4,078 research outputs found
Dynamic Training Intrusion Detection Scheme for Blackhole Attack in MANETs
Mobile ad hoc network (MANET) is a self-configuring network which is composed of several movable mobile nodes. These mobile nodes communicate with each other without any infrastructure. As wireless ad hoc networks lack an infrastructure, they are exposed to a lot of attacks. This paper analyzes the blackhole attack which is one of the possible attacks in ad hoc networks. In a blackhole attack, a malicious node impersonates a destination node by sending a spoofed route reply packet to a source node that initiates a route discovery. By doing this, the malicious node can deprive the traffic from the source node. In order to prevent this kind of attack, it is crucial to detect the abnormality that occurs during the attack. In conventional schemes, anomaly detection is achieved by defining the normal state from static training data. However, in mobile ad hoc networks where the network topology dynamically changes, such static training method could not be used efficiently. In this paper, we propose an anomaly detection scheme using dynamic training method in which the training data is updated at regular time intervals. The simulation results show the effectiveness of our scheme compared with conventional scheme
Primary enucleation for group D retinoblastoma in the era of systemic and targeted chemotherapy: the price of retaining an eye
BACKGROUND: Chemotherapy is increasingly used as primary treatment for group D retinoblastoma, whereas primary enucleation is considered to have a diminishing role. This study aimed to compare the management course, including number of examinations under anaesthesia (EUAs), of group D patients treated by enucleation versus chemotherapy. METHODS: A retrospective analysis of 92 group D patients, of which 40 (37 unilateral) underwent primary enucleation and 52 (17 unilateral) were treated with intravenous chemotherapy. Number of EUAs was compared between the treatment groups with respect to the whole cohort, using univariate and multivariate analysis, and to unilateral cases only. RESULTS: Patients were followed up for a median of 61 months (mean: 66, range: 14-156), in which time primary enucleated patients had on average seven EUAs and chemotherapy-treated patients 21 EUAs (p<0.001). Chemotherapy, young age, bilateral disease, multifocal tumours, familial and germline retinoblastoma were found on univariate analysis to correlate with increased number of EUAs (p≤0.019). On multivariate analysis, however, only treatment type and presentation age were found significant (p≤0.001). On subanalysis of the unilateral cases, patients undergoing primary enucleation had in average seven EUAs, as compared with 16 in the chemotherapy group (p<0.001). Of the 55 unilateral-presenting patients, a new tumour developed in the fellow eye only in a single familial case. CONCLUSION: Group D patients' families should be counselled regarding the significant difference in number of EUAs following primary enucleation versus chemotherapy when deciding on a treatment strategy. In this regard, primary enucleation would be most beneficial for older patients with unilateral disease
Lag time for retinoblastoma in the UK revisited: a retrospective analysis
OBJECTIVES: To explore current delays in diagnosis of retinoblastoma (Rb) and effect on outcome with comparison to a study from the 1990s. SETTING: Primary, secondary, tertiary care: majority from South of England. PARTICIPANTS: A retrospective analysis of 93 new referrals of sporadic (non-familial) Rb to a specialist Rb unit in London, UK from January 2006 to February 2014. PRIMARY AND SECONDARY OUTCOMES: International Intraocular Retinoblastoma Classification, lag times including parental delay and healthcare professional delay, patients requiring enucleation and requirement of adjuvant chemotherapy postenucleation (high-risk Rb). RESULTS: During the study period, 29% presented via accident and emergency (A&E). The median referral time from symptom onset to visiting primary care (PC) was 28 days and PC to ophthalmologist 3 days (range 0-181 days). The median time from local ophthalmologist to the Rb Unit was 6 days (0-33). No significant correlation was found between delay and International Classification of Retinoblastoma grade (p>0.05) or between postenucleation adjuvant chemotherapy and enucleation groups (p>0.05). Less enucleations (60%) are being performed compared with the previous study (81%) (p=0.0015). CONCLUSIONS: Parents are attending A&E more compared with the 1990s and this may reflect the effect of public awareness campaigns. More eyes are being salvaged despite a similar number of children requiring adjuvant chemotherapy. High-risk Rb and Group E eyes do not correlate with increased lag time in the UK. Other determinants such as tumour biology may be more relevant
Primary intravenous chemotherapy for group D retinoblastoma: a 13-year retrospective analysis.
