Time synchronization for deterministic communication

Deterministic communication is required for applications of several industry verticals including manufacturing, automotive, financial, and health care, etc. These applications rely on reliable and time-synchronized delivery of information among the communicating devices. Therefore, large delay variations in packet delivery or inaccuracies in time synchronization cannot be tolerated. In particular, the industrial revolution on digitization, connectivity of digital and physical systems, and flexible production design require deterministic and time-synchronized communication. A network supporting deterministic communication guarantees data delivery in a specified time with high reliability. The IEEE 802.1 TSN task group is developing standards to provide deterministic communication through IEEE 802 networks. The IEEE 802.1AS standard defines time synchronization mechanism for accurate distribution of time among the communicating devices. The time synchronization accuracy depends on the accurate calculation of the residence time which is the time between the ingress and the egress ports of the bridge and includes the processing, queuing, transmission, and link latency of the timing information. This paper discusses time synchronization mechanisms supported in current wired and wireless integrated systems

The exam performance of medical students with dyslexia: a review of the literature

Introduction: Dyslexia is a common condition. Estimates suggest it effects approximately 10% of the worldwide population, and 1.7% of UK medical students. This review aimed to explore the existing literature concerning the exam performance of medical students with dyslexia. Methods: A Review of Medline, ERIC, PsychInfo, The Cochrane Library, and Google Scholar was conducted in accordance with the PRISMA checklist. Papers were accepted if they concerned the exam performance of medical students with dyslexia. Results: Three papers were selected for review. These were all cross-sectional studies comparing exam results in students with dyslexia and without dyslexia – and the impacts of extra time in exams. A risk of bias assessment determined that all three were appropriate to include in this review. A meta-analysis was planned but could not be performed because the number of studies was low and heterogeneity between the studies too high. There was consensus that Multiple Choice Question exams were fair for students with dyslexia, when extra time was allowed. Essay type exams were found to be particularly challenging for students with dyslexia. Students with dyslexia were also found to be at a disadvantage in their first year. Discussion: Overall, the evidence suggests that medical students with dyslexia are slower to adapt to medical school and under-perform early in the course. However, with appropriate supports, they appear to perform on a par with their non-dyslexic peers as they progress through their course. Our review highlights the need for more research in the medical student population. Keywords: Dyslexia, Specific Learning Difficulties, Neurodiversity, Literature Review, Medical Student

On pump coronary surgical revascularization in a patient with chronic immune thrombocytopenic purpura

We performed on-pump coronary artery bypass graft surgery on a 54-year-old female, known case of chronic Idiopathic Thrombocytopenic Purpura (ITP), hypertension and dyslipidaemia who had presented to us with progressive exertional shortness of breath and chest pain. The decision of going on with CABG was made after two weeks of preoperative treatment with prednisolone. Her platelet counts pre-operatively and on the 4th post-operative day were 135 x 10(9)/L and 32 x 10(9)/L. She had an unremarkable post-operative recovery, without requiring whole blood or platelet transfusions. We recommend preoperative steroid treatment in patients with chronic ITP undergoing CABG

Dapsone hypersensitivity syndrome-rare complication of dapsone therapy

Among several other adverse effects of dapsone therapy, dapsone hypersensitivity syndrome is extremely rare but most life-threatening complication. Here we report a case of severe dapsone hypersensitivity syndrome in a 27-year-old female student diagnosed as immune thrombocytopenic purpura on dapsone therapy who was admitted with remittent fever, lymphadenopathy and skin rash and was managed successfully with drug withdrawal and systemic glucocorticoid therapy. The idea of reporting this case is to recognise the rare potentially life threatening adverse effect of dapsone therapy, its timely diagnosis and favourable outcome with systemic glucocorticoid therapy

Physico-Chemical Characterization Of Sweet Chestnut (Castanea Sativa L.) Starch Grown In Temperate Climate Of Kashmir, India

Studies were conducted to characterize the chestnut starch for physico-chemical properties. Chemical composition of chestnut starch showed low levels of protein and ash indicating purity of starch. The results revealed low water and oil absorption capacity of chestnut starch. Starch showed high swelling power and low solubility index. Swelling power and solubility index of chestnut starch increased with increase in temperature (50–90 °C). The results revealed high initial, peak, setback, breakdown, and final viscosity but low paste development temperature. Transmittance (%) of the starch gel was low and decreased with increasing storage period. The chestnut starch gel showed increase in % water release (syneresis) with increase in time of storage but was less susceptible to repeated cycles of freezing and thawing. Starch was also characterized for granule morphology. Starch granules were of round and oval shapes, some granules showed irregular shape

CMS Software Distribution on the LCG and OSG Grids

The efficient exploitation of worldwide distributed storage and computing resources available in the grids require a robust, transparent and fast deployment of experiment specific software. The approach followed by the CMS experiment at CERN in order to enable Monte-Carlo simulations, data analysis and software development in an international collaboration is presented. The current status and future improvement plans are described.Comment: 4 pages, 1 figure, latex with hyperref

The Paradox of Shorebird Diversity and Abundance in the West Coast and East Coast of India: A Comparative Analysis

Migratory shorebirds that move across continents along their flyways are undergoing a drastic decline globally. A greater proportion of them that regularly winter along the Indian coasts within the Central Asian Flyway (CAF) are also undergoing severe declines. However, the mechanisms underlying the population trends in these areas remain little understood. This study investigated the diversity, abundance, population dynamics and distribution patterns of shorebirds along the Indian coasts based on the available literature. The west coast of India is relatively less studied than the east coast in the CAF. Further, we observed that the diversity, abundance, population dynamics and distribution pattern of the shorebirds follow different trends on the west coast compared to the east coast. These variations are in accordance with the differences in topography and biotic and abiotic factors between the coasts. Anthropogenic activities have far-reaching effects on the survival and persistence of shorebirds along the coasts. The west coast is evidently more productive than the east coast at every trophic level and thus the west coast is expected to account for more abundance and diversity of shorebirds. Paradoxically, we found that the east coast supports a greater abundance and diversity of shorebirds than the west coast. The west coast, therefore, requires further investigations to obtain a better understanding of the causes of apparent differences in abundance and diversity as well as the observed declines in shorebirds, compared to the east coast of India

Cancer Esophagus Karachi 1995-2002:Epidemiology, Risk Factors and Trends

Objective: To study the trends of cancer esophagus in Karachi South during 1995-2002 and identify risk factors. Methods: Incident esophageal cancer cases recorded at the Karachi Cancer Registry for Karachi South, during 1st January 1995 to 31st December 2003 were reviewed. For maximum completion of data, incident cases registered from 1st January 1995 to 31st December 2002 were included for final analyses. Results: The Age Standardized Incidence Rates (ASIRs) of cancer esophagus in Karachi South for males were 6.5/100,000 (1995-1997) and 6.4/100,000 (1998-2002). In females the observed rates were 7.0/100,000 (1995-1997) and 8.6/100,000 (1998-2002). Conclusion: In the moderately high incidence, cancer esophagus zone of Karachi, the ASIRs in males remained stable during the last decade, but in females, an upward trend was observed suggesting a progressively higher exposure to risk factors in the latter. The potential risk factors in Karachi are use of all forms of tobacco, areca nut, infrequent consumption of raw fruits and vegetables and diet deficiencies. There is a necessity to actively control the proven risk factors and address the existence of other risk factors. The primary recommended strategy for the control of cancer esophagus would therefore be legislation against tobacco and areca nut in Pakistan and public health education. The risk factors of cancer esophagus identified in this article need to be further confirmed