Laboratory surveillance of communicable diseases : enteric pathogens

Laboratories represent a crucial link in the surveillance chain. Since only a small proportion of cases of enteric infections are asked to submit a stool sample, one needs to assess the practices for testing for enteric pathogens and their notification practices. Five local laboratories participated in this study. This included a description of the laboratory practices; capacity for stool sample analysis; awareness of the notification system and the factors which could improve the system at laboratory level.peer-reviewe

Wavelet-Based Kernel Construction for Heart Disease Classification

© 2019 ADVANCES IN ELECTRICAL AND ELECTRONIC ENGINEERINGHeart disease classification plays an important role in clinical diagnoses. The performance improvement of an Electrocardiogram classifier is therefore of great relevance, but it is a challenging task too. This paper proposes a novel classification algorithm using the kernel method. A kernel is constructed based on wavelet coefficients of heartbeat signals for a classifier with high performance. In particular, a wavelet packet decomposition algorithm is applied to heartbeat signals to obtain the Approximation and Detail coefficients, which are used to calculate the parameters of the kernel. A principal component analysis algorithm with the wavelet-based kernel is employed to choose the main features of the heartbeat signals for the input of the classifier. In addition, a neural network with three hidden layers in the classifier is utilized for classifying five types of heart disease. The electrocardiogram signals in nine patients obtained from the MIT-BIH database are used to test the proposed classifier. In order to evaluate the performance of the classifier, a multi-class confusion matrix is applied to produce the performance indexes, including the Accuracy, Recall, Precision, and F1 score. The experimental results show that the proposed method gives good results for the classification of the five mentioned types of heart disease.Peer reviewedFinal Published versio

DSOGI-PLL based power control method to mitigate control errors under disturbances of grid connected hybrid renewable power systems

The control of power converter devices is one of the main research lines in interfaced renewable energy sources, such as solar cells and wind turbines. Therefore, suitable control algorithms should be designed in order to regulate power or current properly and attain a good power quality for some disturbances, such as voltage sag/swell, voltage unbalances and fluctuations, long interruptions, and harmonics. Various synchronisation techniques based control strategies are implemented for the hybrid power system applications under unbalanced conditions in literature studies. In this paper, synchronisation algorithms based Proportional-Resonant (PR) power/current controller is applied to the hybrid power system (solar cell + wind turbine + grid), and Dual Second Order Generalized Integrator-Phase Locked Loop (DSOGI-PLL) based PR controller in stationary reference frame provides a solution to overcome these problems. The influence of various cases, such as unbalance, and harmonic conditions, is examined, analysed and compared to the PR controllers based on DSOGI-PLL and SRF-PLL. The results verify the effectiveness and correctness of the proposed DSOGI-PLL based power control method

Physicians Infrequently Adhere to Hepatitis Vaccination Guidelines for Chronic Liver Disease

Background and Goals:Hepatitis A (HAV) and hepatitis B (HBV) vaccination in patients with chronic liver disease is an accepted standard of care. We determined HAV and HBV vaccination rates in a tertiary care referral hepatology clinic and the impact of electronic health record (EHR)-based reminders on adherence to vaccination guidelines.Methods:We reviewed the records of 705 patients with chronic liver disease referred to our liver clinic in 2008 with at least two follow-up visits during the subsequent year. Demographics, referral source, etiology, and hepatitis serology were recorded. We determined whether eligible patients were offered vaccination and whether patients received vaccination. Barriers to vaccination were determined by a follow-up telephone interview.Results:HAV and HBV serologic testing prior to referral and at the liver clinic were performed in 14.5% and 17.7%; and 76.7% and 74% patients, respectively. Hepatologists recommended vaccination for HAV in 63% and for HBV in 59.7% of eligible patients. Patient demographics or disease etiology did not influence recommendation rates. Significant variability was observed in vaccination recommendation amongst individual providers (30-98.6%), which did not correlate with the number of patients seen by each physician. Vaccination recommendation rates were not different for Medicare patients with hepatitis C infection for whom a vaccination reminder was automatically generated by the EHR. Most patients who failed to get vaccination after recommendation offered no specific reason for noncompliance; insurance was a barrier in a minority.Conclusions:Hepatitis vaccination rates were suboptimal even in an academic, sub-speciality setting, with wide-variability in provider adherence to vaccination guidelines. © 2013 Thudi et al

Programmable photonics : an opportunity for an accessible large-volume PIC ecosystem

We look at the opportunities presented by the new concepts of generic programmable photonic integrated circuits (PIC) to deploy photonics on a larger scale. Programmable PICs consist of waveguide meshes of tunable couplers and phase shifters that can be reconfigured in software to define diverse functions and arbitrary connectivity between the input and output ports. Off-the-shelf programmable PICs can dramatically shorten the development time and deployment costs of new photonic products, as they bypass the design-fabrication cycle of a custom PIC. These chips, which actually consist of an entire technology stack of photonics, electronics packaging and software, can potentially be manufactured cheaper and in larger volumes than application-specific PICs. We look into the technology requirements of these generic programmable PICs and discuss the economy of scale. Finally, we make a qualitative analysis of the possible application spaces where generic programmable PICs can play an enabling role, especially to companies who do not have an in-depth background in PIC technology

Optimization of the position of single-lead wireless sensor with low electrodes separation distance for ECG-derived respiration

A classical method for estimation of respiratory information from electrocardiogram (ECG), called ECG - derived respiration (EDR), is using flexible electrodes located at standard electrocardiography positions. This work introduces an alternative approach suitable for miniaturized sensors with low inter-electrode separation and electrodes fixed to the sensor encapsulation. Application of amplitude EDR algorithm on single-lead wireless sensor system with optimized electrode positions shows results comparable with standard robust systems. The modified method can be applied in daily physiological monitoring, in sleep studies or implemented in smart clothes when standard respiration techniques are not suitable

Understanding Critical Variables for Customer Relationship Management in Higher Education Institution from Employees Perspective

The aim of this paper is to evaluate the critical success factors and investigate the benefits that might be gained once implementing Electronic Customer Relationship Management at HEI from employee perspective. The study conducted at Al Quds Open University in Palestine and data collected from (300) employee through a questionnaire which consist of four variables. A number of statistical tools were intended for hypotheses testing and data analysis, including Spearman correlation coefficient for Validity, reliability correlation using Cronbach’s alpha, and Frequency and Descriptive analysis. The overall findings of the current study show that all the features were important for staff and it was critical success factors, at the same time, websites were providing all the features discussed by the theory whereas staff showed their willingness to use those features if provided. It is also discovered that implementing Electronic Customer Relationship Management can cause staff retention, were provided efficiently and needed to be improved. Research limitations: The survey findings were based on QOU employee in Palestine, UAE and KSA branches not included in the study