BACKGROUND: Eye salvage rate for group D retinoblastoma using intravenous chemotherapy (IVC) as a primary modality is <50%. To report on 13 years' experience with the use of primary IVC for group D retinoblastoma. METHODS: A retrospective analysis of 64 group D eyes (52 patients) treated with primary IVC, from 2002 to 2014. RESULTS: The median age at presentation was 11.0 months (mean: 18.6, range: 0.6-144.0), 35 (67%) patients had bilateral disease, 38 (73%) germline disease and 8 (15%) cases were familial. In addition to IVC, patients received a median number of three treatments (mean: 6, range: 0-24), including thermotherapy/cryotherapy, plaque radiotherapy, intra-ophthalmic artery chemotherapy (IAC) and/or intravitreous chemotherapy. External beam radiotherapy (EBRT) was used in five eyes, all of which were eventually enucleated. In a median follow-up time of 55 months (mean: 64, range: 14-156), 63% of eyes were salvaged. By the Kaplan-Meier survival analysis, globe salvage rate was 83%, 70%, 59% and 45% at 1, 3, 5 and 10 years, respectively. There were no cases of metastatic spread from intraocular retinoblastoma and no deaths. IVC-related adverse events included febrile neutropenia in 21 (40%) patients and anaphylactic reaction to carboplatin in 2 (4%), all conservatively resolved. Of the patients receiving IAC, third and sixth nerve palsies were documented in two (10%) and one (5%) eyes, respectively. CONCLUSIONS: Primary IVC for group D eyes, with adjuvant treatments as required, was found to be a safe and efficient approach, achieving 63% eye salvage rate, no metastatic spread from intraocular retinoblastoma and no deaths. IAC has now replaced EBRT as a successful salvage treatment
Melting heat transfer analysis on magnetohydrodynamics buoyancy convection in an enclosure : a numerical study
Therollof melting heat transfer on magnetohydrodynamic natural convection in a square enclosurewithheatingof the bottom wall is examinednumericallyin this article.The dimensionlessgoverning partial differential equations are transformed into vorticity and stream functionformulationand then solved using the finite difference method(FDM). The effects of thermal Rayleigh number(Ra), melting parameter(M) and Hartmann number(Ha) are illustrated graphically.With an increasing melting parameter and Rayleigh number, the rate of fluid flow and temperature gradients are seen to increase. And in the presence of magnetic field, the temperature gradient reduces and hence the conductionmechanism dominated for larger Ha. Greater heat transfer rate is observed in the case of uniform heating compared with non-uniform case. The average Nusselt number reduces with increasing magnetic parameterin the both cases of heating of bottom wall
INCOIS-GODAS-MOM: Ocean Analysis for the Indian Ocean: Configuration, Validation and Product Dissemination
The ocean covers approximately 71% of the earth surface and it significantly influences the global and regional climates and the weather and monsoon systems. Climate
variability and its socio-economic impact clearly emphasizes the need to understand the system to enable better forecasts. Unlike land, where the operational networks of meteorological observations placed all over the world have enabled us to monitor changes in the global atmosphere, the global coverage of the subsurface observations in the ocean is largely under sampled. With the advent of Argo and moored buoy programs, there was a
considerable increase in the amount of oceanic data during the last decade. However, the data is still inadequate to understand the dynamics and thermodynamics of the ocean on different spatial and temporal scale
Chitosan nanocomposites based on distinct inorganic fillers for biomedical applications
AbstractChitosan (CHI), a biocompatible and biodegradable polysaccharide with the ability to provide a non-protein matrix for tissue growth, is considered to be an ideal material in the biomedical field. However, the lack of good mechanical properties limits its applications. In order to overcome this drawback, CHI has been combined with different polymers and fillers, leading to a variety of chitosan-based nanocomposites. The extensive research on CHI nanocomposites as well as their main biomedical applications are reviewed in this paper. An overview of the different fillers and assembly techniques available to produce CHI nanocomposites is presented. Finally, the properties of such nanocomposites are discussed with particular focus on bone regeneration, drug delivery, wound healing and biosensing applications
Chronic Disease Self-Management Challenges among Rural Women Living with HIV/AIDS in Prakasam, Andhra Pradesh, India: A Qualitative Study.
