Using Available Wireless/Wired Network Infrastructure for Public Safety and Emergency Early Response

© ASEE 2008After September eleven the idea of Public Safety became a key policy goal for every governmental, education and commercial institute. Currently, most of the buildings are equipped with infrastructure for internal and external communication and networking. By being able to utilize the existing infrastructure of wireless / wired network in a building, we can have in place an early response system to disasters. This is important to save lives and get resolution for a disaster sooner. The idea here is to eliminate or reduce additional cost for a dedicated infrastructure for early response system. Due to the growth for the need of internetworking, most of the buildings have already a good base for such a system. This article contributes to the solution of the problem by specifying a novel solution for integration WLAN and existing infrastructure to the system of public safety and emergency early response

Armor-LEACH for Wireless Sensor Network

© ASEE 2008The use of sensor networks is increasing day by day; which offer more research topics to be discuss and modified; one of these topics is the power consumption that has to be reduced as possible, where the resources are limited; another topic is the security level that should be offer by such kind of networks. Clustered networks have been proposed in many papers to reduce the power consumption in sensor networks. LEACH is one of the most interested techniques that offer an efficient way to minimize the power consumption in sensor networks. TCCA provides LEACH with higher performance, by applying some modification to the way LEACH works. In this paper we combine two of the most powerful proposed techniques that can be applied on LEACH to reduce the power consumption and to increase the level of security

Parameterized Affect of Transmission-Range on Lost of Network Connectivity (LNC) of Wireless Sensor Networks

Wireless Sensor Networks, referred to as WSNs, are made up of various types of sensor nodes. Recent developments in micro electro-mechanical technology have given rise to new integrated circuitry, microprocessor hardware and nanotechnology, wireless technology, and advanced networking routing protocols. Hospitals and health service facilities, the armed forces, and even residential customers represent a potential huge market for these devices. The problem is that existing sensor network nodes are incapable of providing the support needed to maximize usage of wireless technology. For this reason, there are many novel routing protocols for the wireless sensor networks proposed recently. One is Hierarchical or cluster-based routing. In this paper, we analyze three different types of hierarchical routing protocols: Low Energy Adaptive Clustering Hierarchy (LEACH), Power-Efficient Gathering in Sensor Information Systems (PEGASIS), and Virtual Grid Architecture (VGA). We tried to analyze the performance of these protocols, including the power consumption and overall network performance. We also compared the routing protocol together. This comparison reveals the important features that need to be taken into consideration while designing and evaluating new routing protocols for sensor networks. The simulation results, using same limited sensing range value, show that PEGASIS outperforms all other protocols while LEACH has better performance than VGA. Furthermore, the paper investigates the power consumption for all protocols. On the average, VGA has the worst power consumption when the sensing range is limited, while VGA is the best when the sensing range is increased. Using homogeneous nodes can greatly prolong sensor network’s life time. Also, the network lifetime increases as the number of clusters decreases

A PC-Based Simulator/Controller/Monitor Software for a Manipulators and Electromechanical Systems

Pre-print of "A PC-Based Simulator/Controller/Monitor Software for a Generic 6-DOF Manipulator". The final publication is available at link.springer.comGeneral form application is a very important issue in industrial design. Prototyping a design helps in determining system parameters, ranges and in structuring better systems. Robotics is one of the industrial design fields in which prototyping is crucial for improved functionality. Developing an environment that enables optimal and flexible design using reconfigurable links, joints, actuators and sensors is essential for using robots in the education and industrial fields [4] [6]. We propose a PC-Based software package to control, monitor and simulate a generic 6-DOF (six degrees of freedom) robot including a spherical wrist. This package may be used as a black box for the design implementations or as white (detailed) box for learning about the basics of robotics and simulation technology.http://link.springer.com/article/10.1023/A%3A101203541183

Multiclass ECG Signal Analysis Using Global Average-Based 2-D Convolutional Neural Network Modeling

Cardiovascular diseases accounted for approximately 836,546 deaths in the United States in 2018. Nearly 2,300 Americans die of cardiovascular disease each day, an average of one death every 38 seconds. To this end, research has been reported in the literature on Electrocardiogram (ECG) signal analysis to determine arrhythmia and other cardiac conditions. This work introduces a classifier that will detect abnormalities of the ECG signal with its analysis as a 2-D image fed to a Convolutional Neural Network (CNN) classifier.The proposed method classifies the ECG signal as normal or ST-change, V-change by transforming the single-lead ECG signal into images and then applying CNN classification. Images are taken from the European ST-T dataset on PhysioNet databank. Our method yields an accuracy of 99.26%

Prevalence, Awareness, Treatment, and Control of Hypertension among Saudi Adult Population: A National Survey

This cross-sectional study aimed at estimating prevalence, awareness, treatment, control, and predictors of hypertension among Saudi adult population. Multistage stratified sampling was used to select 4758 adult participants. Three blood pressure measurements using an automatic sphygmomanometer, sociodemographics, and antihypertensive modalities were obtained. The overall prevalence of hypertension was 25.5%. Only 44.7% of hypertensives were aware, 71.8% of them received pharmacotherapy, and only 37.0% were controlled. Awareness was significantly associated with gender, age, geographical location, occupation, and comorbidity. Applying drug treatment was significantly more among older patients, but control was significantly higher among younger patients and patients with higher level of physical activity. Significant predictors of hypertension included male gender, urbanization, low education, low physical activity, obesity, diabetes, and hypercholesterolemia. In conclusion prevalence is high, but awareness, treatment, and control levels are low indicating a need to develop a national program for prevention, early detection, and control of hypertension

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

Surgical site infection after gastrointestinal surgery in children: An international, multicentre, prospective cohort study

Introduction Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings. Methods A multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI). Results Of 1159 children across 181 hospitals in 51 countries, 523 (45·1%) children were from high HDI, 397 (34·2%) from middle HDI and 239 (20·6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12·8% (51/397) in middle HDI and 24·7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI. Conclusion The odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda. (Globalsurg Collaborative

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p&lt;0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p&lt;0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised