Design and Implementation of a Remote Care Application Based on Microservice Architecture

Microservice Architecture (MSA) is an architectural style for service-based software systems. MSA puts a strong emphasis on high cohesion and loose coupling of the services that provide systems' functionalities. As a result of this, MSA-based software architectures exhibit increased scalability and extensibility, and facilitate the application of continuous integration techniques. This paper presents a case study of an MSA-based Remote Care Application (RCA) that allows caregivers to remotely access smart home devices. The goal of the RCA is to assist persons being cared in Activities of Daily Living. Employing MSA for the realization of the RCA yielded several lessons learned, e.g., (i) direct transferability of domain models based on Domain-driven Design; (ii) more efficient integration of features; (iii) speedup of feature delivery due to MSA facilitating automated deployment.Comment: 8 pages, 3 figures, 2 table

Twelve-month observational study of children with cancer in 41 countries during the COVID-19 pandemic

Introduction Childhood cancer is a leading cause of death. It is unclear whether the COVID-19 pandemic has impacted childhood cancer mortality. In this study, we aimed to establish all-cause mortality rates for childhood cancers during the COVID-19 pandemic and determine the factors associated with mortality. Methods Prospective cohort study in 109 institutions in 41 countries. Inclusion criteria: children <18 years who were newly diagnosed with or undergoing active treatment for acute lymphoblastic leukaemia, non-Hodgkin's lymphoma, Hodgkin lymphoma, retinoblastoma, Wilms tumour, glioma, osteosarcoma, Ewing sarcoma, rhabdomyosarcoma, medulloblastoma and neuroblastoma. Of 2327 cases, 2118 patients were included in the study. The primary outcome measure was all-cause mortality at 30 days, 90 days and 12 months. Results All-cause mortality was 3.4% (n=71/2084) at 30-day follow-up, 5.7% (n=113/1969) at 90-day follow-up and 13.0% (n=206/1581) at 12-month follow-up. The median time from diagnosis to multidisciplinary team (MDT) plan was longest in low-income countries (7 days, IQR 3-11). Multivariable analysis revealed several factors associated with 12-month mortality, including low-income (OR 6.99 (95% CI 2.49 to 19.68); p<0.001), lower middle income (OR 3.32 (95% CI 1.96 to 5.61); p<0.001) and upper middle income (OR 3.49 (95% CI 2.02 to 6.03); p<0.001) country status and chemotherapy (OR 0.55 (95% CI 0.36 to 0.86); p=0.008) and immunotherapy (OR 0.27 (95% CI 0.08 to 0.91); p=0.035) within 30 days from MDT plan. Multivariable analysis revealed laboratory-confirmed SARS-CoV-2 infection (OR 5.33 (95% CI 1.19 to 23.84); p=0.029) was associated with 30-day mortality. Conclusions Children with cancer are more likely to die within 30 days if infected with SARS-CoV-2. However, timely treatment reduced odds of death. This report provides crucial information to balance the benefits of providing anticancer therapy against the risks of SARS-CoV-2 infection in children with cancer

Bio-composting oil palm waste for improvement of soil fertility

Sources of bio-compost as agro-industrial wastes includes wide range of oil palm wastes viz. waste, biomass, palm kernels, empty fruit bunch, mill effluent, trunk and frond compost. Various composting processes are summarized in brief with distinct reference of oil–palm composting covering aerated static pile, and co-composting with earthworms (vermicomposting). However, in-vessel composting and windrow composting has meritorious advantages in composting. This review article refers to various significant roles played by microorganisms associated. Noteworthy study of bio-compost applications and procedures are correspondingly glosses framework of ecological, economical and agro-ecosystemic benefits

Effect of alirocumab on mortality after acute coronary syndromes. An analysis of the ODYSSEY OUTCOMES randomized clinical trial

