174 research outputs found
The influence of user mobility in mobile virus propagation: An enterprise mobile security perspective
In this paper, the authors review the usage of mobile devices in the enterprise and also the major impact from the infected mobile devices.Then the authors highlight the virus threat to enterprise mobile security and how critical the problems are.The authors then discuss the mobile virus infection dynamics which are the Bluetooth infections, mobile emails infections and mobile internet infections which are the threats to the enterprise mobile security. Then the authors discuss on the influences of user mobility issue in spreading mobile viruses before concluded this article
A Discrete Event Simulation model to evaluate the treatment pathways of patients with Cataract in the United Kingdom
Background The number of people affected by cataract in the United Kingdom (UK) is growing rapidly due to ageing population. As the only way to treat cataract is through surgery, there is a high demand for this type of surgery and figures indicate that it is the most performed type of surgery in the UK. The National Health Service (NHS), which provides free of charge care in the UK, is under huge financial pressure due to budget austerity in the last decade. As the number of people affected by the disease is expected to grow significantly in coming years, the aim of this study is to evaluate whether the introduction of new processes and medical technologies will enable cataract services to cope with the demand within the NHS funding constraints. Methods We developed a Discrete Event Simulation model representing the cataract services pathways at Leicester Royal Infirmary Hospital. The model was inputted with data from national and local sources as well as from a surgery demand forecasting model developed in the study. The model was verified and validated with the participation of the cataract services clinical and management teams. Results Four scenarios involving increased number of surgeries per half-day surgery theatre slot were simulated. Results indicate that the total number of surgeries per year could be increased by 40% at no extra cost. However, the rate of improvement decreases for increased number of surgeries per half-day surgery theatre slot due to a higher number of cancelled surgeries. Productivity is expected to improve as the total number of doctors and nurses hours will increase by 5 and 12% respectively. However, non-human resources such as pre-surgery rooms and post-surgery recovery chairs are under-utilized across all scenarios. Conclusions Using new processes and medical technologies for cataract surgery is a promising way to deal with the expected higher demand especially as this could be achieved with limited impact on costs. Non-human resources capacity need to be evenly levelled across the surgery pathway to improve their utilisation. The performance of cataract services could be improved by better communication with and proactive management of patients.Peer reviewedFinal Published versio
A systematic review of the effectiveness and cost-effectiveness of peer education and peer support in prisons.
BACKGROUND: Prisoners experience significantly worse health than the general population. This review examines the effectiveness and cost-effectiveness of peer interventions in prison settings. METHODS: A mixed methods systematic review of effectiveness and cost-effectiveness studies, including qualitative and quantitative synthesis was conducted. In addition to grey literature identified and searches of websites, nineteen electronic databases were searched from 1985 to 2012. Study selection criteria were: Population: Prisoners resident in adult prisons and children resident in Young Offender Institutions (YOIs). INTERVENTION: Peer-based interventions Comparators: Review questions 3 and 4 compared peer and professionally led approaches. OUTCOMES: Prisoner health or determinants of health; organisational/ process outcomes; views of prison populations. STUDY DESIGNS: Quantitative, qualitative and mixed method evaluations. RESULTS: Fifty-seven studies were included in the effectiveness review and one study in the cost-effectiveness review; most were of poor methodological quality. Evidence suggested that peer education interventions are effective at reducing risky behaviours, and that peer support services are acceptable within the prison environment and have a positive effect on recipients, practically or emotionally. Consistent evidence from many, predominantly qualitative, studies, suggested that being a peer deliverer was associated with positive effects. There was little evidence on cost-effectiveness of peer-based interventions. CONCLUSIONS: There is consistent evidence from a large number of studies that being a peer worker is associated with positive health; peer support services are also an acceptable source of help within the prison environment and can have a positive effect on recipients. Research into cost-effectiveness is sparse. SYSTEMATIC REVIEW REGISTRATION: PROSPERO ref: CRD42012002349
Preliminary Assessment of Corbicula fluminea in Saiburi River, Southern Thailand
