The transmission of healthcare data plays a vital role in cities worldwide, facilitating access to patient's health information across healthcare systems and contributing to the enhancement of care services. Ensuring secure healthcare transmission requires that the transmitted data be reliable. However, verifying this reliability can potentially compromise patient privacy. Given the sensitive nature of health information, preserving privacy remains a paramount concern in healthcare systems. In this work, we present a novel secure communication scheme that leverages a chaos cryptosystem to address the critical concerns of reliability and privacy in healthcare data transmission. Chaos-based cryptosystems are particularly well-suited for such applications due to their inherent sensitivity to initial conditions, which significantly enhances resistance to adversarial violations. This property makes the chaos-based approach highly effective in ensuring the security of sensitive healthcare data. The proposed chaos cryptosystem in this work is built upon the synchronization of fractional-order chaotic systems with varying structures and orders. The synchronization between the primary system () and the secondary system () is achieved through the application of Lyapunov stability theory. For the encryption and decryption of sensitive healthcare data, the scheme employs the -shift encryption principle. Furthermore, a detailed analysis of the key space was conducted to ensure the scheme's robustness against potential attacks. Numerical simulations were also performed to validate the effectiveness of the proposed scheme.
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http://dx.doi.org/10.7717/peerj-cs.2665 | DOI Listing |
Br J Clin Pharmacol
March 2025
Faculty of Health, Department of Medicine, Witten-Herdecke University, Witten, Germany.
Aims: This study aimed to evaluate the accuracy and completeness of GPT-4, a large language model, in answering clinical pharmacological questions related to pain therapy, with a focus on its potential as a tool for delivering patient-facing medical information. The objective was to assess its reliability in delivering medical information in the context of pain management.
Methods: A cross-sectional survey-based study was conducted with healthcare professionals, including physicians and pharmacists.
Prostate
March 2025
VUI Center for Outcomes Research, Analysis, and Evaluation, Henry Ford Health System, Detroit, Michigan, USA.
Background: Socioeconomic status and geographical location contribute to disparities in localized prostate cancer (PCa) treatment. We examined the impact of area of deprivation index (ADI) on initial treatment type for localized PCa in a North-American cohort.
Methods: We performed a retrospective analysis of patients diagnosed with localized PCa, treated within Henry Ford Health (HFH), between 1995 and 2022, with available ADI-data.
Knee Surg Sports Traumatol Arthrosc
March 2025
Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK.
Purpose: This systematic review and meta-analysis aimed to establish the relationship between the number of procedures a hospital or surgeon performs with outcomes following revision knee replacement (RevKR).
Methods: MEDLINE and Embase were searched using Ovid silver platter up to December 2024 for randomised controlled trials and cohort studies that reported RevKR volumes, in at least two categories, performed by hospitals and surgeons and their relationship to patient and provider level outcomes. The primary outcome was re-revision rate.
Epidemiol Prev
January 2025
Associazione Italiana di Epidemiologia;
Transfusion
March 2025
Division of Healthcare Quality Promotion, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Background: Data from the National Blood Collection and Utilization Survey (NBCUS) suggest a stabilization in blood collections and transfusions following years of decline. Data from the 2023 NBCUS were analyzed to further understand national trends in US blood availability.
Study Design And Methods: In February 2024, all community-based (53) and hospital-based (104) blood collection centers, and a sample of transfusing hospitals were surveyed.
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