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Decentralized federated learning (D-FL) allows clients to aggregate learning models locally, offering flexibility and scalability. Existing D-FL methods use gossip protocols, which are inefficient when not all nodes in the network are D-FL clients. This article puts forth a new D-FL strategy, termed route-and-aggregate (R&A) D-FL, where participating clients exchange models with their peers through established routes (as opposed to flooding) and adaptively normalize their aggregation coefficients to compensate for communication errors. The impact of routing and imperfect links on the convergence of R&A D-FL is analyzed, revealing that convergence is minimized when routes with the minimum end-to-end (E2E) packet error rates (PERs) are employed to deliver models. Our analysis is experimentally validated through three image classification tasks and two next-word prediction tasks, utilizing widely recognized datasets and models. R&A D-FL outperforms the flooding-based D-FL method in terms of training accuracy by 35% in our tested ten-client network, and shows strong synergy between D-FL and networking. In another test with ten D-FL clients, the training accuracy of R&A D-FL with communication errors approaches that of the ideal centralized federated learning (C-FL) without communication errors, as the number of routing nodes (i.e., nodes that do not participate in the training of D-FL) rises to 28.
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http://dx.doi.org/10.1109/TNNLS.2025.3552406 | DOI Listing |
J Cogn Dev
March 2025
Department of Communicative Sciences and Disorders, New York University, 665 Broadway, New York, New York 10012.
This research paper explores the role of speaker, listener and real-time social attention for pronoun comprehension in autistic and nonautistic children in northeast United States. We assessed the pronoun comprehension of 22 autistic children (average age of 62 months, range 46-80 months) and 22 nonautistic children (average age 44 months, range 30-57 months) matched on expressive vocabulary scores. We evaluated first- and second-person possessive pronoun comprehension ("my" and "your") using a game in which two experimenters hid stickers and provided clues to their location by providing a verbal clue (e.
View Article and Find Full Text PDFCureus
August 2025
Physiology, SGT University, Gurugram, IND.
Introduction Simulation-based training has been a vital part of medical education since Competency-Based Medical Education (CBME) was introduced, and new guidelines since 2023 have expanded to include simulation as a mandatory methodology of teaching. This method enables learners to build and develop both technical and non-technical abilities in a safe and controlled setting, enhancing their preparedness for real-life medical scenarios. Simulation-based training improves skill acquisition and retention and enhances learners' confidence, reduces anxiety, reinforces learning, corrects errors, and promotes reflective practice, in contrast with the traditional method of teaching.
View Article and Find Full Text PDFJ Appl Clin Med Phys
September 2025
Clinical Imaging Physics Group, Duke University Health System, Durham, North Carolina, USA.
Introduction: Medical physicists play a critical role in ensuring image quality and patient safety, but their routine evaluations are limited in scope and frequency compared to the breadth of clinical imaging practices. An electronic radiologist feedback system can augment medical physics oversight for quality improvement. This work presents a novel quality feedback system integrated into the Epic electronic medical record (EMR) at a university hospital system, designed to facilitate feedback from radiologists to medical physicists and technologist leaders.
View Article and Find Full Text PDFJMIR Res Protoc
September 2025
School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Background: Electronic health records (EHRs) have been linked to information overload, which can lead to cognitive fatigue, a precursor to burnout. This can cause health care providers to miss critical information and make clinical errors, leading to delays in care delivery. This challenge is particularly pronounced in medical intensive care units (ICUs), where patients are critically ill and their EHRs contain extensive and complex data.
View Article and Find Full Text PDFDisabil Rehabil Assist Technol
September 2025
International Communication College, Jilin International Studies University, Changchun, Jilin, China.
Background: Conventional automated writing evaluation systems typically provide insufficient support for students with special needs, especially in tonal language acquisition such as Chinese, primarily because of rigid feedback mechanisms and limited customisation.
Objective: This research develops context-aware Hierarchical AI Tutor for Writing Enhancement(CHATWELL), an intelligent tutoring platform that incorporates optimised large language models to deliver instantaneous, customised, and multi-dimensional writing assistance for Chinese language learners, with special consideration for those with cognitive learning barriers.
Methods: CHATWELL employs a hierarchical AI framework with a four-tier feedback mechanism designed to accommodate diverse learning needs.