86 research outputs found
Targeting the Complex Needs of Community-Dwelling Older Adults through Multidisciplinary Home Visit Teams in Primary Care
Survey of Hypertension in Dhaka, Bangladesh: Changing Prescribing Patterns
Purpose: To assess changes in the prescribing pattern of antihypertensive drugs and lifestyle factors associated with hypertensive patients in Dhaka, Bangladesh.Methods: A cross-sectional study was conducted among 50 hypertensive patients in various heart disease hospitals and the consulting rooms of 10 cardiologists in the city of Dhaka to determine changes in prescribing patterns of antihypertensive drugs. Respondents were distributed more or less equally between males and the females.Results: Female patients aged 30 to 40 years (8 %) as well as male patients aged 50 to 60 years (54 %) and 60 to 70 years (12 %) were prone to hypertension. However, patients of both sexes whose age ranged from 40 to 50 (40 %) and 50 to 60 (36 %) were more prone to hypertension. It was observed that 46 % of the patients were overweight. A majority of the patients had diabetes with hypertension (28 %). Moreover, most of the patients (80 %) did not indulge in any physical exercise and were non-smokers but had a family history of hypertension. Combined antihypertensive drugs, especially thiazide diuretics with angiotensin II receptor blockers, calcium antagonists, and angiotensin-converting enzyme (ACE) inhibitors were the first choice of drugs by physicians. The prescribing rate of β-blockers (28.36 %) and combined antihypertensive preparations (40 %) was higher than that of older antihypertensives, viz loop diuretics, propranolol and enalapril.Conclusion: Combination therapy is favored by all doctors who compared with the past prescribing practice of a single medication for hypertension.Keywords: Hypertension, Prescribing pattern, Antihypertensive drugs, Lifestyle factors, Family histor
Survey Paper of Approaches for Real Time Fire Detection
Accidental fire always causes great loss. If that fire is detected in time, then loss can be minimized. Hence there should be more efficient systems to avoid losses. Most of the fire detection systems are based on sensors. These sensors give false alarms in case of cigarette or essence sticks are burnt and these systems are also quite costly. By using fire detection system through video surveillance cameras the cost of system can be reduced. The videos achieved by popular surveillance cameras are analysed and different topologies of information, respectively based on colour and movement are united into a multi expert system in order to increase the overall accuracy of the approach, making it possible its usage in real time applications. The systems use HSV, HSL, YUV models. In these systems, the models are based on colour, motion and shape. The approaches have been tested on a wide database with the aim of assessing its performance both in terms of sensitivity and specificity
Edge Computing in Centralized Data Server Deployment for Network Qos and Latency Improvement for Virtualization Environment
With the advancement of Internet of Things (IoT), the network devices seem to be raising, and the cloud data centre load also raises; certain delay-sensitive services are not responded to promptly which leads to a reduced quality of service (QoS). The technique of resource estimation could offer the appropriate source for users through analyses of load of resource itself. Thus, the prediction of resource QoS was important to user fulfillment and task allotment in edge computing. This study develops a new manta ray foraging optimization with backpropagation neural network (MRFO-BPNN) model for resource estimation using quality of service (QoS) in the edge computing platform. Primarily, the MRFO-BPNN model makes use of BPNN algorithm for the estimation of resources in edge computing. Besides, the parameters relevant to the BPNN model are adjusted effectually by the use of MRFO algorithm. Moreover, an objective function is derived for the MRFO algorithm for the investigation of load state changes and choosing proper ones. To facilitate the enhanced performance of the MRFO-BPNN model, a widespread experimental analysis is made. The comprehensive comparison study highlighted the excellency of the MRFO-BPNN model
Data Analysis as an Online Tool
The emergence of Data analysis and Internet of Things (IOT) has now established a foundation for representing and storing data from domains ranging from smart devices to smart cities. The data collected using sensor from IOT has been made available to the public and has helped a huge number of consumers of data to utilize such data sets for several applications starting from scientific experimentation and modulation to improving commercial activity forbusinesses.Following this has resulted in the requirement for the developing data analysis tools that ease the use for customers and allocating the most constructive tools for a problemstatement.To this end, we attempt to introduce data analysis tool as a web service, which empowers the consumer to make a simple HTTP request for processing data over the internet. Hence, by developing such tools as a web service, we signify the prospective of such a system to support both the progressive and beginner level of data consumer. Further, this work provides an example of the suggested tool on data available publicly, extracted from the day to day trafficdata.Data analysis has reformed the collection of data from day to day real life activities, hence validating a bunch of new web technologies introduced to as smart objects toappear.These objects can be utilized to improve consumer’s experience when initiating an interaction with a service. Certainly, a fixed example of huge IoT systems with authorization to enormous quantities of budding useful Data for data consumers is smart cities with traffic analysis
