3,305 research outputs found
Dynamics of axial separation in long rotating drums
We propose a continuum description for the axial separation of granular
materials in a long rotating drum. The model, operating with two local
variables, concentration difference and the dynamic angle of repose, describes
both initial transient traveling wave dynamics and long-term segregation of the
binary mixture. Segregation proceeds through ultra-slow logarithmic coarsening.Comment: 4 pages, 3 Postscript figures; submitted to PR
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Patient-Related Barriers to Timely Dialysis Access Preparation: A Qualitative Study of the Perspectives of Patients, Family Members, and Health Care Providers
Rational & Objective
A key aspect of smooth transition to dialysis is the timely creation of a permanent access. Despite early referral to kidney care, initiation onto dialysis is still suboptimal for many patients, which has clinical and cost implications. This study aimed to explore perspectives of various stakeholders on barriers to timely access creation.
Study Design
Qualitative study.
Setting & Participants
Semi-structured interviews with 96 participants (response rate, 67%), including patients with stage 4 chronic kidney disease (n = 30), new hemodialysis patients with (n = 18) and without (n = 20) permanent access (arteriovenous fistula), family members (n = 19), and kidney health care providers (n = 9).
Analytical Approach
Thematic analysis.
Results
Patients reported differential levels of behavioral activation toward access creation: avoidance/denial, wait and see, or active intention. 6 core themes were identified: (1) lack of symptoms, (2) dialysis fear and practical concerns (exaggerated fear, pain, cost, lifestyle disruptions, work-related concerns, burdening their families), (3) evaluating value against costs/risks of access creation (benefits, threat of operation, viability, prompt for early initiation), (4) preference for alternatives, (5) social influences (hearsay, family involvement, experiences of others), and (6) health care provider interactions (mistrust, interpersonal tension, lack of clarity on information). Themes were common to all groups, whereas nuanced perspectives of family members and health care providers were noted in some subthemes.
Limitations
Response bias.
Conclusions
Individual, interpersonal, and psychosocial factors compromise dialysis preparation and contribute to suboptimal dialysis initiation. Our findings support the need for interventions to improve patient and family engagement and address emotional concerns and misperceptions about preparing for dialysis
Health Informatics and E-health Curriculum for Clinical Health Profession Degrees
This article is published online with Open Access by IOS Press and distributed under the terms
of the Creative Commons Attribution Non-Commercial License.The project reported in this paper models a new approach to making health informatics and e-health education widely available to students in a range of Australian clinical health profession degrees. The development of a Masters level subject uses design-based research to apply educational quality assurance practices which are consistent with university qualification frameworks, and with clinical health profession education standards; at the same time it gives recognition to health informatics as a specialised profession in its own right. The paper presents details of (a) design with reference to the Australian Qualifications Framework and CHIA competencies, (b) peer review within a three-university teaching team, (c) external review by experts from the professions, (d) cross-institutional interprofessional online learning, (e) methods for evaluating student learning experiences and outcomes, and (f) mechanisms for making the curriculum openly available to interested parties. The project has sought and found demand among clinical health professionals for formal health informatics and e-health education that is designed for them. It has helped the educators and organisations involved to understand the need for nuanced and complementary health informatics educational offerings in Australian universities. These insights may aid in further efforts to address substantive and systemic challenges that clinical informatics faces in Australia
Reverse chemical ecology approach for the identification of an oviposition attractant for Culex quinquefasciatus.
Pheromones and other semiochemicals play a crucial role in today's integrated pest and vector management strategies. These semiochemicals are typically discovered by bioassay-guided approaches. Here, we applied a reverse chemical ecology approach; that is, we used olfactory proteins to lead us to putative semiochemicals. Specifically, we used 7 of the top 10 odorant receptors (ORs) most expressed in the antennae of the southern house mosquito, Culex quinquefasciatus, and which are yet to be deorphanized. We expressed these receptors in the Xenopus oocyte recording system and challenged them with a panel of 230 odorants, including physiologically and behaviorally active compounds. Six of the ORs were silent either because they are not functional or a key odorant was missing. CquiOR36, which showed the highest transcript levels of all OR genes in female antennae, was also silent to all odorants in the tested panel, but yielded robust responses when it was accidentally challenged with an old sample of nonanal in ethanol. After confirming that fresh samples were inactive and through a careful investigation of all possible "contaminants" in the old nonanal samples, we identified the active ligand as acetaldehyde. That acetaldehyde is activating CquiOR36 was further confirmed by electroantennogram recordings from antennae of fruit flies engineered to carry CquiOR36. Antennae of female mosquitoes also responded to acetaldehyde. Cage oviposition and dual-choice assays demonstrated that acetaldehyde is an oviposition attractant in a wide range of concentrations and thus of potential practical applications
Towards Bayesian-Based Trust Management for Insider Attacks in Healthcare Software-Defined Networks
