Generating and Validating DSA Private Keys from Online Face Images for Digital Signatures

Signing digital documents is attracting more attention in recent years, according to the rapidly growing number of digital documents being exchanged online. The digital signature proves the authenticity of the document and the sender’s approval on the contents of the document. However, storing the private keys of users for digital signing imposes threats toward gaining unauthorized access, which can result in producing false signatures. Thus, in this paper, a novel approach is proposed to extract the private component of the key used to produce the digital signature from online face image. Hence, this private component is never stored in any database, so that, false signatures cannot be produced and the sender’s approval cannot be denied. The proposed method uses a convolutional neural network that is trained using a semi-supervised approach, so that, the values used for the training are extracted based on the predictions of the neural network. To avoid the need for training a complex neural network, the proposed neural network makes use of existing pretrained neural networks, that already have the knowledge about the distinctive features in the faces. The use of the MTCNN for face detection and Facenet for face recognition, in addition to the proposed neural network, to achieved the best performance. The performance of the proposed method is evaluated using the Colored FERET Faces Database Version 2 and has achieved robustness rate of 13.48% and uniqueness of 100%

An Overview of QT Dispersion Finding in Cardiac Patients,Review Article

Background: QT duration represents the time of the whole summated electric cardiac ventricular activity involving stepwise depolarization followed by repolarization. There has been a long history of using the surface electrocardiogram (ECG) to identify ventricular repolarization problems. The 1960s were a turning point for precise mathematical methodologies. It has been customary in clinical practice to use only the QT interval and the polarity and shape of the T wave when evaluating cardiac repolarization using an electrocardiogram (ECG). This terminology, such as "non-specific ST segment and T wave variations are widely used. An earlier theory on interlead disparities in QTI length was resurrected in a 1990 report by the group led by Professor John Campbell. The "QT dispersion" range of durations was proposed as a measure of ventricular recovery time spatial dispersion. Objective: Determine the relevance of QTd in prediction of myocardial and its severity. Conclusion: For cardiac patients, QTd is an easy-to-use, rapid, affordable, and helpful tool for helping with study interpretation, clinical management, and therapeutic orientation

Detection of Vapour Emissions from Star Anise Seeds and Mint Leaves using the CO2 Laser Photoacoustic Technique

The aim of this work was to establish the feasibility of the detection of the vapours of the star anise and mint essential oils emitted from the uncrushed seeds of star anise (Illicium verum H.) and from the leaves of Japanese mint (Mentha arvensis L.) respectively using a heat pipe type of photoacoustic cell in conjunction with a line tunable waveguide CO2 laser. Infrared photoacoustic stick spectra were obtained with excellent reproducibility and a high signal-to-noise ratio for the vapour emissions in one atmosphere of nitrogen gas over a temperature range from 20°C up to 180°C in the case of anise seeds and from 20°C to 100°C for mint leaves. Significant differences found between the photoacoustic spectra from the vapour emission of seeds and leaves when compared with commercial samples of the related essential oils are discussed.The financial support for travel from the British Council, East Jerusalem to (DL, MA-T) and that from Royal Society of London to (MA-T, KH) are gratefully acknowledged

An innovative fractal monopole MIMO antenna for modern 5G applications

Proposed in this paper is the design of an innovative and compact antenna array which based on four radiating elements for multi-input multi-output (MIMO) antenna applications used in 5G communication systems. The radiating elements are fractal curves excited using an open-circuited feedline through a coplanar waveguide (CPW). The feedline is electromagnetically coupled to the inside edge of the radiating element. The array's impedance bandwidth is enhanced by inserting a ground structure composed of low-high-low impedance between the radiating elements. The low-impedance section of the ground is a staircase structure that is inclined at an angle to follow the input feedline. This inter-radiating element essentially suppresses near-field radiation between adjacent radiators. A band reject filter based on a composite right/left hand (CRLH) structure is mounted at the back side of the antenna array to reduce mutual coupling between the antenna elements by choking surface wave propagations that can otherwise degrade the radiation performance of the array antenna. The CRLH structure is based on the Hilbert fractal geometry, and it was designed to act like a stop band filter over the desired frequency bands. The proposed antenna array was fabricated and tested. It covers the frequency bands in the range from 2 to 3 GHz, 3.4-3.9 GHz, and 4.4-5.2 GHz. The array has a maximum gain of 6. 2dBi at 3.8 GHz and coupling isolation better than 20 dB. The envelope correlation coefficient of the antenna array is within the acceptable limit. There is good agreement between the simulated and measured results.Dr. Mohammad Alibakhshikenari acknowledges support from the CONEX-Plus programme funded by Universidad Carlos III de Madrid and the European Union's Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie grant agreement No. 801538. Funding for APC: Universidad Carlos III de Madrid (Read & Publish Agreement CRUE-CSIC 2022)

An innovative fractal monopole MIMO antenna for modern 5G applications

Proposed in this paper is the design of an innovative and compact antenna array which based on four radiating elements for multi-input multi-output (MIMO) antenna applications used in 5G communication systems. The radiating elements are fractal curves excited using an open-circuited feedline through a coplanar waveguide (CPW). The feedline is electromagnetically coupled to the inside edge of the radiating element. The array’s impedance bandwidth is enhanced by inserting a ground structure composed of low–high-low impedance between the radiating elements. The low-impedance section of the ground is a staircase structure that is inclined at an angle to follow the input feedline. This inter-radiating element essentially suppresses near-field radiation between adjacent radiators. A band reject filter based on a composite right/left hand (CRLH) structure is mounted at the back side of the antenna array to reduce mutual coupling between the antenna elements by choking surface wave propagations that can otherwise degrade the radiation performance of the array antenna. The CRLH structure is based on the Hilbert fractal geometry, and it was designed to act like a stop band filter over the desired frequency bands. The proposed antenna array was fabricated and tested. It covers the frequency bands in the range from 2 to 3 GHz, 3.4–3.9 GHz, and 4.4–5.2 GHz. The array has a maximum gain of 6.2dBi at 3.8 GHz and coupling isolation better than -20 dB. The envelope correlation coefficient of the antenna array is within the acceptable limit. There is good agreement between the simulated and measured results

Attitude of Syrian students toward GAD patients: An online cross-sectional study

Generalized Anxiety Disorder (GAD) is a prevalent condition and a significant cause of mental disability and poor quality of life. People with GAD have chronic worrying, restlessness, and discrimination from the general public; Little is known about the stigmatizing attitudes toward people with GAD among Syrian students. The questionnaires contained demographic data about age, gender, social status, personal stigma toward GAD scale, perceived stigma toward GAD scale, social distance with those with GAD, the participants' usual source of their knowledge about GAD, helpful interventions, and supporting information. A total of 1,370 replies were collected, but only 1,358 were used for analysis as 12 participants declined to complete the survey. About 44.1% of participants agreed that people with GAD could snap out of the problem, most of them being females (32.4% of the total population). Compared to medical students, more non-medical students (7.1% of the total population) believed that anxiety is a sign of personal weakness. This study demonstrated that Syrian college students showed a high level of stigmatizing and socially distancing attitudes toward people with GAD, particularly female and non-medical students

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication