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The widespread adoption of heartbeat monitoring sensors has increased the demand for secure and trustworthy multimodal cardiac monitoring systems capable of accurate heartbeat pattern recognition. While existing systems offer convenience, they often suffer from critical limitations, such as variability in the number of available modalities and missing or noisy data during multimodal fusion, which may compromise both performance and data security. To address these challenges, we propose MultiHeart, which is a robust and secure multimodal interactive cardiac monitoring system designed to provide reliable heartbeat pattern recognition through the integration of diverse and trustworthy cardiac signals. MultiHeart features a novel multi-task learning architecture that includes a reconstruction module to handle missing or noisy modalities and a classification module dedicated to heartbeat pattern recognition. At its core, the system employs a multimodal autoencoder for feature extraction with shared latent representations used by lightweight decoders in the reconstruction module and by a classifier in the classification module. This design enables resilient multimodal fusion while supporting both data reconstruction and heartbeat pattern classification tasks. We implement MultiHeart and conduct comprehensive experiments to evaluate its performance. The system achieves 99.80% accuracy in heartbeat recognition, surpassing single-modal methods by 10% and outperforming existing multimodal approaches by 4%. Even under conditions of partial data input, MultiHeart maintains 94.64% accuracy, demonstrating strong robustness, high reliability, and its effectiveness as a secure solution for next-generation health-monitoring applications.more » « lessFree, publicly-accessible full text available August 1, 2026
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In this work, we propose a new approach to examine the joint effect of physical layer security (PhySec) and encryption. Our idea relies on the concept of rate-equivocation regions and can be used to study the tradeoff between encryption strength, allowed leakage, and transmission rate. By considering encryption, it is possible to achieve transmission rates beyond the secrecy capacity that is achievable by conventional physical layer security. Toward our goal, we exploit the fact that cryptography undermines the ability of the eavesdropper to access the plaintext. We then relax the design of physical layer security schemes without compromising the security of the system. To validate our new approach, we consider a multi-node Gaussian wiretap channel consisting of a legitimate transmitter, a legitimate receiver, an eavesdropper and multiple trusted relays assisting transmission from the transmitter to the receiver. Under this wireless network, we illustrate that encryption awareness not only complements traditional PhySec methods but also achieves superior secrecy performance. An encryption-aware secrecy capacity was also obtained from the rate-equivocation regions under different channel state information conditions.more » « lessFree, publicly-accessible full text available May 16, 2026
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Free, publicly-accessible full text available January 1, 2027
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Free, publicly-accessible full text available June 8, 2026
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P-glycoprotein (Pgp) is a prototypical ATP-binding cassette (ABC) transporter of great biological and clinical significance.Pgp confers cancer multidrug resistance and mediates the bioavailability and pharmacokinetics of many drugs (Juliano and Ling, 1976; Ueda et al., 1986; Sharom, 2011). Decades of structural and biochemical studies have provided insights into how Pgp binds diverse compounds (Loo and Clarke, 2000; Loo et al., 2009; Aller et al., 2009; Alam et al., 2019; Nosol et al., 2020; Chufan et al., 2015), but how they are translocated through the membrane has remained elusive. Here, we covalently attached a cyclic substrate to discrete sites of Pgp and determined multiple complex structures in inward- and outward-facing states by cryoEM. In conjunction with molecular dynamics simulations, our structures trace the substrate passage across the membrane and identify conformational changes in transmembrane helix 1 (TM1) as regulators of substrate transport. In mid-transport conformations, TM1 breaks at glycine 72. Mutation of this residue significantly impairs drug transport of Pgp in vivo, corroborating the importance of its regulatory role. Importantly, our data suggest that the cyclic substrate can exit Pgp without the requirement of a wide-open outward-facing conformation, diverting from the common efflux model for Pgp and other ABC exporters. The substrate transport mechanism of Pgp revealed here pinpoints critical targets for future drug discovery studies of this medically relevant system.more » « less
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