Hybrid Cloud-Based Privacy Preserving Clustering as Service for Enterprise Big Data

Clustering as service is being offered by many cloud service providers. It helps enterprises to learn hidden patterns and learn knowledge from large, big data generated by enterprises. Though it brings lot of value to enterprises, it also exposes the data to various security and privacy threats. Privacy preserving clustering is being proposed a solution to address this problem. But the privacy preserving clustering as outsourced service model involves too much overhead on querying user, lacks adaptivity to incremental data and involves frequent interaction between service provider and the querying user. There is also a lack of personalization to clustering by the querying user. This work “Locality Sensitive Hashing for Transformed Dataset (LSHTD)” proposes a hybrid cloud-based clustering as service model for streaming data that address the problems in the existing model such as privacy preserving k-means clustering outsourcing under multiple keys (PPCOM) and secure nearest neighbor clustering (SNNC) models, The solution combines hybrid cloud, LSHTD clustering algorithm as outsourced service model. Through experiments, the proposed solution is able is found to reduce the computation cost by 23% and communication cost by 6% and able to provide better clustering accuracy with ARI greater than 4.59% compared to existing works

Health care seeking behaviour and expenditure pattern among Scrub Typhus patients attending a tertiary care hospital in Mysore city

Background: Scrub typhus is one among the re-emerging infectious diseases throughout the world. Various studies conducted across India reveals that its public health importance is increasing. This study was conducted 1) To describe the socio-demographic and epidemiological profile of patients admitted with scrub typhus. 2) To assess the health care seeking behaviour of these patients. 3) To estimate the cost factors incurred in the current episode of illness.  Methods: This prospective study was conducted from January to December 2013 among all lab confirmed cases of scrub typhus admitted to department of medicine and pediatrics of JSS Hospital, Mysore. The study subjects were interviewed with a pre-tested and structured questionnaire. Data regarding socio-demographic profile, epidemiological profile, disease outcome, health care seeking behaviour and cost factors incurred with current episode of illness were collected. Data entry and analysis were done with SPSS.v.22.0 using descriptive statistics like mean, standard deviations and inferential statistics like chi-square test.Results: Among 192 patients tested positive by Weil-Felix test and/or Immuno-Chromatographic Test (ICT) for scrub typhus majority 105 (54.7%) were males and were predominantly 135 (70.3 %) from rural areas. Mostly 172(89.6%) were unaware of any mite bite in the past. Majority 167 (87.0%) of them had visited atleast three Health Care Facilities (HCF) for treatment. The mean ± SD total duration of illness was 15.6 ± 4.1 days. Most 104 (54.2 %) of them had suffered from illness for 11-15 days. Majority 175 (91.1%) of them had recovered while 3 (1.6%) of them had succumbed to the condition. The median Total direct cost, total indirect cost and overall total cost were Rs. 7500 (7000-9500), Rs. 3000 (2500-3500) and Rs. 10500 (10000-13000) respectively. Most 104 (54.2%) of them spent from money borrowed from others, followed by 78 (40.6%) spent Out Of Pocket (OOP).Conclusion: People from rural areas, unskilled workers and children were affected predominantly. With timely diagnosis and appropriate treatment, significant morbidity and mortality could be prevented. Promotion of various public and private health insurance schemes among public would minimise the OOP expenditure and prevents debts.

Conceptual study on Aharapaka in Ayurveda

Ayurveda is the most ancient science of life and its main aim is to maintain health of the healthy individual and prevention of disease and treatment of disease. Ayurveda considered that Ahara, Nidra and Brahmacharya are three main pillars of life. In them Ahara plays an important role in life of all living beings. So, for the maintenance of health, healthy food and proper digestion is needed as per Ayurveda theory, like all the universal matter our body is also made up of Pancha Mahabhutas in this Panchamahabhoutik Shareera various Paka (metabolic transformations) are going on continuously and for this transformation Agni is the key factor and this Agni transforms consumed food into energy. Ahara is the practical application of the principles of nutrition. Aharapaka is the main process which does proper digestion of food in Kosta in various stages. The word Ahaara Paaka is a broad term and it includes various processes of digestion absorption assimilation and metabolism explained in modern science. As per Ayurvedic texts process of Ahaara Paaka begins from intake of food i.e., deglutition and ends at proper digestion. Not only ideal food will nourish our body but also proper digestion of the food will nourish the body and mind. Aharapaka process will helps in the formation of Dosha, Dhathu, and mala and these are the basic elements of the body. So, this present study is taken to find out importance of Aharapaka process in the maintenance of health

Iliac wing osteochondroma in a 16-year-old boy: a case report

Osteochondroma is the most common benign bone tumour. Commonly seen in the long bones of the lower extremity. Ilium is a rare site. We present a 16-year-old boy with swelling in the right groin for 8 months. After clinical and radiological evaluation, it was diagnosed as osteochondroma of right iliac wing. Patient underwent en-bloc excision of the lesion and histopathology confirmed the diagnosis. Pelvic osteochondroma is a rare entity but not unusual. Extra periosteal en-bloc excision is the management of choice in patients with cosmetic deformity, neurovascular compression and malignant transformation with very low recurrence rate

A five year learning experience with sequence of events in a child with closed femur shaft fracture

