Better Outcomes, Lower Costs: How Community-Based Funders Can Transform U.S. Health Care

Mark Kramer and Dr. Atul Gawande discuss the untapped potential for community-based funders to transform the cost and quality of health care in the United States. Individually, these funders have the opportunity to make a profound and lasting impact on the health of their communities; together, they have the opportunity to create a national movement to achieve better outcomes at lower cost

The Rise of Crypto Malware: Leveraging Machine Learning Techniques to Understand the Evolution, Impact, and Detection of Cryptocurrency-Related Threats

Crypto malware has become a major threat to the security of cryptocurrency holders and exchanges. As the popularity of cryptocurrency continues to rise, so too does the number and sophistication of crypto malware attacks. This paper leverages machine learning techniques to understand the evolution, impact, and detection of cryptocurrency-related threats. We analyse the different types of crypto malware, including ransomware, crypto jacking, and supply chain attacks, and explore the use of machine learning algorithms for detecting and preventing these threats. Our research highlights the importance of using machine learning for detecting crypto malware and compares the effectiveness of traditional methods with deep learning techniques. Through this analysis, we aim to provide insights into the growing threat of crypto malware and the potential benefits of using machine learning in combating these attacks

Security System for Industrial Gate And Generation of Gate Pass

This paper gives description of face recognition system which automatically identifies and/or verifies the identity of a person from digital images. The basic flow of system is the image is captured by camera. The PCA algorithm detects the face and extracts its features. After the extraction, system compares the captured images with data base images. When the system found the person to be authorized then the system opens the gate automatically. But if the person is unauthorized then the system does not allow to entering in the industrial campus as well as it will generate the gate pass for the person

Perspectives in quality: designing the WHO Surgical Safety Checklist

The World Health Organization's Patient Safety Programme created an initiative to improve the safety of surgery around the world. In order to accomplish this goal the programme team developed a checklist with items that could and, if at all possible, should be practised in all settings where surgery takes place. There is little guidance in the literature regarding methods for creating a medical checklist. The airline industry, however, has more than 70 years of experience in developing and using checklists. The authors of the WHO Surgical Safety Checklist drew lessons from the aviation experience to create a safety tool that supports essential clinical practice. In order to inform the methodology for development of future checklists in health care, we review how we applied lessons learned from the aviation experience in checklist development to the development of the Surgical Safety Checklist and also discuss the differences that exist between aviation and medicine that impact the use of checklists in health car

Evaluation of a large-scale donation of Lifebox pulse oximeters to non-physician anaesthetists in Uganda

Summary Pulse oximetry is widely accepted as essential monitoring for safe anaesthesia, yet is frequently unavailable in resource-limited settings. The Lifebox pulse oximeter, and associated management training programme, was delivered to 79 non-physician anaesthetists attending the 2011 Uganda Society of Anaesthesia Annual Conference. Using a standardised assessment, recipients were tested for their knowledge of oximetry use and hypoxia management before, immediately following and 3–5 months after the training. Before the course, the median (IQR [range]) test score for the anaesthetists was 36 (34–39 [26–44]) out of a maximum of 50 points. Immediately following the course, the test score increased to 41 (38–43 [25–47]); p < 0.0001 and at the follow-up visit at 3–5 months it was 41 (39–44 [33–49]); p = 0.001 compared with immediate post-training test scores, and 75/79 (95%) oximeters were in routine clinical use. This method of introduction resulted in a high rate of uptake of oximeters into clinical practice and a demonstrable retention of knowledge in a resource-limited setting

Performance Assessment of Petrol Engines with Hydrogen as an Alternative Fuel

Received: 7 November 2023. Revised: 17 January 2024. Accepted: 21 May 2024. Available online: 30 June 2024.This research focused on reducing emissions from petrol engines to mitigate greenhouse gases. Experiments aimed to decrease pollutants from petrol engines and enhance efficiency at full load using hydrogen as a secondary fuel, injecting it for 2 milliseconds and 2.5 milliseconds. The study comprised two phases: one using petrol alone at all loads, and the other combining petrol with hydrogen injections at 216 gm/hour and 270 gm/hour. Performance, pollutants, brake, and mechanical efficiencies were compared between phases. Efficiency gradually improved with load for the 2ms injection. Efficiency improved in all timing cases with hydrogen compared to running on petrol alone. The highest efficiencies occurred with 2.5ms hydrogen injection, reducing pollutants at full load, making it the optimal interval. Injecting hydrogen in petrol engines improves efficiency by reducing emissions. Injecting hydrogen at 270 gm/hour at full load increased brake and indicated thermal efficiency by 9%, with no change in mechanical efficiency compared to pure petrol, which was slightly higher. Emissions of NO, CO2, and HC were reduced by 16.5%, 15%, and 17.2% respectively. Oxygen percentage by volume increased by 10.43%, supporting complete combustion

Mindfulness and Behavior Change

Initiating and maintaining behavior change is key to the prevention and treatment of most preventable chronic medical and psychiatric illnesses. The cultivation of mindfulness, involving acceptance and nonjudgment of present-moment experience, often results in transformative health behavior change. Neural systems involved in motivation and learning have an important role to play. A theoretical model of mindfulness that integrates these mechanisms with the cognitive, emotional, and self-related processes commonly described, while applying an integrated model to health behavior change, is needed. This integrative review (1) defines mindfulness and describes the mindfulness-based intervention movement, (2) synthesizes the neuroscience of mindfulness and integrates motivation and learning mechanisms within a mindful self-regulation model for understanding the complex effects of mindfulness on behavior change, and (3) synthesizes current clinical research evaluating the effects of mindfulness-based interventions targeting health behaviors relevant to psychiatric care. The review provides insight into the limitations of current research and proposes potential mechanisms to be tested in future research and targeted in clinical practice to enhance the impact of mindfulness on behavior change

Cystoscopic removal of an intravesical gossypiboma mimicking a bladder mass: a case report

<p>Abstract</p> <p>Background</p> <p>Intravesical retained surgical sponges are very rare and only a few cases have been removed by minimally invasive techniques.</p> <p>Case presentation</p> <p>We report a case of an intravesical gossypiboma in a 71-year-old man from western Nepal, who presented with urinary retention and persistent lower urinary tract symptoms one year after open cystolithotomy. He was diagnosed with an intravesical mass using ultrasonography. The retained surgical sponge was found during cystoscopy and removed through endoscopy.</p> <p>Conclusion</p> <p>Intravesical gossypibomas are rare and can mimic a bladder mass. This is one of the few reported cases of cystoscopic removal.</p

A Good Death?

This paper offers some personal reflections on the idea of ‘a good death’, a theme in the writing of philosophers since classical times. The hospice movement has made immense progress in creating conditions in which we can ‘die better’. But such experiences are still the exception rather than the rule. The psychological challenge is how to relate to the dying as they are dying, and how as we die we relate to the living. I reflect on my own experience of my father’s death, and a moment of fleeting but genuine contact between us. Atul Gawande’s idea of the ‘hard conversations’ we must learn to have as we approach death are enlightening. Ultimately I argue, we die alone, and how we are, or are not, ‘held in mind’ as we approach death may be an index of the nearest we can approach to the idea of an ‘afterlife’