7 research outputs found
Blockchain and Internet of Things-Based Technologies for Intelligent Water Management System
Internet of things: the concept, inherent security challenges and recommended solutions
The exponential growth observed as well as predicted in the development and deployment of the Internet of Things (IoT) based applications in every walk of our life brings forth the mandatory requirement of the secure communication
system which is seamless yet effective in the highly heterogeneous and resource-constrained network. The core philosophy of the proposed research work is that existing cryptographic modelling will be required to be scaled down for its complexities
by investigating the actual communication problems in security protocols between sensor nodes, Internet host, data centres, cloud clusters, virtual machines, etc. The inclusion of more operational actions while modelling security protocols is
highly prioritised in the proposed research work. In this paper, the prime emphasis is (i) to establish secure pipelining using novel public-key cryptography between the sensor network and Internet host, (ii) a robust authentication scheme considering
both local and global IoT to offer better secure pervasiveness in its applications, and (iii) to apply optimisation towards key management techniques
Pediatric Malignancies, Treatment Outcomes and Abandonment of Pediatric Cancer Treatment in Zambia
BACKGROUND: There exist significant challenges to the receipt of comprehensive oncologic treatment for children diagnosed with cancer in sub-Saharan Africa. To better define those challenges, we investigated treatment outcomes and risk factors for treatment abandonment in a cohort of children diagnosed with cancer at the University Teaching Hospital (UTH), the site of the only pediatric oncology ward in Zambia. METHODS: Using an established database, a retrospective cohort study was conducted of children aged 0–15 years admitted to the pediatric oncology ward between July 2008 and June 2010 with suspected cancer. Diagnosis, mode of diagnosis, treatment outcome, and risk factors for abandonment of treatment were abstracted from this database and clinical medical records. RESULTS: Among 162 children treated at the UTH during the study time period that met inclusion criteria, only 8.0% completed a treatment regimen with most of the patients dying during treatment or abandoning care. In multivariable analysis, shorter distance from home to the UTH was associated with a lower risk of treatment abandonment (Adjusted Odds Ratio [aOR] = 0.48 (95% confidence interval [CI] 0.23–0.97). Conversely maternal education less than secondary school was associated with increased risk for abandonment (aOR = 1.65; 95% CI 1.05–2.58). CONCLUSIONS: Despite availability of dedicated pediatric oncology treatment, treatment completion rates are poor, due in part to the logistical challenges faced by families, low educational status, and significant distance from the hospital. Alternative treatment delivery strategies are required to bring effective pediatric oncology care to the patients in need, as their ability to come to and remain at a central tertiary care facility for treatment is limited. We suggest that the extensive system now in place in most of sub-Saharan Africa that sustains life-long antiretroviral therapy for children with human immunodeficiency virus (HIV) infection be adapted for pediatric cancer treatment to improve outcome
