70 research outputs found

    Aid Nexus : A Blockchain Based Financial Distribution System

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    Blockchain technology has emerged as a disruptive force with transformative potential across numerous industries, promising efficient and automated solutions that can revolutionize traditional systems. By leveraging decentralized ledger systems, blockchain offers enhanced security, transparency, and transaction verification without the need for intermediaries. The finance sector is exploring blockchain-based solutions for payments, remittances, lending, and investments, while healthcare adopts the technology for medical record keeping, supply chain tracking, and data management. Similarly, supply chain management benefits from blockchain's ability to enhance transparency, traceability, and accountability from raw materials to finished products. Other sectors, including real estate, energy, and government, are also investigating blockchain-based solutions to improve efficiency, security, and transparency. Furthermore, smart contracts within the blockchain enable process automation, reducing manual intervention in distribution workflows. AidNeux, a consortium-based blockchain DApp, reimagines the distribution of financial assistance by addressing inefficiencies and opaqueness. Using smart contracts ensures the security and directness of money transfers. Its robust digital identity verification and real-time auditability reduce fraud risks and strengthen accountability, thereby presenting a scalable, transparent solution to problems inherent to conventional financial aid systems

    Duplication of hypoglossal canal in North Indian human skulls

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    Background: The hypoglossal canal is one among the permanent components of occipital bone of both human being and animal skull, which transmits the twelfth cranial nerve, meningeal branch of ascending pharyngeal artery and emissary veins. This is commonly known as anterior condylar canal. In some cases, this canal is divided by a bony spicule leading to a variant known as double hypoglossal canal. Such partition of hypoglossal canal predisposes the roots of twelfth cranial nerve to entrapment in the occipital bone during ossification which subsequently may leads to an alteration in the tongue movement as well as speech. The objectives of the present study were to obtain the incidence of the variant of double hypoglossal canal in north Indian population especially in Bihar and compare the incidence of such type of variation in skull of different parts of our country as well as various races of the world.Methods: The present study was carried out on 110 undamaged dry adult human crania of unknown age and sex for any variations in the hypoglossal canal or incidence of double hypoglossal canal.Results: We observed 15 cases (13.63%) of double hypoglossal canal in which 8 (7.27%) specimens had unilateral while 7 (6.36%) specimens had bilateral double hypoglossal canal. Double hypoglossal canal was more common in right side. In 5 cases (4.54%) unilateral bony spicules were seen.Conclusions: The study about the hypoglossal canal and its different variation is very important to clinicians, anatomist, forensic experts as well as anthropologists too. The knowledge about the different dimensions of hypoglossal canal is also very essential for neurosurgeons and radiologist for the planning of the surgeries around the posterior cranial fossa for tumors like schwannoma of hypoglossal nerve and treatment of sleep apnea syndrome. Hence the detailed morphometric study of hypoglossal canal will be helpful for the planning of surgical intervention around the base of skull becomes easier and safer

    Exploration of Hyperledger Besu in Designing Private Blockchain-based Financial Distribution Systems

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    Blockchain, a decentralized technology that provides unrivaled security, transparency, and process validation, is redefining the operational landscape across numerous industries. This article focuses on the development of an innovative consortium blockchain based financial distribution application. This paper illuminates the transformative role of blockchain technology in a variety of sectors by drawing on a plethora of academic literature and current industry practices. It demonstrates the diverse applications of blockchain, ranging from remittances to lending and investments in finance to data administration in healthcare and supply chain tracking. The paper reveals the design and potential of a consortium blockchain based application for financial distribution. Utilizing the capabilities of Hyperledger Besu, the application is tailored to improve security, scalability, and interoperability, thereby contributing to a more integrated financial ecosystem. The investigation sheds light on the combination of consortium blockchain controlled access and Hyprledger Besu comprehensive functionality, proposing a secure, transparent, and efficient financial transaction environment. The investigation serves as a resource for academics, industry professionals, and policymakers alike, highlighting the vast potential of blockchain technology, enabled by platforms such as Hyperledger Besu, in accelerating the evolution of traditional systems toward a more decentralized, secure, and efficient future