Femur shaft fractures are the most common fractures requiring hospitalization in children. Management of these fractures mainly depend on the age of the child. Associated injuries, fracture pattern, weight of the child and overlying soft tissue condition also influence the management. Still, the definitive treatment remains controversial in children between 5-16 years. We present our experience in management of 5 year old boy with mid shaft femur fracture and its complications. In his paper we want to highlight the importance of sticking to the basic principles and the recommendations in the management of the paediatric femur shaft fractures

Management of post traumatic posterior acetabular labral tear: a case report

Traumatic acetabular labral tears causing hip instability are rare. Surgical management of posterior labral tear is essential to prevent chronic hip instability and secondary arthritis. We report a 27-year-old female presented following RTA, with posterior hip dislocation along with posterior labral avulsion, managed by surgical repair using suture anchors. Patient had excellent functional outcome at 12 months of follow-up. High index of suspicion for labral injuries is required in patients with posterior hip dislocation and posterior wall fractures. Early surgical repair of torn labrum is must for excellent functional outcome

COMPARISON BETWEEN ROBOTIC ASSISTED LAPAROSCOPIC PYELOPLASTY AND LAPAROSCOPIC PYELOPLASTY AS STANDARD OF CARE FOR PELVI-URETERIC JUNCTION OBSTRUCTION: HOSPITAL-BASED COHORT STUDY.

Introduction Pelvi-Ureteric Junction Obstruction (PUJO) is a significant clinical difficulty that frequently necessitates surgical treatment. This study examines and contrasts the efficacy of Robotic-Assisted Laparoscopic Pyeloplasty (RALP) and Laparoscopic Pyeloplasty (LP) in treating this problem. The objective is to assess perioperative parameters and patient outcomes to identify the most effective technique for controlling PUJO.  Methods The study comprised individuals diagnosed with PUJO who were scheduled to undergo surgical intervention. The study included a total of 48 patients, with 32 of them undergoing LP and the remaining 16 getting RALP.  Results 48 patients (32 LP, 16 RALP) aged 10-70 years were studied, with mean ages of 34.28 (LP) and 39.38 (RALP), a male-to-female ratio of 2.2:1, and success rates of 90.63% (LP) and 93.75% (RALP) in transitioning from an obstructed (TYPE 2) to a normal (TYPE 1) O' The RALP group had a longer mean operative time (226.87 ± 32.39 minutes) than the LP group (186.53 ± 33.58 minutes). The RALP group had better patient outcomes, including faster drain removal time (1.69 ± 1.40 days vs. 3.75 ± 1.50 days), shorter hospital stay (2.88 ± 0.88 days vs. 4.06 ± 1.39 days), and somewhat higher success rate (93.75% vs. 90.63%). The success criteria were an obstructed (TYPE 2) to normal (TYPE 1) O'Reilly Curve within 3 months of surgery.  Conclusion Although RALP has a longer operational time, it has been shown to achieve better results than LP in terms of success rate, duration of drain usage, and total length of hospital stay.  Recommendations It is recommended that future studies include larger sample sizes and longer follow-up periods to further evaluate the long-term effectiveness of RALP and LP in the management of PUJO

The effect of Zn and Zn–WO₃ composites nano-coatings deposition on hardness and corrosion resistance in steel substrate

Pure Zn (Zinc) and its Zn–WO3 (Zinc–Tungsten trioxide) composite coatings were deposited on mild steel specimens by applying the electrodeposition technique. Zn–WO3 composites were prepared for the concentration of 0.5 and 1.0 g/L of particles. The influence of WO3 particles on Zn deposition, the surface morphology of composite, and texture co-efficient were analyzed using a variety of techniques, such as X-ray diffraction (XRD) and scanning electron microscopy (SEM) with Energy Dispersive X-ray analysis (EDX). Higher corrosion resistance and microhardness were observed on the Zn–WO3 composite (concentration of 1.0 g/L). The higher corrosion resistance and microhardness of 1.0 g/L Zn–WO3 nanocomposite coatings effectively protect the steel used for the manufacture of products, parts, or systems from chemical or electrochemical deterioration in industrial and marine ambient environments

The Case | Ectopic calcifications in a child

The case A nine year old boy, born of third degree consanguinity, presented with a hard left scapular swelling for 6 months. There was no history of fever, trauma or weight loss. There was no pain, redness or discharge. This mass was excised but recurred over the next 6 months (Left panel of Figure 1). A similar swelling had been excised from the left knee one year before presentation, but had recurred over 6 months. Family history was negative for similar lesions. Development was normal for age and he had no other medical problems. On examination, pulse was 84 per minute, blood pressure 96/68 mmHg, weight 22 kg and height 122 cm (both between 10th and 25th percentile). A 6 × 4 cm mass was noted in the right scapular region and a 3 × 3 cm mass at the lateral aspect of the left knee. Both of these masses were firm to hard, globular, nontender, and fixed to the bone. The overlying skin was without erythema or local warmth, though scars from the previous resections were noted. Lymphadenopathy was absent. The rest of the examination was unremarkable. Radiographs of the knee showed a lobular, inhomogenously but densely calcified lesion in the anterolateral region of the left knee (Right panel of Figure 1). Serum calcium was 9.