Empowering Data Dynamic and Indirect Mutual Trust for Distributed Management Storage System

The method establishes associate indirect mutual trusts with the owner and CSP through TTP and permits the data owner to store and update the data integrity to loyal third party. It permits the owner to give permission to access the outsourced data so it ensures that entirely licensed user can transfer data from CSP. In the todays digitalized world organizations turns out a capacity of sensitive information with particular data and private information. The native authority of huge capacity of information is problematic and expensive because the necessities of immense storage competence. Info-owners releases info, area unit considerations relating to confidential, integrity, and access authority of the info. The confidential futures is bounds the owners encryption the info sooner sourced the servers. Verifactory information purity in the C storage, clinician have planned obvious info possession technique to validate the information holds remote scene

Food and Migration: Dietary Acculturation among Migrants to the Kingdom of Saudi Arabia

The Kingdom of Saudi Arabia has a large migrant workforce particularly from North Africa, other Gulf states and South Asia. Migration influences food behavior; however, the change is not often health conducive. This study aimed to investigate the dietary acculturation among 880 migrants and their families in a large University in the Kingdoms’ capital city, Riyadh. Methods: A cross sectional study design was used based on 2 questionnaires; Rosenmoller et al’s and the WHO STEPS surveillance tool for chronic disease surveillance. Data on length of residency, dietary patterns, anthropometric and biochemical measurements were collected by trained interviewers. Descriptive statistics were reported as a percentage or mean, as appropriate. Chi-square test, Fisher’s exact test or independent t test, Univariate and Multivariate logistic regression analysis were used to compare the significance between variables. Results: Both male and female participants showed a similar mean age (39.7 and 38.5 years). Approximately 61% of them had <5 year’s duration of residency. Significant gender differences were observed in blood pressure and biochemical measurements, with men showing higher mean systolic and diastolic blood pressure and dyslipidemia than women (P < .001). Women had significantly higher BMI (P < .001), showed higher mean food practice (P < .001) and awareness scores than men. Conclusions: Migration into Saudi Arabia from this subgroup showed marked changes in the food practice; acquisition of unhealthy dietary practices also co-existed despite improved awareness and the presence of comorbidities. Findings from this study have relevance to other migrant communities and public health policy

Connecting microscopic structures, meso-scale assemblies, and macroscopic Architectures in 3D-printed hierarchical porous covalent organic framework foams

The induction of macro and mesopores into two-dimensional porous covalent organic frameworks (COFs) could enhance the exposure of the intrinsic micropores toward the pollutant environment, thereby, improving the performance. However, the challenge is to build a continuous hierarchically porous macro-architecture of crystalline organic materials in the bulk scale. In this regard, we have strategized a novel synthetic method to create hierarchically porous COF foams consisting of ordered micropores (2–2.2 nm) and disordered meso and macropores (50 nm to 200 μm) as well as ordered macropores (1.5 mm to 2 cm). Herein, graphene oxide was used for creating disordered macro and mesopores in COF-GO foams. Considering the rheological features of the precursor hydrogel, we could integrate crystalline and porous COF-GO foams into self-supported three-dimensional (3D)-printed objects with the desired shapes and sizes. Therefore, we have engineered the 3D macro-architecture of COF-GO foams into complex geometries keeping their structural order and continuous porosity intact over a range of more than a million (10–9 m to 10–3 m). The interconnected 3D openings in these COF-GO foams further enhance the rapid and efficient uptake of organic and inorganic pollutants from water (>95% removal within 30 s). The abundant distribution of interconnected macroporous volume (55%) throughout the COF-GO foam matrix enhances the flow of water (1.13 × 10–3 m·s–1) which results in efficient mass transport and adsorption

The assessment and management of diabetes related lower limb problems in India - an action research approach to integrating best practice

Background: In this article the authors explore the current issues and barriers related to achieving successful outcomes to diabetic foot complications in India. This was achieved by engaging clinicians in taking ownership of the problems and facilitating them in the identification of solutions to action change in clinical practice. Methods: This was accomplished through facilitating participants in this study via a process of problem identification and planning, the first phases of an action research cycle approach. The methods of data collection were focus groups, observations and individual conversations. The data were analysed using a thematic framework. Findings: Based on the practitioner's experiences and opinions, key themes were identified. These themes had the potential to inform the changes needed in clinical practice, to overcome barriers and embed ownership of the solutions. Five themes were identified highlighting: concerns over a fragmented service; local recognition of need; lack of standardised care pathways; lack of structured assessment and an absence of annual foot screening. Combined, the issues identified were thought to be important in preventing timely assessment and management of foot problems. Conclusion: It was unanimously agreed that a formalised process of foot assessment should be developed and implemented as part of the subsequent phases of the action research process, which the authors intended to take forward and report in a further paper. The aim of which is to guide triage, education, care pathways, audit and evaluation of outcomes. Facilitation of the clinicians in developing a program and screening tool to implement and teach these skills to others could be an important step in reducing the number of high-risk cases that are often resulting in the amputation of limbs

Development and evaluation of a training programme on primary prevention of diabetes for primary care physicians

PURPOSE: To strengthen the capacity of primary care physicians in prevention and control of diabetes in Tamilnadu State in India. METHODS: A 2-day workshop focusing on diabetes, its prevention and control was carried out. The impart of the training programme was evaluated in two parts – (i) knowledge assessment done by administering a tool to the doctors before the start and towards the end of the sessions and (ii) clinical practice assessment - interviewing the doctors to assess diabetes service delivery, after six months. RESULTS: A significant improvement in identification of risk factors and high risk groups, primary prevention methods, screening and diagnostic procedures and treatment of diabetes by the physicians were observed. After 6 months, considerable improvement in diabetic care delivery to patients at community level was observed and some physicians had started organizing screening and awareness campaigns in their communities. CONCLUSION: Diabetic health care at primary health care level can be considerably improved through sensitization and effective educational programmes. Keywords: Diabetes; Training programme; Primary care physicians