32604/chd.2024.053604 - 31 December 2024

    Abstract Objectives: To explore the feasibility and efficacy of electrophysiology guidance for transcatheter closure of perimembranous ventricular septal defect (PmVSD) in adults. Methods: Adult patients with PmVSD who underwent transcatheter in Guangdong Provincial People’s Hospital, Guangdong Cardiovascular Institute from February 2016 to January 2018 were selected. The distribution of the His-Purkinje system (HPS) close to the margins of PmVSD in the left ventricle was identified using three-dimensional (3D) electro-anatomic mapping and near-field HPS was further confirmed by different pacing protocols. The follow-up protocol included electrocardiogram (ECG)and transthoracic echocardiography at 6, 24, 72 h, 1, 3, 6… More >

  • Open Access

    ARTICLE

    Loss to Specialized Cardiology Follow-Up in Adults Living with Congenital Heart Disease

    Cheryl Dickson1,2,4, Danielle Osborn1, David Baker1,4, Judith Fethney3, David S. Celermajer1,4, Rachael Cordina1,4,*

    Congenital Heart Disease, Vol.19, No.1, pp. 49-63, 2024, DOI:10.32604/chd.2023.044874 - 20 March 2024

    Abstract Background: Much has been written about the loss to follow-up in the transition between pediatric and adult Congenital Heart Disease (CHD) care centers. Much less is understood about the loss to follow-up (LTF) after a successful transition. This is critical too, as patients lost to specialised care are more likely to experience morbidity and premature mortality. Aims: To understand the prevalence and reasons for loss to follow-up (LTF) at a large Australian Adult Congenital Heart Disease (ACHD) centre. Methods: Patients with moderate or highly complex CHD and gaps in care of >3 years (defined as LTF)… More >

  • Open Access

    ARTICLE

    Research on the Follow-Up Control Strategy of Biaxial Fatigue Test of Wind Turbine Blade Based on Electromagnetic Excitation

    Wenzhe Guo1, Leian Zhang1,*, Chao Lv2, Weisheng Liu3, Jiabin Tian2

    Energy Engineering, Vol.120, No.10, pp. 2307-2323, 2023, DOI:10.32604/ee.2023.030029 - 28 September 2023

    Abstract Aiming at the drift problem that the tracking control of the actual load relative to the target load during the electromagnetic excitation biaxial fatigue test of wind turbine blades is easy to drift, a biaxial fatigue testing machine for electromagnetic excitation is designed, and the following strategy of the actual load and the target load is studied. A Fast Transversal Recursive Least Squares algorithm based on fuzzy logic (Fuzzy FTRLS) is proposed to develop a fatigue loading following dynamic strategy, which adjusts the forgetting factor in the algorithm through fuzzy logic to overcome the contradiction More >

  • Open Access

    ARTICLE

    Intermediate and Long-Term Follow-Up of Transcatheter Closure of Congenital Coronary Cameral Fistulas in Infants and Children: Experience from a Single Center

    Yifan Li1, Zewen Chen2, Yumei Xie1, Shushui Wang1, Zhiwei Zhang1,*

    Congenital Heart Disease, Vol.18, No.4, pp. 413-430, 2023, DOI:10.32604/chd.2023.029848 - 15 September 2023

    Abstract Background: Limited data are available regarding intermediate and long-term outcomes of transcatheter closure (TCC) of coronary cameral fistulas (CCFs) in the pediatric patients. Methods: All pediatric patients diagnosed with CCFs who were scheduled to undergo TCC between 2005 and 2019 were retrospectively enrolled in the study. Results: A total of 66 patients (median age: 3.93 years, median weight: 15 kg) underwent attempted TCC of CCFs. Immediate successful device implantation was achieved in 62 patients, and immediate complete occlusion was achieved in 44 patients (44/62%, 71.0%). The closure procedure was waived in 2 patients due to anatomical factors.… More >

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