This study was conducted to determine the habitat characteristics and availability of existing C. fluminea in Saiburi River, which is in the southern part of Thailand. Saiburi River is one of the locations for C. fluminea harvesting in Southeast Thailand. In total, 329 individuals of C. fluminea were collected from Saiburi River by dragging the dredge using a clam dredge, approximately 1 m measured by the quadrat. The most abundant size found ranged between 11 and 20 mm in length with the highest density of 290 per m2 and mean density of 196 per m2. In this study, a total of seven physical, chemical and biological parameters (pH, temperature, dissolved oxygen, nitrate, phosphate, sediments and phytoplankton) were analyzed in five selected sampling points. The results for pH (6.7+0.15); temperature (34°C); dissolved oxygen (8.1+0.10 mg/L); nitrate (0.1+0.7 mg/L); phosphate (0.1+0.7 mg/L); sediments (loamy sand); phytoplanktons (29 species belong to 22 different families) were recorded. Therefore, the present report provides the information on the habitat of C. fluminea.Keywords: Corbicula fluminea, water quality, habitat, phytoplankton, Saiburi Rive
Current THD and Output Voltage Ripple Characteristics of Flyback PFC Converters with LED Lamp and Nonlinear RL Loads
This study analysed the characteristics of total harmonic distortion (THD) and output voltage ripple in a flyback PFC converter circuit under two different loads, which are the LED lamp modules and nonlinear RL loads. The converter was designed to step down the AC input voltage (90 V-265 V) to a DC output voltage of 80 V DC for both loads, each with an output power of 16 W. The main objectives were to observe and assess current THD and output voltage ripple for both loads using two different capacitances of the output capacitor, which are 2400 μF and 6 μF, respectively. The results demonstrated that using smaller capacitors (6 μF), it increased output voltage ripple, which it increased for the LED lamp load from 10% to 25% and for the nonlinear RL load it increased from 15% to 70%. However, with the same smaller capacitors (6 μF), it reduced current THD for both loads, which for the LED lamp load it reduced from 12% to 10.3%, and for the nonlinear RL load it reduced from 13.7% to 8.3%. From these results, with 2400 μF of the output capacitor, it provided better performance in terms of current THD and output voltage ripple for both load types.
Current THD and Output Voltage Ripple Characteristics of Flyback PFC Converters with LED Lamp and Nonlinear RL Loads
This study analysed the characteristics of total harmonic distortion (THD) and output voltage ripple in a flyback PFC converter circuit under two different loads, which are the LED lamp modules and nonlinear RL loads. The converter was designed to step down the AC input voltage (90 V-265 V) to a DC output voltage of 80 V DC for both loads, each with an output power of 16 W. The main objectives were to observe and assess current THD and output voltage ripple for both loads using two different capacitances of the output capacitor, which are 2400 μF and 6 μF, respectively. The results demonstrated that using smaller capacitors (6 μF), it increased output voltage ripple, which it increased for the LED lamp load from 10% to 25% and for the nonlinear RL load it increased from 15% to 70%. However, with the same smaller capacitors (6 μF), it reduced current THD for both loads, which for the LED lamp load it reduced from 12% to 10.3%, and for the nonlinear RL load it reduced from 13.7% to 8.3%. From these results, with 2400 μF of the output capacitor, it provided better performance in terms of current THD and output voltage ripple for both load types.
Refinement and Pattern Formation in Neural Circuits by the Interaction of Traveling Waves with Spike-Timing Dependent Plasticity
Traveling waves in the developing brain are a prominent source of highly correlated spiking activity that may instruct the refinement of neural circuits. A candidate mechanism for mediating such refinement is spike-timing dependent plasticity (STDP), which translates correlated activity patterns into changes in synaptic strength. To assess the potential of these phenomena to build useful structure in developing neural circuits, we examined the interaction of wave activity with STDP rules in simple, biologically plausible models of spiking neurons. We derive an expression for the synaptic strength dynamics showing that, by mapping the time dependence of STDP into spatial interactions, traveling waves can build periodic synaptic connectivity patterns into feedforward circuits with a broad class of experimentally observed STDP rules. The spatial scale of the connectivity patterns increases with wave speed and STDP time constants. We verify these results with simulations and demonstrate their robustness to likely sources of noise. We show how this pattern formation ability, which is analogous to solutions of reaction-diffusion systems that have been widely applied to biological pattern formation, can be harnessed to instruct the refinement of postsynaptic receptive fields. Our results hold for rich, complex wave patterns in two dimensions and over several orders of magnitude in wave speeds and STDP time constants, and they provide predictions that can be tested under existing experimental paradigms. Our model generalizes across brain areas and STDP rules, allowing broad application to the ubiquitous occurrence of traveling waves and to wave-like activity patterns induced by moving stimuli
