Probabilistic Routing Protocol for Intermittently Connected Networks

This document is a product of the Delay Tolerant Networking Research Group and has been reviewed by that group. No objections to its publication as an RFC were raised. This document defines PRoPHET, a Probabilistic Routing Protocol using History of Encounters and Transitivity. PRoPHET is a variant of the epidemic routing protocol for intermittently connected networks that operates by pruning the epidemic distribution tree to minimize resource usage while still attempting to achieve the best-case routing capabilities of epidemic routing. It is intended for use in sparse mesh networks where there is no guarantee that a fully connected path between the source and destination exists at any time, rendering traditional routing protocols unable to deliver messages between hosts. These networks are examples of networks where there is a disparity between the latency requirements of applications and the capabilities of the underlying network (networks often referred to as delay and disruption tolerant). The document presents an architectural overview followed by the protocol specification

The Evolution of a DTN Routing Protocol - PRoPHETv2

Research within Delay- and Disruption Tolerant Networks (DTN) has evolved into a mature research area. PRoPHET is a routing protocol for DTNs that was developed when DTN research was in its infancy and which has been studied by many. In this paper we investigate how the protocol can evolve to meet new challenges that has been identified through research and practical experience. We propose some minor modifications to the routing metric cal- culations done in PRoPHET which has potential to alleviate some issues and improve the performance of the protocol. Using these modifications, we define an updated version of the protocol called PRoPHETv2. We run simulations to verify the operation of the protocol and compare its performance against the original version of the protocol as well as some other routing protocols. The evalua- tions are done using both traces from an existing DTN deployment and a synthetic mobility model. Since the basic mechanisms of the protocol remain the same, migrating existing implementations to the new version of PRoPHET is possible with limited effort

On the inherent intractability of certain coding problems

The fact that the general decoding problem for linear codes and the general problem of finding the weights of a linear code are both NP-complete is shown. This strongly suggests, but does not rigorously imply, that no algorithm for either of these problems which runs in polynomial time exists

Measuring organisational readiness for patient engagement (MORE) : an international online Delphi consensus study

Date of Acceptance: 28/01/2015. © 2015 Oostendorp et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise statedWidespread implementation of patient engagement by organisations and clinical teams is not a reality yet. The aim of this study is to develop a measure of organisational readiness for patient engagement designed to monitor and facilitate a healthcare organisation’s willingness and ability to effectively implement patient engagement in healthcarePeer reviewedFinal Published versio

How do healthcare professionals working in accountable care organisations understand patient activation and engagement? Qualitative interviews across two time points.

ObjectiveIf patient engagement is the new 'blockbuster drug' why are we not seeing spectacular effects? Studies have shown that activated patients have improved health outcomes, and patient engagement has become an integral component of value-based payment and delivery models, including accountable care organisations (ACO). Yet the extent to which clinicians and managers at ACOs understand and reliably execute patient engagement in clinical encounters remains unknown. We assessed the use and understanding of patient engagement approaches among frontline clinicians and managers at ACO-affiliated practices.DesignQualitative study; 103 in-depth, semi-structured interviews.ParticipantsSixty clinicians and eight managers were interviewed at two established ACOs.ApproachWe interviewed healthcare professionals about their awareness, attitudes, understanding and experiences of implementing three key approaches to patient engagement and activation: 1) goal-setting, 2) motivational interviewing and 3) shared decision making. Of the 60 clinicians, 33 were interviewed twice leading to 93 clinician interviews. Of the 8 managers, 2 were interviewed twice leading to 10 manager interviews. We used a thematic analysis approach to the data.Key resultsInterviewees recognised the term 'patient activation and engagement' and had favourable attitudes about the utility of the associated skills. However, in-depth probing revealed that although interviewees reported that they used these patient activation and engagement approaches, they have limited understanding of these approaches.ConclusionsWithout understanding the concept of patient activation and the associated approaches of shared decision making and motivational interviewing, effective implementation in routine care seems like a distant goal. Clinical teams in the ACO model would benefit from specificity defining key terms pertaining to the principles of patient activation and engagement. Measuring the degree of understanding with reward that are better-aligned for behaviour change will minimise the notion that these techniques are already being used and help fulfil the potential of patient-centred care

Morphological trends in the molars of fossil rodents from the Fayum Depression, Egypt

While many of the mammalian taxa from the Fayum of Egypt, such as the primates and hyraxes, have been well-studied, little is known about the rodents. Species described to date have all been referred to the endemic family Phiomyidae. Many rodent species from this family have been named and their importance to biogeography addressed, but what this fauna can reveal about the palaeoenvironment of the Fayum has yet to be determined. The study of palaeoenvironmental trends begins with a general examination of species diversity and morphology of the specific rodent lineages. A statistical analysis of available molar measurements of Fayum rodents estimates general size and shape trends and changes in rodent diversity through the stratigraphic sequence of the Fayum. This analysis finds stability in species diversity and an increase in the average body size of taxa using molar length as an estimate of body size. The body size pattern of the rodents is similar to the pattern found among the Fayum primates. Analysis of molar length and width has been performed to test whether these variables could discriminate accurately between taxa. If molars that are too worn to be identified by cusp pattern can be identified confidently based on length and width, more specimens could be included in future analyses and a more accurate depiction of the small mammal fauna attained. Length is significantly different between most of the species, and several species can be identified by length and width alone. Length and width relationships were consistent for species within the same genus.National Science Foundatio