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With the advent of the aging era, healthcare and elderly care have become the focus of medical care, especially the care of the elderly with dementia. Patients' confidential data hiding is a useful technology for healthcare and patient information privacy. In this study, we implement an intelligent healthcare system using the multiple-coefficient quantization technology in transform domain to hide patients' confidential data into electrocardiogram (ECG) signals obtained by ECG sensor module. In embedding patients' confidential data, we first consider a non-linear model for optimizing the quality of the embedded ECG signals. Next, we apply simulated annealing (SA) to solve the non-linear model so as to have good signal-to-noise ratio (SNR), root mean square error (RMSE), and relative RMSE (rRMSE). Accordingly, the distortion of the PQRST complexes and the ECG amplitude is very small so that the embedded confidential data can satisfy the requirements of physiological diagnostics. In end devices, one can receive the ECG signals with the embedded confidential data and without the original ECG signals. Experimental results confirm the effectiveness of our method, which remains high quality for each ECG signal with the embedded confidential data no matter how the quantization size Q is increased.
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http://dx.doi.org/10.3389/fnagi.2022.870844 | DOI Listing |
Aerosp Med Hum Perform
September 2025
Aviation peer support programs (PSPs)-comprised of trained volunteers of the same professional background who offer confidential, nonjudgmental support to fellow aviation personnel dealing with stress from any source-have been forwarded as a solution to address mental healthcare avoidance based on expert opinion that PSPs are of sufficient safety and effectiveness. There is a growing interest in data collection in PSPs for a range of reasons as driven by European Union Aviation Safety Agency regulation requirements and an international interest in incorporating mental health functions into an aviation safety management system as outlined in the Federal Aviation Administration Aviation Rulemaking Committee on Mental Health. The current commentary provides recommended practices for data collection in aviation peer support programs guided by a novel bioethical framework.
View Article and Find Full Text PDFOpen Access J Contracept
September 2025
Coordinator for Centre for SET-SRHR Lira University, Lira, Uganda.
Background: Conventional top-down health interventions often exclude adolescents and community stakeholders from service design and implementation, resulting in low uptake and a mismatch with young people's needs. The CAFFP-PAC initiative in Northern Uganda sought to explore how a community-led, adolescent-centered inception process could support integration of adolescent-friendly family planning and post-abortion care into primary healthcare services.
Methods: A participatory qualitative design was employed during an inception meeting in Lira City on April 1, 2025, guided by principles of community-based participatory research and citizen science.
BMC Prim Care
September 2025
Department of Public Health and Caring Sciences, Uppsala University, BMC, Box 564, Uppsala, 751 22, Sweden.
Background: The Swedish Child Healthcare services (CHS) includes team-based visits. Team-based visits are defined as physical meetings where different professionals, including the child and his or her parents, participate at the same time at the same place. This study aimed to explore healthcare professionals' experiences of these visits to better understand the opportunities and difficulties in meeting the unique needs of children and their families through team-based visits.
View Article and Find Full Text PDFBMJ Open
September 2025
Department of Mental Health Nursing, University of Ghana, Accra, Ghana
Objective: This study aimed to examine the contextual barriers that may hinder the implementation of multiple family group therapy (MFGT) in Ghana's Lower Manya Krobo District.
Design: An exploratory, descriptive, qualitative study employing focus group discussions and in-depth interviews.
Setting: Atua Government Hospital in the Lower Manya Krobo District.
BMJ Open
September 2025
Service de Réanimation Polyvalente, Centre Hospitalier du Mans, Le Mans, France
Introduction: Patients in intensive care units (ICUs) frequently require mechanical ventilation, with approximately half needing invasive ventilation through an orotracheal tube. For these patients, gastric tube (GT) insertion is routinely performed to administer nutrition and medications or to drain gastric contents. The insertion route (oral or nasal) may affect the incidence of ventilator-associated pneumonia (VAP), a significant ICU care complication.
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