Drug-prescribing patterns during pregnancy in the tertiary care hospitals of Pakistan: a cross sectional study
<p>Abstract</p> <p>Background</p> <p>The rationale for use of drugs during pregnancy requires a careful assessment as in addition to the mother, the health and life of her unborn child is also at stake. Information on the use of drugs during pregnancy is not available in Pakistan. The aim of this study was to evaluate the patterns of drug prescriptions to pregnant women in tertiary care hospitals of Pakistan.</p> <p>Methods</p> <p>This was a cross-sectional study conducted at five tertiary care hospitals of Pakistan. Copies of outpatient medicinal prescriptions given to pregnant patients attending the antenatal clinics were collected. The drugs were classified according to the pharmacological class and their teratogenic potential.</p> <p>Results</p> <p>All the pregnant women attending the antenatal clinics received a prescription containing at least one drug. A total of 3769 distinct prescriptions given to different women were collected. Majority of the women who received the prescriptions belonged to third trimester (55.4%) followed by second (33.6%) and first trimester (11.0%). On an average, each prescription contained 1.66 ± 0.14 drugs. The obstetricians at Civil Hospital, Karachi and Chandka Medical College Hospital, Larkana showed a tendency of prescribing lesser number of drugs compared to those in other hospitals. Anti-anemic drugs including iron preparations and vitamin and mineral supplements (79.4%) were the most frequently prescribed drugs followed by analgesics (6.2%) and anti-bacterials (2.2%). 739 women (19.6%) received prescriptions containing drugs other than vitamin or mineral supplements. Only 1275 (21.6%) of all the prescribed drugs (n = 6100) were outside this vitamin/mineral supplement class. Out of these 1275 drugs, 29 (2.3%) drugs were prescribed which are considered to be teratogenic. Misoprostol was the most frequently prescribed (n = 6) among the teratogenic drugs followed by carbimazole (n = 5) and methotrexate (n = 5). Twenty nine pregnant women (0.8% of all the women studied) were prescribed these teratogenic drugs.</p> <p>Conclusion</p> <p>Less than one percent of the pregnant women attending tertiary care hospitals in Pakistan are prescribed teratogenic drugs. The prescribing practices of Pakistani physicians are similar to those in western countries.</p
Ashwagandha Leaf Derived Withanone Protects Normal Human Cells Against the Toxicity of Methoxyacetic Acid, a Major Industrial Metabolite
The present day lifestyle heavily depends on industrial chemicals in the form of agriculture, cosmetics, textiles and medical products. Since the toxicity of the industrial chemicals has been a concern to human health, the need for alternative non-toxic natural products or adjuvants that serve as antidotes are in high demand. We have investigated the effects of Ayurvedic herb Ashwagandha (Withania somnifera) leaf extract on methoxyacetic acid (MAA) induced toxicity. MAA is a major metabolite of ester phthalates that are commonly used in industry as gelling, viscosity and stabilizer reagents. We report that the MAA cause premature senescence of normal human cells by mechanisms that involve ROS generation, DNA and mitochondrial damage. Withanone protects cells from MAA-induced toxicity by suppressing the ROS levels, DNA and mitochondrial damage, and induction of cell defense signaling pathways including Nrf2 and proteasomal degradation. These findings warrant further basic and clinical studies that may promote the use of withanone as a health adjuvant in a variety of consumer products where the toxicity has been a concern because of the use of ester phthalates
CT-guided iodine-125 seed permanent implantation for recurrent head and neck cancers
<p>Abstract</p> <p>Background</p> <p>To investigate the feasibility, and safety of <sup>125</sup>I seed permanent implantation for recurrent head and neck carcinoma under CT-guidance.</p> <p>Results</p> <p>A retrospective study on 14 patients with recurrent head and neck cancers undergone <sup>125</sup>I seed implantation with different seed activities. The post-plan showed that the actuarial D90 of <sup>125</sup>I seeds ranged from 90 to 218 Gy (median, 157.5 Gy). The follow-up was 3 to 60 months (median, 13 months). The median local control was 18 months (95% CI, 6.1-29.9 months), and the 1-, 2-, 3-, and 5- year local controls were 52%, 39%, 39%, and 39%, respectively. The 1-, 2-, 3-, and 5- survival rates were 65%, 39%, 39% and 39%, respectively, with a median survival time of 20 months (95% CI, 8.7-31.3 months). Of all patients, 28.6% (4/14) died of local recurrence, 7.1% (1/14) died of metastases, one patient died of hepatocirrhosis, and 8 patients are still alive to the date of data analysis.</p> <p>Conclusion</p> <p>CT-guided <sup>125</sup>I seed implantation is feasible and safe as a salvage or palliative treatment for patients with recurrent head and neck cancers.</p
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