Rural women living with HIV/AIDS (WLHA) in India experience challenges self-managing HIV/AIDS in their rural communities. The purpose of this qualitative study was to explore factors influencing their care and antiretroviral treatment (ART) adherence. Themes that emerged from the qualitative focus groups among WLHA (N = 24) in rural Prakasam, Andhra Pradesh, India, included: (1) coming to know about HIV and other health conditions, (2) experiences being on ART, (3) challenges maintaining a nutritious diet, (4) factors affecting health care access and quality, and (5) seeking support for a better future. Chronic disease self-management in rural locales is challenging, given the number of barriers which rural women experience on a daily basis. These findings suggest a need for individual- and structural-level supports that will aid in assisting rural WLHA to self-manage HIV/AIDS as a chronic illness
Neuroactive steroids in depression and anxiety disorders: Clinical studies
Certain neuroactive steroids modulate ligand-gated ion channels via non-genomic mechanisms. Especially 3 alpha-reduced pregnane steroids are potent positive allosteric modulators of the gamma-aminobutyric acid type A (GABA(A)) receptor. During major depression, there is a disequilibrium of 3 alpha-reduced neuroactive steroids, which is corrected by clinically effective pharmacological treatment. To investigate whether these alterations are a general principle of successful antidepressant treatment, we studied the impact of nonpharmacological treatment options on neuroactive steroid concentrations during major depression. Neither partial sleep deprivation, transcranial magnetic stimulation, nor electroconvulsive therapy affected neuroactive steroid levels irrespectively of the response to these treatments. These studies suggest that the changes in neuroactive steroid concentrations observed after antidepressant pharmacotherapy more likely reflect distinct pharmacological properties of antidepressants rather than the clinical response. In patients with panic disorder, changes in neuroactive steroid composition have been observed opposite to those seen in depression. However, during experimentally induced panic induction either with cholecystokinine-tetrapeptide or sodium lactate, there was a pronounced decline in the concentrations of 3 alpha-reduced neuroactive steroids in patients with panic disorder, which might result in a decreased GABAergic tone. In contrast, no changes in neuroactive steroid concentrations could be observed in healthy controls with the exception of 3 alpha,5 alpha-tetrahydrodeoxycorticosterone. The modulation of GABA(A) receptors by neuroactive steroids might contribute to the pathophysiology of depression and anxiety disorders and might offer new targets for the development of novel anxiolytic compounds. Copyright (c) 2006 S. Karger AG, Basel
Bacteriological examination of drinking water with reference to coliforms in Jeedimetla, Hyderabad, India
Most probable number (MPN) test was done to detect the coliform in water samples collected from mobile vendors, protected well and municipal tap water supplied from Jeedimetla municipality. The study revealed that the number of coliforms was very high ( 1500) in water samples collected frommobile vendors. The bacteria were identified as Escherichia coli, Pseudomonas aeruginosa and Staphylococcus aureus. Bacteriological examination of water samples collected from different sources showed that the water of mobile vendors and ground water of jeedimetla area was not potable while themunicipal tap water was found to be safe for drinking
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