Are we ready for a person-centered care model for patient- physician consultation? A survey from family physicians and their patients of East Mediterranean Region

Background: Person-centered care has long been identified as a key component of health systems and one of the six domains of quality. This study aimed to identify the perceptions of patients and physicians regarding person-centered care in the Eastern Mediterranean Region (EMR). Methods: A multicountry, cross-sectional study was conducted in 6 countries of EMR during July 2012 to September 2012. From each country, an expert Family Physician (FP) was identified and invited for the study. During the first phase, 190 FPs practising for at least 6 months were recruited. In the second phase, the recruited FPs approached 300 patients aged > 18 years with 1 or more recurring problems. Data analysis was conducted using SPSS version 19. Results: Of a total of 360 patients, 53% were between 25-40 years of age and the majority 55.7% were females. Among physicians, 66.8% were females and 72.1% had undergone specialization in Family Medicine from EMR. About 36% of the patients, while 62.6% of the physicians, preferred a person-centered care model of care. Among physicians, field of specialization (AOR= 0.7; 95% C.I: 0.3-0.9) and regularity in continuing medical education sessions (AOR= 0.3; 95% C.I: 0.1-0.5) were significant factors for preferring a person-centered care model. Educational status (AOR= 3.0; 95% C.I: 1.1- 7.9) was associated with a preference for person-centered care among patients. Conclusion: The results of the study highlight that a majority of physicians prefer person-centered care, while patients prefer a mix of both patient- and physician-centered care. Strategies should be developed that will help physicians and patients to embrace person-centered care practices

An Empirical Study of the I2P Anonymity Network and its Censorship Resistance

Tor and I2P are well-known anonymity networks used by many individuals to protect their online privacy and anonymity. Tor's centralized directory services facilitate the understanding of the Tor network, as well as the measurement and visualization of its structure through the Tor Metrics project. In contrast, I2P does not rely on centralized directory servers, and thus obtaining a complete view of the network is challenging. In this work, we conduct an empirical study of the I2P network, in which we measure properties including population, churn rate, router type, and the geographic distribution of I2P peers. We find that there are currently around 32K active I2P peers in the network on a daily basis. Of these peers, 14K are located behind NAT or firewalls. Using the collected network data, we examine the blocking resistance of I2P against a censor that wants to prevent access to I2P using address-based blocking techniques. Despite the decentralized characteristics of I2P, we discover that a censor can block more than 95% of peer IP addresses known by a stable I2P client by operating only 10 routers in the network. This amounts to severe network impairment: a blocking rate of more than 70% is enough to cause significant latency in web browsing activities, while blocking more than 90% of peer IP addresses can make the network unusable. Finally, we discuss the security consequences of the network being blocked, and directions for potential approaches to make I2P more resistant to blocking.Comment: 14 pages, To appear in the 2018 Internet Measurement Conference (IMC'18

Vibrational Spectra, Electronic Structure and Properties of the Molecules Aspirin and Ibuprofen.

The FT-IR Vibrational spectra analysis, electronic structures and properties of the anti-inflammatory drugs Aspirin and Ibuprofen in gas and water and ethanol have been studied by using ab initio and DFT computational calculation. The present investigation deals with the analysis of structural and bonding features responsible for biological activities, stability of the molecules, average polarizability, anisotropy, energies and the IR vibrational spectra of the molecules. The observed and the calculated vibrational frequencies are found to be in good agreement. The experimental FT-IR spectra also coincide satisfactorily with those of the theoretically constructed line spectra at the B3LYp/6-31+G* level of theory

Worldwide prevalence, genotype distribution and management of hepatitis C

epatitis C virus (HCV) is one of the leading causes of chronic liver disease, cirrhosis, and hepatocellular carcinoma, resulting in major global public health concerns. The HCV infection is unevenly distributed worldwide, with variations in prevalence across and within countries. The studies on molecular epidemiology conducted in several countries provide an essential supplement for a comprehensive knowledge of HCV epidemiology, genotypes, and subtypes, along with providing information on the impact of current and earlier migratory flows. HCV is phylogenetically classified into 8 major genotypes and 57 subtypes. HCV genotype and subtype distribution differ according to geographic origin and transmission risk category. Unless people with HCV infection are detected and treated appropriately, the number of deaths due to the disease will continue to increase. In 2015, 1.75 million new viral infections were mostly due to unsafe healthcare procedures and drug use injections. In the same year, access to direct-acting antivirals was challenging and varied in developing and developed countries, affecting HCV cure rates based on their availability. The World Health Assembly, in 2016, approved a global strategy to achieve the elimination of the HCV public health threat by 2030 (by reducing new infections by 90% and deaths by 65%). Globally, countries are implementing policies and measures to eliminate HCV risk based on their distribution of genotypes and prevalence