334 research outputs found

    A Holistic Decision Framework to Avoid Vendor Lock-in for Cloud SaaS Migration

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    Cloud computing offers an innovative business model to enterprise for IT services consumption and delivery. Software as a Service (SaaS) is one of the cloud offerings that attract organisations as a potential solution in reducing their IT cost. However, the vast diversity among the available cloud SaaS services makes it difficult for customers to decide whose vendor services to use or even to determine a valid basis for their selections. Moreover, this variety of cloud SaaS services has led to proprietary architectures and technologies being used by cloud vendors, increasing the risk of vendor lock-in for customers. Therefore, when enterprises interact with SaaS providers within the purview of the current cloud marketplace, they often encounter significant lock-in challenges to migrating and interconnecting cloud. Hence, the complexity and variety of cloud SaaS service offerings makes it imperative for businesses to use a clear and well understood decision process to procure, migrate and/or discontinue cloud services. To date, the expertise and technological solutions to simplify such transition and facilitate good decision making to avoid lock-in risks in the cloud are limited. Besides, little investigation has been carried out to provide a comprehensive decision framework to support enterprises on how to avoid lock-in risks when selecting and implementing cloud-based SaaS solutions within existing environments. Such decision framework is important to reduce complexity and variations in implementation patterns on the cloud provider side, while at the same time minimising potential switching cost for enterprises by resolving integration issues with existing IT infrastructures. This paper proposes a holistic 6-step decision framework that enables an enterprise to assess its current IT landscape for potential SaaS replacement, and provides effective strategies to mitigate vendor lock-in risks in cloud (SaaS) migration. The framework follows research findings and addresses the core requirements for choosing vendor-neutral interoperable and portable cloud services without the fear of vendor lock-in, and architectural decisions for secure SaaS migration. Therefore, the results of this research can help IT managers have a safe and effective migration to cloud computing SaaS environment

    Sex Variability in Pediatric Leukemia Survival: Large Cohort Evidence

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    Purpose. Sex disparities in pediatric leukemia have been previously reported, and male children continue to present with poorer survival. However, the observed disparities are not fully understood. This current study sought to examine disparities in survival by the sex, and to determine if tumor prognostic factors impact on these disparities. Patients and Methods. We used the Surveillance Epidemiology and End Results dataset of pediatric leukemia patients (ages 0–19 years) diagnosed in the United States from 1973 to 2006. There were 15,215 patients of whom 8,622 (65.7%) were boys and 6,593 (43.3%) were girls. The Kaplan-Meier survival estimates, log rank test, and Cox proportional hazard methods were used to assess the data. Results. The overall (both sexes) five-year survival rate was 67.9%. Girls had a survival rate of 70.1%, while the rate was 66.3% in boys. Girls had a significant 14% decreased risk of dying relative to boys, hazard ratio (HR) = 0.86, 99% CI = 0.80–0.93. There were significant differences between boys and girls with respect to tumor cell type, race, age at diagnosis, year of diagnosis, and number of primaries, P < 0.001. After controlling for these factors, the sex differences in survival persisted, with girls still less likely to die from leukemia compared to boys, adjusted HR (AHR) = 0.85, 99% CI = 0.72–1.00, P < 0.01. Conclusion. In a large population-based pediatric leukemia study, boys continued to show poorer survival. These disparities were not completely explained by treatment received, tumor prognostic or socio-demographic factors

    Differentiating Instruction in Early Childhood Care Education: Teachers’ Practice

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    Differentiated instruction involves altering the implementation and design of the lesson and activities so that the needs of all children are met. Through it children use different pathways to explore and learn while taking away the same essential ideas and understanding on the content. The study sought to determine teachers’/caregivers practice in differentiating instruction in pre-primary classrooms in Owerri educational zone of Imo state. This descriptive survey is guided by three research questions and two hypotheses. Population comprised all teachers/caregivers in the government approved preprimary schools totaling 119. This number was purposively sampled. Instrument was a validated 17-item questionnaire and data generated were analysed using grand mean, percentages and chi square. Results show that teachers’ practice was very poor. Years of experience had influence on their practice but location did not. Recommendations made among others include the need to mount retraining and retooling programmes to improve teachers’/caregivers practice in differentiating instruction at this foundation level.Key words: childhood education, Differentiated instruction, teachers/ caregivers’practic

    Prediction of ‘Nules Clementine’ mandarin susceptibility to rind breakdown disorder using Vis/NIR spectroscopy

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    The use of diffuse reflectance visible and near infrared (Vis/NIR) spectroscopy was explored as a non-destructive technique to predict ‘Nules Clementine’ mandarin fruit susceptibility to rind breakdown (RBD) disorder by detecting rind physico-chemical properties of 80 intact fruit harvested from different canopy positions. Vis/NIR spectra were obtained using a LabSpec® spectrophotometer. Reference physico-chemical data of the fruit were obtained after 8 weeks of storage at 8 °C using conventional methods and included RBD, hue angle, colour index, mass loss, rind dry matter, as well as carbohydrates (sucrose, glucose, fructose, total carbohydrates), and total phenolic acid concentrations. Principal component analysis (PCA) was applied to analyse spectral data to identify clusters in the PCA score plots and outliers. Partial least squares (PLS) regression was applied to spectral data after PCA to develop prediction models for each quality attribute. The spectra were subjected to a test set validation by dividing the data into calibration (n = 48) and test validation (n = 32) sets. An extra set of 40 fruit harvested from a different part of the orchard was used for external validation. PLS-discriminant analysis (PLS-DA) models were developed to sort fruit based on canopy position and RBD susceptibility. Fruit position within the canopy had a significant influence on rind biochemical properties. Outside fruit had higher rind carbohydrates, phenolic acids and dry matter content and lower RBD index than inside fruit. The data distribution in the PCA and PLS-DA models displayed four clusters that could easily be identified. These clusters allowed distinction between fruit from different preharvest treatments. NIR calibration and validation results demonstrated that colour index, dry matter, total carbohydrates and mass loss were predicted with significant accuracy, with residual predictive deviation (RPD) for prediction of 3.83, 3.58, 3.15 and 2.61, respectively. The good correlation between spectral information and carbohydrate content demonstrated the potential of Vis/NIR as a non-destructive tool to predict fruit susceptibility to RBD

