SIMPLE: Stable Increased-throughput Multi-hop Protocol for Link Efficiency in Wireless Body Area Networks

In this work, we propose a reliable, power efficient and high throughput routing protocol for Wireless Body Area Networks (WBANs). We use multi-hop topology to achieve minimum energy consumption and longer network lifetime. We propose a cost function to select parent node or forwarder. Proposed cost function selects a parent node which has high residual energy and minimum distance to sink. Residual energy parameter balances the energy consumption among the sensor nodes while distance parameter ensures successful packet delivery to sink. Simulation results show that our proposed protocol maximize the network stability period and nodes stay alive for longer period. Longer stability period contributes high packet delivery to sink which is major interest for continuous patient monitoring.Comment: IEEE 8th International Conference on Broadband and Wireless Computing, Communication and Applications (BWCCA'13), Compiegne, Franc

Paediatric prescribing in Karachi

To assess amount of drug overuse we studied drug prescribing for common childhood problems by 65 general practitioners (GPs) and 29 paediatricians. A total of 2433 encounters between GPs or paediatricians and children under five years of age were observed. The presenting complaints were fever in 18%, cough in 9%, both fever and cough in 21%, vomiting in 20% and diarrhoea in 41% of encounters. Antibacterials were prescribed in 49% of encounters, analgesics and antipyretics in 29%, antiemetics in 8% and injectables in 15%. Antidiarrhoeals were prescribed in 41% encounters with children reported to have diarrhoea. Ampicillin and cotrimoxazole were the two common antibacterials prescribed by both GPs and paediatricians. Antibacterials were prescribed in significantly larger number of encounters with GPs than in those with paediatricians. Mean encounter time of patients with GPs was 3.4+/-2.7 minutes and with paediatricians 9.7+/-4.1 minutes

Membrane Permeability Threshold for Osmotic Power Plant Efficiency

In a context of ever-growing electricity consumption and need for less polluting sources of energy, salinity gradient power (SGP) based on osmosis is a promising technology. Salinity difference between two solutions separated by a semi-permeable membrane leads to the pressure increase. The aim of this study is to find the critical permeability threshold of a membrane for the dimensioning an osmotic power plant. Using Spiegler-Kedem equations, the various fluxes across the membrane have been calculated, and delivered power is explicitly derived in terms of system parameters. A necessary condition for economic viability is that its upper bound is larger than a critical threshold value below which osmotic power plant is not profitable. As it is directly proportional to membrane permeability, fixing the optimal membrane permeability value will in turn enable conceive more efficient membranes specifically made for osmotic energy production, as such membranes do not exist today

EEG Findings in Infants With Neonatal Abstinence Syndrome Presenting With Clinical Seizures

Neonatal abstinence syndrome (NAS) refers to a constellation of signs occurring in newborn infants who were exposed to opioids or opiates in utero. These manifestations include poor feeding, gastrointestinal disorders, abnormal sleep patterns, and neurological signs such as jitteriness, tremors, and seizures (1, 2). Myoclonus, jitteriness, and tremors often may be interpreted as seizures and therefore treated as epileptic seizures. Objective: To determine whether seizure like activity observed in infants with NAS correlate with electroencephalogram (EEG) findings. Design/ Method: We reviewed the standard EEG or video electroencephalogram (VEEG) of infants with NAS who were admitted because of seizure-like clinical activity. The exclusion criteria were major neurological anomalies, hypoxic ischemic encephalopathy, metabolic disorders, or with clinical diagnosis other than NAS. Results: Forty neonates met study criteria; 28 had standard EEG recordings and 18 had VEEG. Mean gestational age was 38.5 weeks. The onset of seizure-like clinical activity was as early as day 1 and as late as day 16 of life. The clinical seizure-like activity described at the referring hospital were jerking, rhythmic movement of the extremities, or tremors. Only three (7.5%) neonates had epileptic seizures. There were increased sharp transients in frontal, central, temporal, and or occipital regions. VEEG showed disturbed non-rapid eye movement (REM) sleep with frequent arousal, jittery movements, or sleep myoclonus. Conclusion: Clinical seizure-like activity correlates poorly with epileptic seizures in infants with NAS. In neonates with NAS, a VEEG would be useful to determine if the clinical seizure-like activity is of epileptic origin or not, prior to initiation of anti-seizure medications

A roadmap to develop dementia research capacity and capability in Pakistan: a model for low- and middle-income countries

Objective To produce a strategic roadmap for supporting the development of dementia research in Pakistan. Background While global research strategies for dementia research already exist, none is tailored to the specific needs and challenges of low- and middle-income countries (LMIC) like Pakistan. Methods We undertook an iterative consensus process with lay and professional experts to develop a Theory of Change-based strategy for dementia research in Pakistan. This included Expert Reference Groups (ERGs), strategic planning techniques, a “research question” priority survey, and consultations with Key Opinion Leaders. Results We agreed on ten principles to guide dementia research in Pakistan, emphasizing pragmatic, resource sparing, real-world approaches to support people with dementia, both locally and internationally. Goals included capacity/capability building. Priority research topics included raising awareness and understanding of dementia, and improving quality of life. Conclusion This roadmap may be a model for other LMIC health ecosystems with emerging dementia research cultures

Effect of Pulsing Treatments for Enhancing Shelf-Life of Cut Asiatic Lilium cv. Elite

Studies were conducted on cut Asiatic Lilium cv. Elite to assess the effectiveness of various floral preservatives as pulsing treatments for delaying senescence and prolonging vase life. Uniform spikes of lilium at bud colour break stage were brought to the laboratory in the morning and placed in 8 different pulsing solutions consisting of sucrose (Suc) 5%, aluminium sulphate (AS) 400 ppm, silver thio-sulphate (STS) 2.0 mM and citric acid (CA) 1000 ppm alone and in combination with sucrose. Distilled water without any chemical served as the control. Among individual treatments, STS 2.0 mM maintained better water relations and flower quality compared to others. STS also showed superiority over other treatments when combined with Suc 5% by providing largest flower size (16.74 cm) with maximum vase life (17.29 days) owing to most-favourable water relations parameters