Chaotic optical communication has recently garnered considerable research interest for providing physical layer security. In this work, we propose and demonstrate a secure space-division-multiplexing (SDM) system based on multi-channel chaos random en/decryption with remotely synchronized Fabry-Perot (FP) lasers. By a random combination of multi-longitudinal modes from the FP lasers, multi-channel low-correlated chaotic signals can be produced and then utilized for encrypting the confidential data, which effectively provides multiple possibilities of optical encryption from a single chaotic laser source. As a proof-of-principle demonstration in a multi-core fiber-based SDM system, 28 Gb/s/core on-off keying (OOK) and 64 Gb/s/core quadrature phase-shift keying (QPSK) signals are successfully encrypted and securely transmitted over a 10 km seven-core fiber. The demonstrated scheme may provide a new way for a physical-layer secure SDM system with enhanced capacity and security.
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http://dx.doi.org/10.1364/OL.547984 | DOI Listing |
BMC Health Serv Res
March 2025
JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong Special Administrative Region, China.
Background: Shared decision-making (SDM) is crucial in patient-centered healthcare services, but its integration into routine medical care remains limited. This study aimed to investigate patients' experience with SDM in both outpatient and inpatient settings, exploring how the quality of care provided by doctors and patient's trust in doctors influence SDM across different contexts.
Methods: This study utilized data from the regional cross-sectional surveys, including the 2019 Inpatient Experience and the 2021 Specialist Outpatient Experience survey in Hong Kong.
Environ Manage
March 2025
Department of Fisheries, Wildlife, and Conservation Sciences, Oregon State University, Corvallis, OR, USA.
Structured decision making (SDM) is defined by having a variety of characteristics, including a focus on clarifying the context, defining all relevant objectives, developing alternatives, predicting consequences, evaluating tradeoffs, and monitoring and learning from decisions. Some of the most compelling aspects for public decision making are the inclusion of diverse values in the selection of objectives and the opportunity to create a shared understanding of the system, both the context and potential tradeoffs of different strategies. While the technological requirements of the most rigid SDM processes are out of reach of most public agencies and interested publics, governance structures may enable the use of different stages of SDM to improve decisions, without relying on complete datasets and extensive statistical knowledge.
View Article and Find Full Text PDFLancet Healthy Longev
February 2025
Division of Anaesthetics, Pain Management and Intensive Care, Department of Surgery and Cancer, Imperial College London, London, UK; Department of Intensive Care Medicine, Imperial College Healthcare NHS Trust, London, UK.
Background: Shared decision making (SDM) in treatment escalation planning (TEP) involves patients and clinicians determining together a contingency for future health deterioration. Patients' role in health-care decision making is subject to ongoing debate. This study aimed to understand the perspectives of older patients in the UK on SDM in TEP for the acute hospital setting.
View Article and Find Full Text PDFAcad Pediatr
March 2025
James M. Anderson Center for Health Systems Excellence, Department of Pediatrics, Cincinnati Children's Hospital Medical Center. 3333 Burnet Ave, Cincinnati, OH 45229, USA; University of Cincinnati, College of Medicine. 3230 Eden Ave, Cincinnati, OH 45267, USA. Electronic address:
Background: Shared Decision Making (SDM) is crucial in pediatric care, but its implementation poses unique challenges. Training healthcare professionals in pediatric SDM is essential, yet little is known about the current state of these training programs.
Objective: Review existing pediatric-specific SDM training programs to understand the current state of training and identify areas for improvement.
Front Plant Sci
February 2025
Botany and Microbiology Department, Faculty of Science, Kafrelsheikh University, Kafrelsheikh, Egypt.
Introduction: Climate change poses significant challenges to the distribution of endemics in the Mediterranean region. Assessing the impact of climate change on the distribution patterns of Mediterranean endemics is of critical importance for understanding the dynamics of these terrestrial ecosystems under the uncertainty of future changes. The population size of the has declined significantly over the previous century across its geographical region.
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