The exponential growth of sensitive patient information and diagnostic records in digital healthcare systems has increased the complexity of data protection, while frequent medical data breaches severely compromise system security and reliability. Existing privacy protection techniques often lack robustness and real-time capabilities in high-noise, high-packet-loss, and dynamic network environments, limiting their effectiveness in detecting healthcare data leaks. To address these challenges, we propose a Swarm Intelligence-Based Network Watermarking (SIBW) method for real-time privacy data leakage detection in digital healthcare systems. SIBW integrates fountain codes with outer error correction codes and employs a Multi-Phase Synergistic Swarm Optimization Algorithm (MPSSOA) to dynamically optimize encoding parameters, significantly enhancing the robustness and interference resistance of watermark detection. Additionally, a reliable synchronization sequence and lightweight embedding mechanism are designed to ensure adaptability to complex, dynamic networks. Experimental results demonstrate that SIBW achieves over 90% detection accuracy under high latency jitter and packet loss conditions, surpassing existing methods in both robustness and efficiency. With a compact design of only 3.7 MB, SIBW is particularly suited for rapid deployment in resource-constrained digital healthcare systems.
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http://dx.doi.org/10.1109/JBHI.2025.3542561 | DOI Listing |
J Med Ethics
March 2025
Institute for Ethics, History and Philosophy of Medicine, Hannover Medical School, Hannover, Germany.
Informed consent in surgical settings requires not only the accurate communication of medical information but also the establishment of trust through empathic engagement. The use of large language models (LLMs) offers a novel opportunity to enhance the informed consent process by combining advanced information retrieval capabilities with simulated emotional responsiveness. However, the ethical implications of simulated empathy raise concerns about patient autonomy, trust and transparency.
View Article and Find Full Text PDFObjectives: This study aims to explore the perceptions of patients affected by COVID-19 and their families regarding the challenges faced, coping strategies used and lessons learnt in Pakistan.
Design: A qualitative exploratory descriptive approach was used to explore the real-time experiences of the participants.
Setting: The study was carried out in a tertiary care hospital in Karachi, Pakistan.
Mult Scler Relat Disord
March 2025
Faculty of Information Technology and Electrical Engineering, University of Oulu, Oulu, Finland. Electronic address:
Background: Fatigue is the most debilitating and prevalent symptom of multiple sclerosis (MS), affecting up to 80 % of patients and significantly impairing quality of life (QoL). Managing MS fatigue is challenging due to its multifactorial nature, encompassing physical, cognitive, and psychosocial components. Mobile health (mHealth) tools offer promising approaches for self-management, but most lack personalization and rigorous validation.
View Article and Find Full Text PDFJ Med Internet Res
March 2025
Department of Pharmacology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
Background: Acceptance and commitment therapy provides a psychobehavioral framework feasible for digital and hybrid weight loss interventions. In face-to-face studies, group-based interventions yield more favorable outcomes than individual interventions, but the effect of the intervention form has not been studied in combination with eHealth.
Objective: This study investigated whether a minimal, 3-session group or individual enhancement could provide additional benefits compared to an eHealth-only intervention when assessing weight, body composition, and laboratory metrics in a sample of occupational health patients with obesity.
J Med Internet Res
March 2025
Westmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Westmead, Australia.
Background: Conversational artificial intelligence (AI) allows for engaging interactions, however, its acceptability, barriers, and enablers to support patients with atrial fibrillation (AF) are unknown.
Objective: This work stems from the Coordinating Health care with AI-supported Technology for patients with AF (CHAT-AF) trial and aims to explore patient perspectives on receiving support from a conversational AI support program.
Methods: Patients with AF recruited for a randomized controlled trial who received the intervention were approached for semistructured interviews using purposive sampling.
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