Medication-Aware Financial Exploitation Detection for Alzheimer's Patients Using Edge-Aware Interaction Risk Modeling

Financial exploitation is a growing concern for people with Alzheimer's disease, especially during periods of reduced cognitive stability. Conventional fraud detection systems usually rely on financial behavior alone and ignore clinically relevant factors that may alter vulnerability. This paper proposes a medication-aware framework that synchronizes medication adherence with transaction-level monitoring to improve detection of cognitively risky financial events. A hybrid simulation dataset was constructed for 180 patients across 45 days, producing 8,100 medication records and 30,855 transactions. The framework evaluates amount anomaly, vendor novelty, transaction frequency, time deviation, and medication adherence through financial-only, additive medication-aware, and interaction-aware logistic models. Results show that the financial-only baseline obtained the highest global F1-score of 0.5000, but the interaction-aware model improved recall during medication-induced vulnerability windows from 0.7442 to 0.9070 and achieved the highest average precision for ranked high-risk cases. The findings suggest that medication adherence is most useful as a contextual modifier of financial risk rather than as an isolated predictor.

Quantum Kernels for Audio Deepfake Detection Using Spectrogram Patch Features

Quantum machine learning has emerged as a promising tool for pattern recognition, yet many audio-focused approaches still treat spectrograms as generic images and do not explicitly exploit their time-frequency structure. We propose Q-Patch, a quantum feature map tailored to audio that encodes local time-frequency patches from mel-spectrograms into quantum states using shallow, hardware-efficient circuits with adjacency-aware entanglement. Each selected patch is summarized by a compact four-dimensional acoustic descriptor and mapped to a four-qubit circuit with depth at most three, enabling practical quantum kernel construction under near-term constraints. We evaluate Q-Patch on an audio spoofing detection task using a controlled, balanced protocol and compare it with size-matched classical baselines. Q-Patch improves discrimination between bona fide and spoofed samples, achieving an area under the receiver operating characteristic curve (AUROC) of 0.87, compared with 0.82 for a radial basis function support vector machine (RBF-SVM) trained on the same patch-level features. Kernel-space analysis further reveals a clear class structure, with cross-class similarity around 0.615 and within-class self-similarity of 1.00. Overall, Q-Patch provides a practical framework for incorporating time-frequency-aware representations into quantum kernel learning for audio authenticity assessment in low-resource settings.

Hybrid Federated and Split Learning for Privacy Preserving Clinical Prediction and Treatment Optimization

Collaborative clinical decision support is often constrained by governance and privacy rules that prevent pooling patient-level records across institutions. We present a hybrid privacy-preserving framework that combines Federated Learning (FL) and Split Learning (SL) to support decision-oriented healthcare modeling without raw-data sharing. The approach keeps feature-extraction trunks on clients while hosting prediction heads on a coordinating server, enabling shared representation learning and exposing an explicit collaboration boundary where privacy controls can be applied. Rather than assuming distributed training is inherently private, we audit leakage empirically using membership inference on cut-layer representations and study lightweight defenses based on activation clipping and additive Gaussian noise. We evaluate across three public clinical datasets under non-IID client partitions using a unified pipeline and assess performance jointly along four deployment-relevant axes: factual predictive utility, uplift-based ranking under capacity constraints, audited privacy leakage, and communication overhead. Results show that hybrid FL-SL variants achieve competitive predictive performance and decision-facing prioritization behavior relative to standalone FL or SL, while providing a tunable privacy-utility trade-off that can reduce audited leakage without requiring raw-data sharing. Overall, the work positions hybrid FL-SL as a practical design space for privacy-preserving healthcare decision support where utility, leakage risk, and deployment cost must be balanced explicitly.