Web3 Chain Authentication and Authorization Security Standard (CAA)

Web3 is the next evolution of the internet, which uses blockchains, cryptocurrencies, and NFTs to return ownership and authority to the consumers. The potential of Web3 is highlighted by the creation of decentralized applications (dApps), which are more secure, transparent, and tamper-proof than their centralized counterparts, allowing for new business models that were previously impossible on the traditional internet.Web3 also focuses on user privacy, where users have more control over their personal data and can choose to share only what they want. The emergence of Web3 represents an exciting new frontier in blockchain technology, and its focus on decentralization, user privacy, and trustless systems has the potential to transform the way we interact with the internet.Web3 authentication is required for enhanced security, increased privacy, and simplified user interface. Traditional login procedures and an authorization flow using web3 authentication work together seamlessly. However, there are several challenges associated with Web3, including scalability and regulatory issues. Chain Authentication and Authorization (CAA) is a multi-layer security mechanism that allows users to choose the security layer that suits them, just like a heavy iron chain, where the user and CAA developers act as blacksmith and form their security protocol that suits them. CAA is a solution to the challenges associated with Web3 authentication and authorization, and it focuses on creating a secure and decentralized authentication and authorization system that is scalable, flexible, and user-friendly

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)