    A New Paradigm in Blockchain-based Financial Aid Distribution

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    Blockchain technology has emerged as a game-changer in a variety of industries, providing robust solutions that can supplant conventional procedures. The unique potential of this technology originates from its decentralized ledger systems, which enable enhanced security, transparency, and the validation of transactions without the need for intermediaries. Notably, the financial sector is making substantial progress toward implementing blockchain solutions for a variety of operations, including remittances, lending, and investments. The healthcare industry is simultaneously incorporating this technology into systems for managing medical records, tracing supply chains, and data management. Similarly, the capacity of blockchain to enhance transparency, traceability, and accountability is widely acknowledged in supply chain management, from the procurement of basic materials to the delivery of finished goods. Diverse industries, including real estate, energy, and government, are actively investigating the potential of blockchain to improve efficiency, security, and transparency. Notably, Hyperledger Besu, an open-source blockchain platform, is used to implement smart contracts that automate processes and reduce manual intervention along distribution pathways. This exhaustive review examines the transformative potential of blockchain technology across a variety of industries, discussing the obstacles encountered and providing key insights into future research and development directions. This paper seeks to serve as a pivotal resource for academics, industry stakeholders, and policymakers by synthesizing existing scholarly literature and shedding light on significant findings

    The effect of PD-L1 testing on the cost-effectiveness and economic impact of immune checkpoint inhibitors for the second-line treatment of NSCLC

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    Background: Immune checkpoint inhibitors improve outcomes compared with chemotherapy in lung cancer. Tumor PD-L1 receptor expression is being studied as a predictive biomarker. The objective of this study was to assess the cost-effectiveness and economic impact of second-line treatment with nivolumab, pembrolizumab, and atezolizumab with and without the use of PD-L1 testing for patient selection. Design: We developed a decision-analytic model to determine the cost-effectiveness of PD-L1 assessment and second-line immunotherapy versus docetaxel. The model used outcomes data from randomized clinical trials (RCTs) and drug acquisition costs from the United States. Thereafter, we used epidemiologic data to estimate the economic impact of the treatment. Results: We included four RCTs (2 with nivolumab, 1 with pembrolizumab, and 1 with atezolizumab). The incremental quality-adjusted life year (QALY) for nivolumab was 0.417 among squamous tumors and 0.287 among non-squamous tumors and the incremental cost-effectiveness ratio (ICER) were 155605and155 605 and 187 685, respectively. The QALY gain in the base case for atezolizumab was 0.354 and the ICER was 215802.Comparedwithtreatingallpatients,theselectionofpatientsbyPD−L1expressionimprovedincrementalQALYbyupto183215 802. Compared with treating all patients, the selection of patients by PD-L1 expression improved incremental QALY by up to 183% and decreased the ICER by up to 65%. Pembrolizumab was studied only in patients whose tumors expressed PD-L1. The QALY gain was 0.346 and the ICER was 98 421. Patient selection also reduced the budget impact of immunotherapy. Conclusion: The use of PD-L1 expression as a biomarker increases cost-effectiveness of immunotherapy but also diminishes the number of potential life-years saved.info:eu-repo/semantics/publishedVersio

    Understanding climate change vulnerability, adaptation and risk perceptions at household level in Khyber Pakhtunkhwa, Pakistan