    Cluster update and recognition

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    We present a fast and robust cluster update algorithm that is especially efficient in implementing the task of image segmentation using the method of superparamagnetic clustering. We apply it to a Potts model with spin interactions that are are defined by gray-scale differences within the image. Motivated by biological systems, we introduce the concept of neural inhibition to the Potts model realization of the segmentation problem. Including the inhibition term in the Hamiltonian results in enhanced contrast and thereby significantly improves segmentation quality. As a second benefit we can - after equilibration - directly identify the image segments as the clusters formed by the clustering algorithm. To construct a new spin configuration the algorithm performs the standard steps of (1) forming clusters and of (2) updating the spins in a cluster simultaneously. As opposed to standard algorithms, however, we share the interaction energy between the two steps. Thus the update probabilities are not independent of the interaction energies. As a consequence, we observe an acceleration of the relaxation by a factor of 10 compared to the Swendson and Wang procedure.Comment: 4 pages, 2 figure

    Neonates presenting with severe complications of frenotomy: a case series

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    <p>Abstract</p> <p>Introduction</p> <p>Tongue-tie or ankyloglossia is an anatomic variation in which the lingual frenulum is thick, short or tight. It may be asymptomatic, or present with complications like breast feeding difficulties or speech, dental and cosmetic problems. The treatment of this condition, where indicated, is frenotomy. This procedure usually has few or no complications. However, when it is done by untrained personnel, it may lead to life-threatening complications. This paper highlights complications that could arise from improper treatment of ankyloglossia.</p> <p>Case presentation</p> <p>Case 1 was a one-day-old male neonate, a Nigerian of Igbo ethnicity, who was admitted with bleeding from the mouth and passage of dark stools after clipping of the frenulum by a traditional birth attendant. He was severely pale and in hypovolemic shock, with a severed frenulum which was bleeding actively. His packed cell volume was 15%. He was resuscitated with intravenous fluids and a blood transfusion. The bleeding was controlled using an adrenaline pack. He also received antibiotics. He was discharged five days later.</p> <p>Case 2 was a three-day-old male neonate, a Nigerian of Ikwerre ethnicity, who was admitted with profuse bleeding from a soft tissue injury under the tongue, after clipping of the frenulum by a community health worker. He was severely pale and lethargic. He was resuscitated with intravenous fluids and a blood transfusion. The bleeding vessel was ligated with repair of the soft tissue. He also received antibiotics and was discharged home one week later.</p> <p>Conclusion</p> <p>Treatment of tongue-tie, a benign condition, when done by untrained personnel may result in life-threatening complications. Clinicians should pay more attention to parents' worries about this condition and give adequate counseling or refer them to trained personnel for surgical intervention where clinically indicated.</p

    Skin Cancers Among Albinos at a University Teaching Hospital in Northwestern Tanzania: A Retrospective Review of 64 Cases.

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    Skin cancers are a major risk associated with albinism and are thought to be a major cause of death in African albinos. The challenges associated with the care of these patients are numerous and need to be addressed. The aim of this study was to outline the pattern and treatment outcome of skin cancers among albinos treated at our centre and to highlight challenges associated with the care of these patients and proffer solutions for improved outcome. This was a retrospective study of all albinos with a histopathological diagnosis of skin cancer seen at Bugando Medical Centre from March 2001 to February 2010. Data collected were analyzed using descriptive statistics. A total of 64 patients were studied. The male to female ratio was 1.5:1. The median age of patients was 30 years. The median duration of illness at presentation was 24 months. The commonest reason for late presentation was financial problem. Head and the neck was the most frequent site afflicted in 46(71.8%) patients. Squamous cell carcinoma was the most common histopathological type in 75% of cases. Surgical operation was the commonest modality of treatment in 60 (93.8%) patients. Radiotherapy was given in 24(37.5%) patients. Twenty-seven (42.2%) of the patients did not complete their treatment due to lack of funds. Local recurrence following surgical treatment was recorded in 6 (30.0%) patients. Only thirty-seven (61.7%) patients were available for follow-up at 6-12 months and the remaining patients were lost to follow-up. Skin cancers are the most common cancers among albinos in our environment. Albinism and exposure to ultraviolet light appears to be the most important risk factor in the development of these cancers. Late presentation and failure to complete treatment due to financial difficulties and lack of radiotherapy services at our centre are major challenges in the care of these patients. Early institution of preventive measures, early presentation and treatment, and follow-up should be encouraged in this population for better outcome
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