The rapid digitization of healthcare systems has led to a vast accumulation of electronic medical records (EMRs), offering an invaluable source of patient data that can significantly advance medical research and improve patient care. However, sharing EMRs for research purposes presents challenges, particularly concerning data privacy, security, and the limitations of traditional centralized data-sharing models. This paper introduces a novel approach that leverages blockchain technology to facilitate federated learning with EMRs, thereby addressing these challenges. Federated learning enables multiple institutions to collaboratively train a robust machine learning model without sharing raw data, preserving privacy and security. By integrating blockchain, this framework enhances data integrity, immutability, and trust, all in a decentralized environment. The blockchain serves as a transparent and secure ledger, recording model updates and aggregating them through a consensus-based mechanism. Smart contracts further enforce data usage policies, allowing only authorized access and maintaining control over data ownership and sharing. This approach empowers medical researchers and institutions to collaborate more effectively, accelerating the discovery of treatments, advancements in personalized medicine, and insights into rare diseases. It also enables patients to contribute to medical research while retaining control over their personal data, fostering a patient-centered approach to healthcare innovation. Experimental results confirm the efficacy and efficiency of this blockchain-enabled federated learning framework, highlighting its potential to transform medical research and adhere to stringent privacy and security standards. This study emphasizes the pivotal role of blockchain in enhancing big data analytics within healthcare, paving the way for improved collaboration, innovation, and patient outcomes.
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http://dx.doi.org/10.1109/JBHI.2025.3532976 | DOI Listing |
Med Image Anal
March 2025
Department of Mechanical Engineering, City University of Hong Kong, Hong Kong Special Administrative Region of China; Department of Data and Systems Engineering, The University of Hong Kong, Hong Kong Special Administrative Region of China. Electronic address:
Federated learning (FL) has shown great potential in medical image computing since it provides a decentralized learning paradigm that allows multiple clients to train a model collaboratively without privacy leakage. However, current studies have shown that data heterogeneity incurs local learning bias in classifiers and feature extractors of client models during local training, leading to the performance degradation of a federation system. To address these issues, we propose a novel framework called Federated Bias eliMinating (FedBM) to get rid of local learning bias in heterogeneous federated learning (FL), which mainly consists of two modules, i.
View Article and Find Full Text PDFSoc Sci Med
January 2025
Fluminense Federal University, Niterói, Rio de Janeiro, Brazil.
Background: while the Brazilian Tax Reform (TR) is underway, this study aimed to identify the main food taxes events and to map corporate political activities (CPA) of the agri-food sector.
Methods: We gathered bibliographical and documentary research from January 2023 to April 2024 of the TR and the CPA from agri-food companies, trade associations and front groups.
Results: We found 78 CPA action strategies and 32 framing strategies.
JMIR Res Protoc
March 2025
Institute for Data Science and Informatics, University of Missouri, Columbia, MO, United States.
Background: Amyotrophic lateral sclerosis (ALS) leads to rapid physiological and functional decline before causing untimely death. Current best-practice approaches to interdisciplinary care are unable to provide adequate monitoring of patients' health. Passive in-home sensor systems enable 24×7 health monitoring.
View Article and Find Full Text PDFRev Bras Enferm
March 2025
Universidade Federal de Juiz de Fora. Juiz de Fora, Minas Gerais, Brazil.
Objectives: to map the scientific production on teaching-learning strategies related to patient safety in higher education institutions across Nursing, Pharmacy, Medicine, and Dentistry programs.
Methods: this scoping review follows the Joanna Briggs Institute (JBI) guidelines and the PRISMA Extension for Scoping Reviews recommendations. The selection of studies was performed using databases, grey literature, and reverse searching, conducted by two independent and blinded reviewers.
Rev Bras Enferm
March 2025
Instituto Federal de Educação, Ciência e Tecnologia de Pernambuco. Pesqueira, Pernambuco, Brazil.
Objectives: to develop a mobile application for first aid to children, designed for use by basic education professionals.
Methods: we carried out this applied research in three phases: 1-integrative review, 2- identification of learning needs through a cross-sectional study with 53 school professionals, and 3- app development.
Results: the Child and Care (Criança e Cuidado) app includes three main sections (Important contacts, Learn first aid, and Record the accident).
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