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    Purpose – This study aims to investigate risks associated with climate change vulnerability and in response the adaptation methods used by farming communities to reduce its negative impacts on agriculture in Pakistan. Design/methodology/approach – The study used household survey method of data collection in Charsadda district of Khyber Pakhtunkhwa province, involving 116 randomly selected respondents. Findings – Prevalent crops diseases, water scarcity, soil fertility loss and poor socio-economic conditions were main contributing factors of climate change vulnerability. The results further showed that changing crops type and cultivation pattern, improved seed varieties, planting shaded trees and the provision of excessive fertilizers are the measures adapted to improve agricultural productivity, which may reduce the climate change vulnerability at a household level. Research limitations/implications – The major limitation of this study was the exclusion of women from the survey due to religious and cultural barriers of in Pashtun society, wherein women and men do not mingle. Practical implications – Reducing climate change vulnerability and developing more effective adaptation techniques require assistance from the government. This help can be in the form of providing basic resources, such as access to good quality agricultural inputs, access to information and extension services on climate change adaptation and modern technologies. Consultation with other key stakeholder is also required to create awareness and to build the capacity of the locals toward reducing climate change vulnerability and facilitating timely and effective adaptation. Originality/value – This original research work provides evidence about farm-level vulnerability, adaptation strategies and risk perceptions on dealing with climate-change-induced natural disasters in Pakistan. This paper enriches existing knowledge of climate change vulnerability and adaptation in this resource-limited country so that effective measures can be taken to reduce vulnerability of farming communities, and enhance their adaptive capability

    Data-driven dynamic clustering framework for mitigating the adverse economic impact of Covid-19 lockdown practices

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    The COVID-19 disease has once again reiterated the impact of pandemics beyond a biomedical event with potential rapid, dramatic, sweeping disruptions to the management, and conduct of everyday life. Not only the rate and pattern of contagion that threaten our sense of healthy living but also the safety measures put in place for containing the spread of the virus may require social distancing. Three different measures to counteract this pandemic situation have emerged, namely: (i) vaccination, (ii) herd immunity development, and (iii) lockdown. As the first measure is not ready at this stage and the second measure is largely considered unreasonable on the account of the gigantic number of fatalities, a vast majority of countries have practiced the third option despite having a potentially immense adverse economic impact. To mitigate such an impact, this paper proposes a data-driven dynamic clustering framework for moderating the adverse economic impact of COVID-19 flare-up. Through an intelligent fusion of healthcare and simulated mobility data, we model lockdown as a clustering problem and design a dynamic clustering algorithm for localized lockdown by taking into account the pandemic, economic and mobility aspects. We then validate the proposed algorithms by conducting extensive simulations using the Malaysian context as a case study. The findings signify the promises of dynamic clustering for lockdown coverage reduction, reduced economic loss, and military unit deployment reduction, as well as assess potential impact of uncooperative civilians on the contamination rate. The outcome of this work is anticipated to pave a way for significantly reducing the severe economic impact of the COVID-19 spreading. Moreover, the idea can be exploited for potentially the next waves of corona virus-related diseases and other upcoming viral life-threatening calamities

    Prevalence of chronic cough, its risk factors and population attributable risk in the Burden of Obstructive Lung Disease (BOLD) study: a multinational cross-sectional study

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    Background: Chronic cough is a common respiratory symptom with an impact on daily activities and quality of life. Global prevalence data are scarce and derive mainly from European and Asian countries and studies with outcomes other than chronic cough. In this study, we aimed to estimate the prevalence of chronic cough across a large number of study sites as well as to identify its main risk factors using a standardized protocol and definition. Methods: We analyzed cross-sectional data from 33,983 adults (≥40 years), recruited between Jan 2, 2003 and Dec 26, 2016, in 41 sites (34 countries) from the Burden of Obstructive Lung Disease (BOLD) study. We estimated the prevalence of chronic cough for each site accounting for sampling design. To identify risk factors, we conducted multivariable logistic regression analysis within each site and then pooled estimates using random-effects meta-analysis. We also calculated the population-attributable risk (PAR) associated with each of the identified risk factors. Findings: The prevalence of chronic cough varied from 3% in India (rural Pune) to 24% in the United States of America (Lexington, KY). Chronic cough was more common among females, both current and passive smokers, those working in a dusty job, those with a history of tuberculosis, those who were obese, those with a low level of education, and those with hypertension or airflow limitation. The most influential risk factors were current smoking and working in a dusty job. Interpretation: Our findings suggested that the prevalence of chronic cough varies widely across sites in different world regions. Cigarette smoking and exposure to dust in the workplace are its major risk factors.info:eu-repo/semantics/publishedVersio
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