Model-driven decision support system for estimating number of ambulances required during earthquake disaster relief operation

Most of human life has been encountered danger due to natural disasters nowadays. One of these natural disasters that endanger human lives and which causes lot of damages is earthquake. A proper emergency response after an earthquake happening is important and has high priority in earthquake emergency management to reduce number of damages. Decision making for critical resources in the phase of response, is one of the main concerns for managers. Ambulance, as one of the critical resource that can help to reduce earthquake losses and costs, needs to be planned. Confusion in the number of victims in the early stages of earthquake, access complexity to the required data of different organizations by the pressing time, complicated nature of estimation, diversity of models and limitation of time for decision making are the main problems associated with estimating ambulances during earthquake disaster which makes estimation too difficult. In addition, there is a call for research in determining the number of required ambulances during earthquake emergency management, due to high error in estimating the number of ambulances in the current methods, which leads to unnecessary expenses and thereby helping to ensure that disaster sites are not overcrowded with emergency workers impeding each other's effectiveness. Such complexity suggests the introduction of Decision Support System (DSS). More accurate estimation of the number of required ambulances using a decision support system can help managers to speed up the process of decision making and thus reducing error and costs. Since the number of ambulances needed during a disaster is directly proportional to the number of victims requiring hospital treatment and in order to reach the first objective of this study, factors determining the number of human casualties in earthquake disaster i.e. population, modified Mercalli, age, time, building occupancy and gender are selected as the most relevant factors which have high probability in creating human casualties. The collected data from various relevant sources is used in proposing the model of this research. After testing different approaches, Fuzzy rule-based approach is being used, after defining the rules for each aforementioned factors and optimization is conducted in order to minimize the error for estimating the number of human casualties. Finally, by using de Boer formula and obtained number of human casualties, the number of required ambulances is estimated accurately. The results indicate that the error is decreased by more than 50% in the proposed method. A prototype of Model-Driven Decision Support System was developed based on the proposed model that can be used to aid emergency response planners for their decision making process prior to take any action during earthquake emergency management

Aminoglycosides Rapidly Inhibit NAD(P)H Metabolism Increasing Reactive Oxygen Species and Cochlear Cell Demise

Despite causing permanent hearing loss by damaging inner ear sensory cells, aminoglycosides (AGs) remain one of the most widely used classes of antibiotics in the world. Although the mechanisms of cochlear sensory cell damage are not fully known, reactive oxygen species (ROS) are clearly implicated. Mitochondrial-specific ROS formation was evaluated in acutely cultured murine cochlear explants exposed to gentamicin (GM), a representative ototoxic AG antibiotic. Superoxide (O2·-) and hydrogen peroxide (H2O2) were measured using MitoSOX Red and Dihydrorhodamine 123, respectively, in sensory and supporting cells. A 1-h GM exposure significantly increased O2·- formation in IHCs and increased H2O2 formation in all cell types. At the same time point, GM significantly increased manganese superoxide dismutase (MnSOD) levels while significantly decreasing copper/zinc superoxide dismutase (CuZnSOD) in cochlear sensory cells. This suggests (1) a rapid conversion of highly reactive O2·- to H2O2 during the acute stage of ototoxic antibiotic exposure and (2) that the endogenous antioxidant system is significantly altered by AGs. Fluorescence intensity-based measurements of reduced nicotinamide adenine dinucleotide (phosphate) [NAD(P)H] and mitochondrial membrane potential were measured to determine if increases in GM-induced ROS production were correlated with changes in mitochondrial metabolism. This project provides a basis for understanding the mechanisms of mitochondrial ROS production in cochlear cells exposed to ototoxic antibiotics. Understanding the nature of ototoxic antibiotic-induced changes in mitochondrial metabolism is critical for developing hearing loss treatment and prevention strategies

Microclimate inside a tropical greenhouse equipped with evaporative cooling pads

Tropical greenhouses require active evaporative cooling system such as pad-and-fan to ensure a suitable microclimate for crop production. Excess heat causes indoor temperature to become hotter than desired resulting in detrimental effects to crop growth and production. Solar radiation intensity and outside temperature affect temperature and relative humidity level inside a greenhouse, while wide gradients in temperature and relative humidity can cause problems related to crop growth and production uniformity. A 300 m2 greenhouse, equipped with evaporative pad and four exhaust fans at each end walls, was used in the study. Horizontal and vertical profiles of the temperature and relative humidity inside the greenhouse were investigated. Results showed that temperature increased from evaporative pad area to exhaust fans area in a horizontal plane, while relative humidity showed an inverse pattern from temperature. In the vertical plane, temperature increased, while relative humidity decreased from lower level to the upper level. ANOVA results showed that in overall, temperature and relative humidity inside the greenhouse were uniform as there was no significant difference at 95% confidence interval. Thus, it was concluded that greenhouse cooling system by evaporative pad and exhaust fans are suitable for application in a tropical country such as Malaysia

