Practical application of IOT and its implications on the existing software

The data management from end-to-end level is done by cloud-assisted IOT for its users and they keep a goal in increasing their number of users with the course of time. From saving the infiltration of data from both internal and external threats to the system, IOT is the best-proposed method used for securing the database. Connecting objects/individuals with the Internet via safe interaction is the main objective of IOT. It can assemble all the hardware devices that are designed to store data for an individual or an organization. The associated applications and the way in which it can be deployed in the present organization in order to optimize the current working system. This paper focuses on providing an overall systematic secured data sharing portal that is devoid of threats from internal as well as external entities. By using CIBPRE data encryption a major security reform is introduced by IOT in storing and sharing of data on a regular basis

Parameter Daerah Persiapan: Penjelasan Teknis Pembentukan Daerah Otonom Baru Dalam Desain Besar Penataan Daerah

Regional autonomy has grown out of control. In the decade from 1999, Indonesia has acquired seven new provinces, 194 districts, and 34 cities - a total of 204 new polities. This is quite a proliferation compared to the 54 years before autonomy, when only 319 autonomous areas were created. A Ministry of Home Affairs evaluation shows that 80 percent of these new areas fail due to their lack of preparation or readiness for autonomy. This book describes the factors for successful autonomy including timing, geography and demography, along with the institutional dimensions including defense and security, socio-cultural and political, economic, financial, and administrative infrastructure. Proper preparation of the institutional and administrative infrastructure is needed to increase the likelihood of stability and prosperity in autonomous regions

Protein-energy wasting and nutritional supplementation in patients with end-stage renal disease on hemodialysis

© 2016 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism Background & aims Protein-Energy Wasting (PEW) is the depletion of protein/energy stores observed in the most advanced stages of Chronic Kidney Disease (CKD). PEW is highly prevalent among patients on chronic dialysis, and is associated with adverse clinical outcomes, high morbidity/mortality rates and increased healthcare costs. This narrative review was aimed at exploring the pathophysiology of PEW in end-stage renal disease (ESRD) on hemodialysis. The main aspects of nutritional status evaluation, intervention and monitoring in this clinical setting were described, as well as the current approaches for the prevention and treatment of ESRD-related PEW. Methods An exhaustive literature search was performed, in order to identify the relevant studies describing the epidemiology, pathogenesis, nutritional intervention and outcome of PEW in ESRD on hemodialysis. Results and conclusion The pathogenesis of PEW is multifactorial. Loss of appetite, reduced intake of nutrients and altered lean body mass anabolism/catabolism play a key role. Nutritional approach to PEW should be based on a careful and periodic assessment of nutritional status and on timely dietary counseling. When protein and energy intakes are reduced, nutritional supplementation by means of specific oral formulations administered during the hemodialysis session may be the first-step intervention, and represents a valid nutritional approach to PEW prevention and treatment since it is easy, effective and safe. Omega-3 fatty acids and fibers, now included in commercially available preparations for renal patients, could lend relevant added value to macronutrient supplementation. When oral supplementation fails, intradialytic parenteral nutrition can be implemented in selected patients

Composition and Functionality of Lipid Emulsions in Parenteral Nutrition: Examining Evidence in Clinical Applications

Lipid emulsions (LEs), an integral component in parenteral nutrition (PN) feeding, have shifted from the primary aim of delivering non-protein calories and essential fatty acids to defined therapeutic outcomes such as reducing inflammation, and improving metabolic and clinical outcomes. Use of LEs in PN for surgical and critically ill patients is particularly well established, and there is enough literature assigning therapeutic and adverse effects to specific LEs. This narrative review contrarily puts into perspective the fatty acid compositional (FAC) nature of LE formulations, and discusses clinical applications and outcomes according to the biological function and structural functionality of fatty acids and co-factors such as phytosterols, α-tocopherol, emulsifiers and vitamin K. In addition to soybean oil-based LEs, this review covers clinical studies using the alternate LEs that incorporates physical mixtures combining medium- and long-chain triglycerides or structured triglycerides or the unusual olive oil or fish oil. The Jaded score was applied to assess the quality of these studies, and we report outcomes categorized as per immuno-inflammatory, nutritional, clinical, and cellular level FAC changes. It appears that the FAC nature of LEs is the primary determinant of desired clinical outcomes, and we conclude that one type of LE alone cannot be uniformly applied to patient care

Association of ultrasound-derived metrics of the quadriceps muscle with protein energy wasting in hemodialysis patients: a multicenter cross-sectional study

This study aimed to assess muscle wasting and risk of protein energy wasting (PEW) in hemodialysis (HD) patients using an ultrasound (US) imaging method. PEW was identified using the ISRNM criteria in 351 HD patients. Quadriceps muscle thickness of rectus femoris (RF) and vastus intermedius (VI) muscles and cross-sectional area (CSA) of the RF muscle (RFCSA) were measured using US and compared with other physical measures. Associations of US indices with PEW were determined by logistic regression. Irrespective of gender, PEW vs. non-PEW patients had smaller RF, VI muscles, and RFCSA (all p < 0.001). US muscle sites (all p < 0.001) discriminated PEW from non-PEW patients, but the RFCSA compared to bio-impedance spectroscopy had a greater area under the curve (AUC, 0.686 vs. 0.581), sensitivity (72.8% vs. 65.8%), and specificity (55.6% vs. 53.9%). AUC of the RFCSA was greatest for PEW risk in men (0.74, 95% CI: 0.66–0.82) and women (0.80, 95% CI: 0.70–0.90) (both p < 0.001). Gender-specific RFCSA values (men < 6.00 cm2; women < 4.47 cm2) indicated HD patients with smaller RFCSA were 8 times more likely to have PEW (AOR = 8.63, 95% CI: 4.80–15.50, p < 0.001). The US approach enabled discrimination of muscle wasting in HD patients with PEW. The RFCSA was identified as the best US site with gender-specific RFCSA values to associate with PEW risk, suggesting potential diagnostic criteria for muscle wasting

International standards for PMU and tests for compliance : the synchrophasor standard

Phasor measurement unit (PMU) devices, and the standards to govern PMUs, have progressed since the first standard appeared in 1995. The early standards contained significant ambiguities in the definition of the phasor time - tagging, and no independent verification facilities existed to test compliance with the standards. The latest standards, as a result of significant effort on the part of the IEEE working group, contain extremely detailed test descriptions and requirements. The standards are also supported by a number of facilities/companies which are capable of independently verifying compliance, using traceable amplitude and time/phase measurement chains. This provides a high level of confidence in a basic interoperability of PMU devices during "normal" operation. However, as the power network evolves in the future, with dynamic events becoming more commonplace, and imperfect power quality becoming perhaps the "norm", care still needs to be exercised since the actual PMU outputs during dynamic and imperfect network conditions are still specific to the actual device hardware, algorithm/filter, and configuration/settings

Optimal placement of phasor measurement units using particle swarm optimization

10.1109/NABIC.2009.53936212009 World Congress on Nature and Biologically Inspired Computing, NABIC 2009 - Proceedings1708-171

A novel multi-objective directed bee colony optimization algorithm for multi-objective emission constrained economic power dispatch

10.1016/j.ijepes.2012.06.011International Journal of Electrical Power and Energy Systems4311241-1250IEPS