© 2004-2012 IEEE. The medical industry is increasingly digitalized and Internet-connected (e.g., Internet of Medical Things), and when deployed in an Internet of Medical Things environment, software-defined networks (SDNs) allow the decoupling of network control from the data plane. There is no debate among security experts that the security of Internet-enabled medical devices is crucial, and an ongoing threat vector is insider attacks. In this paper, we focus on the identification of insider attacks in healthcare SDNs. Specifically, we survey stakeholders from 12 healthcare organizations (i.e., two hospitals and two clinics in Hong Kong, two hospitals and two clinics in Singapore, and two hospitals and two clinics in China). Based on the survey findings, we develop a trust-based approach based on Bayesian inference to figure out malicious devices in a healthcare environment. Experimental results in either a simulated and a real-world network environment demonstrate the feasibility and effectiveness of our proposed approach regarding the detection of malicious healthcare devices, i.e., our approach could decrease the trust values of malicious devices faster than similar approaches
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BVPSMS: A Batch Verification Protocol for End-to-End Secure SMS for Mobile Users
Short Message Service (SMS) is a widely used communication medium for mobile applications, such as banking, social networking, and e-commerce. Applications of SMS services also include real-time broadcasting messages, such as notification of natural disasters and terrorist attacks, and sharing the current whereabouts to other users, such as notifying urgent business meeting information, transmitting quick information in the battlefield to multiple users, notifying current location to our friends, and sharing market information. However, traditional SMS is not designed with security in mind (e.g. messages are not securely sent). In this paper, we introduce a batch verification Authentication and Key Agreement (AKA) protocol, BVPSMS, which provides end-to-end message security over an insecure communication channel between different Mobile Subscribers (MSs). Specifically, the proposed protocol securely transmits SMS from one MS to multiple MS simultaneously. We then evaluate the performance of the BVPSMS protocol in terms of communication and computation overheads, protocol execution time, and batch and re-batch verification times. The impacts of the user mobility, and the time, space, and cost complexity analysis are also discussed. We present a formal proof of the proposed protocol. To the best of our knowledge, this is the first provably-secure batch verification AKA protocol, which provides end-to-end security to the SMS using symmetric keys
Chemical Raman Enhancement of Organic Adsorbates on Metal Surfaces
Using a combination of first-principles theory and experiments, we provide a
quantitative explanation for chemical contributions to surface-enhanced Raman
spectroscopy for a well-studied organic molecule, benzene thiol, chemisorbed on
planar Au(111) surfaces. With density functional theory calculations of the
static Raman tensor, we demonstrate and quantify a strong mode-dependent
modification of benzene thiol Raman spectra by Au substrates. Raman active
modes with the largest enhancements result from stronger contributions from Au
to their electron-vibron coupling, as quantified through a deformation
potential, a well-defined property of each vibrational mode. A straightforward
and general analysis is introduced that allows extraction of chemical
enhancement from experiments for specific vibrational modes; measured values
are in excellent agreement with our calculations.Comment: 5 pages, 4 figures and Supplementary material included as ancillary
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A performance comparison of the contiguous allocation strategies in 3D mesh connected multicomputers
The performance of contiguous allocation strategies can be significantly affected by the distribution of job execution times. In this paper, the performance of the existing contiguous allocation strategies for 3D mesh multicomputers is re-visited in the context of heavy-tailed distributions (e.g., a Bounded Pareto distribution). The strategies are evaluated and compared using simulation experiments for both First-Come-First-Served (FCFS) and Shortest-Service-Demand (SSD) scheduling strategies under a variety of system loads and system sizes. The results show that the performance of the allocation strategies degrades considerably when job execution times follow a heavy-tailed distribution. Moreover, SSD copes much better than FCFS scheduling strategy in the presence of heavy-tailed job execution times. The results also show that the strategies that depend on a list of allocated sub-meshes for both allocation and deallocation have lower allocation overhead and deliver good system performance in terms of average turnaround time and mean system utilization
WAX INDUCER1 (HvWIN1) transcription factor regulates free fatty acid biosynthetic genes to reinforce cuticle to resist Fusarium head blight in barley spikelets
Fusarium head blight (FHB), caused by Fusarium graminearum, is one of the most devastating diseases of wheat and barley. Resistance to FHB is highly complex and quantitative in nature, and is most often classified as resistance to spikelet infection and resistance to spread of pathogen through the rachis. In the present study, a resistant (CI9831) and a susceptible (H106-371) two-row barley genotypes, with contrasting levels of spikelet resistance to FHB, pathogen or mock-inoculated, were profiled for metabolites based on liquid chromatography and high resolution mass spectrometry. The key resistance-related (RR) metabolites belonging to fatty acids, phenylpropanoids, flavonoids and terpenoid biosynthetic pathways were identified. The free fatty acids (FFAs) linoleic and palmitic acids were among the highest fold change RR induced (RRI) metabolites. These FFAs are deposited as cutin monomers and oligomers to reinforce the cuticle, which acts as a barrier to pathogen entry. Quantitative real-time PCR studies revealed higher expressions of KAS2, CYP86A2, CYP89A2, LACS2 and WAX INDUCER1 (HvWIN1) transcription factor in the pathogen-inoculated resistant genotype than in the susceptible genotype. Knockdown of HvWIN1 by virus-induced genes silencing (VIGS) in resistant genotype upon pathogen inoculation increased the disease severity and fungal biomass, and decreased the abundance of FFAs like linoleic and palmitic acids. Notably, the expression of CYP86A2, CYP89A2 and LAC2 genes was also suppressed, proving the link of HvWIN1 in regulating these genes in cuticle biosynthesis as a defense response.Arun Kumar; Kalenahalli N. Yogendra. Shailesh Karre, Ajjamada C. Kushalappa, Yves Dion, Thin M. Cho
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