Empirical algorithm to estimate the average cosine of underwater light field at 490 nm

The average cosine of the underwater light field μ(λ), where λ is the wavelength, is an apparent optical property (AOP) that describes the angular distribution of radiance at a given point in water. Here, we present a simple algorithm to determine the average cosine at 490 nm, μ(490), which was developed using the measured optical parameters from the eastern Arabian Sea and coastal waters off Goa. The algorithm is validated using measured optical parameters. This algorithm, based on a single optical parameter, performed better compared with other empirical algorithms in determining the average cosine of underwater light field. The absorption coefficient at 490 nm, derived as an application of μ(490), compared well with the synthetic optical data and optical data measured from other regions

Antimicrobial activities of plant extracts against methicillin-susceptible and methicillin-resistant Staphylococcus aureus

The present study was carried out to compare the antimicrobial activities of methanol leaf extracts of Bauhinia purpurea, Dicranopterislinearis, Melastomamalabathricum and Muntingiacalabura portrayed by different antimicrobial assays against methicillin-susceptible and methicillin- resistant Staphylococcus aureus strains. Antimicrobial activities of the methanol leaf extracts were preliminarily screened by disc diffusion. Minimum inhibition concentration (MIC) and minimum bactericidal concentration (MBC) were determined by broth microdilution and colorimetric assay (resazurin). Based on disc diffusion method, S. aureusATCC®700699™ (MRSA) elucidated higher susceptibility pattern against all plant extracts compared to S. aureusATCC®25923™ (MSSA). Taking results from all employed assays into consideration, M. calaburamethanol leaf extract comparably elicited the highest antimicrobial activity than the other methanol leaf extracts against both microorganisms. The MIC values were determined by colorimetric assay (resazurin) due to pigmentations of the methanol leaf extracts that obscured visual growth turbidity inspection. Complication in colour changes observation in colorimetric assay to determine MBC was overcome by employing the conventional plating method. This study suggested that all antimicrobial assays should be carried out concurrently so as the data obtained can be comparatively analysed for a better outcome as each antimicrobial assay has its own shortfall

How migration policies moderate the diffusion of terrorism

There is an ongoing debate among practitioners and scholars about the security consequences of transnational migration. Yet, existing work has not yet fully taken into account the policy instruments states have at their disposal to mitigate these risks, and we lack reliable evidence for the effectiveness of such measures. The following research addresses both shortcomings as we analyze whether and to what extent national migration policies affect the diffusion of terrorism via population movements. Spatial analyses report robust support for a moderating influence of states’ policies: while terrorism can travel from one country to another via larger migration populations, this only applies to target countries with extremely lax regulations and control mechanisms. This research sheds new light on the security implications of population movements, and it crucially adds to our understanding of governments’ instruments for addressing migration challenges as well as their effectiveness

Estimation of stature from hand and handprint measurements in Iban population in Sarawak, Malaysia and its applications in forensic investigation

Handprints and dismembered hands are commonly found during crime scene investigations and disaster victim identifications, respectively. It has been indicated that the accuracy of handprint and hand measurements for estimating stature maybe population specific. Since Iban is the largest ethnic population in Sarawak, Malaysia and because the application of anthropometry of hand and handprint within this population as well as other populations within the Southeast Asian countries remain unreported, this present study that investigated the reliability and accuracy of these two anthropometric aspects acquires forensic significance. Upon measuring the height, 21 measurements were recorded on each hand and the corresponding handprint of 50 male and 52 female consented adult Iban subjects. Using univariate statistics as well as simple and multiple regression analyses, interpretation of the measurements examined here was attempted. Results revealed that lengths of hand and handprint are the more reliable traits for estimating stature in both the male and female Iban subjects (p < 0.05) with correlation strength ranging from 0.60 to 0.76. Comparable to the established skeletal standards for hand, the stature prediction accuracy using hand and handprint measurements investigated in this research ranged between 4.29 and 5.78 cm. Hence, this research provided the first forensic standard for estimation of stature among the Iban population in Sarawak that may prove useful for crime scene investigations and disaster victim identifications in Malaysia

African Dreams: Locating Urban Infrastructure in the 2030 Sustainable Developmental Agenda

This paper examines African urban infrastructure and service delivery as an entry point for connecting African aspirations with the harsh developmental imperatives of urban management, creating a dialogue between scholarly knowledge and sustainable development policy aspirations. We note a shift to multi-nodal urban governance and highlight the significance of the synthesis of social, economic and ecological values in a normative vision of what an African metropolis might aspire to by 2030. The sustainable development vision provides a useful stimulus for Africa’s urban poly-crisis, demanding fresh interdisciplinary and normatively explicit thinking, grounded in a practical and realistic understanding of Africa’s infrastructure and governance challenges

Characterization of a group B streptococcus infection based on the demographics, serotypes, antimicrobial susceptibility and genotypes of selected isolates from sterile and non-sterile isolation sites in three major hospitals in Malaysia

BACKGROUND/PURPOSE: The purpose of this study is to characterize GBS isolates that were collected from three major hospitals in a densely populated area of Klang Valley for their demographics, serotypes, antibiotic susceptibility patterns and genetic background. METHODS: Sixty GBS isolates from sterile and non-sterile samples in three major hospitals in the Klang Valley area of Malaysia were collected by convenience sampling from 2012 until March 2014. These isolates were studied for their antimicrobial susceptibilities, serotypes and genotypes. Patients' demographic data and clinical information were collected from lab request forms. RESULTS: Diabetes mellitus was the only underlying condition (7 patients, 23.3%); the remaining samples were from patients who were immunocompromised due to medications. Fifty-nine (98%) isolates were sensitive to penicillin, while 78.3% and 88.3% of the isolates were sensitive to erythromycin and clindamycin, respectively. Serotype Ia was the most common serotype (n=27, 45%), followed by serotype III (n=10, 16.7%), V (n=9, 15%), VI (n=8, 13.3%), VIII (n=2, 3.3%) and VII (n=1, 1.7%). Random Amplified Polymorphic DNA (RAPD) typing showed a diverse genetic pedigree for all isolates, including four major groups that clustered according to geographical location. CONCLUSION: This preliminary study determines the prevalence of limited common serotypes and antimicrobial resistance in distinct GBS isolates. Nonetheless, the RAPD clustering pattern suggests a close genetic lineage of the GBS isolates based on their isolation sites and location of hospitals

Intratumoral heterogeneity of second-harmonic generation scattering from tumor collagen and its effects on metastatic risk prediction

Background: Metastases are the leading cause of breast cancer-related deaths. The tumor microenvironment impacts cancer progression and metastatic ability. Fibrillar collagen, a major extracellular matrix component, can be studied using the light scattering phenomenon known as second-harmonic generation (SHG). The ratio of forward- to backward-scattered SHG photons (F/B) is sensitive to collagen fiber internal structure and has been shown to be an independent prognostic indicator of metastasis-free survival time (MFS). Here we assess the effects of heterogeneity in the tumor matrix on the possible use of F/B as a prognostic tool. Methods: SHG imaging was performed on sectioned primary tumor excisions from 95 untreated, estrogen receptor-positive, lymph node negative invasive ductal carcinoma patients. We identified two distinct regions whose collagen displayed different average F/B values, indicative of spatial heterogeneity: the cellular tumor bulk and surrounding tumor-stroma interface. To evaluate the impact of heterogeneity on F/B’s prognostic ability, we performed SHG imaging in the tumor bulk and tumor-stroma interface, calculated a 21-gene recurrence score (surrogate for OncotypeDX®, or S-ODX) for each patient and evaluated their combined prognostic ability. Results: We found that F/B measured in tumor-stroma interface, but not tumor bulk, is prognostic of MFS using three methods to select pixels for analysis: an intensity threshold selected by a blinded observer, a histogram-based thresholding method, and an adaptive thresholding method. Using both regression trees and Random Survival Forests for MFS outcome, we obtained data-driven prediction rules that show F/B from tumor-stroma interface, but not tumor bulk, and S-ODX both contribute to predicting MFS in this patient cohort. We also separated patients into low-intermediate (S-ODX < 26) and high risk (S-ODX ≥26) groups. In the low-intermediate risk group, comprised of patients not typically recommended for adjuvant chemotherapy, we find that F/B from the tumor-stroma interface is prognostic of MFS and can identify a patient cohort with poor outcomes. Conclusions: These data demonstrate that intratumoral heterogeneity in F/B values can play an important role in its possible use as a prognostic marker, and that F/B from tumor-stroma interface of prim