Background: Previous trials of PCSK9 (proprotein convertase subtilisin-kexin type 9) inhibitors demonstrated reductions in major adverse cardiovascular events, but not death. We assessed the effects of alirocumab on death after index acute coronary syndrome. Methods: ODYSSEY OUTCOMES (Evaluation of Cardiovascular Outcomes After an Acute Coronary Syndrome During Treatment With Alirocumab) was a double-blind, randomized comparison of alirocumab or placebo in 18 924 patients who had an ACS 1 to 12 months previously and elevated atherogenic lipoproteins despite intensive statin therapy. Alirocumab dose was blindly titrated to target achieved low-density lipoprotein cholesterol (LDL-C) between 25 and 50 mg/dL. We examined the effects of treatment on all-cause death and its components, cardiovascular and noncardiovascular death, with log-rank testing. Joint semiparametric models tested associations between nonfatal cardiovascular events and cardiovascular or noncardiovascular death. Results: Median follow-up was 2.8 years. Death occurred in 334 (3.5%) and 392 (4.1%) patients, respectively, in the alirocumab and placebo groups (hazard ratio [HR], 0.85; 95% CI, 0.73 to 0.98; P=0.03, nominal P value). This resulted from nonsignificantly fewer cardiovascular (240 [2.5%] vs 271 [2.9%]; HR, 0.88; 95% CI, 0.74 to 1.05; P=0.15) and noncardiovascular (94 [1.0%] vs 121 [1.3%]; HR, 0.77; 95% CI, 0.59 to 1.01; P=0.06) deaths with alirocumab. In a prespecified analysis of 8242 patients eligible for ≥3 years follow-up, alirocumab reduced death (HR, 0.78; 95% CI, 0.65 to 0.94; P=0.01). Patients with nonfatal cardiovascular events were at increased risk for cardiovascular and noncardiovascular deaths (P<0.0001 for the associations). Alirocumab reduced total nonfatal cardiovascular events (P<0.001) and thereby may have attenuated the number of cardiovascular and noncardiovascular deaths. A post hoc analysis found that, compared to patients with lower LDL-C, patients with baseline LDL-C ≥100 mg/dL (2.59 mmol/L) had a greater absolute risk of death and a larger mortality benefit from alirocumab (HR, 0.71; 95% CI, 0.56 to 0.90; Pinteraction=0.007). In the alirocumab group, all-cause death declined wit h achieved LDL-C at 4 months of treatment, to a level of approximately 30 mg/dL (adjusted P=0.017 for linear trend). Conclusions: Alirocumab added to intensive statin therapy has the potential to reduce death after acute coronary syndrome, particularly if treatment is maintained for ≥3 years, if baseline LDL-C is ≥100 mg/dL, or if achieved LDL-C is low. Clinical Trial Registration: URL: https://www.clinicaltrials.gov. Unique identifier: NCT01663402

miRNAs Expression Profiling, An Exploratory Method for Revealing First-Hand Biomarkers to Predict Disease Progression

Molecular techniques has proven to be a powerful tool to identify reliable predictors of treatment response or disease progression detection and early prediction. Different body cell possess various host expression profiles, and has its own specific indicators to identify different diseases/infection class. Analyzing microRNAs (miRNAs) as a promising host gene plays a critical roles in host interactions with various invaders, including their pathogenesis and host resistance through regulation of post-transcriptional translation or gene expression of related miRNAs, thus acting as a potential biomarkers of infectious diseases. Circulating miRNAs have great potential to facilitate the diagnosis of virus infection, although the discrepancy between the expression levels of intracellular and extracellular miRNAs, that has been observed in certain situations. Circulating miRNAs were found to be extremely stable and protected from RNAse mediated degradation within the body fluids, therefore have emerged as candidate biomarkers for several illnesses

Technical appraisal of solar home systems in Bangladesh: A field investigation

Solar Home System (SHS) based rural electrification has experienced a considerable growth in Bangladesh since the start of the Rural Electrification and Renewable Energy Development Project (REREDP) in 2003. The initial target of 50,000 SHS installations in off-grid areas was achieved within 2.5 years, 3 years ahead of schedule. After achieving a revised target of 200,000 SHSs, ahead of schedule in early 2009, a new target of 1 million SHS installations by 2012 was set. The installation of about 0.5 million systems by March 2010 indicates that the current target may well be achieved before the deadline. The size of the SHS market and its impact on the regeneration of the rural economy make it necessary to investigate the quality and reliability of the installed SHSs, if the continued success of the initiative is to be maintained. This paper reports on the findings from a field-based technical appraisal of SHS installations in Bangladesh. Sixty geographically dispersed installation sites were visited. Physical characteristics of the SHSs and their system components were tested to ascertain compliance with and deviations from the approved specifications. Despite the overwhelming success of the REREDP project, the study revealed various shortcomings. Notable among these are: incompatible and sub-optimal component configurations, faulty installations and a lack of effective quality assurance mechanism. The findings are contextualized and the ways to address the identified shortcomings are discussed