74 research outputs found

    Immigration and recommended care after a suicide attempt in Europe: equity or bias?

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    This report describes the investigation of care recommendations in the medical system across European countries to immigrants who attempted suicide. Data from seven European countries with 8865 local and 2921 immigrant person-cases were derived from the WHO/EURO Multicentre Study on Suicidal Behaviour and ensuing MONSUE (Monitoring Suicidal Behaviour in Europe) project. The relationship between immigrant status and type of aftercare recommended was analysed with binary logistic regression, adjusting for gender, age, method of attempt and the Centre collecting the data. Clear disparities were identified in the care recommendation practices toward immigrants, compared with hosts, over and above differing policies by the European Centres

    TAPCHA: An Invisible CAPTCHA Scheme

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    TAPCHA is a universal CAPTCHA scheme designed for touch-enabled smart devices such as smartphones, tablets and smartwatches. The main difference between TAPCHA and other CAPTCHA schemes is that TAPCHA retains its security by making the CAPTCHA test ‘invisible’ for the bot. It then utilises context effects to maintain the readability of the instruction for human users which eventually guarantees the usability of the scheme. Two reference designs, namely TAPCHA SHAPE & SHADE and TAPCHA MULTI are developed to demonstrate the use of this scheme

    Impersonation-as-a-Service: Characterizing the Emerging Criminal Infrastructure for User Impersonation at Scale

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    In this paper we provide evidence of an emerging criminal infrastructure enabling impersonation attacks at scale. Impersonation-as-a-Service (ImpaaS) allows attackers to systematically collect and enforce user profiles (consisting of user credentials, cookies, device and behavioural fingerprints, and other metadata) to circumvent risk-based authentication system and effectively bypass multi-factor authentication mechanisms. We present the ImpaaS model and evaluate its implementation by analysing the operation of a large, invite-only, Russian ImpaaS platform providing user profiles for more than 260000260'000 Internet users worldwide. Our findings suggest that the ImpaaS model is growing, and provides the mechanisms needed to systematically evade authentication controls across multiple platforms, while providing attackers with a reliable, up-to-date, and semi-automated environment enabling target selection and user impersonation against Internet users as scale.Comment: Presented at ACM CCS 2020. Appendix on "Deriving a Threat Model from Observation" available at https://michelecampobasso.github.io/publication/2020-11-10-impaa

    Chronic hypothermia and energy expenditure in a neurodevelopmentally disabled patient: a case study

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    Hypothermia is defined as a core body temperature of \u3c35°C and results in a decrease in measured resting energy expenditure. A 51-year-old mentally disabled patient experienced chronic hypothermia from neurologic sequelae. Because of her continued weight gain and increased body fat in the presence of presumed hypocaloric nutrition, indirect calorimetry measurements were performed twice in a 3-month period. The resting energy expenditure measurements prompted a reduction of her daily caloric intake to prevent further overfeeding. Hypothermia reduces oxygen consumption and, as a consequence, decreases resting energy expenditure. In patients for whom chronic hypothermia is a problem, nutritional intake must be adjusted to prevent overfeeding, excessive weight gain, and the long-term complications of an excess of total calories

    Estimation of Activity Related Energy Expenditure and Resting Metabolic Rate in Freely Moving Mice from Indirect Calorimetry Data

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    Physical activity (PA) is a main determinant of total energy expenditure (TEE) and has been suggested to play a key role in body weight regulation. However, thus far it has been challenging to determine what part of the expended energy is due to activity in freely moving subjects. We developed a computational method to estimate activity related energy expenditure (AEE) and resting metabolic rate (RMR) in mice from activity and indirect calorimetry data. The method is based on penalised spline regression and takes the time dependency of the RMR into account. In addition, estimates of AEE and RMR are corrected for the regression dilution bias that results from inaccurate PA measurements. We evaluated the performance of our method based on 500 simulated metabolic chamber datasets and compared it to that of conventional methods. It was found that for a sample time of 10 minutes the penalised spline model estimated the time-dependent RMR with 1.7 times higher accuracy than the Kalman filter and with 2.7 times higher accuracy than linear regression. We assessed the applicability of our method on experimental data in a case study involving high fat diet fed male and female C57Bl/6J mice. We found that TEE in male mice was higher due to a difference in RMR while AEE levels were similar in both groups, even though female mice were more active. Interestingly, the higher activity did not result in a difference in AEE because female mice had a lower caloric cost of activity, which was likely due to their lower body weight. In conclusion, TEE decomposition by means of penalised spline regression provides robust estimates of the time-dependent AEE and RMR and can be applied to data generated with generic metabolic chamber and indirect calorimetry set-ups

    Erratum to: 36th International Symposium on Intensive Care and Emergency Medicine

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    [This corrects the article DOI: 10.1186/s13054-016-1208-6.]

    Energy Requirements of the Critically Ill

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