64 research outputs found

    Resource Reservation protocol Tunnelling Extension in MPLS for sustainable Mobile Wireless Networks

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    Traffic Engineering (TE) is most effective in networks where some links are heavily utilized and have little or no bandwidth available while others carry little or no traffic. It is of great importance to the recent development of mobile and wireless technologies. Without the process of TE, there is possibilities of having under-utilization and over-utilization problems along the links. It is necessary to consider the implementation that would avoid the goal of network and unguaranteed bandwidth delivery. Therefore, the operators and service providers require seamless combination of network protocols with an improved quality of service (QoS). This paper will be focusing on Resource Reservation Protocol Tunnelling Extension Multiprotocol Layer Switching (RSVP-TE MPLS) for sustainable mobile wireless networks. This will make provision of bandwidth allocation possible by implementing the configurations of the dynamic and static LSPs (Label Switching Paths). The network model designed will be used for this purpose by using simulation approach. The verification of the MPLS model will be presented. It will eventually maximize bandwidth utilization, minimize operation cost and improve QoS

    Systematic analysis of secreted proteins reveals synergism between IL6 and other proteins in soft agar growth of MCF10A cells

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    <p>Abstract</p> <p>Introduction</p> <p>Breast cancer, the most common malignancy in women, still holds many secrets. The causes for non-hereditary breast cancer are still unknown. To elucidate any role for circulating naturally secreted proteins, a screen of secreted proteins' influence of MCF10A cell anchorage independent growth was set up.</p> <p>Methods</p> <p>To systematically screen secreted proteins for their capacity to transform mammalian breast epithelial cells, a soft agar screen of MCF10A cells was performed using a library of ~ 470 secreted proteins. A high concentration of infecting viral particles was used to obtain multiple infections in individual cells to specifically study the combined effect of multiple secreted proteins.</p> <p>Results</p> <p>Several known breast cancer factors, such as Wnt, FGF and IL were retained, as well as factors that were previously unknown to have a role in breast cancer, such as paraoxonase 1 and fibroblast growth factor binding protein 2. Additionally, a combinatory role of Interleukin 6 with other factors in MCF10A anchorage-independent growth is demonstrated.</p> <p>Conclusion</p> <p>The transforming effect of combinations of IL6 with other secreted proteins allows studying the transformation of mammary epithelial cells <it>in vitro</it>, and may also have implications in <it>in vivo </it>studies where secreted proteins are upregulated or overexpressed.</p

    Design of mobile band subsurface antenna for drainage infrastructure monitoring

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    This paper presents an underground subsurface wireless sensor for drainage infrastructure water level monitoring. It operates from 800 to 2170 MHz to cover the required GSM850/900, GSM1800/1900 and UMTS bands. The system consists of a wideband antenna, transceiver, data acquisition unit and an ultrasonic sensor. The proposed antenna is a 3-dimensional inverted double F antenna and has an envelope size of 90 × 63.5 × 32 mm^3 , which is acceptably small for a cramped subsurface passageway environment. The antenna design was developed using software simulation to optimise its key parameters of return loss and radiation pattern, these being evaluated both in free space and in the partially underground environment. The design developed was then realised in hardware and tested in a representative subsurface location: a utility manhole chamber. It was found that the location of the antenna in the chamber had a significant effect on its performance, but a location that was acceptable for operational purposes was found by experiment. The overall system, including a transceiver, was demonstrated to operate satisfactorily for utility monitoring purposes, including acceptable levels of path loss for communication with mobile communication base stations

    A diverse view of science to catalyse change

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    Valuing diversity leads to scientific excellence, the progress of science and, most importantly, it is simply the right thing to do. We must value diversity not only in words, but also in actions

    Increasing access to integrated ESKD care as part of Universal Health Coverage

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    The global nephrology community recognizes the need for a cohesive strategy to address the growing problem of end-stage kidney disease (ESKD). In March 2018, the International Society of Nephrology hosted a summit on integrated ESKD care, including 92 individuals from around the globe with diverse expertise and professional backgrounds. The attendees were from 41 countries, including 16 participants from 11 low- and lower-middle–income countries. The purpose was to develop a strategic plan to improve worldwide access to integrated ESKD care, by identifying and prioritizing key activities across 8 themes: (i) estimates of ESKD burden and treatment coverage, (ii) advocacy, (iii) education and training/workforce, (iv) financing/funding models, (v) ethics, (vi) dialysis, (vii) transplantation, and (viii) conservative care. Action plans with prioritized lists of goals, activities, and key deliverables, and an overarching performance framework were developed for each theme. Examples of these key deliverables include improved data availability, integration of core registry measures and analysis to inform development of health care policy; a framework for advocacy; improved and continued stakeholder engagement; improved workforce training; equitable, efficient, and cost-effective funding models; greater understanding and greater application of ethical principles in practice and policy; definition and application of standards for safe and sustainable dialysis treatment and a set of measurable quality parameters; and integration of dialysis, transplantation, and comprehensive conservative care as ESKD treatment options within the context of overall health priorities. Intended users of the action plans include clinicians, patients and their families, scientists, industry partners, government decision makers, and advocacy organizations. Implementation of this integrated and comprehensive plan is intended to improve quality and access to care and thereby reduce serious health-related suffering of adults and children affected by ESKD worldwide

    Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

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    Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P &lt; 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely
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