Effects of co-occurring Wolbachia and Spiroplasma endosymbionts on the Drosophila immune response against insect pathogenic and non-pathogenic bacteria
FACT Prevents the Accumulation of Free Histones Evicted from Transcribed Chromatin and a Subsequent Cell Cycle Delay in G1
The FACT complex participates in chromatin assembly and disassembly during transcription elongation. The yeast mutants affected in the SPT16 gene, which encodes one of the FACT subunits, alter the expression of G1 cyclins and exhibit defects in the G1/S transition. Here we show that the dysfunction of chromatin reassembly factors, like FACT or Spt6, down-regulates the expression of the gene encoding the cyclin that modulates the G1 length (CLN3) in START by specifically triggering the repression of its promoter. The G1 delay undergone by spt16 mutants is not mediated by the DNA–damage checkpoint, although the mutation of RAD53, which is otherwise involved in histone degradation, enhances the cell-cycle defects of spt16-197. We reveal how FACT dysfunction triggers an accumulation of free histones evicted from transcribed chromatin. This accumulation is enhanced in a rad53 background and leads to a delay in G1. Consistently, we show that the overexpression of histones in wild-type cells down-regulates CLN3 in START and causes a delay in G1. Our work shows that chromatin reassembly factors are essential players in controlling the free histones potentially released from transcribed chromatin and describes a new cell cycle phenomenon that allows cells to respond to excess histones before starting DNA replication
Radio afterglows from tidal disruption events: An unbiased sample from ASKAP RACS
Late-time ( year) radio follow-up of optically-discovered tidal disruption events (TDEs) is increasingly resulting in detections at radio wavelengths, and there is growing evidence for this late-time radio activity to be common to the broad class of sub-relativistic TDEs. Detailed studies of some of these TDEs at radio wavelengths are also challenging the existing models for radio emission. Using all-sky multi-epoch data from the Australian Square Kilometre Array Pathfinder (ASKAP), taken as a part of the Rapid ASKAP Continuum Survey (RACS), we searched for radio counterparts to a sample of optically-discovered TDEs. We detected late-time emission at RACS frequencies (742-1032\,MHz) in five TDEs, reporting the independent discovery of radio emission from TDE AT2019ahk and extending the time baseline out to almost 3000\,days for some events. Overall, we find that at least \% of the population of optically-discovered TDEs has detectable radio emission in the RACS survey, while also noting that the true fraction can be higher given the limited cadence (2 epochs separated by years) of the survey. Finally, we project that the ongoing higher-cadence (\,months) ASKAP Variable and Slow Transients (VAST) survey can detect TDEs in its operational span (4\,yrs), given the current rate from optical surveys.Accepted for publication in ApJ, comments welcom
Chlorogenic acid/chromium supplement rescues diet-induced insulin resistance and obesity in mice
The Cholecystectomy As A Day Case (CAAD) Score: A Validated Score of Preoperative Predictors of Successful Day-Case Cholecystectomy Using the CholeS Data Set
Background
Day-case surgery is associated with significant patient and cost benefits. However, only 43% of cholecystectomy patients are discharged home the same day. One hypothesis is day-case cholecystectomy rates, defined as patients discharged the same day as their operation, may be improved by better assessment of patients using standard preoperative variables.
Methods
Data were extracted from a prospectively collected data set of cholecystectomy patients from 166 UK and Irish hospitals (CholeS). Cholecystectomies performed as elective procedures were divided into main (75%) and validation (25%) data sets. Preoperative predictors were identified, and a risk score of failed day case was devised using multivariate logistic regression. Receiver operating curve analysis was used to validate the score in the validation data set.
Results
Of the 7426 elective cholecystectomies performed, 49% of these were discharged home the same day. Same-day discharge following cholecystectomy was less likely with older patients (OR 0.18, 95% CI 0.15–0.23), higher ASA scores (OR 0.19, 95% CI 0.15–0.23), complicated cholelithiasis (OR 0.38, 95% CI 0.31 to 0.48), male gender (OR 0.66, 95% CI 0.58–0.74), previous acute gallstone-related admissions (OR 0.54, 95% CI 0.48–0.60) and preoperative endoscopic intervention (OR 0.40, 95% CI 0.34–0.47). The CAAD score was developed using these variables. When applied to the validation subgroup, a CAAD score of ≤5 was associated with 80.8% successful day-case cholecystectomy compared with 19.2% associated with a CAAD score >5 (p < 0.001).
Conclusions
The CAAD score which utilises data readily available from clinic letters and electronic sources can predict same-day discharges following cholecystectomy
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